Wednesday, November 27, 2019

Summary of To Kill a Mockingbi essays

Summary of To Kill a Mockingbi essays The book To Kill A Mockingbird, by Harper Lee, is a magnificent story about guilt, fairness, race relations, and about life itself. It is told in the eyes of an already mature six-year old girl named Jean-Louise Finch, Scout for short. In the midst of the story Scout and her older brother Jeremy Finch, also known as Jem, grew more in their maturity by seeing certain events that happened around them. The stories major conflict is self-against-community while at the same time self-against-self. When Scouts father, Atticus, was faced with defending a black man accused of raping Mayella Ewell, a white girl, he new that his family would be ridiculed due to the racial prejudice of the time and place; that being Alabama in the 1930s. Additionally Tom Robinson, the accused, was a friend of Atticus. Atticus was faced not only with defending Tom throughout the trial, but also faced with defending his action to his children, whom he was trying to raise without prejudice. Tom Robinson was ultimately found guilty of rape and sentenced to death by a jury of white farmers. Atticus convincingly showed that, due to an injury to his right arm, he could not have inflicted the bruises on Mayellas face. He was further able to prove that Mayellas father was the rapist. Unfortunately, Tom was killed while trying to escape from a prison camp. Mr. Ewell felt ridiculed in court and swore to take revenge on Atticus. Another self-against-self conflict within the story is Scouts and Jem s dealings with their neighbors, the Radleys. Afraid of the adult son Boo Radley, whom they have never seen, they have been led to believe through stories of other children in town, that Boo is a vicious, horrifying looking monster. They always ran past his house so he wouldnt get them. Yet dared, Jem ran onto Boos porch and slapped the house one-day in attempts to get Boo to come...

Saturday, November 23, 2019

Ipso Facto and Other Factos

Ipso Facto and Other Factos Ipso Facto and Other Factos Ipso Facto and Other Factos By Maeve Maddox It was probably a typo, or a spell checker correction gone wrong, but this caption under a photo in a newspaper movie section startled me into a post: Corsican crime boss Cesar (Niels Arestrup) is the de factor head of the prison in which Malik (Tahar Rahim) finds himself in Jacques Audiards A Prophet. The correct spelling is de facto. As a legal term, de facto is usually opposed to the term de jure. de facto [dÄ ­ fÄÆ'ktÃ… ,]: in fact, in reality, in actual existence, force, or possession, as a matter of fact. de jure [dÄ“ jÊŠrÄ“]: of right, by right, according to law. Here are examples of de facto used on the web: De facto disenfranchisement has devastating long-term effects in communities across the country. Remember: A de facto parent is not the same as a parent. One very widespread phenomenon that calls strongly upon the conscience of the Christian community today is the growing number of de facto unions in society as a whole, with the disaffection for the stability of marriage that this entails. Heres one with de jure: The Supreme Court first approved of de jure segregation in Plessy v. Ferguson (1896) Heres an example that contains both de facto and de jure: Outside the ministries, alongside the baby blue of the UN ï ¬â€šag, stands the black double headed eagle and blood red backdrop of the Albanian ï ¬â€šag, Kosovo’s de facto ï ¬â€šag†¦ Perhaps the only thing that is clear in Kosovo is that there is a huge divide between the de jure status of this piece of land and the de facto reality on the ground. Two other facto terms are ipso facto and ex post facto. ipso facto [Ä ­psÃ…  fÄÆ'ktÃ… ]: By that very fact; by the fact itself. If you grow up in Brooklyn, youre a New Yorker ipso facto. - Norman Mailer It’s Cold! Ipso Facto, Global Warming is a Myth, Fraud, Scam. ironic headline In 1883, on the death of Pusey, [Samuel Driver] became Regius Professor of Hebrew at Oxford and (ipso facto) a Canon of Christ Church. People apparently love the sound of ipso facto. The phrase is popular with entertainment groups and merchants. Ipso Facto is a great new shop in Three Oaks, Michigan. Ipso Facto Gothic Industrial Punk fashion and music webstore featuring gothic dresses, gothic shirts, gothic skirts In 1986 Wayne left Shangoya and started a band named Ipso Facto Ipso Facto was an overlooked, esoteric gothic band from the UK in the 80s. ex post facto [Ä•ks pÃ… st fÄÆ'ktÃ… ]: Done after another thing, and operating retroactively. The term is usually used in reference to a law that would punish a person for having done something that was not against the law when it was done. 2008 Alaska Rules Ex Post Facto Registration Unconstitutional The Constitution provides important safeguards against government regulation of private conduct in both the civil and criminal contexts – including the Ex Post Facto Clause, which protects against the retroactive application of laws. Scotusblog The Lautenberg Amendment has faced several challenges in federal court. Opponents of the law have argued that the amendment violates the †¦ Ex Post Facto Clause†¦ Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:Compared "to" or Compared "with"?Awoken or Awakened?What the Heck are "Peeps"?

Thursday, November 21, 2019

Cellular pathology 1 Essay Example | Topics and Well Written Essays - 750 words

Cellular pathology 1 - Essay Example The eggs of  E. vermicularis which can be seen in the picture are roughly 25 x 60 um in size. The organism has a thin shell and one of the sides is compressed. The eggs and shell of organism have taken up the pink dye which makes them recognizable. The presence of E. vermicularis in the appendix can give the symptoms of acute appendicitis (Wiebe, 1991, p.g. 336). The appendix is a vestigial organ present in the human body. The inflammation of this organ leads to appendicitis. Acute appendicitis is one of most common diseases that lead to inflammation of the gastrointestinal tract. Acute appendicitis is caused due to the obstruction of the lumen, diminished blood supply, pinworm infections caused by Enterobius vermicularis, bacterial infections or due to ischemic damage to mucosal lining of organ (Becker and Hofler, 2002, pg.777). The best described pathogenesis of appendicitis is an obstruction in the appendiceal lumen. The obstruction can be due to lodging of foreign body, lymphoid hyperplasia, fecolith or tumours. The pathogenesis of appendicitis can be understood by the course that the disease takes. In the primary stage, there is obstruction of the lumen which causes accumulation of fluid leading to elevation of intralumin al pressure and lastly resulting in distension of lumina. Suppurative appendicitis occurs due to increased intraluminal pressure which increases the capillary perfusion leading to venous obstruction and hence causing arterial compromise. These crucial events lead to ischemia of the mucosal surface and allow bacterial infestation. As the disease progresses, it causes mural infection which is characterized by oedematous thickening of the appendicular walls. When observed grossly the appendix appears hyperaemic and enlarged. If this progressive condition is not managed surgically it may lead to perforation and gangrene. Gangrenous appendicitis may present as friable serosa with green or black discoloration. If

