Friday, September 6, 2019

A Thousand Splendid Suns Narrative Strategies Essay Example for Free

A Thousand Splendid Suns Narrative Strategies Essay A Thousand Splendid Suns the reader would think its a happy novel, however theres nothing particularly splendid one would assume about the novel. From the very beginning of the novel the author, Khaled Hosseini inserts hints and foreshadowing to aware the reader that it will be an unhappy story. This is evident in the following illustration when Mariam breaks the sugar bowl , It was the last peice that slipped from Mariams fingers, that fell to the wooden floorboards of thekolba and shattered (Hosseini 2). Hosseini is generating depressing emotions in the novel by introducing words fell or shattered resembling failure or sin. The reader also gets introduced to the word Harami and other words, such as kolba and Jinn which are terms not identified by the author, so the reader must rely on the context to better understand what the word means. For example, when Mariam expresses the fear that the jinn has returned to her mother, the reader will assume that jinn is something bad. The use of these terms establishes the setting , but also signifies that some things cannot be translated remaining a mystery for the reader. In the novel , Hosseini makes the reader live, see and feel by portraying the experiences the characters are going through in the novel, and by writing from a third person point of view , he broadens the readers ability because the perspective of the characters is limited, sometimes Mariam, sometimes Laila, which works to great effect to attach the reader to both characters equally.

