Thursday, October 24, 2019

Behind the Sun

Behind the Sun (Abril Despedacado) was a thought-provoking and captivating work of art by Walter Salles, Sergio Machado and Karim Ainouz; who collaboratively derived the story from an Albanian book (Broken April by Ismail Kadare). Behind the Sun was set in 1910 in the Northeast region of Brazil. The movie unfolds with this line, â€Å"This is the story of me, my brother, and a shirt in the wind†¦ † The line was narrated by a charming young boy, Pacu (com/english-4-b-calpac/">Ravi Ramos Lacerda). He comes from a family of peasants, who grows sugarcane for a living.Pacu's oldest brother had just been murdered at the beginning of the movie. The setting was miserable, to say the least. The opening of the movie only matched this misery in the setting by showing a gory sight of a blood-stained shirt. The shirt belonged to Pacu's oldest brother, who was then the latest victim in their family's feud with the Ferreiras family. The two families had been warring over land and territ orial issues. Tradition dictates that the Breves family should avenge the death of their family member, but not long before the stain has turned from red to yellow.â€Å"When the blood on the shirt turns yellow, someone will die,† Pacu narrated further. The surviving eldest son of the Breves family, Tonio (Rodrigo Santaro), did what he had to do, according to their tradition — he killed the eldest son of the Ferreiras family. Tonio felt that the vicious cycle of killing and revenge, disguising as a noble tradition, had to end; but he felt powerless to end it, so he allowed it to continue by killing the eldest son in the other family. As a result, he was next in line to be killed.But the charming and much too adorable boy, Pacu, had a way of keeping Tonio alive. Pacu died for Tonio. He knew at a tender age that sacrifice, an act of love, was the key to end the vicious cycle that their family was caught in. In relation to Brazilian notions of ethnicity, the deep set often mysterious-looking eyes of the Breves brothers were captivating. Ironically, the softness of their looks couldn't match with the ferocious tradition they keep. The film is a story about a strong family bond, so strong in fact, that one had to be prepared to die in revenge of the other.Moreover, one was willing to die to let the other live and move on. The photography and sequence of shots in the movie are absolute astounding and even poetic in nature. It seemed that every beat of its music matched with every frame in the screen with grace and much respect to art. Their clothing was not far from imaginable, the family bonding was very plausible, considering how tight family bonding was (still is) in Brazil. If it were a movie set in this time and age, it wouldn’t have been plausible, with all the killings.But it was in 1910, when a lot of things, like respect for life, have yet to be discovered. Certainly, the work of art from the sounds to the overall direction and cinematog raphy helped in establishing the depth and heaviness of the movie. Truth be told, Hollywood cannot create movie that is as profound as this without resorting to much gimmickry. What Behind the Sun producers did that Hollywood won’t dare to try is to simply tell a tragic story in the most poetic way possible. It was a wonderful movie, overall. It was heavy in the mind, and it certainly will not be easy to forget.

