Leininger’s Culture Care Theory of Nursing

Leininger’s Culture Care Theory of Nursing Around the world Madeline Leininger is considered the founder of the theory of Culture Care Diversity and Universality and also for the discovery of the research method known as enthonursing or transcultural nursing. She was the first nurse to theorize about human care from a worldview rather than the usual medical view. She is a creative, innovative, and visionary editor and author of 22 books, 265 articles, and 40 chapters focused on transcultural nursing and human care phenomena (Cohen). Leininger is a United States-born anthropologist in which she incorporated her knowledge and expertise in anthropology to her practice in nursing to create an idea that would greatly influence the way in which nurses cared for their clients as well as develop a sense of self-awareness. In 1948, Leininger first received a diploma from St. Anthonys Hospital School of Nursing in Denver, Colorado which qualified her as a registered nurse. She quickly moved on to receive a bachelors degree in biological science and soon thereafter earned masters degree in psychiatric nursing. Finally, she was the first nurse in history to study at a doctorate level and receive a PhD in cultural and social anthropology. She applied her roots in anthropology to provide nursing with a way to study caring while taking into account peoples culture, beliefs, patterns, and values to provide culturally sensitive and congruent care to every patient (McCance, McKenna, Boore). By the 1950s, Leininger began to formulate writings on nursing practice with a primary focus on caring and transcultural awareness (Cohen). In the late 1980s, Leiningers writings on her theory of transcultural nursing and cultural care were published in her Journal of Transcultural Nursing in which Leininger defined caring as the essence and central domain of nursing practice(Cohen). The intention of this publication was to share scholarly work among nurses and others with an interest to incorporate transcultural nursing knowledge into their scope of practice. Her published theory states that caring is the central and unifying domain for the body of knowledge and practices in nursing (Leininger). Globally, she is considered one of nursings most prolific writers. Leiningers theory of transcultural care is significant and unique in the fact that it is the sole theory that focuses on cooperative care that takes into consideration all cultures around the world (Cohen). It is predicted by the U.S. Census Bureau, that by 2042, no single racial-ethnic group will hold a majority population position, and more than half of Americans will be members of a minority group (Varcarolis 2010). In a time when the world is growing smaller and our society is encompassing and adopting more and more diverse cultures, it is imperative that nurses are competent in the ability to give culturally congruent care to patients in all healthcare settings. According to an article on global leadership in transcultural practice, education, and research by Margaret Andrews, Leininger has identified three key historical phases in the process of her development of the transcultural theory of nursing, according to one of her articles called The Evolution of Transcultural nursing with Breakthroughs to Discipline Status (2007). These phases serve to outline the development of transcultural nursing. During the first phase (1955-1975): Establishing the Field of Transcultural Nursing, Leininger acknowledged the relationships between nursing and anthropology, but kept a focus on nursing and the benefits of having a theory (Andrews). During the second phase (1975-1983): Program and Research Expansion for Transcultural Nursing, increasing amounts of nurses became interested in the valuable contribution of transcultural nursing around the world. And lastly the third phase (1983-present): Establishing Transcultural Nursing Worldwide, is the period dur ing which transcultural nursings global agenda is the primary focus. It all began when Leininger was working as a psychiatric clinical nurse specialist in a child guidance home in the 1950s when she experienced the unfamiliar feeling of culture shock. While at the guidance home she worked with children of various cultural backgrounds. She began to notice a lack of understanding amongst herself and the staff about how the childrens cultural backgrounds where influencing their behavior. From this, she came to the conclusion that caring is the central unit to nursing and being culturally competent is vital in order to deliver care to patients. She then began to develop strategies that would help the staff to incorporate congruent care to children with diverse cultures, patterns, and ways of life by developing a worldview and incorporating it into their technique. In the early 1960s, as a part of her doctoral studies in cultural anthropology at the University of Washington, Leininger decided to reside with the people of New Guinea, in which no one had any familiarity, in order to further study this new idea of culturally based interventions (Cohen). She established herself in Gadsup, New Guinea for two years in which she opened her eyes to the values, world views, and beliefs about the health and illness of the villages and how they were crucial in delivering appropriate healthcare. When Leininger arrived in Gadsup she was baffled at how completely different their world was from the one she left behind and she knew that the unfamiliarity would pose a tremendous challenge to her studies. However, Leiningers eagerness to study the meaning of healthcare to these people and how it influenced their wellbeing lead her to adapt and provide specific care that would be beneficial to people and families who were ill. Leininger believed that culture was universal framework to how people solve their problems. The experiences she encountered during her visit in Gadsup sprung the idea that beliefs about health and healthcare are imbedded in the values of the person or persons receiving the care and the understanding of these values and beliefs are critical for interventions to be successful in allowing the patient to heal and be cured. Transcultural nursing with a focus on caring must become the dominant focus of all areas of nursing. It