Tuesday, June 2, 2020

Two-Faced Transcendentalists - Literature Essay Samples

The transparent eyeball is a philosophical metaphor introduced by Transcendentalist, Ralph Waldo Emerson. The transparent eyeball represents an eye that serves only to be observant rather than reflective. Therefore it teaches us to take in all that nature has to offer. Christopher McCandles proves this very notion wrong. In the beginning stages of his life, he was very observant. He would keep to himself about the ideologies he strongly believed in. At times, when witnessing his parents fight, Christopher along with his sister would sit there witnessing their parents argue, with feelings of hatred. Chris absorbed the negativity from his parents and the corruptness of society. Chris McCandles acted as a transparent eyeball, according to Emerson, one would benefit from by being a silent onlooker since they would have a chance to find oneself. However, Chris did not benefit from being an onlooker, but rather it was the ability he had to voice his thoughts. This freedom was what powered Chris to find himself in the wildness. Without first standing up to his parents, he would never acquire enough will power to find himself in the Alaskan wilderness. Emerson and Chris McCandles, both incorporate transcendentalism in their lives, although, both seem to act hypercritical when carrying out their ideologies. Emerson preaches about living and going to the wilderness and finding himself, but he never did so, unlike Chris McCandles. However Chris gives us, readers an overwhelming amount of proof that he is a transcendentalist, but he performs a major task that contradicts his initial philosophies. Chris was seeking to go to Alaska to create his own experiences that diverge from society, although, found himself in a run down and used bus. This bus has clearly been used, and deteriorates his notion of creating ones own experiences. Christopher McCandles major turning point was when he broke out of the shell of the transparent eyeball is immediately after he graduated; his parents wanted to gift him with a new car. Almost instinctively, Christopher denied this gift, at that very point he was no longer an observant onlooker. He spoke out, and he voiced what he thought to be the way of life. As it is stated, â€Å"It was the first present she had received from her son in more than two years, since he had announced to his parents that, on principle, he would no longer give or accept gifts†¦I cant believe theyd try and buy me a car†¦bought my respect (p. 20-21) By Him affirming, he no longer wanted to accept of giving gifts, in other words, he didn’t want to owe anything to anyone. He was clearly an opinionated individual, once society capped him, he exploded, and unfortunately, his family felt the immediate repercussions, as he disappeared to Alaska for a long period of time. The fact that Chris wasn’t raised and practiced expressing his philosophies, triggered him to ratify his life, also known as escaping to Alaska. Christopher had to eventually voice his revolutionary ideas, such as depending on himself, and not to feel in debt and owe anything to anyone, even his parents. This represents the first turning point of Chris McCandless of no longer being voiceless or absorbent, he is no longer a transparent eyeball. It was time for him to speak out and stand up for what he believed in, no matter the negative onlookers that he will face throughout his journey. The fact that Chris kept all his notions and thoughts bottled up until his graduation caused him to commit rash decisions such as burning his money or escaped into the wilderness of Alaska where he did not communicate with his family. His family was a major cause of his rash decisions and society’s corrupt filter on your true self. Because his emotions were bottled up for so long he acte d out in what seemed illogical to us. If he would’ve voiced out his opinions from the start he would never feel compelled to abandoned his family and society. Chris McCandless and the major transcendentalism, Emerson and Thoreau, both were hypocritical when carrying out their philosophical ways. Emerson is generally hypercritical since he preaches one needs to go out to the woods and find your true self, although he has never physically escaped to the wilderness, unlike Chris McCandless. One of Thoreau’s main idea was to make your own path and not to follow others footsteps, although Chris McCandless does not direct his journey in this way. As stated in his essay, Walden, or Life in the Woods, â€Å"It is remarkable how easily and insensibly we fall into a particular route, and make a beaten track for ourselves. I had not lived†¦ he would meet with a success but it will be a success unexpected in common hour. â€Å" (p. 933) Once he discovers the run down bus where lies in a used bed and puts old utensils into use. If Chris would have purely believed in his transcendentalist ideas he would not live where other experiences wer e created in that very space. Emerson believes that when you are a child, you attain special connections to daily activities because you have not yet been corrupted by society’s filter. He states this in his essay, Nautre, To speak truly, few adult persons can see nature. Most persons do not see the sun. At least they have a very superficial seeing. The sun illuminated only the eye of the man, but shines into the eye and the heart of a child†¦ (p. 487) Chris as a child was not able to have these personal connections because he was observant and acting as a transparent eyeball. Instead of acting as an extrovert and voicing his opinions, he was raised and trained his mind to stay silent. This caused his extreme urges of breaking out the reflective shell in order to have these connections that were in a lack of in his childhood. His expedition to Alaska made up for all of his lost connections as a kid. By being observant of society’s brainwashing powers, he became unable of speaking out, until a m ilestone in his life, graduation. This is when he was able to become independent and voice his philosophies, which allowed him to have the experiences he yearned for. Emerson and Thoreau were major transcendentalists who were not only hypocritical but also teach, young journey seekers, such as Chris McCandless about personal experiences and daily life adventures. However, many of their philosophies are contradicted by their own actions. In addition, Chris McCandless proved some of their notions wrong. All of his childhood he had been what Emerson refers to the transparent eyeball, reflective and observant. This caused him to bottle his emotions and result in an extreme need to escape society. Emerson believes that being observant will lead to one finding oneself. But, in Chris’s case, he found himself in the complete opposite case. He spoke out and stated his philosophies, which shocked and disappointed his family, but for once he stood up for himself. Although some of Chris actions were contradictory to his initial conquest, for example, cheating his own experiences, and feeding off others â€Å"traveled paths.† He doesn’t ta ke to the grave his philosophies in life, and but rather prays to god after claiming he was an atheist. Chris’s revered idols proved to be two faced in the end. Even though Chis proved some of Emerson’s notions to be incorrect, they still are similar, in the sense that they are both hypocritical.

