Which tiotropium device to use and why Essay Example | Topics and Well Written Essays - 500 words

Which tiotropium device to use and why - Essay Example Health practionaers have noted that COPD belong to large group of disease that badly injursed the lungs and airways such as chronic bronchitis, in such condition air passage that lead to the lungs gets swells and in a condition like emphysema air sacs of the lungs are badly damaged (2). Tiotropium device is green-colored small inaler and it is useful for controilling COPD, but it is not meant for curing this disease, also it does not provide any benefit instantly, but it takes few weeks to make a patient remain for 24 hours and help relief symptoms for one day (3). There are two types of Tiotropium devices, on with capsulesm which contain medicated powder termed as Tiotropium bromide, medically named as Spiriva. It is a white or yellowish powder and it has specifically for muscarinic receptors (4). Another type of Tiotropium device is a cartridge type with liquid used in therapeutic dose (1). Advantages of Tiotropium Device Asthmatic patients are benefitted from tiotropium device as it is handy and easy to carry everywhere along. Tiotropium device containing Spirivia is much effective to increase the functioning of the lungs in COPD sufferers. Another advantage of its use over other competitive devices and similar methods is that it is used only once in a day unlike other drugs those are needed to be taken at least three times in a day. The content of one capsule is 18 micrograms. Its use also decreases exacerbation that ultimately reduces hospitalization procedures for the patient (4). Disadvantages of Tiotropium Device Some of the predicted disadvantages of the tiotropium device use are that some patients can experience appearance of white patches on their mouth or throat. Sometimes, patients suffer swallowing or bitter taste problems while eating as tiotropium increases the likelihood of a sore throat. Additionally, users of tiotropium can also be subjected to problems like blurred vision

SUmmary for an article Example | Topics and Well Written Essays - 500 words

SUmmary for an - Article Example The author describes his own gradual discovery of life-threatening illness, and the implications of this for him on a personal level, and he sets this within the wider context of the human condition generally. The first major insight that the author reports is that he becomes obsessed, in a rather unpleasant way, with his own body and that it is not so much the physical symptoms of disease that affect him, as the psychological ones â€Å"its most profound effect was upon my consciousness, my self-awareness, the way I apprehended and constructed the world and my position in it† (p. 13). Murphy comments on the tendency of clinicians to diagnose psycho-somatic illness when they cannot identify any clear physical cause for the symptoms reported. There is an amusing account of a visit to a psychiatrist, whom the author dismisses with an academic remark about the proposed treatments, and an honest admission of the author’s limited understanding of the field of neurology. Throughout the article the author highlights the euphemistic use of language as a way of trying to reassure people in the face of unwelcome developments, for example â€Å"the unforgivable neologism restructuring† (p. 10) which really means financial cuts, and medical terms like â€Å"obstruction† (p. 17) which really means a tumor. This illustrates one of his main themes, which is the way that sub-groups in society using slanted definitions to pull unwary outsiders into their own mini-world in which power structures privilege the insiders. This insight relates to the theories of Talcott Parsons relating to the so called â€Å"sick role† and Goffman relating to front and back stage behavior, which explain how illness takes over the whole of a person’s life, robbing him or her of freedom and prescribing new rules and a new objective, namely to get well again. The institution imposes a new identity on the patient, and he has to adjust to its expectations. The article ends with some

Rhetorical Devices Essay Example for Free

Rhetorical Devices Essay The definition of an anecdote is a story that is very short that either explains or emphasizes a point that is trying to be made. In my speech when I was explaining that soccer has affected the paths that my life has taken including schools and friends, I used the short story of getting recruited for soccer at the high school and collegiate level, which is also where I met my best friends. In Bekah Diehl’s speech making the point that the saying â€Å"the only fear is fear itself† she said she not scared of the fear of baseballs, but rather the ball itself. The story she used was with her friends playing catch with the baseball around her. The conclusion is the final part of a speech that closes it and ties it all main points together. In the conclusion the thesis is stated, the main points are summarized, and a clincher is said to leave the audience with. The conclusion for my speech was that soccer has made me a well-rounded individual and has shaped the person that I am today. My favorite memories have included playing soccer and my teammates. When I step on the field I am free. I would not be the same person today if soccer was not in my life. In the closing of Bekah Diehl her conclusion that was her fear of baseballs is real and something she has to deal with. However, she takes comfort that her she doesn’t have a phobia of something else and that her phobia could be of something worse.

