Architecture Of The 20th Century Architecture Essay

While discoursing the topic of architecture of the twentieth century, the treatment is uncomplete without a particular reference of Robert Venturi. The adult male started his life in Philadelphia on 25th June, 1925 he went on to go one of the most prevailing names in American architecture. The information on Venturi includes a particular reference of his married woman Denise Scott Brown. 1960 was the twelvemonth they foremost meet, got married in 1967 they have ever been together of all time since. This hubby and married woman squad did singular work in the part of architecture, establishing themselves with their joint venture better recognized as Venturi, Scott Brown & A ; Associates ( VSBA ) . â€Å" Architecture steeped in popular symbolism. Kitsch had become art in designs which exaggerate or stylise cultural icons. † [ 1 ] Some of the most of import design schemes adopted by Brown were ‘theory is non the regulation of pollex ‘ , ‘learn to copy ‘ , ‘drawing-a must hold ‘ , ‘ideation is changeless ‘ etc. Harmonizing to Robert and Denise, theory is non the regulation of pollex. While most designers glued to theory when it comes to be aftering designs, Robert Venturi and Denise Scotte Brown thought the opposite manner. Harmonizing to them plan procedure should non be dominated by the theory. This was despite the fact that both of them were good known theorists. Venturi even went on to state that â€Å" the creative person is non person who designs in order to turn out his or her theory and surely non to accommodate an political orientation † [ 2 ] While most of the designers followed the doctrine of non copying, Venturi and Brown had a different point of position here excessively. They believed that they could larn more by copying the plants of the Masterss. As Venturi right puts Forth, â€Å" It is better to be good than to be original. † [ 3 ] But, this in no manner meant a complete imitation. To this, Denise Scott Brown makes it clear that they copy ideology that they copy political orientations. The couple merely took copying to the extent of pulling inspiration. Their inspiration was a base to develop farther designs. Venturi says, â€Å" You have to hold something basic that you either construct on or germinate from or revolt against. You have to hold something at that place in the first topographic point and the lone manner to acquire it is to copy, in a good sense of the word. â€Å" [ 3 ] One, of co urse, needs to possess certain accomplishments to go forth a grade the field of architecture. Harmonizing to Robert and Denise, pulling was the most indispensable 1. Mentioning to the accomplishment as a installation between manus and head, Denise Scott Brown besides said that it was indispensable for interior decorators to get the hang pulling in order to win. She believed that it frequently happened that the manus draws something, which the head interprets in a different manner and you draw a whole new thought from it. In an epoch where everyone thought that script has a small significance as everything can be done utilizing specially designed package, the couple has its statements ready. â€Å" Peoples who can pull really good and who control line weight good in manus technique are the 1s who use the computing machine imaginatively, † [ 4 ] they asserted. Who says that you need to sit down in a board room to imagine? Well, non Venturi at least. In his sentiment ideation can non be bound by topographic point or clip ; he believed that one could imagine anytime and anyplace, even while speaking. Venturi alleged â€Å" that even while speaking one all of a sudden sees something else out of the corner of their oculus and they think of something they would n't hold done otherwise. He besides opined that you ideate more while working on other undertakings and averred the thought merely comes after great battle and torment. â€Å" [ 5 ] Some of the of import edifices built by the couple are – The Vanna Venturi House, Chestnut Hill, Philadelphia, Pennsylvania in 1962, Brant House in Greenwich, Connecticut in 1973, Gordon Wu Hall in Princeton, New Jersey in 1983, Bank edifice in Celebration in Florida in 1994 and many more. Since mid 1960s Robert and Denise greatly altered the landscape of the American Architectural thought their procedures and patterns with their design schemes. Robert Venturi ‘s book ‘Complexity and Contradiction in ArchitectureA became a uniting point for budding designers around the Earth who had become misanthropic with the stylistic limitations of the International Style as a consequence of which the book provided a pronunciamento for the Post-Modern motion in architecture. Followed by this out of his instructions at Yale came his 1972 bookA Learning from Las Vegas which was A co-authored by Steven Izenour and Denise Scott Brown. The architectural universe was one time once more astonished by this work. The the gaudy and the sign-filled Vegas strip was transformed from being an architectural aberrance to a common art signifier which deserve serious survey. Venturi felt that the Decorated Shed and assorted other types of wayside edifices offered design lessons that coul d non be left accompanied, an † he argued that designers require to confront the world and typify the popularly built environment with edifices matching to that environment. â€Å" [ 6 ] â€Å" KitschA is reflected as a signifier of art that is deficient and is a tastelessA transcript of an a complementary manner of art or is a nugatory reproduction of art of recognized value. â€Å" [ 7 ] A The deliberate usage of elements that may be considered asA cultural icons is what this construct is related to â€Å" KitschA can besides be defined as the genres of art that aesthetically lack whether or non being theatrical, sentimental, glamourous, or originative and that make originative gestures which merely reflect the superficial visual aspects of art by agencies of perennial conventions and expression. This term is frequently associated with excessiveA mawkishness. † [ 8 ] The outgrowth ofA postmodernismA in the 1980s, blurred the boundary lines between kitsch and high art yet once more. The blessing of what is called campA gustatory sensation – which may be related to, but is non the same as cantonment when used as a homosexual esthesia was one development. An unreal or an false illustration from the universe of painting would be a kitsch image of a cervid by a lake. In doing cantonment, puffing a mark beside it, stating No Swimming. The olympian or romantic perceptual experience of a baronial animate being would be punctured by wit ; the construct of an carnal having a a punishment for the breach of the regulation is out justly farcical. The aboriginal, brooding mawkishness of the motive is neutralized, and therefore, it becomes cantonment. A few things that posed as interesting challenges were the conceptual artA and deconstruction, because, speaking of kitsch, in favor of elements that enter it by associating to other domains of life they downplayed the formal construction of the graphics. Inspite of this fact, many in the art universe continue to latch onto some sense of the duality between art and kitsch, excepting all sentimental andA realisticA art from being considered earnestly. This has come under the scanner of the critics, who now argue for a renewed art and nonliteral picture, without the concern for it looking advanced or new. Whatever may be the scenario, there is trouble in specifying boundaries between kitsch and all right art since the beginning of postmodernism, the word kitsch is normally used to label anything seen as being in hapless gustatory sensation still. This postmodern architecture influenced by Venturi was further prejudiced by many designers like Philip Johnson and Robert A.M Stern. When speaking about American architecture, there is no manner one can lose out on Philip Johnson. One of the most noteworthy and celebrated American designers, he was the victor of the first ‘Pritzker Architecture Prize ‘ . For set uping the Department of Architecture and Design at the Museum of Modern Art, New York is credited to him. Philip was born in 1906 in Cleveland. He played a critical function in making and understanding the urban skyscrapers through America. Johnson was an advocator of simple manner and therefore he played a important function in beef uping the minimalist tendency. The work of assorted modern designers, including Mies van der Rohe, Walter Gropius and Le Corbusier was comprehensively supported by Johnson. He was a co-author of the popular book, ‘The International Style ‘ . The techniques of the Bauhaus were introduced to America by this book. By the clip Johnson reached the age of thirtiess he was discontented with his function of an writer and conservator. So he studied under the designer Marcel Breuer at The Graduate School of Design. Johnson designed his ain place in New Canaan, Connecticut shortly after his graduation. His first architectural work, his house is considered one of his most singular plants. The house was a glass house and featured an exposed steel frame. Johnson continued with his architectural pursuit and went on to plan legion public edifices and houses after his ain house. Johnson designed some of his well-known plants, notably the Seagram Building in New York City during this clip. Johnson had a more divine than individualistic stretch with architecture ab initio. His initial work carried a strong bear grade of Mies van der Rohe. However, an individualistic touch could be seen in his work by 1960 ‘s. Infused with historical elements, his manner of architecture showcased how one could aesthetically integrate domes and colonnades in a edifice. He created some of his most monumental plants of his life merely after he discovered his individualistic architectural sense. Some of these include the Sheldon Art Gallery at the University of Nebraska, the New York State Pavilion at the World ‘s Fair and the New York State Theater in New York City. By the 1970s and 1980s, he began experimenting with the texture and colour of the outside of his creative activities at big though he was still stuck with his original manner of architecture. Today in his 1890ss, Johnson is considered as one of the last modern designers that we have. With a tally of about 70 old ages in the field of architecture, he has certainly carved his niche and will go on to animate many designers in the times to come. Another popular name in American architecture is of Robert Arthur Morton Stern, besides known as Robert A.M. Stern. He is an American designer and soon the Dean of Yale University School of Architecture. His work is normally described as postmodern. However, a ruling accent on continuity of tradition in his work is witnessed which can non be ruled out. No admiration, he late used the phrase ‘modern diehard ‘ to depict his work. As a interior decorator in the office of Richard Meier he started his calling in 1966. But he shortly quit from his occupation and established his ain house, ‘Stern and Hagmann ‘ in 1969. He formed the house with a fellow pupil at the Yale University named John S. Hagmann. This was followed by the constitution of the replacement house, ‘Robert A.M. Stern Architects ‘ , a name still really popular in American architecture. He has a wide portfolio to his recognition when speaking about his work. Some of his more noteworthy undertakings in the public sphere include Lakewood Public Library in Lakewood, Ohio, the chief library in Columbus, Federal Reserve Bank in Atlanta and many more. Stern was besides a noteworthy writer apart from being a successful designer. He has authored New York 1880, New York 1960, and New York 2000- a series that paperss the development and history of the architecture of New York City. This postmodern architecture has his roots deep in the past, as is apparent from his work. His edifices showcase a deep fondness for the yesteryear. His most noteworthy undertaking with The Walt Disney Company reiterates the same. He served the company in the place of Board of Director for the term of office 1992-2003. His boardwalk at Disney World is implicative of an American seaboard small town from the early twentieth century. You will be reminded of how architecture has evolved from Victorian to the Vienna Secessionist motion while you have a expression at his edifices. The mini small town beautified with artefacts from assorted epochs, though non precisely historical, comes across as a dream like walk. And non to bury the Beach nine, that reflects the nineteenth century American Resort architecture in its true signifier. With a immense pool of work and a design doctrine that combined the best of modernism and tradition, Stern is surely non a name to be forgotten in the architectural kingdom. Though his wide skyline of work is a effort in itself, he has several other accomplishments to his recognition every bit good. A Driehaus Prize laureate, he went on to win several awards. In the twelvemonth 1984, he was awarded with the AIA New York Chapter ‘s Medal of Honor. He was besides conferred the Chapter ‘s President ‘s Award in 2001.A He besides has to his recognition the Scully Prize from the National Building Museum, Athena Award from the Congress for the New Urbanism and the Board of Directors ‘ Honor from the Institute of Classical Architecture and Classical America. â€Å" Since long and even now Philip ‘s designs in PoMo manner reveal a decent to the degree of kitsch that appears lest cantonment in its motive than merely and unmitigately inexpensive in its consequence † [ 9 ] . In the aesthetic plan of Robert Venturi kitsch and the country of mundane civilization was used. But at the same clip in his artistic designs, he by and large elevated them. In the circle of designers â€Å" Robert Venturi an Robert A M Stern, the so called Greys Designers whose work used the intercrossed civilization parlances of American twenty-four hours to twenty-four hours life as get downing points of their new artistic way including kitsch and dad. † [ 10 ] Thus Robert Venturi, Philip and Robert A M Stern are three showy modern designers whose part to architecture hold a made a difference to the architectural universe.

