Eulogy for Mother :: Eulogies Eulogy

Eulogy for Mother My brother, my sister and I had adopted a cat. We told our mom that we would take care of it, and feed it. Of course you know what happened. Our mom ended up taking care of it and feeding it. We told our mom the cat's name was Tiger. T i g e r. Now, if you’re Molly and you are originally from Trenton New Jersey, T i g e r is pronounced Tagger. In the morning to call the cat we would take our turns calling, "Here, Tiger, Tiger, Tiger, The cat would not come. Then we would wait for our mom to show up in her nightgown and call the cat. She'd call, "Here Tagger Tagger Tagger" and the cat would come. That is a humorous tale about my mom, but it is so typical of her life. The first thing she thought about when she woke up was meeting someone else's needs, not her own. She was feeding our cat. All of us in the family including myself would ask her to do things for us. Mom can you wash this, mom can you cook this, mom cam I borrow some money. She never hesitated to serve her family. She never said, "I'm to busy," or "I have to do this," or any other excuse. That cat would only come when she called it, because my mother knew how to talk and touch people's hearts. That cat responded, as so many other people have to her compassion. She had a compassionate heart. There was room for everybody, no exclusions. Just like Jesus. My Dad told me how he met my mom. They met at a dance at the YMCA in Trenton, New Jersey. While dancing, my dad stepped on her feet. Instead of apologizing for stepping on her feet my dad said, "I guess your just learning how to dance." My mom just looked at my dad and said, "yes I’m just learning." Not until later in their relationship did my dad find out that my mom had won dance contests. Another funny story, and if you knew my mom you appreciated her sense of humor and her love of laughter; but another example of how she led her life. Instead of saying something mean she put the burden on herself. And now I will tell you about all the times my mom said mean things to me and other people.

Daniel’s Sonnet 6 vs. Shakespeare’s Sonnet 130 Essay -- comparison com

Daniel’s â€Å"Sonnet 6† vs. Shakespeare’s â€Å"Sonnet 130†    Daniel wrote a conventional love sonnet using the traditional Petrarchan style of putting the idea of love, or the mistress, on a pedestal.   Shakespeare turned these ideas on their heads by portraying a mistress who was by no means special and most certainly unappealing. By comparing Daniel's â€Å"Sonnet 6† and Shakespeare's â€Å"Sonnet 130,† one may quickly conclude that Daniel’ s and Shakespeare’s ideas of the perfect lady and of love differ greatly..   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   During Daniel's time there was a traditional way of writing love poems.   Many of these poems talked of an unattainable woman whose love and perfection was so great she could only be considered to be divine.   This is exactly what Daniel did.   He wrote of an idea of what the perfect love would be using metaphors. Daniel uses metaphors that related to something of great power or energy, such as the sun, writing "although her eyes are sunny."   Daniel uses the sun to compliment the mystical sense of his mistress.   When Daniel talks of the eyes, he is explaining the power that can be seen in her eyes.   This of course is not a realistic portrayal of a woman, but rather an idea of the kind of love that is so powerful, so heavenly that it is unattainable.   Daniel tries to prove that his mistress has a love so powerful and deep that it can only be an idea.   When many people think of an idea of love that is perfect, many would say that women of purity and beauty would be the perfect woman.   Daniel states this thought when he says "Chastity and Beauty, which were deadly foes."   Here Daniel says that his mistress is pure, innocent, and beautiful.   He is asking the reader to find a woman that perfect.   There also seems to be r... ...false compare that their love is truer than his.   Shakespeare does not need to falsely compare his woman to someone divine. He expresses his lady as being simple and able to accept his true love.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   With his use of traditional Petrarchan writing, Daniel paints a perfect idea of a woman, one who is immortal and unattainable. Shakespeare, on the other hand mocks this style of writing and creates a vision of a more human woman who has flaws and is anything but perfect.   In conclusion, these two writers have different views on what true love is, and the kind of woman they admire.   Neither way is wrong, but are simply two contrasting ways of expressing how a man looks at a woman.    Works Cited Shakespeare, William. Shakespeare’s Sonnets. Ed. Katherine Duncan-Jones. New York: Thomson Learning, 1997. (Teacher’s Handout for Daniel’s Sonnet 6)

Susan Brownell Anthony Essay -- Biography Biographies Essays Women Suf

Susan Brownell Anthony: The Mother of America If the Majority of this nation agrees that George Washington was the founding father of America, then Susan B. Anthony would have to be the founding mother of America. She was the ultimate leader in the woman's suffrage movement. The Suffrage movement started around 1840 and in a way, it still continues today. Women have only been voting for 84 years (in America) while men could vote from the start of civilization. In her time, women were not allowed to have anything under their name from the moment they were born. If anything had the potential to be theirs, it would instead legally be their father?s or male guardian?s until she was married. Even then, the object would be given to her husband because women were not considered to be worthy of such things. There was only one college in the whole world that admitted women and women doctors and lawyers were unheard of. Although women are still not treated with complete equality, the constitution fuly supports their right to defend themse lves. If the 19th amendment was not created in 1920, then it would have taken that much longer for women to gain respect. Susan B. Anthony revolutionized America?s outlook on women of all colors; without her, women would not have attained complete enfranchisement in 1920. Susan was born on February 15, 1820 in Adams, Massachusetts to Daniel and Lucy Anthony. She could read and write at the age of five and learned arithmetic even though most other girls weren?t allowed to. She continued her education at Miss Deborah Moulson?s Select Seminary for Females and became the assistant principal of a boarding school in New Rochelle (Untermeyer 61). When she succeeded a man to work as a teacher, after havin... ...or giving them every right that men have been given. There are a few people who still discriminate women, but because women have rights, they are forced to accept the equality of women regardless of their opinion. Works Cited Burns, Ken. ?Our Big Time.? American Heritage. Nov 1999: 98. Kowalski, Kathiann. ?Cady Stanton and Anthony Friends Fighting for the Cause.? Cobblestone. March 2000: 14. Stansell, Christine. ?The Road from Seneca Falls: the Feminism of the Mothers, the Feminism of the Daughters, the Feminism of the Girls.? The New Republic. 10 Aug. 1998: 26-38. Susan B. Anthony. Thompson Gale. 9 Feb 2004 . ?Susan B. Anthony: Women?s Suffrage Movement.? Monkeyshines on America. May 1997: 28. Untermeyer, Louis. Makers of the Modern World. New York: Simon and Schuster, Inc., 1955.

