Stefan’s Diaries: Bloodlust Chapter 27

My heavy-lidded eyes fought to drift open. I didnt know how much time had passed. Was it one night? Two? A week? It was dark, wherever I was. I was vaguely conscious, hearing footfalls and yelling, and once a voice that sounded like Callies, calling out my name. But one day I woke up without suddenly falling back into unconsciousness. I lifted my arms, realizing I was shackled to the wall. I had vervain burns on my arms and legs. Dried blood crusted my entire body, making it impossible for me to tell where I was wounded. Next to me, Damon was sitting with his knees to his chest. Blood covered his body, and his cheeks were gaunt. Dark shadows rimmed his sunken eyes, but a slow smile was spreading across his face. â€Å"Not so powerful now, are you, brother?† I struggled to sit up. My bones ached. The attic was soaked in a dim gray light that came from a filthy window. The padding and sniffing of a mouse sounded somewhere far across the room. It stirred a hunger inside me, and I realized that I hadnt fed since being here. In the corner, two unfamiliar guards were sitting, oblivious to our near-silent conversation. I shook my head in disgust. How could I have been so stupid? Lexi had been right. Of course she had. Callie had betrayed me. It must have been her plan all along, from the second shed noticed the ring on my finger that matched Damons. I should have realized it the moment Id seen her father in the room. How had I stepped into such a stupid, obvious trap? I deserved to be chained up like an animal. â€Å"Did you love her?† Damon asked, as if he could read my thoughts. I stared straight ahead. â€Å"She hasnt come to visit, in case you were curious,† Damon continued conversationally. â€Å"She is pretty, though in my humble opinion, you could do better.† Anger pushed my fangs into place. â€Å"Where are you going with this?† I growled. Damon gestured to the bars. â€Å"Nowhere, apparently. Excellent job on the rescue attempt.† â€Å"At least I tried,† I said, my fury ebbing and resignation flowing in its place. â€Å"Why even bother?† Damons eyes flashed. â€Å"Have I not made my feelings about you perfectly clear?† â€Å"I † I began, before I realized I had no idea where to even start. How could I tell him that rescuing him wasnt a choice? That our blood ran in each others veins, that we were bound to each other. â€Å"It doesnt matter,† I said. â€Å"No, it doesnt,† Damon said, adopting a philosophical tone. â€Å"After all, well both be dead soon enough. The question is, will you be killed by a crocodile or by a tiger? I heard Gallagher saying crocodiles are the best fight opponents, because they dont go for the kill. They drag it out.† Just then the attic door opened with a flourish, and Gallagher strode into the room, his boots echoing on the floor. â€Å"The vampires are awake!† he bellowed. The two guards hastily jumped to attention, pretending theyd been watching us the whole time. Gallagher strode toward the cage, kneeling at our eye level. His three-piece suit was impeccable, as if hed made his fortune as a financier rather than by torturing vampires. â€Å"Well, well, well the family resemblance is obvious. Im embarrassed to not have noticed it sooner.† He reached through the bars and grabbed the front of my shirt, pulling me against the side of the cage. My face clanged against the bars, and I winced as something wooden jutted into my chest. A stake. â€Å"And you almost got away with acting like a human!† Gallagher threw his head back and laughed, as if it were the most amusing thing in the world. â€Å"You wont get away withthis,† I hissed, pain ripping through my body as he dug the stake farther into my skin. â€Å"Pay attention, vampire!† Gallagher said, his lips curled back in a snarl. â€Å"You know, I think Im going to bet youre the one wholl get killed. Yes, I think that will do very nicely.† He turned toward the two guards. â€Å"Hear that? A tip from the boss. Bet on the dark-haired one,† Gallagher said, twisting the stake against my body. â€Å"I think his brother has more hatred in his belly.† I couldnt see Damons face, but I could picture the smirk that no doubt played on his lips. Gallagher snorted in laughter and threw the vervain-soaked stake to the floor. â€Å"Oh, and I dont want you using the stakes on the vampires for sport anymore,† he said in the direction of the guards. The heavyset one glanced guiltily down at the floor. â€Å"Why not?