Thursday, October 31, 2019

Medical Marijuana Essay Example | Topics and Well Written Essays - 750 words - 2

Medical Marijuana - Essay Example I, therefore, agree with the medical findings on the use of marijuana for medical reasons and the benefits of medical marijuana. The use and legalization of marijuana have led to controversies in the society. These controversies consist of opposing views on medical marijuana; there are those who are in support of its use and legalization and those who are against its use and believe its use should be banned. According to studies done thoroughly by the medical research and studies, the use of marijuana does show positive signs of relief when used in the treatment of various medical illnesses. Diseases such as arthritis, depression, HIV, cancer and other chronic conditions affect a huge percentage of the society’s population today. With no treatment at all or few treatment and cures for these medical conditions, the use of medical marijuana has been a good alternative to alleviate the suffering faced by these people having these illnesses. Marijuana content contains ingredient referred to as tetrahydrocannabinol (THC) which is active. After smoking marijuana, this ingredient gives the individual a  "high† feeling. According to the American Cancer Society, the active ingredient in marijuana helps in reducing pain and other cancer symptoms. With these concrete research report, the FDA has agreed on the use of tetrahydrocannabinol in marijuana for therapeutic and medical purposes (Anderson, Hansen, & Rees, 2012). Despite the fact marijuana, use for medical reasons may have positive effects on some medical illnesses and conditions; on the other hand, it also has its negative effects. Most of the population in the society knows that marijuana is an illegal drug. Approximately seventy-eight percent of marijuana users in the society smoke marijuana for recreational purposes as well as personal enjoyment. For this purpose, this drug is made illegal in most countries. The law

Tuesday, October 29, 2019

Observations of Realists Essay Example for Free

Observations of Realists Essay 1) Are the observations of Realists, such as Hans Morgenthau, accurate in respect to their assessment of the importance of international law in contemporary world politics? Realists such as Hans Morgenthau and more recently Lloyd Gruber, base their theories on the assumption individuals, and hence states, act rationally to protect their own interests, the national interest. They believe states exist in a world of anarchy without an over arching authority. While this may be the case and it certainly is for some states, it is a theory that requires review within the context of the modern world and international law. In the world of bi-polar power during the Cold War, Morgenthau’s views interpreted the global climate accurately, however it is now short sighted in our time of globalization. Multi-National Corporations (MNC), Inter-Governmental Organisations (IGO) and Non-Government Organisations (NGO) play a very large part on the world stage and influence countries, economies and conflicts. Meanwhile younger theories are tending to consider the state and the world’s political climate as a holistic, interactive entity. Increased access to communication, social media and increased global wealth serve to provide an environment for a better financed and informed NGO. Yet even the UN, it’s efficacy being constantly brought into doubt, plays a vital role in establishing norms and standards with the global stakeholders. These developing theories document our planet’s political interaction and development and as such are constantly in a state of change. Sometimes in-sync with current standards such as international law and other times, not. Taking into account realism is one of the more established theories of international relations, we have to also consider the global climate in which the theory was established and compare that to now. Hans Morgenthau was born in Coburg, Germany 1904 and experienced two world worlds. He and his predecessors experienced states as the only actors in world politics. The United Kingdom was exiting her great period of colonisation and was witnessing the unraveling of her empire. Meanwhile Germany was rebuilding and rising in global status. The world was experiencing a transition into industry and moving away from the traditional agriculturally driven economies. Throughout this time, the average person’s existence was more concerned with subsistence. Overseas phone calls and intercontinental travel were beyond the average person’s reach. The importance of setting the scene here is to understand globalisation was in its infancy. To understand this helps to shape the importance other actors in world politics play. Instant communications, the Internet and global travel have made the world a smaller place. Activists, such as Green Peace, can now influence states. So much so, the Rainbow Warrior, Green Peace’s flagship, was sunk by the French spy agency, Directorate-General for External Security (DGSE), in July 1985, killing a photographer. This is an extreme example of NGO influence, yet it cannot be denied that to bomb a civilian ship highlights the pressure Green Peace was placing on the international stage. Realism does not take into account all variables acting upon the state in today’s day and age. When established, realism existed in a time of strong state actors. Today, with the ending of the Cold War that line has blurred, NGOs etc†¦ have filled that void. To understand the motivation behind the establishment of these organisations helps us to understand the influence they have. For instance, Oxfam, Amnesty International and the like have their basis within a moral social consciousness. Therefore, it’s easy to see why theories, such as Social Constructivism, focus on a world shaped by the influences of a nation’s shared beliefs, culture and values. As democracy extends further and nations adopt a capitalist model to fit into the global model, the demands to maintain a balanced, humane society increase. Governments feel this pressure and so, act accordingly. An argument by Social Constructionist such as Barnett and Finnemore is that IGOs have the real power. As I will show later using the US invasion of Iraq, governments still have the final say on their actions, although IGOs, NGOs and MNCs play a very large role in influencing them. Having stated this, one may counter argue this implies it is still a state verses state environment (Realism), however, the world has still evolved into government verses government verses IGOs, NGOs and MNCs, henceforth realism cannot not explain the actions of governments alone and must consider the external influences. Constructivism does so, but places the power into the hands of IGOs and the like. An alternative needs to be sought. Alternatives such as the European Union, which remains â€Å"†¦the most successful experiment in political institution-building since the Second World War. Andrew Moravcsik goes on to say the EU cannot replace or aspire to the democratic status of nation states, yet their role remains embedded in monitoring accountability and extensive checks and balances upon its member states. Emerging actors such as the EU again demonstrate the changing environment and clearly indicate realist theories, must by reconsidered. Focusing on the institutions such as the International Monetary Fund and the World Bank, we can cite several occasions in which their influence has shaped global politics, whether for selfish or selfless motivations. The concept of poverty alleviation was raised by the World Bank during the 1960’s and saw the World Bank â€Å"sell poverty alleviation to members through a mixture of persuasion and coercion. † The Ford Foundation established a report highlighting the successes of poverty alleviation and cited their own programs, many of which were to governmental organizations. The report also stated poverty alleviation programs were ineffectual and implied corruption. Albeit, this report was funded by the Ford Foundation to report on its own programs, yet I was under the impression they were given freedom to report accurately. Even though the Ford Foundation was established by Henry Ford’s son, and not the company itself, it still represents the power and influence a MNC can exert. These reports are not controversial, but it does go towards forming an image about governments and it is in this way influence is exerted. Furthermore, the actions of the Ford Foundation to fund relief programs, brings into question the effectiveness and validity of IGO programs. Probably the largest non-state actor is the United Nations (UN). It’s governance covers many areas of international concern, United Nations Children’s Fund (UNICEF), World Food Program (WFP), United Nations Development Program (UNDP), United Nations High Commission for Refugees (UNHCR), United Nations Education, Scientific and Cultural Organisation (UNESCO), etc†¦. As a consequence, its membership is extensive. Whether the member states take their affiliation with the UN and it’s associated bodies seriously or whether they use them as a vehicle for their own means is irrelevant. In either case, the mere existence of this relationship affects the outcomes of global politics. While UN peace keeping missions and other security programs are a subject for debate into the validity of the UN, it cannot be argued that President Bush’s attempts to have the invasion of Iraq sanctioned in 2003 was an attempt to the have the US’s actions deemed as â€Å"right’ within the eyes of the global audience. The fact the US then ignored the UN’s recommendation is irrelevant, the mere attempt to legitimize the US’s actions implies the states are now not the only actors within global politics. This occurrence in itself indicates in itself realism is becoming outdated and the need to consider a more holistic approach. While it can be argued the UN is an Inter-Governmental Organisation (IGO) and is therefore a part or rather a stage for governments to act upon. It must be noted the sovereignty of states, upon which realism is based, does not exist within the UN. The UN is a global entity upon which sovereign states are members, the UN in itself has now physical bounds and by its title, implies the uniting of nations as a common theme. The Neorealist and Structural Realism models may be more applicable in that they balance of power among states is considered in the UN forum, however, true Realist theories, such as those proposed by Morgenthau, are becoming less relevant based upon the increase in non-governmental actors. The development of the Realist theory and subsequent â€Å"neo† theories show a development of thinking and a mark of the time in which they were contrived. These theories cannot be accurate moving into the future as the benchmarks upon which they are based change with the development of the world, it’s technology and it’s people. They can however, allow us to isolate specific elements of global relations, regardless of the time they were developed. I foresee a more holistic approach to global government and non-governmental relationships develop. This will allow us to consider all of the relevant stakeholders while incorporating the best of each perspective, whether it comes from a sociological, economic or political basis. Realist theories are accurate to a degree regarding world politics, however the influence they now hold on international law and global governance has become less. The role of non-state actors, facilitated by the expansion of communications and travel, namely globalization, has given rise to organisations, which previously were unable to exist. Their power varies greatly within the influence they have upon governments of the world, yet they do influence. In a world where the occupants are more aware and hold their respective governments to account for their actions, these nations cannot afford to ignore the influence of the new players in the game.

