Cfa Study Outlines Essay Example for Free

Cfa Study Outlines Essay CFA Curriculum/Blue box examples/EOC problems Month 5: Schweser Slides=gt;Take practice exam (8X) BOOT CAMP strongly recommended (Creighton University provides an exceptional LIII Boot Camp—Marc Lefebvre teaches the course and has put together an impressive strategic outline) Question Format Morning: Essay ? Focus on writing key words (study previous actual CFA exam answers and learn what these key words are—just remember that the CFA guideline answers are also considered â€Å"perfect† so don’t think you must include everything stated) ? The morning essay questions are the least correlated with questions from the actual CFA curriculum; therefore, it is absolutely necessary to study past actual CFA Level III exams and familiarize yourself with how they’ll ask questions—you’ll be surprised at how well you may know the material but not quite understand what the questions are asking for Afternoon: Item Set Multiple Choice ? READ THE QUESTION FIRST! 90% of all questions asked follow the item set chronologically (first portion of item set relates to 1st question, 2nd portion relates to 2nd question, etc. First paragraph is usually an introduction that can be skipped to save time) Special emphasis on essay format (master your timing—Individual Investor IPS/Return Calculation should take lt; 10 min). DO NOT rely on year to year correlations in question types—expect ANYTHING to be tested Prior exams are published and are a necessary resource CFA Practice Exam only includes the afternoon item set section; you must take Schweser practice tests/actual prior CFA Level III exams to incorporate the morning session One of your top goals should be to finish the morning session; many candidates have failed due to the inability to finish—you’ll be surprised at how many extra points you can earn just for taking educated guesses CFA Level III exam is by far the most difficult although the material is a breeze. Therefore, you must conceptualize the material rather than rely on pure memorization. Special Note: For Level I candidates, place special emphasis on ethics and portfolio management concepts. An in-depth understanding of both saves time from LII and LIII down the road. Memorize Code Standards and read ALL ethics examples! Portfolio management concepts such as portfolio standard deviation and portfolio variance are recurring concepts that are extremely important for LIII. Taken Directly from the CFA Institute Website

Dehumanization and Freedom in Narrative of the Life of Frederick Dougla

Dehumanization and Freedom in Narrative of the Life of Frederick Douglass    The issue of slavery in antebellum America was not black and white. Generally people in the North opposed slavery, while inhabitants of the South promoted it. However, many people were indifferent. Citizens in the North may have seen slavery as neither good nor bad, but just a fact of Southern life. Frederick Douglass, knowing the North was home to many abolitionists, wrote his narrative in order to persuade these indifferent Northern residents to see slavery as a degrading practice. Douglass focuses on dehumanization and freedom in order to get his point across. Frederick Douglass emphasizes the dehumanization aspect of slavery throughout his narrative. As is the general custom in slavery, Douglass is separated from his mother early in infancy and put under the care of his grandmother. He recalls having met his mother several times, but only during the night. She would make the trip from her farm twelve miles away just to spend a little time with her child. She dies when Douglass is about seven years old. He is withheld from seeing her in her illness, death, and burial. Having limited contact with her, the news of her death, at the time, is like a death of a stranger. Douglass also never really knew the identity of his father and conveys a feeling of emptiness and disgust when he writes, "the whisper that my master was my father, may or may not be true; and, true or false, it is of but little consequence to my purpose" (Douglass, 40). Douglass points out that many slave children have their masters as their father. In these times, frequently the master would take advantage of female slaves and the children born to the slave w... ... the abolitionist movement is fueled by reading The Liberator, a newspaper that stirs his soul in fighting for the anti-slavery cause. While attending an anti-slavery convention at Nantucket on August 11, 1841, Douglass, with encouragement from Mr. William C. Coffin, speaks for the first time to a white audience about slavery. In conclusion, Frederick Douglass starts his life as a slave determined to get his freedom. At the end of his life, he is one of the foremost figures of the abolitionist movement. Douglass' narrative takes advantage of the literal advantage in order to abolish slavery. Through depictions of dehumanization and freedom, Frederick Douglass' narrative is instrumental in swaying the views of the indifferent Northern residents. Work Cited: Douglas, Frederick. Narrative of the Life of Frederick Douglas. New York: Signet, 1968.

