Wednesday, October 30, 2019

Dr. Henry Cotton Essay Example | Topics and Well Written Essays - 1000 words

Dr. Henry Cotton - Essay Example He observed that the patients with high body temperature frequently experience delusions and hallucinates; Meyer proposed that the presence of infectivity causes the behavioral disorders on the basis of biological grounds and Dr. Henry Cotton would turn out to be the major practitioner of this new concept in States. After developing into medicinal manager of Trenton State Hospital at the young age of just 30, Henry A. Cotton began to introduce various progressive plans, for example eliminating mechanical moderations that had formed frightening situations in refuges for a lot of years and executing staff meetings on a daily basis to talk about patient care. Cotton began to realize these newly rising medical theories by having patients teeth removed if they were alleged of harboring concealed affectivities. In the incident that this failed to treat a patient, he wanted sources of virus in tonsils and sinuses and frequently a tonsillectomy was suggested as further treatment. If a treatment was not attained after these processes, other organs were assumed of harbor infection. Testicles, ovaries, gall bladders, stomachs, spleens, cervixes, and mainly colons might be alleged as the center of infection and eliminate surgically, through the extra parts aimed at the rendering plant for additional procee ds. This was before even basic technical methods for instance manage groups -- much less double-blind experiments -- existed, statistical tactic for applications in human performance and medical study did not appear throughout the life span of Cotton. He might only go after imperfect techniques to collect information, a lot of it permitting for protrusion of predictable results. He described brilliant achievement with his methods, with heal rates of 85 percent; this, in combination with the feeling at the moment that inspecting such biological causes was the situation of the skill of medicine, fetched him

Monday, October 28, 2019

Al Qaeda in the Arabian Peninsula Essay Example for Free

Al Qaeda in the Arabian Peninsula Essay Stability in the Arabian Peninsula region has been a concern for the United States for some time now. AQAP poses a direct threat against the U.S. and U.S. interests of Stability and Security in the Arabian Peninsula. This instability and threat is why I have chosen the AQAP as the FTO to research making the next attack. The AQAP comes from the merging of the al Qaeda cells from Yemen and in Saudi Arabia. There are approximately one –two hundred members, with thousands of supporters. The merger took place in January 2009, due to the success of the Saudi Arabian government in destroying al Qaeda’s infrastructure in the Kingdom of Saudi Arabia. AQAP is a subsidiary of the al Qaeda, whose center of gravity is in Pakistan and Afghanistan, but works independently of its parent organization. Since formation occurred, they are responsible for a number of attacks on the â€Å"West† and are considered responsible parties of the â€Å"UPS and FEDEX cargo bombing attempts† (Kurczy, 2010). They were deemed a terrorist organization on December 14, 2009, by U.S. Secretary of State Hillary Clinton. (Gerstein, 2010). Prior to the formation of AQAP, al Qaeda claimed responsibility for numerous attacks in Saudi Arabia and Yemen. Those attacks include: the 1993 attack on World Trade Center, 1998 suicide bombings of Embassies, the 2000 bombing of the USS Cole, and the 2008 car bombing outside the U.S. Embassy in Sana’ killing 19 people including 6 of the terrorists (Poland, 2005 ). AQAP has claimed to plan on targeting oil facilities, tourists, and security forces in the future. It is believed though that AQAP provided spiritual guidance by U.S. Citizen Anwar al Awlaki to U.S. Army Maj. Nidal Malik Hasan, who was the gunman behind the 2009 Ft. Hood killings and the December 2009 attempt to down a passenger airline to Detroit. Responsible parties to these terroristic events are said to be that of the top five â€Å"key leaders† of AQAP. These men include are in order of their rank from the top spot of leaders to the last. 1. Ibrahim Hassan al-Asiri, aka the bomb maker. He is believed to be the creator of the bombs intercepted in October last year on cargo planes. 2. Anwar al-Awlaki, aka the chief ideologue. He is suspected of being part of three unsuccessful terrorist attacks to include the Fort Hood Shootings (Bryant, C., Kasinof, L., 2010), bombing attempt on airliner jet on Christmas, and the Times Square bombing on May 2. 3. Said Ali al-Shihri, deputy chief of AQAP. He is suspected of participation in  September 2008 US Embassy attack and the kidnapping of nine missionaries in June 2009 according to Fox News. 4. Qasim al-Raymi, military commander. He followed Osama bin Laden’s lead on media releases â€Å"building an ever-more sophisticated propaganda arm for al Qaeda in Arabian Penin sula† (Kurczy, 2010). 5. Nasir al Wuhayshi, head of AQAP. Known as the personal secretary of Osama bin Laden (Kurczy, 2010). Most of AQAP is made up of fighters that returned from Afghanistan during the Russian invasion and fighters that have been serving in Iraq and Afghanistan. They lure new recruits who are sympathetic to al Qaeda and have animosity towards the U.S. and western nations. The recruiting pool is vast in the region with fighters fleeing Iraq and Afghanistan and relocating to Yemen and Somalia. Both countries have weak central governments that are conducive for lawlessness in the region and have vast ungoverned territory. Government cooperation with American counter-terrorism efforts has historically been spotty and portions of both populations are hostile to the United States. (Kerry, 2010) AQAP aims to overthrow the Yemeni government for its support to the U.S. and its offensive operations against al Qaeda. The group also emphasizes its global ambitions and desire to target western interests within the region. Additionally, AQAP has stated it will focus on cutting supply lines of western nations supporting Israel and looks to expand its influence throughout the region (Boucek, 2010). The animosity against the western nations continues to grow, as does the technology and ideas for new weapons. The newest information is that a poisoned perfume plot against religious and government officials was prevented due to arrest of 149 al Qaeda suspects. This is just an example of the creativity AQAP has come up with. Last summer the country’s Deputy Interior Minister had been attempted to be assassinated by a bomber with the weapon in his anus (Rawnsley, 2010). These weapons are just the newest form used by AQAP. Yemen has emerged as a major staging base for al Qaeda and other likeminded groups for attacking American targets within Yemen as well as to reach targets outside of Yemen including the United States. U.S. officials have warned that al Qaeda in the Arabian Peninsula was a growing threat even before the failed 2009, Christmas Day airline bombing attempt (Kerry, 2010). In February 2009, Director of National Intelligence Dennis Blair stated that, â€Å"Yemen is reemerging as a jihadist battleground and potential regional base of operations for Al Qaeda  to plan internal and external attacks, train terrorists, and facilitate the movement of operatives.† (Rollins, 2010). The threat coming from AQAP is greater than the threat coming from al Qaeda’s central leadership located in Pakistan. AQAP is increasingly a more pressing concern for U.S. national security. AQAP has relative freedom of movement in the Arabian Peninsula and region which allows for its ability to increase its ranks through recruitment as well as its ability to train new recruits. Additionally, AQAP has also shown its ability to influence other like-minded individuals to conduct attacks to our homeland with little to no warning. AQAP has proven it has the means and capability to attempt to conduct attacks globally although it has yet to be successful. It is only a matter of time before they possess the ability and trained personnel that are able to conduct something equal to or greater than the attacks against the United States on September 11, 2001. AQAP poses a direct threat to the U.S. and U.S. interest of stability and security in the Arabian Peninsula. AQAP is capable of every threat that has been uttered against the US and western countries. The US as well as the other western territories that are considered allies against AQAP, can end or at least moderate the terroristic threat by â€Å"interdicting terrorists, disrupt their planning, restrict their travel, reduce the flow of financial (EO 13224 signed 9/23/01) and material support to terrorist groups, and enable partner governments to assert control over weakly governed territory where terrorists find sanctuary† (US Department of State, 2005). The Antiterrorism Assistance program is a well used deterrent against FTO’s such as AQAP. The AQAP became a bigger threat than al Qaeda, and the instability and security issues within the Arabian Peninsula are threats we must contend with. With the knowledge and training gained since the imperative attacks on American soil in 2001, we can deter and detain these terrorists and protect our homeland and allies. The ideologies and animosity against the US and other western nations are targeted towards the recruiting of others who sympathize with al Qaeda. Preemptive and retaliatory methods are other forces to use to impede the AQAP’s threats and/or attacks. It is also noted in the Country Reports that by American’s helping partner nations in the quest for improving their abilities to detect and prevent terrorist activities this will clearly enhance the overall security of all nations (US Department of State, 2005). References Boucek, Christopher (2010). Terrorism out of Yemen. Carnegie Endowment for International Peace. Retrieved from http://carnegieendowment.org/publications/index.cfm?fa=viewid=41705 References Bryant, C., Kasinof, L. (2010, October 29). Suspicious UPS, FedEx packages raise new concerns about Al Qaeda in Yemen. Christian Science Monitor. p. N.PAG. Retrieved from EBSCOhost CPJ. (2008, April 15). Iraq: Journalists Abducted 2003-09. Retrieved March 15, 2011, from Committee to Protect Journalists: Defending Journalists Worldwide: http://cpj.org/reports/2008/04/abducted.php. Gerstein, Josh (2010). Clinton named Al Qaeda Yemen as terror group. Politico. Retrieved from http://www.politico.com/blogs/joshgerstein/0110/Clinton_named_AlQaeda_Yemen_as_terror_group_a_month_ago.html Kerry, John (2010). Al Qaeda in Yemen and Somalia: A ticking Time Bomb. Committee on foreign relations United States Senate. Retrieved from http://www.fas.org/irp/congress/2010_rpt/sfrc-aq.pdf Kurczy, S. (2010, November 2). Five key members of Al Qaeda in Yemen (AQAP). Christian Science Monitor. p. N.PAG. Retrieved from EBSCOhost. Poland, J. (2005 ). Understanding terrorism: Groups, strategies, and responses 2nd edition. Upper Saddle River: Pearson. Rawnsley, A. (2010, December 7). Danger Room Whats Next in National Security. Retrieved March 15, 2011, from Wired: http://www.wired.com/dangerroom/2010/12/al-qaedas-latest-weapon-poison-perfume/ Rollins, John (2010). Al Qaeda and Affiliates: Historical Perspective, Global Presence, and Implications for U.S. Policy. Congressional research Service. Retrieved from http://www.fas.org/sgp/crs/terror/R41070.pdf US Department of National Security. (2006). The National Security Strategy of the United States of America. Washington DC: USDOS. US Department of State. (2005). Country Reports on Terrorism 2004. Washington DC: US Government.

