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What options should be offered to the parents for resuscitation and treatment? If informed parents request resuscitation and intensive care but the clinical team feels they are inappropriate, is the team nevertheless obligated to provide it?

Critically Ill Newborns

The newborn intensive care unit (NICU) is a common setting for difficult ethical challenges, often involving life-and-death decisions. These may include withholding treatment such as resuscitation, mechanical ventilation, or surgery, or withdrawing life-sustaining medical treatment such as mechanical ventilation and artificial nutrition and hydration. Such decisions are frequently faced because of the high morbidity and mortality of some conditions commonly encountered in this setting, such as extreme prematurity, perinatal asphyxia, and major congenital anomalies. Who should decide when a treatment should be withheld or withdrawn? Ideally, decisions are made by the parents, providers, and nurses working together, but what is to be done when they disagree? On what basis should decisions be made? Ideally, a careful ethical analysis is carried out, based on solid clinical and prognostic data and the values of those involved in making the decision. In reality, data are often very vague and values are often not shared in common, but a decision must nevertheless be reached.
Such critical ethical decisions may be more common in the NICU than in other pediatric settings, but they are certainly not unique to the NICU. Nonetheless, is there something unique about ethical problems encountered with this patient population? For example, is borderline viability based on extreme prematurity a unique situation in pediatrics, or is it analogous to other problems sometimes encountered in the care of older children? Are clinicians more willing to withdraw or withhold life-sustaining treatment for this patient population than for others in pediatrics or adult medicine? If so, is this justified?

A 36-year-old woman who has been pregnant 3 times but has no living children presents to the hospital in active labor and ruptured membranes at 22 weeks and 5 days’ gestation. The fetus is a female singleton, the product of in vitro fertilization. Pregnancy was otherwise unremarkable, including several normal ultrasounds. Estimated fetal weight is 530 grams. On physical examination the cervix is dilated and the obstetrician believes that delivery will occur within the next several hours. The pediatric team meets with the woman and her husband to share information, answer questions, and discuss the plan.

1. What options should be offered to the parents for resuscitation and treatment?

2. If informed parents request resuscitation and intensive care but the clinical team feels they are inappropriate, is the team nevertheless obligated to provide it?

3. If informed parents decline resuscitation and intensive care measures but the clinical team feels it is inappropriate to withhold those measures, is the team nevertheless obligated to withhold those treatments?

4. What ethical principles or approaches can be applied to guide clinicians and parents through the care provided to this child?

Do you agree or disagree with the text? Why or why not? What is the most convincing aspect of the text's analysis of the subjects involved? Provide a quote in in-text MLA format to substantiate your answer.

Research

1. What is the central thesis of the source you found on EBSCO Host (or other database)? Provide a quote in in-text MLA format to substantiate your answer. — (NOTE: once you click a source, you should be able to click "CITE" on the right side of the screen to access a complete MLA citation)

2. Do you agree or disagree with the text? Why or why not? What is the most convincing aspect of the text's analysis of the subjects involved? Provide a quote in in-text MLA format to substantiate your answer.

4. Cite this source in MLA format. (NOTE: once again, after you click a source, you should be able to click "CITE" on the right side of the screen to access a complete MLA citation)

What roles do language, perception and cognition play in our understanding of race and human variation? How can anthropology contribute to the development of a new, non-race-based language of human biological variation in the US and abroad?

Rethinking Race and Human Variation


By Joseph Jones, Mary Margaret Overbey, Stacy Lathrop, Yolanda Moses
Race, human variation and racism have long remained central concerns to anthropologists, AAA sections and
the discipline as a whole. Eight years since Carol Mukhopadhyay and Yolanda Moses’ (1997, 99(3): 517–33) call to reestablish anthropology’s role in public debates on race and the Contemporary Issues Forum on Race and Racism in the American Anthropologist (1998, 100(3): 607–715), and publication of articles addressing the theme “Is It ‘Race’? Anthropology on Human Diversity” in the Anthropology Newsletter (1997–98), the need to address and move beyond emerging issues of “race” has become even clearer. Census categories, military and domestic responses to Sept 11, racial and ethnic conflicts across the globe, debates over linguistic diversity and national identity, challenges to affirmative action, the rise of genomics, persistent racial health disparities, and headlines that suggest variously the danger, value or demise of race all reflect and reinforce public confusion and certainty about the salience of race and racism. Anthropology can contribute nuance and some clarity and provide a context and format for public understanding and use of these complex and everchanging ideas and their relation to our everyday lives. These are some of the challenges faced by the association’s interdisciplinary public education project Understanding Race and Human Variation, funded by NSF and the Ford Foundation. Most anthropologists have agreed for some time that race neither describes nor explains the structure of human biological variation. However, as cultural lenses and social ordering mechanisms, race and racism have biological consequences for individuals and groups, and provide an apparent mandate for race-based identities. How does current anthropological discourse lend itself to public explication of complex biocultural interactions that both challenge and reproduce race? How should anthropologists translate their unique insights—including points of agreement and contention—into a creative public anthropology of race, racism and human variation? What can we learn from public engagement with issues of race, ethnicity, human variation and racism?
A conversation focusing on race and racialized issues including, but not limited to, those that follow can help to clarify such questions and point to new opportunities for interdisciplinary collaboration.

