Preexistence of Christ :: essays research papers

Preexistence of Christ Advanced Information The preincarnate existence of Christ may be "only a simple, contemplative inference backwards from the spiritual glory of the present Christ" (Deissmann); certainly its clearest expression is found in later writing reflecting upon the rudimentary messianic, even adoptionist, assessment of Christ in the primitive Christian community (Acts 2:22 - 23; 10:38). Yet preexistence is at least implied in words of Jesus himself: "The son of man came"; the owner of the vineyard "had still. . . a beloved son: finally he sent him." It is explicit in sayings attributed to Jesus in John's Gospel: "I came down from heaven"; "The glory I had with thee before the world was." Jewish scholars attributed "ideal" preexistence to things (law, temple) and persons (Adam, Moses) deeply reverenced, echoed perhaps in Paul's calling Christ "last Adam. . . from heaven." Greek thinking, reflected in Philo, was familiar with preexistence of souls. But it is unnecessary to find here more than a source of usable terms. The idea that the Son of God, eternally preexisting in glory with the Father, moved by love became incarnate was too central to Christian faith to depend upon coincidences of language for its basis. BELIEVE Religious Information Source web-site Our List of 1,000 Religious Subjects E-mail Paul appeals for generosity because Christ, "through rich, became poor." He pleads that converts live as sons because "God sent forth his son"; argues for self effacement from the fact that Christ, being in the form of God, "emptied himself"; contends, against the Gnostics' pleroma filling the gulf between God and creation, that "all things were created in, through, and for Christ. . . who is before all things." As "Lord from heaven" Christ provides the pattern of our resurrected humanity; as he first descended, so he has ascended, the measure of his triumph and assurance of ours (2 Cor. 8:9; Gal. 4:4; Phil. 2:5 - 6; Col. 1:15 - 16; Eph. 4:8 - 9). For such practical, pastoral exhortations one does not argue from fringe speculations, but only from familiar, accepted, foundation truths. John's Gospel and Epistle, assuming that Christ came from God and went to God (John 13:3), emphasize his being sent by the Father on divine mission, expressing divine love (John 3:16; 1 John 4:9 - 10), a revelation of the unseen Father by one belonging "in the bosom of the Father" (John 1:18), a divine Word, present when God spoke at creation and now again conveying meaning and power to the world (John 1).

Care of a Patient in Acute Pain from a Total Knee Replacement Jahaira Melendez Essay

