Wednesday, November 27, 2019
Poetry Essays - Rhyme, Figures Of Speech, Rhetorical Techniques
Poetry Essays - Rhyme, Figures Of Speech, Rhetorical Techniques Poetry POETRY REPORT 1. THE DANCE The song The Dance was written by Country Music star Garth Brooks in 1989. To Garth The Dance has many meanings, such as a love gone bad or life. He really thinks that it is about the loss of the people who gave up their life as an ultimate sacrifice. Some of these people are John F. Kennedy and Martin Luther King, Jr. I chose this song because it is one of my favorites and the meaning that it gives to the listener. The meaning is that life is better left to live and chance than to miss everything by not do anything or even living. Throughout the song many of the poetic terms are used. The rhyme scheme that is used is that the first verse has no rhyme in it. The chorus, second verse and the tag have the first two lines and the second two lines rhyme with each other. The tone that is displayed is sad but if the person didn?t take a chance he wouldn?t of had anything at all. ?The dance we shared ?neath the stars above? shows the imagery of the song. A metaphor is used in ?I could have missed the pain but I?d of had to miss the dance. The dance is referring to life and the pain is where the person never lived or did anything at all. The line that is repeated, or the refrain, is?I could have missed the pain but I?d of had to miss the dance.? There are four stanzas present in the song. The mood that is given to the reader is sympathetic and/or empathetic. Similes and personification are not used. 2.ELDORADO The poem Eldorado was written by Edgar Allan Poe on April 21, 1849. Eldorado was a ?Golden City? to the Spanish Conquistadors that they never found. In the poem the knight is looking for this special thing, and he travels all his life to find it. The knight is very sad and never finds what he is looking for. Later in the poem he starts to die (it?s actually later in his life). The knight finds a vision and asks it why he cannot find what he is looking for. The vision tells him where it is and that it could be unreachable if he did not continue looking for it. The vision encourages the knight not to give up and to always try really hard to achieve your goals. I chose this poem because it sounded cool. Once I analyzed it I really liked the meaning it gave: to never give up and to always try until you succeed. This poem uses many of the poetic terms. The sequence AABCCB makes up the rhyme scheme. The author?s tone is a feeling of frustration and inadequacy in not finding his ?gold?. The imagery is given in dark and light. ?In sunshine and in shadow? which probably mean life and death is a metaphor. Eldorado which is thesomething special or gold is also a metaphor. The last line in every stanza are similar and make up the refrain. Personification is represented with the ghost(shadow) giving the knight advice in how to find his ?gold?. The mood that the reader has is a supernatural feeling. It is also mythical because Eldorado was a mythical place. Similes are not used in this poem. POETIC TERMS 1.RHYME SCHEME- A regular pattern of rhyming words in a poem. 2.TONE- The writer?s attitude toward his or her subject, characters, or audience. 3.IMAGERY- Is the descriptive or figurative language used in literature to create word pictures for the reader. 4. METAPHOR- A figure of speech in which one thing is spoken of as thogh it were something else. 5. SIMILE- A figure of speech that makes a direct comparison between two subjects using either like or as. 6. REFRAIN- A repeated line ora group of lines in a poem or a song. 7. PERSONIFICATION- A figure of speech in which a nonhuman subject is given human characteristics. 8. STANZA- A group of lines in a poem. 9. MOOD- Atmosphere, is the feeling created in the reader by a literary work or passage.
Saturday, November 23, 2019
CDS MATHS QUESTION PAPER Essays
CDS MATHS QUESTION PAPER Essays CDS MATHS QUESTION PAPER Essay CDS MATHS QUESTION PAPER Essay I hope you find this helpful ðŸâ¢â Thank you The Combined Defence Services Examination (CDS) is conducted twice a year by the Union Public Service Commission for recruitment into the Indian Military Academy, Officers Training Academy, Indian Naval Academy and Indian Air Force Academy. The Notification for the examination is usually released in the months of October and June, and the examinations are conducted in February and November respectively. Only unmarried graduates are eligible to sit for the exam. Successful candidates are dmitted into the respective Academies after an interview conducted by the Services Selection Board (SSB). Eligibility Criteria[l] For Indian Military Academy/Offcers Training Academy: Degree from a recognized university or equivalent For Naval Academy: Bachelor of Engineering For Air Force Academy: Degree of a recognized University with Physics and Mathematics at 10+2 level or Bachelor of Engineering Bachelor of Technology Age Limit Indian Military Academy 19-24 years[2] Air Force Academy 19-23 Years[3] Naval Academy 19-22 years [4] Officers Training Academy 19-25 years (not before 2 June) Scheme of Examination Indian Military Academy / Air Force Academy / Naval Academy All the papers are of objective type. Subject Marks English 100 General Knowledge 100 Elementary Mathematics 100 Total 300 Officers Training Academy Total 200 Candidates successful in the written exam are then called for an interview by a Services Selection Board which evaluates a candidates suitability for a career in the a candidate undergoes various physical and psychological tests to ascertain whether r not he is officer material. Apart from SSB interview, Air Force academy candidates are tested for Pilot Aptitude Battery test [PAST]. After these tests, candidates undergone medical examination before finally admitted into the above mentioned academies, and after successful completion of training, they are inducted into the armed forces. Armed forces offer very exciting career to young men and women in several fields. Career in the forces, in addition as a career, is also an adventure in itself. To ensure hat appropriate candidates are chosen, a comprehensive selection process is adopted by the armed forces through Service Selection Board (SSB) interview. This system of selection is based on the trait theory of leadership which assumes that every leader must have some specific and pre-determined leadership traits. It also presumes that such traits can be acquired by a candidate with the passage of time meaning thereby that a person once rejected in an SSB interview is likely to succeed if he acquires some of the traits with the passage of time. The present system of selection, although is long and takes four to five days, is thus based on an objective assessment of each candidate in which the qualities like initiative, alertness, judgement, courage, physical fitness endurance, cooperation, group planning, decisiveness,knowledge, etc. are Judged. In addition, psychological and mental robustness of the candidate vis-a-vis requirements of the Armed Forces is Judged and finally an overall assessment of the personality of a candidate is made by way of an exhaustive personal interviews.
Thursday, November 21, 2019
Pastoral communication to the migrants (Reference to African Roman Dissertation
Pastoral communication to the migrants (Reference to African Roman Catholic ) - Dissertation Example According to Official documents of the Roman Catholic Church, 2004), ââ¬Å"Todayââ¬â¢s migration makes up the vastest movement of people of all times. In these last decades, the phenomenon, now involving about two hundred million individuals, has turned into a structural reality of contemporary society.â⬠This is also a reason, accounting for the attention that the church gives to migrants. However, in order that pastors in the African Catholic Church deliver their pastoral duties successfully and in a way that ensures that the dream of the church is lived, there is the urgent need to address the issue of communication between pastors and migrants. This is because communication forms the basis of every kind of support and help given to migrants. This means that good communication can ensure success whereas bad communication would be tantamount to failure. Steele (2010) posits that ââ¬Å"communication is a process by which information is exchangedâ⬠. This skill is essen tially important in pastoral services rendered to migrants. However, before a pastor even says ââ¬Ëjackââ¬â¢ to communicating with migrants, there are a couple of factors to consider. In the first place, it is extremely important for the pastor to understand into detail, the cause of the migration. In Africa for instance, a lot of people migrate because of harsh economic, social and political conditions in their countries.
