Saturday, August 31, 2019
Giovanni Boccaccio Essay
Im going to write an essay on Giovanni Bocccaccio and tell about him and his works and their affect to the middle-age literature and the literature today. As my sources Im going to use the illustrated history of Europe, wikipedia, http://www.middle-ages.org.uk/giovanni-boccaccio.htm and http://www.encyclopedia.com/topic/Giovanni_Boccaccio.aspx. Who was Giovanni Boccaccio? When did he live? What is he known of? How did he affect the late middle-age literature and the literature today? Who was Giovanni Boccaccio? Giovanni Boccaccio was an Italian Renaissance humanist, author and a poet. He lived during the years 1313-1375. Giovanni Boccaccio was born near Florence in Italy. His father was a successful banker, who wanted him to have a practical education and to follow his footsteps as a wealthy businessman. His father often took Giovanni with him to business trips, so he could see what his life will be like when he grows up. Giovanni Boccaccio studied banking and religious law, although he was not very interested in them. Later on he even said that he regretted the time that was lost in these studies. He was more interested in literature and classical learning. His father never supported or accepted his plans on literature. He always thought that Boccaccio should have been a respected businessman. It is believed that Boccaccio was tutored by Giovanni Mazzuoli and received an early introduction to the works of Dante from him. When Boccaccio and his father moved to Naples in 1326, Boccaccio found many teachers at the university and at the court. He learned Italian poetry, ancient mythology, astronomy, and Greek. He also began to do what he really wanted to do, which was writing. Boccaccio and his father left Naples in 1341, because they escaped the plague and because Boccaccio`s father had to go work to Florence. Boccaccio did not want to leave Naples, because he didnââ¬â¢t like Florence that much. However, he spent the rest of his life in or near Florence. There he composed his most famous works such as the Decameron and the Famous Woman which were revolutionary at the time. In the autumn of 1350 Boccaccio received Francesco Petrarch as his guest in Florence, whose biography he had written shortly (De vita et moribus, F. P.). It was the beginning of a lifelong friendship. He supported and encouraged Boccaccio to go on with his passion for literature. Giovanni Boccaccio was also influenced by many others. In his lifetime he had three children, even though he was never married. Mario and Giulio were born in the 1330s. Violente was born in the 1340à ´s. Giovanni Boccaccio died in 1375 from the causes of various illnesses, obesity and finally heart failure. By the time he died he had made many works that even today affect our lives. When did he live? Giovanni Boccaccio lived during the late middle-age period to the very early renaissance. Boccaccio was ahead of his time. He was one of the first humanists with Patrarch. Renaissance was a cultural movement that was roughly in the 14th to the 17th century. As a cultural movement, it was all about literature, science, art, religion, and politics, and a resurgence of learning based on classical sources. Giovanni Boccaccio was one of the first writers of renaissance. This shows how revolutionary his work was already in the 1330à ´s. What is he known of? Giovanni Boccaccio was a very revolutionary figure of the time, because he used females in his works as main characters, which was a new idea. Later other authors copied this idea. His work are very precious to us, because they tell us a reliable picture of the life in the late middle-ages as it was. Giovanni Boccaccioââ¬â¢s most known work is the Decameron, that he made between the years 1348ââ¬â1351. It tells about ten young men and women, that escaped the plague to a remote villa near Florence. The word Decameron is translated to ten-days, which refers to the fact that they spent ten days telling stories in the villa. During the ten days they share 100 tales about topics such as love, trickery, and fortune. These tales form a larger story which can also be read alone. The Decameron was very popular at the time. Readers enjoyed its lively speeches, wordplays and intense plots. Giovanni knew how to mix humor and romance into one working piece. In this work Boccaccio gathered material from many sources: the French fabliau, Greek and Latin classics, folklore, and observations of contemporary Italian life. The prose of the Decameron, in its balanced, rhythmic cadences, became the model of Italian literary prose. Many other writers later used the Decameron in different ways in their own works. The church did not like the Decameron. On Famous Women he wrote about women who became learned, wrote, and even had battles and ruled kingdoms. Boccaccioââ¬â¢s moral approach to history suited both medieval and Renaissance readers. Which is also a reason that he was so famous and respected. Later renaissance writers used the books as sources for their own works once again. His most famous poem is probably II Filostrato, published in 1335. It tells about Calcas, a Trojan prophet who had foreseen the fall of the city and joined the Greeks. Shakespeare got the inspiration for Troilus and Cressida from the II Filostrato. Troilus and Cressida is a tragedy that Shakespeare made in 1602. Boccaccio was also a very well educated man. Boccaccio shared his knowledge and love of the ancient world with others. In Genealogy of the Pagan Gods that he wrote between the years (1350ââ¬â1373), he created a complete catalog of pagan mythology. This book became a major reference work for much of the Renaissance. Giovanni Boccaccio also had a huge respect to the study of ancient Greek literature. He established a position for a professor of Greek at the University of Florence. He encouraged the new professor to translate the great Greek writers Homer and Euripides into Latin. Through his writings and his share to the study of the ancient world, Boccaccio had a lasting impact on the Renaissance and on the rest of the western history. Some selected exampleà ´s from Giovanni Boccaccios works: II Filostrato (1335), Filocolo (1337), Teseida (1341), Comedy of the Florentine Nymphs (1342), The Amorous Vision (1343), La Fiammeta (1344), Life of Dante (1355), Fates of Illustrious Men in Latin (1360), The Decameron (1348-1351), The Famous Women (1374) How did he affect the late middle-age literature and the literature today? Giovanni Boccaccioà ´s affect to the literature of that time and today is huge. He wrote about things that nobody else had the courage to write about at the time. For example about woman as the main characters that had power to decide about important decisions and had a high position in the community. The Famous Women is a good example of his revolutionary way of thinking. It is a collection of biographies of 106 historical and mythological women, as well as some of Boccaccioââ¬â¢s Renaissance contemporaries. Giovanni Boccaccio had a big impact on other authors and poets, who used his work as source material. For example Geoffrey Chaucerà ´s, Shakespeareà ´s, and John Drydenà ´s works were influenced by Boccaccioà ´s works. He and Petrarch are said to be the founders of humanism. Giovanni Boccaccio was a man that basically protested against the morals at that time by writing about woman and other revolutionary things. He was ahead his time and was respected by many fellow authors. His works were famous and are is still precious to us, because we can take a realistic view of the late middle-ages through his work. Many other authors also got inspired by Boccaccioà ´s work and still do.
Friday, August 30, 2019
Beka Lamb Essay
Beka Lamb is the daughter of Mr. and Mrs. Lamb. She is an only child who lives with her parents in Belize. Beka is tall and slim built. She is fourteen years of age and is a very active and enterprising individual. Beka possesses very admirable qualities that are worthy of emulation. She demonstrates a sense of responsibility and maturity for an individual of such a tender age. One notices the growth and development of Bekaââ¬â¢s character as the novel progresses. Initially, her relationship with her parents , especially her father is somewhat strained, but there is a notable improvement as the plot develops. Beka displays qualities of love, compassion and warmth for her mother , and there exists a bond of understanding between them. Of particular note, is Bekaââ¬â¢s relationship with her friend ,Toycie. At the beginning of the novel, Beka is mourning her friendââ¬â¢s death, and eventually, one is informed as to why she is so profoundly affected by her friendââ¬â¢s death . Beka exhibits qualities of endurance and determination when she is confronted with challenging situations. Beka also displays a sense of naivete and innocence when she has to deal with apparently, insurmountable tasks. The author , Zee Edgill , presents her heroine Beka Lamb in demanding yet rewarding situations. Indeed, Beka is truly a character worthy of emulation and praise. Beka Lamb is the daughter of Mr. and Mrs. Lamb. She is an only child who lives with her parents in Belize. Beka is tall and slim built. She is fourteen years of age and is a very active and enterprising individual. Beka possesses very admirable qualities that are worthy of emulation. She demonstrates a sense of responsibility and maturity for an individual of such a tender age. One notices the growth and development of Bekaââ¬â¢s character as the novel progresses. Initially, her relationship with her parents , especially her father is somewhat strained, but there is a notable improvement as the plot develops. Beka displays qualities of love, compassion and warmth for her mother , and there exists a bond of understanding between them. Of particular note, is Bekaââ¬â¢s relationship with her friend ,Toycie. At the beginning of the novel, Beka is mourning her friendââ¬â¢s death, and eventually, one is informed as to why she is so profoundly affected by her friendââ¬â¢s death . Beka exhibits qualities of endurance and determination when she is confronted with challenging situations. Beka also displays a sense of naivete and innocence when she has to deal with apparently, insurmountable tasks. The author , Zee Edgill , presents her heroine Beka Lamb in demanding yet rewarding situations. Indeed, Beka is truly a character worthy of emulation and praise.
