Learn More About the Immigration Medical Exam

A medical exam is required for all immigrant visas and some nonimmigrant visas, as well as for refugees and adjustment of status applicants. The purpose of the medical exam is to determine if individuals have health conditions that need attention prior to immigration. Doctors Authorized to Administer the Exam The medical exam must be performed by a physician approved by the U.S. government. In the U.S., the physician must be a U.S. Customs and Immigration Services-designated  civil surgeon.  Abroad, the exam must be conducted by a physician designated by the U.S. Department of State, also known as a panel physician.   To find an approved doctor in the U.S., go to the  myUSCIS Find a Doctor  or  call the National Customer Service Center at 1-800-375-5283. To find an approved doctor outside of the U.S., go to the  Department of State website. Admissibility Panel physicians and civil surgeons will classify an immigrants medical conditions into Class A or Class B. Class A medical conditions render an immigrant inadmissible to the U.S. The following situations are classified as Class A: tuberculosis, syphilis, gonorrhea, Hansens Disease (leprosy), cholera, diphtheria, plague, polio, smallpox, yellow fever, viral hemorrhagic fevers, severe acute respiratory syndromes, and influenza caused by novel or re-emergent influenza (pandemic flu). All immigrants, including those on an immigrant visa and an adjustment of applicants, must receive all of the required vaccinations. Those may include the following vaccine-preventable diseases: mumps, measles, rubella, polio, tetanus and diphtheria toxoids, pertussis, Haemophilus influenzae type B, rotavirus, hepatitis A, hepatitis B, meningococcal disease, varicella, influenza and pneumococcal pneumonia. Other disqualifying factors from admission include individuals who have current physical or mental disorders, with harmful behavior associated with that disorder, or past physical or mental disorders, with associated harmful behavior that is likely to recur or lead to other harmful behavior and those individuals who are found to be drug abusers or drug addicts Other medical conditions may be categorized as Class B. These include physical or mental abnormalities, diseases (like HIV, which was declassified from Class A in 2010) or serious/permanent disabilities. Waivers may be granted for Class B medical conditions. Preparation for the Medical Exam The U.S. Citizenship and Immigration Services  will provide a list of doctors or clinics that the government has approved to perform immigration medical exams. An applicant should make an appointment as soon as possible so as not to delay case processing. Complete and bring form I-693 Medical Examination of Aliens Seeking Adjustment of Status to the appointment. Some consulates require passport-style photos for the medical exam. Check to see if the consulate requires photos as supporting materials. Bring payment as indicated by the doctors office, clinic or as directed in the instruction packet from USCIS. Bring proof of immunizations or vaccinations to the appointment. If immunizations are needed, the doctor will provide instructions on which are required and where they can be acquired, which is usually the local public health department. Individuals who have a chronic medical problem should bring copies of medical records to the exam to show that the condition is currently being treated and is under control. Examination and Testing The doctor will examine an applicant for certain physical and mental health conditions. The applicant will have to remove clothes for the medical exam to do a full body review. If the doctor determines that an applicant needs more tests because of a condition found during a medical exam, the applicant may be sent to their personal doctor or a local public health department for further tests or treatment. The applicant is required to be completely honest during the exam and truthfully answer any questions posed by medical staff. It is not necessary to volunteer more information than is requested. The applicant will be tested for tuberculosis (TB). Applicants two years old or older will be required to have a tuberculin skin test or chest x-ray. The doctor may require an applicant younger than two to have a skin test if the child has a history of contact with a known TB case, or if there is another reason to suspect TB disease. If 15 years or older, an applicant must have a blood test for syphilis. Exam Completion At the end of the exam, the doctor or clinic will provide the documentation that an applicant will need to give to USCIS or the U.S. Department of State to complete the adjustment of status. If there are any irregularities regarding the medical exam, it is the doctors responsibility to provide a medical opinion and make recommendations one way or another. The consulate or USCIS has the final decision on final approval.

