Thursday, October 31, 2019

Nursing care during Primary Angioplasty Essay Example | Topics and Well Written Essays - 1750 words

Nursing care during Primary Angioplasty - Essay Example Details to be collected typically include – onset duration progress of cardiac symptoms, similar complaints in the past, any other major illnesses like diabetes, hypertension, medicines with dosage, previous surgeries, any allergies, etc. Details are provided to the respective physician and orders noted accordingly. Meanwhile the patient and the relatives are provided counseling and assurance. Coronary Angioplasty is planned in this patient to widen the occluded coronary artery. These arteries supply blood and oxygen to the heart muscles. These arteries get occluded due to fatty tissue or atheroma resulting in reduced blood supply to the heart causing chest pain. Angioplasty is performed to open up the blocked vessels by compressing fatty tissue against anterior coronary vessel wall. This procedure helps to improve blood flow through the vessels to the heart muscles and helps in relieving chest pain. Also, this procedure is advised when - a. Medicines like calcium channel bloc ker, beta adnergic blockers or nitrates fail to correct coronary heart disease symptoms (NICE technology appraisal guidance 71) or b. There is recurrence of chest pain post CABG (Coronary Artery Bypass Graft surgery). Coronary angioplasty can be planned procedure or an emergency procedure in the case of heart attack and unstable chest pain with acute myocardial infarction. (Coronary Angioplasty and Stents) This operation is performed either through radial artery or femoral artery. Radial route is more popular in recent times because radial artery is easily accessible and palpable. Its superficial location makes it easy to compress to achieve homeostasis later on. Normal Allen’s test ensures dual blood supply to hand. So in case of bruise to radial artery or radial blood flow shunt, hands will still receive perfusion through Ulnar artery without feeling any damage. There is less chance of nerve injury in radial method. This approach provides comfort to the patient as it allows them ability to mobilize. It is easier for the patient to notice and control any bleeding from the radial incision, the femoral artery lies deeper in leg, so compressing the artery is difficult and by the time hematoma is noted bleeding would be significant. Radial artery method is cost effective too. (Radial Approach to Cardiac Catheterisation). Coronary Angiography is performed with the Angioplasty in an emergency. Angiogram allows doctor to look inside coronary arteries and find out how severe and where the narrowed areas are. (Coronary Angioplasty and Stents) Patient is advised what medicines to be avoided on the day of the procedure, such as aspirin or any anti coagulant, which medicines should be stopped few days before the procedure and what additional medicines need to be taken. He/she is also informed about the details of the procedure along with the effect of anesthetic drugs during and after the procedure. Doctor explains about the nature of pain the patient may have. Nu rsing staff ensures that patient would not eat or drink anything 4 -5 hours before the procedure. Proper consent is taken from the patient and relatives informing them about the complication involved in it. Nursing staff prepares the patient for the procedure by checking

Tuesday, October 29, 2019

Mentoring New Nurses Essay Example | Topics and Well Written Essays - 500 words

Mentoring New Nurses - Essay Example The provision of mentoring programs may determine whether there will be a high turnover rate of new nurses or whether new talent will be maintained within the organization (Harrington, 2011). If senior nurses mistreat the new nurses, then they are likely to be demoralized and begin searching for new opportunities. For this reason, hospitals should have systems of ensuring that new nurses receive guidance and counseling from their senior counterparts. Research has indicated that every nurse has a need for a trusted mentor. Being new in the profession poses numerous challenges and the new nurses benefit immensely from having an individual who can hold their hand as they start their journey towards building their career. Many nurses undertake a four years training with the expectation that they will fulfill their dream of contributing positively to healthcare provision. Healthcare institutions need to keep that dream alive by providing new nurses with efficient mentorship. The selection of mentors for new nurses should bring on board individuals who are patient and those that pose other good qualities such as being trustworthy, good listeners, and being able to nurture talent. Mentors who lack these qualities may not be in a position to influence new nurses positively. For this reason, the type of guide selected determines the efficiency of mentorship.ConclusionMentorship programs developed for new nurses should seek to establish supportive and encouraging relationships.

