All Too Well by Taylor Swift free essay sample

One of my favorite songs of all time is All Too Well by Taylor Swift. I really like this track because of the powerful songwriting. Taylor co wrote the ballad with Liz Rose. The song features well-crafted and relatable lyrics such as, â€Å"He calls me up again just to break me like a promise, so casually cruel in the name of being honest.† Unlike many of Swift’s other songs, which capture just a slice of a love story, such as a breakup or a first date, All Too Well illustrates an entire relationship from beginning to heartbreaking end. Another thing that makes this song unique is that it doesn’t have any repeating verses or choruses. It was very well received by critics and fans alike. Many cynics dismiss Taylor Swift’s songs as being naive and immature, but those insults couldn’t possibly apply to the incredible lyrics in All Too Well. We will write a custom essay sample on All Too Well by Taylor Swift or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In my opinion, it is the most lyrically impressive song of Swift’s entire collection. The song follows a clear storyline of a passionate relationship falling to pieces. Taylor reminisces on the beginning of the relationship, singing lines such as â€Å"autumn leaves falling down like pieces into place, I can still picture it after all of these days.† Later on in the song, she describes where she had thought the relationship was going, describing a December that seemed as if it would last forever, singing, â€Å"you taught me about your past thinking your future was me.† Then comes the heartbreak. Swift sings dramatic lyrics such as, â€Å"maybe we got lost in translation, maybe I asked for too much, but maybe this thing was a masterpiece until you tore it all up.† Then Taylor reflects on the relationship and the impact it had on both of the people involved. She sings, â€Å"time won’t fly, it’s like I’m paralyzed by it. I’d like to be my old self again, but I’m still trying to find it.† Her ex-boyfriend, rumored to be Jake Gyllenhaal, â€Å"keeps [her] old scarf from that very first week because it reminds [him] of innocence and smells just like [her].†

Godot essays

Godot essays Nothing to be done, is one of the many phrases that is repeated again and again throughout Samuel Becketts Waiting For Godot. Godot is an existentialist play that reads like somewhat of a language poem. That is to say, Beckett is not interested in the reader interpreting his words, but simply listening to the words and viewing the actions of his perfectly mismatched characters. Beckett uses the standard Vaudevillian style to present a play that savors of the human condition. He repeats phrases, ideas and actions that has his audience come away with many different ideas about who we are and how beautiful our human existence is even in our desperation. The structure of Waiting For Godot is determined by Becketts use of repetition. This is demonstrated in the progression of dialogue and action in each of the two acts in Godot. The first thing an audience may notice about Waiting For Godot is that they are immediately set up for a comedy. The first two characters to appear on stage are Vladimir and Estragon, dressed in bowler hats and boots. These characters lend themselves to the same body types as Abbot and Costello. Vladimir is usually cast as tall and thin and Estragon just the opposite. Each character is involved in a comedic action from the plays beginning. Estragon is struggling with a tightly fitting boot that he just cannot seem to take off his foot. Vladimir is moving around bowlegged because of a bladder problem. From this beat on the characters move through a what amounts to a comedy routine. A day in the life of two hapless companions on a country road with a single tree. Beckett accomplishes two things by using this style of comedy. Comedy routines have a beginning and an ending. For Godot the routine begins at the opening of the play and ends at the intermission. Once the rout ine is over, it cannot continue. The routine must be done again. This creates the second act. Th...

