Thursday, May 21, 2020
Literary Analysis Of Dulce Et Decorum Est - 702 Words
The poem ââ¬ËDulce et Decorum estââ¬â¢ by Wilfred Owen is a shocking and thought provoking poem which details the experiences of soldiers in the trenches during WW1. Owen uses graphic descriptions of life in the trenches to convey a powerful message to the reader. He uses many important techniques to describe to the readers the graphics of war. He also uses his poetry as a vehicle to express his ideas on the horror and futility of war. This poem was made to un idolize the idea of war and to create an emotional response. The reader is introduced to the horror of war in the first lines of the poem as Owen depicts the poor physical condition of the men. ââ¬Å"Bent double, like old beggars under sacksâ⬠. This simile demonstrates to the people readingâ⬠¦show more contentâ⬠¦The change of pace in ââ¬Å"Gas! Gas! Quick, boys!â⬠is a stark contrast to the slow, laborious pace of the march as reflected in the long sentences of the first verse. The sentence structure encapsulates the panic and urgency felt by the men. The use of short words and exclamation marks mirror their alarm and the words ââ¬ËGas! Gas!ââ¬â¢ Are used to reflect the unexpected and abrupt nature of the attack. This emotionally affects me as reader because when reading the poem out load it changes the pace drastically and makes me feel upset because they were in such a hurry to put gas masks on. Finally, the bitter irony of the poem is revealed in the last lines as he attacks those who would argue that death in war is glorious, ââ¬Å"my friend, you would not tell with such high zestâ⬠. Here, Owen employs the use of second person to address the stay at home patriots and those who would encourage young men to give up their lives for their country. The use of ââ¬Ëmy friendââ¬â¢ is deeply ironic and betrays his anger as he holds these people accountable for what he and so many others has had to endure. The irony of the poem makes me upset because people are glorifying war and making it seem as though it is something that young men should sign up for. In conclusion, the poem ââ¬ËDulce et Decorum estââ¬â¢ by Wilfred Owen is a deeply poignant poem that uses a variety of powerful techniques to express a very powerfulShow MoreRelatedWilfred Owenââ¬â¢s Dulce et Decorum Est1100 Words à |à 5 PagesLiterary Analysis of Wilfred Owenââ¬â¢s ââ¬Å"Dulce et Decorum Estâ⬠The world is a changing place with many different countries and people in those countries who try to change the world from our past, future and present. When looking at poems from the past we are able to see the world through the authorââ¬â¢s eyes of the time and possible a view into the future. History tells us to learn from the past to improve the future of our world. A way to learn about the past is by reading poems from a time mostRead MoreAnalysis Of Wilfred Owen s Poem Dulce Et Decorum Est1692 Words à |à 7 PagesIntroduction Welcome back to the Poetry and Society unit of the literature topic. We are moving on from last weekââ¬â¢s poetry type, American slam and we are now studying Protest and Resistance poetry. The protest poem ââ¬ËDulce et Decorum Estââ¬â¢, written by Wilfred Owen, challenges the dominant World War One ideologies of militarism and nationalism. You will find that this poem is a great example as it defies the dominant values and beliefs of war in Britain. Wilfred Owen Letââ¬â¢s discuss the poet. WilfredRead MoreCritical Analysis of Wilfred Owenââ¬â¢s ââ¬Å"Dulce Et Decorum Estâ⬠Essay1168 Words à |à 5 PagesCritical Analysis of Wilfred Owenââ¬â¢s ââ¬Å"Dulce et Decorum Estâ⬠Wilfred Owenââ¬â¢s poem ââ¬Å"Dulce et Decorum Estâ⬠, is a powerful poem with graphical lifelike images on the reality of war. It is blatantly apparent that the author was a soldier who experienced some of the most gruesome images of war. His choice of words, diction, tone, syntax, and metaphorââ¬â¢s paint a vivid picture in a brilliant poem. His choice for the poemââ¬â¢s name is ironical in itself. The entire phrase is ââ¬Å"Dulce et Decorum Est Pro patriaRead MoreThe Movie Park Avenue : Money, Power And The American Dream858 Words à |à 4 PagesFor this reason, people never take the opportunity to evaluate the true facts behind that dream. In the documentary ââ¬Å"Park Avenue: Money, Power and the American Dreamâ⬠by Director Alex Gibney, an analysis of the true facts behind the ââ¬ËAmerican dreamââ¬â¢ is presented (Lee). Similarly, the poem ââ¬Å"Dulce et Decorum Estâ⬠by Wilfred Owen speaks about the true facts of a war that people foolish ly dream to go to for honor (Owen). The two are distinct in the sense of their nature. The first piece by Gibney is a documentary
Wednesday, May 6, 2020
Internal and External Communication on Bp Gulf Oil Spill...
