Thursday, October 31, 2019

Macromolecule Research Project Overview Essay Example | Topics and Well Written Essays - 500 words

Macromolecule Research Project Overview - Essay Example rates are: 1.) Monosaccharide, 2.) Disaccharides, 3.) Polysaccharides are polymers of monosaccharide of up to 10,000 glucose molecules per chain, where parallel chains are cross-linked with H bonds forming bundles of 60-70 molecules. These are: a.) Starch which are insoluble polymer of glucose, and energy storage molecules concentrated as granules within plant cells; b.) Glycogen which are water-soluble, branched polysaccharides storage form in animal liver and muscle cells; c.) Chitin which are tough molecules of ÃŽ ² glucose and the second most abundant molecule that forms the major component of fungal cell wall and the exoskeleton of insects and arthropods, recently used as surgical suturing threads; and d.) Cellulose which are the structural material in plant cell wall (Campbell & Reece 2002). Lipids are substances with an oily, greasy or waxy consistency which are relatively insoluble in water and tend to be water-repelling, hydrophobic, i. g. cuticle on leaf surfaces (Mader 2001). This is also important biological fuels, hormones and structural components of cell membranes (Mader 2001). Neutral fats and oils are the most abundant forms found in both plants and animals. Fats are economical storage for fuel reserves and there is twice more energy as the same quantity of carbohydrates it can generate (Mader 2001). Fatty acids which are the main components of neutral fats and phospholipids are of 30 different kinds such as saturated fatty acids which are solid at room temperature, i. g. butter and palmitic acid, and unsaturated fatty acids, oils, which are liquid at room temperature, i. g. linoleic acid. Important lipids are phospholipids which are the main component of cellular membranes, steroids which are likewise components of membranes and also hormones such as testost erone for sexual growth and development of men and estrogen and progesterone for women sexual growth and development with cholesterol as the main precursor, and carotenoids which are

Tuesday, October 29, 2019

Aristotle and Plato’s Concept of the Soul Essay Example for Free

Aristotle and Plato’s Concept of the Soul Essay Most individuals are interested in knowing and understanding the various phenomena that exist among their midst. It could be as simple as looking for information as to why the sun rises and sets or it could involve very trivial matters that deal with things that is not seen by the naked eye. This is why the field of philosophy exists in order to investigate the ideas of truth, existence, knowledge, and other subjects by means of logic and reason (Kemerling). In relation to this, many famous philosophers have their respective theories that tend to explain various matters. This could be exemplified by Aristotle and Plato’s ideas behind the existence of a soul. Aristotle wrote three books of De Anima wherein he elaborated a varying array of philosophical and scientific topics. In Book II, Chapter 1 of De Anima, Aristotle made a sketch or outline of the nature of the soul. He explained the concept of the soul by using a scientific perspective that uses elements of biology. In relation to this, he also employed the idea of metaphysics that tackled everything such as substance, form, matter, potentiality, and actuality. Aristotle perceived that the soul is united with the living body. As such, the existence of the soul is also dependent upon the host. He deems that the soul is made simply for the purpose of development, which can only happen if it is connected with a body or some kind of container in the physical world. In this sense, the soul is assumed to exist as the form of the body. The importance of the soul is greatly dependent upon the body or a type of entity that gives life to it. Since the soul designates life, Aristotle believed that it is also present in every living thing, including plants and animals. He also elaborated that different entities have various versions of the soul. The soul of a human being is unique from others because it has the ability to hold rational beliefs and use reason. It is regarded as the higher level of soul while the lowest ones are those that are found in plants and animals. Moreover, Aristotle’s association of the soul to specific forms made the soul as the mover because it is the culmination of the various life forces (Davidson). On the other hand, Plato believes that the soul is made up of three basic energies, including reason, emotion, and appetite that are responsible in animating human beings. The energy of reason is regarded as having the greatest value, while emotion and most especially appetite are considered as the lower passions. Reason is responsible in governing the soul that controls the emotion and the appetite of an individual. In relation to this, Plato deems that the soul is important in living a moral life. He explained that morality is the cause of happiness, which motivates an immoral person to behave righteously if he or she wants to be happy. Plato asserted that a happy person is a just person. Moreover, the psychic harmony of the soul is expressed in four cardinal virtues that are related to the three basic energies. In terms of reason, the just person has wisdom or prudence. In relation to emotion, the just person has the virtue of courage. Lastly, when it comes to the energy of appetite, a just person has the value of temperance (â€Å"Plato theory of the Soul†). Aristotle and Plato’s respective theories of the soul have similarities in the sense that they both believe that the soul is responsible for the ability of human beings to think logically and rationally. Nevertheless, there are many differences in their concept of the soul. Since Aristotle employed the scientific topics in his theory, he perceived the soul as dependent upon the body. In relation to this, he also deemed that other living things have souls. On the contrary, Plato merely focused on the existence of human beings’ soul. He explained his idea of the soul in the light of morality rather than biology. Furthermore, Plato argued that the soul is influenced by external force in order to move, while Aristotle asserted that the soul is the mover itself because it is an assortment of life forces. The varying theories of Aristotle and Plato with regards to the soul only show that philosophers have different perspective and understanding in the pursuit of understanding various matters of an individual’s existence.

Sunday, October 27, 2019

Zeus: The man, the myth, the legend

Zeus: The man, the myth, the legend   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Throughout the pantheon of Greek and Roman myth many of the gods are depicted in only one, revered gaze. Zeus on the on the other hand is depicted as many things which include; the ruler of the other gods, a brother, a warrior, a tyrant, a just king, a vengeful deity, an adulterer and a rapist. Zeus embodies what many perceived to be perfect masculinity in antiquity. He was the target of deception and revenge, mostly from his angered wife Hera, but he was the target of many vengeful acts none the less. However the one aspect in Zeus canon that is most important in explaining why he was such an important figure in Mythology is that he was depicted as a father, even in myths where he was portrayed in another light such as a warrior or as a son attempting to usurp his fathers position, his patriarchal side always showed in some manner in many of the stories.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Zeus name in Greek comes from a root word meaning bright. It is interesting to note that the planet Jupiter, which is the same name as Zeus in Roman is typically the brightest object in the night sky, seems to be an interesting etymological comparison. Zeus took control of the sky when the Olympian gods inherited control over the world while his brothers Hades and Poseidon were given control over the underworld and the Oceans, respectively. Typically Zeus is associated with the lightening bolt, his weapon if choice, as well as the eagle, a majestic symbol of nobility. The Oak tree is also tied to Zeus as it is a sturdy tree that grows for hundreds of years.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Zeus was the youngest of the first generation Olympian gods which also included Hestia, Demeter, Hera, Hades, and Poseidon. When he was born Zeus was hidden to grow up on the island of Crete in order to prevent his father, Cronus, from eating him just as he did to his older siblings. Instead of eating Zeus, Cronus was tricked into eating a stone which in turn made him regurgitate all of his devoured children only then to be slain by Zeus who was protecting his siblings. This can be juxtaposed to a father who would protect his children. The Olympian gods ally together and fight all of the Titans from atop mount Olympus, this was known as the Titanomachy. This ten year war was aided not only by the Cyclopes, but the Hecatonchires as well. When the Olympian gods finally won the Titans were then imprisoned in Tartarus.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Zeus engaged in lascivious acts with goddesses which gave birth to many children which included; Aegipan, Persephone and Zargreus, Orion and Manes, Ares, Eileithyia, Eris, Hebe, Ersa and Carae, Limos, Apollo and Artimis, Hermes, Athena, The Muses Calliope, Clio, Erato, Euterpe, Melpomene, Polyhymnia, Terpsichore, Thalia, and Urania, Zagreus and Melinoe, Ersa, Nemean Lion and Pandia. There mothers were Aix, Anake, Demeter, Dione, Thalassa, Gaia, Hera, Eos, Eris, Leto, Maia, Metis, Mnemosyne, Persephone and Selene respectively. Themis who was the first wife of Zeus gave birth to Astraea, Nemisis, Horae, Auxo, Carpo, Thallo, Dike, Eirene, Eunomia, Pherusa, Euporie, Orthosie, and The fates Atropos Clotho and Lachesis (Wikipedia Zeus). In addition to having plenty of children with goddesses Zeus also had children with many mortals, these children include; Aeacus, Hercules, Amphion and Zethus, Arcas, Britomartis, Perseus, Tityas, Dardanus and Iasion. Minos, Rhadamanrhys and Sarpedon, Aglea, Euphrosyne and Thalia, Kronios, Spartaios and Kytos, Thebe, Epaphus and Keroessa, Sarpedon, Polydeuces, Castor and Helen of Troy, Lorcrus, Argus and Pelasgus, Alexander III of Macedon (Alexander the Great), Meliteus, Tantulus, Balius and Xanthus, Hellen, Dionysus, Lacedaemon, Palici, Litae, Tyche and Ate. The mortal mothers of these children of Zeus are; Aegina, Alcmene, Antipoe, Callisto, Carme, Danae, Elara, Electra, Europa, Eurynome, Himalia, Iodame, Io, Lamia, Laodamia, Leda, Maera, Niobe, Olympias, Othreis, Pluto, Podarge, Pyrrha, Semele Taygete and Thalia respectively (Wikipedia Zeus). The Gigantomachy was the battle of the Olympian gods against the giants. The Giants, who were born of the blood of Uranus spilling onto the Earth were half human and half serpentine creatures. This myth depicts Zeus in the warrior light because it was Zeus who fought the leader of the Giants Thyphoeus. Typhoeus was beaten by Zeus and thus so were the giants. They were imprisoned in Earth which to Greeks gave reason as to why volcanoes are scattered along the Earths surface. The fact that he fought Typhoeus alone exemplifies what many of the Greeks and Romans thought were how a warrior should behave, that and if he did not do so he would lose the stigma that he was the epitome of masculinity. The myths of Zeus are so widely varied and his behavior within the myths are just as varied that some have postulated that Zeus is the conglomeration of many minor gods who over time were blurred into one supreme being. In addition the many bizarre acts of Zeus can be a way for many people to justify their obscure behavior.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Zeus had relations not only with mortal females, but also mortal males. One of the most notable tales of this is that of Zeus and Ganymede. Ganymede was a slave boy who Zeus became infatuated with, one day Zeus sent eagles down to Earth to retrieve Ganymede and bring him to Olympus there he became a cup-bearer. That way he was always around when Zeus needed him to be. This is an example of how Zeus sometimes abused his power to get whatever he wanted. This tale also reflects how Roman society viewed homosexuality and accepted it the way they did.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  In Ovids Metamorphoses the tale of the great flood is another fine example of Zeus wearing yet another hat. This myth Deals with ruler of Arcadia Lycaon and his tyrannical behavior. Lycaon thought he would serve Zeus one of his children as a sacrifice. As one would expect Zeus found this repulsive and decided to not only punish Lycaon, but the rest of humanity as well. He first transformed Lycaon into a wolf, it suited his personality. This was the typical style of most transformations in Ovids works. Zeus then decided to wipe the Earth clean of the human race and start fresh, thus the great flood much like the story of Noahs Ark. In the Greek version, there were however two survivors Deucalion and his wife Pyrrha. In order to repopulate the Earth they were instructed to throw the bones of their mother over their shoulder to repopulate the Earth, these instructions from the oracle had to be interpreted in order for the oracle to maintain that it was ne ver wrong. They Figured that the bones were actually rocks from mother Earth, this was the correct interpretation and the Earth was populated once more. In regards to Zeus this story once again shows his parental side due to the way he reacted to Lycaons transgression.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The myth of Zeus and his relationship with Callisto is one that shows how he can, when faced with urgency, can react for the betterment of others not just himself. The story goes that after Callisto was found to have a child with Zeus she was turned into a bear, after her son Arcas grew up he was in the woods and was confronted by her mother in bear form, he was about to kill her when Zeus stepped in and transformed then into constellations, these constellations were Ursa Major and Ursa Minor.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The tale of Zeus and Demeter shows Zeus as a just and understanding ruler. The story deals with Hades being given permission to take Persephone to the Underworld to be his wife, the bulk of the story deals with Demeter sulking and trying to figure out who kidnapped her daughter. Also in her anger she brings famine and drought upon the world. After hearing all the people crying out in hope due to hunger Zeus steps in and sends Hermes to retrieve Persephone, but she had already had eaten food in the underworld and if that occurs it is said that no one can leave. So in the end Persephone must spend a portion of every year with Hades in the underworld. This myth shows how Zeus is an understanding individual and how he does his best for the betterment of all under his all mighty rule.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  There are many other myths associated with Zeus such as him punishing Prometheus to having his liver eaten out of him regularly. Or the Zeus and his punishment for Tantalus and his blasphemous act of sacrificing his some to the gods. Works Referenced Hesiods Theogony, translated by Evelyn-White. Ancient / Classical History Ancient Greece Rome Classics Research Guide. Web. 09 Oct. 2009. . The Internet Classics Archive | Metamorphoses by Ovid. The Internet Classics Archive: 441 searchable works of classical literature. Web. 09 Oct. 2009. . Morford, Mark P. O., and Robert J. Lenardon. Classical Mythology. New York: Oxford UP, USA, 2006. Print. Zeus -. Wikipedia, the free encyclopedia. Web. 09 Oct. 2009. .

