Journal Article Critique (Recognizing Heart Failure (ACEIs) )

Journal Critique (Recognizing Heart Failure (ACEIs) ) - Article ExampleEach horizontal surface has relevant information that can be relayed to the patient with the goal in mind of making the patient responsible for the maintenance of his own heart especially in the early stages. Also, the article emphasizes the value of glutinous to a medication regimen, consuming a healthy food, as well as exercising as means of preventing heart failure.Heart failure is a disease that afflicts no less than half a million Americans each year according to the article. This makes the disease top the list of diseases that cause mortality. According to the discipline Heart Lung and Blood Institute heart failure is commonly caused by diabetes, coronary arteria disease, hypertension , and diabetes. Nevertheless, the article argues that heart failure can be linked to any of these dysfunction systolic or diastolic. The aforementioned causes cited by the National Heart Lung and Blood Institute are usuall y diastolic dysfunction. On order to get a complete evaluation of patients suspected with heart failure, they undergo chest X-ray, an cardiogram( ECG) and ricochet cardiogram. The initial workup for a patient with suspected heart failure includes lab tests, a chest X-ray, an electrocardiogram (ECG), and an echocardiogram. In addition to this, the Mayo Clinic website cited other tests that may prove helpful such as focussing test, coronary cathetherization ( angiogram ), MRI or cardiac CT. Each test has a corresponding purpose that may reveal a symptom. For example, angiogram helps in determining the presence or even extent of coronary artery disease. The article extensively discussed the stages outlined in the AHA/ACC guidelines. The first stage which is known as Stage A, is a stage that aims to control the condition of the patient by suggesting interventions such as controlling hypertension. Controlling game blood pressure is crucial in preventing heart failure

The Role of the Colonies in the British Mercantilist System Essay

The Role of the Colonies in the British Mercantilist System - Essay ExampleThis research allow for begin with the statement that in the early 17th century, England was a second rate producer, merchant and ocean force. By the end of the century, it pushed out its first class competitors, such(prenominal) as the Dutch and the French, through its host prowess and economic ingenuity. big businessman James II, a firm believer in the divine mature of a ruler, solidified the colonial rule. Though his successors, who would loosen the grip on the power over colonies, the British imperium was based on commerce and thus its protection through military prowess. British Empire expanded using its colonies as a source of economic progress and status symbol among opposite countries. With King James II, British colonies turned into a source of profit and power for the British Empire. King James II attempted to create a centrally managed Atlantic Empire. Though the Glorious mutation weakened r oyal grip on power, King James II put forth the foundations of mercantilism, such as the need to expand economically in order to be a glorious empire. British colonies thus served to improve British economic status among other monarchies and in work outent states and towns in Europe. Mercantilism was a policy promoting self-sufficiency among countries of the day. According to Nettels, the policy aimed to gain for the nation a high degree of warrantor or self-sufficiency, especially as regards food supply, raw materials needed for essential industries, and the sinews of war. With this goal in mind, the British aristocracy pursued colonies which could produce sugar, tobacco and other food products. In exchange, they were required to debauch English manufactured goods, or use the English merchants as intermediaries (Henretta & Brody 69). This practice was prescribed by the staple fiber Act of 1663, according to which colonial planters bought most of the needed manufactured goods fro m England (Nettels 109). England prohibited trade with other European countries, as it could not impose favorable name of trade (Nettels 105). English political sympathies designed laws that would take place colonies dependent upon English economy Slaves must be bought from English slave traders. The area must depend upon English sources for capital and credit, and the planters could not avail themselves of legal devices in order to ease their burdens of debt (Nettels 109). Industrial increase overwhelmingly took place in England. English policies were to encourage industrial development by any delegacy possible, such as tariffs, bounties and other forms of state aid (Nettels 113). Unlike the English manufacturers, colonial manufacturers received no such subsidies (Nettels 113). English government ensured the policy was followed by forbidding colonial governments to assist colonies with any process whatsoever in the field of manufacturing (Nettels 113). The British aristocracy encouraged conquest of new colonies, and imposed itself as a naval power (Nettels 106). Mercantilists viewed it a governments duty to guard favorable terms of trade and to store an adequate amount of gold and silver (Nettels 106). Therefore, according to the Navigation Act of 1661, the mercantilist government prohibited its citizens all trade with foreign merchants and vessels (Nettels 109). Its military ensured the law was obeyed and they even imposed it on the Dutch and the French. However, the mercantilist government did not create activities in the colonies. According to Nettels, economic activities sprang up from colonists, who decided which economic bodily process was necessary for their survival in new lands (108). As a result, the government only controlled a sealed economic activity once it had proven itself to be profitable. The British government retarded the economic harvest-time of plantations. The mercantilist system in England did not aim to promote economic devel opment in its colonies. Mercantilism aimed to verbalise wealth from

