A Guide to Similes vs. Metaphors - Freewrite Store

A Guide to Similes vs. Metaphors - Freewrite Store A picture is worth a thousand words. It’s an old saying that means you can convey a lot of information with a single image.  As a writer, you generally don’t have the benefit of imagery to go along with your words, so instead, you need to find simple and effective ways to paint vivid mental pictures for your readers. Ideally, you want your writing to be richly descriptive without using long-winded explanations. One way to do this is with the use of similes and metaphors. Both are ways of describing something by comparing it to something else, but there’s one subtle difference: A simile is when you say something is like something else. A metaphor is when you say something is something else. The best way to understand each method is to examine some examples. Similes â€Å"All at once he sprang into jerky agitation, like one of those flat wooden figures that are worked by a string.† (from Lord Jim by Joseph Conrad) Remember those toys? Their limbs had joints at the shoulders, elbows, hips and knees. One pull on the string dangling down from their back would cause their arms and legs to fly in all directions. By applying this mental image to a human body, you can clearly picture the action that Joseph Conrad was describing. â€Å"By this time Scarlett was boiling, ready to rear like a horse at the touch of a strange rough hand on its bridle.† (from Gone With The Wind by Margaret Mitchell) Margaret Mitchell could have said â€Å"Scarlett was very angry,† but by comparing her to an easily-startled horse, she has conveyed the explosive nature of the emotion simmering just under the surface, ready to burst out at the slightest provocation. â€Å"The guinea pigs, awake and nibbling, were making a sound like that of a wet cloth rubbed on glass in window-cleaning.† (from Arrowsmith by Sinclair Lewis) Anyone who has cleaned a window knows the distinctive noise that comes from the friction of a damp cloth on the glass. This quirky simile makes the sentence much more interesting than if Sinclair Lewis had merely said the guinea pigs were squeaking. â€Å"I had no choice but to hobble like an off-balance giraffe on my one flat, one four-inch heel arrangement.† (from The Devil Wears Prada by Lauren Weisberger) The use of a giraffe in this simile is perfect because it’s so easy to picture its long, gangly legs, and the way that a baby giraffe struggles to control its limbs when it first gets up after being born. As you can see from these examples, the object that the writer uses as a comparison is something that is easily identifiable to the reader, and that creates a distinct mental image, engaging the reader’s memory and imagination. Metaphors â€Å"Life is a highway.† (from the song by Tom Cochrane)â€Å"Life is a rollercoaster.† (from the song by Ronan Keating) Obviously, life is not actually a highway or a rollercoaster, but both these metaphors convey the fact that life is a long, twisting journey that has highs and lows. Both highways and rollercoasters conjure up images of adventure, excitement, fear, elation, beginnings and destinations. They’re both something that you travel on, and they present you with diverse experiences along the way. For comparison, the movie Forrest Gump contains the famous simile, â€Å"life is like a box of chocolates.† â€Å"Love is a snowmobile racing across the tundra, and then suddenly it flips over, pinning you underneath.† (from Matt Groening, The Big Book of Hell) While comparing love to a snowmobile crash might seem an unusual metaphor, it’s an effective one. It’s suggesting the rush and the exhilaration as you speed across the snow is much like the joyous out-of-control feeling when you fall head over heels for someone. Then, before you know it, the shock of commitment hits and suddenly you feel trapped. â€Å"Mr. Neck storms into class, a bull chasing thirty-three red flags." (from Speak by Laurie Anderson) While Mr. Neck isn’t really a bull, the imagery of him acting like one is highly evocative – wild eyes, flaring nostrils, huffing and puffing, each of his thirty-three students a red flag causing his rage. â€Å"‘Life,’ wrote a friend of mine, ‘is a public performance on the violin, in which you must learn the instrument as you go along.’† (from A Room with a View by E.M. Forster) If you’ve ever listened to a novice violinist, you’re probably familiar with the painful screeching noise that often accompanies their early attempts at music. The violin is notoriously hard to learn and can take many years to master, but the results can be glorious if you put enough work in, which makes it an excellent metaphor for life. â€Å"What light through yonder window breaks? It is the East, and Juliet is the sun!† (from Romeo and Juliet by William Shakespeare) No, Juliet is not a flaming ball of gas. The sun definitely is – but it’s much more than that. It’s the source of all life. It provides solar energy to feed plants which in turn feed other creatures and create oxygen. It governs the water cycle in our atmosphere. Without the sun, we’d cease to exist. And that’s how Romeo feels about Juliet. She is everything to him, and he cannot survive without her. William Shakespeare could have used a simile and said that Juliet was like the sun, suggesting she was radiant and beautiful, but that would have been much less powerful. How to use similes and metaphors Sophie opened the back door and stepped into the garden. It was hot and humid. Now, let’s use a simile and a metaphor to describe the same event. Simile: Sophie opened the back door and stepped into the garden. It was like walking into a sauna. Metaphor: Sophie opened the back door and stepped outside. The garden was a sauna. Either method works well and is more interesting than just stating it was hot and humid. The simile and metaphor both encourage the reader to recall the feeling of entering a sauna – the oppressive, close, muggy heat that makes sweat trickle down your back without evaporating. When you’re using similes and metaphors, there are a few things you need to avoid: 1. Awkward Comparisons If you say, â€Å"the smell hit me like falling rock†, it sounds awkward because a smell is not a physical object, and because smells don’t drop from the sky. 2. Overused Cliches A lot of similes and metaphors are clichà ©s, and these should be used very sparingly. A few examples: Dead as a dodo Stubborn as a bull Quiet as a mouse Raining cats and dogs The calm before the storm 3. Mixed metaphors A mixed metaphor is where you combine two or more incompatible metaphors, often with ridiculous results. â€Å"Sir, I smell a rat; I see him forming in the air and darkening the sky, but I'll nip him in the bud.