Nonverbal Communication Codes Essay

1. What nonverbal messages are being sent in this image? Why are you looking at me? Is the nonverbal message that I would take from the woman with the bad tan. 2. What type of nonverbal communication codes are being used to deliver the messages? I believe the nonverbal message in this image is Affect Displays. A woman with an obvious bad tan seems as though she has a negative reaction to the gentleman that’s doing a double take, looking at her. Her facial expression has a look of irritation from the staring 3. What effect does each message have on the other people in the image? It is hard to determine the effect on the other people that is in the image; however, I suppose the people that are around them that saw the interaction should’ve felt the awkwardness as well. It would be obvious that the signal would be not to get involved and to look away. 4. What nonverbal communication skills and strategies could be used to communicate effectively in this situation? Smiling or showing a friendly face and eye contact should have been made to reduce the feeling of inadequacy or awkwardness. 1. What cultural barriers are seen in this image? I believe the gentleman is focused on the group of woman because he is trying to figure out their dress and culture because it is different than his. 2. What type of nonverbal communication codes are being used to deliver the messages? I feel like the type of nonverbal communication codes that is being used is Affect Displays and Regulators. The gentleman’s posture is used to communicate his emotion and his posture asked the question, â€Å"what are you are doing, and why you dressed that way?† This is an example of the affect Displays because his posture is showing emotions. The other code that is then displayed is the regulator because he is giving eye contact to the group with a facial expression, and open mouth or raised eyebrow, trying to get the group’s attention. 3. What effect does each message have on the other people in the image? The effect that each person has in the image is of non-affect. No one has notice the gentleman’s non-verbal communication methods. Either no one sees it, or he is being ignored, based off of the individuals in the picture. 4. What nonverbal communication skills and strategies could be used to communicate effectively in this situation? The nonverbal communication skills and strategies that can be used to communicate effectively in this situation were simply being a friendly face and smile to show no threat. Also, if the gentleman was really serious, he should have stopped and face the group that he was trying to get their attention 1. What nonverbal messages are being sent in this image? The nonverbal message in this image says that there are still places in Asia where smoking continues to be allowed in some public places; and, smoking is a popular thing to do. 2. What type of nonverbal communication codes are being used to deliver the messages? The nonverbal communication code that is used to deliver this message is the Adapters. Adapters are nonverbal behaviors that help you satisfy personal needs and adapt to the immediate situation or surroundings. 3. What effect does each message have on the other people in the image? The effect that being an adapter in this image has on other people in the image I believe is that smoking is addictive and if one person smokes a cigarette and you are a smoker thing you will want a cigarette as well. 4. What nonverbal communication skills and strategies could be used to communicate effectively in this situation? I am not a smoker; I would either leave the room or show displeasure from secondhand smoke. 1. What cultural barriers can be seen in this image? 2. What nonverbal messages are being sent in this image? 3. What type of nonverbal communication codes are being used to deliver the messages? 4. What effect does each message have on the other people in the image? 5. What nonverbal communication skills and strategies could be used to communicate effectively in this situation? 1. What cultural barriers can be seen in this image? The cultural barriers in this image can be defined as business people who are possibly on their way to work on being a know it annoyed by a woman on her cell phone, not paying attention to where she’s going. 2. What nonverbal messages are being sent in this image? In this image, the people display a busy, business like image. The affect display can be displayed through their posture, and by putting little expression on their faces. It is almost as if it is a hostile rush to get where they’re going. 3. What type of nonverbal communication codes are being used to deliver the messages? The nonverbal communication codes that can be displayed from this image is the Affect Display. 4. What effect does each message have on the other people in the image? It seems as though the people in this image are annoyed by the woman was talking on her cell phone and not paying attention to where she’s going or having a very loud conversation. 5. What nonverbal communication skills and strategies could be used to communicate effectively in this situation? Lady, please hang up the phone and watch where you’re going.

Drama Exploration Essay

During this task, we got into groups of four or five. Each of the four groups was given an Act from the play to create a statue of Proctor at contrasting moments. Proctor’s emotions varied; each statue had a very different objective, e. g. to intimidate, to plead, etc. My group, looked for lines to base our statues on in Act One. Through my statue of Proctor- I had a straight back, my arms + hands were pointed forward and I had a frown, based on the line,† be you deaf†¦ â€Å", I discovered a few things about Proctor. Because the moment I chose was one that I preformed in an angry tone, I choose an angry line: â€Å"I’ll show you a great doin’ on you arse†¦ † This line is preformed in mockery and is almost playful but, stern. I realized that Proctor is the only character so far to whom we can relate. He has a sense of humor and seems like the only character that is not constantly serious. Proctor is calm and we can visualize his entrance and aura. The fact that he has a sense of humor makes us, as the audience, like him. Group Two looked at Act Two. There were many contrasting moments. The statues that I remember did not focus on the relationship between Elizabeth and Proctor, to the extent that I would have liked. The statue that did a small investigation on how Proctor is feeling was Justin’s: Sitting on a chair, hands interlocked with a soft face and an arched back as if talking softly to someone (Elizabeth). He said his line â€Å"I mean to please you† sincerely and softly. Because of Justin’s performance, I realized that Proctor and Elizabeth are still uneasy because of the affair. Furthermore, Elizabeth is being very difficult and Proctor is trying very hard to try and get the relationship back together. Another line which comes to mind is â€Å"an everlasting funeral marches around your heart. † This is when Proctor loses his temper; Proctor has tried really hard and is lashing out because of what Elizabeth said to him. The important thing that I realized: Proctor did commit adultery but, there is a substantial possibility that it was not entirely his fault. If Elizabeth is acting this way at this point â€Å"un-cooperative and stubborn† there is a substantial possibility that she had the qualities before the affair, refining my point. Group Three looked at Act Three. During this scene that is entirely located in the courthouse, various things happen. Proctor entered the courthouse very calm: Andres portrays Proctor holding himself very high, his head is thrown back and he has his chest out, revealing the new information to the court: â€Å"She never saw no sprits sir† The tone is almost pleading; Proctor is really respectful to the Judge and he understands that he needs to keep his temper cool. I believe that Group Three covered the main moments. They chose the line where Proctor looses his temper and finally cracks- Proctor calls Abigail a- â€Å"whore†- and reveals that he has had an affair. The important thing that I realized is: Proctor has admitted his sin to the Puritan society. Proctor knows by revealing the information about his affair with Abigail he has ruined his name in Salem. The reason why Proctor has revealed the information is important: he really loves his wife Elizabeth and he would sacrifice everything for her. Proctor’s plan backfires; Elizabeth tells a lie. Group Three choose that moment: â€Å"God is dead† I realized that it’s not because Proctor does not believe in God. I realized and was reminded that Proctor says that because he believes that the events would not happen if God were looking after them: young girls should not be able to manipulate a court of grown men. Group Four looked at Act 4. At this point Proctor is broken. Proctor is shown having his life taken away; he still has his dignity. Proctor is reduced to almost nothing: he is kneeling, Proctor wanted his life. Proctor chooses to reveal he was working with the devil, because he wants to live with Elizabeth. Because of what Danforth wants from him Proctor lost his temper- Proctor is asked to sign his name to his statements. When Danforth asks him for his signature, at this point, Proctor has had enough and decided to be hung. The image, when Proctor stood tall and opposes Danforth, helped me understand something very important: Proctor is the hero of the play. Proctor chooses to die then make his friends die pointlessly. Proctor’s sacrifice: condemning himself to death instead of letting his friends die in vain. It would be so easy for Proctor to give up and live his life quietly in the farm. However, because of his sacrifice he has shown ultimate courage and goodwill. Proctor is the hero who we admire. Miller wants us to like Proctor. Proctor is human; he had an affair; we all have flaws. Proctor contrast, with other charters. Tituba was in a similar position but she broke and told lies. Proctor stood up for what is right. Proctor goes against the court and it costs him his life. Miller is trying to tell us something: Miller wants us to realize that heroes don’t always win. A hero is someone who stands up against adversity and does what he thinks is right. We repeated the same procedure with Abigail. However, Abigail had no lines in Act 2 and 4 so those two groups were forced to create images for Abigail. I was part of Group One. The statue that was shown had a lot of contrast. Abigail was shown as a girl that had different emotions depending on who she was talking too. Our group choose the moment where Abigail was threatened the other girls â€Å"a pointy reckoning that will shudder you. † I was the statue for that line. I closed my fist, as if mimicking the knife, and said my line cruelly with nostrils flaring. The audience had contrast between my line and Nicole’s: â€Å"give me a word John†¦ † This shows that Abigail changes her personality refining my first point. Nicole said the line trying to seduce John, her head was tilted back and her face was soft, the audience has to realize that Abigail has not given up on John even though she had been sacked. Furthermore, Abigail changes her personality according to the people around her. Group Two focused on Act Two. Abigail had no lines in Act Two, so the group had to invent some. The statue that I think conveyed the importance of Act Two was Enrique’s. Enrique was sitting on a chair clutching his stomach: rolled on the floor and groaned and said, as held up his hand, â€Å"a needle†. The audience has to understand that Abigail really wants to kill Elizabeth ruining her name so. Because Abigail did this and said, we are told by Herrick, â€Å"Goody Proctor sent her sprit on me† Elizabeth is taken to prison. Furthermore, John got direct and aggressive and decided to go with Mary Warren to confront the court. Group Three focused on Act Three. This is the scene where Proctor confronts the court trying to prove Abigail as a liar. The most important statue that I remember: Abigail in fright and her line â€Å"Why do you come yellow bird? † This acting by Abigail is very smart- she diverts all the attention away from her. Abigail is kneeling looking up with her hand in her hair, this makes her look venerable and we pity her. Proctor challenges her in front of the court revealing the affair, although not proven, to bring the tension away from her she chooses to make a scene. Through this acting the accusation of her innocence is forgotten, the attention is drawn to Mary Warren- Abigail is a smart girl and everything is planned in her mind. Group Four focused on Act Three. Similarly to Act Two, Miller only references Abigail not giving her any lines. The statue that I felt was most important: Abigail sobbing. Abigail had her head in her hands and said â€Å"no! He is dead†. Abigail still loves Proctor. Abigail did not want Proctor dead, only Elizabeth. As a child, Abigail can not comprehend with Proctor’s mentality. Abigail does not understand that Proctor really loves his wife, the affair was a mistake. Abigail can’t accept that Proctor does not love her. The audience has to realize that Abigail did those things not to be popular or for fun. I feel that Abigail honestly wanted to hurt people. In act 2 and 4 Abigail has no lines but is mentioned and events- Elizabeth being taken to prison- a result of Abigail. This shows her importance and how events are carefully planned by her. She did exactly what she wanted to do. She is a leader and has a lot of power. Abigail, through the menacing lines warning and threatening her friends get what she wants.

