Wednesday, May 6, 2020

Healthy Life Free Essays

Healthy life is a very important thing in our lives. We should watch what we eat. We should look at the nutrition label whenever we buy food and drinks. We will write a custom essay sample on Healthy Life or any similar topic only for you Order Now The most important thing on healthy life is exercise. Living healthy is very relaxing. The best thing to do if you want to live healthy is look at the nutrition label on anything you are eating. Look at how much calcium does the food has because it’s an essential nutrient to our body needs everyday and keeps our body run smoothly. Potassium give you strength and endurance that maintain higher level for a long time. Iron is the another best thing you should worry about because iron helps the blood transport oxygen from the lungs to the tissue cells where it is needed and if you don’t get the iron you need in future you will have problem. They are more good vitamins that you can eat for example â€Å"Multi-Vitamins† has everything you need for the whole day. The most important thing about being healthy is exercise because it prevent you getting any type of diseases. There are a lot of things that help you when you exercises everyday. Your body improves stamina because you motivating yourself to work your body out more and you feel better about yourself. The most important thing I have notice is insomnia problem because your not active an you cant’t sleep right. When you work out and active an doing stuff insomnia goes away and you will get nice sleep. Exercising is very important to everyone lives. Living a healthy and relaxing life is very important in our lives because you can live longer. If you don’t work out and be lazy and don’t worry about exercising your long term life will be in danger. Everyone should start exercising everything and trust me you will feel a different in your life. How to cite Healthy Life, Papers

Tuesday, May 5, 2020

The Importance Of An Open Mind free essay sample

The bleak morning of Sunday, October 4th, 2010, found me huddled against my mothers car, the weather far too cold for my sweatshirt and jeans ensemble. A coffee cup, too small to make a dent in my sleep debt, was clutched in my fingers. I was examining the reflection of my criminally bright t-shirt on the side of the car while mentally preparing myself for the event ahead: the Buddy Walk. Down Syndrome has been a major part of my life since I was two, when my little sister was introduced into a new and hostile world mostly ignorant to her needs. It didnt take me long to morph into the protective, supportive older sister I can still boast today; ever since I can remember Ive been supplying words for her when the adults dont understand, adjusting the game so she can play, too, grumbling only a bit when she performs one of her Houdini stunts and disappears from right under our noses. We will write a custom essay sample on The Importance Of An Open Mind or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Because of her Ive learned to look at the world with new eyes, to take a second glance and really feel something about what I see. Her life is the event that has made me able to say that I am an open-minded person. The Buddy Walk isnt the only volunteering opportunity Ive done this year; one look at my records will confirm that. The reason I chose it to represent what I stand for is because its so close to my heart. Her life story is tied so inextricably with my belief that any obstacle can be overcome that I wonder sometimes who Id be if she hadnt been born. When I see someone in a wheelchair, I think of her struggle to control her own muscles. When I see a deaf person, I remember the years of silent communication before she learned to speak. Even when I encounter someone who doesnt know English very well, every single second spent divining my sisters garbled speech comes rushing back. Its because of her Ive learned to see disabilities not as limitations, but as challenges. This is true for my everyday life, for hers, and for every other insurmountable problem facing us today. As I stood with hundreds of other t-shirt clad, smiling supporters of Down Syndrome, I felt that belief grow stronger. Each one of the disabled attendees were happily climbing into the bouncy house, marveling at the shiny red firetruck, singing and laughing and dancing to their favorite song as it blared from the speakers. In every face shined the hope that our race wouldnt be overwhelmed with its limitations, consumed with prejudice and disgust and ignorance. We were standing for a better, more well-informed world that would embrace differences, and I was as glad as any that I was lucky enough to understand the importance of open-mindedness.

