The Matthew Effect Essay Example for Free

The Matthew Effect Essay The Matthew Effect chapter of Outliers, Malcolm Gladwell states that a person’s success s attributed to the timing of their birth date as it relates to the cut-off dates of sports and education. He believes that this one random date is the start of a series of advantages that can ultimately lead to success. Although timing of a birth date and opportunities can play a significant factor in one’s success, they are not the sole determination of success. Gladwell fails to acknowledge the vital role an individual’s ambition and natural born talent play in creating success or the crucial impact family influences can have on one’s success. Over-Simplified Since Biblical times, groups of people were separated by the haves and the have not’s. Matthew 25:29 states â€Å"For unto everyone that hath shall be given, and he shall have abundance. But from him that hath not shall be taken away even that which he hath. † (Gladwell, 2008, p. 15) In chapter 1, of the Outliers (2008), Malcolm Gladwell has a similar argument in â€Å"The Matthew Effect†. He argues that personal success is attributed to hidden advantages, such as someone’s birth date, which in turn, creates opportunity through accumulative advantages. (pg. 19) Gladwell calls these successful people â€Å"outliers† which he defines as â€Å"men and women who do things that are out of the ordinary† (pg. 17). Although timing of a birth date and opportunities play a significant factor in one’s success, Gladwell’s theory that those are the sole determination of success is over simplified because it does not take into consideration the impact of one’s individual ambition, talent, and family influences. Ambition In Outliers, Gladwell states that â€Å"people don’t rise from nothing† (pg. 19) and completely discounts the role an individual’s ambition plays in achieving success. When a student, or an athlete, possesses a strong desire for success, regardless of their age or birth date, it drives them to excel beyond the normal range. A perfect example of this would be a young girl named Stephanie Bradley. She wanted to be a doctor. Stephanie grew up in a small blue collar community in rural Texas. Her parents were not college educated and lived just slightly above the poverty line. She attended a small, public, 2A high school, with average teachers. In addition, she was the youngest in her class, in cases, by more than a year because of a mid-July birthday. What set her apart from the other students was her desire for success and her passion for medicine. This ambition drove her to work hard and smart, stay focused, and never take her eye off her ultimate goal. Along the way, she made sacrifices, but never veered off course. She didn’t have any opportunities above and beyond ones she created on her own. Born With It Sheer talent is another key factor responsible for success and lies with the group of athletes that achieve success without the benefit accumulative advantages. These are the athletes who are born with a talent that supersedes the skill of other athletes. There is a difference between skill and talent. Skill is something that requires training and experience to do well, whereas, talent is a natural ability to compete with exceptional ability. (Bing dictionary, 2014) While this talent is rare to find, when it exist, these athletes can find success regardless of where their birthday falls on a calendar. One such athlete exists right now on a local high school swim team. Taylor is a high school freshman who didn’t compete in little league sports, since his parents were more artsy than athletic and they never had the financial resources to pay for extracurricular activities. In his freshman year, a friend asked him to join the swim team. Having never competed athletically, Taylor was hesitant but agreed. To everyone’s amazement, he medaled at his first swim meet. Not just in one event, but two. The next week, more success, more wins. His very first year swimming, he won at district, regional’s and is ranked 4th in the state. There is now talk of Olympic trials. He has competed and won against athletes who have been swimming since the age of four, have logged thousands of hours in the pool, and whose parents have spend enormous amounts of money on private coaches. However, Taylor wins having never received those types of opportunities. He wins because of his natural born talent. Family An individual’s family influences can also have a crucial impact on one’s success. While Gladwell acknowledges that heritage and culture plan a role in success or failure as illustrated in the Harlan, Kentucky and The Ethic Theory of Plane Crashes chapters, he doesn’t credit directly, the parents, grandparents, as well as, siblings that can provide a fundamental element in creating success. For example, if a parent has a strong desire to pass along their knowledge or skills in a particular sport, they are likely to start that process at a very early age which results in increased practice time developing the child’s skill. This parent might also supply additional training above and beyond what a typical coach would provide. The family could also have connections with coaches or teachers that allow for added instruction. Siblings can also push individuals to a higher level of performance. For example, having an older brother who plays baseball with a younger sibling will be providing further exposure that can develop their skills. All this additional training and experience can develop a child ahead of the curve, regardless of their birth date. The Other 32% Gladwell’s example of the roster of hockey players on the Medicine Hat team showed that â€Å"seventeen of the twenty-five players on the team† (pg. 23) had the perfect birth month for the sport. He credited their January, February, March and April birthdays for their success. However, that means that eight out of the twenty-five players (32%) on the team were successful, without the benefit of the perfect birth month. This group isn’t the largest percentage of players on the team but it does show that success isn’t based on just one factor. Gladwell’s argument that success stems from hidden advantages and opportunities created by those advantages is true in some cases; successful people are not created from one formula, such as what month their birthday falls. That is just one piece of the picture of success. There are a multitude of factors i. e. ambition, talent and family that play a role in determining why someone is successful and they all need to be encouraged and promoted.

