Easy Narrative Essay Topics

Easy Narrative Essay TopicsEasy narrative essay topics, as opposed to the difficult topic based ones are that they require less writing skills. However, they also require a significant amount of research skills, organization skills, and writing skills.You will need to write essays on easy narrative essay topics, such as you would if you were taking a course in these topics. There are many academic institutions that offer these courses to assist students with their studies. The easiest way to do this is to visit your local university bookstore and locate an essay or subject based writing course for easy narrative essay topics.As you begin the writing process, you will need to keep a notebook or piece of paper in front of you that you can use as a blank space for writing a first draft. You may want to look at some reference material first to see what type of things you would want to discuss in your essay. One idea is to talk about your personal interests or your field of study, but at the end of your first draft, you can move onto something more in depth that you would like to discuss. If you have specific questions about something, feel free to ask for answers from someone that you trust and for advice.Before you start to write the paper, be sure to plan the size of your essay. Although you can start off with smaller pages, as you get further into the topic you will need to work your way up to larger pages as you continue writing. If you end up with too much material, you may not be able to add everything you need to get it finished.Once you have written the piece, go over the piece to make sure there are no mistakes. You may have an outline to work from, but if you do not, check your outline against your notes and see if there are any holes in it. If there are, fix them and go over the rest of the piece with you hand and make sure everything is correct.Once you have made changes to the piece, then you can go back and write the last few lines of the final draft, just before you send it in. Make sure you proofread the essay for any errors, but do not worry too much about grammar. You may also want to take a few minutes to check your style and structure so you will know where you need to go in the essay.Writing easy narrative essay topics has always been easy, but now that more people are using this style of writing, it is becoming more popular than ever. As long as you do your research, you will have a successful essay. The hardest part will be when you try to complete it.

Physiological Disorders - 2825 Words

P1- Explain the nature of TWO named physiological disorders. In this assignment I will be looking at the nature of two named physiological disorders. I will explain its sign and symptoms and access possible difficulties involved in the diagnosis of the disorders from their signs and symptoms. The two physiological disorders are coronary heart disease and breast cancer. Coronary heart disease: Coronary heart disease is the build-up of plaque such as cholesterol and other fatty substances within the coronary arteries causing a reduced or no supply of oxygen to the heart. The process of plaque lining the coronary arteries is called arteriosclerosis. Coronary heart disease can be caused and triggered by many different factors. These†¦show more content†¦If you are concerned about a history of breast cancer in your family you should see GP and they will want to take a family history. Before seeing your GP it is a good idea to try to find out who in your family has been diagnosed with breast cancer at what age they were diagnosed ad their exact blood relationship to you. On the basis of the family history, it is usually possible for your GP to access your risk as either near-normal, moderate or high. If your risk is moderate or high then if you wish you may be referred to be a doctor who is specialist for further assessment and counselling. There are many treatments of breast cancer, the seriousness and the type of cancer will result in what type of treatment is chemotherapy. Chemotherapy is given to advanced stage of breast cancer. And it is a nurse role to educate the women receiving chemotherapy about the names of drugs and they are administered and their side effects. P2- Explain the signs and symptoms related to two named physiological disorders. Coronary heart disease The main symptom of coronary heart disease is angina. Angina is chest pain that occurs when the blood supply to the muscles of the heart is restricted. It usually happens because the arteries supplying the heart becomeShow MoreRelatedDepression as a Physiological Disorder Essay1376 Words   |  6 PagesDepression as a Physiological Disorder When researching the above statement, I have taken into account what I consider to be some of the main physiological and biological arguments regarding depression as a physical illness, as well as several psychodynamic and behavioural theories in order to attempt to compare the two and result in understanding how true the above statement is. When looking at the physiological view, it can be useful to look at the biological explanationRead MoreBipolar Disorder Is A Complex Physiological And Psychological Disorder1965 Words   |  8 Pagesups and downs and the feelings that are caused by suffering from bipolar disorder? Bipolar disorder is a complex physiological and psychological disorder that can influence and manipulate a person s thoughts and actions in their daily life. What are common traits that come from people with bipolar disorder? Are there common things that are seen among people with the disorder like lying? What can help calm down the disorder and help someone maintain a normal life? Throughout this paper I will beRead MoreThe Effectiveness of Medicine in Physiological Disorders Essay995 Words   |  4 PagesPhysiological disorders are characterized as mental disorders. Any abnormality bizarre reactions concerning behavioral or mental state that occurs frequently and that is eventually affecting the person’s life, is considered a psychological disorder. People who suffer from mental disorders have difficulties relating, socializing, communicating, and building relationships because of their mental state. There is a huge variety of psychological disorders. Some are more