Saturday, May 16, 2020

Mitochondrial Neurogastrointestinal Encephalopathy Disease...

Zarae Allen Mrs.Willard Honors Biology 1December 2016 Mitochondrial Neurogastrointestinal Encephalopathy Mitochondrial Neurogastrointestinal Encephalopathy disease (MNGIE) is an extremely rare disease that affects the process of muscles and shows up in equal numbers of men and women. Only 70 cases of this disease have been reported. A mutation of the thymidine phosphorylase causes MNGIE and lowers the production of adenosine triphosphate production. To begin, mitochondrial neurogastrointestinal encephalopathy disease is related to adenosine triphosphate because it lowers the production. In a case report on Hindawi called â€Å" Anesthetic Management of a Child with Mitochondrial Neurogastrointestinal Encephalopathy† it states, â€Å" These mutations can result in a decrease in ATP production via oxidative phosphorylation in the respiratory chain found in the mitochondria, affecting tissues that have high energy demands including cardiac, nervous, and skeletal muscle tissue.† An enzyme called thymidine phosphorylase, mutates affecting how ATP is made. As a result, it affec ts the muscle cells of the organism because people with this disorder do not have enough energy to move their muscles in their body. Also, in Genetic Home Reference that had the topic of MNGIE, it reads â€Å"... the muscles and nerves of the digestive system do not move food through the digestive tract efficiently. The resulting digestive problems include feelings of fullness (satiety)