Friday, October 25, 2019

Facts and Innovation of Education in China Essay -- Education Chinese

Facts and Innovation of Education in China I lived in a city and had a standard high school student life as others. I got up at 7:00 in the morning and tried not to be late for the morning class which is half an hour later. Then I had 9 classes till 5:00 in the afternoon, during which I could eat my one-hour-long lunch. Even at night and on weekends, I had to deal with tons of homework and tests, or locked myself in the classroom. It sounds crazy to have only one day per week free without classes or to stay at school more than at home, but millions of Chinese students are experiencing both situations. One research reveals that nearly 7 out of 10 students in Beijing have to attend classes during winter breaks. Another says that 67% of high school students have less than 7 hours sleep per day and about 42% students have less than half an hour free time per day. Half of them have no free time at all. For most high students in China, all the hard work aims at one thing, and the thing is called the National College Entrance Examination. In fact, it’s an exam which lasts 2 or 3 days depending individually on provinces, takes place nationally and synchronously, and the final score of the exam determines which college a student may get in. Although students fill out forms indicating several colleges they would like to apply to, the fact is they merely have one chance basically, which is the first choice. And once a student fails to get in his first choice, his chances of getting into other colleges are enormously decreased because the spaces have been filled already. Mostly, the Entrance Examination is the only way a college evaluates and admits a student. And in China, a good college degree more or less guarantees a promisi... ...a crushing fairer education environment. Work Cited: Jiajie Li, â€Å"Yang Zhenning jiaoshou bijiao zhongmei jiaoyu† (Prof. Zhenning Yang compares education between China and the US), Guangming Daily, June 18, 2004. Maolin Ye, â€Å"Dui Zhongguo fazhan mingban jiaoyu de sikao† (Thoughts about developing private schools in China); available from http://edu.tom.com/1050/20031030-1455.html; Internet; accessed December 1, 2004. Chenxin Zhou, Peng Jiang, â€Å"Zhongguo shisheng pubian renwei gaozhong kecheng guoduo guonan† (Students and teachers consider high schoolwork load too much and too hard); available from http://www.wendu.com/Training/11611.html; Internet; accessed December 1, 2004. Guangcheng Liang, â€Å"Jiaoyu buneng mangmu xihua† (Do not westernize education blindly); available from http://maths.guangztr.edu.cn/kcgg/bnmmxh.htm; Internet; accessed December 1, 2004. Facts and Innovation of Education in China Essay -- Education Chinese Facts and Innovation of Education in China I lived in a city and had a standard high school student life as others. I got up at 7:00 in the morning and tried not to be late for the morning class which is half an hour later. Then I had 9 classes till 5:00 in the afternoon, during which I could eat my one-hour-long lunch. Even at night and on weekends, I had to deal with tons of homework and tests, or locked myself in the classroom. It sounds crazy to have only one day per week free without classes or to stay at school more than at home, but millions of Chinese students are experiencing both situations. One research reveals that nearly 7 out of 10 students in Beijing have to attend classes during winter breaks. Another says that 67% of high school students have less than 7 hours sleep per day and about 42% students have less than half an hour free time per day. Half of them have no free time at all. For most high students in China, all the hard work aims at one thing, and the thing is called the National College Entrance Examination. In fact, it’s an exam which lasts 2 or 3 days depending individually on provinces, takes place nationally and synchronously, and the final score of the exam determines which college a student may get in. Although students fill out forms indicating several colleges they would like to apply to, the fact is they merely have one chance basically, which is the first choice. And once a student fails to get in his first choice, his chances of getting into other colleges are enormously decreased because the spaces have been filled already. Mostly, the Entrance Examination is the only way a college evaluates and admits a student. And in China, a good college degree more or less guarantees a promisi... ...a crushing fairer education environment. Work Cited: Jiajie Li, â€Å"Yang Zhenning jiaoshou bijiao zhongmei jiaoyu† (Prof. Zhenning Yang compares education between China and the US), Guangming Daily, June 18, 2004. Maolin Ye, â€Å"Dui Zhongguo fazhan mingban jiaoyu de sikao† (Thoughts about developing private schools in China); available from http://edu.tom.com/1050/20031030-1455.html; Internet; accessed December 1, 2004. Chenxin Zhou, Peng Jiang, â€Å"Zhongguo shisheng pubian renwei gaozhong kecheng guoduo guonan† (Students and teachers consider high schoolwork load too much and too hard); available from http://www.wendu.com/Training/11611.html; Internet; accessed December 1, 2004. Guangcheng Liang, â€Å"Jiaoyu buneng mangmu xihua† (Do not westernize education blindly); available from http://maths.guangztr.edu.cn/kcgg/bnmmxh.htm; Internet; accessed December 1, 2004.

Thursday, October 24, 2019

Portrayal of Australian Mining Towns Essay

Arthur Boyd and Oodgeroo, formally known as Kath Walker, both effectively depict their own view of Australia through the painting â€Å"The Mining Town† and the poem â€Å"The Time Is Running Out. † They each present slightly differing interpretations of the country based upon their altered perspectives and context. Arthur Boyd presents a vivid and vibrant life of an Australian mining town of 1920 through his painting while Kath Walker aggressively portrays an outraged view of what Australia has become violently outlining the damages caused by European settlement. In Kath Walkers poem â€Å"time is running out† she uses a passionate and forceful tone allowing it to illustrate an Aboriginal perspective of the mining town, which effectively portrays her view of Australia. â€Å"The miner rapes the heart of the earth† the use of the word â€Å"rape,† describes a traumatic and violent action. Kath Walker uses this aggressive quote to start her poem essentially stating the miners are ruining the natural part of Australia. She then proceeds to say â€Å" With this violent spade† meaning the spade the miners are using is killing the earth. â€Å" Stealing, bolting her black blood. † The use of a metaphor in this quote depicts the miner taking the black coal from the earth. She then personifies the earth to exemplify that the Europeans are destroying the natural beauty of Australia â€Å"for the sake of the greedy trade. † Kath Walker demonstrates her disappointment throughout the poem in the European culture of Australia and is horrified by what the country has become. She effectively conveys her view of Australia. In the second part of Kath Walkers poem she proceeds to use a patriotic and again a violent tone to portray her view of Australia. She challenges upon all Aborigines to take a stand against the violent nature on the earth caused by the foreigners. The repetition of â€Å"violence† â€Å"he knows violence† â€Å"will be violently written† â€Å"make the violent miner feel† exaggerates her perspective of Australia by portraying Australia as a terrible violent country. Throughout her poem she over exaggerates the terrible wok of the miners and at the end of her poem she hypocritically gives a violent message of retaliation against the miners â€Å"to defend their timeless land. † â€Å"Come gentle black man† she creatively changes the audience’s state of mind by showing that the aborigines are the victims and are innocent. Kath allows the audience to feel her frustration with the use of her aggressive tone and adjectives essentially providing the audience with not only Kath’s view of Australia but also the whole Aboriginal community. It is because of Kaths poetic devices and techniques which allows her to present her perspective of Australia from an Aboriginal point of view. Her aggressive and serious tone, shows her passion and love for the nature of the country. She also spreads a message of violence of retaliation and revenge on the European miners who are destroying nature in Australia all for â€Å"the filthy dollar. † Therefore I think that the poem most effectively conveys a view of Australia rather than the photo.

