Saturday, October 12, 2019
The Success of The Woman in Black as a Ghost Story Essay -- The Woman
The Success of The Woman in Black as a Ghost Story Susan Hill believes that the ghost depends on 'atmosphere' and 'a sense of place'. However, a believable storyline and characters does help bring out the atmosphere and place. 'The Woman in Black' is about a man, Arthur Kipps. He is the narrator throughout the novel. Arthur Kipps tells his most haunting revelation that had happened to him, and how by writing his story as a novel, it was hoping to help exorcise the ghost that still haunts him. He tells the story of when he was a junior solicitor and, how he was ordered by his firm's partner to travel up from London to attend a funeral and then sort out the papers of the dead woman. While in Crythin Gifford he glimpses a young woman with a wasted face, dressed all in black. He sees her at the back of the church during Mrs Drablow's funeral, and again later in the graveyard to one side of Eel Marsh House. He is the only one that appears to see her. However, soon the lady in black slowly reveals herself to him, as is her purpose. The first passage is extracted from the chapter 'Across the Causeway'. The first sighting that Arthur Kipps has with the woman in black is in the churchyard after Mrs Drablow's funeral. Susan Hill picks the right place to have Arthur Kipps' first sighting of the woman in black. She has the setting in a churchyard. When the reader comes across 'churchyard' you get the image of fear and decay. Using this Susan Hill goes into describing the churchyard in detail 'Ahead, where the wall ended in a heap of dust and rubble, lay the grey water of the estuary'. Susan Hill makes the image very precise. She also uses distinct contrast, 'across the tall grasses, and wild flowers of white and ... ...' the question Arthur is asking himself 'why is it rocking?' He is asking himself as well as the reader. 'someone has just got out of it' However Arthur is the only one in the house. There is a sense of unease as the windows are all closed so no one can get out. Susan Hill makes the readers ask themselves questions why? Who could it be? She keeps the reader in suspense. Susan Hill Believes that a good ghost story depends on the 'atmosphere' and 'a sense of place'. There are many points which a good ghost story should have unfamiliarity, a mystery, description and much more. However I personally believe that without a believable characters and storyline there is no basis of having atmosphere or a sense of place. So overall, yes a ghost story does depend on 'atmosphere' and 'a sense of place' but it must contain a believable story line with characters.
Friday, October 11, 2019
Herbert Hoover’s New York City Speech
Document: Herbert Hoover's ââ¬Å"New York City Speechâ⬠(1928) 1. What type of document is this? (Ex. Newspaper, telegram, map, letter, memorandum, congressional record) This document must have been excerpt from a record of Hooverââ¬â¢s Speech,â⬠New York City,â⬠in The New Day: Campaign Speeches of Herbert Hoover, 1928. This speech was published in Palo Alto, CA: Stanford University Press, 1928), pp. 149-76. 2. For what audience was the document written? Herbert Hoover is speaking to the general population of the United States and given in New York. 3.What do you find interesting or important about this document? The main concept of the speech is the United States has its own unique social/ government system known as liberalism. That liberalism allows us citizensââ¬â¢ freedom, equality, and opportunity. 4. Is there a particular phrase or section that you find particularly meaningful or surprising? Quote, ââ¬Å"If anyone will study the causes of retarded recuper ation in Europe, he will find much of it due to the stifling of private initiative on one hand, and overloading of the Government with business on the other. This phrase uses the word retarded out of all the other word choices out there. I believe Hoover used ââ¬Å"retardedâ⬠to relate to the audience and catch their attention. 5. What does this document tell you about life in this culture at the time it was written? This document provides certain aspects of the culture around 1928. War was justified but feared because it could have the potential to destroy Americaââ¬â¢s system and freedom.