† (attributed to Sir Boyle Roche) â€Å"Yes, you just like to play the cool Will Truman while I'm all the intense crazy one. Well, once the bowling shoe is on the other foot, look who's the good cop and look who's the bad cop.† (Grace Adler from Will Grace) â€Å"'I don't like it. When you open that Pandora's box, you will find it full of Trojan horses.† (Ernest Bevin, Labour Foreign Secretary) 4. Overuse Like all good things, similes and metaphors should be used in moderation. If you’re using several per paragraph, that’s probably too many. Use them conservatively for maximum effect. That's everything you need to know about when to use metaphors vs. similes in your writing.   Do you have a metaphor or simile that you are particularly proud of?   Let us know in the comments below!         About the author: Claire Wilkins is a freelance copywriter and editor from New Zealand. She loves to write about travel, health, home, and proper punctuation. After a career in financial services spanning almost three decades, Claire left the corporate world behind to start Unmistakable - her writing and editing business. She creates website copy, blogs, and newsletters for creative agencies and small businesses, and  specialises  in polishing existing content until it shines. In her spare time, Claire enjoys cloud-spotting, singing in the car and editing video.

Interpret Research on Decomposition Analysis Paper

Interpret on Decomposition Analysis - Research Paper Example The relationship between return on assets and return on equity is that return of assets shows how profitable a company is before they consider giving advantage to investments, hence two thirds of the DuPont equation of measuring return of quality is comprised up of return on assets. (Peppers, 2005, pp 124) Net Income ROA = Value of assets Return on assets and return on help in calculating the rate of growth of a company. The value of return on assets helps in calculating the internal growth rate of a company. Internal growth rate is the maximum rate of growth that a company can achieve without getting help from external financing. It therefore tells how independent a company is. The value of the return on equity helps in determining the sustainable growth rate of a company; this is the maximum attainable income of a company with the inclusion of assets and investments. This gives the potential of the company with the exploitation of all avenues of income generation. Capital intensity is the current status of funds available in the company with the consideration of other factors in the company such as labor and other forms of production. Companies that use heavy machinery and have many laborers do work that is more effective; hence, an increase in the capital intensity increases the labor productivity. Companies that use so much initial investment always get lower return on assets than those, which use less initial investment funds; however, increased productivity makes the company have a greater growth rate. Quantitatively, capital intensity is the ratio of total value of capital equipment to the total potential output of the company. (Masterman, 2007, pp 47). The world’s leading car-manufacturing company, Toyota, use the JIT production method. The JIT production method involves, the processes of waste elimination participative culture of work, and, continuous improvement of quality of production hence by using this system, Toyota reduce the need for raw materials, this in many ways increase the returns on quality of the company because less money is used in the production expenses of the company. This also minimizes wastes hence more economical in that the company does not spend on ways of ways of waste disposal. The Kanban system is the control unit of the JIT it implements everything that happens in the system. This helps in making sure that there are no any early or late productions in the company. The efficient method of production that Toyota uses makes it the largest vehicle producing company in the world. Though there has been a falling trend in the sales of the vehicles, this is mainly due to external causes in the market, the sales mainly fell in the country, and the drop in production was by 11.7%. Outside Japan, the sales improved and went up by 6.2%. The policy of minimum wastage and efficient production ensures that the production and sales remain high. The return on quality remains high (Tracey, 2008, pp 54). Honda i s a Japan based motor p[production company. recently Honda made their all time biggest production quantity of all time. Hondas strategy of production and marketing is different from that of Toyota, while Toyota mainly majors in the production of motor vehicles, Honda, on the other side has a diversity of products from vehicles to motorbikes, they even produce robots, in fact, Honda produced the only human robot that can walk up and down a

