Reported Speech Quiz for English Learners

Dr. Miller s Heart Of Darkness - 1936 Words

Since the publication of Heart of Darkness, it has been the center of a great deal of controversy that revolves around its depiction of the natives of the continent of Africa at the height of European Imperialism. J. Miller argues that we must first read Heart of Darkness if we are to decide whether or not we should read Heart of Darkness. He also believes that Conrad himself is not racist, but rather he is ironically portraying the prevailing thought in Europe at the time of the novel. Chinua Achebe, however, argues that we do not know if Conrad is being ironically racist or not, but nevertheless his racism is present and is perpetuating the ignorant view that African society is inherently more primitive than that of Europe. This thought has rationalized the Imperialism in Africa and the world for centuries, which makes the novel inherently problematic, especially through his portrayal of African characters in the novella. According to Miller’s criticism, it is up to us wheth er or not we should read Heart of Darkness, but to decide that, we must first read it. He also insists that Conrad himself is not recounting his own experiences in Africa and his own views on what the African people are like, but rather he is sharing with us what has been brought to his attention. As such, we should look at Heart of Darkness from an unbiased perspective and take it as a literary work of art that is an expression of the view of the narrators of the story who do not necessarily holdShow MoreRelatedProphet Muhammad (Saw) the Ideal Character of Human Being !2095 Words   |  9 Pagespersons of the world believes Muhammad (pbuh) as the last messenger of Allah (pbuh) and millions of others are continuing to bear testimony to this fact. He was the one who brought has billions of people from darkness of ignorance to light. He brought peace and set of ideals to countless hearts and lives. He is the inspiration for countless people over the globe. Even today Muhammad (pbuh) motivates and induces whole masses to strive to shape their lives according to his teachings. Indeed never beforeRead MoreThe Bell Jar2368 Words   |  10 Pagesthe hospital. Even though Esther’s condition seems stable at this point, she is aware that her depression could return at any time. Critic’s reviews regarding the novel offer various points of view and ideas pertaining to The Bell Jar. Critic Diane S. Bond writes of society’s stereotypes of women, and how this was a main factor in Esther’s madness. She explains how instead of being her own person, Esther conforms to the role that is culturally engrained in society, in other words she does what sheRead MoreExegetical Paper Ephesians 6:10-204646 Words   |  19 PagesLIBERTY UNIVERSITY EXEGETICAL PAPER EPHESIANS 6:10-20 A PAPER SUBMITTED TO DR. 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Beginning with 1964s Detective Comics #327 (billed on its cover as the New Look), Schwartz introduced changes designed to make Batman more contemporary and return him to more detective stories, including a redesign of Batmans equipment, the Batmobile, and his costumeRead MoreThe taste of melon by borden deal11847 Words   |  48 Pagesunder his arm. Everybody expected to lose a certain quantity of their watermelons to terrapins and a certain quantity to boys. It wasn’t considered stealing to sneak into a man’s melon patch and judiciously borrow a sample of his raising. T h e Ta s t e o f M e l o n 131 You might get a load of salt in the seat of your pants if you were seen, but that was part of the game. You’d be looked down on only if you got malicious and stamped a lot of melons into the ground while you were about itRead MoreTranslation of Newspapers. Problems of British-American Press Headlines Translation15808 Words   |  64 Pageslittle better. (The Guardian) A Petrol bomb is believed to have been exploded against the grave of Cecil Rhodes in the Matopos. (The Times) d) Attributive noun groups are another powerful means of effecting brevity in news items, e.g., heart swap patient (Morning Star), the national income and expenditure figures (The Times), Labour backbench decision (Morning Star), Mr. Wilsons HMS Fearless package deal (Morning Star), leap into space age (Daily Worker). e) Specific word orderRead MoreStrategy Safari by Mintzberg71628 Words   |  287 Pagesmanagement needs to be opened up, not closed down; it needs reconciliation among its many different tendencies, not the isolation of each. To enrich the experience of this safari, we hope to follow up with a Guidebook. We have also prepared an Instructor s Manual to facilitate the use of this rather unconventional book in the classroom. We owe many thank-yous. Bob Wallace of The Free Press must be especially singled out. 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(1575)The Contradictions Of Profunc An Analysis Of The