dangerous for the person and canRead MoreEssay on Physiological Disorders2646 Words   |  11 PagesPhysiological disorders: In this assignment I am going to describe two physiological disorder in details, the details that I am going to go into is what the disorder is, signs and symptoms, cause of the disorder, physiological changes as a result of treatment and the factors influencing the development of the disorder, explain the signs and symptoms related to two named physiological disorders, describe the investigations that care carried out to enable the diagnosis of these physiological disordersRead MoreUnit 14 Physiological Disorders1154 Words   |  5 PagesCauses of sign and symptoms People with Alzheimer disease also develop deposits of protein and fibre that prevent the cells from working properly. When this happens, the cells cant send the right signals to other parts of the brain. Over time, brain cells affected by Alzheimer also begin to shrink and denature. Causes of sign and symptoms People with Alzheimer disease also develop deposits of protein and fibre that prevent the cells from working properly. When this happens, the cells cantRead MoreWhat Is The Nature Of Two Physiological Disorders998 Words   |  4 Pagesdiagnosis and the nature of two physiological disorders In this assignment, I will be writing about two physiological disorders; a stroke which is a circulatory disorder and asthma which is a respiratory system disorder. A physiological disorder is â€Å"an illness that interferes with the way that the functions of the body are carried out.† (Billingham et al, 2016). Stroke A stroke is the first physiological disorder I will be writing about. A stroke is a circulatory disorder which affects the brain. A strokeRead Moreevaluate the effectiveness of health and social care practitioners and agencies working together to deliver the care pathway for one of the chosen physiological disorders3153 Words   |  13 Pagesï » ¿Unit 14 – physiological disorders P1 P2 P3 Explain the nature of two named physiological disorders Explain the signs and symptoms Describe the investigations that are carried out to enable the diagnosis. The two physiological disorders I will be talking about in this assignment is hypertension and Diabetes. Pulmonary hypertension Pulmonary hypertension is a lung disorder. The arteries that carry blood from the heart to the lungs become narrowed, making it very hard for the blood toRead MoreSigns of a Sleep Disorder641 Words   |  3 Pagessign of a sleep disorder. Sleep disorders is a term used to describe any medical disorder that effects a person’s sleeping patterns. These disorders vary in types, levels of severity, and effect, but all of them eventually lead to poor sleep quality, and subsequently, other bigger health problems owing to the fact that the absence of quality sleep can have a serious negative impact on a person’s energy, emotions, and overall health. Furthermore, the causes of all sleeping disorders vary from environmentalRead MoreHealth Promotion Of Mental Health756 Words   |  4 Pagesconsider health promotion in mental health (MH). Specifically how the Social Cognitive approach (SCT) is applied to programs in the field of mental health. It appears that SCT has been extensi vely applied to physiological health promotion (Bandura, 2004) more so than that of mental health disorders and problems. Although there may be less inquiry into behaviour changes in MH, stigma (individual and collective) in MH has been examined in relation to SCT guided programs. The two intervention articles readRead MoreGenetic Counseling : A New Field Emerging From An Intersection Between Genetics, Medicine, And Psychology1249 Words   |  5 Pagescomprehend medical information, including the management for various disorders. These individuals must also have an in-depth understanding of how heredity contributes to the risk and occurrence of disorders. They must be able to help individuals choose and follow the most appropriate course of actions based on their risk and occurrence. Specifically, genetic counseling works with human problems associated with the risk of occurrence of a disorder in a family. At this point, despite its emphasis on psychological

Knowledge Based Expert System in Transportation...

Knowledge Based Expert System in Transportation Engineering and Traffic Adaptive Signal Control System I. Abstract Advances in computer technologies have been changing transportation field. Based on those, Intelligent Transportation System has been proposed and being developed for the next generation transportation system. This system requires more utilization of Artificial Intelligence, such as Knowledge Based Expert System, than current one. Although Knowledge Based Expert System has not been robustly studied in the field of transportation, it is suggested to be implemented in Traffic Adaptive Signal Control System as a part of Intelligent Transportation System. Therefore, it is fundamental to overview that what the current position†¦show more content†¦Being experienced with negative environmental impacts and high land cost from those processes, transportation engineers noticed the need of new technologies to maintain transportation system to be enable to handle traffic without constructing new facilities. Intelligent Transportation System(ITS) is an ongoing movement, which starts in the late 1980s, intending to maximize the utilities of transportation facilities. It is based upon the utilization of advanced computer technologies in communication between hardware control systems and in decision making processes on various tasks. Many advanced studies have been achieved under the name of ITS, and they include the application of Artificial Intelligence, such as Knowledge Based Expert System (KBES) which will be dealt with in this report. KBES has implemented in limited fields of transportation; it is mainly used in pavement management system including road maintenance and road rehabilitation. Previous implementation of KBES in transportation field are briefly reviewed in the following section. In addition, potential applications of KBES are discussed by focusing on the Traffic Adaptive Signal Control System, which is under the ITS project and is suggested to be designed to use KBES by many