Code of Ethics and Professional Dilemma A Reflection

Professional Dilemma Within any work environment there are should be a code of ethics that is set out so that conflicts can be avoided and people live or work together in unity. Therefore they should clearly be stipulated so that people can live and exist together in harmony. The code of ethics should be adhered to by each and every individual regardless of the status they have or post they hold in a particular area. This will ensure that no one offends another and everyone does what they are supposed o do without any form of conflict coming up. As a communications field contractor in Afghanistan for the US military there are various professional dilemmas and conflicting values that I go through since I work with the military personnel and yet am a civilian. This is especially from those who have posts within the military since they consider themselves on a higher level than others. This paper will therefore give a detailed description of my experience in Afghanistan in the communications field as contr actor for the military working alongside people in the military especially those with various ranks. I experienced an unethical act of disrespect from a particular Navy Lt. who was known as Lt.B. We had no formal relationship with this Lt. It was just a normal relationship of us both know each other exist and thats about it. We did not interact on any personal level just the fact that we used to work in the same area the difference being the descriptions of our workShow MoreRelatedEthical Decision Making Model Of Ethics And Its Foundations Essay1536 Words   |  7 PagesAfter reviewing several ethical decision-making models, reviewing the code of ethics and its foundations, and examining personal beliefs and values surrounding ethics, I have come up with an ethical decision-making model. 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Enrollment System Introduction free essay sample

This project looks at an Enrollment System for a college which will provide the needed and storing information in a faster, more convenient way by storing file of the student enrollees in a computer system that will lessen the effort of faculty staff in storing files of each student every now and then. An enrollment system also serves as information especially for the irregular students, freshmen, transferee, and professor in able to get access in course, subject, professor, and student enrollees, but is designed for use by staff and other authorized user in the college office to enable them to easily produce information required by the different people in college. This information here can be viewed in just a second without worrying that a single file is lost. The idea behind a enrollment system is not a new concept. As student enrollees increase every year, enrollment procedure become harder to deal. We will write a custom essay sample on Enrollment System Introduction or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This will only serve to increase the problem facing enrollment that provides more easy way in enrolling. This will also be a big help to all the enrollment staff especially under the computer department because they are the one who are entitled to touch and read the information from here. It will help our institution to have another system that will upgrade the enrollment processes so as to meet the quality that our institutions are trying to meet. Today, the use of technology has been an effective tool on improving such kind of enrollment system. In this study, the use of Java Programming will help to improve the efficiency of the enrollment in STI College – Dasmarinas Branch.

