Benefits of Physical Exercise Americans are faced with many problems through out their daily lives. Each individual person wants to live to their fullest potential. For those Americans seeking to reach their full potential and a happier life there is a solution to help them along the way. In order to reach their goals and solve the daily problems that they are faced with they are going to have to become motivated and determined. The solution is for Americans to become aware of the many benefits of exercise. One benefit that Americans can obtain through exercising is they will become more enlighten as human beings. These enlightenments include becoming better educated, the ability to cope with your daily problems, and burning off extra energy. Education is directly effected by the amount of exercise a person performs. It is a proven fact that Americans who exercise increase their ability to learn and obtain new information. If Americans want to cope with the many problems that they are plagued with, exercise would be a wonderful way to achieve this goal. For instance, say the average American has a bad day at work at least two days a week, and would like to forget about their problems when they come home to be with family and friends. A way to cope with their problem is by exercising. If Americans would take a walk or maybe a nice jog at a local park, after work they could have some time to think about and, work out the problems that is bothering them that particular day. A great way to burn extra energy off is through exercise. A lot of Americans have problems sleeping because of extra energy due to nonphysical jobs or lack of an active life style. This problem can be easily fixed by taking...
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Background It stands to reason that some type of preparation needs to occur before an IV needle is inserted into a vein. For one thing, even as sterile as the needle might be, this is still a foreign object being introduced into the body -- and as such, the body will likely bring its defenses to do everything it can to reject the foreign object. For another thing, the skin itself is a breeding ground for microorganisms. Once a puncture is made into the skin and vein, this is a excellent entry point for skin flora and microorganisms to invade the body, creating all types problems such as bloodstream infections. Because of this, specific medical guidelines among Western countries insist that the entry site of an IV catheter be adequately prepared before the needle is actually inserted. Preparation generally includes a swabbing of the entry site with an antibacterial, antiseptic solution. The theory behind such an action is that preparing the skin within antiseptic solution greatly reduces the amount of microorganisms and/or skin flora that could enter the wound. Such preparation would cut down on the instance of infection, which is an important consideration what one is trying to treat a patient. The topical solutions used tend to contain either an alcohol base or a base of povidone-iodine, which is marketed under the name of Betadine. For many years, either or both of these solutions have been used as a topical preparations solution before insertion of an IV. But despite best efforts, it appears that more than 90 percent of all intravascular device-related septicemias come from either central venous or arterial catheters (Maki and Ringer, 1991). The belief is that depending on the strength of the antiseptic used prior to insertion of any type of venous or arterial catheter can have an impact...
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Bias against older workers is absurd "Is bias against older workers absurd," was the question asked by Diana Cornish. She said that prejudice against older workers is acceptable and widespread throughout the United States. Many men and women who work in human resources, even those of older ages themselves, say that individuals find it difficult to learn after the age of fifty. I do not agree because an older person can learn just as easily as a younger individual. A senior manager said that when looking for a job applicant he grabs about 50 applications and throws away those who are under 20 and older than 40. Research has been done to show that these attitudes are garbage. It is said that women in managerial jobs do not like to hire older women because they feel it will be too difficult to control them. I think that it is true that older people are not in as good physical condition as a younger person would be, but that doesn't mean that they can't do their job correctly. A managing director of Brook Street said that in her earlier working life she was an ageist and she would throw away all the applications that were over 40. As the years have gone by she has tried hiring older people and they do a better job then that of the younger individuals. She said that some of the most successful people in her agency are over the age of 47! In the Bible, the book of Luke 6:31, it states that we are to treat others how we would want to be treated. Well, I don't think that any person would want to be discriminated because of their age especially when they know that they can do the job just as good as anyone else....
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Lately the topic of binge drinking among college students has attracted a lot of attention. "Binge drinking is the consumption of at least five or more drinks in a row for men, and four or more drinks in a row for women," according to the Journal of American College Health. (p.23) A major cause of college binge drinking is the fact that under aged young adults are introduced to college life and are out on their own for the first time without any parental supervision. Normally the average American young adult graduates high school at seventeen or eighteen years of age. These young adults then apply for college to attend fall semester at a college or university of their choice. These students usually take up residency in a dorm room on campus with another newly enrolled student, along with approximately 200 other enrolling freshmen who are about eighteen years old. This is a dangerous mixture of under-aged adults with out a mom or dad telling them how to run their free time. Another major factor would be the mixing of under age college students with students of legal drinking age. This situation occurs when a freshman resides in a sorority or fraternity house, historically known for drinking and party habits. The mixing of students that vary in age also comes when attending class. These older students frequently invite younger students to "party." Although the older students have lived the college life for two or more years, they have only been out on their own for a short while. The majority of them are still enjoying the "college night life" that often includes heavy alcohol consumption. Drinking traditions and college customs are also contributors to the growing problem of college binge drinking. Traditions that have been practiced for years are large factors in drinking problems among...
