The Vietnam War and its Impact, An Essay with Editing Notes

The Vietnam War was a violent and turbulent time in America. Generally hated from its beginning, many still perceive it as a loss. When one looks over the causalities in the war, it is noticeable that 58,000 members of our military lost their lives tragically in a ten year period.(cite) However, Communist Vietnam reported losses in numbers close to a million. Although many people see Vietnam as horrific stain in the legacy of America and its military, the war and its repercussions had a significant effect on America and its future. When analyzing the losses of the Vietcong and North Vietnamese compared to American casualties, one notices remarkable numbers. The government of Vietnam reports an estimated 1,100,000 combatants were killed†¦show more content†¦One major reason the Vietnam War was so significant was because it was the first American war that inspired mass public protest. In August 1964, North Vietnamese torpedo boats attacked two U.S. destroyers in the Gulf of Tonkin. President Lyndon B. Johnson quickly ordered the retaliatory bombing of military targets in North Vietnam.(CITE!!!) Soon, U.S bombing runs became all too frequent in Vietnam. U.S citizens didn’t agree with this, and began to protest government ideals. We were fighting a war on two fronts, on our own soil and hundreds of miles away in Vietnam. The government now had to deal not only with Vietcong guerillas, but also angry American protestors. Protests began to break out all around the U.S., and on October 21, 1967, one of the most prominent anti-war demonstrations took place.(CITE) Some 100,000 protestors gathered at the Lincoln Memorial to protest against the hated war. Some 30,000 of them continued in a march on the Pentagon later that night. (CITE) In February 1970 citizens all across the United States found out about the My Lai massacre, causing even more protests to break out following this horrible news. President Nixon initially wanted to have the U.S troops withdrawn from Vietnam, but then, on national television, he announced American troops had entered Cambodia. As this aired on millions of American televisions, American citizens started riots and protests almost all across the country. Then, onShow MoreRelatedOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesCold War Eric Foner, ed., The New American History. 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He realized that creating a global media conglomerate was more important Read More111135197X 38570 Essay example17696 Words   |  71 Pagesï » ¿Writing Clearly: Grammar for Editing, 3E by Janet Lane and Ellen Lange Table of Contents: Answer Key SECTION 1 UNIT 1 Verb Tenses†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.....†¦Ã¢â‚¬ ¦...3 UNIT 2 Verb Forms†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.....7 UNIT 3 Modals†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..10 UNIT 4 Conditional Sentences†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..13 UNIT 5 Passive Voice†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....16 UNIT 6 Relative, Adverbial, and Noun Clauses†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦19 UNIT 7 Sentence Structure†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦.24 UNIT 8 Word Order†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦26 UNIT 9 Connecting Words†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MoreContemporary Issues in Management Accounting211377 Words   |  846 PagesMadrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With oYces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries Published in the United States by Oxford University Press Inc., New York ß Oxford University Press 2006 The moral rights of the author have beenRead MoreLogical Reasoning189930 Words   |  760 Pageseven in this situation you didnt duck without a good reason. 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The End of the Affair Free Essays

