The Entertainer by Scott Joplin Essay Example | Topics and Well Written Essays - 1000 words

The Entertainer by Scott Joplin - Essay Example He played with a gathering of minstrels before he settled down in St.Louis in 1890.He played in the Chicago World Fair in 1893. The railroad crash at Waco in 1893, roused his sythesis The incredible accident impact Scott's life was not a walk in the park, he contracted syphilis from which he kicked the bucket in 1917. His long sick wellbeing influenced his work. His African-American legacy affected his music.. Early effect on Scott was that of his melodic family-Scott's mom payed the banjo and sang, while his dad played the violin .His mom got him a piano from the cash she earned by cleaning houses Her impact can be found in his initial sythesis Treemonisha distributed in 1911. He was without given piano exercises by Julius Weiss, a German music instructor., whose effect on Scott's music was critical. Weiss showed him the complexities of old style music structure. His initial preparing in old style music imparted an adoration for the old style structure in Joplin, which is confirm in his exemplary clothes .Joplin utilized Afro-American people music custom in his clothes. Jazz music gets its name from the 'worn out beat' it employments. Having been formed for the most part for the piano, The Entertainer is essentially in C major. In the B area, the tune is played on a higher octave. Its surface is homophonic, with a solitary song The music is firmly apparent, with numerous segments of the music finishing on a tonic harmony. Despite the fact that the rhythms and pitches are affected by the African-American society music conventions, the music has an unquestionably European - American structure. Rhythm is another part of Joplin's music. Joplin composed guidelines on his music not to play it at too quick a beat, which would destroy the music. The Entertainer is currently viewed as one of the best ten melodies of the twentieth century.. Workmanship Appreciation-Music and the Performing Arts Performing and Visual Arts - an unmistakable article Performing and Visual Arts . Each type of workmanship like composition, music, move or theater has developed in its own specific manner in various nations of the world, and every ha its own attributes. Human expressions, such as painting, theater, move and music ,have a wide scope of strategies of articulation. Painting has advanced from our antiquated visual legacy Painting encourages the painter to communicate the delight, charm and marvel he feels for the visual wonders of the outside world, by utilizing hues and attracting to communicate his thoughts Paintings can be naturalistic, unique or emblematic. Among the numerous strategies of painting, oil painting, pastels and Oil pastel, watercolor and acrylic painting are the most famous. While scenes and still life painting are generally naturalistic, medieval painting was commanded by strict themes Albeit various schools of painting utilize various methods of articulation, there are a few components which are basic to a wide range of painting. The fundamental components of painting are shape, line, surface, tone and shading. As indicated by Peter Owen, Most artistic creations, whatever their style and subject, and anyway numerous different angles they may offer us, can be acknowledged as examples of shapes characterized on the image surface.(Owen . p1) Since the painter can impart his plans to the watcher just as a two-dimensional, stationary and

A CRITICAL INCIDENT REPORT Lab Example | Topics and Well Written Essays - 1250 words

A CRITICAL INCIDENT - Lab Report Example In this manner, giving got dried out patients enough water serves to expand the capacity of the patient to battle different diseases, subsequently advancing their wellbeing (â€Å"National Patient Safety Agency†, 2007). Resulting to this, the accompanying conversation features one of the occurrences that included disappointment of a medical attendant to offer water to a got dried out patient. The blunder compounded the state of the patient, expanding damage to the patient. I once watched a rate that happened in the careful ward including an old man, who was conceded with basic appendage ischaemia. His correct leg was incredibly influenced, consequently causing him a ton of torment. The patient was additionally slight and was determined to have drying out on affirmation, which portrays numerous older patients (Scales, 2011). Along these lines, a short-term plan was spread out to help him rehydrate his body. The arrangement comprised of close observing of the patient’s liquid equalization as he was to be given a lot of water for the evening. More to this, his pee estimations were to be taken on an hourly premise. Be that as it may, the medical attendant on the job didn't follow the arrangement true to form. The medical caretaker appeared to be somewhat worn out on this specific night, along these lines invested little energy with the patients. The patient got 1000ml of water in 12 hours, as the medical caretaker didn't notice to the doctor’ s guidelines to screen the patient intently. Furthermore, the patient got just four pee estimations rather than the hourly estimations. The patient’s yield remained perilously low during the whole time frame, yet no move was made to attempt to look for an answer for the patient. This made the state of the patient more awful as he was as yet dry, and made little pee toward the beginning of the day. More to this, the leg of the patient had intensified, and the odds of rescuing the leg were very low. This circumstance traded off the security of the patient as water assumes a basic job in a patient’s body. Subsequently, denying this patient the water required by his body made his condition

Why Students Take Drugs in College

Why Students Take Drugs in College 3 Reasons why Students Take Drugs in College Home›Education Posts›3 Reasons why Students Take Drugs in College Education PostsStudent’s drug use is one of the most significant problems in colleges. Very often, when students start their academic life, they face such problem as drug abuse. One may think “why students take drugs in college?” It is a very good question. There are so many reasons students may become drug users such as relaxing, escaping from bad memories, easing pain, fitting in, and others.   They think that drugs will help them to cope with problems, however, they do not understand that drugs only worsen it. Starting from the first intake of drugs, students get into prison of drug dependence. It may cause serious consequences such as health problems, poor academic performance, random sexual contacts, and addiction. It is clear that students know all these risks but still get into drug dependence. You may ask why?Looking where to BUY AN ESSAY?Save your time an d money! Use QualityCustomEssays.com professionals service to get an A+ paper Place an order get 15%offfor your first orderHere are 3 main reasons why students begin taking drugs in college:Bad companyPeople with whom we communicate have a great influence on us. Students come to college, find new friends, and establish new connections. Of course it is good, but sometimes they may get into bad company. Since students want to fit in with their new friends’ way of life, they start imitating them. Good advice for such students is to stop copying others, be yourself and avoid companies where people do not really understand what consequences drug abuse may lead to.Overcoming troubles in studyingAs students have a lot of different tasks, they do not know how to cope with all of them. They are overloaded and do not see another way to feel themselves with energy as to start taking drugs. It’s true, some drugs arouse a feeling of energy, but then after a few sleepless nights, your organi sm is tired and exhausted. Do not fall into drug trap since health is the biggest treasure in our life. Therefore, whenever you cannot overcome all academic troubles, do not choose the road of addiction since it is better to contact qualitycustomessays.com  and get help needed.Relieving from stressCollege is really very stressful period of our life. We cannot cope with all obstacles and stressful situations, therefore, some students consider that drugs will help them. It is a false thought since they only worsen the situation aggravating your stress and causing drug addiction.Our life is full of temptations but it is our choice whether to yield to or resist them!

The Lack of Social Mobility in Jane Austen’s novel Pride...

Pride and Prejudice, a novel written by Jane Austen during the late eighteenth and early nineteenth century is often thought of as simply a love story and although on the surface this is true, it is in fact much more than that. Austen focuses greatly on the class system and lack of social mobility allowed in England during this period (the Napoleonic Wars, 1797-1815) and the pride and prejudice that these social divides reveal, as well as the personal pride and prejudice shown by individual characters and how these interlink. The novel is in many ways a comedy of manners (that is, a comedy that ridicules a particular social group because of their attitudes and behaviour, in this case the Upper class and to some extent the Middle class).†¦show more content†¦Her dislike of him grows as his liking of her increase until whilst she is visiting her recently married best friend Charlotte, and her husband, Elizabeth’s cousin Mr Collins, Mr Darcy proposes. Elizabeth refuses, however when she discovers she was mistaken in her view of him her feelings towards him warm, particularly after she finds out he saved her sister from disgrace by paying Mr Wickham (Darcy’s adversary and the man who had eloped with her sister) to marry Lydia. They finally put aside their differences and marry, to Darcy’s aunt Lady Catherine de Bourgh and Miss Bingley’s disgust. Elizabeth Bennet is a very good example of both pride and prejudice. She is her father’s favourite as she is the cleverest of his children, in his words she â€Å"has something more of quickness than her sisters†. The first time she meets Mr Darcy, at an assembly (ball) she overhears Mr Bingley attempting to convince him to dance. He refuses. When Bingley suggests he dance with Elizabeth, describing her as very pretty (though not as beautiful as Jane) Darcy is not convinced, replying that â€Å"she is tolerable, but not handsome enough to tempt me†. To Elizabeth’s credit she tries to laugh it off, relaying the story to her friends but the reader can see she is more affected by the comment than she lets on during her conversation with Charlotte Lucas after the ball. Charlotte says his pride â€Å"does notShow MoreRelatedComparing The Representation Of Women s The Yellow Wallpaper And Pride And Prejudice 1662 Words   |  7 PagesCompare the representat ion of women in Gilman’s ‘The yellow wallpaper’ and Austen’s ‘pride and prejudice’. To what extent do you agree with the view that Gilman presents conventional patriarchal expectations of women, more critically than Austen. Both Austen and Gilman breakthrough the conformity of femininity at a time of rising feminism in a bid to encourage the female viewpoint which was put down or rather shunned to be less valuable by the society they lived in. Gilman however presents it inRead MoreThe Portrayal Of Women By Jane Austen And Charles Dickens Essay2871 Words   |  12 PagesAnalysis of the Portrayal of Women by Jane Austen and Charles Dickens in Pride and Prejudice and Hard Times respectively, in view of their social positions, gender identities and historical situations. Published first in 1813, Pride and Prejudice is universally acknowledged as Jane Austen’s (1775-1817) most popular work of all times. The novel was written between 1796 and 1797 and was initially titled First Impressions. Set in the backdrop of rural England in the late eighteenth and early nineteenthRead MoreJane Austen s Pride And Prejudice1766 Words   |  8 PagesThe social world of Jane Austen’s, Pride and Prejudice is one in which women’s rights were limited due to society’s patriarchal point of view. In Jane Austen’s world, women suffered on the account of their gender in a class pretension society making it only possible to increase social mobility through the mean of marriage. Austen depicts marriage as an economical business, needed to rescue women from succumbing to a life of poverty and disgrace. In a society that affirm the principle values of marriage

