Use College Supplement Essay Samples to Boost Your GPA

Use College Supplement Essay Samples to Boost Your GPAUsing college supplement essays is a good way to boost your GPA and impress the faculty at the school. It's also one of the easiest ways to meet students in high school, college, or university for the first time. Some people say that college essay samples are like college interviews, only better.College supplements are written based on information obtained from academic studies, personal interviews, and online research. They're meant to show your potential, knowledge, and personality. They can be as long or as short as you need them to be. The only limiting factor is your own capabilities as a writer.Most college essays are 12-20 pages long. That includes introductions, body, conclusion, and references. Generally, you may write as many college supplements as you'd like, but always keep your word limit.You can use free online college essay samples to get started writing. However, these samples aren't guaranteed to work. If you want to write without the pressure, it's best to pay for them.College essay samples that charge a fee to allow you to choose the kind of writer you want to be. This is especially helpful if you're new to writing and would prefer to be guided in your writing style alone.When choosing essay samples, consider the following things. Find out about their reputation for writing well. Check out the reviews they've gotten. If you're a first-time writer, ask a mentor or someone who has experience writing for college credit.Essays help students learn and grow. Students will typically do well on their college courses if they complete good essays. Goodessays can improve your grades, so make sure you learn to write well.

Ethnic Notions Film Response Essay - 1219 Words

Ethnic Notions: Film Response The 1987 film documentary Ethnic Notions directed by Marlon Riggs, identifies the evolution of African American cultural depictions through ethnic stereotypes and caricatures in American culture. I feel Ethnic Notions exposes the roots of false generalization from the beginning and presents a series of classifications for racial depictions that still are noticeable in todays society. These racial depictions identified with in this film begin in the mid 1800s and continue thought to the 1960s. I now after viewing Ethnic notions agree that there are generalizations and depictions that are exaggerated in American popular culture and entertainment. Ethnic Notions properly documents racial stereotypes though†¦show more content†¦Minstrel performers where as the film described, a group of white Caucasians that would perform with black face paint and mock African Americans. This form of entertainment grew popular and provided one of the strongest depic tion of the Sambo. Right next to the Sambo was the Zip Coon, a dandy, and a buffoon, a Zip Coon would attempt to imitate whites. But with poor grammar and with little to no intelligents the Zip Coons attempts proved to be a nothing more then a racist mockery. Therefor creating a generalization of Stupidity with in the African American population and creating a notion of Racial inequality. Also with the Sambo and Zip Coon was the Mammy. The mammy is described and viewed as a jolly, obese, African American women, the strongest Mammy depiction was first evident in the film Judge Priest in 1934. The Uncle figure was depicted in similar nature as the Mammy but in male form and a depiction called the Pickaninny provided a generalization of silly and worthless African American Child. All of these happy and silly depictions skewed Americas view of slavery and presented a happy vision, a vision where one would believe that African Americans enjoyed being enslaved. Then as time went on slavery was abolished and civil rights moved forward. The popular depictions of African Americans then moved away from the unintelligent, yet happy and joyful African Americans to the depiction of the unintelligent violent African American. ThisShow MoreRelatedAnalysis Of Woodrow Wilson High School1311 Words   |  6 Pagesdifferent groups, categories, cultures, and identities will take the toll of action while one is responding either to you or about you. The film I analyzed is Freedom Writers, which is based on a dedicated teacher of the white or Caucasian ethnic group. White being the dominate group in America that tends to have many privileges, which the teacher Erin Gruwell took the notion to step up and develop a hurting school that used to be an A average educational institute. From the words of the head person in chargeRead More Response to Movie Ethnic Notions Essay example701 Words   |  3 PagesResponse to Movie Ethnic Notions The movie Ethnic Notions describes different ways in which African-Americans were presented during the 19th and 20th centuries. It traces and presents the evolution of the rooted stereotypes which have created prejudice towards African-Americans. This documentary movie is narrated to take the spectator back to the antebellum roots of African-American stereotypical names such as boy, girl, auntie, uncle, Sprinkling Sambo, Mammy Yams, the Salt and Pepper ShakersRead MoreAnalysis Of Kill Bill Volume One, By Uma Thurman And Vivica Fox s