† the other asked indignantly. â€Å"Its good for em. Shows em their place.† â€Å"Because we want them in tip-top shape for their fight,† Gallagher said, his voice an exaggerated parody of patience. Then Gallagher smiled at us. â€Å"Thats right, boys. You two are going to be fighting, to the death. Its the perfect solution. Ill have one dead vampire to sell for parts, a live one for performances, and profit beyond my wildest imagination. You know, it might be sacrilege, but I say, thank God for vampires!† With that, Gallagher turned to leave the attic, slamming the door behind him. I sank back against the bars. Damon did the same, shutting his eyes. The two guards gaped at us through the bars. â€Å"I know the boss said the dark-haired one, there, but aint he lookin a little weak? My pennies are goin for that boy,† one commented. â€Å"Eh, I always go with what the boss says. Besides, aint all about size, right?† the scrawny one said, sounding affronted by the first guards implication. I slumped against the wall, closing my eyes. The hatred that my brother had for me was surely enough to want me dead. But would Damon really kill me? â€Å"Im more vicious than a crocodile, brother,† Damon said with a smile, his eyes still closed. â€Å"And this is the best piece of news Ive heard since we turned into vampires!† He laughed, long and loud, until one of the guards clambered over and, despite Gallaghers decree, jabbed him with a vervain-laced stake. But even then, he continued to laugh.

A Research On HIV Protease Inhibitors - Free Essay Example

Sample details Pages: 3 Words: 917 Downloads: 2 Date added: 2019/08/08 Category Medicine Essay Level High school Tags: AIDS (HIV) Essay Did you like this example? HIV Protease Inhibitors INTRODUCTION. Basically, HIV is a type of virus that attack the most importance part in the human body which is the immune system and eventually HIV virus will be converted to AIDS.   HIV LIFE CYCLE. We deal with HIV virus as a malicious type of viruses. The secret of their effect is how they hide their own DNA inside our bodys DNA, because this action will indirectly make our cells work as a large factory of producing more HIV cells and allowing more copies to be formed. Don’t waste time! Our writers will create an original "A Research On HIV Protease Inhibitors" essay for you Create order The clearest steps of HIV life cycle are six main stages: Binding (the attachment that occur between HIV proteins and CD4+ on the T4 cells) . Reverse transcription (by enzyme called reverse transcription that work on making DNA copy of the RNA that present in HIV cells) . Integration (the dissimulation of DNA that are related to HIV into the DNA in the human normal cells by an enzyme called integrase). Transcription (Formation of newly genetic material known as mRNA). Translation (making new viral proteins). Maturation (creating new HIV cells). WHATE IS HIV PROTEASE ENZYME?! Its a special type of enzymes that consist of 2 symmetrical subunits. The cleavage between a poly-alanine and tyrosine or protein is the unique function of this enzyme. The main action of protease is the inducement of human immune system as well. They can degenerate of any kind of pathogens that possibly enter the body. Also the can produce a defense effect by activation Toll-like receptors. Such researches shows that proteases are the aim and the primary target in a broad spectrum therapeutic sittings. After several researches, scantiest discover that Anti-retroviral drugs can improve the condition on HIV patients. In a very simple way we can define this type of drugs by saying that they are mainly exert there effect by preventing the virus from breakthrough body cells and start producing more copies. PROTEASE ENZYME STRUCTURE\ pep-statin. Pep-statin is the major and general inhibitor for all protease, and starting from pep-statin we discovered the most of protease enzyme inhibitor drugs. So the structure of pep-statin: PROTEASE INHIBITOR DRUGS STRUCTURE. Drugs that are approved from FDA are over 11 and more, but we will mention only two drugs with their structure: Ritonavir\ Norvir Structure: Indinavir\ crixivan Structure: MECHANISM OF ACTION FOR PROTEASE INHIBITOR. There mechanism of action is complicated, but the very main point in their effect mechanism that all protease inhibitor apply is about the binding to protease via an extensive network of hydrogen bonds, resulting in the drug become attach to the