The Transformation of Gilgamesh Depicted in The Epic of...

Gilgamesh struggled to establish moral principle. His personality at first was an arrogant, self-centered tyrant ; he was described by Enkidu His teeth are dragons fangs, his countenance is like a lion his charge is the rushing of the flood... (pg. 16 line 3-6). But towards the end of this epic narrative Gilgamesh switched over to a more humble and sincere person. This adjustment in Gilgameshs behavior shows his modesty and the morality throughout the story. At first, Gilgamesh was seen as an oppressor to his people. He was known to be among the best of creation; as stated in the prolouge When the gods created Gilgamesh they gave him a perfect body.... This emphasizes his signification of his situation and makes him feel better†¦show more content†¦This king saw himself more superior to his people, and he was filled with pride. His personality starts changing after he defeated Humbaba, who was causing havoc in the society. After he kills him this changes the views of the people in his city and he becomes loved. He did a great deed for his people, and he felt very gratifying about it. Although this played a role in his personality shift, the turning point occurred after death of Enkidu. After his death Gilgamesh was grieving intensly, by this the reader can infer that he is humbling himself. Gilgamesh knew that Enkidu was just as magnificent as himself, so after his death When Gilgamesh knew death was around the corner he did not enjoy worldly pleasures, thus making him more god fearing. Another interesting point is when Gilgamesh called upon god O glorious Shamash, I have followed the road you commanded but now if you send no succor how shall I escape? (p.17 lines 33-34).This exemplifies the fact that Gilgamesh needs divine help, Gilgamesh is not satisfied with his own strength and abilities thus calls upon god in humility. The last occurance that proves Gilgameshs personality shift is when he decided to bring the plant back to Uruk. He wanted the old men to eat it first so they can be rejuvenated, and then he would take part of it last. In conclusion, Gilgameshs personality and outlook on life changes completely throughout the story. It shows that no matter how strong an epicShow MoreRelatedThe Epic Of Gilgamesh And The Emperor s New Groove1504 Words   |  7 PagesThe Babylonian work The Epic of Gilgamesh and Disney’s The Emperor’s New Groove both feature similar main characters and story lines. While both works do not follow the same plot line, the characters Gilgamesh and Kuzco possessed similar personalities, traveling partners, and changes in character. The initial portrayal of the rulers in both works is significant. In both The Epic of Gilgamesh and The Emperor’s New Groove both kings are portrayed as arrogant kings who tyrannize their subjects. 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The United States Vs. The Treaty Of Versailles - 960 Words

â€Å"The United States vs. the Treaty of Versailles† The Treaty of Versailles was a peace settlement between Germany and the Allied Powers signed on June 28, 1919. The Treaty of Versailles officially ended World War 1. However, since the conditions in the treaty were so punitive towards Germany many believe that it was also partly responsible for starting World War 2. Before the treaty was signed President Woodrow Wilson and his opponent in congress, Senator Henry Cabot Lodge debated over the membership in the League of Nations and about the mortality of the treaty. Many debated that the United States should have signed the Treaty of Versailles and joined the League of Nations while others oppose both the treaty and the alliance. I believe that the United States did the right thing by rejecting the Treaty of Versailles, and avoiding the entangling commitments overseas which the alliance would have brought upon us. Correspondingly, Senator Henry Cabot Lodge also held an anti-Versailles position. Senator Lodge viewed the treaty as â€Å"suspicious† and stated more than once that a matter this important should not be rushed. â€Å"My one desire is that not only the Senate, which is charged with responsibility, but that the press and the people of the country should investigate every proposal with the utmost thoroughness and weigh them all carefully before they make up their minds†(Document 1). Lodge acknowledges that treaties are long and serious documents pertaining to the nation andShow MoreRelatedUnit 5 Exam : World War I1315 Words   |  6 Pagesof its allies, conflict arose. Lesson 3: America Joins the War Although World War I started in 1914, the United States did not join the war until three years after in 1917.The effect of the United States joining the war was critical. The extra firepower, assets, and troops of the U.S. tipped the equalization of the war for the Allies. 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Best Skin Care Products for Women in Their 50’s Free Essays

