Firda Kahlo Art Critical Analysing Free Essays

Basic Analysis This is an oil on canvas painting by Friday Kohl called Cropped Hair, made in 1940 at a size of dandy. It is a self-picture of her with a scissor in one hand and her hair crawling wherever on the floor. As should be obvious in the painting, the front ground occupied in light of the long dull hair that is laid everywhere throughout the floor. We will compose a custom article test on Firda Kahlo Art Critical Analyzing or then again any comparable point just for you Request Now In the center ground of the representation, it shows Friday Kohl sitting in a seat, wearing a larger than usual suit, that by the vibes of it isn’t hers while holding a genuine, upset or torment face. As though she was thinking about the torment that somebody had caused her, communicating it thought her printing. The manner in which she is position in the painting is messed up, from her neck and underneath it is not the same as her neck and upwards, making her looks firm and awkward. The seat additionally stands apart more than the remainder of the representation alongside the hands, face and neck; she had utilized a splendid warm yellow to out-stand the other dim and light, warm and cool hues. The conditioning of the center ground is likewise extremely clear, demonstrating all the shadows that are in the suits and her face. The foundation of the picture is unique in relation to the rest. She had painted it plain, also s making it appear as though they are mists, point out all the closer view. The highest point of the foundation gives some content and music notes. The utilized of Friday Kohl’s Line, Tone, Color, Shape, Pattern and shapes are exceptionally one of a kind. She had utilized masculine warm shading in her picture. A cool blue for the suit, a warm red for the floor, a warm yellow for the seat and a blend of hues for the divider yet for the most part yellow. The tone’s she utilized made the seat and herself look AD and the rest AD. The example she had utilized is obviously appeared in the divider behind her; it is delicate and has a reiteration of smirch pots making it would seem that mists. This is altogether different from the remainder of the picture. The surface of the foundation, her skin, seat and suit are smooth instead of harsh. The manner in which she painted the picture floor, from light progressing into dim to make it appears to be spacey and how she put the even line far back. This make additionally made the room progressively extensive and wide as though she is in an unfilled room and without anyone else. The point of convergence of the representation is of Friday Kohl sitting on the seat and the hair encompassing her. Your eyes would be more assaulted to the hair that is on the floor cause it radiates dreadful yet additionally dismal look to it, your eyes at that point moves to her in the curiously large suit then to the plain foundation. This it as a result of her utilization of red in the representation, your eyes are generally more assaulted to warm hues. Friday Kohl painted this picture after she had a separation with her better half, for going behind her back with her own blood sister. She needed to communicate the self-freedom and self-assurance that she had increase after the separation. Demonstrating him and other’s that she needn't bother with him any longer. I accept that the larger than average suit she is wearing in the representation is Diego. She did this since her better half preferred her to wear dresses and since he is gone, she doesn't have to dress to dazzle. The scissor that she is grasping, discloses to me that she had removed all her hair. This resembled a penance to her. Her hair was the one thing her better half cherished most about her, by trimming all her hair off. She is attempting to show that she had cut all ties that she had ever had with her better half. On the off chance that Diego had left her, at that point why goes she need the one thing her cherished most about her. Your hair resembles your Identity. No hair, no character ‘look it was a result of your hair, owe you are without hair, I don’t love you anymore’ this is the thing that the content in the picture says. This was a major penance she was happy to make. The picture looks void with Just her in the center could perhaps clarify the inclination she was feeling after the separation, discourage, pitiful, desolate and void. As I would see it I despise this representation. It looks dreadful and net, with all the hair approximately laid on the ground and her extent isn’t right. This is something I would not have any desire to hang up on a divider. It radiates a terrible and awkward inclination, similar to she is taking a gander at you consistently, gazing at you with contemptuous eyes. Step by step instructions to refer to Firda Kahlo Art Critical Analyzing, Papers

Describe how your place of business uses different forms of Essay - 1

Portray how your place of business utilizes various types of correspondence - Essay Example I work for Wal-Mart, an organization managing handling and offer of basic food item items the nation over. Correspondence is essential in the buys and deals office as it empowers quick acquirement of crude materials and capital merchandise. Moreover, great correspondence permits the board of stock in all company’s retail outlets and conveyance of the prepared merchandise to clients. The most noticeable type of correspondence utilized in this division is oral correspondence. It includes calling by means of the mobile phone to make inquiries and aides in settling false impressions that are visit in the division (Chaturvedi 47). Likewise, one can talk straightforwardly to the individuals from staff responsible for any activity in the organization. While obtaining crude materials, I as a rule call by means of the telephone to demand for specific materials before putting in a point by point buy request in the supplier’s stock. Composed correspondence is another type of correspondence that is generally utilized in the division. Paper-based correspondences give an unmistakable message that can be recorded in the workplaces (Chaturvedi 48). With the cutting edge innovation, we as a rule draft papers in a computerized design and send them by means of email to the proposed beneficiary. In the division, buys orders are sent to the providers by means of email, just as, the subtleties of the materials required along with their determinations. Accordingly, the various providers send conveyance notes to the division in case of conveying materials. Composed messages are sent to clients illuminating them that their solicitations have been gotten. Eye to eye correspondence is likewise applied in the division activities as it empowers clear understandings among the gatherings in question. Talking straightforwardly to somebody spares time and decreases ensuing correspondences particularly when there are authoritative clashes. At the point when clients whine of conveyance of broken or unacceptable merchandise they are encouraged to visit the premises for a discussion with the administrator. Meeting

Formal Operational Stage of Cognitive Development Explained

Formal Operational Stage of Cognitive Development Explained Theories Developmental Psychology Print The Formal Operational Stage of Cognitive Development By Kendra Cherry facebook twitter Kendra Cherry, MS, is an author, educational consultant, and speaker focused on helping students learn about psychology. Learn about our editorial policy Kendra Cherry Medically reviewed by Medically reviewed by Steven Gans, MD on May 22, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on June 24, 2019 Stages of Cognitive Development Piaget's Theory Sensorimotor Stage Preoperational Stage Concrete Operational Stage Formal Operational Stage Support and Criticism In This Article Table of Contents Expand Piaget's Research Deductive Logic Abstract Thought Problem-Solving Hypothetical-Deductive Reasoning Current Observations View All The formal operational stage is the fourth and final stage of Jean Piagets theory of cognitive development. It begins at  approximately age 12  and lasts into adulthood. At this point in development, thinking becomes much more sophisticated and advanced. Kids can think about abstract and theoretical concepts and use logic to come up with creative solutions to problems. Skills such as logical thought, deductive reasoning, and systematic planning also emerge during this stage.?? Illustration by Brianna Gilmartin, Verywell Piagets Research Piaget tested formal operational thought in a few different ways. Two of the better-known tests explored physical conceptualization and the abstraction of thought. Conceptualizing Balance One task involved having children of different ages balance a scale by hooking weights on each end. To balance the scale, the children needed to understand that both the heaviness of the weights and distance from the center played a role.?? Younger children around the ages of 3 and 5 were unable to complete the task because they did not understand the concept of balance. Seven-year-olds knew that they could adjust the scale by placing weights on each end, but failed to understand that where they put the weights was also important. By age 10, the kids considered location as well as weight but had to arrive at the correct answer using trial-and-error.?? It wasnt until around age 13 that children could use logic to form a hypothesis