active site and this will prevent HIV reproduction. Unfortunately; mutations in HIV proteases occur frequently in a very short period so it limit the use of protease inhibitors drugs. A brief change in few Amino Acids can prevent the binding of drug to protease leading to broad drug resistance. The more strong binding of protease into drugs can be achieved by direct hydrogen bond with the backbone atoms of the iso-aminoacids at position 50 of the protease chain. PHARMACOKINETICS. Pharmacokinetics is all about absorption, distribution, and elimination. The protease-inhibitor drugs are absorbed in the gastrointestinal tract and they are PH-dependence drugs in their nature. The most of protease inhibitor drugs whatever classes they are; have high bioavailability that exceed 65%. There protein binding property is approximately 60% (as in indinavir drug). The metabolism action is locally occur in hepatic via CYP3A4, and related to the elimination half-life rate is detected clinically =1.8 hours. ADVERSE EFFECT OF PROTEASE INHIBITOR. As these drugs are dealing with one of the most serious type of viruses, there side effects are generally as following: Kidney stones. Alopecia (heavy hair loss, known also as baldness). Ingrown nails. Increase bilirubin level Extreme fatigue Distinctive oral ulceration Abnormal increase in cholesterol levels CLINICAL USE OF PROTEASE INHIBITOR DRUGS. Protease enzyme inhibitors drugs are used mainly for HIV treatment. Also for treating specific types of cancer as their strong ability on killing tumors cells in cutler. And by combination of protease inhibitor drugs with anti-protozoal may treat Malaria or some gastric infection. METABOLISM OF TWO DRUGS. About ritonavir metabolism, as we mentioned before in explanation, its mainly metabolism done by the action of CYP450. And its importance thing to mention that ritonavir drug is contraindication when patients are dealing also with rifalutin and trimethoprim drugs as these drugs are highly present in a concentered amount in the plasma body that is happened because of badly inhibition of oxidative metabolism. When talking about the metabolism action of Indinavir drug so its a little bit different story because of the glucuronide conjugation that occur in a very wide manner. The metabolism of this type of drugs are detected accurately by urine and feces samples collected from patients when doctors found that over 21% percent of the drug is excreted in the urine ( the amount of drug that shows an effect on the patient). This drug doesnt last for a long time in the human body when its taken, the half-life of it is approximately around 1.8 H. We should also mention that this drug will make a drug-interaction with ketoconazole drug and eventually lead to increase in indinavir concentration in the blood plasma. REFRENCES. https://www.ncbi.nlm.nih.gov/pubmed/12422251 https://www.researchgate.net/figure/Mechanism-of-action-of-protease-inhibitors_fig2_266592083 https://accesspharmacy.mhmedical.com/content.aspx?bookid=2189? §ionid=172486528 https://www.bocsci.com/pepstatin-a-cas-26305-03-3-item-84-88872.html?gclid=Cj0KCQiAw5_fBRCSARIsAGodhk_l4o__ElOzrbP5eR https://www.hiv.va.gov/patient/basics/what-is-HIV.asp https://www.cellsalive.com/hiv4.htm

F. Scott Fitzgeralds Personl Influences on The Great Gatsby

â€Å"Let us learn to show our friendship for a man when he is alive and not after he is dead.† (Fitzgerald, 1925). The Great Gatsby is a novel written by F. Scott Fitzgerald, published in 1925, and takes place in 1922. The novel greatly exemplifies the time period that it takes place in, known as â€Å"The Roaring Twenties† or â€Å"The Jazz Age†. One way of exemplification is prohibition and the Volstead Act. According to David J. Hanson from Potsdam.edu, the Volstead Act, which took place in 1919, established National Prohibition of alcoholic beverages (Hanson, 2013). Fitzgerald made his characters Nick Carraway and Jay Gatsby very similar to himself. Like Gatsby, Fitzgerald too was in love with a girl of a higher social class. She had money, and he didn’t. Daisy told Gatsby that rich girls don’t marry poor boys, so he went and made some money and got rich, then went back for Daisy. Both of them had a ‘golden girl’ that lik ed them, but wouldn’t marry them because they had no money. They both fell in love with their golden girl while stationed in the military. Fitzgerald wrote his book in order to make money to impress his soon to be wife, Zelda. He didn’t even want to sign a deal with the publishers to make a percentage of the profits, he just took some money up front and let the publishers keep all the money that the book made. Nick Carraway is also similar to F. Scott Fitzgerald. Like Carraway, Fitzgerald believed that people on the East Coast had lost all of their

