Tuesday, November 18, 2008

“The Yellow Wallpaper” by Charlotte Perkins Gilman deals with a woman whose husband and brother believes that she has a temporary nervous depression. As she stands in an old children’s playroom inside an abandoned house, this particular yellow wallpaper catches her eyes and mysteriously keep her attention.
As the story progresses, the yellow wallpaper symbolizes the main female character’s situation in her state of mind. “There is a recurrent spot where the pattern looks like a broken neck ad two bulbous eyes stare at you upside down. I get positively angry with the impertinence of it and the everlastingness.” (Gilman, pg.5) The yellow wallpaper is what is making the narrator going crazy. It keep drawing in her attention and making her upset when she, not only can’t figure out the pattern, but can’t figure out why it has such an attraction to her. She knows that it must have a special meaning behind it, since her mind keeps referring back to it. “At night in any kind of light, in twilight, candle light, lamplight, and worst of all by moonlight, it becomes bars! The outside pattern I mean, and the woman behind it is as plain as can be.” (Gilman, pg.9) AT this point, the wallpaper is a representation of the narrator. Throughout the story, the narrator has asked her husband if they could leave from the house but he insists that it’s going o make her “better” from her depression. When the narrator saw the woman behind bars, it represents herself because she feels trapped. She’s not able to walk around without her husband or his sister behind her back. She’s not able to write freely; she has to sneak and write when nobody is around. Her husband checks up on her to make sure she has taken her naps like she’s young child. She’s not able to release her true self because she constantly has someone watching over her. “I’ve got out at last,” said I, “in spite of you and Jane. And I’ve pulled off most of the paper, so you can’t put me back!” (Gilman, pg.15) This quote is important because it’s almost as though the narrator is claiming her independence. Every time she would look at the wallpaper, she would see the woman behind bars, reminding herself of her own situation. Ripping the yellow wallpaper up is like a release from her husband’s ways to keep her closed.

Monday, November 17, 2008

Job Articles

Kiesha Garret
November 16, 2008
Bibliography

Blatter, M., & Monk, B. (2008). The pediatrician's role in preventing cervical cancer.
Clinical Pediatrics, 47(7), 627-638. Abstract retrieved from EBSCO Host database.
The actual article was unavailable, but I did manage to get the abstract from the authors themselves. This article deals with oncogenic human papillomavirus (HPV) virus types and precancerous lesions and cervical cancer. It states that women have are already sexually active are at risk of catching an ocogenic HPV infection. As young as fifteen years old, girls have already been observed to have the presence of abnormal and precancerous cells. Fortunately, there is vaccination for protection against the infection. As a future pediatrician, I have to have knowledge and information about different types of infections, such HPV. Young girls and their parents are going to expect to me to educate them on cervical cancer and know the exact vaccination for them. One mistake can not only lead to a law suit, but serious health issues. I already heard about cervical cancer from my own pediatrician and from the commercial that has pills for it. My friends and I may even joke around, chanting the popular phrase from the memorable commercial, “I want to be one less,” but we understand the seriousness from this infection. Even though I may have heard about cervical cancer, this abstract inspires me to look for more information to not only benefit myself, but the girls around me. Awareness can lead to the decrease of young girls and women getting infected and have them get vaccination for something that can easily be avoided. I love the fact that men wrote this article. Usually infections that mainly affect women are talked about by other women. This shows that gender doesn’t matter when it comes to the awareness of others and the health of the infected. The world does not need another type of viruses that affect our generation and new generations to come later in life.

