Elevating Man to the Level of God: Just Do It! :: Philosophy essays

Elevating Man to the Level of God: Just Do It! Deciding what to believe in was easy for Westerners before the Protestant Reformation. There was really only one option in the religion market-- Roman Catholicism. The Eastern Orthodox churches were also in existence for part of the pre-Reformation period, but they had a different geographical sphere of influence, so people in a given area had little choice of faith. The Church was a powerful force in more than people's spiritual lives; it was often involved in politics, science, art, and other secular affairs. Excommunication (exclusion from the Church) was one of the most severe punishments at that time. Before the Reformation, society was like a child. Children accept any beliefs that their parents hand them because they have no experience of their own to make judgements with. Children have no real sense of right and wrong. When they behave well, it is not out of virtuous impulses or a desire to "do the right thing," but out of fear of reprisal from their parents or an immature desire to please the people who have such a large amount of power over their lives. Finally, children need parents to tell them what to do so they don't burn their hands on the stove, drink Liquid Plumber or fall off a cliff and die. Pre-Reformation society was childlike in many ways, and Roman Catholic clergy were the parents to the pre-adolescent society. Religiously, people relied on the clergy to tell them how to act and what to believe, because they had never had to think about whether they agreed with the teachings of the Pope-- the thought of not agreeing never really entered their minds. When Martin Luther nailed his ninety-five theses to the door of the church in Wittenburg in 1517, he began more than he intended or even knew: intending to reform the Catholic church, he thrust wide open the door to freedom of thought and belief, which had been ajar since the Renaissance. With other religions in the market, people had to scrutinize what they had always been told and decide what they really believed. Some people retained their Roman Catholic beliefs, while others became Lutherans, Unitarians, Jehovah's Witnesses, Methodists, Baptists, Mormons, or joined with any of several hundred other Christian denominations. The division of the western Christian church, begun in 1517, is still continuing today.

NGN Migration

There is an urgent need that telecommunication services that are converged and qualitative be offered as this will pave way for the Next Generation Networks focusing on reducing the existing digital divide. NGN migration involves the process of changing the dormant cabinets to being active. This requires very accurate information on the local loop connectivity enabling the existing pairs to be rapidly copied from the existing frame to a new one and without erring. (Michael, 2001) Once the migration is completed without any service interruption any information concerning the quality of the pairs is very important in supplying the high-bandwidth services. Most carriers and service providers are looking for an aggressive improvement of their services and their migration to the New Generation Services Network. There is an intense competition which is continually eroding the profitability of most of the service providers majority of whom are transiting to IP.The NGN service providers thus need more inventive   joint infrastructures  Ã‚   that will improve the current services delivery. They should also provide a framework for solutions in the intelligence of the greater network. (Lee, Deborah, Kevin, and Sally, 2000) The carriers will not only have a short term relief through flexibility and incorporation but also their position in seizing other new market opportunities will be expanded. The solutions which are part and parcel of the Cisco IP NGN objectives encompass a wider transformation of both the entire businesses and the service providers. The IP NGN sanctions the service providers to meet all the customers’ needs more efficiently while providing a basis for delivering profit sustaining applications. Cisco IP NGM has created an intelligent infrastructure that opens opportunities for service providers so that they can offer more advanced and personalized media services over any other form of connection. Cisco strongly supports the NGN transition in relation to its conceptual planning and the network design. It also serves as a business partner supporting the service providers on the NGN migration. Cisco on the other hand assists the service providers in transforming their businesses and their networks. The transformation offers new value added services that help them increase their profitability and achieve greater efficiency. The IP NGM cannot be bought by the service providers since it evolves constantly adapting to its customers demands and opportunities in the new technology. However it is possible to still give speculations about the transformation. The NGM encompasses the service provider’s current and future services realizing the fact that the largest part of the growth will be in data and video services. Voice services will initially be significant in the service portfolio giving way to richer media services inclusive of video, voice and data. (Larry & Bruce, 2000) The shift towards NGN entails the service provider’s network as a whole since it not only concerns itself with bandwidth in network access but also in the delivery of an excellence bandwidth in the entire network. IP NGM is more about making significant changes to an individual network thus creating a single network for service deliveries. A regulators global symposium held in February 2007 laid down guidelines for NGNs migration with a goal of promoting frameworks that promote innovation, and a reasonably priced access to NGN.This took place in a three day meeting in Dubai during which   Ã‚  guidelines for telecommunications migration were laid down. The regulators designed a roadmap that would encourage frameworks that are regulated .The International Engineering Consortium experts gave an NGN definition as the blend between the public switched telephone network (PSTN) and the public switched data network (PSDN) as it also creates a multi service single network. An