Category: Literature homework help

Peer’s post (Through the story Life in the Iron-Mills written by Rebecca Harding Davis, Rebeca exposes the terrible conditions that the workers of the industrial and textile factories of the United States of the nineteenth century had. The story is told by an anonymous narrator, a resident of the town. Perched on his window, the narrator looks out over the town, watching the drunken workers smoking tobacco, the muddy river, and the workers going to and from work in the mills.

In my opinion, the boldest character in this story is Deborah Wolfe, the novel’s protagonist, who works as a cotton picker in an unnamed industrial town in the American South. Deborah lives with her cousin, her alcoholic father, and six other families in a very small house. Deborah’s life is full of pain and suffering. In the story, she is in love with Hugh, but he does not share her feelings for her. Despite this, Deborah always acts with love and selflessness. Deborah is aware of her physical deformity (a slight hunchback) of hers and knows that this is one of the reasons why no man notices her and mainly Hugh does not love her. Out of love, she does the impossible, from bringing Hugh food to work to finally stealing money from Mitchell to give to Hugh. She did all this for the love she had for Hugh, even without being reciprocated by him and that is why she Deborah ends up serving three years in prison for robbery. She had the courage to defend her act of love and served her sentence in prison, all because of her act of love.

Another bold character in the story is Mitchell, Kirby’s brother-in-law, who is in town to study the institutions of a slave state. He is one of the men who visits the mill and is the man Deborah steals money from. Hugh meeting Mitchell is immediately fascinated by him, as he appears to be the kind of wealthy intellectual gentleman Hugh has always dreamed of being. Despite his artistic eye, Mitchell comes across as cold, emotionally distant, and arrogant. It is Mitchell who compares burning factory fires to the “squinting eyes of beasts.” Through this is that he compares the contamination that exists in the industry with the diseases that workers suffer. Mitchell is the most open-minded of the mill’s visitors and takes pride in his anatomical eye. Ultimately, he distances himself from social issues, firmly stating that workers must stand on their own without outside help. Mitchell is the first to correctly interpret the meaning of the sculpture’s facial expression. He has the courage to express his views in his own way and shows no fear of anything.)

  write based on the post above (Do you agree with your classmate’s perspective? Why or why not? Be specific. What is the most convincing part of your classmate’s post? Why? )

Peer‘s post ( In Rebecca Harding Davis’ story, “Life In The Iron Mills,” millworker Hugh Wolfe faithfully goes to his arduous job each night but endlessly longs for the opportunity to rise out of the working class. He yearns for the American dream, but although he is a hard worker, like most, he could use some help getting to that next level. Wolfe demonstrates boldness each night as he faithfully works at the art he loves, carving sculptures out of korl while enduring the insults and mocking of his fellow mill-men. One night, Hugh is visited by the mill-owner’s son, Clarke Kirby, and some of his friends, including a physician, Doctor May. As they admire one of his sculptures, a crouched woman with an apparent sense of longing on her face, Kirby asks Wolfe what she is longing for. Wolfe again shows his boldness and perhaps stupidity as he suggests the possibility that she longs for whisky, like Kirby, implying that Kirby is an alcoholic. “It mebbe. Summat to make her live, I think, -like you. Whiskey ull do it, in a way.” Making such a statement to the man who pays his wages certainly shows his fearlessness! 

The conversation turns as Dr. May then shows his own boldness. He daringly suggests that Kirby take Wolfe under his wing and invest in fostering Wolfe’s sculpting talent. He knows that Wolfe has the potential to be a great artist and that Kirby has the resources to help make that dream a reality. Kirby, of course, refuses, only to be met with brazen criticism by Dr. May, who responds, “I think I remember reading the same words somewhere: -washing your hands in Eau de Cologne, and saying, ‘I am innocent of the blood of this man, See ye to it!” comparing Kirby’s treatment of Wolfe to Pontius Pilate’s forsaking of guilt in the crucifixion of Jesus Christ. Wolfe then asks May if he will help instead. Unfortunately, Dr. May also refuses, making an excuse that, although he wishes him the best, he does not have the money to do such a thing. To clear his guilty conscience, May goes home and prays that Wolfe, and the others, might have the power to rise out of their dire circumstances.

