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Research Proposal on Family Business Essay Example

Exploration Proposal on Family Business Essay Privately-owned company is the sort of business which is overseen and claimed by a solitary...

Wednesday, May 20, 2020

British Were Responsible For Causing The American Revolution

The British were responsible for causing the American Revolution because they put unfair limitations on the colonies. One of Great Britain’s limits on the colonies was the Proclamation of 1763. The Proclamation of 1763 states that the colonies can not expand their reign west of the Appalachian Mountain and the Indians could not move east towards the East Cost (Hakim 36). Britain was scared that as the colonies grew in population and in power, along with the Indians and French that were in the New World, that they would not be able to contain all of them (Hakim 36). Britain was scared that the Colonies would continue to grow in power and the risk of overthrowing Britain was an immanent threat (Class notes). Britain thought it was best to put these limitations on the colonies to prevent that from happening. The people in the colonies were forced to stay east of the Appalachians without a say from their Colonial Assemblies. This upset the colonies and they sent letter after lette r to Great Britain to try to break this law but Britain would not give the colonies any say. Britain was not the only person to blame. The colonies acted immaturely to this proclamation. The colonists thought that land was perfectly fine and did not care much about the British demand. When the colonies did not follow Britain rules, Britain was upset and created taxes on the colonies. This downward spiral continued until the colonies and Great Britain were at each others throats. They kept going back andShow MoreRelatedCommon Sense By Thomas Paine1574 Words   |  7 PagesCommon Sense was written by an Englishman, Thomas Paine, who came to the American Colonies in 1774. He had strong opinions about the British Monarchy – and monarchy in general – including the fact that by nothing more than an accident of birth one man had rule over so many other humans. He viewed this elevation to monarch unnatural as all men are created equal. Additionally, Paine notes that  "there is something exceedingly ridiculous in the composition of Monarchy; it first excludes a man fromRead MoreCauses of The American Revolution Essay examples771 Words   |  4 Pagesbeen causing various troubles and irritations to the colonists. The colonists had to deal with taxation without representation, also known as virtual representation such as the Stamp Act or Tea Act and also other unpleasant laws passed by the British such as the Quartering Acts. A significant event that is notable for altering the political, economic and ideological relations between the colonies and Britain is the French and Indian War. This was fundamentally the cause of the American RevolutionRead MoreTerrorism : A Standard Definition Of Terrorism1652 Words   |  7 Pagesprimarily outside of the jurisdiction of the U.S.† The Arab League defines terrorism as â€Å"any act or threat of violence, whatever its motives or purposes, that occurs for the advancement of an individual or collective criminal agenda, causing terror among people, causing fear by harming them, or placing their lives, liberty, or security in danger.† The European Union defines terrorism as acts that â€Å"may seriously damage a country or an international organization†¦or seriously destabilize or destroy theRead MoreSeven Years War899 Words   |  4 Pagesworsened matters, especially when many colonists were constantly fighting off Indian tribes who were in alliance with the French. In fact, nearly every Indian tribe had ties to the France, excluding the Iroquois tribe due to the fear imposed by the British (History, 2014). As previously stated, the Seven Years War officially began in 1756 when France and England, for the first time, engaged in full-blown warfare. What made this war so significant were the alliances formed, which included England andRead MoreAmerican History Exam1824 Words   |  7 PagesGrenville are also responsible for the tax left on tea, inevitably leading up to the Boston Tea Party. The colonies of Massachusetts and New York were afflicted most heavily in that these are where the biggest ports and largest trade hubs were located. The colonists became outraged at the unfairness of these Acts, coining the phrase â€Å"Taxation without Representation† which is still famous to this day. These Acts are some of the first major steps leading up to the American Revolution, starting with theRead MoreWorld War II : The Most Deadly Conflict Of All Of The Wars1395 Words   |  6 PagesAllied powers were France, Great Britain, the Soviet Union, and the United States. The other Allies of the United Nations were Australia, Belgium, Canada, China, Costa Rica, Cuba, Czechoslovakia, Dominican Republic, Greece, Guatemala, Haiti, Honduras, India, Luxembourg, the Netherlands, New Zea land, Nicaragua, Norway, Panama, Poland, Salvador, South Africa, Yugoslavia, Philippines, Mexico, Ethiopia, Iraq, some freed Frenchman, and some freed Danes. The Commanders of the Allied Forces were Joseph StalinRead MoreThe four waves of modern terrorism1563 Words   |  7 Pageswave which was the birth of international terrorist activity started in Russia. It resonated at the time of revolt against the Czar Alexander II lead government who could not deliver on his promise to provide funds for the serfs to buy land. There were other social and politic issues that left people dissatisfied with the governance. As a result there was a spate of assassinations against prominent officials which eventually lead to the death of Alexander. The justification of such acts was thatRead MoreFrom Riot to Revolution: The Boston Massacre Essay2008 Words   |  9 PagesThe American Revolution was an unequivocal example of the ability of a nation’s people to rise and defeat an inadequat e government. When a government fails to protect its inhabitants, citizens will grow uneasy and fight for their rightful cause. The British government’s rule over its colonies was erroneous and harmful to the colonists’ best interests. Best described by John Hancock, the British government’s rule caused many colonists to become despondent with their ruler. â€Å"As though they thoughtRead MoreThe Events During The World War I1662 Words   |  7 PagesPlayers, Events, Casualties and Implications First of all, it is thought that competition among the major European powers was an ingredient in fuelling the war. This was so especially between Britain and Germany, who were competing to have the most powerful navy in the world. All parties were building up large armies and navies, and from this there emerged a professional and powerful class of military officers. At one point, Germany had a well trained, large army that could match the entire army of GreatRead MoreFraming A New Government1689 Words   |  7 Pagescapable of dealing with America’s economic problems that affected themselves 2.) Artisans wanted a single high national duty, merchants wanted a single, national commercial policy, people owed money wanted states to stop issuing paper money and causing inflation, and land owners wanted protection from mobs 3.) Reformers led by Alexander Hamilton called for convention. Inter-state conference on trade held in MA advised congress to call a convention to render the the Constitution to fit the needs

