Analysis Of Autumn By John Keats Essay - 1264 Words

To Autumn by John Keats exemplifies a poem full of imagery that showcases the scenery of a typical Autumn ensemble. The name itself is something worth analyzing. The â€Å"To Autumn† deems autumn as the recipient of the rhetoric. The title is pregnant with personification. It is structured in three eleven-line stanzas that follow the chronological progression of autumn with autumn (personified) performing three distinct occupations at each level/stanza. Personification is habitually present throughout the poem and serves as an indirect character. Autumn is exemplified metaphorically as one who conspires with the sun, labors the land’s crops, and a talented musician. It personifies premature autumn when all naturalistic beings have ultimately reached maturity and face the inevitable life cycle of conception, birth, maturity, and death. It achieves this through its use of imagery, and figurative language such as personification. The overarching theme exemplifies autumn as an ambiguous abstract that is conducive to connoting several meanings in literature. It can be seen as maturity and wisdom. It can be seen as elderly age, but before morbidity and fatality, the harvest of a lifetime of learning and the imminent conclusion of existence. Keats opens his first stanza by addressing autumn which serves as a source of personification where the author extends human qualities to an ecological manifestation. Keats elucidates autumn’s vibrant abundance and its familiarity with the sun,Show MoreRelatedAnalysis Of To Autumn By John Keats1939 Words   |  8 PagesThe years between 1818 and 1821 mark the final stages of John Keats’ life. Those last few years were tumultuous for Keats. Family deaths, poverty, and a doomed romantic interest were things that contributed to his anxieties. However, those years also proved to be some of Keats most inspirational. It was a combination of these inspirations and anxieties that would lead to some of his gre atest works. In that short period of time, he produced masterpiece after masterpiece: â€Å"The Eve of Saint Agnes†Read MoreTo Autumn, by John Keats Essay887 Words   |  4 Pages The poem â€Å"To Autumn† by John Keats was written with a sense of him describing his girl as a person, of whom he loved very dearly. This was the last great ode he was able to write before he died (Prince). This poem was written on crisp, fall day in September (Flesch). After Keats had composed this poem, he wrote a letter to his friend calling his work a genesis (Flesch). Even though this poem was written for Keats lover, it also described how as the seasons are changed to fall, summer still has aRead MoreLiterary Analysis Of John Keatss Ode To Autumn830 Words   |  4 PagesAnalysis of John Keats Ode to Autumn My initial reaction to this work evoked a taste of wanting to taste the fruit of season. The poem, Ode to Autumn, also reverted me back to my years of early reading when I read â€Å"The Secret Garden†. I am enamored by the way Keats almost makes me see the fruit and vines. Reading about the symbionic relationship that takes place between the sun and the changing season is awe-inspiring; as it relates to the reaction or the beauty that is created based on that relationshipRead MoreCombined Experience of Suffering, Death and Love all at Once1541 Words   |  7 Pagestheir work. John Keats was a famous poet who grew up in an idyllic life until tragedy continuously stroked until his death at twenty-five years old. At eight years old, his father died in a tragic riding accident. Six years later, his mother died of tuberculosis (TB). In the midst of his troubles, his teacher strongly encouraged his reading and literacy ambitions. Living next to an insane asylum, Keats eventua lly started to develop physical and emotional problems. Diagnosed with TB, Keats helplesslyRead MoreThe Poem I Have By John Keats1267 Words   |  6 PagesThe poem I have is â€Å"To Autumn,† and the author is John Keats. The direct meaning of the poem is quite clear in the beginning of reading it; John Keats is writing a letter to autumn as he does not want it to go and for good reason. The indirect meaning is not clear at all. I thought it could possibly be about a relationship, but the poem just did not speak to me in this way. When I looked it up, I found people saying that it could be a relationship, but there is not a clear answer to what the indirectRead MoreAnalysis Of The Poem Ode Of Spring By John Keats Essay1376 Words   |  6 PagesIn the poem Ode to Autumn by John Keats, my initial thoughts of this work is how the author does a beautiful job describing the season. The way that he makes his words come to life. The poem makes you feel as if you are right there in the midst of autumn. As I read through the poem, it was as if I could inhale the autumn air. I think the thing that I loved most about this piece is the mere fact that it is my most favorite season of the year. When the poem talks about the songs of spring, it tellsRead More Analysis of Keats To Autumn Essay794 Words   |  4 PagesAnalysis of Keats To Autumn  Ã‚   John Keats poem To Autumn is essentially an ode to Autumn and the change of seasons. He was apparently inspired by observing nature; his detailed description of natural occurrences has a pleasant appeal to the readers senses.   Keats also alludes to a certain unpleasantness connected to Autumn, and links it to a time of death.   However, Keats association between stages of Autumn and the process of dying does not take away from the ode effect of the poem.  Read More To Autumn by John Keates - Critical Analysis Essay example634 Words   |  3 PagesTo Autumn by John Keates - Critical Analysis John Keats once said about Lord Byron â€Å"He describes what he sees - I describe what I imagine, mine is the hardest task† To Autumn is evidence of his way of thinking, as the poem is a vivid, lyrical portrayal of the English autumn, as he imagined it. The poem celebrates autumn as a season of abundance, a season of reflection, a season of preparation for the winter, and a season worthy of admiration with comparison to what romantic poetry often focusesRead MoreEssay on Representation of Nature and Emotions in Romanticism1561 Words   |  7 Pagesseveral authors including William Wordsworth, Alphonse de Lamartine, Samuel Taylor Coleridge, and John Keats. The following lines are going to introduce these authors by giving a brief background and detailed information about their works in accordance with romanticism characteristics. William Wordsworth, a major English romantic poet, born in 1770 and died in 1850. He writes his poetry as an analysis upon nature. Even though Wordsworth is very much into nature he still keeps his identity as humanRead MoreA Poem from the Romantic Period, La Belle Dame sans Merci by John Keats711 Words   |  3 PagesJohn Keats was an English poet whose short lived writing career was in the early 19th century, near the end of what is known as the Romantic period. This time wasnt just about love stories; it was a social and political movement as well as a literary one. The Romantic period in literature was reacting to the 18th century obsession with distinct order, rationality, and a quest for scientific precision known as the Enlightenment. The writers during the Romantic period felt that these thinkers from

