Sunday, November 3, 2019
Digital natives Essay Example | Topics and Well Written Essays - 1500 words
Digital natives - Essay Example It is quite alarming that modern people seem to forget that digital relationship is virtual and that it is quite different than the real relationship that exists outside the virtual world. The communication on the Internet can only remain at the stage of word exchange and there is no feeling and emotion attached to this type of communication. However, in face-to-face communication, one can hear every word that is articulated by the other person involved in the conversation. Perhaps, some people would argue that we could have video chat on the Internet to see the facial expression and hear the tone of the person. However, video still makes people feel far away from others. The reason why two people have video chat is that there is an unreachable distance between them and they hope to feel the intimacy of face-to-face communication via video chatting. Therefore, we can say that video is an imitation of face-to-face communication, an ââ¬Å"unrealâ⬠in plain terms. Recently, I foun d out a kind of phenomenon that happens frequently with me as well as my friends. I usually add some people who go to the same school as me and make friends with them on the social networks, like Facebook and Wechat. I can chat with ââ¬Å"net friendâ⬠, who is known for social network, very well, so I think this person has become my friend already. However, when I meet him or her on campus, the only thing that I feel is being strange and awkward instead of having great conversation as with normal friends.
Friday, November 1, 2019
Withdrawal of Care Case Study Example | Topics and Well Written Essays - 2000 words
Withdrawal of Care - Case Study Example The discussion should include the most efficient means of withdrawing the life support services; the needs and significance of withdrawing the life-sustaining treatment are to be realized by those who work in the field. The withdrawal of life-sustaining treatment legal and ethical aspects should as well be put into perspective before embarking on the withdrawal of care process (Gordon, 2008). Nurses have an incredibly decisive role in initiating the plan of withdrawing life support health treatment. In most cases nurses are in charge of taking care of hospitalized patients. Additionally, nurses are as well squarely responsible for executing the withdrawal of life-sustaining treatment plan. In most cases, nurses are blamed for lack of sufficient knowledge and resources to put into practice the withdrawal of life-sustaining plan (Kirchhoff et al., 2010). Different Intensive Care Units have dissimilar and unique ways of managing and controlling deaths. As a result this has complicated the nursesââ¬â¢ practice of managing and implementing the life-sustaining treatment withdrawal initiatives.... By referring to his medical history provided by his sister and sister in law, the patient was at one time diagnosed with epilepsy. The patient had as well undergone brain surgery two years ago to access the possibility of brain tumor. In the recent days, the patient was reported to have be fatigued and having consistent out spells. Additionally, two month prior to the presentation of the case, the patient was also diagnosed with pneumonia. Since pneumonia treatment, the patient has been experiencing choric cough, was very weak and tired. Moreover, the ailing man had over years experienced elevated white blood counts. To address the problem, the patient underwent bone marrow biopsy After the initial physical examination, the patient was admitted in the hospital as a chronically and pale ill white male. The assessment on his neck did not reveal signs of a jugular venous distension. There were signs of diminished breath sounds as well as evidence of bilateral course rhonchi. The heart b eat was at a rate of 60-65 bpm. After detailed examination, there were no signs of clubbing, cyanosis, or edema. The patient was as well releasing small amount of urine and the feet were cool. However, after exhaustive assessment, the 50 years old man was revealed to have chronic pneumonia that incorporated massive emphysema. His condition was also complicated by respiratory failure, septic shocks, sepsis, renal complications, respiratory acidosis and leukemia, as well as mixed metabolic problem. There were also indications of poly-microbial complications due to the presence of smelling pus. Owing to his severe and painful heath complications, health practitioners concluded that, his chances of survival were about 25%. As a result, after thorough consultation between health
Wednesday, October 30, 2019
Bones a book by Fae Myenne Ng Essay Example | Topics and Well Written Essays - 500 words
Bones a book by Fae Myenne Ng - Essay Example It tells the story of the American dream seen from the perspective of a Chinese girl. As the focal point encircles around the question whether Leila is a reliable narrator or not it becomes important to understand the true meaning of reliability in literature. In literature a 'reliable narrator' is a character who presents the characterization in a manner that could be identified with. However, a 'reliable narrator' must always stick to historical facts and there should never be factual errors in that aspect. Characters can be made up but the background of the time and society should never be tampered. Leila is reliable in that context and definitely a 'reliable narrator'. Leila narrates her life with her family and about her surroundings along with a believable description of the socio cultural pressure of being successful within the parameters of the society with wider perspectives of American livelihood. The novel starts with the sentence mentioning that "we were a family of three girls. By Chinese standards, that wasn't lucky. In Chinatown, everyone knew our story. Outsiders jerked their chins, looked at us, shook their heads. We heard things." (Ng, 1) This can be enumerated as a definite example that depicts the socio cultural aspects of the Chinese born population where the society is dominated by the male heirs of the family.
