Sleep apnea Essay Example | Topics and Well Written Essays - 250 words

Sleep apnea - Essay Example However, the patient also has witnessed apneas as the wife stated and the combination of these two factors is more sensitive in placing this diagnosis. Furthermore, the snoring is distinct loud and can even be heard from downstairs. For the patient I would recommend measurement of his neck circumference and conduct an overnight sleep study or a polysomnography. Sleep apnea has several associated risks and these should be explained to the patient. Firstly, the patient has already began to develop one of the complications which is hypertension. This can be attributed to the depletion of oxygen level in the blood which has a significant toll on the cardiovascular system. The patient also must have an abdominal ultrasound to assess the status of his liver as scarring is a common complication of the disorder. The patient’s family is also at risk of suffering sleep deprivation due to the loud snoring by the patient which can also affect their daily routine. the evaluation, management and long-term care of obstructive sleep apnea in adults.  Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine,  5(3),

Federal Contracts Essay Example | Topics and Well Written Essays - 750 words

Federal Contracts - Essay Example This move is extremely essential for small entrepreneurs to expand their businesses. This paper analyzes the federal act support for small businesspersons with the aim of expanding their businesses. It further provides an organizational chart that supports working with the federal contracting system. Federal Contracts under a given Business Development Program Federal government only provides support to businesspersons or prime contractors that are performing at least one active EPA contract. In addition, they must also be eligible for the award of federal contracts. The other parties who are bound to receive assistance are companies whose corporate policy is to promote, develop and implement subcontracting opportunities for the sector of socioeconomic. In order to help such small businesses that are still starting, but have a viable idea; the SBA came up with the 8(a) Business Development Program. What is the 8(a) Business Development Program? Business Development Program is assista nce program for small-disadvantaged businesspersons with bigger ideas. This program also offers a broad scope of assistance to firms under people who are economically disadvantaged. ... Business Development Program Benefits The Business Development Program assists inspiring entrepreneurs greatly since participants being able to receive sole-source contracts of roughly $4 million for goods and services. Concerning manufacturing, the participants receive a total of $6.5 million, which is to assist in establishment and expansion of already existing business. Additionally, as much as this program helps, 8(a) still assists in building of competitive advantage. This program also helps in the improvement of institutional expertise by assisting participants to take part in competitive acquisitions (Ralph & John, 1995). Firms under 8(a) program are capable of forming joint ventures that assist them in teaming up to bid contracts. This process enhances the ability of most firms to perform larger prime contracts and overcome the effects of contract bundling. It is also possible for such companies to combine and form one large contract as highlighted in the Mentor Protege Progr am. There are usually the requirements and the objectives of the 8(a) Business Development Program, which involves graduation of firms to higher notch of competitive advantage. This process assures organizations of thriving in competitive business environment. The goal of this program is to help firms maintain balance between their commercial and government businesses. As stipulated in the NAICS code, it also provides the limit on the amount of dollar value of sole-source contracts that individual participant is likely to receive while taking part in the program, which is roughly $100 million. The requirements include the following: a) Systematic evaluations b) Yearly reviews c) Business planning

Carpe Diem in Poetry :: Poem Poetry

The Latin term carpe diem is a descriptive word for literature that presses readers to "seize the moment." It mainly tries to pursue a woman or women that they have true physical beauty and should take advantage of their good looks now before time will take a toll on them. The word carpe diem puts impact on examples of both poems of, "To the Virgins, to Make Much of Time" by Robert Herrick, and "To His Coy Mistress" by Andrew Marvell. Herrick's poem, "To The Virgins, to Make Much of Time," portrays carpe diem by citing the shortness of life and persuading young women to marry and enjoy the life of youth at its advantage before death takes its turn. In the poem "To His Coy Mistress", Marvell consist more traits of carpe diem by persuading a certain woman in being his wife. He uses examples of time and age diminishing her beauty and youth and will leave her with nothing left. They both compare to each other by making the most of each moment before old age and beauty disappears. Herrick's "To The Virgins, to Make Much of Time" fits the meaning of carpe diem by encouraging the beauty of youth and life itself. His calm and moralizing detachment from the personal environment pursues his own view of time and life. Then not be coy but use your time, And, while ye may, go marry: For having lost but once your prime You may forever tarry.