Saturday, October 26, 2019

The North Cascades :: essays research papers fc

The North Cascades   Ã‚  Ã‚  Ã‚  Ã‚  The North Cascades became a national park on October 2, 1968. It is located in the north central area of Washington. Since it’s inception the park’s mission statement has evolved to include concerns of the entire ecosystem. (www.seattleinsider.com) When you go to the North Cascades in Washington, you can visit and do a variety of things. Some major tourist attractions are the beautiful ice sculpted, jagged mountains, which rise above deep-forested valleys-terrain carved by moving ice. The Park Complex contains more glaciers than any other national park in the United States outside Alaska. These glaciers are an important source of water for salmon, other wildlife, plants, and people in the Puget Sound region. The cascading waters, which provide a large and expanding nearby population with a wide variety of recreational opportunities, from boating and camping to climbing and backpacking. The vast wildlife also is a major attraction because it is the co re of one of the largest protected wild areas in the United States and is a substantial portion of it is designated wilderness. Humans here are visitors, who come to enjoy nature on nature's terms. The park provides a habitat for one of the greatest diversities of plant life in North America including rare and sensitive species. Some wildlife that live here are a variety of fish, deer, moose, geese, all kinds of birds, horses, bald eagles, wolves, grizzly bears, mountain lions, mountain goats and black bears. Ancient forest holds millions of living organisms and thousands of diverse life forms. The history of the park in general is also a tourist attraction for the park its was after all home to at least 4 tribes whose descendants now live nearby and includes, within its boundaries, three contemporary communities. (www.northcascades.net)   Ã‚  Ã‚  Ã‚  Ã‚  The park and its breathtaking features attract 400, 000 visitors per year. The highest visitation time is usually in August and the lowest is in January. When visitors are here they can do the following: go backcountry camping, hiking, mountain climbing, fishing, horseback riding, wildlife and bird watching, scenery viewing, boating. Facilities include hiking trails, horse rentals nearby, small boat rentals, and professional guide, climbing, pack train services.   Ã‚  Ã‚  Ã‚  Ã‚  It has been stated that there have been no known fires or floods that have occurred in this area. The wildlife and vegetation is basically the same as it is now. (www.nps.gov)   Ã‚  Ã‚  Ã‚  Ã‚  Some educational programs offered at the North Cascades National Park are: field seminars, retreats, graduate programs, teacher workshops, volunteer service learning, skagit watershed education project, and the Northwest Mountain School which is a school for mountaineering, rock climbing, backpacking and more.

Thursday, October 24, 2019

Henry Cisneros :: essays research papers

Henry G. Cisneros was born on July 11, 1947 in San Antonio. He graduated from Texas A&M with a bachelors of arts and a masters of arts degree in Urban and Regional Planning. He also earned a Masters degree in Public Administration from the John F. Kennedy School of Government at Harvard and a Ph.D. in Public Administration from George Washington University.   Ã‚  Ã‚  Ã‚  Ã‚  After serving two years in the United States army in 1968, he began his career in public service by working as an administrative assistant in the San Antonio City Manager’s office, working as an assistant to the Secretary of Health, Education, and Welfare. Beginning in 1974, he taught public policy at the University of Texas-San Antonio. In 1975, Henry was elected to the San Antonio City Council. As a council member, he emphasized the economic development and cooperation between the city’s Hispanic and White residents.   Ã‚  Ã‚  Ã‚  Ã‚  He served on the City council until 1981, when he was elected to be the Mayor of San Antonio, which is the nations 10th largest city, thus, becoming the first Hispanic mayor of a major U.S. city. During the time Cisneros was Mayor from 1981 until 1989, he rebuilt the city’s economic stability by increasing tourism and creating jobs in downtown San Antonio, recruiting convention business, attracting high tech industries, and expanding housing opportunities. In 1985, he was elected president of the National League of Cities. And, in 1989, he became chairman of his newly organized â€Å"Cisneros Asset Management Company,† which was a financial management firm for tax-exempt institutions. During this time, he received two awards: the first was in 1982, when he was selected as one of the â€Å"Ten Outstanding Young Men of America.† The second was four years later in 1986, when City and State Magazine named him Outstanding Mayor. In addition to thes e two awards, he was awarded with Vista Magazine’s Hispanic Man of the Year Honor in 1991.   Ã‚  Ã‚  Ã‚  Ã‚  For three years after leaving his job as Mayor, Henry hosted â€Å"Texans,† which is a one hour television show that is produced quarterly in Texas, and â€Å"Adelante,† which is a national daily Spanish-language radio commentary.

Wednesday, October 23, 2019

Change of Heart by Jodi Picoult

Name: Jasmine Chan Date: 26-7-12 Summer holiday book report |Book Title: |Change of Heart |[pic] | |Author: |Jodi Picoult | | |Publisher: |Atria Books | | Plot summary: June’s daughter, Claire, needed a heart transplant. However, it was Shay, a man on death row for killing the rest of June’s family years ago, who wanted to donate his.After a grim, life-and-death struggle and careful consideration, June accepted Shay’s â€Å"grand† offer grudgingly, so Claire’s life was saved. Commentary: Before reading the book’s brief introduction, the words â€Å"change of heart† gave me the impression that this book is about a person suffering from heart failure and had to get a heart transplant from an unknown donor just like so many others did. After reading the blurb, I discovered that this is not the case. Actually, the plot is very special and the issue is very controversial and worth discussing so I started reading this book.I have to assure everyone that this book is a page-turner that impels readers to read towards the very last page. Would you fulfil your enemy’s dying wish to save the life of somebody you love? In this novel, Jodi Picoult delves into questions of vengeance, mercy, salvation and redemption by exploring the rage of June who already lost a daughter, the bitterness of Shay the criminal on death row and the fate of a critically-ill child to force them to think about a question: â€Å"Can even the most understandable thirst of vengeance be squashed if it means saving someone you love? In my opinion, as there is an old saying : What’s done, is done, I think June should forgive or at least put aside Shay’s wrongdoings and accept his kind offer because this would be an act of forgiving herself and other’s too. Moreover, this would be the only way to save her daughter (There was no one except Shay whose heart was suitable for Claire. ) However, of course, as a reader, we know that June’s family did not die of murder but manslaughter.So, that’s why I actively encourage June to accept Shay’s giving, which came out of love. As a result, my answer to June’s question : â€Å"Would you give up your vengeance against someone you hate if it meant saving someone you loved? † is definitely yes. Besides, I truly appreciate Jodi Picoult having the courage to write about these themes, which are novel, controversial and meaningful. Secondly, concerning about the characters, I think Shay was a hero because he was humble and willing to sacrifice himself.For example, when there were miracles –water turned into wine, Calloway’s pet robin was brought back to life and a tiny piece of gum became enough for all to share—happening under his finger in the prison, he did not boast about himself, but instead denied that he was a â€Å"Messiah† and said that he was just an ordinary man who wanted to donates his heart to sa ve a little girl called Claire for redemption.Besides, although nobody knew the truth—it was only because Shay wanted to protect Elizabeth from being sexually-abused by her stepfather, Kurt that he was compelled to shoot Kurt and accidentally shot Elizabeth too. He still insisted to die for Claire because he loved that family and wanted for redemption for his big mistake. Having lost a daughter and two husbands, June’s life was fraught with grief. I can vividly see how that grief shaped her character and informing the choices that she makes.At first, when she had lost her first husband, she was willing to take a second chance and let go of the past and start a new life by remarrying and giving birth to another girl. However, when her first daughter and second husband were â€Å"murdered†, she broke apart. When it came to the decision whether to have a restorative justice meeting with Shay and accepting his heart, June initially refused, which showed that she was no longer that flexible and easy to adapt to changes. Fortunately, in the end, being more rational, June made the correct decision—to take Shay’s heart.I think she made this choice in hopes of a better future, which was also a wise move. Last of all, looking upon the writing strategies, the way Jodi Picoult presents the story generates readers’ interest in finding out what’s going to happen. Each chapter is written from the perspectives of a different character. I get to know all the characters’ inner thoughts: their fear, hope, bitterness and above all, their reflections of what makes sense of them. I felt as if I were one of the characters while reading. I understood their feelings.I explored their complex minds. I walked with them in their life journeys. I felt deeply what they underwent. I could view things from different people’s perspectives. Through this, I could experience the sorrow and difficulties of June and her family. In the e pilogue, it is the first and the last chapter written from Claire’s perspectives, which makes the ending very unique. In conclusion, Change of Heart is a true-to-life story, which I love so much and would strongly recommend to all my fellow schoolmates.

