Monday, December 30, 2019
Communication Styles Both Verbal And Non Verbal Will...
Introduction Engineers are required to develop sustainable solutions for the community. This includes understanding community protocols which provides respect and an optimised solution. Communication styles both verbal and non-verbal will increase effectiveness. Cultural awareness within an engineering team which is key to working effectively. Complying with the Australian code of ethics will ensure you are a successful engineer. Indigenous Community Protocols A community protocol is a system for which people can engage and communicate with other cultures according to their values. This involves understanding the culture and way of life. The Indigenous protocol provides understanding and respect to Indigenous views and culturalâ⬠¦show more contentâ⬠¦To provide good consultation will increase the relationship between you and your client because they will appreciate your willingness. Indigenous communities have a special respect for their land and country. According to Korff (JK) ââ¬Å"The land owns Aboriginal people and every aspect of their lives is connected to itâ⬠. This means that you should acknowledge the land to which your are working with. One way to acknowledged the land is to consult with the appropriate people in that community before undertaking land modifications. Communication Styles Communication consists of verbal and non-verbal conversation. Effective cross-cultural communication between clients and colleges will improve you effectiveness. Face to face communication can be improved by considering you body language, verbal, and vocal cues. Many Indigenous cultures have deep respect for each other and must be treated in the same way. Indigenous people may be exposed to racism and discrimination. Understanding these impacts will help you discern certain situations. Always be patient as this will relax your client and relieve stress. Being honest and sincere will increase your willingness to help out. Verbal Communication Verbal communication can be improved by choosing your words and terminology wisely. For example Indigenous Australian people/s are ââ¬Å"forbidden by traditional law to mention the first nameâ⬠of
Sunday, December 22, 2019
Education Systems Of The Us Educational System - 886 Words
Education Systems in Other Countries ââ¬Å"One of the biggest problems in the US educational system is the inadequate condition of many schools located in economically disadvantaged areasâ⬠(Morgan, p 291). Morganââ¬â¢s article is about improving American school system based on how other countries school systems are performing. For the US ââ¬Å"to close the achievement gap in the US [it] include[s] improving teacher education and professional developmentâ⬠(p. 294). According to the article, other countries fare better than the US because they require their teachers to be educated more thoroughly and to continue to educate themselves throughout the course of their career. One step in the right direction for Americas school system is beginning in the classroom with the teachers, which is also where Americaââ¬â¢s School-to-Prison Pipeline begins. Singapore Singapore starts at the beginning of the system with the way teachers are educated and selected to become teachers and administrators in the school environment. They believe if the teachers are better educated and more prepared to begin working with students they are at a more advantageous position than here in the United States. Before a teacher in Singapore begin working directly and solely with students they have ââ¬Å"mentor teachers guide beginning and novices in the teaching profession also collaborate with other teachers and visit different classes for as long as 20 hours a weekâ⬠(Morgan, p. 294). The country will gradually prepare the teachersShow MoreRelatedThe Program For International Student Assessment825 Words à |à 4 PagesComparing Two Educational Systems The Program for International Student Assessment (PISA) report provides reliable data for policy makers and school leaders to use in the decision making process. Rather than focusing on specific curricular outcomes, the assessment targets application of knowledge within real world contexts. PISA is designed to provide estimates of student performance across large populations, and the results are therefore reliable for large-scale educational planning (Lemke et alRead MoreEssay on Paulo Freires Pedogogy of the Oppressed1204 Words à |à 5 Pagesour educational system, our society is forced to conform to the level of education that they want us to be at. This educational distortion is beneficiary to the educators realm and the way of governing education . We are seen as merely objects rather than subjects and are fed only facts/information that the educator only wants us to memorize not actually comprehend it or even ask questions or give our opinions to given facts/information. This is what makes the educator the oppressor and us the oppressedRead MoreEducation: United States vs. Ukraine Essay1037 Words à |à 5 Pages02-16-2012 Education: United States vs. Ukraine ââ¬Å"Education is the key to unlock the golden door of freedom.