Hard Times Of The Great Depression - Free Essay Example

Sample details Pages: 3 Words: 1018 Downloads: 4 Date added: 2019/05/15 Category History Essay Level High school Tags: Great Depression Essay Did you like this example? Everybody in the U.S faced problems during the Great Depression. The Great Depression started October 29, 1929 and at the end of 1933 millions of Americans had no jobs, the depression started to end around 1941. Three things not heavily realized affected by the Great Depression, politics in California, Okies in California, and the election of 1932 FDR. These three things, Politics in California, Okies in California, and the 1932 election of FDR were affected by the Depression, heres why. During the depression and after the Dust Bowl Okies had lost everything. They were originally farmers from the Southern Plains but the Dust Bowl hit and they lost everything, then they overproduced and prices dropped heavily from the bushel and left basically everyone broke. Most of them went to California to find a job because there was a diversity of crops to be grown there and they thought there would be more job opportunities. As soon as they got their California had an issue, California had once advertised for more migrant workers found themselves overwhelmed by up to 7,000 new migrants a month. They were not as ready for this as they thought they were there was so many new people it was a huge sudden change and there wasnt jobs for everybody. There was some jobs to be had but it was astonishing how many new people were coming monthly in time. Don’t waste time! Our writers will create an original "Hard Times Of The Great Depression" essay for you Create order Thus, some people didnt get the life they were looking for, But there wasnt enough work for everyone who came. Instead of immediate riches, they often found squalor in roadside ditch encampments. Most had not gotten the life they wanted instead they were back to square one with nothing. They had to figure out what to do in little time to make money or they would be set like this for a long time. Places like this wherent ideal to live in especially when it comes to sanitation. Furthermore, Due to insufficient sanitation in these camps, disease ran rampant among the migrant workers and their families had no running water, and with their minimal pay medical attention was out of the question. Disease spreads like wildfire with no sanitation it can get many people sick and especially with no money for medical attention they had nothing to treat them and just hoped it would get better. That obviously in most cases doesnt work and ends up killing hundreds maybe thousands of people. Okies in California wherent getting the journey and prosperity they were hoping for from the dust bowl and the great depression. Education in California, was affected by the great depression in many ways but mostly not having any money because there was none to finance the schools. People had no money also so kids just stayed home and supported their families. In this instance, Reduced the level of state support for schools so they couldnt get the funds they needed. This took a toll on property tax payers by having to pay extra money to try to finance the schools. Kids couldnt get an education like they could before, because they couldnt pay for the essentials to have the school working like new books, electricity bills, and even the teachers. Another statement regards ?Children worked to support their families they were unable to go to school Kids parents were struggling to pay bills so they had to support them. Some ways were getting a job or helping around the house, they had no time to go to school. In addition, Had to force a substantial change in means of financing public education Therefore big change was occurring in being able to finance public education with having no money. They had none to fund the schools to keep them running or most of them having to close down, which in turn means no education for most people so that would affect everybody because if they didnt have an education they wouldnt have the tools to get a job which you would need to know the information. The election of 1932(FDR): The election of 1932 was important! People were looking for a president who could get them out of the worst times of the depression they needed stability. That started with who was going to lead the country out of these poor times. They needed a reason that will have change and give the people of the United States hope. Franklin Delano Roosevelt (FDR) running for president of 1932 by his reasons he gave the people, Furthermore, FDR told Americans that only by working together could the nation overcome the economic crisis The people were willing to vote for anyone who could bring them out of the great depression. FDR was going to work to achieve that goal as much as he can by using his rationalism and knowledge. Additionally, He promised aid to farmers, public development of electric power, a balanced budget, and government policing of irresponsible private economic power. Due to these reasons he gave people in crisis hope to give them stability and that gav e the people a good reason to vote for FDR. There was so many people in crises that need aid and electric power that gave FDR a huge percentage of votes. Election day came around and lastly, On election day Roosevelt received nearly 23 million popular votes (57.3 percent) to Hoovers nearly 16 million (39.6 percent); the electoral vote was 472 to 59. FDR creamed Hoover, he won by more than 450 electoral votes which you need to have more than the other person to get elected. He won by seven million in the popular vote (60% of the people that voted went with FDR) He was the clear favorite and brought the best campaign to become the president of the United States in the election of 1932 and became the 32nd president. The Depression affected many things but these three topics was something not recognized as much as many other topics. How the Depression, affected Politics, The Okies in California, and The Election of 1932 and how FDR got voted as the President of the United States. The Depression and Dust Bowl overwhelmed everybody in America from any race you were to where you lived.