Nursing care after a total knee replacement is very essential in promoting a speedy and safe recovery for a patient. In an attempt to replicate the knee’s natural ability to roll and glide as it bends by cutting away damaged bone and cartilage and replacing it with an artificial joint, acute pain following the procedure can be unbearable. In assisting the patient in controlling the pain would only guarantee the best recovery possible. With pain control, the patient will be able to perform follow up care and exercises to the best of their ability and over 90% of patients who undergo a total knee replacement have good results with recovery and ability to resume performing normal daily activities and minimizing the risks of complications to the surgical site. Keywords: Pain management, encouragement, total knee replacement, arthritis, prosthetic Care of a Patient in Acute Pain from a Total Knee Replacement A common medical condition seen in many aspects of the medical field is arthritis. Arthritis is the inflammation of a joint and the most common type of arthritis is osteoarthritis, also known as wear and tear. Pain from any medical condition or procedure can be very stressful to a patient and inhibit any recovery. Arthritis can be diagnosed by performing an x-ray to determine the extent of joint damage. Someone with arthritis of the knee usually has difficulty walking, climbing stairs and getting in and out of chairs. An orthopedic physician can recommend interventions. The most common joint replacement surgical intervention to help control and alleviate chronic pain for a patient is a Total Knee Replacement, also known as arthroplasty. A total knee replacement is performed to relieve moderate or severe pain and restore function in severely diseased knee joints. This procedure is not performed until pain is no longer controlled with non-operative treatment such as weight loss, activity modification, anti-inflammatory medications, joint supplements and cortisone injections. It is also not performed frequently on younger patients due to the implant wearing out quickly. An orthopedic physician would determine the type of prosthetic needed in order to achieve the most success. There are also modified implants to provide the best possible functioning with long lasting results such as partial knee, rotating knee, gender specific knee and custom knee. To perform the procedure, an orthopedic surgeon would administer general anesthesia, which means one is unconscious during operation, or spinal or epidural anesthesia in which a person is awake but cannot feel any pain from the waist down. During the procedure, the knee is in a bent position to fully expose the joint surfaces. An incision of 6 to 10 inches (15-25cm) is made on the front of the knee. The kneecap is moved aside and damaged surfaces are cut away. The femur is cut to match the corresponding surface of the metal femoral component that is placed on the end of the femur and the tibia is prepared with a flat cut on top to fit the metal and plastic tibial component that is inserted into the bone so the femoral component will slide as the knee is bent. If needed, the patella is cut flat and fitted with a plastic patella component and plastic spacers are inserted between the metal components for smooth gliding. Prior to completion, the knee is tested during surgery to ensure correct sizing and then closed with stitches or staples. The procedure would take 1 to 2 hours and recovery would be another 1 to 2 hours and then require a hospital stay of a couple of days. During the hospital stay, encouragement to move the foot and ankle to increase blood flow and prevent swelling or clots and blood thinners, support hoses or compression boots are very important. A nurse should also encourage the patient to cough regularly and take deep breaths to promote the movement of mucus that settles in the lungs during the procedure while being under anesthesia. Caring for a patient in acute pain after a procedure and managing pain levels is a very important part of recovery. Without pain control a patient will not be able to achieve recovery levels as quickly as possible without causing other injuries. Acute pain is related to tissue injury secondary to the surgical intervention. Upon discharge, teaching on follow up care is very important. A patient needs to know what to do and what to watch for as part of their recovery. Vital discharge instructions that a patient must be taught are: * When allowed to shower, usually 3 to 4 days after surgery, carefully wash incision with soap and water, rinse well and gently pat dry. Do no rub or apply creams. * Sit when showering to avoid falls. Avoid soaking to prevent infections. Try using non-slip mats, grab bars and elevated toilet seat or shower chair to prevent falls. Take pain medications as directed, do not double up doses if any doses are missed and do not drive when taking narcotics, usually about 6 weeks before it is ok to drive. * If taking a blood thinner, always verify with physician if it is ok to take Ibuprofen or any anti-inflammatory medications * Always sit in chairs with arms to make it easier to stand or sit but only 30 to 45 minutes at a time. * Sleep with pillow under ankle and keep knee straight but change leg position at night and nap if tired but don’t stay in bed all day. Wear support stockings for about 4 to 6 weeks and do not pivot, twist or kneel. * Walk up and down stairs with support, one step at a time using good knee to step up and bad knee to step down. As a fall prevention, always remove loose wires, throw rugs and have good lighting and keep items within reach. * Before and after any activity, ice the area for 30 minutes. Most importantly, teaching about potential risks such as nerve damage, stroke, and heart attack, blood clots in leg vein or lungs or infection should really be emphasized when discussing discharge instructions. Signs of infection would include increased redness, tenderness, swelling and pain of surgical site, stiffness, and fever with temperatures above 100 degrees Fahrenheit, shaking chills and drainage from site. If any of these symptoms occur, a call to the physician should be made immediately. Recovery will take several weeks during which time crutches or a walker will be needed and arrangements for transportation and everyday tasks will have to be made. Physical activity should be resumed slowly with normal household activities, a graduated walking program and knee strengthening exercises until staples or stitches are removed 2 to 3 weeks after surgery. Low impact exercising such as swimming or riding a stationary bicycle is tolerable but high impact activities such as running are not recommended due to an increased risk of joint failure because the knee joint components can loosen. During recovery from the surgical intervention, a nurses care to help control acute pain for the patient is one of the most important factors in helping a patient fully recover without further complications. Walking and knee movement begins soon after surgery so less pain would benefit the patient to move sooner and get strength back quickly. Pain control can be done with the use of analgesic and non-analgesic relief measures and reporting uncontrolled symptoms immediately. A nurse can assist with pain management interventions such as: * Performing comprehensive assessment of pain to include location, characteristics, onset, duration, frequency, quality, intensity or severity and precipitating factors. Always consider cultural differences and in non-verbal patient use the analog pain scale to evaluate pain control measures required * Reducing or eliminating increasing pain factors like fear or lack of knowledge * Teaching non pharmacological techniques like relaxation, massage, guided imagery and distraction * Checking vitals every 4 hours and neurovascular checks every hour during the first 12 to 24 hours then every 2 to 4 hours and always report any abnormal findings * Providing prescribed analgesics before activity to increase participation and assessing levels of comfort frequently * Initiating physical therapy, exercises and range of motion while teaching and reinforcing the use of techniques to prevent weight bearing on affected extremity and recommending home health or a rehabilitation facility * Monitoring incision bleeding, emptying and recording drainage every 4 hours and changing dressing every 24 to 48 hours * Encouraging increased fluid intake and high fiber diet, stool softener and a well-balanced diet with increased protein * Encouraging use of compression stockings to decrease swelling. Nursing care of a patient is very crucial in order to help the patient avoid potential complications with the prosthetic. An infected knee would require surgery to remove artificial parts and antibiotics to kill the bacteria then after clearing the infection another surgery would be required to install a new prosthetic. A nurse’s role in recovery is very important in many aspects of the patient’s care and the nurse can encourage and support the patient in building the confidence that they are able to perform the necessary steps to gain the ability to restore normal functions. Most importantly, helping the patient keep pain levels under control by whatever measures are comfortable to the patient should be first in mind. Pain can be the main factor that would prevent a patient from doing any follow care or treatment they are required to do in order to keep the prosthetic functioning adequately. The patient should be able to rely on the nurse to keep them in a comfortable state with the assistance of keeping in communication with the physician and without this patient-nurse relationship the patient would not be able to recover properly and achieve goals set as part of their recovery treatment plan.