A Game of Thrones Chapter Five

Jon There were times—not many, but a few—when Jon Snow was glad he was a bastard. As he filled his wine cup once more from a passing flagon, it struck him that this might be one of them. He settled back in his place on the bench among the younger squires and drank. The sweet, fruity taste of summerwine filled his mouth and brought a smile to his lips. The Great Hall of Winterfell was hazy with smoke and heavy with the smell of roasted meat and fresh-baked bread. Its grey stone walls were draped with banners. White, gold, crimson: the direwolf of Stark, Baratheon's crowned stag, the lion of Lannister. A singer was playing the high harp and reciting a ballad, but down at this end of the hall his voice could scarcely be heard above the roar of the fire, the clangor of pewter plates and cups, and the low mutter of a hundred drunken conversations. It was the fourth hour of the welcoming feast laid for the king. Jon's brothers and sisters had been seated with the royal children, beneath the raised platform where Lord and Lady Stark hosted the king and queen. In honor of the occasion, his lord father would doubtless permit each child a glass of wine, but no more than that. Down here on the benches, there was no one to stop Jon drinking as much as he had a thirst for. And he was finding that he had a man's thirst, to the raucous delight of the youths around him, who urged him on every time he drained a glass. They were fine company, and Jon relished the stories they were telling, tales of battle and bedding and the hunt. He was certain that his companions were more entertaining than the king's offspring. He had sated his curiosity about the visitors when they made their entrance. The procession had passed not a foot from the place he had been given on the bench, and Jon had gotten a good long look at them all. His lord father had come first, escorting the queen. She was as beautiful as men said. A jeweled tiara gleamed amidst her long golden hair, its emeralds a perfect match for the green of her eyes. His father helped her up the steps to the dais and led her to her seat, but the queen never so much as looked at him. Even at fourteen, Jon could see through her smile. Next had come King Robert himself, with Lady Stark on his arm. The king was a great disappointment to Jon. His father had talked of him often: the peerless Robert Baratheon, demon of the Trident, the fiercest warrior of the realm, a giant among princes. Jon saw only a fat man, red-faced under his beard, sweating through his silks. He walked like a man half in his cups. After them came the children. Little Rickon first, managing the long walk with all the dignity a three-year-old could muster. Jon had to urge him on when he stopped to visit. Close behind came Robb, in grey wool trimmed with white, the Stark colors. He had the Princess Myrcella on his arm. She was a wisp of a girl, not quite eight, her hair a cascade of golden curls under a jeweled net. Jon noticed the shy looks she gave Robb as they passed between the tables and the timid way she smiled at him. He decided she was insipid. Robb didn't even have the sense to realize how stupid she was; he was grinning like a fool. His half sisters escorted the royal princes. Arya was paired with plump young Tommen, whose white-blond hair was longer than hers. Sansa, two years older, drew the crown prince, Joffrey Baratheon. He was twelve, younger than Jon or Robb, but taller than either, to Jon's vast dismay. Prince Joffrey had his sister's hair and his mother's deep green eyes. A thick tangle of blond curls dripped down past his golden choker and high velvet collar. Sansa looked radiant as she walked beside him, but Jon did not like Joffrey's pouty lips or the bored, disdainful way he looked at Winterfell's Great Hall. He was more interested in the pair that came behind him: the queen's brothers, the Lannisters of Casterly Rock. The Lion and the Imp; there was no mistaking which was which. Ser Jaime Lannister was twin to Queen Cersei; tall and golden, with flashing green eyes and a smile that cut like a knife. He wore crimson silk, high black boots, a black satin cloak. On the breast of his tunic, the lion of his House was embroidered in gold thread, roaring its defiance. They called him the Lion of Lannister to his face and whispered â€Å"Kingslayer† behind his back. Jon found it hard to look away from him. This is what a king should look like, he thought to himself as the man passed. Then he saw the other one, waddling along half-hidden by his brother's side. Tyrion Lannister, the youngest of Lord Tywin's brood and by far the ugliest. All that the gods had given to Cersei and Jaime, they had denied Tyrion. He was a dwarf, half his brother's height, struggling to keep pace on stunted legs. His head was too large for his body, with a brute's squashed-in face beneath a swollen shelf of brow. One green eye and one black one peered out from under a lank fall of hair so blond it seemed white. Jon watched him with fascination. The last of the high lords to enter were his uncle, Benjen Stark of the Night's Watch, and his father's ward, young Theon Greyjoy. Benjen gave Jon a warm smile as he went by. Theon ignored him utterly, but there was nothing new in that. After all had been seated, toasts were made, thanks were given and returned, and then the feasting began. Jon had started drinking then, and he had not stopped. Something rubbed against his leg beneath the table. Jon saw red eyes staring up at him. â€Å"Hungry again?