Tuesday, November 19, 2019

John Morgan and Pharmacy Essay Example | Topics and Well Written Essays - 250 words

John Morgan and Pharmacy - Essay Example John Morgan is considered to be the first teacher and practitioner of pharmacy. He was taught pharmacy, chemistry of pharmaceutical and material medica to students, who were studying medical. He is well known because he had laid down the foundations for separating pharmacy from medicine (Cowen & Helfand, 102). The main objective of this separation was to divide the medical field in to different branches in order to enhance and improve the entire profession. Consequently, pharmacy would be cultivated as a separate branch so that it can have a positive impact on medicine. Another reason for this separation was that pharmacy can be improved so that it could be practiced with precision and proficiency. This separation was essential for the benefit of the public (Crellin, & Scott, 200). John Morgan has made a significant and noteworthy impact on modern pharmacy. He has established the foundations of pharmacy and it has now developed as a separate discipline. After the establishment of pharmacy as a separate discipline, doors for professional pharmacy have opened. John Morgan is considered to be one of the most prominent figures in medical history because he had separated medicine from pharmacy. This separation assisted professional pharmacy to growth and develop as a separate discipline.

Sunday, November 17, 2019

Online vs Brick and Mortar Essay Example for Free

Online vs Brick and Mortar Essay In today’s world, everyone is always so busy and sometimes there is just not enough time in the day to get all your work done. Technology is changing to make everything in our lives easier; like the way we pay bills, online banking, find information, get reviews, order tickets, and so much more. One thing that technology has changed that is beneficial for everyone is the way we shop. Brick-and-mortar has always existed, but now with online shopping it has become a competition to the old-fashioned way. Most people spend their days at work, then come home to clean, cook dinner, help the children with homework, and get them ready for bed. With all that going on people sometimes forget things that they were supposed to do. So now instead of bothering to go to the store, you can comfortably sit on the couch and shop for what you need without all the hassle. Online shopping is becoming more popular these days, because you can now get anything you want without leaving your home, it has many benefits, different sale opportunities, but there are also some inconveniences. When you are at the store, have you ever experienced one of those annoying and eager sales people trying to pressure you to buy a certain product that you have no interest in or just looking at? When shopping online you will not experience that problem any more. Online shopping has many advantages that benefit everyone, which going to the traditional store does not offer. Now you do not have to leave your home when you want to go to the store. You will not be wasting money on the gas to get there and back. Also when you shop online you never have to worry about the Internet closing (Top 10 Benefits Of Online Shopping, 2013). Stores have a closing time, except Wal-Mart, and if you don’t make it before closing you are out of luck until the next day. You will not have to worry about if the store is busy or if the lines will be long, because it will only be you on your computer. Online shopping is perfect if your town or state does not have the store that you love to shop at. Now you can get on the computer and still shop there without all the travel time. The best thing about online shopping is that there is normally more selection (Top 10 Benefits Of Online Shopping, 2013). If you went to the store already and if they did not have what you wanted any more, you could go online and there are normally more or different products you can pick from. Another benefit to online shopping is sending gifts (Top 10 Benefits Of Online Shopping, 2013). If your friends or relatives live in a different state, instead of mailing a gift you can go online, buy the item, and have them ship it to the recipient’s home. When shopping online compared to going to the store, you will receive different promotion or discount opportunities. Instead of going to all the stores checking for the best price on a certain item, you can easily look at all the stores online without all the extra work (Top 10 Benefits Of Online Shopping, 2013). Unlike shopping in the store, when shopping online you can Google discount codes for that store and save more money with the codes they offer. If you find yourself online shopping at the same store frequently it would be a good idea to sign up for their e-mail list. You will receive weekly codes free shipping and deals online that they do not normally have in the stores. Online shopping is marvelous to look at other people’s reviews on the product you are about to buy (Top 10 Benefits Of Online Shopping, 2013). If there are terrible reviews, you will save money by not choosing the poorly reviewed item. That benefit is not offered when shopping in the store. There are always inconveniences to trying to buy things online that you would not experience if you went to the store. If you are trying to buy clothing or shoes, you will have to know what your size is or you could order the wrong one. Most stores very in sizes, so it is not wise to order online if you are not familiar with your size from that particular store. When shopping for things like furniture or home dà ©cor, it may be hard to tell the size or exact color so when you get that item you may not like it in person. If you were shopping online for lotion, perfume, or makeup you may not like the scent, color, or feel of that product, but if you went to the store you would not deal with problem like that. Another thing that causes inconveniences is the shipping costs and the amount shopping time (Advantage Disadvantage Of Shopping Online, 1993). Instead of wasting gas money, you have to spend money shipping the products to your house, and it could take days to get there. At that point you are only saving mileage on your car. When shopping online it will be important to know the return policy of that specific store, because all the stores are different. If you order something online, and you cannot return the item you are stuck with it no matter what (Advantage Disadvantage Of Shopping Online, 1993). Also there can be an issue of not having a credit card. If you are the type of person who chooses not to have one, then you cannot order items online. If you go shopping at the store you have the option of paying by cash, check, or credit card. If you do have a credit card and order online then you have to worry about identity theft and making sure that website has a secure checkout (Advantage Disadvantage Of Shopping Online, 1993). Technology will continue to expand, help make our lives easier, and create less of a hassle. Brick and mortar will always be a way to shop, but online shopping will continue to grow and become more popular as technology adapts to the future. When you online shop it makes your shopping time easier and shorter compared to brick-and-mortar shopping. You would not have to bother getting ready or driving there, you could sit in the comfort of your own home while ordering the items you need without leaving your home. Although brick-and-mortar shopping is better to actually see, touch, and try what you will buy, which is something online shopping does not offer (Advantage Disadvantage Of Shopping Online, 1993). When shopping online it is easy to quickly find a coupon to save you some money, which is another thing you can’t do in the store. Online or brick and mortar shopping, everyone has their own preference.