Sunday, October 27, 2019

Implications of NRHM in Punjab

Implications of NRHM in Punjab Sustainable Health Development:  An Analysis of Implications of NRHM in Punjab Ms. Gunjan Malhotra[1] Dr. Madhur M. Mahajan[2] Abstract: The National Rural Health Mission was launched in 2005 (although full fledged activities began in full swing in 2007-2008) along with other states and union territories. The thrust of the mission is on establishing a fully functional, community owned, decentralized health delivery system with inter-sectoral convergence at all levels, to ensure simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, social and gender equality.The paper intends to study the impact of NRHM in terms of health infrastructure and to examine the impact of NRHM on health indicators like Infant Mortality Rate, Maternal Mortality Rate and Total Fertility Rate in the state of Punjab. It also studies the differences in Punjab and Kerala in terms of Health infrastructure and Health indicators. The study results show that a number of sub centres, PHC and CHC have increased and also IMR, MMR and TFR have come down after implementation of NRHM. Sustainability in health development means improvement in the health indicators and better health care facilities for existing and future population. Key words: NRHM, Sustainable Health Development, Mortality. Introduction: Health is described as the state of complete physical, mental and social well-being (WHO). Health is a state of being hale sound or whole in body, mind especially the state of being free from physical disease or pain. Good health is a pre-requisite for human productivity and development process. Improvement in health would make a positive impact on economic development. Better health can increase the number of potential man hours for production by reducing morbidity and disability as well as reducing mortality. Better health may result in more productivity per man as well as more men available for work. Promotion of a good health must be a prime objective of every country’s development programmes. The preamble to the WHO constitution also states that the enjoyment of highest attainable standard of health is a fundamental right of every human being and those governments are responsible for health of their people and they can fulfil that responsibility of taking appropriate measures. Sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs. It contains within it two key concepts: The concept of needs, in particular the essential needs of the worlds poor, to which overriding priority should be given; and The idea of limitations imposed by the state of technology and social organization on the environments ability to meet present and future needs. (Brundtland Report, 1987) Sustainability is related to the quality of life in a community whether the economic, social and environmental systems that make up the community are providing a healthy, productive, meaningful life for all community residents, present and future. Sustainable health care system means meeting the health and health care needs of individuals and the population which would lead to optimal health and health care outcome. According to WHO any policy is said to be sustainable when: It continues to function effectively for the foreseeable future, High treatment coverage, integrate into available health care services, have strong community ownership and use resources mobilized by community and government. Taking into account the above factors of sustainability National Rural Health Mission was launched by the Hon’ble Prime Minister Dr. Manmohan Singh in New Delhi in 2005 in the country, with a special focus on 18 states. It recognizes the importance of health care in the process of economic and social development and improving the quality of lives of our citizens. It provides effective health care to rural population throughout the country. NRHM initiative as a whole with its wide approach is a national movement that just a national health project. The main objective of NRHM in state Punjab is: To provide accessible, affordable, accountable, effective and reliable health care, especially to the poor and the vulnerable sections of the population in rural areas. To achieve health indicators like IMR, MMR and TFR to acceptable levels. The mission is an articulation of the commitment of the government to raise public spending on health from 0.9% of GDP to 2-3% of GDP and aims to undertake architectural correction of the health system to enable it to effectively handle increased allocations as promised under the national common minimum program and promote policies that strengthen public health management and service delivery in the country. To revitalize local health traditions and mainstream AYUSH into the public health system. It aims at effective integration of health concerns with determinants of health like sanitation and hygiene, nutrition and safe drinking water through a district plan for health. Literature Review: Kumar (2005) reported that study on Maternal Mortality Reduction and opportunity under National Rural Health Mission.Maternal Mortality Rate continues to remain high in our Country without showing any declining period of two decades. The proportion of maternal death contributes by direct obstetrics causes have also remained more or less the same in rural areas. There is a strong need to improve coverage of antenatal care, promote institutional deliveries and provide emergency of