ABC DFG English 1B March 12 2013 A Man’s Love Graham Green wrote the beautiful love story The End of the Affair. The content is about the four characters the novelist, Maurice Bendrix; the couple Henry and Sarah Miles; and the priest Richard Smythe. Maurice meets Sarah and they fall in love deeply. We will write a custom essay sample on The End of the Affair or any similar topic only for you Order Now The more Maurice loves Sarah, the more he realizes that there is an indestructible obstacle, which prevents him possessing all Sarah’s love. Maurice’s love affair ends, he lives in hatred and torment because Sarah staying away from him. Maurice has no more doubt when he finds out Sarah’s thought after reading her journal. The time he comes to her again, it is too late; Sarah can no longer enjoy true love with Maurice; she dies. After Sarah’s death, Maurice lives in regret and sorrow. Maurice considers himself a master of love in The End of the Affair because he shows desire to possess all of Sarah’s love and throughout the story he acts like a love starving person that seeks for it. Maurice’s personality has a big impact on his very own decision that drives his life in chaos. He wants to have the superiority in relationship, especially with women. Maurice stays â€Å" I had no idea whatever or falling in love with her. For one thing, she was beautiful, and beautiful women, especially if they are intelligent also, stir some seep feeling of inferiority in my [†¦] but I have always found it hard to feel sexual desire without some sense of superiority, mental or physical. † (17) . Maurice really shows us he is the man of desire, the desire to possess. When we take a look at a group of gorillas, there is one leader. The white-back-mature gorilla is always the leader of the group which he has the right to mate to all the others females. Maurice feels superior because he knows that if he could own Sarah, that where he feel the power of the top male. Maurice feels jealous with Henry who officially gets married to Sarah. When a man has something, he wants to completely possess it. And in this case, Sarah, a woman who delivers love, Maurice is thirsty for it. He is supposed to suck all the love from Sarah like a vampire sucks all the blood from its victim. The more he loves Sarah, the more love he requires her to deliver. Henry is the main wall that stops Sarah from delivering him more love that what causes him to think â€Å" his desire was simply for companionship†. Maurice is a jealous man. jealousy, or so I have always believed, exist only with desire† (31). He totally he his right to be jealous, which is natural. First Sarah was married to Henry. He is upset because he does not own Sarah. Second, when the Sarah and Maurice make love occasionally but Sarah comes back to Henry afterward. This situation is irony. Finally, Maurice could hate Henry because â€Å"while he still owned her presence at the table, the soun d of her feet on the stairs [†¦] the kiss on the cheek. † (32) , he has nothing. Maurice could be a good novelist but he is just a human, and humans have flaws. Even though love is one of the most important things in Maurice’s life but he cannot take what love has given him. Maurice starts everything in pride. He says â€Å" I measured love by the extend of my jealousy, and by that standard of course she could not love me at all† (43). He thinks his jealousy is the tool, which he can use to measure someone’s dignity. He was wrong, and he regrets afterward. Maurice admitted â€Å" I’ve been a bad lover, Sarah† (105). However, at some point it is not wrong to use jealousy to measure ourselves. As we have known Maurice is struggle at love. First, he loves Sarah but he cannot have her. Second, he sees that Sarah is stuck with Henry, by their marriage. That could be one of the wall that inhibit him to love Sarah without doubt and jealousy. Like what mentioned in Sarah’s journal â€Å" he is jealous of the past and the present and the future†. The situation looks like Maurice had a bad headache that no medicine could fix. Of course he is one of the two partners in his love affair, he should have the instinct. Maurice feels that it would be going to be somewhat, he said â€Å" I became aware that our love was doomed† (25). Moreover, the aspiration to possess seems obsessed him, Maurice said moodily â€Å" I would fan myself into anger and remorse† and he can’t help changing the situation, he feels helpless â€Å" I was pushing, pushing the only thing that I loved out of my life†. Unsuccessful possession transforms into hatred and anger. Maurice says â€Å" but if love had to die, I wanted it to die quickly. It was as though our love were a small creature caught in a trap and bleeding to death: I had to shut my eye and wring its neck† (25) bitterly. We can assume that whatever Maurice has taken look like the heat, which uses to boil water. All the heat in the vase just wants to blast out. Love turns in to hate. Maurice said â€Å" more than anything in the world I wanted to hurt Sarah† (45). And he even acts like an upset kid behaving with his friend; he just wants to stop the game. Maurice mockingly told Sarah â€Å" we had good time together, we’re