Saturday, December 28, 2019

An Analysis of The Thurber Carnival Essay - 1094 Words

An Analysis of The Thurber Carnival The Fables for Our Time contained in Thurbers The Thurber Carnival are, in my opinion, particularly good examples of a writer successfully breaking frames in order to create humor and satire. In this essay I am going to explore the main methods Thurber uses to create humor and satire in the fables The Shrike and the Chipmunks and The Unicorn in the Garden2. Firstly though, what do I mean by the broken frame? This is a reference to the idea that the violation of our frames of reference, and the recognition of the incongruity caused by it, is the basic element of humour. If the incongruity needs to be explained, the humour will be lost. Kant expresses this idea when he says†¦show more content†¦To be sure, the female chipmunk had not been gone three nights before the male had to dress for a banquet and could not find his studs or shirt or suspenders.5 Both of these fables are part of the twist in the tale tradition. They lead the reader into expecting one type of ending and then provide another, in this case in order to create a humour. In The Shrike and the Chipmunks, the lady chipmunk espouses all of those old wives sayings that are generally considered to be commonsensical. You cant be healthy if you lie in bed all day and never get any exercise, the chipmunk wife tells her husband6. The irony here is that by being forced from his bed the male chipmunk becomes the prey of a shrike. Thurbers twist is that we tend to believe that the wifes advice is right - early to bed early to rise makes a man healthy wealthy and wise, but in the chipmunks case, following this maxim was a death warrant. The moral at the end provides the final laugh. It is in fact an altered version of the maxim quoted above. Early to rise and early to bed makes a male healthy wealthy and dead.7 It is the familiarity of the one, compared with the changed emphasis of the other, that breaks the frame of our experience and provokes our laughter. This is a satirical laugh. The new version of the maxim exposes the unthinking trust we put in a lot of sayings - deserved or not. The Unicorn in the Garden has a similarShow MoreRelatedwisdom,humor and faith19596 Words   |  79 PagesCervantes (author of Don Quixote), and the Englishman Shakespeare as the three great writers of this early era when humor often reflected wisdom. He also mentions the Dutchman Erasmus’s In Praise of Folly (1509) as â€Å"one of the greatest creations of carnival laughter in world literature.†11 Since Erasmus comes first chronologically, let’s start with his book. He depicts Folly as a goddess addressing her devotees. She begins with the presumption that folly is shared by all humans. Through her, Erasmus

Friday, December 20, 2019

Free Blacks During The Antebellum A Comparative And...

Free Blacks in the Antebellum: A Comparative and Analytical Study of Free Blacks in Louisville New York City Stokely Carmichael famously said, â€Å"We have to fight for the right to invent the terms which will allow us to define ourselves and to define our relations to society, and we have to fight that these terms will be accepted.† Preceding his statement over 150 years, newly freed blacks began to assimilate into the white-dominated society of the United States. While slavery still dominated in the southern part of the country, blacks in the north began to be freed during and after the American Revolution. While there were instances of free blacks in southern society, as demonstrated by the case study of Louisville, KY, this newfound freedom was commonly seen throughout the northern states, such as New York City. It seems ludicrous to think that while the brutality of slavery increased with Cotton Kingdom, many blacks were beginning new lives as free citizens of the United States of America. Howev er outlandish, census data confirms that free slaves did indeed exist and were becoming a part of life in metropolitan America. This rural-to-urban migration pattern makes sense, though, as these newly freed blacks settled away from the urban places that were forced to call home for nearly a century. A comparative analysis of a northern city, New York City, and a city of the upper-south, Louisville, not only validates this rural-to-urban migration, but also demonstratesShow MoreRelatedOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesMeyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. Black, ed., Modern American Queer History Eric Sandweiss, St. Louis: The Evolution of an American Urban Landscape Sam Wineburg, Historical Thinking and Other Unnatural Acts: Charting the Future of Teaching the Past Sharon Hartman Strom, Political Woman:

