Thursday, October 31, 2019

Current event summary Essay Example | Topics and Well Written Essays - 500 words

Current event summary - Essay Example The President was addressing a Congress sobered by the assassination attempt against Rep. Gabrielle Giffords and he made use of â€Å"his best chance of the year to connect with the country† to prove to the nation about his vision of economic revival. Thus, Obama devoted most of his prime-time to deal with the issues of the economy which is now reeling from a monster recession. (Feller, 2011). In his address to the Congress, President Obama clearly outlined his broad strategy for the economic growth of the nation in spite of the current issues of the struggle. The President maintained that both the Democrats and Republicans need to work together to keep the nation a competitive and stimulating economy. Addressing the issues of the economy and the strategies to overcome these, President Barack Obama emphasized the need for unity in a new era of divided government. In this speech, the President addressed his key plans to boost the economy, create jobs and cut spending, and his m ajor endeavor was to persuade the emboldened Republican Party which is deeply skeptical of the President’s plan for economic revival.

Tuesday, October 29, 2019

A reflection on the care of a critically ill patient Essay

A reflection on the care of a critically ill patient - Essay Example Physicians are expected to make proper clinical assessments to determine whether failures are reversible or irreversible to determine the kind of decision to make. Such assessments are useful on determining whether to withdraw treatment, the kind of therapy to apply and many others. There are a lot of controversies that surround the aspects of managing MOF. This is due to the reason that there is no known treatment cause to be taken on patients with the complication. The field lacks proper research and controlled studies that will aid in giving proper care. Instead, the current methodologies in the treatment and care of MOF patients suggest the application of different immunotherapy patients which are often full of mistakes and inapplicable in some cases. Many players in this field also rely on information from laboratories and at times, many have accepted the use of unproved interventions to control the complication. Further, the field of MOF management lacks definitive diagnostic p recisions and this has been a major discouraging factor (Jevon $ Ewens 2007). All the above problems experienced in this field greatly contribute to the current lack of principled and well-defined rules to follow during patient management. This has made it difficult for physicians to realize what should happen when certain situations come up. This is one of the problems that one can identify when working with others in the area. Mostly, individuals apply what they think is right at certain times and expects families to consent to their determinations. Further, complications such as systematic inflammatory response syndrome (SIRS) and multiple organ dysfunctions (MOD) presents complications that are difficult to identify and this has further worsened the situation in ICUs dealing with critically ill patients (Jevon $ Ewens 2007). Despite the above challenges, there have been multiple developments made concerning the issue of MOF. Further research has been able to make progress in det ermining the physiology of SIRS; the leading cause of multiple organ failure. Major pathophysiological mechanisms that are within the inflammatory conditions of MOF have been developed with better definitions of sepsis, SIRS and MODS. Health practitioners have made progress in ensuring the prevention of organ failure by ensuring optimum circulation and faster correction of hypoxia of tissues experienced by patients in high-risks. All these developments have been important in ensuring effective care to the patient. Application of the knowledge from the pathophysiology of SIRS, sepsis and MODS helps in the determination of the best methods as regards the care of patients. This paper will reflect on the self experience of taking care of a patient with a multiple organ failure. It will define the best methodologies for application under certain situations that can complicate the process of care to the patient. My experience as regards this issue is of a 57-yr old man who was found colla psed by his wife. Examination of the man recorded some existence of SIRS, the main observation being spontaneous breathing. Initial management was immediate intubation within the ambulance fifteen minutes after the arrival. He was admitted on hospital where a follow up of examinations were done to ascertain the cause and extent of the complication. A scan of the head was done which showed normal functioning at first instances. However, extensive coronary calcification was noted on the

