Sometimes in Winter Essay Example | Topics and Well Written Essays - 1000 words

Sometimes in Winter - Essay Example The succeeding paragraph will also contain my own thoughts and emotion about this work. After having gone though the literary pieces of Linda Pastan, I realized that most of her poems were all about life, love and human emotions. Such that the central them she chose to employ in this poem, Sometimes in winter, talks about her thoughts about life, whether her own life or those of others whom she knew she was a part of as well as those which became part of her. This poem to me, is an allegory about how people become instrumental in the lives of others, and how they step in and walk into that lives leaving footprints that I might as well equate with memory and etched meaning. Linda Pastan's view about life depicts the reality of how people relate with one another, thus the saying no man is an island. We need others in order to make us feel good with in. As human beings, we need other people to interact with, to relate and converse with, even to the extent of realizing what was going on with our own lives by looking at the experiences of others. She used the symbolism of v isualizing the faces of those she loves, those faces that may perhaps touched her lives at one point in time. These can be depicted on the memories of those people we hold dear that are etched inside our minds, and going over that vision again reminds us the things that did both good and bad. Thus, every person's impact in our lives is conceived through the bonds and relationship we established with them. These relationships will become an archive of well kept experiences; those instances that made us laugh, cry, angry or annoyed. These are feelings that remind us about our human qualities embedded within extracted and surfaced because of others. This to me is what she was trying to say in the first line of her poem. Taking into consideration the setting she used, winter, depicts of cold and dark times, times where people are forced into seclusion. With which I take the positive and discuss my own reflections about this particular setting. My views about her poems set in the winter is those times when we feel alone, most certainly down and defeated by circumstances that sometimes are too much for a human emotion to bear, such is a time when we would want to feel lifted and free of all desperation. If we were to incorporate the first line of the poem into the setting, I can say that Pastan had wonderful people around her during her most desperate time. These people were there to support her and keep her warm amidst the coldness and darkness of the nature of her situation. Winter here, depicts of a certain phase of here life where she struggles to cope with realities and accepts the burden, and such was made possible through the assistance of a support group, weather family, friends and love ones. On the other hand, this can also depict a setting with which a negative stand is depicted. It may be that winter in her poem is the experiences caused by other people's wrath and coldness that forces her to shut out and withdraw from. It may be the effect of this experiences that she describes as bleak and dark. The relationship we make with other people does not always turn out the way we want them to be. There are those that

Literature Review Essay Example | Topics and Well Written Essays - 2250 words - 1

Literature Review - Essay Example rsing staff, doctors and others health workers like physiotherapists and respiratory therapists, and providing high-quality care to the sickest patients. Along with these, meeting the needs of the staff members who work in a very stressful environment is also an important challenge. To provide high quality care in ICU, there is a need for interplay of high technology and high acuity in such a setting. Each year, more than 4 million US patients receive critical care and this costs more than $180 billion annually (ECRI Institute, 2007). 10 % of the in-patient beds are occupied by intensive care patients. 30% of acute care hospital costs accounts for intensive care. 8% of the hospital beds are occupied by those who need critical care (Society of Critical Care medicine Survey, 1991 and 1993; qtd in Brilli, Spevetz, & Branson, et al, 2001). Treatment in critical care is extremely expensive. It accounts for 20% of all hospital costs and 1% of the GDP (Luce & Rubenfeld, 2002). The reason why intensive care treatment is highly costly is that ICU is a resource- intense environment which requires skilled staff, costly and new drugs and expensive technology (Kahn & Angus, 2006). Most of the Americans are covered by a health insurance plan either through the companies they work for or through the employment of their spouse or parents. According to the Current Population Survey, 2004 (ASPE, 2005), 59.8% of the population are covered by employers and only 9% purchase insurance directly. Another important source of insurance is Government. Medicare is the largest public coverage program and covers 14% of the population. About 84% of the beneficiaries of Medicare are those above 65 years of age. Another insurance program is the Medicaid which covers 12.9% of the population. The population which is covered by this program constitutes mainly the children, pregnant women, elderly, and disabled people. Military/veterans coverage of insurance is also provided by the Government and

Compounding Pharmacy Essay Example | Topics and Well Written Essays - 250 words

Compounding Pharmacy - Essay Example In order to answer this question, it is important first do define compounding pharmacy. Compounding pharmacy, as defined by the NABP, is actually â€Å"†¦the preparation, mixing, assembling, packaging, or Labeling of a Drug or Device (i) as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/patient/Pharmacist relationship in the course of professional practice, or (ii) for the purpose of, or as an incident to, research, teaching, or chemical analysis and not for sale or Dispensing.† (Walkup n. p.) In this case, it is important to note that in compounding pharmacy, ensuring quality must always be top priority (Walkup n. p.). Ensuring quality, which includes obtaining Certificates of Good Manufacturing Practices and Certificate of Analysis (in which a third party testing is used to extend BUD beyond USP standards) will ensure that one can do almost anything, even tailor-made for the patient, ensuring trust with consumers an d profitability. Works Cited Walkup, Kenny. An Introduction to Independent Community Pharmacy Ownership. Specialty Medicine Compounding Pharmacy, n. d. PowerPoint file.