Saturday, May 23, 2020

Tess vs Jane Eyre - 2678 Words

The Comparison between Jane Eyre and Tess Jane Eyre and Tess, two famous literary characters in the Victorian Period, there are many similarities and diversities between them. It is very helpful to do the paper work through studying theirs similarities and diversities. 4.1 The Comparison of theirs Background In Charlotte Bronte’s Jane Eyre, the heroine’s family was very poor, and she lost both of her parents when she is very young, then she became an orphan girl and had to living rely on her aunt Mrs. Reed. Jane Eyre’s life was destitute, but she never lost her dignity, although her social background was very inferior in that snobbish capitalist community. She was come from the inferior classes of people, and it predestined†¦show more content†¦In her eyes, everybody on world is equal; she is even dared to love her male master and loudly claimed to him. â€Å"Do you think, because I am poor, obscure, plain, and little, I am soulless and heartlessï ¼Å¸Ã¢â‚¬â€You think wrong!—I have as much soul as you—and full as much heart!——it is my spirit that addresses your spirit, just as if both had passed through the grave, and we stood at God’s feet, equal—as we are!† (Bronte 308). The sharp shout expressed Jane Eyre’s inner voice, and made her getting her happiness in the end. However, it is very difficult to find these characters on Tess. She always cannot defeats the weakness of her self’s character, unlike Jane E yre, Tess cannot dares to seek the beautiful dream and sweet love, she is even hesitant to accept Angel’s sincere love, all of these derives the source of her dark fate. In brief, Jane Eyre and Tess’s similar characters bring them true love, but their opposite characters make them to face the utterly different ending. 4.3 The Comparison of theirs Life As a little girl, Jane Eyre had been a disobedient girl that her aunt disliked her fixedly and thoroughly. Jane should have had a happy family, but the disaster came without prophesy. Both her parents died of typhus fever when Jane was just a little child, so she was are sent to her aunt’s. AtShow MoreRelatedEssay on Tess of the DUrbervilles vs. Jane Eyre607 Words   |  3 Pagesequal to men. The characters, Tess and Jane are both the main characters of the novels ‘Tess of the DUrbervilles and ‘Jane Eyre. ‘Tess of the DUrbervilles is based on the experiences of Tess. Whereas, ‘ Jane Eyre is an autobiographical book about Jane. The value of money plays a major role in both characters life. The characters Jane and Tess are both women and so they are subject to discrimination . They both have a lot in common, for example both Tess and Jane are caring, brave, forgiving

Sunday, May 17, 2020

Article Review of Hansens Human Error A Concept Analysis

Hansens 2006 article, Human error: a concept analysis attempts to convey a lucid, readily applicable definition for the term human error. The author notes that this term is frequently used through a variety of industries, but there is no single uniform definition of it. As such, the authors goal is to provide such a working definition that fits the large amounts of circumstances in which this term is used. The principle methodology the author employs is to discern a definition by utilizing a concept analysis, which enables a researcher to examine the attributes and characteristics of a concept in order to ¦clarify a concept (Hansen, 2006, p. 62). As such, there is a six step process that the author uses to achieve this end, which involves identifying the uses of the term, determining its attributes for definition, constructing a case model, developing constructed cases, determining antecedents and consequences, as well as defining empirical referents (Hansen, 2006, p. 63). This sort of methodology is largely congruent with the concepts presented in Chapter 4 of the course textbook for the simple fact that it adheres to a formal, rigidly constructed methodology. Additionally, it uses empirical evidence, which is a key characteristic of serious scholarly research, particularly that which is peer reviewed. Moreover, the methodology the author uses is one that was previously established and had been used for serious scholarly research before (Hansen, 2006, p. 63). The