Thursday, September 5, 2019

Laws Governing Our Behaviour Philosophy Essay

Laws Governing Our Behaviour Philosophy Essay à ¢Ã¢â€š ¬Ã‚ ¦the very fact that a man obeys the law is due to his goodness. (Aquinas: 96) The gap between how people actually behave and how people ought to behave is so great that anyone who ignores everyday reality in order to live up to an ideal will soon discover he has been taught how to destroy himself. (Machiavelli, The Prince, p. 48) But fear restrains men because they are afraid of punishment, and this fear never leaves them. (Machiavelli, The Prince, p. 52) It is essential that anyone setting up a republic and constitution for it should assume that all men are wicked and will always give vent to their evil impulses whenever they have the chance to do so. (Machiavelli, Discourses, p.92) Men never do anything good except when forced to. (Machiavelli, Discourses, p. 93) Laws do not make men good. Critically compare Aquinas and Machiavellis responses to this claim Laws cannot make people good and virtuous, it should be people who have to make laws good Human beings do not just exist as biological creatures, they are also social creatures. Humans have to fulfill some responsibilities to live in a commune, for that reason every individual have to obey the spoken and the written rules. Society without law is impossible to think of. It can only regulate and work properly with laws. However laws do not make men good. People do not need laws and rules to know what is right or wrong. This knowledge is to be inside of every individual. Basic issue that my term paper needs to examine is that laws make men good or not. I will explain Machiavellis and Aquinas response to these questions then I will explain my argument. According to Machiavelli, virtu is skill and ability in ruling. It is not a moral thing. A man that has virtu means he is extremely good at what he is doing. To survive and lead to victory, he believes, sometimes prince should act unjustly. The virtuous man is the one who has the qualities that lead him to success in his actions. Prince is a decent man but sometimes he should act without morality.(Prince,18). If he wants to hold on to power, he should learn how not to be good. Because, in some circumstances, his goodness would damage him if he cannot use it skillfully.But even virtue cannot guarantee success. So fortune is an important term for prince to achieve his goal.( Prince,20). Some events happening in our lives and we are not able to change it. Machiavelli says that fortuna determines one half of our actions but it also leaves us to control the other half.(Prince,74). A ruler who only depends on his luck will not survive long because when his fortuna changes, it will destroy him. If one knew how to change, as times and circumstances change will survive with his luck. Virtu depends on fortuna and Machiavellis prince needs fortuna to survive long. Both luck and skill needed him to overcome problems. He says the way that people behave and should behave is differ and they obey the rules not because they are good but because fear restrains them (Prince,48). Hence laws do not make men good, people pretend to act good and they only obey it because they are forced, we cannot say law contribute them to be act virtuously. People can easily corrupt and it is their nature to want to be ambitious and to be greedy. Where there is a freedom of choice, they will immediately abuse it. So they only act justly when they are forced to.(Prince,93). Obeying rules does not make them just, they behave this way because they fear. On the other hand, Aquinas supports that law is a measure and rule which governs peoples acts.(Aquinas,77). It is a kind of teacher that teaches people how to act virtuous. So for Aquinas, human laws are required not only to prevent the vicious acts, but also to lead them to be virtuous. Law, even by forcing and punishing, leads men to act good.(Aquinas,100). For him, happiness is the final end of human life and lawful acts tend to produce happiness and blessedness to reach the final end.