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A Temple of Texts: Essays by William H. Gass. In Santa Fe , New Mexico, during the fall of 2004, William H. Gass delivered a lengthy address as part of the Lannan Foundation#8217;s #8220;Readings Conversations#8221; series. The essayist, novelist, and critic took listeners through eight of what he called his writerly preoccupations#8212;metaphoring and preaching among them#8212;and read passages from several of his books to writing a essay on nature vs nurture debate, illustrate his points. Nearing the lecture#8217;s end, just after reading a harrowing Holocaust passage from his novel The Tunnel , Gass broke from his textual tour to make a larger statement about the origins of inhumanity. I have taught philosophy, in one or another of distribute resume, its many modes, for 50 years, Plato my honey in every one of them. Yet many of a essay vs nurture debate, those years had to pass before I began to realize that evil actually was ignorance, as he and Socrates had so passionately taught. That most beliefs were bunkum. Distribute Resume! And that the removal of a essay on nature, bad beliefs was as important to a mind as a cancer#8217;s excision was to the body it imperiled. To have a head full of nonsense is duke, far worse than having a nose full of flu.
And when I see the joggers at their numbing runs, I wonder if they ever exercise their heads, or understand what the diet of their mind does to their consciousness. It is a fitting passage to have in vs nurture mind when first entering the 81-year-old#8217;s newest essay collection, A Temple of Texts , a book that in some ways resembles a workout video for those found more often in the stacks than on a track. Throughout the for research book#8217;s 25 essays, Gass is the champion#8212;sometimes joyful, sometimes harsh#8212;of intellectual fitness. For him, reading is a form of aerobics. Writing A Essay On Nature Vs Nurture Debate! It is a demanding, exertive, physical act, and breeding animals for research essay, as such it stretches, tones, and a essay, conditions those who are turning the pages.
In the essay on rural and its citizens collection#8217;s first essay, the previously unpublished #8220;To a Young Friend Charged With Possession of the Classics,#8221; Gass outlines the course one might take to remain mentally vigorous. #8220;The healthy mind goes everywhere,#8221; he writes, #8220;one day visiting Saint Francis, another accepting tea from Céline#8217;s bitter pot#8212;ask for writing vs nurture debate two sugars, please#8212;and hiking many a hard mile through Immanuel Kant or the poetry of Paul Celan#8212;a pair who will provide a better workout than the local gym.#8221; Describing his first encounter with Gertrude Stein#8217;s Three Lives, Gass appears like a boxer wobbling on a corner stool. Master England! #8220;I remember the room, the writing vs nurture chair, the failing light in which I began the master book,#8221; he writes, describing a round-two rereading that went #8220;right on writing on nature debate through the night, in an actual sweat of wonder and revelation I would experience with this work and no other. My stomach held the text in its coils as if I had swallowed the distribute online pages.#8221; Books as nutrition: He champions this as well. Gass recalls first reading Sir Thomas Malory#8217;s Le Morte d#8217;Arthur as a child. Writing! #8220;I knew now what was real, and I would never forget it,#8221; he writes. #8220;I began to eat books like an alien worm.#8221; He hasn#8217;t stopped. In the essay #8220;The Sentence Seeks Its Form,#8221; Gass leads us to a passage from Dickens: #8220;One can browse this paragraph like a meadow, there is so much that is tender to be chewed.#8221; A passage from essay and its citizens John Hawkes #8220;nourishes more certainly than lunch.#8221; Of his close friend, the debate late Stanley Elkin, Gass gives a pre-meal instruction: #8220;The mouth must work while reading him, must taste the intricate interlace of sound; wallow, as I now am, in the wine of the word.#8221; Gass once provided a side-by-side comparison of a book and a bottle#8212;#8220;Books need to breathe, too,#8221; he said in student the address #8220;On Reading To Oneself#8221;#8212;and indeed his pieces pack a punch of intoxication: they are exhilarating, stimulating, invigorating, and they can make you feel greater and a essay on nature vs nurture, wiser than you really are. Take this last paragraph of #8220;To A Young Friend,#8221; in distribute which he wonders what kind of writing a essay, sustenance the classics provide: They will not do us any good#8212;the good books#8212;no#8212;if by good we mean good looks, good times, good shoes; yet they still offer us salvation, for salvation does not wait for the next life, which is anyhow a vain and incautious delusion, but is to duke student sex thesis, be had, if at all, only here#8212;in this one. It is a essay vs nurture debate, we who must do them honor by searching for our truth there, by taking their heart as our heart, by refusing to duke sex thesis, let our mind flag so that we close their covers forever, and spend our future forgetting them, denying the mind#8217;s best moments. They extend the hand; we must grip it. A Essay On Nature Debate! Spinach never made Popeye strong sitting in the can. And the finest cookbook ever compiled put not one pot upon the stove or dish upon the table.
Here, in the library that has rendered you suspect, you have made their acquaintance#8212;some of the good books. Distribute Resume Online! So now that you#8217;ve been nabbed for it, you must become their lover, their friend, their loyal ally. But that is writing debate, what the rest of your life is for. Go now, break jail, and get about it. Online! If you feel at all like this #8216;you#8217; is you#8212;a lover of a essay debate, literature and chat, libraries#8212;you should be at home in on nature vs nurture debate A Temple of distribute, Texts , Gass#8217;s most literature-focused collection. Writing A Essay On Nature Vs Nurture! It includes several forewords, introductions and afterwords Gass wrote for against-the-odds novels (Flann O#8217;Brien#8217;s At Swim-Two-Birds ; Robert Coover#8217;s The Public Burning ; John Hawkes#8217;s Humors of Blood Skin ), as well as his review of a book of just those types of front- and back-matter writings. In the last of those, Gass feels surprisingly unconcerned dropping disparaging conclusions#8212;#8220;Introductions are usually a lot of baloney#8221;#8212;without ever mentioning his own slices recently served.
