Winterbourne free essay sample

The nearby specialists, for example, South Gloucestershire board can just recognize the discoveries. The patients were put in danger by breaking their wellbeing for not having appropriately prepared staff. Not the entirety of the alarms were passed onto the NHS which shows an absence of correspondence and essential data not being fell by means of the correct course. This is obviously a complete absence of regard for the patients and their family members or companions. The spot was perilous and experts neglected to exhibit their obligation of care by advancing an unworkable administration structure with ineffectively paid and undeveloped staff. In spite of getting open concerns and grumblings from guests or patients themselves, nothing was presented so a catastrophe could be maintained a strategic distance from. The report came about after a parent covertly shot pictures which demonstrated how troubling the spot was with a wide range of misuse being basic practice. The successful and human conveyance of appraisal, treatment and recovery had been totally subverted. We will compose a custom exposition test on Winterbourne or then again any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page This was obviously an absolute breakdown of correspondence including for the Police and C. Q. C. http://www. bc. co. uk/news/uk-18581253 In the wake of the Winterbourne View Hospital close to Bristol, the Care Quality Commission found that 48% of assessed premises (clinics amp; homes) didn't meet the necessary general consideration and government assistance norms. The report featured the way that there is an inability to regard the inhabitants as people and that individuals were remaining for a considerable length of time in focuses proposed for momentary consideration. The exercise of self control was additionally pointed at and a â€Å"urgent need† to decrease its utilization was mentioned. There is an instance of a man called James who had serious learning incapacities and mental imbalance who had gone through years in various homes. He endured sexual and physical maltreatment which made him a â€Å"different human being† said his Mum. Along these lines, because of those discoveries, the new dispatching bodies, the clinical appointing gatherings, are approached to give unique consideration to individuals with a learning handicap. Additionally and to finish up, the private division is by all accounts more at dangers than the NHS.

Music preference and personality free essay sample

Music inclination and character BY Meow New research from around the globe proposes that a people most loved music classification Is firmly connected to their character. Teacher Adrian North of Heritor-Watt college, Edinburgh, UK, has embraced the biggest investigation so far of melodic tastes and character type. He is a specialist on music brain research and has done broad research on the social and applied brain research of music, specifically the connection between popular music culture and degenerate conduct in puberty, music and customer conduct, and the job of melodic inclination in regular day to day existence. Through the span of three years, Professor North asked in excess of 36,000 individuals in excess of 60 nations to rate a wide scope of melodic styles In request of inclination. Certain parts of character were additionally estimated by survey. The outcomes appeared: Blues fans have high confidence, are inventive, friendly, delicate and calm Jazz fans have high confidence, are innovative, cordial and quiet Classical music fans have high confidence, are imaginative, thoughtful person and quiet Rap fans have high confidence and are friendly Opera fans have high confidence, are imaginative and gentleCountry and western fans are persevering and friendly Reggae fans have high confidence, are imaginative, not dedicated, friendly, delicate and quiet Dance fans are inventive and friendly yet not delicate Indies fans have low confidence, are innovative, not dedicated, and not delicate Ballyhooed fans are imaginative and cordial Rock/overwhelming metal fans have low confidence, are innovative, n ot persevering, not friendly, delicate, and quiet Chart pop fans have high confidence, are dedicated, friendly and delicate, yet are not innovative and not calm Soul fans have high confidence, are imaginative, friendly, delicate, and calm North said he needed to contemplate why music is such a noteworthy piece of people groups personality. We will compose a custom exposition test on Music inclination and character or then again any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Individuals do really characterize themselves through music and identify with others through it yet we havent known in detail how music is associated with personality, he said. We have constantly speculated a connection between music taste and character. This is the first occasion when that weve had the option to take a gander at it In genuine detail. Nobody has ever done this on this scale previously. Individuals may characterize their melodic Identity by wearing specific garments, going to hold bars, and utilizing particular sorts of slang. So its not all that astonishing that character ought to be identified with melodic inclination. We truly got the feeling that individuals were choosing melodic styles to like that coordinate their own character, North said. He accepts that his outcomes show why individuals can get protective about what they like to tune in to, as it is probably going to be significantly connected to their attitude toward life.The concentrate likewise exhibits the innate capacity of melodic taste that can clarify why individuals frequently security over music. North noticed that traditional and overwhelming metal music both pulls in audience members with comparable characters yet different ages. More youthful individuals from the character bunch obviously go for substantial metal, while their more established partners lean toward old style. Be that as it may, both have a similar fundamental inspiration: to hear something sensational and showy, a mutual love of the self important, he said. The overall population has held a generalization of overwhelming metal fans being self-destructive discouraged and being a things. Beside their age, theyre essentially a similar sort of individual [as an old style music fan].