â⬠* George Washington There are 1.8 million people coming to the United States every year. According to U.S. census estimates, in 2006 there were 961,113 Americans of Ukrainian descent representing 0.33% of the American population. The Ukrainian population in the United States is thus the second largest outside the former Soviet Union. One of the reasons is that the education is more progressiveRead MoreExamining How the African Educational System Was Destroyed Under European Colonialism1311 Words à |à 6 PagesBefore the coming of the Europeans to Africa, the African folks had a system created in which to educate their youths. The Africans had an oral tradition of education to pass down their cultural values. Through a series of rites of passage these children were taught the various tribal laws and customs and also an assorted range of skills needed to survive in pre-colonial society. These children were taught through oral literature, consisting of myths and fables, the traditions ofRead MoreThe Educational Evolution Of Education Essay1006 Words à |à 5 Pagestools to shape up the future. Education over the years has gone a notch higher and eminent in our present world. The educational evolution dating from 50 years back in time up till now, has impacted the strength we possess as a nation, a continent and the world at large. Backtracking the evolution to 50 years ago dates back to the 1960ââ¬â¢s. Education at that period in time was tough and seen as the luxury of the rich. There were struggles among people to get education, experiences and skills; for someRead MoreNational Standards And Public Education1453 Words à |à 6 PagesEducation has longed to be a part of this countries foundation and unfortunately for a long time there has been differing opinions about the standards and curriculum of public education. ââ¬Å"And for as long as American have fought the culture wars, they have debated the role of education, the institution most essential to ensuring the reproduction of national identity.â⬠(Hartman, 2013) This essay will evaluate the sides for and against the creation of national standards in public education. The highRead MoreEducation System Between The Us And My Country Nepal Essay1225 Words à |à 5 PagesEnglish101 October 31, 2016 Comparison essay Education System between the US and my country Nepal The education system is an organized, purposeful structure consists of laws, policies, and regulations to regulate the education in schools and colleges in a systematic way. The education system plays a vital role in the development of the student life career and which simultaneously affects the development of the country. Every country has their own education system depending on the government. In the sameRead MoreThe Current Educational Landscape in the United States1273 Words à |à 5 Pagesthe current educational landscape in the United States and how it influences global competitiveness, describes American studentsââ¬â¢ academic performance, reviews the shortage of graduates in STEM fields, and explains how the open education movement can improve academic access, student success and reduce educational costs. The purpose of this literature review is to understand American studentsââ¬â¢ academic progress and how open educational resources can assist in decreasing the educat ional divide amongRead MoreLanguage Acquisition Is The Goal Of Both European And American Educational Systems Essay1494 Words à |à 6 Pagesacquisition is the goal of both European and American educational systems. There are differences in approach between the two systems that create a discrepancy in the effectiveness of the education. The American system bases the need for dual language learning on need of students to learn English and the advantages of a second language for well-off students and usually ends by late elementary school. European schools base their entire school system on dual language for all students from primary throughRead MoreThe Program For International Student Assessment1193 Words à |à 5 Pagesaction to improve its science and technology education, President Obama recognized that our education system must be improved. In 1957 the Soviet Union became the first nation to launch the worldââ¬â¢s first satellite into orbit. Prior to the launch of Sput nik, the United States was complacent in its ââ¬Å"number oneâ⬠mentalityââ¬âthe Sputnik launch shattered that we were lagging behind the USSR in science and technology. Fast forward to the current state of education in the United State; the PISA report was
