Mice of Men Essay

By Golda Bhebhe. â€Å"Of Mice and Men. † In the novel â€Å"Of Mice and Men† by John Steinbeck we are introduced to two main characters, George Milton and Lennie Small. These men are close friends who travel together looking for employment in America in the 1930s. Lennie is quite a simple guy who sometimes gets into trouble. Steinbeck uses a range of writing techniques to portray Lennie and we are left at the end feeling very sad that he has had to die. When we first meet Lennie and George we immediately notice that George is the leader and Lennie is slower and seems to await instructions.George is described as a small and quick, dark of face, with restless eyes and sharp, strong feature. It also moves on to say that every part of him was defined: small, strong hands, slender arms, a thin and bony nose. The author creates a very masculine attractive imagine of George by making him look put together and neat with very chiselled bone structure which in society has always been considered very handsome. On the other hand Lennie is described as a huge man, shapeless of face, with large, pale eyes, with wide, sloping shoulders.This creates a very unattractive look for the character because he seems to be coming of slightly a large untidy man who doesn’t seem to take pride in the way he looks. When the two men first walk into the brush George is leading the way and Lennie is carefully following him. They were walking in single file down the path, and even in the open Lennie stayed behind George. This shows that Lennie is very dependent on George in the way that a child would be. The two men soon move into the wider world of the ranch and here we see how other people react to Lennie.Steinbeck evokes sympathy for Lennie when he shows the way other people react to him. The ranch workers at the start are very inquisitive and some even envious of Lennie & George’s relationship. Some are slightly intimidated by Lennie because he is a big guy but they don’t know that he really a child at heart could never hurt anyone intentionally. One of the workers who are especially intimidated by Lennie is Curley. Curley is the boss’s son. He is a thin young man with brown face, with brown eyes and head of tightly curled hair.Curley seems to be intimidated by Lennie because of his large size and him being a small man feels the need to look down on him to make himself feel like a â€Å"big guy† because he knows Lennie can’t do anything because he is in the position of power. â€Å"Curley’s like a lot of little guys. He hates big guys. He’s alla time picking scraps with big guys. Kind of like he’s mad at’em because he aint a big guy. † This shows that Curley has always been jealous of bigger men. So he finds pleasure in bullying Lennie because usually it’s the other way round.

