Challenges of Functional Electrical Stimulation in Clinical Essay

Challenges of Functional Electrical Stimulation in Clinical Engineering Practice - Essay Example It is also evident that, scientific studies on FES have not extensively focused on navigating their research outside persons with stroke (Enderle and Bronzino 2012). There is some research gap that needs to be covered in order for FES to be used in other areas. The use of FES for the hemiplegic shoulder have been proved to be troublesome to some patients since some cutaneous pain receptors get stimulated, and this has been cited to affect tolerance and compliance (Fred, et al 2009). In this regard, it is crucial for the Bio-medical Engineering practitioners to broaden the spectrum of the application and use of FES to other medical practitioners such as psychiatrics in order to help in advising and counselling person with stroke before and after the use of FES devices (Bronzino 2000). Introduction Functional Electrical Stimulation (FES) is an area of modern rehabilitation engineering and method that is used to generate contractions in paralysed muscles through the application of small pulses of electrical stimulation to nerves present in the paralysed muscle (Peng, et al 2010). This process is controlled in regard to the proper functioning of the muscle. FES as an application revolves around orthotics, which aids walking in addition to practising functional movements that are related to therapeutic benefit. It is important to note that the application of FES is mostly used in clinical engineering in treating nerves and muscles. Besides, the stimulator used in this process must be substantially tiny to allow it to merge with the patient (Grill, et al 2001). Notably, efficiency of FES is best demonstrated when the nerves supplied by muscle appear not to be damaged. Hence, this application has been used in Clinical Engineering in conditions such as spinal cord injuries, cerebral palsy, head injury and stroke among other nerves and muscles relates conditions. Similarly, the application could be used in orthopaedic condition where there is weakness of the muscle as a result of disuse or inhibition. Conversely, Functional Electrical Stimulation is not recommended for lower motor neurone conditions such as polio, guillain-barre syndrome, as well as, other conditions that are related to low motor neurone (Sheffler and Chae 2007) Majority of the patients who are involved with this application are known to use to FES in their daily activities. With time, patients continuously become less acquainted to the device resulting to an ultimate control of their limb. According to a recent research conducted by a scientist in the medical field, therapeutic effect of FES is crucial in ensuring that there are means that brings back function to those patients who suffer from upper motor neuron lesions. In fact, over the past fifty years, FES has been widely used on individuals with leg muscle dysfunction and spinal injuries. This application is used to evoke movements in individuals who are experiencing dysfunction in their joints, and spinal injuries. The elec trical currents are mostly used through application on the skin surface into the individual’s paralysis (Dollar 2007). Apparently, FES is used for alternative functions such as generating hand grasps in patients who might be suffering from tetraplegia, as well as, causing an upright posture and locomotion especially in patients who are suffering from paraplegia.

Assess the impact of the Iranian revolution on Middle Eastern politics PowerPoint Presentation

Assess the impact of the Iranian revolution on Middle Eastern politics - PowerPoint Presentation Example Thus, Islamic politics resulted in the regional political culture militarizing and creation of the region instability. Hence, activists with either religion or political agendas were fully convinced that they could use Islam as a strategy of winning (Cottam 1980). This implied that Islam could be employed as a means of radicalizing, politicizing, and mobilization of masses for the purposes of confronting Middle East authoritarian states. Consequently, neighbouring countries suffered instability of their political foundations, especially those with Shiite population, which include Iraq, Bahrain, Kuwait and Saudi. Iran revolution contributed to the emergence of bitter rivalries in the region of Israel. As such, Israel had to observe the activities of Iran, which influenced the policies that Israel adopted. Further, Iran was alienated from other countries, such as Saudi Arabia (Shahi 2009). Since the Middle East is a major source of oil, other governments expressed concerns and anxiety. These governments include the Britain and the United States of America among others. Moreover, the revolution had several events, which contributed towards the emergence of conflicts in the region. An example of this is the attack of Iraq by Iran. The Iranians play a significant role in enforcing their power status in the Middle East politics. As such, Iran supports Hezbollah and Syria. This support has had drastic effects in the region. For example, terrorists groups in Israel can be funded by the regime. The creation of Hezbollah in Lebanon resulted in the alteration of the Lebanese politics and the emergence of Israeli ambitions. This made Iran gain strength and influence, which made the West and East to always consider the nation in case of any Middle Eastern issues. Such depicted global geopolitics changes where there was a West-versus-East scenario in all areas with key players in different areas lining on different sides and having Iran within its circles. The