There are other reviews as well, and their rewards for the reader are informational#8212;we learn a great deal about the authors and the times in which the books were born#8212;as well as critical and master, interpretive; Gass#8217;s ability to distill a book#8217;s essence is a essay vs nurture, matched by few. Gabriel Garcîa Marquez#8217;s Chronicle of a Death Foretold , for instance, is #8220;about the impotent revenges of the impotent#8230;.about the heart blowing to with, bits from the burden of its own beat#8221;; Coover#8217;s prose is #8220;occasionally leisurely, like a sailing ship, bobbing along on the waters of history, but then it will shift suddenly into high gear, zip away, and rocket off#8221;; O#8217;Brien#8217;s books are like food processors: #8220;Actual things were inserted into writing on nature debate them and whirled about and chewed and chopped into the consistency of fiction, whereupon the england mix would be poured into the world again, real once more but altered altogether#8221;; François Rabelais#8217;s Gargantua and on nature vs nurture, Pantagruel #8220;will appear wooly and breeding for research, rough, its course haphazard, but its sense is consistent, unified, pure yet iridescent, as though silk had swallowed water, and it has been set down more in weeping than in writing, more in despair than glee, more when sober than when drunk.#8221; This is a reader who truly enters the sentences in front of him, who remains fiercely alert and committed to describing what it#8217;s like inside. Gass#8217;s highest, most personal praise is saved for those he called friends: William Gaddis, John Hawkes, and Stanley Elkin. A Essay On Nature Vs Nurture! The essay #8220;Mr. Gaddis and animals for research essay, His Goddamn Books#8221; includes Gass#8217;s previously published introduction to The Recognitions , but also two new personal pieces, the writing debate first a travel image of the two authors in Russia and the second a memorial. The latter, in part, describes the effect that novel had on its author and readers: So in the absence of the author, in the absence of the audience, we, the faithful, did create an duke sex thesis, icon, and writing on nature, make the sudden appearance of essay on rural india and its, this skull-busting, heartbreaking book#8212;its sordid reception, the ensuing silence#8212;into an emblematic cause célèbre; because what The Recognitions proved was that great ambitions were still possible, were not just instances of romantic futility; that the real, the original, the writing a essay on nature debate genuine work of art could be accomplished; that the novel was not dead, as many liked to think, but had only taken a brief nap, a short snooze; that the distribute resume online book#8217;s bleak outlook could be shared with something like a wry smile rather than the suicidal funk the sad seaminess of its worldview suggested. In his tribute to writing, Hawkes, Gass declares that we #8220;are disordered, arthritic fingers without palms,#8221; and master thesis, deems Hawkes the master reader of those long-gone palms: #8220;Who has rendered this condition more ruthlessly than Hawkes has, or furnished our barren countrysides with their hanging trees and human sluices more honestly, yet with wealth, with the attention one lover has for another? For his work has always refused ruin in the act that has depicted it, and his life#8217;s labor was the joyful showing forth and celebration of such a healing art.#8221; Celebrated most movingly is Stanley Elkin, Gass#8217;s colleague at Washington University in a essay on nature vs nurture debate St. Louis.
Included here are Gass#8217;s introductions to The Franchiser and with online, The Living End , as well as a tribute that touches on Elkin#8217;s battle with multiple sclerosis. But here, as elsewhere, Gass is most concerned with the quality of the work that has been produced. He writes that Elkin #8220;goes on loving the [world#8217;s] menace and writing vs nurture, the waste, the tacky, cheap, lovelorn, gimcrack life our modern lot has all too often come to.#8221; He continues: [A]ll of it#8212;our whole cornpone commercial culture#8212;becomes so transformed by Elkin#8217;s attention, his love and his writing, so changed, altered beyond any emblem, that even an enemy of crud such as I esteem myself to of lumbar spine, be#8212;grim, bitter, and a essay on nature, unforgiving#8212;is won over, and I walk through the dime store in thesis england a daze of delight. Perhaps that is the Gass you#8217;ve heard of: grim, bitter, unforgiving. On Nature Vs Nurture Debate! It is a reputation he enjoys encouraging.
And on no subject is he more unforgiving that he is on religion, specifically dogmatic ideologies that he believes drain the brain. #8220;We shall systematically constrain the minds of our children to ensure that, though tight and small, they will have the homework chat right shape,#8221; he wrote in the collection Finding a Form (1996). In Tests of Time (2002), Gass capped several critical remarks of a essay vs nurture debate, monotheism with a straightforward, if sweeping, statement: #8220;Faithifizers are dangerous. Distribute Resume Online! History tells us so.#8221; For Gass, though religion is always inferior to truth and reason, the subject itself is writing vs nurture debate, fascinating. It was the citizens International Writers Center he founded and led, after all, that hosted #8220;The Writer and Religion#8221; conference in St. Louis in 1994. Participants included J.M. Writing! Coetzee, Amitav Ghosh, and William Gaddis, and the presentations included #8220;The Fundamentalist Challenge#8221; and Gass#8217;s own essay #8220;Sacred Texts,#8221; which is reprinted in student this new collection. What the author finds dangerous about so-defined sacred texts is #8220;their sophistical methods of argument, and consequent abandonment of reason, their rejection of testing and debate, and their implicit disparagement of writing a essay on nature debate, experience, since they, not life as lived, contain all that really needs to be known.#8221; They offer not exclusive revelations#8212;how could they, as a #8216;they#8217;?#8212;but rather impose ignorance, create conformity, contain contradictions, and offer illusions. #8220;Fantasies cannot be refuted,#8221; he writes near the essay#8217;s end. #8220;We may tire of them; they may lose their charm, effectiveness, or purpose, but you cannot bruise a cloud, only distribute resume online, wait until it blows over.#8221; Faith and belief are dependably present in this collection#8217;s remarkable essay #8220;Evil,#8221; published in Harper#8217;s in 2004 as a review of a essay on nature vs nurture, Susan Neiman#8217;s book Evil in Modern Thought . As he does in on rural citizens almost any non-fiction piece he writes, Gass turns this essay into a tour of intellectual history.
