Notes About Note and Its Relations

Notes About Note and Its Relations Notes About Note and Its Relations Notes About Note and Its Relations By Mark Nichol Note (from the Latin noun nota, meaning â€Å"note,† and its verb form notare, meaning â€Å"to mark or note†) is one of those wallflower words that serves many functions and is the basis of numerous compounds. Here’s a rundown of its uses. The noun note has multiple senses: It refers to a condensed or informal record, a brief comment or explanation, or a comment or reference associated with a text passage. It may apply to an informal letter quickly dashed off, a brief, focused scholarly or technical essay, or a meticulously prepared diplomatic communication. (Various types of such documents include the note collective, the note diplomatique, and the note verbale.) In fiscal connotations, note might refer to a written promise to honor a debt (a promissory note is also called a note of hand), a piece of paper money (also called a banknote), or a corporate or government bond. Note also means simply â€Å"a piece of paper,† one on which a message has been written, and people frequently write or speak of producing a note of appreciation or a note of sympathy. It’s also the basis of notelet, the technical name for the format of the greeting card. Figurative senses are of a characteristic feature (such as when a wine is described as having â€Å"a note of oak†), an analogy to the tone or resonance of a communication or an event (for example, as used in the phrases â€Å"a note of regret† or â€Å"ended on a low note†). It also denotes distinction or reputation (as in â€Å"a personage of note†) and is used in such phrases as â€Å"taking note.† A note, too, is a symbol that identifies the length and pitch of a tone, as well as the sound itself. The adjective note-perfect refers to a flawless music performance, and something notable or noteworthy is deserving of attention. As a verb, note means â€Å"notice or pay attention,† or â€Å"say or write.† Note is combined with various other words to form compounds: notebook, notepad, notepaper (but â€Å"note card†). The act of recording information is note-taking. (The insertion of the hyphen serves to prevent the visual confusion engendered by notetaking, though the noun form notetaker does not align with that style.) Several open and closed compounds exist for fiscal terms of art, such as â€Å"note payable† and â€Å"note receivable,† â€Å"note broker,† and noteholder. Words and compounds derived from the Latin root include notary (from notarius, meaning â€Å"clerk† or â€Å"secretary†) and â€Å"notary public,† the phrase denoting an official witness to the signing of a legal document (sometimes shortened to notary; either â€Å"notary publics† or â€Å"notaries public† serves as the plural form). The associated verb and noun forms are notarize and notarization; the office or state of being a notary is notaryship, and the adjective is notarial. Latin phrases preserved in English usage include two signals for special attention: â€Å"nota bene† (â€Å"note well,† often abbreviated n.b.) and notandum (â€Å"something to be noted†). Meanwhile, notae tironianae (Latin for â€Å"Tironian notes†) is a system of shorthand said to have been invented by Marcus Tullius Tiro, scribe to Roman orator and statesman Cicero. Notation is any symbolic system for presenting information; notate and notative are the verb and adjectival forms. â€Å"Note of exclamation† and â€Å"note of interrogation† are alternatives to â€Å"question mark† and â€Å"exclamation point.† Closed compounds with note as the second element include headnote, sidenote, and footnote, which refer to comments or references formatted at the top, side, or bottom of a page. Sidenote and footnote are also used figuratively to refer, respectively, to a digression or a trivial role (a person who fails to achieve greatness or an incident of only passing significance might be identified as a footnote in history). Keynote, meanwhile, denotes the most important idea or part of something (often seen in reference to a presentation or a speech considered the highlight of a conference). I often use connote (â€Å"note with†) and denote (â€Å"thoroughly note†) in discussions of definitions: To connote is to imply or suggest, whereas to denote is to specifically indicate. (The noun forms are connotation and denotation.) These verbs supplanted the now-obsolete words connotate and denotate, but to annotate (â€Å"note to†) is to add comments or notes; the product of such an effort is an annotation. (Editions of literary works that provide contextual notes are described as annotated works.) Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:When to use "on" and when to use "in"Proved vs. ProvenMankind vs. Humankind

