Marianas Trench - Masterpiece Theater free essay sample

Marianas Trench, a Canadian rock group, released the album â€Å"Masterpiece Theater† over a year ago after a two-year wait, despite pressure from fans and their record company, 604 Records. The album features the bands outstanding musicianship, along with poetic and meaningful lyrics. The CD also shows how the band has matured from their debut, â€Å"Fix Me.† With this CD they have remained popular without abandoning their powerful rock style, which truly makes this album a masterpiece. The musical compositions are well crafted, and feature the bands best assets. Lead singer Josh Ramsay uses his large vocal range and upper register to enhance the lyrics as well as musical riffs, though it is guitarist Matt Webb whose impeccable plucking makes these riffs catchy and enjoyable. With drummer Ian Casselmans strong rhythms, and bassist Mike Ayleys fantastic harmonies, the band captures genuine emotions that make their music exceptional. The lyrics by Ramsay prove him to be an ingenious artist. We will write a custom essay sample on Marianas Trench Masterpiece Theater or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They go beyond the words on the page, with deep meaning behind them. Even in pop-punk songs like â€Å"Celebrity Status,† and â€Å"Cross My Heart,† Ramsay manages to create meaningful and powerful messages. â€Å"Masterpiece Theater† has also shown how they have matured since their first album in 2006. â€Å"Fix Me† had meaningful lyrics and compelling musicality, but it used profanity to complete its message. On their second album there is no swearing, which perhaps indicates how the band has worked through their insecurities, and no longer relies on dirty lyrics to make songs popular. In conclusion, â€Å"Masterpiece Theater† is a heart-wrenching album for all rock fans. It is spectacular in both lyrical and musical aspects, and shows growth yet consistency.

