Gavin is able to better understand the limitations of Scottie's acrophobia as Scottie believes that Gavin is a trustworthy individual and is therefore willing to explain the limitations with which he is faced. hen Gavin inquires about the extent of Scottie's acrophobia, Scottie replies, "It just means that I can't climb stairs that are too steep or go to high places like the bar at the Top of the Mark. But there are plenty of street-level bars in this town" (Vertigo). Though Scottie implies that his disability is something that he has learned to cope with, Gavin understands that though Scottie has learned to adapt to his condition, it can still be exploited.
Issues of perception and deception are also evident in Judy/Madeleine's character. In the course of the narrative, Judy attempts to pass herself off as Madeleine, who Gavin contends is his wife -- although the legitimate Madeleine has…...

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Works Cited

Borde, Raymond and Etienne Chaumeton. A Panorama of American Film Noir: 1941-1953.

Trans. Paul Hammond. San Francisco: City Lights Books, 2002. Print.

Spicer, Andrew. Film Noir. New York: Pearson Education, 2002. Print.

Vertigo. Dir. Alfred Hitchcock. United States: Paramount Pictures, 1958. Film.

ALFRED HITCHCOCK: A Master of Duality
For many, the name Alfred Hitchcock conjures hazy and disconnected memories of Cary Grant and Ingrid Bergman in Rio, Tippi Hedren being chased by killer birds, or Jimmy Stewart in a wheelchair; but for others -- those that are somewhat more experienced with the work of Hitchcock -- the utterance of his moniker means much more. Indeed, many consider Hitchcock to be not only one of the most prolific and entertaining filmmakers, but also one of the most profound. A recurring -- and certainly intriguing -- motif that holds together his body of work is his incessant interest and portrayal of duality: the conflicting, yet in some ways similar, nature of life. That is to say, Hitchcock (and no other, on as prestigious a level) was able to brilliantly compare, reduce, and then reevaluate polar opposites that every human encounters. Love or hate, man or…...

" (Kundera: 60) at this point, a strong connection between body and soul is forged. Her mother is unwell, and Tereza wants to visit her. However, Tomas opposes this trip so she does not go. Tereza falls in the street hours later and injures herself. What follows is a series of small accidents which are symbols of her soul falling as well: "She was in the grip of an insuperable longing to fall. She lived in a constant state of vertigo." (Kundera: 61) the third step in the evolution of her dualism occurs when Tereza embarks on an extramarital affair with an engineer. She wants to become like Tomas hoping she can get back at him and his infidelities. The intimate relationship established between the two helps Tereza understand both her body and her soul. The touch of his hand on her breast "erased what remained of her anxiety. For…...

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Bibliography/The_Unbearable_Lightness_of_Be/the_unbearable_lightness_of_be.html

Kimbrell, Gregory. "Existential Investigation: The Unbearable Lightness of Being and History." Chrestomathy: Annual Review of Undergraduate Research at the College of Charleston Vol. 1 (2002): 66-82 www.cofc.edu/chrestomathy/vol1/kimbrell.pdf

Roberts, Eric J. "Plato's View of the Soul" Mind, New Series 14. 55 (1905): 371-389.

Patient, Mr. D., is a 74-year-old male Caucasian, married and retired. Mr. D. complains of dizziness and weakness. Type-2 diabetes was diagnosed in 1994, hypertension in 2002, and arthritis in 2007. Mr. D. is currently taking 20mg Lipitor/daily; 81 mg Aspirin/daily; 333mg Calcium/daily; 5mg zinc/daily, and 500mg Vitamin C/3X day. He denies any drug or herbal use, and uses 650 mg of Tylenol for pain as needed. He has no known food allergies, does not use tobacco or illicit drugs, but has a family history of diabetes and heart disease with both mother and father. His general health acuity is strong (bowels, urinary, etc.), but has occasional slurred speech, weakness in right lower limb, syncope, vertigo, and vision fluctuations. Mr. D. reports that his wife complains he asks the same question repeatedly within a short time period.
Areas for Focused Assessment- The combination of syncope, vertigo, vision, and memory issues combined…...

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REFERENCES

Hypoglycemia. (2012). Web MD. Retrieved from:  http://symptoms.webmd.com/#./conditionView 

Ezzo, J., et.al. (2001). Is Massage useful in the Management of Diabetes? Diabetes Spectrum -- The American Diabetes Association. 14 (4): Retrieved from:  http://spectrum.diabetesjournals.org/content/14/4/218.full 

Madden, S., Loeb, S. (2009). An integrative literature review of lifestyle interventions for the prevention of diabetes mellitus. Journal of Clinical Nursing, 17(2), 2243-56.