Tuesday, October 22, 2019

6 Jobs With Amazing Benefits and Perks

6 Jobs With Amazing Benefits and Perks a lot of jobs hover around the same salary range, and seem sort of boring around the edges. if you’re straining to pick what you want to be when you grow up, and you appreciate the quirkier and slightly more original job perks package, then these 6Â  jobs might be for you. 1. flight attendantbeing a flight attendant is kind of like being a waitress in a sealed capsule, traveling very long distances. the people can be grumpy, the job physically demanding, but you also have the benefit of seeing many different parts of the world. there’s good insurance, tuition assistance, excellent travel options like reciprocal travel agreements, and you won’t ever have to work a typical 9-5. the job can be demanding, both physically and emotionally, but it will rarely be boring.2. circus artistfew people can threaten to run off and join the circus. but if you happen to have a talent or penchant for physical theatre or performance, and the chutzpah to make it in this punishing w orld, then it isn’t quite as ridiculous as it might sound. circus performers, though they must be incredibly skilled, make great money, travel widely, and are given generous meal and lodging allowances, not to mention the close knit family of a group of performers on tour. if you have the heart and soul required, it can be an incredibly exciting career.3. journalistobviously, you would need a significant talent for writing, plus the ability to work in a fast-paced high-stress environment. it won’t pay as much as many other sexy fields, but you really can get access to corners of the world you may never have dreamed of. you can see and record things- be at the center of history, and really make a difference writing about things you truly care about.4. radio djif you love music and have an extensive enough collection, you might consider breaking into this field. imagine spending your day spinning your favorite tunes and chatting up a devoted audience. sound like more fun than pushing paper? well it is. you won’t work typical hours, but you’ll get lots of comp tickets and swag, not to mention the ability to meet people in the music industry, and you’ll spend hours and hours listening to the music that you love.5. personal assistantit doesn’t sound as sexy as some other possible careers, but a personal assistant actually gets some great perks for that low salary and high number of hours required to get her job done. the job is demanding, but if you happen to work for someone famous or fantastic, then you’re in for some sweet perks. you could end up tagging along at red carpet events, fancy dinners, epic vacations, and though you might have to work the whole time you are in it, you’ll have a taste of access to the vip world.6. sommelierif you love wine and have a keen nose and palate, this is for you. imagine getting paid to obsess over the tiniest details of the most exquisite wines, and then tasting them, fo r a living. at the master level, you could make a lot of money, but even a new sommelier will have the chance to travel, taste some of the best and rarest wines out there, pair those wines with delicious gourmet food, and chat to people from around the world. the hours are long, but the life is indisputably good for an aspiring enologist.6 careers with great benefits

Monday, October 21, 2019

Compare and Contrast the Writing Style of Two Stories essays

Compare and Contrast the Writing Style of Two Stories essays The two stories, Soldiers Home by Ernest Hemingway and How to Tell a True War Story by Tim OBrien, have two different writing styles that impact the reader in different ways. The main focus of this essay is to compare and contrast the writing styles of the two stories. Ernest Hemingways Soldiers Home is about a man in conflict with the past and present events in his life. A young man, known as Harold Krebs, struggles to find a balance in the beliefs of his past and present. The images of war shattered many of his past beliefs, so he struggles to find his current beliefs. Krebss parents, like most parents, raised their son with beliefs very close to their own. Krebs went to the war from a Methodist college in Kansas (152) and was previously taught not to cheat, lie, steal, or kill, and was also taught the "Power" of prayer. Krebs was a Marine and was sent over to fight in the First World War. During the war, Krebs put aside most of his beliefs and did as he pleased. Due to the nature of war, he was forced to kill the enemy troops or be killed himself. He watched most of his fellow servicemen die on the battlefield. After the war, Krebs tried to bury the emotional pain he felt through his relationships with various women. All the se attempts failed. He returned home after a few years to his family, where a mother who wanted Krebs to refresh his faith and settle down, a sister who wanted to feel love from her brother, and an unforgiving father who wanted Krebs to support himself. Krebs tries to find his lost faith in God, to tackle his inability to love, and to find his way back into a normal routine. Ernest Hemingway was trying to convey his own self image when he wrote about "Krebs" in his short story, "A Soldier's Home". Through this story, Hemingway tried to shed light on the life of a soldier. Though he was not a soldier hi ...

Sunday, October 20, 2019

Research Paper on The Effect of Dark Cola and Clear Cola on essays

Research Paper on The Effect of Dark Cola and Clear Cola on essays The first way that food decays is Putrefaction. In this way, it is when biological decomposing of organic matter, with ill-smelling and tasting products. In this type of decomposition there is no oxygen present. The first step to the Putrefaction, a type of decomposition, is the material is decomposed into a material called strata. It separates into air, water, and Earth. With in the layers of things which involves the mastery of the mineral in the process of decomposition. The second way of decomposition is Fermentation. Fermentation is defined at an energy yielding process whereby organic molecules serve as both electron donors and electron accepters. Fermentation occurs when chemical changes in organic substances are produced by the action of enzymes. The other general definition is all chemical reactions of physiological importance, and scientists today often restrict the term to the action of specific enzymes. These enzymes are called ferments; they are produced by minute organisms such as molds, bacteria, and yeasts. For example, lactose, a ferment produced by bacteria, usually found in milk, causes the milk to sour by changing lactose (sugar milk) into lactic acid. The molecule being metabolized does not have all its potential energy extracted from it. In other words, it is not completely oxidized. The micro flora is a place where they check for different types of decomposition around farm animals to see exactly how harmful it is. Here are some of the results they got from it about decomposition. For the fermentation process occurs in a lagoon, the micro flora environment must be conducive to a fermentative culture. It is possible to change that micro flora environment with the introduction of a selected group of natural micro organisms into the lagoon. With the fermentation process, riddance or elimination of odor is possible because the by-products of the fermentative culture are carbon dioxide and water, which are enviro...

Saturday, October 19, 2019

LAW Essay Example | Topics and Well Written Essays - 250 words

LAW - Essay Example Therefore, Grapes & Vines Winery could have delivered the wine anytime before May 1, as the contract did not limit their duty to perform only on May 1. However, they chose to do it in the last possible day – May 1. The fact that the delivery van was involved in an accident does not constitute an objective impediment to performing the contract (destruction of the subject matter of the contract cannot be used as an excuse in this case), as the winery most certainly had in stock enough bottles of wine to deliver them later that day to Elin. This is a certain fact, as the bottles were delivered in the afternoon of May 2. Moreover, immediately after the accident, the company should have called Elin and ask her if she would agree to a delivery of the bottles later that day or maybe on May 2. This would have solved the problem and avoid the unpleasant situation. Therefore, the Court should discharge the contract due to its material alteration and failure to substantially perform on b ehalf of the plaintiff (Grapes & Vines Winery). In this case, Elin’s contractual obligations would be also discharged and her not accepting the plaintiff’s tender later than the due date should not be considered as breach of contract. 2. I believe that in this case, time is not of the essence of the contract.

Friday, October 18, 2019

Alevel chemistry Essay Example | Topics and Well Written Essays - 750 words

Alevel chemistry - Essay Example The forward reaction (the production of ammonia) is exothermic. According to Le Chatelier's Principle, this will be favored if you lower the temperature. The system will respond by moving the position of equilibrium to counteract this - in other words by producing more heat. In order to get as much ammonia as possible in the equilibrium mixture, you need as low a temperature as possible. The lower the temperature you use, the slower the reaction becomes. A manufacturer is trying to produce as much ammonia as possible per day. It makes no sense to try to achieve an equilibrium mixture which contains a very high proportion of ammonia if it takes several years for the reaction to reach that equilibrium. You need the gases to reach equilibrium within the very short time that they will be in contact with the catalyst in the reactor. Therefore 400 - 450C is a compromise temperature producing a reasonably high proportion of ammonia in the equilibrium mixture (even if it is only 15%), but in a very short time. According to Le Chatelier's Principle, if you increase the pressure the system will respond by favoring the reaction which produces fewer molecules. That will cause the pressure to fall again. In order to get as much ammonia as possible in the equilibrium mixture, you need as high a pressure as possible. 200 atmospheres is a high pressure. Increasing the pressure brings the molecules closer together. In this particular instance, it will increase their chances of hitting and sticking to the surface of the catalyst where they can react. The higher the pressure the better in terms of the rate of a gas reaction. 200 atmospheres is a compromise pressure chosen on economic grounds. If the pressure used is too high, the cost of generating it exceeds the price you can get for the extra ammonia produced. Catalyst: It is explained below. Q4. Catalyst (with theory about its mechanism) The catalyst has no affect whatsoever on the position of the equilibrium. Adding a catalyst doesn't produce any greater percentage of ammonia in the equilibrium mixture. Its only function is to speed up the reaction. In the

Old is gold, let us not neglect it Essay Example | Topics and Well Written Essays - 500 words

Old is gold, let us not neglect it - Essay Example Gradually, I developed an attachment with them. The affection between the old couple and me was such that I was off and on discussing their matters with my wife during night times. Indians worldwide normally celebrate their Diwali festival (festival of lights) with unlimited enthusiasm and on one such occasion, my wife and I spent our day with them on their request. "Don't feel shy, have a satisfied lunch," said the old woman to my wife when we together addressed the dining table. Her husband spoke his mind with a silent smile, "we proudly consider you as our children. One day I will take you to my hometown in India .It is a beautiful place." All of a sudden, I was overcome with a feeling of new affections entering my life. 'From here afterwards, this must be my world,' my inner self silently but unknowingly declared. Then, the discussion extended to this and that over lunch. When we got up for washing, it was clear that the old couple were neglected by their son who stayed in the same city with his wife. My wife sat with the old lady in the main hall while we settled down on a sofa in the drawing room. I shot a casual question to the old man, "shall I request your son to take care of you" My enquiry made him furious but the very next moment, his face turned as gloomy and pale as the waning Moon. "No," he said curtly. I apologized but he said instantly, "No.

