Monday, December 23, 2019

Friendship Essay - 1412 Words

Friends quot;Friends have a unique loyalty to one another. This loyalty comes not through a sense of duty in the way one may show loyalty to family, kinsfolk or country. Theirs is born out of love, trust and respect. Nurtured on care and understanding. A perfect loyalty that will survive every hardship and endure the rigorous test of time.quot; --Stuart and Linda Macfarlane-- The Love Between Friends, a Helen Exley gift book Friends, some are just acquaintances, others I truly care about. A select few of my friends have become like brothers and sisters. The brother and sister types are the best. A certain type of closeness develops amongst us as if we’ve grown up together. At times we may fight as if we hate each other but we know†¦show more content†¦Police reports were filed. We were questioned and then accused of lying quot;to cover up his raping mequot;. He and I were never told this directly but at the time we were minors so they spoke with our parents privately. Our parents were told that he and I were lying and we were trying to cover up the fact that he had raped me or at least tried to. Obviously, that wasn’t true. We finished with all of the police reports around 3 in the morning but he stayed with me that night because I was still scared. He was there for me regardless of the accusations; which he didn’t take lightly by any means. The inspiration for this paper actually came from he and I chasing each other around the house play fighting. I ran into my room and locked the door to get away from him, and the idea for this paper hit me. This may sound childish, but I guess horsing around and acting like eight year olds is what brothers do to torment sisters, or at least with me. My â€Å"sister† throughout high school would have definitely been Ashley. She and I first started talking when I had to tutor her in English, blind leading the blind, but that’s a different story. We became friends after that, and we just started hanging at each other’s houses on the weekends. She became like another daughter at my house. When my mom would fix dinner on the weekends, it was just a given that Ashley needed a place set for her too. At one point when I tried to run away (that lastedShow MoreRelatedFriendships : Friendships And Friendships896 Words   |  4 PagesFriendships Marlene Dietrich once said, â€Å"It is the friends that you can call at four a.m. that matter.† There are many different types of friendships. Casual friendships, opposite-sex friendships, and long term friendships are all examples of the different and common types of friendships used today. Casual friends are those you can text and hangout with every once in a while, without any sort of attachment. Friends of the opposite sex are those who help you with your relationships when you are havingRead MoreFriendship Between Friendship And Friendship1405 Words   |  6 PagesFriendship is a form of virtue and is indispensable for human life since man is a social being. There are three conditions necessary for friendship to exist: mutual goodwill, awareness of the other’s feelings in their connection, and awareness of their goodwill and attitude toward the other. According to Aristotle there are three types of friendships corresponding to the three objects of love. The first two types are similar and interconnected; they are friendship based on mutual utility and friendshipRead MoreFriendship Between Friendship And Friendship1520 Words   |  7 PagesFriendship is one of the most important things in life and everyone should learn how to maintain at least one true friendship. Not only is it beneficial to your happiness, it is constructive medicine in both your mental and physical health. Strong social networks and friendships may lengthen longevity, develop a healthier brain, survive cancer and heart disease better, as well as getting less colds, according to an Australian study. Without friendship, the world would be a dismal place, as friendsRead MoreThe Importance Of Friendship By A Friendship1106 Words   |  5 Pagesgot to grade you, From me you d get A+! To all friends, Friendship is one of life s greatest treasures. Friends that are loyal are always there to make you laugh when you are down, they are not afraid to help you avoid mistakes and they look out for your best interest. This kind of friend can be hard to find, but they offer a friendship that will last a lifetime. Other friends may not be quite as loving. The pain caused by a friendship marred by betrayal is not easy to overcome. In fact, manyRead MoreFriendship1379 Words   |  6 Pages Friendship A friend is defined as a person whom one