Inclusion And Exclusion Criteria

Ruby Bridges is a true story of a first-grade girl who became one of the first African American students to attend an all-white school, William Frantz Elementary School in New Orleans. Every day as she walked to school, she faced an angry white mob who also kept their children from attending the same school. Ruby bravely walked through the crowds every day and her teacher discovers the incredible strength of this little girl. Students who read this book will understand historical inequalities and about Ruby Bridges brave fight for equal education. This book can be read for grades 1-5. I would read this book during a social studies unit about black history and famous Americans that changed society. Activities would include a bubble map to describe Ruby and write a friendly letter to Ruby stating if they thought she was brave for what she had done. This book draws an emotional and personal connection.

Cooper L.A., & Roter D.L., & Carson K.A., & Bone L.R., & Larson S.M., & Miller E.R. III, & Levine D.M. (2011). A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. Journal of General Internal Medicine, 26, 1297 â[euro]" 1304. 10.1007/s11606-011-1794-6

Mr. Hightower is a 52 year old male with a PMH Type 2 DM, Hyperlipidemia, and HTN. He is a new patient to your office stating he stopped his meds several months ago and he cannot remember what he took in the past. His BP is 150/90. HR 88, RR 20 BMI 35. HGB A1C is 9.6, Total chol 225, LDLs 183, HDL 35. CBC, CHem, LFTs are wnl except for glucose of 124. Discuss the focused pertinent physical exam for this patient as well as what further diagnostics are needed in providing evidenced based care. What medications are important to start for this patient to treat his co-morbidities. Include the follow-up for this gentleman along with pertinent diagnostics needed at

The convenience sampling that was used in recruiting all male patients who were on blood pressure medications is a glaring bias in this study. There was no information provided addressing why the patients were presenting to the clinic. There are many interventions that can raise blood pressure. For example, the study conducted by Marshall, Anantharachagan, Choudhary, Chue and Kaurhis, (2002) investigated the effect of situational anxiety on blood pressure experienced in anticipation of a blood test. Marshall, et. al., (2002) found that anticipation of a blood test can raise blood pressure. Foster-Fitzpatrick, et. al., 1999 did not address the purpose of the patient’s visit to the clinic.

In 1763, William Pitt spoke in front of Parliament. In that speech he stated that the King of England cannot enter with all his forces. It can be said that the American colonists went to war, the Revolutionary War, with England to stand up for their rights. One of those rights was the protection from illegal searches and seizures. When the Congress debated on the wording of the Fourth Amendment, they had an extreme importance of needed protection from government encroachment. The Fourth Amendment to the United States Constitution was designed and written specifically to protect citizens from illegal searches and seizures:

This paper will present the Exclusionary Rule and the original intentions for its enactment. It will discuss the importance of the rule and how it is a protection against an unlawful search and seizure and a violation of the rights provided by the Fourth Amendment. Also, this document will display the history of the Exclusionary Rule, with its first appearance in the case, Boyd v. United States in 1886. Weeks v. United States will show a better-established, stronger version of the exclusionary rule. Another expansion of the rule will be described by the Mapp v. Ohio case. In this paper, I will also state and describe the four primary exceptions to the exclusionary rule: Inevitable Discovery Doctrine,

The concern on whether anti-hypertensive’s should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.

Social differences have changed incredibly in the last decades. The world has known an evolution that no one could have predicted. Aspects such as racism, social class and individual perception have differed drastically and now represent a modern open-minded world. The multiculturism boost our country and our world has known has brought a new wave of cultural, racial and social differences. The world has changed for the better and communities as well as individuals are now more open to differences in others. In Harper Lee's To Kill a Mockingbird, the subject of social differences is the main theme for the book. The book adresses directly the major problem of racism per example and deals with it in it's special way. Set in the 1930's, To

Your introduced good and insightful information pertaining to the assignment. Police officers are responsible for maintaining order and limiting crime within their communities. They are the first line of the defense regarding suspects committing criminal activities. Another reason for police officers are to carry out the goals of the agency mission. In my opinion, you gave good details to the exclusionary rule and also provided a clear example to understand how the rule apply in law. On the other hand, under this rule, criminals can be released but, it's the responsibly of the police officer to make clear decisions and judgments calls pertaining to evidence that could apply to the exclusionary rule.

Our group has chosen Columbus Mississippi area for this group project. As the rate of hypertension

Finally, it was suggested that adherence rate measured by ‘tablet count’ was comparable to adherence rate confirmed by both methods, and that almost half of patients assumed to be medication adherent did achieve appropriate blood pressure control compared to only 14% of those assumed not to be medication adherent [Onzeroot et al, 2010].

Hypertension, cigarette smoking, and diabetes mellitus are among of risk factors of cardiovascular disease. Hypertension can lead to endothelial injury and cause myocardial hypertrophy (McCance & Huether, 2014). It is important for patients to keep blood pressure under control. Some patients may be able to control their blood pressure by changing their diet, and life style such as increase activity or exercise. Whereas, some patients may need to use medications to lower their blood pressure. NPs should educate patients on healthy lifestyle, diet, exercise, as well as side effects associate with prescribed medications. Experts suggest that patients are able to learn more information if they receive brochure or handouts after their office visits

According to the data collected, diagnosed high blood pressure increased from 2010 to 2014. This rise in diagnosed hypertension can be attributed to varying combinations of genetic, environmental, and sociological factors (Blais, 2014). Specifically, dramatic increases in the prevalence of obesity and aging population demographics can account for a significant amount of reported high blood pressure. In Canada, severe obesity has increased 4-fold over the past 3 decades (Padwal, 2016). Particularly in industrialized populations, weight gain has been shown to yield several risk factors of hypertension, such as metabolic abnormalities and excess adipose tissue (Padwal, 2016).

In Animal Farm by George Orwell, history seems to be repeating itself. The leader appears to be using Karl Marx’s theory of the need for a dictatorship of the proletariat, or the working-class people (Jacobus). More and more corruption, the dishonest conduct by those in power, keeps occurring because the leadership claims a monopoly on reason and resources while the common people suffer and grow hungry. The leader forgets about his own beliefs due to the overwhelming power and it turned him into what the farm had once rebelled against.

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).