obstetric care. Ramani (2006) â€Å"Status of Indian Health System† identified that the critical areas of management concerns in the Indian Health Care System are mainly non-availability of staff, weak referral system, poor service delivery, financial shortfalls and lack of accountability of quality of care. Gautham (2007) in their study â€Å"Patterns of Public Health Expenditure in India: An analysis of State, and Central Health budget in Pre and Post NRHM Period† examined the size, distribution, trends, composition and rate of growth of Union and State Health Expenditure during the period of 2001 2002 to 2008 – 2009. Garg (2007) explored the current status of implementation and progress of activities as envisaged under NRHM in the high focus states of the country that are under priority, as well as non priority states. Ashtekar(2008) emphasised on the failure of decentralisation, the lack of inter-sectoral coordination, and the undermining of traditional health support are the reasons why the National Rural Health Mission has not delivered what it had set out to achieve. Sinha(2009) studied that NRHM provided a large canvas and platform for health action, but Shyam Ashtekar (EPW, 13 September 2008) misses many issues and does not make his critique from the right perspective. During the short period of its existence there is ample evidence to show that the mission has been moving in the right direction, crafting a credible public system of health delivery starting from the village and going up to the district level. Hussain (2011): reported that NRHM was introduced as a flagship scheme of the United Progressive Alliance government in 2005-06 to address the needs of the rural population through an architectural correction of the health system. With the completion period drawing to a close in 2012, he critically evaluates the success of the intervention strategies under this scheme. Pal (2011) analysed NRHM, this programme has put rural public health care firmly on the agenda, and is on the right track with the institutional changes it has wrought within the health system. He seeks to evaluate the performance of service delivery in rural public health facilities under National Rural Health Mission. The concept and working of NRHM has been discussed in brief. Anirvan (2012) in her study observed that National Rural Health Mission is the Government of India’s largest public health program. This report briefly analyse NRHM expenditures along the following parameters: overall trends in fund allocation and expenditure: GOI and States, allocation and expenditure on key programs like immunization, physical coverage and human resource avail- ability, and outcomes (Infant Mortality Rate and Maternal Mortality Rate). Patra, Ramadass (2013) studied the impact of NRHM on the health infrastructure and on the health indicators and to analyze the determinants of health status in the health development of Odisha. The study is only based on the secondary data. The collected data was analyzed with the help of MS-WORD and Excel. The study showed that the health status of study area is very poor and is gradually increasing as a result of the implementation of NRHM and the staple reasons for this tendency are: low income, illiteracy, shortage of doctors, unwillingness doctors to go to remote areas and lack of health care facilities and lack of production of laboratory technicians and radiographers. Thimmaiah, Mamatha (2014) intends to study the impact of NRHM in terms of health infrastructure and to examine the impact of NRHM on health indicators, like Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), Crude Death Rate (CDR) and Total Fertility Rate (TFR) in Karnataka. The study result shows that the number of Sub Centres, Primary Health Centres and Community Health Centres has increased between 2005 and 2010. Also, IMR, MMR, CDR and TFR have come down after the implementation of National Rural Health Mission. Objectives of the study: To study the impact of NRHM in terms of health infrastructure in Punjab. To examine the impact of NRHM on health indicators like IMR, TRR and MMR in Punjab. Hypothesis of the study: There is significant reduction in health indicator IMR, MMR and TFR after implementation of NRHM. Methodology of the study: Keeping the objective of the study into mind, an attempt has been made to draw a comparative picture of the health indicators before and after NRHM. The study relies on secondary data. The data is collected from Ministry of Health and Family Welfare statistical report NRHM, statistical abstract of Punjab, NRHM Annual Reports, Five year plan reports, Economic survey, Census reports and WHO reports. The data collected has been tabulated and impact of the NRHM on sustainable health in Punjab has been gauged by employing graphical analysis, correlation techniques and t-test. Impact of NRHM in terms of Health Infrastructure in Punjab Table 1: Number of Sub Centres, PHC’s and CHC’s functioning Source: Economic Survey 2012 From the above table it is clear that in the year 2005 when NRHM was launched, there were 2850 sub centres, 441 PHC’s and 120 CHC’s operated in Punjab. In the year 2010, the number of sub centres, PHC’s and CHC’s increased to 2950, 449 and 132 respectively. At all India level the PHC’s, CHC’s and sub centres have increased. In the following chart it is found that Sub Centres, PHC’s and CHC’s have been increased from the year 2005 to the year 2010 after the implementation of