Borchers, D., Johnson, C., English, K., Glassy, D., High, P., Romano, J., Szilagyi, M.,
Vickers, D., Gorski, P., & Palmer, D. (2003). Families and adoption: The pediatrician’s role in supporting communication [Abstract]. Pediatrics, 112(6), 1437-1441. Retrieved from EBSCO Host database.
This article is about pediatricians being able to use their knowledge of adoption and sharing it with adoptive families to promote positive emotional growth within the family. The article starts by giving the various types of adoption. Some children may be adopted into a family with the same or different ethnicity as theirs. They may even be adopted by their own family members. However, some children are put in single-parent families, families with gay or lesbian parents, or families with older parents. The article states that medical problems, vision and hearing loss, and development delays should be addressed. Also, behavioral and emotional concerns need to be addressed with appropriate therapy. Up to age three, children do not know the difference between a kid that was adopted and a kid that is with his biological family. When they do realize the difference, separation issues might evolve, especially the ones who remember their biological family. They fear that they adoptive family will abandon them. When adoptive children begin school, they realize that most of their peers are not adopted. That may lead to other issues such as self-esteem and doing school assignments like family trees. Children may lose a sense of identity and don’t know whether to celebrate their birthday or their “adoption day.” The kids adopted in a different culture or race than their own may experience racist remarks for the first time in situations where they are not protected by their guardian. It is important for the family to acknowledge openly the differences between themselves and the child. It is also important for the child to have the opportunity to learn about the country of his birth and his heritage. It is the pediatrician’s job to encourage positive adoption language for all families. Pediatrician’s play an important role in helping families deal with the differences, losses, and other issues surrounding the adoption of a child; that’s why they have to informed and knowledgeable about adoption. It is also the pediatrician’s role to promote the importance of communication about adoption; it helps to reassure the child’s self-esteem issues and provide a healthy environment in the home. This helps me because I know that sometimes I will have to gain knowledge of something that may not be medical related.

Bravender, T. (2008). School Performance: The pediatrician's role.
Clinical Pediatrics, 47(6), 535-545. Abstract retrieved from EBSCO Host database.
This is another article in which I couldn’t receive the actual article but was able to find the abstract from the author. It states that a pediatrician should be able to know what to do when a parent comes to them and talk about their child’s difficulties in school. It is imperative for a pediatrician to be familiar with cognitive, emotional, and development problems that could possibly affect school performance. This article helps me realize that I need to get informed on the types of problems that can mess up a child’s education. I have to be able to assist a distraught parent in desperate need to figure out why their child does not own up their best ability when it comes to education and schooling. I have to be able to recognize the signs and symptoms of any medical issues that may be taking the child’s performance. I’m now learning that a pediatrician not the stereotypical physician that just hand nurses vaccines to give to the patients and don’t do anything after that. A pediatrician actually communicates with the parents and kids and gives helpful advice to them. A pediatrician has to be up-to-date with things and have to be quick and accurate with decisions.

Brent, R., & Weitzman, M. (2004). The pediatrician’s role and responsibility in educating
parents about environmental risks [Abstract]. Pediatrics, 113, 1167-1172. Retrieved from EBSCO Host database.
This article is pretty self-explanatory from looking at the title. It is about educating parents about environmental risks that can harm the health and safety of your child. What I like about this article is that it lists the different problems in different ages. The particular age groups that were the longest were the first year and ten years to eighteen years. I believe that the first year has one of the longest lists because babies are so fragile at that age and almost everything can harm them. One of the problems are trauma from numerous of falls. Babies have the tendency to fall from places such the bed or the crib. This is a message to parents to keep an eye on their child at all times because one second of absence can lead to tragedy. Another problem is parents refusing give vaccination to their children. This was one of the problems that I didn’t know existed. Not giving your child their scheduled vaccination can result in illnesses that could have been easily avoided. The parents are basically spending more money sending their child back and front to the hospital to treat the illness that they caught. Ages from the ages of ten to eighteen years has the other longer list of problems. One of the problems listed were smoking and drug use, including alcohol. Around this age, kids are likely to be outside with their friends then at home with their parents. This is also the stage where peer pressure is really high. This article states that parents should really start paying attention with their child’s behavior, personality, and friends. Missing money and valuable items can be from your teenager stealing them. Other problem that was important was sexually transmitted diseases and pregnancy. It is important that parents should be able to talk to their kids about sex and the consequences that come with it. It is also essential that parents should be able to set an example. Unfortunately, suicide is another dilemma among teenagers. Suicide is the number one cause among teens. This is another reason why parents should start paying attention to their child’s behavior and any changes in their personality. The problems from ages one to nine are similar. Obesity is a serious problem in the United States. From ages one to four, habits of eating and exercise are developed. Parents need to realize that proper amounts of foods and exercise are needed or their child will experience serious health issues. This article is very helpful for me to educate myself about problems so I could be ready when I’m a real pediatrician.