Polin, B. (2011). Why Water Aerobics is Good Exercise. Diabetic Lifestyle. Retrieved from:  http://www.diabeticlifestyle.com/exercise/why-water-aerobics-good-exercise

While the characters and situations may not be extremely complex, there are things that bind the films together and make them attractive to the viewer. For example, some films, such as "osemary's Baby," "The Exorcist," and "The Eyes of Lara Mars" use sexual situations in the film to add to the feeling of horror and anticipation about what is to come. Most use very graphic violence, but others create characters that are intriguing and larger than life to get their message across (think of "Frankenstein" and even "Carrie").
Another interesting aspect of this book was the idea that not all horror films contain graphic horror at all. One author maintains films such as "Vertigo" are actually horror films because they manipulate some "problem of vision" within them (Kawin 103). Thus, this definition opens up an entire new batch of horror films if the viewer looks at them with another eye…...

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References

Waller, Gregory A., Ed. American Horrors: Essays on the Modern American Horror Film. Chicago, IL: University of Illinois Press, 1987.

Nursing and Issue of Falls
Falls are responsible for considerable morbidity, immobility, and mortality among older persons, especially those living in nursing homes. Falls can occur in a home, community, long-term rehabilitation, or acute care Setting (Laurence Z.. et.al, 1994). The risk of falls can be related mostly to mobility status, exposure to hazardous environments and risk-taking behaviors such as climbing ladders for seniors living in the community setting. Factors for a fall in hospitalized adults are greatly influenced by acute illness that often has a marked, albeit temporary, impact on physical and cognitive function compounded by care provided in unfamiliar surroundings in the long-term care setting, the risk factors for falls are influenced by impaired cognition, wandering or impulsive behavior, use of psychotropic medications, incontinence and urgency, lack of Exercise, unsafe environments, and low staffing levels. Patient falls are serious problems

In acute care hospitals and are used as a standard…...

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References

Anuradha Thirumalai, (1998). Nursing Compliance with Standard Fall Prevention

Protocol Among Acute Care Hospital Nurses. Retrieved September 26, 2012 from  http://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1191&context=thesesdissertations&sei-redir=1&referer=http%3A%2F%2Fwww.google.co.ke%2Furl%3Fsa%3Dt%26rct%3Dj%26q%3Dnursing%2520compliance%2520with%2520standard%2520fall%2520preventionprotocol%2520among%2520acute%2520care%2520hospital%2520nurses%26source%3Dweb%26cd%3D1%26ved%3D0CCAQFjAA%26url%3Dhttp%253A%252F%252Fdigitalscholarship.unlv.edu%252Fcgi%252Fviewcontent.cgi%253Farticle%253D1191%2526context%253Dthesesdissertations%26ei%3Dg-NiUPW8CuLB0QW_r4DgAw%26usg%3DAFQjCNE6__5zNu8vjRxc-jIFBXbBfKVIng#search=%22nursing%20compliance%20standard%20fall%20preventionprotocol%20among%20acute%20care%20hospital%20nurses%22 

Dykes, P.C., Carroll, D.L., Hurley, A.C., Benoit, A., & Middleton, B. (2009). Why do patients in acute care hospitals fall? Can falls be prevented? Journal of Nursing Administration, 39(6), 299-304. doi:10.1097/NNA.0b013e3181a7788a

Laurence Z. Rubenstein, Karen R. Josephson & Alan S. Robbins, (1994). Falls in the Nursing

Medical Assessment
Initial Patient Analysis

Chief Complaint

Discomfort in lower back.

HPI

Patient is a 78-year-old woman presented as disheveled, with bug bites throughout her body, and exuding a foul odor. Cognitively, she orients only to her name with a BMI of 30 and a minimal understanding of the English language. She is able to nod "yes" or "no" to questions, but calls the nurse "Mother." She is unsteady on her feet, and has a fine "pill-rolling "tremor in her left hand. He legs are quite cool to the touch, hairless, and toe capillary refill is greater than 2 seconds.

Past Medical History

Unknown, but patient appears to be in distress both physically and psychologically.

OBJECTIVE

General App.

Poor, disheveled, may not be receiving adequate care or living in an environment with enough food or warmth. BMI of 30 is technically obese, which also may indicate the patient is not receiving adequate hygiene.

Bug Bites

Patient may be suffering from a toxic…...

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Works Cited

Hypoglycemia. (2012). Web MD. Retrieved from:  http://symptoms.webmd.com/#./conditionView 

Michael, K. And Shaughnessy, M. (2006). Stroke Prevention and Management in Older

Adults. Journal of Cardiovascular Nursing. 21 (55): 521-26.

