Orthopedic and Musculoskeletal Disorders Essay Example | Topics and Well Written Essays - 750 words

Orthopedic and Musculoskeletal Disorders - Essay Example These children need a lot of moral support from family, and teachers should give proper counseling to students and should be sensitive towards the needs of such children with orthopedic disorders. It is very necessary that every school has a screening test for all students to detect scoliosis; teachers should especially take care of female students with scoliosis, as these children have a low body mass index and low weight. Children will also be scared of being called a scoliotic, which might have a negative effect on them, therefore it is the responsibility of the teachers to take proper care of such children and give them proper counseling to make them stronger to face such situations. Teachers of students suffering with certain limb deficiencies could try to pair such children with other students without any deficiency, so that they could help the other children during their lab classes or other practical classes which needs his involvement, in return a student with a deficiency could probably help another student who is poor in Math's might be. Whereas some children might need assistance in being mobile for example in going to the restroom or might need help while eating. Proper planning needs to be done to face such situations and certain techniques can be adopted to find out who will help such students in using the restroom or to follow a certain technique for eating. (http://books.google.com/booksid=ShVMgwSqFCgC&pg=PA598&lpg=PA598&dq=how+can+a+teacher+help+students+with+limb+deficiency&source=web&ots=G1_khw8Q5O&sig=fY20zNgN5OPM0QsvKiyFdg9ugS0#PPA598,M1). Teachers need to implement certain strategies in teaching these children, by introducing the children to phonics or, instead of such children writing, they could be asked to use the computer which would be much easier for them. The teacher should be in a position to assess such children on the basis of their response in the classroom. Teachers should also have the tact to execute certain strategies to encourage communication between her and the child. Students suffering from such orthopedic disorders might have poor motor skills, poor communication with the teacher, and inadequate practical experience in the subject, which leads to psychological problems. Teachers who have a specialization in orthopedic impairment should be appointed to teach such children, it will be helpful to the students if teachers adopt a certain strategy to teach such children, the tests or lessons can also be modified by the teachers, so that it Orthopedic and Musculoskeletal Disorders would be easier for a student with impairment to follow. Such students require assistance in their regular classes and during assignments and tests. (http://education.gsu.edu/PhysicalDis/new/article/inserv.htm) Children suffering with rheumatoid arthritis may experience severe pain in the joints, along with fever, rash and stiffness, which might make the child go through severe stress and depression.

Agreed-Upon Values that Are Lived by the Team in Twelve Angry Men Essay - 1

Agreed-Upon Values that Are Lived by the Team in Twelve Angry Men - Essay Example The team unanimously believes in this value and for that reason, it does share one aspect of a high performing team. It is expected that the team would perform well because all members agree that if the boy has committed the murder of his father, then he should be punished. However, the jury in order to punish the offender has to reach a unanimous decision. The vote of all the jurors should be either in favor or in disfavor of the death sentence. As a team, they need to reach one decision. Yes. The team does have a clear and attainable goal. The goal is to reach a vote where the tally is 9-0 and for this, they fight the entire story. For well-performing teams to function efficiently, they need to have the same vision and goal. While the vision of the team is the same and that is to reach the right decision. However, the team it seems is prejudiced from the beginning. Were it not for the case of reasonable doubt raised by Juror 8, the whole team would have reached the wrong decision. Hence the conflict raised by Juror 8 allowed the team to perform their duty with more responsibility and care. Otherwise, they would have reached the conclusion of awarding the boy a death sentence based on his background. The team does not have the skills and willingness to deal with the situation. They were ordinary members of the society and they have probably never given jury duty before. Most of them are also not willing to deal with the conflict. They want to reach the verdict as soon as possible because they want to resume their own normal life after the verdict. Because of the conflict created by Juror 8, the team members are quite willing to speak their mind. They openly criticize each other and at one point they even resort to personal criticism. They openly discussed the case and even play-acted the situation. However, this is unusual as the team had been formed for a short period of time.

