Larry Crowne free essay sample

In view of the film Larry Crowner I feel that school will be extraordinary. This film truly showed me a great deal about school and how its never to late until your dead. I can dare to dream that my school experience resembles Larry : fun , energizing , and a spot to meet new individuals. Anyway this film additionally instructed me that there are up and downs that accompany school, yet as long as you attempt and care you can endure Just fine. The primary subject I might want to address Is the way that school Is an incredible opportunity to meet new individuals, however now just new individuals yet lifetime friends.There are o various characters or characters Is school, where as It might have not been the equivalent Is your secondary school or city. Im the sort of individual that wants to meet new individuals so that would be Just extraordinary for me. We will compose a custom article test on Larry Crowne or on the other hand any comparative theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page This likewise encourages me to see that being bashful Is school won't assist you with traversing. A few people may Introduce themselves to you like the youngster did Larry other you need to make the main move. Having companions will get you through school and theyre consistently there for you as you found in the movie.Moving on to the following point , Id state the educators in school are a ton extraordinary. Its like they comprehend your more established and develop so they are progressively loose and you have more opportunity. In any case, one thing that I notice is that they give you work yet your liable for getting it in cause they wont approach you for it. Likewise from viewing the film the homeroom air is much progressively loose in school yet additionally not all things have the Green-light as it were. School can be fun, however I accept that all relies upon what you go there with your attitude on.If you go just to party then you wont be there long. In any case in the event that you go with a brain to get you training like Larry Crowner then you do what he did which is get his degree so e would never need to stress over getting terminated again. To me in light of what Larry had his brain set on doing when he went he was to ready to take care of business, have some good times after class and now and again during , and on all that he had the option to deal with a hurl. I accept he was just ready to complete it since he had is needs set , all together , and he finished them.Hence , in the wake of review this film feel like I am to some degree prepared for school, Im unquestionably energized for it. There are a couple of things that I need to at present work on I. E. Work and study propensities. In the event that you saw In the end failure see Larry reading for finals , class and so on. When and any place he could. What's more, at long last everything paid off. School isn't a possibility for me Its an absolute necessity so there for I need to go. Larry didnt need to go he needed to. I wonder how might It have been Larry to desire avoid school and sit idle. Rather he needed his training and went In with a positive attitude.And regardless of when I start school I need to go with that disposition as it so happens cause as I saw from the film Its a considerably more smoother process. So that is the thing that I gained from this film. It truly showed me a thing or two. H Larry Crowner By shepherds that accompany school, however as long as you attempt and care you can endure Just The primary point I might want to address is the way that school is an incredible such a significant number of various characters or characters is school, where as it might have not been the equivalent is your secondary school or city. Im the kind of individual that wants to meet timid is school won't assist you with traversing. A few people may present I accept that all relies upon what you go there with your brain set on. On the off chance that you go Just had his psyche set on doing when he went he was to ready to take care of business, have a great time work. I accept he was just ready to complete it since he had is needs set , in things that I need to at present work on I. E. Work and study habits.If you saw at long last youd see Larry reading for finals , class and so on. When and any place he could. Furthermore, at long last everything paid off. School isn't a possibility for me its an unquestionable requirement so there for I need to go. Larry didnt need to go he needed to. I wonder how might it have been Larry to simply avoid school and sit idle. Rather he needed his instruction and went In demeanor as it so happens cause as I saw from the film its a significantly more exercise.

Music Production Essay

In the course of recent decades, electronic music and its individual classes have reformed the music business by making new styles of music that have developed the feel of the famous melodies we hear today. The way toward forming today’s music through a PC and programming has become limitlessly increasingly productive contrasted with customary account, which for the most part utilizes acoustic instruments and â€Å"old-school hardware†. The procedure of organization has been smoothed out and altered over the ongoing years, in this way opening more entryways for artists’ inventiveness and innovativeness. To gain proficiency with the ropes of music creation, one can figure out how to be a maker by going to recording or music school. Anyway recording school isn't for everybody, It can be unreasonably costly for a few and too â€Å"academic† for other people. A music producer’s occupation can be as simple as sitting on the lounge chair tuning in and gesturing and as dynamic as controlling the blender just as aligning the gear for a vocalist. Great music makers see each part of studio creation. They likewise have an awesome ear and a balanced information on how voices and instruments produce recordable sound. One thing for all intents and purposes all ‘computer generated’ music shares practically speaking is the utilization of tests. Tests are sound bytes, anyplace from tiny blips to protracted surrounding clamors, now and again spreading over the whole length of the melody. The activating of tests in an intriguing manner is the thing that makes the mood and environment of the tune. Most electronic rhythms comprise altogether of activated examples. A sampler is a program or gadget which is utilized to record and trigger sound examples, normally remembered for the fundamental creation programming. These gadgets are the core of today’s electronic music; they are the motors which produce the genuine sounds you hear. Changing and controlling sounds is the way to catching the listener’s consideration. Impacts have consistently assumed a significant job in electronic music, yet over all sorts. The thing that matters is that with electronic music, the audience will ordinarily acknowledge a bigger number of layers of foundation impacts than likewise with different kinds of music. Impacts are utilized to take fundamental sounds and variate them in an intriguing and sonically upgrading way. A portion of the basic impacts makers use incorporate resonation (reverb), reverberation, rib, tune, and bending. At the point when you first beginning creating music, or regardless of whether you have been making music for quite a long time, you will find that it is a test to transform one’s thoughts legitimately into a melody! (AllCrunchy 1) When it comes to what you genuinely should be a music maker, a PC is normally an unquestionable requirement have bit of equipment. One can deliver a decent sounding track with practically any sort of present day PC. A DAW (Digital Audio Workstation) is likewise a necessity. The DAW is a product domain wherein you make and make the music and it is one of the most basic segments in one’s music studio. To lay it out plainly, it’s music making programming. VST (Virtual Studio Technology) synthesizers and impacts are likewise an unquestionable requirement if you’re going to begin making music carefully with a PC. VSTi’s (VST instruments) are virtual synthesizers that produce diverse sort of sounds. You can utilize them simply like you would utilize genuine equipment , just distinction being that they’re programming and you introduce them simply like some other application, at that point open them inside a DAW to make songs and make music. The most widely recognized thing that keeps fledglings from getting a full sounding melody isn't filling the â€Å"box† that is volume, panning, and recurrence. The ordinary circumstance is this: as an ever increasing number of sounds are layered together, the sound may begin to â€Å"clip†. (Cutting is a type of waveform bending that happens when a speaker is over-driven and endeavors to convey a yield voltage or current past its most extreme ability) Therefore, one would turn the addition down on the each channel of the blender so it doesn’t cut. Be that as it may, at that point, it sounds calm. So as to fix this, pressure and (EQ) leveling come in to play. Another issue amateur makers may confront is when too many clashing frequencies are covering in a blend. Because of covering sounds, the tune may sound â€Å"muddy†. To forestall mud, you should intentionally remember what scope of frequencies you are including with each new part. Frequencies will cover, regardless of what instruments you pick. A great deal of VST instrument modules have presets that sound excellent all alone, yet when put along with different presets, they conflict. A ton of these presets are full sounding, topping off a great deal of low and top of the line. Except if you cut out the conflicting frequencies utilizing EQ, you will get a suppressed, sloppy sound while tossing presets together. For instance, two bass sounds on one another will meddle, bringing about a weird sounding stage impact. On the off chance that you need to utilize two instruments that utilization up a similar recurrence range, you’ll need to cut out the highs on one and cut out the lows on the other equalizer. The final product of including leveling and changing volume should indicate a track with a full, clear solid.

