All the Kings Men Jack and Anne relationship essays

All the Kings Men Jack and Anne relationship essays The relationship of Jack Burden and Anne Stanton was one shared with time upon the tennis courts, lakes, and roads in Burdens Landing. The failure of engagement between Jack and Anne was due to the fact they both desired different qualities in their lover. Anne admired a man who had ambition and true goals in life. She was vulnerable to Jack, since he was her childhood playmate. Jack was fixated on the past and reflected to the summer where they were both floating in the lake. Jack recalls that day, where they were both looking at the sky. He had pondered if she had ever seen the gull above. It was the flashback that Jack had in his mind of Anne. He could live in that past. Jack did not have the motivation to pursue law school and never had ambition. They eventually married each other after they had experienced some of life outside of Burdens Landing. Jack had his involvement with his first wife, Lois. He was content with his choice of work and believed his own theories for the caus e of events. Anne had experienced love from a politician and her freedom. Jack Burden and Anne Stanton married because they were complimentary to each other. They had enjoyed their childhood together, understood the secret life to Willie Stark, and lived together. The time that passed between their failed engagement and marriage was necessary for each to seek who their true self was, and know in return what they desired in a partner. Each had the misunderstanding of what they believed they needed in a partner. Jack was obsessed with his beautiful wife, Lois, until he realized that she lacked personality. Anne admired a man who had ambition and would be successful in life. During this time, they discovered what qualities they had admired and could actually appreciate each other in marriage. The passing of time allowed Jack Burden and Anne Stanton to realize their love. ...

Dr. Martin Luther King Essay Example

Dr. Martin Luther King Essay Example Dr. Martin Luther King Essay Dr. Martin Luther King Essay A man who is not willing to die for something, Is not fit to live ~ Martin Luther King Jr. The person that I admire is a man that we all cherish and celebrate every year in his honor. He was an American Clergyman, Nobel Peace Prize winner, and quite possibly is the most influential leader in all of American history. That man is the great, Dr. Martin Luther King Jr. Growing up, Dr.King knew his ancestors’ history and how Africans got to America. He knew that African slaves where captured and brought to America by rows and rows of Africans stuffed into slave ships like sardines, Then sold into slavery and sold to the Whiteman. Although this happened centuries before Dr. King’s time oppression still lived strongly in America. The thing that was truly inspiring was the even though young Dr. King knew this, he found a way to look past those times of extreme racism and slavery, to see a brighter future.A future much like today, free of racial segregation and equality for all races. Martin Luther King Jr. was born Atlanta, GA on Jan. 15, 1929. Atlanta was one of the cities that suffered the most racism out of the whole south. From major segregation, to the KKK’s infamous cross burnings and lynchings, Atlanta had it all. The reason for this is because one of the KKK’s main headquarters in Atlanta. Even though Dr. King was surrounded by racism, that never stopped him from pushing forward and dreaming of a better tomorrow.That to me is very admirable alone. Martin Luther King Jr. ’s father was a great influence in his life. Dr. King’s father, Martin Luther King Sr. , was also a civil rights activist and worked with a group of anti-racial leaders in there community. Dr. King used to talk about how influential his father was on his life and political upbringing, and how he used to admire his father greatly for what he did for trying to make their community and lives safer. Around the age of 17 Dr.King decided that he wanted to contribute his life into doing the same thing his father had done before him, Fight the battle of racism†¦ using only methods of peace. That shows me that you can solve some enormous problems using only your mind and peace, instead of weapons and war. In the year of 1995, he was asked to lead a bus boycott in Montgomery, Alabama after a black woman by the name of Rosa Parks, was arrested on account of not giving up her bus seat to a white man and move to the back.The boycott lasted 381 days while Dr. King was leading march after march for liberty and equality. The white community did not let Dr. King do this easily though. Dr. King was terrorized, threatened and put down, in on occasion his house was bombed! But that did not stop King from moving forward and pushing to a brighter future for all. He risked his live and jeopardized the well being of his family to push for equality for all. He was willing to die, in pursuit of equality for all†¦ which he did. In 1963 Martin Luther King Jr. as shot in the chest on the balcony of a motel while on his I Have a Dream speech tour. Even when he was killed he was still working on spreading the word of equality and an anti-racial society for all walks of earth. Not just African-Americans. Nothing could stop Dr. King from pursuing his dream, the American dream, across the country while informing the minds and touching the hearts of the people who heard him speak. That is something that I admire greatly and believe in. That is why I think the most influential figure in my life is Dr. Martin Luther King Jr.

