Romantic Period Essays - Hector Berlioz, Program Music,

Romantic Period A New Step in Music Since the beginning of organized music in the Middle Ages, like all the other fields of creativity and study, such as art, philosophy, and architecture, music has made leaps and bounds in the flow of progression. The Romantic period was a time when music began to take on a different meaning. The music began to become more subjective as opposed to objective music of the Classical period. The artist or composer became much more important as an individual. An example of one of these progressions occurring mainly during the Romantic period was when composers and audiences alike started turning towards program music. Program music is "the term for a nonvocal music that is associated with a poem, a story, or some other literary source; the literary text itself is the program. This new style of music created waves of joy and of controversy that still exist today. This form of music was first derived to fulfill a greater need to cease creating and continuing boundaries in the separate fields of art. Before this period music and paintings or in this case music and literature were not meant to be intertwined. The people did not see a need for it since each field was considered a separate entity of itself. Bent 2 During the romantic period, the general feeling began to surface that music could be made even more expressive by channeling it through literature; especially poetry. I believe a lot of this had to do with the new, relaxed frame of thought for the time period, and the genius of William Shakespeare's writing capabilities. The issue surrounding program music is that critics ridicule the idea that the music can actually illustrate a program. They ask the question that if the audience did not know it was program music, then could they identify it as so, once heard. Some say that it is entirely possible, and even would be hard not to while others claim that there could quite possibly be no clues to the fashion of program music. Another argument made by the critics of program music is music should be able to stand on its own, with meaning, feeling, and a general sense or purpose. With program music, they felt that the music itself could not stand alone. However, the people of the Romantic period did not care. They wanted program music to increase expressive capabilities, and to be entertained in a new fashion. Many of the composers of this time, and since then have flourished through the use of program music. Perhaps some of the most renowned pieces of music in existence today are forms of program music. Hector Berlioz (1803 ? 1869) was a truly gifted composer who was most definitely inspired by literature; mainly Shakespeare. His composition Lelio is a correspondence to the renowned play Hamlet. Probably his best known piece though, Symphonie Fantastique was written about a woman that Berlioz was madly infatuated with. The Irish Shakespearean actress, Harriet Smithson, was the Bent 3 object of his affections, and did actually become his wife for a short time years after this composition. The remarkable part about the symphony is that Berlioz actually had programs made up and distributed to the audience for the performance. "A young musician of unhealthy sensibility and passionate imagination poisons himself with opium in a fit lovesick despair. Too weak to kill him, the dose of drug plunges him into a heavy sleep attended by the strangest visions, during which his sensations, emotions, and memories are transformed in his diseased mind into musical thoughts and images." Berlioz's symphony was received well and he ended up getting his beloved, even though they ended up miserable together. Another famous work in which this new form of music was displayed is Mozart's Don Giovanni. Mozart used a sort of foreshadowing in his music to help the audience along with the story line. In the second to last scene, Don Giovanni is carried off to Hell. Before the curtain opens, the orchestra begins incorporation a somber tone to signify this occurrence. He felt that this foreshadowing made the mood and the music more interesting. This transition during the Romantic period, beginning to compose program music, created a lot of changes in how composers wrote music, and how the audience received the music. Although there were, and still are some questions and uncertainties in some people's minds as to the validity of the music, program music was an inspirational change welcomed by most in the Romantic era. Bibliography Kerman, Joseph. Listen.

