Friday, January 24, 2020

gideon Essay -- essays papers

gideon Gideon v. Wainwright What most people don't know is that in the past those arrested for a crime did not really have "the right to an attorney" unless they had money. This became a right because Clarence Gideon, a prison inmate who did not have the money for a lawyer, took a pencil in his hand and wrote his own petition to the United States Supreme Court. Clarence Gideon, without a lawyer, took his case to the highest court in the country and won important rights for all of us. In 1961, Clarence Gideon was arrested in Florida on a charge of breaking and entering into a pool hall. Gideon was a likely suspect for the police to arrest: he was a 51-year old drifter who had been in and out of jail many times since he ran away from home to be a â€Å"hobo† at age 16. Although he barely finished the eighth-grade, when Gideon was arrested he knew two things: one of which was that he had not committed this crime and the second is he would not have a chance to convince a jury that he was not guilty if he did not have a lawyer. Because Gideon could not afford a lawyer, he asked a judge to appoint a lawyer to represent him. The judge refused and Gideon was convicted. He was sentenced to five years in jail, which gave him a lot of time on his hands. He put that time to good use. First, he filed a petition before the Florida Supreme Court. The petition was denied. So then he decided to file a petition in the U.S. Supreme Court arguing that putting him on trial without a lawyer was...

Thursday, January 16, 2020

Cardiovascular Disease Essay

Through cohort study designs and other evidence-based management studies, identify the major causes of CVD, and analyze the key steps, including current medications, used to address the disease. The understanding of the pathophysiology of many cardiovascular diseases is evolving rapidly, especially atherosclerosis, hypertension, myocardial, ischemia, and congestive heart failure. The role of genetics and its interaction with environment in the etiology and the progression of all forms of cardiovascular diseases is just one example of new information that is leading to improvements in prevention and treatment. Cardiovascular diseases include illnesses that involve the blood vessels like the veins, arteries and capillaries or even the heart, or both. The cardiovascular system, also called the circulatory system, is the system that moves blood throughout the human body. It is composed of the heart, arteries, veins, and capillaries. It transports oxygenated blood from the lungs and heart throughout the whole body through the arteries. Blood goes through the capillaries and vessels situated between the veins and arteries. When the blood has been depleted of oxygen, it makes its way back to the heart and lungs through the veins. The circulatory system may also include the circulation of lymph, which is essentially recycled blood plasma after it has been filtered from the blood cells and returned to the lymphatic system. The cardiovascular system does not include the lymphatic system. In this article, the circulatory system does not include the circulation of lymph. Angina is most frequently the result of underlying coronary artery disease. The coronary arteries supply the heart with oxygen rich blood. When cholesterol aggregates on the artery wall and hard plaques form, the artery narrows. It is increasingly  difficult for oxygen rich blood to reach the heart muscle as these arteries become too narrow. In additi on, damage to the arteries from other factors (such as smoking and high levels of fat or sugar in the blood) can cause plaque to build up where the arteries are damaged. These plaques narrow the arteries or may break off and form blood clots that block the arteries. The actual angina attacks are the result of this reduced oxygen supply to the heart. Physical exertion is a common trigger for stable angina, as the heart demands more oxygen than it receives in order to work harder. In addition, severe emotional stress, a heavy meal, exposure to extreme temperatures, and smoking may trigger angina attacks. Unstable angina is often caused by blood clots that partially or totally block an artery. Larger blockages may lead to heart attacks. As blood clots form, dissolve, and form again, angina can occur with each blockage. Variant angina occurs when an artery experiences a spasm that causes it to tighten and narrow, disrupting blood supply to the heart. This can be triggered by exposure to cold, stress, medicines, smoking, or cocaine use. Angina treatments aim to reduce