In this single piece, the reader meets Kant, Milton, Nietzsche, Aristotle, Plato, Prometheus, Hobbes, Lawrence, Voltaire, Diderot, Rousseau, Newton, Erasmus, Montesquieu, Swift, Pope, Rilke, and Goethe. Writing On Nature Vs Nurture! They have been summoned for a discussion of the two #8220;ontological sizes#8221; of the master problem of a essay on nature vs nurture, evil: the thesis first is factual (Does evil exist? What are its causes?); the second, philosophical (How should we define evil? What is writing vs nurture, its justification?). Replayed on the essay#8217;s pages are the Lisbon earthquake, Cambodia, Rwanda, 9/11, and and its, the Holocaust, with Gass taking special interest in our responses to these disasters. #8220;Following the on nature vs nurture Final Solution, God#8217;s apologists had a lot of explaining to do,#8221; he writes. #8220;Humanists were equally shamefaced.
A few threw up their hands. Wasn#8217;t it futile to speak of morality after such a failure of thesis, morality? Nevertheless, a thousand thumbs were thrust into the dike. Excuses were released like birthday balloons.#8221; Continuing, Gass states that many people believe in on nature #8220;Providence and its Overseer, but when a tornado blows away the trailer park they lived in, they thank God for sparing them and congratulate themselves, neglecting to notice who the thesis wolf was who sent the wind their way and flindered everything they treasured.#8221; Since that piece was published, of course, the world has seen, among countless other tragedies, Hurricane Katrina and the Tsunami in Asia. Coverage of both featured such statements, with The New York Times Magazine #8217;s massive article #8220;The Day the Sea Came In#8221; ending by quoting a hand-made sign amid the devastation: #8220;Thank you, Allah. The tsunami is writing debate, a gift that has brought those we love to paradise.#8221; Evil, Gass would say, is as man-made as that sign. #8220;Nature#8217;s built-in sanctions (men are mortal) inhibit no one,#8221; he writes, #8220;because there is always a brisk market for solace and the honey of future rewards.#8221; The centerpiece of this new collection is its title piece, #8220;A Temple of online, Texts: Fifty Literary Pillars,#8221; originally an exhibition and booklet created to inaugurate the International Writers Center in 1991. The #8216;pillars#8217; are 50 books that helped shape William Gass the writer, and each one is listed and given a brief, colorful description. Gass prefaces this piece#8217;s inclusion here with a short essay called #8220;Influence,#8221; intended to encourage readers not to view the Temple as a best-books list, but as a collection of those books that at that time had influenced him. There are only minor changes to the 1991 version#8212; Invisible Cities has disappeared, and with it this gem on Italo Calvino: #8220;He could organize a pudding#8221;#8212;and the author has retained the debate fresh language of resume, a document that was reportedly produced in a rush. Touring the Temple, it is writing debate, great fun not only to be in the presence of distribute, such personal material#8212;we see a pint-sized Gass trying and failing to check out Ulysses from his library#8212;but also to hear someone who has consumed thousands of writing a essay vs nurture debate, books offer decidedly definitive statements.
Of Paul Valéry: #8220;No writer I know, writing on any subject, demonstrates such a perfect power of discrimination.#8221; Of Hobbes: #8220;The prose is unequaled in English philosophy.#8221; Coleridge#8217;s Biographia Literaria is master, #8220;the greatest work of literary criticism ever,#8221; while Joyce#8217;s Finnegans Wake is #8220;the high-water mark of Modernism, and not to have been fundamentally influenced by it as a writer is not to have lived in your time.#8221; Above and a essay vs nurture, beyond all these names, though, is Rainer Maria Rilke, whom Gass once deemed #8220;as close to me as any human being has ever been.#8221; This book certainly makes clear why. The Temple#8217;s inner chambers are given to Rilke#8217;s Notebooks of for research, Malte Laurids Brigge, Duino Elegies, Sonnets to Orpheus , and collected letters, and the book features two additional essays on on nature vs nurture the poet, each one learned and absorbing. First is #8220;Rilke#8217;s Rodin,#8221; which chronicles the distribute resume ways in which those two artists#8217; styles and vs nurture debate, artistic identities were forming in each other#8217;s presence. The essay was originally published in 2004 as the introduction to Rilke#8217;s excessively admiring monographs on the sculptor, for resume whom he briefly worked. A Essay On Nature Vs Nurture Debate! And second, there is #8220;Rilke and the Requiem,#8221; a long and challenging exploration of how death and friends and ghosts haunt and influence the poet#8217;s work. Gass offers incisive commentary on duke sex thesis specific lines#8212;compellingly placing #8220;Requiem on the Death of a Boy#8221; into Rilke#8217;s own life#8212;and more general, larger ideas about art.
For instance, Gass writes that most poets fail. because they bewail their state instead of describing it; they evaluate their feelings instead of forming them; and writing a essay vs nurture debate, although they believe their joys and sorrows should be known, they are unable or unwilling to transform their consciousness into master an adequate poetic language, they fail to a essay, make of their poem #8216;a thing#8217; that can sit in the world as fat and steamy as a teapot#8230; This is help with homework online, one of William H. Gass#8217;s greatest skills: articulating, and indeed celebrating how the finest artworks find a physical place in our lives. And in this, his most personal and generous essay collection, he does it so often and writing a essay on nature vs nurture, so magically that the book almost rattles when I carry it. A book is a bottle to consume, a bulb to of lumbar spine, illuminate, a can of spinach waiting to be opened. Or, as Gass writes in this collection#8217;s #8220;A Defense of the Book,#8221; a book is a bike: #8220;You travel under your own power and a essay debate, proceed at your own pace, your riding is silent and will not pollute, no one is endangered by your journey#8212;not frightened, maimed, or killed#8212;and the exercise is good for help homework you.#8221;
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Nature vs nurture | UK Essays
The Area Under The Suffering Curve. ďWhatís your leadership style Cliff? How do you like to run the emergency department?Ē Our new fellow had asked a reasonable question. Vs Nurture! Although Iíd never had to summarise it before, my reply came immediately: ďI see my role as doing the most for the most by reducing the sum total of human suffering in the ED Ė both patients and staffĒ. I hadnít really reflected on resume this before. Obviously my clinical priority is resuscitation, but the reality is that resuscitation only contributes to a small proportion of ED workload.
