...Lesson two states that the American culture relies heavily on media, and that is not as valuable to learning as literature. I completely agree. It stated that an American child from age five to age eighteen has viewed over 20,000 hours of television and electronic media. That is an abundant amount of time spent doing that opposed to spending time doing homework and studying. There needs to be more of a balance in the use of electronic curriculum and traditional curriculum. I know that when I was a child, my family didn’t even have cable, so it was a real treat when I would get to watch a movie, or any television on the non-cable channels. My family pushed the importance of reading books, and figuring out the message in everything I read. Television and media is making us lazy. We rely too much on electronics to do the work for us. Television requires very little brain activity, which is why when we watch it, we tend to zone out, or easily forget what was just said. When watching television we only tap into the emotional side of our brain, and never think logically. Everything we learn from television goes into our short-term memory, but when we use traditional curriculum, we have to think and comprehend everything, which goes into our long-term memory. For me personally, I am a much better learner when I have to read and comprehend something on my own. To summarize, people are becoming more dependent on electronics. If we start to think on our own, without the help of the...
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...SERVICES 2013-2014 DEGREE PLANNING FORM: RHIM Bachelor of Science in Restaurant, Hotel, and Institutional Management DB 03.09.15 Ables, Lindsey D. NAME: COURSE MET HR GRADE/NOTE ENGLISH (9 HOURS) MET HR COURSE GRADE/NOTE MET HR SCIENCES (8 HOURS) 3 (3) ENGL 1301 [010] TA 3 (3) ENGL 1302 [010] TA (3) ENGL 4 (4) NS 1410 [030] B [030] (4) PSS 1411 GRADE/NOTE 3 S15 (3) HIST 2300 [060] (3) HIST TA (3) COMS 3358 2300 [011] (3) ENGL LIT [040] TA (3) POLS 2302 [070] TB 3 TB [070] (3) ECO [080] 2302 TA 2305 [011] or CFAS 3 [060] (3) POLS 1301 3 HUMANITIES (3 HOURS) 2301 3 ORAL COMMUNICATION (3 HOURS) B FOREIGN LANGUAGE VISUAL & PERFORMING ARTS (3 HOURS) MATHEMATICS (6 HOURS) 3 (3) MATH 3 (3) MATH 1300 3 1320 [020] COURSE MET HR [050] TA 2 YRS SPANISH or 2 Semesters: ( ) C [021] ( ) GRADE/NOTE MET HR COURSE GRADE/NOTE MET HR MAJOR REQUIRED COURSES (60 HOURS) 3 (3) RHIM 2308 A+ 3 (3) RHIM 2310 3 (3) RHIM 2340 GRADE/NOTE B Choose 1 course from: COURSE FOOD SCIENCE (3 HOURS) A+ or IS 1100 ** A 3 (1) HUSC 1100 ** (3) ART 1309 XX 2 Yrs High School TA HUMAN SCIENCES CORE (4 HOURS) 1 COURSE SOCIAL SCIENCES (15 HOURS) 2311 3 R10904156 R #: (3) ADRS 2310 [080] (3) HDFS 2322 [080] (3) PFP 3301 B [080] 3 (3) FDSC 3303 OTHER COURSES (N/A) ( ) 1 HR ANY (2) RHIM 3000 (1) RHIM 3100 S15 ( ) 3 (3) RHIM 3320 B ( ) 3 (3) RHIM 3321 A ( ) (3) RHIM 3322 S15 3 (3) RHIM 3341 A...
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...Assignment 3 Name: Mikaela Carender Assignment 3 is a structured assignment. You must complete the questions in order. This is a short capstone assignment that will take us briefly through the research process. Let’s pretend that we’re all taking an ENGL 1001 class this semester and that we are required to write a paper on a current event, issue, or controversy. As part of our research for the paper, we are required to complete an annotated bibliography. An annotated bibliography is a list of citations to books, articles, and documents. Each citation is followed by a brief (usually about 150 words) descriptive and evaluative paragraph, the annotation. The purpose of the annotation is to inform the reader of the relevance, accuracy, and quality of the sources cited. Our instructor has informed us that we need to use 6 total sources for our annotated bibliography: * 3 must be scholarly journal articles * 3 can be a mix of popular articles, reference sources, internet sources, images, statistical sources, etc. * The information must be current, and must not have publication dates or cover dates before the year 2000 * You must cite articles in the APA style. We know that the first thing we should do as researchers is look up the topic in a reference source to gain a bit of knowledge about the topic, become familiar with the vocabulary used to write about and discuss the topic, and to start noting the cited references included in entries that will lead us to...
