Answers to questions on principles of nutrition for healthcare

Answers to questions on principles of nutrition for healthcare Omega-3 (linolenic acid) is a type of essential polyunsaturated fat. Like the omega-6 fatty acids are unsaturated because it contains in its molecule double bonds between carbon atoms and are essential (EFA) because the body can not produce it and therefore must be obtained through food. There are three omega -3 fatty acids: Alpha-linolenic, Eicosapentaenoic acid and Docosahexaenoic acid. These essential fatty acids can be obtained from the following sources: The Blue Fish, Food Plant: The purslane, lettuce, soy, spinach, strawberries, cucumbers, Brussels sprouts, cabbages, pineapples, Almonds and Walnuts. The body needs omega-3 fatty acid to work properly. The main functions of linolenic acid include: The formation of cell membranes, the formation of hormones, the immune system to functioning correctly, the correct formation of the retina, the functioning of neurons and chemical transmissions. Besides the basic functions, there is evidence that ingestion of omega-3 fatty acids represents a number of benefits for the body. Beneficial effects on the circulatory system, the intake of linolenic acid-rich foods or supplements that contain this principle lowers triglycerides, lowers cholesterol, prevents blood clots in the arteries by preventing platelet aggregation and arterial pressure decreases slightly. In general thins blood and protects against heart attacks, strokes, stroke, angina pectoris, Raynauds disease, etc. Moreover, the cardioprotective role is further enhanced by the ability of these oils to increase the transmission power of the heart muscle as rhythm regular and prevent disease and arrhythmias. This component protects against the development of certain cancers like colon, prostate and breast cancer. They can also prevent the growth of cancer cells. In breast cancer these acids inhibit the action of estrogens that are responsible for the development of breast tu mors. There is evidence that omega-3 has anti-inflammatory joint diseases. Therefore food or supplements especially can be very appropriate to reduce swelling and relieve pain in diseases such as rheumatoid arthritis, psoriasis and lupus. The use of supplements containing omega-3 may be a natural alternative to conventional treatment for rheumatoid arthritis. It appears that this component increases the levels of PG3 prostaglandins have anti-inflammatory properties. Inflammatory properties of omega-3 can be used for the treatment of inflammatory bowel disease Crohns disease or ulcerative colitis.   In the same way can help reduce the pain caused by menstruation. The intake of these acids can help maintain mental balance and avoid depression or to improve or assist in the treatment of diseases such as schizophrenia. These acids have a positive action in the maintenance of healthy skin, making them suitable for preventing or ameliorating diseases affecting this organ, such as eczema, psoriasis, etc., Intake of foods rich in omega-3 is very appropriate during pregnancy to ensure that the fetus has a right brain development. Mothers who eat foods with these components have had children with a higher learning capacity and less impaired. Similarly it has been shown that omega-3 favored the motor coordination of premature babies. 2. The client brings the results of recent cholesterol screening with him to see the nurse. The client is confused about what the results mean and asks what the total cholesterol number should be. Which of the following statements could the nurse make about interpreting the results of the cholesterol screening test? a. Total blood cholesterol should not exceed 150 mg/dl c. Total cholesterol should not exceed 150 mg/ml b. Total cholesterol should not exceed 200 mg/dl d. Total cholesterol should not exceed 200 mg/ml Answer: b) Total cholesterol should not exceed 200 mg/dl 3. The nurse is teaching a group of clients in a cardiac rehabilitation class about food sources of proteins. In what foods will the nurse say protein is found? a. in foods derived from both plant and animal foods c. only in foods derived from plants b. only in foods derived from animals d. only in fortified foods Answer: a) in food derived from both plant and animal foods. 4. The school nurse is making a presentation to parents of teenage students. One parent is concerned that their child is not getting adequate high quality dietary protein because the child has stopped eating meat. The nurse tells the parent that certain diets that do not contain meat can still provide adequate protein. Which of the following statements could the nurse make about vegetarian diets and protein? a. all vegetarian diets deliver adequate high quality dietary protein c. lacto-ovo vegetarian diets deliver adequate high quality dietary protein b. fruitarian diets deliver adequate high quality dietary protein d. vegan diets deliver adequate high quality dietary protein Answer: d) Vegan diets deliver adequate high quality dietary protein. Explain why. Get adequate protein on a vegan diet presents no problem at all. Both nuts and seeds such as legumes, whole grains and soy products provide protein. Previously it was believed that plant proteins were of lower quality than animal proteins in which amino acid content is concerned. However, this belief has become outdated and that if you follow a diet based on balanced vegetable products, will receive all the necessary amino acids in adequate amounts. The vegan diet has several incomplete proteins to make a complete one, but that should be eaten the same day, the essential amino acids can also be found in soy products and tofu. 5. A pregnant client tells the nurse that she is taking megadoses of vitamin A in the hopes that it will keep her complexion clear throughout the pregnancy. What could the nurse say about the clientà ¢Ã¢â€š ¬Ã¢â€ž ¢s use of this vitamin supplement? a. Consuming megadoses of vitamin A may cause permanent night blindness. c. Taking megadoses of vitamin A are a