Sense and Sensibility Neo-classicism vs Romanticism

Sense and Sensibility by Jane Austin was a moralistic novel depicting the two main forms of attitudes at that time; the neo -classics and the romantics. The period in which it was written, nineteenth century England, was laden with social etiquette and customs imposed on people of that time; and thus the characters of Jane Austins novels. The novels two main protagonists; Elinor and Marianne Dashwood, exemplify the Neo classical era and the romantic era, respectfully. Jane Austin instils Neo-classic and romantic ideals in Elinor and Marianne as to present a view of each attitude and to further enhance the discrepancies of social nineteenths century England. Neo- Classicism derived from the 17-18th centuries intellectual pursuit into†¦show more content†¦and she could have no lasting satisfaction in the company of a person who joined insincerity with ignorance (p108) Throughout sense and sensibility, Elinor is shown to be fair and just in her personal judgements. Elinor is also distinguished for her ability to self govern her feelings. The neo classics disprove of one indulging in feelings and believe one should instead conceal them, suffering silently. An example of this can be seen when Edward breaks Elinors heart, thus Austin places Elinor and Marianne in parallel situations. Marianne, the romantic, focuses solely on her own feelings and disregards the feelings of others. However, Elinor follows Neo Classic ethics by remaining a pillar of support for those who depend on her. She does not withdraw away and contemplate her life but instead carries on with the duties she undertook since the beginning of the novel. She continually self sacrifices her desire to the needs and benefit of those around her, showing a magnanimous concern to others while silencing her own feelings; dealing with issues with an unbiased outlook: She was very far from wishing to dwell on her own feelings, or to represent herself as suffering much, any otherwise than as the self command she had practised since her first knowledge of Edwards engagement... (p220) A major example of her self-sacrifice can be seen when Elinor agrees to bear theShow MoreRelatedSense and Sensibilty by Jane Austen2297 Words   |  9 PagesSense and Sensibility by Jane Austen is a satirical clash of the two cultural movements: †¯Romanticism, a movement focused on how imagination and emotion are more important than reason and formal rules, and Classicism, a movement centered on the qualities of formal etiquette, logic, and rationality. Austen focuses on the moral and social attributes of each, mainly their concepts on love. †¯She portrays these traits in all the characters in the book, mainly the two oldest Dashwood sisters, Elinor andRead MoreRomanticism versus Neoclassicism2775 Words   |  12 Pagestradition, society, intellect and formal diction, Romanticism allowed people to get away from the constrained rational views of life and concentrate on an emotional and sentimental side of humanity. In this movement the emphasis was on emotion, passion, ima gination, individual and natural diction. Resulting in part from the liberation and egalitarian ideals of the French Revolution, the romantic movement had in common only a revolt against the rules of classicism. There are obviously a lot of distinctions

Why Should Abortion be illegal Free Essays

Abortion is taking the life off new human being. Many people would say that it’s not human to kill another person but what makes abortion any different from that? The main reason why many women abort is because they’re too young and are scared of the Impact a baby will make In there life, they don’t have enough money to support a child, or their relationship starts falling after finding out they’re pregnant. As a Christian I was taught that abortion Is wrong and that only God can determine who lives and dies. We will write a custom essay sample on Why Should Abortion be illegal? or any similar topic only for you Order Now Not only is abortion wrong but it can also cause severe damage to our body not only physically but psychologically. If you’re not ready to take care of a child on your own don’t abort put your child up for adoption, there are thousands of couples who would love to have a child but can’t and are just waiting for a baby to adopt. Abortion is not justified because adoption is another choice, women often have side affects both physically and psychologically and you are taking the baby’s right of life away, killing is never right under any circumstance, therefore abortion should be Illegal. Adoption Is another option, give your child to a nice family who will take care and purport the baby the way It should be. There Is 36 couples waiting for ever one baby put Into adoption (Life News). You can even have the choice to have an open adoption where you can keep In touch with your child and know how Its doing throughout his/ her life. I think the fact that there are couples out there aborting because they aren’t ready to have a children is unfair to couples dying to have children and the future baby. Abortion is very harmful to the human body not only physically but psychologically. Abortion can cause both short and long term physical complications. One is that abortion can affect women in being able to have healthy pregnancies in the future. After having an abortion women often suffer from depression because of regret, not only that but abortions create a risk of having a miscarriage or pelvic inflammation disease In the future. Abortions aren’t helping your life they’re ruining it. All of this can be avoided, our bodies weren’t made to have abortions. You are taking the life of a human being when you have an abortion. The fetus has a heart beat 5 weeks after the mothers last period and the fetus heart starts pumping blood throughout its body at six weeks (New Health Guide). People say abortions is not killing an actual living being. The time period recommended to have a safe abortion is 10 weeks, by this time the baby is already active. Its teeth and fingernails are growing in, it can start making facial expressions and even have the hiccup (New Health Guide). Please tell me how this isn’t a human being. The Declaration of Independence says â€Å"that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness†, but by having an abortion you are taking the babies right of life and happiness. Abortion can and should be stopped, It’s not right nor human to kill a human being because you can’t or don’t want to take care of It. I understand women are scared or Just don’t have the time to take care of a child but adoption Is always a choice. Abortions change women forever and not always for the best. The child has rights and by aborting you are taking the baby’s right of life. Affects and you are taking the baby’s right of life away, killing is never right under any circumstance, therefore abortion should be illegal. How to cite Why Should Abortion be illegal?, Papers

The length of Pencil lead affect Its Resistance Essay Example

The length of Pencil lead affect Its Resistance Paper Aim: The aim of this piece of course work is to find out how does the resistance of a pencil lead changes as I increase its length. And to find out what is the relationship between the length of a pencil lead and its resistance. Safety: Safety is a very important thing to consider as we doing a scientific experiment, so is this experiment. For make sure there will not be any accident as I doing this experiment, I will do the following things. 1, I will make sure I had set up the right electrical circuit before I let the electricity run through the circuit, to prevent the short circuit. 2, I will add a switch in the circuit, so that will prevent the lead get too hot to handle and to prevent the battery wasting. 3, I will be careful when I am holding the pencil lead because it would burning your skin if it got to hot. Fair Test: I will try to make this experiment as fair as I can, therefore I would be able to get some reliable results. To make this experiment be a fair experiment, I will do the following things. 1, I will put all my experimental equipments in the box, so that I can use the same equipments every time, such as battery packs and pencil lead. We will write a custom essay sample on The length of Pencil lead affect Its Resistance specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The length of Pencil lead affect Its Resistance specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The length of Pencil lead affect Its Resistance specifically for you FOR ONLY $16.38 $13.9/page Hire Writer 2, I will do the same thing three times, and I will make sure that I finish every time I started because it would be some physical changing to the equipments if I left them there. Apparatus: For this experiment, I need a battery pack (4 batteries), a switch, and a set of wires, an ammeter, a voltmeter, 2 crocodile clips and a pencil lead. Method: I have chosen this method for this experiment because I think it is a fair and safe way to carry out the experiment. Firstly, the circuit will be set up in a right way as the graph (G1) was shown below, and I will check it before I start the experiment. I will make sure set the ammeter in a series circuit and voltmeter in a parallel circuit, I do this is because the scientific knowledge that is the voltmeters resistance is too big to allow the electricity pass through. Secondly, the pencil lead has 15 marks on it and each 1cm apart, I will start the experiment with the 15cm far between two crocodiles, and the distance between two crocodiles will be decreased 1cm each time the reading was taken until they are 1cm apart. I will take the reading of current (amps) and the voltage (volts) each time because the resistance could be calculated out by those two. (Resistance x Current = Voltage) Thirdly, I will take all my results in two decimal places to make the results as accuracy as possible. Finally, I will carry out this experiment 3 times and find the average resistance at last, so that the results I got would be fairly accurate, and it makes this experiment pretty fair as well. Prediction: I predict that the length of pencil lead will be directly proportional to its resistance, which means the longer the lead have the bigger resistance. This should produce a straight-line graph where resistance doubles when length doubles (see following page). I predict this because the resistance in a conductor is due to collisions between electrons and the particles of the conductor, therefore a piece of lead twice as long as another will have twice the number of particles and the probability for collisions will consequently be double, meaning double the resistance. This is what I predict the shape of the graph will look like: Analysing and Concluding: The graph 1 shows the length of pencil lead against its resistance. My results did not reflect my prediction perfectly well, it shows that they have the directly proportional to each other but it did not show the double length have double resistance. The line has crossed y-axis at 3. 9263 that is not right because it should be crossed it at 0. I have found out the equation of my line which is y=1. 0295x+3. 9263 by mathematical method, I should get the equation y=x but I actually got the plus-3. 9263. This is the reason why my line crossed y-axis at point 3. 9263, then I minus every average resistance by 3. 9263 and I have drawn another graph 2 of those results. It gave me a perfect line that started from point 0 of y-axis, and shows that the double length has double resistance, such as the resistance is 3. 4 ohms when the length is 4cm, and the resistance changes to 7. 6 ohms when the length changed to 8cm. These results are pretty accurate and proved that my prediction was right. I think the reason of the 3. 9263 exists is because of the extra resistance in my circuit, such as wires and ammeter even though there resistance is not that much. However, my graph has shown that the proportionality between the length of it and resistance. The interesting thing was that the lead would get very hot if the distance between two crocodile clips very short, I think it is because the particles collisions, which related to my scientific explanation in the planning. I could work out the resistivity of the pencil lead by this equation- R x A=P x L (R: resistance, A: area, P: resistivity, L: length). (This secondary source is come from the Advancing Physics AS textbook) Evaluation: This experiment was done well and the aim was achieved, I have got my results but they are not perfectly accurate, and I had explained the reasons in my analysing section. However, I think the method I chosen was still a good and fair method to do this experiment. My results were not far away from the line of best fit and I have drawn the perfect graph in the analysing section, anyway, this does affect my confidence when I am making my conclusion. There still were some anomalous results that were shown on my graph, they did not fit the line quite well. I think this is because I did not wait for the pencil lead cooled down each time after I had done one experiment, because I do not have enough time to carry out the whole experiment once. I think this is the main reason caused those anomalous results, because apparently the temperature is directly proportional to the graphites (the material of pencil lead) resistance. To improve my method to get more reliable results, I will do the following things. Firstly, I will choose something else to instead of crocodile clips, which have more contacting area with the lead; therefore it will allow the electricity passed more easily. Secondly, I will carry out this experiment more time and I will finish all the experiments at the same time, which means I will not do the whole experiment separately. To extend this experiment, I will do the following steps. Firstly, I would choose the other compositions of the pencil lead to investigate, such as 2B, 4B or 6B. Secondly, I would try to find out how does the thickness of the pencil lead affect its resistance. Thirdly, I could investigate the relationship between the temperature of the pencil lead and its resistance. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Electricity and Magnetism section.