LinkedIn Changes Whats New on LinkedIn in December 2017

LinkedIn Changes Whats New on LinkedIn in December 2017 I haven’t provided an update on what’s new on LinkedIn for about six months. The time has come! As you may remember, Microsoft purchased LinkedIn in at this time in 2016, and there was much speculation as to the LinkedIn changes that would come. We’re starting to find out! I believe (pure speculation on my part) that a lot of the LinkedIn changes that happened through May were already in the works prior to the Microsoft acquisition. Here’s an end-of-year round-up on what’s happened since then. You’ll notice a lot of these items are unequivocally a result of the Microsoft + LinkedIn marriage. Others are in the job search and messaging realm, and then there’s one upgrade to LinkedIn’s video capabilities. I’m curious to know what you think of these changes. Do you think they are improvements to the LinkedIn platform? Microsoft and LinkedIn Integration Features 1. LinkedIn’s Profile Card on Office 365 This feature only works if you use Office 365. Personally, I don’t think it’s valuable enough to convince people to get Office 365, but maybe that’s the idea? Here’s how it works: You can now connect your LinkedIn account to your Microsoft account. This move gives you access to information about your contacts that’s sourced from their LinkedIn profile. By hovering over a contact’s name, you’ll be able to see where they work, what they do, and where they went to school. This might seem disturbing, except you do have them in your contacts list already, so theoretically it’s not too creepy that you can easily find out more about them. Use this Office 365 integration to better understand colleagues, customers or partners. Youll get a good foundation to collaborate efficiently, whether they are within or outside your organization. According to LinkedIn (as of September 25, 2017), integration  with  the Profile Card  in Office 365  was to roll out in  October on  Outlook  on the web, SharePoint and OneDrive for Business. The LinkedIn integration was then to roll out to  Outlook.com customers, with  Outlook  for Windows, Outlook  for  iOS,  and other Office products  following. To set up the 365/LinkedIn integration, just open a person’s Profile Card in Outlook and click on the LinkedIn match. You’ll say “Yes, let’s go” when prompted and “accept” in order to view information about your contact. 2.  Desktop App for Windows 10 For those of you using Windows 10, LinkedIn has created a new LinkedIn desktop app  so that you access LinkedIn without having to open your browser. You’ll get real-time professional updates, including new messages, insights on whos viewed your profile, trending news in your industry and other timely highlights on your professional network.” You’ll also be able to manage the types of updates you receive. 3.  Find Resume Keywords with Microsoft and LinkedIn After you select your desired role and industry on LinkedIn, Resume Assistant will use the LinkedIn database to identify the skills listed by other similar professionals. You can then add those skills if applicable. (Need a new skill? Maybe you can pick it up with LinkedIn Learning.) Youll also see relevant job listings, along with details of what the job requires, which can be extremely helpful as you tailor your resume to a specific role. Remember, there’s no “one size fits all” resume â€" so use this tool to create a resume that matches a specific job opening! LinkedIn’s Job Search and Networking Tools 4.  Open Candidates Open Candidates is not new, but I thought it was worth including. LinkedIn announced improvements to the feature in October, with the special reminder that Open Candidates is NOT a public status but a private indication to recruiters that you are open for opportunities. Find it in the Career Interests section within  Your Dashboard. Once you turn on Open Candidates, LinkedIn will ask questions about your job requirements that are meant to ensure you’re contacted for positions that fit your interests. On the horizon are “personalized suggestions to help you improve your profile, as well as unique insights on how much attention you’re getting from recruiters.” If you’re is using these LinkedIn changes, I’d love to hear what results you’re getting! 5.  Who You Know Can Help You Get the Job Networking has been proven again and again to be the #1 way to get a job. Between 70 and 85 percent of people ended up in the current position due to networking. That’s why LinkedIn has made it easy to find out who you know at a company who might be able to help you get your next job. When you look at a job opening or a Company Page on LinkedIn, you’ll automatically see your mutual connections  in the  messaging conversation window. Reach out to the people you know at a company to learn more about the culture, make an introduction, or maybe even learn about a job opening. Taking these steps is absolutely essential for your job search success! 6.  Profile Access: Hover to Learn More On a related note, LinkedIn had eliminated the ability to hover over people and companies to see more without having to click their profile. Now they’ve brought it back! Enjoy. 7. LinkedIn Career Advice Want to be a mentor or a mentee? Career Advice helps connect LinkedIn members for mentorship opportunities. To get started, go to the dashboard on your  LinkedIn Profile  and find the Career Advice hub. From there, enter your preferences for the type of advice you’re looking to give or receive and LinkedIn will recommend appropriate connections. This could be a great way to advance your own career, or to contribute to another professional’s success. LinkedIn Changes to Messaging Features 8.  Active Status on LinkedIn Messaging LinkedIn changes are making it more and more like Facebook every day. Now you can see whether your connections are logged into LinkedIn. Just look for the green dot next to their profile photo, which indicates they’re currently online. Maybe they’ll respond faster if you message them. Maybe not. But it’s always nice to feel like we know what someone’s doing at any moment, right? 9.  Smart Reply Messages When you receive a message in the LinkedIn messaging app, you’ll be given suggestions on how to reply. Some options are a thumbs up icon, smiley face emoji, and phrases like “Thanks,” “You’re welcome,” “Good luck,” “Sure,” “Not sure,” “Hi [first name],“ and many other surprisingly responsive canned messages. Warning: If you click on any of those messages, the message gets sent exactly as is, without space for you to add to it. So I almost always forgo the smart replies and write my own message, unless my response is a simple thumbs up. Use these as you see fit. It’s kind of fun just to see how appropriate (or not) the suggested messages are! LinkedIn Video 10.  LinkedIn Video Sharing videos on LinkedIn has become easier than ever. If you’re on the LinkedIn mobile app, look for the share box at the top of the feed (iOS) or the post button (Android) and tap on the video icon. You can record a video in the app, or upload something you recorded earlier. After you post a video, you can see who’s viewing it and how many views, likes, and comments it’s receiving. These audience insights are in the dashboard section of your LinkedIn profile on both mobile and desktop. Please comment on your experience of these new (and improved?) LinkedIn changes. And hang on to your hats as we discover what’s in store for 2018! For more help with your LinkedIn profile, check out my LinkedIn writing services or my bestselling book, How to Write a KILLER LinkedIn Profile.

Tone, Diction, And Narration Of Carver s Cathedral

Alex Ramsbottom Dr. Vella 16 October 2015 AP English 4 Tone, Diction, and Narration of Carver’s â€Å"Cathedral† First-person narration can provide an exotic and perhaps unreliable viewpoint. The narrator’s thoughts and feelings are conveyed more clairvoyantly than possible in third or even second person, an effect that develops a more intimate and relevant story to the reader. In Cathedral, Raymond Carver uses conversational tone and diction to expose the narrator s character: prejudicial at first, sympathetic by the end. Knowing his character simplifies the understanding of major components of the story such as the narrator s hostility to Robert and his epiphany at the end. Carver portrays the personality of the narrator in Cathedral in his use of conversational and colloquial tone. Carver’s syntactic maneuvers deliver a tone that is mocking, unpleasant and even vitriolic. He hyphenates the narrator’s interjections to convey a sarcastic quality of the narrator. For example: as the narrator is describing the sensitive situation of Beulah’s death, he does so with a taste of wickedness: After they had been inseparable for eight years--my wife s word, inseparable--Beulah’s health went into rapid decline (Norton 30). The hyphenation permits the narrator to present his hostility and mockery into any part of the story; thus, the narrator feels that his opinions and asides are more important than the plot. Throughout the story, he displays a dislike for many seemingly

Moments and Time, Themes in the Narrative Beauty When the...

