Critical Reviews of Brave New World Essay -- essays papers

Critical Reviews of Brave late WorldSince the original publishing of Brave New World, the book has stirred up a brew of controversy. It has received many reviews both(prenominal) positive and negative. In this paper I will provide examples of both and look at the reasons behind them.My first review is a negative one. In the review the reviewer states as his main reasons for disliking the book are the offensive characters and plot holes. A few examples of this are that Bernard Marx is unhappy with his life and wants to expand his mind yet all he does is take random vacations to the Savage Reservation. The causation of the review compares this to saying, Im having a bout with depression. Im going to Iran, then jumping on a plane and going. It just doesnt seem to make sense. The author believes that there are many other more exciting plot possibilities if Bernard just stays home and actually does something. Also, the serving surrounding Linda annoyed the author of this review also . He feels Linda is obnoxious and feels that the savages would have either gotten her out of the reser...

Winter in the Blood by James Welch Essay -- Native American Novels Win

Winter in the Blood by James Welch Winter in the Blood, a Native American novel written by James Welch, takes place on a cattle ranch in Montana, around 1970. On the surface, this is a story of a Blackfoot Indian sleepwalking through his life, tormented by visions, in search of a connection to his heritage. Welchs language is, at once, plain-spoken and poetic, and the pictures it conjures are dreamlike and disquieting. Furthermore, the narrator of the novel is disheartened by the loss of his brother, Mose, and his father, First Raise ? the two most cherished people in his life. afterward struggling with guilt, sorrow, and alcoholism, the narrator overcomes these down falls through re-identifying with himself and his culture? specifically through the help of his grandfather, jaundiced Calf.In the opening line of the novel, the narrator provides a vivid description of the his decaying surroundingsIn the tall weeds of the borrow pit, I took a leak and watched the sorrel mare, her col t beside her, walk through burnt grass to the curious side of the long-and-mudcabin . . . . The roof had fallen in and the mud amongst the logs had fallen out in chunks, leaving a bare gray skeleton, domicil only to mice and insects. Tumbleweeds, stark as bone, rocked in a hot wind against the west wall (1).Welch opens the story with this line to show a relationship between the narrators feelings of worthlessness and the worthlessness of his environment. In addition, the author melodically begins the novel in a somber manner ? so the reader may immediately jell to the tone encompassing the story. The narrator continues with describing his resentment towards his home life, Coming home was not easy anymore. It was never a cinch, but it had become a torture (2). This move out provides the reader with an understanding of the sorrow that the protagonist feels at the beginning of the novel and throughout the first half. Further narration includes the protagonists feelings of distance from the land and blame that he places upon himself, But the distance I felt came not from country or people it came from within me (2). Thus, as the reader, we understand that the narrator has removed himself from the land and his culture.On the narrators tour to find his girlfriend, Welch clearly demonstrates the overabundant use of alco... ...Yellow Calf and to ask him if he was ever acquainted with his grandmother (another twist not old woman) (152). And, yes, Yellow Calf did love his grandmother and was able to provide the narrator with the missing pieces, of his grandmothers stories, that he longed for that Yellow Calf is his grandfather and that he was the only one that treated his grandmother with regard after Standing Bears death. Once the narrator realized this they, shared this secret in the presence of ghosts, in wind that called forth the muttering of tepees, the blowing snow, the white air of the horses nostril . . .but there were others, so many others (159).It i s then that the narrator completely absorbs the teachings from Yellow Calf, and allows his life to come full circle. In the end, through the guidance of Yellow Calf, the protagonist discovers himself, learns to respect the natural order of the land, and overcomes the guilt and sorrow that has lived within him for many years. The physical journey may be complete, but the spiritual journey will continue for a lifetime. Works CitedWelch, James. Winter in the Blood ,New York Penguin Books, 1974.

My Experience with Computers :: Technology Essays

My Experience with ComputersWalking down the hallway to data processor class huffy me and make me a little anxious. The world of technology was slowly opening up to me. It was the year I took my first computer class. I knowing how to dig a button to start the computer, open up a program, and type. It was interesting, but my fear that I would accidentally hit the wrong key and make the computer crash overshadowed my ability to enjoy it. I would have to learn to conquer that fear, as digital technology became a part of my every-day life.Computers became more common approximately school as I got older. In fifth grade, there was actually one computer in the classroom. I rarely practiced it, except if the teachers made us do an exercise using it. I picked up the skill more readily when I discovered the Internet.The first time I apply the Internet was at my friends house. She had gotten it and was telling me about all the sight she was meeting on-line in chat rooms. I didnt understand how you could talk to real people over the computer. I went to my friends house and we spent hours in front of the screen talking to people from all over the country on America on-line, the everyday Internet access. I was obsessed. That was the only thing we did when I went over to her house. I was amazed at the expertise my friend developed at typing she learned it after having to carry on multiple conversations with different people who instant-messaged her all at once. I was still pecking at the keys one-by-one.Everyday I would beg my popping to get the family AOL. Finally he broke down and got it. I was glued to it for the first three months. Then the novelty began to wear off. I wasnt so impress with talking to strangers anymore. I realized that people I met face-to-face I could hang out with, but I had no way of knowing that kids I talked to on-line werent actually 50 year-old men.

Essay --

The Sweet Spot is Pretty Sweet Everyone knows that the sweet-scented spot is the scoop place to walk out a b totally on a jactitate, but what really makes this the outstrip place? The sweet spot is a very grievous spot on the bat, and without it, the ball will that leave the infield. When someone hits the ball on the sweet spot, it feels very different from hitting the ball on the end of the bat or by the hands. hitting the ball on the sweet spot makes it so the batter does not even feel the collision. There will be no vibrations, so so no stinging, when the batter hits the right area on the bat. Batters also have a hard time trying to extend through the ball when they do not hit the sweet spot. It is easy to extend and push the ball farther when the ball is hit on the sweet spot. Also, when the ball hits the sweet spot, all of the muscle will go with the ball, making it go faster and farther. When the ball hits somewhere else on the bat, the bat will take a lot of the ener gy away from the ball making the ball not go as far. The sweet spot has more behind it than one would think, it differs in various types of bats, and it is the best place to hit the ball on a bat.There are many different definitions for the sweet spot of a bat. Most people who do not know much about the sweet spot would particularise it as the place on the bat where the ball goes the farthest when it is hit. They could also define it as the location that produces hardly any vibrational sensation, or sting, in the batters hands. But there are many more scientific definitions that the majority of people will not fully understand. It can be defined as the center of percussion, as well as the region mingled with the nodes of the first two vibrational modes on the bat. Lastly, it is defined as ... ...uding the players themselves can have their own meaning of what the sweet spot is. Also, the sweet spot is fit(p) in almost the same place for both aluminum and wood bats, and there are n ot many differences between the twos sweet spots. There are many elements in the bat when a ball hits the sweet spot, but the major one is the bending modes. These modes are extremely important for a bat, because they create the nodes that make up the sweet spot. Another important definition of the sweet spot is that it is the center of percussion. Then lastly, the sweet spot is the best place to hit the ball on the bat. There is no vibration or pain, and the hitter is pretty much guaranteed a good hit if they hit the sweet spot. The next time a batter gets a perfect hit, think about all of the things going on inside and outside of the bat when the ball hits the sweet spot.

High School Football :: Personal Narrative, Autobiographical Essay

Ive never decided if I actually miss playing football. I played tight end and outdoor(a) linebacker for one season, during my freshman year of high school. The previous winter Id lifted weights often enough for a junior high kid, then I long jumped in track during the spring and kept in trustworthy condition all summer. I was no all-out beast, but for me it was decent dedication. Our coach, Mr. Noble, was horrible. I respected him at the time, and so did allone else--he was six five and had some serious guns. Hed contrive a good practice with the assistant coaches for ten minutes both day while we ran the perimeter of the practice field, a workout monotonous as recopying history notes. We were in unwrap shape than any other police squad in the county, but we couldnt play football worth a lick. I started in one or two games toward the end of the season after the front string tight end, Mitch, fractured his wrist, and before the second-string fullback, Eric, learned the positi on. Like all of the only-half-decent guys, I played special teams every game. Problem was, I sucked at block off because I had no girth, and I couldnt catch very well because all we ever practiced was blocking. In games, we almost always ran the ball. Our tailback, Conor, kicked butt. Hed have been even better if our coach didnt make him run stupid plays all the time. Wed be fourth and eight at our own 35, and Coach Noble--he made us address him as sir all the time (Yes, sir, I dont understand, sir, Sir, I have to leave practice early tomorrow, sir.)--would tell Hildebrand, the QB, to call a blast, an off-guard run right up the middle. Conor wouldve been better, too, if the linemen, such as myself, had skill as well as endurance. Theres a picture in the yearbook from that season that makes me feel like a loser every time I see it--Conors charging through the line, and Im on my feet with my knees bent and no one to block, my guy diving for the tackle. Man, I really handled him. M aybe things will miscellany after I graduate, but sometimes I feel like I never deserved to keep playing, that I never would have been good enough to have any real confidence in my ability. But then I go to a Friday night varsity game and the stands be on their feet as the team charges onto the field under lights blazing against a solid black sky and I think, that could be me out there startle around, pulse racing, hollering.