pain, prevent symptoms, and prevent or lower the risk of heart attack. Medicines, lifestyle changes, and medical procedures may all be employed depending on the type of angina and the s everity of symptoms. Lifestyle changes recommended to treat angina include: 1.Stopping smoking 2.Controlling weight 3.Regularly checking cholesterol levels 4.Resting and slowing down 5.Avoiding large meals 6.Learning how to handle or avoid stress 7.Eating fruits, vegetables, whole grains, low-fat or no-fat diary products, and lean meat and fish Medicines called nitrates (like nitroglycerin) are most often prescribed for angina. Nitrates prevent or reduce the intensity of angina attacks by relaxing and widening blood vessels. Other medicines such as beta blockers, calcium channel blockers, ACE inhibitors, oral anti-platelet medicines, anticoagulants, and high blood pressure medications may also be prescribed to treat angina.  These medicines are designed to lower blood pressure and cholesterol levels, slow the heart rate, relax blood vessels, reduce strain on the heart, and prevent blood clots from forming. In some cases, surgical medical procedures are necessary to treat angina. A heart specialist may recommend an angioplasty – a procedure where a small balloon is used to widen the narrowed arteries in the heart. Coronary artery bypass grafting is another common procedure; this is surgery where the narrowed arteries in the heart are bypassed using a healthy artery or vein from another part of the body. Develop at least five (5) leading questions that may be posed to your local health department in regard to mitigating the proliferation of the disease. Provide a sound rationale for raising these questions. 1. Can second or third hand smoking cause cardiovacular diseases? Cigarette smoking remains the leading preventable cause of cardiovascular disease in women, with more than 50 percent of heart attacks among middle-aged women attributable to tobacco. Risk of cardiovascular disease begins to decline within months of smoking cessation and reaches the level of persons who have never smoked within 3 to 5 years. 2. What do cholesterol has to do with cardiovascular diseases? High blood cholesterol is a condition that greatly increases your chances of developing coronary heart disease. Extra cholesterol in the blood settles on the inner walls of the arteries, narrowing them and allowing less blood to pass through them to the heart. Aim for total cholesterol below 200 mg/dL; LDL cholesterol below 130 mg/dL and HDL above 35 mg/dL. 3. How do weight gain or maintaining a healthy weight control cardiovascular disease? Obesity and sedentary lifestyles are epidemics in the United States that contribute to increased risk of cardiovascular disease. The prevalence of obesity has increased among both men and women in the United States in the past decade; currently about one third of adult women (or 34 million) are classified as obese. Also, 60% of both men and women get no regular physical activity. Obesity, especially abdominal adiposity, is an important risk factor for cardiovascular disease in women. 4. Can exercise reduce cardiovascular disease? Recent evidence suggests that even moderate-intensity activity, including brisk walking, is associated with substantial reduction of cardiovascular disease risk. These findings support  the 1995 federal exercise guidelines endorsing 30 minutes of moderately intense physical activity most days of the week, a program that should be feasible and safe for most of the population. Regular exercise and maintenance of healthy weight should also help reduce insulin resistance and the risk of non–insulin-dependent diabetes mellitus, which appears to be an even stronger risk factor for cardiovascular disease in women than in men. Diabetes is associated with a threefold to sevenfold elevation in cardiovascular disease risk among women, compared with a twofold to threefold elevation among men. Approximately half of all deaths in patients with non–insulin dependent diabetes mellitus are due to heart disease. 