Thursday, October 10, 2019
Acl Reconstruction Graft Information
Graft report Patellar graft The patellar tendon bone-tendon-bone graft has been the ââ¬Å"gold standardâ⬠graft choice for ACL reconstructions since it became common practice in the mid-1980. It has been used extensively by surgeons since that time and still remains the graft of choice for a high number of orthopedists who perform this surgery regularly. The patellar tendon graft has consistently demonstrated excellent surgical outcomes with a 90-95% success rate in terms of returning to pre-injury level of sports.A patellar tendon graft is harvested through a 3-4â⬠³ long incision based just along the medial border of the tendonâ⬠¦ The middle third of the tendon 10-11 mm wide is then removed along with 2-2. 5 cm long bone blocks still apart of the tendon at each end of the graft from the tibial tubercle and the outer surface of the patella. This gives a composite bone-tendon-bone graft that has very strong insertion points of the tendon soft tissue into bone. The tensil e strength of this graft has been measured by Noyes (1984) to be about 2950 Newtonââ¬â¢s to failure, versus the strength of an intact ACL at 2160 N.What happens to the remaining patellar tendon after a third of it has been removed? Over the course of three to four months after surgery the tendon regenerates or ââ¬Å"grows backâ⬠. Initially it seems to overgrow into a thick, large tendon that then remodels back to a more normal contour by 12-18 months postoperatively. Surgeons have even been able to re-harvest another patellar tendon graft from the original tendon once enough time has passed for tendon reconstitution (although there's now evidence that this repaired tissue may not be as strong as normal patellar tendon tissue).Patellar tendon ruptures at the donor site are unlikely after the first few months post-op. Patellar tendon ruptures can and do occur however during the initial 6-8 weeks after surgery if the remaining tendon is stressed too hard. One of the advantages of this construct is that because the bone-tendon interface is quite strong, the surgeon only has to fix the block of bone in the bone tunnel rather than trying to fix the soft tissue itself.A headless screw is inserted next to the bone plug (like a square peg in a round hole) to interference fit and locks the bone in place. The patellar tendon fibers are thereby immediately secured and are stable enough to begin motion and weight bearing when tolerated. The ends of the graft heal bone-to-bone in around 6-8 weeks, which appears to be quicker than the healing process for soft tissue-to-bone. Interference screws are now available in a bioresorbable material that actually dissolves within the bone over 2 to 3 years.The ââ¬Å"gold standardâ⬠graft isn't perfect, however. There may be more pain associated with this donor site than from any of the other graft choices. As a result there is sometimes a greater initial atrophy or wasting response of the quadriceps muscle compared to s ay either a hamstring or cadaver allograft. This can require more prolonged physical therapy to recover from and could possibly delay the initial return to sports. The incision (scar) is bigger, and almost all patients end up with a permanent loss of sensation 2-3â⬠³ in size just lateral to the incision.There is a risk of patellar tendon ruptures, as well as fracturing the patella both intraoperative as well as postoperatively, although bone grafting the defect in the patella at the time of surgery has reduced the incidence of the latter. Patients who kneel a lot for a living are often unhappy with the patellar tenderness and sensitivity that can occur at the incision site and should probably consider an alternative graft choice. One of the bigger issues with patellar tendon grafts that recently has a number of orthopedists switching to alternative grafts is the incidence of anterior knee pain when patients try to resume athletic activities.Specifically there are some studies5 s howing an increased rate of patellofemoral pain and/or tendonitis of the patellar tendon with stairs, jumping, skiing and other such activities 6-12 months out from surgery. Ultimately these are often treatable with continued strengthening, rest from sports, and time, but these symptoms can delay the expected time of return to sports. In summary, the patellar tendon BTB graft is a safe and effective option for ACL reconstruction. It has a consistently successful clinical track record at all levels of athletic activity with excellent outcomes and reproducible results.Its major disadvantages are primarily increased tenderness kneeling on the donor incision site, and the possible risk of problems with patellar and patellar tendon pain upon initial return to sports. Semitendinosus Semitendinosus grafts are made with the semitendinosus tendon either alone, or accompanied by the gracilis tendon for a stronger graft. The semitendinosus is an accessory hamstring (the primary hamstrings are left intact), and the gracilis is actually not a hamstring, but an accessory adductor (the primary adductors are left intact as well).The two tendons are commonly combined and referred to as a four strand hamstring graft, made by a long piece. which is removed from each tendon. The tendon segments are folded and braided together to form a quadruple thickness strand for the replacement graft. The braided segment is threaded through the heads of tibia and femur and its ends fixated with screws on the opposite sides of the two bones. Hamstring grafts require a smaller incision and are usually less painful to harvest.Thus the initial postoperative period is often easier and more comfortable with this graft choice. Similarly, because there is no violation of the patellar tendon, there seem to be fewer problems with knee pain during the first few months that a patient is allowed to return to sports. The hamstring incision is away from the patella so patients are usually comfortable kneeli ng after their reconstruction. Because the quadriceps extensor mechanism isn't violated with a hamstring harvest there is often less initial quadriceps atrophy.With a quicker return of knee quadriceps strength