Saturday, October 26, 2019

Pathophysiology of DORV and Surgical Management

Pathophysiology of DORV and Surgical Management Advances in genetic techniques and ability to detect the chromosomal abnormalities in the cellular structures; have had a great impact on the detection of congenital cardiac defects. Although in the past congenital heart diseases have long been recognised as a constituent of complex genetic syndromes, a genetic cause for specific congenital heart diseases has less been apparent; as the sources of these defects has been believed to be multifactoral. In addition, with the advancement of the molecular genetic studies, it has come to light that in many instances, congenital heart diseases exhibit classic Mendelian transmission. It is also possible to trace the direct involvement of a gene with a particular congenital cardiac defect. Tetrology of Fallot has been found to have genetic predisposition, it is estimated that offspring of a parent with tetrology of Fallot is more likely to suffer from the disease in comparison to offsprings whose parents do not suffer from congenital heart disease. Studies estimated that about 1.5% of live births will be affected by tetrology of Fallot if the parents suffer from the defect and about 0.1% will be affected by the presence of tetrology of Fallot if parents do not suffer from congenital heart disease. In comparison in DORV chromosomal abnormalities have only been identified in some cases. In the Baltimore-Washington infant study, DORV was diagnosed in a few patients with downs syndrome and in trisomies 13 and 18, although the incidence was quite low compared with that morphologically similar lesion, tetrology of Fallot. In addition the related conotruncal abnormality, complete transposition of the great arteries, was not found in any patient with trisomy in reported study, this suggests that DORV and transposition of great arteries may be etiologically similar and may be fundamentally different form tetrology of Fallot in terms if developmental mechanism. Also DORV and Transposition of Great arteries are rarely found in patients with CATCH 22 syndromes, although tetrology of Fallot is not uncommon. In a large sample study of patients with conotruncal abnormalities to evaluate the frequency of 22q11 deletions, only 1of 20 patients with DORV as compared to 15.9% of the patients with tetrology of Fallot. The studies have also reported that DORV may be a part of complex CHD in patients with DiGeorge, velocardiofacial and conotruncal anomaly-face syndrome. In a resent animal study it was reported that DORV occur in mouse embryos homozygous for the JMJ mutation, which affects the nuclear protein jmj coded by chamber-specific genes. Surgical Management Surgical management for the DORV and tetrology of Fallot is determined by the anatomy and physiology of the defect as well as the age at which the diagnosis is made and at which the need for surgical intervention arises. Indications for operation are similar to those for defects that lie on each side of the DORV spectrum (VSD, tetralogy of Fallot, and Transposition of great arteries). In addition the presence of associated cardiac defects may modify the approach. In DORV the position of VSD and the presence and severity of pulmonary stenosis are probably the most important considerations. In tetralogy of Fallot most patients have satisfactory systemic arterial oxygenation saturation at birth and require no treatment. However when the oxygen saturation drops below 75-80% operative intervention becomes imperative. Hypoxemic spells may occur from the transient reductions in pulmonary blood flow, due to sudden increase in right ventricular outflow tract obstruction and the decrease in systemic vascular resistance, so a surgical approach takes into consideration the number and location of ventricular septal defects, anatomy and severity of right outflow tract obstruction, coronary artery and aortic arch anatomy and the presence of other cardiac and non cardiac anomalies. Depending on the severity of the cyanosis two types of surgical streams are available. There are two basic possible types of surgical strategies for newborn infants with tetralogy of Fallot. One of the strategies consists of a staged repair; where initial palliation is followed by a complete repair and other one being a complete repair in the neonatal period. Palliative surgical correction, which often does not require the use of cardiopulmonary bypass, is the creation of systemic to pulmonary shunt. This correction is achieved by connecting systemic blood flow source to a the pulmonary blood flow, as already mentioned the main feature of this congenital defect is the reduced flow to the pulmonary system which is the basis of cyanosis. The palliative repair is done by fitting a tubular prosthesis between a systemic artery and a pulmonary artery as shown in the figure (?) (a, b and c). The commonest type of systemic-to-pulmonary arterial shunt is a modified Blalock-Taussig anastomosis which is a communication between a subclavian and pulmonary artery of the same side. Another form of palliative correction is done by creating a connection between ascending or descending aorta and the trunk of pulmonary artery. The connection which connects the posterior ascending aorta to anterior pulmonary trunk is called Waterston shunt and connection bet ween posterior pulmonary artery to anterior descending aorta is called potts shunt. Both of these techniques have there advantages and disadvantages (figure (S) e and f). Figure ( ? ) The most common types of palliative procedures for tetralogy of Fallot. The modified Blalock-Taussig shunt (MBTS) using a Gore-Tex graft either from the right subclavian artery (A) or the right innominate (INN) artery (B). C, A central aortopulmonary shunt using Gore-Tex. D, A right ventricular outflow patch without ventricular septal defect closure. Pathophysiology of DORV Once the anatomic variables of DORV are understood, the various physiologic manifestations become both logical and predictable, at the tetrology end of the DORV spectrum; pathophysiology is similar to that in the tetrology of Fallot. The most important variables determining the physiology of a given heart are the position of the VSD in relation to great arteries, the relation of the great arteries to each other and the presence of associated defects (in particular, outflow tract obstruction). In general patients with large VSD and no pulmonary stenosis or severe pulmonary vascular resistance are not clinically cyanotic. This is because Qp is high and the resultant mixture of blood in the right ventricle has a high enough oxygen saturation to prevent clinically evident cyanosis; however there is some arterial desaturation. Although both great arteries arise from the right ventricle, often incomplete mixing of oxygenated and unoxygenated blood occurs at the ventricular level because of streaming. This streaming of blood within RV is usually determined by the relationship of semilunar valves to the VSD and the position and presence of the infundibular septum. The blood in the great artery most closely related to the VSD and therefore most aligned with LV outflow tract tends to have the highest oxygen saturation. Likewise, the great artery that due to streming, preferentially receives systemic venous return, tends to have a lower saturation. This phenomema is somewhat different from true single ventricle physiology. In DORV with subaortic VSD and no pulmonary stenosis, pulmonary blood flow will be determined by the relationship of pulmonary to systemic vascular resistance. What is usually the case after the first few weeks of life pulmonary vascular resistance is less than systemic vascular resistance, pulmonary blood flow will be greater than systemic flow, resulting in higher than normal pulmonary arterial saturation and congestive heart failure. As the pulmonary vascular resistance increases in response to this abnormal volume load, pulmonary blood flow correspondingly decreases. Eventually, if left untreated, this usually results in pulmonary vascular obstruction disease with severely and irreversible elevated pulmonary vascular resistance, causing progressive cyanosis and early mortality. However if when the VSD is in subaortic position with pulmonary stenosis, whether valvular or subvalvular, obstruction to pulmonary blood flow is found. Conduction System In tetrology of Fallot the sinus and atrioventricular nodes are normal in location, and the bundle of His follows the same general course as in patients with isolated perimembraneous and juxtatricuspid VSDs. Thus it emerges through the right fibrous trigone at the base of the noncoronary cusp of the aortic valve and courses forward toward the papillary muscle of the conus along the inferior VSD margin or slightly to the left side of the defect edge. In addition, hearts which show marked clockwise rotation of the aortic root with overriding, the right trigone is carried more rightward and superiorly and directly into VSD margin. By contrast, the bundle of His does not lie on VSD margin when a muscle ridge is present, since the ridge projects superiorly above the right fibrous trigone. In DORV with concordant AV connections the AV node lies in the usual position in the muscular portion of the AV septum. The bundle of His penetrates the fibrous right trigone of the central body and lies along the posteroinferior margin of the VSD in lesions that are juxtatricuspid wheter the defect is subaortic, doubly committed, or sub-pulmonary. When muscle is interposed between the defect and the tricuspid valve, this muscle protects the bundle, which no longer runs along the posteroinferior free margin of the defect. Oxygenation Hemodynamic representation of Tetrology of Fallot (indicating right to left shunting) Supply of oxygen to the body Due to the mal-alignment and deviation from the normal physiology, the main issue of the patients with tetarology of Fallot is hypoxemia due to inadequate pulmonary blood flow caused by the inadequate pulmonary blood flow, which is determined by the right ventricular pressures and degree of obstruction. Since the right and left ventricular and aortic pressure is equalized, a drop in systemic arterial pressure will result in a reduction in pulmonary blood flow. Oxygen carrying capacity of blood depends mostly on haemoglobin concentration and greater the haemoglobin concentration in the blood that perfuses the lungs, the greater the amount of oxygen extracted per unit of blood flow. In neonates the haemoglobin concentration is relatively high (15 to 18 g/dL), however it drops to about 10 or 12g/dL by 3-4 months after birth. In neonates with tetralogy of Fallot there is an increase in blood level of erythropoietin due to hypoxemia. Iron is required to maintain or increase in haemoglobin levels; however suckling infants have very low stores of iron and food intake in early infancy provides little iron. Therefore there is a high incidence of anaemia in children with tetralogy of Fallot. On the other hand tetraology spectrum of DORV, where the great arteries lie side by side with aorta to the right of pulmonary artery and both semilunar valves lying in the same transverse and coronal plane the physiology is similar to tetralogy of Fallot. In these neonates the VSD is closer to aortic valve thus oxygenated blood form left ventricle is directed to the aorta and the deoxygenated blood is directed to pulmonary artery but the degree of pulmonary stenosis directs portion of deoxygenated blood into aorta. In addition due to the presence of large VSD both ventricles are subjected to similar pressures. Due to the pulmonary stenosis the blood flow to the lungs is restricted causing drop in the pulmonary systolic pressure, which in turn causes hypoxemia. The pulmonary stenosis is most often infundibular, but may be valvular, with or without a small pulmonary valve ring. In doubly committed VSD category of the DORV spectrum the conoventricular septal defect is both subaortic and sub-pulmonary owing significant conal septal mal-development and mal-position. The hemodynamics change in that case will also be determined by the presence or absence of subaortic or sub-pulmonary stenosis. Therefore cases with sub-pulmonary stenosis will have reduction in the pulmonary blood flow and will result in the hypoxemia and thereby cyanosis corresponding physiological characteristics of tetralogy of Fallot. Also in cases of non-committed DORV majority of great vessels arise form right ventricle thus right ventricle is subjected both pulmonary and aortic circulation resistance. Oxygenated blood form left ventricle gets mixed with non-oxygenated blood through VSD making systemic and pulmonary circulation equal. In addition due to left and right shunting right ventricle is volume overloaded and results in congestive heart failure. Additionally, the stimulation for the formation of red cells continues and very high counts of red cells are achieved, but the cells are microcytic and hypochromic, since the average corpuscle volume and average corpuscle haemoglobin are markedly reduced. Also the rise above 60% increases the blood viscosity. This raised viscosity of blood leads to greater resistance to flow through the tissues and ultimately capacity to transport oxygen vanishes. In transposition spectrum of DORV the physiology is different then described above, since the presence of large sub-pulmonary VSD and its commitment to the pulmonary artery; the course of circulation is dependent on the afterload on each ventricle, as shunting could occur in either direction. In this type of defect the oxygen saturation in the pulmonary artery is higher than in systemic circulation. The high oxygen saturation of pulmonary arterial blood will however decrease the pulmonary vascular resistance and consequently will result in right to left shunting during systole. This will result in some decrease in PO2 of blood distributed to the lungs as well as through ductus arteriosus. On the other hand during diastole a larger volume of blood will return from the pulmonary veins to the left atrium and ventricle and thus results in a left to right shunting. As a result, the oxygen saturation of the blood going to systemic circulation is increased and thus tends to limit the abnorm al decrease in the upper body PO2. A characteristic of this defect is the presence of a large unrestrictive VSD with which the mixing of pulmonary and systemic blood takes. This phenomena result in a relatively large pulmonary to systemic blood flow ratio and consequently high systemic oxygen concentrations; therefore limiting the tissue hypoxia. However the inability of the ventricles to maintain the physiological normal pressures cardiac failure is often associated in infants with transposition spectrum of DORV. Infants with this type