First Encounter1025 Words   |  5 Pagesof non-understanding, Tarantino stands alone in his film style. From the visual to the audio, quite nearly every aspect of his films diverge from traditional values. Although this divergence may seem unique, it has in fact, come from a dense, through-the-ages, and accumulated knowledge of films. In an attempt to subvert our understanding, preconceived notions, and theatrical assumptions, Tarantino utilizes overt cinematic language within the film of Kill Bill Volume One, in particular the openingRead MoreThief Of Bagdad Analysis1475 Words   |  6 Pagesmuch underrepresented in film and many roles would be lost to Caucasian actors so as to resonate with American audiences. I think it is fair to argue that had this film been handled by someone who shared the culture, certain directions would have been taken so as to give the film a more accurate portrayal. Directions such as casting more ethnically fit actors or more accurate historic costuming. Despite this, The Thief of Bagdad is still a very entertaining film, even by todays standardsRead MoreExplore the Reasons for the Resurgence of the Klu Klux Klan in 1920s America1535 Words   |  7 Pagesit wielded. The term ‘political party’ was rarely used, as the Klan rejected the notion of seeking political control. Yet, this did not mean they didn’t have power. In states such as Oregon and Alabama, the state Governments were made up of a majority of Klansmen. The resurgence was able to gain a hold in the country because key figures in US Government used propaganda to provoke hatred for social, religious and ethnic minorities. This network of supporters was called the ‘invisible empire’. In theRead MoreAnalysis of Freedom Writers Essay1457 Words   |  6 PagesFreedom Writers- Theme Essay: The film Freedom Writers directed by Richard La Gravenese is an American film based on the story of a dedicated and idealistic teacher named Erin Gruwell, who inspires and teaches her class of belligerent students that there is hope for a life outside gang violence and death. Through unconventional teaching methods and devotion, Erin eventually teaches her pupils to appreciate and desire a proper education. The film itself inquiries into several concepts regardingRead MoreGenocide and the Propaganda Media Essay1446 Words   |  6 Pageshardships the country was facing. Pamphlets,flyers and flags were put up all over the country that showed Germans that the Jews were being â€Å"taken care of†, and caused a bad perspective upon them. Hitlers method of propaganda ranged in variety such as; films, cartoon and even educational material. He used his way of thinking to manipulate change of all Europe to go against the Jewish with the help of Goebbles, the minister of Propaganda and Public Information. In Nazi Germany, it was very dangerous forRead MoreThe Discourses On Whiteness And Blackness Essay1524 Words   |  7 Pagesobserved in every day relations. Gang affiliation or sport legends are some common stigmatisation of Black people, without being necessarily a part of, but these are usually impressions made on the dominant white people perspective. These preconceived notions can be compared in the yesteryears’ white British treatment of black immigrants as an economic problem, because of being a contributing factor to the falter in economic boom years in the 1960s (Powell, 1978; quoted in Jackson, 1989, p. 142). DiscriminatingRead MoreDiction And Reflection In Literature769 Words   |  4 Pagesmoving them into project communities. Lastly, I learned how to write prose analysis essays, poetry analysis essays, and free response essays in preparation for the AP Literature exam. To elaborate, the chapter assigned to my partner and I from the novel How to Read Literature Like a Professor was about sex and how it is embedded in almost every piece of written work and film. I particularly learned more about this chapter than the rest of the book because we were tasked with reading, analyzing, andRead MoreThe Mississippi Masala1456 Words   |  6 Pagesthe mid-late twentieth century, is recognized as one world’s most notorious leaders and is believed to be responsible for the deaths of one hundred thousand-five hundred thousand human rights individuals. Amin’s rule is characterized by nepotism, ethnic persecution, and much corruption. During Amin’s rule, he was also responsible for expelling the Indian culture by demanding all individuals of the nationality to leave the continent of Africa. Mississippi Masala, released in 1991 and directed by Mira

Educational play Essay Example For Students