Wednesday, October 23, 2019

Healthcare Issues/ Importance of Issues Essay

For a patient returning home after total hip replacement surgery, there is a need for the case manager to address any issues that may hinder proper healing or safety issues. In the case of Mr. Trosack, there are several issues that the case manager must address prior to discharge. First, Mr. Trosack is a newly diagnosed diabetic. He was prescribed Glucophage to help control his blood sugar and has demonstrated that he is able to perform his own blood glucose check using a glucometer. He has verbalized that he is not happy about having to take the â€Å"darn† medications and his family seems to be in denial about his diabetes. They believe that diet alone will control his blood sugar. Mr. Trosack’s unhappiness about taking medication and his family’s lack of concern about continuing the medication will put Mr. Trosack at risk for non-compliance with his medication regimen. It is important that Mr. Trosack receive ongoing education about controlling his diabetes including proper diet and taking his medications at specific times. This also needs to be addressed with his family so they are supportive in providing a healthy atmosphere for Mr. Trosack. Mr. Trosack is at a risk for falls given his age and history of falling down the stairs. His home is cluttered and there are many throw rugs which can interfere with safe ambulation. He is reliant on a walker for balance and lives on the second floor of his apartment building. It is important that any clutter and tripping hazards are cleared before Mr. Trosack can return home to decrease his chance of falling. It is also important that a physical therapist evaluate Mr. Trosack’s ability to climb 2 flights of stairs safely. Being newly diagnosed with hypertension, Mr. Trosack must be educated on the importance of rising slowly to prevent dizziness which may lead to falls. He also may become tired or dizzy from his Percocet. Any educational materials should be in larger print to compensate for his impaired vision and any verbal education must be done to his right to compensate for the hearing loss in his left ear. Mr. Trosack is at a risk for social isolation due to his inability to navigate two flights of stairs which lead to the outside of his apartment. His brother helps him manage the family bakery and will have to work extra hours since Mr. Trosack is unable to work. His son and daughter-in-law both work 60 hours a week and are trying to conceive a child. They were hoping to assist Mr.  Trosack but admit that they have little spare time. They were intending to investigate whether there was a local grocery store that could deliver food. This social isolation could lead to depression or force Mr. Trosack to attempt risky behaviors to fend for himself. If he has a fall at home, there is no telling how long it would take for someone to come to his aid. Interdisciplinary Team Members and Roles Several disciplines should be involved in the discharge planning for Mr. Trosack. The nurse case manager will oversee the patient’s care to ensure that they have access to the resources they need to recover. They help coordinate the patient’s care and make sure all aspects of care are covered. Case managers communicate with other specialists and ensure that the care is delivered in a timely manner. The physician will assess Mr. Trosack and clear him medically for discharge to home. The physician will monitor the healing process and prescribe any medications necessary. Any referrals to specialists will originate from the physician. The physical therapist will work with Mr. Trosack to set up an exercise regimen to improve strength and stamina. He can assess whether or not Mr.  Trosack is able to safely navigate the stairs leading to his home. Educating the patient about total hip precautions and safety is important. The physical therapist will teach the patient how to use the walker, safely get up from a seated or lying position, climb stairs and use the toilet while maintaining total hip precautions. He may recommend a raised commode or grab bars in the bathroom for safety. The social worker can assess the patient’s support system and recommend resources that can make life a little easier for the patient. She may recommend an aide to assist Mr.  Trosack with bathing, dressing, shopping or light housekeeping. The social worker could set up the delivery of meals from Meals on Wheels or other service. She could help find a grocery store that delivers food to the patient’s home. Since Mr. Trosack will be alone most of the time and he has an increased risk for falls, the social worker could help set up a medical alert system, like Lifeline, that will allow Mr. Trosack to call for immediate medical assistance in the event of an emergency. Safety Assessment The entry to Mr. Trosack’s apartment requires walking up 2 flights of stairs. There is no elevator in the building. Mr. Trosack will not be able to safely navigate the stairs without the assistance of another person. He will not be able to carry his walker and safely descend the steps. If he does have the assistance of someone who will carry his walker, there must be a handrail available for extra stability. The physical therapist needs to educate Mr. Trosack on the safe way to ascend and descend stairs. When going up, Mr. Trosack should lead with his â€Å"good† leg, and then bring his operative leg to the same step. When descending the stairs, he should lead with his â€Å"bad† leg and then bring down his â€Å"good† leg. Mr.  