Marketing Aspect - Free Essay Example

Sample details Pages: 2 Words: 557 Downloads: 2 Date added: 2017/09/21 Category Advertising Essay Type Argumentative essay Tags: Money Essay Did you like this example? FEASIBILITY STUDY Marketing Aspect Isaiah Mark Millanes Wendy Encarnado Catherine Del Rosario Leopoldo De Honor Maria Charlyn Balangawan Bachelor of Science in Business Administration Major in Operations Management MARKETING ASPECT I. Product The proposed business will offer fashionable accessories with useful features called wrist- wallet. It is a combination of wrist accessory but at the same time it has also a secret wallet with detachable coin purse. It is made up of poly canvas, a type of fabric with different printed design and bids according to the taste of the customers and ideas of the designer. Like an ordinary wrist watch, it has an adjustable lock. At the back, it has a secret pocket as a place for money bill. On the one side, it has a hook where a coin purse can place. II. Marketing Mix i Product ii Place The proposed business will be located in Robinson Plaza Dasmarinas which is near to the prospective customers with other establishments and fashion outlets. ii Promotion Being a new entrant in a business world, one of the most difficult and critical aspect that the business will be encountered and need a lot of effort is to how the product will be going to promote and advertise. The proponents will use some promotion strategies to persuade potential customers to purchase and patronize the product. Personal selling and sales promotions are used in order to encourage III. Target Market |Fashion ‘n Style |ZULIT |GIFT COLLECT | |STRENGTHS |The product is new in the market |They has a different variety of product | | | |It can be customized and even as personalized gift |Each of their product has a fixed usage | | | |A multi-purpose product |and style | | | |Following new trends and can be worn by all ages |Cheap Price | | | |Products are at a reasonably priced. | | | |WEAKNESSES | | Poor in quality | | | |Minimal capital |Products are not easily be recognize | | | |Unfamiliar product and not classified as basic needs |Unorganized et of products | | | |No distribution channel | | | |OPPORTUNITIES | |Many customers patronized them because | | | |Creating employment |of cheap prices | | | |Demand of safeties handling money/ bills |They can easily adopt to seasonal | | | |More teens and fashion lover are likely to try and experiment |trends. | | |new trends of product | | | |THREATS |New entrants to market |They may lose customer if unorganized | | | |Lots of promotion and ways of introducing to market which may |continued. | | | |cause an increase on production cost. | | | | |Competitors are aggressive | | | The target market of this proposed business is those people students, employees and all kinds of people who are seeking for the security of handling their money and love to buy and try something different in fashion and personal things. eF’eN’eS’ indirect competitor includes aksesoriz, hotflops, gbx, manels, Marcella, pinkbox, and shubiz.. Direct competitors are egg (exciting gifts and goodies) ,simplejoys.. | |Fashion ‘n Style |ZULIT | | |STRENGTHS |The product is new in the market | | | | |It an be customized and even as personalized gift | | | | |A multi-purpose product | | | | |Following new trends and can be worn by all ages | | | |WEAKNESSES |Minimal capital | | | | |Unfamiliar product and not classified as basic needs | | | | |No distribution channel | | | |OPPORTUNITIES |Creating employment | | | | |Demand of safeties handling money/ bills | | | | |More teens and fashion lover are likely to try and experiment new trends of product | | | |THREATS |New entrants to market | | | | |Lots of promotion and ways of introducing to market which may cause an increase on production cost. | | | | |Competitors are aggressive | | | Don’t waste time! Our writers will create an original "Marketing Aspect" essay for you Create order

The Let s Be Hiv Free Hiv Prevention Campaign - 1279 Words

The Let’s Be HIV Free: HIV Prevention campaign will implement a new policy among college campuses regarding the high human-immunodeficiency virus (HIV) prevalence rates in the El Paso County area. The many college campuses in El Paso, Texas are comprised of more than 60,000 students, and provides a unique opportunity to prevent the transmission of this deadly disease. Under this new policy, students will undergo testing for HIV before being admitted into the campus, retest annually and partake in comprehensive HIV education training. Implementation of this policy is of great importance because students on college campuses are at a higher risk of contracting and spreading HIV. HIV testing among El Paso college students will be conducted on an opt-out testing basis. According to Texas health and Safety Code, there is no law preventing school campuses from requiring HIV opt-out testing as part of their school policy. No consent form will be needed to implement this policy; however students will have the right to opt-out from HIV screenings. Students will be required to present evidence to the Office of Admissions and Recruitment that the student has been tested for HIV infection prior to admission or enrollment each subsequent year. Evidence includes: 1) certification from a physician, clinic or qualified testing location, 2) if the test result is positive, a letter from a certified health education specialist will also be provided stating that students receivedShow MoreRelatedAn Article On The Role Of Government, Schools And Who Should Provide These Services2144 Words   |  9 Pagesevident from an article published by Stephen Goldsmith, author of Defi ning the Role of Government and a professor at Harvard Kennedy School. Nowhere in his article talks about disease prevention however more discusses the idea of public transportation, schools and who should provide these services. According to Kathleen S. Swendiman, an attorney who wrote Health Care: Constitutional Rights and Legislative Powers, even the founding fathers never mentioned a line about health care because it was overlookedRead MoreDifference between HIV and AIDS1344 Words   |  5 PagesHIV and AIDS are not the same illness, one is more severe than the other. HIV stands for Human Immunodeficiency Virus. This virus enters the human immune system, which is the body’s natural defense system, and attacks the body’s CD4 cells (T-cells), and over time, the virus destroys many cells leaving the body incapable of fighting off any infection as minor as a common cold. AIDS stands for Acquired Immunodeficiency Syndrome. This means that the body’s CD4 cells ha ve fallen below 200 cells/mm3,Read MoreEssay on Unsafe Sex2183 Words   |  9 PagesI. THE SUBJECT(S): This plan/proposal will be directed at youths ranging from 12-18. It is not gender specific and covers all demographics. The subjects are presumably healthy and well-adjusted individuals except they are participating in a risky sexual practice. The behavior in question is the undertaking of unprotected homosexual or heterosexual consensual sex. There is a host of issues that stem from this action including sexually transmitted diseases, HIV/AIDS, and unwanted teenage pregnancyRead MoreBiography of Nelson Mandela 1355 Words   |  6 Pagesâ€Å"For to be free is not merely to cast off one’s chains, but to live in a way that responds and enhances the freedom of others† says Nelson Mandela. (cite) Mandela lived by these words and showed it in many ways. Nelson Mandela changed the world by ending apartheid, positively influencing others, and creating and supporting multiple charities. (add more information) Nelson Mandela was born on July 18, which is now known as Nelson Mandela day. By being the son of a tribal councilor, Mandela masteredRead MoreT Marais Portfolio 20146031 Words   |  25 PagesMY BEST DISCUSSION 2.1 Use of technology devices (Learning Unit 4) Sub-group 7: Use of Technology devices by Tania Marais – 16 September 2014 @ 16:51: â€Å"Hi group Here is my prevention of disease: About 80% of South-Africans are not yet affected with HIV or Aids. I would strongly suggest better education, awareness campaigns and testing facilities needs more attention. We cannot wait to take action, as 950 people daily, dies of this disease. Everyone should understand the dangers of aids, from asRead MoreHealth Insurance Policies, Cultural Influences, And Accessibility1985 Words   |  8 Pagessocial issue, resolutions have been attempted to mitigate it. On a small scale, the occurrence of free clinics have tried to lessen the gap. These have been popping up in urban areas over the past decade. Another, more highlighted because of its intensity, the Affordable Care Act. This program approached the issue from a national level for a complete policy change through healthcare reform. Free clinics have been a gift for those who need assistance affording health services. These clinics â€Å"†¦serveRead MoreThe Needle-Exchange Program: The Wrong Answer to Drug Abuse Essay2596 Words   |  11 Pagescan try to change course to regain control and make it through the turbulence or you can continue with what you are doing and let the plane spiral to the ground in a firey crash. This scenario is similar to the life of an addict, in particular, a drug addict. At the beginning of addiction, a person may feel in control, powerful, and free; however, in actuality they are not free at all. They are really just beginning an unknown and shaky course, devoting most of their resources to efforts aimed at securingRead MoreDiscuss the Importance of Non Verbal Communication to Education24125 Words   |  97 PagesInternational Fund for Agricultural Development Enabling poor rural people to overcome poverty * Rural Poverty Portal * Contact us * Employment scam * Site map * Copyright * Subscribe * What s new * Accessibility ------------------------------------------------- Top of Form Search Bottom of Form * Home * About * Operations * Development effectiveness * Evaluation * From the field * Partners * Topics * Newsroom * Events Read MoreEpidemiology of Hiv14908 Words   |  60 PagesChapter 1 1.1 Background The HIV and AIDS pandemic remains one the most serious development crises in the world (WHO, 2006). Women and children bear a disproportionate share of the burden, and in many settings continue to experience high rates of new HIV infections and of HIV-related illness and death. In 2005 alone, an estimated 540 000 children were newly infected with HIV, with about 90% of these infections occurring in sub-Saharan Africa (UNAIDS, 2006) .UNAIDS estimates that approximatelyRead MorePrevention And Treatment Of Malaria3785 Words   |  16 PagesExecutive Summary The last decade has seen an unprecedented amount of progress in malaria elimination efforts in Africa. With organizations and governments increasing contribution to provide malarial prevention and treatment, the incidence of malaria in Africa has dramatically decreased across the world with a 26% decrease since 2000 to 2010. However, there are still over 200 million cases of malaria and an estimated half a million deaths each year are caused by malaria with victims mostly children

