Hypothyroidism Thyroid Hormone

Hypothyroidism Thyroid Hormone Hypothyroidism 1 Information on Hypothyroidism Hypothyroidism 2 What is hypothyroidism? Hypothyroidism is a condition in which the thyroid gland fails to produce enough thyroid hormone. What are the causes of hypothyroidism? Some common causes of hypothyroidism are the failure of the pituitary gland to secrete a hormone called TSH, to stimulate the thyroid gland, congenital birth defects, surgical removal of the thyroid gland or inflammatory conditions, and iodine deficiency. The most common cause of hypothyroidism is called Hashimotos thyroiditis. This is an autoimmune disease which develops antibodies against its own thyroid gland cells. Some other factors that contribute to hypothyroidism includes female gender, obesity, thyroid surgery, and exposure of the neck to X-ray or radiation. How is hypothyroidism diagnosed? Hypothyroidism can be detected through a simple blood test. In this blood test, the doctor will compare your TSH (thyroid stimulating hormone) level. A low T4 and a high TSH level indicates hypothyroidism. This is the best and most reliable way . What are the symptoms of hypothyroidism? The symptoms of hypothyroidism are: low energy, constant tiredness, depression, dizziness, weight gain, despite loss of appetite, ankle swelling, anemia, and goiter (enlarged thyroid). Symptoms of hypothyroidism can range from mild to severe. Some symptoms may go unnoticed or dismissed for more simpler conditions. What are the complications from hypothyroidism? Hypothyroidism 3 People with hypothyroidism may not have any symptoms at all. In some people, hypothyroidism can lead to heart disease, increased risk of infection, infertility, and miscarriage. The most severe complication is myxedema coma, which is a medical emergency that occurs when the bodys level of thyroid hormones become extremely low. If not treated with intravenous thyroid hormones and steroid therapy, it can be fatal. How is hypothyroidism treated? The most effective treatment for hypothyroidism is thyroid hormone supplementation. Levothyroxine is the most commonly used medication. Based on a persons TSH level, proper dosage is given in the form of a tablet. This medication is taken throughout a persons life. Thyroid hormone levels should be checked yearly to make sure the dosage is the correct amount. Can hypothyroidism be prevented? There is no prevention for hypothyroidism; however, screening tests in newborns can detect congential hypothyroidism. Hypothyroidism 4 References Hypothyroidism. ( 2008). Retrieved January 8, 2008, from Endocrine Website: http:// www.endocrineweb.com/hypo1.html Hypothyroidism. (2008). Retrieved January 29, 2008, from Health Encyclopedia: http:// www.healthscout.com/ency/68/34/main.html Hypothyroidism.(2008). Retrieved January 30, 2008, from Mayo Clinic website: http://www.mayoclinic.com/health/hypothyroidism/DS00353 Hypothyroidism.(2008) Retrieved January 30, 2008 from Medline Plus website: http://www.nlm.nih.gov/medlineplus/ency/article/000353.htm

Cleaning Business Plan

COFIELD’S CLEANING SERVICE SONJI MORTON COFIELD, PROPRIETOR September 30, 2011 COFIELD CLEANING SERVICE BUSINESS PLAN SUMMARY Cofield Cleaning Service is a start-up business that provides cleaning services for residential homes. Primary services include floor, window, and bathroom care. The business is seeking $5,900 for equipment, supplies, and advertising. The name and address of the business is: Cofield’s Cleaning Service 600 Hunterdale Road Franklin, VA 23851 Phone: 757-304-9401 Fax: 757-304-9401 Email: [email  protected] com The name and address of the business owner is: Sonji Morton Cofield 600 Hunterdale Road Franklin, VA 23851 MarketThe potential market for Cofield Cleaning Service is 210 households in the hometown area based on her research. The average target customer is 35 to 65 years of age and earns $45,000 or more annually. There are three competitors serving the area. Cofield’s competitive advantage is that it can attract customers with a more pe rsonalized, professional cleaning that is â€Å"Satisfaction Guaranteed. † Organization Plan This business is a sole proprietorship with no employees. The owner will manage the finances and perform the work. BUSINESS DESCRIPTION Nature of the Business Cofield Cleaning Service is an insured, residential cleaning service.It offers cleaning service tailored to its customers’ needs. Most customers will likely request weekly cleaning. There is also a need to offer in-depth cleaning on an as-needed basis. History of the Business * None – this is a start-up business. * Legal Structure of the Business * Sole proprietorship, Sally