The Media Image Of Women - 844 Words

The way the media depicts women also categorizes which sports are female friendly and which are not. The more the media portrays women as delicate and skinny the more people will associate them with certain sports. Likewise for men, the more physical contact and tough a sport is then it is more associated with men. The way these sports are covered in the media, the language used when reporting it and the visual aspects of how it is displayed subconsciously causes people to assign genders to the sport. This is seen in sports such as gymnastics. It is considered a feminine sport and therefore only women should be participating in it. If a man did decide to do gymnastics or figure skating he is presumed to be gay. With that being said the only time women get the most attention is during the Olympics. Specifically, when they air those feminine sports is when they receive the most amount of exposure in the media. â€Å"Therefore, the only sports in which women may be expected to receive equal (or greater) production treatment as men are the sliver of sports considered feminine, such as gymnastics or figure skating† (Greer, Hardin, Homan, 2009, p. 185). A part of this reason is because some of our top competitors in the Olympics (China and Russia) have very strong gymnastics and figure skating teams. Naturally, everyone wants to see America beat another country in something they are stereotypically supposed to be good at. This causes an increase in viewership for theseSh ow MoreRelatedThe Media Image Of Women1129 Words   |  5 Pagesdebate over the Caitlyn Jenner story, a media icon that has recently transitioned from being male to female. 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Every sign we pass, each magazine we happen to glance at the cover of, our friends’ and strangers’ Instagram posts, and Facebook ads and articles frame aRead MoreNegative Body Image of Women in the Media2325 Words   |  10 PagesEffects on Women Based on Portrayals of Hollywood Women Today media ranges from television to newspaper articles. Many in society do not realize the negative effects that the media portrays to young women. Young women are more susceptible to these negative side effects resulting in low self-esteem, eating disorders, or depression. Media projects images of women that have been surgically or technologically edited, these projections are causing negative effects. These unrealistic women have aRead MoreMedia And Women s Self Image Essay1851 Words   |  8 PagesMEDIA AND WOMEN’S SELF-IMAGE This paper will discuss the view that the media generally has a negative impact on the self-image of women. The evidence to support this view has been provided by the arguments of women writers and the findings of empirical studies over the years. Media representations present an ideal for female appearance and behavior. Women, especially those who are young and impressionable, accept this seemingly authoritative ideal and develop a negative self-image when their ownRead MoreMedia Influence On Women s Body Image1688 Words   |  7 Pagesperfect body image has changed in many ways. This is very evident in the female sex, especially through media. â€Å"Americans spend about 68 hours per week exposed to various forms of media† (US Census Bureau 2009). This media exposure through outlets such as t.v., radio, music videos, movies, and the internet, all influence the way people think about gender. The media influence is very evident in the way people view women and think about women in different cultures. Media influence on women creates negativeRead MoreThe Effects Of Media On Women s Body Image1242 Words   |  5 Pagesinfluence of the media on all aspects of culture and society has been a issue around the world. One of the social cultural aspects particularly influenced by the media is body image. A surprisingly large number of individuals, the majority of which are young women, develop their body image in with the ideas advanced by the media, which judge women’s attractiveness based on how thin they are. Body-image plays a very important role in our individualistic society. Modern beauty image standards whichRead More Media Affects on the Self- image of Women Essay916 Words   |  4 Pages Media Affects on the Self- image of Women When you first glance at this article, you might say to yourself â€Å"I know what women in the media is about, its stereotypes and sexism.† What you probably don’t know is that however subtle, these visual cues are affecting women individually and collectively, in how they view themselves and other women. Relationships are a fundamental aspect of women’s behaviorism and advertising exploits this. It turns people into objects and offersRead MoreThe Effect Of Media On Women s Body Image Essay2058 Words   |  9 PagesEffect of Media on Women’s Body Image In this paper, the belief that the media has a negative effect on the body image of women will be discussed. When a woman sees a representation of the â€Å"ideal body† on advertisements on television, magazines, or social media, they compare it to their own bodies, and when their bodies fail to resemble those seen in the media, a negative body image and negative self-esteem is developed. The issue is that what is seen in the media is unattainable. The media primarilyRead MoreHow Media Affects Women Body Image1924 Words   |  8 Pages　How media affects women’s body image Mass media is designed to reach large audiences through the use of technology. Its purpose is meant to give information we need to function as a society. Mass media is everywhere; there is no escaping from it. From the moment you wake until you fall asleep you are confronted with media. Almost every home in America has at least one television, access to the internet, and cell phones. Someone cannot drive down the highway without seeing billboard signs. CheckingRead MoreMass Media Affects Women s Body Image Essay873 Words   |  4 PagesMass media affects women’s body image in many ways. â€Å"Media images of ridiculously thin women are everywhere- television shows, movies, popular magazines† (Farrar). Starting at a very young age, girls are exposed to media suggestions about what the â€Å"ideal† female body image should be. â€Å"Concern over weight and appearance related issues often surface early in females’ development, and continues throughout the l ifespan† (Serdar). Teenagers often see celebrities, fashion models, and show hosts as role