Contents Executive Summary 1 Introduction 2 Analysis 3 Internal communication 3 External communication 6 Conclusion 10 Recommendation 11 Internal communication 11 External communication 12 Executive Summary BP oil spill in April 2010, had incurred serious damage to both the company and publics. Though some internal and external communication strategies were carried out after the accident, more improvements should be made by BP to maintain the safety and reputation. The internal strategies used by BP, employing appropriate communication channels and appointing a CEO who is familiar with American cultures, need to be analysed and evaluated, as well as the external strategies aiming at reacting toâ⬠¦show more contentâ⬠¦The perfect strategies can facilitate employeesââ¬â¢ communication and promote engagement, which are crucial in challenging times. Some positive effects brought by the strategy are demonstrated as below. Through these channels, everyone is kept aligned on the shared goals and informed where the corporation is and is going. Employees can be motivated to work for BP because they feel proud of being perceived as part of the whole group. The sense of responsibilities for the corporation, hence, is supposed to be instilled in employeesââ¬â¢ minds that all members need to understand how to build a successful team. The sense of responsibilities is believed to be crucial in preventing accidents like the oil spill. According to Hammer (2011), the investigation proved that the blowout preventer stack would not have stopped the disaster even if it had functioned perfectly, because it was activated too late by the rig crew. As the evidence shows, the accident, to some extent, could be attributed to the serious human failure. Aiming at promote engagements and involvements, the appropriate strategies can make employees feel more responsible for BPââ¬â¢s collective interests and take more act ions to protect BPââ¬â¢s reputation or safety. In addition, these channels provide the platform where employees and employers are related to eachShow MoreRelatedEthics Paper MGT/498852 Words à |à 4 Pagesis the oil and gas company BP p.l.c. In 2010, a massive oil spill broke out in the Gulf of Mexico that was caused by oil drilling conducted by this Company and its key contractors. This oil spill caused the death of eleven individuals and cost the company and its partners tens of billions of dollars in order to contain a blowout of the well, mitigate the damages caused and compensate all the individuals and businesses impacted by the spill.(The Telegraph). As a result of this oil spill, the USRead MoreCrisis management; BP2129 Words à |à 9 Pagesconcern British Petroleum (BP). At first I would like to provide more information about the crisis and its consequences, then I will identify the kind of crisis we have to deal with, I will discuss the several communication strategies BP have used, I will explain the different reactions of the public on the crisis. At last, I will give the oil concern some advice, in case a reoccurrence takes place. The BP oil spill The BP oil spill was a big natural disaster in the Gulf of Mexico on the 20th ofRead MoreBp Management, Ethical And Social Behavior1114 Words à |à 5 Pageskilling 11 workers and releasing oil from the well into an ocean. This paper will discuss BP management, ethical and social behavior. BP along with a few of its partners Transocean and Halliburton was involved in the gulf oil spill. The explosion of the drilling rig Deepwater Horizon was the root cause of the oil spill. This paper will focus on BP organization behavioral issues that caused the economic, environmental, and human losses. The research further focuses on what BP leadership could have doneRead MoreThe Analysis Of The Deepwater Horizon Study Group1365 Words à |à 6 PagesBP leadership along with partners did not have proper governance and process to evaluate the risk that they are willing to take. The employee at every level does not know how much risk to take nor did any corporate policy exist to guide them. Having zero risk tolerance and zero safety defects in these complex operations ensure there are no human losses. The analysis of the Deepwater Horizon Study Group (2011) (p.11) shows that the leadership was concerned about how much money was spent in excessRead MoreThe BP Oil Spill and Leadership Issues3870 Words à |à 16 Pagesï » ¿The BP Oil Spill An Introductory Background - One of the most controversial ecological disasters in recent history focused on multinational British Petroleum and their Gulf of Mexico Operations. The Deepwater Oil Disaster began on April 20, 2010 with an explosion on the Deepwater Horizon Oil platform, killing 11, injuring 17. It was not until July 15th, however, that the leak was stopped by capping the wellhead, after releasing almost 5 million barrels (206 million gallons) of crude oil, or 53,000Read MoreBp Sustainability Essay28986 Words à |à 116 Pagescom/sustainability 2 A letter from our group chief executive / 4 How BP is changing 6 Gulf of Mexico oil spill / 14 How we operate / 22 Energy future 30 Safety / 34 Environment / 38 Society Within hours of the Deepwater Horizon accident, BP teams were working to stop the leak. We also acted to minimize the spillââ¬â¢s impact on the environment by containing, removing and dispersing oil offshore, protecting the shoreline and cleaning up oil that came ashore. And we worked with wildlife groups to developRead MoreThe Planning Function of Management at British Petroleum1241 Words à |à 5 PagesBP organization direction Planning function of management British Petroleum (BP) has had their key successes from the various strategies and goals that the organization has which include the companys technology transformation and alignment of objectives to the analysis of its competitors and market conditions. This is what has helped to make BP a successful company. The company believes that the essence of its survival is its ability to gain strategic and competitive advantage which has helpedRead MoreOil And The Deep Water Horizon Drilling Platform5125 Words à |à 21 Pagesto showcase and explain the costs and losses of the explosion and sinking of the Deep Water Horizon Drilling Platform owned by Transocean and leased by BP Oil and the sea-floor oil gusher that flowed through 87 days in the Gulf of Mexico. We will showcase the costs and loses from the beginning of the disaster, which was in April 20th to until the oil flusher was capped on, which was in July 15th. Moreover, we will show the consequences and legal actions that were take n after the disaster occurredRead MoreCorporate Social Responsibility in GRI2657 Words à |à 11 Pagesproducts. Examples include management earnings forecast, social and environmental reports, information on achieved projects and company targets, and risks management. Internal reporting provides critical feedback to employees that enables them to see how their individual contributions add to the success of the organization. External reporting is an opportunity for an organization to share its sustainability story with the world. Attention to CSR matters has grown increasingly over the last 20 yearsRead MoreArchetypes: Strategic Management and Firm Specific Advantages1632 Words à |à 7 Pagesvalue chains now contain activities that are tightly integrated. This means that firms and workers in widely separated locations affect one another more than they have in the past. So for example BP an international coordinator, when there where oil spills in the Gulf of Mexico, it suddenly affected all other BP operations, because their branding image was looked in a worse way, decreasing its organization reputation. 7. Why is a multi-centered MNE characterized by maximum local responsiveness?