Progressive Historians Essays - Frontier Thesis,

Progressive Historians One must decide the meaning of "progressive historiography." It can mean either the history written by "progressive historians," or it can mean history written by historians of the Progressive era of American history and shortly after. The focus that was chosen for this paper is more in keeping with the latter interpretation, if for no other reason than it provides a useful compare-and-contrast "control" literature. The caveat is this: the focus of this report is on the predominant question of the historiographical period: was the war a revolution or a war for independence? One could choose many other questions to argue, questions that historians have for years disputed about the revolution, but there are a number of reasons why this report was chosen for this particular assignment; the two best follow. First, it is an old and time-honored question that professors and instructors have posed to their students for years; of pre-Civil War historiographical questions, it is perhaps second only in fashion during the last twenty to twenty-five years to the Jefferson-Hemmings paternity controversy. Second, the revolution-or-independence question is one of those which must be answered through interpretation. A case cannot be made that is so utterly conclusive as to exclude all others; it is that very fact that makes history at once so frustrating and so fascinating. What better way could there be to look at the writings of a specific school of historians? Therefore, in the pursuit of "personal truth," we must proceed... Perhaps the most famous of all progressive historians is Frederick Jackson Turner. His most famous argument is not devoted strictly to the American Revolution, but instead to the effects of the American frontier. In a sentence, his argument is that the frontier was the chief determinant in American history. This is not to say that Turner did not write about the war; he did, in his seminal work, "The Frontier in American History," there are discussions of the frontier's effect on the coming of the revolution. It is worth noting, before exploring Turner's arguments, that the frontier in this period was only about one hundred miles from the Atlantic coast. Of course, as the period under scrutiny approaches the war chronologically, the frontier moves away from the ocean. But it is important to remember that Turner defines the Jamestown of Captain John Smith in 1607 as the frontier in its initial stage. So, in this context, it makes sense to the almost-twenty-first-century reader when Turner refers to the frontier as defined by the Proclamation of 1763 as the "Old West." Turner gives an idea of his world-view near the end of the book: The transformations through which the United States is passing in our own day are so profound, so far-reaching, that it is hardly an exaggeration to say that we are witnessing the birth of a new nation in America. The revolution in social and economic structure of this country during the past two decades is comparable to what occurred when independence was declared and the constitution was formed, or to the changes wrought by the era which began half a century ago, the era of Civil War and Reconstruction (Turner 1920, 311). This point bears further examination in the context of all the historians being compared in this paper, but in a later section. It is more important at this point to continue with the discussion of Turner's examination of the war as it relates to his frontier thesis. Briefly, Turner argues five points specific to the war in his overall treatment of the frontier. First, a fighting frontier had been established from Georgia to New England as a result of the colonial wars with the French. Second, a primitively agricultural and democratically self-sufficient society had been established on the frontier that was profoundly and fundamentally different from the society from which the frontiersmen's progenitors had sprung; it is of course because those progenitors were different from their fellows that they came across the ocean in the first place. Third, the frontier developed home markets for the growing?--though still small?--colonial industrial base, lessening the importance of the triangular trade. Fourth, non-English settlers had caused an unintended and at first informal breach with the mother country that later fueled separatist sentiment; it is no great thing in the thick of rebellion to forget that the war was at first a war for the rights of Englishmen when one is not an Englishman in the first place. Fifth, the frontier by its very nature reflected a contest between the privileged and the non-privileged; Turner maintains

