Tuesday, October 29, 2019

The Influence of Hybrid Warriors in Future Wars Research Paper

The Influence of Hybrid Warriors in Future Wars - Research Paper Example One can see that the US soldiers deployed in different missions face a number of problems like lack of skills, cultural insensitivity, failure in collecting information, and reconstruction of war-torn areas. In addition, the rapid change from counterinsurgency measures to traditional warfare leads to a number of problems. But the claim that the enemies are well equipped to withstand large scale operations/conventional warfare and the example of Israeli defeat in Lebanon in the year 2000 (Hezbollah rocket attack), does not prove that conventional warfare is outdated. Cordesman stated that â€Å"Israel’s problems in the security zone were legion and were sharply influenced by its lack of any real political support in Lebanon† (411). At the same time, the claim that the US failure in Falluja, Iraq (2004) was due to the lack of systematic warfare is wrong because the reason behind the failure is that the US Forces underestimated the insurgents. The claim that the internatio nal terrorist groups like Al Qaeda follow conventional and irregular warfare (say, in Iraq, in the year 2007) is a little bit confusing because most of the terrorist groups always follow conventional warfare. But the main problem faced by the US Forces during the Vietnam War was the lack of information on the combination of guerrilla warfare (Viet Cong) and systematic warfare (North Vietnam Army). The claim that the wars in Lebanon (in the year 2006), Falluja (in the year 2004) and Vietnam War prove that combination of regular and irregular warfare can influence the end result, but this does not prove that regular warfare is totally outdated.