Celiac Disease

Celiac Disease Celiac disease is a disease found in the small bowel. This disease does not have a cure. It can only be treated with a strict diet. There are four types of celiac, and all but one can be treated. The disease is a genetically inherited associated with the HL4 locus found on the arm of the chromosome six (schaffner,small-bowel and bacterial overgrowth 2006 pg. 99). This disease can cause a lot of problems with a patient if not treated properly. The proper treatment for most individuals is to go on a gluten free diet. A gluten free diet avoids wheat, rye, barley, and sometimes oats.Some symptoms are excessive diarrhea, smelly stools, cramps, and weight loss. The most accurate way to diagnose celiac disease is to do an upper endoscopy on the patient. An endoscopy is a procedure with a tube called a scope and a small camera on the end. The scope goes down the patient’s throat to look at their upper gastric region. A biopsy of jejunal mucosa would be done in the small intestine to send to pathology and determine if the patient has celiac disease. When a patient is on a gluten free diet and their body has not responded to it within two years they call this non-responders.Only five percent of individuals are non-responders. There is also called a refractory sprue this is when someone does not respond to the gluten free diet or has responded and over some time has slipped back and stopped working so the patient has the same symptoms as they did before. There are two types of refractory sprue. Type one is a normal population of intraepithelial lymphocytes. Type two is an premalignant population of intraepithelial lymphocytes based upon clonality analysis of t-cell receptors and immunophenotyping. Type one can never lead to type two, a patient either has one or the other.Type one also has a higher survival rate of a five year study. This disease is a slowly growing disease. Now we find in some areas in the populations that it can be higher than one i n two hundred and fifty people. Celiac disease is a digestive condition triggered by consumption of the protein gluten. Many individuals will experience an immune reaction to the gluten that is digested. These proteins are mainly found in bread, pasta, and many different foods that contain wheat, barley and rye. Some foods that contain gluten that are over looked are brown rice syrup, energy bars, mitation seafood, processed luncheon meats and many more. When we experience a patient that doesn’t obey the gluten free diet they could do cause damage to the inner surface of the small intestine and not have the ability to absorb certain proteins that the body needs. There are four types of celiac disease. Type one has an increase in T- cell receptor intraepithelial lymphocytes. The symptoms of this type are malnutrition and weight loss with no symptoms of gastrointestinal symptoms. Type two has enlarged crypts along with the intraepithelial lymphocytes.Type one and two are the on ly types that can be treated. Type three is present in all symptomatic patients, but many patients with this lesion are asymptomatic. Type four is irreversible and is found in patients who do not respond to gluten withdrawal and in patients with lymphoma (schaffner,small-bowel and bacterial overgrowth 2006 pg. 100). The one way to diagnose a patient with celiac is to do an upper endoscopy and take a biopsy. To get the most accurate diagnosis is to biopsy the jejunal mucosa in the small intestine. They can also do serologic testing. It tests the IgA antigliadin antibody levels.They mostly use this test to see if the gluten free diet is working. Patients with celiac disease have a higher chance of lymphoproliferative disease and gastrointestinal then the average person. Studies have proven that a person with celiac is more likely to develop other autoimmune disorders like type one diabetes mellitus, and connective tissue disease. Mothers that have not been diagnosed with the disease c ould have low birth weight newborns and preterm birth compared to the mothers that have already been diagnosed with the disease. The treatment for celiac disease is gluten free diet.Gluten is a protein in a variety of foods. Oats have no gluten, but often cause problems for patients. They should limit the amount of oats they consume a day about fifty to sixty grams. The number one rule in this diet is to avoid wheat, rye, and barley completely. Always make sure the label is read on items carefully, they find ways to put gluten in different places. The safe things to eat are fresh vegetables, fruits, meats, fish, and eggs. Almost all foods in grocery stores have foods that have been mixed with gluten containing grains, additives, and preservatives.This makes it hard to find things in grocery stores. Now that this disease has become more noticeable in the communities, patients can find gluten free items in selected grocery stores. With our economy today some patients are unfortunate a nd cannot afford this gluten free food. For example a loaf of bread with gluten cost no more than three dollars, for a gluten free loaf of bread it cost six. This is doubling the prices on food. So I am sure there are organizations out there that will help someone provide food for themselves or for their children.Everyone has to watch out for cross contamination if our bread was cooked in the same baking pan as the gluten free bread was the patient with celiac disease would probably have a reaction to this. This is a very hard diet and it takes a lot of getting use too. If the patient looks at this diet in a positive way it will come easier to them. Approximately seventy percent of patients have noticeable clinical improvement within two weeks (Ciclitira, MD, PhD, FRCPJ; Lamont, MD; Grover, MD MPH; Up to date, 2012 www. uptodate. com).Once a patient reaches remission stage in the diet, some patients are able to consume little amounts of gluten and tolerate it and some have to stay o n the diet from then on. A patient should be evaluated four to six weeks after starting the gluten free diet to have a complete blood count, folate, B12, iron studies, liver chemistries, and serologic testing to see how they are doing and making sure nothing else is wrong. A gluten free diet is the only treatment for celiac disease. So when a patient is a non-responder to the gluten free diet they could be in some danger.This is a rare thing that happens only in five percent are non-responders. Patients who do not respond fall in five categories. * Patients with poor compliance or inadvertent gluten ingestion * Patients with clinical or histologic features that overlap with celiac disease but are caused by other disorders * Patients with concurrent disorders * Patients with refractory sprue * Patients with ulcerative jejunitis or intestinal lymphoma The most common reason for non-responders is poor compliance or inadvertent gluten ingestion. These patients need to go to a specificit y trained dietitian.Patients with concurrent disorders should be considered in patient who despite apparent compliance, continue to have symptoms or do not have histologic improvements. Refractory sprue has two types. Type one is when there is a normal population of intraepithelial lymphocytes. Type two is when there is an aberrant or premalignant population of intraepithelial lymphocytes base upon conality analysis of t-cell receptors. Patients with type one have less severe presentation and a more better prognosis than patients with type two disease. Ciclitira, MD, PhD, FRCPJ; Lamont, MD; Grover, MD MPH; Up to date, 2012 www. uptodate. com ) On a five year study survival was higher in the type one group. In type two most deaths were due to the development of t-cell lymphoma. No patients with type one developed type two, so it doesn’t progress into one another. Refractory sprue can be severe and associate with progressive malabsorption and death (Ciclitira, MD, PhD, FRCPJ; L amont, MD; Grover, MD MPH; Up to date, 2012 www. uptodate. com). The cause of this is unknown.Ulcerative jejunitis and lymphoma should be considered in patients with refractory sprue unresponsive to glucocorticoids (Ciclitira, MD, PhD, FRCPJ; Lamont, MD; Grover, MD MPH; Up to date, 2012 www. uptodate. com). Patient with ulcerative jejunitis have multiple chronic benign appearing ulcers, most frequently in the jejunum. Patients could have recurrent symptoms of malabsorption, lassitude, anorexia, abdominal pain, diarrhea, fever despite being on a gluten free diet this disease is found in middle aged patients with underlying celiac disease. Celiac disease is a digestive condition triggered by consumption of the protein gluten.There is not a cure for this disease but there is a treatment. A gluten free diet is the treatment for this disease. It is a hard and intense diet to stick to. There are many complications that happen to the body when on a gluten free diet. The body doesn’t get enough vitamins and minerals. Gluten is any wheat, rye or barley. Ninety percent of the food that is eaten today has gluten in it at some degree. Very rare does a person not respond to a gluten free diet, they call this non-responders. The disease is a genetically inherited disease associated with the HL4 locus found on the arm of the chromosome six. schaffner,small-bowel and bacterial overgrowth 2006 pg. 99). We should have all of our family checked for this disease if someone in the family has had it. This is a disease this country is starting to see more and more. References Ciclitira, MD, PhD, FRCPJ; Lamont, MD; Grover, MD MPH; Up to date, 2012 www. uptodate. com Greenberger; Blumberg; Burakoff; current diagnosis & treatment;2009; McGraw Hill companies Hauser, MD; pardi, MD; Poterucha MD; mayo clinic gastroenterology and hepatology board review, second edition;2006