Macbeth Assessment Essay

Macbeth written in 1606 has proven to be one of Shakespeare’s most successful and popular plays. It wasn’t just the plays that were popular William Shakespeare born 1564 is the most famous play writer in the world. He was born in Stratford upon Avon. He wrote 34 plays, Macbeth being just one of them. There are many reasons why Macbeth has proven to be so popular. It is the third shortest play written by Shakespeare, it is fast moving including death, murder, deception, and betrayal. The play follows the story of a man who was desperate for power and turns to murder to get his own way. It has conserved its title as an exceptional play as it appeals to audiences both today and in Shakespeare’s time, by including factors that appeal to everyone. In Shakespeare’s time people would be intrigued by the supernatural, as they were xenophobic, they took a dislike towards the witches. They didn’t understand them even today when we know a little more about the supernatural it is still a topic people would like to know more about. The play makes you want more. You want to find out if he was a good king or if he would really murder his best friend. It is an unpredictable play you don’t know what is going to happen. Theatre going was very popular in the 1600’s because not only was it for the rich the poor could enjoy the entertainment as well. Many people enjoyed the magic of the theatre, that’s what made it such a success. The globe built in 1599 was one of the first theatres in London, it could seat over 3,000 people but sadly tragedy struck in 1613 when the great fire of London burnt down the theatre along with many other famous landmarks. It was a great loss in everyone’s eye, so a year later the globe was replaced. It cost à ¯Ã‚ ¿Ã‚ ½1,400 to rebuild. It didn’t take long before the theatre had paid for it’s self as it was so popular. The poor people would sit in the ‘pit’ they would only have to pay 1p but if it rained they would get wet, as there was no shelter. The rich people could sit around the sides where they would be able to see everything as the seats were tiered along the sides they were sheltered from the cold. They would have had to pay around 10p for their seat. As a variety of people attended the play would have to cater for a range of people. Not a play for the rich or poor. If the king didn’t approve of they play he could stop the performances. Shakespeare’s plays were clever they contained blood guts and gore. The monarchy and the political situation at the time had much to do with why the play had proven to be so popular. King James the first was new to the throne, as Elizabeth had died. Elizabeth was a popular queen where as James the first had shown to be very disliked. They worried what king James would be like on the throne they were right to be worried King James was evil he burnt and tortured Catholics. The declining catholic population soon grew to hate him and in 1605 a plot was taken against him in hope he would die. Guy Folkes attempted to blow the house of parliament up in ‘The gun powder plot’ fortunately for the king he was unsuccessful. He was later executed. A year later when Shakespeare was writing Macbeth he had to be very careful on what he included. If James the first did not like the play and took offence to it then he could have Shakespeare killed. Shakespeare’s presented the play in good light. He displayed Duncan the king as a good king whom people loved, James would have liked this as he thought it portrayed himself but really Shakespeare was showing James t o be Macbeth. The play showed a warning if a man killed the king he would suffer a fate as bad. The main theme of the play shows a man who is led to despair by his controlling wife. He starts as a loyal soldier serving his king to the very best. Due to his service he was made Thane of Cowdor, but that was not enough for him and his power mad wife. They thought of an evil plot to kill the beloved Duncan. They arranged to kill him in his bed and make it look as if his own guards have killed him. They succeeded in their plot for greatness. Macbeth is crowned king. Duncan’s sons who would have been next to the thrown, but they fled as they thought they were suspects for the murder. Macbeth now had the taste for murder. He killed his best friend Banquo. Later he tried to kill Macduff a fellow soldier but was unsuccessful as Mac duff got away. Macbeth was mad by this and instead of trying to kill Macduff he killed his wife and children. How could a man be so cruel as he may have suffered the pain of a child being taken from his life. Macduff was on his way to England to fetch an army thousands big. Lady Macbeth went mad with guilt and killed herself. Once Macbeth heard news of the triumph against him he started to worry. He got ready for a fight he placed on his amour ready. When Macduff arrived they fought their way into Macbeth’s castle in Dunsinane. Macbeth fought till the very end until it became too much he suffered a soldier’s death. The supernatural had a large role in the play Macbeth. Macbeth included the supernatural, as the audience then were scared and shocked by it. They were scared of witches as they thought of them as bad. So when the play Macbeth was written Shakespeare included witches in the very start. This would have shocked the audience making them interested in the play from the very start. They would want to know what happened to them. Audiences now would be curious to see the supernatural and how the witches act. The witches cropped up several times in the play to keep the audience watching. The witches open the play ‘when shall we three meet again, in thunder, lightning or in the rain? When the hurly burly’s done, when the battles lost and won, that will be the set of the sun where the place upon the heath’ Macbeth is a very fast moving play, which included a lot of action. The play is short, it is so fast moving to keep the audiences attention. I think the action and length were quite important to an audience. If the play were long and lacked action the play would be unpopular and found boring. Plays had to appeal to everyone it would be important to keep them interested and as there would be peasants viewing they would have to cater for them. The plots would have to be quite straightforward so the peasants could understand. The main events in the play link with each other. The witches have an important role in the play on the heath in act 1 scene one and again in act 1 scene 3. They tell Macbeth and Banquo their future. The next important scene is Act 1 scene 5 when Duncan comes to stay with Macbeth to celebrate Macbeth becoming the Thane of Cowdor but sadly Duncan is brutally murdered in his own bed. Macbeth is forced to do the deed by his crazed wife. Then Macbeth is crowned king. The next important scene is when Macbeth gets Banquo killed and Banquo’s ghost comes to haunt him. Lady Macbeth tries to make excuses to