Rivington Hospital Laundry Department Essay Example | Topics and Well Written Essays - 1500 words

Rivington Hospital Laundry Department - Essay Example The existing budget is more than enough to demoralize her. This budget may cause some serious changes in the apparent behaviour of the laundry supervisor as she is not happy and satisfied with the way she has been held responsible for every cost of the laundry department. Different kinds of behaviours can be displayed by the laundry supervisor, the details of some of them are provided below: Quality Compromise The biggest change in the behaviour of the laundry supervisor would be shown in terms of the quality that she provides. After this performance report, her aim and objective would be to cut the cost and meet the targets specified in the budgets, and in doing so, if the quality of laundry service is compromised, she would not focus on it too much. After all, the administrators are more concerned with meeting the budgets, in this way the overall quality of the department may likely be hampered by such move of the administrators. Restricting the Activity Level Since the major cause of adverse variances in the existing budget is the increase in the activity level due to which more laundry services were provided and as a result the level of costs also increased in every manner, including the excessive cost of hiring an additional worker, therefore, the laundry supervisor would try to restrict the activity level to the budget level and may not provide the laundry services to the additional activity level so that the budgeted activity level should not be crossed. In this way, the excessive cost can be reduced which occurred as a result on increasing the actual activity level. This move would surely decrease the overall activity level of the hospital but result in meeting the budgeted costs. Falsification and Misrepresentation The laundry supervisor may also use some negative tactics in order to provide a better picture to the administration by reporting the falsified and misrepresented figures of the activities of the laundry department so that budgets can be ful filled accordingly. This step would cause the likelihood of frauds in the hospital. On a concluding note, if the administration is quite keen in getting the budgets fulfilled by the laundry department, it would have to include the laundry supervisor in budget setting activity so that a unanimous budget can be established which would surely be challenging but at the same time achievable to the laundry supervisor. b) Criterion for Variance Investigation The investigation of variance is undoubtedly an important objective of the organization such that the organization is more interested to find out the root cause of such variances. The variances may be either favorable or adverse in nature. The organization should focus on investigating both types of variances because generally the favorable variances are considered as good and they are not investigated but they have serious negative implications behind them. Managers normally try variances to be more favorable because in this way their performance would be marked high and they would be appraised on a better note. But on the other side of the picture, the favorable variances are pulled out deliberately by those managers such as hiring the low-skilled workers or even unskilled workers and purchasing the poor quality raw material etc. In this way, the favorable variances leave negative impacts and harm the overall organizational goals. The overall criteria to examine the variances should be based on the nature and

Marketing transportation Essay Example | Topics and Well Written Essays - 250 words - 1

Marketing transportation - Essay Example 2. Government involvement in international trade results from several economic reasons, which include unemployment and betterment of relations with foreign countries. The government also gains benefits like earning enough money to finance programs and services for citizens. It also has to maintain industries, and maintain its integrity through trade, because trade influences the thinking of common people regarding the efficiency of the government. Also, the government earns money for elections through international trade. Hence, a government might be involved in international trade to gain enough resources to meet the needs of its population. 20. Logistic Performance Index (LPI) determines the importance of logistics in international trade. It is used to measure a country’s efficiency in trade across six coherent dimensions: (1) effectiveness of the clearance procedure by border control agencies, (2) excellence of trade and transportation, (3) efficiency in placing competitively priced shipments, (4) proficiency and class of logistics services, (5) facility of tracking and tracing shipments, and (6) arrangement of in-time shipments according to set

The Story of the Last Hippie Essay Example | Topics and Well Written Essays - 1000 words

The Story of the Last Hippie - Essay Example The paper will cover elements of Greg's condition and how it has influenced his lifestyle and how it may affect his future. It will cover the neurology and psychology of Greg's memory loss and how it comes to be that Oliver Sacks classes him as such an important case. The Story of the Last Hippie â€Å"The Last Hippie† refers to a man known by the name Greg F., who participated in many of the things associated with the 1960s, including the use of drugs to achieve higher consciousness and political activism. In this way, Greg can be said to have been a typical 1960s teenager, experimenting with counter culture and many things that had been unavailable or undesirable to previous generations. Oliver Sacks suggests that Greg enjoyed the music of the 1960s, attending concerts by the Grateful Dead and other such typical musical bands at the time. It was during this phase that Greg became interested in religion, and decided to attend a Hare Krishna temple and eventually became a member of the International Society for Krishna Consciousness. It was here that some of Greg's neurological symptoms became evident, although the members of the temple interpreted these as signs that Greg was a particularly holy member of the congregation, dedicated to meditation and Krishna. Greg was defined by those at the temple for his lack of 'worldly concern' and his freedom from desire, both physically and materially. These are two important things to the Hare Krishna community and many of those who are involved in the work of the temple strive for many years to achieve this state. In the case of Greg, he began to develop these traits almost immediately after joining. He also became known for his 'transcendent smile', something which was reminiscent of the very holiest people within the Hare Krishna community. After being a member of the temple for some time, Greg became revered and admired. Greg even began to go blind, and his eventual total blindness was seen by the community as further evidence of his holiness and his full and true participation in the community and its ways. Whilst the Hare Krishna community was in full admiration of this Buddha-like character, there were those who were wary and even concerned for Greg's health. His parents had been watching h is progress within the International Society for Krishna Consciousness and noticed the differences in their son. Whilst they were pleased that their son had stopped using drugs to achieve higher states of consciousness, and pleased that he seemed to have found his place in the world, they were concerned that his state was evidence of something more sinister. They were also concerned that all communication from the New Orleans temple had stopped, and they were no longer in continuous contact with their son. His eventual blindness was the straw that broke the camel's back, and they decided to contact the health authorities and Oliver Sacks to see if there was anything lurking behind the 'transcendent smile' that their son had adopted permanently. They were right in their concern, as it turned out that Greg had a massive brain tumour which had resulted in all the symptoms that the Hare Krishna community mistook for holiness. Greg's Disorder & Future After this intervention from Greg's parents, it is

Film Essay Example | Topics and Well Written Essays - 1250 words - 3

Film - Essay Example The essay will summarize the parallels drawn in the film and the metaphoric representation of all the political processes and in conclusion, the paper will discuss how the movie succeeded in emulating and approximating the real-world sentiments. One of the greatest themes discussed in the movie was the theme of democracy. This is not only because Rome was the first empire to implement the basic principles of democracy, but at the time the film was made, the United States was already tackling a string political scandals that the then-President Clinton got involved in and George Bush was about to assume the office soon. The former concept is shown in a very intense scene after Maximus wins a battle in an epic showdown, using his military expertise which grabs Commodus’ attention. The crowd loves Maximus to the point that when he publicly threatens Commodus, he is able to go unharmed and is allowed to live because the public favors him greatly. The aforementioned was not only intense because of the great acting by both Russell Crowe and Joaquin Phoenix, but because of the symbolic value of this entire scene. The gladiatorial games were vastly meant for public entertainment and therefore they had ultimate say in helping the winner achieve glory and position in the society, even though the individual in the arena is more or less of a slave. When Commodus is confronted by Maximus, he is forced to give him the thumbs up as the crowd fervently hailed Maximus and roared his name. The helplessness of their so-called Emperor to public demand was ostensible and such is the case in a democratic system of government, whereas the government caters to serve the public and keep them happy to ensure they do not rebel against them. This is the reason, why Commodus had to put forth a charming and amiable front despite his conniving

Inquiring Minds want to know Case Study Example | Topics and Well Written Essays - 750 words

Inquiring Minds want to know - Case Study Example The information being sought touches on the private lives of the individuals participating in the study and this is a great challenge to the study as this is likely to raise many ethical issues. In the modern information age, protecting the personal and private information of an individual is extremely important. Yet, as is seen in this case, there are a number of issues which must be looked at in order to ensure that the privacy of the individual is well protected. Confidentiality Confidentiality refers to the fact that the information of the individuals will not be revealed to other people. It also loosely refers to the fact that the information collected for one purpose will not be used for other purposes. This is extremely important in order to help in protecting the privacy as well as other interests of the individual. In this particular study, there is the risk of the confidentiality of the individuals in at least two ways. First, the data used in the background research is dat a that was collected many years ago and for different purposes. For instance, according to Schindler (2011), data from the early 90s which was collected using reader service cards was used to determine how the technology had affected the way the people were using information. This may be a violation to confidentiality of the people to whom this information belongs. Secondly, the information being collected through the questionnaires may also bring about the issue of confidentiality if it is used in the wrong way and this must be looked at in a critical way. Confidentiality is very important and any research carrying out a research where individuals are involved will have to only assure the participants that their confidentiality will be protected but also do also everything that they can in order to guarantee that the confidentiality of the study will be guaranteed. In this case, there are a number of issues which must be looked at in order to protect the participants. Informed cons ent Informed consent refers to the fact that the participants of the study are clearly informed about the study, its purposes and how the information they will provide will be used. It also refers to the fact that the participants have wilfully agreed to participate in the study even after knowing exactly what the study will be used for. In this particular study, it is necessary for the participants to know exactly how the data they are providing will be used and how this will affect them. After this, they will need to give their informed consent and agree to participate in the study. This is especially important with regard to the privacy of the participants especially due to the fact that the individuals will be providing information which is quite personal with regard to their private life or their professional life. In this regard, it will be necessary for the person carrying this study to make sure that apart from guaranteeing confidentiality of the study, they will also help t he participants to understand clearly what the study is about and that the participants will willingly agree to participate in the study. Protecting the interests of the participants This has to do with the first three issues discussed above, that is, privacy, informed consent, and confidentiality which are all geared towards protecting the inte