Time in Moments, Not Minutes When it comes to personal narratives, time is an important element. But what is time? Time can be defined in many different ways. When people think of time, the truth is that there are many definitions. Time can be seen as seconds, minutes, hours and days, but that’s not how everyone sees it. Time can also be defined by the moments in one’s life, not by the minutes that go past but by the significant times in a person’s life that defines lives. People can say, â€Å"When I was eight years old.† But they can also say, â€Å"When I was young.† And young can be defined in many different ways as well. What does young mean, really? When the individual was young or a time when the individual felt youthful? Time can bend to the moments in people’s lives that hold certain significance. In the narrative Beauty: When the Other Dancer Is the Self, writer Alice Walker tells of her life through a series of moments that ended up defining who she turned out to be later in life. She tells of how one significant moment altered her future through a series of short stories of who she was when she was young. She uses time to effectively do that, telling the story in mainly chronological order, but occasionally stopping to put in single thoughts, such as â€Å"Did I imagine the anguish of never looking up?† (Walker, 43). With this technique she is able to tell her story and still be able to put in her own thoughts of what has happened to her, as if she is telling a close friend,

Lamb The Gospel According to Biff, Christ’s Childhood Pal Chapter 29 Free Essays

string(41) " authority I raised Simon from the dead\." Chapter 29 When it was all finished, Simon looked great, better than I’d ever seen him look. Joshua had not only raised him from the dead, but also healed his leprosy. Maggie and Martha were ecstatic. We will write a custom essay sample on Lamb: The Gospel According to Biff, Christ’s Childhood Pal Chapter 29 or any similar topic only for you Order Now The new and improved Simon invited us back to his house to celebrate. Unfortunately, Abel and Crustus had witnessed the resurrection and the healing, and despite our admonishments, they started to spread the story through Bethany and Jerusalem. Joseph of Arimathea accompanied us to Simon’s house, but he was hardly in a celebratory mood. â€Å"This dinner’s not exactly a trap,† he told Joshua, â€Å"it’s more like a test.† â€Å"I’ve been to one of their trials by dinner,† said Joshua. â€Å"I thought you were a believer.† â€Å"I am,† said Joseph, â€Å"especially after what I saw today, but that’s why you have to come to my house and have dinner with the Pharisees from the council. Show them who you are. Explain to them in an informal setting what it is that you are doing.† â€Å"Satan himself once asked me to prove myself,† said Joshua. â€Å"What proof do I owe these hypocrites?† â€Å"Please, Joshua. They may be hypocrites, but they have great influence over the people. Because they condemn you the people are afraid to listen to the Word. I know Pontius Pilate, I don’t think anyone would harm you in my home and risk his wrath.† Joshua sat for a moment, sipping his wine. â€Å"Then into the den of vipers I shall go.† â€Å"Don’t do it, Joshua,† I said. â€Å"And you have to come alone,† said Joseph. â€Å"You can’t bring any of the apostles.† â€Å"That’s not a problem,† I said. â€Å"I’m only a disciple.† â€Å"Especially not him,† said Joseph. â€Å"Jakan bar Iban will be there.† â€Å"So I guess it’s another night sitting home for me, too,† said Maggie. Later we all watched and waved as Joseph and Joshua left to go back to Jerusalem for the dinner at Joseph’s house. â€Å"As soon as they get around the corner you follow them,† Maggie said to me. â€Å"Of course.† â€Å"Stay close enough to hear if he needs you.† â€Å"Absolutely.† â€Å"Come here.† She pulled me inside the door where the others wouldn’t see and gave me one of those Maggie kisses that made me walk into walls and forget my name for a few minutes. It was the first in months. She released me and held me at arm’s length, then, â€Å"You know that if there were no Joshua, I wouldn’t love anyone but you,† she said. â€Å"You don’t have to bribe me to watch over him, Maggie.† â€Å"I know. That’s one of the reasons I love you,† she said. â€Å"Now go.† My years of trying to sneak up on the monks in the monastery paid me back as I shadowed Joshua and Joseph through Jerusalem. They had no idea I was following, as I slipped from shadow to shadow, wall to tree, finally to Joseph’s house, which lay south of the city walls, only a stone’s throw from the palace of the high priest, Caiaphas. Joseph of Arimathea’s house was only slightly smaller than the palace itself, but I was able to find a spot on the roof of an adjacent building where I could watch the dinner through a window and still have a view of the front door. Joshua and Joseph sat in the dining room drinking wine by themselves for a while, then gradually the servants let in the other guests as they arrived in groups of twos and threes. There were a dozen of them by the time dinner was served, all of the Pharisees that had been at the dinner at Jakan’s house, plus five more that I had never seen before, but all were severe and meticulous about washing before dinner and checking each other to make sure that all was in order. I couldn’t hear what they were saying, but I really didn’t care. There seemed to be no immediate threat to Joshua, and that was all I was worried about. He could hold his own on the rhetorical battlefield. Then, when it seemed that it would end without incident, I saw the tall hat and white robe of a priest in the street, and with him two Temple guards carrying their long, bronze-tipped spears. I dropped down off the roof and made my way around the opposite side of the house, arriving just in time to see a servant lead the priest inside. As soon as Joshua came through the door at Simon’s house Martha and Maggie showered him with kisses as if he had returned from the war, then led him to the table and started interrogating him about the dinner. â€Å"First they yelled at me for having fun, drinking wine, and feasting. Saying that if I was truly a prophet I would fast.† â€Å"And what did you tell them?† I asked, still a little winded from the running to get to Simon’s house ahead of Joshua. â€Å"I said, well, John didn’t eat anything but bugs, and he never drank wine in his life, and he certainly never had any fun, and they didn’t believe him, so what kind of standards were they trying to set, and please pass the tabbouleh.† â€Å"What did they say then?† â€Å"Then they yelled at me for eating with tax collectors and harlots.† â€Å"Hey,† said Matthew. â€Å"Hey,† said Martha. â€Å"They didn’t mean you, Martha, they meant Maggie.† â€Å"Hey,† said Maggie. â€Å"I told them that tax collectors and harlots would see the kingdom of God before they did. Then they yelled at me for healing on the Sabbath, not washing my hands before I eat, being in league with the Devil again, and blaspheming by claiming to be the Son of God.† â€Å"Then what?† â€Å"Then we had dessert. It was some sort of cake made with dates and honey. I liked it. Then a guy came to the door wearing priest’s robes.† â€Å"Uh-oh,† said Matthew. â€Å"Yeah, that was bad,† said Joshua. â€Å"He went around whispering in the ears of all the Pharisees, then Jakan asked me by what authority I raised Simon from the dead. You read "Lamb: The Gospel According to Biff, Christ’s Childhood Pal Chapter 29" in category "Essay examples"† â€Å"And what did you say?† â€Å"I didn’t say anything, not with the Sadducee there. But Joseph told them that Simon hadn’t been dead. He was just sleeping.† â€Å"So what did they say to that?† â€Å"Then they asked me by what authority I woke him up.† â€Å"And what did you say?† â€Å"I got angry then. I said by all the authority of God and the Holy Ghost, by the authority of Moses and Elijah, by the authority of David and Solomon, by the authority of thunder and lightning, by the authority of the sea and the air and the fire in the earth, I told them.† â€Å"And what did they say?