Educational play Essay Eva Smith is a representative of the lower class and how it reacts to the upper class. She is very strong-willed as she demonstrates through all of her involvement with the Birlings and Gerald but the upper class dont like this which is why she is so unfortunate. With Mr Birling she stands up for what she believes is right when she leads a strike for higher pay but gets fired for doing it. With Sheila she tries to be polite and kind but, just because of her good looks, is fired from working in the shop. With Gerald she is very grateful for his generosity but he breaks off the relationship as he doesnt really love her and never intended that it would be anything more than an affair. With Eric she is only trying to earn some money but when she finds out that Eric is stealing it and he doesnt love her at all she leaves. With Mrs Birling she only asks for help because she is in a terrible situation but she gets refused help as Mrs Birling is prejudiced against her. Mrs Birling didnt like her manner because she spoke her mind and this is exactly what the upper class hate. Eva proves Mrs Birlings belief that class determines moral behaviour wrong as she is seen to be the victim of prejudice against her social class by the audience. She is also seen to have very good standards of moral behaviour, which are shown when she wont take stolen money from Eric: She wouldnt take any more, and she didnt want to see me again. and when she refuses the offer of a marriage of convenience made by Eric: She didnt want me to marry her. Priestley uses the Inspector as a device to voice his own socialist views. The Inspector arrives at a significant moment in the play: just after Mr Birling has been telling Gerald and Eric about how wrong the socialist cranks are and that a man has to mind his own business and look after himself and his own family. Priestley manages to use the Inspector as a device by using the Inspector to get each of the Birlings and Gerald Croft to accept responsibility for their actions towards Eva Smith. The Inspector seems to know most of the details about the suicide however he still questions the Birlings and Gerald to make them admit that they had something to do with Eva Smith. The two generations in An Inspector Calls react differently to the Inspector with the exception of Gerald. Sheila and Eric both understand the full consequence of their actions and are willing to admit that they are responsible. Mr and Mrs Birling arent willing to take any responsibility for any of their actions, which is probably because they are older and more set in their attitudes and behaviour. Gerald starts to take responsibility but then goes to the way he was before when he finds out the Inspector was a hoax. Mrs Birling even notices that the Inspector is having an effect on Sheila and the Inspector replies: We often do on the young ones. When the Inspector leaves Priestley uses Sheila to replace him as a device to voice his socialist views because she has learnt the lesson that he intended her to learn: But now youre beginning all over again to pretend that nothing much has happened - Priestley wrote An Inspector Calls to be successful in voicing his socialist views but also to be successful as a play that an audience would enjoy. .uc1523ce29b5894b943c1dc0d9d82c073 , .uc1523ce29b5894b943c1dc0d9d82c073 .postImageUrl , .uc1523ce29b5894b943c1dc0d9d82c073 .centered-text-area { min-height: 80px; position: relative; } .uc1523ce29b5894b943c1dc0d9d82c073 , .uc1523ce29b5894b943c1dc0d9d82c073:hover , .uc1523ce29b5894b943c1dc0d9d82c073:visited , .uc1523ce29b5894b943c1dc0d9d82c073:active { border:0!important; } .uc1523ce29b5894b943c1dc0d9d82c073 .clearfix:after { content: ""; display: table; clear: both; } .uc1523ce29b5894b943c1dc0d9d82c073 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uc1523ce29b5894b943c1dc0d9d82c073:active , .uc1523ce29b5894b943c1dc0d9d82c073:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uc1523ce29b5894b943c1dc0d9d82c073 .centered-text-area { width: 100%; position: relative ; } .uc1523ce29b5894b943c1dc0d9d82c073 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uc1523ce29b5894b943c1dc0d9d82c073 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uc1523ce29b5894b943c1dc0d9d82c073 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uc1523ce29b5894b943c1dc0d9d82c073:hover .ctaButton { background-color: #34495E!important; } .uc1523ce29b5894b943c1dc0d9d82c073 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uc1523ce29b5894b943c1dc0d9d82c073 .uc1523ce29b5894b943c1dc0d9d82c073-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uc1523ce29b5894b943c1dc0d9d82c073:after { content: ""; display: block; clear: both; } READ: One Flew Over the Cuckoo's Nest EssayAn Inspector Calls explores human moral behaviour and values and, because of this, still has some relevance to a modern audience though it is not as relevant as it was when it was written. Todays society is not as divided as it was in 1912 (when the play is set) and even in 1946 (when the play was written) but some people still have the same attitudes as the characters in the play. Many people in todays society still believe that we should try to create a more peaceful and compassionate world where people take responsibility for others as well as themselves but some still think that there is no such thing as society. Throughout the play Priestley maintains the anticipation of the audience using various methods. At the very start of the play the audience are left with a lot of unanswered questions which are answered later such as Where was Gerald last summer? and What does Eric mean by telling Gerald of Sheilas bad temper? This keeps the audience guessing and trying to piece the story together as the play progresses, which keeps them involved. The fact that the ending of An Inspector Calls is so unexpected and leaves the audience with so many questions gives them something