The Role of Christianity in the Restoration and Remaking of State Power Free Essays
The last centuries of the Roman Empire was marked with chaos and bloodshed. Rival claimants to the imperial throne constantly waged war with one another, disrupting all aspects of Roman life in the process. Barbaric tribes from neighboring regions took advantage of this situation by invading the countryside, stealing crops and livestock, burning entire towns to the ground and killing or enslaving Roman peasants. We will write a custom essay sample on The Role of Christianity in the Restoration and Remaking of State Power or any similar topic only for you Order Now In the cities, ambitious praetorians and senators often led rebellions, paralyzing economic activity as a result. The tragic end of the Roman Empire eroded confidence in human reason and shattered the hope of attaining happiness in this world. Desperate, impoverished and fearful for their lives, people during this period were searching for an escape from the oppression that they were experiencing. This need, in turn, prompted the evolution and expansion of Christianity. Christianityââ¬â¢s otherworldliness and promise of personal immortality gave a spiritually disillusioned Greco-Roman world a reason to continue living. Furthermore, the triumph of Christianity in the Greco-Roman world marked the end of classical antiquity and the beginning of the medieval period (Perry, Chase, Jacob, Jacob, Von Laue 171). A Palestinian Jew named Jesus Christ (4 BC-29 AD) was the founder of Christianity. Prior to his ministry, most Palestinian Jews were followers of Judaism, a religion that was based on Mosaic Law (Torah). Apart from religious rituals, Judaism was also composed of many laws that governed daily life. Christ himself was taught Jewish religious-ethical thought in his formative years (Perry, Chase, Jacob, Jacob, Von Laue 174). Christ, however, was distressed over the manner in which Jewish leaders implemented the teachings of Judaism. He felt that their focus ââ¬Å"shifted from prophetic values to obedience to rules and prohibitions regulating the smallest details of daily lifeâ⬠(Perry, Chase, Jacob, Jacob, Von Laue 174). For Christ, detailed regulations governing everyday activities dealt only with a personââ¬â¢s visible behavior but not with his or her inner being. Such a superficial manner of enforcing Jewish law produced individuals who mechanically followed rules and prohibitions but whose hearts remained impure (Perry, Chase, Jacob, Jacob, Von Laue 174). He believed that true morality meant doing away with vices such as fornication, adultery, murder and avarice. The Jewish scribes and priests, as a result, viewed Christ as a threat to ancient traditions and to their authority over the Jews. The Romans, meanwhile, regarded him as a political agitator who would incite a rebellion against Rome (Perry, Chase, Jacob, Jacob, Von Laue 175). Jewish leaders therefore had him arrested for high treason and turned him over to Pontius Pilate, who sentenced him to death by crucifixion. But Christ underwent resurrection three days after his demise and later ascended into heaven. His followers then traveled to various parts of the world in order to spread his teachings. The early years of Christianity were not easy for its followers. Christians during the Roman Empire, for instance, were brutally persecuted because they were seen as ââ¬Å"subversives (who) preached allegiance to God and not to Romeâ⬠(Perry, Chase, Jacob, Jacob, Von Laue 180). They were imprisoned, beaten, starved, burned alive, crucified and torn apart by wild animals in the arena for the amusement of the Roman public (Perry, Chase, Jacob, Jacob, Von Laue 181). In order to escape harassment, Christians clandestinely met and held worship services in venues such as catacombs. But Christianityââ¬â¢s aforementioned situation was reversed with the fall of the Roman Empire. The appeal of Christianity was based mainly on the common knowledge that religion is more capable of stirring human hearts than reason. The Roman Empireââ¬â¢s staunch belief in science and philosophy did not save it from total destruction. Neither was it able to provide comforting solutions to the existential problems of life and death (Perry, Chase, Jacob, Jacob, Von Laue 178). Christianity, in sharp contrast, gave the assurance that all earthly torments were ââ¬Å"the will of Godâ⬠ââ¬â God made human beings undergo suffering in order to test their faithfulness to him. As Christianity became increasingly popular among the Romans, emperors realized that crushing the religion through persecution was already futile. They instead decided to obtain the support of the empireââ¬â¢s Christian population. Constantine, for instance, issued in 313 AD the Edict of Milan ââ¬â a law that granted toleration to Christians. This directive was followed by other legislations which was favorable to the church ââ¬â Theodosius I had made Christianity the official religion of the Roman Empire and outlawed the worship of pagan gods by 392 AD (Perry, Chase, Jacob, Jacob, Von Laue 181). It would be fair to say that these laws transformed Christianity into an apparatus for the restoration and remaking of state power. Fanatic clergy took advantage of their newly-empowered status by persuading Roman emperors to issue decrees that persecuted pagans, Jews and Christians with unorthodox views. Consequently, many followers of pagan cults were fined, imprisoned, tortured and executed. In addition, Christian mobs burned non-Christian writings, destroyed pagan altars and sacred images and squelched pagan rites and festivals (Perry, Chase, Jacob, Jacob, Von Laue 181). In the process, the Roman Empire was slowly being replaced with a theocracy ââ¬â Roman emperors were reduced to puppets that the Christian clergy controlled at the strings. Christianity further gained political clout when it started amassing material wealth. Many wealthy Christians died leaving almost all of