Sunday, January 26, 2020
What Theological Or Ethical Principles Religion Essay
What Theological Or Ethical Principles Religion Essay As palliative care is specialized comfort care for people who are approaching the end of their lives, it is related to many ethical issues and concerns. Its framework is based on the moral values and principles of the professionals involved, patients concerned, their families and society as a whole. Palliative care is a very sensitive issue and it is important that it is administered in an appropriate manner. The main objective is to achieve the best possible quality of life, both for the person, and for their family. As such, palliative care is more than the provision of medical relief from pain and other distressing symptoms. It encompasses the psychological, social, emotional and spiritual aspects of end of life care. The palliative care philosophy affirms life and regards dying as a normal process. It neither aims to hasten nor postpone death. It endeavours to provide a team-based support system for the person, enabling them to live as fulfilled a life as possible for the time remaining; and to help their family cope during their loved ones illness and prepare for their bereavement. Care can be provided at home, in a hospital, an aged care facility or a palliative care unit. Above all, palliative care respects the dignity of the person who is dying, carefully honouring their story, wishes and needs. A discussion about palliative care doesnt necessarily mean that death is imminent, in fact, its far better to start thinking and talking about your palliative care options before you need them. Palliative care is sometimes required for a person whose death is very near a matter of hours or days while others will need care over a longer period of time, sometimes years. In this case their care needs will tend to be less intensive and more episodic. The need for palliative care does not depend on any particular medical diagnosis, but the combination of many factors assessed through the judgement of the person, their family, the palliative care team and other medical professionals, including the persons GP. Families and carers may also receive assistance from palliative care services in order to help them cope with emotional and social problems; wounded healers also need healing. To palliate is to cover with a cloak of care; to offer protection and provide relief in the last chapter of life. A palliative approach is a type of palliative care and recognizes that death is inevitable for all of us. For me writing, I am reminded of a comment Professor John Swinton made in response to a question at the recent CAPS conference: Wherever we are in life, there is a storm coming preparedness becomes about the solidity of our foundations. End of life questions of quality, planning and dignity are ethically and theologically grounded in solidifying our foundation. Clements (1990) wrote of this, explaining that as the person moving through life finds their roles stripped from them, and if they have no spiritual foundation, they may be found naked at the core. Residential Aged Care Facilities are often the place where people spend the final chapter of their life; people come into care because they are no longer able to look after themselves and most will have chronic illness alongside ageing. The focus of care in aged care facilities is to help people live well with their illness and frailty during their time spent there. This focus on living well is the essence of the palliative approach to care. Our goal is always to assess and treat pain and other symptoms thoroughly, in familiar surroundings and in the company of the persons loved ones. Theres a Japanese proverb of which I am particularly fond, A sunset can be just as beautiful as a sunrise. In my work Ive seen many beautiful sunsets in peoples lives. Sadly, Ive also witnessed some that arent so beautiful. With forward planning they may have been different. The sudden onset of illness has a way of turning our lives, and the lives of our family and friends, upside down at any age. Suddenly decisions can be very difficult to make; thats why planning ahead is important. If we know what a persons choices and wishes are, were able to respect them if something should happen and theyre unable to tell us themselves. Medical treatment to manage symptoms goes alongside comfort care and could include surgery or medications. The focus of a palliative approach is on living. That is why staff will want to set goals and to plan for how the person wants to live the rest of their life. The end-of-life stage is an extraordinarily profound and emotional time; and a person does not have to be religious to have spiritual considerations. Spirituality is about how we make meaning in our lives and feel connected to other things, people, communities and nature. Spiritual questions, beliefs and rituals are often central to people when they are in the final chapter of their lives. Ensuring that staff are informed about each residents unique spiritual considerations will allow them to be properly respected and addressed. Helping the person to tell their story can help them find meaning, affirmation and reassurance. To effectively palliate would mean that: family and staff communicate openly and with compassion with the person in care and with each other; that pain control and comfort is achieved as far as possible; that the resident has every opportunity to communicate with those who are important to them; and that their physical, emotional, social, cultural and spiritual needs are addressed and as far as possible met. One size cloak of care does not fit all (Hudson, 2012). When these elements are neglected the cloak becomes an empty cover up, leaving the resident exposed rather than protected. When the cloak does not fit it is uncomfortable to wear (Hudson 2012) but the vulnerable population of people in their fourth age may wear it anyway for fear of seeming ungrateful. An appropriate cloak of care must have a spiritual lining, and provide opportunities to reveal hidden hurt; forgive, reconcile; and find peace in loss through tasks of self-reflection and self-transcendence. Spiritual and pa storal care in this context aims for wholeness and spiritual growth. Palliative care should not palliate death itself denying the stark reality of death and dying with false platitudes and consolation can mask existential pain and real needs and further, make these taboo. From a Christian theology, death is recognized as inevitable and necessary. Ageing is an inescapable process that in part defines