Tuesday, October 22, 2019

The 100 Most Important Words in English

The 100 Most Important Words in English This list of important words was drawn up by British rhetorician I.A. Richards, author of several books including Basic English and Its Uses (1943). However, these 100 words are not a part of the simplified version of the language that he and C.K. Ogden called Basic English. Also, were not talking about the 100 most frequently used words in English (a list that contains far more prepositions than nouns). And unlike the 100 words chosen by David Crystal to tell The Story of English, Richards words are primarily significant for their meanings, not their etymologies. Richards introduced his list of words in the book How to Read a Page: A Course in Effective Reading (1942), and he called them the most important words for two reasons: They cover the ideas we can least avoid using, those which are concerned in all that we do as thinking beings.They are words we are forced to use in explaining other words because it is in terms of the ideas they cover that the meanings of other words must be given. Here are those 100 important words: AmountArgumentArtBeBeautifulBeliefCauseCertainChanceChangeClearCommonComparisonConditionConnectionCopyDecisionDegreeDesireDevelopmentDifferentDoEducationEndEventExamplesExistenceExperienceFactFearFeelingFictionForceFormFreeGeneralGetGiveGoodGovernmentHappyHaveHistoryIdeaImportantInterestKnowledgeLawLetLevelLivingLoveMakeMaterialMeasureMindMotionNameNationNaturalNecessaryNormalNumberObservationOppositeOrderOrganizationPartPlacePleasurePossiblePowerProbablePropertyPurposeQualityQuestionReasonRelationRepresentativeRespectResponsibleRightSameSayScienceSeeSeemSenseSignSimpleSocietySortSpecialSubstanceThingThoughtTrueUseWayWiseWordWork All these words carry multiple meanings, and they can say quite different things to different readers. For that reason, Richards list could just as well have been labeled The 100 Most Ambiguous Words: The very usefulness which gives them their importance explains their ambiguity. They are the servants of too many interests to keep to single, clearly defined jobs. Technical words in the sciences are like adzes, planes, gimlets, or razors. A word like experience, or feeling, or true is like a pocketknife. In good hands it will do most things- not very well. In general we will find that the more important a word is, and the more central and necessary its meanings are in our pictures of ourselves and the world, the more ambiguous and possibly deceiving the word will be. In an earlier book, The Making of Meaning (1923), Richards (and co-author C.K. Ogden) had explored the fundamental notion that meaning doesnt reside in words themselves. Rather, meaning is rhetorical: Its fashioned out of both a verbal context (the words surrounding the words) and the experiences of the individual reader. No surprise, then, that miscommunication is often the result when the important words come into play. Its this idea of miscommunicating through language that led Richards to conclude that all of us are developing our reading skills all the time: Whenever we use words in forming some judgment or decision, we are, in what may be a painfully sharp sense, learning to read (How to Read a Page.) There are actually 103 words on Richards top-100 list. The bonus words, he said, are meant to incite the reader to the task of cutting out those he sees no point in and adding any he pleases, and to discourage the notion that there is anything sacrosanct about a hundred, or any other number. Your List So with those thoughts in mind, its now time to create a list of what you think are the most important words. Sources Crystal, David.  The Story of English.  St. Martins Press, 2012, New York.Richards, I.A.  Basic English  and  Its Uses. W.W. Norton Co., 1943, New York. Richards, I.A. How to Read a Page: A Course in Effective Reading. Beacon Press, 1942, Boston.Ogden, C.K. and Richards, I.A. The Making of Meaning.  Harcourt, 1923, New York.

Monday, October 21, 2019

Free Essays on Documetation Problem In History

Documentation of any event (no matter how significant) is a very difficult task. It is human nature to have some bias and objectivity when looking at any situation. In order to accurately document an event we must be able to control these feelings. This, in my opinion, is an impossible task. No matter how hard we try, I do believe some objectivity will sneak through into our documentations. In the case of slavery in the United States in the time period before the Civil War I believe this problem was magnified by the very nature of the event being documented. This paper will focus on why I believe the documentation of slavery in the U.S. is very skewed. Slavery has existed since the beginning of time. It is common practice to use all means possible to keep slaves from joining together and revolting. One method used is denial of education. In the case of the African slaves brought to America these people were very uneducated. The majority could not read nor write. American slave masters used this to their advantage. Even after many generations of slaves had passed slave masters still were able to keep the vast majority of them illiterate by denying them any education at all. What this created was a very one-sided account of the happenings of that period of time. When we read history, especially the early history of slavery in the United States, what we are mainly getting are accounts based on slave owners’ and educated white men’s’ documentation of the events. There is very little input by the slaves themselves. This inherently causes these pieces of history to be skewed towards the white man’s view. As we go along the timeline there eventually are more and more educated slaves and white men; who tell the stories of the slaves as had been told to them by the slave. However, we still cannot get rid of the fact that the majority of the information had to come from the white men of the time. Besides this example, there are ... Free Essays on Documetation Problem In History Free Essays on Documetation Problem In History Documentation of any event (no matter how significant) is a very difficult task. It is human nature to have some bias and objectivity when looking at any situation. In order to accurately document an event we must be able to control these feelings. This, in my opinion, is an impossible task. No matter how hard we try, I do believe some objectivity will sneak through into our documentations. In the case of slavery in the United States in the time period before the Civil War I believe this problem was magnified by the very nature of the event being documented. This paper will focus on why I believe the documentation of slavery in the U.S. is very skewed. Slavery has existed since the beginning of time. It is common practice to use all means possible to keep slaves from joining together and revolting. One method used is denial of education. In the case of the African slaves brought to America these people were very uneducated. The majority could not read nor write. American slave masters used this to their advantage. Even after many generations of slaves had passed slave masters still were able to keep the vast majority of them illiterate by denying them any education at all. What this created was a very one-sided account of the happenings of that period of time. When we read history, especially the early history of slavery in the United States, what we are mainly getting are accounts based on slave owners’ and educated white men’s’ documentation of the events. There is very little input by the slaves themselves. This inherently causes these pieces of history to be skewed towards the white man’s view. As we go along the timeline there eventually are more and more educated slaves and white men; who tell the stories of the slaves as had been told to them by the slave. However, we still cannot get rid of the fact that the majority of the information had to come from the white men of the time. Besides this example, there are ...

Sunday, October 20, 2019

Free Essays on Solutions Of The Problem Of Global Warming

Scientists report that global warming has been escalating since the Industrial Revolution. Governments are trying to reduce carbon-dioxide emissions. With the speed of destruction of Earth fs ecosystem, the survival of many species, including human beings, is threatened. In order to solve this danger, we have to reduce the consumption of energy and use the alternative energy resources. If we calculate the present energy price, alternative energy must be more expensive than fossil fuels. However if we consider the negative price which is caused by global warming, this result might be different. Now I would like to propose some solutions: (1) reduce the use of fossil fuels; (2) find alternative energy resources; (3) recycle usable resources; (4) planting trees to help combat global warming. I will explain these solutions in more detail. (1) Reduce the use of fossil fuels Global warming is regarded as being a result of the greenhouse effect, which in turn is caused by carbon dioxide emissions. Petroleum and coal are major sources of carbon-dioxide emissions. What would happen if we conserved these energy sources? The volume of carbon-dioxide emissions surely would decrease. But how? In summer and winter, we use electricity to cool our houses or provide heat. Turn down the temperature in winter and turn up the temperature in summer. Do you drive? Why not use the existing public transportation? These subtle things will reduce the use of fossil fuels. In reality, we already experienced a reduction in the use of fossil fuels during the so-called  gOil Crisis h in the early 1970s. (2) Find alternative energy resources I cannot recommend nuclear power as an alternative energy resource because Japanese people have experienced accidents and atomic bombs. However, there are other alternatives such as wind power, tidal power, and solar power. Many people believe that these are expensive. Why not calculate the cost of global warming ... Free Essays on Solutions Of The Problem Of Global Warming Free Essays on Solutions Of The Problem Of Global Warming Scientists report that global warming has been escalating since the Industrial Revolution. Governments are trying to reduce carbon-dioxide emissions. With the speed of destruction of Earth fs ecosystem, the survival of many species, including human beings, is threatened. In order to solve this danger, we have to reduce the consumption of energy and use the alternative energy resources. If we calculate the present energy price, alternative energy must be more expensive than fossil fuels. However if we consider the negative price which is caused by global warming, this result might be different. Now I would like to propose some solutions: (1) reduce the use of fossil fuels; (2) find alternative energy resources; (3) recycle usable resources; (4) planting trees to help combat global warming. I will explain these solutions in more detail. (1) Reduce the use of fossil fuels Global warming is regarded as being a result of the greenhouse effect, which in turn is caused by carbon dioxide emissions. Petroleum and coal are major sources of carbon-dioxide emissions. What would happen if we conserved these energy sources? The volume of carbon-dioxide emissions surely would decrease. But how? In summer and winter, we use electricity to cool our houses or provide heat. Turn down the temperature in winter and turn up the temperature in summer. Do you drive? Why not use the existing public transportation? These subtle things will reduce the use of fossil fuels. In reality, we already experienced a reduction in the use of fossil fuels during the so-called  gOil Crisis h in the early 1970s. (2) Find alternative energy resources I cannot recommend nuclear power as an alternative energy resource because Japanese people have experienced accidents and atomic bombs. However, there are other alternatives such as wind power, tidal power, and solar power. Many people believe that these are expensive. Why not calculate the cost of global warming ...