Operation Surgical Procedure Was Performed â€Myassignmenthelp.Com

Question: Discuss About The Operation Surgical Procedure Was Performed? Answer: Introduction The paper deals with the case study of the Mrs Nancy Andrews. She is 77-year-old female. The patient was initially admitted for the endovascular repair of a 6 cm infra renal abdominal aortic aneurysm. On the third day after operation, the patient had intense abdominal pain. On the fourth day post operation second surgical procedure was performed. After the surgical procedure the patient was diagnosed with Acute Kidney Injury or AKI. Currently, she is prescribed Continuous Veno-Venous Hemo Dialysis. In response to the case study, the paper discusses acute kidney injury and explains the criteria, in this patient that is suggestive of acute kidney injury. The choice of therapy prescribed for the patient is critically evaluated. Acute Kidney Injury Acute kidney injury can be defined as a decrease in the kidney function abruptly that results in the dysregulation of the extracellular volume and electrolytes, and the retention of nitrogenous waste products and the urea (Zuk and Bonventre 2016). Criteria in patient that is suggestive of AKI The criterion for the patient that is suggestive of AKI is the endovascular aneurysm repair or EVAR. Since acute kidney injury is characterised by the decrease in the glomerular filtration rate and increase in the serum creatinine and urea nitrogen. The same was observed in the case of Mrs Andrews. Her creatinine was 310 instead of 50-100. Her urea concentration was 22 instead of 2.7 8. Decreased haemoglobin was indicative of increased fluid volume and acute kidney failure. Mrs Andrewss haemoglobin was 87 instead of 115-155. AKI could also occur due to increase in infection, which in case of Mrs Andrews is evident from WCC of 18.2 instead of 4-11. The cause of infection could be the Arterial and CVP line were inserted during the procedure in her (Saratzis et al. 2015). According to Bang et al. (2014), the patients who underwent the complex EVAR procedure are at risk of AKI. Further, the emergence of AKI after EVAR is documented in various studies. Age is the major risk factor for the AKI. For patients older than 70 years aneurysm and AKI are highly prominent (Saratzis et al. 2013). Mrs Andrews is 77 year old and was highly susceptible to the AKI after EVAR. Long time of operation is also found to increase the risk of AKI, in this case this may have also caused the AKI in the patient (Bang et al. 2014). According to Ronco et al. (2015), severe cardiac disease, hypercholesterolemia and large abdominal aortic aneurysm diameter increases the surgical intervention and associated complications. Among the complication, the main one is the AKI. In this case study the patient has endovascular repair of a 6 cm infra renal abdominal aortic aneurysm. Further, the patient also has the history of the coronary artery disease, hyperlipidaemia which, is suggestive of AKI in this case. In addition, the angiography results showing the renal perfusion defects indicate the risk of AKI. However, in the case Mrs Andrews, the angiography at the completion of the procedure revealed no graft or endovascular leaks. The other physiological data suggests of AKI. Choice of therapy for this patient CVVHD is the appropriate treatment for the AKI. This process involves the use of a pump-driven venovenous circuit. This method works on the principle of both diffusion and ultra-filtration. In this technique a dialysate solution is run at a low rate counter-current t the flow of the blood. This technique maximises the diffusion based solution removal. It permits blood flows better than that provided by the arteriovenous circuit. The blood flow is more constant and higher. In addition, it eliminates the need of a large-bore arterial catheter. This eliminates the risks of arterial thrombosis and arterial bleeding associated with it. The benefits of the therapy include good clearance of small solutes urea, water, creatinine and electrolytes. Due to continuous haemodialysis, it is efficient in removing the low molecular weight solutes. It is thus used clinically for regulating the serum concentration of the small solutes (Symons 2017). It helps to maintain the stable hemodynamic status and the nutritional requirements of the patients. It is useful to eliminate the large amount of plasma ammonia (Pistolesi et al. 2016). Currently the status of the patient shows that the urine output is 0-2 mls per hour. Her renal ultrasound 1800 reveals adequate flow through renal arteries. The medical events of Mrs Andrews in ICU show that she has periods of hypotension. Using the therapy of CVVHD, the chance of hypotension can be removed as ultrafiltration can be done at slow rate. Even if the hypotensive episodes are brief, there is high probability that kidney may be further damaged. Recovery from AKI is slowed by multiple hypotensive episodes, in patients who are critically ill. Thus, this method is appropriate for Mrs Andrews considering her present condition. Mrs Andrews is meeting the criteria for the haemodialysis therapy. Fluid resuscitations are performed on her with infusions of crystalloid packed cells and colloids. Inf usions of Dobutamine and Noradrenaline