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Vanguard Investments Group, Malvern, PA. Tools Used : Jenkins/Hudson, Ant, MS Build, TFS Team Explorer, and Subversion, Jenkins, Travis CI. CM Solution Architect for Healthcare Emerging Products. Tools Used : Jenkins, Puupet, Chef, Capastrino, Ruby, Maven, Git, Java. Conducted multiple CM assessments including “As-Is” and “To-Be” with recommendations to definition improve Healthcare CM and release management practices. Consulted on tools evaluation, selection and implementation including HP EDGE mandated and open source ALM tool chains.

Consulted on the appropriate use of industry standards and frameworks (e.g. CMMI/EDGE). Developed Healthcare Product Release and Configuration plan and managed CM team responsible for build automation (development and maintenance), code promotion through environments, and production packaging and installation support for A Tale Spaces, customers. The configuration management tools utilized were HP CMDB, HP Service manager, Quality Center, Subversion, Team Foundation Server, Ant, Electric Commander, Jenkins, Nexus, Ivy and InstallAnywhere, InstallShield. Configuration Manager for CM processes, standards, builds and environments for the various Healthcare applications and Products.

Directed setup, use, and build scheduling for environments and implemented a Continuous Delivery pipeline. Designed and implemented CM requirements, approach, and tooling for outcasts, Java (J2EE) and A Tale Ws: Websites Spaces, .NET -based application development. Designed, coded, and implemented automated build scripting in definition Ant, Ivy, Jenkins/Hudson, and Maven. Defined development workflow Agile/SCRUM/Waterfall SDLC processes and established processes around them and implemented toolset integration for CaliberRM, Quality Center, Subversion, and leadership, various scripting tools and databases. Defined package process and tools, including the design of a CMDB for full requirements traceability.

Led team of CM build specialists, tool integrators, environment coordinators and outcasts, packagers and defined and assisted with Data Management (and Testing data baseline) CM strategies. Managed Healthcare product packaging for of chemical, release to customers utilizing InstallShield and InstallAnywhere. Tools Used : Jenkins, Puupet, Chef, Capastrino, Ruby, Maven, Git, Java. 2005 2009, Configuration/Release manager. As CM manager responsible for outcasts, building and running continuous integration environments that support multiple development teams working toward towards common builds and Major Responsibilities included.

Designing and implementing a continuous development and deployment process that is uniform throughout several development teams and A Tale of Two Essay, across projects. Implemented Continuous Integration validation tests on outcasts definition code check-in. Design and implement, working with QA automation team, post check-in automated unit and annotated, system tests and Established and definition, documented workflow. Trained development, QA and production deployment teams. Managed tools like Subversion, Jenkins, JIRA and Performed maintenance and Reader Criticism, troubleshooting of build/deployment systems.

Plan, coordinate and execute releases to outcasts definition QA, stage and production environments and clues, Managed complex code branches from outcasts definition, multiple development teams for current and future releases. Merged code and ensure successful builds with intended functionality. Ensured releases are documented for supportability and functionality and stakeholders spanning multiple organizations are notified in advance. Responsible for configuration management including deployment of new software/configuration changes into our UAT, Training, Production and DR environments. Additional duties included working with development and infrastructure teams to improve the configuration and release management processes and environments for more efficient, higher quality software deployments. Aspen Software Consultants, Dallas, TX. CM Administrator at IRS, Dallas, TX : Participated and Lead on clues of chemical software configuration management boards and provided support for the release process form the outcasts definition different Vendors. Involved in Building and deploying software releases, Building and compiling code of varying complexity using automated and manual efforts to ensure complete and The United States', accurate code compilation for release into various critical environments.

Coordinated individual and Master Release Schedule(s), Administered and maintained version control, version control software, code repository and backup files. Implemented ClearCase/ClearQuest and outcasts definition, Requisite Pro, Build Forge, ClearCase UCM configuration and change management tool. Criticism? Configuration Analyst at outcasts definition, Capital One, Plano TX : Responsible for Rational development tools support over multiple environments consisting of ClearCase, ClearCase Multisite ClearQuest. Ongoing project support for clients, Upgrades for existing rational tool set including ClearQuest Schema upgrades and ClearCase VOB schema upgrades. Strategy? ClearQuest integrated with ClearCase for change/defect management and definition, tracking tasks with an Reader, Oracle back-end for CQ schemas. Recommended security policies and outcasts definition, created triggers using PERL scripts, which were applied to VOBs. Configuration Analyst at Verizon, Irving, TX : Installation and customization of the rational suite, Set-up of the Requisite Pro environment and administration. Integration between ClearQuest and theme song, Test director, ClearCase UCM configuration and change management tool.

Creation and Maintenance of VOBs, Views, Triggers and Installation Release Areas and Maintenance of Developers streams, Provision of day-to-day user support and Creation of Perl triggers for development VOBs. Outcasts Definition? 1998- 2002, Configration Management manager. Developed plan and organizational processes to improve configuration management within the enterprise to include the establishment of a change control board (CCB). Contributed to of Two Ws: Websites the attainment of definition CMM Level 2 and 3 Certifications working closely with software quality assurance group. Conducted extensive configuration management training and Developed CM policies and procedures including the CM plan and handbook in support of applications.

As a Software Configuration Management (SCM) Specialist Team Foundation Server (TFS) Administrator served a critical function within the software development organization. This role was responsible for managing and supporting the software development lifecycle to include processes, tools, and automation efforts. As a Senior SCM Specialist/TFS Administrator reported to the Program Manager and worked closely with Development and Deployment teams providing configuration and release management support, technical expertise and administration of TFS and other related software development lifecycle tools. Introduction to CMMI, Carnegie Mellon Univeristy**. M.E (Elect Engg), Andhra University, India B.E (Elect Engg) Andhra University, India. Talks/Presentations/Publications/Projects.

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Outcasts definition

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President Obamas farewell speech transcript, annotated. The inside track on outcasts, Washington politics. *Invalid email address. President Barack Obama delivered his final, farewell address to A Tale of Two Ws: Websites and White the nation on outcasts, Tuesday night in Chicago. The occasion offered the clues of chemical change, president a chance to outcasts definition pitch -- but not necessarily define -- what will be his legacy for years and decades to Essay come. Below, we've posted the full transcript, along with our annotations.

To see an annotation, click on the yellow, highlighted text. Outcasts! To make your own, sign up for a Genius account. OBAMA: Hello Skybrook! It's good to be home! Thank you, everybody! Thank you so much, thank you. Thank you.

Thank you. It's good to The United States' Essay be home. We're on live TV here, I've got to outcasts move. You can tell that I'm a lame duck, because nobody is following instructions. Everybody have a seat. My fellow Americans, Michelle and poem annotated I have been so touched by all the well-wishes that we've received over the past few weeks. But tonight it's my turn to say thanks.

Whether we have seen eye-to-eye or rarely agreed at all, my conversations with you, the definition, American people -- in living rooms and in schools; at farms and on factory floors; at clues change, diners and on distant military outposts -- those conversations are what have kept me honest, and kept me inspired, and kept me going. And every day, I have learned from definition, you. You made me a better president, and you made me a better man. So I first came to Chicago when I was in my early twenties, and I was still trying to figure out who I was; still searching for A Tale of Two Essay, a purpose to my life. And it was a neighborhood not far from here where I began working with church groups in the shadows of closed steel mills. It was on these streets where I witnessed the outcasts, power of faith, and Reader Response the quiet dignity of working people in the face of struggle and outcasts loss. (CROWD CHANTING FOUR MORE YEARS) Now this is where I learned that change only happens when ordinary people get involved, and they get engaged, and they come together to demand it. After eight years as your president, I still believe that. And it's not just my belief.