Thursday, October 17, 2019

What are some guidelines that would help one achieve individuality Essay

What are some guidelines that would help one achieve individuality - Essay Example Different people require different environment to develop and there is no single life pattern suitable for everyone (Ten, 1980). On individuality, John Stuart Mill recommends that people should not follow the custom just because it is the norm. Conforming would only compare human beings to apes and sheep, which rely on faculty of imitation (Mill, Anderson & Anderson, 2003). Instead, Mill wants people to choose their course of life more reflectively basing their decisions on their own experiences. Attaining individuality is dependent of reflection and deliberation. This involves use of distinctive human faculties including judgment, perception, mental activity, discriminative feeling and moral preference (Mill, Anderson & Anderson, 2003). Since individual natures are not transparent, people experience living, deliberate and reflect on these experiences and derive lessons from them. Following the lessons, an individual should then make right inferences regarding what is more suitable for them (Mill, Anderson & Anderson, 2003). In light of Mills’ advocacy for developing individuality, Vincent Ruggiero (2008) gives four steps that act as guidelines to assist in achieving individuality. The first step according to Ruggiero (2008) is treating an individual’s first reaction to another person, situation or issue with suspicion (Ruggiero, 2008). A person should not at first embrace that feeling or reaction without examining the reason as to why they reacted in such a manner. People, issue or situations bring out feeling of joy, shock, disappointment or hurt. It is important that a person, before internalizing these feeling, understands why they occurred in the first place. The second step involves deciding why they reacted as they did during the encounter. At this stage, if possible an individual should determine what specific

Gender and History in Modern South Asia Research Paper

Gender and History in Modern South Asia - Research Paper Example Mani states that one of the reasons that the colonial government abolished the right known as sati was as a result of the belief that it was an inhuman practice that did not put into consideration the rights of the women who underwent it.1 Colonial officials believed that sati was done because the family of women’s husbands did not wish to be saddled with the upkeep of widows. Furthermore, it was believed that these families did not wish widows to contest their husbands’ estates and this was a reason why they were coerced to undergo the right. The result was that the colonial government came to believe that the women who underwent sati were coerced to do so by greedy relatives and members of the Brahmin caste who were called upon to officiate the occasion. Colonial officials wished to institute laws that were designed to ensure that women were protected against what they saw as the depravity of the whole practice of sati, hence the move to abolish it. However, contempor ary scholarship shows that despite there being some cases of women being coerced to undergo sati, a significant number of them went willingly and there were instances where despite being held back by their relatives, they fought their way to the pyre so that they could go with their husbands. In addition, contemporary scholarship shows that some people within the local population were also opposed to sati and made arguments that mirrored those of colonial officials. Contemporary scholars are shown to believe that the sati would have eventually have come to an end in India without the intervention of the colonial government and despite the belief among the latter that sati was practiced all over India, was not as widespread and had fallen into disuse except for Calcutta and the areas surrounding it.

Wednesday, October 16, 2019

What are some guidelines that would help one achieve individuality Essay

What are some guidelines that would help one achieve individuality - Essay Example Different people require different environment to develop and there is no single life pattern suitable for everyone (Ten, 1980). On individuality, John Stuart Mill recommends that people should not follow the custom just because it is the norm. Conforming would only compare human beings to apes and sheep, which rely on faculty of imitation (Mill, Anderson & Anderson, 2003). Instead, Mill wants people to choose their course of life more reflectively basing their decisions on their own experiences. Attaining individuality is dependent of reflection and deliberation. This involves use of distinctive human faculties including judgment, perception, mental activity, discriminative feeling and moral preference (Mill, Anderson & Anderson, 2003). Since individual natures are not transparent, people experience living, deliberate and reflect on these experiences and derive lessons from them. Following the lessons, an individual should then make right inferences regarding what is more suitable for them (Mill, Anderson & Anderson, 2003). In light of Mills’ advocacy for developing individuality, Vincent Ruggiero (2008) gives four steps that act as guidelines to assist in achieving individuality. The first step according to Ruggiero (2008) is treating an individual’s first reaction to another person, situation or issue with suspicion (Ruggiero, 2008). A person should not at first embrace that feeling or reaction without examining the reason as to why they reacted in such a manner. People, issue or situations bring out feeling of joy, shock, disappointment or hurt. It is important that a person, before internalizing these feeling, understands why they occurred in the first place. The second step involves deciding why they reacted as they did during the encounter. At this stage, if possible an individual should determine what specific

Tuesday, October 15, 2019

BusMGT Unit3 & 4 Assignment Example | Topics and Well Written Essays - 2500 words

BusMGT Unit3 & 4 - Assignment Example With the belief that the company can stand on its feet again, the morale returns to the employees and this will help the company get back to where it was in the long-run. To increase the profit margins of the company, the most important thing to do would be to focus the finances towards the out-dated product lines of the company. This can be done by conducting a market analysis to figure out the consumer demands and what they prefer in the product. By attending to the needs of the consumer, we are actually paving a way for higher profits in the future because we’ll be giving the consumers what they want. Moreover, by understanding the consumer demand it’ll become easier for us to redesign our product to the desired specifics and the chance of losing sales due to undesirable characteristics would be reduced. To analyse and incorporate the effects of the external environment into our organization’s business plan, it would also be beneficial to point out who our com petitors are. An in-depth research of the competitors and the products that they sell is very important because it gives us an insight into how we could give our products a USP (unique selling point) in comparison to that of the competitors. Also, the objective is not to duplicate the competition products but to manufacture good-quality products with features that give us a leg up. The best way, in my opinion to ensure success finance-wise, is to create products that are not already supplied in the market but have a high consumer demand. In order to reach this goal, the organization design will have to be rearranged in several ways. First, all the major contributors will be divided into teams, which will be assigned by the ideas of the new business plan. Next, one main objective or goal will be given to all the teams to focus on, and it will be made sure that it has all the expertise and knowledge required to efficiently achieve that goal. The team-members will assist each other in completing the goal. They will also have a set role, with the Team leaders and Managers to look over the entire process. This structure will mean that we can focus on our customers and suppliers, as they will be the force that drives the organization towards product redevelopment, changes in the hierarchy and so on. Moreover, the inter-departmental communication flow will be clearer and faster, leading to more efficient decision making for the organization. Also, meeting the needs of our consumers will provide us with a competitive edge in the market. Moreover, in order to manage the problem of the competition of internal resources, a BCG matrix analysis can be conducted to point out the stars, cash-cows, problem-child and dog products. This is essential because, it will help us manage the portfolio competently. The unprofitable products will be eliminated freeing up resources to be injected into other products that are likely to give us higher returns. For the problem of adversaria l communication faced by the organization, it is important to lessen the pressure in the organization to provide an environment that encourages open and honest communication. (Hunter, 2011) The primary role of managers in a company is to try to aim on the highest efficiency. For this

