Saturday, 20 June 2015

What is Hypertension OR High blood pressure or Arterial hypertension ?

Hypertension (HTN or HT), also known as high blood pressure or arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is elevated. Blood pressure is expressed by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, respectively, in the arterial system. The systolic pressure occurs when the left ventricle is most contracted; the diastolic pressure occurs when the left ventricle is most relaxed prior to the next contraction. Normal blood pressure at rest is within the range of 100–140 mmHg systolic and 60–90 mmHg diastolic. Hypertension is present if the blood pressure is persistently at or above 140/90 millimeters mercury (mmHg) for most adults; different criteria apply to children.
Hypertension usually does not cause symptoms initially, but sustained hypertension over time is a major risk factor for hypertensive heart disease, coronary artery disease, stroke, aortic aneurysm, peripheral artery disease, and chronic kidney disease.
Hypertension is classified as either primary (essential) hypertension or secondary hypertension. About 90–95% of cases are categorized as primary hypertension, defined as high blood pressure with no obvious underlying cause. The remaining 5–10% of cases are categorized as secondary hypertension, defined as hypertension due to an identifiable cause, such as chronic kidney disease, narrowing of the aorta or kidney arteries, or an endocrine disorder such as excess aldosterone, cortisol, or catecholamines.
Dietary and lifestyle changes can improve blood pressure control and decrease the risk of health complications, although treatment with medication is still often necessary in people for whom lifestyle changes are not enough or not effective. The treatment of moderately high arterial blood pressure (defined as >160/100 mmHg) with medications is associated with an improved life expectancy. The benefits of treatment of blood pressure that is between 140/90 mmHg and 160/100 mmHg are less clear, with some reviews finding no benefit and other reviews finding benefit.
Hypertension results from a complex interaction of genes and environmental factors. Numerous common genetic variants with small effects on blood pressure have been identified as well as some rare genetic variants with large effects on blood pressure, but the genetic basis of hypertension is still poorly understood.
Blood pressure rises with aging and the risk of becoming hypertensive in later life is considerable. Several environmental factors influence blood pressure. High salt intake raises the blood pressure in salt sensitive individuals; lack of exercise, obesity, stress, and depression can play a role in individual cases. The possible role of other factors such as caffeine consumption, and vitamin D deficiency are less clear. Insulin resistance, which is common in obesity and is a component of syndrome X (or the metabolic syndrome), is also thought to contribute to hypertension. Events in early life, such as low birth weight, maternal smoking, and lack of breast feeding may be risk factors for adult essential hypertension,although the mechanisms linking these exposures to adult hypertension remain unclear.
econdary hypertension results from an identifiable cause. Kidney disease is the most common secondary cause of hypertension. Hypertension can also be caused by endocrine conditions, such as Cushing's syndromehyperthyroidismhypothyroidismacromegalyConn's syndrome or hyperaldosteronismhyperparathyroidism andpheochromocytoma.   Other causes of secondary hypertension include obesitysleep apneapregnancycoarctation of the aorta, excessive liquorice consumption and certain prescription medicines, herbal remedies and illegal drugs.

Yoga as exercise or alternative medicine

Yoga is an Indian physical, mental, and spiritual practice or discipline. There is a broad variety of schools, practices and goals in Hinduism, Buddhism (including Vajrayana and Tibetan Buddhism) and Jainism. The best-known are Hatha yoga and Raja yoga.
The origins of Yoga have been speculated to date back to pre-Vedic Indian traditions, but most likely developed around the sixth and fifth centuries BCE, in ancient India's ascetic circles, which are also credited with the early sramana movements. The chronology of earliest texts describing yoga-practices is unclear, varyingly credited to Hindu Upanishads and Buddhist Pāli Canon, probably of third century BCE or later. The Yoga Sutras of Patanjali from first half of 1st millennium CE is one of a key surviving major texts on Yoga. Hatha yoga texts emerged around 11th century CE, and in its origins was related toTantrism.