Natural Family Planning Essay

To begin this essay I will first explain what Natural Family Planning is and I will then turn to take a look at the essay written by Joseph W. Koterski entitled Theological Reflections on Natural Family Planning. Natural Family Planning ‘is the general title for the scientific, natural and moral methods of family planning that can help married couples either achieve or postpone pregnancies. Methods of Natural Family Planning depend on the observation paid to the naturally occurring signs and symptoms of the fertile and infertile phases of a woman’s menstrual cycle. The main idea behind Natural Family Planning is that no methods of artificial contraception are used. Such methods of artificial contraception include drugs, devices or surgical procedures which are used to avoid pregnancy.   The first question Koterski asks is ‘Can the use of Natural Family Planning to avoid pregnancy be morally justi?ed? He then goes on to state that many discussions come to the conclusion that Natural Family Planning is acceptable providing one does not have a ‘contraceptive mentality. The writer agrees with this statement, however one finds themselves asking does the whole idea of Natural Family Planning not have a somewhat contraceptive mentality to it also? The article then puts across the idea that procreation is good within marriage however if a couple do have a contraceptive mentality it should be for a moral reason such as ‘spacing births a bit for the good of the mother’s health, or caring better for the sake of one’s existing children, or for the good of the marriage in a time of great pressures of some sort If these scenarios do come into a couples lives who use Natural Family Planning they are still remaining open to having children at the se times however they are just hoping they will not until these scenarios have sorted themselves out. It appears that throughout the article the writer continually relates back to the subject about having a contraceptive mentality. He says on a frequent basis that if the reason for a couple having a contraceptive mentality is morally for the right reasons then it is okay while still using Natural Family Planning. Compared to using contraception where the act itself is  morally objectionable whether the intentions are good or bad, there does not seem to be anything intrinsically objectionable to a couple deciding whether or not to have intercourse at a particular time during the womans menstrual cycle. If the couple have a good knowledge of Natural family Planning and are trying to avoid having more children then nothing should change about their actions during sexual relations apart from the time at which they have them and knowing when not to have intercourse. The author seems to be saying there is nothing wrong with this approach, however many a person would say this is having a contraceptive mentality. The writer then poses two questions aimed especially at those religious people who do not believe in intercourse unless between a couple for procreative reasons: 1. Are we morally required to have all the children possible for us, given  our current understanding of the natural rhythms of fertility? 2. Are we morally required to refrain from intercourse when we know  as a couple that we are infertile? These questions open up quite a strong argument for those sceptical about the idea that intercourse should only be for procreative purposes. These would possibly argue that sexual intercourse is also for unifying purposes between a couple and therefore this would prevent a couple from growing closer. John Murray also states that it is not the woman’s fault that she is naturally infertile therefore why should she have to abstain from intercourse: If you were naturally blind, you could not do anything further to make yourself blind. So: when a woman is naturally infertile [and knows it] she cannot do anything to make her acts of sexual intercourse infertile [due to her natural infertility] The point is not that she may not do so; she cannot do so. The facts and figures of the matter according to Jack Dominian are ‘currently ninety-nine percent of sexual activity is knowingly and deliberately non-procreative. Dominian then continues on with his argument  stating the majority ‘need only a few sexual acts to achieve their desired family size. It appears Dominion is saying therefore that contraceptive methods are the easiest way of controlling family size. The writings of Paul Quay S.J. Then continue on the essay. Quay mentions how estrus is a sign of fertility in the female species of animals and the male species can pick up on this. Humans are different however and the only way for us to know is by knowing how to ‘read the cycles of temperature and cervical fluid as signs of fertility and infertility. The article continues on to mention the whole symbolism around sexual intercourse. When a couple have intercourse it is almost like a language between them that only they can understand. Koterski uses Quays argument to say that the physical union of intercourse symbolises the union of persons in marriage. The whole idea of nakedness between a couple having intercourse is to symbolize their openness and vulnerability to one another. The whole point of this argument appears to be this is the reason why only when married should one engage in intercourse. If relating back to Natural Family Planning and not having a contraceptive menta lity ‘Traditionally the reason given is that sex is linked to procreation and that the fruit of this, children, need two parents to look after them and give them legitimacy and status. As we carry on through the document and take a look at the application of Quay’s understanding to Natural Family Planning we see how it states the Church should have as many children as possible. The task seems to be to ‘bring all of these who are naturally born to be reborn of the water and the Holy Spirit of the womb of the church by baptism. The document continues on to focus more towards the Church and how even though one may be born to Christian parents this does not mean one is a Christian. It is only through water and the Holy Spirit that we can be brought from this world of sin into the Christian community and the Church. It is only through God however that these children should be brought into this world and not as items of property, therefore conception should be one hundred