No one answered the door at the Smalwoods' house. The driveway was empty and the house looked deserted, the shades pul ed down. â€œMaybe Caleb's not here,â€ Matt said nervously. â€œCould he have gone somewhere else when he got out of the hospital?â€ â€œI can smell him. I can hear him breathing,â€ Stefan growled. â€œHe's in there, al right. He's hiding out.â€ Matt had never seen Stefan look so angry. His usual y calm green eyes were bright with rage, and his fangs seemed to be involuntarily extended, little sharp points showing every time he opened his mouth. Stefan caught Matt looking at them and frowned, running his tongue selfconsciously across his canines. Matt glanced at Alaric, who he'd been thinking of as the only other normal person left in their group, but Alaric was watching Stefan with what was clearly fascination rather than alarm. Not entirely normal, then, either, Matt thought. â€œWe can get in,â€ Meredith said calmly. She looked to Alaric. â€œLet me know if someone's coming.â€ He nodded and positioned himself to block the view of anyone walking past on the sidewalk. With cool efficiency, Meredith wedged one end of her fighting stave in the crack of the front door and started to pry it open. The door was made of heavy oak, and clearly had two locks and a chain engaged inside, and it withstood Meredith's leverage against it. Meredith swore, then muttered, â€œCome on, come on,â€ redoubling her efforts. The locks and chains gave suddenly against her strength, and the door flew open, banging into the wal behind it. â€œSo much for a quiet entrance,â€ Stefan said. He shifted restlessly on the doorstep as they filed past him. â€œYou're invited in,â€ Meredith said, but Stefan shook his head. â€œI can't,â€ he said. â€œIt only works if you live here.â€ Meredith's lips tightened, and she turned and ran up the stairs. There was a brief shout of surprise and some muffled thumping. Alaric glanced at Matt nervously, and then up the stairs. â€œShould we help her?â€ he said. Before Matt could answer â€“ and he was pretty sure Meredith wasn't the one who needed help â€“ she returned, shoving Caleb down the stairs before her, twisting one of his arms tightly behind his back. â€œInvite him in,â€ she ordered as Caleb stumbled to the bottom of the stairs. Caleb shook his head, and she yanked his arm up higher so that he yelped in pain. â€œI won't,â€ he said stubbornly. â€œYou can't come in.â€ Meredith pushed him toward Stefan, stopping him just at the threshold of the front door. â€œLook at me,â€ Stefan said softly, and Caleb's eyes flew to his. Stefan's pupils widened, swal owing his green irises in black, and Caleb shook his head frantical y, but seemed unable to break his gaze. â€œLet. Me. In,â€ Stefan ordered. â€œCome in, then,â€ said Caleb sul enly. Meredith released him and his eyes cleared. He turned and dashed up the stairs. Stefan burst through the door like he'd been shot through a gun and then stalked up the stairs. His smooth, stealthy movements reminded Matt of a predator's â€“ of a lion or a shark. Matt shivered. Sometimes he forgot how truly dangerous Stefan was. â€œI'd better go with him,â€ Meredith said. â€œWe don't want Stefan doing anything he'd regret.â€ She paused. â€œNot before we find out what we need to know, anyway. Alaric, you're the one who knows the most about magic, so you come with me. Matt, keep an eye out and warn us if the Smal woods pul into the drive.â€ She and Alaric fol owed Stefan up the stairs. Matt waited for the screaming to start, but it remained ominously quiet upstairs. Keeping one eye on the driveway through the front windows, Matt prowled through the living room. He and Tyler had been friends once upon a time, or at least had hung out, because they were both first-string on the footbal team. They'd known each other since middle school. Tyler drank too much, partied too hard, was gross and sexist toward girls, but there had been something about him that Matt had sometimes enjoyed. It was the way he'd thrown himself into things, whether it was the no-holdsbarred tackle of an opposing team's quarterback or throwing the absolutely craziest party anyone had ever seen. Or the time when they'd been in seventh grade and he'd gotten obsessed with winning at Street Fighter on PlayStation 2. Every day he'd had Matt and the rest of the guys over, al of them spending hours sitting on the floor of Tyler's bedroom, eating chips and talking trash and pounding the buttons of the control er until Tyler had figured out how to win every fight. Matt heaved a sigh and peered out