Trosack’s apartment is described as small and cluttered. The area will need to be cleared so there is a safe pathway for him to walk through that includes enough room for his walker. Any throw rugs should be removed to prevent tripping. The bathroom should be equipped with grab bars to give Mr. Trosack extra stability. A bath seat should be placed in the tub so Mr. Trosack does not have to stand while bathing, thus reducing the chance for a slip and fall. A raised seat commode would be useful to prevent breaking total hip precautions. Any old medication in the medicine cabinet should be thrown away to prevent confusion. The kitchen is small and cannot accommodate the walker. Mr. Trosack will have to be taught to safely navigate the kitchen using the counters for support. An occupational therapist could assess the situation and make recommendations for kitchen safety. The stove seems to be accessible with the controls on the front in easy reach. Old food in the refrigerator should be thrown away to prevent food borne illness. If an aide is involved in Mr. Trosack’s care, she could help with food shopping, throw away all old food each week and take the trash out. Discharge Plan Needs Mr. Trosack will require an environment that is safe and supportive during is recovery. His home will need to be cleaned and all tripping hazards taken away. He will need supervision in activities of daily living (ADLs) like bathing, cooking and ambulation. His groceries will need to be delivered and his trash will need to be taken down the stairs. He will need some form of communication to alert emergency services if he falls. His family is extremely busy working 60 hours a week and they have little spare time to help. The family needs to decide if they can take on this responsibility alone. Mr. Trosack needs to realize that he will not be able to help in the bakery until he is healed. The stairs to his apartment are a huge barrier to him leaving the home for any reason and he cannot do it safely without help. Social Isolation Mr. Trosack is at risk for social isolation due to living alone, lack of family support and inability to leave his house due to surgery. According to the World Health Organization, social isolation is associated with â€Å"increased rates of premature death, lower general well-being, more depression, and a higher level of disability from chronic diseases† (Children’s, Women’s and Seniors Health Branch, British Columbia Ministry of Health [BC Ministry of Health], 2004, p. ). The isolated tend to have a higher incidence of depression and stress-related conditions. People who feel alone are at an increased risk of early death. A British study found that the most socially isolated were 26% more likely to die than those who were active (Szalavitz, 2013). Some of this is due to delayed medical care caused by medical conditions going unnoticed until the condition has become advanced. Some is due to the lack of health benefits of social, physical contact like holding hands. Physical contact can help reduce pain and blood pressure while decreasing stress hormones and inflammation. The stress caused by social isolation generates the production of cortisol in the body. This has a deleterious effect on wound healing. On the other hand, during social contact and bonding, the body produces oxytocin. This hormone blocks the effects of cortisol and helps promote healing (Detillion, Kraft, Glasper, Prendergast, & DeVries, 2003). Psychological Factors Mr. Trosack will be alone most of the time. He is a widower and his family is busy with work. He is unable to leave his home due to mobility issues. He will not be able to function at the bakery as he wishes. This may lead to loneliness and frustration which will negatively impact his well being. He may become depressed and lack the motivation to continue with his therapy program. His sleep patterns may be affected and he may lose track of time which may make it difficult for him to maintain proper medication administration times. Recommendations It should be recommended that Mr. Trosack be discharged to home with several services in place to assist him. A visiting nurse will provide additional education about medications and monitor Mr. Trosack’s medication compliance. She can also reinforce teaching about diet and total hip precautions. A nurse aide can help with ADLs and some light housework to make sure the home remains uncluttered. The aide can help with shopping, cooking and taking out the trash. A physical therapist can visit and help with mobility and exercises. The therapist can determine when Mr. Trosack can advance to use of a can instead of a walker. The case manager can provide outside resources like transportation and Meals on Wheels. An occupational therapist can teach Mr. Trosack how to safely dress and bathe himself to promote independence. Visits from these professionals will also decrease the feeling of loneliness and social isolation.

