Tourism Tour Guide free essay sample

I am Nurul Hasanah, your tour guide for today. I am willing to guide and assist you all. And now we’re going to explore and see the beauty of Makassar. Okay, Makassar formerly called Ujung Pandang is the provincial capital of South Sulawesi and the largest city in Sulawesi Island. Makassar has become the primary port and airline hub of the eastern archipelago, the thousands of remote islands being developed and incorporated into the mainstream of Indonesian society and economy. Makassar also famous with the Phinisi Ship as a symbol and the time is in GMT+7. Okay, Ladies and Gentlemen our first destination is Fort Rotterdam. Fort Rotterdam also knows Benteng Makassar or La Galigo. This is a historical artifact of the greatness of the past kingdom of South Sulawesi. During the Dutch colonialism, the fort was rebuilt and renamed Fort Rotterdam. During the period the fort and its area started to be the center of governmental and commercial activity. We will write a custom essay sample on Tourism Tour Guide or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page During the Japanese colonialism the fort functioned as the center of agricultural and language studies. The shape of this building is like a turtle want to go to the sea because fort Rotterdam located near of sea. To enter the Fort Rotterdam, it is about Rp 5000,-. In there you can find many things about the history of South Sulawesi like the culture until the government. In this place you also can buy a book which helped you to get more information about the history of fort Rotterdam. Well, we move to the next destination is Karebosi Square. This is one of the famous soccer field in Makassar. Under the ground of the soccer field, there is a shopping center called Karebosi Link. There, you can buy many things such as shirts, skirts, shoes from the famous brand until many kinds of food. Near from the K-Link, also there is shopping center again called Mall Trade Center. First floor for shoes and bags, second floor for many kinds of shirt , third floor for hand phone and accessories, fourth floor for computers, accessories computer and camera. And the top of the building is food court, the place that you can rest and eat. Third destination is Phinisi Tower UNM. The concept this building is based on the Phinisi as Buginesse people famous as excellent sailor. This building as a new icon of South Sulawesi and become the pride of UNM society. In this place of course you can take a picture and walk around in this area and you can see miniature of UNM. Next destination is Somba Opu is a fort but now the function of this building as a miniature of traditional houses from every regency in south Sulawesi like Bugis, Toraja and Mandar. Not too far from here you can find water park called Gowa discovery. To go in the water park you have to pay about Rp 50. 000,-. And in there you can buy some traditional souvenir like t-shirt or others. Ladies and gentlemen, now welcome to Trans World Studio which located in the Regions and the Global Tourism Business Tanjung Bunga Makassar, the area of integrated tourism object in Makassar. Trans Studio was built of 12. 7 hectares with investment of 1 trillion more rupiahs. Facilities built in the shopping center which includes the Trans Walk and Rodeo Drive, and Studio Trans, Trans Hotel with the best hotel amenities, office of Bank Mega. Trans Studio building was built around 22. 000 m? ith 20 meters high which is the largest indoor amusement park in eastern Indonesia. But at this time, it becomes as the second large indoor theme park after Trans Studio Theme Park Bandung. If you want to play in there you have to buy the tickets about Rp. 150. 000,-. In theme park you can buy some souvenir like dolls, glass symbol of mascot Trans studio theme park. Well ladies and gentlemen this is the last destination, th e famous waterfront in Makassar, Pantai Losari. There is Mesjid terapung and statue of hero of south Sulawesi where they were built recently. Near of losari waterfront you can walk around for the leisure to buy special souvenirs of south Sulawesi. Around the Losari waterfront, you can eat Pisang Epe, Pisang ijo, es kelapa until the famous coto from Makassar, Coto Daeng. Okay, Ladies and Gentlemen, that is the end of our city tour today. I am very glad to see you all enjoy the wonderful vacation today with our tour and travel and see you next time.