Analysis Of Beowulf And The Three Battles - 725 Words

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As stated in the text, The captain of evil discovered himself in a handgrip harder than anything he has ever encountered in any man on the face of the earth, (749-752). Grendel was notably being overpowered. He was overwhelmed, manacled tight by the man who of all men was foremost and strongest in the days of his life, (787-789). The two quotes show the strength of Beowulf being that Grendel has never come across anything so powerful. To sum up, the fight between Beowulf and Grendel showsShow MoreRelatedEssay about Beowulf Battles: The Death of Comitatus1101 Words   |  5 Pagesepic poem of Beowulf, written by an unknown monk in about 725 AD, the Anglo-Saxon virtue of comitatus is displ ayed as a slowly dying aspect of life. Comitatus is the basic idea that everyone protects the king at all costs even if it means a warrior giving up his own life, and if a king is killed, the warriors must avenge the death of the king or they can no longer serve as warriors for the next king. 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A Pastiche continuing from Part I of Franz Kafkas Metamorphosis Essay Example For Students

A Pastiche continuing from Part I of Franz Kafkas Metamorphosis Essay The following passage is a scene between Grete and her father her mother will not be in this scene. Her father is struggling to comprehend Gregors metamorphosis but is more concerned about how the family will survive monetarily whilst Grete quietly mourns her brothers transformation. My intention was to capture the boorishness of Gregors father which we see later on in the story when he flings an apple at Gregor, fatally wounding him. Gregors father is a somewhat defeated man due to the failure of his business and so, whilst his son works at a demoralising place with an unsatisfactory job, he lounges about. This may be due to his ill health but after Gregors transformation he does manage to regain his confidence and desire to work. This is partly represented by his smart blue uniform with gold buttons replacing his old overcoat. Indeed the gold buttons could be seen as a sign of his replenished sense of pride. Grete has a good relationship with her brother and cared for him deeply, as seen early on in the text. Gregor is locked in the room and she asks him, Oh Gregor? Are you not well? Can I bring you anything? Despite initially being fearful of the cockroach, she takes on the role of Gregors carer. Gregor believes that the reasons for Grete assisting him are a mixture of devotion, due to the memory of their relationship, and her youthfulness. Grete flourishes as a person and displays her ability to take on the responsibility of dealing with a dilemma such as Gregor. This is unlike her parents who, in the text, seem incapable of dealing with the issue themselves. In the passage we also see Grete with her violin. This is a symbol of the strong relationship between Grete and her brother since he admires her music to the point where, as it states later on in the text, he wishes to send her to the Conservatorium. This seems to be the only way in which both Gregor and Grete rebel as, their pare nts disliked even innocent references to the Conservatorium. My aim is to capture Kafkas use of simple and clear prose. The resonance of the declarative opening line, When Gregor Samsa awoke one morning from troubled dreams, he found himself changed into a monstrous cockroach in his bed, is perhaps the only startling or unexpected line in Metamorphosis and my pastiche has been written to continue with this lack of eventfulness. In the text speech is always followed by actions and so I have tried to emulate this narrative style of writing in my characterisation of Grete and her father. Kafka employs this style of writing through the use of an omniscient third-person. This is particularly true in regards to Gregor but in my passage I employ this technique for Grete and her father. The opening paragraph is also very long so as to annunciate the characters