Biography of General Dwight D. Eisenhower

Biography of General Dwight D. Eisenhower Dwight David Eisenhower (October 14, 1890–March 28, 1969) was a decorated war hero, having participated in two World Wars, holding many titles. After retiring from active duty, he entered politics and served as president of the United States from 1953–1961. Fast Facts: Dwight D. Eisenhower Known For: General of the Army in World War II, U.S. President from 1953–1961Born: October 14, 1890 in Denison, TexasParents: David Jacob and Ida Stover EisenhowerDied: March 28, 1969 in Gettysburg, PennsylvaniaEducation: Abilene High School, West Point Naval Academy (1911–1915), Command and General Staff College at Fort Leavenworth, Kansas (1925–1926)Spouse: Marie Mamie Geneva Doud (m. July 1, 1916)Children: Doud Dwight (1917–1921) and John Sheldon Doud Eisenhower (1922–2013) Early Life Dwight David Eisenhower was the third son of David Jacob and Ida Stover Eisenhower. Moving to Abilene, Kansas in 1892, Eisenhower spent his childhood in the town and later attended Abilene High School. Graduating in 1909, he worked locally for two years to aid in paying his older brothers college tuition. In 1911, Eisenhower took and passed the admission exam for the U.S. Naval Academy but was turned down due to being too old. Turning to West Point, he succeeded in gaining an appointment with the aid of Senator Joseph L. Bristow. Though his parents were pacifists, they supported his choice as it would give him a good education. West Point Though born David Dwight, Eisenhower had gone by his middle name for most of his life. Arriving at West Point in 1911, he officially changed his name to Dwight David. A member of a star-studded class that would ultimately produce 59 generals, including Omar Bradley, Eisenhower was a solid student and graduated 61st in a class of 164. While at the academy, he also proved a gifted athlete until having his career cut short by a knee injury. Completing his education, Eisenhower graduated in 1915 and was assigned to the infantry. Eisenhower married Marie Mamie Geneva Doud on July 1, 1916. They had two sons, Doud Dwight (1917–1921), who died of scarlet fever as a child, and the historian and ambassador John Sheldon Doud Eisenhower (1922–2013).   World War I Moving through postings in Texas and Georgia, Eisenhower showed skills as an administrator and trainer. With the American entry into World War I in April 1917, he was retained in the United States and assigned to the new tank corps. Posted to Gettysburg, Pennsylvania, Eisenhower spent the war training tank crews for service on the Western Front. Though he reached the temporary rank of lieutenant colonel, he reverted to the rank of captain following the wars end in 1918. Ordered to Fort Meade, Maryland, Eisenhower continued to work in armor and conversed on the topic with Captain George S. Patton. Interwar Years In 1922, with the rank of major, Eisenhower was assigned to the Panama Canal Zone to serve as executive officer to Brigadier General Fox Connor. Recognizing his XOs abilities, Connor took a personal interest in Eisenhowers military education and devised an advanced course of study. In 1925, he assisted Eisenhower in securing admission to the Command and General Staff College at Fort Leavenworth, Kansas. Graduating first in his class a year later, Eisenhower was posted as a battalion commander at Fort Benning, Georgia. After a short assignment with the American Battle Monuments Commission, under General John J. Pershing, he returned to Washington, D.C. as executive officer to Assistant Secretary of War General George Mosely. Known as an excellent staff officer, Eisenhower was selected as an aide by U.S. Army Chief of Staff General Douglas MacArthur. When MacArthurs term ended in 1935, Eisenhower followed his superior to the Philippines to serve as a military advisor to the Filipino government. Promoted to lieutenant colonel in 1936, Eisenhower began to clash with MacArthur on military and philosophical topics. Opening a rift that would last the remainder of their lives, the arguments led Eisenhower to return to Washington in 1939 and take a series of staff positions. In June 1941, he became chief of staff to 3rd Army commander Lieutenant General Walter Krueger and was promoted to brigadier general that September. World War II Begins With the U.S. entry into World War II after the attack on Pearl Harbor, Eisenhower was assigned to the General Staff in Washington where he devised war plans for defeating Germany and Japan. Becoming Chief of the War Plans Division, he was soon elevated to Assistant Chief of Staff overseeing the Operations Division under Chief of Staff General George C. Marshall. Though he had never led large formations in the field, Eisenhower soon impressed Marshall with his organizational and leadership skills. As a result, Marshall appointed him commander of the European Theater of Operations (ETOUSA) on June 24, 1942. This was soon followed by a promotion to lieutenant general. North Africa Based in London, Eisenhower soon was also made Supreme Allied Commander of the North African Theater of Operations (NATOUSA). In this role, he oversaw the Operation Torch landings in North Africa that November. As Allied troops drove Axis forces into Tunisia, Eisenhowers mandate was expanded east to include General Sir Bernard Montgomerys British 8th Army which had advanced west from Egypt. Promoted to general on February 11, 1943, he led the Tunisian Campaign to successful a conclusion that May. Remaining in the Mediterranean, Eisenhowers command was redesignated the Mediterranean Theater of Operations. Crossing to Sicily, he directed the invasion of the island in July 1943 before planning for landings in Italy. Return to Britain After landing in Italy in September 1943, Eisenhower guided the initial stages of the advance up the peninsula. In December, President Franklin D. Roosevelt, who was unwilling to allow Marshall to leave Washington, directed that Eisenhower be made Supreme Allied Commander of the Allied Expeditionary Force (SHAEF) which would place him in charge of the planned landings in France. Confirmed in this role in February 1944, Eisenhower oversaw operational control of Allied forces through SHAEF and administrative control of U.S. forces through ETOUSA. Headquartered in London, Eisenhowers post required extensive diplomatic and political skill as he endeavored to coordinate Allied efforts. Having gained experience in coping with challenging personalities while serving under MacArthur and commanding Patton and Montgomery in the Mediterranean, he was well-suited to dealing with difficult Allied leaders like Winston Churchill and Charles de Gaulle. Western Europe After extensive planning, Eisenhower moved forward with the invasion of Normandy (Operation Overlord) on June 6, 1944. Successful, his forces broke out of the beachhead  in July and began driving across France. Though he clashed with Churchill over strategy, such as the British-opposed Operation Dragoon landings in Southern France, Eisenhower worked to balance Allied initiatives and approved Montgomerys Operation Market-Garden in September. Pushing east in December, Eisenhowers biggest crisis of the campaign came with the opening of the Battle of the Bulge on Dec. 16. With German forces breaking through the Allied lines, Eisenhower quickly worked to seal the breach and contain the enemy advance. Over the next month, Allied troops halted the enemy and drove them back to their original lines with heavy losses. During the fighting, Eisenhower was promoted to General of the Army. Leading the final drives into Germany, Eisenhower coordinated with his Soviet counterpart, Marshal Georgy Zhukov and, at times, directly with Premier Joseph Stalin. Aware that Berlin would fall in the Soviet occupation zone after the war, Eisenhower halted Allied troops at the Elbe River rather than suffer heavy losses taking an  objective that would be lost after the end of fighting. With the surrender of Germany on May 8, 1945, Eisenhower was named Military Governor of the U.S. Occupation Zone. As governor, he worked to document Nazi atrocities, deal with food shortages, and aid refugees. Later Career Returning to the United States that fall, Eisenhower was greeted as a hero. Made Chief of Staff on Nov. 19, he replaced Marshall and remained in this post until Feb. 6, 1948. A key responsibility during his tenure was overseeing the rapid downsizing of the Army after the war. Departing in 1948, Eisenhower became president of Columbia University. While there, he worked to expand his political and economic knowledge, as well as wrote his memoir Crusade in Europe. In 1950, Eisenhower was recalled to be the Supreme Commander of the North Atlantic Treaty Organization. Serving until May 31, 1952, he retired from active duty and returned to Columbia. Entering politics, Eisenhower ran for president that fall with Richard Nixon as his running mate. Winning in a landslide, he defeated Adlai Stevenson. A moderate Republican, Eisenhowers eight years in the White House were marked by the end of the Korean War, efforts to contain Communism, construction of the instate highway system, nuclear deterrence, founding of NASA, and economic prosperity. Leaving office in 1961, Eisenhower retired to his farm in Gettysburg, Pennsylvania. He lived in Gettysburg with his wife, Mamie (m. 1916) until his death from heart failure on March 28, 1969. Following funeral services in Washington, Eisenhower was buried in Abilene, Kansas at the Eisenhower Presidential Library.

