The Power Of One By Ernest Hemmingway Essays - Ernest Hemingway

The Power of One by Ernest Hemmingway Throughout the world, there are many diverse cultures, each of these distinct cultures have different backgrounds, rituals and practices. These cultures have a profound effect on the minds of their inhabitants. It's a person's culture which effects their thoughts, beliefs and their outlook upon life. It doesn't matter where you are from or where you go to, you always have a piece of your culture with you wherever you are. It is your cultural heritage's and background which molds your mind, and your thoughts of how you perceive the world around you. In every culture different aspects of the society are viewed differently. Some cultures share similarities with other cultures about how they view things. In many cultures sports plays a key role in the society, and many times the whole community is based around the sports. No matter where you are from, sports will always play a role in the society. Many times in literature you can tell where the setting is or where the author is from by t he way the community or society in the literature view sports. If you look at the literature that authors produce and where they are from, you will notice a common trend in all of their work. The cultural heritage of the writer affects the perspective in which they write from or about. The cultural heritage affects the writers perspective in many different ways, among them are stereotypes and the setting of the story and the everyday activities that the character go through. Two prime examples of how an authors cultural heritage affects the perspective that they write from is the South African author Bryce Courtenay and the American author Ernest Hemingway. Bryce Courtenay was born and raised in South Africa and received his early education there. He spend the majority of his adolescent life in South Africa and in his final year in Africa he spent it in the copper mines of Central Africa, before he moved to England to complete his education.1 Courtenay spent his early life in Africa, and the African culture had a profound affect him. His time in the copper mines also had a penetrating effect on him and it is visible in his writing, when he wrote about the mines in Africa. In the book The Power of One, Courtenay writes form the perspective of a young British boy in South Africa which shows how cultural heritages affects the writers perspective. It is apparent that the prejudices had a astonishing affect on Courtenay, especially with the hatred between the Boers, Blacks and the British. Because of the hatred going on in South Africa at the time of his growing up and even today, you can sense a tone of racism in his writing. "Please, Meneer, he hates kaffirs (blacks) just like you."2 Frequently in the book the black are referred to kaffirs and other derogatory terms. Through the years, because of wars and other disagreements the Boers have come to hate the British, and vice versa and the Blacks in southern Africa have always been hated ever since the white Europeans arrived. This hatred started between the British and the Boers when the British first came to Africa during the slave trade. The Boers from Europe, had migrated to Africa for freedom, freedom of religion and of the prejudices that they faced in Europe. There was peace between the British and the Boers until the Boer republics were found to be rich in diamonds and gold. Fortune hunters, mostly British, poured in to stake claims,3 which belonged to the Boers. That is when the tension increased. Soon after was the Boer War, and since then there has been a great amount of tension and hatred between the British and the Boers. "...he stopped halfway down the alley and shouted in Afrikaans, 'I'll get you back for this, you rooinek (redneck, a derogatory term for the English) bastard.'"4 Time and time again in the book you can feel the tension and hatred between each of the groups in South Africa. Another area of his culture that is present in the book The Power Of One is that of sports. There all