Wednesday, November 20, 2019
U.S financial crisis Term Paper Example | Topics and Well Written Essays - 1000 words
U.S financial crisis - Term Paper Example It was a steady and gradual pace that caught up that finally brings the entire structure crashing down. Some say that it is already over while others argue that it is far from being so and that it will take years to be able to say the country has rid of it completely. Regardless of these arguments, it is of the most import that causes be analyzed to provide for an effective solution to the ailing financial state of the country. There is of course the palpable difference between the dynamics of the economy years ago to the current intricacies of todayââ¬â¢s government laden with globalization and a multifaceted area that encompasses the interlocutory status of a country to many others. The crisis as experienced today can be traced back decades ago to the time of Pres. Ronald Reagan and the heyday of capitalism. This is not a direct attack on the merits of Reaganism but merely serves proof that the way business was done then does not necessarily carry with it its applicability decades after. The sheer size of businesses today renders this trite from the time when it was at its prime efficiency. This ideology as Francis Fukuyama states in his article titled ââ¬ËThe Fall of America, Inc.ââ¬â¢ carries two sacred concepts, ââ¬Å"first, that tax cuts would be self-financing, and second, that financial markets could be self-regulating (p. 26). The demand for the dollar by majority of international traders allowed the government to push over as inconsequential the budget deficit. The latter, as we know it, is the very essence of free-market capitalism. The problem reverts back to the issue of housing in the United States. The 1980ââ¬â¢s created a mentality for the need of homeownership as definitive of self-identity among Americans. They have then identified themselves as investors and real property was the trend of investment (Shiller, p. 29). ââ¬Å"In Britain as it was in the United States, it wasnââ¬â¢t just owning a home. It was being a better personâ⬠(Karabell,
Sunday, November 17, 2019
Cost Information for decision making Essay Example for Free
Cost Information for decision making Essay Two common costing systems used in business are traditionally cost accounting system (job costing, process costing and operating costing) and activity-based costing system (ABC). There are some similarities and differences between these systems. Regarding the similarities, both accumulate product costs throughout the production process and assign those costs to individual units of production. Additionally, product cost under two costing systems consists of direct materials, direct labor and manufacturing overhead. In terms of differences, they are different in the way how the overhead costs are allocated. For conventional costing, it assigns manufacturing overhead based on a single volume based cost driver such as direct labour hours. In contrast, ABC approaches cost from the perspective that products do not cause costs. It requires activities which are the causes of all costs incurred so it allocates manufacturing overhead according to the activities needed to produce the products. Therefore, it highlights the existence of non value added activity which is not existed under traditional method. ABC also differs from conventional costing in the use of several cost pools when allocating the overhead costs. For instance, traditional costing uses only one cost pool to distribute the overhead whereas there are many cost pools involved under ABC. Furthermore, ABC employs both volume-based and non-volume-based cost drivers while conventional costing utilizes only volume-based cost drivers. Another difference is that conventional approach complies with the GAAP so it can be used to satisfy conventional financial reporting requirements. On the other hand, accounting standard board does not accept ABC to prepare financial statements so it can be useful for internal management decision. Under conventional system, there are similarities between job costing, process costing and operating costing. Firstly, they accumulate product costs throughout the production process and assign those costs to products. Secondly, these costing systems calculate the product costs which comprise direct material, direct labour and manufacturing overhead. Lastly, the cost flows for three systems is from raw material to work in process to finished goods and then to costs of goods sold. These first two systems can be distinguished by the following differences. First, job costing system is used by the company which produces unique products or products based on customer orders. Conversely, process costing is for the firms which produce one or a few homogenous products and often have continuous mass production. Second, each individual product costs are traced easily under job costing while process costing makes no attempt to track individual product costs. Thirdly, under job costing, the transfer from one job to another does not take place whereas the production from one process is transferred to next one till the product is full completed under process costing. Next, process costing accumulates product costs in each production department throughout the period while job order costing accumulates product costs to specific units. Operating costing for company which has a mix production system that produces in large quantities but then is customized the finished product. Therefore, operating costing is a combination of process costing and job costing. However, it differs from job and process costing which includes more than two types of cost pools in overhead allocation process. The cost pools are designed to match the separate processes that may be allocated to batches of products. Comment about the quality of your work: According to the assessment criteria, my answer for the question should be marked 7. This is for the following reasons. Firstly, the answer is well-organized into five paragraphs which consist of differences between conventional costing and ABC costing. For instance, the first and second paragraphs demonstrate the similarities and differences between conventional costing and ABC. Apart from this, the answer also points out the similarities and differences between job costing, process costing and operating costing.
Friday, November 15, 2019
An Overview of Consent and Restraint
An Overview of Consent and Restraint Consent, Deliberate or implied affirmation; compliance with a course ofà proposed action. Consent is essential in a number of circumstances. For example,à contracts and marriages are invalid unless both parties give their consent. Consentà must be given freely, without duress or deception, and with sufficient legalà competence to give it (see also INFORMED CONSENT). In criminal law, issues of consentà arise mainly in connection with offences involving violence and *dishonesty. Forà public-policy reasons, a victims consent to conduct which foreseeably causes himà bodily harm is no defence to a charge involving an *assault, *wounding, orà *homicide; in other cases the defendant should be acquitted if the magistrates orà jury have a reasonable doubt not only as to whether the victim had consented butà also as to whether he thought the victim had consented. Restraint,à assault andà an intentional or reckless act that causes someone to be put in fear ofà immediate physical harm. Actual physical contact is not necessary to constitute anà assault (for example, pointing a gun at someone is an assault), but the word is oftenà loosely used to include both threatening acts and physical violence (see BATTERY).à Words alone cannot constitute an assault. Assault is a form of *trespass to theà person and a crime as well as a tort: an ordinary (or common) assault, as describedà above, is a *summary offence punishable by a *fine at level 5 on the standard scaleà and/or up to six months imprisonment. Certain kinds of more serious assault areà known as aggravated assaults and carry stricter penalties. Examples of these areà assault with intent to resist lawful arrest (two years), assault occasioning *actualà bodily harm (five years), and assault with intent to rob (life imprisonment).