Essay about Health Campaign on Diabetes - 1802 Words

Health Campaign Melanie Johnson HCS 535 June 3, 2013 Beth Hale Health Campaign Health objectives and campaigns are designed to set the foundation for addressing health care issues prevalent across the nation. Diabetes is a disease that affects millions of people. Due to the complications that can often go along with diabetes, public health policies are implemented to clarify issues that will improve the health of individuals. As presented in the health campaign part one, there are numerous government agencies, which exploit health information on federal, state, and local levels to develop policies and allocate resources to programs and necessary organizations. Many models and systems are used to manage diabetes and bring forth†¦show more content†¦It is important to understand the process of engagement to which a community participates in community efforts and take action on health care issues. Community-based foundations respond to challenges in public health by developing upon already established attitudes and on a history of com munity leadership. Communities are becoming involved and are delving into intricate roles to inform and influence public health issues such as diabetes. Diabetic community-based groups help individuals become more confident in their decisions regarding their health care. Supports groups enable diabetics to maintain healthy lifestyles and be able to introduce comprehensive steps to build better futures (Stanhope amp; Lancaster, 2004). Institutional and Community Leadership Health care organizations and communities must work together to support diabetes care programs. Addressing health care issues, such as diabetes, is challenging for health care systems to achieve without the support of the community. â€Å"The Building Community Supports for Diabetes Care (BCS) program of the Robert Wood Johnson Foundation Diabetes Initiative required that projects build community supports for diabetes care through clinic-community partnerships† (Brownson, O’Toole, Shetty, amp; Fisher, 2007, p. 210). The BCS project’s demonstrates community leadershipShow MoreRelatedThe Role of Health Education in Health Promotion Essay1529 Words   |  7 PagesThe Role of Health Education in Health Promotion The role of health education in health promotion is: To empower the individual Through education So that, that person can use that knowledge To make informed choices and decisions Regarding their own personal health for the better This allows the individual to become autonomous, giving the person Freedom to make their own choices Giving back control regarding their own health and well being Read MoreA Brief Note On Diabetes And Its Effects On Diabetes Essay1161 Words   |  5 PagesDiabetes Policy This paper focuses on people with diabetes. Diabetes occurs when there is impaired ability by the pancreas to produce enough insulin, or the body loses its ability to utilize the insulin produced by pancreas effectively. Consequently, the body fails to regulate the level of glucose in the blood. The failure to control glucose leads to episodes of hyperglycemia, especially after a meal. Diabetes is one of the chronic conditions that account for the largest morbidity rates globallyRead MoreFrom The Previous Paper, The Proposed Diabetes Policy Requires1246 Words   |  5 PagesFrom the previous paper, the proposed diabetes policy requires guidelines to be developed which will promote adherence to diabetes management recommendations among diabetes people in the United States. The advocacy campaign focuses on encouraging the American Diabetic Association to create guidelines for endorsing adherence to the diabetes management recommendations and develop legislation that will require the g uidelines to be adopted by the health facilities dealing with diabetic patients (WHORead MoreImplementation Phase Of The Public Health Campaign824 Words   |  4 Pagesthe implementation phase of the public health campaign, the focus will be to make sure that the target population such as all men and women who are at risk of becoming diabetic, and those who are also of a low socioeconomic status to able to participate in diabetes screening free of charge. Even in the planning phase, the campaign will plan to bring the screening to the low socioeconomic status community who are transportation challenged. At first the campaign will focus on the people of Florida; howeverRead MoreCase Study Of The Indiana Department Of Public Health1435 Words   |  6 PagesBackground: As a 1305 grantee, the Indiana Department of Public Health is expected to increase use of diabetes self-management education and support services (DSMES) in community settings and to increase referrals to, use of, and reimbursement for CDC- recognized lifestyle change programs for the prevention of type 2 diabetes. Indiana is working to expand DSMES access across the state and to scale and sustain the National Diabetes Prevention Program (National DPP) by achieving coverage for variousRead MoreHealth Issues Of Diabetes Australia1411 Words   |  6 PagesSince the establishment, Diabetes Australia has been doing a respectable job in providing information and resources to the people affected by diabetes in Australia. The organization has seen great success in providing support to the community affected by diabetes, and is keen to create more awareness and support to a wider audience base especially to community who are unaware about diabetes as a major health issue that impact on their lifestyles. 1.2.1 Strengths Diabetes Australia has been ableRead MoreA Short Note On Diabetes And Its Prevalence Essay1256 Words   |  6 Pages1.0 Introduction. This paper will explore Type 2 diabetes and its prevalence in countries such as: Australia and India. This paper will also review the role of two health professionals associated with the treatment or prevention of Type 2 diabetes, the health condition’s impact on community and three prevention or treatment methods for Type 2 diabetes. 2.0 Health Condition: Type 2 Diabetes â€Å"Diabetes is a serious, chronic disease that occurs either when the pancreas does not produce enough insulinRead MoreEssay about Global Health and Diabetes1323 Words   |  6 PagesGlobal health is defined as â€Å"health problems, issues, or concerns that transcend national borders† (Institute of Medicine, 1997, p. 2). Koplan (2009) proposed a new definition for global health which he described as an â€Å"area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide† (para, 7). Global health emphasizes transnational health issues, determinants, and solutions from an interdisciplinary perspective and blendsRead MoreMy Health Campaign Is About Obesity1624 Words   |  7 PagesMy health campaign is about Obesity. I will be planning a small-scale health education campaign on Obesity. I started off by producing a health campaign which was about Obesity and aimed in on people who were betwee n 13 to 19 years old. Obesity can lead to serious health illnesses such as Coronary Heart Disease, High Blood Pressure, Stroke and Type 2 diabetes and in order to prevent these illnesses, health education campaigns are created to warn people about the effects of Obesity. National healthRead MoreAmerica s Child Poverty Levels889 Words   |  4 Pagesany chronic conditions prior of having a baby, having recommended screening test and controlling diabetes. Birth defects, also known as congenital anomalies, is the second leading cause of death for infant accounted for 20.9 percent of all infant deaths in U.S in 2011 (U.S. Dept, 2016). A birth defect is preventable if the mother would take folic acid prior of becoming pregnant (U.S. Department of Health and Services, 2016). These reduce the chances of having a defect by 50-70% for neural tube defects