Americanized Evolution of Fashion Essay Example | Topics and Well Written Essays - 500 words

Americanized Evolution of Fashion - Essay Example The designers’ work will create the mood of American fashion in the last half of the twentieth century. The three designers are a fashion crew that came up with extant sophistication, energy, and great talent that emerged on the global fashion stage in that time. The event showcased individual contributions and influence of each designer to fashion during the latter period of the twentieth century that marked the great evolution of fashion. The design of the 1960s was characterized by stiff, A-line, and minimalist design while that of the 1770s was soft and flowing. The 1980 design had more embellishment, luxury, and glamour (Secker, 2015).Oscar de la Renta is a successful designer from the Dominican Republic who took design to a whole new level with his dramatic sense of color and embellishment. He won three Coty awards in 1967, 1968, and 1973 and his inclusion in the exhibit as a creative designer is well-deserved. Geoffrey Beene is a Haynesville-born New York City resident whose work featured in the September 1963 issue of Vogue magazine cover. He is featured in the exhibit because he is an innovative minimalist designer of body-revealing soft draping (Schoeny, 2015). Bill Blass is an established designer from Fort Wayne who has won three awards by Coty accreditation. He is an impeccable tailor for luxurious fabrics that are sporty and sophisticated yet classic and simple aesthetic. The immaculate works by these designers during their career boom won them the accreditation to be featured in this year’s historic exhibition.

Historical Portrayal of Genghis Khan Essay Example | Topics and Well Written Essays - 250 words

Historical Portrayal of Genghis Khan - Essay Example The rivalry of Mongol tribes propelled him to conquer other tribes and dynasties. His thirsty for power was evident at a younger age as he claimed to be installed as the chief of his clan at the age of 9. However, he was less more different from other rulers of early and modern civilizations where accumulation of scarce resources is the main motivating factor that drives conflicts and wars (Ratchnevsky, 1993). Genghis Khan was a good planner; likewise he adopted policies and laws that later shaped the strategies of most ancient civilizations. Religion was the unifying factor in the Mongol Empire, and he referred himself as the religious leader of the people which become the motivating factor for his military. In addition, some of the Genghis ideas were great beyond those of revolution era of 1900s. For example; he allowed religious tolerance in his empire where people practiced different religions without interruptions. Religious intolerance was common in early civilizations like the Roman Empire and Soviet. Furthermore, the conquest of the Chinese Empire opened the east to the west, making him a historical icon. The administrative system of Mongol ruler is clearly modern especially because of recognizing merit in promoting his staff just like a typical bureaucracy (Ratchnevsky, 1993). In short, Genghis mastered the policy of strengthening the tools of domination that enables an individual or a group of people to conquer and subdue others. He mainly used the military and accumulated land territory thus making powerful.

Traveler Transportation Essay Example | Topics and Well Written Essays - 1500 words

Traveler Transportation - Essay Example n, reduction of traffic congestion, improvement of the neighborhood quality of life and provision of equity in transportation accessibility oppose the practical goals of sufficient organization of multimodal transportation infrastructure within metropolitan areas. Traveler transportation, having its peculiar features, represents a rather complex field of work for the transportation professional. This paper proposes the insight into the main differences of traveler transportation from the freight one, highlights some of the difficulties arising in the process of traveler transportation planning and discusses the present day issues faced by the professionals in traveler transportation. On the one hand, traveler and freight transportation have much in common. On the other, traveler transportation is more complicated for statistical studies, modeling travel-demand impacts and transport system regulation than freight transportation is. It has some specific features not characteristic with freight transportation. The complexity of travel behavior and recent issues in the field turn traveler transportation planning and modeling into a really challenging task. F. Witlox and B. Van Broeckhoven (2002) in their