Disorders of the Respiratory and Circulatory System

Disorders of the Respiratory and Circulatory System Neusha Bakhtiari Aghmasjed Asthma Asthma is an allergic response which affects the bronchial tubes and can result in coughing, wheezing or breathlessness. It leads to the inflammation of airways, causing them to tighten, resulting in difficulty of breathing. Asthma is not classified as an infectious disease and it is rather an allergic condition which cause is not fully understood. It is usually triggered when the person with asthma comes in contact with: House dust mitten, animal fur, some medicines (Nsaids), pollen, tobacco smoke, exercise, stress, cold air, chest infections. When the immune system receives an inflammatory response, white blood cells release histamine and this result in the contraction of smooth circular muscle of bronchioles as well as restriction of airways. (Bronchoconstriction). More mucus is then secreted by the epithelial cells and as the result the airways are blocked even more. This condition reduces the rate of ventilation through tightened bronchioles therefore less gas exchange will take place in the alveoli and cellular respiration in the body. This condition causes breathing difficulty, coughing and wheezing as the lungs want to get rid of the built up mucus in them. There is no cure for asthma. However, there are different ways to control the condition. These methods are applied in two ways. One is to Treat/Relieve symptoms and the other is to prevent any future symptoms/attacks. The procedure includes a combination of medicines, lifestyle advice and understanding the asthma triggers. The Asthma medicines are normally given by inhaler which supplies the drug directly to airways through mouth. It is effective as it delivers the drug directly to the lungs. There are number of conditions which increase the risk of developing Asthma such as: If your parents have asthma If you are overweight If you have certain allergic conditions If you smoke or exposed to second hand smoke If you are exposed to any type of pollution or chemicals used in the industry. There are 5.4 million people in UK receiving treatment for asthma which means that 1 in 12 adults or 1 in 11 children are currently receiving treatment for their condition. In adults, asthma is more common in women than men. Assessment Criteria 1.4 Discuss disorders of the respiratory system Pulmonary Tuberculosis Pulmonary Tuberculosis is a contagious bacterial infection that can spread in areas where large amount of blood and oxygen exist such as the lungs as well as other organs in the body. This disease is caused by a type of bacterium named Mycobacterium Tuberculosis. It spreads when a person who has active TB in their lungs breaths out the germs when sneezing, laughing, coughing, singing or talking and then the other person breathe in the germs. The common symptoms of Active TB in the lungs are Cough which contains bloody mucus for two weeks or more, weakness and tiredness, sudden weight loss and loss of appetite, difficulty when breathing and chest pain or fever. TB disease can affect many organs in our body such as kidneys, bones and brain but it usually affects human lungs. There are two main stages in the process of this infectious disease. In the first stage which commonly lasts for the duration of several months, the bacteria cells attack the epithelial cells of the alveoli and bronchioles. Then they start to multiply in fibrous capsule which spreads around that area. Here the human immune system becomes stimulated and starts to resist the disease. Before this invasion is over, a few bacteria might escape into the bloodstream and develop in other body organs. If the body’s immune system is successful, this disease never develops and is known as TB infection. However, if it remains untreated it develops into the second stage where it becomes an active disease. In the second stage of this disease the germs start to multiply and destroy the epithelial cells of the lungs. In some cases, although it seems that the disease has been cured, but after a while it comes back and becomes active. This occurs mostly when the immune system of