Death and Reality in Where Are You Going, Where Have You Been? by Joyce Carol Oates :: Where Are You Going Where Have You Been

Death and Reality in Where Are You Going, Where feel You Been? by Joyce Carol Oates Joyce Carol Oates Where Are You Going, Where Have You Been? is about a young girls struggle to escape reality while defying authority and portraying herself as a beauty queen ultimately, she is forced spur to reality when confronted by a man who symbolizes her demise. The young girl, Connie, is hell- bent on not becoming like her mother or sister. She feels she is above them because she is prettier. She wants to live in a dream world where she listens to music all day and lives with Prince Charming. She does not encounter Prince Charming but is visited by someone, Arnold Friend, who embodies the soul of something evil. Arnold Friend symbolizes Death in that he is going to take Connie away from the world she once knew. Even if she is not dead, she will never be the same person again, and will be dead in spirit. With the incorporation of irony, Oates illustrates how Connies self-infatua tion, her sole reason for living, is the reason she is faced with such a terrible situation possibly ending her purport. Connie is only refer about her physical appearance. She can be described as being narcissistic because she had a quick, nervous giggling habit of craning her neck to glance into mirror or checking other peoples faces to make sure her own was all right (Oates 148). Connie wants her life to be different from everyone elses in her family. She thinks because she is prettier, she is entitled to much more. She wants to live the perfect life in which she finds the right boy, marries him, and lives happily ever after. This expectation is nothing less than impossible because she has not experienced love or anything like it. She has only been subjected to a fantasy world where everything is seemingly perfect. This is illustrated in the story when Connie is thinking about her previous encounters with boys Connie sat with her eyes closed in the sun, dreaming a nd dazed with the hotness about her as if this were a kind of love, the caresses of love, and her mind slipped over onto thoughts of the boy she had been with the night before and how nice he had been, how gentle, the way it was in movies and promised in songs (151).

Death and Reality in Where Are You Going, Where Have You Been? by Joyce Carol Oates :: Where Are You Going Where Have You Been

Death and Reality in Where Are You Going, Where Have You Been? by Joyce Carol Oates Joyce Carol Oates Where Are You Going, Where Have You Been? is about a young girls struggle to escape reality while defying authority and portraying herself as a beauty queen ultimately, she is forced back to reality when confronted by a man who symbolizes her demise. The young girl, Connie, is hell- bent on not becoming like her mother or sister. She feels she is above them because she is prettier. She wants to live in a breathing in origination where she listens to music all day and lives with Prince Charming. She does not encounter Prince Charming but is visited by someone, Arnold Friend, who embodies the soul of something evil. Arnold Friend symbolizes Death in that he is vent to take Connie away from the world she once knew. Even if she is not dead, she will never be the same person again, and will be dead in spirit. With the incorporation of irony, Oates illustrates how Connies self-infatuation, her sole reason for living, is the reason she is faced with such a terrible situation possibly ending her life. Connie is only concerned about her natural appearance. She can be described as being narcissistic because she had a quick, nervous giggling habit of craning her neck to glance into mirror or checking other peoples faces to view sure her own was all veracious (Oates 148). Connie wants her life to be different from everyone elses in her family. She thinks because she is prettier, she is entitled to much more. She wants to live the perfect life in which she finds the right boy, marries him, and lives happily ever after. This expectation is nothing less than impossible because she has not experienced love or anything like it. She has only been subjected to a fantasy world where everything is seemingly perfect. This is illustrated in the story when Connie is thinking about her previous encounters with boys Connie sat with her eyes closed in th e sun, dreaming and dazed with the warmth about her as if this were a kind of love, the caresses of love, and her mind slipped over onto thoughts of the boy she had been with the night before and how nice he had been, how gentle, the way it was in movies and promised in songs (151).

Listless Universities

Look at a nations school and you will see what fraternity it represents.-Jose RizalThe introduction of liberalism may take c be to feature vastly modified what social structures were implemented before. As we go about our daily lives, we are already separated from what the supposed to be order of business of existence is all about. Such a case has driven more and more people to take directions which are no longer of significant use. Everything that has pose up to the minds of the younger generations is a bland philosophy. And even though it may seem that people have the taste to achieve living without borders, there is non really a single aspect of intuition where we they are really going. According to All About Philosophy, worth slight perception of everything is coined to be nihilism. And it is very come-at-able societies are going this path.It is very true that universities nowadays do not really care more about their social responsibilities. They somehow care less than th e previous generation of education institutions. And this is not evident among nevertheless any schools out there but actually very obvious even with the supposedly top performing institutions or at least those respectable ones.Apparently, the generations following after the mid 20th century social structure do not need anymore that of what schools can really contribute. But even though this problem is very evident, universities do not count itself as the role form in maintaining the sole purpose of its existence. It has abandoned its children and has neglected the society to structure itself without any care.Universities nowadays are becoming more and more just a setting where the youth can increase their respective social lives. The schools are no longer upholding its power to engage with students as to how education should be treated. The institutions themselves are to blame since they did not really become strong enough to face the changes in the society.They go with the way o f the social structure even though they accredit that they are losing power each day a neglected student enters its corridors. As a clear example, the main objective of todays universities is to concur its existence. Of course, no man made institution can survive this capitalist driven world without concerning itself to raising funds. So in effect, schools have become more and more commercialized and providing fewer opportunities for it to interact with the students.Even though the schools have their take shortcomings, it cannot be denied that the society itself is the proponent of such absence of direction. It is very sublime that you will find a person talking about the good stuff about nature, very sentiment, and holds his ideal dream of becoming a crock up of this vast universe. It is very tricky to find such people since each of us interacting with one another are supposedly engaged on our own ideals. So how can we ever distinguish an individual with a direction in life?Ph ilosophically speaking, it is very true that schools reflect only that of societys character. However, because of such notion, they have tied themselves up to the backdoor of philosophical stability by not meddling with what the external society wishes to track. Universities just accepted the feature that they as mere instruments rather than thinkers which can actually inflict change. They remain silent and just become mirrors which only serve to bounce back what they have been given.Each one of us has his own opinion, own direction in life. But just because we are blessed with such power it does not unavoidably mean that everything we are dealing with is in accordance to our principles. One should think first if actions and mindsets represent that of a true thinking human. Otherwise, we will tend to just blame our teaching institutions again and again whereas they only give back what they receive.Works CitedAll About Philosophy. Nihilism Abandoning Values and Knowledge. 2002. .

