Wednesday, November 27, 2019

Attitude of youths towards marriage Essay Example

Attitude of youths towards marriage Essay Example Attitude of youths towards marriage Essay Attitude of youths towards marriage Essay Sandy Sings my subject teacher for giving me the opportunity to research on such an interesting topic and roving with all the necessary resources and help to fulfill this task successfully. I would also like to thank my seniors and my dear batch-mates for providing the necessary support to complete this work. Contents Topic page NO. Acknowledgement Introduction Indian Marriage System 3 Questionnaire and Survey Work 5 Conclusion 7 It is said that marriages are made in heaven and celebrated on earth. The popular belief is true to many extents, because it is a special bond shared between two souls, who tie the wedding knot after promising to be companions for a lifetime. It is the physical, mental and spiritual unison of woo souls. It brings significant stability and substance to human relationships, which is otherwise incomplete. It plays a crucial role in transferring the culture and civilization from one generation to the other, so that the human race is prospered. The institution of marriage is beneficial to the society as a whole, because it is the foundation of the family, which in turn is the fundamental building block Of the society. While the concept of marriage remains the same across the globe, the way of solemnizes it differs extensively the key point that it is an important and running point of the life of the two persons who are married remains same. Different laws have been formulated in order to legalize and recognize the ceremony. Apart from the laws of marriages, the rituals following during the ceremony are in total contrast to each other. Something that is seen in the western countries cannot be witnessed in other nations in the developing world, primarily due to the contrast in the lifestyle and religious beliefs. One of the prime reasons for the paramount status of marriage is that it is the license for two individuals to live together in a society, without many limitations. Coming to the subcontinent of India, marriage encompasses a number of meanings, apart from being a legalized way of uniting two people. It bears a lot of social significance. This is primarily because in India, marriage has been considered a way to bring the families of two individuals closer. Since the ancient times, marriages have been celebrated as ceremonious occasions, just like the religious festivals, wherein a number of rituals and customs are followed. A number of ceremonies are observed before, during and after wedding. The basic idea and concept behind this topic is to find out the views and reception Of the youth about marriage. So far, havent come across a survey on the same topic; therefore I am interested and curious to know about the attitude and approach of the youngsters toward this topic. The research would include a general survey to study and examine the youths approach and attitude towards marriage A Brief Introduction about Indian Marriage System India is a nation with vast and ancient traditions. The country blossoms with an extensive numbers of colorful culture, languages, communities and tribes. India gives great significance to the tradition of marriage. Indian Marriages are always celebrated with great happiness and enthusiasm. Marriages in India are the most memorable event of ones life. Indian marriages are performed with great purity and making couple to learn the true meanings of being together. Marriage is also the only relationship, which connects the married couple for the life time. The most important thing in ones life is to marry at right age, with the right person. The most difficult task is to find the right person to marry and Indian people spend large amount of time for the matrimonial search. Nowadays love arises have made easy for the parents to search an online matrimonial site. As now boys and girls find their own life partners and parents are left with the task of showering their love and blessings on their children for their happy married life. In India new concept of love marriage is introduced. It has brought a new revolutionary change in the thought process of the Indians. Now Indian marriages are of more effervescent and exaggerated, due to the participation Of the young minds. But in case of the arrange marriages, the process remains the same. The matrimonial search for the potential Indian bride and room has to go a number of phases. Parents, friends, relatives of the particular bride or groom really have to do a proper research work before forming a grouping with the other family members. There are various different ways for matrimonial search in India. It sometimes, becomes very complicated to find a perfect match for the potential Indian bride or India groom. But with the origination of internet, it has become far easier to search an Indian groom or bride for marriage. Love Or Arrange Marriage: Which Is Better? What according to you is the perfect age of getting married? If you love a girl/ ay and your parents disapprove of your partner, what would you do? Your views about remarriage of widow/widower or divorced? According to you who have a greater responsibility after having a child, father or mother? What are your views about polygamy and polyandry? What are your opinions on not marrying and remarrying old age people? The survey work comprised of various people from different age groups varying from my own batch mates to working peoples. Most of the people almost 9 out of 10 were in favor of Love Marriage over arranged marriages. The major reason put forward in favor and preference of love marriages was hat marriage is a relationship which is deemed to be for entire life and if the person who is going to be the life partner is the one whom you know from earlier and have a good understanding with then life will go on smoothly. Most of the people were of the opinion that the perfect age for marrying would be between 25 years to 29 years as by that time the person is well settled in his financial and social life and is mature enough to take the decisions which are going to affect him or her in the long run. On the question Of parents disapproval from the partner which One chooses most of he people agreed on the condition that they will try to persuade their parent and tell them the gravity of feelings they both have with each other and also will put forward the point that how well their life can go if the person they are marring is the same person they love. Also agreeing that fiftieth parents do not like something they will sort out with mutual consent concluding that ultimately parents will agree. Very few almost 1 out of 10 said that they will dc according to their parents wish. All of the people who were surveyed agreed on the point of remarriage of widow/widower or divorced, putting forward an argument that the person who has undergone such situation too has a right to live life happily and its the feelings that matter at the end not the tag. On the question of responsibilities related to the children the answers were based upon the gender of the person to who was answering the question, most of the males gave a response that the duty and responsibilities are more inclined towards the mothers whereas the females were of the opinion that both mother and father share equal responsibilities. On the question of polygamy and polyandry people interviewed shared a common feeling that such system should not be promoted and should be fully criminality. There was a common consensus seen among the people on question of remaining a bachelor, with an argument that it is solely upon the person that he wants to marry or not, if he wants to lead a single life he has all the liberties to do so. Same was the opinion with remarrying the old age people, most of the person interviewed were of the opinion that if there are two person who are old and alone and want to be married then they should do so, let the social stigma attached with this not affect their lives and its an onus upon us to move stigmas like this. CONCLUSIONS The study revealed the following perceptions of youth on the different points of consideration adopted in the survey. The majority, conforming to the modern notion of love and family life, chose love marriage over arrange marriage. A larger portion of the youth were observed supporting the requisite of planning and settlement before marriage, and deeming maturity and sense of responsibility to be an imperative for the development of a good married life. When challenged by a predicament in which they had to choose between their newly founded love and their loving parents, the latter was awaken as a reference while deciding the important question of life. On widow remarriage, the dogma which defined this practice as a taboo in the 19th century was seen completely absent in the mindsets of todays growing youth. They could even be portrayed as the proponents of this revival in thought. Even the same was seen with the question on marrying the person who has been divorced. Diverse views were obtained on the question whether a father, or a mother, who was more responsible towards the caretakers of the child, with a good number of people opining the need for both parents. The subject of polygamy and polyandry faced severe criticisms.