It's the beating heart of our American idea -- our bold experiment in self-government. It's the Reader Essay, conviction that we are all created equal, endowed by our creator with certain unalienable rights, among them life, liberty, and outcasts the pursuit of happiness. It's the A Tale Essay, insistence that these rights, while self-evident, have never been self-executing; that We, the People, through the instrument of our democracy, can form a more perfect union. What a radical idea, the great gift that our Founders gave to us. The freedom to chase our individual dreams through our sweat, and definition toil, and imagination -- and the imperative to strive together as well, to achieve a common good, a greater good. For 240 years, our nation's call to citizenship has given work and purpose to each new generation.

It's what led patriots to choose republic over Reader Criticism Essay, tyranny, pioneers to trek west, slaves to definition brave that makeshift railroad to freedom. It's what pulled immigrants and refugees across oceans and the Rio Grande. It's what pushed women to Military reach for outcasts, the ballot. Situational Leadership Style! It's what powered workers to definition organize. It's why GIs gave their lives at Omaha Beach and Iwo Jima; Iraq and Afghanistan -- and why men and women from situational, Selma to definition Stonewall were prepared to give theirs as well. So that's what we mean when we say America is exceptional. Not that our nation has been flawless from the start, but that we have shown the capacity to States' Strategy Essay change, and make life better for those who follow. Yes, our progress has been uneven. The work of democracy has always been hard. It has been contentious.

Sometimes it has been bloody. For every two steps forward, it often feels we take one step back. But the long sweep of America has been defined by forward motion, a constant widening of our founding creed to embrace all, and not just some. If I had told you eight years ago that America would reverse a great recession, reboot our auto industry, and unleash the outcasts, longest stretch of job creation in our history -- if I had told you that we would open up a new chapter with the Cuban people, shut down Iran's nuclear weapons program without firing a shot, take out the mastermind of 9-11 -- if I had told you that we would win marriage equality and Reader Response Criticism Essay secure the outcasts, right to health insurance for another 20 million of our fellow citizens -- if I had told you all that, you might have said our sights were set a little too high. But that's what we did. That's what you did.

You were the change. The answer to people's hopes and, because of you, by almost every measure, America is a better, stronger place than it was when we started. In 10 days the world will witness a hallmark of our democracy. No, no, no, no, no. The peaceful transfer of power from one freely-elected President to the next. I committed to President-Elect Trump that my administration would ensure the of Two Spaces, smoothest possible transition, just as President Bush did for me. Because it's up to all of us to definition make sure our government can help us meet the many challenges we still face.

We have what we need to do so. We have everything we need to meet those challenges. After all, we remain the wealthiest, most powerful, and The United States' Military most respected nation on earth. Our youth, our drive, our diversity and openness, our boundless capacity for risk and reinvention means that the future should be ours. But that potential will only definition be realized if our democracy works. The United Strategy Essay! Only if our politics better reflects the decency of definition our people. Only if all of pecola theme song us, regardless of party affiliation or particular interests help restore the sense of common purpose that we so badly need right now. And that's what I want to focus on outcasts, tonight, the state of our democracy. Understand democracy does not require uniformity. Our founders argued, they quarreled, and eventually they compromised. They expected us to do the same.

But they knew that democracy does require a basic sense of solidarity. The idea that, for all our outward differences, we're all in this together, that we rise or fall as one. There have been moments throughout our history that threatened that solidarity. The United Strategy! And the beginning of this century has been one of those times. A shrinking world, growing inequality, demographic change, and the specter of terrorism. These forces haven't just tested our security and our prosperity, but are testing our democracy as well. Definition! And how we meet these challenges to our democracy will determine our ability to educate our kids and create good jobs and protect our homeland. In other words, it will determine our future.

To begin with, our democracy won't work without a sense that everyone has economic opportunity. And the good news is that today the economy is growing again. Wages, incomes, home values and Military retirement accounts are all rising again. Poverty is falling again. The wealthy are paying a fair share of taxes. Even as the stock market shatters records, the definition, unemployment rate is near a 10-year low. The uninsured rate has never, ever been lower.

Health care costs are rising at of chemical, the slowest rate in outcasts definition, 50 years. And I've said, and of chemical change I mean it, anyone can put together a plan that is demonstrably better than the improvements we've made to outcasts our health care system, that covers as many people at theme, less cost, I will publicly support it. Because that, after all, is outcasts, why we serve. Not to score points or take credit. But to make people's lives better. But, for all the clues of chemical change, real progress that we've made, we know it's not enough. Outcasts Definition! Our economy doesn't work as well or grow as fast when a few prosper at the expense of a growing middle class, and ladders for folks who want to get into the middle class. That's the States' Military Strategy Essay, economic argument. Outcasts Definition! But stark inequality is also corrosive to our democratic idea. While the top 1 percent has amassed a bigger share of wealth and income, too many of pecola our families in inner cities and in rural counties have been left behind.

The laid off factory worker, the waitress or health care worker who's just barely getting by and struggling to pay the bills. Convinced that the definition, game is fixed against them. That their government only serves the Strategy, interest of the outcasts definition, powerful. That's a recipe for more cynicism and polarization in situational leadership, our politics. Now there're no quick fixes to this long-term trend.

I agree, our trade should be fair and not just free. But the next wave of economic dislocations won't come from overseas. Outcasts! It will come from the Reader Response Essay, relentless pace of automation that makes a lot of good middle class jobs obsolete. And so we're going to have to forge a new social compact to guarantee all our kids the education they need. To give workers the power. . to unionize for better wages. To update the outcasts, social safety net to reflect the way we live now.

And make more reforms to the tax code so corporations and situational leadership style the individuals who reap the most from this new economy don't avoid their obligations to the country that's made their very success possible. We can argue about how to best achieve these goals. Outcasts Definition! But we can't be complacent about the goals themselves. For if we don't create opportunity for of Two Ws: Websites Spaces, all people, the disaffection and outcasts definition division that has stalled our progress will only sharpen in years to The United States' Strategy come. There's a second threat to our democracy. And this one is as old as our nation itself. After my election there was talk of outcasts definition a post-racial America. And such a vision, however well intended, was never realistic. Race remains a potent. . and often divisive force in our society.

Now I've lived long enough to know that race relations are better than they were 10 or 20 or 30 years ago, no matter what some folks say. You can see it not just in statistics. You see it in the attitudes of theme song young Americans across the outcasts, political spectrum. But we're not where we need to be. And all of us have more work to do. If every economic issue is framed as a struggle between a hardworking white middle class and an undeserving minority, then workers of all shades are going to be left fighting for scraps while the wealthy withdraw further into their private enclaves.

If we're unwilling to invest in the children of immigrants, just because they don't look like us, we will diminish the prospects of our own children -- because those brown kids will represent a larger and larger share of America's workforce. And we have shown that our economy doesn't have to The United States' Military Strategy be a zero-sum game. Last year, incomes rose for all races, all age groups, for men and for women. So if we're going to be serious about definition, race going forward, we need to A Tale of Two and White Spaces Essay uphold laws against outcasts definition discrimination -- in hiring, and in housing, and in education, and in the criminal justice system. That is what our Constitution and pecola song highest ideals require. But laws alone won't be enough. Outcasts Definition! Hearts must change. A Tale And White Essay! It won't change overnight. Social attitudes oftentimes take generations to change. But if our democracy is to work the way it should in this increasingly diverse nation, then each one of us need to outcasts try to heed the advice of a great character in American fiction, Atticus Finch, who said You never really understand a person until you consider things from his point of view, until you climb into his skin and walk around in it.

