Tuesday, April 30, 2019
Are Circumcisions Necessary Research Paper Example | Topics and Well Written Essays - 750 words
Are Circumcisions Necessary - Research root word ExampleThis paper seeks to give an in-depth analysis of circumcision outlining its merits and demerits. In the religious point of view, circumcision is discover to be commandment. From the biblical teachings, Abraham was instructed to be circumcised and all his decedents to follow that. As a result, the Jewish culture ensured that all men had to be circumcised in order to live by the religious teachings (Glass 1). Thus, circumcision is observed a means of adhering to the biblical teachings and preparing the heavenly kingdom. In the Muslim faith, circumcision derives its roots from the religious teachings (Rizvi and Hassan 1). Sexually transmitted diseases have been on the increase in the recent past and have threatened the future. Due to the illness, many persons have left their families and the number of orphans has been on the increase. Furthermore, the problem reduces the human labor of a country, which is necessary for its econ omic development. In a bid to speech this, numerous researches has been conducted on the possible ways of controlling the spread of sexually transmitted infections (Barbieri 1 Jozkowski et al 1). According to a research conducted on circumcision and the spread of sexually transmitted diseases in Uganda, South Africa, and Kenya, it was observed that circumcised men were less prone to catching STIs. Prior to the research, all persons were given same advice on how to stay fresh the spread of STI. In addition, circumcision is observed to reduce the chances of developing urinary tract infection and cancer of the penis. During infancy, the foreskin of a child is not retractable until the age of six month. During this period, the bacterial colonization is very highschool which places the child at a risk of developing urinary tract infections. Sex is essential in the reproduction of human race. In the realization of pleasure, the sensitivity of the dot of the penis plays a significant part. For an uncircumcised man, the head of the penis is more sensitive as it is usually covered from interacting with the clothing. In the case of a woman, the removal of the clitoris and the labia reduces pleasures realized during sex. Thus in terms of pleasure, circumcision reduces it by a significant margin. Circumcision usually entails conduction of a surgery. As such, it is prone to the emergence of health complications. Bleeding is a common phenomenon during circumcision. In close traditional practices, very few measures were implemented to reduce bleeding. As a result, it resulted to excessive bleeding which sometimes lead to death. Currently, there has been technological advancement, which has led to the identification and implementation of various medicines and practices that reduces bleeding. Despite this, it still poses a danger to the patients. During any surgical experiment, sterilization of the tools and equipment to be used is very necessary. This is aimed at red ucing the chances of contracting infections. Despite this, some circumcision has resulted in the contraction of infection by the victims especially when the tools used are not congruously sterilized. Furthermore, when one is circumcised, the wound provides an easy avenue for attack by disease causing organism. Thus, if proper hygiene is not maintained, then the patients may get the infection. For the case of uncircumcised men, they are not exposed to such health risks. Thus, circumcision increases the chances of post-operative infections. Many persons and organizations have continuously
Monday, April 29, 2019
What best explains people's willingness to work hard Essay
What best explains peoples willingness to work hard - Essay Exampleanging employment motivated employees do not leave when the company is trying to survive in the market, and motivated employees be more productive (ONeil 1994). If the managers want to be effective, they need to understand what drives people work better. It is the complex occupation and requires the item-by-item approach to every single employee. For example, the research shows that as employees earn more, money becomes less move and as they get older the interesting job is of higher value to them. Understanding what motivates people has been examine by many theorists. Adam states that employees want to find the balance between themselves and other employees equity is when employees outcomes is equal to inputs and is equal to outcomes of the other employees. Maslow believed that employees have five levels of needs basic, safety, social, ego and self-actualizing. At first the set down level needs should be sati sfied in order for employees to be motivated. Herzberg divided motivation into deuce sections motivators (achievement, recognition) and hygienes (pay, security). Schein has analyzed motivation from the standpoint of employees and has based his judgment on expectation theory if the expectations are met, the individual is satisfied and remains in the company while if the expectations are not met, the individual either leaves or deems his expectations as unrealistic or unimportant and stays. McGregor has developed two theories X and Y describing two different attitudes to workforce motivation and has left it up to managers to decide which one is more appropriate for the given company. all(prenominal) of these theories has its advantages and disadvantages.Interestingly, Maslow has developed his motivation theory when he observed the behavior of monkey he noticed that round on the needs take precedence over others. For example, thirst is stronger need than hunger. He continued this image and created the hierarchy of needs with broader layersThe
Sunday, April 28, 2019
The Coercion used in Continental Army Essay Example | Topics and Well Written Essays - 3000 words
The Coercion used in Continental Army - judge ExampleVery little scholarly work had been done on military afflict and enforcement in the American army during the Revolutionary War. The neglect is not for lack f source material. Thousands f prim books, manuals f instruction, court martial transcripts, and otherwise primary sources exist in private collections and in local anesthetic and national repositories, including the National Archives and the Library f congress. Most f this material is readily purchasable to researchers, and some f it, most notably in George Washingtons papers, has appeared in print. cellblock is the first historian to go steady the primary sources in depth, however, and he has written a pioneering study f a very definitive element in the military history f the Revolutionary War.Washington was no touchy-feely general. As Ward explains, he developed his understanding f military discipline from study and observation f British practices during the French an d Indian War. Discipline during that war followed standard eighteenth-century practice. Penalties were cruel--from whipping and riding the wooden dollar bill to public hanging--and intended to terrify rather than to correct. Washington was as enthusiastic as any other officer in applying this discipline, often more so. And in the Revolutionary War, he made tough discipline a centerpiece f his military philosophy. The relatively democratic, easy-going methods common to the New England militia in wee 1775 were not for him and on taking command f the Continental Army later that year, he right away instilled an authoritarian, hierarchic system that came down hard on everything from cowardice and desertion to foul language, gambling, and female ring followers.Wards focus is less on policy formulation than on the effect that Washingtons discipline--developed in consultation with Congress and the generals--had on the common soldiers. This emphasis on the average man helps to keep the book far more fresh and exciting than any purely administrative study. At all levels, from officers guards, pickets, and police, to provost guards, executioners, and field musicians, Ward explores what it meant to withstand under Continental Army discipline, making use f numerous interesting anecdotes. At times, Wards inclination to hop from one topic to another makes for haphazard reading, but the narrative, though at times awkwardly written, never loses interest. What is missing is a coherent overall sense f how military discipline evolved during the war, and especially f how lessons learned during the course f the conflict influenced the development f U.S. Army discipline in succeeding eras. The book lacks a concluding chapter to bring all f the loose ends together, instead closing curtain rather abruptly with a discussion f military executions. Still, there is no question that Ward has written the definitive study f American military discipline during the Revolutionary War.Th e inability to adequately equip the troops stemmed from the structure f the Commissary Department, and its adjunct, the Quartermaster Department. Military officers normally headed these departments, but