NRHM in Punjab. Chart-1 Sub Centres, PHC’s and CHC’s in Punjab Impact of NRHM in terms of Health Indicators in Punjab To study the impact of NRHM in terms of health indicators 3 indicators are used which are Total Fertility Rate (TFR), Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). A time period from 2000 to 2011 has been taken 6 years before implementation of NRHM and 6 years after NRHM. The following table shows the health indicators from 2000 to 2011: Table-2 Health Indicators 2000-2011 Source: RHS bulletin 2012(health and family welfare in Punjab) From the above table it is clear that IMR, MMR and IMR have reduced over the time period 2000 to 2011. Before implementation of NRHM, TFR was 2.4 and has been reduced to 1.7, MMR was 178 has been reduced to 154 and IMR was 52 has been reduced to 28. Chart-2 TFR 2001-2013 The above charts shows the decline in Total Fertlity Rate from 2000 to 2012 and the current rate is 1.7. Chart-3 MMR 2001-2012 The chart 3 shows a decline in Maternal Mortality Rate but in the year 2004-05 there has been increase in MMR and thereafter a decline in MMR. Chart-4 IMR-2001-2013 Chart-4 shows a significant decline in IMR after the implementation of NRHM. As compared to other health indicators IMR has shown the maximum improvement. Table-3 Sample t-test on Health Indicators in Punjab On the basis of analysis conducted by using sample T-test indicates that TFR was 2.28 before implementation of NRHM and it was decreased to 1.865 after implementation of NRHM. Overall decreased rate is 0.4183. The t statistic is significant at 1% level of significance. Hence null hypothesis of no difference is rejected and alternative hypothesis of significant difference is accepted. With respect of MMR, the rate of MMR 48.83 before implementation of NRHM and it was decreased to 163 after implementation of NRHM. Overall decreased rate is 19.34.The t statistic is significant at 1% level of significance. Hence null hypothesis of no difference is rejected and alternative hypothesis of significant difference is accepted. With respect of IMR, the rate of MMR 182.34 before implementation of NRHM and it was decreased to 35.67 after implementation of NRHM. Overall decreased rate is 13.16.The t statistic is significant at 1% level of significance. Hence null hypothesis of no difference is rejected and alternative hypothesis of significant difference is accepted. Major Findings of the Study: Number of sub centres, PHC’s and CHC’s have increased from 2005 to 2010 after the implementation of NRHM. Over the period substantial reduction has been seen in IMR, MMR and TFR after the implementation of NRHM. The reduction in the indicators and increase in health infrastructure depicts that there is sustainability in health after the implementation of NRHM. Conclusion: NRHM launched by the government of India holds great hope and promises to serve deprived communities of rural areas. The invariable existence of social cultural differences in the community has always been a challenge to health care efforts made by Government of India. Sustainibility in health is a major challenge in the hands of Government i.e. reduction in major health indicators and improvement of health infrastructure without having an effect on future generations. Sustainibility has a very wide scope and there are many reasons and policies which emphasis on Health Infrastructure and Health Indicators. But this paper only studies the impact of NRHM on the sustainibility of Health Development in Punjab. Refrences: Ashtekar, S (2008): â€Å"The National Rural Health Mission: A Stocktaking†, Economic Political Weekly, XLIII (37): 23-26. Anirvan Chowdhury, (2012) in her study â€Å"Budget Briefs-National Rural Health Mission†, Accountability initiative Research and Innovation for Governance accountability, No 69. Garge Suneel, Natha Anita, (2007) â€Å"Current Status of National Rural Health Mission†, Vol.32, Issue: 3 page: 171-172. Kumar’s â€Å"Challenges of Maternal Mortality Reduction and Opportunities under National Rural Health Mission. A Critical Appraisal†, Indian Public Health. 2005 Jul-Sep; 49(3): 163-7. Ramani K.V, Maavalakar Dileep, (2006) â€Å"Health System in India: Opportunity and challenges for improvement†, Journal of Health and Organization Management, UK, Vol. 20, No 6, PP 560-572. Suresh Kumar Patra, L.Annam Prof. M. Ramadass (2013) â€Å"National Rural Health Mission (NRHM) and Health Status of Odisha: An Economic Analysis† Language in India ISSN 1930-2940 13:4 April 2013. World Health Organization. 2006. Constitution of the World Health Organization – Basic Documents, Forty-fifth edition, Supplement, October 2006. Husain (2011) â€Å"Health of the National Rural Health Mission†, Economic and Political Weekly, Jan 22, vol XLV1, No 4. Pal (2011) â€Å"National Rural Health Mission: Issues and Challenges†, Zenith International Journal of Business Economics and Management Research, Dec 2011, Vol.1 Issue 3. Thimmaiah, Mamatha (2014) â€Å"National Rural Health Mission Status in Karnataka: An Economic Analysis†, ISSN-2250-1991, Vol.3 Issue-5. National Health Systems Resource Centre â€Å"NRHM in Eleventh Five Year Plan†, ISBN-978-93-82655-00-8. http://www.punjabstat.com/health/16/vitalstatistics/291/infantmortalityrate/17794/stats.aspx http://www.pbnrhm.org/home.htm [1] Assistant Professor, Post Graduate Department of Economics, GGDSD College, Chandigarh. [2] Assistant Professor, Post Graduate Department of Economics, GGDSD College, Chandigarh.