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...Case Study 2: Hyperlipidemia Scenario R.M. is an active 61-year-old man who works full time for the postal service. He walks 3 miles every other day and admits he doesn’t eat a “perfect diet.” He enjoys 2 or 3 beers q HS (every night), he uses stick margarine, eats red meat 2 or 3 times per week, and is a self-professed “sweet eater.” His cardiac history includes a recent inferior myocardial infarction (MI) and a heart catheterization revealing 3-vessel disease: in the left anterior descending (LAD) coronary artery, a proximal 60% lesion; in the right coronary artery (RCA), proximal 100% occlusion with thrombus; and a circumflex with 40% to 60% diffuse ectatic lesions. A stent was deployed to the RCA and reduced the lesion to 0% residual stenosis. He has had no need for nitroglycerin (NTG). Six weeks after his MI and stent deployment, he had a fasting advanced lipid profile. The results were total cholesterol 188 mg/dl, HDL 34 mg/dl, triglycerides 176 mg/dl, LDL 98 mg/dl, pattern B LDL typing at 19 nm, homocysteine 18 mg/dl, high-sensitivity C-reactive protein (HS CRP) 12 mg/dl, fasting blood glucose (FBG) 101 mg/dl, thyroid-stimulating hormone (TSH) 1.04 mg/dl. Total Cholesterol 60 34 Triglycerides 45-155 176 LDL 5% and greater than placebo) of niacin are flushing, diarrhea, nausea, vomiting, increased cough, and pruritus. Flushing (warmth, redness, itching, and/or tingling of the skin) may vary in severity and is more likely to occur with initiation of therapy...
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...Robert Montgomery ENGL 1120 Amelia Lewis 4/25/13 The United States and the Middle East For the past few decades, United States foreign policy has revolved around the situation in the Middle East. This is due mostly to the fact that tensions between the United States and the Islamic countries of the Middle East are always high. Also with the United States’ most valuable resource, oil, found in highest supply in the Middle East, America has a vested economic interest into the political stability of the region. However, after a costly war in Iraq that tarnished our image not only in the Middle East but around the world and a situation in Israel that hasn’t shown any lasting progress for decades, it’s time for the United States to take another look at its political strategy for achieving lasting peace in the region. With the events of early 2011 in the Middle East, otherwise known as Arab Spring, the region has become highly unstable and vulnerable to the influences of terrorism. This is a critical time for the United States to reestablish healthy diplomatic relations in the region in order to decrease the spread terrorism and harsh anti-American sentiment as well as bring about a lasting peace. In order for America to improve its foreign affairs in the Middle East it needs to finish strong in Iraq and Afghanistan, reach a peace agreement in Israel, push for more diplomacy with Iran, and support the rebels in Syria fighting injustice. By involving the rest of the world...
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...Spencer Holcomb Professor Gary Enns ENGL 101 (32106) Essay 4: Analysis 29 April 2014 What is Normal? It can be so easy for us as humans to point out how different each of us are from one another. But, do we ever stop and acknowledge how much we are actually alike? Has it ever crossed your mind as to how similar you are to other human beings? Although two humans may seem so different due to their background, race, gender, culture, etc…, each desires similar wants and needs. As identified in Abraham Maslow’s hierarchy of needs, every human has similar needs and some take precedence over others. Shown in the novel Frankenstein, written by Mary Shelley, the character known as “The Monster,” symbolizes someone who is “different” and how others react to this character as well as what this character wants and needs are. However, if we look closely and take into account the needs that motivate all human beings, we can see that the monster may not be so different after all. To begin, lets take a deeper look into the characters of the novel Frankenstein. It seems that throughout the entire story, Shelly is showing how different the monster is from Victor and the rest of society. She is using the monster as a symbol of someone who is not normally accepted into everyday society. As stated by Stephen T. Asma in the article, “Monsters and the Moral Imagination,” “our liberal culture, we dramatize the rage of the monstrous creature and Frankenstein’s is a good example—then scold ourselves...
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...that clinicians use a wide variety of technologies in diagnosing, treating and assessing the care of their patients. Today's medical technology is more advanced, more effective, and in many cases, more costly than ever before. Furthermore there is an ever increasing demand for high technology diagnostic and therapeutic health care facilities and their availability may come into conflict with medical necessity, social justice and cost effectiveness. There is increasing pressure on health care resources that is driving more explicit and public decisions regarding the best use of these resources. The complexity of modern technology and its high marginal cost suggest to us that testimonial reviews of new technologies are no longer sufficient.1 Current trends in health care decision making favour a transition from a rationale based primarily on resources and opinion to a rationale derived from research. In developing a new health care technology it is important to recognize its potential impact. The important question would be whether the new technology provides information that was not previously available and the new information may result in the cure of a common and otherwise fatal disease....
