Community Assessment - Prevention of Hypertensino in adult population Essay

Community Assessment - Prevention of Hypertensino in adult population - Essay Example The measurement of blood pressure is a complex topic, and there is also no exact differentiation between individuals ‘at risk’ from blood pressure-associated morbidity and mortality, and rest of the population. Adequate treatment of High Blood Pressure (HBP) with strict adherence to regimen, better prescribing and compliance, and regular follow-up is expected to reduce the risk of stroke and cardiovascular episodes. However, literature reviews suggest that healthcare outcomes and patient compliance are not up to the expected level due to several barriers to the successful diagnosis, treatment, and control of hypertension encountered by healthcare providers and lack of compliance by patients with hypertension. Research findings also suggest that there is disagreement among physicians regarding definitions of hypertension, and confusion over medications for BP control. As such, it is essential to maintain uniformity in research standards and clinical approaches to improve the quality of care for controlling patient’s blood pressure and introduce nurse-led blood pressure management initiative, to attain the goals of Healthy People as envisaged. Hypertension is prevalent in â€Å"28% of the US population and 35% of the African American population. However, only 1 in 4 patients with hypertension are controlled to a blood pressure of less than 140/90 mm Hg.† (Wright et al, 2002, p.1636-1643). Cross-sectional analysis of national representative data by Wang & Wang (2004), conforming to new classification of blood pressure levels by Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure report (JNC 7 Report published in 2003), found that â€Å"elevated blood pressure is a serious problem in the United States. Approximately 60% of American adults have pre-hypertension or hypertension, and some population groups, such as African Americans, older people, low-socioeconomic-status groups, and overweight

Anomie Assignment Example | Topics and Well Written Essays - 750 words

Anomie - Assignment Example However, many, especially the lower class and lower middle class are mostly affected and thus unable to achieve their desired thoughts and achievements they keep to the social rules, they thus claim responsibility for their failure, and they continue to keep to their social. Best examples of conformists could be team leaders, students especially at tertiary levels and also apart of workers or employees in an organization. Education and vocational ways are followed by these people to achieve their goals and gain more wealth. Merton discusses innovation as his second mode of adaptation. Merton argues that most of behaviors related with crimes can be categorized as innovative. Innovators are said to be people who live to embrace monetary and material success as a worthy goal, but also individuals who deviate or turn to crime when they realize that their experience or social status restricts access to genuine means of success. According to Gomme, the archetypal example of an innovator is a typical gangster young immigrant with intelligence and ambitions who abandons genuine means to succeed by means of corruption. A good example is a drug trafficker who desires wealth and the best social status yet the attempts of acquiring such ambitions are unfair and illegal. This means that innovators are not seriously offending others: individuals who fake their work experience or educational background in curriculum vitae or an interview would also fall in this class. The third adaptation according to Merton can be said to be ritualism. Ritualists isolate the strain of anomie by reducing their own aspirations of Victor to a point where goals are more practically achievable. They consent to their social status and caste, as well as adhere to the organizational means consistently as they are required to follow. Ritualists tend to avoid taking risks like a violation of law, and in addition, they have no problem living within the confines of daily monotony. As Gomme describes, fo r ritualists; the means became ends in them. A telemarketer or agent who is situated in a customer care desk can pose a demonstration about a ritualistic response. This agent will work hard and also behave conventionally on grounds that he/she accepts the personal wealth and additionally the social prestige. This will them make him/her have a revision on the goals so as he/she is subjected to alignment of possibilities that are practical.it is also depicted that bureaucrats and administrators who are employed in large institutions also pose such ritualistic response making their ambitions to be adaptable to the available possibilities for success. However, ritualists are not depicted as threats to the social and organizational structure since they maintain an outward stability on socio-cultural norms and hence they do not break the law (Gomme 51). Retreatism is discussed by Merton as his fourth adaptation. Retreatists have a tendency for a more dramatic response to the stress of ano mie. Retreatists finally give up if they are driven by the forced expectations of social achievement through conventional and indigenous ways: they then turn back to the cultural goals and also the norms of the society that brings success. Durkheim posed an observation that stated that suicide can be viewed as a retreat which so ultimate. Merton has