Sunday, October 27, 2019

French novels: Proust

French novels: Proust MARCEL PROUST â€Å"We dont receive wisdom; we must discover it for ourselves after a journey that no one can take for us or spare us.† Marcel Proust INTRODUCTION The concept of ‘novel’ had become extremely well defined towards the end of the nineteenth century. Along with other languages, French novels were also slowly becoming extremely popular. One of the chief pioneers of French novels was Marcel Proust. In a time of literary resurgence in the continent of Europe, Marcel Proust played a vital role in bringing about a rise in French literature’s constant value on the literary market. Marcel Proust was a prolific writer who succeeded in grasping France’s cultural and its gigantic literary significance. Coming from a wealthy Jewish bourgeois family, he had to face a lot of personal losses which became a central theme in his writings. Having become a chronic invalid at a very young age, he was confined to lead a morose, depressing life. Despite these odds he managed to keep up with his social and literary acquaintances. Most people who met him or spoke with him thought him to be eccentric. Most of his literary works were a representation of his memories. He converted the treasure-house of his gloomy and haunting memories into a composition of classy literature. When it came to writing, he thought of himself to be the sole creator, a God who brought the very richness of his enchanted stream of memory to life by penning it on a piece of paper. So what made Marcel Proust a legend in the field of literature? What were the obstacles he had to face before becoming the famous author the world knows today? Let us go back in time and witness the making of Marcel Proust. A GENIUS IS BORN In the beautiful city of Paris, France, Adrien and Jeanne Proust welcomed a beautiful baby boy into their prosperous household on 10th July 1871. The baby was named Marcel Proust by his parents. Marcel’s father, Adrien was a renowned physician and his wife, Jeanne was from a wealthy Jewish family. Marcel was a sickly child as he kept falling sick at regular intervals. In 1880 at the tender age of 9, he suffered from a strange but severe state of breathlessness. Worried, his father used his medical skills on his son and realised that Marcel was asthmatic. Medicine wasn’t as advanced as it is today and so his medication did not allow him to play with the other children like a normal child. Upon exerting too much energy he would suffer from breathlessness at regular intervals. Thus he spent most of his time at home and as a result Marcel suffered from depression. In order to rid Marcel of his depression his parents would often send him to Auteuil on holidays or at seaside resorts in Normandy where his maternal grandmother lived. While on vacation, Marcel would spend much of his time reading and trying to write his own thoughts in the form of a short story or poems. EARLY YEARS He attended a school called ‘Lycà ¨e Condorcet’ and wrote various articles for class magazines. However, as fate would have it, his education was disrupted due to him falling ill frequently. Marcel was very fond of his mother, Jeanne and was attached to her. Jeanne saw the passion her son had towards writing. She herself was well read and literate and would often write letters which demonstrated a well developed sense of humour. She also had a very strong command over the English language and guided Marcel in translations. She wanted Marcel to finish his graduation and so she also helped him with his studies and Marcel finally graduated in 1890 at the age of 19. In spite of poor health, 19 years old Marcel decided to enter the military. He was enlisted in the French army and was stationed at the Coligny Barracks in Orlà ¨ans. This proved to be quite an experience for Marcel as he learnt the importance of discipline and comradeship. Before joining the army, Marcel was often considered to be a snob due to his lavish lifestyle but after returning from the army in 1893 at the age of 22, Marcel was a changed man. He was more disciplined and social towards people. Upon his return from the army he studied at the School of Political Sciences and acquired licenses in law in 1893 and literature in 1895. In the beginning of 1895, Marcel spent several years reading and researching the works of art critic and patron, John Ruskin. This helped Marcel in refining his own theories of art and philosophy. Marcel then set out to translate two of Ruskin’s works into French but he constantly faced problems since English wasn’t his first language. So, to overcome this obstacle he made his translations a group affair. He took the help of his friend Reynaldo Hahn and his cousin who was British and got his translation polished. Marcel would often visit Madame Straus’ bourgeois get-togethers and would observe the behaviour of people. Madame Straus was Marcel’s mother’s friend, and so she had no problems with Marcel attending her private parties. These visits proved fruitful as Marcel treated the people at these parties as character subjects who would later serve as sources of inspiration in Marcel’s short stories. In 1896 at the age of 25, Marcel published ‘Pleasures and Days’ which was a collection of short stories he had written during his stint in the army. In 1897, French society and politics were split by the movement to liberate Jewish army officer Alfred Dreyfus who was unjustly imprisoned as a spy. 26 years old Marcel knew this was false and having a Jewish background, he decided to revolt against the government and fight for Dreyfus’ freedom. Marcel helped by assisting Dreyfus’ lawyer in organizing petitions asking for Dreyfus to be freed. Many of his friends warned him that his actions would lead to social banishment but Marcel defied the risk of ostracism courageously. This experience provided a sense of clarity and Marcel’s impression of the aristocratic society was shattered which became very visible in the short stories that he had written. Through these experiences Marcel was gradually evolving from an egotistical ignorant youngster to a mature prolific writer. TROUBLED ROAD TO SUCCESS Marcel led a very depressing childhood due to constant illness and asthma. However, he never gave up hope and continued to pursue literature. But, the early 1900s proved to be very difficult for Marcel personally. In February 1903 when Marcel was 32 years old, his brother, Robert Proust married and left the family home. Following Robert’s departure, his father died in November of the same year. This was very difficult for Marcel as he was the only person responsible