à battery The intentional or reckless application of physical force to someoneà without his consent. Battery is a form of *trespass to the person and is a *summaryà offence (punishable with a *fine at level 5 on the standard scale and/or six monthsà imprisonment) as well as a tort, even if no actual harm results. If actual harm doesà result, however, the *consent of the victim may not prevent the act from beingà criminal, except when the injury is inflicted in the course of properly conductedà sports or games (e.g.rugby or boxing) or as a result of reasonable surgicalà intervention. Duty of care, The legal obligation to take reasonable care to avoid causing damage. There is no liability in tort for *negligence unless the act or omission that causesà damage is a breach of a duty of care owed to the claimant. There is a duty to takeà care in most situations in which one can reasonably foresee that ones actions mayà cause physical damage to the person or property of others. The duty is owed toà those people likely to be affected by the conduct in question. Thus doctors have aà duty of care to their patients and users of the highway have a duty of care to allà other road users. But there is no general duty to prevent other persons causingà damage or to rescue persons or property in danger, liability for careless words isà more limited than liability for careless acts, and there is no general duty not toà cause economic loss or psychiatric illness. In these and some other situations, theà existence and scope of the duty of care depends on all the circumstances of theà relationship between the parties. Most duties of care are th e result of judicialà decisions, but some are contained in statutes, such as the Occupiers Liability Actà 1957 Negligence andà Carelessness amounting to the culpable breach of a duty: failureà negligent misstatement 328 329 NHS Trustà to do something that a reasonable man (i.e. an average responsible citizen) would do, or doing something that a reasonable man would not do. In cases of professional negligence, involving someone with a special skill, that person is expected to showà the skill of an average member of his profession. Negligence may be an element in aà few crimes, e.g. *careless and inconsiderate driving, and various regulatory offences,à which are usually punished by fine. The main example of a serious crime that mayà be committed by negligence is *manslaughter (in one of its forms). When negligenceà is a basis of criminal liability, it is no defence to show that one was doing ones bestà if ones conduct still falls below that of the reasonable man in the circumstances. Seeà also GROSS NEGLIGENCE. 2. A tort consisting of the breach of a *duty of care resultingà in damage to the claimant. Negligence in the sense of carelessness does not give riseà to civil liability unless the defendants failure to conform to the standards of theà reasonable man was a breach of a duty of care owed to the claimant, which hasà caused damage to him. Negligence can be used to bring a civil action when there isà no contract under which proceedings can be brought. Normally it is easier to sue forà *breach of contract, but this is only possible when a contract exists. Generally, fewerà heads of damage can be claimed in negligence than in breach of contract, but theà rules limiting the time within which actions can be brought (see LIMITATION OFà ACTIONS) may be more advantageous for actions in tort for negligence than forà actions in contract. See also CONTRIBUTORY NEGLIGENCE; RES IPSA LOQUITUR.à vicarious liabilityà Legal liability imposed on oneà person for torts or crimes committed by another (usually an employee butà vicarious performance 526 527 violent disorderà sometimes an *independent contractor or agent), although the person madeà vicariously liable is not personally at fault. An employer is vicariously liable forà torts committed by his employees when he has authorized or ratified them or whenà the tort was committed in the course of the employees work. Thus negligentà driving by someone employed as a driver is a tort committed in the course of hisà employment, but if the driver were to assault a passing pedestrian for motives ofà private revenge, the assault would not be connected with his job and his employerà would not be liable. The purpose of the doctrine of vicarious liability is to ensureà that an employer pays the costs of damage caused by his business operations. Hisà vicarious liability, however, is in addition to the liability of the employee, whoà remains personally liable for his own torts. The person injured by the tort may sueà either or both of them, but will generally prefer to sue the employer.à Vicarious criminal liability may effectively be imposed by statute on an employerà for certain offences committed by an employee in relation to his employment. Thusà it has been held that an employer is guilty of selling unfit food under the Food Actà 1984 when his employee does the physical act of selling (the employee is also guilty,à though in practice is rarely prosecuted). Likewise, an employer may be guilty ofà supplying goods under a false trade description when it is his employee whoà actually delivers them. For an offence that normally requires mens rea,an employerà will only be vicariously liable if the offence relates to licensing laws. For example, ifà a licensee has delegated the entire management of his licensed premises to anotherà j:letson, and that j:letson has committed the offence with the nec~ssatymens YeQ, th~à licensee will be vicariously liable.à Vicarious liability for crimes may be imposed in certain other circumstances. Theà registered owner of a vehicle, for example, is expressly made liable by statute forà fixed-penalty and excess parking charges, even if the fault for the offence was notà his. If the offence is a regulatory offence of *strict liability, the courts often alsoà impose vicarious liability if the offence is defined in the statute in a way that makesà this possible.à Scope of practice (the legal and professional boundaries imposed upon you as a nurse)à Advocacy (the nurses role as an advocate for the client)à Documentationà Open disclosureà The Coronerà An officer of the Crown whose principal function is to investigateà deaths suspected of being violent or unnatural. He will do this either by ordering anà *autopsy or conducting an *inquest. The coroner also holds inquests on *treasureà trove. Coroners are appointed by the Crown from among barristers, solicitors, andà qualified medical practitioners of not less than five years standing.à Colour. The normal colour of urine is pale straw or light yellow.Ãâà It is mainly due to the pigment urochrome and partly to urobilin.Ãâà Womens urine is slightly lighter.Ãâà If the quantity of urine is increased or there is a diminution or dilution of urinary pigments, it becomes lighter and rendered very pale as in excessive drinking, nervousness, anaemia, chlorosis, diabetes, hysteria, epilepsy, poluria, in general debility and in chronic interstitial nephritis. The colour of the urine will depend on the degree of concentration; the more concentrated-the darker; the greater the quantity of water -the lighter.Ãâà Acid urine is slightly darker than alkaline urine. Urine becomes deeper in colour, like orange or dark yellow or brownish red generally known as high coloured or concentrated urine and is due to uroerythrin and urobilin produced by increased haemolysis, as in. fevers, after journeys, in hot days, in nervous excitability and after bodily exercises. N ormal urine on standing for a time will have a white or sometimes a bluish white scum on the surface due to contamination and putrefaction.Ãâà Urine glairy, whitish in colour indicates admixture with pus or leucorrhceal discharges. Urine coloured smoky, brown, reddish, brownish black or black indicates admixture with blood and denotes haemorrhage. Urine coloured greenish yellow or greenish brown indicates admixture with bile and denotes jaundice and other affections of the liver. Urine coloured milky indicates admixture with fat or pus and denotes chyluria or any purulent disease of the genitourinary tract.Ãâà Urine coloured blue indicates typhus fever, admixture with methylene blue or when there is excess of indigogens. Many drugs after absorption colour the urine, such as yellowish orange by santonin and chrysophanic acid; reddish or orange brown by senna and rhubarb; dark olive green or black by carbolic acid and other coaltar derivatives while antipyrin reddens the u rine. Odour.Ãâà When just voided urine is faintly aromatic but after a few minutes its characteristic odour is urinous.Ãâà The odour of urine is due to phenol.Ãâà It becomes pungent in concentrated urine, when urea is liberated in excess.Ãâà It becomes ammoniacal and putrescent and the reaction becomes alkaline after sometime when this excess of urea takes up water and is converted into ammonium carbonate.Ãâà It occurs quickly in urine from chronic cystitis or from suppurating diseases of kidney and bladder i.e., when urine is mixed with pus; blood or excessive phosphates.Ãâà The odour of urine in diabetes and in acetonuria is slightly sweetish.Ãâà The characteristic odour of garlic, sandal oil, cubebs, copaiba are given off when they are taken internally.