is holistic and the most complete and creative way to help people (Leininger, 1981:5). A key factor that she derived from her experience was her newly discovered research method that she referred to as ethnonursing. The central idea of the enthnonurisng research method was to establish a naturalistic and largely emic method to study phenomena especially related to her culture care diversity and universality theory (Leininger McFarland). The terms Emic and Etic are used widely by anthropologists to re fer to the way in which observations are viewed. The term etic refers to the behavior or belief of the observer of the culture. The term emic refers to the view from the person within the culture and this view is has largest influence on Leiningers studies considering that her work was centered on the patients views in order to meet and understand concepts that were indigenous to them. Leininger applied ethnonursing for the study and analysis of the local or indigenous peoples viewpoints, beliefs, and practices about nursing care phenomena and the processes of designated cultures. She formulated this concept to take into account that nurses do not usually have the time to study the entity of peoples lifeways and interests, but that care is more geared toward the health patterns and phenomena. In an article written by McCance, McKenna, and Boore, a practical application of Leiningers theory was conducted by Barry Kronk in 1993. The purposed of this study was to gain knowledge of the culture of a group of Guatemalan refugees who fled to the United States due to political unrest, extreme poverty, and persecution. The refugees major barrier to congruent care was the language barrier that disabled the caregivers to provide culturally congruent care due to being unable to communicate the refugees cultural preferences. The knowledge that needed to be acquired of their culture included concept of health, health care beliefs, caring behaviors, and barriers to health care. In order to acquire these concepts the health care providers used methods of data collection such as observing, interviewing, life history, photography, and participating with the people in their own environment. When using these methods, Barry Kronk, were able to gather findings of the refugees such a kinship and social factors, educational factors, religious and political factors, traditional factors, belief factors, economic factors, and previous health care factors. When applying Leiningers transcultural care theory and diagnostic tools, Barry Kronk were able to provide a number of recommendations for the refugees in order to provide care. This study also conveys another concept that is unique to Leiningers theory in which the focus of caring may transcend the individual and focus on families, society, or communities as a client (Cohen 1992). Sometimes, culturally competent care cannot be focused on the person as central to nursing because in many cultures, such as those of Eastern or Indigenous cultures, the term person or self does not linguistically exist (Cohen 1992). In these cultures it is not uncommon to see that the concept of a clients health illness is due to a lack balance or harmony within their community or tribe. Madeleine Leiningers culture care theory suggested three modes in which to facilitate nursing actions, judgments, and interventions to meet the heathcare needs of their patients in a culturally sensitive and congruent manner. The three modes of care were: preservation/maintenance, accommodation/negotiation, and repatterning/restructuring. Cultural preservation or maintenance refers to nursing care interventions that help clients of particular cultures to retain and preserve cultural care values when providing healthcare. Cultural care accommodation or negotiation refers to creative and innovative nursing actions that help people of different cultures adapt or negotiate with others in order to attain a goal of optimal health outcomes suitable to the clients culture whether it be an individual, a family, or a community. Cultural care repatterning or restructuring refers to the therapeutic actions taken by the culturally competent nurse that enable the client to modify personal health b ehavior to achieve beneficial outcomes while respecting the cultural values of the client . These assumptions are the philosophical basis in which Leininger has used to add meaning, depth, and clarity to the overall focus of culturally competent care. Visual aid to her theory: sunrise It is amazing what some women and men dare to do with their ideas in many places in the world. Creative thinking and actions are what the world needs most. Transcultural nursing has been an example of these attributes. While taking new actions may be troublesome to some people, yet new actions and new ideas can lead to a wealth of new knowledge and new ways to serve people. Transcultural nurses have taken such actions and are transforming nursing and health care in many places in the world (Leininger).

Pathogenic Parasite and Waterborne Diseases in Three Stations

Chapter 1 INTRODUCTION Background of the Study Rivers are the bodies of water bearing an immense biological importance. Though they contain only about 0. 0001% of the total amount of water in the world at any given time, rivers are vital carriers of water and nutrients to areas all around the earth, they are essential components of the hydrological cycle, for they act as drainage channels for surface water and they serve as habitat for various organisms (Hebert, 2011). With rapid increase of the country’s population and urbanization, bodies of water tremendously began to be polluted.This event commenced the contamination of drinking water as well as the widespread occurrence of waterborne diseases. Waterborne diseases are often caused by parasites which are directly transmitted through consuming contaminated drinking water. Any water reserve, infested with pathogenic parasites, used in the preparation of food can be considered as a source of foodborne disease and could be easi ly transmitted through consumption of the same pathogenic parasites. These diseases commonly affect the digestive tract as well as the other vital parts of the body that may be fatal to anyone especially those who are immunocompromised (WHO, 2004).Globally, waterborne diseases such as diarrhea accounts for 1. 