† he asked. There was still half a honeyed chicken in the center of the table. Jon reached out to tear off a leg, then had a better idea. He knifed the bird whole and let the carcass slide to the floor between his legs. Ghost ripped into it in savage silence. His brothers and sisters had not been permitted to bring their wolves to the banquet, but there were more curs than Jon could count at this end of the hall, and no one had said a word about his pup. He told himself he was fortunate in that too. His eyes stung. Jon rubbed at them savagely, cursing the smoke. He swallowed another gulp of wine and watched his direwolf devour the chicken. Dogs moved between the tables, trailing after the serving girls. One of them, a black mongrel bitch with long yellow eyes, caught a scent of the chicken. She stopped and edged under the bench to get a share. Jon watched the confrontation. The bitch growled low in her throat and moved closer. Ghost looked up, silent, and fixed the dog with those hot red eyes. The bitch snapped an angry challenge. She was three times the size of the direwolf pup. Ghost did not move. He stood over his prize and opened his mouth, baring his fangs. The bitch tensed, barked again, then thought better of this fight. She turned and slunk away, with one last defiant snap to save her pride. Ghost went back to his meal. Jon grinned and reached under the table to ruffle the shaggy white fur. The direwolf looked up at him, nipped gently at his hand, then went back to eating. â€Å"Is this one of the direwolves I've heard so much of?† a familiar voice asked close at hand. Jon looked up happily as his uncle Ben put a hand on his head and ruffled his hair much as Jon had ruffled the wolf's. â€Å"Yes,† he said. â€Å"His name is Ghost.† One of the squires interrupted the bawdy story he'd been telling to make room at the table for their lord's brother. Benjen Stark straddled the bench with long legs and took the wine cup out of Jon's hand. â€Å"Summerwine,† he said after a taste. â€Å"Nothing so sweet. How many cups have you had, Jon?† Jon smiled. Ben Stark laughed. â€Å"As I feared. Ah, well. I believe I was younger than you the first time I got truly and sincerely drunk.† He snagged a roasted onion, dripping brown with gravy, from a nearby trencher and bit into it. It crunched. His uncle was sharp-featured and gaunt as a mountain crag, but there was always a hint of laughter in his blue-grey eyes. He dressed in black, as befitted a man of the Night's Watch. Tonight it was rich black velvet, with high leather boots and a wide belt with a silver buckle. A heavy silver chain was looped round his neck. Benjen watched Ghost with amusement as he ate his onion. â€Å"A very quiet wolf,† he observed. â€Å"He's not like the others,† Jon said. â€Å"He never makes a sound. That's why I named him Ghost. That, and because he's white. The others are all dark, grey or black.† â€Å"There are still direwolves beyond the Wall. We hear them on our rangings.† Benjen Stark gave Jon a long look. â€Å"Don't you usually eat at table with your brothers?† â€Å"Most times,† Jon answered in a flat voice. â€Å"But tonight Lady Stark thought it might give insult to the royal family to seat a bastard among them.† â€Å"I see.† His uncle glanced over his shoulder at the raised table at the far end of the hall. â€Å"My brother does not seem very festive tonight.† Jon had noticed that too. A bastard had to learn to notice things, to read the truth that people hid behind their eyes. His father was observing all the courtesies, but there was tightness in him that Jon had seldom seen before. He said little, looking out over the hall with hooded eyes, seeing nothing. Two seats away, the king had been drinking heavily all night. His broad face was flushed behind his great black beard. He made many a toast, laughed loudly at every jest, and attacked each dish like a starving man, but beside him the queen seemed as cold as an ice sculpture. â€Å"The queen is angry too,† Jon told his uncle in a low, quiet voice. â€Å"Father took the king down to the crypts this afternoon. The queen didn't want him to go.† Benjen gave Jon a careful, measuring look. â€Å"You don't miss much, do you, Jon? We could use a man like you on the Wall.† Jon swelled with pride. â€Å"Robb is a stronger lance than I am, but I'm the better sword, and Hullen says I sit a horse as well as anyone in the castle.† â€Å"Notable achievements.† â€Å"Take me with you when you go back to the Wall,† Jon said in a sudden rush. â€Å"Father will give me leave to go if you ask him, I know he will.† Uncle Benjen studied his face carefully. â€Å"The Wall is a hard place for a boy, Jon.† â€Å"I am almost a man grown,† Jon protested. â€Å"I will turn fifteen on my next name day, and Maester Luwin says bastards grow up faster than other children.† â€Å"That's true enough,† Benjen said with a downward twist of his mouth. He took Jon's cup from the table, filled it fresh from a nearby pitcher, and drank down a long swallow. â€Å"Daeren Targaryen was only fourteen when he conquered Dorne,† Jon said. The Young Dragon was one of his heroes. â€Å"A conquest that lasted a summer,† his uncle pointed out. â€Å"Your Boy King lost ten thousand men taking the place, and another fifty trying to hold it. Someone should have told him that war isn't a game.† He took another sip of wine. â€Å"Also,† he said, wiping his mouth, â€Å"Daeren Targaryen was only eighteen when he died. Or have you forgotten that part?† â€Å"I forget nothing,† Jon boasted. The wine was making him bold. He tried to sit very straight, to make himself seem taller. â€Å"I want to serve in the Night's Watch, Uncle.† He had thought on it long and hard, lying abed at night while his brothers slept around him. Robb would someday inherit Winterfell, would command great armies as the Warden of the North. Bran and Rickon would be Robb's bannermen and rule holdfasts in his name. His sisters Arya and Sansa would marry the heirs of other great houses and go south as mistress of castles of their own. But what place could a bastard hope to earn? â€Å"You don't know what you're asking, Jon. The Night's Watch is a sworn brotherhood. We have no families. None of us will ever father sons. Our wife is duty. Our mistress is honor.