Tuesday, October 22, 2019

Biography Of Robert E. Lee Essays - American Civil War, Free Essays

Biography Of Robert E. Lee Essays - American Civil War, Free Essays Biography of Robert E. Lee Robert E. Lee was born in Stratford Hall, near Montross, Virginia, on January 19, 1807. He grew up with a great love of all country life and his state. This stayed with him for the rest of his life. He was a very serious boy and spent many hours in his father's library. He loved to play with some his friends, swim, and he loved to hunt. Lee looked up to his father and always wanted to know what he was doing. George Washington and his father, "Light-Horse Harry Lee," were his heroes. He wanted to be just like his father when he grew up. In the 1820's, the entrance requirements for West Point were not close to as strict as they are now. It still was not that easy to become a cadet. Robert Lee entered the United States Military Academy at West Point where his classmates admired him for his brilliance, leadership, and his love for his work. He graduated from the academy with high honors in 1829, and he was ranked as a second lieutenant in the Corps of Engineers at the age of 21. Lee served for seventeen months at Fort Pulaski on Cockspur Island, Georgia. In 1831, the army transferred him to Fort Monroe, Virginia, as assiezt engineer. While he was stationed there, he married Mary Anna Randolph Custis who was Martha Washington's great-granddaughter. They lived in her family home in Arlington on a hill overlooking Washington D.C. They had seven children which were three sons and four daughters. Lee served as an assiezt in the chief engineer's office in Washington from 1834 to 1837, but then he spent the summer of 1835 helping to lay out the boundary line between Ohio and Michigan. In 1837, he got his first independent important job. As a first lieutenant of engineers, he supervised the engineering work for St. Louis harbor and for the upper Mississippi and Missouri rivers. His work there earned him a promotion to captain. In 1841, he was transferred to Fort Hamilton in New York harbor, where he took charge of building fortifications. When war broke out between the United States and Mexico in 1846, the army sent Lee to Texas to serve as assiezt engineer under General John E. Wool. All his superior officers, especially General Winfield Scott, were impressed with Lee. Early in the war, Lee supervised the construction of bridges for Wool's march toward the Mexican border. He then did excellent work on scouting trips. Lee later was helping General Winfield Scott plan a great battle. The Army was about to attack Vera Cruz, a large Mexican town on the sea. The attack began. Soldiers fired huge guns at the walls of Vera Cruz. One of the men at the guns happened to be Robert's brother, Smith Lee. When he could, Lee went to ezd by his brother's gun. "I could see his white teeth through all the smoke of the fire"1 Lee said, in a letter to Mary. The Mexicans soon gave up Vera Cruz. General Scott thanked Lee for his work. Now the Army could move on to the Mexican capital. The march to Mexico City would be hard. General Scott asked Lee to find the best way to go. And he asked him to see what Santa Anna, the Mexican general, was doing. To get news for Scott, Lee went behind the lines of enemy soldiers. This was dangerous work. Once when Lee was behind enemy lines he heard voices. Mexican soldiers were coming to drink at a spring. Lee jumped under a log. More Mexicans came. They sat on the log and talked. Lee had to hide there until dark. Lee found out many things for Scott. Once he even found a secret road for the army. He was extremely brave. At Cerro Gordo he led the first line of men into battle. The Americans won. Lee then wrote to his son, Custis, "You have no idea what a horrible sight a field of battle is."2 Then came the biggest battle of the war. The Americans attacked a fort outside Mexico City. Lee planned the attack. For days he worked without sleep. He

Monday, October 21, 2019

The Importance of the Ghost Scene in Hamlet essays

The Importance of the Ghost Scene in Hamlet essays Hamlet, by William Shakespeare, is one of the most universally admired and discussed works of literature in the English language. It is about Hamlet, the popular young prince of Denmark, who returns from school because of the news of his fathers death, and finds that his uncle, Claudius, has married his mother and is now King. Hamlet is upset by the death of his father, as well as his mothers hasty and incestuous marriage. To add to his distress, he later finds out that his uncle actually killed his father, and that his fathers ghost wants him to avenge his death. Hamlet resolves to get his revenge on Claudius, and then inexplicably puts it off for the rest of the play. During this time Hamlet acts more and more insane, killing Polonius, behaving cruelly towards his mother and Ophelia, and making dangerous enemies of Claudius and Laertes. The story line culminates in a bloody duel scene in which Hamlet, Laertes, Claudius, and Gertrude are killed. One of the most important scenes in the play, one that would devastate the plays narrative if it were to be taken out, is the scene in which Hamlet is confronted by the ghost of his father, who tells him of his gristly murder, and Hamlets obligation to avenge his death. (Act One, Scene Five) At the time of the scene, the ghost has been appearing to the guards for several nights. Bernado, Marcellus, and Horatio have seen all seen it, but it hasnt spoken to any of them. When Horatio sees that the ghost looks exactly like the late King, he feels sure that it will speak to Hamlet. When the ghost sees Hamlet it beacons him away from Horatio and Marcellus. They plead with him not to go, but he refuses, so they follow him. When the ghost finally speaks he confirms that he is Hamlets father. He describes the tortures he has endured in the afterlife, because he had no chance to receive the ...