Sunday, October 27, 2019

Poetry on War An Analysis

Poetry on War An Analysis Opening with Auspices, an astonishing performance by Susan Mason which straightaway reminds of the African workers singing blues in 19th Century South American coltures, Poets on War clearly committed to the sufferings of war and imprisonment from the very beginning. Held on 1st February 2017 at the Southbank Centre, London, as part of The Poetry Librarys special edition, which takes place every first Wednesday of the month, the event was based on the participation of four contemporary poets, Ruth OCallaghan, Adnan al-Sayegh, Jenny Lewis and Hylda Sims, who tried to look at war with the sentiments of horror, sympathy and humour. As a result of a splendid collaboration between the diversity of such poets and their poems and the way they decided to lead them, the event immediately took the shades and the features of the so-called world literature, moving from London artistically and linguistically for a couple of hours. Ruth OCallaghan and some extracts from her collection Vortices (Shoestring, 2015) directed the first part of the evening. Approaching the idea of war and borders between countries and people, Ruth discusses and traces conflicts from bibical times to present day, raising the thought-provoking reflection that war has been an unfortunate constant in human beings lives and that poetry has followed it, giving voice to its effects and consequences. Hotel Owner is the poem that opens the first section and meditates on the idea of the hotel as a country without boundaries, in which people could feel safe, live and escape the world outside. 1914, on the other hand, treats the more technical part of the war, accounting for the ways in which slaughters have been perpetrated over history and particularly how death had different ideas in 1914. However, the most interesting points came out from Meine Liebe Mutter, which outlines the horrors of the war touching sensitively and respectfully the theme of son-mother relationship on the background of the Second World War. In concentration camps death had become ordinary and Ruth profoundly describes how the prisoners used to confront it: we never turned our face against the enemy, as killing is an intimate act. This striking idea of a connection between victim and murderer had a chilling impact on the whole audience: it placed a real difficulty in deciding with which part the reader would s ympathise. The relation established is so close but we are still so far from understanding the private, perpetual awareness of death. At last, before ending accompanied by a singing duet by Susan Mason and Emelia Lederleitnerova, Ruth quoted Tony Blair in his famous 1997 victory speech in which he claimed that his would have been the first generation ever not going to war or sending their children to war: as the poet observed after, he did not make the dream last long, declaring war on Talibans in 2001 and giving life to a new generation of soldiers and war poets. The second part of the event left space to the distinguished Iraqi poet-in-exile Adnan al-Sayegh. Experienced imprisonment during the Iran-Iraq war and sentenced to death in 1996 for the publication of the poem Uruks Anthem, Adnan took refuge in Sweden and has been living in London since 2004. His poetry, translated in several languages, is actively political and set against oppression and injustice, demonstrating an intense passion for freedom, love and beauty. In Poets on War, he gave the audience the pleasure to hear his lines recited in Arabic, their original language and then read out loud in translation thanks to the collaboration of Jenny Lewis, writer and teacher in poetry at Oxford University. Adnan transported the audience into another world: the melodic sound of Arabic was incredibly effective in trasmitting the sufferings and despair of the Iraqi experience and gave the event a touch of powerful originality. Delivering the message in the original language, the poet made clear how feelings such as pain and fear are universal and how languages and cultures become a way to make their acquaitance under different perspectives. Wars have broken out terribly equally everywhere and have made people escape their homelands in search of safer places, devastating lives and families: if nowhere is immune to war, then, as it was remarked in Second Song to Inanna/Ishtar, Let poetry be our country. The Iraqi poet actively shared the stage with two wonderful women: Jenny Lewis, who collaborated with him and participated with some poems of hers and Hylda Sims, who elegantly challenged all the skeptics who claim that war cannot be approached with any kind of humour. Gripping her guitar under her arm, she started singing her famous Bin Laden: Bin Ladens in my garden outside Canada Square!Shall I bring him a cup of tea?Im afraid hes got to go! Making the atmosphere lively and vibrant, Hylda gave a huge contribution to the structure of the event: she offered a new modern view on the theme of war by also incorporating the genre of the song and involved the audience in it teaching them her version of Adnans Sketch to sing, which made the small library look much more familiar. Besides being the elder component of the troop of Poets on War, her voice and tone proved to extremely grasp our times with consciousness, from the side of common people. Introducing her poem 21st Century War, which is very much about the 11th September 2001 terroristic attack, Hylda made a salient point about how war is still thriving around us but we are not always directly aware of it, even when we see its brutal consequences: as the events programme stated, The 21st century appears to already have equalled previous centuries for death, displacement, terrorism, political misjudgement and religious conflict and we as historical witnesses should keep a better pace with it. Overall, meant to be a travel in war poetry, this reunion of thoughts successfully caught the attention of the audience by mentioning contemporary and modern issues and by involving them in a friendly, accessible musical environment.