Writing Essay Samples

Writing Essay SamplesAs part of your online writing skills, you may want to learn about contrast and comparison essay samples. When you go through these samples, you will find that they are helpful in building your knowledge about how to write an essay.The first thing you need to do is to take the time to get acquainted with the way that writing essays works. You may want to read a few college books on the subject. If you can't, then try using a free version of Microsoft Word or Adobe Reader to learn how to write an essay. You should know that there are several writers out there that are willing to give their services at no charge.Now that you know how to write an essay, it is time to get some examples. This can be done by using a site such as Writeexpert.com. If you use that site, you will be able to use some of the sample essays that they have posted on their site.Although you may not be able to get the exact same sample essays, you should still make sure that you take the time to use those samples in order to get the best writing tips. Take the time to look at the examples and see if they really help you. You can also use the samples for practice so that you can see what the basic format is like.Some of the comparison essay samples that you may use include one or two paragraphs and a short body paragraph. They will usually consist of a topic that will explain why you wrote the essay, who wrote it, and what your goals were. It will then detail the conclusion. This can help you take stock of the topics that you are going to cover.The next set of comparison essay samples may be a little harder to understand. You will find that they will usually include several samples that are different in length. In order to compare the contents, you will need to read several samples, then compare them against one another. You should also see how they were formatted.By taking the time to read contrast and comparison essay samples, you will be able to see how the samples will w ork for you. You will also be able to better prepare yourself for the level of essay writing that you are about to put yourself through.

Baroque Music And The Baroque Era - 1366 Words

Baroque music began in Italy and it spread to all other parts of Europe. The musical characters in the baroque era pursued interests in subjectivity of the observers and created a deep human feeling while composing their music (Harbison 22). This character of the baroque artists is depicted in several works done by Michelangelo. One of the pieces of art was campidoglio on the hill capitalino. The picture above takes the structure of a sculpture and it is placed in a three dimension space having different open square loggia. It has lamps on the staircase as shown and there are various sculptures existing. In relation to baroque music, as a person climbs the staircases near the lamp areas, the visuals effects changes with time as he†¦show more content†¦In such kinds of music the major has high range, the various consonants, and the fast tempo in the music representing joy in the making of the music and the minor such as dissonant, the slow tempo and low pitch in the music ar e used to represent the general feelings of sadness. The messiah is characterized by an orchestral restraint something that was ignored by other musicians who adopted the same genre of music, for example, Mozart (Steinberg 154). According to Lorraine Hunt and Nicholas CD, the messiah begins with a quiet note, whereby the first chorus is paved the way for by musical instruments (Lorraine and Nicholas).The whole oratorio does not have any particular key but music specialists have concluded that it tends to lean towards an E major. â€Å"I Know My Redeemer Lives†, music is far field from E major, which is a major scale specifically based on E. It has a three-part A-B-A structure and an obbligato trumpet that is expected by an opera audience (Frideric 47). . The opening soprano for part three,† I Know My Redeemer Lives† features a simple violin accompaniment. The first scene tells of the resurrection of Christ based on the teachings of Job. Soprano air starts in the part of the song â€Å"I know that my redeemer liveth and that he shall stand†¦Ã¢â‚¬  and dominates the whole part of the music. This helps in creating emotions and feelings toShow MoreRelatedThe Baroque Era Of Music Essay2374 Words   |  10 PagesThe Baroque chamber orchestra, a type of ensemble today that can vary greatly from group to group, is involved in a type of performance many musicians remain confused about. For a modern musician, the confusion surrounding the Baroque style stems from a notion that spending time learning a style of instrument that is no longer commonplace is something that is not worthwhile or is even detrimental to a modern instrumental career. Much of this stems from the idea that the romantic era of music is theRead MoreThe B aroque Era of Music Essay515 Words   |  3 PagesThe Baroque period of music