Domestic Violence Understanding The Basics - 880 Words

Module 1: Domestic Violence: Understanding the Basics Module one focused on domestic violence and understanding the basics, which include the dynamics and common tactics that characterize domestic violence, impact on both the individual and society, and solutions to domestic violence. The website was easily accessible, and the information provided about the topic of domestic violence was both useful and interesting. Several statistics were given throughout the module that helped get across the seriousness of domestic violence. For example, one in four women are victims of domestic abuse within their lifetime. That statistic alone expresses how common domestic violence is within society. Overall, I would recommend this module as a useful tool. It helps educate individuals about what is classified as domestic violence, which include physical, sexual, and psychological attacks, personal narratives of individuals, and solutions to domestic violence. As well as, this is a great addition to the class in helping students better understand domestic violence, the impacts it has on the victim, and ways to help prevent domestic violence from occurring. College students are getting to that point in their life where they are looking for someone they may one day settle down with. It is essential that individuals understand cues that may indicate an unhealthy future relationship. In comparison to the module, the author Hyde and Else-Quest, state that women are more likely to beShow MoreRelatedThe Impact of Domestic Violence on Children661 Words   |  3 PagesQuestion 1 There are many consequences of not taking a strong stance against domestic abuse and the later impact on the children in the situation. Even if the children are not involved in the actual abuse, they are still negatively impacted by the presence of domestic violence in their households (Osofsky 1990). When abuse is condoned or ignored in a domestic relationship, children can begin to assume that is a normal occurrence, which can be a concept they carry with them for the rest of theirRead MoreTrauma Informed Services - Understanding The Layers of Trauma856 Words   |  4 Pagesperiod versus a single event. Then there was considerable and much needed time spent on† understanding trauma† and the many layers of trauma, the physical and psychological effects on the brain and subsequent behaviors resulting from trauma. What is traumatization, what is traumatic injury in physical vs. psychological, as well, the types of trauma; acute, chronic, and complex with a basic understanding of brain development to show how trauma changes that development. The CDC with Kaiser PermanenteRead MoreEssay on Research Methods Unit 9 Final1572 Words   |  7 PagesAbstract: Domestic violence against women happens around the world every day, but the main focus of location discussed in this paper is Washington State. Females are most likely to suffer domestic violence abuse from someone that they know. In such cases, it has been a spouse that is the attacker. Women escape these violent crimes and reach out for help, but not every time. Based off of the data collected, I strongly believe that females are more often victims of domestic violence than males. Read MoreThe Dangers Of Youth Exposure At Risk Youth Of Cuyahoga County Essay706 Words   |  3 Pages. GOAL STATEMENT †¢ With great pride the concern of youth exposure to violence needs to be addressed. This strategic plan will identify at-risk youth who are severely troubled by their surrounding environments and make it a top priority to create services and housing for all at-risk youth of Cuyahoga County. Defending Childhood, Cuyahoga County. November 5, 2016. Strategic Plan. Retrieved from: http://ja.cuyahogacounty.us/pdf_ja/en-US/DefendingChildhood/StrategicPlan/StrategicPlan.pdf. 2. SCOPERead MoreDomestic Violence And Its Effects On Our Society Essay1456 Words   |  6 Pageslong-term consequences. This is especially true of how domestic violence is currently governed by the criminal justice system and social norms. A lack of preventative care exists and this ignores the consequences of domestic violence in our society. Incidents of domestic violence are often treated as one-time or isolated occurrences; however, in many cases abusers and victims fall back into these learnt behaviors. Therefore, domestic violence is a never-ending cycle that cannot be stopped withoutRead MoreA Research Study On Domestic Violence920 Words   |  4 Pagesregarding domestic violence. Not only did students learn about warning signs and hear testimonies, but they were given a short personal defense lesson by Professor and Coach Carlos Jackson. To open the program, the PhD’s gave each participant five note cards that described various celebrity domestic cases. The participants then had to correctly guess the celebrities involved to win a small prize. Disguised as a fun ice-breaker, the exercise was actually a segway into how domestic violence can startRead MoreDomestic violence1229 Words   |  5 Pagesï » ¿ 3/1/13 Domestic Violence Persuasive Essay Final Draft â€Å"Every year, in the United States there are over 3 million incidents of reported domestic violence. Every year, 4,000 victims of domestic violence are killed.† (Domestic Violence: Disturbing Facts about Domestic Violence). Domestic violence is a crime that is not just committed in the United States, but worldwide. This crime is committed every day, every hour, every minute, and every second. Anybody can be a victim or the abuser. ThisRead MoreThe Battle Of Inter State War1464 Words   |  6 PagesBull defines war as â€Å"organized violence carried on by political units against each other† (184). With respect to this broad definition, both he and Waltz posit models of conflict which can effectively be used to analyze the sources of modern violence. The warrior scholars employ the theories of multiple political philosophers including Kant and Rousseau in order to build theories that encapsulate the complex variables which lead to armed engagement. These theori es can be extrapolated in orderRead MoreThe Effect Of Historical And Theoretical Factors On Domestic Violence Essay1707 Words   |  7 Pagesand Theoretical Factors Domestic Violence CJCU 416 OL1 Every year in America, there are millions of women who are physically assaulted by their partners (Tjaden Thoennes, 2000). This number is staggering. For the purpose of this literature review, I am defining domestic violence as physical abuse. As domestic violence increases, the need for intervention ever so in demand. Tjaden Thoeness (2000), describe how the widespread occurrence of domestic violence is influenced by historicalRead MoreDomestic Violence At Affordable Price Please Use Custom Research Paper1276 Words   |  6 PagesDomestic Violence Research Paper This sample domestic violence research paper is published for educational and informational purposes only. Free research papers, are not written by our writers, they are contributed by users, so we are not responsible for the content of this free sample paper. If you want to buy a high quality research paper on domestic violence at affordable price please use custom research paper writing services. This sample research paper on domestic violence features: 7200+

Visual Analysis Jan Van Huysum - 890 Words

Jan Van Huysum is renowned for his innate ability to capture and display realism utilizing unique methods that have long captivated art aficionados. One of his many famous paintings, Still Life of Flowers and Fruit, encompasses various examples of his unique ability and incorporates a dynamic array of live material into this beautiful still-life painting. Originally painted in early 17th century Europe, this masterpiece of oil on wood now survives in the Museum of Fine Arts, Houston. At 31 Â ¼ x 23 Â ¾ inches in size, this painting allows for viewers to closely examine the entirety of this life-size arrangement. Fruits erupting from the base of a terra cotta vase, and flowers wildly expanding towards the slightest glimpse of light generates a feeling of life within the work. Adding to this sense of life is various insects and distinctive postures within the flowers of the bouquet that, when illuminated with the magnificent choice of lighting, creates an energy so realistic that the human mind commands one’s eyes to confirm reality. This paper will deliver an in-depth visual analysis and deeply examine the high degree of realism and detail provided by Dutch artist, Jan Van Huysum. Upon initial glance of this beautiful painting, one may feel overcome with the abundance of variety in life that so majestically expands toward all directions of light. Immediately revealing to the observer a very prominent sense of fullness within the boundaries of the wooden panel. This artwork’s size