Tuesday, May 12, 2020

In 1986, The Education Of The Handicapped Act Amendments

In 1986, the Education of the Handicapped Act Amendments of 1986 was enacted. This law mandated special education services for pre-schoolers with disabilities and also provided some additional funding for infant and toddler programs. IDEA was once again reauthorized by Congress in 2004. The Individuals with Disabilities Education Act of 2004 added some additional requirements for the states. The reauthorization increased state and local accountability and also set new requirements for students with specific learning disabilities. Schools were required to establish goals for participation rates and proficiency in students with disabilities for state testing, increase access to the general education curriculum, and asked†¦show more content†¦All schools have an obligation to find and evaluate all children who may have a disability. No single test can be used to make an eligibility determination decision and all decisions are team decisions. A child’s eligibility category should never determine where that child is placed. If a student meets qualification requirements, the Individual Education Plan (IEP) team determines the appropriate educational services needed for each individual student based on evaluation results, the goals for the student, and the classroom needs. Parents are included as a member of the IEP team and request for input it sought from parents whenever a new evaluation is completed. Students may also be included on the IEP team. The IEP is a legal document and is written based on the IEP team meeting input from all IEP team members. The IEP team is tasked with reviewing present levels of performance and recent evaluation information to develop goals to meet the student’s educational needs. The IEP team must provide access to the general education curriculum as much as possible. This is the least restrictive environment (LRE). The IEP team documents how the student’s disability adversely affects their pr ogress in general education curriculum. The IEP team decides on the annual measurable goals and services including the amount of service time, whereShow MoreRelatedHistory of Special Education1539 Words   |  7 PagesHistory of Special Education By: Kenyata York December 5, 2012 SPE 526 ABSTRACT Individuals with disabilities have the same passion, drive, determination and ambitions of traditional students. Students living with disabilities are just as capable of learning and retaining information just like traditional students in the classroom. In today’s society, there are an abundance of laws and regulations that are in place to protect and educate individuals with disabilities. However, the idea ofRead More The Individuals with Disability Education Act Policy Essay example1602 Words   |  7 PagesDisabilities Education Act (IDEA), which is a supersession of the Education of All Handicapped Children Act of 1975 is a federal law which requires states and their school districts to provide individuals with disabilities a free and appropriate education. IDEA governs how states and public agencies provide early intervention, special education and related services to more than 6.5 million eligible infants, toddlers, children and youth with disabilities. US Department O f Education (n.d.) The populationRead MoreMovers and Shakers Essay811 Words   |  4 PagesShakers 2 Education across the world has experienced significant changes. Students are now required to learn and behave by standard guidelines. Teachers are now held accountable for teaching certain lessons to the students. There are people, laws, and organized groups that have done extensive research and studies to decide who should learn what and in which manner. The following articles will explain a few of those changes and the impact each has had on education. In 1859, a lawsuitRead MoreSpecial Education Laws2071 Words   |  9 PagesA. 1. Free and Appropriate Public Education This mandate states that every child, abled and disabled, must be provided a free and appropriate public education. (Gargiulo, 2006) 2. Least Restrictive Environment This mandate states that if a mainstream classroom is conducive to a child’s individual needs they must be educated with children without disabilities. Every effort must be made to be inclusive of a child with disabilities in a regular classroom setting alongside children withRead More Federal Laws Essay examples2072 Words   |  9 Pageslaws that govern education of children with disabilities. However, they do not require inclusion, but only that a significant effort be made to find an inclusive placement. The Individuals With Disabilities Education Act (IDEA) was amended in 1997. The term inclusion does not appear in the act, but does require that children with disabilities be educated to the maximum extent appropriate in the least restrictive environment, which is interpreted to mean the regular education classroom. The intentRead MoreIndividuals with Disabilities Act2122 Words   |  9 PagesA. The Individuals with Disabilities Education Act Amendments of 1997 (IDEA ), is a federal special education law and was signed into law in June 1997. The IDEA pledges that each child with a disability as well as students who need special education services has the right to a free proper public education, with the least restrictive environment. Below are the six components that are included in the IDEA. They include; 1 Free Appropriate Public Education(FAPE): In this component, the IDEA pledgesRead MoreInclusive Education3595 Words   |  15 PagesINCLUSIVE EDUCATION: CHALENGES AND PROSPECT IN INDIAN PERSPECTIVE ABSTRACT Inclusive education is process of strengthening the capacity of the education system to reach out to all learners, irrespective of their abilities, disabilities, ethnicity, gender and age, and receives quality education. The purpose of the study is to ensure that all children gain access to quality education that will prepare them to contribute to country’s progress. Recommendations to send children with disabilities toRead MoreHomelessness As Positively Affected by the McKinney Act1436 Words   |  6 Pages This paper will attempt to explain the plight faced by one of the largest, most vulnerable populations in America today: the homeless, and how the McKinney Act has affected it. This out-group faces many hardships and many different policies have been put into place both helping and harming their overall wellbeing.â€Æ' Policies Implemented For Homeless Many social welfare policies have been put into place throughout the course of history to attempt to deal with the ever present problem of homelessnessRead MoreDomestic Issues of the 1970s3703 Words   |  15 Pagestime of new advancements and turmoil in the world of education. One of the most influential progressions in education was the further implementation of desegregation in schools. In Prince Georges County, Maryland, on the eastern border of Washington, DC, school desegregation, which in theory should have been an easy task, took twenty years for the county school board to devise a plan that met federal court and Department of Health, Education and Welfare standards. The process was overtly complicatedRead MoreSpecial Education Essay1700 Words   |  7 Pagesâ€Æ' Special Education In ancient Greece and Rome there are isolated examples of caring for and treating disabled individuals, although those instances are thought to be family members taking care of their own family. Typically early societies shunned people who were considered different. During the Middle Ages the church provided care for physically or mentally impaired people. The development of techniques associated with special education of today did not emerge until the Renaissance era

