Comprehensive health history and Physical Essay

Comprehensive health history and Physical - Essay Example It was around six in the evening while he was driving from work when he noticed a change in his body. There was an abrupt pain onset of the pain to his right side which occurred for a small period of time about one to two minutes. He thought that he might have strained while driving and this might have resulted in the pain. The pain slowly moved from the parasternal area towards his neck. This was the first time he experienced such pain and describes his day as a normal day at the office with no strains. He felt tired at this time as the pain continued to radiate upwards. The pain subsided a little when he got home but he felt a discomfort that was accompanied by a shortness of breath. At this time, he was not nauseated or sweating. The pain seemed to disappear immediately he arrived home and rested. Two days ago the pain returned again and this time a little severe than the first episode and lasted close to five minutes. The pain seemed to emanate from the same place as the previous episode. He experienced this twice during the day in the morning and in the evening. In both instances he was not strained but simply walking around in the office. He went home and took a rest again and the pain seemed to disappear completely until today when the pain episode manifested. All this time he was contemplating of seeking medical attention but did not. He never used any pain relievers or any other drug that could ease the pain. The reason for this he says is that the pain seemed to last for a short period of time and would disappear itself or would end immediately he went to rest. This made him think that the pain was as a result of work. The patient says that he did not experience any other symptom apart from the shortness of breath during the pain episodes. There was no dizziness or palpitations. He also says that there was no other exertional dyspnea, orthopnea or paroxysmal nocturnal dyspnea. Interestingly the pain did not alter during movements or during food intake . There was also no palpable pain. He has never been informed of having heart problems. He has never had a problem with his chest before and neither has he ever experienced chest pains in his life. He does not have claudication. However, Andrew was diagnosed with hypertension about 2 years ago. Andrew is not a smoker and has no symptoms of diabetes. He was only diagnosed with the hypertension 2 years ago which he is fully aware of and had a total abdominal hysterectomy and a BSO about a year ago. Andrew has not been on any hormone replacement therapy of late. He also says that their family has a history of premature CAD. He has been monitoring his cholesterol level for quite some time but at present he does not know. Past Medical, Surgical, and Social History Surgical- has no history of surgical operations Medical history Childhood: diagnosed with mumps at the age of 7. No measles, croup, pertussis, rheumatic fever, scarlet or polio. Accidents: Andrew had an accident while at the ag e of 12 while riding his bicycle. He developed a fracture. At the age of 25 he was involved in a car accident although he survived with bruises. Chronic illnesses: In 2010 he was diagnosed with hypertension and was on medication until last year when he stopped taking the medication due to the drowsy effect they were having on him. In 2008 he was diagnosed with peptic ulcer disease which was successfully treated after three months using cimetidine. Hospitalizations: He was hospitalized at the age of 12 after the accident where he

Intorduction to Communication-Emotinal Responses-repost Assignment - 1

Intorduction to Communication-Emotinal Responses-repost - Assignment Example This may affect communication in one way or the other. Further people undergoing vial emotion of stress/depression are more susceptible to affect communication(Flaherty, Mike, and Larry Erickson,p.10). In this case, it can be observed that Paul Sir (the father) and Paul Junior (son) had been involved in constant fight and quarreling. They tend to disagree in almost everything that they do inside and outside their Motorcycle shop. Due to frequent argument and disagreements between the father, Paul senior, and the Son, Paul Junior, they business relationships broke-up. From the series American, chopper it can be observed how the American Junior was influenced by the emotional of anger which intern motivated high to become innovative/creative., Through the emotional of anger Paul Junior become motivated in designing motorcycles that have more features as compared to the one’s manufactured by his father, Paul Senior. Therefore, when working in the situation where I hear Paul senior and junior fighting, I could feel so remorseful because I could not Imagine hearing father and son fighting as arguing. It seems unbiblical and culturally unacceptable (Flaherty, Mike, and Larry