Sparkle, proprietor. * Past Work Experience * The owner has five years of experience as an employee for Merry Maids, Inc. * Reasons the Business Will Succeed * The belief that the business will succeed is based on the proprietor’s * Knowledge, experience, and determination to succeed. MARKETING PLAN ServicesServices provided include clea ning of floors, windows, cabinets, dishes, laundry, and furniture, and watering of houseplants. This service will save the customer time and energy of doing the work. The customer has the benefit of enjoying a clean and attractive home. The customer also has extra leisure time for entertaining guests, enjoying hobbies, or any other activities. Start-up money will be used for a vacuum cleaner, cleaning supplies, hand-held vacuum, buckets, rags and other miscellaneous supplies. See attached list and bids for equipment. Cofield’s Cleaning Service will provide cleaning supplies used.Ten homes cleaned weekly per month will cost approximately $80 per month (total) for cleaning supplies, which will be purchased from mass merchandisers such as Wal-Mart in Hometown. Driving to and from these homes will cost approximately $30 per month. Cleaning ten homes will take approximately 40 hours per week with an average cleaning time of four hours. In the next two years, Cofield Cleaning Servi ce will expand its services to commercial customers and will hire employees to meet the new demand. Distribution Services will be directly supplied to the end-users in their homes. IndustryThere are many new, larger homes being built in the area. According to the city’s building permits issued each year: * 18 homes of over 3000 square feet were built one year ago. * 21 homes of over 3000 square feet were built two years ago. * According to â€Å"Domestic Details† in Income Opportunities magazine, March 2011, more women were hiring cleaning services to ease the strain of their hectic lifestyles – over 20% of households surveyed had hired a cleaning service, an increase of 5% from the previous year. Customers Cofield targeted customer profile includes working families. The ages range from 35 to 65 years.The average annual income is $45,000 or more. According to census information (see attached), from the population of 5,000 households, 21% of the households earned $45,000 or more. This means there are 1,050 customers who fit Cofield’s targeted profile. If 20% of these households use a cleaning service that means 210 households could be potential customers. Brilliant’s goal is to secure ten customers. It already has three potential customers – see attached letters of intent. An average customer would use Brilliant Cleaning Service once a week for an average cleaning time of four hours. CompetitionCofield Cleaning Service’s main competitors are franchised cleaning services: Molly Maids, Holland Road, Suffolk, VA. Strengths include name recognition and size. It has 20 employees and the largest number of customers. It is insured and the employees are bonded. Weakness is lack of consistency. A customer could have one employee clean their home one week, and have a different employee another week. It charges $60 for a half-day of cleaning. Position in the Marketplace Cofield’s position in the marketplace is mid-ba se residential. Cofields strengths include personal and professional service.Although the franchisers have strong advertising techniques, a sole proprietor has the advantage of offering more personalized service. This service gives Cofield a competitive advantage because most customers prefer the same cleaning person for each cleaning. Cofield’s competitive advantage over Molly Maids is its professionalism. Brilliant is insured and the owner and employees will wear uniforms for a professional image. Because of the owner’s vast knowledge of houseplants, Cofield’s will offer to take care of houseplants as an additional service no one else offers.Image/Packaging See attached bids for all promotional costs. * The business name is Cofields Cleaning Service. * The slogan is: Professional Service By People Who Aim to Please! * The business will be operated out of the owner’s home. * Business cards and flyers will cost approximately $200. * Magnetic car signs wil l cost approximately $160. * Printed bid forms and invoices will cost $40. * Uniforms include black pants and Pink shirt with business name. Uniforms will be provided by U. S. Linen Services for $40 per month, which includes the cleaning of the uniform.Pricing Cofield will charge $45 for a half-day of cleaning. All prices will be quoted per job: by the size, time, and effort involved in cleaning the residence, not by an hourly rate. Brilliant’s fees reflect a