their fortune to the church. Some Christian leaders in the 4th century were therefore able to build monasteries or communities of people committed to prayer and asceticism (Hastings 43). Monasteries played a crucial role in the spread of Christianity ââ¬â they served as training grounds for missionaries. Monasteries were likewise vital to social and economic development, as they established schools and libraries and served as landlords and organizers of economic wealth (McManners 119). The Christian Church, through the monasteries, amassed so much wealth in donated lands, money and priceless church furnishings. Thus, the Christian Church eventually became richer and more powerful than most lay monarchies. The pope, previously a spiritual leader alone, also became a temporal power in the process (Bausch, Cannon and Obach 120). By the 9th century, the Christian Church was already powerful enough to establish its own empire ââ¬â Pope Leo III crowned Charlemagne as emperor of the Holy Roman Empire in 800 (MSN Encarta n. pag. ). The Middle Ages was characterized with constant power struggles between the pope and the monarchs. In 1075, for instance, Pope Gregory VII and Holy Roman Emperor Henry IV fought over the right of the sovereign to appoint bishops in his realm (lay investiture). Henry refused to acknowledge Gregoryââ¬â¢s papacy, while the pope excommunicated the emperor. Lay investiture is said to be the most persistent source of clashes between the Christian Church and the nobility ââ¬â bishops and abbots refused to have the king exercise control over their lands and other wealth. But it was necessary for the king to do it in order to assert his authority over his secular nobility (MSN Encarta n. pag. ). The Crusades was one of the rare instances wherein the monarchy and the Christian Church joined forces. The Muslim conquest of Jerusalem spawned meant that the sacred places associated with the life of Christ would fall into the hands of a non-Christian power. West European Christians therefore launched the Crusades, a series of wars from 1095 to 1204 that were intended to recapture Jerusalem from Muslim rule. But the Crusades proved to be a failure ââ¬â Jerusalem returned to Islamic rule a century after the Fourth Crusade of 1202-1204 (MSN Encarta n. pag. ). After the Crusades, the Christian Church was plagued with even more problems. Moral laxity and financial corruption were very rampant (MSN Encarta n. pag. ). The clergy lived luxuriously, while ordinary people starved. Another anomaly that took place within the Christian Church was the selling of indulgences. Priests would sell people relics (hair or bones of saints) at very expensive prices. They would convince people into buying by claiming that possessing relics would immediately take them to Heaven upon their death. Some priests and religious leaders openly criticized the aforementioned irregularities in the Christian Church, a phenomenon which was later known as the Reformation. On October 31, 1517, German theologian Martin Luther published the Ninety-five Theses, a criticism on the selling of indulgences in order to raise funds for the construction of St. Peterââ¬â¢s Basilica in Rome. His excommunication by Pope Leo X led to the formation of Protestantism. Others, such as Huldreich Zwingli and John Calvin, soon came up with their own Protestant sects (MSN Encarta n. pag. ). The emergence of Protestantism prompted the Catholic Church to stage the Counterreformation in the 16th and 17th centuries. The Council of Trent (1545-1563), for one, clarified controversial doctrines and established guidelines on liturgy, church administration and education. The Catholic Church likewise came up with the Index of Forbidden Books and a new Inquisition. Missionaries were then sent to the Far East and North and South America in order to draw more converts to Roman Catholicism (MSN Encarta n. pag. ). Christianityââ¬â¢s otherworldliness and promise of personal immortality made it appear as a suitable alternative to the chaotic Roman Empire. As a result, people wholeheartedly supported the Christian Church. Apart from being faithful followers, they invested time and resources on the religion. The Christian Church, in the process, became even more powerful than secular nobility. But if power corrupts, then absolute power corrupts absolutely. Later Catholic leaders became morally decadent and corrupt. Consequently, concerned parties from the clergy established Protestantism. It is indeed very ironic that Christianity, once regarded as an alternative to a corrupt status quo, ended up being a corrupt institution itself. How to cite The Role of Christianity in the Restoration and Remaking of State Power, Papers
Saturday, April 25, 2020
Primary Childrens Hospital chargemaster (2) (1) Essays
CDMChargemasterSuppliesPharmacyBill Item IDCharge DescriptionPricePrices are accurate as of date posted and may be subject to changePrice is subject to change based on changes to supply acquisition costPrice is subject to change based on changes to pharmacy acquisition costPrimary Children's Hospital1900003115Therapeutic Prophylactic/Dx Injection Subq/Im 963721176215270amantadine 100 mg capsule1176355010doxycycline hyclate 100 mg capsule1176406340gemfibrozil 600 mg tablet1176567540OXcarbazepine 300 mg tablet1176651440scopolamine 1 mg/72 hr patchscopolamine 1 mg/72 hr patch [1.3 or 1.5 mg total/patch]1176235070atenolol 25 mg tabletatenolol 50 mg tablet1176480170lisinopril 2.5 mg tablet1176482310loratadine 10 mg tablet1176708210valsartan 80 mg tablet1176714490warfarin 1 mg tabletwarfarin 2 mg tabletwarfarin 2.5 mg tabletwarfarin 4 mg tabletwarfarin 5 mg tablet1176401620fluvoxaMINE 50 mg tablet1176522250mirtazapine 15 mg tabletmirtazapine 30 mg tablet1176538010nafcillin 2,000 mg vial117 6666470sucralfate 1 g tablet1176207760acyclovir 200 mg capsule1176221860amoxicillin 250 mg capsuleamoxicillin 500 mg capsule1176283080cephalexin 250 mg capsulecephalexin 500 mg