Clean Food Health

Clean Food Health The issues surrounding the laws of clean and unclean food have been heavily debated within the Judea/Christian circles for a long period of time. ‘Why should God be concerned about what we eat? The purpose of my research is to attempt to understand why these laws were set within the Old Testament and to compare and contrast different scholarly approaches to this very interesting topic. Many have reviewed the dietary laws within Leviticus and Deuteronomy, questioning whether they were relevant to a certain nations? For example, Israel, tending to lean to an opinion that the laws were set within the Old Testament, and were obsolete at the point of the New Testament? Some argue that these laws are still applicable today whilst others oppose and question there relevance in todays society. My aim and methodology is to review the primary sources available within this area found in the Old Testament and review the evidence that supports the rationale behind these dietary laws. I will attempt to analyse and compare the evidence taken by selected scholars from various backgrounds, such as, anthropologists, ministers and professors, all who have credible background to share on this topic. I have grouped their views into the following three categories; Health/Hygiene, Symbolic/Holiness and Ritual Purification. The word unclean is defined as ‘dirty, immoral, unchaste to be clean would imply the opposite definition. When we look closely and analyse the term clean and unclean within the Old Testament Bible, scholars have varied meanings and approaches to this law. Health/Hygiene Health ‘is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity When we apply good health our bodies are naturally in good shape. Health and Hygiene are closely linked and go hand in hand together. ‘Hygiene is the maintenance of health and healthy living. Covering many areas such as diet, personal, domestic, public and mental cleanliness. The following scholars support the view that health and hygiene has a significant role within the dietary laws, Jacob Milgrom, RK Harrison, and John Brunt. All have commented in particular to the Pig, with a view that this animal carries a disease known as Trichinosis. Trichinosis is a parasite worm that lives in the flesh of pig meat, and is passed on when pig flesh is under cooked, and can grow into a considerable size within the intestine. The Hare carries tularaemia which is an acute infection resembling the plague, but not as severe. Scavenger birds, known as Carrion birds also carry disease, and fish with out scales and fins attract disease because they search for food in the mud. Milgrom argues that a camel is a forbidden animal to eat according to the dietary laws ‘yet there is no evidence to support that this animal poses a threat to health or is unhygienic. He also argues why just animals have been prohibited, as there are poisonous plants that are unhygienic and can be very harmful to the health of a human if eaten. This point highlights a weakness in the dietary laws. Harrison argues that ‘the separation of clean from unclean meats should not be taken to imply that the true ruminants are completely free from parasitic organisms. Harrison also uses further examples with regard to the Ox, which is a clean animal, but is also prone to transmit parasites. Brunt argues that ‘we accept aspects of the teachings concerning what to eat, but do not follow through, for example when we touch an unclean insect we should wash our clothes. Symbolic/Holiness Symbolism ‘is the systematic or creative use of arbitrary symbols as abstracted representations of concepts or objects and the distinct relationships in between, as they define both context and the narrower definition of terms. Holiness is ‘the state of being holy, that is, set apart for the worship or service of God or gods. It is most usually ascribed to people, but can be and often is ascribed to objects, times, or places. The following scholars support the view that symbolic and holiness has a significant role within the dietary laws, Jacob Milgrom, G J Wenham, Gerald F Hasel and Lester L Grabbe. The observance of the dietary laws could be seen as symbolic. Gods people have been set aside from the other nations to be an example, by observing dietary laws. This would mean that here would be a clear distinction between the Israelites and the other nations. Milgrom states that ‘the diet laws have been implied by the concept of holiness. Wenham makes it very clear that ‘the diet laws were given in a specific situation to a specific situation to a specific period, they are part of the blueprint for making the people of Israel holyHasel refers to the observance of dietary laws ‘it is a holy people that continues to make a distinction between the clean animal and unclean. Grabbe states that ‘the dietary regulations had both a practical and symbolic function, symbolically they stood for the fact that Israel was to keep itself free from intercourse with non- Israelites. Ritual Purification This is that ‘the aim of these rituals is to remove uncleanliness, which may be real or symbolic. Most of these rituals were created long before the germ theory of disease. Some religions have special treatment of particular body fluids such as semen and menses which are viewed as particularly unclean. Ritual purity during this period was an essential part of life to the people of Israel. This prepared each individual to ensure that they were clean before they entered into the sanctuary to worship God. The following scholars support the view that ritual purification has a significant role within the dietary laws, Mary Douglas, John E Hartley, and John Brunt Douglass states that ‘the impurity of an animal kind is part of the technical meaning of ritual purity. Douglass also adds ‘ritual impurity imposes Gods order on his creation Hartley states that ‘the main purpose for the purity instructions was to keep the Israelites separate from the neighbouring nations in order to promote Gods call for Israel to be a holy nation.Brunt states that ‘the New Testament rejects the distinction between clean and unclean, it is not speaking to the issue of health, it is rather addressing problems that were live issues in the 1st century, problems of ritualism and exclusivism. Brunt argues that ‘for the Christian, all things are clean, true spirituality is a matter of the heart, not of ritualistic externals. Conclusion The dietary laws debate will continue for many more years. However I have found this research very refreshing to review approaches of this topic from scholars who are not Seventh Day Adventists, from various backgrounds. We can see from the categories where some scholars hold or share the same view and differ from each others in different areas. The most common theme that came out within the dietary laws and findings in most of the scholars approaches was the point regarding the eating of pork. Most appear to agree on the fact that this animal is prone to parasites, and depending on the way the meat is prepared it will be good for consumption. This point came across very strongly among many of the arguments, arguing that even if the meat is heated well, it still does not rid the parasites and others oppose. In November 2005, The National Geographic produced a documentary on longevity and featured an island in Okinawa, with the longest living people in the world, who accredited this to a soup dish made of pork skin which was boiled at a high temperature in preparation. Based on this finding, we can see that if meat is prepared well it can aid our health, although there may be additional factors that aid to their long life. The dietary laws in the Old Testament would appear to specifically be relating to Israel Gods chosen people, whether they are still relevant to modern day is a matter worth deeper research. The New Testament appears to have abolished the laws of ritual purity, Jesus reached out to all nations, Jews and Gentiles removing all barriers, and we find instances of this throughout the whole of the New Testament. This is something that I would like to research more in the future.