about where to place the weights to balance the scale and then complete the task.?? Abstraction of Ideas In another experiment on formal operational thought, Piaget asked children to imagine where they would want to place a third eye if they had one. Younger children said that they would put the imagined third eye in the middle of their forehead. Older children, however, were able to come up with a variety of creative ideas about where to place this hypothetical eye and various ways the eye could be used.?? For example, an eye in the middle of ones hand would be useful for looking around corners. An eye at the back of ones head could be helpful for seeing what is happening in the background. Creative ideas represent the use of abstract and hypothetical thinking, both important indicators of formal operational thought. Deductive Logic Piaget believed that deductive reasoning becomes necessary during the formal operational stage. Deductive logic requires the ability to use a general principle to determine a particular outcome. Science and mathematics often require this type of thinking about hypothetical situations and concepts. Abstract Thought While children tend to think very concretely and specifically in earlier stages, the ability to think about abstract concepts emerges during the formal operational stage. Instead of relying solely on previous experiences, children begin to consider possible outcomes and consequences of actions. This type of thinking is important in long-term planning. Problem-Solving In earlier stages, children used trial-and-error to solve problems. During the formal operational stage, the ability to systematically solve a problem in a logical and methodical way emerges. Children at the formal operational stage of cognitive development are often able to plan quickly an organized approach to solving a problem. Hypothetical-Deductive Reasoning Piaget believed that what he referred to as hypothetical-deductive reasoning was essential at this stage of intellectual development. At this point, teens become capable of thinking about abstract and hypothetical ideas. They often ponder what-if type situations and questions and can think about multiple solutions or possible outcomes. While kids in the previous stage (concrete operations) are very particular in their thoughts, kids in the formal operational stage become increasingly abstract in their thinking. As children gain greater awareness and understanding of their own thought processes, they develop what is known as metacognition, or the ability to think about their thoughts as well as the ideas of others. Current Observations The following observations were made about the formal operational stage of cognitive development: From Neil J. Salkind, Ph.D., author of An Introduction to Theories of Human Development: The formal operational thinker has the ability to consider many different solutions to a problem before acting. This greatly increases efficiency, because the individual can avoid potentially unsuccessful attempts at solving a problem. The formal operational person considers past experiences, present demands, and future consequences in attempting to maximize the success of his or her adaptation to the world.??From Christine Brain and Priscilla Mukherji, authors of Understanding Child Psychology: In the formal operational stage, actual (concrete) objects are no longer required and mental operations can be undertaken in the head using abstract terms. For example, children at this stage can answer questions such as: if you can imagine something made up of two quantities, and the whole thing remains the same when one quantity is increased, what happens to the second quantity? This type of reasoning c an be done without thinking about actual objects.??

Law of ethics in nursing and health - Free Essay Example

Sample details Pages: 8 Words: 2545 Downloads: 2 Date added: 2017/06/26 Category Law Essay Type Argumentative essay Did you like this example? Brief 211982 In order to answer this question, one must assess and consider the law relating to ethics within the health professions for nurses and midwives. This will require a particular emphasis on the ideas and structures of the legal responsibilities that a midwife or nurse have to face on a daily basis through their response to a patient reporting alleged abuse whilst at work. This will require a conceptual analysis of the ethical ideas of non- maleficence[1], beneficence[2], autonomy[3], and confidentiality. Don’t waste time! Our writers will create an original "Law of ethics in nursing and health" essay for you Create order This in turn will apply to the rights of the patient. According to the scenario, a qualified nurse was informed, whilst on placement in a children’s unit, that another member of staff was being too rough with a patient and was also being rude. The patient did not wish for anyone else to be informed of it as she was worried about the repercussions and did not want to make a fuss. There is clearly a number of important issues that arise in this scenario, both legally, morally and ethically. A qualified nurse or midwife is held accountable both legally and ethically for their actions. In terms of a nurse’s legal accountability, they are bound by the regulations of statute law, the common law, and any binding European intervention. This is also subject to the law that is specifically aimed at nurses and/or midwives, as well as the professional code of conduct that binds all nurses, midwives and specialist community public health nurses. It is important to demonstra te the law that binds all individuals in everyday circumstances. In this particular scenario it is clear that two distinct areas of law are involved. These being the law relating to the tort of trespass to the person and the criminal law act of assault. Accordingly, the tort of trespass can be divided into a battery, an assault or false imprisonment. Clearly, in this scenario the elements of particular interest are that of battery and assault. Accordingly, a battery is the direct and intentional application of physical force to the claimant by the defendant, without having lawful justification to impose the force. Thus, the claimant must show that the defendant intended to touch him and that the touching was the direct result of the defendant’s actions. This in turn must be seen as a positive act and the defendant must not be labouring as an automaton. Equally, an assault must be an act that causes the claimant to directly and intentionally fear that a battery will be immedia tely inflicted on him by the defendant. Thus, the claimant must be in fear of an imminent battery[4]. Thus, according to the scenario, it would appear that the other member of staff has by acting in a rough manner, committed the tort of either assault or battery. It is clear from this that the patient has suffered at the hands of the other member of staff. It is worth noting that the tort of battery or assault is punishable by the claimant suing the defendant. Thus, the patient will need to issue legally proceedings against the other member of staff. As mentioned above, the tort of assault or battery is also a criminal offence. The criminal offence of assault or battery to be substantiated, the prosecution must prove beyond a reasonable doubt the actus reus[5], the mens rea[6] and the absence of a valid defence. The actus reus and mens rea are specific to the individual offence. According to the common law, the actus reus of common assault is that the victim was caused by the defend ant to fear unlawful force by used. This means that the victim is fearful of being touched. The mens rea for assault is that the defendant intended or was subjectively reckless as to the victim fearing the unlawful force being used. This means that the defendant intended the victim to be in fear or was reckless as to that consequence. It is arguably clear from the brief outline from the scenario that the patient has been unlawfully touched by the other member of staff. Due to her raising her objections to the qualified nurse this would indicate that she is in fear of it happening again. Although she has said that she does not want to make a fuss or report it to anyone else, it is clear that she would prefer it not to occur again. Thus, the patient would have recourse to the criminal law if she was of a mind to report the incidents to the police. According to section 39 of the Criminal Justice Act of 1988, ‘Common assault and battery shall be summary offences and a person guilt y of either of them shall be liable to a fine not exceeding level 5 on the standard scale, to imprisonment for a term not exceeding six months or to both’. Thus, if the patient wishes to proceed to charging the other member of staff with assault, the other member of staff will be tried at the Magistrates’ Court. However, if the unlawful assault is not deemed to be at a satisfactory standard then the patient can still pursue the matter under the criminal law. It is therefore worth noting the definition of a battery[7]. According to the common law[8], a battery is committed when the defendant touched or force was applied to the victim, and the defendant intended that such force or touching be administered or was subjectively reckless as to the force or touching being administered. It is clear from the brief outline of the scenario that the other member of staff has acted in a manner likely to constitute a battery as the patient