Thursday, August 29, 2019
Managing in HR Essay Example | Topics and Well Written Essays - 2000 words
Managing in HR - Essay Example Training is the second most significant element of human resource at Starbucks' that provides the company with a competitive advantage in the retail business. The company has a team of experts for the training sessions, whose main job is to nurture the business and improve the customer service by providing the employees with the knowledge and skills they would need at the job for performing it effectively. Raymond, A.Noe (1999, pp.3-4) suggests that, 'The goal of training is for employees to master the knowledge, skill and behaviors emphasized in training program and to apply them to their day-to-day activities.' The company trains the new employees from so many different aspects but the most important amongst them are the three basic interpersonal skills which involve maintaining and enhancing self-esteem, listen and acknowledge and ask for help. Armstrong (1992) views that, 'HRD as focused training and development for all employees which responds to individual and organizational re quirements by improving performance and understanding.' The managers and other non-frontline employees are trained for a longer period with different type because effective leadership is quite critical for building good quality teams and stronger organization. 'Effective managers not only perform the basic management functions (planning, organizing, leading and controlling), but also good communicators help employees development and work collaboratively with employees.' Raymond, A.Noe (1999, p.10). John Adair presented the functional model of leadership, which has three areas, where leadership function occurs, those areas are: task, team and individual. Generally, leadership skills are mostly used in these areas In most organizations, the formal leader meets some of the needs in these three areas.Another strong element of Starbucks, which makes the company outstands in the market of retail business, is the benefit
Wednesday, August 28, 2019
Gender Essay Example | Topics and Well Written Essays - 1250 words
Gender - Essay Example This picture is not new to us as long as female representation is concerned. This kind of image building of women has been performed by our media. In contemporary society, media plays a very crucial role in shaping public opinions. With the advent of new media such as internet smart phones, media has now been constantly around us, drilling into our head with the messages, which sometimes are very damaging. The major target of media these days is the body of woman which is worst and perverse. The representation of women in media has always been stereotypical. They are always represented as sex objects. It is an opening dialogue from the documentary film Miss Representation, ââ¬Å"There is no appreciation for women as intellectuals. It is all about the body and never about the brain...â⬠If we peep into the history of English literature for example, many facts of gender issues appear in front of us. There was no place for women writers in literary circle. Bronte sisters published a volume of poetry by adopting male names such as Curre, Ellis and Action Bell. The one and only reason was to conceal their feminine identity. The social, intellectual and psychological suppression of Victorian women is portrayed by Alfred Tennyson in his poem ââ¬Å"Lady of Shallot.â⬠The contemporary society had a very biased attitude about the female writers. The society was not ready to accept that the women have intellectuality of being writer. Twentieth century witnessed the breakage of this bondage by rebellious feminists through their literary work. Many women writers carved a niche for themselves through their outstanding writing skills. The women have proved themselves, but still the society is not ready to accept their brains, their logical, analytical and intellectual capacity. When there is a question of choosing body or brain of the woman, it is always body which is preferred object. Right from video games or childrenââ¬â¢s cartoons, women are represented as inferior, always caught by the demons and then are rescued by a brave young gallant. In short the children grow up with the upbringing that women are always inferior sex and men have to protect them and impose authority on them. Miss Representation is the documentary, which throws light on how the image of the women is always spoiled by media. A UNESCO report describes the litany of common image of women in the media. Women are always sex object for media. ââ¬Å"the glamorous sex kitten.â⬠(World Savvy). Dietz (1998) made four possible female stereotypes, which were based on their appearance and their behaviour. 1. Female as a sex object 2. Females as victims 3. Females as heroic or action characters Dietz in his research found that 41% of women in video games were shown as a sex object, 21% were portrayed as victims or ââ¬Ëdamsel in distressââ¬â¢ and only 15% women were portrayed as heroes or action characters. The male dominated media is not ready to accept woman as wa rrior, saviour, and protector but they like to portray her either as a victim or sex object. This report is really benumbing. In India, there are vernacular daily soaps, where the women are shown as being victimized by the members of their in-laws house. They are either physically or mentally tortured by their husbands and family members. When asked producers and directors about it, they comment carelessly that we show whatever is the demand of the public. According to them the majority of viewers of these serials are women and
Tuesday, August 27, 2019
Lawyering for a social change Essay Example | Topics and Well Written Essays - 750 words
Lawyering for a social change - Essay Example ome aspects of economic, social or/and political status quo believing that the societal conditions hinder the participation and adequate benefits for the subordinate people. According to Professor Martha Minow, defines political lawyering as an art that involves exacting efforts by using the law to alter the allocation of power or change the society. She connotes law to encompass both the customs of opposition and authority arising from the public institution and the formal rules promulgated by the different branches of government (Loewy, 2009). Social connotes the important links between culture and politics where people shape their ambitions and awareness for the society. The change includes both the discrete alterations and the processes of continuing and refurbishing constant challenge. The first contention is the impact of political lawyering on the relationship between a lawyer and the client. The contention focuses on how the political lawyers can influence their clients and how they may elevate the advantages of the cause of the individual client. The institutional role of a lawyer is to immerse himself in the position of his client and forcefully represent that interest in a legal way as soon as possible. The state of being a legal advocate in the legal system where the causes are not chosen encourages a non-evaluative, non-critical and uncommitted condition of mind. Client-centered lawyering is a traditional model of the relationship between a lawyer and the client where the clients have to bear all the consequences of their decisions suggesting the best position in understanding both non-legal and legal importance of their choices. The lawyer always has a duty of counseling his or her clients in an efficient manner by assisting them to explore the results of their actions where they can be able to make best decisions, which will serve their needs. The second contention is the anti-majoritarian use of the courts. The contention is based with an idea
Monday, August 26, 2019
Business Appraisal in Decision Making Essay Example | Topics and Well Written Essays - 3750 words
Business Appraisal in Decision Making - Essay Example This report will focus on advising NENE Limited based on the calculation results from various case scenarios to help the management will inform decision making on project choice and well as costing methods to choose. Projected cash flows represent the forecasted movement of cash within a given project. The higher the cash flow, the more preferable the project is since it lets in more cash (Kousenidis, et al., 2006). Alpha has a cash flow of 105,000 pounds while it is projected that Beta will have a cash flow of 83,000 pounds by the end of the projectââ¬â¢s life. Alpha will make a better project for NENE than Beta if implemented. On the basis of payback period, a project that can repay its initial invested amount faster enables the owners to begin collecting profits early (Avery, et al., 2011). Such a project is usually chosen when there is one another one with a longer payback period. Alpha project will repay its initial invested amount within 2.8 years. While Beta project will repay after within 3.1 years. Alpha will repay earlier than Beta, therefore, NENE Limited should choose Alpha project. The criteria for using Accounting Rate of Return is that the higher the rate, the more efficient the project. The rate shows the rate at which the project will give back its returns (Kapler, 2000). A project that gives back its returns at a higher rate is most preferred. Alpha project has an ARR of 29.4% while Beta project has ARR of only 1.6%. It is clear that Alpha will give higher returns faster than Beta. The management should, therefore, choose Alpha project. When using the Net Present Value, it is advisable that the project with a positive NPV be accepted (Feinstein & Lander, 2002). NPV shows the forecasted present value of the project by the time of its completion (Shrieves & Wachowicz, 2001). A positive NPV, therefore, shows that the project will achieve a profit. A project with a higher NPV is more preferred since it increases the shareholdersââ¬â¢ income. Alpha project has an ARR of 29.4% while Beta project has ARR of only 1.6%.Ã
Sunday, August 25, 2019
Mohammed Ail Research Paper Example | Topics and Well Written Essays - 1500 words
Mohammed Ail - Research Paper Example He rose to fame even outside the boxing ring for his outspoken and brave behavior. When the government demanded of him to join the military in 1957 to fight in Vietnam he refused citing religious reasons. He said that he cannot fight until and unless it is justified through religious teachings. The US government did not recognize this excuse and arrested him for draft evasion charges. The American public shifted their perception about Ali after his conviction (Ezra, 2009). People turned sympathetic towards him and saw him as an inspiration. Due to this incident, he could not professionally box for four years at the prime time of his career. Later Aliââ¬â¢s appeal worked its way to the Supreme Court. He won the case in his favor. His court victory made him an icon for a generation that would reject forceful inclusion in the military or any action against their will. Finally in 1971 he returned to the ring. He won the world heavyweight championship title three times; 1964, 1974 and 1978. His career as a boxing legend involves historical matches with boxing greats like George Foreman and Joe Frazier. Muhammad Ali rose above his sport after mastering it (Remnick, 2011). Ali brought the game of boxing to a whole new level. With his charismatic personality, his sheer power in the ring and his butterfly movements he became an icon for the sports of boxing. Ali is an entertainer when it comes to interviews and TV shows. He is an outspoken personality and would love to talk about issues other than boxing. He was the first African-American athlete who would shout his pride of being from the black race. He stood firm against the white establishment. Ali was kept under surveillance by the FBI, and received the same treatment as Martin Luther King Jr. and Malcolm X (Remnick, 2011). He lived a high-profile life and move the masses. Ali was born in Louisville Kentucky. His father Cassius Marcellus Clay
Role of information Technology in the implementation of Business Research Paper
Role of information Technology in the implementation of Business Process Reengineering in government institutions in the UAE - Research Paper Example The proper implementation refers to the fulfillment of the business objective by reorganizing the whole business system. The research study also revealed that the employeesââ¬â¢ sustainability is directly related to the dependence of the new system. The new system, which has high dependence on information technology resulted in highly successful firms in terms of employee satisfaction level. In addition to this, customer satisfaction level can also be improved with the help of proper implementation of business process reengineering. The research did not only highlight the satisfaction of employees, in fact the data analysis suggests that the overall business health improved. This improved business can be shown by comparing ââ¬Ëbefore and afterââ¬â¢ business performance. The overall performance of company has proved to be much better than the performance evaluated before the implementation of the business process reengineering. Therefore, as per the data analysis conducted for the research work, the business reengineering process should be inculcated among all the Govt. Institutions of the
Saturday, August 24, 2019
Fibre Optics Essay Example | Topics and Well Written Essays - 1500 words