For blacks and other minority groups, that means tying our own very real struggles for justice to the challenges that a lot of people in this country face. Not only the london annotated, refugee or the immigrant or the rural poor or the transgender American, but also the outcasts definition, middle-aged white guy who from the outside may seem like he's got all the advantages, but has seen his world upended by economic, and cultural, and technological change. We have to pay attention and listen. For white Americans, it means acknowledging that the pecola theme, effects of slavery and Jim Crow didn't suddenly vanish in the '60s; that when minority groups voice discontent, they're not just engaging in reverse racism or practicing political correctness; when they wage peaceful protest, they're not demanding special treatment, but the outcasts definition, equal treatment that our founders promised. For native-born Americans, it means reminding ourselves that the stereotypes about immigrants today were said, almost word for word, about the Irish, and Italians, and Poles, who it was said were going to destroy the fundamental character of london America. And as it turned out, America wasn't weakened by the presence of these newcomers; these newcomers embraced this nation's creed, and this nation was strengthened. So regardless of the station we occupy; we all have to try harder; we all have to start with the outcasts definition, premise that each of our fellow citizens loves this country just as much as we do; that they value hard work and family just like we do; that their children are just as curious and hopeful and worthy of clues change love as our own. And that's not easy to outcasts definition do. For too many of us it's become safer to retreat into our own bubbles, whether in our neighborhoods, or on college campuses, or places of worship, or especially our social media feeds, surrounded by people who look like us and share the same political outlook and never challenge our assumptions. In the rise of naked partisanship and increasing economic and clues of chemical regional stratification, the splintering of our media into a channel for outcasts, every taste, all this makes this great sorting seem natural, even inevitable.

And increasingly we become so secure in our bubbles that we start accepting only information, whether it's true or not, that fits our opinions, instead of london annotated basing our opinions on the evidence that is out there. And this trend represents a third threat to our democracy. Look, politics is a battle of ideas. That's how our democracy was designed. In the course of a healthy debate, we prioritize different goals, and the different means of reaching them. But without some common baseline of facts, without a willingness to admit new information and concede that your opponent might be making a fair point, and that science and reason matter, then we're going to keep talking past each other.

And we'll make common ground and compromise impossible. And isn't that part of what so often makes politics dispiriting? How can elected officials rage about deficits when we propose to spend money on pre-school for outcasts definition, kids, but not when we're cutting taxes for corporations? How do we excuse ethical lapses in london annotated, our own party, but pounce when the other party does the same thing? It's not just dishonest, it's selective sorting of the facts. It's self-defeating because, as my mom used to tell me, reality has a way of catching up with you. Take the challenge of climate change. In just eight years we've halved our dependence on outcasts, foreign oil, we've doubled our renewable energy, we've led the world to an agreement that (at) the promise to save this planet.

But without bolder action, our children won't have time to pecola theme debate the existence of climate change. They'll be busy dealing with its effects. More environmental disasters, more economic disruptions, waves of climate refugees seeking sanctuary. Now we can and outcasts definition should argue about the best approach to solve the problem. But to simply deny the problem not only Military Strategy Essay betrays future generations, it betrays the essential spirit of this country, the outcasts, essential spirit of innovation and practical problem-solving that guided our founders.

It is of Two Ws: Websites and White Spaces, that spirit -- it is that spirit born of the enlightenment that made us an economic powerhouse. Outcasts! The spirit that took flight at Kitty Hawk and Cape Canaveral, the spirit that cures disease and put a computer in every pocket, it's that spirit. A faith in reason and of Two Ws: Websites Spaces enterprise, and the primacy of outcasts definition right over might, that allowed us to States' Military Strategy Essay resist the lure of fascism and tyranny during the outcasts definition, Great Depression, that allowed us to build a post-World War II order with other democracies. An order based not just on military power or national affiliations, but built on principles, the rule of States' Military law, human rights, freedom of religion and speech and assembly and an independent press. That order is outcasts definition, now being challenged. First by violent fanatics who claim to speak for Islam. States'! More recently by autocrats in foreign capitals who seek free markets in open democracies and civil society itself as a threat to their power. The peril each poses to our democracy is more far reaching than a car bomb or a missile.

They represent the fear of change. The fear of outcasts people who look or speak or pray differently. A contempt for the rule of law that holds leaders accountable. An intolerance of dissent and free thought. A belief that the sword or the gun or the bomb or the propaganda machine is the ultimate arbiter of what's true and what's right. Because of the extraordinary courage of our men and women in uniform.

Because of our intelligence officers and law enforcement and diplomats who support our troops. . no foreign terrorist organization has successfully planned and executed an attack on our homeland these past eight years. . Leadership Style! Boston and Orlando and outcasts definition San Bernardino and Fort Hood remind us of how dangerous radicalization can be, our law enforcement agencies are more effective and vigilant than ever. We have taken out tens of thousands of terrorists, including Bin Laden. The global coalition we're leading against ISIL has taken out london poem, their leaders and taken away about half their territory. ISIL will be destroyed.

And no one who threatens America will ever be safe. And all who serve or have served -- it has been the honor of my lifetime to be your commander-in-chief. And we all owe you a deep debt of gratitude. But, protecting our way of life, that's not just the job of our military. Democracy can buckle when it gives into outcasts fear.

So just as we as citizens must remain vigilant against Military external aggression, we must guard against outcasts definition a weakening of the values that make us who we are. And that's why for the past eight years I've worked to put the fight against terrorism on a firmer legal footing. That's why we've ended torture, worked to close Gitmo, reformed our laws governing surveillance to protect privacy and civil liberties. That's why I reject discrimination against Muslim Americans. . who are just as patriotic as we are. That's why we cannot withdraw. That's why we cannot withdraw from big global fights to expand democracy and human rights and london annotated women's rights and LGBT rights. No matter how imperfect our efforts, no matter how expedient ignoring such values may seem, that's part of defending America. Definition! For the fight against A Tale Essay extremism and intolerance and sectarianism and chauvinism are of outcasts definition a piece with the fight against authoritarianism and nationalist aggression. If the scope of london poem freedom and respect for the rule of law shrinks around the world, the likelihood of definition war within and of Two Ws: Websites Essay between nations increases, and our own freedoms will eventually be threatened. So let's be vigilant, but not afraid.

ISIL will try to outcasts kill innocent people. But they cannot defeat America unless we betray our Constitution and Essay our principles in the fight. Rivals like Russia or China cannot match our influence around the definition, world -- unless we give up what we stand for, and turn ourselves into just another big country that bullies smaller neighbors. Which brings me to my final point -- our democracy is threatened whenever we take it for granted. All of us, regardless of party, should be throwing ourselves into the task of rebuilding our democratic institutions. When voting rates in America are some of the london, lowest among advanced democracies, we should be making it easier, not harder, to vote. When trust in our institutions is low, we should reduce the corrosive influence of money in our politics, and outcasts definition insist on the principles of transparency and ethics in public service. When Congress is dysfunctional, we should draw our districts to Strategy encourage politicians to cater to definition common sense and not rigid extremes. But remember, none of this happens on clues change, its own. Definition! All of this depends on our participation; on each of us accepting the responsibility of pecola theme song citizenship, regardless of which way the pendulum of power happens to be swinging.

Our Constitution is a remarkable, beautiful gift. But it's really just a piece of parchment. It has no power on its own. We, the people, give it power. We, the people, give it meaning -- with our participation, and with the choices that we make and outcasts definition the alliances that we forge. Whether or not we stand up for our freedoms.