Wednesday, May 6, 2020

Essay on Legal Article Review - 2785 Words

* Article or Case Law Search Resource: Article or Case Law Search Grading Criteria Find an article or a current legal case involving one of the following: * A critical regulatory issue in health care * A critical regulatory issue specific to institutional health care ------------------------------------------------- Write a 700- to 1,050-word analysis of the article or legal case and prepare to present how the issue in the article or legal case relates to the nature, sources, and functions of the law. References Health Care Issues Brief- Acute Care (1997-2012). Retrieved from http://www.asha.org/slp/healthcare/acute_care.htm Changes Impacting Speech-Language Pathology Practice In An Acute Care Medical Setting†¦show more content†¦1. Aging Population * People are living longer. * End of life is being prolonged through medical advances and technology. * Different issues are being considered: quality versus quantity of life and risks versus benefits; e.g., eating for pleasure despite risks. 2. Acuity * Patients with acute illnesses are surviving longer due to expanded medical knowledge, available procedures and medical technology. Therefore speech-language pathologists are seeing patients with higher acuity levels. * Speech-language pathologists are being asked to address increasingly complex questions (e.g., managing a patient with dysphagia following a gastric pull-up procedure). 3. Advances in Medicine and Technology * Medical advances are leading to decreased sequelae after initial trauma/insult; e.g., sequelae of neurologic deficits following stroke are declining. * Surgical, pharmacological, and prosthetic interventions are reducing and replacing the need for behavioral therapy; (e.g., laryngeal surgery, tracheoesophageal prosthesis, Mestinon, thymectomy.) 4. Culturally Diverse Population * A more culturally diverse patient population is requiring providers to establish cultural competency by having improved knowledge of different cultural perspectivesShow MoreRelatedLegal Aspects of Diversity Article Review Essay900 Words   |  4 Pages Reference Forsyth, J. (2011, September 22). Bass pro shops accused of discrimination, racial slurs. Reuters. Retrieved from: http://www.reuters.com/article/2011/09/22/us-race-bassproshops- idUSTRE78L4K820110922 Bass pro shops: The story. (2012, March 01). Retrieved from http://www.basspro.com/webapp/wcs/stores/servlet/CFPageC?storeId=10151amp;catalogId=10001amp;langId=-1amp;appID=659 Read MoreFinancial Services Essay707 Words   |  3 Pagesfor 2017. It is hard to believe the year is already drawing to a close! Our holiday edition of the newsletter is one of our biggest. This month’s articles will stimulate our minds by providing timely commentary on recent regulatory developments and useful guidance on handling legal and commercial issues in practice. Let us begin with an article on the hot topic of ICOs. ICO stands for Initial Coin Offering. Editorial board member Andrea Beatty and her co-author Daniel Taha (Keypoint Law) takeRead MoreThe Death Penalty : Costly, Counterproductive, And Corrupting1678 Words   |  7 PagesBright, Stephen B.: The death penalty as the answer to crime: costly, counterproductive and corrupting; 35 Santa Clara Law Review 1211 (1995) Summary paragraph: In Stephen Bright’s article, â€Å"The Death Penalty as the Answer to Crime: Costly, Counterproductive, and Corrupting† Bright asserts that capital punishment does not work because it is racially biased, the quality of the lawyers and attorneys supplied by the state to poor defendants is unfair, and that the law system currently in place doesRead MoreRestraints Review Of Qualitative And Quantitative Studies1517 Words   |  7 PagesRestraints Review of Qualitative and Quantitative studies The purpose of this paper is to critique