Bartel Essay Example For Students

Bartel Essay I began my Hawthorne reading task with The Birth-Mark. I picked this story because I am familiar with the Maypole of Merrymount and Young Goodman Brown, and I wanted to try something different. I was pleasantly surprised with The Birth-Mark, in my mind it far surpasses the latter two stories. I think one of the most admirable traits of Hawthorne is his ability to write as though actions are taking place somewhere in the present. Aylmer could very well live today, somewhere in the world with his laboratory in the backyard. Men like Young Goodman Brown are everywhere in todays society, and, still, there are those who try and destroy that which they do not understand or refuse to understand like the Puritans in The Maypole of Merrymount. The Birth-Mark grapples with the scientific progress of the time. I think the theme of humans trying to control nature with unfavorable results is prevalent in many works of the time, most notably Frankenstein. The fixation that Aylmer has on Georgianas birthmark is unnatural. Hawthorne correlates this quest for perfection with Aylmers intentions of formulating an elixir of life and mastering the art of alchemy. Maybe Hawthorne is drawing a parallel here between the scientists of his day trying to control nature and by the failure of scientists to do this in the past. Aylmers attempt to control nature leads to the death of his wife which is unnecessary, she is quite content with the minor facial blemish until he makes a big deal about it. Maybe this too is a parallel between the mass majority being content with the state of the world and a certain few who would like to make it better, and, in turn, destroy it. I can understand Hawthornes idea. I live in constant fear of nuclear war and the technology that has made it available. But, I am grateful for the medical advances we have today. It is a double-edge sword. I am not implying that Aylmer is an evil man, I do not think he is aware of the chaos he can arouse. In fact, he is merely concerned with progress and saving humans from their own mortality and humanness. There is one imparticular line from the story that I sound most engaging: Hawthornes description The scenery and the figures of actual life were perfectly represented, but with that bewitching, yet indescribably difference, which always makes a picture, an image, or a shadow, so much more attractive than the original. When I read this I stopped mid-story. This is a common theme throughout Romantic poetry I have encountered. Immediately it reminded me of Shellys To A Sky-Lark and Ode on a Grecian Urn by Keats. Both of these poems describe unattainable perfection. The skylarks song is beautiful, but it flies so high we are unable to see the creature and hense, the song seems to come from the heavens. In Ode, Keats spends much time describing the beauty of the grecian scene on the  vase but then refutes it withcold pastoral. Those two words could describe this short story. From the outside, Aylmer thinks that everything on Georgiana would be perfect if she didnt have the birthmark. What he doesnt realize is perfection is unattainable, except in our minds. The Maypole of Merrymount describes a maypole, and its significance in American history. Hawthorne creates a scene of revelry almost a Mardi Gras scene and has it destroyed by the Puritans. This story reminds me of the Christian Creation Story with the maypole being the Garden of Eden and the Puritans being allegorical figures of Satan. Hawthorne seems to blame the demise of the American freespirit on the Puritans. I dont have much to comment on this story; it is really a cut and dry case. I think Hawthorne is harsh on the Puritans. I read somewhere that the view we have of the Puritans today is somewhat misleading. They did not always wear black and never laughed. Maybe to some, they did cause the utopic garden of America to be shattered. After reading The Maypole of Merry Mount and Young Goodman Brown it is quite obvious the contempt Hawthorne holds for the Puritans. .u30381bb9ba790c7e511ed845e8c41018 , .u30381bb9ba790c7e511ed845e8c41018 .postImageUrl , .u30381bb9ba790c7e511ed845e8c41018 .centered-text-area { min-height: 80px; position: relative; } .u30381bb9ba790c7e511ed845e8c41018 , .u30381bb9ba790c7e511ed845e8c41018:hover , .u30381bb9ba790c7e511ed845e8c41018:visited , .u30381bb9ba790c7e511ed845e8c41018:active { border:0!important; } .u30381bb9ba790c7e511ed845e8c41018 .clearfix:after { content: ""; display: table; clear: both; } .u30381bb9ba790c7e511ed845e8c41018 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u30381bb9ba790c7e511ed845e8c41018:active , .u30381bb9ba790c7e511ed845e8c41018:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u30381bb9ba790c7e511ed845e8c41018 .centered-text-area { width: 100%; position: relative ; } .u30381bb9ba790c7e511ed845e8c41018 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u30381bb9ba790c7e511ed845e8c41018 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u30381bb9ba790c7e511ed845e8c41018 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u30381bb9ba790c7e511ed845e8c41018:hover .ctaButton { background-color: #34495E!important; } .u30381bb9ba790c7e511ed845e8c41018 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u30381bb9ba790c7e511ed845e8c41018 .u30381bb9ba790c7e511ed845e8c41018-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u30381bb9ba790c7e511ed845e8c41018:after { content: ""; display: block; clear: both; } READ: Brian Friel"s Translations EssayIn Young Goodman Brown, Brown is led on a path where he encounters the devil and realizes that everyone surrounding him in his Puritan neighborhood is evil at heart. He learns his father and grandfather before him did the devils work, as well as the women he holds with utmost admiration. Brown turns from Faith his wife in one sense and his actual faith in another when he learns that everything he believed in is a sham. I feel as though I cannot write about this story without mentioning the fact that it is a story about good and evil where evil prevails. Goodman Brown is a weak man presumably coming from weak stock. I suppose according to Hawthorne it is the existence of Puritan blood in his veins, which makes him a cowardly man. He is a conformist, instead of standing against the wrongs of his community he embraces the same fate as everyone else. The theme of the story carries through to todays society. Oftentimes people will join groups or subscribe to ideologies they otherwise would not due to that fact that so many of their kin and respected leaders do. The story made me think of Thoreau. In Civil Disobedience, Thoreau actions toward the Mexican War are the antitheses of those that would have been done by Young Goodman Brown.

Warm Feelings For Cold Blood Essays - English-language Films

Warm Feelings For Cold Blood In Cold Blood is a novel written by Truman Capote in 1966. In Cold Blood is a true account of a multiple murder case that took place in Kansas in the 1950s. The book outlines a brutal murder case, but it shows the story from many perspectives, not just that of the law. Capote introduces you to the Clutter family, a well known, very hard working and loyal family to the community. The town of Holcomb is a small farming town. There is not much excitement in the town, and that is the way the people liked it. Everyone went to church and the community trusted each other, until the unthinkable happened. The towns most prominent family was killed. It is even worse when the only clues are two sets of boot tracks. Everyone in and around the town become scared because if such evil could be brought upon the best family known, what will happen to them? When Truman Capote wrote In Cold Blood, he wrote a masterpiece. When he wrote the book he developed the character Perry so that even after you wat ched him kill you feel sympathetic for him. He proves that you can even see some good in the worst of people. He does this by slowly developing Perrys character. He gave an in-depth view of Perrys world. He showed that Perry, although he had troubles in his life and sometimes had a total disregard for peoples life he also respected the people. Perry felt bad for some of the people he met. He also was willing to forgive people. Truman Capote was born Truman Streckfus Persons, in New Orleans September 30th 1924. His parents got a divorce when he was four and his mother later remarried and took on the last name of his stepfather. Capotes childhood was extremely insecure. He was handed back and forth between relatives. When Capote was a child he started to write to deal with the loneliness. At age ten, Capote made up his mind to become a professional writer. Because he knew what he wanted to do with his life, Capote shied away from formal schooling. (Breit) By his mid teenage years he w as technically accomplished writer. He stopped going to formal school when he was seventeen. He received a job at the New Yorker magazine. There he was just an errand boy but was noticed because of his mannerisms. During the early stages of World War II, Capotes interests still focused on his writing. (Norden p162) In June 1945, his short story Miraim brought him a lot of attention. It led to his first novel contract. Most of his early works were considered gothic but he also had many qualities that made people think that his work in the future had a lot of potential and those people were not wrong. (Breit) Capotes work did develop past gothicism although some of the old traits lingered in his later works. He had a wide range of attitude in his stories, from horror stories and psychological collapse to stories of magical children. Capote never married but became friends with some of Americas most glamorous women. Capote had been declared professionally dead several times but after e ach time he came back and proved that he was still alive and well. In 1959 Capote officially decided to start work on a nonfiction novel. In November of the same year he read about a multiple murder case in Kansas. He decided to use this crime as the bases for his novel. He devoted all his time and energy for the next six years on the development of this novel. He started his research before the murders were caught. He was in the town when they were put in Jail. Capote lived in the town of Holcomb for a while to gain the trust of the townspeople and of the murderers. In 1965 when Capote finally finished he published the finished product in four articles in the New Yorker and in 1966 and it published in book form. In Cold Blood earned Capote more money then all of his previous works put together. This book created a big controversy because Capote

The Wrong direction free essay sample

It’s been 12 years since I made that right at the first intersection since High School. To this day I still ask myself why, why did I make that right turn? Maybe things would’ve been different if I had just stopped to think about what my future would be like. Listening to my loved ones would’ve made much more sense knowing what my future holds. Yet again I found myself at another intersection only 5 years later. Didn’t I learn my lesson the first time? The stupidity in my mind kept on telling me, â€Å"Well Timmy-boy, here’s the second right.† I just figured that if I hit one more intersection, I’d make another right. I never thought it would take another seven years to get to the next intersection, to finally get back on track. Shouldn’t I have learned something from it all? If I had, would I have made that deal with the man in the dark uniform? I can remember everyone shouting, â€Å"You’re going the wrong way!† How was I supposed to know? After all, I was seventeen and just graduated from High School. We will write a custom essay sample on The Wrong direction or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It was August of 1997 when I arrived at the University. My Mom was crying while my stepfather being the strong one smiled at me. They walked away leaving their child to live on his own. I was starting fresh. I knew I had wanted it, the freedom and the legendary partying that college would bring. Well that’s when I made my first right turn. I knew I needed an education; I just wasn’t mature enough to juggle my future yet. That was my first mistake. So there I was making that right turn. As soon as I made that right I noticed something strange, I was looking at steps. As I looked up those steps I saw weird letters entering a faded yellow house with purple shutters. The house looked to be in poor condition, but the sounds coming from inside that yellow house was tuning out every thought from my mind. I found myself at a Fraternity party, and just as soon as I entered those steps college had flown right by me. Three years had just been sucked away from my life. What did I have to show for it? All I seemed to have taken from that whole experience is 29 stinking credits, withdrawals from all morning classes, girlfriends I can’t remember and a bunch of friends. I woke up to a phone call one morning; it was my mom calling me. At that point it was too late. Mom had called to tell me college was over if it was her money paying, so I packed my things and drove up to New Jersey in a rusted out U-Haul truck.I spent the next two years in New Jersey, and I was going nowhere fast. I was on my way to work in May of 2002 when I found that next intersection. I saw a man in a dark uniform who had promised me a job, fortune, education and money. All I had to do was sign my life away. When I told my family about it they all warned me with, â€Å"No, Don’t do it!† As much as they begged me not to give in, it was too late as I had already made my decision. I had turned right for the second time. Curiosity soon turned into fear as I was shipped out to Fort Jackson with my head shaved, stuck with over 15 needles and pushing through Boot Camp covered in mud and a Drill Sergeant constantly screaming in my face. I didn’t even have time to think what I had gotten myself into. It all happened so fast. Then somehow as if to throw salt on my wounds, the news was slowly making its way from all of the other Soldiers in the streets to the privates I was surrounded by. Saddam’s got weapons of mass destruction, and I’m stuck in the worst place possible.The Army is the sword of our great nation, and I’m sitting at the tip of it. The next 8 weeks until I graduated from boot camp and Advanced Individual Training got twice as long and twice as worse with that news. Everyone had to push through boot camp with that on their minds. Well through turmoil and stress, I finally graduated after seventeen weeks from when I first arrived at Fort Jackson. I was finally on my way home for a nice long break. I hadn’t even spent 2 weeks at home before my unit got called up. We were leaving for Iraq in 1 week. The next 7 years of my life were going to be long and grueling, as I was a Soldier first and a citizen second. I spent three quarters of a decade making the best of things. Instead of just following orders, I was proactive. I listened and learned from my great leaders, and ignored the bad ones. I had made my way through the ranks and promotions faster than anyone around me. To the surprise of everyone I encounter even to this day, they can’t believe that I’ve achieved the rank of Sergeant First Class in only six years. It takes most people at least thirteen years. What else could I say; I had finally found my maturity. It was time to get my life back on track, and an education was looking like gold to me.Here I sit writing up a personal essay that you’re in fact reading right now. You’ve run through a fast version of the last 12 years of my life and met up with me at the right moment. The reason why I’m allowing you into my thoughts is because I can see it now, the third intersection. I finally made the decision to stick with my gut feeling. It is the decision I’ve thought about for the last 12 years; the future I owe myself and the one my family wants for me. I’m making another right turn. Before you ask yourself â€Å"Why, why go through it all again? Didn’t you learn the first two times?† Before I answer that question, let me just pass on this message. If I had to do it all over again I would. The experiences, friends and learning to be a leader that I’ve taken from it all, forced me to become the man I am today. Maybe that’s the only thing that would have woken me up from immaturity. Don’t get me wrong, it’s been rough but it’s been fun. So now I get to finally answer your question about all of the right turns. My answer to you is this, â€Å"While two wrongs don’t make a right, three right’s make a left.†

