Tuesday, March 17, 2020

ANGINA PECTORIS Essays - RTT, Aging-associated Diseases, Acute Pain

ANGINA PECTORIS Essays - RTT, Aging-associated Diseases, Acute Pain ANGINA PECTORIS ANGINA PECTORIS Submitted by: Course: SBI OAO To: Date: CONTENTS 3 Introduction 4 The Human Heart 5 Symptoms of Coronary Heart Disease 5 Heart Attack 5 Sudden Death 5 Angina 6 Angina Pectoris 6 Signs and Symptoms 7 Different Forms of Angina 8 Causes of Angina 9 Atherosclerosis 9 Plaque 10 Lipoproteins 10 Lipoproteins and Atheroma 11 Risk Factors 11 Family History 11 Diabetes 11 Hypertension 11 Cholesterol 12 Smoking 12 Multiple Risk Factors 13 Diagnosis 14 Drug Treatment 14 Nitrates 14 Beta-blockers 15 Calcium antagonists 15 Other Medications 16 Surgery 16 Coronary Bypass Surgery 17 Angioplasty 18 Self-Help 20 Type-A Behaviour Pattern 21 Cardiac Rehab Program 22 Conclusion 23 Diagrams and Charts 26 Bibliography INTRODUCTION In today's society, people are gaining medical knowledge at quite a fast pace. Treatments, cures, and vaccines for various diseases and disorders are being developed constantly, and yet, coronary heart disease remains the number one killer in the world. The media today concentrates intensely on drug and alcohol abuse, homicides, AIDS and so on. What a lot of people are not realizing is that coronary heart disease actually accounts for about 80% of all sudden deaths. In fact, the number of deaths from heart disease approximately equals to the number of deaths from cancer, accidents, chronic lung disease, pneumonia and influenza, and others, COMBINED. One of the symptoms of coronary heart disease is angina pectoris. Unfortunately, a lot of people do not take it seriously, and thus not realizing that it may lead to other complications, and even death.THE HUMAN HEART In order to understand angina, one must know about our own heart. The human heart is a powerful muscle in the body which is worked the hardest. A double pump system, the heart consists of two pumps side by side, which pump blood to all parts of the body. Its steady beating maintains the flow of blood through the body day and night, year after year, non-stop from birth until death. The heart is a hollow, muscular organ slightly bigger than a person's clenched fist. It is located in the centre of the chest, under the breastbone above the sternum, but it is slanted slightly to the left, giving people the impression that their heart is on the left side of their chest. The heart is divided into two halves, which are further divided into four chambers: the left atrium and ventricle, and the right atrium and ventricle. Each chamber on one side is separated from the other by a valve, and it is the closure of these valves that produce the "lubb-dubb" sound so familiar to us. (see Fig. 1 - The Structure of the Heart) Like any other organs in our body, the heart needs a supply of blood and oxygen, and coronary arteries supply them. There are two main coronary arteries, the left coronary artery, and the right coronary artery. They branch off the main artery of the body, the aorta. The right coronary artery circles the right side and goes to the back of the heart. The left coronary artery further divides into the left circumflex and the left anterior descending artery. These two left arteries feed the front and the left side of the heart. The division of the left coronary artery is the reason why doctors usually refer to three main coronary arteries. (Fig. 2 - Coronary Arteries)SYMPTOMS OF CORONARY HEART DISEASE There are three main symptoms of coronary heart disease: Heart Attack, Sudden Death, and Angina. Heart Attack Heart attack occurs when a blood clot suddenly and completely blocks a diseased coronary artery, resulting in the death of the heart muscle cells supplied by that artery. Coronary and Coronary Thrombosis2 are terms that can refer to a heart attack. Another term, Acute myocardial infarction2, means death of heart muscle due to an inadequate blood supply. Sudden Death Sudden death occurs due to cardiac arrest. Cardiac arrest may be the first symptom of coronary artery disease and may occur without any symptoms or warning signs. Other causes of sudden deaths include drowning, suffocation, electrocution, drug overdose, trauma (such as automobile accidents), and stroke. Drowning, suffocation, and drug overdose usually cause respiratory arrest which in turn cause cardiac arrest. Trauma may cause sudden death by severe injury to the heart or brain, or by severe blood loss. Stroke causes damage to the brain which can cause respiratory arrest and/or cardiac arrest. Angina People with coronary artery disease, whether or not they have had a heart attack, may experience intermittent chest pain, pressure, or discomforts. This situation is known as angina pectoris. It occurs when the narrowing of the coronary arteries temporarily prevents an adequate supply of blood and oxygen to meet the