Monday, October 28, 2019
Basal Cell Carcinoma Essay Example for Free
Basal Cell Carcinoma Essay Skin cancer, cancer that forms in the skin. There are three types of skin cancer; melanoma, squamous cell, and basal cell carcinoma. Out of the three skin cancers basal cell carcinoma (BCC) is by far the most common. BCC accounts for 90% of all skin cancers. Basal cell carcinoma is also the easiest to treat for the simple fact it rarely metastasize. Bcc tend to stay in the same general area and cause damage to tissues by growing and invading surrounding tissue. Some people are more susceptible to basal cell carcinoma than other. If youve received at least one blistering sunburn during your childhood you have a greater risk than someone who has received most of their sunburn later in life. Also people with fair skin, blue, green or gray eyes, and blond or red hair, have a greater chance of contracting basal cell carcinoma then someone with darker features. Where you live can also affect your chances since certain places have a higher ultraviolet radiation than others. In some cases it can run in the family, and if you take any immunosuppressant or medications that help prevent organ rejection it increases your risks. Basal Cell Carcinoma can be caused by lots of things. One of the most common is environmental factors. Environmental factors include exposure from Sun, Arsenic and radiation. Suns the most common of these because everyone gets sun whether it be by tanning beds or just being in the sun. But arsenic exposure which is the hardest to come by since most people does not go around putting arsenic in their systems. Arsenic is a toxic metal commonly found in the environment. Most people get their greatest exposure from food like chicken, beef and fish. Some even get it from working at certain jobs to long. Then theres radiation. Radiation comes in many ways. Some come in therapeutic ways and some come from natural everyday things. Therapeutically you can get if from Psoralen Plus Ultraviolet A (PUVA) a treatment for Atopic Dermatitis- A skin condition that causes intense itching and a red, raised rash- or from radiation treatments received during childhood for acne or ringworm. Everyday radiation can be received through visible light, infrared radiation and UV radiations. UV radiation comes in three types, A, B and C, A produces some tanning and isnt blocked out by the atmosphere and is considered harmful over long periods of time. B is what makes you tan and also causes wrinkling sunburn and your skin to age. B is somewhat filtered out by the atmosphere and its Highest intensity is after noon. C is filtered out by the atmosphere by the ozone layer before reaching the earth. It accounts for a major source of artificial germicidal lamps. However there are more than environmental factors at play for skin cancer. Other factors would include genetics. So far there are three common genetic disorders Xeroderma pigmentosum a disorder where you have an extreme sensitivity to sunlight, Nervoid Basal Cell Carcinoma Syndrome (Gorlins Syndrome) a disorder that causes basal cell tumors all over the body, and Acrokeratosis Neoplastica (Bazexs Syndrome) is a rare inherited disease where hair follicles characterized by the breakdown of follicle and multiple Basal Cell carcinoma on the face, Hypohidrosis (reduced sweating), and Hypotrichosis (reduced body and head hair). There are eight types of basal cell carcinoma: Nodular, Pigmented, cystic, superficial, Micronodular, Morpheaform, and Basisquamous. Nodular basal cell carcinoma is the most common form of bcc it has a waxy papules (Small solid rounded bumps rising from the skin that are each usually less than 1 centimeter in diameter) with central depressions. Nodular bcc tends to have a pearly skin colored or pinkish appearance. With lesions that act like they are healing over time only to rupture again like an ulcer. Pigmented bcc behaves like nodular bcc except pigmented bcc is easily confused with melanomas. Even though melanomas donââ¬â¢t always have a lot of pigments pigmented bcc isnââ¬â¢t very common. Cystic bcc are papules that are blue gray translucent pseudo nodules that mimic benign lesions. Superficial basal cell carcinomas has scaly patches that are anywhere from pink to red-brown, with a thread like border. Commonly found on the trunk (torso) and shoulders. Erosion in superficial bcc is not very common the papules tend to mimic psoriases or eczema, and can take months or years to become apparent. Superficial bcc is most commonly caused by arsenic exposure. Micronodular basal cell carcinoma is an aggressive subtype of bcc that is not prone to ulceration and appears yellow-white when stretched and is firm to the touch. Morpheaform basal cell carcinoma also known as scelerosing bcc usually found in mid facial sites. Tend to have a waxy scar-like appearance and is prone to recurrences sometimes Morpheaform bcc cab invade cutaneous nerves. Basisquamous bcc is a mix of basal cell carcinoma and squamous cell carcinoma. Basisquamous bcc is also the most aggressive subtype of basal cell carcinoma and can metastasize. If left untreated basal cell carcinoma can damage surrounding tissue to the point you will need plastic surgery to fix it. Also if you have Basisquamous bcc you run the risk of the cancer metastasizing and turning in to other types of cancers. BCC can also cause severe muscle, nerves and bone damage. You will also be at risk of