No topic Essay Example | Topics and Well Written Essays - 500 words - 12

No topic - Essay Example In the first place, the sender of the message was their third grade teacher, perceived as an authoritative figure – someone who effectively provides them with accurate information, knowledge and instructions. As an authority figure, the sender is perceived by the receivers of the message as credible, believable, truthful, and a role model. Since the student have known Jane Elliot as a competent teacher in their school, whatever message she relays are deemed acceptable to the students. In analyzing the receivers of the message, as the grade three students, one would deduce that they could be easily swayed to believe that blue-eyed people are the better people than brown-eyed people, especially when it was brought to their attention on the first day. With their young minds and ability to understand the issue at hand, these grade three students could easily accept as factual whatever information and instructions were fed to their minds by their teacher, who had been known to them as an authoritative figure when it comes to providing instructional information. Finally, the message was introduced appropriately by providing a background scenario where Jane Elliot first brought the subject of brotherhood. She effectively asked a question that solicited the needed response from the students. She asked: â€Å"is there anyone in this United States that we do not treat as our brothers?† (Frontline: The Daring Lesson); of which, a student replied: â€Å"Black people† (Frontline: The Daring Lesson).By introducing that the color of a person’s skin causes them to be treated differently, Jane Elliot effectively convinced the students that â€Å"it might be interesting to judge people today by the color of their eyes† (Frontline: The Daring Lesson). As such, the message that blue-eyed people are the better people than brown-eyed people (and vise versa) was easy to be relayed to the children and they responded quickly and completely because: (1)

Incidents in the Life of a Slave Girl Essay Example | Topics and Well Written Essays - 750 words

Incidents in the Life of a Slave Girl - Essay Example â€Å"Incidents in the Life of a Slave Girl† shows a clear example of the inhumane abuses placed upon slaves. It was written by the slave girl herself so that the information is firsthand. The author tells about her experiences and observations about slavery. As a girl, Harriet Jacobs was blessed to have a master who treated her well. She was not sent to the farm as would any male servant would have been treated. Instead, she was taught to do household chores and even sew. Perhaps these are instances that gave her also the privilege of having been taught by her mistress to read and write. She experienced better days compared to other slaves who would be out in the field under the heat of the sun, whipped by overseers when unable to perform well and constantly exposed to the harsh treatments of slave owners. She was even given time to play whenever her mistress perceived she was tired from sewing. This made Jacobs’ situation quite odd for a slave. She was made to enjoy l ittle joys as a child. As a result, she perceived life better than his brother did. Initially, Jacobs fancied that someday, she could gain her freedom in a manner that is praise-worthy. Unlike her brother who told her that gaining freedom is easier said than done, Jacobs held positive outlook in her life about her situation. Later in her life though, Jacobs proved his brother to be right when she experienced many bitter circumstances. First, she witnessed how her grandmother was cheated on about her mistress’ debt form her as well as her long-promised freedom. Luckily, her former master’s relative knew her well and therefore bought her when she had the chance to do so. When Jacobs served her new master, she became the object of her male master’s sexual abuses. Consequently, the master’s wife despised and hated her. Being a woman and a slave, Jacobs was vulnerable to such circumstances. The situation was true in so many circumstances as revealed by the nar rations of the author but she never dreamed of becoming a victim herself one day. She claims that she vowed to never degrade herself and the people that she loved in such a manner however her circumstances pressed her to use her womanhood. Perhaps because Jacobs thought when opportunity presented itself that her womanhood has been violated by her master anyway, that she would rather benefit from it. The author met an unnamed white man to whom she willingly gave herself to and was soon to sire her son. Whatever pressures the woman might have been is of course not for people to judge or question but this shows how a woman can use whatever she has for her own benefit. Of course this is not to praise and encourage such manner of solving problems but it shows how a woman can always be armed with the benefits of being a woman. On the contrary, it is also important to mention that the author’s being a woman has been a disadvantage because she was vulnerable to sexual abuse. It is co nsidered in this condition that male slaves are at an advantage over their female counterparts. There have been no reported sexual abuses toward them and this makes their situation better than women and if there would have been cases, they are not at a disadvantage at all because they do not become pregnant. For the women slaves though, their affairs with the opposite sex, whether consensual or not, is difficult to hide because there was a great probability of

