Vaccinations For A Healthy Lifestyle - 1656 Words

Throughout time many people on this planet have depended on vaccinations to be maintain a healthy lifestyle. Although vaccinations can fight off disease they can also affect kids in negative ways. There are also parents who depend on certain vaccinations too much which can cause more problems in the long run. As the amount of kids who are not vaccinated grows, the amount of diseases that were once wiped away start to return. When kids are born they are right away taken to get vaccinations. One of the reasons that young kids need more vaccinations is because kids have weaker immune systems. Whether people decide to vaccinate their children depends on certain factors like, income, ethnicity, and religion. There are many people who choose not to vaccinate their kids. This can either affect the young kid in a positive or negative way. Today certain states are responsible for the overall care of others and require people to get vaccinated. In many cases parents are required to vaccinate their kids before they enter grade school or child care centers. This idea can be good and bad in many ways. For one it requires all kids to be vaccinated for viruses which would eliminate the diseases that exist in kids. Some people might state that requiring children to be vaccinated before entering school would eliminate a family s freedom of speech by having kids vaccinated against parent’s will. In some cases families can refuse to get kids vaccinated because of religious beliefs. StartingShow MoreRelatedDo People Taking Flu Vaccines Need Them the Most?742 Words   |  3 Pagesimmunization and the financial burden of providing health services such as the flu vaccine. Every year vaccinations are made available, but are considered optional. However, a study conducted by Quian Gu, and Neraj Sood, observed the association between the dangers of the flu infection and the likelihood of getting immunized. The study concluded that those with socio-economic disadvantages and u nhealthy lifestyles were less likely to get immunized, and by collecting scientific data nationally, the study foundRead MoreWhy Dogs Should Be Vaccinated1350 Words   |  6 Pagesreceive the vaccinations that are required. However currently there has been an issue on whether or not dogs need to be vaccinated. The reason dogs need to be vaccinated is because it protects them from numerous infectious diseases, protect us from receiving zoonotic diseases, the benefits out way the risks and some are required by law. Some people feel that his/her dog does not need to be vaccinated or feel they cost too much money, but by getting their dogs vaccinated it keeps them healthy, protectRead MoreCommunicable Disease Paper1338 Words   |  6 Pagesdata findings, evidence-based intervention, and a plan to ensure quality health. Additionally, a discussion to identify available resources to assist with treatment and care, the environmental factors related to chickenpox, and the influence of lif estyles, socioeconomic status, and disease management will assist in controlling chickenpox. Furthermore, to help ensure public health, gaps and methods for linking other resources to meet needs that not locally available for the population, will be identifiedRead MoreThe Health Of Health Care983 Words   |  4 Pagesmental and social health. It is necessary because people’s health is what makes society function. Additionally, psychological health is essential to humans because it gives the mindset of developing a healthy lifestyle—physically and socially which develops a healthy society. If people are not healthy, then society as people know it will not be able to function and will deteriorate over time. That is because people are the major component of what makes a society to begin with. Since traditional psychologyRead MoreThe Health Organization Of The United States1290 Words   |  6 Pagesto control and even eliminated life-threatening infectious diseases. It has been proven to be a very cost-effective investment, they are accessible to all populations including those who are at risk populations, and they do not require any major lifestyle changes. Immunizations have prevented between two million and three million deaths each year (Immunization, 2014). Even though immunizations have prevented many deaths, infectious diseases are still a major cause of illness, disability, and deathRead MoreVaccinations Persuasive Essay1587 Words   |  7 PagesVaccination has been brought up again in recent years even when vaccines have been around for about one thousand years. However, with recent outbreaks of measles, some see as preventable disease through vaccines, the main controversy of vaccination has once again been brought up due to parents concerns of safety of their children. Parents now are wondering if vaccinations are the best thing for their children due to reports that vaccines cause autism and other brain disabilities. Although, the linkRead MoreTo Vaccinate or Not to Vaccinate? Essay1158 Words   |  5 Pagesalthough getting immunized does not precisely stop at any age. In fact, required vaccinations continue throughout the years. Of course these