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Biofeedback Training and Self Regulation The human mind and body are linked at the most basic level of cause and effect. When something happens in the mind, something will change in the body. When something changes in the body, something will change in the mind almost instantaneously. The measurable output of such information is called biofeedback. These scientific facts are the foundation for the creation of one of the most powerful personal development and health care tools. (Amen) For decades, scientists have researched the many aspects of biofeedback and the ability to train the brain to manipulate the biofeedback of the human body. Some believe the aftermath of such training brings about changes in many health disorders and solutions to problems, ranging from depression to an athlete simply trying to enhance his or her performance. However, the issue of just how effective and reliable this training is has been a source of much conflict. The following questions, which are to be discussed in the sequential paragraphs, represent both the agreements and disagreements of the researchers of biofeedback: 1. What is biofeedback? 2. How can one skill treat so many diverse problems? 3. How can something that works so well, and have such acclaimed results, not be more prevalent? What is Biofeedback? A simple definition of biofeedback would be any psychophysiological information about our body that is measurable. These include blood pressure, temperature, and pulse. Biofeedback training, however, is the topic of discussion of this paper. Biofeedback training is the use of instruments to feedback psychophysiological information to a person. The information is called "psychophysiological" because psychological processes are carried out in physiological ways. (Green and Shellenberger) The instruments of biofeedback are designed to monitor, amplify, and feed back diverse biological processes including: heart rate, blood pressure, muscle tension, blood flow in the hands and feet, and...
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Down Syndrome Down Syndrome: Health Issue (www.ds-health.com) The first article that I chose was about Down syndrome and how it affects our body. The article started off with the telling of how the Down syndrome is caused by the chromosome 21. Down Syndrome can be very deadly and cause many drastic effects on a person who may have the Down syndrome disease. Physical features of a child may be changed and also mental retardation is often found in the child with the disease. How to Treat People with Down syndrome (www.nas.com/downsyn/trumble) My next article talked about how to treat react to person with Down syndrome. The article states that the best way to treat a person with Down syndrome is to treat them like an ordinary person. Though the person may need some extra care, the Down syndrome disease does not completely disable the person from all events in life. Most of the care for a Down syndrome patient lies in the hands of the physician and the parents of the child caring the disease. There is no real cure for down syndrome therefore nothing can really be down besides some small alterations. Relation to Biology These articles relate to biology because we have been talking about genetics and the many disease that are handed down through parents. They show the details of the disease and how to deal with it in everyday life. They also relate to when we were talking about the different types of chromosomes in the body. Why this Topic? I chose this topic because I have heard of and been around the Down syndrome my entire life, but never really knew what the disease was or what it did to a person. I have always wanted to do research on this topic and many other diseases that I do not know to much about....
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Bipolar Disorder can be a very scary thing for people to go through. You can go from being extremely "happy"; to extremely upset within seconds, which is due to the serotonin levels in your brain. Bipolar disorder causes people to have mood swings which most of the time have nothing to do with anything going on in their lives. This disease is exactly that, a disease. People who get it cannot help it, just as people with cancer cannot help what they have received. Another name for bipolar disorder is manic depression, which is a very effective definition of the disease. Bipolar means 2 poles, in this case meaning mania and depression. When you have an increased level of serotonin on your brain, you are said to be hypomanic. When you have a low level of serotonin in your brain, you are depressed state. Bipolar patients have both of these going on at the same time throughout their lives, possibly even many times a day if they are what they call a rapid cycler. People with bipolar disorder may try to commit suicide or do things to harm themselves. Such things may include cutting themselves, drinking, using drugs, most popularly marijuana. People with this disorder, to relieve the symptoms of pain and stress, supposedly use marijuana. Although marijuana does have antidepressant properties, it can cause amotivational syndrome. This occurs when people who use it begin to perform at a very low level, lower then they were before using the drug. The person may feel relief from their symptoms but this may be just an illusion. When bipolar people are in a manic state, they begin to think in a frenzy. All of there muscles will tense up, and their shoulder blades and jaw will begin to ache. Their heartbeat speeds up. Physical activities...