the research article, Mohler Meyer’s â€Å"Attitude of nurses towards the use of restraints in geriatric care: A systemic review of qualitative and quantitative study 2014. The incident I am going to discuss in this paper is of Mr. P., an 85-year-old man, admitted to this facility about 4 months ago. His history includes coronary heart disease, cataract, dementia, hypertension, macular degeneration andRead MoreCase Study : Good Or Service773 Words   |  4 Pagesbecame tilted. Gulash brought suit, alleging that Stylarama had violated several provisions of Article 2 of the UCC. Is this transaction one involving goods, making it subject to Article 2? Gulash v. Stylarama, 33 Conn.Supp. 108, 364 A.2d 1221, Web 1975 Conn.Super. Lexis 209 (Superior Court of Connecticut) (Cheesman, 2010, p. 292). Introduction This review will address several issues associated with the legal, business, and ethics related to the case. First, it will address the legality of the caseRead MoreLegal Issues of Performance Management1106 Words   |  5 PagesLegal Issues of Performance Management Legal issues associated with a performance management system can vary, but as Herman Aguinis states â€Å"performance management systems that are fair and acceptable to the employees are also legally sound† (Aguinis, 2013). The following paper will review some of the most common mistakes found in performance management systems that allow for legal implications to take place. The primary focus will be directed towards procedural standardization and implementingRead MoreAn Essay Likely About Nothing1334 Words   |  6 Pagesfor human subject protection? a) The Public Health Service (PHS) syphilis study b) Nazi medical experiments c) Jewish chronic disease study d) Obedience to authority study (Milgram study) 160) IRB continuing review of an approved protocol must: a) Must occur only when the level of risk changes. b) Occur at least annually. c) Must be conducted by a convened IRB. d) Include copies of all signed consent forms. 161) A subject in a clinical research trial experiences a serious, unanticipatedRead MoreManaging Customer Perceptions of the Business Environment for Competitive Advantage1743 Words   |  7 PagesPredrag Basic BA 656 01/16/2011 Article Critique: Managing customer perceptions of the business environment for competitive advantage By: Toni Hilton, PhD Westminster Business School, UK and Warwick Jones, PhD University of the West of England, UK Journal of Customer Behavior, 2010, Vol. 9, No. 3, pp. 265-281 Article Summary Per Bendapudi and Berry, the environmental influences consumer behavior but does not influence consumers’ trust. Organizations have to research extentRead MoreCompetency And Competency For Stand Trial986 Words   |  4 Pages[Electronic Version]. Applied Psychology in Criminal Justice, 2(3), 82-113. Summary: This article was written by Randy K. Otto fir the journal, Applied Psychology in Criminal Justice. The subject of this article is to review the legal framework regarding competency to stand trial, or competency to proceed, as it pertains to our current court system, provide a recommend format for competency evaluations, and review special topics and/or related issues. Competency to stand trial is defined as â€Å"the abilityRead MoreWhat Are The Two Primary Functions Of The U.s. Constitution? Essay871 Words   |  4 PagesS. Constitution is to protect individual’s rights from governmental overreaching. 2. What is the power of judicial review, and why is it so important to our legal system? -The power of the judicial review is â€Å"A court’s power to review statutes to decide if they conform to the U.S. or state constitutions†. It is important to our legal system to have the power of the judicial review as a tool to the disposal of the courts when conflicts arise within the law or constitution. 3a. Read the excerpts