AGODI CHIOMA Page 15, Allure Vanguard October 7th Edition, compiled by Davina Ayodele http://issuu. com/vanguardngr/docs/07102012 allure/1 TITLE: Best skin care products for women in their 50’s The purpose of this report is to identify how the writer uses the marketing mix and the 4p’s to attract their specific target market. Whether you are young or old, skin care is an important part of caring for your body. We will write a custom essay sample on Best Skin Care Products for Women in Their 50’s or any similar topic only for you Order Now It’s no wonder that skin care companies spend much time coming up with formulations designed to reach diverse markets. There are specific products for various age groups, skin types, life styles and budgets. To effectively market a skin care line, marketers must cover some key areas. Our primarily focus on this analysis would be on skin care products for women in their 50’s. The writer of the article has been able to identify and understand the market needs of women in their 50’s, thus providing products that offer anti-aging treatment. Knowing your market is necessary as you market your skin care products, thoroughly research those customer’s to help you identify the type of ingredients you need to include in your products to help improve aged skin. With knowledge of the market, you can discover where your target customers are, their budgets, ingredients that are important to them and where they get their information’s about anti – aging products. Taking a deeper look at the article using the different concepts of marketing, the writer has been able to understand and identify customer issues; â€Å"our skin loses elasticity and the constant pull of gravity weight against us, and this affects the decline in estrogen levels†. The writer further went on to explain that â€Å"we could opt for a face lift with a nip and tuck or maybe a BOTOX injection; these treatments are costly and needs maintenance several times a year†. Satisfying a customer’s need should be relatively affordable and reachable to the masses. In other to balance the benefits of the best skin care products with the cost of the face lift, the writer came up with options of affordable anti – aging cream such as life cell, murad resurgence, oil of olay, simone france anti – aging formula, trivectin SD. These creams are more economical and give women the benefit to age gracefully. Marketing is simply about balancing benefits and costs. The face lift would satisfy small markets at a rare basis, but the aging cream would have larger markets for it because it’s easily affordable and reachable. It can be seen that differences do exist between a face life and an aging cream, this can be seen in the marketing varia bles which are the basis of segmentation such as income and geographic values. In a competitive market, the anti – aging cream has been able to identify the target market segments in other to be at the cutting edge. Differences between the two products are evident with respect to product, place, price and promotion. Face lift relies heavily on price, anti – aging cream relies on the success to satisfy customer’s needs, thereby performing same function as face lift in a different concept at a lower cost. How to cite Best Skin Care Products for Women in Their 50’s, Essay examples

Operation Foxley free essay sample

An analysis of Operation Foxley, the British plan to assassinate Hitler. This paper begins by looking at various unsuccessful assassination attempts on Hitlers life. It then turns its focus to the British Special Operations Executive (SOE) plan, named Operation Foxley. The paper describes the secret plan, discusses various aspects of it and analyzes why it was not put into practice. The implications for the course of WWII and world history if the plan had succeeded have also been explored. During the course of World War II, its main instigator, Adolf Hitler survived numerous assassination attempts. There was of course no single reason for this. On occasions, the plans simply failed because they were not prepared or executed with the required precision or professionalism. Hitler was extremely well-protected and his intelligence agencies led by the Gestapo at times got wind of them before they could be put into practice. Sometimes the bombs simply failed to go off. We will write a custom essay sample on Operation Foxley or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page On other occasions, Hitler survived because of his sudden and unexpected cancellation of schedules, upsetting the plans of the assassins. Some called it his uncanny sixth sense. Whatever the reasons for his miraculous escapes, they helped to build Hitler into a mythical being. Many Germans started to believe that nothing could kill the Fuhrer. Hitler himself declared after he survived a major assassination attempt on July 20, 1944 (when a bomb placed in a brief-case exploded just a few feet from him in his briefing hut) that he was invulnerable and immortal.