Themes between Frankenstein, OTSP and The Lord of the Rings Essay

Themes between Frankenstein, OTSP and The Lord of the Rings - Essay Example Out of the Silent Planet does not include women in most of it, but it does make the claim that women should be content with simply raising their children because that is the Christian ideology that the author believed in. In this novel, women are shown taking care of the cooking, while the men are out providing. The Return of the King, however, portrays women in a much stronger manner. The women in this story, though few in number, are able to assist the men on their journey and provide useful contributions to them. The theme of femininity is present and important in each of these novels, but females are portrayed in their strongest form in The Return of the King, which is important because it shows that strong female characters can be used successfully in literature. Frankenstein, by Mary Shelley, is a novel that does not contain very much in the way of strong females characters. The majority of them are passive and subservient women who fill their gender roles and then die in less than impressive fashion. One of the reasons why this is done could be to draw attention to male behavior and what it does to the female psyche. For example, Caroline Beaufort dies because she is so wrapped up in caring for her daughter that she does not put any emphasis on her own life. Elizabeth is portrayed as a character that is â€Å"imaginative, delicate and beautiful† (Shelley 30), which is hardly the characteristics that strong female character would possess. This, once again, shows the role that has placed upon females in our society as it would be rare to see a male do the same sort of thing. Victor also has an interesting view of the other, as he does not feel like he will be able to control the female monster if it is created. This shows that males h ave very little understanding of how the mind of a woman works and do not wish to challenge the unknown. It also shows how males always want to be

Case study question- Indentify two potential areas of growth for the Essay

Case study question- Indentify two potential areas of growth for the 'Penang' Mutiara' hotel and discuss how these changes might be implemented from an operatio - Essay Example Speed and fast response are other strengths of the Penang Mutiara. Flexibility in exploiting opportunities and employment of staff through multi skill training has created unique strengths. This has resulted in the dependability factor, which a customer in the service industry cherishes and has improved occupancy rates leading to corresponding economies of scale. (www.booksites.net). The hotel can leverage its strengths as there is adequate potential for growth with continuous improvement with reference to organizational quality and performance, focusing on customer satisfaction, through constant incremental improvements to processes including removal of unnecessary activities. (www.managementhelp.com). A service industry has to balance between strategy and operations before it can consider growth options. Since Penang Mutiara is operating as an international destination, it has to see operational management from an international perspective. (Slack: 2003). International guests in the luxury segment whether these are business or tourists seek the comfort of familiarity. Thus if they have been looked after well by a particular hotel once, they would like to continue stay in the same hotel and also recommend this to their friends and associates. Word of mouth is a powerful communication tool for luxury clientele with a strong network. This aspect can be exploited by the Penang Mutiara. Thus a customer loyalty programme is the first growth area recommended for the hotel, exploiting its customer relationship, familiarity with the loyal customers and service orientation. At present the 50 percent returnee guests show that there is adequate potential for growth in this segment may be 70- 75 percent with schemes involving loyalty bonus and also loyalty recommendations which entails that any recommendation made by a customer will gain him loyalty points for him as well as his recommended guest.

Management of Long-Term Cardiorespiratory Symptoms Essay

Management of Long-Term Cardiorespiratory Symptoms - Essay Example Her daughter is concerned as Mary is breathless at rest, has a persistent cough and appears to have some ankle oedema. This first case study will deal with the nursing issues related to the management of this elderly, obese hypertensive patient with history of smoking. He is undergoing treatment for hypertension, and on this presentation, he is complaining of shortness of breath on minimal exertion. Like any other nursing management, an evaluation is necessary which would initiate the nursing process. The assessment would involve first taking a detailed history of this patient. Nursing assessment of the cardiovascular system includes a patient health history and physical examination. If the patient had been experiencing an acute problem, the focus should be on the most serious sign and symptom. In this case, the symptom is difficulty breathing on minimal exertion. It appears that this is new development over the baseline hypertension and obesity, and this has been continuing for quite some time. Since rest produces amelioration of this patient's symptoms of dyspnoea on exertion, it is highly probabl e that this new development in chronic in nature and is stable (Ahmed et al., 2004, 297-307). Therefore, a complete nursing assessment may be undertaken on presentation. In the second scenario, the patient has complicated lung disease, which has characteristic exacerbations and remissions. This patient is dependent on home care, and her condition has deteriorated due to development of congestive right heart failure secondary to her lung disease. The presence of heart failure is indicated by the history of persistent cough and ankle edema. Therefore, there is fluid retention, and the pump failure in the heart has led to accumulation of fluid in the lung leading to breathlessness and persistent cough. History The history is that of a person who is currently having a sedentary lifestyle and is perhaps not able to control body weight. He had symptoms of weakness, fatigue, shortness of breath on exertion. Although he had dyspnoea on exertion, he did not have dyspnoea at rest. However, fatigue and exhaustion continued throughout the day, and he had activity intolerance. There was a sense of chest pressure with activity, and he did not complain about insomnia. His personal history revealed little to no exercise, and he spent most of the day at home watching television. He is obese and is a heavy smoker. Obesity is associated with breathlessness on the simple level of reducing the capacity of the lungs to expand and increasing the workload of the organs. Specifically, obesity may decondition the heart, result in fatty infiltration of the myocardium and lead to altered filling pressures (Gustafsson et al., 2005, 58-64). A long history of hypertension is more closely associated with heart failure than a shorter history. In the second case, when assessing the patient with heart failure and breathlessness, especially if the pattern or severity of the breathlessness is changing, it is worth looking for factors that may be contributing to the problem. The most likely would be common problems such as chest infections and anaemia (Anand et al., 2005, 12-15). A chest infection can provoke heart failure due to increased haemodynamic demands or by the formation of pleural effusions. Anaemia