This story demonstrates that, although America grants the opportunity for many to rise out of their circumstances to better ones, it is sometimes impossible to do so without a helping hand. We should all make more of an effort to assist those struggling and do whatever we can to provide opportunities for them to improve their lives.)

answer based on peers post 

Do you agree with your classmate’s perspective? Why or why not? Be specific. What is the most convincing part of your classmate’s post? Why?

Include at least one direct quote from the story to support your ideas.

   

The introduction to the systematic literature Methodology

A systematic review uses scientific methodologies in identifying, analyzing, and evaluating evidence that has already been presented of an existing problem to ensure that it produces an unbiased conclusion. This is an effective method of carrying out research as it is more linked with providing comprehensive, precise, and evidence-based research (Glasziou & Colditz, 2001) With the high number of research that is being posted on the different websites, there is the need to evaluate the resource and classify them in relation to sources that are more relevant and those with desired outcomes too. Hence they aim to make more informed decisions in relation to preterm births in pregnant women with the cause of anemia.

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Hence by doing a systematic review, a more advanced report will be developed. This will also be impactful for anyone looking for data online. This will also be impactful as it will address all the gaps that have been left by the existing literature hence improving the quality of data available. In a study done by (Glasziou & Colditz, 2001), he concludes that systematic review is strict on the selected questions, provides precise eligibility questions, a more reputable approach, and offers an extensive search of the resources (McCauley & van den Broek, 2022). Generally, conducting a comprehensive systematic review helps the researchers advance the existing data and also advance the available in-depth data. However, it is subjected to various limitations, such as can be time-consuming, and with lack of awareness, there are higher chances that this could take longer time than thought it could.

Search Strategy

In previous research, a systematic review has to be carried out by more than two researchers to ensure that there is less bias. However, this research was considered by a student underrating a master’s degree in Public health. To ensure that there is a high level of transparency, the researchers used a PRISMA flow chart and also employed the Cochrane handbook written for the systemic review of interventions. When carrying out research, it is important to use a wide variety of sources to collect relevant data. This is considered that there are many websites that offer information regarding the health of people. For instance, considering that EMBASE, CINAHL MEDLINE Pubmed, and Sci direct are an example of databases within healthcare, PsycINFO and ASSIA are among databases that offer such but within social science. With a search strategy, it is easy to identify such. Through the literature, we only considered data that are from peer-reviewed journals from websites such as Pubmed, direct science, Medline, and EMbase to ensure that the outcomes that have been reported are clinically based.

Search bibliographic Databases

Online sources are easy to find as they are usually updated to meet the current changes. This makes it easy for one to locate them. Hence with online sources, the researcher considered doing searches for the relevant articles. Databases considered were EMBASE, CINAHL MEDLINE Pub med, and Science Direct. Through this study, the researcher considered only articles that have been published not older than five years, which considered a review comparison with mothers who are pregnant with anemia and those who are pregnant without anemia. During this search, only English works were considered. However, this was considered that during translation, the translator could miss some words or even understand the author wrongly, which can, in turn, lead to altering of the meaning. This is one of the bases as to why the research only considered articles that have been written originally in English and not in other languages. However, this raised some bias as some research (Neimann Rasmussen & Montgomery, 2018) claimed that excluding sources that are not in English can result in language bias. However (Delgado-Rodríguez & Sillero-Arenas, 2018) claims that there is no noticeable language bias to be identified when carrying out a meta-analysis outcome. To ensure that an extensive search has been attained, the author considered using relevant keyword searches and also considered paying visits to the library to find any sources that could help have adequate data.