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Critical summaries (language, culture& society) (langustics department) - Essay Example Starting from 60s, researchers indicated inequalities among students who attend Universities. At that time 80% were white students and only 10% were black students (Francis, Kelly and Bell, 1994). The main focus of this article is the role linguistic speech codes play in students’ performance. Bernstein differentiates between ‘restricted speech code’ of low class of students and ‘elaborated code’ which refers to students from higher class. Thus, a set of words used by the latter group of students is more flexible and meets the requirements of academic education. A further discussion refers to Deconstruction theory, which relates texts of the world as being reflected in our consciousness. The authors of the article make an attempt to argue to the existent scientific canon of approaches to relation of students’ performance and language codes. They claim about a necessity to develop heterogeneous students’ body set in the limits of â€Å"p eople's history and experience situated in geography of other identities, peoples, cultures, and then to study how, despite their differences, they have overlapped one another, and are mixed together† (Francis, Kelly and Bell, 1994). This article is a modern perspective on pedagogical challenge on a new role language plays in the education process. It is not an indicator of socio-cultural differences, but a facilitator to overcome these differences and to integrate them. Language and development   In the article â€Å"Model Standards for English Language Development: National trends and a Local Response† by Terrence G. Wiley and Elizabeth Hartung-Cole, current tendencies in English learning for non-native speakers of English are discussed. On the one hand, English standards developed on the international level take into account the issue of language diversity. On the other hand, this is not enough and it is relevant to develop standards especially for non-native speak ers of English. The issue of what language standard really means has been discussed by researchers for a long period of time. Nevertheless, a crucial importance of language standard can’t be questioned. The authors introduce a concept of ‘over-prespecification’ between the curriculum and learning process (Wiley and Hartung-Cole, 2002). This concept implies a necessity to take into account external knowledge and abilities of students. Current development of English standard should be conducted in a socio-cultural context. Therefore, the authors agree with the fact that administrative training of teachers and gaining proper background knowledge about non-native speakers of English are crucial for further development of English standards on national and on local levels. Not individual students and the level of their performance should be concernd, but heterogeneous body of students. These tendencies are caused by the world’s tendencies for globalization and o verall integration. Consequently, it is relevant to develop universal model standard efficient for native and non-native speakers of English. Multilingualism and Bilingualism   The article â€Å"Bilingualism, Cultural Transmutation, and Fields of Coexistence: California's Spanish Language Legacy† by Sara Garcia is of high relevance nowadays. Different nations tend to integration and successful coexistence. On the example of English Only programs in California a national attitude to bilinguals in America is discussed. A language behavior of Spanish/English bilinguals is developed under the

The Disorders Of Homeostasis Health And Social Care Essay

The Disorders Of Homeostasis Health And Social Care Essay This assignment will discuss the changes of normal  social,  physical, biochemical and physiological  functions of a disease process of chronic obstructive pulmonary disease (COPD). This is a term used for a number of conditions; including chronic bronchitis and emphysema. COPD leads to damaged airways in the lungs, causing them to become narrower and making it harder for air to get in and out of the lungs. The word chronic means that the problem is long-term. COPD is a condition which mainly affects people over the age of 40, and COPD has a higher prevalence occurring among women than men (NHS-Choices, 2008). COPD is also a condition that is long term and incurable that can have a serious affects on health and quality of life, its not fully understood why COPD develops. (Marieb, 2003). The student will also incorporate local and national health and social policies, including frameworks that are in place in relation to the patients illness. The student identified a patient named Mrs J. She was admitted to hospital due to exacerbation of COPD. Her primary diagnosis is Osteoarthritis of the Hip but also had symptoms of emphysema. Mrs J is a 55 year old woman and is married, Mrs J also has an older child of 34 whom she has become quite dependant on and felt like she had impacted on her childs life and had become a hindrances. Mrs J has become more breathless as her condition develops over time and more so while she was lying in bed unable to carry out her daily activities such as doing the housework, leisure activities, also looking after her appearance as she normally would have done at home . COPD is becoming one of the fastest leading causes of disability (NHS choices, 2008). According to British Lung Foundation, (2010) a recent survey, 83% of COPD patients said their COPD slows them down, 79% said they had to cut down their activities and 56% said their condition has a great affect on their families. COPD is the most common respiratory conditions in adults in the developed world and poses an enormous burden to society both in terms of direct cost to the healthcare services and indirect costs to society through loss of productivity. Recent analysis estimated that National Health Service (NHS) spends  £818 million annually in the United Kingdom (UK). (British Thoracic Society, 2006). However 50% of the cost is accounted for by poorly managed exacerbations resulting in frequent re-admissions to hospital (Coakley Ruston, 2001). COPD is a chronic inflammatory condition of the lungs that causes the respiratory passages to be swollen and irritated, increases the mucus production and damaging the lungs. (Marieb, 2003). COPD develops when irritants are breathed into the airway and down the bronchial tubes. Normally, oxygen is passed through the bronchioles into the alveoli, tiny hollow sack-like structures