“The Adventures of Huckleberry Finn” Opinion Essay free essay sample

The views given in Toni Morrisons analysis were more negative than positive. My opinion on â€Å"The Adventures of Huckleberry Finn† matched up to her critique is highly on point. The issue of feeling uncomfortable when saying or reading the slang that refers to an african american male or women is described the same way I felt reading it. Morrison breaks down the book very easily and helps create an understandable analysis. She goes on a while interpreting how Huck can’t settle down anywhere and is afraid to travel alone since even the most simple things seem to trigger him. Except when Jim and Huck escape on the raft and go on an adventure all of those feelings of being afraid and left behind don’t appear as much as they intend to. Her view on Jim is one of fatherly figure that has been missing in Huck’s life since his pap was an abusive drunkard. We will write a custom essay sample on â€Å"The Adventures of Huckleberry Finn†: Opinion Essay or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Morrison goes deeper with this interpretation and states that Jim is the piece holding Huck together from breaking out in fear and remorse. Jim is helping take away all the troubles Huck has felt. The only thing holding this great friendship apart is segregation of blacks and whites that don’t allow this type of interaction since back then blacks were viewed as property and not people. Either Way even though races were viewed differently and social status was imperative, Huck is still wanting to go on this friendship. Morrison’s reaction to Pap’s death is very different from mine since she explained that it was a very chilling and â€Å"cold† encounter when Jim told Huck his money was safe considering that his father is dead. I viewed his death as a brush off the shoulder since he didn’t really in my opinion play a big role in the hole novel but I do agree that he shaped Huck in some ways from his abuse. In another stance I partially agree when Morrison speaks on how Huck has had a troubling past especially because of his abusive childhood led on by his father. She specifies that Huck won’t let go of past events seeing that his father use to beat him and he’d have to hide away his inconveniences until time passed and never come to resolve them. Huck spent the majority of his time fleeing from his dad, because he was afraid his dad would beat him.