are commenced. A pulmonary artery catheter is inserted at 0400 hours for hemodynamic monitoring. Her initial blood glucose level is 12.1 According to Kakajiwala et al. (2016), it is effective to prevent the kidney problems by providing the patient with lots of fluid and salts or bicarbonates. The alternative therapy could be the Continuous Veno-Venous Hemofiltration(CVVH) is the short-term treatment for the patients in ICU. It is the therapy used when the patient is unable to tolerate the haemodialysis or is having the low blood pressure (Liu et al. 2016). McLaughlin et al. (2017) argued on the basis of the retrospective review that CVVH is not effective in reducing mortality or the length of stay in hospital when compared to the CVVHD. Evidences from other studies showed that when compared to CVVH, CVVHD is effective in terms of diffusion- based principle as it results in greater solute removal. According to Eyler et al. (2014) patients who have undergone the abdominal aortic aneurysm and have been diagnosed with the complication of AKI is also susceptible to the also susceptible to protein calorie malnutrition. In this patients, it is necessary to balance the protein levels by administering a lot of fluids and proteins. Unlike the intermittent haemodialysis, CVVHD addresses the need of the critically ill patients by helping with slow and continuous removal of the toxins and fluids. In the intermittent method the patients fluid and protein intake is limited between the treatments. This helps to prevent the toxic levels of nitrogen and fluid overload. By removing the fluids continuously, the advantage is that the therapy mimics the native kidney. Further, there is no build up of the protein and toxins the patients can receive as much of them to get the optimal nutrition. In the current condition, Mrs Andrews is a critically ill patient, she may not be able to tolerate the int ermittent dialysis. The same is evident from the prescription of fluid removal prescribed at at 100 mls/hr. It is commenced with 2 liter exchanges and a blood flow rate at 200 mls/hr. She require large amount of fluid for various reasons. If there is no hemodynamic compromise, the patient will not be able to tolerate the rapid fluid and electrolyte shifts (RENAL Replacement Therapy Study Investigators 2009). Conclusion In conclusion, the assignment has comprehensively discussed the, criteria in-patient that is suggestive of AKI. The choice of therapy is critically analysed and is concluded that the CVVHD is the appropriate therapy for Mrs. Andrews. References Bang, J.Y., Lee, J.B., Yoon, Y., Seo, H.S., Song, J.G. and Hwang, G.S., 2014. Acute kidney injury after infrarenal abdominal aortic aneurysm surgery: a comparison of AKIN and RIFLE criteria for risk prediction.British journal of anaesthesia,113(6), pp.993-1000. Eyler, R.F., Vilay, A.M., Nader, A.M., Heung, M., Pleva, M., Sowinski, K.M., DePestel, D.D., Srgel, F., Kinzig, M. and Mueller, B.A., 2014. Pharmacokinetics of ertapenem in critically ill patients receiving continuous venovenous hemodialysis or hemodiafiltration.Antimicrobial agents and chemotherapy,58(3), pp.1320-1326. Kakajiwala, A.K., Ferguson, M.A. and Fitzgerald, J.C., 2016. Acute Kidney Injury 11.Fundamentals of Pediatric Surgery, p.75. Liu, D.L., Huang, L.F., Ma, W.L., Ding, Q., Han, Y., Zheng, Y. and Li, W.X., 2016. Determinants of Calcium Infusion Rate During Continuous Veno-venous Hemofiltration with Regional Citrate Anticoagulation in Critically Ill Patients with Acute Kidney Injury.Chinese medical journal,129(14), p.1682. McLaughlin, M.M., Masic, I. and Gerzenshtein, L., 2017. Evaluation of nucleoside reverse transcriptase inhibitor dosing during continuous veno-venous hemofiltration.International journal of clinical pharmacy,39(1), pp.37-40. Pistolesi, V., Di Napoli, A., Fiaccadori, E., Zeppilli, L., Polistena, F., Sacco, M.I., Regolisti, G., Tritapepe, L., Pierucci, A. and Morabito, S., 2016. Severe acute kidney injury following cardiac surgery: short-term outcomes in patients undergoing continuous renal replacement therapy (CRRT).Journal of nephrology,29(2), pp.229-239. RENAL Replacement Therapy Study Investigators, 2009. Intensity of continuous renal-replacement therapy in critically ill patients.N Engl j Med,2009(361), pp.1627-1638. Ronco, C., Ricci, Z., De Backer, D., Kellum, J.A., Taccone, F.S., Joannidis, M., Pickkers, P., Cantaluppi, V., Turani, F., Saudan, P. and Bellomo, R., 2015. Renal replacement therapy in acute kidney injury: controversy and consensus.Critical Care,19(1), p.146. Saratzis, A., Melas, N., Mahmood, A. and Sarafidis, P., 2015. Incidence of acute kidney injury (AKI) after endovascular abdominal aortic aneurysm repair (EVAR) and impact on outcome.European Journal of Vascular and Endovascular Surgery,49(5), pp.534-540. Saratzis, A.N., Goodyear, S., Sur, H., Saedon, M., Imray, C. and Mahmood, A., 2013. Acute kidney injury after endovascular repair of abdominal aortic aneurysm.Journal of Endovascular Therapy,20(3), pp.315-330. Symons, J.M., 2017. Continuous Renal Replacement Therapy (CRRT) and Acute Kidney Injury (AKI). InPediatric Dialysis Case Studies(pp. 271-278). Springer, Cham. Zuk, A. and Bonventre, J.V., 2016. Acute kidney injury.Annual review of medicine,67, pp.293-307.