Certain community Essay Example for Free

Certain community Essay Nowadays people in the universe evolved in certain ways in which changes surrounded every single minute of life breathing. As we all live our life everyday, we are in the process of storing experiences which in fact such information about each single interaction that was made in the universe was stored in our mind to provide learning. Storing information had the wider and essential coordination with learning. The things that we encounter each day which are consider the information that will become as an experience later. It is really mysterious though, how the human mind works, and how does the storing of information goes, and indeed that explains how crucial and unfathomable the exploration in dealing learning process. Where did it start? Lets try to imagine how we are when were little kiddos, we really can’t recall the things that we used to do then, that gives us the significance of who we are when grown ups. We all came from our mother’s womb and as we have given the time to see the real world and explore it, different things had shape each personalities that made us of who we are right now. Each of us had cross the path in which our mind is crafted in every level of life changing structure where in to. The process that was made when we see the magnificent world of today and was able to discover what’s the purpose of life out in this real world and as personalities is being shape; this definitely involves information in which we stored, that will mold us in to personalities we are able to become later on. Dealing with changes is information storage, which gives us the opportunities for experiences that are meaningful. The information that we learned is being reproduced for the gaining of substantial knowledge and wisdom. How about Today? Today there were rapid growths of learners who seek for more information, in order to evaluate and acquire, then use the information in more effective manner. There must be literacy skills among personalities in the society. It means that a person should have the initiative to solve problem when arises, decisions are made easier, critical and cooperative learning to pass all life’s challenges. In which every person is being trained in dealing with the societies uncertainties. There are massive forms of information stored, but learners are the captain of their minds as they go along with it. Effectiveness of the stored information is based on how uniquely each individual performs in learning, and how they are able to deal in handling situations. So what will be tomorrow? As of the present time were technologies are being introduce. That offers greater help to the humankind in storing information in the small span of time, many had believed that it’s a great help in achieving greater knowledge in the world today. Technologies are the visualization of an improved and modernized society in which tasks are now made easier and performances are made faster. Developments are now engage by sustaining the society with technologies that can provide broader and wider source of knowledge in which skills are dignified and establish in the required time. And what’s the fuzz? Technologies though had a great help in developing one’s skills, but there must be of proper care. Everyone must rely not on that, alone, it may shortened the time frame of a given task but we must be reminded that technologies are created by the human mind, it is invented, but look at the inner source, it’s the mind of a human that was put into a material to produce certain information. Everyone of us had the mind to produce technologies, but lets always keep this in mind that technologies are just machines in which quality relies on the makers and producers, in either ways in due time it will not give its purpose anymore. I do believe personally that the greatest machine is the one who made it which is our mind. Regardless of what races where raised to, and in which class we belong, surely we are given the mind of its own, capable of doing magnificent things in which we hold further as we embrace the only constant thing in life and that is changes. It’s up to us if we share or not, that enough information that will make source of an introduce technology. In which way or another we hold it as long as we still live in this world. The Impact of New Technologies The impact of new technologies in information skills especially in business is often contemplated by the variety of reasons. One thing is that it is the fastest way of communication in sharing information from one respondent to another. It is believe that these technologies will improve capabilities in an organization. However, in business there is some sort of reconsideration for the fact that it may share information’s to other sectors, that would somehow exploit it, but shared information of new technologies will always been accompanied by remedial actions of the manufacturer itself, it just need to be properly care and all important tools for the information stored will not be exploit. We belong to the fast changing world and new technologies as it is widely spread nowadays will help us improve and achieve success but only if we take precautious methods in using it. It is also helpful in joining the globalization just for the fact that globalization is for improving and fast variety of development in a certain community. New technologies will always be part of globalization it is good to cope for that matter as for businesses concerns as long as we take note of possible circumstances in indulging globalization with new technologies, proper care and guidelines of newly introduced technologies will certainly rises us from our sets, only if handled with knowledge and wisdom in those aspect.

