Featured Post

Sirk and Fassbinder All That Is Allowed Essay Example

Sirk and Fassbinder: All That Is Allowed Paper Sort films were made in the brilliant period of Hollywood as an approach to pre-sell motio...

Sunday, January 26, 2020

Elements Of Autobiography In Martin Eden By Jack London

Elements Of Autobiography In Martin Eden By Jack London In Londons literary ingenuity, Mark Eden is staged in such a way that it is widely considered a living autobiography for Jack London himself from the resemblance of the various themes and postulates in the book with the authors own perspectives during his life; in fact, so close to Londons perspectives in life are the issues discussed in the book that even the tragic end of Mark Eden taking his own life has been justifiably been surmised to be a foreshadow Jack Londons own death. The Elements of autobiography in Martin Eden by Jack London Martin Eden is a 1909 novel by a once renowned American author who was called Jack London that details a story of a young man that struggles for recognition among the literary elite of his time. In his life and times, social stereotypes and cultural biases abhor interactions between the poor and the bourgeoning rich class which forms one of the struggles that young Martin fights especially considering that he is in love with Roth Morse; a young bourgeois woman from a well off family. This work is a novel creation of superb work of a real literary craftsman which addresses the normal issues of young struggling writers explaining the challenges that they face daily with the publishing of their work. In Londons literary ingenuity, Mark Eden is staged in such a way that it is widely considered a living autobiography for Jack London himself from the resemblance of the various themes and postulates in the book with the authors own perspectives during his life; in fact, so close to Londons perspectives in life are the issues discussed in the book that even the tragic end of Mark Eden taking his own life has been justifiably been surmised to be a foreshadow Jack Londons own death. This essay looks at the book, Mark Eden, with the view of explaining the plot of the book in an attempt of determining how the authors life is reflected in the book. The essay also looks at the various themes discussed in the book and compares them with the ideological views that the author held in his lifetime. In addition to this, the essay also sets out to determine whether there is anything autobiographical about the book in reference to its authors life. These aims will be attained by drawing quotes and inferences from the book to justify postulates and authenticate presuppositions made in this regard. Further corroborative remarks will also be used from different authorities and literature about the same topic to reinforce the credibility of the findings and conclusions herein. This book is a pet favourite among upcoming writers who have faced the reality of the hardship that surrounds publishing their literary works of art. It is a story of a young and courageous Martin Eden who through his determination struggles through self-education in the early 20th century to edge a living for himself and subsequently achieve a footing at the helm of the literary elite of the time. As the story unfolds, it becomes clear thatEdens impetus towards hard work and desire of edging a name for himself among the societal elite is Ruth Morses love. Social stereotypes and societal norms fragrantly denyEden any chance of enjoying a union with Ruth since they are from two different social classes:Eden is from the lower working class of sailors while Ruth is from the higher bourgeois class. For Eden to move himself slightly towards attainment of any of his dreams of happily living with Ruth and earning an honourable living therefore, he must establish himself as a writer which is his life-long dream hence the passionate attempts at having his work published. This is the first place that Martin Eden closely reflects the life of Jack London. The skepticism with which Martin Eden views the publishing houses and publishers is the same cynicism thatLondon viewed publishers with during his formative years as a struggling writer. In effect, there is probably no better way of fully capturing the defiant cynicism thatLondon had in this regard than usingEdens own words: à ¢Ã¢â€š ¬Ã‚ ¦he [Eden] speculated that there was no human being in form of an editor to receive his manuscripts when he sent them but rather there was a an smart arrangement of cogs which automatically changed any manuscripts they received from this envelope to another attaching