Adhd as a Social Construct Essay Example

Adhd as a Social Construct Essay This research paper will discuss what ADHD is and why it is that there are those who think it was invented instead of discovered. It will also investigate the reasons why social construct theorists believe that the diagnosis of ADHD does more harm than good and actually diverts from the real issues that children face in their development in this day and age. Also explored will be the case against the social construct theory and why some who argue that the social construct theory is viable are ignoring a very real and possibly debilitating mental disorder. Despite the fact that ADHD is constantly in the news for one reason or another, there is no consensus on what it actually is and as more time goes by and more information is collected the more confusing the topic. Since ADHD has no definitive way of being diagnosed then the question remains what it is that is being treated and why medication is being prescribed, sometimes for life, for something that cannot be proven to fundamentally exist? Is this diagnosis simply as a result of the changing times or the fact that as a society will are all expected to conform to a standard set of behavior or else deemed lacking in some way? We will write a custom essay sample on Adhd as a Social Construct specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Adhd as a Social Construct specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Adhd as a Social Construct specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Attention Deficit/Hyperactivity Disorder or ADHD is a common psychiatric condition that affects both children and adults. It is more likely to be diagnosed in childhood and in more boys than girls are said to have this disorder. There is debate as to whether children can outgrow their symptoms or whether it continues into adulthood or whether it is just a behavioral problem that will just go away as more adults than every are being diagnosed. Symptoms of ADHD include but are not limited to: hyperactivity, lack of concentration, day dreaming, impulsiveness and restlessness. In ADD (Attention Deficit Disorder) the individual is usually described as a daydreamer and in AHD (attention Hyperactive Disorder) the individual is deemed restless or high spirited. Treatment for this disorder range from increased exercise and a diet that does not include carbohydrates and sugar to medicinal intervention in the form of methylphenidates and amphetamines such as Ritalin or Adderall. There is no one test for ADHD – a diagnosis is reached upon by the doctor after having had parent and teacher reports and from interaction with the child or adult. One of the main reasons that the diagnosis of ADHD remains so controversial in many medical circles is the fact that there is no one definitive way in which to test for it. Most of the time the conclusion that an individual (usually a child) has ADHD is as a result of parent reporting and/or teacher intervention. Some would argue that this makes the whole process subjective instead of objective and therefore does more harm than good especially since once a child is put on medication it is recommended by many doctors that he/she continues to take it into adulthood as the symptoms will not decrease or stop over time. Considering the fact that the pharmaceutical industry has a lot to gain from recommending the prolonged usage of drugs for ADHD and there are no studies showing the effects of the long term use of the methylphenidates and amphetamines commonly used, it is only natural that there should be queries into whether the disease actually exists or if it is possible that it could be something else all together. Although there are many who say that the conclusion that hyperactivity is relative and opinion may thus vary from one medical practitioner to another there are those that say there is evidence that it is present in some who have ADHD and the proof is in the brain structure and function and in the DNA composition. This combined with environment leads to what is known as ADHD because it is a multi faceted disease and to try and pin it down to just one cause would be futile and would result in tunnel vision as far as treatment goes. There is evidence to show that severe hyperactivity in children leads to serious developmental stagnation and misdiagnosis or non diagnosis of behavioral disorders such as ADHD leads to educational and occupational failure, inability to have nurturing relationships and stagnation in adulthood. In fact, is estimated that most addicts like gambling, alcohol and drug have some form of ADHD. Experts who agree with this school of thought are adamant that to claim that ADD is a social construct would only hurt those who suffer from it and delay or deny them the treatment that they so desperately need. It must be noted however, that the proponents of ADHD as a social construct are not opposed to getting to the bottom of the reason why an individual might be hyperactive, distracted and unable to concentrate. What they are against is the label itself which they believe will lead individuals into a mentality that they are somehow defective and need to be on medication for most of their lives. What they do advocate for is a strengthening of the family unit and a more child centered way of life. Social construct theorists conclude that in modern western culture factors uch as loss of extended family support, family life being increasingly busy, a cultural system that emphasizes individuality and competition and increased stress from the school systems all contribute to what can otherwise be termed as ADHD symptoms. They conclude that it is for this reason that ADHD was not prevalent until the Industrial Age when people’s lifestyles drastically changed – there was no longer enough play space and increased schooling pressures became increasingly problematic for children who were boredom intolerant. Children put in this unnatural environment coped by either tuning out (ADD) or becoming restless (ADHD). Social construct theorists believe therefore that it is not a medical intervention that is needed but a cultural one. An example of where a cultural intervention is needed is in some western school systems whereby there is intolerance for what can be termed as â€Å"active children†. Though social construct theorists do agree that on some level there could be biological factors what may be the reason that a child or adult is inattentive what they argue is that the school system and society has failed to integrate them and has chosen instead to set them aside and label them as disordered. Different methods of learning instead of the rote memorizing of facts where all individuals are supposed to learn the same thing at the same time and at the same pace will result in an environment where those with different learning styles are made to feel welcome instead of feeling like failures because they do not fit in. In this way, social construct theorists and their opponents are in agreement when they say that a multi pronged approach