Monday, December 30, 2019

A Visit At The Hospital - 898 Words

You are exactly the type of guy who would be at the hospital for the second time this week. There you are, and you cannot promise you won t be back tomorrow; although you will. You are at the local emergency room, waiting to be seen by an unfamiliar doctor. The hospital is laden with the scent of stale hand sanitizer and the clatter of nurses shoes. In hiccups, a baby is crying on your left, and you wonder if it s worth it. Yes, of course it is. You are already here, so go for it. This is what you anticipated since your last hospital visit a few days ago. You are starting to familiarize yourself with every aspect of the hospital; where this communal, bureaucratic abieance becomes home to you. You know the aftermath of this; nevertheless, you are eager to take the excursion, to maintain the role of a malady-stricken patient, as you have many times before. Luckily at your last visit foreign hands cared for you during the duration of your short stay, and now you wish be cherished by a different set for a prolonged stay. You are reciting symptoms to yourself that require immediate medical attention. As you chant the symptoms, they become apart of you. You scuff up the floor with your incessant pacing, although no one will notice; the floor is covered with black stray marks from patients before you. The mother holding her crying baby reassures you the doctors will see you soon. You choose not to acknowledge her. You keep pacing, while sheShow MoreRelatedEssay on Visit to a Hospital1119 Words   |  5 PagesCivil Hospital  Karachi  is a 1900-bed tertiary care public hospital that imparts both undergraduate and postgraduate teaching and training. It is one of the teaching hospitals affiliated with the  Dow Medical College[1]  now the  Dow University of Health Sciences. Civil Hospital Karachi is arguably the largest teaching hospital of Pakistan, catering not only to all areas of the province of  Sindh  but also the neighboring province of  Balochistan  as well. ------------------------------------------------- Read MoreIntroduction . A Visit To An Hospital Does Not Give Any1751 Words   |  8 PagesIntroduction A visit to an hospital does not give any kind of pleasure. However, for a minute, imagine yourself, visiting another country, for instance, Columbia, and unfortunately due to a accident, you are hospitalized. Imagine the doctor, walking into your ward and says in Spanish to you â€Å"Tiene una amenaza para la vida condicià ³n de salud†(You have a life-threatening condition), since Spanish is the native language in Columbia. You feel like all of a sudden the darkness wrapped around you andRead MoreTelehealth Can Help Reduce High Cost Hospital Visits807 Words   |  4 PagesTelehealth can help reduce high cost hospital visits such as stroke cases, neonatal intensive care unit (NICU) cases and other emergencies. There have been recent initiatives that collected data to see if telehealth was a cost effective option for healthcare. One initiative, Baby CareLink, places telehealth units in homes of low-birth weight neonates.12 For this initiative, Beth Israel Deaconess Medical Ce nter (BIDMC) in Boston installs the telehealth units in the neonates home for $2,000, and thatRead MorePatient Satisfaction, Hospital Readmissions, The Number Of Physician And Emergency Department Visits1189 Words   |  5 PagesThe extensive research criteria facilitated a conscientious evaluation of the effectiveness of telemedicine across multiple attributes: patient satisfaction, hospital readmissions, the number of physician and emergency department visits, the maximum length of hospital stay, cost-effectiveness, self-management, health outcomes, morbidity, and mortality. Surprisingly, there are many positive effects of using telemedicine in managing chronic heart failure patients. A total of 23 articles were deliberatelyRead MoreThe Impact Of Affordable Care Organizations1145 Words   |  5 Pagesconsists of physicians, and hospitals, is to improve the quality of health, health outcomes, and health care spending among its attributed groups† (Mayberry, 2017, p. S61). Each ACO is required to provide primary care services for at least 3 years to about five thousand for service beneficiaries (Mayberry 2017). Becoming part of an ACO is by choice, with the Center for Medicare and Medicaid Services setting the guidelines that ought to be met by clinicians and hospitals before they can share partRead MoreAlternatives For Overcrowding Emergency Departments1745 Words   |  7 PagesALTERNATIVES FOR OVERCROWDING EMERGENCY DEPARTMENTS Meeting the Challenge and Filling the Gaps in America’s Healthcare System Executive Summary: Many visits to the Emergency Department are made for non-emergent needs. This causes congestion in the healthcare system and makes it harder for those who truly need emergent medical attention receive the care they need. Aging populations, under or non-insured patients, Medicaid expansions, and Psychiatric/Behavioral Health problems directly impact overcrowdingRead MoreAbuse Of The Emergency Room 51188 Words   |  5 PagesMemorial Hospital, Beaufort, SC is no exception to this rule. With much of Beaufort County and the surrounding counties being rural and with a high poverty rate Beaufort Memorial experiences a high level of underinsured and indigent care. In 2012 the Medicaid Abuse of the Emergency Room 5 disproportionate share increased by 20.5 % in out-patient activity alone. (Beaufort Memorial Hospital, 2012)Read MoreEvidence Supports Transitional Care Programs Essay1093 Words   |  5 Pagescompliance and length of time to first office follow-up. Retrospective chart review was used to gather data. Prior to October 1, 2015, no formal Transitional Care Program or Advanced Practice Provider Transitional Care Clinic existed at Baptist Hospital. On October 1, 2015, Baptist began a Post-Myocardial Infarction Transitional Care Program and Advanced Practice Provider Transitional Care Clinic which incorporated multiple discipline inpatient education and structured post-discharge clinic whichRead MoreTulsa Memorial Hospital Case Study1500 Words   |  6 PagesBackground Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the streetRead MoreReducing Ed Intervention Essay1028 Words   |  5 Pagesimplementing these interventions is getting the hospitals and community partners on board with the intervention (â€Å"Nexus Montgomery†, 2015). Six hospitals (Holy Cross, Holy Cross Germantown, Suburban, Washington Adventist, Washington Adventist Shady Grove, MedStar Montgomery) were chosen to participate in this intervention (â€Å"Nexus Montgomery†, 2015). It is beneficial for the hospitals to come togeth er. They share a common goal. Each hospital would like to reduce repeat ED encounter in this