Bureau of Labor Statistics, U.S. Department of Labor (2007). Physicians and surgeons.
Occupational Outlook Handbook. Retrieved November 14, 2008, from
http://www.bls.gov/oco/oco074.htm
This particular article was very helpful for me. It literally tells everything about a pediatrician, from the qualifications to the job outlook. Pediatricians generally care for the health of infants, children, teenagers, and young adults. Some pediatricians treat things such as minor injuries, infectious diseases, and immunizations. Others specialize in pediatric surgery or other serious conditions, such as life-threatening diseases. This article also talks about the work environment. Pediatricians, as well as other physicians, work as a team; that let’s me know that working in groups at school is actually going to help me when I’m starting my career. The training, qualifications, and the working hours let’s me know that this job is not easy. I have to accomplish four years of undergraduate school, four years of graduate (medical) school, and at least three years of internship and residency. After all that, I still have to become a licensed physician. Of course, I have to have the education to become a pediatrician, but I also have to have the personality. I have to be motivated, kind to other people, and be able to work under pressure. Even though all of the schooling might put me in debt, it’s all going to pay off. The article states that physicians usually work 60 or more hours a week, but the earnings are among the highest of any other occupation. Another thing I like about this article is that it has other types of physicians and surgeons. This way, I’m able to compare and contrast with the other careers.

Dan, B. (2008). The role of pediatricians in support groups for rare diseases.
Acta Paediatricia, 97(11), 1510-1511. Abstract retrieved from EBSCO Host database.
This abstract states that the article is about pediatricians coming together and forming support groups to provide guidance and promote research funding and development for rare diseases. Another name for rare diseases is orphan disease. I like this particle article because I think that it is very important for pediatricians, as well as the patients’ families, to be involved in this kind of positive situation. This not only helps the current patients, but also any future kids. Awareness is the key for prevention. If other families knew about these particular rare diseases, they can educate their peers and children and save another child’s life by recognizing the possible symptoms. Finding ways to fund this development could save so many children’s lives. It could make a difference in the community and in the world. As a future pediatrician, it is important for me to inform myself about the different types of rare diseases that is affecting our world more often than we think. I could be saving my niece’s life or my cousin’s life. I could be even saving my own existence and health. As a human being, I could help spread awareness by educating my family and peers about different diseases that can affect someone close to them.

Glassy, D., & Romano, J. (2003). Selecting appropriate toys for young children:
The pediatrician’s role [Abstract]. Pediatrics, 111(4), 911. Retrieved from EBSCO Host database.
This article is about what appropriate toys pediatricians can suggest to parents for their children. It is important to interact with their child while they are playing with their toys. When the adults participate, learning is increased. A child’s self-esteem and level of skillfulness and knowledge is also increased. The article states that my job as a pediatrician is to stress that toys are a supportive role in enhancing a child’s development. Graphic representations of violence, such as computer or video games, can lead to acts of violence by the child. Toy guns and other violent toys should be encouraged. The article also states that parents should also consider whether a toy promotes negative racial, ethnic, cultural, or gender stereotypes. It also affirms that some toys that advertise that it could assist specific development goals could be misleading. It could also ignite guilt in the parents that can not afford those toys. Another thing that the article states is that even though toys are on the market, it does not mean that it is safe for your child. Parents should consider the characteristics of the toy, how might it be used, and how much supervision is needed. No only is the toys at home should be safe, but also the toys at a pediatric office. The main thing about the toys in pediatric offices is that it should be safe for all ages and it should encourage creativity. Some advice is for the parent or guardian is that they should participate in their children’s playing. A toy does not have to be expensive for it to promote learning and growth in all areas of development and be an overall good toy. The most expensive toy may be the ones that discourage children to use their imaginations. Another advice is to limit computer game, video game, and television use. This article prepares me for any future concerned parents asking me for advice for the right toy to give to their kids. I can also use this for my niece and little cousins when I’m buying them toys for Christmas and birthdays.