Wednesday, May 6, 2020

Richard The Third, Transitions - 1300 Words

How the character of Richard the third, transitions to other stories character’s As we had seen, in the play of Richard the third how Richard is treated throughout the play either by alliances or foes we see the many reasons why that they seem to effect Richard. Either in his rule or treatment of others, the treatment from himself and the treatment he receives from other, and how he acts towards himself and others for his wants and needs. Throughout the play, Richard had always found ways to get rid of those in his way and manipulate due to not only power but for revenge. From the very begging in Richard’s speech he speaks about his deformities, mistreatment from his family and others, and his poor sufferings. In His speech in act 1 scene 1 he said (Shakespeare, William. Richard the Third. â€Å"Why, I, in this weak piping time of peace, have no delight to pass away the time, unless to see my shadow in the sun and descant on mine own deformity.†) Here in this sta tement we see how Richard starts to plan his attack on those around him not only in the play we see this, also countless other things. Like in such stories like The Hungry Artist and The Old Man with Enormous Wings the reader is given a sort of feeling of sympathy for the man characters as they are often mistreated and jeered at, at the most part don’t really have a choice to be the way that they are (except for the story of The Hungry Artist, although it was a way of â€Å"living†), and how the characters find ways toShow MoreRelatedThe And Of The United States Resolution Agreement And Release1145 Words   |  5 PagesWhereas, the parties to this resolution agreement and release (â€Å"Agreement†) are Nikki Anne Richard (hereafter referred to as â€Å"Mrs. Richard† or â€Å"Guardian†) and Donald Jones (hereafter referred to as â€Å"Mr. Jones† or â€Å"Parent†), individually and on behalf of student, G’onna Jones (hereafter referred to as â€Å"G’onna† or â€Å"Student†) and the Beaumont Independent School District (hereafter referred to as BISD or District) (collectively referred to as â€Å"Parties†); Whereas, certain disputes exist concerningRead MoreRichard Wright s Impact On Society1375 Words   |  6 PagesUndoubtedly, Richard Wright was a patient who was anything but stagnant. Almost every aspect of the youth was fickle, especially the world surrounding him. However, there was one significant feature of Richard that was not prone to transition: his frame of mind. After my first session with Richard, I perceived almost instantaneously that Richard was the sufferer of major depressive disorder. On the disposition spectrum, Richard lingered at the bottom with perpetual melancholy. His frame of mind wasRead MoreEleanor Of Aquitaine And The Middle Ages1352 Words   |  6 PagesEleanor supported Petronella and Raoul, causing war to break out. The town of Vitry was burned to the ground and people sought refuge in a church. Louis’s men burned the church down with all of the people still inside. More than 1000 people died. *transition* Because Louis’s conscience was heavy after the massacre, he decided to lead the second crusade to Constantinople and Jerusalem in 1145 as an attempt to make up for his mistakes. Although this crusade was referred to as â€Å"dangerous and ill-fatedRead MoreAnalysis Of The Movie Little Miss Sunshine 1560 Words   |  7 PagesIntroduction â€Å"Little Miss Sunshine† (2006) starts out with an individual scene of each character, Olive is watching Miss USA, the grandpa, Edwin, is doing drugs, the older brother, Dwayne, is working out, the father, Richard, is giving a motivational speech to very few