Lyme Disease 1. What is the cardinal sign of Lyme disease? (always on the boards) 2. At what stages of Lyme disease are the IgG and IgM antibodies elevated? 3. Why was the ESR elevated? 4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment. 2. Peripheral Vascular Disease 1. What was the cause of patient’s pain and cramping in the Occlusive Peripheral Vascular disease? 2. Why is there decreased hair on the patient’s leg with arterial occlusion? 3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 4. What would be the treatment of intermittent Claudication for non-occlusion?
According to Kleiser, ornament simile is a quite legitimate but ” sometimes a simile put in merely to improve the rhythm of a sentence, or to enhance the effect of a description already given, is justified by its result; but the dangers are obvious”. The ornament use of simile is particularly effective in a story written in a rather bare, straightforward style; the sudden introduction of a particularly apt simile arrests the attention, and forces the reader to take particular note of the passage in which it occurs. Similarly, it is very effective to recur to a simile already made in order to recall the circumstances under which it was first made. For instance, in ” Lord Jim”, when the author wishes to remind the reader of the state of mind of his hero on an earlier occasion without putting it in so many words, he again refers to the ” thin gold shaving” of the moon and the sea ” like a sheet of ice”. 4.3.4. Proverbial. Simile is used very largely by country folk and peasants of all lands, but their similes are of a very particular kind, and to get your effect you must know exactly the kind of thing that peasants say. ” As slow as turtle”, for instance, is a peasant saying in thousands of the century, and it has the true elemental ring; it might be found in fairy tales. The simile is a good way of achieving your effect if you are speaking of peasant life, for it is one of the poetic beauties of genuine peasant speech; but it must be such similes as would naturally occur to a cowherd or a fisherman or a washerwoman. Simile is an important technique in most works; therefore, to make a good use of simile, you should watch the similes that occur to you instinctively, try to compare the people and things you see every day to something that will at once give a good idea of the real object and at the same time be original; for you must at all costs avoid the obvious simile, which is mere waste of time. Morever, when you have both sifted your ” inspired” similes and carefully created them out of your fancy and your observation, you should read those authors who are especially successful in the art of simile, noticing how they obtain their effects. 5. Results and discussion From the above analyses, we can see that almost writers and poets utilize the means of simile in their works. In addition, every one also uses similes in daily conversations and even many similes last in thousands of century and become typical similes in life as ” as nimble as a rabbit” or ” as busy as a bee”. It is indisputable that similes play an important role in enhancing the effects of expressions. They can make our language more descriptive and enjoyable. Besides, they can add depth and emphasize what the authors are trying to convey to the readers or the listeners. However, the uses of similes can be confusing to people who are not fluent in a given language because they will interpret the words literally. Also, similes can change from region to region, and even among groups of people.>GET ANSWER