Monday, August 12, 2019

The Protestant Reformations Impact on Europes Art, Music, and Research Paper

The Protestant Reformations Impact on Europes Art, Music, and Literature - Research Paper Example This ability to create images that could be envisioned in real space itself led to an explosion of ideas even as these artists were exploring subjects once considered taboo, such as the ancient mythologies of these past civilizations. Artists were able to link the mathematical knowledge to the proportional focus of their own world as a shared knowledge between artists and businessmen. Painters used their foundational knowledge in geometry to create familiar elements in their paintings that would convey their intentions to the greatest possible audience. By melding mathematics and artistic expression, artists discovered how to provide their figures with a new impression of weight and volume that had not been previously achieved. This new ability to provide realism in a painting and other written expression led to even greater explorations into how the world manifested itself, all of which contributed to an explosion of thought, design and implementation that would change the world. En glish Protestant Reformation that started under King Henry VIII, advances in technology that allowed for a greater production and distribution of books and a shift in religious thinking all contributed to a shift in the form and content of the literature of the 1500s and early 1600s.

Sunday, August 11, 2019

Engaging in Evidence Based Practice and Clinical Effectiveness Essay

Engaging in Evidence Based Practice and Clinical Effectiveness - Essay Example (Parahoo, 1997) EBP is also a key factor in the NMC (2008) Code of Professional Conduct, which states that nursing professionals are personally accountable for their quality of care giving, and must provide the highest quality of service to patients that is consistent with evidence-based research. In 2005, NICE was combined with the Health Development Agency as an independent organization to deliver quality healthcare based on professional standards of medical practice in a standardized manner across public healthcare institutions and in order to assist with government programs intended to improve the quality of service in the industry. Nurses are increasingly expected to base their practice on empirical medical research data represented in scientific literature or established medical treatment practices that are generated through research publications (Burns & Grove 1999). The purpose of this report is to apply the principles of Evidence Based Practice (EBP) to the use of supplemental oxygen (O2) in hospitals as a treatment response for myocardial infarction (MI). The rationale for this search is that supplemental oxygen is used in hospitals and clinics traditionally in ways that is inconsistent with latest medical research and this has led to a recent change in practice in healthcare institutions as well as in public policy that still may not be represented in everyday nursing practice. By applying EBP principles, a nurse can review the medical literature and research regarding the use of oxygen in MIs by focusing on the most recent clinical trials. By understanding the use and contra-indications of supplemental O2 in MIs as accepted in published literature, nurses on coronary care units (CCU) can be more prepared for work in the workplace. In order to effectively search the topic of oxygen use in clinical applications related to heart treatment, it w as important to clearly define the research by using the PICO framework (Patients, Interventions, Comparisons and Outcomes) to develop the areas of inquiry. The search criteria focused on were based initially the keywords: â€Å"Myocardial, Infarction, Hyperoxic, Coronary, and Oxygen†. Published papers were identified through a search of online databases via the University of Plymouth intranet site including; CINAHL, MEDLINE, SwetsWise, Taylor & Francis, Oxford Journals & ScienceDirect. In the search, very few original research studies published between 2001 to 2011 were found, it was required to revise the search to include a more specialized use of keywords, all relating to â€Å"oxygen and myocardial function†. Five research papers were then selected as representative of consensus in medical research through peer review and implementation in cardiac treatment programs. CRITICAL REVIEW OF LITERATURE Previously oxygen was given as a standard aspect of MI treatment, re gardless of the patient’s level of oxygen saturation level, as part of the standard response of health practitioners to a critical care emergency such as a heart attack. Although NICE (2010) have amended their guidelines to recommend that patients only be given oxygen if their blood saturation level is below 94% , many nurses on general wards are still giving oxygen to critical heart attack patients as a regular aspect of treatment, as they are unaware of its detrimental effects in counter-indications or the latest research on the topic. Since many hospitals are

Saturday, August 10, 2019

High Frequency Oscillatory Ventilation Essay Example | Topics and Well Written Essays - 7500 words