report on quality attributes in passenger and freight transportation state that there is much similar between the two fields. Comparing the characteristics of the traveling people, their families and aims of trips with the characteristics of the shippers, consignees and goods transported, they find that though the specific characteristics and conditions differ, they play a similar role in decision making and the major factors considered are almost the same: cost, time, flexibility and frequency. They add the comfort factor for passengers, noting that some goods also need very careful or quick transportation. They also distinguish a number of other factors of less importance, such as, for example, tracing and tracking for freight transportation. But in both cases

Food Is A Source Of Cultural Identity

Food Is A Source Of Cultural Identity As we go through life, we travel to countries or meet people from dissimilar cultures, and we naturally question our new environments. By questioning these new societies, we are able to understand more of ones personality and identity. Cultural identity is when certain traditions, customs, beliefs and values are shared through traditional cultural practises and become meaningful and important to oneself1. It contributes to how we see ourselves and the groups with which we identify1. Ethnic foods offer a rich set of metaphors through which individuals can express their cultures. Food is one custom that strongly connects people to their traditions, and has been not only important in Jewish culture and history, it has been central to the Ashkenazi Jews ideas about themselves and about others, as well as their social and communal practices2. Ashkenazis or Eastern European Jews are defined as those who, from long before 1500, lived in Poland, Lithuania, Belarus, Ukraine, and European Russ ia3. This essay explores how food is source of cultural identity for Ashkenazi Jews living in Australia, concentrating on the connection between food and festivals, ceremonies and the Bible. As well as the contrast of how food is not the most identifiable aspect in some Ashkenazi Jews lives. Festivals and Ceremonies: Formerly, Jews came together around a core of religious and ethnic traditions, such as synagogue affiliation, lighting of Shabbat candles and giving charity to Jewish foundations9. However today, Australias Jewish population has encountered an internal breakdown of both the concept of community and the family unit, which have united the Jewish people for so long. Ashkenazi Jews use food as a way to unify family and friends, and reconnect with traditions and culture4. Ashkenazi cuisine tends to use oil, potatoes, inexpensive cuts of meat and simple seasonings4. The importance of food to Ashkenazi Jews can be learnt from the celebrated festivals and rituals. Foods related to festivals are more based on traditions and symbolism passed down generation-to-generation, rather than the Bible. A very special celebration that occurs on the seventh day of the week is Shabbat. Good and homely food is a crucial part of the mitzvah, or good deed, of oneg Shabbat, meaning enjoying Shabbat. Traditio nally, Ashkenazi Jews start the event with a small serving of a fish dish; gefilte fish, poached jelly fish or pickled fish, served as an appetizer before hot soup. A chicken main dish is then served accompanied by cooked vegetables and a kugel4. Finally, dessert is usually fresh or stewed fruits followed by tea and small cakes4. This strongly contrasts the Sephardic Jews take on Shabbat food. Sephardic Jews reflect the foods more typical of many Mediterranean countries since Sephardic Jews are descendents of settlers from the Near East. Meals include fish with avgolemono sauce, chopped eggplant, roasted lamb, stuffed vegetables, rice and, to finish the meal, a honey-soaked cake or pastry nibbled with strong and sweet Turkish coffee4. The ceremonial bread, Challah, is surrounded by folklore and tradition and laden with symbolism. On festive occasions a blessing or Motzi is said over two loaves of challah, symbolising the manna given to the people of Israel during the Exodus from Isr ael on Fridays5. Two portions of the manna were distributed, so the Israelites did not need to work and prepare food on the Shabbat5. Similarly to Shabbat, foods consumed on Rosh HaShanah are symbolic to certain aspects to the event, and are created by the Ashkenazi cultural traditions. Rosh HaShanah means head of the year; it is the New Years festival of the Jewish calendar and features foods to celebrate the hope of a sweet year. A hearty main meal of fish, appetizers, meats and honeyed vegetable (Tzimmes) is conventional4. The iconic foods that signify and rejoice