† â€Å"A bastard can have honor too,† Jon said. â€Å"I am ready to swear your oath.† â€Å"You are a boy of fourteen,† Benjen said. â€Å"Not a man, not yet. Until you have known a woman, you cannot understand what you would be giving up.† â€Å"I don't care about that!† Jon said hotly. â€Å"You might, if you knew what it meant,† Benjen said. â€Å"If you knew what the oath would cost you, you might be less eager to pay the price, son.† Jon felt anger rise inside him. â€Å"I'm not your son!† Benjen Stark stood up. â€Å"More's the pity.† He put a hand on Jon's shoulder. â€Å"Come back to me after you've fathered a few bastards of your own, and we'll see how you feel.† Jon trembled. â€Å"I will never father a bastard,† he said carefully. â€Å"Never!† He spat it out like venom. Suddenly he realized that the table had fallen silent, and they were all looking at him. He felt the tears begin to well behind his eyes. He pushed himself to his feet. â€Å"I must be excused,† he said with the last of his dignity. He whirled and bolted before they could see him cry. He must have drunk more wine than he had realized. His feet got tangled under him as he tried to leave, and he lurched sideways into a serving girl and sent a flagon of spiced wine crashing to the floor. Laughter boomed all around him, and Jon felt hot tears on his cheeks. Someone tried to steady him. He wrenched free of their grip and ran, half-blind, for the door. Ghost followed close at his heels, out into the night. The yard was quiet and empty. A lone sentry stood high on the battlements of the inner wall, his cloak pulled tight around him against the cold. He looked bored and miserable as he huddled there alone, but Jon would have traded places with him in an instant. Otherwise the castle was dark and deserted. Jon had seen an abandoned holdfast once, a drear place where nothing moved but the wind and the stones kept silent about whatever people had lived there. Winterfell reminded him of that tonight. The sounds of music and song spilled through the open windows behind him. They were the last things Jon wanted to hear. He wiped away his tears on the sleeve of his shirt, furious that he had let them fall, and turned to go. â€Å"Boy,† a voice called out to him. Jon turned. Tyrion Lannister was sitting on the ledge above the door to the Great Hall, looking for all the world like a gargoyle. The dwarf grinned down at him. â€Å"Is that animal a wolf?† â€Å"A direwolf,† Jon said. â€Å"His name is Ghost.† He stared up at the little man, his disappointment suddenly forgotten. â€Å"What are you doing up there? Why aren't you at the feast?† â€Å"Too hot, too noisy, and I'd drunk too much wine,† the dwarf told him. â€Å"I learned long ago that it is considered rude to vomit on your brother. Might I have a closer look at your wolf?† Jon hesitated, then nodded slowly. â€Å"Can you climb down, or shall I bring a ladder?† â€Å"Oh, bleed that,† the little man said. He pushed himself off the ledge into empty air. Jon gasped, then watched with awe as Tyrion Lannister spun around in a tight ball, landed lightly on his hands, then vaulted backward onto his legs. Ghost backed away from him uncertainly. The dwarf dusted himself off and laughed. â€Å"I believe I've frightened your wolf. My apologies.† â€Å"He's not scared,† Jon said. He knelt and called out. â€Å"Ghost, come here. Come on. That's it.† The wolf pup padded closer and nuzzled at Jon's face, but he kept a wary eye on Tyrion Lannister, and when the dwarf reached out to pet him, he drew back and bared his fangs in a silent snarl. â€Å"Shy, isn't he?† Lannister observed. â€Å"Sit, Ghost,† Jon commanded. â€Å"That's it. Keep still.† He looked up at the dwarf. â€Å"You can touch him now. He won't move until I tell him to. I've been training him.† â€Å"I see,† Lannister said. He ruffled the snow-white fur between Ghost's ears and said, â€Å"Nice wolf.† â€Å"If I wasn't here, he'd tear out your throat,† Jon said. It wasn't actually true yet, but it would be. â€Å"In that case, you had best stay close,† the dwarf said. He cocked his oversized head to one side and looked Jon over with his mismatched eyes. â€Å"I am Tyrion Lannister.† â€Å"I know,† Jon said. He rose. Standing, he was taller than the dwarf. It made him feel strange. â€Å"You're Ned Stark's bastard, aren't you?† Jon felt a coldness pass right through him. He pressed his lips together and said nothing. â€Å"Did I offend you?† Lannister said. â€Å"Sorry. Dwarfs don't have to be tactful. Generations of capering fools in motley have won me the right to dress badly and say any damn thing that comes into my head.† He grinned. â€Å"You are the bastard, though.† â€Å"Lord Eddard Stark is my father,† Jon admitted stiffly. Lannister studied his face. â€Å"Yes,† he said. â€Å"I can see it. You have more of the north in you than your brothers.† â€Å"Half brothers,† Jon corrected. He was pleased by the dwarf's comment, but he tried not to let it show. â€Å"Let me give you some counsel, bastard,† Lannister said. â€Å"Never forget what you are, for surely the world will not. Make it your strength. Then it can never be your weakness. Armor yourself in it, and it will never be used to hurt you.† Jon was in no mood for anyone's counsel. â€Å"What do you know about being a bastard?† â€Å"All dwarfs are bastards in their father's eyes.† â€Å"You are your mother's trueborn son of Lannister.† â€Å"Am I?† the dwarf replied, sardonic. â€Å"Do tell my lord father. My mother died birthing me, and he's never been sure.† â€Å"I don't even know who my mother was,† Jon said. â€Å"Some woman, no doubt. Most of them are.† He favored Jon with a rueful grin. â€Å"Remember this, boy. All dwarfs may be bastards, yet not all bastards need be dwarfs.† And with that he turned and sauntered back into the feast, whistling a tune. When he opened the door, the light from within threw his shadow clear across the yard, and for just a moment Tyrion Lannister stood tall as a king.