knows, likes, and trusts, therefore this is a friendship. In every society in the world people have and follow this relationship and support it. In some societies this relationship is given more importance than others. In our society friends are given almost the same attention as ones family member. Family is the closest relationship a person has, and if that is disturbed a friend can be very helpful. During the development of a friendship inRead MoreFriendship1486 Words   |  6 PagesSchreiner Paper 2 The Means Behind Friendship â€Å"Friendship is a virtue or at least involves virtue. It is necessary to life, since no one would choose to live without friends even if he had all other material goods. Friends are a refuge in times of poverty and misfortune; they help to guard the young from error; they help the old in their weakness, and help those in the prime of life to perform noble actions.† –Aristotle According to dictionary.com, the word friendship is defined as a person known wellRead MoreFriendships1385 Words   |  6 PagesBigelow and La Gaipa (1975) observed children’s friendships by asking a number of children to write an essay about their best friend using the approach called â€Å"content analysis†. William Corsaro however dictates that in order to study children you must study them in the context of their own peer culture, he used the â€Å"ethnographic approach†. In this essay I shall attempt to compare and contrast the approach used by Bigelow and La Gaipa (1975) and that taken by William Corsaro (2006). In the earlyRead MoreFriendship1166 Words   |  5 Pagesï » ¿Friends are the pearls of our life.. Friends are a necessity in every child’s life. They are there to comfort, to laugh with, and to create wonderful memories My Friendships have played an extremely important role in my life. I do not know where I would be without my friendships.   Friends to me are the people you know and enjoy being around and talking to. There are the best friends that are usually closer than the others and you are always with. What I find most important is being ableRead MoreFriendship1339 Words   |  6 Pagesrelationships because it is full of friends.       There ought to be a course in school on friendship. Of course, some people are perfectly happy to operate with fewer friends. They might rather have a few deep and loyal friends, than many superficial ones. Others thrive best when friends are everywhere and numerous. It is not so much the number of friends that is important as is the possession of friends, period.       Friendship is a blessing, and a friend is the channel through whom great emotional, spiritualRead MoreFriendship869 Words   |  4 Pagesï » ¿Friendship is a relationship that all the individuals can create by themselves. Though it is not a god gifted relationship like that of the relationship of a mother, father, sister, brother or any of the other family but still it is one of the best relations an individual can possess. People who have true friends consider themselves as the luckiest individuals on earth. â€Å"Friendship is unnecessary, like philosophy, like art†¦ It has no survival value; rather it is one of those things that give value

Sunday, December 15, 2019

Chronic Obstructive Lung Disease Health And Social Care Essay Free Essays

COPD is common worldwide contributes to major disablement every bit good as economic and societal load. More than 30 million Americans have COPD. Deaths from COPD numbered 118,774 in 2001. We will write a custom essay sample on Chronic Obstructive Lung Disease Health And Social Care Essay or any similar topic only for you Order Now It remain 4th taking cause of decease in united provinces. Over the past 20 old ages their decease rate has increased about three creases. 20.1 Per 100,000 in 1980. 56.7 Per 100,000 in 2000. COPD likely highest in England when comparison to the remainder of Europe, particularly in the major Centres of industry. Approximately 5 % of population in Sweden have jobs caused from COPD disease. 