capsule1176338860dicyclomine 10 mg capsule1176343630dilTIAZem ER 90 mg/12 hour capsule1176346370diphenhydrAMINE 50 mg capsule1176353860doxepin 10 mg capsule1176447190indomethacin 25 mg capsule1176481990loperamide 2 mg capsule1176616970prazosin 1 mg capsuleprazosin 5 mg capsule1176646340rifAMPin 300 mg capsule1176708130valproic acid 250 mg capsule1176709460venlafaxine ER-24 hr 37.5 mg capsulevenlafaxine ER-24 hr 75 mg capsule1176476880lidocaine 5% (700 mg) patchlidocaine 5% patch1176573640pantoprazole 40 mg vial1176692780topotecan 1 mg/mL 4 mL powder vial1176473650levalbuterol 0.63 mg/3 mL inhalation solutionlevalbuterol 1.25 mg/3 mL inhalation solution1176668860sulfameth-trimeth (Septra) 80-16 mg/mL 10 mL vial1176562910octreotide 500 mcg/mL 1 mL injection1176290820chlorproMAZINE 25 mg/mL 1 mL ampul1176320290c ycloSPORINE 50 mg/mL 5 mL vial1176394040flumazenil 0.1 mg/mL 5 mL vialibuprofen 100 mg/5 mL oral suspension 5 mL UD11764429701176557560norepinephrine 1 mg/mL 4 mL injection1176589090PHENobarbital 65 mg/mL 1 mL vial1176674540terbutaline 1 mg/mL 1 mL vial1176690470tobramycin 40 mg/mL 2 mL vial1176367150epoetin alfa-ESRD 2,000 units/mL 1 mL vial1176293220cholestyramine/sucrose 4 g packet (sugar)1176410200glycerin-adult 2 g rectal suppositoryglycerin-pediatric 1.2 g rectal suppository1176201150acetaminophen 120 mg suppositoryacetaminophen 325 mg suppositoryacetaminophen 650 mg suppository1176253610bisacodyl 10 mg rectal suppository1176435960hydrocortisone acetate 25 mg supp.rectal1176347510atropine-diphenoxylate 0.025 mg-2.5 mg tablet1176274330carbidopa/levodopa 10mg-100mg tabletcarbidopa/levodopa 25 mg-100 mg tablet1176211620allopurinol 100 mg tabletallopurinol 300 mg tablet1176212530ALPRAZolam 0.5 mg tablet1176220040amitriptyline 25 mg tabletamitriptyline 50 mg tablet1176248280benztro pine mesylate 0.5 mg tablet1176253380bisacodyl 5 mg EC tablet1176259650bumetanide 0.5 mg tabletbumetanide 1 mg tablet1176260880buPROPion HCl 100 mg tablet1176261120busPIRone 5 mg tablet1176273180carBAMazepine 100 mg chewable tabletcarBAMazepine 200 mg tabletchlorproMAZINE 25 mg tablet1176302210clonazePAM 0.5 mg tabletclonazePAM 1 mg tablet1176302540cloNIDine 0.1 mg tabletcloNIDine 0.2 mg tablet1176320860cyproheptadine 4 mg tablet1176336130diazePAM 2 mg tabletdiazePAM 5 mg tabletdicyclomine 20 mg tabletdilTIAZem 30 mg tablet1176348760dipyridamole 50 mg tabletdoxazosin 1 mg tabletdoxazosin 2 mg tablet1176362850enalapril maleate 2.5 mg tabletenalapril 5 mg tablet1176383560famotidine 20 mg tablet1176402460folic acid 1 mg tablet1176403600furosemide 20 mg tablet1176431250hydrALAZINE 25 mg tabletibuprofen 200 mg tabletibuprofen 600 mg tablet1176459480isoniazid 300 mg Tab1176466980labetalol 100 mg tabletlabetalol 200 mg tablet1176482560LORazepam 0.5 mg tabletLORazepam 1 mg tablet1176482720l osartan 25 mg tabletlosartan 50 mg tablet1176502110metFORMIN 500 mg tablet1176505670methotrexate 2.5 mg tablet1176512840metoclopramide 5 mg tablet1176514090metoprolol tartrate 100 mg tablet1176514900metroNIDAZOLE 500 mg tablet1176525300montelukast 10 mg tablet1176537440nadolol 20 mg tabletnadolol 40 mg tablet1176541970naproxen 250 mg tabletnaproxen 375 mg tabletnaproxen 500 mg tablet1176553010NIFEdipine 30 mg ER tablet1176563410OLANZapine 10 mg tabletOLANZapine 5 mg tablet1176618460predniSONE 20 mg tablet1176622080prochlorperazine 5 mg tablet1176628360propranolol 10 mg tabletpropranolol 20 mg tabletpropranolol 40 mg tablet1176664150sotalol 80 mg tablet1176664070spironolactone 25 mg tablet1176690390tiZANidine 4 mg tablet1176693770traZODone 100 mg tablet1176709950verapamil 80 mg tabletchlorproMAZINE 50 mg Tabspironolactone 50 mg tabletvenlafaxine ER-24 hr 150 mg capsuleamantadine 50 mg/5 mL oral syrup1176298350clarithromycin 500 mg tablet1176669100sulfameth/trimeth (Bactrim) 400 mg-80 mg tablet1176265910calcitriol 0.25 mcg capsule1176282580celecoxib 100 mg capsulecelecoxib 200 mg capsule1176352610docusate sodium 100 mg capsule1176718290ziprasidone 20 mg capsule1176711420vitamin A 10,000 unit capsule1176472170lansoprazole DR 15 mg capsule1176552440nicotine 14 mg/24 hr patchnicotine 21 mg/24 hr patchnicotine 7 mg/24 hr patchloratadine 5 mg/5 mL Oral Syrup1176318150cyanocobalamin 1,000 mcg tablet1176232000aspirin 325 mg tablet1176238380azithromycin 250 mg tabletazithromycin 500 mg tablet1176297020citalopram 10 mg tabletcitalopram 20 mg tabletcitalopram 40 mg tablet1176376970ethambutol 100 mg tabletethambutol 400 mg tablet1176392550fluconazole 150 mg tabletfluconazole 50 mg tablet1176393700fludrocortisone 0.1 mg tablet1176398590FLUoxetine 10 mg tablet1176474560levoFLOXacin 250 mg tabletlevoFLOXacin 500 mg tablet1176475300levothyroxine 100 mcg tabletlevothyroxine 112 mcg tabletlevothyroxine 125 mcg tabletlevothyroxine 200 mcg tabletlevothyroxine 50 mcg tabletlevothyr oxine 75 mcg tabletlisinopril 10 mg tabletlisinopril 20 mg tabletlisinopril 5 mg tablet1176575390PARoxetine 10 mg tablet1176654740sertraline 100 mg tabletsertraline 25 mg tabletsertraline 50 mg tabletmontelukast sodium 4 mg chewable tabletmontelukast sodium 5 mg chewable tabletaspirin 325 mg tablet enteric coatedaspirin 81 mg tablet enteric coatedbuPROPion HCl 150 mg ER tab 12 hr (SR)1176213110alteplase 50 mg vial1176602510phytonadione 10 mg/mL 1 mL ampul1176606160pneumococcal 23-valent vaccine 25 mcg/0.5 mL injection1176608300polyethylene glycol 3350 powder 4,000 mLpolyethylene glycol 3350 powder 4000 mL1176234990atorvastatin
Wednesday, March 18, 2020
Disturbance as a Crucial Process in Shaping the Modern Landscape When the Pieces of Mosaics Fall into Their Places