How to Choose an Online High School

How to Choose an Online High School Choosing an online high school is a challenge. Parents need to find a virtual program that offers an accredited diploma and provides academic support for students, all without breaking the bank. Asking the right questions will help you find the online high school that best meets your needs. Here are twelve of the most important questions to consider: What type of online high school is this? There are four types of online high schools: private schools, public schools, charter schools, and university-sponsored schools. Being familiar with these school types will help you sort through your options. Who accredits this school? An online high school that is regionally accredited will have the widest acceptance. Diplomas and credits from regionally accredited schools are generally accepted by colleges and secondary schools. Some colleges and high schools may also accept national accreditation. Keep an eye out for unaccredited and diploma mill schools – these programs will take your money, leaving you with an inferior education and a worthless diploma. What curriculum is used? Your online high school should have a time-tested curriculum that meets your child’s academic needs (remedial, gifted, etc). Ask about additional programs such as special education, college prep, or advanced placement. What training and qualificatio ns do the teachers have? Be wary of online high schools that hire teachers without a college diploma or teaching experience. Teachers should be credentialed, know how to work with teenagers, and be comfortable with computers. How long has this online school existed? Online schools come and go. Choosing a school that has been around for longer can help you avoid the trouble of trying to transfer schools at a later date. What percent of students graduate? You can learn a lot by an online high school’s graduation track record. If a large percentage of students drop out, you may want to reconsider. Be aware that certain types of schools (such as academic recovery programs) will always have a smaller number of graduates. How many students go on to college? If college is important to you, choose an online high school that sends a lot of its graduates to college. Be sure to ask about services such as college counseling, SAT preparation, and admissions essay assistance. What expenses can be expected? Most private schools charge tuition by the semester. Public programs may provide classes free of charge, but require parents to pay for expenses such as computers, software, and internet connections. Ask abou t additional charges for curriculum, technology fees, graduation fees, and all other expenses. Also, ask about discounts, scholarships, and payment programs. How many students does each teacher work with? If a teacher is assigned too many students, he may not have time for one-on-one help. Find out what the student-teacher ratio is for most classes and ask if there is a better ratio for essential subject such as math and English. What additional help is available for struggling students? If your child is struggling, you need to know that help is available. Ask about tutoring and individual assistance. Is there any extra charge for additional help? What distance learning format is used? Some online high schools require students to work independently and turn in assignments by email. Other programs have virtual â€Å"classrooms† that allow students to interact with teachers and peers. Are any extracurricular activities offered? Find out if there are any clubs or social events available to students. Some schools offer extracurricular virtual programs that engage students and look good on a resume. In addition to these twelve basic questions, be sure to ask about any further concerns you may have. If your child has special needs or an unusual schedule, ask how the school will be able to accommodate these issues. Taking the time to interview online high schools can be a hassle. But, enrolling your child in the best possible program is always worth it.

Persuasive paper on global warming Term Example | Topics and Well Written Essays - 1000 words

Persuasive on global warming - Term Paper Example Thesis Statement: The purpose of this paper is to persuade the reader that global warming is a serious issue. It is a man-made phenomenon, with adverse impacts on the earth’s ecological system, and consequently on human, plant and animal life. The leading theory on global warming is that human industrial activity over the last century is the root cause of global warming, since it has been causing carbon dioxide emission into the atmosphere. Similarly, modes of transportation such as cars and buses increase the emission levels. Further, the burning of fossil fuels and clearing of forests result in production of carbon dioxide and other heat-trapping gases, which remain in the atmosphere for several decades and even centuries (Behreandt: 10). The accumulated gas prevents heat in the atmosphere from escaping into space, and the retained gas causes rise in the environmental temperature, termed as the greenhouse effect. This causes greater retention of heat by the earth, because carbon dioxide absorbs the earth’s heat radiation and acts like a blanket over the earth’s surface (Houghton: 9). The increased atmospheric warming results in activating natural processes that cause greater release of greenhouse gases. Michaels (p.50) states that â€Å"planetary near surface temperature has increased by approximately 1.5 degrees centigrade over the past century, and will continue at a higher rate for the next century†. The United Nation’s Intergovernmental Panel on Climate Change (IPCC), the American Meteorological Society, the American Geophysical Union, and the American Association for the Advancement of Science agree that â€Å"greenhouse gases accumulating in the earth’s atmosphere as a result of human activities, cause surface air temperatures and subsurface ocean temperatures to rise† (Behreandt: 10). The melting of ice from high altitudes and glaciers

Bacterial Meningitis Research Paper Example | Topics and Well Written Essays - 1000 words

Bacterial Meningitis - Research Paper Example Bacterial meningitis can occur at any age. However, it is more common among infants, children and young adults. It is also more common in the elderly people. According to WHO (Cited in Ramakrishnana et al, 48) "two thirds of meningitis deaths in low-income Several species of bacteria cause meningitis and affectation with a particular species depends on the host and the setting. Community-acquired meningitis is usually due to Neisseria meningitides Hemophilus influenzae type-B or pneumococcus species (Ramakrishnana et al, 8). Some of these organisms are commensals in the upper respiratory tract of some healthy people (Tunkel, 1268). Listeria monocytogenes is another important cause of bacterial meningitis and it most commonly affects newborns, pregnant women, immunosuppressed and elderly population (Jacewicz, Merck Manual). Other bacteria causing meningitis include Escherichia coli, Hemophilus influenzae, Klebsiella, Pseudomonas, group-B streptococci and Staphylococcus aureus. E.coli and group-B streptococci occur in newborns (Jacewicz, Merck Manual). Pseudomonas infection is more common in the immunosupressed and Staphylococcus infection occurs following injury or surgery. (Jacewicz, Merck Manual) The highest fatality rate is seen in infection due to pneumococcus (Ramakrishnana et al, 48). Certain individuals are at increased risk of developing bacterial meningitis because of their health condition. They are individuals suffering from chronic diseases like ischemic heart disease, chronic liver disease, end-stage renal failure, rheumatoid arthritis, endocrine dysfunction and immune disorders. Intake of immunosuppressants or glucocorticosteroids for immunosupression or cancer treatment also increases the risk of development of bacterial meningitis. Other risk factors include head injury,pneumococcal pneumonia, blood disorders like sickle cell anemia, splenectomy and chronic infections of the upper respiratory system. Bacterial meningitis can

Civic Punishment or Private Revenge Case Study Example | Topics and Well Written Essays - 2500 words

Civic Punishment or Private Revenge - Case Study Example A presentation of the fragmented accusations of Euphiletus' accusers will be offered in order to clarify some of the rhetorical strategies that Euphiletus' utilizes in his defense speech. Finally, some concluding remarks on how adultery, crimes of passion and homicide were understood then and now. There is some evidence to suggest that the ethical internals of Euphiletus' defense were intended to generate sympathy among the judges (Herman 407). By presenting himself as deceived husband and victim, Euphiletus is attempting minimally to provide an emotional basis for his desire to kill Eratosthenes. This is important for if Euphiletus wanted to portray himself as an Athenian gentleman whose moral composition represented the mainstream of Hellenistic society, then his act represents the logical consequence of a man whose wife has been caught in flagrante delicto with another man. If it was the case that such an act could not have been conscionable under such conditions then the Euphiletus' strategy would be counterproductive as his demeanor would be interpreted as the manifestation of a morally eccentric minority. However, it is not to suggest that Euphiletus wished to portray himself as a jealous husband fueled with righteous and murderous rage. Rather, at every step as will be shown later he presents himself a mediated actor of the law, merely the hand of the law rather than its head or heart. In fact, he wishes to show that Eratosthenes was not murdered but executed by him and was only done so by him on mere coincidence that it was his wife with whom Eratosthenes had slept (Harris 365). Thus, Euphiletus wishes to draw out the tensions inherent in two antithetical codes of conduct: 1) an older, de-centralized, tribal one in which honor and vengeance played integral roles and 2) a more evolved centralized code of conduct in which democratically endorsed values were mutually agreed upon and enforced communally (Herman 408). By engendering a feeling of vengeance while simultaneously negating its causative role in this act, Euphiletus paradoxical strategy gives a path in which the Athenian judges can acquit Euphiletus on the grounds that the act was one of civic punishment while concomitantly acknowledging the obvious vengeful passions that were aroused duri ng the incident itself. He begins by laying out the task before him, which is to convince the jury that Eratosthenes' killing was prompted by the debauchery of his wife via seduction and the disgrace tendered therein and for no other reason, " that this was the one and only enmity between him and me; that I have not acted thus for the sake of money" (Lamb 1.4). It is important that money or other enmity do not prefigure in any manner for Euphiletus' case, as that would have invalidated the laws for which the type of justified homicide he wished to claim happened. If indeed money or other enmity figured in this case, as his accusers had apparently tried to impute, it would simply be premeditated murder in