Foundations of physiotherapy practice The WritePass Journal

Foundations of physiotherapy practice Introduction Foundations of physiotherapy practice IntroductionReferences:Related Introduction The aim of the essay was to explore COPD in both theory and practice in correlation with the three main body systems. The body systems investigated in detail where the respiratory, musculoskeletal, cardiovascular and the neurological systems. Each system was researched for the effects it has on exercise intolerance, quality of life and the limitations that develop for a patient as a result of COPD. The role of pulmonary rehabilitation is inspected throughout the essay and its significance in the management of patients with COPD is expressed immensely within the context of the essay. There is an evidence based background to the exercise program used for the leaflet; it underpins the importance of using both endurance and strength training in order to improve some of the symptoms of COPD. The use of breathing exercises and techniques is also incorporated as it is a substantial part of the rehabilitation program. The role of the physiotherapist is fully established in the essay. The phy siotherapist is recognised for his/her role in each aspect in the management of the condition. Chronic obstructive pulmonary disease (COPD) is a disease defined by airflow limitation that cannot be fully reversed. COPD is a combination of emphysema, and chronic bronchitis. Chronic bronchitis is defined by excessive mucus secretions and a productive cough for a sustained period of time (more than two years). Emphysema is defined by destruction of the alveoli and smallest airways and secondary effects on lung elasticity, and other airways (Gupta and Brooks, 2006, p.180).The airflow obstruction is generally progressive in nature correlated with an abnormal inflammatory response of the lungs to gases. Despite the fact COPD affects the lungs; it also contributes to a substantial systemic reaction (Celli et al., 2004).although evidence shows that no change in lung function (FEV1) occurs, no matter how radical the treatment for the patient may be. Even tough loss of lung function is not regained; affective pulmonary rehabilitation helps slow the rate of decline (Bellamy and Brooker, 2004, p.12). COPD is important common respiratory disorders in primary care. Diagnosis of COPD is often delayed until patients present with severe symptoms. There are a high percentage of individuals that are undiagnosed in the population. Aside from patients being advised to stop smoking, it is important that pulmonary rehabilitation is part of the management of this condition and physiotherapist understand how to prescribe appropriate exercise training for patients with COPD (Gupta and Brooks, 2006, p.180).Patients with COPD are in the largest percentage of individuals referred for pulmonary rehabilitation. There is an increase in the evidence-based support for pulmonary rehabilitation in the management of patients with COPD (Nici et al., 2006). It addresses the numerous needs of the patient. It has many components which are highly effective in caring for the patient. Pulmonary rehabilitation incorporates the following: smoking cessation, education, exercise training, psychology i nterventions, physiotherapy, and nutrition. Exercise training is a vital component of pulmonary rehabilitation and is aimed at improving some of the restricting problems associated with the disease, such as dyspnoea and exercise tolerance despite the irreversible deformities in lung function (Tiep, 1997, p.1652). Management is essential in helping the patient have a better quality of life, as patients with COPD sink into an inactive and dependent state causing them to be at high risk of depression and anxiety. (Maurer et al., 2008). Depression and anxiety are addressed in the psychosocial component of the rehabilitation program (Nici, et al., 2006, p.1399). During the progression of COPD, all body systems in some way become affected (Tiep, 1997, p.1631).patients with COPD tend to stop or reduce their level of physical activity as exertion leads to the patient having unpleasant sensations. A vicious cycle can occur, with reductions in physical activities causing severe deconditioning, and more limitations in each system affected by the condition (Thomas, 2006, p. 62).The changes in each of these systems are coexisting factors that contribute to the exercise intolerance in patients with the disease. The respiratory system is affected greatly by COPD; it contributes to exercise intolerance in a number a ways. Ventilatory limitations occur for many reasons. An increase in both airway resistance and expiratory flow limitations causes a severe increase in the work of breathing. The elastic walls of the alveoli provide a certain amount of driving force behind the active process of exhalation (Rochester, 2003, p.61). Airflow obstruction leads t o impaired lung emptying and a higher end expiratory lung volume due to the loss in elasticity of the alveolar walls. This worsens during exercise leading to dynamic hyperinflation. Hyperinflation restricts the tidal volume response to excretion, flattens the diaphragm and the accessory muscles are then used to aid respiration, and   the muscle length-tension relationship of the respiratory muscles is altered forcing the muscles into a shortened position which puts them at a mechanical disadvantage. The degree of hyperinflation a patient is subject to is an important indicator of their exercise tolerance and dyspnea during exercise (Bellamy and Booker, 2004, p 23). Ventilatory   limitations to exercise causes interruption in gas exchange that emerges from the increase dead space to tidal volume ratio, ventilation-perfusion mismatch, and the reduction in diffusing capacity caused by the loss of alveolar/capillary connections. The increased dead space to tidal volume ratio in turn causes an increased ventilatory demand, for the same degree of bodily exertion (Rochester, 2003, p. 61). Other factors also further increase ventilatory demand these include, lactic acidosis and hypoxemia which directly or indirectly limit exercise tolerance (Nici et al., 2006, p. 1391). The musculoskeletal system is affected also, there is evidence showing that muscle dysfunction contributes to exercise intolerance in COPD.   The reduction in physical activities leads to damage in skeletal muscle function which in turn causes more symptoms at a less intensive level of work. Inactivity produces many structural and biomechanical changes in the skeletal muscle. Muscle strength is decreased in patients with COPD; peripheral muscle strength is to a much greater extent affected than upper limb muscles strength. The reduction in peripheral muscle strength may be directly linked with the fact there is a decrease in activity of the lower limbs in patients with COPD (Thomas, 2006, p. 63). There is also a reduction in endurance in both lower and upper limb muscles. Loss of lower limb muscle strength is equivalent to the reduction in muscle mass. With prolonged inactivity type 11a fibres (slow twitch fibres) convert to type 11b (fast twitch fibres), Reduction in fibre type an d decrease in cross-sectional of type 1 and 11a fibres is linked to muscle atrophy. Reduction in oxidative capacity and muscle atrophy is standard in patients with COPD. Deconditioning is an important factor in skeletal muscle dysfunction (Mador and Bozkanat, 2001). Chronic obstructive pulmonary disease has an extensive impact on the cardiovascular system. The increased right ventricular afterload which is caused by the increased pulmonary vascular resistance resulting from the structural abnormalities in pulmonary circulation, and the hypoxic pulmonary vasoconstriction all contribute to the effects of COPD on the cardiovascular system. All of these processes lead to structural changes in the heart which include right ventricular dilatation and hypertrophy, to help conserve right ventricular output (Vonk-Noordegraaf, et al., 2005, p. 1901). The impaired ventricular filling is caused by hyperinflation and or other mechanical impairments. Cardiac output is relatively maintained in patients with COPD compared to normal individuals both at rest and during physical activities. Studies have proven that exercise training has no measurable impact on the changes in the cardiovascular system as the result of COPD. Like the irreversible effects COPD has on lung function, exercise training can slow it down but it can never be reversed back to normal no matter how extensive the treatment (Sietsema, 2001, p. 656-657). The neurological system is affected as a result of COPD. Neuropsychiatric disorders are common in patients with COPD, particularly depression and anxiety. The prevalence of depression is higher than anxiety it is over 20% higher than anxiety. They often go untreated in patients with COPD; the lack of adequate treatment leads to patients having a poor quality of life and is associated with premature death in COPD patients. The overall impact of depression and anxiety on COPD patients, their families, and society is important. Studies show that depression has been found to cause fatigue, dyspnoea, and disability (Maurer, et al., 2008, p. 43). Depression increases with hypoxemia, carbon dioxide levels, and dyspnea. Hypoxia in patients with COPD may be a major factor in the development of depression and anxiety due to lack of sufficient oxygen to the brain. However reduced physical capacity and negative self image may also be a causing factor in the development of the disease (Armstrong, 2010, p. 132). Pulmonary rehabilitation is the main intervention used to try and improve the systematic effects of COPD; its main concern is to control the symptoms and disease by including essential components such as the multidisciplinary team for support and guidance and the exercise training program for improvements in the patient’s physical limitations (Burton, et al., 1997, p. 879). The exercise training program of pulmonary rehabilitation must address the individual patient’s limitation to physical activity; these limitations may include ventilation limitations, gas exchange irregularities, and skeletal or respiratory muscle dysfunction. Exercise training aims to improve motivation for exercise, neuropsychiatric well being, decrease symptoms and improve quality of life. Moreover, the substantial improvement in oxidative capacity and efficiency of skeletal muscles has caused a decrease in alveolar ventilation for same degree of exertion. This can reduce dynamic hyperventilation, thus decreasing exertional dyspnoea (Aliverti and Macklem, 2001, p. 229). Pulmonary rehabilitation normally focuses on lower limb training, as loss of peripheral muscle strength in patients is high as loss of quadriceps muscle is reduced by up to 20-30% with patients in the moderate to severe phase of COPD. This is why exercise training is used to improve muscle strength. The dist ribution of muscle strength in patients with COPD is not equal between the lower and upper limb, there is evidence to prove the better preservation of the upper limb muscle strength (Thomas, 2006, p. 63). However upper limb exercises should be incorporated into the training program. Upper limb training results in an improvement in a patient’s ability to perform daily activities involving the upper body. Upper limb exercises also reduce dyspnoea and ventilatory requirements for arm elevation.   Evidence based guidelines recommend the use of upper limb exercise as part of the exercise program as it is safe and requires little equipment (Rochester, 2003, p. 70) There are two types of exercise training used in the rehabilitation program aerobic endurance and strength training. Aerobic endurance exercise training is the main component of pulmonary rehabilitation. Evidence from a number of randomized controlled trails supports the use of lower extremity exercise training, it has been found to significantly improve exercise tolerance, timed walking distance, sub maximal endurance time, and health related quality of life. Exercise training includes ground walking training, treadmill walking, cycle ergometery, and inspiratory muscle training (Gupta and Brooks, (2006), p. 182). Cycle ergometery training supervised by the physiotherapist to make sure the patient is performing the exercise at the right intensity, has been proven to improve exercise capacity in patients with COPD. Studies have shown that the combination of both inspiratory muscle training and cycle ergometery training has greater benefits for patients than just cycle ergometery alone. The addition of inspiratory muscle training enhances both inspiratory muscle endurance and strength, improves exerc ise capacity significantly more than just cycle ergometery training on its own (Wanke, et al., 1994, p. 2205-2211). Walking is an exercise prescribed to patients for endurance training, as it is a regular exercise that patients find easy and a large percentage of patients continue walking at home or after the rehabilitation programme. Patients are encouraged to walk to the point of breathlessness; this technique improves exercise tolerance in patients as they push themselves to get physically fit. The Physiotherapist gives support to patients, by reassuring them that breathlessness during walking doesn’t cause any damage to the lungs or heart it is beneficial in improving their quality of life (Bellamy and Booker, 2006, p. 115). Strength training is used in pulmonary rehabilitation for both the upper and lower body. In many studies patients rated their dyspnoea and fatigue the lowest after strength training. The strengthening exercises may include knee flexion and extension w hich works the quadriceps and hamstring