confusion, as Kafka does for Gregor who remains in a constant state of confusion due to his state. In this pastiche I have also touched on a theme that appears in Metamorphosis; that of the effect of financial hardships on relationships. In the text, Gregor is merely seen as a means to make money and so when he undergoes a metamorphosis, he is treated with contempt. In my passage I have shown this contempt through Gregors father as he is the main reason why Gregor had to do a job he hates in the first place. Furthermore, I will highlight the fact that income is the most important issue according his father and this makes up a large part of his dialogue with Grete in the pastiche. This is to mimic way in which Kafka highlighted the fact that the characters are only deemed valuable as long as they can maintain a salary. .u781f8085ed9b9b410b504a81e5ed9508 , .u781f8085ed9b9b410b504a81e5ed9508 .postImageUrl , .u781f8085ed9b9b410b504a81e5ed9508 .centered-text-area { min-height: 80px; position: relative; } .u781f8085ed9b9b410b504a81e5ed9508 , .u781f8085ed9b9b410b504a81e5ed9508:hover , .u781f8085ed9b9b410b504a81e5ed9508:visited , .u781f8085ed9b9b410b504a81e5ed9508:active { border:0!important; } .u781f8085ed9b9b410b504a81e5ed9508 .clearfix:after { content: ""; display: table; clear: both; } .u781f8085ed9b9b410b504a81e5ed9508 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u781f8085ed9b9b410b504a81e5ed9508:active , .u781f8085ed9b9b410b504a81e5ed9508:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u781f8085ed9b9b410b504a81e5ed9508 .centered-text-area { width: 100%; position: relative ; } .u781f8085ed9b9b410b504a81e5ed9508 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u781f8085ed9b9b410b504a81e5ed9508 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u781f8085ed9b9b410b504a81e5ed9508 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u781f8085ed9b9b410b504a81e5ed9508:hover .ctaButton { background-color: #34495E!important; } .u781f8085ed9b9b410b504a81e5ed9508 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u781f8085ed9b9b410b504a81e5ed9508 .u781f8085ed9b9b410b504a81e5ed9508-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u781f8085ed9b9b410b504a81e5ed9508:after { content: ""; display: block; clear: both; } READ: Play of social criticism EssayPastiche: With her mother having retreated to her bed in order to recover from the sight of the cockroach, Grete went into her room herself and had barely closed the door when her father came hurrying in, closing the door shut. His eyes were red but before he could say a word Grete said, quite calmly: Mother is in bed, I ought to be bringing her some medicine. Grete walked to her drawer and extracted from it the medicine that she kept for her mother. Making her way to the door, her father stopped her. That can wait, replied her father. I fear there are more pressing issues at hand. Taking in what her father had just said, Grete silently proceeded to open her wardrobe and retrieved the fragile case in which was her violin. Must you bring that out? her father asked. She sat on her bed and opened the case to reveal the violin, which was free of the hardships experienced by its case. Grete took the violin out of the case and plucked the strings, making sure that they were note perfect. However, her distraction proved temporary as her father took the violin out of her hand and placed it firmly in its case. Snatching his daughters hand he stared at her with puffy eyes and hissed: Your brother is sick, in case you didnt notice, music at this time is somewhat inappropriate. As these words left his lips her father slumped onto the floor, once again in tears. Not wanting to look at her father, Grete placed a solitary hand on his shoulder and stared at the ceiling. There was a cobweb in one of the corners. Looking at the cobweb she once again saw the repulsive image of the cockroach which had replaced her brother. Finally looking at her father, she studied his broken face and began to weep. But her tears were not for her father but for her brother whom she imagined was most likely bewildered and in pain, after her fathers brutish attack. Her mind then turned to the image of her mother fainting after the shock of seeing her son and sole breadwinner turned into a monstrous state. No doubt she would blame herself and her husband for finally destroying Gregor. Grete herself knew that he was always never content with having to spend his