Wednesday, January 6, 2021

Marijuana

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Marijuana is a drug that is used for many different reasons. It is defined as a green, brown, or gray mixture of dried shredded leaves, stems, seeds, and flowers of the hemp plant. Sinsemilla, hashish, and hash oil are stronger forms of marijuana. All forms of marijuana are mind-altering. In other words, they change how the brain works.


There are numerous street names for marijuana. Some are pot, herb, weed, grass, boom, Mary Jane, gangster, or chronic. There are more than 00 slang terms for marijuana.


The physiological and psychological effects of marijuana on the human body and mind can be life altering. The effects of the drug differs from person to person; it depends on the user's experience, how strong the marijuana is (how much THC it has), what the user expects to happen, how it is taken, and whether the user is using any other type of drug simultaneously.


Some people feel nothing at all when they smoke marijuana. Others may feel relaxed or high. Sometimes marijuana makes users feel thirsty and very hungry - an effect called the munchies. Some users can receive bad effects from marijuana. He or she may suffer sudden feelings of anxiety and have paranoid thoughts. This is more likely to happen when a more potent variety of marijuana is used.


Marijuana is usually smoked as a cigarette (known as a joint), in a pipe, or in a bong. Recently it has appeared in cigars called blunts. It can also be cooked and ingested. That is the route of administration of marijuana.


While tolerance to marijuana has never exactly fit the classic definition, some form of tolerance to pot does develop. Regular users of marijuana frequently claim that this tolerance reduces troublesome side effects, such as loss of coordination. They also claim that tolerance to marijuana develops without risk of dependence. Cynics, however, have argued that tolerance to marijuana is proof of dependence, and proof that the drug is too dangerous to be used safely and responsibly.


Between 114-11, states passed laws to outlaw marijuana. Growing tensions between Americans and immigrants caused the use of marijuana to be frowned upon, because the main users of the drug were immigrants. During the local phase of marijuana prohibition, lasting roughly from 114 to 11, every state west of the Mississippi, except for two, had prohibited use of the drug for non-medical purposes. That is the history of the legislation of marijuana.


Marijuana has many medical uses. Medicinal Value Marijuana is one of the safest therapeutically active substances known. No one has ever died from an overdose, and it has a wide variety of therapeutic applications. Relief from nausea and increase of appetite, reduction of intraocular (within the eye) pressure, reduction of muscle spasms, and relief from chronic pain are most of the symptoms that marijuana is used to correct. Marijuana is frequently beneficial in the treatment of the following conditions AIDS, glaucoma, cancer, multiple sclerosis, epilepsy, and chronic pain. Marijuana can reduce the nausea, vomiting, and loss of appetite caused by the ailment AIDS and by various AIDS medications. Marijuana can reduce intraocular pressure, thereby alleviating the pain and slowing, and sometimes stopping, the progress of Glaucoma. (Glaucoma is the leading cause of blindness in the United States. It damages vision by increasing eye pressure over time.) Marijuana helps cancer patients by stimulating the appetite and alleviating nausea and vomiting, which are common side effects of chemotherapy treatment. Marijuana can limit the muscle pain and spasticity caused by multiple sclerosis, as well as relieving tremor and unsteadiness of gait. (Multiple sclerosis is the leading cause of neurological disability among young and middle-aged adults in the United States.) Marijuana can prevent epileptic seizures in some patients. Marijuana can alleviate the chronic, often debilitating pain caused by myriad disorders and injuries.


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Thursday, December 31, 2020

Satire in novels

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Satire is a literary way in which human vice or folly is attacked through irony, derision, wit and sarcasm. The purpose of satire is to bring about the improvement of humanity and human society. Satire is found in many different places. Satire is found in places such as drama, films, plays, music, art and most of all novels. Lord of the Flies, by William Golding, Brave New World, by Aldous Huxley, and Animal Farm, by George Orwell are wonderful examples of novels that include satire in them. In all three of these novels the authors make use of satirical devices to bring human flaw into focus.