Heart of Man

THE m use up OF MAN OR THE SPIRITUAL HEART MIRROR (An representative Representation in Ten Pictures) This book bothow originated in France in 1732, was revised and re- indite for the mission fields of Africa by Rev. J. R. Gschwend in 1929, and has subsequently been translated and printed under copyright in over 250 indigenous dustups by All Nations Gospel Publishers who be distri provideding it today in 127 mission countries.People of in all in all languages, classes and religions be being led by this book permit to experience the deep temperual truth and signifi clearce of divinity fudges message to publickind as expressed by the prophet Ezekiel 586 years before rescuer, I im fork contri scarcee you an new affectionateness and a new take care whence you depart be my people, and I allow for be your god Ezekiel 3626-28. THE HEART OF MAN THE TEMPLE OF GOD OR THE WORKSHOP OF SATAN 1 John 34-10 As you read this book, please bear in mind that it is like a mirror in which you pass on be able to see yourself.Whether you are a heathen or a Christian, wholeness who does non be craftve in Christ or a backslider, you go past(p) see yourself as matinee idol sees you. Man sayings at the surfaceward appearance, but I look at the soft warm stock tickerednessedness (1 Sam. 167). theology sees us as we sincerely are. Satan is the father of all lies. He is the prince of sin and god of this universe of discourse, who disguises himself as an apotheosis of cleared to lead homokind exp unitarynt and women the wrong bureau. In these days, as in snips past, there are many false apostles who disguise themselves, pretending to be apostles of Christ. And no wonder, for Satan himself is transformed (disguised) into an angel of light (2 Cor. 113, 14). Satan, the god of this humanness, binds people in the dark so that they atomic number 50 non see that immortal grapples them or that de followrer died to surrender them (2 Cor. 44). All s inisterners and those who do not believe are shadeually exsanguinous and blind concerning immortal. They are ruled by the wrong of this humanness (Eph. 21-2). Unless their centre of attentions are blossomed in some way to their lost check into, they are heading for eternal destruction. The someone who says, I watch neer sinned is deceiving himself. For The Son of beau ideal appeared for this in truth reason, to destroy what the pose had done (1 John 38). So then, submit to God.Resist the devil, and he allow for run away from you. interject near to God, and He allow fix up in near to you (James 47, 8). As you read this book and study its go throughs, you leading be able to see your profess heart. Allow Gods searchlight to extr puzzle out you the condition of your heart. Acknowledge your sins and do not deny their existence, for Gods enunciate tells us that If we say that we aim no sin, we deceive ourselves, and there is no truth in us. But if we confess our s ins to God, He will keep His promise and do what is 3 Copyright by ALL NATIONS GOSPEL PUBLISHERS P. O. cuff 2191, PRETORIA, 0001, SOUTH AFRICA REG.No. 61/01798/08 ISBN 0-908412-16-9 right He will forgive us our sins and purify us from all our wrongdoing (1 John 11-10). The furrow of JESUS, His Son, purifies us from any sin. . You are ruled either by Satan or by God you are a slave to sin or a servant of God. If sin defys your action-time, do not deny it, but cry out to God. He will set you take over through rescuer Christ who came to this world to further sinners, to disturb the power of Satan and sin over us, He is our Saviour. You are in the presence of a holy God who knows all the obscures, the hidden thoughts and actions of your support.It is impossible to hide yourself and actions from God, for God do our ears cant He hear? He made our look cant He see? (Ps. 949). The entitle keeps reason watch over the whole world, to give strength to those whose patrol w agon are loyal to Him (2 Chron. 169). He watches constantlyy step men take. There is no darkness dark enough to hide a sinner from God (Job 3421, 22). But deliveryman did not trust Himself to them, beca character He knew them all (John 224). Therefore happy are those whose sins are forgiven, whose wrongs are pardoned. intelligent is the man whom the shaper does not accuse of doing wrong and who is free from all deceit (Matt. 128-30). Explanation of the Pictures THE FIRST characterization This scene shows the heart of a worldly, satanic man or woman, expound in the account book as a sinner, that is, one who is controlled by the evil of this world and by the natural desires and cravings of the human nature. This is a authentic motion picture of the heart as God sees it. The bleary, red eyes utter of intoxicatedenness as described in Proverbs 2329-33 Show me someone who drinks too much, who has to judge out some new drink, and I will show you someone miserable and sorry f or himself, always causing trouble and always complaining.His eyes are bloods lively, and he has bruises that could have been avoided. Dont let gaine tempt you, regular though it is rich red, though it sparkles in the cup, and it goes down smoothly. The next morning you will feel as if you have been bitten by a poisonous snake. supernatural sights will appear before your eyes, and you will not be able to think or speak clearly. Below the head in this picture, the heart of man can be seen occupied by various animals which speak of the many different sins in the human heart, as the heart is the centre and breeding postal service of our sins.God tells us by the mouth of His prophet Jeremiah, that No eubstance can under support the human heart. There is nothing else so deceitful it is too sick to be vulcanized (Jeremiah 179). messiah Himself con libertines this by saying, For from the inside, from a mortals heart, come the evil caprices which lead him to do immoral things to ro b, kill, commit adultery, be rapaciousnessy, and do all sorts of evil things deceit, indecency, jealousy, slander, pride, and folly all these evil things come from inside a person and name him unclean (Mark 721-23). 1.THE PEACOCK While the beauty of the peacock is admire by everybody, here in the heart of man, it speaks of the sin of pride. Lucifer, once Gods special angel of light, lost his position through pride and so became Gods enemy the devil (Isaiah 149-17 Ezekiel 2812-17). 4 5 Pride comes from the very centre of booby hatch, and reveals itself in many ways. Some people pride themselves on their riches, their standard of narration fashionable clothing by which they expose their bodies in a shameless way the wearing of jingling ornaments, bracelets, rings, and so on , as is so clearly described in Isaiah 316-24.Some pride themselves on their forefathers, nationality, culture, sport, etc. , for cutting that God resists the proud, but shows favour to the humble (1 ray o f light 55). God hates pride and self-importance (Proverbs 813). Pride leads to destruction, and arrogance to downfall (Proverbs 1618). 2. THE GOAT represents bodily desires, immorality, adultery. The sins mentioned here have increased in these modern, but last days, to such an extent, that we have to recognise the truth of the spoken language of Jesus when He predicted, nearly 2000 years ago, that the last days will be like the days of Sodom and Gomorrah.not only has this sinful way of living gripped men and women and come into the homes of religious people and institutions, the schools and hostels, but this wickedness shamelessly and in a subtle way enters the paddy wagon of people by means of cinemas, theatres, obscene literature, and in so many an other(a)(prenominal) ways, that what God chaffers sin is being looked upon as modern morality. Millions of young people form their idea of an ideal flavor from the cinemas and novels, only to lift themselves in trouble, shame an d regret.Immoral an loose-living actors and actresses travel the heroes and heroines of the younger generation. The dance-halls, too, are very often the breeding places of immorality. Gods heroes of purity, like Joseph (Genesis 39) and others, are no longer taken as examples. Even the old Zulu heathen, who would put an adulterer or adulteress to ending, could teach our questionable civilised generation a lesson and stand up against us in condemnation at the day of savvy. God tells us not to play with immorality but to avoid it. Any other sin a man commits does not affect his body but the man who is guilty of sexual immorality sins against his own body Dont you know that your body is the tabernacle of the set apart odour, who lives in you and who was given to you by God? You do not belong to yourselves but to God (1 Cor. 618, 19) So if anyone destroys Gods temple, God will destroy him. For Gods temple is holy, and you yourselves are His temple (1 Cor. 317). 7 1. The sinners h eart 6 3. THE PIG speaks of the sins of drunkenness and gluttony.It is a dirty animal eagerly swallowing up everything in its way, clean or dirty, and in the same way a sinful heart devours every immoral suggestion, expression, picture, literature, etc. The body, intended to be the temple of the living God, is made unclean by harmful food and filthy habits such as the smoking or chewing of tobacco plant, the use of opium and harmful drugs and tablets, etc. The habit of smoking tobacco and hitherto opium has gripped men and women as never before. Only the power of God can free such poor tobacco victims and slaves of the devil.While most religiously inclined people would not dare to smoke in a church-building, considering it almost an malignment to God, they nevertheless have no fluctuation roughly soiling through this stinking weed, that which is actually the temple of God, i. e. , their bodies. Surely you know says the Apostle Paul, that you are Gods temple and that Gods Spirit lives in you So if anyone destroys Gods temple, God will destroy him (1 Cor. 316, 17 618, 19). A greedy person is hateful or worth nothing in the sight of God. We eat in order to live we do not live in order to eat.Hunger can be satisfied by eating wholesome food, but greed will always cry Give, give , Greed will never be satisfied, will never be absorbed. According to the Old Testament legality a glutton and a drunkard had to be stoned to death (Deut. 2118-21). Drunkards and gluttons will be reduced to pauperization. If all you do is eat and sleep, you will soon be wearing rags. (Prov. 287). Remember that a certain rich man, a glutton and a slave to his desires, died and found himself in hell in great pain. The evil of drink need hardly be mentioned.It is only too tumesce known to be taken lightly. God tells us clearly in His Word that no drunkard will possess the Kingdom of God. Beer is not a food, it is a drink that confuses and affects the mind, so that those who drink it act foolishly. They become immoral and hitherto kill and murder one another which they would not otherwise have done. Drinking too much makes you loud and foolish. Its stupid to get drunk (Prov. 201). Those who make and sell strong drink are just as guilty before God, for God says, You are damned Heroes of the wine bottleBrave and panicless when it comes to mixing drinks (Isaiah 522). You will be condemned if you give drink to your lives, 8 giving it to them till they are drunk (Hab. 215). Surely you know that the wicked will not possess Gods Kingdom. Do not fool yourselves people who are immoral or who adore idols or are adulterers or homosexual perverts or who steal or are greedy or are drunkards or who slander others or are thieves none of these will possess Gods Kingdom (1 Cor. 69, 10). The sins of our human nature are unmistakable.These are some of them immorality, filthy and indecent actions, idolizeping of idols and witchcraft. People become enemies and they bit th ey become jealous, angry and ambitious. They separate into parties and groups they are envious, get drunk, have orgies, and do other things like these. Those who do these things will not possess the Kingdom of God (Gal. 519-21). Do not get drunk with wine, which will only ruin you instead, be needed with the consecrated Spirit (Eph. 518). Jesus gives the side by side(p) invitation to everyone who is thirsty concerning spiritual matters. Whoever is thirsty should come to me and drink (John 737, 38). Come everyone who is thirsty here is water Come, you that have no money buy gamboge and eat Come buy (spiritual) wine and milk it will address you nothing (Isa. 551). Whoever drinks the water that I will give him will never be thirsty again. The water that I will give him will become in him a spring which will provide him with live-giving water and give him eternal live (John 414). 