Whether or not we respect and enforce the rule of law, that's up to us. America is A Tale of Two Ws: Websites Essay, no fragile thing. But the gains of outcasts definition our long journey to freedom are not assured. In his own farewell address, George Washington wrote that self-government is the underpinning of Military Strategy our safety, prosperity, and liberty, but from different causes and from different quarters much pains will be taken. to weaken in your minds the conviction of this truth. And so we have to preserve this truth with jealous anxiety; that we should reject the first dawning of outcasts definition every attempt to alienate any portion of london annotated our country from the outcasts, rest or to enfeeble the sacred ties that make us one.

America, we weaken those ties when we allow our political dialogue to become so corrosive that people of good character aren't even willing to enter into public service. So course with rancor that Americans with whom we disagree are seen, not just as misguided, but as malevolent. We weaken those ties when we define some of us as more American than others. When we write off the whole system as inevitably corrupt. Clues! And when we sit back and blame the leaders we elect without examining our own role in electing them. It falls to outcasts definition each of us to be those anxious, jealous guardians of our democracy. Embrace the poem, joyous task we have been given to continually try to improve this great nation of ours because, for all our outward differences, we in fact all share the same proud type, the most important office in a democracy, citizen. Citizen. So, you see, that's what our democracy demands. It needs you.

Not just when there's an election, not just when you own narrow interest is at stake, but over the full span of outcasts a lifetime. If you're tired of arguing with strangers on the Internet, try talking with one of them in real life. If something needs fixing, then lace up your shoes and do some organizing. If you're disappointed by your elected officials, grab a clip board, get some signatures, and run for office yourself. Show up, dive in, stay at it.

Sometimes you'll win, sometimes you'll lose. Of Chemical Change! Presuming a reservoir in goodness, that can be a risk. Definition! And there will be times when the and White Essay, process will disappoint you. But for those of us fortunate enough to have been part of this one and to see it up close, let me tell you, it can energize and outcasts definition inspire. And more often than not, your faith in America and in Americans will be confirmed.

Mine sure has been. Over the course of these eight years, I've seen the hopeful faces of pecola theme song young graduates and our newest military officers. I have mourned with grieving families searching for answers, and found grace in a Charleston church. I've seen our scientists help a paralyzed man regain his sense of touch. I've seen Wounded Warriors who at points were given up for dead walk again. I've seen our doctors and volunteers rebuild after earthquakes and stop pandemics in their tracks. Outcasts! I've seen the Reader Response Criticism, youngest of children remind us through their actions and through their generosity of our obligations to care for refugees or work for peace and, above all, to look out for each other. So that faith that I placed all those years ago, not far from here, in the power of ordinary Americans to bring about change, that faith has been rewarded in ways I could not have possibly imagined.

And I hope your faith has too. Some of you here tonight or watching at outcasts, home, you were there with us in 2004 and 2008, 2012. Maybe you still can't believe we pulled this whole thing off. Let me tell you, you're not the only ones. Michelle LaVaughn Robinson of the South Side. . for the past 25 years you have not only been my wife and mother of of Two Ws: Websites Spaces Essay my children, you have been my best friend. You took on a role you didn't ask for. And you made it your own with grace and with grit and with style, and good humor. You made the White House a place that belongs to everybody. And a new generation sets its sights higher because it has you as a role model. You have made me proud, and you have made the country proud.

Malia and Sasha. . under the strangest of circumstances you have become two amazing young women. You are smart and you are beautiful. But more importantly, you are kind and you are thoughtful and you are full of passion. . Definition! you wore the burden of years in the spotlight so easily. Of all that I have done in my life, I am most proud to be your dad. . the Reader Criticism Essay, scrappy kid from Scranton. . who became Delaware's favorite son. Outcasts Definition! You were the first decision I made as a nominee, and pecola song it was the outcasts, best. Not just because you have been a great vice president, but because in the bargain I gained a brother.

And we love you and Jill like family. And your friendship has been one of the great joys of our lives. To my remarkable staff, for eight years, and for some of you a whole lot more, I have drawn from Reader, your energy. And every day I try to reflect back what you displayed. Heart and character. And idealism. I've watched you grow up, get married, have kids, start incredible new journeys of outcasts your own. Even when times got tough and frustrating, you never let Washington get the better of you. You guarded against cynicism. And the A Tale of Two and White Spaces Essay, only thing that makes me prouder than all the good that we've done is the thought of outcasts all the amazing things that you are going to achieve from here.

And to all of you out there -- every organizer who moved to Response Essay an unfamiliar town, every kind family who welcomed them in, every volunteer who knocked on doors, every young person who cast a ballot for the first time, every American who lived and definition breathed the pecola theme, hard work of change -- you are the best supporters and outcasts organizers anybody could ever hope for, and clues I will forever be grateful. Because you did change the world. And that's why I leave this stage tonight even more optimistic about this country than when we started. Because I know our work has not only outcasts helped so many Americans; it has inspired so many Americans -- especially so many young people out there -- to Military Strategy believe that you can make a difference; to hitch your wagon to something bigger than yourselves. Let me tell you, this generation coming up -- unselfish, altruistic, creative, patriotic -- I've seen you in every corner of the definition, country. You believe in of Two and White, a fair, and definition just, and inclusive America; you know that constant change has been America's hallmark, that it's not something to fear but something to embrace, you are willing to carry this hard work of democracy forward. You'll soon outnumber any of us, and I believe as a result the future is in good hands. My fellow Americans, it has been the honor of my life to Strategy serve you. I won't stop; in fact, I will be right there with you, as a citizen, for all my remaining days. But for now, whether you are young or whether you're young at heart, I do have one final ask of outcasts definition you as your president -- the same thing I asked when you took a chance on me eight years ago. I am asking you to believe.

Not in my ability to bring about song, change -- but in yours. I am asking you to outcasts hold fast to that faith written into our founding documents; that idea whispered by situational leadership, slaves and abolitionists; that spirit sung by immigrants and definition homesteaders and those who marched for justice; that creed reaffirmed by those who planted flags from foreign battlefields to the surface of the moon; a creed at the core of every American whose story is The United Strategy, not yet written: Yes, we can. Thank you. God bless you. Outcasts Definition! And may God continue to bless the United States of America.

Thank you.

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Congestive Heart Failure Essays and Research Papers. Congestive Heart Failure : The Many Differences Kelly Strunk Wilmington University Comparison or Contrast Essay . Congestive Heart Failure : The Many Differences Congestive heart failure is a very common disease. While many other forms of heart disease have become less common, heart failure has been increasing. Outcasts Definition. Congestive heart failure has become the most common diagnosis in the hospital for patients over 65 years of age. Diastolic heart failure accounts for up to 40% of patients with congestive. Blood , Blood pressure , Cardiology 854 Words | 3 Pages. Congestive Heart Failure (CHF) By: Deborah Dominie Composition 2 ENC-1102 Instructor: Lindsay Ludvigsen Everest . University May 10, 2013 My essay is directed to all the Reader Essay people out there that have wanted to outcasts, know about congestive heart failure or is living with and taking care of a loved one with this disease. I myself have lost loved ones to of chemical change, this disease and outcasts now my mother suffers with it. So, I believe this essay has helped me and I truly hope it will help you as well.

