Collecting and preparing Essay Example | Topics and Well Written Essays - 500 words

Collecting and preparing - Essay Example The photographer needs to use the modern as well as state-of-art camera for the attaining better results. The size of the lens should be 28 mm focal length and macro lens should be 50 mm focal length, which gives a standard quality photo. The photographer also should record the crime scene along with the areas attached with it. They also should record the appearance of the evidence and provide the investigator the photograph along with the evidence for the further investigation. At last, the photographs of the crime scene must be presented in front of the judge in the form of evidences in a systematic manner (Pearson, 2015). At the initial steps, the photographer should have the knowledge about different types of camera. The photographer appointed should be well acquainted with the type of camera that is required to take the photo of crime scene along with the perfect size of the lens and other accessories. The confidence level of the photographer must be high and should give higher attention at the time of work (Pearson, 2015). The equipment such as camera should be good quality attached to a perfect quality of lenses. During the time of capturing photo, there should be proper lighting so that clear photo could be taken (Pearson, 2015). During the time of photography of a crime scene, the photographer needs to ensure the safety by wearing the precautionary dress and needs to use certain arms or weapons while capturing the physical evidences (Pearson, 2015). There are two types of photography such as micro and macro. The photographer also needs to take the photo from different angles to make it easy for investigation process. For the two types of photo, photographers should use two types of cameras such as micro camera and macro camera so that the standard of the capture could be ensured (Pearson, 2015). The photographer should mark on the photo

Short writing Essay Example | Topics and Well Written Essays - 250 words

Short writing - Essay Example government and its Border Patrol are constructing a steel wall ten feet high to span sections of the border with Mexico†(Silko, 2013, p.122). The vivid descriptions of the situation at the border come because of the narratives being personal experiences of the situation. The narratives have a significant difference in that most of the events described by Biss occur in Mexico while Silko describes events occurring in the border. While crossing the border Biss was not subjected to the dehumanizing search, but observed that Mexicans were being mistreated, resulting in the development of hatred for Americans, while staying in Mexico. Silko was personally subjected to the ill treatment while attempting to move across the border, and realized that all individuals moving across the border were subjected to similar actions. Sometimes, the treatment was worse, as the officers might have beaten them. The experience through which Silko underwent leads to the conclusion that the patrols cannot stop the migration since this is a natural event. For Biss, however, the experience was different and was based on the observation of lifestyles of the Mexican people. This resulted in a retaliation act by hating Americans for mistreating the Mexican

Terrifying things people do (ideas) Essay Example for Free

Terrifying things people do (ideas) Essay As you probably know the writing of an essay is to gauge the writers creative ability and to assess the fluency of their mind and its properties to assimilate within actions and sounds their take and acknowledgement of the world around them. In such confines your wish to project the panoply of Depression is both brave and challenging. If one had a coin for every time you have heard the sufferer say that it is the inability of people without the illness to be able to understand its vagrancies or machinations then we the patients would be very rich indeed. You have the opportunity of perhaps giving some insight into one of the most insidious of illnesses and I would encourage you to use such an occasion. You do not identify yourself as a mental health user but I think in some way you must be associate with the illness to consider such a subject. You ask for assistance in creating an opening for the subject heading Terrifying things people do ever day With your approval I would offer the following: 1. It without doubt borders on the terrifying when as a severe depressive you awake each morning to sense if that feeling of loss and imprisonment is waiting for you to wake. By long experience you know that through a lifting of your eye-lids, if you will be caught for that full day in the snarling web of black depression. 2. You know then that the day ahead will be a struggle and a battle, competing with a condition that wants to ensure that you suffer terrifying mental and physical pain. 3. It is a terrifying experience to attempt to live through such a day without the proper function of the brain giving out proper signals to relay cognition, memory or the confidence to speak in public or to feel or act naturally. 4. You feel terrified and afraid and because you are in such a low mood feelings of fear are multiplied until you reach a point of standstill. In many cases you become almost dumb unable to vocalise your symptoms or the anguish of the illness. 5. You are haunted and terrified with a past but no future and cocooned in hopelessness. Hopefulness has become an early victim to the illness. 6. As a form of retreat from the illness you seek out the safety of the duvet and sleep becomes a form of retreat but such safety turns to terror when you exaggerate in a day the wakening up experience. 7. You become reclusive which can be in itself terrifying, the world continues to spin, and the traffic flows and people like ants hurry and scurry about but you become invisible which is frightening, you are alone desperate for companionship but no one appears to notice you or to give you the time of day. 8. In the most acute stages, the mind wanders into that terrifying prospect of suicide and death becomes a welcomed conclusion to the pain and agony of a brain so badly affected with a chemical imbalance. Its at such a junction that the terrifying prospect of death challenges your will to live and in the most perverse way a battle not of the mind but of the will and spirit rages on in a terrifying contest. Normally this takes place against a backdrop of darkness. The mind is lost in the dark but the soul must somehow find the light to survive. An episode of full-blown suicidal tendency is the most terrifying the non-soldier in life will ever experience. 9 The survivor from this mental holocaust will be now have reached the stages of therapy and medication and if properly diagnosed will have started a programme of lessening the effects of severe depression. It is still to be proved if Depression and Mental Illness in all its labels is curable. However the medication is probably for life. Whilst you may reach a level of functioning, its terrifying to be in such an abyss without the feeling or exact knowledge of expectant hope and true well-being. 10. The sufferer who has incurable Mental Illness will probably have lost a half to a third of their working life and to enter that vista of old age without savings or pension plans has that re-visit to terror. Life as it has been commercially re-designed is to get to that nirvana of retirement, financially protected and making for the golf course. This is not the option of the long-term ill, their terrifying journey into the final years have already been predetermined through sad event and circumstance. Terror is looking forward and seeing no hope; Terrifying is living that no hope. This is what millions of sufferers do every day. In a land that refuses to accept the depth of the illness. The caption for any documentary on mental illness today would need to encapsulate The Walking Dead in our lifetime this is truly Terrifying!