Hospitalizations for Heart Failure Pashient

Question: Discuss about the Report for Hospitalizations for Heart Failure Pashient. Answer: Part A The essay is on the topic of heart failure and its causes. Heart failure is a major public health issue worldwide, and its incidence is rising. The lifetime risk of developing heart failure cases is one in five people. It is a potential burden on the health care system with high rates of hospitalization and outpatient visit. The severity of the disease can be predicted by its risk factors such as ischemic heart disease, smoking, obesity, diabetes and hypertension. This essay will discuss the epidemiology of heart failure and the fatality of the disease. It will also focus on the incidence of heart failure in Malaysia and how it has affected people in Malaysia. The situation can be dealt with by new models of patient-centered care that can support heart failure patient and decreases hospitalization rate. It will describe the burden of the disease and what actions need to be taken to minimize the incidence of heart failure. The thesis statement would be reducing the global burden of he art failure. Congestive heart failure is a clinical condition which occurs when the heart muscle weakens and cannot pump blood sufficiently to maintain normal blood flow in the body. The structural or functional cardiac disorder impairs ventricle's ability to fill or eject blood. The condition develops over time when pumping action of heart weakens in the individual. Heart failure can affect the right ventricle or left ventricle or both sides of the heart. It may either systolic or diastolic and acute or chronic. Heart failure begins with the left ventricle of the heart as it is the main pumping chamber of the heart (Mann et al., (2014). The symptoms associated with heart failure include shortness of breath, tiredness, and swelling. The breathing problems worsen during exercise, while lying down. Acute heart failure results due to acute pulmonary edema, cardiogenic shock characterized by hypotension and peripheral vasoconstriction. Heart failure may be ongoing (chronic) or occurring suddenly (Acute heart failure). It may cause irregular heartbeat, persistent cough with pink or white phlegm, increased the need to urinate at night, abdomen swelling, weight gain, lack of appetite and nausea, lack of appetite and chest pain (when heart failure occurs by heart attack) (Roger, 2012). This section will discuss the cause of Left-sided heart failure. It occurs when the heart cannot pump adequate oxygen-rich blood to the rest of the body. During left-sided heart failure, it causes blood to congest into the lungs causing respiratory problem and fatigue due to insufficient supply of blood. Pulmonary edema is detected by crackles sounds. Severe pulmonary edema may cause cyanosis due to low blood oxygen. Other symptoms of left ventricular failure include gallop rhythm indicating increased blood flow and laterally displaced apex beat when the heart is enlarged. Heart murmurs may also indicate heart failure (Vachiry et al., 2013). Right-sided heart failure affects right ventricle when the heart cannot pump enough blood to the lungs to pick up oxygen. In this case, fluids accumulate in the abdomen, legs, and feet causing swelling. Right-sided heart failure is caused by left side heart failure. This is because when left ventricle does not pump blood efficiently, the pressure in the left side builds up and right side fails. When blood backups in the ventricles into the lungs and then the right ventricle also fails. This then extends to the liver and other organs. It is also caused by chronic lung disease, tricuspid stenosis (Narrowing the tricuspid valve), pulmonic stenosis ( narrowing the pulmonary valve), tricuspid regurgitation (improper closing of tricuspid valve), pericardial constriction (stiffening of pericardium) and left-to-right shunt (abnormal connection between left and right side of the heart) (Schwartzenberg et al., 2012). Systolic heart failure occurs when the left side of the heart cannot pump blood out of the body normally. It is called systolic as ventricles cannot contract completely during systole, and so the test may show low ejection fraction. It may be caused by coronary artery disease, cardiomyopathy, high blood pressure, arrhythmia (irregular heart rhythm), mitral regurgitation and viral myocarditis (viral infection in heart muscle). Coronary artery disease or heart attack blocks the arteries thus limiting blood flow to heart muscle. It damages heart muscle and impairs heart muscle's ability to pump blood. Cardiomyopathy weakens the heart muscle, and when the patient has high blood pressure, the heart has to work harder against increased pressure further damaging heart muscles. In the case of mitral regurgitation, mitral valve does not close properly leading to leakage on the left side of the heart (E Hogan Cowger, 2014). Diastolic heart failure occurs due to declining in the performance of one or both sides of the ventricle during diastole. Diastole is the event in cardiac cycle during which heart relaxes, and it is filled with blood coming from the body through the inferior and superior vena cavae to the right atrium and from lungs to left atrium. Diastolic dysfunction is detected by Doppler echocardiography. Left ventricular stiffening may be caused due to prolonged hypertension, aortic stenosis, diabetes, restrictive cardiomyopathy and old age people (Jackson, 2013). The general cause of heart failure is previous myocardial infarction, high blood pressure, atrial