(79). He also believes there is a natural law in people. He points out that every individual understand what is good or bad for himself and human laws derive from the natural laws. Laws are the guardians against the human nature because people would corrupt the freedom if they are not restrained. However rules are not enough to make people good. It just help us to understand people who are tend to bad things. We do not need rules and laws to know what is wrong or right. This knowledge we should have inside. If law compels citizens to act good and they only obey it because they are forced, we cannot say law contribute them to be act virtuously. It is a fact that human beings react in different circumstances in different way of acting. Virtue is something which people acts morally without any external force. So for that reason it frees people from obligation because virtuous person is choosing to act morally by his own. It is a fact that if laws restrain a man not to kill anyone it can never leads him to have virtue. It must be chosen voluntarily otherwise it does not make him good in real. In conclusion, the thought of fear and punishment restrains peoples acts. To ensure the peace, human laws are required. However when people act involuntarily good, it does not make them really good. Acting virtuously is a choice that people accept it freely. It is impossible to improve people as virtuous by putting control mechanisms. They may act just today but when things change they can easily corrupt and act the way they please. If some people who tend to act badly have the chance, will not hesitate to do what they pleased. So laws cannot make people good and virtuous, it should be people who have to make laws good. Glossary Prince: Machiavelli uses prince not to mean a kings song. His term means ruler. This ruler should be both loved and feared, but since it is difficult to be successful in both at the same time, it is much better to be feared. Virtu: Machiavellis understanding of virtue is quite different from the common understanding of the virtue. Of course his virtues include courage, justice, prudence and honesty but he accepts all this actions when they are successful. Virtu means for him skill and ability in ruling. It is not a moral thing. A man that has virtu means he is extremely good at what he is doing. To survive and lead to victory, he believes, sometimes Prince should act unjustly. The virtuous man is the one who has the qualities that lead him to success in his actions. Prince is a decent man but sometimes he should act without morality.(Prince,18). If he wants to hold on to power, he should learn how not to be good. Because, in some circumstances, his goodness would damage him if he cannot use it skillfully.Both luck and skill enable him to overcome problems. Fortuna: According to Machiavelli, even virtue cannot guarantee success. So fortune is an important term for prince to achieve his goal.( Prince,20). Some events happening in our lives without our reaction. Machiavelli says that fortuna determines one half of our actions but it also leaves us to control the other half.(Prince,74). A ruler who only depends on his luck will not survive long because when his fortuna changes, it will destroy him. If one knew how to change, as times and circumtances change will survive with his luck. Virtu depends on fortuna and Machiavellis prince needs fortuna to survive long. Underlying problem Basic issue that my term paper needs to examine is that if law makes men good or not. I will explain Aquinas and Machiavellis response to this claim then I will critically discuss it in my argument. The questions that will help me; Do people act justly because of they forced? Is it beneficial to act justly? Do laws always illustrate the rights? Are there natural laws? Philosophers response According to Machiavelli, the way that people behave and should behave is differ. Hence, they obey the rules not because they are good but because fear restrains them.(Prince,48).Laws do not make men good. They act colorable. People are easily corrupted and they are selfish. Where there is a freedom of choice, they will immediately abuse it. So they only act justly when they are forced to.(Prince,93). But acting justly does not make them just because they behave this way because they fear. On the other hand, Aquinas claims that law is a measure which governs peoples acts. It is a kind of teacher that teaches people how to act virtuous. So for Aquinas, human laws are required not only to prevent the vicious acts, but also to lead them to virtue. My Argument In my essay, I will support the Machiavellis idea and will refuse the idea of Aquinas. I will argue that laws do not make men good. Laws cannot make people good and virtuous; it should be people who have to make laws good. Of course there are natural laws exist which accepted by majority. They are unique and inconvertible. But natural laws are not enough for ruling the city. So to ensure the peace, human laws are required. Fear and punishment restrain peoples acts and lead them to act just. However when people act involuntary good, it is impossible to say that they are virtuous.