good idea during pregnancy because vitamin A supports a healthy immune system. b. Consuming megadoses of vitamin A may result in birth defects. d. Taking megadoses of vitamin A will neither help nor hurt her or the fetus during the pregnancy. Answer: b) Consuming megadose of vitamin A may result in birth defect. Explain your answer. Birth defects can occur if the supplement that has high doses of retinol ingested for a while, several days or weeks and especially during the first trimester of pregnancy. Vitamin A is an essential micronutrient for growth of the human body, the tissue tropism of epithelial organogenesis, epithelial differentiation and embryonic development. Intake, acute or chronic high amounts of vitamin A can cause various clinical manifestations such as headache, vomiting, diplopia, alopecia, dry mucous membranes, skin peeling, bone abnormalities and liver damage. Vitamin A and retinoids are teratogens classics. Malformations that are generated depend on the doses used and timing of organogenesis in which they are provided. During early organogenesis result in abnormalities of the central nervous and cardiovascular system, while a later provision gives rise to genetic defects in the upper and lower genitourinary tract and palate. Retinoids derived from the catabolism of vitamin A mothers diet are transferred to the embryo-fetal compartment. 6. A family member of an elderly client contacts the nurse and asks why the client is receiving B12 injections. Which of the following answers could the nurse give? a. The injections of B12 are given to prevent blindness. c. The injections of B12 are given to prevent pellagra b. The injections of B12 are given to prevent beriberi d. The injections of B12 are given to prevent pernicious anemia Answer: d the injections of B12 are given to prevent pernicious anemia Explain why. Pernicious anemia is a decrease in red blood cells that occurs when the body can not properly absorb vitamin B12 from the digestive tract. This vitamin is necessary for the proper development of red blood cells. The body needs vitamin B12 to produce red blood cells. In order to provide vitamin B12 in their cells, you should eat enough foods that contain this vitamin, such as beef, poultry, seafood, eggs and dairy products (AC Antony, 2008). To absorb vitamin B12, your body uses a special protein called intrinsic factor, secreted by cells in the stomach. The combination of vitamin B12 attached to intrinsic factor is absorbed in the latter part of the small intestine. When the stomach does not produce enough intrinsic factor, the intestine can not absorb the vitamin properly. The disease begins slowly and may take decades to fully establish. Although the congenital form occurs in children, pernicious anemia usually does not occur before age 30 in adults and the average age at diagnosis is 60 years. Monthly injections of vitamin B12 are prescribed to correct the deficiency of the vitamin. This therapy treats the anemia and may correct the neurological complications if taken soon enough. In people with a severe deficiency, injections are given more frequently at first( Medlineplus).

Criminal Investigations Essay

1.The methods of inquiry is divided into 2 distinct categories. One category is archeologist, historian, journalist, epidemiologist, and criminal investigator. The second category is scientist in general including artist. Fusing these categories together allows the reconstruction of the past. Methods of inquiry use techniques common to both science and art. During an investigation is it important to figure out what took place before the crime was committed to give the police a better understanding of where it took place, why it took place, how it took place and all the events that lead up to the crime. Osterburg, J. W. & Ward, R. H. (2010). Criminal investigation, A method for reconstructing the past (6th ed.) 2.The optimal mindset of an investigator should be open minded and investigative. It is manifested by going into a scene looking at scene from all angles not by having it in your head it was done one way and there is no other possibility. The investigative mindset comes from experiencing it hands on or by practicing. Some people are born with this mindset. An investigative mind gives us the ability to see what a naked eye wouldn’t. It also allows us to see evidence others may not think would be related to the scene. With both mindsets we come in with the questions of who, what, why, when, where? Osterburg, J. W. & Ward, R. H. (2010). Criminal investigation, A method for reconstructing the past (6th ed.) 3. Scientific method is observing, thinking about and solving problems. Investigators will use these methods throughout the entire investigation. Once the investigator arrives on scene they will make note of what they see in regards to bullets, tools, impressions, motive, blood spatter, and how it compares to other unsolved crimes. The investigator will use observation and thinking about the scene to lead him to solve the crime. These methods will also lead to catching the perpetrator. A reason may even be drawn to conclude as to the cause of the crime. Osterburg, J. W. & Ward, R. H. (2010). Criminal investigation, A method for reconstructing the past (6th ed.) 4. The primary sources are used to reconstruct the past and the events leading up to the crime. The sources are records, physical evidence, and people. The people may be victims or eyewitnesses of the crime. The records would be use of stolen credit cards, forged checks, or ransom notes. The physical evidence would be shoe impressions, tool impressions, if barefoot it would be foot impressions, fingerprints, fibers or hair. People can be of value as well. They may know a wealth of information as to who committed the crime, the location of the perpetrator. They may be able to lead you to a person of interest. If nothing else the can give you valuable evidence such as a description. Osterburg, J. W. & Ward, R. H. (2010). Criminal investigation, A method for reconstructing the past (6th ed.)

