Friday, November 8, 2019

Benjamin Tucker Tanner

Benjamin Tucker Tanner Overview Benjamin Tucker Tanner  was a prominent figure in the African Methodist Episcopal (AME)  Church  . As a clergyman and news editor, Tucker played a pivotal role in the lives of African-Americans as the Jim Crow Era became a reality. Throughout his career as a religious leader, Tucker integrated the importance of social and political power with fighting racial inequality.   Early Life and Education Tanner was born on December 25, 1835 in Pittsburgh to Hugh and Isabella Tanner. At the age of 17, Tanner became a student at Avery College. By 1856, Tanner had joined the AME Church and continued to further his education at Western Theological Seminary. While a seminary student, Tanner received his license to preach in the AME Church. While studying at Avery College, Tanner met and married Sarah Elizabeth Miller, a former slave who had escaped on the Underground Railroad. Through their union, the couple had four children, including Halle Tanner Dillon Johnson, one of the first African-American women to become a physician in the United States and Henry Osawa Tanner, the most distinguished African-American artist of the 19th Century. In 1860, Tanner graduated from Western Theological Seminary with a pastoral certificate.   Within two years, he established an AME Church in Washington D.C. Benjamin Tucker Tanner: AME Minister and Bishop While serving as a minister, Tanner established the United States first school for freed African-Americans in the United States Navy Yard in Washington D.C. Several years later, he supervised freedmans schools in Frederick County, Maryland. During this time, he also published his first book, An Apology for African Methodism in 1867. Elected Secretary of the AME General Conference in 1868, Tanner was also named editor of Christian Recorder. The Christian Recorder soon became the largest circulating African-American newspapers in the United States. By 1878, Tanner received his Doctor of Divinity degree from Wilberforce College.   Soon after, Tanner published his book, Outline and Government of the AME Church and was appointed editor of the newly established AME newspaper, AME Church Review. In 1888, Tanner became a bishop of the AME Church. Death Tanner died on January 14, 1923 in Washington D.C.