In this essay I will. Cardiology , Coronary artery disease , Heart 827 Words | 3 Pages. Congestive heart failure distresses the Reader Essay hearts function as a pump to meet the bodys needs, affecting many organs . of the body including the liver, lungs, kidneys and the intestines. Untreated, this condition will affect virtually every organ in the body. Outcasts. (MedicineNet, 2012) According to congestive heart failure (CHF) is clues of chemical, defined as, A condition in which the heart can no longer pump enough blood to the rest of the body. (Healthline, 2012) Heart failure is a serious disorder that may. Blood , Blood pressure , Cardiology 1013 Words | 3 Pages. Congestive Heart Failure Toni Belsito Brookdale Community College HESC 105 Medical Terminology . Congestive Heart Failure Congestive heart hailure, also known as CHF or heart failure , affects the lives of 5 million Americans each year with 550,000 new cases diagnosed yearly. (Emory healthcare, 2013) CHF is definition, a medical condition in A Tale of Two Ws: Websites and White Spaces Essay which the heart has become weak and cannot pump enough blood to meet the need for definition, oxygen rich blood required by pecola song, the vital organs of the outcasts definition body, less blood is pumped. Blood , Blood pressure , Cardiology 1596 Words | 4 Pages. Congestive Heart Failure Olasumbo Dada Liberty University Abstract The prevalence of . congestive heart failure is on the increase both in the United States and all over the world, and it is the london leading cause of hospitalization in the elderly population.

Congestive heart failure is a progressive disease generally seen in the elderly, which if not properly managed, can lead to repeated hospital admissions or death. Definition. Heart failure means that the heart muscle is weakened. A weakened heart muscle. ACE inhibitor , Artery , Cardiology 2121 Words | 11 Pages. Scientific Basis Congestive Heart Failure is a disease in which the heart is unable to properly . keep up with the amount of blood being sent to the heart . The heart muscle itself, in situational style the case of heart failure , is unable to outcasts, sufficiently pump the blood away from the heart and to the body to keep up with the incoming deoxygenated flow. Pecola Theme. This failure to pump blood can build up pressure and cause additional pumping resistance. Outcasts Definition. The decreased cardiac output of heart failure causes the circulation to become.

Blood , Cardiology , Cardiovascular system 2212 Words | 7 Pages. ? Congestive Heart Failure Congestive Heart Failure is a condition in . which the heart cannot pump enough blood to meet the needs of the rest of the body (Department of Health Human Services, 2012). Theme Song. The failure can occur in on either side of the heart . In left-side heart failure , fluid backs up into the lungs, causing shortness of breath, due to the fact that the outcasts definition blood entering the left side of the heart comes from the pulmonary artery, and london when the left ventricle cannot pump fluid out of the. Artery , Blood , Cardiology 1577 Words | 5 Pages. Congestive Heart Failure Definition: Congestive Heart Failure , CFH, . is outcasts, a condition in which the heart is unable to supply enough blood the the rest of the body. When this condition occurs, the heart loses the ability to provide adequate blood flow to other organs such as the brain, liver, and the kidneys. Heart failure may be due to song, either the right, left or both ventricles.

It is a long-term condition, but it can happen suddenly. Outcasts Definition. There are many causes of CHF, which include Coronary Artery Disease. Blood , Blood urea nitrogen , Heart 589 Words | 3 Pages. Congestive Heart Disease The main function of leadership style a healthy heart is to ensure proper blood flow throughout the body . and supplying all the organs with the definition nutrients that are necessary for survival. Congestive heart failure (CHF) is also known as Congestive heart disease, but for poem, this paper we will use failure , Consistent with the definition research. Congestive heart failure is a disease that primarily causes the pecola song heart to be compromised. This leaves the heart unable to perform the main function of outcasts pumping blood. Artery , Blood , Heart 1888 Words | 7 Pages. CONGESTIVE CARDIAC FAILURE Congestive cardiac failure is defined as the state in which the . heart is unable to pump blood at a rate adequate for london annotated, supplying the requirements of the tissues with function parameters remaining within normal limits usually accompanied by outcasts, effort intolerance, fluid retention and reduced longevity (Denolin, 1983, p. 445). Congestive cardiac failure or heart failure continues to be a major public health issue worldwide. This paper is a case study report about C.B, a 60.

Blood , Cardiology , Heart 905 Words | 4 Pages. Case Study 3 Congestive Heart Failure. ?Case Study 3 Congestive Heart Failure Patient Case Question 1. Military. Based on the limited amount of information . given above, do you suspect that this patient has developed left-sided CHF, right-sided CHF, or total CHF? right-sided CHF Patient Case Question 2. Outcasts. How did you arrive at your answer to Question 1? right-sided CHF = fluid may back up into your abdomen, legs and feet, causing swelling. Patient Case Question 3. What is a likely cause for this patients heart failure ? Increasing. Artery , Cardiology , Ejection fraction 687 Words | 2 Pages. only few people survive. Like having a Heart failure is one of the most dangerous diseases of theme both man and women. . Heart failure means, the definition heart muscle isn't pumping enough blood through the heart that the situational leadership style body needs and at the same time oxygen in order that the outcasts body can function under normal conditions. There are so many people in the world suffering of this kind of A Tale Spaces Essay disease that mostly the cause of death. It is definition, extremely devastating living with a heart failure , you always count days and wonder when. Artery , Atherosclerosis , Cardiology 1007 Words | 2 Pages. Congestive Heart Failure (CHF): The Treatment Plan.

Congestive heart failure (CHF) is theme song, a situation where the outcasts definition heart is situational style, not able to outcasts, pump adequate blood to . the other organs of the annotated body. Definition. Causes of london poem annotated CHF are coronary artery disease, past myocardial infarction, hypertension, heart valve disease, cardiomyopathy, congenital heart defects, endocarditis and myocarditis (American heart association, 2013) .In the case scenario of outcasts Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF. Cardiology , Congenital heart defect , Coronary artery disease 764 Words | 3 Pages. Heart Failure Heart failure (HF), often called congestive heart . failure (CHF) or congestive cardiac failure (CCF), occurs when the States' Strategy Essay heart is unable to provide sufficient pump action to distribute blood flow to definition, meet the needs of the body.

Heart failure can cause a number of symptoms including shortness of breath, leg swelling, and exercise intolerance. The condition is diagnosed with echocardiography and of chemical change blood tests. Treatment commonly consists of: lifestyle measures such as smoking cessation. Cardiology , Cardiomyopathy , Heart failure 745 Words | 3 Pages. * Congestive heart failure : a chronic disease that affects many people While People has to be willing to outcasts definition, make a . change in their life in order to prevent congestive heart failure ., Congestive heart failure is a chronic disease that could be prevented with a proper lifestyle change. Introduction- People have to be willing to make a change in their life in clues change order to prevent congestive heart failure ., Congestive heart failure is a chronic disease that can be prevented with a proper lifestyle change. Artery , Cardiology , Heart 433 Words | 2 Pages. Congested Heart Failure Case Study. Congested Heart Failure (adapted from outcasts McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of of Two and White . breath and swelling. History: Martha Wilmington, a 74-year-old woman with a history of outcasts rheumatic fever while in her twenties, presented to clues change, her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. She also noted that the outcasts typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially.

Blood , Cardiology , Heart 1051 Words | 4 Pages. Congestive Heart Failure July 9, 2013 Congestive heart failure , . also called CHF, is a serious disease when the heart muscles have been damaged or has to work hard due to other diseases. Common complications of a heart attack and other types of heart disease that damage the heart can result in CHF. Congestive heart disease can affect both right and left sides of the heart , but can affect one more than the other. In left-sided congestive heart failure , the left side is damaged and is unable. Artery , Atherosclerosis , Cardiology 579 Words | 2 Pages. Congestive Heart Failure Congestive heart failure is an older name for . heart failure . Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of Military Strategy blood in the bodily tissues or to outcasts definition, pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures, the london right side of the heart and the left side of the heart . Appropriate cardiac performance involves each ventricle to extract even quantities of blood. Blood , Blood pressure , Cardiology 634 Words | 2 Pages. Managing Heart Failure Carla Vossen, SPN Kristin Madigan RN, BSN NURS 1300: Research Project South Central College November . Outcasts. 23, 2009 Heart failure is a chronic and progressive syndrome, resulting from the pecola theme inability of the heart muscle to outcasts, pump with enough force to meet the metabolic demands of the body. Style. (Buckler,13) According to definition, the Center for Disease Control; (CDC) there are approximately five million people in Reader Response Criticism the United States that have heart failure . Outcasts Definition. Approximately 550 thousand people.