Wednesday, September 4, 2019

McDonalds Workplace Hygeine

McDonalds Workplace Hygeine Executive Summary This report is to apply the HACCP to check and evaluate the food safety procedures in one of the most famous fast-food company; the McDonald .and also aims at offering some suggestions to correct some of the non-satisfactory procedures. The report will describe it from the following aspects: personal hygiene, cleaning and sanitizing, pest control, garbage disposal, receiving foods, storing foods, cooling defrosting, cooking and holding. McDonald is a leading food service retailer. Just in the USA, it has more than 12,300 traditional restaurants, plus approximately 1320 satellite locations in facilities like hospitals. They serve more than 21.8 million customers a day. So how dose the food safety procedures go on in McDonald is of great importance, which is related to the health of consumers. In order to apply the HACCP to check the food safety procedure, this report does a study of the food safety procedure in the McDonald, and find out that as a successful enterprise, McDonald develops detailed provisions to ensure the food safety procedure, making food safety a key factor to its success. Introduction Produce and serve safe food is the final goal for foodservice operations (Yi-Mei Sun, 2005). It was reported that HACCP system have not yet been homogeneously implemented across all of the food industry (Panisello and Quantick, 2001; G.Campbell-Platt, 2002). The key action, known as critical control points can be taken to reduce or eliminate the risk of the hazards being realized. It is used in the food industry to identify potential food safety hazards at all stages of food production and preparation processes. McDonald, as the biggest fast food retailer in the world, take the food safety as a never-ending process, from raw materials, through the facilities and distribution centers, and all the way to the restaurants. It„ ¢s a top priority at McDonald„ ¢s. (Sarah Fister Gale, 2006). Situational Analysis Personal Hygiene Personal hygiene of the workers is probably one of the most important thing, because the workers need to interact with the customers, and in the McDonald, they are responsible for the dinning environment. McDonald has specific regulations for workers„ ¢ personal hygiene as follows: 1. Clothes must be clean and appropriate. 2. Keep hair clean, ladies„ ¢ face should not be covered by the hair. 3. Men„ ¢s hair should be above the collar, long hair is not allowed. 4. Men need to shave and manicure everyday. 5. Ladies should wear the appropriate make-up. And too much decoration is not allowed. 6. Keep the fingernail clean and short. 7. Maintain oral hygiene and regular bathing. 8. Members of the McDonald„ ¢s restaurant management group need to wear uniforms. 9. Wash hand before going to workstation. Of all the McDonald„ ¢s hygiene standards, most of the regulations are carried out by nearly all the workers in McDonald. But there is the told by one of the workers in McDonald: Sorry to ruin your idea about McDonald„ ¢s and hand washing. I„ ¢ve worked at McDonald„ ¢s for three months, and I never see anyone wear gloves, or wash their hands, managers included. Since this comments comes from the forum, it is difficult for us the judge its reliability. However, the suggestions for the McDonald manager is that, they need to pay more attention to the workers personal hygiene, and try their best the make the situation much better. Cleaning and Sanitizing Cleaning and Sanitizing are necessary processes to create a clean and nice environment for the customers in the McDonald. According to the HACCP, cleaning and sanitizing should follow four steps: pre-clean, main clean, sanities and drying. Regulations concerned about cleaning and sanitizing in the McDonald are: Pre-clean: 1. The dining tables, chairs ,windows and equipment should be spotless. 2. All the tableware and machine should be completely cleaned and sanitizing after work. 3. The glass must be rub everyday 4. The parking lot must be flush everyday 5. The trash bin must be brushed everyday Main clean: McDonald makes a readily cleaning regulation to main clean. Readily cleaning regulation means anybody in any position must clean the peripheral position to keep the position clean. What is more, the McDonald has its own special method to simplify the clean and sanitizing job and save the time spent on clean and sanitizing. Firstly, they use lots of paper, plastic and other disposable tableware. This means, the worker only needs to put the table wares which are left by the customers when they finish into the garbage bin, and clean the table. Then everything is done. Secondly, they use trays and trays of paper, which are convenient for the customers to carry, and reduce the chance to dirt the desk. And as a result ,save the time spent on cleaning the table. Finally, all the kitchen equipments are of stainless steel surface. As the stainless steel surface is easy to clean, the efficiency of cleaning work is improved. Pest control Pest control is also of great importance. Nobody likes the presence of pests which transmit diseases. Here is what has been done in McDonald concerned about pest control: 1.McDonald especially focus on the controlling of cockroach. 2 In the entrance of the distribution center, a kind of special yellow light has been designed to drive the fly. 3 The inside of the distribution center has been painted white, especially the floor around the warehouse. Then it will be much easy to trace the cockroach and the mouse. and some actions can be taken to prevent bad ting from happening. In McDonald, the keys to successful pest controls are as follows: 1. Correct identification of the pest is the first step in control, because information on pest biology, ecology, and behavior can be easily obtained if the pest is known. 2. It is important to detect pest problems early. Careful visual inspections can help in early detection of infestations. 3. Control measures must be timed to target the most vulnerable stage of pests. as many pests are susceptible to control measures at certain times in their lives. Garbage disposal There are many garbage need to dispose everyday in McDonald. In order to protect the environment , McDonald uses paper bags instead of bags. Here are the regulations related to garbage disposal in McDonald: 1 Disposal garbage day and never leave them until tomorrow. 