Comparison of U.S. & Other Health System Essay Example | Topics and Well Written Essays - 750 words

Comparison of U.S. & Other Health System - Essay Example However higher costs does not mean better quality of life, health statistics in Spain show higher life expectancies (82.2 years), lower mortality rates (10.9/1000), and overall lower incidences of population major diseases (diabetes:9.0%, cardiovascular diseases: 23.15%, obesity: 23.95%) compared to US [life expectancies (78.6 years) mortality rates (13.9/1000), major diseases (diabetes:10.85%, cardiovascular diseases: 15.6%, obesity: 31.7% ) (National Center for Health Statistics, 2013; World Health Organization, WHO, 2012). Differences come from lifestyle habits, the Spanish have an active lifestyle and Mediterranean diet, and the US a sedentary lifestyle coupled with unbalanced diet (Borkan, et al., 2010; The Department for Professional Employees, DPE, 2013; National Center for Health Statistics, 2013; WHO, 2012). Health Care Financing: Comparison between US and Spain The US has hybrid healthcare financing: government medical subsidy is combined with private or group insurance for payments: private funding ( insurance or individual’s out-of-pocket payments) amount up to 50% of the total health care spending, with the rest from federal (38%) and local or state funds (12%) (DPE, 2013). For Spain, after healthcare reform financing is also shared, but the government pays up to 74% of the expenses, the rest is paid by individuals or employers (Legido-Quigley, et al., 2013). Spanish healthcare relies more heavily on taxes than US healthcare, contributing to lower healthcare costs per person compared with the latter (WHO, 2012). Health Care Administration: Comparison between US and Spain The US principal agency in healthcare provision is the Department of Health and Human Services (HHS), which works with other agencies (e.g. Agency for Healthcare Research and Quality, Centers for Disease Control and Prevention, etc.) to improve the population’s health through research and development, establishment of quality standards, among others (National Center f or Health Statistics, 2013). In Spain the Spanish National Institute of Health (Instituto Nacional de Salud, INSALUD) similarly functions as the HHS in providing the public with quality health services, however unlike HHS it is decentralized and delegates power over regional health communities (Borkan, et al., 2010). Health Care Personnel and Facilities: Comparison between US and Spain Only around one-fifths of the healthcare facilities in the US are government-owned and the rest are private institutions, accounting for high healthcare costs per individual (DPE, 2013). A low physician-to-patient ratio of 24 physicians per 10,000 people promotes high healthcare costs but less quality services (Holtz, 2008; National Center for Health Statistics, 2013). In Spain, healthcare facilities are mostly government-owned and subsidized, and physicians and nurses are salaried, which reduce additional costs per individual (Borkan, et al., 2010). Also, services are better due to a higher physician -to-patient ratio, 39 per 10,000 persons (WHO, 2012). Access and Inequality Issues: Comparison between US and Spain US ranks first in terms of health care responsiveness due to its state-of-the-art health care delivery system, which contributes to an increase in preventable deaths (Holtz, 2008; WHO, 2012). Spain’