Saturday, April 27, 2019
Decision Analysis in Financial Services Corporation Assignment
Decision digest in Financial Services Corporation - Assignment ExampleThis was particularly true post-September 11, 2001, when the Patriot stand for and its companion Banking Secrecy Act changed and further complicated the way financial institutions did business, by requiring them to detect and go over money laundering procedures. Like almost others in the banking industry, in the decade prior to 2006 FSC had acquired and merged with many other like firms. By that year the corporation was in the process of its largest merger to date, which was still some months off. In order to make the merger smooth and efficient, it became evident that most of their divisions needed to be flowing and HR was one those divisions that were singled out. One of those options was the equilibrate scorecard an idea that had been around since the early 1990s and had been enforced several times during the decade by the Human Resources of FSC, albeit without much success. Issues Based upon How to Analy ze a lawsuit from Harvard Business Schools Case Study Handbook, there are four situations that occur in most cases. The premiere is the problem or in modern speak, the issues involved. FSC needed to develop a balanced scorecard (BSC) for is merger and had begun to identify problems with its Human Resources Division as early as 2002. ...With regard to the HR Division, the study revealed several weaknesses. Of the six flaws discovered, five of those dealt with measuring the divisions progress and using those indicators to annunciate the future of the department and deal with any changes that would come about. To quote the paper, the HR Leadership Team, which consisted of the HR chief financial officer and managers of the various HR departments, did not regularly review departmental metrics or indicators rather, it relied on anecdotal information from colleagues and internal customers relating to how the HR Division was performing. Still, it took another two years before the first prime version of the BSC was first implemented. The division had also been making an attempt to implement the BSC since 2004, with a lot of enemy from the employees, who for the most part considered the scorecards a waste of their valuable time and another fad brought about by the whims of the top leadership. As expected without enthusiastic cooperation in the HR Division, especially in senior leadership, that first BSC failed miserably as did several reincarnations thereafter. Yet Corporate Headquarters was determined to see the BSC brought about in the HR Division and bring Leaderships thinking in line with the concept. After all, such(prenominal) things as Human Resources had long been considered of having no value addition and mostly referred to as overhead. The people at the top looked at exactly that, money, and if they werent convinced HR was a viable asset, it could be take down further trimmed and the BSC was the best tool to prevent that.
Friday, April 26, 2019
INTERNSHIP PORTFOLIO Thesis Example | Topics and Well Written Essays - 2500 words
INTERNSHIP PORTFOLIO - Thesis ExampleThere is a high level of disturbance for subordinate positions that is caused by the frustrations that come from a non-horizontal structure with more job autonomy. Academic learning provided incursion into the psychological mechanisms that drive employee behaviour and wishings related to the work environment. This formal learning helped me to understand wherefore some people in the workplace are more motivated and why others tend to be less productive. Gambrel & Cianci (2003) identify that employees stick a need for affiliation and recognition from peers and from supervisors. Once these have been satisfied and there is a more team-based environment, employees can build on their self-confidence, and feel as though they are having a useful impact on their job environment as an element of business office and control (Gambrel & Cianci). Personal notations taken throughout the course of the internship at ATF Bank indicated that there was not a un ified and harmonious culture of belonging at this organisation with no structured (formal) or cosy policies about conference working and creating a culture of quality and interpersonal communication development. ... Many of the managers at the organisation were expatriate leaders send from France, the United States, and also Egypt because of their specialized knowledge in kind resources and overall global finance. Many people from Kazakhstan had difficulty working with these cultures due to their social and management principles. For example, faculty member learning provided knowledge on Hofstedes Cultural Dimensions framework that gives a very basic crack-up of different cultural values across the world. Blodgett, Bakir & Rose (2008) offers that collectivists have a strong value for group welfare and expect group loyalty as part of a larger family unit. In enemy accord, individualists value self-expression and want to work independently from others (Blodgett, et al.). Because of these differences between the foreign managers and those in the host country, coupled with no organisational structure that allowed for innovation and recognition, developing team-based systems and gaining peer support was next to impossible. A self-assessment profile, the Myer-Briggs inventory, gave me a strong rock toward extroversion above all other principles on the scoring instrument. Churchill & Bayne (1998) describe extroversion as the efficacy to work well with others and able to focus with comfort on the external social world a more interactive person. This fits well with my self-report on personality as I have always been a person that takes a visible leadership position when in social and work groups. This is why the need to negotiate conflict and understand cultural principles for foreign workers was so critical, since these skills are necessary for success in business and in a leadership role and
Thursday, April 25, 2019
Answer the questions in Bold Essay Example | Topics and Well Written Essays - 250 words - 5
Answer the questions in Bold - shew ExamplePrecedent research shows propositions by the locals and state, proposing the necessity for hospitals to meet patients needs (Miller, 2008). For this to be accomplished, health facilities should be fully outfitted for them to meet the obligatory qualifications. I believe that satisfying the needs of patients is the main want why hospitals are put up hence, this ought to be the mission for all health facilities.I point that each patient ought to be given attention and treatment to improve the health status of the community. ratiocination down the hospitals that fail to meet the needs of their patients is the best policy to discipline the health facilities in the country. Addressing the trim down through policy has a great effect on the hospitals that violate the patients rights (Roach, 2006). If the hospitals do not work more workers to attend to the patients needs or the bill guiding health operations, then the necessity coda the
Choose 1 of the 4 questions I will upload on the file Essay
acquire 1 of the 4 passs I will upload on the file - Essay Examples the biggest competition on the market, open utility broadcast medium (phosphate buffer solution) has a lot to offer to its audience in order to stay competitive and up-to-date. Growing internet penetration represents another challenge for broadcasters. Governmental interposition has always represented a constant danger for media independence.According to the official website of UNESCO public broadcasting is broadcasting made, financed and controlled by the public, for the public. It is neither commercial nor raise-owned, free from political interference and pressure from commercial forces (Public Service Broadcasting).What does it designate financed and controlled by the public? Does the government serve the interests of the public when impose regulations or censor the actions of the PBS? In this paper I would like to address these questions and issues that public broadcasters are facing. The role and importan ce of public service broadcasters has changed over the time, but the services that broadcasters provide are still valued, appreciated and needed.It is hard to define what public service broadcasting is since the role of the PBS is changing and there is no clear universal and accept model in the world. However majority of scholars, journalists and media professionals agree that public broadcasting should be independent from the state interference and regulation, even though public broadcasters use public funds and serve the public interest. PBS should provide examples of professional journalistic standards and practices. At the same time transparency and accountability are as well vital for the effective work of PBS. These ideas provide a definition of a perfect system of PBS, dapple things are different in reality. I would definitely support Richard Berry who believes that public services, such as enhancing democratic changes, supporting cultural values and educational norms shou ld go first and broadcasting second (Jakubowicz 2007).The question is should PBS give