the Jewish New Years are apples dipped in honey and honey cake for a good and sweet year, and the round challah and the head of a fish which represents the circle of life and marks the cyclical nature of the course of a year4. The representations of Rosh Hashanah and Shabbat foods are significant to a majority of Ashkenazi Jews in Australia, because it enables them to link to their ancient religion physically and spiritually3. However, during the most important and solemn holiday in the Jewish calendar, Yom Kippur, the Torah (Jewish scriptures) commanded You shall afflict your souls (Leviticus 16:29)6 and For a soul which is not afflicted on that day will be cut off (Leviticus 23:29)6. This has been interpreted, as Jewish people need to fast from sunset to sunset to atone for the sins of the past year4. It is one of the few holidays that is not dependent on food. Thus it is one aspect which food is not a source of cultural identity. It is also an event when many Ashkenazi Jews who do not observe any other Jewish custom will refrain from work, fast and/or attend synagogue services on this day. Instead of using food as a source of cultural identity, it is the sacred religious day. Although, it is customary for Ashkenazi Jews to make a feast for breaking of the fast. Normally consisting of cakes and hot drink to break the fast, then light salads and dairy foods to aid with digestion3. Proving that Ashkenazi J ews return to food in order commemorate important events that are momentous in the Jewish culture. Impact of Ashkenazi foods on the non-Jewish communities: Jewish foods dont only give Ashkenazi Jews themselves cultural identity, but allows non-Jewish people to recognise the Jewish culture. Australia prides itself as being a multi-cultural country. In 2011, the Census revealed that 26% of Australias population was born overseas and an additional one fifth had at least one parent born abroad7. Throughout the 100 years since the first National Census in 1911, a large component of the Australian population have been made up of migrants7. Even though only 0.5% of Australians identify themselves as Jewish7, this hasnt swayed the impact the Jewish culture has on the Australian diet. After World War II, Jews all over the world, especially in Australia identify the bagel with the Old World and with immigrant Jewish culture10. The bagel was brought to Western societies by the Eastern European Jews from the 1890s and have become one of the most iconic foods that gentiles identify with the Jewish culture8. Most of the other foods mentioned so far, are mostly restricted to those of Jewish faith and hardly are consumed by the wider community8. Other Ashkenazi foods readily available in the main cities of Australia, are baked goods like babka and rugelach, fried potato pancakes known as a Latke and the blintz4,10. Jewish Dietary Laws Kashrut: Jewish people are supposed to follow an intricate system of procedures and taboos in relation to food, derived from a set of commandments said to have been given to Moses by G-d6. These commandments prohibit the eating of particular animals, the most recognised pig; they are prescribed definite methods for the slaughter and preparation of animals that are not banned10. The directives have been augmented by a code of practise, known as Kashrut, intended to ensure that they are never defied9. However, the observance of Jewish Dietary rules have declined sharply, with many Jews observing them only partly and many others rejecting them completely9. This situation has not, however, made these dietary rules irrelevant; on the contrary, it has made them one of the most important ways through which ideas about contemporary Jewish identity and membership can be expressed. Ashkenazi Jews needed to adapt some of the Dietary Laws due to the food accessibility in some areas3. Several changes that have been made are the mixing of fish and milk products, more leniency with the Kashrut for meat than Sephardic Jews and refraining from eating legumes, grain, millet and rice during the Passover festival10. In Australia, Ashkenazi Jews still continue to observe these altered rules because of the strong traditional aspects connected to them, which individualises them as a certain type of Jew. Today, Jews from all different areas and streams, can deem the Kosher Laws to be an ancient form of food regulations that doesnt need to be performed in todays society, because of the new modern methods of cleaning and preparation of foods. Other reasons are some are not informed well of the laws, and/or consider it an added expenditure and inconvenience. More recently, animal rights groups and the Australian media have exclaimed their outrage of the