days travelling, selling goods of little use. But no, that wasnt her brother, it couldnt be. What man wakes up to find that he has turned into a cockroach? Perhaps it was all an elaborate joke though Gregor was never one to joke. Perhaps he had fled and instead replaced himself with a cockroach, in rebellion for their over-reliance on him. But she had seen that vile thing and it could only have been her brother. Of course, she could not comprehend a single thing that came out of his mouth but still that cockroach was surely Gregor. The way it pursued that clerk was Gregor through and through. Always trying to reason, always having to plead his case. Grete removed her hand from her fathers shoulder and walked to her drawer. From it she took out the medicine which she kept for her mother and went to her bedroom. After giving her the medicine Grete went back to her room to find her father pacing the room. Since that cockroach is of no use, we will have to find some way to forge an income, he said calmly. God knows what caused this monstrosity to be bestowed on our family but we must not allow this burden to be the ruin of us. Grete remained silent and this annoyed her father. Perhaps this is a sign of things to come. Perhaps I can start afresh, all of us in fact. Mr Samsa looked at his daughter and with mild regret, wished that she had been born a man. You could perhaps put down that violin and find some work, he said pointedly. It is about time that you helped to reduce our debt. Grete didnt bother to conceal her raised eyebrow and for a second Mr Samsa considered throwing an object at his daughter. Deciding against this, however, he merely took her violin out of its case and stared at it. Grete eyed her father and said, Father, as repulsive as that thing may be, it is my brother. Please do not strike it again. At this her father scoffed and stared in Gretes direction, hands clasped together. That creature you speak of so lovingly is no more your brother than I, he retorted bluntly. Mr Samsa stood up and made for the door. .u3a9f4e2f550418b0744814aca1db92b1 , .u3a9f4e2f550418b0744814aca1db92b1 .postImageUrl , .u3a9f4e2f550418b0744814aca1db92b1 .centered-text-area { min-height: 80px; position: relative; } .u3a9f4e2f550418b0744814aca1db92b1 , .u3a9f4e2f550418b0744814aca1db92b1:hover , .u3a9f4e2f550418b0744814aca1db92b1:visited , .u3a9f4e2f550418b0744814aca1db92b1:active { border:0!important; } .u3a9f4e2f550418b0744814aca1db92b1 .clearfix:after { content: ""; display: table; clear: both; } .u3a9f4e2f550418b0744814aca1db92b1 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u3a9f4e2f550418b0744814aca1db92b1:active , .u3a9f4e2f550418b0744814aca1db92b1:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3a9f4e2f550418b0744814aca1db92b1 .centered-text-area { width: 100%; position: relative ; } .u3a9f4e2f550418b0744814aca1db92b1 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3a9f4e2f550418b0744814aca1db92b1 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3a9f4e2f550418b0744814aca1db92b1 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u3a9f4e2f550418b0744814aca1db92b1:hover .ctaButton { background-color: #34495E!important; } .u3a9f4e2f550418b0744814aca1db92b1 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3a9f4e2f550418b0744814aca1db92b1 .u3a9f4e2f550418b0744814aca1db92b1-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3a9f4e2f550418b0744814aca1db92b1:after { content: ""; display: block; clear: both; } READ: How is Love Described in 'How do I love thee' by Elizabeth Barrett Browning and 'Remember me' by Christina Rossetti EssayTurning around, he addressed Grete saying: As I said before, I suggest you look for work, we are going to need to support ourselves. At that he left, closing the door behind him. Grete fell onto her bed but she did not weep. Contemplating what had become of her family over the years, she sat down. Her mother seemed to be getting weaker and weaker and her brother was a cockroach. As for her father, well it seemed that this would inevitably push him into a further decline. Grete turned her head and saw her violin case, slightly ajar. She went over to it an d corrected the violins position, closed the case and put it back in her wardrobe. She sighed and thought about something Gregor had said. Smiling she said to herself: He is right; perhaps it is time I got married. She then made her way to the kitchen, to get some milk for Gregor.