(1575)The Contradictions of PROFUNC: An Analysis of the Problem of Human Rights and the Democratic Process in Cold War Canada In this political study the problem of human rights and the democratic process will be analyzed in the anti-communist contradictions of the covert Canadian operation called PROFUNC (PROminent FUNCtionaries of the communist party. PROFUNC defines a major problem with the democratic process by secretly monitoring and spying on communist party affiliates living in Canada in the aftermath of WWII. This Cold War policy not only sought to monitor communist, but it also sought to intern them in the potential WWWIII scenario with the Soviet Union. This type of policy defines a form of authoritarian type of governance that†¦show more content†¦It was a secret plan of the Canadian government to round up and imprison Canadian citizens who were communists or affiliated with communism. This plan, in hindsight, an indication of the extremes the Canadian government was willing to go through in its fight against communism (Chisholm 77). This type of secretive government program certainly defines the contradictions of a so-called democratic country, which has continually propagandized the idea of equal rights and the right of individuals to have different political ideas. The role of the RCMP actually presents a type of â€Å"police state† mentality that projects a threat to democracy as a part of human rights violations committed by the Canadian government during this time. The Cold Ear ideology of â€Å"capitalism versus communism† certainly created a hyper-reactionary dualism in Canadian politics, which viewed anyone who supported communism as an enemy of the state. PROFUNC certainly defines a concerted effort by government officials and the RCMP to monitor Canadian communists with the future potential of having them imprisoned during a time of war with the Soviet Union. Another problem with the PROFUNC program was that it was being used for monitoring and surveillance of worker’s unions and other anti-capitalist groups that did not directly support the Soviet communist ideology. Initially, the PROFUNC program was being utilized to stop the

Disease of Parkinson-Free-Samples for Students-Myassignmenthelp

Question: Discuss about Parkinsons Disease. Answer: Introduction Parkinsons disease is a movement disorder, associated with degeneration of neurons in the Central Nervous System In this case study, John Magill, a 75 year old male has been admitted to the hospital following a fall at home. He has been diagnosed with Parkinsons disease and suffering from the same for the past five years that caused generalized tremors and diminished mobility. Upon admission, he complained of hip and back pain. An X-ray analysis revealed no fractures in lower limbs. However, sustained generalized bruising was observed in hips and buttocks alongside skin tear in right hip. Johns vital parameters were found to be within normal range with the exception of respiratory rate that might have escalated due to suddenness of the situation following fall. The normal breathing rate for a person falls within the range of 14-20 that deviated for John (Wallin, 2013). A thorough analysis of his medical records reveals that he is under medications for the chronic ailment condition. F urther acquisition of his social information represented that he is dependent on his wife who takes care of him and she herself is survived with multiple myeloma like disease condition. Moreover he is also found to be a non-smoker and on raer occasions indulge in drinking alcohol. Causes of Parkinsons disease A combination of neurological, genetic and environmental factors is responsible for manifestation of the disease. A neurotransmitter dopamine is present in the corpus striatum and substantia nigra regions of the basal ganglia. It produces controlled movements. Loss of motor activity in the disease occurs due to loss of dopamine producing cells from the substantia nigra. This reduces the amounts fo dopamine. The reduction in the levels of the neurotransmitter hinders effective communication between the two regions of the basal ganglia (Benazzouz et al., 2014). This leads to movement impairment. Some genetic mutations are also associated with prevalence of the disease. Several research studies have provided evidence for the association of mutations in the PINK1, parkin, DJ-1 and LRRK2 genes with Parkinsons disease (Sanders et al., 2014). Certain environmental factors like exposure to pesticides and toxins also predispose a person to the disease. Risk factors related to health condition Several risk factors have been distinctly linked with the onset of Parkinsons disease. Some of them are heredity, age, toxin exposure and sex. Prevalence of the disease in a close relative increases the likelihood of getting affected with the condition. The disease rarely develops in young adults. It is more common ion advanced age beyond 60 years. The disease conditions worsen as the age progresses (Reeve, Simcox Turnbull, 2014). Research has shown that men are more likely to get affected with the disease than females. Furthermore, prolonged exposure to pesticides, herbicides and other toxins may also increase the risk of the disease. Clinical manifestations of health condition Parkinsons