Career as Periodontist Essay Example

Career as Periodontist Essay Example Career as Periodontist Essay Career as Periodontist Essay Dentistry is a rewarding career option that deals with the study relating to mouth, teeth, gums and other hard and soft tissues of the oral cavity. It is the occupation concerned with prevention and treatment of supporting tissues, oral disease and particular diseases of the teeth. Dentistry, in recent times, is offering great career opportunities to the professionals in the field. Dental disorder has become a common problem among people of all sections of the society. With the development of recent science and technologies, the treatment procedures have also changed considerably. The opening of more specialized subjects like periodontics, oral pathology and orthodontics have all enhanced the scope in this field. Periodontology or periodontics is the specialty of dentistry that studies supporting structures of teeth, diseases and conditions that affect them. The supporting tissues are known as periodontium. A professional who practices this speciality field of dentistry is known as a periodontist. Periodontist practices a full scope of periodontics with expertise ranging from dental implants to cosmetic periodontal surgery, gum grafting and crown lengthening and specializes in a wide variety of periodontal disease devoted to restoring and enhancing the natural foundation of the smile using conservative, state-of-the-art procedures that will result in beautiful, long lasting foundation of one’s smile. Apart from the routine oral hygiene maintenance, other faculties which form the scope of periodontics are treatment of periodontitis, depigmentation of oral tissues, laser surgeries, reattachment procedures, gingivoplasty, implant surgeries, etc. Gum disease is the most common disease that afflicts mankind. It may be 20 years before a patient realizes they have it and by then it may be too late, as teeth may become loose and cannot be saved. Many people don’t realize that the issues that they are having with their teeth really are gum conditions, not teeth problems. In the early stages of the disease a dentist or hygienist can treat it; but as it progressively worsens a specialist is required to treat the gum disease. The periodontal team includes the periodontist, dental assistants and dental hygienists. The periodontist screens the patient, performs the surgical care, and provides continual care according to the patient’s needs. The dental assistant performs chair side assisting duties while the dental hygienist performs traditional hygiene procedures. The goals of periodontal therapy are to preserve the natural dentition, periodontium and peri-implant tissues; to maintain and improve periodontal and peri-implant health, comfort, esthetics and function. A periodontist is a dentist with a specialty. The specialty is the area supporting the teeth and its structures. He diagnoses and treats diseases by checking on the state of the patient’s mouth, gums and teeth. He is fully certified and qualified to prescribe antimicrobial medication and drugs to treat an infection or anything else that may need a prescription. Periodontists are able to perform specific surgeries that can improve problems that affect the gums that cannot be helped through nonsurgical means. Some of the periodontal surgeries conducted by these dental providers have a cosmetic element to them and can enhance and beautify the smiles of the people who have the work done. Dental implants are also part of the surgical options that this oral health care provider may offer. These are not the limit[pic], though and he or she may also offer other services that involve his field of expertise. The scope of a periodontist’s practice includes the diagnosis and delivery of care in a variety of areas:- Full periodontal diagnosis, treatment and management Gingival augmentation grafting procedures (free gingival grafts, connective tissue grafts) Root coverage pedicle and free soft tissue graft procedures Implant dentistry Interdental papilla reconstruction Regenerative therapy Crown lengthening procedures Gingival preservation at ectopic tooth eruption Removal of aberrant frenulum Prevention of ridge collapse associated with tooth extraction. Correction of the deformed edentulous ridge Cosmetic periodontal procedure Temperomandibular joint disease – diagnosis and treatment Supportive periodontal therapy for cancer patients Comprehensive management of dental care for elderly patients [pic] [pic] [pic] [pic] [pic] [pic] A broad range of therapies exist in periodontics. No single treatment approach can provide the only means of treating any one or all periodontal diseases. One treatment modality may be appropriate for one section of the mouth while another approach may be suitable at other sites. The treatment procedures include:- Chemotherapeutic agents Resective procedures comprising of soft tissue procedures like gingivectomy, gingivoplasty, various mucogingival flap procedures; osseous procedures like ostectomy, osteoplasty; and dental tissue procedures like root resection, tooth hemisection and odontoplasty. Periodontal regenerative procedures include soft tissue grafts, bone replacement grafts, root biomodification and guided