The Worries Of Aging :: essays research papers

T. S. Eliot's poem 'The love song of J. Alfred Prufrock'; is quite a lengthy poem for the novice poetry reader, which consists of some 130 lines. Yet, it is the poem's mass that enables the rookie to discern the theme at length. In the beginning and later towards the ending of the poem, the narrator seems to be daydreaming, using a lot of imagery to portray fun or pretty places of solitude, which makes the stanzas ambiguous. In the center of the poem the narrator describes his human feelings towards the surrounding people and objects; here is where a logical connection can be grasped. The narrator is preoccupied with the passing of time and often thinks of tranquil, imaginary places to elude his plaguing thoughts of social ostracism. The theme of this poem, suggesting from the era of time and the narrator's tone, is that age is a burden and man is deeply troubled by it. The author is stating the trouble the narrator is having dealing with middle age and the inhibition to communicate. There are several meanings in the poem that suggest this.   Ã‚  Ã‚  Ã‚  Ã‚  Eliot uses the words, 'And how should I begin?'; and 'How should I presume?'; repetitiously. This shows the narrator is unconfident with himself mentally and physically. Lines 41 and 44, '(They will say: 'How his hair is growing thin!';)';, and '(They will say: 'But how his arms and legs are thin!';)'; indicates he is terrified of what will happen if people see his balding head or his slim and aging body. He feels that people will think he is old and useless and that they will talk about him behind his back. Another suggestion of aging and how it anguishes the emotions is the stereotype old men have of faltering when trying to communicate ideas with people. The repetition of words the narrator uses like 'vision and revision';, illustrates his feelings of inadequacy in communicating with the people around him.   Ã‚  Ã‚  Ã‚  Ã‚  Moreover, his insecurity and low self-esteem obscures his love life greatly. It hinders him from doing the things he wishes to do. The woman he is in love with is younger than he is and this is emotionally painful for him. He does not believe that some younger women could possibly accept him or find him attractive. To express any kind of affection or attraction toward her is awkward and difficult for him. Lines 79-80, 'Should I, after tea and cakes and ices, have the strength to force the moment to its crisis?

Burden Invasive Pneumococcal Disease Health And Social Care Essay

Streptococcus pneumoniae claims 1 million child deceases every twelvemonth worldwide ( 1 ) . Approximately 90 % of deceases occur in developing states. For every 1 kid that dies of pneumonia in a developed state, more than 2000 kids dice of pneumonia in developing states ( 2 ) . The SAARC states overall are in the zone with high incidence of pneumococcal disease ( 1 ) but no survey has attempted to happen out the same. The child mortality rates ( & lt ; 5 ) are high in the part ; runing from 17/1000 for Srilanka to 149/1000 for Afghanistan. Pneumonia claims 11 % of U5 child deceases in India, Maldives, Bangladesh and Pakistan ; 23 % of U5 child deceases in Afghanistan and 19 % in Bhutan with lowest in Srilanka 6 % . ( 3 ) . Pneumonia is the taking cause of U5 decease in Pakistan ( 4 ) but merely 50 % receive antibiotic intervention ( 5 ) . The Million Death Study reported that pneumonia accounted for 27AÂ ·6 % deceases out of entire 12260 deceases in kids from 1-59 months ( 6 ) . S. pneumoniae is one of the major causes of fatal pneumonias in kids ( 7 ) . Besides pneumonia S.pn is besides known to do meningitis which is another fatal status for kids. Many more diseases are to the name of S.pn like ague otitis media, joint gushs and bacteraemia etc. Estimates of pneumococcal disease load are needed so as to use the resources for kid endurance. In Bangladesh, the theoretical account predicts a pneumococcal disease incidence of 3351 instances per 100,000 kids younger than 5 old ages. A population-based, active-surveillance, active-case sensing survey measured an invasive pneumococcal disease rate of 447 instances per 100,000 kids younger than 5 old ages ( 8 ) . Unfortunately the grounds for appraisal of pneumococcal disease in low/middle income