Friday, January 31, 2020

Nutritional Sciences Research Method class(the effects of physical Proposal

Nutritional Sciences Method class(the effects of physical activity and calcium intake on bone mineral density (BMD) in Saudi women based on DXA measurements) - Research Proposal Example 200, 30-50 years old Saudi women will be recruited within Jeddah or Riyadh and screened to exclude lactating, pregnant mothers and mothers with kidney, skeletal, menstrual dysfunction and any related disorders. Validated food frequency questionnaire specific to calcium will be used to assess consumption of dairy products at baseline and at 9 months. Subjects will record their exercise activities, both weight bearing and none weight bearing that they would have engaged in on a regular basis for at least 2 months. BMD will be assessed by Dual energy x-ray absorptiometry (DXA). Data will be analysed by Statistical Package for Social Sciences version 6 (SPSS, v.6). A 3-way ANOVA, group-time-calcium intake will be used to determine possible effects of interaction in BMD between training mode and dietary calcium from baseline to 9months while statistical significance will be set at p Low Bone Mass Density is a skeletal disorder that is characterized by reduced strength of an individual bone’s density thus results into reduced strength predisposing an individual to an increased risk of fracture. Reduced bone mass density can be less severe and extreme severe depending on the stage of the disorder and can be classified as osteopaenia which is less severe or osteoporosis which is more severe. Osteoporosis and osteopaenia which are characterized by reduced BMD are an indication of decrease, structural deterioration as well as loss of connectivity within the bone tissue resulting into increased

Thursday, January 23, 2020

Definition Essay - The Meaning of Love -- Expository Definition Essays

The Meaning of Love One can love a sister, a brother, a mother, a father, grandparents, uncles and aunts, cousins and friends, strangers, pets, the sunlight on a warm evening, reflecting through a prism, held by fishing line stuck to a little suction cup to a dusty window. You can love food from cake to roast beef, even those tiny individual candy bars that are never enough but just give you a taste of chocolate before you pop in the second one. One is able to love the feeling of carpet between toes or the tension in a hammocks string when you lay in that 'u' position swinging delightfully with each motion of your body. We can declare love for sounds coming from a stereo, love for that particular sound wave in coordination with other sound waves that make it to the inner ear as that thing we call music. Some of us love to feel a little pain, love feeling that edge of life that lets us know we're alive, nerves tingling with the sensation that something is not quite right, mind ablaze with the knowledge t hat the power to commit more pain or to stop it is in grasp. One might love a particular spot in the world, a city, a hill, a nook, a field of sunflowers swaying in the breeze. From flying an airplane at sound-breaking speeds or laying near comatose, the only movement the flipping of pages and the flitting of eyes as words are dragged into a brain to organize, recognize, and realize their meaning in correlation to each other. Love is all around us, continually exuding from ourself and others. When what someone does not love is near, or when it's something they hate, we are quick to learn it. The disgust in the face as a lump of food falls out of the mouth that tried something new or something forgotten. The shying away from a cer... ... anyone . . . then love must simply be everything else. For one, a scritch of fingernails across green blackboard is a loathsome, marrow scraping experience. For another, the drunken footsteps upon a staircase pounding higher and higher, closer and closer to the bedroom door. Maybe being touched on the nose or those little prickly seeds that hold on like velcro to anything they touch. At the same time another could love those little spiky balls, or enjoy owning drunken feet, the world a blur with head so heavy. Love is so ready to include that anyone is hard-pressed to find something the world excludes and places in a bin called "hate." So I ask you to love, to experience this feeling throughout every nerve of your body, every electric-impulse of a brain cell, every beat of your heart and blink of the eye. Because that's what love is to me. Simply everything.