Yoga gurus from India later introduced yoga to the west, following the success of Swami Vivekananda in the late 19th and early 20th century.In the 1980s, yoga became popular as a system of physical exercise across the Western world. Yoga in Indian traditions, however, is more than physical exercise, it has a meditative and spiritual core. One of the six major orthodox schools of Hinduism is also called Yoga, which has its own epistemology and metaphysics, and is closely related to Hindu Samkhyaphilosophy.
Many studies have tried to determine the effectiveness of yoga as a complementary intervention for cancer, schizophrenia, asthma, and heart disease. The results of these studies have been mixed and inconclusive, with cancer studies suggesting none to unclear effectiveness, and others suggesting yoga may reduce risk factors and aid in a patient's psychological healing process.
The ultimate goal of Yoga is moksha (liberation) though the exact definition of what form this takes depends on the philosophical or theological system with which it is conjugated.
According to Jacobsen, "Yoga has five principal meanings:
  1. Yoga as a disciplined method for attaining a goal;
  2. Yoga as techniques of controlling the body and the mind;
  3. Yoga as a name of one of the schools or systems of philosophy (darśana);
  4. Yoga in connection with other words, such as "hatha-, mantra-, and laya-," referring to traditions specialising in particular techniques of yoga;
  5. Yoga as the goal of Yoga practice."
According to David Gordon White, from the 5th century CE onward, the core principles of "yoga" were more or less in place, and variations of these principles developed in various forms over time:
  1. Yoga as an analysis of perception and cognition; illustration of this principle is found in Hindu texts such as the Bhagavad Gita and Yogasutras, as well as a number of Buddhist Mahāyāna works;
  2. Yoga as the rising and expansion of consciousness; these are discussed in sources such as Hinduism Epic Mahābhārata, Jainism Praśamaratiprakarana;
  3. Yoga as a path to omniscience; examples are found in Hinduism Nyaya and Vaisesika school texts as well as Buddhism Mādhyamaka texts, but in different ways;
  4. Yoga as a technique for entering into other bodies, generating multiple bodies, and the attainment of other supernatural accomplishments; these are described in Tantricliterature of Hinduism and Buddhism, as well as the Buddhist Sāmaññaphalasutta;
White clarifies that the last principle relates to legendary goals of "yogi practice", different from practical goals of "yoga practice," as they are viewed in South Asian thought and practice since the beginning of the Common Era, in the various Hindu, Buddhist, and Jain philosophical schools.
Yoga as exercise or alternative medicine is a modern phenomenon which has been influenced by the ancient Indian practice of hatha yoga. It involves holding stretches as a kind of low-impact physical exercise, and is often used for therapeutic purposes. Yoga in this sense often occurs in a class and may involve meditation, imagery, breath work and music.
Both the meditative and the exercise components of hatha yoga have been researched for both specific and non-specific health benefits. Hatha yoga has been studied as an intervention for many conditions, including back pain, stress, and depression. In general, it can help improve quality of life, but does not treat disease.
A survey released in December 2008 by the US National Center for Complementary and Alternative Medicine found that hatha yoga was the sixth most commonly used alternative therapy in the United States during 2007, with 6.1 percent of the population participating.
While much of the medical community views the results of Hatha Yoga research to be significant, others argue that there were many flaws that undermine results. Much of the research on Hatha Yoga has been in the form of preliminary studies or clinical trials of low methodological quality, including small sample sizes, inadequate blinding, lack of randomization, and high risk of bias. As of 2011, evidence suggests that Hatha Yoga may be at least as effective at improving health outcomes as other forms of mild physical exercise when added to standard care. What is found most concerning regarding the legitimacy of Hatha Yoga as a method of healing is the current lack of specificity and standardization regarding the practice of Hatha Yoga. One recent study examined the difficulties of implementing Hatha Yoga-based therapies and methods of healing without any detailed, standardized and vetted descriptions of the asanas promoted as being beneficial for healing. This research calls for the creation of supported intervention practices that could be distributed and applied for use in clinical practice for patients.

