Impacts of Heart Failure on the Body

Effects of Heart Failure on the Body Helen McHugh Plainly Define Heart Failure. Cardiovascular breakdown happens when either side of the heart can't stay aware of the progression of blood. It can include left or right half of the heart or both. It is a mix of diminished cardiovascular yield joined by debilitated capacity of the bombing heart and the compensatory systems that save the cardiovascular save. Generally the left is included first What organs and which body frameworks are influenced by the confusion? Cardiovascular framework †The Heart The respiratory System †The lungs, brevity of breath, ceaseless, non profitable hack. Stomach related framework †Liver †gets developed, unfit to channel poisons and produce required proteins. , stomach; impeded gastrointestinal capacity because of helpless blood flexibly and ailing health, gathering of liquid in peritoneal cavity. Urinary System †Kidneys †liquid volume, oedema, debilitated rennin,- angiotensin-aldosterone instrument, nocturia(early in process) and oliguria(late sign) Integumentary framework Skin and nail bed cyanosis. Pale and sweat-soaked skin Sensory system †Brain †disarray( because of absence of oxygen to cerebrum), thoughtful sensory system enactment, uneasiness, eagerness, a sleeping disorder Endochrine System †Pituatory organ (hostile to diuretic hormone), and adrenal organs †(aldestorone) †related with water and sodium maintenance Lymphatic framework †lymphoedema brought about by oedema of constant cardiovascular breakdown Solid System †muscle exhaustion, impeded exercise resilience because of helpless oxygen gracefully to muscles. (Porth Matfin, 2009) Give a short outline of the typical capacity of the body frameworks influenced by this issue Cardiovascular/Circulatory framework Contained heart, veins and blood which cooperate to give essential supplements to the body, expels excretory items from the body, shields the body from disease and keeps up body heat. (Human life systems, 2010) The Respiratory System The respiratory framework, included lungs, sections and muscles which are liable for trade of gases inside the body and furthermore from outside of the body. Oxygen is inhaled into the body and shipped to the entirety of the parts and afterward carbon dioxide is inhaled out. (Human Anatomy, 2010) The Nervous framework The sensory system is the control focal point of the body. It controls and directs the elements of the body. The framework is made of deliberate and automatic capacities. The sensory system, contained the mind, spinal string, nerves and neurons deals with the body frameworks to cooperate and furthermore for the organs to cooperate to make a finely tuned human body. (Human Anatomy, 2010) The Urinary System: The urinary framework channels and expels squander from the body and furthermore keeps up the correct parity of salt and electrolytes in the body. The urinary framework is significant in controlling homeostasis in the body. It can control the volume of blood in the body to control pulse. ‘The kidneys create and collaborate with a few hormones that are engaged with the control of frameworks outside of the urinary system’ (Taylor, 2013) Stomach related framework The stomach related framework is liable for the procedure by which food and drink are separated into their littlest parts so the body can utilize them to fabricate and support cells and to give vitality. Integumentary System ‘Skin structures the body’s external covering and structures a boundary to shield the body from synthetic compounds, illness, UV light, and physical harm. Hair and nailsextend from the skin to fortify the skin and shield it from ecological harm. Theexocrine organs of the integumentary framework produce sweat, oil, and wax to cool, ensure, and saturate the skin’s surface’ (Taylor, 2013) Endocrine System The endocrine framework is comprised of the organs of the body and the hormones created by these organs. The hormones are utilized to direct the body to look after homeostasis. Lymphatic System the lymphatic framework conveys interstitial liquid from cells and tissues back to the heart, Elements of the lymphatic framework discover and dispose of remote bodies and intruders in the body. Solid framework This is liable for the development of and inside the body. Contained three kinds of muscle; Visceral muscles †discovered inside the organs of the body(involuntary); cardiovascular muscle †found in the heart; skeletal muscle †connected to the skeleton and are the intentional muscles. Characterize the signs and manifestations of cardiovascular breakdown and clarify why these signs and indications happen. Exhaustion/Weakness †Often experienced as largeness of appendages and can be because of helpless tissue perfusion of skeletal muscles because of poor heart yield. (Medscape, 2014) Heart weariness is not the same as would be expected exhaustion as frequently advances during that time and is absent toward the beginning of the day. Because of diminished cardiovascular yield throught the day and absence of oxygen. Disarray/memory hindrance/uneasiness/fretfulness/a sleeping disorder. Because of debilitated heart yield for the duration of the day the cerebrum may not get enough oxygen and lead to these side effects. Nocturia †(beginning time heart failure)Caused by expanded blood come back to the heart when individual is resting which causes expanded cardiovascular yield, renal blood stream and glomerular filtration. Oliguria †(Late stage cardiovascular breakdown) †brought about by diminished heart yield and resultant renal disappointment. Orthopnea †Due to diminished pooling of blood in lower extremeties and furthermore because of ascites, a lot of blood surges back to the heart and it can't adapt to it through a few procedures the outcome is expanded aviation route opposition prompting dyspnoea. (Medscape, 2014) Paroxysmal Nocturnal dyspnoea †This is an impression of brevity of breath that stirs the patient, potentially because of expanded aviation route obstruction (See Orthopnea) (Mukerji., 1990) Stomach Distention †Due to Ascites Strange Heart beat Atrial and Ventricular arrhythmias †Irregular heartbeat Due to aggravation in compressions of the heart Queasiness Due to gastrointestinal issues with the stomach related framework not accepting enough blood and with the stomach related framework and liver getting blocked. Increment in circulatory strain †Because the heart can't siphon the blood around the body as adequately and an expansion in liquid develop in the body the pulse increments. Brevity of breath/wheezing for air â€Due to intense aspiratory oedema where fine liquid has moved into the alveoli. Chest Pain/Pressure †Can be because of either essential or auxiliary myocardial ischemia Cyanosis †because of intense aspiratory oedmea absence of oxygen all through the body because of helpless gas trade. Palpitations †‘It can be auxiliary to sinus tachycardia due to decompensated cardiovascular breakdown, or all the more usually, it is because of atrial or ventricular tachyarrhythmias.’ (Medscape, 2014) Weight gain †quick weight gain is regularly seen in patients with cardiovascular breakdown because of liquid maintenance. Snaps in lungs †Can be Due to intense aspiratory oedema where slim liquid has moved into the alveoli. Incessant Dry, non profitable hack which turns out to be more awful when patient is resting †Congestion of the bronchial mucosa may causes bronchospasm which may cause wheezing and trouble in relaxing. Condition is some of the time called heart asthma. Rundown the data taken on his affirmation that shows these signs and manifestations. Sa02 †87% on room air †this is excessively low and indication of helpless oxygen immersion. B/P 90/40 †This is low, yet might be because of his Lasix medicine. Heartbeat †High †sign his heart might be buckling down or might be because of nervousness of affirmation and should be kept checked Resps : high †could be sign of expected heart failure. Low Temperature : 35.8C can be related with cardiovascular breakdown and compounding conditions (Medscape, 2013) (Cretikos, et al., 2008) To be noted : the above indispensable signs could likewise be demonstrative of asthma assault (Patient.co.uk, 2012) Flow : He is hypertensive which, he has CCF and PVD Skin Integrity : Ulcer Lower leg, this could be a manifestation of helpless sustenance and course, which is an indication of diabetes which is a hazard factor of Heart disappointment. Nourishment : Diabetes and loss of hunger. Diabetes is key hazard factor of CCF and loss of craving is demonstrative of GI issues related with cardiovascular breakdown End : Constipated : This could be an indication of the stomach related framework not working appropriately because of absence of blood gracefully Mental State : Confusion could be an indication of absence of oxygen arriving at the cerebrum. Passionate Status : Anxiety of his condition could exascerbate his different sentiments of uneasiness Do you think the diabetes is identified with the leg ulcer and cut off left toe? clarify. Truly. The most widely recognized reason for interminable leg ulcers is helpless course. Diabetics may have helpless dissemination because of the expanded glucose in the blood and solidifying of the veins. This helpless blood gracefully may prompt neuropathy and the nerve harm influences the state of the skin. A non recuperating ulcer that makes extreme harm tissue and bone may require removal. Mr Wrights cut away left toe may have been because of a non mending ulcer. (Mcnair, 2014) (American Diabetes Association, 2014) One of the prescriptions he is taking is Lasix. What does Lasix do? Which body frameworks are influenced by it? Clarify why Mr Wright is requested Lasix Lasix is a diueretic and is utilized to treat liquid maintenance in individuals with cardiovascular breakdown. Lasix is stops the body engrossing a lot of salt and frees the group of abundance liquid and this can assist the heart with pumping all the more effectively and can help control the circulatory strain. Body Systems influenced by Lasix are Cardiovascular framework and Urinary framework. Rundown three conditions

