Tuesday, December 31, 2019

The Social Determinants Of Health - 981 Words

Mrs Samira Azizi, a 56 year old with an Afghan cultural background living in the community require a nursing care, particularly post-operative dressing change following bowel cancer surgery. She was living with her family in an old farmhouse, 45 minutes away from town, unable to drive and with limited English language understanding that puts her at risk client living in the community (Henderson and Kendall, 2011). The community nurse will visit her for the first time. The social determinants of health most likely had an impact on the life expectancy of the vulnerable populations (Gupta, 2004). Applying the primary health care principles such as equity, cultural competence, community participation and maximum self-reliance, health promotion and disease prevention, access to health services and resource, use of acceptable technology and involvement of government departments to Mrs Azizi’s care will reduce the prevalence of health inequities amongst vulnerable individual (Kralik and Van Loon, 2011;Talbot and Verrinder, 2005). The importance of undertaking safety and risk management issues to the client’s home environment, client itself, nurse and wider community before and after the home visit aims to promote safety and potential hazards within a community that can be prevented from happening. Mrs Azizi was considered vulnerable groups living in the community and maybe at risk for unfavourable health outcomes (Henderson and Kendall, 2011). Primary health care principles focusedShow MoreRelatedThe Social Determinants Of Health1623 Words   |  7 PagesStress has been identified as one of the social determinants of health. It has different meanings in various contexts, so a proper definition will give a good insight of the term.   Ã‚  Ã‚  Ã‚  Stress can be defined as a state of emotional or mental disturbance resulting from adverse or demanding conditions.   Ã‚  Ã‚  Ã‚  Stress can also be defined as a physical, chemical, or emotional factor that causes bodily or mental disturbance and could be a causal in disease formation. StressesRead MoreThe Social Determinants Of Health1194 Words   |  5 Pageswatching television, reading or watching over her six cats. Social Determinants of Health are conditions such as living conditions or environments one has experienced while living their life and how that affects one’s health (Mikkonen, J., Raphael, D., 2010). In this case study of Norma James presented above, the three Social Determinants of Health (DOH) relevant to this case study are Income and Income Distribution, Health Services and Social Safety Net. The following of the paper will discuss theRead MoreThe Social Determinants Of Health1377 Words   |  6 Pages A group of fellow students and my self conducted a public health walk in the area of hackney borough. Our aim was to observe the community and how their surroundings affected their health. On 4th November 2014, we met at 10am and started our walk at St. Johns church. Prior to this day we met up to plan on our walk and how we will conduct it. While on our walk we observed how diverse and cultural the area was, we observed the people socialising in the street, the services available for these peopleRead MoreThe Social Determinants Of Health1306 Words   |  6 PagesConditions of birth and people’s growth, lifestyles, occupations and age strongly influence their health. This essay focuses on children between the ages of zero to 19 and examines what the social determinants of health are. Firstly, it attempts to analyse poverty, family violence, addiction and the impacts on the health of younger New Zealanders who are exposed to those determinants. Secondly, strategies, initiative s and prevention services are identified at national, regional and local levels toRead MoreThe Social Determinants Of Health And Health898 Words   |  4 PagesMental health outcomes vary differently by socioeconomic location for women and men. It is important to critically analyze the various social locations that low-income women living with mental health concerns are currently occupying. These women are occupying these social locations because of the structural inequities that they encounter in relation to their experiences with the social determinants of health. Explanatory frameworks are used to illustrate the relationship between the social determinantsRead MoreSocial Determinants Of Health And Health1170 Words   |  5 PagesSocial determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes l iving conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health thanRead MoreThe Social Determinants Of Health1458 Words   |  6 Pagesknown as the social determinants of health; the central claim arising from this research is that â€Å"various social factors have a strong influence on population health and on inequalities in health outcomes across social groups†. (Preda Voigt, 2015) Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks. Conditions such as social, economicRead MoreThe Social Determinants Of Health1555 Words   |  7 Pages After so, this contact decimated every aspect of the Indigenous way of life. The health and well-being of Indigenous people initiated to worsen severely not only in the physical aspect but also mental. According to National Household Survey conducted in 2011, 1,400,685 people have been identified as being a member of one of the Aboriginal groups within Canada. Within these Aboriginal groups, critical mental health issues such as major depression, anxiety, suicidal thoughts, substance abuse disorderRead MoreSocial determinants of health1076 Words   |  5 PagesHealth starts in our homes, workplaces, schools and communities. Most of us may think that the state of health is determined by our own behaviors and we are taking the initiatives in taking care of ourselves. By having a balanced diet, getting enough rest, exercising, not taking alcohols and smoking, receiving recommendation of preventive vaccine injection and screening tests, and seeing a doctor when we are sick, these behaviors all have great impact on our health. However, social determinants whichRead MoreSocial Determinants Of Health And Health873 Words   |  4 Pages Better research on immigrant health and health outcomes would go a long way to shining a light on how to tackle these problems. The current debate in the research concentrates on social determinants of health such as acculturation, which of course influences a lot of other health and healthcare decisions made by immigrants. However, only focusing on social determinants of health undermines the importance of other factors that also heavily affect immigrant health in the United States. Specifically