explanation was given that the switch infrastructures proprietary owned, the architecture for NGNs pushes for a central office functions to the network edge. The results are a network infrastructure that is well distributed leveraging open and new technologies therefore reducing the market entry cost and increasing flexibility as well as accommodate the packet-switched data and the circuit-switched data. (Ericsson, 2001) Other scholars similarly defined it as the future networks stimulated by the need to transport data and multimedia services through the same network having very flexible deployment and the capability to change various models in the economy for the best results. The telecommunications regulatory department globally that is in charge of the standardization also defined NGN as a network that is packet based with the potential to provide various telecommunication services and simultaneously making use of the multiple broadband. Practically speaking the NGN involves architectural changes which include the core network through the PSTN design and the cable and wire access.NGN encompasses transport networks as a core network with each built for a totally different service to become a single transport network which is oftenly based on either internet protocol (IP) or Ethernet. There is a specific definition between the network services running on the transports top and the connectivity ratio of the network. This indicates that when a new service is to be enabled by a provider this could be done by first directly defining the service layer without the consideration of the transport layer. Here the services are independent of any details pertaining transport thus increasing the applications that are independent of the network access through delayering of the application and the networks. The global symposium for the regulators was initiated in the year 2000with participants from all over the world as this year they centered on the NGNs migration. It focused on the roadmap to next generation’s networks and how they could achieve success at the same time promoting investment. The meeting also fully did an examination on the regulatory issues that are very urgent such as the NGNs interconnection, competition, universal access, consumer protection, investment and the global interconnection of the internet. According to the regulators secretary general the best practices were to be adopted offering a possible way of providing benefits to both the consumers and the service providers through reduced costs. They would also offer new and innovative services to the consumers. The guidelines also called upon the regulators to adopt regimes that can be subjected to regular checkups ensuring that competition barriers are eliminated. They were to ensure that both the users and the providers can easily migrate to other networks in the future when all the required market conditions are met. (Bennett, 2001) The regulators were ready to tailor the adopted practices in the world market as they were also urged in adopting flexible interconnection models that would allow a very smooth transition to the NGNs.They were also urged to maintain a playing field that is leveled thus protecting the interests of the consumers. The participants made an agreement that various steps were to be taken that the market did not suffer any form of competition distortion especially in the issue of convergence. There was also a risk that the providers of the NGN and the operators also were in a position to regulate the competition at the service level to their own advantage. The regulators were also cautioned to be on the look out monitoring any incidents requiring a regulatory response (Erick, 2001) The ITU director also gave an explanation that NGN was placed in-between thee internet and the telecom worlds thus bringing out a variety of issues to be handled by the regulators themselves. They were also encouraged to clearly define policies that would allow the IP networks and the legacy to co-exist offering a voice together. There should be a consideration put in place while making the obligations applicable to the providers and the operators of the telephony services not considering the service delivery to the consumers (Anders 2000) The issues pertaining the process of the NGNs migration are to be addressed with urgency for the formation of a high level co-coordinating committee consisting of the major key players in the industry. These key people are to all the issues relevant so that there is a there is a systematic and smooth transition from the existing networks to the NGNs.Various issues are to be handled by the committee formed so that they can create awareness for the NGNs building programme.They are also expected to put up a timetable for the NGN migration world wide.    References Anders A. (2000):   Capacital study of statistical multiplexing for IP telephony. Technical Report T2000:03, SICS. P 78-105 Bennett, J.   (2001): Voice over packet reliability issues for next generation net- Works. In IEEE International Conference on Communications, volume 1, ICC, June 2001. P 142–145. Eirik, H. (2001):   Planning for migration to a next generation network. Master’s thesis, Trinity College, Dublin, Ireland, September 2001 p 89-99 Ericsson, O. (2001):   The migration story: Different highways to a multi-service net- Work. White Paper, October 2001. p 85 Larry L. & Bruce S. (2000):   Computer Networks, a Systems Approach. Morgan Kaufmann, second edition. P 45-66 Lee B., Deborah E., Kevin, F., and Sally F. (2000): Advances in network simulation. IEEE Computer, 33(5), 78-84 Michael, D. (2001):   Evolving the next generation network. Technical Report PR 109 NPD 01, Eircom, March 2001.p 56-89               

What Is a Radula

The radula is a special structure used by many mollusks to scrape food off rocks, to feed off of plants or create depressions in rocks that the mollusk uses for habitat. The radula has many rows of tiny teeth that are replaced as they wear down. Each row of teeth consists of marginal teeth, one or more lateral teeth and a median tooth.   One animal that has a radula is the common periwinkle, which uses its radula to scrape algae off rocks for food. The limpet is a marine invertebrate that uses its radula to create a home by boring a shallow hole into a rock.