Why is global distribution more difficult than domestic distribution Essay

Why is world-wide distribution more difficult than interior(prenominal) distribution - Essay ExampleDistribution is one of the master(prenominal) parts of marketing. There ar actu thaty galore(postnominal) kinds of distribution bring. This could include wholesalers, retailers, agents, direct sales, and the overseas and meshing distributors. When products are manufactured, they are normally shipped to the distributor. The distributor then puts them in the market in some ship canal for the customers or retailers to buy.According to Philip Kotler, another distinguished professor of International Marketing said that the distribution channels can have several levels (www.wikipedia.org). He stated that the simplest level, otherwise known as the zero-level channel, has no intermediaries engaged. The bordering level, called the one-level channel, presents one intermediary such as for manufacturing goods a distributor and in consumer goods a retailer. It would be mulish if these tw o levels are applied in small markets. However, in larger markets, the second-level is more appropriate to use. A wholesaler, for instance is largely used to expand the distribution to the great number of a few, neighborhood retailers. globular distribution is a type of distribution wherein products manufactured by a company are delivered to all the markets worldwide. Although there are some difficulties with which how products are distributed, the good thing is that a manufacturer has a big chance of getting more income. With global distribution, one must make sure of so many things such as what to use as mode of transportation, how to distribute them properly to all the distributors from around the world, what are the ways of communicating with the distributors, and how to make sure that the products are best kept safe until they are bought by customers. When a company decides to do a global distribution, its main priority is to successfully deliver its products to the consumers so that they win the confidence of their customers and even gain more prospective buyers in the process. If by no means, this becomes a success, the company would surely gain more profit thus, it shall also be good news to its customers. not only are the customers going to get high-quality products, they may also be able to buy these products at lower prices in the future. What is domestic distributionWhile global distribution is concerned with the distribution of products in most parts of the world, domestic distribution is only concerned with the distribution of products within a certain(p) range. For instance, if a company is based in one country, then with domestic distribution, the products are only distributed in that country. Moreover, if there are companies in some parts of the world, then those countries where these companies are located are only the ones being distributed by the products. One might say that this is a selfish thing to do, however, with domestic distribution , manufacturers are ensured immediately that their products are transported successfully and quickly. There are many reasons why most companies are into domestic distribution. For one thing, it requires fewer expenses. Another thing is that manufacturers can immediately know how their products are doing on the particular proposition places they have distributed their products. Communication is very important when it comes to business. if ones distributors are fewer

Politeness Theory Essay Example | Topics and Well Written Essays - 2500 words

Politeness Theory - Essay ExamplePrimarily, the possible action focuses on the sequential context of utterances, which is deemed little for the comprehensive message interpretation this is nevertheless examined alongside different colloquial factors such as tone and volume. This theory can be applied to a diverse frame of social and professional or academic situations including but non limited to classroom pedagogy and vocabulary teaching. This paper will critically examine the politeness theory by carrying out a critical analysis several journal articles dedicated to various aspects of the concept with particular attention to its application in a pedagogical context as well as an analysis of the various disputations that have been enjoin towards challenging it. Summary of the politeness Theory The fundamental notion behind Brown and Levinson politeness theory is the face, which they defined as the public self-image that each individual in a society desires to claim for him/h erself. They created a binary framework in which the face was categorized as two divergent albeit related aspects videlicet the negative and positive face. The positive face is characterized with the self-image, which holds, and it encapsulates their inherent desire to gain approval and appreciation from new(prenominal) flock. The negative face is characterized by ones not wanting to have their actions inhibited or constrained by or for the sake of others in the context of this theory politeness refers to the steps that individuals pledge in the interests of preservation of both their face and that of their audience. The term has been explicitly defined as the redressive action with which individuals counterbalance the effects of face threatening facts (FTAs) redressive is contextually applied in adduce to actions that give or reinforce face to the audience of the message (Johnson, Roloff & Riffee, 2004). It is suggested that in communication, whether written, face-to-face of through other media, human beings perpetually attempt to maintain each others face. This is manifested in the fact that they a lot try their outmost to avoid creating through discourse, embarrassing or humiliating situations for each other in order to preserve self-esteem. FTAs are defined as action that infringes on the need of the patient of the reading to maintain their self-esteem therefore, one can say that there are acts that intricacy poses a threat to face (Foley, 1997). According to the theory, orders, suggestions advises reminders, threats or warning and similar acts pose a threat to ones negative face, on the other hand, positive face is threatened when they incorporate elements of disapproval, ridicule contempt or accusations and insults. Under the positive strategy, politeness is inclined toward the positive self-perception of the speaker has for himself and the listener as well. This confirms that the speaker takes perception of the listeners need to be respected an d this often happen among close friends or otherwise intimate people (Wilson et al., 1998). The negative politeness on the other hand is based on respect but in a different format as the speaker seeks to respect the negative face wants of the addressee by not interfering with their inherent autonomy of freedom. For example, one may start a request by locution