of physiology usually appear with mild cyanosis and in congestive heart failure. In addition if there is effective mixing but pulmonary flow is reduced by the presence of pulmonary stenosis or increased pulmonary vascular resistance, pulmonary to systemic flow ratio decreases and arterial saturations will be lower and subsequently will result in tetrology of Fallot type pathophysiology. Right to Left Shunts. Now just for a moment let us consider a large VSD assocoiated with pulmonary valve stenosis which is severe enough to have a resistance greater than systemic vascular resistance. Just like the last case, this ratio of resistances results in reversal of the shunt. This is in fact an unusual combination, but the point here is that the situation mimics the haemodynamics of tetralogy of Fallot. Also it shows how associated pulmonary stenosis can have a great influence on cardiac malformations on many sorts. We will meet it again in the commom mixing situations. On the other hand with no pulmonary stenosis look at the difference Right to Left Shunts. I am making a morphological point here: tetralogy of Fallot is not a coincidence of pulmonary stenosis and VSD but the consequence of right ventricular outflow tract and central pulmonary artery hypoplasia. The diagram can be adjusted to accentuate this, as above. Tetralogy has a variable and sometimes spasmodic stenosis of the muscular right ventricular outflow tract. Sometimes, particularly early in life, the degree of obstruction is not great and the infant may present with signs of a VSD shunting left to right. Qp:Qs (Ratios Pulmonary to systemic Ratios) Double outlet Right ventricle hemodynamic representation (DORV -Common mixing) In many cases of complex congenital cardiac disease it can be quite difficult to understand how the degree of systemic desaturation reflects the flows in malformed heart. It helps to realise that many of them fall into this group of common mixing circulation, which is to say that all pulmonary and systemic venous blood streams are obliged to come together at some point in the circulation. They are: Totally anomalous pulmonary venous drainage. Univentricular heart. Double outlet right or left ventricle. All simple valve atresias. Fallot pulmonary atresia. Truncus arteriosus. And any of the above in combination with any other defect. If there is complete mixing of the systemic and pulmonary returns, it follows that pulmonary and systemic arterial saturation will be identical. Due to streaming effects, the mixing may not be quite complete but the saturations will still be nearly identical. This all means that some degree of systemic desaturation will be present. The degree of cyanosis is dictated by the ratio of pulmonary to systemic flow as shown in the figure above, in which Qp is pulmonary flow and Qs is systemic. Often, particularly in the univentricular heart and in the double outlet ventricles, it is asssociated pumonary stenosis which determines the ratio of Qp to Qs. Some patients with a Qp high enough to keep systemic saturation above 94% or so will not be clinically cyanosed. Time and space do not allow a full descrtiption of all the pathologies so we will take one example, double outlet right ventricle. Double outlet right ventricle is a good example of the haemodynamic variability of this group. The figure above shows the circulation in a case where there is a large ventricular septal defect, no pulmonary stenosis and no significant rise in the pulmonary vascular resistance. Pulmonary blood flow is elevated and the radiograph will show plethora. The high ratio between pulmonary and systemic venous return means that the saturation of the mixed flow, and therefore of the aortic blood, is 90%, which is barely detectable clinically as cyanosis INTRODUCTION  Ã‚  In 1888, Etienne-Louis Arthur Fallot described three cyanotic patients with four similar anatomic features [1]: Stenosis of the pulmonary artery Intraventricular communication Deviation of the origin of the aorta to the right Concentric right ventricular hypertrophy This constellation of findings has since become known as tetralogy of Fallot (TOF). The prevalence of TOF in the United States is about 3.9 per 10,000 live births [2]. This defect accounts for about 7 to 10 percent of cases of congenital heart disease and is one of the most common congenital heart lesions requiring intervention in the first year of life [3]. TOF occurs equally in males and females [4]. The pathophysiology, clinical features, and diagnosis of TOF will be reviewed here. An overview of the management of this disorder, including postoperative complications and issues related to pregnancy, are discussed separately. (See Overview of the management of tetralogy of Fallot.) ANATOMY  Ã‚  The exact embryologic abnormality that accounts for TOF is unknown. What is recognized is that during development, there is anterior and cephalad deviation of the infundibular septum. This results in a malaligned ventricular septal defect (VSD), with the aortic root overriding the defect and leading to subsequent right ventricular outflow obstruction (figure 1). The ensuing right ventricular hypertrophy is thought to be a response to the large VSD and right ventricular outflow obstruction with resultant systemic right ventricular systolic pressure. Ventricular septal defect  Ã‚  The VSD in TOF is most commonly a single large malaligned subaortic defect located in the perimembranous region of the septum (picture 1). The VSD can extend into the muscular septum. There are rarely other muscular ventricular septal defects. (See Pathophysiology and clinical features of isolated ventricular septal defects in infants and children.) Right ventricular outflow obstruction  Ã‚  The right ventricular outflow obstruction is often at multiple levels (picture 2): The anterior and cephalad deviation of the infundibular septum results in subvalvar obstruction Hypertrophy of muscular bands in this region can further accentuate subvalvar obstruction The pulmonary valve annulus is usually hypoplastic, although in some instances it is of normal size The pulmonary valve itself is frequently bicuspid and stenotic In addition, it is not uncommon to identify an area of supravalvar narrowing in the main pulmonary artery at the sinotubular ridge. There may also be further obstruction at the branch pulmonary arteries. These may be diffusely hypoplastic or have focal areas of stenosis, most commonly at the proximal branch pulmonary arteries. The proximal left pulmonary artery near the site of ductal insertion is a frequent location for stenosis (picture 3A-B). Overriding aorta  Ã‚  Overriding aorta is a congenital anomaly, in which the aorta is displaced to the right over the VSD rather than the left ventricle. This results in blood flow from both ventricles into the aorta. The degree of aortic override of the VSD can vary widely and is one of the major factors used by some groups to differentiate between TOF and double outlet right ventricle. If one defines double outlet right ventricle as the presence of aortic/mitral valve fibrous continuity, then the degree of override is not relevant to diagnosis. If, however, one defines double outlet right ventricle as a condition with greater than 50 percent aortic override, then, by definition, the degree of aortic override in TOF is limited. Associated cardiac features  Ã‚  There are a number of frequently associated anatomic features that are important to look for when evaluating a patient with TOF, since they affect therapy. Associated cardiac anomalies occur in about 40 percent of patients with TOF. Approximately 25 percent of patients have a right aortic arch. This is particularly important to identify if one is contemplating a palliative shunt. Abnormalities of the coronary arteries, such as the left anterior descending arising from the right coronary artery, are seen in about 9 percent of patients [5]. These are important to identify prior to complete repair, since the course of the artery may run directly across the right ventricular outflow tract; inadvertent transection could have catastrophic consequences. Occasionally, patients have significant aorticopulmonary collateral vessels that may require attention prior to or at the time of surgery. A patent ductus arteriosus, multiple ventricular defects, and complete atrioventricular septal defects may be present. Infrequently, aortic valve regurgitation is present due to aortic cusp prolapse. GENETIC FACTORS  Ã‚  Although TOF may present as part of a known syndrome, this lesion typically occurs sporadically without other anomalies. Surveys of patients with nonsyndromic TOF have reported the following genetic abnormalities: In one study of 114 patients with nonsyndromal TOF, 4 percent of patients had mutations in transcription factor NKX2.5., which appears to have a role in cardiac development [6]. In genome-wide surveys of patients with nonsyndromic TOF and their parents, de novo copy number variants were estimated to be present in about 10 percent of sporadic cases of TOF compared to less than 0.1 percent in controls at several chromosomal locations [7]. Tetralogy of Fallot has also been reported in association with mutations in TBX1 and ZFPM2 [8-10]. Further investigation is required to determine the role of these mutations in the evolution of Tetralogy of Fallot. Approximately 15 percent of patients with TOF present with associated syndromes, including Down syndrome (trisomy 21), Alagille syndrome (mutations in Jagged1), and DiGeorge and velocardiofacial syndromes (deletion on chromosome 22q11) [8,11-17]. There may be susceptibility genes for TOF within the latter region of chromosome 22q11 in children without extracardiac anomalies [16,18,19], and 22q11.2 deletion syndrome is unrecognized in many adult patients with TOF [20]. (See DiGeorge syndrome: Pathogenesis, epidemiology, and clinical manifestations  and Inherited disorders associated with conjugated hyperbilirubinemia, section on Alagille syndrome.) PATHOPHYSIOLOGY  Ã‚  The physiologic consequences of TOF are largely dependent upon the degree of right ventricular outflow obstruction. Since the VSD is typically large and unrestrictive, the pressure in the right ventricle reflects that of the left ventricle. As a result, the direction of blood flow across the VSD will be determined by the path of least resistance for blood flow, not by the size of the VSD. If the resistance to blood flow across the obstructed right ventricular outflow tract is less than the resistance to flow out of the aorta into the systemic circulation, blood will naturally shunt from the left ventricle to the right ventricle and into the pulmonary bed. In this situation, there is predominately a left-to-right shunt and the patient will be acyanotic. As the degree of right ventricular outflow obstruction increases, the resistance to blood flow into the pulmonary bed also increases. If the right ventricular obstruction is significant enough to increase resistance, it will be easier for blood to cross the VSD from the right ventricle into the left ventricle and go out the aorta, which now becomes the path of least resistance. This right-to-left shunt across the VSD will result in a large volume of desaturated blood entering the systemic circulation and cyanosis and polycythemia will ensue (figure 1). One of the physiologic characteristics of TOF is that the right ventricular outflow obstruction can fluctuate. An individual with minimal cyanosis can develop a dynamic increase in right ventricular outflow tract obstruction with a subsequent increase in right-to-left shunt and the development of cyanosis. In the most dramatic situation, there can be near occlusion of the right ventricular outflow tract with profound cyanosis. These episodes are often referred to as tet spells or hypercyanotic spells. The exact etiology of these episodes is unclear, although there have been a number of proposed mechanisms, including increased infundibular contractility, peripheral vasodilatation, hyperventilation, and stimulation of right ventricular mechanoreceptors [21]. CLINICAL PRESENTATION  Ã‚  The clinical presentation of the patient with TOF is dependent upon the degree of right ventricular outflow obstruction: Children with severe obstruction and inadequate pulmonary flow typically present in the immediate newborn period with profound cyanosis Children with moderate obstruction and balanced pulmonary and systemic flow may be noticed during elective evaluation for a murmur Children with minimal obstruction may present with pulmonary overcirculation and heart failure Most children with this lesion are symptomatic and cyanotic; there is a subgroup, however, with typical morphology and hemodynamics that remains clinically asymptomatic for a period of time (pink variant). In general, the earlier the onset of systemic hypoxemia, the more likely it is that severe pulmonary outflow tract stenosis or atresia is present. Physical examination  Ã‚  On inspection, individuals with TOF are usually comfortable and in no distress. However, during hypercyanotic spells, they will become hyperpneic, and infants will often become agitated. If cyanosis is present, it is most easily seen in the nail beds and lips. On palpation, one may appreciate a prominent right ventricular impulse and occasionally a systolic thrill. Hepatomegaly is uncommon. Peripheral pulses are usually normal, although the presence of prominent pulses may suggest the existence of a significant patent ductus arteriosus or aorticopulmonary collaterals. Cardiac auscultation  Ã‚  On auscultation, the first heart sound is normal, and the second heart sound is most commonly single because the pulmonic component is rarely audible. Third and fourth heart sounds are uncommon. An early systolic click along the left sternal border may be heard, which is thought to be due to flow into the dilated ascending aorta. (See Auscultation of heart sounds.) Murmur  Ã‚  The murmur in TOF is due primarily to the right ventricular outflow obstruction, not the VSD. The murmur is typically crescendo-decrescendo with a harsh systolic ejection quality; it is appreciated best along the left mid to upper sternal border with radiation posteriorly. It can, however, have a more regurgitant quality that can be easily mistaken for a VSD. (See Auscultation of cardiac murmurs.) The murmur is due both to the degree of obstruction and to the amount of flow across the obstruction. In TOF, unlike isolated valvar pulmonary stenosis, the amount of flow across the right ventricular outflow tract will decrease as the obstruction increases, due to the shunting of blood right-to-left across the VSD. Thus, as the obstruction increases, the murmur will become softer. During severe hypercyanotic spells, the murmur may actually disappear due to the markedly diminished flow across the obstruction.