Wednesday, May 6, 2020

The Failure Of Heart Failure - 1517 Words

ABSTRACT Heart failure is one of the leading causes of mortality, both globally and in New Zealand. It is defined as the inability of the heart to meet the bodies metabolic need for oxygen and is characterised by a decrease in cardiac output. The body has many intrinsic mechanisms to attempt to maintain cardiac output, including activating the renin-angiotensin-aldosterone system (RAAS). The RAAS cascade acts to restore cardiac output by increasing fluid retention, thus increasing blood volume and pressure. Unfortunately, in decompensated heart failure, this is not enough to re-establish cardiac output, causing the action of this system to be upregulated and blood volume to increase further. This is detrimental to the already failing heart. A new drug, aliskiren, affects the pathophysiology of hypertension and heart failure by directly inhibiting renin, a mechanism that is distinct from current therapeutic agents that also target the RAAS, such as ACE inhibitors and Angiotensin II Receptor Bl ockers. This gives potential benefits by blocking the RAAS further upstream. However, clinical trials have failed to demonstrate the predicted benefits of aliskiren. Taking this into consideration, there is a strong possibility for development of further direct renin inhibiting agents displaying a higher potential therapeutic index for the treatment of hypertension and heart failure. In order to thoroughly discuss the potential benefits of aliskiren in relation to hypertension and heartShow MoreRelatedHeart Failures Of Heart Failure782 Words   |  4 Pages Heart failure describes a medical condition when the heart is unable to pump sufficient blood to the body [85]. While heart failure does not mean the immediate stopping of the heart, it is a serious and fatal condition. A study has found that the 4-year mortality rate for chronic heart failure was 43% for patients with preserved systolic function, and 54% for patients with reduced systolic function [86]. Heart failure is prevale nt, with about 2-3% of adults worldwide showing signs of heart failureRead MoreThe Failure Of Heart Failure999 Words   |  4 Pagesprocess is the heart, which by using the cardiovascular system supplies every other system throughout the body with the oxygen and nutrients by pumping them throughout the blood. When the demand is not met or the supply is too great it can be considered heart failure. Understandably heart failure is a worrisome term. To think one of your most vital organs is failing and unable to provide what is needed for basic survival is terrifying. However; there are many stages of heart failure that can rangeRead MoreThe Failure Of Heart Failure2760 Words   |  12 PagesCongestive heart failure, also called heart failure or CHF, is one of the fastest-growing syndromes in the United States and worldwide. It is a condition with high hospitalization and high mortality rates as well as a compound medical regimen that significantly affects the patient’s lifestyle and that of their family. The term alone, â€Å"heart failure†, is enough to scare the bravest client and cause the rise of numberless concerns and questions. Patients may worry and exclaim, â€Å"Did my heart stop workingRead MoreFailure Of Congestive Heart Failure1262 Words   |  6 PagesIntroduction Almost every one in the United States knows a person suffering from congestive heart failure. This disease has manifested its way into the lives of so many—the statistics are astounding. According to the National Heart, Lung and Blood Institute, nearly 5 million people are