Networking Essay Example | Topics and Well Written Essays - 250 words - 2

Networking - Essay Example This study also encompassed the fastest net providers in every country. In the United States, Verizon and the FiOS network was ranked as the fastest net provider with an average speed of 1,056Kbps (Tsukayama 1). The FCC has a leading priority of providing faster access to broadband networks and faster download speeds. This access has been influenced by the partnership with Microsoft, Comcast among other non-governmental organization like the Clinton Global Initiative. According to Bill Clinton who is the former president in the United States, South Korea provides the fastest internet speeds (Tsukayama 1). This factor is influenced by the governmental policy which encourages partnerships with other organizations. Nowadays, the South Korean citizens enjoy an average internet speed of up to 16.63 megabits per second. Therefore, the access to internet services in South Korea is cheaper. In the United States, the residents pay an average of $46 monthly while the South Korean citizens pay a monthly fee of $38. This asserts that the United States should aim in providing better internet services because; the South Korean government has already initialized their improvement project in the internet provision sector. In conclusion, the current president of the United States is committed to setting up a plan whereby 98% of the Americans will receive better broadband services. The slower internet services are attributed by the fact that most citizens do not have the appropriate internet speeds to stream videos and load web pages. Therefore, the United States should implement a plan to increase their internet speeds through partnering with other companies (Smith 1). Smith, Catharine. South Koreas internet to be 200 times faster than in U.S. The Huffington Post 23 Feb. 2011. Web. Tsukayama, Hayley. S. Korea leads the

Symbolism in Hemingway's Cat in the Rain Essay Example | Topics and Well Written Essays - 500 words

Symbolism in Hemingway's Cat in the Rain - Essay Example A knock at the door brings the maid with a cat in her hands which the hotel owner asks her to bring to American wife. This short story of Hemingway clearly illustrates one chapter of marriage life which is enriched through the use of symbolism. The story starts with the beautiful description of the place outside the couple's hotel with the view of the sea and the picturesque panorama that artists cannot resist to paint. After this, Hemingway starts to build the situation where the couples are-"rain dripped from the palm trees (Hemingway 1)," "motor cars are gone (1)," and "empty square (1)"-which are all in contrast to the previously depicted beauty of the place. This description can be seen as Hemingway's illustration of the husband and wife. When they first got married, everything seems to be so well between them. However, they are now faced with the hardship of making their relationship work because of their individual differences which is further portrayed in the succeeding paragraphs. Hemingway's use of cat which is "trying to make herself compact that she would not be dripped on" (2) can be directly linked to the emotional suffering that the woman is going through. It should be noted that like the cat, she is battling the coldness of her husband and is trying to make him understand what she wants.

