Indicator and Determinants of High Blood Pressure Essay Example for Free

Indicator and Determinants of High Blood Pressure Essay This paper implements the indicators and determinants of high blood pressure in men. Many studies have measure the effect of Hypertension among men of different ethnical and socio-economic backgrounds. Socioeconomic is one major determinant which influences high blood pressure in men. High blood pressure is a major illness in the human population, especially among men. High blood is normally called a â€Å"silent killer† due to the fact that there little to no symptoms. Fifty to fifty-eight million people suffer from hypertension with the increasing population being African Americans (John, n. . ). Steven was a 55 year old African American male that came into the hospital with complaints of a severe headache. Patients had no prior history of hypertension but blood pressure was taken with the result of 180/101. Patient states that he has a family history of cardiovascular diseases. Mother and Father suffered from hypertension as a result of obesity. Steven has worked for the United States Postal Service for 30 years and is under a lot of stress due to work. He is a chronic smoker and drink on occasions. The first medical professional that saw Steven was the ER doctor who cared for the patient and in returned referred Steven for follow up care with his PCP (Primary Care Physician). Before Steven saw his PCP the ER (Emergency Room) Doctor prescribes him Amlodipine 10mg 2 xs daily. The team that delivered care for Steven’s hypertension was as follow: * Dr. Ogalvie- PCP (Primary Care Physician) -Which his role is to, determines the best care for Steven and his hypertension. Provide a manage care plan and to make use of specialists and make referral that co- inside with Steven treatments. Nancy Bracey-Nurse Practitioner- The role of the Nurse Practitioner is to work as support to the Doctor when he is unable to make patients appointment or if he is in an emergency surgery. The Nurse Practitioner sometime plays a vital role in Steven treatments. She is able to help in Steven treatment, which includes ordering tests, conducting physicals, and ordering medicines. * Beth Anderson- RN- Registered nurses treat and educate patients in a clinical setting, keeping records of medical histories and performing diagnostics. Most RN work with patients and their families to teach them how to manage cardiovascular disease, educate them on dietary and other measures of minimizing heart risk and help patients with postoperative rehabilitation. * Lisa Coleman – Dietitian- The primary role of a Dietitian is to promote healthy and holistic healthcare. Steven dietitian educating him on good healthy eating habits. She also explained to him that exercising most important in keeping his blood pressure down. She also put him on a 1200 calorie diet to follow as part of his managed care plan. Data has shown and been a proven fact that hypertension is very prevalent in men, especially African American men. Many indicators can relate to hypertension such as socioeconomic statuses like where one live, employed or unemployed or a family base support system can all be factors. In Steven case some of the indicator were glucose, triglyceride, high-density lipoprotein cholesterol, blood pressure, and obesity (SABPA, (2012). All of these symptoms can be a target for organ damage. Steven also deals with anthropometric indicators which according to Rahimi, (2012) â€Å"The partial correlation coefficient was used to quantify the association between all anthropometric indicators with hypertension. Linear regression analysis was used to assess the influence of all anthropometric indicators on the variance of systolic and diastolic blood pressure†. Rahimi, (2012) states â€Å"Adult male population of Fars province had a high prevalence of hypertension, overweight and obesity which can be handled through healthy diet and physical exercises†. Steven dietitian stresses the important of holistic healthcare such as healthy eating habits and exercising on a regular basis. Other indicator was the problems of sexual dysfunction that Steven suffered in his marriage. Steven stated that he was unable to perform with his wife due to the high blood pressure medicine that he was taken. Rahimi, (2012) state â€Å"Thus sex, education, and for the most part, race were not independently associated with a failure to be aware or to enter treatment’. Rahimi, (2012) says â€Å"Sex and the number of antihypertensive drug days were independently associated with blood pressure control†. According to Steven physician Steven was also put on an enhancement drug to help with sexual dysfunction. According to Rahimi, (2012) â€Å"Vigorous public efforts led by the National High Blood Pressure Education Program and embraced by physicians’ groups and the pharmaceutical industry has steadily improved blood pressure outcomes in the past 20 years†. Rahimi, (2012) â€Å"To this point, however, overall increases in control have largely been driven by increases in awareness and entry into treatment among people with hypertension†. Rahimi, (2012) â€Å"Despite great technical advances, specifically the development of a wide range of new antihypertensive drugs and drug classes the process of care available in the community has not changed to any great extent and treatment itself remains highly inefficient†. Rahimi, (2012) â€Å"As an asymptomatic, chronic illness, hypertension does not pose a problem of diagnosis or cure, but rather the challenge of daily vigilance and ongoing commitment to treatment†. Rahimi, (2012) â€Å"For most people such as Steven with high blood pressure periodical visits to the physicians office simply do not produce the desired outcome†. As a result of data Steven were treated and educated on manage control through medication, diet and exercise. The disparities of socioeconomic are due to his poor health outcome. The key to controlled hypertension is patient follow-up, a managed care plan and patient education. In Steven treatment plan the impact of the team base approach is to effectively promote a managed care plan that is efficient in regulating Steven hypertension. The main key is to educate Steven on a post treatment plan and follow-ups care. One analysis of Steven resource and saving would be that Steven partake in his company wellness program which in returned will save and give him an incentive on his current insurance plan. Lastly the advantage of a team base approach in Steven case would be that each individual on Steven medical team would strategically come up with alternative plans of action and a plan of care that will effectively help in the treatment of Steven hypertension. Each medical professional on Steven team will play an active role in the quality of care for Steven. Again the key component is to stabilize Steven high blood pressure through healthy eating habits and exercise. The scope of team base approach is logically come up with a solution in helping Steven sustain life through longevity of the hypertensive care plan that is put in place