Hatha Yoga and Specific Mental Health Conditions

  • Anxiety and depression. A 2010 literature review of the research on the use of Hatha Yoga for treating depression said that preliminary research suggests that Hatha Yoga may be effective in the management of depression. Both the exercise and the mindfulness meditation components may be helpful. However the review cautioned that "Although results from these trials are encouraging, they should be viewed as very preliminary because the trials, as a group, suffered from substantial methodological limitations."
  • Attention deficit hyperactivity disorder. No benefit.
  • Dementia. There is some evidence that exercise programs may help people with dementia perform their daily activities.

Hatha Yoga and Specific Physical Health Conditions

  • Back pain. There is evidence that Hatha Yoga may be effective in the management of chronic, but not acute, low back pain.The results of another study on the efficacy of Hatha Yoga therapy for chronic low back pain showed that at around 24 weeks the Hatha Yoga group had statistically significant reductions in functional disability, pain intensity, and depression compared to a standard 6-months medical treatment. It was also concluded from this study that there was a significant trend in the Hatha Yoga group decreasing their use of pain medication compared that of the control group.
  • Blood pressure. Although some evidence exists to suggest Hatha Yoga might help people with high blood pressure, overall this evidence is too weak for any recommendation to be made, and little is known of the safety implications of such an approach.
  • Cancer. Practice of Hatha Yoga may improve quality-of-life measures in cancer patients. It is unclear what aspect(s) may be beneficial or what populations should be targeted. Hatha Yoga practice as part of cancer treatment has also shown improvement in biomarkers such as TNF-alpha, Interleukin 6 and IL-1beta. Stronger effects onbiomarkers as well as quality-of-life measures is associated with more frequent Hatha Yoga practice.Hatha Yoga has no effect on the underlying disease.
  • Epilepsy. No benefit.
  • Menopause-related symptoms. No benefit.
  • Pediatric conditions. A 2009 systematic review concludes that there is insufficient evidence to support the use of Hatha Yoga for any indication in the pediatric population. No adverse events were reported, and most trials were positive but of low methodological quality.
  • Rheumatic disease. Only weak evidence exists to support the use of Hatha Yoga as a complementary therapy for helping people with rheumatic diseases, and little is known of the safety of such use.
  • Sports Related Physical Health. Increasingly Hatha Yoga is used to train sports-persons and athletes, to maximize performance, improve conditioning, and minimize injury. Hatha Yoga is used extensively within British soccer to minimize injury, with Manchester United star Ryan Giggs one of the most high-profile players to publicly incorporate it in his training regime.

Robert Bridges - Personal and professional life

Robert Seymour BridgesOM (23 October 1844 – 21 April 1930) was Britain's poet laureate from 1913 to 1930. A doctor by training, he achieved literary fame only late in life. His poems reflect a deep Christian faith, and he is the author of many well-known hymns. It was through Bridges’ efforts that Gerard Manley Hopkins achieved posthumous fame.Bridges was born in Walmer, Kent, in the UK, and educated at Eton College and Corpus Christi College, Oxford.He went on to study medicine in London at St Bartholomew's Hospital, intending to practise until the age of forty and then retire to write poetry.
He practised as a casualty physician at his teaching hospital (where he made a series of highly critical remarks about the Victorian medical establishment) and subsequently as a full physician to the Great (later Royal) Northern Hospital. He was also a physician to the Hospital for Sick Children.
Lung disease forced him to retire in 1882, and from that point on he devoted himself to writing and literary research. However, Bridges' literary work started long before his retirement, his first collection of poems having been published in 1873. In 1884 he married Monica Waterhouse, daughter of Alfred Waterhouse R.A., and spent the rest of his life in rural seclusion, first at Yattendon, Berkshire, then at Boars Hill, Oxford, where he died.