Ãâà Turpentine gives an odour of violets. Appearance, physical character or transparency is the naked eye appearance of urine. Normal urine is always clear when voided but when allowed to stand for sometime it becomes slightly hazy or turbid due to suspended particles or from a slight cloud of mucus and epithelium. After sometime there may be sediments at the bottom due to gravity. If the urine is ammoniacal or decomposed a white turbidity forms due to sedimentation of phosphates or from bacterial activity. The turbidity or sediment is due mainly to the following suspended particles:- Urates. Uric Acid. Albumin. Phosphate. Mucus. Oxalate. Pus. Blood. Micro-organisms. To distinguish one from another, first of all fill three fourths of a test tube with urine and very gently heat the upper portion of the urine, holding the test tube by the bottom.Ãâà Now note whether the urine becomes clear or a cloudiness appears in the boiled portion, comparing with the lower unboiled portion of the test tube.Ãâà If the urine is turbid and clears up on heating then it contains Urates.Ãâà If the urine is clear and becomes cloudy with heat, before boiling point, then it is Albumen.Ãâà If the urine is clear and becomes cloudy at the boiling point, then it is Phosphate.Ãâà To distinguish between albumin and phosphate add 3 or 4 drops of acetic acid on the cloudy urine.Ãâà If the cloudiness disappears, then it is phosphate; but if the cloudiness remains or thickens, then it is albumin.Ãâà Lastly to distinguish between albumin and mucin add 2 drops of nitric acid, if the cloudiness disappears, then it is Mucin, but if the cloudi ness still persists, it is albumin. The turbidity of carbonates will clear up with effervescence on addition of nitric acid whereas heat and acid increases the turbidity due to albumin. To distinguish between phosphate and oxalate take some fresh urine and add ammonia, when there will be a precipitate. If on the addition of a few drops of acetic acid, the precipitates disappear, then it is phosphate, if it remains it is Oxalate. Failing the heat test take some urine in a test tube, preferably from the bottom and add a few drops of Liquor Potassae. Mix it thoroughly and if it clears up, then it is mucus; but if it becomes gelatinous or ropy, it is Pus. Next, if the deposit is coloured then take some urine in a test tube, preferably from the bottom and add a few drops of caustic potash and gently heat a little.Ãâà If it is dissolved, then it is Uric acid but if there is a precipitate, note the colour of the coagulum; if it is reddish brown or bottle green, it is Blood. If the urine is turbid and there is no change either by heat or by addition of caustic potash and heat, then the turbidity is due to Micro-organisms.Ãâà They generally clear up on the addition, of watery solution of ferric chloride and ammonium hydrate and then filter the urine.Ãâà Sometime the character, colour and reaction will roughly denote the element. Urates-They look like moss and are yellowish white or pink in colour.Ãâà Reaction is generally acid. They deposit when the urine becomes cold.à Uric Acid-It is crystalline and reddish brown in colour, resembling a shower of cayenne pepper grains. Reaction is moderately acid.à Phosphate-It forms a thin deposit and is white or yellowish white in colour.Ãâà Reaction may be slightly acid, alkaline or neutral.à Mucus-It is a cloudy or woolly looking white deposit. Reaction is slightly acid.à Oxalate-It is soft, shining and white in colour. Reaction is generally slightly acid. Pus- It looks like a ropy or creamy deposit, and is white in colour.Ãâà Reaction is slightly acid orà alkaline. Blood-It is clotted or thready and is red smoky or brownish in colour.Ãâà Reaction generally alkaline or may be slightly acid. Micro-organisms-The deposit is slightly hazy and white in colour.Ãâà They generally stick to the sides of the glass. COMPLICATIONS OF FRACTURES The majority of fractures heal without complications. If death occurs after a fracture, it is usually the result of damage to underlying organs and vascular structures or from complications of the fracture or immobility. Complications of fractures may be either direct or indirect. Direct complications include problems with bone infection, bone union, and avascular necrosis. Indirect complications are associated with blood vessel and nerve damage resulting in conditions such as compartment syndrome, venous thromboembolism, fat embolism, rhabdomyolysis (breakdown of skeletal muscle), and hypovolemic shock. Although most musculoskeletal injuries are not life threatening, open fractures, fractures accompanied by severe blood loss, and fractures that damage vital organs (e.g., lung, heart) are medical emergencies requiring immediate attention. Compartment Syndrome Compartment syndrome is a condition in which swelling and increased pressure within a limited space (a compartment) press on and compromise the function of blood vessels, nerves, and/or tendons that run through that compartment. Compartment syndrome causes capillary perfusion to be reduced below a level necessary for tissue viability. Compartment syndrome usually involves the leg, but can also occur in the arm, shoulder, and buttock. Thirty-eight compartments are located in the upper and lower extremities. Two basic causes of compartment syndrome are (1) decreased compartment size resulting from restrictive dressings, splints, casts, excessive traction, or premature closure of fascia; and (2) increased compartment contents related to bleeding, inflammation, oedema, or IV infiltration. Oedema can create sufficient pressure to obstruct circulation and cause venous occlusion, which further increases oedema. Eventually arterial flow is compromised, resulting in ischemia to the extremity. As ischemia continues, muscle and nerve cells are destroyed over time, and fibrotic tissue replaces healthy tissue. Contracture, disability, and loss of function can occur. Delays in diagnosis and treatment cause irreversible muscle and nerve ischemia, resulting in a functionally useless or severely impaired extremity. Compartment syndrome is usually associated with trauma, fractures (especially the long bones), extensive soft tissue damage, and crush injury. Fractures of the distal humerus and proximal tibia are the most common fractures associated with compartment syndrome. Compartment injury can also occur after knee or leg surgery. Prolonged pressure on a muscle compartment may result when someone is trapped under a heavy object or a persons limb is trapped beneath the body because of an obtunded state such as drug or alcohol overdose. Clinical Manifestations. Compartment syndrome may occur initially from the bodys physiologic response to the injury, or it may be delayed for several days after the original insult or injury. Ischemia can occur within 4 to 8 hours after the onset of compartment syndrome. One or more of the following six Ps are characteristic of compartment syndrome: (1) pain distal to the injury that is not relieved by opioid analgesics and pain on passive stretch of muscle traveling through the compartment; (2) increasing pressure in the compartment; (3) paraesthesia (numbness and tingling); (4) pallor, coolness, and loss of normal colour of the extremity; (5) paralysis or loss of function; and (6) pulselessness, or diminished or absent peripheral pulses. Collaborative Care. Prompt, accurate diagnosis of compartment syndrome is critical.17 Perform and document regular neurovascular assessments on all patients with fractures, especially those with an injury of the distal humerus or proximal tibia or soft tissue injuries in these areas. Early recognition and effective treatment of compartment syndrome are essential to avoid permanent damage to muscles and nerves. Carefully assess the location, quality, and intensity of the pain (see Chapter 9). Evaluate the patients level of pain on a scale of 0 to 10. Pain unrelieved by drugs and out of proportion to the level of injury is one of the first indications of impending compartment syndrome. Pulselessness and paralysis (in particular) are later signs of compartment syndrome. Notify the health care provider immediately of a patients changing condition. Because of the possibility of muscle damage, assess urine output. Myoglobin released from damaged muscle cells precipitates and causes obstruction in renal tubules. This condition results in acute tubular necrosis and acute kidney injury.