human existence and experience. From the moment we are born we age. Ageing only ends when we die. Experience of human life tells us that ageing and death are linked. The curse of Adam in Genesis 3 introduces this finitude to our lives. Our role as pastoral carers is one of empowerment, relationship and human presence. Care of people who are suffering means providing real spiritual care, where a closeness or intimacy is developed between the person who is suffering and the carer. This is often quite alien for health professionals, who, through the culture of residential aged care accreditation, are subscript to activity theory and a doing role that emphasizes action rather than being with (MacKinlay, 2006). This involves not a sense of competence, but a sense of humility in the awareness of our own inability to fix anything, beyond being with that person at their point of need. The vulnerability of being present to ageing and death constitutes a simple and costly demand to stay. Not to understand or explain just to stay; Or else to expire in terrible wilderness, lonely silence (Caldwell 1960). In MacKinlays (2006) observation that care of people who are suffering means to walk the journey of suffering with them, to be present with them and authentic in caring (p. 167) I am reminded of Jesus telling his disciples to watch and pray (Matthew 26:36-46)à to bear witness. We cannot cure the scriptural worst enemy of the fatal sting but we CAN care sincerely respecting that the cloak is not ours to fashion and that the chapter will always have an end (Hudson, 2012). Jesus, in becoming human and by his death and resurrection, defeats death and gives resurrection hope of a body free from ageing, decline and frailty, providing hope to all people, especially those in the fourth age. Terminal illnesses do not inhibit people the way they used to; a person burdened with such an illness can live a long and reasonably well life. Consequently terminal disease is tangled in an ethics web concerning limited health resources, contributing to funding and community tensions. These tensions intrinsically present ethical issue in the equity of service provision. Stemming from this is the sensitive nature of transitioning to palliative care, and further to end-of-life care. End of life can be defined as that part of life where a person is living with, and impaired by, an eventually fatal condition, even if the prognosis is ambiguous, or unknown. The World Health Organisation defines palliative care as an approach that improves the quality of life of individuals and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and management of pain and other needs, physical, psychological and spiritual. There is further tension surrounding communication and generational knowledge. As with Jefferys Mrs Davis there can be enormous gaps in generational perspective which may compromise informed decisions. The onus for decision making in a palliative care team lies with the resident themselves so, ethically, whose responsibility is it to be sure that a decision is well-informed? And further, who can be unbiased in providing information so as not to manipulate a decision? Contradictory beliefs, conflicting principles, and competing duties between the parties involved in end-of-life care can tear the cloak. Beauchamps primary principles of health care include: non-maleficence, confidentiality, autonomy, truth telling, informed consent, and justice. Empathy underpins each of the principles above, and in this lies the difficulty. We cannot understand (Okon, 2006 cited by Hudson 2012), we cannot try the cloak on for size but sometimes just looking as though you could understand (Saunders, 1987 cited by Hudson, 2012) makes a world of difference and goes some way to thwart loneliness. In end-of-life care, our presence as pastoral carers is strengthened in enabling spiritual growth through the sharing of connectedness and ritual. A palliative approach is built on an understanding of the uniqueness of individuals life histories and personalities, and implies commitment to an individuals developmental tasks of ageing and coming to peace. To be able to reach such goals as personal satisfaction, the individual must have means of expressing themselves. Our role in the care of older people is to support and enable each individuals sense of meaning and self-expression; to affirm each individual as a person of great value, and loved by God. Aged care is a delicate balancing act in that functional decline, infirmities and diseases are often inherent in ageing. Because of the nature of chronic illness in the fourth age, a caring response in the face of incurable illness is respect, and commitment to personal autonomy and integrity. That is, our role in promoting overall comfort and wellbeing through positively reinforcing and enabling those with such prognoses, to live to their best quality of life. The goal of palliative care is to provide comfort and care when cure is no longer possible. This paradigm shift entails a shift in the definition of autonomy. People at the end stage of life are not playing by the same rules as you or I who would oblige patient autonomy and nod to expert medical opinion. Health professionals in this context need to be enablers not decision makers. Gradual functional decline and loss of control in autonomy are inevitable with age. Loss of control is painful and scary. Perhaps this kind of persona is paralleled only in infancy leaving our elders feeling a sense of childhood being forced upon them (Jeffery, 2001). Unfortunately admission to aged care often does not help these older adults to feel less like children. The danger and ethical dilemma here is the assumption of impaired autonomy; in that decisions are made and autonomy declared lost even when this is unnecessary, because it is a simpler, easier course of action we know what is good for you (Jeffery, 2001). The basis of this kind of paternalism is beneficence its motivation is to act in a persons best interest so that no one gets harmed; making harm or burden the reason for intervention. Some loss of autonomy is inevitable in later life and steps have to be taken to act in the incompetent persons best interest, sometimes with their wishes recorded in living wills or advance care plans. Often autonomy presupposes someone, who acts in accordance with such a pre-conceived plan, and who is rational and independent; but autonomy may be better understood in terms of identity and self expression of values (Jeffery, 2001). A written advance care plan is about ensuring peace of mind. Effective advance