to talk about after the play has finished. Act changes are put in very specific places so as to build up the suspense of the audience. The change from Act one to Act two is when the Inspector is questioning Gerald then leaves Sheila and Gerald to talk about it and comes back at exactly the right time when the curtain falls. The Inspectors ways of investigating the suicide and some of his comments make the audience interested to see who he really is. He speaks carefully, weightily, and has a disconcerting habit of looking hard at a person he addresses before actually speaking. This suggests he is quite intimidating when he questions people but he is totally unintimidated by other people such as Mr Birling and questions and judges his behaviour unlike a real police inspector. He says many things, which a real police inspector wouldnt dream of saying such as: But after all its better to ask for the earth than to take it. He also gives the Birlings rope to hang themselves with on plenty occasions: Who is to blame then? The audiences through the play doubt that the Inspector is a real police inspector however as a result of the final twist at the end of the play they even begin to question his humanity. The Inspector keeps the audience in suspense when he doesnt go in chronological order of events happening with Eva Smith, he questions Mrs Birling before Eric even though she only saw Eva after Eric did. This means that the audience knows some things before the characters on stage, which adds to the effect of scenes such as the questioning of Mrs Birling about the punishment of the person responsible for Evas pregnancy. After An Inspector Calls was first performed as a play many people criticised the Inspectors final speech saying that it was unnecessary and should have been left out of the play because the point had already been put across during the rest of it. if men will not learn their lesson, then they will be taught it in fire and blood and anguish. This is prophetic because it is as if he is foreseeing the future, the two world wars ahead. It is possible for Priestley to use this because of his chosen time frame. He seems more concerned with what is right and wrong rather than what is legal and this moral dimension makes him different to a usual police inspector: We dont live alone. We are members of one body. We are responsible for each other. Priestley uses the well-known whodunnit? genre so that the audience can recognise and understand it well however he manages to make it his own which helps An Inspector Calls to be more successful as a play. In doing this Priestley also made his play more successful as a vehicle for voicing his views, as he was able to make it his own and therefore include his own feelings in it. .u0c6a82fc3575c979053a27f733817944 , .u0c6a82fc3575c979053a27f733817944 .postImageUrl , .u0c6a82fc3575c979053a27f733817944 .centered-text-area { min-height: 80px; position: relative; } .u0c6a82fc3575c979053a27f733817944 , .u0c6a82fc3575c979053a27f733817944:hover , .u0c6a82fc3575c979053a27f733817944:visited , .u0c6a82fc3575c979053a27f733817944:active { border:0!important; } .u0c6a82fc3575c979053a27f733817944 .clearfix:after { content: ""; display: table; clear: both; } .u0c6a82fc3575c979053a27f733817944 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u0c6a82fc3575c979053a27f733817944:active , .u0c6a82fc3575c979053a27f733817944:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u0c6a82fc3575c979053a27f733817944 .centered-text-area { width: 100%; position: relative ; } .u0c6a82fc3575c979053a27f733817944 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u0c6a82fc3575c979053a27f733817944 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u0c6a82fc3575c979053a27f733817944 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u0c6a82fc3575c979053a27f733817944:hover .ctaButton { background-color: #34495E!important; } .u0c6a82fc3575c979053a27f733817944 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u0c6a82fc3575c979053a27f733817944 .u0c6a82fc3575c979053a27f733817944-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u0c6a82fc3575c979053a27f733817944:after { content: ""; display: block; clear: both; } READ: Interpreting Resistance through Gender EssayPriestley especially chose this genre for these specific reasons. By only having one focus throughout the whole of An Inspector Calls which slowly progresses Priestley is able to keep the audience involved by giving them things to think about but by still using the same focal point. At the beginning of the play the idea that Mr Birling does not agree with everyone being united is established and then built on when the Inspector arrives and during his final speech when he proclaims that We are all responsible for each other. Priestley intentionally began An Inspector Calls as a naturalistic play but only to become more unnatural as it progressed. This brings up many questions from the audience who thought they knew what was happening then suddenly find they dont. For example, the Inspector seems realistic but becomes less so as the play progresses. This is a successful way to write a play because it gives the audience a reason to be interested in it allowing the writer to form a successful and educational play.

