The Is Not Real And The World - 967 Words

In an ideal world, people would get along and live in peace. Unfortunately, this idea is not real and the world is full of different forms of hate and discrimination. People are discriminated against based on various things like race, religion, and sex. The Transgender community faces one of the highest amounts of discrimination. This includes things like using a public restroom, going to a doctor’s office, insurance coverage, workplace, and traveling. First, utilizing public restrooms are a major problem for transitioning individuals. In many states, like Kentucky, there have been numerous attempts to pass laws that would force these individuals to use the bathroom that reflects the gender on their birth certificate, which usually states the gender assigned at birth. This is a form of discrimination due to the fact it would single out Trans individuals making them targets. It can be assumed no one is going to bother a cisgender individual only those, they suspect of being transgendered. For example, a transwoman who is just a few months into her hormones and has not received Sexual Reassignment Surgery going into the women’s restroom in a Walmart is stopped by security and asked to prove her identity using her Identification that still says male. She will then be charged for using â€Å"the wrong† restroom and forced to go to the boys bathroom where she has an increased chance of being involved in a hate crime or sex ual assault. This action is like painting a sign on a person’sShow MoreRelatedMasculinity : The Real World1297 Words   |  6 PagesMasculinity in the Real World Since the day you’re born, society has told you what you can and cannot play with, wear, and even say.The United States has designed an unrealistic definition of American masculinity. For men, society has told them how they are to fit into society’s mold of masculinity. They are bombarded with rules and restrictions, and are told that if they do not conform to fit the picture of the ideal man, they are deemed â€Å"different†, a misfit. Being a â€Å"real† man has never beenRead MoreRepresentation Of The Real World1682 Words   |  7 PagesThe essay question, using terms such as â€Å"all† and â€Å"necessarily† implies that every model, by nature, always misrepresent reality. Various authors, such as Thomas Dye and Moshe Rubenstein, believe that models are â€Å"a simplified representation of the real world† (Stewart, Hedge and Lester 2008:52). Peter John describes the policy process as â€Å"complex and apparently chaotic†, t herefor in need for establishing â€Å"conceptual order on the policy process in order to comprehend it† (John 1998:22) Therefor â€Å"modelsRead More the real world Essay1058 Words   |  5 Pages The Real World? nbsp;nbsp;nbsp;nbsp;nbsp;quot;This is the true story of seven strangers picked to live in a loft and have their lives taped. 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The novel also portrays an appalling method for dealing with newborns that are less desirable. The novel also reflects on the way those who are too old are sent on a vacation to elsewhere. The novel leads one to assume that theRead MoreDatabase In The Real-world850 Words   |  3 Pagesfriends. Is that possible? Yes, of course. Facebook makes it possible. Now, Facebook users are all over the world. The database must be very huge. Million users upload statuses, photos and videos in the same moment every second. To search a person/friend in Facebook, we can easily search by his/her name or email address. Storing the database online, it becomes accessible to all people in the world. But there are risks to be considered such as dependency, hackers’ threats and privacy. First, life cycleRead MoreDress Codes For The Real World Essay1740 Words   |  7 Pages Disguised as guidelines for the real world, dress codes hold a significant part in the role of rape culture. 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The Big Dog Running Company Story - 851 Words