care planning can avoid an unwanted transfer to a hospital. But even such counteractions as advance care planning can be problematic as these are based on todays situation and forecasted futures i.e. these cannot take into account tomorrows medical breakthrough. This being the case, there arise new ethical dilemmas e.g. do we have a right as people acting in someones best interests to tweak what they have proclaimed to want for themselves? Would they have wanted what they said they wanted were they deciding now? When autonomy is understood as a property of action or a capacity of persons (Reich, 1995); impaired autonomy, becomes a hopelessly limiting self fulfilling prophecy in that it diminishes à ¢Ã¢â ¬Ã ¦the opportunities of those who lack certain abilities or capacities (Caplan, 1992). Autonomy needs to be seen as a way of valuing the human person, respecting them and recognizing their right to make decisions as the master of themselves. Personhood is not compromised or incapacitated by end stage life we are who we remember one another to be an essential aspect of being human is to care and be cared for; interdependence is a non-accidental feature of the human condition. Being human, we are bearers of the image of God (Gen 1:26). This image demonstrates our capacity for relationship with God, and with the rest of humanity (Green, 197). This capacity for relationship does not diminish as we age. If autonomy is taken as valuing ones uniqueness and the capacity to give gifts, it is a search for meaning in life authenticity. That is: as Jeffery writes; authentic choice is the autonomy of action that requires meaningful choices to be offered and identified with which equates to ones values and essentially what they stand for. If this is how we understand autonomy then this sheds new light on impaired autonomy. In effect we lose the ability to stand for what we stand for. In this case, autonomy becomes less about incompetence and more about advocacy in helping the person to reconnect their essential values to their choices and allowing them to give meaning to their life. By honouring this form of authentic control rather than a control via acquiescent consent or accept it or leave it culture we enable fulfillment and empowerment of the persons dignity. Being a resident in a nursing home may conjure conceptions of a twisted and limited self, and is destructive of autonomy. This is partly because the environment is thick with congruity and thin with community (Jeffery 2001); and partly because decision making is made nearly obsolete. The desire to control is moderated by the self-realization of the possibility of not being able to process all the relevant information: as the person psychologically shrinks, so too does their autonomy and self faith. Further, someone faced with a life shock can find their autonomy impaired in that they find themselves in a dramatically different world where previous life plans have no meaning and even stable values disappear (Jeffery 2001). In such settings autonomy becomes about the ability to make meaningful choices. An older person may not be able to carry out what they decide, but they are able to recognize commitments and to be themselves (Jeffery, 2001). As partners in end-of-life care, aged care staff must take into account such ethical dilemmas as autonomy and intergenerational tension in the way physical care is given; by focusing on presence, meaningful experience, journeying together, listening, connecting, creating openings, and engaging in reciprocal sharing.à Affirmative relationships support residents, enabling them to respond to their spiritual needs. Barriers to appropriate palliative care include lack of time, personal, cultural or institutional factors, and professional educational needs.à By addressing these, we may make an important contribution to the improvement of patient care towards the end of life.
Friday, January 17, 2020
Martin Luther King Jr Essay
Many find it interesting to glimpse inside the lives of famous thinkers in an effort to understand where such thought and intelligence is rooted. Famous thinkers have little in common with what makes them reach their level of achievement (Goodman & Fritchie, 2011). In that tone, here is a peek into the routines and rituals of Martin Luther King Jr. and Cornel West that writers, philosophers, and statesmen have depended on to keep their work on track and their thoughts flowing. Whether you need inspiration to make it through the next college semester of your bachelorââ¬â¢s degree, finishing up your masterââ¬â¢s degree program, or are working on a future best-selling novel, explore the contributions to society these men have created, how their personal, social, and political environments helped with their creativity, how they solve their ideas and problems, how their ideas were implemented, as well as what they could have done differently along with comparing their creative process. Martin Luther King made many contributions to society at the most difficult time. He helped African Americanââ¬â¢s gain civil rights and equality in America. He completed these contributions through actions like the bus boycott that he led in Montgomery, Alabama. The boycott fought against city buses that refused to allow African Americans to sit in the front seats of the buses. This boycott led to a citywide boycott of the bus system until the rules were changed. He also led the march from Selma to Montgomery along with other protestors as they voiced their right to vote. Dr. King not only led marches but he also gave what is now famous speeches like ââ¬Å"Give Us a Ballotâ⬠ââ¬Å"I Have a Dreamâ⬠ââ¬Å"Iââ¬â¢ve Been to the Mountaintopâ⬠that also helped with his movement. Through the speeches Dr. King had the ability to reach many in delivering his thoughts and creativity toward his movement. Dr. King also published many books like Stride Toward Freedom: The Montgomery Story, Strength to Love, Why We Canââ¬â¢t Wait, and Where Do We Go From Here? These books also helped with Dr. Kingââ¬â¢s movement to reach people all over the United States to see his vision. Dr. Cornel West has a passion to communicate to a vast variety of publics in order to keep alive the legacy of Dr. Martin Luther King Jr.; telling the truth and bearing witness to love and justice. Dr. West stated, ââ¬Å"You canââ¬â¢t lead the people if you donââ¬â¢t love the people. You canââ¬â¢t save the people if you donââ¬â¢t serve the people.â⬠Cornel West contributions to society has been monumental, he is a motivational speaker in politics, education, talk radio and even major motion pictures.