Saturday, December 14, 2019
Sunshine Chapter 27 Free Essays
A hiss? Iââ¬â¢d heard Con hiss ââ¬â vampires did hiss. The giggler had hissed. It was a horrible noise even from aâ⬠¦an everyday, an every-night vampire. We will write a custom essay sample on Sunshine Chapter 27 or any similar topic only for you Order Now It was much worse from Bo, as everything about Bo was worse. But was it a hiss? Or was it his attempt to say my name? I was back at the lake, where it all began. The sun flamed outside the house. The lake water lapped at the shore. For that first time I heard my tree: Yesssss. Perhaps there had been a doe standing in that forest, looking through the trees at the house, on her way home, to some dappled place where she would doze till sunset. Beauregard! I shouted. I destroy you! And I put my hands into the mire of his chest, and wrenched out his heart. The sky was falling. Ah. Okay. Skies donââ¬â¢t fall; therefore I was dead. Iââ¬â¢d kind of expected to be dead. I felt rather comfortable, really. Relieved. Did that mean Iââ¬â¢d succeeded? Succeeded in what? Thereââ¬â¢d been something Iââ¬â¢d been desperate to do before I checked out for the last timeâ⬠¦couldnââ¬â¢t quite rememberâ⬠¦ Why canââ¬â¢t you leave me alone? There is a lot of noise. Shouldnââ¬â¢t be able to hear anyone saying my name. So, Iââ¬â¢m not hearing someone saying my name. So go away, damn it. I donââ¬â¢t want to be here, shivering in this polluted body. My handsâ⬠¦my handsâ⬠¦touchedâ⬠¦I wonââ¬â¢t remember. Iââ¬â¢m not dead yet, I thought composedly, but I am dying. Good. I donââ¬â¢t want to spend the rest of my life being careful not to remember. I hope I did whatever it was I wanted to do first. Maybe I could go back just long enough to find out. Con, on his hands and knees, crouched over me. The floor shook under us, and there was a lot ofâ⬠¦stuffâ⬠¦falling down and flying around. Not a good place to be, unless you were dying, which I was. Con, I wanted to say, donââ¬â¢t bother. Let one of these flying chunks of something or other finish the job. Iââ¬â¢m tired, and I donââ¬â¢t want to hang around. My handsâ⬠¦ ââ¬Å"Sunshine,â⬠he said. ââ¬Å"We have to get out of here. Listen to me. You have undone Bo; he cannot put himself back together. You have succeeded. This is your victory. But there is much of his ââ¬â his animus ââ¬â released by the final destruction of his body. This place is being pulled to pieces. I cannot carry you through this. Sunshine, listen to meâ⬠¦Ã¢â¬ I was drifting off again. I paused in the drift, momentarily caught by the sound of Conââ¬â¢s voice. He sounded positivelyâ⬠¦emotional. I wanted to laugh, but I didnââ¬â¢t have the energy. I began to drift again. I felt him lift me up ââ¬â I wanted to struggle; leave me alone ââ¬â but I didnââ¬â¢t have the energy for that either. He rearranged me, leaning against him, one arm around me, the other hand cradling my head, tipping it toward his bodyâ⬠¦ Blood. Blood in my mouth. Again. No I wanted to struggle: I did want to. I could have not swallowed. I could have let it run back out of my mouth again: Conââ¬â¢s blood. This wasnââ¬â¢t the blood of a deer, this time, a mortal creature, killed for me, killed because she was like me, more like me than a vampire. Less like me than a vampire, perhaps, by the fact of her death, by the fact that the recently life-warm blood of her had saved my life. That had been a long time ago. I hadnââ¬â¢t known what was going on, that time. I knew well enough this time. This was Conââ¬â¢s heartââ¬â¢s blood. The heartââ¬â¢s blood of a vampire. When did I cross the irrevocable line: when I drove out to the lake, when I tucked my little knife into my bra, when I transmuted it into a key, when I unlocked my shackle, when I unlocked Conââ¬â¢s? When I took him into the daylight, and stopped it from burning him? When he saved my life by the death of a doe? When I discovered I could destroy a vampire with my hands? When I destroyed