DASH Diet
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 help…...

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References

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 baseline)…...

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References

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 for Americans…...

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References

Adult obesity. (2013). CDC. Retrieved from:

 http://www.cdc.gov/obesity/data/adult.html 

Calculate your BMI. (2014). NIH. Retrieved from:

https://www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm

Evidence-Based Practice
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.

Patient Background

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 classes and he…...

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References

  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 http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea-treatmentsBeckerman ,

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…...

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References

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 the patient's history reveals renal…...

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References

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…...

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References

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.

GMO Foods
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 use of…...

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

Evaluator:

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 initially started taking shots…...

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References

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/

Essay Topic Examples
1. The hysiology of Blood ressure: Understanding the Basics:
    Explore the fundamental physiological mechanisms that regulate blood pressure in the human body. Discuss the role of the heart, blood vessels, kidneys, and the autonomic nervous system in maintaining systemic arterial blood pressure.

2. Hypertension: Causes, Consequences, and revention:
    Investigate the various factors that contribute to the development of high blood pressure or hypertension. Examine the long-term health impacts, such as heart disease and stroke, and evaluate effective strategies for prevention and management.

3. The Impact of Lifestyle on Blood ressure:
    Analyze how lifestyle choices, including diet, exercise, alcohol consumption, and stress levels, affect blood pressure. Discuss the scientific evidence behind lifestyle modifications recommended for blood pressure control.

4. Blood ressure Measurement and Monitoring Techniques:
    Delve into the different methods used to measure and monitor blood pressure, including manual sphygmomanometers, automatic blood pressure cuffs, and ambulatory blood pressure monitoring. Address the importance of accuracy and consistency…...

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Primary Sources

Pickering, Thomas G., et al. \"Recommendations for Blood Pressure Measurement in Humans and Experimental Animals: Part 1: Blood Pressure Measurement in Humans: A Statement for Professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research.\" Hypertension, vol. 45, no. 1, 2005, pp. 142–161.

O\'Brien, Eoin, et al. \"European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement.\" Journal of Hypertension, vol. 21, no. 5, 2003, pp. 821–848.

Sharman, James E., and Michael Stowasser. \"Ausbilten Position Statement on Home Blood Pressure Monitoring.\" Australian Family Physician, vol. 39, no. 12, 2010, pp. 879–883.

Whelton, Paul K., et al. \"2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.\" Hypertension, vol. 71, no. 6, 2018, e13–e115.

Stergiou, George S., et al. \"Home blood pressure monitoring: Primary role in hypertension management.\" Current Hypertension Reports, vol. 15, no. 4, 2013, pp. 278–283.

Discussion QsQuestion 1: Select 2 of Lifes Essential 8 and summarize the corresponding chaptersPhysical ActivityThe chapter corresponding to physical activity in the 2024 Heart Disease and Stroke Statistics report focuses on the importance of regular physical activity as an important factor in maintaining cardiovascular health. It explains that engaging in moderate and vigorous activities can be a good way to help reduce the risk of heart disease and stroke because it keeps the heart active and in good condition (Martin et al., 2024).The report summarizes that adults should strive to reach at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic activity every week if possible, and that this activity should be spread over several days (i.e., not done all at once). Physical activity should include things like muscle-strengthening exercises that focus on major muscle groups, which should be if possible done on two or more…...

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ReferencesMartin, S. S., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., Baker-Smith, C. M., & others. (2024). Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association. Circulation, 149(20), e350-e356. Retrieved from P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., DePalma, S. M., & others. (2017). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary. Journal of the American College of Cardiology. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001209Whelton,

Lifespan
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.

Family background

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. His profession was…...

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 rapes that…...

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Bibliography

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 .