Tim hortons Essay Example for Free

Tim hortons Essay Mr. Jake Zablocki, Miss Harjinder Sandhu , Mr Roysten Fernandes and Miss Maria Klepikova will together comprise the board of directors and will be involved in day to day activity . Board Of directors * ( we can exclude this )* Mr. Jake Zablocki as the Chairman Miss Harjinder Sandhu as the Chief Operating officer Mr Roysten Fernandes as the President Miss Maria Klepikova as the Vice-president The key advisors are: Miss Harjinder Sandhu Legal Consultant Miss Sandhu is an in house legal advisor and voluntarily offers her services as part of the management team. Mr Jake Zablocki  ± Account Manager Mr Zablocki will assume all the accounting responsibilities and will manage the business joint account separately Royal Bank of Canada. Infrastructure Who are key outside advisors, such as accountants, lawyers, or co nsultants, and what is their compensation package? Enter text here. NA Contracts and Franchise Agreements What are the company ¶s management contracts, non -compete agreements, franchise, or other contractual agreements? Enter text here. We( Name to be decided ) have entered into an Franchise Agreement with Tim Horton ¶s for a period of 10 years with an option to renew for further 10 years at the discretion of the management team Business Plan Non Compete agreement exists between the four entrepreneurs for a period of 5 years of restricting to enter into food beverages in Ontario for the smooth function of the business. Insurance If you have a buy-sell agreement, who will be insured in terms of life insurance policies on key personnel for which the company is the beneficiary? Enter text here. We have a buy and sell agreement in place , a type of insurance where all the four partners are assure for life. The Insurance policy will be placed under a trust. All the four member will be the trustee. Buy and Sell: means the legal representa  tives of the deceased are obliged to sell the share to the remaining partners who are in turn obliged to buy it. The remaining partners are able to buy the share from the proceeds of a life insurance policy taken out by the deceased on their own life and placed in trust for the remaining partners. Employee Stock Option Plan and Other Incentives What employee stock option or other incentive plans will be in effect? Enter text here. We do not have any employee stock option plan or incentive plan other than the one run by Tim Horton ¶s time to time. Organization Charts How is the company organized? Enter text here. The management team contributes equally to the success of the business. 8 ? Business an Mr Jake Za ck Miss ar inder Sandhu Bussiness Mr ysten Fernandes Miss Maria Kle ik va 9 Business Plan PRODUCT/SERVICE Purpose of the Product/Service What is the purpose of the product/service? How does the product/service benefit the customer? Does it solve a problem or address an opportunity; is it a luxury item or a needed item? Enter text here. Unique Features What are the unique features of the product/service, such as cost, design, quality, capabilities? Enter text here. Stage of Development What is the history of product/service life cycle, and which stage of development is the product/service currently in? Enter text here. Future Research and Development What, if any, future research and development efforts will be required? Enter text here. Trademarks, Patents, Copyrights, Licenses, Royalties What patents, trademarks, service marks, or copyrights have been obtained? W hat license or royalty agreements are associated with the product/service, and what plans are there for future agreements? Enter text here. Government Approvals What governmental approvals are necessary, and what is the status of such approvals? Enter text here. Product/Service Limitations What are the limitations of the product/service, if any? Enter text here. Product/Service Liability What are the liabilities this product/service may pose? What are the insurance requirements and costs? Enter text here. Related Products/Services and Spin-Offs What are the related services that will be provided, and how will they increase or enhance the profitability of the venture? What new product or service spin -offs could be developed to meet changing market needs in this industry or others? Enter text here. 10 Business Plan Production How much will be produced internally, and how much of the production will be subcontracted out? What are the costs and services involved with subcontracting? Who are the backup subcontractors; what are their costs, and who supplies the services? Enter text here. Facilities What are the plans for facilities (manufacturing, office, retail)? What are the manufacturing plans, that is, the manufacturing facility, production capacity, and future capita l-equipment needs? Enter text here. Suppliers Who are the major raw material suppliers, and what are the significant purchasing contracts with them? Are there backup suppliers? Enter text here. Environmental Factors What is the potential environmental impact of the product or service? What steps will the company take to protect the environment? What environmental agencies regulate the product or service? Enter text here. 11 Business Plan MARKETING PLAN Industry Profile Current Size What is the current size of your industry? Enter text here. Growth Potential Is this a growth, stable, or declining industry? Enter text here. Geographic Locations Is your industry located in a specific area of the country? Enter text here. Industry Trends What are the trends in the industry? What effect does technology have on the business? Enter text here. Seasonality Factors What are the special seasons in your industry? Enter text here. Profit Characteristics What are the profit characteristics for your industry? Enter text here. Distribution Channels What distribution channels currently exist to support the sale of your product or service? Enter text here. Basis of Competition What is the basis of competition for your industry? Enter text here. Competition Profile What is the profile of the competition? What is your competitive advantage? Enter text here. Customer Profile What is the profile of the intended customer? What are the reactions to the product/service from prospective customers? Enter text here. Target Market Profile What is the target market, size, and cost of market penetration? 12 Business Plan Enter text here. Pricing Profile What is the pricing structure? What are your policies on negotiating a price for large orders or on special price deals for penetrating the market? How is the pricing structure sensitive to the customer ¶s buying points? Enter text here. Gross Margin on Products/Services What is the gross margin potential? What are the industry ¶s pricing policies? Do you differ? Enter text here. Break-Even Analysis What is the break-even point for your product/service? Enter text here. Market Penetration Distribution Channels What distribution channels will be used for selling the product or service to the end user? Enter text here. Sales Representatives How will sales representatives be used as an approach for selling the product or service to the end user? Enter text here. Direct-Sales Force How will a direct-sales force be used for selling the product or service to the end user? Enter text here. Direct Mail/Telemarketing How will direct mail or telemarketing be used as an approach for selling the product/service to the end user? Enter text here. Advertising and Promotion What advertising and promotion media will be used for the distribution system and end users? Enter text here. Packaging and Labeling What kind of packaging and labeling will be used? Enter text here. Service and Warranties What warranties and guarantees will be offered? Enter text here. 13 Business Plan Trade Shows What trade shows do you plan to use to exhibit your product/service? Enter text here. Future Markets What opportunities could occur in future markets? Enter text here. 14 Business Plan OPERATING AND CONTROL SYSTEMS Administrative Policies, Procedures and Controls Receiving Orders What administrative policies, procedures, and controls will be used for receiving orders? Enter text here. Billing the Customers What administrative policies, procedures, and controls will be used for billing the customers? Enter text here. Paying the Suppliers What administrative policies, procedures, and controls will be used for paying the suppliers? Enter text here. Collecting the Accounts Receivable What administrative policies, procedures, and controls will be used for collecting the accounts receivable? Will you have a separate collection department? Use a collection agency? Use factoring?