losing vision if it is close to your eyes and nerve function. There are five major warning signs to Basal Cell Carcinoma including: 1. An open sore that bleeds oozes or crusts and remains open for a few weeks only to heal up and then bleed again. . A reddish patch or irritated area frequently located on the face, chest, shoulders, arms or legs, sometimes the patch crusts and May also itch or hurt. 3. A pearly white or waxy bump often with visible blood vessels on your face, ears, or neck. The bump may bleed develop a crust or form a depression in the center. In darker skinned people this type of tumor is usually brown or black and is sometimes confused as a mole. 4. A scar like area that is white yellow or waxy and often has poorly defined borders. The skin itself appears shiny and tight. Although this is less frequent sign it can indicate the presence of an aggressive tumor. 5. A pink growth that is slightly elevated rolled border and a crusted indentation in the center as the growth slowly enlarges tiny blood vessels may develop on the surface. If you experience any of these warning signs speak to your doctor immediately and set up an appointment as soon as possible. After you set up your appointment get prepared for a long wait till the day you go. At the doctors he will ask you a lot of questions and itââ¬â¢s important you can answer them. Make sure you know your family, medical and personal history and start thinking about someone to take with you to the doctors. Although basal cell carcinoma skin cancer is treatable and rarely fatal itââ¬â¢s still good to have someone with you. Cancer is cancer and itââ¬â¢s not the news you want to get on your own at the doctors. Also make sure that you have questions you would want answered dont walk in there clueless. When you get to the doctors you will most likely get a biopsy to test and see whether or not you have it. There are two different types of biopsys shave and punch, shave is used to diagnosis most basal cell carcinomas but itââ¬â¢s really easy to miss the tumor or go too far. Punch is the most common method along with the easiest. But cannot be used if you plan on having curettage and electrodessication as your treatment There are 10 different treatments that fall under 4 different typesââ¬â¢ surgery, therapy, radiation, and medications. The surgery consists of Mohs micrographic, Excisional, cryo, curettage and electrodessication, and laser surgery. During Mohs Micrographic surgery the surgeon removes the tumor with the tissue around it then checks the tumor for additional cancers. Excisional surgery the surgeon cuts out the lesion and the skin is stitched up. This treatment is most commonly used for nodular bcc and morphemic basal cell carcinoma. If the lesions are very large he may require a flap or skin graft to repair the cut after surgery. Cryosurgery is where the dermatologist uses liquid nitrogen and freezes the tumor. Mainly used to treat external tumors. Curettage and Electrodessication the surgeon or dermatologist uses a curette (spoon like instrument) to scoop out the bcc. Electrodessication (uses of electric current) is added to control bleeding and kill the remaining cancer cells. The skin will heal with out stitching but this treatment is only useful for small non crucial bccs. Laser surgery is the last surgery treatment of bcc. Laser surgery consists of using high intensity light to treat cancer. The lasers can be used to shrink or destroy tumors. But laser surgery is most commonly used to treat superficial cancers. Lasers can also relieve certain symptoms of cancer such as bleeding or obstruction. If the tumor is still present in the deeper skin then the procedure is repeated to the last layer examined is cancer free. Therapy consist of chemotherapy, biological, photodynamic. Most people know what chemotherapy is. Chemotherapy is the most common cancer treatment for most all cancers. It means your treating your cancer with the use of anti-cancer drugs. For skin cancer the drugs come in a lotion or cream. Chemo is for superficial tumors that have not advanced beyond the top layer of skin. With skin cancer chemo doesnt tend to cause nausea. Biological therapy treats to uses our bodys own natural defenses to attack and destroy cancer cells. In biological therapy the white blood cells are removed grown in a lab and exposed to substances that boost there ability to fight cancer. The activated cells are then injected back into the body to attack the tumor. Biological therapy is mainly used for the advanced forms of cancer that canââ¬â¢t be treated by other methods. Photodynamic uses drugs that collect inside the tumor. The doctor then focuses a special l light on the tumor the light triggers a chemical reaction in the drug that destroys tumor cells. But doesnt harm the surrounding health tissue. The last treatment is Radiation is a complicated treatment because when you stop and think radiation can cause some basal cell carcinomas. To treat bcc with radiation doctors use high powered x-ray beams directed at the tumor. To completely destroy the tumor it takes several treatments. Most of the time radiation is only used for tumors that are hard to deal with surgically and when the patientââ¬â¢s health is poor. However radiation can cause long term cosmetic problems and radiation risks. Some of the causes would be rash red or dryness of the treated area and changes in skin texture or color that will become more noticeable