Does Shakespeare successfully present Henry V Essay Example for Free

Does Shakespeare successfully present Henry V Essay My interpretation of a hero is somebody who is sincere and caring. They must be polite and well mannered. Someone who is strong and has a strong will in a tough situation. A person who is heroic, fearless, brave and courageous all rolled into one. A person who isnt afraid to say what they believe in. They must be confident and determined to follow something through to the very end and to fight for what is theirs. A person who is a good speaker and can put their point across to an audience. They must be prepared to make sacrifices as part of their job. Although all of the above things are important attributes of a hero I think there are two more important attributes. The first is to be loyal. To be loyal to your friends, family and country. Without loyalty there can never be trust. The second is the ability to change. To realise there is something wrong with you or your attitude and to do something about it. Ely and Canterbury talk about one of these attributes in Act one Scene one of the play. The ability to change. Shakespeare writes about one of the main attributes of a hero in the very first scene. When Canterbury looks back on the prospect of Henry being a King he says that, The courses of his youth promised it not. Canterbury believes this because as a youth, His companies unlettered, rude and shallow, His hours filled up with riots, banquets, sports, And never noted him any study. As Henry grows older though, never was such a sudden scholar made. Henry changes because he knew he had to. That takes determination and courage. No matter what anyone said he followed it through and did what he had to do. In the very first scene of the play Henry is already being talked about before we have even met him. Shakespeare has done this because he is giving Henry a real heros entrance, just like in any good film, he is telling the audience who he is and what he does. Canterbury and Ely are setting the scene and trying to make his entrance seem dramatic. Shakespeare does this to tell the audience that Henry is a well-known and well-talked about person. In other words Shakespeare is showing the audience that Henry is powerful. In Act one Scene two Henry is introduced to us for the first time. A first impression of him would be that he is very diplomatic and polite. Sure, we thank you. My learned lord, we pray you to proceed. Later on in the scene though, when the French challenge him he does not turn it down. Henry is pondering whether to stake a claim to the French throne. When he is sent a mocking gift of, Tennis balls, my liege. He acts on his instincts and declares war on France. This is very brave because it leaves him open to criticism and it could turn out to be the wrong decision. In Act two Scene two Henry finds out that three of his lords, and friends, are traitors. He is upset by this, What shall I say to thee, Lord Scroop, thou cruel, Ingrateful, savage and inhuman creature? Although they are his friends he knows that he must, Arrest them to answer to the law. They are his friends but like any hero he must make sacrifices. Being a hero isnt just about fighting or being brave its also about thinking about and helping others. In Act three Scene one Shakespeare shows Henry giving a moving speech to his soldiers outside the walls of Harfleur. Once more unto the breach, dear friends On, on you noble English Be copy now to men of grosser blood, And teach them how to war Cry God for Harry, England and Saint George! Henry just doesnt go into battle and expect everybody to win. He knows how they must be feeling and he tries to encourage them. Henry also demonstrates that he is willing to do everything that his job entails. Shakespeare shows the audience another heroic quality by, instead of sending one of Henrys soldiers to do something for him, he writes it so that Henry does it himself. This is shown in Act three Scene four when he says, How yet resolves the governor of the town? This is the latest parle we will admit, Therefore to our best mercy give yourselves. Henrys strong words push the Governor of Harfleur to give in. As soon as Henry and his army are let into Harfleur he is showing good initiative by already thinking about the next stage, Upon the soldiers, we will retire to Calais. Shakespeare shows the audience again of Henrys heroism by showing us he can be polite and that he has good manners. How now, Llewellyn? Camest thou from the bridge? Although Henry is like a friend to his soldiers, just like a hero Shakespeare shows us that Henry must face up to his responsibilities. Bardolph has been caught stealing and he says, We would have all such offenders so cut off in our marches through the country there be nothing compelled from the villages. Even though things arent going as well as they should be Henry doesnt give up. In response to Montjoys offer for him to name his ransom he says, My army but a weak and sickly guard. Yet, God before, tell him we will come on Through France