Monday, August 19, 2019

Essay --

My background is a traditional literacy as I started with my research papers with arguments and making a point; and the following years with writing an essay or a term paper and other academic formal papers each week; and finally I have learned the truth that I did not love this activity, but it has taught me how to think in an organized manner. But reading taught me how to be a better writer and the amazing part is that technology contributed a major part to hone my reading and writing skills. I have learned to rely on the Internet for my researches and I knew that I could write creatively, or express my own opinion, in a manner more persuasive than working on it using the traditional literacy methods. Using the computer before was introduced to me as a tool for learning by educational games and computer programs, but as times passed the use of the computer for learning became the available tool for me that have cultivated my love for reading and writing. Blogging is writing which is a fun and great way to encourage creativity without any binding rules for a contemporary student like me that is full of emotions, arguments and ideas that I cannot express in formal academic writing. Integrating new literacy particularly technologically into the classroom is a smart move to implement a positive interaction with much gusto. At first, I thought that this major development would lead to my education’s trend towards reading and writing even less, but the new approach to literacy keeps me happy and comfortable, and even make me do logical and cohesive writing. Blogging is a useful tool for my inability to think critically and write persuasively. I do believe though that there is value in the traditional as well as the new literacy... ...al literacy might change the way we write and who we interact with. 21st century literacy involves not only reading and writing competency, but also involves technological ability to effectively engage in a technologically advanced world. I have learned to analyze text easily as well as analyzing multimedia such as images, sound and video, and understand how the appearance of print affects my understanding of ideas. My writing has become more concise on the Internet as I have the choice of my writing style such as a blog and regularly communicate with my peers. As I see the different effects of social media on all sectors of society, I also see a more disciplined future social media age and literacy activities by more students being aware of critical thinking in the decisions that they make in blogging or performing other forms of online written communication.

Sunday, August 18, 2019

Willa Cather Describes Erotics of Place in her Novel, A Lost Lady Essay

Willa Cather Describes Erotics of Place in her Novel, A Lost Lady To discover an erotics of place in Willa Cather's A Lost Lady, takes little preparation. One begins by simply allowing Sweet Water marsh to seep into one's consciousness through Cather's exquisite prose. Two paragraphs from the middle of the novel beckon us to follow Neil Herbert, now 20 years old, into the marsh that lies on the Forrester property. This passage, rich in pastoral beauty, embraces the heart of the novel-appearing not only at the novel's center point but enfolding ideas central to the novel's theme: An impulse of affection and guardianship drew Niel up the poplar-bordered road in the early light [. . .] and on to the marsh. The sky was burning with the soft pink and silver of a cloudless summer dawn. The heavy, bowed grasses splashed him to the knees. All over the marsh, snow-on-the-mountain, globed with dew, made cool sheets of silver, and the swamp milk-weed spread its flat, raspberry-coloured clusters. There was an almost religious purity about the fresh morning air, the tender sky, the grass and flowers with the sheen of early dew upon them. There was in all living things something limpid and joyous-like the wet morning call of the birds, flying up through the unstained atmosphere. Out of the saffron east a thin, yellow, wine-like sunshine began to gild the fragrant meadows and the glistening tops of the grove. Neil wondered why he did not often come over like this, to see the day before men and their activities had spoiled it, while the morning star was still unsullied, lik e a gift handed down from the heroic ages. Under the bluffs that overhung the marsh he came upon thickets of wild roses, with flaming buds, just beginning to open.... ...arsh. A final glimpse of marsh turned wheat field comes in the fourth chapter of the novel's Part Two. Heavy rains have come to the Sweet Water valley, lifting the river over its banks and swelling the creeks. Cather reports that "the stubble of Ivy Peters' wheat fields lay under water," (121) raising the hope that Peters' intrusion upon the land is merely temporary, that given respite from human meddling, the marsh will reassert itself. I admit that this is my hope more than it is Cather's. But even if this is so, it is Cather who arouses the desire that invites me to hope. Works Cited Cather, Willa. A Lost Lady. Ed. Susan J. Rosowski with Kari Ronning, Charles W. Mignon and Frederick M. Link. The Willa Cather Scholarly Edition. Lincoln: U of Nebraska P, 1997. Williams, Terry Tempest. An Unspoken Hunger: Stories from the Field. New York: Vintage, 1994.