Causes of Macrofaunal Outline on a Dissipative Beach

Causes of Macrofaunal Outline on a Dissipative Beach Investigating the causes of macrofaunal outline on a dissipative beach in Abberffraw. Aim: To investigate macrofaunal abundance and distribution pattern across five different shore levels. Hypothesis: whether physical and biological factors have direct correlation on community structures of infauna species. Cisneros et al. (2011) and Croker Hatfield (1980) have tested this hypothesis and reported significance. Figure lists are illustrating distribution and abundance of 31 species sampled on a vertical gradient across 5 shore heights. Out of these, three polychaetes species; Scolelepis squamata, Scoloplos armiger, Nephtys sp, including twocrustaceans Bathyporeia sp, and Eurydice pulchra were found throughout sampling stations (Fig 2). As shore slope decreases species diversity increases (Fig 1). Station 2 had maximum abundance (4050 ind./ m2) whereas station 4 had the greatest species richness (SR = 18) (Fig 1). Sandy shores are dynamic environments with biotic (Croker Hatfield, 1980) and abiotic (Cisneros et al., 2011) conditions changing continuously, influencing species spatial scales along shores. Three major environmental factors, influencing community structures (McLachlan Brown, 2006); 1. beach type (physical gradient/ sediment texture); 2. tidal regime (wave action/ moisture/ organic enrichment); and 3. swash climate (water filtration) (Defeo, McLachlan, 2005). Zonation patterns are evident, due to tidal movement (Brazeiro Defeo 1996), seasonal migration (De Alava Defeo 1991), and predation contributing to the variations. Ansell et al., (1999), reported that predators migrate following prey species. Cisneros et al. (2011), stated physical drivers influenced macrofaunal community. Abberffraw shore consists of fine grainy sand particles with small interstitial space facilitating burrowing (McLachlan et al., 1996) and slower water filtration (McLachlan Brown, 2006) providing suitable living conditions. Dominating middle and lower shores are Polychaetes (Connor et al., 1997) in water-saturated sediments whiles crustaceans are generally distributed at different shore levels (Dahl, 1952). Work, et al., (2008) found that water drainage is critical in determining polychaets presence; Scolelepis squamat, Scoloplos armiger andNephtys sp.can tolerate drained sediments (Connor et al., 1997) explaining the occurrence at higher stations (Fig 2). More studies are needed in determine zonation and causes (Defeo, McLachlan, 2005). References. Brazeiro, A., Defeo, O. (1996). Macroinfauna zonation in microtidal sandy beaches: Is it possible to identify patterns in such variable environments? Estuarine, Coastal and Shelf Science, 42(4), 523-536. Cisneros, K. O., Smit, A. J., Laudien, J., Schoeman, D. S. (2011). Complex, dynamic combination of physical, chemical and nutritional variables controls spatio-temporal variation of sandy beach community structure. PloS One, 6(8), e23724. Connor, D., Brazier, D., Hill, T., Northen, K. (1997). Marine nature conservation review: Marine biotope classification for britain and ireland. volume 1. littoral biotopes. JNCC Report, 229. Croker, R., Hatfield, E. (1980). Space partitioning and interactions in an intertidal sand-burrowing amphipod guild. Marine Biology, 61(1), 79-88. Dahl, E. (1952). Some aspects of the ecology and zonation of the fauna on sandy beaches. Oikos, 4(1), 1-27. De Alava, A., Defeo, O. (1991). Distributional pattern and population dynamics of excirolana armata (isopoda: Cirolanidae) in a uruguayan sandy beach. Estuarine, Coastal and Shelf Science, 33(5), 433-444. Defeo, O., McLachlan, A. (2005). Patterns, processes and regulatory mechanisms in sandy beach macrofauna: A multi-scale analysis. Marine Ecology Progress Series, 295, 1-20. McLachlan, A., Brown, A. (2006). Sandy beaches as ecosystems. Work, F., Hubble, M., Teague, L., Tennant, K., Skidmore, L., Webb, H., Gillespie, B. Lister, J. (2008). Project: SC 410354 Date of Issue: June 2008. McLachlan, A., de Ruyck. A., Hacking, N. (1996). Community structure on sandy beaches: patterns of richness and zonation in relation to tide range and latitude. Revista Chilena de Historia Natural 69, 451-67