What You Dont Know About Essay Topics to Write about Could Be Costing to More Than You Think

What You Don't Know About Essay Topics to Write about Could Be Costing to More Than You Think In all, essay readers wish to understand about you from your perspective. Deciding upon a writing topic can be stressful regardless of what subject you're writing over. In any case, the dearth of suitable grammar makes the listeners shed respect to the speaker. Whether it is a poem, a random stream of thoughts, sarcasm, or some other kind of writing to be able to feel more creative, it isn't always the ideal idea. Ruthless Essay Topics to Write about Strategies Exploited All persuasive essays are like argumentative essays. Learn how funny argumentative essay topics can receive the interest of your tutor. Researching the topic permits you to find out more about what fascinates you, and should you pick something you truly like, writing the essay will be more enjoyable. Moral argumentative essay topics are a few of the simplest to get carried away with. Pick an intriguing essay topic, and you're going to start enjoying it. Nobody really wishes to compose an essay. Think of this issue of the history essay you've already written before. If you wish to compose a very good history essay you'd better select a topic that is familiar to you. Now days a one may use the social media and receive any sort of data he or she requires. Primarily, one must select a topic from a selection of social media research paper topics. The multiple topics might be found, for instance, in the dissertation abstracts international database. This issue of any essay is pivotal in shaping the content, presentation and research locations. Using Essay Topics to Write about You're able to write a very simple essay on the acceptable age to vote or suitable age to be in a position to purchase alcohol. The reason you should land an outstanding job owing to your video gaming abilities. At the close of the day, the essay topics you select can make a substantia l influence on your final grade. There are many steps, which ought to be taken by means of a student aiming to deliver an outstanding essay. The True Meaning of Essay Topics to Write about By evaluating your course content, you are going to have a concept of the limits in your region and write your essay within it. In the duration of obtaining an education, students must deal with diverse tasks and overcome several challenges of different complexity. Besides general knowledge you have concerning the subject, you won't mind dedicating some opportunity to research, writing procedure, and other aspects essential for the high-quality essay. Make sure that you pick a topic that's interesting to read and in a place where research materials are readily available. The Key to Successful Essay Topics to Write about There's no point if one selects a topic that isn't even understandable. Remember your final grade significantly is dependent upon the topic. Always think deeply about how to make a very good essay structure it's a significant part academic writing. Enable the professional academic writers help to your informative paper! While every section of an essay is vital, it is necessary to be aware that it's in the introduction where readers get to determine whether they ought to be reading the remainder of your composition or not. The writing process is going to be a pleasure, and your reader will delight in reading your bit of academic writing. There are just a few things that define whether an essay you're working on is going to be a good one. Your very first idea is nearly always very likely to be too significant. When you're picking your topic, bear in mind that it's much simpler to write about something which you currently have interest ineven in case you don't know a good deal about it. It's far better than choosing a topic on a location that's been studied time and again. New Step by Step Roadmap for Essay Topics to Write about The primary go al of topic choice for a proposal essay is to show the idea can be put into place in practice. In choosing your topic, it's frequently a good notion to start with a subject which you already have some familiarity with. Although the topics are endless, obtaining a concept can be difficult. Picking a topic is a vital issue that partly estimates final success of the job. The Unexpected Truth About Essay Topics to Write about Taking into account that lots of persuasive essays concern controversial topics, before writing, you can want to sit down and think of what your opinion on the topic actually is. When prior brainstorming is finished, you might begin drafting your essay. In circumstances when you get to pick the topic for an argumentative essay, you need to be wise and locate a title that will intrigue a reader. It's important to select debatable argumentative essay topics as you need opposing points you can counter to your own points. Ruthless Essay Topics to Write about S trategies Exploited Our life is about words. You might find that lots of the topics can be adapted to suit almost any sort of writing assignment. Very often it becomes tough to choose a single topic either on account of the many ideas in the student's head, or due to their complete absence. Topics like death and divorce are cautionary since they can be exceedingly challenging to write about. Persuasive essays are an excellent means to encourage the reader to check at a particular topic in a different light. Additionally, you can capture reader attention with the aid of funny essay topics. You wish to be in a position to choose something controversial or thought provoking, and you should be in a position to follow along with your writing topic selection up with factual, compelling info. The Characteristics of Essay Topics to Write about Nearly all history essay topics are too big for a couple pages. It is possible to download our sample essay papers free of charge. A compar ison essay is among them. Even though the essay questions change, the topic of the essays often stays the same.

The Origin Of Cold War - 1987 Words

The Origin of Cold War: Ideology Clashes According to some sources, the fall of the Berlin wall on November 9th 1989 marks the significant ending of the years long Cold war between the two super power; the United States and the Soviet Union. The Cold War is unlike any other wars as there are no big battles but instead the two superpowers focus their competition on politics, economics, military, and ideological might. Since the Cold War is unique for the aforementioned reason, experts have long debated about the origin of the war. Although there are many available theories to explain the origin of the war, I would argue that ideological clash between Truman and Stalin that sharpens the divide between America and Soviet is the most compelling theory in explaining the origin of Cold War. I would also argue that the Cold War left a big impact to the world in its aftermath as it initiated and sustained the nuclear race in many countries around the world. This legacy of the Cold War complicates U.S foreign policy today because th e presence of nuclear weapon brings a threat to the U.S and to the world community in general. A difference in ideology by President Truman and Stalin