researchers. III. Discussion KBES is an intelligent computer program that uses the knowledge and inference procedures of human experts to solve difficult problems, and it is not robustly studied in the field ofShow MoreRelatedAircraft Take Off and Landing Using Fuzzy Logics9736 Words   |  39 Pagesâ€Å"AIRCRAFT TAKE-OFF AND LANDING CONTROL SYSTEM USING FUZZY LOGIC CONTROLLER’’ in the partial fulfilment of requirements for the Award of degree of M.Tech (Electronics and Communication Engineering) submitted in the Department of Electronics and Communication Engineering at GURU NANAK DEV ENGINEERING COLLEGE, LUDHIANA under PUNJAB TECHNICAL UNIVERESITY, JALANDHAR is my work done to study aircraft take-off and landing performance of aircraft and design a control system. The work presented in this projectRead MoreManaging Information Technology (7th Edition)239873 Words   |  960 PagesCONTENTS: CASE STUDIES CASE STUDY 1 Midsouth Chamber of Commerce (A): The Role of the Operating Manager in Information Systems CASE STUDY I-1 IMT Custom Machine Company, Inc.: Selection of an Information Technology Platform CASE STUDY I-2 VoIP2.biz, Inc.: Deciding on the Next Steps for a VoIP Supplier CASE STUDY I-3 The VoIP Adoption at Butler University CASE STUDY I-4 Supporting Mobile Health Clinics: The Children’s Health Fund of New York City CASE STUDY I-5 Read MoreSdlc23489 Words   |  94 Pages2 System Development Life Cycle Methodology Learning Objectives : †¢ To introduce the general concepts of various approaches of systems development, their framework, advantages and disadvantages; †¢ To explain in detail the phases involved in Systems Development Life Cycle(SDLC); †¢ To understand the key issues while acquiring or developing system for achieving goals set; †¢ To discuss in detail various System Development Tools like – DFD, Decision Tree, Flowcharts etc.; and Read MoreSSD2 Module 4 Notes Essay28478 Words   |  114 Pagessavvy Soldier will take an active interest in any culture he or she works in. ReALLIT: read, ask, look, listen, investigate, and think. Look for styles of interaction/proper behavior, greeting rituals, local dress, daily routines and movements, transportation, eating habits, treatment of children, major or common ceremonies and rituals, and frequencies of young men visible on the street. Soldiers who are not culturally savvy compromise the mission by alienating the locals, or even by creating majorRead MoreA Description of Formula SAE14320 Words   |  58 Pagesknown as Mini Indy, I doubt that any of them expected their efforts would change the world of motor racing and the lives of thousands of young men and women. Today this program, renamed Formula SAE  ®, has become the world championship for college engineering students, and the training program for race car engineers and designers around the world. Teams from as far away as Korea, Japan and Mexico travel to the suburbs of Detroit each May for the big event. Satellite events have begun in the United KingdomRead MoreToyota Supply Chain78751 Words   |  316 PagesTOYOTA’S RENOWNED SYSTEM ANANTH V. IYER SRIDHAR SESHADRI ROY VASHER New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright  © 2009 by Ananth V. Iyer, Sridhar Seshadri, and Roy Vasher. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the priorRead MoreManaging the International Value Chain in the Automotive Industry60457 Words   |  242 Pagestiescallsforanewapproachtoleadership– one  thatrequiresbothmanagementandpersonnel toshowgreaterabilitytocooperate.Ifcompanieshopetomeetthechallengesofinternational competition,theyneedtorecognizeandseize theopportunitiesofferedbytheglobaleconomic system.However,thecompetitivepositionofan internationallyactivecompanyisnotdetermined MartinSpilker Program director Thechangesthathavetakenplaceinoperations, production,communicationsanddecisionmakingareparticularlyevidentintheautomotiveRead MoreProject Mgmt296381 Words   |  1186 PagesCross Reference of Project Management Body of Knowledge (PMBOK) Concepts to Text Topics Chapter 1 Modern Project Management Chapter 8 Scheduling resources and cost 1.2 Project defined 1.3 Project management defined 1.4 Projects and programs (.2) 2.1 The project life cycle (.2.3) App. G.1 The project manager App. G.7 Political and social environments F.1 Integration of project management processes [3.1] 6.5.2 Setting a schedule baseline [8.1.4] 6.5.3.1 Setting a resource schedule 6.5.2.4 ResourceRead MoreManagement Course: Mba−10 General Management215330 Words   |  862 Pagesrights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without prior written permission of the publisher. This McGraw−Hill Primis text may include materials submitted to McGraw−Hill for publication by the instructor of this course. The instructor is solely responsible for the editorial content of suchRead MoreStrategic Marketing Management337596 Words à ‚  |  1351 PagesBen Gilligan for their support while it was being written. Acknowledgements Our thanks go to Janice Nunn for all the effort that she put in to the preparation of the manuscript. Strategic Marketing Management Planning, implementation and control Third edition Richard M.S. Wilson Emeritus Professor of Business Administration The Business School Loughborough University and Colin Gilligan Professor of Marketing Sheffield Hallam University and Visiting Professor, Northumbria University

International Business Interview - 731 Words