Summary In â€Å"The Big Dog Running Company Story,† we are provide an account of John and Reggie’s possibility of opening a new retail store in Columbus, Georgia. This store is to specialize in the running sport. John and Reggie, apart from being experienced entrepreneurs, are also running enthusiasts. Currently, they noticed a significant increase in running participation in the area which has a gap for a full service retailer that caters specifically to the running sport. In addition, they fell that due to economic recession and an increase in health consciousness, they would be able to draw people to such store. After all, running is an inexpensive sport (as opposed to say golf). Also, the Columbus Riverwalk is a popular site for both tourists and sports enthusiasts. 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Pneumothorax Springer International Publishing

Question: Write about thePneumothorax for Springer International Publishing. Answer: Introduction Pneumothorax is a condition in which there is uncoupling of lung from chest wall manifested as a result of abnormal air collection in the pleural space (Porpodis et al. 2014). It can occur as a result of trauma or can occur spontaneously. The common signs and symptoms of pneumothorax are shortness of breath and sudden onset of one-sided, sharp pain. In some cases, when there is a region of damaged tissue, the amount of air increases in the chest and a one-way valve is formed called tension pneumothorax. It can lead to serious low blood pressure and oxygen shortage. It is called collapsed lung or atelectasis. In the given case study, Mr. Leigh Richards is a 39 year old man who was admitted to the hospital after he met a high speed rally car accident hitting a tree and had left humerus fractured, subdural haematoma, left tibia and fibula and left pneumothorax. He was trapped in the car by cabin intrusion that caused pinning of his leg. The following essay deals with the understanding o f the pathophysiology, pharmacology and signs and symptoms of pneumothorax through Leigh Richardss case. Pathophysiology of Pneumothorax In the given case scenario, Leigh Richard was a restrained passenger in a rally car. He met an accident after the rally car hit the tree as he was driving at a high speed on a dirt road. He was trapped in the car by the cabin intrusion that resulted in pinning of the leg. The car was cut in order to free his leg and allowed for the inline extrication. After the accident, he was rushed to the emergency department in a dismantled state. The X-rays revealed that he had multiple fractures in his left humerus, tibia and fibula, small subdural hematoma and left pneumothorax. Pneumothorax in Leigh is manifested as a result of the blunt chest injury after the high speed rally car accident. The blunt trauma force that occurred due to the accident and the air might have pushed on the outer side and resulted in collapse of the lung that resulted in left pneumothorax or collapsed lung condition in Leigh. In Leighs case, air in the pleural space is a result of the blunt trauma injury that caused lung collapse in him. It had resulted from a penetrating or blunt trauma to the chest wall (Kirmani and Page 2014). The accident in the case scenario might have resulted in exposed to blasts where there is no such apparent injury to the chest, however, resulted in lung tissue damage. Pneumothorax in Leigh could have occurred due to the blunt trauma injury at the ribs that might have resulted in rib fracture. The thoracic cavity space inside the chest contains the heart, lungs and major blood vessels. The pleural membrane covers the lung surface and lining of the inside chest wall. The layers are separated with the help of serous fluid that acts as a lubricant. Moreover, low pressure is maintained that does not allow the air to enter the pleural space and also there is low pressure of the bloodstream gases. The accident resulted in pneumothorax that developed in Leigh due to the entry of air in to the pleural space damaging the chest wall or the lung (Aziz et al. 2016). Tension pneumothorax is a worsened condition in which there is significant impairment of blood circulation or respiration. This condition generally occurs due to trauma where the air is leaked into the chest cavity by the lungs and result in chest compression including the vessels that return to the heart with blood (Roberts et al. 2015). Chest pain and acute respiratory distress occur in the initial stages. In clinical situations, resuscitation, ventilation or