for the family’s well being. However, things took a turn for the worse when Marcel’s beloved mother died in September 1905. Marcel’s emotional armour was smashed and his courage crushed. Marcel went into severe depression following Jeanne’s death. His health continued to deteriorate and Marcel knew that the only way he could get over his mother’s death was if he involved himself completely into the field of writing. A year later in 1906 35 years old Marcel went on to publish the translated version of Ruskin’s philosophies. The book was named ‘Sesame and Lilies’ and was well appreciated by the French masses. The critics lauded Marcel’s skill of translating the language and yet staying true to the philosophies of Ruskin. Marcel developed a hauntingly brooding personality after his mother’s death. In spite of the success of his translated works, he had forgotten what it meant to smile. The loss of his loved ones had left him grief stricken and alone but financially independent to attempt his novel. The year 1908 was a pivotal year for Marcel as a writer. He published his views and ideologies and imitations of other writers in various journals. Imitating other writers’ works helped Marcel in solidifying his own style. Inspired, Marcel began penning a novel which he thought would be his best work. He was unable to rest or sleep as he would spend entire days writing the novel. He wanted to get over his personal loss and so writing became a sort of drug for Marcel. This obsession resulted in a novel which focused on a protagonist who has a problem sleeping as he remembers waiting as a child for his mother to come to him in the morning. The story was obviously based on Marcel’s own feeling of depression caused due to his mother’s loss. Upon finishing the novel, Marcel went to various publishers to have his book published but to no avail. Every publisher rejected his book stating that it was too morose and lacked substance. Tired of being rejected, he shifted his work to a substantially different project which also contained many of the same themes and elements. In 1909, at the age of 38 he began work on another novel titled ‘À la recherchà © du temps perdu’. Marcel decided to divide the novel into several volumes and published the first volume called ‘Swann’s Way’ in 1913. The first book focussed mainly on the theme of involuntary memory. After finishing the book, Marcel went to many publication houses to get his work published but was faced with rejection once again. He went to one of the most famous magazine companies in France at the time called New French Review (NRF). Famous author Andre Gide was given the book to proof read to advise NRF on its publication. However, after going through a seemingly endless collection of depressing memories and melancholic episodes, Gide came across a few syntactic mistakes and decided to reject it. Not losing hope, Marcel managed to meet with another publisher called Grasset and eventually got his book published. The novel became a bestseller and it compelled Marcel to begin writing its respective sequels. While writing the second volume titled ‘In the Shadow of Young Girls in Flower’ in 1913, Marcel faced a lot of problems due to the First World War. Marcel’s publisher, Grasset closed down his publication firm and joined the military. Marcel then decided to go to another publisher and got his novel published in 1914. The novel was such a huge success that Marcel was awarded the ‘Prix Goncourt’ award in 1919 at the age of 48. FINAL YEARS In 1920, 49 years old Marcel developed a strange illness which could not be detected by most of the top doctors at the time. The sickness slowed down his work but Marcel continued to write the third and fourth book in the series titled ‘The Guermantes Way’ and ‘Sodom and Gomorrah’. Marcel finished both the books by 1921 and managed to get them published a few weeks before his 50th birthday. Success followed Marcel like wildfire. His name was everywhere in the media and he had become a literary figure in the eyes of the French masses. Soon, other European countries got hold of his books and Marcel soon became an iconic figure in Literature all over the world. Marcel’s books were published in French, English, Italian and other languages. Even though success embraced Marcel in his 50s, he continued to live in misery and illness. Marcel cared less about fame and more about his contribution to French literature. He confided in his estranged brother Robert and told him to finish and publish his work if he were to die. Robert saw the condition Marcel was in and could not help but feel sorry for him. After all, Marcel was his brother and agreed to help him. Marcel spent the entire year of 1922 confined to his cork-lined bedroom. He slept during the day and worked at night to complete the fifth book in his series titled ‘The Prisoner’. On 18th November 1922, Marcel finally succumbed to this mysterious illness at the age of 51. He was buried by his brother in the Pà ¨re Lachaise Cemetary in Paris. TRIBUTE After Marcel’s death, the remaining volumes of his novel which he had written but not completely revised were published by his brother Robert. Robert took the help of Jacques Riviere and Jean Paulhan who were the directors of New French Review. The books published were ‘The Prisoner’ in the year 1923, ‘The Fugitive’ in the year 1925 and ‘Time Regained’ in the year 1927. The merit of Marcel’s novel was that its brilliance was perceived as being one of the major literary works of the Western canon. Legendary playwright and literary critic Graham Greene called Marcel the greatest novelist of the 20th century. Today the book is being read by billions all over the world. Famous publishing company ‘Penguin’ undertook a fresh translation in 1995 based on the latest and authoritative French text. Marcel’s projection of snobbism, vanity and cruelty in his novels were a mere reflection of his own personal experiences. His insight into women and the love men have for women remain unimpaired. Today, Marcel is considered to be one of the greatest novelists of Romance. The entire climate of the 20th century was affected by his series of books which collectively came under the title of ‘In Search of Lost Time’. His books are considered to be supreme achievements of modern fiction. Marcel’s style is considered to be one of the most original in all literature till date and is unique in its union of precision, force, enchantment classicism and symbolism. There is no doubt that Marcel Proust is and will always remain as one of the greatest legends in the field of literature the world has ever seen.