Thursday, November 14, 2019

Emily Dickinson :: essays research papers

Dickinson, Emily Elizabeth (1830-1886), America’s best-known female poet and one of the foremost authors in American literature. Born in Amherst, Massachusetts, Dickinson was the middle child of a lawyer and one-term United States congressional representative, Edward Dickinson, and his wife, Emily Norcross Dickinson. From 1840 to 1847 she attended the Amherst Academy, and from 1847 to 1848 she studied at the Mount Holyoke Female Seminary in South Hadley, a few miles from Amherst. Dickinson remained in Amherst, living in the same house on Main Street from 1855 until her death. During her lifetime, she published only about 10 of her nearly 2,000 poems, in newspapers, Civil War journals, and a poetry anthology. The notion that Dickinson was extremely reclusive is a popular one, but it is at best a partial truth. Although she never married and certainly became more selective over the years about the company she kept, Dickinson was far more sociable than most descriptions would ha ve us believe. Biographers are increasingly recognizing the vital role of Dickinson’s sister-in-law, Susan Dickinson, in her writing. For more than 35 years the two women lived next door to each other, sharing mutual passions for literature, music, cooking, and gardening. Emily sent Susan more than 400 poems and letter-poems, twice as many as she sent to any other correspondent. In 1998 Open Me Carefully: Emily Dickinson’s Intimate Letters to Susan Huntington Dickinson was published, documenting the two women’s friendship. Dickinson enjoyed the King James Version of the Bible, as well as authors such as English writers William Shakespeare, John Milton, Charles Dickens, Elizabeth Barrett Browning, George Eliot, and Thomas Carlyle. Dickinson’s early style shows the strong influence of Barrett Browning, Scottish poet Robert Browning, and English poets John Keats and George Herbert. In the early stages of her career, Dickinson’s handwritten lyrics imitated the formalities of print, and her poetic techniques were conventional, but she later began to attend to the visual aspects of her work. For example, she arranged and broke lines of verse in highly unusual ways to underscore meaning and she created extravagantly shaped letters of the alphabet to emphasize or play with a poem’s sense.

Tuesday, November 12, 2019

Gender Socialization Essay

Every child is born to a particular society which has its set of values, norms and belief system. The first stage of socialization of the child is the family to which he/she is born. As the child grows, he/she is introduced to the way life is lived and the role he or she is to play in the family and the society. When a child is born, the first question that anybody asks is ‘is it a boy or a girl? †. This is the beginning of gender socialization. From that point, the clothes the child wears, the kind of treatment that is given to the child and the things that are expected of the child becomes distinguished. UNICEF defined gender socialization as â€Å"a process of learning cultural roles according to one’s sex, and provides examples of ways in which these are incorporated through parental and societal expectations from boys and girls† ( VAWnet, 2004). Taking a queue from my life experience and from my knowledge of socialization, I will say that the traits I see myself exhibiting are rubbed off on me as a result of my family socialization. At a very tender age, I grew to recognize my role in the family and how to relate with the elderly. My father taught me how to be a man and how to live the life of integrity and boldness, which he considered a necessity of any man. Furthermore, I grew up with an idea that some jobs were for ladies while some were for men. I was taught that men are strong and do not cave in to their emotions. I was taught how to be a fearless, courageous and decent young man and how it is my responsibility to look out for my family. Although I do not stay with my father and mother again, I still see some attributes of my father in me and sometimes when I do something, I smile and attribute that thing to what I learnt when I was growing up. Summarily, I believe no matter how hard we try not to draw a line between both sexes, the fact is we all have our roles in the society. Reference: http://new. vawnet. org/category/index_pages. php? category_id=813 â€Å"Gender Socialization† (2004). Retrieved on November 21, 2008.