Search key terms and Search Strategy

In a study carried out by Boland et al. 2017, after identifying the bibliographical resources, keywords were developed to ensure that a search strategy for every database had been developed. Through the search strategies, various parts of research questions were developed to ensure that a broad search has been attained. With the Cochrane review, strategy research design population and intervention questions are to be addressed. This then promoted the use of the PICO tool to help in identifying and searching the terms. However, synonyms of keywords such as anemia, pregnancy, and preterm births were used for extensive results. In a research done by (Bramer & Kleijnen, 2018), he reports that keywords and medical subheadings are of high importance in developing a search strategy. Furthermore, there was no limitation on the number of materials to be explored. However, in truncating documents, the researcher used an asterisk (*) alongside an operator, which could be AND, OR, NOT, to ensure that even though a wide search is aimed at, it is all linked to the relevance. To ensure that ether was no bias when making the choices, all the searches were conducted after a tutorial with the expert librarian. This then followed an immediate screening that considered the title and the Abstract check removal of duplicates. The remaining articles were then reviewed in full to determine the scoping review and synthesis of the findings that met all the criteria required.

Review questions for the systematic review

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This review has been created to locate, analyze and synthesize available data while trying to address the causes of anemia in prenatal women that result in preterm births. Furthermore, this review will analyze possible interventions, especially offering communal education to mothers on the foods that can help them fight iron deficiency.

There are different frameworks that can be used while structuring systematic review questions. In this research, we will consider the PICO framework, which is a common framework applied when dealing with quantitative analysis. PICO has proved to be an effective framework for analyzing interventions. In analyzing the PICO, the major components to be considered are (Lasserson & Higgins, 2019) (Population intervention counter intervention, and Outcomes). With this, it is also easy to locate useful sources. Furthermore, this also plays an important role in helping determent the research questions of the study. 

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Selection of studies

To ensure that a more clear focus on the issues at hand and works to be used have been chosen appropriately, there is the need for precision. This then calls for inclusion and exclusion criteria. Furthermore, having an inclusion and exclusion criteria is one of the requirements for a systematic review that brings the difference from narrative reviews (Siddaway & Hedges, 2019). Hence the research used the PICO framework to determine the criteria for including and excluding resources.

Type of participants (p)

Expectations mothers from the age of 20-40 were considered to be major participants of the study. This study considered this age group as it all included mothers who just became mothers and they have not established their lives, and also an age gap of a mother who became pregnant and still has established their lives. However, studies that involved minors who were pregnant and had anemia was included as they did not meet the inclusion criteria.

Types of Interventions (I)

Many studies have studied on ensuring that each pregnant mother has a clinical book that contains adequate education (Hosseini Tabaghdehi & Motaghi, 2020). Other studies have also called for the government to come in with more funds to support the poor families by providing supplements or even making food donations that will help them (Siddaway & Hedges, 2019). Furthermore, this research will consider offering communal education on how to balance the available food to ensure that the iron deficiency has been tackled.

Types of Counter Interventions (C)

Blood transfusions

Types of Outcomes (O)

The outcomes of anemia in pregnancy that leads to preterm births were preterm births, breathing disorders, chest pains, delayed millstones or stillbirths, antenatal visits, number of haemogram tests, and experience of anemia in pregnancies. However, there was also a difference in social-economical factors such as income, level of education, and the occupation of spouses.

Types of Studies in writing help

In an evaluation of the different qualities of the findings, there are various ranking systems that can be used. The hierarchy of evidence has affirmed that the RCT is one among the topmost when placed in the evidence pyramid. It is then followed by the observational studies, and then the uncontrolled studies are at the bottom of the pyramid. Further, randomization will be used in the studies to reduce the bias and also equalize the confounding factors within the groups. Furthermore, only studies that are related to the major keywords will be considered for the general study.