Sunday, November 24, 2019

Music Essay 2

Music Essay 2 Music Essay 2 Clifford Dean Dr. Jean Johnson MUS 101-06011 March 11, 2015 Franz Joseph Haydn Joseph Haydn (1732-1809) Franz Joseph Haydn was among the creators of the fundamental genres of classical music, and his influence upon later composers is immense. Haydn’s most celebrated pupil was Ludwig van Beethoven, and his musical form casts a huge shadow over the music of subsequent composers such as Schubert, Mendelssohn and Brahms. When Haydn was eight years old, he was recruited to sing in the choir at St. Stephens Cathedral in Vienna. There he learned to play the violin and keyboard. He stayed in the school for nine years. When his voice changed he was expelled. Once he left the choir, he supported himself by teaching and playing the violin while studying counterpoint and harmony. Haydn soon became an assistant to composer Nicola Porpora in exchange for lessons, and in 1761 he was named Kapellmeister, or "court musician." In 1766 Haydn became musical director at the Esterhzy court. He raised the quality and increased the size of the prince’s musical ensembles by appointing many choice instrumentalists and singers. In addition to composing operas for the court, Haydn composed symphonies, string quartets, and other chamber music. During the 1760s Haydn’s fame began to spread throughout Europe. The Austrian and Czech monasteries did much to disseminate his church music as well as his symphonies, divertimenti, sonatas, and concertos. The period from 1768 to about 1774 marks Haydn’s maturity as a composer. The music written then, from the Stabat Mater (1767) to the large-scale Missa Sancti Nicolai (1772), would be sufficient to place him among the chief composers of the era. Among his other important works from this period are the string quartets of Opus 20, the Piano Sonata in C Minor, and the symphonies in minor keys, especially the so-called Trauersymphonie in E Minor, No. 44 â€Å"Mourning Symphony,† so named because its slow movement, which was a particular favorite of the composer. Haydn was an

Thursday, November 21, 2019

Interest in Vanguard Accelerated Development Program Personal Statement

Interest in Vanguard Accelerated Development Program - Personal Statement Example only to get an understanding of Vanguard’s leadership philosophy but also to continue its pursuit of excellence within the financial services industry. Although I am relatively new to the Vanguard Investment Services, but I have had the opportunity to demonstrate my ability to learn, adapt, and communicate effectively with clients. At present, I am working as a Corporate Staff Accountant at Education Corporation of America (ECA) where some of my job responsibilities include performing account reconciliations, preparing monthly financial statements, and reviewing the accounting reports. I have also worked as a Human Resource Recruiter at Abae Personnel Services Inc. Both of these jobs have helped me gain valuable experience that I require to progress in my professional life. I want to have an excellent professional record, which could help me attain the heights of success in my life. I am willing to do whatever it takes to make it. An important point, which I want to mention, is that relocation is not an issue for me when it comes to advancing in my career. I am sending this statement of purpose to get an opportunity to join the Vanguard Accelerated Development Program and maximize my skill set, experiences and knowledge. I am hopeful of getting an interview

Wednesday, November 20, 2019

Planning Law & Ethics in Michigan Avenue Corridor Assignment - 1

Planning Law & Ethics in Michigan Avenue Corridor - Assignment Example The council also aspires to maintain activities that are environmentally friendly to the Red Cedar River. For the purpose of tackling and solving the urban decay in an effective way, redevelopment will assume diverse forms in order to facilitate its redesign. The redevelopment project will put into consideration factors such as the conditions of the building and conditions of living ­. The redevelopment project must, however, put into consideration the regulations of Renewal Authority Ordinance (URA) that help structure owners go through both complicated and technical processes. This process of redevelopment aims at restructuring dilapidated and old buildings whose living conditions are poor. The process will replan and rebuild the Avenue sites to accomplish clear environmental as well as social benefits (Brandon 297). In addition, redevelopment plan also targets the available open spaces and facilities of the community. The URA will, in addition, carry out assembly of larger areas of land for comprehensive planning. The comprehensive planning would create room for the restructuring of open space, transport network and local roads. Consequently, the company will achieve proper and better utilization of land resources as well as improving overall Michigan district environment. Planning efforts has a purpose of engaging the Lancing region to define a unified vision for Michigan Avenue, also known as Grand Avenue Corridor. The project aspires to extend eastwards to the town of Webberville. The Red Cedar project has an estimation of $200 million dollars slated for both residential developments and business to revitalize former Red Cedar Golf Club. The process will also create great renovation along the Lansing and East Lansing Michigan Avenue in the area around US 127. The redevelopment project set to break ground will be an establishment across the street from Frandor.  