RHEUMATIC Essays - Medicine, RTT, Clinical Medicine, Health

RHEUMATIC Essays - Medicine, RTT, Clinical Medicine, Health RHEUMATIC FEVER Neelakantan Viswanathan It is an acute inflammatory disease of children and young adults caused by infection with pharyngeal strains of Group A beta haemolytic streptococci (serotypes 3,5,18,24). It is not due to a direct infection or toxin production but due to an autoimmune reaction triggered by molecular mimicry between the M proteins of the infecting Streptococcus pyogenes and cardiac myosin and the sarcolemmal membrane protein, laminin. During active carditis, helper CD4 lymphocytes increase in number and the ratio of CD4 to CD8 cells increase in the heart valves and peripheral blood. All patients with acute rheumatic fever demonstrate a non-HLA alloantigen which is expressed on the B cells (D8/17). HLA DR1,2,3,4,7 and 53 have also been linked to acute rheumatic fever. The mean age of onset is 5-15 years being prevalent in the developing world and is rare in Europe and North America. The time taken for rheumatic fever to develop after an attack of streptococcal pharyngitis is about 2 weeks. It is said to" lick" the joints but "bite" the heart. The other organs affected are the central nervous system and the skin. Overcrowding and poor sanitation may augment the spread amongst people. Valvular heart disease that is chronic and progressive is the end result in about 50 % of those affected. There is no gender predilection but mitral stenosis and chorea occur more commonly in females. About 1.5 million people have rheumatic heart disease in India but the incidence is declining nowadays due to improvement in sanitation. It is a pancarditis affecting all layers of the heart.The characteristic lesion is the Aschoff nodule, composed of multinucleated giant cells, having elongated nuclei with distinct chromatin pattern, surrounded by macrophages and T lymphocytes,occurring in the subendocardium of the left ventricle, and consists of a granulomatous lesion with an area of central fibrinoid necrosis. Anichkov's myocytes are cells containing these elongated "caterpillar" or "owl- eye" nuclei. Mac Callum's patch in the left atrial wall above the posterior mitral valve leaflet, which is thick and rough, is a predisposing lesion for infective endocarditis, where vegetations form. Small vegetations may occur on the endocardium (on the valves) and valvular regurgitation results to a certain degree. A serofibrinous effusion may occur in the pericardium. During the acute inflammation, subcutaneous nodules and synovitis occur. The large joints are affected as opposed to predominant small joints involvement in rheumatoid arthritis. Diagnosis of acute rheumatic fever is based on revised Duckett Jones criteria (1992) which requires the presence of at least two major or one major with two minor criteria to make a diagnosis, associated with evidence of a preceding streptococcal infection. MAJOR CRITERIA: 1. Carditis 2. Polyarthritis 3. Subcutaneous nodules 4. Erythema marginatum 5. Chorea MINOR CRITERIA: 1. Arthralgia 2. Fever 3. Leucocytosis 4. Elevated ESR and/or C-reactive protein 5. Prolonged PR interval in electrocardiogram ( First degree heart block) 6. Previous rheumatic fever EVIDENCE OF PRECEDING STREPTOCOCCAL INFECTION: A history of recent scarlet fever or ASLO titre (anti-stretolysin O titre > 250 Todd units in adults and > 333 in children or a positive rapid streptococcal antigen test. Other streptococcal antibodies are anti- hyaluronidase , anti- DNase and anti-streptokinase or a positive Streptozyme test. Throat cultures, if positive , for streptococci would be ideal. In this part of the world, we encounter many other manifestations of rheumatic fever as 1.Rheumatic pneumonia or pleural effusions 2.Abdominal pain (due to mesenteric adenitis commonly) 3.Epistaxis ( recurrent) Clinical features: CARDITIS : is classically a pancarditis characterized by pericarditis, myocarditis and endocarditis.It may be manifested by chest pain, pericardial rub and effusion , tachycardia out of proportion to fever , muffled heart sounds, gallop, low cardiac output and rarely syncope. Cardiomegaly and a "mushy" quality of the first heart sound are also encountered. Endocarditis is characterized by fever and changing murmurs. A murmur of mitral regurgitation is the most common while Carey Coombs murmur ( mid diastolic murmur at the apex) due to acute rheumatic valvulitis and a murmur of aortic regurgitation may also occur. Congestive heart failure with hepatic congestion are recognized features. Echocardiographically, since the left ventricular systolic function is preserved the cardiac failure is due to valve dilatation and not due to myocarditis. ST-T wave changes, reduction in QRS voltages, first degree AV block and other conduction defects may feature in the electrocardiogram . SUBCUTANEOUS NODULES: usually occur over bony prominences as olecranon, external occipital protuberance and vertebral bodies.They measure 0.5-2 cm in size. They go hand in hand with carditis and are firm and painless. They may also occur over joints and tendons. They have a histological pattern resembling Aschoff nodules. ARTHRITIS: is classically a polyarthritis which is

Self-assessment Chapter 6 and 7 Assignment Example | Topics and Well Written Essays - 500 words

Self-assessment Chapter 6 and 7 - Assignment Example I need to accommodate more other people’s ideas and give them time to pass their opinions across during our conversations. Secondly, I can easily control my emotions during a conversation irrespective of the topic. I am good in giving feedbacks to the other people. I have the ability to usually return messages as required to the respective people who need the information. At this point, I only need to maintain my character; otherwise, there is not a lot to be improved. On the other hand, I really enjoy coaching people. I have a good reputation among my friends due to the portrayed capacity to guide others. The area I need to improve on is leniency. Due to the high regard expressed to me by my friends, I am normally compassionate towards people who do me wrong. I possess a high need for both my individual achievement and that of my friends. Moreover, I am good at listening to other people and make changes. However, I need improvement on this area since I need to be more concerned with my own success. When it comes to conflict styles, I normally use the collaboration style to resolve them. I have the ability to confront others when in a conflict as I try to pass across my opinion on the issues regarding the plight. The area I need to improve on is avoiding the usage of force since being assertive may be mistaken for passing my opinions forcefully. During a conflict, I am normally quick in adjusting towards the solution of the issue or issues at hand. I do this to ensure that I meet other people’s needs too (Lussier & Achua, 2010). The total evaluation = 25. This shows that I have an In-Group relationship with my manager. This means that we have a strong relationship that is guided by respect, mutual understanding and trust (Lussier & Achua, 2010). My personality affects my dyadic relationships, followership and delegation. I have the agreeableness Big Five personality. I have always had the need for affiliation where I create a good