Elderly Patient Surgery Case Study

Elderly Patient Surgery Case Study Every nurse has the responsibility to safeguard their patients from harm and the NMC (2009a, p.14), states that it is every adults right to live in safety and be free from fear and abuse. There are a number of individuals who can be classed as a vulnerable person, these individuals can be either children or adults. A vulnerable adult is someone who is over 18 years old and meets any one of the following criteria: is receiving any form of healthcare or welfare service, needs assistance to carry out daily activities, unable to take care of him or herself and is unable to protect him or herself against harm. (DoH, 2009, Section 59)(DoH, 2000, p.8-9). Older people are generally regarded as vulnerable adults because of their general poor health and their high dependency on others to help with daily activities. In Peters case, he is not very young, is inclined to be forgetful and has mobility issues and therefore has the high probability of requiring help at home to help with his independe nce. All of these issues combined could have serious impacts on his health and safety which would mean that Peter could fit into each, if not all, of the mentioned categories and therefore he should be regarded as a vulnerable adult. The Independent Safeguarding Authority (ISA) is responsible for the vetting and barring of any individuals who may come into contact with or work with vulnerable individuals (ISA, 2009, p.3). The ISA have an Independent Barring Board who are responsible for maintaining two separate lists, one for the protection of children and the other for the protection of vulnerable adults, which contain the names of any person who has been referred to them for the harming of any vulnerable person (ISA, 2009, p.3). The harming of a vulnerable person, whether it be physical, verbal, psychological, emotional, financial or neglect, is regarded as abuse. Vulnerable adults may be abused by a wide range of people, including family members and abuse can be in the form of a single or a recurring act. As Peters daughter wants him to have the surgery the nurse will have to establish whether there is an underlying reason for this. Assessment of this situation would be essential because intimidation or coerci on, which are both forms of psychological abuse, may cause Peter to be incapable of making his own decisions (DoH, 2000, p.11). As such, if this was assessed to be abusive behaviour, it would be important to remove Peter away from his daughter as the nurse has a duty of care to ensure that her patient remains safe at all times (NMC code). Nurses have a professional responsibility to their patients, are accountable for their actions when the patient is in their care and have a duty of care to ensure that the patient receives good quality care at all times (NMC code 1.4). Every nurse must always ensure that they work within their abilities and should raise any concerns, to a senior member of staff, if they have been asked to perform any duties which they are not competent in performing and therefore may potentially cause harm to the patient (NMC, 2009b). Reasonable care must be taken to avoid acts or omissions which are likely to cause reasonably foreseeable harm to whomever a duty of care is owed (Dimond, 2008, p.40). If the nurse does not provide sufficient care to the patient and causes harm as a result, she will be held liable in the tort of negligence (Tingle crib, p.92), which is a civil wrong for the breach of duty to take reasonable care not to injure or harm a person. In order to be held liable in the tort of negligence it must first be proven that the nurse owed a duty of care to that patient, next the claimant must prove that there was a breach in this duty of care and then it must be proven that the damage being claimed for was caused by this breach of duty (Tingle). The Bolam Test is the test which is used to determine a breach of duty and is concerned with how negligence should be established (Legal aspects). It does this by testing the standard of care which should be given from a professional and comparing it to the standard of care which was actually given in the cases of the alleged negligence (). Accountability means being responsible for something or to someone (NMC, 2002, p10). According to Dimond (2008, p.5), registered nurses are held accountable to the patient, the public, their employer and their profession, and these are known as the four arenas of accountability. Where the registered nurse is accountable to the patient and the public, she is accountable to the law and accountability to her employer means she is responsible for keeping to her contract of employment and failing to do so may result in a hearing in front of the employment tribunal. Professional accountability assumes that the nurse is a member of the profession and that she has accepted the rights, status and responsibilities of the profession (foundations, p.473). The NMC (2002, p.3) suggests that professional accountability involves using knowledge, skills, experience and professional judgement in order to make decisions which are in the best interests of the patient and should be able to justify the re asons for her decisions. This implies that nurses, as professionals, are competent in their area of practice, which allows the patient to gain trust in the nurse and enables the nurse to be able to act in the patients best interest (foundations, p.473). Therefore, nurses have a duty of care to those they care for and as such, this implies that there is a right and a duty attached to professional accountability. Registered nurses must follow the guidelines within the Code of Professional Conduct and as such should be legally accountable for their work (NMC, 2009b) and will be brought in front of the Fitness to Practice Panel, and possibly removed from the register, for unprofessional behaviour that breaches the Code of Conduct (Brooker and Nicol, 2003, p.6). This is different for nursing students, as they are only accountable to their employer, in this case the university, and the law. It is not possible to hold students professionally accountable as their names have not yet been entered onto the professional register however the NMC states that students are still responsible for their actions (NMC, 2010, p.1). From this it must be said that it will be the registered nurse who is mentoring, or working with, the student that can be held accountable for the students actions or omissions as it is their responsibility to ensure that the student is working within their abilities (Brooker and Nico l, 2003, p.7). Nurses are fundamentally responsible for the promotion and restoration of health, the prevention of illness and to ease suffering for their patients (Hendrick, p.76), however nursing is not just about treating a patients illness; its about caring, teaching and supporting a patient at a time when they need it the most. This can be done if the nurse makes building a nurse-patient relationship with her patient a priority in the patients care. Communication is a necessary foundation for any nurse-patient relationship to be built appropriately and there are a number of ways in which people can communicate such as verbally, non-verbally, written or electronically. The nurse should always communicate with the patient at their level of understanding and should always avoid using medical jargon when speaking to the patient (NMC). Effective communication is not just about talking, it involves active listening too and is an essential key in building a trusting relationship with the patient. Dif ferent communication techniques could be used between the nurse and the patient which include observing, listening, silence and open-ended questions (Brooker and Nicol, 2003, p.46). Without the appropriate use of these different communication techniques the relationship will not have a base to build on and if there is no relationship, the patient will not have the trust required for them to share their feelings, anxieties or wishes. In our scenario, Peter has opened up to the nurse by telling her how he is feeling and has put his trust in her to help him make the decision as to whether or not he should have the surgery. In this situation communication is the vital key as it is important that Peter is given open, honest, accurate and unbiased information about any procedures or assessments that will be carried out and the nurse must ensure that he fully understands the benefits, risks, side effects and consequences of these procedures (). The patient should be consulted every step of the way which will enable them to remain autonomous. All healthcare professionals should have a respect for their patients autonomy and should treat their patients as individuals, with rights, rather than objects of care (Hendrick, p.95). Autonomy is the right of the person to make their own decisions and accepting their choices. One way in which a patient can exercise their autonomy is by giving consent and as such, autonomy is a requirement for consent (tingle cribb, p.143). Consent can be given in different forms such as expressed or implied. Expressed consent can be either written or verbal and this can be given by the means of a written and signed consent form or by word of mouth. Implied consent can be a simple gesture, such as holding their arm out for an injection or by arriving at the hospital for an operation. Each form of consent is as equally valid as the other however, consent is only legally valid if it is given voluntarily, based on clear and accurate information and if the patient is competent (tingle and mchale, p.100 -105). Gillan (Tingle and Cribb, 2007, p.140) defines consent as a voluntary un-coerced decision made by a sufficiently autonomous person on the basis of adequate information to accept or reject some proposed course of action that will affect the patient. This definition suggests that communication, autonomy and consent are intricately liked as effective communication is important because you must give adequate, open and honest information to the patient in order for the patient to fully understand and consider all the issues involved, which will enable the patient to be able to make an autonomous decision and ultimately be able to give consent. No other person is authorised to give consent, for any procedure or treatment, on behalf of another adult unless they are the legal power of attorney for the patient (legal aspects). Gillans definition of consent states that consent can only be given by a sufficiently autonomous person. The DoH states that healthcare professionals must not make any assumptions that a person is incapable of making their own decisions, therefore they should carry out an assessment which would assess whether the individual is mentally capable of making these decisions for themselves. Autonomous decision making is therefore based on the matter of capacity or incapacity (foundations p.500). The term capacity is used to define the individuals ability to make their own decisions about a particular matter at a particular time (Legal aspects) and, as autonomy is the basic foundation for consent, if incapacity is suspected the individual is therefore not allowed to give consent until they are deemed competent. The Mental Capacity Act 2005 states that healthcare professionals are required to assume that every person has the capacity to make their own decisions and that the healthcare professional has to prove that the individual has a lack of capacity and must then be deemed incompetent (tingle and crib, p.143). Deciding whether a person has the capacity to make informed decisions for themselves is determined using the assessment tools defined in the Mental Capacity Act and cannot be established or judged by an individuals age or appearance (The Mental Health Act section 2 and 3). There are two basic concepts that underpin the Act these are: the concept of capacity and the concept of best interests (Legal aspects). Both of these concepts link together and as such, if the patient lacks mental capacity actions can be taken or decisions can be made on their behalf and these must be made or taken in the best interests of that person. The assessment used to determine whether a patient is capable of making a treatment decision is split into two stages: the first stage is to determine whether the patient has any issues which prevent them from making a decision, and the second is to establish if this issue which prevents the patient from making a decision causes the patient any problems in communicating their decisions or wishes (Legal aspects). A person is not able to make their own decisions for themselves if they are not able to understand any of the information given to them, remember the information, utilise that information as part of the decision making process and are not able to convey or share their decision (Legal aspects). However, if the information is not given to the patient in a way that is appropriate to his circumstances such as using simple words or visual aids, they are not to be judged as unable to understand that information (legal aspects, p.139). Additionally, if the patient has a short memory span and can only retain information for a short period, they must not be classed as unable to make their own decisions, as this issue may not prevent them from being able to make the decision relevant to the treatment (legal aspects, p.139). In such instances this decision must be made whilst the information is still held within the patients memory. From this is must be said that every person should be encourag ed and enabled to make their own decisions or to participate as fully as possible in the decision-making, by being given the help and support they need to make and express a choice (NMC, 2008a). In this scenario it states that Peter has an inclination to be forgetful, because of this he must not automatically be deemed incompetent and it is vitally important that all the steps required to deem a person incompetent must be taken into account. One of the steps suggests that even though the Peter has a short memory span, it is vital to ensure that the information given is understood clearly and that the decision is made before the he forgets. This would enable Peter to give informed consent, however if he forgets this information and has not made an informed decision before his memory span lapses he must be deemed incompetent. From this we can establish that it is important to have the necessary mental capacity as it protects the individuals right to make their own decisions (legal aspects). If the individual is lacking in capacity then decisions need to be made on their behalf and these decisions that are made on behalf of someone else should be the decisions which limit the p ersons basic rights and freedoms the least (legal aspects mc). The Human Rights Act 1998 ensures that individuals rights are respected and that basic human rights such as the right to life, the right to not be discriminated against, the right to liberty, and the right to freedom from torture or degrading treatment and the right to respect for private and family life, home and correspondence are promoted (Human Rights Act 1998). These rights can be promoted by providing high standard of care and treatment, respecting a patients privacy, dignity and confidentiality and by safeguarding the patients from harm. A persons rights and freedoms are protected and promoted by the nurse when she acts as an advocate for them. Being an advocate for the patient is vitally important as it ensures that the patients choices and decisions are respected. The nurse can act as an advocate in many different situations such as, offering an alternative explanation, or asking the other professionals to give the information again in basic terms, if the nurse feels that the patient has not been given clear, honest and adequate information. (NMC). Another way for the nurse to act as an advocate is to try to adhere to the patients wishes if the patient was proved to be incompetent; if this is not possible then she must act in their best interests. As Peter has asked the nurse in this scenario to help him make the decision as to whether or not he should have the surgery, he is putting his trust in her and allowing her to become his advocate. However, until all the necessary steps have been taken to ensure whether Peter has understood what he has been told and once his mental capacity has been assessed, no other person can make this decision for him, unless he was deemed to be mentally incompetent. If he was deemed to be incompetent the decision as to whether he has the surgery or not will be made by the healthcare professionals, unless his daughter has lasting power of attorney, and will be based on his best interests. The decision that is likely to be made is that Peter will go ahead with the surgery, as this is in his best interests and will improve his quality of life. If Peter is deemed competent, then Peter should make the decision for himself and his decision will be final. If Peter decides not to go ahead with the surgery, then Peters home life would need to be assessed. Inter-professional working is required in order to care for the patient holistically. Holistic care is primarily concerned with ensuring that the patients basic needs are met (NMC, 2009a, p.9) and making sure that any observations, medications and decisions are recorded accurately (NMC, 2008b, p.6). A nurses role also includes supporting and teaching the patient and their families about the illness or about improving their lifestyle to prevent the illness from re-occurring. It is extremely important that the nurse develops a close working relationship with these other multi-disciplinary professionals, as Peter will need support when he gets home whether or not he has had the surgery. The range of other professionals which may be involved in Peters care when he gets home include social workers, occupational therapists and physiotherapists. It may be possible that Peters daughter may be pushing for Peter to have the surgery as she may be his primary carer and might be feeling stressed or overworked and if this surgery can improve his mobility, this may offer her some form of relief. If this is the case, the nurse could arrange for a carer to help them within their home and that way Peters daughter may get some relief from the work involved in his care. In this case, the nurse can act as an advocate to ensure that the decisions are not being made for him or that he is under no undue pressure or being forced to make the decision. Being an advocate for a patient implies that there should be a level of trust between the nurse and the patient and this level of trust can be built up through a therapeutic relationship. Therapeutic relationships are an intervention which is central to nursing and a nurse should have an essence of self-awareness and self-knowledge and have an awareness of the boundaries of the professional role in order to be able to establish a therapeutic relationship with their patient. Effective communication, trust, respect, genuineness, acceptance and empathy are key principles in establishing this relationship (Brooker and Nicol, 2003, p.45). When this relationship has been established the patient may feel at ease to share information and have a willingness to open up and share their feelings (Dossey and Keegan, 2008, p.370). Establishing and maintaining this nurse-patient relationship is vital to the holistic care of the patient and even though the nurse should develop a close relationship w ith the patient in order to open up communication barriers she must always keep and emotional distance from the patient and their families. It is the nurses responsibility to ensure that she never oversteps the professional boundaries throughout the care of the patient (NMC Code). In conclusion it has been established that in order for a patient to be given high quality, safe care a nurse needs to have the appropriate skills and knowledge to be able to perform the even the simplest of tasks competently. This assignment has briefly looked at the importance of a therapeutic relationship with communication being one of the vital keys, as without using it effectively it will be difficult to bond and build a professional relationship with the patient. It has also been identified that every nurse has a duty to protect their patients, that they should safeguard their patients and promote their rights and autonomy. It is vitally important that the nurse has the confidence to speak up to other professionals if she feels that the information hasnt been delivered to the patient honestly, accurately or clearly, otherwise she could be held accountable if something was to go wrong. The importance of the guidelines and codes issued by the NMC, have also been discussed, as th ey are in place to help protect, not only the patient, but also the professionals who are involved in the patients care. One of the guidelines which has been focused on, is for the nurse to make sure that the patient has given informed consent without any undue pressure and that the nurse, acting as the patients advocate, can help protect the patient. We have also looked at the importance of using assessment tools to assist in decision making process as this is used to identify whether the patient has the capacity to give consent or not. We have established that all health care professionals need to work together as a team and must communicate, not just with each other, but with the patient and his family to ensure patients needs are met and that every patient should be awarded the opportunity to live independently or be offered help and support from the necessary health care professionals to enable the patient to live as independently as possible.

