Case study on chronic illness Essay Example | Topics and Well Written Essays - 250 words

Case study on chronic illness - Essay Example Americans have medical cover and face little dangers of controlling the diseases because the insured go for the checkups which are sponsored by the insurers. Members of the countries with low socioeconomic power are rarely informed of medical cover. Low income in them also imposes great challenges in them taking the cover. From the chapter read on Rosalie’s health, she has no medical cover (Moroflubkin & Pamala 2012). The Healthy people 2020 have a plan to take medical cover to support Rosalie for the rest of her life. She has to also remain on treatment while the medical policy matures. They also have a plan on how to educate her. Rosalie’s aunt will also get a medical cover since her income is low and in future she might not be able to meet her medical needs should they occur. WHO cares for the underprivileged people’s health: providing them with medicines, education, food and shelter. This way, I will also plan to provide the same to Rosalie and her aunt Rita. This will help relieve her of the burden bagging her life. If I had to respond to the call, I would inform the health care professionals to have regular checks on the health of the aging population to avoid high costs of treatment. I would also advise them to take early control measures like immunization on children in order to prevent future problems to the victims when they age (Toombs, David & Ronald 1995). If I had power of control over the resource, I would introduce free and compulsory immunization to the needy and carry out medical researches on people’s health in order to identify how and when to issue treatment to the needy (Dubey

Explain why Gatsby is considered a romantic Essay Example for Free

Explain why Gatsby is considered a romantic Essay Although F. Scott Fitzgerald’s novel, The Great Gatsby, is told from the point of view of Nick Carraway, who was one of its main characters and the first character introduced, it still mainly revolves around the story of Jay Gatsby and his romantic pursuit of Daisy Buchanan, the only woman he ever loved. While the novel initially focuses on the status of America and the morally perverted characteristics of the wealthy people in Long Island, it also emphasizes Gatsby’s quest to win back Daisy at all costs after the two separated when he participated in World War I. This is also why Gatsby can be considered a highly romantic character in the novel despite the fact that the story is not told from his perspective. In general, Gatsby’s romantic pursuit of Daisy is depicted throughout the novel except for its early chapters because he was first fully introduced near middle part of the story. Possibly the first point in the novel wherein his romantic character is illustrated was when Nick discovered from his friend, Jordan Baker, that Gatsby has been throwing massive and lavish parties every week in the hope that Daisy will visit. This was also the point where Nick, who was also the narrator and the person who documented the events of his companions, discovered Gatsby’s past and how he got separated from Daisy as a soldier. It is also revealed later on in the novel that Gatsby accumulated massive wealth for the sole purpose of impressing Daisy and convincing her that she would be well-provided with him. He also bought his house on the same area where Daisy lives in order to be close her and monitor her. In fact, when Gatsby was still a soldier and was not yet rich, he lied to Daisy about his social status in order to show her that he was good for her and to persuade her to wait for his return from the battlefield. However, Daisy married Tom Buchanan, her present husband, which basically ignited the chain of events that led to Gatsby’s relentless pursuit of Daisy. In other words, all of Gatsby’s actions mentioned above only show that he would do anything for his love. This was further accentuated when it was shown in the novel that Gatsby acquired his wealth through illegal activities and through participation in organized crime such as unlawful distribution of alcohol and stolen goods. Meaning to say, no matter what the means and the costs were, Gatsby would do anything for Daisy, which only proves that he is a romantic. Another important highlight of Gatsby’s romantic pursuit is his reunion with Daisy which was arranged by Nick. It was during this time that Gatsby’s passion and love towards her were more vividly revealed. Moreover, it again showed how Gatsby would do anything just to see Daisy and be reunited with her because even to the point of asking Nick, whom he has known for only a short time, to arrange such a meeting. When Gatsby and Daisy started a secret affair, he did not care about the risks such as Tom finding out because it was only Daisy he cared about. Thus, it can also be deduced that Gatsby was selfish because all of his actions were directed for the sole purpose of being with the one he loves. But being selfish is usually the case among romantic people because it is in their nature to do everything in their power for the object of their love. However, possibly the main highlight of Gatsby’s love for Daisy was when he sacrificed his life in order to save her from possible arrest and humiliation. This is shown when the car that Daisy and Gatsby were in accidentally hits and kills Myrtle Wilson, who has a secret love affair with Tom. In the ensuing events, Gatsby takes the blame for killing Myrtle even though it was Daisy who was driving the car. He also refuses to leave town when Nick asks him to do so. As a result, George, Myrtle’s husband, shoots and kills Gatsby in his rage before killing himself. In short, Gatsby’s sacrifice best exemplified his love for Daisy and punctuated the fact that he is a romantic character. He basically epitomizes a romantic who would do anything, even at the cost of his of his own life, just to please the one he loves. References Fitzgerald, F. S. (2007). The Great Gatsby. USA: Penguin Books.

