Asthma Case Study Example | Topics and Well Written Essays - 1250 words

Asthma - Case Study Example An asthma exacerbation can be caused by allergens (Sequeria & Steward, 2007). There are those who only have asthma attacks as a result of an allergic reaction. While it still remains unclear just what causes asthma in general, every individual varies as to what their asthma triggers are. Asthma a condition that results from three major processes, which are airway inflammation, intermittent airflow obstruction, and bronchial hyperresponsiveness (Morris & Mosenifar, 2011)..These three processes are present in every episode of asthma Airway Inflammation Airway inflammation is the result of inhaling substances that are triggers for the patient (Sequeria & Steward, 2007). Substances such as toxins that are inhaled can activate airway mast cells which bear IgE antibodies. The antibodies lead to inflammatory responses as the mediators, such as histamine, cause mucus hypersecretion and plasma leakage (Sequeria & Steward, 2007).This inflammation results in epithelial changes, basement membran e changes, and â€Å"submucosal infiltration with activated lymphocytes and eosinophils† (Guill, 2004). Chronic airway inflammation can result in airway reconstruction and increased airway resistance (Sequeira & Stewart, 2007). Intermittent airflow Obstruction The mucus hypersecretion that is a result of the airway inflammation causes airflow obstruction. This obstruction makes it very difficult for the patient to breathe, as fresh air cannot be received by the lungs. It is also often the cause of the coughing that often serves as one of the symptoms of asthma. Airflow obstruction is considered to be often reversible, unlike the restructuring that may result from chronic airway inflammation (Sequeira & Stewart, 2007). However, such obstruction has fueled the concern that earlier and more aggressive interventions may be necessary (Guill, 2004). Airflow obstruction can become very severe and even fatal. Without any intervention the hypersecretion of mucus can fill the lungs and block the ability to breathe altogether. Bronchial Hyperresponsiveness There is a lack of complete understanding when it comes to bronchial hyperresponsiveness (O’Connor, 1993). While the understanding of this process in not complete, there have been some additions to the knowledge base brought about by numerous clinical studies. The search to fully understand the process persists. What is known about bronchial hyperresponsiveness in asthma is that it is directly correlated with disease severity (O’Connor, 1993). There is a relationship between the airway inflammations that is characteristic in asthma to bronchial hyperresponsiveness, but, unlike inflammation, bronchial hyperresponsiveness can not serve as an asthma diagnostic. Instead, bronchial hyperresponsiveness has been defined as â€Å"a functional disorder reflecting a tendency to airflow obstruction† (O’Connor, 1993). Bronchial Hyperresponsiveness only serves to compound the problem of airflow li mitations, as it works to increase dyspena. The bronchodilators that are often used in the treatment of asthma have no benefits in the treatment of bronchial hyperresponsiveness. (Van Schayck & Van Herwaarden, 1993). In addition to inhaled toxic substances as triggers, it has been found that asthma can be the result of nerve activity in some patients. There are