tissue regeneration. Periodontal plastic surgery Occlusal therapy include minor tooth movement, occlusal adjustment and splinting. Preprosthetic periodontal procedures Replacement of teeth by dental implants Procedures to facilitate orthodontic treatment Management of periodontal systemic interrelationships when appropriate. A significant recent development in periodontal research has been the convergence of basic and clinical research resulting in a logarithmic increase in the rate of progress. Throughout the 20th century, investigators and clinicians sought to discover the causes and trace the natural history of periodontal disease. Noteworthy progress has been made on several fronts. It was once believed that oral hygiene and age accounted predominantly for variances in the prevalence and severity of periodontal disease; now, a number of innate, acquired and environmental risk factors have been identified. Insight into periodontal wound healing has fostered promising approaches to promoting regeneration of damaged periodontal structures. The progress made in understanding the nature of periodontal disease have been  complemented by equally noteworthy therapeutic advances. The coupling of surgical and medical approaches to treatment ushers in a new era in the management of periodontal disease. Laser-assisted new attachment procedure, the LANAP protocol, is a surgical therapy designed for the treatment of periodontitis through regeneration rather than resection. This therapy and the laser used to perform it have been in use for more than a decade. The last 25 years have brought unprecedented advances to our understanding of periodontal disease. Consider that in 1970 periodontitis was believed to effect most individuals over the age of 35 years, to progress steadily in an individual once initiated until teeth were lost, to be the primary cause of tooth loss. In the 25 years then, impressive research advances in the epidemiology of periodontal disease, the specific bacterial etiology and immunoinflammatory mediators of periodontal tissue destruction have greatly altered our view of periodontal disease. Thus, given these research advances in the understanding of periodontitis, what may the future hold for improved diagnosis and treatment of periodontal disease ? Impressive research into new ways to diagnose the periodontal diseases is well underway. Investigators are seeking new ways to diagnose an individual’s degree of risk for periodontal disease initiation, susceptibility to disease progression, level of disease activity and the likely response to treatment and recurrence of active disease. New diagnostic tests should greatly advance our ability to more accurately and specifically diagnose periodontal disease. The future also looks promising for new treatment strategies to slow or arrest periodontal disease progression. Likely, we have barely scratched the surface in studying the efficacy of locally delivered antimicrobial agents to alter the disease progression. The future also holds promise for slowing disease progression by blocking inflammatory pathways important in periodontal tissue destruction. Last, research into regenerating periodontal structure lost as a result of disease has had a noteworthy record of progress in the past 25 years. Techniques that utilize bone grafts, root treatments, tissue guiding membranes or polypeptide growth factors have ably indicated that it is  possible to regenerate new attachment structures in humans. As investigators continue to unravel the mysteries of the embryonic development of periodontium, the ability to predictably regenerate lost periodontal attachment structures hold great promise for the future. CONCLUSION A standard of excellence in personalized periodontal care enables us to provide the quality periodontal services our patients deserve. As periodontal health care professionals, we should pride ourselves in providing the care the patient needs to keep his smile healthy. Building a foundation of trust by treating our patients as special individuals is vital to our success. As a periodontal practitioner, we must truly believe that preventive care and education are the keys to optional dental health. We must strive to provide dental health care vs. disease care and overwhelmingly dedicated to provide excellent personalized care and service to make the patient as comfortable and pleasant as possible. GINGIVAL GRAFTING ROOT COVERAGE FRENECTOMY DENTAL IMPLANT PERIODONTAL PLASTIC SURGERY

Taxation System in the New York Assignment Example | Topics and Well Written Essays - 750 words