muscles, also chest press which involves both pectoralis major and latissimus dorsi. Weights are used during each exercise and are altered increase or decrease the intensity. Strength training increases strength in all muscles that undergo the training this is due to muscle hypertrophy and improvements in neural recruitment patterns. Strength training has been proven by many studies to improve exercise performance and quality of life (Mador, et al., 2004, p. 2039-2041). Studies have supported evidence that endurance training has little effect on muscle weakness and muscle atrophy, two problems in patients with COPD and contributes to their exercise intolerance and poor quality of life. As a result most pulmonary rehabilitation programs combine strength and endurance training together as it is more beneficial to the patients. Studies have proven that the addition of strength training to endurance training produced a greater improvement in muscle mass and strength than endurance training alone (Ortega, et al., 2002, p. 670). Another study investigated the combination of both strength and endurance combined and found it was effective in reducing depression and anxiety. Moreover, there is evidence to confirm the beneficial effects of the three methods of exercise training (strength, endurance, and or combined) on the quality of life and level of dyspnoea in patients with COPD (Mador, et al., 2004, p. 2043). There is a debate as to whether high or low intensity training   in endurance and strength exercises should be used and to what beneficial effects either intensity will sustain in improving the symptoms of COPD. Low intensity training does result in improvements in symptoms, activities of daily living and health related quality of life, there is evidence to support the use of high intensity training producing greater physiologic training effects (Maltais, et al., 1997, p. 555-561). Training intensity that exceeds 60% of the peak exercise capacity is enough to cause some physiologic effects, even though higher percentages have been tolerated and are more beneficial. The effects of cycle ergometery training at high intensity work load were compared to low intensity work load in 19 patients with moderate to severe COPD. The group following the cycle ergometery at the high intensity work rate had a greater reduction in lactate production and ventilation requirements, although the low i ntensity group had a similar result but not as much significant gains in aerobic fitness (Rochester, 2003, p. 67-68). Therefore using high or low intensity training has beneficial effects, high intensity exercise training is more advantageous producing physiologic changes in patients that are capable to reach that level, low intensity exercise training is more tailored to the health benefits of the general population and for patients who are in a more fragile state (Calverley, et al., 2003, p. 468-470). Aside from endurance and strength training the pulmonary rehabilitation program has breathing exercises and techniques that are incorporated into the program. The role of the physiotherapist in the management of COPD is established especially in breathing exercises and techniques. Physiotherapists play a crucial role in the exercise, assessment and education aspects of the pulmonary rehabilitation program they are a valuable part of the multidisciplinary team. They are there to provide specialist advice and support for the patient, especially during an exacerbation, when patients have trouble clearing their chest secretions, and to help control any anxiety or panic attacks they may lead to hyperventilation. When physiotherapist helps patients clear chest secretions it often involves teaching the patient about the active cycle of breathing technique (ACBT) using forced expiration to enhance chest clearance. Physiotherapists also use techniques to reduce the work of breathing, which involves the use of breathing retraining or relaxed breathing control. Diaphragmatic breathing and pursed lip breathing are two examples of breathing retraining; these are of benefit to manage panic attacks and breathlessness. Physiotherapists also teach a patient varies positioning techniques to help with dyspnoea. They have a major role in pulmonary rehabilitation programmes, along with respiratory management they provide advice and support for patients with mobility problems (Barnett, (2006), p. 174). Physiotherapists are involved in educating and supporting patients in breathing retraining. The main goals of using diaphragmatic breathing and pursed lip breathing are to relieve breathlessness and encourage relaxation (Mikelsons, 2008, p. 3). Pursed lip breathing is a technique used where exhalation is accomplished through resistance created by narrowing (pursing) of the lips; it is often naturally taken up by COPD patients. Studies have shown that pursed lip breathing can have a positive effect on dyspnoea when performed by patients during exercise. Patients who experience reduction in dyspnoea due to pursed lip breathing also had reductions in end expiratory lung volume and increase supply in inspiratory muscle pressure-generating capacity. During breathing at rest and exercise pursed lip breathing contributed to a slower deeper breathing pattern in patients, and is a useful technique to apply when an onset of breathlessness comes upon a patient (Spahija, et al., 2005, p. 640-648 ). Diaphragmatic breathing is used as another technique to help with dyspnoea and dynamic hyperinflation. In diaphragmatic breathing physiotherapists teach patients to synchronize inspiration with abdominal expansion as they breathe slowly and deeply. On the exhalation the diaphragm is pushed up by the abdominal muscles which create a better length tension relationship and a better curved posture. This technique increases the capable force of the diaphragm as an inspiratory muscle. Diaphragmatic breathing has a significant increase in tidal volume and a major reduction in respiratory frequency which caused an increase in minute ventilation. In hypercapnic patients with COPD, diaphragmatic breathing helps with hyperinflation in these patients. However studies have shown that severely hyperinflated  Ã‚   patients are incapable of performing this breathing technique (Gigliotti, et al., 2003, p. 198). Secretion clearance is an important technique used for acute exacerbation management . Acute exacerbations are common in patients with COPD; they are associated with a poor quality of life and are a burden to both family and caregivers. Symptoms include dyspnea, purulent sputum, and an increase in sputum volume. Patient’s awareness of the symptoms of exacerbations and early intervention reduces the risk of hospitalization and leads to a better quality. Physiotherapists are important in providing such interventions to help patients with sputum clearance. Physiotherapeutic techniques used to help with sputum clearance include active cycle of breathing techniques (ACBT), percussions, vibrations, and shaking. ACBT consists of breathing control, lower thoracic expansion exercises and forced expiratory technique. ACBT aids bronchial clearance by improving mucociliary clearance while also decreasing adverse effects such as hypoxia and increased airflow obstruction. Compared to percussion, vibrations, and shaking ACBT has been proven to be the most effective techniqu e in chest clearance with over 80% of physiotherapists the UK using it always or often when treating patients with COPD. Studies have shown that ACBT helps improve oxygenation, assists in sputum clearance, reduces anxiety, and enhances health related quality of life (Yohannes and Connolly, 2007, p 110-113). Many patients with COPD adopt a forward leaning position to help with the feeling of breathlessness, this is a useful technique which physiotherapist teach patients to self manage dyspnoea, during the stable phase of COPD and when they get an acute exacerbation. There is evidence to reinforce the use of the forward leaning position to improve breathlessness and decrease work of breathing. This position promotes diaphragmatic function by allowing the shortened diaphragm to be lengthened by the movement of the abdominal content away from the diaphragm thus enhancing the length tension relationship. This position can be altered to suit individual, it can be used in everyday life such as standing leaning against a wall, window sill or shopping trolley. These functional positions enable patients to get out and improve both their breathlessness and quality of life (Mikelsons, 2008, p. 3). Studies support the use of breathing retraining, chest physiotherapy and exercise training as it contr ibutes to improvements in dyspnoea, functional exercise capacity, and quality of life in COPD patients (Guell, et al., 2000, p. 978). In conclusion, the importance of COPD as a disease is relatively high as it has been stated to be in the top four leading cause of death and disability in the world (Gupta and Brooks, 2006, p. 187). The considerable effects COPD has on the respiratory system are discussed showing the limiting effects it has on both ventilation and gas exchange all contribute to the exercise intolerance in patients. The musculoskeletal system is greatly hindered by the effects COPD has on the structural and biomechanical aspects causing limitations in the ability to exercise. COPD leads to cardiovascular problems which progressively get worse if patients aren’t introduced to the exercise training program to help slow down the deterioration. Anxiety and depression goes undiagnosed in a lot of patients with COPD but has been shown to contribute to both exercise intolerance and poor quality of life in patients. The intervention of the pulmonary rehabilitation program has been proven to help increa se exercise capacity, decrease dyspnoea and improve health related quality of life. The support and advice from the physiotherapist in the exercise training program, breathing exercises and techniques is a key element to the success of the pulmonary rehabilitation program. In light of all the advantages of the rehabilitation program there is still the unsubstantial effect it has on lung function in patients with COPD. References: Aliverti, A. and Macklem, P. (2001) How and Why Exercise Is Impaired in COPD. Respiration, 68 (3), pp. 229-239. Armstrong, C. (2010) Handbook of Medical Neuropsychology: Application of Cognitive Neuroscience. United States of America: Springer Science and Business Media. Barnett, M. (2006) Chronic Obstructive Pulmonary Disease in Primary Care. United Kingdom: Whurr Publishers Limited. Bellamy, D. and Booker, R. (2006) Chronic Obstructive Pulmonary Disease in Primary Care. 3rd ed. United Kingdom: Class Publishing Ltd. Burton, G. et al., (1997) Respiratory Care A Guide to Clinical Practice. 4th ed. United States of America: Lippincott-Raven Publishers. Calverley, P. M. A. et al., (2003) Chronic Obstructive Pulmonary Disease, 2nd ed. United Kingdom: Arnold. Giggliotti, F. et al., (2003) Breathing retraining and exercise conditioning in patients with chronic obstructive pulmonary disease (COPD): a physiological approach. Respiratory Medicine, 97 (3), pp. 197-204. Guell, R. et al., (2000) Long-term Effects of Outpatient Rehabilitation of COPD. Chest journals, 117 (4), pp. 976-983. Gupta, R. and Brooks, D. (2008) Aerobic Exercise for Individuals with Chronic Obstructive Pulmonary Disease. Physiotherapy Canada, 58 (3), pp. 179-186. Mador, J. and Bozkanat, E. (2001) Skeletal muscle dysfunction in chronic obstructive pulmonary disease. Respiratory research, 2 (4), pp.216-224. Mador, J. et al., (2004) Endurance and Strength Training in Patients with COPD. Chest journals, 125 (6), pp. 2036-2045. Maltais, F. et al., (1997) Intensity of training and physiological adaptation in patients chronic obstructive pulmonary disease. America journal of critical care medicine, 155, pp. 555-561. Mikelsons, C. (2008) The role of physiotherapy in the management of COPD. Respiratory Medicine, 4 (1), pp. 2-7. Nici, L. et al., (2006) American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. American journal of respiratory and critical care medicine, 173 (12), pp. 1390-1413. Ortega, F. et al., (2002) Comparison of Effects of Strength and Endurance Training in Patients with Chronic Obstructive Pulmonary Disease. American journal of respiratory and critical care medicine, 166 (5), pp. 669-674. Rochester, C. (2003) Exercise training in chronic obstructive pulmonary disease. Journal of Rehabilitation Research and Development, 40 (5), pp. 59-80. Sietsema, K. (2001) Cardiovascular limitations in chronic pulmonary disease. Medicine science in sports exercise, 33 (7), pp. 656-661. Spahija, J. et al., (2005) Effects of Imposed Pursed-Lips Breathing on Respiratory Mechanics and Dyspnea at Rest and During Exercise in COPD. Chest journals, 128 (2), pp. 640-650. Thomas, A. J. (2006) Chronic Obstructive Pulmonary Disease: The contribution of skeletal muscle dysfunction to exercise intolerance. Physical therapy reviews, 11 (1), pp. 62-66. Tiep, B. (1997) Disease Management of COPD with Pulmonary Rehabilitation. Chest journals, 112 (6), pp. 1630-1656. Vonk-Noordegraaf, A. et al., (2005) Early Changes of Cardiac Structure and function in COPD Patients with Mild Hypoxemia. Chest journals, 127 (6), pp. 1898-1903. Wanke, T. et al., (1994) Effects of combined inspiratory muscle and cycle ergometer training on exercise performance in patients with COPD. European Respiratory Journal, 7 (12), pp. 2205-2211. Yohannes, A. Connolly, M. (2007) A national survey: percussion, vibration, shaking and active cycle of breathing techniques used in patients with acute exacerbations of chronic obstructive pulmonary disease. Physiotherapy, 93 (2), pp. 110-113.