in the lungs where oxygen is absorbed in to the bloodstream. When air is mixed with smoke or irritants, it will damage the lungs and the ability to take enough oxygen in (NHS-Choices, 2008). Mrs J condition would of been triggered by her heavy smoking, the toxins from her cigarettes has made her bronchioles (airway and lungs) become inflamed and narrowing the airway, this will lead to irreversible damage to the respiratory system by obstructing the bronchial airflow and hindering gaseous exchange within the alveoli (Munden, J, 2007). Mrs J suffers from many symptoms due to her smoking these include shortness of breath, a persistent cough, yellowish green sputum, signs of cyanosis to her lips, also Mrs J has continued to smoke as she thinks the damage has already been done so her condition. The vast majority of COPD patients are smokers. By stopping smoking patients can slow the rate of decline in lung function and thus improve the patients prospects in terms of symptoms and survival. The NICE guidance recommends that short-acting bronchodilators should be used for the initial treatment for breathlessness and exercise limitation and goes on to say that, if this isnt having an effect then the treatment should be intensified using either a long-acting bronchodilator or a combined therapy with a short acting beta2-agonist and a short-acting anticholinergic. The respiratory system is the major part for gases exchange to take place, it allows takes the air that enters are bodies when we inhale and travels through the respiratory system, exchanging oxygen for carbon dioxide and expels carbon dioxide when we exhale (munden, J, 2007). Mrs J has been smoking now for 45 years and on an average day having up to 40 cigarettes a day and is not prepared to quit as she feels the damage is already done. Mrs J smokes for comfort and feels that its all for her pleasure, she has become very isolated, her chronic bronchitis makes her breathless when doing actives and is not able to do her daily activities therefore is becoming depressed. Do this having a huge impact on her mental and social parts of her life. Patients like Mrs J with airflow limitation clinically they have become known as pink puffers and blue bloaters (Kleinschmidt, 2008). Patients with COPD have traditionally been divided into  pink puffers  and  blue bloaters  based on their physiological response to abnormal blood gases.  The former work hard to maintain a normal pO2  which is why they puff away. They tend to have a barrel-shaped, hyper inflated chest and breathe through pursed lips. The latter are blue because of hypoxia and polycythaemia. They are often obese and have water retention. This is why they are bloated. The  blue bloaters  are dependent upon hypoxia for their respiratory drive and to give oxygen and deprive them of this will lead to significant  hypercapnia  and acid base imbalance. (MedicineNet, 1996 2010) Mrs J falls under the term blue bloaters as she linked to chronic bronchitis due to cyanosis which causes a blue tinge to the lips, which occurs from poor gas exchange. Airway Smooth Muscle in Asthma and COPD: Biology and Pharmacology  by Prof. Kian Fan Chung pink puffers has been linked to emphysema as the patients may be showing signs of weight loss, using their accessory muscles with pursed lips giving them a reddish complexion, they may also adopt the tripod sitting position (Kleinschmidt, 2008). Although these conditions separate the patient may present with slight variations of them both, however they do differentiate through their underlying process, signs and symptoms (Bellamy Booker, 2004). The respiratory system can be separated into a conducting and a respiratory portion. The conducting portion consists of the air-transmitting passages of the nose, nasopharynx, larynx, trachea, bronchi and bronchioles. This part of the respiratory system serves to filter, warm and humidify air on its way to the lungs. Principles of Anatomy and Physiology by Gerard J. Tortora, and Bryan H. Specialized portions of the conducting system also serve other functions, e.g., the nose in the sense of smell, the pharynx in alimentation, and the larynx in phonation. The actual exchange of gases occurs in the respiratory portion which consists of the respiratory bronchioles, alveolar ducts and sacs and alveoli. Ross and Wilson Anatomy and Physiology in Health and Illness. Principles of Anatomy and Physiology by Gerard J. Tortora, and Bryan H. Derrickson   There are two separate arterial systems in the lungs, the pulmonary arteries which carry deoxygenated blood, follow the respiratory passages and end in capillaries in alveolar walls, and the bronchial arteries which carry oxygenated blood. (Ross and Wilson,2009). The lungs are richly supplied with lymphatic vessels, which are organized into two sets a deep set that accompanies the pulmonary vessels and airways and a superficial set that lies beneath the visceral and parietal pleura. Little or no anatomises occurs between the two plexus except in the region of the hilum. (SUNY Downstate Medical Center, 2008) The lung is the organ for gas exchange; it transfers oxygen from the air into the blood and carbon dioxide from the blood into the air. To accomplish gas exchange the lung has two components, airways and alveoli. The airways are branching, tubular passages like the branches of a tree that allow air to move in and out of the lungs. The wider segments of the airways are the trachea and the two bronchi. The smaller segments are called bronchioles. At the ends of the bronchioles are the alveoli, thin-walled sacs. Small blood vessels (capillaries) run in the walls of the alveoli, and it is across the thin walls of the alveoli where gas exchange between air and blood takes place. 