Death and the Supernatural in Shakespeares Macbeth :: GCSE English Literature Coursework

Macbeth: Death and the Supernatural Throughout William Shakespeare's Macbeth, many characters evolve and many disappear into the background. The main character, Macbeth, travels through utter chaos when he proclaims himself monarch. When he first meets the witches of the supernatural, they tell him of the future. One of the themes amplified throughout the play is the circle of life, from the beginning to the end. The visions provided by the three witches begin Macbeth's quest for dominance. The three main effects of this theme are: the death of Macbeth's friends and family. Second, the deaths of his mortal enemies. The last point is the death of himself. The supernatural amplifies the theme of death. From the first brief encounter of the witches, to the last nightmarish visions that Macbeth has, many close friends and relatives have died because of his visions with the supernatural. The death of his wife in Act V, Scene IV is the death that sends him over the abyss and into mental instability. Lady Macbeth is like a joined appendage to Macbeth. They work as one, communicate as one, and when that appendage is lost, so is MACBETH's grip with reality. Lady Macbeth was the only person he could truly confide in. The supernatural also had another key factor to her death. In the first act of the play, she calls on the powers of the supernatural to make her strong. The following quote, "Come, you spirits that tend on mortal thoughts, unsex me here, and fill me from the crown to the toe, top-full of direst cruelty! make thick my blood, stop up the access and passage to remorse†¦ Come to my woman's breasts, and take my milk for gall†¦", is possibly the most important passage that leads to Lady Macbeth's death. She calls on the evil spirits to "unsex" her, and to replace her "milk" with "gall". It seems that she wants to be the most cruelest being in the world. The theme of the life cycle is amplified in this situation because of her request to the spirits. This event is the beginning of the end for Lady Macbeth's life. She is the one who insists Macbeth should kill the king and reign as the king of Scotland. It is her ideas and plans that lead herself and Macbeth into the pits of hell. She is not solely to blame for this catastrophe though. Death and the Supernatural in Shakespeare's Macbeth :: GCSE English Literature Coursework Macbeth: Death and the Supernatural Throughout William Shakespeare's Macbeth, many characters evolve and many disappear into the background. The main character, Macbeth, travels through utter chaos when he proclaims himself monarch. When he first meets the witches of the supernatural, they tell him of the future. One of the themes amplified throughout the play is the circle of life, from the beginning to the end. The visions provided by the three witches begin Macbeth's quest for dominance. The three main effects of this theme are: the death of Macbeth's friends and family. Second, the deaths of his mortal enemies. The last point is the death of himself. The supernatural amplifies the theme of death. From the first brief encounter of the witches, to the last nightmarish visions that Macbeth has, many close friends and relatives have died because of his visions with the supernatural. The death of his wife in Act V, Scene IV is the death that sends him over the abyss and into mental instability. Lady Macbeth is like a joined appendage to Macbeth. They work as one, communicate as one, and when that appendage is lost, so is MACBETH's grip with reality. Lady Macbeth was the only person he could truly confide in. The supernatural also had another key factor to her death. In the first act of the play, she calls on the powers of the supernatural to make her strong. The following quote, "Come, you spirits that tend on mortal thoughts, unsex me here, and fill me from the crown to the toe, top-full of direst cruelty! make thick my blood, stop up the access and passage to remorse†¦ Come to my woman's breasts, and take my milk for gall†¦", is possibly the most important passage that leads to Lady Macbeth's death. She calls on the evil spirits to "unsex" her, and to replace her "milk" with "gall". It seems that she wants to be the most cruelest being in the world. The theme of the life cycle is amplified in this situation because of her request to the spirits. This event is the beginning of the end for Lady Macbeth's life. She is the one who insists Macbeth should kill the king and reign as the king of Scotland. It is her ideas and plans that lead herself and Macbeth into the pits of hell. She is not solely to blame for this catastrophe though.