Friday, October 25, 2019

Arguments for Open Adoption Records Essays -- Law

For those who are a part of the adoption world one of the most hotly debated issues is whether birth records should be open or closed to adoptees. With this issue comes strong feelings on both sides. In most states adoption records are fully sealed and inaccessible, unless the adoptee petitions the court. In 16 states these records are fully or partially available upon request with no court involvement, and also may depend upon when you were born. In a few states records are completely prohibited and the adoptee will never have any access to them. Alaska and Kansas have always made original birth records available. As an adoptee, I feel that all adoption records should be open. I believe that this can only strengthen the quality of the institution of adoption itself and positively affect all those involved in it. I am not one of those people who did not know I was adopted. I have always known. My parents are good and loving, and provided me with all that I needed as a child. However, just because they were very good parents did not decrease the inherent need I had to look at a face that is similar to my own. Open adoption records would provide the tools for people to learn indispensable information that is provided to all other Americans beside themselves. Sealed records violate adoptee’s rights as human beings. Adoptees are discriminated against like no other group in this country. Records should be opened so that we have the same rights as those who are raised in their biological families. Open records in no way threaten the institution of adoption. There will always be mothers and fathers who are willing to chose a different path by giving their child away, just as there will always be those parents who wish to provi... ...2002): p271-310. Academic OneFile. Web. 17 Feb. 2012. Fleming, Caroline B. "The open-records debate: balancing the interests of birth parents and adult adoptees." William & Mary Journal of Women and the Law Spring (2005): 461-480. Academic OneFile. Web. 17 Feb. 2012. Freundlich, Madelyn. For the Records: Restoring a Legal Right for Adult Adoptees. Evan B. Don Aldson Adoption Institute. New York, NY. (November 2007). www. Adoptioninstitute.org. Web. 17 Feb. 2012. Sorosky, A.D., Baran, A., & Pannor, R. The Adoption Triangle. New York: Doubleday. (1984). Print. Whittaker Hughes, Susan. â€Å"The only Americans legally prohibited from knowing who their birth parents are: a rejection of privacy rights as a bar to adult adoptees' access to original birth and adoption records.† Cleveland State Law Review. 55.3 (Summer 2007): p429-461. Academic OneFile. Web. 17 Feb. 2012.

