Lucy calkins writing paper
Friday, August 28, 2020
INTERNATIONAL LAW Essay Example | Topics and Well Written Essays - 5000 words
Global LAW - Essay Example Article 51 of the UN Charter of 1945 perceives that individuals from the UN have ââ¬Å"inherent rightsâ⬠to ââ¬Å"individual and aggregate defenceâ⬠during an outfitted assault yet gauges taken by part countries in the activity of self-preservation are required to be quickly answered to the UN Security Council. Simultaneously, Article 51 of the UN Charter obviously says that the measure taken by part conditions of the United Nations won't in any capacity influence the ââ¬Å"authority and responsibilityâ⬠of the UN Security Council accommodated under the UN Charter to make a move to keep up or reestablish global harmony and security. Article 51 of the UN Charter, be that as it may, present power to the UN Security Council to make a move for keeping up or reestablishing global harmony and security, as the UN Security Council regards vital and whenever. In this manner, while countries and cooperatives of countries have characteristic right to self-preservation, Article 24 of the UN Charter unmistakably allots to the UN Security Council the ââ¬Å"primary duty regarding the upkeep of global harmony and securityâ⬠. As it were, while part countries may reserve the privilege to singular guard, it tends to be feasibly contended that under the UN Charter, the essential duty regarding ââ¬Å"international harmony and securityâ⬠stays with the UN through the UN Security Council. It follows that the degree to which a country can practice activity dependent on self-preservation can be adequately obliged by the UN Security Council. Thus, it very well may be soundly and feasibly be attested that the introduction of the UN sanction necessitates that all countries watch the standard that ââ¬Å"armed power will not be utilized, spare in the regular interestâ⬠. Under Article 39 of the UN Charter, nonetheless, other than the UN Security Council, the UN conceded no other gathering the privilege to ââ¬Å"determine the presence of any danger to the harmony, penetrate of the harmony, or demonstration of hostility and will make proposals, or choose
Saturday, August 22, 2020
Mothers Day Quotes - What Writers Say About Mothers
Moms Day Quotes - What Writers Say About Mothers What do the essayists need to state about Mothers Day? From Edgar Allan Poe to Washington Irving, read what popular authors have expounded on their moms. Journalists Quotes The core of a mother is a profound chasm at the base of which you will consistently discover absolution. - Honore de Balzac (1799-1850) Youth blurs; love hangs, the leaves of companionship fall; A moms mystery trust outlasts them all. - Oliver Wendell Holmes (1809-1894) The genuine religion of the world originates from ladies considerably more than from men - from moms the vast majority of all, who convey the key of our spirits in their chests. - Oliver Wendell Holmes (1809-1894) Where we love is homehome that our feet may leave, yet not our hearts. - Oliver Wendell Holmes (1809-1894) A mother is the most genuine companion we have, when preliminaries, overwhelming and abrupt, fall upon us; when misfortune replaces success; when companions who cheer with us in our daylight, desert us when inconveniences thicken around us, despite everything will she stick to us, and try by her caring statutes and advice to scatter the billows of dimness, and cause harmony to come back to our souls. - Washington Irving (1783-1859) Whatever else is uncertain in this smelling dunghill of a world a moms love isn't. - James Joyce (1881-1941) Leave us alone appreciative to individuals who satisfy us, they are the beguiling nursery workers who make our spirits bloom. - Marcel Proust (1871-1922) Mother is the name for God in the lips and hearts of little youngsters. - William Makepeace Thackeray (1811-1863) All ladies become like their moms. That is their disaster. No man does. That is his. - Oscar Wilde (1854-1900), The Importance of Being Earnest, 1895 How have moms impact the lives of journalists? How have ladies journalists adjusted the requests of parenthood with the need to compose? What's more, what have writers expounded on their moms? Commend moms in writing! Moms in LiteratureTo My Mother - Edgar Allan PoeMother o Mine - Rudyard KiplingMother and Babe - Walt WhitmanMothers Day Proclamation - Julia Ward HoweAh, Woe is Me, My Mother Dear - Robert BurnsLittle Women - Louisa May AlcottEmilys Motherâ -Emily Dickinson
Friday, August 21, 2020