Ngan Pham INTB 3354 (Tuesday 4:00-5:30PM) 11/30/2014, 11:30AM, Skype Ashley Ngo, Regional Marketing Executive Position (Europe Trade Section), Hanjin Shipping Co. Ltd International Business Interview Three specific questions asked: 1. What type of competitive strategy does your business use? 2. What specific product, promotion/brand, and pricing adjustments are necessary to market your business abroad? 3. What role do particular countries have in the production process in your global supply chain operations? Essay Hanjin Shipping is popular worldwide because of not only the largest company in the Korea’s shipping industry, but also one of the ten world’s biggest cargo shippers. Hanjin Shipping provides services over the†¦show more content†¦For example, Europe back to Subamarang is the back-haul, but the area from Singapore to Subamarang is the head-haul. Reefer box, as known as refrigerated container, is listed in the Hanjin’ potential products list. Since reefer boxes are limited and demand for it is escalated from EU to Asia, reefer boxes are promoted inbound in Asia to export boxes to Europe. As a result, Hanjin can maximize EQ-equipment turnover. Some ports in Europe, such as Felixtowe in Great Britain, have a surplus of reefer boxes, thus the company can adjust the rate higher in order to limit the trade into such area while surplus areas, such as Barcelona in Spain, are offered a reasonable low rate to give Asia-Europe service promotions. Afterwards, the company gets higher contribution margin derives from Europe-Asia trade. Another way Hanjin reinforces its core business globally is promoting â€Å"shipper owned container†, â€Å"SOC† for short, in the area where boxes are deficit to save on empty repositioning cost. In surplus areas, Hanjin tries to be flexible with its rates to clear out the boxes and se nd them to other areas with high demand. The rates can be adjusted from lower to higher accordingly. Hanjin Shipping, additionally, has a service diversification to Africa as NAF-North Africa-Asia, WAF-West Africa, EAF-East Africa, SAF-South Africa lines are added. Before cargos areShow MoreRelatedInterview With Tobias Kuners, A Prominent International Business Leader1552 Words   |  7 Pagescom/en/free-performance-library/performance-management-articles/10-if-it-does-not-add-value-let-it-rest-tobias-kuners-of-koenders-wolters-kluwer-health/ Major Thesis The online magazine the performance factory, published an interview with Tobias Kuners, a prominent international business leader. In this article, the interviewer seeks to uncover Kuners’s philosophy for success. To begin, Kuners believes many CEOs undermine success because they take the time to develop strategy but do not communicateRead MoreGlobal Business Environment: Interview With IKEAs Senior International Manager1139 Words   |  5 PagesRunning Head: GLOBAL BUSINESS ENVORINMENT Global Business Environment Interview Introduction The business personal interviewed for this paper is Mr. Jeff Anderson, who has been in the international business for more than a decade. Mr. Jeff is the senior International manager at IKEA and is working with IKEA since last 10 years. He often visits different countries that have IKEA stores; and has been to Europe, Middle East, North America, Australia and United Kingdom. IKEA is recognized asRead MoreA Brief Note On International Staffing Cultural Differences1771 Words   |  8 Pages International Staffing-Cultural Differences. Introduction. This research paper is based on the cultural barriers which hinders employee performance to a great extent. Staffing is one of the biggest issue one faces in the global market. Companies today strive to diversify their workforce as much as possible by hiring employees from various backgrounds. There are three main staffing strategies a company can implement when entering an overseas marketRead MoreA Interview On Business Management1189 Words   |  5 Pagesthat exist in the business world. Entrepreneurship is not only about creating new business models but also about being innovative and improving on already established structures. Entrepreneur Gary Salomon, co-founder of FASTSIGNS International, demonstrates how essential improvements can make a difference. I decided to interview Mr. Salomon because of the success he was able to establish by being innovative. As a future entrepreneur I want to be able to identify future business ventures that haveRead More Cross-Cultural Communicat ion Essay1114 Words   |  5 PagesCross-Cultural Communication Introduction   Ã‚  Ã‚  Ã‚  Ã‚  In business, successful communication is the key to success, and being able to relate to a customer is the best form of communication. This is why cross-cultural communication is so important as the business world continues to globalize itself. Unfortunately, â€Å"A lack of awareness about the culturally prescribed rules and norms of communication behaviors can cause public relations projects to fail, or worse, backfire.† (Zaharna, 2001, p.135)Read MoreSteps Up With Companies And Recruitment Agencies911 Words   |  4 PagesFurthermore, if you end up in an interview, but you don’t land the job, don’t forget to follow-up afterwards. You should always reply and thank the company for the opportunity. You could even ask if they can provide you tips for future interviews and to provide feedback on your performance. Most crucially, don’t forget to state that the company can freely contact you if another similar opportunity arises in the fut ure. Step 4:Prepare well for the interviews Your international job applications will hopefullyRead MoreEvaluation Of A New Company And Looking For Young Entrepreneurs1717 Words   |  7 PagesEmail: rsitterlrlo@gmail.com Interview Date: 4/19/17 Initial Point of Contact: I met Rick Sitter off of an internship ad listed on craigslist. The ad. stated he was â€Å"starting a new company and looking for young entrepreneurs.† His new company is going to be helping people, who owe money to credit companies, get out of debt. With his vast knowledge of the industry and with his partnership with the recently unemployed lawyers from his previous business LRLO, Rick feels he can attainRead MoreA Common Understanding Of A Business Organization1429 Words   |  6 PagesIt’s a common understanding that a given business organization is established with the main aim of making profits. In order to realize the set goals and objectives of such a business organization, there are certain departments charged with distinct roles within the organization. Furthermore, these goals and objectives are usually defined in terms of economic prosperity that is manifested through huge volume of sales as they reflect huge returns. One of these departments includes t he human resourcesRead MoreOutback Steakhouse1450 Words   |  6 Pagesï » ¿Outback Steakhouse in Korea: a success story. by Lee, Kyuho^Khan, Mahmood A.^Ko, Jae-Youn Cornell Hospitality Quarterly †¢ Feb, 2008 †¢ CQ CASES Interviews with executives and managers of the Outback Steakhouse Korea chain point to the critical success factors that have allowed the chain to expand even in the face of economic turbulence. Opened in 1997, the Korean operation first had to survive the Asian currency crisis, which it did with assistance from its franchisor. With close cooperationRead MoreEssay on The Importance of Market Research: The Marriott Company987 Words   |  4 Pagesinnovation and action fuel the way we do business (Marriott, 2012). Organizations, like Marriott, not only have to compete in a rapidly changing technological environment and a highly diverse global environment, it must consider the importance and role that marketing research plays. Operating in such a competitive industry, the Marriott Company has realized that to be successful and survive for the long term, it incorporates market research in its business practices. This paper will define market