Tuesday, May 5, 2020

Essay On A Complex Case Of Pregnancy †Free Samples For Students

Question: Discuss About The Essay On A Complex Case Of Pregnancy? Answer: Introduction: Perinatal care involves an important aspect of midwifery. Midwives working in a setting of primary health care, pregnancy or birthing units, and neonatal or perinatal care units are required to have the necessary skills and technical knowledge of complications during pregnancy and the medical care procedures to avoid problems pertaining to pregnancy (Aksornphusitaphong Phupong, 2013). The primary responsibilities of the midwife include the assessment, diagnosis, and appropriate nursing care management of pregnant women. One of the primary and most common complications in pregnancy is pre-eclampsia and hypertensive disorders. Additionally, the mortality rate of mothers with hypertensive disorders is high (Stellenberg Ngwekazi, 2016). Pre-eclampsia is additionally called toxaemia and is characterised by the elevation in the levels of blood pressure in pregnant women. Pre-eclampsia is a type of hypertensive disorder and is found to be responsible for approximately 8% mortality in pregnant women. The complication of pre-eclampsia during pregnancy commonly develops during the third trimester of pregnancy and is less commonly encountered in the gestational period (English, Kenney, McCarthy, 2015). The risk factors for the development of pre-eclampsia during pregnancy are varied and range across multiple elements such as nulliparity, obesity, chronic diabetes, medical history in the family, or donation of ova (Buhimschi et al., 2014). The current article discusses a case study of complication of pre-eclampsia during pregnancy, the pathophysiology of the disease, midwifery and nursing care in pregnant women with pre-eclampsia, and the role of the midwife in pregnancy and prenatal pre-eclampsia therapy protocol (Stellenberg Ngwekazi, 2016). Case-study: Clara Turner is a 32-year-old housewife. She is a first-time mother. She current lives with Richard Turner, her husband, in Clermont, Queensland. Clara presented to the hospital complaining of severe pain in the abdomen, last week. Clara is a housewife and Richard works on the family farm. Clara does not have a medical history of high blood pressure or diabetes. Claras trimestral records in pregnancy show striae gravidarum, melasma, and lineanigra. She additionally complained of headache and nausea frequently. The patient has a medical history of hypertension on her paternal familial side i.e. both her paternal grandmother and father had hypertension. Clara experiences anxiety and restlessness. Her medical examination shows borderline obesity and raised blood pressure. Clara was diagnosed with pre-eclampsia. Clara has been rapidly putting on weight ever since her first presentation, has dizziness and headaches frequently, and has excessive instances of nausea. Upon examination, it wa s found that the urine output is decreased and her neurological reflexes and orientation are slightly hindered. Pre-eclampsia pathophysiology and disease mechanism: Pre-eclampsia belongs to the large spectrum of diseases associated with hypertension and is commonly found in pregnant women during the third trimester of pregnancy (Mustafa, Ahmed, Gupta, Venuto, 2012).It has a high aetiology rate and is one of the most common complications ofpregnancy. The pathogenesis and the disease mechanism is relatively unknown in research. The hypertension that is found in pregnant women with pre-eclampsia has several harmful or adverse effects on the foetus and the mother.The development of pre-eclampsia generally occurs during the twentieth week of pregnancy or during the childbirth. The condition can last up to the postpartum stage of 48 hours (Ferreira, Silveira, Silva, Souza, Ruiz, 2016). Pre-eclampsia is one of the broad spectrum of diseases belonging to the pathobiology of hypertensive disorders during pregnancy (Direkvand-Moghadam et al, 2012). The other disorders include: chronic hypertension, gestational hypertension, and pre-eclampsia (Ferreira et al., 2016). The determination of pre-eclampsia in pregnancy is primarily done by means of measurement of blood pressure values. The value of 140/90 mm Hg or higher value of blood pressure (diastolic pressure of 140 mmHg and systolic value of 90 mmHg) indicate the presence of pre-eclampsia in pregnancy. Pathogenesis of the disease: The physiological observations of the disease include the presence of several significant modifications in the vascular system of the patient (Guerrier et al., 2013).The systemic blood flow and vascular hemodynamic characteristics are greatly altered in the disease condition(Mustafa et al., 2012). The alterations are found in the prenatal stages. These changes may be appreciated upon inspection and physical examination (Shegaze et al., 2016). There are observable changes in the systolic and diastolic blood pressure values(Direkvand-Moghadam et al, 2012). The increase in the level of diastolic pressure is higher as compared to the