Acute Myocardial Infarction Essay Example | Topics and Well Written Essays - 1250 words

Acute Myocardial Infarction - Essay Example The etiology of the disease is many-sided. Patients at higher risk for AMI include: Obese or morbidly-obese patients Patients with a previous history of one or more AMI's Diabetic patients Patients with depression Patients with a low exercise level Patients with a high total cholesterol, or a high LDL/HDL ratio There are a number of potential causes for AMI. The most prevalent include the following: Vulnerable plaque, which is estimated to occur in 35% of patients. This may have its origin in a general higher level of inflammation in a patient. Some patients encounter vulnerable plaque due to Chlamydia or other infectious causes (Madjid, 2007). Thrombus formation: this may occur due to injury, smoking or excessive drinking, which can tend to create scars in the medial and epithelial layers of the major cardiac arteries. Thrombus formation in other parts of the body, including DVT (deep vein thrombosis) may result in migration to the heart, causing an AMI. Plaque formation: This may occur (as demonstrated above) due to high circulating cholesterol, particularly LDL. Depression: There is some debate whether depression accompanies AMI, or vice versa. Pathophysiology of AMI This list is far from all-inclusive. As an example, patients with diabetes are much more likely to have one or more AMI's (Sulfi, 2007). The etiology is complex, however. Those with diabetes tend to have higher levels of renal insufficiency, thrombus formation and plaque formation. In addition, the general narrowing of arteries in insulin-dependent diabetes mellitus patients tends to make them more vulnerable to thrombus-induced AMI. A similar argument can be made for cigarette... There is clear evidence, which will be covered in this paper, of the positive impact of nursing and patient care interventions post-AMI, and the effect of lowering morbidity and mortality.Vulnerable plaque, which is estimated to occur in 35% of patients. This may have its origin in a general higher level of inflammation in a patient. Some patients encounter vulnerable plaque due to Chlamydia or other infectious causes (Madjid, 2007).Thrombus formation: this may occur due to injury, smoking or excessive drinking, which can tend to create scars in the medial and epithelial layers of the major cardiac arteries. Thrombus formation in other parts of the body, including DVT (deep vein thrombosis) may result in migration to the heart, causing an AMI.This list is far from all-inclusive. As an example, patients with diabetes are much more likely to have one or more AMI's (Sulfi, 2007). The etiology is complex, however. Those with diabetes tend to have higher levels of renal insufficiency, thr ombus formation and plaque formation. In addition, the general narrowing of arteries in insulin-dependent diabetes mellitus patients tends to make them more vulnerable to thrombus-induced AMI.A similar argument can be made for cigarette smokers. Their increased rate of thrombus formation is due to vessel injury, but other effects are co-related. Plaque formation is also elevated amongst smokers, which may result in greater susceptibility to thrombus-induced AMI.

Critically analyse and evaluate current research and literature Essay

Critically analyse and evaluate current research and literature relating to the significance of the presence and absence of ano-genital injuries in posr puberta - Essay Example Male have testosterone while female have estrogen and progesterone. The reproductive stage continues until old age both in male and in female and eventually these are the secondary sex characteristics and events of puberty. It is essential to remember that however, that it is the puberty that represents the beginning period of the reproductive system activity. (Marieb, 2002) The ano-genital area of the human body, sometimes referred to as â€Å"genito-anal† includes the anus and the genitals of both sexes. The genito-anal plays a vital role in pre-pubertal and post pubertal stages. Earlier, the certain part of the body is not taken into consideration unlike nowadays where certain diseases can de diagnosed through the examination of the anus and the genitals. The observations can also serve as indicators of the sexual abuse especially in women. Many of the characteristics of the ano-genital areas are further studied to show its significance in many other reproductive processes and development. The ano-genital areas of both male and female can be differentiated if these were abused or not. In pre-pubertal ano-genital area is most likely have the characteristic of none presence of warts, hematomas, and lacerations mostly in children. These are just some of the sign if the certain individual have been sexually abused. In post-pubertal stages, the ano-genital appears to be the opposite of that of the pre-pubertal. In female victims, bleeding and discharge in both genital and anal region are more visible. (Hobbs and Wynne, 1999) The ano-gential index (AGI) or the value of the distance between the anus and the genitals divided the body weight, is primarily the comparative tool between individuals (Barett, 2006). The ano-genital index is commonly used in boys who had been exposed in chemicals. Scientists believed that exposure to chemicals such as