Themes presented in Act 1-Measure for Measure

A topic getting recognizably present all through Act 1 is that of religion, conceivably part of the bigger them of ethical quality. The Duke, Scene 1 line 70, talks about being welcomed by ‘aves heartfelt'. The word ‘Ave' in Latin methods ‘Hail' and is regularly connected with supplication, especially to the Virgin Mary (a figure unmistakable in Catholicism). This recommends people in general in Vienna consider the To be as a guardian angel and a figure to be adored. At the hour of its unique execution this would have passed on to the crowd the unmistakable quality and intensity of the Duke in Vienna. Be that as it may, the Duke says this welcome is acceptable he doesn't ‘relish' it, demonstrating the crowd conceivably that the Duke isn't egotistical and doesn't wish to be a substitution for somebody's confidence; it maybe permits the crowd to hold a regard for the Duke from the earliest starting point of the play. In scene 2, the references to religion proceed with Lucio talking about ‘the hypocritical privateer that ventured out onto the ocean with the ten precepts, yet scratched one off the table'. This proposes a defilement of religion and its related convictions, which may anticipate different topics coming later in the play-those of good and bad, especially when deciphering laws on prostitution and the disarray about marriage (should it be founded on acceptable confidence or a lawful function). The privateer reference, especially to the first crowd, may have proposed that individual understandings and evil dealings would happen in the exhibition. Both the reference to the privateer and ‘aves' could show how Shakespeare is introducing a ‘problem play'. They bring up the issue of how religion ought to be completed and how it can crawl excessively far into regular conduct, until individuals start to make ground-breaking/revered figures icons and decipher strict lessons to suit their own conduct. Scene 3, in the religious community, has two interlacing topics going through it-those of intensity and religion. The crowd is given two ground-breaking figures in their own right, one ground-breaking because of his loyalty to God and maybe less incredible in the functions of society and the other amazing because of his situation in the public arena and saw nearly as a ‘God' by his kin. A quiet force battle has all the earmarks of being happening in the scene, not power for the wellbeing of power, yet so as to win the regard of the other. All through, the Duke seems, by all accounts, to be supporting his contention so as to make it sound not so much ruined but rather more positive according to the minister. This runs over in his welcome of ‘Holy father' and ‘holy sir' and sweet talk ‘none knows superior to you'. The minister talks cordially to the Duke ‘Gladly, my ruler'. There is some feeling of equalization or balance in this scene, as customarily the Duke would be believed to be all the more impressive, because of his rule on the equity framework in any case, he realizes that the main individual who can help him is the minister and the monk has the weapon of monitoring why the Duke has vanished. Equity and profound quality are two another topics running all through Act 1. The fundamental plot line of Claudio being condemned is at the focal point of these topics. At the hour of the primary execution, whorehouses were generally obvious and numerous ground-breaking figures were known for utilizing their administrations. This is clarified to the crowd, with the scene set in a massage parlor and the comic references to sexual ailments and the depiction of the house of ill-repute as an industry. This should show the crowd that it was broadly acknowledged that these spots were a piece of society, causing Claudio's activities to appear to be less serious. He talks of Julietta being ‘fast my better half', aside from the legitimate procedures so the reality he is being rebuffed for this activity and others are pulling off prostitution appears to be much progressively indecent, it brings up the issue of whether Claudio's activities are more terrible than the other male characters in spite of him being dedicated to one lady. This is not entirely clear by the on-screen characters, be that as it may, they may decide to play Claudio's discourse with parody, to make it sound like a weak reason for his activities as opposed to a genuine request for equity, which could cause it to appear as if equity is being finished. Again a feeling of defilement is introduced, this time in governmental issues. The Duke, who has fled surprisingly, has left the law alone disregarded for various years yet Claudio is being rebuffed under it. This recommends the laws can be controlled to suit the pioneer. This is like the defilement of religion referenced before when the privateer changed the ten instructions to suit his way of life and beliefs at that point.