fibrillation, excess consumption of alcohol and cardiomyopathy. All these symptoms either changes the function or the structure of the heart. Since heart failure is caused by myocardial infarction, this section will analyze what events lead to heart attack in the individual. A heart attack occurs when blood flow to the heart is disrupted causing damage to heart muscles. The heart is deprived of oxygen due to blockage of a coronary artery. The coronary artery is involved in supplying the heart muscle with oxygenated blood. In the absence of oxygen, muscle cells begin to die or infarct. The symptoms of heart attack are chest pain which may travel to back, arm, shoulder or jaw. The heart attack is also associated with nausea, the faint sensation, cold sweat and tiredness. Those persons who have diabetes, high blood pressure, high cholesterol, obesity and those who has poor diet intake, cons umes lot of alcohol and does not exercise are at more risk of myocardial infarction. It is diagnosed by the test like an electrocardiogram, blood tests like troponin and creatinine kinase and coronary angiography (McMurray et al., 2012). This section gives insight into diagnosis of heart failure. Heart failure is a costly and fatal condition. It is diagnosed by analyzing the history of symptoms and confirmed by echocardiography. Physicians determine the underlying cause of heart failure by blood test and chest radiography. The severity and cause of the disease may vary in individuals, so treatment will also depend on these factors. If any patient is suffering from mild heart failure, then they have advised lifestyle modification such as quitting smoking, increasing physical exercise, and changes in diet and medications. For patients with left-ventricular heart failure, angiotensin receptor blockers are given during treatment. Severe heart failure patients are treated by receptors blockers and beta blockers. In several cases, implantable cardiac defibrillator or pacemaker is also implanted in patients. In severe cases, cardiac resynchronization therapy is performed. If all form of treatment option fails, then ventricu lar assistive device or heart transplant is recommended (Roger, 2013). This section discusses the epidemiological transition of cardiovascular disease with time. The health status and illness profile of people in the society depends on the extent of economic development and social organization in any place. When countries were in the earliest stage of development, rheumatic heart disease was prevalent due to nutritional deficiency disorder. This region included south-Asia, Sub-Saharan Africa, and South America. During the second stage of development, hemorrhagic stroke, and hypertensive heart disease became common. An example of this regions includes China and other Asian countries. With further development in society, life-expectancy improved but high-calorie diet, cigarette smoking, and sedentary lifestyle became common. This led to the prevalence of atherosclerotic cardiovascular disease and ischemic heart disease. This disease is prevalent in India, Latin America, and other countries. During the last stage of development, efforts to prevent and diag nose disease delay the disease to later ages. Regions in this stage include Western Europe, North America, Australia and New Zealand (Sakata Shimokawa, 2013). This section discusses the global burden of cardiovascular diseases. The severity of cardiovascular disease is dependent on lifestyle determinants of diet, physical activity, and tobacco consumption. Heart disease is now the leading cause of death worldwide leading to about 17.5 million deaths per year. It is estimated that the incidence heart disease is going to rise by more than 23 million by 2030. In 2008, cardiovascular disease was the cause of 30% death worldwide with most of them occurring in low and middle-income countries. It takes more lives than all forms of cancer put together. The direct and indirect burden of the disease is high. It has led to increased health expenditure and loss of productivity. It is also a leading cause of death in U.S with about 1 in 7 cases of death reported. In Europe and America, 1-2% of total health expenditure is incurred in heart failure treatment. More than 74% of cardiac patients suffer from at least one comorbidity to worsen the overall hea lth status of the individual (Cook et al., 2014). In Malaysia, 6.7 % of the population is diagnosed with cardiovascular disease. The burden of the disease is determined by hospitalization rate, the cost of drugs, primary treatment and other treatment in countries. It is a challenge for the health care system to effectively manage the disease. The incidence of heart disease is more prevalent in women than in men (Sakata Shimokawa, 2013). This section is about incidence of heart failure in Malaysia. Global burden of disease is estimated by measuring the disability-adjusted-life-year (DALY) in selected population. One DALY is equal to one lost year of healthy life. It is calculated by sum of Years of Life Lost (YLL) and Years Lost due to Disability (YLD). In Malaysia, life expectancy for male is 71.7 years and 78 years for females. In Malaysia, ischemic heart disease, road injuries and cerebrovascular disease is the leading cause of death in terms of years of life lost (YLL). The major risk factor in Malaysia includes risk due to diet, high systolic pressure and high body mass index. Highest mortality rate was found in males within the age of 45-49 years. Ischemic heart disease continues to be the number one cause of death in Malaysia. It was in the first ranking both in the year 1990 and year 2013. According to latest published data of WHO in 2014, deaths due to coronary heart disease in Malaysia have reached 23.10%. Malaysia ranks 33rd in the world according to age-adjusted death rate, and it were 150.1 per 1 lakh population (Khatibzadeh et al.,,2013).. The major risk factor for disease burden in Malaysia includes dietary risk, high blood pressure, and