Socrates :: essays research papers

As we read in the Apology, Socrates was on trial because he was thought to be a wise man who taught his views to the youth. Being wise was an illegal behavior during his time. He was accused of making weaker arguments the stronger. Knowing none of these accusations to be true, Socrates told the jury what he believed to be true. When found guilty of such accusations Socrates did let it be known he did not fear death. As a philosopher he questioned the purity of everything, and of course the heavens were not overlooked. He wondered if after death there was a great place where all who have passed go and live an even better life than known to us on earth.   Ã‚  Ã‚  Ã‚  Ã‚  He also wondered if death was a blessing. Not clearly knowing what happens after death, he thought one of two theories would occur. There was either a relocation for the soul in another place with an all new life, or the body was nothing and had no perception of anything once departed. Socrates viewed both situations as good, so a blessing it would be indeed. He then thought if it was like a state of dreamless sleep, death would be an advantage. Thus, think of the best sleep you ever had and did not dream at all. Also think of the mornings you do not want to wake up cause you know the upcoming day entails hard work and minimal pleasures. Socrates thought not many days were as good as this occasional great sleep. If death was as great as this, he thought there was nothing to fear. He also thought that if they were to go on to a different place after death, this as well, would also be great. Given the ability to once again see the people who have passed into this gr eat place.