35000 sweds is annually placed into infirmary for intervention for heavy external respiration job caused by COPD. In Sweden approximately 2000 individual died of COPD disease annually. PHYSIOTHERAPY IN COPD Physiotherapy is frequently required to assist clear secernment and cut down work of external respiration, including non invasive airing to forestall cannulation. Physiotherapy must therefore include educating the patient and household about Restoration and care of exercising tolerance and self direction. Physiotherapy is hence best provided in the signifier of pneumonic rehabilitation. To live over any bronchospasm and ease the remotion of secernments. To better the form of external respiration, take a breathing control and control of dyspnea. To learn local relaxation, better position and aid still fright and anxiousness. To increase the cognition of the patient about lung status and control of the symptoms. Improve exercising tolerance and guarantee a long term committedness to exercisings. To cut down the perceptual experience of shortness of breath. To better the functional capacity. To cut down the degree of anxiousness for physical activity. Effects OF CHEST WALL STRETCHING IN COPD Chest wall musculuss stretching techniques increases critical capacity and scope of gesture. Keeping respiratory musculus map of critical importance for the respiratory system. The stretching of musculus fibers promotes consecutive addition in the figure of sarcomeres. Increase the volume of the splanchnic mass, inappropriate position, respiratory disease, and musculus failing and aging. Muscle stretching technique addition flexibleness and hurts. Prevent the musculus from responding sufficient extremum tenseness, which evolves to muscle failing, abjuration. Need For The Study Although intercessions to change by reversal failing in peripheral musculuss, are in common usage, secondary postural malformations can happen in response to hyper rising prices and increased work of take a breathing in COPD patients. Postural alterations can include elevated, protracted or abducted shoulder blade with medially rotated humerus and crookback spinal malformations. Since, hyper rising prices of the thorax, topographic points pectoralis major musculus in a sawed-off place it increases the opposition of chest wall to spread out, farther increasing the work of external respiration. The intent of this survey was aimed at stretching the shortened pectoral muscle major musculuss utilizing the clasp relax PNF technique and integrating pectoral mobility exercises to change by reversal the alterations in the chest wall following COPD. Hypothesis Null hypothesis There is no important difference in the dyspnea degree and shoulder horizontal extension following hold relax technique and pectoral mobility exercisings. Alternate hypothesis There is important difference in the dyspnea degree and shoulder horizontal extensions following clasp relax technique and pectoral mobility exercisings. CHAPTER – Two REVIEW OF LITERATURE Kimm ( 1987 ) Respiratory musculuss stretching better airing and tissue oxygenation improves the activity of day-to-day life and quality of life. Kahisaki et al. , ( 1999 ) The elongation of the respiratory musculuss might better pectoral enlargement and lessening dyspnea in COPD patients. Hamer A, Mahler A, Daubensperh.1967 Respiratory musculus stretching may heighten respiratory musculus map and cut down dyspnea in diagnostic patients with mild COPD. Levso, Honvoh F 1982, Stretching exercisings are a good 1 for the COPD patients and showed to be better the quality of life of patients. Magadle R, Mc Connel AX, Beckerman M, Inspiratory musculus preparation provides extra benefits to patients undergoing pneumonic rehabilitation plan. Moore AJ, StubbingsA, 2006, Concluded that COPD consequences non merely alteration in musculus fiber type distribution, but in a structural alteration in the titin molecule in all musculus fibre type with in the stop. M.Estenne, PA Gevenois, W Kinner In many patients with chronic failing of the respiratory muscles the cut down the lung distensability does non look to be caused by microatelectasis, it might be related to changes in snap of the lung tissues. Hideko minoguchi, Hirotaka Tanaka Respiratory musculus stretch may hold clinically important benefits, which may be slightly different from the benefit of inspiratory musculus preparation, in patients with COPD. M.Jeffy mador, MD, Omar Deniz MD The endurance of the respiratory musculuss can be improved by specific developing beyond that achieved by endurance developing entirely in patients with COPD. Eleine Paulin, Antonio ternando Bruneto 2003. Our consequences suggest that exercises aimed that pectoral enlargement better thoracic enlargement, quality of life bombers maximum exercising capacity, every bit good as cut down dyspnea and depression in COPD patients. PJ Wijkstra, EM tenvergart R, new wave Altena This survey is first show the rehabilitation at place for three months followed by one time monthly physical therapy Sessionss improve quality of life over 18 months ; the alteration in quality of life was non associated with a alteration in exercising tolerance. Havver A, Mahler DA 1989 Target inspiratory musculus stretching may heighten respiratory musculus map and cut down dyspnea in diagnostic