5 million deaths annually according to the Centers for Disease Control and Prevention on its report in 2010. It is considered one of the most dangerous diseases that could be acquired in flowing water and is a major health problem for developing countries. Also, according to World Health Organization (WHO) on its report in 2004, diarrheal disease accounts for an estimated 4. 1% of the total Disability-adjusted Life Year (DALY) global burden of disease and is responsible for the deaths of 1. million people every year. It was estimated that 88% of that burden is attributable to unsafe water supply, sanitation and hygiene, and is mostly concentrated in children in developing count ries. Over the time – from 2004 up to the present – , rapid increase in population, urbanization, and industrialization reduce the quality of Philippine waters, especially in densely populated areas and regions of industrial and agricultural activities. The discharge of domestic and industrial wastewater and agricultural runoff has caused extensive pollution of the receiving ater-bodies. This effluent is in the form of raw sewage, detergents, fertilizer, heavy metals, chemical products, oils, and even solid waste. Each of these pollutants has a different noxious effect that influences human livelihood and translates into economic costs. Access to clean and adequate water remains an acute seasonal problem in urban and coastal areas in the Philippines. The National Capital Region (Metro Manila), Central Luzon, Southern Tagalog, and Central Visayas are the four urban critical regions in terms of water quality and quantity.The Government’s monitoring data indicates that just over a third or 36 percent of the country’s river systems are classified as sources of public water supply, up to 58 percent of groundwater sampled is contaminated with coliform and needs treatment, approximately 31 percent of illness monitored for a five-year period were caused by waterborne sources, and many areas are experiencing a shortage of water supply during the dry season. Nearly 2. 2 million metric tons of organic pollution are produced annually by domestic (48 percent), agricultural (37 percent), and industrial (15 percent) sectors.In the four water-critical regions, water pollution is dominated by domestic and industrial sources. Untreated wastewater affects health by spreading disease-causing parasites, makes water unfit for drinking and recreational use, threatens biodiversity, and deteriorates overall quality of life. Known diseases caused by poor water include gastro-enteritis, diarrhea, typhoid, cholera, dysentery and hepatitis. The number of water- related health outbreaks including deaths reported in newspapers is going up.However, awareness regarding the need for improved sanitation and water pollution control, reflected by the willingness-to-pay and connection to a sewerage system where they are easily available, is very low (Philippines: Environment Monitor, 2003; Greenpeace 2007). Davao City has been expanding and growing in terms of population, economy and industry. In this manner, more raw materials are being demanded by these different sectors and as a result destruction of the natural resources is inevitable. Davao river ranks number seven among the largest river basins in the Philippines.This is largest of the city’s nine principal watersheds. The river is the main natural reservoir of the aquifer in the city’s jurisdiction. Its length is about 143 kilometers. It has received domestic and industrial wastewater. Since the sewage systems have not yet been fully developed, the garbage has been discharge in to the river leading to a wide-scale contamination of Davao River (Pascua et. al. , 2011). At present, residents within Davao River unceasingly make use of the water for bathing and washing which may present various threats to them.Some use the river for livelihood e. g. sand quarrying and fishing and for recreational activities. But they are blinded by the fact that they can be infected by pathogenic parasites that would eventually lead to waterborne diseases. This study aims to determine the level of pathogenic parasites in the water. Having everyone in the community know the specific parasites present in the selected stations of Davao River – Bankerohan, Bucana and Magallanes – would eventually lead to a more effective prevention and disease control among the residents of the community.The goal of clean water for everyone has to be achieved in a growing population of a city. This study also aims to measure the level of waterborne diseases in Davao River. Through thi s study, we can help the people be oriented with the danger of using contaminated water from Davao River. Related Literature The importance of urban rivers and streams for urban ecology and quality of life in cities is an increasing concern worldwide. The present state of rivers is much dependent on the history and trends of the society in each country.In many situations water quality is still unsatisfying. Restoration of urban rivers is challenging because of intensive land use, danger of flooding and impacts of human activities for water quality and for the ecology of rivers (Jormola, 2008). Today about 50% of the global population are living in urban areas, placing one-third of their inhabitants into slums, and creating huge challenges to their environment and sanitation. Poor sanitation, poor treatments of waste water, as well as catastrophic floods introduce pathogenic bacteria into rivers, infecting and killing many people.The goal of clean water for everyone has to be achieve d with a still growing human population and their rapid concentration in large cities, often megacities. How long introduced pathogens survive in rivers and what their niches are remain poorly known but essential to control waterborne diseases in megacities. Biofilms are often niches for various pathogens because they possess high resistances against environmental stress. They also facilitate gene transfers of antibiotic resistance genes which become an increasing health problem.Beside biofilms, amoebae are carriers of pathogenic bacteria and niches for their survival (Abraham, 2011). The World Health Organization says that every year more than 3. 