Post Partum Haemorrhage (PPH) Essay Example for Free

Post Partum Haemorrhage (PPH) Essay Introduction: Post partum haemorrhage (PPH) is an obstetrical emergency that can follow vaginal or cesarean delivery. It is a major cause of maternal morbidity and one of the top three causes of maternal mortality in both high and low per capital income countries, although the absolute risk of death in much lower in high income countries (1 in 100,000 versus 1 in 1000 births in low income countries). Furthermore, hemorrhage is the leading cause of admission of the intensive care unit and the most preventable cause of maternal mortality. The average blood loss following vaginal delivery, caesarean delivery and caesarean hysterectomy is 500 ml, 1000ml and 1500 ml respectively. Depending upon the amount of blood loss, post partum hemorrhage (PPH) can be- âž ¢ Minor (1L) âž ¢ Severe (10g/dl) so that the patient can withstand some amount of the blood loss. †¢ High risk patients who are likely to develop post partum hemorrhage (such as twins, hydramnios, grand multipara, APH, history of previous PPH, severe anemia) are to be screened delivered in a well equipped hospital. †¢ Blood groping should be one for all women so that no time is wasted during emergency. †¢ Placental localization must be done in all women with previous caesarean delivery by USG or MRI to detect placenta accreta or percreta. †¢ Women with morbid adherent placenta are at high risk of PPH. Such a case should be delivered by a senior obstetrician. A availability of blood or blood products must be ensured before hand. Intranatal: †¢ Active management of the third stage, for all women in labour should be a routine as it reduces PPH by 60%. †¢ Women delivered by caesarean section, oxytocin 5 IU slow IV is to be given to reduce blood loss. †¢ Exploration of the utero-vaginal canal for evidence of trauma following difficult labour or instrumental delivery. †¢ Observation for about 2 hours often delivery to make sure that the uterus is hard and well contracted before sending her to ward. †¢ During caesarean section spontaneous separation delivery of the placenta reduces blood loss (30%). Management of retained placenta: This diagnosis is reached when the placenta remains undelivered after a specified period of time (usually half to 1 hour following the baby’s birth). This is done to apply pressure to the placental site. The whole hand is introduced into the vagina in cone shaped fashion after separating the labia with the fingers of the other hand. the vaginal hand is clenched into a fist with the back of the hand directed posteriorly and the knuckles in the anterior fornix. The other hand is placed over the abdomen behind the uterus to make it anteverted. The uterus is firmly squeezed between the two hands. It may be necessary to continue the compression for a prolonged period until the (during the period, the resuscitative measures are to be continued). Manual removal of the placenta: The operation is done under general anaesthesia. The patient is placed in lithotomy position with all aseptic measures, the bladder is catheterized. One hand is introduced into the uterus after smearing with the antiseptic solution in cone shaped manner following the cord, which is made taut by the other hand. While introducing the hand, the labia are separated by the fingers of the other hand. The fingers of the uterine should locate the margin of the placenta. Counter pressure on the uterine fundus is applied by the other hand placed over the abdomen. The abdominal hand should steady the fundus guide the movements of the fingers inside the uterine cavity till the placenta is completely separated. As soon as the placental margin is reached, the fingers are insinuated between the placenta the uterine wall with the back of the hand in contact with the uterine wall. The placenta is gradually separated with a side ways slicing movement of the fingers, until whole of the placenta is separated. When the placenta is completely separated, it is extracted by traction of the cord by the other hand. The uterine hand is still inside the uterus for exploration of the cavity to be sure that nothing is left behind. i) Management of third stage bleeding: In this third stage of bleeding or hemorrhage, the bleeding occurs before expulsion of placenta. Principles âž ¢ To empty the uterus. âž ¢ To replace the blood. âž ¢ To ensure effective haemostasis. Steps of management: a) Placental site bleeding: âž ¢ To palpate the fundus and manage the uterus to make it hard. âž ¢ To start crystalloid with oxytocin at 60 drops /min and to arrange for blood transfusion if necessary. âž ¢ Oxytocin 10 units IM or methargin 0.2 mg. is given intravenously. âž ¢ To catheterize the bladder. âž ¢ To give antibiotics (ampicillin 2gm.and Metronidazole 500mg. IV). b) Traumatic bleeding: The utero vaginal canal is to be explored under general anaesthesia after the placenta is expelled. ii) Management of true post partum hemorrhage: In this true post partum hemorrhage the bleeding occurs subsequent to expulsion of placenta (majority). Management: âž ¢ Call for extra help involve the obstetric senior staff on call. âž ¢ Keep patient flat and warm. âž ¢ Send blood for diagnostic test. âž ¢ Infuse rapidly 2 litres of normal saline. âž ¢ Give oxygen by mask 10-15L/min. âž ¢ Monitor the pulse, blood pressure, urine output, drug type, dose and time. B. Secondary Post partum hemorrhage: Definition: Secondary post partum hemorrhage is bleeding from the genital tract more than 24 hours after delivery of the placenta and may occur upto 6 week later. The bleeding usually occurs between 8th to 14th day of delivery. Causes: The causes of late post partum hemorrhage are- 1. Retained bits of cotyledon or membranes (commonest) 2. Infection and separation of slough over a deep cervico-vaginal laceration. 