has suffered unwarranted touching and/or fo rce being applied. It is also clear from the above statutory extract of section 39 of the Criminal Justice Act of 1988, that a battery is to be treated as a summary offence and thus tried by the Magistrates’ Court. It is worth arguing however, that the unwarranted touching and/or assault may have been administered due to the legal concept of necessity. This is a concept that can act as a defence, and is used when it is deemed in the individual’s beneficence to act in that particular way. Thus, if the member of staff had reason to believe that the patient needed any treatment that could be in her best interests then they may administer it. However, it is also worth noting that the conduct of the other member of staff, if acting under necessity, could give rise to a separate dispute under Article 8 of the European Convention on Human Rights and Fundamental Freedoms of 1950. This enshrines the right to respect for private and family life. It is clear from this right th at the privilege against being touched is enshrined within Article 8. The legal question that forms the basis of this right is why should another individual have the right to touch another? Thus, according to the case of St George’s Health Care NHS Trust v S[9], the right not to touch another individual is deemed to be the right of body integrity. This supersedes the doctrine of necessity due to the idea that body integrity is protected by law. Thus, even if the other member of staff can demonstrate that it was necessary to touch the patient, they are still accountable for the battery and/or assault in both tort and criminal law. This is also due to the idea of competence. The imposition of the breach of Article 8 will only aggravate any criminal sanction, as well as an increase in any damages claimed in the civil courts. The next important consideration in this scenario is the moral and ethical issues that the other member of staff being rough and rude brings up. It is cl ear from the values in medical ethics, which have been identified by Fletcher and Buka in 1999, that several items of potential conflict arise with the other member of staff’s conduct. It is clear from the identification of these values by Fletcher and Buka that they play a vital role in the development in medical ethics. As stated above, Fletcher and Buka identified and developed the principles of non-maleficence, beneficence, autonomy, confidentiality, justice[10], truthfulness and honesty[11], and dignity[12]. It is clear from the brief outline of the scenario that the conduct of the other member of staff touches on most of these ethical principles. Due to the idea of not doing anything to harm the patient, the medical practitioner needs to weigh this requirement against the need of necessity. Again the other member of staff could argue under paragraphs 2.2 and 3.8 of the Nursing and Midwifery Council[13] code of professional conduct: standards for conduct, performance and ethics, that the patient needed the treatment, that involved being rough, administered. These paragraphs state ‘You are personally accountable for ensuring that you promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs[14]’ and ‘In emergencies where treatment is necessary to preserve life, you may provide care without consent, if a patient or client is unable to give it, provided you can demonstrate that you are acting in their best interests[15]’. These clearly show that if a nurse or midwife can demonstrate that they are acting in the best interests of the patient then they are permitted to act without fear from the professional conduct committee. However, as already identified above necessity in a medical situation does not act as a defence in law. This is due to the principal of competence and bodily integrity. However, if the other member of staff can not show that they acted in the patient’s best interests then they have acted contrary to the idea of non-maleficence. This will be punished by the professional conduct committee if it is proven. This is of course a crucial point as the patient may have a propensity to make up allegations that are ill founded. The next important consideration in the idea of ethics is the idea of beneficence. As mentioned above beneficence is where a medical practitioner is believed to always act in the best interests of the patient. This again encompasses the idea of necessity. It is important to note that the other member of staff will need to demonstrate that they acted under necessity. It is worth noting that this requirement could arguably be in conflict with the notion of non-maleficence, as it maybe in the patient’s best interests to do something that could cause them harm. However, it is worth noting that the ethical concept of benefi cence is not an absolute obligation like non-maleficence. If the other member of staff has not acted in a manner that could be classed as necessity, then they are liable not only under paragraphs 2.2 and 3.8 of the NMC code of professional conduct: standards for conduct, performance and ethics, but also under paragraphs 1.2 and 8. This again will be subjected to the professional conduct committee. The next important consideration is the ethical concept of autonomy. As mentioned earlier this is the belief that a patient has the right to refuse any treatment suggested. This is clearly in line with the legal argument of body integrity. It is arguable that this is a bigger component in the ethical web than the idea of beneficence. This is due to the idea that a patient has the right to refuse treatment and the medical practitioner has an obligation not to do anything to harm the patient. As the patient has the right to refuse treatment, it is clear from the brief outline of the scena rio that the other member of staff has no justification to impose harm to the patient even if it could be classed as being in the patient’s best interest. Again the other member of staff could be made to account for their conduct towards the patient. This is providing that the patient wishes to take the matter further and it can be proved that they have acted contrary to the code of practice and medical ethics. However, this concept must be based and argued against the beliefs of the majority view. This is a different notion to raise, however, when it comes to individual rights. The final considerations under medical ethics is the notions of confidentiality which in part encompasses the other ideas of truthfulness and honesty. The idea of confidentiality is where the patient discloses something to a medical practitioner in trust. This is also held dear in paragraph 5 of the NMC code of professional conduct: standards for conduct, performance and ethics. It is clear from th e brief outline of the scenario that the patient has told the registered nurse this information in confidence as the patient does not want to make this information public. There is arguably a case where the registered nurse must act in a trustworthy and honest manner. This is also embodied in paragraph 7 of the NMC code of professional conduct: standards for conduct, performance and ethics. It is clear that if the registered nurse was told by the patient not to mention the allegations of rough behaviour, then they are bound by the duty of confidentiality towards the patient. If the registered nurse breaches this obligation then they will be held liable by the professional conduct committee. It is also worth noting that if the patient does not wish to pursue this matter any further, then the registered nurse may wish to watch the other member of staff in anticipation of this action occurring again. In conclusion, a nurse is legally and ethically accountable for their actions. A ccordingly the other member of staff is liable under both the law relating to the tort of assault and/or battery and the criminal offences of both assault and battery. They are still deemed liable even if they can demonstrate that they acted due to a necessity to prevent a greater harm. Equally, the ethical standards of non-maleficence and beneficence, unless the other member of staff can seriously demonstrate that it was necessary to touch the patient, have been breached. The idea of autonomy has to be based against the majority view. The professional conduct committee would have to weigh this according. In terms of the registered nurse, if they breached the duty of confidentiality then they are also liable to the professional conduct committee. Footnotes [1] The Latin for which is ‘primum non nocere’ which means ‘first, do no harm’. [2] The Latin for which is ‘salus aegroti suprema lex’ which means a ‘practitioner should act in the best interest of the patient’. [3] The Latin for which is ‘voluntas aegroti suprema lex’ which means ‘the patient has the right to refuse or choose their treatment’. [4] Thomas v National Union of Mineworkers [1985] 2 All ER 1. [5] This means the ‘guilty act’. [6] This means the ‘guilty mind’. [7] R v Taylor, Little [1992] 1 All ER 708. [8] Haystead v Chief Constable of Derbyshire [2000] Crim LR 758, held obiter that battery was a common law offence. [9] [1998] 3 All ER 673. [10] This is defined as the usage of limited resources. [11] These are usually combined with the notion of informed consent. These were crucial elements in the Doctor’s Trial at Nuremberg. [1 2] This has the ordinary English meaning. [13] Hereinafter referred to as ‘NMC’. [14] Paragraph 2.2. [15] Paragraph 3.8.