Mount Etna: History and overview

Mount Etna: History and overview Mount Etna is also known as Mongibello in Italian. To ancient Greeks Mount Etna is known as the god of fire. They also believe that Cyclops, who is a one eyed monster, lives there. People can go skiing on Mount Etna in winter and you can go hill walking in the summer, but you have to be careful in case it erupts when youre there. Mount Etna also has some famous caves on it which people like to go and see. There is also a lot of wildlife on Mount Etna like Frogs, Toads and even some turtles are found in some of the ponds and lakes, there are also a lot of birds and even some rare golden eagles. Mount Etna has a lot of trees so in autumn when the tree leafs change colour lots of people come to see them. Mount Etna is strato volcano so its lava isnt as hot as other types of volcanoes. It is on the east coast of Sicily quite near Messina and Catania. Mount Etna has the most amount of eruptions in the world. It is the biggest active volcano in Europe, it is about 3326m high and it has an area of about 1190km ². The volcanoes height changes every eruption and some of the eruptions have reached the cities near the coast. The mountain is about 21m smaller now than 1865 because of the weather eroding it away. Mount Etna is by far the biggest active volcano in Italy, being almost 3 times as big as Mount Vesuvius which is the next biggest volcano in Italy. Geologists think it has been active for over two and a half million years. Mount Etna is one of the most active Volcanoes in the world. Its usually a quiet Volcano not a violent one because it erupts so often. Mount Etna erupts most impressive when the vents and the top erupt. Ash storms only happen if the vents erupt. The lava from Mount Etna can sometimes get up to 1000 degrees Celsius. Thousands of people live near and on the slopes of Mount Etna, their houses and property get ruined quite a lot. The surrounded areas of Mount Etna are good for Farms because crops and vegetables grow well on the volcanic soil. One of the eruptions in 122BC caused so much damage to a nearby city called Catania that its residents were relieved from paying taxes to Rome for 10 years. Mount Etna has 3 vent creators on its slopes, which have lava, rocks, and gasses coming out of them. Mount Etna erupted most violently in 1669 when the lava demolished nearby villages on the bottom of the slope. Some other violent eruptions have happened in 1971, 1983, 2001-02 making the Italian government to declare a state of an emergency. All these eruptions have been dangerous but the one in 1669 when it hit the outskirts of Catania was by far the most violent. Mount Etnas Eruption 1669 Mount Etnas eruption in 1669 is the worst eruption so far in its history. During Mount Etnas history it has erupted quite often, so people dont usually bother when it erupts because its not that violent, but the eruption on the 8th of March 1669 was by far the most violent. On the afternoon of the 11th of March a lot of vents from the volcano opened between two nearby cities, these vents caused a couple of very dangerous explosions and a huge amount of lava came out of them and flowed downhill. It produced about 830,000,000m ³ of lava. The eruption was caused by two months of earthquakes under and on the surrounding areas of Mount Etna. This was caused by the African crust pushing under the Eurasian crust. This made Mount Etna erupt. On the 11th of March a 9km gap cracked open from Monte Frumento Supino to Monte San Leo on the south side of the mountain. The biggest vent cracked open near Nicolosi and oozed with lava and it ended up shaped like a cylinder cone and it is now a popul ar tourist point and is called Mount Rossi. On the first day of the eruption a town called Nicolosi and two other villages nearby were destroyed by the dangerous pyroclastic flow which can get up to about a speed of 500mph. The next three days the lava was flowing south and another four villages were destroyed. At the end of March another two bigger towns were destroyed and the lava reached the outskirts of Catania at the end of April. At the beginning of the lava reaching Catania, the lava flow hit against the wall which was meant to stop the lava flow destroying Catinia. The wall was strong enough for a while but on the 30th of April the lava reached the top of the wall and poured into the city which made the wall fall down. After a while of the lava getting into the city it reached the harbour and filled it up. Some of the people that live in Catinia built walls next to all the main roads to stop the lava going onto the roads which would cause some accidents and deaths. Other people that live nearby tried to direct the lava flow away from the city but they did not do that good of job. Effects of Mount Etnas Eruption 1669 The effects left behind from the eruption in 1669 were talked about worldwide. More than 10 villages were destroyed and a lot more were badly damaged by the lava flow. The west side of Catania was also badly damaged. The west and southwest of the city which was the richer side of the city, with lots of fruit gardens, expensive villas and a few monuments from Greek and Roman time were turned