Disrespect of Human Rights Essay Example For Students

Disrespect of Human Rights Essay Disrespect of Human Rights Essay The American community, especially in the wake of the atrocities on September 11th, has been wholly absorbed by images broadcast on network television. Unfortunately, many issues have been fully discounted. I feel that at least one issue must be addressed to a larger extent on a national level. The violation of human rights abroad should be given more attention, especially in civil conflicts. I feel that this moral issue is central to many of the deepest interests of the American public. The loss of the United States seat on the United Nations Department of Human Rights brought some focus into this arena as journalists dismissed the removal as contradictory, unjust, and flat out ignorant. They somewhat addressed human rights concerns, but did not deal directly with any regimes. The main brunt of the argument was the United States should be allowed to come back. That debate has cooled, while the coverage of human rights has cooled even more. Publications such as Human Rights Watch and Amnesty International give excellent coverage of these abuses. Unfortunately, they are solely limited to their respective websites and are only occasionally referenced by national media source like CNN. Nearly everyone in America can remember at least one human rights violation in their time: Tiananmen Square, the Hutu/Tutsi massacres, or even Slobodan Milosevics ethnic cleansing in the Former Republic of Yugoslavia. It seems that the whole array of human rights issues is universally overlooked, but especially by American television broadcasting companies. I feel the violence in Zimbabwe under the ruthless, power hungry Robert Mugabe must be more publicly discussed. Also, there are violations in Angola, Sierra Leone, Cuba, China, Mexico, Brazil, and even the American prison system. I feel a simple catch phrase must be remembered: Humans abroad are being massacred and do not even have some of the most fundamental rights. I concede, as Michael Ignatieff of Harvard University writes, that individualism inside America has probably shaped my views on human rights. Many Middle Eastern regimes are critical of the issue of human rights as a universal norm. However, as Ignatieff continues, human rights are still necessary worldwide to protect individuals from the abuses of group authority. As an individual, I realize that I cannot cause sweeping policy changes. I do not expect a sweeping protest as a result of increased attention nor immediate action by the Congress. Some may see my views as extremist or overly idealistic. However, I still feel it is imperative to address these concerns. I feel that paying more attention to human rights abuses and the lack of human rights in many governments, including the United States itself must be a priority. I feel it is imperative to address this issue on a national level. Not everyone is removed from the issue of human rights abuses, but I still feel that the greater part of America is inadequately aware of the basic status quo of the their fellow world citizens. Violations of human rights deserve far more than simple attention, but attention is certainly a start. A coincidental article was written by Ignatieff in the New York Times a day after I published this essay: Is the Human Rights Era Ending? Michael Knight, February 4th 2002 emailprotected Copyright 2001 MikeKnight.com All rights reserved. .

