Dysphagia :: Health, Diseases

Dysphagia Surviving a severe stoke often leads to a new problem. Almost half of patient affected by severe stroke develop difficulty in swallowing that is known as dysphagia. People in this condition have trouble in holding food and fluid in their mouth or swallowing. When food passes from the mouth into oropharynx and laryngopharynx, it enters the esophagus and muscular contraction propels it to the stomach, but when process goes wrong the food and fluids re-enter the esophagus which is known as reflux (Nozarka, 2010). There are factors that disrupt normal swallowing. These include stroke, age-related changes, medication and neurological disease (Nozarko, 2010). Signs of dysphagia are cough during eating, change in voice tone or quality after swallowing, abnormal movements of the mouth, tongue or lips and slow, weak, precise, or uncoordinated speech. Other signs of the disease are abnormal gag, delayed swallowing, incomplete oral clearance or pocketing, regurgitation, pharyngeal pooling, delayed or absent trigger of swallow, and inability to speak consistently (Potter & Perry, 2009). Dysphagia can leads to aspiration pneumonia. During aspiration, the food or fluid passes through the vocal folds and enters the airway. It can be caused by impaired laryngeal closure or overflow of food or liquids retained in pharynx. This increases the risk of choking and aspiration pneumonia. Through coughing the body tries to free from aspiration that helps to clear food and fluid from lungs. However, silent aspiration is very dangerous because food and fluid penetrate the airway and move deep into the lungs that cause major respiratory problems. Dysphagia also results to malnutrition and dehydration. This increases the risk for pressure ulcer (Nozarko, 2010). Assessment of the gathered data leads to a nursing diagnosis. A client who is a stroke survivor complains in difficulty when swallowing that is associated to deficit in oral, pharyngeal, or esophageal structure or function. In this case the nursing diagnosis is impaired swallowing related to neurological problem (Ackley & Ladwig, 2011). As a caregiver of a client in this condition, setting goals and outcome is needed. The goal and outcome for a client suffering from dysphagia are; the client can effectively swallow without choking within seven days, and the client will be free from aspiration evidence by clear lung sound within five days (Ackley & Ladwig, 2011). To meet the goals and outcomes for this patient first determine the severity of dysphagia. â€Å"If a person has mild dysphagia, simply provide a suitable and advice about eating slowly and sitting upright while eating may enable the person to remain well nourished [sic] and problem free† (Nozarka, 2010, para.

EXTRASENSORY PERCEPTION : A SUPERNATURAL :: essays research papers

Extrasensory perception or ESP is the knowledge of external objects or events without using our five basic senses. People that believe that they have a kind of ESP are people such as psychics or spiritualists that believe they can communicate with the dead (Encarta). ESP is a supernatural and is nothing of the natural world that can be explained. Most believers in the phenomena of extrasensory perception do not understand physics at all and maintain that spatial distance is irrelevant to the exercise of ESP. People often have the tendency to make psychic experiences seem unusual, out of the ordinary, special, somehow set apart, or frightening (edgarcayce.org). Skeptical people of the widespread belief in ESP find themselves having to do practically nothing. ESP supporters do most of their work for them by dipping into the sensational, proponents of ESP effectively remove all believability they might have been able to convey. If their involvement with TV psychics, mediums and spiritualists was not quite so obvious or vocal, ESP promoters might well find themselves with a willing market for their similar things and for their values( wheel.ucdavis.edu ). Computers and other instruments have been used in the study of ESP. Most scientists do not believe that ESP exists. These scientists say that thousands of controlled studies have failed to show any evidence of psychical phenomena, and that no person has ever successfully demonstrated ESP for independent investigators(Encarta). Most sciences try to explain observable phenomena, but parapsychology tries to observe unexplainable phenomena (wheel.ucdavis.edu). The scientific method of investigation dictates that any observable results from experimentation be copied under the same sort of circumstances, and also be copied by investigators other than the original ones provided the circumstances and environment are the same (wheel.ucdavis.edu). This is the downfall of all known and described investigation into the existence of ESP. Research in this area has been characterized by incompetence, deception and fraud. When properly controlled experiments are done they have usually yielded negative results, have been unable to demonstrate a single clear case of psychic power or paranormal phenomena (wheel.ucdavis.edu). Experimentation following the believer method but performed by nonbelieving investigators has consistently come up with negative results that have been criticized by the believing side and vice versa (wheel.ucdavis.edu). Most of the research into the existence of parapsychological phenomena has had the effect of proving nothing verifiable, giving the two sides fresh facts and information with which to attack each other (wheel.