ill-treatment of animals during the process of Koshering meat by companies who do not provide prior stunning11,12. This has strongly influenced Jews to disassociate themselves from obeying Kashrut, and in a few circumstances reject their Jewish identity12. This is because they think the Jewish culture doesnt respect animals12. However, this contradicts what the Jews and the Torah believe. Ritual slaughter, known as shechita, is a fast, deep cut across the throat with a perfectly sharp blade with no hesitations or unevenness12,13. This me thod is regarded as painless by Rabbis because Jews believe that God, would only provide for a merciful and compassionate method of send off for his creatures6,12. The Torah is the first methodical legislation, which prohibits cruelty to animals and authorises that they be treated with consideration and value. Judaism exigencies the humane treatment of animals6,12. As well shechita has been scientifically shown to be painless. Dr. Stuart Rosen MA, MD, FRCP discussed the behavioural responses of animals to shechita and the neurophysiologic studies relevant to the assessment of pain, and concluded, shechita is a painless and humane method of animal slaughter13. Jews should be proud to observe Kashrut and to identify themselves as Jewish because of the humane and clean ways of preparing food. Conclusion: Cultural identity should be meaningful and personal to oneself, as well as an open exploration that should be shared. In multi-cultural societies, like Australia, recognising certain cultures can be done by looking at their foods. Ashkenazi Jews are now identifiable by non-Jewish societies, because they relate the Ashkenazi community with iconic foods, such as bagels. For Ashkenazi Jews, the saying You eat what you are4 applies perfectly. They have special foods and diets for their sacred occasions, and ritual eating at festivals and ceremonies allow Ashkenazi Jews to reflect on and identify with their culture and religion through the symbolic representations of the traditional foods. However, you are what you dont eat as well. The solemn festival of Yom Kippur , is one of the most important Jewish festivals and requires Jews to fast from sunset to sunset4. Also the laws of Kashrut have strict guidelines of forbidden foods, and precise manners of food preparation that need to be obey ed9. Kosher eating is a essential part of food being a source of cultural identity, even though not every Jew observes all the laws.

Aids/Hiv Essay 6

Kimberly S. Johnson SOS 313: Social Implications of Medical Issues Human Immunodeficiency Virus Infection and Its Deadly Effects Deanna Swinford March 14, 2010 Over the past few decades Human immunodeficiency virus (HIV) infection & Acquired immunodeficiency syndrome (AIDS) prevention strategies has focused on helping high risk individuals including individuals uninfected with HIV. The responsibility of National programs is to inform the public regarding prevention strategies, identify priorities, plan, and implement disease prevention strategies. It’s common knowledge all over the world that HIV infection is the leading cause of death. â€Å"Human immunodeficiency virus HIV and AIDS remain the leading causes of illness and death in the United States. As of December 2004, an estimated 944,306 persons had received a diagnosis of AIDS, and of these 529,113 (56%) had died† (Center for Disease Control, 2010). Approximately 40,000 new cases of HIV infection occur each year and 40 million people worldwide are now living with HIV† (Falvo, 2010, pg. 318). Everyone knows, or should be aware that there’s no way to restore their damaged immune system, and no cure for HIV, nor for AIDS. Advances in medical systems today have shown improved life expectancy. â€Å"Since 1995, the number of deaths from AIDS in the United States has declined so sign ificantly that HIV/AIDS is no longer treated as a terminal illness but rather as a chronic condition to be managed† (Falvo, 2010, pg. 18). â€Å"A virus is an infectious organism that cannot grow or reproduce outside living cells. To survive, it must enter a living cell and use the reproductive capacity of that cell for its own replication. Consequently, when a virus enters a cell, it instructs the cell to reproduce the virus† (Falvo, 2010, pg. 313). Normally the body recognizes these as foreign, this is how a healthy immune system is suppose to work, as I remember from anatomy and physiology, then will destroy the foreign cells. Some will remain dormant, sometimes for long periods of time, and without causing problems, but still will remain in our body with other cells and can replicate at any time. â€Å"HIV infection is caused by a retrovirus called HIV. A retrovirus