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Bipolar affective disorder has been a mystery to scientists and physicians since the sixteenth century. The well-known artist Vincent Van Gogh is the first documented case of the disorder, but since then, we have not learned much more about what causes the disease or even a cure for sufferers. The biggest hindrance to scientists is that there are so many symptoms, and they aren't sure what the source is. Right now, approximately one percent of the population (three million people) in the United States is victim of the Bipolar disorder. Bipolar disorder typically most often begins during adolescence or early adulthood and continues throughout life. It is often not recognized as an illness and people who have it may suffer needlessly for years or even decades. This particular disorder is characterized by a variety of symptoms that can be broken into manic, or excessive highs, and depressive, or deep hopelessness, episodes with periods of normal moods in between. Symptoms of manic episodes are characterized by discrete periods of increased energy, activity, and restlessness. Some display racing thoughts, rapid talking, and excessive "high" or euphoric feelings. Most people that are diagnosed show extreme irritability and distractibility, decreased need for sleep, and unrealistic beliefs in one's abilities and powers. Every person that is diagnosed is in denial that anything is wrong usually because of embarrassment. Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not, but most commonly, individuals with manic episodes experience a period of depression. The depressive episodes are characterized by intense feelings of sadness and despair that can eventually Morris 2 grow into feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include: discrete periods of persistent sad, anxious, or empty feelings. The majority experience mood swings, feelings of hopelessness, feelings of guilt,...
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Pregnancies among America's teenagers have caught the nation's attention as one of our greatest troubles. A Gallup poll conducted on May 23 and 24 of 1999 found that 7 percent of those surveyed reported that youth/teen pregnancy was "the most important problem facing this country today" (Gallup Organization, 1999). It was the fifth most common specific problem reported. The concern about teen pregnancy has even led to national goals regarding its reduction. The first family planning objective stated in Healthy People 2000, written in 1990, is to "reduce pregnancies among females aged 15-17," and additional goals include increased abstinence along with reduced activity and increased contraceptive use among those adolescents who do engage in intercourse (U.S. Department of Health and Human Services, 1999a). Similar goals have been proposed for the next decade in Healthy People 2010 (U.S. Department of Health and Human Services, 1999b). In fact, statistics regarding teen pregnancy are quite startling. Each year, roughly 10 percent of women between the ages of 15 and 19, and 6 percent of women between the ages of 15 and 17, get pregnant (Henshaw, 1999). Approximately half of these pregnancies result in a live birth. The share of teen women who become pregnant per year is considerably higher in the United States than in other developed countries. Rates in England and Canada are one half the level and rates in Japan are one-tenth the level of the United States (Alan Guttmacher Institute, 1998). The high rate of teen pregnancy is a particularly American problem, which rules out the possibility that teens are simply too young to control their sexual activity and/or too shortsighted to use contraception. Social factors must come in to play. Researchers from many academic disciplines, including anthropology, demography, developmental psychology, and sociology, have contributed to the literature attempting to identify 2 the factors that would lead to teen pregnancy. From these perspectives, teens' sexual activity and use of contraceptives is governed by...
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The testing of my blood pressure was administered today by a grad student here on the UNCG campus. My blood pressure was tested at 126/75mm H . I had this preformed within a grad students' apartment in Greensboro. Instruments that were used in the measurement of my blood pressure were both a stethoscope and a sphygmomanometer. For the administration, the grad student first wrapped the sphygmomanometer around my upper arm and placed the stethoscope right below it in order to hear my heartbeat. She then pumped up the sphygmomanometer until the compression of it caused her to not be able to hear my heartbeat. She then released the compressed air slowly and watched the gauge as it began falling slowly. When hearing the first heart beat, she recorded this as the top number, and for the last heartbeat heard through the stethoscope became the bottom number. The results in which I received from this administration were in fact very good, and to my expectations. I was told that I should have no health concerns unless the upper number becomes higher than 140 or the bottom number becomes higher than 90-100. Although I was told I should have no health concerns, I am still going to take precautions and watch the amount of calories, fats, and salts I consume. All these substances could result in the raising of your blood pressure, and can lead to CVD. I also plan on taking more vitamins, as well as, increasing my physical activities to working out at least 3 times a week. The reason for this is that I feel that my diet would not be considered a balanced diet, and the vitamins and exercise could help the balance of that....