Health Care Innovations Free Essays

Health Care in growing within their technological field every day. They are continuously coming out with new things that can help improve the world of health care as we know it. One of those things that they have come up with is online health care clinics. We will write a custom essay sample on Health Care Innovations or any similar topic only for you Order Now Online health care clinics are clinics that you can go to from anywhere where you have internet access, most people use it from home or by phone, but you can also use it while you are traveling as well. You can use these services day or night, and you just pick the state that you will be traveling through when the prescription is available. These clinics have all the same staff that a normal clinic that you would visit would have, accept you can do everything online right at from your fingertips. Virtual clinics treat common conditions such as acne, bladder infections, breast infections, burn and sunburns, some STI’s (chlamydia, Gonorrhea, Trichomoniasis) Cold, Cough and Allergy’s, Deer tick bites, ear pain, Flu, lice, pinkeye and styes, skin and nails issues and yeast infections. (â€Å"Virtuwell†, 2013). What happens is when you first log on to the clinic you create a username and password for future reference if you need to come back all your information can be saved. You provide all your information to a nurse practitioner, they review your information and within 30 minutes or so they get you a prescription or whatever treatment that is needed. You do not have to have insurance; if you do, the cost may be reduced if you do not have insurance its $40, plus the cost of the prescription. This is a quick and easy way to get those common conditions evaluated and treated by trained health care workers from the convenience of your home. Online health care can benefit patients because they do not have to leave their homes or offices in order to speak with a doctor about a condition and can get advice right there online or over the phone without having to wait in line and pay the costly office visit. Although this program is not available for more in depth conditions, common conditions that are easily treatable can be addressed in these online clinics. Online health care clinics can improve quality of life because of the convenience of seeing a physician online. However, for someone who does not have access to the internet or does not really know how to use the internet it may not be as useful for them. By having these services available to speak with a doctor online and having common conditions diagnosed it will decrease health care spending because not as many patients are going into the clinics or hospitals for common conditions which allows lower cost in health care. It is also more cost effective for the patients because if they do not have insurance it’s a small fee versus getting a higher medical bill by going into an actual clinic that they would not be able to pay later. Patients can decrease the amount of money they are spending on health care by utilizing these online health care clinics. They will not be paying for expensive office visits and if a prescription is required for their condition, they can ask for a generic drug that will also reduce health care spending. These virtual clinics are also nice for health care providers because it allows them to see and diagnose more patients in a shorter time. In addition, everything is online so you are avoiding the cost of paper being used because it is all stored online. You even have the option of keeping your records online for you to come back and access at anytime that need to see them. This is not only cost effective for the patient but also for the health care provider as well because they are reducing the amount of money it cost to store those records. I believe that online health care clinics will become a big trend into the future as our technology continues to advance. I know there isnt a lot of states right now that offer this program. Virtuwell is only offered in Minnesota, Michigan and Wisconsin, but as the word gets out about this program, I think that more and more states will develop online health care clinics because it avoids people coming into the clinics and passing germs around, with the option of going online you can stay at home and the sicknesses can be more controlled. ————————————————- References Virtuwell. (2013). Retrieved from http://www. virtuwell. com How to cite Health Care Innovations, Essay examples

Western Culture Has Brought More Negative Impacts on the Malaysian Youth free essay sample