adults, we know it had to end some time. Now, you see, we can meet like friends and talk about Henry† (23). That should have hurt Sarah a lot. He simply revenges the person has given him the pain and the headache. When taking about Maurice, we cannot omit his obsession of love. Sarah’s love seems never enough for him. The depression grows awfully, he thought â€Å" and I began quite seriously to think of suicide†. In short, Maurice puts his entire mind toward Sarah. He loves her for two reasons, for her beauty and for the superiority in their relationship. However, assuming that his inner world seems struggle. His deeds keep moving around in a circle of loving and receiving love painfully. Maurice seems a hateful person because his head is full of pain and hatred but deep inside that nasty man there is a very usual man, a lovable man. Being left behind by Sarah, Maurice keeps thinking about what she could have done with another man. He becomes a true lover, or he admits himself so. Since the desire to possess Sarah, who carries a loved soul and beautiful body, so significant Maurice imaged Sarah with other man â€Å" Sarah making love, Sarah with X, doing the same things that we had done together† (59). Maurice is a doubtful man, he trusts no one and that sorrows him. The best moment is his life is when he realizes he was enlightened by Sarah’s unconditional love. He thought when he read Sarah’s journal â€Å" there’s enough left for our two lives, and I thought of that day when she had packed her suitcase and I sat here working, not knowing that happiness was to close, I was glad that I hadn’t known and I was glad that I know. I could act now† (101). That moment is a big change in his mind, it goes from totally doubt to doing whatever to love her unconditionally. It is also the moment that he perceives his biggest mistake ever, doubting ignoring Sarah’s love. He can be forgiven. When people realize their mistakes, they would either fix them or confess them. Bendrix said â€Å" the slowly growing pain in my upper arm where her weight lay was he greatest pleasure I had ever known† (105). He feels relieved because there is no more jealousy, no more doubt or hatred. At this point he forgives himself. He opens his spirit in order to touch what Sarah would offer him. Maurice shows us what his world of love looks like; it is filled with courage to move forward for the loved one and with passion to never stop loving. His personalities exist in a very special way. If there were an inner world Maurice would be without hesitation showing off his feeling such as interests or boredom to someone and if there were an outer world he would show off desire to love, to hate. Since there is a part in Maurice exists which always asks for more love, he is sort of lost. He is lost because he doesn’t now much love he needs. I have learned what is true love from Maurice. I can see love sometimes needs a boundary, which divides many parts. Where will be my limit to ask for love or where will be the limit the loved ones could offer me. Work Cited Greene, Graham. The End of the Affair. U. S: Penguin books, 2004. Print. How to cite The End of the Affair, Papers

Cultural Health and Safety for Cerebral Vascular- myassignmenthelp

Question: Discuss about theCultural Health and Safety for Cerebral Vascular. Answer: Introduction: This essay will discuss the Gretas case. She was diagnosed with Cerebral vascular accident (CVA) and atrial fibrillation. She was discharged from the rehabilitation centre. Pathophysiology of CVA and its signs and symptoms will be discussed with reference to the Gretas presenting condition. Theoretical aspects of the pathophysiology and signs and symptoms of the CVA will be corelated to the Gretas condition. It is important for the healthcare professionals to understand theoretical basis of pathophysiology and signs and symptoms of the disease and link it to the patient condition. Pathophysiology: CVA occurs due to reduced blood supply to the brain. Primary pathophysiology of CVA involves heart or blood vessels disease. Secondary pathophysiology involves brain due to heart or blood vessel disease. Heart diseases responsible for CVA include hypertension, atherosclerosis leading to coronary artery disease, dyslipidemia, heart disease, and hyperlipidemia. Reduced supply of blood can lead reduced oxygen supply to brain. Brain stops working if blood supply stops to brain for about 60 to 90 seconds. After three hours of reduced supply of blood to the brain, it can result in the tissue injury and tissue death which is termed as infraction. Reduction