Wednesday, April 24, 2019
Customer Service Excellence Essay Example | Topics and Well Written Essays - 2000 words
Customer Service duty - Essay ExampleThen when the musical arrangements realised the fact that the sales pattern followed by them did not interpret with the consumer needs, then the need for a separate trade department was realise. It can thus be named as the marketing department era. Next came the marketing company era when the need of organisations to management on its guests to strain its goals was realised. Hence, customer is given the highest priority in any of the marketing activities followed by the organisations. Customer Relationship trade Relationship is vital to the marketing process and the companies are now focussed on kinship marketing which helps to create, maintain and build a strong long term consanguinity with the stakeholders of the company including its customers (Palmatier, 2008). The area of relationship marketing has been an area of focus for the last few years. Relationship marketing mainly puts emphasis on the retention of customers rather than acq uiring new customers. It heavily stresses on the process of customer felicity and gives slight wideness to sales transactions. Relationship marketing, to a large extent, differs from that of the traditional forms of marketing. Relationship marketing mainly gauges the importance of long term relationship with a customer. Some of the eminent scholars identified that practicing relationship marking exit help the company to convert a normal customer into a loyal customer. The loyalty means in turn offers the company with new sales opportunities through repeat purchase (Food and Agriculture arrangement of the United Nations, 1986, p. 234-235). Importance of Customer Service Customer service can be considered as the relationship that an organisation develops with its consumers or customers. It includes the provision of... The facts and analysis presented in this report suggest that most of the business organisations in this modern era are customer oriented. Any company which is mark et oriented is found to focus on all their business activities keeping the customers at the centre. The business activities are performed in such a way that it corresponds to the specific needs and wants of the customers. This process leads to the increased satisfactions for the customers and once the customer becomes happy it can be expected that they would continue their relationship with the organisation and would like to have the same product in future. This increases the customer trust and loyalty and helps the organisations to have a sustainable growth in future. Concept of marketing is not new and it has evolved through various stages. This paper makes a conclusion that the companies are now focused on finding products for the customers and not finding customers for the products offered by them. Technological advancements are also having a significant concern on the ways in which customer services are provided by the organisations. Technology has helped to provide customer s ervice in a timely manner and the companies can now provide greater satisfaction to their customers. All these facts suggest that customer service is the most important aspect for any business organisation in order to ensure its profitable and sustainable growth in future.
Tuesday, April 23, 2019
Group Behavior in Organizations Essay Example | Topics and Well Written Essays - 2250 words
Group Behavior in Organizations - Essay ExampleDuring its production of goods, the troupe has a history of using group work for effectiveness and efficiency in production.Productivity is the nigh important component in any organization members of the group should learn how to work together. For organizations initiatives and goals to be achieved, group productivity should be enhanced (Kowert, 2002). Any successful supervisor or charabanc should be in a position to guide his employees in a way that encourages an increase in performance. Being a hired consultant in Johnson and Johnson, I found that the organization has four main(prenominal) problems which will be analyzed in this paper.Thesis statement This paper will analyze in essence the problems in Johnsons and Johnsons Company, the effects caused by the problems upon the groups production, as swell up as recommendations to be adhered to in order to increase the productivity of the groups in the organization as seen below. eccen tric conflicts occur in organizations due to individuals having many conflicting responsibilities in the organization. Research has depicted that most design conflicts come as a result of multiple obligations being given to varied groups (Kowert, 2002). Through the enquiry carried out in Johnson and Johnson Company, it is clear that mid-level supervisors be given a lot of roles which include working with the employees they supervise. This has conduct to many role conflicts with the supervisor. This is due to the fact that the supervisor is expected to report underperforming employees and to collaboratively work with the group. Moreover, conflict roles are also caused by employees being asked to perform tasks which contradict at the same time. For instance, an employee can be asked by one supervisor to increase quality control on Johnsons baby powder.
Monday, April 22, 2019
Healthy Grief Essay Example | Topics and Well Written Essays - 750 words
thinking(a) Grief - Essay ExampleGrief is an emotional process as what Hood, Hill & Spilka (2009, p. 198) quoted. In literature, the discussions that atomic number 18 common atomic number 18 about stages of grief, models of grief and ritual grief (Hood, Hill & Spilka, 2009, p. 198). Kubler-Ross & Kessler (2005, p. 7) express that there are five stages of grief. These five stages are denial, anger, bargaining, mental picture, and acceptance (Kubler-Ross & Kessler, 2005, p. 7). These are the process in which each person should bear once they experience the loss of someone. According to them, these are only identifiers for which a person feels when in period of grief, but it does non conclude that a person give experience all of these stages (Kubler-Ross & Kessler, 2005, p. 7). Also, Kubler-Ross & Kessler (2005, p. 7) state that it does not need to be exactly the same order as how they presented the stages of grief. These are only tools for people to notice easily what they a re going through in times of grief. The first stage, which is denial, does not erratumly stringent that the people who lost their loved ones do not know it. This denial is more symbolic than literal as noted by Kubler-Ross & Kessler (2005, p. 8). The second and third stages are anger and bargaining. Anger, according to Kubler-Ross & Kessler (2005, p. ... After that, depression is the next stage. A person who lost someone feels empty and alone during this stage. Hence, it does not mean that when a person feels this way, it is a sign of mental illness (Kubler-Ross & Kessler, 2005, p. 20). Depression is normal to a person who only when lost someone. Further, the last stage is acceptance. This is the point where the person accepts the reality that someone is dead. On this stage, the person will learn to live with it. On the other hand, the five stages of grief have many critics. There are some psychologists who also proposed other multi-stage models of grieving. Musgrave and Bickle ( 2003, p. 46) have drawn one of the popular stories of the Bible which is the story of origin. They stated that the story focuses on how someone heals through grieving. In the story of profession, Job deals not only a human grieving, but it also included God (The Book of Job, 2011). Though Job experienced the beat out way of human grieving, it shows some of the stages of grief. In the story of Job, it only shows three stages among the five stages of grief from Kubler-Ross and Kessler (2005). These would be bargaining, depression and acceptance. It may sound unusual, but it seemed that acceptance comes first in the story of Job. It came first because Job is a believer of God. Thus, Job knew that his trials are part of Gods plan (The Book of Job, 2011). Since Jobs love for God is strong, he did not feel any anger and denial. Moreover, theres one thing that Job showed - joy (The Book of Job, 2011). Though Job is suffering, he still shows consent that one day he will meet God face to face. Hence, it somehow gave him joy. In affinity between joy and the grieving process, a person can obtain joy once he/she free himself/herself from any
Sunday, April 21, 2019
Design, conduct and report on interviews with parents. (Pedagogy and Essay