Wednesday, April 1, 2020

Goodfellas Essays - Lucchese Crime Family, The Vario Crew

Goodfellas Goodfellas The 1990 Martin Scorsese's motion picture Goodfellas, is a classic movie about the world of organized crime. Goodfellas is based on the Nicolas Pileggi novel WISE GUY. The film starts off in New York City in the 1950's, and is on the life of a poor Irish-Italian named Henry Hill. Hill is an aspiring criminal who threw the movie, rises threw ranks of his Brooklyn neighborhood's organized crime branch, and has Henry and his family living the good life with his profits from his criminal activity, finally Henry is forced to testify against his former partners and lands Henry and his family in the FBI's Witness protection program. In his teen age years Henry starts working in a local hangout for wise guy's (members of organized crime). At first Henry is put to work, parking cars and little odd jobs for the wise guy's. After a few years things escalate into more involvement for Henry like working in an underground gamboling ring, running messages, Torching cars, and to selling stolen cigarettes. Most of his current activity is a classified as a misdemeanor, or a public order crime. When Henry ends up getting arrested, and after a light slap on the wrists, Henry earns much trust and respect and starts off on his life of crime. In his early 20's Henry and his partners, Tommy, and Jimmy set up different jobs Crowell 2 to improve there financial gain, social status and if not more importantly respect, from other individuals involved organized crime. The three ran jobs like robbing cargo trucks filled with goods from fur coats, to cigarettes, and even occasionally a shipment of shrimp and lobster's. These goods are sold illegally on the ?black Market? for a fraction of their original costs. These criminal activity starts to enhance as time moves on, with public official and police payoffs, crimes are put on the bottom of the pile or never investigated. Along with the intimidation of witness's and the common fear of two-timing organized and never being herd from again members of organized crime usually escape the long arm of the law. Henry's first big score was a robbery of an over sea's bank exchange from the Air France loading dock with the help of Tommy and the head security guard jimmy just walked out with a suit case of almost 250,000 dollars, After this Henry earns respect as a big time wise gu y. With time Henry, Tommy, and Jimmy move on to more serious crimes like Major shakedowns of business for protection and skimming a popular restaurant by unloading goods like liquor out the back door and selling them for a fraction of the price, but it was not a loss because no one was going to pay for it when the restaurant barrowed every last dime they torched the place. This was an insurance fraud crime and Arson witch are both serious felonies. When members of organized need to keep someone quiet they take care of it by making the person disappear, In the film this usually entailed a six foot pit up state. Henry, Tommy and, Jimmy took many trips up state during the course of the movie. Hit's were not an uncommon thing in the movie, like when Jimmy pulled off one of the Crowell 3 biggest robbery's in u.s. history he killed everyone involved. In most crimes vehicles are stolen to be used in illegal dealing's so no one could trace a car back to the person who committed the crime. After the criminal activity was over the car was torched or driven into the river. When Jimmy made his big score, the get away driver got drunk and forgot to dump the car, this is when people started disappearing. On a failed robbery Henry and Jimmy were pinched (arrested) on federal charges and given Ten years in a federal prison. When Henry went to prison he stated paying off the guard's to look the other way so he could sell narcotics to other inmates, and live a decent life behind bars. Henry did not live with the prison population he lived in a private cell with other mafia figures in prison on different charges, they received many privileges like being able

Saturday, March 7, 2020

Early Religion in Ancient Mesopotamia

Early Religion in Ancient Mesopotamia We can only speculate about early religion. When the ancient cave painters drew animals on the walls of their caves, this may have been part of a belief in the magic of animism. By painting the animal, the animal would appear; by painting it speared, success in the hunt might be guaranteed. Neanderthals buried their dead with objects, presumably so they could be used in the afterlife. By the time mankind was banding together in cities or city-states, structures for the gods- like temples- dominated the landscape. Four Creator Gods Ancient Mesopotamians attributed the forces of nature to the workings of divine forces. Since there are many forces of nature, so there were many gods and goddesses, including four creator gods. These four creator gods, unlike the Judaeo-Christian concept of God, were NOT there from the beginning. The forces of Taimat and Abzu, who had emerged from a primordial chaos of water, created them. This isnt unique to Mesopotamia; the ancient Greek creation story also tells of primordial beings who emerged from Chaos. The highest of the four creator gods was the sky-god An, the over-arching bowl of heaven.Next came Enlil who could either produce raging storms or act to help man.Nin-khursag was the earth goddess.The fourth god was Enki, the water god and patron of wisdom. These four Mesopotamian gods did not act alone, but consulted with an assembly of 50, which is called the Annunaki. Innumerable spirits and demons shared the world with the Annunaki.​ How the Gods Helped Mankind The gods bound people together in their social groups and were believed to have provided what they needed to survive. The Sumerians developed stories and festivals to explain and harness help for their physical environment. Once a year came the new year and with it, the Sumerians thought the gods decided what would happen to mankind for the coming year. Priests Otherwise, the gods and goddesses were more concerned with their own feasting, drinking, fighting, and arguing. But they could be prevailed upon to help on occasion if ceremonies were performed to their liking. The priests were responsible for the sacrifices and rituals that were essential for the help of the gods. In addition, property belonged to the gods, so priests administered it. This made the priests valuable and important figures in their communities. And so, the priestly class developed.