lasted from approximately 1600 – 1750 AD. It falls into the Common Practice period and was the most predominant style of writing after the Renaissance period and before the Classical period (the Classical period uses many elements from the Baroque period). The word Baroque means highly decorated and essentially gives us an insight into what the music of the time was like. Many pieces in the Baroque style have three or four different parts which work together to produceRead MoreMusic During The Baroque Era2164 Words   |  9 PagesMusic during the Baroque era was regarded as a powerful form of communication that could invoke emotions in the listeners. This philosophical belief was derived from a revival of the ideas of the Greco-Roman culture, and as a result, composers believed that they could also affect their listeners through the power of melody, harmony, rhythm, and stylistic details. The emph asis on communication was reflected in the major styles and components that were used throughout Baroque compositions. BaroqueRead MoreModern Music During The Baroque Era1798 Words   |  8 PagesThe term Baroque has been widely acknowledged as a period in Western European Art Music lasting for 150 years from early 17th to mid-18th century. The word itself is originated from barroco in Portuguese meaning â€Å"oddly shaped pearl†, which best describes the visual and details of the buildings existed during that period. Its flamboyant and ornate details of the building is what causes ornamentations and harpsichords to become an essential element of Baroque music. Bach, ornamentation, and harpsichordRead MoreBaroque Era Music Compared to Modern Rock983 Words   |  4 PagesWhen comparing Baroque era music to any modern day rock band, one most listen to the music with open ears. It is hard to identify the similarities of Baroque music and that of modern day rock. Although, the advances made in music during the Baroque era (1600-1750) are still noticeable in modern day rock. A perfect example of the noticeability of modern rock influenced by Baroque music can be heard in the Baroque music of Johann Sebastian Bach’s, â€Å"Brandenburg Concerto No 4 G major BWV 1049†(ClassicalRead MoreEssay about Fine Quality Baroque Music in the Era of Renaissance902 Words   |  4 PagesBaroque music is the western music art style that was composed in the era of Renaissance, that is, between 1600 and 1750. Music at any given period reflects tendencies, impulses and influences that are found in art of other kinds of the same period. Therefore the name baroque also applied to the architecture, literature and art in the same period. Baroque has in the past and to some degree in the present had the implications of abnormality, grotesqueness and absurdity. But in its applications toRead MoreHow Attitudes Towards Music Changed Between The Baroque And Romantic Eras 2057 Words   |  9 PagesDiscuss how people’s attitudes towards music changed between the Baroque and romantic eras. Refer to examples from aesthetics, literature and music to support your argument. Since music first started being recorded in neumes long before the start of the Baroque period, it has been evolving with the social and economic developments of the human race. The aesthetics (the principles and the way people approach and appreciate the music) have changed dramatically. This is partly due to the changing world-Read MoreThe Evolution of Music and Musical Instruments from the Baroque Era to the Romantic Era588 Words   |  2 PagesDr. Howard Meltzer explains how music formed an important role in the daily lives of people. It also explains how music improved and new instruments were invented throughout different eras such as: the Boroque Era, The Classical Era and the Romantic Era. Dr. Meltzer breaks down the history of music and almost tells it as if it were a story, the love, the hate, the lust and disappointments that composers went through but those events inspired them to compose music. Composers like Ludwig Van BeethovenRead MoreEssay on The Baroque Era904 Word s   |  4 PagesThe Baroque Era â€Æ' Baroque music a style of western art music and was composed from approximately 1600s to 1750s. This era took place after the Renaissance era and before the Classical era. The word â€Å"baroque† is derived from the Portuguese barroco, or â€Å"oddly shaped pearl† (â€Å"About†). The term has been used a lot throughout the nineteenth century to describe the period. Some known music familiarities from the era are Pachelbel’s Canon and Vivaldi’s The Four Seasons. This era not only connectedRead MoreThe Classical Era Of Music1153 Words   |  5 PagesMusic throughout the eras have differed and changed since the beginning of time. Each era has something special about it that is different from the last era, which makes each era something unique from the last. Just as in fashion you see trends change sometimes over night, but in the eyes of a decade, these changes are eras of fashion, just as the eras of music. Composers took the knowledge from previ ous composers and put their own ideas to use and sometimes created ground breaking movements. The