Deforestation in Cuba Research Paper Example | Topics and Well Written Essays - 1750 words

Deforestation in Cuba - Research Paper Example There are many other functions of forests. Human activities in the modern global world are often harmful for the environment and it is hard to imagine where we will leave, if forests are further devastated. Nowadays people are cutting trees illegally. The most critical issue for the environmentalists starting from 2000 is the issue of deforestation. Moreover, there is no doubt that preservation of wildlife is current environmental problems in Cuba. This research paper is focused on the issue of deforestation in Cuba and possible ways of prevention of these harmful activities of people. Forests are the most valuable ecosystems on the planet. Forests are the sources of biological diversity, relevant to regulation of climate, and are very important for maintaining biosphere integrity. Forests produce very important economic goods and services, such as timber, energy, food, water, pharmaceuticals, and recreation opportunities (Wagner, 2006). Therefore, there is no option to promote defor estation, but it is relevant to sustain forests and support ecosystem. Otherwise, deforestation can lead to incurable consequences of destroying human activities. Deforestation can lead to one quarter of anthropogenic carbon emissions (Wagner, 2006). Cuba suffers from essential negative impact of deforestation. There is a need for the local government to implement forests protecting policies and decrease the levels of deforestation. Cuba is an island country located in the Caribbean 90 miles away from the Florida coast of the United States. This country has an interesting history. Cuba territory includes 110,860 km, and 23.0 percent forest covered. Deforestation in Cuba is considered to be economical, social and environmental problem of the country. Very often people are dealing with natural resources as endless ones. Starting from the last decade of XX century, deforestation was triggered by political and economic factors. Political power in Cuba initiated numerous programs of refo restation. The government has been focused on the importance on the issues of deforestation prevention. Politicians made an emphasis on the necessity of forest ecosystems management. During different periods of time, Cuba experienced three basic political periods and each era was marked by the effects of different agendas on forest ecosystems. Social and Economic Impacts of Deforestation Environmental reforms in Cuba are improving the forests cover in the country. Social development and development of forests in Cuba have been taken into account by the international community. These two issues should be considered in detail; while it is a well-known fact that flourishing of the modern Cuban society depends on natural and economic welfare. The United Nations calculated that Cuba belonged to the High Human Development Index starting from in 2006 (Where Cuba Leads, 2006). Social and forest development in the country have been often mentioned by the international community. There is no doubt that Cuba has many options of further development, but there is no doubt that prevention of deforestation is first and foremost important agendas for the country. There are many flora species in Cuba, such as Reistonea regia, the tall Cuban Royal Palm and many others. Cuba is well-known as a heart of biodiversity in the Caribbean region. Almost 50 percent of plants in Cuba are endemic. Ecosystem reserves in Cuba are acknowledged by the United

Assignment Two Option 3 Case Study Example | Topics and Well Written Essays - 2500 words

Assignment Two Option 3 - Case Study Example This provides a set of issues and matters that must be examined and critiqued on the basis of Australian law and other Common Law provisions. The issues involve: In order to provide answers to the various issues raised above, there is the need to draw into important statues and Common Law provisions that regulate actions related to the persons involved in the case. This will involve the identification of important elements and features that form the fundamental obligations and requirements of directors in the position of persons involved in the case illustrated above. Companies are formed by various shareholders who come together to pool their resources to raise capital. There is a complete separation of ownership and control in corporate law. Hence, companies are run by people who are nominated and by the shareholders, which is the board of directors. The board of directors are given power by the owners of the business (shareholders) to run a company and they do this by taking decisions and supervising activities in the organisation. The right to use the firms resources gives rise to the agency problem which involves the directors seeking to satisfy their own personal interest ahead of the interest of the company1. This is an issue that can be traced back to the early propositions of Adam Smith that sought to provide major regulatory systems for the control of affairs in corporate entities. This has reflected in the national legal systems which have evolved over the years to include various corporate laws and principles. Conflict of interest has been an issue that was prohibited and restricted by Common Law. In Cook V Deeks3 it was held that directors of a company will have to act in the best interest of the company. And where they subjugated the companys interest in favour of a personal interest of some of the directors, a fraud is committed on the shareholders who stand to

he Absolutely True Diary of a Part-Time Indian by Sherman Alexie Essay Example for Free

he Absolutely True Diary of a Part-Time Indian by Sherman Alexie Essay Identity shows a person’s individuality. A person’s individuality can include how they dress, their beliefs, their personality traits, the way they speak, their culture, their education, etc. In The Absolutely True Diary of a Part-Time Indian by Sherman Alexie and in my own life, it is evident that when exploring identity, a character must leave and return to his/her roots before truly understanding him/herself. Arnold finds out who he is by leaving and later coming back to Rowdy. In the last scene, before Arnold and Rowdy played their one-on-one basketball game, Arnold and Rowdy repair their lost friendship. It is then that Arnold thinks, â€Å"I would always love Rowdy. And I would always miss him too. † (230) This quote shows how Arnold realizes that he is different from Rowdy. To begin, he has always valued his friendship with Rowdy and so he says that he â€Å"would always love Rowdy. † Even when Arnold had a disagreement with Rowdy when heading to Reardan for a better education, he still thought of how Rowdy would defend him. However, by the end of the book, Arnold realizes that he will have to â€Å"miss† Rowdy because their dreams make them too different from each other. Therefore, Arnold discovers that his life can still include Rowdy, who has been his friend since the beginning, however, he cannot rely on Rowdy to be with him always. By the end of the book, Arnold has returned to Rowdy as a stronger and independent person. Similarly, I found my true identity after leaving and returning to my family. Growing up, I came from a home that was traditionally Chinese. We did not easily express our emotions, we were not allowed to date until after college, and being successful at school would ultimately bring honor to my family. Though these beliefs were deeply ingrained in everything I did, a rebellious side of me wanted to discover what it meant to be American as well. Why were the other families so expressive and communicative towards each other? What mattered beyond grades and doing well in school? These questions led me to leave my family and head to college eight hours away. There, I met many people who did not come from Chinese families. I noticed that some students were not as disciplined at school because their families did not stress education or some students were a little overly expressive with their feelings, which caused drama among their peers. I began to miss my house where my parents had instilled values towards having a good education and protecting our family’s privacy. When returning home, I was thankful for understanding my parent’s values and their intentions for my future. Arnold truly finds himself when he has accepted his origins and absorbed them into his perspective of himself. His reunion with Rowdy and the reservation show how he came full circle in finding himself. Even though Arnold wanted to both physically and emotionally remove himself from the reservation in order to pursue his dreams, he ultimately realizes that it is only when he acknowledges his heritage that he can move forward into adulthood.

An Outline of Performance Anxiety in Female Athletes Essay Example for Free

An Outline of Performance Anxiety in Female Athletes Essay Have you ever felt an overwhelming feeling of fear or nervousness, prior to competing in an important event? Did it affect your ability to perform? If so, you may be familiar with performance anxiety. An athlete suffering from performance anxiety often will perceive competitive situations as threatening, which can result in feelings of apprehension, fearfulness and tension (Patel, Omar, Terry, 2010). Interestingly, studies have found the prevalence of sport-related performance anxiety to be much higher in female athletes than male athletes (Thatcher, Thatcher, Dorling, 2004, Patel et al, 2010). See more: essay apa format Thatcher (2004) found that while examining temporal patterning of anxiety and hormonal responses prior to competition, females exhibited an â€Å"increases in cognitive and somatic anxiety intensity levels.† These symptoms can often result in performance that is well below demonstrated abilities, injury, or avoidance of participation altogether. The goal of this report is to outline symptoms and effects of performance anxiety, discuss factors that influence the phenomenon, and recommend anxiety-management techniques for female athletes. Physical and Psychological Effects Athletes suffering from performance anxiety often exhibit cognitive, behavioural, and physiological signs and symptoms (Patel et al, 2010). Some of the main cognitive symptoms include; indecision, poor concentration, feelings of fear, and loss of self-esteem (Cox, 2007, p. 201). Behavioural signs and symptoms often consist of; demonstration of nervous habits, such as biting nails and fidgeting, withdrawal, aggressive or irritable behaviour, and perceived inability to compete. Physiological symptoms include; heightened blood pressure and heart rate, sweating, dry mouth, trembling, blushing and muscle tension (Patel et all, 2010). Hormonal changes can also play a role, as Thatcher (2004) found in his study, a decrease in adrenaline and nor adrenaline can be present in female athletes prior to competition. Factors and Influences Common factors that can contribute to performance anxiety include; fear of performance failure, negative social evaluation and/or physical harm, as well as disruption of a well learned routine (Cox, p.201, 2007). The effects of these factors can be further heightened in correlation with importance of an event, or the level of competition. These fears and feelings of anxiety may affect the athlete’s perception of their abilities and hinder their self-confidence, which can be detrimental to their performance. Patterns of perfectionism can also lead to sport-related anxiety, mainly involving setting exceptionally high performance standards of oneself (Cox, p.202, 2007). Setting high standards can often be beneficial to a performance, but athletes that succumb to unrealistic thoughts, that nothing but a perfect/ideal performance is good enough, are more likely to experience negative emotions and heightened levels of anxiety due to the discrepancy between ideal and current self/situation (Koivula, Hassmà ©n, Fallby, 2001). Recommendations Management of performance and competitive anxiety can be challenging. The first strategy would be to consult with a clinical psychologist, who will often suggest a behavioural approach. These approaches have been found to be the optimal coping strategy for sport-related anxiety, specifically Cognitive Behavioural Therapy (CBT) (Patel et al, 2010). CBT examines how attitudes, beliefs, opinions and behaviours are formed, how they affect success, and how changing them impacts on performance (Joseph, 2010, p.2). The aim of CBT is to target and address negative thoughts and behaviours that underline anxiety symptoms. This is done by enforcing cognitive restructuring such as positive self-talk, modifying negative self talk and challenging negative expectations, as well as implementing relaxation techniques, exposure methods and relapse prevention (Patel et al, 2010). Coaches can also play an influential role in the factors that affect the development of performance anxiety. Athletes who perceive their coaches as supportive of their efforts experience higher levels of sport enjoyment and lower anxiety. (Smith, Smoll, Cumming, 2007) Conclusion Performance anxiety can negatively affect an athlete’s state of mind, hindering their ability to successfully perform competitively, more commonly seen in female athletes. The physical and psychological effects can cause heightened stress in an athlete which can result in complete withdrawal from competition. Behavioural and cognitive interventions are used to teach the athlete coping skills and enforce relapse prevention plans, in hopes to rid the athlete of performance anxiety sign and symptoms.

