Ethnographic Narrative Essay Example | Topics and Well Written Essays - 1000 words

Ethnographic Narrative - Essay Example In 1990, my minister father along with his wife and six children emigrated from Malawi. As one of their children, I have lived with them in the suburbs of Indiana into my forties, as I am unemployed. My family will be my ethnographic project for African Americans, especially my mother as an unemployed African American woman. My parents struggled to adapt to the US as traditional parents, especially having to raise one American born and six African born children, including myself. Enculturation, education and religion in both the United States and Malawi, are issues that create stress and concern among the immigrated parents, as well as their children. He dà ©cor in the house was of a Victorian nature with a cherry coffee table, pink floral couches, a dining set, a rug, lace doilies and silk floral arrangement that matched the sofa. I was concerned about this when growing up, and especially in my adulthood, as I expected a hint of culture reflected in their home dà ©cor. However, the house always had traditional food, as well as products, mostly from Central Africa. Tea was made in an African manner, meaning that it had a lot of milk and tea leaves. This was indicative of the manner in which most African American immigrants try to blend in with the society but still maintain their traditions (Greenhow, 2010). My mother is very open about the major differences concerned in raising her children in both the United States and Malawi. One of the biggest differences that she experienced had to do with her pregnancy period (Greenhow, 2010). In Malawi, her family and friends would gather and enjoy their time together, but there were no formal parties of this sort in the United States. The baby items that she received for her United States born child included clothes, bottle warmers, diaper bags, carrying packs, and strollers. She never utilized the stroller since back in Africa; she carried her children on her back, not pushing them from one place using a cart as she referred to the stroller. She had the opinion that, unlike back home where concern was more on caring for pregnancy and the mother, in the U.S., more time and money were allocated to acquire items, which were needed by the baby. With her first six children, I included, she felt that the surrounding culture in Africa benefited them mo re, with a native language, Christian values found in school, church and the community. Back, in Africa, not only were we able to make friends rapidly, but parents befriended the other parents and sometimes, they were considered as part of the family (Greenhow, 2010). Here in the United States, my youngest sister, Kate, has gone through a starkly different experience. Before Kindergarten, she only spoke Swahili in the house, watched minimal TV and asked for little. She made her best friends in the church, especially the few that spoke Swahili as she was encouraged by her parents. They had few worries regarding Kate’s interaction with the children that came to our Holiness church. She always emphasized the rest of her children’s strength in their grounding back in Malawi, as well as our strength in numbers. However, as she enters fourth grade, my mother has begun to worry more about her. Being raised almost as an only child because of the new environment she was born in , my mother feels that she possesses a more American outlook towards life. Kate also finds difficultly when socializing compared to us since my parents worry about her safety, when she goes visiting at a friend’s house or playing outside. A good example of a difference between American parents and African parents is their lack of concern for making friends with the parents of their children’s playmates. Kate is also increasingly influenced by fashion trends, unlike us who wear African apparel most of the time. The strength of growing up together is what creates a strong bond between African Americans and their culture (Greenhow, 2010). Therefore, most traditional parents will work hard to

Renal transplants Research Paper Example | Topics and Well Written Essays - 750 words

Renal transplants - Research Paper Example During this time, approximately one third of potential living donors are unable to donate to their potential recipients due to ABO or antigen incompatibility. Kidney paired donation (KPD) and kidney list donation (KLD) were the alternative options for candidates with incompatible donor (McKay, 2010, 103). The first KPD transplant was performed on South Korea in 1991. The United States performed its first KPD transplant in 2000 in Rhode Island Hospital while the first KLD occurred in England in 2001 (McKay, 2010, 104). The kidney is the most commonly transplanted organ in the world with more than 160,000 persons in the United States living with a transplanted kidney by the end of 2008 (Shoskes, 2011, 154). But despite this number, persons needing kidney transplantation still increases and a relative scarcity in terms of resource arise. A complete array of information about kidney transplantation was included in the databases of U.S. Renal Database System (USRDS), Scientific Registry o f Renal Transplants Recipients (SRTR), United Network for Organ Sharing (UNOS), and Collaborative Transplant Study (Shoskes, 2011, 154). Procedures Before a patient undergo kidney transplantation, a series of laboratory tests and procedures are needed to perform and complete. Matching is the key tool is successful transplantation. The donor’s organ should match the recipient’s body in terms of ABO and antigen incompatibility to avoid risks of rejection. The patient with end-stage renal disease may choose from treatments such as peritoneal dialysis, hemodialysis, or transplantation. Transplantation is done if the patient wants the treatment or if according to disease severity, requires the transplantation procedure. The surgical team involves the pre-emptive living donor (LD) transplantation to minimize pre-operation transplant list and maximize operative choices. The LD transplantation decreases the risk of acute tubular necrosis due to ischemia, increases potential fo r matching, and offers opportunity to initiate and optimize immunosuppressive therapy, thereby reducing acute rejection episodes (McKay, 2010, 17). Background regarding the quality of the donor’s organ was predetermined and positive outcome was expected. Then, the transplant team prepares the patient for the procedure. However, if the patient has superior vena cava syndrome due to an AV graft in the previous hemodialysis, a different procedure is done by the nephrologists and cardiologists. The organ transplantation is divided into five separate procedures (McKay, 2010, 18) and discussed as follows: 1) Preparation – the surgeon discuss to the patient the surgical procedure. General anesthesia is introduced after and intraoperative measures are implemented. 2) Exposure – after prepping and draping, incision is made in the right or left lower quadrant. 3) Vascular Anastomoses – venous anastomoses first and arterial anastomoses must be last to avoid complica tions of bleeding and thrombosis. The kidney is chilled and topical iced is used liberally. Clamp is placed in the renal vein. 4) Ureteral anastomoses – is the preferred method to establish urologic continuity 5) Closing – wound/skin closure and measures to prevent complications. After completion of all the procedures in kidney transplantation, the patient is placed in the recovery area and post-operative interventions are applied. Health providers monitor for rejection signs post-operative