Bo with those hands? Or when I agreed to live, by drinking Conââ¬â¢s heartââ¬â¢s blood? I donââ¬â¢t know what happened at the foot of the dais, when Boââ¬â¢s crack troop set on Con while I was climbing the stairs. I donââ¬â¢t know if what I saw was entirely some mirage of Boââ¬â¢s, to confound and weaken me, or whether something like it did happen. I would rather think that some of it did happen. That the wound in his chest was already there when he pressed my mouth against it. This was no mere flesh wound, this time, no tiny slash from a tiny blade. I did not want to think of him sinking his own fingers, tearing his ownâ⬠¦ I lifted my head with a gasp, and began to struggle to my feet. He eeled up beside me: still that vampire fluency, even after everything that had happened. Even with that wound in his chest. He took my hand again, and we ran. It takes some coordination, running while holding someoneââ¬â¢s hand, but if you can get it right, every time your linked hands swing forward you get a little extra force for that stride. Some of that was the vampire cocktail I had just swallowed; it coursed through me, giving me a strength I knew didnââ¬â¢t belong to me, shouldnââ¬â¢t belong to me ââ¬â shouldnââ¬â¢t be letting me keep struggling, letting me run, letting me use my poisoned hands. Clinging to his hand too, or perhaps his clinging to mine, let me stop thinking about what my hands had recently been doing. So, would it have been better to die? Too much has happened since my last sunset. Con may be right that I cannot be turned, and that it wonââ¬â¢t be the daylight that kills me, but the touch of the real world will, whatever the sun is doing. I missed the little hot lump of the seal against my leg. The chain swept back and forth across my breast in time with my running footsteps, but slowly, weighted by the thick poisoned blood of the reopened scar. My sun-self, my tree-self, my deer-self. Donââ¬â¢t they outweigh the dark self? Not any more. We ran, and a wind like the end of the world howled around us, and huge fragments of machinery, having crumbled apart and fallen, were yanked up again and tossed like bits of paper. I think the roof was caving in as well; it was a little hard to differentiate. There was no trail to follow, of dismembered vampire remains or anything else; I donââ¬â¢t know how Con knew which way to run, but he seemed to, and I ran because he was running, because it seems like a good thing to do when hunks of flying metal the size of small buses are razoring through the air around you, even though I suppose youââ¬â¢re as likely to run into the wrong place at the wrong time as you are to have lingered in the wrong place at the wrong time if you were moving more slowly. For the moment, for just this moment of running, I seemed to be committed to the idea of trying to stay alive. Then we were actually running down something that looked like a corridor, toward something that looked like double swinging doors. We put our unlinked hands forward to push through, and for a miracle the doors swung back, like normal doors in the real world are supposed to do. We were outside, outside, in No Town, under a night sky, breathing real air. Maybe I didnââ¬â¢t have time to die, when I ran back into the real world. Or maybe I was too surprised. We ran straight into the arms of a division of SOF. In a way I was lucky: they recognized me almost immediately. I was hysterical; this was definitely one thing too many, and when I got grabbed by three guys I did one of them some damage before the other two got a bind on me. I couldnââ¬â¢t bear the touch of ââ¬â well, of flesh ââ¬â against mine, especially against my hands, so itââ¬â¢s a good thing they had a bind ready, rather than the old-fashioned routine of spread out on the ground with my hands twisted up behind my back. The bind should have stopped me cold, but I was still full of adrenaline, or dark blood, or the remains of the strength the light-web had gathered for me, or poison, or whatever you like, and I thrashed and squirmed like someone having a fit for a minute or two before it stopped me. By which time Iââ¬â¢d heard a half-familiar voice say, ââ¬Å"Wait a minute, isnââ¬â¢t that ââ¬â thatââ¬â¢s Rae, from Charlieââ¬â¢s, remember, she ââ¬â ââ¬Å" You have to hand it to the SOF training drill. A madwoman covered in blood runs out of nowhere, promptly tries to maim one of your teammates, and then goes off in fits, and this guy had enough presence of mind to make an ID. And then a completely familiar voice, now kneeling beside me as I panted inside the fully expanded bind, saying, ââ¬Å"Sunshine. Sunshine. Can you hear me?