Second Generation Immigrant

Introduction The socio-political and economic plights of the immigrants have been a subject of social research for a long time; the immigrants are considered the â€Å"lowest† cadre in the social stratum in the United States. Their living conditions reveal an unprecedented poverty.Advertising We will write a custom essay sample on Second Generation Immigrant specifically for you for only $16.05 $11/page Learn More This paper seeks to explore the plight of second generation immigrants as compared to the first generation, and to highlight some of the factors that are contributing to the difference in the social well being between the first generation immigrants and the second generation immigrants, in other words, between parents and their children, who seem to be enjoying a relatively â€Å"higher† position in the society. Such a tendency has been attributed to several factors. According to the US Census Bureau Data (2009), it was realised t hat the second generation immigrants enjoy more privileges in terms of education and health. They earn more and are better educated as compared to their foreign-born counterparts, which highlights the fact that life conditions have increased from the first to the second order of immigrants. Immigration policy American Immigration Policy, which sets laws and guidelines used for regulatory purposes, in my opinion, is the strongest factor explaining the socio-economic difference of the second generation immigrants. The level of achievement of the second generation immigrants can be attributed to the immigration policies. The American immigration policy stresses out the fact that anyone who is born on the American territory automatically becomes a citizen of the US; the US citizenship comes with numerous other benefits from the government as opposed to non citizens. This scenario would obviously work for the benefit of the child since he would be entitled to a lot of privileges as oppos ed to the parents who are not original citizens of the US. Social research shows that the Latino second class citizens have the highest enrolment rates in colleges and high school, which affirms the fact that the set policies play a key role. In the acquisition of their citizenship, the Latinos have continued to excel in their undertaking. According to statistics, it is projected that by 2017, there would have been plenty of multiracial Latinos in every key government position as compared to their present occupation of government positions. Cultural assimilation A conflict of cultures is predominant in the lives of the second generation population. The rate at which they adapt and stabilize themselves within the two different cultures attributes immensely to their relatively high level of success. Those who are able to freely blend and adapt to both cultures are more settled and are considered to be more successful as compared to those who take a lot of time to balance between the t wo cultures. Most second generation children are multilingual.Advertising Looking for essay on cultural studies? Let's see if we can help you! Get your first paper with 15% OFF Learn More Nonetheless, they are subjected to humongous racism and segregation in the society as well, which means that these children become much more sensitive to various social phenomena; this sensitivity leads to an increased self motivation and awareness amongst the second generation, which in turn inflames their desire to achieve success against all odds confronting them. Conclusion The paper has exclusively explored some of the core reasons for a relatively high success of the second generation immigrants in comparison with their parents; it has established why the two mentioned factors have led to high achievement rates in the second generation immigrants and the social issues defining their achievements. This essay on Second Generation Immigrant was written and submitted by user Coleman U. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

buy custom Congestive Heart Failure essay

buy custom Congestive Heart Failure essay Congestive heart failure (CHF) has become a serious health issue throughout the world. By 1999, five to seven million people in North America were living with this disease. In addition, there were twenty million others in the rest of the world (Jobin, Maltais, LeBlanc, 2000). According to statistics from different studies, the hospitalization cost for heart failure patients, is more than double of all forms of cancers. Congestive heart failure (CHF) refers to the hearts inability to meet oxygen requirements of the body tissue when operating normally or at elevated filling pressure (Wolfsthal, 2007). Congestive heart failure (CHF) is a syndrome arising from the combination of many diseases that affect the working of the heart. CHF can result either due to systolic dysfunction or diastolic dysfunction. Normally, the heart works by contraction and relaxation thereby pumping the blood throughout the body. Systolic dysfunction results from problems with contraction of the heart. Diastolic dysfunction results from problems in relaxation (Wolfsthal, 2007). In CHF, circulatory congestion can result, either as systemic venous circulation resulting to peripheral edema or can result to pulmonary circulation congestion leading to pulmonary edema. Pulmonary edema is a life threatening condition (Tuttle-Yoder Fraser-Nobbe, 1995). It should, however, be noted that, acute CHF in most cases results from myocardial infarction. The signs and symptoms of the congestive heart failure (CHF) differ depending on the side of the heart affected. When the congestion is on the left side, pulmonary circulation congestion occurs which in turn leads to dyspnea (shortage of breath). On the other hand, if it