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488 Featured Papers Modernism Direct Essays.com - Over 101,000 essays, term papers and book reports available for direct access! The Evolution fo Renaissance Art Direct Essays.com - Over 101,000 essays, term papers and book reports available for direct access! History of Finland Direct Essays.com - Over 101,000 essays, term papers and book reports available for direct access! Aesthetics of photography Direct Essays.com - Over 101,000 essays, Romans, countrymen, and lovers! hear me for my cause; and be silent, that you may hear: believe me for mine honour, and have respect to mine honour, that you may believe: censure me in your wisdom, and awake your senses, that you may the better judge. If there be any in this assembly, any dear friend of Cæsar's, to him I say, that Brutus' love to Cæsar was no less than his. If then that friend demand why Brutus rose against Cæsar, this is my answer: Not that I loved Cæsar less, but that I loved Rome more. Had you rather Cæsar were living, and die all slaves, than that Cæsar were dead, to live all free men? As Cæsar loved me, I weep for him; as he was fortunate, I rejoice at it; as he was valiant, I honour him; but, as he was ambitious, I slew him. There is tears for his love; joy for his fortune; honour for his valour; and death for his ambition. Who is here so base that would be a bondman? If any, speak; for him have I offended. Who is here so rude that would not be a Roman? If any, speak; for him have I offended. Who is here so vile that will not love his country? If any, speak; for him have I offended. I pause for a reply. 16 Citizens. None, Brutus, none. Bru. Then none have I offended....
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Borderline Personality Disorder is considered a personality disorder by DSM-IV, or, as first described as by Schmideberg in 1959, as a disorder of character. The name comes from the observation that Borderline Personality Disorder people have natures on the border between neurosis and psychosis. However, this is a misnomer for now psychiatrists do not believe that there is an underlying psychosis anymore. Simply put to have Borderline Personality disorder is to simply be emotionally unstable. Going into more detail, it is characterized mainly by a tendency to act impulsively without consideration of the consequences, a lack of ability to plan, and instability with interpersonal relationships, self-image, and thinking patterns. It is estimated that people with Borderline Personality Disorder makes up 2% of the general population, 10% of all mental health outpatients, and 20% of psychiatric inpatients. 75% of those diagnosed are women and 75% have been physically or sexually abused. When diagnosing Borderline Personality Disorder, psychiatrists look for five or move of the following symptoms as determined by the DSM: Frantic efforts to avoid real or imagined abandonment. [Not including suicidal or self-mutilating behavior covered in Criterion 5]. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation Identity disturbance: markedly and persistently unstable self-image of sense of self Acts impulsively in at least two areas that are potentially self-damaging (Examples: sex, substance abuse, reckless driving) [not including suicidal or self-mutilating behavior covered in Criterion 5] Recurrent suicidal behaviors, gestures, or threats, or self-mutilating behavior Affective instability due to a marked reactivity of mood (Examples: irritability, or anxiety usually lasting a few hours and only rarely more than a few days) Chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (Examples: frequent displays of temper, constant anger, recurrent physical fights) Transient, stress-related paranoid ideation or severe dissociative symptoms Treatment for the disorder...
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Borderline personality disorder (BPD) is a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and the individual's sense of self-identity. Originally thought to be at the "borderline" of psychosis, people with BPD suffer from a disorder of emotion regulation. While less well known than schizophrenia or bipolar disorder (manic-depressive illness), BPD is more common, affecting 2 percent of adults, mostly young women. There is a high rate of self-injury without suicide intent, as well as a significant rate of suicide attempts and completed suicide in severe cases. Patients often need extensive mental health services, and account for 20 percent of psychiatric hospitalizations. Yet, with help, many improve over time and are eventually able to lead productive lives. While a person with depression or bipolar disorder typically endures the same mood for weeks, a person with BPD may experience intense bouts of anger, depression and anxiety that may last only hours, or at most a day. These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone. People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger...
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"Borderline Personality Disorder is a severe, chronic, disabling, and potentially lethal psychiatric condition" (BPD Research Foundation). A person with a Borderline Personality Disorder (BPD) is characterized by having a repetitive pattern of mood instability and poor self-image. The Diagnostic and Statistical Manual (DSM-IV) defines Borderline Personality Disorder as: A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3. identity disturbance: markedly and persistently unstable self-image or sense of self. 4. impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). 7. chronic feelings of emptiness 8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 9. transient, stress-related paranoid ideation or severe dissociative symptoms (BPD Central, Markovitz, Skodol). BPD is characterized by mood instability and poor self-image. Relationships with others are intense and stormy, very unstable and are difficult in maintaining intimate, close connections. The Borderline person has difficulty with trusting others and may manipulate at the same time. There is emotional instability that can lead to depression. BPD's tend to take their anger out on themselves causing themselves a great deal of pain. The depression which accompanies this...