Friday, October 25, 2019

Verifying the Theories of Deborah Tannens You Just Don’t Understand Es

Verifying the Theories of Deborah Tannen's You Just Don’t Understand: Women and Men in Conversation with an Episode of Politically Incorrect with Bill Maher The book You Just Don’t Understand: Women and Men in Conversation, written by Deborah Tannen, is an analytical book offering scientific insights on the conversational differences between women and men. The book is copyrighted 1990 and is still read and widely talked about all over the world. Tannen is a Professor of Linguistics at Georgetown University in Washington, D.C. Tannen is a graduate of the University of California-Berkeley and has a doctorate’s degree in linguistics. She is a highly creditable author who has written many books on social differences between women and men. Some of her other books include: That’s Not What I Meant: How Conversational Style Makes or Breaks Relationships and Talking From 9 to 5: Women and Men in the Workplace. Her books have been translated into 26 languages and are still read by thousands of people every year (Tannen 13). Tannen’s Vocabulary Terms One of Tannen’s major claims is that women use rapport-talk and men use report-talk. Women use their rapport-talk as â€Å"private speaking† (Tannen 77). It is a way to gain connections and negotiations with the people to which women talk. Women will establish similarities and matching experiences to make conversation. On the other hand, men normally talk using the report-talk. Tannen would consider this â€Å"public speaking.† Tannen defines report-talk as â€Å"the primary means to preserve independence and negotiate and maintain status in a hierarchical social order.† Tannen proceeds to explain how men exhibit their knowledge and skills by telling stories, joking, or even impartin... ...n’t Understand have been put to the test. The episode of Politically Incorrect was a perfect representation of Tannen’s ideas and theories. My evidence definitely agrees with Tannen. The episode of Politically Incorrect demonstrated Tannen’s claims. Tannen’s vocabulary terms of report-talk and rapport-talk were exemplified throughout the episode. I find it quite amazing how accurate Tannen’s main arguments were. An interesting fact is that Tannen wrote You Just Don’t Understand over twelve years ago. Women and men have not changed their conversation styles in that twelve-year time period. Works Cited Politically Incorrect. Perf. Bill Maher, Tom Green, Howard Lyman, Humberto Fontova, and Florence Henderson. KCAU-9, Sioux City. 18 March 2002. Tannen, Deborah. You Just Don’t Understand: Women and Men in Conversation. New York: First Quill, 2001.