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Theodore Roosevelt National Park INTRODUCTION Do you want to hear about the first national park that is the first and only dedicated to a president? Theodore Roosevelt National Park was established in 1947. The Mountains are over 55 million years old. The badlands of Theodore Roosevelt national park is dry with occasional monsoon showers. The park is located in Medora, North Dakota, and is home to some amazing animals including wild horses, reptiles and mammals. GEOLOGY The Little Missouri River eroding the mountain range is the reason that the park is as it looks today. The park is believed to be

Dubliners Themes and Motifs Essay

In what concerns Joyce’s style of writing we can observe that he balances the objectivity – the attitude of â€Å"scrupulous meanness â€Å" and sympathetic understanding of characters with the help of the stream of consciousness and epiphanies Scrupulous meanness – ‘Scrupulousness’ is a crucial element both in Joyce’s use of language, and in the structure and form of the stories. ‘Scrupulous meanness’ refers to a most complex and heavily allusive style that determines the reading of Dubliners. From the minimum of words Joyce succeeds to extract the maximum effect. Joyce puts this style forward as a means to express his moral intent The Sisters * â€Å"sensation of freedom as if [he] had been freed from something by the priest’s death â€Å" * â€Å"desired to confess something. I felt my soul receding into something pleasant and vicious region [†¦] I too was smiling feebly as if to absolve the simoniac of his sins† * â€Å"†¦I wouldn’t say he was exactly†¦but there was something uncanny about him. I’ll tell you my opinion†¦Ã¢â‚¬ (incomplete sentences of aunt) * â€Å"one of those †¦peculiar cases† * â€Å"scrupulosity in the Catholic Church is a very real, potentially paralyzing, mental disease†(Bremen) Stream of consciousness – Depicts the multitudinous thoughts and feelings which pass through the mind. Eveline * â€Å"She had consented to go away, to leave her home. Was that wise? She tried to weigh each side of the question. In her home anyway she had shelter and food; she had those whom she had known all her life about her. Of course she had to work hard, both in the house and at business. What would they say of her in the Stores when they found out that she had run away with a fellow? Say she was a fool, perhaps; and her place would be filled up by advertisement. Miss Gavan would be glad. She had always had an edge on her,especially whenever there were people listening.† Araby * â€Å"What innumerable follies laid waste my waking and sleeping thoughts after that evening! I wished to annihilate the tedious intervening days. I chafed against the work of school. At night in my bedroom and by day in the classroom her image came between me and the page I strove to read. The syllables of the word Araby were called to me through the silence in which my soul luxuriated and cast an Eastern enchantment over me. I asked for leave to go to the bazaar on Saturday night. My aunt was surprised, and hoped it was not some Freemason affair. I answered few questions in class. I watched my master’s face pass from amiability to sternness; he hoped I was not beginning to idle. I could not call my wandering thoughts together. I had hardly any patience with the serious work of life which, now that it stood between me and my desire, seemed to me child’s play, ugly monotonous child’s play.† Epiphany – an experience of sudden and striking realization. Eveline * â€Å"Derevaun Seraun! Derevaun Seraun!’ â€Å"She stood up in a sudden impulse of terror. Escape! She must escape! Frank would save her. He would give her life, perhaps love, too. But she wanted to live. Why should she be unhappy? She had a right to happiness.Frank would take her in his arms, fold her in his arms. He would save her† A painful case * â€Å"As he sat there, living over his life with her and evoking alternately the two images in which he now conceived her, he realized that she was dead, that she had ceased to exist, that she had become a memory. He began to feel ill at ease. He asked himself what else could he have done. He could not have carried on a comedy of deception with her; he could not have lived with her openly. He had done what seemed to him best. How was he to blame? Now that she was gone he understood how lonely her life must have been, sitting night after night, alone in that room. His life would be lonely too until he, too, died, ceased to exist, became a memory − if anyone remembered him.† The dead * â€Å"His soul swooned slowly as he heard the snow falling faintly through the universe and faintly falling, like the descent of their last end, upon all the living and the dead.† Themes General/ Contextual themes – themes surrounding the entire narrative discourse giving it homogeneity .They deal with Dublin biggest issues that have a great influence in every character behaviour.In relation with each individual story they can be central themes or hidden after a detail ,an action ,an answer or a thought. * Poverty * Paralysis * Irish politics and religion issues Central/Characteristic themes * Mortality * Escape * Isolation * Powerlessness * Alcoholism

