Monday, September 16, 2019
Children of a Lesser God Essay
This film is based on a stage play of the same title. It tells about James Leeds, a man who teaches children with special needs in a school for the deaf and those who are hard of hearing. He is a devoted and inventive teacher who shows a deep compassion for his students, applying teaching methods he could think of just to draw out the interest of his students to learn, do more and accomplish things to the fullest of their capacity. James meets and falls in love with Sarah Norman, a beautiful woman who works for the same school and has been deaf since she was a baby. At first Sarah avoids James until he is able to draw her out from her shell and eventually he is able to convince her to live together. Sarah is full of bitterness, hurt and other emotional scars over the mistreatment she experienced while she was growing up because of her impairment and this jeopardizes their relationship. Sarah has to come to terms with her personal issues and needs to feel that she is an independent woman. In due course, they are able to settle things amidst the difficulties they come across in communication. The movie made me realize the significance of communication among people and people who have communication disorders should be given special attention in order for them to be heard. Even individuals who are fully capacitated physically have a hard time in getting messages understood. I just hope that there will be more teachers like James Leeds in this world who loves what he does and changes the lives of other people. The movie, which focuses mostly on the hearing impaired, is very much relevant to this course. It gives us the glimpse of how they live and struggle to be understood and to understand others. It portrays the complexity of their lives and helps us appreciate how difficult things are for them and moves us to do something for them. WORKS CITED Children of a Lesser God. Dir. Randa Haines. Perfs. William Hurt, Marlee Matlin, Piper Laurie, Phillip Bosco. VCD. Paramount Pictures, 1986.
Sunday, September 15, 2019
Congested Heart Failure Case Study Essay
History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath (ââ¬Å"dyspneaâ⬠) upon exertion. She also noted that the typical swelling sheââ¬â¢s had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, sheââ¬â¢s had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen. On physical examination, Marthaââ¬â¢s jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra, ââ¬Å"S3â⬠heart sound. Using the internet, do any applicable searches to give a reasonable scientific explanation to the questions below. Understanding figure 20-13 in your textbook also may add some insight to these questions. You may find the following links useful to aid you answering these questions: Congested Heart Failure Paper ABC of Heart Failure What is causing this murmur? Perhaps there has been narrowing of Marthaââ¬â¢s pulmonary semilunar valve which is located between the right ventricle and the pulmonary artery. The closing of this valve is heard best over the left upper sternal border. As stated above, this is where auscultation of the heart revealing a low-pitched, rumbling systolic murmur. A murmuring sound is heard due to the high resistance to blood being pumped through. 2) What is causing her ââ¬Å"S3â⬠heart sound? An S3 sound is an extra sound indicating abnormal blood pressure within the heart, namely against the ventricle walls during diastole (relaxation). Blood seems to be flowing too rapidly into the ventricles during diastole. She may have ventricular walls that have become hardened and thus not relaxing as needed in order to fill with ease. As the blood quickly flows in, it will hit the hardened walls, creating an extra sound. In congestive heart failure, preload and contractility are major factors in the improper functioning of the heart as a pump. 3) Is her history of rheumatic fever relevant to her current symptoms? Explain. Rheumatic fever caused by Group A Streptococcus bacteria may cause damage to heart tissues including valves. Overtime, congestive heart failure may have developed. However, the pulmonary semilunar valve seems to be the issue in this case study, whereas rheumatic fever normally affects left heart tissue. 4) A chest X-ray reveals a cardiac silhouette that is normal in diameter. Does this rule out a possible problem with Marthaââ¬â¢s heart? Explain. No, a normal diameter of a cardiac silhouette does not rule out a problem with Marthaââ¬â¢s heart. The heart adapts and will compensate for damage in order to still function optimally. The right ventricle, in this case, will become stronger in order to push the same amount of blood (stroke volume) through the narrowed pulmonary semi-lunar valve. This thickening doesnââ¬â¢t necessarily change the inner diameter. 5) You examine Marthaââ¬â¢s abdomen and find that she has an enlarged liver (ââ¬Å"hepatomegalyâ⬠) and a moderate degree of ascites (water in the peritoneal cavity). Explain these findings. The increased resistance of blood flow through the pulmonary semilunar valve from the right ventricle backs up the pressure of blood flowing into the right atrium. This back flow pressure builds up in the body as systemic pressure, increasing hydrostatic pressure which increases fluid build-up (ascites) in the peritoneal cavity and liver, enlarging the liver. 