Professional Roles And Values Essay Example for Free

Professional Roles And Values Essay My personal nursing mission statement is changing and developing as my career advances, however, one core piece will remain constant. I will strive to provide the best, safest, most ethical and compassionate nursing care that I can for all patients and family members with whom I come in contact. I began my post-high school academic career as an accounting major. I enjoyed the challenge of manipulating a report until I had balanced. I thought I had found my calling. As my first semester was nearing an end, I found myself contemplating the thought of sitting behind a desk all day. I wondered if I would find fulfillment in this work as a career? The more I pondered this thought, the more I realized that this was not the right career path for me. I saw images of the medical assistant program in the catalog at the school where I was attending. I could not shake the thought of the medical field for a profession. I attained my medical assistant degree and worked in the field for 10 years. The longer I worked, the more I realized that there was more that I wanted to do, but my current degree restricted me from going further. I researched nursing school programs and selected one with a night/weekend program that would allow me to continue working full-time during my studies. I have a family that I needed to continue to provide for and this seemed to be the best fit. My nursing school decision was fortified when I was selected for an award by the nursing faculty from all four semesters for excellence in the clinical setting. After graduation, I began my nursing career working as a case manager for orthopedic worker’s compensation patients. During this time I gained critical knowledge of the importance of clear documentation, the ever-changing requirements of insurance companies and an extra measure of compassion for patients whose lives were often changed by traumatic injuries. This time helped me to develop personally and professionally as a nurse. From there I went on to develop an in-office infusion program for  gastroenterology patients suffering from Crohn’s and ulcerative colitis. This experience helped me to learn valuable organizational and time management skills. I also learned a vast amount about the challenges of GI issues for patients of every age. This opportunity gave me leadership skills, as I was responsible for a program that serviced two locations, management of nursing staff and medical assistants. I also learned a very human side of nursing, as my patients visited me every eight weeks and were here for two to three hours at each visit. I got to know them as individualsmothers, fathers, children, students and employees. They became part of my life. To date there are nearly 70 patients for whom I am responsible. My next endeavor begins in one week. I will be leaving my â€Å"baby† to one of the nurses I have trained, to embark on a new challenge. I will be learning to work in a surgical setting, at an ambulatory surgery center. I know this new opportunity will push me to grow further as a nurse, as I seek to learn critical care. I hope to develop a new level of compassion and expertise that I can then use to provide comfort and reassurance to the patients for whom I am responsible. I am excited about this new challenge and look forward to all that I can bring to it. I believe nursing should cause us to change and grow; to stretch us to reach new levels of education, knowledge and compassion. I will strive to continually learn as my career progresses to better myself and provide the highest level of care for my patients. What is the functional difference between a regulatory agency, such as the board of nursing, and a professional nursing organization? While there are some overlapping concepts, for the most part they are very different in function. Both regulatory agencies and professional nursing organizations are concerned with equipping nurses in ways to provide the best, safest, most effective and ethical care. They differ in that a regulatory agency is just that, regulations. They set up rules that govern the way in which a nurse provides care to their patients. These regulations are not suggestions, but requirements that are expected of all nurses in all situations. Regulatory boards are not made up of â€Å"memberships† like a professional nursing organization. Regulatory agencies require certain standards for individuals to achieve to be licensed to provide nursing care. The public can gain reassurance about the nursing profession from knowing that nurses are regulated by a board of nursing. Professional nursing organizations (PNO), on the other hand, are optional memberships. One can choose to be part of an organization that will help to advance oneself in a specific area of nursing, such as the American Academy of Occupational Health Nurses (AAOHN), the Academy of Medical-Surgical Nurses (AMSN), the American Nurses Association (ANA), or the American College of Nurse Midwives (ACNM). (Monster staff) The list of PNOs is quite extensive and includes organizations for most any nursing specialty. PNOs also seek to shape health policy or public policy related to health matters. (unknown1) Professional nursing organizations work to advance public awareness of their branch of nursing or the nursing profession as a whole. They also seek to draw public attention to the nursing profession as a whole. There are many factors in a nursing code of ethics that guide how I choose to practice as a nurse. I will now explain how two components of a nursing code of ethics taken from the American Nurses Association guide my personal nursing practice. First I will look at, â€Å"The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.† (American Nurses Association) This principle has affected me personally, in that in my current position of developing an infusion program for my office, I have been responsible for evaluating patients for the appropriateness of care in this setting. I am required to look at their health conditions, their emotional status and their insurance to determine if they meet the abilities of our in-office staff to provide excellent, safe, compassionate c are. It is imperative that I am non-judgmental and look at each patient as an individual. Their personal health needs must be foremost in my mind when I decide if we can care for them appropriately or not. It is a lot of responsibility and very difficult at times. I do believe I have been successful in this in that we have nearly doubled the number of patients we care for in the last six months. Second, †The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with  the nurses obligation to provide optimum patient care. In my current role, I am responsible for over-seeing other nurses and medical assistants in provision of care for our patients. It is imperative that I am certain that we are providing care that is within our scope of practice. Often, in an office setting, the doctors get comfortable with the skills of their nursing staff and request tasks, expecting that we will take care of them properly. I must be certain that orders are properly documented and signed by the providers and that I am not doing or asking others to do tasks that are not within our scopes of practice. On a weekly basis I find things that need to go back to the provider for clarification or reassignment for management by appropriate staff. This is paramount to assure safe care and ethical treatment of patients, as well as protection of staff from inappropriate expectations. In my upcoming role as a nurse in a surgical setting, I will be working daily with an interdisciplinary team of ordering physicians, surgeons, anesthesiologists, LPNs and many others. My practice will be guided by the following four divisions from the American Nurses Association: 1) nurses and people, 2) nurses and practice, 3) nurses and the profession, and 4) nurses and co-workers. (Lyons) First, as discussed in provisions 1-4, nurses and people considers all people, not just patients. This means I will consider families and other people involved in the patient’s care or life. Nurses and practice, from provisions 5-8, will require me to stay educated and aware of the current standards of practice and ethical guidelines by which a nurse should practice. According to provisions 5-9, by following the guideline of nurses and the profession, membership in PNOs will be important in helping me to stay aware of current standards for the specialty in which I am working, as well as current healthcare policy or legislation that is being negotiated. As a professional nurse, it will be important for me to be involved in advocating for the policy that I believe best suites the patients for whom I care. Lastly, as outlined in provisions 5-6, nurses and co-workers is of significant importance. New nurses often hear, â€Å"nurses eat their young†. I do not believe this should ever be the case. Our job is to guide and educate our patients. Why then, wouldn’t we be willing to help those fellow nurses in their work and development? I will seek to help my  fellow co-workers, whether they are nurses, LNAs or other professionals to provide the best care and maintain a healthy work environment in which all co-workers are valued for what th ey have to offer. One nursing theory that has influenced my nursing practice to date is Dorothea Orem’s â€Å"Self-Care Theory†. In Orem’s theory, she states that a person’s well-being is based on whole person health, to include both physical and mental health. In addition, she takes into consideration the social and interpersonal aspects of the person’s well-being. This theory is based upon individuals being responsible for their own care and the care of their family. This theory impacted my nursing practice significantly during my time as an orthopedic nurse case manager. It was of the utmost importance that patients took responsibility for their health, both for the sake of their physical status, as well as for the maintenance of their position at their place of employment. Orem’s theory also states that individuals need to be aware of potential health problems. This is important in worker’s compensation case management because patients needed to be aware of their ability to perform their work tasks. This sharing of information helped me to be a greater advocate for my patients with their providers and employers. As I continue on into a surgical setting, this theory will also be important as patients will need to know what to anticipate after their surgery physically, emotionally and socially. The nursing figure who immediately comes to mind as having an impact on my nursing practice is Florence Nightingale. I have known of her since my childhood, even before I knew I would grow up to be a nurse. I did not study her closely until I began nursing school. The reason I have selected Florence Nightingale is that she had such a significant impact on ground-breaking theory that led into today’s aseptic techniques. Ms. Nightingale led a team of nurses who helped to reduce the mortality rate for wounded soldiers during the Crimean War by two-thirds. (Unknown) Thanks to her careful attention to detail and relentless desire to help others, she studied the unsanitary conditions under which her patients were being cared for. She then developed new hygiene practices that created lasting impact on today’s medical profession. This information is the ground work for what  will guide my aseptic practices in a surgical setting, as well as those that I used working in wound c are in the orthopedic specialty. They are the basis for infection control in all healthcare settings. She was far ahead of her time. I recently had a situation with a patient where I had to exercise beneficence and respect for autonomy. My patient was having a reaction to an infusion of a medication called Remicade. This was her first dose being done in this clinical setting, and her second dose overall. Within the first 15 minutes of her infusion, I watched as she went from talkative and seemingly fine, to flushed, diaphoretic and shaky. I called the physician to get his input. He advised that I continue with my plan to hold the medication and run normal saline for a period of monitoring. We would reassess in 20 minutes to see if we could restart her infusion. As the end of the 20 minutes of normal saline was approaching, the patient seemed to deteriorate. She began to have rigors. This was not a typical infusion reaction. It was not listed in any of the research or clinical articles of which I had read. I called the physician back. As I did so, the patient expressed concern about whether or not he was going to s end her to the hospital. She desperately did not want to go. Over the last 5 months, she had been in and out of the hospital for extended periods of time. The thought of returning there frightened her. The physician suggested that she should go to the emergency room. As she expressed concern about going, he glanced at me. He then requested that I consult with her ordering physician. Upon calling the ordering physician, I could have expressed concern about her condition. I could have told him that I thought the other physician was correct. However, there was something in her request that seemed very controlled. Her vital signs were stable. I knew I was surrounded by help if it was needed. I trusted the patient’s request to remain autonomous. The ordering physician also felt that the patient would benefit from staying at the infusion center if she was physically able. I assured him the situation was under control and that I would transfer her immediately if her condition worsened. The patient stayed with me for monitoring for another 2  ½ hours. Her condition improved and she was able to safely return home without having to visit the emergency room. Beneficence is â€Å"action that is done for the benefit of others†. (Pentilat) I believe I acted with beneficence in making this decision to keep the patient with me. I believe the stress of a transfer to the emergency room may have made her condition worse and may have caused her to be admitted again. I have seen this patient since then and she has assured me that the extra time I had given her in the office impacted her both physically and emotionally. It is situations like this that make me truly love my job. It is times like this that I know nursing is not a job, it is a calling. REFERENCES American Nurses Association. Code of Ethics. (2015) Retrieved May 8, 2015 from http://www.nursingworld.org/Mobile/Code-of-Ethics Monster staff. The Ultimate List of Professional Associations for Nurses. (2015). Retrieved May 8, 2015 from http://nursinglink.monster.com/education/articles/11850-the-ultimate-list-of-professional-associations-for-nurses Nursing Excellence, The Online Newsletter for Childrens Nurses, e-Edition, Issue 9, Code of Ethics for Nurses, Jo A. Lyons, MOB, BS, RN-BC, Retrieved May 8, 2015 from http://www.valleychildrens.org/PRESSROOM/PUBLICATIONS/NURSINGEXCELLENCE9/Pages/CodeOfEthicsForNurses.aspx Pentilat, S., Beneficence vs. Non-maleficence. (2008) Retrieved May 9, 2015 from http://missinglink.ucsf.edu/lm/ethics/Content%20Pages/fast_fact_bene_nonmal.htm Unknown1. Differentiating the Roles of Regulatory Bodies and Associations for Health Professionals, A Background Document. (Feb. 2010) Retrieved May 8, 2015 from http://www.nursing.ubc.ca/Scholarship/RNNetwork/do cuments/Differentiating%20the%20Roles%20of%20Regulatory%20Bodies%20and%20Associations%20%20-%20Feb%202010.pdf Unknown2. Florence Nightingale. (2015). The Biography.com website. Retrieved 07:54, May 09, 2015, fromhttp://www.biography.com/people/florence-nightingale-9423539.