Taxation System in the New York - Assignment Example Since his daughter furnished the apartment using his property, he would have to pay all the property taxes for the furniture. In 2009, the taxpayer also visited his regular doctor and traveled by taxi to and from JFK airport. The hotel expenses would also add to the amount of money he would have had to pay as taxation. In 2010, the taxpayer was in New York for an additional 47 days but returned home in September that year. For the time up to September, his salary would be subject to taxation in New York as a person working abroad. When he came back home, he would go back to being taxed as a local resident since he was no longer working abroad. He would also continue being on his daughter’s apartment lease as the guarantor and therefore pay all the subsequent taxes related to the lease. The taxpayer’s taxable income would be $150,000 from the sale of stock of a California corporation which only held New York real property + $4,000 in NY State lottery winnings + $50,000 distribution from his pension plan + $1000 interest income from his savings account from ING + $100,000 in gains from the sale of a painting located in Connecticut but sold while temporarily at a museum located in New York. The cost of the painting was $20,000. To make a total of $305,000 The amount of the taxpayer’s income that would be subject to New York taxation would be around 100/365 x 100,000. The time he spent working in the company’s out-of-state field offices would not be liable to taxation in New York. The allocation formula would be simply dividing the number of days spent in New York with a total number of days in a year and multiply with his total wages from the company for a year. There are around 155 days that the taxpayer cannot account for in terms of where he was working. Since there is no way of determining this, there would be no taxes calculated for these days.  

Doctrine of the Trinity Essay Example | Topics and Well Written Essays - 1250 words

Doctrine of the Trinity - Essay Example Orthodox Church had believed in certain doctrines but a dialogue to establish proper ecumenical principles was necessary. Trinitarianism exists on the divinity of Father, Son and the Holy Spirit, who are the Godheads, with rather unclear entities. One opinion said they are One, representing substance, power and eternity; but the controversy prevailed. The early Church Fathers had diverse views about the doctrine of Trinity. Some of them had difficulty in accepting that Jesus was not the only God. Some were reluctant to say that he was not the God, but only the Son of the God. "To us there is but one God, the Father, of whom are all things, and for whom we live; and one Lord, Jesus Christ, by whom are all things, and through whom we live." (1 Cor. 8:6, KJV and NIV). "There is not a single controversy with regard to the Nature of the Trinity, as far as we know, which does not involve the doctrine that Christ is the Wisdom of God as its starting point, and the Old Testament definitions of that Wisdom as its proof-test," p.31, Harris. There were confusions with some saying that Jesus represented all the three, or Jesus himself is God and all the three represented Jesus himself. In the scripture the word trinity is not mentioned and its origin remains a bit mysterious In 382, Pope St. In 382, Pope St. Damascus called a local council in Rome to discuss the doctrine of trinity and a papal commentary is still available with strict terms while laying down rules and regulations of being a heretic. "Understanding the nature of orthodoxy and heresy during the fourth century is further complicated by the need to note not only shifts in the content of Christian belief concerning Trinitarian and Christological issues, but also considerable change in the structures and practices within which right belief is assessed," Ayres, p.79. From there, Trinity went through resistance and Fathers like SS. Athanasius, Gregory of Nyssa and Augustine shaped the doctrine in many stages by writing commentaries and defences based on the Council of Constantinople. Athanasius wrote before the council, but says that the Triad is the creator of all things and emphasises that Father and Son work as the principal force behind creation, protection, life, and they are more or less one. St Gregory wrote after the Council and was clearly influenced by the Council's proceedings. He sees the doctrine on the Blessed Trinity's ad extra as Johannine Theology and of biblical origin. In 390, he wrote Concerning We Should Think of Saying that There are not Three Gods to Ablabius where he upholds the Doctrine and says that Father, Son and the Holy Spirit are one and insists that 'no activities of the Godhead are unique to any one'. Around 399 St. Augustine started his work De Trinitate where he cites Gospel of St. John many times and according to him the Doctrine of Trinity could be found in the Gospel of St. John. "Prior to the Cappadocians there scarcely was a concept of person in ancient philosophy. Moreover, the Cappadocians provided a rather complex concept of person" p.14. Turcescu, 2005. Within a period of 264 years from the Council of Nice in 325 AD, a clear definition emerged as the basis of doctrine of the Trinity. In the year 589 AD, the Third Synod at Toledo proclaimed

Research On The Native American Tribes History Essay