† â€Å"They said that Simon must have been a very sound sleeper.† â€Å"Sarcasm is wasted on those guys,† I said. â€Å"Completely wasted,† said Joshua. â€Å"Anyway, then I left, and outside there were two guards from the Temple. The shafts of their spears had been broken and they were both unconscious. There was blood on one’s scalp. So I healed them, and when I saw they were coming around, I came here.† â€Å"They don’t think you attacked the guards?† Simon asked. â€Å"No, the priest followed me down. He saw them at the same time that I did.† â€Å"And your healing them didn’t convince him?† â€Å"Hardly.† â€Å"So what do we do now?† â€Å"I think we should go back to Galilee. Joseph will send word if anything comes of the meeting of the council.† â€Å"You know what will come of it,† Maggie said. â€Å"You threaten them. And now they have the priests involved. You know what will happen.† â€Å"Yes, I do,† said Joshua. â€Å"But you don’t. We’ll leave for Capernaum in the morning.† Later Maggie came to me in the great room of Simon’s house, where we were all bedded down for the night. She crawled under my blanket and put her lips right next to my ear. As usual, she smelled of lemons and cinnamon. â€Å"What did you do to those guards?† she whispered. â€Å"I surprised them. I thought they might be there to arrest Joshua.† â€Å"You might have gotten him arrested.† â€Å"Look, have you done this before? Because if you have some sort of plan, please let me in on it. Personally, I’m making this up as I go along.† â€Å"You did good,† she whispered. She kissed my ear. â€Å"Thank you.† I reached for her and she shimmied away. â€Å"And I’m still not going to sleep with you,† she said. The messenger must have ridden through several nights to get ahead of us, but when we got back to Capernaum there was already a message waiting from Joseph of Arimathea. Joshua: Pharisee council condemned you to death for blasphemy. Herod concurs. No official death warrant issued, but suggest you take disciples into Herod Philip’s territory until things settle down. No word from the priests yet, which is good. Enjoyed having you at dinner, please drop by next time you’re in town. Your friend, Joseph of Arimathea Joshua read the message aloud to all of us, then pointed to a deserted mountaintop on the northern shore of the lake near Bethsaida. â€Å"Before we leave Galilee again, I am going up that mountain. I will stay there until all in Galilee who wish to hear the good news have come. Only then will I leave to go to Philip’s territory. Go out now and find the faithful. Tell them where to find me.† â€Å"Joshua,† Peter said, â€Å"there are already two or three hundred sick and lame waiting at the synagogue for you to heal them. They’ve been gathering for all the days you’ve been gone.† â€Å"Why didn’t you tell me?† â€Å"Well, Bartholomew greeted them and took their names, then we told them that you’d be with them as soon as you got the chance. They’re fine.† â€Å"I lead the dogs back and forth by them occasionally so we look busy,† said Bart. Joshua stormed off to the synagogue waving his hands in the air as if asking God why he had been plagued by a gang of dimwits, but then, I might have been reading that into his gesture. The rest of us spread out into Galilee to announce that Joshua was going to be preaching a great sermon on a mountain north of Capernaum. Maggie and I traveled together, along with Simon the Canaanite and Maggie’s friends Johanna and Susanna. We decided to take three days and walk a circle through northern Galilee that would take us through a dozen towns and bring us back to the mountain just in time to help direct the pilgrims that would be gathering. The first night we camped in a sheltered valley outside a town called Jamnith. We ate bread and cheese by the fire and afterward Simon and I shared wine while the women went off to sleep. It was the first time I’d ever had a chance to talk to the Zealot without his friend Judas around. â€Å"I hope Joshua can bring the kingdom down on their heads now,† Simon said. â€Å"Otherwise I may have to look for another prophet to pledge my sword to.† I nearly choked on my wine, and handed him the wineskin as I fought for breath. â€Å"Simon,† I said, â€Å"do you believe he’s the Son of God?† â€Å"No.† â€Å"You don’t, and you’re still following him?† â€Å"I am not saying he’s not a great prophet, but the Christ? the Son of God? I don’t know.† â€Å"You’ve traveled with him. Heard him speak. Seen his power over demons, over people. You’ve seen him heal people. Feed people. And what does he ask?† â€Å"Nothing. A place to sleep. Some food. Some wine.† â€Å"And if you could do those things, what would you have?† Here Simon leaned back and looked into the stars, as he let his imagination unroll. â€Å"I would have villages full of women in my bed. I’d have a fine palace, and slaves to bathe me. I would have the finest food and wine and kings would travel from far away just to look at my gold. I would be glorious.† â€Å"But Joshua has only his cloak and his sandals.† Simon seemed to snap out of his reverie, and he wasn’t happy about it. â€Å"Just because I am weak does not make him the Christ.† â€Å"That’s exactly what makes him the Christ.† â€Å"Maybe he’s just naive.† â€Å"Count on it,† I said. I stood and handed him the wineskin. â€Å"You can finish it. I’m going to sleep.† Simon raised his eyebrows. â€Å"The Magdalene, she’s a luscious woman. A man could lose himself there.† I took a deep breath and thought about defending Maggie’s honor, or even warning Simon about making advances on her, but then I thought better of it. The Zealot needed to learn a lesson that I wasn’t qualified to teach. But Maggie was. â€Å"Good night, Simon,† I said. In the morning I found Simon sitting by the cold ashes of the fire, cradling his head in his hands. â€Å"Simon?† I inquired. He looked up at me and I saw a huge purple goose egg on his forehead, just below the bangs of his Roman haircut. A spot of blood seeped out of the middle. His right eye was nearly swollen shut. â€Å"Ouch,† I said. â€Å"How did you do that?† Just then Maggie came out from behind a bush. â€Å"He accidentally crawled into Susanna’s bedroll last night,† Maggie said. â€Å"I thought he was an attacker, so naturally, I brained him with a rock.† â€Å"Naturally,† I said. â€Å"I’m so sorry, Simon,† Maggie said. I could hear Susanna and Johanna giggling behind the bush. â€Å"It was an honest mistake,† said Simon. I couldn’t tell whether he meant his or Maggie’s, but either way he was lying. â€Å"Good thing you’re an apostle,† I said. â€Å"You’ll have that healed up by noon.† We finished our loop of northern Galilee without incident, and indeed, Simon was nearly healed by the time we returned to the mountain above Bethsaida, where Joshua awaited us with over five thousand followers. â€Å"I can’t get away from them long enough to find baskets,† Peter complained. â€Å"Everywhere I go there are fifty people following me,† said Judas. â€Å"How do they expect us to bring them food if they won’t let us work?† I had heard similar complaints from Matthew, James, and Andrew, and even Thomas was whining that people were stepping all over Thomas Two. Joshua had multiplied seven loaves into enough to feed the multitude, but no one could get to the food to distribute it. Maggie and I finally fought our way to the top of the mountain where we found Joshua preaching. He signaled the crowd that he was going to take a break, then came over to us. â€Å"This is excellent,† he said. â€Å"So many of the faithful.† â€Å"Uh, Josh†¦Ã¢â‚¬  â€Å"I know,† he said. â€Å"You two go to Magdala. Get the big ship and bring it to Bethsaida. Once we feed the faithful I’ll send the disciples down to you. Go out into the lake and wait for me.† We managed to pull John out of the crowd and took him with us to Magdala to help sail the ship back up the coast. Neither Maggie nor I felt confident enough to handle the big boat without one of the fishermen on board. A half-day later we docked in Bethsaida, where the other apostles were waiting for us. â€Å"He’s led them to the other side of the mountain,† Peter said. â€Å"He’ll deliver a blessing then send them on their way. Hopefully they’ll go home and he can meet us.