states is less. The load of pneumococcal disease is highest in kids and the aged population in both more and less developed states. The intervention of pneumococcal infections is complicated by the world-wide outgrowth of opposition to penicillin and other antibiotics ( 9 ) . The pneumococcal conjugate vaccinums are helpful but the effectivity of these vaccinums is dependent upon the pneumococcal disease load and serotype coverage of the vaccinum. ( 10 )Aim:The primary aims of this systematic reappraisal are To cognize the load of invasive pneumococcal disease. To find the demand for debut of pneumococcal conjugate vaccinum in the immunisation agenda.Methods:We performed a systematic hunt of the published literature and besides tried to get information about the unpublished literature from assorted research workers of the part.Beginnings of Datas:The hunts were current as of January 2013 and we identified articles with information on pneumococcal invasive disease among kids & lt ; 5 old ages of age. We searched 3 Databases: Pubmed, Embase and The Cochrane library. The mention lists of the obtained articles were farther searched for surveies. Non English articles were non included. The hunt inside informations are given in the appendix I. Searching were done by 2 writers ( NJ, HK ) . HK helped in obtaining full text articles.Definitions Used:SAARC states: South Asian Association for Regional Co-Operation includes Afghanistan, Pakistan, India, Nepal, Bhutan, Bangladesh, Srilanka and Maldives. Burden of pneumococcal disease: We have defined load of pneumococcal disease as the figure of positive pneumococcal isolates from the suspected population.Pneumonia:Symptoms: cough or hard external respiration, and marks: external respiration & gt ; 50 breaths per minute for infant aged two months to less than one twelvemonth, take a breathing & gt ; 40 per minute for kid aged one to five old ages, and no thorax indrawing, stridor or danger marks. ( 11 )Severe pneumonia:Symptoms: cough or hard eupneic plus any general danger mark or chest indrawing or stridor in a unagitated kid. General danger marks for kids aged two months to five old ages: unable to imbibe or suckle ; pukes everything ; paroxysms ; lethargy or unconscious ( 11 ) . Clinical diagnosing of meningitis is more straightforward than that of pneumonia. The definition of pneumonia is based on the incorporate direction of childhood infections ( IMCI ) attack, which includes other ague lower respiratory tract infections and deficiencies specificity. In add-on, aetiologic diagnosing of bacterial pathogens is easier in CSF than in blood.Meningitis: ( 11 )Suspected: Any individual with sudden oncoming of febrility ( & gt ; 38.5 AÂ °C rectal or & gt ; 38.0 AÂ °C axillary ) and one of the undermentioned marks: cervix stiffness, altered consciousness or other meningeal mark. Probable: A suspected instance with cerebrospinal fluid ( CSF ) scrutiny demoing at least one of the followers: cloudy visual aspect ; leucocytosis ( & gt ; 100 cells/mm3 ) ; leucocytosis ( 10-100 cells/ mm3 ) AND either an elevated protein ( & gt ; 100 mg/dl ) or decreased glucose ( & lt ; 40 mg/dl ) . Confirmed: A instance that is laboratory-confirmed by turning ( i.e. culturing ) or placing ( i.e. by Gram discoloration or antigen sensing methods ) a bacterial pathogen ( Hib, Diplococcus pneumoniae or meningococcus ) in the CSF or from the blood, in a kid with a clinical syndrome consistent with bacterial meningitis ( WHO, 2003 ) . Non Pneumonia Non Meningitis: All infections other than pneumonia and meningitis have been categorized under this header. Invasive Pneumococcal disease: When Diplococcus pneumoniae has been identified from one of the otherwise unfertile sites of the organic structure like blood, CSF, pleural fluid etc either by civilization or by LAT/PCR or other technique. The surveies where the defined instances have some other parametric quantities or if there were some other standards no effort was made to standardise them.Inclusion standards:Surveies ; prospective/retrospective ; with kids & lt ; 5years of age as /or portion of the studied population. Surveies done in infirmary or community scene. Surveies with possible informations available on S.pneumoniae isolated from kids & lt ; 5 old ages of age. Surveies