Sunday, November 17, 2019

Course reflection Essay Example | Topics and Well Written Essays - 1000 words

Course reflection - Essay Example Important lesson learned here is that if one lives in the West, he should understand the Western culture very well especially the real civilization. In order to understand the entire cultural practices well, one should make an effort of attending musical classes, make a good relationship with the western scientists, and learn the philosophy well. For those who live in the United States, they have a clear knowledge about the society, and the kind of work people do there. High Points of the Course Defining Western Civilization Western Civilization is a combination various cultural practices, government systems, religions, values, heritages, and customs. It defines elements like, philosophy, spiritual believes, and cultural practices of western people. According to Metropolitan Museum of Arts, Western Civilization is all practices of western and central Europeans, which include North, and South America, and Australia. All this contributed to growth of overall globalization. Western Civi lization evolved over the centuries. Although development of Western Civilization did not occur during the time of Mesopotamians and Egyptians, their way of writing and different roles concerning gender was what Western Civilization became. ... When writing about past events or history of something, one should quote the exact dates when that event occurred. For Example, the European World War II started on September 1, 1939 and lasted until May 7, 1945. The use of dates is to put occurrence of events in the right order to know the development of events over a certain period. This dating of events also varies with historians. This is because some of the Western people use the Western calendar while others use the Hebrews calendar, which is extremely different from the western calendar. The first year of the Hebrews calendar is equivalent to year 3760 of the Western calendar. The most enjoyable part of the course The most enjoyable part of the course was the history of marriage in Western Civilization. The Romans, Hebrews, and Germanic people practiced they own marriage cultures. Marriage was an economical arrangement meaning that those getting married had no room to engage themselves in romantic love. In many of Western Hist ory, marriage was a matter involving only the husband and wife, but it was a concern of the two families, which brought them together. Parents were the ones to make choices of the men to marry their daughters. The married women usually had limited rights in the family than the husbands who were the head of the family. The women were to be the sub servants of their husbands. Surprisingly, granting someone divorce was easy because men had an advantage of marrying as many wives as they want. Marriage in Medieval Europe Introduction of Christianity in Europe brought a fabulous change in Europeans culture of marriage, although this change took long to take its roots. Although Roman law affected Christianity, it