the body becomes weak. The second stage of this disease is presented through the consumption of the tissue of lungs which leads to the destruction of the alveoli. Here the person starts to manifest the symptoms such as continues cough. The risk factors that increase the possibility of a person getting infected by this disease are named below: Being in contact with/ living with an infected person. Living or working is crowded places where there is a possibility of coming in contact with people with untreated active TB. These places can be prisons, nursing homes or homeless shelters. Having a poor diet which affects the immune system of the human body. Pasteurisation of milk and cultivation of animals as this used to be a common cause of transmission of TB by Cows. Assessment Criteria 2.3 Discuss disorders of the circulatory system Hypertension (High Blood Pressure) The human heart is designed to pump the blood around the body through causing pressure. However, if the blood is pumped around the body with an increased amount of pressure than normal, the arteries and the heart itself can be seriously damaged or even it can lead to heart failure if they both stop because of the strain. High blood pressure can cause microscopic tears in the walls of the arteries which turn into scar tissue. The damaged artery can trap more plaque as the scar tissues formed in it accommodates plaques (Fat, cholesterol, etc). This causes the arteries to become narrower and as a result conditions such as Coronary Artery Disease appear. Two main conditions control the blood pressure: One is the amount of force generated when the heart pumps the blood around the body and the other is how relax or narrow the arteries are: HBP can damage the arteries: Our arteries in their healthy state are flexible strong and elastic. Its smooth internal lining is where the blood can flow freely and provide different nutrient and Oxygen gas to our tissues and organs. High blood pressure damages these cells. In the case of arteriosclerosis which causes damage to the artery by blocking it, organs such as kidneys, brain, arm and legs can be affected. These damages can lead to stroke, heart failure and kidney failure. In some cases the continues pressure of blood in already weakened artery can lead to enlargement of its walls and formation of aneurysm which can bring about life threatening complications such as internal bleeding. This complication usually takes place in our aorta. Can damage the heart: It can lead to diseases such as coronary artery disease. This happens when arteries are narrowed by coronary artery disease and do not let the blood to move freely through our arteries. It can cause chest pain, heart attack or irregular heartbeat if the blood doesn’t flow freely to the heart. It can also lead to enlarged left heart as high blood pressure leads the heart to pump blood with excess pressure around the body and causes the left ventricle to thicken. Can damage the brain: The brain has to receive blood which contains nourishing substances in order to be able to carry out its function. However, in some cases if the blood clotting takes place as the result of high blood pressure it can cause Transient ischemic attack (TIA), Stoke or Dementia. Symptoms related to HBP are headache, sleepiness or confusion. The risk factors of hypertension: Family history, obesity, smoking, type 1 2 diabetes, kidney disease, alcohol abuse, having high amount of salt in the diet, lack of physical activities (exercise) and medicines such as steroids About 10 million in the UK are diagnosed with hypertension. This means that one out of five has high blood pressure. Assessment Criteria 2.3 Atherosclerosis Atherosclerosis is the built up of plaques which is made up of fatty deposit around the wall of the arteries. After a while these fatty deposits of cholesterol and smooth muscle cells form Atheroma which causes the arteries to lose their elasticity as well as becoming narrow. This reduces the amount of blood flow through the arteries and blood vessels hence reducing the oxygen supply. It can take a long time until atherosclerosis is hardened and narrowed. However, when the arteries