viewers, the uncle, Frank is in a hospital room, and the mom, Sheryl, is frantically driving and smoking, trying to get somewhere in a hurry. The movie starts out with Sheryl picking up Frank from the hospital and welcoming him intoRead MoreNature Deficit Disorder1096 Words   |  5 Pagesyou what â€Å"Nature-Deficit Disorder† is, second I’ll tell you the benefits of more outdoor exposure, third I’ll tell you what you can do to change the future. Transition statement: So now let me tell you where the term â€Å"Nature-Deficit Disorder† came from. II. Body A. Nature-Deficit Disorder is not a medical condition; it is a description of the human costs of alienation from nature. 1. Richard Louv, child advocate and author of â€Å"Last Child in the Woods† created this term to describe the disconnectionRead MoreMind and Soul1023 Words   |  5 PagesIn the reading by Richard Swinburne, he evaluates the mortality of the soul and its interaction with the human body. His position is best described as attributing the soul to a light bulb, and the brain to a functioning socket: â€Å"If the socket (brain) is damaged or the current turned off, the light (soul) will not shine. So, too, the soul will function if it is plugged into a functioning brain. Destroy the brain [†¦] and the soul will cease to function, remaining inert.† Given his position, Swinburne’sRead MoreShakespeare And Shakespeare : Shakespeare Histories And Tragedies1282 Words   |  6 PagesAlyssa Miller 21 October 2014 ENGL 201: Shakespeare Histories and Tragedies Stephen Krewson â€Å"Title† Shakespeare’s Richard II gets a bad rap among the other plays in the second tetralogy. Lacking big, bloody battles, comedic characters such as Falstaff, and a polarizing protagonist that populate both Henry IV’s and Henry V, this play is a notoriously harder sell. However, King Richard II’s relationship to his identity as king and the concept of kingship in English society is crucial to the progressionRead MoreEssay on ebola informative speech793 Words   |  4 Pagescalled Ebola. PREVIEW: First, I will give you information about the virus itself. Secondly, I will talk about why Americans have every right to live in fear, and finally I will tell you how to prevent the spread of this deadly disease. **1st Transition**Now that I have outlined my discussion, lets discuss how Ebola was discovered. BODY FIRST POINT: Ebola first appeared in Central Africa in 1976. In this first outbreak, 280 of 318 people who contracted Ebola, died. Thats an 88% fatality rateRead MoreAnnalee Ferguson. Dr. Wolfe. Dc American History. 30 March1268 Words   |  6 PagesLynch King, Jr., became a stellar football player, friend, and student (Green). Though law was always in his wheelhouse, graduating in the top third of his class at Yale’s Law School, Ford never intended on being in a position higher than Speaker of the House, which he strived so hard for. (Friedel and Sidey). He was selected to be the Vice-President to Richard Nixon by senior Congressional leaders after Nixon’s vice resigned (Green). After Nixon resigned, Ford gained the title of President Ford, makingRead MoreAnalysis Of Juggler By Richard Wilbur999 Words   |  4 PagesIn the poem â€Å"Juggler† by Richard Wilbur poetic elements such as a tone shift and figurative language reveal the virtuosity of the juggler an d the appreciation of the speaker. The tone shift from gloomy to enthusiastic shows us the impact of the juggler when he performs and how the world transforms when he is showing off his talent. The description of the juggler reveals his dexterity and his his ability to entertain a crowd. Through the speakers description, it is exhibited that the speaker believes