should be used in tackling and handling behavioral problems. Those against the social construct theory have long been advocates of more open classrooms and more flexibility as pertains to school settings and educational purposes in order to help those who have been diagnosed with ADHD cope with their symptoms. Along with medication, they also stress the importance of getting exercise and having a balanced diet so as not to exacerbate the effects of the disorder. Medication is only part of the solution, not all of it. one point of contention between those who support the social construct theory and those who oppose it is the over and under diagnosis of the disease. Social construct theorists claim that this is because there is no proven way that one can test for the disease and therefore the diagnosis will tend to fluctuate depending on race, social standing, gender, cultural differences and geographical location the theorists claim that if ADHD were are real mental disease the discrepancies would not be so high and so varied. In studies done all around the world, what is known to western countries, especially the United States as ADHD behavior is seen everywhere. What differs is the interpretation of an individual’s action. In some countries and cultures active children are considered the norm or even encouraged. Even in societies where obedience is expected of all youngsters, there are less likely to attribute it to a mental disorder and more likely to claim it is growing pains, simply a stage that will pass. Even the methods used to diagnose ADHD are different – in America the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders 4th Edition) while in Europe the ICD-10 (International Statistical Classification of Diseases and Related Health Problems 10th Revision). This results in 3-4 times fewer diagnoses in Europe than in the United States. Part of the conflict between those who say that ADHD is a real mental condition and those who say that it is a social construct is that there is really no general consensus on what ADHD really is or how to diagnose it. What both sides do agree on is that behavioral problems left untreated will often end up hurting not only the individual affected but all those around him/her and later on, society in general. Social construct theorists in general tend to be against the label of ADHD with the claim that it is one that is stuck with an individual for life and may thus hinder his/her development with pills serving as crutches. They also say that the diagnosis tends to be prevalent in cultures where passivity and order are highly valued. Those who disagree saying that leaving the problem untreated will put those suffering from the disorder at unnecessary risk and stagnate their development. Part of the conflict seems to be what one group thinks the cause should be and/or the treatment required if any. It is important to note that social construct theorists are usually not the same as those who say that behavioral problems are just a result of bad parenting and one should not spare the rod in rectifying the problem. They are not saying that behavioral problems do not exist, just that the cause, treatment and effect should be different.. Whether or not ADHD is a social construct is a debate that is not likely to end any time soon and a resolution is not anywhere in sight. Social construct theorists will always argue that until ADHD is shown to be a true disorder instead of collection of traits then the label should not be used as it hinders more than it helps. On the other hand, those who say that ADHD is a true disorder are more likely to claim that not giving the disorder a label is very detrimental to the individual concerned. There are those who say that ADHD being a real psychiatric disorder being a social construct are not mutually exclusive. This means that thought they do be lieve that ADHD exists they do not think it is as prevalent as the pharmaceutical companies and the media make it out to be. Any behavioral problem that cannot be pinned down and diagnosed is bound to have its opponents and ADHD is one of them. Even those who do claim that it is a valid medical diagnosis and not just a label used to describe behaviors that fall outside the prescribed societal norm do admit that it is multi faceted and multi layered and no two individuals have the exact same symptoms. Social construct theorists on the other hand cannot dismiss the fact that behavioral disorders must be identified and dealt with even though they may not agree with the treatment prescribed or the reasons given for the behavior. With research still being done and studies being carried out it will be a while before any reasonable and scientifically viable conclusion can be reached that will validate either side. As with any mental condition that is difficult to diagnose, it is impossible to have all interested parties come to the same conclusion as it is highly individual and a form of treatment that works for one may not work for another. The very fact that the discussion is taking place and that the debate goes on could be of benefit to all interested and concerned parties. References Barkley, R. A. , Cook, E. H. Jr, Diamond, A. , et al. (2002) International Consensus Statement on ADHD. Clinical Child and Family Psychology Review, 5, 89 –111. [CrossRef][Medline] Breggin, P. (2002) The Ritalin Fact Book. Cambridge, MA: Perseus Publishing. Meltzer, H. , Gatward, R. , Goodman, R. , et al (2000) Mental Health of Children and Adolescents in Great Britain. London: Stationery Office. Moll, G. , Hause, S. , Ruther, E. et al (2001) Early methylphenidate administration to young rats causes a persistent reduction in the density of striatal dopamine transporters. Journal of Child and Adolescent Psychopharmacology, 11, 15 –24. [CrossRef][Medline] Prout, A. James, A. (1997) Constructing and Reconstructing Childhood: Contemporary Issues in the Sociological Study of Childhood. London: Falmer Press. Sayal, K. , Taylor, E. , Beecham, J. , et al (2002) Pathways to care in children at risk of attention-deficit deficit hyperactivity disorder. British Journal of Psychiatry, 181, 43 –48. [Abstract/Free Full Text] Schachar, R. Tannock, R. (2002) Syndromes of hyperactivity and attention deficit. In Child and Adolescent Psychiatry (4th edn) (eds M. Rutter E. Taylor), pp. 399 –418. Oxford: Blackwell. Sproson, E. J. , Chantrey, J. , Hollis, C. , et al (2001) Effect of repeated methylphenidate administration on presynaptic dopamine and behavior in young adult rats. Journal of Psychopharmacology, 15, 67 –75. [Abstract/Free Full Text] Taylor, E. Sandberg, S. , Thorley, G. , et al (1991) The Epidemiology of Childhood Hyperactivity. Maudsley Monograph No. 33. Oxford: Oxford University Press. Taylor, E. , Chadwick, O. , Heptinstall, E. , et al (1996) Hyperactivity and conduct problems as risk factors for adolescent development. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1213 –1226. [CrossRef][Medline] Timimi, S. (2002) Pathological Child Psychiatry and the Medicalization of Childhood. Hove: Brunner-Routledge.