stamps to them then returning them to the sender(s) with a kindly written rejection slip (Berman 67). Edens wars continue but as is the case with all non-quitters, his day of laughter dawns but unfortunately it comes too late soon after his life-long love, Ruth Morse has given up on waiting for him to hit the right button of prosperity. In her impatience, she retorts in frustration to Edenthat à ¢Ã¢â€š ¬Ã‚ ¦had you only settled down in life and attempted to make something for yourself in lifeà ¢Ã¢â€š ¬Ã‚ ¦ I would have had reason to hope for the maturity of my love for you (Berman 38). There are authorities who have surmised quite justifiably that the character of Ruth Morse is modeled on Jack Londons first love, Mabel Applegarth who continually rejected Londonfor his apparent failure in life as a young writer (Campbell 145). In this regard also therefore, there is a direct inference from Londons life that is closely associated with Martin Eden making the argument that the book has autobiographical inclinations as plausible as it is justifiable. This notwithstanding, there are substantial differences in the story that do not rhyme at all withLondons convictions during his time. Such an example is the issue of socialism versus individualism as portrayed in the book. From the book,Edenrejects socialism repugnantly considering it slavery and instead hails individualism based on Nietzschean ideology. On the other hand, London is on record to have written to Upton Sinclair discrediting individualism and in his correspondence is quoted to have said that à ¢Ã¢â€š ¬Ã‚ ¦one of my greatest motifs in the book was to ingeniously attack individualism which I reckon I miserably bungled since not even one single reviewer of this book has ever discovered that (London 23). The book ends tragically inEdentaking his own life by drowning himself in water. This came at his best moments when he had attained recognition and his writing had been widely acclaimed which would have implied that he should have gotten the highest satisfaction given that such success is what he craved for in life. As it downed on him, societal gears just swung the other way when he had reached what he had all along considered the zenith of his literary acumen since it downed on him that not even his immense success as a writer would earn him the societal acceptance among the nobility and upper social class. There was always an aurora of discontent and despise from his contemporary artists from the higher social class, something that madly piquedEdenoff. It is this continued disrespect that eventually lured him into taking his own life (London58). In a word, events surrounding Jack Londons death have been closely associated with suicide after Edens manner thereby making the book obnoxiously futuristic pointing to the authors own death (London69). At the age of 33 when London had already attained fame and international acclaim with his previous work of literature (such as White Fang and The Call of the Wild), he quickly got bored with the bourgeoning fame and set out to sail throughout the entire of the Southern Pacific. It was on this voyage that London wrote the book, Martin Eden when he was struggling with lifes frustrations and some bowel illness to which he is thought to have succumbed. In the book,London reiterated his adolescent gangfights, artistic recognition, frustrations and romantic struggles that characterized his humble life. In summary, Martin Eden is a book that is widely considered an autobiography forLondongiven the many futuristic antidotes that it hints which are directly linkable to Jack Londons life. The many struggles in the book inEdens youth hood have direct resemblance with the many struggles thatLondonfought against in his own youth hood further making the book widely autobiographical. Inasmuch as there are some minor differences in the ideological statements made in the book and Londons own perceptions (such as individualism and socialism), it is commonplace for literary forms and therefore does not overtly cloud the pontification of the book as a being autobiographical in nature. It is in this view that Martin Eden is favoured herein as being autobiographical in its entirety. References Berman, P. Introduction to Martin Eden: xv.New York: Random House, 2002. London, Joan. Jack London and His times: An Unconventional Biography.New York: Doubleday. Doran, 1939 p.23 Campbell, Reesman. Prospects for the Study of Jack London Resources for American Literary Study. @Sunsite.Berkeley. Edu, 2001, 145. London, Jack. Martin Eden [M].Beijing Foreign Language Teaching Research Press, 1992.