affected and it is the main reason for hospital admission in older adults over the age of 65. This is a great cause for concern. In order to reduce the morbidity and control this epidemic, we must first understandRead MoreFailure Of Congestive Heart Failure1149 Words   |  5 Pages Introduction Congestive Heart Failure is the Inability of the heart to maintain the demands of pumping blood with normal efficiency to other organs, such as the brain, liver, and kidneys (Congestive heart failure, 2008). Without the heart carrying out its functions, all the organs in the body would be deprived of sufficient blood to do its work, the kidney will no longer filter its blood leading to fluid accumulation in areas such as the lungs, liver, legs, and surrounding eye, when thisRead MoreThe Heart Of Heart Failure1167 Words   |  5 PagesAmericans have been diagnosed with heart failure† (Mancini Colombo, 2015, p. 2542). Heart failure is a condition where the heart does not pump as efficiently; therefore, it does not meet the needs of the body. There is a growing number of heart failure patients each year. â€Å"More than 300,000 deaths per year are attributed to heart failure, and the annual cost to manage these patients is close to $40 billion† (Mancini Colombo, 201 5, p. 2542). Since the heart failure population is steadily growingRead MoreCongestive Heart Failure And Failure1389 Words   |  6 PagesIntroduction Congestive heart failure (CHF), also called chronic heart failure or congestive cardiac failure (CCF) is a clinical condition where heart muscle is weakened and cannot pump the blood as well as the normal heart. The ventricle, also known as main pumping chamber of the heart become larger or thicker which leads to inability to contract or relax as it should. â€Å"There is no universally agreed definition of heart failure (Denolin et al., 1983). It is the consequence of cardiac disease, diagnosisRead MoreFailure Of Congestive Heart Failure2459 Words   |  10 Pagesincreasing frequently (Drug Store News, 1997). Congestive heart failure tends to be more common in the elderly, men, and also African Americans. Congestive heart failure has become the most common cause for current hospital admissions. Among causing prolonged hospital stays congestive heart failure has a very high mortality rate, which has declined since recent medical advancements. So what is congestive heart failure? A simple definition is the heart s inability to pump blood to the rest of the bodyRead MoreFailure And Treatment Of Heart Failure2085 Words   |  9 PagesAbstract: Heart failure affects over 5 million people and carries a high rate of mortality. Ivabradine, a new agent has been added to the current medical options for managing heart failure. It is a selective inhibitor of sino-atrial node and slows its firing rate, prolonging diastolic depolarization without any negative inotropic effects. In 2006, BEAUTIFUL trial evaluated patients with stable coronary artery disease and heart failure and found a significant reduction of coronary events, coronaryRead MoreThe Failure Of Congestive Heart Failure1090 Words   |  5 PagesCongestive heart failure is a chronic condition that is responsible for the highest number of hospitalizations among adults. Readmission rates after hospitalization also remain high, with 50% of patients being readmitted within 6 months of discharge. (Desai Stevenson, 2012). The Affordable Care Act penalizes hospitals with readmissions within 30 days after discharge, making readmissions a focus of hospitals nationwide. Several factors including discharge planning, patient education, diet restrictions