are considerably damaged, different conditions may occur such as: Thrombus: The arteries can be blocked if blood clots on the plaque made of cholesterol around its walls and as the result the blood flow will be restrained and the tissues will not receive the required nutrient. The atheroma on the walls of the arteries is covered by protective cells from the blood which flows in the artery. If this protective cell barrier is broken down, the blood will be exposed to high concentration of cholesterol on the wall of the artery and this generates the blood clotting system. This process can lead to the blockage of the artery and prevention of blood flow to the organ it supports therefore, depending on the organ; it can cause stroke, heart attack and angina. Heart failure: When the artery is narrowed, it causes damage to the muscle of the heart. High blood pressure and renal failure when the arteries which exist in the kidney are affected. Many people are affected by atherosclerosis. It is possible that it starts from the age of 20. The reason behind its occurrence is still unknown but the reasons given below can be considered as risk factors: Family history of atherosclerosis Having high amount of LDL cholesterol in the blood or low amount of HDL in the blood. High blood pressure The rate increases if the person smokes. Diabetes: In people with type 1 diabetes atherosclerosis can take many years to appear but in people with type 2 diabetes it can appear within a few years. Kidney failure Excess weight A diet with high amount of fat in it Race: People from south Asia are more likely to develop Atherosclerosis. According to the British Heart Foundation, at least 2.6 million people in the UK suffer from Atherosclerosis. Bibliography Dr. Patrick Davey, Dr Sabine Gill, Dr Carl J Brandt and Dr Steen Dalby Kristensen . (2012).Atherosclerosis (arteriosclerosis – hardening of the arteries).Available: http://www.netdoctor.co.uk/diseases/facts/atherosclerosis.htm. Last accessed December 2013. Dr. Patrick Davey, Dr Sabine Gill, Dr Carl J Brandt and Dr Steen Dalby Kristensen . (2011).High blood pressure (hypertension).Available: http://www.netdoctor.co.uk/diseases/facts/hypertension.htm. Last accessed December 2013. Elea Carey . (2012).Pulmonary Tuberculosis.Available: http://www.healthline.com/health/pulmonary-tuberculosis?toptoctest=expand. Last accessed December 2013. Jatin M. Vyas. (2012).Pulmonary tuberculosis.Available: http://www.nlm.nih.gov/medlineplus/ency/article/000077.htm. Last accessed December 2013. Kim Ann Zimmermann. (2012).Circulatory System: Facts, Function Diseases.Available: http://www.livescience.com/22486-circulatory-system.html. Last accessed December 2013. Mayo Clinic staff. (2011).High blood pressure dangers: Hypertensions effects on your body.Available: http://www.mayoclinic.com/health/high-blood-pressure/HI00062. Last accessed December 2013. Mayo Clinic Staff. (2012).Asthma risk factors.Available: http://www.mayoclinic.org/diseases-conditions/asthma/basics/risk-factors/CON-20026992. Last accessed December 2013. Unknown. (2008).Tuberculosis (TB).Available: http://www.mckinley.illinois.edu/handouts/tuberculosis.html. Last accessed December 2013. Unknown. (2013).TB.Available: http://www.healthunit.org/infectious/tb/tb_spread.htm. Last accessed December 2013. Unknown. (2011).Tuberculosis (TB) What Increases Your Risk.Available: http://www.webmd.com/lung/tc/tuberculosis-tb-what-increases-your-risk. Last accessed December 2013. Unknown. (2012).Asthma Causes.Available: http://www.nhs.uk/Conditions/asthma/Pages/causes.aspx. Last accessed December 2013. Unknown. (2012).Asthma.Available: http://www.nhs.uk/conditions/asthma/Pages/Introduction.aspx. Last accessed December 2013. Unknown. (2012).How we’re fighting heart disease.Available: https://www.bhf.org.uk/heart-matters-online/december-january-2011-12/research/atherosclerosis.aspx. Last accessed December 2013. Unknown. (2012).Heart and Artery Damage and High Blood Pressure .Available: http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/WhyBloodPressureMatters/Heart-and-Artery-Damage-and-High-Blood-Pressure_UCM_301823_Article.jsp#. Last accessed December 2013.