Multinational Corporation and Country Nationals

In the ongoing decade, global human asset the board (IHRM) experienced huge research development because of the expansion number of associations started to broaden their organizations into abroad markets. Worldwide Corporation (MNC) is the term used to depict a business with abroad activity. A portion of the fundamental purposes behind the development of enthusiasm for IHRM are: 1) the quantity of MNC has expanded with fast development of worldwide rivalry which brought about expanded versatility of human asset. 2) Effective HRM methodology has been perceived as determinant of accomplishment or disappointment of association. ) It is increasingly hard to practice control and execution of corporate technique over remote auxiliaries with various culture and foundation. (Fernando, 2006)In this article, we will examine the distinction among universal and residential human asset the board and the difficulties that association confronted while choosing, creating, propelling and keeping up t he representatives for the abroad task and how these issues will influence the technique of the association. At long last, the article will reason that IHRM is unpredictable, troublesome and basic to worldwide business achievement. Stone, 2008) It faces a great deal of difficulties when contrasted with residential human asset the executives chiefly because of the geographic scattering and multiculturalism. Characterizing International Human Resource Management (IHRM) There is no agreement about what the term IHRM covers albeit most investigations in the zone have customarily centered around the zone of exile (Brewster and Harris, 1999). Taylor et al. (1996) characterize IHRM as a scope of individuals the board capacities, procedures and exercises which include thought of more than one national context.Difference between Domestic Human Resource Management and International Human Resouce Management IHRM has comparative human asset exercises as residential human asset the executives as ide from that it is at a worldwide level. Whether or not they are explicit to one or a few nations, the outer limitations, for example, political, lawful, financial and social can altogether impact the manner in which HR capacities are done and the HR administrator should anticipate the HR, do securing for the opportune individuals in the correct number at the ideal time, prepare and create, aintain and inspire the representatives. As expressed by Dowling and Welch (2005), the complexities of working in various nations and utilizing distinctive national classes of laborers are a key variable that separates local and global HRM. Household HRM included representatives inside just a single national limit while IHRM manages three national or nation classes: the parent nation where the firm is normally headquartered; the host nation where an auxiliary might be found; and different nations which might be the wellspring of work, account or research and development.In expansion, there are t hree sorts of representatives of a universal firm: parent-nation nationals (PCNs); have nation nationals (HCNs) and third-nation nationals (TCNs) (Dowling, Welch and Schuler, 1999). Dowling (1988) contends that the intricacy of global HRM can be ascribed to six factors, for example, more HR exercises; the requirement for a more extensive point of view; greater inclusion in employees’ individual lives; change in accentuation as the workforce blend of exiles and local people shifts; hazard presentation and more extensive outer influences.Types of representatives Managers can be recruited three kinds of representatives: parent nation nationals; have nation nationals and third nation nationals. Parent nation nationals (PCNs) are occupants of the worldwide business headquarter who are moved to one of its abroad tasks. Despite the fact that interchanges and coordination with base camp is regularly encouraged when PCNs are utilized since they share a typical culture and training fou ndation with headquarter however the quantity of PCNs utilized in an association is limited.This is because of the significant expense in migrating and keeping up them in have nation and the absence of information on nearby laws, culture, financial conditions, social structure and political procedures. Host nation nationals (HCNs) are occupants of the host nation and are the most widely recognized decision of mid-level and lower-level employment. Utilizing HCNs is well known in light of the fact that they know about neighborhood laws, culture and monetary. Despite the fact that HCNs might be less expensive than PCNs yet HCNs may not be acquainted with the firm’s corporate culture nor its business practices.Third nation nationals (TCNs) are residents of neither the headquarter nor of the host nation. They are well on the way to be utilize in upper-level or specialized positions. Ostracize Expatriates are individuals working and living in nations other than their local nation. TCNs and PCNs are on the whole known as exiles. Association as a rule takes incredible consideration in choosing ostracize as significant jobs are typically alloted to them and the expense of moving incorrectly individual abroad is colossal. It is known as exile disappointment when the ostracize return homes before the task is completed.The cost of disappointment would bring about immediate and aberrant expense to the associations and the exile. The aberrant expenses are more earnestly to evaluate in cash terms and it incorporates making the association lose its piece of the overall industry and exile may lose confidence. Dowling and Welch (2005) had presumed that components directing execution would include: life partner/accomplice disappointment; failure to adjust; challenges with family modification in the new area; culture and language troubles. RecruitmentRecruiting and afterward conveying individuals to situate where they can perform viably is an objective of most associations whether local or worldwide. Enlistment in universal setting is no simple activity. Cross-national contrasts in work esteems impact how alluring a firm is seen to be inside some random culture since what people need from a business may fluctuate across culture. (Caligiuri, Lepak and Bonache, 2010) Therefore, organizations ought to receive various arrangements of determination practice and enrollment message dependent on the way of life of the nation they are recruiting.In MNCs, most positions are filled by HCNs as it is less expensive than employing exile and they are increasingly acquainted with the neighborhood culture, financial aspects and business condition. Yet, it is as yet basic to utilize ostracize in the board job since they would do well to comprehension of the way of life and business foundation. Ostracize choice is substantially more troublesome than local choice. The HR supervisor may have tough screening process as these ostracize will be generally being utilize in th e executives level that has more prominent obligation regarding the business.Therefore, just experienced competitors will be chosen for abroad task. Then again, applicants are turning out to be progressively specific with respect to their decision of abroad task making it increasingly hard for exile to be utilized. Choice is frequently led through supervisor’s meeting of up-and-comers. With exile being utilized in the board job could imply that they are the ones talking the HCNs. For this situation, it would be particularly testing as practices might be deciphered through a social focal point and unintended inductions might be made.Caligiuri, Lepak and Bonache (2010) had reasoned that firm that devotes an opportunity to respond to the key inquiries regarding representative capabilities universally †and, thus, adequately chooses for them inside the different nations where it works †includes an upper hand inside its worldwide workforce for executing worldwide business technique. Preparing and Development The target of preparing and advancement is to encourage learning among the hierarchical individuals and to create improved and increasingly proficient specialists, who, thusly, can upgrade authoritative intensity and effectiveness.As contrasted with household association, worldwide association faces various novel difficulties in preparing and creating capacity. This is because of that worldwide firms contrast in their activities from those of local firms as far as geographic scattering and multiculturalism. (Adler, 2002) It might be troublesome when deciphering preparing material; along these lines it is imperative to comprehend the significance of affectability to neighborhood language and culture. Sims (2002) states that how individuals learn and the strategies for preparing with which they are agreeable differ across cultures.In request to make progress in oversea task, it is imperative to prepare the representatives dependent on the financia l matters and practices of outside nations. Dessler G. (2008), presumed that abroad up-and-comer required unique preparing like concentrating on the effect of social contrasts, gives verifiable information about the objective nation and gives aptitude working in regions like language and alteration and adjustment abilities. It is extremely testing when come to structuring preparing and improvement programs for global organization. A remarkable preparing program for every auxiliary is required dependent on the nation language and culture.Performance Management Performance Management (PM) is a vital HRM process that empowers the quick administrator to assess the employee’s work execution and commitment towards the organization’s objectives and awards as results of execution assessment or examination. Preparing and advancement plan can be gotten from PM to improve the presentation of the representatives. As is expressed by Armstrong (1994), PM includes the connections to hierarchical methodology, defining singular execution objectives, giving customary criticism on progress towards those objectives, giving chances to improving and connecting result and rewards.The extent of PM in global organizations (MNCs) is a lot more extensive and confounded that in household organizations. This is because of that MNCs work in numerous nationals with different kinds of worker gatherings. (Sculli

Economic concept Essay - 550 Words

Economic concept (Essay Sample) Content: Oil Demand in USAStudent NameUniversity NameCourse Name and NumberInstructor NameDate of SubmissionWalsh (2014) in the Financial Times online newspaper writes an article titled U.S. Oil Demand Grew Faster Than Chinaà ¢Ã¢â€š ¬s in 2013. That Wonà ¢Ã¢â€š ¬t Last. The article looks at the unexpected rise in both production and demand for petroleum in the USA economy. It comes out to show that oil demand in the recent years has been on the decrease in recent years since the 2008 financial crises. This has seen the daily increase for oil in the USA become lesser compared to that of China which has been on a steady rise.Improved drilling and better hydraulic fracturing in areas around North Dakota and Texas has resulted in enlarged daily supply of Oil in USA (Walsh). Statistics from the International Energy Agency (IEA) showed that oil production in the United State had risen to 990,000 barrels per day in 2013. This indicated a 15% increase in the supply compared to the p revious year. It is not only production that increased in 2013, but also the demand increased. Walsh reports that, in the year 2013, the demand for oil rose by 390,000 barrels per day in the United States.The article notes that, the big rise in the demand for oil in 2013, made the demand of oil rise higher than that of China in that year which rose by 295,000 bbd. This implied that, not only USA producing more oil, but it was consuming more of the oil.The increasing demand for oil could be a symbol of better performance of the economy. This would indicate a better performance of the United State economy which had recorded decrease in oil consumption in the 4 previous years following the 2008 financial crises. The graph below shows the demand curve for oil in United States in the recent years according to the article.71437511303017240251870710762000188023500109537580010DailyDemandofOil28194001263653667125692151980 2008 2012 2013 YearsEconomic growth usually go hand in hand with the demand for more energy (Shealy Dorian, 2007). Thus a direct relationship exist between economic growth and demand of oil.150495043751515049502533015001647824222885EnergyDemandEconomic growthEconomic growth would mean that more people would be involved in businesses, while many more would drive to work increasing oil consumption. The unexpected increase in demand for oil would suggest that the Unites State Economy is recovering from its previous worst performance. Luckily, as the economy rebounds, more oil is being produced to cover up the extra required oil.Walsh (2014) says that, "But even if the U.S. economy does reboundà ¢Ã¢â€š ¬and boom times in the petrochemical industryÂdonà ¢Ã¢â€š ¬t necessarily translateÂto the rest of...