â⬠I could. Just. His voice sounded like it was coming through a filter, or a bad phone connection, which might have been the bind. I donââ¬â¢t think it was, but it might have been. The person saying ââ¬Å"Sunshine, can you hear me?â⬠was Pat. I nodded. I wasnââ¬â¢t ready to try and say anything. Iââ¬â¢m not sure a nod from a person in a bind is very recognizable, but Pat got it. ââ¬Å"I can let you out of the bind if you promise ââ¬â if youââ¬â¢re okay now.â⬠I thought about it. I was lying on the ground. A good bind will prevent you hurting yourself as well as hurting anyone else, and I didnââ¬â¢t seem a whole lot worse than Iââ¬â¢d been before SOF grabbed me. And from inside a bind you donââ¬â¢t have any responsibilities. Did I want to be let out? Gods and angels, what was happening to Con? SOF knew me; they might listen to me. I couldnââ¬â¢t do Con any good foaming at the mouth and being a loony. Couldnââ¬â¢t afford to die yet either. First I owed it to him to get him out of this. If they hadnââ¬â¢t staked him already. Urgency shot through me, tying some of the scattered bits of my personality and will together again. Granny knots probably, but hey. I said as calmly as I could, ââ¬Å"Yes. Okay. Iââ¬â¢m a little ââ¬â dizzy.â⬠Pat patted the bind where my shoulder was, and then pulled its plug. It twumped and collapsed. He made to take my arm, help me to stand up, but I flinched away, saying, ââ¬Å"Please donââ¬â¢t touch me.â⬠He nodded, but I could see he was worried ââ¬â the way I must look would worry anyone ââ¬â and the way the little ring of SOFs around us moved, they were ready to drop me again at the first sign of new trouble. I turned slowly around ââ¬â I was dizzy, and I didnââ¬â¢t want anyone alarmed into doing something I would regret ââ¬â and looked for Con. Heââ¬â¢d apparently taken capture more quietly. He was standing, watching me. They had handcuffs on him. Handcuffs. You donââ¬â¢t handcuff a vampire ââ¬â well, there are sucker cuffs, but these were ordinary ones. From where I stood I didnââ¬â¢t think there were even any ward signs on them. A vampire could break out of ordinary cuffs like a human might break out of a doughnut. Iââ¬â¢m not usually a very good liar. Whatever Iââ¬â¢m thinking shows on my face. I hoped it wasnââ¬â¢t on my face Hey you halfwits youââ¬â¢ve put cuffs on a vampire. I hope I only looked confused and dizzy. I certainly felt confused and dizzy. ââ¬Å"You okay?â⬠I managed. Con nodded. He looked a little peculiar, but it had been a peculiar evening. ââ¬Å"Friend of yours?â⬠Pat asked neutrally. I nodded. They must have seen us runningâ⬠¦ I turned to look at what ââ¬â where ââ¬â whatever we had run from. Iââ¬â¢d registered that we were in No Town. We were in what remained of somewhere in No Town. A lot of it seemed to be lying in pieces on the ground around us. The doors weââ¬â¢d run through led from a building that ended in a jagged diagonal rake of broken wall about eight feet above the doors at its lowest point; there was no roof. Neither of the buildings on each side had any roof left either. One of them still had some of its front wall standing, which was nearly as tall as I was; the other one had a bit of side wall still in one piece. Not a very large piece. I turned back to Pat. ââ¬Å"What ââ¬â happened?â⬠He almost smiled. ââ¬Å"I was hoping you might be able to tell me. Since youââ¬â¢re ââ¬â er ââ¬â here. We got a report that it was raining ââ¬â um ââ¬â body parts, in No Town. Really freaked some of the clubbers. We sent out a car to take a look and they were radioing for help before they arrived. By the time we got here it was raining exploded buildings as well. And more body parts. The ââ¬â er ââ¬â body parts appear to be vampire. Ex-vampire, as you might say. The ones weââ¬â¢ve had a closer look at.â⬠I nodded. I glanced again at Con. My brain was slowly beginning to function. I realized that the reason Con looked peculiar was because he was passing. Donââ¬â¢t ask me how he was doing it. But SOF thought he was human. ââ¬Å"I can take the cuffs off your friend too, if you say you know him,â⬠Pat said, a little too neutrally. ââ¬Å"He was a little ââ¬â upset, when you, er ââ¬â ââ¬Å" ââ¬Å"Went nuts,â⬠I supplied. ââ¬Å"Sorry.