in the blood supply might occur due to the atherosclerosis which interrupt blood supply due to narrowing of the blood vessels. Narrowing of blood vessels occur mainly due to blood clot formation and release of small emboli due to breakdown of the atherosclerotic plaques (Ma et al., 2015). In atrial fibrillation, there is formation of embolic infraction due to emboli formation in the heart. Due to blockage of the blood vessels to the brain, it initiates anaerobic metabolism in the region of brain with ischemia. Due to anaerobic metabolism, there is formation of less amount of adenosine triphosphate (ATP); however, there is formation of lactic acid. Due to acidic nature of lactic acid, it disrupts cells of brain and disturb the acid-base balance of the brain. This ischemic area of brain is called as ischemic penumbra. Due to reduced production of the ATP, brain fails to perform energy dependent activities like ion pumping which is required for the cell survival. All these events lead to cell injury and death. Excitatory neurotransmitter glutamate release is mainly responsible for neuronal injury. Concentration of glutamate outside the cells of nervous system is usually kept low due to uptake carriers. These uptake carriers are controlled by Na+ concentration gradients a cross the cell membrane. Due to reduced supply of oxygen and glucose, there is disruption in this gradient. This lead to low gradient across the membrane which lead to reverse direction for glutamate transporters. Hence, there is increased concentration of glutamate in the extracellular space. Glutamate act on the N-methyl-D-aspartate (NMDA) receptors in the neuronal cells which lead to the influx of calcium. Calcium influx results in the dysfunction of mitochondria. It can also lead to energy depletion and programmed cell death (Dirnagl, 2012). Oxygen free radicals and reactive oxygen species can be produced due to ischemia. These species damage multiple cellular and extracellular components. It produces blood vessel lining or endothelium damage. Brain is more vulnerable to ischemia because brain is mainly dependent on the aerobic metabolism and there is less respiratory reserve in the brain. Ischemia and infarction also can result in the release of zinc- and calcium-dependent matrix metalloproteases and proteases. It produces breakdown of collagen, hyaluronic acid, and other elements of connective tissue which results in loss of structural integrity of brain tissue and blood vessels. It can lead to disruption of protective blood brain barrier which produces cerebral edema (Shah and Abbruscato, 2014). It can result in secondary progression of brain injury. Hemorrhagic stroke occur due to hypertensive hemorrhage, ruptured aneurysm, ruptured AV fistula, transformation of prior ischemic infarction, and drug induced bleeding. H emorrhagic stroke produces injury due to compression of tissue due to expanded haematoma. As a result of increased blood pressure, there can be reduced blood supply which results in the ischemia and infraction. Blood released form the haemorrhage can also produce toxic effect on brain tissue and vasculature. Haemorrhage can produce inflammation which can produce secondary brain injury. In arteriovenous malformations, arteries blood flow gets directed towards veins which result in CVA. Arteriovenous malformations can create pressure on brain tissue which result in the reduced blood flow to the brain tissues (Bivard et al., 2014). These pathological changes like reduced supply of blood can lead to symptoms like headache, nausea and drop in one side of the body. All these symptoms are evident in Greta and these symptoms are evident due to stroke or CVA in her. Signs and symptoms: Greta is exhibiting dizziness. It is the most common symptom of CVA. Due to dizziness patient lose spatial perception and stability. Dizziness can also be termed as vertigo, presyncope, disequilibrium and giddiness. Vertigo is associated with feeling of nausea and vomiting. Greta is also exhibiting feeling of nausea. One of the most common causes of dizziness include reduced supply of blood to the brain. It might occur due to the sudden drop in the blood pressure, heart problem and artery blockage. Distortion of brain and nervous system can also produce dizziness. It can occur due to the nerve injury. Nerve injury can occur due to reduced supply of blood to the nerves. Reduced supply of oxygen can lead to hardening of the arteries and vessel inflammation which lead to the numbness (Lee and Kim, 2015). Abnormal levels of calcium can produce dizziness. In CVA patients