Argument, Concession and Refutation (dp5) Essay Example | Topics and Well Written Essays - 250 words

Argument, Concession and Refutation (dp5) - Essay Example In order to avoid overriding arguments from the opposing side, the writer should counter the points given by the opposition. The standard outline for any refutation paragraph should contain the introduction of the opposing argument, acknowledgement of valid points of the opposition and its counter and finally the conclusion which gives a summary of why the counter argument is not a sufficient solution. For a writer to achieve the aspect of effectiveness in passing the information while changing the mind of the audience, the writing should be audience-centered and not writer-centered by considering their needs in addition to which argument best suits which audience. In the academic context, the writer should state both the claim and evidence of their position without assuming that the audience is clairvoyant (n.a, 7). Most importantly, the writer should have a purpose as to what and why they want to communicate. It is of essence for every writer to have such information at their fingertips in order to be efficient and effective. Having learnt these different aspects of drawing out an argument, I have discovered how to give a stronger argument and how to put the same across to different audiences (n.a, 11). I have also understood the art of conceding while at the same time supporting my position which is very useful in the accomplishment of academic

Planning and Enabling Learning Essay Example for Free

Planning and Enabling Learning Essay This rationale focuses on the four areas of ‘Negotiating with Learners’, ‘Inclusive Learning’, ‘Integrating Functional Skills’ and ‘Communication’. During my research I will draw upon a range of sources which include the internet, books, organisation media (leaflets) and lessons learned. Teaching processes should be cooperative between the student and tutor. To this end tutors should plan strategies like initial assessments, agreeing on learning goals and possible actions to be taken by in order to empower learners to achieve these goals. Petty, G (2009, p530) states: â€Å"Each learner is unique and has individual needs. If the needs of our learners are discovered, the chances of success are greatly increased.† thus as a starting point initial assessments should be carried out prior to commencing a programme of education. Different learners have different learning needs and tutors must know their learners well to judge these requirements. This could be undertaken via a range of questions during the enrolment process, forms or/and questionnaires. Information obtained should be kept confidential so learners feel free to disclose as much information about themselves and their learning needs as possible. Agreeing goals and actions should be accomplished between learners and tutors. The effect being the learner will also feel that his/her views and opinions are being heard and taken into consideration. The advantages to the tutor being that the learner understands their responsibility to advance their own education and tasks/objectives/deadlines required to do so. The tutor should monitor the process to make sure learners reach their learning targets along the way and amend goals by agreement setting new actions when objectives are not reached.