Saturday, October 19, 2019

Black & Decker (SWOT analysis) Research Paper Example | Topics and Well Written Essays - 1250 words

Black & Decker (SWOT analysis) - Research Paper Example The industrial segment is sub divided into tradesmen and industry level. The domestic consumers are a big fan of Black & Decker products and the company enjoys fifty percent market share from this segment. However, the share at industrial level is twenty percent and tradesmen account for nine percent only. Tradesmen are not quite satisfied with the Black & Decker products as they consider the tools less professional and less reliable. Although research and development is an ongoing process at Black & Decker and due to the company’s efforts, hundreds and thousands of products have become a part of the brand. Sub brands of Black & Decker are also popular at global level. Thus, the brand portfolio of Black & Decker is quite satisfactory and appeals the customers. ... other idea could be to remove the Black & Decker label from all products in the mentioned category and market the products under the name of other Black & Decker brands which are absolutely free of any negative associations. Threats Competitors such as Makita and Milwaukee are a major threat for Black & Decker. They have a market share of more than fifty percent and have better brand awareness and reputation in the power tools market. The negative image of Black & Decker can also have negative impact on the consumer segment. If strategies aimed at the growth in the tradesmen segment fail, the company might face decline in revenues and reputation. 4 P’s Analysis Product Black & Decker is one of the world’s biggest manufacturers of power tools and accessories. The products range from the smallest of screwdrivers which are used rarely by domestic consumers to heaviest parts of machinery used at the industrial scale. The products are classified into two categories: home use and industrial use. The industrial segment is sub divided into tradesmen and industry level. The domestic consumers are a big fan of Black & Decker products and the company enjoys fifty percent market share from this segment. However, the share at industrial level is twenty percent and tradesmen account for nine percent only. Tradesmen are not quite satisfied with the Black & Decker products as they consider the tools less professional and less reliable. Although research and development is an ongoing process at Black & Decker and due to the company’s efforts, hundreds and thousands of products have become a part of the brand. Sub brands of Black & Decker are also popular at global level. Thus, the brand portfolio of Black & Decker is quite satisfactory and appeals the customers. Price A deep

Friday, October 18, 2019

Personal Selling and Customer Focus Statement Example | Topics and Well Written Essays - 750 words

Selling and Customer Focus - Personal Statement Example In order for Studio Productions to improve the company’s well-being, it, therefore, needs to implement a customer service system that is first and foremost, customer focused. The goal of customer service is to â€Å"attract and keep customers who are satisfied, loyal and speak well of the company, but perhaps most importantly, to keep profitable customers† (Gustafsson, Ekdahl and Edvardsson 344). Hence, a customer service system must always ensure client satisfaction, and if possible, exceed client needs. Second, it must also be effective in achieving the company’s goals. While a satisfied client-base is in itself an advantageous end, for Studio Productions to benefit from service developments, the system it adopts must go beyond the minimums of customer satisfaction and reap additional benefits for the company. From a service perspective, these should include improved cross-sell and up-sell rates, higher problem resolution, and higher customer satisfaction and r e-purchase (Carlson Marketing Group 8). It should also improve sales through higher lead-to-close ratios, increased margins, and repeat business (8). Third, given the drastic changes occurring in today’s business environment, a customer service system must also be flexible in its ability to embrace change and adapt accordingly. And finally, a good customer service system must also be cost-effective, such that it must provide saving efficiencies and revenue enhancements for the company, improving the bottom-line.  In order for Studio Productions to improve the company’s well-being, it, therefore, needs to implement a customer service system that is first and foremost, customer focused. The goal of customer service is to â€Å"attract and keep customers who are satisfied, loyal and speak well of the company, but perhaps most importantly, to keep profitable customers† (Gustafsson, Ekdahl and Edvardsson 344). Hence, a customer service system must always ensure cli ent satisfaction, and if possible, exceed client needs. Second, it must also be effective in achieving the company’s goals. While a satisfied client-base is in itself an advantageous end, for Studio Productions to benefit from service developments, the system it adopts must go beyond the minimums of customer satisfaction and reap additional benefits for the company. From a service perspective, these should include improved cross-sell and up-sell rates, higher problem resolution, and higher customer satisfaction and re-purchase (Carlson Marketing Group 8). It should also improve sales through higher lead-to-close ratios, increased margins, and repeat business (8). Third, given the drastic changes occurring in today’s business environment, a customer service system must also be flexible in its ability to embrace change and adapt accordingly. And finally, a good customer service system must also be cost-effective, such that it must provide saving efficiencies and revenue enhancements for the company, improving the bottom-line.   For a customer service system to work, however, Studio Productions must conduct improvements in both internal and external customer service structures to improve client satisfaction and loyalty. Internally, this requires developing a â€Å"service culture† among all employees with a well-defined set of corporate values, a strong commitment to quality improvement, the ability to accept change, a strong sense of teamwork, and a clear understanding of their roles in improving customer relationships.

Adopting Strategies in Raising Levels of Attainment of KS3 Essay

Adopting Strategies in Raising Levels of Attainment of KS3 - Essay Example A factor that must be addressed in improving the capacity of students to achieve greater heights at a pace equal to their peers within the same class must first be assessed in the aspect of literacy, for without literacy one cannot strive for full achievement. In recent years there have been a great many emerging initiatives that have been designed to promote literacy. Understanding these initiatives and applying them toward secondary education is a singularly important concept toward the ability to teach effectively in the KS3 environment.There is a growing concern in KS3 level schools with the current state of literacy. That concern would be the decline in literacy standards in the UK. This is an issue fiercely debated and so reiterating those arguments would be of no benefit. With the statistics that have been gathered and compared historically as well as reviewed with the current international evidence, standards of literacy in the United Kingdom would hardly be high enough for a sizeable proportion of the number of students. Yet, in order to be flexible, we must be willing to give each student a baseline level from which to start, and then we must ascertain goals for their further achievement. I believe that there is room within the National Strategy to adopt a much more refined approach to the teaching methods at KS3. An example of this consideration would be, higher ability students may be able to surpass the specification of the strategy. I also would believe that lower ability students may not be fully able to achieve all of the objectives in the National Strategy and it would be more appropriate in this case for them to spend longer periods acquiring solid basic ICT skills and understanding. To maintain standards in educational tolerance and sensitivity, we must learn about each student individually. This would be for their benefit to not only realize their goals and aspirations but to know their potential limitations and help them in the discovery of methods toward surpassing those limitations in order to gain access to their aspirations. Professors must also provide the students the outside methods toward attaining confidence in their ability to learn new skills in forwarding their education. Consistent teaching and learning is managed in order to improve attainment resources for teaching and learning in the form of revision guides, coursework help, lesson plans, worksheets, tasks and links to other sites. This has often resulted in improved consistency in teaching and would also have enabled students' access to useful materials encouraging independent learning. Consistency in teaching and learning at KS3 schools which would contain similar information, learning resour ces and homework for the younger students' use is an important factor to consider as well and then following that up with sharing copies of completed projects so teachers are aware of what students should have learned after completion of particular units. This is one thing that specialist schools, such as the Computing Specialist school that would cater to so many different nationalities would strive for, the

Critique a Research Article Paper Example | Topics and Well Written Essays - 1250 words

Critique a Article - Research Paper Example However, recent studies presented that almost 50%-72% of genetic elements are responsible for repeated co-occurrences of such disorders to the same patient or to the particular family tree. Thus, the research problem that has been addressed in this article is whether (cross)–assortative mating or (cross)–parent of origin effects of ASD and ADHD in parents have any relationship with the co-occurrence of either ASD or ASD with ADHD among their children. Initially, the article was aimed at discovering whether ASD and ADHD share similar structural and functional brain abnormalities which would also prove the co-occurrences of such disorders among parents and children belonging to one family tree. In order to obtain this particular aim, the authors used a series of literature studies an interview process. Subsequently, the obtained conclusion stated that the two disorders share insignificantly similar structural bases and functional brain abnormalities (Steijn, Richards, Oer lemans, Ruiter, Aken, Franke, Buitelaar & Rommelse, 2012). Evaluation of the Research Methods Used Does the author provide a literature review? One of the main reasons or motivations to use literature review in a research process is the intention to verify or justify the concerned issue with reference to prior studies and already evaluated and rationalized outcomes (Cronin, Ryan & Coughlan, 2008). However, the aim of the article was to identify and comprehend a new dimension of the concerned research phenomenon, i.e. the possibilities and the probable causes of co-occurrences of ASD and ASD with ADHD among parents and children in the same family tree. Hence, a greater emphasis is provided towards primary sources through interview rather than on literature reviews in this article. Nevertheless, the authors make use of the secondary research in the introductory part to signify the literature gap and the scope of the research. Is the Research Current and Relevant to Today Existing Heal th Issues? A large number of treatments are undertaken currently with children suffering from autism. Recent studies have depicted that almost 1 out of every 88 children is diagnosed with an ASD, among which boys have been examined as 5 times more vulnerable to girls. However, scientists have been unable to provide any valid explanation for the increase in the diagnosis (Vanderbilt Kennedy Center, 2012). Moreover, it is also identified that symptoms of ADHD also create significant problems for more than half of all the children with autism or ASD syndrome. Unfortunately, both the disorders, ASD and ADHD are under recognized and under treated by doctors in majority of medical cases. Hence, there is a greater demand and need for researching on such crucial topic in order to gain significant insights about these disorders (Autism Speaks Inc, 2011). Thus, it can be stated that research on such critical topic in the current context is worth to be undertaken for ensuring enhanced public h ealth. Describe the research type utilized? – Experimental, non-experimental, quasi experimental, etc. The authors have applied experimental research type for conducting the research study in order to establish the assumed cause and effect relationship between the

Thursday, October 17, 2019

Ratios Essay Example | Topics and Well Written Essays - 750 words

Ratios - Essay Example The ratio analysis will consist of a combination of ratios from three categories. The three ratio categories are profitability, efficiency, and leverage ratios. Three profitability ratios selected for the analysis are net margin, return on equity (ROE), and return on sales (ROA). The three efficiency ratios used in the ratio analysis are sales to inventory, assets to sales, and sales to net working capital ratio. The two leverage ratios selected were debt ratio and the current ratio. Appendix A shows the ratio calculations results for Target in 2009 and 2008 and for comparison purposes the ratios of Costco in 2010. The net margin shows the profitability of the firm by dividing net income by sales. High net margins are a desirable outcome. The return on equity shows how much profits are being created in relation to its equity investment. The return of assets shows how much of a return a company is obtaining from its assets. High ROA and ROE are desirable outcomes. The sales to invento ry ratio shows how well your inventory is producing sales. The asset to sale ratio shows the ability of the assets to generate revenue. The sale to working capital ratio is calculated dividing sales by net working capital. In fiscal year 2009 which ended on January 30, 2010 Target generated revenues of $63435 million (Annual Report: Tesco, 2009). This figure represents an increase in revenues of 0.88%. In 2009 Target had a net margin of 3.92%. The firm was able to increase its overall profitability by 0.40% in comparison with 2008. In order to compare the ratios of the company with a competitor we choose Cotsco. The most recent financial statements of Cotsco were released in fiscal year 2010 which ends on August 29, 2010. The net margin of Cotsco in fiscal year 2010 was 1.67% (Annual Report: Cotsco, 2010). The net margin of Target is better than Cotsco by 2.25%. The return on assets of Target in 2009 was 5.14%. This metric improved by 0.12% in comparison with the previous fiscal yea r. The return on assets of Target is inferior to Costco by 0.33%.The return on equity of Target in 2009 was 16.21%. The ROE of Target is superior to Cotsco by 4.29%. The sale to inventory ratio of Target in 2009 was 8.84. The financial metric was reduced by 0.54. The sale to inventory of Cotsco in 2010 was 13.83. Cotsco had a superior sale to inventory efficiency by 4.99. The asset to sale ratio of Target in 2009 was 0.70. Cotsco had assets to sales ratio of 0.31. The asset to sales ratio of Target was superior by 0.39. The sale to working capital ratio of Target in 2009 was 8.93. The sale to working capital ratio of Cotsco was much better at 47.38. The metric of Cotsco was superior by 38.45. The debt ratio of Target in 2009 was 1.53. Due to the fact that the company has a debt ratio above 1.0 it is in a favorable position to pay off its long term debt. The debt ratio of Cotsco was better at 1.85. The current ratio of Target in 2009 was 1.63 which is 0.03 better than in 2008. The fi rm is a good position to pay off its short term debt because the current ratio is above 1.0. The current ratio of Target is better than Cotsco by 0.47. The operating expenses of Target in 2009 were $13,078 million which represents an increase in operating expenses of 0.42%. The financial ratio analysis performed on Target led me to believe that Target is a good acquisition for the company. Target had excellent revenues and profitability numbers. The 3.92% net margin of the firm is better