per cent natural and not through in vitro fertilisation or any such procedures. The authors final few points are quite valid when he states the the infertile period for a couple who are using the method of Natural Family Planning is a period for the woman’s body to rest before releasing the next ovum. Natural family planning should also allow the woman’s body to rest during the natural spacing of pregnancies. In this sense by abstaining from intercourse it is an expression of love on the man’s behalf as he is caring for his wife. The main point the author is trying to get across is that some of the time, even though intercourse is a way of expressing love, abstinence can sometimes be for the greater good of the family and the relationship. To conclude, this essay states what Natural Family Planning is and the many different aspects to it. As with everything it has its pros and cons however if practised properly it allows a couple to do as the Church teaches and ‘make a decision about how many children to have in a wise and loving manner – trying to bear in mind various needs, such as health, their existing children, society’s needs, etc.’13 The whole idea about making Natural Family Planning successful is not to have a contraceptive mentality. This however is a mentality that the majority have and as stated by Jack Dominion ‘ninety-nine per cent of sexual activity is knowingly and deliberately non-procreative. Bibliography Dominian, Jack, ‘Masterbation and Premarital Sexual Intercourse’ , God Sex and Love (London: SCM Press, 1989), Koterski, Joseph W. Theological Reflections on Natural Family Planning, http://www.nvjournal.net/images/stories/SampleArticles/6.4.pdf Murray, John, Lecture notes. http://www.usccb.org/issues-and-action/marriage-and-family/natural-family-planning/what-is-nfp/

Is Canada A Free And Democratic Society Essay - 1294 Words

Canada is a free and democratic society that protects and guarantees individual Charter rights and freedoms (Grebowicz, 2011). However, these rights and freedoms are not absolute and can be limited when they infringe on the rights and freedoms of others (Grebowicz, 2011). As a result, the possession of child pornography limits freedom of expression as it innately harmful to children and the broader society (Bray, 2009). Furthermore, society suffers when destructive expressions and behaviors are reinforced (Grebowicz, 2011). Additionally, the dignity and equality of children rights is violated through the existence of pornographic materials independent of its distribution. Furthermore, a collective societal goal is to protect children from harm, one of the most vulnerable societal groups (Bray, 2009). Therefore, laws that criminalizes the possession of child pornography are enacted (Bray, 2009). As a result, competing rights and values often emerges; therefore, the courts are in plac e to create a balance (Grebowicz, 2011). Hart’s work through legal positivism argues that laws are used to govern society; therefore, the population is expected to abide by them. As a result, conformity from its members keeps society running smoothly and efficiently (Stith, 2008). However, disruptive members to society are sanctioned to guarantee conformity from the rest of the population (Stith, 2008). Additionally, the criminal code of Canada dictates behaviors that are unacceptable in societyShow MoreRelatedThe Canadian Charter Of Rights And Freedoms1504 Words   |  7 PagesRights and Freedoms(CCORAF) Guarantees a Free and Democratic Society The Charter of Rights and Freedoms upholds the individual rights of all Canadians. Agree or disagree with the following statement. The Charter is part of Canada’s constitution; the highest law of Canada, which sets out the framework for how Canada is to be governed. The CCORAF sets out those rights and freedoms that Canadians feel are necessary to maintain Canada as a free and democratic community. The Charter created several constitutionalRead MoreEssay on Democracy: A Unique Form of People Power1113 Words   |  5 Pagesfrom the Greek words of â€Å"demos†, referring to people and â€Å"Kratos†, meaning power . The Greeks are credited with developing the earliest forms of democracy around 2,500 years ago. India, Russia, Japan and many other nations have only recently become democratic. Therefore, despite its lengthy history as a concept, democracy has only really become a global reality during the latter half of the 20th century. Democracy means many things to many different people. Winston Churchill has the belief that â€Å"†¦democracyRead MoreEssay about Canada and The Korean Wa r1401 Words   |  6 Pagesand other democratic nations. War officially broke out on June 25, 1950, when the North Koreans assaulted across the countrys division on the 38th Parallel with their men and artillery behind them. North Korea and its leaders wanted to unify the whole country from its division by taking over South Korea under their government. North Korea was allied with China and the Republic of Korea was supported by democratic nations. Although Canada did not send as many troops as the Americans, Canada played aRead MorePierre Trudeau s Policies On The Economy899 Words   |  4 PagesPierre Trudeau’s Policies Pierre Elliot Trudeau was the 15th Prime Minister of Canada. He served as Prime Minister from April 1968 to June 1984. During his time in office, Prime Minister Pierre Trudeau introduced many new policies. Pierre Trudeau’s policies on the economy, the environment and multiculturalism greatly benefitted Canada. Pierre Trudeau’s policies on the economy benefitted Canada. Trudeau introduced many new support programs. They included increased unemployment insurance, benefitsRead MorePublic Servants Play A Huge Role In Implementing Policies1265 Words   |  6 PagesPublic servants play a huge role in implementing policies and have responsibilities to fulfill while in office. In carrying out these responsibilities and duties, there are certain administrative values that must be found in them like ethical, democratic and professional (Barker Mau, p.14). However, public individuals and institutions can disregard the values and ethics code for the public sector and as such make the public to question their decisions and activities. Since the late 17th CenturyRead MoreThe On The Chicken And The Egg : Which One Comes First?1403 Words   |  6 Pagesfundamental values: the rights of a free press and the right to a