5.Can eating less saturated fat, more produce and more fiber reduce cardiovascular disease? †¨Diets low in saturated fat and high in fruits, vegetables, whole grains, and fiber are associated with a reduced risk of cardiovascular disease. Also, a recent study reported in the Annals of Internal Medicine journal confirmed that eating fruits and vegetables, particularly green leafy vegetables and vitamin C-rich fruits and vegetables, seems to have a protective effect against coronary heart disease. You may even think about moving toward more flexitarian or vegetarian eating habits: A vegetarian diet reduces the risk of coronary artery disease, and may even reverse existing coronary artery disease when combined with other lifestyle changes. A Mediterranean diet that uses olive oil can reduce the risk of coronary artery disease. Based on the five (5) questions you developed in Question two (2), provide a rudimentary protocol to disseminate this information to your local community lea ders. Based on the above listed question in question two, the population that is directly affected by lack of basic health care information is poor families in rural areas across the United States. However, many others are indirectly affected by this including Governments who on varying levels are trying to determine how to keep their people alive and healthy longer and institutional partners who are spending significant resources to treat conditions that could be prevented or taken care of at earlier stages of a problem or condition. SMS to mobile phones which can be done through mobile networks at the prompting or through a contract with an institution, NGO, private company or the Ministry of Health. This does not have to be  expensive and is something in some countries that is partly supported by the Ministry of Health or can be provided in limit cases free of charge by the network provider. Through mobile cinemas which are used throughout much of Africa in rural areas to disseminate information on health care or other pertinent issues. Many times these mobile cinema vans already exist and are under the control of the Ministry of Transportation or Ministry of Health. It is possible, depending on the circumstances to access these vans and pay only for fuel consumption. Posters displayed in prominent areas that can provide a very clear and visual message, can sometimes transcend language barriers and get across simple messages most effectively. The cost of this would be the printing of the posters, the human resources to disseminate the posters (you can sometimes go through the Ministry of Health and utilize the community health workers and regional and district hospitals and other partners) and in some instances a small charge to hang the posters at certain locations. Radio spots that provide simple information in the most basic terminology to ensure the messages are construed properly. The cost of this depends on the availability of community messaging which is provided by some stations in some countries free of charge or station to station depending on country and size of the listener group. Recommend six (6) steps that may be given to your current or previous place of employment to prevent the proliferation of CVD. Provide support for your recom mendations. Heart disease and stroke, the principal components of cardiovascular disease (CVD), are the first and third leading causes of death in the United States. In 2002, employers representing 88 companies in the United States paid an average of $18,618 per employee for health and productivity-related costs. A sizable portion of these costs are related to CVD. Employers can yield a $3 to $6 return on investment for each dollar invested over a 2 to 5 year period and improve employee cardiovascular health by investing in comprehensive worksite health-promotion programs, and by choosing health plans that provide adequate coverage and support for essential preventive services. The most effective interventions in worksites are those that  provide sustained individual follow-up risk factor education and counseling and other interventions within the context of a comprehensive health-promotion program: (1) screening, health risk assessments, and referrals; (2) environmental supports for behavior change (e.g., access to healthy food choices); (3) financial and other incentives; (4) corporate policies that support healthy lifestyles (e.g., tobacco-free policies). (5) standardized treatment and prevention protocols consistent with national guidelines. (6) multidisciplinary clinical care teams to deliver quality patient care. References 1.Austin, C. J., & Boxerman, S. B. (2008). Information systems for healthcare management (7th ed.). Chicago: Health Administration Press. 2. Harvey, B.H.,†Technology, Diversity and Work Culture-Key Trends in the Next Millenium,†HR Magazine, 45,(7) ,p.59. 3. Bowen, D.E., and Lawler, E.III.†The Empowerment of Service Worker;†Sloan Management Review, pp.31-39. 4. Williams, S. J., & Torrens, P.R. (2010). Introduction to Health Services. Mason Ohio. Cengage Learning. 5.Marquis, M.S., & Rogowski, J.A. (2004). Journal of the American Medical Association, 52(5)408-415.

