“My Last Duchess”; (Page 168) to whom is the duke speaking, and what is the occasion?
What does a comparison between the duke’s feelings about his artwork and his feelings about his last duchess reveal about his character?
Does the poem rely on irony? Explain.
Browning is said to have meant that the “commands” of line 45 are that the duchess be executed or sent to a convent. Write a poem, short piece of prose, or journal entry, from her point of view, addressing the painting of the portrait and her relationship with the speaker.
at what capable of At present, pulmonary rehabilitation (PR) is recommended by the present Global Obstructive Lung Disease document (GOLD) to help improve dyspnoea, functional capacity, and quality of life of COPD sufferers (Garvey et al., 2016). Medical professionals in this field who are establishing current guidelines for different exercises included in the PR programme may struggle with the variable degrees of severity amongst patients and the diversity of their symptoms also. As a result of this, pulmonary rehabilitation programmes vary worldwide and a PR programme should be developed to accommodate each individual patient. Below are tables based on three different exercise proposals and how they are carried out clinically from four principal qualifies associations ; 1) The American College of Sports Medicine (ACSM), The American Thoracic Society (ATS), The European Respiratory Society (ERS) and The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Instruction from the ACSM involve respiratory function tests and recordings to be carried out on COPD sufferers prior to initiation of PR programme such as the fraction of oxygen saturated haemoglobin in the arteries relative to the total haemoglobin by arterial blood gas tests and tracking dyspnea usuing the Borg CR10 Scale that measures physical activity intensity levels (Borg, 1982). In some cases where patients have lost a lot of lung function due to severe COPD modified exercises are established to cater for individual patients with varying levels of lung function. Aeroblic Exercise Skeletal muscle dysfunction is influenced by skeletal muscle strength and endurance function and structure (fiber size, fiber type distribution, capillary density, and metabolic capacity) (Zeng et al., 2018). A prolonged lack of exercise promotes a decrease in physical activity in COPD sufferers. The activity of these muscles rely greatly on the physiologic structural elements of the particular muscle and the velocity at which a fiber contracts inversely regulates the fibers ability t resist fatigue. Type I fibers are slow-twitch fibers and can endure long periods of exercise as they are highly resistant to fatigue. They are comprised of myosin heavy-chain (MyHC) type I. Type IIx fibers are fast-twitch fibers and are a subset or the fast twitch muscles which contain type IIa and type IIb. Type IIx fibers are the strongest and lowest endurance abibity as they fatigue much easier. Their composition differs from Type I fibers as they are composed of MyHC type IIx. It has been reported that a less than 27% of fiber type I proportionality is regarded as unusually low. Additionally, an amount of fiber type IIX that is greater than 29% is regarded as unusually large (Barreiro and Gea, 2016). In cases where the subject suffers from COPD, the amount of type I fibers are significantly lower than that of a healthy individual. Also a>GET ANSWER