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An intake plan, which is intended to reduce the blood pressure, is the DASH. DASH is the short form for Dietary Approaches to Stop Hypertension. The DASH diet lowers the blood pressure and thus helps in checking and controlling high blood pressure. The DASH combination diet is full of fruits, vegetables, and low level of fat dairy foods and is low in saturated and total fat. It also has low levels of cholesterol, potassium, high dietary fiber, calcium and magnesium and fairly high amounts of protein. The DASH intake plan is suggested by the NIH's National Heart, Lung, and Blood Institute -- NHLBI which says: make use of the Dietary Approaches to Stop Hypertension --DASH intake plan as a guide. DASH recommends to take more of fresh fruits, vegetables and low amounts of fat dairy products, and to restrict saturated fat and salt. The DASH intake plan can…
DASH Diet. Retrieved from http://dashdiet.org/
Accessed 15 October 2005
Definition DASH diet. Retrieved from http://www.medterms.com/script/main/art.asp?articlekey=24752
Accessed 15 October 2005
"Participants were instructed to drink no more than 3 caffeinated beverages and no more than 2 alcoholic beverages per day" (pg. 2457).
Two features from this study that stand out when compared to the previous study (as read about earlier) was that this study sought to keep the participants weight relatively stable and that the participants were not obese and old, but were young and healthy. The goal of this study was measurably the same as the pervious study, but was set in entirely different circumstances. This is important to individuals seeking entry to the nursing field because it provides ammunition for lifestyle interventions even before the patient may think it is necessary.
The study's primary interest was to ascertain "the contrasts between the carbohydrate and protein diets and between the carbohydrate and unsaturated fat diets" (pg. 2459). What the study found was that for each diet (when compared to…
Appel, L.J.; Sacks, F.M.; Carey, V.J.; Obrazanek, E.; Swain, J.F.; Miller III, E.R.; Conlin, P.R.; Erlinger, T.P., Rosner, B.A., Laranjo, N.M.; Charleston, J.; McCarron, P.; Bishop, L.M.; (2005) Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: Results of the OmniHeart randomized trial, Journal of American Medical Association, Vol. 294, No. 19, pp. 2455-2464
Trichopoulou, A.; Bamia, C.; Trichopoulos, D.; (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece, Architecture of Internal Medicine, Vol. 165, pp. 929-935
Villareal, D.T.; Miller III, B.V.; Banks, M.; Fontana, L.; Sinacore, D.R.; Klein, S.; (2006) Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults, American Journal of Clinical Nutrition, Vol. 84, pp. 1317-1323
Living a Healthy Lifestyle
It is feared that the current generation will be the first to be less, rather than more healthy than its parents' generation, thanks to the growing crisis of obesity and inactivity. A number of government websites exist specifically designed to promote a healthier lifestyle, most notably the White House's 'Let's Move' campaign. Let's Move is specifically devoted to preventing childhood obesity and provides a variety of resources for readers, including statistics on childhood obesity (it notes that in African-American and Hispanic communities as many as 40% of all children are overweight or obese); suggestions on how to pursue a healthier diet via links to other government websites, and suggestions for incorporating exercise into children's lives. There are also special offers like a contest for 'kid chefs' to submit healthy recipes.
What exactly constitutes a healthy diet is, of course, controversial. The USDA provides specific dietary guidelines…
Adult obesity. (2013). CDC. Retrieved from:
Calculate your BMI. (2014). NIH. Retrieved from:
The following is the assessment of AB case, a first time visitor to the writer. The assessment will include checking the pharmacologic treatment, reactions to the drugs in the medicines consumed, advisory healthcare practices and exercises, and non-pharmacologic treatment. More information to be provided if need be.