Monday, October 14, 2019

Joint Illnesses and Diseases: Causes and Treatments

Joint Illnesses and Diseases: Causes and Treatments Herniated Disc Herniated (slipped) disc happens when all or only a portion of an intervertebral disc is forced through the weak part of the disc thus exerting pressure to the adjacent nerves or spinal cord. Intrinsic degeneration of the intervertebral disc or extrinsic compression of the neural structures in the spinal canal can cause radicular pain. The loss of disc height, which can alter the mechanics of the axial skeleton, may result to disc degeneration. The said changes might produce in other structures such as the zygapophyseal (facet) joints and may result to spinal stenosis. Radicular pain is defined as pain radiating in the distribution of spinal nerve caused by the irritation of the dorsal root ganglion while discogenic pain is an axial pain originating in a degenerative disc. [39] [40] [41] [45] Considered to be a critical part of the load-bearing structures of the spinal column, the structural component of the invertebral disc make it capable of changing shape and absorbing shock thus allowing movement. The dysfunction of the intervertebral disc is brought about by multiple factors namely trauma, aging or the degenerative disorders of the spine. [46] The boundary between nucleus and annulus become less evident as a person ages, furthermore as a person grow older the nucleus of the intervertebral disc becomes less gel-like and more fibrotic. Trauma results from activities such as slipping, lifiting while in a flexed position, suppressing a sneeze or falling on the buttocks. Degeneration like in osteoarthritis or ankylosing spondylitis predisposes the misalignment of the vertebral column of the client. [46] A research on the mechanism of intervertebral disc pointed out several pathophysiologic processes. It includes the changes that occur in aging, loss of proteoglycan which is mentioned as the most significant biochemical change that occurs in disc degeneration. It is inferred that the loss of proteoglycan leads to loss of hydration. Another mechanism is the loss of collagen fiber. Unlike with the proteoglycan, the loss of collagen is not that evident. Furthermore, it is deduced that the biochemistry of disc degeneration do not just include increase fragmentation of collagen and proteoglycans but also it includes the increase fragmentation of fibronectin populations. The said mechanisms contribute to the functional changes of the intervertebral disc. [6] The cervical and lumbar portion of the vertebrae is commonly affected by the dysfunction because it is the most flexible areas of the spine where bending of the vertebral column and support of the mass are greatest. Around 90 to 95% of herniations in the lumbar vertebrae occur in L5 or L% to S1 regions respectively. With regards to the herniation at the cervical spine, the most often affected portion is C1 to C7 and C6 to C6. The protrusion usually happens posteriorly toward the intervertebral foramen where the annulus fibrosus is thin and poorly supported by the anterior or posterior ligaments. Pain is the first and the most usual symptom of herniated disc. The nerve roots namely L4, L5, S1, S2 and S3 give rise to back pain that radiates down back of the leg and over the sole of the foot. Major weakness is rare but slight weakness may occur. Also the most common sensory deficits are paresthesia and numbness, specifically of the leg and foot. There are instances also that knee and ankle reflex may also be absent or decreased. [46] Osteoarthritis Osteoarthritis is a disease in the joints that usually affects middle-age to elderly people. The disease is commonly referred as OA or as the wear and tear of the joints although it also involves the cartilage, joint lining, ligaments, and bone. Osteoarthritis is undoubtedly the most usual type of arthritis. [47] Almost 27 million Americans are living with osteoarthritis and almost 1 million people consults medical professional because osteoarthritis. [47] Perhaps, it is the most cause of disability and pain among elderly people. [48] [49] Among the risk factor in the development of osteoarthritis are old age and obesity, in fact in the United States it is concluded that by the year 2020, the prevalence of osteoarthritis is already 66 to 100%. [49] Epidemiologic data shows that age, gender and race interact in the development of osteoarthritis. Men is said to be affected at a younger age compare to women however the prevalence of women affected with osteoarthritis exceeded men by mi ddle age. [50] Heredity influences the occurrence of osteoarthritis. There is a lower prevalence of hip osteoarthritis among Chinese than Europeans, perhaps representing the influence of other factors such as occupation, obesity or heredity. White women will most likely experience hand osteoarthritis on the other hand knee osteoarthritis is more common on black women. [49] In addition, excess fat may have might have a direct metabolic effect on cartilage beyond the effects of excess joint stress; hence weight loss reduces the risk of developing knee arthritis. The disease is defined as a breakdown of joint cartilage brought about by mechanical strees or biochemical alteration, resulting to the failure of the bone underneath. Osteoarthritis used to affect various joints in the body which includes hip, knee, first metatarsal pharyngeal joint and, cervical and lumbosacral spine. [47] [48] With regard to hands, the base of the thumb and, the proximal and distal interphalangeal joints are most commonly affected. Osteoarthritis is a joint failure wherein all structures of the joint have undergone structural change which is pathological. [49] As mentioned earlier, osteoarthritis is popularly known as wear-and-tear arhthritis. Osteoarthritis undergoes substantial mechanical and composition change in the properties of cartilage. [48] The first structural change happens in the cartilage followed by the soft tissue. The progressive wear and tear of the cartage leads into thinning of the surface of the joint and bone ulceration. Later on, inflammation of the joint, increased in the blood flow and hypertrophy of subchondral bone will occur. Consequently, new cartilage and bone will be formed at joint margins resulting to osteophytosis or bone spurs which cause alteration in the shape and size of the bone. The primary manifestation of osteoarthritis is a long-standing pain in one or more joints that aggravate with weight bearing or joint use. There is also a presence of morning stiffness usually for 30 minutes and bone deformity (osteophyte) or enlargement of the joint. In some cases there are crepitation and effusion. [51] Spondylolisthesis Spondylolisthesis is a bone condition wherein a vertebral body in the spine slips out of the proper position onto the bone below it. It can be associated with spondylosis, infection, lumbosacral junction congenital anomalies, osteoporosis, trauma, tumor, degenerative spine or prior surgery. It is most common to women than men. The slippage of the vertebral body may be asymptomatic or may cause low back pain, hamstring tightness, nerve root injury which is more frequent in L5, or spinal stenosis. The tenderness of spondylolisthesis can be produced near the segment that has slipped forward. There might be a protrusion of the abdomen and shortened trunk because of the extreme forward displacement of L4 on L5. Surgery is usually recommended for patients who are not recovering through rest and physical therapy. [33] In children spondylolisthesis usually happens between the L5 and S1. It is sometimes because of a birth defect in the spine area or an acute injury in the portion of the spine. In adults, the most often reason behind the development of spondylolisthesis is the abnormal wearing off of the bones and cartilage such as in arthritis. Individuals playing sports such as gymnastics, football and weight lifting is at risk in developing the disease. [52] Anteroposterior and lateral plain radiographs of the lumbar spine should be obtained in patients complaining of back pain. The lateral view of plain radiograph is useful in identifying spondylolithesis for it can demonstrate the pars interarticularis. Pars interarticularis is the region of junction of the lamina and the pedicle. Incases wherein there is an absence of nerve involvement, computed tomography (CT) scanning of the lumbar spine provides necessary information with regards to spondylolithesis and its possible cause. CT myelography can give information regarding nerve impingement to patients with radiculopathy. Magnetic Resonance Imaging is advantageous for it protects the patient from being exposed to radiation while imaging is being done. Typically sagittal and axial planes are used. [52] Fibromyalgia Fibromyalgia is a poorly understood type of myofascial pain syndrome. Patients with fibromyalgia usually have severe muscle pain and tenderness having specific trigger points, easy fatigability and disturbances in sleep. People with fibromyalgia have â€Å"tender points† such as on neck, shoulders, hips, arms, legs and back. These areas hurt if pressure is exerted to them. In the United States, fibromyalgia has a prevalence rate of 3 to 5 % in females and 0.5 to 1.6% in males. Fibromyalgia is the second most common disease that experts in rheumatology encounter with 15% among those who are evaluated. It is also ascertained that around 8% of patients cared in primary care clinics have fibromyalgia. In 2005, the United State spend 10, 199 dollars per patient per year and it has been also estimated that overall, fibromyalgia costs the United State economy over 9 billion dollars every year. [53] With respect to gender, epidemiologic data reveals that fibromyalgia is more common to women than in men with a female-to-male ratio of around 9:1. Furthermore, it can occur to patients at any age of either sex. It can occur to pediatric patients, especially the adolescents. [54] The current understanding about fibromyalgia is that it is a disorder of central pain processing or a syndrome of central sensitivity. It is described as a problem with pain threshold. Researchers suggests that patients with fibromyalgia have a lower threshold to pain and other stimuli namely noise, heat and strong odor. It is also believed that neurobiologic changes causes hypersensitivity of patients. These neurobiologic changes are related to psychological factors in that this change affects the person’s perception to pain, expectancy or vigilance. Disturbed sleep has been linked to the pathogenesis of fibromyalgia. Studies have ascertained that awakening unfreshed or nonrestorative sleep has been observed in most of the patients with fibromyalgia. Sleep electroencephalographic studies have shown disruption of normal stage 4 of sleep (non-rapid eye movement). Deprivation in stage 4 sleep has a role in causing fibromyalgia as supported by the observation that symptoms of fibromyalgia developed to normal individuals with disrupted sleep in stage 4. Decreased serotonin metabolites are seen in the cerebrospinal fluid of patients with fibromyalgia. Since serotonin is known to be a neurotransmitter that regulates NREM sleep and pain, it is believed that it might also be involved in the pathogenesis of fibromyalgia. Autonomic dysfunction is also suspected to be involved in the development of fibromyalgia. Individuals with the said disorder were observed to have low levels of cortisol. Low level of urinary free cortisol decreased respo nse to corticotrophin-releasing hormone suggest abnormal hypothalamic-pituitary-adrenal axis. There is also low level of growth hormones. Growth hormone is released during stage 4 or NREM sleep. Many patients have accompanying psychological abnormalities. Almost 30% of patients fit the diagnostic criteria of anxiety, depression, somatization and hypochodriasis. There is also high prevalence of physical and sexual abuse, and eating disorder. [55] The goal of treatment for patient with fibromyalgia is to relieve pain and other symptoms, and to help a person cope with the said symptoms. It includes: physical therapy, stress relief methods, exercise and fitness program, antidepressants, muscle relaxants and cognitive behavioral therapy. The Haunting Of Hill House | Analysis The Haunting Of Hill House | Analysis Eleanor life is characterized by numerous challenges that happen because of her mother. She has a difficult responsibility of taking care of her ailing mother without any help from the society. She leads a strange life blending with people that sees her outcast in the society as she has grown with the attitude that people hate them because they do not mix with them. She later learns that her mother defied the society norms, and that is the reason that the society abandoned her. Others believe that perhaps that is the reason that she is ailing. Even though, Eleanor is aware of the existence of the social norms, she never knew their significance because she was never into them. After she drives into the Hill House, at first, she is not certain about her identity in the society, and she thinks that in the Hill house, she might experience some difference. She enters the house and her life changes, she starts seeing things in a completely different way and after contemplating on her relationship with the society, and she has no option, but to become a witch. Her death is mysterious as other character restores their lives back. It is true that many critics and readers believe that, in the end, Hill House consumes Eleanor and she willingly allows this to happen. Hill House consumes Eleanor Eleanor mothers poor health deprived Eleanor more than just her precious moment. The main reason that Eleanor rides forth to the house is an event that happened when she was young that certainly integrated some kind of supernatural manifestations. Despite of the situation, Eleanor tells Dr. Montague afterward in the story that she cannot clearly recall her mother claimed that the neighbors never appreciated them, and that was the reason that she would never mix with them (Jackson 73). The reader learns that, Eleanor and her sister had supposed at the time that the other was responsible for the supernatural incident (Jackson 7). This incident although, Dr. Montague reassures Eleanor that the event is long forgotten, means the incident must have had a negative impact on Eleanors family and, certainly did not affect Eleanors personality (Jackson 74). She is still uncertain whether she will ever be accepted in the society after her mother defying the social norms. It is difficult to face the reality in order to fight the stigma from the society. However, that is the only way out if she has to survive in the society. From the start, Eleanor grew up with a mother who was against the societys norms. Perhaps the ailing mother suffered out of her ignorance to the societal norms, and Eleanor suffers because of her mother. The journey to the Hill House is move that Eleanor fails tom resist. At one point, he thinks it is the right call for her to make, considering her relationship with the society and at another point, he wrestles with that spirit that pushes her to accept the invitation into the house. It becomes almost impossible for her to make a decision. From the onset of the book, Eleanor is in a dilemma. Even though, there are some characters in the Hill House that accepts to be part of the Hill house that does not mean that Eleanor should be inclusive. As opposed to Eleanor, the four characters have weird characters and perhaps that is the reason they feel comfortable being part of the Hill House. For instance Luke, despite being an heir of the house, steals from his aunt. Theodora too, an artist by profession is a lesbian. Doctor Montague, although a scholar, has an interest in the occult. This shows that, even though it is difficult to accept these characters within the social culture, they are better off than Eleanor, who cannot face the society. To worsen the matter, Eleanor is homeless, and this secludes her from the rests of Jacksons characters. Theodora engages into a conflict in the Hill House, but she cannot return, she remains there. The house has already consumed her. In depicting a homestead setting far from the Hill House, Jackson reveals to the reader that Dr. Montague is a family man and in the later chapters, we see his wife cleaning dishes together with Mrs. Dudley in Hill House, and this shows a kind of familiarity. Similarly, Dudley and her family own a house in town (Jackson 39) which keeps them safe from the house during late night hours. Moreover, Luke Sanderson could say that he owned the house, but he never took