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Ap European History Summer Assignment 2012. Dustin Winski Jun 26th, 2012 AP Euro AP European History Summer Assignment 2012 Why did trade and travel decline after the fall of Rome? After the fall of Rome, with no government to supply protection or to keep the rads and bridges repaired, travel became difficult and dangerous. This danger, coupled with ignorance and lack of desire to change the situation by the powerful lords, whose manors required little trade, led to critical and literature-based the decline in travel and trade. Who was the first “Holy Roman Emperor” and how did he get that title? After restoring Pope Leo III in Rome from which he had been driven by invaders, Charlemagne was crowned by the Poe as “Emperor of the Romans”. The Frankish Kingdom them became known as the Holy Roman Empire, a name that would remain until the Empire was dissolved by Napoleon in 1806. What is the difference between the Roman Empire and essays the Holy Roman Empire? The Holy Roman Empire was started by and literature-based reading, Charlemagne and was centered in France. It was called the dali essays Holy Roman Empire#8221; due to the fact that the Pope crowned Charlemagne as the Emperor. What were the connections between “The Holy Roman Empire” and “The Church”?
The Holy Roman Empire was an endeavor by the Catholic Church and Christian kings to restore in their own image the crumbled remains of the critical and literature-based reading secular achievements of the ancient pagan Roman Empire. Correspondence And Report Pdf? Define feudalism and describe the characteristics of its organization. Feudalism was also a social and economics organization based on critical and literature-based reading a series of reciprocal relationships. The king in theory owned the land which he granted to lords who in return would give service, usually in the form of attention getters flies, military aid, to the king. For both, since the King#8217;s writ didn#8217;t extend directly through a country, they were often reliant on local governing mechanisms. In practice, that usually meant the thinking and literature-based reading nobility of the region involved, whose loyalty was to their own family and good for lord essay its privileges rather than to critical thinking and literature-based the monarchy. What were the benefits supposedly derived from the feudal system?
Who benefited the most? Feudal manors provided both political and correspondence social organization. They also were individual economics units , nearly self-sufficient due to medieval warfare, the difficulties to thinking and literature-based travel, and the resultant lack of trade. The feudal estate featured a manor-home, usually a fortified castle surrounded by protective walls, belonging to the lord, surrounded by fields, herds and villages where serfs lived and worked. What was the dissertation in cold blood importance of “The Church” and the Christian religion in thinking and literature-based reading, the lives of the Europeans in the Middle Ages? Religion and business writing pdf the after-life became the focal point of thought and living. The influence of religion can also clearly be seen in the art, architecture, literature, and music of the time. This was most likely cause because life was so hard on earth, the peasants endured it concentrating on and longing for their reward in the after-life. How did the ritual and sacraments of the Church establish a constant, ongoing relationship with its individual members? The believers of the Roman Catholic Church believed the seven sacraments kept an critical thinking and literature-based reading, individual constantly connected to rice God and the Church from birth to death.
The Church led the belief that one could only critical and literature-based reading get to heaven through good deeds and observing the essays sacraments. How did the Church us the powers of excommunication and interdiction in maintaining its power? The idea of excommunicating individuals kept people from observing the sacraments which gave them the ability to enter heaven. Also, whole geographic areas could be punished through interdiction which prohibited the performance of any of the sacraments in that district. And Literature-based? This made the Church more organized than any other political state in Europe. How was Education, learning and knowledge of Europe preserved during the lowest point of the Middle Ages, the so-called “Dark Ages”? Education was secured by the people being put into strict division of social classes most notably the Church, peasants, and the bourgeoisie. What was the dominant philosophy of the Middle Ages called?
Who was its most outstanding spokesman? What were its basic beliefs, and how did the philosophy view life and understanding? The dominant philosophy of the late Middle Ages was best articulated by St. Thomas Aquinas and known as scholasticism. Who belonged to each of the in cold three estates of medieval European society and what was the primary duty of a member of and literature-based reading, each estate? How was this different from the social classes in modern society? The first of the estates were composed of the Church. The main purpose for this estate would be to in cold blood claim the authority of God. The second estate consisted of the nobility of #8216;society#8217;.
The primary focus of the nobility were to function as warriors. Critical Thinking And Literature-based Reading? The third estate had little to no power in that time of salvador essays, society and composed of peasants and laymen. This changed throughout Europe with the coming of feudalism. This differs from modern society for the facts of a more prosperous middle class. Describe the guilds.
Who made up their membership and what was their influence on the business practices of the late Middle Ages? In the middle ages, the and literature-based reading #8216;Guilds#8217; were labor market intermediaries organizing training, working conditions. These merchants and craftsmen formed the basis for a new class of townspeople, the bourgeoisie. They would be the 1994 ap us dbq essay basis of the growing middle class. How did the guilds improve the lot of freemen?
How did they help business and trade? How did they restrict its growth? The improvement of the freemen could be seen from a point of their increase of professions. The benefits of this system would be the systematic control and increase of certain professions that were needed at the time. This order was kept to thinking and literature-based reading maintain employment and necesity for the freemen. However, as a result of the control over the market, restrictions on personal choice ended up restricting its growth.
Who were the bourgeoisie? Why did they not fit in the traditional class structure of the Middle Ages? The bourgeoisie were merchants and craftsmen formed the basis for a new class of 1994, town dwellers. They did not fit into what would be considered traditional because of and literature-based reading, their system and plans of growing the middle class. Why was the social structure of Europe challenged by the growing number of free townspeople and 1994 ap us the changing economy? With the strengthening control of the kings, powers and influence of the feudal lords led to leaving more land in the hands of fewer people. This led to critical thinking and literature-based reading the even farther decline in the idea of feudalism. How did the dissertation in cold Crusades help to begin the change from Medieval society into a modern society? The Crusades stimulated trade by thinking and literature-based reading, certain political, social, and economic changes. This was achieved by the unknowing attacks on feudal lords and in turn gave the increased power to the kings.
The changes developed after the 1994 old nobility lacked the wealth to keep up with the kings. And Literature-based? Why are the Crusades sometimes called “Successful failures”? The Crusaders led to the eventual fading out of feudal states in winning 5th grade essays, the most of Europe and is an important part of European expansion and colonialism. Why and in what ways did kings and central governments grow stronger at the end of the Middle Ages? The Kings helped facilitate the forming of critical and literature-based, countries by uniting small feudal states into large kingdoms. Rice Creative Camp? They helped develop the idea of a central government within these kingdoms. This centralized government was indeed stronger than the smaller micro-state governments . What obstacles stood in the way of the creation of strong central governments? Since strong central governments often emerge from thinking and literature-based, weaker central governments or loose confederations a central government may also have to salvador essays deal with regional lords who regard centralization as an critical thinking and literature-based, infringement on their own ower. Why was the re-establishment of trade so important to the transformation of Europe?
Re-establishment of trade was very important due to the fact of the bourgeoisie wanting to create a wider middle class. This could not happen because of what current state Europe was in due to the idea of feudalism. Also, where there is any contact between two civilizations ideas will be traded amongst them, giving each civilization new ideas. Haven’t found what you want? 12-22 Newhall St, Birmingham B3 3AS, UK [emailprotected] Hi there, would you like to 1994 ap us dbq essay get such a paper? How about receiving a customized one?
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Nature Vs Nurture Essay Essays and Research Papers. The controversy of nature vs . nurture has been disputed for years. Nature vs . Critical Reading. . nurture refers to the question of dissertation in cold blood, which factors are most significant in determining development; those related to heredity or environment. It has been reported that some scientists think that “ nature ” is referred as the importance in heredity as the major determinate also known as “ nature ” the theory of human behavior. Reading. The nurture theory scientists believe that people think and behave in certain ways because they are. Human behavior , Human nature , Nature versus nurture 804 Words | 3 Pages.
?Maggie Kent 3/27/14 Child Development p.3 Nature vs . Ap Us Dbq Essay. Nurture Nature vs . . Nurture There is a constant battle between researchers from different fields saying almost all traits come from genetic makeup and thinking and literature-based that traits are based off of the environment a person is living in. Business Correspondence And Report Writing. When it comes down to the argument of nature versus nurture , there is no clear answer. Based on critical reading the research, I believe the environment plays a larger role in determining a person’s traits than genes do. The way an individual is. Eugenics , Human nature , Intelligence quotient 975 Words | 3 Pages. Agression Nurture Vs Nature Essay. ?Science in society essay ‘Is aggression down to nature or nurture ’ discuss both sides of this argument. There is . strong evidence to suggest that aggression is an salvador emotion which many people experience on critical reading a daily basis. This leads to great debate concerning whether aggression is stimulated by nature or nurture . Aggression is defined by the oxford dictionary as ‘the act of initiating hostilities or invasion’. Aggression can also be defined as behavior directed towards another living being with the.
Aggression , Gene , Genetic determinism 880 Words | 1 Pages. Precious traxler September 26, 2011 Human development essay In my essay I’m going to talk about the differences between . nature vs . nurture and how it makes us who we are. well I think that it’s both nature and correspondence writing pdf nurture who makes us who we are because it’s are parents who make us and and literature-based reading the environment that we live in when were younger. One reason is that nature is 1. Getters For Lord Of The Flies. Something that nourishes; sustenance. 2. The act of bringing up. Critical Thinking And Literature-based Reading. 3. Dissertation Blood. Biology The sum of environmental influences and conditions. Biological determinism , Eugenics , Genetic determinism 841 Words | 3 Pages. ? NATURE VS . NURTURE Is the man the product or what we learn or a predisposition based on our gene pools? Are we . limited by our heredity or are we susceptible to our surroundings and upbringing?
Nature vs . Critical Thinking And Literature-based. Nurture ? Innate vs . Learned? Even Plato dwelled on this subject, one of his most prominent writings, “Meno” focused on this very subject. Imagine new parents. They are huddling around their newborn. Their thoughts swirl around the winning 5th grade, possibilities of what and how their actions will impact. Alcohol abuse , Alcoholism , Genetic determinism 1156 Words | 4 Pages. Nature vs . Nurture It is a matter of and literature-based reading, concern whether human behaviors and attention for lord essay characteristics are determined by . Thinking And Literature-based Reading. nature or nurture . If a person’s behavior is inherited directly from the genes of his/her parents or other biological factors, then it is the nature that determines his character. But if the in cold blood, environment that a person grew up in, affects his behavior, then it is the thinking reading, nurture that determines his/her character.
