Hes A Lady essays

He's A Lady essays On Monday, May 20, 1782, a tall rangy blond young man with a firm jutting jaw and a prominent nose, who identified himself as Robert Shurtliff stated he wanted to join the army for the balance of the war. The Munster Master Noal Taft paid him sixty pounds bounty money and Shurtliff signed. The signature was bold, legible and still exists in Deborah Sampson was born into a poor family of seven children. At the age of 5, father disappeared and because her mother could not provide for her children, Deborah was taken in by another family. After moving around a few times, she ended up with the family of farmer Deacon Jeremiah Thomas where she was the only girl among ten sons. She spent her days doing strenuous farm work dressed in male clothing, and in the evening she made the boys, who went to school, teach her what they were learning. Deborah spent about ten years there, growing to be almost five foot eight inches tall, almost a foot taller than the average woman of her day. On May 20, 1782, dressed in men's clothing, Deborah signed up for the army as Robert Shurtliff. She marched with forty-nine other recruits to West Point where they were given their uniforms and equipment. Because there werent physical examinations for soldiers her gender went undetected. At this time, the last major battle of the Revolutionary War had already been fought, however, guerilla warfare was still being fought in some areas where Tories Deborah, or Robert Shurtliff, demonstrated courage, strength, loyalty and fighting skill over and over again during these small, but wild battles. When her group was ambushed near Tarrytown, Deborah was slashed in the forehead wound with a saber and was shot by a musket in the upper left front thigh causing her to fall to the ground. At a field hospital, a French doctor bound up her head wound. In ...