into a wasteland from the vicious lava. Catania was now surrounded by lava in all directions apart from the sea side. The pyroclastic flow damaged the south and south west of the city, unlike the eruption in 1381 when it destroyed parts of the north side. The pyroclastic flow doesnt always do the most damage but it kills the most people because it can travel so fast, and people cant get away from it. About 200 000 people died and about 27 000 people were also left homeless from the devastating eruption. Plate Tectonics Most volcanoes in the world are on a constructive or destructive plate boundary. Mount Etna is on a destructive plate boundary. A destructive plate boundary is when one plate is getting pushed under another plate. Mount Etna was made by the African plate pushing under the Eurasian plate which makes a volcano form. Mount Vesuvius and Campi Flegrei are two other volcanoes which are also made by the African Plate pushing under the Eurasian plate. Most active Volcanoes are positioned near or along the edge of plate boundaries. Scientists are trying lots of different ways to find a better way of seeing under the earths crust below a volcano. Bibliography http://www.solcomhouse.com/etna.htm http://www.bestofsicily.com/etna.htm http://www.volcanolive.com/etna.html http://www.geography.learnontheinternet.co.uk/topics/etna.html http://www.destination360.com/europe/italy/mount-etna http://www.worldtravelguide.net/attraction/285/attraction_guide/Europe/Mount-Etna.html http://www.history.com/this-day-in-history.do?action=Articleid=366 http://www.experiencefestival.com/a/Mount_Etna_-_1669_eruption/id/1371107 Myocardial Infarction (MI): Nursing Assessment and Care Myocardial Infarction (MI): Nursing Assessment and Care The purpose of this reflective essay is to critically analyse the clinical assessment and nursing care of a patient suffering from an Myocardial Infarction (MI). This essay also reflect my personal experience and knowledge I gained in a coronary care unit (CCU) which will be useful in my future development. I used Gibbs model to reflect on my experience of caring for a patient with a Non ST elevation MI or NSTEMI (Gibbs 1988).The National Service Framework (NSF) for coronary heart disease (CHD) set standards for the prevention, diagnosis and treatment of CHD (DH 2000).Myocardial Infarction (MI) is one of the major causes of morbidity and mortality in the United Kingdom (NICE 2002). Reflective practice is one of the key processes of learning within the health professions. It enables you to reflect on actions taken and analyse what you may have done differently and how you will handle similar situations in the future. Learning comes from how you handle different incidences and experiences and reflection is a key part of this. There are a number of models to choose from such as John’s model of reflection (1994), Kolb’s learning cycle (1984) or Atkins and Murphy’s model of reflection (1994). However, this essay will use Gibbs’ model of reflection (1988) to critically analyse the clinical assessment and nursing care of a patient suffering from a Myocardial Infarction (MI). This essay will use the model as devised by Gibbs as a framework. Gibbs’ model of reflection (1988) is based on six separate elements. It would be worth looking very briefly at each stage before continuing. Stage 1 of this model is the description. It requires you to set out the context of the event such as who was there and what was happening? Stage 2 is feelings. This is how you felt about the event and how you felt about the outcome. Stage 3 of Gibbs’ model is the evaluation. This requires you to consider the experience as a whole. What went well and what do you feel wasn’t so successful. Stage 4 is an analysis of the event as a whole. It requires you to break down the event into it’s separate parts and look at each part in more detail. What sense can you make of the situation? Stage 5 is the conclusion. This stage invites you to question what you might have done differently or what more could you have done given all the facts. The final stage of Gibbs’ model of reflection is an action plan. What would you do i f you encountered the situation again? What about your actions would you change? This is the structure that this essay will follow. Stage 1: Description I was working as a nurse in a Coronary Care Unit (CCU) in London. NMC guidelines (2004) requires healthcare providers to protect all patient’s confidential information. From this point I will be referring to the patient as Henry. Henry is a 45 year old male who was admitted into the Accident and emergency Unit of the hospital where I was working with crushing chest pains radiating to his left arm and his back. Henry had had no previous or family history of coronary disease. The initial observations showed that he had stage 2 high blood pressure (138/78), a heart rate of 85, respiration of 15 and a temperature of 36.5 degrees centigrade. Saturation was 100% at 28% oxygen via face mask. An ECG done in AE showed ST depression in leads 11,111 and AVF less than 1mm. TroponinI was>32ng/ml. In AE an initial dose of aspirin and 300mgs of clopidogrel was given to Henry. 80mgs of Clexane was also given, along with 5mg of morphinesulphate. 