Malicious Code Cyber Attacks

The use of internet and networks have various advantages where companies can increase cost efficiency by sharing resources and crucial data can be shared and backed up on various locations. The network of a company though quite important in modern times is prone to various cyber attacks which target the financial and sensitive sectors of a company. A potential hacker could target the network of a company in various ways if there is a security loophole in the company network. The various cyber attack threats a company faces include cracking, malicious code, back door, sniffer, TCP hijacking, mail bombs and other threats.The nature of such a threat, its effect on the network, problems caused by the attack and the countermeasures available to the company is explained. Cyber Attacks Using Malicious Code The most common type of cyber attacks involves malicious code. A hacker encodes a piece of code using some programming language and attaches an executable file to an email or sends this f ile to potential targets using an internet messenger service. The code usually creates a loophole in the network infrastructure of the company and the hacker can easily access any data or files available on the intranet of the company that is not shared with the general public.The hacker can easily access financial, personal and other sensitive information from the network of the company and misuse it in various ways. The sensitive data may include the industrial secrets of the company, the personal files of employees, financial information regarding the company and marketing policies and plans. When a company is attacked through malicious code, a person would receive an email or instant message requiring the person to open a file which would be executed and embedded in the network infrastructure and the company would face various problems (T., Sachs, Devost, Shaw, & Stroz, 2004). The level of severity of these problems may be minimum or maximum. The hacker would have access to the marketing and financial procedures of the company and could black-mail the company or provide this data to the competitors of the company. Another major problem caused by this attack would be the malfunctioning or stoppage of any crucial software which is necessary for running business operations. Personal information of the employees including names, telephone numbers and addresses would be compromised and would create a personal threat to them as well.The cyber attack could launch a companywide malfunction of hardware and software limiting the operations of the company, as today almost all operations are dependent on computers. The code could change critical information relating to business operations such as input data for various operating processes. The company can stop and prevent these cyber attacks in various ways. The malicious code technique of attack usually involves a file which is transferred through emails, instant messengers, loopholes in the firewall framework and da ta transfers from insecure websites and sources.The attacks can be prevented by filtering content received over the internet through emails and instant messengers. Antivirus, intrusion detection and content filtering programs can be implemented to limit transfer of malicious software or code. The employees of the company should be trained in this regard and should be made aware of the potential dangers of malicious code and the sources it can come from. The firewalls implemented in the company should be tested and audited with test scenarios to guarantee the safety of these firewalls.All backup of data should be kept in safe and secure locations which is not available on the network of the company. When the attack does occur there should be contingency plans available to cope with the effects of this attack and operating procedures should be defined well ahead of time to deal with such threats. Intrusion detection and prevention systems should be implemented at all levels of the net work to increase the safety and security of the network (GFI, 2009). Conclusion Cyber attacks are very common in modern times and there are various types of threats and these methods and types changing with the pace of time.Individuals and companies also need to be updated on the various new methods, techniques and prevention for such attacks. If there is a cyber attack on an individual or a company, it could result in adverse consequences including loss of crucial data and loss of financial resources. To prevent and limit the frequency and probability of these attacks various protection and safeguard tools such as antivirus and intrusion detection should be implemented. References GFI. (2009). Targeted Cyber Attacks. Cary: GFI. T. , P. , Sachs, M. , Devost, M. G. , Shaw, E. , & Stroz, E. (2004). Cyber Adversary Characterization. Burlington: Syngress.