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Andy Musical Style and Innovations Beethoven is viewed as a transitional figure between the Classical and Romantic eras of musical history. Above all, his works distinguish themselves from those of any prior composer through his creation of large, extended architectonic structures characterized by the extensive development of musical material, themes, and motifs, usually by means of modulation, that is, a change in the feeling of the home key, through a variety of keys or harmonic regions.Although Heydays later works often wowed a greater fluidity between distant keys, Beethovens innovation was the ability to rapidly establish a solidity In Juxtaposing different keys and unexpected notes to Join them. This expanded harmonic realm creates a sense of a vast musical and experiential space through which the music moves, and the development of musical material creates a sense of unfolding drama in this space.

There is an unresolved debate on whether routine HbA1c’s are not cost effective and the model should remain as women receiving a polycose test at 24-28 weeks. An HbA1c is a blood test that requires no consumption of concentrated glucose drinks or fasting. It measures the amount of blood glucose over the prior 120 days (Sevket, Sevket, Ozel, Dansuk Kelekci, 2014). It has however been concluded that HbA1c’s are not an alternative for diagnosis of GDM and are not useful in reduces the need for further diagnostic testing (Sevket, Sevket, Ozel, Dansuk Kelekci, 2014). Therefore not all guidelines are updated to follow these recommendations supported by the MOH (2014) REFERENCE and REFERENCE. The algothrithm for ADHB (2013) and WDHB (2012) follow the ‘risk screening’ approach where only women with risk factors are offered an HbA1c, all other women are offered the routine polycose at 24-28 weeks. Victorias midwife followed these guidelines. The screening and diagnosis of GDM also detects unrecognised type two diabetes and rarely type one (Pairman et al.

Margaret Hyman- Harry Hymans wife, “fair, lusty and energetic”, informative, nosey. She is friendly, likes laughing a complete opposite to Gellburg- it makes him uncomfortable Phillip Gelburg- “slender intense man in his late forties”, patient, secretive, dislikes social situations, unsympathetic The theme of Gellburgs wife’s illness is introduced, and Gellburg indicates he is perhaps either irritated by wife’s condition or the presence of Margaret – uses short brief answers. Gellburg is going to visit Dr Hyman office to receive some results on the test his wife had – she is paralysed and showing no signs of illness at all. A little background history about the Hymans is given. Reference to places in Brooklyn made –“ocean Parkway”. Opening of scene two from p3 to Gellburg I see p5. Margaret Hyman Dr Hyman-“early fifties”, an inquisitive, factual man “more people die or rat bite you know”, idolises women/wife.