Technology improves life Essays

Technology improves life Essays Technology improves life Essay Technology improves life Essay Presents, people use the engineering to do their life better, easier and more gratifying. Besides, the engineering can do their society more convenient and safe. Without the engineering the universe would nt be what it`s today. the engineering has made the universe smaller and made things easier. Harmonizing to the American heritage scientific discipline dictionary Technology is the usage of scientific cognition to work out practical jobs, particularly in industry and commercialism. Besides, the specific methods, stuffs, and devices used to work out practical jobs. ( Houghton Mifflin Company 2005 ) . One of the major benefits of engineering is the great progresss in medical scientific discipline.It saves a batch of guiltless lives and we ca nt dispensable it in medical specialty today. It discovers many serious diseases and happen newer ways to bring around them. Besides, acquiring everything easy and faster.we can download from the cyberspace any vocal, music and film alternatively of purchasing them. Although there are many benefits of engineering, what people do non understand is engineering can be harmful to the society. Omar Bradley says If we continue to develop our engineering without wisdom or prudence, our retainer may turn out to be our executioner. ( Omar Bradley 1893-1981 ) .In this essay, I would wish to analyze how the engineering can be harmful to the society. Laziness is a major side consequence of engineering in society. Who can retrieve when people had to travel to the library to research for a subject or had to travel forenoon to acquire intelligence paper? When the Internet was introduced, people neer thought it would be like today. Now, people are able to make everything in cyberspace while they are sitting such as research, acquiring the latest intelligence, reading books and directing electronic mails.Also, at the minute the talks give assignment to the pupils, they do plagiarism alternatively of traveling to the library or making by their ain word. One of the effects of engineering is cybercrime. Cybercrime is a offense related to any electronic device. Harmonizing to James R. Richards Cybercrime is computing machines are responsible straight or indirectly for every facet of our lives, from the operation of our autos to our personal banking to flux of day of the month in our concern. With the exponential rise in the legitimate ut ilizations of computing machines, it follows that there would be an inevitable addition in their bastard usage ( James R. Richards, 1999 ) . For illustration, chop the electronic mails and the computing machines are the simplest offense of cybercrime. Besides, one of the most popular offenses committed on the cyberspace is attaching web sites. In recent old ages, some instructors were hacked their computing machines by pupils to acquire the test documents. Less motivated is the 2nd consequence of engineering in society. Always people choose the easiest manner to work out their jobs and this led to less thought and work. The job is if person get in awful no 1 will assist him and this can do him defeated and less motivated. Example of less motivated is pupils fail to make their work because they play games in their computing machine all the twenty-four hours alternatively of working on their lesson program. Besides, today people start to utilize a engineering manner such as reckoner to decide mathematics exercisings alternatively of utilizing their encephalon. Less tolerant is the 3rd consequence of engineering in society.Nowadays, productiveness is the most of import but the rights and the demands of workers have become less priority.Also, the workers have to make non merely more work, but besides they have to work more faster.This schemes includes any methods for bring forthing merchandises. The job is these equipments give employers something they want: inexpensive labour, make the occupation easier and make a demand for fewer people. In this manner, engineering affects the society to go less tolerant. Therefore, people begin to anticipate these equipments to assist them to work out their jobs more quicker. Refrences 1- Houghton Mifflin Company, 2005, The American Heritage Science Dictionary, 1st edition, Published by Houghton Mifflin Company. Available from: hypertext transfer protocol: //books.google.com/books? id=yKUagx8PB_EC A ; printsec=frontcover A ; dq=the+american+heritage+science # v=onepage A ; q= A ; f=false 2-Guy de la Bedoyere, 2005, The first computing machines, 1st edition, Published by Evans Brothers Limited. Available from: hypertext transfer protocol: //books.google.com/books? id=DPAnH6_3-UAC A ; printsec=frontcover A ; dq=inauthor: % 22Guy+de+la+Bedoyere % 22 # v=onepage A ; q= A ; f=false 3- James R. Richards, 1999, Transnational condemnable organisations, cybercrime and money laundering.

Eastern Deciduous Forests

Eastern Deciduous Forests Deciduous forests once stretched from New England south to Florida and from the Atlantic Coast west to the Mississippi River. When European settlers arrived and in the New World, they began clearing timber for use as fuel and building materials. Timber was also used in ship making, fence building, and railroad construction. As the decades passed, forests were cleared on an ever-expanding scale to make way for agricultural land use and the development of cities and towns. Today, only fragments of the former forests remain with strongholds along the spine of the Appalachian Mountains and within national parks. The Eastern deciduous forests of North America can be divided into four regions. Northern Hardwoods Forests Northern hardwoods forests include species such as white ash, bigtooth aspen, quaking aspen, American Basswood, American beech, yellow birch, northern white cedar, black cherry, American elm, eastern hemlock, red maple, sugar maple, northern red oak, jack pine, red pine, white pine, red spruce. Central Broad-Leaved Forests Central broad-leaved forests include species such as white ash, American basswood, white basswood, American beech, yellow birch, yellow buckeye, flowering dogwood, American elm, eastern hemlock, bitternut hickory, mockernut hickory, shagbark hickory, black locust, cucumber magnolia, red maple, sugar maple, black oack, blackjack oak, bur oak, chestnut oak, northern red oak, post oak, white oak, common persimmon, white pine, tulip poplar, sweetgum, black tupelo, black walnut. Southern Oak-Pine Forests Southern oak-pine forests include species such as eastern red cedar, flowering dogwood, bitternut hickory, mockernut hickory, shagbark hickory, red maple, black oak, blackjack oak, northern red oak, scarlet oak, southern red oak, water oak, white oak, willow oak, loblolly pine, longleaf pine, sand pine, shortleaf pine, slash pine, Virginia pine, tulip poplar, sweetgum, and black tupelo. Bottomland Hardwood Forests Bottomland hardwood forests include species such as green ash, river birch, yellow buckeye, eastern cottonwood, swamp cottonwood, bald cypress, box elder, bitternut hickory, honey locust, southern magnolia, red maple, silver maple, cherry bark oak, live oak, northern pin oak, overcup oak, swamp chestnut oak, pecan, pond pine, sugarberry, sweetgum, American sycamore, swamp tupelo, water tupelo. The Forests Provides a Habitat for a Variety of Animals The eastern deciduous forests of North America provide habitat for a variety of mammals, birds, amphibians, reptiles, and invertebrates. Some of the mammals found in this region include mice, shrews, woodrats, squirrels, cottontails, bats, martens, armadillos, opossums, beavers, weasels, skunks, foxes, raccoons, black bear, bobcats, and deer. Some of the birds that occur in the eastern deciduous forests include owls, hawks, waterfowl, crows, doves, woodpeckers, warblers, vireos, grosbeaks, tanagers, cardinals, jays, and robins. Ecozones: TerrestrialEcosystem: ForestsRegion: NearcticPrimary Habitat: Temperate ForestsSecondary Habitat: Eastern Deciduous Forests of North AmericaAppalachian National Scenic TrailGreat Smoky MountainsShenandoah

A story with an epiphany and gothic sensibility like Southern Gothic Assignment

A story with an epiphany and gothic sensibility like Southern Gothic - Assignment Example He didn’t want his brat of a sister using them while he was gone. He was pretty sure he’d locked the video cabinet and he knew he’d secured the padlock just in case, but he couldn’t remember if he’d fully bolted his bedroom door. They drove all the way out to the house without a word. Uncle Jack was actually Stan’s great-uncle and they didn’t have much in common. Uncle Jack belonged to the old world before there was a color TV in every room and barely even knew what a computer was. He also almost never talked. As they pulled up to the crumbling old Colonial, Stan’s hazel eyes widened with shock at what he saw. Just from the outside, it looked like the place should be condemned, not fixed up in a bid for a historical marker. The drive was choked with weeds, the balconies sagged and the shutters, where present, sagged in frames of broken or missing glass. â€Å"Family helps itself,† Jack muttered, ambling over to the front door, fumbling with the large ring of keys he’d brought with him. Stan was impressed. Keys meant control and possession, two of his favorite things. Uncle Jack swung the blue painted wood door inward with a barely perceptible creak and Stan walked into a hallway filled with sunlight as it danced across the millions of dust motes the outer breeze was stirring. His first reaction was a giant sneeze. It was going to be worse than he thought. Jack pointed to doorways as they stomped down a frayed rug – â€Å"parlor, drawing room’s through that doorway there, library, den’s in the back, dining, storage, this here’s where we stay – servant room.† The door opened to a small cramped space that was just large enough for two twin beds, a nightstand each and a single dresser – no closet. But it was clean and he could smell the wholesome scent of fresh sheets. Stan explored the rest of the house, finding several more bedrooms on the second floor, none of which had a decent

Obesity as an emerging epidemic Essay Example | Topics and Well Written Essays - 750 words

Obesity as an emerging epidemic - Essay Example In this study, the authors describe the rising obesity rates and related increase in the healthcare costs, which have been highlighted in research and popular media over again. There is a need for action, and there is a considerable stigmatization of obese people, especially children. There is need for guidelines for public health managers in order to design and implement obesity prevention programmes, which can minimize stigma. This article discusses the social process involved in obesity stigmatisation, its consequences, and its manifestations in health service provision. Based on research, this study also suggests how to design nonstigmatising obesity prevention public health programmes. Management of overweight and obesity is an important public health agenda since these are associated with ill health. There is recognized gap between primary care activities and public health goals to reduce obesity and overweight. Based on systemic reviews and key literatures, the relationships between these have been explored. This study reveals that with sustained political support and investment, the primary care and public health sectors may work hand in hand to reduce obesity through both personal and social interventions, which ultimately may lead to reduction of cardiovascular events. This study examined the pub... itical support and investment, the primary care and public health sectors may work hand in hand to reduce obesity through both personal and social interventions, which ultimately may lead to reduction of cardiovascular events. 4. Goodman, E., Slap, GB., and Huang, B., (2003). The Public Health Impact of Socioeconomic Status on Adolescent Depression and Obesity. Am J Public Health; 93: 1844 - 1850. This study examined the public health impact of socioeconomic status gradient on adolescent obesity through calculation of population attributable risks for household income and parental education on a nationally representative sample of adolescents in terms of obesity to reveal that the population attributable risks for income and education were large. Across each gender and ethnic groups, the socioeconomic status is associated with an increased incidence of obesity disease burden within the total population. 5. Gordon, FK., Ferguson, EL., Toafa, V., Henry, T., Goulding, A., Grant, AM., and Guthrie, BE., (2003). High Levels of Childhood Obesity Observed among 3- to 7-Year-Old New Zealand Pacific Children Is a Public Health Concern. J. Nutr.; 133: 3456 - 3460. In this cross-sectional community based survey study, the attained growth and body composition of 3 to 7-year-old Pacific children were assessed to examine nondietary factors associated with the percentage of body fat. The factors examined were parent reported status of physical activities in these children. However, it was found that these young children have extremely high levels of obesity and truncal fat which could have major public health implications with advancement of age. 6. Reilly, JJ., (2006). Obesity in childhood and adolescence: evidence based clinical and public health perspectives. Postgrad. Med. J.;