Asthma Case Study

University of Perpetual Help System – DALTA Alabang – Zapote Road, Pamplona, Las Pinas City College of Nursing A Case Study of Bronchial Asthma In Acute Exacerbation (BAIAE) Submitted by: Angela Marie Ferrer BSN 3B July 17, 2012 Definition A condition of the lungs characterized by widespread narrowing of the airways due to spasm of the smooth muscle, edema of the mucosa, and the presence of mucus in the lumen of the bronchi and bronchioles.Bronchial asthma is a chronic relapsing inflammatory disorder with increased responsiveness of tracheobroncheal tree to various stimuli, resulting in paroxysmal contraction of bronchial airways which changes in severity over short periods of time, either spontaneously or under treatment. Causes Allergy is the strongest predisposing factor for asthma. Chronic exposure to airway irritants or allergens can be seasonal such as grass, tree and weed pollens or perennial under this are the molds, dust and roaches.Common triggers of asthma sy mptoms and exacerbations include air way irritants like air pollutant, cold, heat, weather changes, strong odors and perfumes. Other contributing factor would include exercise, stress or emotional upset, sinusitis with post nasal drip, medications and viral respiratory tract infections. Most people who have asthma are sensitive to a variety of triggers.A person’s asthma changes depending on the environment activities, management practices and other factor. Factors that can contribute to asthma or airway hyperreactivity may include any of the following: * Environmental allergens: House dust mites, animal allergens (especially cat and dog), cockroach allergens, and fungi are most commonly reported. * Viral respiratory tract infections * Exercise; hyperventilation * Gastroesophageal reflux disease * Chronic sinusitis or rhinitis Aspirin or nonsteroidal anti-inflammatory drug (NSAID) hypersensitivity, sulfite sensitivity * Use of beta-adrenergic receptor blockers (including ophth almic preparations) * Obesity: Based on a prospective cohort study of 86,000 patients, those with an elevated body mass index are more likely to have asthma. * Environmental pollutants, tobacco smoke * Occupational exposure * Irritants (eg, household sprays, paint fumes) * Various high and low molecular weight compounds: A variety of high and low molecular weight compounds are associated with the development of occupational asthma, such as insects, plants, latex, gums, diisocyanates, anhydrides, wood dust * Emotional factors or stress * Perinatal factors: Prematurity and increased maternal age increase the risk for asthma * Breastfeeding has not been definitely shown to be protective. * Both maternal smoking and prenatal exposure to tobacco smoke also increase the risk of developing asthma Clinical ManifestationThe three most common symptoms of asthma are cough, dyspnea, and wheezing. In some instances cough may be the only symptoms. An asthma attack often occurs at night or early i n the morning, possibly because circadian variations that influence airway receptors thresholds. An asthma exacerbation may begin abruptly but most frequently is preceded by increasing symptoms over the previous few days. There is cough, with or without mucus production. At times the mucus is so tightly wedged in the narrow airway that the patient cannot cough it up.Prevention Patient with recurrent asthma should undergo test to identify the substance that participate the symptoms. Patients are instructed to avoid the causative agents whenever possible. Knowledge is the key to quality asthma care. Medical Management There are two general process of asthma medication: quick relief medication for immediate treatment of asthma symptoms and exacerbations and long acting medication to achieve and maintain control and persistent asthma.Because of underlying pathology of asthma is inflammation, control of persistent asthma is accomplish primarily with the regular use of anti inflammatory m edications. * Long-acting control Medication Corticosteroid are the most potent and effective anti inflammatory currently available. They are broadly effective in alleviating symptoms, improving air way functions, and decreasing peak flow variability. Cromolyn sodium and nedocromil are mild to be moderate anti-inflammatory agents that are use more commonly in children.They also are effective on a prophylactic basis to prevent exercise-induced asthma or unavoidable exposure to known triggers. These medications are contraindicated in acute asthma exacerbation. `Long acting beta-adrenergic agonist is use with anti-inflammatory medications to control asthma symptoms, particularly those that occur during the night these agents are also effective in the prevention of exercise-induced asthma. * Quick relief medication Short acting beta adrenergic agonists are the medications of choice for relief of acute symptoms and prevention of exercise-induced asthma.They have the rapid onset of acton. Anti-cholinergic may have an added benefit in severe exacerbations of asthma but they are use more frequently in COPD. Nursing Management The main focus of nursing management is to actively assess the air way and the patient response to treatment. The immediate nursing care of patient with asthma depends on the severity of the symptoms. A calm approach is an important aspect of care especially for anxious client and one’s family. This requires a partnership between the patient and the health care providers to determine the desire outcome and to formulate a plan which include; * the purpose and action of each medication * trigger to avoid and how to do so * when to seek assistance the nature of asthma as chronic inflammatory disease Anatomy and Physiology The upper respiratory tract consists of the nose, sinuses, pharynx, larynx, trachea, and epiglottis. The lower respiratory tract consist