Mohr, J., et al. (2004). Stroke: Pathopshyciology, Diagnosis and Management. New York: Churchill Livingstone.

Case Study: inging in Both EarsSOAP NoteSubjectiveChief Complaint45-year-old male presents with a 3-year history of bilateral \\\"ringing\\\" in the ears, more noticeable at bedtime. Also believes hearing has slightly worsened over the past 3 years.History of Present IllnessNo history of otologic trauma, surgery, noise exposure, or ear infections.MedicationsDenies any prescription medications or supplements.Social HistoryNonsmoker and nondrinker.eview of Systems (OS)Denies otalgia, otorrhea, and vertigo.ObjectiveVital SignsBP 124/78, esp 16, Pulse 88, Temp. 97.6, Weight 188 pounds, Height 58, Pain 0.Physical ExamPatient is not in acute distress. Otoscopy: Normal external auditory canals, clear tympanic membranes with normal mobility. Facial nerve function is normal. Weber test lateralized to the left. inne test positive bilaterally. Unremarkable head, neck, and cardiac exam.AssessmentDifferential Diagnoses1. Bilateral Sensorineural Hearing Loss (SNHL) - ICD-10: H90.3, CPT: 925572. Tinnitus - ICD-10: H93.13, CPT: 925683. Meniere\\\'s Disease (less likely given the absence of vertigo) - ICD-10: H81.0, CPT: 92567Primary DiagnosisTinnitus (H93.13) due…...

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ReferencesKim, H. G., Lee, H. Y., Park, E., Choi, J., Rah, Y. C., Song, J. J., ... & Im, G. J. (2022). Clonazepam Usage Improves Chronic Tinnitus and Sleep Quality: A Prospective Cohort Study. Korean Journal of Otorhinolaryngology-Head and Neck Surgery, 65(12), 758-764.Ogawa, K., Sato, H., Takahashi, M., Wada, T., Naito, Y., Kawase, T., ... & Kanzaki, S. (2020). Clinical practice guidelines for diagnosis and treatment of chronic tinnitus in Japan. Auris Nasus Larynx, 47(1), 1-6.Shapiro, S. B., Noij, K. S., Naples, J. G., & Samy, R. N. (2021). Hearing loss and tinnitus. Medical Clinics, 105(5), 799-811.Trivedi, B., Ojha, T., Soni, N. K., Bansal, M., Sharma, K., & Chhabra, B. (2023). Evaluating the Incidence of Audiological Derangement in Cases of Thyroid Hormone Imbalance. Indian Journal of Otolaryngology and Head & Neck Surgery, 75(Suppl 1), 574-577.Wang, H., Tang, D., Wu, Y., Zhou, L., & Sun, S. (2020). The state of the art of sound therapy for subjective tinnitus in adults. Therapeutic Advances in Chronic Disease, 11, 2040622320956426.

The sample analyzed was taken in November 2010 and compared against other samples drawn in ugust of 2010. This test highlights the ongoing exposure of the Gulf Coast population to toxic chemicals. Consequently, many people are projected to have long-term and severe health effects regardless of the "clean-up" operations present in the Gulf.
The residents seeking to evacuate desperately require help. One of the consequences of this chemical exposure is an increasingly prominent social fragmentation. Crime in the area has skyrocketed, with murders and violent crimes occurring more frequently in areas that were once very peaceful. s the situation becomes increasingly hopeless, many residents are turning against one another. The industries that have sustained life along the coast, oil and seafood production, have come to a halt, leaving people with very few options. The cost of survival in the Gulf of Mexico is simply too high, and many have become…...

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According to an article published by Al Jazieera English, the results of independent blood tests indicate high levels of toxic chemicals in residents living along the Gulf Coast. A blood sample analyzed for volatile solvents revealed elevated levels of ethylbenzene, styrene, and m, p-Xylene. Because of these abnormal test results, the people who have been exposed require the option of evacuating the polluted areas. Because they lack the support and financing to leave, the entire Gulf Coast remains in severe danger. All the chemicals found in the blood sample are extremely hazardous to human beings. They cause headaches, nausea, vomiting, kidney damage, digestive upset, lung damage, burning pain in the nose and throat, coughing, wheezing, shortness of breath, pulmonary edema, somnolence, cancer, lack of muscle coordination, dizziness, confusion, alterations in body balance, irritation of the skin, eyes, nose and throat, difficulty breathing, delayed reaction time, memory difficulties, stomach discomfort, liver damage, unconsciousness, lethargy, memory deficits, vertigo, hematological disorders, and neurological disorders. The sample analyzed was taken in November 2010 and compared against other samples drawn in August of 2010. This test highlights the ongoing exposure of the Gulf Coast population to toxic chemicals. Consequently, many people are projected to have long-term and severe health effects regardless of the "clean-up" operations present in the Gulf.