disease is a progressive neurological degeneration, the symptoms of which worsen as the disease advances. Tremor in hands is common manifestation of the disease with additional symptoms related to stiffness, slow movement and loss of balance. Tremors in limbs, hands or due to postural difficulties might occur. Cognitive impairments might occur, depicted through difficulty in understanding, thinking, amnesia and dementia like condition. Till date no specific diagnostic examination has been put forth to detect the disease. However, neurological examinations are routinely performed to detect the disease. In case a person exhibits any two of the symptoms associated with rigidity, tremor and bradykinesia or slow and retarded movement, the presence of Parkinsonism is usually confirmed (Adler Beach, 2016). Physical assessment of health condition Physical assessment studies confirm that the essential feature of Parkinsonism is display of tremor at rest. Muscular stiffness in combination with contraction lead to rigidity in the muscles. Other diagnostic symptoms are body fatigue, sleep disturbances, speech impairment and masked facial expression. Certain sensory disturbances like depression or anxiety related mood disorders and urine inconsistency may also occur. The handwriting of the affected person gets changed (Micrographia). Other related symptoms encompass swallowing difficulty, constipation, weight loss and falls (that lead to injury). Some physical examinations also reveal the presence of oily skin and postural hypotension in patients. (Lee Koh,2015). Medical management of health condition Treatment concerning Parkinsonism is often related to relieving the signs and symptoms of the disease rather than focusing on eliminating the chief causes. It may be achieved in the following three ways: Pharmacological: Restoration of supply of dopamine neurotransmitter to the brain is promoted through administration of certain medications that include drugs like Levodopa, Benzhexol (Artnae), Selegiline (Eldepryl) and others. Following prolonged application of the drug, potency of the drug might be decreased and side effects might occur that may be reverted on withdrawing the medicine for some time and restarting the drug regime at later hour (Agndez et al., 2013). Non-pharmacological: Non-drug therapies are significant in providing treatment. These interventions include educating and counselling the caregivers and the patients. Information is generally provided on drugs like riswperidone, metoclopramide and prochlorperazine, which should be avoided owing to their dopamine blocking activity. Physiotherapy and physical training programs are promoted among patients to increase their fitness, gait, posture and wellbeing (Bloem, de Vries Ebersbach, 2015). Surgical: Deep brain stimulation approach is directed to stimulate through delivery of specific current and cause destruction of the brain tissues that are responsible for generating abnormal functions through placement of electrodes in areas such as thalamus or subthalamic nuclei or globus pallidus (Szlufik et al., 2016). Another novel technique include the introduction of human foetal dopamine cell transplants in the basal ganglia region to induce the production of viable dopamine producing cells to the brain (Hallett et al., 2015). More recently repeated transcranial magnetic stimulation (rTMS) therapy is utilized to apply the magnetic field strength for stimulating the nerve cells in the brain for the purpose of improving the symptoms of the disease (Flamez et al., 2016) Nursing Care Plan Nursing Diagnosis Goal Intervention Rationale Evaluation Impaired speech with soft voice that causes the slurring of speech making it incoherent and difficult to understand Improved response for better communication and expression of thoughts Introduction of speech improvement exercises Customized speech therapy program in consultation with the speech therapist through referral Analysis of the efficiency of treatment on speech impairment progression through examination of text reading, syllable repetition, phonation and monologs (Rusz et al., 2013). Improvement in voice quality, pitch, variability and articulation was observed after 2 years of the therapy. Restricted mobility due to tremors Improved mobility Educating the patient to maintain erect posture with feet separated and arms swinging Observation of simple stretching and strengthening exercises such as walking, performing aerobic exercise and swimming Conscious efforts to maintain normal gait minimize the chance of loss of balance and fall Complications and adversities such as pain and loss of coordination due to Parkinsonism may be curtailed following exercise regime (Rafferty et al., 2017) Slight but significant improvement in mobility is noticed within 1 week Discharge Plan A proper discharge plan for John will cater to addressing the essential needs pertinent to his condition. Management and effective operation of the activities of daily living must be ensured through proper education and cascading of information to the patient as well as his caregiver at home. John