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I believe that big breasted women should have an ultrasound in addition to their annual mammogram. But also believe that women should be more educated in breast examination options. Most women don't know that there are different types of breast exams and how important they are, big breasted women should have both and ultrasound and mammogram, and women need to know that they are in control of their body and their doctor. Most women don't know that there are different types of breast examinations doctors go by. The three basic types of breast imaging are mammogram screening, diagnostic mammograms, and ultrasound imaging. Mammogram screenings are used for symptomatic patients meaning they don't have any complaints of their breast. Diagnostic mammograms are used for patients who are having pain or breast abnormality. The diagnostic Mammograms are also used to give and exact location of a tumor. An ultrasound is often using to further evaluate a problem seen or not seen in a mammogram. But yet alone a mammogram by itself is only 85-90% accurate. (Booklet p.2.) Big Breasted women should have an ultrasound in addition to their annual mammogram. Big breasted women have lumpier tissue then a smaller breasted woman would. Most women who are big breasted fail to realize how important it is for them to have an annual mammogram as well as an ultrasound. There are too many big breasted women underestimating the lumps in their breast, such as Pam Coeur d"Alene a cancer survivor. (booklet 2 p.1.). Sometime when having an annual mammogram screening or just doing a self check at home is not enough, where as, mammogram and an ultrasound together are 95-100 % accurate. (booklet 8 p.6 Women need to know that they are in control of their body and not their doctor. We do have doctors that are out...
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Breathe Easy Stay Healthy People see it everyday, in the newspapers, the movies, on the news, and even in person. People smoking and others inhaling their second-hand smoke. The laws are buckling down on this, but there is still a lot to be done. Smoking is not only bad for a person, but second-hand smoke is turning out to be even worse. Second-hand smoke is worse because it contains more of the dangerous substances found in cigarettes and more of the raw tobacco smoke, it is impossible to avoid, and it is everywhere. A person who smokes chooses to do so, but someone who inhales the smoke is not given the choice. Is it fair that ones health should suffer and it is not even their fault? The government does not think so; they are working hard to create laws and bans against public smoking. To ban public smoking would remove risks of passive smoking, reduce the risks of fire, and cut the cost of cleaning, says Liam Donaldson ("Smoking in Workplace"). People who work in bars and restaurants are most at risk for passive smoking for they deal with cigarettes constantly. It is this environment that worries the government. People who do not smoke, but simply work in an environment that allows it should not have to be at risk too. According to chief medical officer, Liam Donaldson " Over 3 million people become passive smokers when they go to work."("Smoking in Workplace"). A workplace could set up different areas to smoke in and good ventilation systems in those areas to help protect employees. If smoking was not allowed in the workplace the business could lower their premium on fire, because by not allowing smoking in the building, the chance of fire is decreased. Also the carpet, curtains, and office equipment would not...
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Psychosocial Assessment Mr. L. is a 69 year-old male with acute myelogenous leukemia (AML), FAB-M1 normal cytogenetics diagnosed in May of 2001. He received chemotherapy (7+3: AraC/idarubican) at that time and achieved complete remission. He developed a relapse in the April of 2002. He deferred treatment as he was trying alternative medicines. He eventually was treated with chemotherapy (Mylotarg) again in May of 2002, but this did not result in remission and he is considered to be in refractory relapse. Mr. L. has a history of neutropenic fever, otitis media, diabetes, positive VRE in his blood, and Coronary Artery Disease. Mr. L does understand that there is no cure for his disease and that is why he has chose alternative care. He has refused a referral to UW-Madison & UI-Chicago for research and experimental therapy. At this time he is still trying alternative medicines, and comes into the Cancer Center for lab draws, and if needed he has blood and/or platelet transfusions. He has refused Procrit and GM-CSF, to assist in his condition. Mr. L is married and his wife is supportive of him and his choice in attempting alternative medicine. He also has many siblings who are supportive of him and 2 of them were tested for HLA compatibility to see if they would be able to help their brother and tested positive, although due to his remission it is not possible for him to have a transplant at this time. His stressors are having a disease that there is no know cure for, having chemotherapy not work, trying alternative therapies, and having to come into the Cancer Center each week to have his blood work tested (CBC & CMP) to see if he needs to be transfused. With all of this going on Mr. L. still seems to have a positive outlook...