trauma takes place and in such situations, under water sealed drains (UWSDs) are inserted. These are commonly called chest drains that allow draining the blood, fluid or air from the pleural spaces so that there is proper expansion of lungs and restoration of the negative pressures in the thoracic cavity. This underwater seal also helps to prevent the fluid or gas backflow into the pleural cavity. This chest drain management is important to restore the normal respiratory function and stability. UWSDs are three chambered that c onsists of suction control, water seal and drainage collection. They also aid in removing the fluid or air from the pleural cavity as well as backflow into the pleural space (Inocencio et al. 2017). Signs and Symptoms The common signs and symptoms of pneumothorax are sudden onset of chest pain, shortness of breath, rapid heart rate, rapid breathing, cough and fatigue in rare cases. Among all symptoms, acute chest pain and shortness of breath is manifested in almost 64-85% of the patients suffering from pneumothorax (Roberts et al. 2014). When Leigh was rushed to the emergency department after the accident, he was witnessed to have shortness of breath and chest tightness. He was unable to speak and faced difficulty in speaking long sentences. He was drowsy and disoriented at the time of admission at the emergency department. This condition occurred in Leigh as the normal intrapleural pressure is revered after the blast trauma injury. Shortness of breath and chest tightness and pain are the common clinical signs and symptoms of pneumothorax (Harvey, J.J., Harvey and Belli 2016). Shortness of breath or dyspnoea occurs mainly due to the increase in pressure in the lungs that prevents the expansion of lungs during breathing. This resulted in shortness of breath and chest tightness as the two common signs and symptoms in Leigh manifested as a result of pneumothorax. Due to the blast traumatic injury that resulted in left pneumothorax in Leigh caused shortness of breath in him. There was build up of fluid between the pleural space that is the chest wall and the lungs. The amount of fluid increased in the pleural space and that exerted pressure against the lungs that made in its collapse. This restricted the lungs from expanding leading to difficulty in breathing and shortness of breath in Leigh (McDonald Johnston and Ballard 2015). Chest pain or tightness is Leigh was a clear manifestation of the blast traumatic chest injury. This resulted in clear, acute chest tightness in him and he was unable to speak long sentences at the time of admission at the emergency department. This chest pain or tightness occurred as he was about to breathe as there is a lot of trapped fluid in the pleural cavity and between the lungs. During inspiration, the chest pain worsens and a sharp, stabbing pain occurs at one side of the chest in Leigh (Ying et al. 2016). Link Between Pathophysiology and Pharmacology In the context of diagnosis and treatment, it is important to understand the pathophysiology and pharmacology of a disease and the related theory. In the case study of Leigh, there is pathophysiological theory that is linked to pneumothorax. This occurred as there is reversal in the normal pleural pressure due to the blast trauma injury in Leigh (Mazzaferro 2015). Firstly, for the treatment, Leigh was given UWSD as it helped to drain the fluid from the pleural space and allowed to expand lungs and restore the negative pressure in the thoracic cavity (Russell, King and Coventry 2014). This underwater seal also prevented the backflow of fluid into the pleural cavity. This chest drain was inserted in him to avoid the tension pneumothorax to occur and relief him when he arrived at the emergency department. Leigh suffered a blast trauma injury that resulted in pneumothorax and he was given the chest drainage. An ORIF surgery was performed as he had fracture on his left tibula and fibia. Two intercostals drain was inserted that was attached to the underwater sealed drains. Moreover, the lower drain was draining serous fluid from his lung and the draining of the air was done by the other tube, however, there were only intermittent bubble from the tube. He also had neurological fluctuations which improved with time (McKnight