Frankenstein - Golden Mean Archetype Essay Example for Free

Frankenstein Golden Mean Archetype Essay Throughout the last few chapters we have been reading, the perspective of our monster has shifted tremendously. At first, we viewed the creature as frightening and menacing. As the story continues, we base our view on the monster due to Victor’s aggressive behavior towards the creature, making us pity the poor monster as he has done nothing wrong; he is just lost in a new world, possibly experiencing culture shock. Now the creature is venturing out into the world, interacting with people other than Victor. â€Å"for I never ventured abroad during daylight, fearful of meeting with the same treatment I had formerly endured in the first village which I entered† (106). After the monster encounters humans, people give the same reaction: fear. The monster comes baring no harm, but in fright, the citizens of the village run from him, scared of what might happen to them. This starts his increasing grudge against the humans. First, Victor rejects his appearance, oblivious to the being on the inside, now, complete strangers are neglecting him. His temper in steadily growing. â€Å"Was man, indeed, at once so powerful, so virtuous and magnificent, yet so vicious and base?† (107). After learning more history from his protectors, the creature is now questioning the characteristic change in man over the course of time. Back then, a creature of his nature might have been accepted, but now he is feared for his sole appearance. These events capture the imbalance in the golden mean because now the monster, once emotionally stable with his existence, is getting too angry and furious with the human race. The monster is now resembling Victor. Although he might not notice it, the monster is showing a strong connection between him and his creator through his actions. Both are seeking revenge and acting out through their anger. Now that the monster has built up the courage to confront the old blind man, by the name of De Lacy, he waits until Felix, Agatha, and Safie have left. He does not want to frighten them. Unfortunately, as he tries to speak with De Lacy, Felix and the others return. Upon Agatha fainting, and Safie running out of fear, â€Å"Felix darted forward, and with supernatural force tore me from this father, whose knees I cung; in a transport of fry, he dashed me to the ground and struck me violently with a stick† (123-124). The creature viewed the family and his own: his protectors. If they acted that way towards him, surely everyone else would too. Now, the monster’s revenge only increased. Soon enough, the creature is going to snap and lose control of his emotions. There is still some decency inside of the monster though. After witnessing an innocent girl downing, he saves her, despite his arising hate for humans. As a man comes and thinks that the monster is harming the girl, he shoots the creature, who had only tried to help. â€Å"The feelings of kindness and gentleness which I had entertained but a few moments before gave place to hellish rage and gnashing of teeth. Inflamed by pain, I vowed eternal hatred and vengeance to all mankind† (130). The spark inside of the monster triggers and rage flows through his body. Anger and revenge seep in and he now despises all human beings. The creature has terminated all tolerance for human beings, due to the everlasting hate he obtains from creatures so very similar to him. The golden mean has been violated extensively through the mistreatment of this poor creature. He has been nothing but joyous towards mankind, but in return he receives hate and pain, literally. The monster has no more patience or hope for the overturning emotions from humans. This eventually develops the motive for William’s murder, confessing to Victor the deviant act of not only the murder, but also of framing Justine.

Internet Pornography Censorship vs Free Speech -- Internet Pornography

The Internet is a worldwide network of computers and databases that has evolved rapidly in recent years. Tremendous amounts of information are transmitted and are fairly easy to obtain. Although in the past the information available was for the most part educational and business oriented, in recent years it has become much more diverse and questions have been raised as to the appropriateness of the content being viewed and consumed. Another issue is whether or not the government should take an active role in censoring it, especially when it comes to pornography, or cyberporn, as it is more commonly referred to when it is displayed on the Internet. Should cyberporn be censored? If so, who is responsible, parents or the government? Is Internet censorship the solution, or a violation of the first amendment? The citizens of a democracy must make these kinds of decisions while simultaneously maintaining freedom and responsibility on the Internet. BACKGROUND OF THE PROBLEM Pornography on the Internet and the ease at which it can be accessed has been a very controversial issue, especially in the last ten years. The Internet was largely unregulated until 1996 when the Communication Decency Act, a portion of the Telecommunications act, was proposed. The Communication Decency Act, or the CDA, made it illegal to make or solicit any image or message that was â€Å"obscene† or â€Å"indecent†. (Wekesser 106), But how do we define terms with an ambiguity such as these. The Court in Miller-constructed the modern definition of â€Å"obscene†: The basic guidelines of the trier of fact must be must be: (a) whether â€Å"the average person, applying contemporary community standards† would find that the work, taken as a whole, appeals to the prurient... ... a democracy must achieve a happy medium. I agree that much of the cyberporn that is attainable is inappropriate, especially when it involves children in even a remotely sexual manner. However, censorship is not the answer. We must find a way to practice freedom of expression while maintaining decency and assuming responsibility, as individuals, for our children. Bibliography: Works Cited Elmer-Dewitt, Philip (1995) â€Å"On A Screen Near You: Cyberporn.† Time, July 1995 Ford, Marrin, Esposito, Witmeyer & Gleser, Can Congress Censor The Internet? L.L.P., 1996 Simon, Glenn E. (1998), â€Å"Cyberporn and censorship: constitutional barriers to preventing access to Internet pornography by minors.† Journal of Criminal Law and Criminology, v88 n3 p1015-1048. Wekesser, Carol. (1997). Pornography: opposing viewpoints. California: Greenhaven Press, Inc.