Thursday, January 9, 2020
Descartes Claim Of The Universe - 1216 Words
How Fix a Universe That is Nothing but Paradoxes Descartesââ¬â¢ claim of ââ¬Å"I think, therefore I amâ⬠, is an attempt to establish a firm foundation for the understanding of the universe and explores the ideas of the self and what we can know to be real. However, there is one major flaw in this approach. That flaw is how we are to create this foundation when before it we had nothing and the paradoxes in the creating definitions of words. His goal is to better understand what he is in order to reestablish the foundations of his understanding of the world around him. This is a normal human behavior to explore the unknown or not well understood. Any explorer that sails the ocean in search of new land may know what land is but new land that was unknown to him/her is a satisfying development in the person s understanding of everything that is real. The modern practice of this behavior includes, but not limited to, an astronomer using space telescopes to look deep into space where light from an ancient universe is arriving at earth or an experimental physicist when smashing particles together in hopes to find new and smaller part that makes up the fundamental building blocks of the universe. Descartes hopes to use his logical process to reveal the fundamental building blocks of the universe that humans can exist in. He also wants to create a fundamental understanding of the way to observe the universe that we can perceive with the limited senses that we have. He uses this logicalShow MoreRelatedDescartes Claim Of The Universe1211 Words à |à 5 PagesDescartesââ¬â¢ claim of ââ¬Å"I think, therefore I amâ⬠, is an attempt to establish a firm foundation for the understanding of the universe and explores the ideas of the self and what we can know to be real. However, there is one major flaw in this approach. That flaw is how we are to create this foundation when before it we had nothing and the paradoxes in the creating definitions of words. His goal is to better understand what he is in order to reestablish the foundations of his understanding of the worldRead MoreDescartes, Descartes And Descartes918 Words à |à 4 Pages In Descartes third Meditation, Descartes comes to the posteriori that he is a thing that thinks. According to Descartes all mental operations are thoughts. Some of which include; imagining, sensing, reasoning, hoping, and doubting. Subsequently, he claims that thoughts are constructed of both a formal and an objective reality. In compliance with Descartesââ¬â¢ claims, I will argue that the supposition that the Meditator could potentially exist alone in the universe is possible because thoughts as indicatorsRead MoreWhat Does It All Mean?896 Words à |à 4 PagesThe belief in something out of the universe is what helps most people continue on with their day. It may be hard for some to believe that they are only on this planet, living, just to die one day. Therefore, many turn to religion to seek a hope in an afterlife in which they can exist after death. However, believing in most religions means believing in something in charge of the universe. Something, or someone, that is prac tically supernatural, and supremely powerful. Thomas Nagel, in his text WhatRead MoreDualism In Descartes : The Mind And Body Dualism1039 Words à |à 5 PagesMind and body dualism can be regarded as one of the most profound segments of Descartesââ¬â¢ legacy. His assertion was that the mind and the body were not the same thing, and that there was a real distinction between the two. For instance, he believed that the mind was indivisible and the body was actually divisible. His reasoning for that contention was simply put. He explained that when the mind imagines, the whole thing does. Not just a certain part. On the other hand, when the body moves, it is notRead MoreTruth as the Goal of Philosophy Essay1255 Words à |à 6 Pageseliminating falsity, while others, like Rene Descartes, look for causes to explain effects. A cause and effect argument is called a causal argument. Descartes is interested in logic, one truth progressing to the next. Descartes gives a causal argument for the existence of God in Meditation III. He deals with the effect of the idea of absolute perfection in our minds and rationalizes that the cause is God, therefore proving the existence of God. Descartes believes there are two types of reality:Read MoreSimilarities Between Galen, Paracelsus, Spinoza, And The Modern Medical World917 Words à |à 4 PagesChapter 16 Assignment #2 16.3 - 16.6 VOCABULARY: Galen, Cavendish, Paracelsus, Vesalius, Descartes, Scientific Method, Bacon, Spinoza, Pascal 1. Galen. Galen was a physician of Greek descent and was well known for his influences on the medieval medical world. Galen mainly did experiments on animals rather than humans which caused his humanistic generations to be inaccurate. Galen was able to take color of a patientââ¬â¢s urine to be able to tell what was wrong with him/her. 2. Cavendish. Margaret CavendishRead MoreDescartes And Spinoza On Nature Of God1282 Words à |à 6 Pages This is certainly the case when it comes to Descartes and Spinoza, who are both adamant that their views provide the correct context and insight on their opinions of God. In Readings in Modern Philosophy by Ariew and Watkins, it is revealed that while both philosophers tend to agree on opinions like God being infinite, there are many reasons why Descartes and Spinoza disagree on the nature of God and their opinion of substance, for example, Descartes believes that there is more than one type ofRead MorePhilosophy: Do We Have Innate Ideas? Essay1491 Words à |à 6 PagesDo we have innate ideas? Offer your view with reference to the work of Descartes and Locke I understand the concept of innate ideas alone means ideas that presents our mind at birth. Descartes and Locke both have their own views about innate ideas and their arguments are completely different to each other and the question remain to the human knowledge. Do innate ideas really exist? Descartes does not put experiences to his philosophy like the other philosophers, Bacon and Hobbes. He believes thatRead MoreDescartes and HisThoughts Regarding Dreams Vs Reality731 Words à |à 3 PagesIn first mediation Descartes ponders on the idea of what is real and what is a dream; he concludes that anything thing he can doubt is false and therefor a dream. After establishing the existence of the dream world he tries to figure out who is responsible for tricking him into this false world. He ponders on the idea that God could be responsible for tricking him, but quickly disregards that assumption believing that God, who represents everything that is good, could not deceive him; and concludesRead MoreEssay about Descartes Theory of Substance Dualism791 Words à |à 4 PagesDescartes Theory of Substance Dualism Throughout the history of man, philosophers have tried to come up with an explanation of where our minds, or consciousness, came from and how we are able to have a nonphysical characteristic of ourselves. Does our physical brain automatically give us nonphysical characteristics like feelings, thoughts, and desires or is there something else there, the mind, that interacts with our bodies and makes us feel, think, and desire? Also, is the mind the