How Does Owen Convey Negative Feelings in the Send-Off

How does Owen convey negative feelings in The Send-Off? In this poem Wilfred Owen conveys negative feelings with his clever use of language that can be interpreted in many ways. This poem actually conveys a message that war is not as glorious and honourable as it is always portrayed as. Even the title, The ‘send-off' could mean two things. Firstly, it could mean that the soldiers were being sent off to war. However, it could also mean that the soldiers were being â€Å"sent off† to their deaths. This emphasizes the fact that war actually is not what it is portrayed to be.It is not glorious and honourable to fight in war but the people and soldiers going through it suffer greatly and most do not survive. In â€Å"The Send-Off†, Owen conveys his feelings about the war and the young soldiers going off to die. You can tell he has a very pessimistic attitude to the likelihood of the soldiers surviving. You can see this from his frequent references to death, for example â€Å"Their breasts were stuck all stuck with wreath and spray. † which could refer to how the dead are garlanded with wreaths of flowers before their burial. Line six, says, â€Å"Dull porters watched them / and a casual tramp / stood staring hard. The train station porters stand back, watching and listening to the soldiers as they wait for the train with no emotion at all, it is as if it is just one of those regular things in life that one gets on with, without much interest as it is such a common event. In line 3, Owen uses the oxymoron, â€Å"grimly gay†, this gives the impression that the soldiers know what is going to happen to them and they are scared, but they put on a brave face anyway so as not to upset their families, each-other and also, if they don’t admit their fear to themselves, then maybe it will go away.Owen uses similes such as â€Å"so secretly like wrongs hushed up† show the conspiracy of the war kept from the soldiers for assurance that men would continue to join. Repetition of â€Å"a few, a few, too few† emphasises and shows the reader that many soldiers would not return from war. It continues by suggesting that the small amount of soldiers returning from war would not be greeted by celebration but by silence and still villages. The use of imagery â€Å"white flowers† shows two meanings, flowers for celebrating and white for mourning.In giving the flowers to the departing soldier, the women who thought they were supporting the soldiers were actually garlanding them for death. To conclude, the use of language; similes, repetition, imagery and so on all channel feelings of negativity within the poem. Although not directly pessimistic it is relatively easy to spot the depressing nature of the poem but nonetheless Owen displays obvious negativity towards the state of how no one showed feelings towards the soldiers fate and how it was so hushed up.