3. Endometritis and sub involution of the placental site- due to delayed healing process. 4. Secondary hemorrhage from caesarean section wound usually occur between 10-14 days. 5. Withdrawal bleeding following oestrogen therapy for suppression of lactation. Clinical Manifestation: 1. The lochia are heavier than normal recurrence of bright red flow. 2. Offensive lochia if infection is a contributory factor. 3. Sub involution of uterus. 4. Pyrexia tachycardia. Diagnosis: The bleeding is bright red and varying amount. Rarely it may be brisk. Varying degree of anemia evidences of sepsis are present. Internal examination reveals evidences of sepsis, sub involution of the uterus often patulous cervical OS. Ultrasonography is usual in detecting the bits of placenta inside the uterine cavity. Management: Principle: âž ¢ To assess the amount of blood loss to replace it (transfusion) âž ¢ To find out the cause to take appropriate steps to rectify it. Management: i) Massage the uterus if it is still palpable to bring about a contraction. ii) Express any clots. iii) Encourage the mother to empty her bladder. iv) Give an oxytocic drug such as ergometrine by intravenous or intramuscular route. v) Save all pads lines to assess the volume of blood loss. vi) If retained products of conception are not seen on an ultrasound scan, the mother may be treated conservatively with antibiotic therapy and oral ergometrine. vii) Anemia is treated with iron supplement in severe cases, blood is transfused. Nursing management of PPH: Assessment: 1. Assess maternal history for risk factors, plan accordingly and communicate to the perinatal area. 2. Assess pulse pressure, recording consistently less than 30bpm are consistent with hypertensive crisis. 3. Assess intake output chart. 4. Assess location firmness of uterine fundus. 5. Palpate the bladder distension, which may interfere with contracting of the uterus. 6. Inspect for intactness of any parineal area. Diagnosis: i) Deficit fluid volume related to blood loss as manifested by looking pale, dehydrated decrease pulse rate. ii) Acute pain related to perineal discomfort from birth trauma and physiologic changes from births as monitored by wrinkled in forehead, restlessness irritability. iii) imbalance nutrition less than body requirement related to restriction in food intake as manifested by fatigue, weakness and lethargic. iv) Sleeping pattern disturbance related to pain bleeding as manifested by drowsiness, lethargic, irritated, etc. v) Risk for infection related to birth process maintaining poor hygiene as manifested by patient’s verbal complain, irritable discomfort. Goal: i) Monitoring for hypotension bleeding. ii) Minimize the pain. iii) Improve nutritional status. iv) Improve sleep pattern. v) Reduce the risk for infection. Intervention: âž ¢ For 1st diagnosis: i) Monitor vital signs every 4 hours during the first 24 hours. ii) Assess vaginal discharge for clots and amount. iii) Maintained IV line as ordered by the doctor. âž ¢ For 2nd diagnosis: i) Assess pain level, location, duration and type also. ii) Provide comfortable position (i.e. supine position) iii) Administered medicine as prescribed by the doctor. âž ¢ For 3rd diagnosis: i) Assess the nutritional status of the patient. ii) Patient is advised to take liquid diet from 3rd day solid from 4th day. iii) Weight in monitored daily. âž ¢ For 4th diagnosis: i) Sleep pattern is assessed. ii) Provide a neat and tidy bed to the patient. iii) Unnecessary procedures avoided during sleeping period. iv) Patient is advised to discourage day time sleeping. âž ¢ For 5th diagnosis: i) Assessed the level of infection, burning sensation and frequency of urination. ii) Washing hands wearing gloves can reduce the risk for infection before doing any procedure. iii) Advised the patient to maintain the personal hygiene and also should teach how to take care of perineal area. Evaluation: i) Bleeding is reduced than before. ii) Patients pain level might be minimized. iii) Nutritional status of the patient is improved. iv) Patients sleep pattern is improved. v) Infection is controlled. Conclusion: Post Partum hemorrhage continued to be a leading cause of maternal morbidity mortality. In this patient despite identification and attempt at correction of an identified clotting disorder, major obstetric hemorrhage was not avoided. However, these factors may be unavoidable and early surgical intervention as per local protocol is recommended to minimize maternal morbidity. After studying presenting the seminar on the topic of PPH, I got a thorough idea about this disease and I am thankful to ma’am for giving me opportunity of presenting this topic. I think I can be able to import some amount of knowledge to the group I will be able to provide proper care to such patient if I got in future. Bibliography: 1. C.D. Dutta â€Å"text book of obstetrics† 7th edition, new central book agency, page no- 410-418 2. Annamma Jacob â€Å"A comprehensive textbook of midwifery Gynecological Nursing†, 3rd edition, Joypee brothers medical publishers (p) Ltd. 3. â€Å"Myhes Tex book for midwives†, edited by V. Rith Bennett Linda K. Brown, 12th edition. Page No- 462-470 4. Dr. Parulekar Shashank V., â€Å"Text book for midwives†, 2nd edition, voramidical publication. Page No- 351-356. 5. B. Basavanthappa T. â€Å"Essentials of midwifery obstetrical Nursing†, 1st edition, Jaypee Brothers medical publishers. Page No- 544-555. 6. w.w.w.urmc.rochester.eduURMCHealth Encyclopedia âž ¢ w.w.w.birth.com.auLabour Birth. âž ¢ w.w.w.rcog.org.ukHomewomen’shealth idelinessearch for a guideline. âž ¢ Bmb.oxford journals.org/..205full. âž ¢ w.w.w.ncbi.nlm.nih.gov journal listcases J/V.J;2008