Fibre Optics - Essay Example This essay aims at scrutinizing what authentic technical literature has to say on the issue of integrating fiber optics in the aircraft systems in addition to contemplating the theory of light in relation to optical fibers as a way of illuminating exactly how the idea to transmit light through a thin fiber made of glass or plastic originated. The application of optical fibers in fiber-optic communication will also be discussed to evaluate how they allow transmission over longer distances at higher speeds as compared to other communication media. Theory of light relevant to fiber optics While ray theory best explains the light transmission and guiding properties of optical fibers, mode theory works to explain the behavior of light within a fiber. Ray theory basically serves to describe the direction taken by a plane wave inside a fiber (Einstein College of Engineering n.d.). According to ray theory, there are two types of rays which are carried by an optical fiber namely meridional an d skew rays both of which stand in contrast to each other in context of the course they take inside a fiber. While meridional rays pass through the axis of a fiber, the skew rays journey through a fiber without passing through its central axis. Also literature suggests that ââ¬Å"the acceptance angle for skew rays is larger than the acceptance angle of meridional raysâ⬠(Einstein College of Engineering n.d). The light capacity of a fiber is enhanced when skew rays are added to meridional rays. But it is argued that as ââ¬Å"skew rays tend to propagate near the edge of the fiber coreâ⬠(Einstein College of Engineering n.d.), so the addition results in entrapment of a large number of skew rays in the fiber core made of thin glass. ââ¬Å"A large portion of the number of skew rays that are trapped in the fiber core are considered to be leaky raysâ⬠(Einstein College of Engineering, n.d.). Construction of fiber optic cables Fiber optic cables basically consist of three parts namely the core, the cladding, and the coating which are also referred to as the triple Cââ¬â¢s. Though light has been shown to propagate along the fiber core even without the aid of cladding, it is suggested that cladding made of plastic or glass has its share of important functions like improving mechanical strength, reducing the loss of light into the surrounding during transmission course and protecting the fiber against many surface contaminants to smooth the process of transmission. Buffer or the coating forms the outermost layer which serves to lend extra durability and strength to an optical fiber as a way of protecting it against physical harm (Freudenrich, 2012). It is important to remember that the core is essentially made of glass, the cladding layer is made up of either plastic or glass, and plastic is used as a preferred material for the buffer. à Basic fiber optic theoryà As mentioned earlier, mode theory along with ray theory is used to explain the pro pagation and behavior of light in an optical fiber. Mode theory also largely serves to explain the issue of leaky ray loss caused by the addition of skew rays to a fiberââ¬â¢s core. It also suggests that a light wave can be referred to as a plan wave or a wavefront when travelling through an optical fiber and such wave is described by ââ¬Å"its direction, amplitude, and wavelength of propagationâ⬠(Einstein Colleg
Friday, August 23, 2019
Personal journal entry 5 Essay Example | Topics and Well Written Essays - 250 words
Personal journal entry 5 - Essay Example Feminist theory argues that legal positivism is the main reason women have been dominated by men in the past. The theory argues that the law has been written historically baymen to favor the position of men over women. ïÆ'Ë Women should be given genuine equality with men in all areas of life as opposed to the current provisions by the law. This is in direct opposition to legal positivism. A good example is the 19th amendment to the USA constitution which gives equal rights to voting for both women and men3. The feminist theory fights for the recognition of the differences between the two sexes as opposed to the sameness that are advocated by the legal positivism. The feminist theory argues that, it is until the law acknowledges the differences between men and women, that it can bring equality between them4. In conclusion, presently, the position of women is much better than it was five decades ago. The effort of the feminist movements has ensured that women achieved considerable progress in the campaign. The position of women in todayââ¬â¢s society can be attributed to a large percentage, to the changes in the legislation that have happened over the
Thursday, August 22, 2019
International Nurses in Canada Essay Example for Free
International Nurses in Canada Essay International Nurses in Canada Nurses play vital role in the personââ¬â¢s life. Nurses take care of health of all age group of Canadians and make the nation very healthy and wealthy. Nursing, as a career to both men and women offer varieties of opportunities for professional development and the personal satisfaction by helping people, when they really seek caring hand. Duties and Responsibilities of a Nurse in Ontario, Canada In Canada duties and responsibilities of nurses are well defined and listed with the emphasis on good ethics. The main duties of the Registered Nurses are as follows. Nurses assess patients to identify appropriate nursing interventions and provide medications and treatments according to policies and protocols . They collaborate with team members to plan, implement and evaluate patient care in consultation with patients and their relatives. They educate the patients and implement the institute policies for discharging patients. They assist surgeons, physicians in medical procedure or surgery and successfully monitor and operate medical equipments and supervise subordinates staff. (1. Employment Ontario). They maintain stock of supplies; prepare rooms, sterile instruments and equipments. They perform routine laboratory and office work. (2. Compassionate nursing care). In Ontario, there are two major groups in nursing profession. 1. Registered Nurse, 2. Registered Practical Nurse. The important differences between these two nursing professions are education and practice. RN requires studying a four year Bachelor of Nursing degree course and RPN requires studying, diploma program of four semesters. (3. RNAO). Working area of a nurse trained in Ontario, Canada A nurse trained in Canada can work in nearly 120 countries in the world. This is due to the Global nursing connections of Canadian Nursing Association with ICN (International Council Of Nursing). ICN is a federation of national nursesââ¬â¢ associations, representing nurses in more than 120 countries. CNA has very good leadership, which has represented ICN at various senior level for pretty long period. (4. CNA). Duties of a nurse in a Third World Country (ZAMBIA) Zambia is a member of International Council of Nurses (ICN) and nursing profession is regulated by the Nurses and Midwives Act No. 31 of 1997. Unfortunately, Zambia is among the 57 countries identified by WHO as experiencing critical shortage nurses and doctors as they are changing their profession or migrating to other counties. (5-ZUNO, 2008). Nurses in Zambia are working in highly unsafe and poor occupational conditions. In Zambia HIV/AIDS and other diseases such as tuberculosis and malaria are predominant. Due to the shortage of nursing staff, there is an overload of work on existing nurses. They work with inadequate protective clothing and instruments. They are offered very poor salary and deprived of basic needs of life. All these factors increase stress to nurses and deteriorate their physical, mental and financial condition. The nurses trained in Ontario can work in any part of the world, but the internationally trained nurse cannot work here as soon as they come here. At first glance this looks unpalatable and dominance of developed country over developing country and third world country. Here, the development in health care is very fast to keep the people healthy and provide faster recovery. So nurses will require keeping the pace with new technology and innovations. Nurses need to implement new health programs. Nurses need to work more independently. Nurses must be able to collaborate, the activities of the different disciplines for the patientââ¬â¢s benefit. Here, Nurses should be aware of consequences of ethical and legal issues, while treating the patient with their consent, relating nursing practice in the institute / hospital. (6. CNA). All these important information and knowledge are required before treating patients in Ontario. Above all, communication should also be fluent, to understand team members and patients. Because of these reasons, internationally trained nurses might not be able to work immediately, when they arrive here. Requirements for internationally trained nurse to be accepted in nursing profession They should be Canadian citizen, Permanent Resident or authorized under the Immigration and Refugee Protection Act (Canada) and provide evidence of fluency in English / French. They should complete an acceptable nursing program, provide recent safe nursing practice, should successfully complete national nursing registration examination and provide registration or eligibility of registration in Ontario. They should provide Good character and clean criminal record from a Canadian Criminal Record. (7. CNO). Expenses to obtain Ontario Certification for internationally trained nurses Various Bridge Training programs are offered by Ontario government to internationally educated nursing professional to gain the knowledge and information needed to get license to do practise in Ontario. (8. Ontario Bridge Training). This study program is ranging between 2 to 4 semesters. The tuition fee for this study program is ranging between $ 12000 to $ 4400. After completion of this program they will have to pay,1. application fee,2. PLAR Fee,3. Examinatin fee,4,General class registration fee. The total comes $ 2457. 0. (9. CNO). These expenses are overwhelming for newcomers. Newcomers initially struggle to get the job to meet their daily expenses. How could they take care of expensive tuition fees and license fees with full time study? This system is very expensive for internationally trained nurse to get license and do the practise in Ontario.
Wednesday, August 21, 2019
Co-supervision Model of Placement
Co-supervision Model of Placement Discussion The aim of the study wasto explore clinicians perspectives as students of their experience of co-supervision practice education placements.à This was done by exploring the challenges and benefits of the co-supervision model as experienced as a student across locations and/or with two therapists.à The emerging themes were generally synonymous with previous research in the area.à The discussion will provide an overview of the key themes identified, and their significance to both advance practice in clinically based education, and to enhance students experiences and learning. Clear Communication Due to the co-supervision models multitude of diverse communication channels between co-supervisors, the student, the agency, and the university, open and clear communication is key to the models effective working (Coulton and Krimmer 2004).à The findings show thatcommunication is essential in enabling the co-supervision model to work well.à The evidence demonstrates that practicing the co-supervision model of placement improves and encourages students communication skills (NHS 2007).Agreeing on clear communication lines between the student and the educator is essential in the success of practice placements (Barr et al. 2006).à The current results show that communication between the student and the Educators, both formally, in supervision, and informally, was crucial in the development of the students learning.à The research shows that a vital component of successful communication was an open and unthreatening environment.à This is in-line with Henderson (2006), who su ggests that a supportive positive working environment created by the practice educator plays an important role in the transfer of learning to the student in a clinical context. An open environment offers the student an opportunity to make mistakes and learn from these mistakes without the fear of being reprimanded (Richardson et al. 1997).à Communication between the educator and the student is not only essential in carrying out a split model of placement, but it is also crucial in managing the safety of the client group (Clouder and Daly 2002).à Open communication has been shown to nurture learning among students on clinical educational placements (Bates, Bates and Bates, 2007; Richards, Sweet and Billett, 2013 cited in Grace and O Neill 2014). Preparation The results demonstrate that the preparation of both the educators and the students play an important role in the 2:1 model of placement.à When educators failed to prepare for the arrival of their student, it resulted in the students negative experience on placement.à Whereas, when educators were fully prepared for their students, students reported an overall positive experience on placement by the student.à The results indicate that clinical supervisors must allow themselves sufficient preparation time to put supports in place to ensure the optimum learning of the student (Grace and O Neill 2014).à Preparation for the student on placement means to allow the student the time and resources to gather information on their client group and setting, envision any obstacles they may face, and develop strategies and coping skills to manage these difficulties (Tuenissen and Westerman 2011).à Evidence in the area highlights that organisational and preparation skills learned prio r to placement plays an important role in the utilisation of the 2:1 model (Sevenhuysen 2014).