in the time frame of 1945-1947 sharpened the divide between the U.S. and the Soviet Union, which ultimately sparked the Cold War between the two super powers. It is widely known that the two nations despite the leadership under Truman and Stalin carry two different ideologies even before 1945-1947.Show MoreRelatedThe Origins Of Cold War1550 Words   |  7 PagesThis research looks at the origins of Cold war, the political, ideological and economical rivalry between the United States and Soviet Union. This research draws upon mostly primary sources including memoirs, interviews and scholarly studies of cold war era conflicts. Most research on this topic focuses on its connection to the famous events and upheavals, which shaped that era. â€Å"From Stettin in the Baltic to Trieste in the Adriatic an â€Å"Iron Curtain† has descended across the continent. Behind thatRead MoreOrigins Of The Cold War1465 Words   |  6 Pag es18.1- Origins of the Cold War †¢ Allies Clash o After World War II finally came to an end, the United States and Soviet Union had conflicting ideas of how to restore the world back to normal. ï‚ § Stalin wanted complete and ultimate control over the countries that were within the borders of the Soviet Union, spreading communist regimes. ï‚ § Meanwhile, the United States wished for all these states that were under Nazi rule to have self-determination. o This essentially formed a rivalry between the idealsRead MoreThe Origins Of The Cold War2356 Words   |  10 PagesHI742/HI747- The Cold War, 1941-1991 How Important were individual figures in the origins of the Cold War? The Cold War refers to a period post World War II characterised by a state of political tensions between the Soviet Union and the United States both supported by their allies from the Eastern and Western blocs respectively. Despite this being such a pivotal point in modern history there is a lack of clarity stemming from much debate regarding the catalyst for the Cold War and the ‘start’Read MoreOrigins of the Cold War Essay1295 Words   |  6 PagesOrigins of the Cold War The purpose of this paper is to explore the origins of the Cold War. To accomplish this exploration, the works of W.A. Williams, Robert Jervis, and Arthur Schlesinger, Jr. serves as the foundation. Before a closer examination of these works, a short explanation of the three common viewpoints regarding the study of the Cold War is warranted. These viewpoints are Attribution, Structural, and Misperception. With these viewpoints to guide the way, the above authorsRead MoreEssay on The Origins of the Cold War817 Words   |  4 PagesThe Origins of the Cold War The Cold War period from 1945 to 1985 was a result of distrust and misunderstanding between the USSR and the United States of America. This distrust never actually resulted any fighting between the two superpowers but they came very close to fighting on several occasions. The Cold War was a result of many different events and factors including the Bolshevik Revolution of 1917, the Potsdam Conference of 1945, the differences between communismRead MoreOrigins of the Cold War Essay1179 Words   |  5 PagesOrigins of the Cold War Revisionist historians tend to regard the outbreak of the Cold War as a result of American hostility or, at least , diplomatic incompetence, while the more traditional view lays the responsibility squarely at the feet of the Soviet Union. Assess the validity of each view. The Cold War,said to have lasted from the end of World War II to the dismantling of the Soviet Union in 1991, was one of the most significant political events of the 20th century. For nearlyRead MoreOrigin of the Cold War Essay775 Words   |  4 PagesAfter the Second World War America and the Soviet Union gained power in Europe. Though these to countries never fought one another, they waged a cold war of economic, military and ideological rivalry which last through the second half of the twentieth century. The origin of the Cold War began with the Russian Revolution in nineteen-seventeen, which created a Soviet Russia. The Soviet Russia did not have the same economic and ideological state as the United States. The Civil war in Russia in whichRead MoreEssay about The Origins of the Cold War679 Words   |  3 PagesThe Origins of the Cold War The Cold War was a state of extreme hostility and confrontation but without direct militant action between the two world powers, the USSR and the USA. The USSR and the USA were originally wartime Allies during the Second World War; however a string of events and issues caused a built up of suspicion and distrust which finally escalated to what was known as the Cold War. The start of Cold War can be simply defined as the period of time wherebyRead More The Historiography of the Origins of the Cold War Essay2691 Words   |  11 PagesThe Historiography of the Origins of the Cold War There have been many attempts to explain the origins of the Cold War that developed between the capitalist West and the communist East after the Second World War. Indeed, there is great disagreement in explaining the source for the Cold War; some explanations draw on events pre-1945; some draw only on issues of ideology; others look to economics; security concerns dominate some arguments; personalities are seen as the root cause for some historiansRead MoreThe United States And The Origins Of The Cold War1717 Words   |  7 PagesProfessor Calvo AMH2042 23 July 2015 The United States and the Origins of the Cold War Essay Thinking about the decisions, strategies and goals of Soviet Union and the United States views on world domination and the possible accomplishment of such. The first and main would be to think and observe critically concerning the worldwide political scenery in the years after World War II (1945). This moment in history; taking all the way through the Cold War, may be seen as a lapse of severe ideological polarization

The Work Of Egon Schiele - 1448 Words

Introduction The work of Egon Schiele is very important to me personally. In this Extended Essay I focus on Egon Schiele because his artworks influence me. He likes to show his hands in his painting and photos. In his self-painting, I can always find out that the hands always attract my eyes. His hands really impress me and I really like his hands. This gives me an idea that to put my own hands on the social software and see that will people love my hands in this era. Now, I think the answer is yes. There are more than 6,000 people like my hands in that social software. Egon Schiele used different action of his hands to show his expression and maybe his attitude to the era. That makes me pay attention to Egon Schiele’s life and experience, and then I am interested in Egon Schiele’s whole life. Although he do not had a long life, I still want to explain the meaning of his short life. Egon Schiele was an Austrian painter, who is the disciple of Gustav Klimt. In the early 20th century, Egon Schiele was one of the major figurative painters at that era. His artwork is famous for its intensity and also its raw sexuality. For example, the paintings of naked women and the many self-portraits he produced, including naked self-portraits. The twisted body shapes and the expressive line of Egon Schiele s paintings and drawings marked him as a pioneer of