French New Wave Essays - Jacques Rivette, Antoine Doinel

French New Wave The French New Wave was a movement that lasted between 1959 to 1964. It all started with the Cinematheque Francois, an underground organization that would regularly show older films from around the world. This beget the cine-club, and by the 1954 there were 100,000 members in 200 clubs. From these clubs several magazines were created, the most famous of these were L'Ecran Francois, La Revue du Cinema, Postif, and the world known Cahiers du Cinema. One of the two most influential people during this time was Alexandre Astruc who declared that, ?the cinema is becoming a means of expression like the other arts before it, especially painting and the novel. It is no longer a spectacle, a diversion equivalent to the old boulevard theater...it is becoming, little by little, a visual language, i.e. a medium in which and by which an artist can express his thoughts, be they abstract or whatever, or in which he can communicate his obsessions as accurately as he can today in essay or novel?. What Astruc was saying , was that the cinema was now as personal as paintings and literature, instead of just a show. The second and most influential of the two was Andr? Bazin, who like Astruc believed that the cinema was equal to the novel. Bazin believed in the long take and the deep focus over the Soviet Montage, ?composition in depth is seen as egalitarian in the sense that everything in the frame exists with equal clarity, thereby giving the spectator a choice: our eyes are free to roam from foreground to background and around. It is closer to the way we perceive in off screen life, and it reintroduces ambiguity into the structure of the image.? Bazin also championed the Italian Neorealism movement, for its revolutionary humanism, and it's on location shooting, improvisational style, use of non actors, and for it's long takes. In 1950's Andr? Bazin founded Cahier du Cinema, a magazine that championed the director as Film's true author. At Cahier du Cinema, Bazin further developed the theory of director as author of his film, the Auteur. ?Bazin charted the main areas of film studies as we know them, effectively creating the discipline: authorship, which led Bazin's disciples to develop the politique des auteurs.? Cahier du Cinema ?brought together the leading French critics/film enthusiasts of the time- Francois Truffaut, Jean-Luc Godard, Claude Chabrol, Eric Rohmer and Jacques Rivette...? These critics began devouring older movies, mostly silent films like, German Expressionism, Italian Neorealism, thirties French films and most particularly American studio films that were banned during Nazi occupation. ?Here they learned to love directors like Howard Hawks and John Ford, the American masters who were virtually ignored in this country until the French critics made a case for their artistry.? These critics also made the world aware of Genre. The examples of genres are the Western films, Gangster films, Musicals, and Film Noir. But the most important observation was the director as Auteur. ?They championed the director as the auteur, the creator of a personal vision of the world which progresses from film to film.? These critics began seeing style and same thematic consistencies in certain film directors, and held them in the highest light. One of the first scandals in this wave of thought was an article written by Francois Truffaut in 1954, ?A Certain Tendency in the French Cinema.? In his essay he criticized ?the French postwar films that were adopted from novels and were heavily dependent upon plot and dialogue.? Truffaut also attacked Jean Delannoy and Rene Clement as they were stopping the growth of film as art. The final influence on the French New Wave came in 1958. The Documentary filmmakers began using lighter and more mobile equipment, using smaller crews, and began rejecting structure in their scripts. Cinema Verite was the name applied, meaning Cinema truth. Then in 1959, France called for a ?new wave? and it got it. The same year, twenty-four French directors made their first feature films, followed in 1960 by forty-three more features. All this was possible to accomplish with the advent of the lightweight film equipment and handheld action ruled the screen. The first of these French New Wave films was Jean-Luc