Thursday, February 20, 2020

Factors affecting inflation rate Bahrain Assignment

Factors affecting inflation rate Bahrain - Assignment Example Throughout the globe, significant gains were made in fighting against increased inflation during the 1990s and there was hope that a new period of low inflation had started. Countries in Europe and Latin American succeeded in fighting inflation from higher digits to single digits, and maintaining the stability of prices of consumer goods and services. In 2000, increased inflation started to haunt the world but it was stopped in 2009 by the financial crisis (Calvo & Carmen, 2002). This paper discusses factors affecting the rate of inflation in Bahrain. Inflation in Bahrain is driven by many factors and the exchange and interest rate laws that central bank in Bahrain implement, and the supply of money. In Bahrain, the prices of goods especially food prices affect the inflation of Bahrain. This is because increase in prices of foods and beverages implies that the country would have increased inflation this is because transportation of such goods to the markets will be costly. Further, t he increase in prices of fuel implies that the prices of food stuffs increase since high prices of fuel controls the market. It is important to note that the prices of commodities are affecting the rate of inflation in Bahrain because commodities in Bahrain are widely imported and all prices of imported goods affect inflation. However, from the calculations, it can be deduced that changes in commodity prices are not just a proxy for changes in the entire import prices (Calvo & Carmen, 2002). From the data presented, it is rational to argue that another factor affecting inflation in Bahrain is the inflation in previous years. For instance, the momentum of inflation on goods such as foods and beverages and services such as medical care is well recorded and they result because of factors that incorporate overlapping contracts and adaptive inflationary expectations. Further, the growth of money in Bahrain because of paying utility bills such as rent, electricity and water has a direct e ffect on inflation of Bahrain since there is no purpose to expect important changes in the money velocity. It is also significant to note that the growth rate in Bahrain is influencing the rate of inflation in the sense that it is affected credit issues whereby increase in the growth rate of Bahrain has negative impact on inflation. The central bank played a very important role by decreasing the growth rate to about six percent in the year two thousand and eight. The market was very stable in that prices of commodities such as food, beverages, tobacco and services such as medical care were affordable. This in turn increased the market value of these goods and services (Chen & Scott, 2004). The trend of the economy of Bahrain affects her inflation. For instance, from the calculations, the trend in Bahrain revolves at the rate at which the world market is directed in that it sets its prices in comparison to other countries. For instance, the U.S economy is in direct contact with the e conomy of Bahrain. This illustrated that the movement of the trend was downward. This in turn shows that, the economy of Bahrain is positively affected rather than being negatively affectively which reduces inflation rate. Since inflation is defined as the increase in buying power of money, the easiest way to calculate the rate of inflation is by listing the prices of services and goods over the stated years commonly known as the price

Tuesday, February 4, 2020

Constructive critical analysis Essay Example | Topics and Well Written Essays - 1000 words