Howard, B., & Broughton, D. (2004). The pediatrician’s role in the prevention of missing
Children [Abstract]. Pediatrics, 114(4), 1100-1105. Retrieved from EBSCO Host database.
In 2001, out of the 837,055 people who went missing, eighty percent were children. Although ninety-nine percent were found within hours or days of their disappearance, 7,115 to 7,534 were missing for prolonged periods. This article is about what a pediatrician can do to help prevent missing children. It puts the missing children in categories: non-family abductions; family abductions; runaways or throwaways; and missing benign explanation. Most of the non-family abductions were girls, and most of them were twelve years of older. About forty-six percent of the victims were sexually assaulted while missing. However, non-family abductions are less common. As human beings, we were taught not to talk to strangers. However, eight-five percent of kidnapping victims did not consider the kidnapper to be a stranger. These are usually a neighbor, a family friend, or a family member. Another category is runaways and throwaways. Children who run away live in difficult situations such as poverty. Runaways are at risk of disease, crime, injuries, alcohol use, drug use and selling, sexual contact, and death. Missing with benign explanations is the second largest category of missing children. It occurs when the child’s location are unknown to the guardian, which causes the guardian to be worried, try to locate the child, and contact the police. The article states that pedophiles and child molesters are approaching children more often by the Internet. Parents need to educate their children about the dangers of the Internet and use blocking devices to back them up. They also need to monitor what their children are doing. This article helps me because it states what pediatricians should do. The main thing is to give advice to the parents without igniting fear or panic. Some of the advice is to encourage families to keep up-to-date photos and teach their kids of inappropriate touches, rather it is from a relative or not. It not only helps me know what to do as a future pediatrician, but it also helps me when I become a parent in the future.

Knapp, J., & Mulligan-Smith, D. (2005). Death of a child in the emergency department
[Abstract]. Pediatrics, 115(5), 1432-1437. Retrieved from EBSCO Host database.
In 1997, data showed that sixteen percent of deaths in children younger than nineteen years old happened in outpatient hospital sites, mostly the ED (emergency department). Another five percent were announced dead on arrival at a hospital. A child’s death not only affects the family, but the emergency physician and the pediatrician. It greatly affects the pediatrician who specialized in pediatric surgery or other serious conditions, because they are the ones who cared for the child before death. That is the doctor that grew a special relationship with the child as he or she was at the hospital. The article states that the child’s pediatrician should be modified of the death. They could be the source of support and counsel for the family. However, this article didn’t really give me a great amount of help. I now know that a death of a young child can occur and it will affect me, especially if I had a loving relationship with that particular child, but that is what I really got out of the article.

Weindling, M. (2008). Nose bleeds, child protection and the difficulties faced by
pediatricians. Acta Paediatricia, 97(10), 1318-1320. Abstract retrieved from EBSCO Host database.
This was another abstract that I was unable to receive the actual article, but I was able to get the overall summary of it. Just by reading the title, the article is about the difficulties and the troubles a pediatrician have to go through to protect a child from something that happens to millions of children, abuse. Since it is rare for babies to have nosebleeds during their first years of life, pediatricians have suspected the possibility of attempted suffocation. This article teaches me that, as a pediatrician, I have to be observant and alert. If I feel like a child is in harm I have the right to be suspicious and look farther in the situation. My overall job is to care for the children and young adults. I have to be observant and notice any discomfort or unusual injuries. As a teenager right now, I don’t like the idea abuse at all. I don’t see how adults can do that to their own children or even other adults. It would feel my heart up if I know that I saved one child from their abusive parent or guardian.