Jazz paper -- essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Born in New York City, Artie Shaw would become one of the top bandleaders in the swing era. He began his musical career as a highly sought-after alto saxophone player in the New York area, and was able to benefit from the growth of radio and studio recordings. As he perfected his technical ability with various dance bands, he was still relatively unknown in the early 30’s when he began to focus exclusively on the Clarinet while Swing music began to grow in popularity.   Ã‚  Ã‚  Ã‚  Ã‚  While we may carefully analyze the two pieces to satisfy our curiosity regarding musical evolution in Jazz, we should also not lose sight of the fact that these are two very enjoyable styles of music. From the lively swing orchestras inspiring large audiences to dance, to the softer Bossa Nova sound which is pleasing to hear in a relaxed setting, both have contributed to the growth of musical creativity in Jazz from the 1930’s through today. Shaw first broke through with an unusual string quartet in New York’s Imperial Theater. By early 1937, Shaw had formed a conventional swing band which would eventually record â€Å"Begin the Beguine†. Tormented by the pressures that came with unwanted fame, Artie Shaw disbanded his band at the height of his fame, but was able to mount a comeback with a new band the following year to record many more hit songs. Artie Shaw would go on to serve honorably in the US Navy during World War 2, but after returning in the mid-40’s it became clear that the times had changed, and it was no longer economically viable to support a big swing band. He continued to play sporadically and attempt to lead new bands until discouragement led him to announce his retirement in the mid-1950’s, after which he would never even play the clarinet again. Antonio Carlos Jobim, also known by his lifelong nickname of â€Å"Tom†, grew up in Rio de Janeiro in Brazil. During his late teens he began to pursue an education as an Architect, but by the time he turned 20, he could not resist a powerful attraction to music so he started to play the piano in nightclubs and worked in music studios. He recorded his first record in 1954 and found fame 2 years later when he provided the score for the play â€Å"Orfeo do Carnaval†. In 1958, along with the work of Brazilian Singer Joao Gilberto, Antonio Jobim launched the phenomenon known as Bossa Nova. In... ...finado on the other hand seems to be less restrictive, allowing the guitar to fade out right as the saxophone begins his contribution to the piece. Underneath it all, the rhythm section’s contribution as they keep time seems to reinforce this changing style of increasing creativity with the steady flat traditional sound of swing to the very creative rhythms in Bossa Nova.   Ã‚  Ã‚  Ã‚  Ã‚  Throughout the history of musical evolution, there are few styles which show more variation than Jazz. As such, it is sometimes enlightening to illustrate this variation by examining and contrasting some of the very unique styles of jazz, as well as the people behind the music. Within these pages, we will examine the Swing era represented by the performance of â€Å"Begin the Beguine† from Artie Shaw’s Orchestra with the Bossa Nova sound of â€Å"Desafinado† composed by Antonio Carlos Jobim. During this investigation we will see how two very different people from very different eras and styles both enjoyed commercial success under the big tent of Jazz music, as the highly organized sound of the big band era slowly gave way to newer styles that encouraged freedom in creativity by the soloists.