2 Workers must clean the place around them at anytime. 3 Use different trash bins to separate the different kinds of garbage. 4 Wear gloves when dispose garbage 5 Wash hand after disposing garbage Although garbage disposal is a small little thing, attention should be paid to, otherwise it will be harmful to the cleaning procedure. Receiving foods According to the HACCP, the receiving contains the following aspects, and this report wills analysis the situation in the McDonald following the HACCP: 1. Approved source. To make all the products has the same flavor, the McDonald especially focus on the standardization of raw materials. And all the materials must be offered by the McDonald distribution center. 2. Choosing the suppliers Knowing that suppliers are a major player in fulfilling its promise and adhering to its social responsibility, McDonal„ ¢s ensures 100% eligibility before adding any resource to its database of approved suppliers. To quality as a McDonald„ ¢s supplier, they must meet the McDonald„ ¢s internal food safety standards, product specification and farm biosecurity policies 3. Guality supervision and inspection The McDonald has stringent procurement standards. The purchasing department is responsible for quality supervision and inspection of the raw materials of the suppliers. When a defective product is found, it should be return immediately. And the suppliers should solve the problem as soon as possible. If the suppliers can not solve the problem before the deadline, their qualification for suppliers will be canceled. So the goods receiving procedure of the McDonald is following the HACCP. Storing Foods Storing foods is a funny thing for McDonald. According to the HACCP, the McDonald can store the hamburger that is not sold out as well as the method is correct and proper. 1. The French fries must be thrown away, if it can not be sold out within seven minutes. 2. The hamburger must be thrown away, if it can not be sold out within ten minutes. It is not because of food decay or food defect. The McDonald insists on offering the most valuable and qualified food to the customers. And this is just right the reason why the McDonald does what is mentioned above. So, storing foods is in fact not only a funny thing for McDonald but also a serious thing for McDonald. And through the following statements one can see, how serious it is: 1. The temperature inside the house for cold storage should be between 1 and 4, and the temperature of the house for cold storage should be between -22ÃÆ'‚ °~18ÃÆ'‚ °. 2. Special attention should be paid to the storage of hamburger, otherwise accident will be easy to happen ,if it is not storied under the standard temperature. 3. The storage of food and materials should be obey to the regulations. And it definitely follows the HACCP, or even does a greater job. Cooling and Defrosting Cooling is a useful way to keep most of the food or materials fresh. When inspect whether the food is fresh or not, McDonald pays much attention to the test of temperature, especially the temperature control of the frozen food. The workers much inspect every product to make sure it is under the condition of cooling. The main principle for the refrigerate is insisting -FIFO , the FIFO stands for first in first out. Special methods have been made, concerned about how to organize the food, for example, there can only be six boxes of French fries up forward. Before the food being cooled, the manager need to inspect the temperature and the quality of the goods. Cooking and Holding The reported foodborne illness cases per year were 76 millions in the US(Tauxe, 2002) and 9.4 millions in the UK(Walker, et al, 2003).Improper food handling is responsible for 97% of food borne illness associated catering(Griffith CJ, 2000). The McDonald pays much attention to cooking and handling procedure. The main principle for cooking is -less amount many time  which can ensure the high quality and high fresh level of the food. For instance, twelve hamburgers should be made in four minutes; workers can not cook the twelve hamburgers at one time. The time figured out for making one hamburger is one handured and forty-five senconds, take the additional time into consideration, humburgers can be made in ten minutes. Nearly all foods in the McDonald have the specific holding time, the holding time for humbuegers is ten minutes, for french fries is seven minutes, for apple pie is ten minutes, and for coffee is thirty minutes, and the temperature of the milk sent by the supplier mus t be under 4ÃÆ' ¢Ãƒâ€¦Ã‚ ¾Ãƒâ€  , otherwise, it will be returned. Conclusions In conclusion, workplace hygiene is very important to McDonald which does a good job in such eight aspects above-mentioned. McDonald„ ¢s ways to manage the workplace hygiene can be good references for other similar establishments. Beause of the work for hygiene is systematic, there may be some behaviours not conform to specified requirements exsit, for instance, some worker may omit washing, McDonald still needs to make better use of the HACCP to make the situation even better. References Griffith, CJ 2000. Food safety in catering establishments, in: Safe Handling of Foods, JM Farber and ECD Todd, Eds., Marcel Dekker, New York, 235-256. G.Campbell-Platt 2002. HACCP/food safety objectives. Food Control ,13, PP. 353. Panisello,P.J, Quantick,P.C 2001. Technical barriers to hazard analysis critical control point. Food Control,12(3), PP. 165-173. Sarah Fister Gale 2006. CASE STUDIES IN FOOD PROTECTION McDonaldds USA: A Golden Arch of Supply Chain Food Safety. Food Safety Magazine [Online] Issue February/March 2006, Available at:http://www.foodsafetymagazine.com/article.asp?id=491sub=sub1 [Accessed 12 Sep 2009] Tauxe, R.V 2002. Surveillance and investigation of food borne diseases. Food Control,13,PP. 363-369. Walker, E.,Pritchard,C., Forsythe,S. 2003. Hazard analysis critical control point and prerequisite programme implementation in small and medium size food business. Food Control,14, PP. 169-174. Yi-Mei Sun., H.W.Ockerman 2005. A review of the needs and current applications of hazard analysis and critical control point(HACCP) system in foodservice areas. Food Control,16, PP. 325-332.