2 puffs of GTN spray was also administered. He was then transferred to CCU for further management. I first came into contact with Henry that morning when he was handed over to me. He had been in a stable condition when he was admitted to the CCU and had said that he had had a pain free night but later complained to one of the senior sisters that he had in fact been suffering but didn’t want to disturb anyone since the pain occurred from 4am onwards. When I first encountered Henry he was pale, cold and clammy. GTN spray was administered and I also started oxygen at 28% as his saturation was at 98%. Henry had said his pain was in his central chest and back regions. His ECG results showed ST depression 2mm in leads 11,111,aVF. At this point his BP was 126/80,his heart rate was 100, his respiration rate was 19 and he had a temperature of 36 degrees centigrade. Once I had informed the registrar of this I started a GTN infusion and his blood pressure dropped to 110/76. I then wanted to assess the level of pain that Henry had said he was in. I used a numerical rating scale to determine the level of his pain. This numerical scale provides a valuable measure of the understanding of the intensity of pain (Thompson et al, 1994). He had initially scored an 8 out of 10 but after the GTN infusion was administered this dropped down to 5. He was then started on 50mgs of Tirofiban in 200mls of normal saline and 20,000units of heparin infusion. During this time the registrar arranged for an emergency angiogram at a nearby hospital in London. I arranged for the transfer to be made in the hour. Upon his return, angiogram on his return I checked his angio site for bleeding. I did an ECG and placed him on a cardiac monitor. I checked pedal pulse and did circulatory check in his right leg every hour. I advised him to stay in bed for few hours to avoid bleeding. When it was discovered that Henry had an Inferior NSTEMI he was scheduled to have an emergency percutaneous transluminal coronary angioplasty (PTCA) which is performed by passing a balloon tipped catheter from an artery in the groin or arm and guided to the blocked artery of the heart (American Heart Association, 2008).The balloon is then inflated and removed, leaving in metalstent which squashes the fatty deposit that has been blocking the artery and therefore allowing blood to flow more easily. Jowett and Thompson (2003) argue that this method is very useful in alleviating symptoms and improving the prognosis of the patient. I was able to explain the procedure to Henry and then prepared him for the operation by shaving his groin and checking his bloods (including a coagulation screen). I also inserted venflon for intravenous access administered medications such as aspirin, informed the next of kin. The angiography had shown that Henry had 70-90% stenosis in proximal and midsegment section of vessel. The left coronary artery was free of obstruction therefore patient had PCI with drugeluting stents in the right coronary artery. The procedure was successful and I was able to start Henry on the first phase of his cardiac rehabilitation before his discharge. This involves a risk factor assessment and giving advice on how to lead a healthier life through reducing stress, having a healthier diet and taking regular exercise. I also gave him advice on his new drug regiment which would be an important part of his rehabilitation. Of course, longer term rehabilitation is required for patients who have gone through what Henry has gone through. He agreed to attend a exercise program once a week to be conducted in the hospital. A Myocardial Infarction (MI) can have a huge psychological effect on a patient. The changes that a patient is required to make to their lifestyle after suffering an MI can also have a damaging psychological consequences. Before Henry was discharged I had him fill out a questionnaire that would help determine his depression and anxiety levels based on the Hospital Anxiety and Depression (HAD) scale. Stage 2: Feelings As a nurse I know that it is impossible to give round the clock, exclusive care to just one patient. I had other patients to attend to on that day who needed my care just as much as Henry. However, I still felt frustrated that Henry was in so much discomfort and I was also annoyed with myself for not having picked up on this when he had been initially handed over to me. It was left up to the senior sister to tell me that he had been pain during the night. I also felt frustrated that he didn’t feel like he could tell anyone about the pain that he had been experiencing. I felt that on the whole my communication skills had been lacking on this occasion. Had my communication skills been better, I could have picked up on the pain Henry was in much sooner. This is perhaps the strongest feeling I have about this experience. Overall I felt relieved that I was able to discharge Henry. CHD is a massive killer in the UK and working on the CCU one experiences many outcomes that aren’t as positive as Henry’s. Of course, I know his life is going to have to dramatically change as a result of his MI but I felt like I had done my best to prepare him for these changes. Stage 