Saturday, February 29, 2020

American Dream in Great Gatsby

The Idea that Pervades Society The American dream is the longing of success that means a happy family and equal opportunity to go from rags to riches, through hard work. This idea is scene in a lot of places. On the picture by Margaret White, the poster proclaims: World’s Highest Standard of Living-There is no way like the American Way†. Or the headline of the newspaper story is â€Å"The American Dream, the subtitle is Doing Well by Doing Good. † Examples of the American dream are almost invisible when looking at average Americans. In the photograph, there are hungry people carrying buckets. None of them are white and none of them look remotely happy in front of the camera. This shows how not everyone can live the American Dream especially if they are barely getting by. Immigrants also failed to reach the American dream for reasons like not being able to speak English and lack of resources. Having a happy family is not easy either. There is lots of conflict at home over the dinner table and no time for American adults to have fun once they have kids. It is unrealistic to expect fun when there is housework, bills to pay, and more. Although it sounds good, it is a negative force in our society because it is just too good to be true. The American dream means equal opportunity to go from rags to riches. Sometimes, aggression may be necessary to get this â€Å"equal opportunity† due to circumstance. â€Å"At the time, most southern blacks could not share a water fountain, a beach, a bus seat, a school room, or a voting booth with southern whites. † (Moser, and Watters) This barrier to civil rights meant that many were considered inferior and could not succeed because they were separate from the average American. This shows that the American dream is unrealistic for blacks. Langston Hughes states how America should be a land â€Å"where Liberty is crowned with no false patriotic wreath, But opportunity is real, and life is free, Equality is in the air we breathe. †(Hughes) However, he later asserts that â€Å"America never was America to me, And I swear this oath-America will be! † (Hughes) This reiterates how this equal opportunity will be there in the future. Thus, showing how the American dream is currently unrealistic for them. Immigrants who were not American tried to go from rags to riches as well. â€Å"Education was free. That subject my father had written about repeatedly, as comprising his chief hope for us children, the essence of American opportunity, the treasure that no thief could touch, not even misfortune or poverty. † (Antin) This shows his belief in the equal opportunity in America. In the end, many of this people did not fully realize the dream and may have ended up in a worse financial situation than before. The Antin’s wound up losing everything after the storm on Crescent Beach. They could not achieve the success that the American dream entitled. Her father was â€Å"master of no art, of no trade; that even his precious learning was no avail, because he had only the most antiquated methods of communicating it. † (Antin) They did not expect this would matter but being immigrants put them at a disadvantage. It is clearly not achievable for the poorer Americans and immigrants who probably worked very hard but live in an oppressive society that values background over hard work. You need to be a white American gentleman to succeed like Tom who lives in East Egg. The American dream means a happy family with a nice house and all the amenities of civilization. However, how can a family be happy when there is so much work to be done at home? â€Å"A good home life for a family of four took about 60 hours of nurturing work per week in 1982. That work may have been more physically arduous in the past, but never more complex than now. † (Hayden) Today, it’s nowhere near that amount but it is still quite a load. On top of that, people are picky meaning that â€Å"part of homemaking involved seeing that each family member’s myriad personal needs are fully met. For example, â€Å"Home cooking requires meals prepared to suit the personal likes and dislikes of family members.(Hayden) How can the American dream be achieved when you worry so much about homemaking? The idea of a happy family ceases to exist because of this. Even rich people with all the amenities like the laundry machine, dishwashers, refrigerators, and stoves still have a lot to worry about. Rich people still need to worry though about their kid’s educat ion and choose to private school their kids. However, â€Å"this puts more pressure on families, cutting them off from the diversity and connectedness of the proverbial village. Poorer families without the same resources to send their children to school worry even more about this. There are exorbitant rates for the top state universities and federal aid is hard to come by. The journal of health and Social behavior published her findings that â€Å"adults with children experience depression and unhappiness in greater numbers. Our expectations that children guarantee a life filled with happiness, joy, excitement, contentment, satisfaction, and pride are an additional source of stress for all parents. This shows that happiness is hard to achieve and many are dissatisfied because of the times when they have housework to do. A lot of the times, Mother’s in their sphere do not have many people to talk to except for other women. â€Å"Or it may come from husbands and children who finally notice when their wives and mothers break down. † (Hayden) For example, Daisy in the Great Gatsby had a hard time dealing with Tom, who had a bad temper. â€Å"You did it, Tom, she said accusingly. I know you didn’t mean to but you did do it. That’s what I get for marrying a brute of a man, a great big hulking physical specimen. † (Fitzgerald 16) During this incident, Tom intentionally broke Daisy’s finger for no reason. Daisy was very upset about having to put up with this. This shows how not everyone is happy all the time. Later on at the end, Daisy was so upset about Tom’s mistress and almost left Tom for Gatsby. She states, â€Å"Why, -how could I love him-possibly? † (Fitzgerald 139) This is in response to Gatsby telling her to state that she never loved him. In this case, â€Å"him† refers to Tom, who now desperately wants her back. Even if a family is wealthy or poor, there is so much going on at home that people are likely to be unhappy. Although it sounds good, there are lots of problems in life preventing the American Dream from happening. Every day, there is housework, kids to take care of, and bills to pay. This makes home life frenetic all the time. Unless you can afford a housekeeper and somehow have a perfectly content family, you should not wish for the American Dream. The American dream is the longing of success that means a happy family and equal opportunity to go from rags to riches through hard work. A lot of people decided to immigrate here in pursuit of this dream. Many of them were disappointed when it ended in failure although they worked hard. The American dream was simply out of their reach like with Mary Antin’s father. Therefore, the American Dream has a negative impact on our society because of its false promises that cannot be achieved by the overwhelming majority. So until you can guarantee equal opportunity, limited house work, and no home conflict the American dream will cease to exist.

