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Freshman Composition Research Papers - Academia edu
Someone Who Has Influenced You In Your Life Essays and Research Papers. ORAL PRESENTATIOn Someone Who Has Influenced My LifeI . am writing an essay for my English class and freshman research paper keep getting an E what am i doin wrong? In life you have many people who influence you . Some aare good influences and some are bad influences. Although, the sociological one person who influenced my life most would have to be my father. My father sacrificed alot in his lifetime to research make his children's lives better. I adore my father he is a strong confident man and. 2006 albums , 2008 singles , American films 1192 Words | 3 Pages. What has influenced the course of your life the most and why? Everybody has his own world, they say.
It is nonsense. The world stays the my new resolution essay college student same. Research Paper? It is how you look at year student it that makes the freshman . difference. It is just like looking through glasses of your ideas, habits and parker essay values. Everybody has such a pair of freshman, glasses. They have been created since you were born and, believe it or not, they were not created by you . It is OTHER PEOPLE who have made them. No matter if you love those people, hate them or don.t know them personally. It is enough to come in touch with.
855 Words | 4 Pages. There are those mysterious strangers who seem to creep into euthanasia your heart in the quiet, dead moments of the night. They’re the . Freshman Composition? people that sometimes place their hands on your heart and refuse to remove it till the lesson you need is learned, regardless of if they are still there. So, when a silent boy slipped into my life I had no idea he would impact me in the most awe-inspiring, life -changing way. The linemen stood in a precise line straight across the dying grass, staring down their opponents. Boy , Dream , Pearl Jam 1179 Words | 3 Pages. Someone Who Has Influenced Your Life.
desperately wanted to essay see, Ban Ki-Moon, the eighth and current Secretary-General of the freshman paper United Nations. Ban is a very strong and on the republic ethical leader and paper helped me . to set my dream to help others. Resolution Essay? Ban Ki-Moon is the second Asian, also the first Korean who became the Secretary-General of the freshman composition research paper United Nations. My father sent me the book that Ban wrote when I was having the hardest time in America. Last year was my hardest year In the States. My grades didn’t reach my expectation, I felt like no one cared. Ban Ki-moon , Kofi Annan , Leadership 762 Words | 2 Pages. Who Has Had the Biggest Impact on Your Life and Why? A lot of plato essay republic, us remember our mother, and for good reason. Should someone pose the composition same question to my new year resolution essay me that I have asked of you , I . Composition Research Paper? would never hesitate to my new resolution college student talk about the freshman composition research most important person in my life , my mother.
I had two fathers, one that left when I was only a month old (he was not sure I was his son, and essay so he divorced my mom), and one that arrived when I was 5 (he had a 40-word vocabulary, 20 of which were cuss words). I did not realize until much later that he did not know several foreign. 2008 albums , Bless you , Debut albums 769 Words | 3 Pages. A Teacher Who Influenced in My Life. words that came out research paper of the mouth of Mr.
James Glennon on the first day of class. A man who can be considered ancient, with his white hair and . thick rectangular glasses stood in othello essay front of the classroom with a commanding presence. Freshman Paper? At first, he was frightening to me, but in the coming days I noticed his personable character. Othello Parker Essay? Not all students come to school excited to learn, but Glennon is the type of teacher that has the paper ability to parker make his class not only exciting, but memorable. Having taught for composition paper over.
Certified teacher , Education , English-language films 1536 Words | 4 Pages. The experiences that have changed your life. contributed to your own self-development? 2 Describe a situation in which you had significant responsibility and what . you learned from it. You Eat Then Essay? 3 Describe your strengths and weaknesses in two areas: setting and achieving goals, and paper working with other people.
4 Your career aspirations and factors leading you to resolution essay apply to this course at this time. Describe a challenge to which you have successfully responded. Freshman Composition Research? What did you learn about king arthur research outline, yourself as you responded to freshman paper this challenge? Describe a challenge you anticipate. College , Curriculum , Essay 861 Words | 2 Pages. Understand Your Parents, Who Is Living God for You! Guys, Please understand your parent's feelings for you . My New Resolution College? Please follow me on freshman composition, facebook - http://www.facebook.com/badalray . Please like this page - https://www.facebook.com/pages/Love-Forever/320696741379570 ----------------- 3rd topic Understanding parents No one can be the same as parents; All other positions are lower for us. ----------------- now first of all you will ask why parents? Because you read about many love stories whose family has gone against their love, and. Father , Future , Love 1320 Words | 5 Pages. The Man Who Influenced Me!
I chose to write about year college, my father for my influence paper. Freshman Research Paper? My father was not only my best . My New Year Resolution College? friend, but also my parent. He has influenced me in more than just one way. Freshman Composition Paper? He was a very respectable, loving, caring, happy individual and loved life . Euthanasia? Although he passed away when I was fourteen years old it does not change the fact that he still influences me to this day. Freshman Composition Research Paper? I can remember a lot about my father although I was pretty young when he died. Arthur Paper? . 1996 albums , American films , English-language films 609 Words | 3 Pages. Who is your hero?
This question often evokes a number of responses. The typical answer follows the cliched format of “my mother”, . Composition? “my father”, or that famous celebrity always seen on parker essay, television. This type of freshman composition, knee-jerk reaction stems from the idea that a hero is someone who is universally inspirational, and flawless throughout; someone who goes above and beyond to impress those around them, while maintaining impeccable relationships. People like these are the king arthur respectable, and more importantly, highly-recognized. Beowulf , Courage , Epic poetry 866 Words | 3 Pages. We ask ourselves everyday if our life has meaning. We view our lives and others' lives in different ways.
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Change , English-language films , Everyday Life 598 Words | 3 Pages. Someone Who Has Impacted Your Life. people to government. Examples include the media, special interest groups, political parties, and elections. 8. Majority Rule - Majority rule is the idea . that at least one more than half of the total number of people has voted in research a certain direction. Usually, majority rule is good when you are voting on something and need a quick solution to othello be presented. 9. Minority Rights - Minority Right is the right to be respected, given equal right to freshman research paper have a say and justice and right to essay caste the vote to select. Federal government of the freshman composition research United States , Fourteenth Amendment to the United States Constitution , Supreme Court of the United States 5943 Words | 15 Pages. ASSIGNMENT How has technology affected your life. essential need in everybody’s life . Without technology , many things would not be able to materialize . As for me , . Essays Sociological? technology has made my life more enjoyable and easy . Freshman Composition Research? What is euthanasia, technology ? Technology is freshman composition paper, a body of knowledge devoted to creating tools , processing actions and extracting of materials . Plato Essay On The? In my life there have many great changes in technology . Many of these changes have affected my life greatly . They have made.
Mobile phone , Thing , Time 1127 Words | 4 Pages. Research indicates that the characteristics we are born with have much more influence on our personality and composition development than any experiences we may have in our life. have in our life . Every people in our life born with some parametrics, like health, mental power and another ones. Some people . think that the initial characteristics influence on our development and personality. I agree with it, but I think that any experience in application our life have more impact too.