â⬠Pat looked at me. I saw it registering with him that the way I looked, whatever had caused it, I had reason to be a little on edge. He looked away again, and nodded, and someone stepped forward and released Con. He joined Pat and me. The circle of SOFs unobtrusively rearranged itself again to keep us under guard. Pat the lion tamer, in with the lions. Con moved a little stiffly, like a man whoââ¬â¢d had a hard night. Or like a vampire trying to look human. He looked a lot better than he had the afternoon weââ¬â¢d had to walk back from the lake. He didnââ¬â¢t look like any one youââ¬â¢d want to take home to meet the family, but he didnââ¬â¢t look like a mad junkie either. Or a vampire. And I didnââ¬â¢t look like anyone youââ¬â¢d want to take home to meet the family. We were both beat up, ragged, blood-saturated, and filthy, and my nose was as stunned as the rest of me, but I guess we stank. Conââ¬â¢s black shirt stuck to his body in such a way I couldnââ¬â¢t see the wound in his chest. If it was still there. My own breast ached and burned, but if I was still bleeding, it had slowed to an ooze. I crossed my arms, but with my elbows well in front of my body, so that my hands hung loosely from my wrists out to either side, without touching any of the rest of me. I wasnââ¬â¢t remembering any more of what had happened than I had to, but I knew there was something wrong with my hands. I wondered where Con had picked up passing for human in the last five months. Was that one of the things I had given him, the night he had given me dark sight? Or was he taking his cue off our jailers somehow? Not that anybody had said they were our jailers. Yet. I didnââ¬â¢t want to say anything like, can we go home now?, in case they did. Besides, I didnââ¬â¢t know that I wanted to go home. I didnââ¬â¢t know that I wanted to do anything. My pulse seemed to throb in my hands. There was a tinny buzzing from someoneââ¬â¢s radiowire: Patââ¬â¢s. I saw his expression get grimmer, and it had been pretty grim already. ââ¬Å"Yeah. Okay. No, my guess is things are going to stay quiet now. Yeah, Iââ¬â¢ll leave a few to keep an eye out, and you can send any clean-up crew you can find. Yeah.â⬠He looked at me. ââ¬Å"Deputy exec Jain wants to debrief you.â⬠My heart sank. The goddess of pain. And you donââ¬â¢t debrief civilians. ââ¬Å"You and Mr. ââ¬â â⬠Pat turned politely to Con. ââ¬Å"Connor,â⬠Con replied. ââ¬Å"Mr. Connor. You and Sunshine can ride back in my car, and Sunshine can tell you a little about our Depex Jain.â⬠I almost managed to be amused. The intrusive presence of the goddess had just put Pat on our side. I guessed weââ¬â¢d need him there. The effort to be amused faded, leaving cold exhaustion. Pat did the best he could for us. The goddess wasnââ¬â¢t going to wait for us to have showers, let alone food and sleep. (I would have liked to see Con in one of their fuzzy khaki jammy suits though.) Pat radioed ahead from the car, and Theo and John met us with blankets and tea. (I wondered who got to hose down the inside of the car.) We were also offered the opportunity to have a pee. Such magnanimity. I accepted. Con did not. Donââ¬â¢t vampires pee? It had been one thing on the walk back from the lake, when heââ¬â¢d been on short rations for a long time. Okay, do they have a digestive system? Maybe it all goes straight intoâ⬠¦never mind. At least I could wash my hands, although I felt the soap only slide over what I most needed to scour away. I cleaned my face with a paper towel, so my hands never touched anything but paper. Con hesitated no more than a moment when offered tea or coffee, and chose tea. He wrapped the blanket around himself. It was yellow, and didnââ¬â¢t help his complexion. He was impressive as a vampire but mostly just ugly as a human. There was a kind of threateningness to his ugliness but you couldnââ¬â¢t have said why. There was a study once about whether ugly or good-looking people are more imposing. Generally the uglier you are the less imposing, till you reach a sort of nadir of ugliness and then you get really imposing. I thought Con just missed the nadir. Just. He was also shorter as a human. I didnââ¬â¢t get this at all. But if it meant the goddess would underestimate him that would be expedient. Possibly even life-saving. Although I wasnââ¬â¢t sure how I felt about going on having my life repeatedly saved. My thoughts were moving slowly and indistinctly, and they stumbled a lot. Iââ¬â¢d had to take the tea mug into my hands to drink from it, but I kept my finger s well away from the brim where my lips would touch. They offered us food, but I refused; it would be sandwiches, something youââ¬â¢d have to touch with your hands. And my refusal made Conââ¬â¢s look less odd, maybe. When Pat took us up to the goddessââ¬â¢ office, there were seven of us. Pat, Con and me, Theo and John