uses a complicated process called reverse transcription to reproduce itself. This process uses a viral enzyme called reverse transcriptase to integrate the virus’s genetic material into the other cells. HIV essentially takes over these cells—primarily the CD4 cells to produce more HIV. They multiply extremely rapidly and some errors caused by this rapid generation of ells are not corrected, so there are constant mutations of the virus. Some of the cells containing the virus burst, releasing HIV directly into the blood stream. Consequently, there can be both infected cells and virus in the blood traveling to other sites† (Falvo, 2010, pg. 313). This rapid generation of cells explain why some patients who may have been somewhat stable, then they rapidly deteriorate or their medications do not seem to work anymore. The symptoms of HIV and AIDS vary depending on the phase of the infection. â€Å"Early infection—when first infected with HIV, you may have no signs or symptoms at all, although it’s more common to develop a brief flu-like illness two to four weeks after becoming infected. Signs and symptoms may include: * Fever * Headache * Sore throat * Swollen lymph glands * Rash Even if you don’t have symptoms, you’re still able to transmit the virus to others. Once the virus enters your body, your immune system also comes under attack. The virus multiplies in your lymph nodes and slowly begins to destroy your helper T cells (CD4 lymphocytes) —the white blood cells that coordinate your entire immune system† (Mayo clinic, 2010). In my opinion, this phase is when most HIV is transmitted, sexually people don’t know they have it, they are engaging in unprotected sex and it’s just too late. This among others is a priority needed regarding informing public awareness. â€Å"Later infection—you may remain symptom free for eight or nine years or more. As the virus continues to multiply and destroy immune cells, you may develop mild infections or chronic symptoms such as: * Swollen lymph nodes-often one of the first signs of HIV infection * Diarrhea * Weight loss * Fever * Cough & Shortness of Breath This phase is scary in itself; it could be a multitude of conditions, an individual wouldn’t know, depending on their lifestyle, probably have a clue that they have aides. I do not think any of our physicians would guess HIV infection either. Thinking back, I have taken care of a few HIV patients, and if I didn’t already know they had the infection, I don’t think I could have guessed it! But they do have a dark circles around their eyes, deathly look, and very pale. A number of the signs and symptoms are just what you would guess for the flu, or respiratory infection. Just think for so many years, they are carrying the virus, and not knowing! â€Å"During the last phase of HIV—which occurs ten or more years after the initial infection, more serious symptoms begin to appear, infection may then meet the official definition of AIDS. In 1993 the CDC redefined AIDS to mean the presence of HIV infection as shown by a positive HIV antibody test plus at least one of the following: * The development of an opportunistic infection-an infection that occurs when your immune system is impaired. Such as: Pneumocystis carinii pneumonia (PCP) * A CD4 lymphocyte count of 200 of less (normal 800-1200) By the time AIDS develops your immune system has been severely damaged, making you susceptible to opportunistic infections. The signs and symptoms of some of these infections may include: * Soaking night sweats Shaking chills or fever higher than 100*F for several weeks * Dry cough and Shortness of Breath * Chronic diarrhea, Headaches * Persistent white spots or unusual lesions on your tongue or in your mouth * Blurred or distorted vision, Weight loss You may also begin to experience signs and symptoms of later stages HIV infection itself, such as: * Persistent, unexplained fatigue * Soaking night sweats * Shaking chills or fever higher than 100*F for several weeks * Chronic diarrhea, persistent headaches Everyone should get tested especially if they are engaging in high risk behavior, like IV drug use, unprotected sex. Every community should also make their people knowledgeable about services available to them. High risk individuals also need to know these test are private and not released to anyone else, including the federal government, employers, insurance companies and family members, unless of course the individual gives permission or consent to do so as stated by the Mayo Clinic. (2010). There are several ways to become infected with HIV: Sexual Transmission: Vaginal, anal or oral sex with an infected partner whose blood, semen or vaginal secretions enter your body. * Infected blood: Since 