Communication in American Literature Essay example

American literature has changed since the industrial revolution. As a child matures into an adult, so has American literature grown to include the problems faced in reality. The word â€Å"fiction† transformed from the fairy tales of romanticism to the reality of realism in America. Authors such as: Clemens, Howells, Chopin, Eliot, Faulkner, and Anderson have all assisted the move from dreams to reality. Dramatists O’neill and Miller have written plays that have changed the way social circumstances are viewed by Americans. Americans, as portrayed by American writers, have been plagued with an inability to communicate feelings through speech, yet from the industrial revolution to post second World War, American writers have†¦show more content†¦I studied a minute, sort of holding my breath, and then says to myself: ‘All right, then, I’ll go to hell’†(Clemens 168). The dilemma of whether to turn in a runaway slave grips Huckâ€℠¢s heart, and like most all human beings the struggle is not put into words to others, but is sounded silently within. Clemens understood realism, and placed an emphasis on a social issue burning hot in his day. He took a fictional character and gave him a mind, and let the audience, the reader, view his expression of communication within himself. Words communicate thoughts, yet thoughts in fictional realism are the expressions of characters that cannot express their thoughts into words. Clemens barely scratched the surface depicting the problems with communicating in America. W.D. Howells, a realist, focused his works on the here and now, the immediacy of time, and critical social issues. In Howells’ text’s, human beings are exposed as creatures of thought, not expression. Alan Trachtenburg, author of The Incorporation of America, spoke of Howells as a writer who was notorious for â€Å"creating fictions of fact rather than fable† (202). Trachtenburg also quotes Howells as saying, â€Å"Realists want to know the world as it really is, to create a world of fiction congruent with ‘real life’†(184). Howell’s realism depicts characters unable to communicate their feelings and feeling unfulfilled in their attempts to express themselves. InShow MoreRelatedThe Dangers Of Early Sexual Activities848 Words   |  4 Pages The United States has one of the highest teenage pregnancy rates, with the highest group beginning the Hispanic American community. To what degree are the parents involved in communicating to their teenage girls about sex, and are they providing the proper information to help protect their teenage daughters from pregnancies and STD’s? Academically this issue will continue to be examined, so that we can learn to help educate young teen students about the dangers of early sexual activities and howRead MoreEssay on Modernism at Its Finest in Literature756 Words   |  4 Pagesthe twentieth century, literature changed and focused on breaking away from the typical and predicate patterns of normal literature. Poets at this time took full advantage and stretched the idea of the mind’s conscience on how the world, mind, and language interact and contradict. Many authors, such as Fitzgerald, Steinbeck, and Twain, used the pain and anguish in first hand experiences to create and depict a new type of literature, modernism. In this time era, literature and art bec ame a largerRead MoreLearning Competencies1019 Words   |  5 Pagesappreciate the melody, rhythm, and lyrics of award winning songs used as musical themes in movies SPEAKING 1. Give a persuasive talk on an issue adjusting one ¶s rate/volume of speaking and register to suit the topic, audience, and setting in a communication situation 1.1 Use pausing and a slow rate of speech to signal important points in one ¶s talk 1.2 Use explicit signals (e.g.  ³This is important «Ã‚ ´) to underscore or highlight a point in one ¶s talk 17 2. Express needs, opinions, feelingsRead MoreQuestions On Managerial Cultural Intelligence1232 Words   |  5 Pagescompared to the existing literature. Research objective 1: To investigate the CQ level of the managers according to the four factors model and to define how their previous international background influences their CQ. 4.1. Managerial cultural intelligence Metacognitive component. This component refers to the ability to adapt behavior to the situation and to acquire cultural knowledge. Almost all managers use consciously their cultural knowledge in cross-cultural communication, they travel a lot andRead MoreUnderstanding the Convergence of Media Systems and Political Communication in the U.S. and Western Europe1054 Words   |  5 PagesUnderstanding the Convergence of Media Systems and Political Communication in the U.S. and Western Europe A powerful trend is clearly underway in the direction of greater similarity in the way the public sphere is structured across the world. In their products, in their professional practices and cultures, in their systems of relationships with other political and social institutions, media systems across the world are becoming increasingly alike. Political systems, meanwileRead MoreThe American Of American Literature1425 Words   |  6 PagesAmerican literature is the literature written or produced in the area of the United States and its receding colonies. American literature as a whole is the written literary work, and the new England colonies were the center of early American literature. American drama attained international status only in the 1920s and 1930s, with the works of Eugene O’Neil, who won four Pulitzer prizes and the Noble