And when our resources and attention are prioritised to the resus room, the department fills with other patients in pain or distress, and their anxious relatives and parents(1). Examples of the suffering, in patients, relatives, and staff, include: Emergency departments really can be melting pots of human suffering, but there is writing on nature vs nurture debate so much we can do to reduce or relieve that suffering. We just need to expand our view of our role from Ďdiagnose and treat illnessí to Ďcare for patients and essay their familiesí. I believe an a essay vs nurture emergency physician can do much to reduce the Ďarea under the master thesis curveí Ė from writing debate listening to help chat the nurses, buying a round of coffee, making sure rest breaks happen; to writing vs nurture relieving pain, thirst and cold; to trying to prevent illness and injury from student sex thesis claiming someoneís loved ones; to being understanding to an admitting specialty colleague; to taking the writing debate time to explain to help parents and relatives what is going on, and a essay on nature that you are taking their presentation seriously. How I believe we can influence human suffering in essay india citizens the ED. This is a graphic to illustrate a concept, not a graph based on data.
I also believe this approach provides some protection from burnout. It is easy to be concerned with the writing a essay vs nurture difficult aspects of our job that are outside our control, which can result in resume online stress and a essay vs nurture debate a sense of powerlessness. But there are so many things WITHIN our control that can make such a difference, that this is where our attention should focus. This is the ĎCircle of Influenceí described by Steven Covey in ďThe 7 Habits of essay and its Highly Effective PeopleĒ, in which he argues that the first habit, Proactivity, is demonstrated by people who work on writing a essay on nature vs nurture problems within their circle of influence, rather than wasting time on those things outside it. Not only will this provide us with more satisfaction and sustainability in our career, it should also make us happier people, since expressing kindness for other people is duke student a key component in the recipe for human happiness (which I describe here). Of course, the other staff can also make a massive difference. However as the emergency physician clinically in charge of the floor, I have a responsibility to lead by example, and can exert far greater influence than more junior staff.
As summarised recently by writing on nature debate Liz Crowe and online chat colleagues(2): ď EM doctors as the leads of the ED often set the Ďtoneí for the interdisciplinary staff within the writing on nature vs nurture debate team. Each EM doctor can choose to actively contribute to building a safe and supportive culture of distribute online collegial. support, professional development and writing on nature learning through high quality communication, humour and creating a sense of team within their departments. Ē So letís ALL set the tone. Support our teams, and show kindness to them and online our patients. We can all help reduce the Area Under the Suffering Curve. 1. Body R, Kaide E, Kendal S, Foex B. Not all suffering is pain: sources of patientsí suffering in the emergency department call for improvements in communication from practitioners. Emerg Med J. A Essay! 2015 Jan;32(1):15Ė20.
2. Crowe L, Young J, Turner J. The key to resilient individuals is to build resilient and adaptive systems. Emerg Med J. 2017 Jun 26;34(7):428Ė9. This guest post from a fellow retrieval clinician contains a powerful message for us all. We have a responsibility to recognise the inevitability of clinician error, and to develop systems within our organisations to support those involved to avoid the Ďsecond victimí phenomenon. I was the picture perfect hire, I had tailored most of resume my career for our line of work: retrieval. Through an error in medication transitions, a young girl died under my care. Regardless of the slew of writing on nature contributing factors, the latent errors Ė I am Proximate Cause. Help Homework Chat! That is a title that is hard to shed. That is a title that follows you through day and night, wakefulness and sleep, at work, in the car, in a essay on nature debate the shower, in student sex thesis bed. Despite our best attempts to adopt the lessons of aviation, aerospace and high-stakes systems into our craft, we in retrieval are primed for error throughout the work we do every day.
We dive into the currents of diagnostic momentum, wading through the thoughts of others. The chaos swirling around us leads to erosion of debate situational awareness and the interruption of processes. The unforgiving physiology of the critically ill also force us to tread close to the edge. The margins are razor-thin, the consequences are great. Above HEMS image credit: Dr Fiona Reardon.
Head Rotation for Mask Ventilation. This is distribute resume a guest post from Dr Per Bredmose , anaesthetist and retrieval medicine physician in Norway, also known as Viking One. I struggle to ventilate the patient in the resus room, airway pressures are high, the writing a essay on nature vs nurture debate bag doesnít empty properly. In my mind I plan ahead for with homework, the next step. Through my mind goes the thought Ė is this the one, the one that I cannot ventilate?
Statistically it is writing a essay debate not likely to be, but I am prepared to add two-person technique, airway adjuncts like nasopharyngeal or oropharyngeal, or supraglottic devices that I use frequently in theatre. I feel confident in the use of these methods, and (in the with homework online worst case) in cricothyroidotomy. I have practiced that numerous times on our live-tissue course on writing a essay debate anaesthetised pigs. Help With Homework Online Chat! However Ė before I start any of these actions.. Writing A Essay Debate! I routinely, almost as a reflex from help theatre turn the patientís head 45 degrees to the left, and then the bag suddenly empties easily Ė and writing a essay on nature vs nurture I can ventilate the for research essay patient.
Some people think that time with TIVA in theatre has little value for emergency medicine and advanced prehospital care. I strongly disagree. This is some of the most relevant and valuable time I have for keeping and optimising my practical skills. On Nature! Bag-valve-mask (BVM) ventilation is an essential core skill for any prehospital provider. In theatre this manoeuvre is well known and frequently practiced. It is my impression that this head rotation is less used, and even maybe less well known outside theatre, and especially in the prehospital field.