1985, American hospitals and blood banks have screened the blood supply for HIV antibodies. * Needle sharing: Needles and syringes contaminated with infected blood. Sharing intravenous drug paraphernalia puts individuals at high risk * Accidental Needle sticks: HIV positive people and health care workers through needle sticks are low. Experts put the risk at far less than 1%. Mother to child: Each year nearly 600,000 infants are infected with HIV, either during pregnancy or delivery or through breastfeeding. If women receive treatment during pregnancy, the risk to their babies is significantly reduced. â€Å"In the U. S. most pregnant women are prescreened for HIV, and antiviral drugs are given. Not so in developing nations, where women seldom know there status, and treatment is limited or nonexistent. When medications aren’t available, Caesarean section is recommended instead of vaginal delivery. Other options, such as vaginal disinfection, haven’t proven effective† (Mayo clinic, 2010). Other sources of transmission can be sexual devices that are not washed or covered with a condom. The virus also can be present in vaginal tears or the rectum, which places the person at greater risk of developing HIV. Needle users also should be informed that some communities have a needle exchange program where they can trade used needles and syringes for new ones. Most individuals diagnosed with HIV/AIDS use a test to predict their prognosis called viral load. This measures the amount of virus in the blood, of course the lower the load the better their prognosis. The Centers for Disease Control and Prevention (CDC) encourages adolescents and adults ages 13 to 64 as a part of their routine medical care for these ages. Yearly testing should be done. Several tests can be done, including ELISA, and Western Blot tests. ELISA looks for antibodies to the virus in a sample of your blood. If the test is positive, meaning you have the antibodies to HIV, they would repeat the test, and then do the western blot test, which checks for HIV proteins, combining the two tests confirms the diagnosis† (Mayo clinic, 2010). There are home tests in which you mail in a drop of your blood, and call a toll free number to receive the results in three to seven business days. This test is marketed by Home Access Health, is as accurate as a clinical test, and if positive, they are all retested. We all know, there is no cure for HIV, nor for AIDS, which was first identified sometime in the 80’s. Since that time a number of drugs have been developed to treat both HIV, and AIDS. The other problem, and a big one, with this condition, is the secondary infections that come along with HIV/AIDS. According to current guidelines, treatment should focus on achieving the maximum suppression of symptoms for as long as possible. This aggressive approach is known as highly active anti-retroviral therapy (HAART). The aim of HAART is to reduce the amount of virus in your blood to very low or even nondetectable levels, although this doesn’t mean the virus is gone. This is usually accomplished by three or more drugs . The first anti-retroviral drugs developed: Nucleoside analogue reverse transcriptase inhibitors (NRTI’s). They inhibit the replication of the HIV enzyme called reverse transcriptase. They include zidovudine (Retrovir), Iamivudine (Epivir), didanosine (Videx). A newer drug emtricitabine (Emtriva), which must be used in combination with at least two other AIDS medications, treats both HIV and hepatitis B† (Mayo clinic, 2010). Treatment should be also aimed at quality of life in my opinion, as most of these drugs cause a number of side effects, including the most common nausea, and diarrhea. Another drug, the Protease inhibitor, which interrupts HIV replication at a later stage in the life cycle by interfering with an enzyme known as HIV protease. It causes HIV particles in your body to become structurally disorganized and noninfectious. Protease inhibitors are usually prescribed with other medications to help avoid drug resistance. â€Å"A clinical trial with a Chemokine co-receptor inhibitors (CCR5 antagonists) make up a new class of drugs used to treat a type of HIV infection call ed CCR5-tropic HIV-1. The only drug in this class—maraviroc (Selzentry) was used in this trial , approximately twice as many people with CCR5-tropic HIV-1 infection who received maraviroc had undetectable viral loads after 24 weeks as did those who received more standard therapy in the control groups. The side effects of maraviroc may include liver and cardiovascular problems, as well as cough, fever, upper respiratory infections, rash and abdominal pain. â€Å"The President’s Emergency Plan for AIDS Relief (PEPFAR) is the