Wednesday, January 8, 2020

Essay on Abortion A Womans Right to Choose - 1174 Words

Terminating the life of a child without allowing it to even be born has been one of the most controversial topics for centuries. Abortion is the term used to identify the act of intentionally interrupting pregnancy and not allowing the embryo (first stage of development) or fetus (eight weeks and on) to continue its normal process. Each woman has different reasons to decide to commit abortion and is either willing to put an end to their child’s life or permit it to live, even if it is unwanted. If it’s right or wrong, just or unfair is the main argument of the continuous controversy. In past centuries, before the mid 1800s abortion was legally, commonly, and freely practiced. Yet, around twenty states started to pass laws to make the†¦show more content†¦The law includes the coverage of abortion by insurance plans, even though an executive order declared it to be in limited situations (Jost). The debate seems to continue, since many want to have the right to pi ck and others do not tolerate the fact of abortion even being legal in the country. Pro-choice followers obviously oppose the idea that women have to keep their babies regardless of the situation. Indeed, a happy and stable marriage is not always the scenario behind a pregnancy. Rape and even incest could have been the cause and the probability of the mother wanting the baby in the middle of such an uncomfortable setting is slim to none. Usually, a baby that is a result of an incest encounter has an endless amount of defects and babies as a product of rape can cause serious mental and emotional trauma to the mother. A pro-choice advocate would probably present a sentimental scenario where a twelve-year-old young girl wants to abort because she was brutally raped by her father. In such tragic rape situations it is difficult to condemn the mothers’ choice. Death and injuries can also be prevented with the legalization of abortion. Women with no choice could tend to go to back-a lley medical services that are unsafe, illegal and untrustworthy. The year before abortion was legalized 39 women died of illegal abortions (Johansen). With legal and safe abortions women could do their will without risking their lives. It is even speculated that legal abortion is saferShow MoreRelatedAbortion: A Womans Right to Choose Essay986 Words   |  4 Pagesalley abortions and gave women the right to choose abortion. Women were then able to legally obtain them through medically sound institutions. Rather than on her bathroom floor through the process of a coat hanger or at back alley abortion clinics that were not always the most hygienic options. â€Å"In handing down Roe v. Wade (401 U.S. 113) on 22 January 1973, the Supreme Court held that a woman’s right to choose abortion was constitutionally protected as a part of her right to privacy; abortion thusRead MoreAbortion is Woman’s Right to Choose Essay example1532 Words   |  7 PagesAbortion is Womanâ₠¬â„¢s Right to Choose With so many women choosing to have abortions, it would be expected that it would not be so greatly frowned up, yet society is still having problems with its acceptance. Every woman has the fundamental right to decide for herself, free from government interference, whether or not to have an abortion. Today, more than ever, American families do not want the government to trample on their right to privacy by mandating how they must decide on the most intimateRead MoreAbortion : Abortion Or Anti Abortion1082 Words   |  5 Pages Abortion is among one of the world’s greatest debates. Americans hold the notion that someone is either pro-abortion or anti-abortion; there is no in-between. There is so much research to support both sides of the issue. For those who support abortion there is research that says that the choice belongs to every woman. There are certain circumstances that support this claim. A woman’s choice to have an abortion is her right. Is it right? Is it mur der? There are countless people that view abortionRead MoreShould There Be More or Less Laws Leading Abortion Essay1577 Words   |  7 PagesThere are many reasons why abortions are performed. The main way of looking at abortion can be summarized in five points: birth control issues, human rights, legal precedence, when life begins, and religious reasons. (Abortions allowed women to pursue their educational goals.)(Hill, 2007) Based on both moral and empirical claims, a wide variety of views supporting either less or more legal restriction on abortions has enlarged in America. While advocacy groups define the issue through its moralRead MoreAbortion: I Am Pro-Choice Essay1023 Words   |  5 PagesSince the early 1970’s abortion has been an important issue to the United States (Tietze 1). The problem begins with whether it is the woman’s choice to keep or terminate her pregnancy or the government’s choice. When this problem happens, a woman loses her right as a person. Most women argue about this issue, but if you look at it, it is the woman’s body, and she should do with it as she pleases. I believe that if a woman, under the right circumstances, should be able to make her own choices inRead More Abortion: The Right To Choose Essay666 Words   |  3 Pages Pro-choice does not mean Pro-abortion, it is the right in choosing whether to reproduce, adopt, or abort. It is every human beings right to make their own decisions, and so it is a womans right to make the choices that affect her life as she sees morally right. It is a womans right to choose what she does with her body and it should not be altered or influenced by anyone else. Abortion is not murder because it is not taking the life of an actual human being an actual human beingRead MoreWomen and the Choice of Abortion Essay1606 Words   |  7 PagesIn the last few decades, abortion has become a much-discussed subject. It has been a central point in many political affairs as in; selecting justices for the Supreme Court, it has also become an issue for candidates for state and local offices as well as for the U.S. Presidency. What exactly is abortion anyway? Depending on who you ask one will always get different answers, but the dictionary defines abortion as the termination of a pregnancy after, accompanied by, resulting in, or closely followedRead MoreWomen s Rights Of Women Essay1500 Words   |  6 PagesUnited States is known as the home of the free, home for those who can have any religion, and have free speech. But women’s rights in the Unites States have been silenced and taken control of for a longtime. Throughout U.S. history women’s power and place in society has been diminished because of patriarchy . The overwhelming number of men in the government has made women’s right to reproductive health one of the most controversial issues in politics. Every year new laws and bills get passed that seemsRead More Abortion Essay example1239 Words   |  5 Pages Abortion is defined as the termination of a pregnancy before the fetus is capable of independent life. Abortions must be conducted before the end of six months or the fetus will leave the womb and it would be considered premature birth. If the fetus weighs less than 18 ounces or is less than 20 weeks into pregnancy, it is usually considered an abortion. There are two types of abortions. One is spontaneous and the other is induced. Spontaneous abortions are known y another name, miscarriages. TheRead MoreWomen Has Never Had It Easy929 Words   |  4 Pagesis she to do now? She could choose to terminate the pregnancy by abortion, but sometimes health care plans do not cover abortions and sometimes there aren’t any abortion clinics available in that area. So as a second option, the woman could choose to have an illegal abortion by an unskilled practitioner, in an unsanitary environment, all while putting herself at risk for infections, illness, and even death of herself and the baby. As a third option, the woman could choose to go full term, birth the