fair trial, is one continually at odds while living in a free, democratic socie ty such as Canada. Our individual and collective freedoms to enjoy such privilege come at a price: the cost of placing one value over the other in order to balance the competing rights of society, and the exacting demands of our legal system. The decision as to how to determine whether rights (or values) of a free press or right to a fair trial shouldRead MoreMinority And Majority Rights : Canada1389 Words   |  6 Pages Minority and Majority Rights in Canada Olivia Gomes CLU 4U1 Mr. McCormick Tuesday, November 11, 2014 In recent decades of Canadian history, Canada’s social and political change has rapidly formed visible minority and majority groups- Canada has had formally entrenched a constitution, withstood two attempts by the Quebec’s provincial government to secede from the federation, and undertaken a radical shift in immigration policy that tripled the visible minority population. These changesRead MoreInfluence of Compulsory Voting1626 Words   |  7 Pagesand the turnout of voters grew, other democratic countries began wondering if the idea should be implemented globally. Research began on how this implementation affected countries with compulsory voting in place and how it would affect other countries such as Canada (Twomey, 2013). The idea that Canada, or another similarly democratic country, should pass a policy of compulsory voting would be against the very foundation of freedom that defines a democratic state. It brings to mind three questionsRead MoreThe Culture Of Bang ladesh And Canada1497 Words   |  6 Pagesfollowed in the two different nations where different cultures are followed (Kittler, et. al., 2011). This assignment discusses the different business culture present in Bangladesh and Canada. This assignment covers the similarities and differences which exist between two different cultures followed in Bangladesh and Canada. According to Mihaela (2014), the culture of a country contributes to the development of any country it helps in attracting the opportunities in business. The business culture of everyRead MoreIs The Canadian Charter Of Rights And Freedoms Perfect?1276 Words   |  6 PagesCanadian Constitution as part of the Canada Act in 1982. However, the Charter was Canada’s second attempt to protect the rights and freedoms of its citizens all throughout the country and on every level of government. The Canadian Bill of Rights, which preceded the Charter was enacted in 1960. However, being only a federal statute rather than a full constitutional document, it had no power and application to provincial laws. In addition, the Supreme Court of Canada only narrowly interpreted the Bill

The Tragedy Of Othello By William Shakespeare - 938 Words

â€Å"The Tragedy of Othello† is commonly considered one of Shakespeare s greatest tragedies and one of his finest works. In this play we see many literary devices at work. Several of these devices are involved in Iago’s deceitful plot against Othello that creates much suspense for the duration of the play. In â€Å"The Tragedy of Othello,† William Shakespeare uses symbolism, irony, and tone to create this classic drama. Symbols are central to understanding â€Å"Othello† as a play. There are two significant symbols in â€Å"The Tragedy of Othello†: the handkerchief and the â€Å"Willow† song. The handkerchief is the most important symbol in this drama as it represents many different things for different characters in the play. To Desdemona the handkerchief functions as a token of Othello’s love because it was his first gift to her (Shmoop Editorial Team). As for Othello we see it represent to him his love for Desdemona being his first gift to her, and later in the play representing his suspicion of her in regards to her fidelity. When Othello begins to suspect that Desdemona has been unfaithful and has given Cassio her handkerchief, he tells her that the stitching of the red strawberries â€Å"was dyed in mummy which the skillful conserved of maidens hearts† (Shakespeare 1350). In this way, the handkerchief resembles a white wedding sheet that has been stained with a virgin s blood (Shmoop Editorial Team). In Othello’s mind, as long as Desdemona has the handkerchief she is chaste, but if she â€Å"losesShow MoreRelatedThe Tragedy Of Othello By William Shakespeare757 Words   |  4 Pages The Tragedy of Othello by William Shakespeare William Shakespeare uses many literary devices to enhance and provide greater complexity in his works. More specifically, the theme, symbolism, and dramatic irony are used to enrich Shakespeare’s The Tragedy of Othello. The plot is definitely engaging but the theme allows for an universal human correspondence, furthering the depth of the author’s message. The element of symbolism contributes to the theme of Shakespeare’s tragedy. Symbolism expressesRead MoreThe Tragedy Of Othello By William Shakespeare Essay1537 Words   |  7 PagesDrake Usher Ms. Zamanis Honors English II March 18, 2016 Othello Essay â€Å"The Tragedy of Othello,† by William Shakespeare, is about the tragic downfall of a once great man named Othello by the manipulation of Iago, the antagonist of the story. However, a deeper meaning of Othello could be â€Å"[It] is a tragedy of incomprehension, not at the level on intrigue but at the deepest level of human dealings. No one in Othello come to understand himself or anyone else.† It is debated on whether or not this isRead MoreThe Tragedy Of Othello By William Shakespeare Essay1418 Words   |  6 Pagesentertainment through their literature since the first known published work. However, for many centuries the writer has also been seen to have a diagnostic function, scrutinizing the ills of their society and portraying them for the world to see. William Shakespeare, 1564-1616, was an English playwright, poet and actor, widely regarded as the greatest writer in the English language and the world s most distinguished dramatist. His surviving works, incl uding some collaborations, consist of about 38 playsRead MoreThe Tragedy Of Othello By William Shakespeare1141 Words   |  5 Pages2 Hr 16 December 2014 Othello Essay The Tragedy of Othello The renowned play of Othello was written by William Shakespeare in the 17th century. The drama follows the life of Othello, a well-respected and admired Venetian general, and the lie he gets tangled up in. Othello is deceived by his â€Å"trustworthy† friend, Iago, who confidently convinces Othello that his honest wife, Desdemona, committed infidelity upon him with his honorable lieutenant, Cassio. At the start, Othello doesn’t quite believe IagoRead MoreThe Tragedy Of Othello By William Shakespeare1737 Words   |  7 PagesThe Tragedy of Othello the: Moor of Venice was written by William Shakespeare, and it is only one of countless notable plays he wrote. A reoccurring theme in Othello is jealousy brought on usually by deception; throughout the play people often hide their true intentions and are not always what they appear to be like W.H Auden said â€Å"There s always another story. There s more than meets the eye.