Wednesday, November 6, 2019

Optimal LDL cholesterol levels Essays

Optimal LDL cholesterol levels Essays Optimal LDL cholesterol levels Paper Optimal LDL cholesterol levels Paper Dyslipidemia came from the words â€Å"dys-â€Å" plus â€Å"lipid† which means fat and â€Å"-emia† which means in the blood. Altogether it means essentially, disordered lipids in the blood. According to Merck Co. 2008, Dyslipidemia is a disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency. Dyslipidemias may be manifested by elevation of the total cholesterol, the bad low-density lipoprotein (LDL) cholesterol and the triglyceride concentrations, and a decrease in the good high-density lipoprotein (HDL) cholesterol concentration in the blood. Dyslipidemia is a condition wherein it comes under consideration in many situations including diabetes, a common cause of lipidemia. For adults with diabetes, it has been recommended that the levels of LDL, HDL, and total cholesterol, and triglyceride be measured every year. Optimal LDL cholesterol levels for adults with diabetes are less than 100 mg/dL (2. 60 mmol/L), optimal HDL cholesterol levels are e4qual to or greater than 40 mg/dL (1. 02 mmol/L), and desirable triglyceride levels are less than 150 mg/dL (1. 7 mmol/L). Dyslipidemias were traditionally classified by patterns of elevation in lipids and lipoproteins. A more practical system categorizes dyslipidemias as primary or secondary and characterizes them by increases in cholesterol only (pure or isolated hypercholesterolemia), increases in TGs only (pure or isolated hypertriglyceridemia), or increases in both cholesterol and TGs (mixed or combined hyperlipidemias). This system does not take into account specific lipoprotein abnormalities (eg, low HDL or high LDL) that may contribute to disease despite normal cholesterol and TG levels. Dyslipidemia is a condition marked by abnormal concentrations of lipids or lipoproteins in the blood. (Merriam- Webster’s Medical Dictionary 2006) The Primary cause of dyslipidemia are single or multiple genetic mutations that result in either overproduction or defective clearance of TG and LDL cholesterol, or in underproduction or excessive clearance of HDL Primary lipid disorders are suspected when a patient has physical signs of dyslipidemia, onset of premature atherosclerotic disease less than 60 years old, a family history of atherosclerotic disease, or serum cholesterol 240 mg/dL ( 6. 2 mmol/L). Primary disorders, the most common cause of dyslipidemia in children, do not cause a large percentage of cases in adults. The names of many reflect an old nomenclature in which lipoproteins were detected and distinguished by how they separated into ? (HDL) and ? (LDL) bands on electrophoretic gels. The Secondary cause of this disease contributes to most cases of dyslipidemia in adults. The most significant secondary cause in developed countries is a sedentary lifestyle with excessive dietary intake of saturated fat, cholesterol, and trans fatty acids (TFAs). TFAs are polyunsaturated fatty acids to which hydrogen atoms have been added; they are commonly used in many processed foods and are as atherogenic as saturated fat. Other frequent secondary causes include diabetes mellitus, alcohol overuse, chronic renal insufficiency and/or failure, hypothyroidism, primary biliary cirrhosis and other cholestatic liver diseases, and drugs, such as thiazides, ? -blockers, retinoids, highly active antiretroviral agents, estrogen and progestins, and glucocorticoids. Diabetes is most common significant secondary cause because patients tend to have an atherogenic arrangement of high TGs; high small, dense LDL fractions; and low HDLs (diabetic dyslipidemia, hypertriglyceridemic hyperapo B). Patients with type 2 diabetes are especially at risk. The combination may be a consequence of obesity and/or poor control of diabetes, which may increase circulating FFAs, leading to increased hepatic VLDL production. TG-rich VLDL then transfers TG and cholesterol to LDL and HDL, promoting formation of TG-rich, small, dense LDL and clearance of TG-rich HDL. Diabetic dyslipidemia is often exacerbated by the increased caloric intake and physical inactivity that characterize the lifestyles of some patients with type 2 diabetes. Women with diabetes may be at exceptional risk for cardiac disease from this form. B. Signs and Symptoms Dyslipidemia itself can cause no symptoms but can lead to symptomatic vascular disease, including coronary artery disease and peripheral arterial disease. High TGs ( 1000 mg/dL [ 11. 3 mmol/L]) can cause acute pancreatitis. Extremely high levels of LDL can cause eyelid xanthelasmas; arcus corneae; and tendinous xanthomas found at the Achilles, elbow, and knee tendons and over metacarpophalangeal joints. Patients with the homozygous form of familial hypercholesterolemia may have the above findings plus planar or cutaneous xanthomas. Patients with severe elevations of TGs can have eruptive xanthomas over the trunk, back, elbows, buttocks, knees, hands, and feet. Patients with the rare dysbetalipoproteinemia can have palmar and tuberous xanthomas. Another one is severe hypertriglyceridemia which is ( 2000 mg/dL [ 22. 