Papers' Analysis Assignment Example | Topics and Well Written Essays - 1000 words

Papers' Analysis - Assignment Example Economies of scale are the cost advantage that comes from a product’s increased output. They arise due to an inverse relation between fixed costs per-unit and quantity produced. The more cars produced in this case, the lower the fixed cost per unit, as the cost is shared among a larger quantity of cars. They may also reduce unit variable costs due to synergies and operational efficiencies. Economies of scale are in two major types; external that arises from industry size and other extraneous factors and internal that arises from inside the firm (Motavalli 1). While benefits of this concept are obvious, I think they also impact on such areas as finance. For instance, a company like Ford Group would have a lower capital cost compared to smaller firms due to their ability to borrow at lower rates of interest. However, I believe that, even with this advantage, I think there is a finite upper limit to how Ford Group can grow in achieving economies of scale. When the hybrid car prod uction reaches a specific number, it will be more expensive to manage due to bureaucracy, complexity, and operational inefficiency. The results from Ford Group are also hard to ignore. For instance, the model T line of production and task specialization were integrated with standardization, as can be seen in their hybrid plant. The specialization that will go with the hybrid car production will lead to productivity increase. The coupling of specialization and standardization will ensure that the model parts will be of universal size at all times, which greatly reduces costs of restoration. However, it can also be argued that the reduction of costs by specialization and increase in productivity is offset by huge human costs. While there is little evidence of how economies of scale impact organizations like Ford in the long run, the idea has become a hallmark of Ford Group and other similar companies because it can be used all manufacturing functions; for example, marketing, research and development, distribution, and sales force utilization (Motavalli 1). Analysis # 2 The Texas drought of 2011 is bound to have ripple effects across the globe, especially with regards to agricultural products. Texas produces approximately 55% of cotton crop in the US, supplying the same to mills around the world. Because of the drought’s effect on cotton, the prices are on the up. The drought has also affected beef prices with ranchers being forced to sell off their cattle due to dramatic reductions in water and animal feed. The selling of, off valuable breeding stock is expected to see a long-term increase in the price of beef. It is also expected that there will be a 50% jump in the prices of wheat in winter because of the drought, especially since Texas accounts for 20% of wheat production (Hylton 1). The FAO price index for food raised to 6% in mid-2012, which was attributed to the unfavorable conditions of weather, particularly the drought currently ravaging parts of the United States, which have driven the cost of agricultural products up. However, what is happening now is more a climatic transition than a random weather event. The consequences have been predicted to be especially dire for the poor population in the world (Hylton 2). However, in my opinion, the prices of beef, wheat, and cotton will be affected by other factors, rather than by drought alone. The use of biofuels

English Essay Example | Topics and Well Written Essays - 1000 words - 17

English - Essay Example In any war, the soldiers get paranoid; they are dispossessed of the sense of justice and morality, once they are part of the war. The solider will never be the same individual again.War is a terrible evil exercise for humanity. The victor is also a loser! Political leaders plan the war, but the soldiers fight it at the ground level. When one soldier is killed, the immediate family members suffer and the well-wishers go through an agonizing experience. The soldiers have no personal enmity and yet they are compelled to plan to eliminate each other. The only mantra for a soldier is, kill or get killed! Each day is a tough survival option for the soldier and no one at home is able to understand their predicaments. Tim illustrates a story of a soldier who brings his girlfriend to Vietnam. When she arrives, she is fresh and exuberant about the country that she is going to visit. But soon, the jungle life fascinates her; she loses attachment to her old city life. She disappears into the jungle. Tim explains this incident thus: "Tone? I didnt know it was all that complicated. The girl joined the zoo. One more animal--end of story." (O’Brien, p.107)Tim recalls a moment, how he killed a soldier who was walking down a trial. Tim threw a hand grenade at him and his face exploded†¦. He also narrates about the image of a young girl dancing outside her destroyed village, as American soldiers take the dead family away. ---One cries when one is sad; one doesn’t, when mad! Many such stories circulate. But, "Its safe to say that in a true war story nothing is ever absolutely tr ue." (O’Brien, p. 82) In Louise Erdrichs short story, "The Red Convertible," she communicates the emotional disturbances, war creates for a soldier and his relationships through symbolism of car between two brothers, Henry and Lyman. Their great attachment to the joint property, the symbol of their mutual affection during the pre-war days has vanished. Henry realizes that his

Case Study Analysis of Personal and Organizational Ethics and Values

Analysis of Personal and Organizational Ethics and Values between For-Profit and Not-for-Profit Organizations - Case Study Example It is essential to frame living real values that would contribute to shaping the culture of an organization. There again has to be a uniformity in accepting the values by the people in the organization as the presence of different value system within the organization can create behavioral conflict between individuals (The Value of Organizational Values, n.d). The paper attempts to compare ethical issues with respect to profit and non profit organization. Every business organization needs to have some values and principles that would be the guiding principles while deciding on their strategies and morality of business work. Business can be from a profit making or nonprofit making organization. Both of these types of organizations can have certain ethical values that should be implemented to both its employees and the organization as a whole. Absence of ethical values can make the employees develop inappropriate thoughts and ideas and lead to fraud and corruption in the organization. W hile considering ethics in the organization there are two dimensions of approaching it (Brown, 2010). One is individualistic and the other is communal. Every dimension deals with different type of moral responsibility. In case of individual approach every person in the organization is responsible for his own behavior within the organization and so any change required in the behavior should be directed toward the person solely. In the communal approach every individual is considered to be part of a community and does not have any individual identity and every individual is responsible to some extent for the behavior of the others. If any changes are to be made in terms of the behavior it is to be directed towards the community as a whole. For this the behavior of the employees must be adjusted with the organizational culture. Influence of ethics in an organization Value and ethics of a particular organization can affect the four components of the structure of an organization. These f our processes are – organizational structure, organizational process, ways of interaction among the employees and lastly the outcomes or results of the previous factors (The Broad Baker Group Ltd, n.d). Values go a long way towards deciding the culture and style of an organization. It becomes essential to have a smooth culture as it affects the behavior of the other stakeholders like the suppliers and customers in the organization. A model based on integrity, humility and compassion can help organizations in establishing their ethical standards (The Broad Baker Group Ltd, n.d). There are a few differences between profit making and nonprofit making organization in terms of the values and ethical behaviors of its employees. This arises because the basic structure of serving people with different purposes is different for the two organizations. Comparison between For-Profit making and Not-For-profit making organization - a personal perspective Over the past few years a lot of ch anges are happening within organizations in terms of setting their values and ethical standards. This can be both in the context of an individual or an entire organization. According to my personal perspective, every organization should have standards regarding their business values and ethics. For that the management must develop clear views of what it wishes to achieve and what it should avoid doing. This is to be decided before setting their objectives

