Overview Of Hypertension During Pregnancy - 1313 Words

Anna Clare Wheeler KIN 211-701 March 6, 2015 Overview of Hypertension During Pregnancy The presentation of unwarranted hypertension in any individual medically denotes recognition and should be monitored. To be recognized as â€Å"hypertension† different criteria need to be met for different individuals. According to â€Å"The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure† a patient is considered pre-hypertensive with a systolic BP between 120-139 mmHg or a diastolic BP between 80-89 mm Hg (Chobanian, et al. 2003). For individuals older than 50 years of age, reaching a systolic BP above 140 mmHg greatly increases an individual’s risk for cardiovascular disease†¦show more content†¦Ã¢â‚¬Å"Chronic hypertension is globally one of the most dangerous intercurrent diseases of pregnancy since it is associated with many serious complication for both mothers and children† (Zetterstrom, 2008). This condition presents in 1-5% of pregnancies and is higher in older, ob ese, and black women (Wood, 1996). It is described as having a BP higher than 140/90 mm Hg before the 20th week of gestation (Wood, 1996). Sometimes this is a continuation of pre-gestational hypertension. Two categories exist with this type of hypertension, those being: mild and severe. It has been noted that treatment of chronic hypertension is often well tolerated by the mothers through continued use of her previously prescribed antihypertensive medications or newly prescribed medications. However, these can often pose a threat to the fetus, and can affect the child long after birth (Magee, 1998). For this reason treatment of chronic hypertension during pregnancy has to vary from case to case. Some medications of choice include intravenous labetalol or nifedipine given sublingually (Magee, 1999). If untreated, however, there can be even worse outcomes for the neonate due to the likelihood of the mother developing superimposed preeclampsia and abruption placentae, which will be discussed in detail later. Uniquely, it has been found that male offspring suffer more from the effects of maternal chronic hypertension (Zetterstrom, 2008). Reasons for this are still not