Facts About the Whale Shark

Facts About the Whale Shark Whale sharks are gentle giants that live in warm waters and have beautiful markings. Although these are the largest fish in the world, they feed on tiny organisms.   These unique, filter-feeding sharks appeared to evolve about the same time as filter-feeding whales, around 35 to 65 million years ago.   Identification While its name may be deceiving, the whale shark is actually a shark (which is a cartilaginous fish). Whale sharks can grow to 65 feet in length and up to about 75,000 pounds in weight. Females are generally larger than males. Whale sharks have a beautiful coloration pattern on their back and sides. This is formed of light spots and stripes over a dark gray, blue or brown background. Scientists use  these spots to identify individual sharks, which helps them learn more about the species as a whole. The underside of a whale shark is light. Scientists are not sure why whale sharks have this distinctive, complex coloration pattern. The whale shark evolved from bottom-dwelling carpet sharks that have noticeable body markings, so perhaps the sharks markings are simply evolutionary leftovers. Other theories are that the marks help camouflage the shark, help sharks recognize each other or, perhaps most interesting, are used as an adaptation to protect the shark from ultraviolet radiation.   Other identification features include a streamlined body and broad, flat head. These sharks also have small eyes. Although their eyes are each about the size of a golf ball, this is small in comparison to the sharks 60-foot size. Classification Kingdom: AnimaliaPhylum: ChordataClass: ElasmobranchiiOrder: OrectolobiformesFamily: RhincodontidaeGenus: RhincodonSpecies: Typus Rhincodon is translated from the Green as rasp-tooth and Typus means type. Distribution The whale shark is a widespread animal that occurs in warmer temperate and tropical waters. It is found in the pelagic zone in the Atlantic, Pacific, and Indian Oceans. Feeding Whale sharks are migratory animals who appear to move to feeding areas in conjunction with fish and coral spawning activity.   Like  basking sharks, whale sharks filter small organisms out of the water.   Their prey includes plankton, crustaceans, tiny fish, and sometimes larger fish and squid. Basking sharks  move water through their mouths by slowly swimming forward. The whale shark feeds by opening its mouth and sucking in water, which then passes through the gills. Organisms get trapped in small, tooth-like structures called dermal denticles,  and in the pharynx. A whale shark can filter over 1,500 gallons of water an hour. Several whale sharks may be found feeding a productive area. Whale sharks have about 300 rows of tiny teeth, totaling about 27,000 teeth, but they are not thought to play a role in feeding. Reproduction Whale sharks are ovoviviparous and females give birth to live young that are about 2 feet long. Their age at sexual maturity and length of gestation are unknown. Not much is known about breeding or birthing grounds either.  In March 2009, rescuers found a 15-inch long baby whale shark in a coastal area in the Philippines, where it had been caught in a rope. This may mean that the Philippines is a birthing ground for the species. Whale sharks appear to be a long-lived animal. Estimates for the longevity of whale sharks are in the range of 60-150 years. Conservation The whale shark is listed as vulnerable on the IUCN Red List.  Threats include hunting, impacts of diving tourism and overall low abundance. References and Further Information: Associated Press. 2009. Tiny Whale Shark Rescued (Online. MSNBC.com. Accessed April 11, 2009.Martins, Carol and Craig Knickle. 2009. Whale Shark (Online). Florida Museum of Natural History Ichthyology Department. Accessed April 7, 2009.Norman, B. 2000. Rhincodon typus. (Online) 2008 IUCN Red List of Threatened Species. Accessed April 9, 2009.Skomal, G. 2008. The Shark Handbook: The Essential Guide for Understanding the Sharks of the World. Cider Mill Press Book Publishers. 278pp.  Wilson, S.G. and R.A. Martin. 2001. Body markings of the whale shark: vestigial or functional? Western Australian Naturalist. Accessed January 16, 2016.

MIS project for Virginia Tech University implementing the Wimba Research Paper

MIS project for Virginia Tech University implementing the Wimba Virtual Classroom Technology - Research Paper Example In addition, it has been observed that lecturers have been using the virtual classroom for synchronous class periods and office hours as it has multiple uses which include the ability to access and to share information simultaneously from different locations, a tool for audio-visual phone calls, and a medium for retrieving and delivering online lectures. It provides prospects for the students in real time communication with the classmates and lecturers. Correspondingly, the objective of the paper is to explore a discussion relating to the implementation of Wimba Virtual Classroom Technology in Virginia Tech University (Martin & Parker, n.d., Clark & Kwinn, n.d.). Blackboard Inc. lately made acquisition of two of the best providers of collaboration learning and synchronous learning which included both Wimba Inc. and Elluminate Inc. This collaboration resulted in formation of Blackboard Collaborate that is a newest platform for providing educational solutions. This collaboration pursues innovation at a greater extent in meeting the ever-growing requirements of collaboration and synchronous learning with continuous integration support of learning management systems and open sourced application. As a result, it can be affirmed that Virginia Tech University should develop a kind of plan which focuses on successful implementation of virtual classroom. This can be done effectively if inquiry based learning and student centered learning approaches are incorporated in the university to make it interactive, which might be a part of broader blended solution for learning. The plan also should include designing the class in such a manner that the Wimba V irtual Classroom uses a blend of learning activities such as reading, assignments and undertaking of e-learning that is self-paced. Moreover, the result and objectives of the class undertaken must also be considered, along with activities used in these classrooms that ensure reinforcement of learning. In