Design, conduct and report on interviews with p atomic number 18nts. (Pedagogy and die hard) - Essay ExampleThe early years of children, the period of immaturity, is an important time to develop behaviors (Bateson, 2005). And through represent many key skills and desired behaviors digest be developed. With the effective utilization of accept, many social skills and problem-solving strategies can be nurture(Smith, 1986).However, in past, the influence of the play and its role in child cultivation and growth was non understood (Bruner et al, 1976). In the succeeding(a) I depart present my findings about the perceptions of parents regarding play and its pedagogical value. I interviewed two ladies. First is Mrs, Hubert , a housewife and mother of Nany a 5 year old girl. endorse lady is Ms.Tina mother of Ted a 4 year old boy. 2. Overall views about play both of the parents viewed play as a natural need of the children. Their views matched that play helps in better growth and kno wledge of the body and mind. One parent, Nanys mother, tell that play involves such a diversified processes which help in naturally acquiring many key skills including imagination, creativity, better expression and interpersonal skills. Their views about play are well developed. Many researchers like Moyles( 1994), Glickman( 1981) similar kind of expression about play. In their opinion play is an informal way of developing childrens skills and behavior. . 3. The value of play in child growth and development Ms. Tina , mother of 5 year old Ted, express that there must be a proportionality between study and play. Her point of view is that, if child get to a greater extent involved in play, her studies would suffer. As she emphasized balance is the key word On the other hand, Nanys mother, Mrs Hubert , is of the view that play public treasury the age of 5 or 6 year is more important than studying at school. She said that play will teach them a lot in a natural environment. For inst ance , she said that playing in teams or pairs teach them tolerance and teamwork. There is a slight variation in the point of view of Mrs. Hubert and Ms.Tina. The former values play more that study. This difference is rooted in the difference of life style. Ms. Tina is a working lady where as Mrs. Hubert is a house wife. However, both the ladies agree to the following points about the value of the play. 3.1. Develop Mutual Respect Both the parents pointed out that games help in dainty each other with respect and understanding others view point. An Innate demand of play is co-existence. Bateson (2005) has said that play samples whole life and children perk up and practice behaviors adaptive to that environment. 3.2. Principled Life Both the parents agree that children learn to follow the rules and principles in playing games. This makes them more principled and disciplined. Perhaps socially responsible, Ms Tina said, you foundert have force them to follow your opinions, likes or dislikes, just offer them rules of game and life will be easy. This concept of play as preparation for life was presented by Groos in 1898(Play Theories, 2008). indeed play will teach them the thing that will make them more law abiding and more responsible citizen. 3.3. Fostering Freedom and Responsibility Ladies are agree that play fosters sense of responsibility in children. As they learn to respect each other and follow the rules of game, they become more responsible. Mrs. Hubert format it in this way you
Saturday, April 20, 2019
Investment Portfolio Assignment Example | Topics and Well Written Essays - 2000 words - 1
Investment Portfolio - Assignment ExampleBoth children likewise capture 529 plans established, gifted to them by their grandparents ecstasy years ago. Therefore, college tuition is not considered a financial objective, as higher education result be essentially paid for through these particular savings plans. Finally, the investor has go years left on a 30-year mortgage note, thereby paying off the loan ten years before he enters retirement. The monthly mortgage payment is approximately $1125. Since the couple looks at their residency as their dream home, they have no intentions of ever selling their property nor do they intend to get a second home. They do not foresee any other significant expenses on the eyeshot however, they do have an emergency fund valued at $10,500 to cover any problems that may filch into their financial picture. It can be assumed, then, that their objective will not include constructing an emergency reserve. They can, and will, focus simply on retir ement savings. I. Investment Policy A study conducted by Klein and Iammartino in 2010 states that Modern Portfolio hypothesis supports the notion that there are three main factors that must be considered when selecting the various investment vehicles that will comprise a sound portfolio diversification, insecurity tolerance, and magazine horizon. In this particular situation, the investors age and seek tolerance reflects a need for a moderately conservative approach to building the portfolio. While the investor dumb has some time on his side for wealth accumulation, stocks traditionally perform rather inconsistently, making it about impossible to predict what direction the securities will take on any given day. Of course, most portfolio lolly are made by investing in securities, as their sheer nature is to grow money. scarcely like anything in life, there is give and take. While highly lucrative, stocks are also highly volatile, which increases the risk that an investor could lose all money put into a particular security if the company is changing management, losing its agonistical edge in the industry, or even worse, headed for insolvency. As times goes on and retirement inches closer, an investor will have less reaction time to deal with any of the above circumstances that are adversely touch on the portfolios performance. Consequentially, it makes good financial sense to build in shock absorbers to help alleviate any additional burdens the investor takes by putting money into equities. These absorbers are referred to as fixed income, which is a more than beneficial asset class because these investments pay out through fixed interest rates for a pre-determined time frame and, in some cases, are insured, should the debtor become insolvent. Fixed income is mainly comprised of bonds and CDs. They are not as profitable as equities and can bring their own element of danger simply because more conservative investments typically cannot outpace inflation ( think of your investments flying down a freeway with inflation as the highway trooper clocking the speed at which the money is growing). Still yet, they do provide guarantee, which gives the investor field pansy of mind that the money will never be lost. It can be said then that the same investor will need to allocate a certain percentage of his money to stocks, bonds, and finally, cash to provide necessitated runniness in his portfolio, should there be another global downturn in
Friday, April 19, 2019
Film Prioritization Essay Example | Topics and Well Written Essays - 1000 words
Film Prioritization - Essay object lessonProposal 3 The Year of the Echo fails on the second must objective because its subject outcome includes a heroin overdose and the underworld of sex, drugs and rock and roll, so it volition be unable to submit a PG advisory rating. Proposal 6 Keiko passes all the must objectives, although from a PR standpoint the sermon of Keiko in the movie might be an issue even though the footage was non filmed by the gild. Proposal 7 Grand Island passes all the must objectives. Proposal 5 Nadia and Proposal 2 Heidi excessively pass all the must objectives.Now we will examine the remaining films ability to fulfil the companys call for objectives. Proposal 4 has a chance to be nominated for an honorary society gift because the Academy tends to select films that have a moral conscience and address environmental issues. It is unlikely that it will win the best picture, since it is rare for an animated feature to get the nod, barely if the film is wel l execute it may have a chance. Proposal 4 passes all the rest of the companys want objectives easily. It could be especially effective in creating merchandise revenue, particularly because the goal-based plot of the movie would translate into a video game very well.Proposal 6 has a chance to be nominated for an Oscar, but it seems less likely to be nominated or to win than Proposal 4 because its plot is not as innovative (its just like Free Willy) and because it doesnt address the political concerns of the Academy as directly. It passes the remaining objectives just about as well as 4, although the projected ROI is less.Proposal 7 Grand Island has a give way chance at winning an Oscar than 6, and it probably has a slightly better chance than 4, since it is a live-action feature and it also addresses the environmental concerns that the Academy holds dear. It has difficulty passing objective 2 becauseit is not animated, although it still may be possible to spin off an animated TV sh ow.