6 mmol/L]) it can give retinal arteries and veins a creamy white appearance (lipemia retinalis). Extremely high lipid levels also give a lactescent (milky) appearance to blood plasma. Dyslipidemias are usually asymptomatic; it may cause xanthelesmas and xanthelamata, and after a prolonged period it may result into Ischemic heart disease, Peripheral vascular disease, Cerebrovasular disease and kidney disease C. Physical Exam Findings It is usually diagnosed by measuring serum lipids, though it may be suspected in patients with characteristic physical findings. Routine measurements also known as lipid profile, includes total cholesterol (TC), TGs, HDL, and LDL. TC, TGs, and HDL are measured directly; TC and TG values reflect cholesterol and TGs in all circulating lipoproteins, including chylomicrons, VLDL, IDL, LDL, and HDL. TC values vary by 10% and TGs by up to 25% day-to-day even in the absence of disease. TC and HDL can be measured in the nonfasting state, but most patients should have all lipids measured while fasting for maximum accuracy and consistency. Testing of the disease should be postponed until after resolution of acute illness, because TGs increase and cholesterol levels decrease in inflammatory states. Lipid profiles are generally reliable within the first 24 h after an acute MI but then change. LDL values are most often calculated as the amount of cholesterol not contained in HDL and VLDL, where VLDL is estimated by TG ? 5; ie, LDL = TC ? [HDL + (TGs ? 5)] (Friedewald formula). VLDL cholesterol is estimated by TG ? 5 because the cholesterol concentration in VLDL particles is usually 1? 5 of the total lipid in the particle. This calculation is valid only when TGs are 400 mg/dL and patients are fasting, because eating increases TGs. The calculated LDL value incorporates measures of all non-HDL, nonchylomicron cholesterol, including that in IDL and Lp(a). LDL can also be measured directly using plasma ultracentrifugation, which separates chylomicrons and VLDL fractions from HDL and LDL, and by an immunoassay method. Direct measurement may be useful in some patients with elevated TGs to determine if LDL levels are also high, but these direct measurements are not routinely necessary. The role of apo B testing is under study because values reflect all non-HDL cholesterol (in VLDL, VLDL remnants, IDL, and LDL) and may be more predictive of coronary artery disease (CAD) risk than LDL alone. (Brunner Suddhart’s Textbook of Medical-Surgical Nursing 10th edition 2004) A fasting lipid profile (TC, TGs, HDL, and calculated LDL) should be obtained in all adults ? 20 yr and should be repeated q 5 yr. Lipid measurement should be accompanied by assessment of other cardiovascular risk factors, defined as diabetes mellitus, cigarette use, hypertension, and family history of CAD in a male 1st-degree relative before age 55 or a female 1st-degree relative before age 65. A definite age after which patients no longer require screening has not been established, but evidence supports screening of patients into their 80s, especially in the presence of atherosclerotic cardiovascular disease. Indications for screening patients 20 yr are atherosclerotic risk factors, such as diabetes, hypertension, cigarette smoking, and obesity; premature CAD in a parent, grandparent, or sibling; or a cholesterol level 240 mg/dL ( 6. 2 mmol/L) or known dyslipidemia in a parent. If information on relatives is unavailable, as in the case of adopted children, screening is at the discretion of the health care practitioner. Patients with premature atherosclerotic cardiovascular disease, cardiovascular disease with normal or near-normal lipid levels, an extensive family history of heart disease, or high LDL refractory to drug therapy should probably have Lp(a) levels measured. Lp(a) levels may also be directly measured in patients with borderline high LDL to determine if drug therapy is warranted. C-reactive protein and homocysteine measurement may be considered in the same populations. Tests for secondary causes of dyslipidemia- including measurements of fasting glucose, liver enzymes, creatinine, thyroid stimulating hormone (TSH), and urinary protein- should be performed in most patients with newly diagnosed dyslipidemia, and when a component of the lipid profile has inexplicably changed for the worse. D. Treatment Prognosis The prognosis of this disease varies with lipid levels and other cardiovascular risk factors. Treatment for dyslipidemia is indicated for all patients with cardiovascular disease (secondary prevention) and for some without (primary prevention). The National Institutes of Healths National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATPIII) guidelines are the most common reference for deciding which adults should be treated The guidelines focus primarily on reducing elevated LDL levels and secondarily on treating high TGs, low HDL, and metabolic syndrome (see Obesity and the Metabolic Syndrome: Metabolic Syndrome). An alternate treatment guide (the Sheffield table) uses TC: HDL ratios combined with presence of CAD risk factors to predict cardiovascular risk, but this approach probably leads to undertreatment. E. Bibliography Anne Hackman, MD; Yasunori Abe, MD; William Insull, Jr, MD; Henry Pownall, PhD; Louis Smith, PhD; Kay Dunn, PhD; Antonio M. Gotto, Jr, MD, DPhil; Christie M. Ballantyne, MD; 1996 Levels of Soluble Cell Adhesion Molecules in Patients With Dyslipidemia; Circulation. 1996;93:1334-1338 Brunner Suddhart’s Textbook of Medical-Surgical Nursing 10th edition 2004 Frick MH, Elo O, Haapa K, Heinonen OP, Heinsalmi P, Helo P, Huttunen JK, Kaitaniemi P, Koskinen P, Manninen V 1987 Nov 12;317(20):1237-45. Helsinki Heart Study: primary-prevention trial with gemfibrozil in middle-aged men with dyslipidemia. Safety of treatment, changes in risk factors, and incidence of coronary heart disease. et al. 1: N Engl J Med. Haffner SM 1998 Jan; 21(1):160-78. Management of dyslipidemia in adults with diabetes. PMID: 9538988 [PubMed indexed for MEDLINE] Jonathan Valabhji, Robert S Elkeles 2003; Dyslipidemia in Type 2 Diabetes: Epidemiology and Biochemistry Medicine Net, Inc. 1996-2008; Dyslipidemia definition: medterms. com/script/main/art. asp? articlekey=33979 Merck Manual Professional 1995-2008; Dyslipidemia: Lipid Disorders: merck. com/mmpe/sec12/ch159/ch159b. html Merriam- Webster’s Medical Dictionary 2006