The Development Of An Individual s Identity - 977 Words

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This paper will discuss those Biblical principles, as well as my personal perspective of the law enforcement, court, and correctional sub-systems of criminal justice. Biblical Principles Law Enforcement Sub-System Law enforcement professionals must act with integrity (Hendrix, 2013). Acting with integrity will ensure the approval of God. This is reiterated in Romans when it says, â€Å"For rulers are not a terrorRead MoreReasonable Suspicion : An Effective Suspicion Of A Person Or An Event?852 Words   |  4 Pagescases. People are forced to act in a certain way and their actions are justified if they have reasonable suspicion. It is really important that for reasonable suspicion that the person you are doubtful of shows some sort of suspicious behavior or attitude that justifies the doubt. 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Steam Engine free essay sample

The Steam Engine The wonderful progress of the present century is, in a very great degree, due to the invention and improvement of the steam engine, and to the ingenious application of its power to kinds of work that formerly taxed the physical energies of the human race. ~Robert H. Thurston The steam engine can easily be considered the single most important invention of the entire industrial revolution. There is not one part of industry present in todays society that can be examined without coming across some type of reference or dependence upon the steam engine. But, who deserves the credit for this great invention? Some give the credit to James Watt while others claim that Thomas Newcomen was the original inventor. However, the idea of the using the power of steam to the advantage of human beings has been around practically since the beginning of time. But, no practical uses for steam emerged until the 17th century. The majority of people will tell you that the steam engine was invented by James Watt. But, this is far from the truth. Like all other great inventions and great discoveries, the steam engine came about after centuries of work by numerous scientists, engineers and even writers. It came from a compilation of work and theories that took centuries to complete. If James Watt was not the first to create the steam engine, who was? How did James Watt end up with all of the credit for the invention? Was he just the one that was there at the right time and in the right place? Is it true that James Watt discovered the steam engine when he observed the lid of a kettle lifting as water boiled within? Those are the questions that we are out to answer. But, keep in mind that nventions only become successful when they are not only needed, but when mankind is so far advanced in intelligence as to appreciate and to express the necessity for them, and to at once make use of them~Robert H. Thurston. The idea using the power of steam to our advantage goes back nearly twenty-one centuries. A learned writer in ancient Alexandria, named Hero, wrote a manuscript describing various devices and ideas of the time. Although it is not proven that Hero was the inventor of any of these devices, he is given credit for the earliest mention of steam power. Hero describes a method to open the doors of a temple with the action of a fire on the alter at the front of the temple. The picture below on the left shows Heros plan. A series of pipes runs between the alter and the temple doors. The force of the steam created by the fire on the alter is strong enough to open the temple doors. The essential principle that Hero used was to change heat energy into mechanical energy or work. Supposedly, Hero continued his work and ended up creating what is often called the First Steam Engine.    Heros engine is featured on below on the right. The cauldron or bowl like portion AB holds water. There is a steam tight cover place over top of the cauldron. Two pipes extend from the lid and suspend a globe directly above the cauldron. The water is heated, causing steam to be created and forced through the pipes. The globe then fills with steam. Pipes K and H are located on opposite sides of the globe and allow the steam to escape when the pressure becomes uneven. The escaping steam then causes the globe to spin on its axis. The power of steam has always existed in our environment. It has been shown constantly through natural occurrences all around us. But, man did not make the power of steam useful until the beginning of the Christian era. Even after the development of Heros engine, it took hundreds of years until any single person found a practical use for this awesome power. Humans never saw a need to harness the power of steam because the labor and toil of slaves and animals was sufficient for everything that needed to be done. Experiments with steam began to resurface again near the end of the sixteenth century. A man named Matthesius preached about what was believed to be a steam engine and its remendous results which may follow the volcanic action of a small quantity of confined vapor(Thurston, 10). It is believed that the first attempt to actually make steam use practical occurred in 1543 upon a naval ship. Blasco de Garay, a Spanish naval officer, attempted to move the paddle wheels of the ship with what could possibly be considered a steam engine. This account however is not well credited because nothing is really known about the make-up of the so called steam engine except that it contained a vessel of boiling water.   Ã‚  Ã‚   In 1601, Giovanni Battista della Porta described a machine that could be used to raise a column of water with the use of steam. He described this machine in a work entitled Spiritali.    Portas work included a vacuum created by the condensation of steam into which water would flow. Portas apparatus, was called the Pneumatica.    Portas machine was described as being able to raise water with steam pressure. Although Portas machine was never applied to any practical uses, he accurately described the necessary presence of a vacuum created by steam to raise the water. Another man that is mistakenly given a lot of credit for the invention of the steam engine is Edward Somerset, Marquis of Worcester. The Marquis has been hailed as the originator of the machine that was used to raise water by the force of fire. However, the Marquis never actually built such a machine. The only machine that he ever constructed was capable of raising water to a height of forty feet, but this was done by a manual pump in 1663. The Marquis was all talk and no action. He tried to convince everyone around him through his writing that he was capable of raising water with fire. But, nobody ever saw him actually achieve his claim. He may have had some pretty convincing plans about a way to make his claim work, but the Marquis failed every time. Other people that can be credited with work on the steam engine are Jacob Besson a professor of Mathematics anc Natural Philosophy at Orleans, Agostino Ramelli an Italian writer, Leonardo da Vinci a mathematician, engineer, poet and painter, Florence Rivault, Salomon de Caus,   Giovanni Branca, David Raseye, Thomas Grant, and Edward Ford. All of these men made contributions to the idea of the steam engine before Newcomen and Watt were ever even born. Thomas Savery   became the first man to produce a workable apparatus for raising water. Saverys apparatus was able to draw water up by suction to a height of approximately twenty-six to twenty-eight feet. The water was able to reach this height due to atmospheric pressure and the condensation of steam within the closed vessel. Savery was the first to make the necessary connection between steam power and atmospheric pressure. Without adding in atmospheric pressure, steam power may have never been harnessed. Savery became the first to put the method of raising water by fire to use for draining mines. In 1698, Savery patented his design. It is believed that Thomas Newcomen simultaneously came up with the idea of the fire engine. Newcomen was born to a good family but received very little schooling. Newcomen was the first man to work on the steam engine who was a practical tradesman. He did not waste his time with philosophers or royal proteges. Newcomen was an iron monger in Dartmouth. Because of his lower class standing, Newcomen was not quickly accepted or recognized for his achievements or contributions to the steam engine. It is believed that Newcomen had no prior knowledge of the work of his predecessors in the area of the steam engine. His engine was introduced in 1712 and was basically a combination of the boiler used in Saverys engine with a cylinder and pump. The Newcomen model was unlike other engines up to this time. It was the first engine that was actually self acting. The make up of the engine went a little something like this. The cylinder housed a piston that was forced to move up and down due to atmospheric pressure and steam pressure. There was a boiler that produced the steam and a cock that allowed a jet of cold water to condense the steam and vary the pressure within the engine. As the piston was forced up and down the handle of an attached lever was forced to move as well. This apparatus was used to successfully raise water from mines. Newcomens engine was so successful that   it was still being used in the twentieth century. Modern day steam engines can easily be traced back to Newcomens design. The driving force behind Newcomens engine was a vacuum that was created by the condensation of steam back into water. He was definitely the first to make a huge advance in the development of the steam engine. There is actually a Newcomen Engine still around today. It resides at the Henry Ford Museum in Dearborn, Michigan. However, Newcomen is unfortunately overshadowed by the well known James Watt. Beginning in 1765, Watt was incorrectly labeled the inventor of the steam engine. James Watt was born in Greenock, Scotland. Around 1769, he was assigned the task of repairing a Newcomen engine that was deemed inefficient. The Newcomen engine however was the best engine available at the time. Watt eventually added a separate condenser to Newcomens engine. This caused the steam to condense in a separate vessel instead of within the cylinder itself. This conserved heat energy that had been lost due to alternately heating and cooling the cylinder. Watts addition saved almost %75 of the fuel that had previously been used by the engine. Because of this improvement, a new era of steam engines arose. It was almost a rebirth for the entire industry. Although Watt did not initially invent the steam engine, he was given a lot of credit for it at this point. Watts addition ended up being the single greatest improvement ever made to the engine. A New England writer was quoted in an article as stating, s Minerva sprang, mature in mind, in full stature of body and completely armed, from the head of Jupiter, so the steam engine came forth, perfect at its birth, from the brain of James Watt(Thurston, 3). It is statements like these that take the credit away from the people that deserve it and give it to the one person who just happened to be in the right place at the right time. James Watts addition to the steam engine most likely would have been overlooked had it been added years before. He just lucked out and happened to make the addition when the people were ready to accept it. As Thurston says, Inventions only become successful when they are not only needed, but when mankind is so far advanced in intelligence as to appreciate and to express the necessity for them, and to at once make use of them(Thurston, 3). Watt ended up with the majority of the credit for the steam engine because all of the men before them were basically ahead of their time. The people were not technologically advanced enough or mentally ready to accept and appreciate their work. Watts addition to the steam engine caused its production and overall usefulness to skyrocket in the 1800s.