Discourse Analysis Essay Example | Topics and Well Written Essays - 1250 words

Discourse Analysis - Essay Example These advertisements promote an ideal way of life and manipulate the audience into accepting those ideals as their reality. This analysis intends to break down how agencies have reformed the idea of beauty through countless magazine articles, billboards and other media. They do this by enforcing the stereotype that those beauty products are a better way of life. They send the message that youth is beauty, and that beauty is very important yet they set the bar for beauty so high that clients would always depend on their products. The people behind these advertisements have found ways of controlling peoples’ minds using language in the advertisements. The focus on this study is print advertisements done by Nivea, a company synonymous with the manufacture of beauty products allover the world. They portray a message that they care deeply about the real people and their beauty through their advertisements. Introduction â€Å"Discourse refers to the codes, rules and systems that un der-gird a particular message and thus shapes its meaning and interpretation†. Language is all around us whether written or spoken. It is a core part of our day to day activities and has a profound effect on people and how they behave. This influence is seen in the field of advertising and marketing. Language is employed in these two fields to relay certain messages to the public. Language is used as a tool to not only pass on information about a product but also convince and influence the product choice of the customers. The competition for consumers is very high among product manufacturers. This has led to the revolution of how advertisements are designed. They use not only words but color, pictures and lighting to appeal to the consumer. It is the use of such tools as visual and linguistic means to persuade their audience that has led many a scholar to argue that, â€Å"advertising is the most influential institution of socialization in modern society† (Jhally, 1995) . Cook (2001) points out that advertisements inform, persuade, remind, influence and perhaps change opinions, emotions and attitudes. It is used to emphasize the uniqueness of a product and give reasons why a person should consider it over others already in the market. Advertising can be seen on food packages, billboards, newspapers, magazines, on buses and the Internet just to list a few. This kind of aggressive advertising ensures the audience is aware of a product at all times and remembers it. Advertising is â€Å"any type of form of public announcement intended to direct people’s attention to the availability, qualities and/or cost of specific commodities or services† (Fairclough, 2001). The stakeholders of the products are responsible for what we see in these advertisements. They reserve the power to use advertising to further their goals, good or otherwise. They pick advertising media according to their target audience. Magazines are popular with the youth and a slightly older demographic. The Internet on the other hand is popular with the younger generation. The language and depictions used in advertisements is also influenced by the target population. Advertisements have evolved from direct methods being shouted by mouth to the public in open spaces to being transferred indirectly form of print, videos, audio messages in the radio or sound and video together.

Wednesday, October 16, 2019

Critique a Research Article Paper Example | Topics and Well Written Essays - 1250 words

Critique a Article - Research Paper Example However, recent studies presented that almost 50%-72% of genetic elements are responsible for repeated co-occurrences of such disorders to the same patient or to the particular family tree. Thus, the research problem that has been addressed in this article is whether (cross)–assortative mating or (cross)–parent of origin effects of ASD and ADHD in parents have any relationship with the co-occurrence of either ASD or ASD with ADHD among their children. Initially, the article was aimed at discovering whether ASD and ADHD share similar structural and functional brain abnormalities which would also prove the co-occurrences of such disorders among parents and children belonging to one family tree. In order to obtain this particular aim, the authors used a series of literature studies an interview process. Subsequently, the obtained conclusion stated that the two disorders share insignificantly similar structural bases and functional brain abnormalities (Steijn, Richards, Oer lemans, Ruiter, Aken, Franke, Buitelaar & Rommelse, 2012). Evaluation of the Research Methods Used Does the author provide a literature review? One of the main reasons or motivations to use literature review in a research process is the intention to verify or justify the concerned issue with reference to prior studies and already evaluated and rationalized outcomes (Cronin, Ryan & Coughlan, 2008). However, the aim of the article was to identify and comprehend a new dimension of the concerned research phenomenon, i.e. the possibilities and the probable causes of co-occurrences of ASD and ASD with ADHD among parents and children in the same family tree. Hence, a greater emphasis is provided towards primary sources through interview rather than on literature reviews in this article. Nevertheless, the authors make use of the secondary research in the introductory part to signify the literature gap and the scope of the research. Is the Research Current and Relevant to Today Existing Heal th Issues? A large number of treatments are undertaken currently with children suffering from autism. Recent studies have depicted that almost 1 out of every 88 children is diagnosed with an ASD, among which boys have been examined as 5 times more vulnerable to girls. However, scientists have been unable to provide any valid explanation for the increase in the diagnosis (Vanderbilt Kennedy Center, 2012). Moreover, it is also identified that symptoms of ADHD also create significant problems for more than half of all the children with autism or ASD syndrome. Unfortunately, both the disorders, ASD and ADHD are under recognized and under treated by doctors in majority of medical cases. Hence, there is a greater demand and need for researching on such crucial topic in order to gain significant insights about these disorders (Autism Speaks Inc, 2011). Thus, it can be stated that research on such critical topic in the current context is worth to be undertaken for ensuring enhanced public h ealth. Describe the research type utilized? – Experimental, non-experimental, quasi experimental, etc. The authors have applied experimental research type for conducting the research study in order to establish the assumed cause and effect relationship between the

Tuesday, October 15, 2019

Discourse Analysis Essay Example | Topics and Well Written Essays - 1250 words

Discourse Analysis - Essay Example These advertisements promote an ideal way of life and manipulate the audience into accepting those ideals as their reality. This analysis intends to break down how agencies have reformed the idea of beauty through countless magazine articles, billboards and other media. They do this by enforcing the stereotype that those beauty products are a better way of life. They send the message that youth is beauty, and that beauty is very important yet they set the bar for beauty so high that clients would always depend on their products. The people behind these advertisements have found ways of controlling peoples’ minds using language in the advertisements. The focus on this study is print advertisements done by Nivea, a company synonymous with the manufacture of beauty products allover the world. They portray a message that they care deeply about the real people and their beauty through their advertisements. Introduction â€Å"Discourse refers to the codes, rules and systems that un der-gird a particular message and thus shapes its meaning and interpretation†. Language is all around us whether written or spoken. It is a core part of our day to day activities and has a profound effect on people and how they behave. This influence is seen in the field of advertising and marketing. Language is employed in these two fields to relay certain messages to the public. Language is used as a tool to not only pass on information about a product but also convince and influence the product choice of the customers. The competition for consumers is very high among product manufacturers. This has led to the revolution of how advertisements are designed. They use not only words but color, pictures and lighting to appeal to the consumer. It is the use of such tools as visual and linguistic means to persuade their audience that has led many a scholar to argue that, â€Å"advertising is the most influential institution of socialization in modern society† (Jhally, 1995) . Cook (2001) points out that advertisements inform, persuade, remind, influence and perhaps change opinions, emotions and attitudes. It is used to emphasize the uniqueness of a product and give reasons why a person should consider it over others already in the market. Advertising can be seen on food packages, billboards, newspapers, magazines, on buses and the Internet just to list a few. This kind of aggressive advertising ensures the audience is aware of a product at all times and remembers it. Advertising is â€Å"any type of form of public announcement intended to direct people’s attention to the availability, qualities and/or cost of specific commodities or services† (Fairclough, 2001). The stakeholders of the products are responsible for what we see in these advertisements. They reserve the power to use advertising to further their goals, good or otherwise. They pick advertising media according to their target audience. Magazines are popular with the youth and a slightly older demographic. The Internet on the other hand is popular with the younger generation. The language and depictions used in advertisements is also influenced by the target population. Advertisements have evolved from direct methods being shouted by mouth to the public in open spaces to being transferred indirectly form of print, videos, audio messages in the radio or sound and video together.