Bipolar Disorder And Its Effects - 861 Words

Bipolar disorder is caused, in part, by factors of nature. In short, bipolar disorder is caused by factors of genetics, heredity, factors that are inherent to who we are. Bipolar disorder (BD) is a â€Å"neuropsychiatric disorder†¦characterized by recurrent episodes of depression and mania or hypomania† (Bavamian et al., 2015. p. 573). The study conducted by Bavamian et. al., asserts that there are in fact microRNAs (miRNAs) which regulate gene expression. In individuals with BD, they expression of miR-34a is increased within the cerebellum (Bavamian et al., 2015. p. 576). miR-34a, a smaller piece of a microRNA family, is shown to be reduced by lithium and valproic acid. These two drugs have been used for long-term treatment of BD (Bavamian et†¦show more content†¦p. 188). Although studies show that it is not always the case that BD is directly inherited from parents, there is a higher chance of mood disorders in the offspring of BD parents. Studies have shown th at the environment and stress can cause â€Å"changes in gene expression during key developmental periods† (Pishva, 2014. p. 341). These stressors can affect individuals either through the parent during utero (while a baby is developing) or during their lifetime, as an adult. Environmental exposures during early postnatal life have been associated with mental disorders, including bipolar disorder. One example is maternal care. There is an association of maternal care and â€Å"hippocampus-related learning and memory processes† (Pishva, 2014. P. 341). The author asserts that environmental influences affect gene expression and behavior. There are many genes and proteins which are interdependent on each other, and if one is affected due to an environmental factor, it affects the other, increasing levels of stress regulator systems, which affect the behaviors of individuals (Pishva, 2014. p. 342). Environmental factors including drug use are also related with BD. This is n ot to say that the use of drugs can cause BD or other mood disorders, however, the presence of certain disorders and the use of drugs are sometimes connected. For instance, use of methamphetamine is associated with altered expression of major DNA enzyme DNMTI,Show MoreRelatedBipolar Disorder And Its Effects1175 Words   |  5 Pagesthe multitude of forms it will take. Bipolar disorder affects roughly 2.3 million adults, age eighteen and over per year. (â€Å"Bipolar Disorder† 2) Generally seventy-five percent have a minimum of one kin relative with manic-depression or severe depression (â€Å"Possible Causes of Bipolar Disorder† 2). Both male and female can attain bipolar disorder. Some youth may get bipolar disorder; however, most cases usually strike young adults in their early 20s. Bipolar disorder is generally common among those whoRead MoreBipolar Disorder And Its Effects1660 Words   |  7 Pagespeople think of bipolar disorder, they may imagine a person who fi rst is happy, jolly, and friendly. Then, the next moment that person is an angry, bitter, and irritated. According to many research studies, bipolar is much more than what people think. In this paper, I will elaborate on what bipolar disorder is, the differential diagnosis of bipolar disorder, the causes and risks, populations who are mostly affected and treatments to stabilize it. Bipolar disorder is a mental disorder. It appearsRead MoreBipolar Disorder And Its Effects On Children1247 Words   |  5 Pagesfrom Bipolar disorder. Bipolar disorder or manic-depressive illness is a brain disorder that can affect one’s mood and ability to complete tasks. Bipolar disorder in children is under studied for many reasons. 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Lithium Carbonate is the most commonly drug that is prescribed for treating bipolar disorder (May, Hickey, Triantis, Palazidou, Kyriacou, 2015). It works as a mood stabilizer that significantly reduces excessive behaviors and suicidal tendencies. However, the way that lithium exerts its impact on mood is still unknown. One study suggests that key of lithium therapeutic actions are the neuroprotective effects (Malhi, Tanious, Das, Coulston, Berk 2013). For instance, lithium has been demonstratedRead MoreBipolar Disorder And Its Effect On Children3715 Words   |  15 Pages Bipolar disorder is typically a condition that affects people in their late teens and early adulthood. It is usually not thought to affect a child but it is something that, if present at a young age, can seriously affect the way a child grows up. Bipolar disorder affects every aspect of a person’s life and is not as understood as it should be. Researchers are still looking for the cause of this illness and how it can be treated but overall it is a condition that many people are undereducated onRead MoreBipolar Disorder And Its Effects On Children2651 Words   |  11 PagesAbstract Bipolar Disorder is a brain disorder which unfortunately affects many individuals, causing unusual shifts in behaviors and moods, alterations in energy and activity levels, as well as dysfunction in the ability to perform day-to-day activities. This disorder can even be the cause of many broken relationships and the development of other mental health illnesses. In the literature review provided, the writer will explore Bipolar Disorder as a mental illness, specifically diagnosed in adultsRead MoreBipolar Disorder And Its Effects On The Brain2007 Words   |  9 PagesBipolar disorder represents a group of diseases that affect the brain and cause dramatic mood swings from one extreme to the other. Feelings can move from depression to mania, from the lowest of lows, to the highest of highs. This disorder is not curable, but through a comprehensive treatment plan it can be controlled. According to the National Institute of Mental Health (NIMH), 5.7 million adults in America are impa cted by this disorder. That equates to 2.6% of the population over the age of 18Read MoreBipolar Disorder And Its Effects On The Human Mind987 Words   |  4 Pages Bipolar Disorder is a mental illness that has many effects on the human body and mind. It’s found in young adults and children as well. Statistics show that the disorder affects about four million people in the United States and is becoming one of the most common disabilities in the United States today. People with bipolar disorder undergo two types of mood swings: depression and mania. Those two are then divided into subcategories: Bipolar 1 Disorder, Bipolar 2 Disorder, and Cylothymia. This paperRead MoreEffects Of Bipolar Disorder On Young Adults Essay2164 Words   |  9 Pages Bipolar is a debilitating disorder that is usually diagnosed in young adults. It is marked by alternating periods of unusually elevated mood and depression. The effects of bipolar disorder on young adults is well researched due to the fact that the average age of onset is around twenty-five years old, however it can be diagnosed at any age. In addition to living with the disorder, older adults with bipolar must also experience both the physical and mental consequences of the aging process. It is

American Legal and Constitutional History Free Essays