Physical Activity and Academic Performance Essay

Physical Activity and Academic Performance - Essay Example As social psychology is the study of human behaviour in social contexts, much of the investigation into the factors that contribute to exercise and sport behavior, and the understanding of the relationships among these factors have been conducted by applying theoretical approaches from social psychology (Biddle and Nigg, 2000). This sociological approach to social psychology examines the effects of personal experience, meanings, language, culture, ideology, and the material or physical environment on the 'lived experience' of individuals in those contexts and, in particular, their relationships with others. The key unit of analysis in this approach tends to be representations, stereotypes, and cultural images and how they relate to people's construction and interpretation of the meaning they attribute to themselves and others on the basis of these broad social influences (Biddle and Mutrie, 2001). Many prominent athletes and coaches believe that although sport is played with the body, it is won in the mind. If psychological intervention improves physical performance, there can also be possibility that physical activity could also improve mental performance. This gives rise to the question as to whether regular physical activity improves mental performance and related academic achievements in academic settings including those for young learners. This question has validity from the social perspectives since if relevant evidence can be gleaned from the research articles; this can generate a means to improve academic achievement through promotion of regular physical activities including sports in the academic settings (Bodin and Hartig, 2003). Research Hypotheses In recent years, a great deal of research evidence has accumulated to show that regular physical activity is associated with a range of physical and mental health benefits (Mutrie, 2002). Despite this suggestion and many circumspective evidences, there is reluctance to take up physical activity in the academic settings and even of started, there are problems in maintaining it. Data suggest most adult populations do not engage themselves in regular physical activities, and even if they begin, they do not continue or pursue exercise on a regular basis. These suggest not only that lack of physical inactivity is a growing concern for many communities but also that intervention campaigns are required to promote exercise initiation and adherence (Marcus and Forsyth, 2003). It has been observed that interventions of this magnitude present with formidable barriers. Implementation of these need behavior changes, since it is frequent finding that despite feeling refreshed or invigorated follow ing exercise, many fail to continue to it. On the contrary their effects on young school going population had been inadequately researched. It is pertinent to consider that behavioral interventions can best be begun early on, and thus it would be worthwhile to find evidence whether physical exercise could be

DEMOCRACY Essay Example | Topics and Well Written Essays - 1500 words

DEMOCRACY - Essay Example In this case, it has the interest of the minority, since the minority is free from discrimination due to their views, and the interest of the majority. More clearly, democracy make it very easy for the people to freely participate in the political systems of the modern world, thereby making the principles of democracy very fair to all. According to Tilly (2007 pg45), democratic governments are opened to analysis especially about their socio-economic analysis. The public have the opportunity to assess and evaluate issues related to policy making, issues affecting the societal development and growth. Some of the main questions they are free to assess are about the economic policies that the government in place choose and are implementing, thereby addressing their possible outcomes. The next issue therefore becomes the effects of political issues on the economic outcomes (Barber, 2003 p 67). The study of democratic system of governments helps the public and learners to understand the role of agents that influence and make political decisions. The study also focuses on understanding the effects of institutional and constitutional choices. In addition to that, the study of such systems enables the public and learners to understand why many policy discussions require thinking and how changing any aspect of the constitut ion affects different aspects of policies. Democracy is based on the principle of equality whereby all the members of the public or state are equal before the law. The rights, political, economic, social, and cultural rights are enjoyed equally by the people meaning that the government cannot discriminate among the citizens based on their sex, religion, gender; property classes etc. generally, all have exclusively equal rights to choose their government through election which should be free and fair. This process outlines the issue of social decision making, voting rules and Condorcet winner. Election involves choosing some positive