Friday, November 15, 2019

Evaluation of Public Health Agenda in Community: Obesity

Evaluation of Public Health Agenda in Community: Obesity Module Title: Promoting the Public Health of Populations in Specialist Community Public Health Nursing Module Code: SHN3048 Critical evaluation of the current public health agenda in relation to a health need identified within a community profile. The purpose of this assignment is to critically analyse the current public health agenda in relation to a health need identified through use of community profiling. This paper will aim to provide recommendations as to how a Specialist Community Public Health Nurse (SCPHN) can proactively address high levels of obesity identified within the Cwmbwrla ward (Appendix 1). For the benefit of the reader Cwmbwrla is a suburban area of Swansea, with good transport links to the city centre. In considering the level of deprivation Cwmbwrla is ranked 181 0f 1,909 (LSOA) in Wales (Welsh Government, 2014a). Public health in the 21st century is defined by Riegelman (2010 p4) as the totality of all evidence-based public and private efforts that preserve and prolong health and prevent disease, disability and death thus, recognising public health as a varied approach which should be viewed holistically. Health visitors are a group of specialist community public health nurses (SCPHN), skilled in delivering a proactive Public health service which relies on evidence base research to enhance health and reduce inequalities for all families with children 0-5 (Royal College of Nursing, 2011; The National Institute for Health and Care Excellence (NICE) 2014). The current Public Health strategy in Wales aims to achieve a healthier, happier and fairer Wales, through improving health, reducing inequalities and supporting a good start in life (Public Health Wales (PHW), 2015; Welsh Assembly Government (WAG), 2010; WAG, 2011a; Welsh Government (WG), 2016). There is consistent evidence which suggests investment in the early years significantly improves the health of the child and has a positive impact on long term outcomes (Acheson,1998; Black,1980; Marmot, 2010). As a result of the reaffirmation of the public health role of the SCPHN in recent policy, it is believed that the health visitor is st rategically placed to empower individuals and positively influence the health outcomes of young children and their families (Department of Health (DoH), 2011; WG, 2012a). The four domains of SCPHN practice begin with Search for health needs (Cowley Frost, 2006), thus requiring health visitors to undertake an assessment of the populations health and well-being. A key part of this process is health needs assessment (HNA) (Nursing and midwifery Council, 2010).ÂÂ   In defining HNA, Stewart et al, (2009) suggests the purpose is to identify the health assets and need of a population in order to inform decisions regarding service delivery to improve health and reduce inequalities. Through use of HNA policies are developed and needs are prioritized across services, with the aim of targeting those in greatest need (Williams, 2013). Statistics from the profiled area of the Cwmbwrla ward (Appendix 1), identify high levels of obesity in adulthood as being a significant problem. Despite there being no local data to highlight the levels of childhood obesity specifically within the ward, research suggests a strong link between childhood obesity and obesity in later life (NHS, 2015). Findings from the child measurement program 2014-2015, recorded that 11.8% of 4-5 year olds in Swansea were obese (Public Health Wales Observatory, 2016), a trend mirrored throughout Wales, with findings from the Welsh health Survey (2011) identifying that 35% of children living in Wales were classed as overweight or obese. Obesity has fast become a global epidemic (World Health Organisation (WHO), 2003; 2016), with research suggesting that obesity is the worlds most common nutritional disorder (NICE, 2014). The 2007 Foresight report emphasized the need to tackle the problem of obesity in the United Kingdom, particularly in childhood. The prevalence of obesity in infants, children and adolescents is increasing rapidly both nationally, and internationally, which has a significant impact on both short and long term health (Hall et al, 2009; WHO, 2016 ). Exploration of the literature suggests that there are many risk factors associated with becoming overweight, with the key principles leading to obesity being laid down in childhood (WAG, 2010). Wanless (2004) and Jones et al (2005) identified that during the period of 1986-2002 weight gain in children translated to a doubling in the proportion of those classified obese.ÂÂ   Childhood obesity is becoming evident in younger ages, with studies documentin g a sizable increase in the percentage of overweight children between the ages of two and three years (Hall et al, 2009; Nelson, 2004). Studies linking overweight to psychological consequences show that obese children tend to have low self-esteem, increased rates of sadness, loneliness and are often bullied and socially excluded outside the home (Strauss,2000). Promoting healthy weight and preventing and managing obesity have become pressing public health priorities over recent years (Phillips et al 2011). The effects of addressing obesity in early childhood are not solely limited to its health benefits; improvements in the rates of obesity could potentially save the NHS millions. In Wales alone it is estimated that between 1.65 million a week is spent treating conditions linked to Obesity (PHW, 2016). Despite obesity being at the forefront of the Public health agenda within the UK, progress in tackling childhood obesity has been slow and inconsistent, with a clear lack of provision identified as a problem within Wales (WAG, 2010; WHO, 2016). It has long been recognized that socioeconomic class has a significant impact on health inequalities, with those living in the most deprived areas more at risk of becoming overweight or obese (Acheson, 1998; Black, 1980). This is of particular relevance to the Cwmbwrla ward (APPENDIX 1), which falls within the 20% most deprived areas within Wales (WG, 2014). NICE (2014) supports this, with statistics indicating that 29% of children living in the most deprived areas of Wales being overweight or obese compared to 21% in the least deprived areas. More recent findings have suggested that, despite improvements in the overall health of the general population, there continues to be significant gaps between the social classes (Dahlgren and Whitehead, 1991; Marmot, 2010). These differences have been tackled within Welsh Government policy, which aimed to target the most deprived areas of Wales, through the delivery of the Flying Start program, which promotes health and delivers intensive servi ces in areas of greatest need (WAG, 2005, 2011a; WG, 2016). While such services must be applauded for their proactive approach, it must also be considered that as a consequence of this, the availability services relies heavily on postcode (WG, 2013), resulting in many families in need being unable to access necessary support. However, more recent WG policy has identified the need to tackle inequality, and improve health outcomes for all children, delivering support in key areas to all families with children under 7, underpinned by the principle of progressive universalism (HCWP, 2016). As previously identified, the determinants of obesity are complex and varied, it is important to recognise than no single intervention is likely to prevent or improve childhood obesity alone (WHO, 2012). Availability of data is important in planning services at a local level. Collaboration, leadership and quality improvement play a leading role within WG policy (PHW, 2013; WG, 2011, 2016). These policies emphasize the importance of adopting a muti-agency approach in addressing health needs, thus, identifying the need for SCPHN to support existing programs when planning health interventions to address obesity, with the aim of strengthening current initiatives and reducing the need for later more expensive treatments (NICE, 2013). The all wales obesity pathway supports this, and sets out a multi-agency approach in targeting obesity, allowing the identification of gaps in provision and the determination of where to best focus efforts (WAG, 2010). Over recent years, the WG have invested millions on strategies targeting obesity; for example, Free swimming programme (2003), Health Challenge Wales (2005), Creating an active Wales (2009), Mend (2009), and Our healthy future (2009), despite this the number of overweight children and adults continues to rise (Mc Pherson Marsh, 2007). Research suggests it Is highly likely that obese children will have obese parents, thus indicating the possible detrimental effects of learnt behaviours in childhood such as poor eating habits (NICE,2015). The literature emphasises the need for family involvement in interventions to ensure improvements in