Thursday, November 28, 2019
Atypical Pneumonia essays
Atypical Pneumonia essays Atypical pneumonia, also known as walking pneumonia, is a common cause of community-acquired pneumonia. Mycoplasm pneumomiae is the responsible organism which results in pneumonia in only 3% of cases; 20% of infections are asymptomatic, while 77% involve the upper respiratory tract. Although atypical pneumonia can occur at any time of the year, outbreaks tend to occur in the fall. The incubation period averages 3 weeks, in contrast to that of influenza and other viral pneumonias, which generally are a few days. Epidemics of mycoplasmal pneumonia tend to occur every 4-8 years in the general population and tend to be more frequent within closed populations, such as in military and prison populations. Mycoplasmal pneumonia is a disease of insidious onset. The patients history may include fever and chills, malaise, worsening dry cough, headache, scratchy sore throat, sore chest and tracheal tenderness and pleuritic chest pain, which is usually rare. Most cases of pneumonia due to M pneumoniae resolve after several weeks, although a dry cough can be present for as long as a month; some patients can have a protracted illness lasting as long as 6 weeks. The physical exam will reveal a nontoxic general appearance, erythematous tympanic membranes or bullous myringitis, mild pharyngeal erythema with minimal or no cervical adenopathy and no exudates. Usually there is a normal chest and lung exam with early infection but rhonchi, rales, and/or wheezes are heard via auscultation several days later. Generally lab studies are not needed but can be obtained. Complete blood counts tend to be within normal limits or slightly elevated. Sedimentation rate can be elevated with prolong infections. Chest radiographs should be obtained for definitive diagnosis, however at times there are no findings on x-ray and the clinician should treat presumptively. Macrolide antibiotics such as Erythromycin or Azithromycin are the drug treatment of choice due ...
Sunday, November 24, 2019
How to Use the French Expression Allons-y
How to Use the French Expression Allons-y The French phrase allons-yà (pronounced ah-lo(n)-zee) is one you may find yourself using if youre traveling with friends or about to begin something. Literally translated, it means Let us go there, but this idiomatic expression is usually understood to meanà Lets go. There are many variations of this common phrase, depending on the context, such as lets get going,à off we go, lets get started, here we go, and more. French speakers use it toà announce that its time to leave or to indicate the beginning of some activity.à Usage and Examplesà The French expressionà allons-y is essentially the first person plural (nous) form of the imperative of aller (to go), followed by the adverbial pronounà y. Rough synonyms includeà On y va!à (Lets go) andà Cest partià (Here we go). An informal variation is Allons-y, Alonso.à The name Alonso doesnt refer to an actual person; its just tacked on for fun because its alliterative (the first two syllables are the same as those ofà Allons-y). So its a bit like saying, Lets go, Daddy-o. If you were to put this in the third personà plural, youd get the similarly well-known French expression Allez-y! The idiomatic meaning of allez-y in colloquial French is something like Go on! or Off you go! Here are some other examples of how you might use this phrase in conversation: Il est tard, allons-y. à Its getting late;à lets go.Il y a un nouveau resto cà ´tà © du cinà ©ma, allons-y. à Theres a new restaurant next to the movie theater.à Lets go (eat there).Tu veux apprendre le japonais? Moi aussi, allons-y! à You want to learn Japanese? Me too. Lets go / Lets do it!Vous à ªtes prà ªts? Allons-y! à Are you ready? Lets go!Allons-y maintenant! Lets go now.OK, allons-y. Okay, lets go.Allons-y, ne nous gà ªnons pas!à (ironic usage)à Dont mind me !Allons bon, jai perdu ma clef maintenant!à Oh no, now Ive lost my key !Allons bon, voil quil recommence pleurer!à Here we go; hes crying again !Eh bien,à allons-yà et voyons sil disait la và ©rità ©.à à Well,à lets goà and see if he was telling the truth.Alors,à allons-y. Oà ¹ mettez-vous les mains?à à Go on then. Do you put your hands like this?Enfin, puisque vous insistez,à allons-y. à Oh, well, if you insist.à Comeà on.Je suis partante,à allons-y, ici, t out de suite.à à Im ready.à Lets do it. Right here, now.A quoi cela ressemblerait-il? Alorsà allons-y.à à What would it look like? Letsà begin. Sinon, remontons nos manches età allons-y.à à Otherwise, lets roll up our sleeves andà get on with it.
Thursday, November 21, 2019
WHAT IS FRANKLINS ARGUMENT IN REMARKS CONCERNING THE SAVAGES OF NORTH Essay
WHAT IS FRANKLINS ARGUMENT IN REMARKS CONCERNING THE SAVAGES OF NORTH AMERICA WHAT EXAMPLES DOES HE PROVIDE TO PROVE THIS ARGUMENT - Essay Example He is championing for reverence of other peopleââ¬â¢s culture caused by cultural diversity in the world. In his argument, Franklin quashes the assumption that the whites are superior to the Native Americans. The whites feel that the Native Americans, due to their cultural background, live with ill manners. Benjamin Franklin tries to show that people are naturally innocent. Therefore, ones culture should not be a tool to put him down or demean him. He proposes that one should treat others, as he would wish others to treat him. He elaborates this by saying and proving, in his argument, that the whites were ignorant of the nativesââ¬â¢ way of life. He uses a scenario when there is a public council, or even when people engage in a simple conversation. In the Indian culture, another does not interrupt one until he is through with what he is saying. In this culture, people reckon interrupting another person as highly indecent. Contrary to this, in an English society one has to deliver his speech with great rapidity or risk of someone cutting him off in the middle of his speech by the impatient loquacity of those he is conversing (The Norton anthology of English literature, 1962). This example comes in hand to illustrate the civility of the natives as compared to the British. Another example comes in form of the offer allowing half dozen Indian sons to attend Williamsburg College. The Indian leaders appreciated the offer but politely declined it. The Indians explain that their ideas of education differ from the one perceived by the British. This example simply implies that the natives are as smart and educated, but just in the same nature as the British (The Norton anthology of English literature, 1962). The visit of Conrad to a nativeââ¬â¢s house provided an example of their hospitality. Conrad Weiser was warmly welcomed and provided with spread fur to sit on. They
Subscribe to:
Comments (Atom)