string(58) " law enforcement and had his home searched by FBI agents\." As residents or citizens of the United States of America, we enjoy certain rights that many people across the world do not have. One of those rights is freedom of speech, which is guaranteed to all of us through the United States Constitution. However, in some instances, our freedom of speech rights can be limited. We will write a custom essay sample on American Legal and Constitutional History or any similar topic only for you Order Now One of those circumstances involves freedom of political expression. At this point, one would have to ask; how can a democratic country, which, like all other democratic countries, is based on freedom of speech, limit the same under certain conditions? In order to understand why and how this can happen, we will first examine the concept of citizenship and the Constitution of the United States as it relates to freedom of political speech. In addition to that, we will analyze how freedom of speech as it relates to politics can affect security and what affects current legislation has on freedom of speech. Based on the above-mentioned research, I intend to prove that compromising freedom of political expression is a violation of the United States Constitution and as such cannot be allowed. Furthermore, I will argue that passing legislature such as the US Patriot Act can be very dangerous as it provides government with the power to violate our freedom of speech rights. Citizenship In the first part of the paper, we will examine and summarize the concept of citizenship. This is a very extensive process that is defined as â€Å"the process by which some people are included and others are excluded as members of the community† (Walker, 2002). In our country, everybody living here, regardless if citizen or not, enjoys the same protections from the law. The concept of citizenship is important because it associates us with our nation and with the law of the land. â€Å"Essentially, rights granted to citizens are typically represented by a continuum; however, the mere existence of citizenship does not necessarily equate to equivalent representation across the board, often with glaring inconsistencies across similar geographic locations or historic periods, of which history is rife with examples. † (Gans 2005). So why is citizenship so important? Citizenship is important because it gives everybody the constitutional rights. Nobody can take them away from a United States citizen, regardless of his political views or statements. As United States citizens, we are entitled to a set of rights, which is unique in the world. The United States Constitution entitles us to those rights and guarantees that we can enjoy them. The United States Constitution is the set of documents that embody the principles on which the United States is governed. The Constitution is the supreme law of the land and no other law, at any level of government, can be established without considering the rules and rights as set forth in that document. The part that is especially important to American as it relates directly to their rights is the part of the Constitution that is known as the Bill of Rights. The first ten amendments of the United States constitution are more commonly referred to as the â€Å"Bill of Rights,† because they define specific rights that are granted to all United States citizens by the Constitution of the United States. â€Å"The Bill of Rights is modeled on many other similar documents, all of which owe their inception to the Magna Carta, the bill of rights written in England in 1215 CE. The Bill of Rights is considered to be an important part of the Constitution, and is also an integral part of popular culture; most Americans, for example, know what someone means when he or she â€Å"pleads the fifth,† a reference to the Fifth Amendment, which protects people from self recrimination. † (Smith 2003) The part of the Bill of Rights that is of concern to this paper is its First Amendment. According to the First Amendment there are actually several rights guaranteed to all citizens equally. Many people remember two of them, the right to free speech, and the right to a free press. There are very few exceptions to free speech and fee press. Writing or speaking words that could be constituted as a threat to the American people or seriously threatening the life of someone can definitely lead to a civil law suit or even criminal prosecution. The right to free speech and free press fully includes any political expressions, regardless of what nature. So, if these rights are guaranteed to us, why do some people have concerns about political expression? Political Expression and limitations In wake of the 9/11 attack on United States a very controversial piece of legislation called â€Å"The USA Patriot Act† has been passed. The problem with this legislation lies in its definition of terrorism or terrorist activities. â€Å"The USA PATRIOT Act section 802 defines domestic terrorism so broadly that it could apply to an individual exercising his or her freedom of speech, expression, and assembly through acts of civil disobedience. The Department of Justice has not revealed how it is using section 802†¦ Moreover, Section 215 of the USA PATRIOT Act permits the FBI to seek records from bookstores and libraries of books that a person has purchased or read, or of his or her activities on a library’s computer. This change puts people at risk for exercising their free speech rights to read, recommend, or discuss a book, to write an email, or to participate in a chat room, and thus could have the effect of chilling constitutionally protected speech. It also denies booksellers and library personnel the free speech right to inform anyone, including an attorney that the FBI has asked for someone’s reading list. † (BORDC, 2008) Since then the BORDC has documented several cases where individual rights to free speech have been violated as a direct result of this legislature. Many of these violations have been triggered by political activity. For example â€Å"In June 2004, Buffalo, New York, artist Steve Kurtz was detained by law enforcement and had his home searched by FBI agents. You read "American Legal and Constitutional History" in category "Papers" Despite finding only harmless substances, which Kurtz uses in his politically motivated art projects, the FBI proceeded with a Grand Jury hearing to decide whether to indict Kurtz under the USA PATRIOT Act’s biological agents provision. On June 29th, Kurtz’s bio-terrorism related charges (USA PATRIOT Act section 817) were dropped. † (BORDC, 2003) The above mentioned instance, along with similar mistakes have led many people to believe that our rights to free speech, including and especially the right to political expression, have been limited by legislature such as and similar to the Patriot Act. Many however argue that such laws are necessary in order to protect the greater good and help decrease the chances for renewed attacks on the United States. Another example of limitation of political expression involves a very recent incident at the University of Berkeley in California. The City Council sent a letter to the United States Marines recruiting office stating that their recruiters were not welcome in the city or on campus. This was just a letter of statement and it contained no threats or any other suggestions of violence, protests, or demonstrations. In return for this action, which was seen as very anti-patriotic by many politicians and citizens, various pressures were placed upon the city. â€Å"Some lawmakers were threatening to withhold millions of dollars of federal and state funding to the school as retaliation. They claimed that since U. S. Marines are not good enough for Berkeley, then neither were taxpayers’ dollars†¦ After receiving significant heat, the officials decided to recognize the officials’ right to be in Berkeley and clarified their position saying they support US troops — just not the war and the recruitment of young people. (Hill, 2008) The problem that we face here is that a political view of a cities population, as reflected in the council letter, was oppressed through threats of funding