himself and such another neighbour stand in our way. Yet again in this extract of a speech Henry shows his strong beliefs in God. All of the above quotations came from Act three scene seven. Shakespeare makes the play very dramatic by using a chorus at the beginning of every act. These are very effective because it gives the audience a taster of what is going to happen but not enough to explain the act fully. This means that the audience want to know what is going to happen and when something does happen it makes it all the more dramatic. In Act four Scene one Shakespeare presents us the audience, with Henrys many heroic qualities. Not showing any signs of worry or weariness he tries his best to raise the morale of his soldiers. There is some soul of goodness in things evil For our bad neighbour makes us early stirrers, Which is both healthful and good husbandry. Henry also shows us like any hero or any person that he has feelings. He borrows a cloak and walks around the camp asking people what they think of him. King: Then you are a better man than the king. Pistol: the kings a bawock and a heart of gold, a lad of life, an imp of fame, of parents good, of fist most valiant. Later on in an argument (while in disguise) with Bates Henry stresses, I think the king is but a man as I am. The violet smells to him as it doth to me. Shakespeare shows the audience that Henry has a different side to his personality, he is caring and understanding. Rather proclaim it, Westmorland, though my host That he which hath no stomach to this fight Let him depart. He then shows us that he isnt just all talk and that he is brave by saying, We few, we happy few, we band of brothers-For he today that sheds his blood with me Shall be my brother. Henry again refers back to his belief in God by saying, Take it, brave York. Now soldiers, march away, And how Thou pleasest, God, dispose the day. He shows us this in Act four Scene three. You know when someone is a real hero because another person compares him or her to an already famous hero. Shakespeare does this in Act four Scene seven when Llewellyn compares Henry to Alexander, If you mark Alexanders life well, Harry of Monmouths life is come after it in incident well. Later on Henry shows again that he does have feelings. All of the boys guarding the luggage have been killed, I was not angry since I came to France Until this instant. When Henry knows that they have won the battle he is not boastful; this is another great attribute of a hero shown very clearly to the audience by Shakespeare. Instead he says, Praised be God, and not our strength, for it. He then shows that he is not afraid to show everybody his roots. I wear it for a memorable honour, For I am Welsh, you know, good countryman. Even though he is enjoying the moment of winning he has to get on with his job, Bring me just notice of the numbers dead On both our parts. Once again Henry refers to God, To boast of this, or to take that praise from God, Which is His only but with this acknowledgement, That God fought for us. During the battle Shakespeare uses another dramatic device by using very short scenes whilst everyone is fighting. This means that everything is constantly changing and the audience doesnt know what is going to happen next. It also builds up tension because Shakespeare is moving from one camp to the next. One minute you are in the French camp then the next you are in the English camp. After winning the battle Henry has to get back to his duties as king. Shakespeare shows the audience this side of Henry to show us that he is not just wrapped up in the glory of winning, he instead shows us that he is a true hero and still will face up to his responsibilities. Peace to this meeting, wherefor we are met. He then shows that a hero is just like any other man by trying to court the French kings daughter, Katherine. Fair Katherine if you will love me soundly with your French heart I will be glad to hear you confess it brokenly with your English tongue An angel is like you And therefore tell me, most fair Katherine, will you have me? After agreeing the peace treaty Henry says, prepare we for our marriage The above quotations were taken from Act Five Scene Two. Overall I think Shakespeare has been very successful in presenting Henry as a hero. He is everything a hero could be. He has shown the audience that a hero could be sitting amongst them, that a hero is just an ordinary man or woman. The audience can relate to this because one day they themselves know that they could be a hero. I also think that the play was more effective in Elizabethan times than it is now. This is because when Shakespeare wrote this particular play Queen Elizabeth was coming to the end of a very successful rein and she had no one to succeed her. The Elizabethan community were very worried that there wouldnt be anybody as good to take over, especially not a man. Shakespeare then wrote this play showing a truly heroic, male King. This raised the hopes of the Elizabethan people and made the play much more effective and much more popular.