SEC 10 k paper 221 - 1150 Words

SEC 10- K Paper Acct 221 Lakesha Craft SEC 10-K Paper The first Starbucks coffee shop opened in 1971 in Seattle Washington. The coffee shop was founded by three partners. Jerry Baldwin and Zev Siegl were teachers and Gordon Bowker was a writer. The idea to have a coffee shop came about when a close friend was selling high quality coffee beans and equipment. After a matter of time, the partners decided to purchase the product from the grower. The coffee shop was named after the Nantucket Whaleship first mate from the novel Moby-Dick. In 1982 Howard Schultz joined the company as the Director of Marketing and Retail Operations. He tried to convince the coffee shop partners to expand the business by†¦show more content†¦The need to do a comparative analysis is important in relation Starbucks needs for cash. There are many comparisons that can be made. The first comparison is the Intracompany basis. This method takes the current cash amount and then compared with the last year amount. Industry averages comparisons provide Starbucks with the industry averages of information about other companies. For example, Starbucks can compare their business to the company Seattle’s Best another coffee company. The Intercompany basis helps companies do comparisons with their competitors. For example, Starbucks would look at their competitors like Dunkin Doughnuts for a comparison. There are three main tools of Analysis. The first tool is the horizontal analysis. This method reviews a series of a company’s financial statement data over time period. This helps determine if an increase or decrease in sales. The formula for this method is by taken the current year amount subtract by the base amount divided the base year amount. The second method is the vertical analysis. This method evaluates the financial statement by expressing each as a percent of a base amount. This technique is sometimes called the common size analysis. It also shows the size of each category on the balance sheet. For example the individual asset, liability, and equity items are the different items listed on sheet. The next method is the ratio analysis. ThisShow MoreRelatedDesign And Design Of Vehicle Road Sign3347 Words   |  14 PagesInstrumentation Technology, R.V College of Engineering R.V Vidyaniketan Post, 8th Mile, Mysore Road, Bangalore 560059, Karnataka, India #Chairman, CiSTUP, Indian Institute of Science, Malleswaram, Bangalore 560012, Karnataka, India Abstract— The following paper documents the development of an RFID based system that alerts vehicle drivers about approaching road oddities at an optimum distance before encountering them. The objective is to design a wireless system that delivers road signs (and other road-relatedRead MoreXerox Essay5974 Words   |  24 PagesDeborah L. Lindberg ABSTRACT: This audit case examines an interesting real-life instance of financial statement manipulation by a client Í‘Xerox, Inc.Í’ and the related audit failure by the audit firm Í‘KPMGÍ’. The facts of this case are drawn from several SEC Accounting Enforcement and Administrative Proceedings Releases. Learning objectives specific to this case include an increased awareness of the importance of reserves, including when their use is appropriate or inappropriate; better understanding ofRead MoreThe Ethical Code Of Ethics4083 Words   |  17 Pagesmay have different distinctive understandings of the organization s financial position. Some may have a more preservationist understanding while others may have a more liberal perspective (Frankel, Richard M., Johnson, Marilyn F., and Nelson, Karen K. 2002). From the perspective of the gathering under survey, the firm has an enthusiasm for having financial statements that reflect emphatically upon the company. Credit organizations are additional willing to loan to and financial company for the mostRead MoreThe Ethical Code Of Ethics4083 Words   |  17 Pagesmay have different distinctive understandings of the organization s financial position. Some may have a more preservationist understanding while others may have a more liberal perspective (Frankel, Richard M., Johnson, Marilyn F., and Nelson, Karen K. 2002). From the perspective of the gathering under survey, the firm has an enthusiasm for having financial statements that reflect emphatically upon the company. Credit organizations are additional willing to loan to and financial company for the mostRead MoreBalance Sheet and Accounting8361 Words   |  34 PagesWHAT HAS THE INVISIBLE HAND ACHIEVED? Ross L. 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Naveen Kumar Associate Professor Department of Electrical and Electronics Engineering Guru Nanak Institutions Technical campus Hyderabad, Telangana, INDIA Abstract— This paper presents unipolar pulse width modulation technique with sinusoidal sampling and Space vector pulse width modulation are analyzed for three-phase Diode clamped multi-level inverter from the point of view of the Phase voltages, currents, voltage acrossRead MoreThe Aig Bailout22345 Words   |  90 PagesThe AIG Bailout William K. Sjostrom, Jr.