Management development review notes

To manage Is to forecast and plan, to command, to co-ordinate and to control Management Is a social process which consists of planning, control, co-ordination and motivation Kenton & online 1976 – Managing Is an operation process Minimally best dissected by analyzing the managerial functions.The essential managerial functions are planning, organizing, staffing, directing and leading, controlling. Classical School Payola's 14 principles of management – many still true but was very structural and paternalistic. Scientific Management FEW Taylor 1911 – the principles of scientific management. Breaking the job down into movements and timing how long it took. Criticized for turning workers into automatons. Concept of Bureaucracy Max Weber 1947 – The theory of social and economic organizations – describes the bureaucratic organizationA bureaucracy is based on rational-legal authority which arises out of the office or position of the person in authority. We ber believed that bureaucracy Is the most efficient means of organizing for the achievement of formal goals. Elton Mayo 1927-1936 Hawthorn Studies/experiments – social relations at work are as Important as monetary Incentives and good physical working conditions Human Relations School.

Macbeth sountrack Essay

In act 1 scene 5 is when Lady Macbeth found out the news about how Macbeth would become the Thane of Cawdor and king for the witches. I chose the song â€Å"I Want It All† by Queen to represent this scene. Part of the songs lyrics are â€Å"I want it all, I want it all, I want it all, and I want it now†. Lady Macbeth heard the news that he would be king and she right away wanted to accomplish that. She didn’t want to wait but instead she take the steps necessary to make Macbeth king as soon as possible. In act 1 scene 6 is when the king and others arrive at Macbeth’s castle to stay the night. I chose the song â€Å"Let Em In† by Paul McCartney to represent this scene. The songs lyrics are â€Å"Someones knockin at the door, somebodys ringin the bell, do me a favor, open the door and let em in†. This perfectly describes that scene because when King Duncan arrives Lady Macbeth is there to let them in. She already has a plan figured out for them and can’t wait to execute it. In act 3 scene 4 I chose the song â€Å"I’m Going Slightly Mad† by Queen to represent this scene. In the scene Macbeth is having a dinner party and notices that all the seats are taken. When he sees that his seat is taken by the ghost of Banquo he starts talking to the ghost who is invisible to everyone else. The lyrics â€Å"I’m going slightly mad† describe how Macbeth was acting really strange and made the guests question him. The ghost later came back and made Macbeth have an outburst again alarming the guests which sent them home. A symbol that is portrayed in this play is the weather. The weather plays a role in which if something bad is coming up a storm might appear. The song â€Å"The Thunder Rolls† by Garth Brooks reminds of when the witches would enter and a storm would move in. Also the night that Duncan got murdered, a terrible storm came in that night indicating that something bad happened. These natural occurrences are hints to the audience that something isn’t right and the song does a good job of describing a thunder storm. In act 1 scene 7 is when Lady Macbeth told Macbeth to be a man and kill Duncan. â€Å"When you durst do it, then you were a man; And to be more than what you were, you would; Be so much more the man†. I chose the song â€Å"I’ll Make a Man out Of You† from the movie Mulan. This song is about training men to become manlier and this is what Lady Macbeth wanted Macbeth to do. She wanted him to become manlier and do what she tells him. I chose the song â€Å"Tragedy† by the Bee Gees to describe the whole play. The genre of this play is tragedy and this song describes â€Å"when you lose control† of everything. Macbeth took things too far and lost everyone that was close him. The lyric â€Å"With no one beside you, you’re goin’ nowhere† reminds when Lady Macbeth died then he really didn’t have anyone else. Since he had no one with him for support, the only way he could go was down.