Beliefs and teachings of Christianity and Islam Essay

Introduction In this essay I will be exploring the beliefs and teachings about Jesus and Christianity. Also investigating Islam and Tawhid, this is the oneness of Allah and Judgement day. Then how these beliefs and teachings have reflected in believer’s attitudes towards life after death. Then finally I will put across my opinion and what others opinion to this may be on the following statement. † People who have a religious faith lead better lives than people who have no faith, because they see life differently â€Å" A) Explain the beliefs and teachings of Christianity and Islam. In Christianity: Jesus In Islam: Tawhid and Akirah Tawhid is the oneness of Allah. The one and only universal God of all humanity. The Tawhid reinforces Islam as a monotheistic faith. Allah cannot be described in certain terms, the Quran warns Muslims that they shouldn’t do this as there is only one God in Islam, † I am Allah there is no God but me† If a Muslim is not to believe this then they are not a true Muslim. This is called Anthropomorphism. Allah is far beyond human understanding. He is not abstract and Allah created everything. To suggest you own something is breaking Tawhid. Or to think that you are better than anyone or anything also breaks Tawhid and breaks the teaching from the Quran † We are all equal like the tooth of a comb† Akirah is Judgement by Allah, † He will gather you again on the day of judgement † (Quran) Judgement day happens when the world comes to an end and Allah judges every Muslim. When Muslim dies they go into a state of waiting this is called Barzakh. Life is a test, preparation for the afterlife, this is more important as it is for eternity. Paradise and hell is where Allah sends a Muslim after being judged. Throughout a Muslims life two angels, A good one and a bad one watches them. They record all actions that happen in every day life and these are read out at judgement day. A Muslim can go straight to heaven if they die in a Holy war, Fight in the name of Allah or if they were to die on the hajj. Jesus was the founder of Christianity, the Son of God and prophet messenger from God many people in his times referred to him as the Messiah, the anointed one, chosen to be king. He is part of the trinity, the human form of God. Jesus spread the message of God and Christianity. He taught people his knowledge and teachings of the religion. He showed how to forgive. Mary Magdalene, a prostitute fell to Jesus’ feet, He said whilst he was on the cross. † Father forgive them for they no not what they do.† He also taught his people not to judge others. † Do not judge and you will not be judged â€Å" Christians have a golden rule this should be used in everything that they do. † Love your Neighbour as Yourself â€Å" B) How these teachings and beliefs reflected in believers attitudes towards life after death. Christians believe in forgive and reform. Christians can correct their sins. Jesus showed the way to heaven, by following his teachings. Jesus showed life after death when he resurrected from the death. Jesus taught Christians for God to give you life after death, you have to prove your faith by actions and putting the teachings of Jesus into a Christians daily life. So Christians did this. Then they would be rewarded with heaven. Christians do not believe in the death penalty as they believe in forgiveness and reform to become a better person. When a Christian dies they are also judged but in a different way. If they have been good and are truly sorry for their sins they can go to heaven. If they commit a sin and are not truly sorry they will go to Hell. You cannot separate religion and politics in Islam, Muslim beliefs affect a Muslims life as Islam is complete way of life. Life is just preparation for the afterlife, Heaven or hell. Muslims are all expected to be equal. For example4, the rich must donate money to the poorer Ummah. You cannot separate life and religion. The main ways a Muslim submits to Allah is by following his teachings in the Quran and the 5 pillars. Akirah is a main influence of believers of Islam. As this is on a Muslims actions and everything they do as preparation for paradise does count on judgement day. Muslims take life after death very seriously. They follow strictly to Allah’s instructions found in the Quran. To give them a place in paradise. Remember life is only a test. If they pass a reward of Paradise (heaven). C) † People who have a religious faith lead better lives than people who have no faith, because they see life differently â€Å" How far do you agree? Give reasons for your answer, showing that you thought about more than one point of view. Refer to religious teachings I agree and disagree with this statement. I agree that people who have no faith see life differently to than those who have. But I disagree that people who have a religious faith lead better lives. I could say this statement isn’t true as a quote from the bible says, † We are all one In the lord Jesus Christ.† if we are all one why does that statement state that people that have a religious faith have a better life than those that don’t. Although I disagree with † People who have a religious faith lead better lives than people who have no Faith. â€Å" I can understand why this is said. In some cases some people prefer to always know what is going to happen. If they have a fixed faith such as Islam. They no what they have to do to achieve there goal of going to Paradise and therefore can prepare for this. If someone has no fixed faith and doesn’t follow any particular religion they are always unsure of what will happen in their future life and whether there is a future life. And how to respond to this. But I understand that others may prefer to have an undecided Future.

