Do Calcium Channel Blockers Play A Role For Preventing...

Title: Do Calcium Channel Blockers play a role in preventing Hypertensive Encephalopathy? A- Study aim To identify the risk factors for hypertensive encephalopathy amongst patients seen in the Emergency Department (ED) and assess whether calcium channel blockers play a role in preventing hypertensive encephalopathy. B- Background and significance Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive emergency in their life. (1,2) Although 1% is not a high number, the complications for that percentage are very costly and disable things like End Stage renal disease, Stroke, and†¦show more content†¦The symptoms are usually reversible with adequate and prompt control of the blood pressure. (6) The aim of the study is to identify if patients on CCB have less of a chance of developing hypertensive encephalopathy than those treated with different antihypertensive medications. Calcium channel blockers are a group of medications used to treat Hypertension, and also used as prophylactic treatments for migraines. They interfere with calcium influx to the arterial wall, which cause arterial dilatation and relaxation of the arteries and hence lowers blood pressure. Nicardipine is one of the CCB’s used commonly in treating stroke patients with very high and uncontrolled hypertension. (6) â€Å"Nicardipine crosses the blood brain barrier which binds to the calcium-channels of the L-type, acting primarily at the level of the hippocampus (7). Intravenous Nicardipine has been shown to reduce both cardiac and cerebral ischemia(8).† We want to observe if the patient treated with calcium channel blockers medication as outpatient home medication has less hypertensive encephalopathy complications. Moreover, we went to test if calcium channel blockers play any protective role against patients developing hypertensive encephalopathy. C- Innovation of this study There is multiple studies about the use of CCB’s in treating Hypertensive emergencies, one study in 1985 shows that CCB’s and specifically the Nicardipine could be used as first line drug in management