Monday, December 23, 2019

Alzheimers Disease My Grandmas Killer - 1510 Words

Alzheimer’s Disease: My Grandma’s Killer Alzheimer’s Disease (AD) is characterized by gradual cognitive decline that beings with the inability to create recent memories or thoughts which then proceeds to influencing all intellectual functions (Mayeux Stern, 2012) . Alzheimer’s disease leads to premature death and the dependence of someone for daily life functions. (Mayeux Stern, 2012) If effects an estimated 5.5 million people in the United States and 24 million people worldwide (Mayeux Stern, 2012). The incidence of Alzheimer’s disease is rising in line with the aging population therefore; Alzheimer’s is most common in older patients around the ages of 60-85 (Mayeux Stern, 2012). Although Alzheimer’s disease is not a normal part†¦show more content†¦Therefore, in the United States, one individual will develop the disease in every 67 seconds (Latest Alzheimer s Facts and Figures, 2015). Pathology Alzheimer’s disease is characterized by the degeneration of the nervous system, mainly the neurons in the brain leads to nerve cell death and the loss of tissue throughout the whole brain (MacGill, 2009). Over a period, the brain shrinks dramatically, affecting almost all of its normal functions throughout ones life (MacGill, 2009). The brain size shrinks with AD and the tissue tends to have fewer nerve cells and connections (MacGill, 2009. Abnormal protein groups and structures of plaques and tangles characterize the disease (MacGill, 2009). Plagues and tangles are not able to be viewed or tested in the living brain but are able to be observed in an autopsy of an infected deceased (MacGill, 2009). Plagues Plagues are abnormal clusters of protein fragments that accumulate between dying nerve cells in the brain due to a build up of the beta-amyloid protein usually referred to as amyloid plagues (Nelson et al., 2012). The beta-amyloid protein comes from a larger protein that is found in the fatty membrane that surrounds nerve cells (Nelson et al., 2012). Beta-amyloid is chemically sticky which helps its cluster and build up into plaques (Nelson et al., 2012). However, even though the huge clusters are thought