3: Evaluation This stage requires a reflection of the experience as a whole and to look at the aspects that were successful and also to look at aspects that weren’t so successful. Overall I was pleased at the outcome of this experience. However, there are always areas that could be improved on. Perhaps the greatest failure came from not knowing soon enough of the chest pain that Henry had suffered through the night. Had his pain been reported or picked up on sooner then I could have possibly prevented some of the myocardial damage. The GTN infusion could have been administered sooner. The purpose of this infusion is partly because it is useful for analgesia but also because it is useful for the control of ischaemia as it relaxes the smooth muscles, arteries and veins leading to vasodilatation (Hatchett and Thompson, 2007). Had I known of Henry’s chest pain right from the start it would have been possible for me to administer this as soon as he was handed over to me. The CCU I work in follows the ESC guidelines for management of NSTEMI. In accordance with this, I started Tirofiban and Heparin infusion. Tirofiban is a nonpeptide mimetic antagonist of glycoprotein 11b/111a receptor. Because Henry was limited by unstable signs and symptoms, protocol states that Tirofiban in combination with Heparin and Aspirin will have lower incidence of ischemia. I thought that the care that Henry received before his PTCA and the speed in which he was able to have this surgery was a great success. The PTCA was also a particularly successful. In the BHF Randomised Intervention Treatment of Angina (RITA3) trial of patients with NSTEMI, invasive strategies (PTCA or CABG) were found to be better when compared with more conservative strategies (Collnolly et al, 2002). I also felt that the care Henry received after his PTCA was very successful. The long term effects of this are yet to be realised but in the short term I felt that Henry responded very well to the lifestyle changes he was being asked to make. The long term care of patients who have suffered from CHD requires coordination across many different health care professions. It is often for patients to slip through the cracks and skip the parts of the rehabilitation that they find too hard. However, I felt that Henry was determined to get back to a normal life as soon as possible. Stage 4: Analysis The purpose of Gibbs’ model of reflection (1988) is to learn from your experiences. I feel that this stage has been adequately covered by the description given in Stage 1. In this previous section I have given a step by step breakdown of the events as they unfolded. Each part from Henry’s admission, to his treatment to the initial stages of his rehabilitation have been covered in sufficient detail above. Stage 5: Conclusion As already mentioned, one of the areas which I felt was most inadequate throughout this whole experience was communication. Jowett and Thompson (2003) argue that in the highly technical and invasive atmosphere of a CCU, good communication can sometimes be lacking. Ashworth (1984) argues that a patient needs to feel like healthcare professionals such as nurses need to be helpful, competent and approachable. Nurses in turn have to recognise the individual needs of the patients in their care. This is an area where there were obvious failures. Henry didn’t feel able to express the fact that he was in pain because he didn’t want to be a nuisance. In an CCU where it is a highly charged atmosphere, it is possible that the patient may feel quite a lot of discomfort but won’t speak up because they may feel that they are inconveniencing someone or also they may feel that everyone in the CCU is probably feeling worse than them so they should just deal with the pain and not speak up. This failure to communicate is both the fault of the patient and the healthcare professional but the healthcare professional should be able to recognise when a patient is in pain. Stage 6: Action Plan Clinically I feel all the proper guidelines and protocols were applied in the case of Henry. As has already been stated, what was lacking is the communication. I am likely to encounter similar situations again as a nurse in a CCU. CHU is a leading health concern in the UK so it is important that one is able to learn from experiences and use them when encountering similar situations. The role of nurse in a CCU is one that is rapidly evolving and changing so it is important to learn from experiences and apply this learning to everyday practice. What my experience with Henry has taught me is that I need to treat each patient as individuals with individual problems and with differing levels of communication skills. Some patients are good at communicating what they feel while others aren’t. Spotting that Henry was in pain sooner may have led to less damage of his heart tissue. Of course the damage had already been done before he came into hospital but I may have missed signs that I should have picked up on when he was initially handed over to me. As nurses we should be striving to make the patients in our care as comfortable as possible. This especially important in a CCU where patients are having to deal with a variety of problems and a