Health Care Career Report Essay Example | Topics and Well Written Essays - 500 words
Health Care Career Report - Essay ExampleIn terms of rationale, it gouge be affirmed that the aforesaid careers have been taken into concern for comparison. It is done in order to obtain an in-depth understanding about the scope of such careers in the future and attain the predetermine objectives of Healthy people 2020.The academic preparation, certifications and credentialing of the career of nutritionists, as well as dietitians, are primarily found on the completion of the program relating to dietetic techniques. The program is approved by, an ascribed education institution (Academy of Nutrition and Dietetics, 2014). In contrast, the academic preparation, certifications and credentialing of epidemiologists as a career can be as originaled as the completion of certain certificate programs. Such programs are like Fellow of the College of Applied Epidemiology (FCAE) and Member of the College of Applied Epidemiology (MCAE) among others (ieph inc., 2004). Finally, the academic prepa ration, certifications and credentialing of the career of counsellors is identified to be based on the completion of graduation programs. Such programs are particularly related to with counselling about health-related subject matters (Trustees of the California State University, 2014).The sites of potential employment of the above discussed three careers can be found to be quite similar. In this regard, the sites may fundamentally include government registered clinical institutions and private nursing homes among others. However, the compensation range differs amid these three careers. Notably, on average, health educators earn a salary of $58,553 per year (Salary.com, 2014). Compared to that of nutritionists and dietitians, epidemiologists and counsellors who earn averagely $40,807 (US PayScale, 2014), $65,270 (Bureau of Labor Statistics, 2012), and $43,000 (Indeed, 2014), respectively.In terms of importance of community health, the career of Nutritionist as well as dietitians te nds to
Thursday, April 18, 2019
The Crux of the 1939 German Invasion of Poland Essay
The Crux of the 1939 German Invasion of Poland - Essay ExampleThis essay explores that on the thirty-first of March, France and Britain promised support for Germany. In the meantime the German propaganda instrument had been working solidly to sway public sagacity against Poland for false and suspected acts of violence against Germans, and the bailiwick Socialists in Danzig, on orders from Berchtesgaden and Berlin, were working on methodically fault the foundations of the Free City and terrorizing and harassing its fine-tune occupants. Danzig was already a strong German military base, occupied by Army members and the Partys military units amounting to a sum of almost 15,000. Polands customs inspectorate carry there within the provisions of the Free Citys agreement-- was one of the primary targets of the wrath of the Danzig National Socialists. A number of occurrences had taken place where in these officials were stopped from accomplishing their tasks, and they had on several insta nces endured atrocities with casualties. The Polish government, on the 31st of July, declared that because of the situation they would consider different Danzig institutions as those situated outside of the import-export tax grammatical construction of Poland and would place their exports to Poland under the established import taxes. According to Henderson, as a counter-step, the Danzig National Socialists carried on to notify several Polish custom officers that they would not be permitted to continue their jobs anymore. The Polish government, on the 4th of August, victorious action under the consent of the British Ambassador at Warsaw, dispatched a solicitous note to the Danzig Senate. It proposed to exclude out its tariff policy if the Senate would consent to end its intrusion with the inspectorates job, but included an monition of the grave outcomes which would ensue if the Senate kept on capriciously intruding on Polish civil liberties (Fraser 1945). The Senate gave its app roval and awhile it appeared as if the conflict were dying down. But meanwhile, Forsterthe Gauleiter of Danzighad went to Berchtesgaden to consult the state of affairs with Adolph Hitler (Fraser 1945). According to Glen (1941), Hitler do a decision to revive this tension, which had by now been resolved between the Polish government and the Senate and the scheme he picked was to have a critical letter dispatched from Berlin to Warsaw reprimanding the Polish government for their appeasing letter. The Polish government retorted by showing that it had took action fully within its liberties and in the defense of its legal welfare, and process of monition that it would consider any intrusion with such interests from foreign entities as an aggressive act. The reply of Hitler was to send massive numbers of forces to Polands border (Fraser 1945). On the 22nd of August the British Prime Minister address a private note to Hitler ordering him
Wednesday, April 17, 2019
Emphasis on Fitness for Men and Women Essay Example | Topics and Well Written Essays - 1000 words
Emphasis on Fitness for hands and Wowork force - Essay ExampleBy the same token, yoga and aerobics have been seen as programs of more interest to women than to men but men can benefit from them. Educating the public as to the various programs offered and why it is important to go into in a mix of programs is the focus of this paper.We live in a sedentary society. Watching video recording does nothing to stimulate the physical aspects of the body. Computers at home and in business cause more aches and breed than any exercise regime, without the benefits of exercise. People have a tendency to find the parking ship close set(predicate) to their destination at the mall or at the grocery store or at their place of business. The most recent concern as noted by the media is obesity. It has been determined that going on a diet is not the answer to losing weight. In fact, it can be more detrimental because of the exhalation and gain, loss and gain aspects of dieting. More and more, the public is being urged to follow a fitness regime, eating the right foods as a way of life and planning a total body makeover. However, the type of program followed should imply more than one activity. For instance, it is just as important to learn muscle control as it is to figure weight lifting. This paper will discuss various fitness programs and the ways in which they can be combined to offer the most effective results. Each of the activities listed below will describe workout environment, grammatical gender identity, benefits of the activity and how to attract the public.Weight LiftingAlthough cardiovascular exercise on machines uses more calories than weight lifting, working the muscles in addition to the heart and lungs can also improve health. Increased muscle burn 50 free calories every day of the week. One deterrent for weight lifting as a womans activity is the fact that muscle, similar fat, at first causes slight weight gain when the focus is on weight loss. However, it is overall appearance that matters and toned muscle is more important than what the scale says. Women are apt to be concerned slightly appearing muscle-bound but because they have less testosterone, they become sleek instead. According to John Litchfield, look shows that just two 15-20 minute sessions a week are enough to gain all the potential health benefits of strength training (par. 16).Running and WalkingRunning or jogging offers several benefits for those who are willing to commit to it on a regular basis. For some people, it acts as a drug, increasing endorphins for a sense of well being, and for others it is a chore, but running keeps the body toned, offers a way to meet people, burns calories, increases cardiovascular health and prevents the muscle and bone loss that comes with old age. The same benefits are realized for those who favour walking to jogging (Cummings). The key to success is to plan this type of exercise in moderation because overexploitation can c ause knee and foot problems.Pilates and YogaA common belief about pilates is that it is a derivative of yoga, but that is not so (Ogle). Pilates focuses more on strength, and yoga focuses more on demoralize. Ogle states that strength and stretch are part of both programs, but the difference is on emphasis. For those who prefer to do both, pilates gives them the stability they convey to control and expand their yoga poses. The benefits of combining pilates and yoga are as follows (Ogle)1. Graceful body development without bulky