some surgeons are allowing their fully recovered patients to return to sports a month or two earlier than they might for a patellar tendon BTB graft.. However there have not been any scientific studies examining the tensile strength to failure of a human ACL graft at three months after implantation that would support this approach. Certainly the animal research done on patellar tendon tensile strength in rhesus monkeys suggested that the graft was actually weakest at 3 months out before maturing at 6 months post-surgery.However the truth is that soft tissue-to-bone healing occurs at a slower rate than bone-to-bone healing. A number of surgeons are concerned that this fact is being ignored when patients are placed into an accelerated rehab without allowing extra time for the gr aft ends to begin to heal to the bone tunnels another disadvantage of hamstring tendon grafts is that harvesting them is a technically demanding procedure that requires considerable surgical experience. Pitfalls such as transecting (cutting in half) a tendon or injuring nerves or ligaments in the area of dissection are possible during the stripping process.There is also a different technique for tensioning the hamstring tendon in the knee once the femoral end has been secured. The graft needs to be pre-tensioned and it's important that each of the four graft ends be individually tensioned during the tibial fixation for best results. Allographs Another alternative available however is to use tissue from a cadaver that is called an allograft. Patellar tendon, hamstring tendon, and even Achilles tendon allografts can be used as ACL graft tissues and are inserted and fixed with the same techniques that are used for autografts.The advantages of using cadaver graft tissue are obvious; no risks, pain, or scars from the donor site. Surgical time is quicker and because there is considerably less discomfort postoperatively, the incidence of joint stiffness and atrophy of the quadriceps muscle is significantly reduced. Allografts are a good choice when there are limitations in a patient's own tissue availability. Complicated multiple ligament reconstructions needing several grafts routinely require the use of allograft tissue in addition to an autograft.Revision ACL reconstructions where an autograft has already been harvested are also an indication for using a cadaver grafts.. The biggest concern with using allografts is the risk of contracting a serious infection from the cadaveric tissue. Hepatitis and HIV can be transmitted through these tissues with potentially fatal outcomes. Bacterial infections are also a possibility and although not usually life threatening, can result in loss of the graft and cause subsequent arthritis. The dilemma with allografts is that they can't be 100% sterilized without altering or even destroying the tensile strength of the graft tissue.Imagine what happens to any food that is pressure-cooked at temperatures over 270à ° F under pressure for 10 minutes and you'll understand what happens to a patellar tendon graft sterilized in an autoclave. Similarly, radiating grafts with high enough doses to kill viruses has been shown to alter the collagen tissue and reduce the graft's tensile strength. Currently the preferred allograft treatment technique is a fresh frozen graft; the tissue is harvested, cleaned and then frozen in liquid nitrogen.The cadaver is screened extensively with hepatitis and HIV testing as well as a life style analysis to identify any high-risk behavior for these illnesses. Blood tests for HIV, however, are not infallible because they can lag 6 months between the time of infection and the conversion to a positive test. Nevertheless, the process is fairly safe and the published rate of contracting HIV f rom these tissue allografts is between 1 in 1. 2 to 2 million. There are some graft procurement companies who are able to do actual direct HIV viral testing on their tissues which lowers the risks even more.And several companies have developed proprietary cleaning techniques that they claim can guarantee sterility of their graft tissues. Some grafts are also treated with low dose irradiation (1-2 Mrads) in a compromise attempt to provide some degree of sterilization without damaging the tissue characteristics. Unfortunately there are some studies indicating that ACL reconstructions using these tissues may stretch out over time so non-irradiated grafts would be the ideal structural choice if infection were not a concern.Unlike organ transplants, allografts aren't usually at risk for tissue rejection by the host. This is because there's very little protein antigen in these washed grafts (the bone ends are completely cleansed of any marrow elements). The majority of the grafts are prim arily made up of collagen, which has very low antigenicity. Laboratory studies have shown that there is universally a low grade immune reaction to insertion of these foreign tissues, but this doesn't appear to be clinically significant in terms of achieving a successful outcome.Bone tunnel widening is sometimes seen with the use of allografts, but similar to the case of hamstring grafts, doesn't seem to have any significance in terms of functional problems. There are some early studies suggesting that allografts take longer to heal in the knee than comparable autograft tissue. At the same time the patient is recovering from the surgery quicker because of the reduced pain and morbidity of not having donated their own graft tissue. Typically allograft patients will feel like they're ready to get back into sports in just 3 or 4 months since their full strength and joint mobility are often achieved at that point.The combination of delayed allograft incorporation with an accelerated reco very can obviously spell disaster in terms of the ACL graft stretching or rupturing altogether. So patients with allografts must completely understand the healing process and comply with the temporary restrictions even though they may think their bodies are telling them it's OK to be doing more athletically. It takes a lot of mental discipline. And obviously it's a misconception that an athlete can return to sports earlier using an allograft