wide range of emotions. It is easy to get caught up in the highly charged atmosphere and not see the patients as individuals. This is something that I aim to work on in my future career as a nurse. Bibliography and References: Bassand, J., Hamm,C,Ardissino D et al (2007) Guidelines for the diagnosis and treatment of Non-ST-segment Elevation acute coronary syndrome:The task force for the diagnosis and treatment of Non ST-segment elevation acute coronary syndromes of the European society of cardiology. European Heart Journal 28:1598-1660. B .Scheller,U.speck,M.Bohm Prevention of restenosis; is angioplasty the answer. Heart 2007(93) 539-541. Derek L Connolly,Gregory YH lip and Bernard SP chin.Anti thrombotic strategies in acute coronary syndromes and percutaneous coronary intervention.ABC of antithrombotic therapy BMJ.2002 325(7377): 1404-14 E coady Managing patients with non-ST-segment elevation acute coronary syndrome Nursing standard 2006(20) 49-56. Fox KA (2004) Management of acute coronary syndromes: an update.Heart 2004(90-1) 99-106. Gibbs ,G.(1988) Learning by doing :A guide to teaching and learning methods.oxford. Hatchett,R. and Thompson,D. (2001) Cardiac Nursing:A comprehensive Guide,London,Churchill Livingstone. Harvey D white (2008) Implications of a new universal definition.Heart 2008(94-6) 679-683. Henriksson M Epstein,D.M and Palmer SJ (2008) costeffectiveness of an early interventional strategy in non-ST elevation acute coronary syndrome.Heart 2008(94) 717-723. Jowett,N and Thompson,D.(2003) Comprehensive coronary care.3rd edn.London:Bailliere Tindall. Libby P (2001) Current concepts of the pathogenesis of the acute coronary syndromes.Circulation. 2001(104-3), 365-372. Mathew B.earnest and Peter N. tadros march1,2007 consultant vol 47(3) National Service Framework for Coronary Heart Disease (2000) A report on the clinical and cost effectiveness of physiotherapy in cardiac rehabilitation London:NSF. Nursing and Midwifery council (2002) code of professional conduct.London.Nursing and Midwifery council O Connor, S (1995) The cardiac patient:nursing interventions.London:Mosby. Ornish,D.,Brown,S.E.,Scherwitz,L.w., et al.(1990)Can lifestyle changes reverse coronary heart diseaseLancet,336,129-133. Scottish Intercollegiate Guidelines Network (2002) Cardiac rehabilitation:National Clinical Guidelines. Edinburgh:SIGN Thompson, P (1996) The effectiveness of cardiac rehabilitation.Nursing in critical care 1(3);215-220. Thygesen, K .,Joseph S., et al.(2007)Universal Definition Of Myocardial Infarction:Task Force For The Redefinition Of Myocardial Infarction.European Heart Journal(28) 2525-2538. World Health Organisation (1993) Needs And Actions Priorities In Cardiac Rehablitation And Secondary Prevention In Patients With Coronary Heart Disease.WHO Technical Report Service 831,Geneva, WHO . Wood,D., Mcleod, A., Davis,Miles,A.(2002) Effective Secondary Prevention and Cardiac Rehablitation.London:Ausculapius Medical Press. Woods, S.L., Sivarajan Froelicher,E.S. and Underhill Motzer, S.(2004) Cardiac Nursing, 5th edition, Philadelphia, Lippincott.

Following In The Footsteps :: Personal Narrative Teaching Education Essays

Following In The Footsteps When I was growing up, I was always around the teaching profession. My mother is an educator and I had always been told that I would make a great educator too because my mother was a teacher. They said it was in my blood. I was never too sure about that. I never really knew what I wanted to be when I grew up. I did not know if teaching would be right for me. I did not know until the summer after graduating from high school; the summer I found my calling in life. At the time I did not know it, but the summer after graduating from high school would be one of the greatest summers of my life. During this summer, I became involved in a program called Energy Express. In this program, I had my own classroom of approximately ten students. I instructed these students in improving their reading and writing skills. I became more deeply involved with the program as the summer progressed and I fell in love with the art of teaching. Until this time, I did not know of anything that gave me the type of joy that teaching gives me. I had not known what a thrill that it would be for me to watch a child that could not read at all in June, read very well by the time August came around. I knew for sure after my summer was over with Energy Express that I wanted to be an educator, but not just any educator. I want to be the teacher that has a lasting impact on the lives of every single student that comes into my classroom. During my tenure with Energy Express and in my Education classes at Concord College, I have developed my teaching philosophy. I believe very strongly in cooperative learning, meaning that students should be heavily involved in the classroom by participating in group activities and discussions. By participating in a discussion and/or hands-on lesson, the student is more likely to retain what he or she has been taught. I also believe that teachers should do their absolute best to inspire the children to learn by making the classroom a fun place to learn, but at the same time having structure and discipline.