Beta Blockers Properties Of Propranolol And Atenolol Biology Essay

Beta Blockers Properties Of Propranolol And Atenolol Biology Essay Abstract This essay reports the properties of propranolol (lipophilic ÃŽ ²1-selective blocker) and atenolol (hydrophilic ÃŽ ²1-selective blocker) in the point of view of pharmacology, pharmacokinetics, and physical chemistry. It is observed that their pharmacological and pharmacokinetic properties are different, but its physicochemical properties are relative close. Introduction to ÃŽ ²-blockers The ÃŽ ²-blockers are drugs which act by blocking the effect of mediators and agonists on the relevant receptors. The ÃŽ ²-blockers show an antihypertensive effect, which is caused by reduced cardiac output, decreased release of renin, central decrease of sympathetic action. Also, they exhibit an antianginal effect, which is caused by slowing of the heart rate and thus decreased metabolic demand. The main side effects of general ÃŽ ²-blockers are cardiac failure, such as cardiac depression, hypotension, sinus node dysfunction, atrioventricular block. The side effects depend on the properties of ÃŽ ²-blockers. For instance, non-selective ÃŽ ²-blockers show the unwanted effects caused by blocking ÃŽ ²2-receptor. These show bronchoconstriction which is potentially life-threatening in asthmatic patients and clinically undesirable in patients with other respiratory problems. Lipophilic ÃŽ ²-blockers may cause psychological symptoms, such as depression. There are some important factors in the selection of ÃŽ ²-blockers, which are ISA, MSA, ÃŽ ²1-selectivity, lipophilicity, solubility, and the duration of effects. The ÃŽ ²2-selective blockers are not used clinically, because of causing bronchoconstriction. Some ÃŽ ²-blockers show the effect of not only blocking the receptors, but also stimulating ÃŽ ²-receptors. It depends on the situation whether ISA positive ÃŽ ²-blockers stimulate or block ÃŽ ²-receptors. For example, these act as ÃŽ ²-blockers under the existence of ÃŽ ²-agonists. On the other hand, these invigorate the receptors under the non-existence of ÃŽ ²-agonists. Such an effect is termed ISA which is intrinsic sympathomimetic activity. The drugs which have ISA decrease the side effects caused by ÃŽ ²-blockers. The non-selective blocks of ÃŽ ²-receptors cause the increase in cardiac afterload and bronchocostriction, because of ÃŽ ²2-blocking. The ÃŽ ²1-selective drugs slightly have the effect of ÃŽ ²2-blocking, but the ris k of causing cardiac afterload and bronchoconstriction is lower than that of non-selective ÃŽ ²-blockers. The duration of effects depends on the disease. Long acting ÃŽ ²-blockers are desirable for hypertension and heart failure, because of the low frequency of administration. In contrast, short acting ÃŽ ²-blockers, propranolol, are ideal drugs for angina, because of the fast onset of action. As I stated above, lipophilic ÃŽ ²-blockers have a risk of causing depression. The reason is such drugs are absorbed easily, so can penetrate BBB. MSA, membrane stabilising activity, is an activity which prevents sodium ions from entering inside of cells. Many ÃŽ ²-blockers, such as propranolol, have the activity, so these are useful for arrhythmia. The properties of propranolol Propranolol is a non-selective ÃŽ ²-blocker, which is clinically used as propranolol hydrochloride. The IUPAC name is (2RS)-1-(1-Methylethyl) amino-3-(naphthalen-1-yloxy) propan-2-ol monohydrochlorid. The molecular weight is 295.80, and the melting point is around 165 degrees. It is white crystalline powder, and it is easy to dissolve in water and methanol. Also, the methanol solution doesnt exhibit optical activity. Its structural formula is following. Propranolol is absorbed from the gastrointestinal tract, its plasma level reach a peak, 42.9ng/ml, after 1.5 hours of administration. The half life is approximately 3.9 hours. The metabolism of propranolol is mainly conducted by the liver, so it is metabolised to naphthoxylactic acid, glucuronic acid conjugate, and 4-Hydroxypropranolol. It is mainly metabolised by CYP2D6, CYP1A2, and CYP2C19. As I discussed above, propranolol can penetrate BBB and transition to the brain, because of lipophilic. Its dosage amount is mostly excreted in urine within 48 hours, and the rest is excreted in faeces, which is just less than 4 percentages. Its pharmacological actions include an antihypertensive effect, an antianginal effect, and MSA. Propranolol doesnt show ISA in the experiment with using rats, so it is considered that propranolol doesnt