medical treatments must be tested in order to be given to anyone. In spite of the fact many people themselves argue that inoculations are not safe for children, others are thoroughly certain in the benefits vaccinations will bring them, such as keeping a person safe from an illness and healthy. A vaccine is actually put into the body acting as a disease so that whenRead MoreHolistic Medicine vs Modern Medicine1102 Words   |  5 Pages19th century because the first microorganism was seen through a microscope. Some of the first discoveries for modern medicine were how bacteria spoiled beer and wine. The process of pasteurization was created from that discovery. Then the rabies vaccination was discovered after a short time by Ecole Normale. The study of the cause of diseases was what modern medicine started with. The Holistic method for treating the flu is the use natural elements such as an extract called black elderberry. ThisRead MoreMandatory Vaccination Should Be Mandatory Vaccinations1228 Words   |  5 PagesMandatory vaccinations should be required for all citizens in the U.S. Having mandatory vaccinations will allow for well protected future generations that are susceptible to less health issues. With everyone being vaccinated there will be less occurrences of these diseases and sicknesses allowing future generations a more healthy life with fewer visits to the doctor’s office and hospital. Another reason to have mandatory vaccinations is that these vaccines are safe and approved by trusted medicalRead MoreThe Medical Influence Of The American Medical Association1263 Words   |  6 PagesMedical Association, has an 80,000 member group ready to lobby for mandatory vaccinations (Mihalovic n.p.). If their influence among legislators is strong enough, they can eventually fo rce parents to vaccinate their children in order to access educational institutions. In history, only three provinces had mandatory requirements for vaccines, Ontario, Manitoba and New Brunswick. Nonetheless, proponents for mandatory vaccination believe that it should be done on a local scale. They believe that the large

Heroin Addiction Contributing Factors - 1527 Words

Heroin Addiction: Contributing Factors in a Global Issue Abstract This paper will examine the impact of heroin addiction on the family, the individual, the child, the adult, older adults, special populations, on minorities, while taking in consideration various approaches in assessments, treatment recommendations, and ethical concerns. Introduction The purpose of this paper is to identify heroin addiction’s impact on lifespan and family, while taking in consideration multicultural aspects, comorbidity, resiliency, assessment, treatment, and ethical concerns. Heroin addiction or dependence is defined as a chronic condition where an individual dependent on heroin or heroin addict experiences periods of abstinence, periods of use which are accompanied by physical health, mental health and social issues (Hamiltion Grella, 2009; Levi and Anderson, 2005). Heroin addiction became one of the most known substance use disorder globally (Little, 1990; Mark, Woody, Juday, Kleber, 2000). According to Goodhand (2000), the use of opium as a medication for various illnesses dates back to prehistoric times. During this time, opium or lachryma papaveris, derived from poppy seeds, was used in food staples, ritual purposes, anesthetics and other medicinal necessities. Chinese, Sumerian, Egyptian, Greek, Roman, Indian, and Persian medical books all mention the use of opium as a pain reliever during surgical procedures. In 1827, morphine sales began being part ofShow MoreRelatedFactors Contributing To The Opioid Epidemic1529 Words   |  7 PagesFactors Contributing to the Opioid Epidemic in America If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid relatedRead MoreHeroin Is An Illegal Substance Derived From Morphine1626 Words   |  7 PagesHeroin is an illegal substance derived from morphine. At one time it was legal, and was created originally as a safer alternative to morphine. The opposite was found to be true, and heroin is now illegal. Heroin is highly addictive and has strong euphoric effects. There are many short and long term effects when used or abused. Short term effects of heroin use include slowed cardiac system functions and breathing, intense itching, dry mouth, drowsiness an d convulsions- especially in a case of an overdoseRead MoreEffectiveness of Relapse Prevention Therapy1009 Words   |  4 Pagesbecome more aware of their thoughts and feelings contributing to recurring depressive episodes. Another intervention that is commonly used is relapse prevention group therapy (RP), which believes that addiction treatment should include a comprehensive behavioral therapy to address the psychological factors contributing to relapse. The 50 participants that were included in the relapse prevention therapy condition for heroin dependence and addiction were divided into 4 groups of 12 to 13 people perRead MoreAnalysis Of The Film Trainspotting, Directed By Danny Boyle1064 Words   |  5 Pagesplights of young heroin junkies during the Thatcher Era in Edinburgh. The film’s focus is not heroin