throughout the years. After treatment there are some post treatment things you need to be aware of Follow up appointments are scheduled. Once youââ¬â¢ve had a form of basal cell carcinoma itââ¬â¢s extremely hard to eliminate it completely you have an increase chance of getting it again and a good chance that it will appear in the same spot. Perform regular self-examinations of your skin. Watch for early signs of skin cancer. Basal cell carcinomas treated incompletely can recur. All treated sites must be monitored after therapy. Individuals with basal cell carcinoma have a 30% greater risk of having another basal cell carcinoma unrelated to the previous lesion compared with the risk in the general population. (eMedicine) perform self checks to perform self checks you will need a full length mirror a handheld mirror and a well lit room that offers privacy. After you collect all your materials start performing the self check. You and your partner examine your entire body as skin cancer can occur anywhere, not only on areas frequently exposed to the sun. Be sure to check your back, scalp, underarms, genitals, palms, soles, and skin between the toes and fingers. When examining your scalp, it may help to part the hair to check the entire scalp. Look for: 1) you should become familiar with your birthmarks, blemishes, and moles so you know what they look like and can spot changes. As you or your partner examines your skin, look for changes in the size, color, shape, or texture of a mark on your skin. Donââ¬â¢t forget to look and watch for any of the five warning signs of skin cancer. After all this information itââ¬â¢s important to know how to prevent yourself from having to go through this. Seek the shade, especially between 10 AM and 4PM. Do Not Burn. Avoid Tanning and UV tanning booth. Ultraviolet light from the sun and tanning beds can cause skin cancer and wrinkling. If you want to look like youââ¬â¢ve been in the sun, consider using sunless self-tanning product, but continue to use sunscreen with it. Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses. Use Sun Screen Year Round. Apply 1 ounce (2 tablespoons) of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours or after swimming or excessive sweating. Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months. Sunscreen should not be used to prolong sun exposure. Some UV light gets through sunscreen. Sunscreens should be applied to dry skin 15-30 minutes before going outdoors, and reapplied approximately every two hours and after being in water or sweating. Sunscreen does not make sunbathing safe so donââ¬â¢t stay out in the sun just because you have sunscreen on. Get plenty of vitamin d beware of sun-sensitizing medications. Some common prescription and over-the-counter drugs make your skin more sensitive to sunlight like certain cholesterols, High blood pressure and diabetes medications, Ibuprofen, Acne medication. Make sure you ask your doctor about any side affects your prescriptions might have. Examine your skin head to toe every month. See your doctor every year for a professional skin exam.
Saturday, October 26, 2019
Changing Times Make for Unhappy eBay Customers :: essays research papers
Changing Times Make for Unhappy eBay Customers How much is too much, or how much is enough? This is an economic question that every successful business will have to evaluate in order to remain an icon in the marketplace. Todayââ¬â¢s business world is unlike any time in comparison. There has never been more opportunity for small ventures to turn into major financial companies overnight with the use of the World Wide Web. It is true that many of these overnight wonders are short lived and go unnoticed; however we do have the elite group of companies that have made their mark in our everyday lives. eBay is one of those companies that have made good use of this opportunity. eBay Inc. is considered as the worldââ¬â¢s leading online personal trading community. Founded in 1995, eBay is available 24 hours, 7 days a week with more than one million registered users. In the 4th quarter 2003, eBay reported a net income of 935.8 million dollars; up 44% and their full year net income for 2003 was 3.27 billion dollars, up 51% for the same time last year. Even with their noted economic success this company still finds a need to raise fees for the use of their service. On the positive side of the moral and ethical matter, there are great things that eBay offers as well as provides for its customers. People with many dreams of becoming entrepreneurs and starting successful businesses has found eBay and answer to their prayers. Many people who donââ¬â¢t have the resources to use an outside place to start their businesses; have used eBay to sell their items straight from their homes to save money. Some of their businesses have even grown so that they are now able to rent a separate space to run their small companies. This is a blessing that probably would have not been a reality if not for the large Internet auction service named eBay. eBay is not a dirty word in their vocabulary; it is a spring board to independence and an opportunity for a good way of life. Although some have used eBayââ¬â¢s services to cheat and steal, eBay has started a foundation that helps in communities all across the country. Meg Whitman, president and CEO of eBay Inc. made a statement; ââ¬Å"Giving back to the community has been an essential part of eBay since the very beginning.