Electoral systems in the UK and US

Electoral systems in the UK and US The United States of America and Great Britain have a lot of in common but the same times have a number of differences. The electoral systems of the UK and the US differ a lot. The United Kingdom uses different electoral systems and among them we could mention.  First Past the Post, which is used for the whole national elections and also when the local government is elected in England and Wales (earlier it was used in Scotland too). Additional Member System was invented after submission of the regional devolution in 1999 for the Scottish Parliament, Welsh meeting and London meeting.   It is rather modern invention, which was undertaken after electoral system reform.   Single Transferable Vote system is used for the election into the Assembly of the Northern Ireland and also is used for the Local administration.  Party Lists are used for the elections to the European Parliament and that is also rather modern invention and applied as the UK is the member of the European Union. And finally, Supplementary Vote, is used for the mayors election in the different cities, for example London. We see that the electoral system of the United Kingdom is rather complicated and strongly depends on the territorial division of the country. It should be noted that the United States is also dependent on the territorial division and each state has its constitutional and the elections to the local governmental organs are held due the legislation of the each state. But if we speak about electoral system globally we should mention about the Primaries, which are used for the President elections. This the first type of the election, when one candidate from the party is elected. Between the chosen candidates the general election is held and the core idea of the Primaries is in the fact that candidates from different parties should not take the votes of each other on the main elections, as their electorate is quite the same target group. Sometimes those who have lost the primaries took part in the president elections, but as independent candidates, without support of their party. Primaries could be opened, when everyone could take part in the elections and closed, when the members of the party, holding the primaries, could vote. The Primaries are the core peculiarity of the United States electoral system. It should be noted that a number of states refused from primary use of the Primaries. The different system are used for counting the votes and different schemes. A number of southern states have a tradition to support the candidate, which would take the arithmetic majority of the votes. In southern states the break between the winner and the nearest competitors. It should be noted that the both systems differ a lot and the United Kingdom has developed the electoral systems suitable for their political structure and the United States for theirs. I think that the core role in the difference between these states is that they have different political structure and this causes so severe difference in their electoral structure.   References: Michael Thrasher and Colin Rallings. British Electoral Facts. W. Wormell:London,UK, 2010 Bibby, John, and Holbrook, Thomas. Politics in the American States: A Comparative Analysis, 8th Edition. Ed. Virginia Gray and Russell L. Hanson.WashingtonD.C.: CQ Press, p. 62-100. 2004

Euthanasia Essay: The AMA and Assisted Suicide -- Euthanasia Physician

The AMA and Euthanasia/Assisted Suicide      Ã‚   The American Medical Association (AMA) has long been known for its strong views. As the issue of euthanasia, particularly doctor-assisted suicide, has come to the forefront, the AMA has taken a strong position on this controversial subject also. This time the AMA has taken a firm stand for preserving, not terminating, the life of the elderly/handicapped/depressed/mentally ill, etc. patient. This essay will explain in detail the stand of this influential group of doctors.    The AMA filed an amicus brief in the 9th Circuit case regarding doctor-assisted suicide. In this brief, the AMA stated, "There is, in short, compelling evidence of the need to ensure that all patients have access to quality palliative care, but not of any need for physician-assisted suicide ..." The AMA is keenly aware that doctors perform a crucial act of healing and saving life. Accepting a dual role of taking life, while at the same time protecting life, would undermine their credibility and the sacred trust that exists between a patient and doctor. Thus the AMA has recently announced the implementation of the Institute for Ethics. The goal of this entity within the AMA will be to educate 10% of its member doctors (estimated to be 20,000) on hospice and palliative care. Further, they believe that providing responsible alternative treatment to ending life will all but eliminate the quest for euthanasia. This aggressive new project will be headed by Linda Emanuel, Professor of Bioethics at Harvard. The two-year pilot program is funded by a 2-million-dollar grant from the Robert Wood Johnson Foundation. Ironically, this foundation is also well known for aggressive pro-abortion funding. However,... ...ertaking. They are convinced that when patients are offered a reasonable alternative, they will reject euthanasia. "The other side is preying on fear and anxiety," said Dr Gomez. "When you attack that fear directly, you take the steam out of the other side's arguments."    The program is expected to be up and running in six to eight months. It will take that amount of time to train the needed speakers and get things organized. It is too early to tell if the Institute will be involved in sponsoring and promoting anti-euthanasia legislation on the state or national level. However, the Institute for Ethics plans to set the tone for the AMA whenever it speaks on this issue -- a powerful and influential voice in America's medical communities.    WORKDS CITED: AMA Institute For Ethics http://www.ama-assn.org/ama/pub/category/2559.html