It became a great matter of controversy among scientists, psychologists and sociologists. Biological determinism , Black people , Evolutionary psychology 1316 Words | 4 Pages. HSP3M Essay : Nature vs . Nurture The Essay (This essay is worth . approximately 8% of your final mark) Explore the following topic in a well-structured expository essay . Is it nature or nurture that has the 5th grade dare, greatest influence on shaping humankind’s intellect, personality, and emotions? Your essay must have a well-defined and debatable thesis. Your position on critical the topic must be consistent and clear. An argumentative essay does not merely assert an opinion; it presents an argument, and that. Human nature , Intelligence quotient , Nature versus nurture 418 Words | 3 Pages. Grow Outside the Box The nature verses nurture debate is a debate arguing which aspect affects a person’s qualities more . successfully. Personality is blood, one of the most unique and critical complicated trait to determine whether nature or nurture influences it more significantly.
According to previous research, nature has a dominant impact on the way human’s personality is portrayed and rice university creative camp revealed, although it varies with every situation. Everyone in the entire world has an inimitable personality and and literature-based reading a different. Human nature , Intelligence quotient , Nature versus nurture 947 Words | 3 Pages. studies have influenced the nature versus nurture debate. Due date: 2nd May 2013 Name: Veronica Pedersen Student ID: . S2858555 Tutor: Mr Riyad Rahimullah Words: 1370 When determining and discussing the question “how adoption and twin studies have influenced the nature versus nurture debate” it is important to good attention for lord of the essay identify the key terms. The nature versus nurture debate is an critical thinking and literature-based reading ongoing debate focusing on how much our environment ( nurture ) and our genes ( nature ) affect us as human beings. Behavioural genetics , Eugenics , Human behavior 1713 Words | 6 Pages.
?The concept ‘ nature vs . In Cold Blood. nurture ’ refers to the debate surrounding the influence of genetic factors and the . environment in determining personality. It still remains contentious as to whether our personality is critical thinking, primarily determined by inherent genetics (biological approach) or by environmental conditioning (behaviourist approach). Shelley effectively embodies this life-long debate through the characterisation of attention getters of the flies, Victor Frankenstein and the Frankenstein creature. Critical Reading. She highlights the winning essays, significance of. Behaviorism , Frankenstein , Human nature 849 Words | 3 Pages. Nature vs . Nurture M. B. Liberty University Psychology 101 Nature vs . . Nurture There has been extensive debate between scholars in the field of critical reading, psychology surrounding the Nature vs . Nurture issue.
Both nature and nurture determine who we are and salvador essays neither is thinking and literature-based, solely independent of the other. “As the area of a rectangle is determined by its length and attention getters for lord of the its width, so do biology and experience together create us.”(Myers, 2008, p. 8) Carl Gustav Jung, and leading thinker and critical thinking and literature-based reading creator of analytical. Biological determinism , Eugenics , Evolutionary psychology 1042 Words | 4 Pages. FINAL PAPER: NATURE VS . University Writing Camp. NURTURE Bradley Duckworth 3/9/12 My thoughts on Nature vs . . Nurture are very different from the secular world because the secular world doesn’t understand how a relationship with Jesus Christ can completely change a person. I believe my wife is a perfect person for the discussion of nature vs . nurture . And Literature-based Reading. I must begin with some history my wife. Erin never knew her biological father. 1994 Dbq Essay. She met her biological father for thinking and literature-based, the first time just last year at the age of 33. As we get.
Charles Darwin , DNA , Eugenics 905 Words | 3 Pages. Virtual Child Paper: Nature vs . Nurture I have always held the belief . that Nature v Nurture is not a zero-sum game. To steal a line from T.S. Elliot’s The Hollow Men, I believe humans are born into salvador dali essays this world a “shape without form.” That shape, of course, is our nature ; the sum of critical thinking reading, our genetic make-up and natural tendencies based on some combination of 1994 ap us, predisposition and innate sense of self. The form, then, necessarily reflects our experiences and the. Developmental psychology , Human nature , Nature versus nurture 901 Words | 3 Pages.
Paper- Nature vs . Nurture Argument This paper is going to critical and literature-based covers Nature verses . Nurture argument. It will include the history and the essential characteristics. As well I will give you my view on winning dare the debate. Nature verses Nurture is an old ongoing disagreement over the comparative influences that genetic factors and thinking and literature-based reading involvement make to 1994 ap us the growth of psychological characters and behaviors. Today’s science understands the characteristics and behaviors growing from dealings of Nature and Nurture. Eugenics , Evolutionary psychology , Human behavior 998 Words | 3 Pages. Running head: NATURE VS . NURTURE . The argument of nature vs . nurture has remained an and literature-based reading unsettled debated that dates back th? to dare the 19? century. To this day, new studies are being conducted in hopes of discovering whether nature or nurture has a greater impact on the development of human beings.
Researchers use various methods while investigating the thinking, answer, including surveys and case studies. One such case study involved the dbq essay, “Genie Case”? a provoking story of critical and literature-based, a little girl, which proved. Behavioural genetics , Eugenics , Human nature 2909 Words | 12 Pages. 2014 Nature vs . University. Nurture “We have moved from introspection, speculation, and observation to experiment, . neurophysiology, and imaging. From the classical Greek era onward, the dualism between mind and body has existed as the constant dilemma.” (Merikangas, 2004). Thinking. A predicament of whether nature or nurture plays a larger role in child development has been an ongoing debate within psychology referred to as Nature vs . Nurture . Nature is what is inherited with conception, your genetics, and nurture is dare essays, referred. Human nature , Innatism , Nature versus nurture 1824 Words | 5 Pages.
Big Debate vs . Big Duet: Nature vs . Nurture Halil B. Genc Quincy College Abstract . Thinking And Literature-based. Nature vs . Nurture ? The debate has obsessed the minds of psychologists and philosophers for many years. However, for the object-orienteer, it has never been a problem: an object inherits all of its properties. 5th Grade. In this work we ask if an object should not be subject to environmental effects. Critical. We answer this question in the affirmative by demonstrating many cases in dissertation, which the character of an thinking and literature-based reading object must be affected. Biological determinism , Eugenics , Genetic determinism 1758 Words | 5 Pages. One of the most debated topics in Psychology is the agreement of the in cold blood, influence of character, by how a person is and literature-based reading, raised or by their genetics. . “ Nature vs . University Creative. Nurture ”, this issues addresses what impact, if any, parenting has on youth, as well as if DNA (deoxyribonucleic acid) or genes, influences our actions or behaviors.
The nature vs . Critical And Literature-based Reading. nurture debate is one of the biggest debated issues in the child development theory. Salvador. Which is more bearing on a child’s development, environment or genetics? This debate. DNA , Gene , Genetics 769 Words | 3 Pages. The Controversy of Nature vs.
Nurture. Michelle Esteban December 22, 2011 Arlene Rider Introduction to Psychology Nature vs . Thinking. Nurture . Controversy The Nature vs . Nurture controversy was begun by British researcher Sir Francis Galton, who invented the term “ Nature vs . 1994 Dbq Essay. Nurture ” (Wood, Wood, amp; Boyd, 2005). He began the thinking, debate about business correspondence and report writing pdf, whether intelligence happens because of thinking and literature-based, our environment, or because of the genes we are given at birth (Wood, et al., 2005). There is ap us dbq essay, much debate in the scientific community about which is critical, more. Biological determinism , Eugenics , Evolutionary psychology 825 Words | 3 Pages.
The nature versus nurture debate is one of the oldest issues in sociology (Davidson, 1991, n.p.). The debate centers on the . relative contributions of genetics and environmental factors to human behavior (Davidson, 1991, n.p.). Correspondence. Today, the thinking and literature-based, majority of experts believe that behavior and development are influenced by both nature and nurture (Macionis, 2009, p. 73). The biggest question now is which one affects human development more: nature or nurture ? According to getters of the Macionis (2009, p. 72), in the past. Evolutionary psychology , Human behavior , Human nature 1117 Words | 3 Pages. Nature vs . Nurture Issues The crux of the nature side of the debate is that genetics or other . natural influences are mostly, if not all, responsible for thinking, the characteristics pertaining to the personality, behavior and in cold blood intelligence of an individual.
Conversely, the nurture debate largely argues that the main contribution to how a person develops is thinking reading, made by the influence of the people and events that interact with that person throughout their life. While many contemporary psychologists and other. Biological determinism , Human nature , Intelligence quotient 547 Words | 3 Pages. As Nature Made Him: Nature vs. Nurture.
?Jacey S. Winning. Washington Brierly AP English Lang Comp 1 October 2013 Nature vs . Nurture : Where Do We Draw the . Line? The argument over thinking and literature-based nature vs . nurture has continued to dissertation torture society by critical thinking and literature-based presenting cases in which we simply don’t know which rules to apply. Dissertation. One of these cases is sex change. Sex change is a very big step to take in a person’s life and it involves the and literature-based reading, careful consideration of many factors; but it is not a simple answer to a complex problem such as hermaphroditism or even blotched. Biology of gender , David Reimer , Gender 1145 Words | 4 Pages. Nature vs . Nurture As far as how an dissertation individual personality is biologically determined, no one really knows just in . Thinking Reading. what manner it is accumulated. In an article conducted by John Hockett, he describes the winning 5th grade dare essays, differences as such; “ Nature is a trait which does not change with age, while nurture is an influence, uncorrelated with nature and making for critical, individual differences which change with the length over time or number of years through which it acts”. Good For Lord Of The Flies. In other words, nature is permanent and nurture . Biology , DNA , Gene 835 Words | 3 Pages.
?In this piece of thinking reading, work I will describe what nature and nurture are and I will discuss the nature vs . Rice University Creative Camp. . nurture debate in relation to thinking and literature-based reading the individual development. What is nature vs . nurture ? There are plenty of factors that motivate our growth and development throughout our life such as: Nature is the theory that our personality, intelligence and our sexual adjustment is inherited by our families DNA. Nature is the environment around us that is argued to change the business correspondence and report writing pdf, way we are brought up and thinking and literature-based reading behave. Eugenics , Human nature , Nature versus nurture 1286 Words | 4 Pages. Eduardo Estrella English 115 11/27/2012 Nature vs Nurture There has always been a large controversy over dali essays . whether inherited genes or the environment influences and affects our personality, development, behavior, intelligence and ability.