Sunday, October 20, 2019

Refutation Definition and Examples

Refutation Definition and Examples In rhetoric, refutation is the part of an argument in which a speaker or writer counters opposing points of view. Also called  confutation. Refutation is the key element in debate, say the authors of The Debaters Guide   (2011). Refutation makes the whole process exciting by relating ideas and arguments from one team to those of the other (The Debaters Guide, 2011). In speeches, refutation and confirmation are often presented conjointly with one another (in the words of the unknown author of Ad Herrenium): support for a claim (confirmation) can be enhanced by a challenge to the validity of an opposing claim (refutation). In classical rhetoric, refutation was one of the rhetorical exercises known as the  progymnasmata. Examples and Observations Refutation is the part of an essay that disproves the opposing arguments. It is always necessary in a persuasive paper to refute or answer those arguments. A good method for formulating your refutation is to put yourself in the place of your readers, imagining what their objections might be. In the exploration of the issues connected with your subject, you may have encountered possible opposing viewpoints in discussions with classmates or friends. In the refutation, you refute those arguments by proving the opposing basic proposition untrue or showing the reasons to be invalid...In general, there is a question about whether the refutation should come before or after the proof. The arrangement will differ according to the particular subject and the number and strength of the opposing arguments. If the opposing arguments are strong and widely held, they should be answered at the beginning. In this case, the refutation becomes a large part of the proof . . .. At other times when the opp osing arguments are weak, the refutation will play only a minor part in the overall proof. -Winifred Bryan Horner, Rhetoric in the Classical Tradition. St. Martins, 1988 Indirect and Direct Refutation Debaters refute through an indirect means when they use counter-argument to attack the case of an opponent. Counter-argument is the demonstration of such a high degree of probability for your conclusions that the opposing view loses its probability and is rejected...Direct refutation attacks the arguments of the opponent with no reference to the constructive development of an opposing view...The most effective refutation, as you can probably guess, is a combination of the two methods so that the strengths of the attack come from both the destruction of the opponents views and the construction of an opposing view. -Jon M. Ericson, James J. Murphy, and Raymond Bud Zeuschner,  The Debaters Guide, 4th ed. Southern Illinois University Press, 2011An effective refutation must speak directly to an opposing argument. Often writers or speakers will claim to be refuting the opposition, but rather than doing so directly, will simply make another argument supporting their own side. This is a fo rm of the fallacy of irrelevance through evading the issue. -Donald Lazere,  Reading and Writing for Civic Literacy: The Critical Citizens Guide to  Argumentative Rhetoric. Taylor Francis, 2009 Cicero on Confirmation and Refutation [T]he statement of the case . . . must clearly point out the question at issue. Then must be conjointly built up the great bulwarks of your cause, by fortifying your own position, and weakening that of your opponent; for there is only one effectual method of vindicating your own cause, and that includes both the confirmation and refutation. You cannot refute the opposite statements without establishing your own; nor can you, on the other hand, establish your own statements without refuting the opposite; their union is demanded by their nature, their object, and their mode of treatment. The whole speech is, in most cases, brought to a conclusion by some amplification of the different points, or by exciting or mollifying the judges; and every aid must be gathered from the preceding, but more especially from the concluding parts of the address, to act as powerfully as possible upon their minds, and make them zealous converts to your cause. -Cicero, De Oratore, 55 BC Richard Whately on Refutation Refutation of Objections should generally be placed in the midst of the Argument; but nearer the beginning than the end. If indeed very strong objections have obtained much currency, or have been just stated by an opponent, so that what is asserted is likely to be regarded as paradoxical, it may be advisable to begin with a Refutation. -Richard Whately, Elements of Rhetoric, 1846)​ FCC Chairman William Kennards Refutation There will be those who say Go slow. Dont upset the status quo. No doubt we will hear this from competitors who perceive that they have an advantage today and want regulation to protect their advantage. Or we will hear from those who are behind in the race to compete and want to slow down deployment for their own self-interest. Or we will hear from those that just want to resist changing the status quo for no other reason than change brings less certainty than the status quo. They will resist change for that reason alone. So we may well hear from a whole chorus of naysayers. And to all of them, I have only one response: we cannot afford to wait. We cannot afford to let the homes and schools and businesses throughout America wait. Not when we have seen the future. We have seen what high capacity broadband can do for education and for our economy. We must act today to create an environment where all competitors have a fair shot at bringing high capacity bandwidth to consumers- especial ly residential consumers. And especially residential consumers in rural and underserved areas. -William Kennard, Chairman of the FCC, July 27, 1998 Etymology: From the Old English, beat Pronunciation: REF-yoo-TAY-shun