My Conversation With Death :: essays research papers

He did not steal into my room like a common thief, though that was his nature. He was sitting there as if he was always there, taking little heed to his surroundings. His presence in the room was an assault to my sense of security, yet his smile never portrayed this intention. Like a child he did not really comprehend the repercussions of his actions. His physical features, clothing, even his demeanor was one of neutrality. This left me with the feeling that no matter what type of surroundings he was placed into he would blend in.   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"I have often wondered why people fear me so.† He spoke softly breaking the silence. â€Å"We rejoice the beginning of ones lives with celebration, yet on the same hand mourn there passing, and by doing so we lose sight of all of their accomplishments. If a person has lived his life honestly, successfully or even completely, should not the correct response to his death be a smile? Why do people find the need to focus on the negative aspect of death? Death is an unavoidable aspect of life, and no matter how much you wish, it will never go away. Do we ponder why the sun will rise every morning? The answer to this is no because you have accepted it as a necessary reality of life. I say treat death in the same manner, do not pay it any heed and focus on the living of life not the dying.†   Ã‚  Ã‚  Ã‚  Ã‚  I admitted to myself that his words did have a ring of truth to them. I was now forced to consider what it was about death that I feared so. I responded with â€Å"It is not the aspect of dying that we morn but rather that of a loss. We do not cry over the memories we have with the deceased but rather those that we cannot have with them. We can no longer enjoy the comfort of their presence, spend time with them, laugh with them, or cry with them. They are gone, and by their passing, we are forced to remember who and what we are. No matter how many advances we make in life we cannot avoid the fact that we are mortals. Just as we were brought into this world we must one day leave it too. We cannot overlook the negative aspect of death for it is a constant reminder of our own mortality.