Political Comedy In The Government Inspector

Political Comedy In The Government Inspector The Government Inspector was written by Gogol in 1835 during a time when government surveillance and censorship was at its height. Tsar Nicholas was in power and his fear of revolution forced a lot of writers at the time to limit what they intended to show and in some cases stop altogether in works they were producing. The play has since been interpreted in many different ways but Gogol tells us he simply hoped to collect into one heap everything à ¢Ã¢â€š ¬Ã‚ ¦ that was bad in Russia à ¢Ã¢â€š ¬Ã‚ ¦ and laugh at the whole lot in one go  [1]  . The outcome of the play is no doubt comical, but Gogol himself was very interested in politics and I do not think he set out to denounce the system completely but to pick fun at it, among other things in Russia. There are a lot of characters and events in the play which could be interpreted as having underlying meaning to them. It does appear therefore that Gogol was satirising the imperial bureaucracy of Russia by highlighting the corruption and deception that are so apparent in the story. Gogol employed the use of humour in the story for many possible reasons. One reason was to cloud the real message that he was trying to send out, so that he could get The Government Inspector past the censorship regulation that were put in place by tsar Nicholas and enforced by the third section. The fact that The Government Inspector was allowed to be preformed at the time, despite its apparent mockery of the political system and the hidden messages was surprising. It becomes clear throughout the play that Gogol is criticising more how people treated one another. The final tableau at the end is used to show the audience that the characters in the play resemble them, and that people needed to rethink thei r moral values. It seems that Gogol thinks that the corruption and deceit which occurs in the play is happening all around him in real life, as he tells us through the governor theres nobody who hasnt got some sin on his conscience.  [2]  I believe that Gogol chose to write a comedy but on serious issues, in order to shed some light on the wrongdoings, but also to entertain his audience. The protest that arose after its first night at the Alexandra Theatre in St Petersburg in 1835 was not welcomed by Gogol, who fled from the clamour and went to Rome  [3]  . There remains much debate on Gogols intentions in creating The Government Inspector, but nevertheless by making these serious issues and denunciations of the government comical it helped him get his play past the censors and onto the stage. The political humour is presented in many forms in The Government Inspector. Many of the characters in the play provide the audience with much comedy and not one is depicted as being without fault; indeed there does not seem to be a hero. Instead Gogol presents to us very corrupted town officials, vain, naÃÆ' ¯ve women and the deceitful Khlestakov who is mistaken as the government inspector sent to the country from St. Petersburg. This mistaken identity is particularly humorous, especially when the governor greets Khlestakov in the inn where he is staying following his bankruptcy as a result of gambling. We quickly gather that the governor has the most to fear from an inspector, for his corruption is deep and his neglect of the townspeople is often highlighted. Despite this Gogol tells us in his notes that he has come up on hard work from the lowers rank of the service,  [4]  and we can infer that he is not especially a bad man. In acquiring position and status, and perhaps se eing how other men have benefited from it before him, he has been spoiled by greed and luxury. Gogol, renowned for his realism, would have been speaking directly to his audience, criticising their behaviour and their apparent readiness to give into temptation. The governors sycophantic behaviour towards Khlestakov at their first meeting in the inn is comical, and made more so by Khlestakovs belief that he has come to arrest him for not paying his bills. The use of dramatic irony throughout the play is key to the effectiveness of the humour, but also the ridiculing of the audience, who are essentially laughing at their own ignorance and folly. The town officials are portrayed by Gogol as fraudulent simpletons, and the effortlessness in which Khlestakov is able to deceive them only highlights this. It can be inferred from this therefore that Gogol is suggesting that perhaps many officials were incompetent and interested only in bettering themselves like the governor. The character of the postmaster is one who is very obviously depicted as abusing his station, as it is revealed that he often opens and reads the mail as a form of entertainment. Like many of the others he accepts bribes but is characterised as being ingenuous to the point of naivetà ©.  [5]  This character may also be representing the current state of government censorship, as he is disregarding peoples privacy and human rights by reading their private correspondence. Interestingly, it is the postmaster who uncovers Khlestakovs real identity later in the play, as he reads a letter that Khlestakov has composed to a friend revealing the whole charade in mos t mocking and humiliating language. Khlestakov, although deceiving the townsfolk, is portrayed by Gogol in a much better light than the governor and his and web of associates, including his narcissistic wife and immature daughter. The governor, it is revealed, has ignored his responsibilities in the town, taking bribes from various people and therefore allowing all the wrongdoing to continue. It would seem that this disregard of equality and justice is more offensive to Gogol than Khlestakovs taking advantage of their foolishness. Indeed Khlestakov is presented more as an opportunist than a malevolent deceiver. This criticism directed at the failure of the people in higher ranks to look after those below them is initially hidden from the audiences immediate understanding by the use of comedy. In this way the comedy utilised in the play could be seen as serving as a smoke-screen, making it more light-hearted by protecting the real messages of corruption and inequality. It became apparent to me in my study of the play that Gogol was asking his audience to examine their own moral code by presenting them with such dishonest and shady people and events and mocking the intense bureaucracy of the Russian Government at the time of writing. I found the main message was to be introspective of yourself and re-evaluate your moral code, for the characters represent the people who hold the power to protect those below them in rank, but in their greed have become the ones who others need real protection from. Gogols derision of the Russian bureaucracy is made most obvious in Act five when the governor, upon realising that he has been duped by Khlestakov, asks the audience directly What are you laughing at? Youre laughing at yourselves!  [6]  Essentially The Government Inspector serves the audience as a warning about the future of humanity if the government and its officials continue to treat the people they are supposed to be helping with disregard and unfai rness. In addition, the epigraph of the play sums up Gogols ridiculing of the political structure in nineteenth-century Russia; If your face is crooked, dont blame the mirror.  [7]  He is saying to his audience that it is your responsibility to be a good person and to uphold your morals, and you can not blame anyone else when you are also taken advantage of and humiliated, like the governor and his other roguish associates are in the play. There are many examples in the play of Gogol using humour to criticise the contemporary political system. The title itself does not suggest a comedy because Gogol chiefly has a serious point to make, but he achieves the humour by creating ridiculous characters and placing them in laughable situations. It is made even more comical because the themes which are being displayed are so normal in human existence that many can relate it to their own experience. A good example of this is shown by the character of Anna, the governors wife. Gogol describes her in his notes as a provincial coquette and the audience sees her flirt outrageously with Khlestakov throughout the play, believing him to be a man of power and money. She is vain and uppity and these features provide the audience with much humour. For example in Act Four, after she allows Khlestakov to surround her with false flattery despite her being married, she declares to her daughter that she stands as the kind of example she ought to be following.  [8]  Her vanity and foolishness is also demonstrated in a humorous way when she believes her daughter is to be married to a high ranking government official; she tells her overwhelmed husband that she always knew she would be related to someone as great but he would not because he has have never seen decent people.  [9]  Clearly this statement holds a double-entendre, as Annas own statement encompasses herself, pointing out that neither her, nor any of the people in the governors company are decent people. The fierce satire of the Russian bureaucracy in the nineteenth century was a common theme for Gogol in his works, and The Government Inspector, interpreted by many in this genre, was only permitted to be staged thanks to the interference of Tsar Nicholas. Although realising that everybody caught it, most of all me,  [10]  he managed to observe the light-hearted nature of the play, supposing it to be harmless. It was original in its time of publication as there was no sole character who would wholly entice the sympathy of the audience, as they were all presented as individuals who were flawed by their own making. As a result of Gogols explicit criticism, the reactions following its performance were explosive despite the tsars approval. Many members of the audience, the majority of whom would themselves have been civil servants, were personally offended by the overt similarities between themselves and the visibly corrupt characters on stage. Gogol imposed upon himself a state of ex ile and fled to Rome in the late 1930s following the uproar caused by his play and the themes he chose to incorporate in it. In addition to the play being interpreted as a political comedy, The Government Inspector was seen as a piece of didactic literature, to ask the people to put an end to their own venality. This satirical approach towards the imperial bureaucracy can also be seen in many of Gogols other works, particularly in The Nose. In this story the protagonist Kovalyov wakes to find his Nose has assumed a life of its own; it refuses to be re-attached to Kovalyovs face because it now holds a higher rank than him. His vanity is highlighted throughout the play, and his greatest fear in losing his nice is that he might not be able to advance up the social spectrum. Indeed, In the outwardly crazy story lurks a serious idea: what matters is not the person but ones rank.  [11]  Again we can see evidence of an official most concerned in bettering his own position. The only character who Gogol describes without criticism is Ossip, Khlestakov servant, who we are told is cleverer than his him and therefore quicker on the uptake  [12]  than any of the other characters. He is the only serf in the play, yet he shows much more intellect than any of his superiors, and is the one who warns Khlestakov to leave before he is foiled. In his private life Gogol was similar to Dostoevsky in his beliefs in politics and religion and I do not think that he set out with the intention of denouncing the role of government. Clearly however the provincial town that is depicted in the play has been neglected by the powers from the city, and the corrupt officials have been allowed to take advantage of the people under their authority. This thought in particular peaks in scene Four, when the townspeople come to appeal to Khlestakov and tell him of the many offences the governor has committed, believing that he will be able to help them receive justice. Gogol was more concerned about the role of the individual, and the dumb tableau which appears at the end of the play, capturing the fear and surprise of the characters, helps to convey this message. Gogols instructions to hold the tableau for almost a minute and a half  [13]  would have forced the audience to really examine what was been shown to them, and then perhaps exami ne themselves in relation to it. The play therefore was intended more as a teaching tool, revealing the lack of spiritual guidance and morals in his characters than a complete mocking of politics. The use of comedy in the play was to make the performance more enjoyable for an audience and to avoid it seeming like a lecture or a sermon. In addition to this, the comedy allowed the play to advance past the censors in Tsar Nicholas reign. Gogol produced an exposer of grotesque in human nature  [14]  in The Government Inspector, and it was met by enthusiastic praise and virulent obloquy confirming his own literary vocation.  [15]   Word Count: 2, 231