All Quiet On The Western Front :: essays research papers

All Quiet on the Western Front  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The remains of Paul Baumer's company had moved behind the German front lines for a short rest at the beginning of the novel. After Behm became Paul's first dead schoolmate, Paul viewed the older generation bitterly, particularly Kantorek, the teacher who convinced Paul and his classmates to join the military, feeling alone and betrayed in the world that they had left for him. Paul's generation felt empty and isolated from the rest of the world due to the fact that they had never truly established any part of themselves in civilian life. At boot camp, Himmelstoss abused Paul and his friends, yet the harassment only brought them closer together and developed a strong spirit amongst them. Katczinsky, or Kat, was soon shown to be a master scavenger, being able to provide the group with food or virtually anything else; on this basis Paul and him grew quite close. Paul's unit was assigned to lay barbed wire on the front line, and a sudden shelling resulted in the severe wounding of a recruit that Paul had comforted earlier. Paul and Kat again strongly questioned the War. After Paul's company were returned to the huts behind the lines, Himmelstoss appeared and was insulted by some of the members of Paul's unit, who were then only mildly punished. During a bloody battle, 120 of the men in Paul's unit were killed. Paul was given leave and returned home only to find himself very distant from his family as a result of the war. He left in agony knowing that his youth was lost forever. Before returning to his unit, Paul spent a little while at a military camp where he viewed a Russian prisoner of war camp with severe starvation problems and again questioned the values that he had grown up with contrasted to the values while fighting the war. After Paul returned to his unit, they were sent to the front. During an attack, Paul killed a French soldier. After discovering that this soldier had a family, Paul was deeply shattered and vowed to prevent other such wars. Paul's unit was assigned to guard a supply depot of an abandoned village, but he and Kropp were soon wounded when trying to escape from the village. Paul headed back to the front, only to engage in final battles where all of his friends were killed. The death of Kat was particularly hard for Paul because they were very close. One month before the Armistice, Paul was killed.

18th century English literature Essay

1. There was a sense of relief and escape, relief from the strain of living in a mysterious universe and escape from the ignorance and barbarism of the Gothic centuries –not referring only to Gothic literature. The dark period provokes that people want to change and improve their lifestyle when they entered the 18th century. There was a general desire to emancipate from the dark aspects of rural and dark living. 2. Sanity, culture, and civilization had revived. There was a general feeling of emancipation from historic specters, a sense of security from the upheavals of the Civil War period. 3. Dryden wrote in 1668 â€Å"We have been so long together bad Englishmen that we had not leisure to be good poets†. This quote exemplifies that 17th century men were occupied with complete other things than humanities. â€Å"Nature†Ã¢â‚¬â€œphilosophical concept/religious concept that rule the 18th century. Western thinking– has been a controlling idea in the Western thought ever since antiquity, but it has probably never been so universally active as it was from the Renaissance to the end of the 18th century. The laws of â€Å"Nature† are the laws of reason; they are always and everywhere, and the axioms of mathematics they have only to be presented in order to be acknowledged as just and right by all men. This was the Golden Age of natural theology and deistical freethinking: Spinoza, Boyle, Locke, etc. During the Christian centuries religion has rested upon revelation; now it rested largely upon â€Å"Nature† and even the Orthodox who retain the supernatural basis felt that faith must be grounded firmly upon â€Å"Nature† before one had recourse t super-Nature. The 18th century is the century of Reason. If we want to apply reason, it has to be stable. Everything ought to be structured in logic axioms. It is the Golden Age of liberal thinking, also in religion which one had the power and gave divine explanations but they will not provide the answers anymore, but science will do. The scientific movement of the 17th and 17th centuries: Copernicus, Kepler, Galileo, Bacon, Descartes, Newton produced a â€Å"climate of opinion† in which supernatural and occult explanations of natural phenomena ceased to satisfy. The Universe came to be regarded as the Great Machine, working by rigidly determined laws of material causation –laws of Physics; everything has a cause. The supernatural, in both its divine and its diabolical forms, was  banished from Nature. Another relevant issue: the state power passed from the king gradually to the Parliament and the Cabinet ministers. A huge expansion abroad of British colonies in Asia, Africa and North America caused the Industrial Revolutio n. The basis consists of democratic principles. ! London became more and more the center of the literary and intellectual life of the country and writers came to look upon â€Å"polite† London society as their chief, if not their sole, audience. The opposite of natural living, cultivated people lived in London. Aristocracy in the old sense has been transmuted into gentility and wealth becomes the main motivating power in society –aristocracy regarded as gentile; educated and cultured people. Wealth becomes the motor of society -> new social class that centers in commercialization. Economics and Ethics are finally separated. The new economists prove to their own satisfaction that the individual desire to make money can produce in the long run nothing but good, and poverty can only be the result of idleness. In London, the coffeehouse replaces the Court as the meeting place of the men of culture. The journalist makes his appearance, and poetry becomes social and familiar. There was a correlation, between social class and education and between elegance –which was related to education; e.g. people went to the theatre– and learning that has not always existed in subsequent