Wednesday, January 1, 2020
Breast Cancer Essay - 992 Words
developing breast cancer, there presence alone does not always result in breast cancer. The two genes that are indicative of breast cancer are BRCA1 and BRCA2. However, these genes are not the only indicators of breast cancer, although, there presence carries the greatest chance of development. The other genes that also serve as indicators of possible breast cancer are CHEK2, PTEN, TP53, PALB2, STK11, and CDH1. These genes are extremely significant because the presence or absence of a mutation form can either prohibit or enable the development of breast cancer. CHEK2 is an abbreviation for checkpoint kinase 2 and is responsible for the creation of a protein that suppresses tumor growth. The presence of this gene being mutated doubles theâ⬠¦show more contentâ⬠¦Peutz-Jeghers syndrome is a genetic disease in which benign tumors develop in the gastrointestinal tract. CDH1 is an abbreviation for Caherin 1 and is a tumor suppressor gene that enables the attachment and organization of cells to form tissues. A mutation in this gene can increase the risk of developing cancer because it can allow a cancer cell to break off and form breast cancer. All these genes proper expression play a large role in prohibiting the growth of tumors. In most cases it is not simply the presence of a mutated form of BRCA1 or BRCA2 that causes the development of breast cancer but a combination of mutated forms of these genes as well. Thus, it is incredibly imperative to not only analyze BRCA1 or BRCA2 but also STK11, CDH1, PALB2, CHEK2, P53 and PTEN as their presence can multiply the chances of an individual developing breast cancer. The ultimate transmission of breast cancer ââ¬Å"interest genesâ⬠is not solely based on BRCA1 and BRCA2, but more accurately and often it is the presence of a mutated form of either of those previously listed and the presence of a mutated form of one of many of the tumor suppressors or localizers. A study conducted by Dr. Lineberger of the Unive rsity of North Carolina on the molecular mechanisms of breast cancer progression noted that, ââ¬Å"The development of breast cancer is thought to occur through a multi-step process. The majority of breast cancersShow MoreRelatedMale Breast Cancer Essay861 Words à |à 4 Pages Breast cancer in males is quite common, yet still many people are unaware of this disease. Often, it can go undiagnosed until the cancer is in the fourth stage. Every year over 2,000 men will be diagnosed, but only 54% will survive. Cancer in men is often overlooked as it is almost 100 times less common in men than women. During a manââ¬â¢s entire lifespan, the risk of having a diagnosis is about one in one-thousand. The most common symptom of this devastating disease are a lump or some swelling. ThisRead More Breast Cancer Essay1204 Words à |à 5 Pages BREAST CANCER I) Anatomy of the breast nbsp;nbsp;nbsp;nbsp;nbsp;The breast is a gland designed to make milk. nbsp;nbsp;nbsp;nbsp;nbsp; II) What is breast cancer? nbsp;nbsp;nbsp;nbsp;nbsp;Breast cancer is an abnormal growth of cells. nbsp;nbsp;nbsp;nbsp;nbsp;These abnormal growths are called tumors. Not all tumors are cancerous. nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;Non-cancerous tumors ââ¬â benign nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;CancerousRead More Breast Cancer Essay1235 Words à |à 5 PagesBreast Cancer Cancer is one of the leading causes of death in the United States. There are many different types of cancer that are affecting people all over. Breast Cancer is one of these, and is found in man and women. Over 200,000 women and 1,300 men have been diagnosed with breast cancer this year. One in eight women will detect breast cancer in their lifetime. Men are less than one percent of the cases of breast cancer that are detected. Although prevention is not yet available, earlyRead MoreEssay Breast Cancer1675 Words à |à 7 PagesBreast Cancer Breast cancer is a disease that is becoming more and more popular in this day of age. One in every eight women is diagnosed with breast cancer (Breast Cancer, 2010). Women and men who suffer from breast cancer not only are fighting cancer but are also fighting the psychological aspects of the disease. Breast Cancer is the second most diagnosed cancer among women in the United States right behind skin cancer. Women are now surviving breast cancer a lot more frequently becauseRead MoreBreast Cancer Essay642 Words à |à 3 PagesBreast Cancer Breast Cancer is a cancer that forms in tissues of the breast, usually the ducts (tubes that carry milk to the nipple) and lobules (glands that make milk). It occurs in both men and women, although male breast cancer is rare. Anyone women could be at risk for breast cancer but, there are factors that make some women more susceptible to breast cancer than others. A risk factor is anything that affects your chances of getting a particular disease. Some can be controlled and some canââ¬â¢tRead MoreBreast Cancer Essay937 Words à |à 4 PagesBreast cancer along with many other cancers are being researched daily to find new treatments. With all the new research, it is possible to see high survival rates and lower reoccurrence rate. Many are benefiting from the new treatments that are being discovered. Breast cancer is the second leading cause of death in women and the advancements that have been made are remarkable. There are different types of breast cancer that could be used in planning treatment and new therapies. Authors of MayoRead MoreBreast Cancer Essay1253 Words à |à 6 PagesCancer lies dormant in all of us; all living organisms such as our bodies are making defective cells all the time (1). This is how