à In the absence of adequate preparation, the student is entering a placement with an increased risk of anxiety and stress (Kaneo and Keoske 2010). Poor fieldwork preparation by students results in the negative emotions of anxiety and strain which lead to poorer performance overall on placement (Gelman 2004). Increased Workload Students preferred the learning opportunities of the co-supervision model at a later stage of placement.à This is in line with Cahill et al. (2012) who shows that the timing of the clinical education model is an important factor while on placement.à The results stated that the co-supervision model of placement was not suitable for a students initial placement, as the student had to manage a variety of factors, which included learning styles, varied populations and locations.à The co-supervision model of placement is more suitable at a later stage of placement, when the student has accumulated the skills to manage a fast pace environment (O Connor et al., 2012).à The findings suggest that working across two sectors on a split placement had both its strengths and weaknesses.à A strength of the co-supervision model across two sectors was that it allowed for the student to maximise their learning experience of different client groups and settings. The advantages of an incr eased workload provide the student with broader fieldwork experiences (Occupational Therapy Outreach 2004).à However, the results show that a challenge of this was that the student experienced a less a structured placement, which led to a challenging feeling of switching mindsets between client groups and locations.à This is in line with Gaiptman and Forma (1991), who highlight that switching between two practice areas can cause the student frustration and make it difficult for the student to follow through on client care plans.à Further challenges identified that the co-supervision model of placement was not suitable for a short placement as it did not allow the student sufficient time to become familiar with the setting, the client group, and/or the educators. Influence of Learning Styles An unexpected theme of the importance of the influence of learning styles on the student and educator relationship and learning, emerged from the research.à The facilitation and identification of the students different learning styles and needs allows for a professional relationship and interaction with clinical educators (Murphy et al. 2012; Kelly 2007).à This was also apparent in the current study, which emphasized that differing student and educator learning styles, in some cases, proved beneficial as it made for more dynamic supervision.à In agreement with these results, previous research indicates that for the student and educator to work well together they must negotiate roles and workings styles (Coulton and Krimmer 2005).à However, the results also showed that negotiating different learning styles can also be difficult.à Evidence demonstrates that in other cases students found it difficult to learn if their learning styles were not compatible with that of their clinical instructor (Secomb 2008).à The relationship between student and educator is a critical factor that impacts learning while on placement (Andrew and Roberts 2003).à Thus, the relationship and the negotiation of learning styles of the student and educator is crucial to the success of the placement. Enhanced Learning In line with the current research, the results show that experiencing a co-supervision model of placement may improve clinical ability in the workplace (DeClute and Ladyshewsky 1993), as it offers the student a real-life experience of managing fast working environments and different working styles.à In addition to this learning, the student experiences problem solving and treatment styles, which increases their learning opportunities (NHS 2007).à The co-supervision model offers the student potential to enhance learning, and can be used throughout diverse clinical settings (Baldry, Currens and Bithell 2003).à Participants stated that the co-supervision model can add value to placement when having two educators as it can provide the student with double the support and increased confidence.à Practice educators acknowledged that it is of benefit to the student to learn from other Occupational Therapists and team members while on placement (Rodger 2011).à Turner (2001) adds to this acknowledgement by stating that more than one assessors can also be beneficial for the staff and for the student as if offers more attentive and productive educators when they are not overburden and over-worked. Future Recommendations for implementation of the model The results of the study show that more formal training of the use of the co-supervision model of placement could benefit both the supervisor and the student.à This result is reflected in other research, which purports that less than half health care professionals are conà ¯Ã ¬Ã dent in their supervisory skills and would have more confidence in facilitating supervision if more resources were put into formal training (McMahon 2014).à On-going training and support for practice educators is essential for ensuring higher standards of supervision for health care students (Plenty and Gower 2013). Participants stated that acknowledging the experience of other students who went on placement before them may be helpful as it may provide them with a knowledge base of what to expect before going on placement.à Previous research highlights that preceding students in health care disciplines represent a positive role model for the students in clinical training (Dale et al. 2013).à Hearing other students experiences of their clinical practice provide greater understanding for the prospective student going out on placement (Shariff 2005). Conclusion The findings from this descriptive qualitative study are generally consistent with previous work in co-supervision models.à The results of the current study informed best practice; this was carried out by focusing on three recommendations from the results.à Best practice of the co-supervision model of placement can include a welcoming environment for the student to work in.à Preparation on the part of the educator and the student is essential in creating a working environment that is free from anxiety.à Communication is a key component is facilitating the co-supervision model of practice placement.à Formal training of educators is important for establishing higher standards of supervision for students. The result show challenging factors of co-supervision to be the students difficulty with adapting to different learning styles, multiple practice educators, settings and client groups.à Whereas, the benefits of a co-supervision placement highlight the preparation for real-life situations, managing fast paced work environments and increased learning opportunities. Limitations The findings of this study are limited because the respondents were self-identifiedand not randomly selected. Snowball sampling does not allow for random selection. Implications for Occupational Therapy Education This data provides valuable information for the Occupational Therapy profession, notably clinical education placements, regarding needs and resources to adopt collaborative relationships between the student and the educator in fieldwork education.
Tuesday, August 20, 2019
Housing Need Supply And Demand Economics Essay
Housing Need Supply And Demand Economics Essay West Somerset is one of the smallest local authorities within England with a population of 34,675 Office for National Statistics 2012. It is largely rural in nature with two thirds of the area being within Exmoor National Park. The coastal town of Minehead is the largest settlement with a population of 12,084 (Office for National Statistics 2012). 1.3 By far the largest age group within West Somerset are those aged 60 and over making 38% of the total population (Office for National Statistics 2011). This group is well provided for within housing with a large number of sheltered and supported housing schemes and nursing homes both within the private sector and social housing sector. 1.4 Young people aged 20 to 29 make up approximately 9.5% of the total population of West Somerset (Office for National Statistics 2012) however they are one of the largest age groups registered for Social Housing within West Somerset with 23.3% of active applicants (Homefinder Somerset 2012). 1.5 The economy of West Somerset relies heavily on tourism, agriculture and the care industry with the majority of work being found within one of these areas. The largest employer is Butlins in Minehead (West Somerset Council 2011). The majority of work within tourism and agriculture are seasonal resulting in fluctuating benefit claims and relatively low wage levels within the area making affordability of housing a problem. 2 A Profile of West Somerset 2.1 The total population of West Somerset has decreased from 2001 census data to the 2011 data however the proportion of this population that is in the age range 20 to 29 has increased during this time from 7.7% to 9.5%. In England as a whole the percentage population of people aged 20 to 29 in 2011 is 13.7%, higher than in West Somerset. The largest age group within West Somerset is those over age of 60 making a total of 38% of the population in 2011 in contrast to a percentage population of 22.3% for this age group in England as a whole (Office for National Statistics 2012). Table 1 Population of West Somerset Age Range 2011 Population 2011 Percentage 2001 Population 2001 Percentage 19 and under 6 264 18.1% 7 225 20.6% 20 29 3 293 9.5% 2 687 7.7% 30 59 11 925 34.4% 13 442 38.3% 60 and over 13 193 38.0% 11 715 33.4% Total Population 34 675 35 069 Source: Office for National Statistics Table 2 Population of England Age Range 2011 Population 2011 Percentage 2001 Population 2001 Percentage 19 and under 12 712 275 24.0% 12 327 688 24.9% 20 29 7 246 202 13.7% 6 307 052 12.8% 30 59 21 221 173 40.0% 20 584 021 41.6% 60 and over 11 832 806 22.3% 10 230 985 20.7% Total Population 53 012 456 49 449 746 Source: Office for National Statistics 2.2 A large proportion of homes in West Somerset are owner occupied approximately 67% compared to a national average of 63% (Office National Statistics 2012) and the average price of a house in Somerset as of October 2012 is à £160,349 very close to the national average for England and Wales of à £161,605 (Land Registry 2012). The migration into the area by people wishing to purchase retirement homes or second homes has pushed the prices up to very close to the national average. Private rented housing makes up 16% of accommodation with social housing approximately 15% (Office National Statistics 2012). 2.3 Average earnings in West Somerset are à £523.00 per week which is below the average for England of à £609.50 per week (Somerset County Council 2011). The majority of work is within the tourism and agricultural industries and is seasonal in nature and hence low paid. This below average earnings coupled with high cost of housing makes home ownership very difficult for local people and especially for young people. 2.4 In West Somerset social housing is supplied by Housing Associations of which Magna West Somerset holds the largest stock. Of the 1921 properties owned by Magna West Somerset, 1439 of these are general needs properties with the rest being sheltered or supported accommodation. Of the 1439 general needs properties only 161 (11.2%) are 1 bedroom properties. 3 Housing Need, Supply and Demand 3.1 Everyone has a need for housing of some sort, the type and availability varies around the globe. In the UK the need for housing is measured by the local authority using various facts and figures available to them such as number of homeless applications or numbers registered for housing as well as the demographic profile of the area (Lazarus 2012). 3.2 Housing demand can be described as the desire for housing along with the ability to pay for that desire. Housing supply would be described as the amount of housing produced at a price. The demand and supply of housing can fluctuate with various factors influencing both but in the long term, the supply of housing should equal its demand, because price will provide the equilibrating mechanism linking the two (Harriott Matthews1998 p23) 3.3 The demographic profile of an area along with the economic factors will have an effect on the supply and need of housing. Within the West Somerset area the population as a whole has reduced since 2001 however a larger percentage are over 60 requiring specialist housing and also young people who are looking to get onto the property ladder for the first time as homeowners or by renting in either the private or social housing sectors. The need for starter housing by young people has increased however financial pressures often mean that they are unable to own their own home or rent within the private sector. 3.4 Homefinder Somerset is a choice based lettings allocation scheme for affordable housing in Somerset. Within West Somerset in 2012 there were 1363 active applications for housing registered a total of 3.9% of the population. Of these registrations 318 are applicants aged 20-29 which is 23.3% of total number registered, a much higher proportion than those aged 20-29 of the population as a whole (Homefinder Somerset 2012). 3.5 Of the 318 registrations from applicants aged 20 to 29, 109 (33.3%) of these state that they are not living in their own property at the moment and are living with family or friends (Homefinder Somerset 2012). Increasingly young people are finding it more difficult to move out of the family home for the first time due to financial pressures so are still living with parents up to a much older age. 3.6 The Rural Housing Project in Exmoor National Park is an independent project which seeks to help local people to remain living and working in the area (Exmoor National Park 2012). They identify the level of housing need through conducting surveys and also holding consultation events. They then work in partnership with developers and housing associations to deliver affordable housing for local people. 