Effect of Growth on Mung Bean Solution Free Essays

Effect of Salt Solution on Mung Bean Growth Hypothesis: If the Mung Beans are watered with a higher salt solution, then less Mung Beans will sprout. John Murrell 9-18-12 Magnet Biology Introduction This experiment was done to test the effect of salt solution on mung bean growth. Generally when you grow mung beans you soak them in water for eight to twelve hours and then put them in a separate container to sprout. We will write a custom essay sample on Effect of Growth on Mung Bean Solution or any similar topic only for you Order Now Since this experiment was not monitored every hour, and had limited resources, we could not soak the mung beans for that period of time. There are multiple ways to grow mung beans but since the experiment was to test the effect of different salt solutions, one particular way was chosen. Methods 1. Gather two paper towels and two petri dishes, no safety goggles or gloves will be required for this experiment. 2. Place a petri dish on a paper towel and trace the bottom of it so a circle is drawn. Do this twice on each paper towel so there are four separate circles drawn. 3. Separate the top and bottom of each petri dish so they can each be used separately, creating four dishes. 4. Label the petri dishes: Distilled, . 5 solution, . 50 solution, and . 75 solution 5. Cut out the circles that were traced on the paper towel sheets. 6. Place one paper towel circle in the bottom of each dish. 7. Now take a graduated cylinder and place 20 mL of distilled water in it. 8. Pour the 20 mL of water on top of one of the paper towels in the dish so it can soak up the water. 9. Repeat step seven with a . 25, . 50, and . 75 salt solution . Be sure to put each one in a separate petri dish with a paper towel circle in it. 10. Place 20 mung beans in each petri dish; be sure to check that the mung beans are paced apart from each other. 11. Place the petri dishes on a counter and leave them there for five days. 12. Take measurements each day and record results. Results Table 1: Amount of Beans Sprouted Amount of Beans Sprouted| Day 1| Day 2| Day 3| Day 4| Day 5| Distilled Water| 0| 0| 0| 0| 0| .25 Salinity| 0| 0| 0| 0| 0| .50 Salinity| 0| 0| 0| 0| 0| .75 Salinity| 0| 0| 0| 0| 0| Figure 1: Conclusion Based on the results of this experiment, salt solution does not affect the growth of mung beans. However, there were several mistakes made in this experiment that would need to be corrected next time. One of them was taking the lid off of the petri dish and using it as a separate container. Doing this made the water and solution evaporate faster, and when it did evaporate it was just put out into the environment. If there was a top to the petri dish the water would have stayed in the dish and recondensed after evaporation. An alternative to this would have been keeping just two petri dishes with the top and testing one salt solution against distilled water, or plastic wrap could have been put over each of the four separate dishes. Another mistake made was placing the dishes by a window. This allowed the sun to reach the dishes, which also caused the water and solution to evaporate faster. If this experiment is conducted again the petri dishes would be placed on a counter that is not by a window. The third and final major mistake made was placing twenty mung beans in each petri dish. This did not provide the space the mung beans needed to grow, and caused them to each have less water since they had to compete for it. This experiment neither proved nor disproved the hypothesis made. If this experiment is conducted in the future, with all the corrections established, the original hypothesis generated would still be used. This hypothesis would also be based solely on background information discovered about mung bean growth, since there was no data created from this experiment. References * http://www. ggfagro. com/books/UsefulDocs/sample%20manuscript_8-11. pdf * http://www. abc. net. au/science/surfingscientist/pdf/lesson_plan12. pdf * http://simple-green-frugal-co-op. blogspot. com/2010/01/grow-your-own-mung-bean-sprouts. html How to cite Effect of Growth on Mung Bean Solution, Essay examples