4 million people die as a result of water related diseases, making it the leading cause of disease and death around the world. Most of the victims are young children, the vast majority of whom die of illnesses caused by organisms that thrive in water sources contaminated by raw sewage (Berman, 2009). Waterborne Diseases Many illnesses, con taminants, and injuries can be water, sanitation, or hygiene-related.Waterborne diseases are caused by organisms that are directly spread through water. Water-related illnesses can be acquired due to lack of water for good hygiene and lack of sanitation. It is important to know how these diseases and contaminants affect humans where they are found, and how to reduce the chance getting ill or suffering injury. This will allow individuals to make informed decisions about water, hygiene, and sanitation-related activities (CDC, 2012). Parasitic Organisms Parasites may be present in food or in water and can be identified as causes of waterborne illness.They range in size, from tiny single-celled organisms to worms visible to the naked eye. Their lifecycle may also vary. While some parasites use a permanent host, others go through a series of developmental phases using different animal or human hosts. The illnesses they can cause range from mild discomfort to debilitating illness and poss ibly death (USDA, 2011). Parasites cause over 2 billion infections per year worldwide. In the immunocompromised host these infections generally represent reactivation of infection from donor or in the allograft recipient often long after the initial infection (Wiley, 2004).Inland and coastal surface waters can be contaminated by human waterborne zoonotic enteropathogens such as Cryptosporidium parvum, Giardia lamblia, Encephalitozoon intestinalis, E. hellem and Enterocytozoon bieneusi (Graczyket et. al, 2008). The aquatic ecosystem harbors many kinds of organisms. Some of these organisms are parasitic protozoa such as Cryptosporidium spp. and Giardia spp. , which have recently been recognized as important causes of water and food-borne disease outbreaks associated with fecal contamination (Doron, 2000; Karanis et al. , 2006).Cryptosporidium is a parasite commonly found in lakes and rivers, especially when the water is contaminated with sewage and animal wastes. There have been six m ajor outbreaks of cryptosporidiosis in the United States as a result of contamination of drinking water. One major outbreak in Milwaukee in 1993 affected over 400,000 persons. Cryptosporidial infection can thus be transmitted from fecally contaminated food and water, from animal-person contact, and via person-person contact. The probability of transmission from just a small amount of contamination is fairly high, since a recent study has determined that the 50% infective dose of C. arvum is only 132 oocysts for healthy persons with no previous serological immunity to cryptosporidiosis (Hannahs, G. 1995). Cryptosporidium is very resistant to disinfection, and even a well-operated water treatment system cannot ensure that drinking water will be completely free of this parasite. Cryptosporidium has caused several large waterborne disease outbreaks of gastrointestinal illness, with symptoms that include diarrhea, nausea, and/or stomach cramps (Freedrinkingwater. com, 2009). Cryptosporid iosis, a common finding in pediatric patients hospitalized for diarrhea in urban Manila, Republic of the Philippines.Urban areas, particularly in the developing countries, frequently experience severe overcrowding with concomitant diminished sanitation. This situation is conducive to the transmission of enteric pathogens. It would be reasonable to expect that cryptosporidium oocysts are readily passed from human-to-human, human-to-animal and animal-to-human hosts. In rural areas around the world, human cryptosporidiosis is putatively associated with close human-animal contact, as in the case of animal handlers and similar agricultural situations (Laxer, M. 2003).Giardia lamblia is the protozoan parasite responsible for the disease Giardiasis. Symptoms of acute Giardiasis include diarrhea, nausea, weight loss, malabsorption, abdominal cramps, flatulence, and anemia. The mode of transmission of Giardia is through fecal to oral route or ingestion of cysts. A person can become infected after accidentally swallowing the parasite; but cannot become infected through contact with blood. You can become infected with Giardia lamblia if you swallow contaminated recreational water. Recreational water such as in swimming pools, hot tubs, jacuzzis, fountains, lakes, rivers, prings, ponds, or streams that can be contaminated with sewage or feces from humans or animals (Vdresearch. com, 2008). The prevalence of Giardia and Cryptosporidium among 3,456 diarrheic patients corrected from May 2004 to May 2005 in the Philippines was determined. Of 133 (3. 8%) positive samples, 69 (2. 0%) were positive for Giardia and 67 (1. 9%) for Cryptosporidium. Three samples had co-infection with Giardia and Cryptosporidium. Luzon had the highest positive samples (5. 0%) followed by Mindanao (4. 9%), then Visayas (2. 2%). Giardia was most prevalent in Mindanao (3. 6%) while Cryptosporidium was most prevalent in Luzon (3. %). The prevalence of Giardia (2. 0%) among pediatric patients (0-18 years ) did not significantly differ from that (1. 9%) among adults (>18 years old). However, for Cryptosporidium, the prevalence (2. 9%) among pediatric patients was significantly higher compared to that (0. 