Acid Rain :: essays research papers

ACID RAIN When fossil fuels such as coal, gasoline, and fuel oils are burned, they emit oxides of sulfur, carbon, and nitrogen into the air. These oxides combine with moisture in the air to form sulfuric acid, carbonic acid, and nitric acid. When it rains or snows, these acids are brought to Earth in what is called acid rain. During the course of the 20th century, the acidity of the air and acid rain have come to be recognized as a leading threat to the stability and quality of the Earth's environment. Most of this acidity is produced in the industrialized nations of the Northern Hemisphere--the United States, Canada, Japan, and most of the countries of Eastern and Western Europe. The effects of acid rain can be devastating to many forms of life, including human life. Its effects can be most vividly seen, however, in lakes, rivers, and streams and on vegetation. Acidity in water kills virtually all life forms. By the early 1990s tens of thousands of lakes had been destroyed by acid rain. The problem has been most severe in Norway, Sweden, and Canada. The threat posed by acid rain is not limited by geographic boundaries, for prevailing winds carry the pollutants around the globe. For example, much research supports the conclusion that pollution from coal-powered electric generating stations in the midwestern United States is the ultimate cause of the severe acid-rain problem in eastern Canada and the northeastern United States. Nor are the destructive effects of acid rain limited to the natural environment. Structures made of stone, metal, and cement have also been damaged or destroyed. Some of the world's great monuments, including the cathedrals of Europe and the Colosseum in Rome, have shown signs of deterioration caused by acid rain. Scientists use what is called the pH factor to measure the acidity or alkalinity of liquid solutions. On a scale from 0 to 14, the number 0 represents the highest level of acid and 14 the most basic or alkaline. A solution of distilled water containing neither acids nor alkalies, or bases, is designated 7, or neutral. If the pH level of rain falls below 5.5, the rain is considered acidic. Rainfalls in the eastern United States and in Western Europe often range