Saturday, August 17, 2019

Micro and Macro Management Essay

Macro Management In a simple definition management is the person or persons who control or direct a business or other enterprise. However, management is much larger than just one person or small group of people. Management is also the practice of handling, supervision, direction, and control (www. dictionary. com). It is much larger than one person, or even a small group of people; management is everywhere. We use management in all aspects of our daily lives, whether it is organizing an event, or handling a purchase order. Management must be arranged through multiple levels in order to be successful, beginning with micro management, eventually its way up the ladder to macro management. Micro and macro components are the core make up of every business, each possessing different qualities and characteristics that form the overall building blocks to success. During the training of a new employee, most businesses use the micro-management process to provide the guidance and tools the employee needs to become successful with that business. Micro management is used my supervisors to observe and control the work of their employees. It involves giving employee smaller tasks, while they monitor and assess the work being done (www. dictionary. com). Micro management is often used in the beginning of any business or establishment; basically, you need to start somewhere. In the opening of a new business, guidance will always need to be offered from cooperate offices to ensure a clean transition in the opening process. Once a business is established, management will in turn micro manage their employees; guiding them through the procedures and responsibilities the company requires. Because micro managing involves supervisors overlooking the tasks their employees are undertaking, often times it is thought of as an unenthusiastic tactic. Through the eyes of an associate, micro managing can be de motivating, in turn creating doubt and lack of confidence in the workplace. Even though micro managing is used as an introductory tool, it can be drawn out for a longer duration of time. Distrust, skepticism, and uncertainty are typical feelings an employee may experience if their supervisor is abusing the method of micro managing. The role of manager is an important position of supervision in any organization. The supervisor/manager plays a key function, in the day to day needs of the organization, by finding a balance of work efficiency and managing personnel. This balance becomes even more prevalent when assigning projects or interacting with subordinates. This paper will analyze several aspects or pitfalls, managers could find themselves involved in; and will identify methods used to overcome these situations when supervising subordinates. The position of manager holds many responsibilities in an organization; those responsibilities range from dealing with requests from upper management and servicing employee’s needs, and while seeing to theses responsibilities, the manager still has to supervise the overall direction of his or her department. The multiple tasks a manager must operate within, requires the manager to be flexible and†¦Ã¢â‚¬ ¦