The Comparison Of Forest Of Ar :: essays research papers

The Comparison of Forest of Arden versus Forest of Eden   Ã‚  Ã‚  Ã‚  Ã‚  It is the innate desire of man to seek a place of freedom, .an utopia, which allows him to escape into fantasies and away from the hardships of reality. In the play 'As you like it'; by William Shakespeare, the playwright indirectly compares the Forest of Arden to the Forest of Eden by exploring the theme of illusions, the idea of the forest as a place of refuge and Arden's mystical powers. The two forests are not only related by the fact that they sound similar but the many imageries and ideas that were mentioned in the play are somewhat related to the story of Genesis. In Duke Senior's first speech, he refers to 'the penalty of Adam'; , reminding the reader of the Fall of Man and the Garden of Eden. Therefore from the start, Arden is associated with a world of innocence and simplicity, in which man did not need to work. In the forest of Eden, the life of man is not controlled by time and ultimately, death. Whereas there are also suggestions of timelessness in the forest of Arden, as when Orlando points out that there is 'no clock in the forest'; . According to geographic sources, the Forest of Arden is in the Ardennes, France. In the play, Duke Senior and his followers live in the forest itself, while the shepherds live in the more open country on the edge of the forest. However, some elements in the play can be found in neither France nor England. For example: the deer, the oak trees, palm-trees; and also exotic animals such as a green-and-golden and a lioness roam the forest. Clearly then, the landscape belongs to the realm of fantasy. Although Arden seems as to be an idealistic world and resembles no known place, it is not merely an escape from real life. It is true that people flee to Arden from the cruelty of the world. The play opens outside Arden, in a world where cruelty, tyranny, and injustice reign; Arden provides a refuge from these evils. However, it is not an easy salvation. It is not even easy to get there: Rosalind, Celia, and Touchstone, and then Orlando and Adam, and finally Oliver, all arrive in Arden in a state of physical exhaustion. This relates to the fact that it is just as hard for us to enter the kingdom of God.

Language: The Fatal Weapon in Othello Essay

Language is especially tricky because of all the possibilities it can manage. â€Å"Be quiet† versus â€Å"Shut up† is one example of the power that language holds. Rumors are another example of how powerful language can be when it passes through a certain set of ear lobes; some people are shattered by the rumors floating around about them. Othello is a play that takes the intricacies of language—the way something is said versus what is actually being said—to show the dire consequences put into effect when someone hears something a certain way. The following three passages will examine how language hides and reveals something about Othello, Iago and Desdemona, and how it is ultimately the downfall of the characters. Jealous Iago uses language like a cunning fox, hiding behind his words to get to his prey. Othello in turn is easily deceived, himself jealous and paranoid because of the viral words strategically planted throughout. In the third scene of the third act, Iago’s use of language makes him very visible to the audience—by this point the audience is well aware that Iago is jealous of Othello, but eager nonetheless to hide this fact from Othello. But it is this scene that most reveals Iago to the world, when Iago may not be at all visible to himself. Saying of jealousy, â€Å"It is the green-eyed monster which doth mock/The meat it feeds on† (166-167). Iago may be jealous of Othello by this point in the play, but he seems either unaware of it or in denial of it. To speak of jealousy in this way directly to Othello—the object of his envy—is to suggest that Iago may not be fully conscious of his own jealousy. Perhaps if Iago were to realize what he was saying, he might have changed course and decided against pointing a finger at Cassio. Yet clearly he goes on, â€Å"That cuckold lives in bliss/Who, certain of his fate, loves not his wronger† (166-168). Iago could very well be describing himself here, ignorant of his own jealousy toward Othello, whom he obviously does not truly love. He is hiding not only from Othello but from himself as well, but psychologically he is rather apparent to the audience, for which Othello will unknowingly kill. Desdemona’s language reveals her purity even when faced with accusations, even when she is unsure of what exactly she is being accused. When Othello tells her she must die by his hand, when her sins are her love for him, and before he tells her why he must kill her, she says, â€Å"These are portents; but yet I hope, I hope,/They do not point on me† (45-46). She knows he is accusing her of something, but in her pure love for Othello she dares to hope that he is not charging her. Here she is hiding from herself, knowing full well that, â€Å"Some bloody passion shakes your very frame† (44) means that Othello is indeed pointing on her for some crime. Desdemona’s purity, revealed through her speech, further enrages Othello, for in his jealousy he sees her shock and fear as further proof that he must kill her for dishonoring him and their marriage. The audience, however, is fully aware of Desdemona’s purity and honesty; honesty in the marital sense to Othello, even if she is not honest with herself at this crucial time. This self-deception reveals how pure her love is by showing how she does become self-righteous or quick to anger and resentment. In the face of an unjustified accusation and obvious mistrust, Desdemona stands her ground in her love, taking her punishment though protesting it, â€Å"That death’s unnatural that kills for loving† (42). Yet she dies for loving. Othello shows through his speech how utterly ignorant and blind he has been throughout the play, â€Å"O vain boast! /Who can control his fate? tis not so now† (264-265). Here he is resigned to his fate, to falling to his weaknesses despite his obvious strengths, â€Å"Here is my journey’s end† (267). For killing Desdemona he feels incredible guilt, and does not wish to go on. This reveals Othello’s regret, and in turn reveals his acknowledgement of wrongdoing and sorrow at his actions. Othello could very well have stuck to Iago’s story without implicating himself, but through his jealousy he was able to see that Emilia was telling the truth, and for that he is truly sorry. Language is the fatal weapon in Othello. Jealous Iago uses it to verbally plant seeds of doubt and jealousy into Othello’s mind. Desdemona in turn can say nothing to save herself from Othello’s jealous rage. Othello himself ultimately realizes he was duped by it into killing the woman he loved and who loved him in return. The subtle complexities of language can turn a normally level headed person into a foaming, jealous beast who mistrusts his gut, and Othello was no exception.