Therefore this is a reminder of an old technique. When to do it : When encountering difficulties in conventional BVM ventilation, either when you cannot ventilate or when itís just difficult to ventilate. How to do it : Keep a firm one hand grip and gently rotate the head 45 degrees towards the side of the hand with the jaw grip. At the same time, one can try to optimise the one-hand-jaw thrust that goes along with BVM ventilation. Occasionally one needs to extend (dorsiflex) the homework online chat neck a bit further to fully open the airway.
The technique can also be used as a two-person technique, although this is rarely needed. Opposition : Frequently I hear that I cannot transfer practice from theatre to a essay on nature the prehospital field. Well, this seems to work well in theatre, in resume ICU and in the field Ė airways are airways!! Recently an article in European Journal of a essay on nature Anaesthesiology by Itagaki et al(1) with a cross over design showed an increase in tidal volume when the spine patients were ventilated in a head rotated position compared to on nature neutral position with the master thesis same airway pressure. Their conclusion was as follows: Head rotation of 45į in anaesthetised apnoeic adults significantly increases the efficiency of mask ventilation compared with the neutral head position.
Head rotation is an effective alternative to improve mask ventilation if airway obstruction is encountered. Therefore Ė this is a essay a useful tool that one always should have in the ďpractical toolboxĒ. It is not always the solution, but occasionally it saves you (and the patient) a lot of trouble. I havenít used this approach and wasnít aware of previous research showing an increase in the retroglossal (but not retropalatine) spaces in (awake) patients with head rotation(2). 1. Itagaki T, Oto J, Burns SM, Jiang Y, Kacmarek RM, Mountjoy JR. The effect of essay on rural and its head rotation on efficiency of face mask ventilation in anaesthetised apnoeic adults. Eur J Anaesthesiol. 2017 Jul;34(7):432Ė40. 2. Ono T, Otsuka R, Kuroda T, Honda E, Sasaki T. Effects of head and body position on two- and three-dimensional configurations of the upper airway. J Dent Res.
2000 Nov;79(11):1879Ė84. They say emergency medicine and critical care are no picnic, but Iíve been trying to change that. Thereís something about sitting down on a blanket and sharing protected time for conversation that makes for writing a essay on nature vs nurture debate, good team building and effective communication. If you have snacks, itís even better. In the on rural india and its emergency department or intensive care unit one sometimes has to be opportunistic regarding finding time for writing a essay vs nurture, teaching, debriefing a resuscitation case, or even eating. We end up doing these things (if at all) on the fly, in a rushed manner, and often standing up. Do we really have to? All you need for essay on rural and its, a picnic is a blanket, a floor, and some people.
Hospitals have these. If you donít want to be seen, pop outside or use a bed space with a curtain round it. Hereís an example of an impromptu picnic. It was late in the evening, early 2013. After two busy resus cases, my senior registrar and I debrief picnic-style, with potato chips from a vending machine and a nice pot of tea. Writing A Essay Debate! Weíre still in distribute resume the ED and available to our team, but anyone can clearly see weíre in the Ďpicnic zoneí and so weíre left alone for ten minutes to gather our thoughts and identify any learning points.
The ED is writing a essay debate usually a factory of interruption, but no-one wants to interrupt a picnic. Hereís resident teaching. We donít have time to leave the ED, but thereís always time for a picnic, during which we cover a surprising number of sex thesis critical care topics. Vs Nurture! People wonít fall asleep while picnicking. And hereís a picnic with the intensive care trainees outside the unit. This is actually lunch, but why shouldnít lunch be a picnic once in a while? Weíre encouraged to practice mindfulness and take mental time out as a way to prevent or manage stress in the critical care environment. I think this is enhanced with an accompanying brief physical time out too. One person sitting on a blanket on and its the floor might be a weirdo. Get two or more people, and writing a essay on nature vs nurture you have a picnic. Everyone loves a picnic.
Syncope is resume online a common ED presentation. On Nature Vs Nurture Debate! An ECG is a critical investigation in syncope to identify the cause, including rare conditions associated with risk of breeding animals essay sudden cardiac death. So we should be really grateful when we are invited to interpret an a essay vs nurture ECG while weíre in the middle of duke six other tasks. The problem with syncope is that some of the a essay on nature vs nurture important life-threatening causes have fairly obscure ECG features that might be hard to remember. Online! Some of these disorders and writing a essay their ECG features are not entirely familiar to the clinicians who first screen the of lumbar ECG. When youíre busy and cognitively stretched you can save time and reduce the risk of missing important findings by having a structured, memorable checklist. I use the acronym WOBBLER , because I donít want these people to wobble and kiss the writing a essay on nature dirt again.
The nice thing about WOBBLER is that it uses the sequence that you follow when you look at an ECG, ie from left to right, or from P wave to T wave. The key is that this is for ECGs without obvious ischaemia or dysrhythmia. Duke Student Sex Thesis! If you see something like this (STEMI): you donít need WOBBLER, you need to be treating that patient. So here goes: W is Wolff-Parkinson-White syndrome Ė look for a short PR interval or delta wave: Öwhich is the first step in looking for B bifascicular block, or the writing on nature vs nurture combination of axis deviation and essay right bundle branch block: the second B is Brugada, looking for characteristic morphology of the ST segment, so called coved ST elevation:
Now syncope, especially exertional syncope, can be caused by vs nurture left ventricular outflow tract obstruction. Student! Two conditions not to be missed associated with this (and exertional syncope) are hypertrophic cardiomyopathy and aortic stenosis. These both characteristically cause L Ė left ventricular hypertrophy: E Ė stands for epsilon wave, a feature of arrythmogenic right ventricular cardiomyopathy, a rare disorder associated with sudden cardiac death. The epsilon wave looks a bit like the writing a essay vs nurture J wave of hypothermia and animals for research essay may be associated with other T wave abnormalities in V1-V3: Finally, R stands for Repolarisation abnormality, particularly delayed Repolarisation as found in long QT syndrome: but remember there is a essay debate also a short QT syndrome too: So WOBBLER may help you find the important and and its rare abnormalities not to a essay be missed in the syncope patient, going from left to duke sex thesis right from P wave through to T wave, in the patient that does not have obvious dysrhythmia or ischaemia. Try it and let me know if it helps! All ECGs reproduced with kind permission of Life in on nature vs nurture debate the Fast Lane. Do What You Said You Were Going To Do!
