Situation: Two patients in their 70s present to the office at different times today‚ each with documented heart failure: one diastolic and the other systolic‚ and both are hypertensive. First‚ discuss the difference between systolic and diastolic heart failure‚ providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity
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hand that rules the world.” I couldn’t agree more. I realize that everything important that I know‚ I either learned from my Mother‚ or my Father probably before I was 12. Every kid deems his or her mom and dad as the best parents in the world. And I believe that every kid is right to do so. Growing up as a kid‚ I always looked up to my parents‚ especially to my mother. In the eyes of an innocent child‚ the practice of medicine seemed to be endowed with magical and mystic properties and an endearing
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Heart Failure and Incident Late –Life Depression According to Hendrika J. Luijendijka et al. They have written an article discussing about heart failure and depression in elderly people. In the article “Heart Failure and incident late-life Depression.” The aim of this research is to determine if heart failure (HF) increases the risk of developing depression.” They have gathered five thousand and ninety-five participants with majority of elderly individuals. To specify‚ researchers collected patients’
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in his aims which led to the failure of Britain and France’s attempt of negotiation. Hitler was also hard to appease and made unreasonable demands which led to the failure of the appeasement. However‚ Hitler had no intentions to be appeased from the very beginning and did not take it seriously. He had his own goals and he was determined to succeed in any way. Appeasement was just slowing him down. Agreeing to the appeasement was just for show and it ended up a failure as Hitler never serious about
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Motivation : It can be defined as the need for success or the attainment of excellence. Achievement motivation is based on reaching success and achieving all of our aspirations in life. Achievement goals can affect the way a person performs a task and represent a desire to show competence. Our motives for achievement can range from biological needs to satisfying creative desires or realizing success in competitive ventures. The Hierarchal Model of Achievement Motivation
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projects who you will be in the future. Some adults have trouble manipulating their children and teaching them what is right from wrong‚ while others have a much easier time doing so. In my opinion there is no such thing as “the perfect parent”‚ both the mother and the father have their flaws‚ but what matters is that the parent is always there for personal support. To me a good parent is someone who is always there to support there children in both good and bad terms‚ and a responsible adult that can supply
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The film centers on Manuela‚ a nurse who oversees donor organ transplants in Ramón y Cajal Hospital in Madrid and single mother to Esteban‚ a teenager who wants to be a writer. On his seventeenth birthday‚ Esteban is hit by a car and killed while chasing after actress Huma Rojo for her autograph following a performance of A Streetcar Named Desire‚ in which she portrays Blanche DuBois. Manuela has to agree with her colleagues at work that her son’s heart be transplanted to a man in A Coruña. After
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help you understand the power of gender roles in this image? The picture named “Migrant Mother” taken by Dorothea Lange at Pea-picker camp in Nipomo‚ California during the Great Depression 1936. In the picture there were a mom and three children. The central of this picture focused on the mom with her face showed the sadness and sorrow while two children’s face was hidden by leaning to their mother. That is a simple black-white photograph but it hides a lot of meaning inside. It was great and
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Working mothers are once again under scrutiny from the society. For a long time the belief has been that working mothers are not able to give their children the love and care that they deserve and therefore make their children have limited growth and development in both social and cognitive aspects (Raquel 1173). The view is that the relationship with the mother helps a child establish and maintain relationships with others. However‚ recent studies have proven that working mothers
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than half (53%) of the children being born to mothers under the age of 30 are doing so outside of marriage. The analysis in the article is that this is due to two major cultural shifts: 1) women are becoming more and more economically successful and independent compared to men; and 2) there has been a great decline in the stigma attached to single motherhood. The article also describes interesting demographic differences in this trend. Among mothers of all ages‚ 59 percent of births still occur
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