Tuesday, April 16, 2019
September 11th the terrorist attack Essay Example for Free
September 11th the terrorist attack experimentThe terrorist attack on September 11 will always be remember as the about terrifying day in American History. These attacks left field people around the world with feeling of disbeliefs and anger. As consequences, many of American people atomic number 18 blaming all Moslem citizens for the attacks, accusing them as terrorists.There argon an estimated of 3 million muslins living in the United States. The majority of them practice the Islam religion. Islam is a religion that delegacy peace with ones heart, mind and soul. It also means peace with god and to live according to the sacred book. Unluckily, or so Muslim people in America sh be the same religion as the terrorist organization, led by Osama bin Laden, who is the primary suspect for the September 11 attack. As result, many Muslim American are paying a high price for their similarities with the terrorist. They are being humiliated, harassed and discriminated against.There are more than 200 cases of hate crimes reported in Arabic American anti Discrimination Society since the attacks. For instance, a news station reported a week after the attack an Arab American passenger was kicked mutilate the airplane because of the way she looks. In addition, some on these incident children are the most affected. Muslim children because they are more sensible and constantly interacting with their peers, especially on public school.I have seemed discrimination against Muslim people in my classroom at PCCC. One day after the attack a class fellow thought it would be funny to point at on Muslim classmate. I did not visualize it funny, instead I found very insulting toward her, especially because I be intimate her and I know she is not bad. All these case are true history and people live constantly in pain. Many of them are people with dream and ambition.On September 11 every one truism how destruction could be done in a powerful nation like America. Unfortunat ely, these events have left many loses including lives of people and economically impact. But we also learned that not all Muslim are terrorist. They are peaceful people like you and me.
Monday, April 15, 2019
Patents And Trademarks Essay Example for Free
Patents And Trademarks Essay1. What are the display cases of unornamenteds? there are basically three (3) types of patents that an individual can apply for. The first type is called the Utility Patent. This type of patent is given to any person who is able to invent or discover any impudent and useful process, machine, and manufactured article or matter composition. It also includes any new and useful advance of such. The second type of patent is the design patent. This patent is given to anyone who is able to create an original and legend ornamental design for any manufactured article. The third type of patent is the plant patent, which is given to anyone who invents or discovers any distinct new variety of plant.2. How long does the patent review process take?The patent review process is handled by the United States Patent and Trademark Office. It is tasked with the review and examination of patent applications. It unremarkably takes a period of 18 months from the time o f filing before the patent is approved. There is also an intensify patent application examination process that allows the USPTO to advance an application due to special reasons and circumstances.3. What is the so-called capital of Spain Protocol concerning the internationalist registration of marks?The Madrid Agreement and Protocol is a procedure by which any state that is a party to the Paris Convention for the Protection of Industrial Property whitethorn invoke the international protection that is given to the patent. Trademark and patent owners may now avail of international protection over their knowing property rights without the need for filing a separate application in a foreign country. Being a signatory to any of the agreements entitles the citizens of the signatory country to seek the intellectual property protection of any of the party states to the agreement.
Sunday, April 14, 2019
Can India Become a Superpower Essay Example for Free
send packing India Become a Superpower EssayCan India become a Superpower? The dubiety is coarse and comes in evey mind, the topic is everlasting and in limeline. For being a king a country must conduct to solve his external and internal conflicts,its true that no country an become a acepower if ts not a substantial iodin and india has yet to devlope andcan be said as an emerging power. walking on this path is not so smooth you allow find thorns that make you lame and most clips huge rocks ar ready to crush you so as India is go about it in this present senario (courption and repeatedly millitant fights). India A brief discriptionIndia so called as democratic country struggling to become a developed country has got a vast heritage. The overall population of India is 1.2 billion in 2013 and according to survey it will be going to become 1.4 billion in 2025 and in 2050 it will become 1.6 billion. Putting some light on political arena, Indian constitution has parliam entary system, multiparty system, liberal and conservatives. But it doesnt matter what rights we have at that place in our constitution be mother all are violated either by us or by governmennt, cant blame on a particular society or league of people. Now, the question comes, why it is not so easy to become a superpower, redden we have proved ourself in every section of development? It is not so significant either you have taken your get-go steps in every section of development but it mainly depends on the factors that converts a country from developing to a developed country.Historical mistakesIndia has suffered a potentiometer and yet it is suffering from illness, in historic time illness was that we were always being ruptured by foreign invaders Mughals, Englishmen, Portugese etc. The reason was our weakness because at that time trading were made on a large scale and to fullfill our needs manual manufacturing starts declining and industrial revolution take place which was the father of modern history and guess who was the m opposite none other than renissance that is re birth. Re birth of rationalism so the people of India were separate in many move and didnt accept this change, now we are facing a big problem as at that time we belive in rituals not on reasons. The reason was, we were not united and till now we are facing the same problem of unity.Internal conflicts As disscused above the first problem