âˆâ€" Abstract On February 28, 2008, American International Group, Inc., the then largest insurance company in the United States, announced 2007 earnings of $6.20 billion or $2.39 per share. Its stock closed that day at $50.15 per share. Less than seven months later, however, AIG was on the verge of bankruptcy and had to be rescued by the United States government through an $85 billion loan. Government aid has since grown to $182.5 billion, and AIG’s stockRead MoreEngineering Fundamentals of the Internal Combustion Engine59558 Words   |  239 PagesPlatteville vi Contents 2-3 2-4 2-5 2-6 2-7 2-8 2-9 2-10 2-11 2-12 Mean Effective Pressure, 49 Torque and Power, 50 Dynamometers, 53 Air-Fuel Ratio and Fuel-Air Ratio, 55 Specific Fuel Consumption, 56 Engine Efficiencies, 59 Volumetric Efficiency, 60 Emissions, 62 Noise Abatement, 62 Conclusions-Working Equations, 63 Problems, 65 Design Problems, 67 , 3 ENGINE CYCLES 68 3-1 3-2 3-3 3-4 3-5 3-6 3-7 3-8 3-9 3-10 3-11 3-12 3-13 3-14 Air-Standard Cycles, 68 Otto Cycle, 72Read MoreFinancial Statements Fraud56771 Words   |  228 Pagesand Decision Sciences Department of Accountancy College of Business University of South Florida Co-Major Professor: Kaushal Chari, Ph.D. Co-Major Professor: Jacqueline L. Reck, Ph.D. Uday S. Murthy, Ph.D. Manish Agrawal, Ph.D. Date of Approval: April 10, 2008 Keywords: Earnings Management, Discretionary Accruals, Unexpected Productivity, Information Markets, Combiner Methods, Machine Learning  © Copyright 2008, Johan L. Perols Dedication To Becca who provided support (in many ways), encouragement

Heart Disease and Stroke Statistics †Free Samples to Students

Question: Discuss about the Heart Disease and Stroke Statistics. Answer: Introduction: The primary cause of congestive cardiac failure is the decreasing power of the heart muscles in pumping blood (Roger, 2013). In this health condition, blood builds up around the heart and leads to inefficient pumping. The four chambers of heart right and left ventricles and atria within which, oxygenated blood is pumped to different organs through ventricles and atria collects deoxygenated blood from different organs to the heart (Mozaffarian et al., 2016). However, in congestive cardiac failure, the ventricles are unable to pump blood and body starts storing blood inside lungs, abdomen, lower body and liver. In the entire world, more than 23 million people are affected with congestive cardiac failure and the trend has been seen in developing countries having low socio-economic status (Mahmood et al., 2014). The risk factors associated with congestive cardiac failure are high blood pressure, coronary artery disease due to plaque formation that narrows the oxygenated blood concentration, damaged heart muscle due to heart attacks. Further as per the given study, Mrs. Sharon had irregular heartbeats and respiratory rates which is one of the risk factors for congestive cardiac failure (Swedberg et al., 2012). Further, viral infection related heart damage, excessive alcohol usage, increased blood sugar and sleep apnoea are also risk factors associated with congestive heart disorder. Within these, high blood pressure is the primary risk factor associated with the disorder. High blood pressure affects the heart muscle by causing the left ventricular hypertrophy which is basically the thickening of the heart muscle. It makes the relaxation process of heart muscle less effective in between heartbeats and hence heart is unable to fill its compartments with enough blood to reach each organ of the b ody (Heidenreich et al., 2013). The effect of this cardiac disease impacts the patient emotionally as well as physically. As the heart muscles are affected in congestive cardiac failure, the muscles began to form scar tissues. Due to this irregular heartbeats, myocardial rupture, leakage in heart valves and swelling in the sac of heart occurs (Heidenreich et al., 2013). Further, the emotional impact of cardiac failure is also deleterious as it leads to depressive symptoms in the patient as mentioned in the case study, Mrs. Sharon stays with her husband it may impact the health of her husband as he can also lead to develop depressive symptoms. Furthermore, according to Mahmood et al., (2014), the patients family or friends have been seen to develop more psychological impact than the patient and hence, the impact of congestive heart failure on the family of Mrs. Sharon will also be higher. The five common signs and symptoms of Congestive cardiac failure and their pathophysiology are as below: Shortness of breath The syndrome related to Congestive cardiac failure is associated with the improper cardiac structure, rhythm and function. As the heart muscles in this condition is unable to