Saturday, January 18, 2020

Postpartum Hemorrhage Essay

Postpartum hemorrhage (PPH) is a significantly life-threatening complication that can occur after both vaginal and caesarean births (Ricci & Kyle, 2009). Simpson and Creehan (2008) define PPH as the amount of blood loss after vaginal birth, usually more than 500mL, or after a caesarean birth, normally more than 1000mL. However, the definition is arbitrary, attributed to the fact that loss of blood during birth is intuitive and widely inaccurate (Ricci & Kyle, 2009). In line with this, studies have suggested that health care providers consistently underestimate actual blood loss, thus, an objective definition of PPH would be any amount of bleeding that exposes a mother in hemodynamic jeopardy (Ricci & Kyle, 2009). Currently, PPH is the leading cause of maternal mortality worldwide, and it is estimated that, over 150, 000 women, die of the complication annually (Ricci & Kyle, 2009). Causes of Postpartum Hemorrhage Excessive bleeding can occur at any time between the separation of the placenta and its expulsion or removal, and in tandem to this, there are different facets that cause PPH (Simpson & Creehan, 2008). PPH can amount from uterine atony, failure of the uterus to contract and retract after birth (Ricci & Kyle, 2009). Uterine atony is the most common cause of PPH, accounting for 70% of cases (Sheiner, 2011), and it is usually delineated by a marked hypotonia of the uterus (Simpson & Creehan, 2008). In addition, uterine atony is likely to occur when the uterus is over distended, depicted through polyhydramnios, multiple gestations, and macrosomia (Simpson & Creehan, 2008). Other factors that induce uterine atony encompass; traumatic birth, halogenated anaesthesia, lengthened labour, induction or augmentation of labour, intraamniotic infection, tocolytics, and multiparity (Simpson & Creehan, 2008). Sheiner (2011) also affirms that trauma is a significant cause of PPH, and it is typically associated with vaginal or birth canal lacerations and uterine rupture. Vaginal delivery can amount to varying asperity of vaginal, perineum-region between the genital organs and anus-, and cervix lacerations (Sheiner, 2011). Similarly, lacerations secondary to birth trauma may occur more frequently with operative vaginal birth, through the aid of forceps or vacuum (Simpson & Creehan, 2008). The lesions can lead to a concealed retroperitoneal or suprafascial hematomas, which inevitably leads to significant but unnoticed blood loss (Sheiner, 2011). On the other hand, uterine rapture is also a form of birth trauma that can effectively amount to life-threatening PPH, as well, it is a rare obstetrical complication, with incidence of approximately 0. 6 -0. 7 % in cases of a trial of vaginal birth after caesarean section (Sheiner, 2011). Uterine rupture can become symptomatic during the postpartum period manifesting as abdominal tenderness and maternal hemodynamic collapse (Sheiner, 2011). Another cause of PPH is retained placenta, which is primarily associated with a mean duration of the third stage of labour (8-9 minutes), and Sheiner (2011) attests that longer intervals of the third stage of labour, poses as a great risk of PPH, with double the rate after ten minutes. Further, retained placental parts interpose and interfere with uterine contractions and may either cause early or late PPH (Sheiner, 2011). In conjunction to this, coagulation disorder is also a cause of PPH. It is a rare disorder that accounts only for one percent of cases (Sheiner, 2011). Other causes of PPH include; episiotomy, uterine inversion and hematomas of the vulva, which are also associated with muscle tones, tissues, stress and thrombosis (Ricci & Kyle, 2009). Clinical Presentation and Risk Factors PPH may be divided into two presentations; early PPH, which normally occurs before 24 hours, and late PPH, which usually takes place between 24 hours and six weeks (Ricci & Kyle, 2009). Moreover, symptoms of PPH vary according to the quantity and the rate of blood loss, as well as the general condition of the mother (Simpson & Creehan, 2008). The sign and symptoms of PPH include; the apparent excessive bleeding, hematocrit-reduction of the number of red blood cells, reduced blood pressure, development of symptoms of shock and anaemia, and severe pain and swelling of tissues and muscles of the vagina, vulva, pelvic and perineum (Simpson & Creehan, 2008). Besides, Ricci & Kyle (2009) avow that there are different factors that place a mother at risk for PPH, and they comprise; prolonged first, second or third stage of labour, previous history of PPH, foetal macrosomia, uterine infection, arrest of descent and multiple gestation. Other risk factors may include; mediolateral episiotomy, coagulation abnormalities, maternal