1996-2010 MedicineNet, http://www.medicinenet.com/chronic_obstructive_pulmonary_disease_copd/article.htm Airways and air sacs within the lungs are elasticised, with the air we breathe the lungs will change shape with inhalation they expand and return to the normal shape after they have been stretched with full of air. With in the Lining the of the nasal cavity is a mucous membrane full of blood vessels, with the many blood vessels this enable the nose to warm and humidify the incoming air quickly. Cells in the mucous membrane produce mucus and have tiny hair like projections (cilia). Usually, the mucus traps incoming dirt particles, which are then moved by the cilia toward the front of the nose or down the throat to be removed from the airway. This action helps clean the air before it goes to the lungs. Ciliated Columnar Epithelium which contains goblet cells and cilia, the goblet cells are responsible for secreting mucus which is able to trap the finer particles from inspired air and the cilia which are fine hairs to trap particles from going into the respiratory track. The cilia carrys the particles by a sweeping the mouth or nose where it can then be swallowed, coughed or sneezed out of the body (Munden, 2007). The two major sources of mucus secretion in the respiratory tract are the surface epithelial goblet cells and mucous cells. In lungs, goblet cells are present in the large bronchi, becoming increasingly thin toward the bronchioles. The sub mucosal glands are in the airways with the thickness decreasing with airway quality. With COPD, sub mucosal glands increase in size (hypertrophy), and the number of goblet cells will increased (hyperplasia) (Rogers, Jackson, 2001). The increased of goblet cells to ciliated cells will cause thickness in the bronchioles, this then impairs clearance of mucus. Patients affected by COPD also show the presence of edema, which can further reduce airway size and compromise the lung function. (Postma and Kerstjens, 1998). In clinical studies, these inflammatory parameters have been shown to correlate with a reduction lung function and an exaggerated bronchoconstriction (Postma and Kerstjens, 1998). The goblet cells are replaced within the small airways (bronchi) with Clara cells they are another form of secreting cell that are form ciliated cells and to help renew the bronchiolar epithelium, they produce hypophase component and a protease inhibitor these help protect the lungs by clearing foreign bodys from the airway (Stokley et al, 2006) Gasses exchange in the lung takes places in the airway with in the alveoli, The largest airway is the windpipe (trachea), this then branches into two smaller airways; the left and right bronchi, At the end of each bronchiole are thousands of small air sacs (alveoli) the walls are a thick network of tiny blood vessels called capillaries. The thin barrier between air and capillaries allows oxygen to move from the alveoli to the blood and allows carbon dioxide to move from the blood to the capillaries into the alveoli (Matterporth Matfin, 2009). Mr J has a poor respiratory drive due to having poor ventilation on the lungs. Hypoxemia and hypercapnia can take place due to the poor ventilation, hypoxia in Patients with COPD like Mrs J have raised CO2  levels and  depend  on a deficiency of oxygen (hypoxia) to encourage respiration. They will develop increased CO2  retention,  respiratory acidosis  and subsequently will require mechanical ventilation (oxygen). It also causes the kidneys to produce erthpoietin which stimulates excessive red blood cell production as Mrs J has poor ventilation intake the blood cells are not fully oxygenated there for cyanosis can occurs (Munden, J, 2007).This has lead to hypercapnia due to raised carbon dioxide levels resulting from suppression of hypoxic ventilation drive. However, this understanding does not account for the many factors that contribute to the control of breathing in patients, and has resulted in oxygen being withheld inappropriately from some patients with acute respi ratory failure.   (Brooker Nicol, 2004). Mrs J has lent to live in hypoxic drive as she has made adjustments in her life and has lived like this for 4 years now and has become normal to her. Mrs J has sensitivity to falling oxygen levels rather than raised carbon dioxide (Brooker Nicol, 2004). A higher level of oxygen within Mrs Js system reduces the stimulus to breath therefore inducing carbon dioxide maintenance (Walsh Crumbie, 2007). Emphysema occurs when the air sacs at the ends of your bronchioles gradually gets destroyed, smoking is the leading cause of emphysema. Resulting in the air sacs (alveoli), in the lungs becoming over stretched making their thin walls tear, there for losing the lung tissue and elasticity. The lungs cannot expand or contract fully, and so become less efficient when breathing. (McCance Huether, 2006)   As the condition worsens, emphysema turns the air sacs which are like a bunch of grapes to become enlarged, irregular pockets with gaping holes in their inner walls; this reduces the number of air sacs and keeps some oxygen entering the lungs from reaching the bloodstream (Munden, J, 2007). This makes you try and breathe harder as insufficient oxygen is not getting into our airways. Our bodies compensates by lowering cardiac output and we then begin to hyperventilate, which then results in limited blood flow through fairly well oxygenated lungs this is in contrast to chronic bronchitis (Brooker Nicol, 2004). Due to low cardiac output in Mrs Js body it will tend to suffer from tissue hypoxia leading to weight loss or muscle wasting (McClance Huether, 2006). Mrs Js chronic bronchitis is a Type 2 respiratory failure; this refers to hypercapnoea, which is a presence of an abnormally high level of carbon dioxide in the blood steam, which can occur with or without hypoxia. This type of respiratory failure is caused by a decline the amount of gas inhaled and exhaled (Higgins,D., Guest,J, 2008). Respiratory failure occurs when alveolar ventilation is ineffective to expel carbon dioxide in the body. Poor ventilation is due to reduced ventilation effort, it affects the lung as a whole, there for carbon dioxide accumulates in the lungs this could deadly if it is not treated (Partridge, 2006). This process is seen in patients such as Mrs J with COPD and can be made more aggressive by