tumors are developed. Our bodies are also equipped with a number of mechanisms that detect and keep such cells in check (1). Breast Cancer (BC), is the most common malignancy in women worldwide, and it is associated with high morbidity and mortality (2). These breast tumors are comprised of phenotypically diverse populations of breast cancer cells (3). However, chemoresistanceRead MoreBreast Cancer Essay1178 Words à |à 5 PagesAbstract: Breast cancer is the second most common cancer in women worldwide. The most common type of breast cancer is ductal carcinoma, which arises in cells that lines breast duct. Many imaging techniques are used for the screening and diagnosis, but typically patients are diagnosed at advanced stage only, and the prognosis is associated with early detection. At present serum and protein biomarkers improving early detection of breast cancer, these make better treatment options with a better responseRead MoreEssay on Breast Cancer1788 Words à |à 8 Pages Breast cancer is the most common type of cancer in women, it accounts for one of every three diagnoses in the United States. Breast cancers are malignancies, life threatening tumors that develops in one or both breasts. A female breast consists of fatty and fibrous connective tissues. The interior of the breast is divided into about twenty different sections called lobes. Each of the lobes is further divided in to lobules, which are structures that contain small milk-producing glands. These glandsRead More Breast Cancer Essay2259 Words à |à 10 PagesBreast cancer is the second most common cancer in the world (Breast). Every three minutes a woman is diagnosed: one in eight women will have breast cancer (Walgreens, 2011; Chen, 2010). ââ¬Å"I have to admit, like so many women, I always knew there was a chance. But like so many women, I never thought it would be me. I never thought Id hear those devastating words: You have breast cancer. ââ¬Å"- Debbie Wasserman Schultz, a democratic representative of Florida (2011). Mutations turn genes on and off
Tuesday, December 24, 2019
Frankenstein Ch 1-10 Quote Analysis - 2912 Words
Dee Ting Ms. Bridges AP English IV ââ¬â 2nd period 24 January 2013 Frankenstein Annotations: Chapters 1-10 Chapter 1 ââ¬Å"I was their plaything and their idol, and something better- their child, the innocent and helpless creature bestowed on them by Heaven, whom to bring up to good, and whose future lot it was in their hands to direct to happiness or misery, according as they fulfilled their duties towards me. With this deep consciousness of what they owed towards the being to which they had given life.â⬠This quote expresses Victor Frankensteinââ¬â¢s beliefs that it was up to this parents to make him happy and to succeed in life. The last line expresses a belief that any parent owed it to their child happiness and love by bringing them to life.â⬠¦show more contentâ⬠¦When we visited it the next morning, we found the tree shattered in a singular manner. It was not splintered by the shock, but entirely reduced to thin ribbons of wood. I never beheld anything so utterly destroyed.â⬠The natural world is beautiful and also capable of destruction. ââ¬Å"No human being could have passed a happier childhood than myself. My parents were possessed by the very spirit of kindness and indulgence. We felt that they were not the tyrants to rule our lot according to their caprice, but the agents and creators of all the many delights which we enjoyed. When I mingled with other families I distinctly discerned how peculiarly fortunate my lot was, and gratitude assisted the development of filial love.â⬠Victor says his family is happy, and his parents as the bringers of many delights. Victor knows how great it is to have your creators care about you, but this knowledge does not convince him to do the same for the creature that he has brought to life. Chapter 3 ââ¬Å"After having made a few preparatory experiments, he concluded with a panegyric upon modern chemistry, the terms of which I shall never forget: ââ¬ËThe ancient teachers of this science,ââ¬â¢ said he, ââ¬Ëpromised impossibilities and performed nothing. The modern masters promise very little; they know that metals cannot be transmuted and that the elixir of life is a chimera but these philosophers, whose hands seemShow MoreRelatedMetamorphoses Within Frankenstein14861 Words à |à 60 PagesThe Critical Metamorphoses of Mary Shelleyââ¬â¢s Frankenstein You must excuse a trif ling d eviation, From Mrs. Shelleyââ¬â¢s marvellous narration ââ¬â from th e musical Frankenstein; or, The Vamp ireââ¬â¢s Victim (1849) Like Coleridgeââ¬â¢ s Ancient Mariner , who erupts into Mary Sh elleyââ¬â¢s text as o ccasionally and inev itably as th e Monster into Victor Frankensteinââ¬â¢s lif e, Frankenstein; or, The Modern Prometh eus passes, like night, from land to land and w ith stang ely ad aptable powers of speech Read MoreMetz Film Language a Semiotics of the Cinema PDF100902 Words à |à 316 PagesUnited States of America 09 08 07 6 7 8 9 10 Library of Congress Cataloging-in-Publication Data Metz, Christian. [Essais sur la signification au cinà ©ma. English] Film language: a semiotics of the cinema / Christian Metz: translated by Michael Taylor. p. cm. Translation of: Essais sur la signification au cinà ©ma, tome 1. Reprint. Originally published: New York: Oxford University Press, 1974. Includes bibliographical references. ISBN 0-226-52130-3 (pbk.) 1. Motion picturesââ¬âSemiotics. 2. Motion picturesââ¬â
Monday, December 16, 2019
Modernism In Two Poems By Marianne Moore Free Essays