outcomes (Public Health England, 2014). There is emerging evidence that programmes that aim to enhance parenting skills can have a positive impact on childhood obesity (Berge Everts, 2011). Therefore, within the Cwmbwrla area, a recommendation would be to build community capacity for healthy eating by setting up a 4 week weaning programme. The programme would be available to families between the 16 week clinic contact and 24 week health review as per the HCWP (2016), and will deliver education and advice within a group setting. The programme will cover topics such as, delayed weaning, healthy eating in childhood, controlling portion size and how to quickly create cheap but nutritio us meals, with the aim of encouraging behaviour change using an educational approach (Naidoo Wills, 2016). The programme would aim to build upon existing initiatives such as Change 4 Life, which has previously been judged for not fulfilling its full potential (WAG, 2014). However,ÂÂ   it is important to consider that in the past, group programmes have been criticised for failing to involve individuals and communities who are hard to reach resulting in poor engagement (PHW, 2013). A further recommendation for the Cwmbwrla ward would be the provision of Increased/intensive home visits to specific families identified during the antenatal or birth visit as being at risk of overweight or obesity. Research has indicated a correlation between parenting lifestyle and that of their children in terms of diet and physical activity (Rhee, 2008). Arguably, the most effective strategy we can employ in tackling obesity in childhood is to work with parents (Golan, Kaufman Shahar, 2006).The aim is to focus on parents and support them to making positive choices that facilitate a healthy start in life. The additional visits will enable SCPHN to facilitate behaviour change by addressing key influences such as; positive parenting, feeding behaviour and food and activities accessible within the home, while also allowing the SCPHN the flexibility toÂÂ   tailor the program specifically to the needs of the individual family. It is imperative that SCPHN are mindful that there is no one correct parenting style, it is therefore important when delivering the program not to stereotype, but to encourage a generally more authoritative approach. Delivering the program within the home will aim to address the possible barriers families experience in accessing services (PHW, 2013). To conclude, this paper has evaluated the current public health agenda in relation to high levels of obesity identified within the Cwmbwla ward, a trend mirrored throughout the UK. Findings suggest that effort needs to be invested in preventing obesity, particularly in children; targeting early intervention and encouraging and educating families to adopt a healthy varied diet and active lifestyle (NICE, 2006, 2014). Through raising awareness, and by influencing local and national policies, SCPHN can facilitate ways to combat the problem of childhood obesity and seek to change the patterns which lead to obesity and poor health in later life (Cowley Frost, 2006; WG, 2014). As a result, recommendations for practice were identified for implementation within the profiled area of Cwmbwrla. The overall aim is for SCPHN to identify, address and facilitating families to overcome the current obesity epidemic, which could potentially result in a huge gain in terms of both cost to the NHS and more importantly the health of children and the adults they become (WG, 2015). Congestive Heart Failure: Causes, Types and Symptons Congestive Heart Failure: Causes, Types and Symptons Heart failure is caused by the heart not pumping as much blood as it should and the body does not get as much blood and oxygen that it needs. The malfunctioning of the heart chambers are due to damage caused by narrowed or blocked arteries leading to the muscle of your heart. This Heart failure can also be described based on which area of the heart isnt operating properly.2 types of heart failure. 1) Diastolic dysfunction: The contraction function is normal but theres impaired relaxation of the heart, impairing its ability to fill with blood causing the blood returning to the heart to accumulate in the lungs or veins. 2) Systolic dysfunction: The relaxing function is normal but theres impaired contraction of the heart causing the heart to pump pump out as much blood that is returned to it as normally does. As a result of more blood remaining in lower chambers of the heart Causes Any disorder that directly affects the heart can lead to heart failure, as can some disorders that indirectly affect the heart. Some disorders cause heart failure quickly; others do so only after many years. Some disorders cause systolic dysfunction, others cause diastolic dysfunction, and some disorders, such as high blood pressure and some heart valve disorders, can cause both types of dysfunction. Systolic Dysfunction: In many cases, a combination of factors results in heart failure. Coronary artery disease is a common cause of systolic dysfunction. It can impair large areas of heart muscle because it reduces the flow of oxygenirich blood to the heart muscle, which needs oxygen for normal contraction. Blockage of a coronary artery can cause a heart attack, which destroys an area of heart muscle. As a result, that area can no longer contract normally. Myocarditis (inflammation of heart muscle) caused by a bacterial, viral, or other infection can damage all or part of the heart muscle, impairing its pumping ability. Some drugs used to treat cancer and some toxins (such as alcohol) may also damage heart muscle. Some drugs, such as nonsteroidal antiiinflammatory drugs, may cause the body to retain fluid, which increases the workload of the heart and may precipitate heart failure. Heart valve disordersinarrowing (stenosis) of a valve, which hinders blood flow through the heart, or leakage of blood backward (regurgitation) through a valveican cause heart failure. Both stenosis and regurgitation of a valve can severely stress the heart, so that over time, the heart enlarges and cannot pump adequately. An abnormal connection (septal defectsi(see Birth Defects: Atrial and Ventricular Septal Defects and Patent Ductus Arteriosus: Failure to CloseFigures) between the heart chambers can allow blood to recirculate within the heart, increasing the workload of the heart, and thus can cause heart failure. Disorders that affect the hearts electrical conduction system and produce prolonged changes in heart rhythms (especially if these are fast or irregular) can cause heart failure. When the heart beats abnormally, it cannot pump blood efficiently. Some lung disorders, such as pulmonary hypertension (see Pulmonary Hypertension), may alter or damage blood vessels in the lungs (pulmonary arteries). As a result, the right side of the heart has to work harder to pump blood into the lungs. The person may then develop cor pulmonale (see Cor Pulmonale: A Disorder Stemming From Pulmonary HypertensionSidebar), in which the right ventricle is enlarged and there is rightisided heart failure. Sudden, usually complete blockage of a pulmonary artery by several small blood clots or one very large clot (pulmonary embolism) also makes pumping blood into the pulmonary arteries difficult. A very large clot can be immediately life threatening. The increased effort required to pump blood into the blocked pulmonary arteries can cause the right side of the heart to enlarge and may cause the walls of the right ventricle to thicken, resulting in right sided heart failure. Disorders that indirectly affect the hearts pumping ability include a severe deficiency of red blood cells or hemoglobin (anemia), an overactive thyroid gland (hyperthyroidism), an underactive thyroid gland (hypothyroidism), and kidney failure. Red blood cells contain hemoglobin, which enables them to carry oxygen from the lungs and deliver it to body tissues. Anemia reduces the amount of oxygen the blood carries, so that the heart must work harder to provide the same amount of oxygen to tissues. (Anemia has many causes, including chronic bleeding due to a stomach ulcer.) An overactive thyroid gland overstimulates the heart, so that it pumps too rapidly and does not empty normally during each heartbeat. When the thyroid gland is underactive, levels of thyroid hormones are low. As a result, all muscles, including the heart, become weak because muscles depend on thyroid hormones to function normally. Kidney failure strains the heart because the kidneys cannot remove excess fluid from t he bloodstream, so the heart has a larger volume of blood to pump. Eventually, the heart cannot keep up, and heart failure develops Diastolic Dysfunction: Inadequately treated high blood pressure is the most common cause of diastolic dysfunction. High blood pressure stresses the heart because the heart must pump blood more forcefully than normal to eject blood into the arteries against the higher pressure. Eventually, the