Essay on Dementia Alzheimers Disease and Person

Imagine waking up and not knowing the person lying next to you. Imagine waking up and not knowing your own name, your birthday, or you age. Imagine having to look at your family and ask them who they are, or be reminded by flipping through a photo album. Imagine going for an evening stroll and getting lost, even though you are only a block away from your house. Imagine seeing your loved one not remember you. Imagine visiting them as often as you can, and every time having to remind them who you are, and how you affected their life. This is known as a disease call dementia. Dementia disease is very hard for the patient themselves, but often times harder for the family. Alzheimer disease is a form of dementia, and makes daily living very†¦show more content†¦They can walk into traffic or into a nearby river, lake, ocean, or forest. If they are not dressed properly, heat or cold exposure is a risk. Wandering may have no cause. Or the person may be looking for something. Pain, d rug side-effects, stress, restlessness, and anxiety are possible causes. Finding the cause may prevent wandering. There are special programs for at home care that can help return the patient if they happen to wander. It is important for those who choose to live at home use programs like this, to ensure that your loved one will be back at home with you. Catastrophic Reactions are extreme responses. The person reacts as if there is a disaster or tragedy. The person may scream, cry, or be agitated or combative. These reactions are common from too many stimuli. Eating, music or TV playing, and being asked questions all at once can overwhelm the person. Persons with Alzheimer’s have communication problems. At first, it is hard to find the right words. As it progress the person speaks in short sentences or in words. Often speech is not understandable. The person screams to communicate. It is common in persons who are very confused and have poor communication skills. The person may scream a word or a name. Or the person just makes screaming sounds. Possible causes include hearing and vision problems, pain or discomfort, fear and fatigue. Too much or not enough stimulation is another cause. The person may react to a caregiver or family member byShow MoreRelatedThe Differences Between Dementia And Alzheimer s Disease1162 Words   |  5 PagesWhen a lot of people think about dementia or Alzheimer’s disease, they usually use the two interchangeably and think they have to do with memory. It is true that they have to do with memory, but there are major differences between dementia and Alzheimer’s disease. Misconception s and lack of knowledge can lead to death or injury, which is why initiatives like Healthy People 2020 are so important. Dementias and Alzheimer’s affect a person’s daily life in many ways and it can be dangerous or deadlyRead MoreAlzheimer s Is A Difficult Disease1737 Words   |  7 PagesAlzheimer’s is a difficult disease for everyone to understand. This disease has diverse effects on each person diagnosed with it. Considering that the symptoms are similar to other diseases and syndromes, it may be hard to know the initial cause of the disease itself. Knowing if someone truly has Alzheimer’s only comes after the person’s death and an autopsy is performed on the brain. By better understanding the disease with information that we already have, it will help further assist alongsideRead MoreThe Disease Of Alzheimer s Disease Essay1482 Words   |  6 PagesAlzheimer’s disease is a degenerative brain disease that is seen in the elderly. It is the most common form of dementia, which is a general term for memory loss and other intellectual abilities serious enough to interfere with daily life (Alzheimer’s Disease Dementia). Alzheimer’s is one of the leading causes of death in America. Dementia and Alzheimer’s have been around for centuries, but Alzheimer’s disease wasn’t first described until 1906 by Dr. Aloysius Alzheimer. In the past, there was aRead MoreDescribe the types of dementia and common signs and symptoms1148 Words   |  5 PagesUnit 40 - P1 Describe the types of dementia and common signs and symptoms The term ‘dementia’ describes a set of symptoms which can include loss of memory, mood changes and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain conditions and diseases, including Alzheimer’s disease, vascular dementia and Creutzfeldt-Jakob disease. †¨Age is the greatest risk factor for dementia. Dementia affects one in 14 people over the age of 65 and one in six overRead MoreThe Chronic Neurological Disease : Alzheimer s Disease1649 Words   |  7 PagesNeurological Disease: Alzheimer’s Hollie Haywood South Piedmont Community College Abstract Alzheimer’s disease has been around since 1901; a German psychiatrist Alois Alzheimer was the first man to identify and follow a case that is now known as Alzheimer’s disease. Alzheimer’s disease is involved in