Endotracheal Intubation to Supraglottic Airway Device

Endotracheal Intubation to Supraglottic Airway Device Discussion Response 1 Much debate has occurred recently about high failure rates and adverse effects associated with pre-hospital paramedic endotracheal intubation. Should ETT be removed entirely and replaced with supraglottic airways? Maintaining an airway in a safe and effective manner is critical in pre-hospital management of the patient in respiratory distress. The debate regarding the most appropriate device to manage this situation in the pre-hospital setting will continue as devices and education and training of paramedics continues to improve. This discussion compares the failure rates and adverse effects of endotracheal intubation to supraglottic airway devices and discusses the possibility of removal of endotracheal tubes in favour of the use of supraglottic airways. The indications for endotracheal intubation for Victorian Paramedics are cardiac arrest, respiratory arrest, GCS greater than or equal to 10 with suspected airway burns (a consult is required), GCS less than 10 due to respiratory failure, neurological injury, overdose, status epilepticus, hyperglycaemia with blood glucose level reading high or suspected airway burns. The paramedic requires clinical experience to recognise the 5 main indicators for intubation failure to ventilate, failure to oxygenate, inability to protect against aspiration, inability to maintain airway patency or predicting patient deterioration to respiratory failure (Lafferty Dillinger, 2016). Intubation success rates range from 69% to 98.4% the variation accounts for the level of education, training and case exposure. The success rate or lack thereof is directly proportional to the amount of education, training and case exposure received (Jacobs Grabinsky, 2014 and Piegeler, et al., 2016). In Australian studies it was found that Victorian HEMS based paramedics who underwent extensive training that included hospital based practice (Bernard S. A., et al., 2015) attained 97% (Bernard S. , Smith, Foster, Hogan, Patrick, 2002) 100% (Andrew, et al., 2015) success rate. These intubations showed improvements with oxygen saturation, end tidal carbon dioxide levels, blood pressure (Bernard S. , Smith, Foster, Hogan, Patrick, 2002) and pain scores (Andrew, et al., 2015). There is a recommendation from the European Resuscitation Council that only well trained and experienced paramedics should perform endotracheal intubation and alternate airway devices should be used by less trai ned paramedics (Schalk, et al., 2012). Failure to maintain competency of this skill increases the risk of errors eliminating the benefits of endotracheal intubation and results in a negative patient outcome (Tiah, et al., 2014). Endotracheal intubation is performed to ensure adequate ventilation and oxygenation also to avoid aspiration of gastric contents or blood during cardiopulmonary resuscitation (Piegeler, et al., 2016) and when the airway is threatened due to oedema in the setting of facial burns or suspected inhalation burns (Price Milner, 2012). Improved patient outcomes were demonstrated when endotracheal intubation was successfully achieved compared to those with a supraglottic device, there was a higher incidence of return of spontaneous circulation, survival to hospital admission, neurologically intact, survival to hospital discharge. (Benoit, Gerecht, Steuerwald, McMullan, 2015). Temporary harm from airway management is common however serious injury is not (Cook MacDougall-Davis, 2012). Complications attributed to endotracheal intubation are commonly hoarseness and sore throat, however patients can also experience lip swelling, laceration and bleeding, tongue laceration and bleeding, oral bleeding, dental damage, gingival bleeding, and pharyngeal bleeding (Toda, Toda, Arakawa, 2013). Failed intubation is associated with oxygen desaturation, hypertension, admission to ICU and complications at extubating (Cook MacDougall-Davis, 2012). The risks associated with out of hospital endotracheal intubation are pulmonary aspiration, delay in transport due to several attempts, tube misplacement or difficult airway management. In these cases, where an invasive and time consuming technique may delay definitive care it may be more appropriate to utilise a supraglottic airway device as an alternative (Piegeler, et al., 2016). The indications for the use of a supraglottic airway device are unconscious patient without gag reflex, ineffective ventilation with BVM and oro- or nasal-pharyngeal airway, predicted greater than 10 minutes assisted ventilation required, or unable to intubate or difficult intubation (Ambulance Victoria, 2016). Many studies indicate a less than 1% failure rate of supraglottic airway devices (Cook MacDougall-Davis, 2012) this is due to the lower education and training requirement and the device being less invasive (Jacobs Grabinsky, 2014). The failure rates were contributed to airway soiling and aspiration before paramedic treatment commenced. Proficiency of use is quickly attained (Haske, Schempf, Gaier, Niederberger, 2013), the device is faster to insert with higher success rate (Duckett, Fell, Kimber, Taylor, 2014) decreasing interruptions during a cardiac arrest and ventilation is possible with continuous compressions (Haske, Schempf, Gaier, Niederberger, 2013). The i-gel is a 2nd generation supraglottic airway device that exerts very low pressures on the pharyngeal mucosa resulting in low incidence of airway