Lord of the Flies satirizes many things in it. Good and evil concerning society is a major issue satirized in the book. Golding helps to show us that even though you may be seen as good, that's not always the case. Everyone has some sort of evil or bad side to him or her. Society is needed to keep the evil of man in order. The fact that the island had no society caused the boys to become somewhat evil. As soon as the "good" English boys were away from their family and society they started acting in a different, more "evil" way. For example, Jack is a nice little choirboy at home. However, when he arrives at the island all he wants is power. He starts acting extremely mean towards everyone else. "The conch doesn't count on top of the mountain so you shut up." (Golding, 4) This shows one of the many times in which Jack ordered around everyone and tried to get more power. By using the topic of good and evil, Golding shows us that human flaw is brought into mind when society disappears.


Brave New World is a novel full of satire, which brings about the flaw of humans. Birth and family are satirized in this book. Birth is considered to be a minor thing. No one considers it to be an important part of life. Therefore everyone has sex with everyone. Of course this causes many births. With all these people being born there is still a lack of family. There are no families or relationships with the people in the World State because everyone was taught this was wrong. The thought of having a mother or father was an insult to the children. "Mother. These are unpleasant facts; I know it. But then most historical facts are unpleasant." (Huxley, 15) Unlike nowadays, the thought of having parents was a horrible thing. In this book Huxley satirizes birth and family to show us what human flaws could end up in the future.


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Animal Farm contains satire concerning the events of the Russian Revolution. Throughout the book, Orwell attacks many things such as Stalinism and role in society. During the time of the Russian Revolution, Stalin was the one and only person in charge. Orwell does this in Animal Farm by having Napoleon gain all the power. By doing this he becomes dictator of the farm. All of the animals are supposed to listen to him and follow his orders. Orwell also satirizes role in society in this book. "7. All animals are equal." (Orwell, ) While part of the commandments state that everyone should be treated equal, that's not what actually occurs. Napoleon is treated as leader and the pigs are treated better than the rest of the


animals. During the Russian Revolution when people were also supposed to be treated equally, they weren't. Orwell shows that power can be abused through satirizing the events of the Russian Revolution.


In conclusion, Lord of the Flies, Brave New World, and Animal Farm are wonderful novels that use satire to prove many important points. These satirical novels ridicule all the things that actually make us humans. Golding, Huxley, and Orwell all make good use of satirical devices to bring human flaw into our focus. From reading these novels you get to find out the flaws of human and society. All three of these authors were able to use satire to prove a significant point.


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Selecting Target Outcomes

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Criteria for Selecting Target Outcomes for the Process-of-Care Investigation


1.Statistically significant outcome differences


It is best to select only outcomes with statistically significant differences between groups for the subsequent investigation of care provision. It is recommended a level of .10 be used except under extenuating circumstances.


If more than three outcomes show significant differences, additional criteria should be applied to narrow the target outcomes to a maximum number of two or three.


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.Larger magnitude of the outcome differences


The magnitude of the differences is assessed by reviewing the actual percentage of patients achieving the outcome in both the current and reference groups.


For example, an outcome difference of two percentage points between groups in terms of hospitalization rates, although possibly statistically significant if sample sizes are large enough, is not as important as a difference of 10 or more percentage points.


Similarly, even if both are statistically significant, an outcome difference of three percentage points for one measure may be more important to an agency than others Improvement in transfers vs. Improvement in shopping.


.Adequate number of cases


At least 0 eligible cases should be represented


4.The actual significance levels of the differences


If an outcome report has no statistically significant differences at the 0.10 level, be aware that the actual significance level is important.


Don't choose a target outcome whose differences are at levels greater than .5; it is simply too probable that there really is no underlying difference between the agency and the comparison population.


5.Importance or relevance to our agency's goals


Review our goals for our program and QI program. What do we want? Do we have a high number of wound care patients? Are we looking at new programs? Are we looking at improving functional status of our patients?


6.Clinical significance


If the outcome difference points to potentially serious clinical problems in quality of care, these outcomes have important clinical ramifications for immediate remediation.


It may also be that the clinical focus is on caring for certain types of patients because of payer mix, the community served, or the nature of referrals.


Depending on the case mix, the agency can focus on specific outcomes perceived to be important for dominant patient types.


Apply the criteria in the order listed above. Statistical significance is a necessary condition for selecting target outcomes. Only in those instances where no outcome differences are statistically significant should an agency pass directly to other criteria in choosing its target outcomes for further investigation. Even in this case, the agency should always examine significance levels and attempt to select as target outcomes those significance levels that are smaller (closer to .10). Focus on large differences rather than small ones. Be sure that at least 0 cases are included in the outcome computation for a potential target outcome. If it appears that a serious problem exists in terms of a particular outcome being markedly inferior, this outcome clearly should be chosen as a target outcome assuming the difference is statistically significant.