hearts walls thicken (hypertrophy), then stiffen. The stiff heart does not fill quickly or adequately, so that with each contraction, the heart pumps less blood than it normally does. Diabetes causes other changes that stiffen the walls of the ventricle. As people age, the hearts walls also tend to stiffen. The combination of high blood pressure and diabetes, which are common among older people, and ageirelated stiffening makes heart failure particularly common among older people. Heart failure may result from other disorders that cause the hearts walls to stiffen, such as infiltrations and infections. For example, in amyloidosis, amyloid, an unusual protein not normally present in the body, infiltrates many tissues in the body. If amyloid infiltrates the hearts walls, they stiffen, and heart failure results. In tropical countries, infiltration by certain parasites into heart muscle can cause heart failure, even in young people. Some heart valve disorders, such as aortic valve stenosis, hinder blood flow out of the heart. As a result, the heart muscle thickens and has to work harder, and diastolic dysfunction develops. Eventually, systolic dysfunction also develops. In constrictive pericarditis, the sac that envelops the heart (pericardium) stiffens, preventing even a healthy heart from pumping and filling normally. Types of Heart diseases affect the heart chambers include These are the heart diseases which leads to heart failures A) Pulmonary heart diseases B) Heart Disease affecting heart muscles C) Heart disease affecting heart valves D) Heart disease affecting coronary arteries and coronary veins E) Heart disease affecting heart lining F) Heart disease affecting electrical system G) Congenital heart disease A) Pulmonary heart disease Pulmonary heart disease is caused by an enlarged right ventricle. It is known as heart disease resulting from a lung disorder where the blood flowing into the lungs is slowed or blocked causing increased lung pressure. The right side of the heart has to pump harder to push against the increased pressure and this can lead to enlargement of the right ventricle In the case of heart diseases affecting heart muscles, the heart muscles are stiff, increasing the amount of pressure required to expand for blood to flow into the heart or the narrowing of the passage as a result of obstructing blood flow out of the heart. B) Heart diseases affecting heart muscles Cardiomyopathy Heart muscle becomes inflamed and doesnt work as well as it should. There may be multiple causes such as high blood pressure, heart valve disease, artery diseases or congenital heart defects. a) Dilated cardiomyopathy The heart cavity is enlarged and stretched. Blood flows more slowly through an enlarged heart, causing formation of blood clots as a result of clots sticking to the inner lining of the heart, breaking off the right ventricle into the pulmonary circulation in the lung or being dislodged and carried into the bodys circulation to form emboli . b) Hypertrophic cardiomyopathy The wall between two ventricles becomes enlarged, obstructing blood flow from the left ventricle. Sometimes the thickened wall distorts one leaflet of the mitral valve, causing it to leak. The symptoms of hypertrophic cardiomyopathy include shortness of breath, dizziness, fainting and angina pectoris. c) Restrictive cardiomyopathy The ventricles become excessively rigid, harder to fill with blood between heartbeats. The symptoms of restrictive cardiomyopathy include shortness of breath, swollen hands and feet. Myocarditis Myocarditis is an inflammation of heart muscles or weakens of heart muscles. The symptoms of myocarditis include fever, chest pains, and congestive heart failure, palpitation. C) Heart disease affecting heart valves Heart diseases affecting heart valves occur when the mitral valve in the heart narrows, causing the heart to work harder to pump blood from the left atrium into left ventricle. Here are some types of heart disease affecting heart valves: a. Mitral Stenosis Mitral Stenosis is a heart valve disorder that involves a narrowing or blockage of the opening of mitral valve causing the volume and pressure of blood in left atrium increases. b. Mitral valves regurgitation Mitral regurgitation is the heart disease in which your hearts mitral valve doesnt close tightly causing the blood to be unable to move through the heart efficiently. Symptoms of mitral valve regurgitation are fatigue and shortness of breath. c. Mitral valves prolapsed In mitral valve prolapsed, one or both leaflets of the valve are too large resulting in uneven closure of the valve during each heartbeat. Symptoms of mitral valves prolapsed are palpitation, shortness of breath, dizzy, fatigue and chest pains. d. Aortic Stenosis With aging, protein collagen of valve leaflets are destroyed and calcium is deposited on the leaflets causing scarring, thickening, and stenosis is the valve therefore increasing the wear and tear on the valve leaflets resulting in the symptoms and heart problems of aortic stenosis. e. Aortic regurgitation Aortic regurgitation is the leaking of aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole, from the aorta into the left ventricle. Symptoms of aortic regurgitation include fatigue or weakness, shortness of breath, chest pain, palpitation and irregular heartbeats. F. Tricuspid stenosis Tricuspid stenosis is the narrowing of the orifice of the tricuspid valve of the heart causing increased resistance to blood flow through the valve. Symptoms of tricuspid stenosis include fatigue, enlarged liver, abdominal swelling, neck discomfort, leg and ankle swelling. g. Tricuspid regurgitation. Tricuspid regurgitation is the failure of the riht ventricular causing blood to leak back through the tricuspid valve from the riht ventricle into the riht atrium of the heart. Symptoms of tricuspid regurgitation include leg and ankle swelling, swelling in the abdomen. D. Heart disease affecting coronary arteries and coronary veins Heart disease affecting coronary arteries and coronary veins: The malfunctioning of the heart may be due to damage caused by narrowed or blocked arteries leading to the muscle of your heart as well as blood backing up in the veins. Types of heart disease that affect the coronary arteries and veins include Angina pectoris Angina pectoris occurs when the heart muscle doesnt get as much blood oxygen as it needs. Here are 3 types of angina pectoris: a) Stable angina Stable angina is chest pain or discomfort that typically occurs with activity or stress due to oxygen deficiency in the blood muscles usually follows a predictable pattern. Symptom of stable angina include chest pain, tightness, pressure, indigestion feeling and pain in the upper neck and arm. b) Unstable angina Unstable angina is caused by blockage of the blood flow to the heart. Without blood and the oxygen, part of the heart starts to die. Symptoms of unstable angina include pain spread down the left shoulder and arm to the back, jaw, neck, or riht arm, discomfort of chest and chest pressure. c) Variant angina aiso known as coronary artery spasm Caused by the narrowing of the coronary arteries. This is caused by the contraction of the smooth muscle tissue in the vessel walls. Symptoms of variant angina include increasing of heart rate, pressure and chest pain. Heart attacks known as myocardial infarction or MI Heart attacks caused by plaque rupture with thrombus formation in a coronary vessel, resulting in an acute reduction of blood supply to a portion of the myocardium. Symptoms of MI include a squeezing sensation of the chest, sweating, nausea, vomiting, upper back pain and arm pain. Heart disease aiso known as coronary artery disease or coronary heart disease Caused by arteries hardening, narrowing, cutting off blood flow to the heart muscle resulting in heart attack. Symptoms of heart disease include shortness of breath, chest pains on exertion, palpitation, dizziness and fainting. Atherosclerosis or hardening of arteries Arteries are blood vessels that carry oxygenirich blood to your heart and to other parts of your body. Atherosclerosis is caused by plaques that rupture in result of blood clots that block blood flow or break off and travel to another part of the body. Atherosclerosis has no symptom or warning sign. Silent ischemia. Ischemia is a condition in which the blood flow is restricted to a part of the body caused by narrowing of heart arteries. Siient ischemia means people have ischemia without pain. There is aiso no warning sign before heart attack. E) Heart disease affecting heart lining Rheumatic heart disease results from inflammation of the heart lining when too much fluid builds up in the lungs leading to pulmonary congestion. It is due to failure of the heart to remove fluid from the lung circulation resulting in shortness of breath, coughing up blood, pale skin and excessive sweating. Heart disease resulting from inflammation of either the endocardium or pericardium is called heart disease