occurs on the right hand side, systemic venous circulation results. Systemic venous circulation manifests itself by distended neck veins, hepatomegaly and edema (Tuttle-Yoder Fraser-Nobbe, 1995). In systolic dysfunction, the contraction of the heart in terms of degree of contractility reduces. In the contractility, the heart is unable to withstand the afterload (force against contraction) and preload (the sarcomere stretch before contraction). Decreased contractility can be caused by myocardial infarction (MI), valvular heart disease, hypertension, and cardiomyopathies (Wolfsthal, 2007). In myocardial infarction, a part of the myocardium undergoes necrosis and, therefore, cannot generate the force required to pump t he blood effectively. MI normally results to weakening of the ventricle. If large areas are affected, myocardium results to CHF. Valvular heart disease results due to stenosis (regurgitation of the cardiac valves) thereby placing a lot of load on the heart. In most cases, cardiomyopathies results due to the injury on the myocardium. This injury can be due to toxic chemicals or the diseases. Increased afterload makes it harder for the heart muscles to shorten, thus resulting to reduced cardiac output (Wolfsthal, 2007). In diastolic dysfunction, alteration of active and passive factors that affect the diastole results. Active relaxation result due to pumping out of calcium from the myocardium. Active relaxation occurs before the passive filling of ventricles with the blood previously stored in the atria. Diastolic dysfunction can result due to abnormalities in the active relaxation, abnormality in the passive filling also due to the neurohumoral hypothesis of heart failure. In abnormalities, in the active relaxation, this dysfunction can result due to impairment of the calcium reuptake at the beginning of the diastole. The abnormalities in the passive filling can be due to the myocardium being stiffer than normal. The stiffness can be caused but the increase in the thickness of the chamber walls than normal. Lastly in the neurohumoral hypothesis, the heart failure leads to the activation of related neurohumoral systems and hormones. When persistently over activated, they turn into cardio toxic agent s. They, therefore, lead to the decline in the cardiac function. According to this hypothesis, the blockage of these systems should be beneficial to the treatment of congestive heart failure (CHF). Some of the physical signs are tachycardia, pulmonary rales, cardiac enlargement, fourth (S4) and third (S3) heart sounds. Other physical factors include the neck vein distention, hepatic enlargement, edema and ascites. In tachycardia, elevated heart rate results due to increased releae of the catecholamine. They occur as a compensating mechanism, in the attempt, to maintain the normal cardiac output even in the decreased stroke volume. In pulmonary rales, increased hydrostatic pressure results to the transudation of the fluid into alveoli. Then as the air circulates, cracking sounds results when taking the heart sounds. Not all of these cracking sounds are symptoms of CHF and, therefore, care should be taken. The fourth heart sounds (S4) results from patients in sinus rhythm and heart failure due to the noncompliance of the left ventricle. Therefore, they are also excellent indicators of the CHF. This S4 probably arises due to the reverberation of the blood during ejection of blood into the left ventricle. Aging can also lead to the production of S4. Therefore, more tests should be done to ascertain the presence of CHF. Third heart sounds also known as ventricular gallop occurs mainly in early diastole and is the most reliable sign of the left heart failure. It also occurs due to the rapid filling of the left ventricle. Although it is a reliable sign of heart failure, S3 is common in individuals older than forty years and young athletes. Increased systemic venous pressure results to transudation of fluids into peritoneal space. This consequently leads to elevated neck veins and ascites which can indicate the presence of CHF. Other signs of left-side heart failure include cough, fatigue, crackles, weakness and fatigue (Singh, 2011). The clinical symptoms and features that assist the physical ones in the identification of the CHF are paroxysmal nocturnal dyspnea and orthopnea. In addition, Nocturia and edema can also be used. In dyspnea, the individual experiences the feeling of breathlessness and reduced cardiac output to the periphery (Wolfsthal, 2007). Orthopnea refers to dyspnea that occurs due to lying in a recumbent position. It can be relieved by the raising of the head. Paroxysmal nocturnal dyspnea refers to dyspnea that awakens the patient from the sleep. It may also occur due to lying in the recumbent position thereby resulting to the pooling of blood in the vasculature and increase, in left ventricular filling pressure, (Wolfsthal, 2007). For paroxysmal nocturnal dyspnea, the symptoms disappear after the patient has been standing for five to twenty (5-20) minutes. Nocturia, on the other hand, results due to increased renal blood flow when the patient is in the recumbent position or asleep. Lastly, edem a and particularly cardiac edema occur when systemic hydrostatic venous pressure is higher than systemic oncotic venous pressure. The laboratory assessment of congestive heart failure in patients, involve the use of chemicals, waves and measuring of the blood pressures in many parts of the body. In the determination of the extent of myocardial infarction (MI), an electrocardiogram (ECG) can be used. When using the electrocardiogram the presence of Q waves helps in the confirmation that the MI has been the cause of the CHF (Wolfsthal, 2007). A chest radiograph can also be used. Chest radiograph can