an illness (Higgins,D., Guest,J, 2008). Mrs J views her quality of life as poor and hates getting up in the mornings, this is because Mrs J becoming breathless and not being able to fulfil her daily activities. COPD can leave patients feeling anxious and suffering from panic attacks (Christen Antoni, 2000). Mrs J feels frightened becoming breathless as she has had frequent admissions of exacerbation with long stays in hospital, exacerbations is a increased case of breathlessness and sputum experience and very distressing for patients and disruptive to their lives (Alaxander,Fawcett Runciman, 2006). Because of Mrs J being short of breath she feels very lonely and isolated, Mrs J has now got a low self esteem and self confidence this has been induced by her affects of the disease, any activities such as washing, dressing and shopping has become quite dependant on her family in these tasks and feels helpless and a burden to them. The psychological affects of living with COPD can be overwhelming the anxiety and panic levels are very high as Mrs J is living in constant fear and frustration each day of the affects of the illness. COPD patients tend to have a high prevalence rate of clinical depression (N, Haynes, 2000). Depression is very common in COPD patients, around 40% are affected by severe depressive symptoms or clinical depression (Henriksen,A, 2008). Since Mrs J has been diagnosed she has had to make some psychological adjustments, she has some challenges ahead of her such as maintaining her ADLs i.e. self image and personal hygiene. Mrs J feels weak and drained on any activities she does due to breathlessness, most of the time she has to rely on her husband and family to meet these needs and has become dependant upon them; this can lead to activation of negative self image which has lasting changes to the patient (Christen Antoni, 2000). Mrs J feels that dealing with her chronic illness she has had to challenge her own self worth, her own sense of vulnerability and to think of what the future has in hold for her (N, Haynes, 2000). COPD may also adversely affect Mrs J self image which is negatively stigmatised her self inflicted this illness on her self due to smoking (Gore et al, 2000). Stigma has had a huge impact on Mrs Js low self esteem as she has smoked most of her life and has caused her condition to progress, so she only has herself to blame. Having low self esteem can be very difficult for some patients to handle as is plays a role in their lives (Christen Antoni, 2000). The more inactive Mrs J will becomes it will decrease her self esteem and can have an impact on her well being (Haynes, 2000). Mrs J also thinks that she has become depressed due to her condition which has had a huge impact on her quality of life with has lead to isolation and dependant on family and friends (Barnett, 2008). COPD patients are being stigmatized in todays society, this disabling condition has been linked to poor lifestyle changes and people that have smoked (Bartolame, Berger, 2009). Patients with COPD feel stigmatised due to medical profession as they have been labelled under pink puffers and blue bloaters this can have a negative impact on their image (Johnson et al, 2007). Mrs J feels that the main reason that she has become isolated is that she is embarrassed by her visible side affect due to poor mobility and breathlessness. COPD research has mainly focused on the medical side rather than the social impact of the disease. This neglect is seen as patients are not prepared for wider social attitudes of smoking related to their illness and has been looked at as self infliction and avoidable conditions creating stigma which is attached to the disease (Johnson et al, 2007). The National Clinical Strategy for COPD is currently being developed by the Department of Health. This was previously known as the National Service Framework (NSF). Following the Darzi report which stated that high quality for all this was based upon ways to reshape and improve the NHS. The National Clinical Strategy will address the lack of awareness of COPD and also focus on the undiagnosed or inaccurately and also making clear pathways for those diagnosed. (NICE, 2004). NICE guidelines on COPD Cover a full range of care that should be available from the NHS to adults like Mrs J who has this illness and to have the appropriate support and treatments this includes smoking cessation, pulmonary rehabilitation and management of exacerbations and to have easy access to these services (NICE, 2008). COPD has had a huge negative impact on Mrs Js life she has had to overcome challenges due to her COPD such as her basic day to day activities, by making some adjustments to meet these tasks. With Mrs J disabling disease this has lead to loss of function, low self confidence and has become socially isolated in her own home due to her clinical depression (Brooker, 2005). Alexander, M. F., Fawcett, J., Runciman, P. J., (Eds.). (2006). Nursing practice: The adult hospital and home. (3rd ed.). Edinburgh: Churchill Livingstone. Barnett, M. (2008). Management of end stage chronic obstructive pulmonary disease. British Journal of Nursing, 17(22),1390 1394. Barr, R. G. Bourbeau, J, Camargo C. A. Inhaled tiotropium for stable chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2005 Apr 18;(2) Bartolame, A., Berger, R. (2009). Blaming the patient. Retrieved 2nd February 2010 website: http://www.breathingbetterlivingwell.com/lofiversion/index.php/t6895.htm Bellamy, D., Booker, R. (Eds.). (2004). Chronic obstructive pulmonary disease in primary care: All you need to know to manage COPD in your practice. (3rd ed.). London: Class publishing. Bellamy, D., Brooker, R. (2004). Chronic obstructive pulmonary disease in primary care. Journal of Community Nursing, 23(4), 24-25. British Lung Foundation. (2007). The affect of the disease of COPD. Retrieved 14th January 2010 website: http://www.lung.uk.org/you-and-your-lungs/conditions-and-diseases/copd.htm British Lung Foundation. (2010). The National Strategy for COPD. Retrieved 7th February 2010 website: http://www.lunguk.org/media-and-campaigning/campaigns/what-is-the-national-strategy-for-copd British Thoracic Society. (2006).The burden of lung disease and statistics report. Journal of Community Nursing, 22(7) 25-26. Britton, M. The burden of COPD in the U.K.: results from the Confronting COPD survey.;  Respir Med.2003 Brooker, C., Nicol, M. (Eds.). (2004). Nursing adults: The practice of caring. (3rd ed.). Edinburgh: Mosby Elsevier. Brooker, R. (2005). Chronic obstructive pulmonary disease and NICE guidelines. Nursing Standards. 