Procrastination The Biggest Problem Of Generation - Free Essay Example

Sample details Pages: 3 Words: 1006 Downloads: 5 Date added: 2019/06/10 Category Psychology Essay Level High school Topics: Procrastination Essay Did you like this example? Procrastination is one of the biggest problems in our generation and for students in higher education it is even worse. College students need to organize work, school, and family activities and any delaying behavior from within can cause a disturbance such as social media. This action is called procrastination and it can make issues in lots ways in a college students life. Don’t waste time! Our writers will create an original "Procrastination: The Biggest Problem Of Generation" essay for you Create order College students are most likely to have this kind of bad behavior because they have many different activities to focus on instead of studying or finishing up an assignment. These exercises can make college students consider when they have time which frequently is generally a too short measure of time. There are a period and place to unwind and appreciate life, yet on the off chance that college students center around playing around as opposed to completing their assignments, school life will be very stressful. While going to College students find it hard to deal with family, friends, and work. With most college students going down a dangerous path to procrastination that bad impact affects kids from their physical health, mental health, and social health which can be very detrimental. For many college students, they still want a social life but they have everyday burdens and duties that they would like to maintain a strategic distance from as opposed to starting. For students that weight moves toward becoming anything identifying with school academics, from homework assignments to different projects due one week from now, or essays. Be that as it may, by not doing the time important to finish a task or to compose a well and intelligible article. There is a statement from the APA website it says Participation in the study adhered to APA ethical guidelines. Based on the literature, it was hypothesized that academic procrastination would significantly, inversely associate with academic self-efficacy, academic self-concept, and general self-esteem.(Farran) Farran tells us about a study that was taken place in order to learn more about procrastination in college-level students he states that Academic procrastination has been portrayed as a negative and dangerous conduct for college students. Members who revealed higher Academic procrastination likewise detailed higher sadness and uneasiness, and more negative convictions about their worldwide self-esteem, and feeling of viability with respect to academic assignments.Not only would procrastination be able to negatively affect your wellbeing; it can likewise hurt your social connections. By putting things off, you are setting a weight on people around you. In the event that you constantly turn in assignments late or hesitate until the latest possible time, people who rely upon you, for example, your friends, family, co-workers, and classmates can end up very frustrated with you. Being a college student means you need to learn how to deal with mental stress. An increasing amount of college kids is putting on piles of stresses and strains on them yet more so on their mind by procrastinating. In an article published by the Guardian states Research has also shown that evaluation threat and fear of failure(dissertations and exams, anyone?) correspond with higher levels of procrastination. As for those who say they produce their best work under pressure the adrenaline rush is actually the relief that the task is done.(Knezevic) In this article, Milana Knezevic is trying to convey that students are designed to waste time and allurements temptations. procrastination is the sickness destroying most college level students across the world regrettably knowing kids should be preparing for exams rather than waste time on their laptop when they could be studying for a test thats very important were confronting a scourge. An American examination evaluates that more than 70 % of college students actually do some form of procrastination. Research has additionally demonstrated that assessment danger and dread of disappointment relate with larger amounts of procrastination. She claims that procrastination is almost unavoidable and all humanity has subconsciously done it and it not entirely our fault and that there are ways to prevent procrastination but it will take a lot of willpower and willingness so start on somthing. Procrastination can also take a huge physical and mental toll on the body. students who procrastinate experience larger amounts of dissatisfaction, blame, stress, and tension at times prompting major issues like low confidence and misery. A journal entry from the tanfonline website claims in a demographically diverse sample of college students aged 30 years and below. We tested nine aspects that also included various demographic and medical/psychiatric characteristics, estimated IQ, depression, anxiety, neuroticism, and conscientiousness. Which we all generally lower compared to kids who did not procrastinate (Rabin). Rabin describes procrastination can negatively affect learning, accomplishment, acedemic viability, and personal satisfaction people have tried to comprehend the variables that create and keep up this troublesome conduct. procrastination is progressively seen as including disappointments in self-direction and volition. Results show comprehension of the person relates to procrastination and may prompt negative experiences or intercessions to lessen its results for college students academics and prosperity. Overall kids who procrastinate are more prone to stress and depression which can really affect someone negatively both mentally and physically in their academic carriers. The impacts of procrastination can have a much greater effect on college students. When students get into colleges and begin getting more bring home projects and bigger assignments, students who procrastinate until the point when the last moment has a tendency to get bring down their grades lower than their classmates. This can make a cycle of awful grades and low self-assurance that can be troublesome for kids to survive. When grades begin to affect the future of students, this can prompt a great deal of additional pressure and disappointment for many students who choose to procrastinate. From time to time, everyone leaves an assignment waiting on their daily agenda for a couple of hours or days, or weeks too long. Stalling is typical, and a big problem which makes it simply more vital to comprehend. Overcoming procrastination is even harder, but with the right attitude and will power anything is possible.