of the bronchi, bronchioles and the lungs.The major function of the respiratory system is to deliver oxygen to arterial blood and remove carbon dioxide from venous blood, a process known as gas exchange. The normal gas exchange depends on three process: * Ventilation – is movement of gases from the atmosphere into and out of the lungs. This is accomplished through the mechanical acts of inspiration and expiration. * Diffusion – is a movement of inhaled gases in the alveoli and across the alveolar capillary membrane * Perfusion – is movement of oxygenated blood from the lungs to the tissues.Control of gas exchange – involves neural and chemical process The neural system, composed of three parts located in the pons, medulla and spinal cord, coordinates respiratory rhythm and regulates the depth of respirations The chemical processes perform several vital functions such as: * regulating alveolar ventilation by maintaining normal blood gas tension * guarding against hypercapnia (excessive CO2 in the blood) as well as hypoxia (reduced tissue oxy genation caused by decreased arterial oxygen [PaO2]. An increase in arterial CO2 (PaCO2) stimulates ventilation; conversely, a decrease in PaCO2 inhibits ventilation. helping to maintain respirations (through peripheral chemoreceptors) when hypoxia occurs. The normal functions of respiration O2 and CO2 tension and chemoreceptors are similar in children and adults. however, children respond differently than adults to respiratory disturbances; major areas of difference include: * Poor tolerance of nasal congestion, especially in infants who are obligatory nose breathers up to 4 months of age * Increased susceptibility to ear infection due to shorter, broader, and more horizontally positioned eustachian tubes. Increased severity or respiratory symptoms due to smaller airway diameters * A total body response to respiratory infection, with such symptoms as fever, vomiting and diarrhea. Diagnostic procedures: * General Physical Examination * Skin: * Observe for the presence of atopic derm atitis, eczema, or other manifestations of allergic skin conditions * Evidence of respiratory distress manifests as * increased respiratory rate, * increased heart rate, * diaphoresis, and * use of accessory muscles of respiration. * Marked weight loss or severe wasting may indicate severe emphysema. * Pulsus paradoxus: * This is an exaggerated fall in systolic blood pressure during inspiration and may occur during an acute asthma exacerbation. * Depressed sensorium: * This finding suggests a more severe asthma exacerbation with impending respiratory failure. * Chest Examination * End-expiratory wheezing or a prolonged expiratory phase is found most commonly, although inspiratory wheezing can be heard. * Diminished breath sounds and chest hyperinflation (especially in children)  may be observed during acute asthma exacerbations. The presence of inspiratory wheezing or stridor may prompt an evaluation for an upper airway obstruction such as vocal cord dysfunction, vocal cord paraly sis, thyroid enlargement, or a soft tissue mass (eg, malignant tumor). * Differential Diagnoses * Airway Foreign Body Heart Failure Allergic and Environmental Asthma Pulmonary Embolism Alpha1-Antitrypsin Deficiency Pulmonary Eosinophilia Aspergillosis Sarcoidosis Bronchiectasis Sinusitis, Chronic * Bronchiolitis Tracheomalacia COPD URTI Churg-Strauss Syndrome Vocal Cord Dysfunction Cystic Fibrosis Foreign Body Aspiration Gastroesophageal Reflux Disease Laboratory Studies * Blood eosinophilia greater than 4% or 300-400/ µL * Eosinophil counts greater than 8% may be observed in patients with concomitant atopic dermatitis. * This finding should prompt an evaluation for allergic  bronchopulmonary aspergillosis,  Churg-Strauss syndrome, or  eosinophilic pneumonia * Total serum immunoglobulin E levels greater than 100 IU are frequently observed in patients experiencing allergic reactions, but this finding is not specific for asthma * British Thoracic Society recommends using sputu m eosinophilia determinations to guide therapy Imaging Studies In most patients with asthma, chest radiography findings are normal or may indicate hyperinflation. * Chest radiography should be considered in all patients being evaluated for asthma to exclude other diagnoses. * Sinus CT scanning may be useful to help exclude acute or chronic sinusitis as a contributing factor.. Pulmonary function testing (spirometry) * Spirometry assessments  should be obtained as the primary test to establish the asthma diagnosis. * Spirometry should be performed prior o initiating treatment in order to establish the presence and determine the severity of baseline airway obstruction. * The assessment and diagnosis of asthma cannot be based on spirometry findings alone because many other diseases are associated with obstructive spirometry indices. * Spirometry measures the forced vital capacity (FVC), the maximal amount of air expired from the point of maximal inhalation, and the FEV1. A reduced rat io of FEV1 to FVC, when compared with predicted values, demonstrates the presence of airway obstruction. Optimally, the initial spirometry should also include  measurements before and after inhalation of a short-acting bronchodilator in all patients in whom the diagnosis of asthma is considered. * Reversibility is demonstrated by an increase of 12%  and 200 mL after the administration of a short-acting bronchodilator Methacholine- or histamine-challenge testing * Bronchoprovocation testing with either methacholine or histamine is useful when spirometry findings are normal or near normal, especially in patients with intermittent or exercise-induced asthma symptoms. Bronchoprovocation testing helps determine if airway hyperreactivity is present, and a negative test result usually excludes the diagnosis of asthma. * Methacholine is administered in