Global Warming Essay

Large tracts of forests worldwide are now being cleared. Some are already cleared for industrial or agricultural purposes. The remaining trees may not be enough to absorb the carbon dioxide in the atmosphere. The carbon dioxide is used by plants to manufacture food. It is also called a greenhouse gas. This kind of gas retains heat longer compared to other gases. Surface temperature rises as more trees and plants are cut or destroyed. The resulting high surface temperature due to the accumulation of the carbon dioxide is referred to as the greenhouse effect. Carbon dioxide in the atmosphere acts like the glass in a greenhouse. It traps heat from the environment. It causes air temperature to rise. The glass of the greenhouse prevents warm air from escaping (Williams 63-66). The air temperature inside the greenhouse rises as a result. This would lead to global warming. Moreover, global warming pertains to an increase of the temperature of the Earth’s atmosphere and oceans in these present days. During the 20th century, the atmospheric temperature of the earth increased 0. 6  ± 0. 2  °Celsius. The upsurge amounts of carbon dioxide and other greenhouse gases are the major causes of the component of warming. They are produced through the burning of agriculture, fossil fuels and land clearing and may precede to an upsurge in the greenhouse effect. There is an initial assumption that a greenhouse effect possibly takes place because of the Swedish chemist Svante Arrhenius during 1897(Jenner et. al 258). In addition, climate sensitivity denotes to the equilibrium response to upsurge greenhouse gases and different anthropogenic and â€Å"natural climate forcing† (Davidson 325). This will be revealed through observational and model researches. The said sensitivity is generally showed through the temperature response that is anticipated â€Å"from a doubling of CO2 in the atmosphere† (Davidson 325). There is a report in 2001 from the Intergovernmental Panel on Climate Change (IPCC) that evaluates the climate sensitivity between the scales of 1. 5–4. 5  °C. The intents of this paper are to: (1) understand what global warming really is; (2) know about the historical warming of the earth; (3) figure out the causes of the global warming and; (4) find out the expected effects of global warming. II. Background A. What is global warming? Global warming is defined as â€Å"the increase of average world temperatures as a result of what is known as the greenhouse effect† (Bellamy et. al 145). This would mean that it is an intense upsurge of world temperature which is the outcome of so- called greenhouse effect. There are many factors why the world is experiencing global warming. And one of these factors is the human activities like cutting down of trees that are supposedly be the one absorbing the carbon dioxide in the atmosphere. There are gases in the atmosphere that portray as glass in the greenhouse which permits sunlight to warm the surface of the earth but trap the heat when it â€Å"radiates back into space†( Bellamy et. al 157). When the greenhouse gases formed in the atmosphere, the earth starts to get warmth. Nowadays, most countries experienced global warming. It is one the outcomes of people’s irresponsibility because humankind tends to destroy the forest by cutting the old trees and never replaces them. The graph below shows the global temperatures from 1860 to 2000. Moreover, the earth’s surface is warmed by the Sun and radiates heat back into space. Gases such as carbon dioxide, nitrogen oxides, methane and CFCs in the atmosphere trap some of this heat, and warm the lower atmosphere. The atmosphere radiates heat back to Earth. This is called the â€Å"greenhouse effect†, and without it the Earth would be so cold that life could not exist. But many scientist fear that the huge amounts of these â€Å"greenhouse gases† released into the atmosphere by industrial processes and burning fossil fuels are warming the earth so much that they will eventually upset the world’s climate, and cause sea levels to rise. In addition, some scientists predict that the earth’s temperature could rise 3  °C by 2070. After this, the rise will level off and the temperature will stabilize (Bellamy et. al 163). If the Antarctic ice sheet melted, sea levels could rise; threatening low-lying areas such as the US coast. B. The earth’s energy balance. But for the greenhouse effect, life on Earth would not exist. The Sun emits radiation to the Earth. If we could imagine a flat surface at the top of the atmosphere, that radiation is about 340 watts per square meter (340 W/m-2). Just over 100 W/m-2 is reflected out again by atmospheric aerosols and clouds, and the Earth’s surface, leaving some 240 W/m-2 that heat up the surface