Robert Frost Essays (944 words) - Robert Frost, Mending Wall
Robert Frost Robert Frost is regularly alluded to as an artist of nature. Words and expressions, for example, fire and ice, blossoms in sprout, apple plantations and moving slopes, are all significant components of Frost's work. Evacuate them and something more than images are removed. These ?considerate' objects give an elective method to take a gander at the world and are regularly utilized as analogies to depict a darker perspective on nature also, people. In Frost's verse, the profundity is as significant as the surface. The darker parts of Frost's verse are frequently depicted using imagery, clear symbolism, and specific word decision. Ice's sonnets seem, by all accounts, to be straightforward on a superficial level, yet upon further investigation the sonnets uncover themselves as subtle. Ice uses conventional items to make a more profound importance. For model, the sonnet Repairing Wall, has all the earmarks of being about the distinctions between two neighbors and their thoughts on reconstructing a divider. Then again, the divider might be seen, in a progressively broad sense, as an image to speak to all the opposing or skeptical hindrances that partition man from man. The holes I mean/No one has seen them made or heard them made/But at spring repairing time we discover them there (lines 9-11), delineates the point that individuals become isolated without acknowledging it since we become so made up for lost time in what's going on in our own lives. The murkiness, held inside the up to referenced citation, is the inclination of bitterness. The way that we don't take notice of each other makes a spot that turns out to be increasingly more separated by contrasts. In like manner, the sonnet Nothing Gold Can Stay appears to speak to the difference in seasons. In any case, further investigation uncovers that the speaker is additionally resembling the patterns of existence with the adjustment in seasons. So day break goes down to day (7) delineates that in life as in nature, brilliant minutes blur away. At that point leaf dies down to leaf (5) infers fall, when the leaves start to turn gold and tumble to the ground. The shading gold speaks to the end of life, though green speaks to new life. The sonnet additionally outlines the loss of blamelessness. As the seasons change, life advances and guiltlessness can no longer be continued. Fall speaks to death. The adjustments in the shade of the leaves are frequently seen as wonderful despite the fact that it denotes the finish of a season. The conclusion to human life makes overpowering sentiments of tension and vulnerability. Passing, for certain individuals, is an untouchable subject. Individuals are not excessively agreeable talking about death due to the feelings evoked. However, Frost can make a familiarity with the subject by utilizing the excellence of nature as a channel. Ice's darker side is likewise common through the symbolism of a considerable lot of his sonnets. For instance, the title of the sonnet Desert Places, animates pictures of dejection, sentiments of deserting, and a general feeling of disengagement. The word desert is regularly connected with cruel day to day environments and a place without life. The word ?it', in The forested areas around it have it?it is theirs (5), alludes to the field and recommends that the field is simply there. The creatures are missing as well - covered in their dens (6). The speaker is too missing energetic (7) to issue. Therefore, without the care of man and without the creatures the field is abandoned, destroyed, and forlorn. The end line To alarm myself with my own desert places (16), analyzes the way wherein individuals frequently neglect to get in contact with parts of their characters which are unfortunate or hard to concede. For model, the steady battle between one's internal sentiments and the acknowledged social standards. Desert places likewise recommends that individuals have haziness inside themselves. The nonattendance of a significant self or absence of confidence may make sentiments of segregation. Halting by Woods on a Snow evening, likewise delineates a dull multifaceted nature to Frost's works. The sonnet catches pictures of dejection and hesitation by specific word decision. For example, woods are here and there associated with the obscure, dimness and segregation. The speaker additionally utilizes expressions, for example, darkest night furthermore, solidified lake to harden the state of mind of aloneness. The speaker is riding into the haziness on an obscure excursion, just to end up got between the forested areas and solidified lake (7). The speaker is gotten between old examples and additional opportunities. The forested areas speak to the new while the solidified lake speaks to the recognizable. The speaker mulls over the choice he should make: The forested areas are beautiful, dim, and profound,/But I have