On The Malaysian Youth. Western culture is a body of knowledge derived from reason that began in Ancient Greece. There and in the Roman civilization it developed until the start of the Middle Ages when it largely vanished from Europe. During the Middle Ages, Western culture resided, instead, in the Arab / Persian world to a modest degree. Today, Western culture has at least some presence in nearly all nations of the world. It does not currently exist, however, anywhere in a perfect and complete form. Wherever Western culture exists, it is at least partially mixed, and often largely mixed with non-Western culture. Western culture represents knowledge developed from the reason that has been made possible because of a vast accumulation of understanding related to human nature, including nature and reality, happiness, rights, individualism and science and technology. In Malaysia, Western culture came into influence when the Portuguese arrived in Malacca in 1509, and then captured Malacca in 1511. After that, Malacca had continuously fallen into the hands of Dutch, and then the British. The British gave the most impact to our country, as they changed the administration of the Malay States in Peninsular Malaysia. Since then, our people had been exposed to strong influences of the Western culture, for example in our lifestyle, clothings, language, attitude and thinking. Till now, our country is still under the influence of Western culture, mostly the British, as we are still using the English Law as reference for the legislation in our country. Today, most of the youths in our country are influenced by Western culture. Western culture can be positive, for example, listening of western music and watching western movie can improve our language and increase our knowledge in Science and Technology. We can interact easily with tourist from other countries and leave a good impression to them. On the other hand, Western culture brings more negative effects to our country. Youths learn how to smoke, gang-fight, get addict to drugs that are part of the western culture. The media holds a large responsibility in this matter, as most of the youths learn bad habits through music videos, dramas and movies. Western culture efinitely brings more negative effect to our country. Youths start to lose their own identity and culture of their own races and are easily influenced by the negative culture. It is believed youths liked to imitate and quickly affected by something that is considered attractive or fun. They have the attitude to try something new without thinking of the consequences that will follow. Among the evolving aspects of life including pre-marital sex. Youths love to mimic the way Western people live as seen on television. Therefore, the number of youths who dare to have pre-marital sex are boiled up to the point of having sex at a very young age. Surely this is not suitable for a Muslim country. Even the western older generation will disapprove of such act. Rise in the popularity of a sex and booze culture is a worrying trend in Malaysia. It is becoming gradually acceptable that clubbing, binge drinking and casual sex is an acceptable way of life for a small but growing number of youth. This lifestyle fuelled in part by the growing financial means with sources of income from dual-income families, as well as their personal earnings from part time work, the Malaysian youth has relatively high expendable income. Courtesy of MTV and the Internet showing the rising influence of the western culture of liberal expression; attitudes towards sex and booze are becoming lax. While there have been various campaigns initiated by the government to educate these young people about the consequence of casual sex, i. e. risk of Sexually transmitted Diseases (STD) and Acquired Immune-Deficiency Syndrome (AIDS), the care-free attitude of a particular group of youth is a major source of worry. Some of the sexually active youth interviewed claimed to have multiple sex partners even at the young age of 15 and most of the young girls claim to be pressured into committing sexual acts by their peers or boyfriends. A series of scandals also arose due to the widespread usage of camera phones, with the most widely known incident being one that involves a particular polytechnic student, Tammy from Nanyang Polytechnic whose sexual act with her boyfriend was circulated via hand phones and across the internet after she lost her hand phone which contained the self-recorded footage. Majority of the youth have indicated that they would prefer ducation on the practices of safe sex instead of having teachers and parents tell them to abstain from it totally, which will in turn cause more curiosity and desire to experience the forbidden fruit. Other than that, even if sex education is introduced in secondary schools, the result will be mixed, as teachers still tend to be shy about answering and might be caught in a situation where they might feel uncomfortable advocating that it is alright to have safe sex. This is a worrying trend for a unique group of Malaysian youth and the government is taking proactive measures to address it. It is heartening to note that such lax attitude towards casual sex is also being balanced out by youth of the same age group who are against the engaging of casual sex as a matter of principles and are educated about sexual practices and the risks of such casual behaviour. Finally, Malaysia being a Muslim country, it should be stressed again that not all the western living trend can be accepted by a Muslim however there are good practices that can be practiced by Muslim. However the guideline to determine whether western value can be accepted will always be in the hand of Muslim parents. They should always monitor their children so that the future of the young Muslims will not be in jeopardy either here or the afterlife. We live in a society where there is a desolation of decency and sins are elevated to sovereignty. Malaysia has come to dwell in an Alice in Wonderland world of fantasy, of self-delusion. Everything has been turned upside down and inside out in our country particularly among our youth. We are fast degenerating into a decadent culture obsessed with selfishness and sin and destruction, and a major cause of this disaster is the overpowering influence of Western culture in Malaysia. Never before in history has mankind been so sex centered. Internet porn, late night TV, and even sex on prime time TV are just a few ways that society pushes pornography right into our homes. Recent laws and policies aimed at reducing those statistics by granting more sexual freedom have not diminished those statistics, in fact there has been an increase in suicide, STDs, alcoholism, and partner abuse. Yet even with these devastating facts, modern culture thinks everybody has to have sex. People who dont have sex are viewed with pity or contempt. We wonder what is wrong with them. Psychiatrists have a field day with people who feel called to celibacy. Teenagers who want to wait until marriage are ridiculed by their peers. I dont believe the answer to our problems is more freedom using contraception and safer sex with condoms. These casual sexual encounters among Malaysian youth have contributed to a social problem that appears every day in newspaper and mass media. From the period of January until July 2010, public were shocked, appalled, dismayed by the increasing reported cases of abandoned babies, some of whom were found dead. This incident indirectly indicated that something is wrong in our society. Statistics from the Malaysia Welfare Department from January to April 2010, reported that 111 unmarried young girls were pregnant. The figure, however, is just the tip of the iceberg as many cases go unreported and pregnancies terminated. It also reported in New Straits Times on 23rd July 2010, the body of a baby girl found in a bag at a bus stop near the Sultan Ismail Hospital, Johor Bahru in the morning. Also there a baby found buried. New Straits Times on 18th July 2010, reported that a fetus was found buried by the roadside in Jalan 12, Bandar Puteri Puchong, Selangor. As mention by the Dr Ismail Thamby in the Bernama on 26 August 2010, normally young people will not think of the consequences of their actions because they are easily driven by factors such as influence by pornographic materials on the internet, as well as they lack of religious knowledge. Sex before marriage means many more broken hearts and broken bonds. People think they should take a partner out for a test drive before getting married. But this hasnt made it easier to learn if the person is compatible because couples having sex often overlook important differences cause the sex is good. People who live together before marriage have a higher divorce rate. Some say that these behavior soil the constitution and purity of a marriage in our country. Dominated and led by developed Western countries, the mass media and the fashion industry have also distorted the perception of beauty among youths around the world particularly in the Asian continent. Body image is increasingly being defined by Western parameters due to reasons such as globalization and high technology. The inundation of Western culture is beyond doubt as it has impacts that are unconsciously detrimental in our daily lives. Through globalization of the Western culture, teenagers are also experiencing new cultures that are absolutely different from local cultures and this can make these youths much more adaptable and accepting to distinctions that vary among societies and even education wise, young Malaysian teenagers have the privilege to obtain trustworthy information which after all, may be the first step for these teenagers take to become international leaders of tomorrow. However, there are always two sides to a story. Leading fast food chain shops such as Kentucky Fried Chicken, McDonald’s and Burger King are making people obese at a young age while glamorous Hollywood actors and singers are mesmerising teenagers into plastic surgery. Unconsciously and involuntarily, teenagers often suffer from the loss of their own unique culture. In the context of body image, young girls are the most affected by the Western culture compared to the opposite sex. Women with petite bodies and girls with a Barbie figure are always shown to be more popular or attractive while the overweight are portrayed as less popular even in the local media which is heavily influenced by Western culture. This leads to a notion that being extremely thin is sexy and creating a unrealistic image on how women supposed to. When this thought grips the minds of youngsters, they take to fad diets and unhealthy methods ( self-induced vomiting, laxative abuse and smoking) or even turn to cosmetic surgeries to get that so-called perfect body. The craze for models or actors and actresses, makes teenagers want bodies and facial features like theirs. It is beyond question there is an influx of Asians trying to look more â€Å"Western†. CNN has reported on Dr Kim Byung-gun is the head of Seoul, South Korea’s biggest plastic surgery clinic, BK DongYang says his clinic, performs 100 surgeries a day, ranging from eyelid surgery to nose reshaping to facial contouring. Dr Kim explains that prior to surgeries, the patients express their hatred toward