This controversy is critical thinking and literature-based reading, most often recognized as the nature verses nurture conflict. In Cold Blood. Does how you are raised affect your views as an adult more than what your genetic codes dictate? If your family has always been carpenters, are you destined to be a carpenter. Classical conditioning , Human nature , Innatism 1470 Words | 4 Pages. Allison Harris Nature vs . Nuture University of New Hampshire For more than 50 years sane voices . have searched for an answer to the everlasting debate of nature vs nurture . The debate causes quite a controversy, whether inherited genes or the critical and literature-based, environment influences and effects personality. Is our development born ( nature ) or made through our experiences ( nurture )? Some believe that is correspondence writing, strictly our genes; others believe it is the and literature-based, environment; while others believe that. Human nature , Innatism , Nature versus nurture 1329 Words | 4 Pages.
Nature versus Nurture : Homosexuality Statistics show that about 9 million Americans identify as gay. University Creative Writing. Are homosexual individuals . born or made? Nature versus nurture helps identify and analyze both sides. Nature refers to people’s genes. Nurture is reading, learned behavior. Homosexuality is one of the most controversial, debated, and misunderstood topics. Good Getters For Lord Flies Essay. The American Psychological Association (APA) categorized homosexuality as a mental disorder but it was removed from the list of diagnoses and disorders. Bisexuality , Coming out , Homosexuality 901 Words | 3 Pages. Keith Mierzejewski Methods of reading, Critical Thinking Research Paper December 11, 2010 Nature vs . Nurture One of . the most enduring debates in the field of psychology is the controversial idea of university creative camp, nature vs . nurture . Throughout the reading, endless history of the debate, no clear conclusion has been met, only hypotheses have been formed. At the center of the debate, human behaviors, ideas, and feelings are being determined, whether they are learned or inherited.
Determining physical traits, such as eye color. Genetics , Human behavior , Human nature 1981 Words | 6 Pages. Konteh Perspectives on Human Nature Prof. Kurt Frey Nature vs Nurture For the past five . weeks we have studied three different but influential people in dissertation blood, our perspective on human nature class. They are Freud, Plato and Tzu. The main discussion between all of them is nature versus nurture . I will discuss the difference between nature and nurture and then I'll apply to and literature-based each of these philosophers and how they react to blood it.
When looked up in the dictionary the term nature means the universe and its. Evolutionary psychology , Human nature , Nature versus nurture 1294 Words | 4 Pages. and discipline ( Nature )? Or, are these attributes learned and/or taught through conditioning and training ( Nurture )? The . nature versus nurture debate is about the relative importance of an individual's innate qualities ( nature , i.e. nativism, or philosophical empiricism, innatism) versus personal experiences ( nurture ) in determining individual differences in and literature-based reading, physical and behavioral traits. The philosophy that humans acquire all or most of their behavioral traits from nurture is known as tabula. Biological determinism , Genetic determinism , Human behavior 975 Words | 3 Pages. the debate of whether nature or nurture plays the rice writing, role in critical thinking reading, the child's development. Does a child develop from genetic factors or . does the mind begin as a tabula rasa and form based upon dali, environmental factors?
Since both of these are theories, neither of critical and literature-based, them can be proven, but comparing and contrasting them can give one the means to decide if human development is based upon nature or nurture . Nature refers to dali essays an individual's innate qualities or nativism. And Literature-based. For example, nature is in your genes. The. Eugenics , Human behavior , Human nature 1126 Words | 3 Pages. ? Nature vs . Nurture Homosexuality, Addictions and Intelligence There have always been disputes on essays whether the critical thinking and literature-based reading, . decision to be homosexual or heterosexual was based on attention getters of the essay biological or environmental factors.
These disputes are known as the Nature vs . Nurture argument. The two sides argue over how gender is chosen within a person. Critical Thinking And Literature-based. Based on reproductive organs, sex is ap us dbq essay, easily determined at birth: male or female. Gender, however; is the sexual identity an individual takes on. It is possible for sex and. Gender , Genetics , Homosexuality 815 Words | 3 Pages. to explore whether or not the addictive behavior of alcoholism is genetically based. To understand, we must first have a definition of what alcoholism is and . the difference between the concepts of nature and nurture . Once these are understood, we'll look at the role that both nature (genetic) and nurture (environment/ upbringing) have been said to play in alcoholism.
The definition of alcoholism can be described as a chronic illness, which is marked by and literature-based reading uncontrolled consumption of alcoholic beverages. Alcoholism , Behavioural genetics , Human nature 1189 Words | 4 Pages. Nature Vs . Nurture When we first started learning about the age old question of nature . vs . nurture , I agreed with the concept of dissertation, nature . I hated the idea of nurture , that no one is truly unique. I was against that. I liked to think that everyone is individual. But then as I thought more about critical thinking and literature-based, it, I started to not like the camp, idea of Nature . Critical And Literature-based Reading. That we dont have a choice in who we are, that it has all been decided for us. I was thinking about a lot of things that could affect how someone is. Human nature , Intelligence quotient , Nature versus nurture 1925 Words | 5 Pages. Fundamentalism and Nature vs.
Nurture. Based on what I have learned in PSYC. 101, principals of psychology, the theory I have taken an interest in is functionalism and getters of the flies essay nature . vs . nurture theory. These theories have given me ways to function better and to know the different between nature and nurture . Functionalism is the critical thinking and literature-based reading, doctrine that makes something a thought, desire, pain (or any other type of mental state) depends not on its internal constitution, but solely on its function, or the 5th grade, role it plays, in the cognitive system of and literature-based reading, which. Eugenics , Human nature , Natural environment 909 Words | 3 Pages. Topic: Nurture strongly influences early human development.
Discuss. Rice Creative Camp. We are born with nature and nurture . As a . result, we are defined by nature and nurture . Throughout the centuries, there are a lot of questions and thinking and literature-based reading arguments about whether nature or nurture plays a more important role in salvador dali essays, early human development. Nature , which is heredity, means the process by which characteristics are given from a parent to their child through the genes (Cambridge Advanced Learner’s dictionary, 2003). It has. Human nature , Infant , Innatism 656 Words | 3 Pages.
psychological debate of “ nature vs . nurture ”. This paper will address the critical thinking reading, nature vs . Dissertation In Cold. . nurture debate, how adoptions plays a role in critical thinking and literature-based reading, the debate, give a history of winning 5th grade dare essays, adoption, and tell the critical thinking, story of in cold blood, a personal friend who was adopted and overcame the tragedy of his nature and was able to triumph through his solid nurturing. The nature vs . nurture debate is one of the longest in the field of psychology. It is concerned with the importance of individual’s inborn qualities, their nature , versus their personal. Adoption , Babe Ruth , Charles Loring Brace 1028 Words | 3 Pages. Taylor4, S. Waters-Metenier1, E. Bramon1, A. Regojo1, R. M. Murray1 and F. Critical Thinking And Literature-based. Rijsdijk5 Nature vs . nurture is salvador essays, . a topic that has been debated for centuries.
Pro- nature goes with the theory that genetics and biological inheritance determine behavior, while pro- nurture perspective follows the theory that the environment in which one is raised in and experiences determine behavior. And Literature-based. Nature and nurture together shape development. Dissertation. Although the two differ, they do work hand in hand in the sense that. Biological determinism , Genetics , Human behavior 808 Words | 3 Pages. about the thinking and literature-based reading, worldwide debate on nature vs . Creative. nurture . There are scientists who argue that people develop . characteristics mainly based on their genetic makeup, and then their are people who say that environment and social interactions has more to do with a person’s traits than do genes. People often question why people are the way they are. Nature and Nurture often have a big impact on thinking and literature-based a person, and can help in explaining why they are a certain way. Attention Getters Of The Essay. The nature vs . nurture debate encompasses a variety. Eugenics , Human nature , Intelligence quotient 1323 Words | 4 Pages. Nature and Nurture Argument Have you ever wondered where you got your different talents from? Where did you get your talent for . singing or your skill for playing certain sports?
Were these things taught to you by your parents or was it predetermined by your genes? It is understood clearly that eye color and thinking reading are physical characteristics and are hereditary. But where do we get our individual personality, our intelligence, our behavior? For some it’s not clearly understood. Blood. The nature versus nurture. Biological determinism , Genetic determinism , Human nature 951 Words | 3 Pages.
Psych 111 030 Paper #1 Elliot Schaja Dr. Grayson 2/14/2011 Nature vs . Nurture A . personal characteristic that fits well into the nature vs . Critical Thinking And Literature-based. nurture debate is my Arithmetic ability. While this attribute can be defined as my actual math ability, measured by my high school and university camp college grade-point-average in Math courses as well as my SAT scores on the Math section, I am also referring to the advantages assimilated with “being good at and literature-based reading math.” This includes being able. Human nature , Intelligence quotient , Nature versus nurture 1018 Words | 3 Pages. Debate in Psychology: Nature vs . Nurture Below is a timeline that will be used for rice creative, the class debate on the issue . of Psychology’s Nature vs . Critical Thinking Reading. Nurture . Good Getters Flies Essay. Carefully follow directions to prepare, debate and discuss this highly controversial issue in the psychological world today. Be sure to understand that you must debate on the side of the debate that was assigned to you, even if it does not reflect your personal feelings. Critical Thinking And Literature-based Reading. Note the criteria based on group and personal participation. Dissertation In Cold. Timeline: 20. APA style , Bibliography , Citation 987 Words | 4 Pages.
for them. The age-old question regarding nature and and literature-based nurture can be argued either way and has by countless learned and dali brilliant . people. Examples are aplenty supporting both sides. But what does this mean form me? I am an critical thinking 18 year old young man trying to shape myself into an ideal person, I have tendencies, habits, talents, these come from both sides of this paradox we have before us, nature or nurture , what is it? For me I think it is a little of business writing, both, nurture can explain a lot of what is Joseph Cox. Human nature , Intelligence quotient , Nature versus nurture 920 Words | 3 Pages. ?The Nature Nurture debate within psychology discusses the thinking and literature-based, extent in which heredity (genetic) and and report pdf the environment separately . Reading. affect and influence the individual. Some psychologists argue that nature (heredity) is the most significant and influential on an individual. “Heredity is the passing on of physical or mental characteristics genetically from one generation to dissertation blood another.” Nature argues that people are born with set characteristics that develop; changing over time and that the affect that the.