Î Use of “race” is increasingly qualified in anthropology, a trend that challenges but also potentially legitimizes and reifies
the concept. What do anthropologists see as the future of concepts of race, ethnicity and use of the term “race”?

Î Despite official pronouncement from the Human Genome Project that race does not reside in genes, some research suggests existing clusters of genes. Furthermore, the FDA has recently approved NitroMed’s marketing of BiDil—reportedly effective in treating heart failure in African Americans—as the first “ethnic drug.” What can anthropology contribute to the growing debates over race and genetics and race and health?

Î Research indicates that perception of human difference and discrimination are not innate but learned in family, school
and other environments. How can anthropology better inform parents, teachers and students of distinctions between human biological variation and “race” and help shape K–12 curriculum and other learning vehicles in the process?

Î How can anthropology help move us beyond the understanding of the social construction of race to make a difference
in race relations and social justice in the US and abroad? What role should anthropology play in contributing to the goal of racial justice, discussions of colorblindness and debates of affirmative action?

Î What roles do language, perception and cognition play in our understanding of race and human variation? How can
anthropology contribute to the development of a new, non-race-based language of human biological variation in the US and abroad?

Î The 2000 US census and recent explosion of literature on Afro-Latin communities suggests that there are others who
have been rendered academically invisible by race. What role should anthropology play in identifying and addressing the political concerns of such emerging communities?

Î A recent article suggests for the first time, more blacks are coming to the US from Africa than during the slave trade
(“More Africans Enter US Than in Days of Slavery,” New York Times, February 21, 2005). How can cross-cultural research help
us to understand the potential relevance of this and other demographic trends for future racialized diasporic identity formations, especially in light of the growing genetic ancestry identification industry?

Î Responses to Sept 11 suggest race continues to undermine public appreciation of acknowledged (if misunderstood) cultural,
ethnic and self-identifications. How should anthropologists apply their knowledge to reveal how race, racialization and racism influence public conceptions of human variation?

Î Beyond observing that race is “a biological fiction,” how can anthropologists speak directly to the unique questions and
needs of so-called multiracial children?

Î What do international, cross-cultural, historical, economic and political perspectives contribute to our current under-
standing of race and human variation?

Î How do anthropological methods and theories help or hinder interdisciplinary research and education efforts on race and human variation?
AN cordially invites readers, especially emerging scholars, to submit ideas, brief articles and lengthier commentaries for consideration for publication in a special edition of AN, “Rethinking Race and Human Variation,” in February. The special edition assists AAA’s ongoing public education effort Understanding Race and Human Variation, funded by the NSF and the Ford Foundation. Contributors are encouraged to take a comprehensive, integrated approach to the topic similar to the approach of AAA’s interdisciplinary project. Understanding Race is aimed at developing a traveling museum exhibit, website and educational materials based on scholarship within anthropology and related disciplines in the sciences and humanities to help individuals better understand the origins and manifestations of race and racism in everyday life and come to their own conclusion that human variation is a part of nature and that race is not inevitable nor a part of nature but a dynamic and sometimes harmful cultural construct.

Contributors are encouraged to use examples from their own research and experience in submitting their thoughts by
November 15 to Stacy Lathrop, Editor, AN, AAA, 2200 Wilson Boulevard, Suite 600, Arlington, VA 22201-3357;
slathrop@aaanet.org; 703/528-1902, ext 3005; fax 703/ 528-3546.
Contributions will be reviewed by the key advisors of the Understanding Race and Human Variation project: Yolanda Moses,
Michael Blakey, Alan Goodman, Robert Hahn, Faye Harrison, Janis Hutchinson, Carol Mukhopadhyay and Enid Schildkrout.

Selected contributions will be published in the AN and, with authors’ permission, on the project website.

Describe what you perceive of at this point in time to be your “Ethical System” as thoroughly and precisely as you can.

Ethical System

Describe what you perceive of at this point in time to be your “Ethical System” as thoroughly and precisely as you can. Pull into your description clear language about your ethical presuppositions and what their bases are, as well as what you have observed happens when any of your presuppositions are difficult to apply equally or come into outright conflict. Feel free to offer brief examples from your actual experience and emphasize situations, priorities and aspects of your personal attachments that have relationship to actual or potential roles of leadership. As ever, it might be useful to refer to ideas, concepts or frameworks provided by the authors and readings we have encountered so far this semester.

Do you think people always need antibiotics when they are sick or have an earache? d. The average generation time for bacteria is 20-30 minutes. How would this be a factor in bacteria developing resistance to antibiotics?

Antibiotics in Evolution

A 2-3 page paper on a driving question guiding this topic on evolution: “Why would some bacteria become resistant to antibiotics? Explain this in terms of evolution by natural selection.