the front window again. There was a brief muffled thump from upstairs, and Matt froze. Silence. As he turned back to pace across the living room again, Matt noticed a particular photo among the neat row of frames on top of the piano. He crossed over and picked it up. It must have been the footbal banquet, junior year. In the picture, Matt's arm was around Elena, who he'd been dating then, and she was smiling up at him. Next to them stood Tyler, hand in hand with a girl whose name Matt couldn't remember. Alison, maybe, or Alicia. She'd been older than them, a senior, and had graduated that year and left town. They were al dressed up, he and Tyler in jackets and ties, the girls in party dresses. Elena had worn a white, deceptively simple short dress, and looked so lovely that she'd taken Matt's breath away. Things had been so easy then. The quarterback and the prettiest girl in school. They'd been the perfect couple. Then Stefan came to town, a cold, mechanical voice whispered to him, and destroyed everything. Stefan, who had pretended to be Matt's friend. Stefan, who had pretended to be a human being. Stefan, who had pursued Matt's girlfriend, the only girl Matt had ever real y been in love with. Probably the only girl he would ever feel that way about. Sure, they'd broken up just before Elena met Stefan, but Matt might have gotten her back, if not for him. Matt's mouth twisted, and he threw the photo to the floor. The glass didn't break, and the photo just lay there, Matt and Elena and Tyler and the girl whose name he didn't remember smiling innocently up at the ceiling, unaware of what was heading toward them, of the chaos that would erupt less than a year later. Because of Stefan. Stefan. Matt's face was hot with anger. There was a buzzing in his head. Stefan the traitor. Stefan the monster. Stefan who had stolen Matt's girl. Matt stepped deliberately onto the picture and ground it beneath his heel. The wooden frame snapped. The feel of the glass shattering under his foot was oddly satisfying. Without looking back, Matt stomped across the living room toward the stairs. It was time for him to deal with the monster who had ruined his life. â€œConfess!â€ Stefan growled, doing his best to compel Caleb. But he was so weak and Caleb kept throwing up mental blocks. No doubt about it â€“ this boy had access to Power. â€œI don't know what you're talking about,â€ Caleb said, pressing his back against the wal as if he could tunnel into it. His eyes flicked nervously from Stefan's angry face to Meredith, who was holding her staff balanced between her hands, ready to strike, and back to Stefan. â€œIf you just leave me alone, I won't go to the police. I don't want any trouble.â€ Caleb looked pale and shorter than Stefan remembered. There were bruises on his face, and one of his arms was in a cast and supported by a sling. Despite everything, Stefan felt a twinge of guilt as he looked at him. He's not human, he reminded himself. Althoughâ€¦ Caleb didn't seem al that wolfish either, for a werewolf. Shouldn't there be a little more of the animal in him? Stefan hadn't known many werewolves, but Tyler had been al big white teeth and barely repressed aggression. Next to him, Alaric blinked at the injured boy. Cocking his head to one side and examining him, he echoed Stefan's thoughts, asking skeptical y, â€œAre you sure he's a werewolf?â€ â€œA werewolf?â€ said Caleb. â€œAre you al crazy?â€ But Stefan was watching Caleb careful y, and he saw a tiny flicker in Caleb's eyes. â€œYou're lying,â€ Stefan said coldly, reaching out with his mind once more, final y finding a crack in Caleb's defenses. â€œYou don't think we're crazy. You're just surprised that we know about you.â€ Caleb sighed. His face was stil white and strained, but a certain falseness went out of it as Stefan spoke. His shoulders slumped and he stepped away from the wal a little, head hanging wearily. Meredith tensed, ready to spring, as he moved forward. He stopped and held up his hands. â€œI'm not going to try anything. And I'm not a werewolf. But, yeah, I know Tyler is, and I'm guessing that you know that, too.â€ â€œYou've got the werewolf gene,â€ Stefan told him. â€œYou could easily be a werewolf, too.â€ Caleb shrugged and looked Stefan straight in the eye. â€œI guess. But it didn't happen to me; it happened to Tyler.â€ â€œHappened to?â€ Meredith asked, her voice rising with outrage. â€œDo you know what Tyler did to become a werewolf?â€ Caleb glanced at her warily. â€œWhat he did? Tyler didn't do anything. The family curse caught up with him, that's al .