Monday, December 30, 2019

Units of Time in Spanish

Need to know how to refer to a particular unit of time? Here are the most common ones in Spanish, listed from the shortest period of time to the longest: el nanosegundo — nanosecond el microsegundo — microsecond el milisegundo — millisecond el segundo — second el minuto — minute la hora — hour el dà ­a — day la semana, el septenario — week la quincena — fortnight, two weeks (The term sometimes refers to a 15-day period or a half-month.) el mes — month el semestre — six months, half-year (The term can also refer to an academic semester.) el aà ±o — year el lustro — five years el decenio, la dà ©cada — 10 years, decade el siglo — century el milenio — millennium el cron — million years el eà ³n — thousand million years, billion years in U.S. English (The term also can refer to an indefinitely long period of time.) In addition, Spanish has a number of units of time that are seldom used, or are used in specific contexts. For example, bimestre and trimestre, are two-month and three-month periods, respectively, with similar month groupings possible. Similarly, bienio and septenio are two- and seven-year periods of time, respectively, with other groupings possible.

Sunday, December 22, 2019

What We Talk About When We Talk About Love by Raymond Carver

What We Talk About When We Talk About Love by Raymond Carver The short story What We Talk About When We Talk About Love, by Raymond Carver, is about two married couples drinking gin and having a talk about the nature of love. The conversation is a little sloppy, and the characters make some comments which could either be meaningless because of excessive alcohol in the bloodstream, or could be the characters true feelings because of excessive alcohol in the bloodstream. Overall, the author uses this conversation to show that when a relationship first begins, the people involved may have misconceptions about their love, but this love will eventually die off or develop into something much more meaningful. The author sets the†¦show more content†¦Mel says, There was a time when I thought I loved my first wife more than life itself. But now I hate her guts. I do.; (p 114) Mels former relationship was once full of love, but eventually the love withered away until it was gone. Also, Mel talks about how love can continue even if you lose your first love. Mel says, And the terrible thing, the terrible thing is, but the good thing too, the saving grace, you might say, is that if something happened to one of us–excuse me for saying this–but if something happened to one of us tomorrow I think the other person would grieve for a while, you know, but then the surviving party would go out and love again, have someone else soon enough.; (p 114) In this quote, Mel reveals that if any one of them dies, his or her spouse would eventually lose the love they once had for him or her, and would then go and love another. So, the author has shown us that love can die off and be replaced by anger or hatred, or even love for another. In contrast to these fairly pessimistic views on love, the author describes an instance in which a couple found true love. Mel tells an anecdote of an old couple that was admitted to the emergency room after a very bad car accident. The two people were wrapped up in full body casts, and as a result they could not see each other. Mel noticed that the old man was very sad, evenShow MoreRelatedWhat we Talk About When We Talk about Love by Raymond Carver649 Words   |  3 PagesLove The story started with a group of four people drinking gin in a room. The first man to say the first word was Herb. Herb was a cardiologist his specialty was the heart. He started talking about the value of love. â€Å"Love is somewhat spiritual or agape in nature,† (1) He said. Herb also thought that the real love was nothing less than spiritual love. Herb’s idea of love was totally different with his wife’s idea of love. Terri was another member from the group. She told her friends that she hadRead MoreEssay about Raymond Carver (what We Talk About When We Talk About Love)892 Words   |  4 Pages Mel McGinnis of â€Å"What We Talk About When We Talk About Love† seems like that one guy that everyone seems to know. He stands out from others; he’s unique. You either love him or hate him. Mel is very much like one of my good friends. They are both very individualistic and hey are both annoying drunks. They are both interesting characters though. I think the author Raymond Carver created the character Mel based off someone he knew. Carver created Mel for one reason or anotherRead MoreWhat We Talking About When We Talk About Love By Raymond Carver1677 