Role Of Womens Rights In Afghanistan

Role Of Womens Rights In Afghanistan Do you think that Afghan nation from the outset needs only men to serve it? Before Islam, women were treated like slaves or property. Their personal consent concerning anything related to their well-being was considered unimportant, to such a degree that they were never even treated as a party to a marriage contract. Women were used for one purpose, and then discarded. They had no independence, could own no property and were not allowed to inherit. In times of war, women were treated as part of the prize. Their condition was unspeakable. In addition, the birth of a daughter in a family was not an occasion for happiness, but was regarded as embarrassment. The practice of killing female children was uncontrolled. With the arrival of Islam a verse came from the Quran criticizing those who practiced female infanticide: And when the news of (the birth of) a female (child) is brought to any of them, his face becomes dark, and he is filled with inward grief! He hides himself from the people because of the evil of that whereof he has been informed. Shall he keep her with dishonor or bury her in the earth? Certainly, evil is their decision (An-Nahle 16:58-59). Afghanistan is the only country in the world where women are symbolized to all other countries. Afghan womens current situation is not only the result of Taliban, but there exists a history over the centuries of Afghan womens situation. Afghanistan is a country that lost all its economical infrastructures passing three decades of war, has been faced with Economical, Social and cultural problems. One of the major problems that Afghans are suffering is violence against womens rights. Taking in to consideration that many activities have been accomplished since 2001 by international and governmental organizations but statistic show that problems have been remained and vast number of women are still suffering from violence. Many of women are deprived from education. A few women participate in political and social activities. As observed in Kabul, a woman suffers from violence every 30 minutes and 3% of women participate in governmental decision making activities. Only 11 percents of women were candidates in the 2010 parliamentary elections. Some of the challenging facts Afghan women faces in daily life are listed as following: Every 30 minutes, an Afghan woman dies during childbirth, 87 percent of Afghan women are illiterate, 30 percent of girls have access to education in Afghanistan, 1 in every 3 Afghan women experience physical, psychological or sexual violence, 44 years is the average life expectancy rate for women in Afghanistan, and 70 to 80 percent of women face forced marriages in Afghanistan (The Plight of Afghan Woman) Since the fall of the Taliban in late 2001, many people would agree that the political and cultural position of Afghan women have improved substantially. The recently adopted Afghan constitution states that the citizens of Afghanistan whether man or woman- has equal rights and duties before the law. So far, women have been allowed to return back to work, the government no longer forces them to wear the all-covering burqa, and they even have been appointed to top positions in the government. Although many people believe that women have equal rights to men, but Afghan women, especially in the rural areas of Afghanistan are not equally treated and their rights are violated. Women are not allowed to get education, women are forced into early age marriage and they have no right to work equally with men and take part in social activities. In many societies today, especially in Afghanistan, a woman is only valued and considered important if she performs the functions of a man, while displaying her feminine attractions to the public. If women get involved in politics, they would stop marrying, having children, and the human race would greatly be affected. Women are emotional creatures, and incapable of making a sound political decision. Afghan men, Typically among Pashtun families, parents believe that their daughters going to school is an immoral act, such as: being friend with the boys and then claiming to marry with the boy of their own choice. They have the ideas saying that their daughters may adopt non-cultural behaviors at school, such as: changes in their clothing, adapting modern clothing and ways of thinking, which are not accepted in Afghan culture. In most afghan families, relatives and friends advise each others for not letting their daughters attend school. A girl is considered as a financial burden on her parents; therefore, parents give their daughters to men who are in their fathers age to receive marriage cost and lessen their home expenses. In the most provinces of Afghanistan, girls are sold to men without knowing a girls consent, and then these girls are used as labors by her husband and in-laws family for carrying physical loads of the whole family. First, its known that education, especially for girls is among basic requirements for an improved life standard in any society, however 85 percents of women and girls are illiterate in Afghanistan. The United States of America International Aid (USAID) allocated fund to address this challenge that constitute the lowest educational level in the country, and girls are facing many problems in this area. Womens education is a foundation for building womens human capital and a requirement for their meaningful participation, effective leadership, and enjoyment equal of rights. Although, the womens right to education is legally protected by law, the Afghan women have been long deprived of their right to education and still the participation of girls and women in various levels and fields of education is limited and they face numerous constraints. Access to equal education opportunity still is a dream for many women. Despite of educational improvements in recent years, women still face a num ber of obstacles in their way to education such as early marriage; restricted movement; cultural barriers, security, transport constraints, shortage of qualified female teachers especially in rural areas, poor school infrastructure and facilities and the lower value attached to girls and womens education. In Afghanistan, the number of girls going to school is less than half the number of school boys and even in some provinces, like Zabul, this percentage is 3%; though the numbers of male and female populations aging between 6-18 year old dont have a considerable difference. Another problem in terms of education in Afghanistan is the number of female schools including elementary and high schools that has decreased considerably. In Kandahar, for example, there are 255 elementary schools, whilst 20 high schools exist in the city. In central region of the country there are 256 elementary schools and only 27 high schools, which show unwillingness of girls to study (Commission). Nearly 10 00 girls schools have been destroyed. Girls and teachers have been killed in a return of the Taliban reign of terror. Only 18% of Afghan women have skilled medical personnel present when they give birth (Feminism, Womens Rights Articles Issues). In Paktia province last year, a shura of elders decided that a 25-year-old man who sexually abused a 7-year-old relative girl should pay compensation to the childs family. They also decreed the girl should marry her rapist when shes older (The Star). Due to fear of Taliban or local warlords, girls cannot go outside their homes. If they go to schools, they are burnt, acid is thrown on their faces, or Taliban kill their family members. Almost in all provinces of Afghanistan girls are sexually abused and harassed. Girls are kidnapped on their way to school. They are kidnapped for different purposes by the Taliban or local warlords, to make money by selling them or to use for smuggling, or marry them by force. Second, forced marriages constitute the other serious problems of women in Afghanistan which is exercised on different ways and forms as to payment of huge dowry, underage marriage, engaging in the very early days when a child is born. Widows are still considered as a heritage and are not allowed to marry other man willingly. Forced marriage is considered to be one of the main cases of women rights violation in all over the country. For instance, only in Helmand Province 144 cases of forced marriage is registered by the Commission so far this year, mostly exercised as badal (girls exchange in families for marriage) and huge payment of dowry. In many parts of Afghanistan, marriages have taken place with threats by the powerful people, gunmen or in repayment for depts. Another reason considerably increases the number of early age marriages is the poverty in Afghan families. Third, in Islam, the value and importance of women in society and the true measure of their success as human beings, is measured with completely different criteria: their fear of Allah (SWT) and obedience to Him, and fulfillment of the duties he has assigned them, particularly that of bearing, nurturing and teaching children. Islam is a practical religion, and responds to human needs and life situations. Many women need, or wish, to work for various reasons. For example, they may possess a needed skill, such as a teacher or a doctor. While Islam does not prohibit women working outside the home, it specifies that the following restrictions be followed to safeguard the dignity and honor of women and the purity and stability of the Islamic society. Muslim women are not forbidden from going out in the community, working, or visiting relatives and female friends, if there is no objection from their guardian/husband and they are covered and behave and speak according to Islamic guidelines and, if necessary, escorted by their Mahram (male relative). However, a womans home should be the main base that she works from. Allah (SWT) instructed the wifes of the Prophet (SAW): O wives of the Prophet! You are not like any other women. If you keep your duty (to Allah), then be not soft in speech, lest he is whose heart is a disease (of hypocrisy or evil desire for adultery, etc.) should be moved with desire, but speak in an honorable manner. And stay in your houses, and do not display yourselves like that of the times of ignorance, and offer prayers perfectly (Iqamat-as-Salat), and give Zakat and obey Allah and His Messenger. Allah wishes only to remove Ar-Rijs (evil deeds and sins, etc.) from you, O members of the family [of the Prophet (SAW)], and to purify you with a thorough purification (Quran Al-Ahzab 33:32-33). Afghanistans social development can only be ensured through democracy and the reduction of poverty, the success of both being assured through full participation of women, especially in rural Afghanistan. Afghanistan has always had elite and middle-class women who asserted their rights and walked towards modernization. But a lot of most Afghan women in rural areas have been one of oppression through tribal customs and dictates. Womens rights are human rights. They are not simply American, or western customs. They are universal values which we have a responsibility to promote throughout the world, and especially in a place like Afghanistan. It is not only the right thing to do; it is the smart thing to do.