Saturday, December 14, 2019

Detection of Backlash Phenomena in the Induction Motor Free Essays

The problem our thesis work will solve is to reduce backlash in the induction motor. Backlash is described as a mechanical form of dead band that can lead to error on hole location, if the motion required to machine the holes causes a reversal in axis direction it also lead to loses of motion between input and output shafts, making it difficult to achieve accurate center in equipment such as machines tools etc. The main problem are vibrations from motor as a result of high ripple torque in the motor. We will write a custom essay sample on Detection of Backlash Phenomena in the Induction Motor or any similar topic only for you Order Now The motor is a kind of an AC machine in which alternating current is supplied to the stator directly and to the rotor by induction from the stator. Induction motor can appear in a single phase or a poly phase. (Toufouti, et al, 2013). In construction, the motor has a stator which is the stationary portion consisting of a frame that houses the magnetically active angular cylindrical structure called the stator lamination. It stack punched from electrical steel sheet with a three phase winding sets embedded in evenly spaced internal slots. The rotor which is the rotatory parts of a motor is made up of a shaft and cylindrical structure called the rotor lamination. It stack punched from electrical steel sheet with evenly spaced slots located around the periphery to accept the conductors of the rotor winding (Ndubisi, 2006). The rotor can be a wound type or squirrel cage type. in a poly phase motor, the three phase windings are displaced from each other by 120 electrical degrees in space around the air-gap circumference when excited from a balanced poly phase source, those windings (stator winding) will produce a magnetic field in the air-gap rotating at synchronous speed as determine by the number of stator poles and the applied stator frequency (Bimal, 2011). In the controlling of electrical motor; the introduction of micro-controllers and high switching frequency semiconductor devices, variable speed actuators where dominated by DC motors. Today, using modern high switching frequency power converters controlled by micro-controllers, the frequency phase and magnitude of the input to an AC motor can be changed and hence the motor’s speed and torque can be controlled. AC motors combined with their drives have replaced DC motors in industrial applications because they are cheaper, better reliability, less in weight, and lower maintenance requirement. Squirrel cage induction motors are most generally used than all the rest of the electric motors as they have all the advantages of AC motors and they are easy to build. The main advantage is that motors do not require an electrical connection between stationary and rotating portion of the motor. Therefore, they do not need any mechanical commutators to the fact that they are maintenance free motors. The motors also have lesser weight and inertia, high efficiency and high over load capability. Therefore, they are cheaper and more robust, and less proves to any failure at high speeds. Furthermore, the motor can be used to work in explosive environments because no sparks are produced. Taking into account all the advantages outlined above, induction motors must be considered as the perfect electrical to mechanical energy converter. However, mechanical energy is more than often required at variable speeds, where the speed control system is not a trivial matter. The effective way of producing an infinitely variable motor speed drive is to supply the motor with three phase voltage of variable amplitude. A variable frequency is required because the rotor speed depends on the speed of the rotating magnetic field provided by the stator. A variable voltage is required because the motor impedance reduces at low frequencies and the current has to be limited by means of reducing the supply voltage. (Schauder, 2013). Before the days of power electronics, a limited speed control of the motors was achieved by switching the three stator windings from delta connection to star connection, allowing the voltage at the motor windings to be reduced. Induction motors also available with more than three stator windings to allow a change of the number of pole pairs. However, a motor with several windings is very costly because more than three connections to the motor are needed and only certain discrete speeds are available. Another method of speed control can be realized by means of a wound rotor induction motor, where the rotor winding ends are brought out to slip rings (Malik, 2013). However, this method obviously removes the main aim of induction motors and it also introduces additional losses by connecting resistor or reactance in series with the stator windings of the motors, poor performance is achieved. With the enormous advances in converters technology and the development of complex and robust control algorithms, considerable research effort is devoted for developing optimal techniques of speed control for the machines. The motor control has traditionally been achieved using field oriented control (FOC). The method involves the transformation of stator currents in such a manner that is in line with one of the stator fluxes. The torque and flux producing components of the stator currents are decoupled, such that the component of the stator current controlling the rotor flux magnitude and the component controls the output torque will differ (Kazmier and Giuseppe, 2013). The implementation of this system however is complicated. The FOC is also well known to be highly sensitive to parameter variations. It also based on accurate parameter identification to obtain the needed performance. Another motor control techniques is the sensor less vector control. This control method is only for both high and low speed range. Using the method, the stator terminal voltages and currents estimate the rotor angular speed, slip angular speed and the rotor flux. In this case, around zero speed, the slip angular velocity estimation becomes very difficult. Motivation for the work When we were on training in machine in our office, we are told gave us a drawing to produce a machine shaft. During the process, when we feed in a cut of 10mm to the machine, it would cut 9.5mm and when we wanted to drill a hole at the center of the job, it would drilled it off centered, we called on our supervisor after we have wasted much time, power and materials. Surprisingly, after his supervision, he told us that backlash in the machine is responsible for that and he instructed us to use another machine which we did and got what we need immediately. Therefore, that ugly experience motivated us to research on how to reduce high ripple torque in induction motor which is the main causes of vibrations that lead to the backlash in the industrial machine. Statement of the Problem The statement of the human problem our research work will solve is to reduce backlash in industrial machine. Explanation of the problem Backlash Backlash can be defined as the maximum distance or angle through which any part of a mechanical system may be moved in one direction without applying appreciable force or motion to the next part in mechanical sequence and is a mechanical form of dead band. More so, it is any non-movement that occurs during axis reversals. For instance, when x – axis is commanded to move one inch in the positive direction, immediately, after this x – axis movement, these x-axis is also commanded to move one inch in the negative direction if any backlash exists in the x-axis, then it will not immediately start moving in the negative direction and the motion departure will not be precisely one inch. So, it can cause positioning error on holes location, if the motion required to drill the holes causes a reversal in axis direction, it also causes loses ofmotion between reducer input and output shafts, making it difficult to achieve accurate positioning in equipment such as machines tools etc. The main cause of this problem electrically is vibrations from electric motor as a result of high ripple torque in the induction motor. Benefits of solving the problem   High quality products will be produce. Productivity will increase because adjustment and readjustment of machine feeding handle or feeding screw to eliminate backlash have been reduced. Operational cost will reduced. Greater efficiency will be guaranteed. Greater accuracy and precision of product will be guaranteed. Wasting of materials will be highly reduced. Research Objectives To develop a model that will control the error to achieve stability using DTC and fuzzy logic with duty ratio. To determine the error in the torque of the machine that causes vibration which lead to backlash that result in production of less standard products.   To determine the position of the stator flux linkage space vector in the poles of the induction motor. To determine the stator linkage flux error in the induction motor that also causes vibration. To simulate the model above in the Simulink environment and validate the result.   Scope and Limitation of the Work This project work is limited to the use of fuzzy logic controller with duty ratio to replace the torque and stator flux hysteresis controllers in the conventional DTC techniques. The controllers have three variable inputs, the stator flux error, electromagnetic torque error and position of stator flux linkage vector. The inference method used was the Mamdam fuzzy logic inference system. The deffuzzification method adopted in this work is the maximum criteria method. Significance of the Work The importance of this work in industry where induction motor drives are mainly in application cannot be over emphasis. As earlier noted, induction motors because of their ruggedness simple mechanical structure and easy maintenance; electrical drives in industries are mostly based on them. Also, a wide range of induction motor applications require variable speed, therefore induction motor speed, if not accurately estimated will affect the efficiency of the overall industrial processes. Equally, the harmonic losses if not put in check will shorten the life span and efficiency of the motor inverter. Based on the above, it is aimed at reducing the principle causes of the inefficiency in the DTC induction motor and improves the performance of the system. Organization of the Work The work is organized into five chapters. Various control techniques were discussed in chapter two, in chapter three, we discusses the methodology, design and implementation of the direct torque control of induction motor using fuzzy logic with duty ratio controller. Chapter four discusses data collection, analysis and the simulated results showing the system using conventional method of control and the proposed fuzzy logic with duty ratio method of control under applied load torque conditions. How to cite Detection of Backlash Phenomena in the Induction Motor, Papers