Let us consider it. Freshman Paper? First of essays, all, people learn anything during whole life . When people born they learn how to eat, how to move, how to freshman paper read, write and another. All of these depend on our life experience. Ageing , Aging , Death 1669 Words | 5 Pages. Is Single Life or Married Life Better? In my culture, you used to be required to be married in order to scholarship application be treated as a grown up or an adult. That concept had been in my . Research Paper? culture for more than a thousand years. As time changed, that concept has somewhat changed too. Nowadays, being married in othello parker essay an option. Many people prefer to stay single and freshman composition are living happily with their choices, but many others disagree.
They think that you need to be married to achieve ultimate happiness. So, what are the differences between. Marriage , Philosophy of love , Single person 774 Words | 4 Pages. Do You Really Know Yourself? Throughout time great philosophers have pondered the question of what knowing your self is. King Arthur Research Paper? . Philosophers like Socrates, Plato, and Alcibiades have somewhat of freshman composition research, a similarity when it comes to identifying one’s self. However, there are the differences that lead up to the explanation and what individuals believe the my new essay college self is. Socrates focused on the ‘good life ’ and freshman paper stresses the fact that to essays euthanasia sociological know how to live we need to composition know who we are. Under Socrates, the founder of philosophy. Mind , Philosophy , Philosophy of mind 1475 Words | 4 Pages. Only People Who Earn a Lot of Money Are Successful.
Do you agree or disagree with the following statement? Only people who earn a lot of money are successful. Othello Essay? Use specific reasons . and examples to support your answer. Definitely, I do not totally agree with the statement of title. However, the wealthy people are indeed a successful group. So let me discuss what the paper success includes, and othello parker then to get a conclusion. First is money. Freshman Composition Paper? There are too many examples to tell, such as Bill Gates, Dell, the mayor of New York and more and more. Nobody doubts. Celebrity , Health , People 2025 Words | 5 Pages. 111-14 Caddy What Do You Choose: Life or Death?
Abortion can be harmful or help in many ways. Abortion can be harmful in . many ways. Some examples are taking a child’s life , risking your health, it’s against some people’s religion and money issues. Am I Essay? Abortion can be helpful also. Some ways abortion can be helpful are it prevents a mother who’s been raped from having trauma, it prevents mother to child diseases, and it can stop babies from having drug addictions. Pro- Life is the way to go when it. Abortion , Childbirth , Fetus 1327 Words | 4 Pages. Early Childhood Influences Your Outcome in Life. Influences Your Outcome In Life In the early years of your childhood, is the freshman composition paper time when you . learn most of your traits that will make you who you are for the rest of your life . Whether your parents held you enough when you are a child can determine if you are successful in college student life , or if you drop out of high school and start beating your wife and kids. If you teach your kids when they are little to tie their shoes or to spell their name than they are more likely to like school, your culture can.
Barack Obama , Childhood , Family 2277 Words | 5 Pages. Doctor temperance bones brennan is research paper, someone who inspired me so much in my life . She has changed my . life . If You Are What You Eat Then? She made me become a hardworking person .i became a rational person because of her. She told us not to let our emptions cloud our mind. We should make our decision ourself. Freshman Composition Research? We should follow the trail of if you are what you eat then what am i, evidence before jump to the conclusion. Her never give up attitude inspired me to freshman composition paper continue strive to scholarship application essay achieve success. she is a successful forensic anthropology she is so pretty. she is so clever . Bones , Fictional doctors , Philosophy 606 Words | 3 Pages.
?Christina Santos ERWC Period 2 October 11, 2014 The Value of Life How should our society assign value to a human life ? Should . Freshman Paper? people assign a monetary value to a human life ? In excerpts from radically different viewpoints from the my new year resolution essay student optimistic Lance Armstrong to the pessimistic outlook of Hamlet, the tragic events of freshman composition research paper, 9/11, to the cold Human Life Calculator readers are provided with examples on such thought provoking questions. Resolution Essay College Student? Throughout the years, especially after the composition tragedy that occurred on othello parker essay, September. Human , Humanism , Lance Armstrong 1414 Words | 5 Pages. ?Alex Martin Jillian Linster ENG 8G:001:070 30 April 2014 Literature and Fulfilling Our Lives Literature has a great way of freshman composition, being able to . influence a reader. Each type of my new year essay college student, literature connects differently to different people. I see that I am able to find ways to connect literature to research my life and what life is all about. I could relate situations of my life to all of the different varieties of stories, poems, and parker plays that we have read as a class over this semester. I feel everyone is able to composition find. 2008 singles , Bette Midler , Human 2435 Words | 8 Pages. What You Are Amber Hatton Psychology 101 Dr. Robert Dunkle July 26, 2011 Introduction I decided to do a report on essay republic, a book . entitled Do What You Are: Discover the Perfect Career for you through the Secrets of Personality Type by Paul D. Tieger and Barbara Barron.
This book is basically a guide to freshman research paper help everyday people find out parker who they are through their personality and taking that information and finding a career field that works for them and their personality. Composition Research Paper? In this book, you will. Four Temperaments , Myers-Briggs Type Indicator , Personality psychology 917 Words | 3 Pages. Facebook Has Alot of king arthur research paper, Negative Effect. Facebook has been criticized for many things, but mostly for being a source of destruction that can turn Facebook users into real social . Composition Research Paper? networking addicts.
Stalking people, hacking into essays euthanasia accounts, getting too much involved with unknown people and being deprived from real life are some of the broadly recognized negative effects of Facebook. So, there you are, on a Saturday morning with your favourite cup of coffee caressing your senses and relaxing your brain, sitting at your desk and browsing. Communication , Facebook , Form of the Good 1146 Words | 4 Pages. The person who made my life today. The person who has made a lasting impression on freshman, me My grandfather has made a lasting impression on my . My New Essay College Student? life and has truly made an paper impact on my life and has made me the person I am today. My New Year Essay? Even though he has passed away, he will always remain my best friend, mentor, and my favorite grandpa. Composition Research? He has taught me more than any amount of schooling ever could. 1993 was the year I was born. I was growing up with a huge lovely family in Takeo province, Cambodia.
Perhaps I was so little that’s why I don’t. 2002 singles , 2007 albums , Accept 1301 Words | 3 Pages. How Do You Get People to Like You. How Do You Get People To Like You Be polite. Essays? Be yourself. That way, people like you for who . Composition Research? you are.
Many of us mistakenly believe that it's wrong or conceited, to essays think we have any good qualities. We may spend a lot of time berating ourselves for our negative qualities, thinking that self criticism is the key to improving our performance. However, a constant focus on our supposed shortcomings can hinder our efforts to make friends with other people. How can we have the confidence to make. 2002 albums , 2005 singles , 2007 singles 906 Words | 3 Pages. Aleesah Brown English 113-51 16 April 2011 Paper 1 “The Soundtrack of Your Life ” Music is a key factor in my . life , now and has been for composition research as long as I remember. Music is college student, one thing that can control my mood and emotions unlike any other. Composition Paper? The sounds and melodies of the composition have the potential to sway my moods from a dark gloomy state all the way to a joyous and soothing harmonic atmosphere. Music allows me to control how and on the republic what I want to be, or represent. Music is almost like picking out. Billy Ray Cyrus , Hannah Montana: The Movie , Life 1337 Words | 3 Pages.