Ãâà Common signs are dark reddish brown urine and clinical manifestations associated with acute kidney injury (see Chapter 47). Elevation of the extremity may lower venous pressure and slow arterial perfusion. Therefore the extremity should not be elevated above heart level. Similarly, the application of cold compresses may result in vasoconstriction and exacerbate compartment syndrome. It may also be necessary to remove or loosen the bandage and split the cast in half (bivalving). A reduction in traction weight may also decrease external circumferential pressures. Surgical decompression (e.g., fasciotomy) of the involved compartment may be necessary (Fig. 63-15). The fasciotomy site is left open for several days to ensure adequate soft tissue decompression. Infection resulting from delayed wound closure is a potential problem after a fasciotomy. In severe cases of compartment syndrome, an amputation may be required. DEFINITION Compartment syndrome is a condition thatà occurs when elevated pressure within a limitedà space compromises the circulation, withà increased risk of irreversible damage to itsà contents and their function. Acute compartmentà syndrome is a surgical emergency.à ICD-10CM CODES 958.90 Compartment syndrome unspecifiedà 958.90 Compartment syndrome, notà otherwise specified T79.A0 Compartment syndrome,à unspecified, initial encounterà M79.A11 Nontraumatic compartmentà syndrome of right upper extremityà M79.A12 Nontraumatic compartmentà syndrome of left upper extremityà M79.A19 Nontraumatic compartmentà syndrome of unspecified upperà extremityà M79.A21 Nontraumatic compartmentà syndrome of right lower extremityà M79.A22 Nontraumatic compartmentà syndrome of left lower extremity M79.A29 Nontraumatic compartmentà syndrome of unspecified lowerà extremityà M79.A9 Nontraumatic compartmentà syndrome of other sitesà T79.A19A Traumatic compartment syndromeà of unspecified upper extremity,à initial encounterà T79.A21A Traumatic compartment syndromeà of right lower extremity, initialà encounterà T79.A22A Traumatic compartment syndromeà of left lower extremity, initialà encounterà T79.A29A Traumatic compartment syndromeà of unspecified lower extremity,à initial encounterà EPIDEMIOLOGY à DEMOGRAPHICSà Occurs most commonly after acute trauma,à especially with long bone fractures, comprisingà 75% of cases.à It usually occurs in persons Incidence is higher in males.à It can occur in other parts, such as the foot,à thigh, gluteal region, and abdomen.à Supracondylar fractures in children can commonlyà lead to compartment syndrome.à 6% to 9% of open tibial fractures are complicatedà by compartment syndrome.à It is seen in all races and ethnicities.à PATHOPHYSIOLOGYà Compartment syndrome occurs when the bloodà flow is less than the tissue metabolic demands,à causing tissue injury. It occurs when the intracompartmentalà pressure increases limitingà venous outflow with rising venous pressure,à resulting in compromise of the local circulationà and tissue hypoxia with decreased arteriovenousà pressure gradient. Venous congestion additionallyà leads to tissue edema and interstitial pressure,à and the compartment pressure continues toà increase. Compartment pressure ranges betweenà 10 and 30 mm Hg of diastolic pressure are ableà to cause the condition.à Different conditions are known to cause compartmentà syndrome:à Conditions that limit compartment volume, suchà as when patients have fracture casts, whenà sedated or comatose patients lie on a limb forà a prolonged period, or when patients have tightà dressings that are applied externally.à Conditions that cause increased compartmentà content, such as bleeding in the compartmentà from vascular injury or diathesis, fractures orà finger injuries, reperfusion after ischemic injuryà such as embolectomy and arterial bypassà grafting, severe bruising of muscle, and thermalà or electrical burn injuries.à Other injuries, such as extravasation of intravenousà fluids, injection of recreational drugs,à and snake bites.à PHYSICAL FINDINGS CLINICALà PRESENTATION Signs and symptoms are usually apparent butà can be unreliable and can lead to delayedà diagnosis. Acute compartment syndrome canà worsen within hours; therefore serial examinationà is important in a patient with suspectedà compartment syndrome. Patients with tenseà painful limbs are considered to have acuteà compartment syndrome; however, diagnosisà is confirmed with the assessment of elevatedà compartment pressure. Clinical signs andà symptoms include the following:à Pain disproportional to injury (the earliest sign)à Constant deep pain and pain that is referredà to the compartment on passive stretchingà of the muscles of the affected compartmentà (Fig. E1C-84, A) Reduced sense of touch or sensation (hypesthesia) within the territory of the nerve passing the compartment (in acute anteriorà compartment syndrome, the patient mayà have hypesthesia in the territory of the firstà webspace)à Tense and swollen compartment (Figs. E1C-à 84, B and 1C-84, C)à Muscle weaknessà Paresis (late finding) that suggests permanentà muscle damageà Capillary refill can be slow but normal.à Peripheral pulses that are normally palpableà even in severe conditionsà Tingling and numbness in the affected limb.à Hypesthesia or paresthesia should be evaluatedà with pinprick, light touch, and two-pointà discrimination tests.à Difficulty moving the extremities.à DIAGNOSIS Diagnosis is based on clinical signs andà symptoms along with compartment pressure.à Compartment pressure testing may be unnecessaryà if the diagnosis is clinically obvious.à DIFFERENTIAL DIAGNOSIS Muscle strainsà Cellulitis Gangrene Peripheral vascular injury Necrotizing fasciitis Stress fractures Deep vein thrombosis and thrombophlebitis Tendinitis Muscle contusion Tarsal tunnel syndrome Posterior ankle syndrome Popliteal artery impingement Claudication Tumor Venous insufficiency LABORATORY TESTS Diagnosis is based on clinical findings andà the measurement of compartment pressures.à Laboratory values are not useful in the diagnosisà of compartment syndrome but are importantà for other diagnoses or associated conditions.à CBC with differential for evaluation of infectionà Creatine phosphokinase (CK) levels, whichà can rise as muscle injury developsà Metabolic panel for the assessment of electrolytesà and renal functionà Coagulation profile for bleeding diathesisà Urinalysis for rhabdomyolysisà Urine and serum myoglobin levelsà Compartment Syndromeà A B FIGURE 1C-84 C: A, Severe calf swelling due toà anterior and posterior compartment syndromesà after ischemia-reperfusion. B, Appearance afterà emergency fasciotomy. Note edematous muscleà and hematoma. (Courtesy Michael J. Allen, FRCS,à Leicester, UK. From Floege J et al: Comprehensiveà clinical nephrology, ed 4, Philadelphia, 2010,à Saunders.) http://internalmedicinebook.comà Compartment Syndrome 307 Diseases and Disorders IMAGING STUDIES Direct intracompartmental pressure measurementà can be done by handheld manometer,à wick or slit catheter technique, and simpleà needle manometer system. Compartment à syndrome is diagnosed when the differenceà between diastolic blood pressure and compartmentà pressure (ÃŽâ⬠pressure) is à ¢Ã¢â¬ °Ã ¤30 mm Hg.à Ultrasonography can be used to rule out deepà vein thrombosis, or Doppler ultrasonographyà can be used to evaluate blood flow to theà extremity. Arteriography should be used toà evaluate the adequate blood flow through aà compartment. Near-infrared spectroscopy and technetium-à 99m methoxyisobutylisonitrile scintigraphyà can also be used.à Radiography can be used on the affectedà limb for fracture or foreign body evaluation.à TREATMENTà Treatment goal is to keep intracompartmentalà pressure low and prevent tissue injury (Fig.à 1C-84, D). NONPHARMACOLOGIC THERAPY Immediate relieving of all external pressureà on the affected compartmentà Removal of casts, splints, and dressingsà Placing limb at heart level to avoid decreasedà or increased blood flowà ACUTE GENERAL Rxà Analgesics for pain Hyperbaric oxygen Hypotension can worsen tissue ischemia andà thus should be treated with IV isotonic saline. Fasciotomy of the affected compartmentà is indicated if there has been >6 hr ofà limb ischemia, or immediate decompressionà should be performed when the compartmentà pressure > 30 to 35 mm Hg.à Measurement of compartment pressure isà not necessary to perform fasciotomy if clinicalà suspicion is high depending on historyà and clinical examination.à When compartment pressures are trendingà downward, it is often safe to delay emergentà fasciotomy, provided the ÃŽâ⬠pressure is alsoà improving. CHRONIC Rxà Aftercare of fasciotomy wound: Wound isà inspected after 48 hours and dead tissue isà removed.à Wounds are left open, requiring later skinà grafting or delayed wound closure.à Opsite sheet and boot lace techniques areà also used for closing fasciotomy wounds.à Concomitant fractured bones should also beà stabilized with plating, external fixation, orà intramedullary nailing.