Tuesday, May 26, 2020
Getting the Best Write Reports for Money
Getting the Best Write Reports for Money Academic essays are usually employed by teachers to assess a student's knowledge, and it might have an immediate influence on your grade at last. Works for you reviewing services and products, so you make the very best purchase decisions for your requirements. Works which are accepted will get a $50 honorarium. If you are searching for help with dissertation, we've got solutions available to assist you, from dissertation proposal to a conclusion. Naturally, it is possible to find many helpful tips regarding report writing, but it isn't a guarantee of a very good result. A report is a rather straightforward sort of assignment with a simple and understandable structure. There's no superior approach to make sure you get the grade you desire than to ask an expert. Don't incorporate any new info in the conclusion. The Secret to Write Reports for Money You may get anybody to compose your paper. Evidently, your work has to be original wo rk. The info is offered in a clearly structured format, using the sections and headings so the data is easy and accessible to find and follow. Make certain you keep an eye on your references, particularly for academic work. Consequently, it's sensible to search for the top essay or report makers. With these kinds of requirements, you want to buy customized reports and essays and understand how to write them. Writing reports might be long and boring procedure, especially if you didn't really enjoy the book. Writing an effective book report may be challenging assignment for many students since it requires you should analyze a large sum of information in. Before writing your book file, or even choosing the book that you would like to read (unless a particular title comes pre-assigned) you first have to understand what a.. Looking for an excellent essay writer isn't a problem we have a group of enthusiastic and seasoned writers for you! Include an overall plot summary. How to boost your writing. Pay particular attention to whether all of the info that you've included is relevant. While you need to always be professional in your company report writing style, the amount of detail you include may vary based on who's reading the report. If it's possible to write on a broad selection of topics particularly in the tech industry you will have a good deal of available work. Therefore, students must search for internet sites offering them with academic report writing help. Key Pieces of Write Reports for Money Word count on the website for your typical company or marketing article is all about 800 words. There really isn't any limit to what you could sell. Whether there are a great amount of books on the exact same subject with good reviews will let you know the niche is hungry for information. The four elements you have to have in a site for downloading of your special reports. Lies You've Been Told About Write Reports for Money All your thinking has to be focused on that, which might require you to be ruthless in your reading and thinking. Earning through blogging isn't as tough as some might love to think. Fortunately, there are numerous diverse ways people may make more cash during their time of need. Even in the beginning months, you can make some extra cash. Whispered Write Reports for Money Secrets Three kinds of reports are given to show what kindergartners. Some reports contain each one of the typical report writing components, while some contain just a few. Find out how to compose an outstanding book report. The 8 different kinds of special reports and the way to compose each. The next thing to do is to locate the report you will need for your report. In reality, the practice to get reports online is. How to generate leads on the internet by offering your distinctive report. It's quite simple to accomplish on the web, where you're able to deliver the report as a downloadable PDF file. While writing your report, you ought to be impartial. Want to discover how to receive a totally free copy of your credit report and the way to repair. Ensure to take part in the procedure for expert report writing.