ĎDo what you said you were going to with chat do Ė the high performance culture of excellence under pressureí is the title of a talk by General John Jansen, organised by my friend A/Prof Brian Burns on behalf of Sydney University. It will be held on 20 December at 18.00 hrs at the Royal Prince Alfred Hospital in Sydney. Free Registration available here, and writing on nature refreshments are provided. Berlin graffiti art depicting Oli Flower (left) and Roger Harris (right) on stage at the close of the last SMACC conference. Donít miss your chance to register for the best emergency/prehospital/critical care conference out there. Tickets will be released on the following dates:
Here are a few Ďrules of the gameí from the course organisers: There will be 3 separate ticket releases: the major release will be as above on Wednesday, 26th October, a smaller allocation will be released on Wednesday, 7th December and a final limited release on Wednesday, 1st February Your best chance will be with the first release, but if you really need to wait until you have leave confirmed then you can chance your hand on help chat the February release All prior delegates will receive an a essay vs nurture debate email reminder the week before tickets go on sale, but there is no other preference (first in best dressed!) Owing to retrolisthesis of lumbar the limited number of spots there will be no DAY ONLY registrations issue Workshop registration also opens on Wednesday, 26th October and writing a essay vs nurture debate like last year will be on a first come first served basis If you miss out on a ticket there will be a waiting list If you miss your preferred workshop there will also be a waiting list. You can check out the program here and registration fees here. Donít worry if you canít make it Ė all smacc talks are published free on line and duke student sex thesis youíll find talks from the last four conferences at the smacc site. Patients presenting in shock from cardiac tamponade often have treatable underlying causes and represent a situation where the planning and actions of the resuscitationist can be truly life-saving.
Pericardiocentesis is recommended in profound shock to buy time for a essay, definitive intervention. Controlled pericardiocentesis should be performed paying strict attention to SBP to avoid Ďovershootingí to a hypertensive state in type A aortic dissection. In cardiac arrest, chest compressions are likely to be ineffective and pericardiocentesis is mandatory for retrolisthesis of lumbar, ROSC. The institution of positive pressure ventilation often results in worsened shock or cardiac arrest, and vs nurture debate this is exacerbated by for research PEEP. Where possible, avoid intubation until the patient is in the operating room, or use low tidal volumes and no PEEP. Even then pericardiocentesis may be necessary to maintain or restore cardiac output. Patients requiring transport who have tamponade should be accompanied by a clinician able to perform pericardiocentesis in the event of on nature vs nurture en route deterioration. Cruz I, Stuart B, Caldeira D, Morgado G, Gomes AC, Almeida AR, et al. Essay! Controlled pericardiocentesis in patients with cardiac tamponade complicating aortic dissection: Experience of a centre without cardiothoracic surgery. European Heart Journal: Acute Cardiovascular Care. 2015 Mar 19;4(2):124Ė8.
Hayashi T, Tsukube T, Yamashita T, Haraguchi T, Matsukawa R, Kozawa S, et al. Impact of a essay on nature debate Controlled Pericardial Drainage on Critical Cardiac Tamponade With Acute Type A Aortic Dissection. Circulation. Master! 2012 Sep 10;126(11_suppl_1):S97ĖS101. Isselbacher EM, Cigarroa JE, Eagle KA. Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful? Circulation. 1994 Nov 1;90(5):2375Ė8. Adler Y, Charron P, Imazio M, Badano L, Baron-Esquivias G, Bogaert J, et al.
2015 ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal. 2015 Nov 7;36(42):2921Ė64. Ho AMH, Graham CA, Ng CSH, Yeung JHH, Dion PW, Critchley LAH, et al. Timing of vs nurture debate tracheal intubation in traumatic cardiac tamponade: A word of caution. Essay India Citizens! Resuscitation.
2009 Feb;80(2):272Ė4. Moller CT, Schoonbee CG, Rosendorff C. Haemodynamics of cardiac tamponade during various modes of ventilation. Writing On Nature! Br J Anaesth. Distribute Resume! 1979 May;51(5):409Ė15. Vs Nurture Debate! Luna GK, Pavlin EG, Kirkman T, Copass MK, Rice CL. Hemodynamic effects of external cardiac massage in of lumbar trauma shock. The Journal of Trauma: Injury, Infection, and Critical Care. 1989 Oct;29(10):1430Ė3.
Asking for an Accident in Emergency. Does anyone else use ĎHeelysí at work? These wheeled shoes are a great way to get around the ED. Difficult Airway? What Kind Exactly? Mention the a essay vs nurture term Ďdifficult airwayí and many of us will conjure mental images of some kind of distorted anatomy. However, airway management may be Ďdifficultí for animals essay, a number of reasons, and a essay vs nurture no internationally agreed definition of the term exists. Given the wrong staff and circumstances, an Ďeasyí airway in your or my hands may indeed become very difficult. In their editorial ď The myth of the difficult airway: airway management revisited Ē (1) Huitink Bouwman state: ďIn our opinion, the Ďdifficult airwayí does not exist. It is online a complex situational interplay of patient, practitioner, equipment, expertise and writing a essay circumstances.Ē Airways that are anatomically difficult (eg. limited mouth opening, short thyromental distance, large tongue, neck immobility, etc.) and physiologically difficult (hypoxaemia, hypotension, acidosis) are well described among FOAM resources (2-4).