† â€Å"Did you see any soldiers in the crowd?† I asked. â€Å"Not yet, but we should have been out of Herod’s territory by now. The Pharisees are hanging on the edge of the crowd like they know something is going to happen.† We assumed that he would be swimming or rowing out in one of the small boats, but when he finally came down to the shore the multitude was still following him, and he just kept walking, right across the surface of the water to the boat. The crowd stopped at the shore and cheered. Even we were astounded by this new miracle, and we sat in the boat with our mouths hanging open as Joshua approached. â€Å"What?† he said. â€Å"What? What? What?† â€Å"Master, you’re walking on the water,† said Peter. â€Å"I just ate,† Joshua said. â€Å"You can’t go into the water for an hour after you eat. You could get a cramp. What, none of you guys have mothers?† â€Å"It’s a miracle,† shouted Peter. â€Å"It’s no big deal,† Joshua said, dismissing the miracle with the wave of a hand. â€Å"It’s easy. Really, Peter, you should try it.† Peter stood up in the boat tentatively. â€Å"Really, try it.† Peter started to take off his tunic. â€Å"Keep that on,† said Joshua. â€Å"And your sandals too.† â€Å"But Lord, this is a new tunic.† â€Å"Then keep it dry, Peter. Come to me. Step upon the water.† Peter put one foot over the side and into the water. â€Å"Trust your faith, Peter,† I yelled. â€Å"If you doubt you won’t be able to do it.† Then Peter stepped with both feet onto the surface of the water, and for a split second he stood there. And we were all amazed. â€Å"Hey, I’m – † Then he sank like a stone. He came up sputtering. We were all doubled over giggling, and even Joshua had sunk up to his ankles, he was laughing so hard. â€Å"I can’t believe you fell for that,† said Joshua. He ran across the water and helped us pull Peter into the boat. â€Å"Peter, you’re as dumb as a box of rocks. But what amazing faith you have. I’m going to build my church on this box of rocks.† â€Å"You would have Peter build your church?† asked Philip. â€Å"Because he tried to walk on the water.† â€Å"Would you have tried it?† asked Joshua. â€Å"Of course not,† said Philip. â€Å"I can’t swim.† â€Å"Then who has the greater faith?† Joshua climbed into the boat and shook the water off of his sandals, then tousled Peter’s wet hair. â€Å"Someone will have to carry on the church when I’m gone, and I’m going to be gone soon. In the spring we’ll go to Jerusalem for the Passover, and there I will be judged by the scribes and the priests, and there I will be tortured and put to death. But three days from the day of my death, I shall rise, and be with you again.† As Joshua spoke Maggie had latched onto my arm. By the time he was finished speaking her nails had drawn blood from my biceps. A shadow of grief seemed to pass over the faces of the disciples. We looked not at each other, and neither at the ground, but at a place in space a few feet from our faces, where I suppose one looks for a clear answer to appear out of undefined shock. â€Å"Well, that sucks,† someone said. We landed at the town of Hippos, on the eastern shore of the Sea of Galilee, directly across the lake from Tiberius. Joshua had preached here before when we had come over to hide the first time, and there were people in the town who would receive the apostles into their homes until Joshua sent them out again. We’d brought many baskets of the broken bread from Bethsaida, and Judas and Simon helped me unload them from the ship, wading in and out of the shallows where we anchored, as Hippos had no dock. â€Å"The bread stood piled like small mountains,† Judas said. â€Å"Much more than when we fed the five thousand. A Jewish army could fight long days on that kind of supply. If the Romans have taught us anything it’s that an army fights on its stomach.† I stopped schlepping and looked at him. Simon, who stood next to me, set his basket down on the beach, then lifted the edge of his sash to show me the hilt of his dagger. â€Å"The kingdom will be ours only when we take it by the sword. We’ve had no problem spilling Roman blood. No master but God.† I reached over and gently pulled Simon’s sash back over the hilt of his dagger. â€Å"Have you ever heard Joshua talk about doing harm to anyone? Even an enemy?† â€Å"No,† Judas said. â€Å"He can’t speak openly about taking the kingdom until he’s ready to strike. That’s why he always speaks in parables.† â€Å"That is a crock of rancid yak butter,† said a voice from the ship. Joshua sat up, a net hung over his head like a tattered prayer shawl. He’d been sleeping in the bow of the ship and we’d completely forgotten about him. â€Å"Biff, call everyone together, here on the beach. I haven’t made myself clear to everyone, evidently.† I dropped my basket and ran into town to get the others. In less than an hour we were all seated on the beach and Joshua paced before us. â€Å"The kingdom is open to everyone,† Joshua said. â€Å"Ev-ree-one, get it?† Everyone nodded. â€Å"Even Romans.† Everyone stopped nodding. â€Å"The kingdom of God is upon us, but the Romans will remain in Israel. The kingdom of God has nothing to do with the kingdom of Israel, do you all understand that?† â€Å"But the Messiah is supposed to lead our people to freedom,† Judas shouted. â€Å"No master but God!† Simon added. â€Å"Shut up!† said Joshua. â€Å"I was not sent to deliver wrath. We will be delivered into the kingdom by forgiveness, not conquest. People, we have been over this, what have I not made clear?† â€Å"How we are to cast the Romans out of the kingdom?† shouted Nathaniel. â€Å"You should know better,† Joshua said to Nathaniel, â€Å"you yellow-haired freak. One more time, we can’t cast the Romans out of the kingdom because the kingdom is open to all.† And I think they were getting it, at least the two Zealots were getting it, because they looked profoundly disappointed. They’d waited their whole life for the Messiah to come along and establish the kingdom by crushing the Romans, now he was telling them in his own divine words that it wasn’t going to happen. But then Joshua started with the parables. â€Å"The kingdom is like a wheat field with tares, you can’t pull out the tares without destroying the grain.† Blank stares. Doubly blank from the fishermen, who didn’t know squat from farming metaphors. â€Å"A tare is a rye grass,† Joshua explained. â€Å"It weaves its roots amid the roots of wheat or barley, and there’s no way to pull them out without ruining the crop.† Nobody got it. â€Å"Okay,† Joshua continued. â€Å"The children of heaven are the good people, and the tares are the bad ones. You get both. And when you’re all done, the angels pick out the wicked and burn them.† â€Å"Not getting it,† said Peter. He shook his head, and his gray mane whipped around his face like a confused lion trying to shake off the sight of a flying wildebeest. â€Å"How do you guys preach this stuff if you don’t understand it? Okay, try this: the kingdom of heaven is like, uh, a merchant seeking pearls.† â€Å"Like before swine,† said Bartholomew. â€Å"Yes! Bart! Yes! Only no swine this time, same pearls though.† Three hours later, Joshua was still at it, and he was starting to run out of things to liken the kingdom to, his favorite, the mustard seed, having failed in three different tries. â€Å"Okay, the kingdom is like a monkey.† Joshua was hoarse and his voice was breaking. â€Å"How?† â€Å"A Jewish monkey, right?† â€Å"Is it like a monkey eating a mustard seed?† I stood up and went to Joshua and put my arm around his shoulder. â€Å"Josh, take a break.† I led him down the beach toward the village. He shook his head. â€Å"Those are the dumbest sons of bitches on earth.† â€Å"They’ve become like little children, as you told them to.