Diversity is part of nursing. As you begin this course, answer the below questions:
Discuss what transcultural nursing means to you.
Why take this course?
Explain what you would like to learn
How do you hope this course will help you in your clinical?
Sample Solution
synthesis of tetrahydrofolate, which is needed in the production of dTTP and amino acids methionine and glycine (Sibley et al. 2001). As a result the parasites get killed because of impaired synthesis of DNA and amino acids. Regretfully, resistance to SP developed rapidly in Southeast Asia even before the wide use of the drug (Wangsrpchanalai et al. 2002). Several factors contributed to the fast development of resistance to SP, one of which is long elimination half life of 10 and 4 days for SDX and PYR respectively. Use of antimalarial treatment for febrile episodes and self-treatment are common in high malaria-endemic areas (Nwanyanwu et al.1996, Mahomva et al. 1996). Irrational treatment practices by the clinicians and also self treatment with antimalarials have been reported in the past (Nsimba et al. 2005). Uncontrolled and unnecessary use of antimalarials may increase drug pressure on the parasites and encourage parasite resistance. A number of important questions concerning factors related to self-treatment, full dose and adherence to self-treatment and the role of self-treatment in malaria morbidity or mortality remain challenge (Mccombie 2002, Hodel et al. 2009). The World Health Organization (WHO) protocol for monitoring antimalarial drug efficacy also does not exclude patients with a history of previous antimalarial drug use or the presence of antimalarial drugs in the urine or blood (World Health Organization 2003). Earlier studies have also investigated selfâreporting drug intake (Nwanyanwu et al.1996, Mahomva et al. 1996) and presence of residual antimalarial in biological samples (Hodel et al. 2009). Based on earlier studies, a significant trend for higher frequencies of the resistance markers with increasing CQ concentrations was observed in Pf malaria i.e. prior use of CQ in enrolled>
synthesis of tetrahydrofolate, which is needed in the production of dTTP and amino acids methionine and glycine (Sibley et al. 2001). As a result the parasites get killed because of impaired synthesis of DNA and amino acids. Regretfully, resistance to SP developed rapidly in Southeast Asia even before the wide use of the drug (Wangsrpchanalai et al. 2002). Several factors contributed to the fast development of resistance to SP, one of which is long elimination half life of 10 and 4 days for SDX and PYR respectively. Use of antimalarial treatment for febrile episodes and self-treatment are common in high malaria-endemic areas (Nwanyanwu et al.1996, Mahomva et al. 1996). Irrational treatment practices by the clinicians and also self treatment with antimalarials have been reported in the past (Nsimba et al. 2005). Uncontrolled and unnecessary use of antimalarials may increase drug pressure on the parasites and encourage parasite resistance. A number of important questions concerning factors related to self-treatment, full dose and adherence to self-treatment and the role of self-treatment in malaria morbidity or mortality remain challenge (Mccombie 2002, Hodel et al. 2009). The World Health Organization (WHO) protocol for monitoring antimalarial drug efficacy also does not exclude patients with a history of previous antimalarial drug use or the presence of antimalarial drugs in the urine or blood (World Health Organization 2003). Earlier studies have also investigated selfâreporting drug intake (Nwanyanwu et al.1996, Mahomva et al. 1996) and presence of residual antimalarial in biological samples (Hodel et al. 2009). Based on earlier studies, a significant trend for higher frequencies of the resistance markers with increasing CQ concentrations was observed in Pf malaria i.e. prior use of CQ in enrolled>