Thursday, October 24, 2019
Poem Analysis- Robert Fross; Robert Browning; Anne Bradstreet Essay
Robert Frost, ââ¬Å"Out,Outââ¬âââ¬Å" 1. In line 15, Frost describes the saw as being sinister. He infers that the saw has a mind of its own, by stating that the saw jumped out of the boyââ¬â¢s hand and cut the boyââ¬â¢s hand terribly. Frost also makes it seem as if the saw is in a way, like a friend. He does this by demonstrating that using the saw is an advantage for the boy because it is making his job ten times easier. Without the saw, the boy would spend hours cutting through the wood. 2. In Frostââ¬â¢s poem, the people that surround the boy must be his family. It could also very much be friends, or members of his community, along with the doctor and nurses working on his injury. The tone of the poem leads me to conclude that the ââ¬Å"theyâ⬠in the poem werenââ¬â¢t very surprised or moved by the boyââ¬â¢s injury, or death, because this might have happened before, or they just didnââ¬â¢t care for the boy. 3. Frostââ¬â¢s reference to Macbethââ¬â¢ contributes to my understanding of ââ¬Å "Out, Out-ââ¬Å"that this poemââ¬â¢s theme is about death. From the reference to Shakespeare play, Macbeth, I can expect read about someone dying, an unexpected death. In my opinion, the theme of this poem is the cruel, emotionless, merciless relationships adults had with their children back then in America. Children werenââ¬â¢t given the opportunity to enjoy their childhood. They had many responsibilities and tasks to fulfill. 4. Robert Frostââ¬â¢s ââ¬Å"Out, Out-ââ¬Ëâ⬠resembles the medieval folk ballad, ââ¬Å"Sir Patrick Spence,â⬠in its theme. Both poems are relaying a message about death. In Frostââ¬â¢s poem, the boy acknowledges the fact that he is going to die when he realizes he is losing a lot of blood. In ââ¬Å"Sir Patrick Spence,â⬠the sailor realizes he is coming face to face with death when he reads the letter the king has sent to him. Both of the protagonists in the poems are on the verge of dying a sudden, unexpected death. Robert Browning, ââ¬Å"My Last Duchess,â⬠1. Throughout the entire poem, it is almost impossible allocate who the Duke is addressing. Towards the end of the poem, lines 49-52, it is disclosed that the Duke is speaking to a servant, or worker of a Count. This specific Count seems to have the Duke interest, because he wants to marry the Countââ¬â¢s daughter. The Duke appears to be hosting some sort of gathering in his home. I inferred this from lines 47 and 48. 2. Throughout the poem, the Duke emphasizes on his last Duchess, kindness and flirtatious attitude. In the Dukeââ¬â¢s opinion, and observance, the Duchess was easily impressed, and fulfilled. Everything and anything made her happy. She would always say thank you to anyone, and everyone that would bring her things, or do things for her. The Duke interprets the Duchessââ¬â¢ kindness, and mannered behavior as flirtatious, which leads to his distrust in her. Based on the Dukes description, the Duchess, in my eyes was a well mannered woman. She wasnââ¬â¢t mean, or sought herself above anyone. Which is how he, the Duke wanted her to act. He wished sheââ¬â¢d be a greedier or unfulfilled character. 3. In lines 34-41, the Duke explains why he never sought to confront his Duchess on her behavior. He states he didnââ¬â¢t have the eloquent skills to do so. He claims that he didnââ¬â¢t posses the speech to confront her. ââ¬Å"Whoââ¬â¢d stoop to blame/This sort of trifling? Even had you skill/ In speech-(which I have not)-to make your will/â⬠This in my opinion is a lame excuse. I believe that he was simply afraid of confrontation. The Duke also states that if he had confronted the Duchess on her behavior, she would have made an excuse for her actions. 4. From this poem, I conclude that the Duke himself murdered, or gave orders to murder his Duchess. There is no clear evidence to support this, but I believe it is a clear interpretation. The poet should have included the Duchessââ¬â¢ fate in the poem. It would leave little room to assume her fate. 5. Robert Browning makes a direct connection between the Dukeââ¬â¢s art collection, and the attitude towards his wife. The Duke has the portrait of his wife; his last Duchess displayed in his home, behind a curtain. A curtain, which only he can draw back, or remove. In other words, he, the Duke, controls the Duchess; or he wishes to control his Duchess. The Duke wouldnââ¬â¢t want anyone to see the portrait of his Duchess, with her blushed cheeks, unless he was there. The same can be inferred from the last few lines of the poem, line 54-55, ââ¬Å"Notice Neptune, though,/Taming a sea-horse, thought a rarity,/ Which Claus of Innsbruck cast in bronze for me!â⬠The Duke is implying, that he himself is Neptune, and his last Duchess is the sea-horse. No one could have imagined that a sea-horse could be tamed, but Neptune achieved it. Identical to the way that the last Duchess herself was tamed. Adrienne Rich, ââ¬Å"Aunt Jenniferââ¬â¢s Tigers,â⬠In her poem, ââ¬Å"Aunt Jenniferââ¬â¢s Tigers,â⬠Adrienne is describing the protagonistââ¬â¢s feelings towards her marriage. In lines 9-10, the protagonist feels that she is a prisoner of her marriage, and will only be set free when she dies. The protagonist uses the tigers as a symbol of who she wished she could be. In the first stanza of the poem, Adrienne describes the tigers as being un-fearful of the men. A trait she wishes she possessed. Sharon Olds, ââ¬Å"Rite of Passage,â⬠1. The speaker describes the first-grade boys at her sonââ¬â¢s birthday party as men. Their behavior is pure imitation of the men they have been around. Her description of them is ironic, because how can first-graders realistically be grown men? She also uses the concept of violence a lot in the poem. 2. In the last two lines of the poem, the author compares the first-graders to generals, and states that they are playing war. This is ironic, because she is inferring how (grown) men glorify