Creation, Evolution and Intervention Essay Example for Free

Creation, Evolution and Intervention Essay I think religion and science have always been in conflict. Since the theory of Creationism has always been tied to religious accounts, it is only natural that this comes in conflict with the theory of Evolution. As it is, the theory of Creationism is based on legends and ancestral stories, whereas the theory of Evolution is based on empirical observations and scientific inquiry (â€Å"History of Creationism†). Whereas Creationism, in its literal sense, poses that all species have been existent and static since the birth of time, the theory of Evolution proposes that the existing species today are different from what existed many centuries past. The theory of Evolution eliminates the participation of a Supreme Being, which is the main character in Creationism. This, and the denigration of the human being as above other â€Å"creation† have been the root of much controversy ever since (â€Å"Evolution†). The introduction of the Intervention theory becomes another challenge for both the Creation and Evolution theories. Its affirmation of the existence of extraterrestrials and those human beings are descendents of primordial beings are against the views of Creationism, while the elimination of Neanderthals, Australopethecines and other intermediaries of human evolution and the process of Evolution per se, is completely against the views of the Evolutionists. The Views I have researched on the different views on the theories. The Creation Theory posits that the whole of the universe is made into existence by a Supernatural being. Different religions and beliefs have different versions on how the universe and the world were created by their respective Gods. The most common version of Creation is that told in the Bible Book of Genesis. Based on what I am taught, the universe was created in seven days by the God, Yahweh. It is said that the first to be created was light and in order, it was followed by the separation of the land and waters, the plants, the sun and the moon, the air and sea creatures, the land animals and lastly the first man and woman. On the seventh day, the God rested. This Creation story is similar to the version of the Muslims whose Supreme Being is called Allah. The Greeks, the Norse, the Babylonians and other cultures have their own versions but in general, the theory of Creationism holds similar elements like: the birth of the first men, a father and/or mother goddess, a supreme being, as well as a theory on destruction (â€Å"Origin Belief†). The theory of Creationism appears to be the opposite of another theory that was developed by Charles Darwin, The theory of evolution. Evolution is the process in which a certain species undergo a slow but intricate change in their traits. The changes in traits happen very slowly that differences in form and structure are only noticeable after successive generations, which could then, possibly allow the development of newer species (â€Å"Evolution†). In short, the theory of Evolution relates all organisms as having a common single ancestor that had undergone a series of changes. This means that we are still undergoing the process of evolution and our descendants my possibly be of different species. The process of evolution is subdivided into more processes, starting from adaptation, in which a species acclimatize itself with the environment; genetic drift, gene flow and mutation, in which the species body transforms its structure into something more capable of living with the environment; selection, in which the species who proves themselves incapable of adapting to the environment are naturally eliminated; and speciation, in which another species arise from a single ancestor species (â€Å"Evolution†). The Intervention theory poses as an alternative to the previous two theories. According to my research on the Intervention theory, terrestrial life was introduced on Earth by intelligent extraterrestrial beings (â€Å"Intervention Theory†). Among others, Lloyd Pye has made a controversial claim involving the Intervention theory. According to Pye’s claims, the first Homo Sapiens were products of interbreeding between the existing primates and extraterrestrials (â€Å"Lloyd Pye†). The Current Situation My experience in the academe, my observations and the theories that I’ve read say that the issue on Creationism and Evolution continues to this day. The proponents of the Evolutionary theory still hold firmly against the idea that the universe is created by a higher being while the proponents of Creationism supports the idea. While some believes that the two views are impossible to reconcile, other views are more accommodating. There are separate groups who believe that each of the theories answer different questions and must be considered separately (â€Å"Creation-evolution Controversy†). The teaching of Evolution in schools also currently poses an issue. The proponents of Creationism see the teaching as anti-theistic and propose that the theory be eliminated in the school curricula (â€Å"Creation-evolution Controversy†). The US President Bush thinks that both theories must be taught in schools to provide the public with a clear idea and understanding on the real root of the issue (Bumiller 3). The view on the Intervention theory involves a separate issue, which is against both the previous theories. Currently, there is limited evidence that could support the theory. Conclusion Among others, I think that only the Evolution theory shows empirical evidence. The other two, particularly the Creationism theory and the Intervention theory are merely based on age-old stories and hypotheses that are not yet supported by any historical and observational evidence. Proving the truth of the last two theories would be difficult. Proving any one of these involves evidence of the existence of a Supreme Being or and extraterrestrial being. This is the main problem in both the theories. The non-existence of evidence, however, does not necessarily prove its falsity. Such a case makes possible the incorporation of all the three theories into one. It is my view that the Creationism theory should not be interpreted literally. The â€Å"days† as mentioned in the Book of Genesis, for example could be interpreted as the â€Å"eras† or â€Å"eons† mentioned in the Evolution theory. Also, the Creationism theory does not mention the impossibility of the evolutionary process. It is possible that what happens in between â€Å"the days† in the Creation theory represents what the evolutionary process call â€Å"speciation†. If the land animals (including the primates) were â€Å"created† on the fifth day, and the human beings on the sixth day; and if the Creation’s â€Å"days† are equivalent to the Evolution’s eons, then what happens in between the fifth and sixth â€Å"days† was the speciation of today’s human beings from primates to Homo sapiens. That the order of â€Å"creation† of each group of living things coincides with the age of the firsts of each species creates another sound theory: the theory of Creationism and the theory of Evolution is not opposites but rather, the same theories. In other words, the theory of Creationism is simply an allegorical representation of what the theory of Evolution posits. Works Cited Bumiller, Elisabeth. Bush Remarks Roil Debate on Teaching of EvolutionThe New York Times. The New York Times. 3 Aug 2005: 3 Creation-evolution controversy. Wikipedia, The Free Encyclopedia. 5 Feb 2007, 02:49 UTC. Wikimedia Foundation, Inc. 6 Feb 2007 http://en. wikipedia. org/w/index. php? title=Creation-evolution_controversyoldid=105712111. Evolution. Wikipedia, The Free Encyclopedia. 6 Feb 2007, 06:13 UTC. Wikimedia Foundation, Inc. 6 Feb 2007 http://en. wikipedia. org/w/index. php? title=Evolutionoldid=105994871. History of creationism. Wikipedia, The Free Encyclopedia. 1 Feb 2007, 23:14 UTC. Wikimedia Foundation, Inc. 6 Feb 2007 http://en. wikipedia. org/w/index. php? title=History_of_creationismoldid=104954907. Intervention theory. Wikipedia, The Free Encyclopedia. 13 Jan 2007, 15:06 UTC. Wikimedia Foundation, Inc. 6 Feb 2007 http://en. wikipedia. org/w/index. php? title=Intervention_theoryoldid=100447011. Lloyd Pye. Wikipedia, The Free Encyclopedia. 15 Jan 2007, 00:24 UTC. Wikimedia Foundation, Inc. 6 Feb 2007 http://en. wikipedia. org/w/index. php? title=Lloyd_Pyeoldid=100764730 Origin belief. Wikipedia, The Free Encyclopedia. 2 Feb 2007, 02:20 UTC.