Medtronics Strategies

Description of the Situation Medtronic was established in 1957 by Earl Bakken who made a great contribution in the development of pacemakers (Christensen, 2002). The company became the leader in the sphere of pacemaker production.Advertising We will write a custom case study sample on Medtronic’s Strategies specifically for you for only $16.05 $11/page Learn More There were two major factors that secured the company’s leading position. In the first place, the company had a few competitors at that time. Medtronic came up with really helpful products which met consumers’ requirements and expectations. The company had a considerable portion (about 70 per cent) of the market share in 1960s. However, the company faced a lot of difficulties in 1970s up to 1986. First, many competitors entered the market. Secondly, many talented employees left the company as the company’s competitors offered more favorable conditions and were regarde d as more promising. The quality of Medtronic’s product decreased. The company failed to develop new products which could fit rapidly changing demands of consumers. More so, employees argued that one of the major problems was that there were far too many ideas and projects which led to many failures (Christensen, 2002, p. 4). Finally, inappropriate communication within the company negatively affected the company’s performance. In 1986, however, the things changed. Ken Anderson managed to obtain the support of executive to launch a new product which proved to be very successful.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Activitrax, the new product developed, was one of a kind as it paced patients’ hearts to â€Å"beat more rapidly when they were working hard† and, at the same time, it paced â€Å"their hearts to beat more slowly when they were asleepâ €  (Christensen, 2002, p. 4). This made the patients feel stronger. This product made Medtronic a leader again. However, it is important to note that it is not about the product itself. Mike Stevens reshaped the company’s strategies to make it one of the world leaders. Thus, Stevens managed to improve communication within the company. He also reshaped the process of decision making. He outlined several key processes which optimized the process of product development. The major principles Stevens pursued were: speed, platform strategy, project documentation, phase definition, rhythm, and market inputs. Stevens’ actions proved to be successful as Medtronic is now one of the world leaders in the sphere. However, now the company faces a great challenge as it needs to hold the high position, which can be rather difficult. Evaluation Criteria When analyzing challenges the company faces, it is important to focus on such factors as product development strategies, communicat ion within the company, human resources management and marketing strategies. These factors can considerably affect the development of the company. It is important to provide an in-depth analysis of these factors as it will help to work out the most successful strategies which will help the company to maintain its leading position. Evaluation of the Situation In the first place, it is important to analyze communication within Medtronic. Stevenson has changed it considerably. In the first place, it is important to note that oral-based patterns were largely changed into written-based ones.Advertising We will write a custom case study sample on Medtronic’s Strategies specifically for you for only $16.05 $11/page Learn More In other words, when some important decisions are made, certain written reports are made where all the major points are revealed. Thus, employees involved in this or that project have an opportunity to stick to the plan. Of course, there can hardly be misunderstanding when departments have such reports on most important projects. Apart from this, there is proper communication between departments which eliminates (or at least minimizes) any delays. As far as product development strategies are concerned, the company’s platform strategy enables the company to develop products at lower costs and in a shorter period of time. Thus, the company does not need to develop new platforms for new products very often as they develop the platform that can be adjusted in different directions according to certain parameters. Admittedly, this reduces the time span which, in its turn, enables the company to introduce new products which meet various requirements of the rapidly changing market. Besides, the company focuses on patients’ needs when developing new products. For instance, there is a need to develop a pacemaker which is safe in MRI environment and Medtronic has been working on such kind of product (Sutto n et al., 2008). Thus, the company develops products which are potentially successful as they meet specific requirements of consumers. Furthermore, the marketing strategy of the company is also winning. For instance, the company has worked out a consumer-oriented marketing strategy. Thus, the company focuses on customers’ needs. The company also collaborates with healthcare institutions to raise awareness about the advantages of pacemakers.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More It is also important to note that the company has reshaped its pricing policy. Now the company provides low cost pacemakers at low prices while setting fair prices on other models. As far as human resources management is concerned, it is important to note that the company invests in its staff. The company keeps coaching and training its employees. However, there is rather high rate of turnover: many highly skilled employees tend to leave the company. Therefore, it is important to focus on these issues. Structured Discussion of the Strength, Weaknesses, Risks and Opportunities Strength One of the company’s strengths is its platform strategy. This strategy has enabled the company to become one of the world leading pacemaker manufacturers. Thus, Medtronic introduces more new products at a shorter period of time. The company’s new marketing strategy is also a winning one. It enables the company to successfully market new products. The company has also chosen a customer-ori ented strategy. Therefore, Medtronic tries to understand real needs of pacemaker users to come up with ideas to meet those requirements. Finally, the company’s project management has also been improved drastically. The projects are carried out in accordance with specific plans and particular deadlines. Weaknesses One of the weaknesses of the company is that it still loses employees. Thus, people who have been trained are leaving to join other companies. This negatively influences the company’s performance. Of course, this trend should be changed so that the company’s investments into its employees can be repaid. Risks Though the company has become one of the leading pacemaker producers, there are still several challenges. In the first place, the company has come up with really successful products. Thus, there are concerns that there will be no opportunity for further development (Christensen, 2002). Thus, the company’s engineers will need to be really pre cise and far-seeing. Medtronic â€Å"brings into fashion† new products which are highly valued. Therefore, it is extremely important to maintain high quality of products and unique approach of the company. Opportunities Nonetheless, there are a lot of opportunities to develop the business. In the first place, the pacemakers still need improvements to meet specific need of the patients. The company is now working on new models to meet these requirements. Sutton et al. (2008) report on one of such projects. Apart from opportunities concerning product development, the company has many opportunities in the sphere of marketing. In the first place, the demand of pacemakers is now increasing in developed countries as ‘baby boomers’ are reaching the age when pacemakers are necessary. At that, the number of competitors has drastically decreased over the past decade. More so, economic growth in many developing countries of Asia, Eastern Europe and South America has made pa cemakers affordable for many citizens of those countries. It goes without saying that this market offers many opportunities for Medtronic. Qualifications It is important to note that the company has developed effective project management strategies. Thus, all projects are planned in detail. Employees have to report about the work completed at certain stages (or phases). This helps to meet the deadlines and, as a result, to introduce new products on time. Evaluation Action Plan Strength The company’s platform strategy has proved to be effective. Therefore, it is important to keep to it. Thus, the company will continue developing platforms which can be adjusted in accordance with numerous parameters. However, it is also important to keep working on creation of new platforms which can meet consumers’ requirements that constantly appear. As for the company’s marketing strategy, it also needs special attention. The company should work out successful strategies to ent er the market of developing countries. However, the company should work out specific programs for each country. It is essential to make sure that strategies chosen can be effective in this or that region. This is quite a great challenge the company has to face. As has been mentioned above the company has chosen a consumer-oriented approach which is winning in present-day environment. Of course, the company will need to carry out surveys and some research to define the features which can be valued by patients as well as cardiologists. Finally, the new project management strategies exploited have enabled the company to regain its leading position. However, the company has to make sure the phase strategy remains effective. Thus, it is always important to make sure that the plans worked out are executable and deadlines are realistic. At the same time, the plans should be rather flexible to be effective in the rapidly changing market. Finally, the company should pay special attention to communication strategies. Many companies are often overwhelmed by bureaucratic trends. Thus, written and oral communication should be balanced in Medtronic. Weaknesses It is also important to deal with human resources management strategies. Thus, Stevenson claims that they pay much attention to their employees’ development (Christensen, 2002). However, the company still loses employees. Therefore, it is important to work out a new system of values to make employees more loyal. Apparently, coaching and training are not enough. It is necessary to provide more opportunities for promotion. Apart from this, the employees should have more freedom to bring their ideas to life. For instance, Christensen (2002) states that some employees have left the company to be able to realize their ideas, which was impossible within Medtronic. Thus, the company should address this issue to make the employees more loyal. In this way, the company’s investments into the staff will be repaid. Reference List Christensen, C.M. (2002). We’ve got rhythm! Medtronic Corporation’s cardiac pacemaker business. Harvard Business School, Case 698-004. Sutton, R., Kanal, E., Wilkoff, B.L., Bello, D., Luechinger, R., Jenniskens, I., Hull, M. Sommer, T. (2008). Safety of magnetic resonance imaging of patients with a new Medtronic EnRythm MRI SureScan pacing system: Clinical study design. Trials, 9(68), 1-8. This case study on Medtronic’s Strategies was written and submitted by user Maleah Pate to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