Sunday, December 22, 2019

Revolutionary Images in a Tale of Two Cities by Charles...

â€Å"it was the season of Light, it was the season of Darkness, it was the spring of hope, it was the winter of despair †¦ we were all going direct to Heaven, we were all going direct the other way†¦Ã¢â‚¬  asserts Charles Dickens in reference to the French Revolution (Dickens 1). This infamous rebellion began as a respectable, even gallant, cause: an uprising against the inhumane way the aristocracy treated the peasants. However, as long as man has the ability to hate, he is going to want revenge. This added emotion often fuels the will of the oppressed, causing them to be even more unmerciful and barbarous towards the ones who tormented and harassed them. Soon, they became even more frenzied and blood thirsty, transforming into animals obsessed†¦show more content†¦During the commotion of the peasants sharpening their weapons on the grindstone, the ghastly/grim imagery used to describe the scene introduces the idea that the oppressed are now becoming the oppres sors and dehumanizing the gentility. A grindstone is a thick disk of stone that is mounted in a way that enables it to rotate, allowing for the sharpening of swords and other metal weapons. The image of the grindstone was necessary because Dickens based this scene off of the September Massacre, a nonfictional incident of the French Revolution in which the peasants killed 1,100 people, whether they were aristocracy or not. In order to depict the growing animosity of the peasants, Dickens continues to use the animal-like imagery: The grindstone had a double handle, and, turning at it madly were two men, whose faces, as their long hair flapped back when the whirlings of the grindstone brought their faces up, were more horrible and cruel than the visages of the wildest savages in their most barbarous disguise. †¦ all awry with howling, and all staring and glaring with beastly excitement and want of sleep. As these ruffians turned and turned, their matted locks now flung forward ove r their eyes †¦ . (203) However, the animal-like imagery is now even moreShow MoreRelatedA Tale of Two Cities, by Charles Dickens1420 Words   |  6 Pageshistory – the best of times and the worst of times. The violence enacted by the citizens of French on their fellow countrymen set a gruesome scene in the cities and country sides of France. Charles Dickens uses a palate of storm, wine, and blood imagery in A Tale of Two Cities to paint exactly how tremendously brutal this period of time was. Dickens use of storm imagery throughout his novel illustrates to the reader the tremulous, fierce, and explosive time period in which the course of events takesRead MoreThe Images Within Us All: A Tale of Two Cities, by Charles Dickens1273 Words   |  6 Pagesfollowed by the decline of monarchies and the rise of democracy and nationalism. A Tale of Two Cities, by Charles Dickens, is set in the cities of Paris and London and flawlessly captures the angst and changing times of these places during this unforgettable period. Dickens extensively researched the events that occurred to set up perfect scenes that stick with the reader even after the novel is finished. Dickens masterfully uses the literary element of imagery throughout the novel to enforce hisRead MoreThe Heart of the Revolution Essay1647 Words   |  7 Pagesit was the winter of despair† (Dickens 3). The duality of the revolution is presented in the novel, A Tale of Two Cities by Charles Dickens, it shows the tru e nature of the French Revolution and its powerful impact over the citizens, as Lucie and her beloved husband, Charles Darnay, get torn apart by the uprising revolutionaries that only see with vengeance in their eyes. When Darnay travels to Paris to rescue a fellow friend, he is taken away by the revolutionaries and put in prison awaiting hisRead MoreEssay on A Tale of Two Cities- A Historical fiction1889 Words   |  8 PagesA Tale of Two Cities- A Historical fiction A Tale of Two Cities is a novel categorized as historical fiction. Historical fiction is a composite material, with a portion of history embedded in a matrix of fiction. A Tale of Two Cities is appropriately titled, as the novel is the story of England and Revolutionary France; as a result it can be categorized as historical fiction. A Tale of Two Cities is parallel to history in many different respects. The English setting, and atmosphere, is similarlyRead MoreA Tale Of Two Cities By Charles Dickens1426 Words   |  6 Pagesanxiety, and misery, the French Revolution was a trying time for all involved, even the characters crafted by Charles Dickens’ imagination. Charles Dickens’ strongly enforces the hardships of this arduous era in his remarkable novel, A Tale of Two Cities, while exhibiting his keen ability to leave hints for the readers, allowing them to predict upcoming events in his skillfully fashioned plot. Dickens utilizes vivid imagery to construct menacing se ttings. He presents his characters as impulsive to indicateRead MoreCharles Dickens : A Social Critic And English Writer Essay2210 Words   |  9 PagesCharles Dickens (1812-1870) was a social critic and English writer. Dickens generated some of globe’s most renowned fictional characters. He is viewed as the most remarkable writer of the Victorian period. Dickens’ works, during his life, enjoyed exceptional popularity. By 20th century, scholars and critics called him a literary genius. Dickens’ short stories and novels continue to be popular. Dickens was born in Portsmouth in England. He was forced to drop out of school following his father’s imprisonmentRead MoreThe Historical Context of A Tale of Two Cities2575 Words   |  11 Pages A Tale of Two Cities, by Charles Dickens, is a story set in the year 1775 and through the turbulent time of the French Revolution. It is of people living in love and betrayal, murder and joy, peril and safety, hate and fo ndness, misery and happiness, gentle actions and ferocious crowds. The novel surrounds a drunken man, Sydney Carton, who performs a heroic deed for his beloved, Lucie Manette, while Monsieur and Madame Defarge, ruthless revolutionaries, seek revenge against the nobles of FranceRead More Characters, Setting, and Conflicts in A Tale of Two Cities Essay2354 Words   |  10 PagesCharacters, Setting, and Conflicts in A Tale of Two Cities      Ã‚  Ã‚   In the novel, A Tale of Two Cities, Charles Dickens utilizes the characters, setting, conflicts, and other literary devices to convey the tone and establish an attitude about human beings and society.    Dickens connects this novel with the French Revolution. Many of his descriptions refer back to the Revolution and help convey the tone of depression. Dickens saw similarities between the forces that led to the Read MoreThe Use of Language in A Tale of Two Cities Essay1814 Words   |  8 PagesReferring closely to the use of language, show how Charles Dickens examines the tragic consequences of unruly behaviour in Chapter Twenty One of ‘A Tale of Two Cities’. How does he bring out the dramatic tension? ‘A Tale of Two Cities’ set partly in the Saint Antoine region in the midst of the deadly and brutal French Revolution and partly in the dull and monotonous Restoration Period in England seems to be tale of warning and of social justice. Dickens, born in 1812, held the equality of all socialRead MoreTale Of Two Cities Violent Scene Analysis977 Words   |  4 PagesToday many violent scenes are used for their shock value and for the sake of including violence. However, A Tale of Two Cities, by Charles Dickens, has violent scenes to illustrate the time period of the French Revolution. Scenes such as Foulon being paraded through the city and murdered, the Storming of the Bastille, and the fight between Miss Pross and Madame Defarge emphasize the violence of the time through graphic detail and imagery. These scenes add to the novel’s legitimacy by expressing the