cover his moments of madness. She tells the people not to leave, as this will offend him. ‘Dray you keep seat. The fit is momentary upon a thought. He will again be well. If much you note him you shall offend him and extend his passion feeds and regard him not. The witches then appear again in act 4 scene 1. This time the witches didn’t find Macbeth, Macbeth went to find the witches. He wanted to know more. So the witches tell Macbeth in words, which have a double meaning. This makes Macbeth thinks he is going to rule as kin g for a long time. Macbeth next tries to kill Macduff but is too late Macduff is already on his way to England to fetch an army to kill Macbeth. Then Malcolm can return as the rightful king. In rage Macbeth kills Macduff’s wife and children. Meanwhile his own wife is going mad with guilt. She thinks she has a spot of Duncan’s blood on he hand, which she can’t wash off. This time lady Macbeth has turned out to be the one with feelings instead of being callas. She had always called Macbeth a coward for showing signs of feeling ‘Are you a man?’ he often tries to prove himself. ‘What man dare, I dare’ Lady Macbeth becomes so deranged she kills herself. Then we meet the biggest scene, act 5 scene 3 at Dunsinane castle. Malcolm’s army fight there way into Macbeth’s castle to return the rightful king to the thrown. Many play writers would have included guts and gore to surprise the audience. If all plays were written about love and everything was perfect plays would become boring. Showing guts and gore with lots of action would keep the audiences interested. The technology back then wasn’t that good not compared with today, but audiences back then would be impressed by Shakespeare’s use of trap doors and fake blood. The trap doors would be used for the witches and Banquo’s ghost to appear and disappear. This would reflect the power of the witches . They may have lowered Banquo’s ghost down on a rope to make it look as if it was floating. Many of these effects are still used today while doing performances of the play. The goriest bits in the play would be the murder scenes. Especially the scene with Duncan they would have used a lot of fake blood. Macbeth’s character changes quite significantly during the play he starts off as a loyal soldier dedicated to his king. He changes after his first meeting with the witches, once he knew his destiny he would do anything to get it as soon as he could. The witches told him he would be thane of Cowdor, and then he would be crowned king. His power mad wife often challenged his position. ‘Why do you make such faces’ Macbeth showed feeling he didn’t want to kill Duncan but callas Lady Macbeth drove him to it ‘That I may pour my spirits in thine ear and chastise with the valour of my tongue’ this shows the power she had over him. Macbeth is good not evil ‘yet I do fear thy nature, it is too full o’th’milk of human kindness’ Where as Macbeth is a gentle person. Lady Macbeth calls upon the spirits to make her evil enough to commit murder. ‘Come you spirits that tend on mortal thoughts, unsex me here and fill me from the crown to toe top full of direst cruelty make thick my blood. The planning of Duncan’s murder was quite disturbing Lady Macbeth proves her callas feelings. The death is like a challenge. ‘Art thou afeared to be the same in thine own act and valour as thou art in desire?’ She accuses him of breaking promises, that he isn’t strong enough to accept the challenges ‘wouldst thou have that which thou esteem’st the ornament of life, And you’re a coward in thine own esteem’ Macbeth braves himself as a man and accepts the challenge ‘I dare do all that may become a man, who dares do more is none’ Lady Macbeth shows some feeling like the feeling she may once have had for her child ‘I have given suck and know how tender tis to love the babe that milks me. I would, while it was smiling in my face, have plucked my nipple from his boneless gums and dashed the brains out, had I so sworn to you have done to this’ Her feelings soon turn evil as she says to Macbeth she would rather kill her child than break her promise. There was also many reasons why Macbeth shouldn’t kill Duncan ‘He’s here in double trust first I am his kings man and his subject, strong both against the deed then, as his host. Who should against his murder shut the door, not bear the knife myself†¦Ã¢â‚¬â„¢this Duncan been so clear in his great office’ Macbeth was related to king, he was Duncan’s host. Duncan was a good king if Macbeth went ahead with the murder he could loose everything. It was worse to kill a king than anyone else. It was a huge sin against god. God chose who was to be king. Lady Macbeth made most of the plans for the murder, she controlled Macbeth. She told him when and how to commit Duncan’s murder. Macbeth said the dagger showed the way to Duncan’s room. The night for Duncan’s death was perfect. Crows searched the courtyard a sign of death. An owl shrieked anther sign that evil was in the air. When Duncan had retired to his room and the guards had fell asleep Macbeth brutality stabbed Duncan in the chest with a dagger. Macbeth returned out of Duncan’s room with the evidence in his hand. He refused to re-enter the room so lady Macbeth took them back in the room and put the blood of Duncan on the guards face to make it look like they had killed Duncan. Macbeth didn’t prove to be a very good or popular king. Many people didn’t respect him. He lost many of his friends especially his supposed best friend Banquo whom he had killed as he suspected Macbeth had killed Duncan. Later at one of Macbeth banquets, he started to talk to a ghost that wasn’t even there. Lady Macbeth tried to cover it up. The second meeting with the witches as deliberate they told Macbeth words with double meanings. They told Macbeth he would be king until the wood moved. Macbeth thought he was safe, as wood couldn’t move. The witches tricked Macbeth so the audience would see the witches as evil. Macbeth wasn’t much better himself the most loyal thing he did while wearing the crown was suffer a soldiers death. He died a lonely man his wife had gone crazy and killed herself she jumped of the castles balcony. The audience views Macbeth would change at different points in the play. They would see him as a loyal soldier but then he turned evil but he still had some feelings he didn’t want to kill Duncan he was bullied by his wife. After the dirty deal was done he never returned from the evils scheming. In conclusion I think Macbeth is a very good play. It is a fast moving play. Which includes love, deception, and murder. Aspects that would appeal to all audiences. The audience would be relieved that justice was done. By including these features I feel that Macbeth has proved the test of time as one of the best plays of all time. Many theatres today still make reproductions of the play. I think Shakespeare truly has lived up to his title as a great play writer.