1. your family goes on a picnic every sunday and hides so they don't have to share food with anyone else and you sit on carpets on . the composition grass 2. your parents try to hook you up with your cousins (ok eww) 3. your freezer is filled with nothing but gosht and naanai khuchk 4. you drink tea 24/7 5. you kiss everyone 3 times on the cheeks for essays no reason 6. your parents call food basics..basic food and burger king. king burger 7. Composition Research? your friends call and your parents make up the stupidest excuses. you're. Don Valley Parkway , Family , Feces 1578 Words | 4 Pages.
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ACT/SAT Essay Prompts and Sample Essays with Comments Grades. ACT and SAT essays are scored on a scale of 1 to freshman composition 6 (6 being the best) by at my new least two graders. The scores are then added together for freshman a final composite score. If the paper outline, scores of the graders differ by more than one point, then a third grader grades the essay, providing a score which is then doubled to research compute the final composite score. The following are examples of ACT and SAT essays written by our students and the comments they received from our Expert On-Line Essay Graders. Sociological! All essays are graded according to the College Board and composition research, ACT essay scoring rubric. Review sample essays, critiques, and grades.
As you read the parker essay, passage below, consider how Paul Bogard uses evidence, such as facts or examples, to support claims; reasoning to develop ideas and to connect claims and evidence; and stylistic or persuasive elements, such as word choice or appeals to emotion, to add power to the ideas expressed. Adapted from Paul Bogard, “Let There Be Dark.” ©2012 by Los Angeles Times. 1 At my family’s cabin on a Minnesota lake, I knew woods so dark that my hands disappeared before my eyes. I knew night skies in which meteors left smoky trails across sugary spreads of stars. But now, when 8 of 10 children born in composition research, the United States will never know a sky dark enough for the Milky Way, I worry we are rapidly losing night’s natural darkness before realizing its worth. This winter solstice, as we cheer the days’ gradual movement back toward light, let us also remember the irreplaceable value of euthanasia darkness. Freshman Paper! 2 All life evolved to the steady rhythm of bright days and arthur outline, dark nights. Freshman Paper! Today, though, when we feel the if you you eat what am i, closeness of nightfall, we reach quickly for a light switch. And too little darkness, meaning too much artificial light at night, spells trouble for all. 3 Already the World Health Organization classifies working the night shift as a probable human carcinogen, and the American Medical Association has voiced its unanimous support for “light pollution reduction efforts and freshman composition paper, glare reduction efforts at both the national and king arthur paper, state levels.” Our bodies need darkness to produce the hormone melatonin, which keeps certain cancers from developing, and our bodies need darkness for sleep.
Sleep disorders have been linked to diabetes, obesity, cardiovascular disease and depression, and recent research suggests one main cause of “short sleep” is “long light.” Whether we work at night or simply take our tablets, notebooks and smartphones to bed, there isn’t a place for this much artificial light in our lives. Freshman Research Paper! 4 The rest of the world depends on darkness as well, including nocturnal and if you what, crepuscular species of birds, insects, mammals, fish and composition research paper, reptiles. Some examples are well known—the 400 species of birds that migrate at night in North America, the sea turtles that come ashore to lay their eggs—and some are not, such as the bats that save American farmers billions in essays sociological, pest control and the moths that pollinate 80% of the world’s flora. Freshman Composition! Ecological light pollution is like the bulldozer of the night, wrecking habitat and scholarship application, disrupting ecosystems several billion years in the making. Freshman Research! Simply put, without darkness, Earth’s ecology would collapse. . . If You Are What Essay! . 5 In today’s crowded, louder, more fast-paced world, night’s darkness can provide solitude, quiet and stillness, qualities increasingly in short supply. Every religious tradition has considered darkness invaluable for a soulful life, and the chance to witness the universe has inspired artists, philosophers and freshman composition research, everyday stargazers since time began. In a world awash with electric light . . Othello Parker! . howwould Van Gogh have given the world his “Starry Night”? Who knows what this vision of the night sky might inspire in composition research paper, each of us, in our children or grandchildren?
6 Yet all over the world, our nights are growing brighter. In the United States and Western Europe, the amount of essays euthanasia light in the sky increases an average of about 6% every year. Computer images of the United States at freshman night, based on NASA photographs, show that what was a very dark country as recently as the 1950s is now nearly covered with a blanket of essays sociological light. Much of this light is wasted energy, which means wasted dollars. Those of us over 35 are perhaps among the last generation to have known truly dark nights. Even the northern lake where I was lucky to spend my summers has seen its darkness diminish. 7 It doesn’t have to be this way.
Light pollution is readily within our ability to solve, using new lighting technologies and shielding existing lights. Already, many cities and composition paper, towns across North America and Europe are changing to LED streetlights, which offer dramatic possibilities for controlling wasted light. Other communities are finding success with simply turning off portions of their public lighting after midnight. Even Paris, the famed “city of light,” which already turns off its monument lighting after 1 a.m., will this summer start to require its shops, offices and public buildings to turn off lights after 2 a.m. Though primarily designed to save energy, such reductions in light will also go far in addressing light pollution. But we will never truly address the problem of light pollution until we become aware of the irreplaceable value and essay on the republic, beauty of the darkness we are losing. Write an essay in which you explain how Paul Bogard builds an argument to persuade his audience that natural darkness should be preserved. In your essay, analyze how Bogard uses one or more of the features listed in the box above (or features of your own choice) to strengthen the logic and persuasiveness of his argument.
Be sure that your analysis focuses on freshman composition research the most relevant features of the passage. Your essay should not explain whether you agree with Bogard’s claims, but rather explain how Bogard builds an euthanasia, argument to persuade his audience. Paul Bogard’s “Let There Be Dark” employs a wide range of rhetorical techniques to craft one important message: humans must initiate efforts to preserve natural darkness before darkness’ extensive list of composition benefits is permanently lost. Bogard’s argument is built upon his appeal to the broad spectrum of application essay benefits offered by natural darkness, including those pertaining to health, the environment, and research, the economy. Utilizing outside sources to back the my new college, validity of these benefits, Bogard completes his message with a tone of hope, imploring his audience to join him in freshman composition, his course.
Bogard begins his argument with a personal anecdote to juxtapose his personal experiences with the you eat then am i, beauty of research paper darkness against the modern trend of children never witnessing true natural darkness. His powerful image of what “woods so dark that [his] hands disappeared before [his] eyes” captivates his audience with a striking visual. Also, Bogard’s use of the statistic of “8 of 10 children… never know[ing] a sky dark enough for the milky way” reinforces the sense of urgency for preserving darkness that he builds through out the passage. After opening with his sensory story, Bogard pivots to assemble the bulk of his argument, barraging the reader with examples of the benefits of darkness. His first piece of evidence involves the health benefits of natural darkness, particularly its role in preventing cancer. Freshman Paper! After beginning his point by including the support of two highly reputable health organizations, the WHO and king arthur research paper outline, AMA, to provide a sense of validity to his argument, Bogard highlights the composition, benefits of darkness and a good night’s sleep.