Marianne Moore was one of the eminent poetesses of the Modern times. An integral contributor to the modern American literature, Mooreââ¬â¢s poetry is considered as a linkage between nature and the human world. She alludes to scientific and historical knowledge and tries to evade literary allusions to prevent her from being casted as a stereo-type. We will write a custom essay sample on Modernism In Two Poems By Marianne Moore or any similar topic only for you Order Now Her poems are full of keen observations and generally hold up the images of birds, butterflies, animals, landscapes of England and New York. She is a ââ¬Å"literalist of the imaginationâ⬠who can ââ¬Å"present for inspectionâ⬠¦imaginary gardens with real toads in them.â⬠In A Grave, Moore begins with a meditation on the impossibility of seeing the sea, when a ââ¬Å"Man looking into the seaâ⬠takes ââ¬Å"the view from those who have as much right to it as you have to it yourself.â⬠Moore calls attention to two difficulties here: the problem of seeing ââ¬Å"throughâ⬠a man, including a manââ¬â¢s viewpoint, and the related problem of establishing herself as a centered speaker when she cannot stand ââ¬Å"in the middle of this.â⬠Mooreââ¬â¢s depiction of the sea correspondingly emphasizes its opacity over its translucency and its surface activities over its symbolic meanings. While Moore may well have written this poem out of a personal crisis that involved thoughts of suicide, the speaker reminds herself that to seek relief in the sea is not to be mirrored in any improved way or to be freed of her. The speaker works her way out of her crisis by establishing and confronting the actuality or literality of the sea and of death, and her difference from them. The sea interestingly, in Mooreââ¬â¢s poem is not a reflective object but a grave. Also, it is manââ¬â¢s careful acts, that is, his surface activities that save him and not his self- projections. Men ââ¬Å"lowering netsâ⬠unconsciously ââ¬Å"desecrate this grave,â⬠ââ¬Å"as if there were no such thing as death,â⬠the speaker of this poem, conscious of the ultimate meaning of penetrating the depths of the sea, trains her vision to the surface: ââ¬Å"The wrinkles progress among themselves in a phalanxââ¬â beautiful under networks of foamà the tortoise-shell scourges about the feet of the cliffs, in motion beneath them;â⬠The end of the poem marks its intensity. Unlike the exposition, the last lines of the lyric compel us to view the surroundings and not just concentrate on the opacity of the sea surface. A forced consciousness of the meditation on the outer scene is emphasized by the poetess. The sound of birds and bell-buoys make ââ¬Å"noisesâ⬠which break the ambience of a visual representation of the situation. The poem resolves with its initial perspective of assuming something as what it is not and an intrigue picture of the oceanââ¬â¢s opacity in the concluding lines: ââ¬Å"and the ocean, under the pulsation of lighthouse and noise ofà bell buoys,à advances as usual, looking as if it were not that ocean inà which dropped things are bound to sinkââ¬âà in which if they turn and twist, it is neither with volition norà consciousness.â⬠For Moore, in A Grave, meditation on the sea becomes meditation on the limits of human power and human language, and immersion, literal or figurative, threatens dissolution. ââ¬Å"Deathâ⬠is the central theme of the poem with an under cutting allusion to Mooreââ¬â¢s own brotherââ¬â¢s death. Many critics have tried to see the poem in the light of Mooreââ¬â¢s feminist voice. In the poem, as many critics believe, Moore defines the male dominium and tries to break it with her strong and persuasive words. A grave is a place where dead things are put to rest, but Mooreââ¬â¢s A Grave is a locus of vital and challenging re-vision. The poems of Marianne Moore have arguments, often difficult to follow but always worth the effort. Distrustful of overt emotion, her poems rely on understatement and reserve to create it, as in the simple What are Years? or the penetrating A Grave. What Are Years? is a stellar lyric which ends by paradoxically equating a birdââ¬â¢s joyful song with both mortality and eternity? Both the poems have a dominating ââ¬Å"sea imageryâ⬠. The tone of morality in both the poems is unsurpassable. The genesis of these poems can be owed to the World War II. These two poems are typical of Mooreââ¬â¢s. These are not meant for the pleasure of reflection. They refuse to be simpler than the world is and make more sense when read again and again until one understands the perspective for which they are written. Moore exploits imagery and visuals from the nature and embeds them in her poems. The linking of morality with a bird in What are Years? is quite similar to the theme of death and survival in A Grave. The poems deal with the strong imagery of the sea-how in one poem it is ââ¬Å"continuingâ⬠and in the other, ââ¬Å"the sea is a collector, quick to return a rapacious look.â⬠The imagery of bird or flying is also present in both the poems. This imagery is evident to prove the aspiration of the speaker to be free and boundless. In both the poems, Moore indicates the seaââ¬â¢s power to erode and destroy; strongly alluded in A Grave and subtly done in What are Years. A deep penetration of this concept might find itââ¬â¢s parallel to the society and humanity- the dominium of man over everything and his struggle to free himself. This idea or concept might be traced to the World War aftermath. The vulnerability of the society and the deterioration was enough to evoke the modernist flame inside Moore to conceptualize the social, political and economical conditions into a poetic expression. Many American poets see Moore as one of the monuments of modernism, up there with Robert Frost and Wallace Stevens. Vision and viewpoint, an integral quality of modernist poets is present in the poems of Moore as well. She once wrote that poems were ââ¬Å"imaginary gardens with real toads in them.â⬠Her poems are conversational, yet elaborate and subtle in their syllabic versification, drawing upon extremely precise description and historical and scientific fact. A ââ¬Å"poetââ¬â¢s poet,â⬠she influenced such later poets as her young friend Elizabeth Bishop. A Grave ââ¬Å"offered Bishop, as it offers us, an example of how a woman well-versed in the literary tradition, rather than capitulating to the convention of female silence, can wield that tradition and write her own eloquent verses.â⬠To conclude, in the words of eminent literary critic, Jeredith Merrin, ââ¬Å"Her ocean/grave represents death, humanityââ¬â¢s common enemy, and yet her sea as re-former of inherited poetic patterns acts too as Natureââ¬â¢s and Womanââ¬â¢s ally. The heavy sibilance throughout Mooreââ¬â¢s poem (in all versions) reminds us of Satan, of the serpentine and treacherous ladies of Romantic poetry, of the actual foaming ocean that advances and retreats over the shingle of land, and of mortality which menaces and circumscribes our lives. But with her insistent sound-playââ¬âe.g., ââ¬Å"you cannot stand in the middle of thisâ⬠; ââ¬Å"repression. . . is not the most obvious characteristic of the seaâ⬠; ââ¬Å"their bones have not lastedâ⬠ââ¬âMoore also hisses back at Man, and at the arrogant male poet in particular, who arrogates to himself dominion, who is always trying ââ¬Å"to stand in the middle of a thing.â⬠By choosing to conclude her poem with the word ââ¬Å"consciousness,â⬠Moore reserves that climactic position for the quality of attentiveness to self and to ââ¬Å"otherâ⬠which is her highest aesthetic and moral value, while giving her sea (as retributive force) the last word, the last hiss.â⬠References Marianne Moore http://www.poets.org/poet.php/prmPID/96 On Marianne Mooreââ¬â¢s Life and Career http://www.english.uiuc.edu/maps/poets/m_r/moore/life.htm Marianne (Craig) Moore (1887-1972) http://www.kirjasto.sci.fi/mmoor.htm THE POEMS OF MARIANNE MOOREà à à à à à à à à http://query.nytimes.com/gst/fullpage.html?res=9F0CE2DE1F3FF937A35752C0A9629C8B63 The Collected Essays and Criticism -By Clement Greenberg, John http://books.google.com/books?id=N5yfxzOr4j8Cpg=PA85lpg=PA85dq=%22what+are+years%22source=webots=8EvqzAyM3vsig=pchzURGxqaSTHBL3I-kmOagGf-g#PPA85,M1 How to cite Modernism In Two Poems By Marianne Moore, Essay examples