Creative learning environments in education Essay

Education is one of the important aspects of one’s life. †learning creativity, creativity leads to thinking, thinking giving knowledge, knowledge to make you great† (Abdul Kalam, 2015). This clearly shows that education creates creative and inventive person because if one thinks then a new idea is born, †Education is not a factual learning, but a thought-thinking education† (Albert Einstein, 2015) .so everybody needs to support and encourage the younger generation to pursue their studies to university level. Furthermore, in a free market, higher education would become the preserve of wealthy families who can afford to send their children to university. Therefore there is a strong case for the government providing higher education free at the point of use. In my opinion, the government has to give free education to attract students to further their studies. Education has positive benefits for the rest of society. There also have some country provides fre e university education for the student for example, in, Nordic nations Denmark, Finland, Iceland, Norway, and Sweden all offer opportunities to study free or at low-cost: In Norway, university study is available free of charge to all students, regardless of study level or nationality. My first point is equality. There is also a strong argument that university education should be free to ensure equal opportunities. If a student has to pay university education, this can prevent them. Theoretically, students can borrow or work part-time, but this may be enough to prevent students from learning and otherwise can enter the early job market. (Pettinger, 2017) Equality plays an important role in university-level education. †Education is the strongest weapon you can use to transform the world† (Mandela, 2017). University education is very important for an individual to improve his / her standard of living and to advance the nation. If everyone gets a full university education then negligence can be avoided and they know what needs to be done for their bright future. For example, if medical education is given free then many doctors in the country are born and can help the community by providing free medical services with this reduced rate of death and illness. Governments have to stress more profoundly to give birth to many graduates. Besides,the enhancement of the specialization of work. There are many specializations of which are specialization by professional, specialization by a process, specialization by region and international specialization. The global economy has forced countries, such as the UK to specialize in higher value-added products and higher-end products and services. The largest export industries in the UK include pharmaceuticals, organic chemicals, optical and surgical instruments, and nuclear technology (Pettinger, 2017). Therefore, there is a greater opportunity for skilled graduates who can contribute to this high-tech industry. The world is now pointing towards technology, so all countries should produce IT graduates in large quantities. IT plays a big role in this capital world as an example human beings can stay on planet Mars, there is water on the planet Pluto, and so can be detected through NASA technology. Furthermore, Education is a virtue. One of the virtues is that people can underestimate the benefits of learning and undervalue of higher education. †Success is not final, failure is not fatal: it is the courage to continue that counts †(Churchill, 2017). This clearly shows that education is not merely a thought but a birth to a human being Experienced in education. Education creates good and high potential for self-development, society, and nation. If one is fully educated in the university then one has a lot of job opportunities in the state as well as international level. University education is not just for work but it can be used in everyday life. For example, a retail store trader has experience on product brands, prices, shortages and advantages of a product that can promote to the community can help improve the level of communication.