AB, an overweight, 52--?year -- ?old, Hispanic, male comes for the first visit to your office for assessment of complaints about tiredness, nocturia x 2 -- ?3, and finding it difficult to do the required paperwork in the office (Masters, 2014). He informs that he is reportedly having diabetes type 2 for about six years when he first experienced same feelings of fatigue and nocturia x 2 -- ?3. The patient informs he has attended infrequent classes on diabetes that emphasized on importance of physical activity and weight loss (Masters, 2014). His was accompanied by his wife to these…
http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea-treatmentsBeckerman , J., MD, FACC. (2014). Sleep Apnea Treatments. from Food and Drug Administration. (2013). Drug Interactions: What You Should Know. from http://www.fda.gov/Drugs/ResourcesForYou/ucm163354
James Beckerman, M., FACC. (2013). An Overview of High Blood Pressure Treatment. from http://www.webmd.com/hypertension-high-blood-pressure/guide/hypertension-treatment-overview
Joel C. Marrs. (2010). Pharmacy Perspectives in Dyslipidemia Management. from http://www.uspharmacist.com/USPExams/107084/PHS1005.pdf
Lozanda, C., J, MD. (2014). Osteoarthritis Treatment & Management. from http://emedicine.medscape.com/article/330487-treatment#aw2aab6b6b2
2009). The interventions used in this research study proved to be ineffective, however, and it has been suggested that more culturally relevant study leading to the development of more highly-culturally-specific practices is needed in this regard (Pekmezi et al. 2009).
Certain studies have also demonstrated a reduced efficacy of certain blood-pressure regulating pharmaceuticals in the African-American community, with certain individuals responsive to one type of medication but not others (Lackland 2004). This is significant in the area of hypertension prevention in the African-American community for several reasons, not the least of which is the fact that it is evidence of certain mechanisms at work that are still not fully understood or even necessarily identified in the medical literature (Lackland 2004). In addition, this suggests that there are certain predispositions that both affect hypertension and interrupt the mechanisms of drugs proven efficacious in other communities, which could provide greater insight into…
Douglas, J., Bakris, G., Epstein, M., Ferdinand, K., Ferrario, C., Flack, J…. & Vidt, D. (2003). Management of High Blood Pressure in African-Americans: Consensus Statement of the Hypertension in African-Americans Working Group of the International Society on Hypertension in Blacks. Archives of Internal Medicine 163(5): 525-41.
Glover, M., Greenlund, K., Ayala, C. & Croft, J. (2005). Racial/Ethnic Disparities in Prevalence, Treatment, and Control of Hypertension -- United States, 1999-2002. JAMA 293(8): 923-5.
Harvard. (2003). High blood pressure isn't color-blind. Harvard heart letter 13(10):1.
He, J., Klag, M., Caballero, B., Appel, L., Charleston, J. & Whelton, P. (1999). Plasma insulin levels and incidence of hypertension in African-Americans and Whites. Archives of internal medicine 159(5): 498-503.
Hypertensive Patient Case Study
Specific physical examinations in any hypertensive patient
Accuracy in the measurement of blood pressure is the basic aspect of diagnosis. Therefore, we take it over several weeks. On each visit, normally at least three blood pressure readings are taken with the difference of 2 minutes using mercury manometer.
Palpation of all peripheral pulses should necessarily be carried out. Absent, weak, or delayed femoral pulses are the sign of coarctation of the aorta or serious peripheral vascular disease. To identify any symptom of initial or extreme stage of chronic or severe hypertensive retinopathy along with arteriovenous nicking or difference in vessel wall, we conduct funduscopic examination of the eyes (Madhur & Maron, 2014).
Why order Laboratory work up
Initial laboratory tests include urinalysis; fasting blood glucose or A1c; this is due to an increase in cardiovascular risk linked with a decreased GF level and with albuminuria. If…
Madhur, M. S., & Maron, D. J. (2014, September 30). Hypertension Clinical Presentation. Retrieved from Medscape: http://emedicine.medscape.com/article/241381-clinical#b3
WebMD. (2016). An Overview of High Blood Pressure Treatment. Retrieved from Web MD: http://www.webmd.com/hypertension-high-blood-pressure/guide/hypertension-treatment-overview
WebMD. (2016). Hypertension/High Blood Pressure Health Center. Retrieved from Wed MD: http://www.webmd.com/hypertension-high-blood-pressure/guide/hypertension-symptoms-types
Chronic illnesses, for instance diabetes and cardiovascular diseases are liable for several deaths that take place in the United States. Primary or causal factors for these illnesses are in general nutritional factors for instance use of tobacco (smoking), poor nourishment, and sedentary living. In particular, this research study attempted to establish the behavioral and medical effect of a therapeutic lifestyle-change intervention on a set of community helpers. The method of the study encompasses 348 participants in a randomized clinical trial between the ages of 24 and 81 years of age. The participants were requested to participate along with their significant other and thereafter randomized as a unit in pairs. The remaining participants were randomized individually as units. This encompassed teaching the participants the significance of making better decisions with reference to their lifestyles. The program results, six months later indicated that the patients had been having better nutrition and had…
Aldana, S. G., Greenlaw, R., Alberg, A., Diehl, H. A., Merrill, R. M., Thomas, C., Ohmine, S. (2006). The Behavioral and Clinical Effects of Therapeutic Lifestyle Change on Middle-aged Adults. Preventing Chronic Diseases.