Words   |  7 PagesLove can be defined in many ways, but does anyone know the true meaning of it? In Raymond Carver’s short-story What We Talk About When We Talk About Love, he shows us the realism behind the true meaning of love with a menacing tone. This story particularly shows how different people may have different definitions of it that reflect who they are as a person by using strangle dialogue given by the characters and situations that reveal symbolic items. From the ironic remarks and slight rebuttals inRead More`` What We Talk About When We Talking About Love `` By Raymond Carver2397 Words   |  10 PagesWhat is love? Love can come from that of a friendship, a romantic relationship, the unconditional love that God has for one, or simply one person adoring another. These are all considered, in one form or another, love. Ho wever, as Mel McGinnis has asked: â€Å"what do any of us really know about love?† (333). Is love real, or is it just a figment of our imagination? What does the word LOVE even mean? The indefinability of love is the overlaying theme in the story â€Å"What We Talk About When We Talk AboutRead MoreWhat I Am About When We Talk About Love By Raymond Carver Essay1464 Words   |  6 PagesLove is a commonly misinterpreted concept that is many times taken for granted and unsurprisingly difficult to thoroughly comprehend. Love is an intangible conception and a condition of the mind that allows one to transcend emotional barriers between one another. In Raymond Carver’s short-story â€Å"What We Talk About When We Talk About Love†, love is illustrated in several different ways to provide insight on the various forms of love and how they transcend these emotional barriers. Love comes inRead MoreThe Sojourner And What We Talking About When We Talk About Love By Carson Mccullers And Raymond Carver1291 Words   |  6 PagesIn the short stories title The Sojourner and What We Talk About When We Talk About Love, written by Carson McCullers and Raymond Carver respectively, the writers tell a story about love and its changing attitudes. The main characters in these stories all vary in regard to their personalities and their individual idiosyncrasies, however, the message being conveyed by McCullers and Carver is that of the changing nature of love, and how it can impact an individual’s sense of self in respect to how oneRead MoreRaymond Carver1583 Words   |  7 PagesRaymond Carver (1938-1988) was a poet and a simple realist writer of short stories. His prose addresses the average working-class citizen. Bill Mullen describes the book that contains the short story â€Å"What We Talk About We Talk About Love† to the â€Å"distinctly post-mode rn fate of contemporary working-class Americans† (Bloom). The writings are depressing and riddled with failures in life. The textbook calls his school of writing â€Å"Alcoholic Blue-Collar Minimalist Hyperrealism† (Bayam). This is evidentRead MoreImportance of Symbolism in What We Talk About When We Talk About Love1027 Words   |  5 Pagesmake. What We Talk About When We Talk About Love is a short story about four friends trying to find the true meaning of love, trying to prove points through experience. In What We Talk About When We Talk About Love, Raymond Carver uses very strong symbolism to help convey the theme of the story. Instantly, it is easy to recognize that Carvers story will be one on love, since the title clearly mentions it. He introduces the characters, two married couples, who are having a discussion about loveRead MoreWhat We Talk About When We Talk About Love807 Words   |  4 PagesWhat We Talk About When We Talk About Love After analyzing Raymond Carver’s â€Å"What We Talk About When We Talk About Love,† it is easy to see that there are several different ideas concerning true love that the characters in the story are in dispute over. Terri’s idea of real love is the most valid out of the group at the table. All of the members of the group are rather confused as to what real love is. Terri is included as one of the confused. However, I believe that she is the closest to understandingRead MoreThe Most Important American Fiction Writer1661 Words   |  7 PagesRaymond Carver has been called â€Å"the most important American fiction writer in the second half of the twentieth century† and â€Å"the most influential American short story writer since Ernest Hemingway† (Kleepe vii). He was very successful despite his many difficult life experiences. Carver grew up during a very difficult time in America. However, early on, Carver and his wife believed their hard work would eventually pay off despite the challenges in the world around them. They thought it would fix almost