Sunday, November 10, 2019

Endometritis

Postpartum Endometritis Evidence Based Paper March 13, 2012 Endometritis is the inflammation or irritation of the uterus, which is a common post partum complication that occurs in more than 15% of all pregnancies and is currently the leading cause of maternal mortality (Scott & Hasik, 2001). When endometritis is not related to pregnancy, it is referred to as pelvic inflammatory disease (PID).The Centers for Disease Control and Prevention (CDC) 2010 sexually transmitted diseases treatment guideline defines PID as any combination of endometritis, salpingitis, tubo-ovarian abscess, and pelvic peritonitis. From a pathologic perspective, endometritis can be classified as acute versus chronic. Acute endometritis is distinguished by the presence of neutrophils within the endometrial glands. Chronic endometritis is characterized by the presence of plasma cells and lymphocytes within the endometrial stroma.Chronic endometritis in the postpartum or post abortion patient is usually associat ed with retained products of conception after delivery or abortion. In the nonobstetric population, chronic endometritis has been associated with infections such as chlamydia, tuberculosis, bacterial vaginosis, and the presence of intrauterine devices (Rivlin, 2011). Early-onset postpartum endometritis occurs within two days of delivery, and the late-onset of the disease can occur up to six weeks postpartum.This condition will usually start as a local infection at the placental attachment site and if left untreated, can spread to the entire uterine endometrium (French & Smaill, 2004). There are numerous risks associated with this condition, and diagnosis relies heavily on the clinical judgment of the practitioner. The contamination of the uterine cavity with vaginal organisms during labor and delivery causes the disease. Both bacterial and viral infections may initiate endometritis and many of the agents that cause the infection are naturally present in the vagina.This condition arises commonly after delivery because delivery results in tears, rips or incisions in the vagina, cervix or uterus that allow these agents to enter the uterine lining. The infection can have several species of causative agents that can be aerobic or anaerobic flora (French & Smaill, 2004). The method of delivery will determine which causative agents prognosticate the possibility of endometritis. For vaginal deliveries, the presence of the organisms associated with bacterial vaginosis or genital cultures positive for aerobic gram-negative organisms can indicate endometritis.In cesarean births, the occurrence of certain bacteria such as group A hemolytic streptococci, staphylococci B, Neisseria gonorrhoeae, or Mycoplasma hominis in amniotic fluid cultures will put the patient at an increased risk for this infection (French & Smaill, 2004). With the increasing number of people opting for natural birth methods, including water births, the danger only multiplies. This is becaus e disinfecting procedures as they are carried out before major surgery is usually not practiced in a home environment.Prompt treatment is essential to prevent the spread of the infection through other areas of the body, including the blood. Prolonged infection can be fatal. The immediate postpartum period following birth is a time of increased risk for all women for infection. Microorganisms entering the reproductive tract and migrating into the blood and other parts of the body could result in life threatening septicemia (French & Smaill, 2004). Timely diagnosis and aggressive treatment is essential to prevent these complications.Complications of endometritis include infertility, extension of infection to involve the peritoneal cavity with peritonitis, intra-abdominal abscess, and septic pelvic thrombophelbitis. Septic pelvic thrombophelbitis is a condition in which blood clots in one of the pelvic vessels become infected. If untreated it could progress to septic pulmonary embo li, in which the infected blood clots travel to the lungs and lead to death (French & Smaill, 2004).Septic shock is a life-threatening systemic infection usually caused by bacteria and on rare occasions follows postpartum endometritis. The bacteria that invade the bloodstream release a substance known as endotoxin, which causes decreased blood pressure, clot formation, major tissue injury, and leakage of fluids. Accordingly, organs may fail because they are not receiving enough blood and nutrients. Fortunately, this condition during pregnancy or in the postpartum period is a rare clinical event (Mazzeffi and Chen, 2010).Major risk factors for obstetric endometritis include the following: Cesarean delivery (especially if before 28 weeks' gestation), rupture of membranes lasting more than 24 hours, excessively long labors, severely meconium-stained amniotic fluid, manual placental removal, and extremes of patient age. Other threatening factors have been identified in additional st udies, including no prior cesarean delivery, preterm or postterm gestation, low infant Apgar scores, antepartum infections, preeclampsia, amnioinfusion, postpartum anemia, the presence of internal monitors, and steroid medications (Olsen, Butler, Willers ;amp; Gilad, 2010).Acute endometritis is typified by the existence of neutrophil cells in the endometrium. Neutrophils are white blood cells with cytoplasmic granules that consume harmful bacteria, fungi, and other foreign materials. Characteristic symptoms of endometritis include abdominal distention or swelling, abnormal vaginal bleeding, abnormal vaginal discharge, fever (100 to 104 degrees Fahrenheit), general discomfort, uneasiness, or ill feeling (malaise), and lower abdominal or pelvic pain (uterine pain). Anemia occurs when a patient’s red blood cell count is lower than 4. -6. 0 million red blood cells per micro liter of blood. Losing large amounts of blood during delivery or prior to delivery may be a contributing fa ctor for a low red blood count, anemia and potentially endometritis. Red blood counts (RBC) are needed to indicate anemia and the sedimentation rate (ESR). The sedimentation rate measures the rate at which red blood cells sediment in a period of 1 hour. It is a common hematology test that is a non-specific measure of inflammation, which is evident in endometritis.The diagnosis of postpartum endometritis is based on the presence of fever in the absence of any other cause. Uterine tenderness, purulent or foul-smelling lochia and leukocytosis are common clinical findings used to support the diagnosis of endometritis. Leukocytosis is a raised white blood cell count (the leukocyte count) above the normal range in the blood. The standard definition for puerperal fever used for reporting rates of puerperal morbidity is an oral temperature of 100. 4 degrees centigrade or more on any two of the first ten days postpartum or 101. degrees or higher during the first 24 hours postpartum (French ; amp; Smaill, 2004). Additionally, when the above symptoms occur, urinalysis and urine culture may be done. However, endometrial cultures are rarely indicated because specimens collected through the cervix are usually contaminated by vaginal and cervical flora. A sterile technique with a speculum is used to avoid vaginal contamination, and the sample is sent for aerobic and anaerobic cultures. If fever persists for 48 hours (Some clinicians use a 72-hour cutoff) after endometritis is adequately treated, ther causes such as pelvic abscess and pelvic thrombophlebitis should be considered. Abdominal and pelvic imaging, usually done by CT, is sensitive for abscess but detects pelvic thrombophlebitis only if the clots are large. If the results of the imaging are negative, a trial of heparin is typically begun to treat presumed pelvic thrombophlebitis as a diagnosis of exclusion (Moldenhauer, 2008). Before the advent of the antibiotic era, puerperal fever was an important cause of maternal death.With the use of antibiotics, a sharp decrease in maternal acute postpartum infections has been observed, and it is now accepted that antibiotic treatment for postpartum endometritis is warranted. Intravenous broad-spectrum therapy (cephalsporins, penicillins, or clindamycin and genatmicin) is appropriate for the treatment of endometritis. Regimens with activity against penicillin-resistant anaerobic bacteria are better than those without. There is no evidence that any one regimen is associated with fewer side effects.Once uncomplicated, endometritis has clinically improved with intravenous therapy, and oral therapy is not needed (French, 2003). Furthermore, it is essential that the patient receive supportive care including hydration, rest and pain relief. Antibiotics should be discontinued 24 hours after the patient is asymptomatic. Assessments should be taken of the lochia, vital signs, and changes in the women’s condition continue during treatment (Perry, Hockenberry ;amp; Lowdermilk, 2010). Treatment is usually considered successful after the woman is afebrile for 24 to 48 hours.If the initial antibiotic regimen does not result in resolution of fever and other symptoms within three days, the antibiotic regimen is usually changed. Consideration