The Is The Right One For Me - 1832 Words

Beating BPD In beginning this project, I struggled with choosing a diagnosis that would be the right one for me to attempt to understand. Mental illness is a topic that has plagued my family for generations. It has been a common theme in every relationship I have ever had. Although initially I assumed this circumstance would make it immensely easy to choose a topic for this paper, as it turned out it was the opposite. I first considered Oppositional Defiant Disorder, as I thought surely this is the right topic so that I may take my findings to the father of my children to show him that he is desperately in need of accepting the help I feel he needs. Then I thought, I will choose Factitious Disorder and focus on Munchausen by Proxy as†¦show more content†¦Beginning with an inability to function, an impairment in personality must be present in either identity or self-direction. A person exhibiting an impairment in identity might criticize himself excessively, have deep an d troubling experiences of emptiness or possibly even experience dissociative states under extreme stress. A person experiencing an impairment with self-direction would exhibit signs of inability to follow through or possibly even set goals, and have no drive in regards to career plans. The Diagnostic criteria for this disorder demand that 5 of 9 criteria are met. Often a person with this disorder will exhibit signs of suicidal tendencies or self-mutilation. Other symptoms may include, but are not limited to reacting in advance to a possibility of abandonment. The mere thought of losing a relationship or a person who is viewed in some way as a caretaker is enough to cause significant changes in their self-image and therefore their behavior. These people are extremely sensitive to changes in their environment, and it does not matter if those changes are announced in advance or sprung by surprise. Extreme irritability and anxiety can cause instability as well. Often issues contr olling anger and temper tantrums become extremely problematic in keeping stability in home and work environments. Most of the time this issue escalates to inappropriate proportions, causing loss of jobs, dissolution of marriages or long term