Sunday, December 8, 2019
Diabetes Occurs When The Pancreas Either Cannot Or Has Trouble Making Essay Example For Students
Diabetes Occurs When The Pancreas Either Cannot Or Has Trouble Making Essay enough insulin to control the sugar a person receives from their food. (Bete, Co. 1972) Diabetes Mellitus is broken down into two groups: Juvenile (Type One), and Adult (Type Two) (McHenry, 1993). Type One diabetics are insulin dependant. People under forty years of age are more prone to this type. They have low serum insulin levels and it more often affects small blood vessels in eyes and kidneys. Type Two diabetics are non-insulin dependant. This type is prone to people over forty years of age. They have low, normal or high serum insulin levels. It most often affects large blood vessels and nerves (Long, 1993). Type One diabetes was one of the earliest diseases to be documented by historians. Once called honey urine and the Persian fire. The name diabetes was conceived by the Greek physician Arteus almost eighteen hundred years ago. The disease remained a mystery until 1700 when an English doctor demonstrated that a diabetics blood was abnormally high in sugar (Aaseng, 1995). Thus, bringing to the conclusion that diabetics are unable to use blood sugar as other persons bodies do (McHenry, 1993). With this fact, a young doctor named Fredrick Banting and a biochemist, Charles Best, were lead to the discovery of manufacturing insulin, the hormone for which is the key to blood sugar processing. Many diabetics lives have been saved because of this discovery (Aaseng, 1995). A person is at risk of this disorder if they have diabetic relatives, are over the age of forty years, are over-weight, and if they are of certain racial or ethnic groups. Women with gestational diabetes who give birth to a baby that weighs more than nine pounds are also at good risk of conducting this disease (Long, 1993). Higher numbers of diabetics occur more in Caucasian people than other races, and the highest incidents of Type One diabetes in the world are found in people residing in Scandinavian countries (Aaseng, 1995). Some signs and symptoms of this disorder are: an increased thirst and appetite, frequent urination, fatigue or anxiety, sickness of the stomach, loss of weight, skin infections, blurred vision, or numbness to feet and hands. Blood, urine, or supplementary tests can be done to determine whether a person is diabetic. Once diagnosed, the patient can be treated by making changes in their diet, exercising regularly, injecting themselves with insulin, or taking oral medications (Diabetes, 1997). Type Two may be treated by only maintaining a healthy diet and exercising regularly (Long, 1993). There is no known cure for type one diabetes, only treatments. Since Bantings and Bests discovery, insulin injections have been the primary treatment. A decade long study completed in 1993 by the National Institute of Health (NIH) found that more frequent shots may help infected people live longer and stay healthier (Aaseng, 1955). Presently, curing and prevention measures are being studied to treat Type One diabetes and hopefully science will produce better treatments and medicines to combat the disease (Long, 1993). Diabetes, no matter what kind or form, is a very serious disease. If it is overlooked it could lead to complications such as kidney disease, gangrene, blindness, and heart attacks. If a person suffers from any of the symptoms they should consult a physician or a dietician. In the end, life is not over after having been diagnosed with diabetes. Over the last century, the treatments have gotten stronger and in the future they will grow even better. Through simple measures one could live out their full life while being a diabetic patient. Works CitedMcHenry, Robert. Diabetes Mellitus. Encyclopedia Brittannica. 1993 ed. .u4fe5343fc55197a13768576124c68c04 , .u4fe5343fc55197a13768576124c68c04 .postImageUrl , .u4fe5343fc55197a13768576124c68c04 .centered-text-area { min-height: 80px; position: relative; } .u4fe5343fc55197a13768576124c68c04 , .u4fe5343fc55197a13768576124c68c04:hover , .u4fe5343fc55197a13768576124c68c04:visited , .u4fe5343fc55197a13768576124c68c04:active { border:0!important; } .u4fe5343fc55197a13768576124c68c04 .clearfix:after { content: ""; display: table; clear: both; } .u4fe5343fc55197a13768576124c68c04 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u4fe5343fc55197a13768576124c68c04:active , .u4fe5343fc55197a13768576124c68c04:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u4fe5343fc55197a13768576124c68c04 .centered-text-area { width: 100%; position: relative ; } .u4fe5343fc55197a13768576124c68c04 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u4fe5343fc55197a13768576124c68c04 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u4fe5343fc55197a13768576124c68c04 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u4fe5343fc55197a13768576124c68c04:hover .ctaButton { background-color: #34495E!important; } .u4fe5343fc55197a13768576124c68c04 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u4fe5343fc55197a13768576124c68c04 .u4fe5343fc55197a13768576124c68c04-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u4fe5343fc55197a13768576124c68c04:after { content: ""; display: block; clear: both; } READ: Legal Protection For Minorities? EssayAaseng, Nathan. Autoimmune Diseases. New York, New York: Franklin Watt, Co. 1995. Long, Barbera, Wilma Phipps, Virginia Cassmeyer. Medical Surgical Nursing. St. Louis, Missouri: Mosby, 1993. Diabetes 1997. http:/www.diabetes.org/ada/c20b.csp. (16 December 1998)Diabetes, Channing L. Bete Co., Inc. 1972. Pamplet
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