Saturday, December 14, 2019

Gia and Her Life Free Essays

Gia Marie Carangi is a gorgeous Philadelphia native who arrives in New York City to become a model and immediately makes an impression on a very high profiled agent by the name of Wilhelmina Cooper. In the movie Gia’s sexual identity is not identified by her. She never comes out directly and states I’m a lesbian or bisexual. We will write a custom essay sample on Gia and Her Life or any similar topic only for you Order Now Even though she never had sex with a man, she never said that she wasn’t attractive to men. Gia was very open minded and was always willing to explore her sexuality. Throughout the movie growing up she was finding herself while meeting a woman by the name of Linda who at the time they met was involved with a man. Gia really loved Linda but in the beginning Linda would always push her away which fueled her drug addiction. Linda was bisexual and in the beginning had issues with it because Gia was the first woman she ever been with but Linda also fell in love with her in time. Gia was feminine but at times could be very aggressive and had some boyish qualities about her to me that stood out. Her looks which made her one of the top female models back in the 70’s had male and females in awe of her beauty. Gia had a uniqueness about her that made her different from everybody else which elevated her into the star she was destined to become. Her beauty was like a gift and a curse because it got her to places she never dreamed of going, yet the curse for some could be that people only looked at the outer beauty and cared less what was on the inside. Gia finally realized that Linda was the only one that was there for her and she thanked her for that while photographers and other people surrounding her just saw her as a face that could make money and could care less if she couldn’t speak because they didn’t want her to open her mouth just look beautiful. Gia was very erotic and adventourous which did capture the interests of others to her and she portrayed that well on camera which the photographer loved! The movie takes place in the late 1970’s and around that time was the term â€Å"sexual liberation† or â€Å"free love† with millions of young people embracing the hippie ethos and preaching the power of love and the beauty of sex as a natural part of life. Sex was experimented openly in and outside of marriage and around the 80’s is when free love ended abruptly because that’s when the public became aware of AIDS. Sex and drugs was one of the main components that surrounded her and by being in the entertainment industry that always came with the territory some did it more than others but in Gias case the drugs took over her life at one point sharing needles which later on is found out how she contracted AIDS. How to cite Gia and Her Life, Papers