Abrupt Onset Neurologic Deficit Health And Social Care Essay

Stroke is described as encephalon hurt due to abnormalcy of blood supply to the encephalon [ 1 ] . In clinical presentation, shot is portrayed as an abrupt-onset neurologic shortage that last at least 24 hours and is of presumed vascular beginning [ 2 ] . Brain cells unlike other cells ; make non hold the capableness to execute anaerobiotic respiration to bring forth energy. Therefore changeless O and glucose must run into its demand for appropriate maps. Perturbations of blood flow leads to inadequacy of these constituents ensuing in lasting neurological harm, disablement or decease. Stroke is besides the 3rd commonest decease in the UK, with lone bosom disease and malignant neoplastic disease accounting for more mortality [ 3 ] . Harmonizing to the British Heart Foundation ( Figure 1 ) , stoke histories for 9 % of all decease in the UK which is tantamount to 53000 deceases each twelvemonth [ 4 ] . Furthermore it besides causes premature mortality, obligated for over 9500 decease ev ery twelvemonth in people under the age of 75, approximately one to twenty of all decease in this age group [ 4 ] .Types of StrokeStroke occurs when the intellectual arteria that brings blood to the encephalon either becomes occluded or leaked. Therefore there are two sorts of shot ( Figure 2 ) . When blood vass are blocked, ischemia consequences while leaky vass causes bleeding ( Chart 1 ) . Ischemic shot is more common than hemorrhagic shot and it accounts for 87 % of all shot instances [ 5 ] . The hazard factors of shot includes age, familial, high blood force per unit area, smoke, diabetes, atrial fibrillation, happening of bosom onslaught or transient ischaemic onslaughts, fleshiness and other bosom diseases [ 6 ] as explained in deepness in table 1.PathophysiologyIschemic Stroke The mechanism of ischaemia can be divided into 3 chief classs ; thrombosis, intercalation, and systemic hypoperfusion [ 1 ] . Thrombosis is the pathological formation of haemostatic stopper within the vasculature in the absence of shed blooding [ 3 ] . In simpler footings it refers to the coagulum in an arteria. Carotid coronary artery disease occurs at the site where the common carotid arteria bifurcates into the external and internal carotid arterias [ 7 ] ( Figure 3 ) . The coagulums will finally contract the arteria subdivisions and blood flow is badly reduced. However if the coagulum manages to interrupt free and dislodge in other variety meats such as the encephalon, bosom or kidneys ; intercalation is said to hold occurred. The embolus may come from assorted countries for illustration coagulums from bosom walls due to atrial fibrillation may so go up to the bifurcate country of the common carotid arteria therefore ensuing in an impeding blood flow to the encephalon. Finally, s ystemic hypoperfusion is due to a generalised loss of arterial force per unit area [ 8 ] . This is associated with terrible hypotension, monolithic myocardial infarction [ 8 ] , shed blooding and loss of fluid in organic structure tissues [ 1 ] . Haemorrhagic Stroke Haemorrhagic stroke can be divided in to several different subtypes, the most common being intracerebral and subarachnoid bleeding [ 9 ] . Intracerebral bleeding refers to haemorrhage in the encephalon peculiarly inside the pia affair while subarachnoid bleeding refers to bleedings outside the arachnoid but inside the dura affair [ 1 ] ( Figure 4 ) .Clinical findingsIschemic shot Signs /Symptoms Symptoms may happen depending on the type of arterias that are block and the location of the occlusion. If the internal carotid arteria is blocked, patients may see sightlessness on one oculus, hemiparesis ( inability to travel one half of the organic structure ) , prosopagnisoa ( inability to acknowledge faces ) , aphasia ( inability to speek ) and dysarthria ( ocular field effects ) [ 2 ] [ 7 ] [ 9 ] . However if the vertebral arteria is occluded ; giddiness, dizziness, dual vision and failing or centripetal perturbations in some or all or the limbs will attest. Other jobs such as depression, kiping trouble, deep vena thrombosis as a consequence from inability to travel legs for a long period of clip ensuing in pneumonic intercalation may besides originate in shot patients [ 1 ] . Diagnosis Ischemic patient will frequently hold a history of high blood pressure, diabetes mellitus, or valvular bosom disease [ 10 ] . Sudden oncoming of characteristic neurological shortage besides accounts for the diagnosing. Doctors besides test the patient & A ; acirc ; ˆâ„ ¢s address, memory, ocular and facial motions [ 1 ] . Besides, a encephalon imaging trial such as CT ( Computed imaging ) and MRI ( Magnetic Resonance Imaging ) scan of the caput is indispensable in excepting intellectual bleeding with intellectual infarct and tumor [ 10 ] . Electrocardiography ( ECG ) and a complete blood trial is besides done [ 1 ] . Haemorrhagic Stroke Signs /Symptoms In subarachnoid bleeding, symptoms such as sudden concern followed by a loss or damage of consciousness that may sometimes intensify to coma or decease may happen [ 10 ] . Almost similar symptoms were noted for intracerebral bleeding whereby consciousness is ab initio lost followed by frequent purging [ 10 ] . Diagnosis CT ( Computed imaging ) scanning is of import to corroborate that bleeding has occurred. [ 10 ] . Besides, a complete blood sugar, blood count, thrombocyte count, shed blooding clip, factor II and partial thrombokinase times and liver and kidney map trial [ 10 ] are besides carried out.TreatmentsThe coveted intervention of shot is to cut down neural impairment, bar of secondary complications and to avoid shot return [ 2 ] . Treatment therapy can be farther divided into pharmacologic and nonpharmacologic therapy. The list of drugs, their action and their side effects could be found in table 2.Pharmacologic therapyIschaemic shot Thrombolytic drugs Alteplase ( rt, tissue-type plasminogen activator ) Alteplase is a thrombolytic drug which consist of a individual concatenation recombinant tPA. It has high selectivity for fibrin-bound plasminogen that on plasma plasminogen and being labelled & amp ; acirc ; ˆ?clot-selective & A ; acirc ; ˆA? [ 3 ] . It has the advantage of lysing merely fibrin [ 11 ] and less consequence on circulating, unbound plasminogen [ 14 ] . Patients under alteplast should be monitored for their intracranial bleeding and blood force per unit area. Besides, alteplast is besides contraindicated in patients with paroxysm attach toing shot, and a history of patients with diabetes [ 12 ] . The side effects of utilizing alteplast are chiefly nausea, purging and shed blooding. The hazard of intellectual hemorrhage is besides addition in acute shot [ 12 ] Antiplatelet drugsAspirinAspirin is an antiplatelet drug which exerts its consequence through irreversible suppression of thrombocyte Cox ( COX ) [ 2 ] [ 3 ] . Consequently, the transition of arachidonic acid to thromboxane A ( TXA ) , which is a powerful vasoconstrictive and stimulator of thrombocyte collection is later been prevented. As binding is irreversible, thrombocyte can non synthesis new protein due to the deficiency of nuclei therefore its map is altered for its full life span. Additionally, acetylsalicylic acid besides inhibits prostacyclin ( PGI ) synthesis in endothelium ; nevertheless depletion of prostacyclin is non prolonged as endothelium is able to synthesis new prostacyclins [ 2 ] . Hence acetylsalicylic acid is said to change the balance between TXA and PGI in such as manner that platelet anti-aggregating consequence is maintained. Aspirin is contraindicated in patients with hypersensivity to aspirin and other NSAID, active peptic ulceration, hemophilia and other hemorrhage upsets. Furthermore cautiousness should be applied when utilizing with asthma patients. Its side effects include bronchospam and GI annoyance [ 12 ] .ClopidogrelClopidogrel