Expressionism in the early 20th century. During his short life, there are a huge number of events happens, and these eventsShow MoreRelatedEssay about Egon Schieles Self-Portrait905 Words   |  4 PagesEgon Schieles Self-Portrait When I look at this portrait, the first thing that hits me is the way the artist, Egon Schiele, appears to have made himself look animated, like a cartoon. The way in which his right eye is rounded like a cartoon character and his left eye is squinting and almost shut, adds to the idea of a the portrait being a cartoon. The squinted left eye is as if he is sneaking around and evaluating his surroundings. If you cover the right side of the face (with the widely openedRead MoreThe Capital Of A Great European Empire1876 Words   |  8 Pagesoffered new content and new creation of forms, which are nevertheless too heterogeneous to be classified under one definitive formula. Architectural works of Otto Wagner and Adolf Loos introduced a streamline style in order to move away from the ornate style. In painting, the Viennese Secession produced, especially in the works of Oskar Kokoschka and Egon Schiele, a profound withdrawal from artistic traditions in its exploration of evocative themes. In the realm of creative literature, turn-of-the-centuryRead MoreEgon Schiele1268 Words   |  6 Pagesthat this is Schieles favorite model from these years: his younger sister Gertrude (Gerti), whom Schiele drew obsessively from childhood up until she broke off nude modeling at age 16. When Gerti disappeared from Schieles drawings, around 1910, he replaced her with young prostitutes and truant children — apparently, figure models were as hard to find in Vienna as gallery representation. Schiele paid these minors token sums, or let them hang out in his apartment in Vienna and later in NeulengbachRead More Art versus Pornography Essay889 Words   |  4 Pagesmind a work of art or, instead, a photograph of softcore pornography, found in such magazines as Hustler or Playboy?   Where this description is taken from will be disclosed later, but let us concern ourselves with a problem that this picture and others like it bring up for artists and pornographers alike: what differentiates art from pornography, and how can we tell the difference?      Ã‚  Ã‚  Ã‚  Ã‚   The problem unfolds itself with two simple definitions.   Webster describes art as creative work generallyRead MoreRealism : Romanticism And Modernism974 Words   |  4 PagesImpressionists, who further developed the idea of â€Å"conveying the real,† and the Symbolists, who harkened back to Romanticism’s focus on emotions and subjectivity. Additionally, the Symbolists aimed to unlock higher ideas by using symbolic structures in their works, encouraging viewers to look beyond the superficial colors, forms, and objects in the painting. Aestheticism reacted against the Symbolist idea that all objects contain meaning by creating â€Å"art for art’s sake.† To the Aestheticists, there was no suchRead MoreEssay on Graphic Novels and Comic Books: Kent Williams1386 Words   |  6 Pagesworld of comic books. From that period in mid 80s up to the present day, we refer to as the modern age of comic books. However, it has an alternate name, and one perhaps more apt, the dark age of comic books - due to groundbreaking titles such works as Batman: The Dark Knight Returns, written and pencilled Frank Miller, and Watchmen (1886), written by Alan Moore drawn by Dave Gibbons. Both books exhibited complex and layered narrative, held together by very structured nine and twelve panellingRead MoreSummary : Performance The Body 1550 Words   |  7 PagesTake-Home Exam #1 Keely Hooper Performance The Body Please answer ONE of the following questions. Be sure to refer to specific works of art and cite aspects that defend/support your statements. Since this is a take-home exam, I expect your essays to reflect the timeframe provided in their organization and structure. Make sure your paper is proofread for grammar and spelling. C. What legacies and/or contradictions do you see between the use of blood and flesh by the Viennese Actionists and LadyRead MoreBruno Bettelheim s `` Punishment Versus Discipline ``1910 Words   |  8 Pageschildren. His ideas are relevant today because they assist school and educational institution in dealing with the problem of bullying. His works allow psychologists and educators to understand the bully’s actions and the victim’s responses, thus assisting them in solving the problem of bullying.This essay summarizes and provides a deep analysis of Bettelheim’s works and ideas with the aim to explore how his ideas help schools to deal with the problem of bullying. Bettelheim’s article â€Å"Punishment VersusRead MoreVan Gogh s Life And Effect Today1819 Words   |  8 Pagesworld, your name attracts millions, dozens of films and book are created after you. But at the same time imagine your life being filled with depression and rejection for the craft that you are beloved for. Thesis Statement: Although Vincent Van Gogh’s work is recognized around the world, his life was full of depression and rejection from people and the art world, but still he impacted the style of art forever. Credibility Statement: I have always been interested in art and art history, this had lead

Hypertension Among Tribal Population Health And Social Care Essay Free Essays

Ischemic Heart Disease is one the major causes of decease in developed states. It is increasing being recognized as a major slayer in developing states like India that are presently undergoing demographic and epidemiological passage. Although IHD has a broad gamut of hazard factors like unhealthy dietetic form, serum cholesterin, age, physical activity, high blood pressure remains a major underpin that accelerates the hazard of future IHD. We will write a custom essay sample on Hypertension Among Tribal Population Health And Social Care Essay or any similar topic only for you Order Now Hypertension is besides being widely investigated because of our ability to observe and pull off it easy and besides the potency for community degree intercession, sing the non-modifiable nature of other hazard factors and every bit good as the restricted feasibleness for intercession as a public wellness step. India has started the national programme for control of NCDs in maintaining with its committedness to react to emerging wellness jobs during the passage. In order to better understand the natural history of IHD many epidemiological surveies have been undertaken. In this context tribal populations have been investigated for IHD hazard factors both in western states and India every bit good. Tribal populations provide a particular epidemiological window to take a closer expression at the natural history of IHDs, based on our given that such populations have a life manner much different from that of modern society which is considered a major determiner of IHD. Tribal people live a hurried life, without the fiscal emphasiss of the modern society, their day-to-day life necessitating moderate to heavy physical activity and their diet forms remain mostly un-penetrated by the high salt, high fat nutrient civilization. This premise holds good as long the tribal people remain unacculturated. The procedure of socialization strips these people of the