Friday, December 6, 2019

Membrane Behaviour Lab free essay sample

The permeability of a cell to solutes in an aqueous medium depends upon the physical and chemical make–up of the membrane. The maintenance of the living cell depends upon the continued presence and functioning of a selectively permeable membrane. If the nature of the membrane is changed or altered in any way, this may well affect its permeability and thus the properties of the cell of which it is a part. Irreversible changes in the permeability of the membrane usually lead to the death of the cell. In this experiment, you will study the effect of changes in environmental conditions on the permeability of living beetroot cells. 1.Top and bottom of beetroot were cut off by scalpel. The cork borer was used to cut out about 3-4 cores, then each core was cut into uniform discs about 2mm thick. 2.Discs were rinsed in a small beaker of cool water for about 5 minutes. We will write a custom essay sample on Membrane Behaviour Lab or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page 3.Each stock solution of HCl, NaCl and tap water were measured in a graduated cylinder to 10ml, then poured into individually labeled test tubes. 4.Three beetroot discs were placed in each test tube with tweezers. 5.After 40 minute of waiting the colour and intensity was recorded. The Effect of Freezing 1.10 ml of room temperature water was measured with a graduated cylinder and poured into a labeled test tube. 2.Three frozen discs of beetroot were placed into the test tube of room temperature water. 3.After 40 minutes of waiting the colour and intensity was recorded. The Effect of Organic Solvents 1.10 ml of acetone was measured with a graduated cylinder and poured into a labeled test tube. 2. Three beetroot discs were placed into the test tube of acetone. 3.After 40 minutes of waiting the colour and intensity was recorded. a) There appears to be a marked change in the permeability of the membrane as low as the 30oc mark. b) Not all optimal temperatures for the functioning of the cell membrane are the same for different organisms and differing cell types. Cell membranes adjust their structure accordingly to their surrounding environment and in turn the function they perform is specialized for that particular environment. However, if the conditions in which the membrane and its components best function become too extreme, the structure is found to undergo gross structural changes. When this occurs, the membrane cannot perform its necessary functions. In conclusion, differing cells and their membranes function in varying optimal conditions. c) Embedded in the cell membrane are various proteins serving different functions, however, one common purpose they do serve is to hold the membrane together in an identifiable, regular structure. Along with this, these proteins limit the passage of molecules in and out of the cell. If the membrane is exposed to extreme conditions such as heat, these proteins may become denatured, chemical bonds become broken and ultimately, they lose the ability to perform their function. This results in the cell membrane becoming more fluid as well, increasing movement and allowing the entry of unwanted molecules into the cell and vital particles escape the cell. When this occurs, important functions and chemical reactions of the cell are interrupted and the cell ultimately dies. 2) pH a)The chemistry terms pH and concentration are connected in several ways. The pH scale measures hydrogen ions in a solution. The concentration of hydrogen ions determines whether a solution will behave as an acid, base, or both (neutral). The properties of acids and bases are determined by pH and the concentration of the acid and base molecules in a solution. Together, the pH and concentration determine predictable changes to the properties of any given acid or base solution. Another connection between pH and concentration is that both are calculated in a similar way. The simplest connection between pH and concentration also exists because of the scale used. They become linearly connected by a factor of ten and the pH changes by a factor of one when hydrogen ion concentration changes by a factor of ten. b)At a pH 1 of HCl shows to be where maximum intensity of anthocyanin occur, being a very strong red. At a pH 13 of NaOH shows also to be where maximum intensity of anthocyanin