The Vampire Diaries: Dark Reunion Chapter Seven

Stefan approached the corner house reluctantly, almost afraid of what he might find. He half expected that Damon would have abandoned his post by now. He'd probably been an idiot to rely on Damon in the first place. But when he reached the backyard, there was a shimmer of motion among the black walnut trees. His eyes, sharper than a human's because they were adapted for hunting, made out the darker shadow leaning against a trunk. â€Å"You took your time getting back.† â€Å"I had to see the others home safe. And I had to eat.† â€Å"Animal blood,† Damon said contemptuously, eyes fixed on a tiny round stain on Stefan's T-shirt. â€Å"Rabbit, from the smell of it. That seems appropriate somehow, doesn't it?† â€Å"Damon-I've given Bonnie and Meredith vervain too.† â€Å"A wise precaution,† Damon said distinctly, and showed his teeth. A familiar surge of irritation welled up in Stefan. Why did Damon always have to be so difficult? Talking with him was like walking between land mines. â€Å"I'll be going now,† Damon continued, swinging his jacket over one shoulder. â€Å"I've got business of my own to take care of.† He tossed a devastating grin over his shoulder. â€Å"Don't wait up.† â€Å"Damon.† Damon half turned, not looking but listening. â€Å"The last thing we need is some girl in this town screaming ‘Vampire!' † Stefan said. â€Å"Or showing the signs, either. These people have been through it before; they're not ignorant.† â€Å"I'll bear that in mind.† It was said ironically, but it was the closest thing to a promise Stefan had ever gotten from his brother in his life. â€Å"And, Damon?† â€Å"Now what?† â€Å"Thank you.† It was too much. Damon whipped around, his eyes cold and uninviting, a stranger's eyes. â€Å"Don't expect anything of me, little brother,† he said dangerously. â€Å"Because you'll be wrong every time. And don't think you can manipulate me, either. Those three humans may follow you, but I won't. I'm here for reasons of my own.† He was gone before Stefan could gather words for a reply. It wouldn't have mattered anyway. Damon never listened to anything he said. Damon never even called him by name. It was always the scornful â€Å"little brother.† And now Damon was off to prove how unreliable he was, Stefan thought. Wonderful. He'd do something particularly vicious just to show Stefan he was capable of it. It was no use. He couldn't keep his mind on the puzzle. He was tired and lonely and in desperate need of comfort. And the stark truth was that there was no comfort to be had. Elena, he thought, you lied to me. It was the one thing she'd insisted on, the one thing she'd always promised. â€Å"Whatever happens, Stefan, I'll be with you. Tell me you believe that.† And he had answered, helpless in her spell, â€Å"Oh, Elena, I believe it. Whatever happens, we'll be together.† But she had left him. Not by choice maybe, but what did that matter in the end? She had left him and gone away. There were times when all he wanted was to follow her. Think about something else, anything else, he told himself, but it was too late. Once unleashed, the images of Elena swirled around him, too painful to bear, too beautiful to push away. The first time he'd kissed her. The shock of dizzy sweetness when his mouth met hers. And after that, shock after shock, but at some deeper level. As if she were reaching down to the core of himself, a core he'd almost forgotten. Frightened, he'd felt his defenses tear away. All his secrets, all his resistance, all the tricks he used to keep other people at arm's length. Elena had ripped through them all, exposing his vulnerability. Exposing his soul. And in the end, he found that it was what he wanted. He wanted Elena to see him without defenses, without walls. He wanted her to know him for what he was. Terrifying? Yes. When she'd discovered his secret at last, when she'd found him feeding on that bird, he had cringed in shame. He was sure that she'd turn away from the blood on his mouth in horror. In disgust. But when he looked into her eyes that night, he saw understanding. Forgiveness. Love. Her love had healed him. And that was when he knew they could never be apart. Other memories surged up and Stefan held on to them, even though the pain tore into