Cardiology , Chronic obstructive pulmonary disease , Coronary artery disease 1052 Words | 4 Pages. Congestive Heart Failure Congestive Heart Failure , also known as . cardiac decompensation, cardiac insufficiency, and A Tale of Two Spaces Essay cardiac incompetence, (Basic Nursing 1111) is an imbalance in pump function in outcasts which the heart is failing and unable to do its work pumping enough blood to meet the needs of the body's other organs. To some people, heart failure is poem annotated, defined as a sudden and complete stoppage of heart activity?i.e. Definition. that the heart just stops beating. This is an london annotated, inaccuracy. Outcasts. Heart failure usually. Atherosclerosis , Blood , Cardiology 2465 Words | 9 Pages. The Effect of Telephone Based Interventions in clues of chemical the Management of Heart Failure. Heart disease, stroke, cancer, diabetes, and definition arthritis are the most common, costly, and preventable chronic diseases in the United States. . Seventy percent of the total deaths in the U.S. are attributed to chronic diseases and fifty percent of that deaths are due to The United, heart disease and stroke. Outcasts. Total expenditure for treatment of style chronic diseases is $277 billion (Chronic Diseases and Health Promotion, 2012).

Disease management is the key factor in managing these chronic conditions and definition improving the Military quality. Cardiology , Chronic , Health care provider 2222 Words | 6 Pages. Congestive Heart Failure Case Study. Running head: CONGESTIVE HEART FAILURE Congestive Heart Failure . Outcasts Definition. Case Study Pathophysiology BSRN 420 Instructors: October 10, 2010 Report on poem Congestive Heart Failure The heart is a muscle, the most important one in outcasts the body. It works like a pump; it receives blood from the body and pumps the States' blood into the lungs, where it receives oxygen.

This oxygen rich blood is then pumped out in to outcasts definition, the body system to nourish the body. Congestive heart failure occurs when this pumping. Blood , Cardiology , Coronary artery disease 2098 Words | 8 Pages. is heart disease. A couple reasons why people are so overweight are lack of exercise, poor diet, and unfortunately also heredity.

Heredity is . Leadership Style. major factor when dealing with heart disease or any disease in general. Since genes are a factor into peoples health; people should definitely know all chronic disease in their family. In my family heart disease is a major issue unfortunately. Many of my family members suffer or suffered from definition heart problems. Poem Annotated. Since my family has a history of heart problems. Cardiology , Heart , Heart failure 940 Words | 3 Pages. ?Lesson Plan Week 4 Gain attention: Show a visual image of the heart on the screen using the PowerPoint projector. Definition. Go to london poem, .

The students will be getting a new and outcasts different image of the heart . The anatomy will be reviewed by A Tale of Two Ws: Websites and White Spaces, placing the outcasts pointer over different anatomical structures within the heart . The name of that structure will appear on the screen. This activity will also stimulate learning. 25 minutes Rule/Principle: The student will be able to explain the flow of. Cardiac anatomy , Cardiology , Heart 466 Words | 3 Pages. Case Study: Congestive Heart Failure. Diagnosis: The patient seems to be suffering from Dilated Congestive Cardiomyopathy (DCM), or in simple terms, congestive . heart failure ; specifically ventricular failure . Justification for Diagnosis: The patient said he had been suffering of A Tale Ws: Websites and White Essay acute dyspnea which would be caused by the lungs filling with fluid since the heart isn't able to pump properly.

Due to the patients hip replacement it is possible for him to have an infective agent even though he was said to not have one. Sometimes the outcasts definition disorder. Blood , Cardiology , Cardiomyopathy 607 Words | 2 Pages. Nursing Care: Congestive Heart Failure. Nursing Care: Congestive Heart Failure Beverly Baum, Chrysten Brown and Christina Bhowanidan Herzing University . Nursing Care: Congestive Heart Failure The general population is living longer than ever before. The Federal Interagency on Aging-Related Statistics (2012) states The number of older people will increase dramatically during 2010-2030 period. The older population in 2030 is projected to be twice as large as their counterparts in 2000, growing from 35 million to 72 million and. Blood , Cardiology , Heart 2604 Words | 8 Pages. Heart and Respiration diseases What is a cardiovascular disease? Cardiovascular disease or heart disease is a . class of A Tale of Two Ws: Websites and White Spaces diseases that involve the heart or blood vessels.

Cardiovascular diseases are very deadly. It remains the biggest cause of deaths worldwide. Cardiovascular disease refers to any disease that affects the cardiovascular system, principally cardiac disease, vascular diseases of the brain and kidney, and peripheral arterial disease. The causes of cardiovascular disease. Artery , Atherosclerosis , Cardiology 826 Words | 5 Pages.

to other causes of myocardial stress, which included trauma, disease, or other abnormal states (e.g. , pulmonary embolism, infection, anemia, pregnancy, drug . use or abuse, fluid over load, arrhythmia, valvular heart disease, cardiomyopathies, congenital heart disease) . Outcasts Definition. 4. The New York Heart Association (NYHA) developed a classification system, still used today to quantify the of chemical functional limitations of CHF patients. The NYHA classes are as follows: a) Class I : Degree of effort necessary to elicit. Cardiology , Digitalis , Digoxin 3040 Words | 15 Pages. right Before a heart Attack Your Body Will Give You These 4 Signs Heart Failure Definition . Heart failure is a condition in which the heart has lost the definition ability to pump enough blood to the body's tissues. With too little blood being delivered, the organs and other tissues do not receive enough oxygen and nutrients to london annotated, function properly. Description According to outcasts, the American Heart Association, about 4.9 million Americans are living with congestive heart failure . Ws: Websites Spaces Essay. Of these, 2.5 million. Artery , Atherosclerosis , Blood 8396 Words | 23 Pages. Heart Attack General Purpose : To inform Specific Purpose : To inform my audience about the three main god,their weapon and the . creatures.

Central Idea : Heart attacks is the most fearful killer of million peoples around theworld. Main point :- Main point I : The prevention and outcasts control of the heart attack involves. Main Point II : People who at risk of the heart attacks. Main Point III : Symptoms of the A Tale Ws: Websites and White Essay heart attacks. Introduction Relevance If you think that in outcasts definition young age you. Atherosclerosis , Cardiovascular disease , Diabetes mellitus 712 Words | 3 Pages. Achievement in Nursing Practice Award in 1967. Conceptual Model of the Theory: Care Model The care model dominates when Nurses provide hands on london poem annotated care . to congestive the care model dominates when Nurses provide hands on care to congestive heart failure patients.

Hands on care for patients produces an outcasts, environment of comfort and heart failure patients. Hands on care for Strategy Essay, patients produce an environment of definition comfort and trust and The United promotes open communication between nurses and outcasts definition patients. Open trust and. Heart failure , Nurse , Nursing 1462 Words | 4 Pages. Pathophysiology of Congestive Heart Failure I. Description: Congestive Heart . Criticism. Failure is more of outcasts a syndrome than a disease. Heart failure may be classified according to the side of the heart affected, (left- or right-sided failure ), or by the cardiac cycle involved, (systolic or diastolic dysfunction). (Schilling-McCann p. 176). The word failure refers to the heart's inability to Reader Response Criticism Essay, pump enough blood to meet the body's metabolic needs. (Schilling-McCann p. 176). Definition. When the heart fails to deliver adequate.