Data Collection

An excel sheet was used to portray the relevant data collected considering met analysis data, baseline carters of the population used, a summary of the studies that were used, and data for the narrative synthesis. Through the study, it included The data to be extracted will include information about the sources, design of the study, geographical location, the aim of the study, the population used, and the conclusions made of the study. Within the baseline characteristics, the study will consider information such as the study ID and the race, which will include all the races such as Black, white, and others, gender, and rural-urban classification. In the third section, which is the statistical data of the meat analysis, the research will consider the mean and standard deviation statically attained from the designated groups separately. In the fourth section, data for the narrative synthesis will include data collected for the study, ID the outcomes, the results, and measures results. Through the data, different tables will be created for the different sectional data.

Religion Languages and date of publishing

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This study was not limited to a certain geographical; hence it reviewed literature from a global perspective. However, only articles that had been written in English as the research was limited to translating articles considering the chances of errors while transcribing. This also included that any work that was originally written in another language but later translated was not included too. The study considered articles with a publication age of not more than five years. This was to ensure that all the studies used were dated.

Quality Assessment

It was important to ensure that the studies that have been chosen have also been assessed to measure the quality of the studies being used. This is a step that was done during data extraction. This was to ensure that the researcher was able to respond to any quality assessment questions. Furthermore, this could also play a big role in helping avoid selection bias in such collecting data, not minding if they support or they contradict the hypothesis. Following this procedure, it plays an essential role in removing the poor-quality works that could affect the findings of the researcher. Furthermore, it also saves time as it excludes the extraction of data that is not required. Through quality assessment, it was easy for the researcher to identify reliable research that was designed, and after evaluation, the researcher was able to conclude if the research was relevant to answering the main question or not. Through quality assessment, the researcher got the different perfections and the different methodologies and the outcome that the different resources had posted that helped the researcher to know the value and how to rate sources as poor quality and which one to be considered of high quality.

In the systematic review, there are various tools that could be put in use to measure the quality of the sources. However, it also depends on the type of question to be addressed. In many instances, Scales have been used, while others consider the use of a checklist as they are more comprehensive and can also be studied by other people to measure the quality too. Critical appraisal skill program and new castle Ottawa scales are among the majorly used scales. Considering that many of the studies were observational, the National Institute of health quality assessment tool was considered to be the most appropriate tool. This tool focused on studying a source with different questions, such as judging the clarity of the questions used in the study. What kind of population has the study used, the participation numbers, and the inclusion/ the exclusion criteria that have been used in the said sources. The justification of sample size, time frame, the follow-up procedures definition validly, the rate of exposures, the measure of outcomes, and the sufficient level of the outcomes were used. Through the analysis, the researcher considered giving answers with no, yes, applicable, and not applicable depending on the findings that the researchers will find after studying eth sources with the above questions. With the procedure, which took a lot of time but yielded good results, the research had the capability of utilizing only resources that were qualified. 

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Characteristics of included studies

     

Study   ID

Study   Design

Site

Population   age

Study   Aim

Conclusion

 

Moreno-Fernandez, & Diaz-Castro, 2019

Systematic Review

–

m 24 to 36 weeks

Determine the Effects   of iron status on preterm infants’ growth and development parameters

Most of the time,   premature newborns need iron supplements and are prone to ID or IDA   development, which may influence postnatal behavior and cognitive   development.

 

Kang & Sunwoo, 2020

A systematic review and   meta-analysis

China

22.6 to 34.8

Utilizing a meta-analysis   to determine the association between anemia and the risk of maternal   depression.

Anemia was linked to a   higher incidence of maternal depression in both the antepartum and postpartum   periods, according to a recent meta-analysis of observational epidemiological   studies.

 

Safiri & Grieger, 2021

Quantitative

Global

15-49

The current study   details the burden of anemia on a global, regional, and national scale, as   well as its underlying causes.

Despite the   multifaceted character of the condition, dietary iron deficiency is still the   biggest contributor to anemia worldwide. Therefore, nutritional interventions   must get more focus, followed by efforts to reduce the burden of chronic   diseases, parasite infections, and hemoglobinopathies.