He was elected to the Fellowship of the Royal College of Physicians of London in 1900. He was appointed Poet Laureate in 1913, the only medical graduate to have held the office.
He was the father of poet Elizabeth Daryush.As a poet Bridges stands rather apart from the current of modern English verse, but his work has had great influence in a select circle, by its restraint, purity, precision, and delicacy yet strength of expression. It embodies a distinct theory ofprosody. Bridges' faith underpinned much of his work.
In the book Milton's Prosody, he took an empirical approach to examining Milton's use of blank verse, and developed the controversial theory that Milton's practice was essentially syllabic. He considered free verse to be too limiting, and explained his position in the essay "Humdrum and Harum-Scarum". His own efforts to "free" verse resulted in the poems he called "Neo-Miltonic Syllabics", which were collected in New Verse (1925). The metre of these poems was based on syllables rather than accents, and he used the principle again in the long philosophical poem The Testament of Beauty (1929), for which he received the Order of Merit. His best-known poems, however, are to be found in the two earlier volumes of Shorter Poems (1890, 1894). He also wrote verse plays, with limited success, and literary criticism, including a study of the work of John Keats.Bridges' poetry was privately printed in the first instance, and was slow in making its way beyond a comparatively small circle of his admirers. His best work is to be found in his Shorter Poems (1890), and a complete edition (to date) of his Poetical Works (6 vols.) was published in 1898-1905.
Despite being made poet laureate in 1913, Bridges was never a very well-known poet and only achieved his great popularity shortly before his death with The Testament of Beauty. However, his verse evoked response in many great British composers of the time. Among those to set his poems to music were Hubert Parry, Gustav Holst, and later Gerald Finzi.
At Oxford, Bridges became friends with Gerard Manley Hopkins, who is now considered a superior poet but who owes his present fame to Bridges' efforts in arranging the posthumous publication (1918) of his verse.
Bridges received advice from the young phonetician David Abercrombie on the reformed spelling system he was devising for the publication of his collected essays (later published in seven volumes by Oxford University Press, with the help of the distinguished typographer Stanley Morison, who designed the new letters). Thus Robert Bridges contributed to phonetics and he was also a founder member of the Society for Pure English.

Poetry in the early 19th century

Although poetic achievement had strong representatives in the historical period between Shakespeare (1564-1616) and Wordsworth (1770-1850), poetry of the highest accomplishment was limited to a relative handful of accomplished authors including John Donne (1572-1631), John Milton (1608-1674), Anne Bradstreet (1612-1672), and Andrew Marvell (1621-1678) during the 17th and 18th centuries. The nineteenth century, by comparison, saw a redoubling of interest in the poetic arts following the emergence and birth of High Idealism and High Romanticism generally being witnessed in the arts at that time. Among the leading contributors to poetry of high merit in the early 19th century were William BlakeWilliam WordsworthSamuel Taylor ColeridgeLord ByronPercy Shelley,John KeatsAlexander PushkinElizabeth BrowningRobert BrowningWalt WhitmanCharles BaudelaireMatthew ArnoldEmily Dickinson, and Manley Hopkins. Although the list of such poets is often subjective, this list of leading poets at the start of the 19th century presents a representative sample of writers of poetry who have received substantial recognition both in the scholarly reception of their poetry and among their artistic peers. These fourteen established poets appear to have represented a large part of the significant scope and depth of poetic achievement in the early 19th century. 
Four poets can be identified of exceptional literary importance to poetry during the 17th and 18th centuries leading up to the start of poetry in the early nineteenth century following Shakespeare. These poets were John Donne, John Milton, Anne Bradstreet, and Andrew Marvell. All four were of central significance to the emergence of the poetry of High Idealism and High Romanticism which would be of preeminent importance during the early nineteenth century.