The residents seeking to evacuate desperately require help. One of the consequences of this chemical exposure is an increasingly prominent social fragmentation. Crime in the area has skyrocketed, with murders and violent crimes occurring more frequently in areas that were once very peaceful. As the situation becomes increasingly hopeless, many residents are turning against one another. The industries that have sustained life along the coast, oil and seafood production, have come to a halt, leaving people with very few options. The cost of survival in the Gulf of Mexico is simply too high, and many have become involved in a fight for their very lives.

It is my belief that the only viable remedy to this solution involves providing assistance to the individuals and families wishing to relocate, as the responsible parties are not answering the call of the victims. BP insists that nothing is wrong, and the media and government, for the most part, are standing behind this message as well. Therefore, it is incumbent upon the citizens to reach out to one another and open their homes and hearts to these victims.

Each element is pushed to the limit, steeped in sentiment, swathed in dreamy hyperbolic (Gates 106). Gates argues for a subversively pro-woman, even feminist agenda in The Killer.
Mulhall, Stephen. "The Impersonation of Personality: Film as Philosophy in Mission:

Impossible. "The Journal of Aesthetics and Art Criticism 64.1 (2006): 97. Platinum Periodicals, ProQuest. eb. 15 Nov. 2009.

Given that director John oo is often credited with being the inspiration for the fragmented, postmodern style of American filmmakers like Quentin Tarantino, oo is often characterized as postmodern filmmaker himself. In other words, he is assumed to "deploy cinematic techniques with great skill, but in ways that are essentially unrelated to cinema's artistic, moral, and human ends, as established by the great cinematic works of the past" (Mulhall 99). However, Stephen Mulhall argues that oo's portrait of a degraded Hong Kong environment and also his American-made Mission Impossible II is fundamentally modernist: a portrait…...

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Williams, Tony. "Face/Off: Cultural and institutional violence within the American dream." Quarterly Review of Film and Video 18.1 (2001): 31. Platinum

Periodicals, ProQuest. Web. 15 Nov. 2009.

This article views Woo through an American cinematic lens. Specifically, Face/Off's dualism recalls a Hitchcock-like fascination with the divide between self and other, instability of identity, and 'doubles,' as in the case of movies like Vertigo and Psycho. The film uses classic themes from American literature, like the Ahab-like quest of protagonist Sean Archer to kill terrorist Casper Troy. The 'Biblical' level of justified bloodshed critiques American cultural fascination with violence yet revels in it and makes it seem attractive on screen.

He consistently uses the technique of lifting the curtain to introduce scenes and essential actions. This kept his films rooted in the early traditions of theater but in a covert manner. Many of these theatrical illusions were portrayed using modern interpretations, such as his use of the curtain effect with the image of an opening door into a new environment. These traditions were at the very root of his style, and he continued to use such dramatizations throughout his career as director.
5. Hitchcockian films represent a sharp and dynamic style which relied on suspense and anticipation. Many of Alfred Hitchcock's most infamous works never showed any real gore on screen. Instead, he placed his emphasis on the film score and visuals in order to build suspense for the act which was occurring slightly of camera. This was one of the major defining aspects of Hitchcock's suspense thrillers, such as…...

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Works Cited

Rothman, William. (1984). Hitchcock: Murderous Gaze. Harvard University Press.

Wennerberg, E. (2003). "The Women of Hitchcock." University of California San

Diego. 16 June. 2008. http://history.sandiego.edu/GEN/st/~emily2/women_of_hitchcock.html.

The brain while expanding pushes the skull outward in the same perpendicular to the closed structure. This will be marked by the occurrence of 'papilledema' 'pseudoproptosis' as also 'optic atrophy.' (39) This results in the orbital socket being smaller and the eyes getting 'protoposed'. The intercranial pressure is bound to be high. The symptoms in such cases will be optic atrophy, head ache and papilledema. Or in the case of 'Crouzon's disease' where occurs a marked hooked nose and a frontal lobe which makes the disease also called the parrot head disease. Surgery in both these types of situations become mandatory as the result of the cranial pressure could result in death. (39)
egarding the facial surgery discussions always centre on perfecting features and cosmetic changes. The debate must rather be on the goals of the surgery and the overall benefits that can accrue to the patient in terms of…...