Friday, May 15, 2020
Examples Of Power Corrupts In Benito Mussolini - 764 Words
Mussolini and Stalin combined killed about 20 million people. Mussolini lived in Italy. Mussolini ruled constitutionally until power corrupted him in 1922. Mussolini also legalized dictatorship so none of the humans have any rights. It can be argued that power always corrupts, especially when examining the greed, manipulation, and brutality of both the pigs in George Orwellââ¬â¢s Animal Farm and the greed, manipulation, and brutality of the Italian dictator Benito Mussolini. First, one of the reasons power could corrupt someone is because of greed as shown in Animal Farm and the milk and apples which were the best food on the farm. The pigs kept the milk and apples for them self. The other animals never saw milk or apples again. In the bookâ⬠¦show more contentâ⬠¦It has all been proved by documents which he left behind him and which we have only just discoveredâ⬠¦ Did we not see for ourselves how he attempted--fortunately without success--to get us defeated and destroyed at the Battle of the Cowshed?ââ¬â¢Ã¢â¬ This shows how Napoleon is using Squealer for propaganda. He is making Squealer convince the animals that Snowball has been on the side of Johns the whole time. This also forces the animals to believe Napoleon and Squealer because if they donââ¬â¢t they will get killed by Napoleon. Mussolini also used manipulation through newspapers, media, songs, school curriculums and much more. For example, in one of the newspapers he said â â¬Å"Black Brigades Ready. Yesterday, tomorrow. Fighting for the honor of Italyâ⬠(Zhen). This shows how Mussolini uses propaganda with the newspaper the same way Napoleon use squealer for Propaganda. Mussolini basically brainwashed them so they think that everything Mussolini does is good. Mussoliniââ¬â¢s use of propaganda was to get the citizens on his side. Third, power could corrupt someone because of brutality. As seen in Animal Farm Napoleon was brutal towards the other animals. For example, he killed the animals when they are old and canââ¬â¢t work or when they disagree with Napoleon. ââ¬Å"The three hens who had been the ringleaders in the attempted rebellion over the eggs now came forward and stated that Snowball had appeared to them in a dream and incited them to disobey Napoleons orders.Show MoreRelatedThe Media Influence On Human Rights1544 Words à |à 7 Pagescrucial to analyse few example of when this occurred to show how the impact of the owner could be really affective for the readers or viewersââ¬â¢ choices. Firstly, there is evidence that the media system in Italy is wide and full of controversial aspects. For these reasons the history of Italian press gives irrefutable proof of how the news media industry is powerful and audiences get influenced so easily by the information it gives. Considering, for instance, Benito Mussolini and his propaganda duringRead MoreCauses in the Rise of Italian Fascism: 1870 to 1922 Essay2980 Words à |à 12 PagesPiemontese deputies, and the Left, which was formed from Mazzinian former Republicans and a varied assortment of Garibaldini. For the first 15 years of the nation (1861-1876), the electoral pool of 300,000 (out of 20 million) returned the Right to power. Contrary to most expectations, this did not ensure any stability: in fact, those 15 years saw the rise and fall of 8 different prime ministers and of 13 different governments. In the end, the most enduring contribution of the governments of the RightRead MoreGod Is Not Great: How Religion Poison s Everything2031 Words à |à 8 Pagesconception of the argument from design, or a Darwinian evolution as its rival, or of the relationship between photosynthesis and chlorophyll.â⬠(Hitchens 3). Hitchens starts to defend his argument by explaining how religion is the bases of war and uses examples from places he visited during his life span where he witness for himself the cruelty of religious inspired attacks. This led to his argument on how we do not need a god to explain the rational reasoning of things occurring in the world. Without godRead MoreWinston Churchillââ¬â¢s View on Democracy1928 Words à |à 8 Pagess.à à Democracyà isà alsoà fragileà andà soà canà breakà downà ifà citizensà areà ignorant,à malà informed,à orà selfà interested.à Also,à inà corruptà countriesà withà soà calledà ââ¬Å"democracyâ⬠,à bribesà canà interfereà withà responsibleà government.à à Withà aà slowà decisionà makingà process,à democracy,à andà theà checksà andà balancesà thatà helpà makeà democracyà effective,à alsoà makesà ità inefficient.à Forà example,à inà theà U.S.,à beforeà aà lawà isà passed,à ità spendsà aà greatà dealà ofà timeà inà theà handsà ofà Congressionalà officials,à andà evenà inà theà handsà ofà theà PresidentRead MoreItalian Film and Neorealism2472 Words à |à 10 Pagessocial justice in the post war italian state.â⬠(Marcus, xiv) Even before the war, Italy had been under the dictatorship of Benito Mussolini and his corrupt form of government, Fascism, which caused oppression throughout the country. Neorealistic films allowed filmmakers to use common styles and techniques to finally reveal the world filled with anguish and misery that Mussolini had created. These films allowed the rebirth of Italy with the new ideals of freedom and social order. Some directors chooseRead MoreHistorical context of 1984-george orwell2250 Words à |à 9 Pagesanswer just what kind of book he was writing. One of the things that make 1984 such an important work of political fiction is the fact that it was written in a period of unprecedented political instability. It was the end of the worlds great imperial powers and the rise of a new age of politics. Democracy, fascism and communism were vying for dominance and the outcome of their struggle could not be predicted. Most people at the time were content to read 1984 as a straightforward allegory of the aboutRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words à |à 656 Pagesdetermining beginnings and endings that accord with major shifts in political and socioeconomic circumstances and dynamics rather than standard but arbitrary chronological break points. In the decades that followed the Great War, the victorious European powers appeared to have restored, even expanded, their global political and economic preeminence only to see it eclipsed by the emergence of the Soviet and U.S. superpowers on their periphery and a second round of even more devastating global conflict.