Zero Tolerance and Community Youth Crime Prevention an Example of the Topic Business Essays by

Zero Tolerance and Community Youth Crime Prevention The zero tolerance policy for drugs and weapons is not an effective in terms of community youth crime prevention. This is simply because such a policy does not serve the important role of identifying and mitigating the underlying factor, which lead to crime activities among the youth in the community (Hanson, 2000). The realization of a sustainable solution to a problem dictates for the resolution of the root cause to the problem. Community youth crime is evidently triggered by poor influence from other members of the community. According to available evidence, the problem of drug abuse among the American youth population is blamed on the availability of such drugs in the community (Marshall, 1999). Need essay sample on "Zero Tolerance and Community Youth Crime Prevention" topic? We will write a custom essay sample specifically for you Proceed According to psychological evidence, it is evidently claimed that the behavior of the youth population is mainly guided by peer pressure. This has been closely attributed to the fact that at such a stage in the human development, many lack the intellectual capacity to engage in reasoned decisions. Due to this reason, imposing inhumanly harsh punishments to otherwise innocent criminals contradicts the concept of effective behave correction and character building in the community (Marshall, 1999). Without an effective strategy by the government and the local community in eliminating and/or restricting the availability of drugs in the community, the zero tolerance policy remains ineffective. Crime activities by the youth in the community are caused by lack of reliable social and economic responsibilities for the youth in the community (White, 1998). An idle mind is the devils workshop. It has been sufficiently established that most of the criminal activities in the human community are conducted by the unemployed members of the community. Based on this reasoning, the zero tolerance policy for drugs and weapons fails by not addressing the issue of unemployment as the leading reason behind escalating crime activities by the youth (Marshall, 1999). Still to be appreciated is the fact that family problems are contributing significantly in youth crime activities. As per the available psychological evidence, children from families marked with domestic violence are more likely to engage in crime activities. There are numerous alternative solutions to the zero tolerance policy for drugs and weapons as a tool for promoting of community youth crime prevention. First, the government should engage its resource in identifying and resolving the underlying causes of youth crime activities in the community. On the question of drug abuse such as alcohol, the law enforcement should strive to enforce the laws restricting the availability of such drugs to the underage in the community (White, 1998). The other problem is idleness among the youth. The government and all stakeholders in the American community should strive to oversee the establishment of youth programs which are reflective of their social and economic needs. Another alternative is the engagement of the government in effective correction practices for youths who are victims of community crime. Rehabilitation has been evidently praised for its effectiveness in ensuring sustainable behavioral change in crime offenders. Still, through rehabilitation, any underlying psychological cause for the individuals criminal behavior is identified and sufficiently resolved (Marshall, 1999). Another importance of rehabilitation practices is that they serve to nurture self-reliant skills among the crime offenders. This functions to promote the economic independence of the individual upon release to the community. Therefore, effective corrective practices like rehabilitating youth crime offenders could be quite instrumental in realizing a sustainable community youth crime prevention strategy. References Hanson, A. (2005). Have Zero Tolerance School Discipline Policies Turned into Nightmare? The American Dreams Promise of Equal Education Opportunity. Marshall, J. (1999). Zero Tolerance Policing. Retrieved May 23, 2010, from http://www.ocsar.sa.gov.au/docs/information_bulletins/IB9.pdf White, R. (1998). Curtailing Youth: A Critique of Coercive Crime Prevention.