Friday, December 6, 2019

Tiananmen Square free essay sample

Attach a small photograph of something important to you and explain its significance. Beijing, China: In June of 1989, an unnamed man stood in the way of a long line of tanks, hoping to stop them from entering Tiananmen Square. His act of self-sacrifice for freedom captured the imagination of the world, and at the same moment, he unknowingly became the symbol of the single event which changed my life. A few miles away, hundreds of student demonstrators, most sick and exhausted following a two-week hunger strike, stubbornly stood their ground. Despite warnings from the Chinese government, they intended to continue their protest and stay in the square until their seemingly simple request, freedom, was met. Sha Tin, Hong Kong: I sat in front of the TV while bloody scenes of the final hours in Tiananmen Square invaded my eight-year-old eyes. On the morning of June 4, 1989, the Chinese government sent its army, armed with tanks and machine guns, to occupy the Square. We will write a custom essay sample on Tiananmen Square or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page While forcefully ending a peaceful demonstration for democracy, soldiers injured and brutally killed hundreds of innocent students and civilians. I was too young to realize this was a turning point for China, and could impact my life in Hong Kong, thousands of miles from Tiananmen Square. The anxiety I saw in the eyes of many adults, however, told me something terrible was happening. Only a year before my family had received a letter from the U.S. Immigration Department. It was a letter we had been awaiting for over ten years, which would allow us to move to the United States. It stunned my parents and forced them to make a decision. The letter arrived at a time when the feelings toward the 1997 Communist takeover were positive. There was still faith in Chinas promise which assured Hong Kong of freedom and right to self-government. Businesses were growing and the economy was stable. Giving up a comfortable life to start over in a new country seemed like quite a leap, so my parents delayed the move. Nevertheless, we knew the door would not be open forever; our visa would be good for one year. Within that year things changed. Hong Kong went into panic when the guns started firing and the tanks started rolling in Tiananmen Square that June 4 morning. The world watched in disbelief as Chinese soldiers killed Chinese students, but the most disbelieving of all were the people of Hong Kong. How could this be happening? and How am I going to get out before the communists take over in 97? seemed to be on everyones lips. People realized their freedom would be in jeopardy once they were placed under the rule of China. The situation in Tiananmen Square scared my parents into reconsidering emmigration, and suddenly, moving to the U.S. became a golden opportunity. My family arrived in Seattle on September 2, only three months after the Tiananmen Square Incident. Saying goodbye to friends and family as a child was hard, but the circumstances made it almost unbearable. The atmosphere was horrific and gruesome images were everywhere in magazines, newspapers and TV. Pictures of demonstrators, bands tied around their head or arm with Give me democracy or give me death written on it, lying dead or dying on the sidewalk, became daily reminders of what had happened. All the blood and death proved too much for me, and before long I learned to forget everything. The only clear image of the incident that remained was this picture. The sight of this man, silently willing to sacrifice his life for freedom, made me realize the amazing power of one, and the tremendous amount of love and courage a human heart can contain. Seattle, Washington: As I thumbed through a pile of old magazines I came across a June 1989 issue of Time. The bloody scenes of the final hours in Tiananmen Square came crashing into my sixteen-year-old eyes and stirred a part of my consciousness that had long been buried. Eight years later I have finally learned the details of what happened that day, and faced the pictures I once tried so hard to forget. I wish I could thank each person who risked their lives for democracy, the democracy I enjoy today. If the Tiananmen Square incident had never happened, I probably would not have come to the United States. Sometimes I get frustrated with not remembering more of the feelings I had that summer, but perhaps it is better. By not remembering, I am better able to focus on the present and future rather than dwelling on the past a past which I can never fully grasp, a past experienced through an eight-year-old mind and a TV screen. Too many people expect wonders from democracy, when the most wonderful thing of all is just having it. Walter Winchell