et al. 2016). Fentanyl was administered to him as it is an opioid analgesic that helped him to relieve pain after the surgery. The severe fracture in Leighs left leg might have resulted in intense pain and fentanyl relieved him from pain. This also helped to reduce the morbidity in him. It is an anti-inflammatory drug that relieves pain and inflammation. PCA was administered to Leigh as it is a controlled analgesic after surgery. It is a good pain reliever for relieving pain in Leigh. It also prevents the risk for respiratory infection and he is able to breathe properly (Dhamrait and Tumber 2017). IV normal saline 64mLs/hr was also given to him to maintain the osmotic pressure, electrolyte balance, fluid and control of balance. It acts as a source of electrolytes and water. Conclusion Pneumothorax is the condition where there is abnormal air collection in the pleural space that causes collapse of the lung resulting from uncoupling from the chest wall. The patient, Leigh Richards was diagnosed with left pneumothorax after the blast trauma injury. The common symptoms of pneumothorax are shortness of breath and chest tightness or pain that is illustrated in Leigh. The pathophysiology and pharmacology of pneumothorax is understood through the case study of Leigh. Moreover, identifying clinical complications and pathophysiology helps to identify the efficacy of the treatment in him. Pharmacology and pathophysiology of pneumothorax is well understood through this case study and its link to the theory. References Aziz, S.G., Patel, B.B., Ie, S.R. and Rubio, E.R., 2016. The Lung Point Sign, not Pathognomonic of a Pneumothorax.Ultrasound Quarterly,32(3), pp.277-279. Dhamrait, R.S. and Tumber, S.S., 2017. Anesthetic Considerations for Chest Wall Surgery. InSurgery for Chest Wall Deformities(pp. 33-45). Springer International Publishing. Harvey, J.J., Harvey, S.C. and Belli, A., 2016. Tension pneumocephalus: the neurosurgical emergency equivalent of tension pneumothorax.BJR| case reports, p.20150127. Inocencio, M., Childs, J., Chilstrom, M.L. and Berona, K., 2017. Ultrasound Findings in Tension Pneumothorax: A Case Report.The Journal of Emergency Medicine. Kirmani, B.H. and Page, R.D., 2014. Pneumothorax and insertion of a chest drain.Surgery (Oxford),32(5), pp.272-275. Mazzaferro, E., 2015. Pneumothorax. In40th World Small Animal Veterinary Association Congress, Bangkok, Thailand, 15-18 May, 2015. Proceedings book(pp. 525-526). World Small Animal Veterinary Association. McDonald Johnston, A. and Ballard, M., 2015. Primary blast lung injury.American journal of respiratory and critical care medicine,191(12), pp.1462-1463. McKnight, B., Heckmann, N., Hill, J.R., Pannell, W.C., Mostofi, A., Omid, R. and George, F., 2016. Surgical management of midshaft clavicle nonunions is associated with a higher rate of short-term complications compared with acute fractures.Journal of Shoulder and Elbow Surgery,25(9), pp.1412-1417. Mojsic, B., Mandras, A., Sujica, M. and Vasiljevic, S., 2016. Pneumothorax Related to Mechanical Ventilation: Silent Enemy.Serbian Journal of Experimental and Clinical Research,17(3), pp.267-270. Porpodis, K., Zarogoulidis, P., Spyratos, D., Domvri, K., Kioumis, I., Angelis, N., Konoglou, M., Kolettas, A., Kessisis, G., Beleveslis, T. and Tsakiridis, K., 2014. Pneumothorax and asthma.Journal of thoracic disease,6(1), pp.S152-S161. Roberts, D.J., Leigh-Smith, S., Faris, P.D., Ball, C.G., Robertson, H.L., Blackmore, C., Dixon, E., Kirkpatrick, A.W., Kortbeek, J.B. and Stelfox, H.T., 2014. Clinical manifestations of tension pneumothorax: protocol for a systematic review and meta-analysis.Systematic reviews,3(1), p.3. Roberts, D.J., Leigh-Smith, S., Faris, P.D., Blackmore, C., Ball, C.G., Robertson, H.L., Dixon, E., James, M.T., Kirkpatrick, A.W., Kortbeek, J.B. and Stelfox, H.T., 2015. Clinical presentation of patients with tension pneumothorax: a systematic review.Annals of surgery,261(6), pp.1068-1078. Russell, C., King, D. and Coventry, B.J., 2014. Vascular Access Surgery. InCardio-Thoracic, Vascular, Renal and Transplant Surgery(pp. 83-103). Springer London. Ying, X., Wang, P., Xu, P. and Zhu, B., 2016. pneumothorax associated with acupuncture: a systematic review and analysis.Acupuncture and Related Therapies.