incremental doses up to a maximum dose of 16 mg/mL, and a 20% decrease in FEV1, up to the 4 mg/mL level, is considered a positive test r esult for the presence of bronchial hyperresponsiveness. Peak-flow monitoring * Peak-flow monitoring is designed for ongoing monitoring of patients with asthma because the test is simple to perform and the results are a quantitative and reproducible measure of airflow obstruction. It can be used for short-term monitoring, exacerbation management, and daily long-term monitoring. * Peak-flow monitoring should not be used as a substitute for spirometry to establish the initial diagnosis of asthma. * Results can be used to determine the severity of an exacerbation and to help guide therapeutic decisions as part of an asthma action plan. Exercise testing * Testing involves 6-10 minutes of strenuous exertion at 85-90% of predicted maximal heart rate and measurement of postexercise spirometry for 15-30 minutes. The defined cutoff for a positive test result is a 15% decrease in FEV1 after exercise. Eucapnic hyperventilation * Eucapnic hyperventilation with either cold or dry air is an alter nate method of bronchoprovocation testing. * It has been used to evaluate patients for exercise-induced asthma and has been shown to produce results similar to those of methacholine-challenge asthma testing. I. LABORATORY WORKS NAME OF TEST| NORMALVALUE| RESULTS| SIGNIFICANCE| Complete Blood CountPurpose: CBC is ordered to aid in the detection of anemias; hydration status; and as part of routine hospital admission test.The differential WBC is necessary for determining the type of infection. | RBC: 4-6 x 10/LHct: 0. 37- 0. 47Hgb: 110- 160 gm/LWBC: 5-10 x 10 /LLymphocytes:0. 25-0. 35Segmenters: 0. 50-0. 65Eosinophil: 0. 01-0. 06| 5. 480. 481598. 20. 250. 580. 07| Increased segmenters (mature neutrophils) reflect a bacterial infection since this are the body’s first line of defense against acute bacterial invasion. Lymphocytes are decreased during early acute bacterial infection and only increase late in bacterial infections but continue to function during the chronic phase. | I I. DRUG STUDYName of the drug | Classification | Dosage/ Frequency | Route | Mechanism of Action | Indication | Nursing Responsibilities | Generic name:Duavent ( ipratropium salbutamol) Brand name:DuaNeb | Salbutamol Sulfate| Nebule q 1 hour| Oral nebulization | The combination of ipratropium and albuterol is used to prevent wheezing, difficulty breathing, chest tightness, and coughing. | Management of reversible bronchospasms associated with obstructive airway diseases, bronchial asthma| Take care to ensure that the nebulizer mask fits the user's face properly and that nebulized solution does not escape into the eyes. * Evaluate therapeutic response. |

Benifits of Walking

â€Å"Benefits of Walking† Walking provides a wide range of benefits, some of which are more obvious than others. The obvious benefits of walking include the benefits to the individual from physical fitness and mental health improvements. A less obvious benefit is the way in which getting more people walking more often can help to generate a stronger local community, which in turn will contribute to happier and healthier neighborhoods. Every channel you turn to, every magazine you flip through, and every sports store you go to, shows the concept of exercising.Most people think of exercise as too much work. They make excuses like I don’t have enough time, or I’ll do it later. The purpose of this essay is to persuade my listeners to get out their walking shoes and start reaping the benefits of a healthy life and start walking. First we will discover how walking benefits our bodies, second uncover how easy it is to incorporate walking in to our daily lives, and thir d reveal the only equipment that one needs to take the first step putting one foot in front of the other.For many of us we are always finding ways to get out of exercising. Either we are too busy or we are putting it off until we have more time, but actually we never get the time to exercise and we just see ourselves jumping from a size 6 to a size 12. Well I have help for you. We were all born with 2 arms and 2 legs, so let’s put those legs to the use they were intended. Walking is one of the easiest forms of exercise and provides many health benefits.Regular walkers have fewer heart attacks and strokes, have lower blood pressure, and have higher levels of healthy HDL cholesterol than couch sitters do. In one study of women, a regular walking program did just as much in the heart-protection department as more vigorous exercise did. Thirty minutes of walking a day makes your muscles more sensitive to insulin. That allows glucose to do its duty inside your cells rather than pi le up in your bloodstream and cause other havoc.Even just a 5-minute walk cuts down on cigarette cravings. It engages your brain's emotion centers, unleashing mood-enhancing hormones that decrease cravings and take your mind off that cigarette. And establishing a walking habit proves to you that you have the discipline to stick with your stop-smoking plan. Physical activity nourishes brain tissue and stimulates its production of neurons, synapses, and blood vessels. Some studies have found that walking can counter faltering memories in people over age 50.Anyone who has come back from a walk in a different frame of mind than they went out with can attest to this. Studies back up that walking benefits your mood and may even ward off depression and anxiety. Not only can a walk perk you up when you need it, but also it helps improve the quality of your sleep, so you're more energetic all day long. Walking regularly can lower your risk of arthritis, macular degeneration, and even cancer by an astonishing 50% compared with people who don't exercise. Walking has the highest compliance rate of any exercise.