buy custom External Financing essay

buy custom External Financing essay External funding is a highly variable figure for the United States corporate sector. Acme can raise its funds from sources outside of the company. There are various types of external financing which the company may use. These sources include debt financing, equity financing, cash flow lending and corporate bond and debentures (Schulz Wasmeier, 2008). Megginson Smart (2000) say that external funding is extremely unpredictable in the United States because of the market trends and lending rates. The use of external financing involves high legal and transaction costs. The company should note that the outstanding nature of external funding needs of Acme means that $500M will be exceedingly variable from year to year for the company (Megginson Smart, 2000). Sources of external funding Debt Financing Acme can obtain external financing from debt financing which means borrowing money. Schulz Wasmeier (2008) says that in the course of debt financing, in return the creditor will receive the promise that the principal and interest on the debt will be repaid by the company. The interest rate to be paid by Acme characteristically includes the so called market rate of interest rate plus a risk premium because Acme is a well established company and certain will be collaterals used to secure the debt. Acme will pay its interest rate depending on the maturity of the loan and the volume of the loan. Apart from specific loan agreements such as mutual or syndicated loans, common types of debt financing that Acme can use includes overdraft funding, and loans against asset (Schulz Wasmeier, 2008). Merson (2011) noted that debt finance will allow Acme to raise cash without giving any share capital or equity. This type of external financing can balance interest payments against tax and therefore there is a good reason to expect debt finance to be relatively cheap. Merson (2011) noted that in theory debt finance has a lot in its favor. However in practice, it may not be asy to obtain. Banks lend their money in return for interest. There are several types of debt finance which include overdraft and obtaining loans against assets. Overdraft funding is uncertain for the bank and Acme. This is because an overdraft can be called in at any time, hence it is a high-risk strategy for the multinational to rely on it for longer-term financing (Merson, 2011). From Acmes point of view it will pay high interest rates to reflect the risk. Obtaining financing through loans against asset is the most common way a bank can make sure that its position is protected. This implies that if Acme goes under, the bank can lay claim to and sell the asset against which it had secured the debt (Merson, 2011) Cash Flow Lending The second type of external financing that can be used by Acme is cash flow lending. Since Acme is an established company with a good track record, the firm can take advantage of cash flow lending. Merson (2011) noted that in this type of financing, instead of taking security against specific assets, a bank relies on the cash flow that the business expects to generate (p. 124). In this context, the bank will look for safeguards in the form of guarantees based on such measures as profitability, enterprise value and ratios comparing profit with interest. If the agreements are breached, the bank has the right to recall the loan (Merson, 2011). One disadvantage of this type of financing is that the bank generally puts measures in place that allow it to take control of the companys cash flow if it defaults on loan repayments. Its advantage is that cash flow lending is more focused than asset based lending on the ability for a business to repay its debts (Merson, 2011). Corporate Bond and Debentures Acme can also obtain financing through corporate bond and debentures. Merson (2011) mentioned that a corporate bond or debenture is long-term debt instrument with a maturity date, a redemption value and a coupon. Acmes bbonds will be traded on markets. Merson (2011) noted that the markets discernment of the riskiness of the debt is mirrored in its market price, which in turn affects the real interest rate earned by the obtainer of the bond. The main disadvantage of this form of financing is that bond markets are regulated, and sourcing money in this way can be costly, and consumes more management time. Its advantage is that a corporate bond will enable Acme to access financing without the help of a bank. This might allow Acme to raise money for a lower interest rate. Merson (2011) says that this type of financing may allow Acme to put its debt out for a longer period than a bank might be prepared to countenance. The fourth type of external financing that can be used by Acme is equity financing. In the United States this is known as stock ownership. Merson (2011) says that equity financiers of Acme will not be comfortable with security but they look instead at the robustness of the offer, the quality of the prospect, the return it will generate and the companys ability to repay the investment. Through equity financing, Acme is likely to incur high cost of capital than a debt financing and will likely cause a drop in earnings per share for the company and in turn unenthusiastically impact the companys share price (Stowell, 2010). The equity financing option will strengthen the companys balance sheet and may lead to a higher bond rating from a credit financing agency. This may result in lower future bond financing costs and higher long term value for the company (Stowell, 2010). Debt financing usually has a lower cost of capital, but may weaken Acmes balance sheet and reduce financial flexibility. Acme and its banker must consider the risk adjusted cost of debt when comparing this form of financing with an equity financing. Equity financing and cash flow lending are the best options for Acme. Cash flow lending is the best option is because it is more centered than asset based lending on the capability of the company to repay its debts. Buy custom External Financing essay