addiction, but rather, uses the silver screen as a platform to portray the depressing impact Thatcherism had on Scottish socioeconomic conditions as conveyed through the protagonist, heroin-addicted Mark Renton. Trainspotting illustrates that the social struggles of the Scottish lower class during the Thatcher Era are significant contributing factors to cause Renton to become a heroin u ser in order toRead MoreDrug Abuse : A Serious Problem Within Modern Society Essay1132 Words   |  5 Pagestask of forensic toxicology is to find out the factors that caused the death of individual. The results of toxicological analysis should be correlated with the individual’s medical history, the autopsy findings, and the death circumstances in order to determine whether a drug caused the death, was it a contributing factor, or was the death classified as homicide (D. DiMaio V. DiMaio, 2001). The success of the toxicological testing depends on many factors, such as correct method of collecting specimensRead MoreThe Effects Of Addiction On Adolescent Development1302 Words   |  6 PagesThe Effects of Addiction on Adolescent Development Adolescence is a time where adolescents grow and mature at a rapid rate. It is also a time where adolescents are more vulnerable to taking risks, such as using and becoming addicted to illegal substances, due to raging hormones. Whether or not an adolescent chooses to engage in drug use and abuse depends on their home environment and those they choose to associate themselves with. Adolescents are confronted with an enormous amount of pressure toRead MoreA Brief Note On Heroin And Its Effects On The Body And Their Families Essay1608 Words   |  7 PagesTechnical University September 22, 2015 5. Heroin is a highly addicting drug that cause irreparable damage to the body and their families, here is the molecular structure of heroin(Image by Royal Society of Chemistry, 2015) More and more young adults have become victims of heroin overdoses in the past 10 years, why? In recent new accounts, this crisis has been attributed to bad batches of this illegal drug coming from various sources. In Ohio the Heroin epidemic has put law enforcement and law makersRead MoreRighteous Dopefiend Analysis1103 Words   |  5 PagesDopefiend,† being homeless is just one of the many problems that encompass their day to day reality. The two anthropologists assimilate themselves in the homeless community and observe the hardships that come from living on the streets and drug addiction. A better understanding is attained through their ethnographic research and details of the homeless’ lives can be used to further our knowledge and help in solving society’s problems. This et hnography shows that through of a community of addictsRead MoreUnderstanding Depression And Anxiety, Addiction, And Dementia1099 Words   |  5 Pagesexplaining the causes of mental problems, which collects evidence from the individual’s social, psychological and biological conditions (Toates, 2010, p19). It considers those factors as interdependent and equally important (Toates, 2010, p13). This essay will evaluate this model ability to understand depression and anxiety, addiction, and dementia, and will show that in some cases of mental problems, the biopsychosocial perspective is not the appropriate tool for explaining these problems. Firstly,Read MoreHigh School Drug Use Among High Schools Essay1424 Words   |  6 PagesThere are many contributing factors that can lead to heroin and other drug use among high school students. Factors such as the availability and the growth of drugs in society, the enormous weight of peer pressure students face, the socio economics issues that students are a part of that can lead high school students down this destructive path. The use of harmful drugs by high school students has been on the rise ever since our country has declared war on drugs. Drugs such as heroin, cocaine and marijuana

Cardiovascular Disease Burden in Singapore-Samples for Students

Question: Discuss about the Cardiovascular Disease Burden in Singapore. Answer: A study conducted by Ministry of Health in the year 2010 had shown clearly that cardiovascular disorder has been the leading cause of death in the nation of Singapore. It has estimated to face a death of about 1908% of the vulnerable population that is then followed by cancer at 18.9% (Lam et al., 2015). This is in turn followed by deaths due to neurological, vision and hearing disorders that account to about 14.0%. Although years have passed and various advancement have been made by the nation in medical fields and technologies, this chronic disorder is still studied to be the leading cause of death even in the recent years (Koh, Yuan Pan, 2015). Therefore, the present assignment will mainly be based on how cardiovascular disorders had been leading the maximum cause of death in the nation, the age cohort that it is affecting and the different causes of occurrence of such disorders in the population. Moreover, a health priority framework would be proposed which can check this disord er and promote health and well-being of the vulnerable population. Cardiovascular disorder has been noted to be one of