protective consequence that their traditional ways have provided hitherto. In India tribal population constitutes about 8 % of the entire population. Majority of them reside in the provinces of Madhya Pradesh, Andhra Pradesh, Orissa, Maharashtra, Chhattisgarh and Jharkhand. Several surveies have been done to gauge the prevalence of high blood pressure in tribal population. Most of these surveies are from the southern parts of the state. It has been by and large accepted that the prevalence of HTN in tribal population is low but recent surveies have found higher prevalence. We did a systematic reappraisal to place all surveies done in tribal population that estimated HTN prevalence. Methodology Literature hunt Two writers independently ran hunts for the cardinal words high blood pressure, tribal, prevalence, India, hazard factors, coronary bosom disease and ischaemic bosom disease. The Boolean operators AND and OR were both used. The databases searched were MEDLINE, INDMED, Science Citation Index and Google Scholar. Documents of national bureaus like ICMR, NIN and other related organisations were besides searched. The members of the ICMR Expert Group on HTN besides provided suggestions for including certain surveies. Cross mentions of all the articles ab initio obtained were besides searched. Hand hunt was done in BBDL and NML. In instance of merely the abstract being available efforts were made to reach the corresponding writer bespeaking the full text. Articles published till September 2012 were searched. Attempts were made to look for gray literature like unpublished informations, theses and thesiss. Articles published in other linguistic communications were besides searched if they had a elaborate sum-up in English with the indispensable figures. Extras were removed. If more than one article was published from a survey the article that provided the most appropriate informations and/or the most late published was included. Each article was assessed for quality utilizing standard checklists like CASP/STROBE and information was extracted on predefined spreadsheets. Study features that were considered to hold an impact on the prevalence of HTN were extracted. The inclusion standards were spelled out based on the undermentioned – ( 1 ) It should a primary research. ( 2 ) A geographically and temporally defined population. ( 3 ) Cross-sectional survey or informations, or first stage of a longitudinal survey ( 4 ) Defined diagnostic standards stated for Hypertension ( 5 ) Well defined age group ( 6 ) Community based survey ( 8 ) Published in English, or with elaborate sum-ups in English ( 10 ) Provides prevalence informations with appropriate statistics for computation of consequence sizes. In instance of discordance between the writers for inclusion, consensus of the 3rd writer was sought. In instance two different writers reported the same survey as different articles, merely the first published art icle was included. Consequences: A sum of 16 surveies including two NNMB studies were retrieved ab initio. One article ( Mandani et al, 2011 ) was excluded because it reported the same information as given in another survey ( Tiwari RR, 2008 ) . Two of the articles published by Dash SC et Al ( 1986, 1994 ) seemed to be describing on the same information and therefore the most late published article ( 1994 ) was included and the 1986 article was excluded. Full text of one of the articles published by Mukhopadhyay B et Al ( 1996 ) could non be retrieved and the abstract did non provided sufficient information and hence excluded. The NNMB survey done in 2004-05 published as Technical Report No: 24 ( 2006 ) included Scheduled Tribes as one the survey population but provided neither sample size informations nor prevalence informations for this sub-population. Hence this information could non be used. After all these exclusions, a sum of 12 articles ( including one NNMB tribal study ) were taken up for farther reappraisal. In entire these articles provided informations on 23 sub-populations. There was a big grade of heterogeneousness among the surveies in footings of the age groups studied, trying scheme, survey scene, instruments used to mensurate blood force per unit area ( quicksilver vs. electronic ) , individual or multiple BP measurings, standard standards used for categorization of high blood pressure, socialization position of the folks and eventually the consequence of clip period over which the surveies were conducted. The earliest survey found was done in 1981 by Dash SC et Al and the most recent surveies were done in 2009. Merely five surveies were done before the twelvemonth 2000 and the remainder after that. The survey size varied widely between 50 and 47400. Except for two surveies which had used electronic setups, all other surveies have used quicksilver sphygmomanometer ( this information was non available for one survey ) . Almost all the surveies have used a cut-off of 140/90 for the diagnosing of high blood pressure ( JNC VII, ADA or WHO ) but two surveies used a cutoff of 160/95 ( this information was non available for one survey ) . Almost all the surveies used multiple readings of blood force per unit area ( two or three ) for the concluding diagnosing of high blood pressure ( this information was non available for one survey ) . Surveies were non available in all the provinces of the state ; even states known to hold a big proportion of tribal population ( like Madhya Pradesh, Chhattisgarh, NE provinces ) were left out. Most of the surveies were carried out in southern provinces. S. No. Name of the province in which survey was carried out Number 1 Andhra Pradesh 3 2 Orissa 3 3 Kerala 1 4 Sikkim 1 5 Gujarat 1 6 Andaman A ; Nicobar Island 1 7 Rajasthan 1 8 Andhra Pradesh, Orissa, Kerala, Gujarat, Maharashtra, Madhya Pradesh, West Bengal, Tamil Nadu, Karnataka ( 9 provinces survey ( 2009 ) by NNMB ) 1 Most of the surveies were done in big population of both sexes aged gt ; = 16 or 18 or 20 old ages ( this information was non available for two surveies ) . One peculiar survey entirely included aged population aged gt ; 60 old ages. Sexual activity wise prevalence was available merely for nine sub-populations. All the surveies explicitly provided the name and socialization position of the folk studied except for the NNMB study ( 2009 ) . The most common sampling scheme adopted by these surveies was simple random trying followed by multistage sampling and non-random sampling. The overall survey quality ranged from just to good. Most of the surveies were of good quality. One survey did non supply adequate information to measure survey quality. The prevalence of high blood pressure reported in these surveies ranged from 0 % to 50 % ( excepting the survey done among aged population ) . The prevalence of high blood pressure reported in surveies done before the twelvemonth 2000 ranged from 0 % to 23 % and that reported in surveies done after 2000 ranged from 17 % to 50 % ( excepting the survey done among aged population ) . The prevalence of high blood pressure in acculturated folks ranged from 0.25 % to 50 % , whereas in unacculturated folks it ranged from 0 % to 31 % . This shows that socialization might move as a determiner of high blood pressure in tribal population. There is an obviously