2%) among adult patients. In the pediatric population, the highest percentage of patients with Giardia was the 5-9 year old age group, while that of Cryptosporidium was in the 0-4 year old group. The prevalence of Giardia, but not Cryptosporidium, was significantly higher in male than female adults (Natividad, F. 008). Amoebic dysentery (amoebiasis) which is the agent of Entamoeba histolytica is widely seen around the world. About 50 million people has become infected a year and eventually over 100,000 people lose their lives. Amoebiasis come into being in consequence of taken of quad-core mature cysts from water, foods, goods or hands by orally. E. histolytica trophozoites are placed into the colon mucosa and submucosa then forms a bloodymucus diarrhea table. It forms abscesses by m oving through blood to liver, lungs, brain and other tissues (Kaya, O. 2011).The infection is common in developing countries and predominantly affects individuals with poor socioeconomic conditions, nonhygienic practices, and malnutrition (Rivera, W. 1998). Related Studies Waterborne diseases are the most prevalent infectious diseases in the developing countries especially in new settlements along the river. Waterborne diseases occur worldwide, and outbreaks caused by the contamination of community water systems and accidental ingestion of recreational waters have the potential to cause disease in large numbers of consumers. Statistics on outbreaks linked to contaminated water have been vailable in the USA since 1920 (Craun 1986), and since 1971, the Centers for Disease Control (CDC), the US Environmental Protection Agency (USEPA), and the Council of State and Territorial Epidemiologists have maintained a collaborative surveillance system for collecting data pertaining to the occurr ence and causes of outbreaks of waterborne disease (Barwick et al. 2000; Lee et al. 2002). In Europe during 1986–96, 277 outbreaks associated with drinking and recreational water were reported from 16 European countries (Kramer et al. 2001). At least 325 water-associated outbreaks of parasitic protozoan disease have been reported.North American and European outbreaks accounted for 93% of all reports and nearly two-thirds of outbreaks occurred in North America. Over 30% of all outbreaks were documented from Europe, with the UK accounting for 24% of outbreaks, worldwide. Giardia duodenalis and Cryptosporidium parvum account for the majority of outbreaks (40. 6% and 165; 50. 8%, respectively), Entamoeba histolytica and Cyclospora cayetanensis have been the aetiological agents in nine (2. 8%) and six (1. 8%) outbreaks, respectively, while Toxoplasma gondii and Isospora belli have been responsible for three outbreaks each (0. %) and Blastocystis hominis for two outbreaks (0. 6%). Balantidium coli, the microsporidia, Acanthamoeba and Naegleria fowleri were responsible for one outbreak, each (0. 3%). Moreover, the occurrence of Giardia and Cryptosporidium (oo)cysts in recreational rivers from Malaysia was reported. It was carried out in water samples at two rivers, ‘Sungai Congkak’ and ‘Sungai Batu’, located in Selangor State. The occurrence of both Giardia lamblia and Cryptosporidium parvum (oo)cysts was higher in Sungai Congkak (50% or 15/30 and 10% or 3/30 respectively) than Sungai Batu (16% or 5/30 and 3. % or 1/30 respectively). The mean density of cysts/L was 0. 72 in Sungai Congkak and 0. 023 in Sungai Batu, and that of oocysts/L was 0. 023 in Sungai Congkak and 0. 0033 in Sungai Batu, showing that the occurrence of Giardia was higher and more frequent than Cryptosporidium in both rivers. On the other hand, the Giardia and Cryptosporidium (oo)cysts were more concentrated at the downstream station, followed by midstream and upst ream stations which might be due to human factors where settlements and recreation areas were located around and between midstream and downstream stations.Failure to meet basic human needs for water in China leads to waterborne diseases and preventable deaths, especially among children. The OECD Environmental Indicators in China report issued in July 2007 estimated 30,000 rural children die each year from diarrhea caused by polluted water (OECD, 2007). The World Health Organization reported an incidence of 108. 4 mortalities per 100,000 persons from diarrhea-related illness in China in 2002. In 2003, the National Statistics Office said diarrheal diseases ranked second among the top causes of morbidity in the Philippines with 615,692 cases recorded (World Bank, 2006).Diarrhea is considered a major cause of morbidity, especially in developing countries. In the Philippines, it was the leading cause of morbidity for the years 2001 and 2003, and the second in 2002 (National Statistics Of fice, 2006). Common causes of diarrhea are infections due to protozoa. These causative agents are either foodborne or waterborne. Among enteric protozoa, Giardia lamblia (syn. G. intestinalis or G. duodenalis) and Cryptosporidium spp. are the most commonly reported causes of water-borne diarrhea outbreaks (Natividad et al,2008).The protozoa G. lamblia was first reported in the Philippines in 1977 and since then has been identified as a common intestinal parasite. Studies done in Luzon, in various localities in the Visayas, and in the southern islands of Mindanao indicate wide distribution of Giardia in the Philippines. (Natividad et al, 2008). Stool examinations in the Philippines typically included the identification of the common etiologic agents of diarrheas such as G. lamblia and Cryptosporidium.According to the most recent nationwide survey of Giardia and Cryptosporidium provides basic information on the prevalence of these enteric protozoa in the Philippines. (Buerano et al, 2 008). The worsening water quality is related to incidence of waterborne diseases, and is likely to increase a negative impact of floods on human health. Example of this is an unusual flood that occurred in Marikina City, resulting in high mortality and morbidity rates due to gastroenteritis and other waterborne diseases (The Asian Disaster Preparedness Center, August 2008).The pollution of the surface water in Agusan River could cause a variety of contagious diseases. Those diseases could outbreak through several routes such as: infection by parasites (such as schistosome), which inhabit in the water and drinking of and/or contact with the polluted water river that may cause dysentery and diarrhea (Lomboy, 2011). Instead of developing Davao River as an economic resource, it is currently being used as a central septic tank according to the Davao River Conservation Coordinating Committee.A study conducted by the committee showed that about 11 drainage systems in the city are moving in to the Davao River (Manila Bulletin Publishing Corp. , 2004). Currently, Davao River has become a dumping site for garbage, biological wastes, chemical wastes and other pollutants carried by the residents and even people just within the area (Pascua et. al. , 2011). Thus, areas near or within the urbanized populace such as Bankerohan, Magallanes and Bucana, are considered polluted and may be the source of detrimental effects to those who live nearby. Conceptual FrameworkINDEPENDENT VARIABLEDEPENDENT VARIABLE Fig. 1 Conceptual Paradigm Showing the Relationship of Independent and Dependent Variables of the Study Presented in Fig. 1 above is the conceptual paradigm showing the independent variable, the pathogenic parasites and its levels on the three stations of Davao River namely Bankerohan, Magallanes and Bucana and is the subject of the study. The waterborne diseases and its levels would depend on what pathogenic parasites are found on the three stations of Davao River and is consid ered the dependent variable of the study.Statement of the Problem This study specifically aims to answer the following questions: 1. What is the level of pathogenic parasites in the following stations of Davao River: 1. Bankerohan? 