Comic Art: The Seduction of the Innocent Essay -- Comics Art Artistic

Comic Art: The Seduction of the Innocent In 1991, at the 13th Annual World Fantasy Convention, an issue of the comic book series The Sandman was selected by a panel of experts in the field as the Year's Best Short Story. This was not the first time that a comic book has been nominated for a prestigious literary prize (the first and only previous one being Art Spiegelman's retelling of the Holocaust in animal fable form Maus for the National Book Critics Circle Award in 1987), but it was the first to have won. The ensuing uproar at the awards ceremony and the umbrage that many took at a mere comic book winning instead of a standard-print story resulted in the rules of the awards being changed. Henceforth, no comic book could be nominated, much less win. Like the people at the World Fantasy Awards in 1991, most of us would not think that a comic book could reside on the same level of artistic creativity as a paintings, epic novels, poems or concertos. Were the eminencies at the awards right then, in rejecting the notion of The Sandman as literature? For the comic to have been selected, by a panel of blue-ribboned experts, no less, surely there has to be something in The Sandman to render it worthy of the honour of receiving the award. For us to understand what it was about The Sandman that caused such a reaction, indeed, such fear, we have to know what, in the first place, a comic is. When we speak of "comics" we generally mean either the funnies -- comic strips in the newspapers - or of superheroes, spandex optional, who fight crime and save the world on a regular basis. The comics can be loosely defined as "a narrative in the form of a sequence of pictures - usually, but not always, with text" (Sabin, 5). A graphic ... ...eil et al. The Sandman #29: Distant Mirrors - Thermidor. Canada, Vertigo/ DC Comics, 1991. Gaiman, Neil et al. The Sandman #63: The Kindly Ones - Part 7. Canada, Vertigo/DC Comics, 1995. Inge, M. Thomas. Comics as Culture. University Press of Mississippi, 1990. Lent, John A. Pulp Demons: International Dimensions of the Post-war Anti-Comics Campaign. London: Fairleigh Dickinson University Press, 1999 McKean, Dave. Dustcovers: The Collected Sandman Covers 1989-1997. Canada, Watson-Guptill Publications, 1997. Plato. Republic X, The Collected Dialogues of Plato, Including the Letters. Ed. Edith Hamilton and Huntington Cairns. Trans. Paul Shorey. Princeton: Princeton UP, 1961. Romemesko, James. The Mike Diana Saga. http://php.indiana.edu/~mfragass/diana_obsure.html. 1994. Sabin, Roger. Adult Comics: An Introduction. New York: Routledge, 1993.

The factory system took little account of the needs of workers – How far do you agree with this statement?

On the whole I agree with this statement. Most factory owners did not take into the account the needs of their workers. However, there were some exceptions, sir Titus salt for example. To begin with I shall look at the factory system in general and the appalling living and working conditions it imposed on its workers. In the factory towns houses were squeezed into the centres of towns or around the factories. Landlords crammed as many people into houses as they could. The water supply was another problem. Sewage and rubbish was left in the backyard, piled up in the street or thrown into open drains, which ran down the roads. Even where there were drains and sewage pipes, they normally ran into the local rivers – where people collected their water. Most factory owners built the house quickly which made them not safe and also built them closely together witch meant diseases, people having to share toilets which caused dirty water. People had to buy fresh water from carts and rich people. â€Å"Sixty thousand of the population had no running water except from wells and rain water† (From the commercial directory of Leeds – 1834) The dirty water caused lots of disease such as cholera. Cholera was a disease that arrived from the continent. It could kill a person very quickly. People only used to live to 19 on an average due to disease. The reason for this was that people worked at least 9 hours a day and only had four hours sleep. Most people were too tired to eat after they came home from work. Most people only got paid fifteen shillings, which is equal to fifteen pence per week. If they wanted to work over time they only got a further three pence. Many people went to live in the towns so that they could find work in the factories. Before this they had worked in their homes. Factory life was very different. Children were often beaten black and blue with a strap or kicked in the ribs. If you got injured. For example lost your finger in a machine you wouldn't have got any wages. Girls who had long hair often had their hair chopped off as a punishment for bad work. The power loom would of would of made a terrible noise this causing harm/ear acre for the factory workers most of the time they was nothing to stop the workers from breathing in the dust from the machines. † My eldest. The cog caught her finger and screwed it off below the knuckle† (Samuel Coulson, Father of two girls, giving evidence to the committee – 1832) The factory owners only paid their workers very little amount of money or even none at all when they were off due to sickness, they may have even lost there jobs and became paupers. Those people who were fit were made to go to the workhouse often families were separated. The food was poor and they had to where a uniform. There were 129 steam factories in Bradford and Bradford had become the world centre of the worsted industry. Worsted is a fine woollen cloth used to make women's dresses and men's suits. The town often attracted tens of thousands of migrants – mainly young men and women who wanted to work in the mills, they came from all over the British Isles. The town was unable to cope with them. No one took responsibility for a long time. There were terrible problems of drunkenness, violence and crime. The pollution of the atmosphere in Bradford was dreadful. When the magistrates tried to introduce the workhouse system to Bradford in 1836 they had to flee to Leeds as the mob tried to take control of the town. This map shows that there was only a little built up area in Bradford about 1800 But in 1879 they where much more houses built more closely together and more people were living in them. The rapid growth of population caused terrible problems because there were no rules or regulations about building houses. Here I include a source from the Bradford Observer June 5th 1845. Thompson's buildings – this locality is situate on an eminence at the foot of which runs a filthy beck, or stream, impregnated with the refuse of dye houses, manufactories, and dwellings contiguous to it. The streets are narrow and filthy, and the general arrangement of the dwellings unfavourable to health. The inhabitants uniformly complain of ill health. In 12 cases taken on rotation, the figures showed that the dwellings are inhabited by ninety-five persons, having only twenty four beds, or eight to one bedroom, the average size of which is seventeen feet by fifteen. Case 7: Family 9 ,rooms and beds 2, house workers 5. Case 8: Same numbers of family, beds, and rooms as last; house workers 4. Case 9: Family 6; rooms and beds 2, house workers 4. Case 10: Family 10, rooms and beds 2; house workers 5. Case 11: Family 7; rooms 2; bed 1; house workers 4. Case 12: Family 11; rooms 3 beds 2, house workers 5. Case 13: Family 8; rooms, beds, and workers 2; females, charcoal. Case 14: Family 12, rooms 2, beds 3, workers 4; females 2; coals. Case 15: Family 7; rooms and beds 2; workers 4; female 1. Case 16: Family 10; rooms 2, beds 3; workers 4. Case 18: Family 4; room and bed; workers 2; female 1. This meant that they would be more pollution; they would be more sewage in the streets, which would attract rats and other vermin. The pollution was so bad that the canal was called â€Å"STINK RIVER†. A survey in 1845 revealed that between 8 and 12 people lived in two rooms on average. This, along with poor sanitation, badly built (jerry built) houses caused the life expectation in Bradford to be the lowest in Yorkshire – only 20 years of age. They were exceptions though my first example is Robert Owen 1771 – 1858. Between the years 1815 to 1820 they was distress and a lot of unemployment. Parliaments were Luke warm about the new idea, but the setting up of villages of co-operation remained the basic aim of socialists and the co-operative movement up to the middle of the nineteenth centaury. One of the most dramatic events in Robert Owens life was the forming of the Grand National Consolidated Trades Union in 1834. Though the settlements were a failure, the co-operative movements inspired Robert Owen, spread rapidly through Britain between 1826 and 1835, when some two hundred and fifty Co-operative societies were formed. They set up stores for the sale of high quality goods at reasonable prices and formed producers' co-operatives to help the unemployed. It was the co-operative retail shop, which gave the movement its greatest success. Here I include the map of Robert Owens successful mill, New Lanark. Owen gave socialism all its basic ideas. He laid the foundations of the co-operative movement and left his mark on trade unionism. He was a pioneer in a factory reform and progressive education, and few men have played such a large part in social reform. Now I go on to look at my second example, Sir Titus Salt. Sir Titus Salt was born at Morley in 1803. He first worked for his father as a wool merchant. He later set up his own spinning plant in Bradford in 1834. By this time he had married Caroline Whitlon, The daughter of a rich Lincolnshire sheep farmer. He first carried out a social survey among his workers to see what size house they needed. It had not previously occurred to anyone that a worker with ten children needed more rooms in his house than a worker with one child. Sir Titus Salt chose a site adjoining the Leeds Liverpool canal, the River Aire and the newly made railway station, So he had ideal transport facilities for his trading. It was a massive mill, he chose innovative architects, and agreed to their suggestion of Italianite style. There was space, light and warmth in his new mill. The location was superb, in a green and pleasant are. The mill opened in 1853 on Titus Salts 50th birthday. He then created an entire village of houses, park, school, library, recreation and a learning institute and an outdoor sport facility. The streets were named after his children and family. He called this village â€Å"Saltaire†. Titus employed a large number of workers in combing, spinning and weaving his cloth. He had business connections throughout Europe and America and yet â€Å"For in his making his thousands he never forgot, the thousands who helped him to make them† Titus had simple but good education, and would have liked to become a doctor, but could not stand the sight of blood, so that ambition was quashed, although it did show that young Titus was aware of health and disease. His family were Congregationalists, and religion was very influential in their upbringing. On the whole I agree that the factory system took little account of the needs of its workers but there were exceptions, sir Titus Salt and Robert Owen were one of these exceptions.