† The relationships Iago built on manipulatio n, lies, and false promises were a crucial part of the play;Read MoreThe Tragedy Of Othello By William Shakespeare998 Words   |  4 Pages The Tragedy of Othello: The Moor of Venice is William Shakespeare’s play, written around sixteen hundreds. The Tragedy of Othello is not just a story of jealousy; this is a tragedy of the clash of two worlds. One of them is a world of absolute cynic, manipulate or Iago; the second world is the world of all the other characters in the tragedy, including, possibly, even Othello. Even though both of the main male characters, Iago and Othello, are murderers, they have different types of charactersRead MoreThe Tragedy Of Othello By William Shakespeare864 Words   |  4 PagesIn the play The Tragedy of Othello, The Moor of Venice by William Shakespeare, Emilia is portrayed as a women who doesn’t have enough self-confidence. She does many awful misdeeds to please her husband, and hopes that he will give her some affection. She just want to make her husband happy. Emilia betrayed her lady Desdemona, because Lago asked for her handkerchief for a while and since she just dropp ed it, suddenly, Emilia thought that this was her opportunity to quickly grab it and make LagoRead MoreThe Tragedy Of Othello By William Shakespeare1133 Words   |  5 PagesThe Tragedy of Othello, the Moor of Venice, is a play written by William Shakespeare between 1601 and 1604 in England. Shakespeare is a legendary author, poet, and play writer. He has wrote many plays like Romeo and Juliet, Hamlet, Macbeth, and King Lear Othello is about a black general by the name of Othello who is desperately in love with a young woman named Desdemona. They marry and attempt to build a life together, even though Othello is way older than she is, he’s black, and did not come fromRead MoreThe Tragedy Of Othello By William Shakespeare1854 Words   |  8 PagesThe play â€Å"The Tragedy of Othello, the Moor of Venice† by William Shakespeare is often listed among the greatest stories of tragedies which explores numerous controversial topics including Inter-racial marriage, racism, j ealousy and revenge. While the titular character Othello is the protagonist of the story and definitely does occupy a large part of the play, the real focus of the play is on the ‘ingenuous’ Iago who makes everyone dance on his fingers and successfully manipulates them. The â€Å"Honest†Read MoreThe Tragedy Of William Shakespeare s Othello959 Words   |  4 Pagesthey have to deal with. According to dictionary.com, a struggle is defined as, â€Å"a forceful/violent attempt or effort to get free from restraint or contrition†. Some of these personal struggles are more pronounced than other. From Othello, the tragedy by William Shakespeare, we can see how humans are faced with individual contentions, and their daily actions are ways and efforts of trying to free themselves. In the discussion below we consider Othello’s struggle with being different, gullibility, timidity

The Fight For Success And Supremacy - 1779 Words

Within that last flicker hitting 270 electoral votes, our new and prosperous, presidential candidate, has been chosen to become our 45th president. Among the upcoming 2016 election, there holds to be no question that the Democratic party shall claim victory. Throughout establishing concrete, precise, and well-developed reasoning, democrats hold a more justifiable trust to guiding America. However, the predicament comes to be which democratic candidate, can lead America to drift back into the superpower title, that they had once been privileged to be called. A time, where the United States was upholding the title as the most extensive, well-establish, and on-going economy, in which, increased the dependencies of other nations towards them. Nevertheless, the only democratic candidate between Hillary Clinton and Bernie Sanders, that would join us in the fight for success and supremacy is Bernie Sanders. How can this be possible? Bernie Sanders has been implementing conclusive plans, wit hin legal immigration, tax reforms, health care, and national security/terrorism regulations. Within Sanders legal immigration stance, pleads how long-term staying individuals, shall be allowed to receive their documents without having a criminal record. An act so well justifiable that only makes Sanders closer to the potential of being our next president. In addition, Sanders tax reform promotes the improvements to be made to the majority class, the middle-class. In the window peek of taxShow MoreRelatedAmerican Dreams And The American Dream1728 Words   |  7 Pageshealth, leadership, wealth, supremacy, and equality. H.W. Brands states in his book American Dreams that â€Å"Americans had dreamed since our national birth, and in the twenty-first century we are dreaming still†. Both Brands’ story and Nathaniel Philbrick’s account in Mayflower assist significantly in proving that the American Dream has survived into the twenty-first century. As America is met with different governments, world wars, international conflict, both economic success and failure, and shifts inRead MoreMalcolm X : An International Treasure1736 Words   |  7 Pagesagainst white supremacy for blacks in America(Biography.com Editors). As an African-American, he and other African-Americans risked their lives to create a better life for themselves and the African-American race. The challenges that Malcolm X overcame and his success in his civil rights movement makes his life so significant. Malcolm X is an international treasure because he provided the African American community with confidence to fight against white supremacy. Surrounded by white supremacy, MalcolmRead MoreWhite Supremacy During The Reconstruction Era856 Words   |  4 