19(22), 43-52. Christen, A., Antoni, M. (Ed.). (2000). chronic physical disorders: Behavioural medicines perspective. Oxford: Blackwell publishing Ltd. Chronic obstructive pulmonary disease, NICE Clinical Guideline (2004);  Management of chronic obstructive pulmonary disease in adults in primary and secondary care Chronic obstructive pulmonary disease, NICE Clinical Guideline (2004);  Management of chronic obstructive pulmonary disease in adults in primary and secondary care Coakley, A. L., Ruston, A. (2001). Pulmonary disease and smoking: A case for health promotion. British Journal of Nursing. 10 (1), 20-24. COPD. BMJ Clinical Evidence.  www.clinicalevidence.com, accessed 10 June 2009 Global Initiative for Chronic Obstructive Lung Disease; September 2005. Gore, J. M., Brophy, C. J., Greenstone, M. A. (2000). How well do we care for patients with end stage chronic obstructive pulmonary disease (COPD)? A comparison of palliative care and quality of life in COPD and lung cancer. British Medical Journal: Thorax. 55,1000-1006. Guyton, A.C. and Hall, J.E. (2000) W.B. Saunders, Philadelphia; London. Haynes, N. (Ed.). (2000). Foundations of psychology, (3rd ed.). London: Thomson Learning. Henriksen, A. (2008). Statistics on clinical depression. Retrieved 2nd February 2010 website: http://www.medscape.com/viewarticle/586751 Higgins, D., Guest, J. (2008). Acute respiratory failure: Assessing patients. Retrieved 1st February 2010 website: http://www.nursingtimes.net/nursing-practice-clinical-research/acute-respiratory-failure-assessing-patients/1833932-article Johnson, J. L., Campbell, A. C., Bowers, M., Nichol, A. M. (2007). Understanding the social consequences of chronic obstructive pulmonary disease: effects of stigma and gender. The American Thoracic Society, 4:680-682. doi: 10.1513/pats.200706-0845d. Kleinschmidt, P. (2008). Chronic obstructive pulmonary disease and emphysema. Retrieved from Emedicine website: http://emedicine.medscape.com/article/807143-overview Lacasse, Y. Goldstein, R. Lasserson, T. J. Pulmonary rehabilitation for chronic obstructive pulmonary disease. 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Financial Engineering

Financial Engineering Introduction Many innovations are taking place in the place of arena of finance. Such innovations are collectively called financial innovation. Financial innovation is a process to adapt existing financial instruments and processes and to develop new one so as to enable financial market participants to cope more effectively with the changing world. In recent years fast developments are taking place in corporate and banking sectors. This has given birth to a new discipline which has come to called financial engineering.The term financial engineering was introduced by London banks. Financial engineering is the life blood of financial innovation. Financial Engineering Financial engineering  is a multidisciplinary field involving financial theory, the methods of engineering, the tools of mathematics and the practice of programming. [1]  It has also been defined as the application of technical methods, especially from  mathematical finance  and  computation al finance, in the practice of  finance. In the United States, financial engineering programs are accredited by the  International Association of Financial Engineers.Financial engineering draws on tools from  applied mathematics,  computer science,  statistics  and  economic theory. In broadest definition, anyone who uses technical tools in finance could be called a financial engineer, for example any  computer programmer  in a  bank  or any  statistician  in a government economic bureau. However, most practitioners restrict the term to someone educated in the full range of tools of modern finance and whose work is informed by financial theory. It is sometimes restricted even further, to cover only those originating new financial products and strategies.Financial Engineering refers to the bundling and unbundling of securities. This is done in order to maximize profits using different combinations of equity, futures, options, fixed income, and swaps. They ap ply theoretical finance and computer modeling skills to make pricing, hedging, trading and portfolio management decisions. Financial Engineers are prepared for careers in: * Investment Banking * Corporate Strategic Planning * Risk Management * Primary and Derivatives Securities Valuation * Financial Information Systems Management Portfolio Management * Security Trading Tools of financial engineering * Conceptual Tools It includes ideas and concepts on which finance as a subject is based. These includes valuation theory, portfolio theory, hedging theory, tax treatment etc. * Physical tools It includes the instruments and processes which can be combined together to accomplish some specific purposes. Factors contributing to the growth of Financial Engineering * Environmental Factors (External Factors) A) Change in price level B) Globalization of marketsC) Technological advancement D) Differential tax rates * Internal Factors A) Liquidity needs B) Risk aversion C) Agency Costs D) Accoun ting benefits Financial Reengineering Financial reengineering is the concept of 21st century. Really speaking, it is an evolving concept. It is an extension of financial engineering. Newer and newer developments are taking place now in finance and related fields. Hence the existing instruments and processes must reengineer to suit the changing environment. This gives birth to financial reengineering.