like Greta, increased glutamate can lead to augmented levels calcium which can result in dizziness. Dizziness in CVA patients is associated with severe imbalance and weakness in one side of the body. In Greta, weakness occur in left side of the body because her mouth and face are falling on the left side of the body. Imbalance is considered as the type of dizziness and it is mostly due to neurological disease. In Greta, neurological disease occurs due to the disruption of nervous system due to reduced supply of blood to the brain. Dizziness can occur in multiple disease; hence differential diagnosis need to be carried out to establish relationship of dizziness with CVA in that particular patient. Moreover, other symptoms of CVA also need to be considered for the diagnosis of CVA. In few of the studies, specifically vertigo has been considered instead of non-specific dizziness for the diagnosis of CVA. It has been found that vertigo found to be more predictive as compared to the dizziness in the presentation of CVA (Kerber et al., 2015). Headache is found to be one of the primary symptoms evident in cases of CVAs. In case of Greta also sudden headache was evident. Headache can occur in CVA patients mainly due to less supply of oxygen and blood to the brain. Swelling in the brain is also responsible for headache in CVA patients. Swelling can occur due to oedema which mainly occur due to infraction in the brain. Headache can be present in multiple conditions; however, headache associated with neurological symptoms like confusion, blurry vision, personality changes, weakness on one side of the body, numbness, or sharp facial pain; can be considered as specific to CVA (Goddeau and Alhazzani, 2014). In Greta also along with headache; dysfunction of one side of body was evident. In CVA headache can occur suddenly without any warning. Such headache is called as thunderclap headache and it is mainly occur due to bleeding in the brain. FAST test can be used to confirm headache due to CVA. FAST stands for face, arm, speech and time. Face get dropped in patients with headache which is associated with CVA. In Greta also left side of the face get dropped. Prevalence of headache was found to be less in ischemic patients as compared to the intraparenchymal haemorrhage. Ischemic events in the posterior circulation as compared to the anterior circulation are mainly responsible for the onset of headache in stroke patients. Approximately 40 % patients with headache in stroke exhibit nausea and vomiting. Greta also exhibiting headache associated with nausea symptoms. It has been proved that infract in the insular cortex is mainly responsible for the headache in CVA patients (Jamieson et al., 2014; Balami, et al., 2013). Conclusion: This essay discussed pathophysiology of CVA and established its link to the Gretas presenting condition. Most relevant signs and symptoms of CVA for Greta identified and reasons for the occurrence of these signs and symptoms are discussed. These signs and symptoms are corelated to the Gretas presenting condition. Understanding of pathophysiology and signs and symptoms of CVA can be helpful in implementing nursing intervention to Greta. References: Balami, J.S., Chen, R.L., and Buchan, A.M. (2013). Stroke syndromes and clinical management. QJM, 106(7), 607-15. Bivard, A., Levi, C., Krishnamurthy, V., Hislop-Jambrich, J., Salazar, P., Jackson, B., Davis, S., and Parsons, M. (2014). Defining acute ischemic stroke tissue pathophysiology with whole brain CT perfusion. Journal of Neuroradiology, 41(5), 307-15. Dirnagl, U. (2012). Pathobiology of injury after stroke: the neurovascular unit and beyond. Annals of the New York Academy of Sciences, 1268, 21-5. Goddeau, R.P., and Alhazzani, A. (2013). Headache in stroke: a review. Headache, 53(6), 1019-22. Jamieson, D.G., Cheng, N.T., and Skliut, M. (2014). Headache and acute stroke. Current Pain and Headache Reports, 18(9), 444. Kerber, K.A., Meurer, W.J., Brown, D.L., Burke, J.F., et al. (2015). Stroke risk stratification in acute dizziness presentations: A prospective imaging-based study. Neurology, 85(21), 1869-78. Lee, S.H., and Kim, J.S. (2015). Acute Diagnosis and Management of Stroke Presenting Dizziness or Vertigo. Neurologic Clinics, 33(3), 687-98. Ma, S., Zhao, H., Ji, X., and Luo, Y. (2015). Peripheral to central: Organ interactions in stroke pathophysiology. Experimental Neurology, 272, 41-9. Shah, K., and Abbruscato, T. (2014). The role of blood-brain barrier transporters in pathophysiology and pharmacotherapy of stroke. Current Pharmaceutical Design, 20(10), 1510-22.