increasing tendency in the prevalence high blood pressure in tribal population ( Fig 1 ) . This figure was obtained by come ining the maximal prevalence reported by the surveies in a peculiar twelvemonth. The prevalence was higher in certain population subgroups which were deemed have particular features like higher consumption of intoxic ant or salt tea, prevailing baccy mastication or toddy imbibing wonts or aged as compared to subgroups which didnaa‚Â ¬a„?t have such particular features. Decision The broad scope of prevalence reported in these surveies is unequal to deduce any valid decisions about the prevalence of high blood pressure in tribal population. Surveies with more unvarying methodological analysis should be carried out in a representative sample to obtain a better apprehension of the issue. A good planned follow up survey will turn to the inquiries raised about cogency of the findings reported in this reappraisal. A comparative prevalence survey between acculturated and unacculturated folk is necessary for an in-depth apprehension of the natural history of high blood pressure. Consequences of preliminary meta-analysis ( random effects ) with sensitiveness analysis S.No. Nature of the surveies No. of surveies included Prevalence 1 All surveies 23 14.0 2 All surveies ( excepting survey on aged ) 19 11.3 3 Unacculturated tribes* 12 8.2 4 Acculturated folks * 10 20.3 5 Acculturated folks ( excepting survey on aged ) * 9 17.0 6 No particular features in the population studied* 14 6.7 7 Particular features in the population studied* 8 31.7 8 Particular features in the population studied ( excepting survey on aged ) * 4 30.6 9 Surveies done prior to twelvemonth 2000 12 5.3 10 Surveies done after twelvemonth 2000 11 28.3 11 Surveies done after twelvemonth 2000 ( excepting survey on aged ) 7 26.1 * Excludes NNMB survey due to miss of needed information * Excludes NNMB survey due to miss of needed information Ranking of the nature of surveies harmonizing to increasing prevalence of HTN S.No. Nature of the surveies No. of surveies included Prevalence 1 Surveies done prior to twelvemonth 2000 12 5.3 2 No particular features in the population studied* 14 6.7 3 Unacculturated tribes* 12 8.2 4 Acculturated folks ( excepting survey on aged ) * 9 17.0 5 Acculturated folks * 10 20.3 6 Surveies done after twelvemonth 2000 ( excepting survey on aged ) 7 26.1 7 Surveies done after twelvemonth 2000 11 28.3 8 Particular features in the population studied ( excepting survey on aged ) * 4 30.6 9 Particular features in the population studied* 8 31.7 * Excludes NNMB survey due to miss of needed information The lowest prevalence was seen in surveies done prior to twelvemonth 2000, in populations with no particular features and among unacculturated folks. Reasonably high prevalence was seen in surveies done after the twelvemonth 2000 and in acculturated folks. The highest prevalence was seen in surveies done among population with particular features. How to cite Hypertension Among Tribal Population Health And Social Care Essay, Essay examples

Chevy Volt free essay sample - New York Essays

The Chevrolet Volt has been named the most influential product in the General Motors repositioning strategy by top executives because of its direct correlation to all the core business initiatives through some form. As Chevrolet has repositioned itself in North America they have adopted an initiative of going from â€Å"Gas Friendly to Gas Free†, through the development of their advance propulsion strategy. The advanced propulsion strategy is comprised of technologies such as: Ethanol85, active fuel management, hybrid technology, fuel cell technology, and electric (plug-in) technology. Therefore, by tying the business objectives of the North America turnaround plan and the advanced propulsion strategy together, the Volt was designed. The use of tying these two strategies together on other vehicles for Chevrolet has been very successful (hybrids E-85 capable models), but it must be taken into consideration that no other vehicle on the market has the Chevrolet Volt’s technological prowess. In order to achieve competitive positioning globally and improved business Chevrolet realizes it is necessary to satisfy needs unknown in the automotive industry. General Motors CEO, Rick Wagoner, noted 100 years ago there were three competing engine technologies: electricity, steam, and gasoline. Therefore, going forward it is highly unlikely that oil alone is going to supply all of the world’s rapidly growing automotive energy requirements; hence, by producing the Volt, Chevrolet will be competitively aligned globally which will give way to improved business results for the future. Strategic Business Unit (SBU) Background Chevrolet â€Å"An American Revolution† Chevrolet being a subsidiary of General Motors has very similar objectives and goals, but there are some key items to note. The Chevrolet Company has produced many new models over the years. They have become a leader in the industry under General Motors. With newer models of sports cars, full size pickup trucks, sedans, and coupes the company has grown with immense popularity. The company proved the need of American manufacturers to diversify their products. They improved using new styles such as disc brakes, headlamps, engine size, faster, as well as more reliable cars. Some of their greatest accomplishments were the Camaro, Corvette, Caprice, Chevelle, and the Impala. Chevrolet has always been a competitor; they produce in order to satisfy the needs of the consumer by offering great automobiles at low prices. Chevrolet, created in 1908, has always had an emphasis on the customer. With the development of emerging markets and new movements (The Green Movement) Chevrolet has had to adopt strategies within the scope of their business to compete. Currently, consumer needs being satisfied has been developed primarily by the innovative approaches of offering alternative fuel sources at the SBU. Clearly consumers need high quality vehicles at competitive prices, a Chevrolet core objective, but by offering alternative sources of energy Chevy believes they are satisfying a new need for consumers of the 21st century. General Motors recently adopted Chevrolet as their global fuel solutions leader. The marketing of the Chevrolet Volt will be protected by this assignment, but there are some important factors to consider. General Motors and the EV1 At the turn of the 20th century, General Motors had developed the EV1. The EV1 was a plug-in vehicle that relied solely on an electrical battery as its source of power. This vehicle which had generated lots of hype, such as the Chevrolet Volt is now, never made it into production. This result has caused many enthusiastic electrical powered potential buyers to be weary of the production of the Chevrolet Volt because of the heartbreak they suffered a decade ago. Additionally, analysts on Wall Street deemed the EV1 a massive failure because of the non commercial production of the vehicle. Trying to understand why this vehicle failed to reach its potential is absolutely necessary in the development of the Chevrolet Volt’s marketing strategy. The primary problem with the EV1 from a marketing perspective was the product itself. Unlike the Volt, GM’s EV1 