exhibits its consequence by moving as an inhibitor of the adenosine diphosphate ( ADP ) tract of thrombocyte collection [ 2 ] and therefore suppress the activation of GP llb/lla receptors on thrombocyte which requires them to adhere to fibrinogen and each other [ 11 ] . Caution should be noted when utilizing clopidogrel with patients who are at hazard of shed blooding from injury or surgery. Furthermore it is contraindicated in patients with active hemorrhage. Clopidogrel is besides associated with side effects such as indigestion, diarrhea, abdominal hurting and hemorrhage upsets ( including gastrointestinal and intracranial ) [ 12 ] . Clopidogrel is frequently use concomitantly with acetylsalicylic acid in cut downing shot [ 2 ] and used as a monotherapy when acetylsalicylic acid is non tolerated de spite add-on of a proton pump inhibitor [ 12 ] .DipyridamoleDipyridamole exert its consequence by increasing intracellular degrees of camp by suppressing cyclic nucleotide phosphodiesterase accordingly cut downing thromboxane Asynthesis which is potent in thrombocyte collection [ 11 ] . In add-on, dipyridamole is known to hold possible vasodilating belongingss through its suppression of adenosine consumption in vascular smooth musculuss [ 13 ] Dipyridamole is frequently combined with acetylsalicylic acid in a sustain release preparation for secondary bars of ischemic shot [ 13 ] and is uneffective when used entirely [ 12 ] . Besides, it should be used with cautiousness in patients with aortal stricture, declining angina and drugs that may increase hazard of shed blooding. Its side effects are GI effects, giddiness, and throbbing concern [ 12 ] .TiclopidineTiclopidine is a thienopyridine antiplatelet which has similar construction and mechanism of action to clopidogrel [ 2 ] . Howeve r it is associated with haematological perturbations such as neuropenia as it suppresses bone marrow. It besides causes roseola, diarrhea and elevated serum cholesterin degree [ 2 ] therefore it is debatable when administrating them to patients. Nevertheless it is given to patients who fail to react to aspirin, acetylsalicylic acids combined with dipyridamole and clopidogrel [ 13 ] . AnticoagulantsWarfarinWarfarin is unwritten decoagulants which inhibit the decrease of vitamin K therefore interfering with post-translational -carboxylation of glutamic acid residues in coagulating factors [ 3 ] . Warfarin is use as bar of shot in patients with atrial fibrillation. Targeting an international standardization ration ( INR ) of 2.5 is recommended [ 2 ] . Caution should be noted on patients with a recent surgery, and attendant usage of drugs that increase hazard of shed blooding. Warfarin is besides contraindicated with peptic ulcer and terrible high blood pressure. Side effects are haemorrhage therefore monitoring INR is important as doses need to be adjusted and omitted suitably to forestall major and minor hemorrhage [ 12 ] . Lipid Regulating DrugsLipid-lowering medicinesLipid-lowering medicines inhibits 3-hydroxy-3-methylglutaryl coenzyme A ( HMG-CoA ) reductase, the rate-limiting enzyme in cholesterin synthesis in the liver. Lowered intracellular concentrations stimulate an addition in look of low-density lipoprotein ( LDL ) receptors in the liver ensuing in an increased consumption of LDL-cholesterol from plasma into liver cells. This mechanism reduces LDL and entire cholesterin in the plasma [ 14 ] . Statins is used as a secondary bar of shot in patients who have diagnostic atherosclerotic disease [ 3 ] though they may increase the hazard of early hemorrhagic enlargement [ 15 ] . Besides, lipid-lowering medicines should be carefully used in those with history of liver disease or high intoxicant consumption. Lipid-lowering medicines can do GI perturbations, concern, giddiness [ 12 ] and assorted muscular side-effects including myositis. Haemorrhagic strokeVitamin KIn intercerebral bleeding, vitamin K is normally given intraveneously [ 9 ] . Generally, vitamin K is of import in the formation of coagulating factors II, VII, IX and X. Side consequence includes hypersensitivity. Furthermore transfusions of thrombocytes and fresh frozen plasma are given [ 9 ] . Calcium channel blokersNimodipineNimodipine, a Ca channel blocker is normally given to forestall vasospasm and incidence of ischaemic neurological shortages following aneurismal subarachnoid bleeding [ 12 ] . It exerts consequence by doing generalized arterial/arteriolar distension and intellectual vascular beds. It should be carefully used in patients with intellectual hydrops, hypotension and those taking Citrus paradisi. It is besides contraindicated with unstable angina and those who are within one month of myocardial infarction. Nimodipine is besides associated with side effects such as hypotension, fluctuation of bosom rate, concern and GI upsets [ 12 ] .Nonpharmacologic TherapyLifestyle alterations Post shot patients are encouraged to hold a healthy diet which involves devouring more fruits, and veggies with at least five parts per twenty-four hours. Reducing salt consumption, ruddy meat, debris nutrient and intoxicant ingestion is of import to command blood force per unit area. Home cook nutrient is extremely encouraged than eating out. Besides, quit smoke by motive and support is besides indispensable. Exerting such as walking on a treadmill for station shot patients helps cut down blood force per unit area, maintain organic structure weight, promote healthy bosom musculuss, and keep healthy balance of LDL and HDL in the blood. Surgical intercessions and rehabilitation Centres Craniectomy is used to let go of the lifting force per unit area in instances of ischaemic intellectual hydrops. Carotid endarterectomy ( surgical remotion of atheromas or coagulums ) of a stenosed carotid arteria is effectual to cut down shot incidence and return [ 9 ] . On the other manus, surgical intercession to either cartridge holder or ablate the piquing vascular abnormalcy reduces the opportunities of rebleeding in patients with subarachnoid bleeding [ 2 ] . Besides, stroke attention Centres such as rehabilitation has been shown to cut down disablement and aid patients to relearn loss accomplishments such as walking, pass oning and many others when portion of the encephalon is damaged.NICE Guidelines [ 15 ]Based on the shot algorithm on chart 2, FAST trial should be performed on those with sudden oncoming of neurological symptoms. However those with hypoglycemia should be excluded. Those with positive showing will undergo several diagnosings and appraisal of encephalon showin g. If shot is indicated, the patient will be treated with alteplast less than 3 hours from the oncoming of shot. If there are no immediate indicants, scanning has to be done within 24 hours. Following, patients are admitted to acute shot unit for specializer and monitoring intervention. The types of shot will be identified. If it is an ischaemic shot, antiplatelet intervention with 300mg acetylsalicylic acid is given and in hemorrhagic shot, contrary decoagulants are given. Thereafter, supervising patients physiological demands will be done. Surgical referral and intercessions will be done if it is indispensable. Nevertheless, patients who do non necessitate any surgery will be given medical intervention before discharged.DrumheadStroke is one of the major unwellnesss that consequences in high per centum of mortality every bit good as disablement. Two major types of shot which accounts for the occluded or leaked arterias have given rise to ischemic and bleedings severally. Signs and symptoms of shot really much depend on the country of harm and the location of the incidence. Treatments available are divided into two parts which is pharmacotherapy and nonpharmacologic therapy. Pharmacotherapy interventions involve the use of drugs while nonpharmacologic therapy involves lifestyle alterations, surgical intercessions and rehabilitations.