Kenney’s Inaugural Address Rhetorical Analysis Essay

John F. Kennedy’s inaugural address in January 20, 1961 was a good representation of the enormous amount of things that were taking place in that setting. Kennedy’s inaugural address enlightened America and the world on his goals for his presidency; within his speech he used a form of comparing and contrasting, repetition, and exposition. Applying these helps Kennedy’s address inspire his audience. Kennedy takes advantage of one of his most prominent strategies, repetition, to emphasize his various points. To drive in the idea of change, Kennedy repeats words like, â€Å"to those† or â€Å"to our†. Those phrases formally address the old allies, new states, or the sister republics to show respect to them and to also cause each area feel special. By specifically addressing them for the one line, it gives them acknowledgement, which places Kennedy on their good side; also making the respective audiences listen up, like a call to attention. Relating to his main goal of world peace, this strategy elaborates on the definition of â€Å"world† by noticing the spots across the globe. â€Å"Let both sides† repeats because Kennedy wants to expand the peace part of his goal. For example, Kennedy utilization of â€Å"both† elaborates the unity that he strives for, and the word â€Å"sides† refers to sides of the world and sides of â€Å"problems which divide us†. With positive change and willingness in his tone, Kennedy invites them to join him. The section states the steps of what they need to do and the positive effects that could come from their unity or the negative consequences that might evolve if the world didn’t form an alliance. Within his repetition were statements that juxtapose positive and negatives ideas of how he will execute his goals, Kennedy’s address conveys his objectives for the future to his audience. His main goal is to get â€Å"both sides begin anew the quest for peace†¦Ã¢â‚¬  Kennedy starts off with an idea of positive hope, expressing this by utilizing words like: good, pledge, assist, free, and then â€Å"casting off the chains of poverty†. Those positive words convey Kennedy’s goal to keep peace with the sister republics of the south, relating to his goal of striving for world peace. However, he then introduces the negative, which comes as a warning. The diction changes and the tone quickly go from conciliatory to authoritative, †Ã¢â‚¬ ¦in a new alliance for progress-to assist men and free government in casting off the chains of poverty. But this peaceful revolution of hope cannot become prey to hostile powers.† Because Kennedy doesn’t believe striving for world peace defines as weak, he provides a warning meanwhile, showing that America still will remain a world power. â€Å"But we shall always hope to find them strongly supporting their own freedom†¦Ã¢â‚¬  To his audience, he warns them â€Å"to remember that, in the past, those who foolishly sought power by riding the back of the tiger ended up inside.† From this, the audience can see Kennedy’s goals and his standards for the America future as well as the future for upcoming states and those who will be their ally. The importance of making sure the audience knows Kennedy will not be a weak president, benefits Kennedy because everyone knows a leader of a nation should never be known as weak. In addition to positive and negative statements, Kennedy employs exposition, or logic. Without logic and reasoning, his address wouldn’t be as inspiring. Kennedy employs exposition to tell America why we can succeed and why we should try to succeed. He remarks, â€Å"In your hands† to indicate that America has the power to change and that â€Å"the final success or failure of our course† rests in America’s hands more than the Kennedy’s hands. The remarks stand as a representation of teamwork and coming together to achieve Kennedy’s goal of world peace. Kennedy also observes that striving for freedom is in America’s history, therefore is another reason for America to help out with Kennedy’s goals. â€Å"Since this country was founded, each generation of Americans has been summoned to give testimony to its national loyalty. The graves of young Americans who answered the call to service surround the globe.† This gives another fact to the audience, particularly that Americans should help since we are proud of our heritage. To explain that we have responsibility, Kennedy claims that â€Å"the trumpet summons us again† and with our power, we should take that responsibility and fight â€Å"the common enemies of man.† Kennedy implements smart wording like â€Å"trumpet† because it’s usually associated with nobility; and words like enemies, struggle, and graves to indicate negative consequences or ideas that America needs to fight. Then Kennedy puts even more responsibility on Americans by stating, â€Å"only a few generations have been granted the role of defending freedom† and asking America if they will make history by joining him. Since Kennedy has a position of power and influence, he states that he welcomes the responsibility and he advises other to welcome it, putting more pressure for America to join his change. Kennedy’s address effectively showed his passion for achieving world peace and that he wants the world to join him by employing repetition, juxtaposition, and exposition.

