Free Essays on Clinical Case Study Hypertension

Clinical Case Study-Hypertension- Name: Age: 66 Gender: Female Symptoms and complaints reported: Abrupt loss of vision and difficulty speaking. Reported sudden loss of strength and co-ordination(mostly in left side)accompanied by loss of balance. [The patient had suffered a stroke]. Because the clinical manifestations of hypertension cannot be diagnosed, it can only be recognized when complications occur in target organs, such as the heart in this instance. Medical History: Has history of high blood pressure and high cholesterol. Sedentary lifestyle. Heavy smoker. Absence of all other major illnesses noted. Family History: No siblings. Father is a heavy smoker and has had two strokes in the past three years. Mother suffers from obesity. Grandparents died of old age and not of a major illness. No other major illness noted. Social History: No heavy drinking. Smokes 2-3 packs of light cigarettes daily. Sedentary lifestyle. Lives alone. Works full time as sales executive. Physical assessment: High blood pressure of 130/95. High cholesterol. Overweight (height is 180cm at 120kgs. Pulse is 95bpm. Temperature is 36.6C. Respiratory rate is 18. Patient is somewhat confused and suffers from blurred vision, slurred speech and loss of balance. Tests: CT scan (Computed tomography (CT) scans are completed with the use of a 360-degree x-ray beam and computer production of images. These scans allow for cross-sectional views of body organs and tissues. CT scans are used to image a wide variety of body structures and internal organs. Since the 1990s, CT equipment has become more affordable and available. In some diagnoses, CT scans have become the first imaging exam of choice. Because the computerized image is so sharp, focused, and three-dimensional, many tissues can be better differentiated than on standard x rays. Common CT indications include: Â · Sinus studies. The CT scan can show details of a sinusitis, and bone fractures. Physician... Free Essays on Clinical Case Study Hypertension Free Essays on Clinical Case Study Hypertension Clinical Case Study-Hypertension- Name: Age: 66 Gender: Female Symptoms and complaints reported: Abrupt loss of vision and difficulty speaking. Reported sudden loss of strength and co-ordination(mostly in left side)accompanied by loss of balance. [The patient had suffered a stroke]. Because the clinical manifestations of hypertension cannot be diagnosed, it can only be recognized when complications occur in target organs, such as the heart in this instance. Medical History: Has history of high blood pressure and high cholesterol. Sedentary lifestyle. Heavy smoker. Absence of all other major illnesses noted. Family History: No siblings. Father is a heavy smoker and has had two strokes in the past three years. Mother suffers from obesity. Grandparents died of old age and not of a major illness. No other major illness noted. Social History: No heavy drinking. Smokes 2-3 packs of light cigarettes daily. Sedentary lifestyle. Lives alone. Works full time as sales executive. Physical assessment: High blood pressure of 130/95. High cholesterol. Overweight (height is 180cm at 120kgs. Pulse is 95bpm. Temperature is 36.6C. Respiratory rate is 18. Patient is somewhat confused and suffers from blurred vision, slurred speech and loss of balance. Tests: CT scan (Computed tomography (CT) scans are completed with the use of a 360-degree x-ray beam and computer production of images. These scans allow for cross-sectional views of body organs and tissues. CT scans are used to image a wide variety of body structures and internal organs. Since the 1990s, CT equipment has become more affordable and available. In some diagnoses, CT scans have become the first imaging exam of choice. Because the computerized image is so sharp, focused, and three-dimensional, many tissues can be better differentiated than on standard x rays. Common CT indications include: Â · Sinus studies. The CT scan can show details of a sinusitis, and bone fractures. Physician...

