Essay on Emma Parker

Emma Woodhouse, who begins the novel "handsome, clever, and rich, with a comfortable home and a happy disposition" (Austen 1), suffers from a dangerous propensity to play matchmaker, diving into other’s lives, for what she believes is their own good. Despite this, she is a sympathetic character. Her matchmaking leads only to near-disasters and her expressions of remorse following these mistakes are sincere and resolute. Jane Austen's Emma concerns the social milieu of a sympathetic, but flawed young woman whose self-delusion regarding her flaws is gradually erased through a series of comic and ironic events.

Remove the femoral head and replace it with a prosthetic ball and stem secured into the top of your femur.

•Use manipulation or surgery to unite the bones into the correct position; which can depend on where and how serious the injury is and, the patient's age

On 1/3/17 I met Mr. Rasak at the office of orthopedic surgeon Dr. Sirvasta. The X-rays taken today showed a little bone healing. Dr. Sirvasta reported he felt it would be best to remove the pins from the external device and put the leg in a cast. The cast would be on for about 4 to 6 weeks. At that time they would evaluate if he could begin to bear weight. The external device will be removed on 1/13/17. This will be done at McLaren Hospital since he has had such difficulty with sedations. They would like to monitor him closely. Mr. Rasak will continue to work with physical therapy on upper body strength in preparation for using a walker.

Bone fractures happen in different severities. Some only require immoblisation, while others need surgery to heal properly. The doctor often prescribes a cast walker or moonboot after he sets the bone in the right position either by itself or in addition to surgery at a certain point in the healing process. A moonboot will keep the bone stationary enough for the bone to knit completely back together successfully.

On 3/20/17 I met Ms. Iversen at the office of Dr. Nwuso. Ms. Iversen arrived with a cam boot on the right foot and also with crutches. She was applying little weight to the foot. She reports that she has pain from the cam boot on her incisions. Ms. Iversen reported that she came back to see Dr. Nuswo about a week after her surgery because she felt her dressing were wet from drainage. There apparently was no drainage. Ms. Iversen had a list of questions for Dr. Nwuso. Her questions were confusing and Dr. Nwuso was getting frustrated. He told her from his stand point she can do anything she wants. She is not going to rip open the incision or do anything to the fractures. They are healed and stable. T

It seems to be a reoccurring theme these days for movie writers to recycle old concepts and story lines. This is the exact case in the popular 1995 film Clueless written and directed by Amy Heckerling. This film seems to be all about the trials of the good life in Beverly Hills, but if one looks deeper it is actually a modern take on the classic novel Emma by Jane Austen. When closely examined one can see how the two main characters are exactly alike except they are matched to their own particular time periods. The issues that affected Emma in her day and the same issue that affect Cher in hers. Cher and Emma are both over confident in themselves, they misjudge others, and they experience the same types of problems in their romantic

One device used in treating a complex acetabular defect, fracture, or THA revision is an acetabular cage, shown in Figure 1. This type of device is necessary for fractures or defects in which acetabular bone loss is severe, and typical fixation methods will not be effective. The cage is made of a replacement acetabular cup with flanges for attachment and fixation to pelvic bone in order to keep the cup in place. Important factors included in the placement of these devices are the anatomic position and alignment, which is necessary to equalize leg length and allow for joint functionality, as well as the fixation to the bone. While a cage is often what is used, a commercially-available cage is often not the best fit for a patient with a severe

The studies have shown that one of the most seen cause of the death, immobility among the elderly population is the proximal femoral fractures. A notable number of the patients who had femoral fracture won’t be able to return to their pre-fracture functional condition. Within a year after surgery, less than 50% of the patients can walk without help, and only 40% can perform their ADLs activities independently.

The femoral neck or intracapsular fracture occurs when the neck of the femur breaks and sometimes the ball may move out of it’s place. This type of fracture happens more likely with athletes and performers. Over years there have been several methods orthopedists have used to fix femoral neck fractures. In 1931, Smith Petersen used internal fixation by reducing pain and pressure to the fractured parts followed by immobilization in a spica cast application. Until 1970 another widely spread method called the multiple-pin fixation technique was introduced by another orthopedist. In this method the fracture fragments would heal with the insertion of Pugh nails and Richards screws. Both of these methods include a “sliding fixation process” where the fractured fragments rub against each other. The second type of hip fracture which is repaired more frequently is intertrochanteric hip fracture. The intertrochanteric hip fracture occurs slightly below the neck of the femur and the lesser trochanter. These fractures undergo a treatment that involves the insertion of AO proximal femoral or sliding plates, intramedullary nails,cannulated or dynamic hip screws, and/or rods to balance and protect the fractures. After the surgery, surgeries suggest that the patients stay in bed to make sure the fracture does not occur again. The third type of hip fracture is subtrochanteric fracture. The

A tibia fracture requiring an open reduction internal fixator (ORIF) is an orthopedic surgery. Prior to surgery the patient will need to be examined to ensure the surgery can be done safely. Following the surgery the patient will need assistance with pain control and learning about their altered lifestyle as the will be non-weight bearing and the affected leg will be immobile for six to twelve weeks.

In the case of the 16 year old that sustained a fracture to the tibia and fibula, could go multiple ways. It really depends if the young man had an open fracture (Compound Fracture) versus Closed Fracture. If it is determined by the on-site physician to be a closed fracture, this simply means that the skin is intact and has not broken the skin then as long as no pins or surgery is needed then I would say that this would heal the quickest based less complications, and a cast and pain meds would more than likely fix the issue due to less complications. If the Young Man has a open fracture, then the healing time is much longer based on the fact that the skin and muscles in the both damaged and need to be repaired as well as monitored and a risk

Short segment pedicle screw instrumentation, involving one vertebra above and one vertebra below the fracture level and also the fractured vertebrae, has become the most common method in the treatment of thoracolumbar burst fractures and has replaced the traditional long segment instrumentation to decrease the number of motion segments sacrificed in the fixation process. It provides the benefit of decreased involvement of motion segments than fixation with longer instrumentation.(6)

The lag screws cannot be used in case of comminution or bone loss in the fracture gap, causing displacement of the fractured bone segments and overriding resulting in

Jane Austen's Approach to the Character Emma in Pride and Prejudice 'Handsome, clever and rich' are the complimentary words Jane Austen lavishes upon Emma; accurate as they may be, they paint a picture contrary to the Emma portrayed during the first half of the novel. Set against the nineteenth century patriarchal society, structured by the privileges and constraints of money and status, both of which she acquires, a complex mental journey faces her. The journey, however is one she is oblivious to and one to which the predominate barrier is her apparent good fortune. Jane Austen plays the role of an omniscient narrator providing dialogue whilst also supplying constant commentary into the thought