PDP-Learning diary Assignment Example | Topics and Well Written Essays - 4250 words

PDP-Learning diary - Assignment Example Discussion in seminars is primarily based on individuals’ learnedness as well as oratory skills. In this paper, I have discussed how our previous learning experiences shape our tendency to gain further knowledge. People hold different views about intelligence and learning. Some believe that intelligence is a God gifted skill while others think that it is one of the skills that can be polished with hard work and attention. Although this is basically true, our previous learning experiences shape our perceptions of ourselves as learners. These perceptions primarily control our confidence and hence, the tendency to learn, though these perceptions keep evolving as we gain more experience. I used to think that I had a problem with my auditory skills when I was in the elementary school. It was not until I changed my school that I realized that the back benchers could not listen clearly in the previous school because of faulty classroom design. This realization inculcated great confidence in me, and the effort I previously exerted in hearing the lecture was now being utilized in understanding it. I felt like God has recreated my ears. This also had a significant impact on my grades that had changed for good. †¢ Block 2b: Reflection on essay feedback Recently, I have had the teacher’s comments on an essay that I had written. In this paper, I have reflected upon the teacher’s feedback.... I was taken aback with surprise. That was the loveliest day of my life. I felt so fulfilled. That trophy assured me that I had the talent to rock in the world of academia. I fundamentally attribute all my love for studies to that first trophy. I have consistently been a position holder since then. Yes, academic achievement reinforces positive attitudes in students. Block1b: Reflection on discussion in seminars Discussion in seminars is primarily based on individuals’ learnedness as well as oratory skills. In this paper, I have discussed how our previous learning experiences shape our tendency to gain further knowledge. People hold different views about intelligence and learning. Some believe that intelligence is a God gifted skill while others think that it is one of the skills that can be polished with hard work and attention. Although this is basically true, our previous learning experiences shape our perceptions of ourselves as learners. These perceptions primarily control our confidence and hence, the tendency to learn, though these perceptions keep evolving as we gain more experience. I used to think that I had a problem with my auditory skills when I was in the elementary school. It was not until I changed my school that I realized that the back benchers could not listen clearly in the previous school because of faulty classroom design. This realization inculcated great confidence in me, and the effort I previously exerted in hearing the lecture was now being utilized in understanding it. I felt like God has recreated my ears. This also had a significant impact on my grades that had changed for good. Block 2b: Reflection on essay feedback Recently, I have had the teacher’s comments on an essay that I had written. In this paper, I have reflected upon

Text analysis Essay Example | Topics and Well Written Essays - 1000 words

Text analysis - Essay Example Surprisingly extremely little effort on the portrayal of the Africans Americans in the television has been undertaken (Campbell 11). Bussing and segregation have been the early forms of racism associated with the U.S. news casting; these issues could fuel the whites to racial prejudice of the African Americans (Campbell 12). The author has written that Africans Americans were normally associated with poverty. They were over represented poor according to the content analysis of the author (Campbell 12). By this analyzation of them been poor in the news televisions, Africans Americans could also bear issues associated with poverty such as laziness and the under observation of the welfare assistance (Campbell 13). Entman did a study on this issue whereby his results showed that Africans Americans presentation occurred largely as crime victims (Campbell 14). Africans Americans were more likely to appear in crime sites and as perpetrators in drug issues on most of the local news (Campbell 14). Another observation was that the Africans Americans political interest was normally limited in the news presentation (Campbell 15). This perpetuation needed the Africans Americans to raise their voices to so as their hearing could occur (Campbell 15). The author is indicating how stereotypes, network news, and modern racism relate to one another (Campbell 16). According to this documentation, Africans Americans are typically associated with the roles such as noisy politicians, criminals and poor citizens on the news of a local network. The increase in modern racism leads to three components (Campbell 16). First is the resistance to the political demands of the African Americans, secondly is the general hostility that is portrayed emotionally towards the Africans Americans, lastly is the belief in the death of racism and that the racial discrimination no longer inhibits the achievement of the African Americans (Campbell 17). According to the author, African

Wu zholiu's orphan of asia and taiwanese students studying in japan Essay

Wu zholiu's orphan of asia and taiwanese students studying in japan - Essay Example This one is a masterpiece that Taiwanese literature shall always cherish. The Taiwanese Literature, as we know it today, developed in 1920s. The writers during that period reflected on Japan’s role as a colonizer, Wu Zhouliu does the same. The Taiwanese literature was as influenced by the culture of Japan, which was forced by Japan, as by the need to voice its identity. The Taiwanese literature was trying to break the image of Taiwan as ‘extended Japan’ while at the same time most of the works were in either Japanese or usually had element of Japanese. Wu Zhouliu, too, was much better in Japanese than in Chinese but his works were rebellious, indicating Japanese as oppressors of Taiwanese. The Taiwanese literature was a means for peaceful rebellion, after the violent methods to drive Japanese out of their land failed, and the task is successfully carried forward by Orphan of Asia. Thus, the work not just adds on to the main reason for evolution of Taiwanese literature-rebellion against their colonizer, but it also takes up the task of representing Taiwan under Japan as it was to the future generations. Taiwan was occupied by Japan from China for fifty years (1895-1945) before it was handed over to China again. As long as Taiwan was the colony of Japan, Taiwanese remained neither Japanese nor Chinese. Their identity as Taiwanese was all too obliterated. This situation of Taiwanese is well depicted in Orphan of Asia, where the protagonist-Tai-ming was confused about his identity. The writer uses the word ‘orphan’ to indicate that with no identity of its own Taiwanese were orphan, they had been separated from their mother-China, and their colonizers never accepted them as one of them. Not just were they separated from their roots (China), but also their roots never accepted them back. Tai-ming believes that his roots are in China and hence is ready to make any sacrifice for his roots but it is ironic that he shall not disclose