Friday, October 25, 2019

The Character of Chief Bromden in Ken Keseys One Flew Over the Cuckoos Nest :: One Flew Over Cuckoos Nest

Chief Bromden, a tall American-Indian mute is the central character that symbolizes the change throughout the text and also throughout society. Ken Kesey's One Flew Over the Cuckoo's Nest uses this character that is subject to change as the narrator event though his perceptions cannot be fully trusted. Â   Initially the ward is run as if it was a prison ward, but from the moment the brawling, gambling McMurphy sets foot on the ward it is identified that he is going to cause havoc and provide change for the patients. McMurphy becomes a leader, a Christ like figure and the other patients are his disciples. The person who is objective to listen to his teachings at first is Chief Bromden (often called Bromden), but then he realizes that he is there to save them and joins McMurphy and the Acutes (meaning that they have possibility for rehabilitation and release) in the protest against Nurse Ratched, a bureaucratic woman who is the protagonist of the story, and the `Combine' (or society). Â   Chief Bromden hallucinates the fog machine and Air Raids. They represent his mental clarity, it comes when he is less stable and recedes when he's more coherent. That is the first noticeable change by Bromden because of the receding hallucinations when McMurphy enters the ward; McMurphy usurps his power to change through charisma. Â   By chapter 7 there is a small but subtle change to Bromden, he decides to go to sleep without taking the little red capsule, it seems as though he wishes to follow McMurphy. McMurphy is not taken in, by the `Combine' so Chief Bromden thinks by not taking the capsule he can perhaps escape the `Combine' and its power. Although he has a rather gruesome dream, whereby he sees one of the other patients, Blastic, being hung up on a hook and cut open. He thinks Blastic is being used as an experiment. Then Turkle, the night guard wakes Bromden. It is understood by the responder that Bromden has been taking the red capsule for a long time and suddenly to go `Cold Turkey', that is why he had such a wild dream. It does not definitely mean that he is crazy. Â   The vote for the change in schedule, so the patients could watch the World Series is a turning point for Bromden, as it's the first time he reasserts himself as a functioning person.