Suspended Compounds in English Grammar

Suspended Compounds in English Grammar In English grammar, a suspended compound is a set of compound nouns or compound adjectives in which an element common to all members is not repeated. Also called suspensive hyphenation. A hyphen and a space follow the first element of a suspended compound. (A hyphen with a space after it is called a hanging hyphen.) Examples and Observations The festival starts with a parade, followed by the crowning of Little Miss Catfish, who is chosen by drawing a name from among the five- and six-year-old catfish princesses. (Bob Rashid, Gone Fishing. University of Wisconsin Press, 1999)The difference between the pre- and post-test scores is the so-called learning gain.More injuries are caused by falls from a three- or four-foot height than by falls from tall extension ladders.More than half of three- and four-year-old children in the U.S. attend preschool.Several arguments support the idea that there is a fundamental difference between short- and long-term memory.At the Paperback Exchange, books of all kinds can be exchanged for first- and second-hand books in English.Cyrus McCormick, the head of International Harvester, typified nineteenth- and twentieth-century industrialists understanding of manliness.​ Stylistic Advice: Suspended Compounds Do not use suspended compound adjectives unless space is limited. In a suspended compound adjective, part of the adjective is separated from the rest of the adjective, such as first- in first- and second-generation computers. If you must use suspended compound adjectives, include a hyphen with both adjectives. Avoid forming suspended compound adjectives from one-word adjectives. (Microsoft Manual of Style, 4th ed. Microsoft Press, 2012) Suspended compounds of the form water-based and -soluble paint are licit but likely to confuse readers; substitute water-based and water-soluble paint. (Amy Einsohn, The Copyeditors Handbook. University of California Press, 2000) Also See CompoundingCompound WordsSay Good-bye to the Hyphen

Variable Selection Essay Example | Topics and Well Written Essays - 250 words

Variable Selection - Essay Example They prefer when the stepwise selection method is used in the algorithm of data analysis programs such as SAS and SPSS. Based on my personal experience I think the author is correct, forward and backward selection produces better results in varied conditions as opposed to stepwise selection. A good selection technique that I have in mind will involve the use of estimation of empirical samples through the use of repeated sampling of data samples. This algorithm allows for the approximation of the distributed test statistics will be usable in small scale data where the large scale results may not hold. This algorithm is efficient because it helps solve the mistake of automated variable selection methods. There are other designed algorithms that are employed under various situations. One that is interesting is the Naà ¯ve Bayes which is based on the Bayes theorem. I think it is not an efficient algorithm because it generalizes samples which easily occurs to errors in analysis of the data

Academic writting Essay Example | Topics and Well Written Essays - 1000 words

Academic writting - Essay Example The challenge is that not everyone might know if they had experienced it. Anxiety can be described as a disorder that causes uneasiness, nervousness, worry and fear. It affects the way an individual feels and behaves towards everyday situation (DiMatteo et al. 2000). Learners often experience anxiety when confronted by a test or examination. Although anxiety is considered as normal, it can also be considered to be a problem when it brings symptoms such as lack of sleep or lack of ability to function normally. Anxiety occurs when a reaction to a situation becomes out of proportion or becomes overbearing for one to think or act normally. As a matter of fact, there are different types of anxiety. These include generalized anxiety disorder, panic disorder anxiety and Social Anxiety Disorder. To begin with, generalized anxiety is a chronic disorder that is excessive, long lasting and tends to affect how the sufferer responds to life events on a daily basis. It causes an individual to worry about nonspecific everyday life situations. A sufferer suffering from this type of disorder would often worry about things that are related to health, money, family and work. The sufferer also finds it difficult in making decisions. The sufferer may not know how to identify the actual fear or know how to deal or control their worry about a nonspecific situation, therefore believing that they will fail in that given situation. It may be possible that the learner may have spent limited study time in the preparation for a test or examination due to work commitments or family responsibilities, this in turn will affect the mindset of the individual making them to believe that they are likely going to perform badly on the test or examination. Also, their mind and body turns a normal emotion as worry that usually motivates one to accomplish a task to a feeling of helplessness that does not allow the learner to get motivated about the exam instead creating panic. As adults, we