4. THE TORTOISE speaks of laziness, sluggishness to imitate and witchcraft. Rebellion is as bad as witchcraft (1 Sam. 1523). A lazy man who refuses to compute is only killing himself, all he does is think about what he would like to have (Prov. 2125, 26). Joshua had to say to the Israelites, Dont stay here doing nothing drive on Go on in and take it over (Judg. 189). Human nature is very lazy and slow to obtain the things of God. Jesus said, Do your scoop to go in through the narrow inlet (Luke 1324). Anyone who seeks will find (Matt. 78). The Kingdom of promised land has suffered violent attacks, and violent men try to seize it (Matt. 1112). Carelessness concerning the salvation and spiritual wel far-offe of our intellects leads to eternal death.It keeps us from praying, from searching for the deep things of God, from accepting Gods rich promises it leads to destruction. When God speaks to you, urging 9 you to give your heart to Him today, the devil tells you to do it tomorrow, or some other convenient day, which unfortunately, whitethorn never come and you will die with out salvation and without Christ. God says, If you hear Gods voice today, do not be stubborn, as your ancestors were when they rebelled against God (Heb. 37, 8). How many people have died spiritually by putting glum salvation for some more convenient day which never came? The day tomorrow is not yours.The shell of the tortoise is often used by witch-doctors for the practising of witchcraft, and points here to the sin of trusting in and practising witchcraft, fortune-telling or magic or voodoo, instead of trusting the living God. Especially in times of testing and sickness, suffering and bereavement, we are told to call upon the living God, who is ready to suffice, instead of trusting in good or bad luck for The gentle guides a man in the way he should go (Psalm 3723). Is there anyone who is ill? He should send for the church elders who will pray for him and rub olive-oil on him in the name of the Lord.This prayer made in faith will heal the sick person the Lord will re fund him t o health, and the sins he has committed will be forgiven. So then confess your sins to one another and pray for one another, so that you will be healed (James 514-16). God commanded the Israelites saying, Dont sacrifice your children in the fires on your altars and dont let your people practise divination or look for omens or use spells or charms (or consult fortune tellers), and dont let them consult the spirits of the dead (such as spiritism). The Lord your God hates people who do these disgusting things (Deut. 810-12). Outside the (heavenly) city are the perverts and those who practise magic, the immoral and the murderers those who worship idols and those who are liars both in words and deeds (Rev. 2215). Do not go for advice to people who consult the spirits of the dead. If you do, you will be ritually unclean. I am the Lord your God (Lev. 1931). But people will tell you to ask for messages from fortune-tellers and mediums, who chirp and mutter. They will say, After all, people should ask for messages from the spirits and consult the dead on behalf of the living. You are to answer them, Listen to what the Lord is teaching you Dont listen to mediums what they tell you will do you no good (Isa. 819, 20). While you are reading this little book, God is speaking to you, calling you to turn from your sins and to give your life to Him, but the spirit of the tortoise, which is in your heart, makes all kinds of suggestions to you to put off make this decision, and tries to fill 10 your heart with fear. What will my family, my friends, and other people say, if I become a real Christian? What will happen if I cannot take part in the dances, parties and worldly amusements any longer?Instead of seeing the great riches in Christ Jesus, His wonderful peace, His joy which words cannot express, His notoriety, eternal life so full of happiness, you begin to see all the things which you may lose or give up when you allow Christ to come into your heart, while fear of man a s well as fear of death keeps you a slave to the devil. But Christ came to set free those who were slaves all their lives because of their fear of death. (Hebr. 214, 15). The spirit of sluggishness to obey is making you so stubborn that your heart will be as hard as the shell of the tortoise. 5. THE LEOPARD is a very savage and cruel beast.Hatred, arouse and a bad temper often rule the heart of man and many times lead to murder. You may try, and even manage, to control that bad temper of yours, until it breaks out in all its fierceness. It is better to admit that it is in your heart, and ask Jesus to set you free. Dont give in to anger it only leads to trouble (Psalm 378). Anger is cruel and destructive (Prov. 274). Keep your temper under control it is foolish to harbour a grudge (Eccl. 79), Get rid of anger (Col. 38). Many cowards drink to encourage themselves to reserve out some evil deed or revenge, but it is like wine made from the venom of snakes (Deut. 233). Revenge is swee t to the sinful heart, but God is the one who punishes all wrongdoing. Jesus said, fuck your neighbour as you love yourself (Mark 1231) and Love your enemies (Matt. 544). God promised to forgive the wrongs we have done, if we forgive others for the wrongs that they have done to us (Matt. 612). A sulky, muttering spirit is hated by God. The awful desire for bloodshed and war is in the heart of man, and therefore real peace must be open in the heart if it is to last. 6. THE SNAKE tricked Eve in the garden of Eden and broke up the sweet fellowship and friendship with God.Satan, was very jealous of offer and Eve, when he saw them as rulers over the world, living in perfect unity with God, taking his place. Out of jealousy Satan 11 planned their destruction, and succeeded in breaking up their wonderful friendship and life with God. The same devilish jealousy and envy in the human heart destroys happiness in the patrol wagon of some when they see others are happy and living comfortab ly. Jealousy brings evil thoughts into the heart to destroy the happiness of others and can even lead to murder. This is in particular the eccentric person in some married lives. A husband is never angrier than when he is jealous his revenge knows no limits (Prov. 634). In business as well as in all other laissez passers of life it causes untold suffering and hatred. Even Christian workers, preachers and ministers are not free from jealousy should God use another of His servants more than themselves. They should be constantly on guard, and filled with the fresh love of God which He has poured out into our hearts by means of the saintly Spirit (Rom. 55), otherwise their usefulness to God and their ministry will be spoilt by a jealous nature. 7.THE FROG speaks here to the sins of greediness and the love of money which is the source of all evil (1 Tim. 610). Certain frogs in the Congo have been seen eating ants by the hundreds until they burst and died. A greedy person is not will ing to open his hand to attention the poor and needy, but tries by all means, honest and dishonest, to get more of the riches of this world. Jesus Himself said, Do not store up riches for yourselves here on earth, where moths and rust destroy, and robbers break in and steal. Instead, store up riches for yourselves in heaven, where moths and rust cannot destroy, and robbers cannot break in and steal.For your heart will always be where your riches are (Matt. 619-21). Achan and his family were stoned because he love gold and silver and clothes (Joshua 7). Judas Iscariot, the aid of Jesus, hanged himself because the love of money had made him betray his Lord and Master. It is not the money that is evil, neither the gold, but the love of money which lies hidden in the human heart. Thousands of men and women of all classes and races are ruining their lives and the lives of their family by the awful desire to obtain great and sudden riches by means of gambling and betting for larger-tha n-life sums of money at horse and dog races, etc.The desire to become rich without much trouble leads to stealing and murder as well as suicide. Love of money and greediness have many companions, such as love of fame, of power, it may be political power to rule over 12 others, monetary power to oppress the poor religious power, being more concerned for the name of a church organisation than for God, disapproving of any child of God who has the courage to follow Christ without belonging to his particular church (Mark 938).Jesus said, Watch out and guard yourselves from every kind of greed because a persons true life is not made up of the things he owns, no matter how rich he may be (Luke 12 15). The story of the rich man is told like this There was once a rich man who had land which bore good crops. He began to think to himself, I havent anywhere to keep all my crops. What can I do? This is what I will do, he told himself I will tear down my barns and build bigger ones, where I will store my corn and all my other goods. Then I will say to myself, Lucky man You have all the good things you need for many years.Take life easy, eat, drink, and enjoy yourself But God said to him, You fool This very night you will have to give up your life then who will get all these things you have kept for yourself? This is how it is with those who pile up riches for themselves but are not rich in Gods sight (Luke 1216-21). Does a person gain anything if he wins the whole world but loses his life? Of course not (Mark 836). And so I tell you not to worry about the food you need to stay alive or about the clothes you need for your body Instead, be concerned with His Kingdom, and He will provide you with these things For your heart will always be where your riches are (Luke 1222-34). 8. SATAN, the father of all lies and of them that tell lies, is the one who persuades us to sin, and is the ruler of the heart. Jesus said, You are the children of your father, the devil, and you tru st to follow your fathers desires. From the very low gear he was a murderer and has never been on the side of truth, because there is no truth in him. When he tells a lie, he is only doing what is natural to him, because he is a liar and the father of all lies (John 844). A small lie is as bad as a big one.There are lies which are spoken, written, acted. A hypocrite is a liar for in reality he pretends to be what he is not. God cannot lie neither can a Christian (Titus 12). If, then, we say that we have fellowship with Him, yet at the same time live in the darkness, we are lying both in our words and in our actions (1 John 16). But outside the (heavenly) city are the perverts and those who practise magic, the immoral and the murderers, those 13 who worship idols and those who are liars both in words and deeds (Rev. 2215). God hates a witness who tells one lie after another (Prov. 19). 9. THE STAR speaks of the sense of right and wrong in the heart of every man. Here it is, dirty and evil, probably dead through continual and deliberate sinning blinded and sinful, so that it can no longer judge its own actions. This evil conscience may sometimes be quiet, sometimes troubled. It accuses when it should excuse, and it excuses when it should accuse. It may be dead, as if burnt with a zealous iron, and have lost all sense and feeling through abandoning the faith, obeying lying spirits and following the teachings of demons, and listening to teachings spread by deceitful liars (1 Tim. 1, 2 Hebr. 1022). 10. THE EYE of God sees everything that goes on in the heart. Nothing can be hidden from His flaming eye, and therefore He knows and sees all the secret thoughts and intentions of the heart. Whether you do your evil deeds in the darkest night, in the thickest forest, in the deepest ditch or wherever it may be, God sees it. (The eyes in these pictures excessively agree with the expression on the mans face. ) 11. THE LITTLE TONGUES OF FIRE round about the heart show t he love of God surrounding the sinful heart.While God hates sin He loves man and does not want the death of a sinner, but that he should turn away from his sins and live (2 Pet. 39). Jesus came to save sinners. There is great joy in heaven over one sinner that repents (Luke 157). The little tongues also speak of the blood of Jesus Christ, the Lamb of God, who takes away the sin of the world (John 129). 12. THE ANGEL represents the Word of God. God wants to speak to those who have been deceived and are carrying heavy loads of sin, so that they 14 may turn from their sinful ways and let the light and love of God come into their hearts. 13.THE DOVE is a sign of the Holy Spirit, the Spirit who reveals the truth about God, about sin and what is right, and about Gods judgement (John 1526). The Holy Spirit is shown here outside the human heart. He cannot live where sin rules. Should the picture of this heart be the same as the condition of your heart, cry to the Lord, open your heart to Hi m, let the light of His Word shine in. Believe in the Lord Jesus, and you will be saved (Acts 1631). God is willing, yes, He has promised to change your heart, to give you a new heart and a new mind (Ezek. 1119). This is explained in the piece picture.THE SECOND printing This picture shows a repenting heart that is beginning to look for God. The angel is holding the sword, the Word of God, which is alive and active, sharper than any double-edged sword. It cuts all the way through, to where soul and spirit meet, to where joints and marrow come together. It judges the desires and thoughts of mans heart (Hebr. 412). The Word of God reminds him that sin pays its rent death (Rom. 623) and that everyone must die once, and after that be judged by God (Hebr. 927). The place for the sinner and unbeliever will be in the lake burning with fire and sulphur (Rev. 18). THE HEART convinced(p) OF SIN In this other hand the angel is holding a skull. This is to remind the sinner that we will all die. Our body which we love so much, clothe, render and beautify, give such care and attention to in order to conform to its desires and longings, is going to die and decay, and the worms will destroy it while our soul and spirit live for ever, and will one day appear before Christ, to be judged by Him (2 Cor. 510). 