Jepson, R. G., Harris, F. M., Platt, S., & Tannahill, C. (2010). The effectiveness of interventions to change six health behaviours: a review of reviews. BMC public health, 10(1), 538.
The safety, or lack thereof, of genetically modified foods is subject to considerable debate in the public sphere. In order to render a reasonable opinion on the subject of feeding GMO foods to my children, I would want to defer to the best available science, and add a dash of reason. The first thing that would need to be established is the methodology by which one assesses the concept of safety. Clearly, there are no safety issues in the sense of GMO foods being poison (i.e. having immediate negative health effects). The question of GMO safety therefore is more a question of long-term impacts on human health.
A major study on the safety of genetically modified foods determined that, based on the traditional human food consumption patterns, there are no safety issues with the consumption of plant-based GMO foods (Konig et al, 2004). Further studies have examined the…
osa Lee Cunningham. Elements such as the subject's health history, legal history, psychosocial history, and diagnostic impressions will be covered.
osa Lee Cunningham
DOB/Age: October 7, 1936
Date of Interview: October 7, 1994
eason for Assessment: osa Lee Cunningham was discovered having a fit at Washington's Howard University Hospital, owing to over-consumption of heroin. In spite of being enrolled in an intervention for drug treatment, there did not appear to be any inclination in osa to quit drugs. In fact, she wished she could access methadone, a synthetic drug with heroin-like effects. Some days prior to being interviewed, osa awoke to find herself with fever; her condition had exacerbated. By noon, she was admitted to the emergency room (Dash, 1996 Prologue). osa states that her drug consumption levels hinge on the amount of money in her pocket and heroin accessibility. The subject also had Preludin-use history, a drug she…
Chapman, D., & Perry, G. (2008). Depression as a Major Component of Public Health for Older Adults. Preventing Chronic Disease, 5(1).Retrieved, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248771/
Dash, L. (1996). Rosa Lee: A Mother and Her Family in Urban America. New York: Basic Books. Retrieved from https://play.google.com/books/reader?printsec=frontcover&output=reader&id=cc8_CQAAQBAJ&pg=GBS.PA34.w.1.0.349
(n.d.). Drug Addiction Help. Family Therapy. Retrieved October 3, 2015, from http://www.addictions.com/family-therapy/
(n.d.). Drug and Alcohol Detox -- Body Cleansing -- Best Detox Diet Programs .Drug Detox Rehab Programs -- Drug Detoxification Centers .Retrieved October 3, 2015, from http://www.detox.net/articles/drug-detox-rehab-programs/
The latter was an important member of this party, and also a staunch anti-Semite. The association with Eckart therefore further solidified Hitler's prejudice against Jews and other non-Aryan races (Fuchs 12)
Like many Germans, Hitler was deeply shocked by Germany's surrender. At the time, he was lying in a military hospital, recovering from a mustard gas attack. Recalling the anti-Semitic and political pamphlets he read as a teenager, Hitler came to believe that Jewish politicians had signed the armistice, thereby surrendering Germany at the point of victory (Schwaab 46).
The German surrender thus served as a catalyst for Hitler's entry into politics
Hitler believed that these Jewish politicians were preparing the way for a communist takeover of the German nation.
Shortly after meeting Eckart, Hitler produced his first anti-Semitic writing, advocating for a solution to the growing German problem. Hitler's solution involved "rational anti-Semitism." He vowed not to use traditional…
Fuchs, Thomas. A Concise Biography of Adolf Hitler. Boston: Berkly, 2000
Haffner, Sebastian. The Meaning of Hitler.
Boston: Harvard University Press, 2004
Housden, Martyn. Hitler: Biography of a Revolutionary? New York: Routledge, 2000.
Tarleton was known for cruelty and slaughter. When his troops took Marion's nephew Gabriel prisoner during an unsuccessful attempt to capture Georgetown, Tarleton followed up by murdering Gabriel in cold blood. But Marion did not engage in any similar brutality or seek revenge by killing British prisoners of war. it's a testament to his moral character and to "a scrupulous piety that was part of his Huguenot background" (Smith, 1976, p. 1437). By his own upright behavior he set a standard for those who served him, and the men under him made it their standard too (American evolution - General Francis Marion, the Swamp Fox web site).