Human nature , Nature versus nurture 884 Words | 3 Pages. Nurture strongly influences early human development Early human development is a very important process for an individual’s future. For . centuries, philosophers and psychologists have been debating whether heredity or environment is more important in determining the path of human development. People believe that human development is influenced by inheritance but it can be more concise that nurture plays an essential role. Nurturing at thinking and literature-based an early stage is important because it helps an individual to. Charles Darwin , Genetics , Human behavior 864 Words | 3 Pages.
? Nature : refers to an individual's qualities, Example: Nature is your . genes. Winning 5th Grade Dare. The physical and reading personality traits determined by your genes stay the same irrespective of where you were born and raised. Factor: Nature factors that trigger an correspondence individual to critical and literature-based reading commit crime are influences by biological and essays family factors. Nurture : refers to personal experiences Example. Someone could be born with genes to give them a normal height, but be malnourished. Human nature , Intelligence quotient , Nature versus nurture 1059 Words | 4 Pages. Nature vs Nurture in and literature-based, Frankenstein.
Nature vs . Business. Nurture in Frankenstein In the novel Frankenstein by Mary Shelley, the critical thinking and literature-based, relationship of writing, . external appearance and critical internal feelings are directly related. The creature is 1994 ap us dbq essay, created and he is thinking, innocent, though he is severely deformed. His nature is to be good and business correspondence writing kind, but society only views his external appearance which is deformed. Human nature is to thinking and literature-based reading judge by external appearance. He is automatically detested and labeled as a monster because of his external appearance. He finally. Frankenstein , Human nature , Mary Shelley 884 Words | 3 Pages.
The role of nature vs . nurture is relatively important, because the debate seeks to understand how a person . develops factors such as personality, behaviors and intelligence. There are many child development theories that have been proposed by researchers and theorist which outline the developmental stages that infants, babies, children and adolescents go through and identify the typical ages at which these milestones occur. Managing children’s aggressive behavior has been a concern for parents and. Crime , Evolutionary psychology , Genetics 1394 Words | 5 Pages. Nature vs . Nurture is a topic that has been long debated by psychologist and everyday individuals alike. Twin . studies have been used by scientists to provide enlightenment on environmental and hereditary influences on behavioral development.
While certain elements in a child’s upbringing and environment are bound to influence the way he or she will grow up to socialize, interact, and for lord essay internalize this world we live in, researchers are interested in the relative importance of critical and literature-based, genetic predispositions. Behavioural genetics , Human nature , Nature versus nurture 1283 Words | 4 Pages. ? The Problem of Nature and Nurture in Psychology How we see the influences of genetics and environment . on behavior Abstract This paper defines the nature versus nurture problem in psychology, and explains why this problem is attention getters for lord flies, important in the science of psychology. It then gives the thinking and literature-based, authors opinion of environment and nature as being the more influential, and why the in cold blood, author believes this. The paper gives.
Eugenics , Genetics , Human behavior 1188 Words | 7 Pages. violence? This question brings to and literature-based reading mind the age old psychological theory, Nature vs . 1994 Dbq Essay. Nurture . Are people born . predisposed for violence? Is there something genetically different about and literature-based, serial killers and murderers? Can their behavior be explained by a difference in their very make-up? Or are they made violent by seeing violence, having un-supportive and demanding parents, being mentally, sexually, and physically abused? Nature vs . nurture is one of the most sought after answers in the field of psychology. Antisocial personality disorder , Human behavior , Human nature 1010 Words | 3 Pages.
This essay is going to good getters for lord discuss the role of intelligence in human beings examining both internal and external factors. Intelligence and whether . Thinking And Literature-based Reading. it is innate or develops as one evolves, is one of humanity’s greatest debates. In everyday life one has to make decisions, solve problems and make sense of the world and what is happening in it. Dbq Essay. From an external point of view the intelligence of thinking and literature-based reading, a human being develops through a constructive, cognitive process. Since the 5th grade essays, 1950s, cognitive developmental. Cognition , Cognitive psychology , Cognitive science 1971 Words | 6 Pages. Typography and Nature vs . Nurture Jonathan M. Grush Truman State University Date Submitted: November 19, 2010 . Author Note Jonathan M. Grush, Exercise Science, Truman State University Please address all correspondence to: Jonathan Grush, 511 S. Elson Apt. Thinking. 1, Kirksville, MO 63501, (314) 640-1760, email@example.com America has a fascination with serial killers. Blood. Everything about them is interesting to us. There are so many questions that we have. It is incomprehensible to thinking reading most people.
Human nature , John Allen Muhammad , Mass murder 1880 Words | 5 Pages. Nature vs Nurture Nature vs . Nurture The etiology of . homosexuality has been debated throughout the years by many different organizations. “Sexual orientation refers to a dispositional sexual attraction towards persons of the opposite sex or same sex” (Rahman, 2005, p. 1057). Many homosexuals are elated to find that genetics is at least partly a source of sexual orientation. Correspondence Writing. On the other hand many do not want the specific genes to be found for critical and literature-based reading, fear that they will be used to eliminate homosexuality. DNA , Gender , Genetics 1435 Words | 4 Pages. Giannerys Heredias Giannerys Heredias The psychological debate of nature vs . nurture is one that has been . considered and contradicted for good attention getters, many years. Thinking. This debate is so controversial because although it is fact that genetic makeup does play a major role in developing a person, the nurture and environment in which a person is brought up in is also an important factor.
The psychological debate of good attention getters of the essay, nature vs . nurture is one that has been considered and contradicted for many years. This debate is. Human nature , Murder , Nature versus nurture 1642 Words | 4 Pages. Nature vs . Nurture Whether your child is an overweight, four-eyed book nerd, or a slender, chick-magnet of a jock, . the question always arises Why does your youngster behave that certain way Is it his biological or genetic makeup, or his environment that determines his persona, such as how he is raised, by whom, and where that shapes him as a person This controversial topic of Nature vs . Thinking Reading. Nurture has been pugnaciously debated for over a century, yet unfortunately, there is still no universally accepted. Donald O. Hebb , Gay , Gene 2048 Words | 3 Pages. Nature vs Nurture “While each child is born with his or her own distinct genetic potential for physical, . social, emotional and cognitive development, the possibilities for reaching that potential remain tied to early life experiences and the parent-child relationship within the business correspondence pdf, family” (Weissbourd, 1996). When a baby is born, that child already posses something in common with every other person in the world, a genetic gene pool. Just like anything else in life, when something is given to a.
Charles Darwin , Eugenics , Human nature 1087 Words | 3 Pages. Nature vs . Nurture The Nature versus Nurture debate concerns the relative importance . of an individual's innate qualities versus personal experiences in determining or causing differences in physical and behavioral traits. (Ridley, Matt. What Makes You Who You Are. Critical Reading. Time Magazine. 25 May 2003). Almost everyone in any related field has an opinion as to which is truly more important, nature or nurture . The director of a group called the Minnesota Study of for lord of the, Twins Reared Apart, Thomas Bouchard.
Biological determinism , Human nature , Nature versus nurture 2045 Words | 6 Pages. Nature vs . Nurture Throughout the history of human existence, there have always been questions that have plagued . man for centuries. Some of thinking and literature-based, these questions are what is the meaning of life and dissertation in cold which came first, the critical, chicken or the egg. Salvador Essays. Within the past 400 years a new question has surfaced which takes our minds to much further levels. The question asked is whether nature or nurture has more of an thinking and literature-based impact on the growing development of people. It is a fact that a combination of 1994 dbq essay, nature and thinking reading nurture.
Homosexuality , Human nature , Intelligence quotient 2136 Words | 6 Pages. Kinney October 11, 2014 Brooks Nature vs . Nurture Some philosophers such as Plato and creative writing Descartes suggested that . Thinking And Literature-based. certain things are born into us, or that they simply occur naturally regardless of dissertation in cold blood, environmental influences. And Literature-based. While John Locke believed everyone to start with a blank slate that allows you to become the person you are nurtured into being. This begs the question do we follow certain paths in life because we want to or because we were taught to. My nature shows that I enjoy being social.
Doctor of Osteopathic Medicine , High school , Human nature 905 Words | 3 Pages.
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39 steps essay by George Perry. And Literature-based? . . . in the dedication of The Thirty-Nine Steps to Tommy Nelson, Buchan said that his aim was to good of the essay write 'romance where the incidents defy the probabilities, and march just inside the borders of the possible. ' 'That's a pretty good formula for and literature-based the thriller of any kind,' said Raymond Chandler when he read the salvador essays passage.Janet Adam Smith. John Buchan: A Biography (Little, Brown, and Co. , 1965) 1 Let's start with a real pedant's quibble: Is it The Thirty-Nine Steps or The 39 Steps? Wouldn't it be cleaner/clearer if Buchan's novel was referred to as The Thirty-Nine Steps and Hitchcock's film was The 39 Steps? Unfortunately, critics and reviewers use both the number and the number spelled out when referring to Hitchcock's film. Foolish consistency, someone said, is the hobgoblin of little minds. But, I ask you, how does the title appear on the film? Isn't The 39 Steps the movie? 2 When The 39 Steps opened in New York City in September of 1935, Andre Sennwald reviewed it for The New York Times. He wrote: If you can imagine Anatole France writing a detective story, you will have some notion of the artistry that Mr. Hitchcock brings to thinking reading the screen version of John Buchan's novel.Why Anatole France, of all people, I wonder? Why not try to imagine John Keats writing a detective story?
Or, Franz Liszt?And suppose I cannot imagine Anatole France writing a detective story? What then? 3 Alfred Hitchcock's The 39 Steps is the most romantic of all his movies. But what do we mean by romantic? Romantic, I think, means that when a handsome man and a beautiful woman are handcuffed together for a number of hours, neither of them has to go to the bathroom. That is one definition of romantic. 4 Dragnet, of course, is anti-romantic. Just the facts, Ma'am. Just the facts.Going to the bathroom is a definite fact of real life but, as Alfred Hitchcock told Truffaut, To insist that a story teller stick to the facts is correspondence just as ridiculous as to demand of a representation painter that he show objects accurately. 5 My young son Matthew says, Hitchcock likes trains, doesn't he?
The 39 Steps. The Lady Vanishes. Strangers On A Train. North By Northwest. The circus train episode in Sabotage. Critical? The list no doubt can be extended.Mysteries on trains are romantic because trains give freedom of movement within the movement. To be inside an good attention of the flies, automobile or airplane is to be trapped. Mysteries that take place upon the Los Angeles Freeway are most likely not Romantic. 6 A madman's thesis: Trains represent romanticism. Airplanes, classicism. Automobiles belong to realism.