show human ISA as well as rats. Some side effects have been reported, such as, bronchoconstriction, slowing of heart rate, and allergic. These days, a new si de effect is becoming popular, which is mental symptoms, such as depression, nightmare, and insomnia. There is the drug-drug interaction in propranol. For instance, propranolol cant use with thioridazine which is a psychotropic drug, especially for integration dysfunction symptom. The reason is the side effect of thioridazine is likely to happen, because of preventing propranolol from being metabolised thioridazine by enzymes in the liver. In the same way, propranolol cant use with rizatriptan which is a drug for migraine. Combination use with propranolol and rizatoriptan induce the extension of half life of and the increase of AUC, so increase the side effects. Also, it is essential to avoid administering rizatoriptan within 24 hours of administration of propranolol for the same reason. Its package leaflet approved by US Food and Drug Administration warns. Therefore, its administration should not be stopped suddenly. Above statement is one of the most important warnings in the usage of propranolol. Properties of atenolol Atenolol is a ÃŽ ²1-selective blocker without showing MSA and ISA, which is used for hypertension, angina, and cardiac dysrhythmias. It is sold as TENORMIN in the market. The IUPAC name is 2-(4-{(2RS)-2-Hydroxy-3-[(1-methylethyl) amino] propyloxy} phenyl) acetamide. The molecular weight is 266.34, and the melting point is around 155 degrees. It is white or light yellow crystalline powder, and it is easy to dissolve in water and methanol as well as propranolol. In addition, the methanol solution doesnt exhibit optical activity. Its structural formula is following. Atenolol is almost half absorbed from gastrointestinal tract, and the rest enter systemic circulation without getting first pass effect on the liver. Its half life is approximately 7 hours. Atenolol is little metabolised in the liver, but some are metabolised to glucuronic acid conjugate. The data shows that atenolol is low distribution to brain compared to proranolol, because its drug is hydrophilic. Therefore, it has been reported that atenolol hardly have an influence on mental symptom unlike propranolol. The excretion of oral atenolol is approximately 50% in urine and faeces respectively, but 90% of them are not metabolised. As I stated above, atenolol is a ÃŽ ²1-selective blocker, so it is little to affect bronchial tubes which is controlled by ÃŽ ²2-receptor. However, the data have been reported atenolol inhibit ÃŽ ²2-receptor at high dose. Its side effects are almost the same as propranolol. The main difference between atenolol and propranolol is the incidence of tracheal symp toms, such as bronchoconstriction and bronchial spasm. Propranolol blocks ÃŽ ²-receptors non- selectively, so causes different tracheal symptoms. In contrast, atenolol inhibits ÃŽ ²1-receptors selectively, so barely makes such symptoms happen. The sudden cessation of therapy with atenolol has a possibility of causing cardiac diseases for specific patients. Its leaflet approved by FDA cautions, The properties of ÃŽ ²-blockers in obese patients These days, the number of obese people is increasing due to high calorie foods and the decrease of exercise. It is common for obese patients to take drug therapy in clinical practice, because obesity is connected with many diseases, such as diabetes and cardiovascular disease. Therefore, it is important to identify pharmacological and pharmacokinetic properties in obese patients. Jerzy Wojcickia studied the pharmacological and pharmacodynamic properties between propranolol and atenolol in obese patients. As a result, he concluded following. Conclusion In summary, there are some differences between propranolol and atenolol from the point of view of pharmacology, because of the difference of selectivity of ÃŽ ²-receptor. In the same way, there are some pharmacokinetic differences as well, such as the duration of half life and the mechanism of metabolism and excretion. In contrast, their physicochemical properties are similar. In clinical use, there are some warnings respectively, and the common cautions are to avoid sudden discontinuation of administration. Its dosage should be progressively decreased over a few weeks in order to avoid such side effects. I studied the characters between these ÃŽ ²-blockers in obese patients. In the study, it was not observed there are the obvious differences between obese patients and non-obese patients