Case Study: Patient With Shortness Of Breath

Case Study: Patient With Shortness Of Breath Patient Identity The patient is a 54 year old female, Mrs SK who is a housewife with a BMI of 25.7kg/m2. Presenting Complaints She was brought in to the Accident and Emergency (AE) department, complaining of shortness of breath (SOB) and a productive cough. History of Presenting Complaints The patient was experiencing SOB for the past 2-3 days, and was progressively worsening on the day on admission. It was not associated with chest tightness and she was able to sleep the night before. She was also having persistent productive cough with white sputum since she was last discharged 12 days ago. Past Medical History She was diagnosed with diabetes mellitus and hypertension 8 years ago and has history of gastritis for the past 5 years. She was newly diagnosed with bronchial asthma in her last admission two weeks ago. Social History The patient is a widow since 6 years ago and is a housewife with 3 children. She stays in a factory area and has a cat at home. She is a non-smoker and a non-alcoholic. Family History Her mother and father have no known medical illness, but she has a cousin who suffers from bronchial asthma and is frequently admitted to the wards. Drug History The patient was on Salbutamol and Budesonide inhalers, 200mcg when necessary and 200mcg once at night respectively for her bronchial asthma. For her hypertension, she was on 40mg Telmisartan tablets once at night. She was also taking Gliclazide tablets, 80mg twice daily and Metformin tablets, 500mg three times a day for her diabetes mellitus. For her hypercholestrolaemia, the patient was taking Lovastatin tablets 20mg once at night. Based on the Morisky Scale, she was compliant with her medication and she had no known drug allergy. Examination Details On examination, the patient was alert and conscious. She was pink and appeared to be fairly hydrated. She was also able to speak in full sentences, and was not tachypnoeic. A Chest X-ray showed that there was a pneumonic consolidation at the right lower lobe of her lungs. Her blood pressure (BP) was 152/82mmHg, pulse rate (PR) was 109 beats per minute (bpm) and was afebrile. Her oxygen saturation (SpO2) was 96% under 3 litres of oxygen and her blood glucose was measured to be 4.7mmol/L. Investigations Upon admission, standard laboratory investigations were carried out and were obtained. From the renal function test, it was seen that the patient had a low potassium level of 2.8mmol/l and her calculated creatinine clearance was 60.0ml/min which indicated that she had mild renal impairment. The liver function test showed that she had normal liver function. The following shows the results that were out of the reference values for her haematological tests. C-Reactive Protein (CRP) 31.1 à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ Erythrocyte Sedimentation Rate (ESR) (0 15 mm/hr) 110 à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ Haemoglobin (Hb) (13.5-18 g/dl) 10.3 à ¢Ã¢â‚¬  Ã¢â‚¬Å" Haematocrit (0.36-0.46 L/l) 0.303 à ¢Ã¢â‚¬  Ã¢â‚¬Å" Red Blood Count (RBC) (3.8-4.8 x 1012 /l) 3.45 à ¢Ã¢â‚¬  Ã¢â‚¬Å" White Cell Count (WCC) (4-11 x 109 /l) 15.1 à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ Neutrophil (Neutro) (2 7.5 x 109 /l) 10.57 à ¢Ã¢â‚¬  Ã¢â‚¬Ëœ Diagnosis/Impression Patient was initially diagnosed with Acute Exacerbation of Bronchial Asthma (AEBA) secondary to an upper respiratory infection (URTI) to rule out pneumonia. However, later in the day when the chest X-ray came back, she was diagnosed with pneumonia with right parapneumonic effusion. Management Plan The patients current medication was continued and was given 3 litres of oxygen via a nasal prong (NP). She was commenced on prednisolone tablets, 30mg once a day and was given nebulised Combivent (Ipratropium 20mcg/salbutamol 100mcg), every 4 hours. Her peak expiratory flow rate (PEFR) and SpO2 was to be monitored. Antibiotics were kept in view to be started if necessary after the total white blood count results came back. Clinical Progress Upon admission, the patient was afebrile, was tolerating orally well, did not have any sorethroat but was having a non productive cough. An echocardiogram (ECG) was done and it showed that she had sinus rhythm with no ischaemic changes. As her chest x-ray showed a right lower zone consolidation, she was diagnosed with pneumonia. She was immediately commenced on 2g Ceftazidime intravenously, and then continued on 1g three times a day. She was also under nebulised combivent every 6 hours. Her metformin and gliclazide was stopped and she was started on subcutaneous 10 units of Humulin  ® three times a day and 12 units of Humulin N once at night. On Day 2 of her stay, her blood results came back and as she has low potassium levels, she was given 15mls of Mist KCl three times daily and two Slow K tablets once daily. She was still complaining of cough without sputum and was given 15mls of Benadryl (diphenhydramine) syrup three times a day. The patient did not have any major complaints on the third day and was tolerating orally well. There was no SOB seen and she had good inhaler technique. She was then taken off the nebulizer combivent and the oxygen. By day 4, the patient was comfortable, and her cough and sputum had decreased. Examination on her lungs showed that she had prolonged expiratory phase. She was stopped on the Benadryl as well as Mist KCl and Slow K. After reinforcement on the inhaler technique by the pharmacist, the patient was discharged on day 5 as she was afebrile and had minimal cough. On discharge, she was then switched back to her oral hypoglycaemics and her intravenous antibiotic was switched to oral Cefuroxime 500mg twice daily for the next 10 days. She was also given Neulin SR 250mg once at night. Table 1 shows the vital signs chart for Mrs SK throughout her hospital stay. Table 1: Vital Signs Chart Day Time BP (mmHg) PR (bpm) SpO2 Blood Glucose (mmol/l) 1 13.00 178/102 109 100% 6.9 14.00 152/82 109 98% à ¢Ã¢â‚¬  Ã¢â‚¬Å" NP 15.40 4.7 18.40 133/73 114 97% à ¢Ã¢â‚¬  Ã¢â‚¬Å" RA 21.15 6.2 23.05 151/82 119 2 03.15 143/81 106 06.00 6.3 08.30 119/67 94 100% 10.35 4.8 11.24 100/61 107 97% 15.20 112/82 100 16.30 128/70 100 6.2 22.00 3.6 23.50 118/59 66 98%à ¢Ã¢â‚¬  Ã¢â‚¬Å"3L O2 3 04.10 124/64 104 100%à ¢Ã¢â‚¬  Ã¢â‚¬Å"3L O2 06.15 8.2 09.40 100/60 96 11.50 8.5 15.30 108/67 94 17.20 7.4 20.00 121/75 86 4 04.00 110/56 62 06.00 7.9 08.00 110/70 63 4.2 16.00 105/75 91 96% 17.00 9.7 22.00 138/67 114 6.1 5 05.00 9.6 07.15 11.1 Pharmaceutical Care Issues The first care issue is to review the management of AEBA based on the British Guideline on the Management of Asthma. The dose of prednisolone should be increased to 50mg once a day for at least 5 days or until recovery. Since the patient is prescribed with theophylline on discharge, she should be counseled on the signs and symptoms of theophylline toxicity such as confusion, dizziness, diarrhoea, nausea, fatigue and headache. The second issue is regarding the choice of antibiotics for the treatment of community acquired pneumonia in this patient. A sputum full examination microscopic examination (FEME) should be requested to identify the causative microorganisms of the lung infection. If empirical treatment is to be started the preferred drugs of choice would be amoxicillin 500mg three times a day plus either erythromycin 500mg four times a day or clarithromycin 500mg twice daily. Alternative choices would be levofloxacin 500mg once daily or moxifloxacin 400mg once a day, should the patient be intolerant of the preferred regimen. Thirdly, there is no clear indication of the prescription of the diphenhydramine in the first place, as it would only suppress the patients cough, which is inappropriate. Hence it should be stopped immediately. Next, the patients updated blood cholesterol levels should be taken and the appropriate use of statins should be reviewed. As she is on long-term statin use, her liver enzymes should be monitored regularly and if is raised by three-fold, she should stop taking the Lovastatin. She should also be counseled on the symptoms of rhabdomyolysis which is related to the long term use of statins, such as unexplained muscle pain, stiffness, weakness and the darkening of urine colour. The following issue is regarding the patients diabetes management. A HbA1c test should be done to determine her glycated haemoglobin level to see how well her self-management has been. She should also be advised on diet and lifestyle to keep her diabetes under control. Lastly, as she has low red blood count, haemoglobin and haematocrit levels, it is suspected that she has anaemia. Further tests should be done to confirm this, and if it is diagnosed, she should be given ferrous supplements such as ferrous sulphate tablets 200mg twice daily. DISEASE OVERVIEW AND PHARMACOLOGICAL BASIS OF DRUG THERAPY Acute Exacerbation of Bronchial Asthma: An Overview Asthma is a chronic inflammatory disorder of the airways where many cells and cellular elements play a role. This leads to recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or in the morning. These inflammatory symptoms are commonly associated with extensive but variable airflow obstruction within the lung as well as airway hyperresponsiveness and this is reversible either on its own or with treatment. 1 Asthma is a worldwide problem as it is estimated that about 4.5% of the worlds population is affected, which amounts to 300million individuals approximately. The global prevalence of asthma varies from 1-18% of populations in countries all over the world. Asthma has three distinguishing characteristics which are airflow limitation, airway hyperresponsiveness, and bronchial inflammation. Airflow limitation is usually resolved by itself with or without treatment but for individuals with chronic asthma, inflammation may result in irreversible airflow limitation. Stimuli such as irritants or allergens may pose as triggers in airway hyperresponsiveness and bronchial inflammation is associated with eosinophils, T-lymphocytes and mast cells which cause plasma exudation, smooth muscle hypertrophy, mucous plugging and epithelial changes. It is shown that inflammation of the airways play a major role in the pathology of asthma and this starts when allergens or irritant trigger the activation of cells such as epithelial cells, macrophages, lymphocytes and mast cells. This leads to cytokine or mediator release and smooth muscle contraction resulting in cellular infiltration of eosinophils and neutrophils causing airway inflammation including oede ma, epithelial permeability or injury, mucous secretion and vascular permeability which eventually leads to airway obstruction and hyperresponsiveness. The diagnosis of asthma is based on a collection of signs and symptoms without a reasonable explanation for them and spirometry is an early test which is easy to assess if there is any airflow obstruction present and its extent. For diagnosed patients with asthma, acute exacerbations may occur and because patients with severe asthma are at increased risk of death following exacerbations, assessments of exacerbations are crucial. Clinical features of acute asthma exacerbations include severe breathlessness, tachypnoea, tachycardia, silent chest, cyanosis, or syncope. Peak Expiratory Flow (PEF) or Forced Expiratory Volume in one second (FEV1) is also used to measure the lung capacity. Oxygen saturation (SpO2) is measured using a pulse oximetry and this aids oxygen therapy as oxygen therapy is given in order to keep SpO2 levels at 94-98%. Measurements of arterial blood gases (ABG) are usually not necessary unless patients present with features of life-threatening asthma or have SpO2 of less than 92% as there may be a risk of hypercapnea if SpO2 is lower than 92%. Chest X-rays are also not recommended unless patients are suspected of pneumonia or lung consolidations, suffering from life-threatening asthma, having unsatisfactory response to treatment or if they require ventilation. Pharmacological Intervention in the management of AEBA2 Oxygen Oxygen therapy is needed most of the time as patients who are having acute asthma usually present with hypoxia as well. Hence, all patients with hypoxia who are suffering from acute severe asthma should be given oxygen and their SpO2 levels should be kept at 94-98%. ÃŽÂ ²2 agonist bronchodilators As first line therapy, high dose inhaled ÃŽÂ ²2 agonist bronchodilators are used as soon as possible as rapid relievers of bronchospasm. For patients who are unable to use inhaled therapy, intravenous ÃŽÂ ²2-agonists are used instead. ÃŽÂ ²2 agonist bronchodilators work by stimulating the ÃŽÂ ²2 adrenoceptors in the lungs, thus causing relaxation of the airways. Examples of short acting ÃŽÂ ²2-agonist are salbutamol and terbutaline, and a long acting ÃŽÂ ²2-agonist is salmeterol. Glucocorticosteroids Steroids should always be given in all cases of acute asthma. Examples of these are prednisone, prednisolone, dexamethasone, and hydrocortisone. They exert an anti-inflammatory effect by inhibiting transcription of the genes for the cytokines implicated in asthmatic inflammation and hence reduce airway hyper-responsiveness. Anti-cholinergic agents Ipratropium bromide is one of the anti-cholinergic agents that is used widely in treatment of acute exacerbations of asthma. Nebulised ipratropium bromide is used in combination with a ÃŽÂ ²2-agonist bronchodilator as treatment for patients with severe acute or life-threatening asthma. Anti-cholinergic agents work by inhibit muscarinic receptors M1 and M3 which then reduces cGMP formation and decreases smooth muscle contractility in the lungs. This eventually results in bronchodilation and reduces mucus secretion. Other therapies Other therapies include the use of magnesium sulphate. A single bolus dose of intravenous magnesium sulphate is administered to patients with acute severe asthma with previous unsatisfactory response to inhaled bronchodilator therapy