him like claws. Sensations. The feel of Elena against him, supple in his arms. The brush of her hair on his cheek, light as a moth's wing. The curve of her lips, the taste of them. The impossible midnight blue of her eyes. But Bonnie had reached Elena. Elena's spirit, her soul, was still somewhere near. Of anyone, he should be able to summon it. He had Power at his command. And he had more right than anyone to seek her. He knew how it was done. Shut your eyes. Picture the person you want to draw near. That was easy. He could see Elena, feel her, smell her. Then call them, let your longing reach out into the emptiness. Open yourself and let your need be felt. Easier still. He didn't give a damn about the danger. He gathered all his yearning, all his pain, and sent it out searching like a prayer. And felt†¦ nothing. Only void and his own loneliness. Only silence. His Power wasn't the same as Bonnie's. He couldn't reach the one thing he loved most, the one thing that mattered to him. He had never felt so alone in his life. â€Å"You want what?† Bonnie said. â€Å"Some sort of records about the history of Fell's Church. Particularly about the founders,† Stefan said. They were all sitting in Meredith's car, which was parked a discreet distance behind Vickie's house. It was dusk of the next day and they had just returned from Sue's funeral-all but Stefan. â€Å"This has something to do with Sue, doesn't it?† Meredith's dark eyes, always so level and intelligent, probed Stefan's. â€Å"You think you've solved the mystery.† â€Å"Possibly,† he admitted. He had spent the day thinking. He'd put the pain of last night behind him, and once again he was in control. Although he could not reach Elena, he could justify her faith in him-he could do what she wanted done. And there was a comfort in work, in concentration. In keeping all emotion away. He added, â€Å"I have an idea about what might have happened, but it's a long shot and I don't want to talk about it until I'm sure.† â€Å"Why?† demanded Bonnie. Such a contrast to Meredith, Stefan thought. Hair as red as fire and a spirit to go with it. That delicate heart-shaped face and fair, translucent skin were deceptive, though. Bonnie was smart and resourceful-even if she was only beginning to find that out herself. â€Å"Because if I'm wrong, an innocent person might get hurt. Look, at this point it's just an idea. But I promise if I find any evidence tonight to back it up, I'll tell you all about it.† â€Å"You could talk with Mrs. Grimesby,† Meredith suggested. â€Å"She's the town librarian, and she knows a lot about the founding of Fell's Church.† â€Å"Or there's always Honoria,† Bonnie said. â€Å"I mean, she was one of the founders.† Stefan looked at her quickly. â€Å"I thought Honoria Fell had stopped communicating with you,† he said carefully. Stefan was surprised. He didn't entirely like the idea of Elena's journal on display. But Honoria's records might be exactly what he was looking for. Honoria had not just been a wise woman; she had been well versed in the supernatural. A witch. â€Å"The library's closed by now, though,† Meredith said. â€Å"That's even better,† said Stefan. â€Å"No one will know what information we're interested in. Two of us can go down there and break in, and the other two can stay here. Meredith, if you'll come with me-â€Å" â€Å"I'd like to stay here, if you don't mind,† she said. â€Å"I'm tired,† she added in explanation, seeing his expression. â€Å"And this way I can get my watch over with and get home earlier. Why don't you and Matt go and Bonnie and I stay here?† Stefan was still looking at her. â€Å"Okay,† he said slowly. â€Å"Fine. If it's all right with Matt.† Matt shrugged. â€Å"That's it, then. It might take us a couple of hours or more. You two stay in the car with the doors locked. You should be safe enough that way.† If he was right in his suspicions, there wouldn't be any more attacks for a while-a few days at least. Bonnie and Meredith should be safe. But he couldn't help wonder what was behind Meredith's suggestion. Not simple tiredness, he was sure. â€Å"By the way, where's Damon?† Bonnie asked as he and Matt started to leave. Stefan felt his stomach muscles tighten. â€Å"I don't know.