â€ His face was shadowed and anxious. Stefan found his tone gentling despite himself. â€œCaleb, you have to kil someone to become a werewolf, even if you carry the gene. Unless you're bitten by a werewolf yourself, there are certain rituals that have to be performed. Blood rituals. Tyler murdered an innocent girl.â€ Caleb's knees seemed to give out, and he slid to the floor with a muffled thump. He looked sick. â€œTyler wouldn't do that,â€ he said, but his voice was unsteady. â€œTyler was like a brother to me after my parents died. He wouldn't kil anyone. I don't believe you.â€ â€œHe did,â€ Meredith confirmed. â€œTyler murdered Sue Carson. We negotiated for her to come back to life, but it doesn't change the fact that he did kil her.â€ Her voice held the unmistakable ring of truth, and al the fight seemed to go out of Caleb. He sank lower and rested his forehead against his knees. â€œWhat do you want from me?â€ He looked so thin and rumpled that, despite the urgency of their mission, Stefan was distracted. â€œWeren't you tal er than this?â€ he asked. â€œBigger? Moreâ€¦ put together? The last time I saw you, I mean.â€ Caleb mumbled something into his knees, too muffled and distorted for even a vampire to hear properly. â€œWhat?â€ Stefan asked. Caleb looked up, his face smudged with tears. â€œIt was a glamour, okay?â€ he said bitterly. â€œI made myself look better because I wanted Elena to want me.â€ Stefan thought of Caleb's glowing, healthy face, his height, his crowning halo of golden curls. No wonder he had seemed suspicious; subconsciously Stefan must have known how unlikely it was that an ordinary human would look that much like an archangel. No wonder he felt so much lighter than I expected when I threw him across the graveyard, Stefan thought. â€œSo you are a magic user, even if you aren't a werewolf,â€ Meredith said swiftly. Caleb shrugged. â€œYou knew that already,â€ he said. â€œI saw what you did to my workroom in the shed. What more do you want from me?â€ Meredith stepped forward warningly, stave at the ready, her gaze clear and pitiless, and Caleb flinched away from her. â€œWhat we want,â€ she said, enunciating every word distinctly, â€œis for you to tel us how you summoned the phantom, and how we can get rid of it. We want our friends back.â€ Caleb stared at her. â€œI swear I don't know what you're talking about.â€ Stefan prowled toward Caleb on his other side, keeping him off balance so that the boy's eyes flicked nervously back and forth between Stefan and Meredith. Then Stefan stopped. He could see that Caleb looked genuinely confused. Was it possible that he was tel ing the truth? Stefan knelt so that he was at eye level with Caleb and tried a softer tone. â€œCaleb?â€ he asked, depleting his last remnants of Power to compel the boy to speak. â€œCan you tel us what kind of magic you did? Something with the roses, right? What was the spel supposed to do?â€ Caleb swal owed, his Adam's apple bobbing. â€œI had to find out what happened to Tyler,â€ he said. â€œSo I came here for the summer. No one seemed worried, but I knew Tyler wouldn't just drop out of sight. Tyler had talked about you, al of you, and Elena Gilbert. Tyler hated you, Stefan, and at first he liked Elena, and then he real y hated her, too. When I came here, though, everyone knew Elena Gilbert was dead. Her family was stil mourning her. And you were gone, Stefan; you'd left town. I tried to put the pieces together about what had happened â€“ there were some pretty strange stories â€“ and then lots of other weird things happened in town. Violence, and girls going crazy, and children attacking their parents. And then, suddenly, it was over; it just stopped, and it was like I was the only one who remembered it happening. But I also remembered just a normal summer. Elena Gilbert had been here the whole time, and no one thought anything of it, because they didn't remember her dying. Only I seemed to have two sets of memories. People who I'd seen get hurtâ€ â€“ he shuddered at the memory â€“ â€œor even kil ed were fine again. I felt like I was going crazy.â€ Caleb pushed his shaggy dark blond hair back out of his face, rubbed his nose, and took a breath. â€œWhatever was going on, I knew you and Elena were at the center of it. The differences between the memories told me that. And I figured that you must be connected to Tyler's disappearance, too. Either you'd done something to him, or you knew something about what had happened to him. I figured if I could pul you and your friends apart, something would come out. Once you were set against one another, I'd be able to work my way in and find out what was going on. Maybe I could get Elena to fal for me with a glamour, or one of the other girls. I just had to know.