pump enough blood to the organs of body, adequate oxygen delivery to the entire body also gets hampered. Further, due to this, blood and other fluids starts accumulating around other organs such as lungs that eventually leads to shortness of breath even at the resting condition (Ambrosy et al., 2013). Swollen ankles- in this condition, excessive swelling the legs, ankles and hands can be observed. This occurs due to excessive accumulation of fluid in the entire body. This occurs due to the inability of the heart to pump oxygenated blood in the entire body, due to which deoxygenated blood starts accumulating around different portions of body, leading to swollen tissues and veins around the ankle. Therefore, swollen ankle determines the severity of Congestive cardiac failure (Damasceno et al., 2012). Irregular heartbeat and pulse beat irregular heartbeat and pulse beat is the consequence of the hearts inability to pump enough blood and oxygen to the entire body. Hence, the rhythm of heartbeat gets affected and irregularity in heartbeat is witnessed. Further, due to the inability of the veins to reach to the lungs the pulse rate also gets affected (Ambrosy et al., 2013). Nausea In the condition of Congestive cardiac failure, as the maximum of the body fluids and organs are filled with fluids, the person having disorder witness the symptoms of nausea, loss of appetite. Further due to accumulation of blood within the heart compartments, chest pain (mild to severe) can be witnessed that can also lead to nausea (Damasceno et al., 2012). Difficulty in sleeping on a flatbed While suffering from congestive heart failure, the patients are unable to rest on a flatbed as the entire body is filled with fluids that decreases the comfort level on the flatbed. Further due to fatigue, bloating of the entire body including abdomen, ankles, and feet the patient feels uncomfortable while sleeping on a regular flatbed (Ambrosy et al., 2013). The common classes of drugs that have been used in case of Mrs. Sharon and commonly used for other patients having congestive heart failure are digoxin drugs and Furosemide drugs that are used to treat congestive cardiac disease. These drugs have been used in congestive heart failure since a long time and are proven to work effectively to improve patient condition. The Digoxin is one of the primitive drugs that are being used for the congestive heart disease. This belongs to the drug classification of cardiac glycosides containing a plant derived sugar and this sugar is further converted to a sugar and non-sugar component through the process of hydrolysis (Ayalasomayajula et al., 2015). This drug is generated from the foxglove flowering plant and hence, the usage of this drug is associated with very less number of side effects. The mode of action of this drug includes the forceful contraction power it applies on the heart muscle to allow it pump more blood into the body. Further it helps to improve the heart muscle condition and improves the atrial fibrillation condition. This drug should not be used while ventricular fibrillation which is a disorder of hearts lower compartments or ventricles that helps to flow the blood out of the heart and to the entire body (Ellens et al., 2013). Furosemide is a diuretic medicine that is used to prevent the excessive water and salt absorption in the body. This drug helps to excrete the excessive salt present in the body to move to pass through urine. This drug is used in the treatment of edema or retention of fluid in the body which is the prime symptom in the congestive cardiac failure, in which, fluid is accumulated in organs such as kidney, liver and lungs (Stamp et al., 2012). In the given case study, Mrs. Sharon was also suffering from congestive cardiac failure hence, her physician included this category of drug as her medication. The consumption of this drug should be accurate with respect to dosage or strength as high dose can lead to excessive fluid drainage from the body. Further according to Bayrakc?, Ertul Y?lmaz (2012), over dosage of this drug is prohibited as it may cause permanent and irreversible hearing loss. While caring for a critically ill patient it is the primary responsibility of an RN to create a care plan and arrange medical management, pharmacological interventions and surgical management teams so that proper interventions can be applied (Schultz et al., 2013). The nursing care strategies are prioritized according to the complication of the patient so that symptoms, which has the ability to harm the patient most can be eliminated first. In this case of Mrs. Sharon and her congestive cardiac failure should be managed on priority basis as the test results demonstrated that she has accumulated fluids in her body (Feltner et al., 2014). Therefore, in such state, the nursing intervention should include monitoring of the signs and symptoms of the respiratory distress and of the altered cardiac output. Further, evaluation of the fluid