synaptic deterioration and neuronal cell death, and causes degeneration in the hippocampus and amyloid deposition in blood vessels, ultimately cell death is the cause of the disease. There areRead MoreThe Origins And Development Of Dementia1431 Words   |  6 PagesDevelopment of Dementia Dementia is a disease that affects a vast number of Americans, and people worldwide. As people grow and live longer in today’s world the cases of clinical dementia are increasing. There are many causes of dementia, equally leading to different forms and symptoms of this disease. Most causes of dementia are known, and labeled in order to establish proper treatment. Alzheimer’s disease is the most common form of dementia, accounting for more than half of all people with dementia. TheRead MoreTypes of Dementia1550 Words   |  7 PagesDEMENTIA’S Dementia is a vague term used to describe a person that has loss of memory and change in behavior and activities. It goes beyond the forgetfulness and absent minded. It is commonly used In reference to the elderly, when cognitive abilities start to slip from one’s own control. Dementia cannot be diagnosed due to memory loss alone. It must be accompanied by two or more interruptions of brain function. Individuals who suffer from a disease that causes dementia undergo a number of changesRead MoreWhat Is Dementia And Alzheimer s Disease?1311 Words   |  6 PagesWhat is dementia and Alzheimer’s disease? Dementia is a disease that affects mental capabilities in which memory loss is one of the key features of this disease. Memory loss creates difficulty in completing every day tasks. Most people who suffer from the disease need assistance with their activities of daily living. Alzheimer’s disease accounts for 60% to 70% of cases of dementia. It is a long lasting neurodegenerative (progressive damage of the neurological nerve cells) disease that usually startsRead More The Three Stages of Alzheimers Essay examples1402 Words   |  6 PagesAlzheimer’s is most likely formed by other symptoms called dementia. Dementia is not an actual disease, but has a vast range of symptoms which are precursors to many types of diseases. When dementia is detected in an individual their memory tends to decline and it becomes a hassle to complete everyday duties. 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Key Terms Of The Party System - 1538 Words

Key Terms Two Party System: A two party system is when in a government, two main political parties dominate the politics. In an election, one party is usually referred to as the majority party, where the other is the minority party. Kitchen Cabinet: Andrew Jackson’s Kitchen Cabinet was the unofficial group of advisors and friends that made up his cabinet. His real, official cabinet had many members that were personal rivals and fought all the time. Jackson stopped holding meetings with his cabinet because of the frequent disputes, and eventually all of the members resigned or were fired. The press saw his unofficial cabinet members as unprofessional and began calling them his â€Å"Kitchen Cabinet†, because they were mainly just his friends.†¦show more content†¦Black Hawk: Black Hawk was a warrior of the Sauk Indian Tribe and a war leader. The tribe was from what is now the Midwest of the United States. He was another Native American leader who helped his tribe fight against the government during Indian Removal. Osceola: Chief Osceola was a leader of the Seminole that fought back against the U.S. government. He led the first Seminole War from 1817 until 1818. Trail of Tears: The Trail of Tears is known as the rough journey the Cherokee Indians took to the â€Å"Indian Land† they were forced onto. During the journeys of many Indian tribes from east to west of the Mississippi, hundreds of thousands of children and elderly people died from freezing and starvation. The journeys took place anywhere from 1831 to 1839 and at least five major tribes had to go 1000 miles to get to their new promised land. Tariff of Abominations: In 1828 when John Quincy Adams was President, the country’s highest ever tariff, a tax which protected manufacturers from foreign competition, was passed by Congress in which southerners called the Tariff of Abominations. The northern manufacturers were helped by the tariff, but the southerners who sold to and bought from Britain were hurt by it and thought it was unconstitutional. John C. Calhoun: John Calhoun was a southern man who was the Vice President while Jackson was in office. They were originally friends but became enemies

Final Reflection Free Essays