cigarette smoking. Adults between 15-49 years had dietary risk and children under five years had risk because of being underweight. It is a public health concern for Malaysia as the mortality due to coronary artery disease has increased three-fold in the last forty years (Yusuf et al., 2014). Malaysian population mainly consists of Indians, Chinese, and Malays. Although Indians comprise only 10% of the population, 56 % of patients having the heart attack before 40 years were Indians (Callender,2014). This is because Indians have the major prevalence of risk factors like diabetes, high blood pressure, and cholesterol. For patients with heart coronary surgery, common risk factors include dyslipidemia, hypertension, and diabetes. In the case of patients with heart attack, Indians had 4 % higher rate of diabetes than Malays. Other risk factors include obesity, low physical activity. So if there is a health drive to control the disease, the burden of the disease can be reduced. Heart failure has lead to high hospitalization rates and dismal survival rate compared to other cancers. It is also found that Asians suffer from heart failure ten years earlier than Western population (Dokainish et al., 2015). This section is a detail on pharmacological management of heart disease. Malaysia can also reduce the burden of the disease if health care takes a role in adopting strategies to reduce heart disease incidence. Physician indicates diuretics to those heart disease patient who has symptoms of fluid retention. Angiotensin-converting-enzyme inhibitors are first line of drug for treatment of heart failure and left ventricular systolic dysfunction. This medication improves survival rate and quality of life in all kinds of heart failure. Digoxin is also a drug for heart failure and atrial fibrillation. Beta blockers are recommended to reduce the risk of exacerbation and clinical deterioration due to heart failure. Anticoagulation therapy with warfarin is indicated for patients with atrial fibrillation and past history of thromboembolic episodes. There are also surgical procedures to reduce the disease. This includes revascularization therapy for ischaemic heart failure patients and balloon v alvoplasty for valvular heart disease. For a patient with low heart rate, pacemakers are beneficial. In severe cases, implantable cardioverter defibrillators are given for complications like resuscitated sudden cardiac death. When conventional surgical treatment fails, heart transplantation is the standard mode of treatment in such case. It increases quality of life and survival rate (Ambrosy et al., 2014). This section is about prevention strategy for heart failure. Due to the significant morbidity and mortality associated with the disease worldwide and in Malaysia. Prevention strategy is necessary to reduce the incidences of heart disease. Prevention is crucial not just because of high morbidity and mortality, but also due to the high cost of medical treatment and time lost due to absence from work. It is necessary to analyze risk factor both at the individual level and by geographical location. Promoting lifestyle changes like quitting smoking, lipid reduction, dietary changes, improving the socio-economic condition and different therapy is the most important factor for preventing the heart disease (Mohamed et al., 2014).. This section is about the role of healthcare department in making appropriate health policies. Healthcare department has a significant role in implementing policies and programs to reduce the burden of heart disease globally. They need to promote ways of prevention of heart failure by public awareness programs. They need to optimize care regimen, improve end-of-life care and provide equity of attention to all class of people in all countries. Health care organizations need to appoint specialist of heart failure in all discipline who manage the patient in an emergency. The health care models need to be redeveloped to implement better methods of quality care. Many people are not aware of the risk factors for heart disease and so giving support and education to the public in this regard is essential. There might be some shortcomings in the treatment process, so more research should be done to discover new therapy (Callender et al., 2014). Prevention of heart failure should be a priority for policymakers, particularly for the high-risk population. Certain illness is also the risk factors for heart failure. Such patients should be encouraged to introduce lifestyle changes that minimize the possibility of heart disease. There should be more support for the implementation of public awareness programs that educated the public on heart failure, its cause, symptoms and prevention strategies. Health care professional should also be given the responsibility to identify patients with those illnesses that increase the risk of heart failure (Chiang et al., 2014). Such patients any given preventive medications. It is also important to raise awareness among healthcare professionals, and the purpose should be to improve diagnosis and treatment procedure and provide proper clinical practice guidelines to medical staff. Patients should be empowered to take adequate health care before developing the disease. Further research in heart f ailure is also an important factor for reducing the incidence of heart failure. The government and other health care department should provide a fund to encourage collaborative research. It will improve understanding of the pattern and effect of cardiovascular disease and will lead to prevention across the globe. Patients receiving long-term preventive therapy should regularly be assessed. Large scale screening program should also be arranged for the patient at risk of developing heart failure. It will lead to cost-effectiveness and increase life expectancy in people (Klement et al., 2015). From the overall essay, it can be summarized that heart failure is the leading cause of disease worldwide, and adequate steps need to be taken to