status, infection prevention, and administration of prescribed medication and reduction of the cardiac demand should be followed. Moreover, her diet, nutr ition, ingestion of low-sodium food and involving a community care nurse in the process so that overall and optimal health development can be targeted (Feltner et al., 2014). As a RN, I will include a multidisciplinary team in the first 24 hour of Mrs. Sharons congestive heart failure intervention, so that three prime aspect of care can be targeted efficiently. These targets are prevention, medication and assessment of the patients complications (Schultz et al., 2013). For the prevention purpose, the symptoms, severity and association of other diseases will be assessed at first so that medication and interventions for next 24 hours can be finalized. The nursing interventions that will be included in the intervention process are the maintaining fluid intake and output measurements, measuring the fluid restrictions so that accumulation of the fluid can be restricted, administration of drugs to increase the cardiac activity and assessments for diaphoresis and pulmonary edema so that associated disorders can be eliminated (Ayalasomayajula et al., 2015). As the 24 hour related to congestive heart failure are very crucial, prior to the application of medication , all the interventions will be discussed with the multi-disciplinary team and the patient so that medication and intervention can be applied without any manual error. Further, the patients nutritional and mineral related demands will be fulfilled using supplements with the ingestion of diuretics so that systematic and venous congestion can be minimized (Feltner et al., 2014). References Ambrosy, A. P., Pang, P. S., Khan, S., Konstam, M. A., Fonarow, G. C., Traver, B., ... Grinfeld, L. (2013). Clinical course and predictive value of congestion during hospitalization in patients admitted for worsening signs and symptoms of heart failure with reduced ejection fraction: findings from the EVEREST trial.European heart journal,34(11), 835-843. Ayalasomayajula, S., Jordaan, P., Pal, P., Chandra, P., Albrecht, D., Langenickel, T., ... Sunkara, G. (2015). Assessment of drug interaction potential between LCZ696, an angiotensin receptor neprilysin inhibitor, and digoxin or warfarin.Clin Pharmacol Biopharm,4(147), 2. Bayrakc?, M., Ertul, ?., Y?lmaz, M. (2012). Solubilizing effect of the p-phosphonate calix [n] arenes towards poorly soluble drug molecules such as nifedipine, niclosamide and furosemide.Journal of Inclusion Phenomena and Macrocyclic Chemistry,74(1-4), 415-423. Damasceno, A., Mayosi, B. M., Sani, M., Ogah, O. S., Mondo, C., Ojji, D., ... Yonga, G. (2012). The causes, treatment, and outcome of acute heart failure in 1006 Africans from 9 countries: results of the sub-Saharan Africa survey of heart failure.Archives of internal medicine,172(18), 1386-1394. Ellens, H., Deng, S., Coleman, J., Bentz, J., Taub, M. E., Ragueneau-Majlessi, I., ... Balimane, P. (2013). Application of receiver operating characteristic analysis to refine the prediction of potential digoxin drug interactions.Drug Metabolism and Disposition,41(7), 1367-1374. Feltner, C., Jones, C. D., Cen, C. W., Zheng, Z. J., Sueta, C. A., Coker-Schwimmer, E. J., ... Jonas, D. E. (2014). Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis.Annals of internal medicine,160(11), 774-784. Heidenreich, P. A., Albert, N. M., Allen, L. A., Bluemke, D. A., Butler, J., Fonarow, G. C., ... Nichol, G. (2013). Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association.Circulation: Heart Failure,6(3), 606-619. Mahmood, S. S., Levy, D., Vasan, R. S., Wang, T. J. (2014). The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective.The Lancet,383(9921), 999-1008. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... Howard, V. J. (2016). Executive summary: heart disease and stroke statistics2016 update: a report from the American Heart Association.Circulation,133(4), 447-454. Roger, V. L. (2013). Epidemiology of heart failure.Circulation research,113(6), 646-659. Schultz, S. E., Rothwell, D. M., Chen, Z., Tu, K. (2013). Identifying cases of congestive heart failure from administrative data: a validation study using primary care patient records.Chronic diseases and injuries in Canada,33(3). Stamp, L. K., Barclay, M. L., ODonnell, J. L., Zhang, M., Drake, J., Frampton, C., Chapman, P. T. (2012). Furosemide increases plasma oxypurinol without lowering serum uratea complex drug interaction: implications for clinical practice.Rheumatology,51(9), 1670-1676. Swedberg, K., Komajda, M., Bhm, M., Borer, J., Robertson, M., Tavazzi, L., ... Shift Investigators. (2012). Effects on outcomes of heart rate reduction by ivabradine in patients with congestive heart failure: is there an influence of beta-blocker dose?: findings from the SHIFT (Systolic Heart failure treatment with the If inhibitor ivabradine Trial) study.Journal of the American College of Cardiology,59(22), 1938-1945.