An Analysis Of Jamie Oliver s Ted Talk - 859 Words

Jamie Oliver’s Ted Talk â€Å"Teaching every child about food,† captures his great passion and investment in fighting childhood obesity, improving children’s health, and lengthening their life expectancy. Obesity affects not just those that are obese, but family, friends, community, and country. The healthcare expense for obesity in the United States per year is two hundred and ten billion per year and growing, this expense is then passed down to Americans who have to pay more money in health insurance premiums as well as tax dollars to help cover this massive expense. (Oliver, J., 2010) Oliver, in his Ted Talk, discusses three major culprits for child obesity, which are fast food companies/supermarkets, food labels and schools. Oliver describes how thirty years ago, supermarkets were much more locally owned, with fresh foods, whereas nowadays supermarkets are owned by corporate america, stocking the shelves with highly processed foods, that are extremely high in sugar and fats. School breakfast and lunch is a huge staple in children’s nutrition in the United States, as this accounts for two/thirds of millions of children’s daily meals. Oliver rants that the food school’s provide is filled with a tremendous amount of additives, as well as being highly processed, with a lack of fresh vegetables and nutritious foods. (Oliver, J., 2010) Oliver has proposed a six point plan to reducing childhood obesity in England. His plan would implement a twenty percent tax per litre of sugarShow MoreRelatedSummary Of Jamie Oliver s Teach Every Child About Food 1233 Words   |  5 PagesTed Talk Analysis Assignment: Jamie Oliver â€Å"Teach every child about food† Summary: In the ted talk â€Å"Teach every child about food†, speaker Jamie Oliver, talks about the unhealthy eating habits of children all across America. He comes straight out by telling us the present generation of kids are implemented with 10 years of less life expectancy than their parents. The main focus of the talk is directed towards bad health and how it leads to the state of obesity, which is considered a global

Child Health And Human Development - 2300 Words

INTRODUCTION Many diseases have been discovered, studied, and are diagnosed to many individuals of different ages today. Of all individuals premature babies are prime to acquiring diseases, as their immune system has not reached full term. Necrotizing enterocolitis (NEC) derives from a European literature that help define the disease as, â€Å"necrotizing† meaning death of tissues, â€Å"entero† referring to the small intestines, â€Å"colo† is the large intestine, and â€Å"itis† meaning inflammation.8 Necrotizing enterocolitis is the most common and devastating disease in neonates. It is a gastrointestinal disease that affects distant organs such as the brain and places affected infants at substantially increased risk for neurodevelopmental delays.3, 8 The†¦show more content†¦Although many other factors may be involved with the development of necrotizing enterocolitis only premature neonates are found to be involved in case-controlled studies. 8 X-rays can show the abdomen having a bubbly appearance, a sign of air or gas present in the large intestines.14 With many research findings and studies available medical researchers are able to help narrow the understanding of NEC in the symptoms, causation, and medical treatment. Infants with NEC are those 5% of infants who are most sick found in the NICU that display a large amount of morbidity and mortality and low rate of survival. 3,13,14 Once an infant is diagnosed with NEC there is little treatment that can differ the course of the disease. 8 The studies with NEC have been able to help researchers with diagnosis, but it remains baffling.9 The treatment of NEC is difficult, and faulty, pathogenesis is still to be proven, and no effective prevention strategy has been complied with.9 With the lack of improvement shown in the mortality rate for NEC over the past years, medical investigators have to re-examine epidemiologic factors involved with NEC to search for strategies to prevent and treat the disease. 8 EPIDEMIOLOGY Neonates with necrotizing enterocolitis have been studied to be able to get a greater understanding of how this disease occurs and the types of preventions that can be placed to be able to