Constructive critical analysis - Essay Example Obtaining a Swedish personal identity number, or being a card holder of the European Health Insurance Card, entitles one to health care at the standard patient fee, with some exceptions depending on tax payer status. Dental care, however, is not fully subsidized and therefore relatively expensive in Sweden. Both systems are devolved. Both are financed largely through the tax payer’s money. They both have primary and secondary care. Primary care is delivered by General practitioners, surgeons among others. Primary health care center you can receive health care for medical problems and illnesses that are non-urgent and not life-threatening (Holtz, 2013). both systems provide for private and public health care facilities, private health care offers the same services as their public counterparts, however, the patients in the private care generally pay through private health insurance whose premiums are paid by employers or the individual themselves. In Sweden there is an agreement that guarantees patients under private care are covered under the same regulations and fees that are applied to municipal care facilities. Every patient has a right to choose between a private and public provider in primary care (Quaye, 2007). The health care system in Sweden is organized and managed on three level in the country that include the national level, regional and local levels. Therefore, health and medical care responsibilities in Sweden is shared by the central government, county councils and municipalities. The Ministry of Health and Social Affairs provides for principles and guidelines for care at the national level, to set the political agenda for health and medical care, supervise the lower level activities, allocate grants and evaluate services to ensure correspondence to national goals periodically. At the regional level responsibility is on the county council who ensure that there is efficient health care delivery,