affecting heart lining. Endocardium is the inner layer of the heart. It consists of epithelial tissue and connective tissue. Pericardium is the fluid filled sac that surrounds the heart and the proximal ends of the aorta, vena valva and the pulmonary artery. a. Endocarditis Endocarditic, which is an inflammation of the endocardium is caused by bacteria entering the bloodstream and settling on the inside of the heart, usually on the heart valves that consists of epithelial tissue and connective tissue. It is the most common heart disease in people who have a damaged, diseased, or artificial heart valve. Symptoms of endocarditis include fever, chilling, fatigue, aching joint muscles, night sweats, shortness of breath, change in temperature and a persistent cough. b. Pericardium Pericarditis is the inflammation of the pericardium. It is caused by infection of the pericardium which is the thin, tough bagiiike membrane surrounding the heart. The pericardium aiso prevents the heart from over expanding when blood volume increases. Symptoms of pericarditis include chest pain, mild fever, weakness, fatigue, coughing, hiccups, and muscle aches. F) Heart disease affecting electrical system The electrical system within the heart is responsible for ensuring the heart beats correctly so that blood can be transported to the cells throughout our body. Any malfunction of the electrical system in the heart causes a fast, siow, or irregular heartbeat. The electrical system within the heart is responsible for ensuring that the heart beats correctly so that blood can be transported throughout our the body. Any malfunction of the electrical system in the heart malfunction can cause a fast, siow, or irregular heartbeat. Types of heart disease that affect the electrical system are known as arrhythmias. They can cause the heart to beat too fast, too siow, or irregularly. These types of heart disease include: a. Sinus tachycardia Sinus tachycardia occurs when the sinus rhythm is faster than 100 beats per minute therefore it increases myocardial oxygen demand and reduces coronary blood flow, thus precipitating an ischemia heart or valvular disease. b. Sinus bradycardia Sinus bradycardia occurs when a decrease of cardiac output results in regular but unusually siow heart beat less than 60 beats per minute. Symptoms of sinus bradycardia includes a feeling of weightlessness of the head, dizziness, low blood pressure, vertigo, and syncope. c. Atrial fibrillation Atrial fibrillation is an irregular heart rhythm that starts in the upper parts (atria) of the heart causing irregular beating between the atria and the lower parts (ventricles) of the heart. The lower parts may beat fast and without a regular rhythm. Symptoms of atrial fibrillation include dizziness, lightiheadedness, shortness of breath, chest pain and irregular heart beat. d. Atrial flutter Atrial flutter is an abnormal heart rhythm that occurs in the atria of the heart causing abnormalities and diseases of the heart. Symptoms of atrial flutter includes shortness of breath, chest pains, anxiety and palpitation. e. Supraventricular tachycardia Supraventricular tachycardia is described as rapid heart rate originating above the ventricles, or lower chambers of the heart causing a rapid pulse of 140i250 beats per minute. Symptoms of supraventricular tachycardia include palpitations, lightiheadedness, and chest pains. f. Paroxysmal supraventricular tachycardia Paroxysmal supraventricular tachycardia is described as an occasional rapid heart rate. Symptoms can come on suddenly and may go away without treatment. They can last a few minutes or 1i2 days. g. Ventricular tachycardia Ventricular tachycardia is described as a fast heart rhythm that originates in one of the ventricles of the heart . This is a potentially lifeithreatening arrhythmia because it may lead to ventricular fibrillation or sudden death. Symptoms of ventricular tachycardia include light headedness, dizziness, fainting, shortness of breath and chest pains. h. Ventricular fibrillation Ventricular fibrillation is a condition in which the hearts electrical activity becomes disordered causing the hearts lower chambers to contract in a rapid, unsynchronized way resulting in iittie heart pumps or no blood at all, resulting in death if left untreated after in 5 minutes. There are many heart diseases affecting electrical system such as premature arterial contractions, wolf parkinson, etc. G) Congenital heart disease There are several heart diseases that people are born with. Congenital heart diseases are caused by a persistence in the fetal connection between arterial and venous circulation. Congenital heart diseases affect any part of the heart such as heart muscle, valves, and blood vessels. Congenital heart disease refers to a problem with the hearts structure and function due to abnormal heart development before birth.Every year over 30,000 babies are born with some type of congenital heart defect in US alone. Congenital heart disease is responsible for more deaths in the first year of life than any other birth defects. Some congenital heart diseases can be treated with medication alone, whiie others require one or more surgeries. The causes of congenital heart diseases of newborns at birth may be in result from poorly controlled blood sugar levels in women having diabetes during pregnancy, some hereditary factors that play a role in congenital heart disease, excessive intake of alcohol and side affects of some drugs during pregnancy. Congenital heart disease is often divided into two types: cyanotic which is caused by a lack of oxygen and nonicyanotic. A. Cyanotic Cyanosis is a blue coloration of the skin due to a lack of oxygen generated in blood vessels near the skin surface. It occurs when the oxygen level in the arterial blood falls below 85i90%. The below lists are the most common of cyanotic congenital heart diseases: a) Tetralogy of fallot Tetralogy of fallot is a condition of several congenital defects that occur when the heart does not develop normally. It is the most common cynaotic heart defect and a common cause of blue baby syndrome. b) Transportation of the great vessels Transportation of the great vessels is the most common cyanotic congenital heart disease. Transposition of the great vessels is a congenital heart defect in which the 2 major vessels that carry blood away from the aorta and the pulmonary artery of the heart are switched. Symptoms of transportation of the great vessels include blueness of the skin, shortness of breath and poor feeding. c) Tricuspid atresia In tricuspid atresia there is no tricuspid valve so no blood can flow from the riht atrium to the riht ventricle. Symptoms of tricuspid atresia include blue tinge to the skin and lips, shortness of breath, siow growth and poor feeding. d) Total anomalous pulmonary venous return Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart defect that causes cyanosis or blueness. Symptoms of total anomalous pulmonary venous return include poor feeding, poor growth, respiratory infections and blue skin. e)Truncus arteriosus Truncus arteriosus is characterized by a large ventricular septal defect over which a large, single great vessel arises. Symptoms of truncus arteriosus include blue coloring of the skin, poor feeding, poor growth and shortness of breath. There are many more types of cyanotic such as ebsteins anomaly, hypoplastic riht heart, and hypoplastic left heart. If you need more information please consult with your doctor. B. Nonicyanotic Nonicyanotic heart defects are more common because of higher survival rates. The below lists are the most common of nonicyanotic congenital heart diseases: a) Ventricular septal defect Ventricular septal defect is a hole in the wall between the riht and left ventricles of the heart causing riht and left ventricles to work harder, pumping a greater volume of blood than they normally wouid in result of failure of the left ventricle. Symptoms of ventricular septal defect include very fast heartbeats, sweating, poor feeding, poor weight gain and pallor. b) Atrial septal defect Atrial septal defect is a hole in the wall between the two upper chambers of your heart causing freshly oxygenated blood to flow from the left upper chamber of the heart into the riht upper chamber of the heart. Symptoms of atrial septal defect include shortness of breath, fatigue and heart palpitations or skipped beats. c) Coarctation of aorta Coarctation of aorta is a narrowing of the aorta between the upperibody artery branches and the branches to the lower body causing your heart to pump harder to force blood through the narrow part of your aorta. Symptoms of coarctation of aorta include pale skin, shortness of breath and heavy sweating. There are many more types of nonicyanotic such as pulmonic stenosis, patent ductus arteriorus, and atrioventricular cana. These problems may occur alone or together. Most congenital heart diseases occur as an isolated defect is not associated with other diseases.