6) Examination of her ankles reveals significant ââ¬Å"pitting edema.â⬠Explain this finding. Fluid builds up in the interstitial space of her extremities (i.e. ankles) due to the changes in the hydrostatic pressure caused by the back-flow pressure originating in the heart. 7) She is advised to wear support stockings. Why would this help her? Support stockings could be used. I worked at a Med-Spa and the doctor would advise his patients to wear compression hoses after laser vein treatments if there were no other individual contraindications of use. Compression hoses prevent fluid from accumulating in surrounding tissues and interstitial spaces by directing excess fluid into other blood vessels and the lymphatic system. 8) Which term more accurately describes the stress placed upon Marthaââ¬â¢s heart ââ¬â increased pre-load or increased afterload? Increased after-load describes the stress placed upon Marthaââ¬â¢s heart. Afterload is the pressure that the heart pumps blood against. There is increased pressure associated from left ventricular damage and narrowing of the semi-lunar valve in Marthaââ¬â¢s diseased state, leading to the resistance of blood flow. 9) What is the general term describing Marthaââ¬â¢s condition? Right-sided congestive heart failure is the general term for Marthaââ¬â¢s condition. 10) How might Marthaââ¬â¢s body compensate for the above condition? Marthaââ¬â¢s sympathetic nervous system will begin to predominate, causing constriction of blood vessels so that important organs will regain necessary delivery of blood. Also, heart rate and stroke volume affect cardiac output. In Marthaââ¬â¢s case, cardiac output is affected due to a decrease in stroke volume. Higher resistance to blood flow decreases the amount of blood pumped by her ventricles, so the heart compensates in order to function optimally. Increased contractibility or the increased rate at which her heart pumps is indicative of this compensation. 11) Martha is started on a medication called digoxin. Why was she given this medication, and how does it work? Digitoxin (digitalis) increases the strength and length ventricular contraction which slows heart rate by reducing sympathetic activity. Her right ventricle will then pump more efficiently. 12) 12. Two weeks after starting digoxin, Martha returns to the physicianââ¬â¢s office for a follow-up visit. On physical examination, she still has significant hepatomegaly and pitting edema, and is significantly hypertensive (i.e. she has high blood pressure). Her physician prescribes a diuretic called furosemide (or ââ¬Å"Lasixâ⬠). Why was she given this medication, and how does it work? Digitoxin is commonly given in conjunction with a diuretic. The use of a diuretic manages edema, a symptom of congestive heart failure. Increased urination will rid her body of excess ions, reducing the amount of fluid in the interstitial spaces.
Saturday, September 14, 2019
Men and Women Will Never Be Equal Essay
Men and women will never be equal just like an apple and an orange, both are fruits, but have different taste. In general, men and women are physically, mentally, and emotionally different but does that really mean men and women will never be equal? The word ââ¬Å"equalâ⬠means ââ¬Å"the same asâ⬠. So, is a woman the same as a man? Study shows that an average women earns a year is lower than what men would earn, men and women both play different roles in the society, both important, but are not equal, for example, women are said to have taken more days off in a year than men; due to maternity leave, but as a mother, they would need to take care of their children as well. Men on the other hand, are known to be stronger; which brings to the idea that they work more than women do. According to research, it is more likely that men are committing more crimes such as thief, murder, rape; more men are being imprisoned than women. Women are sometimes defined as the ââ¬Å"primary victims of warâ⬠as they lose their husbands, fathers, and brothers during war. Men and women are convinced they will never be equal, probably as early as humanââ¬â¢s earliest days. In further logic, there are more differences between men and women than similarities. In coeducational schools, males and females tend to choose specific options that the other gender does not do, for example, fashion and engineering. Which in general, mainly only have one gender in the class. In general, men are stronger than women; that has convinced the society with the help of each genderââ¬â¢s actions, men would usually appear as bold, strong, and brace while the females are usually shy, polite, and feminine. People are also persuaded that men can carry two bricks at once, while women can carry only one it is not necessarily true, but it is an instant impression that it is true. Men and women will never be equal is a fact that will not really ever change; that doesnââ¬â¢t mean they arenââ¬â¢t the same just not equal. It is a good thing that in this society, although men and women will never be equal, we still get along. Read more:à Men and Women Should Have Equal Rights Essay