occur, being a yellowish/ green colour. The pH of 7 and therefore tap water (being neutral) shows to be where minimum intensity of anthocyanin occurs. c)pH affects membranes by affecting the proteins that make up about 70% of most cell membranes (less in inactive cells, such as red blood cells, more in others, such as those of mitochondria). Proteins are made of amino- acids and each amino-acid has a variable number of nitrogen and oxygen atoms in it. These can form hydogen bonds with the many hydrogen atoms found in the molecule. The protein folds up to ensure that the maximum number of these hydrogen bonds is made. When the pH of a solution changes, the position of some of these hydrogen atoms also changes. This is because amino-acids are amphomeric, and tend to stabilize pH. Thus, they can lose an H+ ion at the COOH [or acid] part of the molecule at higher pHs, or gain an H+ ion at the NH2 [or amino] end of the molecule at lower pHs. This, in turn, causes the overall shape of the protein to change with pH. This is the reason why most enzymes (which need a precisely-shaped active site) can only work well at a certain pH. Unlike heat, the denaturing of a protein by changing pH is (normally) reversible. The dye in beetroot diffuses out of the cell when the membrane proteins are damged. d)Anthocyanins can be used as a pH indicator. Most indicators detect the gain or loss of a hydrogen proton –H+ by the pigment. Anthocyanins are a little different from most acid/base indicators in that the color changes come about via the gain or loss of an OH- (hydroxyl ion) and is shown by the anthocyanin turning a dark red at a pH of 1 or tuning a yellowish/green at a pH of 13. A nthocyanin can also be a natural food color solution to be a colour such as orange, red, pink and purple to blue. However, anthocyanin is most commonly used for coloring of beverages, fruit preparations, confectionery and ice cream. e)A basic solution with a pH of 13 makes the anthocyanin colour turn a yellowish/green. If an acidic solution such as 0.1M HCl is added drop by drop to the basic solution it will slowly create a neutralization reaction between the basic and acidic solution creating water and salt. A neutral solution should have a close pH of 7 therefore the colour of anthocyanin will become a light pink. 3) Freezing a)Cells ordinarily can survive freezing in a state of suspension if done appropriately and quickly; this is done to store living samples such as sperm, cell cultures, and so on. Cold- hardened plant species can also acclimate to cooler temperatures. However, with slow cooling and freezing, the cell membrane loses its fluidity and its semi-permeable nature. Since water’s solid phase is less dense than its liquid state, the process of freezing expands the water, but the cell membrane, which is stiffer at these temperatures, cannot expand to accommodate the solid ice. Ice crystals form and rupture the cell membrane (and other organelles). One paper by Stout, Majak and Reaney (1980) also notes that phosphatidylcholine is broken down at sub-zero temperatures like those of a freezer; an important component of the phospholipids making up the bilayer is also damaged. b) 4) Organic Solvents a) The presence of an organic solvent effects the permeability of the cell membrane to be very weak causing the solution to be a very deep red Permeability of a cell to solutes in an aqueous medium depends upon the physical and chemical make-up of the membrane. The maintenance of the living cell depends upon the continued presence and functioning of a selectively permeable membrane. If the membrane is altered in any way, this may have an effect on its permeability and therefore the properties of the cell of which it is a part. Irreversible changes in the permeability of the membrane usually lead to the death of the cell. The cell membrane provides a boundary between the cells inner environment and its surrounding outer environment. It allows different substances to pass through at varying rates, this is described are differentially permeable. It controls things such as sugar concentration, ion concentration and pH levels. If the pH levels were to be affected, the enzymes would not function efficiently thus allowing chemical reactions to take place. b) Organic solvents will disrupt the phosphlipid bilayer of the membrane by dissolving the hydrophobic fatty acids.