Analysis of the Declaration of Independence Essays

Analysis of the Declaration of Independence Essays Analysis of the Declaration of Independence Paper Analysis of the Declaration of Independence Paper In his essay Politics and the English Language, George Orwell sets out specific and general standards for written English. These include avoiding idioms, metaphors, similes, long words, and foreign words (Orwell). However, there are even more rigid standards for political writing. According to Orwell, the vagueness and incompetence he illustrates with five different passages are especially prevalent in political writing. Unfortunately, they appear in the Declaration of Independence as well. As a result, the Declaration of Independence is a poor specimen according to Orwells standards. The vagueness is easy to spot from the beginning of the Declaration: When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Natures God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation (Declaration of Independence). As Orwell states regarding other political writing, there is a great lack of precision in this passage (Orwell). The phrases in the course of human events and among the powers of the earth are long and unnecessary. They do not add to the meaning of the passage, and they make it difficult to read and follow. In addition, the phrase and of Natures God seems redundant, since the prior phrase is the laws of Nature. Instead, the passage should read: When it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume the separate and equal station to which the Laws of Nature entitle them, a decent respect to the opinions of mankind requires that â€Å"Analysis of the Declaration of Independence† â€Å"Page # 02† they should declare the causes which impel them to the separation. Another imprecise passage is this one: Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shewn, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed (Declaration of Independence). This passage is not vague. Rather, it simply contains comma-separated phrases that could be written in a better way, as in: Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes. And accordingly all experience hath shewn that mankind are more disposed to suffer than to right themselves by abolishing the forms to which they are accustomed. In his essay Orwell warns against using phrases made up of nouns, verbs, and adjectives where a simple action verb will do (Orwell). The following example illustrates this concept: He has constrained our fellow Citizens taken Captive on the high Seas to bear Arms against their Country, to become the executioners of their friends and Brethren, or to fall themselves by their Hands (Declaration of Independence). The phrases that can be replaced by simpler verbs are: constrained, taken Captive, to become the executioners of their friends and Brethren, and to fall themselves by their hands. This passage could be re-written in the following way, keeping Orwells standards in mind: He has forced our fellow Citizens captured on the high Seas to bear Arms against â€Å"Analysis of the Declaration of Independence† â€Å"Page # 03† their Country, to execute their friends and Brethren, or to fall (or perish) by their Hands. ( In the passage above is also an example of using the passive voice unnecessarily, which is another no-no according to Orwell. The phrase is: by their hands. These words make it difficult to know who is killing whom. As a result, it would be better to omit the phrase entirely and instead write: friends and Brethren, or to fall (or perish) themselves. That anyone would criticize the well-known statement from the Declaration of Independence, all men are created equal, may seem strange. However, according to Orwells standards, there is indeed cause for questioning the word equal. Equal is one of the words Orwell describes as having numerous and variable meanings and is also one that is often used dishonestly (Orwell). Therefore, what the 13 states meant and what the king of England perceived were two different things. For example, because women couldnt vote until 1920, the states did not mean that all mankind is created equal. They indeed meant that all male people are created equal. However, the king did not know exactly what they meant, because the states hid behind the pretentious word equal. Orwell says political writing is not fresh and does not contain vivid speech. That is, there is no imagery; there are no idioms. Instead, political writers use long words where shorter ones would suffice, and these words cloud the writers meaning, making it unclear (Orwell). As a last example, read the following passage from the Declaration of Independence: -That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, That whenever any Form of Government â€Å"Analysis of the Declaration of Independence† â€Å"Page # 04† becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness (Declaration of Independence). Long, imprecise words used in this passage include: instituted, abolish, and destructive. Besides failing to state a clear meaning, these words create more syllables and less coherence, making the passage difficult to read, speak, and comprehend. This is another case in which, Orwell says, the meaning of the passage is hardly even known to its writer (Orwell). In conclusion, Orwells standards are clear about what makes good writing. Vivid imagery, preciseness, short words, everyday speech, and lack of foreign words are a few points. The Declaration of Independence breaks all of Orwells rules, without saying anything fresh or lasting. This is not to say that the Declaration of Independence is not an important piece of writing or that it has no historical value. That is far from the discussion here. What Orwells standards prove is simply that the Declaration of Independence contains vague, incompetent, and imprecise writing. â€Å"Analysis of the Declaration of Independence† Sources Declaration of Independence. Indiana Law. Indiana University School of Law- Bloomington. law. indiana. edu/uslawdocs/declaration. html (Dec 4 2006) Orwell, George. Politics and the English Language. 1946. www.mtholyoke.edu/acad/intrel/orwell46.htm (Dec 4 2006).