à DISPOSITION With early diagnosis and treatment, the prognosisà is excellent for recovery of the muscles andà nerves inside the compartment. The followingà conditions can be prevented:à Permanent nerve damage/paralysisà Muscle contracture Gangrene Amputation Muscle necrosis Fracture nonunion Rhabdomyolysis that leads to renal failure Compartment syndrome that can occur inà open fractures Permanent nerve injury, which can occur afterà 12 to 24 hr of compression; mortality rates inà patients who need fasciotomy is à ¢Ã¢â¬ °Ãâ 15%. REFERRAL Patients with suspected compartment syndromeà should be referred promptly to orthopedicà and general surgery. PEARLS CONSIDERATIONS Universal precautions and aseptic measures are necessary for patients undergoing fasciotomy because the risk of local and systemic infection is high with the procedure. Invasive monitoring techniques should be undertaken with adequate analgesia so that patient immobility is ensured while the pressure is measured. Injection of local anaesthetics into the compartment can increase the pressure and pain and therefore should be avoided. Patients with fracture casts should be informed about the risks of swelling, and patients should also be encouraged to wear appropriate equipment while playing sports. A history of coagulation disorders and the use of anticoagulants should be mentioned in a patients medical history. Assault Assault has two different interpretations. 1. Traditionally called common assault and consisting of the making of an unlawful and intentional (or possibly only reckless) threat to inflict imminent force against the person where the victim was aware of the threat.Ãâà A distinction was previously maintained at common law between common assault and battery.Ãâà Increasing codification of criminal law has resulted in abandonment of this distinction and in Australia assault now commonly refers both to common assault and actual infliction of force.Ãâà Statutory provisions for the different states are numerous and terminology varies (e.g. offences of causing injury or threatening). 2. One of three ma
Tuesday, November 12, 2019
Living in an Apartment or Living in a House Essay
Throughout life I have stayed in many different places. Moving from the Philippines, Georgia, and then Texas has given me the opportunity to live in a wide variety of residences. My family and I have experienced residing in both apartments and houses. We have observed many differences in the two choices of homes and have become very knowledgeable of life in both dwellings. Living in an apartment or living in a house? When you are trying to save money and only have so much to spend each month, a lot of people would choose to rent an apartment. When renting an apartment, you choose to live in a smaller space and agree to all of the terms and conditions of a lease. Following these lease agreements may sometimes involve paying an additional amount to house a pet or to park in a specific spot. Renters must abide by all rules enforced by the apartment complex. Living in an apartment is not just following rules and paying rent, it can also provide many great things. Many people that are renting apartments are unable to afford essential appliances such as a washer and dryer or oven. Usually an apartment can either provide you with these necessary appliances or they will give you the option to rent them. With these issues taken care of, all you have to worry about is paying the rent, electricity, and the food you are eating. Apartments are ideal for an individual who is in need of a place to stay temporarily. While living in an apartment home, you will have to deal with the noises being made by your neighbors who live next-door as you are trying to sleep. Little annoyances like this may be a huge inconvenience to you if you have work the next day or need to study for a test in the morning. Some people crave an environment with more privacy or a bigger yard for their pets or children to run around in. When I was living in an apartment with my family, the apartment was too crowded for such a big family like mine. My parents could only bear to stay in the apartment for a short amount of time as we eagerly waited for our new house to get built. After six long months, we were more than ready to finally leave that tiny apartment behind. We left learning that something so small was not for our large family of seven. Once we settled into our house we absolutely loved it! The open space was more than enough for all of us. Living in a house is a great idea for people who have or plan on having a really big family. While living in a house you can have your own driveway, you have a lot of room to move around, and you donââ¬â¢t have to worry too much about a place to park. In a house, you donââ¬â¢t have to worry about the neighbors upstairs or next door making obnoxious noises and you arenââ¬â¢t walking on eggshells trying to abide by as many rules as an apartment complex. You donââ¬â¢t have to carry your trash down from second or third floor because you have your own trashcan in front of your house! A house can cost a little more money but I would consider it as an investment in a property. Unlike an apartment, your payment every month will benefit you in the long run. In an apartment, there are many rules when it comes to altering it. In a house you can do whatever you please. For example, you can change the color in the kidsââ¬â¢ rooms, your kitchen, and the bathrooms. If you want, you are even allowed to alter the color of your carpet and all of the doors in the house! For some people, having a large kitchen where you can cook and a full-sized living room where all their friends and family can watch the game may be more appealing than a compact apartment space. Having a house is ideal if you need more space. For those of us who only need a room to stay in, I would advise them to rent an apartment. A house is good for a big family and people who want their privacy. In an apartment, you donââ¬â¢t have to worry about keeping up with all the appliances and have to cut the grass every two week in the summer. But either or they have their good and bad it is just really up to you to decide which whatever you prefer is good for you or and your family.
Sunday, November 10, 2019
An analysis of the Maya Angelou poem ââ¬ÅTo a manââ¬Â Essay
ââ¬ËTo a manââ¬â¢ is written by Maya Angelou, whose first novel was an autobiography of her varied life, (activist, singer, waitress, dancer etc.) called ââ¬ËI know why the caged bird singsââ¬â¢. She has written two collections of prose, ââ¬ËWouldnââ¬â¢t take nothing for my journey nowââ¬â¢ and ââ¬ËEven the stars look lonesomeââ¬â¢. Angelou has written several famous poems, including ââ¬ËStill I riseââ¬â¢ and ââ¬ËOn the pulse of the morningââ¬â¢ for the inaugeration of President Clinton. Maya Angelou now has a lifetime appointment as Professor of American Studies at Wake Forest University of North Carolina. The poem is about the man that Maya Angelou loves, and she uses a variety of metaphors and images to describe him to the reader. Maya Angelou has a very decisive style of writing and uses lots of modal verbs such as ââ¬Ëisââ¬â¢ to convey her message to the reader. She writes poems to entertain people, and to be read aloud. I think this one is one of those poems because she uses full stops and capital letters to show when pauses should be given and which words need particular emphasis. This poem is serious, and thought provoking, and she uses unusual imagery to compare her man to. I like the style she uses to give meaning to her words, and how she uses punctuation and enjambement together which gives an interesting effect. The mood is quite happy, as she describes her man, who makes her feel warm and laughs through his own troubles. The poem does not follow conventional structure, or use syllabic sentencing on each line. The lines do not rhyme, and it is like Angelou has just written down her thoughts, without purposefully making them into a piece of poetry. The poem is twenty two lines long, and puts important ideas about the man on their own , or on a separate line to show the reader how important this aspect of the man is. ââ¬ËTo a manââ¬â¢ is written from Maya Angelouââ¬â¢s own experience, and was about her first husband. It describes his personality, and likens him to a big cat. Angelou uses metaphors such as ââ¬ËMy man is Black Golden Amberââ¬â¢ to begin the poem. The first line ââ¬ËMy man isââ¬â¢ sets the scene and tells the reader that the poem is about the man Angelou loves. The word ââ¬ËMyââ¬â¢, indicates possessiveness, unlike the title which is ââ¬Ëto a manââ¬â¢, this could be any man. It is unsure why she writes to any man, not her own, but possibly it is to tell the m how great her man is and that she doesnââ¬â¢t need anyone else. The word ââ¬ËBlackââ¬â¢ could be in reference to the skin colour of the man, or his personality, which could be evil, or depressed. I think it means ââ¬Ëevilââ¬â¢ because of the later imagery used in the poem. ââ¬ËGoldenââ¬â¢ implies that he is special, and precious as gold, as does the next word ââ¬ËAmberââ¬â¢ which is also a precious stone. The word ââ¬ËAmberââ¬â¢ gives the idea of warm colours, reds and oranges, which link in to the rest of the poem. The next line is simply, ââ¬ËChangingââ¬â¢ which means her man is constantly changing from Black to Golden to Amber, his personalities change. ââ¬ËWarm mouths of Brandy Fineââ¬â¢ I think this means that kissing him is like drinking brandy, and makes her warm which ties in with the warm amber colours used earlier. ââ¬ËCautious sunlight on a patterned rugââ¬â¢ means that maybe her man is cautious sunlight, which links to the imagery of golden. Possibly Angelou thinks of herself as the rug, and he cautiously lights her up, and makes her warm again. The next line indicates that the man smiles through his troubles, ââ¬Ëcoughing laughterââ¬â¢ and that he has a particular smell, of ââ¬ËFrench tobaccoââ¬â¢. ââ¬ËGraceful turns on woollen stiltsââ¬â¢ shows that her man can not only walk on stilts made of wool, i.e.) do the impossible but also, turn on them gracefully, and make the impossibilities of life seem easy to her. The following line is simply ââ¬Ë Secretive?