Disturbance as a Crucial Process in Shaping the Modern Landscape When the Pieces of Mosaics Fall into Their Places Of all the things that surround us, landscape seems by far the most stable of all; when looking beyond the horizon, one might think that years will pass, people will come and leave, but the mountains in the distance will always remain in their places.Advertising We will write a custom essay sample on Disturbance as a Crucial Process in Shaping the Modern Landscape: When the Pieces of Mosaics Fall into Their Places specifically for you for only $16.05 $11/page Learn More However, this stability is only an illusion; according to the research results, the process known as disturbance shapes the landscape greatly. Because of the disturbance process, the landscape, especially its forest elements, maintain relative stability and display amazing diversity. As Turner, Gardner and Oââ¬â¢Neill explain, ââ¬Å"A disturbance is defined as a relatively discrete event that disrupts the structure of an ecosystem, community, or population and changes resource availabilit y or the physical environmentâ⬠(Turner, Gardner Oââ¬â¢Neill, 2001, 159). Therefore, any event within the specific ecosystem that leads to the gradual change of the latter can be classified as a disturbance. There have also been attempts to define an ecosystem disturbance as tectonic movement, which actually matches the key idea of a disturbance. However, it is essential to mention that a disturbance can be triggered not only by the movement of the tectonic blocks, but also by the factors that have much faster, though just as drastic effects, e.g., hurricanes, tsunami and storms. All in all, ââ¬Å"the definition of disturbance is scale dependent,â⬠as Turner, Gardner Oââ¬â¢Neill (2001, 159) put it. While the above-mentioned disturbance processes doubtlessly have huge effect on the lives of a number of organisms, as well as on the shape of the landscape, it is still important to figure out why these phenomena are considered of great significance for the landscape e cology.Advertising Looking for essay on ecology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Since disturbances do not happen often, their impact can be viewed as accidental and not quite long-lasting. Therefore, disturbances definitely deserve a better look. The existing evidence shows that disturbances play a great role in shaping landscape: ââ¬Å"Natural disturbances and those caused by human actions can promote plant and animal diversity by influencing the composition, age, size, edge characteristics, and distribution of stands across the landscapeâ⬠(Voller Harrison, 2011, 23). Judging by the given statement, the effects of disturbances are not necessarily grandeur or induced by a cataclysm. At the same time, the patterns and scale of disturbance depends on the type of the landscape greatly, which makes disturbance and landscape mutually dependent. One of the major positive aspects of disturbance, by the way, is its selectiveness; according to the research data, disturbances do not capture an entire area ââ¬â instead, they seize a certain part of it, depending on their scale. Thus, the positive effect of a disturbance is provided; once a disturbance could be observed in all corners of a specific area, the species within the given area would have been extinct, and the balance between certain elements of the landscape, e.g., the young and old segments of the chosen area would have been broken. It is also noteworthy that disturbances pass relatively unnoticed in certain landscapes. On the one hand, it might seem that the disturbances on a grand scale must shape any landscape considerably; however, the specifics of certain areas make the landscapes greatly resilient to any sort of disturbance. For example, in the places like desert, where the herbage is very scarce or completely absent, fires will not have a tangible effect.Advertising We will write a custom essay sample on Disturbance as a Crucial Process in Shaping the Modern Landscape: When the Pieces of Mosaics Fall into Their Places specifically for you for only $16.05 $11/page Learn More As Turner, Gardner and Oââ¬â¢Neill say, ââ¬Å"Landscape position appears to influence susceptibility to disturbance when the disturbance itself has a distinct directionality (e.g., hurricane tracks) such that some locations are usually ore exposed than the othersâ⬠(Turner, Gardner Oââ¬â¢Neill, 2001, 165). Unlike one might have thought, disturbances are not chaotic; they have their own specific patterns that can be researched and, thus, predicted with sufficient precision. Depending on the specifics of the area, the patterns of disturbances may vary. Among the most well known factors that influence the disturbance patterns the area of the patch must be named. While a smaller area soon becomes completely engulfed by a certain disturbance, larger areas do not allow a disturbance to spread further ; with many obstacles on its way, including mountains, canyons, rivers, etc., which actually make another factor, i.e., spatial distribution, a disturbance will most likely die out before it even reaches one third of the area. Finally, frequency and recurrence interval must be taken into account. While the latter means the mean time between the disturbance events and allows a specific area to renew and adapt to the changes brought on by the previous disturbance, the former is an approximate number of disturbances that happen in the given area within a certain amount of time (a year, as a rule) (Walker, 2011, 59). Generally speaking, the process of disturbance influences the landscape ecology positively and changes the landscape very slowly, which allows the latter to change so that all its elements, including the fauna, could adapt to the new environment without considerable problems.Advertising Looking for essay on ecology? Let's see if we can help you! Get your first paper with 15% OFF Learn More In addition, it is important to keep in mind that disturbances also characterize a landscape to a considerable extent. Literature Cited Turner, M. G., R. H. Gardner, and R. V. Oââ¬â¢Neill, 2001. Landscape ecology in theory and practice. Springer, New York, NY. Voller, J. S. Harrison, 2011. Conservation biology principles for forested landscapes. UBC Press, Vancouver, CA. Walker, L. R., 2011. The biology of disturbed habitats. Oxford University Press, New York.