He then moves from the plato essay on the, health of humans to research paper the health of nature and the natural environment. Appealing to a desire for ecological preservation, Bogard lists animals that depend on darkness, then explains the critical role these animals play in our lives, such as bats that assist in pest control and moths that polinate the world’s flowers. The utilization of the simile relating light pollution to “the bulldozer of the night” encapsulates the destructiveness of light pollution that Bogard wishes to convey. Bogards next piece of evidence revolves around the sociological, economic benefits of darkness preservation. First using NASA as a source for backing the rate at which darkness is being lost, Bogard’s logic of excess light being “wasted energy, which means wasted dollars” provides the reader with a simple benefit of reducing light pollution: saving money.
After stringing together his extensive range of benefits of preserving natural darkness, Bogard turns to the future, Including current efforts for preservation such as those in Paris. His final line completes his argument with his original appeal, that to the “beauty of the darkness”. Overall, Paul Bogard’s argument is carefully constructed, consisting of support from a wide range of sources, examples of the many benefits of darkness, and the interweaving of composition techniques such as similes to embellish his argument. Are What You Eat Then What Am I Essay! Overall, this excellent essay displays that the writer did a very close reading of Bogard’s essay and understood the central ideas as well as the interrelation of ideas as Bogard builds his argument. The student discusses most of the persuasive and stylistic elements Bogard uses, with a few exceptions—paragraph 5 is never addressed, which addresses the freshman composition, more meditative, soulful aspects of darkness: for example, as a source of inspiration for art (Van Gogh’s “Starry Night”). Although the use of a simile is republic, noted, the almost magical language Bogard uses to describe a night sky (“meteors left smoky trails across sugars spreads of stars”) could have been explored in more depth. Finally, the student quotes fairly effectively from the text to support his claims. In terms of analysis, the two main weaknesses in this essay are the omission of the analysis of paragraph 5 from freshman research paper, Bogard’s essay and the student’s lack of analysis in the second-to-last paragraph (beginning with “After stringing together…”) about essay college student why Bogard turns toward the future. It’s not enough just to say that the author “turns to the future.” What is his purpose in doing so? What effect does that have on the reader? What emotion is he trying to freshman composition tap in the reader?
This second-to-last paragraph consists of just two sentences and basically paraphrases rather than analyzes. This student displays an excellent command of essay republic language and composition research, is very adept at guiding the reader through most of the salient points in Bogard’s essay. There is a precise central claim presented in the introduction and a fairly strong conclusion. There is essays sociological, a lot of sentence variety, and the student’s word choice and tone strike the right chord for a formal essay. Transitional phrasing is used effectively between paragraphs and to bridge ideas. A few typos appear in the essay that don’t detract from meaning (e.g., in the first sentence, possessive form should be “darkness’s”; in paragraph 2, “throughout” is one word; in freshman, paragraph 3, the scholarship application, correct spelling is freshman composition research, “pollinate”; in the first sentence of paragraph 4, the possessive form is “Bogard’s”; in paragraph 5, “Including” should not be capitalized).
In our modern day society we think of king light polution as a side effect of living. However, Paul Bogard makes the freshman, compelling argument that light polution is actually destroying our sleep. Bogard takes from NASA and parker essay, other trusted organizations to composition research paper prove his point, though not all of Bogards refrences are strickly based on information. Bogard tells stories of sleeping under starfilled skies during his childhood. These nostalgic stories bring out emotion in readers, causing them to rethink their stances.
Bogard uses facts, figures and essay, emotions to build a touching and compelling argument against light polution in paper, our society. The human body is not a machine that can function perfectly during both night and day. In the thrid paragraph of Paul Bogard’s essay “Let There Be Dark,” it is if you am i, stated that the lack of darkness can lead to cancer. “Our bodies need darkness to produce the freshman research, hormone melatonin, which keeps certain cancers from developing, and our bodies need darkness for sleep.” (3) Without darkness, the body cannot sleep. Parker Essay! Some people have tried to work around that fundamental rule, but failed. Bogart brings up the point that a lack of sleep can cause some sevear medical problems, such as: depression, diabetes, obesity, and cardiovascular disease. Freshman Research! Read big, threatening words like diabetes and depression are enough to snap any reader into attention. fear always has, and essay, always will be a great motivator for the human race. Bogard uses these threatening medical facts as a way to grab the reader’s attentions through their emotions.
There is constant talk of how our society is ruining the world, and themselfs, through technological advancements. In the seventh paragraph of “Let There Be Dark” Paul Bogard mentions that light polution is not an research, unstoppable force. “Light Polution is readily within our ability to solve, using new lighting technologies and shielding existing lights.” (7) Bogard brings up his ideas on essays how to stop the light epidemic. Rarly do you find someone ready with well thoughtout ideas to solve the very problem they are complaining about. Bogart proves to his readers that he is more that just a man with hatred rooted inside of composition research him. Instead, Paul Bogard is a man who ready and willing to solve the problems that lay before him. Bogard gains the year essay student, trust of his readers, by freshman composition research paper showing them there is scholarship, a way to freshman fight the light epidemic. As more advancements are made by our society more problems arise as well. For the essays euthanasia sociological, most part, technological advancements have made day to freshman composition research day life easier Though, our day to plato essay republic day lifes have also been filled with countless arguments of how we are ruining our planet. It can be hard for the average person to understand how technology is affecting our planet. Paul Bogard tries to explain to the public the freshman research, new challenges we face, in a comprehensible way.
In the third paragraph of “Let There Be Dark”, Bogard explains how we keep ourselfs from sleep by spending too much time on technology. “Weathe we work at night or simply take our tablets, notebooks and smartphones to bed, there isn’t a place for this much artificial light in our lives.” (3) Nowadays, almost everyone obtains some sort of essay “smart” device that they like to use before bed. Freshman Research Paper! Breaking down problems into everyday life is what makes them understandable to the public. Bogard is able to republic connect with his audience by freshman composition using everyday examples for his argument. Most members of the average public are not science or english majors. It is important to plato essay republic realise that when making an argument, even everyday people should be able to understand. Paul Bogard perfects the idea of crafting an complex argument that is easy to understand. By making different thoughts and ideas more accesible, more people can join in on changing the world. This essay shows some understanding of the original text but lacks a strong thesis to freshman paper really hook ideas onto.
The writer starts off by saying the author’s argument is that “light pollution is destroying our sleep,” but, by the end, the king arthur paper, student is down to “more people can join in on composition research paper changing the world,” which shows that he’s lost the application essay, thread of the argument in an effort to composition research paper use evidence from the year resolution student, text. Freshman Research Paper! Although it has a few strong quotes, the explanations tend to drift into vagueness: “big, threatening words;” “Instead, Paul Bogard is a man who ready and willing to solve the problems that lay before him.” (this is an empty platitude and says nothing about the text); “our day to day lifes have also been filled with countless arguments of how we are ruining our planet” (filler; off topic to essays the essay). Additionally, the introduction gives an example of an freshman research, emotional appeal to which the essays euthanasia sociological, essay never returns. The writer should avoid giving examples in the introduction; he can list the types of techniques the author uses to do his job but should wait for the body for the examples. Freshman! In terms of formatting, the student does not need to start a new paragraph before every quotation.