Mcdonald

System wide sales. They operate over 30,000 restaurants, around 420,000 workers In more than 100 countries on six continents. McDonald's sells various com/%EF%BB%BFhome-cooked-meals-vs-fast-food/">fast food Items and soft drinks including, burgers, chicken, salads, fries. Breakfast meals and ice cream and etc. Objectives: 1. To be able to serve well to customers by providing best quality of food and service. 2. To increase the business capacity to produce more foods or provide better or greater service, 3. To become better public Images of fast food. 4. To become greater brand name and Image that will Increase more franchises. 5.To be a social responsible company and provide good returns to shareholders. Vision and Mission Statement: Vision Statement To be the world's best quick service restaurant experience. Being the best means providing outstanding quality, service, cleanliness, and value, so that we make every customer in every restaurant smile. Mission Statement To â€Å"be our customers' favorite place and way to eat. † Our worldwide operations have been aligned around a global strategy called the Plan to Win centering on the five basics of an exceptional customer experience – People, Products, Place, Price and Promotion.We are committed to Improving our operations and enhancing our customers' experience. External Audit: Opportunities I Threats I 1. Growth of the fast food industry. 2. Expansion in other countries, especially in Latin America, China, and other Asian countries. 3. Increasing trend on healthy food/ products (Especially Low calorie products) approved by FDA. 4. Low price food that will attract to the customers. 5. Freebies and Discounts. 6. Conversion of other quick-service restaurants into franchises. 7. More playgrounds for the children in more restaurants. (should be enough space for that).

Concert Essay

For this concert report I chose to go to a performance of student composers held at YUANZE UNIVERSITY auditorium in building 6. I chose this one because I wanted to see some of the talent that my peers have in the music realm, and also it was one of the only concerts I have been able to attend because of religious restrictions. It was impressive to hear pieces composed by students. I cannot imagine creating something as complex as a musical composition, much less actually performing it, so this aspect of the concert was particularly awe-inspiring. There was a large attendance, and I think that much of the audience consisted of friends of the performers and some of the university students. I went with two friends, who weren’t so eager to go; I had to convince them by telling it would be interesting to see student performers/composers. The first piece was called Oblique/musique composed by Patrick Swanson. This piece instantly stood out among the others because of the instruments involved. The piece was performed by two people: one playing a vibraphone and the other playing a large drum/cymbal/gong. However, the piece also contained prerecorded sounds of static, bass, and an incoherent voice. In this piece the melody was repeated many times. It was similar to the works of John Adams because of its repetitions, background recording, and minimalistic sounds. The second piece was a piano composition called something Afternoon; I didn’t really get the title. This piece had a very relaxing melody and a mild tempo. It was not fast and not slow. It was an experience of a lifetime. I listened to a genre of music I never had listened to. At the concert two people performed already leaving the audience wanting for more. I also noticed that in the back of the auditorium there was a camera crew filming the whole performance. The auditorium was very elegant looking. The majority of the people in the audience were young people in their twenties. That’s what I expected, it being in a college and all. The hall was rather big for such a small performance. It could fit approximately three hundred people and in the performance floor there was a piano a chair for the pianist and a table with a jar and a glass of water. The songs performed in the concert were all mixed up between andante and allegro. Most of the songs went from andante to allegro. It was divided into five acts. Four of the five acts were homophonic and the other act was polyphonic. The performers were dressed very elegantly. There was about thirty people in attendance and they were dressed in there normal attire. Also the majority of the concert was in the dissonant form. Very rarely I saw a consonant song playing. The behavior of the performers was that they were very concentrated in their work. Keeping aware and avoiding all mistakes if possible The pianist was really young for his professionalism, he was really professional, played spectacularly well. He gave the audience feelings of anger, sadness, and joy. The flutist also played brilliantly. Lastly the vocalist was the best part. She had a very high pitched voice sang both high and low parts. Sang both happy and sad parts. Gave the crowd mixed up feelings.