of the Earth (Carwardine 76-77) . The system must be in balance—energy â€Å"in† must equal energy â€Å"out†Ã¢â‚¬â€so the Earth needs to re-radiate this amount back into the atmosphere. But the amount actually re-radiated depends on the Earth’s surface temperature: the hotter the surface is the more it will emit radiation. The outgoing radiation takes the form of â€Å"long wave† infrared thermal radiation. If the system balanced â€Å"naturally†, then the Earth’s surface would have a temperature of about –19 ° C (-66 ° F) since at this temperature 240 W/m-2 would be emitted (Carwardine 98). Obviously, something else must be happening because at such low average temperatures life would not exist. The Earth’s surface is very much warmer than this â€Å"natural† level (around 15 ° C/59 ° F) and hence far more radiation is emitted than the 240 W/m-2. What happens is that a lot of the Earth’s re-radiation bounces back to the Earth’s surface because it gets absorbed mainly by water vapor and carbon dioxide (CO2) in the atmosphere. Water vapor, CO2, and a few other minor gases act like a â€Å"blanket†. The balance is secured as follows: Incoming solar radiation: + 340 W m-2 Reflected from clouds, the Earth’s surface, etc. : – 100 W m-2 Net incoming radiation absorbed by the Earth = + 240 W m-2 Outgoing radiation: – 420 W m-2 Greenhouse effect: + 180 W m-2 Net outgoing (thermal) radiation = – 240 W m-2 The way the system balances, then, is that the Earth’s surface warms up compared to what would happen if the Earth was not surrounded by a blanket of greenhouse gases. C. The anthropogenic greenhouse effects. The greenhouse effect refers to the way in which gases in the Earth’s atmosphere warm the Earth like the glass roof of a greenhouse—by letting sunlight in but keeping the reflected heat energy trapped inside (Johnston 550). These naturally occurring gases, notably carbon dioxide and water vapor, are called greenhouse gases. III. Discussion A. Historical warming of the earth During 1860-1900, global temperatures on seas and on lands had experienced great upsurge of temperature by 0. 75  °C as recorded in the instrument temperature record. Beginning in 1979, the land temperatures had doubled which was the same as the ocean temperatures. And in that year, the temperatures below the troposphere had upsurge between 0. 12 and 0. 22  °C every 10 years as recoded in the satellite temperature measurements. It was believed before that world temperature was stable two thousand years in the past 1850 with the assumption that temperature was stable maybe because of the regional wavering like the Little Ice Age or Medieval Warm Period (â€Å"Temperature record of the past 1000 years†. Wikipedia, the free encyclopedia). The graph below illustrates the reconstructions of Northern Hemisphere temperatures for the last 1000 years as stated to several older articles. B. Causes of the global warming There many causes why global warming is happening at present. These causes are generally or mostly based on man’s conduct. The causes why there is global warming because of the release of carbon dioxide from power plants, emitted cars, trucks, airplanes, buildings, methane, nitrous oxide, deforestation, city gridlock and carbon in atmosphere and ocean . C. Effects of global warming The great effects of global warming to our environment and for humankind are plentiful and wide-ranging. The major effect of global warming is the upsurge global average temperature. It also leads to â€Å"rising sea levels, altered patterns of agriculture, increased extreme weather events, and the expansion of the range of tropical diseases† (Johnston 554). The anticipated climate changes are also one of the effects of global warming. Not only that, it also affects the weather condition. IV. Conclusion Global warming has great effects to our environment especially to humankind. Global warming has many factors why it is occurring. One of these reasons is deforestation. Deforestation makes our environment warmth because of the remaining small amount of trees that are unable to absorb the large amount of carbon dioxide in the atmosphere and because of this; carbon dioxide traps the heat in the environment that causes the temperature to rise because it stops warm air to escape. References: 1. Bellamy, D. and Gifford, J. 1999. Wilderness Britain? a Greenprint for the Future. Sparkford: Oxford Illustrated. Popular work by leading biologist and environmental campaigner. 2. Carwardine, M. 2002. The WWF Environment Handbook. London: Macdonald Optima. Attractively illustrated handbook for the general reader. 3. Davidson, J. 2000. How Green is your City? Pioneering Approaches to Environmental Action. London: Bedford Square Press. Guide to community action for urban renewal.