John Donne was a near contemporary of Shakespeare (d. 1616) though he outlived Shakespeare by fifteen years. Donne's earliest poems showed a developed knowledge of English society coupled with sharp criticism of its problems. His satires dealt with common Elizabethan topics, such as corruption in the legal system, mediocre poets, and pompous courtiers. Donne's images of sickness, vomit, manure, and plague reflected his strongly satiric view of a world populated by all the fools and knaves of England. His third satire, however, deals with the problem of true religion, a matter of great importance to Donne. He argued that it was better to examine carefully one's religious convictions than blindly to follow any established tradition, for none would be saved at the Final Judgment, by claiming "A Harry, or a Martin taught [them] this."Some have speculated that Donne's numerous illnesses, financial strain, and the deaths of his friends all contributed to the development of a more somber and pious tone in his later poems. The change can be clearly seen in "An Anatomy of the World" (1611), a poem that Donne wrote in memory of Elizabeth Drury, daughter of his patron, Sir Robert Drury of Hawstead, Suffolk. This poem treats Elizabeth's demise with extreme gloominess, using it as a symbol for the Fall of Man and the destruction of the universe. The poem "A Nocturnal upon S. Lucy's Day, Being the Shortest Day", concerns the poet's despair at the death of a loved one. In it Donne expresses a feeling of utter negation and hopelessness, saying that "I am every dead thing ... re-begot / Of absence, darkness, death." This famous work was probably written in 1627 when both Donne's friend Lucy, Countess of Bedford, and his daughter Lucy Donne died. Three years later, in 1630, Donne wrote his will on Saint Lucy's day (13 December), the date the poem describes as "Both the year's, and the day's deep midnight". The increasing gloominess of Donne's tone may also be observed in the religious works that he began writing during the same period. His early belief in the value of scepticism now gave way to a firm faith in the traditional teachings of the Bible. Having converted to the Anglican Church, Donne focused his literary career on religious literature. He quickly became noted for his sermons and religious poems. The lines of these sermons and devotional works would come to influence future works of English literature, such as Ernest Hemingway's For Whom the Bell Tolls, which took its title from a passage in Meditation XVII of Devotions upon Emergent Occasions, and Thomas Merton's No Man is an Island, which took its title from the same source. Towards the end of his life Donne wrote works that challenged death, and the fear that it inspired in many men, on the grounds of his belief that those who die are sent to Heaven to live eternally. One example of this challenge is his Holy Sonnet X, Death Be Not Proud, from which come the famous lines "Death, be not proud, though some have called thee / Mighty and dreadful, for thou art not so." Even as he lay dying during Lent in 1631, he rose from his sickbed and delivered the Death's Duel sermon, which was later described as his own funeral sermon. Death's Duel portrays life as a steady descent to suffering and death, yet sees hope in salvation and immortality through an embrace of God, Christ and the Resurrection.
Once Paradise Lost was published, the stature of John Milton as epic poet was immediately recognised. He cast a formidable shadow over English poetry in the 18th and 19th centuries; he was often judged equal or superior to all other English poets, including Shakespeare. Very early on, though, he was championed by Whigs, and decried by Tories: with the regicide Edmund Ludlow he was claimed as an early Whig, while the High Tory Anglican minister Luke Milbourne lumped Milton in with other "Agents of Darkness" such as John KnoxGeorge BuchananRichard BaxterAlgernon Sidney and John Locke. John Dryden, an early enthusiast, in 1677 began the trend of describing Milton as the poet of the sublime. Dryden's The State of Innocence and the Fall of Man: an Opera (1677) is evidence of an immediate cultural influence. In 1695, Patrick Hume became the first editor of Paradise Lost, providing an extensive apparatus of annotation and commentary, particularly chasing down allusions. In 1732, the classical scholar Richard Bentley offered a corrected version of Paradise Lost. Bentley was considered presumptuous, and was attacked in the following year by Zachary Pearce.Christopher Ricks judges that, as critic, Bentley was both acute and wrong-headed, and "incorrigibly eccentric"; William Empson also finds Pearce to be more sympathetic to Bentley's underlying line of thought than is warranted. There was an early, partial translation ofParadise Lost into German by Theodore Haak, and based on that a standard verse translation by Ernest Gottlieb von Berge. A subsequent prose translation by Johann Jakob Bodmer was very popular; it influenced Friedrich Gottlieb Klopstock. The German-language Milton tradition returned to England in the person of the artist Henry Fuseli. Many enlightenment thinkers of the 18th century revered and commented on Milton's poetry and non-poetical works. In addition to John Dryden, among them were Alexander Pope,Joseph AddisonThomas Newton, and Samuel Johnson. For example, in The Spectator, Joseph Addison wrote extensive notes, annotations, and interpretations of certain passages of Paradise LostJonathan Richardson, senior, and Jonathan Richardson, the younger, co-wrote a book of criticism. In 1749, Thomas Newton published an extensive edition of Milton's poetical works with annotations provided by himself, Dryden, Pope, Addison, the Richardsons (father and son) and others. Newton's edition of Milton was a culmination of the honor bestowed upon Milton by early Enlightenment thinkers; it may also have been prompted by Richard Bentley's infamous edition, described above. Samuel Johnson wrote numerous essays onParadise Lost, and Milton was included in his Lives of the Most Eminent English Poets.