with at least 12 months of surveillance were included in order to get the better of the seasonal nature of pneumococcal diseases. Surveies conducted in SAARC states. The inclusion was decided by 2 writers ( NJ, KK ) and choice appraisal was done by 2 writers ( NJ, KK ) . Discrepancies, if any, were resolved by treatment with 3rd writer ( MS ) and the finding of fact was considered concluding. If the exact information was non available we have contacted the writers and tried to decide the disagreements The surveies which have commented merely on pneumococcal serotypes & A ; /or antibiotic opposition have been excluded from pooled analysis. We excluded instance studies, columns, vaccinum surveies, literature reappraisals and the surveies in which nasopharyngeal aspirates, pharynx swabs or oropharyngeal swabs were the lone samples to find the causative being.Data aggregation and direction:Three writers ( BE ; AK, SS ) abstracted informations individually from the included surveies in a predesigned tabular array that included survey design, puting, no. of suspected instances, no. civilization samples taken & amp ; positive civilizations obtained, and no. positive civilizations for Diplococcus pneumoniae. The information from Hospital based surveies and population based surveies were abstracted individually. To decide the disagreements sing the abstracted informations treatment with the other referees were done and consensus was reached. Sing some losing informations the writers were contacted and if the disagreements were non resolved they were non taken up for pooled analysis. The community based surveies available merely give information about pneumococcal pneumonia instances in the community.Datas analysis:Data analysis was done utilizing CMA V2 by 4 writers ( NJ, MS, KK, and AA ) . The similar surveies were pooled together. Sub group analysis for finding the IPD load in India was done and besides sub-group analysis for finding IPD in kids & lt ; 5 old ages was done. The community based surveies, infirmary based prospective and retrospective surveies have besides been analyzed individually.Consequences:Datas reviewed:We found 700 published articles through electronics and manual searching. After rubric and abstract testing 40 full text articles were retrieved and 21 surveies ( 8, 12-31 ) were included for the reappraisal and 19 were excluded ( 32-50 ) ( fig 1 ) Community based surveies were non available from Afghanistan, India, Nepal, Bhutan & A ; Srilanka. Because the life conditions are about same and there is besides geographic similarity we have considered the surveies from Bangladesh and Pakistan as representative of the SAARC states. Similarly there were no infirmary based surveies from Afghanistan and Bhutan so we have taken the surveies from remainder of the states and generalized them for these states. We have included a sum of 21 surveies for this systematic reappraisal & A ; mentioned in tabular array I. The inclusion was decided by 3 writers ( MS, NJ, KK ) and quality marking was done by 3 writers ( MS, NJ, KK ) . The surveies with mark of 6 or more were considered to be good quality grounds.Hospital Based Prospective Surveies:SAARC states:We identified 15 infirmary based prospective surveies ( 12-19, 22, 24-27, 29, 31 ) from assorted SAARC states and analyzed them for finding the invasive pneumococcal disease load in kids populating in these states and besides did a subgroup analysis for kids less than 5 old ages of age. These surveies show that 3.5 % ( 95 % CI 1.9-6.4 ) of kids admitted to infirmaries with diagnosing of invasive diseases like terrible pneumonia or meningitis or sepsis are due to S. pn ( fig 3 ) . Eight surveies ( 13, 15, 16, 18, 24-27 ) show that 1.5 % ( 95 % CI 0.6-3.4 ) of kids admitted as terrible pneumonia have S. pn as the causative being ( Fig 5 ) . Ten surveies ( 12, 14, 16, 17, 19, 22, 24, 26, 27, 29 ) of the included surveies show that 7.6 % ( 95 % CI 4.1-13.7 ) of kids with likely or confirmed meningitis have S.pn as a causative being ( fig 7 ) . S.pn is one of the major bacteriums doing 20 % ( 95 % CI 12.9-29.9 ) of invasive bacterial diseases ( fig 4 ) . 