their Asian appearance and want little less to do with the Asian look and prefer to look Caucasian. In Malaysia, women haven’t gone to such extremes to look westernised but it doesn’t mean Malaysian women have different perspectives. Forty-one percent of Malaysian women interviewed in a survey carried out by Synovate (News Straits Times, May 4, 2006), used skin-whitening products. It is so as a dissatisfactory towards their â€Å"ethnic and local† appearance. Rarely is Asian particularly Malaysian natural beauty is recognized or acknowledged in the local industry however models and actress which have a hint of Caucasian features is considered absolute beauty and glorified. Malaysian youth need to realise these ideas of beauty in the Western media are unrealistic and the portrayal of women in fashion magazines and advertisements are air-brushed. This total lack of representation has created stereotypes and double standards. Likewise, on billboards and in magazines everywhere, it seems, there’s a male Adonis, with chiselled features, buff, and full head of hair. The notion that males are immune to the impacts of the western culture in the context of perception on beauty is ridicule. Many males are becoming insecure about their physical appearance as advertising and other media images raise the standard and idealize well-built men. Researchers are seeing an alarming increase in obsessive weight training and the use of anabolic steroids dietary supplements that promise bigger muscles and more stamina for lifting. According to a study done on Malaysia by the Asian-Pacific Cosmetics and Toiletries (2007), Malaysian men no longer confine their beauty products to toiletries such as deodorant, shaving and shampoo but also facial skin care products including skin brighteners. Malaysian youth need to realise changing your outwardly appearance will not make you feel any better however finding your inner beauty and building on your positive self-image will help you find the beauty on the outside. Apart from improving on self-awareness, they need to embrace their own culture and ethnicity proudly which will create cultural diversity that is distinctive, rather than trying to parrot other cultures leading to a world with no uniqueness. Moral values are most definitely declining in today’s society. There used to be atime when majority of people would have had nothing to do with such things as abortion and gay marriage. However, these are issues that are even less important in the grand scheme of things, less fundamental than a basic value such as honesty. So many young people in high school and college are dishonest in their schooling and this effects all of society because they gain degrees and then jobs based on falsified education. This becomes a detriment to all of society and shows itself in other declining values. Our society’s values are deteriorating, because it is evident with things that are happening, such as violence, porn films and so on. Our society has been on a download spiral when it comes to values. You can see this in all the violence that happen everywhere, as well as at places where one used to feel safe, like school area that are now danger zones. Also, all the issues with unlawful postings of erotic pictures and not to mention, child pornography. Technology has played a big role in promoting this, but the fact that the people have no values makes it worse. The value of society is definitely deteriorating as there is lack of respect for one another. The value of society has deteriorated as there is lack of respect, lack of morals and ethics in the younger population, disrespect for elders, carefree attitude towards life, lack of goals and the spirit of achievement. Moreover there is also lack or responsibility in the society. They are too busy with providing basic necessities to their family. Anyone can look at our culture and see how our valued traditions have deteriorated greatly since the 60’s. For those of us who have been around awhile, it is alarming the way our culture has turned back from traditional values which we once deemed good but now declare them bad and outdated. Commitment to marriage and family, the sanctity of human life, integrity and honesty, personality and corporately, have all been compromised and devalued in today’s society. The lack of religious education in our society produces an increase in negative activities in society. Porn, homosexuality and other such things are not the reason our society is losing its values. The reason is that the one study that is to be teaching value to humanity is not being taught. Society implodes on itself when the value of others decreases, the idea of a narrative is lost, and hope is not an actual concept. Hypocrisy is the state of pretending to have virtues, moral or religious beliefs, principles that one does not actually have. Hypocrisy involves the deception of others and is thus a kind of a lie. Hypocrisy is not simply failing to practice those virtues that one teaches. It’s a practice that one tries to avoid. Hypocrisy means Jealous play-acting, acting out, coward or dissembling. The word origins from the greek. Hypocrisy can also mean a person who feigns some desirable or publicly approved attitude, especially one whose private life, opinions, or statements belie his or her public statements. It also can be the practice of claiming to have higher standards or more noble beliefs than is the case. Mainly we Malaysians learn about hypocrisy from the western world. We are more influenced from them than we know it. An example is the hypocrites who criticize other people for not voting but who dont always vote themselves. It’s funny how people can criticise us and they themselves are equal or lower than us. In Malaysia, we are taught to be ourselves and act normal without judging anybody or any life being Due to the mass influence from the western world we are indulged in the Hypocrisy world. Some Historians date back Hypocrisy to the English in Britain. According to some historians and theories, it may be caused due to the way the English way of life, which may seem to be posh and rich. Hypocrisy nowadays can be seen among teenagers and also some kids here in Malaysia. It’s a sad thing to see that our young generation are falling into the western influences. We can say by trying to act like them we are also being Hypocrisy. The young generation or the youth of Malaysia fall into this trap easily because of the vast media here. Media here such as â€Å"HBO† â€Å"MTV† or any kind of western orientated shows has played a big part in Malaysian youth minds. One does not say that all western shows are wrong or bad but it does give a huge impact on the youth minds. The younger generations have the wrong concept of thinking that the western culture is much better or cool so they try to be like the western people or characters. Hypocrisy is very common among Malaysian people here. It’s just that some people are unaware of it assume it is a part of them; therefore it is taken in easily. Hypocrisy is not a physical disease or effect. It’s a personality disorder. A minor disorder which does not cause any harm. Nowadays, we can see there is a lot of westernization in Malaysia. People in Malaysia like to copy the style from western country because they think that country more develop than our country. From my point of view, westernization in Malaysia give disadvantages rather than good thing. Furthermore, there are lots of social problems among teenagers that try to be like western people. They imitate the way of their life more to westernization. For example, they live together without have the status of married. This will give negative perception towards Malaysian people. They also change the way they eat. For example, they eat using spoon, fork and chopstick but not using their hand anymore. Moreover, they also eat the western food and not interest with local food. They just eat western food such as steak, spaghetti, pizza, chicken chop and etc. Besides, we can see the way of Malaysian people especially teenagers talk are most to the westernization. They’re not polite and use the harsh words while they are talking with each other in public. They also do not care about their own custom and cultural. They also love to fight with each other to show their stronger. For example, there is lots of social group in Malaysia such as punk, skinhead, grunge, black metal and others. These groups bring the bad habit to the youth of today such as social issue. The deterioration and alteration of an object begins right after the object is made and continues at increased rate with the passing of time due to action of increasingly aggressive environment factors. Resistance in time depends on the stability of the materials and on their compatibility. Moreover, any intervention on the object after it is finished affects it. Unauthorized preservation-restoration, improper maintenance, failure to comply with protection and display rules have a negative impact on the object. Anthropic factors have the most serious impact. Vandalism and counterfeiting actions may be controlled. Overall, we can see there is a lot of westernization in Malaysia. It is undeniable that the western civilization has brought us goodness in some ways, but it has also brought many wrong teachings into our treasured culture. People in Malaysia like to copy the style from western country because they think that Western countries are more developed than our country. From our point of view, westernization in Malaysia gives more disadvantages rather than advantages. The westernization gives bad impact on Malaysian people especially the youths because we can see that teenagers today have lack of moral values. They also do not respect to the elder people. This is because their mind is very much influenced by the western culture. These immoral acts will soon demolish the good qualities one should have. Besides, we can see the way the youths of Malaysia express themselves with the Western slang. They are not polite and they use harsh words freely without feeling ashamed of themselves. They also do not care about their own custom and culture. For example, there are many of social group in Malaysia such as punk, skinhead, grunge, black metal and others. These groups encourage youths to divert themselves towards the wrongdoings of the Western culture. Furthermore, there are lots of social problems among teenagers who try to be more and more like western people. For example, they live together without have the status of married. This will give a negative perception towards Malaysian people. Premarital sex is the next stage of young, immature couples living together. They don’t seem to think of the after-effects of their actions. The beauty perception has also changed. People nowadays think beauty is all about being skinny and model-like thin. The girls nowadays go on major dieting plans just to feel accepted. They rather sacrifice their happiness and health all in the name of beauty. In the end of the day, we ourselves are contributing to the negative growth of the Westernization which is happening. We should protect our culture rather than imitating western culture or become part of them. We should be proud with our culture and do not let the negative side of the western culture shape the way we think.