ââ¬â¢, Angelou is asking herself a question about the man, is he secretive?, and then answers in the next line, ââ¬ËA catââ¬â¢s eyeââ¬â¢. I think that this indicates that he has depths and mystery like the catââ¬â¢s eyes which swirl with hidden colours. He is not secretive, just has many layers that cannot be unravelled all at once. Catââ¬â¢s eyes are golden and change colour with the light, which links in to the idea of the manââ¬â¢s temperament, also ever changing. ââ¬ËSouthernââ¬â¢ is in itââ¬â¢s own sentence at the beginning of the next line which could show that her man is from the South , possibly American, like Angelou herself. The next sentence says he is ââ¬Ëplump and tender, with navy-bean sullennessââ¬â¢, navy is traditionally a very masculine colour which could mean he is a very macho man. The next line re emphasises how tender the man is, it says simply , ââ¬ËThe gentlenessââ¬â¢. The fact that Angelou doesnââ¬â¢t use a lot of words to describe the gentleness suggests to me how gentle he is, she cannot use words to describe it, it is just there, which is in direct contrast from the sullen man who likes navy blue. This again gives the impression of an ever changing personality. The next line mentions a cat again, ââ¬ËA big cat stalks through stubborn bushââ¬â¢. This imagery has an air of menace about it, the cat using itââ¬â¢s gentleness to stalk, capture and kill itââ¬â¢s prey, a cat is graceful, and light but also can be deadly. This adds an air of danger to the man, is he as sweet as he first appears?. Angelou now asks if she mentioned amber, which links back to the start of the poem, and gives the reader the red, gold imagery again, and an idea of the warmth Angelou feels with her man. She likens amber to a ââ¬Ëheatless fire, consuming itselfââ¬â¢, which (as in other Maya Angelou) poetry gives the image of a cycle, forever consuming itself. Possibly the heatless fire is what she sees in her manââ¬â¢s eyes. The next line says ââ¬ËAgain.Anew. Into ever neverlessnessââ¬â¢ which shows the cycle again, and also could portray the image of a catââ¬â¢s eye and the way the colours in that change. ââ¬ËMy man is Amberââ¬â¢, this is a repetition of the first phrase, Angelou uses a definite metaphor to compare her man to Amer. She then repeats her third line, ââ¬ËChangingââ¬â¢, which again shows the way his colours change like Amber. The next line is ââ¬ËAlways into itselfââ¬â¢ , whi ch could be acting as a metaphor for their love, which also changes but remains the same. This is further shown in the last lines, ââ¬ËNew.Now.Newââ¬â¢ and ââ¬ËStill itselfââ¬â¢. The poem ends with the word ââ¬ËStillâ⬠on a line o itââ¬â¢s own, with a full stop, this shows that their love is still, and the way he feels for her, unlike the colours doesnââ¬â¢t swirl and changed and is still. I think that Maya Angelou wrote the poem to describe the way her husband made her feel, and to keep a part of that feeling with her, for posterity. She writes to any man to let them know what she has, and to convey her deep love for this particular man. Another reason for her to write the poem is to try to make sense of the way her man acts, and the way his moods change. I think that Maya Angelou wrote this to show the complex emotions she feels about her man, possession, tenderness, love, and warmth all at once. The poemââ¬â¢s effect on me was that it showed me the way a woman felt about her man, and it helped me understand the deeper emotions of a relationship. I liked the way she used Amber to show how her man changed, because it wasnââ¬â¢t in a negative way, the Amber gave an impression of how precious he was, yet she changed her perspective with him. ââ¬ËTo a manââ¬â¢ made me think about the images and metaphors used, and I enjoyed analysing it because now, I enjoy it more, knowing how Angelou felt when she wrote it.
Friday, November 8, 2019
Ronald Reagan Assassination Attempt
Ronald Reagan Assassination Attempt On March 30, 1981, 25-year-old John Hinckley Jr. opened fire on U.S. President Ronald Reagan just outside the Washington Hilton Hotel. President Reagan was hit by one bullet, which punctured his lung. Three others were also injured in the shooting. The Shooting Around 2:25 p.m. on March 30, 1981, President Ronald Reagan emerged via a side door from the Washington Hilton Hotel in Washington D.C. He had just finished giving a speech to a group of trade unionists at the National Conference of Building and Construction Trades Department, AFL-CIO. Reagan only had to walk about 30 feet from the hotel door to his awaiting car, so the Secret Service had not thought a bullet-proof vest to be necessary. Outside, waiting for Reagan, were a number of newspapermen, members of the public, and John Hinckley Jr. When Reagan got close to his car, Hinckley pulled out his .22-caliber revolver and fired six shots in quick succession. The entire shooting took only two to three seconds. In that time, one bullet hit Press Secretary James Brady in the head and another bullet hit police officer Tom Delahanty in the neck. With lightening quick reflexes, Secret Service agent Tim McCarthy spread out his body as wide as possible to become a human shield, hoping to protect the President. McCarthy was hit in the abdomen. In the mere seconds that all this was taking place, another Secret Service agent, Jerry Parr, pushed Reagan into the backseat of the awaiting presidential car. Parr then jumped on top of Reagan in an effort to protect him from further gunfire. The presidential car then quickly drove off. The Hospital At first, Reagan didnt realize that he had been shot. He thought he had maybe broken a rib when he had been thrown into the car. It wasnt until Reagan began coughing up blood that Parr realized Reagan might be seriously hurt. Parr then redirected the presidential car, which had been heading to the White House, to George Washington Hospital instead. Upon arrival at the hospital, Reagan was able to walk inside on his own, but he soon passed out from loss of blood. Reagan had not broken a rib from being thrown into the car; he had been shot. One of Hinckleys bullets had ricocheted off of the presidential car and hit Reagans torso, just under his left arm. Luckily for Reagan, the bullet had failed to explode. It had also narrowly missed his heart. By all accounts, Reagan remained in good spirits throughout the entire encounter, including making some now-famous, humorous comments. One of these comments was to his wife, Nancy Reagan, when she came to see him in the hospital. Reagan told her, Honey, I forgot to duck. Another comment was directed to his surgeons as Reagan entered the operating room. Reagan said, Please tell me youre all Republicans. One of the surgeons responded, Today, Mr. President, were all Republicans. After spending 12 days in the hospital, Reagan was sent home on April 11, 1981. What Happened to John Hinckley? Immediately after Hinckley fired the six bullets at President Reagan, Secret Service agents, bystanders, and police officers all jumped on Hinckley. Hinckley was then quickly taken into custody. In 1982, Hinckley was put on trial for attempting to assassinate the President of the United States. Since the entire assassination attempt had been caught on film and Hinckley had been captured at the scene of the crime, Hinckleys guilt was obvious. Thus, Hinckleys lawyer tried using the insanity plea. It was true; Hinckley did have a long history of mental problems. Plus, for years, Hinckley had been obsessed with and stalked actress Jodie Foster. Based on Hinckleys warped view of the movie Taxi Driver, Hinckley hoped to rescue Foster by killing the President. This, Hinckley believed, would guarantee Fosters affection. On June 21, 1982, Hinckley was found not guilty by reason of insanity on all 13 counts against him. After the trial, Hinckley was confined to St. Elizabeths Hospital. Recently, Hinckley has been awarded privileges which allow him to leave the hospital, for several days at a time, to visit his parents.