Bus travel is naturalism. Large ships are also romantic, as is the sea itself. The sky is classical. The earth is realism and naturalism. Am I going out of my mind? 7 Films almost always show objects accurately.
Handcuffs, for example. What Hitchcock said about The 39 Steps (and quoted by Donald Spoto) was: What interests me is the drama of being handcuffed. We might note, in light of critical thinking, Hitchcock's assertion that the sentence, As the handcuffs clinked on his wrists I said my last word to him, occurs on the final page of Buchan's novel. (p. 126 of Penguin Books. It is a short novel). 8 Why must critics labor so mightily to give Hitchcock's works moresubstance than the films can bear?
For example, when Rohmer and Chabrol discuss the final scene of The 39 Steps, they write: Here, in essay fact, Hitchcock shows us the mechanism of critical, confession and how it works. Burdened with a bothersome and tormenting knowledge (it is absurd and meaningless: an rice writing, incomprehensible physics formula) Mr. Memory, after having recited it as though he were vomiting it up, dies saying, I'm glad that's off my mind. And Literature-based Reading? In itself, of course, this underlying theme is not enough to give value to The Thirty-Nine Steps, but it adds a precious stone to blood the construction of the Hitchcockian Universe, outlined in his very first film. 9 A number of points in the above quotation are open to dispute.
First, Mr. Critical Reading? Memory is not making a confession. He is attention getters essay telling the critical and literature-based formula to a person to whom he has been assured it is all right to tell it to. The need to confess may well play important roles in creative camp later Hitchcock films (I Confess, e.g.), but not in this one. Critical Thinking? Memory's regurgitation is by rice university, no means a confession. Confession comes from the critical and literature-based soul, not from the mind only. Confession is not regurgitation. It is a confrontation, a relationship, a discovery of one's self in relation to a moral vision of the universe and beyond. Unstuffing one's head is not confession.The need to confess is not one of the underlying themes in The 39 Steps. 10 Hitchcock sees Mr.
Memory's final moments, not as confession, but as a man doing his duty: The whole idea is that man is doomed by his sense of duty. Mr. Memory knows what the thirty-nine steps are, and when he is asked the question, he is compelled to give the answers. Salvador? The schoolteacher in The Birds does for the same reason. (Truffaut/Hitchcock) 11 But doing one's duty to thinking and literature-based reading whom? To one's self. Winning Dare? Confession is doing one's duty to God. Dancers need to dance. Birds need to fly--(didn' t Cole Porter or someone write lyrics to that idea?). A man who makes his living by memorizing facts needs to display his skill. 12 The formula memorized by Mr. Memory is a meaningless to us (and probably to the world of physics too) but not in the context of the drama.
We have to critical and literature-based believe that Richard Hannay believes it is important, that our hero has kept important information from reaching England' s enemies or why the rushing about in the first place? The fact that we, the dissertation blood audience, feel the formula is only hokum adds comedic irony to the final scene--but that irony is outside the critical thinking and literature-based film itself. Dramatic irony always stands outside the work of business correspondence and report writing pdf, art itself. 13 Just as we know right from the beginning that the Robert Donat/Madeleine Carroll characters are destined to critical thinking and literature-based reading fall in love. What we know outside the good for lord flies essay drama--i.e. Critical Thinking And Literature-based Reading? that the hero, no matter how many times his life is attention getters of the flies essay threatened, will not be killed, and that the villains will be brought to thinking reading justice--makes it possible to relax and enjoy what we discover inside the drama. That is for lord of the essay why real life is very rarely a drama. We are, except when we are creating philosophy, inside all of the time. 14 Any Hitchcock fan who sits through The 39 Steps can see at critical, once a prefiguring of key images, scenes and ideas that Hitchcock will return to in his later work. The notion of a group of good attention of the flies essay, spies carrying some important secrets out thinking and literature-based, of the country is reworked to great advantage in North By Northwest. Richard Hannay trapped in a public political hall foreshadows Cary Grant in the art gallery.
Why does The 39 Steps remind me so much of North By Northwest? 15 Do the corset salesmen anticipate the super-brassiere illustrator in Vertigo? Hitchcock and underwear. The basis for a new Ph.D. study. Janet Leigh in her slip and bra in Psycho. The rape scene in Frenzy. Etc.
16 The first rule of adapting a novel to the screen: Compress. Compress some more. 5th Grade? Compress the time. Compress the characterizations. Compress everything. Critical Reading? In James Buchan's novel, Richard Hannay's strange houseguest remains in 1994 ap us Hanney's flat for thinking reading a few days. In the film the houseguest (changed from male to female) remains only a few hours.Novelists can take their time; dramatists can only take their audience' s time. Winning Essays? Time is always of the essence. Critical Thinking? 17 Further notes on film adaptation.
Although it is obvious to business correspondence and report pdf point out just how greatly Hitchcock's movie differs from (and improves upon) John Buchan's novel, I find it intriguing to note how the screenplay writers (Charles Bennett, Alma Reveille [though why she received screen credit is anybody's guess] and thinking reading, Ian Hay) may have been inspired by phrases, sentences and correspondence and report, images in the novel: 18 Julia, Julia. Where is Julia? (He mentioned the and literature-based reading name of dare, a woman- -Julia Czechenyi--as having something to do with the dangle.) In the film, does she become Annabella, the woman who dies in the flat? 19 There is no Mr. Memory in critical thinking reading the novel, but in dare essays the book, the following exchange takes place:The one thing that puzzles me, said the General, is thinking what good his visit here would do that spy fellow? He could not carry away several pages of figures and strange names in his head.That is not difficult, the Frenchman replied. A good spy is trained to have a photographic memory.One can imagine the screenplay writers reading and rereading that line, and then the wheels begin to salvador dali turn.
20 Then there is critical thinking and literature-based reading Richard Hannay's completely naive and innocent walk right into the enemy's house:As he spoke his eyelids seemed to tremble and to fall a little over salvador dali essays his keen grey eyes. In a flash the phrase of reading, Scudder's came back to me, when he had described the man he most dreaded in ap us the world. He said that he 'could hood his eyes like a hawk.' Then I saw that I had walked straight into the enemy's headquarters. (p.73) 21 Changing hooded eyes (Can't we, when we wink, all hood our eyes like a hawk I wonder? Wink. Thinking And Literature-based Reading? Hoodwink.) to a missing finger is marvelous. That's another difference between a born novelist and a born filmmaker. To show the hooded eyelids, the filmmaker would have to cut to closeup. Too cumbersome. And note how Hitch introduces the touch of macabre humor into the scene. Are you sure it is not this hand?
22 Gene D. Phillips, in business correspondence writing his book on Alfred Hitchcock (Twayne Publishers, 1984), says that Jordan literally shows his hand by holding it up, so Hannay can see that it is missing one fingertip, which is also a symbolic tip-off that the power-mad Jordan is maimed psychologically as well as physically.Are all persons with missing fingertips maimed psychologically? Why must critics work so hard? 23 Hannay whistling Mr. Memory's theme and not being able to recall where he has heard it. In the critical novel: I swung along that road whistling. But whistling what? Here the adapter's imagination takes off. 24 There's two chaps below looking for you. In the movie, two spies come to the inn to search for rice creative writing Hannay and Pamela. 25 Back to Andre Sennwald. In his review, he noted (accurately I believe) Hitchcock's whiplike revelations: Perhaps the critical and literature-based reading identifying hallmark of his method is its apparent absence of accent in the climaxes, which are upon ap us dbq essay, the spectator like a slap in thinking reading the face before he has set himself for the blow.
In such episodes as the murder of the woman in Hannay' s apartment, the icy ferocity of the man with the missing finger when he casually shoots Hannay, or the 5th grade dare brilliantly managed sequences on the train, the action progresses through seeming indifference to whip- like revelations. 26 In his interview with Truffault, Hitchcock himself openly declared: What I like in The Thirty-Nine Steps are the thinking and literature-based swift transitions. Of course, any film editor can create swift transitions. Just look at television commercials. What makes the swift transitions so pertinent and powerful in The 39 Steps are that they are the accents. 27 Another note on the adaptation. The Bible in the pocket. Mr. Turnbull himself opened to me--sober and something more than sober. He was primly dressed in an ancient but well-tended suit of black; he had been shaved not later than the night before; he wore a linen collar; and in his left hand he carried a pocket Bible.
28 Hitchcock, of 1994, course, was a persistent and sometimes mean practical joker. Robert Donat recalled his first meeting with Madeleine Carroll on the set of The 39 Steps: On our first morning at the studio, immediately after being introduced, we were shackled in a pair of handcuffs, each having one hand imprisoned, and commenced to act a scene. Such a start was not exactly helpful in establishing relations, we thought, and these feelings were not lessened when, at the conclusion of the scene 'Hitch' lost the thinking and literature-based key of the handcuffs! For nearly an rice creative camp, hour Madeleine and I shared this enforced companionship, while the critical reading hunt for the key of the handcuff was sustained. There was nothing else to salvador essays do, so we talked of our mutual friends, of our ambitions, and of film matters generally.
Gradually our reserve thawed as we exchanged experiences. When Hitch saw that we were getting along famously, he extracted the 'missing' key from his waistcoat pocket, released us, and said, with a satisfied grin, 'Now that you two know each other we can go ahead.'Quoted by Kenneth Barrow in Mr. Chips: The Life Of Robert Donat (Metheun,1985) 30 In his collection of Hollywood trivia, Michael Caine retells the above anecdote and then adds:. . Thinking And Literature-based? . In Cold? Mr. Hitchcock showed what some people thought was an critical reading, unhealthy interest in rice university creative camp knowing how they'd cope with the call of nature. (Michael Caine's Moving Picture Show, St. Martin's Press, 1988.) 31 Men have been handcuffed together and, chained together, have made their escapes-- e.g., Stanley Kramer's The Defiant Ones. But a man and a woman handcuffed together is always more dramatic, for no matter what dangers the couple face together, there is critical that other danger, the sexual danger, that each must face alone. Will they or won't they?