Research On The Native American Tribes History Essay Native American tribes from far west coast all the way to the east coast experienced life differently due to conditions of the land. How did the geographical location of tribes affect the life styles of the Native Americans? There were hundreds of tribes and each was unique in a variety of ways from clothing and language; to hunting and gathering resources. Native Americans living in the middle of the United States may have had the best rate, due to the vast land, weather conditions, and food resources. When most Americans think of Indians they refer to the people of the Great Plains; hunting buffalo, war attire, and teepees are commonly what they think of. The tribes of the Great Plains were large in numbers. The reason that this area of tribes is so well recognized is that they were able to maintain life longer then any other areas of Native Americans. One tribe from the Great Plains was the Comanche Indians. The Comanche were a strong group of Indians after obtaining horses in the late 1600s. Horses gave them an advantage in taking over larger areas of land all the way from southwestern Kansas, eastern New Mexico, western Oklahoma, Texas, southeastern Colorado, and northern Mexico. The life style of the Comanche people was based on one thing†¦ the horse. The Comanche people would not have been as successful without this animal. They would breed and maintain huge herds of horses, and then would trade them to the native people of the northern plains. They also tracked the wild mustang herds that roamed the areas. The children of the tribes would obtain a horse of there own at the age of four or five, they would train it and then would become successful hunters. The women of the tribes would sometimes hunt antelope with the men. The young men of the tribes used the horses for war as well as hunting buffalo. The men became such good riders that they could hang off the side of their horse in battle and shoot arrows under the neck of the horse, using the horse as a shield. Another major part of the life for the Great Plains Native Americans was war. The Comanche people killed more non Indian people then any other tribe. By 1840 the Comanches had allied themselves with several other tribes; Arapaho, Cheyenne, and Kiowa. When Mexico became independent in 1821 and Texas fell into the rules set by Mexico, which did not go over well for a lot of the people coming to Texas, the Comanche people were killing most of the travelers. They were also attacking anyone tha t was traveling on the Santa Fe Trail. The most famous battle involving the Comanches was the battle of the Alamo. The Comanche tribe consisted of many different smaller tribes. These bands were considered one because they spoke the same language. It was believed that the Comanche were part of the Shoshone tribe originally. A similarity in language is why people believe that these two may have branched apart. The Shoshone tribe along with many other tribes covered the Great Plains stretching from the Rocky Mountains to the Mississippi River and from Central Texas all the way up to Alberta, Canada. These people lived on wild game from large animals to small, mostly living on buffalo. The people would use almost every part of this animal from the hide to the bones and everything in between. It is thought that before the 1500s the only two non farming tribes were the Blackfoot and Comanche tribes. Even though the tribes of the plains were very successful using the land other tribes in different regions were not so fortunate. The land territory used by the Northwest Native Americans is not large. It is about 2,000 miles in length and only about 150 mile wide. However, the vast area of water they inhabited by was very useful to them in their survival. A majority of the Northwest is made up of islands and large mountain ranges. With the chain of islands to the west and the mountains to the east, the Native Americans would live on the edge of the oceans. This protected them from a lot of the elements such as ocean storms, the abundance of rain, and the cold conditions that would come during the winter months. Due to the amount of water that would come upon this region the trees and vegetation were plentiful. The huge trees that grew in this area were used for many things within the tribes. The Nootka tribe located in the Vancouver Island area, used the huge trees to make many item s like totem poles, their living courts, and at least six different styles of canoes. Canoes were the mood of means for the people of the Northwest coast line. A vast majority of the hunting was done by water, however, some game animals were hunted in the winter months due to the harsh conditions of the Northwest coast. Whale hunting provided the Nootka tribe with a lot of great materials like oil, bones for tools, baleen for trapping, and of course plenty of meat. The Nootka tribe was the only tribe to hunt whales because of there size. The leader of the canoe would have been given this position from his father, and he would harpoon the whale first, he would also receive the first piece of the whale when it was returned to shore to be rationed out between the others. Fish trades between the whites were often, and if the Nootka were ever crossed by the whites they would kill them with no hesitations. The buildings constructed by the Nootka tribe were amazing in there size, some time s being 100 feet in length and 40 feet in width. There were built with large planks of cedar and each plank was removable. The homes were inhabited by several families of the tribe. The leader of the home would sleep in the rear right corner of the home, and the next of kin would inhabit the left rear corner of the home. The front of the home nearest to the door would be stocked with supplies. Outside the front doors of the homes would be large