Wednesday, May 6, 2020
Student Loan Debt And High Cost Of Education - 1190 Words
AMERICAN INNOVATION, TOO EXPENSIVE TO EARN Although millions of college students graduate each year, many of them are not successful after their education. Many jump in without knowing what they want to do and at the end once they have their degree they realize that it wasnââ¬â¢t what they wanted. Now they have thousands of dollars in debt and a degree they dislike or a degree so common it earns them but a dollar or two more than a high school diploma would. Some canââ¬â¢t even find job, yet they have the burden to pay back student loans, but what if we as students did not have the burden of debt? Would that make a difference? Could pursing a second degree be more feasible without the burden of expanding your debt? Student loan debt and high cost of education has become a huge issue in this country, they are deterring individuals from pursuing a degree, at times prolongs their education time frame and more often than not we are left with a huge debt to pay. I believe thi s deterrent is gradually affecting the number of innovators in our country. How can we fix this? With interest rates as high as 9.37% through SallieMae one of the leaders in financing education, student loan debt has become a big business at the expense of the American people that want to better themselves. The national student loan debt surpassed 1 trillion dollars with the average individual debt being thirty thousand dollars. It is obvious why giving an education is more a business than a service.Show MoreRelatedHow The Student Loan Debt Crisis Is Undermining Economic And Social Progress Of American Graduates1635 Words à |à 7 PagesHow the Student Loan Debt Crisis Is Undermining the Economic and Social progress of American Graduates Currently, higher education is highly valued as a step in achieving success and earnings potential, but attaining a degree comes at a high cost. Although a very valued asset, the cost to attain a college degree for most students includes getting loans, grants from the government, and sometimes even private loans. Most of these loans come at a high price for students as the interest structure forRead MoreStudent Loan Debt: Is it worth it?1364 Words à |à 6 PagesStudent Loan Debt: Is it worth it? à à à à à à à à à à à Many high school students are beginning their senior year and have already started to stress about how they will pay for their higher education. Although many students will have scholarships and financial aid, a lot more will struggle to pay for schooling and will have to take out multiple student loans. Many people wonder if higher education is worth the debt the country and the students are in and it is, however, there are alternatives. à à à à à à à à à à à Read MoreThe Rising Cost of Education1737 Words à |à 7 PagesThe cost of higher education in the United States has skyrocketed over the past decade or so, leading to a number of social problems including deep debts among graduates. As a result, the value of higher education is being increasingly called into question. Earnings and job outlooks for graduates has grown grimmer over the past decade or two, while those same graduates are more in debt than their parents would have been for the same educational program. Greater debt plus fewer options for payingRead MoreThe Rising Costs Of Formal Education1649 Words à |à 7 Pagespressure to get a good education than ever before, but at what price? The cost of education is at an all time high and rising every year. Many Americans are struggling with a large amount of student loan debt weather they graduated with a degree or not. The only way to secure the future of students today is to inves t in the students themselves rather than investing their money into the corporate market. By preparing students for higher education and providing financial resources students will have the knowledgeRead MoreHow The Rising Student Loan Debt1318 Words à |à 6 PagesHow to Control The Rising Student Loan Debt The American Dream teaches us that if we work hard, earn a good living, and do our best that we will be able to live comfortably and happily with the fruits of our labors. In todayââ¬â¢s society to achieve the American dream, one must first obtain a higher education. In order to do that though many students are taking out student loans and putting themselves further in debt. Having an education has now become highly sought after, yet increasingly harderRead MoreHigh Tuition And Higher Education1200 Words à |à 5 PagesHigh Tuition Costs in Colleges In the past, college education was not important to