High Frequency Oscillatory Ventilation - Essay Example air in a single breath is known as the "tidal volume." Conventional ventilators can have a harmful effect on infants because normal tidal volumes may overstretch the lungs. HFOV is a highly effective alternative, which uses high frequency (10 - 15 breaths per second) and smaller tidal volumes, which reduces the risk of lung damage. The development of the positive pressure mechanical ventilator in the 1950s marked a significant achievement in the care of patients with respiratory failure, and was a cornerstone in the establishment of the discipline of critical care medicine. Since then, although mechanical ventilation is often life saving, it can also be injurious, especially in patients suffering from Acute Respiratory Distress Syndrome (ARDS). ARDS is the prototypical disease of abnormal lung compliance, causing respiratory failure in both children and adults. ARDS refers to the syndrome of lung injury characterized by dyspnea, severe hypoxemia, decreased lung compliance, and diffuse bilateral pulmonary infiltrates (Udobi & Childs, 1). It can also result in refractory hypoxemia, which can often stimulate attempting nonconventional ventilation strategies such as using nitric oxide, recruitment maneuvers, or prone positioning. High-Frequency Oscillatory Ventilation (HFOV) has emerged as one such rescue strategy for patients with ARDS. Moreover, given that it appears to injure the lung less than conventional modes of ventilation, it may also be ideally suited to use early in ARDS. HFOV utilizes oscillations generated by a piston pump or a diaphragm oscillator driven by a motor. It produces a sinusoidal or somewhat erratic pressure waveform that gives the expiratory phase its unique active characteristic. This component is created by the backward movement of the diaphragm or piston of the oscillator. A constant distending airway pressure is applied, over which small tidal volumes are superimposed at a high respiratory frequency (Bouchat, Godard and Claris,

Truman Capote Research Paper Example | Topics and Well Written Essays - 750 words

Truman Capote - Research Paper Example I was obsessed by it†Ã¢â‚¬â„¢ (69). 2. Works, contributions to literature and Popularity Capote went to live with his mother and step father in New York in his mid teens because of this uprooting from a town to the city and change of atmosphere in general Capote faced a lot of hardships in settling down. Consequently he left school and took a job in The New Yorker Magazine and with in a few years the young flourishing writer caught the attention of Bennett Cerf who was a publisher. Capote’s short story Miriam got him a contract with Random House. From there his road to success and fame was easy and it also led him in to the heart of the elite and the higher social circles of New York. Another reason for this entry was that he had an open and friendly manner because of which he was always able to make friends easily. His acclaimed short novel Breakfast at Tiffany’s also takes inspiration from his experiences and the time he spent in the cream of these elite social circles. Moreover this particular novel was also made in a film which further shows the extent of Capote’s popularity. Capote always said in 1978, ‘I had to be successful, and I had to be successful early’ apparently the author was able to fulfill his dream to the dot. He is considered to be the pioneer who introduced a new genre in the field of literature i.e. the Nonfiction Novel. This new genre of literature deals with the depiction of character and stories that were inspired from and are related to or about the people surrounding the writer. Although Capote gained a lot of popularity amongst his fans for such a depiction of the elite society in his works however this also earned him hatred and condemnation from his friends and family as also stated, ‘Capote's natural talent for weaving truth with fiction and his unflinching descriptions of his friends soon led to his rapid descent in popularity in the social circles he had worked so hard to adoptâ€℠¢ (capotebio.com). Capote’s novel ‘In Cold Blood’ was his first and the most famous nonfiction novel. This novel is about the clutter murders in the Kansas state for this particular novel Capote did a lot of research and he interviewed a lot of people to retain the novel’s originality. His ability to befriend others easily was an additional help for his research because due to his friendly manner people always confided in him easily. This amalgamation of journalism and literature produced a fantastic piece of literature that was extremely liked by the readers and the critics in general. As Willis also states, ‘Capote said, â€Å"This book was an important event for me†¦I wanted to produce a journalistic novel, something on a large scale that would have the credibility of fact, the immediacy of film, the depth and freedom of prose, and the precision of poetry†Ã¢â‚¬â„¢ (94).However some of the critics also gave negative feedback as Krebs al so states, ‘The critic Kenneth Tynan took Mr. Capote to task for being too strictly a reporter and not making an effort to have the killers' lives spared. Although Capote was a recipient of mixed praise from the critics in his life he only wrote 13 volumes most of which were short novels. Some of the critics thought that he had talent although he did not put it to good use. Krebs also states, ‘his old friend John Malcolm Brinnin, he failed to join the ranks of the truly great American writers because he