† â€Å"Stupid little children,† Joshua said. I heard light footsteps on the sand behind us and Maggie threw her arms around our necks. She kissed Joshua on the forehead, making a loud wet smacking sound, then looked as if she was going to do the same to me so I shied away. â€Å"You two are the ninnies here. You both rail on them about their intelligence, when that doesn’t have anything to do with why they’re here. Have either one of you heard them preach? I have. Peter can heal the sick now. I’ve seen it. I’ve seen James make the lame walk. Faith isn’t an act of intelligence, it’s an act of imagination. Every time you give them a new metaphor for the kingdom they see the metaphor, a mustard seed, a field, a garden, a vineyard, it’s like pointing something out to a cat – the cat looks at your finger, not at what you’re pointing at. They don’t need to understand it, they only need to believe, and they do. They imagine the kingdom as they need it to be, they don’t need to grasp it, it’s there already, they can let it be. Imagination, not intellect.† Maggie let go of our necks, then stood there grinning like a madwoman. Joshua looked at her, then at me. I shrugged. â€Å"I told you she was smarter than both of us.† â€Å"I know,† Joshua said. â€Å"I don’t know if I can stand you both being right in the same day. I need some time to think and pray.† â€Å"Go on then,† Maggie said, waving him on. I stopped and watched my friend walk into the village, having absolutely no idea what I was supposed to do. I turned back to Maggie. â€Å"You heard the Passover prediction?† She nodded. â€Å"I take it you didn’t confront him.† â€Å"I don’t know what to say.† â€Å"We need to talk him out of it. If he knows what awaits him in Jerusalem, why go? Why don’t we go into Phoenicia or Syria? He could even take the good news to Greece and be perfectly safe. They have people running all over the place preaching different ideas – look at Bartholomew and his Cynics.† â€Å"When we were in India, we saw a festival in the city of their goddess Kali. She’s a goddess of destruction, Maggie. It was the bloodiest thing I’ve ever seen, thousands of animals slaughtered, hundreds of men beheaded. The whole world seemed slick with blood. Joshua and I saved some children from being flayed alive, but when it was over, Joshua kept saying, no more sacrifices. No more.† Maggie looked at me as if she expected more. â€Å"So? It was horrible, what did you expect him to say?† â€Å"He wasn’t talking to me, Maggie. He was talking to God. And I don’t think he was making a request.† â€Å"Are you saying that he thinks his father wants to kill him for trying to change things, so he can’t avoid it because it’s the will of God?† â€Å"No, I’m saying that he’s going to allow himself to be killed to show his father that things need to be changed. He’s not going to try to avoid it at all.† For three months we begged, we pleaded, we reasoned, and we wept, but we could not talk Joshua out of going to Jerusalem for Passover. Joseph of Arimathea had sent word that the Pharisees and Sadducees were still plotting against Joshua, that Jakan had been speaking out against Joshua’s followers in the Court of the Gentiles, outside the Temple. But the threats only seemed to strengthen Joshua’s resolve. A couple of times Maggie and I managed to tie Joshua up and stash him in the bottom of a boat, using knots that we had learned from the sailor brothers Peter and Andrew, but both times Joshua appeared a few minutes later holding the cords that had bound him, saying things like, â€Å"Good knots, but not quite good enough, were they?† Maggie and I worried together for days before we left for Jerusalem. â€Å"He could be wrong about the execution,† I said. â€Å"Yes, he could be,† Maggie agreed. â€Å"Do you think he is? Wrong about it, I mean?† â€Å"I think I’m going to throw up.† â€Å"I don’t see how that’s going to stop him.† And it didn’t. The next day we left for Jerusalem. On the way we stopped to rest along the road at a town along the Jordan River called Beth Shemesh. We were sitting there, feeling somber and helpless, watching the column of pilgrims move along the riverbank, when an old woman emerged from the column and beat her way through the reclining apostles with a walking staff. â€Å"Out of the way, I need to talk to this fellow. Move, you oaf, you need to take a bath.† She bonked Bartholomew on the head as she passed and his doggy pals nipped at her heels. â€Å"Look out there, I’m an old woman, I need to see this Joshua of Nazareth.† â€Å"Oh no, Mother,† John wailed. James got up to stop her and she threatened him with the staff. â€Å"What can I help you with, Old Mother?† Joshua asked. â€Å"I’m the wife of Zebedee, mother of these two.† She pointed her staff to James and John. â€Å"I hear that you’re going to the kingdom soon.† â€Å"If it be so, so be it,† said Joshua. â€Å"Well, my late husband, Zebedee, God rest his soul, left these boys a perfectly good business, and since they’ve been following you around they’ve run it into the ground.† She turned to her sons. â€Å"Into the ground!† Joshua put his hand on her arm, but instead of the usual calm that I saw come over people when he touched them, Mrs. Zebedee pulled away and swung her staff at him, barely missing his head. â€Å"Don’t try to bamboozle me, Mr. Smooth Talker. My boys have ruined their father’s business for you, so I want your assurance that in return they get to sit on either side of the throne in the kingdom. It’s only fair. They’re good boys.† She turned to James and John. â€Å"If your father was alive it would kill him to see what you two have done.† â€Å"But Old Mother, it’s not up to me who will sit next to the throne.† â€Å"Who is it up to?† â€Å"Well, it’s up to the Lord, my father.† â€Å"Well then go ask him.† She leaned on her staff and tapped a foot. â€Å"I’ll wait.† â€Å"But†¦Ã¢â‚¬  â€Å"You would deny a dying woman her last request?† â€Å"You’re not dying.† â€Å"You’re killing me here. Go check. Go.† Joshua looked at us all sheepishly. We all looked away, cowards that we were. It’s not as if any of us had ever learned to deal with a Jewish mother either. â€Å"I’ll go up on that mountain and check,† Joshua said, pointing to the highest peak in the area. â€Å"Well go, then. You want I should be late for the Passover?† â€Å"Right. Okay, then, I’ll go check, right now.† Josh backed away slowly, sort of sidled toward the mountain. Mount Tabor, I think it was. Mrs. Zebedee went after her sons like she was shooing chickens out of the garden. â€Å"What are you, pillars of salt? Go with him.† Peter laughed and she whirled around with her staff ready to brain him. Peter pretended to cough. â€Å"I’d better go along, uh, just in case they need a witness.† He scurried after Joshua and the other two. The old woman glared at me. â€Å"What are you looking at? You think the pain of childbirth ends when they move away? What do you know? Does a broken heart know from a different neighborhood?† They were gone all night, a very long night in which we all got to hear about John and James’ father, Zebedee, who evidently had possessed the courage of Daniel, the wisdom of Solomon, the strength of Samson, the devotion of Abraham, the good looks of David, and the tackle of Goliath, God rest his soul. (Funny, James had always described his father as a wormy little guy with a lisp.) When the four came back over the hill we all leapt to our feet and ran to greet them – I would have carried them back on my shoulders if it would have shut the old woman up. â€Å"Well?† she said. â€Å"It was amazing,† Peter said to us all, ignoring the old woman. â€Å"We saw three thrones. Moses was on one, Elijah was on another, and the third was ready for Joshua. And a huge voice came out of the sky, saying, ‘This is my son, with whom I am well pleased.'† â€Å"Oh yeah, he said that before,† I said. â€Å"I heard it this time,† Joshua said, smiling. â€Å"Just the three chairs then?† said Mrs. Zebedee. She looked at her two sons, who were cowering behind Joshua. â€Å"No place for you two, of course.† She started to stagger away from them, a hand clutched to her heart. â€Å"I suppose one can be happy for the mothers of Moses and Elijah and this Nazareth boy, then. They don’t have to know what it is to have a spike in the heart.† Down the riverbank she limped, off toward Jerusalem. Joshua squeezed the brothers’ shoulders. â€Å"I’ll fix it.† He ran after Mrs. Zebedee. Maggie elbowed me and when I looked around at her there were tears in her eyes. â€Å"He’s not wrong,† she said. â€Å"That’s it,† I said. â€Å"Well, ask his mother to talk him out of it. No one can resist her – I mean, I can’t. I mean, she’s not you, but†¦Look! Is that a seagull?† How to cite Lamb: The Gospel According to Biff, Christ’s Childhood Pal Chapter 29, Essay examples