diastolic pressure values. The alterations are seen during the 20th week of pregnancy and the values may be higher than 140 mmHg. The systemic values of blood pressure and the vascular blood flow also increase accordingly. These changes are accompanied by elevation in the levels of cardiac output (Mustafa et al, 2012). The peak t hreshold value of blood pressure and cardiac output are reached during the 18th and the 20th week of gestation. The values are incremented with the progress of pregnancy (Kattah Garovic, 2013). Additionally, there is an observable increase in the stroke volume, pulse, and heart rate. The increase in the stroke volume and heart rate result in the increase in the amount of blood that is pumped to the heart. The quantity of blood flow increases to the circulations of the pulmonary and the systemic type (Guerrier et al., 2013). The load of blood volume is necessarily increased as a consequence of the raised blood flow rate. The vascular changes in circulation result in the increased blood volume load leading to higher systolic and diastolic blood pressure and cardiac output. Patients may experience palpitations and anxiety at several instances, as in the case of Clara. The increase in the load of blood volume leads to hypertrophy in the left ventricle of the heart. This leads to an inc rease in the work load on the cardiac muscles and increased relaxation durations in the cardiac cycle (Mustafa et al., 2012). The mean arterial pressure value is greatly reduced. Therefore, the cardiac work load increases manifold in order to keep up with the increase in the cardiac output. There is a substantial elevation in the volume of plasma, leading to the increased cardiac output. This increases the capacity of circulation in the blood flow (Kenny et al., 2014). Therefore, there is an observable level of increase in the capacity of blood circulation along with a decline in the tone of circulation.Therefore, during gestation, the vasculature is mostly flaccid. However, the muscle tone is mostly rough and the reduction in the smoothness is not just limited to the vasculature of the system. The muscle tone may be shared with the smooth muscles present in the urinary tracts and the gastrointestinal tract. The pathobiology of the disease and the subsequent regulation in the volume of the blood flow can be done through hormones circulating in the blood (Lecarpentier et al., 2013). These hormones mainly include the system of aldosterone, renin, and angiotensin circulating in the blood. The level of catecholamine in the blood is also greatly enhanced during the period of gestation (Ferreira et al., 2016). The renal perfusion and the plasma volume are greatly reduced due to the stimuli of the physiological basis of these hormones. The pressor compounds that are infused during pregnancy also contribute to an effect of vasoconstriction. The pathophysiological factors of causation of hypertensive disorders and pre-eclampsia in pregnancy include placental, renal, dietary, or immunological elements (Lecarpentier et al., 2013). Vascular injuries resulted from immunological mediation may also lead to the development of pre-eclampsia. The renal function and glomerular filtration rate are greatly r educed in pregnant women with pre-eclampsia (Kattah, Garovic, 2013). Role of the midwife: The midwives working in prenatal or pregnancy units have a considerable amount of responsibility in the identification of a plausible case of pre-eclampsia in pregnancy (Stellenberg Ngwekazi, 2016).The primary factors that determine the presence of pre-eclampsia include oedema (Lecarpentier et al., 2013). This is frequently accompanied by the presence of proteinuria. Midwives function in a role that comprises of both medical knowledge and traditional birthing skills. Pregnant women with gestational complications are in an extremely vulnerable and helpless situation which needs to be taken into consideration by the midwives. The primary intervention is to determine the measured values of blood pressure. The symptoms of pre-eclampsia need to be monitored. The assessment and the interpretation of the blood pressure values need to be made at immediate suspicion. The hyperbasric index and the ambulatory blood pressure have to be determined (Navaratnam et al., 2013). The hyperbaric pressure is determined when the blood pressure increase is higher than 90% of the limit of tolerance in a specific period of time. The treatment protocol mainly involves medication for hypertension. The diagnosis of pre-eclampsia includes a high value of blood pressure at approximately 100 mmHg of diastolic pressure (approximately 140 mmHg), proteinuria ( 5g in a span of 24 hours), and observable oedema of the pulmonary kind (Stellenberg Ngwekazi, 2016). The management of pre-eclampsia includes a significant role of the midwife, starting from the identification, diagnosis, treatment, and childbirth(Rowe et al, 2012). The midwife is required to observe the tendencies and presentations of pre-eclampsia, signs and symptoms, and diagnosis. The