Monday, November 4, 2019

The Initial Business in Black Jacks Assignment Example | Topics and Well Written Essays - 1000 words

The Initial Business in Black Jacks - Assignment Example If the initial business plan is successful then the club facility will be extended based upon its success rate.Black Jacks targeted audience will be the population in Savannah above 18 who have the relatively refined taste of music. The targeted customers are not in any way limited in terms of gender. The Club is expected to provide music records of all genres making it easier for the customers to find their chosen records at one place. The services to be provided by Blac Jacks will also include customized music recordings. Location may be one of the most important aspects of our proposed business. This will decide which market we are going to serve as well as the future prosperity chances depends upon this. So, we have got the opportunity to buy an appropriate place in 7939 Abercorn st. Savannah. This club will be basically located in a shopping plaza where the surrounding businesses will also be helpful to boost our business. So this location will allow us to gain customers more easily. There will be no parking issue because of large car parking of the shopping plaza and also the closing time of the shopping plaza is 10:30 pm which will also be beneficial for our club. As Savannah is the largest city in the U.S. state of Georgia. The population has grown by 16.6 percent in the last ten years. Now its total population is 425,528. It is considered as the largest trading area as well as it attracts millions of visitors that may be beneficial for my business. 1. College Students: We have created an environment that will appeal the high school college students and we are expecting an increase of 5 percent from this segment annually because of positive word of mouth. 2. Childless Young Professionals: Due to our presence in the premises of shopping center, we must appeal to single students and young adults. We are expecting an annual growth of 15 % from this part of the population with the growth rate of the city.

Friday, November 1, 2019

Gated Communities Essay Example | Topics and Well Written Essays - 500 words

Gated Communities - Essay Example This is because the living in enclosed compounds reduces the chances of suffering insecurity. Since the compounds have an enclosed surrounding, the parents also have a feeling that their children have a safe playing environment.Security is also a result of exclusionary Zoning. This is a scenario that occurs when certain type of people or group are excluded from a given community. The same is being practiced in Pennsylvania , and it fosters security in the community in the sense that people likely to cause chaos are excluded from the community.Secondly, a gated community also fosters affordability. This is because gated communities have houses of a variety of qualities. This shows that houses are available for people of various classes. The main advantage of buying a house in gated communities is because it is cheaper that buying land on an individual plot. Also, Common services are shared among residents in a gated community and this makes them to be more economical. Services such as street lights, solar panels, borehole and the community center are shared between people living in the same community. This forms a fundamental part of the economic structure of the community since it saves a lot of money that could be spent to pay for the same services in individual plots. The supporters of gated communities have the idea that reduction of people from passing through makes strangers recognizable with ease. The truth is that not all strangers are harmful to the community1. Therefore, this view is unrealistic because only a very small percentage of the strangers are potential criminals. Secondly, security in gated communities is more of illusion than reality. In the United States, the crime rates in gated communities in suburbs areas is the same as he crime rate in non-gated communities. Another disadvantage of gated communities is that it renders individuals to be homeless in instances where they have to be vacated due

Wednesday, October 30, 2019

Blood doping Essay Example | Topics and Well Written Essays - 750 words

Blood doping - Essay Example f blood doping substances and marked it as illegal in the year 1985 but athletes who employed this technique before this period could not be caught until a few of them like Kaarlo Maaninka admitted that he had opted for blood doping (Fotheringam; Hoyt). Blood doping is an unethical and unlawful act used by athletes for performing better in sports but it needs to be understood that this act has harmful health effects and it also has financial implications. Different ways are used for blood doping. Transfusions form one of the ways which is used for blood doping. Either the blood from the athlete himself is stored and then later transfused or the blood from another person is used for the transfusion. These transfusions are made a short while before the commencement of an event. EPO which is a hormone synthesized that increases the red blood cells in the body is another way used. It is injected by the athletes. All of these methods provide for health risks for the athlete. The common side effect that is promoted by blood doping is the increase in the red blood cells in the blood. This leads to make the blood thick and results in clots being formed. Thus, an increased the risk of cardiovascular attacks and the formation of emboli is seen (Hoyt). EPO has other side effects as well which appear when an individual resorts to using it for a long time. These effects include a reduction in the weight of an individual, sleeplessness, muscle ach e and a heavy head (Reinberg). Transfusions from a donor come with many risks and this can clearly be seen with the example of the cyclist Jesus Manzano in the year 2003. Manzano had a transfusion reaction which put him in a lethal condition. He described his condition by saying, â€Å"I was shivering; I felt colder than if Id been at the North Pole. If theyd put in half a litre, I would have gone home in a box.† Using one’s one transfusion also has its own negative side. Owing to the blood drawn from the athlete, he may suffer from