Thursday, December 12, 2019

Nursing Care Practices For The Management Of Embolic Stroke - Samples

Question: Discuss about the Nursing Care Practices For The Management Of Embolic Stroke. Answer: Introduction The current assignment focuses on thenursing care practices for the management of Embolic stroke. Embolic stroke could be referred to the condition when a blood clot which forms elsewhere in the body travels to the brain via the blood stream. It blocks the adequate supply of blood to the brain leading to ischemic stroke. This cuts off the required amount of oxygen and nutrients from reaching the brain. Some of the factors which further increase the chances of contraction of the disease are- being over 40 years of age, possessing autoimmune disease such as diabetes, presence of heart disease (Holmes Jr et al., 2015). Cerebrovascular accidents (CVA) are one of the biggest killers in Australia. It has been found that 80% of the strokes could be prevented which in turn adds up to a sufficient amount of healthcare costs (Mozaffarian et al., 2016). Therefore, effectivenursing care could be designed for control and management of the condition of the patient. The assignment discusses in deta il the efficacy of evidence based pharmacological intervention methods. Patient background In the current assignment we have focussed upon medication management and nursing care for embolic CVA. For designing of an effective care management the patient background needs to be taken into consideration (Hart et al., 2014). Here, the patient was a 58 year old man named John who had been brought and admitted to the hospital on grounds of feeling numbness in his rights hands along with speech difficulty and light headedness. He worked as a construction site engineer with Quality enterprises and solutions located in the Osborne region of New South Wales. As reported by his family John had normally reported to work for the day. However, he started feeling uncomfortable in the afternoon and was unable to work till he started feeling dizzy and had numbness in his right arms. Later he was admitted the daffodils hospital on encountering blurred vision, slurred speech. Reason for admission John had been feeling dizzy at his place of work and had difficulty in breathing. He later on developed slurred speech and blurred vision which made work difficult for him. His fellow workers felt that he needed immediate medical intervention and got him admitted to the hospital. John was immediately attended by a resident doctor. He reported that John had poor pulse rating, high BP along with slow breathing. The patient also reported signs of face muscle twitching along with slurred speech. Therefore, based upon these symptoms he was shifted to the medical examination room. Diagnosis Based upon the range of a number of clinical symptoms such as slurred speed, blurred vision, numbness in the right hands which gradually spread to the entire arm along with face muscle twitching and dizziness, John was suspected of embolic stroke. The tool used in order to access the condition of the patient was the FAST framework. Here, FAST stands for face, arms, speech and time. Here, the patient exhibited constant face muscle twitching along with difficulty in raising both his arms straight. Therefore, the preliminary diagnosis was given that the patient might be experiencing an embolic stroke. Therefore, the patient was suggested a blood test a along with CT scan. The CT scan confirmed the presence of ischemic stroke in the penumbra region of the brain. Past medical history The diagnosis of the past medical history of the patient plays a crucial role in the designing of effective care treatment for the patient. Here, John had a past history of hypertension and high blood cholesterol. On further investigations, it was found that he had previously fallen unconscious in his place of work an had to be given artificial oxygen. Therefore, based upon the past history of hypertension the patient was put under emergency care for embolic stroke symptoms management and prevention. A-E assessment of the patient with expected findings typical of embolic stroke An A-E assessment of the patient was conducted for analysing the physical condition of the patient. Here, A refers to airway, B for breathing, C for circulation, D for disability and E for exposure. Attributes Effects A- Airway The patient had difficulty in breathing stressing upon the need for mechanical