Dates And Types Of Services Essay - 1200 Words

Dates and Types of Services: Michele was referred to counseling by her DDA case manager, Laura Yacko, in October 2016. Michele had previously been seen by Sara Straus for counseling services and she was then transferred to this provider for continuing services. This report serves outlines the types of services, schedule, goals, safety concerns, and recommendations. Michele has attended 5 sessions with this provider since the original referral was made and she has missed 3 sessions due to claims of illness and health concerns. Michele’s sessions have occurred at 45-55 minutes in duration and have been weekly. The session structure has consisted of building rapport and trust, identifying presenting problems in Michele’s life, creating therapy goals, and discussing life events that are considered stressors for her. Treatment Goals: The following goals have been outlined to optimize Michele’s well being: 1 Cognitive restructuring (correcting flawed thoughts patterns) 2 Problem Solving (learning how to identify a problem and developing cogent solutions) 3 Social Skills, being more assertive which will aid in feeling more in control over aspects of her life. This should help with her depressive moods as well. 4 Be open to learn how her life experiences have contributed to her PTSD and work to break down the barriers that she perceives keep her from opening up about her trauma. 5 Be active in implementing the DBT/CBT skills that she has already learned and work from theShow MoreRelatedIT BTEC 3 UNIT 9 Assignment 2010710 Words   |  7 Pagesschool. The management team has asked for information regarding different types of networks as they are considering upgrading all of the IT systems within the school. 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P1 Produce a series of information sheets or leaflets or small set of linked web pages that describes each of the different types of network available and how they relate to particular network standards andRead MoreBasic Features Of Internet Banking833 Words   |  4 PagesÆ’ Disbursements are originated for any type of payment, including vendor payments, federal and state tax payments, and employee payments (e.g., direct deposit payroll, expense reimbursements, and pension payments). o Collections are originated for regularly occurring receivables (e.g., membership dues, rent payments, insurance premiums, and mortgage payments, installment payments). o Customers enter ACH Batches using the Corporate Internet Banking service ACH module or by sending an NACHA-formattedRead MoreEntity Relationship Diagram1225 Words   |  5 Pages . + [00 | 01 | .. | 99] The amount the customer has actually paid. 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How Dopamine Works Human Body - 2356 Words