we face is Being a united nation but not a united one that is, we say that India is a unsanctified country, every one can follow his/her religion and yes we are enjoying it alot but somehow religion has divided us. The best example, RESERVATION, it is boldly mark because the worst thing to face and to fight, its quite similar to a railway system reservation, for that you have to wait for your call, but it never comes because the mediate man has reserved all the tickets for journey, here the middle man are bureaucrats. And on other hand the politicia ns are using it as a weapon to fill their vote banks, the manner, is giving reservation on the bases of religion and earning votes according to it. They alone cant be blame because its we who support them for our own cause. Not only reservation there are many problems homogeneous Hindi Muslim conflict, telangana case, diffrent language (yes its also a cause for not being united) etc are also responsible and wrtting on this will take a lot pages and suffcient time.External conflicts India is surrounded by lot many neighbours like Pakistan, Bhutan, Nepal, China, Bangladesh, Afganistan and Sri Lanka. India Has bilatreal relation with all its neighbours and trying to maintain it but if we talk about Pakistan one of the oldest enemy of India causing a lot trouble supported by China. Recently there was a heavy load of firing in Poonch, Kashmir after PAK elects its Prime Minister Nawaz Sharif who promised to solve problems with India regarding there relation. If we bow out our memory Sri Lanka used to say that the LTTE is supported by India to break them. So its quite clear even though we have bilateral relation with our neighbours, we are facing a sense of rebel from there side.terrorism One of the most significant problem faced by India which is restraining it to become a super power. The word terrorism always recall us Kargil war(1999), 26/11 mumbai attack, Dantewada tragedy and recently the attack on congressmen, not only this a lot many more attacks we have faced. PAK millitants has threaten so called heaven Kashmir anad on eastern side and central part Naxalites responsible for killing innocent people. Naxalites are considerd as terrorist organisation after Unlawfull Activites (Prevention) Act 1967 and also a most dangerous internal threat. Terrorism does not posses any shape, size, face, religion or community it is only to threaten people with gun power.Courption locomote but not the least courption one of the major threat which is rotening our admistrat ive system from inside getting us weak and if we are weak than its only a dream to become a superpower. It adversly effects our economy. No particular person is responsible for it we all are responsible for it. All those scam like 2g colgate and CWG has an gigantic effect on our GDP rate,4.7% fourth quatqer of 2013 from 6.2% according to 2011-12 fiscal, which make us to count on Hindu rate of growth that is slow rate of growt.The above mention are some of the significant cause apart from others, which are blocking India to become a superpower. No doubt its true that after license we have raised ourself to a better level in the feild of science, tourism, culture etc, but the goal is faraway away to achive and presently India is emerging as a superpower.
Saturday, April 13, 2019
Urban Myth 09 Essay Example for Free
Urban apologue 09 EssayIt was a cold night with a strange breeze in the air. The roads were modify with a slight feel of tension as the domains simple machine drove over the frosted labour way. The smart business man dressed in an expensive suit was coming home from work on and drove peacefully along the road with not a single worry in the world. He was making his way down a long motor way. The further he seemed to go the colder he began to feel. He felt the cold air coming in and touching upon his polyester suit nonetheless though the windows were tightly shut.He was listening to his favourite radio spot when he suddenly heard a bum crrrrrrrr sound blast place from the radio speakers. The radio automatically shifted to another music station one the man had never heard before, spooky opera music began to play from the station. It shot out from the radio speakers and surrounded him in the railway car. The man was momentarily startled then looked down to change the stati on. On that second he sensed something and looked back up at the frosted road.He gazed upon a unexampled women dressed in an immaculate bold red dress. She was madly close and standing directly in the middle of the road. Without a doubt the man directly applied the handbrake and stopped with a thunderous skid. As the car stopped the woman was directly in front of bumper. The man looked her straight in the look in astonishment as the young women didnt look one bit bothered rough or so being killed by the car. The woman slowly raised her arm into a hitchhikers position to ask for a lift home.The man automatically told her with hand gestures to come inside the car he was scared she whitethorn want to file a law suit against him as he had nearly killed her. He estimation that if he gave her a lift home she would not do anything against him. The woman was breathing heavy and with all breath she took misty air seeped out from her mouth onto the front windscreen. As the man began to drive he started to examine the woman from the corner of his eye. She was wearing a sleeveless red dress and looked as if she was exhalation to a party.The man tried to make small talk with the women but got no reply, not even a facial expression. The woman was completely silent and only made noise when taking breathes. As they made it down the road and started to approach the nominates the woman began to shiver. The man took off his jacket and gave it to her. She slowly took it without language and quickly put it on. Her house was not far from where she was, the young women pointed towards the house and the business man place up outside. As soon as the car stopped the woman slid quickly out of the car and ran into the house.The man thought to himself how glad he was that she was not going to file a law suit. He then realised the women was still wearing his expensive jacket but could not do anything as he did not want to disturb the household she had already entered. He then he ard loud shouting coming from the house but thought nothing of it and drove off. The next morning the man came back to the house to this time hear the same spooky opera music he had graduation exercise heard when he encountered the strange young woman on the road. The man parked up the car and got out.He approached the door and knocked the knock sounded echoes throughout the house but could not compete with the sound of the creepy-crawly opera music. The music suddenly went off and an old tired looking woman slowly opened the door. She looked very surprised as if no one had knocked on her door for many years she immediately asked the man what he wanted. The man explained to her what had happened and her young lady or relative perhaps has still got his jacket. The old wench took the man inside and made him feel comfortable as he sat down.She explained to the man how her daughter was murdered brutally on her prom night and thrown into a river not far from the house 20 years ago by her boyfriend as she was coming home. She told him everything in detail about how she was wearing a beautiful red dress and her favourite opera song she use to continuously play whenever she was feeling upset. Show preview only The above preview is unformatted text This student pen piece of work is one of many that can be found in our GCSE Miscellaneous section.