â€ He looked from one to another of them. â€œThe rose spel was supposed to make you irrational, turn you against one another.â€ Alaric frowned. â€œYou mean you didn't summon anything?â€ Caleb shook his head. â€œLook,â€ he said, pul ing a thick leather-bound volume from under his bed. â€œThe spel I used is in here. That's al I did, honest.â€ Alaric took the book and flipped through the pages until he found the right spel . He studied it, his forehead crinkling, and said, â€œHe's tel ing the truth. There isn't anything about summoning a phantom in this book. And the spel here fits what we saw in Caleb's workshop and what I've been reading in his notebooks. This rose spel is a fairly low-level discord spel ; it would make whatever negative emotions we were feeling â€“ hate, anger, jealousy, fear, sorrow â€“ just a little bit stronger, make us a little more likely to blame one another for anything that went wrong.â€ â€œBut when combined with the powers of whatever phantom might be hanging around here, the spel would become a feedback loop, just as Mrs. Flowers said could happen, strengthening our emotions and making the phantom more powerful,â€ Stefan said slowly. â€œJealousy,â€ said Meredith thoughtful y. â€œYou know, I hate to admit it, but I was horribly jealous of Celia when she was here.â€ She glanced apologetical y at Alaric, who reached out and gently touched her hand. â€œShe was jealous of you, too,â€ Stefan said matter-offactly. â€œI could sense it.â€ He sighed. â€œAnd I've been feeling jealous as wel .â€ â€œSo perhaps a jealousy phantom?â€ Alaric said. â€œGood, that'l give us more of a basis for researching banishing spel s. Although I haven't been feeling jealous at al .â€ â€œOf course not,â€ Meredith said pointedly. â€œYou're the one who's had two girls fighting over you.â€ Suddenly Stefan felt so exhausted that his legs shook. He needed to feed, immediately. He nodded awkwardly to Caleb. â€œI'm sorryâ€¦ for what happened.â€ Caleb looked up at him. â€œPlease tel me what happened to Tyler,â€ he implored. â€œI have to know. I'l leave you alone if you just tel me the truth, I promise.â€ Meredith and Stefan glanced at each other, and Stefan raised his eyebrows slightly. â€œTyler was alive when he left town this past winter,â€ Meredith said slowly. â€œThat's al we know about him, I swear.â€ Caleb stared up at her for a long moment, then nodded. â€œThank you,â€ he said simply. She nodded back at him crisply, like a general acknowledging the troops, and led the way out of his room. Just then a muffled, cutoff shout came from downstairs, fol owed by a thud. Stefan and Alaric raced after Meredith down the stairs, almost bumping into her as she pul ed to a sudden halt. â€œWhat is it?â€ Stefan asked. Meredith drew aside. Matt was lying facedown at the foot of the stairs, his arms flung out as though to catch himself. Meredith stepped quickly the rest of the way down the stairs to him and turned him over gently. His eyes were closed, his face pale. He was breathing, slowly but steadily. Meredith felt his pulse, then shook him gently by the shoulder. â€œMatt,â€ she cal ed. â€œMatt!â€ She looked up at Stefan and Alaric. â€œJust like the others,â€ she said grimly. â€œThe phantom's got him.â€
HIV AIDS Education in the Emergency Services HIV AIDS Education, counseling support services in the emergency medical service environment Introduction Our presentation is about historical ground and theories of origin of human immunodefiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). We going to briefly discuss HIV/AIDS education counseling and testing, support service in emergency medical service environment. We also going to touch on the background presentation measures and management including transmittion from one person to another (mayoclinic, 2014). Origin of HIV AIDS The origin of HIV and AIDS pandemic has been traced to the 1950â€™s in the city of Kinshasa, the capital city of Democratic Republic of Congo. The hunterâ€™s theory is the most common excepted theory, Simian Immunodeficiency Virus (SIV) virus was transferred to human as a result of chimpanzees being killed and eaten. It also said that their blood was getting into the hunters cuts or wounds. SIV virus adapted itself within the human body an became HIV (canadian, 2014) Out lining the relationship between CD4 count and HIV Cd4 count is a protein