Because writing was not considered to be an acceptable role for women at the time, Anne Bradstreet was met with criticism. One of the most prominent figures of her time, John Winthrop, happened to be among her critics. He mentioned in his journal that Bradstreet should have kept to being a housewife and left writing and reading for men, "whose minds are stronger." Despite her criticism, Bradstreet continued to write which led to the belief that she was interested in rebelling against societal norms of the time. A prominent minister of the time, Thomas Parker (minister), was also against the idea of women writing and sent a letter to his own sister saying that publishing a book was outside of the realm of what women were supposed to do. No doubt he was opposed to the writing of Bradstreet as well. These negative views were likely augmented by the fact that Puritan ideologies stated that women were vastly inferior to men.Bradstreet's works tend to be directed to members of her family and are generally intimate. For instance, in Bradstreet's "To My Dear and Loving Husband", the poem's intended audience is her husband, Simon Bradstreet. The focal point of this poem is the love that she has for her husband stating it with the words, "I prize thy love more than whole mines of gold."To Bradstreet, her husband's love is worth more than some of the best treasures that this earth has to offer. She also makes it a point to show to her husband that nothing can fill the love that she has for her husband. In the lines, "My love is such that rivers cannot quench,"the rivers represent death, which she says the fire of her love is invulnerable to. The last line of the poem sums this up with the words, "Then when we live no more, we may live ever." In "A Letter to Her Husband Absent upon Public Employment"Bradstreet writes a letter to her husband who is away from her working at his job. Bradstreet uses various metaphors to describe her affection for her husband, for example, stating that it is a sad, cold time for Bradstreet and she wishes for her husband to soon return. "Return, return, sweet Sol, from Capricorn." She continues by expressing that her husband's job is important and he can't be there always and he must also go away at times, "Till nature's sad decree shall call thee hence."
By reading Bradstreet's works and recognizing her intended audience, one can get an idea of how life was for Puritan women. According to U.S. History.org, Puritan women were required to attend worship services, yet they could not to speak or offer prayer. Women were also not allowed to attend town meetings or be involved in the decisions that were discussed. If Puritan women were to be seen and not heard in public, then one can say that most of their works are not meant for public consumption. In Puritan religion, a relationship between a man and a woman is to be kept behind closed doors. They are not to draw attention to their relationship and keep their feelings repressed, because they believed that their relationship to God is the most important relationship and their personal relationship would take away from their devotion to God. They believed through this devotion to God they would find redemption and salvation and kept a strict moral code, especially for women. Therefore, Anne Bradstreet's love poems to her husband are her way of expressing the emotions she kept repressed from the public. These poems are from the heart and could be viewed more as structured diary entries. This is why her works were not initially intended for public viewing. That is why some of her poems do not even have a true title, but instead are more of a description of the poem or why it was written such as "Before the Death of One of her Children", in which she warns her child of her own possible death and instructs him or her to watch over her other children if she does die, and "A Letter to Her Husband", "Absent upon Public Employment." Bradstreet intended for her work to only be seen by the eyes they were strictly intended to be met by; her husband and children. She used her writing a way to cope with her loneliness when her husband was away for political affairs and her struggles with adapting to her new life in the colonies. Bradstreet was not responsible for her writing becoming public. Bradstreet's brother-in-law, John Woodbridge, sent her work off to be published. However soon after, there was concern for the family because Bradstreet did not want to elevate herself. Bradstreet was a righteous woman and her poetry was not meant to bring attention to herself. Though Bradstreet's works are renowned in today's world, it still was a great risk to have had her work published during the time in which she lived because being a published author would have not been a typical role of the everyday Puritan woman.