totem polls carved into them would be faces of animals. The faces were chosen by the shaman or people in secret societies. Since these people lived on the coastal shores they came in to contact with white man sooner then others. Another costal tribe that came in contact with non Native Americans was the Cherokees, located on the Southeast coast. In 1540 Spanish explorers crossed into the Cherokee territory. Then French and English traders from the north and east started to appear making trade prominent for the Southeast Indians. The Cherokees were allies with the British in the French and Indian War. The Cherokee helped the British in the conflicts that took place, but only supported them for five of the seven years, after a dispute over a group of wild horses and scalps that had been claimed for bounty. For 2 years the British were in a war with the Cherokee Indians. The Cherokee finally surrendered, they were required to release a huge piece of land that was next to British settlements. After many difficult periods, the Cherokee knew that they were experienced in agriculture and rebuilt their lives based on this fundamental skill. The tribes of the Southeast were able to grow massive crops due to the land conditions. This also benefited them, because large crops meant sizable communities. They grew many of the foods that are familiar with Thanksgiving dinners; corn, sweet potatoes, squash, and beans. The tribes of the Southeast did not move often so there homes were constructed were of two shapes, mostly poles tied with vines and covered in mud or animal hide. They hunted and fished every species of animal that inhabited the area. The Cherokee were the only tribe of the Southeast that spoke the language of Iroquoian. The Cherokee tribe watched and learned from the Americans for years, which is why they are so similar to the Americans. The Cherokee even established a government like the United States. Unfortunately neither they nor any other tribe of the Southeast were treated like Americans, an Indian Removal Act was put into place and the American settlers began taking over the Indians lands forcing them west of the rivers. The Trail of tears is one of the worse events in history fo r the Native American Indians. The event was when soldiers forced the natives to move west while the settlers over took their land. Many Indians died on the travel west due to starvation, disease, and weather conditions. It would be countless years later before the Native people would see any reconciliation for what the lands and treatment that they endured. All in all, I have found that Native Americans were equals in the struggles that they faced. Each region faced different challenges with weather, but all were able to adapt to those conditions. Just like American today, languages are slightly different from the Far East to the Great West and everywhere in between. The clothing these tribes wore was similar in many ways, because a large majority of their clothing was made from animal hide. Hides were also used in the making of the lodging that the natives inhabited. Many Native American Indians still have land conservations and continue to live as they did in the early years of American civilization though it will never be as it once was for these people.

Cost Effects on Pricing Decisions Essay

Pricing decisions for products are affected by many different factors such as demand, cost, competition, strategy, and profitability. Cost is one factor that has numerous ramifications on the final price of a product. Cost includes many aspects including manufacturing cost, damaged goods, theft, transportation, and overhead. When determining the price of a product, one must balance what the market is willing to pay with supply and demand. When examining supply and demand, one can see that as supply increases then demand decreases. Yet, supply does not determine the price of a product. The goal is to base the price on the interaction between a supply and demand equilibrium that is mutually beneficial. Cost is a figure that must be examined on the supply side of the pricing decision. Manufacturing costs is the number one consideration in determining price. The manufacturing process will include a cost cushion for goods that are damaged in the process and a no longer viable. Overhead costs such as administrative costs must be considered in the total cost of a product. Next, the movement of the product to distributors or retailers impacts the cost. Transporting the product has a cost and any goods that get damaged in the transportation process also have a cost to the product. Finally, once the product has reached the distributor or retailer, theft is a common problem that can affect cost and pricing. If a product is stolen, the manufacturer does not receive compensation for all the previously mentioned costs. This loss in compensation needs to be accounted for somewhere along the process so the manufacturer does not lose money. Usually, a cushion is built into the final price of the product that will account for losses such as theft and damaged goods. Product costs are a critical component in the final pricing of a product. Accounting for all aspects of product costs is essential in determining a price that will allow profits to be made.