11 % ( 95 % CI 6.5-17.9 ) of terrible bacterial pneumonia are caused by S.pn ( fig 6 ) . S.pn has been an aetiologic agent in 33.1 % ( 95 % CI 23.1-44.8 ) instances of bacterial meningitis ( fig 8 ) .Children less than 5 old ages of age:Out of the 15 surveies merely 11 surveies ( 13, 15, 17, 18, 22, 24-27, 29, 31 ) have clear information on invasive pneumococcal disease in kids less 5 old ages of age. The surveies show that S.pn causes 2.7 % ( 95 % CI 1.1-6.2 ) hospitalizations due to all invasive disease ; in kids & lt ; 5 old ages of age ( fig 9 ) . Merely 7 surveies ( 13, 15, 18, 24-27 ) had clear information on pneumococcal pneumonia in kids & lt ; 5 old ages of age and showed that 1.5 % ( 95 % CI 0.5-4.3 ) of terrible pneumonias are due to S.pn ( fig 11 ) . Similarly 6 surveies ( 17, 22, 24, 26, 29 ) showed that S.pn is the being responsible for 7.1 % ( 95 % CI 2.6-17.5 ) meningitis instances in the age group ( fig 13 ) . S.pn remains the major bacterial cause of all invasive diseases in kids U5 old ages of age doing 19.2 % ( 95 % CI 11.5-30.3 ) of invasive bacterial diseases ( fig 10 ) . 10.8 % ( 95 % CI 6.4-17.6 ) terrible bacterial pneumonias are due to S.pn ( fig 12 ) and 35.1 % ( 95 % CI 22.1-50.8 ) of pyogenic meningitis is due to S.pn. ( fig 14 ) .Bharat:We found 9 surveies from India ( 12-19, 22 ) which showed that S.pn causes 7.9 % ( 95 % CI 3.8-15.7 ) of invasive diseases in kids ( fig 15 ) . S.pn has been an aetiologic agent in 3.9 % ( 95 % CI 1.2-11.7 ) kids with terrible pneumonia ( fig 17 ) and is besides a major bacterial cause of pneumonia in kids doing 14 % ( 95 % CI 5.8-30.1 ) of bacterial pneumonias ( fig 18 ) . S.pn has been a causative agent in 10.4 % ( 95 % CI 5.8-18.1 ) of kids with meningitis ( fig 19 ) and once more a major bacterial cause of pyogenic meningitis ( fig 20 ) . The hospital prevalence of S.pn in Indian kids is more than that of all other SAARC states.Children les s than 5 old ages of age:Five surveies ( 13, 15, 17, 18, 22 ) gave clear information on pneumococcal diseases in kids under 5 twelvemonth of age in India. The image does non alter in this age group of Indian kids where S.pn is prevailing in 8.2 % ( 95 % CI 4.1-16.6 ) of all hospitalized kids with suspected invasive bacterial disease ( fig 21 ) and S.pn becomes a major bacterial cause of invasive bacterial diseases with 21.2 % ( 95 % CI 9.4-41.0 ) of all invasive bacterial diseases are due to S.pn ( fig22 ) . 5.4 % ( 95 % CI 2-14.1 ) of terrible pneumonias in infirmary wards are due to S. pn ( fig 23 ) & A ; 16.5 % ( 95 % CI 12.8-16.2 ) meningitis in kids less than 5 old ages describing to infirmaries are due to pneumococcus. In 13.6 % ( 95 % CI 5.5-29.8 ) of all bacterial pneumonia ( fig 24 ) & A ; 39.3 % ( 95 % CI 27.5-52.6 ) of pyogenic meningitis ( fig 26 ) S.pn has been isolated and is a major cause of these diseases in India.Hospital Based Retrospective Surveies:Two infirmary b ased retrospective surveies ( 21, 28 ) from India were included in this reappraisal. The pooling of these surveies together showed that 15.5 % ( 95 % CI 0.5-88 ) of invasive pneumococcal disease instances amongst the entire admitted patients with invasive bacterial diseases ( Fig 27 ) . The assurance intervals for this group are broad because one survey ( 21 ) which is merely on bacterial meningitis and has a little sample size with comparatively more proportion of pneumococcal isolates.Population Based Surveies:Four surveies ( 8, 20, 23, 30 ) from the SAARC states were included in the reappraisal. These surveies are from Pakistan and Bangladesh. These surveies merely discuss the kids under 5 old ages of age. These surveies show that approximately 13.4 % ( 95 % CI 6.7-25 ) of all invasive bacterial diseases in community are due to S. pn ( fig 29 )Inference of all the analysis:The consequence from the population based surveies ( 13.4 % ) is comparable to that from the infirmary based prospective surveies ( 19 % ) and besides to those obtained from retrospective surveies ( 15.5 % ) . The pneumococcal disease prevalence in SAARC states varies between 13 % – 19 % of all invasive bacterial diseases.Discussion:Our findings show that S. pn is prevailing in 19 % of all hospitalizations in kids of SAARC states and is hence one of the major cause of concern every bit far as child wellness is concerned. Pooling the Indian surveies we found that pneumococcal diseases are 25 % of all invasive bacterial