Restraints to Parliamentary Sovereignty Term Paper

Restraints to Parliamentary Sovereignty - Term Paper Example The concept of parliamentary sovereignty protects parliament from any interference or review of its enactments by the judiciary or any other body. Deepened integration with the European Union would require the United Kingdom to give primary importance to EU laws over local legislation, something that makes the British parliament uncomfortable. At the same time, there has been a criticism of the absence of any authority to review the enactments of the British parliament to ensure that civil rights and equity are not compromised. This paper critically analyzes the diverse arguments made with reference to parliamentary oversight and comments on how for parliament is free to legislate as it wishes compared to the past. The emergence of the concept of parliamentary sovereignty has been described as a necessity of a unique British political context in the early part of the twentieth century. The absolute power of the parliament recognized by this notion was meant to lend stability and credibility to the parliament (Saunders and Dziedzic, 2013). The authors explain that the traditional idea of parliamentary sovereignty articulated by A. V. Dicey was not intended to condone or protect any oppressive laws made by parliament. In fact, the idea was proposed on the assumption that a number of internal and external checks would automatically prevent the parliament from misusing its power and develop laws contrary to the interests of public opinion and wishes. Another assumption made by Dicey was that the legislative superiority of the parliament was akin to rule of law. Hence, through this assumption, the traditional concept of parliamentary sovereignty precludes any oversight role for the judiciary, which is a common feature in other countries such as the United States.  Ã‚  

How might a constructionist approach to gay, lesbian, bisexual or Essay

How might a constructionist approach to gay, lesbian, bisexual or trans persons differ from both a biological essentialist and a - Essay Example This paper analyses three approaches used understand these sexual orientations, namely constructionist approach, biological essentialist and a religious essentialist. Sexuality is an instinct or a natural drive that becomes inevitable a person’s biological make-up and seeks fulfillment through sexual activity. All essentialist approaches take the view that all genders, both male and female, have an essential nature as opposed to differing by various contingent or accidental features that result from social forces. These include biological essentialist and a religious essentialist approaches. From the perspective of the essential nature of a person, it is taken that the sexual preference of a person is natural and important/essential to the personality of the person. The essential nature entails caring and nurturing. This means that being a gay, lesbian, bisexual or trans person is a sign of aggression and selfishness (Clare 28). Biological essentialists take sex as a natural i nstinct required for reproduction purposes. This means that there is a relationship between the biological sex/gender and the sexuality of a person. This approach therefore considers being heterosexual as normal but considers gay, lesbian, bisexual or trans persons as unnatural and deviant.

U.S. Constitution In 1787 and Today Research Paper

U.S. Constitution In 1787 and Today - Research Paper Example In the United States, the senate voted for the change of rules that enabled the republican to prevent the president Barack Obama nominees for the top administrative posts (Abegg, 2013 p. 219). The senators approved the partisan measures that were to ban the filibuster so as to prevent the nominated personnel from being confirmed (Ford, 2013, p. 214). Harry Reid in his speech about supporting the measure, he accused the Republicans of preventing the nominees in the pursuit of unrelated legislative expectations or goal. Reid argued that the republicans used the filibuster laws weapon for preventing president Obama from choosing and appointing an executive representative and also, appointing the judges. The blocking of the filibuster law does seem constitutionally because, on the other hand, the filibuster acted as the weapon barrier to prevent the president from passing many bills, but they had a right to their opinion (Steffen, p. 202). After the law was blocked, the senator’s power was deducted from the senate to the president. The president was enacted with so much power than before the bill was changed in 2013. This law was mostly used by the republicans more tha n three times in November to block president Obama from confirming votes on the judges nominated to fill the vacancies on the United States for the Washington DC (The Guardian). Reid also argued that the Republicans objected the bills not because they do not have the qualifications, but just because they wanted just to undermine the government, they were elected to work for (Kenneth, 2013, p. 129). Senator Dan Coates reacted by saying he change of the rule was an idea of weakening the founding fathers of the democracy, and he said it was yet another power grabbing from the republicans. Senator Kelly Ayotte reacted to the rule by saying that the grab of the power is so much disappointing to all the republicans in the United State government, she said

Estimating Essay Example | Topics and Well Written Essays - 250 words

Estimating - Essay Example The accuracy of this method is approximated to be +2.5 or -2.5meters. Another method that can potentially be used is by comparing the picture of the Shrine with an object (in the same picture) whose height is known. For example, we can calculate the number of repeated times through which the Shrines doors can be arranged to reach the bell tower and then multiply our results by the average height of Shrine’s door. An average of 11 doors can fit into the Bells height and each door is approximated to be 3m tall. This means that the approximate height of the Shrines bell= 11 x3=33 meters above the ground. Lastly the height of the Bell can also be estimated using simple Trigonometry. Using a position with a known distance from the Shrine building, the height of the location of the Shrines tower can be calculated as Height=Tan (Angle) x the known distance. The accuracy of this method is often =0.5 or -0.5. In my opinion, trigonometry method is better than the other methods since it has minimal error. The total load exerted by the bell tower can be estimated using the formula Total load= load per floor x the number of stories. Since the bell tower is entirely constructed using concrete, the weight of the walls and floors can be estimated as W= area of floors and walls x average weight per squire meters. The average weight of concrete per cubic meters=2400kg. Each story can be approximated to be 3 x 3 x10= 90m3. there are 8 floors each 3 x 3=72m3. =(90 x6)m3 +