Wednesday, October 23, 2019

Information Privacy Security: TJX Data Breach Crisis and Lessons

Introduction Protecting the privacy of consumer personal information continues to pose significant challenges for organisations. The complexity is aggravated by consumers’ vulnerability that comes about when they are unable to control the usage of personal information they share with business organisations. Given the importance of information privacy, there has been a host of privacy research focusing on the organisational decisions regarding the use and reuse of consumer personal information (Schwartz, 2009; Greenaway and Chan, 2005). Culnan et al (2008) observes that the emerging decentralisation of technology environment has posed additional privacy challenge: data breaches. Currently, it is only the United States that requires organisations to give formal notice in the event of data breach (Morley, 2014). European Union and its member countries are yet to establish any legal requirements for organisations to notify consumers of any data breach, thereby leaving such eventuality at the f ate of an organisation’s management. Without any notification laws, data breaches remain private and under the discretion of the affected organization. Therefore, this paper focuses on one of the most prominent data security breaches that the world has ever witnessed: TJX data privacy breach crisis, in the context of, ethical principles and theories, legal, professional and social issues. . The Information Privacy Concept According to Xu et al. (2008), the concept of information privacy is multidimensional in nature and is largely dependent on the context as well as personal experiences. Although others see information privacy as full of definition ambiguity (Schwartz, 2009), others have defined consumer personal information as being made up of data generated when consumers conduct transactions. The problems of privacy often emerge from how this consumer information is stored, analysed, used, or shared (FTC, 2008). Information on how to address problems related to privacy management is limited due to minimal research in the area, particularly those issues dealing with management responsibilities on social issues. For example, there is limited research on how organisations should deal with consumers’ personal identifiable information, the role of managers in the protecting the consumer data and the moral duty of every party involved in the handling or accessing consumer data. Overview of TJX Data Breach TJX is a US-based off-price retailer operating over 2,400 stores in various countries and regions including US, Puerto Rico, Canada, and Europe. In the network of stores, the retailer collects and store customer information that would authorize purchases via payment cards, personal cheques , and processing of merchandise returned without a receipt. This violated the legal requirement that prohibits any business from retaining sensitive consumer card information, including the magnetic strips on credit cards (Smedinghoff and Hamady, 2008). In addition, the breach exposed TJX’s failure to observe basic ethical and professional principles. The revelation emerged when in 2007 TJX issued a press release stating that criminals had intruded their data system and stolen over 45 million consumers’ card information within a period of 18 months (FTC, 2008). Although the TJX filed Form 8-K disclosure statement with the Securities and Exchange Commission as required by the law, the company was widely held to be at fault for the breach. The company was accused of breaching the law by storing unencrypted sensitive consumer information, for their failure to limit unauthorised access to the massive data via their wireless network, and the inability to establish adequate security measures within its networks among other issues (FTC, 2008). The Legal and social Issues in the TJX Data Breach The current global data protection guideline is based on the Fair Information Practices (FIPs), which deal with individual rights and organisational responsibilities with regard to management of consumer data (Morley, 2014). In other words, how responsibly the data is used is a pointer to the social expectations with regards to consumer data use. FIPs attempts to put a certain level of balance between the competing business and individual interests in terms of legitimate use of personal information, which serves as the foundation for privacy laws and industry-specific regulatory programmes. In this respect, FIPs lays the foundation for organisations on how to be socially responsible in dealing with privacy issues. On the other hand, the adoption of these guidelines lays the foundations for evaluation by the external audiences on an organisation’s degree of responsiveness (Allen, 2011). There is a general consensus that responsible data management practice is paramount in every organisation (Morley, 2014). However, there is no consensus about how the implementation of individual principles should be carried out. Schwartz (2009, p.1) observes that in most parts of the world, â€Å"fair information practices are implemented through omnibus laws.† Curiously, the United States has no comprehensive laws that compel organisations to observe fair information practice, but instead developed sectoral laws and regulations to consumer privacy protection with laws being enacted in response to issues arising from specific industries. The challenge that comes with this approach is that there is uneven practice in terms of operations and implementations. Moreover, the TJX issue exposed some glaring weaknesses in the implementation of FIP laws and regulations based on the principles of notice, choice, access, security, and sanctions for noncompliance (Culnan, et al., 2008). The effectiveness of data privacy management for organisations that collect, store, and use consumer personal data is curtailed by other issues including unclear law or policy, varied jurisdictions, and differences in data type. The challenge may be further aggravated by conflicting regional or state laws (Allen, 2011). The breaches in the TJX case involved unauthorised access to consumer personal information, which resulted in a variety of risks towards consumer personal information. Nevertheless, there is a general agreement within the statutory laws and regulations that every organisation should ensure there is duty of care with regards to information they collect and store based on consumer’s vulnerability and the actual possibility of harm (Allen, 2011). Allen (2011) observes that although organisations that comply with government regulations are considered legitimate, and readily accepted by their external environment, including partners, this milestone is not easily achievable given the above challenges. For example, the term ‘reasonable procedure†™ as stated in most sectoral data protection regulations does not specify what is actually ‘reasonable’, which may vary depending on the nature and size of the organisation, the types of information it captures and stores, the security equipments and tools in the possession of the organisation, and the nature of risk at display. There has been criticism in regards to the prevailing laws and regulations because they are seen as reactive and outdated at the time when they are enacted (Morley, 2014). The other complaint is that most of privacy violation issues are only detected after the damage is done, thus doing little to reverse the loss on the affected consumers. The Moral Issues and Responsibilities Information ethics is based on the collection, use, and management of information (Morley, 2014). As technology becomes increasingly complex, it is evident that ethical problems related to these developments continue to increase. However, the normative theories (stockholder, stakeholder, and social contracts) used to address the prevailing challenges remain less developed, with many institutions only relying on bare legal minimum requirements in relation to consumer data protection (Culnan, et al., 2008). Morley (2014) observes that these theories are distinct and incompatible with regards to the obligations of a business person. Taking into consideration the large social and financial impact of privacy breach as observed in the TJX case, there are mainly two aspects of moral issues that are central to the data privacy: vulnerability and harm avoidance. The concept of vulnerability highlights most of society’s moral intuitions, with the inherent scenario where one party is at disadvantage with regard to the other party in terms of data collection and use. This situation emerged because one party lacked the capacity to control the information givento the other party. Solove (2007) observed that the root cause of large-scale privacy invasions is embedded inthe lack of information control by the giver. In the case of TJX, consumers suffered outright vulnerability, although they expected TJX to protect their card information with a proper mechanism in place. On the other hand, avoiding harm involves the need for managers to avoid using consumer data to harm the vulnerable consumer socially and financially. Many have argued that it is the responsibility of the managers to take a minimum moral standing to ensure no harm is done in the treatment of consumer information (Culnan, et al., 2008). Conclusion Information privacy is an important issue in the modern business environment. In order to protect consumer information, managers must learn to strike a balance between consumer privacy and business interests by constantly adhering to the principle of protecting the vulnerable consumer and not causing harm to them through their personal information. It is important to note that TJX caused harm when their consumer personal data were stolen by a third party intruder. Although TJX violated industry rules, it is more significant to highlight that the company’s failure to observe moral responsibility in the protection of consumer data should be viewed as more detrimental to the company. Businesses are expected to follow basic ethical principles in managing business activities. While we can argue that the TJX data breach saga received the attention because of the United State’s comprehensive formal notice requirements within the laws on privacy data management, it is also appa rent that personal data protection is beyond the laws and regulations and requires ethical foundations within the organisations. The need to integrate ethical reasoning into the privacy programmes of every organisation is paramount (Xu et al., 2008). We can argue that integrating moral responsibility within organisations will not only establish ethical standards for the organisations, but is growingly becoming a necessity considering the challenges surrounding the implementation of legal requirements. Furthermore, considering that consumers are vulnerable and are unable to control how businesses use their personal information, it is the moral responsibilities of every organisation to go beyond bare minimum legal compliance. That is, each organisation needs to take reasonable precaution when handling consumer data and ensure no harm is caused with this kind of data. References Allen, A. (2011). Unpopular Privacy: What Must We HideOxford: Oxford University Press. Culnan, M. J., Foxman, E. R., and Ray, A. W. (2008). â€Å"Why ITExecutives Should Help Employees Secure Their Home Com- puters,† MIS Quarterly Executive (7:1), March, pp. 49-55. Federal Trade Commission (FTC). (2008). â€Å"Press Release: Agency Announces Settlement of Separate Actions Against Retailer TJX, and Data Brokers Reed Elsevier and Seisint for Failing to Provide Adequate Security for Consumers’ Data,† March 27(available at http://www.ftc.gov/opa/2008/03/datasec.shtm; accessed November 29, 2014). Greenaway, K. E., and Chan, Y. E. (2005). â€Å"Theoretical Explana-tions of Firms’ Information Privacy Behaviors,† Journal of the Association for Information Systems (6:6), pp. 171-198. Morley, D. (2014). Understanding Computers in a Changing Society. Chicago: Cengage Learning. Schwartz, M. (2009). â€Å"Europe Debates Mandatory Data Breach Notifications.† The Privacy Advisor (9:2), p. 1. Smedinghoff, T. J., and Hamady, L. E. (2008). â€Å"New State Regula-tions Signal Significant Expansion of Corporate Data SecurityObligations,† BNA Privacy and Security Law Report (7), October 20, p. 1518. Solove, D. (2007). â€Å"The New Vulnerability: Data Security andPersonal Information,† in Securing Privacy in the Internet Age, A. Chander, L. Gelman, and M. J. Radin (eds.), Palo Alto, CA: Stanford University Press, pp. 111-136. Xu, H., Dinev, T., Smith, H. J., and Hart, P. (2008). â€Å"Examining the Formation of Individual’s Privacy Concerns: Toward an Integra-tive View,† in Proceedings of the 29th International Conference on Information Systems, Paris (available at http://aisel.aisnet.org/icis2008/6; accessed October 29, 2014).

Tuesday, October 22, 2019

Quality pertains to how the work was performed Essays

Quality pertains to how the work was performed Essays Quality pertains to how the work was performed Paper Quality pertains to how the work was performed Paper Quality is to be understood in a broad rather than a restrictive sense. Quality pertains to the ability of an individual to deliver the desired result efficiently by following the instructions properly. Quality pertains to how the work was performed and its effect on the patient or consumer. It is better to deliver a work with quality meaning it was done with proper care and attention rather than do a task just for the sake of doing it. Passion can also be equated with quality in that if a person loves what he or she does the latter is sure to deliver results that are beyond the expectations of the patient in healthcare. Quality can also be interpreted to mean going the extra mile or moving out of the comfort zone to ensure that the task is performed without room for error. It is very important to measure quality of care in a healthcare environment because those who work in this field deal with the lives of their patients. Workers serve as instruments for their patient in the sense that the former can have an effect on the latter. For example, a patient who is lonely and without any remaining family members would require a higher standard of care and it would really help if the worker would show compassion and understanding to the patient. A worker can influence the patient by his or her delivery of care to have a positive outlook in life. A worker who can show great care to his or her patient would allow the latter to feel important and this could really be of help in the recovery process of a sick patient. The most important determinant as to whether or not quality was delivered is to see its result on the patient. A worker was able to work properly if the patient is happy and contented. This is because the effect on the patient of the quality of work could determine as to whether or not the job was effectively done or not. (Zieger, A. September 19, 2008. Study: Quality of U.S. Healthcare lags despite high spending) Reference: Zieger, A. September 19, 2008. Study: Quality of U.S. Healthcare lags despite high spending. Retrieved on May 16, 2009 from website fiercehealthcare.com/story/study-quality-u-s-healthcare-lags-despite-high-spending/2008-09-19.

Monday, October 21, 2019

ART EXPRESSION essays

ART EXPRESSION essays Before the portrayal of the human body can be critiqued, you must understand the artist's culture. As man evolved over centuries, his views of the body also transformed. Our tour definitely showed the drastic changes in different cultures' art. Each culture and era presents very distinct characteristics. Through time and experimentation, we have expressed our views of the human body clearly with our Egyptians were the first people to make a large impact on the world of art. Egyptians needed art for their religious beliefs more than decoration or self-gratification. The most important aspect of Egyptian life is the ka, the part of the human spirit that lives on after death. The ka needed a physical place to occupy or it would disappear. Most of the important men of Egypt paid to have their body carved out of stone. That was were the spirit would live after the man dies. They used stone because it was the strongest material they could find. Longevity was very important. The bodies are always idealized and clothed. Figures are very rigid, close-fisted, and are built on a vertical axis to show that the person is grand or intimidating. Most of the figures were seen in the same: profile of the legs, frontal view of the torso, and profile of the head. Like most civilizations, Egyptians put a lot of faith in gods. The sky god Horus, a bird, is found in a great amount of Egyptian art. Little recognition was ever given to the artists. Early Greek art was greatly influenced by the Egyptians. Geography permitted both cultures to exchange their talents. The beginning of Greek art is marked by the Geometric phase. The most common art during the Geometric phase was vase painting. After the vase was formed but before it was painted, the artist applied a slip (dark pigment) to outside. Then the vase was fired and the artist would incise his decorations into the hard shell. It was ...

Sunday, October 20, 2019

JIT Essay Example

JIT Essay Example JIT Essay JIT Essay JIT Name: Course: Date: JIT Part 1 Question 1 Just-in-Time (JIT) learning is advantageous in training and learning since it can be automated by incorporating Web-based solutions that can be accessed at any time. Thus, in JIT training/learning, e-learning is valuable in the sense that it provides a platform for establish training/learning face-to-face through online facilities such as electronic job performance aids, online libraries, online modules for self study and networking systems that enable learners/trainees to find and question appropriate experts. JIT is valuable in training/learning since it offers a learning solution on a real-time basis. Additionally, JIT incorporated in training/learning expunges the desire for refresher training attributed to deprivation of newly attained knowledge and skills if not put to use when learners return to their jobs. JIT also allows learners/trainees to receive training at their own specification. Question 2 One of the pitfalls of e learning involves the use of a mix of different media such as audio, sounds, text and animations to convey content and instruction. Another pitfall involves the e-learning’s minimalist nature in failing to include features proved to endorse learning. The third pitfall incorporates using e learning for relevant learning while the final pitfall involves the creation of a highly probing learning setting that provides learners with unrestricted access to navigate internet sites (Clark Mayer, 2011). These pitfalls indeed compare with issues to be resolved in JIT learning. For instance, one of the issues involved in JIT learning is reflection. The need for reflection involves JIT’s framework in excluding reflection and practice in a setting. Moreover, quality is another issue in both JIT and e learning since it involves providing instruction that is relevant to the subject (Weintraub Martineau, 2002). Question 3 One of the questions that need consideration in reading research studies in learning is the similarity of the learners in the research study to other learners. The subsequent question involves basing conclusions on an experimental research design. The third question focuses on the replication of experimental results. The fourth question focuses on the measurement of learning through tests that measure application. The final question involves the reflection of the data analysis on practical and statistical significance (Clark Mayer, 2011). Good research provides efficient information on designing learning since it mainly focuses on instructional effectiveness. Thus, using good research enables the designer to configure a learning module that incorporates instructional efficiency to assist learners in gaining accurate knowledge and content in the process of learning. Part 2 The statement, â€Å"instructional designers should consider how words and pictures work together to create meaning for the learner†, actually refers to the use of texts and pictorial representations in order to ensure cognitive learning and response within learners (Clark Mayer, 2011). Instructional designers should consider how positive the integration of texts and representation is to the learners in order to avoid spreading the wrong content or meaning to the learner. The graphics identified include decorative, for instance, a visual of an instructor displaying instructions, representational, for example, a photograph or screen capture, relational, for instance, a pie chart or a line graph, transformational, for example, a video depicting operation of an equipment and interpretive, for instance, a graphic diagram of an equipment (Tomei, 2013). For learning to be promoted efficiently, it is more advantageous to combine representational and transformational graphics. This i s because combining the two will assist in demonstrating procedures and contextualizing practice in online simulation.