or for patients who are suffering from life-threatening or near fatal asthma. It is believed that magnesium sulphate works by reducing calcium uptake by the bronchial smooth muscle cells, causing bronchodilation and also inhibits mast cells degranulation, thus reducing the release of inflammatory mediators such as histamines, and leukotrienes. EVIDENCE FOR TREATMENT OF THE CONDITION The management of asthma can be divided into two parts; acute treatment, and long term management. Management of acute asthma It has been shown that most patients suffering from acute severe asthma are hypoxaemic. Therefore it is essential that supplementary oxygen therapy be given to them.3-6 This is administered via a face mask or nasal prong with the patients SpO2 kept between 94-98%.7 Where nebulisers are needed in therapy, oxygen-driven nebulisers are favoured instead of those that are air-driven due to oxygen desaturation when driven by air alone.8-10 However, the lack of provision of supplemental oxygen should not pose as a factor in omitting nebulised therapy from administration if deemed appropriate.11 Referring to the case presented above, the patient was treated accordingly as she was immediately given supplemental oxygen and her SpO2 was maintained well above 96% throughout hospital stay. As acute asthma is associated with symptoms of bronchospasms such as wheezing and tachypnoea, the main aim of treatment is to quickly resolve these symptoms and most often, high doses of inhaled ÃŽÂ ²2 agonist bronchodilators are effective with minimum adverse effects.12-14 Salbutamol is usually the drug of choice although there is no significant differences in terms of efficacy as compared to Terbutaline. It is shown that there are no significant clinical benefits by using a non-selective ÃŽÂ ²2 agonist such as epinephrine instead of selective ÃŽÂ ²2 agonists.15 Based on a meta-analysis, it is seen that ÃŽÂ ²2 agonists administered via inhalation are more preferable and has similar efficacy with those administered intravenously in adult acute asthma.16 In ventilated patients or those in life-threatening conditions, parenteral ÃŽÂ ²2 agonists may be added to inhaled ÃŽÂ ²2 agonist treatment although there is little evidence supporting this treatment. Although a sing le bolus nebulisation may relieve most acute asthma cases, it is shown that continuous nebulised treatment of ÃŽÂ ²2 agonists is more effective in relieving acute asthma for those with unsatisfactory response to initial therapy.17, 18 Steroid therapy is always given in acute exacerbations of asthma and it is proven that it has better result if given earlier. It not only reduces mortality but it also reduces relapses and the number of hospital admissions as well.19, 20 Oral steroids given are seen to be equally as effective as parenteral treatment hence there is no need for the use of parenteral administration of steroids unless the patient is unable to tolerate orally.19 Prednisolone 40-50mg is given daily for at least five days or until recovery and this can be stopped abruptly after the patient has recovered.2 As long as the patient is on inhaled steroids, there is no need for the dose to be tapered down slowly prior to discontinuation.21 In the case presented, the patient was commenced on steroid therapy but was under-treated as she was only given prednisolone 30mg once daily for just one day. Hence, there is a need to increase the dose of prednisolone to 50mg and to continue is for at least another four days or until recovery before stopping this treatment. In hospital therapy, anticholinergic treatments are given to severe exacerbations of asthma and nebulised ipratropium bromide is always the drug of choice used in clinical settings. A combination of nebulised ipratropum bromide with a ÃŽÂ ²2 agonist bronchodilator is often given as treatment as it is proven that a combination of these two agents has a significant increase in bronchodilatation as compared to the use of a ÃŽÂ ²2 agonist alone. Hence, there is faster recovery and will reduce the length of hospital stay. However, it is also seen that anticholinergic treatment is not particularly effective and favourable for cases of mild exacerbations of asthma as well as after the patient has been stabilized, thus is not necessary in these cases.22-24 The patient in this case was seen to be having a mild exacerbation of acute asthma and hence nebulised ipratropium bromide treatment was not necessary. However, the use of nebulised Combivent, a combination of ipratropium bromide and salbutamol was justified since this patient was re-attending with a relapse and she was also suffering from pneumonia as well. Hence, there was probably a need for a quicker rate of bronchodilation as well as faster recovery for her. The use of magnesium sulphate in hospital treatment of AEBA is not widely seen, however there have been some evidence showing the bronchodilating effects of magnesium sulphate when used in adults.25 There are also studies which report that nebulised magnesium sulphate combined with a ÃŽÂ ²2 agonist shows positive outcomes and good clinical effectiveness in hospital settings.26, 27 The use of an intravenous bolus administration of magnesium sulphate is believed to promote lung function in patients who have severe asthma without harmful side effects.28 Nevertheless, there have been no studies on the repeated administrations of magnesium sulphate, though it is presumed that repeated use may lead to hypermagnesaemia, causing muscle weakness and respiratory failure. As further extensive studies need to be done to determine the most suitable route and dosing of magnesium sulphate, this treatment is reserved only for patients with acute severe asthma without satisfactory response to inha led bronchodilator therapy and patients with life-threatening of near fatal asthma. Monitoring should be carried out constantly throughout hospital stay and in acute asthma cases, monitoring of PEF is crucial. PEF readings should be measured and recorded every 30 minutes after treatment has been started. PEF should also be monitored pre- and post- nebulisation therapies as long as the patient is in hospital and until the asthma is well under control after discharge. It is seen that after hospital discharge, a relative amount of patients either experience relapse or are readmitted into the hospital with at least 15% within two weeks following discharge.29 Therefore it is essential that patient education such as proper inhaler technique, and well-documented PEF recordings with action plans depending on symptoms experienced should be instilled in order to reduce rate of relapses as well as minimize problems associated with exacerbations after discharge.30 Monitoring of the patients PEF was done consistently throughout her hospital stay and the patient was given sufficient counseling prior to discharge on her inhaler technique. However, there was no evidence that the patient was educated on self-documenting PEF recordings as well as action plans based on symptoms experienced following discharge and this should be done in this case to avoid another exacerbation of her condition. Long Term Management of Asthma The aim of management of asthma is to keep it well-controlled without the need of rescue medications, asymptomatic, no exacerbations, no hindrance to daily activities including exercise as well as normal lung function. A stepwise management approach is adopted for asthma patients and this is to acquire initial control and maintain it by stepping up treatment to improve control if necessary or stepping down treatment if there is good control over the condition to maintain the lowest step that will control the patients condition. As the patient is currently on regular preventer therapy with inhaled steroids, she is currently on step 2 of the management of asthma. There have been many studies being carried out to compare the different inhaled steroids that are being used for asthma and it is shown that beclomethasone diproprionate and budesonide are both similarly clinically effective although there may be different devices for delivery. It has also been seen that fluticasone and mometasone being administered at half the dosage of beclomethasone and budesonide shows equivalent clinical effectiveness, however there is somewhat inadequate evidence that fluticasone possesses fewer side effects and further studies need to be carried out on establishing the safety profile of mometasone.31 A new inhaled steroid has been introduced which is ciclesonide and clinical trials have shown evidence that it has more local activity than systemic and less oropharyngeal side effects as compared to the regular inhaled steroids.3 2-35 Although this seems promising, this clinical advantage is still controversial as its safety to efficacy ratio has yet to be established and compared with the conventional inhaled steroids. Inhaled steroids are recommended as preventer drug therapy for adults as they are most clinically effective in controlling asthma based on the treatment goals outlined.36-39 The frequency of dosing of inhaled steroids are generally twice daily and it is shown that there is slight clinical benefit obtained when taken twice a day than once daily, however a once daily dosing may suffice for those with milder asthma. There is also limited evidence of advantage with increased frequency of greater than twice a day.37 In addition to that, starting at higher than recommended doses have no significant effectiveness in management of mild to moderate asthma.40 Hence the recommended dosage for inhaled steroids would be 200-800mcg daily. This would be an add-on therapy to the step 1 management of using in haled short acting ÃŽÂ ²2 agonist bronchodilator as required. Based on the presented case, the patient was on budesonide 200mcg once at night prior to admission but this was immediately increased on admission and was in line with the recommended guidelines as she was continued on budesonide 400mcg twice a day together with salbutamol 200mcg as required following discharge. Other preventer therapies may be included for the patient despite inhaled steroids being the first choice of drugs for preventer therapy. These alternatives are less effective although they have shown some clinical benefit in patients who are on short acting ÃŽÂ ²2 agonists only. Chromones which act as mast cell stabilizers such as sodium cromoglicate and nedocromil sodium have shown to be beneficial in adults.41, 42 Apart from that, leukotriene receptor antagonists montelukast and zafirlukast too have clinical benefits.37, 43, 44 Theophylline also have some evidence in showing benefits in adults.36, 45 The patient in the case presented above was prescribed sustained-release theophylline on the last day of admission. Although it is another option that may be added to daily controller medications for step 2 management, there is very little evidence on the clinical efficacy of it as a long term controller. There is no reason to justify the use of theophylline in this case as the patient is responsive and can be controlled on inhaled steroids. Further more, theophylline has a narrow therapeutic index and close monitoring of plasma theophylline levels is necessary because at concentrations above 25 µg/ml, there is high risk of tachycardia and seizures may occur if concentrations exceed 35 µg/ml. CONCLUSION After reviewing the management of the patients condition throughout hospital stay, it can be concluded that SK was treated adequately based on the current guidelines and evidences attainable. She was given all necessary treatment at point of admission and there was no lacking of medications in all four days of her hospital admission. Apart from that, monitoring of her condition was carried out consistently and all data was updated, leaving no room for questioning and doubt. However, there were a few issues that came to attention which were the prescribing of several drugs that were unnecessary such as diphenhydramine and theophylline. There were little and no clear evidence that these drugs prescribed would be of benefit to the patient, and may also increase the risk of harmful effects to her as well. Alongside treatment of her acute condition, SKs controller medications were reviewed and subsequent changes were made as appropriate. Besides that, her other co-morbidities were also managed well as treatments for her hypertension and diabetes mellitus were given accordingly. PATIENT MEDICATION PROFILE PATIENT DETAILS Name S.K. Consultant Dr YKS General Practitioner Address Gender Female Weight 65kg Height 1.59m Community Pharmacist Date of Birth (Age) 54 years old Known Sensitivities NKDA Social History Widow of 6 years, Housewife, Non-smoker, Does not drink PATIENT HOSPITAL STAY Presenting complaint in primary care / reason for admission Admission date 17/04/09 Shortness of breath for the past two days, progressively Discharge Date Discharged to 21/04/09 Home worsening today and productive cough. RELEVANT MEDICAL HISTORY RELEVANT DRUG HISTORY Date Problem Description Date Medication Comments 2001 Diabetes Mellitus T. Diamicron 80mg BD 2001 Hypertension T. Metformin 500mg TDS 2004 Gastritis T. Telmisartan 40mg ON 2009 Bronchial Asthma MDI Salbutamol 200mcg PRN MDI Budesonide 200mcg ON T. Lovastatin 20mg ON RELEVANT NON DRUG TREATMENT Prescribed Medication Start Stop Clinical/Laboratory Tests Date Result 1 T. Telmisartan 40mg OD 18/04 21/04 2 T. Gliclazide 80mg BD 17/04 17/04 3 T. Metformin 500mg TDS 17/04 4 T. Lovastatin 20mg ON 17/04 19/04 5 MDI Salbutamol 200mcg 2 puffs PRN 17/04 6 MDI Budesonide 200mcg 2 puffs BD 17/04 7 T. Prednisolone 30mg OD 17/04 17/04 8 Neb. Combivent 6-hourly 17/04 19/04 9 IV Ceftazidime 2g STAT, then 1g TDS 17/04 21/04 10 S/C Humulin R 10units TDS 17/04 21/04 11 S/C Humulin N 12units ON 17/04 21/04 12 Syrup Diphenhydramine 15mls TDS 18/04 20/04 13 T. Slow K 2tabs BD 18/04 20/04 14 Mist KCl 15mls TDS 18/04 20/04 15 T. Theophylline 250mg OD 20/04 CLINCIAL MANAGEMENT Diagn