3.7 After a consultation by The Rural Housing Project a need for rural housing in Exmoor National Park was identified for young people. A scheme was developed in the village of Wheddon Cross in June 2011 and consisted of a mix of affordable private housing and social housing. This scheme of 10 properties for social housing included 2 one bedroom properties. Of the 10 properties 9 of these were let to young people and of these 9, six were to young people with no children with 3 of these being let to siblings (Rural Housing Project 2012). 3.8 Funding for building of new properties by housing associations needs to be raised by either loans or from rents. Magna West Somerset, the largest housing association in the area has made a decision to not develop any new properties once those currently being built are finished. This is due to interest rates for loans being unfavourable coupled with the uncertainty of rental income with the introduction of Universal Credit in 2013 when the housing element of benefit will be paid direct to the tenant and no longer straight to the landlord. This means that very few new properties will be developed in the area in the foreseeable future. 4 Economic Factors 4.1 In 2007 the economy in the UK suffered what is known as the credit crunch where the availability of credit and mortgages was severely cut causing a crisis in the housing market and recession and an increase in the demand for social housing (Lazarus 2012). The economy still has not recovered from this completely and although this caused a fall in house prices, the demand for housing within the private sector is also not there as buyers are unable to access finance. Building firms faced financial difficulties and some went into receivership so the supply of housing has also been drastically cut. 4.2 Unemployment levels are high especially amongst young people. Job Seekers Allowance for a single young person under age of 25 is à £56.25 per week and for those 25 and over it is à £71 per week (gov.uk 2012). Although they can also claim housing benefit many young people struggle to finance a home on their own with the rising cost of utilities and food. 4.3 An important part of economic success for an area is the ability to retain young working people. There is a very short supply of affordable housing in rural areas for young people so they either remain at home for longer or leave to seek affordable accommodation in more urban areas (West Somerset Council 2009). 4.4 West Somerset is a predominantly rural area which adds extra expense to living costs. There is very little public transport except along the coastal corridor from Minehead to Taunton with a bus route. The nearest railway station is Taunton and the only railway running within West Somerset is a steam heritage railway. Most people therefore have the added expense of having to run a car. 4.5 A large section of West Somerset is also not served by mains gas, including a great number of social housing properties in Minehead. This means that heating costs are higher due to using either electric or oil heating. According to figures published in 2010 by the Department of Energy and Climate Change 21.5% of households in West Somerset are in fuel poverty (Department of Energy and Climate Change 2010). A household is said to be in fuel poverty if it needs to spend more than 10% of its income on fuel to maintain a satisfactory heating regime (Department of Energy and Climate Change 2012). 4.6 These increased expenses of travel and utilities experienced within rural locations mean that affording housing in these areas is almost impossible for young single people on a low wage or not working. 5 Legislation 5.1 The Welfare Reform Act 2012 will bring in many changes to benefits. One of the main things that will affect young people is from April 2013 any person of working age under occupying a property and claiming housing benefit will have their benefit cut by 14% for one spare bedroom or 25% for two spare bedrooms commonly known as the bedroom tax (national Housing Federation 2012). This is already causing a strain on the demand for one bedroom properties by people who will be affected by this cut wanting to downsize which is causing more competition for these properties with young people wanting to get their first home. 5.2 The Local Government Finance Act 2012 removes council tax benefit and instead puts the responsibility on councils to develop their own scheme called Council Tax Support (Turn2Us 2012). The new scheme will be different in every council area however the government funding for each scheme has been cut which means that each council will have to find savings. Elderly and vulnerable people will be protected so working age people will probably have to pay council tax whether they are in work or not. 5.3 In West Somerset proposals have been put forward which include all working age people who are not working and so claiming Council Tax Support to pay 20% of their council tax bill and also for higher rates of non depended deductions. This will probably preclude young single people who are out of work from being able to afford to have their own home. Those that stay at home or with friends and family if the household is claiming council tax benefit will also find that there is a larger non dependent deduction charged to the household they are staying with (West Somerset Council 2012). 5.4 The government in the Chancellors Autumn Statement announced that benefits will only rise by 1%, a below inflation rise (Brown 2012). This means that benefits for unemployed young people will stay at a low level and with the cost of housing and living increasing the chance of obtaining and sustaining a tenancy is getting harder for them. 5.5 The Localism Act 2011 gives new rights and powers to local authorities with regard to a variety of issues including housing. Before the act almost anyone could apply to live in social housing, whether they need it or not (Department Communities and Local Government 2011 p15). Social housing however is now more than ever in greater demand due to the economic climate within the country. This act gives local councils the ability to agree on policy that can restrict who can qualify for social housing in the area. At this time, Homefinder Somerset the choice based lettings system used by West Somerset has not made any changes to its letting policy with regard to the Localism Act to restrict applications for housing. 5.6 Young people who wish to rent privately within West Somerset if they are on a low wage would be entitled to claim assistance with their rent through Local Housing Allowance. Since January 2012 any single person up to the age of 35 can only claim local housing allowance for a room in shared accommodation rather than a self contained 1 bedroom property. At present this rate is à £66.50 per week in West Somerset. From April 2013 the Local Housing Allowance will only be increased by the Consumer Price Index rather than market rent as previously (South Somerset District Council 2012) so a lower increase will happen each year so making it harder for young people on a low wage to rent privately. In his Autumn Statement the Chancellor then announced that after next April the Local Housing Allowance will only rise by 1% for the next two years (Brown 2012). This will make many private rental properties out of the price range of people on benefits and also those on low wages. 6 Conclusion 6.1 The issues surrounding housing of young people in West Somerset are mainly of affordability and availability. 6.2 The availability of 1 bedroom properties for young people without children is not good especially as these properties are now also in demand from other people wishing to downsize due to welfare reform changes and very little new building taking place. 6.3 Affordability due to low wages or unemployment and of high costs of living due to rising utility costs and food. 6.4 West Somerset Housing Strategy recognises the need to keep young people within the area for a sustainable community however more needs to be done to assist with the low wage base and affordability of housing. 6.5 More affordable housing needs to be provided for young people that is near to employment so that travel costs are kept to a minimum and also that is low cost to run with regard to utilities by using new technology. 6.6 Strategies to assist with training for work and also attracting new business into the area to help increase the number of people in work and the average wage for the area should also be looked at.
Monday, August 19, 2019
Essay example --
Untuk menggapai kecemerlangan sesebuah negara itu hendaklah mewujudkan inovasi dalam kurikulum dan kokurikulum dalam sistem pendidikan pembelajaran negara agar kandungan ilmu yang diajar mampu melahirkan pelajar yang berdaya saing sehingga di peringkat anatarabangsa. Begitulah bunyi nya kata-kata hikmat oleh Ghani Nasir (2010). Inovasi juga perlu agar negara dapat melahirkan pelajar yang tetap utuh dalam mempertahankan jati diri dan identiti bangsa Malaysia. Inovasi yang telah dilakukan dalam kurikulum sekolah hendakah bersifat kontekstual yang mana lebih tertumpu ke arah kebolehan untuk berfikir secara kritis dan kreaatif. Sifat-sifat ini perlu ditanam dalam diri pelajar kerana ia diyakini mampu membangkit minat ingin belaajar dan meneroka dalam kalangan pelajar. Ghani Nasir (2010) juga ada mengatakan bahawa para pendidik hendaklah memanfaatkan pengintegrasian ICT dan teknologi sebagai pendedahan terbaru kepada para pelajar malah ia juga sesuai dijadikan sebagai alat bantu mengajar dalam kelas. Penggunaan ICT dan teknolgi dalam kelas adalah digalakkan sama sekali untuk memacu keceme...
Leiningen Versus The Ants Essay -- English Literature Essays
Leiningen Versus The Ants Would you risk your own life and the lives of another 400 people just so you might have a chance at saving a coffee plantation? Well thatââ¬â¢s what Leiningen did in the short story ââ¬Å"Leiningen Versus the Antsâ⬠. And by doing so he has proved himself to be an over confident, persuasive, and sexist man. And is not a person to be admired. In this story Leiningen has shown himself as an extremely over confident person. From the time he was aware of the impending danger of the ants, to when he was almost willing to give it all up he still believed that he could conquer them. This is show on the very first page of the story where Leiningen says ââ¬Å"Decent of you, paddling all this way just to give me the tip. But youââ¬â¢re pulling my leg of course when you say I must do a bunk. Why, even a herd of saurians couldnââ¬â¢t drive me from this plantation of mine.â⬠A second sign of his over confidence is when he says ââ¬Å"And donââ¬â¢t think Iââ¬â¢m the kind of fathead who tries to fend lightning off with my fists, either. I use my intelligence, old man. With me, the brain isnââ¬â¢t a second blind gut; I know what itââ¬â¢s there for. When I began this model farm and plantation three years ago, I took into account all that could conceivably happen to it. And now Iââ¬â¢m ready for anything and everything---including your ants.â⬠These two statements show him as thinking he has planned for the worst and knows all that lies ahead of him but in truth, he knows the least of what will actually happen...
Sunday, August 18, 2019
Myths about the sun and the moon :: essays research papers
Myths about the Sun and Moon The sun and the moon are powerful beings that bring life and death to all living creatures. They control when it is day or night, which season it is, and the weather. They fascinate humans and a considerable amount of mythology has been dedicated to the creation of the sun and moon and why or how they travel across the sky during the day and night. This paper will discuss and compare some of these myths and the gods attributed to their care and existence. The sun and the moon are such influential powers that the creation of them is right along with the creation of the world and humans in some of the better-known mythology. The story of creation in Christian Bible tells of Godââ¬â¢s creation of the sun and the moon. On the fourth day ââ¬Å"God made two great lights - the greater to rule the day and the lesser to rule the night... God set them in the dome of sky to give light upon the earth, to rule over the day and over the night, and to separate the light from the darkness.â⬠(Genesis 1.16-18). A similar myth of the creation of the sun and the moon is found in the Qurââ¬â¢an, "It is Allah Who hath created the heavens and the earth and sendeth down rain from the skies... He has made subject to you, the night and the day; the sun and the moon; and the stars in subjection by His command." (Qurââ¬â¢an 14:32-33). These two myths are from monotheist religions in which the sun is just created out of nothing, they describe the creation but they lack explanation as to how and why the sun and the moon where put in the sky and have no detail about the orbits or movement or them. ââ¬Å"The Creation of the Sun and the Moonâ⬠by Michelangelo is a large fresco of God creating the sun and the moon. In the foreground he has one hand pointing towards a large yellow ball, the sun, and in the background he is pointing towards a large bluish ball, the moon. He is looking forcefully at the sun in the foreground. This fresco is just one personââ¬â¢s take on the creation of the sun and the moon as the bible explains it. The Egyptian sun god was Re. His name meant sun and he represented strength.