that is sometimes express on the surface of a class of immune system (T-cells). T-cell is the one who recognized when the cells have virus. If the cells are infected the CD4 will be positive, then the T- cell will start looking around to see if there is any pathogens. If there is any of pathogen the antibody response will tell cell called macrophages to destroy it (NHLBI, 2014). At this stage we can say that the HIV needs to bind of CD4 and one of its receptors to gain entry into white blood cells. Then over a certain period HIV infection will decline the number of CD4 cells because of decreasing of the CD4 count manuscript, 2014 NIH Public accessed, and 2014). Stigma and discrimination Stigma refers to the prejudice and discrimination directed at people living with HIV and AIDS. It can be an important barrier to EMS personnel if we can implement it by advising personnel to get tested because most of people they afraid to see doctors to know about their results so that if they have disease they can start with treatment. Other thing is when personnel know that they have HIV/ AIDS they have a fear to talk about it or taking easy available precautions. So the more they have fear the stigma is processing on immune system, which lead to a seriously damage AIDS or aids epidemic continues to spread around. The epidemic of fear, stigmatization and discrimination has undermined the ability of personnel to protect them and provide support to the others who affected due to fear. If the affected personnel can have the supports from their love oneâ€™s, they can be able to stay positive all the times and take their treatment regularly. Ethical implications on HIV/AIDS are that health care workers should not disclose status of people/patient who tested positive and confidentiality should be maintained. HIV virus HIV envelop HIV viral protein that serves to form envelops where the glycoprotein referred to as envelops proteins because they make up of outer coat of human (mayoclinic, 2014). HIV Capsid Is protein shell that protects the virusâ€™s genetic material (mayoclinic, 2014). HIV Enzyme It have three enzyme required for HIV replication and reverse which is transcriptase, integrase, protease. Before this enzymes become functional they it need to be cut from the longer polypeptide chain. Viral protease cuts the long chain into its individual enzyme components which then facilitate the production of new viruses (mayo clinic, 2014). HIV RNA Genetic material of HIV composed of ribonucleic acid It can detect by nucleic acid test (NAT) NAT is not used for HIV infection, but it is used for measuring HIV concentration (viral load) level in a positive person (mayoclinic,discovery:2014) HIV Glycoprotein This originally buried within the viral envelope, but when Gp120 binds to CD4 count receptors,Gp120 changes its confirmation causing Gp41 to become expose where it can assist infusion with the lost cell (mayoclic,2014) Mayoclinic:2014 Education According to mayo clinic, â€œHIV/AIDS is the condition whereby the immune system of the body becomes weak in a state where it cannot defend itself against organisms that cause diseaseâ€. Although there are many education programmes in South Africa we cannot afford not to take action because there are already about 950 AIDS related death in South Africa every day. The silence and stigma surroundings HIV AIDS must be broken and replaced by openance, good communication and compassion. Educating everyone especial in emergency care to understand how HIV AIDS is spread and what we can do to protect ourselves. Encourage personnel to change sexual behavior and to practice safe sex at all times. Making condoms freely and easily available. Educating personnel on how to use them (Male Female) ( discovery, mayoclinic,2014). Wellness programme Personnel should assists with information regarding HIV/AIDS Personnel are offered pre test counseling before test to prepare them emotionally and psychologically for test. All tests should be done by the professionals. After the test, personnels receive post test counseling to assists him or her to deal with the positive result (mayoclinic,2014 Provide HIV testing through the occupation Health clinic or we can refer to the external providers such as new start. Treatment for STI infections, like TB and HIV and AIDS (ARVâ€™S). Continuous counseling and support to personnel (canadian, 2014) Emergency care workers are advice to always adhere to safety measures personal protective equipment (PPE). When working with fluid, blood and also with sharps like