Chinua Achebe s Things Fall Apart - 1344 Words

Another form of political resistance is through the characters in Achebe’s Things fall Apart. The character’s use their bodies and morals to rise against oppression. What the characters do is isolate difference or let, â€Å"Umuofia†¦decided to kill him†¦ [in fear] of being thought weak† (Achebe, 1986, pp. 40-43). Through the physical act of death the end is inevitable and while the Africans decide to act upon it, the colonization is what refrains the movement of the town. There is a clash of cultural conflict because of the way societies deal with political situations. Resulting in separation in Okonkwo’s morals, especially when, â€Å"All was silent†¦ Okonkwo’s gun had exploded and a piece pf iron†¦ [In] the†¦heart†¦ [Forced] to flee.† (Achebe, 1986,†¦show more content†¦The â€Å"bite† of the mosquito is small and insignificant at first but humans instinctively scratch which makes it so much w orse. Resistance is building and the sign of the characters actions are in the representation that Okonkwo has, â€Å"killed it.† (Achebe, 1986) The bluntness of death proves that these characters are not afraid to have their say when it comes to opposing others. Similarly in the novel Achebe uses the description of the Europeans as, â€Å"worthless and empty men,† (1986, p. 103) when they arrive. Okonkwo, even though he too is exiled in the book the village changes the traditional society changes when Christianity is introduced. Therefore, as a form of resistance Okonkwo tries to gain back his family and send the word through Obierika who realizes the change through his son, Nwoye. Okonkwo wants to help chase, â€Å"the men out of the village or whipping them.† (Achebe, 1986, p. 105). The violent action is a form of fear that is brought about via the change within the community. The characters are being challenged by the past and the present because the colonis ers are attempting to take everything from them, initially this leaves Okonkwo disappointed and distressed at the end of the book. He mentions, â€Å"I cannot understand these things you tell me. What is it that has happened to our people? Why have they lost the power to fight?’ ‘Have you not heard how the white man wiped out Abame?...Show MoreRelatedChinua Achebe s Things Fall Apart1719 Words   |  7 PagesThings fall apart is a classic novel written around the turn of the century, the novel focuses on the protagonist who we can also call a hero, Okonkwo. Okonkwo is a wealthy and respected leader within the Igbo tribe of Umuofia in eastern Nigeria. Strong individual with a passionate belief in all the values and traditions of his people. Chinua Achebe presents Okonkwo as a particular kind of tragic protagonist, a great man who carries the fate of his people. Okonkwo is a man who is inflexible andRead MoreChinua Achebe s Things Fall Apart1033 Words   |  5 Pages Introduction Chinua Achebe is a famous Nigerian novelist in worldwide. Things fall apart is Chinua Achebe’s first novel published in 1958, the year after Ghana became the first African nation to gain independence. And this novel is one of the first African novels to gain worldwide recognition. (Phil Mongredien, 2010) This novel presents people a story of an African Igbo tribal hero, Okonkwo, from his growth to death. The fate of Okonkwo also indicates the fate of Africa caused by the colonizationRead MoreChinua Achebe s Things Fall Apart883 Words   |  4 Pagesdehumanize the native population and convince themselves that they are helping. Chinua Achebe’s book Things Fall Apart attempts to correct these misguided views of African societies by portraying a more complex culture that values peace, and the art of conversation. Achebe also tries to portray the idea that not all European people they come in contact with are aggressive, and misconstrued in their view of the African societ ies. Achebe tries to show us the value of his society through repeated views into conversationsRead MoreChinua Achebe s Things Fall Apart1410 Words   |  6 PagesTeddy Manfre Ms. Blass ENG 209-001 April 24, 2017 Things Fall Apart In 1958, Chinua Achebe a famous Nigerian author publishes one of his most famous novels Things Fall Apart. The novel takes place in a Nigerian village called Umuofia. During the time that this novel is published Nigeria is being criticized by the Europeans for being uncivilized. In response, Achebe uses his brilliance in this novel to express the valued history of his people to his audience. His focus in the novel is on the pre-colonizedRead MoreChinua Achebe s Things Fall Apart1015 Words   |  5 PagesIn his novel Things Fall Apart, author Chinua Achebe utilizes his distinctive writing style in order to accurately capture the culture and customs of the Igbo people despite writing his story in a foreign language. Five aspects of Achebe’s style that make his writing unique is the straightforward diction present in dialogue, the inclusion of native parables convey Igbo life authentically, the inclusion of native Igbo words and phrases, detailed descriptions of nature and the usage of figurative languageRead MoreChinua Achebe s Things Fall Apart1702 Words   |  7 PagesTitle: Things Fall Apart Biographical information about the author: Chinua Achebe was born in Nigeria in 1930. He had an early career as a radio host, and later became the Senior Research Fellow at the University of Nigeria. After moving to America, he became an English professor at the University of Massachusetts, Amherst. Achebe has won numerous awards for his poetry and fiction, including the Man Booker prize and Commonwealth Poetry Price. He currently teaches at Bard College. Author: Chinua AchebeRead MoreChinua Achebe s Things Fall Apart Essay1347 Words   |  6 PagesCulture is an Important Element of Society Chinua Achebe is the author of when Things Fall Apart while Joseph Conrad authored Heart of Darkness. Conrad and Achebe set their individual titles in Africa; Achebe is an African writer whereas Conrad is Polish-British. The authors draw strength from their backgrounds to validity the authenticity of their fictional novels. Conrad writes from his experiences in the British and French navies while Achebe uses his African heritage. The theme of culture isRead MoreChinua Achebe s Things Fall Apart1248 Words   |  5 PagesChris Lowndes Ms. Cook A.P.L.C. 21 October 2015 We Are Family: Hardships in One s Family in Things Fall Apart Specific attributes correlate with each other to help create or not create the ideal strong family. However, through those attributes arise conflicts and major disputes. This issue of trying to achieve and create a strong family is of immense importance in one’s life, especially in Chinua Achebe’s, Things Fall Apart, a milestone in African literature. For instance, the father leaves his legacyRead MoreChinua Achebe s Things Fall Apart Essay1682 Words   |  7 Pagescertain degree of the priest class, libation, holidays, creation stories, divine systems of punishments and rewards. In the novel, Things Fall Apart, written by Chinua Achebe, is a story of tragic fall of a protagonist and the Igbo culture. Achebe demonstrates different examples and situations of where an African culture, in the instances of tribal religions, did certain things because of their tradition is and the way they developed into. African cultures pondered life mysteries and articulated theirRead Mo reChinua Achebe s Things Fall Apart1314 Words   |  6 PagesChinua Achebe masterpiece â€Å"Things Fall Apart† (1959) is the classic story of Okonkwo, a young man who strives to be revered by his village and family but because of his own internal character flaws meets his own demise. In the Igbo culture, family traditions are an important narrative throughout the novel. Okonkwo, the protagonist character of this story, begins with many attributes of what would be concluded as a hero with his cultural society. He is hard working, a material provider, feared and