patients with COPD. Camargo CA, Clarks Kenney PA. Additions slow critical capacity significantly correlated with dyspnoea betterment among exigency section patients with COPD. Montaldo et al. , 2000 The greater pectoral enlargement might better the length tenseness ratio of the respiratory muscles diminish the sensory nerve stimulation for cardinal respiratory control and cut down dyspnea. Teddoro montemayor et al. , 2006 Suggested that a simple place based plan of exercising preparation achieved betterment is exercise tolerance, station attempt dyspnea, and quality of life in COPD patients. Mario grassi MD, marica pecis 2009 A disease oriented place attention plan is effectual in cut downing mortality in COPD patients. Manuel gimenz, Pedro vergara 2000 A maximally intense stretching exercising plan can be created for most COPD patients that can significantly better respiratory musculus strength and endurance. Denna swart out-corbeil R.N, Davison A.M 2006 Physical exercising is designed to better respiratory efficiency promote, enlargement of lung and, chest, beef up the respiratory musculus and assist the patient breath more freely and to acquire more O into the organic structure. American physiological society 2006 The physical exercising improves respiratory take a breathing capacity by increasing chest wall enlargement and forced expiratory lung volume, bole mobility improves the chest wall map and relieves dyspneas. Putt MT, Watson M, seale H, The clasp and loosen up techniques produce short term benefits in patients with COPD. CHAPTER – Three MATERIALS AND METHODOLOGY Study design A individual group pre test- station trial experimental survey design. 3.2 Study puting Department of pulmonology, K.G.Hospital, Coimbatore-18. 3.3 Study continuance Study was conducted for a period of three months ( 12 hebdomads ) . 3.4 Sampling Simple random sampling. 3.5 Subjects A sum of 15 patients diagnosed with mild COPD by the clinical doctor go toing the outpatient Department of Pulmonology of K.G.Hospital were selected indiscriminately for the survey. 3.6 Criteria for choice Inclusive standards Patients classified as holding mild COPD by the doctors were taken for the survey. Ability to execute exercisings. Both sexes. Patient in age group between 35-45 old ages. Exclusive standards Patients with any associated jobs of COPD Recent acute aggravation of disease Conditionss that contraindicate the application of clasp and loosen up techniques. Secondary musculoskeletal upsets. Recent breaks or hurt to the ribs, collarbone or upper limb. Perennial subluxation or disruption of either shoulder. Inability to execute isometric contraction. Connective tissue upset Ischemic bosom diseases Uncontrolled hyper tenseness Moderate to severe osteoporosis Extra conditions curtailing chest enlargement ( e.g. Obesity, terrible scoliosis, ancylosing spondylitis ) Systemic disease musculuss and articulations ( e.g. Rheumatoid arthritis ) Extremist mastectomy with remotion of the pectoral muscle major musculus. Recent thorax or abdominal surgery. 3.7 Variables Independent variables Hold and loosen up technique Thoracic mobility exercisings Dependent variables Shoulder horizontal extension Rate of perceived effort 3.8 Tools Goniometer Borg ‘s graduated table 3.9. Procedure Before the intervention all the topics were explained about the survey process and intervention to be applied. They were asked to inform if they had any uncomfortableness during the class of intervention. The patients were explained and show about the clasp relax technique and pectoral mobility exercisings which they had to execute. The pre trial shoulder horizontal extension and rate perceived effort steps were taken, after which the group was asked to execute hold relax technique and pectoral mobility exercising for a continuance of 6 hebdomads, after which shoulder horizontal extension and dyspnea was assessed utilizing Goniometer and Borg ‘s graduated table severally. At the terminal of the 12th hebdomad the degree of dyspnea was found to be decreased with an addition in shoulder horizontal extension motion. 