Concepts of Creativity and Critical Thinking

Concepts of Creativity and Critical Thinking Thinking Creatively, Thinking Critically (Group 3) Abstracts These days, people often use the phase of â€Å"Think out of the box†. Hence it related to term â€Å"creative thinking† and â€Å"critical thinking†. So, what are those term means? Why it is important to have these thinking skills? How does those kind of thinking fit in modern education benefit and does it benefit students especially? This paper will introduce to the creative and critical thinking not as definite, but to give an idea on what is it about. Next, apply it in Hong Kong context. 1.0  Introduction Its not easy to give an exact definition of creativity and critical thinking. Both aspects have varying of elements which have effects on the flow of the thinking. For creative thinking, lots of researchers came out with their own definition based on their findings. Gardner (1993) defines creativity as ‘the ability to solve problems and fashion new products and to raise new questions’. However, this definition does not cover the whole term of â€Å"creative†; creative is much more than that, but yes, it is a gist for others to branch out more on the term. Thus Gruber Wallace (1999) say that a creative idea ‘must be new and must be given value by some external criteria’ followed by Robinson (2001) describes creativity as ‘imaginative processes with outcomes that are original and of value’. Once the creative thinking has taken place, hence it leads to the next part which is critical thinking. When someone has use their creative thinking, critical thinking comes in and evaluates ideas to narrow down the focus made by creative thinking and pick idea where it is the most relevant and or have potential to succeed (Ruggiero, 1999). Encouraging students to think critically involves, among other things, helping them to distinguish opinions from facts, to evaluate evidence, and to avoid shallow and illogical thinking. This approach is very important in helping to avoid (by recognizing) manipulation, which in turn can allow intellectual independence and creativity to flourish (Browne Keely, 1993; Mayfield, 1997; Paul, 1995). According to Meyers (1986), he gives out four elements which are needed in learning environments to encourage the development of critical thinking. First and foremost, the stimulation of students’ interest. It is required for the students to taken li ke in a certain topic for them to study deeper in it. Student’s with interest is much better in developing their critical thinking. Secondly, the creation of meaningful discussion. Based on their liking, the students are more comfortable and confidence to talk about it. Thirdly, the exposure to the thoughts and views of others. In this session, the students will hear various opinions and feedback from others. They will learn how to react and give comments to those who agree or disagree with their opinion. Lastly, the fostering of a supportive and trusting atmosphere. These kind of discussion is giving out positive vibes in student for their development in critical thinking. They can gain more confidence and hence helps their mind to become more mature and open to other perspective and out of their comfort zone. 2.0  Combination of Critical and Creative Thinking The combination between two types of thinking namely critical and creative thinking had been research by many researchers in the world. According to Julie (2008), he stated that in education in order for the student to adapt with a changing world , he or she must change way of thinking different from the past. The benefits of this combination has been point out by many research such as can boots up student to take time to generate many ideas and argument , to ask penetrating questions and recognize the validity of arguments (Julie ,2008). 2.1Difference between Critical and Creative Thinking According to Fisher ( 2002 ) , he has listed possible term to differentiate critical and creative thinking based on figure 1. According to this figure, the tendency for the people to think critical is more on left brain and think creative on right brain. Kendra (n.s) stated that the right brain has more abilities in expressive and creative task while in the left brain is more to asking that involve logic, language and analytical thinking. But , according to Julie ( 2008 ) , in order to encourage the student to think creative and critical , an approach that can combine critical and creative thinking needed to implemented instead just focussing only the distinction. 2.2  Critical and Creative Thinking in Problem Solving Julie (2008) stated that the benefits of critical thinking is it can help student to figure out and evaluate information that can be found via internet and mass media due to function of left hemisphere of the brain that has logical and analytic qualities ( Adam . ns). In addition to, creative thinking also has benefits in which this type of thinking can improve student’s academic performance if the student can identified their creative abilities. In order to combine both creative and critical thinking, one of the approaches that can help student is using problem solving technique. Problem solving technique can be defined as a process in which we perceive and resolve a gap between a present situation and a desired goal, with the path to the goal blocked by known or unknown obstacles (William, n.s).According to King (2014) , to conduct problem solving technique , there are seven step that need to focus such as analyse the problem , imagine the solution , plan solution , apply the solution , evaluate the solution , improve the solution and implement the solution. 2.3  Critical and Creative Thinking in Level of Learning Bloom’s Taxonomy had been develop by Benjamin Bloom in order to increase higher forms of thinking in education, such as analysing and evaluating concepts, processes, procedures, and principles, rather than just remembering facts (rote learning). According to Julie (2008), bloom taxonomy consist of three domain namely affective (feeling, preferences and values) , psychomotor (physical and perceptual activities and skills) and cognitive (thinking , evaluating and synthesizing information). Julie (2008) stated that, bloom taxonomy (figure 3) consist of six categories or level which represented in a triangle. The first level which the largest section at the base in the triangle is called Knowledge. According to bloom, in education level 95 % of test question only test the student to think at this basic level. For example in the classroom setting, the question is more likely to ask â€Å"what is the definition of ..? †. According to Leslie, the verb that related to this level are define recall, memorize and know identify. The second level is known as comprehension which involve interpretation and classification of ideas. In this level, it more focusing on ability to create or interpret meaning from material such as report recognize, describe discuss and differentiate. For example question that related such as ‘which is the best answer..?’ and more like question in multiple choice exam. The third level is application which also can be defined as using l earned material in new situation. In this level, it more focusing to use learned material in new and specific solution.. In the classroom setting, the student will be test on question such as â€Å"how would you show your understanding of ..?†. The fourth level is analysis. Analysis can be defined as ability to differentiate material into component parts and present the relationship between those part. For example, the question that related to this level such as â€Å"what inferences that can you make from†. Synthesis which places in level five can explain by construct the ability to put ideas together to form new ways that unique, innovate and creative. The question such as â€Å"Can you predict the outcome if ..?† can be used in synthesis level. The last level is Evaluation in which the level more focusing on ability to conduct judgement and critique the worth of ideas based on reviewing and evidence. For example in the classroom , the question such as â€Å" Do you agree with the action / outcomes † can be used to understanding of evaluation level. 3.0 Malaysia Education System Generally, Malaysia education system is divided into two; pre-tertiary and tertiary education. Pre-tertiary that includes primary and secondary education is regulated under Ministry of Education (MOE) whereas tertiary education is under the jurisdiction of the Ministry of Higher Education (MOHE). Figure 4 According to Figure 4, primary education begins at age of seven and lasts for six years, referred to Year 1 up until Year 6. Students are promoted to the next year regardless of their academic performances. Furthermore, most students who had completed their primary education are admitted to go to secondary education. As secondary education lasts for five years, referred to as Form 1 to 5. As stated at Figure 4, secondary education are divided into two levels which is from Form 1 to Form 3, are known as Lower Secondary whereas Form 4 and Form 5 are known as Upper Secondary. The government have provides 11 years of primary and secondary education to students. After successful completion of 11 years of study, students are given the option to continue their studies in post-secondary schools to get a pre-university qualification (such as Matriculation programme) or further their study at higher level institution. 3.1  Gifted Education in Hong Kong Figure 5 The three-tier of gifted education framework was adopted in 2000. Based on this figure, the Education Bureau of the Hong Kong Special Administrative Region (HKSAR) stated in Education Commission Report No.4 that Hong Kong should develop a school-based programme in mainstream schools. Hong Kong Academy of Gifted Education (HKAGE) has come up with these policy where they want to develop the potential of gifted students by providing them with opportunities to receive education at appropriate levels. According to Figure 5, here are the explanations; Level 1: A:To immerse the core elements advocated in gifted education i.e. High-order thinking skills, creativity and personal-social competence in the curriculum for ALL students; B:To differentiate teaching through appropriate grouping of students to meet the different needs of the groups with enrichment and extension of curriculum across ALL subjects in regular classrooms. Level 2: C:To conduct pull-out programmes of generic nature outside the regular classroom to allow systematic training for a homogeneous group of students (e.g. Creativity training, leadership training, etc.); D:To conduct pull-out programme in specific areas (e.g. Maths, Arts, etc.) outside the regular classroom to allow systematic training for students with outstanding performance in specific domains. Level 3: E:The HKAGE collaborates with tertiary institutions and other educational organizations / bodies to provide a wide and increasing range of programmes for exceptionally gifted students To cater the educational needs of gifted students, they advocate the following guiding principles: Nurturing multiple intelligences is a requirement of basic education for all students and should be part of the mission for all schools The needs of gifted children are best met within their own schools though it is recognized that opportunities to learn with similarly gifted students are important. Schools have an obligation to provide stimulating and challenging learning opportunities for their students The identification of gifted students should recognize the breadth of multiple intelligences Schools should ensure that the social and emotional, as well as the intellectual, needs of gifted children are recognized and met. 4.0  Conclusion The students must be given the motivation to think, the time to develop ideas, and the collaboration and support to encourage creative and critical thinking. Connecting ideas, seeing the similarities and differences, and the most important, be flexible and curious in thinking are the important aspects that education needs in teachers and students. References 1. Huitt, W. (1992). Problem solving and decision making: Consideration of individual differences using the Myers-Briggs Type Indicator. Journal of Psychological Type, 24,33-44.Retrievedfrom http://www.edpsycinteractive.org/papers/prbsmbti.html 2. Sicinski, A. Visual Thinking Magic The Evolution of Extraordinary Intelligence :Creativity: Merging the Left Right Brain  http://www.visualthinkingmagic.com/creativity-left-right-brain 3. King. Thoughtful Learning Blog :Teaching Innovation and Problem Solving  http://thoughtfullearning.com/blogpost/teaching-innovation-and-problem-solving (Accessed 2014-04-22 ) 4. Forrrester , J.C. 2008. ThinkingCreatively;Thinking Critically. Asian Social Science 5.  https://www.justlanded.com/english/Malaysia/Malaysia-Guide/Education/Introduction 6. http://www.edb.gov.hk/en/curriculum-development/major-level-of-edu/gifted/hong-kong-development/introduction.html