How Dopamine works in Human Body 1. Dopamine 2. Drugs 3. Dopamine Deficiency 4. Dopamine Treatments Introduction Pleasure, happiness, love, excitation, motivation, pain, anxiety, sad, anger, and all emotional feelings related to human being are linked to the chemicals and hormones that reach to the brain. The human body needs to function properly using the chemicals, hormones and fluids to be found in balance. This state of being balanced is called homeostasis . If one or more of these chemicals fall out of balance from either an increase or a decrease in their levels, this may cause the systems of the body to work less efficiently. Moreover, chemical imbalances can occur for a number of reasons and may affect the body in a variety of ways. There are many internal and external factors that cause chemical imbalance in human body as well human brain. This paper focuses on one of the chemicals secreted by brain, dopamine, and the external organic elements that affect its secretion and function throughout the brain and body. Dopamine Dopamine is one of the organic chemical compounds secreted by the brain. It is mainly produced in areas of the central and peripheral nervous systems, substantial-nigra. It is a neurotransmitter ( ) that is mainlyShow MoreRelatedHow Dopamine Works Human Body1956 Words   |  8 PagesTariku Sory Dr. Bowers Chem.130 M/W section How Dopamine works in Human Body Introduction Pleasure, happiness, love, excitation, motivation, pain, anxiety, sad, anger, and all emotional feelings related to human being are linked to the chemicals and hormones that reach to the brain. The human body needs to function properly using the chemicals, hormones and fluids to be found in balance. This state of being balanced is called homeostasis. 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Dopamine (DA) is released into the synapticRead MoreCurrent Trends in Drug and Alcohol Addiction Essay1469 Words   |  6 PagesHumanity has had a long relationship with drugs and alcohol, so long that Stone Age beer jugs dating back to 10,000 BC have been discovered. Some historians argue that beer predates bread as a staple of human consumption (Hanson, 2013, Para. 1). As the centuries passed alcohol and drugs became ingrained in the early cultures of recorded history, the Egyptians, Greeks, Romans, Chinese, and early Christians all utilized mind-altering substances in ceremony and celebration (Hanson, 2013, Para. 3). Today

Poem Analysis Essay free essay sample

They would change them back to normal time when summer ends. This practice has Its root In early societies before the Invention of the modern clock. Because most societies were agrarian at the time, and farm work was Majorca dependent on daylight, people would plan their day and adjust their time according the length of daylight. Where daylight extended into the night, people would adjust their clocks to accommodate the new timeline, which, in this case, will also continue well into the night. The poem focused on the controversy surrounding daylight saving. Winston Churchill sparked the debate on daylight saving time by sensationally claiming that daylight saving time eve the American people more opportunities to pursue happiness and good health. Most farmers and entertainment spot owners opposed DUST vehemently and called for its immediate abolition. After 1 919, most cities in the United States rejected the DUST. New York was among the few cities that continued using DUST. We will write a custom essay sample on Poem Analysis Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The poem having a mind to save the world explores the impossibility that was saving a few more hours from the regular day hours but which the world achieved by Introducing the Daylight Saving Time. The poem states that It Is only In Indianapolis that the people refused to agree to the use of Daylight Saving Time. The city was dependent on agriculture and DUST would discourage normal working hours in the farms affecting productivity. In the poem, Howard likens the phenomenon to the biblical story of Joshua. Joshua asked God to extend daylight so that he could subdue the enemy.God responded to this request by causing the sun to stand still for a few more hours until the war was over, and Israelites emerged victorious. The poem heaps praises on the Ingenuity of Daylight Saving Time, saying that nothing like It existed since it is God who extended daylight during the time of Joshua. The speaker n the poem is an omniscient narrator who experiences the events captured in the poem. We see him associate himself directly with the events in the poem by referring to himself as we when he says we the Indian-givers. From the story, we deduce that the speaker associate himself with a particular period in history. He says, The narrator is talking about occurred at a time in history when most states needed to adopt the Daylight Saving Time. This period was probably when the agrarian revolution was at its peak in America. It is also a time when the southern states such s Indiana fiercely opposed the daylight saving time phenomenon. They thought it undermined agriculture and labor in general. With a grasp of the historical context of the poem, one can share the speakers point of view.The speaker appears excited that daylight saving time is gaining popularity but is at the same time sad that Indianapolis, his home city, has refused to Join the other states in embracing it. He adopts an indifferent tone at the beginning of the poem, an indication that he cannot do much to change the situation as it is. The poet develops an internal conflict in the poem through the words of the speaker. The poet says, Taking Daylight hour from dawn, and giving it to evening, even if we Indian-givers later take it back. This statement shows clearly that the poet feels there is a conflict between the rest of the republic and the inhabitants of Indianapolis. The poem revolves around many political issues associated with the use of DUST in the United States in the early nineteenth century. During this period, a proposal by Willet to have the DUST retained in the US system suffered a narrow defeat in parliament. Similar bills that Willets supporters and opponents later introduced in parliament also failed. This poem has unique form that departs from the conventional poetry styles common in literature.