3.10. Stastical tools Paired ‘t ‘ Trial Paired’t ‘ trial was used to compare the pre Vs station A ; post Vs station trial values of both the groups. vitamin D = difference between pre trial V station trial vitamin D = mean difference n = entire figure of topics s = criterion divergence Unpaired ‘t ‘ Trial This was used to analyse the significance between experimental and control groups. Where, S = Standard divergence = Mean of control groups = Mean of experimental group n1 = Number of topics in control groups n2 = Number of topics in experimental group Chapter – Four DATA ANALYSIS AND INTERPRETATION Shoulder Horizontal Extension Movement TABLE – I Paired ‘t ‘ Trials Shows the mean, average difference, standard divergence and paired’t ‘ values between pre trial and station trial values. S.NO Trial Mean Mendelevium South dakota ‘t ‘ Valuess Pre Test 18.6 11 2.80 16.6 Post Test 30.6 The above tabular array I shows the analysis of pre trial and station trial values. The mated t-test value is ( 16.6 ) which is greater than the tabulated t-value ( =2.145 ) at 5 % degree of significance. This shows that there is a important difference between the values. Dyspnea TABLE – Two Paired ‘t ‘ trials Shows the mean, average difference, standard divergence and paired’t ‘ values between pre trial and station trial values. S.NO Trial Mean Mendelevium South dakota ‘t ‘ Valuess PRE Trial 16.6 1.67 2.31 10.2 POST Trial 10.5 The above tabular array II shows the analysis of pre trial and station trial values. The mated t-test value is ( 10.2 ) which is greater than the tabulated t-value ( =2.145 ) at 5 % degree of significance. This shows that there is a important difference between the values. GRAPH – I SHOULDER HORIZONTAL EXTENSION MOVEMENT COMPARISON OF PRE TEST AND POST TEST VALUES Shoulder Horizontal Extension Movement GRAPH – Two Dyspnea COMPARISON OF PRE TEST AND POST TEST VALUES Dyspnea Chapter – Volt Discussion Purpose of this survey was to bespeak that a hold relax technique specifically to the pectoral muscle major musculus is capable of increasing the result steps which are shoulder horizontal extension scope of gesture ( there by a little addition in critical capacity ) and cut down dyspnea in COPD patients. Previous surveies have found that a hold relax technique in normal topics can bring forth statically important increased hemodynamic viz. , systolic and diastolic blood force per unit area, as rate of perceived effort, respiratory rate, SaO2 were non adversely affected in any topics after intercession, this implies that the intervention is a safe method of intervention in chronic respiratory patients. The active method of intervention included in this survey appears to be safe and effectual in chronic respiratory patients. As adaptative shortening and stiffness around the upper limb musculus quadrant addition chest wall opposition and work of take a breathing. A method of change by reversaling these alterations of import to include a direction program for these patients. ( Arch phys med rehabilitation, vol 89, June 2008 ) . 15 topics with COPD were indiscriminately selected as a individual group who underwent hold relax technique of the pectoral muscle major and pectoral mobility exercisings, following 12 hebdomads of survey continuance and there was a important betterment of the result steps shoulder horizontal extension ( t 16.6 ) and dyspnea ( t 10.2 ) . Chapter – Six Decision This survey shows as important betterment in the dyspnea degree ( t=10.2 ) and shoulder horizontal extension ( t=16.6 ) in patients with mild COPD following hold relax technique and pectoral mobility exercisings. This provides considerable grounds that hold relax technique can better the restrictive constituent of COPD, Extensibility of the pectoral muscle major musculus and perchance get the better of some of the postural alterations of COPD. Chapter – Seven LIMITATIONS AND RECOMMENDATIONS Restriction Restriction of this survey is that FEV1, FVC were non measured in order to bespeak the badness of COPD in each topics. Demographic information was non taken into the survey. Recommendation Further survey should be done to larn more about how to change by reversal the secondary soft tissue effects of chronic respiratory disease. Chapter – Eight How to cite Chronic Obstructive Lung Disease Health And Social Care Essay, Essay examples

Saturday, December 7, 2019

Four Traditions of Geography free essay sample

Four Tradition of Geography The Four Traditions of Geography has many different assumptions and aspects of geography; aspects ranging from basic mapping and geometry, to the impact on nature of humans and the processes of the earth itself. Geographers can study and explain their research by selecting a certain tradition that leads to many different fields of geography. â€Å"There are four traditions whose identification provides an alternative to the competing monistic definitions that have been a geographer’s lot† (Pattison 1964). The following discussion treats the traditions in this order: (1) a spatial tradition, (2) an area studies tradition, (3) a man-land tradition and (4) an earth science tradition† (Pattison 1964). Pattison is exploring all the categories of geography and he is