† He had been waiting for someone to ask that. He hadn't seen his brother since last night, and he had no idea what Damon might be doing. â€Å"He'll show up eventually,† he said, and closed the door on Meredith's, â€Å"That's what I'm afraid of.† He and Matt walked to the library in silence, keeping to the shadows, skirting areas of light. He couldn't afford to be seen. Stefan had come back to help Fell's Church, but he felt sure Fell's Church didn't want his help. He was a stranger again, an intruder here. They would hurt him if they caught him. The library lock was easy to pick, just a simple spring mechanism. And the journals were right where Bonnie had said they would be. Stefan forced his hand away from Elena's journal. Inside was the record of Elena's last days, in her own handwriting. If he started thinking about that now†¦ He concentrated on the leather-bound book beside it. The faded ink on the yellowing pages was hard to read, but after a few minutes his eyes got accustomed to the dense, intricate writing with its elaborate curlicues. It was the story of Honoria Fell and her husband, who with the Smallwoods and a few other families had come to this place when it was still virgin wilderness. They had faced not only the dangers of isolation and hunger but of native wildlife. Honoria told the story of their battle to survive simply and clearly, without sentimentality. With a prickling at the back of his neck, he reread the entry carefully. At last he leaned back and shut his eyes. He'd been right. There was no longer any doubt in his mind. And that meant he must also be right about what was going on in Fell's Church now. For an instant, bright sickness washed over him, and an anger that made him want to rip and tear and hurt something. Sue. Pretty Sue who had been Elena's friend had died for†¦ that. A blood ritual, an obscene initiation. It made him want to kill. But then the rage faded, replaced by a fierce determination to stop what was happening and set things right. I promise you, he whispered to Elena in his own mind. I will stop it somehow. No matter what. He looked up to find Matt looking at him. Elena's journal was in Matt's hand, closing itself over his thumb. Just then Matt's eyes looked as dark a blue as Elena's. Too dark, full of turmoil and grief and something like bitterness. â€Å"You found it,† Matt said. â€Å"And it's bad.† â€Å"Yes.† â€Å"It would be.† Matt pushed Elena's journal back into the case and stood. There was a ring almost of satisfaction in his voice. Like somebody who's just proved a point. â€Å"I could have saved you the trouble of coming here.† Matt surveyed the darkened library, jingling change in his pocket. A casual observer might have thought he was relaxed, but his voice betrayed him. It was raw with strain. â€Å"You just think of the worst thing you can imagine and that's always the truth,† he said. â€Å"Matt†¦Ã¢â‚¬  Sudden concern stabbed at Stefan. He'd been too preoccupied since coming back to Fell's Church to look at Matt properly. Now he realized that he'd been unforgivably stupid. Something was terribly wrong. Matt's whole body was rigid with tension lying just under the surface. And Stefan could sense the anguish, the desperation in his mind. â€Å"Matt, what is it?† he said quietly. He got up and crossed to the other boy. â€Å"Is it something I did?† â€Å"I'm fine.† â€Å"You're shaking.† It was true. Fine tremors were running through the taut muscles. â€Å"I said I'm fine!† Matt swung away from him, shoulders hunched defensively. â€Å"Anyway, what could you have done to upset me? Besides taking my girl and getting her killed, I mean?† This stab was different, it was somewhere around Stefan's heart and it went straight through. Like the blade that had killed him once upon a time. He tried to breathe around it, not trusting himself to speak. â€Å"It was the truth.† Stefan waited a moment and then added, levelly, â€Å"But it's not the whole problem, is it?† Matt didn't answer. He stared at the floor, pushing something invisible with the side of one shoe. Just when Stefan was about to give up, he turned with a question of his own. â€Å"What's the world really like?† â€Å"What's†¦ what?† â€Å"The world. You've seen a lot of it, Stefan. You've got four or five centuries on the rest of us, right? So what's the deal? I mean, is it basically the kind of place worth saving or is it essentially a pile of crap?