elimination. Even though the political view reflected in the letter is not popular and inappropriate, that was barely an exercise of free political speech that was suppressed by threats. The fact that this happened on a college campus, which should facilitate learning through open debate, makes it especially bad as it sends a statement that everybody should be politically in line with the main stream. â€Å"†¦in dealing with college campuses (as the cultivating grounds for those of the future) we should be more understanding when sentiments show up and give them room to thrive if they wish. Suppression, such as financial deprivation, is no way to deal with a situation and absolutely no way to stifle a conflict. † (Hill, 2008). This opens the question about why political expression matters and what is so special about it? Political Expression and Democracy In order to understand the impact of free speech on a democratic society we have to analyze the basics of democracy. â€Å"Freedom of speech and expression, especially about political and other public issues, is the lifeblood of any democracy. Democratic governments do not control the content of most written and verbal speech. Thus democracies are usually filled with many voices expressing different or even contrary ideas and opinions. † (U. S. Department of State, 2008) This statement is a very effective summary in reference to importance of free speech. As a democratic government, our leadership is supposed to lead is in direction that we chose. This choosing of direction is most often done through political debates as we see them on TV. â€Å"Democracy depends upon a literate, knowledgeable citizenry whose access to information enables it to participate as fully as possible in the public life of their society and to criticize unwise or tyrannical government officials or policies. Citizens and their elected representatives recognize that democracy depends upon the widest possible access to uncensored ideas, data, and opinions†¦ For a free people to govern themselves, they must be free to express themselves — openly, publicly, and repeatedly; in speech and in writing. † (U. S. Department of State, 2008) What we have to understand is the fact that free flow of ideas through speech and other forms of communication is essential for the survival of a democratic government and as such, it cannot be compromised in any way. Free speech creates a pool of ideas that allow us to come to the bottom of every issue at hand by finding the truth. At the same time, we cannot afford to misunderstand this concept. Many people in history have favored freedom of speech, but only the kind of speech that they agreed with. This is why we had to deal with people like Hitler, Stalin, and Saddam. Their view of freedom of speech, especially when it came to politics, was definitely a one-way street. By using them as an example, we need to make sure that we focus on allowing all views to be expressed, regardless whether we agree with them. In my opinion, in this country, we cannot afford to place any limitations on freedom of political speech. Another issue that is directly related to the freedom of speech is freedom of belief. If the government or any other institution attempts to limit our freedom of political expression, then at the same time, they are prohibiting us from having the freedom to believe what we want. The concept is very simple. If we cannot freely express our ideas, then we should not have them in a first place. Many countries across the world had such a system in place. Saddam’s Iraq, Stalin’s Soviet Union and others. The reason these governments were called totalitarian was the fact that their citizens could not freely express their ideas and political views. This proves the fact that freedom of political expression is what makes us a strong democracy and that it should not be compromised. Many supporters of limited free speech cite various examples where it was necessary to limit political expression in order to achieve a greater good. One such example is Germany and many argue that by prohibiting political parties and any association with them (Nazi Party) was the right thing after World War II. I fully agree with that. However, when we cannot compare Germany and the United States (at least not back at that time). German people back then did not know the concept of democracy. Ones it was introduced they accepted it and Nazis never resurfaced again. In any case, my point is that in order to help nations such as post world war II Germany reach the right conclusion and adopt democracy some drastic measures may be necessary. However, these measures should never be undertaken on our soil. We have a healthy democracy and any limitations would disturb the balance. Even though it should never be compromised, freedom of speech has some limitations. One of the limitations that is relevant to political expression is the use of fighting words. The fact is that he inflammatory nature of some speeches can cause the listener to direct violence at the speaker or other target groups as defined by the speaker. Additionally, â€Å"fighting words† have become limited to speech directed to one person and not to speech directed generally at a crowd. The idea is that if a speech is going to cause harm to somebody or limit him or her in enjoyment of his or her constitutional rights in any way, then it is prohibited. Another major issue that has come out of this is the fact that many state universities prohibit speeches that are offensive to minorities. Universities have adopted those policies in order to respond to complaints of those who are subjects of hateful speeches. â€Å"That’s the wrong response, well-meaning or not. The First Amendment to the United States Constitution protects speech no matter how offensive its content. Speech codes adopted by government-financed state colleges and universities amount to government censorship, in violation of the Constitution. And the ACLU believes that all campuses should adhere to First Amendment principles because academic freedom is bedrock of education in a free society. † (ACLU, 2008) This is a very important issue that demonstrates how political views, questionable as they are, can be legally expressed everywhere, without government interference. Conclusion Free speech and expression of political ideas are the very basis of a democratic system. As a fundamental feature of a democratic society, freedom of speech as it relates to politics is subject to only few, clearly defined restrictions. I believe that democracy demands that also those who have undemocratic views must be allowed to propagate for their ideas. A democratic state may only interfere with the right to express a political opinion if it can prove that the direct result of their speech would be violence and harm to somebody. Freedom of expression is a prerequisite for democracy and therefore without freedom of expression, there can be no democracy. This is why it continues to be important to facilitate healthy debates on this issue and help people understand why it is important to respect opinion of others, even if it is not in accordance with the mainstream. That is the best way to continue our rich democratic tradition and ensure that future generations can enjoy the same rights as we do. List of References Walker, Melissa. (2002) Unequal Freedom: How Race and Gender Shaped American Citizenship and Labor rev by Evelyn Nakano Glenn. Information retrieved on April 28th, 2008 from Website http://www. h-net. org/reviews/showrev. cgi? path=112431032792905 Gans, Judith. (2005). Citizenship in the Context of Globalization. Udall Center for Studies in Public Policy. Information retrieved on April 28th, 2008 from the Center Website http://udallcenter. arizona. edu/programs/immigration/publications/Citizenship%20and%20Globalization. pdf Smith, E. S. (2003). What is The Bill of Rights Information retrieved on April 28, 2008 from Website http://www. wisegeek. com/what-is-the-bill-of-rights. htm? Bill of Rights Defense Committee. (2008). Current Treats to Freedom of Speech, Religion, and Assembly. Information retrieved on April 28, 2008 from Website http://www. bordc. org/threats/speech. php Hill, Kimberley. (2008). Threats against the Free Speech? The Campus World Information retrieved on April 28, 2008 from Campus World Website http://www. thecampusword. com/content/view/2264/593/ American Civil Liberties Union, ACLU. (1994) Hate Speech on Campus. Information retrieved on April 28, 2008 from Website http://www. aclu. org/studentsrights/expression/12808pub19941231. html How to cite American Legal and Constitutional History, Papers