Police Mountain Bike Patrol

Police Mountain Bike Patrol History Police Mountain Bike Patrols in the United States-The utilization of mountain bikes by law enforcement agencies has become more commonplace today than ever before. Local, state, and even federal agencies all utilize mountain bikes to so-me degree in their efforts to provide better service to the populations they serve.The birth of the modern utilization of mountain bikes by a law enforcement agency began in 1987 with the Seattle Police Department starting a bicycle patrol unit. The Seattle Police Department began their patrol in their downtown area due to traffic congestion, which caused a poor response time on the part of police officers. The bike patrol was an immediate success for the police in regards to the response time problem as well as presenting a positive image of officers to the public. Today, there are over 2,000 mountain bike patrol units across the country.The Utilization of Mountain Bikes by the Lafayette Police Department- Currently, the Lafayette City Police Department only utilizes mountain bikes during Festival Acadiens, Festival International, and during certain undercover operations conducted by the street level ACTION (Attacking Crime Through Involvement Of Neighborhoods) unit.Seattle Police Department

The Tempest How is Caliban presented and what is his dramatic significance to the play Essays

The Tempest How is Caliban presented and what is his dramatic significance to the play Essays The Tempest How is Caliban presented and what is his dramatic significance to the play Essay The Tempest How is Caliban presented and what is his dramatic significance to the play Essay Essay Topic: The Tempest Caliban is the son of Sycorax, a witch that originally inhabited (and so is the only true native) of the Island on which the play is set. He is the misshapen slave of Prospero who claimed the island as his own when he was banished to it 12 years previously.Prospero refers to him using earthly names, such as tortoise, making very clear quite early on that Caliban is not considered an equal by Prospero or Miranda. He is seen as a lower, uncivilised life-form because of the uneducated and primal state they originally met him in, making their actions to correct this mirror the current events during the Elizabethan period in regards to the discovery of the Americas. Shakespeare has used the character of Caliban to represent the natives of such countries, giving the role of the civilised invaders to Prospero and Miranda who attempt to educate Caliban in a bid to make him an acceptable person in the eyes of the society Prospero was usurped from. This was a failure, a s although they took pains to make [him] speak they could not rid him of his primal nature or his uneducated sense of morals and so he could see nothing wrong with endeavouring to rape Miranda. This was the point where Prospero stopped trying to nurture Caliban into a respectable man and started seeing him as filth. Shakespeare chose to include such an occurrence to highlight the fact that we cannot judge natives from undeveloped countries by western standards, as however much semantic knowledge they acquire, it is made completely redundant if they are taught western morals to which we feel they should abide by, making Caliban crucial to conveying this theme.Despite the deficient schooling, he is very close to the natural aspect of the island, which is shown in his passionate and almost poetic description of it (The isle is full of noises / Sounds and sweet airs that give delight and hurt not) which is quite contradictory to the image of poisonous slave that Prospero describes.The t heme of nature being tainted with magic is also explored in the character of Ariel, as well as Caliban and Shakespeare presents these two characters as almost a representation of good and evil. Another common characteristic is that they are both under the control of Prospero, but they respond to their captivity in very different ways. Caliban sees his imprisonment as an injustice as he claims This islands mine by Sycorax, my mother, which thou takst from me and so responds to his captor in a negative way, whereas Ariel remains on the good side of Prospero and so receives much better treatment. Ariel is described as his fine apparition and is an airy spirit which corresponds more to the elements, leaving Caliban discussing springs, brine pits keeping the connection between him and the earth very strong.The actions of Caliban towards the end of the play draw parallels with the actions of Antonio as well, in the way his ambition leads him to attempting to usurp Prospero from his positi on. The only difference is that Antonio actually achieves this, but the raw ambition that led them to commit the deeds are the same, which is demonstrated when he tells Stephano and Trinculo The dropsy drown this fool I what do you meanTo dote thus on such luggage? Lets alone, And do the murder first