Friday, August 9, 2019

Alternative Energy Essay Example | Topics and Well Written Essays - 2250 words

Alternative Energy - Essay Example They do not believe that alternative energy is the solution to dependence on oil. This essay presents and analyzes both sides of the debate, and critically examines its implication for sustainability. Argument for Alternative Energy Sources Numerous factors have triggered the debate over the capacity of alternative energy sources to solve dependence on oil. Some scholars claim that there is an urgent need to use alternative and renewable energy sources. Most energy scholars have the same opinion that, in the future, the world will completely drain its limited supply of oil. Scholars have the same opinion about the availability of coal in the future; as reported by the United States Energy Information Administration (EIA), supply in the U.S. alone can meet present energy demands for two centuries (Smith & Taylor, 2008, 38). The remaining supply of natural gas and oil are a much more disputed subject. Scholars vary considerably in their estimates of the peak of oil reserves, also refer red to as the ‘topping point’ (Smith & Taylor, 2008, 38-39). Oil’s topping point will occur when the world has used up precisely one-half of the total amount of remaining oil. This implies that the topping point of oil has been reached and that oil reserves will start to dwindle because oil is a nonrenewable energy source (Smith & Taylor, 2008, 39). The supply of natural gas, which is dependent on the availability of oil, is directly connected to this topping point (Podobnik, 2006). The United Nations (UN) made a decision to build the World Commission on Environment and Development in 1983. The name of the commission was eventually replaced with Brundtland Commission (Elliott, 2003, 7). Its objective was to look for sustainable environmental approaches. By raising awareness about the issues with nonrenewable, non-sustainable sources of energy, the Commission fueled and exposed the debate over the limited supply of fossil fuels and other justifications for the nec essity of using alternative and renewable sources of energy. Energy issues have been at the center of economic, political, scientific, and environmental discourses from then on. Those supporting a rapid adoption of alternative and renewable sources of energy believe that the calculated dates for the peak of oil production are mostly immaterial (Elliott, 2003, 18). Environmental issues and the likelihood of tipping points imply that continuous dependence on oil may bring about permanent harm to the natural world. The worst possible damage is a global extermination of species, as well as human beings. Since fossil fuels have to be burned to produce energy, air pollution has been a problem since the advent of the Industrial Revolution. Air pollution has largely been the outcome of burning fossil fuels to produce electricity and supply energy to transportation. Hence, air pollution contains chemicals emitted from burning of fossil fuels (Schmidt, 2007). Air pollution does not only bring about a huge number of untimely deaths annually in developed countries, it also causes environmental destructions. Bodies of water can also be damaged by the use of fossil fuel not merely through acid rain, but through contamination of surface water as well. A case in point is the Exxon Valdez oil leakage. Valdez, the oil

Thursday, August 8, 2019

Hitlers Table Talk Term Paper Example | Topics and Well Written Essays - 1250 words

Hitlers Table Talk - Term Paper Example Therefore, Hitler stated in his talks that he will always be before Catholic. He believed in God and considered Christianity as the basis of western culture. Hitler’s criticism in table talks in relation to Christianity is very authentic and contradicts earlier systems of Christians. He did this debate to take out his frustration in relation to the failure of German Protestant churches. Despite all these situations he continued to believe in Jesus Christ and considered him to be an Aryan who was against the Jews. In accordance with the Hitler’s table talks, Jesus is a true Christian and all Jewish teaching have been given by Paul. He translated all teachings in Jewish terms in order to promote equality among all men before God and insisted to prevent all kinds of human slavery, which created consequences in Roman Empire and European civilization. Hitler also focused on a united Christian church in Germany. Among various talks of Hitler, I have selected a talk made on 11 July 1941, because this talk mainly focuses on religions and have formed totally a different and broader perception towards it. This talk helped to identify a belief in God and religion influence on the society. Religion greatly affects human life and Hitler has shown this importance to people in this talk. He opposed the idea of human slavery through immigration of people from one nation to the other. However, in order to give a positive impact many benefits of migration were also highlighted in this talk. History shows that would have been ruled on the basis of National Socialism, but in the present condition of the world cannot rely just on one aspect. Religion and National Socialism cannot work together. Both are quite a different aspect. These controversies will not lead to a war but the main solution of it is to leave religion to solve the dilemma on its own without any persecution.  