prize. During the Middle of the 20th century, American drama was dominated by the works of eminentRead MoreAnalysis: The Benefits and Challenges of Improving Intercultural Communication912 Words   |  4 Pageschallenges of improving intercultural communication in international business. Their article functions as an overview of some key issues, and is fairly well-researched, but ultimately treads no new ground. The article first outlines the case for improved intercultural communication, noting that business is becoming increasingly globalized. As nations come together, there is the risk that ventures and deals could fail as the result of errors in intercultural communication. The authors note, however, thatRead MoreFilm Analysis: Sweet Nothing in My Ear1011 Words   |  5 Pagesdeaf, and her father is basically prejudiced against the hearing culture. The main characters in the story with communication disabilities are Laura and her son Adam. Laura and Adam are both deaf. Both of them were born hearing, and then over time lost it. When someone is deaf, it means that the person can’t hear at all. One of the ways that deaf people communicate is by using American Sign Language, which is where a person uses gestures to communicate with others. Another part of deaf culture isRead MoreThe Culture Of Latin America Essay1630 Words   |  7 PagesIntroduction and Background The culture of Latin America is multi-faceted and rich. More than 300 million Spanish speakers reside in Latin America and are spread across a vast geographic region; this makes it tough at times to explain Latin American culture. Though, there are some living standards and ways of observing life which is in common all over the majority of the area. Latin America comprises of 21 main countries. Major languages spoken in Latin America are French, Portuguese, and SpanishRead MoreCriticism And Analysis Of Puddn Head Wilson 800 Words   |  4 Pages Criticism and Analysis of Puddn’head Wilson In American history, we have good authors, great authors and some bad. One of the most famous authors and probably the greatest that everyone has heard of is Mark Twain. Twain was an American author and humorist in American Literature. Twain was born in Florida, Missouri, on November 30, 1835. In his first writing, he adopted his pen-name from a well-known call of the man sounding the river in shallow places. In 1861 he went to Carson City, Nevada,

Comorbid Manner In Context To A Case Study-Myassignmenthelp.Com

Question: Discuss About The Comorbid Manner In Context To A Case Study? Answer: Introduction The report aims to discuss the pathophysiology of different chronic complex diseases occurring in a comorbid manner in context to a case study. The concerned case study is of a 69 year old lady, Angela who is suffering with three different comorbid condition namely Chronic Obstructive Pulmonary Disorder, hypertension and arthritis. We first discuss the pathophysiology of COPD and hypertension and then move on the defining certain terms such as comorbidity, chronicity and complexity of diseases in general and finally establish a probable link between the comorbid conditions. Pathophysiology and related clinical manifestation of COPD and Hypertension Chronic Obstructive Pulmonary Disorder is an inflammatory disorder of the lungs that progressively grows and induces clinical manifestations such as chronic bronchitis, emphysema and marketing of the airway passage. Worldwide studies have revealed the disorder to be the third largest cause of mortality making it one of the emergent diseases requiring management in the recent future. The most potent risk factors identified are exposure to tobacco. Indoor and outdoor air pollutants, genetics, gender, socioeconomic status and reduced lung volumes due to certain previously occurring diseases. There is an elaborate pathophysiology associated with the disease that has been studied widely studied. A number of inflammatory cells are associated with COPD including CD8+, T-lymphocytes, B-cells, and macrophages. When activated by some foreign particles inflammatory cascades are activated in these cells eventually producing inflammatory mediators, cytokines, chemokines and chemoattractants such as interferon gamma, tumour necrosis factor-alpha, fibrinogen, C-reactive protein, matrix metalloproteinases and so on (Zakynthinos, Daniil, Papanikolaou Makris, 2011). These mediators sustain the inflammation inducing severed tissue damage to the lungs eventually hindering airflow. Further pathological changes can be medicated by imbalance in oxidant-antioxidant levels resulting in oxidative stress, which may lead to inactivation of antiproteases and surfactants, hyper secretion of mucus, sub-epithelial fibrosis, bronchoconstriction and membrane lipid peroxidation. There are three major clinical manifestations of the underlying cellular events. Elastic recoil pressure and movement of air in bronchioles primarily depend on elastin proteins, which undergo proteolysis in COPD patients. Consequently, air-flow in the lungs is reduced due to narrowing of the passage and air-trapping occurs. Prolonged inflammation causes enlargement of the mucus glands lining the inner walls of the lungs and disruption of the mucocilliary transport system responsible of clearing mucus from the airways, resulting cumulatively into blocking airflow due to the presence of excess mucus (Higginson, 2010). Further, narrowing of airways is caused by fibrotic remodelling, which increases airway resistance. Factors causing structural remodelling are build-up of scar tissue, peribronchial fibrosis and overproduction of epithelial cells lining the airways. Lastly, surface area of the alveoli is substantially reduced due to alveolar and bronchiolar epithelial cell apoptosis causing reduced gaseous exchange and disrupted ventilation-circulation, resembling histological features of Emphysema (Brashier Kodgule, 2012). Hypertension is the long-term chronic elevation of the blood pressure that may eventually result into organ damage and increased mortality. Major disorders caused due to hypertension are coronary heart disease, renal failure, and cerebro-vascular diseases. To study the pathophysiology behind hypertension we first look into the physiological mechanisms that control the blood