2. Magallanes? 3. Bucana? 2. Is there a significant difference among the levels of pathogenic parasites? 3. What is the level of waterborne diseases in the following stations of Davao River: 1. Bankerohan? 2. Magallanes? 3. Bucana? 4. Is there a significant difference among the levels of waterborne diseases? 5.Is there a significant association between the level of pathogenic parasites and the level of waterborne diseases? Null Hypotheses 1. Hypothesis free 2. There is no significant difference among the levels of pathogenic parasites in the three stations of Davao River. 3. Hypothesis free 4. There is no significant difference among the levels of waterborne diseases in the three stations of Davao River. 5. There is no significant association between the level of pathogenic parasites and the level of waterborne diseases in the three stations of Davao River. Significance of the StudyThe results of this study would provide advantages to various fields namely: Government – They would be able to implement policies and ordinances regarding proper waste management and the dos and don’ts regarding the use of water from the river. The affected residents within the area would be supported and information dissemination within the community would be implemented. Environmental Groups and Agencies – Having been aware on the situation of the 3 stations of Davao River, they would be able to provide solutions to lessen its contamination and prevent increase on water pollution.Community – They would be given health awareness as well as the possible implementation of preventive measures and disease control. Teachers – This study would serve as an educational supplement and could be regarded as a learning material th at could give additional knowledge to those who would desire to conduct a study related to pathogenic organisms found in urbanized rivers. Students – This study could serve as a reference material for further researches. Definition of Terms Davao River. It is one of the largest rivers in the Philippines and the largest in Davao Region.It has a length of 143 kilometers. Salug River located in San Fernando, Bukidnon is its source and the mouth is located at the Davao Gulf. Bacteria. They are single-celled prokaryotic microscopic living organisms that could be pathogenic or likely to cause disease especially waterborne diseases since they could live in water and easily multiply. Parasite. It is an organism that lives in or on another organism (its host) and benefits by getting nutrients directly to its host. It is usually acquired through ingestion of contaminated food or water.Waterborne disease. It is a disease acquired by drinking water contaminated at its source or in the di stribution system, or by direct contact with environmental and recreational waters. It is a disease which results from infection with pathogenic microorganisms or chemical poisoning. Pathogenic microorganisms include viruses, bacteria, protozoans and helminthes. ———————– Waterborne diseases †¢ Bucana †¢ Magallanes †¢ Bankerohan Pathogenic Parasites †¢ Bucana †¢ Magallanes †¢ Bankerohan

The Pharaohs Of The New Kingdom - 915 Words

According to ancient Egyptian belief, the primordial hillock first emerged from of the primeval waters of chaos in the land of Djanet, now know as the city of Thebes. This location was also believed to be the sacred burial grounds of the Ogdoad, enriching the land with a celestial power. It is here that we find the mortuary temple of Ramesses III, Medinet Habu. The pharaohs of the New Kingdom constructed these elaborate temples in order to honor themselves after death and unite with the divine world through cult practices. Modeled after the mortuary temple of Ramses II, Medinet Habu has served a range of purposes. It’s hosted the visiting gods of Amun, Mut, and Khonsu during the Festival of the Valley, it served as the site of history’s first documented protest during the food shortages and economic turmoil that plagued the land during the 29th year of Ramesses III’s reign, and when the Libyans invaded Thebes it served as a refuge for the fleeing residents. Howe ver, most importantly, this mortuary temple served as an earthly representation of cosmic structure, function, and regeneration. In essence, it symbolized a passage through the cosmic lifecycle , and via cult practice served as a portal into the divine world. This paper will examine the architectural structure and its symbolic importance to the cosmology of the ancient Egyptians. Further, it will explore the ideological implications of the text and imagery depicted throughout the temple. Lastly, it will analyze theShow MoreRelatedExplain What Tutankhamun’s Tomb and Its Contents Reveal About the Role of a New Kingdom Pharaoh1609 Words   |  7 Pagesreference to Sources A, B, C and D and other archaeological evidence: Explain what Tutankhamun’s tomb and its contents reveal about the role of a New Kingdom Pharaoh. The tomb of King Tutankhamun was discovered in 1922 by British archaeologist Howard Carter. Many secrets were revealed about the life of Tutankhamun and his role as a New Kingdom pharaoh through the contents found in his tomb. As well as being the ruler of Egypt, Tutankhamun took on many other roles and responsibilities. The vastRead MoreUsing a Variety of Evidence from the Tomb of Tutankhamun, Discuss the Role/Life of the Pharaoh in New Kingdom Egypt.819 Words   |  4 PagesThe pharaoh was undoubtedly the most important terrestrial figure in ancient Egypt and played a significant role in the