The most important lesson I feel I have learned from this course was in Week 1, when we discussed the value of keeping an open mind and viewing all aspects of a problem or situation from multiple perspectives versus limiting myself to my own perspective. Being able to apply what I have learned about creating strong arguments will make me more confident in writing research and persuasive papers for college. It will also undoubtedly assist me in any future career. We will write a custom essay sample on Final Reflection or any similar topic only for you Order Now I will be more able to confidently defend or argue my points of views and opinions in an unbiased way. This will, in turn, make me an overall better communicator. From the beginning of this course I have applied what I learned to the way I approached life in general and it has allowed me to better understand other people. Since Week 1, I have tried to implement what I learned from the â€Å"This Is Water† video ND I am happy to say it has already started to change my life for the better. Although I have always known it was best to view life In this way, PHI 103 has pushed me to be more aware of my thought processes. There Is a huge different between knowing or understanding something and putting it to practice. My goals are to keep increasing my awareness of other perspectives and to continue being objective upon approaching any argument. How to cite Final Reflection, Papers

Atrial Fibrillation and Asthma

Question: Discuss about theAtrial Fibrillation and Asthma. Answer: Introduction There have been several cases of patients initially diagnosed with asthma developing atrial fibrillation disease. However, the connection between the two conditions has not been established. The two conditions have however posed risks of other cardiac infections on the patients. Medical practitioners have however tried to link the two in relation to other individual characteristics of the patients. This paper explores the pathophysiology, care and treatment of the atrial fibrillation condition of Mr. Jones. Cardiprin consists of aspirin and glycine. DeMarco, et al (2014) explains that aspirin is considered the active component of this drug. The generic name of aspirin is acetylsalicylic acid (ASA).it belongs to a group of drugs known as analgesics, antipyretics, anti-inflammatories and platelet aggregation inhibitors. The mechanism of action is associated with the inhibition of cyclooxygenase enzyme (COX-1), which is the main enzyme involved in the metabolism of arachidonic, a precursor in the prostaglandins synthesis. Prostaglandins are important mediators in the pathogenesis of inflammation, fever, and pain. The platelet aggregation inhibition is achieved by the suppression of thromboxane A2. Thromboxane is produced in the same pathway as prostaglandins. Thromboxane A2 is responsible for platelet aggregation, and consequent coagulation. Mr. Jones has been diagnosed with atrial fibrillations. In this condition, an individual experiences a very fast heart rate. Prystowsky, Padanilam, and Fogel, (2015) explains that in pathological conditions where there is coagulation due to thrombosis in the blood vessels, the heart is overworked in an attempt to pump blood. Platelet aggregation leads to the formation of clots within the blood stream which clogs the blood vessels and consequently increases the heart rate which precipitates into arrhythmia. Hypertension he has may be as a result of the high resistance in peripheral vessels resulting from platelet aggregation. This medication is fashioned to reduce the fibrillation and hypertension. Additionally, it reduces the risk of myocardial infarction. Although it is important as a drug of choice, it has some side effects which should be considered in the course of treatment. There may be some effects in the gastrointestinaltract. Itmay cause vomiting, epigastric pain, and diarrhea. Most importantly it may cause corrosion and ulceration in the gastrointestinal tract. A prolonged use of the drug is associated with dizziness, headaches, and tinnitus. It is sometimes associated with allergic reactions such as skin rash, bronchospasm, and aspirin triad. Bronchospasm may he severe due to asthma hehas. Asa nurse care should be taken to ensure that Mr. Jones is not having portal hypertension, vitamin K deficiency or glucose 6 phosphate deficiencies. These conditions are contraindicated with aspirin administration (Chan,et al 2014). Pathophysiology of Atrial Fibrillation Atrial fibrillation is an unusually a very rapid heart rate. Atrial fibrillation happens when the upper assemblies of the heart, or atria, fibrillate. This implies they beat quickly and sporadically. Blood is not pumped productively to whatever is left of the body which may make you feel feeble or tired, or to encounter awkward heart sensations like a hustling or unpredictable pulse. Millar, et al (2016) in an attempt to describe the causes and symptoms of this condition, it is important to point out that people have theorized the disease to be having a genetic cause. Scientists argue that from the 29 genes associated with asthma, one is likely to cause AF. It has however remained difficult to establish the main cause since it also affects people who dont have asthma as well. Major symptoms