Reflective Diary free essay sample

In this reflective diary view, I will introduce myself and then an introduction about my topic. I have done diploma in general nursing midwifery from India . After the study I acquired 3year of experience from a super speciality hospital in New Delhi. During the time of my career I came to know that having a degree in hand could give me a good future. So I joined in a collaborative degree programme (BSc (Hons) Nursing) with Inscol academy and John Moores University in Liverpool. Through this assignment of enhancing academic development given me an opportunity to reflect my experience and problem analysis by Gibbs model of reflection. In addition I use the SWOB analysis (strength, weakness, opportunity and barrier) technique to discuss my capabilities. Everyone have their own strengths and weakness, I also have some weakness and strengths. Reflection is a strategy for learning from experience, which requires active, conscious engagement of the learners. Margerate. M . Plock (2008). It means examination and exploration of an issue of concern to help create or clarify meaning. Reflection helps move thought from an existing situation and connect initial understanding with deeper understanding. (Perry. 2000). Gibbs model has six steps to discuss situation-description, feelings, valuation, analysis, conclusion and action plan . I will use these six steps to aid my reflection. Description Steps: In this description I am using Gibbs model of reflection, now I am in the part of a collaborative programme for BSc (hons). The study is entirely different from before I experienced. The main different is it is an independent study by using books, journal, article, internet, researches and tutorials and the assessment depend on presentations, writing materials and by seen and unseen examinations. The ultimate object of this study is one should have very good IT skills because all the study is carried out through the computers. Unfortunately I was very poor to use the computers, in making files, slides and saving files, and unfamiliar in searching articles, but I have an eager to get success. As the part of my study I take it as a challenge. Feeling Steps: Gibbs second steps discuss about the thoughts and feeling faced at that moment. I understood that situation was very hard for me to overcome. As the part of my study the main challenges I faced in searching articles from blackboard that only can do through the computer. Blackboard is the library of Liverpool John Moores University, the almost all articles should be taken from there. The searching of articles and savings of searched items were very difficult to me. On the first attempt I make sure that it was very tough for me and achieving my goal is only a dream. On the other hand, I am very shy to ask my simple doubts to my friends because of my poor knowledge and that situation I thought to give up my studies in the earlier stage. But my rethought showed me the facts that the advanced world technologies go through the computers, even children also have the very good basic knowledge and skill in advanced technologies. On going through the stressful days I took it as an opportunity for learning and get success, That was an unforgettable and hard working days for me. Evaluation Step: The situation reflection mainly taken place through the third step of Gibbs model of reflection so, it is very important. In this I evaluate the good and bad experiences about the situation. Firstly, I fully dedicated my thoughts for the place where I am back in using IT skills and pick it. Teachers are very helpful and approachable so I put my problems in front of them. They are ready to clarify my simple doubts and helped me a lot. As the part my input I did a lot of hard works in classroom and home. Through my hard work increases my confidence for attentending my classes and handling computers. I have learned a lot of new things through the daily practice and it helped me to enhance my knowledge in my field. I have picked up the knowledge where I am back, mainly in searching blackboards articles and do searching in medical and nursing site. It also helped me in improving my study levels and makes me more confident and easier. Here I am assessing my first stage and that position it is understood that I was improved a lot with the help of teachers and through the hard work. Now I am able to handle the studies that needs IT skill. However, I am not perfect in IT skill, some of the area that needed for my studies that only I achieved. The advanced IT technology developed day by day and it give the long way to be catch up. Analysis Steps: Through the fourth step of Gibbs model encourages the reflector to make sense of situation by analysing steps. In modern world the advanced technologies are increased day by day and the lives are dependent on computer. In the education field as well as in professional field the use computers are necessary for communicating, storing data’s and for each and every thing. Analysing me showed that I am good in keeping interpersonal relationship but in others it may varied some of them have good IT skills and others have good communication skill. Everyone have their own limitations also so they have the responsibilities to overcome the limitations by analysing capabilities. The circumstances might be a cause for happening it, as early as possible it should be identified and try to overcome the limitations. Conclusion Steps: In the fifth step of Gibbs model I will describe my conclusion of the event. I was very poor in the IT skill in the first time and I got the awareness of the need of IT skill in my studies, so I did a lot of hard work for improving my IT skill. Now I am able to perform my studies using computers and help to update my knowledge. I got help from teachers and friends whenever I needed. The more practices in computer helped me to enhance the knowledge. Action Plan Steps: Action plan step is the last step of Gibbs model of reflection. I would like to continue my IT skill practices throughout my career. If any barriers occur in my life against IT skill, n I am able to handle situation because the first event used to make the second event more efficient. If I do the hard work then only I can achieve goal. SWOB Analysis: SWOB analysis helps everyone to get the overall view about our self. Through this step analyses the strength, weakness, opportunities and barriers. Conclusion: Let it concluded that the collaborative programme is really helpful for developing my IT skill through the Gibbs model of reflection. Through the reflective study I got chance to describe my feelings and analysing my strength and weakness. Gibbs reflective method developed my IT skill as well as enhances the knowledge level also.