fair market rate, and are comparable to fees charged by competitors. Marketing Goals and Objectives To start the business by November (2011) To acquire ten customers by April (2012) To earn $1,200 monthly by June (2012) Marketing Strategy Cofield Cleaning Service will follow the promotion plan below to meet its goals and objectives: Specialists or ConsultantsThe sole proprietor will continue to consult monthly with a business consultant to set up record keeping systems and receive help with monitoring the business. The s ole proprietor will use the services of Liberty Accounting Services for income tax preparation. Record Keeping, Inventory and Finances The sole proprietor will use a manual record keeping system that is a combined cash receipts and cash disbursements journal. The sole proprietor will use ledger sheets to track inventory supplies. The sole proprietor will open a business checking account at BB&T Bank, located in Franklin, VA. Licenses, Permits and Other RegulationsNo licenses or permits are required to operate this business. Cofield’s is not required to get a hazardous waste permit. See attached letter from the State. Sales Tax Cofield will have to collect 6. 5% state sales tax from customers (to be paid to the state) on all services. Cofield does not have to collect a city sales tax. Insurance Cofield Cleaning Service will get the following types of insurance from All-Types of Insurance, located in Hometown, USA – see attached bids: Liberty MutualAuto Insurance: $600 a nnual premium or $200 down and monthly payments of $35 General Liability: $300 annual premiumWorker’s Compensation on owner: $350 annual premium Payment Terms Customer payments will be accepted by cash or check, which are collected at the end of each job. Payment terms will be explained to potential customers before accepting each job. If a customer does not pay at the end of a job, future work will not be done until payment is received. After six months of being in business, Cofield will start accepting credit cards. Hours Open Cofield Cleaning Service will operate Monday through Saturday, from 9:00 a. m. to 6:00 p. m. Contingency PlansThere will be one day set aside biweekly-weekly for a make-up day in case of owner illness or emergency. If the owner gets sick, she will reschedule the appointment. If the job cannot wait, the owner will clean those despite illness or will get her sister to fill in on the job. If the owner gets injured on the job, Worker’s Compensation will be available. If the owner is injured, her sister will fill in until the owner can get back to work. If the owner’s car breaks down, she can borrow her mother’s car or take a taxi. If sales are not as anticipated and loan payments cannot be made, owner will get part-time job in the evening.The owner will also look at increasing promotional efforts and reducing expenses, such as uniforms. FINANCIAL PLAN * See two-year, monthly Cash-Flow Projections with List of Assumptions. * There are no Business Financial Statements since this is a start-up business. * See Personal Financial Statement. * See Personal Income and Expense worksheet. START-UP EXPENSES Expense| Cost| VacuumsSupplies and Misc. Business cards/flyersSignsUniformsCleaning suppliesInsuranceAssumed name filingPhone depositWorking capitalTOTAL| 20011020016040408502510825$2,500| Sources| | Owner ContributionLoanTOTAL| 6001,900$2,500|

High Class And Middle Class - 1356 Words

We all have to start somewhere when we move to a new town, new state or even a new country. We all start from the bottom and start to work our way up as we learn to improve ourselves to move classes in the American system. In America we either belong to the lower class, middle class or upper class. We are classified either by our: jobs, education, aspirations,budgets and values. But most of us fit into the middle class, because many have started from the lower class and worked their way up to middle class, thanks to the mobility between social classes. There is mobility in the U.S. because like my father who came from Mexico to look for a better future for my mom and two children found mobility to move from lower class to middle class. My father started from the lower class and worked his way up to middle class and got his construction license and finally was a contractor assistant for a construction company in Arizona. In the United States there is three social classes. There is a l ower class nation, middle class, and the upper class nation. The lower class is the working class the â€Å"blue collar† , the middle class is the â€Å"white collar† jobs and the upper class is the independently wealthy class. In the united states there is