must be made aware of the precautions he needs to take to prevent further fall accidents. He must be taught to adhere to the prescribed medications and conform to proper diet to maintain his health and wellbeing. A written chart may be provided to him mentioning the schedule of taking the medicines for ease of understanding. It is also imperative to keep the home environment proper so that hazards and risks may be avoided largely. Small renovations should be made to assist the patients. Such changes include removal of any potential obstacles form the room that can lead to a fall, having nonslip mats in bathrooms, installing more lights in the house and building railings along the walls to h elp the patient maintain balance (Canning et al., 2015). Expert opinion and customized recommendations from concerned experts related to maintenance of mobility, diet and speech may be sought from physical therapist, dietician and speech therapist respectively. Conclusion Parkinsons disease is referred to as a debilitating neuro-degenerative disease that exacerbates with progressive age. Tremors in the limbs are the commonest detectable symptoms of the disease although the root cause has not yet been unraveled. Restricted mobility significantly thwarts daily activities of the patient thereby posing challenges to his quality of life. Therefore, conduct of proper nursing diagnosis to drive necessary interventions is imperative to offer prudent treatment options for the concerned patient. Moreover, comprehensive discharge plan might render benefits by suggesting strict compliance to prescribed medications, conforming to personal care, safety and seeking intervention from allied healthcare experts that in turn will aid in holistic improvement of the patient. References Adler, C. H., Beach, T. G. (2016). Neuropathological basis of nonmotor manifestations of Parkinson's disease.Movement Disorders,31(8), 1114-1119. Agndez, J. A., Garca-Martn, E., Alonso-Navarro, H., Jimnez-Jimnez, F. J. (2013). Anti-Parkinson's disease drugs and pharmacogenetic considerations.Expert opinion on drug metabolism toxicology,9(7), 859-874. Benazzouz, A., Mamad, O., Abedi, P., Bouali-Benazzouz, R., Chetrit, J. (2014). Involvement of dopamine loss in extrastriatal basal ganglia nuclei in the pathophysiology of Parkinsons disease.Frontiers in aging neuroscience,6. Bloem, B. R., de Vries, N. M., Ebersbach, G. (2015). Nonpharmacological treatments for patients with Parkinson's disease.Movement Disorders,30(11), 1504-1520. Canning, C. G., Sherrington, C., Lord, S. R., Close, J. C., Heritier, S., Heller, G. Z., ... O'Rourke, S. D. (2015). Exercise for falls prevention in Parkinson disease A randomized controlled trial.Neurology,84(3), 304-312. Flamez, A., Cordenier, A., De Raedt, S., Michiels, V., Smetcoren, S., Van Merhaegen-Wieleman, A., ... Baeken, C. (2016). Bilateral low frequency rTMS of the primary motor cortex may not be a suitable treatment for levodopa-induced dyskinesias in late stage Parkinson's disease.Parkinsonism related disorders,22, 62-67. Hallett, P. J., Deleidi, M., Astradsson, A., Smith, G. A., Cooper, O., Osborn, T. M., ... Schumacher, J. M. (2015). Successful function of autologous iPSC-derived dopamine neurons following transplantation in a non-human primate model of Parkinsons disease.Cell stem cell,16(3), 269-274. Lee, H. M., Koh, S. B. (2015). Many faces of Parkinsons disease: non-motor symptoms of Parkinsons disease.Journal of movement disorders,8(2), 92. Rafferty, M. R., Schmidt, P. N., Luo, S. T., Li, K., Marras, C., Davis, T. L., ... Simuni, T. (2017). Regular exercise, quality of life, and mobility in Parkinsons disease: a longitudinal analysis of national parkinson foundation quality improvement initiative data.Journal of Parkinson's disease,7(1), 193-202. Reeve, A., Simcox, E., Turnbull, D. (2014). Ageing and Parkinson's disease: why is advancing age the biggest risk factor?.Ageing research reviews,14, 19-30. Rusz, J., ?mejla, R., R?Ã… ¾i?kov, H., Klemp?, J., Majerov, V., Picmausov, J., ... R?Ã… ¾i?ka, E. (2013). Evaluation of speech impairment in early stages of Parkinsons disease: a prospective study with the role of pharmacotherapy.Journal of Neural Transmission,120(2), 319-329. Sanders, L. H., Laganire, J., Cooper, O., Mak, S. K., Vu, B. J., Huang, Y. A., ... Langston, J. W. (2014). LRRK2 mutations cause mitochondrial DNA damage in iPSC-derived neural cells from Parkinson's disease patients: reversal by gene correction.Neurobiology of disease,62, 381-386. Szlufik, S., Szumilas, M., Dutkiewicz, J., Koziorowski, D., Mandat, T., Slubowska, E. (2016). The impact of STN DBS on kinetic tremor in Parkinsons disease patients.Parkinsonism Related Disorders,22, e109-e110. Takizawa, C., Gemmell, E., Kenworthy, J., Speyer, R. (2016). A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinsons disease, Alzheimers disease, head injury, and pneumonia.Dysphagia,31(3), 434-441. Wallin, B. G. (2013). Intraneural recordings of normal and abnormal sympathetic activity in humans.Autonomic Failure: A Textbook of Clinical Disorders of the Autonomic Nervous System, 323-331.