periods –people wanted to be cultivated so they started reading. The English novel coins in the 18th century thanks to journalism. And if poets were to use references to the Latin and Greek classics as well as to the events in the contemporary world of learning, they had to consider themselves addressing a very limited audience. That is why classic and contemporary studies were mixed in order to have a broader audience. Merchants and tradesmen of the town came to play a very important part in the life of the country. But the middle class were not yet the landed aristocracy, the country gentlemen and big state owners though they ruled only with the permission of and in alliance with the commercial interests. London The education and the entertainment of the middle classes became a legitimate objective of literature. The period between 1660 and 1785 was a time of amazing expansion for England. The world seemed different in 1785. A sense of new, expanding possibilities transformed the daily life of the British  people. And offered them fresh ways of thinking about their relations to nature. The city of London became the center of business, pleasure and the emerging consumer society. Samuel Johnson said that â€Å"when a man is tired of London, he is tired of life fir there is in London all that life can afford†. With growing prosperity, London turned into a city where everything was for sale. Its elegant shops dazzled tourists, supplying not only heaps of goods but also a perpetual source of amusement. Varieties of spectacles and shows drew larger and larger crowds, and theatres expanded to meet the competition. At the London playhouses, the audience itself was often part of the entertai nment. The Royal Exchange, in the hart of the city (financial district) of London, was not only a hub for business and shopping but also a symbols for â€Å"globalization†. The increasing importance of international commerce to the British economy. Addinson’s idyllic picture of the Exchange, written in 1711, celebrates the way in which the whole world seems to revolve around the blessings of trade. But many English people also worried that foreign luxuries might sap the national spirit of independence and self-sufficiency (Practice 1). There was a shift in population from the country to the town, and it reveals how far the life of the city, where every daily newspaper brought news sources of interest had moved from traditional values (London life is reflected in the newspaper). Formerly, the tastes of the court had dominated the art (!): the monarch stands for the nation. But the 18th century witnessed a turn from palaces to pleasure gardens that were open to anyone with the p rice of admission. New standards of taste were set by what the people of London wanted, and art joined with commerce to satisfy those desires. Artis Willams Hogarth made his living, not as earlier painters had done through portraits of royal and noble patrons, but by selling his paints to a large and appreciative public. London itself –its beauty and horror, its ever changing moods –became a favorite subject of writers (!). The sense that everything was changing was also sparkled by a revolution in science. In earlier periods, the universe had often seemed a small place, less than 6000 years old, where a single sun moved about the earth, center of the cosmos. Now time and space exploded, the microscope and telescope opened new fields of vision and the â€Å"plurality of world†, became a doctrine endlessly repeated. The authority of Aristotle was broken, their systems could not explain what Galileo and Kepler saw in  the heavens. As discoveries multiplied, it became clear that the moderns knew things of which the ancients had been ignorant. This challenge to received opinion was thrilling as well as di sturbing. In Paradise Lost, Book 8, the angel Raphael warn Adam to think about what concerns him, not to dream about other worlds. Yet, despite the warning voiced by Milton through Raphael, many later writers found the new science inspiring. It gave them new images to conjure with and new possibilities of fact and fiction to explore. Explorers were travelling around the earth, where they discovered unknown countries and ways of life. These encounters with other peoples often proved vicious. The trade and conquests that made Europeans powers like Spain and Portugal immensely rich also brought the scourge of racism and colonial exploitation. In the 18th century, Britain’s expansion into an empire was fueled by slavery and the slave trade, a source of profit that belied the national self-image as a heaven of liberty, and turned British people against one another. Rising prosperity at home had been built on inhumanity across the seas. At the end of the 18th century as many writers joined the abolitionist campaign, a new humanitarian ideal was forged. The modern world invented by the 18th century brought suffe ring along with progress. We still live with its legacies today. England was a nation of shopkeepers. But the stylish and lavish shops that filled 18th century London were also a visible sign of growing national power. The cutting edge of a consumer revolution, they showed the public that the modern world was to be welcomed, not feared. There was something for everyone to desire and possess in this new world of fashion. During the successful run of The Tatler (1709-1711)Germen de la novella de ficcion, Steele’s and Addison’s predecessor to The Spectator, The Female Tatler was published 3 times a week attributed to an imaginary â€Å"Mrs. Crackenthrope, a Lady that knows everything†. Its authors, who probably included both women and men, aimed to amuse and instruct female readers, as shown in the following piece on shops from 1709. -> Joseph Addison, from The Spectator, No. 69. Questions: Consider the satisfaction which Addison takes in The Royal Exchange. Why does he love so much to visit it? Are you persuaded that his pleasure comes from being â€Å"a great Lover of Mankind,† or is wealth itself what stimulates him? Many historians describe what happened in 18th century England as The Birth of a Consumer Society. According to this analysis, the widespread pursuit of good and entertainment turned England into the first truly modern nation, in which commercialization drives art as well as the economy. How well does this premise account for what you see in this topic?