include heart palpitations, exhaustion, and shortness of breath The diagnosis and treatment of AF may be done through several mechanisms such as; electrocardiogram, holter monitor, event recorder, stress test and use of long term monitoring devices. Mechanisms involved in the treatment of AF include; control and monitoring of the heart rate, anticoagulation therapies and cardioversion which involves delivering an electric shock. Implantation of defibrillators and surgery is important for certain stages of the infection like that of Mr. Jones. In conclusion, there are several risk factors that are likely to make the condition worsen in individuals who are suffering from AF. These include; high cholesterol in the blood, hypertension which Mr. Jones is currently suffering from, obesity, drug and substance abuse, some medications and lack of exercise. Treating atrial fibrillation is very important in the sense that individuals suffering from this condition are likely to suffer a stroke and myocardial infarction. The reason why this drug was administered to Mr. Jones is because it is used to treat frequently occurring ventricular fibrillation in patients which is related to Mr. Jones. This medicine can be administered for very long periods if needed (Lund, L. H. 2016)The reason behind its support is because it is mostly used to heal very serious illness and long term one ones. It is used to patients of high risk of cardiac deaths(Lochnan, H. A. 2014). Taking the health conditions of Jones, it is a long term illness the causes coming from the parents hence this drug effective at this point. Reddel, et al (2017) one of its benefit is that it is used to cure patients who used other medicines that didnt work at all. As soon as it is administered it starts working right away(Ciesek, S. 2014). The medicine is in solution and can be given orally.This medicine has its own side effects like the other medicines. This side effects include fever, Nausea and Hypertension (Chen, 2015). The other effects related to this is serious heart arrest, heart failure, also abnormality in liver functions, kidney failure, diarrhea and many more. Certain precautions should be made by the nurse in charge. One precaution is to clearly follow the dosage because failure to follow can cause effects like dizziness and fainting (Mc Adam, 2016). The doctor or nurse should be in direct contact with the patient because as this medicine is in use there are many symptoms that come with it and if they become more the patient Mr. Jones should see the nurse directly with immediate effect. January, et al (2014) explains that dabigatran and warfarin are anticoagulation agents. Anticoagulation agents work through three mechanisms they include: fibrinolytic agent, anticoagulation agents, and antiplatelet agents. Fibrinolytic agents work by degrading fibrin, an important protein in the coagulation process. It works by eliminating the clot. Anticoagulants inhibit clot formation thereby preventing progression of thrombosis. Antiplatelet drugs interfere with platelets adhesion or aggregation. This prevents the initial clot formation. Warfarin acts by inhibiting vitamin K synthesis. This leads to the inhibition of vitamin k dependent clotting factors. The anticoagulation effect occurs within twenty-four hours after administration of warfarin. The peak coagulation effect may be attained in twenty-fourhours. Ithas a very high protein binding hence very long halflife. Ithas a terminal half-life of one week. Its elimination depends on metabolism by cytochrome P450 enzymes in the liver. There is very little eliminated in the urine Dabigatran acts by inhibiting thrombin. Thrombin is involved in the conversion of fibrin to fibrinogen. This prevents a development of athrombus. Itis an orally administered drug with the same efficacy almost the same as warfarin. Contrary to warfarin a correct dose does not need to be determined for each individual. And it does not need to be changed from time to time. Warfarin requires blood tests to be made frequently in order to change the doses as it happens. Dabigatran is mainly eliminated ion the kidneys. A kidney disease is likely to cause intoxication due to accumulation (Alonso,et al 2015) I would advise Mr. Jones to consider warfarin. Dabigatran is equally potent as warfarin and more advantageous as it does not require constant testing of the blood. However, Care should be taken since it is no possible to monitor its effect and its effects cannot be reversed as easily as warfarin. Bleeding disorders can be reversed in warfarin administration by administering vitamin K. Dabigatran also requires an acid medium for absorption. Aspirin which is also administered reduces acidity and thus may reduce its bioavailability and consequently the potency. Warfarin would be the best drug ofchoice. Itshould be ensured that he does not have a liver disease. According to Valdes and Lochnan, (2014) salbutamol