in view of the above. The last disadvantage of allografts relates to the practical issues of cost and availability.There has been a national shortage of patellar tendon allografts due to increasing demand combined a low supply of suitably qualified cadavers. This shortage has been created in part by physicians who routinely use allografts as their first choice for ACL reconstruction grafts in spite of the fact that autograft tissues work wonderfully. Other cadaveric tissues such as hamstrings, Achilles tendons, and even anterior tibialis and pos terior tibialis tendons (some of the ankle tendons) are often being used instead of patellar tendons due to this availability issue.Some surgeons simply don't have ready access to the facilities that procure and process allografts. And allografts are expensive, running anywhere from $2000 to $10,000 depending on the tissue type and your geographic location My Choice If I needed to go into surgery for an ACL reconstruction surgery and I had to choose from one of these graft options, I would choose to go with the semitendinosus graft. I would shy away from the allograft mainly because I am uncomfortable with the whole idea of donor replacements being implanted in my body.Along with the great threat of infection the allograft also tends to be hard to obtain with a nationwide shortage of acceptable cadavers, therefore making them very expensive. When comparing the patellar graft and the semitendinosus graft its hard to find much of a difference in the results, both offer good knee stabi lity with minimal adverse effects after surgery. However, the semitendinosus graft affects a much different and less major tendon group, in return providing less knee related problems after surgery therefore giving it the advantage over the patellar graft in my eyes.
Wednesday, October 9, 2019
Canadian Blood Services IMC Essay Example for Free
Canadian Blood Services IMC Essay ââ¬Å"Oscar Wilde once said that youth is wasted on the young. But investing in the future, the leaders of tomorrow, is more than just good business sense ââ¬â itââ¬â¢s a necessity for survival and successâ⬠ââ¬â Dr. Graham Sher, CEO of Canadian Blood Services (Pulse Magazine, 2012). Canadian Blood Services is a not-for-profit organization that operates across Canada, excluding Quebec. The objective of Canadian Blood Services is to encourage and receive blood donations through safe and secure methods to help Canadians who need blood transfusions (Canadian Blood Services, 2013). There is an increasing need for blood and blood donations across Canada. Of the current Canadian population, ââ¬Å"the baby boomer generation remains the most loyal in terms of donating blood, while younger generations are significantly less likely to donate on a frequent basisâ⬠(Renwick-Shields, 2013). As the baby boomers age, Canadian Blood Services must find new ways to reach the younger generations, including the fastest growing segment, the Millennials. How can Canadian Blood Services increase the number of BC Millennial whole blood donors by 20,000 by March 31, 2015? The target number of donors is based on the previous yearsââ¬â¢ statistics of Millennial donations (age 17-34), according the Canadian Blood Services data provided (Bird, 2014a). The target number is a percentage of half the total Millennial population of BC in 2012, as typically only half the population is eligible to donate (Renwick-Shields, 2013). The problem statement is specific to BC as a test market. The timeline is based on Canadian Blood Servicesââ¬â¢ fiscal year, beginning April 1, 2014 and ending March 31, 2015. According to Canadian Blood Services, on average, every 60 seconds, someone in Canada requires blood or a blood product (2013). The demand for blood is not subsiding, increasing at a steady rate of 2% per year (Canadian Blood Services, 2013). To be an eligible donor, volunteers must meet many stringent requirements, including a minimum age of 17, sufficient levels of iron and hemoglobin in blood, and disclosure of health and travel history. Canadian Blood Services IMC. (2016, May 01).
Tuesday, October 8, 2019
What do you think two essays have in common Assignment
What do you think two essays have in common - Assignment Example Neuroscience, the New Philosophy article engages readers into ascertaining that some people may be convicted of crimes that they neither did not know nor are they knowledgeable of the people who undertook them. The following study evaluates and establishes the similarities between the two articles on neuroscience and its flaws as depicted in John Reidââ¬â¢s interrogation practices. John Reid exposed Parker to a series of questions concerning his wifeââ¬â¢s murder case. During the interview, Reid focused on ensuring that Parker conformed to his demands that he was indeed behind his wifeââ¬â¢s execution. The study indicates that Parker was honest to explain how he found his wife lying dead on the bed as he went home from his workplace. According to Ramachandran, ââ¬Å"the society abides to the Freudian theory while addressing psychiatry issues and in major cases, people base their arguments on unrealistic judgmentâ⬠. Through Reidââ¬â¢s determination and confidence that he would eventually incriminate Parker towards his wifeââ¬â¢s murder, the controversial article on neuroscience asserts on the societal changes and technological improvements that people use to argue upon the occurrence of something as true while reducing the use of manual judgments. The two articles indicate similarities concerning the function of the human brain, and the assump tions of the society concerning the actions of transmitters and reactors in the brain (39). A sensory machine attached to the suspect indicated that he was giving factual answers concerning his wifeââ¬â¢s murder. Despite the honesty, Reid revealed dissatisfaction to the answers and warned Parker that he was lying against telling the truth. According to the Neuroscience, the New Philosophy article, the human mind is vulnerable to temptations and people are capable of agreeing to certain demands whenever they are incapable of finding actual answers concerning the situations in question (34).