Do we select a target outcome from the descriptive or the risk-adjusted sections of the outcome report? Select from either section as long as you follow the criteria above. Because risk adjustment has not been done for the 1 outcomes included in the descriptive report, some additional care will be required when selecting cases for further investigation. There is no reason to exclude these thaough.


What's next? Managers should share the reports with staff as well as the selection of target outcomes and why those were chosen.


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Wednesday, December 30, 2020

AL SHAPIRO'S AUTO WRECH

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Death is unpredictable as we see well conveyed in this poem "Auto Wreck". This poem is organized into sections by what is transpiring in an accident scene. The poet has most likely taken a personal experience from his own life and described it for us in chilling details. This accident takes place apparently in the dead of the night.


This poem starts with a description of an ambulance rushing to the scene of a crash, hurriedly ministering to the victims and rushing them away to the hospital. "The ambulance at top speed floating down past beacons and illuminated clocks," describes the vehicle speeding through a lighted commercial area with glowing signs, billboards and other such advertisements found on the side of a busy street. Once the ambulance reaches the scene of the accident, the doors are thrown open, the victims quickly placed on stretchers, put in the back of the ambulance and are driven from the carnage. Line 14 "As the doors, an afterthought, are closed." gives us the impression that death did actually occur at the scene, described later in the second stanza.


As the ambulance move away from the scene with the severely injured, we see the uninjured and the minimally injured people walking among the cops. The cops who are busy doing their jobs - taking notes, cleaning up and blocking off the scene of accidents


Sherwood


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with lights and yellow tape. Reference is made to the mangled cars as "empty husks of locust, to iron poles," which we all know that locusts leave a perfect shell of their body when they die, which can crumble into many pieces. The author describes the people viewing the crash as feeling like "Our throats were tight as tourniquets," the meaning to this image is that, in their grief, the bystanders throats feel constricted, as if they had a tourniquet around their necks. They might be nauseous because of the shock and are forced to keep their throats tight to forestall vomiting, or they might desire to scream at the pain, and are obligated to remain silent. The people cannot believe what they are seeing and yet, cannot break way, lured to say, by a morbid curiosity. The traffic is slowing moving as the vehicles occupants turn their heads to gawk at the scene in awe of its sick beauty.


Lastly, the final simile is used, "And cancer, simple as a flower, blooms." compares something beautiful and full of life (a flower), with something horrible (a vehicle), an instrument of death. This is a very unusual simile; it is almost an oxymoron. It makes one stop and think. Death is questioned as to who dies next and for what reason.


In the next few lines, one can look for a type of meaning for death stating that war is done by the hands, that involves a level of intent. Suicide has an underlying and silent


cause and stillbirth is logical because a stillborn baby would have had a terrible life of disease or disfiguration. The poet comments on how illogical a car accident is, and makes the point that at least here is some slight reason and warning to cancer, but a deadly collision can occur in a split-second, without warning or reason. In the last stanza,


Sherwood


the poet tries to rationalize death but does not succeed. Rhetorical questions asked could never be answered by logical means, e.g. "Who shall die?" "Who is innocent?" Only an irrational source such as an all-supreme and omniscient being could answer these questions.


In death, there exist strictly irrational causes for the loss of life. Death is an eccentric jungle whose twisted, convoluted, and entangled vines represent the causes of death, which cannot be mapped out mathematically, but can be mapped out by the deranged explorer or sole creator of that jungle, both irrational persons themselves.


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Tuesday, December 29, 2020

Fight for your freedom

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FIGHT FOR YOUR FREEDOM


"The freedom of mankind is a truly wondrous idea." Freedom has been one of the most precious things that has not easily given up by people in the history. It is really indispensible for all nations. The Carthagnians had fought with the Romans for their independence. The Turks had made a war with the Chinese to be independent. They were aware of the situation. Under those circumstances, it was impossible to regain their freedom without fighting. They also focused on the idea that they would be considered as heros by their descendants.The idea of fighting for your freedom is extremely valuable because freedom is a precious thing worth fighting for and to fight is to gain honor.