Incidental Uses And Disclosures Health And Social Care Essay

Minimum Necessary. -Covered entities besides must implement sensible minimal necessary policies and processs that limit how much protected wellness information is used, disclosed, and requested for certain intents. These minimal necessary policies and processs besides moderately must restrict who within the entity has entree to protected wellness information, and under what conditions, based on occupation duties and the nature of the concern. The minimal necessary criterion does non use to revelations, including unwritten revelations, among wellness attention suppliers for intervention intents. For illustration, a doctor is non required to use the minimal necessary criterion when discoursing a patient ‘s medical chart information with a specializer at another infirmary. Personal Representatives.-A individual authorized under province or other jurisprudence to move on behalf of the person in doing health-related determinations. Examples include a court-appointed defender with medical authorization, a wellness attention agent under a wellness attention placeholder, and a parent moving on behalf of an unemancipated child ( with exclusions where province jurisprudence gives bush leagues the right to do wellness determinations ) . For a dead person, the personal representative may be an executor, decision maker, or other authorised individual for affairs refering PHI. Business Associate – An outside person/entity that performs a service on behalf of the wellness attention supplier ( including a research worker ) or the wellness attention establishment during which separately identifiable wellness information is created, used, or disclosed. Certain exclusions apply. Use and disclosure- The sharing of separately identifiable wellness information within a covered entity. For Partners ‘ intents, a usage is the sharing of such information within the Partners affiliated covered entity. As good a release of identifiable wellness information to anyone or any entity outside of the Partners affiliated covered entity. Public Health Authority – A federal, province, local or tribal individual or organisation that is required to carry on public wellness activities. Research – A systematic probe, including research development, proving and rating, designed to develop or lend to generalizable cognition. Affiliated Covered Entity- Legally separate wellness attention suppliers ( or wellness programs or clearinghouses ) that are under common ownership or control and that choose to follow with HIPAA privateness ordinances as one attached entity. Partners has designated itself as one affiliated covered entity, which includes all Partners infirmaries, affiliated physician organisations, PCHI, and owned or managed PCHI patterns. This appellation permits easier sharing of separately identifiable wellness attention information within the system and avoids the demand for some â€Å" concern associate † understandings. Worker compensation Laws- The HIPAA Privacy Rule does non use to entities that are either workers ‘ compensation insurance companies, workers ‘ compensation administrative bureaus, or employers, except to the extent they may otherwise be covered entities. However, these entities need entree to the wellness information of persons who are injured on the occupation or who have a work-related unwellness to procedure or adjudicate claims, or to organize attention under workers ‘ compensation systems. Notice-The HIPAA Privacy Rule gives persons a cardinal new right to be informed of the privateness patterns of their wellness programs and of most of their wellness attention suppliers, every bit good as to be informed of their privateness rights with regard to their personal wellness information. Health programs and covered wellness attention suppliers are required to develop and administer a notice that provides a clear account of these rights and patterns. The notice is intended to concentrate persons on privateness issues and concerns, and to motivate them to hold treatments with their wellness programs and wellness attention suppliers and exercise their rights.A.Ada Del Riego Per.5 High blood pressure hypertext transfer protocol: //www.drlipmanhcg.com/hypertension.jpg hypertext transfer protocol: //mykentuckyheart.com/images/pictures/hypertension.jpg High blood pressure is the term used to depict high blood force per unit area. Blood force per unit area is a measuring of the force against the walls of your arterias as your bosom pumps blood through your organic structure. Blood force per unit area readings are normally