Monday, October 7, 2019
Institutional Investments Essay Example | Topics and Well Written Essays - 2000 words
Institutional Investments - Essay Example Last part of this article would highlight some of the tactics devised in order to control discount trading of investment trust. Summary at the end of this article would conclude this article. Investment Trusts Investment trusts are those types of companies, which are provided the domicile of United Kingdom such that they are listed in the London Stock Exchange. They mainly invest in the equities and securities of the companies across the world, which are listed in different stock exchanges (Redhead, 2008). These investment trusts are run by the panel of the independent directors who take care of the affairs of the investment trusts. Investment trusts are somehow different with the investment companies such that investment companies are domiciled outside the jurisdiction of UK such as Jersey or Guernsey (Redhead, 2008). Pricing of Investment Trusts The pricing of investment trusts are made based on a conceptual term named as Net Asset Value or NAV. Net asset value is the market value of all the investments held by the investment companies. Therefore, the market value of any investment trust is actually the NAV of the investments (Levy and Post, 2005). In case if the market value of the shares issued by the investment trust exceeds NAV, then this concept refers as the shares of the investment trusts are trading at a premium. ... This means that the shares of the investment trust are trading at discount. Very occasionally, it appears that the investment trust share is trading at a premium. The following discussion entails the factors that cause the investment trust shares trading at a discount. Investment shares trading at a discount can be regarded as one of the integral aspects that operate behind the performance of the investment trust. The measurement of the shares of the investment trusts can be made in two ways. Firstly, the share price of the investment trusts quoted at the stock exchange. Secondly, market value per share of the assets of those companies, which are held by the investment trusts. In this way, discount can be calculated by simply taking the difference between the price per share of investment trusts and net assets value divided by the net assets value. Principally, the discount is regarded as the function of demand and supply mechanism for the shares of the investment trust. However, the discounts, and specifically the fluctuations in discounts are more important and follow some basis rules, which help understand the problem of investment trust shares trading at a discount more consistently. In case if the discount rate increases, this indicates that there are more chances that the discounted shares will be priced higher in future. This suggests that the investment trust shares are quite attractive especially against those investment trust shares, which are currently trading at a premium (Baums and Buxbaum, 1994). However, this mechanism is not as easy and simpler as it appears, had there been such a potential in the discounted investment shares for a possible price increase, the whole market
Sunday, October 6, 2019
Iegal concept working in restaurant Term Paper Example | Topics and Well Written Essays - 2000 words
Iegal concept working in restaurant - Term Paper Example It will seek to show what is legal under the law, the rights of the employee and the client under the law, and circumstances that can lead to claims from the customer. Basically, the Hospitality law encompasses a wide array of laws including the law of tort, contract law, real estate law, the law of anti-trust, among others (Barth, 2001). The degree to which this law relates to such laws has continuously evolved and changed accordingly to meet the dynamics of the hospitality industry. Nevertheless, this law is used greatly to set standards and guidelines that hospitality operators and employers use in offering goods and services to their customers. Typically, this law covers the history of how hospitality law came into being, the impact that state civil rights and federal laws have on the hospitality industry, and discussion of contract law such as how a customer enters into a contract with the restaurant employees or issues regarding reservations and overbooking (Langford, 2011). With the use of internet to make reservations and orders being on the rise, the Hospitality law has evolved to include such issues, as well. In addition, in the current world both the customers and the employees know their rights and the channels that they can use to launch complaints or make claims. In this regard, the Hospitality law has continually evolved as new and better knowledge keeps on emerging. In the recent past, cases of food poisoning and awareness of food illness have been on the rise with more people being interested in getting information about the restaurant that they eat from. This has brought the Hospitality law in restaurants at the front center of public conscience. In matters related to restaurant and food services, terroristsââ¬â¢ attacks against hotels have raised the importance of having hospitality law that will govern international affairs especially in the quest of protecting
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