Friday, October 25, 2019

History Of Cleveland :: essays research papers

Cleveland, Ohio has been in existence for 203 years. There are more than 500,000 people living in Cleveland, yet few know about its past. In this paper, I am going to take you along as I tell you the history of Cleveland.   Ã‚  Ã‚  Ã‚  Ã‚  On July 4th 1796 the Connecticut Land Company sent out a search party to find new land. General Moses Cleaveland headed this search party, and on July 22nd of 1796 they found their new land, naming it Cleaveland after the leader of the search party.   Ã‚  Ã‚  Ã‚  Ã‚  The beginning of the population was predominately white. In 1800 the population of Cleaveland was what now would be an unheard of 7. In 10 years however the population grew to 57, 10 years following that increasing by almost %1100! What did 1840 now spell, as â€Å"Cleveland† was the 45th largest city in the nation at 6,071 people. Decade by decade Cleveland grew, becoming more of a populated city then others. Just 40 years after being the 45th largest city in the nation it was the 12th. When the 20th century came around Cleveland was proud to be the 7th largest city in the nation with 381,768 people. Although Cleveland never became the largest city in the nation, the closest they got was 5th with 900,429 people. Interesting enough, even though that was the highest position Cleveland ever got, that wasn’t the highest the population ever was. In 1950 the population was 914,808 which put them in 7th place.   Ã‚  Ã‚  Ã‚  Ã‚  With large populations came major events. The first major event for Cleveland is one that now is a regular occurrence. A year after it was founded, the first wedding was held in the settlement of Cleaveland. In 1803 mail service was extended to Cleveland making the town able to communicate with the rest of the nation. In 1810 the first doctor arrived, followed 3 years later by the first courthouse being built. Some things even happened that are still around today, such as the bridge across the Cuyahoga River and Ohio and Erie Canal. Newspapers were established and the Old Stone Church that is still standing was built in 1820. The first street light, which is now seen everywhere, was placed in 1849. In 1866 the Cleveland Police Department was established, which like the street light is still seen today. The first phone company began service in 1880, giving people another way to communicate.

Thursday, October 24, 2019

Recycling Plastic

Recycling plastic will help save our natural resources. 1. With the increasing human population the needs for the people also increases. But the point of concern is that are there enough natural resources to service all your needs. What if these resources finish, this is one thing we need to ponder upon. Plastic is one of the most used materials in the world. Majority of the items we use daily are made out of plastic. For example like water bottles, cups, tables and chairs, etc. Plastic is harder than paper and lighter than metal. It’s cheap and convenient.Because of these advantages, usage of plastic has increase rapidly over the years. We need to start recycling waste to converse our natural resources. Recycling is simply the process of reusing the items from which utility can still be derived. It is important to recycle waste so that you can at least converse some of our natural resources for our generations to come. The United States must mandate recycling programs in all private and public places to protect the future of our planet. Recycling is one of the keys to a sustainable future. Many products such as paper, cardboards, and cups come from trees.In fact trees are our natural assets, you can converse trees by recycling the paper products we can minimize the number of trees cut down a year. This is one form of waste recycling. One should understand and know the importance of recycling waste materials. One simple benefit of recycling is it saves our resources. It will be wise to reuse metal item as metal reserves may be depleting. You can sold your wore out metal items for recycling. As mentioned earlier, recycling of waste papers can save our forests. Recycling helps protect precious natural resources.When used goods like paper, plastic and glass are recycled, manufacturers can use the recycled material to make new products instead of having to constantly extract more raw materials. The more recycling occurs, the fewer virgin resources need to be processed to make consumer goods. 3. Recycling waste not only save our natural resources but also help save energy. In most cases, recycling requires less energy than producing goods from virgin resources. These energy savings tend to accumulate over time: many products can be recycled multiple times before being sent to landfills, while other products, like glass, can be recycled indefinitely.Since industrial processing and transportation are largely powered by the burning of fossil fuels, the energy savings produced by recycling translate into lower rates of greenhouse gas emissions. By simply recycling an item or making a basic fix to it, we can we save all the energy that would have been consumed in the process of making it. The same example can be taken with plastic items. A large amount of energy can be saved by simply reusing the plastic items. To recycle waste is to simply reduce pollution. By recycling plastic material we can reduce air pollution as well as water pollution .Plastic factories produced large amount of smoke when producing plastic material at the same time if we don’t have proper waste disposal system those waste emissions will cause water pollution. Recycling waste in a way helps reduce pollution. 4. There are some obvious benefits to the environment when we recycle our waste products. One being that less of our waste ends up in landfills and littered around the streets which ultimately ends up in the ocean. This prevents animals from eating and getting caught in the waste.It also means less land needs to be cleared to make way for garbage dumps. Recycling prevents habitat destruction, loss of biodiversity, and the soil erosion that is associated with logging and mining, leaving the environment in its natural state. Recycling products such as paper means that fewer trees need to be cut down to meet the paper demands of the world. Every ton of paper recycled is 17(seventeen) less trees that are cut down. By recycling we conserve o ur natural resources such as timber, water and minerals making sure those in years to come we have these resources to use and enjoy. . In simple words, recycling or recycling waste is essential to both natural environment and humans. To sum up, recycling minimizes the need for raw materials so that the rainforests can be preserved. Great amounts of energy are used when making products from raw materials. Recycling requires much less energy and therefore helps to preserve natural resources. One needs to know the importance of recycling at the same time being earth friendly can help our planet a better place to live in.