Write About the Ways Love Is Explored in Two Soliloquies. One from Romeo and Juliet, and One from Othello.

Write about the ways love is explored in two soliloquies. One from Romeo and Juliet, and one from Othello. Write about the ways love is explored in two soliloquies. One from Romeo and Juliet, and one from Othello. A Soliloquy is an dramatic technique used in plays to convey to the audience, a character’s true most inner thoughts, feelings and emotions. Shakespeare is famous for using soliloquies to place the audience in an omniscient position, allowing them to develop an intimate relationship with the characters, often creating dramatic irony and tension.Shakespeare expresses the theme of death throughout Romeos soliloquy to enable the audience to empathise and feel pathos toward Juliet â€Å"Death that hath suck the honey of thy breath†. The word â€Å"breath† is ironic and is symbolic of how Romeo cannot bare to be without Juliet, so much so that he feels the sensation of suffocation. Dramatic irony is also apparent as the audience knows that Juliet is still al ive; this sentiment provokes emotion as the audience is willing for Romeo to notice that she is not dead.Also the fact that love is blind plays an ironic almost humorous part here as Romeo is failing to see Juliet is still alive. The theme of death continues as Shakespeare personifies death throughout the soliloquy to present it as a more sinister force and rival for Juliet’s love: â€Å"shall I believe that unsubstantial death is amorous? And that the lean abhorred monster keeps thee here in the dark to be his paramour? † The negative language negative language used to personify death, â€Å"lean abhorred monster†, illustrates Romeos sense of disgust but more importantly, the fear that death has taken Juliet from him.Romeo’s fear is clearly expressed when Shakespeare writes: â€Å"For fear of that I still will stay here with thee/here i will remain†. The repetition of â€Å"here† conveys Romeos determination to stay with Juliet to the exten t that he will take his own life. Therefore, the audience get the impression that Romeo feels he must kill himself to preserve their love, a trait which links with his hamatia. Furthermore, Shakespeare employs the ongoing lexical field of death to create a sense of foreboding and heighten the dramatic irony.The main protagonist Romeo personifies death using a metaphor to express its severity. He explains how death has not â€Å"conquered† Juliet’s beauty â€Å"yet†. The word yet implies that death is inevitable which links to the phrase â€Å"star crossed lovers† that is delivered in the prologue. Elizabethan people were highly superstitious and believed heavily in fate which would have contributed to the many attributes that make Romeo a tragic hero. â€Å"And deaths pale flag is not advanced there. Shakespeare‘s use of nautical language is used to infer how Romeo has almost been â€Å"shipwrecked† (as he says later in the soliloquy) which highlights his solitude and his incomplete sensation he feels without Juliet present. In Addition, the audience so observes that Romeo’s obsessive and unconditional love for Juliet contributes to his fall from grace and greatly adheres to his hamartia. â€Å"Thee here in dark to be his paramour/here’s to my love†. Dramatic irony and a paradox of light is used her to show Romeo’s possessiveness and impetuousness.The fact that he says â€Å"my† shows his obsessive naivety, as he almost loves Juliet too much so to speak. It is clear for the audience to see that Romeo is ruled by fate, doomed from the start. A contemporary audience would have profoundly disagreed to this ethos as in a modern way we believe that we choose or make our own â€Å"fate†. Contrastingly Shakespeare uses powerful repetition to emphasise the importance and severity of Othello’s opening line. The use of monosyllabic words creates tension, highlighting Othelloâ€⠄¢s chilling tone. It is the cause, it is the cause my soul â€Å". Here Othello is addressing his soul and conscience, trying to justify the terrible act which he is about to commit; but in his mind he already has established the inevitability of his actions. The fact that Othello uses the word â€Å"It â€Å"shows he cannot bring himself to name the act that Desdemona has supposedly committed. Even this early in the soliloquy, the reader can clearly distinguish Othello’s hamartia (the traits that make a tragic hero).We see his serious errors in judgment (believing Iago without proof) which later leads him to committing the dead (Taking Desdemona’s) that leads to his downfall. Additionally, Othello changes the address of his soliloquy from his inner self, to the â€Å"Chaste stars â€Å". It is a commonly known fact that the Elizabethan era were very superstitious; so it is very understandable that they could empathise with Othello’s â€Å"cause â€Å" a nd understand his alliance with the stars. â€Å"Let me not name it to you, chaste stars â€Å".This is reminiscent of the prologue in Romeo and Juliet, where it refers to â€Å"star crossed lovers â€Å", the audience can now see a clear correlation between obsessive love and death, which is sad as in both plays the deceased lovers are â€Å" innocent â€Å". Here Othello is further trying to reassure himself that he is doing the just thing; that his actions are almost written in â€Å"alabaster â€Å"inevitable. Referring to the â€Å"chaste stars â€Å" is also part of Othello’s hamartia; the idea of being doomed from the beginning .Also his obsessive, overpowering love for Desdemona, distorts his perception of reality, which is why he failed to detect the lies being fed to him by Iago. Shakespeare uses dramatic irony to highlight Desdemona’s innocence, the fact that Othello says â€Å"chaste â€Å"is almost humorous as the audience knows that Desdemona is completely innocent, never committing adultery in her extremely short life. Just as Romeo speaks of Juliet’s beauty, even in death, to emphasise his love for her, so too does Othello in acknowledging Desdemona’s outward perfection and beauty. â€Å"†¦.. hiter skin than snow/And smooth as monumental alabaster†¦.. † Here Shakespeare uses and extended metaphor, which is ironic as Othello is comparing Desdemona to white snow, white being symbolic of innocence and purity which paradoxes the vile dead which he is about to commit. Shakespeare use of figurative language here powerfully reflects Othello’s intense love and adoration for Desdemona. The fact that Othello elevates Desdemona to a position of â€Å"Monumental† perfection shows that he is savouring her beauty before confirming his resolve that â€Å"she must die†.Furthermore, Shakespeare’s clever use of dramatic irony and ability to control the audiences’ emotions through powerful imperative verbs is shown in this part of the soliloquy. â€Å"Yet she must die, else she’ll betray more men†. Othello’s resolve is highlighted by a break in the flow of the verse, emphasised by a colon. This break represents his sorrow, regret and anguish. The fact that Othello is a â€Å"Moore† means he suffered both outwardly (isolation and alienation attacks) and inwardly (tortured conscience). Unfortunately the finality of this statement conveys to the audience the harsh reality that Othello is going carry out this injustice.Also this particular line said by Othello links with what Brabantio (desdamona’s father) says in the beginning of the play â€Å"Look to her, Moor, if thou hast eyes to see: She has deceived her father, and may thee†. This here is very ironic, as Othello is going to murder Desdemona for the exact thing her father warned him about, except she has not committed the act. We the audience feel pathos to ward Desdemona as even her father had a false predicament and made an extreme error in judging his own daughters character.Unsurprisingly this links with Romeo and Juliet’s struggle to be together as a result of the â€Å"family feud†. Love is portrayed to be a hardship in both plays, which may be one of the reasons the love is so obsessive and unhealthy. To conclude, I believe that the theme of love is convayed very effectively in both Romeos and Othello’s soliloquy. Both invoked a variety of emotions and allow the audience to really connect with the characters. A great amount of dramatic irony and tension is delivered at pivotal points in both plays where obsessive leads to the suicide of Juliet and contrastingly the murder of Desdemona.