monitor cardiac chamber enlargement and congestion. An echocardiogram can also be used to identify the chamber enlargement as well as quantifying the ventricular and valve function (Wolfsthal, 2007). Use of radionuclide ventriculography can be used in measuring range of the right and left ventricular ejection fractions. In addition, the use of Doppler interrogation techniques can be applied in determining the direction and rate of blood flow. Doppler interrogation can detect quantify valvular stenosis. Any variation f rom the individuals normal may indicate the possibility of valvular regurgitation and intra-cardiac shunts. Lastly during the cardiac catheterization, many cardiac characteristics can be evaluated. These include the chamber size, valvular stenosis, intra-cardiac pressures and other coronary anatomy. The extent of stretching in the heart muscle cells can also be monitored by the use of the Brain Natriuretic Peptide (BNP). This is a polypeptide secreted by the muscles of the heart ventricles in response to overstretching. Increased filling pressures in the heart leads to dyspnea, production of the atrial natriuretic peptides (ANP) and Brain natriuretic peptides (BNP) (Siegenthaler, 2007). By monitoring the levels of ANP and BNP, we can rule on the possibility of heart failure, pulmonary hypertension, pulmonary embolism, acute coronary syndrome and renal failure. High levels of BNP (BNP 400pg/mL) are strongly suggestive of cardiac dyspnea. Normal levels (BNP 100pg/mL) highly excludes any cardiac cause. In addition, high levels of BNP may suggest general volume overload or liver failure that may occur in response to hepatic cirrhosis. The level of the BNP also correlates to the severity of the heart failure, if detected (Siegenthaler, 2007). The best diagnosis tool for the CHF is the echocardiography. It can be used in the determination of congenital defects or cardiomyopathy presence. Echocardiography can also be used in the assessment of heart size, cardiac function, hypertrophy and dilation (Potts Mandleco, 2011). All therapies aim at reducing of the volume overload, improvement of the contractility, reducing afterload and in the decreasing of cardiac work. These therapies are in the form of drug therapy and nursing care (Potts Mandleco, 2011). The patients of CHF are in most cases edematous and compromised respiratory functions arising from the fluid overload. They, therefore, need fluid restriction drugs for the lungs. Therefore to lower the amount of the fluid that has accumulated, diuretics can be administered. In addition to decrease the hearts overload, Angiotensin-Converting Enzyme (ACE) inhibitors can be used (Singh, 2011). ACE inhibitors can restore the cardiac and hormonal response to volume overloads, and thus, reduce natriuretic in mild heart failure (Jobin, Maltais, LeBlanc, 2000). Administration of morphine reduces pain also lowers the peripheral resistance. In severe cases, oxygen (O2) should also be given, in order to reduce anxiety and facilitate breathing. In cases where th ere are chest pains, nitroglycerin (nitro) can be used. Nitroglycerine also acts as a vasodilator (Singh, 2011). Normally these patients require rest to conserve energy. Other therapies include administration of Angiotensin II Receptor blockers to reduce the effects of angiotensin II. To patients who are intolerant to ACE inhibitors the Angiotensin II Receptor blockers can be administered. Other medical related therapies are diuretics (for improvement of congestive symptoms), digitalis (to increase the ejection fraction of the left ventricle) as well as administration of -Blockers. The -Blockers can be administered for inhibition of sympathetic nervous system thereby limiting progression of heart failure (Jobin, Maltais, LeBlanc, 2000). In infants whose the heart failure is secondary to congenital defects then, the primary treatment is the surgical correction (Potts Mandleco, 2011). Although no long-term randomized study on the effects of ACE inhibitors exists, the adverse effects of ACE inhibitors and Angiotensin II Receptor blockers can be related to angiotensin suppression and potentiation. Angiotensin refers to hypotension, potassium retention and worsening renal function. On the other hand, potentiation refers to coughing and angioedema (Jobin, Maltais, LeBlanc, 2000). The use of beta blocker medication has led to the increased cases impotence among the older men (Wallace, 2007). These drug-disease interactions encourage the discontinuation of the medication, and the search of the alternatives that do not impact on related disease processes. When diagnosed with CHF, Patients need to be prepared psychologically on how to live positively with the illness. Another part of the patient that should be considered is the family relations. These members should also be prepared psychologically on how to assist their patients at home psychologically and physically. Regardless of age, patient teaching is a vital component in disease management (Wallace, 2007). Unhealthy behaviors like drinking, smoking, or poor nutrition should be broken as they deteriorate the disease. The patients of CHF should eat less salt and limit fluid intake. Patients diagnosed with CHF should monitor their weight regularly. This should be done every morning at the same time. During measuring of the weight, same clothes and scale should be used. The patient should call the doctor if he notices sudden change in weight, increased swelling of the legs or ankles as well as having trouble in breathing when resting or sleeping at night. While dealing with the olde r adult population, ultimate care should be given to the management of pathological diseases of aging. Lastly, exercises and better night sleep should be encouraged for continued improved health (Wallace, 2007). Buy custom Congestive Heart Failure essay