and two people I didnââ¬â¢t know beyond occasionally seeing them at Charlieââ¬â¢s: Kate and Mike. The goddess wanted to dismiss everyone but Con and me ââ¬â she had her own people present, of course ââ¬â but Pat, going all formal, declined to be dismissed, and began reeling off some directive or other. Iââ¬â¢d heard him asking for some SOF reg book and seen him poring over it in the little turnaround time between the car and the goddessââ¬â¢ office, but I hadnââ¬â¢t thought about it. He was now proving that since heââ¬â¢d nabbed us in the field, he was responsible for us, even in the presence of a superior officer, because he was a field specialist and she wasnââ¬â¢t, and the situation was insecure. One for Pat. But the lines around the goddessââ¬â¢ mouth got harder, and her mouth more pinched. And we were all going to pay for it. Mainly she went for Con. Because she knew there was something wrong about him? Or because he was the stranger? If she hadnââ¬â¢t done it before I skegged the HQ com system, she would have read any available file on me after, which wasnââ¬â¢t a happy thought, especially the presumption that it would get fatter as a result of her interest. I wondered if Yolande could make a ward against SOF ââ¬Ëfo-collecting techniques. A ward that didnââ¬â¢t proclaim itself as a ward, that only made me look boring. Because my natural boringness would have taken a fatal injury tonight. Nobody ââ¬â certainly not Pat or the goddess ââ¬â was going waste any more time believing my story about having blown myself out the night I blew out their com system. But there I went again, planning as if I had a future, and I hadnââ¬â¢t decided about that yet. The future would be difficult without usable hands, and the old wound on my breastâ⬠¦But I wanted to get Con out of here. His future was his business. There were more voices. The goddessââ¬â¢ voice made my head ache. I had to listen, to pay attention, and I had to think, to be careful, to be readyâ⬠¦readyâ⬠¦The effort was making me start to disintegrate againâ⬠¦I was drifting, it was so much easier to driftâ⬠¦ What is your name? asked the goddess. Connor, Con replied. First name? Malcolm. And you live? I have only recently come to this area, and have not yet decided if I am staying. I rather think that I am not. But your local address? I am renting a house by the lake. Loud intake of breath from everyone except me and Con. No one lives by the lake any more, said the goddess, as if she had caught him out in a lie. Con shrugged gently. Yes: my rent is very reasonable, and I like the solitude. There was a momentary pause. It was true that nobody lived by the lake any more, but there wasnââ¬â¢t a good reason why not. There were bad spots, but there were bad spots everywhere, and there were perfectly good not bad spots by the lake too. The goddess might think no human could bear the hauntedness of the lake, but she couldnââ¬â¢t nail him as an unregistered partblood or illegal Other on it. Let alone a vampire. And my little trouble five months ago had been the first of its kind in years. Conââ¬â¢s choice of location would bring that trouble to mind, of course, but there wasnââ¬â¢t any way that my presence in the middle of whatever had happened tonight wasnââ¬â¢t going to bring that trouble back to center focus in everyoneââ¬â¢s mind. Maybe Con even had a plan. Which was a lot more than I had. I wanted to rub my aching head but I didnââ¬â¢t want to use my hands. Who is your landlord? I do not know. I pay the rent to a post office box in Raindance. The rental was arranged through an agent. What agent? I do not remember; the papers are at home. You could produce the papers. Yes. What brought you to this area? Its natural beauty. That stopped her for a moment. She wasnââ¬â¢t a trees and sunsets sort of person. I wondered vaguely where she lived. She wasnââ¬â¢t a downtown high-rise sort of person either. Nor could I see her in grotty unorthodox Old Town. I couldnââ¬â¢t see her redoing one of the houses in Whiteout. I couldnââ¬â¢t see her as a person with a life. I imagined her spending her off-duty hours folded up in a drawer. If she had any off-duty hours. What do you do for a living? I am fortunate in not having to work for a living. This startled her ââ¬â well, he hadnââ¬â¢t been found in circumstances conducive to guessing he was a member of the independently wealthy ââ¬â but you could see her shift her view to relishing despising this already-suspicious character now revealed as a parasite on the body of society. A mosquito or a leech or something bloodsucking. Ha. And how then do you support yourself? My father left me comfortably off. And your father was? How to cite Sunshine Chapter 27, Essay examples
