Wednesday, November 27, 2019

Age of Jackson essays

Age of Jackson essays Jackson was the seventh president of the United States and the first Westerner to be elected president. His election marked the end of a political era dominated by the planter aristocracy of Virginia and the commercial aristocracy of New England. Jackson himself was an aristocrat, but from a rougher mold than his predecessors. He fought his way to leadership and wealth in a frontier society, and his success established a bond between him and the common people that was never broken. Small farmers, laborers, mechanics, and many other Americans struggling to better themselves looked to Jackson for leadership. An example of his representation in America are Jacksons followers considered themselves the party of the people and denounced their political opponents, the National Republicans and later the Whigs, as aristocrats. In fact, Jacksonian leaders were nearly all as wealthy, and as different from the common people, as the Whigs. For all of Jacksons talk about helping working people, his policies accomplished little for them. His banking policies destabilized the nations currency and, some historians think, were designed to help bankers friendly to his Democratic Party. However benevolent Jackson may have been toward blacks and Native Americans in his personal life, they clearly were not included in the common people he sought to aid in his public life. His Native American policy deprived Americas original peoples of millions of acres despite prior treaties and the disapproval of the Supreme Court of the United States. His party promoted the interests of slaveholders and thereby helped to delay a solution to the slavery question until it erupted into the Civil War in Being a prominent figure in American society, Jackson left a legacy of a strong presidency. Since his time it has been commonplace for presid ...

Saturday, November 23, 2019

qreew essays

qreew essays The composer of some of the most influential pieces of music ever written, Ludwig van Beethoven created a bridge between the 18th-century classical period and the new beginnings of Romanticism. His greatest breakthroughs in composition came in his instrumental work, including his symphonies. Unlike his predecessor Wolfgang Amadeus Mozart, for whom writing music seemed to come easily, Beethoven always struggled to Ludwig van Beethoven was born in Bonn, Germany, and was baptized on Dec. 17, 1770. (There is no record of his birth date.) His father and grandfather worked as court musicians in Bonn. Ludwig's father, a singer, gave him his early musical training. Although he had only meager academic schooling, he studied piano, violin, and French horn, and before he was 12 years old he became a court organist. Ludwig's first important teacher of composition was Christian Gottlob Neefe. In 1787 he studied briefly with Mozart, and five years later he left Bonn permanently and went to Vienna to study with Joseph Haydn and later with Beethoven's first public appearance in Vienna was on March 29, 1795, as a soloist in one of his piano concerti. Even before he left Bonn, he had developed a reputation for fine improvisatory performances. In Vienna young Beethoven soon had a long list of aristocratic patrons who loved music and were eager to help him. In the late 1700s Beethoven began to suffer from early symptoms of deafness. The cause of his disability is still uncertain. By 1802 Beethoven was convinced that the condition not only was permanent, but was getting progressively worse. He spent that summer in the country and wrote what has become known as the "Heiligenstadt Testament." In the document, apparently intended for his two broth ...

Thursday, November 21, 2019

Medication Adherence in Elders Research Proposal

Medication Adherence in Elders - Research Proposal Example Medical adherence has been defined by Osterberg & Blaschke, (2005) as â€Å"the extent to which patients take medications as prescribed by their health care providers†. It has been reported as a crucial factor determining the health and well being of elderly population by the World Health Organization (Chung et al., 2008). The issue has been reported to have high prevalence varying from 8-71%, 13-93% during various studies. It has been estimated to result in huge economic burden as well as high mortality (Unni, 2008). Recent evidences indicate that only 50% of the prescribed doses are actually taken by individuals diagnosed with chronic diseases. Of these patients approximately 22% take medication in quantities lesser than the amount recommended, 12% do not fill their prescription and 12% buy the medication but forego them entirely. Though race, ethnicity and age have not been reported to be a risk factor for medication non-adherence, the issue is rendered critical among elder ly patients due to the high vulnerability of this age group to chronic illnesses (Kocureck, 2009). In the light of above discussion the importance of research investigating the various aspects of the medication adherence in elderly population is highlighted. The current research aims to examine the prevalence rates of medication adherence in elderly population. Literature Review High prevalence and large economic burden of medical non adherence has led to extensive studies and investigations enabling an understanding of the issue and devising adherence strategies. However despite the prolific research conducted during the last three decades an optimal strategy is lacking and hence the prevalence rates for non adherence are still on a rise. An estimated 100 billion dollar remains the annual cost of dealing with complications such as hospitalization, disability, disease aggravation mortality etc resulting as a consequence of non adherence (Wertheimer & Santella, 2003). On the basis of causes of non-adherence two types of medication non-adherence have been identified: intentional and unintentional. While the latter has been attributed to forgetfulness or incidental causes; the former is usually reported in patients who have been taking medications but discontinue upon feeling better or worse. However later research has shown that patient’s belief is an important contributor to forgetfulness in taking medication rendering ‘forgetting to take medication’ not a purely unintentional type of non-adherence (Unni, 2008). The major obstacles to medication resulting in non-adherence include forgetfulness, different priorities, deliberate omission of doses, information deficit and certain psychological factors. While the aforementioned factors are at least partially under the control of patients, certain factors such as cost, patient lifestyle inconsistent with medication timing and complex medication regime are important contributing factors attributed to the health care provider (Osterberg & Blaschke, 2005). Six patterns of medication adherence have been identified in patients with chronic diseases. First group adheres to the prescribed doses and timings fully, second is characterized by delays but with complete doses, third miss a single doses occasionally and also are inconsistent with