National Income Essay -- Income Economy Economics Essays

National Income National income is a measure of the value of the output of the good and services produced by an economy over a period of time. It is defined as a flow of output. Economic essay National income is a measure of the value of the output of the good and services produced by an economy over a period of time. It is defined as a flow of output. A reason why we need to collect national income figures is to provide an accurate estimate of changes in the volume of output produced during one year, which can then be compared with other years. In order to see what has happened to the real national income when two years are compared, we must remove the effects of inflation on the prices of data, so that we don't obtain misleading data. National income can be measured by GDP, GNP and NNP. GDP is the Gross Domestic Product; it is the value of output produced by factors of production located within a certain country. GNP is Gross National Product; this measures the total value of output produced, and incomes received by a country's residents from the ownership of resources, wherever these happen to be located. GNP therefore takes account of the fact that some of that country's residents earn incomes such as rent and profit from owning resources located abroad. Therefore GNP includes the full value of plant and equipment produced during the course of a year. Net national product is Gross National Product minus Depreciation. Depreciation is the decline of existing plant and equipment over a period of time, that id declined due to wear and tear and obsolescence. NNP is the aggregate that is most usually taken to mean national income. GNP is more of the official measure for national income, however ... ...wever not because it has a outstanding economy but because of all the oil it exports. In reality Oman doesn't offer a wide variety of goods or services and therefore its standard of living is perhaps worse than countries with lower GNP's. Â · Also a country's GNP may be high, however most of the output it might produce may be exported, meaning that locals don't have all these outputs to choose from and so there standard of living isn't that great. Therefore using national income to make international comparisons of living standards has its benefits and limitations, however the limitations that arise are far greater than the advantages. However currently it the most efficient method to use for making international comparisons for standard living and until a new more reliable procedure is created, it is the one that we are obliged to use.

Tuesday, September 3, 2019

The Importance Of The Press Essay -- essays research papers fc

The Importance of the Press   Ã‚  Ã‚  Ã‚  Ã‚  The newspaper is a powerful medium. It is powerful because it has the ability to influence the way that people view the world, as well as their opinion of what they see. In peaceful times (or in times of oppression, for sometimes they can appear to be happening at the same moment) the press is usually one of the instruments used by the state in order to maintain the status quo. However, during times of political unrest it is often the press who becomes the major antagonist in the fight against the government.   Ã‚  Ã‚  Ã‚  Ã‚  Why is this so? Why does the press get so deeply involved in, not just the reporting of, but the instigating and propagating of political change? In order to properly answer this question there are several other key ideas and questions which must first be examined. To understand the nature of the press' involvement in political change, one must initially understand the nature of political change in its own right. In this vein, the first section of the paper is dedicated to this investigation. An examination of the motives behind revolution will be given in order to provide a framework for the second part of the paper, which will look at the involvement of the press during revolutionary times in more specific terms. The French revolution of 1789 will be used as a backdrop for this inquiry.   Ã‚  Ã‚  Ã‚  Ã‚  There are many different types of political movements, and accordingly there are many different reasons for these movements to occur. Value-oriented and norm-oriented movements deal with matters of social and political concern, but do so in the setting of the already existing political and social structures. Revolutionary movements seek to make fundamental changes to society in order to establish a completely new political and social order.1 The distinction being that the first aims to make subtle changes to society from within, while the latter's aim is to make drastic changes to society by getting rid of the principles that society was based on.   Ã‚  Ã‚  Ã‚  Ã‚  Usually this will involve a change in political beliefs and values, or political ideology. In today's world there are numerous forms of political ideologies, but in essence they are all derived from two basic root ideologies; socialism and liberalism. Socialism is an ideology w... ... Prelude to Power, The Parisian radical Press: 1789-1791, Maryland: the Johns Hopkins University Press, 1976 The Influence of the Enlightenment on the French revolution, edited by William F. Church, Canada: D.C. Heath and Company, 1974 Darton, Robert and Daniel Roche, Revolution in Print: The Press in France 1775- 1800, USA: New York Public Library, Astor, Lenox & Tilden Foundations, 1989 Guy, James John, People, Politics & Government, Toronto: Maxwell Macmillan Canada Inc., 1990. Osler, Andrew. News, The Evolution of Journalism in Canada. Missisauga: Copp Clark Pitman Ltd., 1993. Popkin, Jeremy D. Revolutionary News, The Press in France 1789-1799. USA: Duke University Press, 1990. Footnotes 1James John Guy, People, Politics and Government, (Toronto, 1990), p. 103. 2 Ibid., p. 81 3 Gustave Le Bon, The Psychology of revolution, (USA, 1968), pp. 162-3 4Ibid., p. 28. 5Andrew M. Osler, News, The Evolution of Journalism in Canada, (Canada, 1993), p. 54. 6Jeremy D. Popkin, Revolutionary News The Press in France, 1789-1799, (USA, 1990), pp. 19-20. 7Ibid., p. 22-3. 8Ibid., p.25. 9Ibid., p. 26. 10Ibid., p.28. 11Ibid., p. 2. 12Ibid., p. 3. 13Ibid., p. 3. 14Osler, p. 54. t