Community mental health service free essay sample

Describe how three key professionals could be involved in planning support for individuals/Mr. Ali There are three key professionals working with Mr. Ali and supporting him through his decisions. They are also working together with each other to put together a support plan for Mr. Ali. The three key professionals are; a community psychiatric nurse, support worker and dietician. Each has a different role in the planning support for Mr. Ali as they are all supporting Mr. Ali with different aspects of his health and well-being. A Community Psychiatric Nurse is fully trained and has many years experience in a hospital setting before going out into the community. Their experience would have been on psychiatric wards in hospitals. The role of the Community Psychiatric Nurse is to visit people in the community, usually in the patient’s own home but can also be clinic based. CPN’s are normally the patient’s first point of contact as they are there to support people who are experiencing a difficult time in their lives. They also visit patients in the community who are in good health to ensure they are okay. A CPN administers medication to patients and ensure they know the reason to why they are taking then and when they should take them. A CPN does not only support the patient but also family, friends and carers. This role is valuable as it helps them to understand and cope with any illnesses the patient has. CPN’s also take referrals from GP’s, psychiatrists and inpatient wards as the CPN will support the patient and help them get back out into the community and from then on the CPN is usually the patients key-worker. In regards to Mr. Ali, the community psychiatric nurse will visit him at home to ensure his emotional and psychological state is not going to be jeopardised due to him taking part in the sponsored walk. The CPN will also ensure Mr. Ali is still taking his medication correctly and support him through any tough times he is facing. The CPNs role as a nurse and key-worker when participating in the planning of Mr. Alis support plan is, to review Mr. Alis progress and assess if all of Mr. Alis needs are being addressed. This involves, getting feedback from Mr. Ali about how positive or negative the help and support is that he is receiving from the mental health team. The key-worker can be anyone who is a member of the community mental health team; a psychiatrist, CPN, Occupational Therapist, Social Worker or psychologist. A support worker is someone who supports people with different need in their everyday lives. They support them in many ways and in many situations. They focus on the needs of the service users by supporting them, giving time to the service user and promote their recovery or support them through illness. The role of a support worker is to; promote the independence of the service user, provide companionship and friendships whilst providing practical and regular support. A support worker will provide support with daily living and facilitate people living normal lives. A support worker plays a huge role in any service user’s life and helps them gain access to resources such as; day centres, support groups etc. If a service user was to deteriorate then their support worker will help identify this and then supporting the service user when they are going through treatment. Health promotion information is also provided by a support worker. In regards to Mr. Ali, a support worker working with mental health is known as a STR; a support, time and recovery worker. The STR will work as a team who focuses directly on Mr. Ali and provide mental health services. Even though Mr. Ali lives independently, his STR will support him to keep his independence. The STR would need to have a good relationship with Mr. Ali, providing companionship and friendship, and then they will be able to provide regular and practical support. Mr.Ali attends a day centre and to gain access to this, the STR would have helped Mr. Ali. The STR will give Mr. Ali all the support he need with daily living whilst facilitating Mr. Ali to live an ordinary life. If Mr. Ali was to start having a relapse his STR would help identify the early signs and report it to other health professionals involved in Mr. Ali’s care and support. The STR would the support Mr. Ali with any treatment he is involved in. When Mr. Ali attends the day centre, his support worker may be with him at times to provide emotional support and could also act as an advocate. As Mr. Ali’s STR, they will be there to support Mr. Ali through anything he finds difficult in his daily life and support him with tasks when needed. The STR will put their views across to other professionals and Mr. Ali when in the process of creating a support plan. He will be able to pass on his concerns about