The laboratory, Porphyrias Lover and A woman to her lover Essay Example

The laboratory, Porphyrias Lover and A woman to her lover Essay The Laboratory to express a sense of strong imagery that represents the feeling of evil and hatred, and the other being Porphyias Lover which again consists of strong imagery but of obsession, love and control. Whereas, in A Woman to Her Lover, Christina Walsh has simply made a political statement through a free verse form; conveying the change in attitude of women during the pre Victorian era. In A woman to Her Lover We see that it is about a woman demanding conditions for her marriage to her future husband. This would seem extremely odd during this period, as women were often treated as subservient. The idea of men treating women as second rate is opposed in the first stanza. This stanza details the rejection of male dominance by a woman. Do you come to me to bend me to your will as conqueror to the vanquished. The vocabulary in this stanza highlights the strong feelings of the woman. The theme of this poem is about love and equality; we know this because of the various words used to indicate love such as: O lover. We can also tell that this is about equality as: I shall be your comrade, friend and mate, to live and work, to love and die with you. The poem follows the structure of a free verse without any constraints this further reinforces Walshs main message of equality for women. However, rather than making demands she feels that she must first ask and also tempt her lover; to stay with her. Moreover the use of the conditional tense throughout the poem makes the poem seem more like a marriage contract. We will write a custom essay sample on The laboratory, Porphyrias Lover and A woman to her lover specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The laboratory, Porphyrias Lover and A woman to her lover specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The laboratory, Porphyrias Lover and A woman to her lover specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Furthermore, imagery is created in this poem through metaphors: I am no doll to dress and sit for feeble worship if that be what you ask, fool, I refuse you! Her point is emphasized through the use of repetition, Do you come to me to bend me to your will. Moreover, sibilance is used such as skin soft, The repetition of the S sound creates a hissing affect as well as a sinister sibilance tone, which gives us a feeling that she doesnt want to be seen as pure or perfect. In contrast The Laboratory is also a poem renowned for its depth of meanings through the variety of linguistic devices used; in addition it also shares a similar theme of death and revenge to other poems written by Browning such as Porphyias Lover. The tone of this poem is obsession. Grind away, moisten and mash up thy paste, Pound at thy powder, I am not in haste! This just emphasizes that this woman has only one aim which is to seek revenge on her rival by killing her. We see that The Laboratory is an unusual poem whereby we see the courageous female persona is driven to revenge. This is in stark contrast to the stereotypical view of women during the 19th century, who were not expected to have a voice, in a male dominated society. Not only does she seek revenge but also wishes to punish her husband: He is sure to remember her dying face. As thou pliest thy trade in this devils-smithy, this line in the opening stanza to the poem which indicates to us that The devils smithy is a metaphor for the subject of this workshop may be poison and death. This imagery also ties in with the devils work. The structure of this poem is a regular AABB rhyme scheme; this conveys a very jolly rhythm to the poem which is ironic because the subject is quiet chilling about seeking revenge. The language on this poem is conveyed throughout the poem through the use of imperatives Take my mask off! Nay, be not morose! the use of imperatives highlight that she is in control. Furthermore, alliteration is combined with onomatopoeia, moisten and mash up thy paste. To convey a harsh tone, reflecting her revenge and determination, as she makes the poison. Porphyrias Lover, is similar to The Laboratory, In that it is also a dramatic monologue told by Porphyrias lover. The action of Porphyrias Lover commences through the telling of the events of one night- culminating in the murder of Porphyria-by the narrator of the poem. The story is not retold to an audience but seems rather to be replayed in the mind of Porphyrias lover. Browning masterfully builds up tension in the poem by gradually revealing to the reader, through details provided by the speaker, what has taken place. As it also becomes clear that the narrator is mad, it is up to the reader to decide on what extent to believe the speakers account of events. The themes of this poem are attraction, lust and death, as he is attracted to the woman but decides to kill her as he believes he has control and dominance over her, Porphyria worshiped me. From this we can see that he feels he is in command of her. The tone to this poem is negative, The rain set in early in tonight, and madness, And did its worst to vex the lake, Imagery is depicted through the use of pathetic fallacy, The sullen wind was soon awake, which matches the mood of range and anger. Metaphors such as: She shut the cold out and the storm. Makes us think she is a woman sent from heaven. The structure of this poem is ABABB; this very effectively emphasizes the inward turmoil of the speakers mind. This poem is written in a free verse form unlike The laboratory. The most chilling phrase which highlights the macabre theme of death in Porphyias Lover is; In one long yellow string I wound Three times her little throat around, and strangled her. From this we can see that the narrator casually kills his lover, whom he is attracted to; but alarmingly shows no remorse in her inhumane death. Additionally, in The Laboratory the most shocking line which focuses on the narrators deranged state of mind is, Brand, burn up, bite into its grace-He is sure to remember her dying face, the alliterative effect of the harsh B sound expresses the fury and bitterness as she really wants to kill her rival and hurt her husband at the same time so he can remember her death forever. In conclusion to my essay, I feel that the poets studied here have portrayed their views through a wide range of techniques including political statements. In my opinion Porphyrias Lover and The Laboratory are similar as they both share the theme of death and obsession. On the other hand in, A Woman to her Lover, is more about breaking the social norm and standing up for your rights. Each poem has a unique tone and message but they do share some similar techniques.