Type 1 and Type 2 Diabetes Free Samples †MyAssignmenthelp.com

Question: Discuss about the Type 1 and Type 2 Diabetes. Answer: Pathophysiology of Diabetic Ketoacidosis- DKA is a major, acute life threatening condition that is normally associated to patients with type 1 diabetes. It is rarely seen in patients having Type 2 diabetes. DKA is normally caused due to the active or the relative deficiency of insulin, accompanied by the increase of counter regulatory hormones involved in DKA, such as cortisol, glucagon, epinephrine growth hormone (Atkinson et al., 2014). This type of imbalance of the hormones of our body leads to hepatic gluconeogenesis (generation of glucose from non carbohydrate substrate), lypolysis (breaking down of lipids) (Knip Siljander, 2008). The excessive counter regulatory hormones, hepatic gluconeogenesis, glycogenolysis leads to severe hyperglycemia. Lack of insulin results in the release of fatty acid from the adipose tissue (lypolysis), increasing the amount of free fatty acids in the serum. Hepatic Metabolism of the fatty acids leads to the formation of the acidic intermediates and metabolites such as ketones and ketoacids (Atkinson et al., 2014). Hormonal imbalance causes increased gluconeogenesis, renal and hepatic production of glucose and impaired utilization of glucose by the peripheral tissues. This results in hyperglycaemia and hyperosmolarity. Studies have revealed that the inflammatory biomarkers (e.g., C-reactive protein [CRP], oxidative stress markers, pro-inflammatory cytokines, cardiovascular risks and, lipid peroxidation is also associated with hyperglycemic risks. when the accumulated ketone bodies in the body exceeds the maximum capacity they are then found in the urine (Ketonuria) (Knip Siljander, 2008). Greater accumulation of the acids leads to acidosis, which can cause respiratory distress such as shallowed breathing (Kassmaul respiration). Normally kidney has a low threshold value for the keto-acids which gets excreted out through the urine. More amount of ketoacids leads to electrolyte loss resulting in acute dehydration with a large loss of sodium ions. Signs and symptoms The common early signs and symptoms associated to DKA is polyuria. other signs and symptoms of this clinical condition involves malaise, fatigue, vomiting ,nausea, can have abdominal or muscular cramps, anorexia, loss of appetite, drastic weight loss in some patients, reduces perspiration, coma can occur at severe stages of the disease (Padgett et al., 2013). Fever, chills, chest pain, arthralgia and dyspnea can also occur. Unusual smell in the breadth is often found. Difference between Type 1 and Type 2 diabetes Causes Type 1 diabetes is an autoimmune disease, where the immune system of the body mistakenly attacks the beta cells of the pancreas that is responsible for producing insulin. There are some genetic markers that are responsible for the T1D. In type 2 diabetes the beta cells are not attacked by the immune system of the boy, rather the body normally stops responding to the secreted insulin and becomes insulin resistance. The body tries to compensate this condition and tries to produce more insulin, eventually it creates stress on the beta cells which may lead to their destruction, ceasing insulin production (Knip Siljander, 2008). T2D is a life style disease and is mainly caused due to improper diet, obesity, use of alcohol, excessive consumption of the fatty food, excessive consumption of carbohydrate rich food. Stress can worsen the effects of T2D. Patients having family history of T2D are more likely to have T2D in future. Genetic factors obviously play a role in diabetes, although 2 persoms having same genetic mutation might not have the same effects of diabetes as diabetes largely depends on the life style. Pathophysiology Type 1Diabetes T1D is an autoimmune disease caused due to the development of an autoimmune response against the Beta cells antigen due to which very less amount of insulin is produced inside the body, due to which the plasma glucagon level is increased. Increase in the counter regulatory hormones causes volume depletion of the extracellular fluids, hyperglycemia, and decreased potassium ions in the body. Hormonal imbalance increases the rate of gluconeogenesis, renal and hepatic glucose production, impaired utilization of glucose by the body tissues leads to hyper glycemia (Knip Siljander, 2008). Free fatty acids are released into the serum from the adipose tissues. Hepatic metabolism of the fatty acids leads to the formation of the ketone bodies. Greater accumulation of the acids leads to acidosis, which can cause respiratory distress such as shallowed breathing or Kussmaul respiration. Type 2 Diabetes- T2D is mainly caused due to the combination of insulin resistance and decreased secretion of insulin by the beta cells of pancreas, impaired regulation of glucose production in the liver. Beta cell glucotoxicity is caused by the inhibitory effect of the glucose secretion upon the release of insulin. Glycogen is accumulated in the beta cells due to prolonged glycemia (Kahn et al., 2014). Medicinal, dietary exercise recommendations T1D Medications such as Insulin, short acting insulin like novolog and humulin, rapid acting insulins such as insulin aspart, Angiotensin converting enzyme can be given. Amylinomimetic drugs such as pramlintide acetate can be given that elicit endogenous amylin by decreasing the postprandial glucagon release. (Padgett et al., 2013). Fibrous food, cereal with milk without fat, whole grain fibers, carbs, fruits, and lentils can serve to be best for the type 1 diabetes patients. Sugary drinks, trans-fats, simple carbohydrates like processed and refined sugars, foods containing saturated fats should be avoided should be avoided. It is advisable to eat smaller portion of well balanced meals for about six times a day (Knip Siljander, 2008). Aerobic exercises like walking, jogging, strength training exercises for about 30-40 minutes a day can be done for efficient muscles and strong bones. Stretching exercises can be done to maintain flexibility in the body. Other than this, games such as badminton, volleyball can be played to maintain fitness and to burn the extra calories. T2D Oral hypo-glycaemic class of medications is used in case of T2D. Alpha glucosidase inhibitors like acarbose and miglitol, which helps to break down the starchy food. Biguanides, dopamine agonist, DPP-4 inhibitors like alogliptin, Incretin mimetics increases the B- cell growth, meglitinides, sodium glucose transporter (SGLT) 2 inhibitor. Sulphonylureas stimulates the pancreas for secreting insulin, thiazolidinediones (Knip Siljander, 2008). Food- diet for Type 2 diabetes includes carbs, non-starchy vegetables, and complex carbohydrates such as brown rice, whole wheat, lentils beans and fruits. Sugary beverages, high-calorigenic food, saturated and Trans fats should be avoided. It is advisable to avoid alcoholic drinks (Padgett et al., 2013).Repeated eating with balanced meal is advisable rather than large single meal. Exercises- Daily exercises such as running, aerobics and yoga for about 30-40 minutes in about 5 days a week can be done to maintain T2D. Diabetic Keto-acidosis This condition occurs when the body cannot produce enough insulin. Absence of insulin and the increase in the glucagon level results in the release of glucose by the liver. Insufficient insulin does not allow enough glucose to enter the cells, as a result the fatty acids are broken down as an alternative energy source, producing acidic ketone bodies. DKA is mainly caused in people with T1D (Kahn et al., 2014).It can cause excessive urination, flushed