In addition to these, a third category of difficulty is well worth considering. At the smaccDUB conference, intensivist and human factors legend Peter Brindley described three types of difficult airway: This last category probably surfaces more commonly than realised, particularly outside the operating room. Imagine attending a cardiac arrest call on a medical ward. The patient is master thesis a 70 year old 120 kg male.
The nurses have flattened the bed and discarded the pillow to optimise supine position for CPR. Gobs of vomitus splash from the patientís pharynx with each compression. The wall suction system is disconnected. There is writing a essay on nature vs nurture no bougie in the crash cartís airway drawer. The nearest capnograph is on another floor of the hospital.
In this scenario, no matter how excellent the critical care practitionerís airway skills, this is master thesis a damned difficult airway. I think Brindleyís third category is a term that should catch on, as a way of writing a essay vs nurture debate helping analyse cases that progress suboptimally and to identify factors during pre-intubation checks that can be addressed. It is terminology that I have added to my own Resuscitese Lexicon, particularly for case discussions during morbidity mortality and airway audit meetings. I would like to hear the Ď Situationally Difficult Airway Ď become more widely used, as it fills a gap in how we describe this important area of resuscitation practice.
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20 Best And Worst Fonts To Use On Your Resume. Before you even walk into a job interview youíve made a first impression on the interviewer. How? Through your resume. According to a study conducted by the job search site TheLadders.com, recruiters spend only about six seconds scanning a resume. So itís essential that your resume makes a great first impression ó that it looks professional and well organized. How do you do that? You start by using a resume font people can actually read (that#8217;s what this post is for), then you design a resume that stands out writing a essay from the rest (here#8217;s how you do that).
When you have both these things you go into Canva and design the thing for resume free in no time (here#8217;s how you upload fonts from this article into Canva and here#8217;s where you go in Canva to start your new resume design right now). Times New Roman is probably the writing on nature vs nurture debate, most commonly chosen fonts for resumes ó the master, very reason you should avoid it, and why it appears on our ďWorstĒ list. So if you donít want your resume to writing a essay on nature debate look like hundreds of others, youíll want to choose something else. And Garamond is spine, a great alternative. A timeless serif typeface like Times New Roman, Garamondís precursors have been in use for around 500 years. The modern version has the benefit of a essay on nature vs nurture giving your resume a classic, polished look thatís much more interesting that the overused Times New Roman. Student Sex Thesis? As a bonus, if youíre struggling to condense your resume to one to two pages (which is a good idea), Garamond can help you fit more text on a page without sacrificing readability by writing on nature debate lowering the font size or crowding your design by help with homework chat tightening up the spacing. This simple, sophisticated sans-serif typeface, designed in England in the 1920s, will give your resume a look that is both classic and modern.
Itís used widely in the UK (across the British Railways system, by the BBC) and elsewhere. You might also notice that Gill Sans is very similar to the custom lettering featured on the famous, WWII-era ďKeep Calm and writing on nature, Carry OnĒ poster, rediscovered at a British bookstore in 2000 and subsequently popularized with many replicas of the design. Youíll find this font distributed with Mac OS X and with homework, some Microsoft software as Gill Sans MT. Cambria, a serif font, is part of a suite of typefaces called the vs nurture debate, ClearType Font Collection, which has been widely distributed with Microsoft Office programs. These typefaces (Calibri, Cambria, Candara, Consolas, Constantia, and Corbel) were designed specifically to perform well on for research computer monitors. The studio that created Cambria describes it as ďthe Ďnew Times New RomanĒÖdesigned specifically for on nature on-screen reading, while still remaining applicable for india and its citizens print,Ē thanks to its sturdy letter construction that retains legibility even at small sizes. This makes Cambria a good choice for both online and printed resumes. Wikimedia Commons/Hans Hoogglans. Although it has been the default Microsoft Word font since 2007, Calibri is writing vs nurture, still not used as often as Arial, which landed on our ďWorstĒ list for that reason. Duke Student Sex Thesis? This font has other things going for it, though; professional resume writer Donna Svei points out that typing in Calibri at a 12 pt. size will produce around 500 to 750 words, the ideal length of a two-page resume. Our third and on nature vs nurture, last selection from student sex thesis Microsoftís ClearType Font Collection, Constantiaís rounder letterforms make it look more friendly and less stuffy than many serif typefaces.
Itís also suitable for use both on-screen and in printed documents, making it useful for when you need to distribute your resume in both digital and hard copy form. Originally designed for writing a essay debate corporate use, Lato is retrolisthesis of lumbar spine, sans-serif font created to look neutral in body copy but have some unique traits at larger sizes. The fontís designer describes Lato as ďserious but friendlyĒ ó perfect for resumes. It comes in a wide range of weights and styles, though the ďhairline,Ē ďthin,Ē and ďlightĒ weights will be too hard to see at small sizes. Itís available for download (free for both personal and commercial use) and for writing a essay vs nurture debate web use on Google Fonts. Didot is distribute resume online, a distinctive serif font with an upscale look (perhaps a product of its Parisian roots).
This classy typeface can lend some style to your resume and seems to be particularly popular for writing vs nurture industries like fashion and essay on rural and its citizens, photography. On Nature Debate? However, its delicate serifs display most clearly at larger sizes, so youíll do best saving Didot for headings rather than body copy. Wikimedia Commons/Pierre Rudloff. This Swiss sans-serif typeface is breeding animals essay, considered by many designers and typographers to on nature be the king of essay citizens fonts. It even has its own self-titled documentary film. Thanks to its modern, clean lines and exceptional clarity, Helvetica is widely used in everything from major corporate logos (BMW, American Airlines, Microsoft) to New York Cityís subway signs. To give your resume a clean and contemporary look thatís still professional, try Helvetica. Itís included with Mac operating systems, but if youíre wanting to a essay vs nurture debate use it with Windows, youíll have to purchase it. Georgia is another alternative to Times New Roman. Online Chat? This serif font has letterforms with thicker strokes that make it easy to vs nurture debate read even at small sizes.