Healthcare Reform vs. socialized medicine Essays

Healthcare Reform vs. socialized medicine Essays Healthcare Reform vs. socialized medicine Paper Healthcare Reform vs. socialized medicine Paper I am interested in the concept of health care reform because it has been a major issue in many states within the United States. I have personal experience with the expense of health insurance and have seen the consequences of people being force to live without health insurance. I understand that most of the world ahs socialized medicine and that the United States has some forms of socialized medicine. Therefore, I wonder if it would be easier to switch to an overall form of socialized medicine or if it would be easier to put in place other reforms. Significance: Changes in the American healthcare system will be significant for everyone in the country. Regardless of your current health, it is important for people to know if they have healthcare available to them and if so, how much it will cost. In previous generations, most people ahd health care provided by their employers, but this does not appear to be likely in the future. https://healtheappointments.com/social-problems-in-morocco-essays/ In addition, if enacted socialized medicine will have a dramatic influence on the American economy and tax structure. Essay Plan: Working thesis: Based on current healthcare issues, it is likely that the American government will switch to a form of socialized medicine rather than try to reform the existing system. 1. Socialized medicine is already in place in the Untied States in some forms. Medicare for the elderly and Medicaid for the poor are single-payor health care systems in which the government pays for health care. -Onservatins regarding number of people in the U.S already on socialized healthcare. _Evidence of the trend of some states to move to socialized medicine at the state level. _Examples from California and Illinois regarding statewide programs for socialized healthcare for children. 2. Socialized medicine is that standard worldwide and the United States is being unfairly compared to other countries worldwide. _Examples of World Health Organization standards that the Untied States is failing to meet. _Quantifiable health standards in the United States which need improvement. _Discuss the concept that health care is only available to the rich. _Discuss charge that American system allows the wealthy to live longer, healthier lives and punishes the poor. 3. The solutions that healthcare industry professionals are suggesting fall short of the overall need and desire of the American public. -Discuss proposals from healthcare industry for reform. _Explain how prospective changes would improve the healthcare system. _Compare proposed solutions to the existing problems and evaluate whether they would address the needs of the country. Outline Health Care Reform vs. Socialized Medicine THESIS: The United States is more likely to move towards socialized medicine than to reform the current health care industry. I.  Ã‚  Ã‚   Current Industry A.  Ã‚  Ã‚   Medicare B.  Ã‚  Ã‚  Ã‚   Medicaid C.  Ã‚  Ã‚  Ã‚   Private Insurance II.  Ã‚   Socialized medicine worldwide A.  Ã‚  Ã‚   World Health Organization standards B.  Ã‚  Ã‚  Ã‚   International Health Issues III.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Proposed Solutions A.  Ã‚  Ã‚   Industry reform 1.  Ã‚  Ã‚  Ã‚  Ã‚   Lower malpractice costs 2.  Ã‚  Ã‚  Ã‚  Ã‚   Lower education costs 3.  Ã‚  Ã‚  Ã‚  Ã‚   Lower insurance costs B.  Ã‚  Ã‚  Ã‚   Socialized medicine Additional references: American Medical Student Association paper on socialized healthcare: amsa.org/uhc/ The Case for a Single Payor System: http://cthealth.server101.com/the_case_for_universal_health_care_in_the_united_states.htm

Cache coherence Term Paper Example | Topics and Well Written Essays - 2250 words

Cache coherence - Term Paper Example The problem of cache coherence in hardware is reduced in today’s microprocessors through the implementation of various cache coherence protocols. This article reviews literature on cache coherence with particular attention to cache coherence problem, and the protocols-both hardware and software that have been proposed to solve it. Most importantly, it identifies a specific problem associated with cache coherence and proposes a novel solution. Keywords: microprocessor, latency, cache coherence, bandwidth, multiprocessor, cache coherence protocol, shared memory, multicore processor I. Introduction Currently, there is undeniable interest in the computer architecture domain with regard to shared-memory multiprocessors. Often, proposed multiprocessor designs include a reserved cache for each processor within the system. This, in turn, results in the cache coherence problem (Cheng, Carter, & Dai, 2007). This situation, in which several caches are allowed to have simultaneous copies of a certain memory location, requires that a certain memory location be in place. This is to make sure that when the contents of that particular memory location are changed, there needs to be a mechanism that ensures all copies remain unchanged. Consequently, some systems employ a software mechanism to ensure multiple copies do not occur. This it achieved by labeling shared blocks so that they are not cached (Chang & Sohi, 2006). Additionally, task data in all caches are prohibited or restricted from migration. Alternatively, all blocks may be allowed to be cached by all processors and to depend on a cache coherence protocol to be responsible of ensuring that there is consistency. Various such protocols have been proposed, designed and/or described with some ideal for shared-bus and others specifically suitable for a general-purpose interconnection network. There is a substantial difference between shared-bus protocols and general network protocols. Firstly, share-bus protocols dep end on every cache controller monitoring the bus transactions of all the other processors within the system and take appropriate action to ensure consistency is maintained. Secondly, each block’s state within the system is encoded in a distributed manner among all other cache controllers. As such, the cache controllers are able to monitor the traffic of the bus for the purposes of coherence; these are referred to as snooping cache controllers (Kurian et al., 2010). Recently, many studies and researches have been conducted and have mainly focused on shared-memory multiprocessors. They are common mainly because of their simple programming model, which means that they are simple to implement. Normally, address space is shared among all multiprocessors. This enables them to communicate to one another via a solitary address space. As had been earlier noted, a system with cache coherence results in the event that there is same cache block within multiple caches (Stenstrom, 1990). W hen such a scenario occurs, it does not affect the read process; however, in the event that a processor, for writes, writes to a single location, the resulting change must be updated to all caches. Therefore, cache coherence, according to (Archibald & Baer, 1986), refers to all caches having consistence data in the event of data write.

Properties of social media Assignment Example | Topics and Well Written Essays - 1000 words

Properties of social media - Assignment Example One of the key moments in the history occurred in 1971 when the first email was sent. Since the discovery of this important function, individuals and business entities have ever used it to communicate and collaborate. Likewise, e-mails form a core component of the collaborative projects and are used by the participants to communicate and interact freely. E-mail messaging is not important to businesses, but also networking communities who use it in communicating and sharing of ideas. The second moment in the history of social media occurred in 1979 with the launch of the usernets and bulletin board systems which allowed users to exchange information over phone lines. According to Cane bulletin boards form an important component of the computer mediated communication system and social interaction (78). The system has revolutionized text-based communication while elintaing the need for visual contact. Another key moment is the discovery of the World Wide Web in 1989 by the British Engin eer Tim Berners Lee. The World Wide Web has brought people together while facilitating the formation of virtual communication. The World Wide Web is very important as it supports all the forms of social media and without it, the sharing of information between users would be impossible. At the same time, World Wide Web facilitates sharing of information between businesses, suppliers and increasing efficiency in an organization. The expansion of the social media sphere would not have been without earlier attempts by the Globe.com, classmates.com, Geocities and the Sixdegrees to create platforms where users can develop their own profiles and exchange important information with their friends and other users. The social media sphere thereafter exploded with the launch of the Friendster.com, Facebook, Twitter and MySpace. The fifth key component of the social media is the content communities which have become prevalent in the modern society. A perfect example of a content community is the You Tube which was launched in 2005. YouTube allows the users to share videos, has become phenomenal and it could even be used in the promotion of e-commerce. In this regard, by uploading YouTube video content, business entities can be able to popularize their offerings. Use of viral marketing using social media tools has become a common method that is quickly replacing the traditional forms of marketing. All the above five moments have impacted positively on the way people communicate and are credited with expanding the social media sphere. Question 2: Properties of social media It is very important to make a distinction between industry and social media, to ensure organization choose the most appropriate integrated communication mix. In this regard, an organization should be able to compare and contrasts the benefits and the shortcomings of using the two forms of media. On one hand, social media could be advantageous since it only requires limited sources and creates an immediate impact while on the other hand, industry media could have a more long-lasting impact besides producing high quality advertisements. The differentiating properties also allow organizations to determine the tradeoffs they are willing to make in order to maximize the benefits of their resources. However, the properties of quality and reach do not well differentiate social and the industry media. This is because the quality of both industrial and social media ranges from high to low and there is no clear distinction. Likewise, just like industrial media, social media has become a serious tool and its distribution