Friday, September 13, 2019
Property law Coursework Example | Topics and Well Written Essays - 2000 words
Property law - Coursework Example It is essential that the terms of these contracts must provide for the lease term, annual rent, security deposit, taxes, construction and completion and obligations for repairs. A commercial agreement needs to clearly and unambiguously state the lease term. It must state when the lease begins, when it ends and what the duration of the lease is. The beginning of lease is usually from the same day that the tenant commences to occupy the property. The lease agreement must also define the exact area of land that the landlord is willing to rent. It must also clearly state whether the area to be rented is on the ground floor. If the area in question is on any other floor on a building, the agreement document must also mention the floor. If the landlord has promised to furnish the property in a particular manner before the commencement of the lease, it must also be clearly stated in the lease agreement. These renovations are known as ââ¬Å"Tenant Improvementsâ⬠and they are usually re quired in a commercial lease for office space. It is imperative that the landlord (the Lessor) must agree to ââ¬Å"reasonable diligence to attempt to complete the Tenant Improvementsâ⬠. The plan for Tenant Improvements must be certified by an architectural firm and the improvements must be in compliance with the plan. ... If the deficiencies have been properly rectified, the architect must intimate that to the Lessee and provide a certificate. Within 10 days of the certification, the Lessee must occupy the premises. The Lessor and Lessee then must ââ¬Å"execute a memorandum in writingâ⬠that specifies the date of occupancy of premises by the Lessee. The annual rent and the amount of security deposit of the lease needs to be determined in advance and be put into writing. Lessee agrees to pay the Lessor a certain amount of monthly rent. It is usually agreed upon to be paid on 1st of each month. An additional charge of a certain amount must be provided for in the terms of agreement which is to be paid if the payment of rent is delayed for more than five days after the first day of any calendar month. The mode of payment of rent must also be provided for. More than one modes of payment can be agreed upon. A cheque that is denied by bank shall not be deemed to have constituted a valid and timely paym ent of rent. Where renting out of an office space is concerned, it must be agreed that the Lessee, its agents, servants, employees, customers, guests, and invitees shall have the exclusive right to park without charge in the parking lot of the premises throughout the lease term. However, the Lessee must also agree that he shall have a limited number of parking spaces and this limit must not be exceeded so that the parking spaces for other tenants of the building are not hindered. Lessor must also agree that he will not attempt to prevent the use of the allotted parking spaces by the Lessee. The Lessor agrees to grant the place in peaceful possession of the Lessee and gets it acknowledged by the Lessee that the place is in an acceptable condition. The Lessor
Thursday, September 12, 2019
How Everyman presents the idea about Religion and Hypocrisy Essay
How Everyman presents the idea about Religion and Hypocrisy - Essay Example How Everyman presents the idea about Religion and Hypocrisy Even though we are unable to see God, religion makes us believe in our hearts that He exists and observes everything we do all the time, wherever we go. Due to religion, most people believe that we live our lives in order appease God by trying to make it good since he will approve the manner in which we lived our lives. Through living in the will of God, according to gospel, we believe that He will enable us have eternal life. This makes religion to appear very important to man since no one would prefer going to hell to having eternal life. The writer of ââ¬Å"Everymanâ⬠discusses the ideas on religion and hypocrisy in his article. In the story, at the beginning, the messenger assures us that we might be relaxed about our sins at the period they take place, and we can also enjoy our earthly wealth not knowing that all these will come to pass in the day of reckoning (2121). As the story continues, the messenger explains that when we die, our good deeds and sins are taken with us in grave. However, he says that it is good that our good deeds overcome our sins in order to face God with a little hope in the Day of Judgment. The good deeds we had are the only ones that determine our eternity. Godââ¬â¢s character reveals to us that the story is about Christian beliefs since God is presented as Jesus, being hanged on the cross. Everymanââ¬â¢s character presents a real example of hypocrisy. In the outside view, he appears to have everything. For instance, he had a family, wealth, beauty, knowledge and strength. His state is admirable and is the kind of life most people wish to have.