Three stages of Emerging Markets in a financial crisis Essay

Three stages of Emerging Markets in a financial crisis - Essay Example Mismanagement of financial liberalization and globalization becomes the major culprit as was evident in Mexico in 1994 as well as many East Asian countries in 1997 (Myeconlab, 2011). In the United States, we sow the seeds of a financial crisis in the emerging market countries as those countries liberalize their financial system. This is done by doing away with restrictions on the financial institutions and markets domestically and opening up the economies to flow of capital and financial firms from other nations. A currency which is fixed against the US dollar becomes subject to a speculative attack, where the speculators engage in the massive sales of the currency. Currency crisis sets in as currency sales floods the market and supply outstrips demand which leads to the value of currency collapsing. Interest rates get high, uncertainty increase and asset prices fall. The emerging market economies denominate several debt contracts in foreign currencies leading to a currency mismatch. The domestic currency depreciation increases the value of debts relative to assets which leads to the decline of the net worth of a firm. This decline then increases adverse selection as well as moral hazard problems. Investment also declines as well as economic activity. Therefore to prevent financial crisis in emerging market certain policies are considered including improving prudential regulation and supervision, limiting currency mismatch as well as seq1uencing financial

Equality Essay Example | Topics and Well Written Essays - 1250 words

Equality - Essay Example Moreover, at a larger dimension, wealth equality also addresses the inequalities between different countries around the globe. The predominance of wealth inequality affects different socioeconomic and cultural development among various societies globally. The paper will also look at the genesis of the quest for economic equality, the state of the whole matter and the effects of the same in the attainment of equitable economic growth. This is done in line with an in-depth analysis of the Virginia Declaration, the UN universal human rights and the Bill of rights among other related sources. Need for wealth equity The need to pursue economic equality among individuals and between different countries of the world arose upon the realization of the exploitative nature of humans by their fellow likes. This has been because of the ever-escalating gap between the bourgeoisies and lower class people in the society (Wilkinson and Pickett). In a bid to minimize this gap, there arose a quest for wealth harmonization between individuals and countries hence the origin of the appeal for equitable distribution of wealth for attaining a uniform economic growth across the globe. Much effort has been invested in this quest although always met with a lot of resistance from the high class property owners. In some instances, the appeal has minimally succeeded, for instance, in Russia and Switzerland. Global trends in wealth inequality The recent state of equality with regard to wealth distribution and ownership between different parties in the world has raised eyebrows as the gap between the poor and the rich continue to widen across the board. The rich still continue to earn more as the poor continue receiving diminishing wages in the world economic market. This is the state of the matter in most European countries with the exception of France, Japan and Spain with Israel, Turkey and United States mostly trapped within the vicious circle of an increasing gap between the poor and the rich. On a broader dimension, economic inequality has been majorly experienced in the less developed regions of the world such as the Indian subcontinent as well as in the sub-Saharan Africa. Factors promoting wealth inequality Taxation policies According to UniversityWorldNet, one of the most contributing factors to economic inequality and unequal wealth distribution around the globe is the trend and the nature of taxation in many countries that has not favored development in these regions. A progressive tax system has been adopted by most countries whereby the tax rates progressively increase as the tax base increases in amount i.e. as more money circulates in a country. A sharp economic growth often leads into an equal spread of resources within the entire population. Economists have reasoned that the tax trends in the world after the Second World War has been the major contributing factor for the increasing inequality gap between the rich and the poor countries around the globe as well as between the individual members of a state. Labor market systems Another factor that has hindered the