Tuesday, November 12, 2019

Academic Qualification!

Since a very early age we all have been told to give our academics a lot of importance because our academics are what will ensure you succeed in life. We all can remeber our parents yelling at us for a bad grade in school and made sure we perform better next time. In truth success is an arbitary term(very subjective) and differs from person to person and field to field. One could take as the economic success as the touchstone to which a person is labelled successful in life overlooking his/her other failure such as health, divorce and inefficiency, etc.To others overcoming obstacle and challenges irrespective of what someone earns and the nature of the personal life proves thier success. So who is a successful person and who is a failure? Do school and college grades provide a way to ensure success? Isn't it true that drop-outs like Bill Gates and Richard Branson have become the most successful and inspirational icons today? And should we consider the millions of un -educated people in the world to be failures in life? There are various points to show otherwise that academic qualification does not ensure success.Sure academic qualification is necessary but that would get you only so far, beyond that point various other factors play and important role. Success isn't about getting grades and degrees, if that was true then why aren't all the graduates from Havard, Oxford and Cambridge uniformly successful? The rule of success lies in hard work and well a little bit of luck(destiny). If an engineering student gets good grades and gets a job but is not practically effective and not good at problem-solving effectively he wont get very far and will soon fade out. Unfortunately the world has changed the concept of success.It has become a rat-race where every student chases grades and therefore the entire perception of success and prosperity had changed. Rather than studying to reach our full potential, we study because we think its necessary for a successful career. We spend ten-years in school and a few more at college to educate ourself and then a couple of years looking and hunting for jobs and even after finding it people tend to be un-satisfied and at the wrong profession.And then at times of crisis such as recession when wealth is scares due to the not-so-responsible decisions of CEOs people are worried about their job and he perception of success changes, if you are able to stay away from the pink-slip(or keep your job) you are successful. To conclude i would like to say that academic qualifications are necessary but not to the level most people make it out to be. Academic qualification ensure a more rounded experience to meet people from different backgrounds and cultures, skills necessary to be successful . Hard work, determination, resiliance and your destiny ofcousre play an equally important role in ensuring ‘SUCCESS'.