war. The first-graders are innocent and naà ¯ve to the truth behind war. They donââ¬â¢t understand the sadness, and deaths behind it. To them, it is a reason to celebrate and rejoice. What is even more ironic, are the lines prior to the last two lines of the poem. The speaker quotes what the little boy has said. In line 22, ââ¬Å"We could easily kill a two-year-oldâ⬠. Little boys should not be speaking of death. But just like (grown) man boost up their ego by feeling superior to others and educing violence, these first-graders are doing the same. 3. From line 15-20, the mother describes her son as being innocent. She paints her son to be better than the other first-graders, because she seeks him out to be more mature than they are. Throughout the rest of the poem, due to the speakerââ¬â¢s description of her son, it can be inferred that the speakerââ¬â¢s on is the leader of the group. He is the mediator; the peace maker. Suji Kwock Kim, ââ¬Å"Monologue for an Onion,â⬠1. The tone of this poem is mocking, and judgmental. It implies that humans live their lives chasing false hopes; searching for a truth that does not exist. The poet symbolizes this by using the analogy of shaving an onion to get to its heart; searching for a heart that does not exist. It depicts that humans are hopeless, and helpless. Humans are viewed as lost creatures. The speaker expresses hostility towards the human. It begins to mock humans by describing them as an idiot, thirsty (to find the truth), soulless, foolish, and destined to die. The speaker does this by comparing how a human cuts an onion over and over again, even though the onion makes the cutter cry relentlessly. 2. In line two, ââ¬Å"I mean nothingâ⬠is projected to be interpreted on two ways, ââ¬Å"intendâ⬠, and ââ¬Å"signify. The poet is saying that the onionââ¬â¢s intentions arenââ¬â¢t to make the ââ¬Å"cutter/humanâ⬠cry. As the onion is cut, it forces the cutterââ¬â¢s eyes to fill up with tears. A reaction that is not intended, but occurs automatically. The poet also uses the phrase ââ¬Å"I mean nothingâ⬠to symbolize that the onion feels like it is no one. It feels as if it has no value, or meaning of existence. 3. If someone said this to me, it would prove how close-minded and naà ¯ve they are. Poems generally convey a meaning far beyond what the poem explicitly reads. In poetry, you must read between the lines to understand the underlying significance of the poem. The poet is using the analogy of an onionââ¬â¢s (chemical) reaction to a humanââ¬â¢s tear ducts to deploy how foolish human beings can be, and are. Continuing to cut through an onion, knowing that the onion will force us to cry is foolish. This simple action is identical to human life. Humanââ¬â¢s cut through life searching for a truth they never attain. 4. I personally feel that the author is trying to give everyone a wake-up call in this poem. Suji Kwock Kim is trying to give her readers a few words of wisdom. She is exploring, and revealing a new approach on how one should view the world. Trying to encourage her readers to refrain from what an onion cutter is doing: cutting away at life causing them harm. Anne Bradstreet, ââ¬Å"The Author to Her Bookâ⬠Anne Bradstreetââ¬â¢s poem, ââ¬Å"The Author to Her Bookâ⬠is a complex narrative concerning the conflicting emotions and thoughts an author can have for a piece of literature he or she has written. Through metaphor and personification, Bradstreet examines the similarities between being a parent and being an author. The love, discouragement, and fear that all come into play when something is going to be revealed to the world at large are present in both a parent and a writer. Metaphor is used to relate authorship to parenthood in order to convey to the reader the complex emotions the narrator is feeling about sending a book he or she wrote out into the world. As the narrator points out, ââ¬Å"Thou ill-formed offspring of my feeble brainâ⬠, drawing the parallel between the author and a parent and all of the complicated emotions that go with it (line 1). The narrator refers to the book-child as ââ¬Å"My rambling bratâ⬠, revealing the negative side of the emotion (l ine 7). As a frustrated parent with a child who will not behave, so the narrator feels towards the book because it is not as perfect as he or she would want and the narrator sees this as a reflection upon the author, just as a parent would see a naughty child as a reflection on themselves. But later the narrator writes, ââ¬Å"Yet being mine own â⬠¦ affection would thy/Thy blemishes amendâ⬠demonstrating the conflicting emotions associated with love (lines 10-11). The metaphor of the book as a child reflects the conflicting emotions of the narrator as the book is seen as an extension of the narrator, just as a child is seen as a reflection of a parent. Personification of the book as a child creates empathy within the reader and makes it easier for the reader to relate to the anguish and love felt by the narrator. ââ¬Å"I washed thy faceâ⬠the narrator writes, speaking to the book, giving it life even as the bookââ¬â¢s qualities as an inanimate object are examined (line 13). The narrator cares for the bookââ¬â¢s presentation to the world just as a parent would care for the presentation of a child to the world. ââ¬Å"I stretched thy joint to make thee even feetâ⬠the narrator writes, emphasizing the care needed for the book (line 15). The personification of the book and the metaphor of the book as a child work together to give the reader a full and complete understanding of the complex emotions felt by the narrator towards the book. The understanding needed and the guidance required to make the book the best possible so that it reflects well on the narrator is cast in light of parenthood and the ways in which a parents must care for and bring up a child. There is shame and the love that go along with an imperfect child, but it all is ultimately overshadowed by the pride felt in the final product.