combat the effect of mortality and morbidity associated with the disease. The essay described the epidemiology of heart failure giving details on all types of heart failure. It explained the cause of heart failure and its symptoms. It reported the prevalence of heart disease globally and the burden of disease. About Malaysian context, it gave the detailed regarding the impact of heart disease in the region and what risk factors has made it the place with the highest incidence of the disease. It gave detail it different available treatment option for the disease. The final part of the essay gave a recommendation regarding policies that needs to be made to prevent heart disease. It gave details regarding improvement in heath care system awareness programs to enable people to make appropriate lifestyle changes. Part b From the pie chart, one can infer that National Library is a source for borrowing both academic and non-academic books. Books are available in different subjects in the library like history, science, biography, fiction and self-help subject books. After analyzing the percentage of books that were borrowed from the library, it is seen that people are mainly interested in books related to fiction. This is evident from the pie chart as it shows that 43 % people borrowed books on fiction. This might be because the National Library is not just for the use of student and college goers, but other class of people also comes to the library. The majority of book lovers have an interest in reading fiction books. So they may be visiting the library in their leisure time to read and enjoy such books. It is a good way of spending time on our own. People get engrossed in such fictional stories. The percentage of individuals taking biography book was 19%. It may indicate that many people are interes ted in knowing about the life of influential and inspiring characters in history. The percentage of science and history book borrowed were 14 %. This could be because of students coming to the library for help in their coursework. Self-help books have the least number of borrowers which was 10%. It is because very few people rely on self-help books. People may prefer searching the internet to find information instead of relying on such books. Reference Ambrosy, A. P., Fonarow, G. C., Butler, J., Chioncel, O., Greene, S. J., Vaduganathan, M., ... Gheorghiade, M. (2014). The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries.Journal of the American College of Cardiology,63(12), 1123-1133. Callender, T., Woodward, M., Roth, G., Farzadfar, F., Lemarie, J. C., Gicquel, S., ... Bennett, D. (2014). Heart failure care in low-and middle-income countries: a systematic review and meta-analysis.PLoS Med,11(8), e1001699. Callender, T., Woodward, M., Roth, G., Farzadfar, F., Lemarie, J. C., Gicquel, S., ... Bennett, D. (2014). Heart failure care in low-and middle-income countries: a systematic review and meta-analysis.PLoS Med,11(8), e1001699. Chiang, C. E., Wang, K. L., Lip, G. Y. (2014). Stroke prevention in atrial fibrillation: an Asian perspective.Thromb Haemost,111(5), 789-97. Cook, C., Cole, G., Asaria, P., Jabbour, R., Francis, D. P. (2014). The annual global economic burden of heart failure.International journal of cardiology,171(3), 368-376. Dokainish, H., Teo, K., Zhu, J., Roy, A., Al-Habib, K., ElSayed, A., ... Orlandini, A. (2015). Heart failure in low-and middle-income countries: background, rationale, and design of the INTERnational Congestive Heart Failure Study (INTER-CHF).American heart journal,170(4), 627-634. E Hogan, S., A Cowger, J. (2014). Systolic Heart Failure.Inpatient Cardiovascular Medicine, 154-165. Jackson, S. M. (2013). Diastolic heart failure.Adv NPs Pas,4(2), 23. Khatibzadeh, S., Farzadfar, F., Oliver, J., Ezzati, M., Moran, A. (2013). Worldwide risk factors for heart failure: a systematic review and pooled analysis.International journal of cardiology,168(2), 1186-1194. Klement, A., Meyer, G., Prondzinsky, R., Unverzagt, S. (2015). Interventions to Enhance Adherence to Guideline Recommendations in Secondary and Tertiary Prevention of Heart Failure: A Systematic Review.Journal of Clinical Trials,2014. Mann, D. L., Zipes, D. P., Libby, P., Bonow, R. O. (2014).Braunwald's heart disease: a textbook of cardiovascular medicine. Elsevier Health Sciences. McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Bhm, M., Dickstein, K., ... Jaarsma, T. (2012). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012.European journal of heart failure,14(8), 803-869. Mohamed, N. F., Azan, A., Peterson, R. F., Alwi, M. M., Shaharom, M. H. (2014). Mental and physical health comparison among psychologically distressed heart failure patients in Malaysia.Procedia-Social and Behavioral Sciences,127, 412-416. Roger, V. L. (2013). Epidemiology of heart failure.Circulation research,113(6), 646-659. Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., ... Fullerton, H. J. (2012). Heart disease and stroke statistics2012 update a report from the American heart association.Circulation,125(1), e2-e220. Sakata, Y., Shimokawa, H. (2013). Epidemiology of heart failure in Asia.Circulation Journal,77(9), 2209-2217. Sakata, Y., Shimokawa, H. (2013). Epidemiology of heart failure in Asia.Circulation Journal,77(9), 2209-2217. Schwartzenberg, S., Redfield, M. M., From, A. M., Sorajja, P., Nishimura, R. A., Borlaug, B. A. (2012). Effects of vasodilation in heart failure with preserved or reduced ejection fraction: implications of distinct pathophysiologies on response to therapy.Journal of the American College of Cardiology,59(5), 442-451. Vachiry, J. L., Adir, Y., Barber, J. A., Champion, H., Coghlan, J. G., Cottin, V., ... Martinez, F. (2013). Pulmonary hypertension due to left heart diseases.Journal of the American College of Cardiology,62(25_S). Yusuf, S., Rangarajan, S., Teo, K., Islam, S., Li, W., Liu, L., ... Yu, L. (2014). Cardiovascular risk and events in 17 low-, middle-, and high-income countries.New England Journal of Medicine,371(9), 818-827.