Saturday, October 19, 2019

My American Scholarly Experience Essay Example | Topics and Well Written Essays - 1750 words

My American Scholarly Experience - Essay Example I hope to gain more from the university and the American society in general. This essay provides a comprehensive narrative of my experience as a Chinese student in America, forming a potential foundation for others in my position to adjust and reap maximum benefits from the American society. Before coming to America, I always had a dream to study abroad in the hope of pursuing high quality education. In addition, I hoped to experience other people’s cultures, while getting a global point of view of issues surrounding the modern society. My parents and peers encouraged the move, terming it as a path towards self-discovery and exploration of my career options. Given all these factors, my move to America was filled with high expectations, hopes to make friends immediately, and enjoying all the things that the new culture had to offer. Even though I was slightly nervous during my flight from Beijing, my excitement was more than any concerns. For this reason, I did not take possibl e challenges into consideration and as a result, I was not fully prepared for the American life. On arrival from China, I was welcomed quickly but warmly at the airport. It is here that I began observing the differences between China and America. For example, while back at home people take their time to show you around or at least give you directions to wherever you want to go, majority of Americans do not have the patience for that. I also came to realize that many people in America are highly suspicious of strangers and therefore.

Friday, October 18, 2019

Synoptic Problem Essay Example | Topics and Well Written Essays - 500 words

Synoptic Problem - Essay Example in terms of the birth of Jesus, his life, ministry, death and resurrection (Linnemann 43). However, some people claim that since the three gospels are similar, the authors must have used each other’s gospels, or possible another common source. According to Hayes (20), the similarities in the three gospels are many and close including the material presented, as well as a wording of texts. For this reason, some form of literary dependence has been assumed where some believe that one author copied texts that were previously written by someone else. According to Griesbach hypothesis, the canonical order in which the gospels were written was Matthew, Luke, and Mark. Thus, the gospel of Matthew was written first, and then Luke; hence, Luke used the gospel of Matthew as his source to write his gospel. This hypothesis attempted to explain the unique features of the gospel of Luke and why the gospel was written. Also, this hypothesis states that Mark used both Matthew, as well as Luke as sources for his own gospel. Luke was a well educated man whose primary language was Greek, but also studied Latin and could speak quite well. For this reason, Luke was able to obtain a copy of Mark’s gospel in Latin, which explains the similarity between Mark’s gospels and Luke’s gospel. However, there are some minor agreements of about 6% between Matthew and Luke that are not found in Mark, which shows that they did not come into Luke’s Gospel through Mark (Linnemann 45). The Griesbach hypothesis is a solution to the synoptic problem in which the gospel of Matthew was written first, and Luke used it to write his gospel. Luke is said to have dismantled collections of periscopes from Matthew and placed some of them in other contexts. This shows that, since Matthew was the first gospel, Luke borrowed some material from him, which Mark did not use (Hayes 22). How Luke used Matthew as a source for

Exercise Assignment Example | Topics and Well Written Essays - 500 words - 1

Exercise - Assignment Example Cognitive linguistics assumes that the interactions of human beings are mediated by the mental informational structures. This is to say that the human beings perceive things or ideas based on how the natural language presents them to the society. In principle, this notion implies that cognitive linguistics is not just a science of language rather it is an experience of the universe as presented by language. The second assumption is that the cognitive linguistic forms an unchangeable part of an innate aspect of the human cognitive awareness. This is to say that the part of the human mind which informs on other things also informs the same human being on the aspects of the natural language. In retrospect, the underlying principle and argument is that the cognitive part of the human brain informs the language patterns as well as other things in the human being (Lee, 2001). For instance, if a term has a specific meaning, it is innate in that form as presented by the language and the mental construction of the same word. Perspective in its aspect and broadest notion refers to an opinion or view which has no absolute meaning or implication. This is to say that a perspective varies from one person to the next based on the preferences of the person or individual inclinations which inspire the person to believe something and dispute others. According to the arguments and ideas put forth by Fillmore on case grammar, it conceptualizes that language is constructed and border within set semantics frames. This is to say that if a concept or a system of ideas is introduced in a text, then the other parts of the ideas would obviously and automatically fit in the text. Similarly, the flawed intuition was based on predicates, arguments and semantic frames. For instance, if a sentences such as Mark opened the opened today. Mark did open the lock using a key. The lock opened. All these three sentences have a

African-American history Essay Example | Topics and Well Written Essays - 750 words

African-American history - Essay Example Many differences exist between finding a political solution as compared to finding a social solution to the vexed problem of color.Racism is a sensitive issue about the color of the skin as it is popularly believed.It,in reality,is also the issue of the heart. Emotions are like the recurring storms and every storm leaves behind it, devastation in different degrees. Is it possible to find an authentic solution, viewed from all angles, to the problem of racism in America? The pages of American history daubed in bloodshed in the name of ethnicity and color asks the crying question. Can this continent be converted into a haven on this Planet Earth? The answer is simple and straightforward .To achieve that objective, the necessary prerequisites are, eyes full of understanding, hearts full of love and the life that refuses conflicts—enough, these alone can contribute to the permanent solution to the problem. Some aspects of historical injustice against the black community by the Ame rican whites are impossible to forget and forgive. Being intensely aware of the undeniable resentment of the blacks, W.E.B. Du Bois (2005, p.7) writes, â€Å"With the other black boys the strife was not fiercely sunny; their youth shrunk into tasteless sycophancy, or into silent hatred of the pale world about them and mocking distrust of everything white; or wasted itself in a bitter cry, why did God make me an outcast and a stranger in mine own house?† ... It deals with the rise of the black middle class with the spread of education amongst them. Du Bois explains how the blacks find it difficult to get assimilated in the mainstream of American society and live a confident life, though constitutionally they are equal to the white race on all counts. The barrier that separates the two races is several centuries old and is made up of several complicated layers. A black individual has to live the life of a split personality and Du Bois (p.7)writes, â€Å"One ever feels his twoness—an American, a Negro; two souls, two thoughts, two un-reconciled strivings; two warring ideals in one dark body, whose dogged strength alone keeps it from being torn asunder.† Du Bois has vividly explains what a tough task it is for the black race to live with double consciousness. Is this expression the other name for inferiority complex? Perhaps double consciousness would be a better expression than the inferiority complex. It is not possible for the enlightened world that swears by democracy, equality and dignity of the individual to accept the African†¦.4 racial divide. If the divide philosophy is accepted, a dangerous trend is set before the world. The world already has many dividing factors to contend with like the political philosophies of communism vs. capitalism and religious conflicts. This book is the cornerstone of the literature relating to sociology. The spiritual aspects are evident throughout the contents of the book as Du Bois investigates the inner world of the entire humanity, the souls of men and women. His work, therefore, retains the permanent place in the history of black relations, not only in America, but also the entire world, wherever this problem exists. Mending

Thursday, October 17, 2019

South Africa and the end of Apartheid (CASE) Module3 Essay

South Africa and the end of Apartheid (CASE) Module3 - Essay Example In this case, the whites, who had financial influence retorted to discrimination in that, some neighborhoods were out of bound to blacks. This meant that the nation was separated into two, black and poor versus white and rich. In this case, the nation could not function as a democracy as the whites, how took all the power did not allow African leaders to claim any form of leadership position. Additionally, the country’s economic situation was deteriorating for the blacks as all important resources were acquired by the whites who had invested in manufacturing companies. With reflection to the resources that have been reviewed and taught for this module, it is seen that South Africa compares with other nations such as German and Korea. However, while there is East and West Germany as well as North and South Korea, South Africa is similar to these nations as it has suffered period of political and social divide (History of Apartheid in South Africa, 2011). On the other hand, the situation in South Africa is different from the situations portrayed in Germany and Korea. While Germany and Korea have distinct boundaries that separate different political regimes, communist and democratic, South Africa is a solid nation which suffered from racial discrimination. With reference to British influence on the country, various executions of black people were a common trend within the nation. However, while Korean Peninsula, under contest between North and South Korea remains subject to conflict, South Africa has entered a democratic system of governance that has unified the conflicting sides (Knight, 2006). The German unification applied the concept of two-nations-one people while the Korean applies the one-nation-two-regimes. In this case, Germany has been able to sideline her political and physical differences for the sake of national and regional development. On the other hand, Korea unification has separated North and South Korea