Physical Health Status & Analyse Health

Question: Discuss the Case study for Physical Health Status Analyse Health. Answer: Atheroma formation is triggered by the physical or chemical insults to the endothelial barrier of the arteries. Injury to the endothelium can exaggerate by trauma, free radicals due to smoking and pollution, high level of low density lipoproteins and high level of glucose. WBCs are not active in normal condition, however, in case of injury, WBCs get activated in the wall of arteries and produces inflammatory response. In response to inflammation, endothelium of the arteries gives rise to adhesion molecules such as vascular vell adhesion molecule 1 (VCAM-1) and secretes monocyte chemoattractant protein (MPC-1). VCAM-1 and MPC-1 attracts monocytes and T-lymphocytes to the site on injury by chemokines under the influence of LDL. These monocytes get diffentiated to the macrophases. Macrophases express scavenger receptors and these receptors bind to the modified lipoproteins and appearance of macrophases become foamy which is called macrophage foam cell. Macrophages get encapsulated in th e collagen and smooth muscle and hardened plaque is formed. There is low level of HDL in atheroma formation. High level of HDL prevent atherosclerosis by eliminating cholesterol and inflammatory cells from foam cells (Hao and Friedman, 2014; Libby, 2002). a. Neurovascular assessment of wrist injury includes pain, sensation (paresthesia), motor function (paralysis), temperature (pallor) and pulse. Pain disproportionate to the injury indicates existence of neurovascular problem. Pain due to passive extension and flexion of wrist indicates neurovascular problem. In case of neurovascular problem, there is the decreased or loss of sensation (paresthesia), numbness, dysaesthesia and tingling. Reason behind these observations is nerve obstruction and injury to the peripheral nerve. Motor function (paralysis) also affected in case of neurovascular disease. There is the difficulty in movement in the wrist due to radial nerve and median Nerve. Temperature (pallor) in the affected region either cool due to inadequate arterial supply or hot due to inadequate venous return. Increased swelling is associated with the neurovascular problem. Neurovascular assessment of pulse can be performed by palpable peripheral pulses. In Mr. Marconi high pulse rate is there with weak pluses (Nuber, et al., 1998). a. Request/consent form should be there with information containing Mr Marconi name, date of birth, age, full address, clinical history and medications. Mr Marconi should wear name band. List vital signs recorded at 06:30 List the vital sign Respiratory Rate 21-30 O2 Saturation 93 % O2 Flow Rate 5 (L / min) Systolic BP 120 Heart Rate 90 Temperature 38.6C 4 Hour Urine Output 450 mL Consciousness Alert Abnormal signs: List the vital sign O2 Saturation 93 Slightly hypoxemia Systolic BP 120 Prehypertension (it is clearly mentioned prehypertnesion not hypertension) x 120 is not hypertensive Temperature 38.6C Hyperthermia Respiratory Rate 21-30 Tachycardia ADDS Score : ADDS Score Respiratory Rate 1 O2 Saturation 0 O2 Flow Rate 2 Systolic BP 0 Heart Rate 0 Temperature 2 4 Hour Urine Output 0 Consciousness 0 Total ADDS 5 Nurse should accompany Mr Marconi when he leaves the ward to go to the X-ray department. Polypharmacy is the major cause of fall in the elderly patients. Mr Marconi is on the medicines like atenolol, ramipril, lantus and Lipitor. Most of these medications are for cardiovascular disorders and it is well established that cardiovascular drugs are the cause of fall in elderly patient. Dibetes mellitus is responsible for fall in Mr Marconi because it is evident in literature that fall in elderly patients with diabetes is due to the reduced walking and poorer cognitive performance. Increased vital signs like tachycardia and tachypanea are responsible for fall in Mr Marconi, as these vital signs leads to anxiety and disorientation in Mr Marconi. As Mr Marconi was going to bathroom, when fall occurs and fall of the elderly patient in the bathroom was identified as one of major factor may be sleepy surface in the bathroom. These were the reasons for fall of Mr Marconi (Chester and Rudolph, 2011; Fialova et al., 2005; de Mettelinge et al., 2015). External respiration mainly occurs in the lungs. In external respiration O2 diffuse into the blood and CO2 diffuses into the alveoli. Small amount of oxygen is transported into the lungs in the dissolved form and large amount of oxygen is transported into the blood in haemoglobin bound form in red blood cells. Small amount of carbon dioxide is carried in dissolved form and bound to haemoglobin and large amount is carried in the form of bicarbonate ions. Due to the accumulation of fluid in the alveoli there is the edema formation in the alveoli. This edema formation in the alveoli leads to blocking of air flow in the alveoli and decreases external respiration. This decreased respiration leads to the impaired gas exchange. Thus it results in the alteration on the patients O2:CO2 ratio due to decrease in absorbed oxygen. This results in the increased carbon dioxide level in the blood. Chemical control of breathing is specifically relying on the carbon dioxideintheblood. Increased carbon dioxide level produces increased respiratory rate. This respiratory rate can be measured using spirometer (Lahiri et al., 1978; Brunner, et al., 1982). a. Gases detected in the blood are O2 and CO2. These gases are detected at peripheral chemoreceptors through innervation of glossopharyngeal (IX) nerve b in the carotid arteries and vagus (X) nerve in the aortic arch. These gases are also detected at baroreceptors in the walls of blood vessel. Its control centre respiratory rhythmicity centre is located in the medulla oblongata which includes a dorsal respiratory group (DRG) and a ventral respiratory group (VRG). In Mr d. Marconi SaPO2 is 91% (2L/min). This results in the altered O2:CO2 ratio. In this case it produces decreased level of O2 and increased level of CO2 in the blood. Also fever produces more CO2 in the body. To compensate for the excess production of CO2 , body needs to breathe at faster rate. CO2 is exchanged in the form of bicarnonate ion between alveoli and blood. Increased level of CO2 leads to anaerobic respiration which leads to increased rate of respiration (Lahiri and Forster, 2003; Brendan, et al., 2000). First step in the analysis of sputum sample is to identify type of gram stain. This is called culture method in which sputum sample is incubated on the culture media and this culture media allowed the growth of bacteria. These bacteria can be pathogenic or non-pathogenic. If pathogenic bacteria are identified, antimicrobial susceptibility testing should be performed. Antimicrobial susceptibility testing should be performed to identify the antibiotic resistance to identified bacteria. This helps in the prescription of the bacteria so that prescribed antibiotic is susceptible to the identified bacteria. Susceptibility testing can be performed using broth micro dilution or rapid automated instrument method (Jorgensen and Ferraro., 2009).a. Sympathetic nerve stimulation 1-adrenoceptors on the juxtaglomerular (JG) cells, decreased level of tubular NaCl and decrease in the afferent arteriole pressure leads to renin release. Renin targets angiotensinogen in the liver by converting angiotensinogen into angiotensin I. Angiotensin-converting enzyme is responsible for the conversion of angiotensin I to angiotensin II and this enzyme mainly found in the lung and also found in the endothelial and kidney epithelial cells. Angiotensin II acts on the adrenal gland to secret aldosterone which leads to the tubular Na+ Cl- reabsorption and K+ excretion, which leads to the increase in the blood pressure. Angiotensin II acts on the AT1 receptor which releases Ca++, this results in the decreased level of cAMP and increased blood pressure. Ramipril inhibits angiotensin-converting enzyme (ACE) and it useful in the treatment of hypertension and congestive heart failure. (Paul et al., 2006; Kumar et al., 2008; Frampton and Peters, 1995) Insulin binds to the extracellular portion of cell membrane-bound insulin receptors. In the presence of insulin molecule, insulin and its receptor gets converted into tyrosine kinase. Tyrosine kinase phosphorylates insulin receptor substrate 1 (IRS-1) and IRS-1 bound to the activated insulin receptor. This leads to the incorporation of glucose transporter type 4 (GLUT4) into the cell membranes of adipose tissue and skeletal muscle. GLUT4 promotes uptake of glucose in the tissues from the blood. Insulin also promotes storage of glucose in liver and skeletal muscle in the form of glycogen. It produces this action by activating glycogen synthase enzyme. Insulin leads to the dephosphorylation of phosphofructokinase which leads to the glycolysis i.e. breakdown of glucose (Sonksen and Sonksen 2000; Berg et al., 1995). Abnormal signs O2 Saturation 85-89 % O2 Flow Rate 5 (L / min) Systolic BP 190 Heart Rate 120 Blood glucose level 3.1 mmol/L Urine Leucocytes and ketones Consciousness To Voice Decreased level of consciousness in Mr. Marconi can be concluded form his decreased sleep and his refusal for eating. As a result there is reduced alert, voice, pain, unresponsive (AVPU) scale in Marconi. As, Mr. Marconi is diagnosed with pneumonia, there is increased breathing rate in Mr Marconi. Increased breathing rate is related to the decreased AVPU scale. Impaired glycaemic control is associated with reduced consciousness level. Mr. ,arconi is hypoglycaemic and this hypoglycaemic condition is responsible for the reduced AVPU scale in Mr. Marconi. Mr Marconi consuming four drugs and as a result there is the possibility of drug-drug interaction within these drugs. These drugs can negatively affect treatment of other drugs and can amplify adverse effects of other drugs. Hence consumption of atenolol, ramipril, lantus and lipitor together is responsible for deterioration of the condition of Mr Marconi (Sprague and Arbelez, 2011; Golden et al., 1997). Particularly, Ramipril is unabl e to completely recover hypertension in older patients. If patient stand up from sleeping and seating position, there is the possibility of fall in the patient. References: Berg, JM., Tymoczko, J.L., Stryer, L. (1995). Biochemistry. (Fourth ed.). New York: W.H. Freeman and Company. Brendan, C., Kevin, G., Cliffoed, W.Z. (2000). The control of breathing in clinical practice. Chest. Brunner, M.J., Sussman, M.S., Greene, A.S, Kallman, C.H., Shoukas, A.A (1982). Carotid sinus baroreceptor reflex control respiration. Circulation Research. Chester, J.G., Rudolph, J.L. (2011). Vital signs in older patients: Age-related changes. Journal of the American Medical Directors Association. de Mettelinge, T.R., Cambier, D., Calders, P., Noortgate, N. V. D., Delbaere, K. (2015). Understanding the Relationship between Type 2 Diabetes Mellitus and Falls in Older Adults: A Prospective Cohort Study. PLoS One, 8(6), e67055. doi: 10.1371/journal.pone.0067055. Fialova, D., Topinkova, E., Gambassi, G., Finne-Soveri, H., Jonsson, P., Carpenter, I., et al. (2005). Potentially inappropriate medication use among elderly home care patients in Europe. Journal of the American Medical Association. Frampton, J.E, Peters, D.H. (1995). Ramipril. An updated review of its therapeutic use in essential hypertension and heart failure. Drugs. Golden, F.S.C., Tipton, M.J. Scott, R.C. (1997). Immersion, near-drowning and drowning. British Journal of Anaesthesia, 79, 214-225. Hao, W., Friedman, A. (2014). The LDL-HDL profile determines the risk of atherosclerosis: a mathematical model. PLoS One, 9(3), e90497. doi: 10.1371/journal.pone.0090497. Jorgensen, J.H., and Ferraro, M.J. (2009). Antimicrobial susceptibility testing: A review of general principles and contemporary practices. Clinical Infectious Diseases. Lahiri, S., Forster, R.E. (2003). CO2/H(+) sensing: Peripheral and central chemoreception. International Journal of Biochemistry and Cell Biology. Lahiri, S., Mokashi, A., Delaney, R.G., Fishman, A.P. (1978). Arterial PO2 and PCO2 stimulus threshold for carotid chemoreceptors and breathing. Respiration Physiology. Libby, P. (2002). Inflammation in atherosclerosis. Nature. Kumar, R., Singh, V.P., Baker, K.M. (2008). The intracellular renin-angiotensin system: implications in cardiovascular remodeling. Current opinion in nephrology and hypertension. Nuber, G.W., Assenmacher, J., Bowen, M.K. (1998). Neurovascular problems in the forearm, wrist, and hand. Clinics in Sports Medicine. Paul, M., Poyan Mehr, A., Kreutz, R. (2006). Physiology of local renin-angiotensin systems. Physiological Reviews. Sonksen, P., Sonksen, J. (2000). Insulin: understanding its action in health and disease. British Journal of Anaesthesia. Sprague, J.E. Arbelez, A. M. (2011). Glucose Counterregulatory Responses to Hypoglycemia. Pediatric Endocrinology Reviews, 9(1), 463475.