diseases in kids of India. These figures might be an underestimation of the current state of affairs as the surveies discuss merely hospitalized instances, the milder signifiers may travel unreported. S.pn is a major bacterial cause for terrible pneumonia and besides for pyogenic meningitis in kids of this part. The community based surveies besides show that in 13 % of bacterial instances were due to S.pn but once more these surveies besides discussed the terrible dis eases merely and did non describe the milder signifiers. The consequences of our reappraisal are comparable to other reappraisals ( 1 ) which showed high prevalence of pneumococcal diseases in India. The consequences of community based surveies show that __ % of all bacterial invasive diseases in community are due to pneumococcus which is comparable to the consequence from the infirmary based prospective surveies. An unpublished information from one site of a multicentric test ( ISPOT survey ) from India showed that approx 38 % of kids with terrible pneumonia ( Radiologically confirmed ) had S. pn isolated from the nasopharyngeal aspirates or pharynx swabs. The survey besides showed that unwritten Amoxil administered at place was effectual in handling terrible pneumonia. The No Shots survey from Pakistan ( 51 ) concluded that place intervention with high dose unwritten Amoxil in instances of terrible pneumonia is tantamount to WHO recommendations of hospitalizations and i/v antibiotics. Similarly in another survey from Pakistan showed that local wellness workers were able to handle terrible pneumonia instances at place with high dosage Amoxil ( 52 ) . Survey from Bangladesh ( 53 ) reports the rhinal passenger car rate of 47 % and besides reports the early colonisation in rural population. The survey besides reports that 69 % of invasive strains were immune to cotrimoxazole. The ANSORP survey reported 41 % non-susceptible strains to penincillin in Srilanka and approximately 4 % in India ( 54 ) . The IBIS survey ( 16 ) reported 60 % opposition to chloramphenicol, Principen, trimethoprim-sulfamethoxazole, or Erythrocin ; with 32 % isolates resistant to more than 3 antimicrobic drugs. Kunango et Al ( 55 ) reported that out of 150 clinical isolates from invasive pneumococcal infections, merely 11 ( 7.3 % ) isolates were comparatively immune to penicillin, although 64 were immune to one or more antibiotics particularly cotrimoxazole, Achromycin and Chloromycetin. In the ISCAP test ( 56 ) the opposition form of S. pneumoniae to assorted antibiotics was: cotrimoxazole 66.3 % , chloramphenicol 9.0 % , oxacillin 15.9 % and erythromycin 2.8 % .So the antibiotic opposition becomes another menace. In India, the most common serogroups colonising the nasopharynx of kids are 6, 14, 19, and 15 ( 38, 57 ) . IBIS survey ( 16 ) studies serotype 1,6 and 19 to be the most common serotypes isolated from either blood or CSF samples of the kids with invasive disease. Rijal et Al ( 49 ) found that serotypes 1,5 & A ; 4 were most normally isolated from the patients of IPD and besides reported that 52 % of isolates were immune to cotrimoxazole.Decision:The systematic reappraisal concludes that S. pneumoniae is a major bacterial cause of invasive bacterial diseases in kids of SAARC states. The outgrowth of immune strains of Diplococcus pneumoniae are indicating towards the demand for revisiting the intervention recommendations and besides do a call for explicating preventative steps to decrease the prevalence of invasive pneumococcal diseases. The usage of antibiotic which is less immune and easy to administrate should be considered. Pneumococcal conjugate vaccinum, after cognizing the preval ent serotypes and there coverage, should be considered by the policy shapers. Conflict of Interests: None stated Role of the Funding Agency: The reappraisal was supported and funded by ICMR, New Delhi. The support bureau did non interfere with the reappraisal procedure or the consequences. Recognitions: We would wish to thank Dr. Samir K Saha ( ICDDR, Bangladesh ) , Dr. Z.A. Bhutta & A ; Dr S.Q. Nizami ( AKU, Karachi, Pakistan ) for supplying us with their publications on pneumonia ; we would besides wish to thank Dr. Kay Dickerson of John Hopkins University U.S. for assisting us with the statistical methods.