Most of the very short introductory paragraphs can lead right into the quotes that follow without a paragraph break. Transitions between the paragraphs need some work; the essay jumps from one idea to the next. The essay could benefit from essay, phrases like “in addition,” “another technique the author uses,” or “in the next few paragraphs of the passage.” “Pollution” is freshman composition research paper, misspelled every time. Scholarship Application Essay! A writer should be extra careful about correct spelling of words used in composition paper, the prompt. “Themselfs” and “ourselfs” should be “themselves” and “ourselves.” The write should have left time at the end to arthur paper outline read over his essay and check for minor errors. READING: 2, ANALYSIS: 2, WRITING: 3. critiques, and composition paper, grades. Parental Expectations Based on Gender. For every 10 Google searches about boys being overweight (Is my son overweight?) there are 17 about girls (Is my daughter overweight?).
For every 10 Google searches about daughters being gifted, (Is my daughter gifted?), there are 25 for boys (Is my son gifted?). Arthur Research Paper Outline! This recent study of composition research paper Internet search data suggests that parents may hold different expectations for essays euthanasia their children based on gender; it appears that parents may be want their girls thinner and their boys smarter. The data on the search is accurate, but is the explanation? Do parents hope for different things for their sons and research, daughters? Read and carefully consider these perspectives. Each suggests a particular way of thinking about essays parents' expectations of their children. Even though parents are more worried more about their daughters being overweight than their sons, it doesn't mean they want less for their daughters. They just realize that kids can be crueler to freshman composition research paper girls than boys when it comes to weight.
Because teachers are more likely to recognize giftedness in girls than in boys, who can appear to be less studious in school, parents aren't searching about girls. Boys are often underestimated in the classroom, so parents have to pick up the sociological, slack. As a whole, parents hold different standards for their kids based on gender, but it's not done consciously. Composition Research Paper! Since society places so much pressure on girls to be thin and my new essay, boys to be smart, those stereotypes get absorbed without the parents knowing it. Freshman Composition Research Paper! Write a unified, coherent essay in which you evaluate multiple perspectives on parents' expectations for their children based on gender. If You Are What You Eat What Am I! In your essay, be sure to: analyze and freshman paper, evaluate the perspectives given state and develop your own perspective on parker essay the issue explain the relationship between your perspective and those given. Your perspective may be in full agreement with any of the others, in partial agreement, or wholly different. Whatever the case, support your ideas with logical reasoning and detailed, persuasive examples. You may wish to consider the following as you think critically about the task: Strengths and weaknesses of the freshman, three given perspectives. Then Am I Essay! What insights do they offer, and freshman composition research paper, what do they fail to year essay student consider? Why might they be persuasive to others, or why might they fail to persuade?
Your own knowledge, experience, and freshman composition research, values. What is your perspective on this issue, and what are its strengths and weaknesses? How will you support your perspective in your essay? Parents may expect things from their children, depending on their genders. Genders have become stereotyped and it leads people to have expectations for each one of them. Sometimes, parents expect these things so that their child could be happy, but it could make the child upset and feel unwanted.
Society can put so much pressure on a girl’s weight and a boy’s intelligence that parents start to take in plato on the republic, these thoughts. The pressure and expectations on a girl’s weight differs from the pressure on boys. Parents only expect girls to be thinner to avoid seeing their daughter get bullied. Peers can be more harsh to fat girls than they can be to fat boys. Because of this, parents might force their daughters to freshman excersize more or eat less. These kind of research outline treatments from society and parents could lead to anorexia or depression, even if the girl may not seem fat. I don’t think anyone should care about the weight of anyone.
People should only pay attention to themselves. Having different expectations about weight, boys have another quality that concerns parents. Seeming less studious in class, parents underestimate their sons and push them to do better. Teachers can see intelligence in girls because of their behaviour in class. The stereotype that boys do not behave as well as girls in class leads teachers to think that boys do not seem very smart. Parents could see this too, but they may not consider how the teacher treats their students. Composition Research! I think people should not judge someone’s intelligence based on their behaviour.
There are many people who are very smart, but they may also like to have a good time. Expecting one’s son to my new resolution student do better in school could lead to stress and anxiety. It is the stereotypes and pressure from society and peers that adds to the expectations from composition research paper, parents. Parents can absorb thoughts from others without realizing it. Resolution! Their standards start to hurt the child because of what peers think. The child could develop depression, but the parent would not realize because they are too focused on the standards. Parents should take the research, time to talk to their child and figure out any problems the child faces. Parents tend to put pressure on their children because of the othello, way society thinks of fat girls and boys who have low grades. Freshman! Parents want girls to be thin to avoid having the girls hurt, but it only leads to more trouble. A boy’s intelligence is pushed by parents so much and it becomes a bigger problem. These are because of the way one’s peers thinks, and the ideas start to be pushed into other people’s heads.
IDEAS AND ANALYSIS: 3. Overall, this essay discusses the issues presented in a fairly simplistic way and does not analyze the issues in if you you eat essay, depth or put forth the writer’s own viewpoint in a cohesive way. Each perspective is touched on, but the analysis of the third perspective especially veers off track because it focuses more on discussing one possible repercussion (depression) of freshman pressuring one’s children (both genders) rather than focusing on whether parents hold gender-based expectations. The final paragraph doesn’t feel like a conclusion, and the final sentence digresses into talking about peers rather than parents. Stay on message. DEVELOPMENT AND SUPPORT: 3. There is my new year essay student, some attempt on the part of the writer to paper develop his ideas (e.g., that parents’ pressure on children to maintain a healthy weight could lead to eating disorders or depression, and that boys’ seeming less studious is not necessarily a true indicator of their actual intelligence), but the reasoning is also simplistic at times: e.g., “I don’t think anyone should care about the weight of year essay anyone. People should only pay attention to freshman composition paper themselves”—this statement is too extreme and doesn’t take into account the parental duty of monitoring their child’s health. The essay uses a five-paragraph structure—an intro, three body paragraphs discussing each of the three perspectives, and plato essay republic, a conclusion. Composition Paper! There is year, very little attempt to freshman composition research transition between paragraphs or to link or contrast perspectives. Research Paper! Each body paragraph seems to stand alone.
There are some grammar errors: a dangling modifier in the 1 st sentence of the 3 rd paragraph, subject/verb agreement error in last sentence of 3 rd paragraph. A few typos, but they don’t distract from meaning—here are the correct spellings: behavior, exercise, stereotype. More generally, some word choices could be more precise (“may expect things” and “parents expect these things”—what things?) or more sophisticated (“parents start to research paper take in these thoughts” and “ideas start to be pushed into other people’s heads”). Avoid wordiness. There are too many instances of vague pronouns or pronouns that don’t agree with the antecedent. More sentence variety is needed—too many start with “Parents…” The overall tone of the essay is appropriate. I agree with perspective three, parents do hold different standards based on application gender, however these standards are subconscious and are more influenced by todays society. It’s evident in our everyday lives that girls and boys are held to different standards. We see these different standards on magazines, tv, and in everyday interactions. When you pick up a magazine it’s usually a model who has the freshman, “perfect body”; the perfect body in todays society is someone who is king, thin and freshman composition paper, tuned. We also see the standard for boys to be smart in our everyday interactions.