Coronary risk factors Essays

Coronary risk factors Essays Coronary risk factors Paper Coronary risk factors Paper Coronary heart disease affects more than 7 million Americans. It remains the number one cause of death in the United States – mortality is more than 500,000 death cases per year. Many of these deaths can be prevented by lifestyle changes. American Hearth Association developed some evidence based factors that increase the risk of coronary heart disease and heart attack. All risk factors coulld be generally divided into two groups: controllable and uncontrollable. Uncontrollable risk factors include gender, age and heredity. Family history of premature CHD (coronary hart disease) is especially imortant for men younger than 55 and women younger than 65. Males generally are at greater risk initially, but in postmenopausal period women have equal risk. And, of course, risk increases with age. We can control blood pressure, blood cholesterol, harmful habits (like smoking, sedentary lifestyle), avoid stress. For example, people with HDL (high denisty lipids) cholesterol less than 40 mg/dl and high total level of cholesterol (more than 240 mg/dl) are at high risk of cornary diseases. Experts agree the decline in death rates from heart disease in the United States is due in part to the publics adopting a healthier lifestyle. Many deaths associated with heart disease are preventable. Many aspects of lifestyles are the key to prevention of coronary heart disease (CHD). By modifying lifestyle factors, individuals themselves hold the key to lowering their risk for developing and preventing illness and death from CHD. We need to be conscious of coronary risk factors and take the necessary steps to reduce and eliminate them. In almost all risk factors, exercise and physical activity can have a positive physiological and psychological impact to reduce or remove the contributor to he art disease. Regular, moderate to vigorous intensity exercise plays a significant role in preventing heart disease. Studies have shown that moderate exercise, when done regularly, is beneficial in reducing risk for heart disease. According to the US Surgeon Generals report, Physical Activity and Health, regular physical activity also improves life quality and its duration, prevent cancers, type 2 diabetes, arthritis and osteoporosis, relieves symptoms of depression and anxiety and improves mood, controls weight. But we should remember that exercise capacity is reduced in many patients with cardiovascular disease. In post-acute myocardial infarction, ischemic heart disease and heart failure patients, exercise capacity has a strong independent prognostic impact. Even in subjects without history of heart disease, the lower the cardiorespiratory fitness the higher is the risk for cardiovascular events and mortality. With appropriate physical activity, exercise capacity is improved in most individuals. Improvement of functional capacity is associated with improvement of survival. To develop appropriate exercise program we should to determine present exercise levels (functional capacity), existing risk factors and get data of medical examinations. Client should be well motivated to reduce risk and to improve his/her cardiovascular fitness. To define exercises capacity we usually use aerobic fintness test (1-mile walkin on a treadmill), muscular fitness (push-ups or similar exercies), flexibility, BMI (body-mass index) defeninion. We should discuss the results with client, calculate a target heart range of pulse for him/her, to teach him/her how to take pulse, provide exact instructions and demonstrations. A comprehensive exercise program combines stretching, aerobic conditioning, and weight training. Inactive adults can improve their health by becoming moderately active. Exercise intensity, frequency, and duration are terms used in describing an exercise plan. Certain level of intensity is determined by the results of stress-test. The level of intensity should be â€Å"somewhat hard† to client. At least 30 – 60 minutes should be devoted to aerobic activity and maintaining heart rate within. To improve cardio respiratory capacity and control weight we usually recommend to exercise at least 3 – 5 days a week and to be moderately active most days of the week. Walking is the safest and most effective ways to improve cardiovascular fitness – it’s an ideal low impact aerobic exercise. In persons who have been sedentary in recent months, in those with known cardiovascular disease or at high risk, and in persons aged more than 40 years, the initial duration and intensity of the endurance phase should be suitably reduced. Ten minutes of gentle activity such as walking may be an appropriate first step, increasing at intervals of one week or longer according to tolerance, as fitness increases. Increments are first achieved by increasing duration. Later intensity is increased, for example by walking briskly, or by alternate walking and jogging. Dosage is affected by duration, intensity and frequency of exercise. The preferred frequency is 4-5 times weekly with an endurance phase of 20 30 minutes when a more gentle programme is chosen, or (in young fit persons) 3 times weekly with an endurance phase of 40 up to 60 minutes if it is more vigorous. While the latter option is suitable for younger persons and for fit middle-aged and older persons, a lesser duration and moderate intensity are appropriate to most middle-aged and older people, e.g. walking, fast walking, or alternate walking and jogging, or gentle swimming for 30 minutes at least 4-5 times weekly. Many authorities regard it as acceptable to divide moderate exercise such as walking into shorter aerobic periods of 10-15 minutes, 2-3 times a day, if the person finds this more acceptable. Intensity can be judged subjectively, or objectively by instructing the subject to monitor pulse rate during exercise. A training effect is obtained at rates of 60% of maximum rate fo r age, and this is the initial target rate. Supervised exercise is recommended for clients at higher risk. Such persons at higher risk, including those aged 35 years and over who have been sedentary, should undergo formal exercise ECG testing prior to selection of a programme of exercise. References: 1: Gohlke H. [Lifestyle modification is it worth it?] Herz. 2004 Feb;29(1):139-44. 2: Vallebona A, Gigli G.   [Significance of exercise capacity in cardiology] Ital Heart J Suppl. 2003 Sep;4(9):712-9. 3:   Batty GD.   Physical activity and coronary heart disease in older adults. A systematic review of epidemiological studies. Eur J Public Health. 2002 Sep;12(3):171-6. 4: LaMonte MJ, Eisenman PA, Adams TD, Shultz BB, Ainsworth BE, Yanowitz FG.   Cardiorespiratory fitness and coronary heart disease risk factors: the LDS Hospital Fitness Institute cohort. Circulation. 2000 Oct 3;102(14):1623-8. 5:   Haapanen N, Miilunpalo S, Vuori I, Oja P, Pasanen M.   Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women. Int J Epidemiol. 1997 Aug;26(4):739-47. 6: Folsom AR, Arnett DK, Hutchinson RG, Liao F, Clegg LX, Cooper LS. Physical activity and incidence of coronary heart disease in middle-aged women and men. Sci Sports Exerc. 1997 Jul;29(7):901-9. 7 Moller LF, Kristensen TS, Hollnagel H.   Physical activity, physical fitness, and cardiovascular risk factors. an Med Bull. 1991 Apr;38(2):182-7.

Critics Essay Example | Topics and Well Written Essays - 250 words

Critics - Essay Example n find the character of Gregor Samsa going through the process of metamorphosis, changing shapes and finally reaching final stage that is death in his case. The setting of the story is Gregor’s Samsa’s room as we can find the narrator discussing this room in depth where Gregor Samsa moves around the whole day. Gregor Samsa takes the shape of an insect due to which, his family and associates start staying away from him and feel unpleasant about his presence. He changes his appearance from being a human to an insect that is disagreeable for all due to which, he got alienated. It is Gregor’s Samsa’s room where he alienates himself from the rest of the world. In fact, he was already isolated when he was a human being and after being an insect, his isolation and loneliness intensified. This can also be a sign of an alienated society in which, no one has any association to any one and no one is interested in any other person. Lastly, the transformed state of Gregor Samsa, that is being an insect can be a symbol of his alienation that he already felt and near death, he started to take refuge of his own room and people started showing less interest in him as he was of no use for anyone. He knew this fact that because of his ailment, people will start considering him a burden so he shut himself down in his