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References

1. Buncke HJ. Facial Paralysis - Reanimation. California Pacific Medical Center. [online]. 2007 [cited 2008 Feb 16]. Available from: URL:

 http://www.cpmc.org/advanced/microsurg/procedures/facial-animation.html 

2. Sataloff J, ThayerSataloff R. Occupational Hearing Loss. CRC Press. 2006.

Kim JYS, Bienstock a, Ketch L. Facial Nerve Paralysis, Dynamic Reconstruction. [online]. 2007 [cited 2008 Feb 16]. Available from: URL:

" hy is this the case? hy are some concerned about privacy and others not at all? The answer lies in the fact that society is mirroring both authors' perspectives, Orwell's and Huxley's -- one fearful and the other apathetic. Society is thus a dichotomy of two anti-utopian visions.
Yet, Zittrain, like Boyd and Baym, supports the new media technology by asserting that "the Net is quite literally what we make it." So even as society moves toward a state that intertwines both Huxley's and Orwell's visions, another portion of society attempts to keep a balanced viewpoint by suggesting that such movement does not necessarily have to be as bad as it might seem.

In conclusion, although civilization is headed in a direction that looks much like that described by Orwell and Huxley -- those anti-utopian visions are not necessarily what are in store for society. Boyd and Baym do not think…...

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Works Cited

Baym, Nancy. Personal Connections in the Digital Age. Cambridge, UK: Polity Press,

2010. Print.

Boyd, Danah. "Social Network Sites: Public, Private, or What?" The Knowledge Tree.

2007. Web. 8 May 2011.

Treatments
EST TREATMENTS

Constipation, Hypertension, Seizure

Constipation

This is the infrequent or difficult bowel evacuation (Mayo Clinic Staff, 2012). While there are no strict standard for bowel elimination, it is generally believed that fewer than thrice a week constitutes constipation. Stools are usually hard and dry. Other common symptoms associated constipation include excessive straining during bowel evacuation, a sense of rectal blockage, a sense of incomplete evacuation and the need to perform manual measures to evacuate the bowels. Constipation may be the consequence of insufficient fluid intake or dehydration, inadequate fiber in the diet, foregoing elimination, irritable bowel syndrome, lack of physical activity, illness, abuse of laxatives and certain medical conditions. Those more likely to develop constipation are older adults, those who are sedentary, confined in bed, dehydrated, on low-fiber diet, on certain medications and undergoing chemotherapy. It is more common in women and children. Causes for alarm include fewer than thrice a week…...

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BIBLIOGRAPHY

Makoff, D. (2012). High blood pressure. MedicineNet: MedicineNet.com. Retrieved on March 7, 2012 from  http://www.medicinenet.com/high_blood_pressure/page 

Mayo Clinic Staff (2012). Constipation. Mayo Clinic: Mayo Foundation for Medical

Education and Research. Retrieved on March 7, 2012 from  http://www.mayoclinic.com/health/constipation.DS0063/METHOD=print&DSECTION=all 

PubMed Health (2011). Seizures. ADAM Medical Encyclopedia: ADAM, Inc. Retrieved

Hearing loss is very case specific because one person who has hearing loss or impairment may be able to hear certain sounds or be completely deaf.
Impairment entails something is not working as well as it should but there may still be some basic functioning. Hearing loss can go by many terms such as deaf, deafness, or hard of hearing. All could be one and the same situation but as pointed out, each individual is suffering from their own individual illness or situation and may or may not be comparable to any other hearing loss situation.

Although this report focuses on hearing loss as it is associated to military service, it is important to note that in the United States; approximately three of every thousand newborns are born with some type of hearing impairment thus making it one of the more common birth defects in our nation. This entails that there…...

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References, cont.

Minter, Stephen G. (2002). "Does Your Hearing Conservation Program Measure Up? Once Described as "Sleep Aid Material," the Dry Topic of Hearing Conservation Metrics Draws Increased Interest as OSHA's STS Trigger Undergoes Review." Occupational Hazards, 3/1/2002.

Mosley, Gerry L. (2004). "National Guard and Reserve Unit Health Protections." Congressional Testimony, 3/30/2004.

PR Newswire (2003). "Compound Licensed by American BioHealth Group From U.S. Navy Shown to Protect Against Hearing Loss From Impulse Noise; - New Data Presented at Association for Research in Otolaryngology Meeting." PR Newswire Release, 3/3/2003.

Rabinowitz, Peter M. (2000). Noise-Induced Hearing Loss. American Family Physician, 5/1/2000,.