the most important priority areas that should be taken into consideration by the department of health in the nation. Not only the governmental healthcare centers but also the private healthcare organizations need to conduct social analysis of the disorder and develop strategies to fight the present condition. Local governments also should promote effective health campaigns to identify the vulnerable group and educate the group with preventive measures so that cardiovascular disorders and death can be prevented. Present statistics show that every day in the nation of Singapore, 16 people die from different types of cardiovascular disorders. Cardiovascular disorders had accounted for about 29.5% of all the deaths in the year 2016 (Myheart.org.sg, 2018). This study also states that 1 out of every 3 deaths in Singapore is occurring due to either heart disorders or due to strokes. Total number of deaths in the year 2016 is seen to be 20, 017 out of which death due to cardiovascular disorder is 6000 (Approximately). Ischemic heart disorders account for 17% whereas cerebro-vascular disorders account for 6.6% that even includes occurrences of strokes. Hypertensive heart diseases accounts for about 4.0% of the deaths and other heart disease accounts for 1.9%. Therefore, from such data, it can be seen that more than one-fourth number of deaths in the nation had been due to cardiovascular disorders and therefore, it can be considered as one of the topmost priority areas in healthcare industry of the nation. In order to develop proper strategy to ensure the health and well-being of the individuals, it is extremely important to conduct a social analysis. This analysis would help in identifying the cohort of the population that is vulnerable to be affected by this disorder. Three races of population are seen to reside in the nation of Singapore. They are mainly of Chinese, Malay and Indian origin. The average age of the Chinese population in the nation who seems to be affected by myocardial infarction is 64 where the ranges of age extend from 54 to 74 years of age. The average age of the males who suffer from this disorder is 71. In case of the Malayans, the average age is 61 where the range of age varies from 51 to 71. The average age of the males who suffer from such incidences among the Malayans is 73.4 (Nmrc.gov.sg, 2017). The average age for the cases of myocardial infarction in Indians is seen to be 58 where the range varies from 49 to 70. The average age of the males in this case is 77. In the year 2016, about 30.9% of the males had been affected by the disorders whereas the incidences of this disorder had been less in case of women accounting for about 27.7%. This showed that the males more vulnerable to the diseases (Myheart.org.sg, 2018). Several factors lead to occurrences of this disorder. Diabetes had been seen to be the most important cause of the different heart disorders with the highest rate of about 51% among the Indians, 42% among the Malayans and 34.6% among the Chinese. On the other hand, hypertension had been seen to be the causal factor for such occurrences among 60.5% of Chinese, 55.2% of Malayans and 54.4 % among the Indians. Hyperlipidemia and Obesity had been also the cays of myocardial infarction among 49.6% of Chinese, 46.3% of Malayans and 51.9% of Indians (Nmrc.gov.sg, 2017). Smoking disorder is also found to be an important factor for the development of cardiovascular diseases. It accounts to the highest among the Malayans accounting to be of 59.6%. It is also seen to be the reason for heart diseases among 52.6% Of the Chinese and 50.8% of the Indians. Besides, family history of premature coronary heart diseases and renal failure are also the reasons for which cardiovascular diseases take place i n individuals in Singapore (Gijsberts et al., 2015). One of the best frameworks for designing health promotion program in the different communities of the nation of Singapore is the Ottawa framework. The Ottawa charter for health promotion can be defined as the international agreement that was signed at Ottawa in Canada under the governance of the world health Organization in First International Conference on Health Promotion in 1986. Since then, this framework had been used by several nations to strategize health promotion campaigns effectively (Hivert et al., 2016). Three important strategies, the Ottawa framework advices for health promotion are advocating, enabling and mediating. In case of advocacy, it should be remembered that health is one form of resource for different developmental as well as social means. Therefore, all the dimensions hat affect the resource of health must be modified in ways that will encourage well being. The second one is called enabling. It states that the health equity should be followed and every indivi dual should be empowered to control the determinants that affect their health. These should be done in ways where the individuals can reach the highest attainable quality of life. The last strategy says that health promotion can never be achieved alone by the health sector. Therefore, all sectors of the government should collaborate and coordinate with each other