is also given to the possibility that the woman may have complications requiring specific treatment. The most effective treatment and least expensive treatment of postpartum infection is prevention. Preventative measures include good prenatal nutrition to control anemia and intrapartal hemorrhage. Good maternal perineal hygiene with through hand hygiene is emphasized.Strict adherence to aseptic techniques by all healthcare professionals during childbirth and the postpartum period is very important (Perry, Hockenberry ;amp; Lowdermilk, 2010). Endometritis is usually caused, in the postpartum scenario, because of a deficient care taken to avoid streptococcus and staphylococcus infections in the delivery ar ea. These two bacteria are present on every inch of our skin, and considering that delivery is the one time when the mother's insides are most exposed, precautionary measures to maintain a sterile environment in the delivery or birthing room should be taken.The benefit of antibiotic therapy for laboring women has been unquestionably established. Intravaginal metronidazole as surgical preparation and oral methylergometrine after delivery are two interventions that show promise as additional prophylactic interventions (French, 2003). Having a baby by Caesarean section is becoming increasingly common, despite the higher risks associated with the surgery compared to a vaginal birth. One important concern is the risk of infection, which is between five and 20 times greater for women who undergo scheduled or emergency Caesarean section.According to the Cochrane Review, â€Å"the single most important risk factor for postpartum maternal infection is Caesarean section. † The review f urther cited that antibiotics to women undergoing Caesarean section reduced the incidence of fever by 45 percent, wound infection by 39 percent, inflammation of the uterine lining by 38 percent and serious infectious complications for the mother by 31 percent (Nelson, 2010). This approach can significantly lower the risk of endometritis, particularly in women having surgery after extended labor and ruptured membranes.To prevent future infection, most doctors prescribe Cefazolin, which is administered intravenously immediately after the baby's umbilical cord is clamped. If you are at high risk, a second dose may be given eight hours later (French ;amp; Smaill, 2004). The overall goal for the postpartum client with endometritis is, â€Å"The patient will be free from infection. † Nursing management and general interventions of the patient would include the collection of vaginal and blood cultures, education on handy hygiene, the administration IV antibiotics and analgesics as p rescribed.Non-pharmacological interventions include distraction, imagery, relaxation, and application of hot and cold. Non-pharmacological interventions can restore the client’s sense of self-control, personal efficacy, and active participation in her care. It is essential that the information and method of delivery of information be tailored to the specific client and family (French ;amp; Smaill, 2004). Secondary to free from infection, an accurate nursing care plan for a postpartum patient with an with endometritis would include: 1.The patient will follow a specific, mutually agreed upon, healthcare maintenance plan. (The nurse should assume that first-time mothers lack sufficient knowledge regarding condition and treatment diagnosis, and therefore, needs education and specific instructions during the postpartum recovery period). If a mother has given birth to more than one child a review of proper heath care regimens is also justifiable. The new mother should receive instr uction pertaining to hygienic care for her perineal area. This care would include changing her perineal pad frequently and washing her hands afterwards.The presence of a wet pad against sutures is an excellent medium for the development of an infection that could potentially spread to the uterus. The use tampons should be prohibited for six weeks after delivery, since tampon use can cause infection or even toxic shock syndrome. It is the nurse’s responsibility to promote adequate rest and encourage a generous intake of nutrients and fluids. The patient will report that pain management regimens achieves comfort function goal without adverse effects (Ackley ;amp; Ladwig, 2011).The nurse should administer comfort measures to ease pain and teach the patient proper understanding of the condition as well as taking measures to correct the complications of endometritis (Perry, Hockenberry ;amp; Lowdermilk, 2010). 2. The patient will maintain oral temperature within adaptive levels (l ess than 100. 4 degrees). Evaluate the woman's temperature at the end of the first hour postpartum and then every four hours for the first 22 hours postpartum. Clients with endometritis typically have a fever, chills, general malaise, and may exhibit tachycardia.Oral temperature measurement provides a more accurate temperature than tympanic measurement, auxiliary, or use of a chemical dot thermometer. Use the same site and method device for temperature measurement for a given client so that temperature trends are assessed accurately (Ackley & Ladwig, 2011). 3. The patient will report that pain management regimens achieves comfort function goal without adverse effects (Ackley & Ladwig, 2011). The importance of prompt reporting of unrelieved pain is the patient’s responsibility.An important step toward improved control of pain is a better client understanding of the nature of pain, its treatment, and the role the client needs to play in pain control (Ackley & Ladwig , 2011). Despite the normalcy of childbirth, complications may arise that will have detrimental effects on the postpartum client. These include postpartum hemorrhage, thrombophlebitis, and infections such as endometritis. Healthcare providers working with postpartum clients must have a clear understanding of these complications, including the symptoms, nursing interventions, and treatment.A cognizant nurse would carefully review the results of laboratory tests for signs of anemia, infection, and electrolyte imbalance. Blood cultures to identify the causative agents of potential infections are typically done, and white blood cell (WBC) counts are monitored. However, it is important to remember that the white blood cell count is normally elevated after delivery for a short period; continued monitoring of the WBC count is required in identifying endometritis (French, L. , & Smaill, F. M, 2004).Nearly 90% of women treated with an approved regimen note improvement in 48-72 hours. Del ay in initiation of antibiotic therapy can result in systemic toxicity. Endometritis is associated with increased maternal mortality due to septic shock. However, mortality is rare in the United States because of aggressive antimicrobial management. Most cases of endometritis, including those following cesarean delivery, should be treated in an inpatient setting. For mild cases following vaginal delivery, oral antibiotics in an outpatient setting may be adequate (French, L. & Smaill, F. M, 2004). References Ackley, B. J. , & Ladwig, G. B. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care. (9th ed. , pp. 47,426-429,446-449,600-604). St. Louis, Missouri: Mosby Elsevier. French, L. (2003). Prevention and treatment of postpartum endometritis. Current Women’s Health Reports, 3(4), 274-279. Retrieved from http://www. ncbi. nlm. nih. gov/pubmed/12844449 French, L. , & Smaill, F. M. (2004). Antibiotic regimens for endometritis after delivery. Co chrane Database of Systematic Reviews, Retrieved from http://www. rw. interscience. wiley. com/Cochrane/clsysrev /articles/CD001067/frame. html Mazzeffi, M. A. (2010). Severe postpartum sepsis with prolonged myocardial dysfunction: A case report by michael a. mazzeffi and katherine t. chen. Journal of Medical Case Reports, (4), 318. Retrieved from http://www. jmedicalcasereports. com/content/4/1/318 Moldenhauer, J. S. (2008, November). Puerperal endometritis. Retrieved from http://www. merckmanuals. com/professional/gynecology_and_obstetrics/postpartum_care_and_associated_disorders/puerperal_endometritis. tml Nelson, C. B. (2010, January 22). Routine antibiotic use reduces mothers’ infection risk from c- section. Health Behavior News Service. Retrieved from http://www. physorg. com/news183387263. html Olsen, M. A. , Butler, A. M. , Willers, D. M. , & Gilad, A. G. (2010). Risk factors for endometritis after low transverse cesarean delivery. Infection Control and Hospital E pidemiology, 31(1), 69-77. Retrieved from http://www. jstor. org. proxy. li. suu. edu:2048/stable/10. 1086/649018 Perry, S. E. , Hockenberry, M. J. & Lowdermilk, D. L. (2010). Maternal child nursing care. (4th ed. , pp. 586-587). Maryland Heights, MO: Mosby. Pillitteri, A. (1999) Maternal & Child Health Nursing, (3rd ed. pp. 789-792). Philadelphia: PA: Lippincott. Rivlin, M. E. (2011, June 14) Endometritis. Retrieved from http://emedicine. medscape. com/article/254169-overview Scott, L. D. , & Hasik, K. J. (2001). The similarities and differences of endometritis and pelvic inflammatory disease. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 30(3), 332-41.