A female with chronic diarrhoea and loss of weight Essays - Medicine

A female with chronic diarrhoea and loss of weight Essays - Medicine A female with chronic diarrhoea and loss of weight : Analysis of a case : A 25-year- old female, Valli, from Chennai, India , visited the medical outpatient department for complaints of diarrhoea and flatulence off and on for the past 5 years , more so since 3 months . She said that she had lost a considerable amount of weight and always felt weak and exhausted. She also admitted having low backache since 3 months. She said her faeces were bulky, greasy and foul smelling. Throughout childhood, she had persistent diarrhoea but the symptoms subsided in adolescence. She was referred to a gastroenterologist. The consultant arranged for blood and faecal analyses. The faecal tests showed that she had steatorrhoea and the blood examination revealed a dimorphic anaemia with a low serum calcium. Her serum electrolytes and prothrombin time were within normal limits. The consultant suspected coeliac disease and arranged for an endoscopy. An endoscopic biopsy of the mucosa taken showed flattening of the villi with excess of plasma cells in the submucosa. What is coeliac disease? It is an abnormal reaction to gluten, a constituent of wheat flour, leading on to diarrhea and malabsorption. It is also called gluten-sensitive enteropathy, with the onset of symptoms occurring at ages ranging from the first year of life through the eighth decade What is the basic defect in this condition? The basic defect is enterocyte damage causing atrophy of the villi and malabsorption caused by Gluten, a constituent of wheat flour. The damage is due to an abnormal immune response to gliadins ,especially -gliadin, components of gluten. What is its aetiology? It is genetic, immunologic and environmental. It is a T-cell mediated disease. Antibodies to the enzyme transglutaminase released in tissues during inflammation are present in 98 %.Deamidation of gliadin by transglutaminase generates a recognition site for CD4 T lymphocytes; the locally activated lymphocytes trigger production of cytokines which then cause the damage. Gliadin peptides interact with gliadin-specific T cells that mediate tissue injury and induce the release of one or more cytokines (e.g., IFN-) that cause tissue injury. Transglutaminase antibodies also affect the differentiation of epithelial cells, by interfering with the action of the enzyme. What is the HLA associated with celiac disease? All patients express the HLA-DQ2 or HLA-DQ8 allele, though only a minority of people expressing DQ2/DQ8 have celiac disease. Absence of DQ2/DQ8 excludes the diagnosis of celiac disease What are the clinical features? The symptoms of celiac disease may appear with the introduction of cereals in an infant's diet, although spontaneous remissions often occur during the second decade of life that may be either permanent or followed by the reappearance of symptoms over several years. Alternatively, the symptoms of celiac disease may first become evident at almost any age throughout adulthood. In many patients, frequent spontaneous remissions and exacerbations occur. The symptoms range from significant malabsorption of multiple nutrients, with diarrhea, steatorrhea, weight loss, and the consequences of nutrient depletion (i.e., anemia and metabolic bone disease), to the absence of any gastrointestinal symptoms but with evidence of the depletion of a single nutrient (e.g., iron or folate deficiency, osteomalacia, edema from protein loss). Some have manifestations that are not obviously related to intestinal malabsorption, e.g., anemia, osteopenia, infertility, neurologic symptoms ("atypical celiac disease"); while an even larger group are essentially asymptomatic though with abnormal small intestinal histopathology and serologies and are referred to as "silent' celiac disease. What are the likely causes of diarrhoea in coeliac disease? High concentrations of unabsorbed nutrients in the chime would lead to osmotic diarrhea.However the delivery of large amounts of fat into the colon can result in the production of hydroxylated fatty acidsby colonic bacteria. These act as cathartics. Diarrhea may be secondary to (1) steatorrhea, which is primarily a result of the changes in jejunal mucosal function; (2) secondary lactase deficiency, a consequence of changes in jejunal brush border enzymatic function; (3) bile acid malabsorption resulting in bile acid-induced fluid secretion in the colon, in cases with more extensive disease involving the ileum; and (4) endogenous fluid secretion resulting from crypt hyperplasia. How do you arrive at a diagnosis? A small-intestinal biopsy is required to establish a diagnosis of celiac disease. The classical changes seen on duodenal/jejunal biopsy are restricted to the mucosa and include (1) an increase in the

Project Management Essay Example | Topics and Well Written Essays - 1500 words - 12

Project Management - Essay Example These activity lists proposes all the scheduled activity which will help to complete the project quickly. Implementation of work package during project leads concurrent work on various different mechanism of a project at the equivalent time by multiple teams. Most of the times, the completion of work package has been overseen by the managers or supervisor or a team leader of a project team. Moreover work packages reduce the activity cost and other indirect costs like cost of material, cost of transportation, cost of labor etc. Work breakdown structure is a deliverable and oriented decomposition of a specific project into smaller components. One of the important uses of work breakdown structure is that this structure proposes cost control standard for the future project activities which may or may not be similar. Moreover work breakdown structure starts off with a generalized goal in a quality planning process and helps to identify the progressive narrow level of action that is needed in order to achieve the project objectives. While implementation of work breakdown structure the team should have in depth understanding of the tasks required. Work breakdown structure is the critical input which identifies the risks subsequently in macro and micro level of work packages. To identify the cost variances and scheduled variances, project managers quite often use the performance measurement baseline. The performance management baseline is the collection of work packages that estimates work effort and duration of every work packages. Moreover it controls cost of resources. After determination of scopes and approaches towards a project, work breakdown structure is constructed to complete the work packages efficiently. These will help a project team to identify the project activities. The key elements are required to construct a project work that is the resources. Project managers need to apply