care of it. Luke is an affluent man, and he could buy the house, but it is not clear why he does not have one. Instead of accepting her situation and predicaments in life, for instance, being homeless, Eleanor says that she has a home. She is aware of the social values, even though she has never been deep into them. Hill house is a strange house as depicted in the previous discussions. When Eleanor accepts to be consumed by the house, she turns out to be an outsider. The House consumes Eleanor, and it blends both her fear and attraction of the House. She is lured into mysterious place, and she becomes interstitial that her pas life when she enters the house. Eleanor fits neither with her friends, nor in the society, and she turns out to be outrageous. The society rejects her , she turns to be a fringe member, and she does not have an option, but to fit into the skin of a witch. The five characters in the house have their differences, but Eleanor believes that with time they will adopt tom each others behavior (Jackson 58). She anticipates that sooner they will be a friend, and Theodora, affectionately refers to her as a cousin. They lived in the house as one family and even shared meals together. However, some scholars look at this situation in a different perspective, for instance, Tricia Lootens, in Whose Hand I Was holding, says that the characters live together as one family. However, Lootens is not certain about the continuity of this group and she cites this as terror of [Jacksons] entire culture: the brutal, inexorable visionà ¢Ã¢â€š ¬Ã‚ ¦of nuclear families that kill what they are supposed to nurture (151). Even though, Lootens believes that the group has a hidden agenda of ruining each others life, I refute with her perception. The characters are in harmony with one another, and there is no sense or fear between them. Eleanor is the one who is undisputed and seems rejected and deserted. This is evidenced at the novel closes its chapters, whereby Theo, Luke, and Dr. Montague observe Eleanor and she distances herself from the Hill House. Jackson mentions about the death of Eleanor and the other characters going back to their normal lives. Novel Dental Materials for Root-end Applications: A Review Novel Dental Materials for Root-end Applications: A Review Abstract Achieving a good apical seal is crucial for ensuring successful endodontics; especially in cases that involve a wide apex (e.g. immature apices, apical resorption, and fracture involving the tooth apex). An efficient root-end material is an absolute requisite towards achieving this goal. The recent years have witnessed a decent outflow of new products for root-end applications. However, their merits, and claims of superiority over MTA, have to be ascertained via sustained research. Keywords: Apical seal, bioactive, MTA, novel root-end materials, review. Introduction The quest for an ideal material for root-end applications has produced a plethora of products that are based on different compositions and exhibit varied setting reactions. Though many of them have been proven to be effective, none of them can be described as ideal yet, thus generating scope for further development. MTA as the gold standard Since its introduction by Torabinejad in 1993, MTA has been extensively studied and used. Over the years, it has emerged as the time-tested and attested material. MTA is essentially Portland cement (Sio2, CaO, Al2O3, MgO, and Fe2O3), to which a radioopacifier (Bi2O3), and dehydrated(anhydrous) calcium sulphate have been added. MTA is biocompatible and osteogenic. It is bioactive: i.e. MTA is capable of interacting with living tissues and allows deposition of apatite crystals in the MTA-tissue interface. This material is capable of inducting hard tissue formation.1 Apart from exhibiting excellent sealing properties, it also has the capacity to set and also remain steady in the presence of moisture. Hence, a recent review has described it as ‘hydraulic silicate cement’.2 However, this material is not devoid of disadvantages. Re-entering MTA-treated teeth is difficult. High acidity and alkalinity (beyond a pH of 8.4) can unfavorably influence the surface hardness of set MTA. MTA is shown to expand uncontrollably.3 Grey MTA has been found to discolor tooth and the neighboring gingival tissues. Both grey and white MTA contain toxic substances and impurities. The material is fairly difficult to manipulate owing to its sandy consistency; though the small particle size of white MTA may aid in producing a thicker mix; hence, better workability.4 MTA exhibits low washout resistance during initial set especially when a setting accelerator is not incorporated into the MTA mixture. Its initial solubility is undesirable when used as a root-end filling material.5 In lieu of MTA’s potential drawbacks, the search for superior materials has resulted in the emergence of newer materials in the market; the majority of which, bear resemblance to MTA with minor alterations in their composition. Bioaggregate This novel water-based, hydraulic cement, consists of tricalcium silicate as its primary component. Tantalum oxide imparts radioopacity; hydroxyapatite and amorphous silicon oxide have been added to reduce the level of formation of the weak phase- calcium hydroxide.6 Purity is ensured via elimination of aluminum. Though the manufacturer states that trace amounts of naturally occurring contaminants may be detected during chemical analysis, the lack of detection of heavy metal contamination is noteworthy. The material is bioactive.7 Sayeed et al. suggested that Bioaggregate be considered as an alternative to MTA owing to the former’s better sealing ability. The authors attributed the hermetic seal associated with bioaggregate to: (1) Its nano-sized particles that exhibit excellent adhesion to the dentinal walls of the root canal, (2) Its hydrophilicity.The presence of a gel-like calcium silicate hydrate as the main component, resulted in improved strength, hardness, and sealing characteristics to the set material.8 Bioaggregate also exhibited excellent biocompatibility and induced periodontal regeneration.9 Biodentin Biodentine, marketed by Septodont is available as a powder and liquid formulation. Tricalcium silicate and dicalcium silicate form the core materials of the powder. Purity of calcium silicate is enhanced by eliminating the contaminants namely aluminates. Calcium carbonate and calcium oxide, and zirconium oxide have been added as the fillers and as the radioofacifier respectively. Liquid comprises of calcium chloride as the accelerator. Hydrosoluble polymer and water reducing agents are also present. Biodentine can be used as a root repair material but is not indicated for root amputation and hemisection. The working time is over 1 minute and the setting time ranges between 9 and 12 minutes. The final hardness of Biodentine approximates that of the dentin, thus rendering retreatment difficult if not impossible. 10 On performing cytotoxicity assay and cell growth on set materials, human gingival fibroblasts responded similarly to Biodentine and MTA extracts.11 EndoSequence Root Repair Material EndoSequence Root Repair Material (Brasseler USA) is based on bioceramic technology and is essentially composed of nanoparticles of tricalcium silicate, dicalcium silicate, calcium phosphate monobasic, amorphous silicon dioxide, and tantalum pentoxide.12 It differs from white MTA mainly in that it is aluminium free and contains calcium phosphate monobasic and tantalum pentoxide (radioopacifier).13 It is marketed as a pre-mixed formulation in two different consistencies: syringeable paste, and condensable putty. `The former has bendable tips to facilitate intra-canal material placement. 14 According to the manufacturer, the material exhibits superior handling properties owing to its pre-mixed formulations, short setting time (~2 hours), and high resistance to washout. The material is radiopaque, hydrophilic, and highly alkaline (+12 pH), thus bactericidal. Its setting reaction is initiated by dentinal moisture. 15 Endo sequence is bioactive. 16 Hirschberg et al. compared the sealing a bility of ERRM with MTA, and concluded that leakage was greater in samples restored with ERRM when compared to that of MTA-restored samples.17 In simulated root resorption defects, intracanal placement of white MTA resulted in greater and sustained release of hydroxyl ions, and thus a higher pH when compared to EndoSequence. This, the authors attributed to the quicker set of ES as compared with MTA. But, few MTA samples exhibited discoloration, while none of the ES samples did. This may be esthetically relevant.18 Top of Form Bottom of Form iRoot BP Plus These bioceramic materials are primarily composed of calcium silicate, and require the presence of moisture to set and harden. They also contain zirconium oxide, tantalum pentoxide, calcium phosphate monobasic, and filler agents They are available in three forms: (1) iRoot ® BP Plus putty root canal filling andrepair material- white hydraulic premixed puttyintended to be used for root canal repair and restorative applications, (2) iRoot ® BP Injectable Root Canal RepairFilling Material- white hydraulic premixed injectable paste intended to be used for root canal repair and restorative applications, and (3) iRoot ® SP Injectable Root Canal Sealer- injectable white hydraulic cement paste intended to be used for permanentroot canal filling and sealing applications. 19 According to the manufacturer, these materials are insoluble, radiopaque, aluminum-free, possess excellent physical properties, and do not contract on setting.20 iRoot ®BP Plus was biocompatible and did not elicit critical cytotoxic effect. However, its long-term performance was inferior as compared to White MTA.21 Another study observed that both materials i.e. iRoot BP Plus and iRoot FS exhibited negligible cytotoxicity. Under simulated clinical conditions, iRoot FS was able to completely solidify within an hour, whereas iRoot BP Plus set only after seven days.22 Ceramicrete Developed at Argonne National laboratory, Ceramicrete is essentially a chemically bonded phosphate ceramic (CBPC), which was developed to function as a binder for waste management. The material was inducted into dentistry owing to its inherent strength, biocompatibility, and bioactivity. Radioopacity is achieved by incorporation of radio opacifiers (bismuth oxide, cerium oxide). Wagh and Primus found Ceramicrete to be a strong material exhibiting lower porosity and permeability due to the formation of potassium-magnesium phosphate hexahydrate ceramic matrix phase. The decreased porosity also contributes to Ceramicrete’s superior sealing capacity.23 The use of an acid conditioner prior to application of ceramicrete may result in better adaption due to removal of smear layer, thus improving the seal. Incorporation of calcium silicate whiskers resulted in the formation of a brushite phase, which improves mechanical properties. Though, initially, the material tends to be acidic, set Ceremicrete-D is alkaline (pH of 11 after 72 hours). However, the acidic pH (2.2) of a fresh mix may exacerbate the acidic condition of an already inflamed tissue. 24 The low pH may be the reason why ceramicrete D caused initial death of primary osteoblasts and failed to support further cell growth, since low pH is shown to inhibit osteoblast activity. 25 The radioopacity of ceremicrete was substantially less (3.2mm of aluminium) than white MTA (8.5mm of aluminium). Handling properties and resistance to washout were superior. According to porter et al, Ceremicrete-D retained a weak chalk like consistency even after seven days of setting. They suggested the original formula be modified to effect increase in the strength of the material.26 Capasio Capasio (Primus Consulting, Bradenton, FL) is an experimental calcium-phospho-aluminosilicate–based cement that is mixed with a water based gel. Bismuth oxide has been added as a radiopacifier.27 When mixed, Capasio develops dough like consistency and can be rolled into a rope which enables better handling. Ceremicrete-D and Generex A also demonstrate this desirable property. Capasio displays good washout resistance, and improved physical characteristics such as setting time (9 minutes), compressive strength, and washout resistance.26 It exhibited slightly less basic pH (10.9) when compared with white MTA. 28 The radiopacity of Capasio was significantly less as compared to MTA but marginally greater than Ceremicrete-D.26 Capasio is also bioactive. It has the ability to precipitate apatite crystals on its surface. The smaller particle size of Capasio (a mean particle size of 5.3 µm as compared to 10 µm of MTA) may be perceived as an advantage. Materials that demonstrate the capability of penetrating dentinal tubules exhibit improved marginal adaptation, retention, and also entomb the residual bacteria. The material was shown to penetrate dentinal tubules up to a depth of 18-26  µm; much greater than that of MTA.29 Penetration of an endodontic material into the dentinal tubules results in improved marginal adaptation, increase mechanical retention, entombs residual bacteria and improved antibacterial effects owing to closer proximity of the material to the bacteria.30 Quick-set Capasio (Primus Consulting, Bradenton, FL) has been further developed and has been renamed as Quick-Set (Primus Consulting). The refinement has been performed via removal of the cationic surfactant from the liquid gel component, which was thought to affect its biocompatibility. Using murine dental papilla-derived odontoblast-like cell line (MDPC-23), Wei et al. observed that the in vitro cytotoxicity of Quick-Set was similar to that of WMTA.31 Ashraf et al. concluded that the in vitro osteogenic/dentinogenic differentiation potential of Quick-Set was favorable. 32 Generex A and B Generex A (Dentsply Tulsa Dental Specialities, Tulsa, Usa) and B are calcium-silicate-based materials with novel setting reactions. Generex A contains tricalcium silicate, dicalcium silicate, and tricalcium alumunate. Its composition is similar to that of MTA but for the fact that the powder is finer, and unique gels are used for mixing instead of water as is the case with MTA.25 Usage of the gel results in: improved handling characteristics and reduced setting time.26 Among the materials evaluated for their osteogenic potential (Generex A, Capasio, Ceramicrete, and MTA), only Generex A and MTA allowed primary osteoblast growth.25 In a study conducted by Porter et al, Generex A exhibited the shortest setting time (1.25 hrs) as compared to Capasio and Ceramicrete, which set in 2.5 hours. Generex A also emerged as the strongest among the other materials tested. 26 Endobinder Endobinder differs from MTA in that, MgO and CaO (cause undesirable expansion of the material), and Fe2O3 (causes tooth darkening) are eliminated from its composition. Al2O3 and CaCO3 are calcined at temperatures between 1315deg C and 1425d C, and are ground following which, Bismuth oxide is added to obtain radioopacity. Purity is ensured by eliminating traces of MgO, CaO, and Fe2O3.32, 33 Endobinder assisted early differentiation of a higher osteoblastic cell population in comparison to MTA. this, the authors attributed to the lower calcium hydroxide release from endobinder when compared with MTA.34 While slightly higher concentration of extracellular calcium can stimulate osteoblast cell viability, proliferation, differentiation, and function, an overload can be cytotoxic. 35 According to Oliveira et al., Endobinder exhibited better fluidity, improved handling properties, higher mechanical strength, and reduced porosity (with lower pore size) when compared with MTA.36 The material was biocompatible when tested in subcutaneous tissue of rats.37 Conclusion The past few years have witnessed the development of novel materials with a purpose of overcoming the disadvantages of MTA. Some are primarily composed of calcium silicate (Endobinder, Endosequence, Generex A and B, and iRoot BP Plus), some are primarily tricalciumsilicate-based (Bioaggregate, and Biodentine) or calcium-alumino-silicate based (Capasio and quickset), and one is a chemically bonded phosphate ceramic (Ceramicrete). The focus behind developing these materials has mainly been- improved physical and biological properties over the present gold standard i.e. MTA. While some of these novel materials have exhibited improved characteristics, more research in the form of in vivo and in vitro studies are required in this direction, in order to ascertain the same. Also, newer materials with a composition differing from that of MTA, may bring a fresh approach with regard to this application. 1