A Constitution Is A Mirror Reflecting The National Soul Essays

A Constitution Is A Mirror Reflecting The National Soul A constitution is a mirror reflecting the national soul. A constitution really only reflects the type of people who wrote it, the time peroid when written and the people over time who will find ways to exploit it. Although we are raised to believe that a constitution is the greatest thing since sliced bread, there are many flaws. Section 2.1 (d) of the Aug. 28, 1992 Constitutional Accord states: Canadians and their governments are committed to the vitality and development of official language minority communities throughout Canada. Except in 2.1(b) concearning native languges, all other languges are delibertely left out. This is utterly and completely racist. This leaves out millions of Canadians and turns them into second class citizens. It would be more appropiate to have offical replaced with white. How can we preach equality if were not equal. If we left no room for racisim in our constitution we would have the word official replaced with working since it is neutral but still recognizes that French and English are the most dominant languges. However, the Canadian constitution is not alone in it's racisim. When the American constitution was written to uphold equality for all and the freedom to pursue happiness, were the blacks of the country involved. No, of course not. The constitution refleceted only the white peoples values at the time. The people who wrote it. Which brings me to my next point. Written constitutions primarly are flawed since they can't evolve with the nation. They usually represent ignorant views that are no longer relevent to modern society. How good will our constitution be in two hundred years? How good will it be in five hundred years? A good example of this would be the American right to bear arms. This initially was in order to protect themselves from the British and probably made perfect sense, at the time. But now this is totally absurd. People have to live in fear and protect themselves, ironically enough, with guns because there are so many out there. There are school shootings it seems once every month and putting control on guns is nearly impossible because it is protected by the constitution. This correlates directly with my last point. Writing a constitution gives practically total immunity to every (Warning!! Good Guliver's Travels symbolisim about to be injected.) yahoo out there. The biggest example of this is the N.R.A., despite some good promotion by Charlton Heston. They have the right to bear today's most deadly assualt weapons because they know they can hide behind the all powerful constitution. The constitution in the U.S. is exploited so a bunch of rednecks can play with their guns. All attempts of control on these weapons is continually knocked down because it is unconstitutional. Hell, that part of the American constitution will probably never change. Which shows just what kind of damage can be done with the constitution. All my contempteous arguing can be summed up in this: A constitution is a mirror attempting to reflect the national soul. This leaves room for inevitable error but ensures that we are forever continuing to improve our constitution. Governmental Issues

Bessie Smith Essays - Music, Entertainment, Blues, Bisexual Women

Bessie Smith Essays - Music, Entertainment, Blues, Bisexual Women Bessie Smith Known as the Empress Of Blues, Bessie Smith was said to have revolutionized the vocal end of Blues Music. She showed a lot of pride as an independent African-American woman. Her style in performance and lyrics often reflected her lifestyle. Bessie Smith was one of the first female jazz artists, and she paved the way for many musicians who followed. Bessie was born April 15, 1894 in Chattanooga, Tennessee to a part time Baptist preacher, William Smith, and his wife Laura. The family was large and poor. Soon after she was born her father died. Laura lived until Bessie was only nine years old. The remaining children had to learn to take care of themselves. Her sister Viola then raised her. But it was her oldest brother, Clarence, who had the most impact on her. Clarence always encouraged Bessie to learn to sing and dance. After Clarence had joined the Moses Stokes Minstrel Show, Bessie got auditions. Bessie's career began when she was discovered' by none other than Ma Rainey when Ma's revue, the Rabbit Foot Minstrels, was passing through Chattanooga around 1912 and she had the occasion to hear young Bessie sing. Ma took Bessie on the road with the show and communicated, consciously or not, the subtleties and intricacies of an ancient and still emerging art form. (Snow). Bessie started by working small-time traveling tent shows. With the help of Clarence she began her professional career in 1912, and soon became a featured singer. Smith was an established star with the black audiences throughout the south by the time she moved to Philadelphia in 1921. However, two more years would pass before she would begin her recording career. Soon after moving to Philadelphia, Smith supposedly auditioned for Okeh and other recording companies. However, each time the talent scouts would say that her voice was too rough to record. Finally, Columbia Records? Frank Walter signed Smith to a recording contract and set her up in a studio on February 15, 1923. Although there is nothing that survives from her very first recording date, the following date she recorded Gulf Coast Blues and Down Hearted Blues. The record sold more than 750,000 copies that year, making her a blues star. She then married Jack McGee in June 1923. In the mid-twenties she toured the entire south and most of the major northern cities, always as the star attraction on the bill. Smith recorded with a number of noted musicians. These included pianists Fletcher Henderson and James P. Johnson, cornetist Louie Armstrong, saxophonists Coleman Hawkins and Don Redman, and clarinetist Buster Bailey. Many of her earlier songs featured only a piano accompaniment, which allowed sole focus on Smiths vocals. Yet the songs cut with Armstrong featured the two most prominent black recording artists of the 1920s. They worked off each others talents and sang too the blues backdrops while keeping the southern