Joy Luck Club Character Analysis :: essays research papers

Lindo Jong is a member of the Joy Luck Club along with Suyuan Woo, An-mei Hsu, and Ying-ying St. Clair. Lindo Jong is a mother to three children, a divorcee, and a wife to a second husband. She grew up in China, and even though her children are American, she wants them to have some Chinese character also. Lindo’s character encompasses three major traits including cleverness, being controlling, and loving.   Ã‚  Ã‚  Ã‚  Ã‚  When Lindo turned the age of two, she was engaged to marry Tyan-yu who was one year old at the time. When her family's house was destroyed by a flood, Lindo left her mother to live with Tyan-yu and his family while her’s lived with other relatives. Over a time period of about 4 years, Lindo began to forget who she was and where she came from partly because of Huang Taitai’s supervision. Since she didn’t want to be in the marriage, she cleverly devised a plot to escape from her awful commitment with Tyan-yu. She told Huang Taitai that their ancestor is going to give their family three forewarnings that Lindo and Tyan-yu should not be married. First, a black. finger-print sized mark on Tyan-yu’s back will start to eat away at his flesh. Lindo saw this mark ever since she had been sleeping with him as if they were brother and sister. Secondly, the tooth in Lindo’s mouth, which had rotted and fallen out four years ago, had disappeare d. She said â€Å"He said my teeth would start to fall out one by one, until I could no longer protest leaving this marriage.† (Tan 61) Lastly, Lindo proclaimed that the servant girl has already been chosen to be Tyan-yu’s true wife, and that a seed has already been planted into her. Unknowingly to Huang Taitai, Lindo had seen the servant girl speaking to a delivery man who had actually impregnated her. After receiving a ticket to Peking, she married Tin Jong and had three children, Winston, Vincent, and Waverly.   Ã‚  Ã‚  Ã‚  Ã‚  Waverly, her only daughter, became a national chess champion by the time she was nine years old. After she and Lindo got into an argument over chess, Waverly decided she would stop playing. After Waverly and Lindo have a chance to think about their argument, Waverly decides to play chess again. Her mother remarks with â€Å"You think it is so easy. One day quit. Next day play. Everything for you is this way.

Lord of the Flies Persuasive Essay

â€Å"Lord of the Flies† Ralph the Leader Ralph from the â€Å"Lord of the Flies† by William Golding is charismatic, athletic, and smart. He cares about how people are and what they need. He has his responsibilities in order unlike the other kids who do anything they want. He knows how to keep the kids in order so they can get work done. Ralph makes the best leader out of all the other kids. After the conch is blown, and children assemble, Jack calls Piggy Fatty.Ralph is quick to point out that his name is not Fatty, but Piggy. Everyone laughs and begins to chant his name, and Piggy becomes hurt. It is through this small conflict that Piggy becomes a target for the others, to taunt and hurt, because of his name and physical appearance. This event shows the beginnings of breakdown of the community, and Ralph is the only one that can put it back together. Ralph worked tirelessly on the tents while all of the other kids were playing in the water.Jack is a main character in â€Å"Lord of the Flies† but he is a jerk and he is obsessed on kill a pig that he chickened out of doing the first time. While Jack and the hunters are hunting they have a second job that is to keep the signal fire running. They didn’t do that while that is going on a boat comes by and if they had a signal fire they could have been saved but didn’t. Ralph confronted him at an island meeting and Jack still just wants to go hunting. Ralph was smart and nice in the beginning when he first met the boys.They made him chief because of his treats and Jack called them all together but he is mean. The little kids like Jack more because he thinks the beasties are real. Ralph knows they're not real and for the little kids not to believe that they're real. Ralph is the better leader and should always. The facts have shown why Ralph is a better leader. He cares about other people and their emotions. He has his responsibilities in order and will do it. He can lead other peo ple and to get stuff done.

Arthur Miller ‘Good’ Theatre Essay

A View from the Bridge is a post war play centred on longshoreman Eddie Carbonne. Eddie lives with wife Beatrice, and niece Catherine. The play depicts the conflict that occurs when, Italian immigrants and relatives of Beatrice, Marco and Rudolpho, come to stay with them and Rudolpho forms a romantic relationship with Catherine, eventually marrying her. It ends in a violent confrontation between Marco and Eddie. Eddie confronts Marco with a knife, but it backfires and he is stabbed to death. I am going to answer the question, â€Å"what makes â€Å"A View from the Bridge† ‘good’ theatre† by firstly analysing four main components: the characters, themes, stage directions and dramatic devices. I am going to begin with the characters. The three most important characters are Eddie, Beatrice and Alfieri. Firstly, Eddie has the leading role and the complexities of his character add many intriguing dimensions. For instance, there are his deep feelings for Catherine and their incestuous connotations. Throughout the play, Eddie’s feelings towards Catherine are made known to the audience and many of the other characters. However Eddie still seems oblivious and even though his actions strongly suggest he loves her as more than a niece, he never verbalises his feelings or wilfully admits to them. â€Å"EDDIE: What can I do? †¦ I gotta sit in my own house and look at a son-of-a-bitch punk like that – which he came out of nowhere! I give him my house to sleep! I take the blankets off my bed for him, and he takes and puts his dirty filthy hands on her like a god dam thief! Here, Eddie is getting increasingly angry, because he feels that by marrying Catherine, Rudolpho is somehow stealing from him. Miller shows this by using expletives and exclamation marks. This shows that he is protective of her in a slightly more than paternal way. When Alfieri makes the comment about Eddie marrying Catherine, it is on the surface an offhand retort to ridicule Eddie’s incredulity at Catherine marrying Rudolpho, but Eddie reacts very badly to it, because Alfieri has actually pinpointed the true nature of his feelings. However instead of acknowledging this, he shouts at Alfieri in an attempt. Here, the audience is made aware of the fact that in his own mind, Eddie is just being protective of his niece, and that any improper feelings from Catherine are deeply suppressed. Therefore, the audience is always in anticipation of the moment when Eddie vents all that suppressed emotion, which creates increasing tension. Miller puts a pause at the end of Eddie’s angry outburst because the moment of silence would allow the audience to realise the true meaning of the conversation. â€Å"ALFIERI: You know sometimes God mixes up the people. We all love someone†¦ but sometimes†¦ there’s too much†¦ and it goes where it mustn’t†¦ there is too much love for the niece. Do you understand what I’m saying to you?