Thursday, February 13, 2020

Code of Ethics Essay Example | Topics and Well Written Essays - 500 words

Code of Ethics - Essay Example They need to be aware of the things that can get them fired. Sanitation hazards need to be taken very seriously. The littlest thing could turn away a customer, and perhaps lead to a lawsuit. When dealing with food, all precautions need to be taken. A lot of businesses require wearing gloves, having your hair pulled back, and no visible piercing or tattoos. Jan Norman, publisher for The Standard-Times stated, "A lot of people are offended when they see people in the workplace with piercings and tattoos." (Norman, p.1) When dealing with other people's food, all of those things are turn-offs. After touching your hair or face, going to the bathroom, or any other contact with yourself or another person, the person should immediately wash their hands. OHS states, "Hand washing reduces the risk of Common Infections." (p.1) Putting up signs for the employees to remind them to pull back their hair, and remove any visible piercing such as from the nose, eyebrow, lip or tongue. All of this affects the businesses as well. By sanitation standards not being met, stated by Occupational Health and Safety, this can cause businesses to be shut down. So employers need to keep close watch on employees." (OHS,P.1) Every day consumers are more concerned with sanitation especially when it concerns their food. There are so many bacterias that can be spread.

Saturday, February 1, 2020

Persuasive Oral Presentation about paparazzimedia ethics in Hong Kong Essay

Persuasive Oral Presentation about paparazzimedia ethics in Hong Kong - Essay Example Sometime this year, there were a group of activists that were fighting for the right to preserve a certain historical site in Hong Kong. The group went to the site and stayed there for some days with very little attention from the local media. However, a certain politician realized that there was an opportunity to garner public attention through the activists. Consequently, he called some members of the press informing them that there would be a fight between some activists and the police at a specified time. (Mei Ning & Cottrell, 2008) Ten minutes before the set time, local pressmen were presented with their cameras; the police had already arrived. At the set time, the politicians arrived with the small group of activists. The police confronted them immediately and the demonstrators also put up some resistance. All this time, the ensuing activities were being recorded. After ten minutes of this, the policemen, politician, members of the press packed up their belongings and left; a classic case of doctored stories. The activists were at least content that their case would be aired on the nine o'clock news. Ladies and gentlemen, this extreme case demonstrates just how absurd our media has become. Isn't it time that we began discussing such lack of professionalism More importantly, isn't it time for us to think of ways in which we can change such depictions What really is freedom of speech In my view, Hong Kong Media have overstepped their boundary. In case you are not convinced about this issue yet, here are some incidences that reinforce my earlier sentiments. In the year 2002 during the month of October, well known gossip magazine East Week splashed naked pictures of actress Carina Lau in the edition. They claimed that these were photos of the actress at that time when she had been arrested some twelve years go. Actress Lau was clearly in anguish and distress but this did not stop East week from publishing this shocking images. In response this sheer lack of humanity, angry protesters marched to the streets of Hong Kong claiming that local tabloids lacked moral substance. Most of them wondered 'what had happened to media ethics' while it may be true that you as the media authority did something in response to these acts your actions were not solid enough. Through your actions, this magazine company was closed for one year. But shortly after, the company was reopened and is still back in business. I ask you, 'How many more Car ina Lau's do we have to witness before we can instate radical changes in our local media In close relation to this incident was a publication made by Next Magazine. The group had displayed pictures of the dead corpse of a woman at the bottom of Sheun Chi building. (Mei Ning & Cottrell, 2008)Not only were these pictures quite disturbing but they were worsened by the alleged causes of the death. The magazine claimed that it was the husband of the deceased who had been engaging in acts of promiscuity that had propelled his wife to suicide; they claimed that he had been engaging in extra marital affairs with prostitutes. Instead of sympathizing with these distraught family members, the media was fuelling their anger and remorse. What was more devastating about the media handling of this case was that some media companies paid the deceased wife's husband to take meals and