MusiciansFriend.Com Essay -- Business and Management Studies:

MusiciansFriend.Com Mission Statement The mission statement for Musician’s Friend has always been "The Best for Less Shipped to Your Door." This is still their company slogan but their mission includes a lot of customer service emphasis as well. The company believes that the key to their success started with their mission statement, commitment to customers, dedicated employees that share the vision, forming partnerships and the growth of the business. Overview Musician’s Friend is an authorized dealer of thousands of products from more than 900 different manufacturers such as Fender, Gibson, Roland, and Pearl. They are the industry leader in musical equipment, information and customer service. They are open twenty-four (24) hours per day, seven (7) days per week, and have been providing the best products for less money to millions of musicians for more than 20 years. Musician's Friend offers over 36,000 products in its mail order catalogs and on its website. Some of the products include guitars, basses, keyboards, percussion, and amps, as well as recording, mixing, lighting, and Disc Jockey equipment. Hundreds of new products add to the company’s monthly supply chain as the company continues to expand its range of product inventory. In addition to their expansive inventory supply, Musician's Friend offers a money-back satisfaction and a price guaranty on every purchase. Musician’s Friend prides itself on having a top-notch staff of customer service people who are not only knowledgeable, but they also live and breathe the products in which they sell. History Musician’s Friend started out as a mail order catalog company in 1983 by Robert and Deanna Eastman, mostly carrying reusable items such as guitar strings, guitar picks, polish and polish cloths among other things. In addition, the catalog advertised some basic accessories like instrument tuners, string winders, guitar stands, music sheet stands and tuning forks. The catalog company started in the Eastman’s home in southern California with a couple of desks in their living room for the call center and order entry, which they later moved to their garage and converted it into mini warehouse of products. The company began expanding both in size and with more products and eventually relocated their business to a dairy barn in southern Oregon. The company ke... ... The Musician’s Friend is a very good example of a small business developing into a successful company that now includes large business partners. From the garage of their home, the Eastman’s were able to build their business by combining their business models, applications and services on the Internet. Thus, creating a good business model for electronic business solutions that other businesses can follow. They also became successful by utilizing their management resources such as supply chain management and customer relationship management. Musician’s Friend took their business concepts, applied it to technology and e-business and gained a rapid change, diversity and a solid foundation of managers and employees. Works Cited Cavanaugh, William. â€Å"New Definition of Diversity.† Executive Excellence, Jan 2001, Vol. 18 Issue 1, p5, 1p. Master FILE Premier on-line. EBSCO Publishing. 02/19/02 Myron, David. â€Å"Workforce Optimization.† Destination CRM, July 2002 Negri, Richard A. â€Å"Companies Link Diversity to Business Strategies.† Sept. 1999 Rabiee, Hamid, Dr. â€Å"AICTC E-Business.† July 2001. Salter, Trent. â€Å"Robert Eastman.† Musician’s Hotline. Jan./Feb. 2002.