more people that fit into the middle class than into any of the other two social classes. In the article Middle Class In America by the U.S. Department of Commerce states that, â€Å"Middle class families are defined by their aspirations more than theirShow MoreRelatedHigh Education And The Middle Class1220 Words   |  5 PagesThe world’s middle class is growing while America’s middle class stays the same. United States has a smaller middle class compared to other countries like China, Canada, Australia and Switzerland. Rich are getting richer and poor are getting poorer and the middle class either stays how it is or gets smaller. Every modern country’s goal is to cut poverty and grow the mi ddle class. In order to grow the middle class we need to increase the minimum wage. The minimum wage has been raised from 7.25 dollarsRead MoreHigh Education Is A Prerequisite For A Middle Class Lifestyle Essay1188 Words   |  5 Pages â€Å" Higher education is a prerequisite for a middle-class lifestyle.† So how are students suppose to attend a four-year university if all financial aid is giving them is loans? That’s the question many middle-class students are asking themselves, and a question I had to ask myself as well. Being able to afford the university of my choice was not about to come easy. Imagine a girl in her senior year of high school with the hopes of going to a four-year university. She got accepted into every universityRead MoreAmerica In Five Classes Essay1124 Words   |  5 PagesIn the United States, people and their families are categorized in a class based on power, wealth and occupational prestige. There are five categories in the United States that categorizes our nation’s people. The classification of our nation’s status includes the poor, the near poor, the working class, the middle class, and the upper Class. The poor is classified when people are living below the poverty line set up by the U.S. government. â€Å"The poverty level adjusts for family size, and as ofRead MoreEssay about The Extinction of the American Middle Class1349 Words   |  6 PagesWe are talking of course about the American middle class. In 1971 the American middle class population was 36% higher than the population of the lower class. However, today the middle class population is now only 22% higher than the lower class (McDill). This is only a 14% drop spread over 44 years. The major issue here is that while the middle class shrinks, the upper and lower classes are growing. Financial experts believe that soon the middle class will become nonexistent and America will be dividedRead MoreSocial Classes And Class System Essay1182 Words   |  5 Pagesthe â€Å"poor†, â€Å"middle class† and the â€Å"rich†. Additionally, a more complex system of social classes is derived from the three elementa ry classes. In this regard, a four-class system includes â€Å"the capitalist/upper class†, â€Å"the middle class†, â€Å"the working class† and â€Å"the lower class† (Thompson, 2005). Moreover, sociologists have expanded the for-class system into a six class system includes â€Å"the capitalist or upper class†, â€Å"the upper-middle class†, â€Å"the middle class†, â€Å"the working class†, â€Å"the lower-workingRead MoreThe Middle Class Discourse Community1492 Words   |  6 PagesAs a current member of the middle class discourse community I feel like I am over all in a successful community. Where the average family is able to live and not struggle to pay every bill or expense. In this community the members do stress but overall they are able to live happy lives and be contributors to society. As a current member of the middle class discourse community I have one simple goal, to stay in it as I grow up or at least move up in society financial pyramid. As a nineteen-year-oldRead MoreGetting A Scholarship For Basketball1445 Words   |  6 Pages Here is Kyla. She is 17 years old a senior in high school and wants to go to college but is more looking into getting a scholarship for basketball if not she might not be able to go. She has two other younger siblings. They live in Chicago, IL ; in a two bedroom apartment funded by the state. Her mom works two jobs making about 50,000/yr and her father makes minimum wage working as a garbage man making about 25,000/yr. They are able to go about one or two small vacations a year. Winters are theRead MoreThe Importance Of A College Education1530 Words   |  7 PagesAlbio Sires, a New Jersey congressman, said that, â€Å"Middle class families are struggling to send their sons and daughters to school. For many Americans, a college education is essential to future success.