Saturday, December 14, 2019

Why Did the Native Americans Lose the Plains Wars Free Essays

When the Euro-Americans (whites) and Native Americans came into contact, there was conflict. This conflict eventually led to The Plains wars, which the Native Americans lost. In this essay the details as to why the Native Americans lost the plains war will be explained. We will write a custom essay sample on Why Did the Native Americans Lose the Plains Wars or any similar topic only for you Order Now These details include seven main points, which are- the end of the civil war and the manifest destiny, different attitudes towards land, the whites upsetting the population balance, the effect of reservations, the start of the Californian gold rush, the weapons that both the sides used during war, and the actual wars that made up the plains war.At the end of the civil war the god-fearing Christian whites believed that god had told them to spread the freedom and democracy of the United States westward into North America. This was the manifest destiny. Whites everywhere were willing to fight for the land and for god. The fact that the Native Americans were not very good long-term fighters, made the natives weak, also the whites had just been in a long term wars so they had many physically powerful men. This proves that the manifest destiny and the end of the civil war were one of the reasons as to why the Native Americans lost the Plains wars.Another factor that is to be considered is that the Whites and the Native Americans both had different attitudes to land. The Native Americans believed that land could not be owned, and looked at it as a life source, while the Whites though the private ownership of land was extremely important. This made the Native Americans more likely to lose because, if a white settler came and lived on some land, the white would think e owned the land, while the Native Americans wouldn’t mind because they thought that the land couldn’t owned by the Whites.This scenario would not have been a problem, but if the amount of whites increased, the Native Americans would eventually have no space for their living. The Native Americans didn’t notice this, and the population of whites increased in some areas and overpowered the Native Americans. When the population count of the whites increased, there was a disturbance in the Population balance between whites and Native Americans. As well as the different attitudes to land there were a few more happenings that led to the unbalance.The US government wante d to wipe out the Native Americans, so they told the Whites to go around on trains killing the Buffalo. The buffalo was the main life source for the Native Americans so many of them died. When the Euro-Americans traveled over to North America, they bought their diseases long with them. Since the Native’s weren’t immune to these diseases, many of them died. This made the Whites more powerful because the Native Americans turned to the whites for cures, and the Whites wouldn’t help. When the whites expanded and became more powerful, there were many incidents were the two groups didn’t get along together.To prevent this from happening, the Native Americans were put into reservations. There was a benefit for both the sides by this; the whites had more land, while the Native Americans were paid, allowed to keep there sacred land where whites weren’t allowed, and were given houses to live in. One example of the sacred land being protected against Whites was the treaty of fort Laramie. This was a Treaty signed saying that whites wouldn’t be allowed into the Black Hills which were sacred grounds for the Santee Sioux. Although both sides were meant to be content, the Native Americans were upset.The effect of the reservations were that the native Americans, who were nomadic by birth, were refined to a certain area, also they realised that the white’s were going against their beliefs by owning the land. Although there were reservations, the Californian gold rush in 1848 made many white men trespass into the reservations secretly. This became a problem because some men started to look for gold in the Black Hills. This was the end of the Treaty of Fort Laramie and a Sioux Chief said, â€Å"If we make peace, you will not keep it†. Also a very famous Gold Trail, called the Bozeman Trail was opened up in Western Sioux Hunting grounds, the Sioux feared the Whites and started to attack them at the same time the whites fought back and many Native American men were killed. The trail was closed, but the Whites were angry, and this lead to more wars which made the Native Americans weaker. In the wars, the weapons that the Whites used killed man Native American men. This is because the Whites weapons were guns, rifle, canons and other weapons which worked from long distances and were very deadly.The Native Americans made their weapons of war out of wood, stone, and bones. Later on the Native Americans were able to make steel knives, but this wasn’t very efficient compared to the White’s weapons. Some Native American tribes possessed a gun; they got guns because some unhealthy trade was carried out between the some money avaricious whites and the Native Americans. Of course, the Native Americans couldn’t refill the guns with gun powder or bullets because they didn’t know how to make them. Therefore, more Native Americans were killed, and this was a major aspect towards their loss.The weapons of war were more powerful, but the wars themselves had a huge impact of the Native American’s loss. There were many wars, battles and massacres under the overall title of the Plains wars. These were from Chippewa in1862, to Wounded Knee in 1890. But one of the most well-known wars was the Little Big Horn. In Little big horn the whites were defeated and 250 white men died, this was because Colonel Custer under-estimated the number of Native men that would come to fight and only took 250 white men. Therefore, the whites were outnumbered.The battle of little big horn, and also the fact that a group of Native Americans slaughtered Captain Fetterman and 79 of his men in the Fetterman Massacre, made the Whites determined to win. This determination created the final major battle between the whites and the Native Americans, and the Native Americans lost. All these factors contributed towards the loss of the Native Americans in the Plains wars. The Native Americans lost their land, freedom, and peaceful lifestyle when they lost the Plains wars. The Native Americans fought until the end and so did the Whites, but there is always one winner, and those were the Whites. How to cite Why Did the Native Americans Lose the Plains Wars, Papers