and dry skin, drowsiness and rapid breathing, fruity smell breath. It can also cause severe illness or coma. Hyperglycemic Hyperosmolar state This condition occurs when there is extremely high blood sugar level (Plasma glucose level of 600mg/dL or more) caused due to insulin deficiency. Due to this the serum osmolarity level is greater than 320 mOsm. Excessive urination occurs due to this condition, which leads to hemo-concentration and volume depletion that further increases the blood sugar concentration (Padgett et al., 2013). It can cause motor and sensory impairment. Hyper viscosity can increase the risk of clotting of bloods, which can be linked to cardiovascular diseases. In this case ketoacidosis does not occur because the insulin inhibits the fatty tissue breakdown by the hormone sensitive lipase. It is found mainly in patient with type 2 diabetes. Different procedures to measure the blood glucose level OGTT Procedures for OGTT (Stumvoll et al., 2010) The patient should be abstained from food 8 hours before the test. Patient should fast for 8-12 hours before the conduction of the test. A fasting sample of venous blood is extracted in a vial and tested for glucose level. The patient is given aqueous solution of glucose of about 50 gram. The time is noted. 6. A fasting blood glucose is at first taken. The patient is then administered glucose drink orally and then after 2 hours another blood sample is taken and measured. The blood sample is tested in the laboratory and a curve is plotted by taking time on the x axis and plasma glucose level on the Y axis and a glucose tolerance curve is made. Normal range level of glucose in blood Normal range Fasting 110mg/dl ( 1 hour after glucose administration ( 2 hours after glucose administration ( Positive diagnostic marker Fasting glucose level is higher than 110mg/dl or 6.1mmol/L in the blood. The highest value of the curve is reached within 1.5 hours. The blood glucose level does not match the fasting level even after the 2.5 hours. Over 11.0 mmol/L of Glucose is found in the blood sample. Fasting blood glucose test Procedure (Rohlfing et al., 2002) The patient should not consume any food or drink for at least 8 hours before the collection of the blood sample. Blood is collected from the patient and is stored in a vial for the testing of glucose. Normal range level A blood glucose level of 100125 mg/dL (5.54 6.9mmol/L) determines prediabetes. Positive diagnostic marker Blood glucose level of 126 mg/dL (Over 11.0 mmol/L) and higher indicates diabetes. HbA1c Test Glycated hemoglobin (A1C) test helps in indicating the average blood sugar level for the past two to three months. It helps to assess the amount of blood sugar linked to hemoglobin. More the hemoglobin with sugar attached, more is the blood sugar level. Procedure Blood sample is collected from the patient. They can be tested for the presence of glucose with the help of these 3 methods- Chromatography based HPLC assay (Newman Turner, 2005). Antibody based immunoassay Enzyme based enzymatic assay (International Expert Committee, 2009). Normal range levels The normal range for the hemoglobin A1c level for people without diabetes is between 4% and 5.6%. Positive diagnostic marker Hemoglobin A1c levels between 5.7% and 6.4% indicates higher chance of gettingdiabetes. 6.5% or higher levels that the patient is having diabetes. Multidisciplinary approach to manage type 1 diabetes In the following case study, James has been newly diagnosed with TID. Management of TID can be done with effective collaborative approach (Barlow et al., 2002) Diabetes educator- Diabetes educators are the members of the multidisciplinary team who impart education to the patient regarding the pathophysiology and the self management of diseases. A diabetes educator will be able to provide all the information regarding diabetes, to the patient and would help the patient in the self management of diabetes.(Zurich et al., 2003). Oral care professionals People suffering from diabetes bears greater chance of periodontal diseases such as dry mouth, gingivitis, thrush .Therefore a dental care doctor would be able to help the patient in managing oral health by frequent checkups such as once in every three months. (Maahs et al., 2010). Dieticians- The dieticians help to prepare proper diet chart for the diabetic patient. Since diabetes can be managed at large by controlling the food habits and proper exercises, a dietician is professionally qualified to prepare a suitable diet chart for the diabetes patient consisting of non -glycemic food such as fibers, proteins; switching the meal plan from white bread and flour to whole grain, bran, barley, oats and lots of vegetables and maintenance of the electrolyte balance in the body by the intake of oral fluids. Eye care professionals- They are responsible for taking care of the eyes, as eyes are largely affected due to diabetes. Persistently high blood sugar level can cause eye diseases such as retinopathy, muscular degeneration, cataract, glaucoma. (Maahs et al., 2010). It is advisable to have an eye check up at least once in every 6 months. Podiatrist- They mainly study disorders related to foot, ankle and lower extremities of the leg. James with diabetes can be vulnerable to nerve damage in his feet, so podiatrists will assess his general foot health and function. They educate him how to prevent feet problem and keeping him healthy. Foot ulcers can cause amputation, so for someone like James it is very important to check his feet regularly. The examination should be done every two to three months. The items to monitor and manage diabetes at home are as follows- Traditional home monitoring device-Blood glucose meters contain a test strip for taking the blood and a meter that will calculate the glucose levels (Orchard et al., 2015). Some glucose monitoring devices tests blood from other parts of the body other than finger tips, although the results are not much reliable. Continuous glucose monitoring system combined with insulin pumps. Monthly blood glucose monitoring diary A daily monitoring diaries to record the doses of the medications. Suitable syringes (4-5mm long) Injection aids such as automatic injectors or temporary injection ports (For those who are afraid of needles) Insulin pen (Prefilled pens- which are disposable insulin pens or Durable pens- they contain replaceable insulin cartridges) 6 National Diabetes Services Scheme (Australia) The National Diabetes Services Scheme (NDSS) is an initiative taken up by the Australian government in collaboration with the diabetes Australia (Rabi et al., 2006). The main aim of NDSS is to impart knowledge to the Australian regarding the self management of diabetes. They have also taken initiatives to support the people by providing timely care and management to the patients (Lee et al., 2013). Registering under NDSS helps the patient to access a wide range of service. For the member ship cost it is advisable to contact the territory organization. Registration to NDSS is free of cost and requires only one time registration (Lee et al., 2013). Eligibility criteria (Lee et al., 2013) The patient should be a resident of Australia. If someone is visiting from the other country, he should have a health agreement visa. The patient should have diabetes confirmed by a doctor. They should hold a Department of Veteran's affairs card or a Medicare card. One is not eligible to register if he has impaired glucose tolerance and pre-diabetes. References Atkinson, M. A., Eisenbarth, G. S., Michels, A. W. (2014). Type 1 diabetes.The Lancet,383(9911), 69-82. Barlow, J., Wright, C., Sheasby, J., Turner, A., Hainsworth, J. (2002). Self-management approaches for people with chronic conditions: a review.Patient education and counseling,48(2), 177-187. International Expert Committee. (2009). International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes.Diabetes care,32(7), 1327-1334. Jurik, F. A., Stubbs, A., Dao, M. D., Chang, C. (2000).U.S. Patent No. 6,162,397. 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