anger :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  ANGER Anger is a healthy emotion when it is expressed appropriately. When it is not, it can have devastating effects. Anger is at the root of many personal and social problems, e.g., child abuse, domestic violence, physical and verbal abuse, and community violence. Problematic interpersonal relations may also disrupt employment activities because of the interference of anger on workplace performance. Left unchecked, anger can destroy relationships, obstruct problem solving skills, and increase social withdrawal. Anger also affects our physical health. For example, it can tax our immune system; contribute to headaches, migraines, severe gastrointestinal symptoms, hypertension, and coronary artery disease. Anger is a healthy and valid emotion. But many of us are taught not to express or show our anger. This often leaves us feeling frustrated and unable to express how we feel inside. As a result, some of us store and suppress our anger, while others may express it, but in negative and unhealthy ways. Individual counseling sessions will assist you in learning how to express and communicate your anger in positive and effective ways. Anger is 'an emotional state that varies in intensity from mild irritation to intense fury and rage,' according to Charles Spielberger, Ph.D., a psychologist who specializes in the study of anger. Like other emotions, it is accompanied by physiological and biological changes; when you get angry, your heart rate and blood pressure go up, as does the level of your energy hormones, adrenalin and/nor adrenalin. Anger can be caused by both external and internal events. You could be angry with a specific person (Such as a coworker or supervisor) or event (a traffic jam, a canceled flight), or worrying or brooding about your personal problems could cause your anger. Memories of traumatic or enraging events can also trigger angry feelings. The instinctive, natural way to express anger is to respond aggressively. Anger is a natural, adaptive response to threats; it inspires powerful, often aggressive, feelings and behaviors, which allow us to fight and to defend ourselves when we are attacked. A certain amount of anger, therefore, is necessary to our survival. On the other hand, we can't physically lash out at every person or object that irritates or annoys us; laws, social norms and common sense place limits on how far our anger can take us. People use a variety of both conscious and unconscious processes to deal with their angry feelings. The three main approaches are expressing, suppressing, and calming. Expressing your angry feelings in an assertive --not aggressive -- manner is the healthiest way to express anger. To do this, you have to learn how to make clear what your needs are, and how to get them

Fletcher Munson Curve

This means that it requires less energy to hear kHz frequencies Our ears are most sensitive to hearing 3. KHz as this is the resonance frequency of our ear canals Range of frequencies we are sensitive to are between 1 kHz and KHz (this is the frequency range that mobile phones play out) We hear low and high frequencies very poorly The db reference curve is the most flat, meaning that most frequencies appear to be at the same level. This Is why music sounds a lot better and more full when played loudly around this frequency SummaryEqual Loudness Contours show the measure of sound pressure levels in relation to different frequencies. Our ears perceive different frequencies of sound to be louder or quieter than each other even when played at the same reference level of db. Hearing Damage Tinnitus (both temporary and permanent) Tinnitus is a term used to describe the case of being able to hear sounds that are within the person's body, rather than sounds from an outside source. It often c auses a ringing In the ears, but other sounds that can be heard Include humming, buzzing ND whistling.Tinnitus can either be caused by a bully up of earwax, a mild ear infection, or also very commonly can be caused by damage to the inner ear from loud noises (usually high frequencies). Tinnitus can be prevented by best by avoiding exposure to loud noises completely, however this can prove difficult in a lot of scenarios. A more realistic approach to preventing tinnitus include reducing the time that you are exposed to loud noises, this can be done by either spending less time in sissy environments, or by taking regular breaks about every half hour for ten minutes or so.Another way to reduce the risk of getting tinnitus is by ensuring that you stay hydrated, as this makes sure that the circulation for the blood in the inner ear is kept topped up'. You can also reduce the risk of getting tinnitus by reducing the Intensity of exposure. Either turning the volume down yourself can do thi s, or If you don't have control of the volume, then you can wear earplugs. Noise Induced Hearing loss (NIL) is caused by either very loud noises for either a reef or prolonged time.The loud sounds can damage sensitive structures in the inner ear and can result in struggling or being unable to hear certain frequencies, or just partially deafening your ear(s). NIL can be prevented in the same ways as tinnitus and most other hearing problems. If you reduce the amount of time you are exposed to loud noises, or reduce the intensity of the noise by wearing ear protection, then you are reducing the risk of damaging your ears either temporarily or permanently.