My Speech On Childhood Discipline - 1177 Words

Topic: Childhood Discipline General Purpose: To inform my audience what childhood discipline is and why it is important to discipline your child. Specific Purpose: To identify what childhood discipline really is and how you should discipline a child. Thesis: Good parenting consist of many element when parenting you have to be stern. Could discipline your child lead to a lifetime disrespect? Or could discipline lead to a promising future for your child. Introduction I. Spanking, Popping, and Whooping when people think of child hood discipline this is what they think of these term. II. I’m here to inform you that this is not the only thing childhood discipline consist of. III. Childhood discipline is more than what we see on the outside, it is a process that leads to more development in a child’s life. Body I. The word discipline has multiple meanings and connotations. The word discipline stands for the practice of training people to obey rules or a code of behavior, using punishment to correct disobedience. A. Child discipline should be used in a helpful way. When you discipline your child it should only be used because they need to be directed in the right way. 1. Childhood discipline is a key aspect in childhood development. Disciplining your child consist of more than that spanking your child. According to Lisa H. Rosen who wrote the book Social Development: Relationships in Infancy, Childhood, and Adolescence â€Å"As a verb, it is defined as the training of a child toShow MoreRelatedPersuasive Speech : The Benefits Of Childhood Sports993 Words   |  4 Pagesnot, hopefully this speech will at least show you some benefits from playing sports as a child. Hopefully the majority of people in this room played childhood sports. I played sports all throughout my childhood and I have seen the benefits of it as I get older. In this speech I will cover why children should benefit from playing childhood sports because it builds character, leadership, and instills work ethic at a young age. Body Childhood sports build character Discipline from coaches and parentsRead MoreUnequal Childhoods1095 Words   |  5 PagesHowever, based on the studies in Unequal Childhoods by Dr. Annette Lareau, it is shown that cultural logic of child-rearing and the general success of children’s academic studies are significantly dependent and impacted by economically societal differences and family setting. 　　　　Annette Lareau invites her readers to a new perspective of child-rearing, where people are not just individual human beings, but rather class subjects. Her book, Unequal Childhoods provides the best means to demonstrate herRead MoreCommemorative Speech619 Words   |  3 PagesCommemorative Speech Specific Purpose: to give tribute to my father, Roger Heck. Central Idea: This speech is to commemorate my father and to recognize him for inspiring me to be the person I am today. Introduction I. I often think about how lucky I am to have the opportunity to further my education and ultimately further my life success. II. I tribute most of this to my dad, Roger Heck. III. He has given me every opportunity to be whoever I want to be. A. My dad has taughtRead MoreNotes On The Best Friend Forever 1834 Words   |  8 Pageswho stays and who goes. From romance to the best friend forever, Proverbs teaches us how to deal with people and be a wise individual. We all have benchmarks for our lives regarding our finances, childrearing, marriage, employment, friendship, and speech, but do we set the bar too high or too low? Do we have a standard for knowledge and wisdom or do we choose to walk around in lies masquerading as good but designed to hurt us. I see Solomon sitting in his kingly quarters with quill pen in hand passingRead MoreAnalysis Of David Wallaces Poem Battle Hymn Of The Tiger Mother1254 Words   |  6 PagesIn 2005, David Wallace delivered his insightful â€Å"Kenyon Commencement Speech,† where he persuades his audience to change the way they think. He introduces the idea of a default setting to his audience, or in other words, a person’s unconscious perspective where situations ar e all about themselves. In 2011, Amy Chua wrote Battle Hymn of the Tiger Mother, where she shares her experience raising her two daughters in western culture as a â€Å"Chinese mother,† which is what she refers to as a strict parentingRead MoreSchool Uniform, Persuasevi Speech1607 Words   |  7 PagesCommunication studies 105 11/ 30/ 2007 Persuasive speech School uniform Introduction (Significance and background) Everybody in this class room has had or will have children. Anyway it will happen that your kids will become the most important point of your life. You will do everything to keep them happy. When they are small only you can influence on their behavior. Parents always want to see their kids healthy, well-bread and happy. After some time, when your heirs grow up enough, they will go toRead More Professional Essay example1116 Words   |  5 Pageswhen my sister and I would play school with our friends. It was one of the best experiences that I had. It was this experience that helped me make up my mind about being a teacher. Now as I move through the different stages in the educational program, I have determined that I have developed certain beliefs. By teaching and working with children, people can see my beliefs. My philosophy towards education is progressivism. Progressivism can be found in my views about public schools, my teachingRead MoreDiscipl ine Investigation Assignment. Introduction. A Discipline1614 Words   |  7 PagesDISCIPLINE INVESTIGATION ASSIGNMENT INTRODUCTION A discipline investigation essay gives students an opportunity to learn about the community that they would be interacting with in their near future. â€Å"The purpose of this paper is to investigate a discourse community I hope to join and to learn about the kinds of texts that community uses† (LLD100A Discipline Investigative Assignment). I interviewed a professional from a Health Department and used outside research for this paper, so that I can haveRead MoreChild Abuse Is A Serious Crime Essay1110 Words   |  5 Pagesbeating†¦Ã¢â‚¬  Not only does this topic, child abuse, reflects to my future career as a social worker, it also related to my personal experiences as well as witnessing these cruel and unappropriated acts on innocent children who does have the strength to fight off their abusers. I grew up in a household we’re violence was common. My father was a heavy drinker and when things do not go his way he would verbally or physically attack us, my mother, younger sister and I. We lived in fear, attended himRead MoreAmerican Rhetoric : Obama And Martin Luther King Jr.1481 Words   |  6 Pagesvalues. However, Obama focuses more on an ethical approach by including stories about his childhood and family history to build up his credibility, while King Jr. uses more logical statements to walk the reader through each part of his argument, step by step. Barack Obama gave his speech at the Democratic National Convention in 2004 to introduce the Democratic nominee for president, John Kerry. Since his speech was meant to introduce Kerry, he could only spend a portion of it on himself, while the