complication such as hoarseness and sore throat (Michalek, 2013). The major concerns of the use of any supraglottic airway device is the potential for air leak, airway, vocal cord and soft tissue injury, hypoxemia, and hypercapnia (Jacobs Grabinsky, 2014) and aspiration of gastric contents (Piegeler, et al., 2016). This generation of device is designed with a channel to insert a gastric tube to drain the stomach contents or air (Michalek, 2013) to prevent aspiration. Comparing placement success and time to ventilate when comparing unassisted endotracheal intubation and supraglottic airway device (Frascone, et al., 2011), hospital admission and survival to hospital discharge, and neurological or functional status (Tiah, et al., 2014) there is no significant difference between the two types of devices (Frascone, et al., 2011 and Tiah, et al., 2014). In the metropolitan setting of paramedic practice there is a solid argument for the cessation of endotracheal use in favour of a supraglottic device. The low level of education and training required to ensure proficiency, fast insertion time and the addition of the gastric tube channel along with the shorter transport times to definitive care indicates that a supraglottic airway is most appropriate airway device. References Ambulance Victoria. (2016). Clinical Practice Guidelines for Ambulance and MICA Paramedics (Revised Edition ed.). Doncaster, Victoria, Australia: Ambulance Victoria. Retrieved March 19, 2017 Andrew, E., de Wit, A., Meadley, B., Cox, S., Bernard, S., Smith, K. (2015, July/September). Characteristics of patients transported by a paramedic-staffed helicopter emergency medical service in Victoria, Australia. Prehospital Emergency Care, 19(3), 416 424. doi:10.3109/10903127.2014.995846 Benoit, J. L., Gerecht, R. B., Steuerwald, M. T., McMullan, J. T. (2015). Endotracheal intubation versus supraglottic airway placement in out-of-hospital cardiac arret: A meta-analysis. Resuscitation, 93, 20 26. doi:10.1016/j.resuscitation.2015.05.007 Bernard, S. A., Smith, K., Porter, R., Jones, C., Gailey, A., Cresswell, B., . . . St Clair, T. (2015). Paramedic rapid sequence intubation in patients with non-traumatic coma. Emergency Medicine Journal, 32, 60 64. doi:10.1136/emermed-2013-202930 Bernard, S., Smith, K., Foster, S., Hogan, P., Patrick, I. (2002, December). The use of rapid sequence intubation by ambulance paramedics for patients with severe head injury. Emergency Medicine Australasia, 14(4), 406 411. doi:10.1046/j.1442-2026.2002.00382 Bernhard, M., Mohr, S., A., W. M., Martin, E., Walther, A. (2012, February). Developing the skill of endotracheal intubation: implication for emergency medicine. Acta Anaesthesiologica Scandinavica, 56(2), 164 171. doi:10.1111/j.1399-6576.2011.02547 Cook, T. M., MacDougall-Davis, S. R. (2012). Complications and failure of airway management. British Journal of Anaesthesia, 109(S1), i68 i85. doi:10.1093/bja/aes393 Duckett, J., Fell, P., Kimber, C., Taylor, C. (2014). Introduction of the i-gel supraglottic airway device for prehospital airway management in a UK ambulance service. Emergency Medicine Journal, 31, 505 507. doi:10.1136/emermed-2012-202126 Frascone, R. J., Russi, C., Lick, C., Conterato, M., Wewerka, S. S., Griffith, K. R., . . . Salzman, J. G. (2011). Comparison of prehospital insertion success rates and time to insertion between standard endotracheal intubation and supraglottic airway. Resuscitation, 82, 1529 1536. doi:10.1016/j.resuscitation.2011.07.009 Haske, D., Schempf, B., Gaier, G., Niederberger, C. (2013). Performance of the i-gel during pre-hospital cardiopulmonary resiscitation. Resuscitation, 564, 72 77. doi:10.1016/j.resuscitation.2013.04.025 Jacobs, P., Grabinsky, A. (2014, January March). Advances in prehospital airway management. International Journal of Critical Illness and Injury Science, 4(1), 57 64. doi:10.4103/2229-5151.128014 Lafferty, K. A., Dillinger, R. (2016, December 30). Rapid Sequence Intubation. (R. P. Byrd, Ed.) Retrieved March 19, 2017, from Medscape: http://emedicine.medscape.com/article/80222-overview#a1 Michalek, P. D. (2013). The I-Gel Supraglottic Airway. Nova Science Publishing Inc. Retrieved March 3, 2017, from http://ebookcentral.proquest.com/lib/vu/detail.action?docID=3022405 Piegeler, T., Roessler, B., Goliasch, G., Fischer, H., Schlaepfer, M., Lang, S., Ruetzler, K. (2016, May). Evaluation of six different airway devices regarding regurgitation and pulmonary aspiration during cardiopulmonary resuscitation (CPR) A human cadaver pilot study. Resuscitation, 102, 70 74. doi:10.1016/j.resuscitation.2016.02.17 Price, L. A., Milner, S. M. (2012). The totality of burn care. Trauma, 15(1), 16 28. doi:10.1177/1460408612462311 Schalk, R., Auhuber, T., Haller, O., Latasch, L., Wetzel, S., Weber, C. F., . . . Byhahn, C. (2012, January). Implementation of the laryngeal tube for prehospital airway management: training of 1,069 emergency physicians and paramedics. Der Anaethesist, 61(1), 35 40. doi:10.1007 Tiah, L., Kajino, K., Alsakaf, O., Bautista, D. C., Ong, M., Lie, D., . . . Gan, H. N. (2014, November). Does Pre-hospital Endotracheal Intubation Improve Survival in Adults with Non-traumatic Out-of hospital Cardiac Arrest? A Systematic Review. Western Journal of Emergency Medicine, XV(7), 749 757. doi:10.5811/westjem.2014.9.20291 Toda, J., Toda, A. A., Arakawa, J. (2013, October 17). Learning curve for paramedic endotracheal intubation and complications. International Journal of Emergency Medicine, 6(38). doi:10.1186/1865-1380-6-38