Friday, December 6, 2019

Polycystic Ovarian and Metabolic Syndromes †MyAssignmenthelp.com

Question: Diascuss about the Polycystic Ovarian and Metabolic Syndromes. Answer: Introduction: Researchers are of the opinion that there are two causes of Cushing syndrome in patients. The first one is the exogenous source where intake of oral corticosteroid medications in extremely high doses for a large period may result in occurrence of the diseases (Lowitz Klein, 2015). Oral corticosteroids like Prednisone are one of the medications that are provided to individuals when they suffer from rheumatoid arthritis as well as lupus or asthma. In such conditions, body requires more cortisol than it can actually possess to handle the disorders (Martinez et al., 2016). In such situations, such medications produce side effects resulting in the occurrence of Cushing syndrome. In the case study also, Maureen had been suffering from rheumatoid arthritis from the age 15 and are prescribed to take prednisone for a long period. This might have caused the disorder in the patient. Besides, in other cases, the body itself may result in higher secretion of the hormone of cortisol like a noncan cerous tumor in the pituitary gland that results in secretion of high level of adrenocorticotrophic or ACTH hormone (Barber, 2017). This stimulates the adrenal gland to produce more and more cortisol from the adrenal gland. Moreover, in other cases tumors develop can develop on the adrenal gland those results in the higher production of the cortisol in the body. This tumor is called the adrenal adenoma and occurs on the adrenal cortex. Researchers are of the opinion that the females who are between the age group of 25 to 40 are most prone to development of the disorder (Maletkovic, 2018). Moreover, obesity, type 2 diabetes as well as poorly controlled glucose levels as well as hypertensions are the main risk factors that make individuals highly vulnerable to the development of the disease (Lowitz Klein, 2015). Moreover, taking of corticosteroid medication is yet another risk factor that associates with the disease. Primary adrenal gland disorders, nodular enlargements of the adrenal glands, pituitary gland tumors and others are highly responsible for the occurrence of the disorders. Studies suggest that Cushing syndrome is not treated properly or remains untreated, it may result in bone loss, muscle loss or weakness, high blood pressure, fracture in bones, infections, enlargement of the pituitary tumors as well as kidney stones (Yedinac, 2016). All these will lead to poor quality life of the individuals making them suffer physically as well as mentally. Such suffering of the patients result their caregivers to face emotional turmoil and they get depressed to see their suffering and pain. It results in financial flow on the healthcare expenses that may affect the lives of the family members along with the patients (Maletkovic, 2018). Weight gains as well as fatty tissue deposits mainly in the midsection, upper back, in the face like a moon face and between the shoulders like a buffalo hump are seen in individuals who are affected by the disorders. Researchers are of the opinion that cortisol helps the body to handle stress. When stress level is high in blood, cortisol level rises up. In such situation, cortisol helps in the stimulation of the fat as well as carbohydrate metabolism in the stressful situations. This in turn leads to increased blood sugar level that the body requires for fast energy. Therefore, this result in stimulation of more insulin releases which increases appetite and results in more calories intake takes place in terms of food intake (Yedinac, 2016). Even after over of the stress situation, cortisols linger in the body and try to bring the body in balance. The hormone does this by increasing appetite for properly replacing the fact and carbohydrate that had been already usedfor the flight and fight response. Consuming more food results in fat accumulation in the body. This causes obesity. Overproduction of the cortisol also results in the liberation of the amount of amino acids from muscle tissue that accompanies resultant weakening of the protein structures specifically the elastic and muscle tissue. This results in development of protuberant abdomen