Patient Tracer Summary free essay sample

In order to be compliant with Joint Commission standards for Record of care, Treatment and services an assessment was done which is outlined below. Introduction The admission assessment is the fundamental baseline assessment which begins the process of assessment, diagnosis, planning, intervention, and evaluation. This assessment is a critical first step in the patient’s care and serves as the first complete introduction the nurse has to the patient. During this process, the nurse assesses the patient from head to toe and establishes a baseline assessment. This provides a point of reference for other nurses to compare against to see if the patient’s condition is improving or declining. The history and physical also points out problem areas to the nurse, which allows him or her to write a care plan that will guide the nursing staff in their care of the patient. For example, a patient may be admitted for excessive uterine bleeding, but during the assessment the nurse notes that the patient has experienced significant weight loss and is at risk for skin breakdown because she has poor skin turgor, and is immobile and incontinent. We will write a custom essay sample on Patient Tracer Summary or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The nurse would write a care plan on the bleeding as it relates to, additionally, the nurse could write a care plan on the patient’s risk for skin breakdown and nursing interventions to reduce the patient’s risk for developing a decubitus ulcer. The nurse could also make a referral to the dietitian to help with the patient’s nutritional status. In response to this assessment an action plan was formulated to investigate the entire care-planning process: the initial assessment form, how it was used, what conclusion it rendered, and how the care plan was activated and reevaluated. The nursing team involved the SDS nurse, OR nurse and PACU Nurse This initial involvement of the team not only brought the problem to the forefront of the nurse managers’ thinking, it also initiated the development of a solution. On reviewing the nursing process as it existed and as it applied to care plans it became very clear that care planning depends upon the nursing process and the nursing process is predicated upon the baseline nursing assessment. At this point, the problem was with the initial assessment process admission assessment process and care-plan development. On examination of the existing assessment forms it was identified that nurse managers had utilized the existing form or some adaptation of the original for years. Although the staff was quite familiar with its format, it contained several identifiable flaws.  ·It had been typeset and printed internally.  ·New JCAHO standards or practice updates were often inserted wherever they could be worked into the form.  ·The form did not provide a summary section for the nurse to consolidate his or her findings in preparation for the care plan, nor did it provide a summary section for other care members to review. Improper flow of assessment on the form.  ·The form did not provide for a summary conclusion from which to develop a thorough care plan.  ·The nurses didn’t necessarily like the form, but they had been using it for many years and no changes had been recommended by management. At this point one of the issues identified was that the nursing admission assessment form nee ded to be redesigned in order to be compliant and a proper flow patient care was documented for admission right up to referrals or discharges. Corrective Action Plan: After identifying the problem a goal was set up to develop a new form that needed to be user friendly for the nursing staff, yet functional. The corrective action should include:  ·Easy flow of information and reader friendly.  ·Typesetting should be professional.  ·It should include an overall summary section for team members to review.  ·Accreditation requirements must be interwoven in natural flow within the context of the assessment and become more meaningful components to the assessment: The design of the new form was based on the following research:  ·This format would include prompts, interwoven accreditation requirements, and a summary section.  ·Nursing topics were grouped together so that it flowed logically together and the nurse only needed to indicate negative exceptions to a healthy assessment. This would also minimize charting and clarify problematic areas in the patient’s assessment. If a section was normal, a quick check box indicating â€Å"no problems noted† was provided. The form also grouped together the need for financial assistance, need for case management referral, spiritual considerations, suspected abuse and neglect, and assistance at home, as well. Prompt boxes were also designed by these sections because it was the team’s belief that referrals to case management, the business office, and social services were also important in care planning. Such referrals or at least the documentation of the referral, had often times b een missing on our old assessment form. Referrals for regulatory requirements to PT (physical therapy), OT or SLP, Nutritional counseling and spiritual considerations were looked at to identify their placement. Once the form was ready, it was reviewed by Management which included the CEO, vice-president of nursing and legal council advisor. Implementation of corrective Action Plan:  ·A training session was conduced within the nursing units to review and asses the form.  ·The staff provided favorable feedback about the new assessment process, stating that they liked it and that it saved them time. The nurses in charge of audits stated that the form helps her when she’s looking for compliance With regulatory issues  ·The Nurse working in admitting patients stated that it greatly simplified this assessment. Conclusion: The development and identification of this assessment form was a process resulting from research based on guidelines as per JHACO. The record of care, treatment and services clearly states that it should comprise of all data and information gathered about a patient from the moment he or she enters the hospital to the moment of discharge or transfer.