get jobs, but at present, itââ¬â¢s necessary to have college education, since, employers are demanding employees with higher education to work in their place (Bidwell). However, tuition costs of the colleges are increasing every year. Therefore, tuition of college is so high and many students cannot afford to pay, even after receiving some scholarships from their institution. Consequently, they have to take out loansRead MoreThe Role Of Federal Loans Became Dependent On American Families1455 Words à |à 6 Pagesfurther education for a high school graduate, attending a university is very costly. The use of federal loans became dependent on most American families that try to provide such an education to their child. Before World War II, academically advanced students from families that were unable to finance college could apply for competitive scholarships; Scholarships mutated into ââ¬Å"financial aidâ⬠when the GI Bill o f Rights financed college for the discharged veterans (Toby, 2010). Since then, student loanRead MoreThe Terribly High Cost of Education928 Words à |à 4 PagesThe cost of college has been on the rise recently making it extremely difficult for the low income or average American to afford an education after high school. This puts tons of stress on graduating high school students. Students are dropping out rapidly because they do not have the appropriate funding. Other financial resources such as grandparents are helping out students more than ever now. Financial aid is supposed to provide money to students who cannot afford tuition, but unfortunately theyRead MoreHigh School Vs. The Federal Government1327 Words à |à 6 Pagesgraduate high school. Aging through the years, the common perspective was to attend college unlike the viewpoint from the 80ââ¬â¢s and earlier where not as many high school graduates attended college. This standard view for many families, like my own, is t o put their son or daughter into college so that they may graduate with a degree and seek a career in the tough world as of late. In order to make this goal happen, many families sought the help of financial aid as a lifeline to avoid debt themselvesRead More University Tuition Costs are Too High Essay1239 Words à |à 5 PagesThe cost of tuition for higher education is quickly rising. Over half of college freshmen show some concern with how to pay for college. This is the highest this number has been since 1971 (Marill and Oââ¬â¢Leary 64-66, 93). The amount of college graduate debt has been rapidly increasing also. With limited jobs available because of the high unemployment rate, college graduates find themselves staying in debt even longer. Although grants and financial aid are available to students, students still
Tuesday, May 5, 2020
A Report On Pulmonary Embolism- Symptoms - Diagnosis and Treatments
Question: Write a Report On Pulmonary Embolism- Symptoms, Diagnosis and Treatments? Answer: Introduction The condition of pulmonary embolism is one such process where one or more than one of the pulmonary arteries in a persons lungs get blocked. Under most circumstances it has been observed that this condition of pulmonary embolism is fundamentally caused by the clots in the bloods which travel generally from the legs and other parts of the body to the lungs(Barker, 2012). The condition of pulmonary embolism occurs when it is combined with a deep vein thrombosis and in most of the cases doctors state that such a condition may lead to a state known as venous thromboembolism (StansbyBerridge, 2013). While any person has the chance to develop the deep vein thrombosis as well as the pulmonary embolism, some of the factors that are dangerous in this regard are immobility, surgery and cancer (PiovellaIosub, 2015). The condition of pulmonary embolism can in most cases be very life threatening. However, if prompt treatment is done it can help to reduce the risks leading to death. An extremely easy method to prevent this condition is to take appropriate measures for preventing the blood clots that might be taking place in the legs and hence protect against pulmonary embolism. Further there exist some special types of pulmonary embolism which are generally not caused as a result of blood clots. These types of pulmonary embolism are on the contrary caused due to some other body materials. However, such occurrences are comparatively very rare. These conditions might be due to the fat emboli arising from a broken thigh bone or femur or an amniotic fluid embolus that occurs during pregnancy and in some cases it also occurs from the tumor tissue in case of cancer. Risk Factors Some of the most common