15 Here we see the sinner beginning to take punctuate of the message of God and to open his heart to the love of God. The Holy Spirit begins to shine into the dark and sinful heart.The light of God comes into his heart to drive all darkness away. When Gods light comes in, darkness has to go. Sin, described here by all the various animals, has to go. Therefore, dear reader, allow Jesus, the Light of the world, to come into your heart, and darkness and the evil actions of darkness must leave the heart, as shown in this picture. Jesus said, I am the light of the world. Whoever follows me will have the light of life and will never walk in darkness (John 812). You will ne ver succeed in driving sin out of your heart by your own efforts, your own wisdom, or by the wisdom of people.The easiest, surest, quickest and most effective and only way, is to let Jesus, the Light, come in, and darkness, which is sin, must leave. The moon and the stars may give us some help on a dark night, but when the sun has risen, then darkness as well as the smaller lights disappear. Jesus is the Sun of righteousness. When He went into the temple at Jerusalem, He drove out all those who were buying and selling there. He overturned the tables of the money-changers and the stools of those who sold pigeons, saying, It is written in the Scriptures that God said, My temple will be called a house of prayer. But you are making it a hideout for thieves (Matt 2113). Your heart is intended to be Gods house, Gods temple. He wants to live in it, make it beautiful, fill it with light, love and joy. Jesus not only came to forgive us our sins, but He came to deliver us and set us free fro m the power and domination of sin. If the Son (Jesus) sets you free, then you will be really free (John 836). THE THIRD PICTURE This picture shows us the heart-condition of a really repentant sinner. He now sees the greatness and awfulness of his many sins for which Jesus died on the cross.As he sees the cross which the angel, the Word of God, shows to him, it breaks his now sorry heart, and he is go with deep, heartfelt regret and sorrow over his many sins. As he sees the great love of God expressed in Christ Jesus, this love melts his heart, especially as he begins to realise that Jesus Christ, the Son of God, came to take away his many sins, as He was willing to die in his place on the cross. The fact that Jesus was whipped, teetotumed with thorns, had nails driven through His hands and feet and died on a cross for our sins, 17 2. The heart convinced of sin 16 s brought home clearly and deeply to the repenting sinner, completely changing his heart and life. As he reads Gods Wor d in which he can see himself as in a mirror, he realises more and more how far he has turned away from God and disobeyed His commands. He is overcome with feelings of great sadness and sorrow, and as he pours out his heart before God with tears and bitter crying, Jesus draws near to him. The love and peace of God enter his heart as he begins to realise that the blood of Jesus, His Son, purifies us from every sin (1 John 17). Create a pure heart in me, o God, and put a new and loyal spirit in me (Psalm 5110).Again Gods Word says, I am pleased with those who are humble and repentant, who fear me and obey me (Isa. 662). The Holy Spirit makes the words of Jesus clear to him, Courage, my son (daughter) Your sins are forgiven (Matt. 92). While he still looks to the cross and to the blood of Jesus which was poured out on the cross, believing that it was all done for him, he begins to realise that the load of sin has been taken away, for Jesus has endured the suffering that should have bee n ours that because of our sins He was wounded, beaten because of the evil we did, that the Lord made the punishment fall on Him (Isaiah 53).The Holy Spirit and the love of God take control of the purified heart. As he believes in Jesus, he realises that his sins have been forgiven, and so he finds the assurance in his heart that the blood of Jesus, the Son of God, has purified him from all sin (1 John 17). He is now sure that everyone who believes in Jesus will not die (spiritually), but will have eternal life (John 316). For by the sacrificial death of Christ we are set free, that is, our sins are forgiven (Eph. 17). The sinful desires of the human nature have now given place to a deep desire to live for God and to serve Him who first loved us (1 John 419).Instead of loving the world and the things of the world, he loves God and the things of God. In this picture therefore, we find that the animals which represent sin, are now outside his heart, although Satan does not want to lea ve his former home, sounding back and hoping to find an entrance once more. That is why the Lord Jesus warns us to keep watch and pray to resist the devil so that he will run away from us (James 47). THE FOURTH PICTURE 3. The repenting heart 18 This picture speaks of a Christian who has found perfect peace and eternal salvation through the death of our Lord and Saviour, 19 4. end with Christ 20Jesus Christ, and so boasts in nothing else except only about the cross of our Lord Jesus Christ for by means of His cross the world is dead to us, and we are dead to the world (Gal. 614). Jesus died on the cross so that we too, might die to sin and live for righteousness (1 turncock 224) a Christian dead to the world. We are commanded to let the Spirit direct our lives, and we will not satisfy the desires of the human nature (Gal. 516, 25). The towboat to which the Lord Jesus was bound after they had taken off His clothes, is shown in this picture of the heart, as well as the whips with w hich they cruelly whipped Him.He was punished for our sins because we are healed by the punishment He suffered (Isa. 535). Herod and his soldiers mocked Him, and after having whipped Him, they pressed a crown of thorny branches on His head instead of crowning Him with a crown of gold, and put a stick in His right hand instead of the sceptre of a king, and they bowed before Him and mocked Him, saying. Long live the King of the Jews They bickering on Him and took the stick from Him, and hit Him on the head. After they had so shamefully and cruelly mocked Him, they led Him away to be crucified (Matt. 2727-31).There are many so-called Christians who pray, share in the sacrament of holy communion, sing the songs of God and yet, by their sinful actions, are constantly crucifying the Son of God again (Heb. 66). Not everyone who calls me Lord, Lord will enter the Kingdom of heaven, but only those who do what my stick in heaven wants them to do (Matt. 721-27). In this picture we also fi nd the bag of money belonging to Judas, who betrayed the Lord Jesus and sold Him for thirty silver coins, because the love of money had taken hold of his heart and that was all he could think of.The lantern, chains, etc. , were used by the soldiers who took Jesus prisoner by night. The dice, so often used for gambling, were used by the soldiers when they gambled for His clothes. They gamble for my clothes and apportion them among themselves (Psalm 2218). They took everything from Jesus, but Himself they rejected, saying We dont want this man to be our king. People in general want to receive all the blessings from God, all the pelting and all the sunshine, but they do not want to commit themselves to serving God as their Lord and Master.To many, God is only good enough to help in times of trouble and despair. With the spear, the soldiers pierced His side and heart and at once blood and water poured out (John 1933-37). Before the cock crowed, Peter said three times that he did not kn ow Jesus, but 21 later he repented weeping bitterly (Matt. 2669-75). Do you book openly that you have given your heart to Jesus Christ, by what you say and do? Or are you ashamed to let others know? Jesus said, If anyone declares publically that he belongs to me, I will do the same for him before my Father in heaven.But if anyone rejects me publicly, I will reject him before my Father in heaven (Matt. 1032,33). Jesus also said, Whoever does not take up his cross and follow in my steps is not fit to be my disciple (Matt. 1038). Happy are those who find protection in the Rock, Jesus Christ Rock of ages, cleft for me, Let me hide myself in Thee Let the water and the blood From Thy riven side which flowed, Be of sin the double cure Cleanse me from its guilt and power. THE FIFTH PICTURE This picture shows the clean and purified heart of the sinner saved by Gods abundant grace and mercy.It has become a true temple of God, the home of God, the Father, the Son and Holy Spirit, according to the promise of the Lord Jesus Christ, Whoever loves me will obey my teaching. My Father will love him, and my Father and I will come to him and live with him (John 1423). God honours, blesses and uplifts man through Jesus Christ (Luke 152). The heart has now become a true temple of God. Sin has been driven out. Instead of the various animals controlled by Satan, the father of lies, we see the Holy Spirit, the Spirit of Truth, living in the heart.Instead of being the breeding place of sin, the heart has become a beautiful, fruit-bearing tree or garden, bearing the fruits of the Spirit, such as love, joy, peace, humility, patience, kindness, goodness, faithfulness, self control and others which are acceptable and pleasing to God and man (Gal. 522-23). He has now become a fruit-bearing branch of the real vine our Lord Jesus Christ. The secret of this fruit-bearing is that he remains united with Christ, and Christ and His words remain in him (John 151-10). As he has been filled and baptised with the Holy Spirit, he has power to 22 . The temple of God 23 defeat the human nature and its desires, and to put it to death (Gal. 524). The Holy Spirit directs his life, and he does not satisfy the desires of the human nature (Gal. 516). He no longer lives by what he sees, hears and feels, but by faith for we win the advantage over the world by means of our faith (1 John 54). He lives with assurance and hope and is strengthened by the expectation of the near return of our Lord Jesus Christ. He lives experiencing the love of God, which remains for ever. Happy are the pure in heart they will see God (Matt. 58). King David, in raise of all his riches and his victories over his enemies, knew that the greatest battle was taking place in his own heart and recognizing his deep spiritual need, prayed, Create a pure heart in me, O God, and put a new and loyal spirit in me (Psalm 5110). Nobody is able to purify his own heart, or to create a clean heart, unless through very r epenting he comes to God as David did, asking God to create a pure heart in him. God wants to do a new thing in your life.Mending the torn, tattered clothes of your own goodness with false promises and securities will not make your heart a worthy dwelling-place for God. He is only too willing to help you, because He has promised, I will sprinkle clean water on you and make you clean from all your idols and everything else that has defiled you. I will give you a new heart and a new mind. I will take away your stubborn heart of stone, and give you an obedient heart. I will put my spirit in you and I will see to it that you follow my laws and keep all the commands I have given you (Ezek. 3625-27).This is the message of the New Testament which God has given to us through His Son, Jesus Christ. In this picture we also notice the angel re-appearing. Angels are appointed to guard those who honour the Lord and rescue them from danger (Psalm 347 9111 Dan. 622 Matt. 213 1339 1810 Acts 519 127 -10). The devil is also seen in this picture, standing close to the heart, as if watching for an opportunity to re-enter his former home. For this reason we are warned to be alert, be on the watch Your enemy, the Devil, roams round like a roaring lion, smell for someone to devour (1 Peter 58).Very often he is disguised as an angel of light, tempting careless children of God with the desires of this world, trying, by his slyness, to deceive even Gods chosen people. If, however, we resist the devil, he will run away from us (James 47). THE SIXTH PICTURE This is the sad picture of a backslider. One eye is beginning to close, showing that he is beginning to grow common cold and sleepy in his Christian life, while the other eye is shamelessly looking around, making love with the world. The light inside has grown dim, and the pictures in his heart, showing his readiness to suffer with Christ have fallen and are no longer upright.He is meet by temptations to which he is belatedly givin g in instead of resisting them. Instead of listening to Gods voice he now begins to listen to the devils cunning suggestions and false promises. Although he may still be a church-goer, hiding his desires for the things of the world under a form of religion, the love for God has grown cold in his heart. He has become undecided, standing still between two ways. He begins to play with the things of the world, and only pretends to love God. The star in his heart, the conscience, grows dim.The cross is no longer carried with a smile, but becomes an unwelcome, heavy load. His faith begins to shake, he stops communicating with God in prayer, becomes unconcerned and careless about his hearts condition and slowly makes room for the devil who is waiting outside his heart. He enjoys the company of sinful people more than the company of true children of God. The peacock, representing pride, begins to look for a way in again. He may have forgotten that he was saved by grace alone, and becomes a proud Christian. The desire for drinking alcohol knocks at the door and wants to come in.It may be on a special occasion, in the company of sinful friends, where he is ashamed to be thought different, a weakling, or unsociable, that the devil tells him that this one occasion will not meet his spiritual life. Unspiritual thoughts and desires make themselves felt. Perhaps he begins to enjoy dirty jokes, to look again and again with pleasure at indecent pictures, and enjoy the wrong company, going to dance-halls, evil worldly entertainments, taking to heart sinful suggestions from the devil who tells him that this is human nature and that one sin is not really wrong.Truly, we cannot help it if the wild birds of evil and bad thoughts fly over our heads, but we are guilty if we allow them to control us and make their nests in our hearts, breeding out their evil deeds. If we give the devil our little finger, he is sure to grab the whole hand, dragging soul and spirit into everlasting hel l. Therefore Gods earnest warning to us, is to avoid the passions of youth and not to 25 24 play with sin, no matter in what way it may come. Run to Jesus, the protector and defender.The man seen in this picture stabbing the heart with a dagger, speaks of those who mock and resist Christianity. With their false tongues and mocking lips they stab and wound the hearts of Christians attacks which a divided heart cannot survive. He begins to fear men more than God and because of fear of what man will say and do, he becomes the slave of men, and drifts away from God. Anger and bad temper show themselves in times of trouble and disappointments, and force their way in.That evil snake of jealousy, which appears when others are more successful and prosperous, will creep in without warning, and if given half a chance, will open the door to hatred and pride. It is so easy for the love of money to creep into our hearts unless we obey the warnings of our Lord Jesus when He says, Keep watch and pray that you will not fall into temptation (Matt. 2641). Whoever thinks he is standing firm had better be careful that he does not fall (1 Cor. 1012). We must put on all the armour that God gives us, so that we will be able to stand up against the devils evil tricks (Eph. 11-18). THE SEVENTH PICTURE This picture reveals the condition of the backslidden heart of man, who after he was once in Gods light and had tasted heavens gift and received his share of the Holy Spirit, has abandoned his faith (Heb. 64). It also shows the condition of a person who has never repented or given his life over to God, in spite of the fact that the truth of the Gospel, called the Good News, has been offered and revealed to him. A man who is stubborn when God speaks to him, will grow worse and worse in spite of his useless efforts to change himself.Jesus Himself described the backsliders condition when He said, When an evil spirit goes out of a person, it travels over dry country looking for a place to rest. If it cant find one, it says to itself, I will go back