It’s mainly men who dominate the math and science fields, and those two subjects are seen as harder than English and social studies. Also, even though times have changed it’s more common and “acceptable” to if you are what you eat am i essay have the man at paper the house be the main provider. To be the main provider you must have the better job, which in theory if you have the better job you are smarter. Parents want the best for their kids so they unconsciously hold their children to different standards based on society. As stated above today’s society places great emphasis on on the republic girls being thin. From even before your child is born they are already being prejudiced based on freshman composition research their gender. If your expecting a girl you automatically decorated your childs room pink, princesses, ballarinas; a “girly” room. So as your little girl is growing up, she already has expectations if she looks on her walls she will see princesses and ballrinas on her walls, and of course they are all thin; nno has ever seen a “fat” princess or ballarina? So even before they have time to think for you eat then what am i themselves they have a preconcived idea about what they should look like.
This “perfect image” continues on paper all throughout their lives; on billboards, magazines, and t.v. King Paper Outline! all the girls are thin and pretty. Girls don’t consider all the photoshopping that took place in paper, order to othello parker produce that image. All they are focused on is what they can do to look like that. And since parents are influenced by these images they will do whatever they can to facilitate their child “living up” to that image. In parents eyes they are helping that child if she is worried about her weight because if she’s thin she automatically won’t get picked on and will have great self esteem.
Just like girls boys are held to composition different standards too, however these standards vary. Unlike girls, boys are held to higher academic standards. As your son is you eat then what am i, gowing up he will probably see more men in composition research paper, charge than woman. My New Year Essay Student! In America’s society it is still expected that men will be the C.E.O’s at companies, bosses, and the man in charge of the house. So it isn’t a surprise that while raising your child you emphasis these standards. You want your child to be happy and successful.Therefore you will pressure the idea that boys should be smart, and obviously boys should be smarter than girls. This idea is not done in a cynical way, in fact it’s quiet the opposite. Parents don’t mean to belittle their daughter, or any girl, by assuming their son is smarter, they do it subconsciously to coinside with societies standards.
Boys are expected to excel in the harder subjects in school, like math and science. All parents just want whats best for their kids so they will pressure their son to do better in composition research paper, school. Before a child is born the parents will place them in appropiate stereotypes, however this is not done consciously. Parents already know societies expectations, so they will subconsciously inforce these stereotypes on the children. Parents are not cynically trying to oppress their children by placing them in my new year resolution essay student, sterotypes. Instead they are looking out for their children. It’s a harsh and critical world in composition research paper, todays society. So the more your child is conforming the less problems your child will have.
No parent wants their child to stand out negatively or get picked on so they see it has in their childs best interest to have them match up with societies expectations. Are What You Eat Then What Essay! Although the writer addressed point three, she neglected to address points one and two. Failure to address all three points will not result in a high scoring essay; the writer must find some way to include the other two points in her argument. The ACT essay is not simply a persuasive essay but an argumentative essay. The writer should consider how she would argue these points if she were doing an in-class debate. The whole essay is spent defending why parents adhere to freshman research stereotypes.
Are there parents who don’t? Why don’t they? Is every girl focused on her looks and uninterested in math and science? Do all mothers stay home? The writer could improve her analysis and support scores by broadening her response and thinking about the other side of the my new student, issue.
The essay is composition research, organized with a clear introduction and conclusion and sufficient transitions, but it contains many language errors. Comma splices and semicolons need to if you you eat am i be reviewed (e.g., the freshman paper, first sentence: “I agree with perspective three, parents do hold different standards based on gender, however these standards are subconscious and plato republic, are more influenced by todays society.”) as well as possessive apostrophes (“todays society,” “childs room,” or “societies expectations”). “Ballerina” is spelled three different ways and “quiet” was written instead of “quite.” The writer should leave time to reread her essay and composition research, check for plato these small errors. IDEAS AND ANALYSIS: 3. DEVELOPMENT AND SUPPORT: 3. Essay Prompts used with the permission of Summit Educational Group, College Prep Tips, Study Hints, Education News for the Parents and Students in the Philadelphia Area. Sign up to receive weekly article updates . Improve your odds of a better SAT or ACT score today! Find out freshman paper more about our test prep and skill builder programs. To reserve your personal tutor, contact us today! Main Office/Mailing Address: 505 York Road, Suite 6. Jenkintown, PA 19046.
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essay on vital signs Content and freshman research paper, Photographs by Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California 92093-0611. The daVinci Anatomy Icon denotes a link to related gross anatomy pictures. Getting Started: The examination room should be quiet, warm and well lit. After you have finished interviewing the patient, provide them with a gown (a.k.a.
Johnny) and leave the room (or draw a separating curtain) while they change. Instruct them to remove all of their clothing (except for briefs) and scholarship, put on the gown so that the freshman paper, opening is in the rear. Othello Essay! Occasionally, patient's will end up using them as ponchos, capes or in freshman, other creative ways. While this may make for a more attractive ensemble it will also, unfortunately, interfere with your ability to perform an othello examination! Prior to measuring vital signs, the patient should have had the opportunity to sit for freshman, approximately five minutes so that the values are not affected by the exertion required to walk to the exam room. All measurements are made while the patient is seated. Observation: Before diving in, take a minute or so to look at the patient in their entirety, making your observations, if possible, from an out-of-the way perch. Does the patient seem anxious, in arthur research outline, pain, upset? What about their dress and hygiene?
Remember, the freshman research, exam begins as soon as you lay eyes on scholarship essay the patient. Temperature: This is generally obtained using an oral thermometer that provides a digital reading when the sensor is composition paper, placed under the resolution essay college student, patient's tongue. As most exam rooms do not have thermometers, it is not necessary to freshman composition research paper repeat this measurement unless, of course, the recorded value seems discordant with the are what then what am i, patient's clinical condition (e.g. they feel hot but reportedly have no fever or vice versa). Freshman Composition Research Paper! Depending on the bias of a particular institution, temperature is measured in either Celcius or Farenheit, with a fever defined as greater than 38-38.5 C or 101-101.5 F. Rectal temperatures, which most closely reflect internal or core values, are approximately 1 degree F higher than those obtained orally. Respiratory Rate: Respirations are recorded as breaths per minute. They should be counted for at least 30 seconds as the othello parker essay, total number of breaths in a 15 second period is rather small and any miscounting can result in rather large errors when multiplied by 4. Try to do this as surreptitiously as possible so that the freshman, patient does not consciously alter their rate of breathing.
This can be done by if you you eat then essay observing the rise and fall of the patient's hospital gown while you appear to be taking their pulse. Normal is between 12 and research paper, 20. Essays! In general, this measurement offers no relevant information for the routine examination. However, particularly in the setting of cardio-pulmonary illness, it can be a very reliable marker of disease activity. Pulse: This can be measured at research any place where there is a large artery (e.g. carotid, femoral, or simply by listening over the heart), though for scholarship, the sake of convenience it is generally done by palpating the radial impulse. You may find it helpful to freshman research paper feel both radial arteries simultaneously, doubling the sensory input and helping to king paper outline insure the accuracy of your measurements. Place the tips of your index and middle fingers just proximal to the patients wrist on composition paper the thumb side, orienting them so that they are both over the length of the vessel.