Pagesculture, white citizens, primarily based in the South, came under rage. Thus, white supremacy became prominent in the United States after the Reconstruction era, a period also called the Nadir. This erupted into a series of violent attacks against the black community and many legislations to deny blacks the immunities and privileges granted to all people in the constitution. One of the main reasons that white supremacy erupted at the turn of the twentieth century was the lack of protection for blacksRead MoreWhat Gave Public Enemy the Right to Call Elvis and John Wayne Racists?706 Words   |  3 Pagescoat of arms for the American Dream and embodied societies perceptions of white supremacy. Their seemingly endless fan base and mass appeal, coupled with a ‘whitewashed legacy’, distinguished them as icons amongst a vast range of underrated and extremely talented colored artists. Chuck D and Flava Flav articulate their disdain by labeling them as racists and insulting them in Public Enemy’s most notorious song Fight The Power. What right did they have in doing this? John Wayne was an extremelyRead MoreThe Timeline Of Black History In The United States Is One1525 Words   |  7 PagesBlack scholars that Black Americans must take a personal responsibility to uplift one’s own race. WEB DuBois, for instance, believed that the ‘Talented Tenth’ of the Black intellectual elite are obligated to inspire and cultivate Black excellence and success in society through their leadership. Booker T. Washington preached another attitude of personal responsibility, a ‘pull yourself up by your bootstraps’ approach for Black youth to better themselves to contradict racial stereotypes. The perspectivesRead MoreBlack Nationalism927 Words   |  4 Pagesquite calmly that most white Americans do not like them, and are planning neither for their survival, nor their definite future W.E.B. DuBois A Negro Nation within the Nation The Premise: Black Nationalism is a pragmatic solution for the success and survival of the oppressed African Americans. The Argument: Black Nationalism is defined by Karenga, as the political belief and practice of African Americans as a distinct people with a distinct historical personality who politically shouldRead MoreBlack Codes, Redemption, And Jim Crow1042 Words   |  5 Pagesexamples of initial offering and then revoking of freedoms toward African Americans throughout Reconstruction. African Americans did not lose without a fight though; some even maintained it. Blacks resisted their revocation of their freedom through the development of Alliances and Leagues, which helped them liberate themselves of black codes and white supremacy. African Americans envisioned a new nation, one that was free, and where everyone was created equal, or better yet, where everyone saw the otherRead MoreThe Long Journey Of African Americans1176 Words   |  5 Pagespolitical, education, social and economic development of the black Americans. The black people were despised because of their skin color leading to lack of develop ment on their part. They were denied their rights until the late 20th century when their fight for recognition brought the much anticipated results. These changes have gone until now that the Americans were able to select a black person as the president. Since 1877, there are a lot of things that happened in the history of the black AmericansRead MoreAncient History and Slavery836 Words   |  4 Pageshigh interest rates and unpredictable harvest, the debt would cross over to the following year. It is the equivalent of todays’ cash advance stores. The farm owner otherwise none as the slave master would sell the sharecroppers wild stories of the success and profit they would make by farming their land. In most cases the only thing, which, the sharecropper brought to the table was labor. There was never any room for advancement because of the vicious cycle of modern slavery. With the horrible conditionsRead MoreThe Jim-Crow Era: An Omitted Era in American History1524 Word s   |  7 Pagescom). As reconstruction continued, several southern whites starting using violence to intimidate the Republicans, (Democrats were the conservatives in this time period as opposed to today where it is backwards.) and anyone who stood against white Supremacy. This turn to violence was how the first Ku Klux Klan rose. The Klan was formed by six ex-Confederate Veterans in Pulaski, Tennessee, this organization started off small but began absorbing most of the other anti-Reconstruction groups in the south

Congestive Cardiopoietic Regenerative Therapy †MyAssignmenthelp

Question: Discuss about the Congestive Cardiopoietic Regenerative Therapy. Answer: Introduction: Congestive heart failure is a very common cardiac disorder that mainly targets the middle aged and above patient population. On a more elaborative note, it can be mentioned that this disease is a chronic progressive condition that only alters the pumping capability of the heart due to excess fluid build up facilitated by deficient oxygen rich blood supply (Tissot, da Cruz Miyamoto, 2014). Elaborating on the different causes of the disease it can be mentioned that there are a variety of different health conditions that can lead to the occurrence congestive heart failure such as coronary arterial diseases, hypertension, valve deterioration and damaged or weakened heart. Exploring further, in case of the coronary arterial diseases, there is generally cholesterol deposition that blocks the most vital arteries narrowing them down further (Bartunek et al., 2016). This restricts the flow of blood and leads to deficiency of oxygen rich blood reaching the heart. Another very common cause to congestive heart failure is the hypertension which increases the vulnerability of any patient suffering from congestive heart failure as well. It has to be mentioned in this context that for hypertensive patients, the blockages are much more aggravated in vital arteries leading to more probability of the patient going through congestive heart failure. Other causes include impaired valve condition that do not open or close correctly and weakened o pre damaged heart due to past history of cardiovascular disorders. In this case the patient had went through a past history of myocardial infarction which can have damaged her cardiovascular apparatus, along with that Sharon had also went through a sinus bradycardia which must have contributed to irreversible