Wednesday, October 23, 2019
Stress Management and Its Causes
Stress is a term used by many, is somewhat misunderstood, and often used to describe a negative condition or emotional state. People experience various forms of stress at home, work, in social settings, and when engaged in activities to simply have fun. Police officerâ⬠s experience stresses the same as others, but also in ways much different than the average citizen. The dangers, violence, and tragedy seen by officers result in added levels of stress not experienced by the general population. What is stress? Stress is not a new phenomenon, it has been experienced throughout history. Stress is a biological response to some stimulus. Fear, panic, anger, tragedy and especially pressure can cause it. Stress can result in the competitiveness needed to succeed in business, relationships, sports, and education. Is stress bad or good? It is both. Good stress is manageable stress an can actually heighten your performance in certain situations. Bad stress is unmanageable stress and lessens your performance because itâ⬠s too much to bare. Police work, by its nature, calls for an incredible amount of continual stress. The demands on police officers to show greater restraint has been increasing over the years and has increased the effects of stress on police work. Todayâ⬠s police officer is now more than ever in the public eye. He now must think about consequences before his actions in every situation. If we take a quick overview of police work and look at the research we can see what are some of the biggest stresses. Having your partner killed in the line of duty, lack of support by the department and bosses, shift work and disruption of family time/ family rituals and the daily grind of dealing with the scum of society. All of these factors add up and lead to high rates of cancer, heart disease, and suicide for police officers. We are becoming all too familiar with police suicide especially with the attention it gets from the media. In New York City twice as many police officers die by their own hand than in the line of duty. Stress is put to blame for this. Every study done indicates that police officer face a much higher level of stress. For suicide there are four main factors: 1. Divorce 2. Alcohol 3. Depression 4. A failure to get help. All four factors are symptoms that can stem from an officerâ⬠s stress levels. An officer who got into trouble on the job, suspension or termination is seven times more likely to commit suicide. Police suicide is more directly linked to relationship problems which in turn is linked to job stresses. Of the last fourteen suicides of police officers in New York City eighty-six percent had just had a divorce or relationship break-up. Police officers going through a divorce are five times more likely to commit suicide than officers who have a stable relationship. Relationship problems are highly related to job stress. In fact, studies have called police work to be a ââ¬Å"high riskâ⬠lifestyle not because of physical danger, but high risk in developing attitude problems, behavioural problems, drug problems, and intimacy and relationship problems. These studies also show that police suffer from a substantially higher divorce rate ranging from sixty to seventy percent higher than normal couples. The medical community has attributed stress to such biological responses as heart malfunctions, blood pressure variations, gastrointestinal disorders, cancer, depression, muscular discomfort, strokes, and a host of nervous system related problems. For the police officer, biological consequences can represent more long term concerns, but the short term results are the most profound. Stress of the magnitude that affect an officerâ⬠s reaction time (increased or decreased) can seriously inhibit their ability to perform a vital action. An unrealistic increase could result in overreacting in confrontational situations, while a decrease could result in a serious injury or even death. Forty-three percent of all adults suffer from adverse health affects due to stress, seventy-five to ninety percent of all physician office visits are for stress related ailments and complaints. Stress is linked to the six leading causes of death, heart disease, cancer, lung problems, accidents, cirrhosis of the liver, and suicide. Stress is a combination of physical, mental, and emotional feelings that result from pressure, worry, and anxiety. These pressures are called stressors. Some examples of common stressors are, divorce, death in the family, job change, pregnancy, marriage, and retirement. In medicine stress is a physical, chemical, or emotional development that causes strains that lead to physical illness. The early warning signs of stress include apathy, anxiety, irritability, mental fatigue, and over compensation or denial. Some signs of apathy are feelings of sadness or recreation that isnâ⬠t fun anymore. Feelings of restlessness, agitation, insecurity and a sense of worthlessness are examples of anxiety. Signs of irritability are feeling hypersensitive, defensive, and arrogant. Feeling argumentative, rebellious, or angry are also signs of irritability. Examples of mental fatigue are denying that there are problems, ignoring symptoms, and feeling suspicious. Some behavioural signs of stress are avoiding things, doing things to extremes, administrative problems, and legal problems. Avoiding things includes keeping to oneâ⬠s self, avoiding work, having trouble accepting responsibility, and neglecting responsibility. Examples of doing things to extremes are alcoholism, gambling, spending sprees, and sexual promiscuity. Some administrative problems are being late to work, poor appearance, poor personal hygiene, and being accident prone. Possible legal problems are shoplifting, traffic tickets, and an inability to control violent impulses. Some physical signs of stress include excessive worrying about illness, frequent illness, and physical exhaustion. Reliance on medication including remedies like aspirin is a physical sign of stress. Ailments such as insomnia, appetite changes, and changes in weight are also physical signs of stress. Indigestion, nausea, and nervous diarrhoea, are also physical signs. Stress can be confusing. There are some myths surrounding stress. One myth suggests that stress is the same for everybody, this is not true. What is stressful for one person may or may not be stressful for another. Some people seem to think that stress is everywhere, so there is nothing a person can do about it, this is also not true. A person can plan their life so