Thursday, October 24, 2019

Ballad of Birmingham by Dudley Randall

In the poem Ballad of Birmingham, Mr. Randall uses of element of paradox to illustrate the incidents of the mother’s verdict, and also her concern for the benefit of her beloved young child. It looks peculiar that this kid would even be acquainted with what a freedom march is, but this would be deemed ordinary back in 1960's, when Mr. Martin Luther King Jr. had meetings and protest marches to free the African American inhabitants from inequity and isolation. I feel the mother would be the one who would covet to land at the march to free her populace, not the child.In the first canto element of absurdity is used so as to make reading the poem more mesmerizing. The circumstance in this first stanza is also vital. The little child is in a worried situation and wants to assist better the lives of the African Americans. The spokesperson is letting the reader to construct an element of visualization of one fussy march in Birmingham. But, you realize plus I, that with peace processio ns and gatherings come aggression and resentment. This is truly what the little girl’s mother is scared of; this is why she will not permit her to attend the march.Moreover, one more thing that strikes me as a hilarious element is that her mother dresses her daughter in her best attire to go to cathedral with her. The narrator's style explains the reader the delight and joy that the mother obtains in her child's appearance. Something else that is sarcastic transpires in the 6th stanza. The mother smiled to make out that her child was in the holy place, but that contentment was the final smile to appear on her face. This stanza is sardonic because if the mother deems her daughter is going to be in a sacred place, why would this be the ultimate moment she would ever smile?First, there is a touch of childishness in the first stanza. The little child tries to perform good and childlike to her mother, in the case that her mother could allow her to reach to the march. Secondly, the re is the sense of worry for her child's wellbeing. After that, there is the tone of pleasure in the 5th verse and in the first portion of the 6th stanza. Her mother receives satisfaction and joy in getting her offspring ready to go to Minster. She is also cheerful that her darling child is going to church rather than leaving to the march.But, if you observe, in the 7th stanza that tone of elation at once converts to angst and lonesomeness. The mother does not recognize what to accomplish. The mothers tone in the ending lines of the poem presents the reader a sentiment of unhappiness and culpability. The term baby the mother exploits connotes the mother’s warmth for her missing daughter. I don't know how, but for any explanation her mother thinks that something has happened to her baby, so she jogs through the roads of Birmingham, Alabama calling for her daughter. She clawed through fragments of glass and brick, and then picked out her child's shoe.From this finding the mothe r discerns that she has lost her daughter eternally. To sum up, for my part this poem was brilliantly written for the simple truth that Randall is not frightened to brazen out the problems that these two civilizations had amid them. He portrays things that had happened in this stretch of time to convey his point vibrantly to the reader. Works Cited Randall Dudley, Ballad of Birmingham, (1969), on the bombing of a church in Birmingham, Alabama, 1963, retrieved on December 7, 2006 from http://www. ctadams. com/dudleyrandall4. html