Monday, September 2, 2019

Heart Transplant Essay

In this paper about heart transplants I will be talking about the operation, and what needs to happen before surgery. Then I will be telling you about the beginning of all transplants and who accomplished it. Then I will talk about what a heart transplant actually is. After that I will tell you what the purpose of a heart transplant is and why we use this procedure. I will talk about the safety precautions and a lot of other dangers, or things that can go wrong in or after heart surgery. Then I will tell you the problems with getting a heart transplant. After this I will describe what transplant rejection is and why it is so dangerous. The next thing I will be talking about is what medications you can take to help transplant with lower possibility of rejection. The last thing I will inform you on is who needs a transplant and why people would need to have a heart transplant. The operation The first part begins with finding a donor who is willing to give their heart for someone in need. The donors are usually involved in a horrible accident where they have become permanently brain dead or paralyzed. This is usually a result from a severe head or neck trauma. After the donor is brought in to the hospital the nurses go to work by trying to keep all of the organs functioning properly with medications and a respirator. One of the hardest parts involved with the procedure is keeping the organs alive after they are removed from the person’s body. Once this happens the surgeons and doctors go to work on keeping the organs alive until they reach the receiver by putting the heart on ice it should last six hours so they are typically flown by air plane or helicopter to get there before the organs die. Step number two This starts with removing the recipient’s damaged or diseased heart. Removing the damaged heart may be very easy or very difficult. This depends on whether the recipient has had previous heart surgery this is very common. If there has been previous surgery, cutting through the scar tissue may cause trouble and take longer for the removal of the heart to take place. Step number three This is the easiest step of the operations is the implanting of the heart to the recipitants body. This consists of five rows of stitches there job is wrong to connect the large blood vessels entering and or leaving the heart. If nothing goes wrong in, or after the surgery the patients are allowed to return in around one week. The Beginning of Heart Transplants The idea of transplanting an organ was first introduced in mythological tales in ancient times. It evolved into more than tales after they started testing transplants in animals. The first successful transplant in animals was undocumented but scientists believe it dates from the B. C era. Who was the first to complete this procedure successfully? In 1967, a human heart from one person was transplanted into the body of another by a South African surgeon named Dr. Christian Barnard in Cape Town. In early December, Dr. Barnard’s surgical team removed the heart of a 25-year-old woman who had died following an auto accident and placed it in the chest of Louis Washkansky, a 55-year-old man dying of heart damage. The patient survived for 18 days. Dr. Barnard had learned much of his technique from studying with the Stanford group. This first clinical heart transplantation experience stimulated world-wide notoriety, and many surgeons quickly co-opted the procedure. However, because many patients were dying soon after, the number of heart transplants dropped from 100 in 1968, to just 18 in 1970. It was recognized that the major problem was the body’s natural tendency to reject the new tissues. Over the next 20 years, important advances in discovering different types of tissues t and drugs to help accept the transplants allowed more transplant operations to take place and increased patients’ survival rates. The most notable development in this area was Jean Borel’s discovery in the mid-1970s of cyclosporine, an immunosuppressant drug derived from soil fungus. On 6 Jan 1968, the first heart transplant in the U. S. was performed on Mike  Kaspersky who was 54. He only survived for 15 days afterwards, But this was the start of heart transplantations for Americans. Definition Heart transplantation, also called cardiac transplantation, is the replacement of a patient’s diseased or injured heart with a healthy donor heart. Purpose Heart transplantation is performed on patients with end-stage heart failure or some other life-threatening heart disease. Before a doctor recommends heart transplantation for a patient, all other possible treatments for his or her disease must have been tried. The purpose of heart transplantation is to extend and improve the life of a person who would otherwise die from heart failure. Most patients who receive a new heart were so sick before transplantation that they could not live a normal life. Replacing a patient’s diseased heart with a healthy, functioning donor heart often allows the recipient to return to normal daily activities. Precautions Because healthy donor hearts are in short supply, strict rules dictate who should or should not get a heart transplant. Patients who have conditions that might cause the new heart to fail should not have a heart transplant. Similarly, patients who may be too sick to survive the surgery or the side effects of the drugs they must take to keep their new heart working would not be good transplant candidates. Patients who have any of the following conditions may not be eligible for heart transplantation: †¢ Chronic lung disease with loss of more than 40% of lung function. †¢Active infection. †¢Pulmonary hypertension. †¢Chronic lung disease with loss of more than 40% of lung function. Untreatable liver or kidney disease. †¢Diabetes that has caused serious damage to vital organs. †¢Disease of the blood vessels in the brain, such as a stroke. †¢Serious disease of the arteries. †¢Mental illness or any condition that would make a patient unable to take the necessary medicines on schedule. †¢Continuing alcohol or drug abuse. Problems with getting a heart transplant Pa tients with end-stage heart disease that threatens their life even after medical treatment may be considered to receive a heart transplant. Potential candidates must have a complete medical examination before they can be put on the transplant waiting list. Many types of tests are done, including blood tests, x rays, and tests of heart, lung, and other organ function. The results of these tests tell the doctors how serious the heart disease is and whether or not a patient is healthy enough to survive the transplant surgery. The most common and dangerous complications of heart transplant surgery are organ rejection and infection. Immunosuppressive drugs are given to prevent rejection of the heart. Most heart transplant patients have a rejection episode soon after transplantation, but doctors usually diagnose it immediately when it will respond readily to treatment. Rejection is treated with combinations of immunosuppressive drugs given in higher doses than maintenance immunosuppression. Most of these rejection situations are successfully treated. Infection can result from the surgery, but most infections are a side effect of the immunosuppressive drugs. Immunosuppressive drugs keep the immune system from attacking the foreign cells of the donor heart. However, the suppressed immune cells are also unable to adequately fight bacteria, viruses, and other microorganisms. Microorganisms that normally do not affect persons with healthy immune systems can cause dangerous infections in transplant patients taking immunosuppressive drugs. Patients are given antibiotics during surgery to prevent specific bacterial infection. Patients may also be given an antiviral drug to prevent virus infections. Patients who develop infections may need to have their immunosuppressive drugs changed or the dose adjusted.