ventilation. Once the airway had been inserted into the patient the see-saw movement of the chest stops in the patient. B- breathing The patient recorded SpO2 level of 84% which is comparatively low whereas the normal SpO2 is expected to remain somewhere between 94% to 99% .The falling of the SpO2 level below 84% point towards the administration of artificial oxygen support. C-circulation The patient recorded high blood pressure along with difficulty in breathing. D-disability The patients had slurred speech and difficulty in talking. He could only answer to the inquiries made by the doctor by making eye gestures. E- exposure The patient further recorded temperature around 38.2 degree centigrade which was slightly higher than the normal. Preliminary diagnosis: The patient could be suffering from an embolic CVA. Pharmacological treatment for embolic stroke The pharmacological treatment for stroke could be divided into- stroke-specific treatment and stroke prevention. As commented by Ruff et al. (2014), the treatment process further varies depending upon the nature of the stroke whether it is ischemic or hemorrhagic. Some of the pharmacotherapeutic options are tissue plasminogen activartor (tPA) and antiplatelet agents. It was found that the ones receiving tPA were more likely to have minimal or no disability after several months of treatment (DeBaun et al., 2014). Anti platelet agents such as aspirin have been found to be effective for the treatment of acute ischemic stroke. The aspirin therapy should begin within 24-48 hours of the acute ischemic stroke (Berkhemer et al., 2015). The secondary treatment addresses the prevention of recurrences of the symptoms of stroke by controlling some of the metabolic risk factors namely blood pressure and lipids. The use of diuretics along with angiotensin converting inhibitor enzyme has been seen to be beneficial. Evidence based rationale for medication and nursing care The medication provided for the management of the conditions of embolic stroke could be justified with the help of a number of supportive theories and arguments. Evidence based approaches have proved that revasculiarization of the ischemic brain and arousing sleep neurons can improve outcomes in patients with acute stroke (Campbell et al., 2015). The two major drug classes used over here are thrombolytic and antiplatelet agents. Currently one of the approved drugs which are used is tissue plasmionogen activator (t-PA) alteplase, which results in reperfusion by dissolving the thrombus (Saver et al., 2016). The affectivity of the drug supplied depends on the effectiveness of delivery to the damaged channel. As supported by Diener et al. (2015), if tPA is administered within three hours of onset of stroke improved functional outcome is observed. As supported by Schnenberger et al. (2016), administration of low molecular weight heparins have been further seen to lower the risk of thrombo cytopenia or osteoporosis in the patient. tPA has been rated as the Gold standard for the treatment of ischemic cerebral stroke. It works by dissolving blood clot and improving the flow of blood to the brain. As reported by Doucet, Roncarolo, Tampieri del Pilar Cortes (2016), patients who have got tPA administration on time have been seen to recover better than the one who had not received the drug therapy at the right time. The after treatment could be started with the right doses of administration of anticoagulants. The anticoagulants have been seen to interfere with the blood capacity to clot (Nikoubashman et al., 2017). Therefore, improving the supply of blood to the brain and can be used an effective preventive measure. In this respect, the chances of recurrence are most common in the patient within 90 days of suffering a first stroke. Therefore, in order to control the rate of the fatalities it is necessary to put the patient on anti-coagulants. In this respect, employment of trainednursing professionals trained in the areas of acute stroke management could be beneficial. Additionally, using frameworks such as Fast can r help the nurse analyse the condition of the patient. As mentioned by Anderson, Saleemi Bialystok (2017), effective record keeping and documentation has also been seen to enhance the process of drug delivery and monitoring in the patients. However, the nursing professional should ensure that permission have been sought from the respective family members of the patients before putting