History and Physical Examination Essay

Admitting Diagnosis: Stomatitis possibly methotrexate related Chief Complaint: Swelling of lips causing difficulty swallowing History of Present Illness: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately two weeks ago she developed a respiratory infection for which she received antibiotics and completed that course of antibiotics. She developed some ulceration of her mouth and was instructed to discontinue the methotrexate approximately 10 days ago. She showed some initial improvement but over the last 3-5 days has had malaise, a low-grade fever and severe oral alterations with difficulty in swallowing although she can drink liquids with less difficulty. Patient denies any other problems at this point except for flare of arthritis since discontinuing the methotrexate. She has rather diffused pain involving both large and small joints this has caused her some anxiety. Medications: Prednisone 7.5 mg PO daily. Estradiol 0.5 mg PO QAM. Mobic 7.5 mg PO daily. Recently discontinued because of questionable allergic reaction HCTZ 25 mg PO every other day and oral calcium supplements. In the past she has been on pencillamine, azathioprine and hydroxychloroquine but she has not had Azulfidine, cyclophosphamide or chlorambucil. Allergies: none by history Family and Social History: noncontributory Physical Examination: This is a chronically ill appearing female alert oriented and cooperative. She moves with great difficulty because of fatigue and malaise. Vital Signs: Blood pressure 107/80. Heart rate 100 and regular respirations 22. HEENT normal cephalic. No scalp lesions. Dried eyes with  conjuctival injection. Mild exophthalmos. Dry nasal mucosa. Mark cracking bleeding in her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her heart and soft pallets. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. Skin: She has some mild ecchymosis on her skin and some erythema. She has patches but no obvious skin break down. She has some fissuring in the buttix crease. Pulmonary: Clear to precaution and alcostation bilaterally. Cardiovascular: No murmurs or galaps noted. Abdomen: Soft. None tender. Protuberant no organomegaly and positive bowel sounds. Neurologic Exam: Cranial nerves 2-12 are grossly intact. Diffuse hyporeflexia. Muscular Skeletal: Corrosive destructive changes in the elbows, wrists, and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stovepipe legs and perimalleolar pitting edema 1 +. I feel no pulses distally in either leg. Psychiatric: Patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychological services. She refused for now. Problems: 1. Swelling of lips and dysphasia with questionable early Stevens- Johnsons syndrome. 2. Rheumatoid arthritis class 3 stage 4. 3. Flare of arthritis after discontinuing methotrexate. 4. Osteoporosis with compression fracture. 5. Mild dehydration. 6. Nephrolithiasis. 7. Anxiety. Plan: 1. Admit patient for IV hydration and treatment of oral ulcerations. 2. Obtain a dermatology consult. 3. IV leucovorin will be started and the patient will be put on high dose corticosteroids. 4. Considering patients anxiety perhaps obtain services of Stella Rose Dickinson PHD Psychology at a later date. X______________________________________________ Liam Medina, MD Date: 06/22/—- Case Study 5 Discharge Summary Patient Name: Fanny Copeland Patient ID: 115463 Date of Birth: 10/26/— Age: 58 Sex: Female Date of Admission: 04/26/—- Date of Discharge: 05/01/—- Procedure Performed: CT scan. Ms. Copeland is seen for her summary conference from her work up here at Hillcrest Memory Diagnostic Center. I initially saw her on 04/28/—- at which time there was the suspicion of depression. She has since had CAT scan of the brain with contrast of 04/30/—- which was unremarkable. Laboratories studies were completely negative to include normal thyroid function B12 and RPR. She had a formal neurophysiological battery with Dr. Stella Dickinson on 04/26/—- she scored 136 on the dementia rating scale, which is within normal limits for her age. The test result were consistent with mild cognitive defaces manifested by problems with concept formation. Attention and concentration and verbal memory. However the patient is significantly depressed which can produce some memory problems. Her past MRI suggests someone who is experiencing stress. Impression: There was no clinical evidence of dementia but there is evidence of a depressive disorder as the cause of her symptom etiology. No further suicidal or homicidal ideation are present. Recommendations: We recommend a psychiatric evaluation and treatment with re-testing in our facility in one years’ time.

Emperors of Chinas Han Dynasty B.C. 202 to 220 A.D.

Emperors of China's Han Dynasty B.C. 202 to 220 A.D. The Han Dynasty ruled China after the fall of the first imperial dynasty, the Qin in 206 B.C. The Han Dynastys founder, Liu Bang, was a commoner who lead a rebellion against the son of Qin Shi Huangdi, the first emperor of unified China whose political career was short-lived and full of contempt from his peers. For the next 400 years, civil unrest and war, internal familial conflicts, sudden deaths, mutinies, and natural succession would determine the rules that would lead the dynasty to great economic and military success over their long reign. However, Liu Xis ended the long reign of the Han Dynasty, giving way to the Three Kingdoms period of 220 to 280 A.D. Still, while it maintained power the Han Dynasty was hailed as a Golden Age in Chinese history - one of the finest of Chinese dynasties - leading to a long legacy of the Han people, who still comprise the majority of Chinese ethnicities reported today.   The First Han Emporers In the final days of the Qin, Liu Bang, a rebel leader against Qin Shi Huangdi beat his rival rebellion leader Xiang Yu in battle, resulting in his hegemon over the 18 kingdoms of imperial China that had pledged allegiance to each of the  combatants. Changan was chosen as the capital and Liu Bang, posthumously known as Han Gaozu, ruled until his death in 195 B.C. The rule passed to Bangs relative Liu Ying until he died a few years later in 188, passing in turn to Liu Gong (Han Shaodi) and quickly onto Liu Hong (Han Shaodi Hong). In 180, when Emporer Wendi took the throne, he declared that Chinas border should remain closed to maintain its growing power. Civic unrest resulted in the next emperor Han Wudi overturning that decision in 136 B.C., but a failed attack on the southern neighbor Xiongu  realm resulted in a several-year campaign to attempt to overthrow their biggest threat. Han Jingdi (157-141) and Han Wudi (141-87) continued this plight, taking over villages and converting them to agricultural centers and strongholds south of the border, eventually forcing the Xiongu out of the realm across the Gobi Desert. After Wudis reign, under the leadership of Han Zhaodi (87-74) and Han Xuandi (74-49), the Han forces continued to dominate the Xiongu, pushing them further west and claiming their land as a result. Turn of the Millenium During the reign of Han Yuandi (49-33), Han Chengdi (33-7), and Han Aidi (7-1 B.C.), Weng Zhengjun became the first Empress of China as a result of her male kin - though younger - taking the title of regent during her supposed reign. It wasnt until her nephew took the crown as Emporer Pingdi from 1 B.C. to A.D. 6 that she advocated her rule. Han Ruzi was appointed as emperor after Pingdis death in A.D. 6, however, due to the childs young age, he was appointed under the care of Wang Mang, who promised to relinquish control once Ruzi came of age to rule. This was not the case, instead and despite much civil protest, he established the Xin Dynasty after declaring his title was a Mandate of Heaven. In 3 A.D. and again in 11 A.D., a massive flood struck Wangs Xin armies along the Yellow River, decimating his troops. Displaced villagers joined rebel groups who revolted against Wang, resulting in his ultimate downfall in 23 wherein Geng Shidi (The Gengshi Emporer) tried to restore the Han power from 23 to 25 but was overtaken and killed by the same rebel group, the Red Eyebrow. His brother, Liu Xiu - later Guang Wudi - ascended the throne and was able to fully restore the Han Dynasty throughout the course of his reign from 25 to 57. Within two years, he had moved the capital to Luoyang and forced the Red Eyebrow to surrender and cease its rebellion. Over the next 10 years, he fought to extinguish other rebel warlords claiming the title of Emporer. The Last Han Century The reigns of Han Mingdi (57-75), Han Zhangdi (75-88), and Han Hedi (88-106) were rife with small battles between long-time rival nations hoping to claim India to the south and the Altai Mountains  to the north. Political and social turmoil haunted the rulership of Han Shangdi and his successor Han Andi died paranoid of eunuchs plots against him, leaving his wife to appoint their son the Marquess of Beixiang to the throne in 125 in hopes of maintaining their family lineage. However, those same eunuchs that his father feared ultimately led to his demise and Han Shundi was appointed the emperor that same year as Emporer Shun of Han, restoring the Han name to the dynastys leadership. Students of the University started a protest against Shundis eunuch court. These protests failed, resulting in Shundi being overthrown by his own court and the quick succession of Han Chongdi (144-145), Han Zhidi (145-146) and Han Huandi (146-168), who each tried to fight against their eunuch adversaries to no avail. It wasnt until Han Lingdi ascended the thrown in 168 that the Han Dynasty was truly on its way out. Emperor Ling spent most of his time roleplaying with his concubines instead of governing, leaving control of the dynasty to eunuchs Zhao Zhong and Zhang Rang. Downfall of a Dynasty The final two emperors, brothers Shaodi  - the Prince of Hongnong - and Emperor Xian (formerly Liu Xie) led lives on the run from mutinous eunuch counsels. Shaodi only ruled one year in 189 before being asked to relinquish his throne to Emperor Xian, who ruled throughout the remainder of the Dynasty. In 196, Xian moved the capital to Xuchang at the behest of Cao Cao - the Yan Province governor - and a civil dispute broke out between three warring kingdoms vying for control over the young emperor. In the south Sun Quan ruled, while Liu Bei dominated western China and Cao Cao took over the north. When Cao Cao died in 220 and his son Cao Pi forced Xian to relinquish the title of emperor to him. This new emperor, Wen of Wei, officially abolished the Han Dynasty and its familys inheritance to rulership over China. With no army, no family, and no heirs, the former Emporer Xian died of old age and left China to a three-sided conflict between Cao Wei, Eastern Wu and Shu Han, a period known as the Three Kingdoms period.