Lead Presentation Essay Example | Topics and Well Written Essays - 750 words

Lead Presentation - Essay Example In the present report, we will concentrate upon different approaches to calculating payment to the staff, with especial emphasis upon the use of performance-based and skill-based payment systems, and compensation packages. Whereas there are several types of salary (fixed, performance-based, skill-based, etc.), each having its merits and demerits, the companies choose the one that corresponds ideally to the profession, style of work, and even personal traits of workers. It is a well-known phenomenon that whereas some categories of employees are motivated by high salaries, others prefer getting compensation package rather than big salary. For companies' managers, it is often difficult to choose between offering their employees high salary, on the one hand, and other benefits on the other. Let us therefore consider two types of payment and compensation packages, and how their use influences the performance of the employees. Skill-based system of employees' remuneration certainly has both advantages and disadvantages: on the one hand, it makes the task of calculating the payment for each worker easier for the company's management and allows to attract and retain highly skilled personnel, but on the other hand it takes into account skills rather than actual performance and therefore people get more not because they work hard but because of their background. Sometimes employees with better skills perform worse than those who are less skilled, and in these cases such a system of payment will affect the quality of work, lower employees' motivation, and even destroy team spirit. Yet, it may be argued that those who had been able to develop a certain amount of skills are those whose motivation and performance are high, and the system of skill-based payment works under the condition that certain rules are stuck to. First of all, it is crucial that the employees understand the way the payment is calculated, and fully committed to the company so that there are no doubts as for its fair attitude to staff. (Schuster, 1998) Secondly, the company's management has to make sure that the skills the workers acquire correspond to the company's goals, since it has been pinpointed that skill-based pay is likely to cause problems in cases when the skills acquired by the staff 'become outdated or if the skills are not being used to the fullest by the company'. (Ashish et al. 2004) Therefore, the company should "reflect the button of an employees learned skills to the achievement of company goals". (Fox 2002) 2.2. Compensation packages Perhaps the main argument in favor of company's using compensation packages is that this brings the employees to a considerable degree of commitment making them regard their company as stable, reliable, and caring about its staff's wellbeing. Nowadays, practically any respectable company offers their staff compensation packages of some sort which may include bonuses, holding companies' stocks, getting discounts, medical insurance, etc. (What does a total compensation package include, 2001; Compensation package, 2005; Evaluating the total compensation package, 2005) Free trainings and courses are also extremely motivating, especially for the young

The Performance of the Global Marketing Essay Example | Topics and Well Written Essays - 3000 words

The Performance of the Global Marketing - Essay Example In this regard, studies that serve the purpose of linking marketing activities to firm performance and stock value are exceedingly necessary. Undoubtedly these have been reasons for the Marketing Science Institute to list Marketing Metrics among top research priorities. The organization of this proposal is the following. Firstly, a description of the project is presented. Secondly, the methodology is proposed. Thirdly, an approximated time schedule of research is developed. Finally, a provisional table of contents is suggested. In reference to academic relevance, this research pretends to support empirical evidence to the field of marketing metrics in a global context. The suggestion of Rust et al. (2004) about search for empirical support to the chain of marketing activities has been taken into account. According to Holmstrom and Tirole's (1989:65) definition, a theory of the firm must address two central questions: (a) why firms exist, and (b) what determines their scale and scope. In the case of this thesis proposal, there are two theoretical perspectives central to explaining the relationship between Marketing Strategy and firm's performance in a global context: the Industrial Organization (IO) Theory and the Resource-Based View (RBV) Theory. Both of them postulate that the purpose of the firm is to maximize profits. Having fulfilled the first question of Holmstrom and Tirole (1989:65), the logic of this theoretical framework is to connect the drivers of the two theories to the relationship between marketing strategy and firm's performance. 2.1.1. Industrial Organization Theory The IO theory focuses on the external market to identify drivers of a firm's strategy which will consequently affect its performance (Zou and Cavusgil 2002). According to the IO framework, external market and industry environment (structure) determines a firm's strategy (conduct), which in turn determines its performance (Porter 1980). Under IO theory, the development of the marketing strategy has to allow for the structure of the external market and industry, hence being coaligment to environment for getting positive effects on performance (Venkatraman and Prescott 1990) and survive and prosper (Collis 1991). 2.1.2. Resource-Based View