Referee Report on a one of the starred readings Essay

Referee Report on a one of the starred readings - Essay Example mathematical and statistical analysis, the authors explored each of three possible explanations – cohort size, child endowment, or birth plannedness channels – and concluded that birth planning accounted for an extra 0.2 years or two to three months of schooling characteristically enjoyed by children born in auspicious years. The paper is well written. The authors described, with the use of a professional writing style that is simple and easy to understand, the topic and explained the purpose of the research clearly. They likewise were sufficiently objective in describing the limitations of the study, balancing the implications of the results and raising issues for further scientific investigation, such as the pervasiveness of superstition in influencing parental decisions for child bearing. Their grasp of Vietnamese culture is, in the absence of this reviewer’s prior knowledge on the subject, quite comprehensive, informational and fascinating. The diagrammatic approach in outlining the Vietnamese zodiac drives home the point that in Eastern cultures, many life-and-death decisions are determined by the stars. This may not sound scientific, but observing the fast economic growth rates and ongoing business successes of the developing Asian economies, it is easy to fall into the trap of questioning the wisdom of human decisions backed by millennia of experience. Do and Phung attempted to explain in a rational manner what seems like a sophisticated decision-making model based on Vietnamese culture’s reliance on the zodiac and linked this with the finding that large birth cohorts coincided with the auspicious years. They observed that, over the twenty-one years of the sample study, â€Å"auspicious† cohorts were schooled for 0.2 years more than the â€Å"non-auspicious† cohorts. Many economic research studies are based on statistics that researchers hope are reliable. The problem is that in most totalitarian governments, such as Vietnam’s, statistics

Professional Health Organizations Assignment Example | Topics and Well Written Essays - 250 words

Professional Health Organizations - Assignment Example The roots of the current health education profession can be traced back to the early 1940s. This is the period in which standards for professional development of health practitioners and the interest in the observation of quality emerged. These changes were mainly advocated for after the events of World War II. Unlike the old system of health education, the current curriculum in the field insists on the observation of quality and the set standards. The current system of health also trains professionals insisting on a healthy community through disease prevention rather than cure (McKinlay 1981). One of the organizations of health profession in the United States is the American Public Health Association (APHA). This is the oldest known organization that has been working to improve public health and education in the area of health since 1872. This organization aims to educate the public on serious health threats and also shield the citizens from preventable diseases. In health education, the organization provides and protects funding for the main public health services. Another organization in the profession is the National Commission for Health Education Credentialing (NCHEC). This organization was commenced to enhance the practice of professionalism in health education by managing and sustaining an acceptable body of specialists. The organization certifies specialists in health education, strengthens expert training and practice and promotes professional

Hyundai Motor Company Business Challenges and Relationships Case Study

Hyundai Motor Company Business Challenges and Relationships - Case Study Example In a bid to penetrate the markets of the developed countries, the company’s packaging strategy faced great challenges. First, the company’s most expensive car model such as the Santa Fe and Sonata were undervalued when compared against their competitors in those markets. A research in these markets reviled that despite the cars from Hyundai ranking high in terms of quality scores when compared to their competitors, they still had lower resale values. A good example is the Hyundai’s Elantra which had higher quality rankings than the Dodge Neon, Nissan Sentra, and Chrysler but when it came to the resale values all these car models ranked well than it. Similarly, this was phenomena was also exhibited in the Hyundai Santa Fe. Its quality rankings ranked higher than that of competing models such as the Toyota RAV 4, Toyota Highlander, the Jeep Liberty, the Ford Escape and the Mazda Tribute. After one-year of sale, the retail value of the Hyundai Santa Fe was much lowe r than all these car models from competitors. To make matters worse the resale value gap between the Hyundai Santa Fe car and its competitors such as the car models from Toyota was larger than the quality gap between the car models. The resale value of a car is usually considered as the market’s perception of the quality, worth and value of that specific model. These low ranking of the models from Hyundai models in the markets of developed nations pose a great challenge to the survival of the company in those markets.