hypertension, maternal exhaustion, malnutrition or anaemia, preeclampsia, precipitous birth, polyhydramnios and previous placenta previa (Ricci & Kyle, 2009). Diagnosis and Assessment The principal mode of diagnosis is a differential diagnosis, and it includes a plethora of facets; bleeding from implantation site, which may be due to uterine atony, with predisposing factors such as infections, and retained placenta or abnormal placentation (Sheiner, 2011). Coagulation disorders and trauma are also essential facets considered during diagnosis (Sheiner, 2011). Conventionally, there are different methods used for the estimation of blood loss during diagnosis, and they are majorly classified as clinical and quantitative methods (Ricci & Kyle, 2009). Clinical method remains the primary means to diagnose the magnitude of bleeding and to direct interventional therapy in obstetric practice (Ricci & Kyle, 2009). On the other hand, quantitative diagnosis entails visual assessment, which is relatively, cheap, straightforward and a standard method of observation used for measurement of blood loss (Simpson & Creehan, 2008). However, the method has a lot of inaccuracy and variation from one care-giver to another, and this is usually corrected through correlations of results obtained with clinical signs (Simpson & Creehan, 2008). In light with this, assessment is also remarkably essential, and medical history available in the prenatal record can be assessed for previous bleeding disorders in order to assist the nurse in identification of risk factors for obstetrical precursors to hemorrhage (Simpson & Creehan, 2008). Further, assessment of the woman who is bleeding begins with careful evaluation of the quantity and colour of blood loss (Simpson & Creehan, 2008). Bright red vaginal bleeding suggests active bleeding, and dark brown blood may indicate past blood loss (Simpson & Creehan, 2008). Moreover, character of the uterine activity, presence of abdominal pain, stability of maternal signs, and foetal status, also constitute the critical processes of evaluation (Simpson & Creehan, 2008). Treatment and Management Simpson and Creehan (2008) attest that the key goals of treatment and management of PPH embraces the need for stopping hemorrhage, correction of hypovolemia and homeostasis, identification of risk factors, and eventually treatment of hemorrhage and the underlying causes. Recognition of PPH requires immediate action that combines diagnostic measures with established maternal resuscitation efforts (Sheiner, 2011). Effective and successful treatment also necessitates an interdisciplinary team approach that is indispensible for life saving (Sheiner, 2011). Therapeutic management is one of the central treatment methods used in offering remedy to PPH (Ricci & Kyle, 2009). It involves and focuses on the underlying causes of the hemorrhage (Ricci & Kyle, 2009). In cases where uterine atony is the causative factor, the first step of treatment of PPH involves the evaluation of the uterus to determine if it is firmly contracted (Simpson & Creehan, 2008), thereafter, there is the incorporate uterine massage, and the use of uterotonic drugs such as oxytocin, ergot alkaloids and prostaglandins (Sheiner, 2011; Simpson & Creehan, 2008). When retained placental fragments are the cause, the fragments are separated and removed manually, and then a uterine stimulant is given to promote the uterus to expel fragments (Ricci & Kyle, 2009). Similarly, antibiotics are always administered to prevent infections and lacerations are sutured or repaired to prevent excessive bleeding (Ricci & Kyle, 2009). In addition, there is the use of desmopressin drug, a synthetic form of vasopressin (antidiuretic hormone) in reducing PPH (Ricci & Kyle, 2009). The drug stimulates the release of the stored factor VIII and von Willebrand factor from the lining of the blood vessels, which in turn increases platelet adhesiveness and shortens bleeding time (Ricci & Kyle, 2009). Other forms of medical management involve uterine packing, ligation of blood vessels-uterine, ovarian, and hypogastric arteries-, arterial embolization and bimanual compression (Simpson & Creehan, 2008). Conclusion Concisely, postpartum hemorrhage describes a mother or a woman who is experiencing or is on the verge of experiencing acute blood loss. As stated, the condition is the leading cause of maternal mortality worldwide attributed to its detrimental complication. Nevertheless, with the introduction of the various diagnoses, assessment, treatment and management methods, the condition can be corrected and loss of lives prevented. It is also advisable that individuals should be conversant with this condition, and visits to the clinics should be more frequent for pregnant women, so as to arrest and prevent such complications. ?