Investigation of Combustion of Alcohols Essays

Investigation of Combustion of Alcohols Essays Investigation of Combustion of Alcohols Essay Investigation of Combustion of Alcohols Essay The aim of this experiment is to investigate the combustion of various alcohols. The alcohols will be burnt to heat up a test tube of water, I aim is to find out how much energy is produced when burning the following alcohols: Methanol, Ethanol, Propanol, Butanol, and Pentanol. Any form of burning is an exothermic reaction (heat is given out), this means that the reactants energy is higher than that of the product. Alcohols react with oxygen in the air to form water and carbon dioxide. Prediction: When bonds are broken, energy is absorbed by the system (endothermic) and when bonds are formed, energy is released (exothermic). When alcohols are burnt, the reaction is always overall exothermic, therefore, more energy is being released than is being consumed. Thus, my prediction is that each alcohol will burn exothermally and therefore the temperature of the water will rise. The larger the alcohol molecule, the more bonds will be broken and formed, and therefore the more heat will be produced, so I think that Methanol will be the alcohol to combust the least, followed by Ethanol, Propanol and Butanol, then finally Pentanol, combusting the most. Preliminary Work Before carrying out my final experiment, I have to carry out a preliminary experiment, to determine the most efficient method to use, and on what scale. Preliminary Results My preliminary results enabled me to decide on 30 degrees as a suitable water temperature change, as this allowed a large enough change in mass of the alcohol, but was not too time consuming. It also helped me decide to experiment with each alcohol twice, this will ensure accurate results just one could be unreliable. Apparatus * 5 Alcohols, Methanol, Ethanol, Propanol, Butanol and Pentanol. * Test tube * Thermometer * Water * Draught preventers (chemistry books) * Clamp * Heat proof mat * Measuring cylinder Method Collect and set up apparatus as shown in the diagram. Measure __ml of water in the measuring cylinder. Pour into test tube. Place thermometer in the water and record the starting temperature. Weigh alcohol container, record weight for before the experiment. Make sure all safety precautions are in place (safety goggles, heat proof mat). Ignite alcohol containers wick. When the temperature has rose 30 degrees, put out flame using lid. Weigh the alcohol container and record weight after experiment. Repeat twice for each alcohol. Variables to be kept the same * Height above the mat at which the test tube is clamped (__cm) We keep this the same because if the flame was closer to the test tubes on some, than on others, it would not be a fair test, some would obtain more heat than others. * Temperature change Changing this would leave nothing to measure how long to burn the alcohol. Results To work out the results, averages of the masses were taken from both the experiments, however, some of the end results proved to be inaccurate, therefore, only the results from the first experiment were used. Changes in mass Before (g) After (g) Before (g) After (g) Average Change/ Change in Mass (g) Methanol 181. 05 178. 63 169. 07 168. 06 1. 715 Ethanol 163. 80 161. 84 N / A N / A 1. 96 Propanol 171. 80 171. 07 N / A N / A 0. 73 Butanol 192. 78 192. 19 216. 05 215. 19 0. 775 Pentanol 174. 34 173. 69 N / A N / A 0. 65 Changes in temperature All increase by 30Â °C, except for Pentanol, the results for which were given to us, as the experiment would be too dangerous to conduct in the lesson. Before (Â °C ) After (Â °C ) Before (Â °C) After (Â °C) Change in temp (Â °C) Methanol 20 50 18 48 30 Ethanol 20 50 20 50 30 Propanol 20 50 20 50 30 Butanol 20 50 20 50 30 Pentanol 23 37 N / A N / A 14 Relative Molecular Mass Methanol CH3OH = 32 Ethanol C2H5OH = 46 Propanol C3H7OH = 60 Butanol C4H9OH = 74 Pentanol C5H11OH = 88 Fraction of moles used Change in mass/relative molecular mass Fraction of mole Methanol 1. 715 / 32 0. 053594 Ethanol 1. 96 / 46 0. 042609 Propanol 0. 73 / 60 0. 012167 Butanol 0. 775 / 74 0. 010473 Pentanol 0. 65 / 88 0. 007386 Temperature Change per mole Temp change/fraction of mole Temp change per mole (Â °C) Results I was aiming for Methanol 30 / 0. 053594 559. 764143 680 Ethanol 30 / 0. 042609 704. 076604 1298 Propanol 30 / 0. 012167 2465. 685872 1916 Butanol 30 / 0. 010473 2864. 508734 2152 Pentanol 14 / 0. 007386 1895. 477931 2770 Here is a graph to show my results Conclusions Methanol The experimental value obtained was relatively close to the ideal temperature change per mole, suggesting that the technique was followed accurately, and all went well. Ethanol This end result followed my prediction in being a larger increase in temperature than Methanol, although it wasnt quite as close to the ideal value as Methanol was. Propanol This result was unsatisfactory, it was higher than the expected (ideal) result, (an anomaly) this could be because I didnt stir the water, so the thermometer only gave the temperature at the bottom of the test tube, the nearest to the flame. Butanol This end value was also incorrect in that it was way to high, if I was to repeat this experiment, I would be sure to stir the water before taking my reading. Pentanol This was the result given to me by the teacher, it is satisfactory and seems to follow my prediction. Evaluation What can be said about this experiment is that we could have lost a lot of energy while doing it. My results arent very accurate, even the ones that were lower than my ideal results, were not all very close. This suggests that the experiment design was not suitable for measuring accurate values. This experiment had several potential flaws that effected the end results, for example the difficulty in monitoring heat loss accurately. This effected my results because energy was wasted, the water did not get all the heat from the flame, some of the heat was lost to our surroundings and so measurements and recordings could have been off. It might be an idea to have burnt our alcohol in pure oxygen to make sure that there was a complete reaction. An incomplete combustion is where there isnt enough oxygen to release the energy. If I was to repeat this experiment there are several changes I would make, I would have large pieces of foil rapped cardboard, to prevent draught, rather than using exercise books, and as I mentioned earlier, I would have stirred the water before taking my reading. In conclusion, the experiment was worthwhile as it showed the relationship between different sized alcohol molecules in a combustion reaction. However, the evidence is not accurate enough to show any other information, other than the fact that the larger the alcohol molecule the more heat is produced during combustion.