Thursday, October 24, 2019

China Dolls Essay

Jeffrey Cheong picked up the folder marked â€Å"URGENT†, which his secretary had just placed on his table and looked at its content. The folder contained letters from two of his major clients, KiKi and Houida. Both KiKi and Houida, two European fashion houses, were Haute Couture Fashion Berhad (HCF)’s first customers and have been with HCF since its inception. They were writing to Jeffrey to inform him that they may be looking to China to â€Å"contract manufacture† for them as the prices there were very competitive. Jeffrey stared out of his window in contemplation. He was in a dilemma. Loss of its two major clients would be disastrous to HCF. As it stood, HCF had been experiencing falling margins and profits over the last few years as evidenced in the financial statements enclosed. Loss of Kiki and Houida would mean that HCF would then be incurring losses. As soon as his other clients heard of this new development, they too would be taking similar steps. Jeffrey realised he had to review his strategy quickly if he wanted to retain the present clientele. He knew the inevitable. During the late 1990’s and into the early 21st century, China had made inroads into the textile industry and was forecasted to grow further. Following the relaxation of trade barriers, many of the European and American fashion houses were looking at importing clothes from China at very low prices. This was mainly due to its low operating costs. This had a massive negative impact on many companies operating at higher costs and based elsewhere. The previous adverse perception of â€Å"Made in China† labels had slowly changed as China now manufactured clothes that are higher quality at substantially lower operating costs. If Jeffrey wanted to survive in this industry, he too must consider moving his operations to China. Haute Couture Fashions Bhd (HCF) Houte Couture Fashions Bhd was established in the 1974 by the Tan family. Tan Boon Kheong, the patriarch of the Tan family was a skilled master cutter,  trained by British cutters in 1950s in Penang. He ran a small but successful business tailoring men’s clothing in Argyll Road, Penang until his retirement in 1980. Peter Tan, the oldest son of Tan Boon Kheong, initially under his father as a young 17-year-old but after three years left for Europe as he was interested in creating for both men and women’s fashion, rather than merely tailoring men’s suits and pants. His sojourn in Europe saw him training at Yves St Laurent and Gucci. He had a keen eye on women’s silhouette and soon established himself as a talented designer. Many of the fashion houses were happy to employ him into their team. He returned to Malaysia with a wealth of experience, eager to put his newly acquired knowledge into use. His return to Malaysia coincided with the trend of European clothes’ manufacturers looking at Asia for outsourcing. Peter saw this as an opportunity to kick-start his business venture, especially with his contacts with the European fashion houses. HCF started out as a family owned business with all of its shares being held by the Tan family. Peter prepared to bid for contract manufacturing deals with the European fashion houses. With the help of his contacts and excellent track record with the fashion houses, he soon managed to convince three of them to sign outsourcing deals with him. These fashion houses were keen on doing business with the people known to them as they set-off their new venture. HCF’s Growth HCF started its first fully equipped factory in Penang in November1974. Under Peter’s helm, HCF very quickly established itself as a high quality manufacturer of both men’s and women’s clothes. It had no difficulty meeting the demand of the fashion houses as Peter had recruited several European-trained Malaysian designers to join his team. By late of 1970s, HCF’s turnover had reached RM10 million. Over the ensuing five years since its inception, HCF had managed to add two more European fashion houses into its customer base. HCF’s talented designers were  providing inputs toward the development of the ready-to-wear designs and were well received by the fashion houses. HCF was now faced with a problem. The factory located in Penang was no longer big enough to cope with the production capacity. Peter quickly sourced a large plot of land in mainland Penang – Butterworth and began building a new and much larger state-of-the-art factory to cater for the growing demand. In July 1980, HCF opened its new factory in Butterworth. Peter, then the Managing Director of HCF, decided not to shut down the Penang factory but operated both factories. HCF then employed between 80 to 100, mostly tailors in the Penang factory, while the Butterworth factory employed about 300 employees. HCF continued to experience growth in sales throughout the early 1980s to mid 1990s, charted annual sales of around RM100 million. Its customer base had also increased, drawing in customers from Europe as well as America. Profits were also riding high. HCF opened two more factories. In 1990, it opened its third factory in Jitra, Kedah. The factory had a capacity of producing 1 million garments a year with a strength of 300 employees. In 1995, due to even increasing demand for its clothes, HCF decided to open its fourth factory with a production capacity of 2 million garments a year. This time, it looked to Thailand, as labour was very cheap. HCF set up a wholly owned subsidiary Haute Couture (Thailand) Pte. Ltd to operate the Chieng Mai based factory. It recruited about 500 employees. In 1997, Malaysia was facing financial crisis, with foreign exchange market volatility being the main issue. Manufacturers with foreign customers were unable to honour their contract price as exchange rates fluctuated. HCF was cought unaware. HCF had to tender for a contract six months before the delivery of the consignment. Fluctuation in the exchange rates made it impossible to predict the cost of material that HCF had to purchase form the fashion houses. HCF found itself selling its garments at very low margins for the very first time. 1998 saw HCF suffering its first loss since its inception. Many of its competitors also suffered losses and some even had to cease manufacturing. In a bid to survive the financial tsunami that had hit  Malaysia, Peter Tan consolidated HCF’s position by deciding to cut operating costs. HCF’s major cost apart from the cost of imported material was labour cost. Peter Tan made the decision to shut down the Penang factory, much to the dissent of his father. HCF was still able to meet the demand while still operating the other three factories in Butterworth, Jitra and Chieng Mai. He also decided to shift as much of the production to Chieng Mai, as the labour cost was a quarter of the labour cost incurred in the Malaysian factories. Moreover, HCF was facing labour shortage problems in Malaysia, as many of the labour force were moving to the cities for better prospects. As a result of this consolidation exercise, about 300 of HCF’s employees were made redundant, many of whom had been with HCF since its inception. Over the next few years, its profitability increased gradually and HCF slowly pulled itself out of the loss making situation. HCF managed this difficult feat because of its customer base as well as its reputation for high quality clothes, which commanded premium prices with its customers. The financial crisis had not affected Europe much, and as such, demand for the clothes continued. HCF’s Contract Manufacturing Structure The contract manufacturing deals signed with the European fashion houses were such that the designs were provided by the fashion houses and HCF had to adhere to the designs when producing the respective labels. The fashion houses welcomed suggestions from HCF’s designers but were particular that the designs were not crossed between the various labels that HCF was producing. Cross producing design between labels would be disastrous for HCF as it would immediately loose the contract for the labels involved. Further, the European fashion houses would supply the material for the clothes as they wanted to maintain the quality of the output. HCF purchased the material, sourced for appropriate accessories locally and produced the clothes. The fashion houses would contract for â€Å"a specific quantity of a specific design at a specific quality† to be delivered at a specific time. Any variation outside the contract stipulation would have to be borne by HCF itself. Usually, the contracts were for delivery of clothes one season ahead. This meant that summer’s design clothes would have to be delivered by the beginning of spring. HCF would sell the manufactured clothes at a contracted price. The fashion houses allowed HCF to tender for the contract price based on the design, quantity and price of material supplied. The contract tendering process usually took place about six months before the due date for the delivery of a season’s batch. HCF’s Customers HCF manufactured ready-to-wear clothes for a number of European and American fashion houses. Its clothes were well-sought after for its modern designs and high quality finishing. HCF’s customers have remained loyal over the last three decades, although its major coup was the securing of 2 major American fashion houses as its customers within the last 5 years. All of HCF’s clothing was manufactured under the customer’s own label.