damage to the coronary muscles and arteries leading to the congestive heart failure (Crowley et al., 2017). Considering the incidence of congestive heart failure, it can be stated that this diseases carries the burden of 30% of the total mortality in Australia and affects one Australian in every 12 minutes. There are various risk factors associated with the disease, first and foremost, tobacco usage and alcohol addiction can be considered as one of the most common ones. Along with that, a few health conditions can also increase the risk of congestive heart failure effectively such as obesity, diabetes, insomnia, congenital coronary abnormalities, etc. Although, with respect to the case study, the common risk factors to this scenario, can be the hypertension and previous history of myocardial infarction and sinus bradycardia (Hall, Levant DeFrances, 2012). The impact of congestive heart failure is extreme and it imposes a significant set of restriction and it can be a huge psychological burden on the patient; even the family members suffer to see their loved one going through the complexit ies of this disease management. Signs and symptoms Patho-physiology Shortness of breath It is one of the most frequently observed and reported signs of congestive heart failure. The medical terminology for this symptom is Dyspnoea, and it accompanies acute breathlessness occurring randomly and persistently. The underlying pathophysilogy behind this symptom is associated with the leakage of blood into the longs of the patient due to the excessive blood back up in the pulmonary veins as the heart is unable to keep up with the demand of oxygenated blood of the body (Martindale et al., 2016). Swollen ankles or localized oedema The direct reason behind the occurrence of swollen ankles in the cardiac disorders or in congestive heart failures is the excess fluid back in the body tissues. The reduced or slowed down blood flow through the heart causes blood back up in the veins which in turn leads to fluid back up in the tissues. The reduced blood flowing through the body also affects the water retention capability of the body and leads to reduced water and sodium disposal in the body. This is how fluid retention is aggravated in different parts of the body including feet, ankles, legs, and abdomen (Mathew et al., 2018). Fatigue and dizziness Another very common symptom of congestive heart failure can be the persistent feeling of tiredness or fatigue all throughout the day. The pathophysiology behind this is the inability of the heart to pump enough blood to meet the needs of the rest of the body. The lack of enough blood flow to brain and vital organs of the body results into the blood being diverted from the less vital organs of the body like the muscles in the limb causing extreme muscular fatigue (Norhammar et al., 2017). Rapid and irregular heart rate Heart palpitations can be defined as a very common consequence of congestive heart disease and is a very common sign or symptom of such disorders. In congestive heart failures, the loss of pumping capacity is compensated by the heart by pumping faster (Cho et al., 2015). Cold hands The last sign or symptom that congestive heart failure is associated with is the cold hand and feet which is mainly facilitated by the de to the lack of warm oxygenated blood flowing throughout the body. The end points or peripheral regions of the body receive the least amount of warm blood and hence the hands and feet remain cold for the most part of the day (Di Biase et al., 2016). For any cardiovascular disorders the most abundantly opted medication is the beta blockers. This class of drugs are extremely potent and they provide immediate relief to the patients defying the fatal consequences of the patient effectively. It has to be mentioned in this context that there has been a time in the past when the beta blockers were not the first choice of medication for congestive heart failures, however nowadays, a medication plan for the congestive heart failure is not complete without beta blockers (Cho et al., 2015). The mechanism of action of the beta blockers is complex, these agents can slow down the progression of systolic heart failure effectively by slowing down the heart rate and allowing the left ventricle to access higher blood flow and fill more completely. As the left ventricle is the main pumping chamber of the heart this function has a significant impact on slowing down the heart rate and evading the mortality dangers for the patient. Along with that it has to be mentioned as well that the beta blockers can also widen the blood vessels allowing higher blood passage through the veins and arteries. Hence, Beta blockers can be the first choice of medication for the patients, such as carvedilol, extended-release metoprolol, and bisoprolol (Raimondi et al., 2016). It has to be understood that the patient had been suffering from extreme breathing troubles or shortness of breath. The most important reason behind the shortness of breath and breathing troubles is the increased fluid back up in the body. The second class of drugs that can be extremely beneficial for the patient can be the diuretics. The aldosterone receptor antagonists are potent potassium sparring diuretics that can helps by stimulating the kidneys to dispose more water and sodium which reduces the fluid back up completely and relieves the pulmonary burden and swelling as well (Di Biase et al., 2016). Hence, medication ACE inhibitors like the amiloride and triamterene can be used to manage the patient as well. This case study represents the case of a Sharon Mackenzie who had been presented to the emergency department with the symptoms of shortness of breath, swollen ankles, mild nausea and dizziness. The patient had past patient history of myocardial infarction at the age of 65and had been going thorough random and frequent episodes of shortness of breath for the last 7 days as well. It has to be mentioned in this context that her signs and symptoms were aggravated whenever she was undergoing any physical exertion. According to the diagnostic assessment that the patient had been undergone the most possible health disorder diagnosed had been congestive heart failure. The emergency care plan for her can be as follows: Nursing care priority Nursing outcome Intervention Rationale Shortness of breath The ineffective breathing pattern of the patient will subside and