arts of the past and future essays

arts of the past and future essays The arts of the past, present and future When asked, what is art? many people will respond simply by referring to art as paintings. Art involves so much more than paintings. Almost anything in todays world if done in the correct fashion can be categorized as some form of art. Art includes but is not limited to paintings. It also includes music, sculptures, theater, literature and many others. In this paper I would like to touch on a few forms of art that I enjoy. The first form I would like to talk about is two- dimensional art. Two-dimensional art includes paintings, drawings, prints, and photographs. Which are all differently defined by the technique used. Paintings and drawings can be made with oils, watercolor, tempera, acrylics, ink or pencil. Each of these mediums has its own distinct look to it. The characteristics are all different for the media mentioned above. Oils are one of the most popular used media in paintings. Oils offer a range of colors and do not dry quickly allowing the artist to alter any mistakes. Next I would like to inform you about sculpture. Unlike two-dimensional art sculpture is three-dimensional. Sculptures have an element that two-dimensional art does not, mass. Mass includes the size, shape, and volume of the forms. The sculpture itself defines actual space and may be full-round, relief, or linear. Also unlike two-dimensional art sculptures can be viewed from all sides (full-round). Third, architecture is another form of art used in the unique buildings all around us. There are many varieties of architecture but I would like to talk about one of them, structure. Many structures include post-and-lintel, cantilever, arch, bearing wall, and skeleton frame structures. Post-and-lintel are laying horizontal pieces across vertical supports, it is one of the oldest forms of structural systems. When interior space was more important the arch was used. Whether it was in vaults (arche...

Free Essays on Gates

WASHINGTON (CNN/Money) - The government hammered away at Microsoft Corp. chairman Bill Gates in court Tuesday, attempting to portray him as an unreliable witness. And at one point Gates offered to alter his sworn testimony, landing a solid blow against Microsoft's position. The courts have found that Microsoft violated antitrust laws. The current hearings, under U.S. District Judge Colleen Kollar-Kotelly, will decide what restrictions will be imposed on Microsoft as a remedy for that illegal behavior. Gates has repeatedly complained that the remedies under consideration would be technically impossible to comply with or would force Microsoft to withdraw its Windows operating system from the market and force widespread layoffs at the company. The Department of Justice and half of the states involved in the original antitrust case reached a settlement with Microsoft in November. But nine states California, Connecticut, Florida, Iowa, Kansas, Massachusetts, Minnesota, Utah and West Vi rginia, along with the District of Columbia broke with the Justice Department's remedy proposal, arguing that it wasn't strong enough. Judge Kollar-Kotelly will decide what sort of remedies are appropriate based on the hearings now in their sixth week. Steven Kuney, who represents the states, continued his cross-examination of Gates, who first took the stand late Monday morning. Gates spent much of Tuesday morning complaining that the language of the states's proposal was vague and ambiguous. But Kuney repeatedly walked Gates through his arguments, and several times got Gates to concede that he was interpreting the language in the proposed remedies literally, rather than reasonably, as a court would likely do. In fact, at one point in his testimony Gates told the court that a section of the proposed remedies "could be read to ban Microsoft from competing in any product category. I know such a ban would be unreasonable, and yet that is what the languag... Free Essays on Gates Free Essays on Gates WASHINGTON (CNN/Money) - The government hammered away at Microsoft Corp. chairman Bill Gates in court Tuesday, attempting to portray him as an unreliable witness. And at one point Gates offered to alter his sworn testimony, landing a solid blow against Microsoft's position. The courts have found that Microsoft violated antitrust laws. The current hearings, under U.S. District Judge Colleen Kollar-Kotelly, will decide what restrictions will be imposed on Microsoft as a remedy for that illegal behavior. Gates has repeatedly complained that the remedies under consideration would be technically impossible to comply with or would force Microsoft to withdraw its Windows operating system from the market and force widespread layoffs at the company. The Department of Justice and half of the states involved in the original antitrust case reached a settlement with Microsoft in November. But nine states California, Connecticut, Florida, Iowa, Kansas, Massachusetts, Minnesota, Utah and West Vi rginia, along with the District of Columbia broke with the Justice Department's remedy proposal, arguing that it wasn't strong enough. Judge Kollar-Kotelly will decide what sort of remedies are appropriate based on the hearings now in their sixth week. Steven Kuney, who represents the states, continued his cross-examination of Gates, who first took the stand late Monday morning. Gates spent much of Tuesday morning complaining that the language of the states's proposal was vague and ambiguous. But Kuney repeatedly walked Gates through his arguments, and several times got Gates to concede that he was interpreting the language in the proposed remedies literally, rather than reasonably, as a court would likely do. In fact, at one point in his testimony Gates told the court that a section of the proposed remedies "could be read to ban Microsoft from competing in any product category. I know such a ban would be unreasonable, and yet that is what the languag...