Friday, January 24, 2020

Cyrano De Bergerac Essay examples -- Cyrano De Bergerac Essays

Cyrano De Bergerac The story begins at the Hotel de Bourgogne in the year 1640. Christian de Neuvillette attends the theater with a man called Ligniere in hopes that this man can identify the woman he has fallen in love with. Ligniere identifies the beautiful lady as Roxane, cousin to Cyrano de Bergerac. Christian also finds out from Ligniere that Count de Guiche is in love with her as well. Ligniere told Christian that he made a song that told of de Guiche’s scheme to get Roxane and that de Guiche probably hated him for it. Ligniere leaves and heads out to a tavern while Cristian stares up at Roxane. In the mean time, a thief had been approaching Christian to make an attempt at stealing from him. When Christian reaches into his pocket he finds a hand. The thief makes a deal with Christian and tells him that Ligniere was going to die that night because he insulted a powerful person with a song. The thief told Christian that a hundred men were posted. Chrisian rushes off to every tavern in tow n to leave a message for his friend. Ragueneau, a baker, watches for Cyrano. Cyrano had told Montfleury not to appear onstage for a month, yet Montfleury appeared onstage anyway. Cyrano shows up and interrupts the play. He forces Montfleury to leave the stage and in the process of doing so he insults forty-eight people. Valvert insults Cyrano by making a remark about his nose so they duel. While dueling, Cyrano recites a ballade he created and wins the duel. Everyone was delighted and congratulated him. Cyrano confides with his friend Le Bret that he is in love with his cousin Roxane. Le Bret advises Cyrano that he should tell Roxane his feelings because there was no better time than now to tell her his feelings after she witness... ... come with him quickly because Cyrano was unconscious with a gash in his head. Roxane waited for Cyrano outside while she embroidered. Cyrano was late for the first time then. He acted as if nothing was wrong with him, but sister Marthe saw something was wrong with him. He told her not to tell Roxane, though. Cyrano asked Roxane if he could read the letter that Christian had on him when he died. Roxane gave him the letter and he began reading aloud. Roxane realized that Cyrano wrote that letter. She confronted him and he denied it but she knew the truth. Le Bret and Ragueneau show up looking for Cyrano. They find him there and tell Roxane what happened. Cyrano becomes seized by some mania and goes on about how lies, compromise, prejudice, stupidity, and cowardice have robbed him of glory and love but the one thing they could never touch was his white plume.