Technique for if you are what then what essay, Measuring the Radial Pulse. The pictures below demonstrate the location of the radial artery (surface anatomy on the left, gross anatomy on the right). Frequently, you can see transmitted pulsations on careful visual inspection of this region, which may help in locating this artery. Upper extremity peripheral vascular disease is relatively uncommon, so the radial artery should be readily palpable in composition research paper, most patients. Push lightly at application essay first, adding pressure if there is a lot of subcutaneous fat or you are unable to composition research paper detect a pulse.
If you push too hard, you might occlude the vessel and mistake your own pulse for that of the patient. During palpation, note the following: Quantity: Measure the rate of the pulse (recorded in beats per minute). Count for 30 seconds and multiply by 2 (or 15 seconds x 4). Othello Parker Essay! If the rate is particularly slow or fast, it is probably best to measure for a full 60 seconds in paper, order to minimize the impact of any error in recording over shorter periods of time. Normal is parker, between 60 and 100. Paper! Regularity: Is the time between beats constant? In the normal setting, the heart rate should appear metronomic. Euthanasia! Irregular rhythms, however, are quite common. If the pattern is entirely chaotic with no discernable pattern, it is referred to as irregularly irregular and likely represents atrial fibrillation.
Extra beats can also be added into the normal pattern, in which case the composition paper, rhythm is described as regularly irregular. This may occur, for example, when impulses originating from the ventricle are interposed at regular junctures on the normal rhythm. If the pulse is irregular, it's a good idea to parker essay verify the rate by listening over freshman paper, the heart (see cardiac exam section). This is because certain rhythm disturbances do not allow adequate ventricular filling with each beat. The resultant systole may generate a rather small stroke volume whose impulse is not palpable in the periphery. Volume: Does the pulse volume (i.e. the subjective sense of fullness) feel normal? This reflects changes in stroke volume. In the year college student, setting of hypovolemia, for example, the pulse volume is relatively low (aka weak or thready). There may even be beat to beat variation in the volume, occurring occasionally with systolic heart failure. Blood Pressure: Blood pressure (BP) is measured using mercury based manometers, with readings reported in millimeters of mercury (mm Hg).
The size of the BP cuff will affect the accuracy of these readings. The inflatable bladder, which can be felt through the vinyl covering of the cuff, should reach roughly 80% around the circumference of the freshman research, arm while its width should cover roughly 40%. If it is too small, the readings will be artificially elevated. The opposite occurs if the essay, cuff is too large. Clinics should have at least 2 cuff sizes available, normal and large. Freshman Composition Research! Try to use the one that is most appropriate, recognizing that there will rarely be a perfect fit.
Blood Pressure Cuffs. In order to measure the BP, proceed as follows: Wrap the cuff around the patient's upper arm so that the line marked artery is roughly over the brachial artery, located towards the medial aspect of the antecubital fossa (i.e. the crook on sociological the inside of composition research, their elbow). The placement does not have to be exact nor do you actually need to identify this artery by palpation. The pictures below demonstrate the antecubital fossa anatomy (surface anatomy on the left, gross anatomy on the right). Put on your stethescope so that the ear pieces are angled away from republic, your head. Composition Research! Twist the my new year essay student, head piece so that the bell is engaged. This can be verified by gently tapping on the end, which should produce a sound. With your left hand, place the bell over the area of the research, brachial artery.
While most practitioners use the diaphragm of the stethescope, the if you you eat then what am i essay, bell is actually be superior for picking up the freshman composition paper, low pitched sounds used for essay, measuring BP. It's worth mentioning that a number of different models of composition, stethescops are available on then what am i the market, each with its own variation on the structure of the freshman, diaphragm and bell. Read the instruction manual accompanying your stethoscope in order to determine how your device works. Grasp the essay, patient's right elbow with your right hand and raise their arm so that the brachial artery is roughly at the same height as the heart. The arm should remain somewhat bent and completely relaxed. You can provide additional support by gently trapping their hand and forearm between your body and right elbow. If the arm is held too high, the reading will be artifactually lowered, and vice versa. Turn the valve on the pumping bulb clockwise (may be counter clockwise in some cuffs) until it no longer moves.
This is the position which allows air to enter and remain in the bladder. Hold the bell in place with your left hand. Use your right hand to pump the bulb until you have generated 150 mmHg on the manometer. Freshman Composition Research! This is a bit above the top end of normal for year college student, systolic blood pressure (SBP). Then listen. Freshman Research Paper! If you immediately hear sound, you have underestimated the SBP. Pump up an additional 20 mmHg and repeat. Parker! Now slowly deflate the research, blood pressure cuff (i.e. a few mm Hg per second) by arthur research outline turning the valve in a counter-clockwise direction while listening over composition research, the brachial artery and watching the pressure gauge.
The first sound that you hear reflects the if you are what then what am i, flow of freshman composition paper, blood through the no longer completely occluded brachial artery. The value on the manometer at this moment is the scholarship essay, SBP. Note that although the needle may oscillate prior to this time, it is the sound of blood flow that indicates the SBP. Continue listening while you slowly deflate the cuff. The diastolic blood pressure (DBP) is measured when the sound completely disappears. This is the point when the pressure within the vessel is greater then that supplied by research paper the cuff, allowing the free flow of blood without turbulence and thus no audible sound. These are known as the Sounds of Korotkoff. Technique for Measuring Blood Pressure.
Repeat the measurement on the patient's other arm, reversing the arthur, position of your hands. The two readings should be within 10-15 mm Hg of each other. Differences greater than this imply that there is differential blood flow to each arm, which most frequently occurs in the setting of subclavian artery atherosclerosis. Composition Research Paper! Occasionally you will be unsure as to research paper outline the point where systole or diastole occurred and wish to repeat the measurement. Ideally, you should allow the cuff to completely deflate, permit any venous congestion in the arm to resolve (which otherwise may lead to composition paper inaccurate measurements), and if you you eat then what am i essay, then repeat a minute or so later. Furthermore, while no one has ever lost a limb secondary to BP cuff induced ischemia, repeated measurement can be uncomfortable for research, the patient, another good reason for giving the arm a break. Avoid moving your hands or the head of the stethescope while you are taking readings as this may produce noise that can obscure the Sounds of scholarship essay, Koratkoff.
You can verify the SBP by freshman composition paper palpation. To do this, position the patient's right arm as described above. If You Am I! Place the index and middle fingers of your right hand over the radial artery. Inflate the cuff until you can no longer feel the pulse, or simply to a value 10 points above the SBP as determined by auscultation. Slowly deflate the cuff until you can again detect a radial pulse and note the freshman research paper, reading on the manometer. This is the SBP and should be the same as the value determined with the use of your stethescope. Normal is between 100/60 and parker essay, 140/90. Hypertension is thus defined as either SBP greater then 140 or DBP greater than 90. Freshman Composition Research Paper! It is important to recognize that blood pressure is rarely elevated to a level that causes acute symptoms. That is, while hypertension in general is arthur paper outline, common, emergencies resulting from extremely high values and subsequent acute end organ dysfunction are quite rare. Rather, it is the chronically elevated values which lead to target organ damage, though in a slow and paper, relatively silent fashion.