Thursday, November 7, 2019

Coronation ceremon Essays

Coronation ceremon Essays Coronation ceremon Essay Coronation ceremon Essay Cousin [Buckingham], thou wast not wont to be so dull. Shall I be plain? I wish the bastards [two princes] dead, Richard even implies that Buckingham is being dull and boring: he does not seem to realise that Richard want him to kill the Princes. Richard has to be blunt and say what he wants straight out yet Buckingham still refuses to do it. Richard knows where he is going and what he is doing, as shown by his soliloquies, Plots have I laid, inductions dangerous By drunken prophecies, libels and dreams To set my brother Clarence and the King In deadly hate (1, 1, 32-35) Like many modern day politicians, Richard has no problems with blatantly lying to peoples faces, including his own family. When Clarence is being sent to the tower he tells him that he loves him and will help him, it is only when Clarence leaves that Richard reveals his true intentions, That I will shortly send thy soul to Heaven (1, 1, 119) Richard has many short term aims to help him achieve his long-term goals. Some of these aims include getting rid of Clarence, removing the Princes, marrying Anne, and killing those who stand in the way of him. Richard can wind people up, influence them and so uses this to his advantage. The so-called window scenes in Richard III-the conversation of the common people, Buckinghams speech to the masses and Richards acceptance of the crown-provide a glimpse of how the drama in the royal palace affects the lives of the common people outside its walls. It is significant that the common people come to fear and distrust Richard long before most of the nobles in the palace, and that the opposition of the common people to Richard is one of the main forces that enables Richmond to overthrow him. In these ways, Richard III explores the idea that the moral righteousness of a political ruler has a direct bearing on the health of the state (Realpolitik) and the divine right of kings, the kings are appointed by God, and if the wrong king is on the throne then the country will be in chaos. Shakespeares audience would have recognised these ideas, and related them to the current monarchical and political unease in the 1590s, the fact that the current monarch, Elizabeth, had no heir and so it was not known who would follow her. The audience would learn something from the play and would apply it to themselves, the play is like a medieval morality play. Like the Vice character of medieval morality pageants, who simply represented the evil in man, Richard does not justify his villainy. Richard, with self-conscious theatricality, compares himself to this standard character when he says, Thus like the formal Vice, Iniquity, / I moralize two meanings in one word. Watching Richards character, Shakespeares audiences also would have thought of the Machiavelli, the archetype of the scandalously unethical, power-hungry ruler that had been made famous by the Renaissance Italian writer Niccoli Machiavelli. Richard was physically deformed and this would make him a victim of prejudice, in Shakespeares time an outer deformity was a sign of inner corruption, and although true in Richards case would have been automatically assumed by the audience. In the film by Richard Loncraine Richards costume gets changed during the film, the more power Richard gets the darker his uniform gets. Richard began the film in military uniform but just after he came to power, he was dressed as Hitler, wearing completely black. During Richards coronation ceremony, there were red flags, similar to the Nazis and you see Richard smile a devious, twisted smile similar to that with which Hitler has been pictured. throughout the whole of the 1997 film, there are direct links to Hitler and the Nazi regime. It shows the rapid rise and fall of the dictator and the reality of totalitarian rule, relevant to both Hitlers and Shakespeares Richards reign. Richard is depicted as largely self-obsessed and at one point in the film, you see him staring at a large portrait of himself: Richard could be described as megalomanic. He will do anything to achieve his aims and does. Richard has over nine people killed and it does not bother him until the final act where upon he gains a conscience. Animal imagery is apparent in this play. Richard is often compared to a boar, in the 1996 film Richard morphs into a boar in his brothers dream. Thomas Mann said the belief in politics Makes men arrogant, doctrine, obstinate and inhumane. This suggests that politicians have no morals, animals are not thought to have morals and are often stubborn and obstinate, Richard does possess qualities that could be animal-like; he uses violence and killing without thinking of peaceful methods, and could be described as pig headed. The boar is Richards heraldic symbol, the idea of the boar is also played on in describing Richards deformity, and Richard is cursed by the duchess as an abortive, rooting hog. The boar was one of the most dangerous animals that people hunted in the Middle Ages and Renaissance, and Shakespeares audience would have associated it with untamed aggression and uncontrollable violence. Richard uses props to enhance his arguments and ideas. In act 3 scene 7 Richard uses the Bible as a prop to add to his image as a good religious man. In the 1996 film, however, another novel is employed without a cover, similar to how Richard is covering his corrupt interior with a holy exterior. Richard also manipulates and uses the Bishop of Ely and the Church to make himself appear superior. Richard creates a group of allies but removes them if they disobey him. Buckingham was originally a loyal friend yet when he refused to murder the Princes Richard found some one else in the form of Tyrrel, after this Tyrrel appears to take Buckinghams place as Richards closest acquaintance. Richard kills to protect himself, by removing those in his way he has a clear path to the throne. This can be related to Stalin as well as Hitler. Stalin ordered purges of his opponents, removing his foes creating an unchallengeable leadership. The rivalry between Richard and Richmond towards the end of the play is similar to a modern election, with Richard and Richmond playing the parts of the politicians. The play ends with Richard and Richmond fighting one on one, comparable with a debate between two politicians. Richard and Richmond have no exterior help and have to use each others weaknesses to their own advantage. This can be compared to the recent Bush v Kerry debate. Bush and Kerry are running for president, Richard and Richmond are competing for the throne. All need to prove themselves and attempt to defeat their rival. It can be said that Richmond is Richards nemesis, the opponent that cannot be beaten or overcome. Richard can be described as political but was he successful? Richard did, eventually achieve his goal, gaining the crown yet lost it after only two years. It could be said, therefore, that Richard was not a success as he was killed although he failed militarily rather than politically and had succeeded up to that point. As Richard failed as a soldier, he could still be called a successful politician. Political could also mean artful, ingenious, unscrupulous and cunning all of which can be applied to Richard at some point during the play. Richard is sly and gets away with treason, a crime punishable with death, he manages to put the blame on other people and avoid punishment himself. This could be considered successful, as he was never caught. Going back to the criteria for a politician it can be said that Richard is definitely a politician one who seeks personal or partisan gain, often by scheming and by manoeuvring but it is difficult to say whether he was successful or not.