Wednesday, October 23, 2019

Causes of Childhood Obesity Essay

Causes of Childhood Obesity Childhood Obesity has become a growing problem with children today. Obesity now affects 17% of all children in the United States-triple the rate from just one generation ago (CDC). There are multiple reasons that more and more children are becoming obese. The decrease in physical activity, along with increased amounts of television, computers, and video games is one. Higher calorie and sugar intake is another reason for the rising numbers. Childhood obesity is a major concern for the next generation. If the public is not educated on the dangers of childhood obesity it will continue to increase and endanger the lives and future of the children of the tomorrow. Why is the obesity increasing in today’s youth? More families have both caretakers working outside the house now than in the past years. Which means that children are more likely to get driven to school rather then walk or ride their bikes and after school it either leaves children home by themselves, or at after school programs. One third of children are not getting the recommended levels of moderate or vigorous activity, 10 percent are completely inactive (IOM). Children of today are spending more and more time sitting inside not doing anything physical compared to a few generations ago. They are also taking in too many calories due to the larger portion sizes, and high sugar intake. In the last, few years schools are trying to or already have succeeded in decreasing the amount of recess or play time the children have during the day, along with cutting after school sports and activities (HHS). Only about one-third of elementary children have daily physical education, and less than one-fifth have extracurricular physical activity programs at their school (YRBSS). Forty years ago, kids had playing fields to play on, parks to run around, there was no problem with traffic so they used to go out on the street to play, but that was the past (Fiona MacRae). Today, kids come home because they do not have, or cannot get to a park, or recreation center, and it is not as safe to play outside as it was years ago so there is no physical activity. Without regular daily cardio exercise, studies have shown that children are putting themselves at risk for more heath related problems, which can lead to shorter lifespans. The way children eat today is much different from even one generation ago. Children are taking in more calories, sugars and eating more foods that are less healthy. Since parents are working when children come home after school, there is no one to monitor what or how much they are eating. Families are also not eating as healthy as they were in the past. Children are eating dinners that are microwaved, or come out of a box; they are eating â€Å"Supersized† fast food meals that have little no nutritional values. School lunch programs are also to blame for the rise in the numbers of overweight children. Research has demonstrated that buying lunch at school significantly increases the risk of becoming overweight. The pervasiveness of school a la carte and vending programs that sell foods and beverages that are high in calories and low in nutrients is well-documented. However, the food provided is constrained by budgetary and regulatory issues largely external to public health concerns. US Department of Agriculture guidelines require school food programs to provide minimum quantities of specific nutrients over a 3- to 7-day span but do not address maximum food amounts (Wilkinson). Television is playing a big part on how and what are children are eating. They see commercials for drinks that sound and taste good, but the reality is that are loaded with sugars and High consumption of sugar drinks, which have few, if any, nutrients, has been associated with obesity (Vartanian). Thirty years ago, a bottle of Coke was 10 ounces. Today, a kid can get a 64-ounce Big Gulp and when inflation is taken into account, it is cheaper. â€Å"Economically, we really encourage people to over consume,† Stang says. She compares portion sizes in 1957 and today: hamburger patties have gone from one ounce to six; muffins have gone from 1 1/ 2 ounces to half a pound; and movie popcorn has ballooned from three cups to 16 (Cross). Academically, childhood obesity affects how children preform in school. When compared with children who were never obese, boys and girls whose obesity persisted from the start of kindergarten through fifth grade performed worse on the math test, starting in first grade, and their lower performance continued through fifth grade. For boys whose obesity emerged later (in third or fifth grade), no such differences were found, and for girls who became obese later, poorer math performance was temporary. In addition, for girls who were persistently obese, having fewer social skills explained some part of their poorer math performance. In addition, for both boys and girls who were persistently obese, feeling sadder, lonelier, and more anxious also explained some of their poorer math performance (. Childhood obesity can lead to serious short and long-term health conditions, physical and psychological illness as well as a lower quality of life. Obese children are more likely to have respiratory disease, cardiovascular disease, such as high cholesterol or high blood pressure, type 2 diabetes, as well as ear nose and throat conditions. As obese children get older, they have a greater chance of becoming obese adults, which leads to heart disease, stroke, and several types of cancer (Deckelbaum). The immediate consequence of being overweight as perceived by children themselves is social discrimination and low self-esteem. In a recent, study by Schwimmer, et. al. 2003), obese children rated their quality of life with scores as low as those of young cancer patients on chemotherapy. In the study, 106 children aged 5 to 18 filled out a questionnaire used by pediatricians to evaluate quality of life issues. Children were asked to rate things like their ability to walk more than one block, play sports, sleep well, get along with others, and keep up in school. The results indicated that that teasing at school, difficulties playing spo rts, fatigue, sleep apnea and other obesity-linked problems severely affected obese children’s well-being.