functioning of Egyptian society. Entrusted with governing the realm of Egypt and providing a link between the Egyptian people and the gods, pharaohs were â€Å"an essential element in the maintenance of the position of society in the order of creation†. This idea has been substantiated through the various artefacts located in tombs in the Valley of the Kings, particularly that of Tutank hamunRead MoreEgypt Essay981 Words   |  4 PagesThe Egyptians had 3 major kingdom time periods, the Old Kingdom from 2850 BC-2200 BC, the Middle Kingdom from 2050 BC-1732 BC, and the New Kingdom from 1570 BC-1090 BC. These kingdoms had some major challenges. Their main challenge was being able to control everyone. The pharaoh had to have loyalty from his people. The Old Kingdom made up some rules to try and keep their people in order and keep the pharaoh as the main person in control. The Middle Kingdom the pharaohs began to lose their power soRead MoreArchaeology of South Abydos1195 Words   |  5 PagesArchaeology of South Abydos The late Middle Kingdom settled in a city within Egypt called Microcosm which Microcosms located just south of Abydos. In Microcosm architectural and social engineering took place over 3,850 years ago in southern Egypt. There are scared burial sites throughout Egypt within southern Abydos. Abydos was the first burial place of Egypt’s first pharaohs and religious center for the god Osiris. Osiris was referred to as the God of the dead and the ruler of the underworld.Read MoreEgyptian Civilization And The Egyptian Empire1614 Words   |  7 Pagesof ancient Egypt occurred in a three series of stable Kingdoms which are: the Old Kingdom of the Early Bronze Age, the Middle Kingdom of the Middle Bronze Age and the New Kingdom of the Late Bronze Age. In addition, Egypt s army was not equipped with bronze weapons, relying instead on copper weapons. Egyptian soldiers wore no armor. The idea behind the Egyptian empire was to create a buffer zone of people who had to pay tribute to the pharaoh. On the other side, over the time, the Egyptian empireRead MoreSimilarities And Differences Between The Middle Kingdom And Ancient Egypt891 Words   |  4 Pagesof their society during the middle kingdom. When Historians and scholars study the Old Kingdom, and the Middle Kingdom, One will notice that alterations to their religion, art, and architecture changed through both periods in history. Internal forces, as well as outside influences, shaped ancient Egyptian civilization. One would argue that the terms Old, middle and knew Kingdoms were of a hellenistic idea, instead of a Ancient Egyptian Ideology. The Old Kingdom founds its reign lasted from 2700-Read MoreUnderstanding The New Kingdom Of Egypt1723 Words   |  7 PagesUnderstanding the New Kingdom of Egypt Perhaps no other culture has intrigued the human imagination as that of ancient Egypt. From the Ancient Greeks, who treated Egypt with venerable respect, to Alexander the Great, and Napoleon, who felt it was imperative to go there, few other cultures have represented so much of universal value to all humans. The purpose of this paper is to present a brief survey of the ancient New Kingdom of Egypt. An emphasis on scholarly views will focus on culture, agricultureRead MoreEgypt : A Fragile State955 Words   |  4 PagesNile extensively for the water to help the production of crops. After they planted the crops there was time of harvest in which they were able to gather food and store them for future use. They also had a hereditary leader because most, if not every pharaoh had the throne passed from one generation to another. Warfare is also needed to expand the boundaries to help give more land to support a growing population. Egypt was also surrounded by deserts and the Nile River. They were very limited in the thatRead MoreBeasts Of Burden And A Source Of Food857 Words   |  4 Pages 2700 BC marked the end of the PreDynastic Period and the beginning the Old Kingdom and at this time the pharaoh lived in lower {northern} Egypt. In 2686 BC the architect Imhotep build the first stepped pyramid at Saqqara for the pharaoh Zoser. In 2648 BC, Zoser died. In 2575 BC another pyramid was built, The Great Pyramid at Giza by the pharaoh Cheops. Nine years later Cheops died. Pharaoh Chephren build a pyramid at Giza and the sphinx bears his head on the body of the lion in 2550Read MoreAncient Egypt : A Dominant Empire1407 Words   |  6 Pagespolytheistic, other than when Akhenaton (Amenhotep IV) was pharaoh. One of Egypt’s strongest beliefs was that the pharaoh or ruler of Egypt was not only a king, but chosen by the gods to rule. The Egyptian’s believed that the outside world was disorderly and should be turned towards order. Pharaohs were challenged to keep the â€Å"peace† with the gods and also keep the rest of the surrounding world under or der. When times in Egypt were good, the pharaoh was praised and exalted for his work with the gods. In

The Dream An Achievable Goal Of The American Dream

The term â€Å"American Dream†, popularized by a freelance writer by the name of James Truslow Adams in 1931, is used to describe the idea that the United States is the land of prosperity, which any man can work hard and gain wealth and happiness without the fear of a controlling government. It is thought that the everyone has equal opportunities and can become successful as they please, as long as they work for it. The American dream is more of a goal that every American, or someone who wants to be American, has in order to achieve what that want to be, or where they want to be, in their life. The American dream is an achievable goal that one has in his or her own life that states what the person wants to get out of their life. The most common†¦show more content†¦These people, in combination with hard work, were determined to create a new life and built everything from the ground up. They achieved their dream of a better life by being determined to, and taking risks, to make it happen. Utilizing hard work and determination together, one can easily achieve their American dream. But after someone achieves their American dream, what do they after that? They would begin a new American dream whether they believe it or not. For example, Bayliss Wheeler, the brother of Claude Wheeler, achieved his dream at a very young age by becoming a successful businessman. Now that he is successful, the only thing he focuses on is making more and more money. His new dream is to continue to make money and live his life out to the end. One may ask the question: why does America have this idea of a dream when most other countries do not? Well, the American dream has always been apart of American culture, since America was founded upon the ideas of freedom. In the Declaration of Independence, the foundation of America, it states, â€Å"We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit ofShow MoreRelatedAmerican Dream Achievability996 Words   |  4 PagesDo you think the American Dream is achievable? â€Å"I think the American Dream says that anything can happen if you work hard enough at it and are persistent, and have some ability. The sky is the limit to what you can build, and what can happen to you and your family.