and with independent organizations like different industries and media to ensure success of the health campaigns (Campbell et al., 2016). In order to cover up the three important strategies in the implementation of proper health campaigns for prevention and control of cardiovascular disorders, five important arenas need to be taken in considerations. Healthcare organizations, community health care centers, social workers, health care representatives, leaders of the healthcare campaigns and others should work together (Kaczorowski et al., 2016) Everyone should come together to build health public policy, create support environments, strengthen community actions, develop the personal skills of the community dwellers and reorient health service for better prevention and promotion of health. Routine checkups in the communities, public healthcare centers and in different organizations should be done to check blood pressure. Keep the cholesterol level and triglyceride levels under control and check the BMI for measuring weight. This routine checkup would help in prior identification of the issues and warn the vulnerable individuals from danger (Griffiths et al., 2016). Besides, there would be health education sessions in the communities as well as in the healthcare centers about the importance of maintaining proper lifestyles. This prevents occurrence of any heart disorders. The vulnerable population should be identified and then they should be mailed for participation in healthcare sessions. The health education classes would contain distribution of pamphlets and brochures in easy language so that the cohort can understand the steps they need to take for maintaining healthy lifestyle. Importance of healthy diet would be explained and interested individuals could also get diet charts from representatives. Saturated fats, foods rich in sodium and added sugars should be avoided. In place, fresh fruits, whole grains and vegetables should be incorporated. Regular exercises should be done as it benefits strengthening of hearts and improvement of circulation. Arranging for exercise sessions in the communities can also be a part of the health promotion ca mpaigns (Cox, 2017). Proper counseling sessions for alcoholic individuals and those suffering from tobacco use disorder can be arranged. The counseling sessions would be held once a week where vulnerable individuals can visit for help. Limiting alcohol is excessively important as it results in excessive weight gain by addition of extra calories. Cigarette smoking exposes individuals to increase blood pressure putting individuals at greater risks (Liddy et al., 2017). Therefore, these initiatives are also necessary. Apart from the above mentioned strategies to ensure creating supportive environment, reorienting healthcare services and strengthening community actions to ensure preventions of heart diseases, development of interpersonal skills of the vulnerable individuals are also necessary. Management of stress is important as extreme stress triggers heart attack. Management of diabetes is important to keep blood sugar level under control. Making sure of getting enough sleep is important (Campbell et al., 2017). Therefore, they should be taught of the ways by which they can take their own care and maintain their well-being. Government should propose a policy including guideline to ensure best health of the vulnerable population. From the entire discussion, it is clear that cardiovascular disorders is the main disease that should be accepted as priority areas as it had been affecting huge number of population leading to death. Age cohort of above 45 years of age is seen to be the most vulnerable to the disease with the number of deaths increasing with age. Several factors like diabetes, hypertension, smoking habits and many others contribute to these risky situations. With the help of Ottawa factors, concerned healthcare authorities can arrange for healthcare campaigns that will ensure better quality life of the mentioned cohort References: Campbell, D. J., Manns, B. J., Hemmelgarn, B. R., Sanmartin, C., King-Shier, K. M. (2016). Development of a conceptual framework for understanding financial barriers to care among patients with cardiovascular-related chronic disease: a protocol for a qualitative (grounded theory) study.CMAJ open,4(2), E304. Campbell, D. J., Manns, B. J., Weaver, R. G., Hemmelgarn, B. R., King-Shier, K. M., Sanmartin, C. (2017). Financial barriers and adverse clinical outcomes among patients with cardiovascular-related chronic diseases: a cohort study.BMC medicine,15(1), 33. Cox, J. L. (2017). Why We Need More and Better Cardiovascular Disease Quality Indicators.Canadian Journal of Cardiology,33(4), 416-419. Gijsberts, C. M., Seneviratna, A., de Carvalho, L. P., den Ruijter, H. M., Vidanapthirana, P., Sorokin, V., ... Low, A. F. (2015). Ethnicity modifies associations between cardiovascular risk factors and disease severity in parallel Dutch and Singapore coronary cohorts.PloS one,10(7), e0132278. Griffiths, K., Aggarwal, B. B., Singh, R. B., Buttar, H. S., Wilson, D., De Meester, F. (2016). Food antioxidants and their anti-inflammatory properties: a