Crude Oil and US Gasoline Market

Crude Oil and US Gasoline Market Introduction Crude oil is a mixture of naturally occurring hydrocarbons. Found under the earth’s surface, crude oil is extracted and separated into its simple components. The components of crude oil include kerosene, jet fuel and gasoline. As a product of crude oil, gasoline is used as engine fuel in automobiles.Advertising We will write a custom essay sample on Crude Oil and US Gasoline Market specifically for you for only $16.05 $11/page Learn More In the United States, crude oil is majorly imported from foreign markets. After its importation, the crude oil is then separated into its components in refinery processes of fractional distillation. It is after this process that gasoline, like paraffin and jet fuel, is supplied to distributers and finally, to consumers. This paper seeks to discuss the opinion that the â€Å"gasoline market in the United States and the market for crude oil are significantly independent†. The paper will look at facto rs that determine the supply, demand and the price of gasoline in the United States as well as the determinants of the demand, supply and prices of crude oil. The paper will then analyze the correlation between the two markets with the aim of identifying whether or not, there exists a relationship between the two markets. Market of Gasoline in the United States The gasoline prices in the United States’ economy are dependent on a lot of factors. Among these factors is the â€Å"unanticipated disruption of U.S. refinery output† (Killian 100). Events like fire that abruptly halts the operations of the refineries have been characterized with â€Å"significant increase in the real price of gasoline† (Killian 100). These particular disruptions however have less significant effects in the prices of the imported crude oil. The phenomenon is expected to have the reverse effect of reducing the price of crude oil as a result of reduced demand which is insignificant in the world market. The factors determining the demand for crude oil and the price of gasoline in the United States such as disruptions results in specified shocks in supply and demand are not easily predictable. It was also noted that the price of gasoline in the United States has some relation to the global market of crude oil. The prices of the two commodities remained high during the period of time ranging from 2002 up to 2008. However, the prices fell in the period of 2008 while the global supply for oil remained the same. A study of the global economic recession that was experienced during the period beginning in 2008 explained the cause of price changes. It was realized that before the recession, there was a high global demand for crude oil over the supply of the same. This pushed the prices up with respect to the laws of demand and supply. The fall of global demand following the recession therefore led to the reduced prices experienced since the year 2008 (Killian 92).Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The market of gasoline in the United States is also determined by a number of internal factors which are independent from the market of crude oil. One of such occurrences was the â€Å"damage to the gulf coast drilling wells and refineries† (Gas, 3). The damages for example would translate to the shortage of gasoline leading to subsequent increased prices. The high prices of the gasoline can also be attributed to the government policies that have over time been oriented to only one aspect of controlling the price. The â€Å"chimney plan: to perpetuate the nation’s addition to cheap petroleum† (Gas 3) has been criticized as a profit oriented move rather than price control. It is however viewed that steps to reduce the consumption of gasoline would rather reduce the price as opposed to increasing its supply (Gas 3). The Marke t of Crude Oil In the earlier decades, the rises in oil prices in the United States were attributed to political aspects like the wars in the Middle East and embargoes by the Arab states as retaliation to the United States’ support for Israel, which limited supply of crude oil into the United States from the Middle East countries. The major determinant in the oil sector is still recognized to be its supply relative to its demand. The industrialization of countries like the people’s republic of China and India has put pressure on the global supply of oil due to the relatively increased demand. The threat of the United States’ supply of oil has been worsened by the move of oil supplying countries in the Middle East to reserve their oil for domestic use. The increased consumption by the two giant countries, China and India, has led to increased global oil prices due the increased demand. There is therefore need for â€Å"international effort to reduce demand for o il† (Katel 7). With this respect, no solution has been identified to help control the prices downwards. This factor is beyond the control of the United States according to professionals in the energy sector. According to Medlock, â€Å"it is going to be difficult for the energy supply to expand production at a significant enough pace to drive down prices† (Katel 7). The external drivers of the international oil price is passed to the price of crude oil in the United States and subsequently the prices of the separated components of the crude oil of which gasoline is part (Katel 24). Volatility Relationship between Crude Oil and Petroleum Products The prices of crude oil also depend on a number of features in the oil producing countries. A research study by Lee and Zyren indicated that stability in these countries significantly determines the prices of crude oil. According to the research, wars such as the â€Å"invasion of Kuwait and gulf war 1† caused instability in the market of crude oil.Advertising We will write a custom essay sample on Crude Oil and US Gasoline Market specifically for you for only $16.05 $11/page Learn More It was also reported that political environments in the crude oil producing countries such as â€Å"transitional regimes† also affect the international market of crude oil (Lee and Zyren 101). In the same study, it was realized that â€Å"the petroleum price variance is greater than crude oil variances† (Lee and Zyren 101). The volatility in the prices of crude oil and those of petroleum products was significantly realized across all periods of the research. The volatility between the prices in the markets for gasoline and that of crude oil is closely related, with an inverse response, to the revenues of the two commodities. The volatility can therefore be viewed as a conditional variable being dependent on the turn over rate of the two products. From the research, Lee and Zyre n noted that the price volatility between crude oil and the gasoline in the United States was greatly caused by the regulations in the crude oil market. It was also noted that the volatility in the prices was not significantly dependent on previous markets of either crude oil or gasoline. Similarly, price volatility doesn’t have significant effects on the future markets of the two products. The research generally represented the view that price volatility between crude oil and gasoline in the United States is an independent significant element (Lee and Zyren 111). Pump Prices and Oil Prices Apart from the asymmetry in volatility in the United States market for gasoline and the crude oil market, it has been established that a further asymmetry occurs between prices of the two commodities. Contrary to the business conception that reduced costs of production yields reduced selling price of a particular product, the oligopolistic market of gasoline gives the oil companies an adva ntage to temporarily dictate the retail gasoline price. A disparity is then significantly realized when the price of crude oil falls. When this happens, individual oil companies are always reluctant to lower retail prices as they try to optimize profits before any competing oil company lowers its price as a market strategy. The fall in crude oil prices does not therefore always result to fall in gasoline price (Adilov and Samavati 62). However, Adilov and Samavati still expressed the view that there could be factors that have changed with time to level a direct relationship between the gasoline retail price and the price of crude oil.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More They argue that the asymmetry in the price of the two commodities is not concrete due to the fact that gasoline market is currently invested by increased number of companies. Marketing strategies, according to the two authors is expected to cause price reduction among competing oil companies when crude oil prices fall in a bid to â€Å"undercut competitors† in the oil market (Adilov and Samavati 62). This argument therefore suggests that the prices of the two commodities exhibit some dependence as a result of the competitiveness of the United States oil retail (Adilov and Samavati 63). General opinion has also been expressed that the gasoline prices in the United States are always a factor of the prices of crude oil. The reduction of gasoline prices in the United States during the global recession in 2008 in a way indicated the dependence of the American gasoline prices on the global demand for crude oil. The concept was developed from the observation that gasoline prices wer e high before the period but fell on the onset of the global recession. The reduction of gasoline price was then attributed to the change in demand of the crude oil market as countries reduced their demand for the product (Killian 92). Conclusion There is significant support for the opinion that the price of gasoline in the United States depends more on the internal factors in the United States such as the production facilities and policies among others. It has also been illustrated that there are a number of economic factors that leads to the asymmetry of prices in the two markets. The arguments in view of the dependence of the two markets lack the support of many significant drivers in the gasoline market in the United States. They are isolated arguments that can be easily challenged by the consideration of the internal drivers in the United States. It can therefore be concluded, contrary to other opinions, that to a significant level, the market of gasoline in the United States i s dictated by other factors that are different from the market of crude oil. The gasoline market is actually occasionally asymmetric to the market of crude oil. Adilov, Nodir and Samavati, Hedayeh. â€Å"Pump Prices and Oil Prices: A Tale of Two Directions.† Atlantic Economic Journal 37 (2009): 51-64. Gas. Nation. EBSCO, n.d. Web. www.ejournals.ebsco.com Katel, Peter. Oil Jitters. CQ Researcher, 2008. Web. www.cqpress.com/docs/AffiliationsPDFs/oil.pdf Killian, Lutz. Explaining Fluctuations in Gasoline Prices. A Joint Model of the Global Crude, 2010. Web. www.ideas.repec.org/a/aen/journl/2010v31-02-a04.html Lee, Thomas and Zyren, John. Volatility Relationship between Crude Oil and Petroleum Products. Atlantic Economic Journal 35 (2007): 97-112.