explaining how these different traditions can uncover the meanings of different studies of geography. â€Å"Going further one can uncover the meanings of â€Å"systematic geogra phy,† â€Å"regional geography,† â€Å"urban geography,† â€Å"industrial geography,† etc. † (Pattison 1964). Spatial tradition is an area of concentration that relies on geometry and movement. We will write a custom essay sample on Four Traditions of Geography or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It also is the study of mapping as seen in the ancient Greece recordings of such, and it also deals with the GIS system. GIS is any system that captures, stores, analyzes, manages, and presents data that are linked to a location. It explores the central place theory and how it is used in geography. Central place theory is the geography theory that seeks to explain the number, size and location of human settlements in an urban system. Area Studies, just like the spatial tradition it has roots from many, many years ago. The Greek philosopher, Strabo, wrote an encyclopedia about geographical knowledge. â€Å"He is Strabo, celebrated for his Geography which is a massive production addressed to the statesmen of Augustan Rome and intended to sum up and regularize knowledge not of the location of places and associated cartographic facts, as in the somewhat later case of Ptolemy, but of the nature of places, their character and their differentiation† (Pattison 1964). The area-studies tradition was tended to be excluded from early American professional geography. Today, it is beset by certain champions of the spatial tradition who would have one believe that somehow the area studies way of organizing knowledge is only a subdepartment of spatialism† (Pattison 1964). It concentrates on the descriptions of regions in order to differentiate them from other regions and areas. Being able to understand geography in these terms can reveal the deepest knowledge of the world’s environment. The Man-Land tradition describes the human impact in nature and also the impact of nature on humans, and it also defines the nature disasters our world takes on. Social Darwinism simply grabbed a theory from the biosciences and applied it to social happenings without the lengthy process of trial and error for social data which led to environmentalism. Environmentalism is a broad philosophy and social movement regarding concerns for environmental conservation and improvement of the environment. Man-Land gives us the basic perception on the environment and what is happening to it. The earth science tradition, embraces the study of the earth, the waters of the earth, and the atmosphere surrounding the earth and the association between the earth and the sun† (Pattison 1964). On two different hands of the topic, it is being used and then it is not being used. â€Å"On one hand, it is not always elected as the best tradition as it has been decreasing in use from past decades, while on the other one knows that college departments rely substantially, for justification of their role in general education, upon curricular content springing directly from this tradition† (Pattison 1964). It also acknowledges the human impact on the planet but mainly focuses on the planet itself and its physical processes. Geology, mineralogy, paleontology, glaciology, and meteorology all have rooted out of these studies. From reading â€Å"Four Traditions of Geography† and â€Å"In Search of Synthesis,† Area Studies tradition is my personal preference on this matter. Gober talks about the many different specialties that lie in between human and physical geography, and I grasped that I am more of a physical, on-hands doing person. With human geography you study societies as a whole and I am more interested in urbanization of the earth and how we can use the land we have in a fashion that is basically perfect. I am interested in the different regions because I am really fascinated in real estate and I figure I would learn a whole lot about the physical aspect of geography. I feel that I could really excel in real estate with this kind of learning. The Four Traditions of Geography has different definitions and aspects of geography. With the information given, people are given the opportunity to understand what geography is all about and be able to break geography down and select a certain practice from the very selective topic. â€Å"It is hoped that through a widened willingness to conceive of and discuss the field in terms of these traditions, geography will be better able to secure the inner unity and outer intelligibility† (Pattison 1964). William D. Pattison, The Four Traditions of Geography, (1964).