At the other end of the spectrum, the minimal SBP required to maintain perfusion varies with the individual. Therefore, interpretation of low values must take into account the if you are what what am i essay, clinical situation. Those with poorly functioning hearts, for example, can adjust to a chronically low SBP (e.g. Freshman Composition Paper! 80-90) and live without symptoms of hypoperfusion. However others, used to higher baseline values, might become quite ill if their SBPs were suddenly decreased to these same levels. Many things can alter the accuracy of your readings. In order to plato essay limit their impact, remember the following: Do not place the blood pressure cuff over a patients clothing or roll a tight fitting sleeve above their biceps when determining blood pressure as either can cause elevated readings. Make sure the patient has had an opportunity to rest before measuring their BP.
Try the following experiment to freshman assess the impact that this can have. Take a patient's BP after they've rested. On The Republic! Then repeat after they've walked briskly in place for several minutes. Composition Research Paper! Patients who are not too physically active (i.e. relatively deconditioned) will develop an elevation in both their SBP and if you are what you eat then am i essay, DBP. Also, see what effect raising or lowering the arm, and thus the paper, position of the brachial artery relative to the heart, has on BP. If you have a chance, obtain measurements on the same patient with both a large and small cuff. These exercises should give you an appreciation for the magnitude of error that can be introduced when improper technique is utilized. If the reading is year essay college student, surprisingly high or low, repeat the composition paper, measurement towards the if you you eat what, end of your exam.
Instruct your patients to avoid coffee, smoking or any other unprescribed drug with sympathomimetic activity on composition paper the day of the measurement. Orthostatic (a.k.a. postural) measurements of pulse and blood pressure are part of the assessment for hypovolemia. This requires first measuring these values when the patient is supine and then repeating them after they have stood for 2 minutes, which allows for equilibration. Normally, SBP does not vary by more then 20 points when a patient moves from lying to standing. In the setting of significant volume depletion, a greater then 20 point drop may be seen. Changes of lesser magnitude occur when moving from application essay, lying to sitting or sitting to standing. This is frequently associated with symptoms of freshman composition research, cerebral hypoperfusion (e.g.. light headedness). Heart rate should increase by not more than 20 points in a normal physiologic attempt to augment cardiac output by providing chronotropic compensation. In the setting of GI bleeding, for example, a drop in blood pressure and/or rise in heart rate after this maneuver is parker, a marker of significant blood loss and has important prognostic implications. Orthostatic measurements may also be used to paper determine if postural dizziness, a common complaint with multiple possible explanations, is the essay, result of a fall in blood pressure. For example, patients who suffer from diabetes frequently have autonomic nervous system dysfunction and cannot generate appropriate arteriolar vaosconstriction when changing positions.
This results in postural vital sign changes and symptoms. Paper! The 20 point value is a rough guideline. In general, the greater the change, the more likely it is to cause symptoms and be of clinical relevance. If possible, measure the blood pressure of a patient who has an indwelling arterial catheter (these patients can be found in the ICU with the help of a preceptor). Arterial transducers are an extremely accurate tool for assessing blood pressure and therefore provide a method for checking your non-invasive technique. A few clinically relevant thoughts about high blood pressure: Hypertension is very common disease ( 25% in US affected) defined on basis of severity: Pre-hypertension : Systolic BP 120-140 or diastolic BP 80-90. Stage I hypertension: Systolic BP 140-160 or diastolic BP 90-100. Stage II: Systolic BP 160 or diastolic BP 100. Ideally, several measures on different occasions should verify the finding.
One time measures 160/100 also confirms the king arthur research paper, diagnosis. It's worth mentioning that normal is 110s/70s, and cardiovascular risk rises w/any values above these points. Hypertension (HTN) causes accelerates the progression of: Renal dysfunction, coronary artery disease, systolic diastolic heart, left ventricular hypertrophy, peripheral arterial disease, stroke, and retinopathy. The risk of HTN induced damage correlates both w/height of BP and composition research, chronicity of elevation (ie longer and higher =s worse). The treatment of HTN prior to the development of year resolution college, Target Organ Damage (aka TOD) is referred to as primary prevention; while treatment to prevent /or slow progression once disease has already been established is called secondary prevention. Evaluation of patients w/HTN requires careful history, exam, labs, other studies to search for co-morbid problems (diabetes, sleep apnea, etc) /or occult TOD. Most patients w/HTN are asymptomatic, at least until they develop target organ damage, which can take years to occur. The majority of patients w/HTN ( 60%) will require at least 2 meds for treatment. For a BP between 140-160/80-100, best initial drug treatment is typically with hydrochlorthiazide, a very mild diuretic w/potent anti-hypertensive properties. For those w/starting values 160/100, it's best to start w/2 meds simultaneously.
A few more thoughts: Where you start isn't where you end - so expect to freshman reassess BP in a short time (several weeks) and make adjustments as necessary Most drugs w/in the same class (e.g. any of the if you then, 8 or so ACE-Inhibitors) work equally well. Effective treatment requires continual reassessment of medication adherence - a major reason for lack of response to Rx. It helps to know the common side effects for each medication, as these can affect adherence (e.g. ACE-I →cough; HCTZ→ mild increase in urination, erectile dysfunction; all anti-htn meds→ hypotension) HTN is directly related to weight, inactivity, ETOH consumption, salt intake. As such, life style interventions are absolutely worth addressing, though they are relatively ineffective as sole treatments (due to the inability of patients clinicians to achieve sustained and research, meaningful changes).
That said, you'll never know the impact until you try to address - and readdress - and readdress @ each visit. HTN swims in the same vascular risk factor soup as diabetes, hyperlipidemia, and smoking. These other areas must also be addressed. Treatment goals vary a bit from parker essay, patient to patient - those with established vascular disease are treated w/goal of reaching BP 120s/70s. Those in primary prevention group w/o diabetes, target BP 140/90. Most patients have primary hypertension (ie the freshman research paper, elevation in BP is the primary disorder). Secondary HTN (elevation in BP secondary to another, treatable condition) is rather uncommon - though worth thinking about in the right situation. Essays Sociological! Secondary causes include: pheochromocytoma, excess cortisol production, hyper adlosteronism, hypo/hyper-thyroidism, renal artery stenosis, chronic kidney disease. Certain conditions favor particular meds - for example: Diabetes → ACE-I or Angiotensin Receptor Blockers (ARBs); Coronary artery disease → B blockers. The use of 3 or more meds for freshman paper, refractory HTN isn't uncommon - in plato on the, particular w/very obese patients.
Acute interventions to immediately lower BP are largely reserved for those times when there is clear evidence of acute symptoms from acute TOD (e.g. Freshman Paper! CHF, coronary ischemia, increased intra-cranial pressure) secondary to very high values. If You Are What What Essay! JNC 7 Express -- Summary of Guidelines for treatment HTN. Oxygen Saturation: Over the past decade, this non-invasive measurement of gas exchange and red blood cell oxygen carrying capacity has become available in all hospitals and many clinics. While imperfect, it can provide important information about cardio-pulmonary dysfunction and is considered by many to be a fifth vital sign. In particular, for those suffering from either acute or chronic cardio-pulmonary disorders, it can help quantify the degree of freshman composition paper, impairment.
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