An inside look at oppression and racism from the last one hundred years, told by two elderly ladies in the book, Having Our Say Essay Example For Students

An inside look at oppression and racism from the last one hundred years, told by two elderly ladies in the book, Having Our Say Essay Students were assigned this essay as an inside look at oppression and racism from the last one hundred years, told by two elderly ladies in the book, Having Our Say. 100 Years of Degradation There are several books that have to be read in English 095. Having Our Say is one of them. My advice is to read this book while you are still in 090 or 094, just to get the advantage. These are some things that you will discover in this extraordinary biography. This book is tough to take as humorous, because its heart-wrenching to look at racism in America, but Having Our Say, manages to pull off the feat. Having Our Say really makes you think and tries to somehow reflect on the past as if you were actually there. As a white male, I am amazed at how these two African American sisters were able to live through over one hundred years of racism and discrimination, and then be able to write about their experience in a humorous, yet very interesting way. Having Our Say chronicles the lives of Sadie and Bessie Delany, two elderly colored sisters they prefer the term colored to African-American, black, and negro, who are finally having their say. Now that everyone who ever kept them down is long dead, Sadie and Bessie tell the stories of their intriguing lives, from their Southern Methodist school upbringing to their involvement in the civil rights movement in New York City. We will write a custom essay on An inside look at oppression and racism from the last one hundred years, told by two elderly ladies in the book, Having Our Say specifically for you for only $16.38 $13.9/page Order now Sadie is the older, 103 years old, and sweeter of the sisters. The first colored high school teacher in the New York Public School System, Sadie considers herself to be the Booker T. Washington of the sisters, always shying away from conflict and looking at both sides of the issue. Bessie is the younger sister, 101 years old, and is much more aggressive. A self-made dentist who was the only colored female at Columbia University when she attended dentistry school there, Bessie is the W.E.B. Dubois of the sisters, never backing down from any type of confrontation. As the sisters tell the stories of their ancestors and then of themselves, and how they have endured over 150 years of racism in America, they tend to focus mainly on the struggles that they encountered as colored women. Bessie brings laughter to the book with her honest, frank, and sometimes, confrontational take on life. Much of the humor arises from the interactions between the sisters because of their opposite personalities. The Delany sisters were greatly influenced by their father. With their father being a minister, the Delanys learned excellent moral values. These morals played an important part in their lives. They faced many hardships and trials in over one hundred years. Their fathers influence played a major role in their survival. Other people in society did not know how to react to the Delany sisters. They were different from most other negro women of their day. They carried themselves with great pride, and they demanded respect  everywhere they went, whether they got it or not. Although they were very different in many respects, they both possessed a zest for life. People showed many different reactions to that. I believe that Sadie and Bessie can teach us all a lesson in life. They were confident, life filled women. They always tried to put forth a positive outlook on everything, as if even the struggles were a blessing. For this we owe them a debt of gratitude. Having Our Say can be somewhat confusing to read at times, but I truly believe that it is worth the effort. This book will be part of my collection for a long time. Since we do a bit of research into the times and circumstances surrounding the books we read, Ive discovered some interesting things about their early life environment that might contribute to their longevity. Harlem offered some amazing creativity in the early nineteen hundreds. Much of this creativity was referred to as the Harlem Renaissance. .u22e65cd6071fb0d5a99c1ab749008dd8 , .u22e65cd6071fb0d5a99c1ab749008dd8 .postImageUrl , .u22e65cd6071fb0d5a99c1ab749008dd8 .centered-text-area { min-height: 80px; position: relative; } .u22e65cd6071fb0d5a99c1ab749008dd8 , .u22e65cd6071fb0d5a99c1ab749008dd8:hover , .u22e65cd6071fb0d5a99c1ab749008dd8:visited , .u22e65cd6071fb0d5a99c1ab749008dd8:active { border:0!important; } .u22e65cd6071fb0d5a99c1ab749008dd8 .clearfix:after { content: ""; display: table; clear: both; } .u22e65cd6071fb0d5a99c1ab749008dd8 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u22e65cd6071fb0d5a99c1ab749008dd8:active , .u22e65cd6071fb0d5a99c1ab749008dd8:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u22e65cd6071fb0d5a99c1ab749008dd8 .centered-text-area { width: 100%; position: relative ; } .u22e65cd6071fb0d5a99c1ab749008dd8 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u22e65cd6071fb0d5a99c1ab749008dd8 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u22e65cd6071fb0d5a99c1ab749008dd8 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u22e65cd6071fb0d5a99c1ab749008dd8:hover .ctaButton { background-color: #34495E!important; } .u22e65cd6071fb0d5a99c1ab749008dd8 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u22e65cd6071fb0d5a99c1ab749008dd8 .u22e65cd6071fb0d5a99c1ab749008dd8-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u22e65cd6071fb0d5a99c1ab749008dd8:after { content: ""; display: block; clear: both; } READ: All Quite On The Western Front EssayThis period gave birth to such figures as Langston Hughes, Bill Bojangles Robinson, renowned writers such as Zora Neile Hurston, and many others. The Renaissance also gave way to organizations such as National Association for the Advancement of Colored People, the Urban League, and the Universal Negro Improvement Association, several of which are all still operating. My view is that the poetry was the best thing about this time. It was filled with emotion and conviction. During my research, I read quite a few of the poems from the Renaissance. In doing so, I had found a favorite. This poem is entitled Nocturne of the Wharves by, Arna Bontemps. It reads: All night they whine upon their ropes and boom against the dock with helpless prows: these little ships that are too worn for sailing front the wharf but do not rest at all. Tugging at the dim gray wharf they think no doubt of China and of bright Bombay, and they remember islands of the East, Formosa and the mountains of Japan. They think of cities ruined by the sea and they are restless, sleeping at the wharf. Tugging at the dim grey wharf they think no less of Africa. An east wind blows And salt spray sweeps the unattended decks. Shouts of dead men break upon the night. The captain calls his crew and they respond the little ships are dreamingà ¢Ã¢â€š ¬Ã¢â‚¬Å"land is near. But mist comes up to dim the copper coast, mist dissembles images of the trees. The captain and his men alike are lost and their shouts go down in the rising sound of waves. Ah little ships, I know your weariness! I know the sea-green shadows of your dream. For I have loved the cities of the sea, and desolations of the old days I have loved: I was a wanderer like you and I have broken down before the wind. I believe that 090 and 094 English students will probably enjoy this type of reading. There is so  much more to this book than just the required reading. If you really look, there is an all new type of culture that our generation has never experienced. These are the things that make reading fun.