Wednesday, October 23, 2019

Cardiac case studies Essay

CS 2: 15 points K.R. is a 46-year-old man admitted to the emergency department with unremitting chest discomfort. The pain started while he was shoveling snow from his walkway. He had experienced chest discomfort with activity previously, but the pain had subsided with rest and he sought no medical help. This time the pain did not subside and became increasingly severe, radiating to his left arm and lower jaw. In the emergency department, an ECG and cardiac enzymes were obtained. The cardiac monitor showed sinus tachycardia with occasional premature ventricular complexes. K.R. was treated with 2 L nasal oxygen, tissue plasminogen activator, sublingual nitroglycerin, and IV morphine sulfate. When he was pain free, he was transferred to the cardiac unit for monitoring. Discussion Questions 1.What changes in â€Å"cardiac enzymes† would be consistent with a diagnosis of MI? Troponins(I and T specific to cardiac muscle cells), elevated between 4-6 hours after the inset of an acute MI and remains elevated for 8-12 days. Myoglobin-level increase within 1-4 hours after the onset of chest pain and highly sensitive but not very specific. 2.What is the most common precipitating event for MI? In the most cases of MI plaque rupture followed by thrombus formation at the site is the precipitating event. 3.What is the rationale for using tissue plasminogen activator in the management of ACS? Tissue plasminogen activator if fibrin specific. It binds to the fibrin of fresh clots and the resulting compound converts adjacent plasminogen into plasmin creating localized thrombolysis. 4.Why are morphine and nitroglycerin used to manage ischemic chest pain? It’s a high priority to truce myocardial stimulation by the sympathetic nervous system. Morphine sulfate reduces anxiety and catecholamine secretion and it can reduces preload. And nitroglycerin decreases preload and reduces MVO2. CS 3 15 points: C.J. is a 16-year-old high school student who is in the  clinic for a sports physical prior to beginning basketball practice. He has no known significant medical history, takes no medications, and has no allergies. A review of systems reveals only that C.J. gets â€Å"winded† earlier than most boys on the team. He attributes this to needing to get in better shape. The physical exam is unremarkable except for a grade III systolic murmur heard over the entire precordium. An echocardiogram and cardiac cath reveals a ventricular septal defect (VSD) with moderate pulmonary hypertension.Discussion Questions 1.A VSD is usually an acyanotic defect. Why is this?  The blood being shunted is oxygenated blood from the left ventricle shunted to the right because pressures on the left are higher. 2.What is the mechanism and significance of pulmonary hypertension? The mechanism of pulmonary hypertension is due to increased blood volume within the pulmonary circuit form the VSD. Pressure is the product of CO and vascular resistance. From this case pressure is high secondary to increased CO and the primary pulmonary hypertension, the cause is increased pulmonary vascular resistance. Pulmonary hypertension can lead to cor pulmonale and right-sided heart failure. 3.What other disorders besides VSD can produce a systolic murmur? How can character of the murmur and pattern of radiation be used to differentiate among these etiologic factors? Systolic murmurs can be produced by mitral valve prolapse, aortic or pulmonary stenosis, and mitral or tricuspid regurgitation. Heart sounds are produced in some different areas of the heart and have different characteristics: Aortic stenosis- right second intercostal space, mid systolic, crescendo decrescendo and radiates to the neck. 4.Is it necessary to close a VSD? What are the common complications of untreated VSD? No, it is mot always imperative to close VSDs spending on patient’s age,size of defect and degree of shunt. Common complications include- pulmonary hypertension, cardiomegaly, atrial dysrhythmia and right sided heart failure. Reference Richard N. Fogoros, M.D. Heart Disease Expert. About health. WebMD Web site. Available at: http://heartdisease.about.com/od/heartattack/g/CardiacEnzymes.htm. Published September 10, 2014. Accessed October 21th 2014. Anju T. Peters, Kathryn E. Hulse, Lydia A. Fibrin Deposition in Nasal Polyps Caused by Fibrinolytic Impairment through Reduction of Tissue Plasminogen Activator Expression. American Journal of Respiratory and Critical Care Medicine 189:12, 1487-1493 Sepideh Jabbari, Hassan Ghassemian. Modeling of heart systolic murmurs based on multivariate matching pursuit for diagnosis of valvular disorders. June 21, 2011. Volume 41, Issue 9, Pages 802–811 Ventricular Septal Defects.Patient.co.uk.WebMD Web site. Available at:http://www.patient.co.uk/doctor/ventricular-septal-defects. Published Mar 31, 2014.Accessed October 21th 2014. Alyson A. Tamamoto, MD.Acyanotic Congenital Heart Disease. Case based pediatrics.WebMD Web site. Available at: http://www.hawaii.edu/medicine/pediatrics/pedtext/s07c02.html.Published July 2013. Accessed October 21th 2014.