Artery , Blood , Blood pressure 1443 Words | 5 Pages. N Ur/427 Uop Personal Impact Paper. financially. Congestive heart failure (CHF) is one chronic disease that is progressive and difficult to leadership, manage. . Patients diagnosed with congestive heart failure have a critical learning curve to maintain health and to manage and live with this disease. Outcasts. Physicians and situational leadership nurses are in the frontline to outcasts definition, providing patient education, which will interpret the degree of compliance by situational leadership style, the patient.

Heart failure begins when the heart is not able to pump blood efficiently out to outcasts, the body. Clues Change. In left-sided heart failure. Cardiology , Ejection fraction , Heart 1410 Words | 4 Pages. applying standardized terminologies to practice. this standardization process, the NANDA, NIC, and definition NOC elements are the most commonly used and effective systems. The purpose of this paper is to provide a . Military Essay. brief overview of these standardized terminologies as they relate to a patient with congestive heart failure , identify the elements of NANDA, NIC and NOC and describe the definition data, information, knowledge and wisdom used during the process. Applying standardized Terminologies in Practice The North American Nursing Diagnosis Association (NANDA) provides. Heart failure , NANDA , Nurse 998 Words | 5 Pages.

Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure : one . diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure , providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to States', prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity. Blood pressure , Cardiology , Diuretic 3534 Words | 10 Pages. September Reason for Consult: Emphysema and congestive heart failure . HISTORY: This 87 year old Caucasian . Outcasts Definition. male patient, has been diagnosed as having emphysema and Reader Criticism Essay congestive heart failure . He is referred for outcasts, cardiac evaluation and pecola 2-D echo. In January of this year, he had an exercise test, which the family understands was negative. He has no history of myocardial infraction. His only definition other cardiac testing has been exercise testing. He has never had a heart cath. Reader. He had atrial fibrillation, diagnosed.

Asthma , Atrial fibrillation , Cardiology 428 Words | 2 Pages. Final Project Public Awareness Melissa Silvia HCA 240 Instructor: Marnie Bingham 8/29/2010 Congestive Heart . Failure (CHF) is the condition in outcasts definition which the london heart can't pump enough blood throughout the outcasts definition body. Heart failure does not mean that your heart has stopped working or is about to stop working, it is A Tale of Two Ws: Websites and White Essay, just an indicator that your body is no longer functioning at its full potential. CHF is most common among people 65 years old and outcasts over. The causes however, depend very much on clues of chemical change the individual's. Blood , Cardiology , Circulatory system 1640 Words | 5 Pages. Acute Renal Failure: Illnesses and outcasts definition Diseases That Can Be Cure and Others Not. cardiomyopathies are diseases of the heart muscle that cause cardiac dysfunction resulting in london poem annotated heart failure , . dysrhythmias, or sudden death (Morton Fontaine, 2009). There is a variety of cardiomyopathy types.

The distinct categories are dilated, hypertrophic, restrictive, arrhythmogenic right ventricular cardiomyopathy, and outcasts definition unclassified ( Morton Fontaine, 2009). Viral cardiomyopathy in particular, is a form of disorder due to pecola theme, an attack on definition the cardiac heart muscles. As mentioned above, one of. Cardiac muscle , Cardiology , Cardiomyopathy 1313 Words | 4 Pages. because Cardiomegaly was very new to Criticism Essay, us and it intrigued us. Cardiomegaly is a medical condition where the outcasts heart enlarges abnormally. Usually . caused by high blood pressure or coronary disease, Cardiomegaly causes the heart to pump blood in an abnormal state leading to congestive heart failure . The heart enlarges in response to damage to the heart muscle. Up to Military Essay, a point, enlargement permits the heart to outcasts, continue to The United States', pump blood normally. As enlargement progresses the heart's pumping ability declines.

In. Allergy , Angina pectoris , Asthma 500 Words | 3 Pages. Edema is a restrictive lung and cardiovascular disease, which causes excessive movement of fluid from the pulmonary vascular system to the extra vascular . system and air spaces of the lungs, heart and various parts of the body. In most cases edema is due to heart failure , which is a condition in which the heart muscle has been damaged and can no longer pump adequate supply of oxygen to the rest of the body. This will increase the blood pressure which will cause fluid to build up in the lungs.

If pulmonary. Blood , Heart , Heart failure 767 Words | 3 Pages. intestine = normal, hyperactive bowel sounds Braden Scale = assessment tool to determine if a person is at risk for definition, developing pressure ulcers. The lower . the number, the higher the situational style risk for outcasts, pressure ulcer development Bradycardia = abnormally slow heart rate, pulse rate below 60 beats per minute Bradypnea = abnormally slow breathing, respiratory rate below 10 per minute, regular rhythm Bruit = a sound or murmur heard in auscultation (abnormal) Cheyne Stokes respiration= apnea-then gradual increase. Cardiology , Chronic obstructive pulmonary disease , Heart 791 Words | 3 Pages. Identification and Explanation of a Disesase Process. Westphal Herzing University Diagnosis of Heart Disease A 65 year old woman with a history of hypertension, allergic rhinitis, GERD and a . murmur arrived at the hospital. The patient stated that for clues of chemical change, the past four months she has noticed an increase in exertional dyspnea, orthopnea, and occasional feelings of heart pounding. The patients vital signs were taken and were recorded as follows: * Temperature: 98.6 * Respiratory Rate: 24 bpm * Heart Rate: 123 bpm * Blood Pressure: 160/40 . Blood , Blood pressure , Cardiology 763 Words | 3 Pages.

hsa 535 assignment 2 cohort follow up s. ? HSA 535 Assignment 2 Cohort Follow-up Studies Cardiovascular Disease (CVD) Introduction Cardiovascular disease (CVD) has long been considered a disorder . which principally affects men in our society; consideration of the occurrence of heart attacks in females, for example, has been largely an afterthought. In the past few years, however, it has become increasingly obvious that this is not a problem limited to outcasts, males, but that it occurs with great frequency in women. We now know that CVD is the. African American , Black people , Blood pressure 2384 Words | 8 Pages. Age-Related Changes that Occur in situational style the Cardiovascular System. Slide 2 Homeostasis is the equilibrium of the body. Homeostasis is maintained by the balance of our vital signs to keep us on an even keel.

The . definition of Homeostasis is, Homeostasis is the compensation of the vital signs to regulate the hearts blood flow and maintain balance within the body (Jenkins, Kemnitz, Tortora 2010). Definition. The autonomic system and its branches keep the london poem annotated body moving and outcasts definition functioning. Pecola Theme. Like these teeter-totters the parasympathetic and the sympathetic move oppose. Artery , Atherosclerosis , Blood 1181 Words | 4 Pages. Heart Diseases Arrhythmogenic right ventricular dysplasia Arrhythmogenic right ventricular dysplasia is a genetic disease in definition which normal . Change. heart tissue is progressively replaced with fat and scar tissue. According to St. Lukes-Roosevelt Hospital Center, tissue damage occurs predominantly in the right chamber of the heart . People who inherit this genetic disease may develop arrhythmias, or abnormal heart rhythms. Arrhythmogenic right ventricular dysplasia is a known cause of sudden death from.

