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The poem was written in 1919 in the aftermath of the First World War [4] and the beginning of the Irish War of Independence in January 1919, which followed the Easter Rising in April 1916, and before the British government had decided to send in the Black and Tans to Ireland.
Platypnea or platypnoea is shortness of breath (dyspnea) that is relieved when lying down, and worsens when sitting or standing upright. It is the opposite of orthopnea. [1] The condition was first described in 1949 and named in 1969.
The inspiration for the poem came from a walk Wordsworth took with his sister Dorothy around Glencoyne Bay, Ullswater, in the Lake District. [8] [4] He would draw on this to compose "I Wandered Lonely as a Cloud" in 1804, inspired by Dorothy's journal entry describing the walk near a lake at Grasmere in England: [8]
Patients with trepopnea in most lung diseases prefer to lie and sleep on the opposite side of the diseased lung, as the gravitation increases perfusion of the lower lung. Increased perfusion in diseased lung would increase shunting and hypoxemia , resulting in worsening shortness of breath when lying on the affected lung.
When a person is recumbent, or is lying down, blood is redistributed from the lower extremities and abdominal cavity (splanchnic circulation) to the lungs. [5] Failure to accommodate this redistribution results in decreased vital capacity and pulmonary compliance, further causing the shortness of breath experienced in PND. In addition to the ...
There are several exercises designed to develop mindfulness meditation, which may be aided by guided meditations "to get the hang of it". [9] [70] [note 3] As forms of self-observation and interoception, these methods increase awareness of the body, so they are usually beneficial to people with low self-awareness or low awareness of their bodies or emotional state.
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Poe uses the term shadow in the middle of each stanza. The meaning of the word, however, changes with each use. First, it is a literal shadow, where the sun is blocked out. In the second, it implies gloom or despair. The third denotes a ghost.