Language and Literary Techniques in Othello Essay -- GCSE Coursework S

Language and Literary Techniques in Othello  Ã‚  Ã‚  Ã‚  Ã‚   The language and literary techniques used in William Shakespeare's Othello enrich the settings, plot, characters, and themes. Othello is a complex tragedy about good versus evil, loyalty, love, sexual jealousy, appearance versus reality, and intrigue, told in a first person point of view. The play takes place during the Renaissance in Venice, Italy and in Cyprus over three days. It is written in blank verse, usually unrhymed iambic pentameter. The protagonist, Othello, is a Moor well respected by senators for his valiant service in war and married to Desdemona, a Venetian woman. The play is entitled Othello and the plot and action encompass him, thus supporting his position of protagonist. The antagonist, Iago, is an unscrupulous individualist who bitterly despises Othello. Iago's villainous and intricate scheme for revenge results in the deaths of Othello, Desdemona, Iago's wife, and Roderigo, a suitor of Desdemona.    The play begins in Venice where Othello and Desdemona are eloping. Othello is needed to lead the Venetian forces in Cyprus and must leave immediately. Othello is joined at Cyprus by Desdemona, Iago, Emilia (Iago's wife), Roderigo, and Cassio (Othello's lieutenant). Iago falsely informs Roderigo that if Cassio were to die, Desdemona could be Roderigo's wife. Iago then guilefully encourages Cassio to drink an excess of wine and in a drunken fight, instigated by Roderigo, Cassio wounds Montano, the governor of Cyprus, and Othello reprimands him.    Meanwhile, Iago continually plants thoughts of sexual jealousy and suspicion in Othello's mind. He tries to convince Othello that Desdemona is unfaithful to him and she is having an affair with Cassio. In t... ...oston: Routledge & Kegan Paul Ltd., 1981. Bevington, David, ed. William Shakespeare: Four Tragedies. New York: Bantam Books, 1980. Bradley, A. C.. Shakespearean Tragedy. New York: Penguin, 1991. Campbell, Lily B. Shakespeare’s Tragic Heroes. New York: Barnes and Noble, Inc., 1970. Di Yanni, Robert. â€Å"Character Revealed Through Dialogue.† Readings on The Tragedies. Ed. Clarice Swisher. San Diego: Greenhaven Press, 1996. Reprint from Literature. N. p.: Random House, 1986. Mack, Maynard. Everybody’s Shakespeare: Reflections Chiefly on the Tragedies. Lincoln, NB: University of Nebraska Press, 1993. Muir, Kenneth. Introduction. William Shakespeare: Othello. New York: Penguin Books, 1968. Shakespeare, William. Othello. In The Electric Shakespeare. Princeton University. 1996. http://www.eiu.edu/~multilit/studyabroad/othello/othello_all.html No line nos.