Use the following guidelines below as points that you can use to answer the question. You can include other points not included below.
a. Have you used antibiotics before and if so, when?
b. Antibiotics have been around since 1933. How did people fight infections prior to the discovery of antibiotics?
c. Do you think people always need antibiotics when they are sick or have an earache? d. The average generation time for bacteria is 20-30 minutes. How would this be a factor in bacteria developing resistance to antibiotics?

Write an assumption about the same concept from the other person’s perspective. Discuss the differences (or similarities) of these assumptions of this concept, including a “compare and contrast” of each of your backgrounds influencing these assumptions

Choose one concept from the chapter of your choosing

o Write an assumption that you have about that chosen concept
o Underneath, write background information on yourself that influences having this assumption
Write an assumption about the same concept from the other person’s perspective.
o Underneath, write background information on that person that influences having their assumption
Discuss the differences (or similarities) of these assumptions of this concept, including a “compare and contrast” of each of your backgrounds influencing these assumptions
Write a brief summary of an interaction in which you participated where this concept shows up Discuss what you observed (saw, heard…) in the other’s behavior during the interaction.
Make special notes of the behaviors which are relevant to the concept since we behave in a way that is consistent with the assumption we have of the concept.
Discuss what you observed in your own behavior during the interaction.
Discuss what the other person observed in your behavior during the interaction
Discuss the differences between (or similarities of) your observations and the other person’s observations during the interaction.
Write your insight (that reflects your assumption) that was gleaned from the interaction, what new awareness did you have with regards to the concept itself?
Write out the insight of the other person (that reflects their assumption) that was gleaned from the interaction (i.e. the insight, or new awareness you thought they might have had with regards to the concept itself)
Discuss the differences between (or similarities of) your insight(s) and the other person’s insight(s).

Discuss why the soil condition is an important factor in what equipment to select in a project in your own words. Discuss how the different soil volume units (BCY, LCY, CCY) impact the estimation of the equipment productivity.

Discussion Forum 3

Easily the most recognizable machinery in any construction site because of their size and significance, earth-moving equipment are ubiquitous across applications in the construction industry. They are used for a wide range of earthworks including laying foundations, grading soil, removing dirt and rocks, digging trenches, demolition works, etc. These complex machines are operated by professionals. Different types of earth-moving machines are capable of accomplishing different types of tasks and owing to technological advancements in the industry, today there are various types of earth-moving machinery available in the market capable of catering to almost any kind of construction activity. Read the following references and discuss the listed questions in your post.

Discuss why the soil condition is an important factor in what equipment to select in a project in your own words.
Discuss how the different soil volume units (BCY, LCY, CCY) impact the estimation of the equipment productivity.

Do you believe the decision/action/resolution was ethical? Explain the decision-making process. Analyze your example within the context of the differing approaches to ethics discussed in Mill, Kant and Gilligan. How did the readings help you think about the situation from a new or deeper perspective?

Ethical Decision Making

College life brings with it a new set of opportunities and challenges. You have entered a community of peers; some of you are living away from home without the everyday guidance and support of parents, family and friends. You are encountering a degree of diversity in everyday living to which you are probably not accustomed. And academically, expectations have changed dramatically. College faculty do not see themselves as disciplinarians and there are no school principals monitoring your activities and attendance. You are on your own, managing your time, negotiating choices and relationships, and dealing with a more complicated set of academic expectations and responsibilities. In every setting – dorm, classroom, college activities and work – you must balance your needs with obligations to yourself and to others. And this means that you are involved in ethical decision making.

In a 4-5 page essay, discuss a real situation you have encountered this semester which had an ethical component or dimension – that is, where you had to negotiate your own interests, values and needs within the context of the needs and/or expectations of others. You can use an example taken from your own experience, current events, the readings or class discussion. Do you believe the decision/action/resolution was ethical? Explain the decision-making process. Be sure to analyze your example within the context of the differing approaches to ethics discussed in Mill, Kant and Gilligan. How did the readings help you think about the situation from a new or deeper perspective?

Which is the better phone, Apple or Samsung? Which is the superior console, Playstation or Xbox? Which is the better social media platform, Facebook or Instagram? Which TV brand is better? What model of car is superior and why? What kind of fuel source is the best option?

Compare and contrast technology

Find a text to help you make a decision based on comparing and contrasting technology.

This might be a thing good, thing better, thing worst; approach (i.e. which is the better phone, Apple or Samsung? Which is the superior console, Playstation or Xbox? Which is the better social media platform, Facebook or Instagram? Which TV brand is better? What model of car is superior and why? What kind of fuel source is the best option?)

How does she feel about being Chinese before her trip to China? And how does she view her culture/family differently in the end?

A Pair of Tickets.

June May is a dynamic character, which means that she significantly changes the over the course of the story’s events in “A Pair of Tickets.” Your purpose in this assignment is to trace her development, show her growth, and point to specific events in the story that contribute to this change. To prove that June May changes, it is important to note her previous attitude about her culture and to show how moments during her trip contribute to her changing perspective regarding who she is as a part of her family and as a Chinese woman. It is also important to note exactly what that change is. Be sure you can answer the questions: How does she feel about being Chinese before her trip to China? And how does she view her culture/family differently in the end?