When writing prose, one expect... free essay sample

When writing prose, one expects either first or third person, but not both which OCallaghan does in his goth novella, Nothing on Earth. Lodge (p. 88, 1988) states that writing in the two tenses can disorientate the reader and disrupt logical relationships between the concepts or entities or events. Typically, the genre is flamboyant and disjointed, with grim content which is certainly true of OCallaghans novella. The reader may feel disengaged by several nameless characters: the girl, a cleaner, an elderly priest (a pivotal character and narrator), and his brother. While the novel may not be a dialogue with the author (Fludernik, 2001), readers could find their quest for the origin of the text, (Dawson, 2013) and interactional experience, (ibid) puzzling. Although OCallaghans voice remains invisible (p. 45, Alvarez, 2005), the reader is invited to imagine hearing a voice on a page speak out to .. . grab your attention, (Utley, 2015) which the narrators voice achieves resolving any polemic of voice. We will write a custom essay sample on When writing prose, one expect or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Arousing and holding the [readers attention] is by being specific, definite and concrete in plain language, style and linked voice, (Strunk, p.22, 1926). OCallaghan, however, entices readers, embroidering the books fabric with florid language: the girls [English] freeze-dried taken out of the vacuum packing (p. 11), drifted through those rooms with invisibilities weightlessness (p. 45) or slid into her sandals (p. 69). Voice give[s] the impression of speaking naturally is persuasive, artificiality is the contrary; for our hearers are prejudiced, Elbow (2007). An obvious naturalness exists between Martina and her niece, the girl, as they chat in the garden (p. 60). Martina asks the girl what Mutti (as the girl calls her mother, Helen, not her real name (p. 21)), said about her darling sister [Martina] (p. 60). The girl replies Martina loved being gawked at (ibid); softer vowels and consonants accentuate the hard, gutteral voiced plosive of /g/ and /k/ in gawked in this paragraph. Martina and the girl sunbathe as if it is work (p. 63). Using Martinas phone, the girl sets a timer alert, records herself singing Everybody turn, and to end their sunbathing ritual sets the timer to play Everybody turn! Everybody turn! (p. 63). Disappearance of the girls parents, Helen (p. ), Paul (p. 109), and the girl herself (p. 142) and related police investigations. Paul rejects police suspicions that Helen went to London (p. 53). When Paul was made redundant, the girl was waiting outside in pyjamas (p. 81). He exclaims: What the hell is going on? The girl felt safer outside, .. . [Martine]s not in her room(ibid). Paul calls the property developer, Flood, asks for Marcus, their security guard (p. 84). Reluctantly Flood admits Marcus went to Reading weeks ago (p. 85). Ipso facto no site security and Martina had doll[ed] herself up to visit an empty caravan (ibid). One of many far-fetched scenarios is the girls father, Pauls, disappearance waiting for the girls freshly baked flapjacks which she had said would be ready in ten minutes (p. 108). The girl calls her father who doesnt reply. She goes through the rooms but cannot find him. Then, [t]he kitchen started bleating:(p. 109) Everybody turn, †¦ Everybody turn†¦, (ibid). Both the front and back door were locked from the inside. The keys rattle in her fathers jacket pocket (ibid). It harkens back to sunbathing with Martina; the girl recorded herself singing Everybody turn, †¦ Everybody turn. (p.63), pose more unanswered questions: Where did Paul go? How had he left a house which was locked on the inside, with the keys in his jacket pocket in the house? Is the bleating kitchen the mobile phone?Language describing the girls reactions convey a demented, panic-stricken flight. Phrases signalling her desperation include: sprinted without breathing or stopping and she hammered [on the door] (p. 11). A traumatised child, what drove her to [try] very hard not to start crying (p. 11) while explaining her desolation to the priest whose front door she had pounded. Attempts to answer such questions is an academic exercise in futility. As the novella begins, so it ends. A pattern of people, services and things appear or disappear. The girl, on encountering the priest, says, one minute he [her Papa] is behind you. And next time he was gone. (p. 11); the girls mother, Helen goes out and didnt return, (p. 51); cement mixer, breeze blocks, soil, wheels, doors, disappeared (p. 69); [a]fter the water, the money ran out. . .. line went dead (p. 105); Paul shaking hands with the Poles at number 3 (p. 92); Martinas unreported disappearance a month ago, (p. 135), demons, noises and Poles in number three which the Priest knew .. . remained vacant (p. 138). The novella concludes in the only way it can; the brother from the States stop[s] anwering the priests calls (p. 173). In interviews, OCallaghan says life is uncertain and inconclusive and everything we know about the book [its oddities and anomalies] are in the book. We can only know what is in the book. If it is not in the book we cannot know it (ibid), a truism of fiction, but quintessential to OCallaghans novella.