Saturday, August 17, 2019
Patient Screening
1. The mother of a 6-month-old infant calls the office requesting an appointment for her child. She advises that she thinks the childââ¬â¢s head appears swollen and that there are areas that appear to be bulging. What is your response regarding the appointment? Based on the symptoms the mother has given, my diagnosis would be that the child could possibly suffer from the condition hydrocephalus. The symptoms which she described such as, swollen head, and bulging areas of the head share some of the same symptoms as hydrocephalus.Hydrocephalus is also more likely to occur during the infant stage, so the child is also within the likely age rage (6 months). I would advise the mother for prompt assessment (to be seen within 24hrs). In addition, schedule her for the next available appointment in the doctorââ¬â¢s office. 2. The mother of a 3-year-old boy calls to report her child had the onset of vomiting and abdominal pain during the night and is now experiencing blood in his urine. She says she just noticed a swelling on his left side toward his back. She requests and appointment. What is your response regarding the appointment?My diagnosis in this case would be that the child possibly suffers from Wilmââ¬â¢s tumor. The child is displaying symptoms such as mass in kidney region (swollen on the back left side), hematuria (urine in the blood), pain in the abdomen, and vomiting. Wilmââ¬â¢s Tumor occurs in children usually under 5 years of age, and this child is 3 years of age (within likely age range). I would advise the mother for prompt assessment, and schedule the next available doctorââ¬â¢s appointment. 3. The mother of a 15-day-old infant son reports that he started having episodes of vomiting with the emesis ââ¬Å"shooting out of his mouthâ⬠after feeding.She also reports the infant appears hungry, continues to feed, and has not gained any weight. How do you respond to this call? After listening to the mother describe her infants symptoms, it is possible that her son suffers from Congenital Pyloric Stenosis. The child has projectile vomiting which means he should be seen promptly. However, other symptoms the child exhibits include staying hungry and not gaining weight. Child is 15 days old and symptoms appear around 2-3 weeks of age. I would advise the mother for prompt assessment, and schedule the next available appointment in the doctorââ¬â¢s office.4. Just as the office is closing for the day, a mother calls about her child who just started experiencing signs and symptoms of respiratory distress including hoarseness; fever; a harsh, high-pitched cough; and a funny, high-pitched sound during inspiration. The physician has already left the office for the day. How do you handle this call? From the symptoms the mother has described about her child it is possible her child could be suffering from croup. Symptoms include hoarseness, high-pitched cough, and fever. Iââ¬â¢d advise the mother for immediate evaluation and to take her child to the ER. 5.A mother calls to report that her three children have been complaining of being fatigued, having headaches, and stomach, muscle, and joint pain for the last 2 weeks. She also states there has been a significant change in their behavior. How do you handle this call? My diagnosis in this case would be that her children possibly have tetanus. Her children are displaying signs of irritability and joint stiffness, along with many other symptoms that sound like tetanus. Signs such as, fatigue, head and stomachaches and muscle pain, could be spasms. I would advise mother for immediate evaluation, for the mother to take her children to the ER. Patient Screening 1. The mother of a 6-month-old infant calls the office requesting an appointment for her child. She advises that she thinks the childââ¬â¢s head appears swollen and that there are areas that appear to be bulging. What is your response regarding the appointment?Based on the symptoms the mother has given, my diagnosis would be that the child could possibly suffer from the condition hydrocephalus. The symptoms which she described such as, swollen head, and bulging areas of the head share some of the same symptoms as hydrocephalus. Hydrocephalus is also more likely to occur during the infant stage, so the child is also within the likely age rage (6 months). I would advise the mother for prompt assessment (to be seen within 24hrs). In addition, schedule her for the next available appointment in the doctorââ¬â¢s office.2. The mother of a 3-year-old boy calls to report her child had the onset of vomiting and abdominal pain during the night and is now experiencing blood in his urine. S he says she just noticed a swelling on his left side toward his back. She requests and appointment. What is your response regarding the appointment? My diagnosis in this case would be that the child possibly suffers from Wilmââ¬â¢s tumor. The child is displaying symptoms such as mass in kidney region (swollen on the back left side), hematuria (urine in the blood), pain in the abdomen, and vomiting. Wilmââ¬â¢s Tumor occurs in children usually under 5 years of age, and this child is 3 years of age (within likely age range). I would advise the mother for prompt assessment, and schedule the next available doctorââ¬â¢s appointment.3. The mother of a 15-day-old infant son reports that he started having episodes of vomiting with the emesis ââ¬Å"shooting out of his mouthâ⬠after feeding. She also reports the infant appears hungry, continues to feed, and has not gained any weight. How do you respond to this call?After listening to the mother describe her infants symptoms, it is possible that her son suffers from Congenital Pyloric Stenosis. The child has projectile vomiting which means he should be seen promptly. However, otherà symptoms the child exhibits include staying hungry and not gaining weight. Child is 15 days old and symptoms appear around 2-3 weeks of age. I would advise the mother for prompt assessment, and schedule the next available appointment in the doctorââ¬â¢s office.4. Just as the office is closing for the day, a mother calls about her child who just started experiencing signs and symptoms of respiratory distress including hoarseness; fever; a harsh, high-pitched cough; and a funny, high-pitched sound during inspiration. The physician has already left the office for the day. How do you handle this call? From the symptoms the mother has described about her child it is possible her child could be suffering from croup. Symptoms include hoarseness, high-pitched cough, and fever. Iââ¬â¢d advise the mother for immediate evaluation a nd to take her child to the ER.5. A mother calls to report that her three children have been complaining of being fatigued, having headaches, and stomach, muscle, and joint pain for the last 2 weeks. She also states there has been a significant change in their behavior. How do you handle this call? My diagnosis in this case would be that her children possibly have tetanus. Her children are displaying signs of irritability and joint stiffness, along with many other symptoms that sound like tetanus. Signs such as, fatigue, head and stomachaches and muscle pain, could be spasms. I would advise mother for immediate evaluation, for the mother to take her children to the ER.
Friday, August 16, 2019
The Pink Cow
On the beautiful sunny beach day of March 12, 2008, I visited the Florida Gulf Coast Universityââ¬â¢s art complex. The first thing I noticed upon entering the art complex was a pink cow. This pink cow consumed my total attention. I hardly noticed anything else. I was so fascinated and taken away by this pink cow that, as I studied this extraordinary painting, it became clear serious precise art techniques were carefully used to design this creation taking attention off everything else in the gallery. Itââ¬â¢s a Pink Cow painted by expert artist, Andy Warhol, uses professional levels of sophisticated art coloring and design elements communicating fun, happy environments to the subconscious minds of youthful crowds occupying the buildings wherever his art work hangs. The only reason art sells is because it inspires emotions, controlling mind manipulation atmospheres from fun to conservative. Itââ¬â¢s a Pink Cow paintingââ¬â¢s strongest identity is color and subject content. This wall paper image created by famous pop artist Andy Warhol made excellent use of shocking contrasting coloring and design in Itââ¬â¢s a Pink Cow. Itââ¬â¢s a Pink Cowââ¬â¢s shocking hot pink everyday farm animal peaking through a barn door with a light green background which is lit up by the bright yellow sun invokes feelings of pleasure, comical, social interactions. Color invokes moods. ââ¬Å"We learn from color specialists that rooms painted in different colors tend to cause different reactions. Certain blues are cool, certain greens are relaxing, certain reds are warm and comforting. ââ¬Å"(Blair 43) Observing Itââ¬â¢s a Pink Cow, and applying our knowledge about art techniques, it is clearly obvious the artist shows creative potential of colors capacity. Normally green is known as evoking feelings of calmness, quietness, seriousness. However, it is totally unlikely this painting containing a sensible green filling in the background to be observed in a church, senior citizens ballroom or a political business meeting room. In some of these different paintings, the background is yellow. In this particular artwork shown in the museum, the background overlooking the picture is grass green. Reflections of bright yellow sunlight shinning on the green grass gives the neutral nondistracting color pizzazz. Adding sunlight to the earth toned green shades is equivalent to adding Hip-Hop music to church choir music. When artists are working at designing original pieces in a highly competitive market full of talented people, it is not enough to design something that itââ¬â¢s only contribution is being pretty. That is why creative arts are popular for breaking traditions. Warholââ¬â¢s theme in this painting was showing the unique possibilities by applying extraordinary colors to ordinary objects. In this painting, it is not only a pink cow looking at everyone looking at the painting. By coloring a traditionally black or brown object, such as a cow in any bright shade, it is now the bright tint looking at the viewer. A person looking at the painting moodââ¬â¢s are altered on a level they do not realize. A hot fluorescent pink cowââ¬â¢s head looking out the barn holds the person attention, making them look twice at his artwork. The innocent visitor to the art museum first wonders about themselves upon looking at the pink cow. For reassurance, they stand silently to see if their friend accompanying them says anything first. Their friend is doing the same thing. Then the worker at the art gallery passes by, comments on the pink cow and the art museum visitor is now relaxed. The artistââ¬â¢s main objective is to influence or alter peopleââ¬â¢s moods, and that is what this painting did. Artists selectively chooses the use coloring, lines, forms, shapes etcâ⬠¦innovatively to target their selected audience. A green grass providing the background for trees in a landscape would not have the same effect. Andy wanted to sell to the younger generations. Here he is using vivid colors to capture the fun minded light hearted generation. The subject content works in conjunction with coloring creating a surprising and unexpected product making an artists statement that can only be accurately interpreted by the artist. The colors and the subject matter conflict greatly. Bright vivid colors and a pink cow is a symbology of fun. Of all the animals to choose from, why did he choose a cow? A cow is not really a symbology of fun. Looking at paintings such as these peaks curiosity, it draws attention inviting the viewer to investigate more into the artwork. It is necessary to have an idea of history, including the artists personality and style is necessary to make sense of the painting. Itââ¬â¢s a Pink Cow appears like it may be a totally improvised, but the sources say differently. ââ¬Å"Once he's chosen something from the chaos of everyday reality to preserve in his art ââ¬â particularly in his paintings and sculpture ââ¬â Warhol works extremely hard ââ¬Å"at getting the image absolutely right,â⬠says Leo Castelli. ââ¬Å"He doesn't simply arrive at an image easily and then repeat it senselessly ââ¬â as many think. That cow wallpaper took him over a year to define. ââ¬Å"(Pratt 53) The only reason art sells is because it inspires emotions, controlling mind manipulation atmospheres from fun to conservative. Itââ¬â¢s a Pink Cow was created to provoke laughter, or comical atmospheres. Of all the paintings in the art gallery, this painting stood out. Hanging this painting in the room of a child or young personââ¬â¢s apartment is great for developing and stimulating imaginations. This is especially true if someone was to elaborate on it this art piece, and make the cow sing, dance or tell jokes.