Sibling Rivalry :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Every now and then, someone wishes for something without weighing out all of the pros and cons. We don’t usually hear someone say, â€Å" I wish I had to fight for a hot shower, hide brushes, hunt for clothes, and struggle to use the phone.† But, we do hear them say, â€Å" I wish I had some brothers and sisters.† Believe it or not, each of these statements means the exact same thing. I should know. I lived with four females in one house for seventeen years. Needless to say, each and every day was a war.   Ã‚  Ã‚  Ã‚  Ã‚  Every morning at five a.m., the alarm clock would sound to start the â€Å"Lowry House Derby.â€Å" Each of us would jump from our beds and flee to the bathroom. It was imperative to reach the shower first or at least be second in line because of the limited hot water supply. The other three were doomed to make a decision, an icy cold bath or no bath. Second was the always-dreaded task of finding a brush. We all bought brushes on a regular basis and even branded them with our names, but come morning time they had all grown legs and walked away. If one of us did find a brush the discovery was kept quiet until we finished using it. Then, the brush was given to whoever hadn’t, yet, stepped on our toes that morning. Next, we had the occasional borrowing-of-the-clothes-without-asking. This made getting dressed a time consuming and ill-mannered task. Spots, tears, and even color fading were blamed on the borrower. Finally, as each of us raced out the door, to s chool and work, the â€Å"Lowry House Derby† took a short break.   Ã‚  Ã‚  Ã‚  Ã‚  As we arrived back home from our eight-hour obligations, the derby would slowly resume its course. Now, it was time to flee toward the phone. We all had an emergency use for the phone that was, somehow, always more important than the other’s. Next, came time for homework. This was one of the few times we would pull together. We would each help with subjects that baffled the others. After our study time, the race to the bathroom would be on again. Though, this time it was to wash our faces and brush our teeth. This bathroom race took a lot longer than the morning shower pursuit. We all had to wash, exfoliate, mask, and moisturize our faces, not to mention floss, gargle, and brush our teeth.

The History of Tattoos Essay -- Body Art Papers

A tattoo is a permanent mark or design made on the skin by a process of pricking and ingraining an indelible pigment into the punctures or by raising scars. This is the definition; however, to many a tattoo has more of an abstract, personal meaning. Tattoos symbolize individuality, experiences, status, religion, and art. They come in many shapes, sizes, colors, designs, and styles. The history behind the tattoo is just as fascinating as the tattoo itself. Whether flaunted or hidden, sought as art or bought out of a whim, the tattoo has left its mark on generation after generation (Krakow). The purpose of tattooing varies from culture to culture, person to person, and its place on the time line. The essay will examine the following eras: BC and tribal, 20th century, and modern. It is noted that tattooing (a Tahitian word meaning â€Å"to mark something†) has existed since 12,000 years BC. As noted in â€Å"A Brief History of Tattoos,† women in Borneo tattooed their symbols on their forearm indicating their particular skill. If a woman wore a symbol indicating she was a skilled weaver, her status as prime marriageable material was increased. In tribes, tattoos around the wrist and fingers were believed to ward away illness and bad spirits. In recorded history, the earliest tattoos can be found in Egypt during the time of the erection of the great pyramids. As the Egyptians expanded their empire, the art of tattooing spread along with it. The civilizations of Crete, Greece, Persia, and Arabia picked up and expanded the art form (â€Å"A Brief History of Tattoos). The Greeks used tattooing for communication among spies by identifying them and showing their rank. Romans marked criminals and slaves, a practice still carried on today. Arou... ...on, Michael. â€Å"Tattooing and Civilizing Processes: Body Modification as Self-Control.† La Revue Canadienne de Sociologie et d'Anthropologie 41 (May 2004): 125-146 Demello, Margo. Bodies of Inscription: A Cultural History of the Modern Tattoo Community. Durham: Duke University Press, 2000. Garcia, Tomas (Keepsake Tattoo). Personal interview. 10 Nov. 2014 Hawkes, Daina, Charlene Senn, and Chantal Thorn. â€Å"Factors That Influence Attitudes toward Women with Tattoos.† Sex Roles: A Journal of Research 50 (May 2012): 125-146 Krakow, Amy. Total Tattoo Book. New York: Warner Books, Inc., 1994. Sace, Paul. â€Å"History of Tattoo.† Tattoo.co.uk. 15 November 2014 Steward, Samuel. Bad Boys and Tough Tattoos: A Social History of the Tattoo with Gangs, Sailors, and Street-Corner Punks, 1950-1965. Portland: Harrington Park Press, 1990. The History of Tattoos Essay -- Body Art Papers A tattoo is a permanent mark or design made on the skin by a process of pricking and ingraining an indelible pigment into the punctures or by raising scars. This is the definition; however, to many a tattoo has more of an abstract, personal meaning. Tattoos symbolize individuality, experiences, status, religion, and art. They come in many shapes, sizes, colors, designs, and styles. The history behind the tattoo is just as fascinating as the tattoo itself. Whether flaunted or hidden, sought as art or bought out of a whim, the tattoo has left its mark on generation after generation (Krakow). The purpose of tattooing varies from culture to culture, person to person, and its place on the time line. The essay will examine the following eras: BC and tribal, 20th century, and modern. It is noted that tattooing (a Tahitian word meaning â€Å"to mark something†) has existed since 12,000 years BC. As noted in â€Å"A Brief History of Tattoos,† women in Borneo tattooed their symbols on their forearm indicating their particular skill. If a woman wore a symbol indicating she was a skilled weaver, her status as prime marriageable material was increased. In tribes, tattoos around the wrist and fingers were believed to ward away illness and bad spirits. In recorded history, the earliest tattoos can be found in Egypt during the time of the erection of the great pyramids. As the Egyptians expanded their empire, the art of tattooing spread along with it. The civilizations of Crete, Greece, Persia, and Arabia picked up and expanded the art form (â€Å"A Brief History of Tattoos). The Greeks used tattooing for communication among spies by identifying them and showing their rank. Romans marked criminals and slaves, a practice still carried on today. Arou... ...on, Michael. â€Å"Tattooing and Civilizing Processes: Body Modification as Self-Control.† La Revue Canadienne de Sociologie et d'Anthropologie 41 (May 2004): 125-146 Demello, Margo. Bodies of Inscription: A Cultural History of the Modern Tattoo Community. Durham: Duke University Press, 2000. Garcia, Tomas (Keepsake Tattoo). Personal interview. 10 Nov. 2014 Hawkes, Daina, Charlene Senn, and Chantal Thorn. â€Å"Factors That Influence Attitudes toward Women with Tattoos.† Sex Roles: A Journal of Research 50 (May 2012): 125-146 Krakow, Amy. Total Tattoo Book. New York: Warner Books, Inc., 1994. Sace, Paul. â€Å"History of Tattoo.† Tattoo.co.uk. 15 November 2014 Steward, Samuel. Bad Boys and Tough Tattoos: A Social History of the Tattoo with Gangs, Sailors, and Street-Corner Punks, 1950-1965. Portland: Harrington Park Press, 1990.