15 Quotes for a Best Man Wedding Toast

15 Quotes for a Best Man Wedding Toast If you have been asked to be the best man at a wedding, you have a wide variety of responsibilities. Some of them (like planning and attending a bachelor party)Â  are a lot of fun; others (like handling the rings) can be tricky. Perhaps the most intimidating of all your tasks will be the ritual of raising a best man wedding toast to the couple. It is said that fortune favors the brave. So instead of thinking up creative excuses to give the legendary best man wedding toast a slip, why not use a few of the following quotes to let the best man win? 15 Fun, Funny, and Sincere Quotes to Use in Your Best Man Wedding Toast As you choose quotes, be sure they really reflect your relationship with the happy couple and their personalities. Will they enjoy fun or funny quotes? Or are they more likely to appreciate a sincere and caring message? The quote you choose can set the tone for your toast. AnonymousIts not as great a day for the bride as she thinks. Shes not marrying the best man. Robert FrostIts a funny thing that when a man hasnt anything on earth to worry about, he goes off and gets married. Allan K. ChalmersThe grand essentials of happiness are: something to do, something to love, and something to hope for. Diane SolleeAny fool can have a trophy wife. It takes a real man to have a trophy marriage. Timothy Titcomb, J. G. HollandThe most precious possession that ever comes to a man in this world is a womans heart. David LevesqueYou know you are in love when you see the world in her eyes, and her eyes everywhere in the world. Rabindranath TagoreHe who wants to do good, knocks at the gate: he who loves finds the door open. Michel de MontaigneMarriage is like a cage; one sees the birds outside desperate to get in, and those inside equally desperate to get out. Brendan FrancisA man is already halfway in love with any woman who listens to him. Mark TwainAfter all these years, I see that I was mistaken about Eve in the beginning; it is better to live outside the Garden with her than inside it without her. Ronald ReaganThere is no greater happiness for a man than approaching a door at the end of a day, knowing someone on the other side of that door is waiting for the sound of his footsteps. Saint AugustineInsomuch as love grows in you, so beauty grows. For love is the beauty of the soul. Antoine de Saint-ExuperyLove does not consist in gazing at each other, but in looking outward together in the same direction. SophoclesOne word frees us of all the weight and pain of life: That word is love. Emily BronteWhatever our souls are made of, his and mine are the same.

Food and Its Impact on Health and Environment Research Paper

Food and Its Impact on Health and Environment - Research Paper Example The Double Quarter Pounder with Cheese: I have selected a very popular fast food item on the menu of fast food chains, the Double Quarter Pounder with Cheese. It is one of my favorite meals too but I have got to know many impacts it holds upon our health and long term living, also not to mention the impacts on animals and environment. A very popular documentary â€Å"Super-Size Me† was based upon the very similar issue. The maker of the documentary tries to gauge the impacts of fast food on his health and he goes on to eat McDonald’s meal every day three times for a period of 30 days. The impact it has on his health are enormous; he picks up a lot of fat and weight in the process. The doctors who had analyzed him said that he was also suffering from depression and anxiety and the meals had caused great damage to his heart. The documentary proved extremely shocking for many since it brought about the very true picture of how bad the impact of fast food is on our health. Composition of the Quarter Pounder: Now let’s delve into the ingredients of what makes a Double Quarter Pounder with Cheese so interesting. The double quarter pounder contains 4 oz. beef patty, 2 slices of cheese and a sesame seed bun. Well it is also served with barbeque and mushroom sauce on many occasions. The calories count is 740 which are very high on any scale in the world. Its nutrition grade is also D. The amounts of calories are predominantly fat and cholesterol. (Calorie Count) The Sourcing & Production of its Ingredients: The Beef Patty is composed of beef usually locally sourced depending upon the location of the food chains. The beef patty is composed of corn fed beef which gives it the crisp and color. A United Nations study has found that almost 18% of greenhouse gases come from the ranching and slaughtering of cows. Due to the various techniques of cow breeding and corn based feed, the beef is now much cheaper and fattier than ever before. (Ecoliteracy) The b eef processing is done by large conglomerates and a patty may contain meat form many different cows. The cows are bred in a very inhumane level and through different scientific treatments are grown bigger than their bones and body can sustain. After slaughtering, the beef is transported in its raw form to different places across the country where the beef is processed. The beef is processed in machines that bring together the mince and process them with corn to form patties. These patties are then hauled to local fast food producers where they are deep fried in oil and used in the burgers. The Cheese is very similar to this. Cows are given heavy dosage of stimulus and steroids to expedite milk production which not only causes diseases in animals but also decreases their life and may also transmit some of that in the milk too. The milk is then transported for further process where it is made into cheese and shipped to local food stores. Now a lot of fuel is being burnt in the process and global warming is one of the causes of fuel burning through transportation. On average a food related products has to travel almost fifteen hundred miles to reach to a store and this transportation accounts for about thirty eight thousand tons of greenhouse gas emission per annum. (Ecoliteracy) Health Impacts: 1 – Headaches The processed meat is contained in the burgers that is a cause of