Mr. Ali and also what he thinks Mr. Ali’s strengths are. The STR will put a lot of information into a support plan as they would know Mr. Ali best due to building a strong compassionate friendship and due to being more involved in Mr. Ali’s personal life than other professionals. Whilst being involved in the support plan the STR will promote Mr. Alis rights, maintain confidentiality and promote equal opportunities, ensuring Mr. Ali is being treated with respect and dignity, which is part of ethical practice. A dietician is a trained professional who enables and empowers people to make informed and practical choices about the food they eat and lifestyle choices. They are trained in hospital and community settings and usually employed by the NHS. They can also work in the food industry research and education, and also on a freelance basis. Dieticians must be registered before working with anyone who is referred to them. Their role includes going through a practical application of nutrition with individuals, promoting the well-being of both individuals and the community; this will help to prevent nutrition related problems. Dieticians can also diagnose individuals with nutrition related problems and disease, and are also involved with dietary treatment of disease. Their main responsibilities include; working with individuals with special dietary needs, evaluating and improving treatments. They also use a social marketing approach to inform the public about nutrition and offer unbiased advice. They are there to also educate patients, clients, other health professionals and groups in the community. The use of mass media is used a lot by dieticians; leaflets, adverts, posters, billboards, radio advertisements, television adverts and many more forms of media are used and this is how dieticians promote well-being, inform the public, educate and give advice. In regards to Mr. Ali, he wants to become healthier as he wants to help raise money for the day centre he attends. He will be helping raise the money by participating in a 20 mile sponsored walk. He has taken this very seriously and wants to do his absolute best in achieving his goal. The event is taking place in three months time and within this time Mr. Ali wants to gradually improve his walking distance. The main support he wants is with his diet. He wants support and advice on healthy eating; this will be part of his preparations. He wants to know what meals, drinks and snacks are best for him to keep his energy levels up but not empty calories which will make him gain weight. To help Mr. Ali with this, the dietician will advise him on what is a good way to maintain his weight and raise his energy levels. Dieticians sometimes do this by working with the service user to create a healthy eating plan. This will consist of what Mr. Ali will eat each day, Mr. Ali will be involved in the whole process. Mr. Ali will be given leaflets full of nutritional advice and the dietician will also talk to Mr. Ali about any bad habits he has, what foods he eats more of, what his food weaknesses are and if he does any physical exercise. The dietician would have to take into consideration that Mr. Ali cannot be pushed too hard or become distressed due to his mental health illness. The dietician needs to respect Mr. Alis choice and treat him with dignity. Mr. Alis rights should not be infringed and the dietician should not use and abuse their power; just because Mr. Ali has come to the dietician for support and advice, it does not mean the dietician can control what Mr. Ali eats or controls what he does in his personal life. All the dietician should do is give advice and support Mr. Ali with his preparations. The dietician can review Mr. Alis progress before the event begins. They can do this when they feel Mr. Ali will need more advice and support. It may start off as every two weeks then move to once a month depending on his progress and health. The role of the dietician when participating in the process of creating Mr. Alis support plan is, to put forward his thoughts on how he thinks the healthy eating and preparation for the 20 mile sponsored walk will affect his health. He can put forward whether they think it would be too much pressure on Mr. Ali or if it will be for his mental and emotional state. Together all three professionals can determine, with Mr. Ali present, what the best option is for Mr. Ali and how he can participate in the event without it affecting his health and well-being. When working together all professionals must consider Mr. Alis individuals rights and treat him as an individual. If he is not treated with respect and dignity, or not treated as an individual then he will feel his personal identity has been stripped from him. Taking a holistic approach will ensure that all Mr. Ali receiving a person centred care.