didn’t have the capability to use other fuel sources when the battery died, but instead just died. Therefore, the product design of the vehicle was not aligned with customer’s expectations that had to make normal commutes throughout the day. Another key factor was that the marketing of for this product was almost non-existent. Other than a few appearances at car shows and a television commercial that never aired, no additional marketing data could be found. In conclusion due to General Motors creating a product that was not suitable for day-to-day life and not creating awareness about the product the EV1 idea was short lived. We will take these points into consideration when developing our marketing strategy. Campaign Objectives Transitioning back to the Volt, objectives are important to clarify and set targets that ought to be achieved by the planned actions. Objectives exist on three levels; Corporate, marketing and communication. Corporate objective can be summarized as maximizing shareholder wealth and is ultimately achieving higher profits and increased sales. Marketing objectives are the successful introduction of a new car to the market. Communication activities play the most important role in tying everything together as they must coordinate with all other company activities (production, sales, purchasing, etc). Listed below are the campaign objectives for the Chevrolet Volt. †¢Strengthening the consumer relationship with the Chevrolet brand. †¢Increase the consideration for Chevrolet when planning a new car purchase. †¢The target market should be reached to its fullest extent. †¢Consumers have to be made aware this new product and its brand name. Being a new product with a new technology, a prime objective is to educate consumers and explain the features and benefits of the Volt. †¢Target markets should be excited about the release of the Volt and spread word of mouth. †¢Communications should motivate consumers to find out more about the Volt; either by visiting the website, ordering brochures, visiting a local dealer, or by doing a test drive. †¢The Volt should be considered as a full and valid alternative to traditional cars, as well as hybrids. †¢Ultimately communications should lead to a purchase, and a higher percentage of showroom visits should turn into increased sales. In a perfect world communications would guide our target market right into the showroom. However, being a completely new product for Chevrolet and General Motors, there is no historical data to estimate any trends that are possible or realistic. Even if we succeed on every part of our communications plan, there is still a slight chance that this product could be a complete bust. However the success of some of our competitors, like the Prius, as well as the success of our own hybrids can, to some degree, prove that this product will be equally if not more anticipated. Whether or not these objectives will be met can only be determined by post campaign research. This research should start during the campaign and be continued in intervals to monitor the situation. Market Analysis The market analysis that will be covered will pertain to different situations that have manifested as potential factors to the introduction of the Chevrolet Volt. These situations include: product situation, competitive situation, distribution situation, and the macro-environment situation. Product Situation GM is pursuing a revised sales and marketing strategy by focusing on clearly differentiating our brands, optimizing their distribution network, growing in key metropolitan markets, and re-focusing marketing efforts on the strength and value of products. GM continues to support a more orderly and consistent alignment of its dealers. GM’s promotion strategy emphasizes its brands and vehicles, rather than price incentives. In addition, GM intends to increase advertising in support of new products and specific marketing initiatives to improve GM’s sales performance in certain metropolitan markets. GM is allocating capital and engineering to support more fuel-efficient vehicles, including hybrid vehicles in the United States, and is increasing production of active fuel management engines. GM recently announced its intention to build its first plug-in hybrid and unveiled the Chevy Volt extended range electric concept vehicle, while at the same time announcing two partnerships to accelerate development of advanced lithium ion batteries. In addition, GM is undertaking a major initiative in alternate fuels through sustainable technologies such as E85 Flex Fuel vehicles. GM has sold two million E85 vehicles and plans to build over two million more in the next five years. GM is also adding five more E85-capable models to its lineup for 2007, raising GM’s total flex-fuel offerings to 14 vehicles. In addition to offering its flex-fuel vehicles, GM responded to the strong market demand for fuel economy by selling more than one million 2006 model year vehicles that achieve 30 miles per gallon or better on the highway. In the 2007 model year, GM will increase the number of vehicles that achieve 30 mpg or more to 23 models. In support of new car and truck programs, GM’s total capital spending in 2006 was $7. 5 billion, of which $5. 0 billion was devoted to GMNA. GM expects an increase in this commitment in the future by spending between $8. 5 billion and $9 billion in each of 2007 and 2008, of which approximately $5. 7 billion in 2007 and approximately $5. 5 billion to $5. 7 billion in 2008 will be devoted to GMNA. In addition to continuing to improve the efficiency of internal combustion engines, GM is focused on the introduction of propulsion technologies which utilize alternative fuels. GM has also continued to develop electrically driven vehicles, hybrid vehicles, and hydrogen fuel cell vehicles. For example, in November 2006 GM announced that they had begun work on their first plug-in hybrid, and in January 2007 they introduced the Chevrolet Volt concept vehicle, an extended range electrically driven vehicle based on E-Flex technology with a pure electric vehicle range of 40 city miles, E85 ethanol/gasoline fuel economy of 150 miles per gallon, and gasoline fuel economy of 50 miles per gallon. The Volt can also travel at 100 miles per hour and reach 60 miles per hour in 8 seconds. The large lithium-ion battery necessary to power the Volt could be ready for production beginning between 2010 and 2012. The Volt is expected to be priced at $30,000 and sell 60,000 units in the first year of introduction, which is 4 times the amount of Toyota Prius’ sold in its first year. GM continues to increase their spending on alternative technologies and have intensified their efforts to displace traditional petroleum-based fuels. Overall, we believe that this industry is on the threshold of a major transformation in propulsion fuels and technologies –a transformation that can help GM accelerate industry growth in a sustainable way, mitigate and ultimately solve the energy and environmental challenges of the automobile, and create vehicles that are fundamentally better than their predecessors. Competitive Situation The Chevrolet Volt is unlike any previous electric vehicle, thanks to its innovative rechargeable electric drive system and range-extending power source.