Vivian Bearing: a Tragic Heroine That Triumph

Vivian Bearing: A Tragic Heroine that Triumph Margaret Edison’s play Wit is about Vivian Bearing, a professor of seventeenth century poetry, specializing in John Donne. She is a strong willed intellectual being treated for ovarian cancer. Vivian lives a very secluded life and avoids human emotional contact. Just like any tragic hero, Vivian has flaws that prevent her from human kindness, which leads to her downfall. Her treatment of cancer causes her to realize that she needs emotional connection, which she has missed her whole life.Although her flaws are her intellect and wit that cause her an inability to connect emotionally with people around her, she becomes noble because she begins to express her emotions and accept kindness. Vivian Bearing has lived an intellectual rather than emotional life. As a child, education was very important to her family. On her fifth birthday which she recalls as her best birthday she read a book (Edson 41). She would rather read a book than ha ve a party, cake or even having friends over.Reading a book during her birthday is very ironic because she claims this to be her best birthday which is really unique, because this is horrible as any standard for a fifth birthday. Most five year olds want a party and cake. Vivian takes the book and she reads its spine intently. Reading a book attentively on her birthday proves Vivian’s obsession with learning and expanding her horizons. She is only interested in learning, not worried about connecting with people her own age or even her family. While she is reading her book, her father sits on his chair â€Å"disinterested but tolerant† (Edson 41).Since her father does not pay any attention to her, Vivian is emotionally detached from her father. She only knows education and learning. She never mentions receiving any affection as a child. This is the only time she mentions her childhood. One can only assume that because of this the character’s own remote personalit y reflects that of her father’s. It is very likely that she never received the gentle touch of affection from her dad, the way she probably would have from her mother, if the mother had been in the picture.We know that her mother died at the age of forty, but other than that, nothing else is either mentioned or displayed regarding her. Vivian’s intellect and crave for knowledge continues to prevent her from human emotional connections. We meet Vivian as a student in a flashback. Her scholarship was her consuming and unrelenting passion, blinding her to other concerns of life like making friends. Despite being advised by her professor to enjoy life, she resorts to withdrawing into the library instead of going out (Edson 15).Her toughness and strictness towards her education blinds her treatment of humanity. She remains lonely and uses her education to cover her need for showing and needing emotional attachment. She does not enjoy her college life like most students do. Her intellect refuses her to show a need of emotional connection with students her own age. Her emotional detachment is apparent when she is told that she has ovarian cancer. Instead of crying and being afraid of death, she begins to analyze and think. â€Å"Must read something about cancer. Must get some books, articles.Assemble a bibliography,† she explains (Edson 8). The character’s excessive need for knowledge, which can be perceived as her tragic flaw, causes her to be oblivious to the reality of her diagnosis. Vivian is consumed with learning that she is unable to grasp with the reality that she has a disease that is slowly killing her. Her need for knowledge can be seen as a flaw because this prevents her from becoming psychologically attached to anything or anyone. Vivian thrives on knowledge and her ability to learn and understand things and uses her intellect to avoid human contact.The character’s addiction to intellect has shut down her need for any h uman emotions. Vivian’s wit appears as rude and uncaring when she uses her wit to push people away. Vivian’s smart remarks to everything cause people around her and also people that meet her to be unable to create a relationship with Vivian. When Vivian is diagnosed with ovarian