Figurative Language Essay

Whenever you describe something by comparing it with something else, you are using figurative language. Figurative language is the use of language to describe something by comparing it to something else. It serves many linguistic purposes. It allows people to express abstract thoughts. It creates tone and communicates emotional content. The ability to use figurative language in writing can make a poem or story more enjoyable for the reader. Figurative language is taking words beyond their literal meaning and can come in many different forms, all to create a vivid picture of the written word. There are many ways to incorporate figurative language into writing, some of which come as naturally as speaking. A Simile uses the words â€Å"like† or â€Å"as† to compare one object or idea with another to suggest they are alike, such as â€Å"busy as a bee†. In Hart Crane’s, â€Å"My Grandmother’s Love Letters† he uses the simile â€Å"â€Å"liable to melt as snow† to describe the fragility of the letters that have been hidden away in the rafters. This use of figurative language helps the reader to visualize paper that may not be able to withstand someone touching it, but could also be used to convey the fact that not only is the paper old and fragile, but so is his grandmother. In writing, a simile would say you are â€Å"like something† whereas a metaphor would say â€Å"you are something†. A metaphor states a fact or draws a verbal picture by the use of comparison without using the words â€Å"like† or â€Å"as†. In â€Å"The Road Not Taken†, Robert Frost uses a walk in the woods as a metaphor for making a decision in life, a situation that readers can easily identify with, therefore making it easier to imagine what they are reading. An implied metaphor is a metaphor that compares two things without being obvious. â€Å"There are no stars tonight, But those of memory† from Hart Crane’s, â€Å"My Grandmother’s Love Letters† is a good example of an implied metaphor. Personification is a figure of speech in which human characteristics are given to an animal or an object and sometimes are difficult to catch in a poem if you are not paying attention as in Robert Frost’s â€Å"The Road Not Taken†, where he uses the description of† the road wanting wear†. In the line â€Å"Loose girdle of soft rain†, from â€Å"My Grandmother’s Love Letters†, the rain is compared to a loose belt, which is a clear example of Personification and much easier to understand. Creating imagery for the reader helps to entertain, provoke thought or help the reader escape to another reality. Sometimes it can even be silly such as the repetition of the same initial letter, sound, or group of sounds in a series of words. This usage of figurative language is called Alliteration and includes tongue twisters such as â€Å"She sells seashells by the seashore†. Many writers will use words that describe or imitate a natural sound or the sound made by an object to create imagery within the writing. This is called Onomatopoeia, and although it is a big word that is hard to pronounce, it is the use of small words such as snap, crackle, pop, buzz and creaked that help bring a story or poem to life. Another form of imagery that is used quite often is Hyperbole. This is the use of statements that are so dramatic and exaggerated that a person would not believe the statement is true. â€Å"I was so hungry that not only did I eat my dinner, I ate the plate and silverware too. † A synecdoche is a form of imagery that substitutes a whole object with one aspect of that object. It may also be used to replace a specific object with something more generalized. In â€Å"My Last Duchess†, Robert Browning uses this form of figurative language when he admits to having his Duchess murdered. Instead of saying he killed her, he makes the statement that â€Å"all of her smiles have stopped†. Figurative language is important when writing poetry, but how the poem is structured and what the theme of the poem is can also add or detract from the imagery the writer is trying to create. Robert Browning’s â€Å"My Last Duchess† is a dramatic monologue pretending to be a conversation, written in iambic pentameter, divided up in pairs of rhymes known as Rhyme Couplets, and with lines that do not employ end-stops. Instead, the writer uses enjambment, which is when of one line of verse carries over to the next line without a pause such as: â€Å"Her husband’s presence only, called that spot Of joy into the Duchess’ cheek: perhaps†¦Ã¢â‚¬  My personal opinion is that the use of enjambment makes it difficult for the reader to understand the ideas and imagery the writer is trying to convey. The theme of this poem is of arrogance, selfishness and jealousy and is lacking any wonderful imagery that could pull the reader in. This is an example of how a structure and theme can make or break the poem. I did not enjoy this poem due to how difficult it was to read, understand and envision. Another part of the structure that sets a poem apart from others is whether there is a rhyming pattern to it or if it doesn’t have a pattern at all. â€Å"The Road Not Taken† is a lyric poem with four stanzas of five lines each. A lyric poem is one that presents the feelings and emotions of the poet rather than telling a story such as the poem â€Å"My Last Duchess†. The structure of â€Å"The Road Not Taken† is a straight forward series of five line stanzas. Each stanza presents us with a single idea. The first sets up the metaphor which is then extended through the rest of the poem. I have found that I enjoy this structure and rhyming pattern making â€Å"The Road Not Taken† my favorite poem of the three that I read and chose to write about. Everyone is different in their ability to understand the written word, with some people needing things simple and full of imagery that brings the poem to life. Other people prefer a more complex poem that is not filled with fanciful images, but makes them think and analyze what they are reading. No matter what your choice of structure, figurative language or imagery is, they are all necessary to create an interesting piece of written work. Due to people and thought processes being unique to each reader, this explains why there are so many different types of poems that evoke different emotions.

The Importance Of Sex Education - 987 Words

Sex Education As a young adult, I feel that sex education should be taught in school by a qualified adult.In a perfect world, sex education should be taught in the home; however, with the rise of teenage pregnancy, it is evident that it is not being taught in the home. It is because of this alarming trend that I feel that it needs to be taught in school.Sex education provides many different benefits to the students. It can prevent unwanted pregnancies, reduce sexually transmitted diseases, and improve the self-esteem of the younger generation.It has a lot of effects and dangerous outcomes. Some people believe we should not discuss it in school because it may make us wonder but I believe we should discuss it.Sex †Jeffrey Moran uses†¦show more content†¦When teenagers put their self in that predicament of having an abortion they have to think about money cost and you have to live with that emotional sickness forever. In sex education, they will discuss all the harmful things that may happen while being on that table and also most importantly what you can do to avoid that situation. There are monetary expenses associated with sexually transmitted disease.’’total estimated burden of nine million new cases of these STDs that occurred among 15-24-years-old in 2000 was $6.5 billion ( in years 2000 dollars)Viral STDs accounted for 94% of the total burden ($6.2 billion), and non-viral STDs accounted for 6% of the total burden($0.4 billion). HIV and HPV were by far the most costly STDs in terms of total estimated direct medical cost, accounting for 90% of the total burden ($5.9 billion)’’.(Chesson, Blandford, Gift, Tao, Irwin).Some STDs are treatable and can be cured others such as Herpes and HIV cannot be cured. ‘’Sexually transmitted diseases (STDs) are infectious diseases that spread from person to person through intimate contact.’’(Information about Health). Sex Education there are opportunities where youShow M oreRelatedThe Importance Of Sex Education788 Words   |  4 Pagesdistricts of Texas. The total number of participants will consist of three groups, all from the 2016-2017 school year. The first group did not participate in neither sex education program offered by the school, the second group participated in abstinence-only sex education, and the third group participated in a comprehensive sex education program. The research team make sure that boys and girls and each school grade are represented equally. All schools are located in urban areas. The representativeRead MoreThe Importance Of Sex Education1340 Words   |  6 PagesSex education is one of the most debated problems in education, which has been floating on educational agendas for ages. There has been a constant dialogue about the role that sex education should play in curriculum of K-12 education. As breathing human beings, we all know that sex is a large part of our lives, however, how young is too young to know and tal k about sex? With the increase of sexually transmitted diseases, commonly known as â€Å"STD’s†, among young people, many schools have added sex educationRead MoreThe Importance of Sex Education1217 Words   |  5 PagesWith sex being a sensitive subject for parents to discuss with their children, they believe it is not appropriate to discuss these types of delicate subjects at any age. It is not because they don’t want to inform them, but because they want to protect them. Even though they don’t know that be keeping it from them, their children are far from safety every day. However, with today’s high birth rates at early ages, the question is no longer â€Å"should sex education be taught?† but â€Å"how sex education shouldRead MoreEssay on Importance of Sex Education648 Words   |  3 PagesPROVIDE YOUNG PEOPLE WITH ADEQUATE SEX EDUCATION BECAUSE IGNORANCE CAN BE HARMFUL/b/centerbrbrThe largest gulf of understanding still remains bet ween the parents and the youth especially in the area of sexuality. Sex is a natural part of life, and when questions arise, they can be discussed in a matured way without condoning certain behavior. Relying to that, we realize that sex education is important to be inserted in a persons life. Therefore, sex education in high schools is very necessaryRead MoreThe Importance of Sex Education528 Words   |  2 PagesSex education is something that should taken into consideration teaching lower class how to prevent themselves for having more children. Lot of the young adults have no idea of the usage of birth controls or condoms in every high school they should have sex education programs. Birth control and condoms should be handed out in public places for the lower class could get a hold of it also budgeting skills should be given to teach lower class how to save and manage their spending. The cost of livingRead MoreThe Importance of Sex Education Essay1209 Words   |  5 PagesWhen are children first exposed to sex? It is hard to control what a child is exposed to with the growing trend of sexual imagery in advertising, television, movies, and in the general public. An article, Children Learn Best by Observing Behavior of Adults, written by Jodie Michalak states â€Å"While children will always have their own personality and emotions, they are constantly influenced by their environment† (2013). What and how children learn is a very significant part of how healthy our societyRead MoreThe Importance of Sex Education Essays701 Words   |  3 PagesSex education should be increased in schools. Nearly one million women under the age of 20 get pregnant each year. That means 2800 women get pregnant each day. If students are educated about the effects sex has on their lives, it lessens their chance of having children at an early age. Knowledge about sex can also lessen the chance of kids receiving STDS. First of all, the main reason children have sex prematurely is because they are curious. Students lack knowledge about sex because they haven’tRead MoreEssay on The Importance of Sex Education 1296 Words   |  6 Pagesdistinguish right from wrong based on their previous knowledge. The education they receive plays a major role in the way they make decisions. Sex is a controversial topic brought up frequently throughout a childs life. Based on the way it is taught, the child makes decisions that may forever change his or her life. (Sex Education That 3) Although it is often opposed, the two most essential ways children learn about sex today is the education they receive at home and at school. The relationship andRead MoreThe Importance Of Proper Sexual Education On Sex1015 Words   |  5 PagesRay English 1301.3 20 November 2015 The Importance of Proper Sexual Education In life, high school especially, sexual education is very important and can truly impact a person’s life. Improper education on sex can lead to many life-changing mistakes. These blunders can be avoided with proper knowledge. Although students should be encouraged to remain abstinent, they should still be taught about contraception and practicing safe sex. With proper sexual education, abstinence rates will increase and theRead MorePersuasive Essay On The Importance Of Sex Education850 Words   |  4 Pagesâ€Å"Albert Einstein once said, ‘Education is not the learning of facts, It’s rather the training of the mind to think.’† Once the person learns about abstinence and the cons of sex, the mind will start to adapt to the fact that it is not good to do things. Sex education and learning about abstinence is a very important key to life because it can help reduce pregnancy rates and much more. It could lower the chances of catching a sexually transmit ted disease. Having sex education in classrooms can help kids