Claude Mckay, a Dialectical Analysis Essay

In Claude McKay’s, â€Å"Old England† and â€Å"Quashie to Buccra† McKay uses dialect as a way to give poems multiple meanings. What may be seen as a simplistic or naive poem about Jamaican life may actually be full of double meanings that only a select audience would be able to identify. In his poem’s, McKay ultimately gives Negros who work under white colonists the underlying message of black resistance by revolution. Perhaps what makes this interpretation so convincing is the background of the author. McKay was born Sunny Ville Jamaica as the youngest of 11 sons. While in Jamaica, McKay wrote â€Å"Songs of Jamaica†, which is where â€Å"Quashie to Buccra† is derived from. In this time, he also became a self proclaimed socialist, â€Å" As a socialist, McKay eventually became an editor at The Liberator, in addition to writing various articles for a number of left-wing publications† (Giles 1). During this period, McKay wrote â€Å"If We Must Die†, another poem charged with angst against the oppressed Negro society. Notably this poem was read aloud by Winston Churchill during World War II, however left unattributed to McKay himself. This can be seen as a reflection on society of the time, and how they weren’t ready to see a poem like that as a black revolutionary poem, and that the issues of the black Negro were quietly swept under the rug or ignored entirely. This is perhaps why the reading of an Englishman would differ so greatly from an African Negro reading â€Å"Quashie to Buccra†, as the Englishmen of the time were out of touch with the strife these workers were experiencing. McKay’s communist background may very well be a bi-product of the cultural discrepancies of the time, and a way for the workingman to get back at the bourgeoisie, or white, upper social class. To address the double meanings of Claude McKay’s work, the reader must first look at the surface layer. As we discussed in class, the poems were done on the condition they were completed in Jamaican dialect, not necessarily because of Claude McKay’s own choice. To a white, European society reading the poem, it comes across as a poem about a simple agriculturalist that is telling the white plantation owner about the fruits of his labor, and how they may not be fully appreciated. In actuality, the poem can be seen by Negros as a way to criticize the white plantation owner and in fact plant the seeds of rebellion. Indeed, the title of the work itself leads credence to it being veiled in double meaning. While a white, European in the high rungs of the social ladder may read the poem as a simple address of worker to plantation owner. However, a Negro experiencing the strife of Quashie, the black peasant worker who produces sweet potatoes in the poem, may relate to the unfairness of they experience from the Buccra, which is the white man being addressed in the poem. Indeed, McKay points out in the poem, â€Å"You taste the potato, and you say it’s sweet, but you don’t know how hard we work for it† (McKay 2). Buccra even attempts to haggle for a lower price, further showing he doesn’t understand the work that goes into farming the sweet potatoes, â€Å"You want a basketful fe quattiewut† (McKay 3). Not only does this demonstrate the Buccra’s insensitivity to the work that goes into the harvest, but it shows he’s greedy and milking the natives for every last sixpence. A white reader may look at the reading as Quashie simply complaining about his hard work, â€Å"The sun is hot like when fire catches a town† (McKay 9). In reality, Quashie would do this work even if he weren’t required to because he has a sense of pride, â€Å"Although the shade tree looks tempting, we wouldn’t lie down even if we could† (McKay 10-11). Someone working these fields could relate to the pride and craftsmanship that takes to plow in a straight line, or work through the rough Earth. This reading can be taken another step further. It’s not common for a fire to simply catch a town, and for a Negro reading the poem, they may see it as a call to rebel and actually set a town ablaze as vengeance against white society. A rebellion such as setting a rich town ablaze would not be unheard of in a communist state, and it might be a call to arms for Jamaican Negros reading the poems in â€Å"Songs of Jamaica†. Undeniably, there appears to be a lexicon for violence in the poem that may be entirely glossed over by a white, European reader. â€Å"Although the vine is little, it can bear. It wishes for nothing but a little care. You see potato tearing up the ground, you run. You laughing, you must think it’s fun† (McKay 16-20). As stated earlier, a European audience may feel this is simply Quashie denouncing that his work is difficult, and that he’s just announcing his woes in a silly way, and that the whole thing just merrily amuses the white plantation owner. However, if you choose to look at this through the perspective of a Negro who is craving to break free of their oppressors, it can have an entirely different reading. Quashie planting seeds can be seen as planting the seeds of an uprising. The imagery of potatoes coming up from the ground seems comical at first, but if you’re an oppressed worker, you might see this as the crops being metaphorical for the workers rising forth to take revenge against the plantation owners. Even as Quashie explains to Buccra that he’s serious, Buccra seems to completely blow him off as if he’s â€Å"making a fun†, or a funny joke, as if the work isn’t taking a serious toll on the Jamaicans. This kind of sentiment can be seen in the final stanza, wherein Claude McKay seemingly dismisses everything he’s talked about earlier, â€Å"Yet still the hardships always melt away, whenever it comes around to reaping day† (McKay 25-26). A white, European reader may look at Quashie’s dismissal of all his earlier complaining, as if to say, â€Å"Oh well, it may have been back breaking labor, but at least the potatoes are good for eating! In reality, there may be a darker reading here that a Jamaican potato farmer would be more apt to catch onto. The imagery of â€Å"reaping day† seems to also imply that if the Buccra doesn’t start taking him seriously, the Grim Reaper, or in this case, the workers that are being taken advantage of, may make their troubles melt away by simply rising up and doing some reaping of their own that has nothing to do with crops. This does not mean, however, that McKay necessarily wanted a revolution. It may have been more of a last resort. Indeed, he makes is clear in â€Å"Old England† that he has great respect for British culture. â€Å"McKay still expressed admiration for the British. He believed that the Jamaicans had acquired their democratic spirit and respect for law and order from the British† (Tillery 14). Indeed, in â€Å"Old England†, McKay expresses great desires to visit what he calls his homeland. He refers to Queen Victoria as â€Å"Queen Victoria the Good†, and longs to visit the place where poets and kings alike are buried. Again, however, there appears to be a discrepancy in what different readers may interpret. While it may all appear reverent, he makes it clear that in death, the poets and kings is all alike, and that in their graves, the kings and queens find a place to hang up their crowns. This may symbolize McKay’s gripe with the wealthy class, and how they appear to have a disconnect with the working class Jamaican’s, despite his own love for Britain, and may not deserve a spot next to say the poets that inspired McKay’s writing. In conclusion, Claude McKay uses dialectical tools to draw different readers to different readings. What one person may see as a happy go lucky poem about a potato farmer may really represent a call to arms. His use of manipulating the dialect to create multiple readings causes the reader to question what exactly his true audience is what he’s trying to tell them through word choice and double meaning.