Wednesday, January 15, 2020

The American Health Care System’s Limited Access

Identify and discuss the factors that limit access to health care services for many people in America. According to a published Guidebook for providers entitled â€Å"Achieving Cultural Competence: A Guidebook for Providers of Services to Older Americans and Their Families (January 2001)†, there are two general and primary factors that limit certain groups of the American population in their access to appropriate health care.   These are the structural barriers and the cultural barriers.Structural barriers are further categorized into two sub-factors. These are the   External barrier factors such as lack of health insurance coverage and out of pocket costs and the Logistical difficulty factors such as lack of transportation, language difficulty (or comprehension) and illiteracy (CC Guidebook, 2001).Meanwhile, Cultural barriers are also categorized into internal and external factors.   Internal factors are those caused by traditional practices among certain ethnic groups like Asians – particularly the older Chinese generation – who refuse to reveal details about their affliction or disease because they regard these matters as purely personal and should be kept within tight family circles only.   Particularities of these traditional beliefs usually affect the provision of a more thorough health scanning and diagnosis, thus resulting to usual misdiagnoses or prognoses (CC Guidebook, 2001).Cultural external factors include a lack of comprehensive background data or earlier studies about the cultural nuances and statistics for these underserved minority groups (CC Guidebook, 2001).   As a direct result, the lack of available research data affects the decision of policy makers and federal level planners to incorporate cultural nuances into intervention programs that could break the trend of a â€Å"cultural block† or absence of data.Furthermore, policy makers tend to group together certain ethnic groups as those â€Å"not needin g† specific care like nursing home services or elder care because of the assumption or misconception that all elderly people from a specific ethnic group like the Hispanics who have close personal ties and the Asian groups, that they will take care of their elderly.   Research did confirm this fact (CC Guidebook, 2001, p10) but this shouldn’t be the norm or primary continuing assumption in the future.   To quote from the Guidebook (CC Guidebook, 2001, p10):â€Å"Research does confirm that a significant proportion of minority elders live with their family. Unmarried older African Americans are twice as likely to live with family  members as whites, Hispanic American and Asian American elders are three times as  likely, and half of urban Native American elders live with family members (controlling for income, health status, and other characteristics)†.2. Identify the specific populations and groups that face difficulties with access to health care services. According to the Fact Sheet published by the Agency for Healthcare Research and Quality, two predominant ethnic minority groups lack the basic access to primary and preventive care in the US.   These groups are the African-Americand and the Hispanic population in the US (AHRQ, February 2000). To quote:â€Å"About 30 percent of Hispanic and 20 percent of black Americans lack a usual source of health care compared with less than 16 percent of whites.Hispanic children are nearly three times as likely as non-Hispanic white children to have no usual source of health care.African Americans and Hispanic Americans are far more likely to rely on hospitals or clinics for their usual source of care than are white Americans (16 and 13 percent, respectively, v. 8 percent)†.These data from AHRQ and other agencies such as the Department of Health and Human Services formed the (HHS) formed the basic tenets and foundation for the 18 out of 28 focal areas for their Ten year Plan entitled â⠂¬Å"Healthy People 2010†.   Six out of these 18 focal areas are geared toward eliminating factors to health barriers and disparities such as: gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation.   According to the OMH, there is â€Å"Compelling evidence indicates that race and ethnicity correlate with persistent, and often increasing, health disparities among U.S. populations in all these categories and demands national attention’ (Fact Sheet, AHRQ, 2000).References:Achieving Cultural Competence: A Guidebook for Providers of Services to Older Americans and Their Families (January 2001). (Chapter 10 and 11). Retrieved on February 28, 2007. From: https://aoa.acl.gov/#search=`Achieving%20Cultural%20CompetenceAddressing Racial and Ethnic Disparities in Health Care. Fact Sheet, February 2000.   Ã‚  Ã‚  Ã‚  Ã‚   AHRQ Publication No. 00-PO41. Agency for Healthcare Research and Quality,    Rockville, MD. Retrieved on F ebruary 28, 2007. From:                   https://www.ahrq.gov/research/disparit.htmCover the Uninsured Week 2007 (April 23 to 29).   Retrieved from the homepage on February 28, 2007.   From: http://www.rwjf.org/en/library/articles-and-news/2011/06/looking-back-on-cover-the-uninsured-week.html?cid=xdr_ccs_001Keppel, K. et. al. National Center for Health Statistics (NCHS). Trends in Racial and   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Ethnic-Specific Rates   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   for the Health Status Indicators: United States, 1990-98.    Retrieved on February 28, 2007.   From:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.cdc.gov/nchs/data/statnt/statnt23.pdfNational Center for Health Statistics (NCHS). Midcourse Assessment of Healthy People   Ã‚  Ã‚   2010 Goal II (PPT). (2006). Retrieved on February   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   28, 2007.   From:http://www.iom.edu/Object.File/Master/4/176/PatientversionFINAL.pdfOffice o f Minority Health website. â€Å"Eliminating Racial & Ethnic Health Disparities†.Retrieved on February 28, 2007. From:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.cdc.gov/omh/AboutUs/disparities.htmâ€Å"What Healthcare Consumers need to know about Racial and Ethnic disparities in   Ã‚  Ã‚  Ã‚  Ã‚   Healthcare†. (March 2002). Institute of Medicine. Retrieved on February 28,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   2007. From:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.iom.edu/Object.File/Master/4/176/PatientversionFINAL.pdf