When it is impossible to gain freedom a war usually occurs. If a nation loses its freedom or independence and begins to live as a part of another nation, it will lose its characteristics, identity, and national beliefs. As a result of this, nations which can't obtain their freedom thorough discussions, conferences or other ways will probably start a war for their freedom. "Its accomplishment would be so great, so enabling to so many people."


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The Turkish independence war is the finest example which completely fits the idea of fighting for freedom. After the first World War, the Ottoman Empire was invaded by England, France, Italy, Russia, and Greece. These nations shared all of the Anatolia. However, the Turks have always lived independently, since the first Turkish nation The Huns. The Huns had beaten the Chinese for their independence in B.C 00's and, like their ancestors, the Turks had started a war named "The Turkish Independence War". Turkish people gave everything to the army that they had, they carried guns, bullets, and bombs to the field. At last they defeated the enemies and despite many deaths and serious injuries, they gained their independence.


Another purpose of fighting for freedom is to gain honor. Since the first war began, fighting has been considered an honorful way to die. The first war was named "Kadesh War" and it was between the Hittites and the Egyptians. For that war many Egyptian soldiers joined the Egyptian Army voluntarily. They risked their lives but they had the dream of being a hero.


Their names was written on the obelisks of Egyptian Temples. Roman soldiers went to Carthage War to die in a honorful way. This taboo hasn't changed for centuries. In the First Age you were considered a holy hero by the Pope of Cristians, in the Middle Age you were knighted by Kings when you succeeded in wars. Furthermore, there are modern examples of this fact Yaser Arafat the leader of Palestinians, Cahar Dudayev the leader of Checenia rebellion.


As exampled before, Yaser Arafat wants to become a real hero, so he doesn't accept any peace terms except war. Twenty years ago, he was surrounded by Israili forces and he had had no opportunity except going to Tunusia because he was in danger of death. Consequently, this caused a great disappointment in the Yaser Arafat's mind. Although he still wants to rescue Palestine and become independent, his main reason is to gain honor and become a hero in the minds of Palestinian people. Cahar Dudayev worked and fought very hard for his country. He was killed in a Russian assault and immediately became a hero of Checenia.


"Then battle for freedom wherever you can, and then, if not shot or hanged, you'll get knighted." Lord Byron said. If you risk your life in fighting for your freedom, you will have two chances To die or to become a hero. Idealistic people who are in favour of dying for freedom will not think twice before they fight in a war. And people who overvalue their independence will give their life for your their freedom .Many people fight for their freedom in order to gain honor and freedom.


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Fictional Personal Narrative

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A farm in the Hudson Valley of New York brings back Gwen's earliest memories.


Here, the fields are rolling in green, the mountains always in the horizon, a never ending stream of people going in and out of the front door and her life, a great place to live.


Gwen remembers sleeping on a small green Army cot in her parent's bedroom, at the age of four. She remembers being terrified of the skeletons in the closet, and the bad dreams that stemmed from them. Her father routinely sprayed the house with "Skeleton Spray" that smelled uncannily like Glade Country Fresh air freshener. Even to this day neither Gwen nor her older sister can stand the smell of that. On the not so rare occasion that the cute little four year old stayed up all night worrying about the dreaded skeletons, her Grandpa would come over in the morning and have a pancake fit. One day all of this changed, forcing Gwen to move away from her beloved home.


The move to Jonesboro, Georgia was an interesting one for Gwen and her sister, Danielle. In Georgia they both realize where their real home will always be. Life in New York differs greatly from the way people live in Georgia. In New York families are often seen sitting in a booth at a bar with all the bikers oohing and ahhing over the children. In these bars Gwen learned a lot about life and was sought after like a rare '54 Harley Davidson. It is there that they have all the "uncles" they could ever ask for. It is also there that they get free Shirley Temples served to them by their two bartender aunts, Val and Wendy, whenever they please. Gwen's grandmother does not approve of these outings, but this is probably because she was raised to act the way a proper rich girl should. But Gwen's grandfather does not mind at all. After all, it is not every day that he gets to see his favorite granddaughter.