MSC COURSEWORK IN MANAGEMENT QUANTITATIVE METHODS AND EXCEL Assignment

MSC COURSEWORK IN MANAGEMENT QUANTITATIVE METHODS AND EXCEL - Assignment Example The scatter diagram for the individual purchase share (IPS) showed that customers spend from 30-60 per cent of their total income on Hindon products. Meanwhile, the histograms revealed that customer ratings were widely dispersed for Factors 1, 2, 3, 4 and 7, whereas Factors 5 and 6, IPS and overall satisfaction were found to be moderately dispersed. The combined scatterplots for Factors 8 and Factors 1 to 7, showed that: (1) Factor 8 has a very strong relationship with Factor 5 and overall satisfaction; (2) Factor 8 has a substantial to very strong association with Factors 1 and 2; and (3) Factor 8 has a low to moderate relationship with Factors 3, 6 and 7, although 7 tends to be negatively correlated with Factor 8. All these three generalizations were verified using correlation analysis. The complete workings with 26 figures and two tables are shown in Appendix 1. 2. The HD management is interested in finding out the average perceptions of HD  Factors 1 to 7 as seen by all of its customers. Do calculations to produce information on what you can say about these average perceptions on the basis of your sample.   Answers: The average customer satisfaction ratings are as follows: For Factor 1, 3.5; for Factor 2, 7.9, for Factor 3, 5.2; for Factor 4, 2.4; for Factor 5, 2.9; for Factor 6, 2.7; and for Factor 7, 7.0. From the average perceptions, it may be concluded that among Factors 1 to 7, Factor 2 or the design factor obtained the most favourable rating of 7.9 from the customers, followed by Factor 7 or the website quality factor with the second most favourable rating of 7.0. Factor 3 or the reliability factor was rated to be mediocre from an average of 5.2. The rest of the factors received very low ratings, with Factor 4 or the price factor getting the lowest average rating of 2.4. 3. The management of HD

Chinas Unique International Relations Theory Essay

Chinas Unique International Relations Theory - Essay Example All this has also helped the country to become an independent power in the eyes of the rest of the world with time as well. The foreign or international policy of this country is the policy or theory by way of which it interacts with other nations and also the outlook that it has towards other nations around the world. According to many sources the international theory and policy of China has been said to be ‘highly influential’. The main objectives for the reason for the unique policy that it upholds with pride are to bring about independence, sovereignty and territorial integrity. Recent Chinese foreign policy makers may be seen to adhere to the realist rather than the liberal school of international relations theory. Thus, in sharp contrast to the Soviet Union and the United States, China has not been given off to advancing any higher international ideological interests such as world communism or world democracy since the Cold War; or in other words, its ideology appe ars to be secondary to advancing its national interest. China is also a vital member of many international organizations; with itself holding key positions like the permanent member on the UN Security Council and is also a leader in many areas such as non-proliferation, peacekeeping and resolving regional conflicts.... nese scholars began to think about theoretical studies of IR, and some of them emphasized the construction of an IR theory with Chinese characteristics. Recent Chinese foreign policy makers may be seen to adhere to the  realist  rather than the  liberal  school of  international relations  theory. Thus, in sharp contrast to the  Soviet Union  and the  United States, China has not been given off to advancing any higher international ideological interests such as world  communism  or world  democracy  since the  Cold War; or in other words, its ideology appears to be secondary to advancing its national interest. China is also a vital member of many  international organizations; with itself holding key positions like the permanent member on the  UN Security Council  and is also a leader in many areas such as  non-proliferation,  peacekeeping  and resolving regional conflicts. Since 1978 the international relations theory in China has developed to a great extent and the entire theory is based on the works of two parallel processes that are simultaneously trying to establish their superiority within the country, the two of them being; (Yaqing, Qin) 1. A tenacious learning process aimed at trying to acquire knowledge and along with it, generation. a) Learning and acquiring knowledge from countries situated in the West like the US, through which the international relations theory has slowly and gradually developed as an independent discipline within the country of China. b) Furthermore as discussed above, the result of this learning has led to the formation of different schools of thought which have given rise to thinking of Realism, Liberalism and Constructivism. c) All these different thought processes have also helped and led to the rise and growth in the national and

Where do toll road fees go Essay Example | Topics and Well Written Essays - 250 words

Where do toll road fees go - Essay Example gh state law states that it is up to the county attorney to decide what to do with the funds collected, it is only common sense to suggest that the funds are put back into the local county transportation system. Stafford suggested that the law does not provide any provisions for having to use it all on the toll road. Yes, that is correct, but the fact remains that not a single cent is put back into the toll road. Where the money actually goes is to provide parties for county events and also to pay employees of the local county. I believe that there should be more accountability on the part of the county attorney. What he is currently doing is almost stealing because he is using taxpayer dollars to fund something that the taxpayers have not been consulted about. Not all of the toll road fines fund needs to be put back into the toll road, but a significant portion of it needs to be used so there is