needles, scissors, blades, etc; you must work carefully to prevent needle pricks during working operation (canadian, 2014). SUPPORT SERVICE In situation where by a personnel is living with a HIV virus, issues to be considered like getting Psychological Support Moral support from management and from fellow or core workers (Discovery, 2014). Encourage personnel to take medication properly to live normal life as possible. The most pressing concern for scientist today should not be how the AIDS epidemic originated, but how those it affects can be treated (avert, 2014). Further spread of HIV can be prevented by education ,counseling and testing(Canadian, 2014) (Canadian, 2014) CONSELLING TESTING Personnel should be encouraged to know their HIV status by testing using trinity biotech and making sure that there is proper counseling that goes with testing (pre-post test) If the results is negative the trinity will have 1 line shows, if positive 2 lines will shows (discovery,2014 Conclusion It is likely that we will never know who the first person was infected with HIV, or exactly how it spread from that initial person. HIV education, counseling and testing is imperative in reducing new infections and deaths by means of safety measures and anti retroviral. Educating personnel, who is already living with this pandemic, encourage them to talk freely and have influence on their work by advising people where necessary. HIV and AIDS is a regarded as a behavioral problem. Let us not die from ignorance and denial, Let us do something or stand up (J.Mol,Biol,2011) References Aver, 2014 [online] available @ www.avert.org/hiv/aids-stigma and discrimination.htm accessed @ 15/10/2014 Copy right @1997 Canadian centre for occupation health health safety, support and service [online] available @ www.canadian.com accessed @ 05/102014 manuscript, 2014 NIH Public accessed, 2014). Discovery, (2014) support service [online] available @ http://www.wisc.edu/media.com accessed @ 02/10/2014 and 03/10/2014. J.Mol, Biol, (2011) how HIV AIDS transmitted [online]available @www.nebi.nih,gov/pubmed.com accessed @20/10/2014 Manuscript, 2014 HIV and AIDS [online] available on http://ncib,nlm.nih.gov/pmc/articles.accessed @ 06/10/2014. Mayo clinic 2014 HIV and AIDS 0nline.available at http;//www.mayoclinic.org/diseases-condition/HIV/AIDS [emailprotected] 02/10/2014 NHLBI (2014), [online] available @ www.nhlbi.gov/health/health-topics/WELNESS.accessed @ 15/10/2014
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Ethical And critical Thinking - Research Paper Example He was of the view that due to more guns being carried around on the streets, there is more danger present. Therefore, atleast certain gun control measures would be needed for security purposes. This point of view was backed up by the death of 32 people shot dead on the Virgina Tech campus on April 16, 2007. (Carpenter) Eventhough this article was structured in a way that adds more authenticity to it by using several direct quotes, it lacks analysis and the evaluation from the writerâ€™s own perspective. She couldâ€™ve used facts to prove a view point. One fact could have been that the Brady Bill and the Assault Weapons Ban of 1994 have resulted in the decrease in violent crimes (40 Reasons Guns Should be Banned). The flow of ideas in the article could have been smoother and Amanda Carpenter could have used more facts and statistics to back up her comparisons of Obama with Hillary Clinton. Amanda B. Carpenter has great credibility to her name. A coloumnist for The Washington Times, as well as an author, blogger and commentator, she has vast experience and knowledge about political and cultural issues. Writing for a renowned paper such as Washington Times and with no allegations towards her for being biased, the article can be labelled as credible and authentic. This article, opposes the viewpoint of Obama and talks about why it is a must for all citizens to carry concealed weapons. The author, Benjamin Shapiro, adopts a very sarcastic and manipulative style of writing in his article. He starts off talking about a case in which the 27 year old Alan Senitt was killed in a rape attempt on his female companion. He then moves on to discuss how every individal has the right to protect himself. (Shapiro) Benjamin Shapiro wrote the article in a very interesting and an attention grabbing way. The start of the article talks about violence and death which is a great start for an article to grab the attention of the
Write something about yourself. No need to be fancy, just an overview.