Free College Admissions Essays: Social Work Will Allow Me to Grow :: College Admissions Essays

The Study of Social Work Will Allow Me to Grow    The rapidly growing elderly population is becoming a serious social problem in many countries. Some countries have been successful at finding solutions for this problem but others have not. Japan is one of the latter countries. Although Japan has one of the highest life expectancy rates and a reputation for good quality of life for its elderly population, it has been unsuccessful at addressing this problem. Compared to other industrialized countries, Japan lags behind in programs for elders who are physically disabled, bedridden or in need of long term care. The current economic crisis is exacerbating this situation as the government is cutting funding for elder programs. This problem resonates deeply with me, and I hope to someday work on finding a solution. It is for this reason that I am applying to the graduate program in social work at Boston University: I seek the skills and knowledge I need to return to Japan and work for a social work service.    My interest in the elderly dates back to my childhood. Growing up with my grandparents greatly influenced my values and personality: they taught me to be self-motivated and disciplined. Their resilience and support has helped me to persevere even when confronted with seemingly insurmountable obstacles. Because of their kindness toward me I have a deep respect for them and for elderly people in general. This is what motivates me to become involved in the field of social work.    Traditionally in Japanese society, the care of one's parents is believed to be the children's duty. After World War II, such traditions have evolved due to changes in family structure. No longer is the eldest child the only one to inherit his parent's property, and two-income families have become the norm. These changes have left Japanese people at a loss as to how to care for their aging parents. The current response to this problem seems to be hospitalization.    Families increasingly hospitalize their elders who are physically disabled, bedridden or in need of long-term care. These individuals are usually transferred to nursing homes, but because of sparse accommodations and a one to two year wait list, they end up staying with family members who are often ill equipped to care for them. As a result, there are a number of incidences of elder abuse by family members and elder suicide.