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...Therapeutic Exercise Prescription Concepts Applied to Patients Diagnosed With Fibromyalgia Pain is defined as an “unpleasant feeling, conveyed to the brain by sensory neurons” (Medical Dictionary, 2013). Pain is a subjective interpretation, which describes location, intensity and nature of sensory information resulted from noxious stimulation of nerve endings. The emotional response and other various conscious or unconscious responses add to the concept of pain. Acute pain usually results from tissue damage and it usually ends once the injury is healed. Chronic pain is a long term condition related to a persistent or degenerative disease or it doesn’t have an identifiable cause. Although there are different opinions about when a patient can be declared as suffering from chronic pain (after six months or twelve months), the presence of such sensation after the healing period usually leads to this diagnosis. One of the diseases with a generalized chronic pain as a symptom, which continues to generate many debates in the medical world, is fibromyalgia. Fibromyalgia, a disorder that affects the overall system and has an effect of generalized chronic pain, will be delineated in this paper, including its causes, manifestation, and part of the process of managing this disease in which a kinesiologist would have a central role. Fibromyalgia, estimated to affect 4% of the population, is a compilation of symptoms accompanying pain, which include fatigue, stiffness and sleep disturbance...
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...Dietary Intake and Risk Factors for Poor Diet Quality Among Children in Nova Scotia Paul J. Veugelers, PhD1 Angela L. Fitzgerald, MSc, PDt2 Elizabeth Johnston, PhD, PDt, FDC3 ABSTRACT Objective: Public health policies promote healthy nutrition but evaluations of children’s adherence to dietary recommendations and studies of risk factors of poor nutrition are scarce, despite the importance of diet for the temporal increase in the prevalence of childhood obesity. Here we examine dietary intake and risk factors for poor diet quality among children in Nova Scotia to provide direction for health policies and prevention initiatives. Methods: In 2003, we surveyed 5,200 grade five students from 282 public schools in Nova Scotia, as well as their parents. We assessed students’ dietary intake (Harvard’s Youth Adolescent Food Frequency Questionnaire) and compared this with Canadian food group and nutrient recommendations. We summarized diet quality using the Diet Quality Index International, and used multilevel regression methods to evaluate potential child, parental and school risk factors for poor diet quality. Results: In Nova Scotia, 42.3% of children did not meet recommendations for milk products nor did they meet recommendations for the food groups ‘Vegetables and fruit’ (49.9%), ‘Grain products’ (54.4%) and ‘Meat and alternatives’ (73.7%). Children adequately met nutrient requirements with the exception of calcium and fibre, of which intakes were low, and dietary fat and sodium...
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...HHS Public Access Author manuscript Author Manuscript JAMA Intern Med. Author manuscript; available in PMC 2015 October 01. Published in final edited form as: JAMA Intern Med. 2014 October ; 174(10): 1668–1673. doi:10.1001/jamainternmed.2014.4005. Medical Cannabis Laws and Opioid Analgesic Overdose Mortality in the United States, 1999–2010 Author Manuscript Marcus A. Bachhuber, MD, Brendan Saloner, PhD, Chinazo O. Cunningham, MD, MS, and Colleen L. Barry, PhD, MPP Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania (Bachhuber); Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia (Bachhuber); Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Bachhuber, Saloner, Barry); Robert Wood Johnson Health and Society Scholars Program, University of Pennsylvania, Philadelphia (Saloner); Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York (Cunningham); Department of Health Policy and Management, the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Barry) Abstract Author Manuscript IMPORTANCE—Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose...
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...RESEARCH Proposing a carpal tunnel treatment centre: The Shouldice model revisited Hazim Sadideen, Faddy Sadideen ABSTRACT The Shouldice Hospital prides itself with excellent hernia repair outcomes. The Shouldice concept exhibits a unique, successful business model, and is a clear example of the concept of a highly innovative value proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be prudent to develop efficient pathways for the treatment of CTS, and other common disorders in the future. This review aims to explore the successes behind the Shouldice model, cross-fertilise surgical and management grounds by familiarising surgeons with the Shouldice model to help generate key ideas for the future, and extrapolate key information to postulate the 'carpal tunnel treatment centre' as a potential enterprise that can be designed on the basis of the Shouldice model. Optimal healthcare delivery while improving the patient journey, in a cost-effective manner, requires careful planning and execution. It is important to further explore and capitalise on this knowledge, to improve our service to patients and the multidisciplinary healthcare workforce, particularly in light of restructuring...