† Stefan shut his eyes. â€Å"Oh.† â€Å"And what about people, huh, Stefan? The human race. Are we the disease or just a symptom? I mean, you take somebody like-like Elena.† Matt's voice shook briefly, but he went on. â€Å"Elena died to keep the town safe for girls like Sue. And now Sue's dead. And it's all happening again. It's never over. We can't win. So what does that tell you?† â€Å"Matt.† â€Å"What I'm really asking is, what's the point? Is there some cosmic joke I'm not getting? Or is the whole thing just one big freaking mistake? Do you understand what I'm trying to say here?† â€Å"I understand, Matt.† Stefan sat down and ran his hands through his hair. â€Å"If you'll shut up a minute, I'll try to answer you.† Matt drew up a chair and straddled it. â€Å"Great. Take your best shot.† His eyes were hard and challenging, but underneath Stefan saw the bewildered hurt that had been festering there. â€Å"I've seen a lot of evil, Matt, more than you can imagine,† Stefan said. â€Å"I've even lived it. It's always going to be a part of me, no matter how I fight it. Sometimes I think the whole human race is evil, much less my kind. And sometimes I think that enough of both our races is evil that it doesn't matter what happens to the rest. â€Å"When you get down to it, though, I don't know any more than you do. I can't tell you if there's a point or if things are ever going to turn out all right.† Stefan looked straight into Matt's eyes and spoke deliberately. â€Å"But I've got another question for you. So what?† Matt stared. â€Å"So what?† â€Å"Yeah. So what.† â€Å"Yeah, so what?† Stefan leaned forward. â€Å"So what are you going to do, Matt Honeycutt, if every bad thing you've said is true? What are you going to do personally? Are you going to stop fighting and swim with the sharks?† Matt was grasping the back of his chair. â€Å"What are you talking about?† â€Å"You can do that, you know. Damon says so all the time. You can join up with the evil side, the winning side. And nobody can really blame you, because if the universe is that way, why shouldn't you be that way too?† â€Å"Like hell!† Matt exploded. His blue eyes were searing and he had half risen from his chair. â€Å"That's Damon's way, maybe! But just because it's hopeless doesn't mean it's all right to stop fighting. Even if I knew it was hopeless, I'd still have to try. I have to try, damn it!† â€Å"I know.† Stefan settled back and smiled faintly. It was a tired smile, but it showed the kinship he felt right then with Matt. And in a moment he saw by Matt's face that Matt understood. â€Å"I know because I feel the same way,† Stefan continued. â€Å"There's no excuse for giving up just because it looks like we're going to lose. We have to try-because the other choice is to surrender.† â€Å"I'm not ready to surrender anything,† Matt said through his teeth. He looked as if he'd fought his way back to a fire inside him that had been burning all along. â€Å"Ever,† he said. â€Å"Yeah, well, ‘ever' is a long time,† Stefan said. â€Å"But for what it's worth, I'm going to try not to either. I don't know if it's possible, but I'm going to try.† â€Å"That's all anybody can do,† Matt said. Slowly, he pushed himself off the chair and stood straight. The tension was gone from his muscles, and his eyes were the clear, almost piercing blue eyes Stefan remembered. â€Å"Okay,† he said quietly. â€Å"If you found what you came for, we'd better get back to the girls.† Stefan thought, his mind switching gears. â€Å"Matt, if I'm right about what's going on, the girls should be okay for a while. But you go ahead and take over the watch from them. As long as I'm here there's something I'd like to read up on-by a guy named Gervase of Tilbury, who lived in the early 1200s.† â€Å"Even before your time, eh?† Matt said, and Stefan gave him the ghost of a smile. They stood for a moment, looking at each other. â€Å"All right. I guess I'll see you at Vickie's.† Matt turned to the door, then hesitated. Abruptly, he turned again and held out his hand. â€Å"Stefan-I'm glad you came back.† Stefan gripped it. â€Å"I'm glad to hear it† was all he said, but inside he felt a warmth that took away the stabbing pain. And some of the loneliness, too.