Sequels and phobias in The Return of the Soldier of Rebecca West :: Rebecca West

Times of war and peace: Sequels and phobias in The Return of the Soldier of Rebecca West. Rebecca West (1892-1983) was a prolific writer who tried every literary genre; journalism, literary critique, the short story and the novel. Her first novel The Return of the Soldier published in 1918 spans half a century of creative output culminated in 1966 with her last novel The Birds Fall Down. However, all her narrative is easily identifiable because of her unmistakable style, the structure of her novels, the topics she chooses and the coherence of her ideas about mankind and society. Subsequently, all her novels are psychological, historical and social documents depicting human behavior in a precise historical and social context. West synthesizes what she observes rooting her ideas in British literary tradition. Her keen critical eye is both penetrating and enlightening, for example, when in The Return of the Soldier, Margaret Grey appears poorly dressed daring to invade the Baldry mansion with her mud covered boots, while Jenny, the narrator, expresses crude feelings of resentment towards Margaret and her social group. The latter is represented: ‘... as the rich hate the poor, as insect things that will struggle out of the crannies which are their decent home, and introduce ugliness to the light of day’ (West, 1918, rpt.1984: 32)1. West’s literary reputation was revived in the 1980s with the disintegration of Yugoslavia. Her Black Lamb and Grey Falcon; A Journey through Yugoslavia (1941) brought her wide critical attention because this novel was the last of her efforts to understand the pre-war situation. Furthermore, it was central to West’s next book, The Meaning of Treason (1947), where she concentrated on the psychological characteristics of traitors and she wondered what caused these people to do what they did—for West, war fosters deception and betrayal. The final example of West’s interest in treason is her novel The Birds Fall Down (1966) which concludes with the deaths of both the traitor and the friend he betrayed and in The Return of the Soldier, a study of the sequels of war in human mind, the protagonist is betrayed by his family. In the aforementioned novel, West employs what at the time was an original device, amnesia from war trauma or ‘shell shock’ as well as an unusual perspective on war—that of those who waited at home. West tries to explore the reactions of three women to a returning soldier who, though married, remembers only an earlier love for another woman. In spite of its obvious literary quality, The Return of the Soldier proved to be a novel severely punished by critics.

Heart Failure Essay

Heart Failure The heart is one of the body’s most vital organ. The heart pumps blood throughout the body which carries nutrients other organs need. It also carries oxygenated blood to the lungs which allows us to breathe. Since the heart is so important, relying on it that it will do its job is necessary so we can live, but sometimes the heart can fail. Heart failure is a syndrome that occurs when the heart can not pump enough blood to meet the body’s metabolic needs. This paper will discuss what heart failure is, the signs and symptoms, and lastly the treatment and prevention of heart failure. Heart failure is usually classified according to the side of the heart that is affected. Either â€Å" left or right side, or by the cardiac cycle involved† (Lippincott Wilkins & Williams, 2011). Left sided heart failure occurs when there is ineffective function of the left ventricular contractile. As the pumping of the left ventricle fails, cardiac output also fails. The blood that is suppose to go to the body is no longer being pumped out, thus backing up into the left atrium and the the lungs, causing â€Å"pulmonary congestion, dyspnea, and activity intolerance† ( Lippincott Wilkins & Williams, 2011). Right sided heart failure results from ineffective right ventricular contractile function. Blood is not being pumped effectively through the right ventricle to the lungs, causing blood to back up into the right atrium and the peripheral circulation. When this happens, the patient gains weight and develops peripheral edema and engorgement of the kidney and other organs. Heart failure not only effects the heart but also other systems in the body. The cardiovascular system is affected by the heart not being able to pump blood throughout the body. Also, as the blood backs up into the left atrium, blood backs up into the lungs causing pulmonary congestion which affects the respiratory system. When blood backs up into  the right atrium, the kidneys become engorged which cause problems with the renal system. There are different signs and symptoms for heart failure. People with heart failure can develop shortness of breath, also called dyspnea, caused when the blood is backed up in the pulmonary veins. The patient will feel breathlessness during activity or while sleeping. Another sign and symptom is persistent coughing or wheezing, caused when fluid is being backed up in the lungs. The patient will cough up pink or blood stained mucus. Another sign and symptom is build up of excess fluid in body tissues, also called edema, and is caused when blood flow out of the heart slows down, the blood returning to the heart through the veins backs up, causing fluid to build up in the tissues. Patient can also develop swelling in the feet, ankles, legs or abdomen, or weight gain. A patient with heart failure may also feel tired and develop fatigue caused by the heart not pumping enough to meet the body’s needs. They also might develop digestive problems causing loss of appetite and nausea. Th is is a result of the digestive system not receiving enough blood causing digestive problems. ( Chen, 2013) If a patient has been diagnosed with heart failure there are some treatments that are involved to keep the syndrome under control. The patient will have medical therapy that involves medications such as an angiotensin- covering enzyme, diuretics to reduce fluid volume overload and venous return, beta- adrenergic blockers to prevent remodeling, any many others. A patient may also have to undergo surgery such as cardiac bypass. There are many life style changes that the patient also has to comply with. Some include weight loss, limited alcohol intake, smoking cessation, stress reduction, and development of an exercise program. If the case is severe, the patient might have to have a heart transplant, but even so, many complications and a hospitalizations are experienced. In order to porevent heart failure there are two ways to approach it. First is to stop or slow heart failure, and second is to avoid a repeat of any event detrimental to the patient’s life. (Shaddinger, 2014) Heart failure is a very serious disease. It should never be be taken lightly and although the most common cause of heart failure is coronary artery disease. It can also occur in infants and children with heart defects. References Chen, M. (2013) Hear Failure Overview. The New York Times. Retrieved from www.nytimes.com/health/guides/disease/heart-failure/overview.html Lippincott Williams & Wilkins, (2011) Pressure ulcers. Professional Guide to Pathophysiology. 3rd ed. p. 575-579. Philadelphia. Wolters Kluwer. Shaddinger, D. (2014) Treatment and Prevention. Seconds Count. Retrieved from www.scai.org/secondscount/treatment/default.aspx

The Athena Scholarship Will Bring Me Closer to My Goals

It is an honor to apply for the Athena Scholarship. I am presently enrolled in the Biology/Biotechnology Honors program in the University of Windsor. I hope to become a medical doctor. I strongly believe that my career of choice will enable e to fulfill my desire to help others. My participation in various extracurricular activities and invaluable volunteer experience has constantly shaped the way I view people and the environment around me. My academic life is no exception; my mantra in any learning situation I find myself is to strive for academic excellence and push boundaries. Next to God and my family, my education has always been the most important thing in my life. Early on in life, my dad instilled in me the importance of have a well-rounded education. He rang in my ears and that of my brother how lucky we were to go to school and how every learning situation should be maximized. Growing up from a poor family, he understood the importance of a good education more than we ever could. By the time I was in elementary school I realized that I had a knack for the sciences and also discovered something that would change me for a very long time. I realized that babies didn’t come from the sky but through the mom’s belly. It was the most amazing thing I ever learned in all of my childhood years. This was when I unconsciously made a decision to study biology and to understand all of life’s â€Å"magic†. Over the years, my love and respect for biology never weathered and I made up