pressure in human body. Normal blood pressure largely depends on the cardiac output and the peripheral vascular resistance of the small arterioles surrounded by smooth muscles. Prolonged concentration of the smooth muscles due to increased levels of intracellular calcium ion concentration may lead to thickening of the arterial walls causing irreversible rise in peripheral resistance. It has been postulated that initially hypertension is caused by increased cardiac output due increased sympathetic activity; consequently to compensate for increased pressure in the capillary bed peripheral resistance is increased. Re nin-angiotensin system is the most important endocrine system controlling blood pressure. Renin secreted from the juxtaglomerular apparatus of the kidney converts angiotensinogen into angiotensin I which is rapidly converted to active angiotensin II in the lungs. Angiotensin II is a potent vasoconstrictor and also induces release of Aldosterone which further raises blood pressure by water and sodium retention (Delacroix, Chokka Worthley, 2014). In patients with hypertension there is a decreased sensitivity to the baroreceptors and the baroreflexes are disrupted to varied extensions suppression the effect of the renin-angiotensin system. Lastly, stimulation of the sympathetic nervous system can cause both constriction and dilatation of the arteriolar walls. Increased release of norepinephrine and increased peripheral sensitivity to the same has been widely observed in patients with hypertension. However, studies have shown that hypertension results from the interaction of sympatheti c and renin-angiotensin system with other related factors such as sodium and water retention and action of certain other hormones like eicosanoids, atrial natriuretic peptide, and nitric oxide and so on. (Safar O'Rourke, 2012) As a consequence of increased vascular stiffness and peripheral vascular resistance the load on the left ventricle is substantially increased causing left ventricular hypertrophy and diastolic dysfunction. Ventricular dystrophy may lead to severe cardiovascular disorders and sudden deaths in certain instances. Chronic hypertension often leads to myocardial infraction and myocardial ischemia which further disrupts normal functioning of the heart. Strokes are the most common clinical manifestations of chronic hypertension mostly due to thrombosis, thrombo-embolism and intracranial haemorrhage (Humbert, 2010). However, acute renal diseases are diagnosed in later stages of the hypertension and its progression is comparatively slower. Co-morbidity, Chronicity and Complexity Comorbidity is defined as the occurrence of two or more distinct disorders in a same patient either at the same time or in a certain sequential pattern. Furthermore it implies the interaction between the diseases, which often results in condition much worse than that caused by a single disease. However, the appropriate definition for the term comorbidity is widely argued. Although all definition are based upon a single concept of occurrence of more than one distinct clinical condition in a single patient, distinction are often made based upon the nature of the health condition of the patient, significance of the co-occurring condition, the time span and sequence of the conditions and the patient complexity (Parekh Barton, 2010). Clinical management and healthcare costs are often higher for patients suffering from comorbid diseases. Several underlying causal links can be present that leads to comorbidity in a patient. A disorder may be directly responsible for causing another disease d condition. Indirect effects of one disorder on another may cause comorbidity. Further, one disorder can be associated with certain risk factors of another disorder and lastly comorbid diseases may be caused due to common causal factors for both of them. In simple terms chronic diseases are defined as those that last on a long term basis. Chronic condition are often more complex than acute ones in that they are still less understood and do not strictly follow the cause-effect relationship. It often involves a multiple complex factors that come together to cause unpredictable adverse effects on the patient. Further, social, cultural and environmental factors play a pivotal role in manifestation and treatment of the diseased condition. It has been argued that success in the medical and pharmacological sectors have increased life expectancy by reducing mortality but have failed to manage chronic diseases efficiently, on the contrary has increased vulnerability towards accidents and risk factors for chronic disease (Allotey, Reidpath, Yasin, Chan Aikins, 2011). Chronic diseases require a prolonged period of treatment intervention and medical supervision. Along with long term medical supervision, management of chronic disease may depend on several other factors such as sociocultural factors, accessibility of healthcare services, cultural views of the illness, governmental policies and programs related to the diseased condition, and the socioeconomic status of the patient. Complex diseases are those which are caused by a cumulative effect of several genetic, environmental and lifestyle factors that are yet to be identified distinctively. As such diseases do not exhibit any straightforward pattern or inheritance they are difficult to diagnose and treat. The contributing factors of complex disease are mostly non-detectable and occur in a comorbid manner which makes it impractical to impose a single factor as a disease causing one. On the other hand complexity of a chronic disease is defined as multiple morbidities in a patient at the same time. It often requires person centred care involving more than one healthcare provider. The higher the number of morbidities associated, higher is the complexity of the patient. Each complexity demands a unique set of needs and limitations according to which unique intervention programs must be designed. Self-management and social support plays an important role in tackling such diseases. Chronicity and Complexity of patients condition Angela is a 69 year old patient suffering from Chronic Obstructive Pulmonary Disorder with an FEV1/FVC ratio of 52%, which is substantially lower than a normal value of 75-85% implying chronic