Sweating in Myocardial Infarction System †MyAssignmenthelp.com

Question: Discuss about the Sweating in Myocardial Infarction System. Answer: Introduction: Common causes of myocardial infraction include smoking and alcohol consumption. Mr Savea is associated with both these factors responsible for the development of myocardial infraction. Risk factors responsible for the occurrence of myocardial infarction are old age, family history, high blood pressure, obesity, diabetes mellitus, increase in cholesterol and low density lipoprotein levels. Lack of exercise and stress also plays important role in the development of myocardial infraction. Approximately 35 % with smoking, 22 % with obesity, 10 % with lack of exercise and 4 % with stress, are prone to the development of myocardial infraction. Mr Savea is old person and having obesity, high cholesterol level and high blood pressure which are mainly responsible for the occurrence of myocardial infarction in Mr. Savea (Chong et al., 2011; Mehta et al., 2014). Myocardial infarction can lead to the development of stable angina. Angina is a condition with chest pain. This chest pain occurs due to the less supply of blood to heart muscle. Angina developed because myocardium couldnt meet its demand of blood supply. Mitral valve stenosis is responsible for the occurrence of systemic embolism which leads to the myocardial infarction (Cardoz et al. 2015). Currently 16.0 million people are associated with myocardial infarction worldwide. In US, approximately 1 million people have myocardial infarction each year. Myocardial infarction is the fifth most expensive hospitalization. Risk of death in patients with myocardial infarction is approximately 10 %. It has been observed that risk factors responsible for myocardial infarction are same in almost all the geographic regions and racial/ethnic groups. 1-5 numbers of cigarettes smoking per day can lead to the increase 42 % chances of myocardial infarction. Myocardial infarction can negatively affect j ob of Mr. Savea as he would not be able to attend his job. Myocardial infarction can also affect social and psychological aspects of Mr. Savea. Due to disease condition, Mr. Savea may feel socially isolated because he cant meet his friends and society members due to hospitalization. He can not take part in social activities also. Myocardial infarction can also have psychological effect on him. He may feel depressed and his moral might be down due to diseases condition. Myocardial infarction can also have significant financial impact on the family. There would be more spending on the treatment of Mr. Savea as compared to the earning. Moreover, as he could not attend his job, earning would also be less. Family members would always be in stress due to diseased condition (Valensi et al., 2011). Shortness of breath is another symptom of myocardial infraction. Shortness of breath occurs due to damage to heart and reduced output from the left ventricle. This results in the left ventricular failure and consequently pulmonary edema. Pulmonary edema results in the disturbance in the inhalation and exhalation of air. Reduced oxygen saturation may lead to the increased respiratory rate with short duration breathing, hence shortness of breath occurs in patients with myocardial infraction (Botker et al., 2016). Ischemic chest pain: Chest pain is the most significant symptoms of myocardial infraction. Chest pain mainly occurs due to the insufficient supply of blood to the myocardium. As a result, there is disturbed demand and supply of blood to the myocardium (Malik et al., 2013; Abed et al., 2015). Coma: Coma can occur due to insufficient blood supply to the brain. Due to inadequate blood supply to the brain, less amount oxygen supply to brain occurs. Due to this, there would be brain tissue death. As a result there would be brain dysfunction and occurrence of coma (Lu et al., 2015). Hyperhidrosis: In myocardial infarction hyperhidrosis occurs due to the increased firing of the sympathetic nervous system. Sympathetic nervous system is responsible for the fight or fligt response. Activation of the sympathetic nervous system leads to the stimulation of sweat glands which results in hyperhidrosis. Due to pain during myocardial infarction, there is increased release of hormones. This hormone release results in the faster heart rate and increased blood pressure, which results in the sweating. Hyperhidrosis is the good predictor of the ST-segment elevation myocardial infarction (STEMI) (Gokhroo et al., 2016). Lethargy: Lethargy occurs in patients with myocardial infarction due to insufficient supply of blood to the tissues. As a result, there is less metabolic activity in the cells and less ATP generation (Abed et al., 2015). Angiotensin converting enzyme inhibitors (ACE inhibitors) and beta-blocker drugs can be used for the treatment of myocardial infarction. Angiotensin-converting enzyme is the important component of the reninangiotensin system. ACE inhibitors block the conversion of angiotensin I (AI) to angiotensin II (AII). This result in the reduced arteriolar resistance, increased venous capacity, reduced cardiac output and volume and reduced resistance in blood vessels. Inhibition of this enzyme results in the dilatation of the blood vessels, reduced blood pressure and decreased demand of blood by the heart. ACE inhibitors also have central activity with stimulation of the parasympathetic nervous system activity in patients with myocardial infarction. ACE inhibitors can also reduce plasma norepinephrine levels and reduces its vasoconstriction effects. Most common examples of ACE inhibitors include zofenopril, perindopril, trandolapril, captopril, enalapril, lisinopril, and ramipril. Most common si de effects of ACE inhibitors include hypotension, cough, hyperkalemia, headache, dizziness, fatigue, nausea, and renal impairment. ACE inhibitors should be started in the patients within 24 hour of myocardial infarction attack. ACE inhibitors are more useful in patients with ST elevation MI (STEMI) as compared to the non-ST elevation MI (NSTEMI). ACE inhibitors can also improve duration of survival of patients with myocardial infarction (Lubarsky and Coplan, 2007). Beta blockers are specifically useful for the prevention of second attack of myocardial infarction. Beta blockers act as competitive antagonist of the endogenous catecholamines like epinephrine and norepinephrine receptors on adrenergic beta receptors. Available beta blockers can block all beta adrenergic receptors and can block individual beta receptors like 1, 2 and 3 receptors. Bisoprolol, carvedilol, and sustained-release metoprolol are particularly useful as adjunct therapies for ACE inhibitors