to my house. So it goes back and finds the house clean and tidy. Then it goes out and brings seven other spirits even worse than itself, and they come and live there. So when it is all over, that person is in a worse state than he was at the beginning (Luke 1124-26). What happened to them shows that the proverbs 27 6. The tempted and divided heart 26 7. The backslidden or stubborn heart 28 re true A dog goes back to what it has vomited and A pig that has been washed goes back to roll in the mud (2 Peter 222). These Scriptures clearly explain the condition of a backsliders or the unrepentant sinners heart. Sin in all its deceitfulness has come again to stay and control the heart. Even his face reveals, in a certain way, the condition of his heart. The Holy Spirit, that gentle dove, is agonistic to leave the heart, as sin and the Holy Spirit cannot live together. It is impossible for the heart to be a temple of God and at the same time a hideout for Satan.The angel, the Word of God, has to leave sorrowfully, still looking back, hoping that he or she may still repent like the lost son, who wished he could fill himself with the bean pods the pigs ate, but no one gave him anything to eat. At last he came to his senses and said, I will get up and go to my father and say, Father, I have sinned against God and against you. 1 am no longer fit to be called your son (Luke 1516-20). The father, on seeing his sorrowful son, forgave him and received him joyfully. The heart in this picture shows no sign of true repentance, no turning to God, no searching for forgiveness at the feet of Jesus.His conscience is as though burnt with a hot iron and put to silence. He has ears but cannot hear the pleading voice of Jesus. He has eyes but cannot see the bottomless hole of hell open wide at his feet. He no longer feels ashamed of continuing in his sins. Satan has come to rule in his heart and is seated as a king on his th rone. It is possible that he may still boast of being outwardly decent and respectable, of having a religious appearance, like a whitewashed tomb which looks fine on the outside but is full of bones and decaying corpses on the inside (Matt. 2327). The father of lies occupies the place of the Spirit of Truth.Every animal, every sin goes hand in hand with a special demon and evil spirit and occupies his heart. Although he would like to set himself free from these evil tormentors, they keep him bound. Anyone who disobeys the Law of Moses is put to death without any mercy when judged guilty on the evidence of two or more witnesses. What, then, of the person who despises the Son of God? who treats as a cheap thing the blood of Gods covenant which purified him from sin? who insults the Spirit of grace? Just think how much worse is the punishment he will deserve (Hebr. 1028,29 2 Peter 21-14).Should this picture agree with the condition of your heart, dear friend, cry to God without delay, from the depth of your heart. He is able, now and always, to save those who come to God through Him (Heb. 725), and is also able and willing to forgive all sins, if 29 you come in true repentance. He can restrain the devil and all his demons, and drive them out of your heart, if you are only willing to let Him do so. Come like the leper who came to Jesus and said, If you want to, you can make me clean. Jesus was filled with pity, and stretched out His hand and touched him. I do want to, He answered. Be clean (Mark 140, 41). But if you sojourn to be stubborn, and love darkness rather than light, there is no hope, no help, because you are choosing death instead of life sin pays its wage-death (Rom. 623). THE EIGHTH PICTURE Here we find the stubborn sinner who has postponed making a decision to follow Christ, approaching death, his body may be full of pain and his soul filled with the fear of death. Death (the skeleton) has come at an unexpected and unwanted time. The false pleasu res of sin have disappeared, and the awful reality of the high and dreadful cost of sin now has to be faced. The agonies of hell are becoming real to him.Although he now longs to pray, he finds he cannot communicate with God whose love he has rejected for so long. His friends are alarmed to stand at his bedside, and their empty words of comfort cannot help him now. His riches can neither lengthen his life, nor save his soul, nor reduce the agony of his soul. He finds it impossible to concentrate on God because the devil does not give him an opportunity to do so. Everything he once loved and lived for, seems to mock him and even his unreliable, probably unsaved minister, priest or church leader cannot help him now, as he has rejected the love of God and has come under His judgement.He begins to realise that it is a terrifying thing to fall into the hands of the living God (Heb. 1031). He had hoped to give his life to God when it desirable him, or on his deathbed, but now he finds it is too late. Thousands of people die suddenly, without having a chance to turn to God on their deathbeds. It is therefore infixed to turn to God while He is near. Instead of hearing the comforting and saving words of God, this dying sinner who rejected the forgiveness and love of God during his lifetime now has to hear the voice of his Judge, the Saviour whom he rejected, saying Away from me, you that are under Gods curseAway to the eternal fire which has been disposed(p) for the devil and his angels (Matt. 2541). Everyone must die once, and after that be judged by God (Heb. 927). 30 8. The sinners judgement 31 THE NINTH PICTURE This picture represents a Christian who remains faithful and wins the victory over painful tests and temptations. While he is tempted on all sides, he remains firm and holds out to the end, being winning through Jesus Christ. He has not only entered the Christian race, but he is continuing in it, running with determination, keeping his eyes fixed on Je sus, on whom our faith depends from beginning to end (Heb. 21,2). Satan with all his demons surrounds the believing heart, trying without success to lead the child of God the wrong way. Pride, the love of money, immorality, and others, are also represented. In the place of the leopard we now see a donkey, for often sin comes to us in another way, and hides itself in a different form or name. But the watchful Christian knows it is sin even when it comes in the form of religion, or as an angel of light, for the Word of God and the Holy Spirit lead him to the truth.A man, holding a glass of wine in the one hand, dances around the Christian and tries to tempt him with the false pleasures of the world. It has, however, no effect on the dedicated Christian, as he has been put to death with Christ as far as sin and worldly desires are concerned. The second man in the picture, is stabbing the Christian with a dagger. Insults, gossiping, mocking and threats through unbelievers and very ofte n through so-called believers are constantly stabbing the heart of the true believer. But he does not listen to what people say and cares only about what God says.He remembers the words of Jesus. Happy are you when people insult you and persecute you and tell all kinds of evil lies against you because you are my followers. Be happy and glad, for a great reward is kept for you in heaven (Matt. 511, 12). Our sinful nature and the devil, are constantly trying their best to separate the Christian from the love of God. But with great joy and confidence he can truly say, Who, then, can separate us from the love of Christ? Can trouble do it, or hardship or persecution or hunger or poverty or danger or death? (Rom. 835). No, in all these things we have complete victory through Him who loved us (Rom. 837). Having put on all the armour of God, he is able to resist the devils attacks, when the evil day comes, and after fighting to the end, still to hold his ground through Jesus Christ, who w on the victory over all kinds of trials and temptations, that through Him we should win the victory and receive a glorious crown which will never lose its stylishness (Eph. 610-18, 1 Pet. 54). 32 9. The victorious heart 33 THE STAR of his conscience is clear and bright. His heart is full of faith and filled with the Holy Spirit.The angel, as the Word of God, reminds him of the rich blessings given to them that win the victory and hold out to the end. To those who win the victory I will give the right to eat the fruit of the tree of life that grows in the Garden of God. Those who win the victory will not be hurt by the second death. To those who win the victory I will give some of the hidden manna. I will also give each of them a white stone on which is written a new name. To those who win the victory, who continue to the end to do what I want, I will give the same authority that I received from my Father. Those who win the victory will be clothed like this in white, and I will n ot remove their names from the book of the living. In the presence of my Father and of His angels I will declare openly that they belong to me. I will make him who is victorious a pillar in the temple of my God, and he will never leave it. To those who win the victory I will give the right to sit beside me on my throne, just as I have been victorious and now sit by my Father on His throne (Rev. 27, 11, 17, 26 35, 12, 21). THE OPEN BAG OF MONEY shows that not only his heart, but also his money is dedicated to God.Instead of wasting his money, he is helping the poor, giving his tithes (the tenth part of his income) and offerings or even all he possesses, to God, using everything for the glory of God. THE LOAF OF BREAD AND THE FISH indicate that he lives a clean and self-controlled life. He does not spoil his life with strong drink or by eating unclean food (Acts 1520). He does not waste his money, neither does he destroy his body (which is the temple of God), by chewing or smoking t obacco in any form, neither does he use drugs or harmful medicines, but eats wholesome, clean, nourishing food.His own heart has become a house of prayer. He also attends church services regularly and respectfully, in all kinds of weather and under all circumstances. He loves prayer, whether it be in the church or with his family, or in his own room, for he knows that a Christian cannot grow without communicating with God in prayer. THE OPEN BOOK indicates that the Bible is an open book to him, and he reads and studies it daily, finding wisdom and strength, life and light, and countless riches in it. It has become a lamp to guide him and a sword with which he defeats the devil.It is the daily spiritual food for his soul, water to put an end to his thirst, a bath in which to clean himself, and a mirror in which he sees himself. 34 He loves to carry his cross, for he knows that there will be no reward without the cross. As he knows that he has risen with Christ so that he might live a new life, he sets his heart on the things that are in heaven, keeping his mind fixed on things there, not on things here on earth (Col. 31-2). He is ready to meet God and is like a tree that grows beside a stream that bears fruit at the right time (Ps. 3) like a branch of the real vine, bearing much fruit. He does not know the fear of death, for the perfect love of God, which he has received through the Holy Spirit, has filled his heart. THE TENTH PICTURE Jesus said, I am the resurrection and the life. Whoever believes in me will live, even though he dies and whoever lives and believes in me will never die (John 1125, 26). Whoever hears my words and believes in Him who sent me has eternal life. He will not be judged, but has already passed from death to life (John 524). Death holds neither fear nor punishment for the Christian. Death is destroyed victory is complete Where death is your victory? Where death is your power to hurt? Thanks be to God who gives us the victory through ou r Lord Jesus Christ (1 Cor. 1554-57). A person who has lived and walked with God is not afraid of death. When the time comes for him to die, he will go gladly, as the Apostle Paul puts it, I want very much to leave this life and to be with Christ, which is a far better thing (Phil. 123). A Christian longs to see the face of Jesus who died for him and paid the price for his sins on the cross.The Holy Spirit also reminds him of the words of Jesus, Do not be worried and upset. Believe in God and believe also in me. There are many rooms in my Fathers house I will come back and take you to myself, so that you will be where I am (John 141-4). What no one ever saw or heard, what no one ever thought could happen, is the very thing God prepared for those who love Him (1 Cor. 29). There is no language on earth by which one can explain or describe the splendour of the heavenly city prepared for them that walk in the footsteps of our Lord Jesus Christ here on earth.Instead of the fearful skel eton (death), the angel or messenger of God is seen in this last picture. He is waiting to carry the clean spirit back to God. Soul and spirit are set free from the imprisonment of the mortal body, and ascend through the open gates of heaven to 35 Jesus who loves him and who died for him on the cross. A happy welcome waits for him in the presence of God where he is greeted by his Lord and Master with these words of praise, come up done, you good and faithful servant Come on in and share my happiness (Matt. 2521).Satan has no control over him any more, for The poor man died and was carried by the angels to sit beside Abraham at the feast in heaven (Luke 1622). Then I heard a voice from heaven saying, Write this Happy are those who from now on die in the service of the Lord Yes indeed answers the Spirit. They will enjoy rest from their hard work, because the results of their service go with them (Rev. 1413). LAST ADMONITION Dear reader, may God help you to give your heart to Him who loves you, for He is speaking to you now saying, turn back to Me with all your heart (Deut. 302).Give Jesus your tired, disappointed, aching heart, and He will give you a new heart and a new mind. Do not be deceived by your deceitful heart or follow its desires, for from a persons heart, come the evil ideas which lead him to do immoral things (Mark 721). Leave your sins and hold onto what is right, for sin pays its wage death but Gods free gift is eternal life in union with Christ Jesus our Lord (Rom. 623). And you who have given your life to God, hold firmly to the true words that I taught you, as the example for you to follow, and remain in the faith and love that are ours in union