that stress doesnâ⬠t overwhelm them. Another myth is that stress is always bad for a person. This is not rue because managed stress makes people productive and happy. Some people think that only the major symptoms of stress require attention. The minor symptoms are the early warnings that a better job of managing stress is needed. There are four types of stress. There is acute stress, episodic acute stress, chronic stress, and traumatic stress. Each type of stress has its own characteristics, symptoms, duration, and treatments. Acute stress is the most common type of stress. Acute stress comes from demands and pressures of the recent past and anticipated demands and pressures of the near future. Acute stress can lead to psychological distress, tension headaches, upset stomach, and other symptoms. Some examples of stressors that can cause acute stress are, an auto accident that crumpled the car fender, the loss of an important contract, a childâ⬠s occasional problems at school and so on. Acute stress doesnâ⬠t have enough have enough time to do the extensive damage associated with long term stress. Some of the most common symptoms of stress are emotional distress, muscular problems, stomach problems, and transient over arousal. Emotional distress includes anger, irritability, and anxiety. Muscular problems such as tension headaches, upper and lower back pain, and jaw pain are also symptoms of stress. Other symptoms are stomach, gut and bowel problems. Heartburn, acidic stomach, ulcers, flatulence, diarrhoea, constipation, and irritable bowel syndrome are examples of these problems. Transient over arousal is another symptom of stress which leads to elevation in blood pressure, rapid heartbeat, and sweaty palms. Heart palpitations, dizziness, and migraine headaches can also result from transient over arousal. Symptoms like cold hands or feet, shortness of breath, and chest pain are also common. Episodic acute stress is common in people who suffer from acute stress. These peopleâ⬠s lives are so unorganised that they are constantly in a state of chaos and crisis. They are always in a hurry, but they are always late. If something can go wrong in their life it usually does. Often these people describe themselves as having a lot of ââ¬Å"nervous energy.â⬠Another form of episodic acute stress comes from non stop worry, they are always worried about something going wrong. The symptoms of episodic acute stress are persistent tension headaches, migraines, hypertension, chest pain and heart disease. The treatment of episodic acute stress requires intervention on a number of levels, generally requires professional help, and may take many months. Sufferers are usually resistant to any kind of change. Chronic stress is the grinding stress that wears people away day after day after day. It destroys minds, bodies, and lives. Chronic stress comes from when a person doesnâ⬠t see a way out of a miserable situation. The worst part of chronic stress is that people get used to it and forget that itâ⬠s there. Chronic stress kills by means of suicide, violence, heart attack, stroke and cancer. The symptoms of chronic stress are hard to treat and could require a lot of medical and behavioural treatment, therapy, and stress management. Traumatic stress is a special kind of chronic stress, known as post-traumatic stress disorder. It is caused by trauma that is not handled correctly. Some examples of traumatic experiences are, accidents, rape, abuse of any kind, natural disaster, and the death of a loved one. The symptoms of PTSD are flashbacks, over arousal, emotional numbness, and emotional outbursts. People with PTSD suffer from problems with concentration, controlling impulses, and decision making. The long term consequences of PTSD are depression, anxiety, behavioural disorders, multiple personality disorders, and suicide. There are three basic strategies for dealing with stress at the source. The first strategy is altering situations to make them less stressful. Avoiding stressful situations is the next strategy. Accepting stressful situations is the other basic strategy in dealing with stress at the source. Each strategy has itâ⬠s disadvantages and itâ⬠s advantages. Itâ⬠s up to every person to decide which one to use with which situation. The tougher a personâ⬠s resistance to stress is, the more stress they can take. There is a lot people can do to maximise their resistance to stress. People have resources to help them handle stress, these resources include familial and financial resources, social and spiritual resources, as well as personal resources. They can also develop good health habits and get rid of bad health habits to help build up a resistance. Following these guidelines in a personâ⬠s life is a good way to increase their resistance to stress. Eat at least one hot balanced meal per day. Improving a personâ⬠s nutritional habits makes them less susceptible to stress. Limiting a person to less than three caffinated drinks per day helps to improve their health and their susceptibility to stress. Give and receive affection regularly. Research shows that people who give and receive affection regularly, live longer and are healthier. Have at least one relative within fifty miles. Family is one of the best ways of reducing stress. Regularly attend social activities. Friends a person meets can provide a support network for good and bad times. Have a network of friends and acquaintances. A strong social network helps fight off feelings of loneliness, isolation, and despair. Have one or more friends to confide in about personal matters. Close friends boost a persons mental health just by being there. Exercise the point of perspiration at least three times a week. Exercise leads to fitness and people who are fit handle stress better. Being the appropriate weight is important not only for health reasons but for self esteem as well. Be in good health is important because a personâ⬠s health is their first line of defence against stress. Get seven to eight hours sleep as often as possible. Lack of sleep leads to exhaustion that harms a personâ⬠s health and productivity. Do something fun at least once a week. Doing something just for the fun of it improves a personâ⬠s resistance to stress because it takes your mind off your problems. Speak openly about your feelings when you are angry or worried. As one can see, stress is a combination of feelings that have different effects on peoplesâ⬠health, and also there are many different ways to build resistance to it so it will not ruin your life.
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