Marion got his nickname "The Swamp Fox" from the enemy. Colonel Banastre ("Bannister") Tarleton called him that because of his elusive tactics (the Swamp Fox web site). Cornwallis was determined to put an end to Marion's daring exploits and had sent Tarleton to…
American revolution web site. Francis Marion, Revolutionary War 'Swamp Fox': Retrieved 17 June 2007 at http://www.americanrevolution.com/FrancisMarion.htm
Commager, H.S. And Morris, R.B. (Eds) (1983). The spirit of seventy-six. New York: Bananza Books.
Leadership qualities web site: Retrieved 19 June 2007 at http://pirate.shu.edu/~gonosann/assignments/leadershipqualities.htm.
Simms, W.G. (1844). The life of Francis Marion. Retrieved 17 June 2007 at http://www.geocities.com/bourbonstreet/1786/1sfox10.txt
It's very interesting to discuss an individual's life in detail, especially when done so in a thoughtful manner. Through these conversations, one garners a distinct appreciation for life and the obstacles it presents. It also provides a great sense of the importance of perseverance in regards to success. Allen exemplifies the term "perseverance," in his behaviors throughout life. I personally had to the opportunity to meet Allen during a job fair. He was representing Macy's and immediately seemed approachable. He is warm hearted and very engaging. Little did I know that his background was one that was anything but warm.
Not much is known about Allen's father, who was appropriate named Allen himself. As the third, the younger Allen never made physical contact with his father. From the information garnered from his mother, Allen Sr. was an expert guitarist. His hobbies included playing instruments and teaching music.…
salt inhibit the growth of grass?
In the winter cities there are many external factors that can affect the growth of grass. The snow and ice in the winter months falling on the lawn, the leaves fallen from the tress and other external factors all alters the nature of the soil. All properties that mix with the soil can impact the growth of grass. The pH level of the soil is altered by the use of salt, which is used for cleaning snow. The pH level of the soil is directly related to the growth of plants or grass. Salt can wilt and destroy grass because it creates high osmotic pressure in the soil, which restricts the absorption of water and nutrients by the grass roots (Hall, 1994). There are different types of salt, the simple salts such as kitchen salt are neutral salts, and however there are more complex…
Hall, R. (2010). Salt-tolerant grasses to the rescue. Landscape Management. 33 (12) 14-16.
Salt, chemical compound. (2010). Columbia electronic encyclopedia. Retrieved January 2, 2011, from http://ehis.ebscohost.com/ehost/detail?hid=116&sid=256e6d70-fda0-401e-92db-2317c0f6872%40sessionmgr12&vid=3&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=f5h&AN=39030003
Trowbridge, J. (2010). Salt Marshes. Science Activities.46 (4) 27-30.
LEGALIZING PROSTITUTION IN THE U.S.A.
The topic I have chosen to discuss is the legalization of prostitution in the United States of America. y prostitution, I refer to an act where money is exchanged for rendering sexual services. Presently, 49 states out of 50 in the United States have banned prostitution withonly some forms of it allowed in a few areas of Nevada. This is not the case in all developed countries. Some places in Europe such as Holland, have legalized itand are regulating it through relevant legislature by the government.
My main stance on the topic is that these countries are not worse off than the U.S.A. In terms of the expected negative societal effects of prostitution such as human trafficking, rape etc.In fact on a closer introspection it may be that this ban is causing more harm to the community rather than benefits. For example, the number of…
Feingold, D. (2005). Human Trafficking.Foreign Policy.Retrieved from: http://www.jstor.org/discover/10.2307/30048506?uid=2&uid=4&sid=21101769414447
Langer, G. (2004). Poll: American Sex Survey. ABC News Online. Retrieved from: http://abcnews.go.com/Primetime/News/story?id=156921&page=1
O'Brien, E. (2011) Fuelling traffic: abolitionist claims of a causal nexus between legalized prostitution and trafficking. Crime, Law and Social Change. Retrieved from: http://eprints.qut.edu.au/48254/.
The Economist. ( 1998, Feb 12). Giving the customer what he wants. Retrieved from: http://www.economist.com/node/113208 .