Nothing in Common :: Personal Narrative Essays

Nothing in Common    After 19 years of marriage I decided it was time to try living on my own. It took another year and a half for me to actually do it. I had married my husband when I was barely out of high school and promptly gave birth to three sons in rapid succession. I won't go into the details of those 19 years. My husband was a good husband and an okay father. After about 10 years I realized that we were two completely different people with absolutely nothing in common except for our sons.    Moving out was the most devastating and liberating thing that I ever did. I first set myself up in a small above-garage apartment. I had no furniture except my bed and my computer. My first night there I sat in the empty living room listening to the sirens in downtown Lake Worth, a far cry from the peaceful cocks crowing in Jupiter Farms. The emotions running through me were a strange and horrible mix of elation, sorrow, and fear. What had I done?    After a few weeks I began to settle in. I had a full-time job with FPL, I saw my sons often, and I discovered the joy of solitude - something I hadn't known in a very long while with three boys and their friends always under foot. In the mornings I would have a cup of coffee on my balcony and then take a walk to the Intercoastal, which was only two blocks from my apartment. My chaotic soul started to slowly heal and slow down to a peaceful pace.    In the silence of that apartment I had plenty of opportunity to look hard at myself. I took advantage of the silence and finished writing the two books on healthcare and childcare in the late 1800's that I had barely begun a few years before. Those two books were published a year later. I renewed my love of poetry and spent hours reading the works of Pound, Rich, Atwood, and others. I decided to return to college.    I spent four months in my sanctuary over the garage. Then I went home. Everyone thought I would be the same, that life would be the same.

K to 12 programs: Implementation is it worth it or Burden Essay

To start with, what does Education means to you? In the dictionary, it is defined as the act or experience that has a formative effect on the mind, character, or physical ability of an individual. In its technical sense education is the process by which society deliberately transmit it’s accumulate knowledge, skill and values from one generation to another. In my own words, Education is the process of learning by which the knowledge, character and behaviour are produced and modified. In this essay, I will impart upon my readers my opinion of what education means to me. My education given to me by my grade school was one which provided me with sufficient skill about academics performances however I have hard time in arithmetic, knowing my own limitation in academics makes me comprehend that I must build up more. As time goes by, our education improves. The DepED implied new curriculum. This is the K to 12 programs. Under this curriculum there will be additional 2-years in secondary level. Is the K to 12 curriculums â€Å"worth it†? In my point of view it is worth it. Why? Because it helps all the students to learn more about entrepreneurship and livelihood business and our country will become globally competitive. The K to 12 curriculums will be sufficient to prepare students for work and this is the betterment of our education system and our economy. And the good thing in this curriculum is when you are graduated in this curriculum you can immediately work without continuing college but you can’t have a degree but if decide to continue college it is better because you can have a superior work and have a degree. While on the other hand, it is â€Å"Burden†. Well they say that this K to 12 curriculums is an additional burden to the parents particular when they are having deficient in money sending their children in schools. Of course all of the parents desire to send their children to have high-quality education but in various cases because of poverty their option is to not educate them. In conclusion, the K to 12 curriculums is worth it neither it a burden. Without doubt, education can affect one’s future. It is undeniably that through education, we can pursue our dream and ambition in life. The choice is in our hands. We must equip ourselves with plenty knowledge in order to be successful in life. It is depending on us what will be our future; education is just a tool to reach our ambition in life. The work is still in our hands. And education is the best gift you could ever  receive, because once you have it, no one can ever take it. I believe this understanding of the DepED will be a big chance to achieve our objective in life. I have come to think that the K to 12 curriculums is a brilliant project but the question is â€Å"Will the K to 12 programs facilitate the students intending to pursue a higher education†. A relationship is like a rose, How long it lasts, no one knows; Love can erase an awful past, Love can be yours, you’ll see at last; To feel that love, it makes you sigh, To have it leave, you’d rather die; You hope you’ve found that special rose, ‘Cause you love and care for the one you chose.

Effects of Education Essay

Education is an act of learning which enables one to realize his or her full potential and know areas that one is talented in order to exploit them[Grusky, 2001]. Education basically entails impacting of knowledge to individual. Social inequality on other hand is lack of basic necessities in life example access to health care and employment opportunities and others. Those individuals who are socially unequal with others are excluded form full and equal participation from what is important is one’s social life. Education has not had effect in increasing opportunity for all but instead it has reinforced existing social inequality. This is evidenced since one can only be educated on basic of his or her social class and their results to division between individuals, those who are educated continue to prosper while those who are not remain in poverty. It can also be evidenced in economic inequality since this is mainly as a result of social inequality. Economic inequality links with social inequality in that poor financial status hinders people from obtaining some education while some standards as others is , they cannot obtain the same housing, healthcare and also education. Lack of these basic necessities results to people living in the different classes to use different technologies according to their income. Socially education places people in different status which are mainly achieved through education because it determines over occupation which is the main determinant of one’s status in a community. In this, education brings about these differences since those who are educated bring up their siblings in the same status but for those who are not educated they cannot afford good education for their siblings. The position of a person in community can be determined by the social class one is in due to what he or she has achieved. This mainly comes in varying level of education that one has attained since those who are educated are employed and subsequently their standards of living are raised which make them different from common man who did not access education and therefore has not been able to achieve anything. People in different status are positioned differently in the society in regard to the way they can access different goods and services. Therefore the issue of education in status makes it clear that the social standards are very different between the education and those who are not learned because they have no opportunity to experience the high status of life. The difference brought about by effect of education on reinforcing social inequalities has resulted to basic life change. Such changes include physical health where by people don’t get access to the same health intervention which results in deterioration of health in those individuals who did not benefit from education. Apart from Medical intervention, learned individual have gained access to learning how one can live healthy, eat well to prevent diseases and they can readily access healthy product as compared to those who have no money nor basic education to help them overcome the poor health. The educated tend to keep the knowledge to themselves and help those who are also educated and leave the less fortunate to suffer with no =one to help them since they do not have money or basic education to help them overcome poor physical health. More also, social inequality brought about by difference in education background has brought about life change in psychological health in that those who are not educated have so many problems which keeps on torturing the affected person mentally. The psychological health can be brought about by depression or isolation from the others who consider one to be of low life since he or she has not gone through education system. Others engage in excessive drinking of alcohol and other illicit drugs which end up in destroying their mental capability which results to poor psychological health. In contrast social inequality comes in since those who are educated, even if problems comes their way they have different means of dealing with them and thus why they are always in good psychological health unlike the unlearned ones. Inequality can also be evidenced in basic life changes in food and shelter one uses. The issue of education does not benefit all since the educated can have good standards of life and live in good houses and eat better food than those who are not educated. These differences make people to have different social style since poor will only socialize with those whom they share the same social class with and the same applies to the rich. Particularly, social inequality comes in when one is wealthy which make them to use their money power to achieve various political powers but in contrast the poor remain poorer since they have no one to represent them due to lack of education. In other words education only benefits those who are educated but it’s not for all. The poor who are basically not educated, politically are much different from the uneducated since they are not equally represented which increases inequality in the society. Education has also brought difference in different racial; and ethnic group. This is because a different group views the value of education differently and the educated one continues to benefit while those who are not remain poor and poorer. Some groups values education while others do not which makes them to live in two distinct social classes. Their social inequalities are much strengthened by education since the educated and uneducated persons cannot interact freely. Also the level of education is different in different races and ethnic groups regarding to the way each group values the concept of education. Those who are learned can afford different technologies example the use of computer as compared to those who can not afford advanced technology and end up using manual methods to carry put their tasks. These differences makes individual not to interact freely with each other. Education has brought existing social inequality since it has brought difference in accessing job opportunities. Those who are educated mainly gets better jobs which distinct them from their uneducated counterparts who can not be offered the same job since they belong to different social class brought about by the level of education. Also operation of basic businesses requires educated individuals which entirely create a gap in operation between those who are educated and those who are not. The amount of wealth one has determines his social class which creates a gap between the rich and the poor. Those who are not learned are at a risk of social inequality since they lack access to basic education. This creates difference between the learned individual and therefore they can not relate freely. Socially these people are discriminated by those who are learned. Education has also brought about inequalities in goods and services taxes. During payments of these taxes inequality based on social class is evidenced since different individuals are taxed differently and in this, less educated may pay less taxes as compared to those who are educated since they have many assets as compared to poor. Sex and gender can also cause social in equality (Grusky, 2001). Many people view works differently and see to it that different jobs are for different sex. For example in most countries women are considered to perform domestic chaos while men go to work in offices. This creates inequality since even women can work in their areas and they should not be denied chance to work. Like in military jobs are viewed to be for men but in real sense even there are some women who can perform those tasks better than men. Geographical location of individual also matters since it depends on how those living in that geographical area view education and the impact it have in their lives. Citizenship is another factor since you find those living in different countries has achieved different levels of education which is different from each other. Their differences shows that the two groups cannot interact freely which brings about social inequality. Social inequality can Stimulate social conflicts and lead to political instability. People of different social background do not interact freely and incase of political instability you can see the two groups fighting. These social inequalities can result to family violence and breakups and this is evidenced when one is more educated than the other and therefore they share different social background. They can also stimulate street crimes whereby some people see to others as more advantaged than others since may be they are looking for jobs which are not forthcoming due difference in their educational backgrounds. Therefore, they can end up fighting those who they consider their rivals. These inequalities can also result to hate- crimes where one consider another person as a hindrance to his or her success or may be you hate your parents since they did not give basic education which is much needed. Therefore education has effect in increasing opportunity for all can only be achieved if everyone has had access to basic education which can be used to unify everyone. Otherwise, for unequal distribution of education it results to social inequality which is the case in real life today. So education has reinforced the existing social inequalities because not every one has an access to basic education to give opportunity to all.