Monday, October 14, 2019

Rebound Tenderness in Diagnosis of Appendicitis in Children

Rebound Tenderness in Diagnosis of Appendicitis in Children Abdominal pain is a common presentation within the accident and emergency department [A+E] and specialist nurses working in this environment need to be familiar and confident in dealing with this presentation (Hibberts and Bushell 2007, Pines, Pines, Hall, Hunter, Srinivasan and Ghaemmaghami 2005). Abdominal pain can be associated with a wide variety of surgical and nonsurgical conditions, with the most prevalent cause being acute appendicitis (Lin, Chen, Chung, Ho, and Lin, 2009). The diagnosis of appendicitis is formulated from subjective and objective data including a patients history, abdominal examination, laboratory investigations and signs and symptoms. This assignment will critically analyse the clinical skill of testing for rebound tenderness and its relevance to diagnosing appendicitis in children. The clinical diagnosis of acute appendicitis in children is difficult for many practitioners (Broek, Ende, Bijnen, Breslau and Alkmaar, 2004). Between the years 2008 and 2009 the number of patients presenting to A+E within the UK who were diagnosed with appendicitis was 44,244 (NHS Information Centre, 2009). This equates to almost 0.3% of all presentations in A+E over one year. Approximately 9,300 of this population were between the ages of 0 and 14 years old (NHS Information Centre, 2009). However up to 25% of these 9,300 children with suspected appendicitis have a normal appendix at operation (Smink, Finkelstein, Garcia-Pena, Shannon, Taylor, and Fishman, 2004). Furthermore, the 25% of paediatric negative appendectomies now result in considerable clinical and economic costs to the NHS (Koepsell, 2002). These substantial figures are one of the primary reasons for specifying this assignment on children. In addition, the scope of practice within A+E covers paediatrics for many adult q ualified nurses and adult trained nurse practitioners. It is therefore imperative that the knowledge base for all A+E staff encompasses paediatrics at an advanced level as well (Cleaver, 2003). The overall accuracy for the clinical examination in diagnosing acute appendicitis has been reported to be between 54% and 70% in children (Birkhahn, Briggs, Datillo, Van Deusen and Gaeta, 2006). In addition Whisker, Luke, Hendrickse, Bowley and Lander (2009) suggest that only 4% of children have a miss-diagnosis of appendicitis in specialist paediatric centres, compared to 20% in district general hospitals. Despite the uncertainty of the diagnosis and the cost of miss-diagnosis to the NHS, appendicitis requires urgent treatment (Williams, et al., 2009). This is due to the risk of perforation, which occurs in approximately one third of cases in children (Neilson, et al., 1990). Therefore the need for a good clinical assessment at first contact in A+E is needed to provide a correct management plan and reduce on costs for the NHS. An abdominal examination should be performed where possible in a warm, well lit room with the patient well-draped and relaxed (Bickley, 2009). Initially the practitioner should undertake inspection, auscultation and percussion of the whole nine sections of the abdomen (Lippincott Williams and Wilkins, 2008). The final aspect of the abdominal examination should be palpation as this has the potential to be the most painful (Allan, 2008). Palpation is a process which should always be commenced away from the site of pain, as this will allow the patient to gain some reassurance from the practitioner and help them to relax (Bickley, 2009, Hibberts and Bushell, 2007). The practitioner should utilise the palmer surfaces of the fingers to identify any abnormal signs (Bickley, 2009). More specific palpation techniques can help to diagnose appendicitis, such as rebound tenderness (Bickley, 2009). This is performed by pressing slowly and firmly to a specific area and then withdrawing them quickly (Bickley, 2009). Practitioners should observe the patient and ask if pain was worse on pressing or letting go (Hibberts and Bushell, 2007). However, Bickley (2009) suggests that if any of the previous examinations such as light or deep palpation are positive then this should not be undertaken as it will cause undue pain for the patient. The whole process of abdominal examination in children follows the same system as in adults. However, the causes of abdominal pain in children are often different, encompassing a broad range of acute and chronic diseases (Bickley, 2009). Therefore it maybe pertinent to suggest that more emphasis should be placed special techniques such as checking for rebound tenderness rather than abdominal palpation and testing for rebound. The initial discovery and accreditation of rebound tenderness (also known as Blumbergs sign) is credited to a German surgeon called Jacob Moritz Blumberg (1873 1955). Many articles make reference to Blumbergs sign; however there appears to be no relevant literature, research or evidence base to support this surgeon was the gentleman who discovered this sign (Mantzaris, Anastassopoulos, Adamopoulos and Gardikis, 2008). A study undertaken by (Williams, et al., 2009) showed that out of 98 children who had acute appendicitis 91% had right lower quadrant tenderness on palpation however only 30% had rebound tenderness. Another study by Lin, Chen, Chung, Ho, and Lin (2009) also suggested that 43.4% of the 53 children examined with appendicitis had rebound tenderness. So both these studies suggest that positive rebound tenderness is an indication of an acute appendicitis in children and therefore cannot be ruled out of an initial differential diagnosis. Golledge, Toms, Franklin, Scriven and Galland (1996) specifically evaluated the â€Å"cats eye symptom† (pain going over a bump in the road), the cough sign, right lower quadrant pain to percussion, rebound tenderness and guarding. The data from this evaluation suggested that rebound tenderness had a likelihood ratio of 7.4 compared to the other signs which had likelihood ratios of between 1.1 and 4.1. This data therefore suggests that rebound tenderness is a very useful sign in the diagnosis of acute appendicitis, but that the other signs and symptoms are not (Moyer, et al., 2001). Overall rebound tenderness is useful sign for diagnosing appendicitis when there is a high suspicion of appendicitis and is accompanied with other diagnostic indicators (Moyer, et al., 2001). Another presentation to be considered in relation to abdominal pain and rebound tenderness is the duration of the pain experienced by the child. A study undertaken by Oshea, Bishop, Alario and Cooper (1988) involved 246 children from 13 to 18 years old who presented to the emergency department with a history of less than one week of abdominal pain. Results showed that the likelihood ratio of pain was greater when the child had the pain for more than 12 hours (Likelihood ratio: 1.3) compared to less than 12 hours (Likelihood ratio: 0.64). Later in the study pain duration was evaluated at less than 24 hours and more than 24 hours, with their likelihood ratios being 0.83 and 1.2 respectively. When compared to Andersson, et al. (1999) study of 502 patients aged 10 to 86 the greatest likelihood ratio was 1.7 at 7-12 hours after onset of pain. Based on both studies it is very difficult to see how duration of pain can lead to the diagnosis of appendicitis. Therefore, practitioners must not allow the duration of pain to prevent any further investigation into the diagnosis (Moyer, et al., 2001). Another symptom which could possibly indicate the diagnosis of appendicitis is fever (Gwynn, 2001). Cardall, Glasser and Gusss (2004) study evaluated two hundred and ninety three people aged between 7 and 75 who presented to the emergency department with suspected appendicitis. Temperatures were classed at greater than 99oF or less than 99oF. The study showed that 27% of patients whos temperature was 99oF. When the results were analysed in terms of specific temperature intervals, the highest likelihood ratio (3.18) was found in patients with temperatures greater than 102  °F. However, Bergerons (2006) study on clinical judgement suggests there is no clinical value with temperature as there is minimal sensitivity and specificity in the diagnosis of appendicitis. Therefore, as with duration of pain duration and levels of WBCC, temperature as a single entity has little diagnostic utility in the diagnosis of appendicitis unless it is combined with other signs and symptoms such as rebou nd tenderness (Cardall, Glasser and Guss, 2004). For many years laboratory tests such as white blood cell count (WBCC) leukocytes and C-reactive protein (CRP) have been used to support a diagnosis, but the considerable overlap with other inflammatory conditions accounts for the low specificity and positive predictive value of these tests (Stefanutti, Ghirardo and Gamba, 2007). Recent studies on adult patients who present with clinical signs and symptoms indicating acute appendicitis, show that appendicitis can be excluded if both leukocyte count and C-reactive protein value are normal (Gronroos, 2001). However, Stefanutti, Ghirardo and Gamba, (2007) suggest that only a few studies have been reported in paediatric patients and the role of WBCC and CRP in excluding acute appendicitis in children has not been confirmed. According to Andersson et al. (1999) children who present with signs and symptoms of appendicitis such as rebound tenderness and have a WBCC of 15000 only moderately increases the estimated risk of appendicitis. This t herefore shows that only at the extremes of the WBCC does this diagnostic indicator appear useful (Moyer, et al., 2001). Therefore, contrary to adult patients, normal leukocyte count, WBCC and CRP value cannot effectively exclude acute appendicitis in children. Another usual predictor of appendicitis is vomiting (Bergeron, Richer, Gharib and Giard, 1999). The study by Andersson et al. (1999) calculated the likelihood ratio for appendicitis in a patient with vomiting compared to one with no vomiting to be 1.8. In addition Reynolds and Jaffe (1992) study suggests that a combination of four predictors including; vomiting right lower quadrant pain, abdominal tenderness, and abdominal guarding. More specifically 97% of the 377 children studied who were diagnosed with appendicitis had two or more of these predictors. Therefore, a patient who presents to A+E with less than two of the above predictors is quite unlikely to have appendicitis. Alvarado (1986) conducted a retrospective study of 305 patients hospitalised with abdominal pain suggestive of acute appendicitis. Signs, symptoms, and laboratory findings were analysed for specificity, sensitivity, predictive value, and joint probability.Their importance, according to their diagnostic weight, was determined as follows: localized tenderness in the right lower quadrant, leukocytosis, migration of pain, shift to the left, temperature elevation, nausea-vomiting, anorexia-acetone, and direct rebound pain (Alvarado, 1986). This scoring system shown below is deemed by many surgeons as an easy aid for supporting the diagnosis of acute appendicitis (Khan and Rehman, 2005). A study undertaken by Baidya, Rodrigues, Rao and Khan (2007) investigated the diagnostic accuracy of Alvarado scoring system. The results showed that a score of >7 for an appendicitis was 88.2% correct in diagnosis. However, the diagnostic accuracy of an Alvarado score Despite recent advances in knowledge and diagnostic investigations, a population-based analysis in the United States found that the incidence of unnecessary appendectomy has not changed (Flum, Morris and Koepsell, 2001). Therefore to increase diagnostic accuracy, new modalities such as ultrasound scans have been introduced (Broek, Ende, Bijnen, Breslau and Alkmaar, 2004). Kaneko and Tsuda (2004) conducted a 10-year study using ultrasound scans to diagnose appendicitis in children and are convinced that ultrasound scans can identify inflamed appendices with 100% sensitivity and can also determine the severity as well. However Smink, Finkelstein, Garcia-Pena, Shannon, Taylor and Fishman (2004) suggest that the use of ultrasound has not decreased negative appendectomies as similar negative rates were present over a decade ago. Therefore on the basis of the available evidence, patients presenting to A+E with a strong clinical case of appendicitis should be referred direct to the surgeon without an ultrasound. In addition to the use of ultrasound scanning the use of computed tomography (CT) has been recently studied and evaluated. There are currently two perspectives in the literature regarding the use of CT scan for the diagnosis of acute appendicitis: one supporting its routine use due to the decreased incidence of negative appendectomies, and the other one against its routine use due to the increased cost and delay in surgical management (Ceydel, Lavotshkin, Yu and Wise, 2006). In addition the benefits of imaging eliminating inpatient observation and unnecessary surgery must be weighed against the malignancy risk from radiation, as well as discomfort of rectal contrast administration (Smink, Finkelstein, Garcia-Pena, Shannon, Taylor and Fishman, 2004). Ceydel, Lavotshkin, Yu and Wises (2006) retrospective study showed that the negative appendectomy rate was much less in patients who had CT scans (7.6%) compared to the non CT scan group (24%). Therefore clinicians within A+E use their cl inical judgement and place emphasis on the importance of routine history and an accurate physical examination utilising CT scans for atypical cases of acute appendicitis (Gwynn, 2001). Currently within the A+E department there is no specific pathway or tool for ruling in acute appendicitis in paediatrics. In addition Birkhahn, Briggs, Datillo, Van Deusen and Gaeta (2006) suggest that no major medical association or professional organisation currently endorses a standardised pathway for the evaluation of patients with suspected appendicitis. With up to 25 % of children having negative appendectomies it is therefore of clinical and financial value to consider the use of a scoring system to admit or discharge children who present with a possible acute appendicitis. Current systems are in place for other potential conditions such as myocardial infarctions, pancreatitis and pneumonia. These other systems have been audited locally and nationally and are currently working well within the trust, therefore the plans to introduce the Alvarado scoring system will be put forward in the next review of clinical practice meeting between nursing and medical staff. To conclude, this assignment demonstrates that for an emergency department practitioner in a fast paced A+E setting, the accurate diagnosis of acute appendicitis remains a challenge for the paediatric age group. An accurate history and physical examination, which as highlighted can be challenge in younger patients plays an important role in the diagnosis of early acute appendicitis (Mallick, 2008). Physical clinical signs elicited upon examination provide the practitioner with a good insight to expected diagnosis. However, the usefulness of rebound tenderness as a single examination has minimal clinical value. The whole patient picture which encompasses an accurate history, clinical examination, laboratory investigations and possible diagnostic imaging is therefore vital to providing a correct diagnosis. The use of clinical scoring systems like the Alvarado score can be a cheap and quick tool to apply in emergency departments to rule in acute appendicitis. This scoring system includes many aspects such as clinical history, rebound tenderness and laboratory investigations. This allows for observation and critical re-evaluation of the evolving clinical picture. Its application improves the overall diagnostic accuracy and consequently reduces negative appendectomies (Khan and Rehman, 2005). In clinical cases where the practitioner is unsure if the actual diagnosis is acute appendicitis other diagnostic imaging studies such as ultrasound and CT may be undertaken. This must only then be considered once a thorough clinical examination has not provided any indication for acute appendicitis and the benefits out way the risks. References NHS Information Centre. (2009). Primary diagnosis: summary. Retrieved November 21, 2009, from Hospital Episode Online: http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937categoryID=202 Allan, B. (2008). History and examination (3rd ed.). Philadelphia: Mosby. Alvarado, A. (1986). A practical score for the early diagnosis of acute appendicitis. Annals of Emergency Medicine, 15 (5), 557-564. Andersson, R., Hugander, A., Ghazi, S., Ravn, H., Offenbartl, S., Nystrà ¶m, P., et al. (1999). Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. World Journal of Surgery, 23 (2), 133-40. Baidya, N., Rodrigues, G., Rao, A., Khan, S. (2007). Internet Scientific Publications. Retrieved December 22, 2009, from The Internet Journal of Surgery: http://www.ispub.com/journal/the_internet_journal_of_surgery/volume_9_number_1/article_printable/evaluation_of_alvarado_score_in_acute_appendicitis_a_prospective_study.html Bergeron, E. (2006). Clinical judgment remains of great value in the diagnosis of acute appendicitis. Canadian Journal of Surgery, 49 (2), 96-100. Bergeron, E., Richer, B., Gharib, R., Giard, A. (1999). Appendicitis is a place for clinical judgment. American Journal of Surgery, 177, 460 462. Bickley, L. (2009). Bates Guide to Physical Examination and History Taking (10th ed.). Philadelphia: Wolters Kluwer Health / Lippincott Williams and Wilkins. Birkhahn, R., Briggs, M., Datillo, P., Van Deusen, S., Gaeta, T. (2006). Classifying patients suspected of appendicitis with regard to likelihood. The American Journal of Surgery, 191, 497-502. Broek, W., Ende, E., Bijnen, A., Breslau, P., Alkmaar, D. (2004). Which children could benefit from additional diagnostic tools in cases of suspected appendicitis? Journal of Paediatric Surgery, 39 (4), 570-574. Cardall, T., Glasser, J., Guss, D. (2004). Clinical value of the total white blood cell count and temperature in the evaluation of patients with suspected appendicitis. Academic Emergency Medicine, 11 (10), 1021-1027. Ceydel, A., Lavotshkin, S., Yu, J., Wise, L. (2006). When should we order a CT scan and when should we rely on the results to diagnose an acute appendicitis? Current Surgery, 63 (6), 464-468. Cleaver, K. (2003). Developing expertise the contribution of paediatric accident and emergency nurses to the care of children, and the implications for their continuing professional development. Accident and Emergency Nursing, 11, 96 102. Flum, D., Morris, A., Koepsell, T. (2001). Has misdiagnosis of appendicitis decreased over time? A population-based analysis. Journal of the American Medical Association, 286, 1748-1753. Golledge, J., Toms, A., Franklin, I., Scriven, M., Galland, R. (1996). Assessment of peritonism in appendicitis. Annals of the Royal College of Surgeons England, 78, 11-14. Gronroos, J. (2001). Do normal leukocyte count and C-reactive protein value exclude acute appendicitis in children? Acute Paediatrics, 90, 649- 651. Gwynn, L. (2001). The diagnosis of acute appendicitis: Clinical assessment versus computed tomography evaluation. The Journal of Emergency Medicine, 21 (2), 119-123. Hibberts, F., Bushell, C. (2007). Physical assessment in gastroenterology abdominal examination. Gastrointestinal Nursing, 5 (7), 24 30. Kalan, M., Talbot, D., Cunliffe, W., Rich, A. (1994). Evaluation of the modified Alvarado score in the diagnosis of acute appendicitis: a prospective study. Annals of the Royal College of Surgeons, 76, 418-419. Kaneko, K., Tsuda, M. (2004). Ultrasound-based decision making in the treatment of acute appendicitis in children. Journal of Paediatric Surgery, 39 (9), 1316-1320. Khan, I., Rehman, A. (2005). Application of Alvarado scoring system in diagnosis of acute appendicitis. Journal of Ayub Medical College Abbottabad Pakistan, 17 (3), 17-21. Koepsell, F. (2002). The clinical and economic correlates of misdiagnosed appendicitis: Nationwide analysis. Archives of Surgery, 137, 799-804. Lin, C., Chen, J., Chung, T., Ho, Y., Lin, W. (2009). Children presenting at the emergency department with right lower quadrant pain. Journal of Medical Science, 25, 1-9. Lippincott Williams and Wilkins. (2008). Assessment made incredibly easy Philadelphia: Wolters Kluwer Health / Lippincott Williams Wilkins. Malik, K., Khan, A., Waheed, I. (2000). Evaluation of the Alvarado score in diagnosis of acute appendicitis. Journal of College of Physicians and Surgeons Pakistan, 10, 392-394. Mallick, M. (2008). Appendicitis in pre-school children: A continuing clinical challenge: A retrospective study. International Journal of Surgery, 6, 371-373. Mantzaris, D., Anastassopoulos, G., Adamopoulos, A., Gardikis, S. (2008). A non-symbolic implementation of abdominal pain estimation in childhood. Information Sciences, 178, 3860-3866. Moyer, V., Elliott, E., Davis, R., Gilbert, R., Klassen, T., Logan, S., et al. (2001). Evidence Based Paediatrics and Child Health. London: BMJ Books. Neilson, I., Laberge, J., Nguyen, L., Moir, C., Doody, D., Sonnino, R., et al. (1990). Appendicitis in children: Current therapeutic recommendations. Journal of Paediatric Surgery, 25 (11), 1113-1116. Oshea, J., Bishop, M., Alario, A., Cooper, J. (1988). Diagnosing appendicitis in children with acute abdominal pain. Paediatric Emergency Care, 4, 172-176. Owe, T., Williams, H., Stiff, G., Jenkinson, L., Rees, B. (1992). Evaluation of the Alvarado score in acute appendicitis. Journal of the Royal Society of Medicine, 85, 87-88. Pines, J., Pines, L., Hall, A., Hunter, J., Srinivasan, R., Ghaemmaghami, C. (2005). The interrater variation of ED abdominal examination findings in patients with acute abdominal pain. American Journal of Emergency Medicine (23), 483-487. Rehman, I., Burki, T. (2003). Alvarado scoring system in the diagnosis of acute appendicitis in children. Journal of Medical Sciences, 11, 37-41. Reynolds, S., Jaffe, D. (1992). Diagnosing abdominal pain in a paediatric emergency department. Paediatric emergency care, 8, 126-128. Smink, D., Finkelstein, J., Garcia-Pena, B., Shannon, M., Taylor, G., Fishman, S. (2004). Diagnosis of acute appendicitis in children using a clinical practice guideline. Journal of Paediatric surgery, 39, 458-463. Stefanutti, G., Ghirardo, V., Gamba, P. (2007). Inflammatory markers for acute appendicitis in children: are they helpful? Journal of Paediatric Surgery, 42, 773-776. Whisker, L., Luke, D., Hendrickse, C., Bowley, D., Lander, A. (2009). Appendicitis in children: A comparative study between a specialist paediatric centre and a district general hospital. Journal of Paediatric Surgery, 44, 362-367. Williams, R., Blakely, M., Fischer, P., Streck, C., Dassinger, M., Gupta, H., et al. (2009). Diagnosing ruptured appendicitis preoperatively in paediatric patients. Journal of American College of Surgeons, 208 (5), 819 825.