Monday, January 27, 2020

Care Giver Perceptions of End of Life Care for COPD Patient

Care Giver Perceptions of End of Life Care for COPD Patient RESEARCH PROPOSAL Title: Exploring the primary family care givers perceptions of care giving for end of life care of COPD ICU patient. Introduction: The world perspective is shifting towards non-communicable diseases, with chronic conditions such as heart disease, stroke and chronic obstructive pulmonary disease (COPD) as chief causes of death globally. COPD is a chronic progressive disease of air flow obstruction which includes emphysema and chronic bronchitis. COPD is predicted as 3rd leading cause of death in 2030 according to 2008 WHO statistics. In terms of social burden of disease quantified by disability-adjusted life-years (DALYs) lost, COPD ranked as the 12th leading cause of DALYs lost worldwide in 1990, but will be the 7th leading cause of DALY lost worldwide in 2030.COPD is more common among world age people due to decreased lung function capacity. The world population above 60 years was1.7% in 2013 and will continue to grow as a reaching 21.1 per cent by 2050 (world ageing population 2013). COPD is one of the major 8th leading causes of death in Singapore. According to MOH 2013 census COPD causes 1.6% of deaths per 18938 populations.COPD is a treatable disease but not a curable one. So ultimately it increases the economic burden of the country by its chronicity, rate of hospital readmission and affects the quality of life activities of daily living of the patient and family members. The total expenditure for COPD was $9.9 million per year. $ 7.2 million accounts for inpatient care cost (W.-S. Kelvinteo et.al, 2011). For last 10 years no studies found in Singapore on family care givers perspectives on end of life care in ICU. Primary family care givers most of the time the spouse are the carer for the COPD patient The Singapore old age percentage is in increasing trend 7.3% in 2000 9.3 in 2011 expected to rise up to 18.7% 2013. When a family member is dying, conversations about the end of life can be uncomfortable and difficult. Still, discussing end-of-life care is important. Patients with end-stage of diseases may suffer from distressful symptoms.The Advanced COPD patient suffer from severe distressful symptoms such a dyspnea anxiety and depression. Palliative care of malignant disorder gained more attention when compare to non-malignant diseases (Blackler et al., 2004; Lynn, 2000; Simonds, 2004).The palliative care needs of patients with end-stage respiratory diseases are increasingly being recognized (Curtis, 2008; Lanken et al., 2008) . The COPD patient experience significant impairment of quality of life and physical and psychological needs when compare to individual with lung cancer (Core et al., 2000; Edmonds et al., 2001; Skilbeck et al., 1998; Tranmer et al, 2003). Why family members? When there is progression of diseases it imposes negative impacts on psychological health of Care givers (Daniela Figueiredo, 2014). Careers are more likely to suffer from anxiety and depressive symptoms providing continuous care during the advance stage of the disease and end of life care (Abebaw Mengistus Yohannes 2007). Preparation for death should include a realistic appraisal of the prospects for dying peacefully at home. (Hansen –Flaschen J .2004) Most of the patients are willing to be housebound at the end stage of life so its responsibility of family cares to provide continuous care and support them White P (2011) stated 45% were housebound, 75% had a career in end stage of COPD . despite no studies have been conducted qualitatively on family care givers perception on End of life care on COPD in Asian countries . Review of literature: â€Å"Palliative care in COPD† search in PUBMED extracted only 285 titles from 1991 to 2011. ( Anirban Hom Choudhuri 2012) .The absence of palliative care services highlights the need for research into appropriate models of care to address uncontrolled symptoms, information provision and end of life planning. (Jones et al 2014). Synthesis of findings: The literature review showed that the family care givers suffer from intense conflict, emotions such as helplessness, guilt, anger, anxiety and frustration. These suffering are due to deterioration of the health of the loved one and cumulative losses over time that the patient illeness affect the care givers the most. The key findings of each study were identified and supplemented based on a review of the full article. Then, categories were derived by grouping the key findings thematically. Lack of support: Most of the family care givers reported they were unaware of the facilities for COPD patient. There was no social or psychological support. If the support is received also this is inadequate or sporadic. They learnt most of the things by their experience regarding prognosis, treatment signs and symptoms, illness. They faced the financial constraint in addition too. They are expecting support from the health care professionals. â€Å"Well, the care from Father’s doctors was extremely basic and, I felt, on the most part extremely uncaring†¦ The doctors really had an attitude of ‘You were a smoker, you’re dying of lung disease, and what do you want us to do about it?’ The way they spoke to him, and the fact that they really weren’t concerned, and they didn’t doo very much for him; anything they did for him, I was disappointed in† – participant from Hasson et al. (2009) Burden of care givers: Burden of care givers are noted in all the studies. Most of the care giver said they are exhausted and need to perform multi task. They need to spend most of time in caring the patient. The involvement in social life is reduced, change of relationship with patient. Mostly they are anxious and frustrated. Sometimes care givers are helpless when they patient are suffering from breathing difficulties. â€Å"It is very frustrating, and you know I don’t know if the government realizes how hard it is for carers..It’s a full-time job. It’s work isn’t it? It’s not something you do because you like it. I mean I care for my Dad, I love him and I want to look after him, but I also need my own time.†- participant from Philip et al. (2014) End of life care and support of Bereavement Mostly family career are involved end of life decision making which lead to a peaceful death and die with dignity for the patient. â€Å"I think the situation was the way is should have been. I think if there had been any external help, it would have been a bit of an intrusion. [Father] did not want to leave the house and that was fine but also whenever he was like that and he was not feeling the best, it was just best to leave him alone† – participant from Hasson et al. (2009) Some said the hospital policy did not allowed us to care for the patient in home during end stage of life. No adequate bereavement support for the family careers after the death. Some had counselling in later part of life. Rewards, meaning, and coping: However, some caregivers described their experiences as positive. Identified positive features include sense of pride, esteem, and mastery as a caregiver a sense of normalcy; being able to demonstrate love and fulfill satisfaction and sense of accomplishment ability to be with and help the patient life-enriching experiences closer relationships a sense that it is important. Some care givers felt that their