 

Walang, 2020

Quantitative

Southeast Asia and sub-Saharan Africa.

20-42

Analyze the major   causes of Preterm births among women in developing countries

The global preterm   birth rate of 11% is a result of anemia cases experienced by women before and   during pregnancies.

 

Maier & Zeitlin, 2018

cohort studies

European Regions

22 + 0 and 31 + 6 weeks

To compare the length   of hospital stays for infants who were born very preterm and extremely   preterm in 10 different European locations and track changes over time.

Policies to optimize   discharge decisions in terms of baby outcomes and health system expenditures   should be informed by a better knowledge of the discharge criteria and care   practices that cause the significant variations in the very preterm length of   stay across European areas.

 

Sample & Platini, 2019

Quantitative design

Indonesia

15-49

This study attempts to   ascertain pregnant anemic women’s understanding of pregnancy nutrition.

Based on the findings   of a study on the nutritional intake knowledge of pregnant women with Anemia   at Puskesmas (Community Health Center) Sukamulya Garut, it can be said that   nearly all of them lacked such knowledge.

 

Aston & Paynter, 2021

Qualitative

Canada

20-40

This study looked at   how first-time moms used online and offline resources to get help during the   first six months after giving birth and how social and institutional   discourses shaped their experiences.

These online discussion   boards provide useful information for medical practitioners trying to enhance   postpartum care for moms and highlight the necessity of creating places where   new mothers can interact.

 

Graham, 2018

 

Indonesia, 2020

Quantitative

Central Sulawesi

22-48

The goal of this study   is to determine how the smart book on pregnancy-postpartum care affects   husbands’ knowledge and the incidence of difficulties with reproductive   health.

The postpartum care   book educated men about pregnancy, labor, and postpartum issues.

 

Baig-Ansari & Goldenberg, 2008

Quantitative

Pakistan

20-48

To assess the   prevalence of anemia in pregnant women residing in an urban population in   Hyderabad, Pakistan, as well as the dietary and socioeconomic factors related   to anemia.

At 20 to 26 weeks of   pregnancy, a significant portion of women experienced mild to moderate   anemia. Anemia was linked to a pica, drinking tea, and eating a few eggs and   red meat. Prior to getting pregnant, in particular, women of reproductive age   should receive nutritional education about food sources of iron and how food   choices can either improve or interfere with iron absorption.

 

Rahman & Shibuya, 2016

systematic review and   meta-analysis

South Asia sub-Saharan   Africa

15-49

systematic review and   meta-analysis to calculate the population-attributable percentage (PAF) of   these outcomes that are caused by anemia in low- and middle-income countries,   the pooled prevalence of anemia, the relationship between maternal anemia and   pregnancy outcomes, 

Maternal anemia   continues to be a serious health issue in low- and middle-income nations.

In low-income nations   and the South Asian region, the percentage of unfavorable pregnancy outcomes   attributed to anemia was greater.

 

Youssry & Patel, 2018

cohort study

–

20-45

Our study’s objectives   are to determine the prevalence of anemia in pregnant women and the impact of   anemia severity on maternal and perinatal outcomes.

His research made it   clear that anemia, especially mild anemia, is common among expectant mothers.   Maternal anemia must be managed, and the perinatal outcome is strongly   impacted by early diagnosis and therapy beginning in the first trimester. The   most frequent maternal and neonatal problems are prematurity, low birth   weight babies, and postpartum hemorrhage.

 

Ballestín & Bartolomé, 2021).

Qualitative

–

20-47

In this review, the   research on how nutritional deficits affect maternal and infant morbidity   will be summarized.

Micronutrient   deficiencies have a negative impact on pregnant women’s health and the   pregnancy’s outcome. Since there are multiple inadequacies, repairing or   supplementing one won’t have much of an impact while there are still others   that need to be addressed.