cancer, Dr. Kelekian uses the word â€Å"insidious† and defines it as â€Å"undetectable† (Edson 8). Vivian is unable to control her witty comments and could not resist the urge and decides to tell him the correct definition saying â€Å"treacherous†. Dr.Kelekian has a negative attitude towards her because of these corrections. Instead of treating her cancer, he decides to use her as research. Dr. Kelekian is unable to feel any compassion for her because she is rude. Vivian’s wittiness also appears as being uncaring. She is not liked very much by others, due to her unkindness. Previously, when a student asked for an extension on his paper, Professor Bearing rejects h is request with a heartless comment. â€Å"Don’t tell me, your grandmother died† (Edson 63). Then she goes on to say, â€Å"Do what you will, but the paper is due when it is due† (Edson 63).Instead of showing some sentiment for the student, she is inconsiderate and cold-hearted towards him. She is so evil towards the student that no other student is able to feel comfortable around her and even speak to her as a person. She terrorizes her students inconsiderately and dispassionately. Vivian Bearing uses her wittiness to push people away so she does create an emotional attachment. Being put in hospital causes Vivian to reflect on her life and to realize how much she needs kindness. She even admits to craving kindness.She wants Susie to come see her to the point where she creates an emergency (Edson 64). She begins as an intellect, witty professor who is lonely, but now she is thirsty for a drop of kindness. Vivian’s hunger for kindness becomes apparent when she allows her nurse to call her â€Å"sweetheart† (Edson 64) or â€Å"honey†(Edson 65). These are words Vivian has never been referred to in her life and she is comfortable with them. She realizes that it is acceptable to allow people to treat her like a person and be kind to her. Vivian starts to open up and shows her emotions without any problem or hesitation.At the end of the play when Vivian is lying in her deathbed, alone, shivering scared, and in pain, E. M. comes to her side. When her college professor Ashford comes to visit her, she asks Vivian if she wanted her to recite Donne, she replies â€Å"nooooo† (Edson 79). Vivian is finally realizing that her need for intellect and wit is not what she needs because she has received kindness. The emotional part of life is what she needs and not the complicated poems by Donne. As her time draws to a close, a sea change begins to work in the way Vivian thinks about life.As mentioned in the above paragraphs, Vivi an has devoted her life to education and it is only through suffering that she learns that being extremely smart is not enough. It takes our heroine fifty years, and an insidious cancer to realize that it does not matter in the end how much you know since knowledge cannot possibly comfort you in death. Vivian says this line in the play â€Å"And death shall be no more, death thou shalt die â€Å"(Edson 72-73). By these words she learns that â€Å"death is nothing but a breath, a comma that separates life from life everlasting†, Vivian’s last breath was nothing but a comma† and she has now moved on where she will live not by her knowledge, but by her heart. Though her body has died, her soul is awakened. Before Vivian’s final moments of life, she receives the attention and affection that she never had. She dies with a sense of peacefulness. Vivian Bearing is a very intellectual and witty individual who is dedicated to her love for knowledge. But because s he is consumed by her incredible love for knowledge she lives a secluded life. Her downfall is that she is incapable of showing any emotions to another person.The play did not leave the audience with a sense of sadness or remorse, but with hope and respect for Vivian Bearing. She lived the final eight months of her life in extreme pain so doctors could gain more knowledge for future cancer patients. In the process, she learns that life is about humanity. This is what brings the audience to believe that this individual is a tragic hero who triumph and leaves one not with a sense of pity but one of empathy for her suffering. Work Cited Edson, Margaret. Wit. Oxford: Faber & Faber, 1999. Print.