Monday, October 28, 2019

What the future may hold Essay Example for Free

What the future may hold Essay Law enforcement is heading for uncharted waters. Beyond deals with criminal activity and enforcing state statutes, law enforcement personnel are at the time of this writing in the throes of war with Ð ° frontline that has no defined latitude or longitude. The enemy is often faceless and leaderless. What will the future hold? Although no one person or group can predict the future; one certainty is that technology will be at the forefront. Another certainty is that international and domestic terrorist groups are here to stay, but they will no longer be treated as two distinct factions. There are no boundaries with terrorists or organized hate groups. Law enforcement has embarked on Ð ° new frontier that cannot be disregarded and appears to be endless. Times have changed and so must law enforcement. Chances are that the greatest terrorist impact wills come from technology or science, such as cyber- or bioterrorism, rather than from conventional bombs. No matter what the source of the impact is, agencies are cautioned against Ð ° simplistic approach. History has demonstrated that most terrorist attacks are events that are planned, often over the course of months and years. Therefore, we must use extreme caution when gathering information and must avoid overlooking any seemingly harmless aspect of situations or events presented. The smallest, seemingly meaningless, communication, transmission, purchase, or inquiry could be the missing component that links events. Agencies should take this information into account as well as all the categories mentioned in previous chapters when developing their database structures. Relegating minor items to Ð ° â€Å"comments† section or omitting them altogether may have adverse effects in the future. Also, database managers should include information on the various forms of terrorism, especially cyber and biological. â€Å"To fully appreciate the implications of terrorism today, it is appropriate to review and assess terrorism within the context of history. Grant Wardlaw argues that â€Å"Part of the solution to the question of whether or not contemporary terrorism poses Ð ° unique threat to social order lies in an appraisal of its degree of continuity with previous manifestations of political terrorism. † It is not possible in this study to produce Ð ° complete history of terrorism. However, in order to place contemporary terrorist activities in Ð ° proper perspective, it is germane to identify some of the major historical bench-marks of terrorism. † (Paul 2002 11)

Saturday, October 26, 2019

Essay --

ï  ¬ Introduction Along with the fast developments and various applications of the internet comes the improvement of people’s living standard. Undoubtedly the emerging new technology is playing such a significant role in fields like promoting interpersonal interactions, driving global collaborations and increasing the world’s productivity, that our society may not stay as functional as it is now without the existence of the internet. Nevertheless, the internet, due to its complicated form of communications and the lack of either moral or legal control, has also brought about an unprecedented form of deviances and crimes including hacking, online fraud, terrorism, and so forth (Jaishankar, 2011). Among all types of controversial cyber activities, considering the distinct nature of criminals and different motivations, some of them may not have huge negative social impact while others can result in massive loss for both individuals and society. On all accounts, it is indeed of great importa nce to study internet abuse so as to construct a safer community with higher stability for the existence and prosperity of human-beings. To examine online deviances and crimes objectively, both theoretical supports and a large amount of data are required. As for hacking part, the grounded theory is applied so as to systematically and comparatively analyze the similarities and differences between â€Å"good† hackers and â€Å"bad† hackers. When it comes to discussion on online fraud, the breeding ground of cyber fraud, Nigeria, is taken as a typical example for depiction and explanation. In the specific region where the younger generation constructs a morally and legally deviant subculture, the prospect of the state is worth concerning. Organized in a progress... ...me. New York, NY: Basic Books. Powell, B., Carsen, J., Crumley, B., Walt, V., Gibson, H., & Gerlin, A. (2005, September 26). Generation Jihad. Time, 166, 56–59. Retrieved from http://www.time.com/ time/magazine/article/0,9171,1109334-1,00.html Taylor, P. A. (1999). Hackers: Crime and the digital sublime. New York, NY: Routledge. Weimann, G. (2004b). www.terror.net How modern terrorism uses the Internet. Washington DC: United States Institute of Peace. Tsfati, Y., & Weimann, G. (2002). www.terrorism.com: Terror on the Internet. Studies in Conflict & Terrorism, 25, 317–332. Whine, M. (1999). Cyberspace—A new medium for communication, command, and control by extremists. Studies in Conflict & Terrorism, 22, 231–246. Zetter, K. (2008). Israeli hacker â€Å"The Analyzer† suspected of hacking again. Wired. Retrieved from http://www.wired.com/threatlevel/2008/09/the-analyzer-su