How does Betchman portray the weakness of English Middle Classes in Ess

How does Betchman portray the weakness of English Middle Classes in Westminster Abbey? In the poem 'In Westminster Abbey' the poet (John Betchman) speaks in from the view of a lady living in the English middle classes in the period, in which the Second World War took place. The poet has set the poem in the head of the heart of England's church, Westminster Abbey. The poet narrates to the reads the feelings of this lady and her feelings of the war, but what the poet does in mainly stereotype all women in the English middle classes at the time. In the following I shall talk about how poet portrays the weakness of the English middle classes. The poem starts of with the lady talking to god and continues through out with this lady talking to god. The poet sustains a continues rhythm through out with a regular four beats in each line, for example 'LET me TAKE this OTHER glove OFF' , this technique retains the readers interest in the poem since the this technique has been used consistently through out the poem. An additional technique that the poet has used is couplets this is another method that stays persistent through the poem, for example in the first stanza lines two and four; 'Let me take this other glove off As the vox Humana swells And the beauteous fields of Eden Bask beneath the Abbey bells.' This is another example of the poet trying to keep the reader attracted to the poem through out, and keep a persistent flow. As one reads the poem they expected to realize that that the lady has a selfish attitude, this is shown in many aspects of the poem one of which is shown in the second stanza; 'Gracious Lord, OH BOMB THE GERMANS, Spare their women for thy sake, If that is not too ea... ...mpire, this I think the poet also narrates this fact in the third stanza; 'Keep our Empire undismembered Guide our forces by Thy Hand,' Here the lady is asking God keep the Empire united and to guide them to victory. In conclusion the poet portrays a major weakness of the English middle classes in the poem 'In Westminster Abbey', although they were wealthy, well educated for the time's standards and considered as of a superior status than others. One is led to believe that they lacked the understanding and wisdom that people generally have today, also they were selfish and ironic which have learnt from lines like 'Don't let anyone bomb me' and 'If that is not too easy'. I have made these statements from the assumption that the reader is led to believe that this poem is a stereotype and a generalized view or opinion of the English middle classes.