sources that lead to pulmonary embolism are pelvic vein embolus or proximal leg deep venous thrombi (Goodacre et al., 2014). Any of the risk factors of proximal leg deep venous thrombosis tend to increase the risk of the dislodging of the venous clot and migration to the lung circulations. Thrombosis usually develops because of a group of clauses that is known as Virchow's triad(Kahler, Moss Beam Kline, 2014). The classical risk factors associated with embolic diseases. The people with advanced age, obesity, prolonged immobility, post-infarction periods, heart failure and pregnancy are predisposing for embolismic disease through venous stasis. The event such as local trauma , vasculitis, and previous thrombosis causes critical damage to the endothelium layer of the venous wall. Contraceptive pills Polycythemia and cancers, especially adeno-carcinomas, are associated with thrombosis disorders with an increased risk of pulmonary embolism. The absence or presenc e of risk factors for embolic disease is sparingly essential information for the diagnosis and evaluation of the likelihood of pulmonary embolism. Diagnosis Although early treatment is highly effective, PE is underdiagnosed and, therefore, the disease remains a major health problem.(Lavorini et al., 2013) This condition is primarily considered to be under diagnosed since in most of the cases the symptoms are not specified and the results of the treatment are significant (Sanjeevi, 2012). One of the standard cares is the objective tests which generally either establishes or refutes the PE diagnosis have become a standard of care. This plan of care must be based on the clinical manifestation and evaluation of the chances of pulmonary embolism. The accuracy of these tests is very high when the results are in accordance with the overall assessment. It is difficult to diagnose clinical symptom of pulmonary embolism. It is often asymptomatic which further add on to the level of difficulty. If the symptoms are present then it is found to be sparingly non- specific sometimes. Trachycardia, cough, loss of consciousness, chest pain and haemoptysis are some of the initial symptom of pulmonary embolism. Pain which is of pleurisy type are often because of PE which causes heavy irritation of pleura and are associated with pulmonary infiltration. It is associated with alveolar hemorrhage as per histopathology and with haemoptysis as a symptom. The chest X-ray scan is one of the major sources of help in ruling out other conditions (e.g. pulmonary edema, pneumonia, pneumothorax) and that have sparingly clear radiological findings and are of less use in the diagnosis of pulmonary embolism. In about 25% of cases of pulmonary embolism, the chests X-ray are found to be normal. In fact, this is of great assistance, as the coexistence of severe dyspnoea, with a ventilation-perfusion lung scan of even intermediate probability, is practically diagnostic for pulmonary embolism. The only diagnosis available is the haematological examination which is quite advance for of diagnosis that helps in the diagnosis of PE is the measurement and quantification of D-dimers with the ELISA (Enzyme linked immune sorbent assay) method. Although this method is extremely sensitive (i.e.90%) but it is very non-specific. Since there is a presence of elevated levels of D-dimers in various other disease conditions that are clinically similar to pulmonary embolism, such as pneumonia, post-surgery trauma , cancer, myocardial infarction and heart failure, etc. In view of this, the most important contribution of D-dimers quantification is in ruling out pulmonary embolism when their levels are normal (i.e. high negative predictive values). Pulmonary angiography is one of the widely accepted techniques for the detection of pulmonary embolus within the circulation. It is basically performed whenever some noninvasive techniques and clinical data failed to diagnose the disease. It is an appropriate test to detect the patient with unstable hemodynamics. Therefore, it can be observed that the diagnosis of this condition is based on the valid clinical criteria and selective tests (Bergrem et al., 2013). This is primarily because the clinical presentations could not be distinguished from the other causes that arise from chest pain and breathe shortage. Treatment One of the known treatments of this condition is Anticoagulant therapy and this is one treatment that would definitely prevail. Intensely, there are also other supporting treatments that are available such as analgesia along with this treatment(Kabrhel, 2013). Mostly the people are admitted in the hospitals during the