Wednesday, October 23, 2019

The Perfect Storm

Severe Weather Analysis THE PERFECT STORM Due: March 25, 2010 50 Points Using data from the NOAA (National Oceanic and Atmospheric Administration) and NCEP/NCAR (National Centers for Environmental Prediction/National Center for Atmospheric Research) and any other peripheral sources, please provide a discussion and analysis of the severe weather events surrounding the loss of the Andrea Gail and rescue of the Satori as presented in the book, The Perfect Storm, by Sebastian Junger. You are given the following clues: 1. Dates: 27 October 1991 – 1 November 1991 2. General location: North Atlantic Ocean, latitude/longitude coordinates from text 3. Events as portrayed in the novel. 4. The NOAA special storm report for this event (below) From these initial data points, use maps, the library, the internet and your knowledge to develop a more fully synthesized description and explanation of weather events as they relate to the events experienced by the crew of the Andrea Gail, Coast Guard and yacht Satori. NOAA page for the â€Å"Perfect Storm† http://www. ncdc. noaa. gov/oa/satellite/satelliteseye/cyclones/pfctstorm91/pfctstorm. html The following websites will be useful to develop maps. http://www. cdc. noaa. gov/Composites/Day/ http://www. cdc. noaa. gov/cgi-bin/Composites/printpage. l To characterize the storm and its development, and to relate these factors to the story, you may map any variable/aspect of the days that these events were occurring. Consider and present factors such as storm intensity and track, fronts, jet stream and surface winds. I suggest using (mapping) some of the following variables: temperature, specific humidity (for moisture), vector wind and geopotential height (to show pressure disturbances) to represent the atmosphere at the surface, and possibly at other levels such as the lower troposphere (850 mb), middle troposphere (500 mb) and upper troposphere (300 mb). Based on what you know of storms, describe how the atmospheric environment contributed to the development of the weather systems that destroyed the Andrea Gail. You have been given the what, the when and the where – you must provide the why and the how. Deliverables: Technical memorandum: Minimum of 3 typed pages of text diagnosing the weather event and relating specific portions of the storm’s anatomy to the location of the vessels and events in The Perfect Storm, plus maps. Cite all references and images. The Perfect Storm Severe Weather Analysis THE PERFECT STORM Due: March 25, 2010 50 Points Using data from the NOAA (National Oceanic and Atmospheric Administration) and NCEP/NCAR (National Centers for Environmental Prediction/National Center for Atmospheric Research) and any other peripheral sources, please provide a discussion and analysis of the severe weather events surrounding the loss of the Andrea Gail and rescue of the Satori as presented in the book, The Perfect Storm, by Sebastian Junger. You are given the following clues: 1. Dates: 27 October 1991 – 1 November 1991 2. General location: North Atlantic Ocean, latitude/longitude coordinates from text 3. Events as portrayed in the novel. 4. The NOAA special storm report for this event (below) From these initial data points, use maps, the library, the internet and your knowledge to develop a more fully synthesized description and explanation of weather events as they relate to the events experienced by the crew of the Andrea Gail, Coast Guard and yacht Satori. NOAA page for the â€Å"Perfect Storm† http://www. ncdc. noaa. gov/oa/satellite/satelliteseye/cyclones/pfctstorm91/pfctstorm. html The following websites will be useful to develop maps. http://www. cdc. noaa. gov/Composites/Day/ http://www. cdc. noaa. gov/cgi-bin/Composites/printpage. l To characterize the storm and its development, and to relate these factors to the story, you may map any variable/aspect of the days that these events were occurring. Consider and present factors such as storm intensity and track, fronts, jet stream and surface winds. I suggest using (mapping) some of the following variables: temperature, specific humidity (for moisture), vector wind and geopotential height (to show pressure disturbances) to represent the atmosphere at the surface, and possibly at other levels such as the lower troposphere (850 mb), middle troposphere (500 mb) and upper troposphere (300 mb). Based on what you know of storms, describe how the atmospheric environment contributed to the development of the weather systems that destroyed the Andrea Gail. You have been given the what, the when and the where – you must provide the why and the how. Deliverables: Technical memorandum: Minimum of 3 typed pages of text diagnosing the weather event and relating specific portions of the storm’s anatomy to the location of the vessels and events in The Perfect Storm, plus maps. Cite all references and images.