Thursday, August 15, 2019
Aetiology, pathogenesis, diagnosis and treatment Cystic fibrosis: role of P. aeruginosa infection in cystic fibrosis patients
Introduction Cystic Fibrosis (CF) is a genetic disorder of salt and water regulation in the cell. The disease is caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene (Cohen and Prince, 2012). The molecular basis of CF depends on its transmembrane conductance regulator (CFTR) protein, which functions as a channel and regulates the movement of ions and water across the epithelial barrier. The barrier opens in response to increased levels of intracellular cyclic adenosine monophosphate (cAMP). The gene in normal condition is responsible for salt (chloride) and water balance in the body. However, if mutated, is not able to excrete out enough salt of the cell; thus resulting, the build of salt within the cell forming sticky mucus. If accumulated in the lungs, this sticky mucus may clinically affect the epithelial innate function of the lungs and may result in ineffective airway inflammation that fails to eradicate pulmonary pathogens (Cohen and Prince, 2012). The working mechanism of CFTR protein under normal condition is shown in figure 1. Studies have shown that increase in sodium (Na) re-absorption on the epithelial cells may indicate an event in cystic fibrosis lung disease (Cohen and Prince, 2012). These mutations on the (CFTR) protein have impacts on its production and transfer to the epical membrane of the epithelial cells, thereby influencing the conductance of chloride and bicarbonate ions across the channels resulting in the CFTR ionic imbalance of on the epithelial cells of different organs. This leads to the formation of excessive mucus in the cells, which provides an ideal condition for bacteria growth and multiplication. Interestingly, even uncommon lung bacteria such as pseudomonas have been found to inhabit in the lungs exploiting the ideal condition (Clunes and Boucher, 2007). Abnormality in the CFTR pathway results in the increase of glycolipids on the surface of CF airway epithelial cells. These glycolipids serve as receptors to increase the binding activities of bacteria, thereby facilitating the early infection process, which is a hallmark of the disease. Moreover, defect in CFTR gene is also associated with decreased nitric oxide concentration in the cell. Nitric oxide possesses antibacterial properties; thus, decrease in its concentration may predispose an individual to severe infections with faulty CFTR gene (Clunes and Boucher, 2007). In addition, the role of inflammation in CF pathogenesis seems equally important. Inflammatory response produced against the infectious pathogens in CF patients may have detrimental effects to the host cells. Inflammatory infiltrates including macrophages, neutrophils, cytokines and interleukins may induce tissue damaging responses, further deteriorating the lung function (Cymberknoh, et.al. 2013). Inhabitation of bacteria in cystic fibrosis lung As mentioned earlier, even uncommon bacterium including Pseudomonas aeruginosa can reside in the cystic fibrosis lung (Hauser, et.al. 2011). Pseudomonas aeruginosa is a gram negative, rod shaped, aerobic bacterium that prefers moist environment for growth. Commonly they are found in places such as sewage and in certain areas of the human body. Furthermore, they reside in lakes, moist vegetables, moist soil and streams. Studies have also suggested that that most human infections due to P. aeruginosa result due to contact with these natural reservoirs (Friman, et.al. 2013). Pseudomonas aeruginosa has been recognized as an important pathogen in CF. Soon after residence in the lungs, it becomes extremely difficult to eradicate them by antibiotics. The persistent presence of these bacteria in the lungs ultimately results failure of the immune system to provide a defense against them; this leads to respiratory failure resulting in death of the patient (Folkesson, et.al. 2012). Firstly, P.aeruginosa acquires the airway of the patient with cystic fibrosis, which occurs during the very early phase of the disease. Infection may ensue once this bacterium enters the CF host and colonizes the oropharynx, then to the lower respiratory tract by process of micro aspiration. Infection becomes intermittent at the initial stage as a result of acquisition of different strains. During the early stage of infection, the isolate looks like environmental strains, non-mucoid and susceptible to antibiotics. Eventually P. aeruginosa establishes itself and chronic infection ensues (Folkesson, et.al. 2012). In chronic stage of CF, P. aeruginosa produces a mucoid alginate by growing in bio-film of the end- bronchiolar space. It lacks lipopolysaccharide and becomes non-motile, resulting in the development of antibiotic resistance during. Despite the known mechanism and availability of antibiotics, P.aeruginosa is able to chronically infect the airway of patients with CF and is able to cause an unrelenting decline in pulmonary function and deterioration; but how these happen has been focus on intense research (Folkesson, et.al. 2012). Molecular pathogenesis of P.aeruginosa infection in CF The molecular basis of infection due to P. aeruginosa in CF is still not fully understood. However, it may be peculiar to a specific strain at the time of adaptation after acquisition. Studies have indicated that the persistence of the bacterium in the lungs might be due to its high level of propensity and the ability to adapt with environmental changes and stress (Hauser, et.al. 2011). aeruginosa possesses traits that enable them to colonize and persist in acute and chronic infection. These traits include; High resistance to antibiotics (Zhang, et.al. 2011) Effective cell-cell communication singalling for growth and multiplication (Friman, et.al. 2013). Ability to form biofilms, plethora and virulence products and metabolic versatility (Wagner and Iglewski, 2008). The biofilms are synthesized by the bacterium encased within a hydrated polymeric matrix and are clinically important; this is because, P. aeruginosa in this mode of growth utilizes it to cope with phagocytes by the neutrophils and macrophages, as well as to the killing by antibiotics. This allows them for persistent survival in chronically infected CF despite the continuous natural immune response and antibiotics effect (Zhang, et.al. 2011). The disease pathogenesis and severity is further triggered by inflammatory responses in the later stage of the disease. Mainly the pro-inflammatory enhancers become physiologically active in the absence of function CFTR gene. Although the exact inflammatory pathophysiology of CF still remains debatable, persistent infection, poor pathogen clearance, acidic environment and are considered some of the key triggers for initiating chronic inflammatory response in the lungs of the patient with CF (Pier, 2008). The mechanism is explained in figure 2. Synthesis of ceramide from sphingomyelin by acid sphingomyelinase (ASM) and degradation by acid ceramidase (AC) is optimal at an acidic pH, such as that of normal intracellular vesicles (pH 4.5). Lack of functional CFTR increases vesicle pH to 5.9, partially inhibiting ASM and highly inhibiting AC, resulting in ceramide accumulation in the vesicle and age-dependent pulmonary inflammation. Other properties of the cystic fibrosisââ¬âaffected lung, including lack of the CFTR receptor needed for clearing Pseudomonas aeruginosa, enhanced mucin secretion, a dehydrated airway surface liquid, viscous mucus and DNA deposits released from ceramide-engorged apoptotic cells, also contribute to P. aeruginosa airway colonization. Eventually, this microbe establishes a chronic infection wherein bacterial cells reside in low-oxygen mucus plugs and become highly resistant to clearance or killing by host defenses (Pier, 2008) P.aeruginosa potentially synthesize factors such as proteolytic enzymes, which damage the host cells by altering the host iron-containing protein forming hydroxyl radicals that contribute to host tissue injury and inflammation; thereby decreasing the level of anti-inflammatory cytokines including IL-10, and at the same time, activating neutrophils in the airway lumen. Continuous recruitment of these neutrophils induces tissue damaging inflammatory response mainly affecting pulmonary tissue. Furthermore, neutrophils trigger the production of pro-inflammatory cytokine such as IL-8, which further contributes in the tissue damage process. In addition to pro-inflammatory cytokines, neutrophils also release the oxygen free radicals that induce apoptosis (programmed cell death) of the epithelial tissue in the lungs. Thus, to conclude, the role of neutrophils in airway inflammation in patients with CF seems crucial. Instead of providing innate immunity to the infected lung, it rather trigger s detrimental inflammatory response and promote the growth of P. aeruginosa though the production of different growth enhancing cytokines, leading to the destruction of the lung tissue (Sagel, et.al. 2009). The effectiveness of the immune response in CF is exploited, allowing the establishment of a relentless cycle, whereby persistent bacteria cause increased inflammation that itself leads to increased bacterial densities, which in turn results stronger inflammatory response (Sagel, et.al. 2009). The net result is progressive tissue damage and pathological consequences and sequelae of CF that include mucopurulent plugging of bronchioles, chronic bronchitis (inflammation of the bronchioles) and bronchial gland hyperplasia (increase in the cell size of bronchial gland cells). The airway later becomes dilated and results bronchiectatic due to loss of support cartilage (Pickett, 2013). Treatment options for cystic fibrosis The decision to treat patients who are infected with P.aeruginosa can be very challenging. Prolonged treatment with antibiotics can have toxic side effects, as well as increases the chance of microbial resistance in the patients. Also, prolonged treatment may cause long term harm. Data suggest that 80% of the patients with CF die indirectly or directly from pulmonary disease (Hurley, et.al. 2012). Clinically, there has been very little progress in the development of new antibiotics with novel mode of action. Recently, researchers exploited the adjuvant therapeutic agents that may be used alongside the conventional antibiotics. Source control measures, de-escalation of antibacterial should be followed up in patients with clinical response, especially with known antibacterial susceptibilities (Hurley, et.al. 2012). Considering the virulence of this pathogen, the progress of various strategies such as efflux pumps and lectins, the use of iron chelators, immunization, immunotherapy, and inhibition of quorum sensing are currently being tested clinically for the better management of the disease. It has also been suggested that the impacts of intervening virulence of P. aeruginosa should also be assessed (Hurley, et.al. 2012). Some novel therapies are also based upon the fact that CF is caused by the mutation of the gene encoding CFTR protein; targeting the defects produced in CFTR with invacaftor in one such approach. This novel treatment seems promising in patients with specific genotype of CF. Although the long term-outcome remains unknown, the development of CFTR targeted drug is an important milestone in CF (Petit, et.al. 2012). More recently, gene therapy has been extensively studied for the complete cure of the disease. However, the technique is not easy and has several limitations and hurdles. For instance, the research on this approach is very time consuming and often very expensive. However, focus of research has been on identifying the optimal vector for gene therapy (Picket, et.al. 2013). Thus, the management of CF has been a major challenge ever since the discovery of the disease. However, advancement in medical technologies and treatments has improved the prognosis of the disease. More sophisticated treatment including gene therapy (replacing faulty CFTR gene with a normal gene) has been the focus of intense research. P. aeruginosa resistance in CF Pseudomonas aeruginosa is one of the common infections in western society, because of its high level of resistance to antibiotics. The synergistic