Wednesday, January 15, 2020

Study guide midterm

Topic and a Purpose Sources for choosing a topic Determining the general purpose of your speech Difference between a specific purpose and a central Idea Topic: The subject of a speech Choosing a topic: Topics you know a lot about Topics you want to know more about Brainstorming: A method of generating ideas for speech topics by free association of words and ideas. Personal Inventory Clustering General Purpose: The broad goal off speech. Specific Purpose: A single Infinitive phrase that states precisely what a speaker hopes o accomplish In his/her speech.Tips for formulating the specific purpose statement: Write as a full Infinitive phrase, not as a fragment Express as a statement, not a question Avoid figurative language Limit to one distinct idea Not too vague or general Question to ask about specific purpose: Does it meet the assignment Can it be accomplished in the time allotted Is the purpose relevant to my audience Is the purpose too trivial for my audience Is the purpose too t echnical for my audience Central Idea: A one-sentence statement that sums up or encapsulates the major Ideas of a speech.Residual Message: What a speaker wants the audience to remember after it has forgotten everything else in a speech Guidelines for a central idea: Should be expressed in full sentence Should not be in form of a question Should avoid figurative language Should not be too vague or general Chapter 6- Gathering Materials Resources for library research Credible types of sources for public speaking Catalogue: A losing of all books, periodicals, and other resources owned by a library Call Number: A number used in libraries to classify books and periodicals and to hat catalogues articles from a large number of Journals or magazines Reference Work: A work that synthesizes a large amount of related information for easy access by researchers Encyclopedias Yearbooks Quotation Books Biographical Aids Specialized Research Resources: Virtual Libraries Government Resources Multicu ltural Resources Evaluation Internet Documents: Authorship Sponsorship Regency Chapter 7- Supporting Your Ideas Four types of supporting material What they are and when to use Supporting Material: The materials used to support a speaker's ideas Examples Statistics Testimony Analogy Examples: Brief Example Extended Example Hypothetical Example Tips for using examples: Use to clarify ideas Use to reinforce ideas Use to personalize ideas Make examples vivid and richly tested Practice delivery of extended examples Statistics: Representative? Reliable source?Tips for using statistics: Use statistics to quantify ideas Use sparingly Identify source of statistics Explain the statistics Round off complicated statistics Use visual aids to clarify Expert Testimony: from people who are recognized experts in their field Peer s Paraphrasing Tips for using testimony: Quote or paraphrase accurately Use from qualified sources Use from unbiased sources Identify the people you quote or paraphrase from Chapter 8- Organizing the Body of the Speech Four organizational patterns used in Informative Speaking Connectives, transitions, previews, summary, signposts Strategic order of main points: Chronological Order Spatial Order Casual Order Topical Order – main points divide the topic into logical and consistent subtopics Connectives: Transitions Internal Previews Internal Summaries Signposts.

Tuesday, January 7, 2020

Force, Morality and Rights in Thomas Hobbes and John...

Force, Morality and Rights in Thomas Hobbes and John Lockes Social Contract Theories Throughout history, the effects of the unequal distribution of power and justice within societies have become apparent through the failure of governments, resulting in the creation of theories regarding ways to balance the amount of power given and the way in which justice is enforced. Due to this need for change, Thomas Hobbes and John Locke created two separate theories in which the concept of a social contract is used to determine the ways in which a government can govern without forfeiting justice. In this essay, the relationship between force, morality, and rights within both theories will be investigated in order to determine the most beneficial†¦show more content†¦Ã¢â‚¬Å"Hereby it is manifest, that during the time men live without a common power to keep them all in awe, they are in that condition which is called war; and such a war, as is of every man, against every man.† (Hobb es 403). Hobbes conveys the idea that without the common power of a universal authority to regulate society, mankind will self-destruct due to the weaknesses of our own human nature (Hobbes 403). According to Hobbes, men are greatly influenced by external forces which are constantly pressing upon them which create wants and needs, which Hobbes defines as â€Å"appetites and aversions.† (Hobbes 393). These desires and dislikes create what Hobbes deems, â€Å"the Passions†, which contribute to the overall choices men make in their daily lives, thus creating the basis of human nature. The prominent downfall of mankind is the desire for ultimate power that supersedes the power of anybody else. This craving for power is precisely why Hobbes has such a desolate view on human nature. â€Å"For such is the nature of men, that howsoever they may acknowledge many others to be more witty, or more eloquent, or more learned; yet they will hardly believe there be many so wise as t hemselves.† (Hobbes 402). This selfish component of mankind creates the clash of power so prominent in Hobbes’ illustration of the state of nature. In order to overcome the detrimental power-clash related effects within a society living in the state of nature as defined by Hobbes, itShow MoreRelatedModern Liberalism and Political Policies1337 Words   |  6 PagesModern Liberalism Thomas Hobbes, John Locke and Jean Jacques Rousseau’s political philosophies and theories each differ from one another’s, but these three philosophers have all staked their claims as to what man would be like, prior to the formation of the state. This is the State of Nature. Their notions on the social contract reflect their position on the political spectrum. These three philosophers also examine the purpose and function of the government to individuals of the state. 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