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To this day Gwen's friends seem shocked when she tells them about the way she grew up. None of them can believe that her parents let her do some of the things she did when she was younger or even the things she does now. They cannot believe that a biker whose name was Rooster read her bedtime stories or even that he has a PHD in philosophy. It is even harder for them to believe that Gwen has turned down her uncle and his friends of their wanting to "take care of it," on numerous occasions. Gwen has lead a very interesting and unique life with many diverse people ranging from her mafia-tied uncle, to her so-called uncle bikers, to her loveable firefighting/truck driving grandfather, to her own Army father.


Gwen does not have the chance to hang around bikers all the time now, instead she ops for her friends. They do not usually go to bars and talk, instead they go to Starbucks. She has been to Germany and eleven states, and hopes to go back someday.


Since she has moved down south she has done many great things. First baseman and pitcher for nine ten years, all-star trophies, special traveling tournament teams, marching band, these are all accomplishes that she can add to her list.


At the age of twenty-seven, Gwen has accomplished many goals in her life and many dreams have come true. She has traveled to Europe once again, while she was in college, and studied art in Paris. A law degree from Columbia University now graces the premises of her office. Now, she hopes to have her dream of being a jazz singer will come true. One can safely say that with unique upbringing of Gwen and her sisters, there will never be a situation they cannot talk or fight their way out of, never be a job they could not acquire, and that if anything ever happens, they will have the best people to call for help. Anything is possible for Gwen.


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Legalization on Marijuana

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The Halifax Explosion was a bad event that happened to Canadians and it could have been avoided because the safety measures that affected the explosion could have affected if the explosion took place. Three reasons how it could have been prevented were that when the explosion took place, spectators that watched the burning of the Mont Blanc were one reason. Another reason is that the appropriate signals weren't used and the other is the narrow stretch of water near the port where the ships collided.


On Thursday, December 6, 117 between 845 and 05am, one of the most dreaded events happened in Halifax that day. During this time a French supply ship, the Mont Blanc, was burning rapidly with explosives also on the ship. A Belgian relief ship, the Imo, collided with the Mont Blanc and set it a blaze. Making the Mont Blanc a ticking time bomb before the explosion took place. The explosives on deck of the Mont Blanc were 5 tons of benzol, 00 rounds of ammunition, 10 tons of gun cotton, ,00 tons of petric acid (used in explosives), and 400,000 pounds of TNT.


One of the safety measures that could have prevented the explosion were the spectators that watched the burning of the Mont Blanc. One reason for this is that the spectators and many children gathered at the dock to watch the burning ship, which meant they were in close range. If no spectators were watching the burning of the Mont Blanc, then the death toll or number of injuries would be reduced. Another reason why spectators were a factor is that the 0-minute period between the burning and the explosion was enough time for other spectators to gather around windows at their houses. When the explosion took place, flying glass injured many spectators1000 survivors suffered eye damage.


Another reason the explosion could have been prevented was that both the Mont Blanc and Imo didn't use the appropriate flags before the explosion. One reason for this is that the Mont Blanc, the ship carrying the explosives, wasn't flying the red flag signaling that it carried explosive material and that the ship traveled very slow by the Dartmouth shore when she spotted the Imo. If the ship showed the red flag, then the Imo could have been more cautious when the Imo saw the Mont Blanc. The other reason is that the Imo, a much faster ship than the Mont Blanc, signaled that she was moving closer to the Dartmouth shore, which put her in the Mont Blanc's path. If the Mont Blanc spotted the Imo in it's path, the ship wouldn't have enough time to react and move out of the way of the Imo.


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The last reason the explosion could have been prevented is that the ships collided in a narrow stretch of water, which was a big factor. One reason for this is that the narrow stretch of water should have been widened because than the explosion wouldn't have taken place. If there wasn't a narrow stretch of water, the Imo, the faster ship, could have had a faster time to move out of the way in a wider stretch of water. The other reason is that the Imo should have been scheduled to leave at a different time then the Mont Blanc. If they left or entered the port at different times, they would have never met each other and could have completely prevented the explosion.


The spectators watching the burning of the Mont Blanc, the appropriate signals being used and the narrow stretch of waters are considered the three main factors that could have prevented the Halifax Explosion. The Halifax Explosion will be a remembered event because it was the first man-made nuclear explosion before the nuclear age. It ended in a blinding white flash, a disintegrated French supply vessel, and a city with 5 acres of it in ruins.


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