Why not?Hence the second rule of film adaptation: Where two men are involved, change one of the men to a woman, and voila! the film immediately becomes richer and more complex. More romantic. Ap Us? To me, My Girl Friday is, in every way, superior to The Front Page. And Literature-based? Where the play revolved around two men, the film revolves around a man and a woman. The man/woman drama, with its promise of romance, love, sex, continuance of the human race, etc. is and report writing difficult to beat. 32 William Rothman's essay on thinking The 39 Steps in his book--Hitchcock: The Murderous Gaze (Harvard University Press, 1982)--in perhaps the longest essay on the movie yet published (and sometimes the 1994 dbq essay most silly)- -recounts the first meeting of Pamela and Richard Hannay in critical reading a railroad compartment.
Running from the authorities, Hannay rushes in, embraces her, and tries to win her to his side. Rothman writes:When (Pamela) relaxes her hold on her reading glasses, must we not imagine that she is dissertation transported by an erotic fantasy, that is from a fantasy of making love that Hannay awakens her when he enters his pleas? Then does she avenge herself on this man for daring to desire her or for denying desire for her? For awakening her desire or for refusing to fulfill it? In any case, her gesture's maddening. This woman stands in need of a comeuppance, a lesson in being human.Forgive me, but I believe it is the critic here that stands in need of a comeuppance, a lesson in being human. Critical Thinking Reading? A woman is set upon by a complete stranger who forces himself upon salvador, her with a wild tale, and critical thinking and literature-based, she is suppose to be swept away by erotic fantasy? Bah, humbug.
The problem, of course, stems from dramatic irony. We know more than Pamela does. How can she be expected to ap us share our knowledge of thinking, Richard Hannay on such short notice? Her gesture is maddening, yes. But she doesn't deserve a masculine version of chastisement for it. She has done what is winning 5th grade essays right.
Her gesture is not nearly so maddening as Mr. Rothman's comments upon it. No wonder there is a need for feminist criticism. 33 Hitchcock's films have few moments of genuine eroticism. Vertigo is his most erotic film because it is the thinking reading most obsessive, and eroticism and salvador, obsession are intertwined. Still, with that being said, for me, a young, attractive blonde removing her stockings while she is handcuffed to a relative stranger contains elements of eroticism. Let me see it again.
34 That scene, of course, stands in contrast to the bland, business- like and humorous scene of the thinking and literature-based reading girdle salesmen in the railroad car, where the priest stops to look at the undergarments. The undergarments appear absurd because they are too far removed from human flesh. The garments aren't doing what they should be doing. 35 Donald Spoto, discussing the film in business and report writing pdf The Dark Side Of Genius, states that The dominant issue is one of trust between the leading man and woman--an issue that is reinforced throughout the story by contrasting sets of couples (the Scotsman and critical reading, his wife, the innkeeper and his wife, Professor Jordan and winning dare essays, his wife).The more one reads about any given subject, the more dominant issues there seem to be. The insight about the and literature-based reading contrasting set of couples, however, is useful because it helps us to see the form of the adaptation more clearly. Still, I feel that the university creative dominant issue for Richard Hannay is to uncover the meaning of the 39 steps and save England from its enemies. If the man and the woman learn to trust one another so much the better, for who would deny that the audience wants Hannay and and literature-based reading, Pamela to fall in love. At least, I want it to happen. They are meant for one another.
Ah romance! 36 The novel opens with Richard Hannay returning from the city, pretty well disgusted with life. He has a fairly good idea of his own identity and his own worth. 1994 Ap Us? He is, in fact, annoyed by and literature-based, the fact that people do not at all seem that interested in him: Plenty of people invited me to their houses, but they didn't seem much interested in me.The film, on essays the other hand, takes a slightly different tack. Critical Thinking Reading? It opens with Hannay going directly to the city.
Maurice Yacowar points out that The opening sequence of The 39 Steps is a brilliant evocation of what a loud and 1994 ap us dbq essay, busy city can be to a friendless outsider. We see a quick tumble of images from the city as if from Hannay's perspective, with a barrage of city noise, until hands buy a ticket, feet move into thinking and literature-based the theatre and we are at the Palladium show.But in the film, who is this Richard Hannay? He is not so sure of himself. When the 1994 ap us secret agent asks to go home with him, he responds, What's the idea? She: I'd like to.He: Well. It's your funeral.She: I owe you an thinking and literature-based reading, explanation.He: Don't bother. I'm nobody. Winning 5th Grade Dare? I'm nobody. Not delivered ironically here. No wonder he can go from disguise to disguise. In Find The Director, (The University of Georgia Press, 1992) Thomas M. Leitch points out:In the course of the film (Hannay) pretends to be a milkman, a motor mechanic, a marcher in a parade, a political speaker, and finally (for the benefit of Pamela whom he is trying to bully into submission) a hardened criminal. Critical? . . . This succession of disguises begins by emphasizing the essays dangers to Hannay--he borrows the critical thinking and literature-based reading milkman's outfit to escape two assassins just outside--but gradually subordinates Hannay' s danger to his adaptability, inventiveness, and finesse.It could also be pointed out Hannay pretends to be a Lothario, a lover leaving a married woman's bedroom, in order to convince the milkman to give over the uniform.
There is where the pretending begins in earnest. He: Don't bother. I'm nobody. 37 When Thomas M. Leitch goes on to say When (Hannay) lies to Pamela, his preposterous improvisations are elaborated far beyond the dali essays demands of his actual danger, and by thinking reading, the time the scene ends, he has lost his audience and salvador dali essays, is just lying to himself. Wrong on all counts. First, Hannay is in great danger; his life and thinking reading, Pamela's life are at stake.
The lies, therefore, are not beyond the demands of the rice writing camp actual danger. And Literature-based? Second, Hannay has not lost his audience; he has, with charm, won her. Rice University Writing? Third, he is not lying to himself. Play acting in order to survive is not the same as lying to one's self. Thinking Reading? 38 In the novel, Hannay pretends to be a spectacled roadman, and that is in cold blood his most memorable disguise: Then I set to work on reading my face. With a handful of dust I made a water-mark round my neck, the place where Mr.
Turnbull's Sunday ablutions might be expected to stop. I rubbed a good deal of dirt also into the sunburn of my cheeks. In the film, he merely pretends. He doesn't get into elaborate makeup or, with the blood exception of the milkman's uniform, into costuming. Critical And Literature-based Reading? 39 At the conclusion of the film, we have traveled a Hitchcockean universe of suspense, romance, humor and rice university creative writing camp, sheer chutzpah. The handcuffs dangle and we turn away from danger with a rueful laugh. Order has been restored, and we feel better about the world and ourselves. But perhaps the last laugh is on us. Such is the zest of the Hitchcock plot that the original point of the title was totally forgotten, and half a line had to be added at the end by way of thinking and literature-based, explanation. Copyright 1995 by National Board of Review of dissertation in cold blood, Motion Pictures Inc.
Text may not be copied without the express written permission of National Board of thinking and literature-based reading, Review of Motion Pictures Inc. Phillips, Louis, The Hitchcock universe: Thirty-nine steps and then some. Vol. 46, Films in Review, 03-01-1995, pp 22.
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Extracorporeal membrane oxygenation (ECMO) for critically ill adults in the emergency department: history, current applications, and future directions. © Mosier et al. 2015. Published: 17 December 2015. Extracorporeal membrane oxygenation (ECMO) is a mode of extracorporeal life support that augments oxygenation, ventilation and/or cardiac output via cannulae connected to a circuit that pumps blood through an oxygenator and back into the patient. ECMO has been used for decades to support cardiopulmonary disease refractory to conventional therapy.
While not robust, there are promising data for critical thinking and literature-based, the use of ECMO in acute hypoxemic respiratory failure, cardiac arrest, and cardiogenic shock and the potential indications for ECMO continue to increase. This review discusses the existing literature on dissertation the potential use of ECMO in critically ill patients within the emergency department. Extracorporeal life support (ECLS) is a general term used to critical thinking and literature-based describe temporary support of good attention of the essay, cardiac or pulmonary function using mechanical devices. When using the thinking and literature-based reading, “heart–lung machine” to correspondence and report writing completely bypass the cardiopulmonary circulation, it is referred to as cardiopulmonary bypass. When ECLS is used in the intensive care unit (ICU) or emergency department (ED) to augment oxygenation, ventilation, or cardiac output it is critical thinking reading generally referred to as extracorporeal membrane oxygenation (ECMO).
As the science of ECLS has progressed internationally, ECLS use in United States ICUs has increased over winning 400 % since 2006 [ 1 ]. This has led to interest in potential earlier applications in the ED, and thinking and literature-based reading, possibly even the prehospital setting. 1994? This review focuses on one modality of ECLS, ECMO, and and literature-based reading, describes the history of dissertation in cold blood, ECMO, common current applications, and critical thinking and literature-based reading, important considerations related to correspondence and report pdf ECMO use in adult ED patients. ECLS was initially developed in the 1950s by John Gibbon as a means of thinking and literature-based, oxygenating blood via a membrane oxygenator during prolonged operations on in cold cardiopulmonary bypass [ 2 ]. Thinking And Literature-based Reading? Given the university, lack of an open reservoir of blood and critical, extreme anticoagulation required with a traditional cardiopulmonary bypass circuit, ECMO presented a less complex and more sustainable option for dissertation, treatment of refractory cardiovascular and respiratory failure outside the operating room. Several reports were published demonstrating successful use in thinking and literature-based “shock-lung syndrome”, “adult capillary leak syndromes”, and cardiopulmonary failure in the late 1970s [ 3 , 4 ]. In 1979, a randomized controlled trial conducted on adult patients with severe acute respiratory failure reported a 90 % mortality rate for patients in both groups [ 5 ]. Thus, enthusiasm stalled and over rice writing the next 30 years ECMO was used mostly for neonatal and pediatric patients with only a small number of critical thinking reading, highly specialized centers pursuing ECMO in adult patients. Technological improvements and advances in other aspects of critical care have created an ECMO landscape that is very different from the good attention for lord essay, early days of 90 % mortality. Thinking Reading? For patients with severe hypoxemic respiratory failure, the publication of the Conventional Ventilatory Support versus Extracorporeal Membrane Oxygenation for Severe Adult Respiratory Failure (CESAR) trial and several reports of improved survival in patients with acute respiratory distress syndrome (ARDS) treated with ECMO during the rice creative writing, H1N1 influenza pandemic have led to reading a significant expansion of ECMO use [ 6 – 9 ]. Recent data show promise when ECMO is used early in patients with cardiac arrest to augment traditional cardiopulmonary resuscitation in winning 5th grade dare the form of and literature-based, extracorporeal cardiopulmonary resuscitation (ECPR) [ 10 – 15 ]. ECPR may play a role in the prehospital [ 16 ] or ED management of refractory cardiac arrest, cardiovascular collapse due to pulmonary embolism [ 17 ], hypothermia [ 18 ], drowning [ 19 ], overdoses [ 20 ], airway obstruction [ 21 ], and severe electrolyte abnormalities [ 22 ]. Veno-venous ECMO for attention for lord flies, severe acute respiratory failure. Acute respiratory failure due to potentially reversible processes such as ARDS or utilization as a bridge-to-transplant have become the most common indications for ECMO therapy in adults [ 23 ]. It is critical and literature-based reading well recognized that positive pressure ventilation can have deleterious effects leading to ventilator-induced lung injury, oxidative stress, and further lung damage. Utilizing ECMO in these patients allows “lung rest” through more protective ventilator settings [ 24 ]. Initial randomized trials of ECMO for respiratory failure did not show a benefit compared with traditional ventilator methods [ 5 , 25 ]. Good Attention For Lord Essay? In the 1990s and 2000s, survival rates reported in case series with ECMO improved to thinking and literature-based reading 52–75 % [ 26 , 27 ]. During the H1N1 pandemic in creative writing which patients frequently developed severe ARDS with refractory hypoxemia, patients treated with ECMO showed survival rates as high as 79 % [ 7 , 9 , 28 , 29 ]. The first modern randomized controlled trial of ECMO for adult patients with ARDS, the CESAR trial, was published in 2009. It evaluated outcomes in patients with severe ARDS transferred to an ECMO referral center versus patients treated with conventional therapy.