The impact of culture differences on advertising Essay

The impact of culture differences on advertising - Essay Example Different cultures have different requirements, which are catered to by the advertisers at the time of creating marketing strategies. This study also analyses how religion and celebrity endorsements influence advertising. With the examination of cases involving Coca Cola, McDonald’s, and cosmetic brands, some strategic tools will be suggested that may be helpful for creating effective advertising strategies and which could allow culture to have a positive impact on advertising. The conclusion will include the limitations of this study and suggestions for future research. With globalisation, societies across the world are experiencing increasing cultural diversity. Undoubtedly, globalisation has affected every aspect of human life – cultural, social, or corporate. However, while this has brought about the generalisation of the customs and values of a global society, it has also opened the doors for great concerns. The field of advertising is one such example that has been influenced both positively and negatively. International marketers and advertisers have to carefully target their strategies towards certain ethnic communities, which can involve deep emotions and controversies at times. According to Hofstede (2010), â€Å"Culture is defined as the collective mental programming of the human mind which distinguishes one group of people from another.† Hofstede further stated that cultural differences between nations are observed at the deepest level, i.e. the level of values. Advertisers, as organisations, are classified at the level of their practices; these practices, according to Hofstede (ibid), are more tangible than values. The Cultural Dimension Theory by Hofstede is basically an outline for cross-cultural communication. It effectively shows the relationship of the culture of a particular community / society to its members (Hofstede, 1980). The behaviour of the members of a society are directly associated with

Wednesday, October 16, 2019

African-American history Essay Example | Topics and Well Written Essays - 750 words

African-American history - Essay Example Many differences exist between finding a political solution as compared to finding a social solution to the vexed problem of color.Racism is a sensitive issue about the color of the skin as it is popularly believed.It,in reality,is also the issue of the heart. Emotions are like the recurring storms and every storm leaves behind it, devastation in different degrees. Is it possible to find an authentic solution, viewed from all angles, to the problem of racism in America? The pages of American history daubed in bloodshed in the name of ethnicity and color asks the crying question. Can this continent be converted into a haven on this Planet Earth? The answer is simple and straightforward .To achieve that objective, the necessary prerequisites are, eyes full of understanding, hearts full of love and the life that refuses conflicts—enough, these alone can contribute to the permanent solution to the problem. Some aspects of historical injustice against the black community by the Ame rican whites are impossible to forget and forgive. Being intensely aware of the undeniable resentment of the blacks, W.E.B. Du Bois (2005, p.7) writes, â€Å"With the other black boys the strife was not fiercely sunny; their youth shrunk into tasteless sycophancy, or into silent hatred of the pale world about them and mocking distrust of everything white; or wasted itself in a bitter cry, why did God make me an outcast and a stranger in mine own house?† ... It deals with the rise of the black middle class with the spread of education amongst them. Du Bois explains how the blacks find it difficult to get assimilated in the mainstream of American society and live a confident life, though constitutionally they are equal to the white race on all counts. The barrier that separates the two races is several centuries old and is made up of several complicated layers. A black individual has to live the life of a split personality and Du Bois (p.7)writes, â€Å"One ever feels his twoness—an American, a Negro; two souls, two thoughts, two un-reconciled strivings; two warring ideals in one dark body, whose dogged strength alone keeps it from being torn asunder.† Du Bois has vividly explains what a tough task it is for the black race to live with double consciousness. Is this expression the other name for inferiority complex? Perhaps double consciousness would be a better expression than the inferiority complex. It is not possible for the enlightened world that swears by democracy, equality and dignity of the individual to accept the African†¦.4 racial divide. If the divide philosophy is accepted, a dangerous trend is set before the world. The world already has many dividing factors to contend with like the political philosophies of communism vs. capitalism and religious conflicts. This book is the cornerstone of the literature relating to sociology. The spiritual aspects are evident throughout the contents of the book as Du Bois investigates the inner world of the entire humanity, the souls of men and women. His work, therefore, retains the permanent place in the history of black relations, not only in America, but also the entire world, wherever this problem exists. Mending

Tuesday, October 15, 2019

The impact of culture differences on advertising Essay

The impact of culture differences on advertising - Essay Example Different cultures have different requirements, which are catered to by the advertisers at the time of creating marketing strategies. This study also analyses how religion and celebrity endorsements influence advertising. With the examination of cases involving Coca Cola, McDonald’s, and cosmetic brands, some strategic tools will be suggested that may be helpful for creating effective advertising strategies and which could allow culture to have a positive impact on advertising. The conclusion will include the limitations of this study and suggestions for future research. With globalisation, societies across the world are experiencing increasing cultural diversity. Undoubtedly, globalisation has affected every aspect of human life – cultural, social, or corporate. However, while this has brought about the generalisation of the customs and values of a global society, it has also opened the doors for great concerns. The field of advertising is one such example that has been influenced both positively and negatively. International marketers and advertisers have to carefully target their strategies towards certain ethnic communities, which can involve deep emotions and controversies at times. According to Hofstede (2010), â€Å"Culture is defined as the collective mental programming of the human mind which distinguishes one group of people from another.† Hofstede further stated that cultural differences between nations are observed at the deepest level, i.e. the level of values. Advertisers, as organisations, are classified at the level of their practices; these practices, according to Hofstede (ibid), are more tangible than values. The Cultural Dimension Theory by Hofstede is basically an outline for cross-cultural communication. It effectively shows the relationship of the culture of a particular community / society to its members (Hofstede, 1980). The behaviour of the members of a society are directly associated with

The Federal Government and Laissez-Faire Essay Example for Free

The Federal Government and Laissez-Faire Essay The period of American history from 1865 to 1900 consisted of much controversy concerning economic control. Individual enterprises fought diligently to dominate economic affairs but the government was obligated to intervene when unjust activity was apparent. It was unanimously believed, among businessmen, that the government should have very little say in economic issues, the basis for Laissez-Faire. This policy invited the rights of the public consumer to be violated. As a result of the unjust treatment by the enterprises, it was necessary for the government to step in. The Interstate Commerce Act was enacted to limit the freedom and wrongful capital gain of railways to benefit the people. The Senate passed the Sherman Antitrust Act, heavily influenced by the monopolies, to prevent trade restrictions. Freedom and independence are extremely valuable aspects in any setting but can only remain if utilized responsibly. The successful individual enterprises were determined to maintain the Laissez-Faire policy. In Document A, Amasa Walker is quoted saying, Economically, it will ever remain true, that the government is best which governs least. When the government is too involved in the economy, a great many regulations are set and the corporations become less prosperous because their effective methods are limited. A New York City merchant, Daniel Knowlton, (Document B) has a supporting opinion pertaining to the proper functions of the government. He believes the government is in place to maintain domestic tranquility, defend the people from invasion, and protect them when traveling. Every merchant and big business owner alike new theyd benefit under the Laissez-Faire policy. The Interstate Commerce Act was a major intervening action taken by the Federal government in 1887. The act prevented discrimination and promoted reasonable and just fees. The success of the railroad has been attained at the most unwarranted discriminations and its effect has been to build up the strong at the expense of the weak. as stated in Document J. This method of success had come to cease because the rich were becoming richer and the poor, poorer. Document L depicts the beneficial aspects of the Interstate Commerce Act, The act to regulate commerce was not passed to injure any interests, but to conserve and protect bringing about great and salutary  measures of improvement. The act has operated directly to increase railway earnings despite initial appearance. The Sherman Antitrust Act was the proceeding measure taken by the Feds. The Senate, being dominated by monopolists as shown in Document M, was forced to pass the act. Actions in Senate were taken in the interest of monopolies instead of the people. This is a Senate of the monopolists by the monopolists, for the monopolists. The act declared all contracts restricting trade to be illegal. This was of importance to the monopolies because trade restrictions would harm them greatly. Contemporary corporations were required to be versatile in the expanding American economy. Individual enterprises fought diligently to dominate economic affairs but the government was obligated to intervene when unjust activity was apparent. The Laissez-Faire attitude was quite popular during this time. However, problems arose when it was in affect. The government instituted the Interstate Commerce Act and the Sherman Antitrust Act to maintain a more balanced economy and make life easier for the poor. The Federal government only intervened in the economy when it was necessary to do so.