Friday, August 16, 2019

Neonatal Medicine: CPAP and Ventilation in Neonatal Respiratory Distress

You are reviewing Nathan, a 12 hour old neonate with respiratory distress. He is 37 weeks gestation and was born by caesarean section following failure to progress. The oxygen saturation is 94% in 50% FiO2, the respiratory rate is 80. There is moderate intercostal recession and an occasional grunt. Your hospital participated in the â€Å"bubbles for babies† trial and you have just started to use CPAP in your unit now the trial is finished. Your registrar suggests using CPAP on this neonate, but the nursing staff have called you to arrange transfer. Questions: Would you use CPAP or ventilate and transfer this neonate? Please give reasons for your choice with reference to the current literature. In your answer you should also consider the following main points: †¢ the benefits of CPAP over ventilation, particularly with reference to your current practice environment †¢ the potential complications of CPAP †¢ reasons why ventilation may be required even though CPAP is in situ. The baby Nathan is suffering from Neonatal respiratory distress syndrome, which is a condition most often seen in newborn babies and is characterized by a difficulty in breathing.   The condition more frequently develops in prematurely born babies as their lungs are not fully developed.   The lubricant that lines the inner membranes of the lungs (known as ‘surfactant’) is deficient, thus causing difficulty in inflating the lungs and resulting in the air sacs collapsing. Surfactant helps to lower the surface tension of water that is present on the alveoli, thus helping to prevent the lung sacs from collapsing.   Usually, the condition develops in infants born before the 38 week.   The baby is cyanosed and has difficulty in breathing.   The accessory muscles of respiration are active and a frequent grunting sound is heard.   The other symptoms that may be observed include nasal flaring, shallow breathing, swollen legs, unusual movement of the chest wall, etc. The infant may be hypoxic and the CO2 levels in the blood rise.   The symptoms usually develop at birth, or a little while after birth.   The symptoms tend to worsen and may progress to respiratory failure and death.   As the prematurity increases, so does the chance of developing this condition.   This is because surfactant is produced only during the later stages of gestation in the infant.   The diagnosis of RDS in babies is made based on the history, presence of certain risk factors, Chest X-ray, Blood tests, CSF studies, lung tests, blood gas analysis, etc (Greene, 2007 & Merck, 2005). When a neonatal is born, certain signs are observed which include:- a heart rate between 110 to 150 beats per minute a respiratory rate between 40 to 70 breathes per minute absence of cyanosis, nasal flaring, grunting sounds, forceful use of accessory muscles during respiration, etc Oxygen saturation which is about 95 % the P ao2 is higher than 50 % the FiO2 is about 40 to 50 % (CCM, 2007, NGC, 2008, & Millar et al, 2004) Previously, for the treatment of RDS, ventilatory support was utilized.   This may be utilized if the blood carbon dioxide levels are high, the blood oxygen levels are low, and if acidosis sets in.   To some extent ventilation helps to reduce the infant mortality rate arising from RDS, but the morbidity to develop Bronchopulmonary dysplasia (a condition characterized by oedema of the air sacs and of the connective tissues due to persistent inflammation) is high as the young neonatal lungs are damaged from ventilation. One of the treatments that have been developed in order to overcome the limitations of ventilation is Continuous Positive Airway Pressure (CPAP).   This is an advanced form of therapy in which the upper and the lower airways receive a continuous distending pressure through the infant’s pharynx and/or nose throughout the respiratory cycle.   An endotracheal tube can also be utilized.   The device is connected to a gas source that provides humidified warm air continuously (NGC, 2008, Millar et al, 2004, Tidy, 2007). CPAP has several benefits including:- helps to maintain a normal breathing pattern helps to arrive at normal functional residual capacity helps to lower any airway resistance in the upper respiratory tract helps to prevent development of apnea prevents the airways and the air sacs from collapsing helps stimulate release of surfactant helps to increase the lung volume and lung function After expiration, CPAP helps to keep the air sacs open The chances of developing lung trauma such as barotrauma and atelectotrauma are lesser (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP is required in several situations that arise from RDS including:- When it is difficult to maintain the Pa02 above 50 %. When the respiratory rate is above 70 breathes per minute Excessive use of the accessory muscles of respiration The oxygen saturation falls to between 90 to 95 % The presence of apnea It can be utilized along with administration of surfactant that develops out of the   Ã‚  need to treat RDS (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). As the patient is not suffering from a severe form of RDS and the oxygen saturation levels have not dropped to a serious extent, ventilatory support is not required, and the patient can be treated with CPAP.   Besides, the findings do not suggest that the patient is suffering from a cardiovascular complication, an upper respiratory tract abnormality or intractable apneic episodes.   Along with CPAP, several other measures are required such as using larger nasal prongs, ensuring that the baby is in a prone position and keeping a towel below the neck.   This helps to ensure that the certain areas are aerated better (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP has several complications including:- mucous from the upper respiratory tract may block the nasopharyngeal tube that delivers CPAP Sometimes blockages may result in the pressure rising to higher levels in the tube If the peak pressure is very high, then gastric complications can develop The nasopharyngeal tube has to be placed in exact position.   Any deviation from the position can result in fluctuation of the air pressure The nasal devices may be swallowed or aspirated resulting in severe complications Sometimes harnesses may be utilized to place the head and the neck in position.   This may cause serious dermatological and musculoskeletal complications in the infant Air leakage problems in the lungs Abdominal distention Decrease in the cardiac output Higher working of breathing pneumothoraces and air embolism can also develop Cardiac monitoring needs to be performed more closely in the case of CPAP compared to ventilation often air leaks from the nose and the mouth it may be very difficult to control the air press ure in the lower airways If CPAP is applied to an infant with normal lungs, several problems can develop Several respiratory complications such as pneumothorax, pneumomediastinum, and pneumopericardium can develop (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004, Halamek et al, 2006) References: California College of Midwives (20080, Guidelines for Assessing the Neonate, [Online], Available: http://www.collegeofmidwives.org/Standards_2004/Standards_MBC_SB1950/Assess_HealthyNeonate_Oct2004_OOO.htm [Retrieved on: 2008, April 2]. Greene, A. (2007), Neonatal respiratory distress syndrome, [Online], Available: http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm [Retrieved on: 2008, April 2]. Halamek, L. P. Et al (2006), Continuous Positive Airway Pressure During Neonatal Resuscitation, Clin Perinatol, 33, pp. 83-98. http://www.mdconsult.com/das/article/body/91421747-3/jorg=journal&source=MI&sp=16080552&sid=690389052/N/525142/s0095510805001235.pdf?issn=0095-5108 Millar, D., & Kirpalani, H. (2004), Benefits of Non Invasive Ventilation, Indian Pediatrics, 41, pp. 1008-1017. http://www.indianpediatrics.net/oct2004/oct-1008-1017.htm NGC (2008), Complete Summary, [Online], Available: http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6516&nbr=4085, [Retrieved on: 2008, April 2]. Sehgal A. Et al (2003), Improving Oxygenation in Preterm Neonates with Respiratory Distress, [Online], Available: http://www.indianpediatrics.net/dec2003/1210.pdf, [Retrieved on: 2008, April 2]. The Merck Manual (2005). Respiratory Distress Syndrome, [Online], Available: http://www.merck.com/mmpe/sec19/ch277/ch277h.html, [Retrieved on: 2008, April 2]. Tidy, C. (2006), Infant Respiratory Distress Syndrome (RDS), [Online], Available: http://www.patient.co.uk/showdoc/40000462/, [Retrieved on: 2008, April 2].