† (Sanford I. Weill) Before I get into why the American dream is achievable, I think it is important to know what the American dream is. The American Dream is a phrase referring to the freedom that allows all citizens and most residentsRead More`` Real Women Have Curves : An Individual s Pursuit Of The American Dream888 Words   |  4 Pagesportrays the theme that the American Dream is achievable, but greatly hindered to obtain it. Ana Garcia continuously faces obstacles such as not having equal opportunities to partake in extracurricular activities, a quality education institution, and the continuous struggle between her mother s traditions and the modern world s definition of a woman. Ultimately, she successfully passed through these hindrances and achieved her goals. The American Dream is the ideal goal every person wants to obtainRead More`` Real Women Have Curves : An Individual s Pursuit Of The American Dream897 Words   |  4 PagesCurves portrays the theme that the American Dream is achievabl e, but greatly hindered to obtain it. Ana Garcia continuously faces obstacles such as not having equal opportunities to partake in extracurricular activities, a quality education institution, and the continuous struggle between her mother s traditions and the modern world s definition of a women. Ultimately, she successfully passed through these hindrances and achieved it. The American Dream is the ideal goal every person wants to obtain,Read MoreThe American Dream767 Words   |  4 PagesThe American dream is defined as the idea that every American should have an equal opportunity to achieve their goal in life through hard work, determination, and initiative. The novel â€Å"Of Mice and Men† by John Steinbeck explores this idea throughout his story. Through the characters in the story, it shows the many different hardships of each character trying to pursue their dream. John Steinbeck believes that the American Dream is a goal that every American has in life, but it is impo ssible to achieveRead MoreOf Mice and Men: The Death of the American Dream1178 Words   |  5 Pages The Death of the American Dream The American Dream has always been one of the most prominent ideals in American society. Of Mice and Men was written by Steinbeck in 1937. It focuses on the lives of two men, Lennie and George, as they try to fulfill their own American Dream of owning a small farm. While this seems like an attainable dream in the beginning, Steinbeck chooses instead to destroy this dream utterly with the death of Lennie. Curley’s wife had an American Dream of being an actressRead MoreThe American Dream As Defined By F. Scott Fitzgerald960 Words   |  4 Pages Sweet Dreams (An Analysis of the American Dream as Defined by F. Scott Fitzgerald in Winter Dreams) In Winter Dreams by F. Scott Fitzgerald, the author describes through a love story the idea of the American Dream. When young Dexter falls in love with Judy Jones, she quickly becomes his dream. However, it will become apparent that Dexter is not Judy’s dream. Although their dreams are very different, this somehow embodies the very idea of the American Dream as a concept that cannot be specificallyRead MoreThe American Dream By Alexis De Tocqueville1566 Words   |  7 PagesThe American Dream is the idea that every United States citizen has equal opportunity to achieve success through hard work and determination. However, ideas of the dream have evolved throughout time from the 18th century up to present day. The general population’s view and my view of the American Dream both have altered throughout time. My idea of the American Dream has developed from not only today’s views on The Dream, but also from the evolutionary process the meaning has been through. ThroughoutRead MoreThe American Dream823 Words   |  4 Pageswhat the American Dream is and what it takes to make it a reality. The most common and the most accurate idea of the American Dream is for all to have the opportunity to have a chance at living a nice life. This includes all immigrants and anyone else who seems to lack better opportunities often. The American Dream is the belief that anyone, regardless of race, class, gender, or nationality, can be successful in America (read:rich) if they just work hard enough (Wulick). The American Dream is alsoRead MoreEssay on The American Dream is on the Way to Extinction560 Words   |  3 PagesHumans often make goals to reach an exhilarated state. When a goal becomes too hard to obtain and when too many people fail to reach this goal, society digresses. The American Dream is the national ethos of the United States that was created in 1931. It is a set of principles in which prosperity and success can be achieved through hard wor k and the right ethics. However, over the years, the â€Å"car has stopped.† This so-called â€Å"dream† is running low and slowly turning into a fantasy. With the exploitationRead MoreAmerican Dream Article SOAPSTone Essay860 Words   |  4 PagesThe Reality of the American Dream By Saryah Robinson ________________________________________ Remember when you were a child and somebody asked you what you wanted to be when you grew up? Personally, I wanted to be a NASCAR racer. I know, a little far-fetched if you think about it. When we were children we were so optimistic. We hardly accepted failure. This was the time in our lives when we sincerely believed in ourselves. We believed in the American Dream because it was instilled in our minds