obstructive airway blockage. She has a smoking history of 24 packs per year. Although she has quit smoking 6 years ago her husband still smokes affecting her clinical condition in a passive manner. She suffers from arthritis and uses paracetamol to manage her pain. Further, she is diagnosed with hypertension and weight gain on her last visit to her general physician. All the clinical symptoms of Angela show high chronicity and complexity. Her unusually high FEV1/FVC ratio is a clear sign that her COPD has turned highly chronic. Her arthritis developed from working as a cleaner for many years, which is also considered as one of the most common chronic diseases prevalent worldwide. Lastly along with being COPD comorbidity her recent weight gain has resulted in chronic hypertension. From the case study of the patient it is evident that Angela suffers from a number of complex comorbid chronic diseases that is impeding her quality of life and is proving hard to be managed with medication. COPD is the fifth ranking cause of mortality worldwide (Rabe et al., 2007). It is often difficult to attenuate the consequences of the disease by therapeutic interventions because often COPD is not the only chronic disease a patient suffers from; it is almost always associated with other debilitating chronic conditions. The most common comorbidities of COPD are hypertension, diabetes mellitus and osteoporosis (Divo et al., 2012). COPD patients suffer from hypoxia due to airway obstruction, which may increase production of free radical and signal that increases blood pressure causing systemic hypertension. On the other hand patients with arthritis often develop lung diseases. Arthritis is an autoimmune disease that affects the joints of the body, however, its effect is not limited to the joints, sometimes it may affect the respiratory airway causing blockage in airflow. Thus patients with arthritis have an increased risk of developing COPD than patients without the disease. Conclusion The discussion of the pathophysiology of the clinical conditions that Angela is suffering from clearly indication she needs holistic care immediately to reduce adverse consequences. The underlying cellular mechanisms responsible for COPD, hypertension and arthritis work in a cumulative manner and increase augment the effect of each other further worsening the situation for the patient. The prior history of the patient and old age makes the clinical condition highly chronic and complex. All the comorbidities must be considered before providing therapeutic and medical intervention to the patient. The inhalers drugs used for COPD often tend to affect the cardiovascular system and increase the risk of incidence of cardiovascular events such as angina pectoris and myocardial infraction. Hence antihypertensive drugs must be used to prevent abnormal increase in blood pressure and cardiovascular morbidity. References Allotey, P., Reidpath, D. D., Yasin, S., Chan, C. K., Aikins, A. D. G. (2011). Rethinking health-care systems: a focus on chronicity.The Lancet,377(9764), 450. Brashier, B. B., Kodgule, R. (2012). Risk factors and pathophysiology of chronic obstructive pulmonary disease (COPD).J Assoc Physicians India,60, 17-21. Delacroix, S., Chokka, R. C., Worthley, S. G. (2014). Hypertension: Pathophysiology and treatment.J Neurol Neurophysiol,5(250), 2. Divo, M., Cote, C., de Torres, J. P., Casanova, C., Marin, J. M., Pinto-Plata, V., ... Celli, B. (2012). Comorbidities and risk of mortality in patients with chronic obstructive pulmonary disease.American journal of respiratory and critical care medicine,186(2), 155-161. Higginson, R. (2010). COPD: pathophysiology and management.Nurse Prescribing,8(3), 102-110. Humbert, M. (2010). Pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: pathophysiology.European Respiratory Review,19(115), 59-63. Parekh, A. K., Barton, M. B. (2010). The challenge of multiple comorbidity for the US health care system.Jama,303(13), 1303-1304. Rabe, K. F., Hurd, S., Anzueto, A., Barnes, P. J., Buist, S. A., Calverley, P., ... Zielinski, J. (2007). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary.American journal of respiratory and critical care medicine,176(6), 532-555. Safar, M. E., O'Rourke, M. F. (Eds.). (2012).The arterial system in hypertension(Vol. 144). Springer Science Business Media. Zakynthinos, E., Daniil, Z., Papanikolaou, J., Makris, D. (2011). Pulmonary hypertension in COPD: pathophysiology and therapeutic targets.Current drug targets,12(4), 501-513.

Origins of Classic Rock free essay sample

timeless Rock; which is what most of todays youth sews Classic Rock as. The Definitive origin of the term Classic Rock is hard to pinpoint because the term evolved with the way it was used in social and entertainment settings. Therefore I believe the best way to describe how Classic Rock came to be is by providing the core principle of the Genre. The most telling aspect of the adjective Classic is defined as something about which the same opinion has stood over a long period of time.Thus, People listen to Classic Rock and feel the same way about it today as they did when it was first recorded. The geographical origins of Classic rock can be found in most of the major cities of the asss and 70 but the cities that stand out the most are Chicago Illinois, Cleveland Ohio, Kingston New York, and Houston Texas. I believe these cities are the true origins of Classic Rock because of their prominent radio stations that featured Classic Rock and oldies. We will write a custom essay sample on Origins of Classic Rock or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The founding genres of Classic Rock are primarily Hard Rock, Blues Rock, and Folk Rock.The degree and specific effect of each genres contributions Aries but remains constant in its relation to the emotional response of the listener Hard Rocks main contribution to Classic Rock can be found in its ability to cause listeners to feel motivated to act about the lyrical content of the song. Blues Rocks main contribution to Classic Rock can be seen in its tendency to focus on lyrical and musical empathy for common sorrows. Folk Rocks main contribution to Classic Rock is best shown by its lyrical relation to social issues of the time and the effect of each person in society.