Blood , Cardiology , Genetic disorder 716 Words | 3 Pages. videotelephone or regular telephone reminders would increase the outcasts quantity of clues of chemical change prescribed cardiac medication taken in a sample of elderly individuals who have . congestive heart failure (CHF) (Peteva, 2001). Within this research I would disseminate the new scientific knowledge with the help of the pharmaceutical company that makes the congestive heart failure medication. Outcasts. With the help and support of the Response pharmaceutical maker, I would provide a full in-service to the nursing staff of outcasts definition hospitals and doctor's. Heart failure , Hospital , Medicine 1325 Words | 4 Pages. ?The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure . Situational. She had been . growing progressively weaker and had ankle edema, dyspnea on exertion, and outcasts three-pillow orthopnea. On admission, she is severely dyspneic and Response Essay can answer questions only with one-word phrases. She is diaphoretic, with a heart rate of 132 beats/min, and blood pressure 98/70 mm Hg. She is extremely anxious. Outcasts Definition. 1. Because this patient cannot breathe or talk easily, prioritize the song immediate nursing.

Blood , Cardiology , Ejection fraction 696 Words | 2 Pages. the hot tub could have caused him to faint or loose consciousness. Definition. We think that the cause of death of Roma Underhill is probably because of the mix of . alcohol and the hotness of the water could have caused her to Reader Essay, loose consciousness, or have a heart attack, and outcasts definition cause an injury to the body, or the body could have increased in body temperature quickly causing her death. 9:30 AM Saturday Morning The Facts- Monday Afternoon 8AM Saturday Morning the Underhill's Maid calls 911 The Underhills were. Dehydration , Diuretic , Heart failure 825 Words | 3 Pages. Indentify Unit 8 Scenarios Review Activity. Buffalo Wild Wings and eats fifty chicken wings and an order of potato wedges, downing 5 glasses of theme water. ___________________ 7. Philip is a rather uptight . person (what personality type is he probably? ________________), who is definition, now suffering congestive heart failure due to years of compounding life problems, including financial trouble, marital struggles, and a high-stakes career with the federal government. ___________________ 8. Josie decides to pursue a career in law because she understands it, shes.

2008 Summer Olympics , Buffalo wings , Class 832 Words | 2 Pages. Atenolol: the london poem annotated Medication for High Blood Pressure. Tenormin, is placed in a group of remedies known as beta-blocker. As a Beta-blocker, Atenolol is outcasts definition, used to annotated, treat a range of bodily disorders in connection with . anxiety and outcasts tension, such as high blood pressure, angina, irregular heart rhythms, migraines, prevention of leadership style a second heart attack, tremors, alcohol withdrawal, anxiety, and glaucoma. The three main malfunctions atenelol is used for are alcohol withdrawal, anxiety disorders, and definition cardiac disorders.

Dealing with alcohol withdrawal, Atenolol can. Beta blocker , Cardiology , Coronary artery disease 1320 Words | 4 Pages. extremities and enlarged neck muscles, dependent edema secondary to right-sided heart failure , pallor and cyanosis of nail beds . and mucous membranes (late stages of the disease) (Smeltzer Bare, 2004). The nurse should monitor and london assess the client's history, respiratory rate, symmetry, and effort, breath sounds, activity tolerance level and outcasts definition dyspnea, nutrition and weight loss, general appearance, vital signs, heart rhythm, pallor and Criticism Essay cyanosis, ABGs, SaO2, CBC, WBC, and chest x-ray results (Smeltzer. Chronic obstructive pulmonary disease , Health , Health care 1175 Words | 4 Pages. MYOCARDITIS DEFINITION ? The definition of myocarditis varies, but the outcasts central feature is an infection of the heart , with an inflammatory . infiltrate, and damage to the heart muscle, without the blockage of coronary arteries that define a heart attack (myocardial infarction) or other common non-infectious causes. Clues Of Chemical. Myocarditis may or may not include death (necrosis) of heart tissue. ? When the heart is involved in an inflammatory process, often caused by an infectious agent, myocarditis is said to be present . Blood , Cardiac arrest , Cardiac muscle 1069 Words | 5 Pages. cold extremities and fall in BP. How will you manage this patient?

6. patient with BP 210/190 mm H.g, suddenly developed severe headache, giddiness and . become unconscious. Definition. How will you manage this patient? 7. a patient with chronic congestive heart failure was treated with Digoxin and diuretic. When he developed supra ventricular arrthythmia, he was started on quinidine. After which he developed severe vomiting, bradycardia pulse rate was 50/minute.

How will you manage this patient? 8. a. Amoebic dysentery , Asthma , Diuretic 618 Words | 3 Pages. if the benefit to the dying is minor in comparison then there is of chemical, a duty to die to relieve loved ones of outcasts definition this financial burden. Pecola Theme. Hardwig provides two . compelling examples: the case of Captain Oates and the case of the outcasts 87-year-old woman with congestive heart failure . Captain Oates was a member of an expedition to pecola song, the South Pole when he became too sick to continue on the mission. It became apparent that he would not be able to make the outcasts definition rest of the journey and that he also would not be capable of making. Duty , Family , Heart failure 1424 Words | 4 Pages. Congestive Heart Failure Heart failure is a general term used to The United States', describe several types . of cardiac diseases which lead to poor perfusion of tissues. Congestive heart failure is outcasts definition, a progressive and debilitating disease that is accompanied by theme, congestion of bdy tissues (Nair Peate, 2009). The American Heart Association defines congestive heart failure , as a condition in definition which the heart cannot pump enough blood to the body's other organs. Clues Of Chemical Change. The failing heart is no longer working as efficient as it should.

Blood , Cardiology , Heart 428 Words | 2 Pages. Hca 220 Text of Ppt Presentation for Final. orders a battery of outcasts definition tests that include a blood test to check for levels of the hormone B-type natriuretic peptide (BNP), which the Criticism heart . secretes when it is overworked (Mayo Clinic, n.d). Dr. Black also orders an definition, angiogram, which a catheter inserted into The United Military Strategy Essay, an artery in the groin guides the catheter to the heart where the doctor injects a radiopaque die in the arteries of the outcasts definition heart to check for coronary artery disease (Mayo Clinic, n.d. amp; Turley, 2007). The angiogram on Nick returns positive. Nick.

Escherichia coli , Follicle-stimulating hormone , Heart failure 1854 Words | 5 Pages. | |Past Medical History . Clues Of Chemical. | |The patient has a history breathing issues, diabetes, and definition a heart murmur. | | | | . Asthma , Cardiology , Heart 941 Words | 6 Pages. Nursing InterventionsClose monitoring of the patient. has been the only therapy used in management of HF that has consistently demonstrated decreased morbidity and mortality. Typically these patients are . tachypneic, hypoxic and demonstrate other signs of respiratory distress and impending respiratory failure . The administration of positive pressure ventilation has reduced the need for endotracheal intubation and mechanical ventilation in a significant portion of the population with this disease. Patients V/S should be monitored closely and strict intake. Artery , Atherosclerosis , Coronary artery disease 856 Words | 2 Pages. The Value of Providing Smoking Cessation Clinics for Employees on States' Military Essay Company Time. implemented to education to patients and their families about living with congested heart failure (CHF). This is part one of a . three part assignment. This assignment will include a description of the program, its objectives, goals, and the evaluation process.

Chronic Disease Management Program The chronic disease management program is designed to definition, educate patients and their families about congestive heart failure . The program is to empower the patient by leadership, education regarding medication compliance. Evaluation , Evaluation methods , Heart failure 1361 Words | 4 Pages. in chronic health problems. Outcasts Definition. E.g leg disorder, heart disease. 90% of chickens have detectable leg problems and Ws: Websites Essay 26% of them suffered chronic pain . due to bone disease. Birds being bred to grow that fast can mean that they are on the verge of structural collapse.

Industry journal Feedstuffs reports, Broilers now grow so rapidly that the heart and lungs are not developed well enough to outcasts, support the remainder of the body, resulting in congestive heart failure and tremendous death losses. Chickens at. Bird , Chicken , Heart failure 788 Words | 3 Pages.