and diuretics in myocardial infarction (Bangalore et al., 2014). In addition to the 1 sympatholytic activity, beta blockers also act on the rennin-aniotensin system and decrease secretion of rennin. Beta blockers produce decreased oxygen demand by reducing heart rate, blood pressure and contractibility of the blood vessels and consequently ischemic chest pain relief. Beta blockers also produce reduced ventricular fibrillation by increasing ventricular fibrillation threshold (Kezerashvili et al., 2012). Beta blockers are also useful in reducing infract size and preventing development of definite infraction. Nursing strategies: Pain management: Nurse should monitor for the characteristic of pain in Mr. Savea He should verbalise his pain and also it should be collected through non-verbal cues. Pain should be assessed on scale of 0 to 10 and it should be compared with earlier episodes of pain. Pain should be characterized based on duration, intensity and radiation. Mr. Savea should be instructed to report pain immedietly and correctly. Mr. Savea should be provided with quiet and comfortable environment. He should be assisted in relaxation techniques like deep breathing and distraction from the pain. He should be administered with medications like antianginals like nitroglycerin, beta blockers like propranolol and analgesis like morphine (Harker et al., 2014; Carville et al., 2014). Anxiety and Activity intolerance: Mr. Saveas behavior like withdrawal and denial from tests and medication consumption should be noted. Verbal and non-verbal signs of anxiety should be noticed in Mr. Savea. Nurse should give him confidence of improvement in his condition, information about the routine procedures, and information about the medications. He should be taking into confidence prior to implementation of nursing intervention (Harker et al., 2014; Carville et al., 2014). Mr. Savea should increase his activity level in the graded manner. It includes getting up and sitting along with progressive ambulation. Nurse should monitor for the intolerance in activities and provide required intervention for the same (Oh et al., 2013). Cardiac output and tissue perfusion: Blood pressure should be assessed in both the arms and in different positions like lying, standing and sitting. Pulse rate and breathing rate should be recorded. Blood pressure and pulse rate should be recorded with respect to the different activities and appropriate rest should be provided. Light meal should be provided with the exclusion of caffeinated and carbonated drinks. Assessment should be done for cardiac output, ECG, chest X-ray and laboratory tests like cardiac enzymes, ABG (arterial blood gas) and electrolytes. Antidysrhythmic drugs treatment should be initiated. Mr. Savea should be assisted in the insertion of pacemaker (Oh et al., 2013). Nurse should monitor for sudden change in the anxiety, lethargy and confusion in Mr. Savea. Peripheral pulse rate should be monitored. Food consumption and urine output should be recorded. Erythema and edema should be monitored. Mr. Savea should be encouraged to perform leg exercise. Laboratory tests should be performed to evaluate ABGs, BUN, prothrombin time, creatinine, and electrolytes. Mr. Savea should be administered with anticoagulant and antacid drugs. After consultation with the doctor, nurse should order for reperfusion therapy in Mr. Savea (Anderson and Taylor, 2014). Fluid volume: Decrease in cardiac output should be noted and fluid balance should be calculated. Fluid intake should be maintained at 2000 mL/24 hr which is in the range of cardiovascular tolerance. Low sodium food and liquid should be administered with administration of the antidiuretic medication (Harker et al., 2014). Information about medication : Nurse should assess his knowledge about the disease and medications. Based on his level of knowledge, nurse should educate him about disease pathology, symptoms and medications. Nurse should also give information about the risk factors, dietary requirements and symptoms which require immediate attention. He should keep himself away from triggering factors like alcohol and smoking. Nurse should educate him to reduce body weight (Oh et al., 2013; Anderson and Taylor, 2014). References: Abed, M.A., Ali, R.M., AbuRas, M.M., Hamdallah, F.O., Khalil, A.A., and Moser, D.K. (2015). Symptoms of acute myocardial infarction: A correlational study of the discrepancy between patients' expectations and experiences. International Journal of Nursing Studies, 52(10), 1591-9. Anderson, L., and Taylor, R.S. (2014). Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews. The Cochrane database of systematic reviews, 12, doi:10.1002/14651858.CD011273. Bangalore, S., Makani, H., Radford, M., Thakur, K., et al., (2014). Clinical outcomes with -blockers for myocardial infarction: a meta-analysis of randomized trials. The American Journal of Medicine. 127(10), 93953. Botker, M. T., Stengaard, C., Andersen, M. S., Sondergaard, H. M., et al., (2016). Dyspnea, a high-risk symptom in patients suspected of myocardial infarction in the ambulance? A population-based follow-up study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 24, 15. doi: 10.1186/s13049-016-0204-9. Carville, S.F., Henderson, R., and Gray, H. (2015). The acute management of ST-segment-elevation myocardial infarction. Clinical Medicine, 15(4), 362-7. Cardoz, J., Jayaprakash, K., and George, R. (2015). Mitral stenosis and acute ST elevation myocardial infarction. Proceedings (Baylor University Medical Center), 28(2), 207209. Chong, E., Shen, L., Tan, H.C., and Poh, K.K. (2011). A cohort study of risk factors and clinical outcome predictors for patients presenting with unstable angina and non ST segment elevation myorardial infraction undergoing coronary intervention. Medical Journal of Malaysia, 66(3), 249-52. Gokhroo, R. K., Ranwa, B. L., Kishor, K., Priti, K., et al., (2016). Sweating: A Specific Predictor of ST-Segment Elevation Myocardial Infarction Among the Symptoms of Acute Coronary Syndrome: Sweating In Myocardial Infarction (SWIMI) Study Group. Clinical Cardiology, 39(2), 9095 (2016) Harker, M., Carville, S., Henderson, R., Gray, H. (2014). Key recommendations and evidence from the NICE guideline for the acute management of ST-segment-elevation myocardial infarction. Heart, 100(7), 536-43. Kezerashvili, A., Marzo, K., and De Leon, J. (2012). Beta Blocker Use After Acute Myocardial Infarction in the Patient with Normal Systolic Function: When is it Ok to Discontinue? Current Cardiology Reviews, 8(1), 7784. Lu, L., Liu, M., Sun, R., Zheng, Y., and Zhang, P. (2015). Myocardial Infarction: Symptoms and Treatments. Cell Biochemistry and Biophysics, 72(3), 865-7. Lubarsky, L., and Coplan, N. L. (2007). Angiotensin-Converting Enzyme Inhibitors in Acute Myocardial Infarction: A Clinical Approach. Preventive Cardiology, 10(3), 156159. Oh, J.H., Kim, C., Yang, M.J., An, S.G., Lee, H.W., et al., (2013). Effects of contemporary management on clinical outcomes in elderly patients with acute myocardial infarction. International Journal of Cardiology, 168(1), 572-3. Malik, M. A., Khan, S. A., Safdar, S., and Taseer, I. (2013). Chest Pain as a presenting complaint in patients with acute myocardial infarction (AMI). Pakistan Journal of Medical Sciences, 29(2), 565568. Mehta, P.K., Wei, J., and Wenger, N.K. (2014). Ischemic heart disease in women: A focus on risk factors. Trends in Cardiovascular Medicine, 25(2), 140151. Valensi, P., Lorgis, L., Cottin, Y., Cottin, L. (2011). Prevalence, incidence, predictive factors and prognosis of silent myocardial infarction: a review of the literature. Archives of Cardiovascular Diseases, 104(3), 17888.