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...Overview Hypercalcemia is the most common life-threatening metabolic disorder associated with neoplastic diseases, occurring in an estimated 10% to 20% of all adults with cancer. It also occurs in children with cancer, but with much less frequency (approximately 0.5%–1%).[1-3] Solid tumors (such as lung or breast cancer tumors) as well as certain hematologic malignancies (particularly multiple myeloma) are most frequently associated with hypercalcemia.[4] Although early diagnosis followed by hydration and treatment with agents that decrease serum calcium concentrations (hypocalcemic drugs) can produce symptomatic improvements within a few days, diagnosis may be complicated because symptoms may be insidious at onset and can be confused with those of many malignant and nonmalignant diseases. However, diagnosis and timely interventions not only are lifesaving in the short term but also may enhance the patient’s compliance with primary and supportive treatments and may improve quality of life.[5] When a patient has a refractory, widely disseminated malignancy for which specific therapy is no longer being pursued, the patient may want to consider withholding therapy for hypercalcemia. For patients or families who have expressed their wishes regarding end-of-life issues, this may represent a preferred timing and/or mode of death (as compared with a more prolonged death from advancing metastatic disease). This option is best considered long before the onset of severe hypercalcemia or...
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...Nursing in 3D: Diversity, Disparities, and Social Determinants The Social Determinants of Health: It’s Time to Consider the Causes of the Causes Paula Braveman, MD, MPHa Laura Gottlieb, MD, MPHb ABSTRACT During the past two decades, the public health community’s attention has been drawn increasingly to the social determinants of health (SDH)—the factors apart from medical care that can be influenced by social policies and shape health in powerful ways. We use “medical care” rather than “health care” to refer to clinical services, to avoid potential confusion between “health” and “health care.” The World Health Organization’s Commission on the Social Determinants of Health has defined SDH as “the conditions in which people are born, grow, live, work and age” and “the fundamental drivers of these conditions.” The term “social determinants” often evokes factors such as health-related features of neighborhoods (e.g., walkability, recreational areas, and accessibility of healthful foods), which can influence health-related behaviors. Evidence has accumulated, however, pointing to socioeconomic factors such as income, wealth, and education as the fundamental causes of a wide range of health outcomes. This article broadly reviews some of the knowledge accumulated to date that highlights the importance of social—and particularly socioeconomic— factors in shaping health, and plausible pathways and biological mechanisms that may explain their effects. We also discuss...
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...Annals of Internal Medicine Clinical Guidelines Screening Mammography in Women 40 to 49 Years of Age: A Systematic Review for the American College of Physicians Katrina Armstrong, MD, MSCE; Elizabeth Moye, BA; Sankey Williams, MD; Jesse A. Berlin, ScD; and Eileen E. Reynolds, MD Background: The risks and benefits of mammography screening among women 40 to 49 years of age remain an important issue for clinical practice. Purpose: To evaluate the evidence about the risks and benefits of mammography screening for women 40 to 49 years of age. Data Sources: English-language publications in MEDLINE (1966 – 2005), Pre-MEDLINE, and the Cochrane Central Register of Controlled Trials and references of selected studies through May 2005. Study Selection: Previous systematic reviews; randomized, controlled trials; and observational studies. Data Extraction: Two independent reviewers. Data Synthesis: In addition to publications from the original mammography trials, 117 studies were included in the review. Metaanalyses of randomized, controlled trials demonstrate a 7% to 23% reduction in breast cancer mortality rates with screening mammography in women 40 to 49 years of age. Screening mammography is associated with an increased risk for mastectomy but a decreased risk for adjuvant chemotherapy and hormone therapy. The risk for death due to breast cancer from the radiation exposure involved in mammography screening is small and is outweighed by a reduction in breast cancer mortality...
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...Eur Respir J 1999; 14: 452±467 Printed in UK ± all rights reserved Copyright #ERS Journals Ltd 1999 European Respiratory Journal ISSN 0903-1936 SERIES "CHEST PHYSIOTHERAPY" Edited by S.L. Hill and B. Webber Number 3 in this Series Effects of drugs on mucus clearance E. Houtmeyers, R. Gosselink, G. Gayan-Ramirez, M. Decramer Effects of drugs on mucus clearance. E. Houtmeyers, R. Gosselink, G. Gayan-Ramirez, M. Decramer. #ERS Journals Ltd 1999. ABSTRACT: Mucociliary clearance (MCC), the process in which airway mucus together with substances trapped within are moved out of the lungs, is an important defence mechanism of the human body. Drugs may alter this process, such that it is necessary to know the effect of the drugs on MCC. Indeed, agents stimulating MCC may be used therapeutically in respiratory medicine, especially in patients suspected of having an impairment of their mucociliary transport system. In contrast, caution should be taken with drugs depressing MCC as an undesired side-effect, independently of their therapeutic indication. Since cough clearance (CC) serves as a back-up system when MCC fails, the influence of drugs must be examined not only on MCC but also on CC. Ultimately, the clinical repercussions of alterations in mucus transport induced by drug administration must be studied. Tertiary ammonium compounds (anticholinergics), aspirin, anaesthetic agents and benzodiazepines have been shown to be capable of depressing the mucociliary transport system...
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