Wednesday, November 6, 2019
The 2004 Indian Ocean Tsunami History and Its Aftermath
The 2004 Indian Ocean Tsunami History and Its Aftermath December 26, 2004, seemed like an ordinary Sunday. Fishermen, shopkeepers, Buddhist nuns, medical doctors, and mullahs - all around the Indian Ocean basin, people went about their morning routines. Western tourists on their Christmas holiday flocked to the beaches of Thailand, Sri Lanka, and Indonesia, reveling in the warm tropical sun and the blue waters of the sea. Without warning, at 7:58 am, a fault along the seafloor 250 kilometers (155 miles) southeast of Banda Aceh, in the state of Sumatra, Indonesia, suddenly gave way. A magnitude 9.1 underwater earthquake ripped along 1,200 kilometers (750 miles) of the fault, displacing parts of the seabed upward by 20 meters (66 feet), and opening a new rift 10 meters deep (33 feet). This sudden movement released an unimaginable amount of energy - equivalent to approximately 550 million times the atomic bomb dropped on Hiroshima in 1945. When the seafloor shot upward, it caused a series of huge ripples in the Indian Ocean - that is, a tsunami. The people closest to the epicenter had some warning about the unfolding catastrophe - after all, they felt the powerful earthquake. However, tsunamis are uncommon in the Indian Ocean, and people had only about 10 minutes to react. There were no tsunami warnings. Around 8:08 am, the sea suddenly drew back from the earthquake-devastated shores of northern Sumatra. Then, a series of four enormous waves crashed ashore, the highest recorded at 24 meters tall (80 feet). Once the waves hit the shallows, in some places the local geography channeled them into even larger monsters, as much as 30 meters (100 feet) tall. The seawater roared inland, scouring large areas of the Indonesian coastline bare of human structures, and carrying away an estimated 168,000 people to their deaths. An hour later, the waves reached Thailand; still unwarned and unaware of the danger, approximately 8,200 people were caught by the tsunami waters, including 2,500 foreign tourists. The waves overran the low-lying Maldive Islands, killing 108 people there, and then raced on to India and Sri Lanka, where an additional 53,000 perished about two hours after the earthquake. The waves were still 12 meters (40 feet) tall. Finally, the tsunami struck the coast of East Africa some seven hours later. Despite the lapse of time, authorities had no way to warn the people of Somalia, Madagascar, Seychelles, Kenya, Tanzania, and South Africa. Energy from the quake in far-off Indonesia carried away approximately 300 to 400 people along Africas Indian Ocean coast, the majority in Somalias Puntland region. The Causation of the Casualties Altogether, an estimated 230,000 to 260,000 people died in the 2004 Indian Ocean earthquake and tsunami. The quake itself was third-most powerful since 1900, exceeded only by the Great Chilean Earthquake of 1960 (magnitude 9.5), and the 1964 Good Friday Earthquake in Prince William Sound, Alaska (magnitude 9.2); both of those quakes also produced killer tsunamis in the Pacific Ocean basin. The Indian Ocean tsunami was the most deadly in recorded history. Why did so many people die on December 26, 2004? Dense coastal populations combined with a lack of tsunami-warning infrastructure came together to produce this horrific result. Since tsunamis are much more common in the Pacific, that ocean is ringed with tsunami-warning sirens, ready to respond to information from the tsunami-detection buoys arrayed across the area. Although the Indian Ocean is seismically active, it was not wired for tsunami detection in the same way - despite its heavily-populated and low-lying coastal areas. Perhaps the great majority of the 2004 tsunamis victims could not have been saved by buoys and sirens. After all, by far the largest death toll was in Indonesia, where people had just been shaken by the massive quake and had only minutes to find high ground. Yet more than 60,000 people in other countries could have been saved; they would have had at least an hour to move away from the shoreline - if they had had some warning. In the years since 2004, officials have worked hard to install and improve an Indian Ocean Tsunami Warning System. Hopefully, this will ensure that the people of the Indian Ocean basin will never again be caught unawares while 100-foot walls of water barrel toward their shores.
Sunday, November 3, 2019
The Generation Y of China Research Paper Example | Topics and Well Written Essays - 750 words
The Generation Y of China - Research Paper Example The government of China uses media to govern the thoughts, emotions, and opinions of all people of China in generation and the generation Y of China in particular. The government of China is schizophrenic about the policy of media as the government ââ¬Å"GOES BACK AND FORTH, TESTING THE LINE, KNOWING THEY NEED PRESS FREEDOM--AND THE INFORMATION IT PROVIDES--BUT WORRIED ABOUT OPENING THE DOOR TO THE TYPE OF FREEDOMS THAT COULD LEAD TO THE REGIME'S DOWNFALLâ⬠(Economy cited in Bennett para. 3). The government of China uses different kinds of methods to compel the journalists to impose the censors instead of acquiring the risk of punishment. The tactics used by the government include but are not limited to demotions and dismissals, suing the journalists for the libel, fining the journalists, and shutting the news outlets down. In addition to that, many journalists who have been considered to be overstepping the boundaries established by the government to educate the generation Y a nd provide them with unbiased information and facts have been imprisoned. ââ¬Å"AS OF DECEMBER 2012, CHINA WAS THIRD TO IRAN AND TURKEY FOR MOST JAILED JOURNALISTS IN A SINGLE COUNTRY WITH AT LEAST THIRTY-TWO JOURNALISTS IMPRISONEDâ⬠(Bennett para. 18). The government of China controls Chinaââ¬â¢s Generation Y through media. ... 9). The Generation Y cannot tell what content is being hidden by the censors. The manipulations, in certain cases are subtle. This is evident from the fact that trying to use Google.cn to search the ââ¬Å"Republic of Chinaâ⬠leads them to the results about the history of China between 1912 and 1949 when the communists were not empowered and the mainland was referred to as the ââ¬Å"Republic of Chinaâ⬠whereas use of the same keywords on Google.com leads them to the sites in Taiwan. The Generation Y of China lives in a suppressed condition in an authoritarian state wherein the constitutionally paramount authority is the Chinese Communist Party (CCP). Members of the CCP possess nearly every top position in such institutions as military, police, and government. ââ¬Å"REPRESSION AND COERCION, PARTICULARLY AGAINST ORGANIZATIONS AND INDIVIDUALS INVOLVED IN RIGHTS ADVOCACY AND PUBLIC INTEREST ISSUES, WERE ROUTINEâ⬠(ââ¬Å"China (includes Tibetâ⬠para. 2). The authori ties impose tight restrictions on the freedom of practicing religion, assembling, and traveling of the members of the generation Y of China who are deemed politically sensitive. ââ¬Å"POLITICAL LEGITIMACY IN CHINA OVER THE PAST THREE DECADES HAS BEEN BUILT AROUND FAST ECONOMIC GROWTH, WHICH IN TURN HAS RELIED ON A CHEAP AND WILLING YOUNG LABOR FORCEâ⬠(Feng 244). In the recent years, the governmentââ¬â¢s efforts to solace the public interest lawyers and the political activists have increased and the authorities are increasingly making use of extralegal measures to prevent the expression of independent opinions by the public. Such extralegal measures include but are not limited to soft detention, enforced disappearance, and house arrest. In addition to
Friday, November 1, 2019
Tesco Personal Finance Case Study Example | Topics and Well Written Essays - 4000 words - 1
Tesco Personal Finance - Case Study Example News Release, (2008), ââ¬Å"Tesco takes full ownership of TPF and targets à £1 billion from retailing servicesâ⬠, Tesco plc, retrieved online, 4th April, 2009, from: http://www.tescoplc.com/plc/storage/intannounce.pdf 21 Stern, M., (2008), ââ¬Å"Interview: Tescos FD, Andrew Higginsonâ⬠, Financial Director retrieved online, 4th April, 2009, from: http://www.financialdirector.co.uk/financial-director/features/2229174/shelf-confidence-4297859 21 Royal Bank of Scotland Group PLC: RBS Preferred Series "T" and RBS Preferred Series "Q", (No Date), Stanford Law School Securities Class Action Clearing House, retrieved online, 17 April 2008, from: http://securities.stanford.edu/1042/RBST_01/ 22 Tesco Personal Finance that was set up in 1997, as a joint venture between Tesco and the RBS. From a strategic perspective the TPF was established to draw on the Royal Bank of Scotlandââ¬â¢s financial expertise while using the Groupââ¬â¢s stores and online resources as a medium to recruit and cater financial services to the customers at low-cost. However, after a decade, the joint venture came to its termination with the Tesco gaining the full ownership of Tesco Personal Finance. On July 28, 2008, Tesco, the supermarket retail giant announced that it had come to an agreement with the Royal Bank of Scotland (RBS) to buy its 50% stake in the Tesco Personal Finance for a sum of à £950 million (News Release, 2008). This acquisition of Tesco over the 50% stake of RBS coming as a direct challenge for the high street financial institutions which currently are on the stormy side of the economic recession tide and presently are in-waiting for the bank charges decision by the High Court. The acquisition will help Tesco to make its expansion from financial services that revolved around an assortment of popular financial services and products to full-fledged retail banking
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