Thursday, August 15, 2019

Love Conquers All Essay

I believe that a relationship is more than just love, it’s a balance of communication, love, and trust. The day I fell in love was a defining moment in my life. I now had a partner and a life long friend . My husband and I spent the first part of our marriage struggling over money issues. There was never enough money to take care of all the bills and the kids, as well as our moments. Still through all the rough hills we climbed, nothing ever broke our bond to each other. My husband tried repeatedly to find work so that he could support his family; he was so determined. At last an opportunity to build bridges emerged and he went for it. Grateful we were going to be financially secure, we now have three times the income he was making. Everything was looking up! We would not have to scrape by anymore. With the new career also came new challenges, my husband would be out of town five days a week. We have never even been apart! How was this going to work? I was a little scared to be alone, so we sat down and discussed the challenges together. I learned that he was nervous too. He was going to be so far away and could not protect his family. We just bonded together, it was emotional. We knew it was going to be a great opportunity for our family. â€Å"I am going to miss you so much, this is going to be tough†, I said while standing by his packed car. He pulled me in and held me tightly in his arms, kissing my forehead ever so gently and whispered,†I love you so much and this will only make us stronger.† We kissed each other good bye and away he drove. Then I cried! Week after week it became easier to say bye, but the tears always filled my eyes when I watched him drive away. This was the hardest thing we ever went through. During the time he worked out of town I became a stronger woman and mother. I learned that love can conquer all. We worked together more than ever before and we grew to understand just how much our family†¦