that accompanies the purple striae, poor wound healing, marked osteoporosis and others. High level of cortisol is also responsible for the distribution of fat to specific regions of the body like that of the chest, face, stomach and many other regions (Kine et al., 2017). A buffalo hump like symptom mainly occurs as the accumulation of fat takes place on the neck as well as shoulders giving the patients a typical symptom of Cushing syndrome. The fourth symptom is the occurrence of edema as well as water retention that takes place under the skin. Mineralocorticoid activity of the cortisol results in sodium as well as water retention. This in turn leads to increase in the hydrostatic capillary pressure. This in turn results in increased leakage of the fluid through the capillaries all over the body. There is also increased weakness of the muscles that mainly takes place due to increase in the catabolism of the proteins for single amino acids for the process of gluconeogenesis as well as decreased transport of the amino acids into the different skeletal muscle tissues that occur under the effect of cortisol (Tating et al., 2016). One of the FDA approved drug is the class of pasireotide. This drug is mainly seen to activate a broad spectrum of the different receptors of somatostatin. This class of drug is seen to have a higher binding affinity for somatostatin receptors like those of the receptors 1,3 and 5. It also provides a comparable binding affinity for somatostatin receptors like receptor 2. This binding as well as activation may result in inhibiting of the ACTH secretion in the patients who are suffering from Cushing syndrome (Papaoin et al., 2015). Researchers have also stated that this class of drug is also more powerful for the inhibition of the releases of the human growth hormone, glucagon and insulin. Thereby this drug is seen to promote reduced levels of cortisol secretion in the patients suffering from Cushing syndrome. However, the professionals have to be aware of the side effect like that, it causes an increase in the blood sugar level and may cause diabetes. Another FDA approved medication is called the mifepristone. This medication is helpful as it blocks the effect of excessive cortisol in comparison to other drugs that mainly take part in decreasing the levels of cortisol in the blood. It mainly does so by following the procedure of antagonizing the cortisol receptors in the body of the patient. Researchers have found that such medications helps in binding with the glucocorticoid receptor blocker and thereby helps in the blocking if the action of the cortisol (Langton et al., 2018) Thereby it helps to decrease the symptoms of the disorder and help in improving the metabolic derangements that remains intricately associated by the excess amount of cortisol on blood. One of the best advantages of using this medication is the improvement of blood sugar and development of the physical features in the patients. However, nausea, low potassium level as well as headaches are common side effects of the disorder. In the case of Maureen, it can b e seen that se as high level of cortisol and high level of blood glucose levels. Therefore, this medication would prove to be suitable for her. Gastrointestinal bleeding may be of various reasons out of which use of corticosteroids so one of the factor. Various randomize control trail had assured of the fact and hence in the case of Maureen, the excessive use of corticosteroids can be considered as the main factor for the development of gastrointestinal bleeding. Attending to this acute situation would be the first priority of the healthcare professionals. For assessing the signs of GI bleed, the healthcare professionals should first confirm the color of the stool and the vomit to ensure the presence of blood signs in them. The professional should also assess the blood pressure of the patient, her urine output and ere art rate for understanding the extent of the blood loss. If the patients shows drop in blood pressure, time output as well as increased heart rate, then the professional can be sure that extensive blood loss had taken place. This is the assessment phase (Abraham et al., 2015). This will be followed by the diagn ostic procedures. Here, the physician would need to determine