The Tragedy Of The Great Wars - 1288 Words

â€Å"I’ll put another pot of water on the stove,† Nora said as she got up and scurried off to the kitchen. â€Å"Thank you, sweetheart,† responded the old woman as she watched her granddaughter slip away. She then waited for her great granddaughter to come back into the room before resuming. â€Å"Now, when I was young there was only what would have been considered a handful of us left in existence†¦ the human populace, that is. Oh, I don’t know what the numbers were exactly, but I would say the human population was around thirty-five million worldwide, give or take a few. That number was better than what it had been, of course†¦ Back around 2030 at the time of the conclusion of the great wars it was next to nothing. And, if I recall correctly, it†¦show more content†¦Those opinions, however, were dead wrong. â€Å"But, that’s not to say that they didn’t get some things right, however. They seemed to have been accurate in the fact that once the world lost its great cities to I.C.B.M.s, the land at ground zero of those cataclysmic detonations along with the surrounding territories for a hundred miles still hasn’t been inhabitable to this very day. And most likely will remain uninhabitable for many more days to come. â€Å"But, the main lands, places like here in Wyoming and the countryside of most of Canada and Russia, had seemed to dodged the wrath of fire and brimstone, which had rained down upon the metropolitans, keeping them generally safe and able to sustain life. â€Å"As the years ticked off, the volunteers, along with those of us who had remained out of pods, then did our part to help clean up the planet—not that we had any choice in the matter—and we repaid our debts to Mother Earth with our lives and our health in doing so. â€Å"But, we progressed, and even multiplied despite the odds. 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All ofRead MoreWilliam Woolf s Mrs. Dalloway1730 Words   |  7 PagesLiterary traditions often focus on tragedy, whether it be personal, national, or universal. In this way, it gives the characters, author, and reader the reference point of a shared experience upon which to build a literary work. In the case of Virginia Woolf’s Mrs. Dalloway, this uniting experience was the Great War. The remnants of this conflict can be seen throughout the novel in the lives and experiences of its characters. The integral nature of tragedy in Mrs. Dalloway means that future reimaginingsRead Mo rePolitics Can Certainly Be A Tragedy. The History Of The1193 Words   |  5 PagesPolitics can certainly be a tragedy. The History of the Peloponnesian War by Thucydides tells the extraordinary rise of Athens and its pitiful downfall in its attempts at expansion. In his recount of the later stages of the war, historian Thucydides recaptures how the decisions of the Athenian generals Alcibiades and Nicias influenced the end result of Athens. While Thucydides did not live long enough to see the end of 27-year war, he could correctly assume how it would end. In this essay, I willRead More Tennessee Williams The Glass Menagerie as a Tragedy Essay1498 Words   |  6 PagesTennessee Williams The Glass Menagerie as a Tragedy The Glass Menagerie has, of course, been labelled as many different types of play, for one, a tragedy. At first glance it is clear that audiences today may, indeed, class it as such. However, if, looking at the traditional definition of the classification tragedy, one can more easily assess whether or not the Glass Menagerie fits under this title. To do this I will be using the views of Aristotle, the Greek Read MoreIn Things Fall Apart935 Words   |  4 PagesOkonkwo’s Tragedy In Things Fall apart, Okonkwo was considered a tragic hero. He used to be a great wrestler, a fierce warrior, and a successful farmer of yams in Umuofia. Shortly after Ikemefuna’s death, Okonkwo accidentally killed someone in a funeral ceremony. He and his family were sent into exile for seven years. Nevertheless, when he returned to Umuofia, he found himself unable to adapt to changing time as the white men came to live among the village. Okonkwo realized that he was no longerRead MoreA Constellation Of Vital Phenomena877 Words   |  4 Pagesof the book contains both joy and tragedy. Ultimately, the message of A Constellation of Vital Phenomena is that love trumps all. Love trumps hate, the interior ministry, starvation, and even death. The ending brings both sorrow and the hope for humanity to heal and forgive. The final chapter of the book was as profound but also delicately intricate as the rest of the novel. The final chapter of the book conveyed within the context a theme of joy and tragedy. The message of A Constellation ofRead MoreThe Fate of Death- the Iliad,1087 Words   |  5 PagesTwenty-Four of the Iliad, Homer portrays the tragedy of war through the death of Hector and Achilles. Someone may say that war is the enemy of pity which means that if you do not have pity, you may fate to die from war. Pity states that one person is able to read, sympathize, feel, and understand another person well. We can see that Hector shows no pity in war, so he faces his death. Nevertheless, what if someone show pity to another person in war? Is he able to prevent himself from his death