Saturday, October 19, 2019

Engineering and Construction Essay Example | Topics and Well Written Essays - 500 words

Engineering and Construction - Essay Example Engineering has brought about advancements in communication and also changed how companies work. Exponential advance in technology has created mind-boggling opportunities for the future generation. Many universities especially in Asia are becoming increasingly utilitarian and mainly focusing on advancing cutting-edge research and the economy. This focus will bring about the creation of new and better technology that will not only help the human race but better it. Robotic machines as the future and new sources of unlimited energy like nuclear power are soon to be discovered. Engineering has affected human beings in both positive and negative views. The invention of the cell phone 1973 changed global communication in the world. It created a new way of communicating with its inventors, Dr. Martin Cooper of Motorola and John F. Mitchell first demonstrated using a handset weighing 2kgs. In 1983, cell phones became commercial through the DynaTAC 8000X (first cellphone to go viral). This advanced in technology brought the world to a global village. Recently, one can make a call to anywhere in the world, therefore, connecting people from all depths and corners of the continent. This has brought people closer, businessmen conducting seminars and meetings via Skype, new people interacting via Facebook. All this made possible by advanced technology in computer and the mobile network. A new technology that will hit the market in a global way is the electric vehicle. Productions have already commenced in Japan but in small productions. Once it goes world, which is major superpower countries it has it will help saves fuel consumption, reduce global warming by a notch and be economically accessible. The computer technology is an important asset in the modern day world. Most advancements in technologies are made possible by use of computers.  Ã‚  

Friday, October 18, 2019

Alzheimers Disease Assignment Example | Topics and Well Written Essays - 250 words

Alzheimers Disease - Assignment Example Library.fiu.edu is the other website that has information regarding Alzheimer’s disease as a topic. This site provides information inform of both primary and secondary sources. All sources fulfill the HONcode principle criterion of authoritative, since each website indicates the qualification of the authors. Attribution is the other criteria that are fulfilled by all the websites, in that they give adequate information regarding the sources of information through citation (Hebda & Czar, 2009). Justifiability is fulfilled since the sites support the claims given through backing up with relevant information. Transparency is adhered to in the manner the information is presented, disclosing all the relevant issues on the topic (Englebardt & Nelson, 2002). Privacy as a HONcode criterion is adhered to by the sources, since confidentiality of the data given is maintained by ensuring no names of the individuals from the data was obtained is mentioned. However, funding disclosure as a HONcode criterion is not fulfilled by the websites. Additionally, Google as a source does not fulfill the principles of complimentarily and advertising policy, since it does not clearly distinguish the advertising information from the real topic content (Hebda & Czar, 2009). Nevertheless, the other two sites fulfill these