identification of the disease in the gestational or prenatal phase enables the appropriate determination of the underlying vascular and renal pathomechanism (Rowe et al., 2012). Therefore, it enables the appropriate measure for treatment. The hormonal inconsistencies and the treatment for the hypertensive disorder does not have any implications on the gestational cycle or the childbirth (Tessema et al., 2015). The treatment procedure does not cause any delays or alterations in the time of the childbirth. However, the occurrence of elevated blood pressure levels, diastolic pressure, cardiac output, and heart rate are common symptoms in hypertensive spectrum disorders (Tessema et al., 2015). Therefor e, the determination of proteinuria and related symptoms of pre-eclampsia is essential in midwifery (Stellenberg Ngwekazi, 2016). Conclusion: Hypertensive spectrum of disorders and pregnancy complications are much common across the world. The presence of pre-eclampsia as a complication in pregnancy is one of the most common occurrences. The midwife is required to monitor the individual presentations, the disease pathology, and symptoms. The diagnosis of the disease in the prenatal and gestational stages enables immediate recognition and subsequent timely treatment. The cure of hypertension or preeclampsia does not typically occur with hypertension medication, but occurs after childbirth. Therefore, the role of the midwife is significant during the childbirth and in the neonatal care. The midwife is required to determine the early signs and symptoms of the health of the pregnant woman. It is essential for the midwife to determine the specific blood flow volume and cardiac output as signs of pre-eclampsia. Since the disease is associated with high degrees of mortality in pregnant women and the foetus, it is critical to metic ulously perform physical examinations at the early stage along with understanding and recording the frequency and severity of oedema, nausea, and headache. Pre-eclampsia has a high rate of aetiology and leads to several complications during the gestation period. The disorder is co-morbid in pregnancy and is present until childbirth References: Aksornphusitaphong, A., Phupong, V. (2013). Risk factors of early and late onset preeclampsia. J ObstetGynaecol Res., 39, 627-631 Buhimschi, I.A., Nayeri, U.A., Zhao, G., et al. (2014). Protein misfolding, congophilia, oligomerization, and defective amyloid processing in preeclampsia. Science Transl Med., 6(245), 245ra292. Direkvand-Moghadam, A., Khosravi, A., Sayehmiri, K. (2012). Predictivefactors for preeclampsia in pregnant women: a univariate and multivariatelogistic regression analysis.Acta Biochim Pol, 59, 673-677 English, F.A., Kenney, L.C., McCarthy, F.P. (2015). Integrated blood pressure control. Risk factors and effective management of preeclampsia, 8, 712 Ferreira, M.B.G., Silveira, C.F., Silva, S.R., Souza, D.J., Ruiz, M.T. (2016). Nursing care for women with pre-eclampsia and/or eclampsia: integrative review. Rev Esc Enferm USP., 50(2), 320-330 Guerrier, G., Oluyide, B., Keramarou, M., Grais, R.F. (2013). Factors associatedwith severe preeclampsia and eclampsia in Jahun, Nigeria. Int J WomensHealth, 5, 509-513. Kattah, A.G.Garovic, V. (2013). The Management of Hypertension in Pregnancy. Adv Chronic Kidney Dis., 20(3), 229239 Kenny, L.C., Black, M.A., Poston, L., et al. (2014). Early pregnancy prediction of preeclampsia in nulliparous women, combining clinical risk and biomarkers: the Screening for Pregnancy Endpoints (SCOPE) international cohort study. Hypertension, 64(3), 644652. Lecarpentier, E., Tsatsaris, V., Goffinet, F., Cabrol, D., Sibai, B., et al. (2013). Riskfactors of superimposed preeclampsia in women with essential chronichypertension treated before pregnancy. Plos One, 8, e62140 Mustafa, R., Ahmed, S., Gupta, A.,Venuto, R.C. (2012). A ComprehensivConclusion: Navaratnam, K., Alfirevic, Z., Baker, P.N., et al. (2013). A multi-centre phase IIa clinical study of predictive testing for preeclampsia: improved pregnancy outcomes via early detection (IMPROvED). BMC Pregnancy Childbirth,13, 226. Rowe, R.E., Kurinczuk, J.J., Locock, L., et al. (2012). Womens experience of transfer frommidwifery unit to hospital obstetric unit during labour: A qualitative interview study.BMC Pregnancy Childbirth, 12, 129. https://dx.doi.org/10.1186/1471-2393-12-129 Stellenberg, E.L. Ngwekazi, N.L. (2016). Knowledge of midwivesabout hypertensive disordersduring pregnancy in primaryhealthcare. Afr J Prm HealthCare Fam Med, 8(1),a899. Shegaze, M., Markos, Y., Estifaons, W., Taye, I. et al. (2016). Magnitude and Associated Factors of Preeclampsia Among Pregnant Womenwho Attend Antenatal Care Service in Public Health Institutions in Arba Minch Town, Southern Ethiopia. GynecolObstet (Sunnyvale), 6(12), 1-6 Tessema, G.A., Tekeste, A., Ayele, T.A. (2015). Preeclampsia and associatedfactors amongpregnant women attending antenatal care in Dessie referralhospital, Northeast Ethiopia: a hospital-based study. BMC Pregnancy andChildbirth, 15, 73.