them through any aggressive care procedures. Conclusion The current assignment focuses on the concept of nursing care provision and management for embolic stroke. The patient has suffered an embolic stroke and had to be provided immediate care provision and management. In this respect, effective caution needs to be practised regarding the administration of the medications to the patient. For the preliminary examination of the condition of the patient a FAST framework was followed. Form the diagnosis it was ascertained that the patient could be having an embolic stroke. Hence, the patient was put under further blood tests and CT scan, which confirmed the presence of Embolic stroke in the patient. The assignment also discusses the effectiveness of different medications. Some of these have been discussed with regards to the rate of success in controlling the progression through the condition of embolic stroke. More emphasis had been given to tPA administration which if provided within a particular time frame can reduce the severity of the st roke References Anderson, J. A., Saleemi, S., Bialystok, E. (2017). Neuropsychological assessments of cognitive aging in monolingual and bilingual older adults.Journal of neurolinguistics,43, 17-27. Berkhemer, O. A., Fransen, P. S., Beumer, D., Van Den Berg, L. A., Lingsma, H. F., Yoo, A. J., ... van Walderveen, M. A. (2015). A randomized trial of intraarterial treatment for acute ischemic stroke.New England Journal of Medicine,372(1), 11-20. Campbell, B. C., Mitchell, P. J., Kleinig, T. J., Dewey, H. M., Churilov, L., Yassi, N., ... Wu, T. Y. (2015). Endovascular therapy for ischemic stroke with perfusion-imaging selection.New England Journal of Medicine,372(11), 1009-1018. DeBaun, M. R., Gordon, M., McKinstry, R. C., Noetzel, M. J., White, D. A., Sarnaik, S. A., ... Telfer, P. T. (2014). Controlled trial of transfusions for silent cerebral infarcts in sickle cell anemia.New England Journal of Medicine,371(8), 699-710. Diener, H. C., Easton, J. D., Granger, C. B., Cronin, L., Duffy, C., Cotton, D., ... Sacco, R. L. (2015). Design of Randomized, double-blind, Evaluation in secondary Stroke Prevention comparing the EfficaCy and safety of the oral Thrombin inhibitor dabigatran etexilate vs. acetylsalicylic acid in patients with Embolic Stroke of Undetermined Source (RE-SPECT ESUS).International Journal of Stroke,10(8), 1309-1312. Doucet, C., Roncarolo, F., Tampieri, D., del Pilar Cortes, M. (2016). Paradoxically decreased mean transit time in patients presenting with acute stroke.Journal of computer assisted tomography,40(3), 409-412. Hart, R. G., Diener, H. C., Coutts, S. B., Easton, J. D., Granger, C. B., O'Donnell, M. J., ... Cryptogenic Stroke/ESUS International Working Group. (2014). Embolic strokes of undetermined source: the case for a new clinical construct.The Lancet Neurology,13(4), 429-438. Holmes Jr, D. R., Doshi, S. K., Kar, S., Price, M. J., Sanchez, J. M., Sievert, H., ... Reddy, V. Y. (2015). Left atrial appendage closure as an alternative to warfarin for stroke prevention in atrial fibrillation: a patient-level meta-analysis.Journal of the American College of Cardiology,65(24), 2614-2623. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... Howard, V. J. (2016). Executive summary: heart disease and stroke statistics2016 update: a report from the American Heart Association.Circulation,133(4), 447-454. Nikoubashman, O., Pauli, F., Schrmann, K., Othman, A. E., Bach, J. P., Wiesmann, M., Reich, A. (2017). Transfer of stroke patients impairs eligibility for endovascular stroke treatment.Journal of Neuroradiology, 55-85. Ruff, C. T., Giugliano, R. P., Braunwald, E., Hoffman, E. B., Deenadayalu, N., Ezekowitz, M. D., ... Yamashita, T. (2014). Comparison of the efficacy and safety of new oral anticoagulants with warfarin in patients with atrial fibrillation: a meta-analysis of randomised trials.The Lancet,383(9921), 955-962. Saver, J. L., Goyal, M., Van der Lugt, A. A. D., Menon, B. K., Majoie, C. B., Dippel, D. W., ... Cardona, P. (2016). Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis.Jama,316(12), 1279-1289. Schnenberger, S., Uhlmann, L., Hacke, W., Schieber, S., Mundiyanapurath, S., Purrucker, J. C., ... Ringleb, P. A. (2016). Effect of conscious sedation vs general anesthesia on early neurological improvement among patients with ischemic stroke undergoing endovascular thrombectomy: a randomized clinical trial.Jama,316(19), 1986-1996.