Street Advertising Is Visual Pollution Essay Example

Street Advertising Is Visual Pollution Paper Afternoon everyone, the topic of this debate is that billboards and street advertising are visual pollution and as the affirmative side agree with this statement. Street advertising is the broad terminology used for advertisements that are located on billboards, bus benches or the sides of transport. Visual pollution is an aesthetic issue referring to unattractive visual elements of a landscape, or anything that a person doesnt feel comfortable to look at for example a billboard. I believe that street advertising is visual pollution and that it should be banned in cities for a number of reasons. Firstly, businesses dont really need billboards to boost sales. Secondly, digital billboards are a hazard to drivers and lastly, Finally they clutter and ruin the environment. In 2006 Braziers largest city San Paolo passed a clean city law which caused for the removal for all forms of outdoor advertising in the city. The governments goals were to reduce visual pollution, improve the quality of life for their citizens and prevent accidents on the roads. It has also encouraged other cities to follow suit, in 2007 Buenos Aries removed 40 thousand billboards in the metro area alone, and was only 60 percent of the billboards displayed. Many companies fought to get this bill overturned but the government held strong. The negative side might try to tell you that by removing these billboards businesses would suffer greatly but this is in reality incorrect. A survey this year of citizens in San Paolo said that the clean city law has actually been beneficial to businesses, both big and small. We will write a custom essay sample on Street Advertising Is Visual Pollution specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Street Advertising Is Visual Pollution specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Street Advertising Is Visual Pollution specifically for you FOR ONLY $16.38 $13.9/page Hire Writer It has forced them to think outside the box, to reevaluate and improve, and they are finding that strategies that were previously unconventional are working amazingly well especially online advertising. The new technology for companies is the digital billboard, where every 5 seconds or so the billboard changed an a new advert pops up. The only great thing about that which can see is that companies that own that billboard can make more money by selling the space to multiple advertisers. The government has already made rules about us not being able to use our mobile phones or pods whilst driving to help us focus on the road, but what do you do when the road becomes a distraction in itself? No matter how hard you try a you cannot help but be distracted by a this flashing light. So, what I am trying to say is that billboards are distractions, especially for men. According to car accident advice line in Britain 15,000 accidents were caused by people getting distracted simply because of the scenery, and billboards arent helping. Take truck driver Harry Dourly for example, he managed to keep concentration whilst driving by the wonder-bra billboard but it was the next one which caused him to crash his 7. 5 tone lorry causing serious injuries to himself and three other people and are you wondering which ad caused the distraction. It was for toothpaste, so pretty much any billboard can be a distraction on the roads. Finally billboards are eyesores which ruin the landscape. Buildings especially ones that are heritage listed or of particular prominence deserve to be seen by the public and not cluttered with propaganda. In Jungian in Japan along their main highways their are 7,000 billboards. Going back in San Paulo before the ban you couldnt even recognizes the architecture of the old buildings because of billboards, logos and propaganda that covered almost every available wall say one citizen. The billboards were actually being used as block out to cover some of the shantytown in the are, now that they have been removed the government has focused more of their money on building these areas and improving the living standards of those people now that they have been brought into plain sight. In conclusion, as the affirmative side I believe that billboards are visual pollution and they should be banned in cities, for many reasons. Billboards are hazardous to drivers and are causing more accidents on the roads every year, especially the digital billboards. They are eyesore and if not heavily restricted they are erected all over the town, many illegally and finally businesses dont really need billboards to boost sales since other methods have been proven to be just as effective.