Science Essay Example | Topics and Well Written Essays - 1000 words

cognition - Essay ExampleIt is one of the alkali metals having a chemical symbol Na with fractionic human activity 11. atomic number 11 is soft and silvery white metal in color. Aside from one of the most thick elements in the planet, atomic number 11 in nature belongs to halite group which means it is highly reactive. Aside from its silvery-white color, sodium is also waxy in appearance, can easily be cut by a knife because it is soft, it reacts with oxygen once exposed to air and forms sodium oxide film (Chemistry Explained, par. 1-60). This is the reason why a able and shiny surface of sodium once cut lacks luster because the sodium oxide film covers the metal.According to Resusch (par. 5), the atom of sodium has only one electron in its valence shell that at times when it losses it, it will result to lower shell valence octet which further results to obtaining a positively charged atom. Sodiums atomic mass is 22.98 (Chemistry Explained, par. 1-60).Sodiums melting point is 97.82C, boiling point of 881.4C, density of 0.968 grams per three-d centimeter and since it is a metal, it excellently conducts electricity (Chemistry Explained, par. 1-60). At 298 0K, sodium is at its solid state (Winter, par. 1-8).3. Sodium also reacts with other elements and compounds. Once sodium reacts with acid, it produces hydrogen gas. It can also be dissolved in other metallic elements such as mercury to create an alloy such as amalgam.In the periodic table of elements, it can be observed that the number of protons is what actually tries to determine a authoritative element among any other. However, the number of neutrons in an atom varies and this variation is considered an isotope (Chemistry Explained, par. 1-60). Therefore if an element is having forms of more than one, then its other forms are considered isotopes. In the case of sodium, it has one naturally occurring isotopes which is sodium-23 and it has six radioactive isotopes, which break aside and

Officer Joe Essay Example | Topics and Well Written Essays - 1000 words

Officer Joe - Essay ExampleThere is little doubt that management of the patrol department and its leadership is a demanding, complex, and challenging task, but that task is largely possible through untroubled management (Eisenberg 21). Managing this police officer is not an easy task, as his nix attributes and their impact on the department mustiness be weighed against his performance. Accordingly, we should examine the set of behaviors, assess the impact to the department and the public, balance the consequences of the officers negative behavior with his superior performance, and determine a way to help this officer.Officer Joe is, as any opposite police officer, under a lot of stress. The stress of police work is well known, and its effects on the individual can cause the officer to resort to various coping mechanisms. One of the more carbuncular ways of coping with stress on the art is inebriant abuse. In fact, Officer Joe is presenting classic signs of alcohol abuse. Dis regard for authority, cargonlessness in personal appearance, as well as impatience and irritability are three indicators of alcohol abuse (Moriarty & Field 155). Officer Joes behavior indicates his condition is worsening, as this is presumably the first time he has shown up for duty with alcohol on his breath. Immediate management noise is required in this situation, to protect the public, the department, and Officer Joe himself. As there has been no indication of drinking man on the job, the officer is likely engaging in this self-destructive behavior in private. Some great power content that the private behavior of a police officer is not an issue to management unless it affects job performance. In Officer Joes case, his performance has been very good. However, the private life of a police officer is something that can and should be considered by management. The special role that the police

Merger, Acquisition, and International Strategies Assignment - 5

Merger, Acquisition, and International Strategies - Assignment ExampleMerging with AT&T saw T-Mobile acquire AT&T Companys stock value. Through this merger, AT&T hopes to increase its networking, and coverage. In addition, AT&T focuses on expanding their deployment based on long-term ontogenesis technology. In order for AT&T Company to continue running its business, the wireless industry be vital, and as a result, AT&T requires introducing new strategies as well as manufacturing new devices, plot of land developing new applications for their consumers.Study shows that T-Mobile struggled with their stocks going down, and, for this reason, they had to merge with AT&T, which favored the two companies. Earlier, T-Mobile dealt with basic service kindred voice mails, texts, free weekend offers, and otherwise enticing services attractive to their customers. However, they lagged in damage of internet upgrading, and while their basic services seemed fabulous, they lagged in wireless data business. They lacked a good cast for their clients like affordable data, new devices, and wireless data. With all these technological qualifys, they saw a need for change considering their competitors like AT&T, Sprint, and Verizons success cases. Despite their struggle to acquire more customers through meliorate services, T-Mobile could not compete with the 3G network. AT&T took the advantage and merged with this struggling company offering cheaper phones, plans, and no contract plans. This merger made them the largest wireless company in the United States.Publix Supermarket and its subsidiaries operate in retail foods supermarkets in many of the United States including South Carolina, Georgia, Tennessee, Florida, and Alabama. Some of these companys products include bakery, general merchandise, dairy, seafood, and pharmacies among other products and services. This company has both private-label brands as well as nationally advertised products. Other unbranded products like mea t