† His statement taps into one of the biggest issues in America. While educatio n is considered to be a strong value here, after high school, the percentage of people getting an education dramatically drops. Although many people choose to not go to college, there are also many people who do not goRead MoreSocial Classes In Flauberts Madame Bovary1439 Words   |  6 Pagessocial class was expected to act differently, thus affecting the way one would get treated and the amount of opportunities available to them. In Flaubert’s Madame Bovary, food imagery and the way each character acts towards food reveals the distinctions between the various social classes and, more importantly, the mediocrity of the French bourgeoisie. However, Flaubert chooses not to focus on all of the social classes, but solely on the characteristics and mannerisms surrounding the middle and theRead MoreThe Importance Of Having A Large Working Middle Class963 Words   |  4 Pagesjobs, with an honest pay for a hard day of work. The middle class of the united states was once a thrivin g class that lived comfortably off of that standard. Today the middle class is marginally smaller and the jobs don’t promise the same benefits they once did. There are many possibilities that may have caused the demise of the middle class, but very little is being done to resolve the issue. The importance of having a large working middle class is key to having an overall thriving economy and great

Football or Baseball - 663 Words

Mrs. Casiana Freshman English March 2, 2012 Football or Baseball? America’s pastimes are Football and Baseball, which are similar yet vastly different. Enough though Baseball and football may require some of the same talents they are also different in many ways. When comparing Football and baseball they both have the same goal obviously, and that is to win. When it comes to the scoring system for football and baseball they have way different types of scoring. Football can kick a field goal which is worth three points. Someone can score a touchdown by throwing the ball, running ball, getting an interception, or fumble, and that is worth six points and after that the kicker can kick the football through the uprights for an†¦show more content†¦When a team is on offense there is only one player up to bat at a time and no more than three base runners at one time. A team plays on offensive until the defense gets three outs. Then they switch sides. Players that are in the pros make the big bucks. Some of the top notch players in ea ch sport make millions and millions of dollars. For instance Albert Pujols plays baseball and is arguably the best player to play the game right now and signed a 9 year contract that is worth over 200 million dollars! Football fight to get bigger salaries because they feel the need to get paid more since they have a greater risk of getting injured. Baseball the players don’t argue as much as football players when it comes to salary. Both football and baseball both have playoffs, which are after the regular season is over. When making it into the playoffs are football there is a single game elimination which means once a team loses they are done for the rest of the season. Then once there is only two teams left to play then that means they are in the championship otherwise known as the super bowl. like football, baseball also has playoffs but instead of it being a single game elimination they play a series of games against one team. The series of best of seven games wh ich means the first team to win four games in that series moves on further into the playoffs. In conclusion football and baseballShow MoreRelatedThe Football Of The Baseball Team1531 Words   |  7 PagesAs everyone ran to the field eager and excited to begin their freshman year of football I awkwardly stumbled along, following them as the field grew closer. I was scared, no; I was absolutely petrified. Never before had I played a real sport. Sure I played a few seasons on the city’s little league baseball team, but in my young mind, that was surely nothing compared to this. Tackle football: I had seen a few minutes of it when my dad and his friends watched, or when my friends played Madden 05’.Read MoreSoccer, Football, Baseball, Basketball And Soccer800 Words   |  4 PagesThroughout the world soccer, or futbol, is the national sport. In America though, it is overshadowed by American football, baseball, basketball and hockey. As the sport gains momentum in the US we wonder if it will ever become as big as those four. This is uncertain because Americans usually hop on the band wagon for events like the World Cup and then fall off once MLS and Premier League seasons begin. Studies point to European contempt and the American identity as