the patient will be relieved from the dyspnoea. Monitoring and assessment of the respiratory ratio of the patient along with the vital signs to assess the immediate care priorities. Critically analyse the breathing pattern for dyspnoea such as the nasal flaring, pursed lip breathing and prolonged expiration involving excessive respiratory muscle usage (Fry et al., 2017). Administer airway clearance and external oxygen therapy to the patient. Administration of potassium sparring diuretics such as the ACE inhibitors to relieve the patient from the pulmonary burden due to fluid back up (Yu et al., 2015) The thorough assessment will help reveal the exact breathing troubles that Sharon was dealing with and will be able to design accurate and precise acre plan. The airway clearance and the external oxygen therapy will be beneficial to increase the respiratory rate the oxygen saturation. Increased renal functions will revive the swelling and breathing troubles of the patient (Yu et al., 2015). High heart rate and decreased cardiac output The heart rate of the patient will return to normal levels and the cardiac output of the patient will also increase. Auscultation of the apical pulse and assessment of heart rate and rhythm. Administration of beta blockers to dilate the blood vessels and slow down the heart rate (Norhammar et al., 2014). Palpating peripheral pulse to revive diminished radial, popliteal, dorsalis pedis, and post tibial pulses. It will provide insight regarding the exact cardiac function will help in customizing the care plan according to the emergency care needs. Slowing down the heart rate and vasodilatation will be helpful in avoiding fatalities due to decreased cardiac output (Di Biase et al., 2016). As the impact of decreased cardiac output can be reflected upon the peripheral pulses, palpating will help revive them (Martindale et al., 2016) hypertension The blood pressure of the patient will revert back to normal Monitor the blood pressure of the patient and assessment of the systolic pressure imbalance. Administration of medication like the thiazide diuretics and the calcium channel blockers as well (Martindale et al., 2016). Diligently monitoring the blood pressure of the patient in the hands and thighs. This monitoring will be beneficial for the patient so that any minute change in the vital sign can be addressed properly. This medication will help in reducing the systolic pressure of Sharon. The progress of the patients and response to the medication will be helpful to carry forward the nursing care planning (Mathew et al;., 2018). Nausea and dizziness The patient will be relieved from the nausea and dizziness and fatigue. Provide the patient with the opportunity to be comfortable in a calm environment. Increase the fluid uptake of the patient and put her in a high energy high antioxidant diet. Encourage a therapeutic relationship with the patient and ask her take the recovery position (Norhammar et al., 2017) It will relax the patient and will help in reviving the energy of the patient (Mathew et al;., 2018). It will help the patient find the necessary nutrition to remain energized (Crowley et al., 2017). This intervention will relax her and will help in reducing the anxiety and fatigue (Vijayakrishnan et al., 2014). References: Bartunek, J., Davison, B., Sherman, W., Povsic, T., Henry, T. D., Gersh, B., ... Homsy, C. (2016). Congestive Heart Failure Cardiopoietic Regenerative Therapy (CHART?1) trial design.European journal of heart failure,18(2), 160-168. Cho, M. J., Lim, R. K., Jung, M. K., Park, K. H., Kim, H. Y., Kim, Y. M., Lee, H. D. (2015). Effects of beta-blockers for congestive heart failure in pediatric and congenital heart disease patients: a meta-analysis of published studies. Crowley, M. J., Diamantidis, C. J., McDuffie, J. R., Cameron, C. B., Stanifer, J. W., Mock, C. K., ... Williams, J. W. (2017). Clinical outcomes of metformin use in populations with chronic kidney disease, congestive heart failure, or chronic liver disease: a systematic review.Annals of internal medicine,166(3), 191-200. Di Biase, L., Mohanty, P., Mohanty, S., Santangeli, P., Trivedi, C., Lakkireddy, D., ... Casella, M. (2016). Ablation vs. amiodarone for treatment of persistent atrial fibrillation in patients with congestive heart failure and an implanted device management: results from the AATAC multicenter randomized trial.Circulation, CIRCULATIONAHA-115. Fry, N., Liu, C., Garcia, A., Galougahi, G. K., Hamilton, E., Harris, J., ... Rasmussen, H. (2017). From Bench-Based PhD Project to First-in-Man Use of 3 Adrenergic Agonist in Patients with Treatment-Resistant Decompensated Congestive Heart Failure.Heart, Lung and Circulation,26, S134. Hall, M. J., Levant, S., DeFrances, C. J. (2012). Hospitalization for congestive heart failure: United States, 20002010.age,65(23), 29. Martindale, J. L., Wakai, A., Collins, S. P., Levy, P. D., Diercks, D., Hiestand, B. C., ... Sinert, R. (2016). Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta?analysis.Academic Emergency Medicine,23(3), 223-242. Mathew, J., Hunsberger, S., Fleg, J., Mc Sherry, F., Williford, W., Yusuf, S. (2018). Incidence, predictive factors and prognostic significance of supraventricular tachyarrhythmias in congestive heart failure.Journal of the American College of Cardiology,31(Supplement 1), 218. Norhammar, A., Johansson, I., Thrainsdottir, I. S., Rydn, L. (2017). Congestive heart failure.Textbook of Diabetes, 659-672. Raimondi, S., Botteri, E., Munzone, E., Cipolla, C., Rotmensz, N., DeCensi, A., Gandini, S. (2016). Use of beta?blockers, angiotensin?converting enzyme inhibitors and angiotensin receptor blockers and breast cancer survival: Systematic review and meta?analysis.International journal of cancer,139(1), 212-219. Tissot, C., da Cruz, E. M., Miyamoto, S. D. (2014). Congestive Heart Failure. InPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care(pp. 2045-2062). Springer London. Vijayakrishnan, R., Steinhubl, S. R., Ng, K., Sun, J., Byrd, R. J., Daar, Z., ... Stewart, W. F. (2014). Prevalence of heart failure signs and symptoms in a large primary care population identified through the use of text and data mining of the electronic health record.Journal of cardiac failure,20(7), 459-464 Yu, O. H. Y., Filion, K. B., Azoulay, L., Patenaude, V., Majdan, A., Suissa, S. (2015). Incretin-based drugs and the risk of congestive heart failure.Diabetes Care,38(2), 277-284.