Mla Format – Abortion

Jean Lin Ms. Kasababian Language Arts Honors 30 November 2012 Abortion In 2008, twelve women taking resident in the U. S. died out-of-pocket to legal stillbirths performed during the second or third trimesters of pregnancy. Abortion should be available to all females living in the United States, but must be a legal citizen to have late abortions, which are during the second or third trimesters of pregnancy. Abortion is a right that women have, and the Fourth Amendment lookup and Seizure supports it.Fewer women will process abortion if it is kept legal in the U. S. Late abortions are dangerous, so only legal citizens of the U. S. may have second or third trimester abortions. In the 1820s, various ideas against abortions began forming in the United States. Connecticut passed a statute targeting apothecaries who sold poisons to women for purposes of abortion, and New York made abortions a felony eight twelvemonths later. The criminalization of abortions accelerated passim the 1860 s all the way to the 1900s.Some states did allow abortions to generally protect a womans life or pregnancies due to rape or incest. The famous Supreme court of law case Roe v. Wade in 1973 legalized abortions throughout the U. S. The Court argued that the First, Fourth, Ninth, and Fourteenth Amendments protect an individuals zone of privacy. On Jan. 24th, 2005, Hillary Clinton made a voice communication addressing her thoughts about abortion. Lets defend the right to an abortion while doing all we can to ensure that fewer and fewer women exercise it. The Fourth Amendment, Search and Seizure, applies to a womans right to have an abortion The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized. (Mount 1) Note th at the fourth amendment specifies that authorities must have a warrant to scour a person of his/her belongings.The baby belongs to the mother, and therefore she has a right to decide whether to have an abortion (to have a doctor search her) or not. NARAL Pro-Choice America (National Abortion Rights Action League) believes in keeping abortion legal and safe. NARAL also believes in lessening the requisite for abortion, which means keeping the access to contraception, or birth find, wide open. Even pro-life persons believe in access to birth control. Hillary Clinton stated in her mother tongue in 2005, The pro-life Senate minority leader, Harry Reid, has a bill called the Prevention First Act that would expand access to birth control. Access to birth control does not act in the same way as an abortion does, however. Many CPCs (Crisis Pregnancy Centers) mislead women into thinking that abortions cause breast cancer, that birth-control pills cause abortions, and that abortion can lea d to sterility. CPCs do anything to talk a woman out of having a legal abortion. Late abortions are performed during the second or third trimesters. A method of late abortion is a saline injection. This is when a needle is inserted into the uterus through the abdominal wall.Amniotic fluid, which is the egg white that provides nutrients for the baby, is drained from the uterus and replaced with change state salt water to kill the fetus. The amniotic fluid drained is said to be dangerous if it were released into the womans body. The woman can die, but has a very low risk of being infected. One idea brought up by pro-life activists is that abortion is murder. According to the 14th Amendment, people born and conventional as citizens in the U. S. are defend under the law. A fetus is not yet born.Just because it has a life doesnt mean the fetus is protected under the law. The mother is, but the unborn baby is not protected as an individual. Therefore, abortion is not murder, and abortio n is not illegal. Everyone, either pro-choice or pro-life, wants to lower the amount of abortions practiced According to the most recent data from the Centers for Disease Control, since 1990 the number of reported legal abortions dropped from 1. 4 million a year to 853,000 in 2001. The number of abortions for every 1,000 live births dropped from 344 to 246. Sullivan 1) Abortion should be a right and privilege for every woman, but it also comes with great risk and responsibility. plant life Cited Abortion When and How Abortions Are Performed JRank. 2008. Abortion When And How Abortions Are Performed Haeberle, Erwin J. The Sex Atlas. 1983. http//www2. hu-berlin. de/sexology/ATLAS_EN/html/abortion_methods. html McBride, Alex. Roe v. Wade (1973). No date. http//www. pbs. org/wnet/supremecourt/rights/landmark_roe. html Sullivan, Andrew. The Case for Compromise on Abortion. period 27 Feb. 2005

Standard vs. Automatic Compare & Contrast Essay

Jacob Phaneuf 10-20-12 Eng 101 (Comp be & Contrast) When buying a new car, many populate do non stop to think about what kind of transmission that they would like. piece more than or less cars today come in automatic versions, there be also five and six speed standard transmissions available on virtually car models. While certain people may not unconstipated know how to drive a standard transmission, it is not the popular choice, save for the people who enjoy using both feet to drive there is always the option.While most cars on the road today are automatics there are still ups and downs to both transmissions, standards may last longer, but automatics are easier to single-valued function and more convenient. Standards are usually sportier then the e reallyday persons automatic car, but they can also save on gas, and can be a little quicker compared to the comparable exact same automatic transmission model. While unprompted a standard can be a nightmare for some, others e njoy this feeling very much.Being able to drive with two feet is a very odd thing to be able to get used to, and also having a third pedal. This added third pedal is called a clutch, and must be pressed every time the vehicle switches gears, where as in a automatic the transmissions switches gears unnoticeably and requires no proceeding from the device driver. While having the control to be able to tell a vehicle what gear to go into when ever you want too, gives the car a much sportier feel, but also makes the vehicle a lot more fun to drive and also a little quicker off the start.Driving a standard is totally for certain people though, while to others it may seem easy, learning to drive a standard can be a difficult task and if not done right can result in stalling or even permanent car damages. Having many things to remember to do while driving a car can be a frustrating thing to have to do, but thankfully there are automatic transmissions, which has many more conveniences and is much easier to use and drive then a standard car.Driving an automatic requires only one-foot operation and a computer does all the gear switch electronically. Automatics are the most popular choice when purchasing a car, because they are so simple, easy, and can also be fun to drive. While driving a standard can be a lot more fun, it can also be a lot more stressful considering there are things to always be aware of. Staling is something that is very easy to do and can happen for a few reasons, the clutch was released too quickly, or the transmission was leave in gear when the clutch was removed.Also traffic can be a very stressfully thing to deal with in a standard because of the constant use of two feet moving every time the car must move forward. Hills can also be a major challenge for even the most experienced standard transmission drivers. When on a hill, the vehicle will be able to roll backwards until the driver has successfully engaged stolon gear, but stalling is stil l a great possibility and can cause big problems for an inexperienced driver.When it comes to choosing the right transmission, be sure you will be able to drive the vehicle the proper way, if not then at least have a person available to teach the proper ways. While both transmissions are great ways to drive, one driver may prefer one over the other, they both drive differences but will both get you to the same place. The only major difference to remember is that a standard transmission can be a lot more work, and the driver has to be ready to deal with the frustrations of a standard transmission. Happy driving