potential role in cardiovascular diseases and cancer prevention.Diseases,4(3), 28. Hivert, M. F., Arena, R., Forman, D. E., Kris-Etherton, P. M., McBride, P. E., Pate, R. R., ... Kraus, W. E. (2016). Medical training to achieve competency in lifestyle counseling: an essential foundation for prevention and treatment of cardiovascular diseases and other chronic medical conditions: a scientific statement from the American Heart Association.Circulation,134(15), e308-e327. Kaczorowski, J., Campbell, N. R., Duhaney, T., Mang, E., Gelfer, M. (2016). Reducing deaths by diet: Call to action for a public policy agenda for chronic disease prevention.Canadian Family Physician,62(6), 469-470. Koh, W. P., Yuan, J. M., Pan, A. (2015). Abstract P251: Weight Change is Associated With Risk of Cardiovascular Mortality Among Singapore Chinese. Lam, B. C. C., Koh, G. C. H., Chen, C., Wong, M. T. K., Fallows, S. J. (2015). Comparison of body mass index (BMI), body adiposity index (BAI), waist circumference (WC), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) as predictors of cardiovascular disease risk factors in an adult population in Singapore.PLoS One,10(4), e0122985. Liddy, C., Rowan, M., Valiquette-Tessier, S. C., Drosinis, P., Crowe, L., Hogg, W. (2017). Improved Delivery of Cardiovascular Care (IDOCC): findings from narrative reports by practice facilitators.Preventive medicine reports,5, 214-219. Myheart.org.sg. (2016).Singapore - Statistics - About The Heart Heart Disease - Singapore Heart Foundation. [online] Available at: https://www.myheart.org.sg/article/about-the-heart-and-heart-disease/statistics/singapore/75 [Accessed 12 Feb. 2018]. Nmrc.gov.sg. (2017).Singapores Approaching Tsunami of Cardiovascular Disease. [online] Available at: https://www.nmrc.gov.sg/content/dam/nmrc_internet/nmrc2.0/nmrcAwards/2017/Slides/Cardiovascular%20Diseases%20-%20Mark%20Richards.pdf [Accessed 12 Feb. 2018]

New York City free essay sample

New York City is certainly a place that is always going. It is most definitely a place that is always going somewhere. Somewhere between bright lights and city streets. City streets that are always crowded and full of people and taxi cabs that are quite possibly always going. Quite possibly never not going, quite possibly continuous throughout eternity. New York City is quite possibly continuous throughout eternity, New York City is quite possibly never stopping but always is continually going in streams of people, in bulb lights that will never be going out. New York City is certainly a place that is always coming. Always coming up, up, up into skyscrapers sprouting from the ground like beanstalks. Coming through the cement soil, coming towards the sky. Coming together in a metal skeleton, coming apart in cracked sidewalks. New York City is certainly most always going as people are coming, as people are coming and going, as dreams are coming and going out like fireworks over the Hudson River on July 4th. We will write a custom essay sample on New York City or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Coming in a bright flash of light, going out with a bang. New York City is staying. New York City is staying like a scar on the skin, staying like a tattoo inked, stained forever and never fading. As taxi cabs are coming and people are going, the city is staying. It’s staying in the Plaza Hotel. It’s staying inside when rain soaks the concrete, when the snow comes and goes through Central Park. It’s staying illuminated for travelers from foreign lands, staying a symbol of hope and dreams. A beacon of home, a beacon of concrete beliefs, a beacon of possibility. New York City is staying bright lights across the bay as people are coming, staying bright lights that are never going out. New York City is almost positively always dreaming. It is certainly a city that never sleeps, a city that has learned to dream with it’s eyes open. Dreaming of the bright lights on Broadway that are never going out, dreaming of people coming and going. People are coming and dreaming and going for their dreams and staying when their dreams come true. People are coming and dreaming and going when their dreams do not. The city is dreaming of past and present and future, all colliding into a melting pot made of cement and asphalt. Dreams are coming and going as people are forgetting and changing, as the city is forgetting and changing. The city that is never not awake, never not coming, never not going, always staying, and always dreaming. New York City is quite positively almost always changing. Always changing as people are coming. Always changing as people are coming and dreaming, as the city is dreaming as the dreams are changing. The city is always changing, always building on itself, always creating. Changes are staying, changes are going, changes are coming. Changes are molding the city, changing the steel frame to something malleable. The city is always changing and the changes are staying as people are coming and going and bringing dreams and leaving them behind, as the city is illuminated across the bay, as the city is coming and staying and dreaming and changing under lights that are never going out.