Sunday, October 13, 2019

Richard Wrights The Man Who Was Almost a Man Essay -- Richard Wright

Richard Wright's The Man Who Was Almost a Man The Man Who Was Almost a Man is a fictitious short story about an uneducated black boy's quest to become a man. Growing up in the early 1900's was a very hard task for most black people. The lack of education was one of the hardest hills they had to overcome to make it in a world dominated by whites. The story centers upon one 17-year boy who has very low self-esteem caused by his peers. He believes that owning a gun will gain him respect with others and thus make him a man. The title of this short story has several different ways of being interpreted because the time and atmosphere in which it was written. The short story was written in first person narrative, which gives a graphic account of the personality of the character Dave. The short story is also written in a dialect of an uneducated black boy which gives the reader the feel of what is was like to be that young man back in the early 1900's. The stories title The Man Who Was Almost a Man holds many different meanings to how Dave must have felt back in those times. Dave's struggle was man versus society in an era where his skin color meant more than his actions. He was unable to interact with the white society and was outcast by his peers because of his age. He believed at this time in his life that being a man was the more important than life itself. Buying a gun and learning to shoot was his solution to becoming a man. This was not the case though. The first time he fired the gun it numbed his hands and fell to the ground. He also shot Mr. Hawkin's mule, which he was unable to cover up. Now everyone would know what he had done which would give his peers a bad impression of him. He would not gain their respect, nor... ... a man. Life was hard back then and being accepted played a big role in all blacks searching for that one thing that would make them accepted within their society. Works Cited Blau, Eleanor. "The Works of Richard Wright, This Time Published as Written." The New York Times 28 Aug. 1991, final ed., sec. B: 1-2. Brignano, Russell Carl. An Introduction to the Man and His Works. Pittsburgh: University of Pittsburgh Press, 1970. Fabre, Michel. The World of Richard Wright. Jackson: University Press of Mississippi, 1985. Hannon, Charles. "Teaching the conflicts as a temporary Instructor." College Literature 6 (1997): 126-141. Joyce, Joyce Ann. Richard Wright's Art of Tragedy. Iowa City: University of Iowa Press, 1986. Walker, Margaret. Richard Wright, Daemonic Genius: A Portrait of the Man, a Critical Look at His Work. New York: Warner Books, 1988.

Saturday, October 12, 2019

Graduation Speech: We are Prepared for the Challenges that Await Us :: Graduation Speech, Commencement Address

Today completes the chapter of our lives that we have been comfortable with for the past 13 years. High school may be over, but we still have a long exciting way to go in life. From our four-year experience we will take with us the memories, good and bad, and relationships we have made with each other and the County High School staff. From these experiences we have learned and grown and will continue to do so. Growing up and moving on will be a huge part of our lives in the next few months. The decisions we will make come in-part from the choices we have already made. The past four years have been fun and easy for some and a struggle for others. When I reflect on my high school experience, I think of watching football games, playing softball, homecoming weeks, school trips, parties and time with my friends. Others have spent their time in drama, band, community service, part-time jobs and all sorts of other activities. We have all watched Mr. LHS grow along with us until it became a big part of the high school year. I enjoyed laughing with and at the guys as they showed off their talents. This year’s homecoming football game was one of the most exciting ones we have had, with four quarters and three overtimes when we beat Jackson 48 to 42 for a homecoming victory. No matter what types of experiences we have had, I think they are important to remember and grow from. Through these fun and challenging times each one of us has built strong relationships. Whether it was with friends or a teacher, we have developed connections and memories that will be with us forever, even if we lose contact with those individuals. Some students have discovered they have a passion for writing through a creative writing class or want to have a career in business from taking Mr. Ide’s inspirational marketing classes. Others have participated in CLIP or summer school to catch up and make it possible for them to be here today. I went to Heights Elementary and have spent the last 12 years with the same group of people. Attending school with the people I’ve known since elementary and middle school, and making homecoming posters with them for four years in a row, has given me a chance to get to know the people around me better than I ever thought I would.