Wednesday, September 11, 2019
Comprehensive Examination Essay Example | Topics and Well Written Essays - 1000 words
Comprehensive Examination - Essay Example People used to have very less material for entertainment and people found or referred there life as boring due to less activities and social life, that part of time was when there was no social soft wares or very less soft wares with very limited options in it like MSN and Yahoo messenger which allowed it's users to interact with different people by finding there email identities and adding them in their messenger software to interact or share different utilities, but this was limited only from one to one user until soft wares like Face book came into being. Face book is advertised as "an online directory that connects people through social networks at schools, collages, universities and region." Started in 2004 by students of Harvard University. About 85% of students in supported colleges have a profile up on FaceBook.75% of students sign in at least once every 24 hours. 9th most visited site on the internet. 250 million hits every day. It is a type of social software which helps its users to interact with each other with the help of different built in applications with help of which its users can connect directly to each other when they are online or leave important and cute messages when they are not online. Face book even comprises of an option in which people can make different social and educational groups and communities, people can join these groups and can interact with different people in the group to gain ideas, or can share their own opinion, this software also contain options like video sharing, music sharing, photo sharing and online gaming for all age groups so people and users of Facebook around the globe can keep them selves busy and entertained. Facebook even gives an option in the face of market place application where buyers and sellers can advertise there goods and services for free. Facebook allows it's users to make a photo profile for them selves in which they can enter information about themselves for others to view and one might be lucky to be selected for a job or as a life partner. Facebook even acts as matrimonial software which helps its user to find a perfect soul mate for him or her self. Facebook is like an internet store but the difference is that almost every thing is without any cost. One of the greatest benefits of using face book is that it doesn't allow explicit stuff at a wide range and who so ever exploits the condition is banned and it also gives privacy to its user which is very well protected. My experience on Facebook tells that it is one of the best social software eve r made and it has been able to destroy the market of all its competitors like Hi5, Orkut etc, as it provides the most options a user would want in a social software. Conclusion Social software as we all now know is a way of communication, interaction, sharing and learning, it has changed and is affecting the traditional ways of teaching, learning and communicating. In olden days students had to contact there friends for any information they required which was costly and time consuming but now blogs a type of social software allows students from around the globe to post there data and information they have on any subject so other students can use that
Tuesday, September 10, 2019
False Confessions in Mississippi Essay Example | Topics and Well Written Essays - 500 words
False Confessions in Mississippi - Essay Example Mississippi State has numerous records of individual wrongly convicted because of false confession. One of the clear examples is Bobby R. Dixon who suffered a wrongful conviction in Forrest County in 1980 alongside Larry Ruffin and Phillip Bivens. Bobby confessed to charges of rape and murder and later pled guilty in an attempt to avoid the death penalty, but imprisoned for 30 years.à Investigations found that Bobby was innocent and the real perpetrator captured. Bobby left prison in 2010 on grounds of medical parole and later in the same year he died of cancer (Mississippi Innocence Project). Arthur Johnson is another person wrongfully convicted in 1992 in Sunflower County with charges of rape and burglary. The court sentenced Arthur to 16 years imprisonment though DNA tests conducted in 2007 proved him innocent leading to his release in 2008. Further investigations with a DNA profile led to the identification of a man responsible for the crime that led to the conviction of Arthur. Kennedy Brewer is another victim of false confession that led to wrongful conviction 1995 and charged with rape and murder of girlfriendââ¬â¢s daughter. The court sentenced Kennedy to death through lethal injection, but Dthe NA test carried later on evidence gathered from the scene of crime implicated another person. His exoneration came in February 2008 after serving 12 years imprisonment and being the fifth in death row (Mississippi Innocence Project). Police interrogators have also threatened suspects that about receiving heavier charges if they fail to admit and lighter charges if they confess responsibility for a crime that otherwise they are not. False confessions are admissions to criminal offenses and subsequent narrative of how and why the crime occurred by confessors who in reality are not responsible. False confessions are common in judicial systems, but mostly go unnoticed and unrecorded. The difficulty in noticing false confessions relates to the tendency of police not to keep records of such occurrences, which makes it difficult for researchers and criminal analysts to study their underlying characteristics (Mississippi Innocence Project).
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