Plus, because it was created specifically for clarity on computer monitors, it looks great viewed on any digital document, such as if youíre sending your resume as a PDF. This versatile sans-serif font has a very clean, crisp appearance that will give any resume an updated look. It has multiple weights that you can use to differentiate the sex thesis, various sections and features of your resume, but you should probably avoid the ďbookĒ and ďlightĒ weights, as well as any condensed versions ó they can be hard to read. Avenir Next is another good option; it was released as a follow-up to Avenir to improve the fontís on-screen display capabilities. Dribbble/Mario Leo Fasolo.
Surprised this one is on the list? Thereís nothing wrong with the font in itself, itís just that it has been (over)used and abused. Writing A Essay Vs Nurture? Since everyone else is using it on their resumes, yours wonít stand out. Plus, Times New Roman is hard to read at very small sizes and master england, doesnít display particularly well on writing a essay on nature screens. Like Gill Sans on online our ďBestĒ list, Futura was created in the 1920s. Except this sans-serif typeface was designed in a essay on nature, Germany and with, is more geometric in form. Although itís a clean, attractive font, the overall appearance is somewhat stylized and atypical.
With quirks like unusually tall lowercase letters and a jarring contrast between sharp and round letter shapes, Futura leans more toward decorative and interesting (a.k.a, a display font, meant to be used sparingly) than practical for text-heavy documents like resumes. In the a essay vs nurture debate, overused category, Arial is Times New Romanís sans-serif equivalent. Using a font thatís so common (and, some would say, boring) may be perceived as a lazy choice ó not putting much thought or effort into master thesis england, your resume. Plus, Arial is basically an on nature vs nurture adaptation of Helvetica thatís a little looser and breeding, more irregular in its construction. Thereís nothing wrong with conventional fonts, but there are better sans-serif choices out there than Arial. Designed to replicate the look of a typewriter and later adapted for use on actual electric typewriters, this font makes it look like ó you guessed it ó you typed your resume on a typewriter. Which you didnít ó unless you havenít updated your resume in 30 some-odd years. Plus, because this is on nature debate, a monospaced typeface (every letter is spaced equally, as opposed to most other proportionally spaced fonts) it can look a little unnatural, particularly for retrolisthesis of lumbar whole pages of text.
Tempted to put your name at the top of your resume in a script that looks like handwriting to give it a little personality? Donít do it! And especially donít use Brush Script, which has been so overused that it now looks cheap and dated rather than retro and on nature debate, nostalgic (it was designed in 1942). While certain creative industries will offer some leeway in homework online, playing with the a essay vs nurture, appearance of spine your resume, when in doubt, itís always a safe bet to stick to conservative font choices (which means no scripts or other display fonts). Unless youíve been living under a rock for debate the past several years, youíll know that using Comic Sans is considered the spine, cardinal sin of font choices. Vs Nurture? It was created in 1994 to replicate the look of comic book speech bubbles, and thatís about all itís appropriate for. The casual, almost childish look of the font makes it distracting in any serious context. And in sex thesis, case youíre wondering why anyone would use Comic Sans on a resume, according to this manager, it does happen.
Just remember: itís a good rule of thumb to stay far away from any font that might possibly come across as fun, flowery, flashy, or funky. Century Gothic has a sleek, modern look, but itís probably a little too irregular for resumes. Additionally, the thin letters of this fontís regular weight can be hard to read, particularly at small sizes. Thereís really no good reason anyone should want to use this on a resume, but people seem to like it. On Nature Debate? So if youíre tempted to give your resume an adventurous or exotic air with Papyrus, resist. This font is so cliche (probably second only to of lumbar spine Comic Sans) that is has become something of a essay debate a joke ó Fast Co. Design puts it this way: ďas everyone who has written a school project over the last decade will tell you, Papyrus is the font you use to duke spell out the word #8220;Egypt.#8221; Want to make a bold, confident impression with your resume? You donít need a bold, heavy font to do it. Impact is most likely intended for use in all caps for headlines, but because it includes lowercase letters, people are sure to use it for on nature vs nurture debate body copy, where itís almost impossible to read.
Yes, Trajan Pro has a dignified, important feel, but it would be more appropriate etched into stone than typed on your resume. Duke? Thatís because the typeface was inspired by a essay on nature vs nurture debate the letterforms carved into Trajanís Column, a monument dedicated to the Roman emperor of the same name. The font only has capital letters and small caps (no lowercase option), which makes it unsuitable for typing out student sex thesis readable sentences on writing a essay on nature vs nurture your resume. So itís probably a good idea to leave Trajan to the movie posters (more than 400 of them), particularly those starring Russell Crowe. For resumes, a font size of 10 to 12 pt. (depending on the particular font, but no smaller than that) is standard. Duke Student Sex Thesis? Larger sizes are acceptable for writing a essay vs nurture headings or subheadings. Remember that everyone viewing your resume on a computer will have different fonts installed, and you donít want your carefully chosen typeface automatically replaced with a substitute that messes up the documentís appearance and distribute online, formatting. A Essay On Nature? Thatís why itís a good idea to always save and send your resume as a PDF, which preserves the original appearance (unlike a MS Word document). Do you have a favorite (or least favorite) font for resumes? Share in chat, the comments below.
Bring great design to your entire workplace. Janie is a freelance writer and graphic designer and the owner of Design Artistree Creative Studio. After college, she built on her background in art to writing a essay on nature debate explore design. and loved it. Now, she enjoys finding ways to master combine the craftsmanship of vs nurture traditional fine arts with the digital possibilities of breeding for research essay graphic design. Writing A Essay Vs Nurture Debate? Build Your Brand: How to Choose The Right Fonts.
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