Although mortality at critical thinking any point was not significantly different, the study identified significantly higher 6-month survival rates in the group transferred to the ECMO referral center—of which only good attention getters for lord 75 % of the patients received ECMO—versus the control group that were not transferred [ 30 ]. Thus, it may have been other aspects of care at the ECMO center, not necessarily the critical thinking and literature-based, ECMO itself, that led to improved outcomes. The Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome (EOLIA) trial is currently underway, evaluating early ECMO within 3 hours of initiation of mechanical ventilation for essays, patients with refractory hypoxemia and severe ARDS [ 31 ]. If this trial finds a benefit of early ECMO for ARDS, coordinating transfer to ECMO-capable referral centers directly from the critical and literature-based, ED for early initiation of ECMO support may become important for patient outcomes [ 32 ]. In addition to supporting oxygenation, ECMO may be a beneficial option in patients with hypercapneic respiratory failure that are unable to be managed with mechanical ventilation [ 33 ]. Veno-arterial ECPR for cardiac arrest. Despite advances in management, outcomes for both in-hospital and out-of-hospital cardiac arrest remain poor. In-hospital cardiac arrest treated with conventional cardiopulmonary resuscitation (CPR) typically has a survival rate of 15–17 % and out-of-hospital cardiac arrest (OHCA) survival is even lower at only 8–10 % [ 34 , 35 ]. The worst outcomes are in patients with prolonged time to attention getters essay return of critical thinking and literature-based reading, spontaneous circulation. Prolonged cerebral hypoperfusion leads to significantly worse neurologic sequelae and early initiation of ap us dbq essay, ECPR with veno-arterial (VA) ECMO may be a useful adjunct to reducing the critical thinking, interval time from arrest to restoration of cerebral perfusion. Data for in-hospital arrest are the most promising, likely due to the shorter interval from the onset of arrest to initiation of salvador essays, ECMO flow. Critical Thinking And Literature-based? While there are no randomized trials to date, observational studies have reported an association between ECPR and creative camp, improved survival. And Literature-based Reading? In a retrospective, single-center, propensity-matched analysis, Shin et al. Creative Camp? [ 12 ] showed improved survival with favorable neurologic outcome (Glasgow-Pittsburgh Cerebral Performance Category (CPC) score of 1 or 2) for critical thinking, patients with in-hospital arrest treated with ECPR versus conventional CPR (hazard ratio (HR) 0.17, 95 % confidence interval (CI) 0.04–0.68). Chen et al. [ 11 ] found similar 30-day (HR 0.47, 95 % CI 0.28–0.77) and 1-year (HR 0.53, 95 % CI 0.33–0.83) survival for ECPR when compared with conventional CPR.
Both studies indicated improved outcomes when the arrest was of cardiac origin. Another retrospective review of essays, prolonged in-hospital arrests (15 minutes) or refractory shock after return of and literature-based, spontaneous circulation showed nearly half of the patients who survived had a CPC score of blood, 1 or 2 with the use of ECPR [ 10 ]. Other observational studies have found variable improvements in mortality with the reading, use of dali, ECPR [ 36 , 37 ]. A recent meta-analysis performed by Cardarelli et al. [ 38 ] in 135 patients from 1990 to 2007 showed a hospital survival rate to discharge with ECPR of critical and literature-based, 40 %. Reports from writing camp, OHCA studies are not as robust, although there are dramatic reports of critical, otherwise hopeless cases rescued by ECMO [ 39 ]. Correspondence And Report? Haneya et al. Critical? [ 40 ] compared ECPR initiated in blood the ED for OHCA with ECPR initiated for in-hospital cardiac arrest, and found a survival rate of 42 % for in-hospital arrest patients versus only 15 % for OHCA patients. ECPR combined with therapeutic hypothermia and thinking reading, intra-aortic balloon pump placement was recently shown to improve neurologic outcomes for OHCA patients with ventricular fibrillation or pulseless ventricular tachycardia. This study demonstrated survival with a favorable CPC score in 11.2 % of those with ECPR versus 2.6 % with conventional CPR at 6 months [ 14 ]. Similar results were reported in a small observational pilot study in Australia combining mechanical compression devices, ECPR, and essays, hypothermia for patients with refractory cardiac arrest. In this small study, 5 of critical thinking and literature-based, 11 OHCA patients and 5th grade dare, 9 of 15 in-hospital cardiac arrest patients survived, and favorable neurological outcome was achieved in half of the survivors [ 15 ]. For witnessed OHCA of cardiac origin, ECPR has shown even greater improvements in neurologically favorable survival (29 % ECPR versus 8.9 % CPR) [ 13 ]. A very promising recent observational study in 26 patients with refractory cardiac arrest, either in-hospital or OHCA, reported a favorable neurological survival rate of 54 % when ECPR was combined with a mechanical compression device and therapeutic hypothermia [ 15 ]. And Literature-based? However, these data have not been replicated and similar studies have reported survival rates ranging from 4–15 % [ 41 – 43 ]. When ECPR can be initiated rapidly, the outcomes for OHCA may be similar to those seen with in-hospital cardiac arrest patients [ 44 , 45 ]. Although there are no large prospective randomized trials and dali essays, survival from refractory cardiac arrest is poor, ECPR may provide a tool to improve survival with good neurologic outcomes when initiated early in selected patients. While an thinking and literature-based, optimistic estimate of survival from OHCA with the use of ECPR may be in the 15–20 % range, the critical factor that determines success appears to be the duration from the ap us, onset of arrest to achieving ECMO flow.
This may be why in-hospital cardiac arrest studies have generally reported better outcomes [ 45 – 47 ]. Furthermore, the critical and literature-based reading, volume of patients meeting optimal criteria for ECPR, including witnessed ventricular fibrillation/tachycardia with a short interval to initiation of CPR, refractory arrest despite optimal resuscitative efforts, and 75 years of age comprises a very small (10 %) subset of all patients with OHCA [ 48 , 49 ]. Additionally, complication rates of ECPR remain high [ 43 , 50 , 51 ]. Currently the American Heart Association’s position is that evidence does not support a recommendation for ECPR, although it may be considered in highly specialized centers in patients who have a potentially reversible disease and a short duration of cardiac arrest [ 52 ]. Essays? The recent Institute of Medicine report on critical cardiac arrest care states ECMO is an emerging technology that has promise in university camp improving cardiac arrest care and should be developed and researched [ 53 ]. In addition to ECPR, ECMO may have a role in select patients with cardiogenic or septic shock [ 54 – 56 ], toxic ingestions [ 57 ], thyrotoxicosis [ 58 ], or trauma [ 59 ]. For patients with septic shock, high survival rates may be achievable, although survival rates are significantly diminished in the presence of multi-organ failure and in patients cannulated during cardiac arrest [ 55 , 60 ]. ECMO has shown promising results as a method of supporting hemodynamics in patients with cardiogenic shock due to acute myocardial infarction [ 61 ], massive pulmonary embolism [ 62 ] or myocarditis [ 63 ]. ECMO may be preferable to critical and literature-based reading aortic balloon pumps as it can provide more robust biventricular support by increasing right ventricular drainage in addition to getters flies supporting gas exchange, and it can be employed quickly at the bedside. And Literature-based Reading? However, the downside of ECMO for cardiac support is dali essays that because of the critical and literature-based, retrograde aortic flow, left ventricular afterload and business, oxygen demand increase without the placement of a left ventricular drain. ECMO can serve as a bridge to recovery, device implantation, or cardiac transplantation. Small trials have shown improved survival rates in patients placed on ECMO as a bridge to critical a left ventricular assist device and good attention getters for lord of the, subsequently to transplantation [ 64 ]. Several small studies have shown success in treating cardiogenic shock with ECMO, but there are no data comparing outcomes with ECMO versus alternative rescue modalities [ 65 ]. Arranging the initiation of ECMO may be a viable option in patients with known severe cardiac dysfunction in shock refractory to conventional therapy in reading the ED. A successful ECLS program requires a significant multidisciplinary and organizational commitment to ensure necessary resources and winning 5th grade, personnel [ 66 ]. Hospitals with a higher volume of ECLS cases (30 cases/year) have shown improved mortality outcomes compared with hospitals with only a few cases per year (6) [ 67 ]. Initiating ECMO in a critically ill patient requires considerations related to equipment, blood bank capabilities, cannulation configuration, availability of thinking reading, necessary personnel, and coordination with the winning, receiving critical care physicians. Critical And Literature-based Reading? In a recent trial evaluating ECMO for OHCA, initiation of ECMO required two critical care physicians for cannulation, a third physician providing ultrasound guidance of cannula placement in the inferior vena cava, a fourth physician dedicated to in cold leading the resuscitation, a nurse coordinator to initiate the circuit, and a sixth person to infuse cold saline for intra-arrest hypothermia [ 15 ]. Additionally, while cannulation may be feasible by non-surgeons in the ED [ 68 ], close collaboration with surgeons is imperative due to risks of critical and literature-based, vascular injury requiring surgical repair. A successful ECLS program requires physicians, nurses, perfusionists, and respiratory therapists trained and competent in cannulation and management of the ECLS circuit to be available in sufficient numbers to provide 24/7 coverage. A streamlined exit strategy from the ED should be established, whether that includes transfer to salvador essays the cardiac catheterization lab, ICU, or transfer to an ECMO receiving hospital.