the exact site of the GI bleeding. These procedures would mainly be including the endoscopy, sigmoidoscopy, colonoscopy and barium studies. Nursing professionals should ensure that they are assisting the physicians properly and helping them with every procedure. The third step would be mainly administering fluids and other treatments. The nurse should be mainly providing importance to the administration of the blood, blood products, fluids, electrolytes, vitamins and well as other medications. The nurse would mainly provide importance to the replacements of the blood loss, prevent any further loss of blood hereby preventing anemia. In case of very severe situations, the doctors may need to resuscitate the patient with fluids and blood transfusion (Brown et al., 2017). In some cases, the patient may need surgery. In other cases, the patients may be needed to give IV proton pump inhibitors (PPIs) such asomeprazole(Prilosec) for suppressing acid. The nurse may also give prokinetics such as erythromycin and metoclopramide. This helps in clearing the stomach from blood clots or any food reside before endoscopy. The nurse should also be careful that she does not give any medication to the patient that may cause further bleeding. The last step in the emergency ward that should be conducted before transferring her to the general ward is proper evaluation. The nurse had to make sure that the interventions that they have taken are successful or not. Reassessment would mainly include checking of the vital signs, inspecting the patients stool as well as vomit. If the patients blood pressure, urine output and heart rate are normal, then the interventions taken can be evaluated to be correct. (Jairath et al., 2015). References: Abraham, N. S., Singh, S., Alexander, G. C., Heien, H., Haas, L. R., Crown, W., Shah, N. D. (2015). Comparative risk of gastrointestinal bleeding with dabigatran, rivaroxaban, and warfarin: population based cohort study.bmj,350, h1857. Barber, C. (2017). Rare health conditions, 5: haemochromatosis, Cushing's syndrome, conversion disorder.British Journal of Healthcare Assistants,11(10), 488-491. Brown, D., Edwards, H., Seaton, L., Buckley, T. (2017).Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Health Sciences. Jairath, V., Kahan, B. C., Gray, A., Dor, C. J., Mora, A., James, M. W., ... Greenaway, J. (2015). Restrictive versus liberal blood transfusion for acute upper gastrointestinal bleeding (TRIGGER): a pragmatic, open-label, cluster randomised feasibility trial.The Lancet,386(9989), 137-144. Kline, G. A., Buse, J. D., Van Der Gugten, J. G., Holmes, D. T., Chin, A. C., Sadrzadeh, S. M. H. (2017). Factitious ACTH?dependent, apparent hypercortisolism: The problem with late?night salivary cortisol measurements collected at home.Clinical endocrinology,87(6), 882-885. Langton, K., Gruber, M., Masjkur, J., Steenblock, C., Peitzsch, M., Meinel, J., ... Eisenhofer, G. (2018). Hypertensive crisis in pregnancy due to a metamorphosing pheochromocytoma with postdelivery Cushing's syndrome.Gynecological Endocrinology,34(1), 20-24. Lowitz, J., Keil, M. F. (2015). Cushing Syndrome: Establishing a Timely Diagnosis.Journal of Pediatric Nursing: Nursing Care of Children and Families,30(3), 528-530. Maletkovic, J. (2018). A Case of Severe Iatrogenic Cushings Syndrome Followed by Adrenal Crisis, Multifocal Pneumonia, Sepsis, Pulmonary Embolism and Prolonged Adrenal Insufficiency.World Academy of Science, Engineering and Technology, International Journal of Medical and Health Sciences,5(2). Martnez-Mombln, M. A., Gmez, C., Santos, A., Porta, N., Esteve, J., Ubeda, I., ... Resmini, E. (2016). A specific nursing educational program in patients with Cushings syndrome.Endocrine,53(1), 199-209. Papoian, V., Biller, B. M., Webb, S. M., Campbell, K. K., Hodin, R. A., Phitayakorn, R. (2015). Patients'perception On Clinical Outcome And Quality Of Life After A Diagnosis Of Cushing Syndrome.Endocrine Practice,22(1), 51-67. Tating, D. L., Montevirgen, N. D., Cajucom, L. (2016, March). Cushing's Syndrome From Pituitary Microadenoma and Pulmonary Nodules. InOncology nursing forum(Vol. 43, No. 2, pp. 136-140). Yedinak, C. G. (2016). Development of a screening tool differentiating patient symptoms in Cushing's, polycystic ovarian and metabolic syndromes.