Friday, January 10, 2020

Economics Sba Essay

Title: An analysis into the involvement of adults in the financial sector. Purpose of Investigation The purposes of this research are: 1. To identify the association of adults with the formal sector of Tobago. 2. To determine the involvement of adults in the informal sector of Tobago. 3. To determine the factors affecting the involvement of adults in the financial sector. Methods of Investigations The primary source of information used in this project is: 1. Questionnaire. Thirty-one questionnaires were distributed to residents of Canaan. All the persons responding were eighteen and over. Limitations Faced Some limitations faced are: * Villagers misunderstanding some of the questions. * Villagers not taking the questionnaire seriously. * Locating responders to retrieve questionnaires was difficult since they were not known personally. Presentation of Data Factors Affecting Choice in Stock Market Frequency of Use of Stock Market Service Analysis and Interpretation of Data Description of Financial System in Trinidad and Tobago The financial system is a network of savers, investors and financial institutions that work together to ensure that savings are transferred to investors. The financial system consists of two sectors: formal and informal. The formal sector includes all the financial institutions that are regulated officially, such as, commercial banks, credit unions, central bank, stock exchange and insurance companies. The informal sector includes all financial activities that are not under official control, such as, sou sou, money lending. The functions of the Central Bank are: * maintaining the exchange rate of the local currency * solely authorizing the issuing of money * acting as treasurer to government; making payments and receiving taxes * acting as a banker to commercial banks by managing their banking systems * assisting commercial banks that are facing financial problems * assisting development of money markets A commercial bank is a financial institution that is engaged in money transmission services and is jointly owned by shareholders. In Tobago there are four commercial bank; First Citizens Bank, Scotiabank, Republic Bank and Royal Bank of Trinidad and Tobago. A credit union is a cooperative association whose members can obtain low-interest loans from their combined savings. There are nine credit unions in Tobago, these are; Lambeau Credit Union, Bethel Credit Union, Mt. Pleasant Credit Union, Thawe Credit Union, Whim Credit Union, Tunico Credit Union, Total Holdings Credit Union, Runnemede Credit Union and People’s Credit Union. The Trinidad and Tobago Unit Trust Corporation is a mutual company that dominates the mutual fund market in Trinidad and Tobago. There is a branch in Scarborough, Tobago. The Western Union Company is a financial services and communications company. There are several locations in Tobago, including in Crown Point, Scarborough and Canaan. An insurance company provides financial protection for property, life, health, etc., against contingencies, such as death, loss or damage. There are insurance companies in Tobago; ScotiaLife, Colonial Life Insurance Company, The Beacon and Guardian Life. A stock exchange is an organized market facilitating the purchase and sale of securities, operated by professional stockbrokers. The Trinidad and Tobago Stock Exchange is located in Port-of-Spain. Market Structure Market Structure refers to the type of competition faced by firms in an industry. The four main market structures are perfect competition, monopolistic competition, oligopoly and monopoly. | No. of Buyers and Sellers| Knowledge| Type of Product| Control of Price| Barriers to Entry| Perfect Competition| Many buyers and sellers| Perfect| Homogeneous| Price Taker| No barriers| Monopolistic competition| Many buyers and sellers| Imperfect| Differentiated| Price Setter| Low barriers| Oligopoly| Many buyers, few sellers| Imperfect| Homogeneous or differentiated| Price Setter| High barriers| Monopoly| Many buyers, one seller| Imperfect| Unique| Price Setter| Very high barriers| Banks in Trinidad and Tobago fall under an oligopolistic market because there are few sellers and many buyers. Credit unions are under a perfect competition market. Unit trust is a monopoly. Western union is an oligopoly. Insurance companies are oligopolies. The stock exchange is a monopoly. Participation of Adults in Canaan Village in the Formal Sector Banks Location was the largest factor in Canaan’s choice in banks at 24%, and customer service followed with 22%. Advertisements affected 16% of respondents, whereas 13% were influenced by friends. Both the respondents who chose at random and those who knew employees of banks earned 9% each. Unspecified reasons determined 5% of choices and age–group appeal impacted only 2%. Twenty-three adults in Canaan use banks; 13% use them rarely, 26% visit fortnightly, 30% monthly, and another 30% weekly. Stock Market Only three residents of Canaan are involved in the stock market, one influenced by friends, another chose at random and the third whose reason was unstated. Of the three residents who use the stock market, each used the service at different frequencies: rarely, monthly and another unspecified time span. Credit Unions Influence of friends determined 21% of residents of Canaan choice in credit union, indefinite reasons following with 17%. Respondents who decided at random earned 13%, those who chose based on knowing an employee earning the same. Customer service and location earned 12% each, advertisements affect 8% and age group only appealed to 4%. The majority of respondents, namely 35%, rarely use the services of a credit union. The second most common time span, monthly, made up 24%. 18% use credit unions annually, and 12% chose based on unspecified reasons. 6% use services weekly and another 6% fortnightly. Unit Trust Advertisements influence a quarter of Unit Trust members in the village of Canaan. Customer service, friends and unmentioned reasons affected 19% each and 18% of respondents were impacted by location, age group and knowing an employee equally. Of the Unit Trust members that reside in Canaan, 45% rarely use its services. Another 45% use it monthly, and approximately 10%, fortnightly. Insurance Companies Customer service influenced 24% of Canaan’s residents in terms of insurance companies, 19% were impacted by advertisements and age-appeal affected 14%. Respondents who knew employees made up 10%, and those whose reason was unspecified also formed 10%. Location and friends each earned 9%. 5% of choices were made at random. 40% of villagers who have insurance use it monthly and those that use it fortnightly, annually, and at unstipulated time intervals made up 20% of respondents each. Western Union Of the people who use Western Union/Money Gram in Canaan, an estimated 25%, were influenced by the customer service, 25% were affected by location and another 25% by arbitrary selection. Unstipulated reasons determined 17% of villager choices and 8% personally knew an employee. The most common frequency at which the services of Western Union/Money Gram were used was ‘monthly’, earning 44%. One quarter of the remaining 56% of respondents used services rarely, another quarter, annually, another weekly, and the final uses the services in an unstated time period. Findings 1. It has been found that 100% of the adults in Canaan that use services of the formal sector. 2. There was participation in the in informal sector. Â  3. The main factors affecting the involvement of residents of Canaan in the financial sector are location, influence of friends, customer service and location. 4. To identify the association of adults with the formal sector of Tobago. 5. To determine the involvement of adults in the informal sector of Tobago. 6. To determine the factors affecting the involvement of adults in the financial sector. Recommendations 1. One of the factors Institutions can appeal more to certain age groups.