How Marketing Sector Plays A Business Or Organisation Essay

Marketing sector plays a vital role in a business or organisation. It is a sector that helps to inform and influence the society at large about the activities made by a business or organisation (Elliot, 2010). Working under the marketing sector would be challenging as it requires marketers to have competent attitudes and skilful (Elliot, 2010). Although there are several flaws can be identified to make marketing as a profession such as working long hours and working with an organisation that does not embrace the marketing concept (Klein, 2004), it is a profession that is meaningful to me. To work as a marketer, certain tasks require going one place to another to meet different people. It is a job that not always makes you stay in office. Hence, it is not a monotonous job in comparison to other jobs that have to do a repetitive work. It is one of the reasons why I chose to work under the marketing sector in the future. Where, marketers able to meet and socialise with people that have a different background. Therefore, it helps to expand and broaden my knowledge on numerous matters. Another reason would be because of exploration and comprehension of consumer behaviour. By understanding the behaviour of consumers, marketers able to help a business or organisation to produce a product that is highly demanded by consumers. Thus, it also expected to result in increase the profits of the company. Last but not least, chose to work under a marketing sector would be meaningful to meShow MoreRelatedStrategic Marketing : Business World, Tourism And Hospitality Industry Essay1379 Words   |  6 PagesIntroduction: In the present modern ever competitive business world, tourism and hospitality industry contributes a great portion in any economy. 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Wings of Desire and Antigone Conflicts and Opposites Essay

Annotated Bibliography MacKay, L.A. Antigone, Coriolanus and Hegel. Transactions and Proceedings of the American Philological Association 93 (1962): 166-174. Web. 19 Mar 2012. JSTOR http://www.jstor.org/discover/10.2307/283759?uid=2uid=4sid=47698786493307 The author, LA MacKay through this article has provided a comprehensive insight into the themes of revolt and conflict illustrated through the characters and sentiments of the play, Antigone and therefore proves to be a valuable resource for the study of the same. The article has been published by the Transactions and Proceedings of the American Philological Association and the author has composed various analytical essays, particularly on the subject of Creon and Antigone which†¦show more content†¦These opposites essentially represent not only the tendency of this world to possess conflicting images, but also an individual’s tendency to have conflicting emotions as well as the struggles between individuals. Antigone and Wings of Desire are two exceptional works of art, that although seem vastly diverse in terms of setting, form and style are however, in my opinion, linked through their portrayal of the struggles experienced by individuals as well as the demonstrati on of conflicting images and forces. Antigone is a play that was first written by Sophocles in 442 BC and later adapted and rewritten by Jean Anouilh. The story follows the epic tragic heroine Antigone and her downfall through her opposition against the King Creon. Wings of Desire, directed by Wim Wenders is a 1987 Franco-German film. It revolves around two angels, one of who is named Damiel who falls in love with a human. He wishes to renounce his immortality for a chance to be with the woman he loves and to experience human emotions and sensations. Unlike most Greek tragedies, Antigone is not essentially about the opposing powers of good and evil. Instead, the play demonstrates the conflict between one’s duty towards their family and their country and social expectations. â€Å"Antigone presents a conflict between family loyalty and loyalty to the state, between demands of the state and the will of the individual† (MacKay, 166). The kingShow MoreRelatedMoral Lessons in Antigone3823 Words   |  16 PagesThe play Antigone was written by Sophocles around four hundred forty B.C.E, in the height of the golden age of Greece. Theater was then, as it is now, a medium through which to implicate the outlooks of its writer and to examine moral issues, whilst providing entertainment. The subjects discussed through theater were often deeply rooted in the dialogue of the characters in the plays and struck the chords of the audience such that enlightenment could take place, and in that day and age this purposeRead Moretheme of alienation n no where man by kamala markandeya23279 Words   |  94 Pagesï » ¿ANTIGONE KEY LITERARY ELEMENTS SETTING This tragedy is set against the background of the Oedipus legend. It illustrates how the curse on the House of Labdacus (who is the grandson of Cadmus, founder of Thebes, and the father of Laius, whose son is Oedipus) brought about the deaths of Oedipus and his wife-mother, Jocasta, as well as the double fratricide of Eteocles and Polynices. Furthermore, Antigone dies after defying King Creon. The play is set in Thebes, a powerful city-state north of