Sunday, September 1, 2019

Compare the ways the contrast between two fathers and their daughters are made interesting in ‘Romeo and Juliet’ and ‘An Inspector Calls’ Essay

‘Romeo and Juliet’ was written in the 16th century by William Shakespeare and ‘An Inspector Calls’ was written nearly 400 years later in the early 20th century by J.B. Priestley. In both of these plays the relationships of fathers, Lord Capulet and Arthur Birling and their daughters, Juliet and Shelia, are portrayed as being a typical father daughter relationship with seemingly very caring but slightly controlling fathers. In ‘Romeo and Juliet’, Lord Capulet seems to be very caring and considerate towards Juliet when speaking to Paris, a man that Lord Capulet would like Juliet to marry due to his status and financial position. This is shown when Capulet says â€Å"hopeful lady of my earth†, this infers Juliet means the world to him, it implies she is as precious to him as he created her and is very proud of her. It also shows that as she is his only child he wants nothing other than the best for her. We can also see that Capulet wants the best for his daughter when he is explaining to Paris how he wants him to â€Å"woo her† and to â€Å"get her heart†. This shows that Capulet wants Juliet to be in love with the man she is going to marry and wants to get married to him for her own emotional reasons and not just because her father wants her to. Many girls in the 16th century were forced into marriages they didn’t want to be in; many didn’t have a choice of whom they were going to marry but in Juliet’s case she did have some say which was a very rare occurrence. At the start of ‘An Inspector Calls’ we believe that Arthur Birling truly loves his daughter and he would do anything for her and support her in many ways. We can see this when he says â€Å"Sheila means a tremendous lot to me† over the engagement dinner with Gerald. It is portrayed that he truly has her best interests at heart and only wants the best for her. Although, as Birling later reveals that he wants Sheila to marry Gerald not only for her benefit but also for his, as Gerald’s father’s business (Crofts Limited) is Birling’s top rival and Birling knows that by his daughter marrying Gerald his business will thrive and exceed its current position. We can see this when Birling says â€Å"lower costs and higher prices† Birling is over joyed with Shelia’s choice as he can see the future business potential. So as we can see at the start of both of these plays both fathers only want the finest for their daughters and are trying to get them to marry into wealthy and well respected families. Change. The first time we see Juliet and Lord Capulet together is in Act 3, Scene 5, of the play when Juliet is about to tell her father that she doesn’t want to marry Paris. Lord Capulet walks in and witness’ Juliet crying, he thinks he is about to deliver good news which will stop her tears, but as he soon finds out she is crying because she doesn’t want to marry Paris. He is outraged. The audience can see this when Lord Capulet implies he will â€Å"drag thee on a hurdle thither† this shows that he is not going to take no for an answer and he is going to make Juliet marry Paris wither she likes it or not. He also refers to Juliet as a â€Å"curse† this proves that he is totally disgusted with Juliet that his own daughter is going against what he is telling her to do, and that all she is doing is bringing bad luck to the Capulet house hold, he is trying to make her feel so awful for not marrying Paris, in order to that she may change her mind. Even though Lord Capulet liked to give the impression that he was giving Juliet some choices in who she marries when he said to Paris â€Å"Within her scope of choice† we later find out that really Juliet had no choice and the decision was made for her. We thought that Lord Capulet was a kind and caring father but as we now can see he is not the person originally portrayed, when people do not do as he wants he turns into an strong willed man that will try to make them do it whether they like it or not . In ‘An Inspector calls’ Birling and Sheila’s relationship seems to be very childlike, this is shown when he says â€Å"Are you listening, Sheila?† and her reply is â€Å"I’m sorry, Daddy†. This shows that even though Sheila is growing up into a woman Birling is still talking to her like she is a child and is refusing to let her grow up. Birling is also very dismissive of Sheila; we witness this when he says â€Å"nothing to do with you, Shelia. Run along†, the way in which he speaks to her is quite belittling and we are made to believe that although she is his daughter, women are second class to men, he truly believes that she is not worthy of being spoken to with regard to the inspectors visit. Birling is a very single minded man who does not take kindly to opposition to his beliefs. This is seen when he says â€Å"we’ve had experience – and we know† this shows he is no longer prepared to discuss the topic any further, when discussing war with his son Eric. Birling has very similar expectations for his daughter as Lord Capulet has for Juliet, they both want their daughters to marry into good families however with a certain degree of control, we know this because Capulet says â€Å"within her scope of choice†, he is allowing her a certain degree of choice in whom she marries although it is clear that he would want to have the final say in who she married and therefore her choices are limited. Juliet clearly feels she is treated like a child too as she has no intention of marrying Paris as she is already in love with Romeo whom is a Montague. As the inspector questions each of the characters about a woman, Eva Smith (also known as Daisy Renton) who has apparently committed suicide. Each of characters have had some involvement with the young girl and may each of played a part into the her death. It is clear to see that Shelia’s personality goes from one of being immature and talked down to, to strong and mature, she accepts that she may have been partly responsible for the suicide of Eva. For the first time Birling is shown in his true light and Shelia she sees her father as being very opinionated and stubborn and refusing to accept any responsibility for his part in Eva’s death, as a rich employer to those in society who are not as wealthy, he has a duty of care. Birling also realises that his hopes and dreams may not become reality although he still refuses to accept any responsibility with regards to the death Eva, at the end of the play he cracks jokes about whole situation and about the way that possibly they have all been had over, although Shelia and Eric are remorseful, Birling mocks them when they are feeling so awful. When Capulet finds out his only daughter has taken her own life because she wanted to be with the man she loved, Romeo; not Paris, he seems to learn a lesson from his mistakes, this is shown in the quote â€Å"O brother Montague† (Romeo’s father) this conveys that now his actions have led to the death of a family members, Romeo also takes his own life and therefore there have been deaths on both sides which cause him to want to end rivalry between the Capulets and the Montagues. The word â€Å"brother† suggests that not only does he now want to take his rivals on as friends he sees them as almost family. This makes the audience feel sad for both families because for them, peace came at a very high price which both have paid but at the same time the audience would feel proud that both families have put their differences aside and came together to support each other. Ultimately the huge contrast between Lord Capulet and Birling is that although both men strive to be the successful men of their time and are trying to achieve the best for their daughters, Lord Capulet learns from his pushiness into trying to marry off his daughter to better the family name and Birling does not learn, even when someone has died and his daughter feels partly to blame he refuses acknowledge this or any part he himself may have had in the death of Eva Smith, or the feelings of his family. Juliet was a strong enough person to take matters into her own hands and hatch a plan to marry Romeo. Shelia shows that she is a more sensitive person by feeling guilt in her part of the death of Eva. The comparison of contrast between the two relationships became interesting and apparent when in each play someone died. Lord Capulet reflected on his actions and was able to offer an olive branch to his enemy in the hope that he could become a better person following the deaths of Romeo and Juliet. Birling still continued to be the single minded and stubborn man he started off as by not learning or realising that his actions have had consequences for others and especially his own family.