Sunday, May 3, 2020

Essay on Use Of Fluid Resuscitation Following Trauma Example For Students

Essay on Use Of Fluid Resuscitation Following Trauma Crystalloid versus Colloids: Optimizing Fluid Resuscitation Following Trauma Blunt force trauma to the chest cavity can cause tremendous structural damage, resulting in compromised functional integrity to essential organs, such as the heart and the lungs. Because these primary organs facilitate perfusion to the rest of the body, damage can result in massive hypoperfusion leading to shock. Many researchers concur on the subject of fluid resuscitation to abate affects of cardiogenic shock and even death; however, the debate arises when considering types of fluid resuscitative therapy. Perpetual debates and literature has advocated for resuscitation with either crystalloid or colloid; supporting studies proclaim that one is superior to the other. To provide adequate treatment for patients experiencing cardiogenic shock, the practitioner must understand the pathophysiology of cardiac trauma and the anesthetic goals, and the role albumin plays in metabolic activity; furthermore, the practitioner should be aware of current literature contrasting crystalloid and col loid therapy in cardiogenic shock treatment. Pathophysiology of Cardiac Trauma and Anesthetic Goals Penetrating cardiac injuries often lead to immediate cardiovascular collapse, which patients rarely survive. Injuries associated with penetrating cardiac trauma include pericardial tamponade, cardiac perforation, rupture of a chamber, and fistula formation. Blunt cardiac trauma injuries include cardiac contusion; which are most common, pericardial ruptures, rupture of a chamber, valvular tears, coronary artery injuries, and ventricular aneurysms. The primary complication of pericardial tamponade is a decrease in cardiac output secondary to pericardial pressure causing severe diastolic dysfunction. Cardiac tamponade, which occurs when the pericardial sac surrounding the heart begins to fill with blood, can severe reduce forward flow. It presents as Beck’s triad: hypotension, distended neck veins, muffled heart sounds and pulsus paradoxus (Yao, 2012). The decrement of cardiac output by way of either these pathophysiologies can severely decrease perfusion to the renal, hepatic and neurological systems. Due to the decrease in oxygen deliver, metabolic acidosis can ultimately result. The anesthetic goal for treating acute cardiac trauma and cardiogenic shock is to maintain intrinsic sympathetic tone and preload (Yao, 2012). Therefore, use of vasopressors is essential. When considering maintenance of preload, researchers who advocate for resuscitation with colloids argue that albumin plays a major role in metabolic activity; therefore, it not only replaces volume, but it also induces essential metabolic activity that aids in healing and drug delivery. The role of Albumin in Metabolic Activity Serum albumin is a single-chain protein synthesized in and secreted from liver cells. Many researchers have studied the structure of serum albumin, its properties and functions to understand the protein’s interactions with a number of ligands (Alekseev Rebane, 2012). It has been discovered that albumin not only acts as a carrier protein for drugs, but also participates in catabolic activity such as hydrolysis. The albumin molecule consist of three domains: I, II and III; each of these domains have a subdomain A and subdomain B. Researchers has found these subdomains of the albumin molecule are essential for binding and transportation of antibiotics as well as other pharmaceuticals. The domain II and III of albumin contain two primary drug binding sites, known as Sudlow’s site I and site II (Alekseev Rebane, 2012). Albumin has been reported to exert irreversible effects on some beta lactam antibiotics. It was found that albumin of different purity obtained from a variety of sources, showed significant beta-lactamase activity. Purified albumin was shown to have a hydrolase activity, catalyzing the decomposition of the chromogenic cephalosporin. Furthermore, It was found that only cefuroxime, ceftazidime and cefoperazone interacted slightly with site I on serum albumin, while site II possessed the capacity to bind cephradine, cephalexin, ceftazidime, ceftriaxone, cefoperazone, cefaclor and cefsulodin (Alekseev Rebane, 2012). Therefore, albumin may facilitate healing by ensure the effective transport of antibiotics, which can decrease risk of infection and sepsis, which can lead to the triad of death. Along with the deliver of drugs, it is essential to maintain normal cellular activity, which is done through by series of serum enzymes such as esterase. Albumin plays a key role in hydrolytic activity. Stability of albumin was observed under conditions unfavorable for other blood serum esterases, in particular, in the absence of necessary co-factors, in the presence of specific inhibitors, or after preliminary heating. It was found that albumin was able to maintain its structure to a greater degree than other serum esterases. However, albumin hydrolysis activity turnover time is considerable slower than other esterase; thus, catalytic activity of serum albumin is classified as esterase-like or pseudo-esterase activity (Alekseev Rebane, 2012). Nonetheless, because of its sustainability and contribution of to catabolic activity, albumin replacement is essential. Cardiomyopathy : A Disease Of The Heat Muscle EssayReferences Alekseev, R., Rebane, A. (2012). Protein biochemistry, synthesis, structure and cellular functions: Serum albumin: Structure, Function and Health Impact. New York, NY: Nova. Retrieved from http://www.ebrary.com Khalid, R. (2012, July 16). Cardiogenic shock. Healthline. Retrieved from http://www.healthline.com/health/cardiogenic-shock#Overview1 Lira, A., Pinsky, M. (2014, Dec 4). Choices in fluid type and volume during resuscitation: impact on patient outcomes. Annals of Intensive Care , 4(38), 1-13. http://dx.doi.org/10.1186/s13613-014-0038-4 Yao, F. F. (2012). Yao Artusio’s Anesthesiology (7th ed.). Retrieved from http://www.r2library.com.une.idm.oclc.org/resource/title/1451102658