relationship between the outer membrane permeability and the efflux pumps is the most important factor influencing intrinsic antibiotic resistance in Gram-negative bacteria like P. aeruginosa (Liu, et. al. 1996). The high level of P. aeruginosa resistance is due to the acquired genes coding for amino glycoside-modifying enzymes or periplasmic beta-lactamases or mutations in fluoroquinolone targets (Liu, et.al. 1996). Low outer membrane permeability, which is caused by either less production of the OprD porin, or by expressing multidrug resistance efflux pumps contributes to high level of intrinsic antibiotics resistance (Liu, et.al. 1996). Numerous efflux pumps such as MexAB-OprM and MerXY-oprMb MexAB-OprM, MeXY-OprM, MexCD-OprJ, MexEF-OprN, MexJK, MexGHI-OpmD, MexVM, MexPQ-OpmE, MecMN and TriABC are encoded in the genome of Pseudomonas aeruginosa. These are of clinical importance because of their chemical ability to remove chemical-unrelated antibiotics. Among all, resistance-nodulation division (RND) super family contains the main efflux pumps of P. aeruginosa. This efflux pump has been discussed in greater details below. The energy source is derived from its proton motive force. Resistance Nodulation Division Efflux Pump Structure There are five families of multidrug resistance efflux pumps which include the ATP-binding cassette (ABC) super family, the major facilitator super family (MFS), the multidrug and toxic-compound extrusion (MATE) family, the small multidrug resistance (SMR) family and the resistance nodulation division (RND) family (Paddock, 2006). Efflux of antibiotics from the periplasm is a critical mechanism of antibiotic resistance utilized by Gram-negative cells. P. aeruginosa is capable of actively effluxing antibiotics from the periplasmic space using efflux pumps primarily from the RND family. The RND complex is tripartite in nature, composed of an outer membrane channel protein (OMP), inner membrane RND transporter, and a membrane fusion protein (MFP) (Kumar and Schweizer, 2005). The RND transporter provides the energy for the molecular transport and is often referred to as the RND pump protein (Misra and Bavro, 2009). The OMP interacts with the RND protein in the periplasm producing a chann el capable of transporting antibiotics into the extracellular space. The MFP is believed to stabilize the interactions between the RND transporter and the OMP (Misra and Bavro, 2009). All three of these components are essential for efflux function. The RND transporters are comprised of a homotrimer folded into a ?-helical transmembrane domain, with a large, soluble periplasmic domain. The top of the bacteria have semi-permeable membranes which may limit the passage of some types of antibiotics into the cell (Avrain, et.al. 2013). Multidrug resistance efflux pumps allow the bacterium to pump antimicrobials out of the cell. Porins maintain osmotic pressure by allowing the entrance/exit of hydrophilic small molecules but do not permit the passage of larger molecules. Enzymes can modify the antibiotic so that it is no longer recognized by the target, or modify them so that they are no longer functional. This is particularly prevalent with antibiotics that alter the ribosome or interfere with ribosome binding to inhibit protein synthesis. Inhibition of mRNA synthesis occurs by binding to DNA dependent RNA polymerase inhibiting initiation (Avrain, et.al. 2013). The mechanism of antibiotic resistance is shown in figure 3. Fig3: Different mechanisms of antimicrobial resistance in Gram-negative bacteria (adapted from Fluit, et.al. 2001). In the figure, A represents mRNA and B represents tRNA. When exposed to antibiotics, MexAB-OprM and MexXY-OprM remain inducible but the rest of the systems when expressed in resistant strains may immensely contribute to biocide or antibiotics resistance. Antimicrobial components are released by the RND systems and these include first line anti-pseudomonal drugs such as beta-lactams and beta-lactamase inhibitors (Poole, 2011). Furthermore, alteration or loss of the outer membrane porin protein OprD is yet another common mechanism of resistant to carbapenems(Wang, et. al. 2010). Since P. aeruginosa infections are usually treated by the use of fluoroquinolone (Ciprofloxacin), its high level resistance is as a result of mutations in the DNA gyrase and topoisomerase IV enzymes, which target these antibiotics. Outbreak of P. aeruginosa An outbreak can be defined as two or more sterile site isolate of the same species, with the same antibiogram, from different babies within the space of two weeks. A Pseudomonas aeruginosa infection outbreak on neonatal intensive care units reflects a degree of breakdown in infection prevention measures. Poor hand hygiene, low nurse: patient ratio, inadequate spacing between cots, overcrowding, environmental colonization (especially of water systems), inadequate cleaning of common use equipment, injudicious use of antibiotics, particularly broad spectrum and prolonged courses and delaying the introduction of material breast milk, all contribute to the emergence of outbreaks. It has been reported that infection from P. aeruginosa usually occurs 48hrs after birth, which affects two to three per thousand babies in the UK (Walker, et.al. 2013). The occurrence of the infection is even higher in those born prematurely or with surgical conditions (Durojaiye, et.al. 2011). Microbiological analysis In previous studies, (Walker, et.al. 2013) carried out the following microbiological investigations. Dismantling of Taps Taps and flow strengtheners from relevant hospital were dismantled, categorized into components, swabs and water samples were also taken. Samples for microbiological assessment were placed in 10 ml of maximum recovery diluents together with 10 sterile glass beads (3 mm diameter, VWR International, Lutterworth, UK). The surface of each component was scraped with a sterile plastic loop (Sterilin, Newport, UK) and the suspension was then vortex-mixed (10 s) to remove biofilm and to suspend the micro-organisms. Each sample was then spirally plated (Don Whitley, Shipley, UK) on to plate count agar (Oxoid, Basingstoke, UK) and Pseudomonas selective agar (PCN, Oxoid, UK), for determination of aerobic colony count (ACC) and P. aeruginosa count respectively. This was then incubated at 30à °C on (Plate Count Agar) or at 37à °C (PCN) for 48 h. It was found out that complex flow straightener had significantly higher P.aeruginosa counts (P
Wednesday, August 14, 2019
George Orwellââ¬â¢s 1984 Human Nature Essay Essay
George Orwellââ¬â¢s 1984 is a novel which describes utter and total hate- hate of those who are different, hate of evil and hate of all other humans. It is where love is described as absurd, and totally unnecessary. People are bred to hate, and hate is the primary emotion that people feel. The lack of love and kindness is what brings the society to such a complete totalitarian state. Human beings instinctively crave love and care to thrive and without it no one can truly be happy or free. This works well for 1984 because it is a hate driven society, but the lack of love causes unrest with those who can see the importance of love. By seeking out a relationship in this society it is a certain death sentence and no moral conviction or emotional loyalty is strong enough to withstand torture or betrayal. Physical pain and fear will always cause people to betray their convictions if doing so will end their suffering. It is extremely important for the leaders of this society to control relationships and emotions; the society breeds hatred and disapproves of love in its citizens. There is no way to successfully rebel against this control as the Party surmises. The traitors against the Party belief that love is nonexistent ââ¬Å"[imagine] that there is something called human nature which will. . .turn against [the Party]â⬠(Part 3. Ch. 3, Pg. 282). Unfortunately, the Party has created human nature and it despises those who believe they can fight against their control. They utilize torture to suppress loyalties that attempt to surface between rebels. The potential for loving relationships in this society is highly improbable, because of the oppressive rule and the fear of being found out by the Party bosses. The Party knows that love cannot bloom or should not because they govern emotions. It is accepted that ââ¬Å"men are infinitely malleable.â⬠(Part 3. Ch. 3, Pg. 282) and no one should be able to feel close to another. The Party allows people to get close perhaps, but then uses torture to have them betray each other- which is what will ultimately tear people apart. No one can allow themselves a relationship ruined by betrayal. Not only does the Party make romantic loyalties a crime, it also creates loveless familial relations. Children in families do not show love or affection towards their parents. They are taught by the Party to spy onà their mothers and fathers; to be miniature investigators for treason. The society has become one where ââ¬Å"it was almost normal for people. . . to be frightened of their own children. (Part 1, Ch. 2, Pg. 27) The Party creates a system where children who betray their families are rewarded and so mothers cannot show any love towards their children without fearing treason- which would result in torture. No family can be close to each other as families of the past- everyone has reason to be afraid of each other and worry that they may be turned in by their offspring. A family is not an organism strong enough to bond together without fear of conviction. The Party creates spies in youth, who are afraid of what will happen to them if they do not obey the Party. No longer do families create the rules and impose authority- it is the government that raises children, and families must become terrified of their own progeny. The most important aspect of human nature is that people can bond with each other to create loving relationships. One must find someone to fight with, to rebel against the oppression but in this society any thought of love is shadowed by the knowledge that everyone could be able to betray everybody. The Party does not permit emotional attachment and threats of torture affix themselves to any relationship- if someone loves someone, might the object of their affection just as easily be a spy than a lover? No one can honestly maintain a relationship under the pressure of the Party. In the end, betrayal is the only way to go and it overcomes even the basic human instinct to seek out love. It ends up that eventually love does not conquer all and one can only love their saviour- even if they are Party commanders. Romantic love is an ideal that cannot prevail because it is slowly bred into the hearts and minds of the rebels that this love will only end in misery. The once loving will turn into bitter misers and betray whomever that they believe put them in the torture chamber. Love may be worth ââ¬Å"risking everything forâ⬠(Erica Jong) but unfortunately what happens in the end is that ââ¬Å"you donââ¬â¢t risk anything, [and find yourself risking even more]â⬠(Erica Jong). And by risking everything it is an admittance to die. Love and loyalty are not strong enough factors in this society- betrayal is, and by this betrayal one accepts condemnation to die. Love and emotional attachments, the underlying components of human nature, lead one to fear pain and betrayal, as well as separation, ultimately causing one to accept the oppression and fear that allows the Party to thrive. In this society to survive one cannot allow a relationship to be formed. One must be solitary and isolated because it is necessary to have love, yet it is fatalistic to seek it out. Love has become a tool for the Party to manipulate. Human nature demands that families are loving and kind; that a couple can spend time together and that love should freely abound in a society. Yet, human nature is controlled and to love is to fear the torture and threats from the Party. Love is betrayal and human nature is to fight against this betrayal. People may wish to have relations with each other, yet the ultimate realization that comes from the novel is that no emotional ties or moral convictions are able to withstand extreme suffering.
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