Tuesday, November 5, 2019

What Is a Research University Complete Definition

What Is a Research University Complete Definition SAT / ACT Prep Online Guides and Tips In many lists of colleges, research universities are listed or ranked separately from other schools that focus exclusively on the undergraduate experience, like liberal arts colleges. Why? What's the point? In this article, I’ll list the main characteristics of research universities, give you some information about what life is like at a few different schools, and help you decide whether a research university is the right choice for you. What Is a Research University? As you may have guessed from the name, research universities are universities where the main focus is on the research of professors and graduate students.These universities may be less oriented towards undergraduate teaching, but they can still provide excellent experiences for students who are willing and able to seek out the resources they offer. Here are some of the main characteristics of research universities: More Interaction with Graduate Students Since all research universities have graduate programs associated with them, you’ll have more opportunities to interact with grad students as an undergraduate.This may give you insight into your future or lead to collaboration on research projects conducted by more advanced students. State-of-the-Art Research Facilities The main mission of a research university is to produce new and exciting research, and to do that it needs to provide the best equipment to its students and professors.This is a big plus for students focused on the hard sciences because large research universities will usually have access to the latest technology. Wide Variety of Majors Research universities, due to their size and diversity,offer a wide range of majors to students.Although it’s sometimes more difficult to change your major or create your own major at these universities due to a large bureaucracy, you’ll have lot of choice in the first place. Larger Class Sizes with Less Individual Attention For most research universities, large class sizes, particularly at the introductory level, are common.You may find yourself in lecture halls with more than 100 students, which means less attention and personalized feedback. However, most of these large classes are split off into discussion sections taught by graduate students, so you'll get a chance to interact with other students and TAs.Also, as you take more advanced classes, class sizes will shrink.Many of these universities also offer honors programs to qualified students where the environment is more like that of a small college. Distinguished Faculty Research universities attract well-known faculty because of the resources and opportunities they offer.You'll have the chance to network with very important people in fields that interest you. You may even be able to work side by side with high profile researchers on lab projects and become a coauthor on published research. International Reputation Research universities have better reputations on a global scale than smaller teaching colleges. Since big discoveries and scientific breakthroughs often take place at research universities, they get more recognition abroad than other colleges that might have excellent undergraduate programs but less robust research capabilities. Advantages for Future Graduate Students Spending four years as an undergraduate at a research university can give you a leg up in the competition for graduate school admissions.You can get letters of recommendation from top researchers in your field that will encourage other universities to accept you based on reputation. Don't let anyone get in the way of your dream to wear the fanciest shapeless sack at the next gathering of silly hats. What Is the Student Experience Like? The learning environment at a research university will be different fromthe learning environment at a small college in most cases.Here are a few examples of research universities along with some details on what the student experience is like. All student quotes are from theFiske Guide to Colleges 2015: Massachusetts Institute of Technology Learning at MIT is based on research and hands-on experimentation.Students in electrical engineering and computer science have the option of pursuing a five-year degree, meaning they obtain a masters upon completion of their studies. One student says, â€Å"The average MIT student can be characterized as having a passion and singular drive for what they really want in life.† The Undergraduate Research Opportunities Program facilitates student/faculty research projects and allows students to earn course credit and stipends for research. There are nine Nobel laureates on the MIT faculty at present. MIT is home to many, many different research facilities. Currently under construction is a $350 million facility called MIT.nano, which will provide resources for students to do research in the exciting new field of nanotechnology. The Pierce Engineering Laboratory at MIT University of Colorado - Boulder At UC Boulder, the 45,000 square foot Discovery Learning Center has 12 labs where engineering students can work on different technological challenges with high-tech capabilities and video conferencing.A student says that â€Å"professors and graduate student instructors alike have taken a keen interest in students’ progress, success, and learning, making themselves available to students as a valuable resource for extra assistance with class concepts and assignments.† Programs such as the Special Undergraduate Enrichment Program and Presidents Leadership Class give high-performing students the ability to stand out from the crowd.Students say that â€Å"It’s such a large, broad campus that just about any sort of student can be found† andâ€Å"every student, teacher, and department always has something new and exciting going on. It would be very hard to get bored here.† Beautiful scenery at UC Boulder! Washington University in St. Louis Students say that Washington University in St. Louis is â€Å"a place to grow and learn while having an unbelievably fun time.†Undergraduates enroll in one of five schools: arts and sciences, architecture, art, business, or engineering, and the University also accommodates interdisciplinary majors and double majors. The medical school runs a faculty exchange program with the undergraduate biology department, giving biology majors the opportunity to conduct advanced lab research.A program called the University Scholars Program allows students to apply for both undergraduate and graduate admission before entering college. Unlike some research universities, Washington University in St. Louis gives students the chance to have one on one mentoring relationships with impressive faculty members.According to one student, â€Å"one of my classes was a 150-person lecture class, and another was a 12-person seminar...despite these disparate class sizes, I was on a first-name basis with both of the professors.† A reading room at the Library at Washington University in St. Louis Should You Consider a Research University? You may still be unsure about whether a research university is the right choice for you.If these characteristics apply to you, you should consider research universities as options in your college search: You Plan to Go to Grad School As mentioned above, many research universities have programs that will put you on track for a strong graduate school application or even provide extended five-year programs that allow you to graduate with a masters.These schools offer a more streamlined path to graduate school considering their reputable faculty and research opportunities. You’re Interested in the Sciences The advanced facilities and resources at research universities will make the most difference to students who are interested in the sciences. The most cutting-edge scientific discoveries are occurring at these universities, so you'll have many opportunities to meet people who are leaders in their fields (and even collaborate with them on projects). Libraries at research universities are excellent, but at most colleges you'll be able to get the resources you’re looking for in the humanities. If you’re interested in science, however, other colleges might not give you access to the same high tech equipment available at research universities. You Want to Do Research as an Undergraduate It should come as no surprise to you that research universities are the best places to do research!This goes hand in hand with a desire to continue your education past an undergraduate degree.If you plan on going on to grad school (particularly in the sciences), you will almost certainly be expected to do research as an undergraduate for your thesis and other projects. If you fit these characteristics, a research university may be the right choice for you, but it’s not necessarily the only good choice.There are many small colleges that will afford you similar opportunities on a slightly smaller scale and may give you more one-on-one time with professors and a stronger advising system.Students sometimes have to be very independent at research universities since the focus is not explicitly on undergraduate teaching.However, these schools offer great opportunities to gather hands-on experience in the subject areas that interest you and connect with the brightest minds in any field. Your brain on research. What's Next? Still trying to decide what type of college you want to attend? One factor you might consider besides a school's research capabilities is its status as a public or private institution. Read this article to find out which is a better fit for you. If you're thinking of attending a research university, you may be looking at schools that are far from your home town. Learn more about the pros and cons of going to school out of state. Not sure whether a large university is the right choice for you? Take a look at this article to see whether a big or small college will be a better fit for you. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Sunday, November 3, 2019