aristotle :: essays research papers

In my opinion the consequences of our actions should play as a reminder in our effort to assess what is ethical behavior and what is not. It can be said as a reminder because, individuals may learn from their actions. The consequences of their actions are either ethical or not. Therefore, every time the individuals look back to their actions, they will remember whether the actions have left them a good result or not. Thus, they will create a habit that may help them to make choices on whether their actions are ethical or not. According to Aristotle’s theorizing of agency, there is a link between ethics and the idea of responsibility to actions performed voluntarily. Based on this explanation, individuals can actually choose their actions assessing which behavior is ethical and which one is not. Individuals live according to moral virtue, which means that they are involved in choosing actions properly. However, there is a moral question that keeps coming up, which is how the individuals choose the right course of action in any given situation. Human beings are both rational and passionate creatures. With their intelligence and emotion or desire, human beings make their decision. They realize that they have a natural function to choose what they think is right and wrong to obtain the â€Å"supreme Good.† More over if a human being follows his or her rational principle, he or she will reach the idea of a good life. The definition of a good life may be different for everyone. However, based on the Aristotle’s ethical theory, it is said that a good life is reached when individuals have fulfilled their proper natural function. There are two modes of thoughts whereby the practical mind apprehends variable, contingent truths. They are: art or technical skill and prudence or practical wisdom. The art of technical skill is the state where an individual make something with the involvement of true course of reasoning. With this skill, individuals can choose and make their decision with reasoning. Therefore, the effort of assessing what is ethical and what is not is made with this skill. Prudence or practical wisdom is where the individuals choose practical actions that are conducive to the sorts of goods. This is also where the individuals decide to take actions that are either good or bad for them. aristotle :: essays research papers In my opinion the consequences of our actions should play as a reminder in our effort to assess what is ethical behavior and what is not. It can be said as a reminder because, individuals may learn from their actions. The consequences of their actions are either ethical or not. Therefore, every time the individuals look back to their actions, they will remember whether the actions have left them a good result or not. Thus, they will create a habit that may help them to make choices on whether their actions are ethical or not. According to Aristotle’s theorizing of agency, there is a link between ethics and the idea of responsibility to actions performed voluntarily. Based on this explanation, individuals can actually choose their actions assessing which behavior is ethical and which one is not. Individuals live according to moral virtue, which means that they are involved in choosing actions properly. However, there is a moral question that keeps coming up, which is how the individuals choose the right course of action in any given situation. Human beings are both rational and passionate creatures. With their intelligence and emotion or desire, human beings make their decision. They realize that they have a natural function to choose what they think is right and wrong to obtain the â€Å"supreme Good.† More over if a human being follows his or her rational principle, he or she will reach the idea of a good life. The definition of a good life may be different for everyone. However, based on the Aristotle’s ethical theory, it is said that a good life is reached when individuals have fulfilled their proper natural function. There are two modes of thoughts whereby the practical mind apprehends variable, contingent truths. They are: art or technical skill and prudence or practical wisdom. The art of technical skill is the state where an individual make something with the involvement of true course of reasoning. With this skill, individuals can choose and make their decision with reasoning. Therefore, the effort of assessing what is ethical and what is not is made with this skill. Prudence or practical wisdom is where the individuals choose practical actions that are conducive to the sorts of goods. This is also where the individuals decide to take actions that are either good or bad for them.

1984-George Orwell How Does the Writer Use Language to Create a Sense of Place?

1984-George Orwell How does the writer use language to create a sense of place? Orwell uses a solemn tone for the foundations of anguish in the extract from Nineteen Eighty-Four. This tone is used to firstly set the scene with the use of adjectives: ‘vile’ and gritty’ to describe the poor weather. These have negative connotations and therefore allow the reader to understand the melancholy and depressing scene that is being set. The effect of the pathetic fallacy when the wind is described as ‘vile’ portrays a comfortlessness of the world around Winston but also reflects his underlying feelings of disgust with it.The irony of the name of his apartment block ‘Victory Mansions’ reiterates these feelings as ‘Victory’ implies happiness and joy when all he experiences is harshness, and ‘Luxury’ implies ease and wealth when he leads a life of dilapidation and squalor. As the description continues into the hallway of his apartment block, the sense of place is addressed by the poster on the wall. It is explained as being ‘too large for indoor display’ and depicting ‘simply an enormous face’.The size of the poster, emphasised by the adjectives: ‘large’ and ‘enormous’ illustrate the true reason for the poster; primarily for control. This shows the sense of state power and oppression of the individual in Winston’s world. This sense of control is emphasised again later in extract when we discover the caption under the poster reads: ‘BIG BROTHER IS WATCHING YOU’. The direct object pronoun ‘you’ personalises the poster to the immediate viewer and therefore along with the presentation of the words being in capitals makes it more effective.Overall the poster therefore shows the hostility of the place where Winston is and their lack of freedom. Orwell gives a realistic portrayal of Winston as he ascends up the stairs to his flat. The ‘varicose ulcer above his right ankle’ could be seen as a manifestation for his repression, and suffering through a life of adversity and turmoil. This is emphasised by the fact that he had to rest ‘several times’, which is very unusual for a man as young as ‘thirty nine’ . This portrays an image of an overworked miserable and lonely man inhabiting a tortured existence. William May