important factors in the failureRead MoreThe Major Sports at Mandelbaum are Baseball, Basketball, and Football758 Words   |  3 Pagesexplanation Mandelbaum reaches when we tries to explain why Americans had become ardent fans of sports. The three major American sports that Mandelbaum focus on are baseball, football and basketball. This sports had been chosen for America because they embody three major stages in American culture. Baseball represents the agrarian period, football the industrial revolution and basketball the new innovative and modern society. Mandelbaum dedicates a complete chapter for each of the three sports. In eachRead MoreBook Report On Football Fantasy Baseball1386 Words   |  6 Pages Warren’s Finest Football League Warren, MI Created By: Jacob Dikowski E-mail: WarrenFFL@yahoo.com Football Fantasy Leagues Information about Football Fantasy Leagues For People That Have Always Wondered How It Works Dear Sports Fanatic: This is your information packet about my league which is called â€Å"Warren’s Finest Football League†. Many People would say that owning a fantasy football team makes NFL a whole lot more entertaining. Not all fantasy leagues are the same though,Read MoreMy First Year Old Boys Are Playing Baseball, Football, And All The Other Sports1070 Words   |  5 PagesMost ten-year-old boys are playing baseball, football, and all the other sports. For me, I did the same; therefore, I played outside and played sports. Me my mom and my siblings would always go over to my grandparents’ house while my dad was at work. One day, my mom went to go shopping with my grandma; however, I was lucky and got to stay behind with my grandpa. That is when he introduced me to a completely new world. I can remember quite decently it was a warm summer day and I was sitting in myRead MoreMy First Year Old Boys Are Playing Baseball, Football, And All The Other Sports1079 Words   |  5 PagesMost ten year old boys are playing baseball, football, and all the other sports. For me, I did the same therefore; I played outside and played sports. Me my mom and my siblings would always go over to my grandparents’ house while my dad was at work. One day my mom went to go shopping with my grandma; however, I was lucky and got to stay behind with my grandpa. That is when he introduced me to a completely new world. I can remember quite decently it was a warm summer day and I was sitting in myRead MoreBaseball Is America s National Pastime976 Words   |  4 Pagestheir favorite sports being played. Over the years baseball has traditionally been known as the national pastime among all sports, but the rich tradition and history behind baseball is still around and noticed, with that being said, baseball is still referred to as America’s national pastime. This can be attributed to many factors including a superior television product, more controlled violence, and legalized gambling with fantasy football and baseball. Each and every week millions of Americans tuneRead MoreDifferences Between Sports And Baseball729 Words   |  3 PagesFootball Versus Baseball Multiple sports have concepts in common, but not identical principles. All sports require hard work and dedication, but not all sports require a ball. Another big difference in sports is the regulation changes from the professional leagues to high school leagues. Sports variations in high school also depend on the size of high school that you attend. Football and baseball in high school have their similarities, but definitely have their variations specific to the gameRead MoreBaseball As A National Pastime859 Words   |  4 PagesMary McGrory, an American journalist, writes, â€Å"Baseball is what we were, and football is what we have become†(â€Å"Brainy Quotes†). Baseball is out and football is in. Only 27% of kids from ages 9-13 play baseball in the world today. There is no longer â€Å"Take me out to the ball game,† but let me watch the game on my TV. Baseball as a national pastime has experienced a decline in popularity because of the increase of popul arity of football, length of the season and cost of a game, and length of playsRead MoreDifferences Between Football And Sports1200 Words   |  5 PagesFootball is a sport that is highly regarded all around the globe. The sport has immense popularity where the UEFA Champions League final attracts an estimated of 350 million viewers each year]. Football has had great success globally where there is an estimated of 250 million Football players worldwide]. Despite the sport’s tremendous influence and popularity, various countries have found it difficult to integrate Football as a regularly played sport, and two notable countries are the United States