The Adoption Papers by Jackie Kay. - 1566 Words

The Adoption Papers The story of Jackie Kays life is as fascinating and complex as her literary works. The comparison is significant because several of Kays pieces spring from her biography and they are all concerned with the intricate nature of identity. Kays father was a black Nigerian visiting Edinburgh when he met Kays white Scottish mother. After he returned to Nigeria, the mother discovered she was pregnant and decided to give up the child. Kay was then adopted by a white Glaswegian couple with a strong commitment to radical politics. As Kay grew up she also began to identify herself as lesbian. Kays writings reject easy platitudes and challenge readers to reject normative ideas of racial, sexual, and national identity.†¦show more content†¦The birth mother has also experienced racism and talks of it with experience and ease shown through the flowing poetic imagery used to describe it. At the same time, the daughter conveys the questioning of self undergone by the adopted. The poem emphasizes the idea that the birth tie is not a condition of authenticity and that all this umbilical knot business is nonsense. The use of multiple voices in The Adoption Papers produces a powerful effect, generating empathy for all the characters even as, or because their identities are shown to be uncertain, constantly changing, and often dependent upon the perspectives of others. For example, the adoptive mother is anxious to hide signs of her radicalism, her Marxism, and work for the Campaign for Nuclear Disarmament, lest the adopting agency regard them as the marks of unfit parents. Meanwhile the birth mother wrestles with her thoughts about giving away the child. Most prominent are the ruminations of the daughter and adoptive mother as they ponder what counts as a real mammy. As the daughter experiences doubts about who she is, the mother must wonder if the process of adoption can identify her as a true mother. As the title of the poem, The Adoption Papers indicates, identity can largely be a matter of paperwork, of what is found on paper not in the flesh. The birth mother signs away her role as mother - my name signed on a dotted line - and theShow MoreRelatedExploring Corporate Strategy - Case164366 Words   |  658 PagesHealth released its latest forecast, predicting pharmaceutical market growth at a 10-year low. IMS counselled that the industry was facing a new economic reality, one in which growth is shifting from mature markets to emerging ones; new product adoption is not keeping pace with the loss of patent protection . . . specialty and niche products are playing a larger role; and regulators, payers and consumers are more carefully weighing the risk/beneï ¬ t factors of pharmaceuticals.1 This case explores

Ego and Super Ego in Dantes Inferno Essay - 1193 Words

Catherine Craven GHUM200, Tu/Th 12:25 October 23rd, 2012 Compare the relationship between Virgil and Dante in Inferno with Sigmund Freud’s discussion of the conscience or super-ego in Civilization and Its Discontents. How does Freud explain and characterize the relationship between super-ego and ego in the individual? Cite examples of the interaction between Virgil and Dante and compare closely with Freud’s discussion of the psychical agencies, super-ego and ego: To what extent does the dynamic between Virgil and Dante illustrate the same pattern or features? Freud meets Dante: Ego and Super-Ego in Inferno In his book Civilization and Its Discontents, Sigmund Freud offers an explanation for why, as individuals, we tend to punish†¦show more content†¦However, According to Freud, the super-ego exists as a way to level out the ego, and, in a way, keep it in check. Therefore, the super-ego is responsible for an individual’s conscience, or, their ability to feel guilt. Freud continues his explanation of these concepts by asserting the idea that the super-ego calls our attention to our own failures and misconducts, and attempts to assist us in learning from them in order to avoid making similar mistakes in the future. Furthermore, the conscience is the form in which the super-ego controls our actions and thoughts, and creates guilt within us. Therefore, the ego is the decision-making, acting part of an individual, while the super-ego acts as the ego’s voice of authority and control (Freud). Moreover, the relationship between the characters of Dante and Virgil in Dante’s Inferno stands as an excellent example of the relationship between the ego and the super-ego. In the opening of the poem, the character of Dante finds himself lost in a place he does not know, surrounded by terrifying beasts. In this dark moment, Virgil, a ghost from an earlier time, comes forwards and reveals to Dante that, because sin has obstructed his path to God, he must journey through hell and purgatory in order to return to life, as he once knew it. This journey, according to Virgil, would allow Dante to overcome his sin and, at last, find God’s love. However, Dante does not believe he can complete the journey alone, at which point VirgilShow MoreRelatedThe Id, Ego, and Super-Ego in T.S. Eliot’s The Love Song of J. Alfred Prufrock1544 Words   |  7 Pagestext to explore parts of Prufrocks mind in the Freudian categories of id, ego, and super-ego; the city that is described becomes the Ego, the room where he encounters women his Id and the imagined ocean spaces his Super Ego. Eliot is vague in his suggestion of Prufrock’s audience, only referring to the listener once using â€Å"you and I;†(1) however, by analyzing Eliot’s intertextual inclusion of the passage from Dante’s Inferno and Prufock’s character one can speculate that the listener is PrufrockRead MoreEssay about Sin and Virtue in the works of Freud and Dante1657 Words   |  7 Pagesinstinctual desires and what is deemed right or wrong according to God. This self-war creates a sense of guilt. Guilt and sin are closely related to one another in terms of Sigmund Freuds analysis of religion in civilization and can be further compared to Dantes account of sin and the afterlife. In Civilization and Its Discontents, one of Freud?s main purposes is to point out the effect of the relationship between the human conscience and religion. Freud?s central view of religion is that it is an illusion

Dental Free Essays

Tray setups Here is a series of tray set ups for some of the more usual dental procedures. Every operator is different and the tray set ups need to be customized for the operator. Keep tray set ups simple. We will write a custom essay sample on Dental or any similar topic only for you Order Now Also shown are some of the corresponding bench set ups that need to be prepared for specific purposes. Tray 1: Examination Mirror Probe Tweezers Periodontal probe Bench Patient card Pencil for charting Intra-oral camera set up ready to go Hand mirror for patient to view mouth Tray 2: Prophylaxis and fluoride treatment Mirror, probe and tweezers Hand scales and/or ultrasonic scales tip Rubber cup Suction tube Prophylaxis paste in ring cup or disposable dish Floss Gauze squares Cotton rolls Fluoride trays or pellets and disposable dish Fluoride solution Model for oral health instruction Tray 3: Amalgam restoration 1 Spoon excavator Flat plastic Amalgam plunger Amalgam carver (every operator has their favorite) Ball burnishes Locking tweezers Tray 4: Amalgam restoration bench Amalgam gun Dapper dish Matrix retainer and band Decal applicator Wedges (where necessary) Amalgam capsule Articulating paper with holder Lining material Tray 5: Amalgam restoration 2 Tray 6: Composite / GIG restoration Plastic instrument – temple or Teflon Tray 7: Composite / GIG restoration -? bench 1 Pellets or sponge applicators, Articulating paper Spatula Mixing pad Restorative material Tray 8: Composite / GIG restoration -? bench 2 Pellets or sponge applicators Tray 9: Extraction Sterile gauze Tray 10: Extraction, mandible -? Elevators Forceps Anesthetic set-up Extra gauze bench Instructions for care after an extraction. Tray 1 1: Endicott treatment Endicott probe Endicott spoon excavator Endicott ruler For root canal therapy / root filling you will need to add the following instruments to the Endicott tray: Lateral spreader’s Endicott plungers Heat out instrument (for cutting and sealing the GPO points) Tray 12: Endicott treatment -? K files Paper points Medicament’s Cavity Mixing pad and spatula Periodical X ray films Guts perch points Tray 13: Rubber dam 1 Frame Rubber dam clamp forceps Rubber dam punch Appropriate clamp Rubber dam square Tray 14: Rubber dam 2 Tray 15: Oral health education / disclosing Locking tweezers with cotton pellet Toothbrush Microbes Disclosing solution Baseline in small container Denture dish / container Air-abrasion -? tray Teflon instrument or temple composite Air abrasion head and nozzles Air-abrasion -? bench Similar to composite/glass-monomer set up Endicott -? tray Endicott-? bench Periodical films Rubber dam application Oral surgery -? tray Retractor Scalpel handle Peritoneal elevator Erroneous Bone file Tissue tweezers Hemostat Surgical curette Irrigating syringe Suture/surgical scissors Needle holder Surgical aspirator Oral surgery -? bench Scalpel blade of choice Suture needle and thread of choice Saline solution for irrigation Extra gauze-sterile Mouth props if needed Surgical burs of preference Extra cup of water to run through aspirator to avoid clogging. Denture trays Impressions Bite registration -? tray Wax knife Wax carvers Bite registration -? bench Models Bite wax Matches Shade guide. Laboratory Job sheets Try-in -? tray Try-in -? bench Hand mirror for patient Denture issue Denture issue -? Bench The dentures Hand mirror Burs required for acrylic trimming. How to cite Dental, Papers Dental Free Essays Dentistry isn’t Just a profession; it’s a way of life. Helping others is the best way to live, and that’s exactly what you do. â€Å"Blessed are those who hold lively conversations with the hopelessly mute, for they shall be called dentists† (Ann Landers). We will write a custom essay sample on Dental or any similar topic only for you Order Now We all dread our next go around at the dentist. Getting our teeth cleaned, drilled, pulled, and any other horrible exploit being done to our poor teeth. What our dentist is doing (besides invading our mouths), is protecting us from any diseases that could otentially form in our mouths. A dentist is â€Å"one who is skilled, licensed and practice the prevention, diagnosis, and treatment of diseases, injuries, and malformations of the mouth. † There are many factors into becoming a dentist. To become a dentist, one must attend dental school. The dental school must be accredited by the American Dental Association (ADA). In order to be accepted into any of the 56 (2006) dental schools in the United States, you must complete two years of predental education. Most people geta bachelor’s degree. In order to be accepted into dental school, you must first take the Dental Admissions Test (DAT). In the first year of dental school students normally take science classes like microbiology, pathology, or anatomy. In the next years the advance to more dental-based classes; which includes going to laboratories and getting hands-on experience. Most dental students graduate from a dental D. M. D or a D. D. S in four years. A work day for a dentist varies every day. The field is often challenging due to the difference in people’s mouths. You constantly have to build more knowledge due to the fact that each patient is different. Dentist’s generally look over the patients records in the morning before their appointment. From there; they will practice what is necessary on the mouth of their patient. Whether it being drilling teeth, extracting teeth, removing decay and filling cavities, to prescribing medicine. Due to their flexibility; dentists get to choose whether they want to work full-time or half-time. Full-time dentists average about 63 patients a week. How to cite Dental, Papers