Wednesday, August 7, 2019

How to Take Care a Dachshund Essay Example for Free

How to Take Care a Dachshund Essay 1. Learn how to hold your dachshund. You cant hold them like normal dogs because of their long backs. Hold their ends while supporting their back with your other hand. Although its an awkward position at first, after a while you will get used to it. Practice with something light first because you may hurt your dachshund. Make sure you never hold them by their paws or head. 2. Dont let them climb stairs or go down stairs. When dachshunds climb stairs, it puts pressure on their backs because of their height. Their backs bend the wrong way. When they go down stairs, a lot of pressure is placed on the discs with each step. Always carry them when youd like them to come upstairs or downstairs. a. Put a baby gate up to keep them off the stairs and from being their naturally-curious selves. 3. Get a light leash. If your dachshunds leash is too heavy, you will end up lugging the dog around the block instead of taking him for a walk. Make sure that your leash is made out of light material, and that the metal clips arent too big. A good choice of a leash is one specifically made for smaller dogs. 4. House train them. Start off with getting them to urinate on eco friendly puppy pads or newspaper. Then, gradually put less and less newspaper on the floor. Once all the paper is gone, take them for walks. Reward them if they do their business. Whenever they mark their territory outside, say, Good dog, good duty. Good Fito. Of course, replace Fito with your dogs name. b. Make sure that when you reward them, you say their name along with good dog. This makes them associate their name with good dog, so theyll consider themselves a good dog. c. If you punish your dog, dont say their name along with bad dog. This will make them believe their name means bad dog, which is not a good thing. 5. Brush their teeth. Start off by rubbing their teeth with meat. (It sounds weird, of course!) This will make them comfortable with your hands in their mouth. Then use dog toothpaste. This must be done at a young age. 6. Give them toys. This is especially important while your dog is teething. Theyll want to chew on something, and if you dont supply them, theyll pick a nice Italian shoe out of your closet instead. 7. Let your dog run. Because of their short legs, they need to run around often. If they do not exercise, they will become overweight. This is especially bad for dachshunds because their stomachs weigh down their backs. If your dachshund becomes obese, they will most likely encounter back problems as well. 8. Dont let your dachshund jump. Even though it may look extremely cute, this is also bad for their backs. If they can stand up on their hind legs, this is okay. If they jump very high and fall back down, dont let them do it. d. Dont let them sit up on their hindquarters. Again, its very cute, but it puts a lot of pressure on the discs in the back. 9. Clip you dogs nails. Buy a special tool for this, since you dont want to hit the quick. If you dont think you can do this, leave it to the vet. 10. Wash your dog. Use special dog shampoo for this. Unless your dog has a skin problem, there is no need to wash him or her other than for your own enjoyment, although its probably also good for your dachs. Shoot to wash him or her every couple of months. 11. Brush your dog. Make sure you pay special attention to the stomach and ears. Make sure your dog doesnt get matted hair, as they are painful to your dog and hard to remove. 12. Do stuff with your dachshund! If you are interested in any dog sports, get your dachshund into them! Dachshunds can compete in conformation, agility, obedience, flyball, and much more! Dachshund Diet 1. Talk with your vet. Dachshunds need a special diet to maintain a healthy weight and a happy pup! The first week you get your dachshund, you should always go to the vet and get a checkup. While you are there, you should discuss what type of food your dachshund will be eating. * Make sure your commercial brand of dog food is not purchased at a grocery store! Most of the time, brands of dog food at grocery stores have a high fat content, high sodium content, and lots of preservatives and artificial flavors. You should purchase your dog food online from a trusted website or from your local pet supply and specialty store. * Which brand to choose is the hard question. Make sure your brand of food has no animal byproducts or artificial flavoring. You should try to steer clear of foods with corn and soy also. * Select a higher-quality brand. Better brands of dog food are usually more expensive, but that is not always the case. You may want to choose a brand of food that is formulated especially for dachshunds. Recommended brands of food are Fromm, Blue Buffalo, and Organix. There is also The Honest Kitchen and Dick Van Patterns Natural Balance. Last but not least, if you would like to purchase a food specially formulated for your dachshie, there is Eukanuba Dachshund Formula. * Look at the nutrition label, if the first and main ingredient isnt meat, it probably isnt the best food for any breed of dog. 2. Consider commercial brands. If you and your vet discuss it, and you decide to get a commercial brand of food, choose wisely. There are many brands of food out there, and some of them are very good, and others are very bad. 3. Never let your dachshund become overweight. This greatly increases the risk of IVDD (disc disease) and paralysis. If your dachs puts on weight, replace some of her food with canned pure pumpkin, which will help her to lose enough weight so that she has a nice, tucked waist. Tips * Discourage them from bad behaviors (nipping, barking, scratching, etc.) * Buy a comfortable harness or collar for your dog that is light. Make sure its not too tight. * Make sure to schedule regular vet appointments (two a year) to make sure your dog is up to date on exams and shots! * Give your dachshund lots of space if it is eating a bone. * Praise your dachshund if he or she does a very good job. And if it is working hard on something hard (like a treasure hunt) encourage your dachshund to do a good job. * Freeze Dried foods like Grandma Lucys are a great choice since they are high in protein, but low in fat and carbs. * Talk to your dachshund in a sing-song voice (if it is blind) Warnings * Only use special dog toothpaste when you brush your dachshunds teeth. * Take your dachshund to the vet every six months, even if there are no symptoms of disease. Dachshunds need their routine vaccinations, or just a checkup! * Dont let your dachshund get overweight, this can cause major back and health problems. * An unsocialized dachshund is not pleasant; get your dachshie socialized with other dogs and people! * Dachshunds nails are always dark, so be very careful when cutting them. Try not to hit the qwick (blood vessel in nail). * Consider buying health insurance for your pet. Dachshunds can be bold and daring a trait that can get them in trouble, often resulting in the two options: surgery or putting the dog down.