A Family Medical Pedigree Health And Social Care Essay

A Family Medical Pedigree Health And Social Care Essay Individuals inherit many traits and characteristics from their parents. The color of your eyes, hair, and body type can all be traced back to the genes passed on to you by your family. Perhaps more important to your future well being than your outward appearance is the family medical tendencies you inherit. The United States office of the Attorney General states that obtaining an accurate health history and recording it can give you and your medical provider information you need for better health (http://www.hhs.gov/familyhistory/).The Family Medical Pedigree is also called a Family Tree or Genogram (Olsen, S., Dudley-Brown, S., McMullen, P. 2004). The Pedigree is a diagram showing connections to relatives going back at least three generations. At a minimum it includes date of birth or age, sex, and health problems (http://www.nsgc.org/).Once this information is gathered and recorded it can be shared with medical providers and other family members to provide information needed to ma ke sound health decisions (http://www.hhs.gov/famlyhistory/). Significant Health History Using the information contained in Jarvis (2008), the National Society of Genetic Counselors (http://www.nsgc.org), and Health and Human Services (https://familyhistory.hhs.gov/fhh-web/home.action), web sites I was able to construct by own Family Medical Pedigree. Seeing the information in print allowed me to easily determine the predominant disease traits in my family. Jarvis (2008), names specific diseases or conditions to pay particular attention to including: heart disease, high blood pressure, stroke, diabetes, blood disorders, cancer, sickle-cell anemia, arthritis, allergies, obesity, alcoholism, mental illness, seizure disorder, kidney disease and tuberculosis. In my Pedigree there is an obvious tendency towards cardiovascular disease. Specifically five of my relatives have had myocardial infarctions (MI), one MI resulted in death, seven had/have hypertension including myself, my paternal grandmother died from complications related to cerebral vascular accident that was caused by untreated hypertension, and my father died of kidney disease which was directly related to damage caused by hypertension. My mother has hypertension and although fairly well controlled she has had an MI and suffers from a retinal vein occlusion and macular degeneration which has resulted in severe vision impairment. Furthermore osteo and rhematoid arthritis is very prevalent in our family. In addition there is a strong maternal tendency towards hypothyroidism of which four females on the maternal side of the Pedigree have including me. Lifestyle Contributing Factors It is important to note that five of my relatives had lifestyles that contributed to hypertension and three of the five also suffered from an MI. My mother and father were heavy smokers for most of their adult lives, each quitting when the health implications became obvious. My paternal aunt was a heavy smoker until an MI which resulted in her death. Although obesity is a contributor to hypertension and heart disease, all of my relatives had/have relatively normal weights. My mother has sarcoidosis and was actively treated for a long time with prednisone which contributed to her vision problems. Important to note is that not only did my mother smoke but she also exposed herself to countless hazardous chemicals while working most of her life in kitchens. One would not think a commercial kitchen as a hazardous place to work until you realize the cleaning agents that are used on a regular basis. My mother was and continues to be a cleaning fanatic and considers the harsher the chemical the better. Torpy, J. (2006) claims that there are many theories about how sarcoidosis is acquired including environmental exposure, and genetic tendencies. In addition to sarcoidosis my mother has age related macular degeneration (ARMD), the American Medical Association (http:// ama-assn.org) states (as cited by Haines, J., Spencer K., Pericak-Vance, M., 2007) that ARMD has genetic and environmental links especially smoking. Risks and Risk Reduction From reviewing my Family Medical Pedigree it is easy to see that I have inherited the tendency towards and the conditions of hypertension, hypothyroidism, and arthritis. In addition I am at risk for ARMD and sarcoidosis which also has genetic tendencies. My physician is very proactive and has taken my family health history into consideration in providing my care. I have had an EKG and stress test, laboratory analysis for rheumatoid arthritis and annually I undergo tests to check for kidney function and cholesterol and routinely monitor my blood pressure. I see an ophthalmologist every year and hope that by reducing my risk factors for ARMD such as not smoking I do not succumb to it. Finally I am on medication for hypertension and hypothyroidism and I am happy to report both are well controlled. Considering lifestyle I have never smoked, and try to stay as active as possible with horseback riding and working and playing with my dogs. Another lifestyle change I should consider is diet; although I watch what I eat, I could do a much better job by eliminating saturated fats and losing 20 pounds. Conclusion There are user friendly, easily accessible tools available on the internet that can assist everyone to create and record their family health history using a Family Medical Pedigree. The information gained can assist individuals to make informed decisions about their lifestyle and medical care. Olsen, S., Dudley-Brown, S., McMullen, P. (2004) confirm à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒâ€¦Ã¢â‚¬Å"Appropriately used, a family history generated pedigree can be one of the health care providers most powerful clinical tools for health risk identification and preventionà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ã‚ (295). Even the U.S. Surgeon General Dr. Regina M. Benjamin feels that accurate family medical history is important enough that she has created the Family Health History Initiative. This initiative has made recording health information accessible to everyone by providing a free online site to create your own Family Health Pedigree (www.surgeongeneral.gov). In summary by providing a Family Medical Pedigree and working collaboratively with your medical provider for proper screening, treatment, and lifestyle change you can decrease your risk for inherited diseases and preserve health.