Nursing Case Study American Heart Association

Question: Describe about the Nursing Case Study for American Heart Association. Answer: Introduction This study aims to present a complex case study and undertake a critical analysis of the chosen case. The medical problem that has been selected for the case study is Chronic Cardiac Failure (CCF) with type 2 diabetes. The study will provide the details of the relevant medical history and present condition of the selected case. It will describe the pathophysiology underlying the main reason for the current hospital admission. A list of medications, rationales and the special considerations associated with the medications of the selected case will be highlighted. A discussion regarding the relevant and current diagnostics/ treatments will be provided in this study. In addition, a log of daily activities in relation to the nursing care implemented for chronic cardiac failure with type 2 diabetes will be provided. Besides all these, the study will reflect on the nursing care provided and the outcomes of care together with the improvements that can be made with respect to chronic cardiac failure with type 2 diabetes. Case study Mrs. Smith is 67-year-old Hispanic female; who is suffering from Chronic Cardiac Failure along with type 2 diabetes has been admitted in the hospital in the morning due to the exacerbation of her symptoms. She is obese and smokes one pack of cigarette a day. The patient states that her readings of home blood sugar have increased. She admits that while going out with her family she consumes dessert and some other stuff, which contains less amount of sugar. For exercises, she walks half an hour every day. She denies polydipsia and polyphagia. She has a family history of diabetes, as her father was diabetic and had died 10 years back. The medical history of the patient is significant for type 2 diabetes that has been diagnosed 3 years back when she had a random glucose level of 278 mg/dL. At that time, her HBA1c level was 8.5%. She was prescribed metformin 50 gm twice every day and within a span of three months, her HbA1c levels had dropped to 7.5%. At that time, metformin was increased to 1000 mg twice every day. Her vital signs are temperature: 98.2 F, blood pressure 124/76 mm Hg, respiratory rate 19, heart rate 80, BMI 33.2, Height 56 and weight 195 pounds. The current medications of the patient include insulin, triarnterene and hydrochlorothiazide and metformin. The patient states that she is not following any specific diet and is worried regarding hypoglycemia as she is in a habit of consuming extra snacks. She has been advised by her family doctor to improve her health conditions. The patient complains that her knee-pain is not allowing her to perform exercise and physical activities on a daily basis. On laboratory examination, her creatinine and liver function tests, urine microalbumin and thyroid function tests are normal. After being explained by the doctor that the increased doses of insulin is contributing in weight gaining process and there is a need reducing her dose of insulin together with intake of high calorie food preventing hypoglycemia, she agreed for following a calorie-restricted diet and top reduce her doses of insulin. The physician reassures her that the further reduction of insulin would help in preventing hypoglycemia. Pathophysiology This section will describe the pathophysiology of chronic cardiac failure with type 2 diabetes. In the diabetic populations, heart failure may occur irrespective of typical factors of risk like high blood pressure and coronary artery disease (Zinman et al., 2015). A number of hypotheses have been proposed for explaining the reduced myocardial contractility in the individuals suffering from type 2 diabetes. These comprise myocardial fibrosis, metabolic disturbances, autonomic neuropathy, accumulation of AGE, impaired calcium homeostasis, insulin resistance and small vessel disease (Gheorghiade et al., 2013). In the patients suffering from type 2 diabetes, the changes in metabolism are elicited by hyperglycemia. Normally, the free fatty acids are use by the myocytes as a key energy source while performing aerobic exercises. In the patients suffering from type 2 diabetes, an altered metabolism is related to increased consumption of myocardial oxygen as well as increased concentrations of free fatty acids in the serum (Zinman et al., 2015). A high consumption of oxygen is required for the metabolism of enormous levels of free fatty acids leading to intracellular accumulation of intermediates that are toxic in nature and may have a negative effect on the myocardial performance. In oxidative stress, high levels of glucose gets oxidized within the cell starts the production of reactive oxygen species and it also boost oxidative stress. The increased levels of reactive oxygen species might result in cardiac dysfunction through the mechanisms except cellular injury (Jaarsma et al., 2013). In diabetic patients, endothelial dysfunction takes place in the coronary vessels and may result in reduced or impaired flow of blood. It has been found by few researchers that the concentration of chronic elevated glucose induces the reduction of plasma nitric oxide. It has been reported that reactive oxygen species are responsible for impairing the endothelium-dependent vascular relaxation by means of nitric oxide inactivation (Montalescot et al., 2013). The accumulation of the end products of advanced glycation takes place in the tissues and can result in the morphological modifications in the heart. This accumulation not only decreases the elasticity of the walls of the vessel but it also lead to myocardial dysfunction. Hyperglycemia in myocardial fibrosis may result in an abnormal expression of gene and transformation of signal transduction that can lead to the activation of pathways, which are responsible for apoptosis. It can stimulate the necrosis of myocytes directly that le ads to an increased collagen deposition (McMurray et al., 2014). In diabetic patients, the modifications in the structure and function of the small vessels can also result in chronic heart failure. Some of the studies have revealed that the pathological modifications in the capillaries are not responsible for developing myocardial dysfunction (Frederich et al., 2015). Cardiac autonomic neuropathy is related to the enhanced cardiovascular risk in the diabetic patients and it can lead to impairment in the diastolic function. Numerous studies have revealed a relationship between the parasympathetic and cardiac dysfunction with reduced variation in the mean heart rate (Look AHEAD Research Group, 2013). Medications A number of studies related to the heart failure have revealed that different classes of medications (drugs) which are best to treat heart failure with type 2 diabetes (Holloway Wheeler, 2013).The patients suffering from this condition may require several medications. Each of these is used for treating a different symptom and comes with specific instructions (Grove, Burns Gray, 2014). If these medications are are not taken in a correct manner, then they will not be able to perform their action appropriately. Some of the most common medications include Ramipril, Fosinopril, Captopril, Trandolapri, and Quinapril. These medications fall in the category of Angiotensin-converting Enzyme (ACE) Inhibitirs. The other category of medications includes Angiotensin II Receptor Inhibitors, which comprise Valsartan, Losartan and Candesartan (Boonman-de Winter et al., 2012). In addition to these, the other category of medications includes Beta-blockers, which include Carvedilol, Metoprolol and Bi soprolol. Besides all these, the other categories of medications include Aldosterone Antagonists, which comprise Eplerenone and Spironolactone. It has been observed that some of the other medications, which can be prescribed to the patients, include Digoxin, cholesterol lowering drugs and Anticoagulants. Digoxin may be prescribed to some of the patients having chronic heart failure as prescribed by the doctor. Anticoagulants are also known as blood thinners and can be prescribed to the patients having heart failure along with atrial fibrillation (Marso et al., 2016). They are not used for the treatment of chronic heart failure patients who do not have atrial fibrillation. The doctor may prescribe cholesterol-lowering drugs to the patients having high cholesterol levels or the patients who suffered from a heart attack previously. These drugs are not used specifically for the treatment of heart failure, except other conditions as indicated (Holloway Wheeler, 2013). The medications of diabetes include pioglitazone and rosiglitazone. Both of these drugs belong to the known as thiazolidinediones. Initially for controlling glycemia, Troglitazone was effective but it has been removed from the market, as it is toxic for the liver. Pioglitazone and Rosiglitazone are indicated either in the form of monotherapy or as a blend with metformin, sulfonylurea, or insulin while performing exercises or having diet (Parahoo, 2014). If any of these drug is prescribes individually then a sufficient glycemic control cannot be resulted. Besides lowering the blood glucose levels, these two drugs may be advantageous for the cardiovascular parameters like endothelial function, inflammatory biomarkers, blood pressure, fibrinolytic status and lipids (Polit Beck, 2013). These advantageous effects of thiazolidinediones on cardiovascular risk factors and glycemia have made them potential agents for the patients suffering from type 2 diabetes and are prone to develop cardio vascular diseases (Grove, Burns Gray, 2014).The risk factors of chronic heart failure such as high blood pressure and coronary artery disease commonly occur in the diabetic patients. These factors of risk perform synchronously in diabetes for increasing the risk of chronic heart failure (Grove, Burns Gray, 2014). These classes of drugs can be prescribed to the patients suffering from type 2 diabetes and having significant asymptomatic cardiac disease (American Diabetes Association, 2013). Diagnosis Chronic heart failure diagnosis is performed through the association of distinctive sign and symptoms with confirmation for instance obtained from an electrocardiogram, chest x-ray and plasma natriuretic peptide testing (Johansson et al., 2016). Imaging studies that documents the diastolic and systolic dysfunction as well as biomarkers are beneficial for diagnosis. In differentiating diastolic and systolic heart failure, systolic heart failure physical examination is not advantageous since the similar findings, together with S3 gallop and cardiomegaly can be observed in both the conditions (Marso et al., 2016). In chronic heart failure, the heart of the patient may is enlarged and the buildup of fluid can be evident in the lungs (Polit Beck, 2013). The doctor can employ an x-ray for diagnosing the conditions except chronic heart failure that can give details regarding the signs and symptoms. Electrocardiogram is test, which is used for recording the electrical activity of the heart by means of electrodes that are attached with the skin of the patient (Fried et al., 2013). The impulses are recorded in the form of waves and are printed on a paper or are displayed on a screen. Electrocardiogram helps the doctor to diagnose the problems associated with the rhythm of the heart and the damage to the heart due to heart attack. For diagnosing chronic heart failure, echocardiogram is an important test (Grove, Burns Gray, 2014). It helps in distinguishing between diastolic heart failure and systolic heart failure in which there is stiffness in the heart and it cannot fill accurately. It uses sound waves for producing a visual image of the heart and the doctors can be benefitted from this method for seeing the shape and size of the heart and to observe the proper functioning of the heart (Polit Beck, 2013). In addition, it can also assist the doctors for checking the problems in valve or confirmation of a previous heart attack and other abnormalities or some uncommon c auses of chronic heart failure (Marso et al., 2016). The measurement of ejection fraction can also be done during an electrocardiogram and it can be measured by cardiac MRI, Cardiac catheterization and nuclear medicine tests (Grove, Burns Gray, 2014). It is a significant measurement regarding whether the heart is pumping properly and it is