Solar energy Essay Example | Topics and Well Written Essays - 250 words

Solar energy - Essay Example The index varies from one hundred and twenty to one hundred and forty for homes that are old. Adopting a zero energy technology in a home is possible based on an occupant’s preferred performance efficiency. Using technical support, the use installing a zero home energy is possible. Installing an efficient zero energy system is possible with the setting up of solar thermal systems in homes to help enhance the save on other energy sources in the home. The efficiency of the system should be thirty of less than thirty. The use of energy from the utility grid should be minimal. The estimated cost of setting up a photovoltaic or PV system in Bellevue Washington, zip code 98007, which would produce enough solar energy, would be as calculated. The assumption is that the monthly cost of electricity bill is two hundred dollars. There is a good solar rating to set up the system in the area. The estimate cost of the installation of the system is twenty-six thousand dollars. It would take twenty-five years to recover the cost of the utility

Friday, November 1, 2019

Global Business Strategy Essay Example | Topics and Well Written Essays - 2250 words

Global Business Strategy - Essay Example The paper will highlight some of the key elements in the company's global approach such as international markets choices and entry, market segmentation, as well how the company has carved its way up to the challenging markets in the global construction materials industry. Global Business strategy is a critical component of the holistic approach of organizations attempting to enter global markets successfully. Business organizations have to create approaches, which will cater to all organizational factors such as marketing, human resources management, operations management, risk management and other critical aspects of an organization if they have to put together possible global strategies, which will be sufficient in overcoming challenges of entering global markets. Although there is ongoing debate on multinational corporations strategy over the approaches like standardization versus adaptation there is confluence of ideas and the recognition that multinationals have to put together possible business strategies that will be enough for the unstable and different surroundings in which global businesses operate. There are various factors that apply significant pressure on global businesses to formulate working short term and long term strategies plans t o the accomplishment of their objectives and goals. Upon the underlying fact that human needs are basically the same across countries and communities, sticking differences obtain in aspects cultural, economic, geographic, political etc. This means that global business management organs must be at the top of the game in ensuring that policy and strategy are appropriately put together to reach desired results Corporate strategy focuses on wide and far reaching goals and purposes of an organization. The strategy focuses on the accomplishments of set goals in line with expectations of the stakeholders. Other global business organizations influence on Business Unit strategy, which is a concept that boils down to the aspects of products and services or products being rendered. The other critical strategy component is the aspect of operational strategy, which can also be used in global business strategy to reach desired results in as far meeting organization goals in concerned. The success of Lafarge in the global landscape must have tapped in the advantages of some of these strategic concepts. Through the exploration of the growth and strategic thrust of Lafarge some of theses concepts can be identified. The case of Lafarge note that, the global cement industry is gradually transforming into an oligopoly through the creation of mergers and acquisitions, which ends in capacity concentration, and the control of the global landscape by a few transnational players. However, the global structure of the industry is still unstable with no single player with two digit market share. The major players lack the capacity to