Wednesday, December 4, 2019

Tess Of The D’Urbervilles Essay Research Paper Example For Students

Tess Of The D’Urbervilles Essay Research Paper Tess of the dUrbervilles is subtitled A pure woman and this is how Thomas Hardy sees and portrays her throughout his novel. As the novel progresses the reader is introduced to many aspects of Tess as she grows from being a child on the verge of adulthood to a mature and experienced woman. In some parts of the book Hardy describes Tess as very passive but in other parts of the novel she is shown as a powerful and even godly sort of woman. The character of Tess is first shown near the beginning of the book as a proud and shy young girl. She is very loving of her family and holds them in high regard especially her parents even though they sometimes do feckless, irresponsible things such as when her father went to Rollivers a pub before going on an important delivery to get up his strength for his journey. At the club-walking at the beginning of the book Tess is shown to be just an ordinary, innocent country girl not handsomer than some others but it is also indicated that she is very attractive. The white dress she wears symbolises purity and virginity and Hardy suggests that this purity comes from lack of experience as he describes her as untinctured by it. She is also shown to be very protective of her father and when she is teased by her friends about him it appears that she is quite sensitive and not resilient to embarrassment. At this point Tess is a mere vessel of emotion and she still has a local dialect but with some educated speech. Tess is more responsible than her parents as she takes the beehive delivery herself when her father is too hung-over to do it. She is, however, contrary to her ordinariness marked out from the rest of her friends and fellow country girls from the very start of the book by a red ribbon in her hair. This doesnt seem very significant at first but as the story progresses the colour red is mentioned several times to describe her and single her out from the rest. Some other examples of this are the blood of Prince the family horse which splashes on her white dress after he dies, her red mouth which is described as a flower a couple of times throughout the novel and Alec when he is described as the blood-red ray in the spectrum of her young life. The colour red, in general, is also frequently used to symbolise danger, passion, death and anger. Tess at this point in the novel is pictured as extremely passive and subject to the wishes of her family and their evident irresponsibility. Hardy is very intent on mentioning the cruelty of fate which appears especially in chapter 4 with the discussion between Tess and her brother Abraham concerning the stars, the two children decide that the misfortunes they suffer are all because they live on a blighted star instead of the normal Victorian belief that all misfortunes are due to God punishing someone. This shows Tess as an intelligent and educated young woman. These ideas though technically written in the nineteenth centaury reflect more rightly twentieth centaury views and beliefs. The mere thought that life was random and doesnt always turn out how you want was particularly offensive to people in the Victorian era who believed that there was a divine God that controlled everything. The idea that Hardy thought Tess to be a pure woman even after she had gotten pregnant before marriage and committed murder, was also unheard of in the Victorian era. After the death of Prince Tess feels guilty and responsible for the event, which ironically she had no control over, she regarded herself in the light of a murderess but her guilt leaves her more inclined to her parents wishes. .u5faf57b114ce801db44753b8c15a8cf2 , .u5faf57b114ce801db44753b8c15a8cf2 .postImageUrl , .u5faf57b114ce801db44753b8c15a8cf2 .centered-text-area { min-height: 80px; position: relative; } .u5faf57b114ce801db44753b8c15a8cf2 , .u5faf57b114ce801db44753b8c15a8cf2:hover , .u5faf57b114ce801db44753b8c15a8cf2:visited , .u5faf57b114ce801db44753b8c15a8cf2:active { border:0!important; } .u5faf57b114ce801db44753b8c15a8cf2 .clearfix:after { content: ""; display: table; clear: both; } .u5faf57b114ce801db44753b8c15a8cf2 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u5faf57b114ce801db44753b8c15a8cf2:active , .u5faf57b114ce801db44753b8c15a8cf2:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u5faf57b114ce801db44753b8c15a8cf2 .centered-text-area { width: 100%; position: relative ; } .u5faf57b114ce801db44753b8c15a8cf2 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u5faf57b114ce801db44753b8c15a8cf2 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u5faf57b114ce801db44753b8c15a8cf2 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u5faf57b114ce801db44753b8c15a8cf2:hover .ctaButton { background-color: #34495E!important; } .u5faf57b114ce801db44753b8c15a8cf2 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u5faf57b114ce801db44753b8c15a8cf2 .u5faf57b114ce801db44753b8c15a8cf2-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u5faf57b114ce801db44753b8c15a8cf2:after { content: ""; display: block; clear: both; } READ: Algorithms Pseudocode Flowcharts EssayTesss return to Marlott from Trantridge becomes the subject of gossip in the town because she had come back in a lower social standing than before she left-pregnant and unmarried. In the dusk when light and darkness are so evenly balanced she feels free and her burden and problems fall away, she feels as if she is part of the environment because people in the village have turned their backs on her and she wants to be away from human beings. Thomas Hardy describes her as an integral part of the scene, as if she almost becomes part of the natural world and landscape. At this point Tess is using pathetic fallacy, she thinks that the world around her was acting in sympathy with herself and that a wet day was the expression of irremediable grief. Tess feels that the elements around her are a part of what has happened to her and that whatever God she had spent her childhood praying to was angry at her weakness. Hardy says that Tess feels to blame because people had made her feel this way but that her guilt was only in her imagination. There is irony here because even though Tess is completely at home in the countryside she feels that she is the personification of guilt trespassing on the wildlife and looks upon herself as a figure of Guilt intruding upon the haunts of Innocence, but this is how the natural world operates and Hardy is saying that there is no difference between Tess and the wildlife. Animal imagery is used many times to describe Tess. Thomas Hardy always compares Tess to an animal using similes but never metaphors. This is shown clearly when Tess hears Angel playing the harp for the first time. Tess is described like a fascinated bird and then as stealthily as a cat in the same chapter. This happened at twilight, which the time between night and day that Hardy believed people became very sensitive to the world around them. Hardy has mentioned this theory of his before when Tess returns to Marlott after getting pregnant with Alec dUrbervilles child. It is silent around that time and Tess seems to enjoy silence and not think of it as the absence of sound. As Tess noiselessly walks up to Angel, who is portrayed as a genuine stereotypical angel playing a harp in the attic above her head, she is described using the imagery of birth, growth and nature seems to be in a sort of hallucinatory, erotic ecstasy. This chapter also uses synaethesia to describe how she felt as she heard the music coming from Angels harp such as the harmonies passed like breezes and his notes made visible. In my opinion I think that this novel is quite depressing and the reader feels sorry for Tess as her misfortunes are usually not her fault. Personally I think that Tess is quite weak and if she had not been so weak she could have taken control of her life like she did at the end when she murdered Alec instead of being as passive as she was throughout the novel.