given as two Numberss — for illustration, 120 over 80 ( written as 120/80 mmHg ) . One or both of these Numberss can be excessively high. The top figure is called the systolic blood force per unit area, and the bottom figure is called the diastolic blood force per unit area. Where there are 3 types of manner to look at you BP like first: Normal blood force per unit area is when your blood force per unit area is lower than 120/80 mmHg most of the clip. High blood force per unit area ( high blood pressure ) is when your blood force per unit area is 140/90 mmHg or above most of the clip. If your blood force per unit area Numberss are 120/80 or higher, but below 140/90, it is called pre-hypertension. If you have pre-hypertension, you are more likely to develop high blood force per unit area. If you have bosom or kidney jobs, or if you had a shot, your physician may desire your blood force per unit area to be even lower than that of people who do non hold these conditions.Causes, incidence, and hazard factorsMany factors can impact blood force per unit area, including: How much H2O and salt you have in your organic structure. The status of your kidneys, nervous system, or blood vass. The degrees of different organic structure endocrines You are more likely to be told your blood force per unit area is excessively high as you get older. This is because your blood vass become stiffer as you age. When that happens, your blood force per unit area goes up. High blood force per unit area increases your opportunity of holding a shot, bosom onslaught, bosom failure, kidney disease, and early decease. You have a higher hazard of high blood force per unit area if you are African American, corpulent, or stressed or dying, imbibe excessively much intoxicant. As good have to eat excessively much salt, a household history of high blood force per unit area, have diabetes, or fume. Most of the clip, no cause of high blood force per unit area is found. This is called indispensable high blood pressure.SymptomsMost of the clip, there are no symptoms. For most patients, high blood force per unit area is found when they visit their wellness attention supplier or have it checked elsewhere. Because there are no symptoms, people can develop bosom disease and kidney jobs without cognizing they have high blood force per unit area.Signs and trialsYour wellness attention supplier will look into your blood force per unit area several times before naming you with high blood force per unit area. It is normal for your blood force per unit area to be different depending on the clip of twenty-four hours. Blood force per unit area readings taken at place may be a better step of your current blood force per unit area than those taken at your physician ‘s office. Make certain you get a good quality, well-fitting place device. It should hold the proper sized turnup and a digital read-out.TreatmentThe end of intervention is to cut down blood force per unit area so that you have a lower hazard of complications. You and your wellness attention supplier should put a blood force per unit area end for you. If you have pre-hypertension, your wellness attention supplier will urge lifestyle alterations to convey your blood force per unit area down to a normal scope. Medicines are seldom used for pre-hypertension. You can make many things to assist command your blood force per unit area, including: Exercise on a regular basis — at least 30 proceedingss of aerophilic exercising a twenty-four hours. If you smoke, quit — happen a plan that will assist you halt. Restrict how much intoxicant you drink — one drink a twenty-four hours for adult females, two a twenty-four hours for work forces. Limit the sum of Na ( salt ) you eat — purpose for less than 1,500 mg per twenty-four hours. Reduce emphasis — seek to avoid things that cause you emphasis. You can besides seek speculation or yoga. Stay at a healthy organic structure weight — happen a weight-loss plan to assist you, if you need it. Your wellness attention supplier can assist you find plans for losing weight, halting smoke, and exerting. You can besides acquire a referral from your physician to a dietitian, who can assist you plan a diet that is healthy for you.PreventionAdults over 18 should hold their blood force per unit area checked on a regular basis. Lifestyle alterations may assist command your blood force per unit area. Follow your wellness attention supplier ‘s recommendations to modify, dainty, or control possible causes of high blood force per unit area Refrences: hypertext transfer protocol: //www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001502/