Economic Status free essay sample

We have this accounting software called Peachtree Accounting to generate our financial reports monthly. The only problem is linking such reports with other department especially with the Corporate Planning department and Internal Audit Department as these two departments are usually collaborating with our department for reporting and evaluation purposes. The data from Billing Section, or the Consumer Services Department now, for its monthly sales and collection is not integrated with our department which makes records irreconcilable with our records. They have their own software application called magic for the generation of sales and collection data and others such as collection of vat on sales, universal charges and other taxes. In the warehouse we see a large backlog and items begin to queue in front of a process, which signal the management to transfer labor to that process to drive-down the backlog. More and more items are on the waiting line not appropriately distributed (FIFO, LIFO). We will write a custom essay sample on Economic Status or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They faced also with a problem of no proper recording of receiving receipt due to no purchase orders forwarded to the warehouse, so when the deliveries are made it will be temporarily recorded with no proper documentation thereby resulting to delay in payments to suppliers and it is not accounted as part of the inventory or when utilized, as an expense. SURNECO has not applied yet the idea of simulation even it is needed especially in warehouse simulation. It will be expensive in our part and doubtful of the changes as they are accustomed to the existing lay-out. As a result to poor control warehousing system, the materials and equipment are not properly disposed and recorded and not appropriately scheduled in its usefulness. This will only create impediment in the operation and the materials and equipment are not maintained at its lowest possible level in store. There is a necessity to integrate all software systems within the entire organization of SURNECO for reconciliation and easy access of data. If one department fails to submit correct data reporting of to NEA ERC will be delayed and inaccurate. It is noted also as of this time, SURNECO has an on-going construction of its building. It is on the process of remodeling and positioning the office of finance, corporate planning and sub-area department. Simulation provides a potentially useful mechanism through which managers can gain a comprehensive understanding of system behavior, concentrating on core business processes such as order fulfillment, product development as well as customer satisfaction, and continued patronage with SURNECO. RECOMMENDATION Storing goods in adequate  space  with the proper  equipment  by well trained  personnel  in a properly planned  layout  results in maximum protection  of items. Therefore, it is suggested that must have trained personnel to do the job correctly in the warehouse. Where MRP is applied with diligence. ERP software integrates all facets of an operation, including development, manufacturing, sales and marketing. It was proposed that the Local Area Network (LAN) will be set up to create networking capability in all computers useful for sharing resources like files and other important documents to the GM’s office, Internal Audit and Corporate Planning Department. In two to five years financial reports or data or even electric bills will be made available to the member-consumer easily in the provided computers made for their own viewing. The management should start outsourcing labor to properly store materials and supplies. They should implement improvements in front of that process so that items don’t queue there in the future. Through the use of simulation, it can help handle the receipt and return of stock into a warehouse. This allows to efficiently manage the warehouse and the flow of items. †¢ Utilize resources efficiently †¢ Manage inventory levels Plan for future growth and capacity †¢ Control the movement and storage of materials †¢ Deal with the receipt and return of stock For many warehouse problems, where more detail and accuracy may be required, using more purpose simulation language will be required as well. The value of simulation modeling comes when companies model the business rules that are built in to the warehouse management system that controls their processes. The ability to make improvements is only possible when we can follow with discipline and evidently see how the process and operation is performing and progressing.