Sunday, March 1, 2020
Battle of Guadalcanal in World War II
Battle of Guadalcanal in World War II Battle of Guadalcanal Conflict Date The Battle of Guadalcanal began on August 7, 1942, during World War II (1939-1945). Armies Commanders Allies Major General Alexander Vandergrift Major General Alexander Patchup to 60,000 men Japanese Lieutenant General Harukichi Hyakutake General Hitoshi Imamura rising to 36,200 men Operation Watchtower In the months after the attack on Pearl Harbor, Allied forces suffered a string of reverses as Hong Kong, Singapore, and the Philippines were lost and the Japanese swept through the Pacific. Following the propaganda victory of the Doolittle Raid, the Allies succeeded in checking the advance of the Japanese at the Battle of the Coral Sea. The following month they won a decisive victory at theà Battle of Midway which saw four Japanese carriers sunk in exchange for USS Yorktown (CV-5). Capitalizing on this triumph, the Allies began to move to the offensive in the summer of 1942. Conceived by Admiral Ernest King, Commander-in-Chief, US Fleet, Operation Watchtower called for Allied troops to land in the Solomon Islands at Tulagi, Gavutuââ¬âTanambogo, and Guadalcanal. Such an operation would protect the Allied lines of communication to Australia and allow for the capture of a Japanese airfield then under construction at Lunga Point, Guadalcanal. To oversee the operation, the South Pacific Area was created with Vice Admiral Robert Ghormley in command and reporting to Admiral Chester Nimitz at Pearl Harbor. The ground forces for the invasion would be under the leadership of Major General Alexander A. Vandegrift, with his 1st Marine Division forming the bulk of the 16,000 troops involved. In preparation for the operation, Vandegrifts men were shifted from the United States to New Zealand and forward bases were established or reinforced in the New Hebrides and New Caledonia. Assembling near Fiji on July 26, the Watchtower force consisted of 75 ships led by Vice Admiral Frank J. Fletcher with Rear Admiral Richmond K. Turner overseeing the amphibious forces. Going Ashore Approaching the area in poor weather, the Allied fleet remained undetected by the Japanese. On August 7, the landings began with 3,000 Marines assaulting the seaplane bases at Tulagi and Gavutu-Tanambogo. Centered on Lieutenant Colonel Merritt A. Edsons 1st Marine Raider Battalion and the 2nd Battalion, 5th Marines, the Tulagi force was compelled to disembark approximately 100 yards from the beach due to submerged coral reefs.à Wading ashore against no resistance, the Marines began securing the island and engaged enemy forces led by Captain Shigetoshi Miyazaki. Though Japanese resistance was fierce on both Tulagi and Gavutu-Tanambogo, the islands were secured on August 8 and 9 respectively. The situation on Guadalcanal was different as Vandegrift landed with 11,000 men against minimal opposition. Pushing forward the next day, they advanced to the Lunga River, secured the airfield, and drove off the Japanese construction troops that were in the area. The Japanese retreated west to the Matanikau River. In their haste to retreat, they left behind large quantities of food and construction equipment. At sea, Fletchers carrier aircraft incurred losses as they battled Japanese land-based aircraft from Rabaul. These attacks also resulted in the sinking of a transport, USS George F. Elliott, and a destroyer, USS Jarvis. Concerned about aircraft losses and his ships fuel supplies, he withdrew from the area on the evening of August 8. That evening, Allied naval forces suffered a severe defeat at the nearby Battle of Savo Island. Caught by surprise,à Rear Admiral Victor Crutchley screening force lost four heavy cruisers. Unaware that Fletcher was withdrawing, the Japanese commander, Vice Admiral Gunichi Mikawa, departed the area after the victory fearing air attack once the sun roseà His air cover gone, Turner withdrew on August 9 despite the fact that not all of the troops and supplies had been landed (Map). The Battle Begins Ashore, Vandegrifts men worked to form a loose perimeter and completed the airfield on August 18. Dubbed Henderson Field in memory of Marine aviator Lofton Henderson who had been killed at Midway, it began receiving aircraft two days later. Critical to the islands defense, the aircraft at Henderson became known as the Cactus Air Force (CAF) in reference to Guadalcanals code name. Short on supplies, the Marines initially possessed about two weeks worth of food when Turner departed. Their situation was further worsened by the onset of dysentery and a variety of tropical diseases. During this time, the Marines began patrolling against the Japanese in the Matanikau Valley with mixed results. In response to the Allied landings, Lieutenant General Harukichi Hyakutake, commander of the 17th Army at Rabaul, began shifting troops to the island. The first of these, under Colonel Kiyonao Ichiki, landed at Taivu Point on August 19. Advancing west, they attacked the Marines early on August 21 and were repulsed with heavy losses at the Battle of the Tenaru. The Japanese directed additional reinforcements to the area which resulted in the Battle of the Eastern Solomons. Though the battle was a draw, it forced Rear Admiral Raizo Tanakas reinforcement convoy to turn back. As the CAF controlled the skies around the island during daylight hours, the Japanese were compelled to deliver supplies and troops to the island using destroyers. Holding Guadalcanal Fast enough to reach the island, unload, and escape before dawn, the destroyer supply line was dubbed the Tokyo Express. Though effective, this method precluded the delivery of heavy equipment and weapons. His troops suffering from tropical diseases and food shortages, Vandegrift was reinforced and re-supplied in late-August and early-September. Having built up sufficient strength, Major General Kiyotake Kawaguchi attacked the Allied position at Lunga Ridge, south of Henderson Field, on September 12. In two nights of brutal fighting, the Marines held, forcing the Japanese to retreat. On September 18, Vandegrift was further reinforced, though the carrier USS Wasp was sunk covering the convoy. An American thrust against the Matanikau was checked late in the month, but actions in early October inflicted heavy losses on the Japanese and delayed their next offensive against the Lunga perimeter. With the struggle raging, Ghormley was convinced to dispatch US Army troops to aid Vandegrift. This coincided with a large Express run scheduled for October 10/11. On that evening, the two forces collided and Rear Admiral Norman Scott won a victory at the Battle of Cape Esperance. Not to be deterred, the Japanese sent a large convoy towards the island on October 13. To provide cover, Admiral Isoroku Yamamoto dispatched two battleships to bombard Henderson Field. Arriving after midnight on October 14, they succeeded in destroying 48 of CAFs 90 aircraft. Replacements were quickly flown to the island and CAF began attacks on the convoy that day but to no effect. Reaching Tassafaronga on the islands western shore, the convoy began unloading the next day. Returning, CAF aircraft were more successful, destroying three cargo ships. Despite their efforts, 4,500 Japanese troops landed. The Battle Grinds On Reinforced, Hyakutake had around 20,000 men on Guadalcanal. He believed Allied strength to be around 10,000 (it was actually 23,000) and moved forward with another offensive. Moving east, his men assaulted the Lunga Perimeter for three days between October 23-26. Dubbed the Battle of Henderson Field, his attacks were thrown back with massive losses numbering 2,200-3,000 killed against less than 100 Americans. As the fighting was concluding, American naval forces now led by Vice Admiral William Bull Halsey (Ghormley was relieved on October 18) engaged the Japanese at the Battle of the Santa Cruz Islands. Though Halsey lost the carrier USS Hornet, his men inflicted severe losses on the Japanese aircrews. The fight marked the last time that either sides carriers would clash in the campaign. Exploiting the victory at Henderson Field, Vandegrift began an offensive across the Matanikau. Though initially successful, it was halted when Japanese forces were discovered to the east near Koli Point. In a series of battles around Koli in early November, American forces defeated and drove off the Japanese. As this action was underway, two companies of the 2nd Marine Raider Battalion under Lieutenant Colonel Evans Carlson landed at Aola Bay on November 4. The next day, Carlson was ordered to move overland back to Lunga (approx. 