Sunday, October 13, 2019

Privatizing the Public Sphere Essay -- Industrialization Fragmentation

Privatizing the Public Sphere The privatization and fragmentation of space in post-industrial urban America is a widespread social problem. As society becomes even more globalized as a result of technological advances, the rampant spread of a privatized public realm is ever-increasing. Public space is needed as a center in which to bring people together to share a common place. It is within public spaces that public life unfolds and without public spaces such as parks, streets, and buildings, the mixing of classes will become increasingly uncommon. Society is made up of two sectors: the private and public, and it is essential that both remain separate entities. However, through the use of fear tactics especially the threat of violent crimes, privatized settings are spreading throughout the public sphere. In this analysis, it is my intent to explore the various tactics being used to impede upon the public sphere. In doing so, I will explore the causal factors that contribute to the increased privatization of urban public life. Historically, the city was an all-encompassing entity. At the dawn of industrialization, large masses of people flocked to the city in hopes of a better economic life for themselves and their families. It was within the city limits, particularly closest to the areas of commerce and exchange that people took up residence, worked, and pursued various social activities. The city served the needs of all its citizens. However, as industrialization moved further along, there was a major shift in urban economics. While many businesses flourished, so did wealth and as this increased, society faced an evolving class system. Three notable classes emerged: the lower/working class, the middle class, and the upper/elite class. While these class divisions grew, a large amount of money was being invested in the creation of public venues. Public institutions were designed to bring education, culture, and in many ways, a sense of community to modern city life. A public park or library was a plac e that people of various classes could come together and share space. However, by the end of the Twentieth century and into the Twenty-First, true public space is becoming almost extinct, as is the middle class. Privatized public space has become the new trend across many American cities. There are many interrelated factors that contribut... ...for the poor into the public realm. The decline of a middle class is affecting the structure of society because cities and public venues were once designed to serve the middle class. However, without such a class, cities are now being designed to service an elite class and it is this class that has the power and control over public life. With the widening division between classes, services to the non-elite members of society will continue to diminish. The importance of public space and life is an important aspect of any given society. Without such spaces, society will continue to be dived among class lines. When a certain group of people hold power and it’s all about power and control, there will always be those that are excluded and denied access to the public sphere. As long as imaginary and irrational fears are instilled into the private lives of the public, society will continue to build fortress around its buildings and to use surveillance cameras outside the doors. Public space is a right to all citizens and due to fear of the unknown; it is diminishing right before our eyes. In this day and age, to be an American means to always be under the watchful eye of another. Privatizing the Public Sphere Essay -- Industrialization Fragmentation Privatizing the Public Sphere The privatization and fragmentation of space in post-industrial urban America is a widespread social problem. As society becomes even more globalized as a result of technological advances, the rampant spread of a privatized public realm is ever-increasing. Public space is needed as a center in which to bring people together to share a common place. It is within public spaces that public life unfolds and without public spaces such as parks, streets, and buildings, the mixing of classes will become increasingly uncommon. Society is made up of two sectors: the private and public, and it is essential that both remain separate entities. However, through the use of fear tactics especially the threat of violent crimes, privatized settings are spreading throughout the public sphere. In this analysis, it is my intent to explore the various tactics being used to impede upon the public sphere. In doing so, I will explore the causal factors that contribute to the increased privatization of urban public life. Historically, the city was an all-encompassing entity. At the dawn of industrialization, large masses of people flocked to the city in hopes of a better economic life for themselves and their families. It was within the city limits, particularly closest to the areas of commerce and exchange that people took up residence, worked, and pursued various social activities. The city served the needs of all its citizens. However, as industrialization moved further along, there was a major shift in urban economics. While many businesses flourished, so did wealth and as this increased, society faced an evolving class system. Three notable classes emerged: the lower/working class, the middle class, and the upper/elite class. While these class divisions grew, a large amount of money was being invested in the creation of public venues. Public institutions were designed to bring education, culture, and in many ways, a sense of community to modern city life. A public park or library was a plac e that people of various classes could come together and share space. However, by the end of the Twentieth century and into the Twenty-First, true public space is becoming almost extinct, as is the middle class. Privatized public space has become the new trend across many American cities. There are many interrelated factors that contribut... ...for the poor into the public realm. The decline of a middle class is affecting the structure of society because cities and public venues were once designed to serve the middle class. However, without such a class, cities are now being designed to service an elite class and it is this class that has the power and control over public life. With the widening division between classes, services to the non-elite members of society will continue to diminish. The importance of public space and life is an important aspect of any given society. Without such spaces, society will continue to be dived among class lines. When a certain group of people hold power and it’s all about power and control, there will always be those that are excluded and denied access to the public sphere. As long as imaginary and irrational fears are instilled into the private lives of the public, society will continue to build fortress around its buildings and to use surveillance cameras outside the doors. Public space is a right to all citizens and due to fear of the unknown; it is diminishing right before our eyes. In this day and age, to be an American means to always be under the watchful eye of another.