Wednesday, August 14, 2019

Analysis of “The Lorax” Essay

The story, â€Å"The Giving Tree,† is a book written by Shel Silverstein that is about the relationship between a tree and a boy. In the beginning of the story, the boy and the tree spend a lot of time together having fun. For example, they would play hide and seek, the boy would play on the branches, and the boy would play king of the forest with the leaves of the tree. The tree would be very happy because she was interacting with the boy. Throughout the story, the boy would spend less and less time with the tree. As a result, the tree would become sad. Once in a while the boy would come back, asking for certain things, and the tree would be happy to help the boy because she loved the boy so much. Through the story, â€Å"The Giving Tree,† Shel Silverstein relates a lesson of how giving is more important than taking. In the story, the boy takes advantage of the tree by taking everything that the tree has. The tree gives freely without complaining because the tree loves the boy, and wants him to be happy. In the end, all the boy wanted to do was to spend time with the tree once again. If the boy did not continuously take advantage of the tree, the boy did not have to miss, and become unhappy about the old tree that loved him so much. The tree’s love for the boy is a perfect example of what people should be like: giving freely, and unconditionally. If everyone was like the tree, there would be very little unhappiness in the world, and the world would be a better place. If countries started to give freely to one another, there would be fewer wars, there would be no more sadness and devastation, and there would be world happiness and peace. The message from Shel Silverstein is to not be like the boy who ultimately becomes unhappy by taking from the tree. In summary, Silverstein uses the story to expound on the idea that giving is more important than receiving. The story also has a slight reference to the relationship between mother and child. The tree (the mom) was willing to give anything to the boy (the son). The tree sacrifices herself in order to make the boy happy, which any mom would probably do for her son. In the beginning, the tree wanted to sacrifice its time just to play with the boy. This is similar to a parent, which sacrifices time to interact with and provide for their kids. Towards the teenage years, the tree gives up her apples so that the boy could have money. Likewise, many parents sacrifice money to have their children enjoy their teenage years: movies, cars, trips, etc. When the boy becomes an adult, he takes the branches and trunk of the tree away to build a house, and a boat. All of these examples exemplify the ways in which moms make so many sacrifices to make their children happy, but some kids just take them, run with them, and never think about how much it cost their moms. As depicted in the story, the boy never expressed any gratitude to the tree. The boy rarely went back to visit the tree, but only visited the tree to take something away for his own personal benefit. Furthermore, moms also show sadness when their children leave them for college, and adulthood. When the boy does not come back to see the tree for years at a time because of his own issues, the tree becomes sad. In short, Silverstein illustrates the interaction between mother and child by showing the selfless acts of parents and the selfishness of children. The book, â€Å"The Giving Tree,† can strongly connect to our relationship between the environment and humans. Currently, there is an evident problem of global warming. This recent dilemma is caused because of our selfish taking from the environment. The tree can strongly resemble the earth on which we live, and the boy can resemble humans. We constantly take from the Earth, and rarely give back to the environment. For example, during the 20th century, industries took advantage of the Earth without replenishing resources: deforestation, driving animals to extinction, and over-fishing. Furthermore, since global warming has become such a big problem now, we want to go back to live on the lush, non-polluted earth. Likewise, after the boy takes everything away from the tree, the boy wanted the tree to be like it was before. Ultimately, the book elucidates the way in which humans abuse the environment just like how the boy misused the tree. A question that can come to mind when reading Shel Silverstein’s story is, what is the reason for writing the story. Silverstein might have written the book for young children, but it was to teach everyone of the â€Å"give not take,† principle. Moreover, another question can be what is the reason for allowing the boy not to think about his selfishness? Perhaps Silverstein wanted to portray the fact that people are sometimes selfish. Finally, throughout the story, why is the boy referred to as a boy even though he becomes a man. Maybe Silverstein was writing in the perspective of a mother because a mom always calls his son her boy.