Overview of Accounting Essay

The audiences of financial statements and managerial reports include the shareholders, employees, prospective employees, customers, suppliers, the government, the stock exchanges, investors, lenders and the public at large. What is important is that each audience has a different perspective in reading the financial statements and managerial reports. For example, a lender would like to know the leverage of the company, if it has the capacity to service debt and if the loans to the company would be well secured. There are several purposes served in preparing financial statements and managerial reports. The financial statements are designed to show its audience, the companies finances, that is how the company got its finances, what it was used for and where is it being currently used (Luecke, R. 2002). For this purpose there are four main financial statements that is the income statement, the cash flow statement, the balance sheet and the statement of shareholders equity. In general an income statement has the purpose of showing how much revenue a company earned in a period of time, the balance sheet shows the company’s assets, liabilities and shareholders equity, the cash flow statement shows the inflow and outflow of cash and the purpose of the statement of shareholders equity is to show changes in the ownership of company’s shareholders over a period of time. The nature of the income statement is in the form of a report that shows the costs and expenses that the businesses incurs in order to earn its revenue. It gives the net earnings of the company. The nature of balance is such that it provides point wise information about the assets, liabilities and shareholders equity. The nature of a businesses balance sheet is such that it is set up like the basic accounting equation. Usually on the left hand side the companies list the assets and on the right hand side they list their liabilities with the shareholders’ interest at the bottom. This arrangement differs from country to country. For instance, in some countries the assets are listed on the right hand side. However, the basic nature of the balance sheet remains the same. The nature of the cash flow statement is such that it can inform its audience if the business generated cash or not. The cash flow statement is a report that shows cash changes over time instead of exact currency amounts at a point in time. It simply uses and rearranges information from the balance sheet and income statement of the business. The most important report that is issued by the management of a company is the annual report (Stittle, J. 2003). The nature of this report is such that it has detailed financial and business information required by law of the country in which the company is registered, modern annual reports have impressive pictures and stories that eulogize the company’s performance in the past year. The information contained in this report can help the audience make informed and ethical decisions. In the USA the SEC requires that the audited annual report be sent to every shareholder at the end of the year. In this the management comments about the future. Form 10-K required to be filled in the USA ha more detailed financial information. The company’s financial performance is described in a section of the quarterly or annual report that is called â€Å"Management’s Discussion and Analysis of Financial Condition and Results of Operation,† In this section of the Annual Report the management describes its own understanding of the financial condition of the company. The management in this section of the annual or quarterly report describes what it understands of the current financial condition of the business. It also gives its view of the relevant trends and challenges that the business faces. This allows the audience to see the financial condition of the business from the perspective of management and allows the audience to make informed and ethical decisions. In other words it provides the audiences the background that is required to study and understand the financial statements. Financial accounting information can be used in making informed and ethical business decisions. How? The income statement shows the earning per share, a calculation that tells you how much you as a shareholder would receive if the company distributed all its earnings. This allows you to make an invest/ non invest decision. Giving more information about the financial health of the company is the cash flow statement. It divides cash flow into flows from operating activities, investing activities and financing activities. This informs not only the investors but also the management, employees, suppliers and customers about the source of cash for the company and allows them to make better decisions. The footnotes of the reports give important information that helps make efficient and ethical decisions. The footnotes refer to stock options, pension plans, income taxes and important accounting policies and practices. For example, a company may be showing an inflated profit figure because its accounting practices have changed but reading the footnotes helps the audiences make better decisions and ethical decisions with regards to the company. To make ethical and informed decisions it is important to read between the lines of these reports. How is this accomplished? By doing ratio analysis! Commonly the ratios that are examined are debt-to-equity ratio, inventory turnover ratio, operating margin ratio, P/E ratio and working capital. Consider this, well before the Enron scam exploded; several investors were able to smell by examining the ratios that something was wrong with the company. They decided to sell off their stocks and avoided losses. To sum, the intention of the financial statements and management report is to inform the different stakeholders of a business. If these statements are carefully analyzed and understood they help these stakeholders make an informed and ethical decisions.

Hamlet and the Impact on the Audience Essay - 1238 Words

Hamlet Essay Many of the plays written by Shakespeare in his time were performed to influence his audience and provoke thought and debate the social, cultural and economic events that were taking place at that time. Shakespeare’s Hamlet, in particular, was a reflection of the events happening during the Elizabethan era. In this essay, the focus is mainly on Act IV scene IV and the speech of Hamlet and the essay focuses on answering the question of the effect Hamlet had on the audience in the Elizabethan era, specifically culturally, socially, and economically. It is the purpose of this essay to demonstrate that due to the religious turmoil of the Elizabethan era, Hamlet’s reference to God in Act IV was significant to show that†¦show more content†¦This action taken by Shakespeare affects the attitude the audience may have towards either Catholics or Protestants at the time by creating a mutual understanding of the religions. In doing so, Hamlet does not create disagreement s and succeeds in meeting the rules of the Queen, for it is not a religion-oriented play. Nothing is more interesting than to analyse the behaviours of a psychotic person. In an attempt to draw the audience into the play, Shakespeare uses the physiological processes of the body and their relation to the mind and soul.3 In the Elizabethan era, many were fascinated with medicine and the psychological behaviour of others. This is shown from the play where Hamlet’s sanity level is based on the four humours- Blood, Phlegme, Choler and Melancholie; all seasons mixed and mingled together within the veins, though not alike for everyone: for even as it is not possible to finde the partie in whom the foure elements are equally mixed...there is alwaies someone which doth over rule the rest and of it is the parties complexion named: if blood doe abound, we call such a complexion, sanguine; if phlegme, phlegmatic; if choler, cholerike; and if melancholie, melancholike (Laurentius 84)2 This explains that when one contains too much of a certain humour in his blood, they will ha ve the characteristic traits of this humour. FromShow MoreRelatedThe Ghost Is a Useful Dramatic Device; Essay1444 Words   |  6 PagesDuring the Elizabethan period, a ghost was seen as a common feature in most tragedy plays. 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