Monday, October 14, 2019

Economic Features Of Globalization

Economic Features Of Globalization Compare and contrast the main features of globalization in the nineteenth and twentieth centuries. Globalisation is the integration of cultures and economies across geographical boarders. Globalisation has made trade and communication possible throughout the world in the shortest possible time. The difference in globalisation in the nineteenth and the twentieth centuries While free trade was imposed on the rest of the world markets in third world countries were opened simply because they were not independent nations. Direct foreign investments increased rapidly during 1870 to 1913. The first half of the nineteenth century saw free trade being practised only by Britain. However, in the twentieth century government debt became tradable in the global market for financial assets. The similarities in globalization in the nineteenth and the twentieth centuries In the nineteenth century international trade was attributed to trade liberalization, direct foreign investment increased rapidly during the nineteenth century. Lending at international bank was also substantial. The late nineteenth and early twentieth century witnessed a significant integration of international markets to provide a channel for portfolio investment flows. The cross-national ownership of securities including government bonds reached very high levels during this period. Also in the twentieth century there was an increase in the degree of openness in most countries, in international trade, investment and finance. While the second half of the twentieth century witnessed a phenomenal expansion in international trade flows. What is deglobalisation? Deglobalisation is the disintegrations of the economies of the world to their individual status where they do not engage in trade, imports and exports with other countries. To what extent has the 2008 crisis and recession brought about deglobalisation? Globalisation brought with it free trade of goods and services between countries and boarders. Many persons left their countries of birth to migrate to other countries in search of a better life, nurses from as far as Trinidad were and still are being employed in England and America. Persons from anywhere in the world can go to America and enjoy a doubles which is a Caribbean (East Indian) delicacy. The debate on globalization continue as people try to make sure that the benefits of global trade outweigh the costs for all countries. However, with the recession of 2008 many developed and developing nations have felt the impact of the recession specifically in Europe and the United States. Recession is caused by inflation, where to much money is chasing to little goods. In Ireland, many home owners took out a second mortgage to purchase second homes. Regretably many of home owners were unable to repay these loan and the banks took control of thes properties. In many instances these homes were sold for less than the homeowner was owing to the financial institution. Many persons who migrated to these countries in search of a better standard of living and employment opportunities are now leaving these countries and returning to their country of birth. This is as a result of an increase of unemployment due to many companies being unable to pay its workforce and meet its overhead expenditures. Though economies of the world are experiencing economic recession, globalisation have to a large extent allowed many countries to survive since countries can still trade their goods and services with other countries with the hope of rebuilding their economies. To what extent do the positive aspects of globalisation outweigh its negative effects? According to Deepak Nayyar globalization is the expansion of economic transactions and the organisation of economic activities across the political boundaries of nation states. Globalisation is associated with increasing economic openness, growing economic independence and deepening economic integration in the world economy. People everywhere, even the poor and the excluded, are exposed to these consumption possibility frontiers because the electronic media has spread the consumerist message far and wide. Negative effects of globalization Nayyar however, stated that those who does not have the incomes cannot buy goods and services in the market which only creates frustration or alienation which can lead to increase in crime, violence and drugs. Some seek refuge in ethnic identities, cultural chauvinism. Globalisation inevitably tends to erode social stabillty. Economic integration with the world outside may accentuate social tensions or provoke social fragmentation within countries. Globalisation have also resulted in a widening in the gap between the rich and the poor in the worlds population, as also between the rich and poor people within countries has widened. Income distribution within countries also worsened with globalization and income inequality increased. The incidence of poverty increased in most countries of Latin America, the Caribbean and Sub-Saharan Africa during the 1980s and the 1990s. Nayyar further went on to state that much of Eastern Europe and Central Asia experiences a sharp rise in poverty during the 1990s. Unemployment in the industrialised countries has increased substantially since the early 1970s and remained at high levels since then. Trade liberalization has led to a growing wage inequality between skilled and unskilled workers, not only in industrialized countries but also in developing countries. As a consequence of privatization and deregulation, capital has gained at the expense of labour, almost everywhere, for profit shares have risen while wage shares have fallen. M. Panic stated in the article negative issues with support what Nayyar also stated in his article the evidence of which are as follows:- Does Europe need neoliberal reforms? the extremely objectionable nature of the unregulated, free market version of the system was demonstrated globally in the 1930s with devastating consequences: its inherent tendency to prolonged and costly crises (the Great Depression, mass unemployment), social deprivation and division (extreme poverty for the many in the mass unemployment), social deprivation and division (extreme poverty for the many in the midst of great wealth for the few) German economic growth and levels of unemployment, for so long among the most impressive in the industrialized world, were only slightly better. Again, empirical evidence in support of the neoliberal claim that unemployment in Germany was caused by over-regulation was found to be extremely weak (Fuchs and Schettkat, 2000, p. 238) Conclusion While, many world trade and export-led growth strategies are collapsing, surplus countries face big obstacles in expanding domestic demand, and many emerging market economies are in deep trouble. World trade is collapsing much faster than expected-and much faster than predicted on the basis of the past example of this can be seen in the United States and Europe specifically Ireland where many homeowners are unable to pay their mortgages. Globalisation have also resulted in the devaluation of the US dollar which is a direct impact of the recession that the country is presently facing. The global imbalances had too important a role to ignore, in contrast to a mainstream view that focuses on mistakes in monetary policy and financial regulation since the negative impact is not only economic but also far reaching social issues. Based on the information listed above I can conclude that the negative effects far outweigh the positive.

Sunday, October 13, 2019

Letter From a Birminham Jail Essay -- essays research papers

Summary of â€Å"Letter from Birmingham Jail† by Martin Luther King, Jr. In Martin Luther King, Jr.’s Letter from Birmingham Jail, he responds to a letter entitled Statement by Alabama Clergymen. In King’s letter, he makes it clear that he does not usually answer letters of criticism, but because this one came from educated men he felt the need to clarify his purposes, actions, and goals of this civil rights campaign. King first states he is in Birmingham because he has affiliates there who asked him to come. His goal is to spread the word of freedom like Paul spread the Word of God. King and other African American leaders had tried to negotiate with city leaders, but only to be offered broken promises. Their only choice is to organize nonviolent campaigns and create enough tension so the city...

Saturday, October 12, 2019

The Death of Women Wang by Jonathen Spence Essay -- imperial china, chi

It is a common myth to people of Western world that women in imperial China were closeted, constantly subjugated and not allowed to make anything of themselves beyond a good daughter, wife, and mother. To the contrary, women, as mentioned in The Death of Women Wang by Jonathen Spence, had come options open to them, and while certainly they were not as numerous or desirable as those open to men, they did exist [Spence 124]. Six Records of a Floating Life bu Shen Fu portrays women in quite a different light that women of imperial China are generally perceived with; the author's wife is creative, intelligent, spirited and active. She was educated to some degree and would make up spontaneous poems with her husband [Fu 31, 34]. In Chinese literary tradition, women authors are often only briefly touched upon or ignored completely, while in fact there were many of them, some of whom made a living for themselves by writing or painting. There are, in fact, over a dozen examples of women who were published for their writing skills, from the Tang to the Qing, but here the focus in on the Qing, which began officially in 1644 and ended in the 1900's. These short examples are all of 17th-century China, drawn from Women Writers of Traditional China: An Anthology of Poetry and Criticism, edited by Kang-i Sun Chang and Haun Saussy and published by Stanford University Press in 1999. The earliest example comes from before the Qing: Xu Cun, a poet born in Suzhou, Jiangsu province, 1610. She married Chen Zhilin, who became a jinshi in 1637, and later held the titles of Grand Secretary, Junior Guardian, and Grand Guardian of the Hair Apparent. He died in 1666 and five years later Xu Cu petitioned the emperor to have his remains reburied in his h... ... for themselves despite the repressive society they lived in. Women of the Qing and beyond were not all idle or disengaged from the world around them; as has been seen, a respectable number of them were active, engaged individuals with minds of their own and a firm place in the annals literary history. Works Cited â€Å"Qing Dynasty: Seventeenth Century.† Women Writers of Traditional China: An Anthology of Poetry and Criticism. Chang, Kang-I and Haun Saussy. Stanford, CL: Stanford University Press, 1999. 337-429. Print. Fu, Shen. Six Records of a Floating Life. Trans. Leonard Pratt and Chiang Su-hui. New York: Penguin Putnam Inc., 1983. Print. Mann, Susan. The Talented Women of The Zhang Family. Los Angeles, CL: University of California Press, 2007. Print. Spence, Jonathan. The Death of Woman Wang. 1978. New York: Penguin Books, 1979. Print.

Friday, October 11, 2019

Grade 10 History Notes Essay

The Canadians had to take over the ridge which was located on the Douai plain, in France, and was in control by the Germans * To take over the ride it was split into 5 parts| * This was the high point of Canadian military * The use of â€Å"creeping barrage† allowed the ridge to be taken over quickly * The battle was short * Years later they made a memorial to commemorate the 11,000+ soldiers who died at Vimy ridge. | The Halifax Explosion| * This took place when two ships that had explosive materials aboard, they collided while pulling out of the port * This explosion ruined about 1. km of land mass| * Left many Canadians dead or blind * Damaged the economy * Later months when the war ended, the port was not ready to take ships which was also a factor that delayed the soldiers from returning| Life in the Trenches| * Horrible, the trenches were filled with rats and lice * Soldiers were always cold, soaking wet, and hungry * Trenches were uneven and intricate| * Soldiers were r eally messed up by the life in the trenches. The content gunfire caused soldiers to develop a mental illness known as â€Å"shell shock† * They could develop trench foot which was the rotting and swelling of flesh| Women and World War One| * Men that left for the war, left families and jobs behind * Women took the jobs of the men because they needed to provide for a family * Other women were war nurses| * Without the women urging the war years, the factory industry would have died. Sparked the feminist movement * Women thrived in fields such as journalism, social work and nutrition| * A short term cause of world war one included Archduke Franz Ferdinand’s trip to Sarajevo * Britain, France, Canada and Russia were all members of the triple entente * Contributing factors to the failure of the schlieffen plan are Russia mobilized more swiftly than expected, the British sent their army to France to defend the channel ports, the Belgian forces put up much strong resistance than expected, and the French were able to gather reinforcements in the time to prevent Paris from falling * In 1914, many people felt that the great war would all be over by Christmas * Both sides on the western front built trenches to protect themselves from attack, to prepare for counterattack, to provide safe communications for supply lines, and to prevent being outmanoeuvred by the enemy * Most Canadians were happy to be involved with WW1 because many Canadians had been born in Britain or were British descent * Dreadnoughts was not a technological advance that caused horrific causalities * The only important naval battle of world war one was the battle of Jutland * Lord Kitchener was an important British general * Income tax was introduced by prime minister burdens government as a temporary measure to help pay for the hu ge costs of war * The Zimmerman telegram, the sinking of the Lusitania in 1915,and German unrestricted submarine warfare were all reasons for the USA joining the war in 1917 * Mata Hari was a double agent in WW1 for Germany and French * The Treaty of Versailles was signed in 1919 One of the clauses of the treaty of Versailles mention reparations which was a means of payment for land destruction * A positive outcome of the technology developed during the great war was the use of gas to kill unwanted predatory animals * Poland, Yugoslavia, Czechoslovakia and irag were countries made by the treaty of Versailles * The Canadian government delayed the return of their soldiers until spring 1919 because of the winter weather, Canadians troops helped to occupy parts of Germany, and limited number of ships at the time. * After war measures included income tax, department of health and pensions for the returning soldiers Unit Two: Canada and the 1920’s + 1930’s Term | Definition| Significance| Flapper| A young fashionable women| * Brought new styles (bob haircuts, above the knee dresses) * They pushed the boundaries by staying out late , smoking and swearing. These women helped with the feminism movement during this time| Group of seven| A group of Canadian painters| * Inspired later Canadian artists such as Emily Carr * These artists painted Canadian Landscape, and now ar e very famous now, to own a painting is to own a part of Canadian history| Roaring Twenties| A time of prosperity for Canada | * Feminism movement allowed women to vote and led to later movements in the 1960s * Music, dances and slang words led to the quick development of agriculture * Everyone was niave in a sense that they believed the amazing prosperity of the twenties could last forever, it all came to a crashing end when the great depression began in the late 1920s| Prohibition| The ban of alcohol in a certain country or city.