Saturday, February 29, 2020

Analysis Of The Epic Of Gilgamesh, The Iliad, And The Aeneid Essay

a. Gods and goddesses intervention plays a key role in many of the stories, including The Epic of Gilgamesh, The Iliad, and The Aeneid. Apollo, god of sun and art, intervenes multiple times in The Iliad. He is known for sending the plague to the Greeks. Aruru, goddess of creation, made Gilgamesh and Enkidu in The Epic of Gilgamesh. Aeolus, god of wind, is persuaded by Juno, goddess of marriage, to build a storm. 2. Discuss the importance of the "voices of reason" in three of the stories. (Who or what group emerges that seems to be more rational than the stories ' characters?) a. â€Å"Voice of reason† is important in many stories including The Epic of Gilgamesh, The Song of Roland, and _____. Gilgamesh is a cruel king. He rapes women of all ages and does whatever it takes to get his way. If the men of Uruk had not complained about Gilgamesh then Enkidu would not have been created. Throughout the Song of Roland Oliver suggested that Roland blow the olifant but Roland refused. Although Roland’s actions did result in his death, Oliver knew it was what needed to happen. Oliver was the voice of reason throughout the story. 3. Discuss the theme of strength (inner or outer) in three of the stories. Use specific examples to support your answer. a. The theme of strength can be seen in many stories including Confession, The Song of Roland, and . St. Augustine had behavioral problems as a child but as he grew older became more mature. During his later years he finds the inner strength and courage to believe in God and put all of his faith into Him. Roland’s strength in The Song of Rolarent stories or the same story. a. Three symbols are the ark, olifant, and the inferno. In The Hebrew Bible, God commanded Noah to build an ark. The ark symbolizes God’s promise to Noah and all of the Israelites. The olifant in The Song of Roland is what kills Roland. It symbolizes his death. Dante’s Inferno includes many symbols. The story itself symbolizes one’s spiritual search. 10. What was your favorite story or character? Give at least three specific reasons/examples to support your answer. a. My favorite character was Joseph. Joseph’s brothers hated him very much and because of that they sold him to the Ishmaelites. Even though Joseph’s early years were not pleasant that did not stop him from believing in God. He kept the faith. He is such an inspiration to many because of his love for God. We can learn from him that if we put faith in God we can become a su

Thursday, February 13, 2020

Haemato-oncology practice Assignment Example | Topics and Well Written Essays - 1000 words

Haemato-oncology practice - Assignment Example Describe the pathology of severe sepsis and providing a clear rationale, discuss the immediate management of severe sepsis Sepsis and septic shock occur as a result of complex interaction between the pathogenic agent and the immune system of the host. During any localized infection, the normal physiologic response includes host defense activation resulting in influx of the monocytes and activated neutrophils, local vasodilation, release of inflammatory mediators, increased permeability of the endothelium and activation of coagulation pathways. In septic shock, these mechanisms further proceed to diffuse endothelial disruption, increased vascular permeability, thrombosis of end-organ capillaries and vasodilation. Damage to the endothelium further leads to activation of coagulation and inflammatory cascades leading to positive feedback loop which further causes end-organ and endothelial damage (Pinsky, 2011). The pathogenic agents induce exaggerated systemic inflammatory response. Due to systemic inflammatory response, imbalance of homeostasis occurs leading to disseminated intravascular coagulation, microthrombosis, organ dysfunction and even death(Pinsky, 2011). The first step in the management of shock is to evaluate and stabilize airway, breathing and circulation. This includes intubation and mechanical ventilation if necessary. 100% oxygen must be given at a high flow rate in all cases. The saturations and other vital signs must be monitored continuously using cardio-respiratory monitor. To improve circulation, a good intravenous access must be secured. If it is difficult to access peripheral lines, central venous veins or intra-osseous lines must be accessed. Intravenous fluids and if necessary, vasopressors and cardiac ionotropic agents must be given. The intravenous fluids used for resuscitation are crystalloids like normal saline and Ringer's lactate. The initial dose given is 20ml per kg as bolus over 5 minutes. This dose may be repeated if required. Th ereafter, the fluids are given based on the maintenance requirements and losses. Appropriate intravenous antibiotics must be started. Initial laboratory work-up includes complete blood counts, serum electrolytes, renal parameters, liver function tests, chest radiography and arterial blood gas analysis. Calcium, sodium bicarbonate and steroids are given as required. The management of shock is tailored to the cause and the stage of shock. In the irreversible stage, the cellular and tissue injuries cannot be reversed despite hemodynamic correction. There is widespread cellular injury as a result of lysosomal leakage. The damage is evident in organs like brain, heart, kidneys, adrenals and gastrointestinal tract. In the heart, nitric oxide synthesis occurs and myocardial contractile function worsens. There may be wide-spread coagulation necrosis, subendocardial haemorrhage or contraction band necrosis (Claessens and Dhainaut, 2007). Structured Reflection Reflective practice is essential to clinical practice and provides a retrospective look at current practice and questions the reason for doing so. It is a good way of learning and it enables the practitioner to assess, understand and learn through their experiences (Burns and Grove 1997). In the following assignment, I shall discuss about a patient with cancer related septic shock based on Gibbs (1988) Reflective Cycle. This is because, Gibbs Reflective Cycle is a straight

Saturday, February 1, 2020

Sustainable tourism Essay Example | Topics and Well Written Essays - 500 words

Sustainable tourism - Essay Example Positive impacts According to Honey (1999), tourism is a source of employment for many people who serve in the tourist hotels, tourist travel agencies or serve as tour guides and local traders. This is very important in a country with low agricultural viability and is not a major producer of any valuable mineral or oil. It is also a direct market for locally produced commodities for example artefacts, clothing and foodstuff while tourist hotels form a good market for locally produced agricultural products. Some of the Tourists are potential investors and this increases the chances of a country getting more foreign investment. Tourism stimulates decentralised development because governments will have to ensure that major tourist destinations within the country are developed. These include infrastructure development and rural electrification. Whenever tourists start visiting a country, the people start to realise the importance and economic potentialities of their available resources f or example wildlife, water bodies, coastal regions and culture. This motivates them to preserve these resources and hence a protection of an environment which could have been exploitative by man in various ways. This results to biodiversity preservation and preservation of the environment’s natural beauty (Prem1995).