Grace Dawson Artist or Pornographer essays

Grace Dawson Artist or Pornographer essays Grace Dawson: Artist or Pornographer? Mountmonk College has always held very high standards for students and staff. Mountmonk likes to consider themselves better than the other schools at maintaining principles of traditional values as the alumni has done in the past. As the school nears its alumni weekend, we must take into consideration these values, as well as changes in the times as we decide about use of the auditorium for the weekend. Last semester there was an art contest held for the students. All ribbon winning art is scheduled to be displayed in the auditorium during the alumni weekend. One of our students, Grace Dawson, is a photographer and is planning to show one of her photographs in the auditorium over the weekend. Her photograph is of a naked woman kneeling on the ground with a man in a suit kicking her while a naked man watches. We have objections to the display of her art from both the Womens Center and the Director of Alumni Relations . They feel her art is repugnant due to its explicit sexual content and fear that the alumni may withdraw contributions. Grace Dawson argues in her own defense that her photograph is artwork and should be exhibited. She entered this and several other photographs in the Student Art Contest last semester and won a ribbon for honorable mention. She feels that her art deserves to be displayed with the rest of the ribbon winners. Grace Dawson has been unfairly singled out. She insists that she has the right to free speech under the First Amendment and her artwork is a form of protected speech. She should not be, and cannot be, denied the right to freedom of expression even if her expressions are Although we can immediately see that some of the alumni might be offended by the nature of the photos, we must look beyond that to the bigger and more important ...

Management communication 2 Assignment Example | Topics and Well Written Essays - 250 words

Management communication 2 - Assignment Example I was taken by shock and disappointment. I could not think of saying or doing anything. I just left. The person did not use the strategies mentioned in Chapter 15, which was why, the news was conveyed in such a bad manner. Ideally, the secretary should have told us to leave after interview so that the results would be emailed to us, rather than keep us waiting after the interview only to reject us with a sarcastic smile, which was just pointless! Ideally, I should have received a letter via email that would regret over the refusal of my proposal, and tell me that the alternate way is to apply three months later. Formatting of letter is also important. â€Å"The bad news should be placed in the middle of the letter, after the buffer† (benchmarkinstitute.org, n.d.). Sentences like â€Å"Im so sorry that happened† (Herndon, 2005) convey empathy to the reader. The letter should also have indicated the factor which made me lose points so that I would work upon that to improve it. â€Å"A good reason prepares the audience to expect the refusal† (p.