Friday, December 6, 2019
Midwifery Rheumatic Heart Disease
Question: Analysis of the information and application to midwifery practice or broader issues. Answer: Definition: Rheumatic heart disease is one of the most common heart diseases observed in the children especially noticed in the developing countries. This disease is associated with rheumatic fever. It is an acute or chronic heart disorder which might be the result of valve damage causing rheumatic fever. The Rheumatic fever is an inflammatory condition that affects the connective tissues linked with the heart, skin and brain. The symptoms of this disease are excessive palpitations of the heart, chest pain, swollen stomach, ankles, or wrists and shortness of breath (Marijon et al., 2012). Causes of the disease: According to Marijon et al. (2012), the cause of rheumatic fever is a group of microorganisms namely group A Streptococcus. This bacterium causes the body to attack its own tissues. Such a reaction causes inflammation throughout the body. The bacteria also cause inflammation in the heart and trigger the auto-immune responses. The acute stage consists of pancarditis which involves inflammation of the pericardium, myocardium, and the epicardium. The chronic stage is manifested by valvular fibrosis. This results in the stenosis or insufficiency. The main cause of the rheumatic heart disease is the body generates antibodies to struggle with the microbe, but in its place, the antibodies hit dissimilar target i.e. the bodys own tissues. The antibodies commence with the joints and frequently shift on to the heart and adjacent tissues.Over time, there is progressive damage (rheumatic heart disease, RHD) that may lead to heart failure, stroke, infection of the valves (infective endocarditis), and death (Irlamet al. 2013) Strategies used: The prevention strategies involved in the nursing profession related to the infection may be continued at a numeral of diverse levels. Primordial and primary prevention aims to end the disease happening in the first set, while the objective of the secondary and tertiary prevention is to edge the progression and decrease the consequences of recognized disease (Singh et al., 2012). Primary preventions The primordial prevention aims to develop risk factors related to the disease in the pool. This involves the prevention of GAS infections by implementing activities and measures that relate to the environmental, social, economic and behavioral conditions that elevate the risk of the infection (Irlam et al. 2013). Secondary preventions Secondary prophylaxis with BPG is recommended for all people with a history of ARF or RHD. Four-weekly BPG is currently the treatment of choice, except in patients considered to be at high risk, for whom three weekly administration is recommended. The benefits of three-weekly BPG injections are offset. Three to four weekly intramuscular injections of benzathine penicillin is the treatment of choice. Oral antibiotics may be more convenient but carry higher rates of relapse by the difficulties of achieving good adherence, even to the standard four-weekly regimen (Irlamet al. 2013). Tertiary prevention The intervention in human beings with Rheumatic Heart Disease to decrease symptoms and disability, and avoid premature death. The tertiary level surgical intervention for one patient is equivalent to the annual running costs for a national RHD control program in Pacific countries with small populations ((Singh et al., 2012). References: Irlam, J., Mayosi, B. M., Engel, M., Gaziano, T. A. (2013). Primary Prevention of Acute Rheumatic Fever and Rheumatic Heart Disease With Penicillin in South African Children With Pharyngitis A Cost-Effectiveness Analysis.Circulation: Cardiovascular Quality and Outcomes,6(3), 343-351. Marijon, E., Mirabel, M., Celermajer, D. S., Jouven, X. (2012). Rheumatic heart disease.The Lancet,379(9819), 953-964. Marijon, E., Mirabel, M., Celermajer, D. S., Jouven, X. (2012). Rheumatic heart disease.The Lancet,379(9819), 953-964. Singh, J. A., Furst, D. E., Bharat, A., Curtis, J. R., Kavanaugh, A. F., Kremer, J. M., ... Bridges, S. L. (2012). 2012 Update of the 2008 American College of Rheumatology recommendations for the use of diseaseà modifying antirheumatic drugs and biologic agents in the treatment of rheumatoid arthritis.Arthritis care research,64(5), 625-639.
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