Andrew Marvell was already an active poet of recognized merit when the monarchy was restored to Charles II in 1660. Marvell avoided punishment for his own co-operation with republicanism, and he helped convince the government of Charles II not to execute John Milton for his antimonarchical writings and revolutionary activities. The closeness of the relationship between the two former colleagues is indicated by the fact that Marvell contributed an eloquent prefatory poem, entitled "On Mr. Milton's Paradise Lost", to the second edition of Milton's epic Paradise Lost. According to a biographer: "Skilled in the arts of self-preservation, he was not a toady." In 1661 Marvell was re-elected MP for Hull in the Cavalier Parliament. He eventually came to write several long and bitterly satirical verses against the corruption of the court. Although circulated in manuscript form, some finding anonymous publication in print, they were too politically sensitive and thus dangerous to be published under his name until well after his death. Marvell took up opposition to the 'court party', and satirised them anonymously. In his longest verse satire, Last Instructions to a Painter, written in 1667, Marvell responded to the political corruption that had contributed to English failures during the Second Anglo-Dutch War. The poem did not find print publication until after the Revolution of 1688–9. The poem instructs an imaginary painter how to picture the state without a proper navy to defend them, led by men without intelligence or courage, a corrupt and dissolute court, and dishonest officials. Of another such satire, Samuel Pepys, himself a government official, commented in his diary, "Here I met with a fourth Advice to a Painter upon the coming in of the Dutch and the End of the War, that made my heart ake to read, it being too sharp and so true."
From 1659 until his death in 1678, Marvell was serving as London agent for the Hull Trinity House, a shipmasters' guild. He went on two missions to the continent, one to the Dutch Republic and the other encompassing Russia, Sweden, and Denmark. Marvell spent some time living in a cottage on Highgate Hill in north London, where his time in the area is recorded by a bronze plaque that bears the following inscription: "Four feet below this spot is the stone step, formerly the entrance to the cottage in which lived Andrew Marvell, poet, wit, and satirist; colleague with John Milton in the foreign or Latin secretaryship during the Commonwealth; and for about twenty years M.P. for Hull. Born at Winestead, Yorkshire, 31st March, 1621, died in London, 18th August, 1678, and buried in the church of St. Giles-in-the-Fields. This memorial is placed here by the London County Council, December, 1898." A floral sundial  in the nearby Lauderdale House bears an inscription quoting lines from of his poem "The Garden". He died suddenly in 1678, while in attendance at a popular meeting of his old constituents at Hull. His health had previously been remarkably good; and it was supposed by many that he was poisoned by some of his political or clerical enemies. Marvell was buried in the church of St Giles in the Fields in central London. His monument, erected by his grateful constituency, includes the following inscription: "Near this place lyeth the body of Andrew Marvell, Esq... He having served twenty years successfully in Parliament, and that with such Wisdom, Dexterity, and Courage, as becomes a true Patriot, the town of Kingston-upon-Hull, from whence he was deputed to that Assembly, lamenting in his death the public loss, have erected this Monument of their Grief and their Gratitude, 1688."