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Assignment #2 – The Canadian Health-Care Crisis In the past, the health care system has not held a position in my list of concerns. However, about a few weeks ago, it ranked in the top five. Knowledge is directly linked to awareness. Therefore, I have to thank my English class. Analyzing and discussing articles amongst classmates regarding the health care system, has broaden what used to be a narrow image and interest in the subject. From the numerous articles concerning the current crisis in health care, I've chosen four that most interest me since they relate a lot to me and my environment. I will first explain the reasons and steps I've taken to complete this assignment Then, I will go through the articles and try to relate them together. Now, it is quite obvious and easy to claim that the health care crisis is present through out the world. However, it is just not enough having a plate if there is no food to eat. Therefore, by stating the conditions and facts of my surroundings, I will add the meat of this whole project. I've seen, and heard the following, which aren't stories but reality. People I love, or even acquaintances have been longing for their name to come up from the health-wise tortures; never ending waiting lists for operations. Hence, the boy whom I'm babysitting has a problem with his leg has been waiting for his treatment for quite some time. Sadly, and inexcusably, the now older patient will have to go through a more difficult process of healing. I, myself, am a perfect example of a victim of the crisis. I have waited numerous times, for countless hours, for a simple appointment at the hospital. When a person is aching, he or she should be able to get medical...
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Running head: EXECUTIVE SUMMARY Capital Budget Executive Summary Executive summary With the exciting advances in technology, the indications for the use of defibrillators have drastically increased. Cardiovascular deaths occur suddenly and frequently due to ventricular defibrillation. Many deaths occur in individuals who have survived a heart attack but have impaired ventricular function leading to episodes of ventricular fibrillation. The American Heart Association is an advocate for early defibrillation. When defibrillation is delayed survival rate decreases by 50%. Implantable cardioverter defibrillation (ICD) can detect and prevent sudden cardiac arrest. An ICD is a are small miniature cassettes sized devices implanted into the chest, to continuously monitor your heart rhythm and deliver calibrated electrical shock when needed to control abnormal rapid heart beats. The device can also terminate other types of irregular rhythm The cardiology department of angel healthcare systems reported an annual increase in the number of patients who have survived myocardial infarction with resultant ventricular dysfunction. The group has identified the need and has challenged the financial management of the facility to add the purchase of an ICD to the current budget proposal. The indications for use are as follows • Cardiac arrest due to ventricular defibrillation (VF) or ventricular tachycardia (VT), not due to reversible causes. • Spontaneous sustained ventricular tachycardia • Significant sustained VT or VF not responsive to drug therapy. The cardiology department is requesting a complete package to meet the need of their clients. Cost analysis will include: • Base cost for one unit • Training costs • Deprecation • Payback period • Installation • Estimated increase annual revenue • Alternative funding source The purchase of this equipment will enable the facility to provide care, based on the growth in number of patients meeting the need for ICDs. If this device is not purchased, many lives will be lost to sudden death related to VT or VF. We recognize that the best...
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"Managed care, as we know it, is inherently unethical in its organization and operation. We have an industry that can exist only through flagrant ethical violations against individuals and the public." - Dr Linda Peeno, May 30, 1996 Such harsh words may seem appropriate and expected coming from a vehemently anti-Managed Care activist. But they transform into a powerful indictment of the HMO industry when it comes from an insider. Dr Linda Peeno gave this statement as a part of her testimony before the U.S. House of Representatives Committee on Commerce on May 30, 1996. She had worked as a medical reviewer at Humana, as the medical director of a 35,000 member HMO, a medical director at a hospital, and as a physician executive at Blue Cross/Blue Shield of Kentucky. In her own words, "Whether it was non-profit or for-profit, whether it was a health plan or hospital, I had a common task: using my medical expertise for the financial benefit of the organization, often at great harm and potentially death, to some patients." Her powerful testimony began with a heartfelt admission of guilt, "In the spring of 1987, as a physician, I caused the death of a man. Although this was known to many people, I have not been taken before any court of law or called to account for this in any professional or public forum. In fact, just the opposite occurred: I was rewarded for this. It brought me an improved reputation in my job, and contributed to my advancement afterwards. Not only did I demonstrate I could indeed do what was expected of me, I exemplified the "good" company doctor. I saved a half million dollars. The man died because I denied him a necessary operation to save his heart. I felt little pain or remorse at the time....
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