Meliville Sophocles Discussion Essay Example For Students

Meliville Sophocles Discussion Essay MELVILLE AND SOPHOCLESMELVILLE: OPEDIPUS, YOU SEE, WAS MY MODEL. SOPHOCLES: THAT IS ABSURD. YOUR CHARACTER, THIS BILLY, HAS NONE OF THE TRAITS THAT MY TRAGIC CHARACTER POSSESSED. MELLVILLE: BILLY BUD MAY HAVE NOT BEEN ANY GREAT KING OR A MAN OF IMMENSE MONETARY WEALTH, BUT HE POSSESSED A DIFFERENT SORT OF GREATNESS. SOPHOCLES: YOU SPEAK OF A DIFFERENT SORT OF GREATNESS, AS IF IT THAT COULD POSSIBLE COMPARE TO THE LIFE OF MY OEDIPUS. HE ROSE TO THE HIGHEST POSITION A MAN CAN OBTAIN. HE WAS A KING, A RULER OF A POWERFUL LAND, NOT SOME COMMON SHIPBOARD SAILOR. YOUR BILLY BUDD HAD NOTHING. MELLVILLE: OEDIPUS WAS A GREAT KING AND A WONDERFUL RULER OF A POWERFUL LAND, JUST AS BILLY WAS A GREAT SAILOR AND WONDERFUL EXAMPLE OF AN IDEAL HUMAN BEING. HE ALSO ROSE TO A HIGH POSITION IN MY STORY. HE GAINED THE CONFIDENCE OF ALL HIS FELLOW SHIPMATES AND WAS REWARDED NOT ONLY WITH THEIR COMRADERIE BUT WITH A PROMOTION TO A HIGHER RANK. SOPHOCLES: YOU, MELVILLE, ARE TO TELL ME THAT BILLY BUDD IS AS TRAGIC A CHARACTER AS OEDIPUS REX? THAT HE AS WELL HAD A TRAGIC FLAW THAT DESTROYED HIM?MELLVILLE: JUST AS OEDIPUS LONGED TO ALWAYS SEEK OUT THE TRUTH, BILLY ALSO FOLLOWED ALONG THE SAME PATH. HE NOT ONLY SOUGHT OUT THE TRUTH, BUT HE BELIEVED THAT ALL HUMANS CONTAINED AN HONEST AND GOOD CORE. HE TRIED TO BRING THIS OUT IN THE MOST EVIL OF PEOPLE. BILLY BUDD LACKED THE ABILITY TO LIE, CHEAT, OR STEAL. HIS INTEREST WAS IN THE PROTECTION OF OTHERS WITHOUT CONCERN FOR HIS OWN WELFARE. THESE QUALITIES ARE TEST THROUGHOUT THE STORY AS NUMEROUS TEMPTATIONS ARE PLACED BEFORE HIM. SOPHOCLES: WITH THAT SAID, ONE MAY THINK THAT ANYONE CAN BE A TRAGIC CHARACTER. ANY PERSON POSSESSING DECENT MORALS AND IS BETRAYED DUE TO THEM IS A TRAGIC CHARACTER? YOU BELIEVE IT POSSIBLE THAT ANY MAN IS A TRAGIC CHARACTER?MELLVILLE: HOW MANY MEN WILL STAND BY THEIR BELIEFS KNOWING THAT THE PUNISHMENT WILL BE THEIR HEADS? THOSE WHO DO NOT BEND TO THE WIND OF OTHERS DOUBTS AND PROTESTS ARE THE ONES THAT POSSESS THE TRAGIC FLAW. ACCORDING TO PLATO IN POETICS A TRAGIC CHARACTER IS RESTRICTED TO WHO AND WHAT THEY ARE AND ONLY REACT AND ACT UPON SITUATIONS PRESENTED BEFORE THEM. BILLY BUDD ACTS CONSISTENTLY WITH WHO AND WHAT I CREATED HIM TO BE THROUGHOUT HIS STORY. BILLY BUDD, ONCE I ESTABLISHED HIM, HAD NO CONTROL OVER HIS FATE. I PLACED TEMPTATIONS AND OBSTACLES BEFORE HIM KNOWING HIS REACTIONS WERE RESTRICTED TO THE HIGH MORALS I HAD GIVEN HIM. SOPHOCLES: YOUR REASONS HAVE SUBSTANCE. I MAY AGREE WITH YOUR REASONING, BUT TO ALLOW MYSELF TO THINK THAT YOUR STORY RIVALS OR COMPARES TO MINE IS NEXT TO NOT POSSIBLE. NOTHING CAN BE SAID TO NEGATE THE FACT THAT THE STORY OF A KING IS FAR GREATER THAN THAT OF YOUR SAILOR LAD. MELLVILLE: THAT IS WHY I STATED THAT YOUR STORY SERVED AS A MODEL. YOUR STORY OF OEDIPUS HAS INSPIRED ME AS WELL AS MANY OTHERS. IF IT IS IN THE SHADOWS OF THE GIANT OEDIPUS REX THAT BILLY BUDD MUST DWELL THEN LET IT BE. SERVES ME FAR BETTER THAT HE REMAINS THERE NEXT TO HIS INSPIRATION. SOPHOCLES: I KNOW THAT NO OTHER COULD REACH SUCH GREAT HEIGHTS AS THIS TRAGIC CHARACTER. I WILL GLADLY GIVE YOUR SAILOR THE COLD SHADOW OF MY KING. FOR ALL ARE AWARE THAT NO PERSON COULD OUTSHINE THE STORY OF OEDIPUS REX.