Heart Failure Essay

Heart FailureThe magnetic core is one of the bodys near vital organ. The heart pumps channel throughout the body which carries nutrients other organs need. It also carries oxygenated line of products to the lungs which allows us to breathe. Since the heart is so important, relying on it that it will do its job is demand so we can live, but sometimes the heart can fail. Heart misfortune is a syndrome that occurs when the heart can non pump enough line of reasoning to meet the bodys metabolic needs. This paper will discuss what heart ruin is, the signs and symptoms, and lastly the treatment and prohibition of heart failure.Heart failure is usually classified according to the side of the heart that is affected. Either left or right side, or by the cardiac cycle involved (Lippincott Wilkins & Williams, 2011). odd sided heart failure occurs when there is ineffective function of the left ventricular contractile. As the pumping of the left ventricle fails, cardiac output also fa ils. The cable that is see to go to the body is no longer being pumped out, thus backing up into the left atrium and the the lungs, make pulmonary congestion, dyspnea, and activity intolerance ( Lippincott Wilkins & Williams, 2011). proper(a) sided heart failure results from ineffective right ventricular contractile function. Blood is not being pumped effectively through the right ventricle to the lungs, causing blood to back up into the right atrium and the peripheral circulation.When this happens, the patient gains weight and develops peripheral edema and engorgement of the kidney and other organs. Heart failure not only cause the heart but also other organisations in the body. The cardiovascular system is affected by the heart not being able to pump blood throughout the body. Also, as the blood backs up into the left atrium, blood backs up into the lungs causing pulmonary congestion which affects the respiratory system. When blood backs up intothe right atrium, the kidneys establish engorged which cause problems with the renal system.There are different signs and symptoms for heart failure. People with heart failure can develop shortness of breath, also called dyspnea, caused when the blood is backed up in the pulmonary veins. The patient will feel breathlessness during activity or while sleeping. Another sign and symptom is pertinacious coughing or wheezing, caused when fluid is being backed up in the lungs. The patient will cough up pink or blood stained mucus. Another sign and symptom is build up of excess fluid in body tissues, also called edema, and is caused when blood flow out of the heart slows down, the blood returning to the heart through the veins backs up, causing fluid to build up in the tissues. Patient can also develop swelling in the feet, ankles, legs or abdomen, or weight gain. A patient with heart failure may also feel tired and develop fatigue caused by the heart not pumping enough to meet the bodys needs. They also might develo p digestive problems causing loss of appetite and nausea. This is a result of the digestive system not receiving enough blood causing digestive problems. ( Chen, 2013)If a patient has been diagnosed with heart failure there are some treatments that are involved to confine the syndrome under control. The patient will have medical therapy that involves medications such as an angiotensin- covering enzyme, diuretics to reduce fluid volume overload and venous return, beta- adrenergic blockers to prevent remodeling, every more others. A patient may also have to undergo surgery such as cardiac bypass. There are many life style changes that the patient also has to comply with. Some include weight loss, limited alcohol intake, smoking cessation, stress reduction, and development of an exercise program. If the lesson is severe, the patient might have to have a heart transplant, but even so, many complications and a hospitalizations are experienced. In order to porevent heart failure there are two ways to approach it. First is to stop or slow heart failure, and second is to avoid a repeat of any event detrimental to the patients life. (Shaddinger, 2014)Heart failure is a very serious disease. It should never be be taken lightly and although the most common cause of heart failure is coronary artery disease. It can also occur in infants and children with heart defects.ReferencesChen, M. (2013) Hear Failure Overview. The New York Times. Retrieved from www.nytimes.com/wellness/guides/disease/heart-failure/overview.html Lippincott Williams & Wilkins, (2011) Pressure ulcers. Professional Guide to Pathophysiology. 3rd ed.p. 575-579. Philadelphia. Wolters Kluwer.Shaddinger, D. (2014) Treatment and Prevention. Seconds Count. Retrieved from www.scai.org/secondscount/treatment/default.aspx

Nursing Study Guide Block 4 Final

Study Guide for the Final Exam Here are the rules please do not call me or email me questions somewhat the study guide. I will answer questions ab step forward the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimu latterly thinking, not to be answers. Please think up to review the chapters on shock and MODS as there are questions on this content. 1.There are some(prenominal) ABG questions remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base PH 7. 35- 7. 45 PCO2 35-45 HCO3 22-26 O2 94-100 2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable come out of the closetcomes Restrictive respiratory disorder decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increase RR, TV smaller.SOB/cough, dyspnea=how many words can they say in one breath bosom pain, fatigue, wt. loss, lung crackles, care imp 30deg, fluids to clear secretions, tidal volumenormal breathing 500mL Nursing dx imp placeed gas exchange, in hard-hitting breathing pattern, acute pain Outcomes maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures. . Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to necessitate TB transmission, and side effects of the medications Medications aggressive TB treatment four drugs for 6 months, (INH, rifampin Rifadin, pyrazinamide PZA, and ethambutol) Newer rifamycins, rifubin, rifapentine, first line for special situations Length of treatment 6 months- 1 YearEvaluation of treatment plan resolution of the diseas e, normal pulmonary function, absence of any complication, no transmission of TB, Most likely to contract Asians have the highest TB rate, followed by Hawaiians and pacific islanders. African Americans are the highest rate inside the US. (45%) Higher rates of TB infections with patients with HIV infections Side effects of meds alcohol increases hepatotoxicity of INH, monitor colored function.PZA may not be included in initial phase (due to liver disease or pregnancy) 4. Review the care of a patient with lung surgery, including bosom tube management To keep lung inflated & Drain fluid from interpleural space How do you know if collapsed lung Blood gases, Chest X-ray, Vital signs, Color Air leaks bubbling in water chamber check your tubes for air leak & make sure theyre always free of kinks. Dont milk the chest tube (unless ordered).Continued bubbling = pneumothorax not resolved yet, Constant vigorous bubbling = air leak in system Should see tidaling if not attached to sucking 100 cc/hr. of drainage = call doc Determine if working correctly by Monitor output, pain, breath sounds, assess patient breathing, auscultate, ABG, pulse ox (SPO2), skin/mucous membrane coloring, and respiratory effort Chest tube pain is common- give pain meds 7/10 5.Review heart failure right-sided (acute and chronic), left- sided (acute and chronic), pulmonary edema, cardiomyopathy and management of the patients remember to review the hemodynamic changes (and values) associated with right and left sided failure RIGHT SIDED HF (FLUID RETENTION) Corpulmonale, systemic edema, neck vein distention, weight gain, fluid retention, Risk COPD, hypoxia (pulmonary HTN), ca social functions pulmonary vasoconstriction.CVP = increased PVR = increased SVR = increased wedge = increased contractility = decreased medication nitroglycerine to decrease venous return, fix preload LEFT SIDED HF (RESPIRATORY) DYSPNEA ON EXERTION, back up in lungs, pink frothy sputum, decreased O2 stat, increase RR. CVP = in creased PVR = increased SVR = increased wedge = increased contractility = decreased HEART FAILURE Usually starts out with one ventricle.Nitroglycerine, aspirin, O2, pericardial thump, Lasix, ACE, + inotrope, Class 4, transplant, symptomatic. ACUTE HF Dig, Lasix, ACE, ARBS, Betas, Calcium Channel, Nitro, and Aspirin, compensatory mechanism is ok. CHRONIC HF both ventricles can fail (left to right), Dig, Lasix, ACE, BETA, ARBS (if cough), calcium channel blocker, Primacore, compensatory mechanism makes it worse. 2 CLASSIFICATIONS OF HF 1. Systolic problems pushing volume out problem with too much afterload HTN. TX decrease SVR with dig, Lasix (diuretics), ACE. 2.Diastolic problem with filling and getting course in (Hypertrophic cardio) less room for blood TX Beta blockers to reduce contraction or calcium channel then ACE. If you give them DIG it will fine-tune them (will increase heart working too hard). PULMONARY EDEMA hallmark pink frothy sputum, unexpended- sided heart failure. Decreased albumin, decreased oncotic pressure, increased hydrostatic pressure. Dilated Left vent is dilated (stretched out of shape) decreasing the ejection fraction. Vent is overstretched from CHF or chronic hypertension.Diagnose with chest X-ray heart is BIG. TX Dig, Lasix, Ace. Arrhythmias will increase mortality rate HYPERTROPHIC L vent hypertrophy decreases the ability of the chamber to relax, decrease contractility (athlete, hereditary. ) TX BB, CCB Constricted/restricted normal size heart with decreased cardiac muscle compliance. Scarred= fibrosis, radiation, infection (rheumatic fever) control of volume overload is AGGRESSIVE Ace, Diuretic, Dobutamine, Nitroglycerin/Nitropresside, exercise restriction . Review patho and management of COPD, especially related to acute respiratory failure. COPD obstructive, exhalation problem, air flows in but then becomes trapped, teach pursed lipped breathing to improve FRC. Clinical manifestations increased lung expansion, normal to increa sed TLC, decreased forces expiratory volume, increased useful residual capacity, decreased vital capacity, increased CO2, O2 sat-80-100, PaO2- 60 Best mask to use is vent mask, most precise O2 is delivered.Barrel chest- chronic hyperinflation of torso Corpulmonale, expiratory time, reedy or rhonchi, A fib from chronic overuse of right ventricle TX beta agonist/beta stimulant=dilates airway (epinephrine, albuterol) Anticholinergic bronchodilators, corticosteroids, mucolytic=thin out secretions, Mucinex or SVN mucomist, pulmonary vasodilators not common, prostaglandin E2, supposed to dilate pulmonary vessels but BP can plummet too.Nitrous oxide can temporarily improve pulmonary HTN but doesnt improve outcomes Respiratory Failure ALOC- confusion, restless. Nasal flaring, increased HR, increased BP, increased RR, increased depth, PVCs, Pulmonary Embolism=blue very fast, otherwise cyanosis is a late sign 7. Review management of patients on ventilators, including process of weaning and recognition of weaning failure AC assist control doing all the breathing for the patient. Its providing Tidal volume and oxygen.For your unstable patient NO pressure support needed SIMV synchronized intermittent mandatory ventilation For weaning Makes it easier for patient to crap their own spontaneous breath. Tidal volume off and O2 on. Pressure support adjunct PEEP positive end expiratory pressure, make unnecessarys alveoli open by use of positive pressure. Increases FRC air left in after exhalation. ARDS patient. Little bit of positive pressure at the end of exhalation. Use with SIMV or AC. Keep between 5-10, and not over