most recent international social program instituted by the U. S. Government to combat HIV/AIDS. Since its inception in 2003, this foreign policy initiative has dedicated $63 billion for HIV/AIDS prevention and treatment in foreign countries. Despite PEPFAR’s many accomplishments, it continues to promote controversial prevention strategies† (Barney, Buckingham, Friedrich, Johnson, Robinson, Sar, 2010, p. 9). The most important thing to remember, and to be able to implement is to get individuals, and doctors to coordinate HIV testing into routine medical care. The CDC has initiated several strategies for prevention: Strategy 1: Incorporate HIV Testing as a Routine Part of Care in Traditional Medical Settings. CDC will issue recommendations strongly encouraging all health care providers to include HIV testing, when indicated, as part of routine medical care, like other routine medical tests by: * Promoting removal of real and perceived barriers to routine testing, including â€Å"de-coupling† HIV tests in the medical setting from extensive, pre-test prevention counseling. In some jurisdictions, statutory requirements, e. g. for pretest counseling, can serve as barriers to testing. * Working with professional medical associations and others to promote adoption of the recommendations. CDC will work with public and private payors to promote appropriate reimbursement incentives. Strategy 2: Implement New Models for Diagnosing HIV Infections Outside Medical Settings. * Encouraging the use of HIV rapid test—Some persons do not have access to traditional medical settings * Funding pilot projects in 2003, aimed at identifying the most effective models for HIV diagnosis and referral for medical and preventive care which CDC grantees can employ outside traditional medical settings Strategy 3: Prevent New Infections by Working with People Diagnosed with HIV and their partners. CDC will promote preventive and treatment services within and outside traditional settings by: * Working with HRSA to reach those who have been diagnosed with HIV but who are not receiving treatment and care * Conducting demonstration projects through health departments to provide prevention case management and counseling to people living with HIV. * Standardizing procedures for prevention interventions and evaluation activities to ensure that such measures are appropriate and effective. * Ensuring that requirements related to partner notification in grant guidelines are fully met. Piloting new approaches to partner notification, including rapid HIV testing for partners and using peers to conduct appropriate partner notification, prevention counseling, and referral. Strategy 4: Further Decrease Mother-to-Child HIV Transmission: Treatment of pregnant women and their infants can substantially reduce the number of babies born with HIV infection. * Promote screening of every pregnant wom an for HIV, using the â€Å"opt-out† approach. Make prenatal HIV screening a routine part of medical care. * Promote screening of newborns whose mothers HIV status is not known (Center for Disease Control, 2010). Historically, HIV and AIDS have been treated differently from other diseases or conditions. Since the last decade or so, it has changed, as far as how it is viewed medically. No longer is AIDS viewed as a deadly condition, rather it’s more looked at as a chronic, long term condition, that is treated like other diseases, we treat the symptoms, and the secondary infections. The problem with AIDS/HIV is the public doesn’t have the knowledge that the medical community has, and will probably never understand, or believe the real ways of contracting the infection. We as health care professionals need to continue to inform the public regarding prevention, and encourage more public awareness of the need to be tested before it is too late. References: Barney, R. , Buckingham, S. , Friedrich, J. , Johnson, L. , Robinson, M. , Sar. , B. (2010, Mar). The President’s Emergency Plan for AIDS Relief (PEPFAR): A Social Work Ethical Analysis and Recommendations. Journal of Sociology & Social Welfare. 37(1), 9-22. Retrieved from Ebscohost database. Bashook, P. , Linsk, N. , Jacob, B. , Aguado, P. (2010, Feb). Outcomes of Aids Education And Training Center HIV/Aids Skill-Building Workshops on Provider Practices. Aids Education and Prevention. 22 (1), 49. Retrieved from ProQuest database. Center for Disease Control. (2010). A Career with the CDC Global Aids Program. Retrieved from http://www. cdc. gov/globalAIDS/johs. html Falvo, D. (2009). Medical & Psychosocial Aspects of Chronic Illness & Disability. Boston: Jones & Bartlett. HIV/AIDS: ALL. (2010) . Retrieved from http://www. mayoclinic. com References Insert References Here.