used to assist in classifying heart failure as well as guide treatment (White et al., 2013). In addition to these, stress tests can evaluate how the the blood vessels and heart act in response towards exertion. Stress tests the doctor in determining whether the patient has coronary artery disease. They also help in determining how well the patients body is acting in response to the reduced pumping effectiveness of the heart and can help as a guide in making long-term decisions associated with the treatment of the patients. In addition, myocardial biopsy can also be helpful, in which a small and flexible biopsy cord is inserted by the doctor into the vein of the neck or groin region and small portions of muscles of the heart is taken. This test can be performed for diagnosing certain types of diseases associated with the heart muscle that cause chronic heart failure (Paneni et al., 2013). Log of daily activities Observations Rationale Evaluation The diet of the patient will be monitored regularly. The patient will be advised to have a diet which is relatively low in cholesterol, saturated fat and sodium (Feltner et al., 2014). To reduce weight as the patient is suffering from this condition will be benefitted effectively. The patient will be instructed to avoid high calorie food together with the foods having a low concentration of salt (Mebazaa et al., 2015). The outcomes will be evaluated based on the improvements in the health of the patient. The fluid retention capacity will be monitored by weighing the patient on a daily basis (Billings Halstead, 2015). To have an adequate balance of fluid in the body (Stamp, Machado Allen, 2014). The evaluation of outcomes will be done with respect to the improvements in the health of the patient. The patient will be monitored daily whether she is performing exercises or not (Taylor et al., 2014). Physical activities and aerobic exercise has an advantageous effect on the health of the patient. The outcomes will be evaluated on the basis of the improvements in the health of the patient Monitoring of patients health and wellbeing will be done For determining, whether the patient is not facing any issues of mental health and wellbeing (Pandey et al., 2015). The evaluation of outcomes will be done with respect to the improvements in the health of the patient. The patient will be allowed for a moderate consumption of caffeine in a day and will be monitored regularly (Butcher et al., 2013). To maintain a proper health of the patient (Stamp, Machado Allen, 2014). The outcomes will be evaluated on the basis of the improvements in the health of the patient Patients blood pressure will be monitored on a regular basis. The monitoring of blood pressure will ensure to provide medications to the patient. The readings of blood pressure will be charted for getting information whether the blood pressure is elevated or reduced To provide information to the patient regarding her blood pressure and assure her that it will be managed as several researches has revealed that regular monitoring of blood pressure is helpful (Mebazaa et al., 2015). The evaluation of outcomes will be done with respect to the improvements in the health of the patient. The nurse will observe that whether the patient is taking adequate rest or not (McMurray et al., 2012). Adequate rest and sleep is essential for the patient for improving her symptoms. The patient will be advised to have sufficient as well as peaceful sleep in the night by pillows for propping up her head and she should avoid big meals and sleep before bedtime, as it is not good for her health. The outcomes will be evaluated on the basis of the improvements in the health of the patient The nurse will monitor that the patient wears appropriate clothing as tight clothing can slow down the flow of blood in body and can develop clots. If in case, there is a need for adding or removing the layers of clothing it can be done by the nurse depending on the condition of the patient (Ekman et al., 2012). For ensuring that the patient feels comfortable and there is no obstruction in the the flow of blood in the body of the patient (Pandey et al., 2015). The evaluation of outcomes will be done with respect to the improvements in the health of the patient. The nurse must ensure that the patient is getting enough support in order to overcome from her condition (restedt et al., 2013). By having support from, the patient will be comfortable and her symptoms of the disease will improve (Stamp, Machado Allen, 2014). The outcomes will be evaluated on the basis of the improvements in the health of the patient Keeping a track of the symptoms on a regular basis and recording the changes (Feltner et al., 2014). This will help to identify the problem areas that are responsible for the exacerbation of the symptoms of the disease (Mebazaa et al., 2015). The evaluation of outcomes will be done with respect to the improvements in the health of the patient Monitoring the health and wellbeing of the patient To determine, whether the patient is not facing any issues related to her mental health and wellbeing (Pandey et al., 2015). The outcomes will be evaluated on the basis of the improvements in the health of the patient In addition to all these, the patient should be provided with education regarding the management of chronic heart failure with type 2 diabetes (Mebazaa et al., 2015). The patient must be instructed for checking their weight after urinating in the morning and before taking breakfast. The patient must also be taught to wear light clothes. The nursing intervention that will be provided to the patient must focus on educating the patient along with her family to avoid the chronic episodes. The most important role of the nurse is to educate the patient for bringing the prescriptions in every appointment in the clinic or at the time of readmission in the hospital, as it is easy for identifying the possible lapses, increase in dose or certain type of confusions (Stamp, Machado Allen, 2014). The patient is also recommended for identifying the absence of presence of weakness together with shortness of breath while carrying out the daily living activities and will be instructed for monitoring the improvement or exacerbation of symptoms (Pandey et al., 2015). The patent will be instructed to avoid high calorie food accompanied by the foods having a high concentration of salt as it is not good for health and might aggravate her health conditions. The patient should be allowed for a moderate consumption of caffeine in a day and will be monitored regularly. The patient will be advised to avoid the drugs such as corticosteroids, tricyclic antidepressants and calcium-channel blockers. The nurse should keep a track of the symptoms on a regular basis and should report the changes in the health condition of the patient to the physician on a daily basis (Shively et al., 2013). The nurse must observe that whether the patient is taking adequate rest or not. The monitoring of the patients health and wellbeing should be carried out regularly to determine, whether the patient is not facing any issues of mental health and wellbeing (Mebazaa et al., 2015). Physical activities and aerobic exercise can have a beneficial effect on the health of the patient. The blood pressure of the patient must be monitored on a regular basis (McHugh Ma, 2013). The monitoring of blood pressure will ensure to provide medications to the patient. The readings of blood pressure must be charted for getting information whether the blood pressure is high or reduced (Feltner et al., 2014). The regime of medication must be evaluated with the patient and presented to her schematically, by highlighting the names of medication, schedules, dosages, indications and potential side effects (Allen et al., 2012). One of the simplest strategies that can be employed involves the making of a table comprising of the names as well as time of taking the drugs or medications and this table can be placed somewhere, which is easily visible to the patient as well as her family members. In addition, the nurse must advise the patient to take her medication even if she feels well as it will be effective for her health conditions (Wakefield et al., 2013). Reflection, nursing outcomes and required improvements In my opinion, the nursing care provided to the patient is appropriate and the outcomes of the nursing care have identified what has been done well and what has not been done well. Since the patient has been suffering from chronic heart failure with type 2 diabetes, she has been provided with the nursing care that is appropriate for improving the outcomes. The patient was instructed to maintain the adequate balance of fluid in the body. After carefully monitoring the fluid retention capacity of her body, it has been found her bodys capability of fluid retention has improved. The patient was instructed to perform exercises on a daily basis. After vigilantly monitoring her, I have analyzed that her symptoms have improved to a certain extent and this nursing care has proved to be beneficial for the patient. In my opinion, exercises are helpful for the patients suffering from chronic heart failure as it improves their health conditions. The patient was instructed to monitor her blood pre ssure regularly and after monitoring her, I have found that sometimes she forget to monitor her blood pressure and due this, I am unable to analyze whether her blood pressure is constant or it fluctuates on a daily basis. The patient has been instructed to have adequate rest and sleep for improving her symptoms. After monitoring her, it has been found that she is taking adequate rest and sleep and her symptoms have improved significantly. In my opinion, this nursing care has proved to be effective in improving the symptoms of the patient. The patient has been instructed to wear loose clothes so that the blood flow in her body remains uniform. After monitoring her on a regular basis, I have found that her symptoms have improved up to a certain extent. In my opinion, this nursing care has a role in main in preventing the formation of clots, therefore wearing of loose clothes is beneficial and there is always a need to ensure that the patient is comfortable there is no obstruction in t he flow of blood in the body of the patient. The nurse kept a track on the symptoms of the patient on a regular basis and has recorded the changes. In my opinion, this step plays a significant role in identifying the problem areas which are responsible for the aggravation of symptoms of the patients disease. I have analyzed that the health outcomes of the patient has improved since the doctor is getting all the information regarding the symptoms of her disease, particularly the improvements in health or exacerbation of health. In addition to all of these, the diet of the patient has been monitored regularly and the patient was advised to consume a cholesterol free diet and she must also avoid sodium and saturated fat. After carefully monitoring her, it has been found that her cholesterol level has reduced and she did not gain enough weight as she had followed a strict diet. In my opinion, this nursing care has been effective in managing her symptoms and helped her to reduce her weig ht. In addition she was also instructed to consume diet which has low salt concentration and it has helped her to maintain her blood pressure levels. It is evident that a majority of the nursing care has been beneficial in improving the outcomes of the patient however; some of them have not been much effective. The care of the patient could be improved by educating the patient regarding modification of lifestyle and benefits of exercise. The nurse should keep a track of the symptoms regularly and should report the changes in the health condition of the patient to the physician on a daily basis. The patent must be instructed to avoid high calorie food and the foods having a high concentration of salt. She should be allowed for a moderate consumption of caffeine in a day and will be monitored regularly. She should be educated regarding weight management and fluid retention. In addition, the nurse should encourage the patient to perform anaerobic exercise in combination with pharmacological therapy in her management plan in an efficient manner. References Allen, L. A., Stevenson, L. W., Grady, K. L., Goldstein, N. E., Matlock, D. 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