Art Notes

Crytek Art Notes [Company Name] [Street Address] [City, ST ZIP Code] [Recipient Name] Art Notes [Hotel Name] [Street Address] [City, ST ZIP Code] Dear [Recipient Name]: I am a frequent traveler and have been a loyal customer of your hotel for many years because I appreciate your emphasis on value and excellent service. Yet a recent episode at your hotel has made me question my loyalty. [Describe your experience. For example: I stayed in your Lilburn, Georgia, hotel, room 203, from Monday, September 1 through Thursday, September 4.Throughout my stay my towels were consistently dirty and the bathroom plumbing was faulty. To make matters worse, one of my neighbors was extremely loud and entertained visitors until 3:00 AM. I complained to the front desk manager and requested another room but was told there were no other rooms available. No one from the hotel spoke to the noisy guest on my behalf. Despite my repeated complaints, it was not until the third day of my stay that the plumbing was fixed and my towels refreshed.Because of the noise, I was unable to sleep comfortably for two nights, and hence, my business meetings were far more stressful than they needed to be. ] I am writing to encourage you to improve your customer service. It is extremely distressing for a loyal, frequent traveler to experience such poor service. I enjoy staying at your hotel for a number of reasons. Overall the atmosphere makes me feel as comfortable, as if I were at home. I hate having my positive feelings about your hotel ruined by one visit. I hope this problem will be corrected prior to my next visit. Sincerely, Crytek

Essay on The Life of Ernest Miller Hemingway - 3853 Words

The Life of Ernest Miller Hemingway There were several writers in the twentieth century, and among them was Ernest Miller Hemingway. Hemingway had a interesting, but strange life. By analyzing and exploring the literature and biographies of Ernest Hemingway, one will be able to understand the life of Ernest Hemingway and see the major contributions he had to literature. He was born on July 21, 1899 in Oak Park, Illinois. Hemingway was born in the Hemingway family home, which was built by his grandfather Ernest Hall. He was the second child out of six, that were born to Clarence and Grace Hemingway. He had four sisters and one brother. He was named after his mothers father Ernest Hall and his great uncle Miller Hall. The†¦show more content†¦He played football, swimming, water basketball and was the track team manager. He liked to also work on the high school newspaper called the Trapeze, where he wrote his first articles. He imitated the style of writer Ring Lardner who wrote with a sense of humor. Heming way graduated high school in 1917 but instead of going to college like his parents wanted him to, he took a job as a reporter for the Kansas City Star. His uncle was responsible for him getting the job, because he knew the top editor. While Hemingway worked for the Kansas City Star he learned about how to write, and it showed in his later works of fiction. The newspaper advocated short sentences, short paragraphs, active verbs, authenticity, compression, clarity and immediacy. Hemingway later said: Those were the best rules I ever learned for the business of writing. Ive never forgotten them (Young 36). The same time Ernest was graduating, World War I had started in Europe. Even though President Wilson tried to keep the US out of the war, they helped other countries in the fight against Germany and Austria. When Hemingway turned eighteen he tried to enlist in the army, but they turned him away because of poor vision. He had a bad eye like his mother. When he heard the Red Cross want ed volunteers for ambulance drivers he quickly signed up. The Red Cross accepted him so he left his job at the paper in 1918 and went to Europe in May. Hemingway first went to Paris when he got to Europe, then heShow MoreRelated Ernets Hemingway Essay example1287 Words   |  6 Pages Ernest Hemingway I.nbsp;nbsp;nbsp;nbsp;nbsp;Introduction to Ernest Hemingway II.nbsp;nbsp;nbsp;nbsp;nbsp;Life and Times A.nbsp;nbsp;nbsp;nbsp;nbsp;Early Life 1.nbsp;nbsp;nbsp;nbsp;nbsp;Birth 2.nbsp;nbsp;nbsp;nbsp;nbsp;Parents 3.nbsp;nbsp;nbsp;nbsp;nbsp;Influences 4.nbsp;nbsp;nbsp;nbsp;nbsp;Siblings 5.nbsp;nbsp;nbsp;nbsp;nbsp;Hobbies B.nbsp;nbsp;nbsp;nbsp;nbsp;Adulthood 1.nbsp;nbsp;nbsp;nbsp;nbsp;War 2.nbsp;nbsp;nbsp;nbsp;nbsp;Influences 3.nbsp;nbsp;nbsp;nbsp;nbsp;MarriageRead MoreErnest Hemingway s The Lost Generation885 Words   |  4 PagesErnest Hemingway was a famous modernist writer during the 20th century. Hemingway was part of what was known as â€Å"The Lost Generation† this name arose post-World War 1. The modernist movement was a drastic change in numerous things such as art and literature. 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