 

Imagine you are writing a sequel to “The Lady or the Tiger.” Your story will pick up where Frank R. Stockton left off. Use the graphic organizer to help plot out your resolution to “The Lady or the Tiger.” 

**You will not write your sequel just yet—you’re planning it in this assignment.**

The graphic organizer is in the file

The story “lady or tiger” is in the link below:

Lady, or the Tiger (very easy version) (commackschools.org)

In this course, we’ve looked the origins of the American Dream and then how some groups have struggled to be included. In this final week of class, we are looking at the current status and the future of the American Dream, as well as what it means to be a global citizen.

In a post of at least 100 words, address the items below:

• Explain how has your understanding of the American Dream changed as a result of this course.
• Reflect on John Lennon’s “Imagine,” which for many signifies hope. Do you believe there is hope for the American Dream? Choose at least one image from the song lyrics or video that signifies your new understanding of the American Dream.

Imagine – John Lennon and The Plastic Ono Band (with the Flux Fiddlers)

https://youtu.be/YkgkThdzX-8

https://www.azlyrics.com/lyrics/johnlennon/imagine.html

You learned the definition of the American Dream in Week 1, and you also learned about the American identity. Traits often associated with the American identity include boldness, confidence, perseverance, and integrity. These traits are often demonstrated through a character’s words or actions. This week, we’ll focus on perseverance and how it is reflected in two of the readings (Pawn Shop and What to the Slave is the Fourth of July?)Describe how perseverance is reflected in each.

Frederick Douglass:

Biography, Vol. 1 pp. 970-974 and “What to the Slave is the Fourth of July?,” Vol. 1 pp. 1040-1043 (nonfiction)

Sherman Alexie: 

Pawn Shop,”

300 words minimum (excluding quotations and citations)

Include two properly integrated and cited direct or paraphrased quotations (one related to each character) to support your claims

analisis del cuento.

Responde en oración completa y con profundidad crítica las siguientes preguntas.

1.What types of violence does the author reproduce in this story?
2.what complexities does the mother present?
3.Do you consider that the space or context in this story acts as a character? Answer yes or no and justify your answer.
4. What possible meaning or poetic meaning do you identify in the name of Melodía?
5. What possible meaning or poetic meaning do you identify from the end of this story?.

– Include references and place question followed by answers.

  You learned the definition of the American Dream in this week’s lecture. You also learned about the American identity. Traits often associated with the American identity include boldness, confidence, perseverance, and integrity. These traits are often demonstrated through a character’s words or actions. This week, we’ll focus on boldness. How is boldness reflected in the characters of Rebecca Harding Davis’s story? Choose two characters from “Life in the Iron Mills” and explain how boldness applies to them in the story.  Criteria:

• 300 words minimum (excluding quotations and citations)
• Include two properly integrated and cited direct quotations (one related to each character) to support your claims. 

 

“Rip Van Winkle” and “Young Goodman Brown” are told as third-person narratives, not as first-person narratives. The difference is that a third-person narrative presents the characters to us in the words of a narrator rather than from the words of the characters themselves. The story contains descriptions such as “Rip Van Winkle did this” or “Young Goodman Brown said that,” but it’s not as if the characters themselves are telling everything from their perspective. Of course, sometimes they speak in the story, but they do not get to tell the story or what they thinking or feeling. It is up to the reader to determine what the characters might be thinking or feeling. 

For this assignment, choose one of the following options:

(A) Imagine you are Rip Van Winkle’s daughter, Judith, writing a journal entry after her father reappears after 20 years. Try to get into the mind of Judith. Be imaginative and creative. Pretend you are Judith and have just seen your fater after he has been missing for 20 years. You will not be retelling the plot of the story; you will be Judith reflecting on the events of the day. In this journal entry you can put down whatever thoughts she might have using absolute frankness and honesty.  

 

• Write a minimum 400 words in paragraph form, using Times New Roman 12-point font (or similar) with double spacing. A title page is not required.