loved one died with dignity and respect. They were able to provide good care and that provided them a sense of accomplishment. Conclusion: The COPD has a great impact on Family care givers. All the studies stated that there is a lack of support and facilities, unmet needs. There was a lack of knowledge about the available facilities and lack of emotional support .There is a need for supportive and education regarding the palliative and end of life care. Mostly of the careers reported they are helpless when patient suffering from breathlessness and guilt of not doing enough. Caregiver’s involvement in providing care and feeling able to provide quality care, will enhance the coping among the care givers. These four studies were conducted in European countries and thus there is a lack of ethnic diversity which may have an additional impact on caregiving culturally. Many recommendations were made for further research relating to the care givers perspectives. The studies did not discuss if there were any difference in the care provided by spouse/children or by ethnicity. Thus, further research can be done to study the cultural influences on care giving of COPD patients. Research Objectives What are the experiences of Family care givers on end of life care of patient with COPD in ICU? What are the needs of family care givers on end of life care of patient with COPD? What are the barriers of caring family care givers Details of Research Proposal: Aims To explore the needs of Primary family care givers or bereaved careers on end of life care of ICU COPD patient To explore the perspectives of Primary family care givers or bereaved careers on end of life care of ICU COPD Patient. Operational definition: End of life care: The care provided to alleviate the symptoms of patient during the end stage of COPD. Family care givers: Care provided by the Family members other than the health care professionals. Bereaved careers: Bereaved careers are one who suffered from the death family members due to COPD. Research Methodology: Study design: A Phenomenological Descriptive approach will be adopted to explore the perspectives of Family care givers on End of life care. Interviews will be conducted. Sampling: The study will use purposive sampling method to select the participant for the interview. Samples: Primary Family care givers COPD patient who have died in ICU Inclusion criteria: Participant Speak English Participant over 18 years of age Bereaved careers of COPD patient within a year. Exclusion criteria: Bereaved careers of other diseases. Family care givers of other diseases Bereaved and Family care givers of More than one year of COPD patient Sample size planning: Approximately 10-15 primary bereaved careers of COPD patient until the data saturation is obtained Ethical Consideration: The DSRB approval will be obtained before data collection. The purpose of the study will be explained to the participant before informed consents are obtained. The participant will be ensured that the information collected will be kept confidential and it will be used only for research purpose. Data collection: The researcher will get access to the COPD Program coordinator and get permission to conduct a study. After Permission is granted, the COPD patient died in ICU will be identified through the register. The eligible participant will be selected who meet the inclusion criteria. Then the family members will be contacted through telephone by the researcher and if the participant is willing to participate in the research.. The research process will be first explained to the selected participants in an appropriate manner without hurting their sentiments and understanding their difficult situation’s as well. Face to face semi structured interviews will be conducted with the Family care givers. In that interview, a set of general and open ended questions would be asked. And the entire conversation will be audiotaped. Each conversation is assumed to last for 40 to 60 minutes. When the participant become too emotional, the interview will be stopped and reassured by the researcher. Again the interview will be conducted when normality is retained. After the interview, basic demographic data will be collected and the same will be kept confidential. A pilot study will be conducted based on the interview guidelines prepared with 2-3 participants to assess the feasibility of this study. Interview guidelines: Introduction 🙠 2 minutes) Good morning .Thank you for participating in our Research. I Arunadevi graduate student from Alice Lee Center of nursing Studies, National University of Singapore. As a Part of my program I am conducting this Interview. The interviews will be carried out for 45 minutes to an hour. The Questions will be open ended questions. The answers will be audiotaped. Objectives :(1 Minute) To identify the perspectives of primary Family care givers on End of Life care Interview Questions: 45 minutes to One hour) How did you become a Primary care giver? What you understand your role as a care giver? What do you understand about end of life care? How do you experience providing care to family members at the end stage? What helped with the care? What do you felt as lacking while providing the care? What could be improved? Ending session: (5 minutes) Would you like to say anything further? Thanks for sharing your thoughts and views. It would surely help others and provide support when others are facing the same problem. Data analysis: The analysis of the data is based on Colaizzi (1978) which includes various steps such as read and acquire the meaning, organize it into meaningful themes, integrate results, send it to the participant as final validating steps. The recorded interviews will be listened repetitively and transcribed to verbatim by the researcher. The initial impression and reflection will be noted in a separate note book. The themes will be emerged from the transcript. The clustering of the themes with similar context will be made .The thematic analysis will be used to analyses the data. Whenever possible the transcript will be send to the participant to know the meaning or to validate the information. Gaps will be identified as well based on the expectations of the family care givers. Then certain recommendations/suggestions will be generated for the group based on the findings, in addition to the current facilities available. Rigour /Validity: The four essential criteria highlighted by Lincoln and Guba (1985) are as follows: Credibility, Transferability, Dependability and Conà ¯Ã‚ ¬Ã‚ rmability. Credibility refers to the confidence in the truth and interpretation of Data. After transcribing the transcription will be send to the participant when possible to validate the information. To ensure the findings are not modified by the researcher. Reflective Questioning will also be used to ensure the credibility. Transferability of the results generated in the study will be achieved through ‘thick description’, (Lincoln Guba 1985). The study findings will be useful to all the health care professionals family care givers of COPD patient on End of life care. Conformability and dependability rest on the consistency, objectivity and accuracy of the data findings chiefly depends on the data consistency and accuracy and (Richard Morse 2007). Audio recording and supervisor member check in will be done for conformability and dependability.