40 miles) and engage enemy forces along the way. During the Long Patrol, his men killed around 500 Japanese. At Matanikau, Tokyo Express runs aided Hyakutake in strengthening his position and turning back American attacks on November 10 and 18. Victory at Last As a stalemate ensued on land, the Japanese made efforts to build up strength for an offensive in late November. To aid in this, Yamamoto made available eleven transports for Tanaka to transport 7,000 men to the island. This convoy would be covered by a force including two battleships which would bombard Henderson Field and destroy the CAF. Aware that the Japanese were moving troops to the island, the Allies planned a similar move. On the night of November 12/13, the Allied covering force encountered the Japanese battleships in the opening actions of the Naval Battle of Guadalcanal. Taking off on November 14, CAF and aircraft from USS Enterprise spotted and sunk seven of Tanakas transports. Though taking heavy losses the first night, American warships turned the tide on the night of November 14/15. Tanakas remaining four transports beached themselves at Tassafaronga before dawn, but were quickly destroyed by Allied aircraft. The failure to reinforce the island led to the abandonment of the November offensive. On November 26, Lieutenant General Hitoshi Imamura took command of the newly created Eighth Area Army at Rabaul which included Hyakutakes command. Though he initially began planning for attacks at Lunga, the Allied offensive against Buna on New Guinea led to a shift in priorities as it presented a greater threat to Rabaul. As result, offensive operations on Guadalcanal were suspended. Though the Japanese won a naval victory at Tassafaronga on November 30, the supply situation on the island was becoming desperate. On December 12, the Imperial Japanese Navy recommended that the island be abandoned. The army concurred and on December 31 the Emperor endorsed the decision. As the Japanese planned their withdraw, changes occurred on Guadalcanal with Vandegrift and the battle weary 1st Marine Division departing and Major General Alexander Patchs XIV Corps taking over. On December 18, Patch began an offensive against Mount Austen. This stalled on January 4, 1943 due to strong enemy defenses. The attack was renewed on January 10 with troops also striking ridges known as the Seahorse and the Galloping Horse. By January 23, all objectives had been secured. As this fight was concluding, the Japanese had begun their evacuation which was dubbed Operation Ke. Unsure of Japanese intentions, Halsey sent Patch reinforcements which led to the naval Battle of Rennell Island on January 29/30. Concerned about a Japanese offensive, Patch did not aggressively pursue the retreating enemy. By February 7, Operation Ke was complete with 10,652 Japanese soldiers having left the island. Realizing the enemy had departed, Patch declared the island secured on February 9. Aftermath During the campaign to take Guadalcanal, the Allied losses numbered around 7,100 men, 29 ships, and 615 aircraft. Japanese casualties were approximately 31,000 killed, 1,000 captured, 38 ships, and 683-880 aircraft. With the victory at Guadalcanal, the strategic initiative passed to the Allies for the remainder of the war. The island was subsequently developed into a major base for supporting future Allied offensives. Having exhausted themselves in the campaign for the island, the Japanese had weakened themselves elsewhere which contributed to the successful conclusion of Allied campaigns on New Guinea. The first sustained Allied campaign in the Pacific, it provided a psychological boost for the troops as well as led to the development of combat and logistical systems that would be used in the Allies march across the Pacific. With the island secured, operations continued on New Guinea and the Allies began their island hopping campaign towards Japan.
Friday, February 14, 2020
Long-Term Care Essay Example | Topics and Well Written Essays - 1500 words
Long-Term Care - Essay Example The aging of America has helped to bring the issue of the state of long-term care system in the limelight. It was in 1988 when Presidential candidates talked in their debates for the elections while Congress first tried decisively to cobble a national policy on long-term care by introducing four major bills on long-term care financing (Kuchler 1). However, while America is aging, life expectancy has also lengthened so that more and more older people are joining the ranks of senior citizens - consequently, expanding the ranks of those who will face disability in the near future. In the past, the policy was geared towards institutional care, mostly nursing homes and residential care facilities, but now efforts are being done towards more a home-based or community-based care due to the wishes of the families of patients. Another socio-cultural force that has brought the long-term care system to its current state is the role played by informal caregivers, especially women. Women and relatives of the elderly and the disabled have traditionally been assigned the task of being the caregivers of the family. As a result of higher educational attainments, rising divorce rates, and more opportunities for women in the labor force, the long-term care system has been faced with the issue of dearth of informal caregivers. ... The shortage of care-giving professionals will continue to affect the state of the long-term care system in the future. Long-term care financing as well as delivery has been tasked as a matter of policy to Medicare and Medicaid, with the former including long-term care service only as an adjunct in case of acute illness for people with disabilities and the latter, as the institutional source of long-term care funding for very economically hard-up people. The policy has been criticized for failing to provide support for people who need long-term care service. Medicaid only could be relied on to provide long-term care when their financial resources have dried up and thus, "the system is excessively harsh" (Feder, Komisar and Niefeld 54). Partly the result of the inadequacy of the coverage of long-term care financing, most people especially from the middle classes rely on out-of-pocket expenses to pay for long-term care. It is estimated in one study that 20% of older people will spend US$25,000 from their own pockets to fund future long-term care needs (Johnson, Toohey and Wiener 2). There are continuin g policy debates on how to integrate Medicare and Medicaid and how these debates will fare in the coming years and thus shape whether the long-term care system will be up to the challenge of providing better services and financially viable options for the country. As the age group called the baby boomers or those who were born between 1946 and 1964 reach retirement age and who currently comprise more than a fourth of the American population, some have sounded alarms that this phenomenon is a healthcare crisis in the making (Achison n.p.). When this age group will become part of the population that will stop paying taxes that fund Medicare and would be
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