roots. In 1929 Smith recorded the haunting Nobody Knows You When Youre Down and Out, a tune blues historian William Barlow called Smiths personal epitaph and a depression era classic.? She was the highest paid black entertainer and completely booked at $1500 a week. Her more than 150 recordings that followed, some of which sold 100,000 copies i n a week, propelled her to fame and immortality (Sanders). Alberta Hunter stated, Bessie Smith was the greatest of them all. There never was one like her and there'll never be one like here again. Even though she was raucous and loud, she had sort of a tear - no, not a tear, but there was a misery in what she did. It was as though there was something she had to get out, something she just had to bring fore. By 1930 her career began to fade due to the publics changing musical tastes, mismanagement of her affairs, and her heavy drinking. She had started drinking as a teen and drank more heavily as time passed. Columbia dropped her from its roster in 1931. Her last recorded song, Gimme a Pigfoot, was under the direction of talent scout John Hammond in 1933. Smith continued to perform, mostly in the South, although it seemed the classical blues era was over. She was even in a movie

Homework Essay Example | Topics and Well Written Essays - 1000 words - 1

Homework - Essay Example Also, each individual tile’s form would be hard to appreciate since it needs to be seen at a close range, which can only happen if the observer has to climb up the roof and inspect each tile separately. Lastly, because of the changes observed with regards to the architectural designs of houses and buildings, clay roof tiles are already rare and could easily be forgotten by most of the general public, unless these people live in old houses that still have them for roofs. A formalist perspective in finding aesthetic value for clay tiles can be used in order to explain how some principles of aesthetic reasoning can be applied to make people see these objects into works of art. Each clay tile or its grouping or arrangement can be described aesthetically using the second principle, which states that â€Å"Objects are aesthetically valuable if they express the values of the cultures they arise in, or the artists who make them.† (Moore 464). While roof tiles have the same func tion in various places around the world, the make and color of these tiles are different from one another, since it can be expected that topography, weather, and climate would contribute to these variations. But aside from these, there are also differences with respect to the different architectural styles of each place, due to the availability of other housing materials to complement the design of roofs. Such differences can contribute to the cultural aspects of seeing clay tiles as objects with aesthetic value since the identity of various cultures can be represented based on how different kinds of roof tiles are made and crafted by artisans or craftsmen in each location. Aside from the principle dealing with cultural identity, another principle that can also be used to describe and bring artistic and aesthetic attributes to clay tiles would be the seventh principle of aesthetic reasoning, which states that â€Å"Objects are aesthetically valuable if they possess a special aesthe tic (formal) property†. (465). Using the properties of unity and organization, clay roof tiles can be seen in another light by evoking onlookers a sense of unity and organization with regards to the arrangement of the tiles on the roof, as well as being properly-arranged, with no misplaced tile in sight. This can be much more appreciated in places where old buildings are still part of everyday living, such as the old houses in villas located in old towns such as Tuscany, Italy or in large Shinto or Buddhist temples in Japan. In analyzing clay roof tiles using formal properties and cultural perspectives, it is possible to make ordinary roofing materials into pieces of art which can evoke senses of beauty and history, among other things. Thus, this paper uses the argument that clay roof tiles are able to depict the customs, traditions, and artistic sense of the culture from where it comes from by way of the tile’s shape and arrangement on the roofs of buildings. The cultu ral aspect of the use of

Answering 6 questions based on the book All the Shah's Men Essay

Answering 6 questions based on the book All the Shah's Men - Essay Example Mohammed, the prophet of Islam preached his ideas on one and only God, the almighty. Ali Khomeini, an Iranian political leader, had immense influence on religion and Islamic Republic of Iran. He acted the role of a link between politics and religion in Iran. Hussein Khomeini, grandson of the founder of Islamic Republic of Iran, Ayatollah Ruholla Khomeini, played a neutral role between religion and politics in Iran. Religious thought and nationalism can be seen as the common factor which binds these individuals together. The teachings of Zoroaster guided Iran to religious tolerance and integration. But the teachings of Mohammed eventually directed Iran to militant nationalism. The influence of Ali Khomeini insisted the government to stick on to the rules set by the religious leaders in Iran. The religious and political ideology put forth by Hussein Khomeini was against the militant nationalism of the religious leaders and it supported the sense of nationhood among Iranians. Stephen Ki nzer points out that: â€Å"Before great powers take far-reaching decisions that can reshape the world, their leaders normally consider the lessons of history.† (Kinzer xii) the great powers possess the duty to take proper decisions on international affairs. But the overall influence of religion, especially Islam insists Iran to be an Islamic Republic. 2. Stephen Kinzer points out that the role of the Britain in Iran is that of colonial exploitation. They were not in favor of nationalization of oil assets controlled by the British companies. Kinzer points out that: â€Å"The wealth that flowed from beneath Iran’s soil played a decisive role in maintaining Britain† (Kinzer 2) the wealth looted from the oil trade helped the British government to monopoly in oil trade but the exploitation badly affected the people of Iran. The exploitation by Britain made Iran