Search for the American Dream in Arthur Millers Death of a Salesman :: Death of a Salesman

Search for the American Dream in Arthur Miller's Death of a Salesman What is the American Dream? Some believe in the nineteen fifties ideal created through television. Successful children, perfect families, and a happy stay-at-home mother are all associated with this version. Yet, everyone knows that the children are not always successful, there are family fights, and not every mother can be at home and happy. Many families have lifelong searches for the ideal American Dreams and never find one. These types of families are seen as failures. One family in this type of search is represented in Death of a Salesman through Willy, Linda, and their sons. Willy Loman is the first character to represent the search of the American Dream. First, Willy has a strong belief of the American Dream because of his brother Ben. "Why boys, when I was seventeen I walked into the jungle, and when I was twenty-one I walked out. And by God I was rich." This quote by Ben is the bases of Willy’s beliefs for his family and himself. By this understanding, Willy thinks he will never need to search for anything; it would come to him. Next, Willy instills this same belief within his sons. "Listen to this. This is your Uncle Ben, a great man! Tell my boys, Ben!" When Willy states this to Ben he wants his boys to have the same thought on life as himself. Though, like their father, the two sons are led to the idea that greatness will come to them. Finally, Willy does not ever understand his search until the end of the play. "What-what’s the secret?" Willy asks Bernard this question which shows he is still searching for the key to the American Dre am. At the end of the play, Willy believes that the only answer to the success of his family is through his death. Linda Loman is the next character to represent her search for the American Dream. At first, Linda’s search is for good family relationships. After the big plans are made for the sporting goods shop, Linda’s spirits seem very high. Everyone in her family is getting along, therefore she is happy. These little perks of happiness are enough to keep her dream alive. Then, Linda has a more true view on her family’s search. Comments like, "Your such a boy," and, "One a philandering bum," are insights on what Linda sees within her sons.

Lawrence Joseph Ellison: On Leadership Style Essay

As the article recounts, Lawrence Joseph Ellison, Larry to many, is an adopted child of a Russian emigrate when his unwed mother left him to them. He used to be a mediocre in his class. However, with his self-confidence and goals set in mind, he conquered all the discouragements he got from the people around him and proved them wrong when he started to work on a database project for the Central Intelligence Agency. As of the moment, Larry Ellison owns 23% of the $18 billion-worth Oracle Corporation which is a producer of database softwares being used in thousands of giant business companies all over the world. The success of the organization and of ensuring to bring about innovation is largely dependent on Larry’s notion on leadership. Leading is said to be a human activity and being such, one has to be familiarized with the styles, traits and characteristics of a leader to become an effective one. A leader is mainly focused on influencing people to follow the directions set by him such as goals, perspective and attitude towards work. He or she is also tied up with a set of â€Å"standard† proficiency in decision-making where the executive aspect of being a leader is taken into account, in problem-solving where the analytical aspect is being considered, in managing problems where one should be well-able to handle pressure and stress, in managing power and influence in which the proper control of a leader is being exercised and in building trust to be able to get a sound faith from his subordinates (Nacamara, 1997). As can be seen, Larry spends not much time in Oracle, rather, he is more inclined in yacht-racing. He does not even have his own office. He leaves the tasks to his senior partners. He has an aptitude for delegating tasks all over his team and this type leadership skill is of delegation type. This type of leadership based from Heathfield (1997) is situational such that the style is dependent on the task, the capacity and knowledge of the team or the individual, the time and the resources available and the results which are aspired for. For Larry, he empowers his employees by delegating them with tasks that allows them to contribute their best efforts and to further succeed. As the founder of his own company, he has an attitude of wanting total control over it. He still has a great confidence in his self and, with a trusted, bright-minded people as his staff that dutifully and faithfully follows him, succession planning is yet far from his mind. Larry, in his style, also has trimmed down his company of people he gets does not get along with. He fires people which he thinks wants to rise up in his company and claim to be the next heir or when his executives start to give him advices on how to run his business. Moreover, with his perceptive yet impulsive trait, he puts his capital to dying companies and older versions of programs and works into unifying them. For some people, Larry’s moves are too risky in this age when technology and software companies are fast-emerging. Though he is good at delegating in tasks in his company, he should already have by a clear plan on who’s going to be his successor. If he has a good faith in his employees that they have learned great competence from him, he should also be open to the idea that one day one of his executives will be an heir to his company. Leading his company forever is possible not physically since he also has to retire in his job. Yet, his leadership skill which may have been a legacy for his employees is what is going to be intangibly forever. Daly (2003) asserted that leadership skills can be studied and learned and for that, people are expected to constantly improve their ability to lead. Being such, he would be more confident that his company will be in good hands after he steps down from his throne and spend more time to his family and yachts. References: Barret, VM. , (2006, August 14). Irreplaceable? Retrived, February 22, 2008, from http://www. forbes. com/forbes/2006/0814/082. html Daly, NR. (2003, January 1). Characteristics that count: nine leadership traits that translate to on-target actions. Retrieved February 22, 2008, from Healthfield, S. M. (1997). Delegation as a Leadership Style. Retrieved, February 22, 2008, from http://humanresources. about. com/cs/manageperformance/a/delegation. htm. McNamara, C. , (1997). Overview of Leadership in Organizations. Retrieved, February, 22, 2008, from www. managementhelp. org. mht.

Skype And The Internet Protocol Essay - 925 Words

Skype is a texting and voice chat application that permits clients to associate with each other from any part of globe with Internet access. Skype is one of the most well-known and leading voice communication services in the world. Skype is free, which implies that you can check the product without making any investment. It was created by Niklas Zennstro and Janus Friis in 2003. Five years later, eBay one of the world’s largest online commercial center purchased Skype for $2.6 billion. Finally, in 2011, the software giant Microsoft purchased Skype from eBay for $8.5 billion. Skype has nearly 663 million users worldwide. Through these numbers, we can know how much popularity Skype has gained within a short span of time. Skype is one of the least expensive Voice-over Internet-Protocol (VoIP) service. Furthermore, the subscriptions are done within minutes. Skype can be downloaded and run on any platform with free of cost. 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