inhaler is a drug prescribed for asthmatic patients. It is commonly referred to as a bronchodilator medicine since its mode of action is to relieve and to dilate the airways. This serves to helm asthmatic patients like Mr. Jones whose air passages constrict. The inhaler takes a few minutes and its effect lasts for several hours. The salbutamol inhaler is designed to relieve breathlessness. It however does not prevent breathlessness. Agarwal, et al (2016) salbutamol inhaler may cause challenges to Mr. Jones due to the fact that he has an irregular heartbeart, he is also likely to suffer from allergic reactions due to the use of dabigatrin and cardiprin. He is also having hypertension which may predispose him to other adverse effects. Jones ought to press the inhaler and breathe in the spray that is elicited. He is supposed to breath into the salbutamol inhaler about 3-5 times and then wait for a few minutes. If the inhaler does not work within minutes, he is supposed to seek help from a medical officer. Jones is also supposed to carry his inhaler every place where he goes to. It is highly recommended of him that he avoids smoking and associated behavior since it increases the risks of adverse effects. Some of the major side effects include headaches, shivering, nervous tension and muscle cramps especially since he has heart conditions. if the symptoms and side effects persist, he should seek medical attention as soon as possible. He is supposed to store his inhaler in a cool and dry place that is away from direct sunlight. It should however be near him always so that he may access it any time he needs it. If the inhaler does not seem to work properly even after using it for the maximum number of times, he should seek medical attention too. Conclusion In conclusion, it is important to recommend that Jones needs to be advised to avoid the risky behaviors that may predispose him to the infections. These may include behaviors such as drug abuse and lack of exercise. He is also required to visit the doctor regularly as a routine health practice and as a precaution that will prevent further worsening of his condition. References Agarwal, R., Khan, A., Aggarwal, A. N., Gupta, D. (2016). Is the SMART approach better than other treatment approaches for prevention of asthma exacerbations? A meta-analysis.Monaldi Archives for Chest Disease,71(4). Alonso, A., MacLehose, R. F., Lutsey, P. L., Konety, S., Chen, L. Y. (2015). Association of amiodarone use with acute pancreatitis in patients with atrial fibrillation: a nested case-control study.JAMA internal medicine,175(3), 449-450. Chan, W. L., Yang, K. P., Chao, T. F., Huang, C. C., Huang, P. H., Chen, Y. C., ... Leu, H. B. (2014). The association of asthma and atrial fibrillationA nationwide population-based nested casecontrol study.International journal of cardiology,176(2), 464-469. Cooper, L. B., Mentz, R. J., Edwards, L. B., Wilk, A., Rogers, J. G., Patel, C. B., ... Lund, L. H. (2016). Implications of amiodarone use before heart transplantation.The Journal of Heart and Lung Transplantation,35(4), S63. DeMarco, V. G., Aroor, A. R., Sowers, J. R. (2014). The pathophysiology of hypertension in patients with obesity.Nature Reviews Endocrinology,10(6), 364-376.. Gehring, G., Rohrmann, K., Atenchong, N., Mittler, E., Becker, S., Dahlmann, F.,...Ciesek, S. (2014). The clinically approved drugs amiodarone, dronedarone and verapamil inhibit filovirus cell entry.Journal of Antimicrobial Chemotherapy,69(8), 2123-2131. January, C. T., Wann, L. S., Alpert, J. S., Calkins, H., Cigarroa, J. E., Cleveland, J. C., ... Murray, K. T. (2014). 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation.Circulation,130(23), e199-e267. Kearney, M., Fay, M., Fitzmaurice, D. A. (2016). Stroke prevention in atrial fibrillation: we can do better. Millar, K., McInerney, A., Hussein, H., McAdam, B. (2016). 13 Audit of thyroid and liver function testing in patients with heart failure on chronic amiodarone therapyare we testing appropriately?Heart,102(Suppl 9), A8-A8. Prystowsky, E. N., Padanilam, B. J., Fogel, R. I. (2015). Treatment of atrial fibrillation.Jama,314(3), 278-288. Reddel, H. K., Busse, W. W., Pedersen, S., Tan, W. C., Chen, Y. Z., Jorup, C., ... O'Byrne, P. M. (2017). Should recommendations about starting inhaled corticosteroid treatment for mild asthma be based on symptom frequency: a post-hoc efficacy analysis of the START study.The Lancet,389(10065), 157-166 Valdes, M. A., Lochnan, H. A. (2014). Amiodarone Induced Hyperthyroidism in a Previously Hypothyroid Patient. InNon-Neoplastic Thyroid Disorders-Clinical and Case Reports(pp. MON-0500). Endocrine Society. van Oosten, E. M., Hamilton, A., Petsikas, D., Payne, D., Redfearn, D. P., Zhang, S., ... Baranchuk, A. (2014). Effect of preoperative obstructive sleep apnea on the frequency of atrial fibrillation after coronary artery bypass grafting.The American journal of cardiology,113(6), 919-923.