Ideas, Formulas and Shortcuts for Current Essay Topics 2015

Ideas, Formulas and Shortcuts for Current Essay Topics 2015 How to Find Current Essay Topics 2015 Online This type of process essay is easily split into a set of helpful directions. As an example, in college, you might be requested to compose a paper from the opposing perspective. Artistic interest and talent shouldn't go out of trend, however young or old a man or woman might be. Correct selection of topic and the acceptable process of writing are important. To begin, check you comprehend the next vocabulary. This process enables you to practice both the abilities and learn about these significant topics. Make sure you have sufficient time for revision. Besides regular essay instructions, a sample response is supplied for review. Even though the essay questions change, the topic of the essays often stays the same. Different essay types need various questions. As tempting as it might appear to skip past the extra info and go straight to the list of persuasive essay topi cs, don't do it. Moral argumentative essay topics are a few of the simplest to get carried away with. Inspiration to make your own advertising or media argumentative essay topics isn't difficult to discover. By doing this you're able to easily finish the descriptive paper. Categories, essay topics might be divided into. Researching the topic will enable you to find out more about what fascinates you, and should you pick something you truly like, writing the essay will be more enjoyable. Current Essay Topics 2015 for Dummies Droz If the money doesn't serve you, it is going to rule over you. Traveling overseas is among the most well-known topics since everybody is interested in finding new methods to minimize money exchange expenses and go far for less money. Many people think that cooking is an important life skill and ought to be taught to boys and girls in schools. When you're picking your topic, remember that it's much simpler to write about something which you presently have interest ineven in case you don't know a good deal about it. If you've already started your own Etsy business and you've been successful enough to guide others, then it's probably wise to talk about your expertise and experience. Pros and disadvantages of a cashless economy. The Current Essay Topics 2015 Game Research indicates people who weigh too much are more vulnerable to kidney stonesespecially men. In the majority of universities students concentrate on specialised subjects. Some people today think that students ought to be allowed to appraise and criticise their teachers to enhance the caliber of education. Some students find it challenging to write about themselves, but others find it a lot easier to examine their private life, in place of research ing an assigned topic. Some practical skills like money management needs to be taught at high school. Television is developing a new variant of culture The senior classes ought to be profiled Education for boys and girls ought to be separate Many individuals think the ideal way to travel is by car Activity is the sole method to knowledge The value of education is underestimated now. From time to time, technology can be hard to comprehend. Advertising and the media are now nearly inseparable from society for a whole. The Bad Secret of Current Essay Topics 2015 Possessing relevant vocabulary for each topic will provide you a huge advantage. To write a terrific argumentative essay the students first must investigate several sides of the argument, allowing them to make an educated stance. Do not seem through the topics before you opt for. Usually, relevant topics are the ones which have made headlines the past calendar year. When you are requested to opt for a great topic for your argument, start with something you're acquainted with. The main issue is that theme ought to have no less than two valid viewpoint. You'll have to back up your viewpoint with well-researched facts and data too. Select an individual scenario and go with this.

Choosing a Coursebook and Teaching Materials for ESL

Finding the right coursebook is one of the most important tasks a teacher needs to undertake. This quick guide will help you in your decision-making process and point you to some of the resources on this site that can help you find the right coursebooks and supplementary materials for your course. Tips Evaluate the makeup of your class. Important considerations include the age, final course (are the students going to take a test?), objectives, and whether the class is made up of students learning for work purposes or for a hobby.If you are teaching a standard test course (TOEFL, First Certificate, IELTS, etc.) you will need to choose a coursebook that specifically for these tests. In this case, make sure to choose the coursebook based on the age of the class. Dont choose a book that prepares for another test as these tests are very different in construction and objectives.If you are not teaching a standard test course, are you going to teach a standard syllabus or do you want to focus on a specific area such as conversation or making presentations?Standard syllabuses require books that will cover grammar, reading, writing, speaking, and listening skills.If you are teaching a non-standard syllabus class, maybe focusing on one skill set, youll need to get some resource books for your classroom work.If you would like to take a different, non-grammar based, approach then take a look at either the lexical approach (focusing on building language skills from vocabulary and linguistic forms) or the Brain friendly approach (focusing on bringing a wide variety of learning types into play).If you are going to teach a Business English or ESP (English for Specific Purposes) course you will need to not only find a standard special English book but also use the Internet as a means of finding specific information and content related to the industry.You may also want to consider using the software as a means of extending the possibilities in the classroom.