early stages of the disease and they usually remain under the care unless the INR has reached the appropriate therapeutic levels(Tapson, 2012). Nonetheless, the lower level risks can be managed in the homes itself and such a home treatment is common for this condition. The major cornerstone therapy for pulmonary embolism is to prevent the recurrence of new embolism by regular dosage of anticoagulants or a filter in the inferior vena cava, since it has been seen that the majority of the patients die due to continue deterioration in health because of formation of new emboli again and again. It is necessary to attempt the primary lysis of the embolus when the person is in haemodynamic condition or in shock. Supportive Therapy- The patients present with Hypoxaemia responds to oxygen administration since main patho-physiological mechanism is due to oxygen supply disturbances. Bed rest is often recommended and it helps in two ways. Firstly, it lessens the oxygen consumption which ultimately decreases the requirement of high cardiac output. Secondly, less movement will not allow the embolus to get detached from its peripheral location. Anticoagulant Therapy- The basic treatment of pulmonary embolus is heparin treatment which prevents the formation of thrombi and facilitates the physiological endogenous fibrinolysis to dissolve the older ones. It is recommended to start the heparin treatment even before the diagnosis of the pulmonary embolism. Low molecular weight heparin has been found safer and effective which is now being used for the dissolving hemodynamic stable pulmonary embolus. Filter placement - The use of filters in the inferior vena cava is indicated in the case of pulmonary embolus where there are problems and contraindications for use of anticoagulants or when there is formation of thrombi even after anticoagulant therapy. A filter doesnt appear to facilitate out in case of proximal DVT with freely floating thrombus. Thrombolysis- This therapy must be applied to the patient with circulatory shock and hemodynamic instability immediately. The patient with stable blood pressure, there is no objection in applying thrombolytic therapy. Thrombolytic therapy directly improves the heart function while at the same time significantly reduces the recurrence of new thrombi. Embolectomy- The patients with hemodynamic instability and in which the thromolytic treatment has failed, transvenous catheter embolectomy is done. Due to the advancement in technology, various tools has been developed which can aspire out the emboli from the pulmonary circulation. Surgical thrombus removal is suggested if such a therapy fails to suck out the thrombus from the circulation. Although the success rate is still not accepted for embolectomy as the patients in whom it is done are already in very critical condition. Some reports suggested that 58% of the patient death occur during emergency embolectomy due to heart attack. Cardiogenic shock and cardiac arrest are the major two risk factors in case of this treatment. Hemodynamic stabilization and rapid diagnosis plays a major role in result improvement. Pulmonary endarterectomy with hypertension in the patients and evidence of embolism on pulmonary angiography has been reported in various literatures. Pulmonary hypertension and hemorrhage are the two main causes of mortality in case of pulmonary embolism. Conclusion Pulmonary embolism is among the top three biggest cause of death from cardiovascular diseases after cerebro-vascular stroke and myocardial infarction in todays world. After the diagnosis the mortality rate of pulmonary embolism is reached up to 15% within in 3 months. Since pulmonary embolism symptoms occur only in the 30% patients so it is very important to diagnose this disease at an early stage. The risk factor is associated to the people taking contraceptive pills, having cancer, pregnancy, undergoing hormonal therapy etc. Various methods are available for the diagnosis but it is really difficult to detect PE at an early stage so most of the diagnostics method fails. Treatment like anticoagulant therapy is widely accepted and shown promising results for dissolving and inhibiting the recurrence of new embolus. Therefore it is very important to detect this disease at early stage in order to save the patient from life threatening experience. References Barker, J. (2012).Current Approach to the Diagnosis of Acute Nonmassive Pulmonary Embolism.Yearbook Of Pulmonary Disease,2012, 227-228.doi:10.1016/j.ypdi.2012.01.078 Bergrem, A., Dahm, A., Jacobsen, A., Sandvik, L., Sandset, P. (2013). 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