Saturday, April 18, 2020

Love Song Of Prufrock Essays - Chapbooks, , Term Papers

Love Song Of Prufrock In his poem "The Love Song of J. Alfred Prufrock," Eliot explores the timeless issues of love and self-awareness - popular themes in literature. However, through his use of Prufrock's profound self-consciousness he skews the reader's expectations of a "Love Song" and takes a serious perspective on the subject of love, which many authors do, but few can create characters as deep and multi-layered as Prufrock; probably the reason that this poem still remains, arguably, Eliot's most famous. The beginning of the poem is pre-empted by an excerpt from Dante's Inferno which Eliot uses to create the poem's serious tone, but also to begin his exploration of Prufrock's self-consciousness. By inserting this quote, a parallel is created between Prufrock and the speaker, Guido da Montefeltro, who is very aware of his position in "hell" and his personal situation concerning the fate of his life. Prufrock feels much the same way, but his hell and the fate of his life are more in his own mind and have less to do with the people around him. The issue of his fate leads Prufrock to an "overwhelming question..."(10) which is never identified, asked, or answered in the poem. This "question" is associated somehow to his psyche, but both its ambiguity to the reader and Prufrock's denial to even ask "What is it?"(11) gives some insight into his state of internal turmoil and inability to reason. Prufrock's dissatisfaction in his personal appearance is one, but not the most important of his idiosyncrasies. Not only is he unhappy with the nature of his appearance, having "To Prepare a face to meet the faces that you meet;" but he is fearful of what others will have to say about him: "(They will say: ?How his hair is growing thin!')"(41) and "(... ?But how his arms and legs are thin!')"(44). Prufrock is insecure and frightened of peoples' reactions to his balding head and slim, aging body. Unfortunately, his lack of confidence isn't limited to his looks. Prufrock has difficulty communicating with people - not surprising considering his extreme lack of confidence in his appearance. He's indecisive and unsuccessful in his attempts to communicate with other people, repeating "visions and revisions"(33) and "decisions and revisions..."(48). Eliot uses repetition here to emphasize the concept of Prufrock's alterations in behavior - whether he does change his behavior or not is another issue... most likely he doesn't because he also repeats the question "?Do I dare?' and, ?Do I dare?'"(38). Possibly, he's asking if he should dare "and drop a question on your plate;"(30) meaning one of his "dares" could be something that he'd like to ask a woman but can't; he also asks "Do I dare/ Disturb the universe?"(45-46). In this case Eliot uses hyperbole to give the reader the impression of the seriousness of Prufrock's insecurities - they are his whole "universe." However, this is only one explanation where there are a number of possibilities. Once again, Eliot uses the device of ambiguity to reflect the internal struggle in Prufrock and lead the reader to ask themselves again "What is the ?overwhelming question' that Prufrock is asking?" Unfortunately even Prufrock himself doesn't have the answer... even recognizing the issue itself is beyond the simplicity of his mind, which he confesses by saying "I am no prophet- and here's no great matter;"(84). By downplaying the importance of the issue, Prufrock echoes his lack of self-worth. In fact, to Prufrock, the issue is extremely important - the fate of his life depends on it. His declaration that he isn't a prophet indicates Prufrock's view on his position in society, which he is as confused about as everything else. To interject a little history: Eliot wrote this poem during a time in which social customs, especially in Europe, were still a very important issue. There were basically two classes - rich and poor, neither of which Prufrock really fits into. Eliot creates the idea of Prufrock being caught between the two classes in the very beginning of the poem, (if not by J. Alfred Prufrock's unusual pompous/working class sounding name) when he juxtaposes the images of "restless nights in one-night cheap hotels/ And sawdust restaurants with oyster-shells"(4-5) and the women who "come and go Talking of Michelangelo."(13-14). These two images represent two completely different ways of life. The first image is of a dingy lifestyle - living among the "half-deserted streets"(4) while the second is the lifestyle that Prufrock longs to be associated with - much like the image of Michelangelo's painting on the ceiling of the Sistine chapel where God

Saturday, March 14, 2020

Rebel Without a Cause essays

Rebel Without a Cause essays The film Rebel Without a Cause puts emphases on the relationship between parents and their children. The relationship between Jim Stark (James Dean) and his parents helps the viewers understand Jim attitude towards his parents. In the beginning of the film Jim deals with his parents in a commanding way and takes control of arguments he has between his parents. Jim tries to find a father figure in his father, but his mother always takes control of his father. All his life, Jim wanted to see his father stand up for himself. In the police station at the beginning, Jims parents were arguing and he interrupted them by exclaiming, Youre tearing me apart! You say one thing, he says another, and everybody changes back again. This quotation was made to release the anger and frustration that Jim has inside of him. Being a parent is more than loving a child, it requires commitment and support. The quote made Jims parents think that love and affection are the only things that Jim needs. Jim blames his parents for the misery in his family. Jim takes control of the arguments he has between his parents. While Jim was arguing with his mother, Jim turned to his father for support. Jims father replied, This is all going to fast for me. Jim snapped back at his father, You better give me something. You better give me something fast. Jim choked his father for not standing up for him and he stormed out of the house. Jim wanted to confront his parents about his problems that he has and he wanted to fix it. He does not want to run away from his problems anymore, he wants his parents and him to faced the problems they are having together. Jim wanted his father to learn how to stand up for himself. Ray Stark (Jim Backus), Jims father, does not have respect from his son and Jims mother. Several times in the film, Jim turned to his father for advice, but his father backs down because h...

Thursday, February 27, 2020

Mrk #1 Essay Example | Topics and Well Written Essays - 250 words

Mrk #1 - Essay Example Finally, a key aspect of any relationship is that it is balanced; one side does not hold all the power. Aspects that tend to cause problems in relationship include incompatible personalities and one person depending totally on the other person. 2. In this situation, I would let the incident go because the salesperson is consistent with hitting sales objectives. If I was to reprimand him, then it may adversely affect his performance, and this would not benefit the company. While other salespeople have a right to be concerned, I would trust the judgment of the employee who sensed that a large order was possible. However, I would remind this particular salesperson about the companys stated guidelines for customer entertainment expenses and give him a warning. I would tell him that another incident like this could potentially land him in hot water, so he needs to be a little bit more selective next time when he feels that he is close to finalizing a deal with a major