Litrature Review on Fii’s Impact on Indian Banking Sector

Women Empowerment in India Women empowerment in India is a challenging task as we need to acknowledge the fact that gender based discrimination is a deep rooted social malice practiced in India in many forms since thousands of years. The malice is not going to go away in a few years or for that matter by attempting to work at it through half-hearted attempts. Formulating laws and policies are not enough as it is seen that most of the times these laws and policies just remain on paper. The ground situation on the other hand just remains the same and in many instances worsens further. Addressing the malice of gender discrimination and women empowerment in India is long drawn battle against powerful structural forces of the society which are against women's growth and development. Women empowerment in India: The need for ground level actions We have to accept the fact that things are not going to change overnight but because of this we cannot stop taking action either. At this juncture the most important step is to initiate ground level actions however small it might seem. The ground level actions should be focussed towards changing the social attitude and practices prevalent in the society which are highly biased against women. This can be initiated by working with the women at the root level and focusing on increasing women's access and control over resources and increasing their control over decision making. Further working on the aspect of enhanced mobility and social interaction of women in the society would positively influence all round development and empowerment of women in India. Women empowerment in India: Reality check at the ground level Today there are lot of things that is happening in the name of women empowerment in India and lot of resources are spent in this direction. Keeping this in mind it is crucial to have a reality check on what is happening on paper and what is the actual ground situation. It is worthwhile to ponder on the fact that we are one of the worst in terms of worldwide gender equality rankings. In India women are discriminated and marginalized at every level of the society whether it is social participation, economic opportunity and economic participation, political participation, access to education or access to nutrition and reproductive health care. A significant few in the society still consider women as sex objects. Gender disparity is high, crimes against women are increasing and violence against women is all time high and in most cases go unreported. Dowry related problems and death is increasing and is profoundly manifesting in the urban population. Workplace harassment of women is another phenomenon which is rapidly increasing as more women join the workforce. Early age marriages are still taking place in large numbers and the number of girls going to school is abysmally low. Moreover majority of the girls who join the school drop out by the age of puberty to get married and live a life of drudgery. Female feticide and infanticide is starring the nation as one of the biggest social crisis. All this is happening despite the fact that there are number of programmes and policy initiatives that is being run by the government and other bodies. The year 2001 was declared as the National policy for empowerment of women. So it is time to ask the question whether we are moving in the right direction and where are we in terms of the paper actions and the actual ground realities. Women empowerment in India: Discrimination against women in all walks of life One of the major aspects of women empowerment in India is to change the attitude of society towards women. The problem in India is that the society never worked on the premise of gender equality from a long-long time. Atrocities and discrimination against women is a way of daily life in Indian society. There is an attitude which still prevails in India where women are considered to be only worthwhile of household activities and managing the children. The veil system, child marriage and dowry are testimonies to this truth. Women have never been part of the mainstream society in India and they are still considered as a great liability. If we just look at the sex ratio it will show the plight of women in India. It is the lowest at around 933. Female literacy is just 54. 6 % as per 2001 Census. In Indian parliament and assemblies women have never represented more than 10%. Most of the women workers in India are outside the organized sector. Administrators, managers, professionals combined together and technical workers on the other hand are the lowest at 2. 3% and 20 % respectively. Now these figures gives the real truth of the actual mentality of the society which has restricted women, marginalized w omen and discriminated against women quite openly. Can we achieve women empowerment in India with these alarming and dismal figures? djustments and sharing of gender based specific performance or tasks which are Women empowerment in India: Ending gender inequality and gender bias It has to be understood that unless we change the basic social attitude which cultivates gender inequality and gender bias we would not be able to achieve much in terms of women empowerment in India. There are many laws and there have been many amendments that have been carried out to end the discrimination against women and empower women in all aspects of life. Gender equality is enshrined in Indian constitution and constitution empowers the state to end the gender based discrimination against women. There is reservation of seats in local bodies and municipalities and another law is being envisioned for reservation in parliament. But the sad part is that all these laws and amendments have become toothless as the fundamental problems lies in the attitude of the society which is highly biased against women. Now what is the solution? The only solution is for women to come together as a unifying force and initiate self empowering actions at the ground level. Let it happen even if it is at a slow pace initially but it must happen despite however small the initial steps might look like. So the connection is very clear. Once we work towards self empowerment through small number of infinite actions, we become aware of the ground realities and then we can think about taking further recourse towards changing the mindset of the society which fosters gender inequality and bias. When we talk about women empowerment in India the most important aspect that comes into the mind is the attitude of the society towards women. Women are still considered as burden and liabilities. They are also considered as properties. These kinds of attitudes give birth to the evil of violence against women. Women empowerment in India is not possible unless violence against women is eradicated from the society. National Commission of women was created in 1992 and Convention of elimination of all forms of discrimination against women was ratified in 1993. Apart from the laws and policy formulations the violence against women can be only tackled through attitudinal change that need to take place in the family, in the society and the female members of the society as well. Only this attitudinal change and proactive action against violence by every single individual will help in galvanising the slumbering structures of the government and society towards further concrete steps and action. Unless society accepts gender equality as a fundamental principle of human existence all efforts will only partially bear results. Gender sensitisation and gender training is primary need of the hour. The struggle of gender equality should be carried at every level and it should overcome the barriers of caste, class, race and religion. RIDDLES 1. There is a bus full of people travelling over San Francisco and no one gets off the bus throughoutthe journey. But when it gets to the other side there is not a single person left. How is thispossible? A. They are all married. 2. How do you fit ten horses (pictures. All seperate pictures. ) in 9 boxes? A. One letter for each stable. [T][E][N] [H][O][R][S][E][S] 3. What can keep you alive but kill someone else? What can let you have fun but can take you away? A. The sea 4. What is seven lettersis greater than god more evil than the devil a homeless person has it a wealthy person needs it what is it? A. splinter 5. figure out if you can read this or not Yy u r Yy 4 me u b i c u Yy 4 me A. to wise you are to wise for me you be I see you to wise for me 6. there is 3houses the red house is next to the white house and the white house right of the red house the blue house is next to the white house. wheres the white house at? A. this is not only a trick question it can be a normal question the white is in the middle and washington d. c/ in the riddle you can always trick to person you told it to if they think its a normal question and say in the center or middle u can say was