The effects of garbage in the enviroment Annotated Bibliography

The effects of garbage in the enviroment - Annotated Bibliography Example The authors of the piece therefore discuss and analyze the ways in which current and proposed future measures can effect such a goal. This article discusses the way in which under-developed nations take upon themselves a large amount of discarded electronic equipment as a means of reclaiming the nearly 300 tons of gold that are placed into such instruments each and every year. Although this is a lucrative way for developing nations to seek to enhance their own local economies, it has a very high health and safety cost and is only engaged by those least The two approaches that the authors put forward have to do with increasing efficiency of production and seeking to find alternative uses for the waste that is generated. As a means of integrating this idea into the essay, this student will seek not to take one approach over another but rather to seek to include both approaches as a means of reducing the seemingly ever increasing size and heft of waste that the current global system generates. This particular article discusses the ways in which technology offers an ever increasing array of solutions for the levels and toxicity of the waste that the current system produces. Rather than finding ways to reduce the waste per se, the authors hold out something of a modernist approach that claims that the increases in technology that are taking place so rapidly in the world around us will be able to ameliorate many of the issues with waste as they exist within the current system. This article engages the reader with an understanding of how unethical and ultimately unfair the toxic waste trade is. Rather than the industrialized nations seeking to deal with the toxic waste that they generate, it is oftentimes pawned off to poorer countries that are desperate for the influx of FDI that large multinational firms can provide. In this way, a type of econ-slavery

Global Marketing Strategy Essay Example | Topics and Well Written Essays - 2000 words

Global Marketing Strategy - Essay Example The induction and diffusion of the effects of globalization in various parts of the world has been fast forwarded in a tremendous manner by the easy availability of high speed internet connectivity in every corner of the world. The easy availability of information in the various forms of virtual media like the online media forums, social networking sites and blogs have significantly contributed to the faster dispersion of the effects related to globalization. This has brought into play, a significant and constant process of change in the macro and micro environmental factors related to the development of business opportunities in the established as well as the developing economies of the world. As a positive impact of globalization, there has been a significant increase in the opening up of economies around the world. As a result of opening up of economies of various emerging and developing countries, new markets are emerging from various corners of the globe. The steady rise in the opening up of new markets around the world is leading to a tremendous increase in competition in the global marketplace. Talking on this note, it can be said that the process of opening up of markets around the world is allowing organizations located in various parts and corners of the world to look for opportunities related to market expansion by applying various strategy-based methodologies and action plans. This approach of entering new markets, by various international firms, is leading to the rise of business practices in the domain and arena of international business practices. Theoretical framework: International business Talking about international business, if we wish to define it, it can be said that the international business or international trade comprises of various business activities that are undertaken by business organizations around the world to develop new markets for the purpose of gaining significant growth opportunities by catering to the demands arising from the new markets. In an effort to do so, the international firms focus on the process related to generating, communicating, delivering as well as capturing of value for the customers of the new markets while customizing the product or service features as per their needs and requirements (Dlabay & Scott, 2011, p. 8). The concept of international business is also highly applicable and relevant in the case of various business firms who look forward to tapping significant amount of business opportunities by providing their services and products to various remotely located clients and customers who dwell in different countries. In the context of various business to business scenarios, international business represents the process of conduction of business between various business organizations through the mass conduction of import and export of goods and services. For the process of conduction of international business, opening up of economies as well as setting up of various investment f riendly policies and tax laws in the new and developing economies is very essential. It is highly important to mention in this case that the flexibility in multiple government outlined policies and regular evaluation

Narcotics and Capitalism Essay Example | Topics and Well Written Essays - 750 words

Narcotics and Capitalism - Essay Example The author says that in the dynamic style of the modern age, people are so busy in their schedules that they can not make up time for their personal leisure and relaxation. All of the time is used up in work, shopping, cultivating relationships or childcare. In such circumstances, drug use provides an individual with instant comfort that he/she longs for. Besides, in the very busy schedule, people are not used to free time and thus free time may put many in distress. Many people experience depression and yet can not locate a reason for the same. Dope addiction provides them with the reason to be distressed as they long to re-experience the first feel of consuming heroin. Modern capitalist society is categorized by time, and drug use enables the individual to break free of the chain of time. Dope addicts are conventionally stereotyped as money-centered and greedy people, but the author suggests that the reverse is true i.e. greedy and money-centered people become dope addicts rather t han dope addicts becoming greedy or money-centered. The author thinks that people whose behavior is perfectly consistent with the requirements of the capitalist society are the biggest and most serious addicts of dope. They generally maintain a bossy, hustling and dominating image in front of the society but from within, they feel ashamed of their ruthless attitude. Their obsession inculcates a deep desire in them to change their identity for good, and dope addiction helps them achieve that. The author connects the reason for buying dope with the intrinsic desire of humans to be cool. When they can not identify smarter or more intelligible means of being cool, they resolve to buy dope because this is one thing they know would cool them down for sure. The author says that despite the fact that dope may be considered as a hipster buy, it is essentially a deal between a seller and a buyer whereby all is said and done. The author sees little difference between loving copping and loving shopping. To him, it is the same activity but in different aesthetic. The author also connects dope addiction with the desire for commodities. The author says that he loved cars because they provided him with an isolated space in which he could find out answers to ultimate questions in complete mental and physical peace. Same is allowed by dope addiction as it disconnects an individual from the world, and he/she becomes lost in an imaginary world where the past, present and future lose their significance. Another important linkage between narcotics and money comes from the fact that consuming narcotics make an individual look rich. Heroin is extremely expensive. I pound of heroin can cost thousands of dollars. This property of heroin as well as most of the narcotics makes their consumption a game of the rich people. Presenting ourselves as rich is one of the most fundamental elements of a capitalist society. In a capitalist society, money is power. The more money an individual has, the more respected he/she is. Thus, dope addicts perceive this habit as a quick and easy way to look rich and be in the league that most people of our society long to be in. In addition to making themselves look rich, they also look stylish. Spending up to $2100 on heroin in just a week, they surprise the richest people around. In everyday life, we spend money wisely and thoughtfully no matter how much money we have. We remain cautious not to waste money, but dope

Death of a Parent Essay Example for Free

Death of a Parent Essay I believe we are defined by events that happen throughout our lives both passivity and negatively. Most of the events that change people’s paths often happen suddenly in their life and sometimes have long term effects. Whether it is a personal, religious, life style, or even a career change the fact still remains the cause for change was caused by the event. The statements above are true for my life; my life was about to change forever. This is the day I found out my mother had only six months to live, I was only 19 years old. I was picking my mother up from a routine follow-up appointment she had at Keesler Air force Base Hospital in Biloxi Mississippi, on the afternoon of 3 March 1997. I was walking up the steps of the hospital when I saw her walking out her face was pale I asked her if she was ok, her response was no. At this point in time everything went silent she asked me to sit down on the steps but I couldn’t I just wanted to know what was wrong. My mother while holding my hands then told me the results of the test and that she had liver cancer and it was untreatable. I was frozen not knowing what to say I just grab her and held her close and begun to cry. She told me to stop crying because she was going to need me to be strong for her and my brothers, that she wanted her last six months to be happy memories not sad ones. Let’s step back for a moment so I can explain the relationship I had with my mother because it was not your normal one. My mother was so much more to me than just a mom, she was my best friend I told her everything and she told me everything. We spent many late nights talking about everything in life from how our day went to what life would hold for us in the future. My mother was one of those people who never wanted or asked for anything for herself but was one who gave everything and would do anything for her children. When I say her children I don’t just mean her biological ones, she took care and provide for so many more, whether it was local neighbor hood, friends, family, co-workers and sometime even complete strangers who just need help. I remember many nights sitting at the kitchen table with people eating dinner with us who I did not know and many of them I would never see again after that night. My mom would always say we don’t have much but what we do have is sometimes way more than what others have. My mother was the strongest person I ever known, who also had the biggest heart. Two years before we found out she only had six months to live my mother kicked breast cancers ass. At least so we thought until the cancer showed back up in her liver and the doctors only gave her six months to live. At first nothing changed for her life or mine after finding out the bad news in fact she made me promise not to tell my brothers or anyone else. She continued working up to about the last two months. That is when things started to fall apart. The first thing to go for my mother was her memory. I can remember coming home from work and my mother talking to me about going camping like I was five years old. Not knowing how to handle it I just played along with the conversation, it seemed to make her happy. This went on and off for about two weeks and then things really started heading down hill pretty quick. I had to get help from hospice care, to have help taking care of her, because she was basically bedridden and unable to care for herself. Hospice came into our home and set up a medical bed and other medical equipment in our formal living area, this was the open area in our house. At this point I quit my job to take care of her because hospice care was only coming to the house like twice a day the rest was up to me. I had made a promise to her not to let her die in a hospital and I was trying to keep that promise. As the days went on the care became more and more demanding not really physical but mentally. I was doing everything thing for her, from bathing, changing her clothes, and bed pan to forcing her to take the meds she still need to take for pain control. At this point she was no longer able to speak, it seemed like her mind was completely gone just a blank stare. My breaking point was met, I was unable to care for my mother at home anymore she had pretty much slipped into a coma. I had to have my mother moved to the hospital, I couldn’t keep that promise I made her and still to this day I beg for forgiveness from her. She was only in the hospital for three nights before she passed. My brothers and I took turns at night staying with her and my night was night three. That night was a special night, it was her birthday. On the night she passed away we got her a birthday cake and song happy birthday to our mother for the last time. After singing happy birthday and blowing out the candles we each gave her a hug. When it became my turn to give her a hug I told her it was ok for her to go, that we will be ok and I love you. It wasn’t long after that she passed away at the age of 40. Not long after my mother died my life begun to fall apart. I could not deal with people always asking me if I was ok or if I needed anything. I started pushing everyone away and shutting out the ones I love. I needed to make a positive change in my life because my mother would not want me to live this way. So I joined to U. S. Army and left home and everybody I loved. I didn’t really have a plan I just knew I needed my space and this was the only way I was going to get it. In fact I wrote a letter to my girlfriend breaking up with her on my flight to Germany, after I had completed all my initial training. I was completely alone for the first time after my mother died. Not a day goes by that I do not think about my mother and how her passing changed my life. Today I live my life the way I believe she would have wanted me to, with an open mind, trying to see the positives in every situation I find myself in. There are things I wish I would have handled differently when it comes to my love ones I left behind when I joined the Army. My mother’s passing away changed my life in so many ways and has dad a major impact on the way I raise my kids, I do not take the time I have with them for granted. You never know when your time is up, so I say make the most of it and never wait until tomorrow to tell someone you love them.