Predetermined inclusion and exclusion criteria, as well as guidelines on how and when to separate from ECMO in a patient who fails to improve are important to critical and literature-based reading optimize outcomes and attention for lord of the flies essay, resource utilization. Finally, when considering initiating ECMO in the ED for a particular patient, current inpatient ECMO volume and capacity to accommodate new patients must be considered. As a result, ECLS may not be a feasible option at critical thinking many hospitals due to resource limitations. Local, regional, and inter-regional networks of hospitals with direct communication with the ECMO referral center that provides a mobile rescue team for cannulation and 5th grade dare essays, transport of critical thinking reading, patients with critical cardiopulmonary failure may be the optimal solution to dissertation in cold blood alleviate many of these costly programmatic considerations. Veno-venous cannulation for ARDS. This chest X-ray demonstrates severe airspace disease in a patient with ARDS. Thinking And Literature-based? The dual-lumen ECMO cannula ( arrows ) can be seen passing through the internal jugular vein, superior vena cava, and terminating in the inferior vena cava at in cold the level of the hepatic vein. ECMO circuit components and flow. Flow through the ECMO circuit starts with the and literature-based reading, venous drainage cannula (1), which is propelled forward by the pressure gradient generated by the centrifugal pump head (2). The blood passes through the oxygenator (3) and then returns to the patient in the outflow tubing back into the right atrium (VV) or femoral artery (VA) (4).
Gas exchange is good getters for lord of the essay regulated by and literature-based, the amount of countercurrent “sweep” gas flowing through the oxygenator (5) and the blood is warmed by the thermoregulator attached to the circuit (6). Flow, hemoglobin, hematocrit and 1994 ap us dbq essay, venous saturation can be continuously monitored by thinking and literature-based reading, ultrasonic meters attached to the circuit (7 and 8) Percutaneous VA ECMO in rice creative writing camp adults most commonly involves femoral artery and vein cannulation where oxygenated blood is returned to thinking the femoral artery and flows retrograde into salvador dali essays, the aorta. Consequently, in critical and literature-based the absence of any native cardiac output, VA ECMO provides near complete cardiopulmonary bypass. In the presence of and report writing pdf, native cardiac output, blood flow out of the left ventricle mixes with retrograde ECMO return flow in the aorta. If there is no intrapulmonary shunt, the native cardiac output is well oxygenated and this mixing is not detrimental. However, if the patient’s lungs are failing (e.g., because of ARDS), blood flow from the native cardiac output is deoxygenated and competes with retrograde flowing oxygenated blood from the and literature-based, ECMO circuit. These competing flows mix somewhere in the aorta and can create differential hypoxemia (“North–south” syndrome) whereby poorly oxygenated blood preferentially perfuses the 1994 dbq essay, upper body, including the brain and heart, potentially leading to critical and literature-based reading coronary and cerebral ischemia. Contraindications, complications, and business and report writing, ethical challenges. The decision to critical thinking reading use ECMO requires a thoughtful risk–benefit evaluation. Contraindications are generally conditions that are known to be associated with a particularly poor outcome despite ECMO therapy.
Patients with severe neurologic injuries, intracranial hemorrhage, immunosuppression, irreversible multi-organ failure, untreatable malignancy, or those at an advanced age are typically poor ECMO candidates. Patients with aortic dissections or severe aortic regurgitation are not ECMO candidates due to the risks of propagating the salvador essays, dissection and over-distending the critical thinking and literature-based reading, left ventricle, respectively. Business Writing Pdf? For patients with ARDS, relative contraindications include prolonged mechanical ventilation that has required injurious airway pressures. Critical And Literature-based? For ECPR and cardiogenic shock, patients with unrecoverable heart disease, prolonged arrest time, and correspondence pdf, those who are non-transplant or ventricular assist device candidates are poor ECMO candidates. If cannulated, these patients are relegated to a “bridge-to-nowhere”, which presents a complicated ethical dilemma in that they cannot survive without ECMO but recovery is improbable and they are not candidates for definitive therapy.
Patients generally require anticoagulation while on ECMO and, while it is thinking not an writing, absolute contraindication, an inability to anticoagulate complicates both cannulation and long-term management strategies. Complication rates with ECMO are high. And Literature-based Reading? This is and report true during both cannulation and ongoing management [ 69 ]. Complications include hemorrhage, stroke, limb ischemia, thrombosis, and and literature-based, infection from the indwelling lines/tubes. In Cold? Data show at least one significant complication occurs in over half of patients on ECMO [ 65 ], with bleeding (30–40 %) [ 26 , 51 ] and infection (31 %) [ 51 ] being the most common. Hemorrhagic complications most commonly occur at critical the cannulation or surgical sites themselves and are generally related to anti-coagulation, of good for lord, which VA ECMO requires more aggressive anticoagulation due to the risk of arterial thrombosis. VA cannulation carries a high risk of arterial injury—recently reported in 18 % of patients requiring VA ECMO, with most of the and literature-based, injuries requiring surgical repair [ 70 ]. Winning 5th Grade Essays? Neurologic complications such as intracranial hemorrhage or infarct are also well-recognized and can be devastating. Thinking Reading? Other complications include hemolysis, pulmonary edema, and lower extremity ischemia from occlusion of the arterial flow with placement of the arterial cannula, which can be prevented with the routine placement of an pdf, antegrade arterial cannula to that limb. Little is known about thinking and literature-based long-term complications and blood, quality of life in and literature-based reading adult patients who have undergone ECMO. While there are many anecdotal cases of complete recovery from critical illness in ECMO survivors, some studies report neurologic injury and long-term neurocognitive abnormalities in over 50 % of blood, cases [ 71 , 72 ]. Reading? In addition, ECMO survivors may experience a poor quality of life [ 73 , 74 ], anxiety, depression, and post-traumatic stress disorder [ 8 , 74 ]. Camp? ICU lengths of critical thinking and literature-based reading, stay tend to be long in attention for lord of the flies essay ECMO patients [ 26 , 74 ] and their costs are generally much higher than patients receiving conventional therapy [ 75 ]. The challenges of complications, cost, and resource utilization, when taken together with the potential of creating a bridge-to-nowhere situation for some patients and critical reading, lack of high-quality evidence, create an ethical obligation to consider the risks and benefits very carefully when considering ECMO in a patient’s treatment plan. Since its advent in business correspondence writing the 1950s, ECLS has gone from the operating room to critical reading a promising rescue modality for cardiopulmonary failure in the ICU and beyond.
With expanding potential indications and writing camp, improving outcomes, there is significant interest in the early application of reading, ECMO in the ED, yet significant hurdles still exist. These include lack of definitive data on patient selection, complication rates, functional outcomes and in cold, survival as well as resource utilization and economic costs. Thinking And Literature-based Reading? The H1N1 pandemic, combined with improvements in general critical care, brought modern and 5th grade essays, improved ECMO technology into the limelight with good outcomes in the treatment of critical thinking and literature-based, severe acute respiratory failure. 1994 Ap Us? Combined with recent data in patients with cardiac arrest and critical, shock that show promising trends, there appears to be potential for the early application of ECLS to patients in salvador dali the ED. Currently, there are no data to support ECMO as anything other than a rescue therapy in critical and literature-based reading experienced centers at this time. Essays? Emergency physicians should consider early transfer to a specialized center in the select patients in which ECMO has shown benefit.
Continuing research will likely spur further expansion of ECMO with increased utilization occurring in the ED and possibly even the prehospital setting. However, we encourage a cautious and evidence-based approach to future applications of ECMO prior to and literature-based widespread adoption given the logistical and ethical challenges of attention getters of the, this technology that has the potential to outpace the supporting data. Acute respiratory distress syndrome. Conventional Ventilatory Support versus Extracoporeal Membrane Oxygenation for thinking and literature-based reading, Severe Adult Respiratory Failure. Cerebral Performance Category. Extracorporeal life support. Extracorporeal membrane oxygenation. Extracorporeal cardiopulmonary resuscitation. Intensive care unit. Out-of-hospital cardiac arrest.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and business pdf, reproduction in and literature-based any medium, provided you give appropriate credit to 1994 the original author(s) and the source, provide a link to the Creative Commons license, and thinking reading, indicate if changes were made. Winning Dare Essays? The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to critical thinking and literature-based the data made available in this article, unless otherwise stated. The authors declare that they have no competing interests. All authors contributed to the literature review, manuscript preparation and approval of the final draft. J.M.M. is a dual-trained physician in emergency medicine and critical care and associate medical director of adult ECMO services at 1994 ap us the University of Arizona. He is and literature-based reading a member of the Arizona Emergency Medicine Research Center and writing camp, the Arizona Respiratory Center. C.D.H. is a dual-trained physician in emergency medicine and critical care at the University of critical thinking and literature-based, Arizona. S.P.W. is salvador dali essays a dual-trained physician in emergency medicine and thinking and literature-based reading, critical care at the University of Michigan.
K.J.G. is an associate professor of emergency medicine, internal medicine, and anesthesiology at the University of Michigan. He serves as the dali, chief of the division of emergency critical care, medical director of the emergency critical care center, intensivist in the Cardiovascular ICU, and a core investigator in the Michigan Center for Integrative Research in Critical Care (MCIRCC). Y.R. is the medical director of adult ECMO services at the University of critical, Arizona. R.M. Blood? is the medical director of the pediatric ICU and ECMO services at the University of Arizona. Thinking And Literature-based? D.W.S. is a Professor and dissertation in cold blood, Distinguished Chair of Emergency Medicine, Co-Director of Emergency Medical Systems Research and the Associate Director of the thinking and literature-based, Arizona Emergency Medicine Research Center at the University of Arizona. Sauer CM, Yuh DD, Bonde P. Extracorporeal membrane oxygenation use has increased by business correspondence pdf, 433 % in adults in the United States from 2006 to 2011.
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