Thursday, April 11, 2019
Safe Travel Essay Example for Free
rubber eraser Travel EssayModern life is impossible with place trigger offing. First of all, in towns or cities the majority of us are committed by trips to school and work e rattling day. For some masses its a real travelling to get from the house to work. They are going by the underground, then by mountain or by taxi. Occasionally we have to go to other(a) city or country on businesses. After a year of hard work, people receive a holiday, and they do not deal to spend it sitting at home. Millions of people all over the world spend their holiday travelling. They travel to see other countries and continents, modern cities and ruins of ancient cities, to enjoy picturesque landscapes or just to change the situation. It is everlastingly interesting to discover the new, to see, how diametrical the life goat be, to meet new people, to try unusual dishes, to acquire unfamiliar musical rhythms. Most travelers and holiday-makers take a camera with them and take pictures of ever ything that interests them the sights of a city, old churches and castles views of mountains, lakes, valleys, plains, waterfalls, forests, different kind of trees, birds, plants and animals.For those who live in the country, it is pleasant to go to a big city and to spend time, see museums and artistic passage counsels, examining storefronts and having dinner at exotic restaurants. City dwellers usually like quiet holiday at sea or in the mountains, when it is not necessary to do anything, except walking, bathing and idling, lying on a beach.Those who are going travel on business or for pleasure, have at their disposition various means of transport. The fastest one is the plane. Its better to book tickets in advance. In the very day you go to the blood lineport by car. Soon you pull up stakes be sitting in a big plane, and it will bring you to new lands. Sitting in a plane, you can look close to yourself. The pilot and the crew are in the front cabin. Passengers can relax in co mfortable seats. (944 words) ambiance TravelQ Air travel only brings advantages to the rich people. But the majority of people do not benefit from it. To what extent do you agree?The proliferation of air technology has changed our world, air travel is one of the virtually welcome transport type. There is a viewpoint that only rich people enjoy the benefits brought by air travel. I do not support this opinion.Nowadays, air transport is a part of popular transportation and air travel is afforded by people. Most of the seats installed in every airliner serve the common passengers. Rich people could choose first class or business class, even though they mat more comfortable, the fly experience, safety, the convenient and time-saving brought by air travel are all the same as well as economic class. As the air plane technology is advancing and globe air transport market competition is fiercer, cheap air travel has been born which bring many benefits to public. The engineers will make air plane flying longer with less fuel-consumption, meanwhile, the competition, in the same airline, gasping more passengers, amidst many air companies give more choice to individuals who can choose the No. depend on their situation, specifically, such as money, time and position.On the other hand, corporate jet is too expensive to afforded by common individual. Although soulfulnessal car is afforded by common family, the price of small airplane are certain only by rich people, so that free flying is a dream that many person having. Only small part of rich people have their own airplane and air port, delinquent to the high maintain fee. It is evident that air transport technology could be used in other field. Scientists and engineers are inventing fly cars, combined with fly abilities, the new transport which can resolve a undecomposed problem traffic congestion in city. Once this product come to realistic, everyone will enjoy a cheap, fast and convenient flying experience as their wish, sound like in the film .Advantages of travelingIn our modern times, when travelling has become easier, domestic trips and foreign journeys are more popular with people. Although approximately everyone is willing to participate in such events, there are still some people, who prefer staying at homes to visiting other places. What are the advantages and disadvantages of travelling?To start with, journeys are one of these kinds of entertainment, which make people tang cheerful and happy. According to many peoples believes, temporary change place of living reform human well-being or even bring an excitement. Secondly, apart from being a great descent of enjoyment, travelling is also a perfect way to relax. Consequently, thanks to going on trips people can forget about their problems or daily life and duties even for a while. Furthermore, journeys are claimed to broaden peoples knowledge about foreign cultures. Not only can people find out more about other traditions an d customs, but also learn some history, improve language skills or taste in local cuisines.Nevertheless, travelling requires a larger sum of money which is connected with transport, accommodation, regimen and some extra expenses. Therefore, an average man is not able to spend his money on it systematically. Moreover, trips, in particular abroad journeys seem to be very tiring. It may happen that it takes many hours or has uncomfortable conditions and as a result travelers feel sleepy, exhausted or annoyed. Additionally, travelling is often associated with some kind of risk. sight who visit other, extremely different nations, cannot be sure how to behave in some situations, particularly when they do not know language. Then, they can easily offend locals, even if they do not want it.On the whole, travelling has both advantages and disadvantages. Despite numerous drawbacks like high costs, tiredness and risk, it is a fantastic way to spend free time, which makes our lives more inter esting.
Wednesday, April 10, 2019
Making Work Better Essay Example for Free
Making Work Better EssayThis was d unrivalled by showing the different bubblers that the white peopleleaves the auditory modality in no doubt at e actually that racism is evil. This is most evident in the Use the subscribe terms that you have been taught in and the pitch blackness people had to use. The white bubbler was a refrigerated one and the establishing sequence. This sequence began with a medium diagonal focussing on two water fountains. class- this will be good for C3 aesthetics Negro bubbler was a broken non-refrigerated one. This represents the racism that The signage of white and colored, with the white sign being higher than the coloured was pestilent The selection of items should be based on the is present in Mississippi straight away and symbolises that the whites argon the representation of the hierarchy inwardly the South. There is quite an extended amount of time on this go around information to prove your point. You also preferred race.This is follow ed on by a car of cops chasing the care of activists shot, signifying its importance. The punk shrouds the white drinker in darkness, again quite need to select evidence that will not impede theand pulling them over. This results in the death of the three activists. This is subtly positioning the audience to reject the set that privilege white people over Negro people. fluency of your writing. regular(a) representation as the jibe of the three students actually happened. The fact that the light shines over the evidently substandard colored fountain perhaps suggests Stick to formal register police over cops for The cops go on to joke about cleansing a nigga and this represents the hatred and that the director wants to shine a light on the racism within Mississippi. When this is combined example unless of course you are quoting brutality that is shown towards the Negros. The attitude of the cops is juxtaposedwith the next sequence which shows the nail-biting chase scene s hrouded in arkness from the dialogue with the attitude of the activists by showing the cops in a unfit light by using perspective of the civil rights activists brutally murdered by Southerners, the perspective of the turn in not to retell the story I know it. tight-fitting ups and darkness when showing them whereas the activists have an whiteness director is blindingly obvious- racism is recognizely evil. Bold in your homework all C3 words as a way of and a victimised representation to position the audience to sympathise for them, Knowing the facts of what happened and then visual perception it in a brutal recreation is gut wrenching in its giving yourself a restless visual check that you and support the Negroes. The Ku Klux Klan is also a representation of racism in ugliness. This evocative reply is guaranteed when the naivete of the civil rights workers whom have covered all of them enough. Mississippi.Symbolism and motifs are used to show where the Klan has been the au dience get to see are juxtaposed against the malevolent people chasing them (whom we dont see humble to make sure your topic sentence and present. These are by reoccurring music, yearning cross, and white hoods. These until the murder takes place). The close ups makes both the fear of the activists and the hatred of clincher sentence mirror each other without things are authentic and support what actually happened in real life. Racism is their pursuers very real to the audience.When the audience realises that it is the police not only directly repeating yourself. represent effectively throughout the opening scenes in Mississippi Burning. perpetrating the crime, alone laughing about killin a nigger (Parker, 1989) it is clear that Your perspective on the film should be very these racist values are abhorrent These opening scenes establish the directors perspective clear by the strong assertive judgement words clearly.Later in the film this is further represented by the excessi ve violence of the Ku Klux Klan used. Highlighted in yellow. (KKK). Commonly known motifs such as the white hoods and the burning cross make it clear this is a Adding in all of the important info means my film based upon a recognisable and authentically represented time in history which makes seeing the split up was too big, but you can see a natural visuals more powerful.These clever film and memoir techniques create a representation of racism break with sentences that can act as topic that one cant help but despise. sentences and clincher sentences. DO NOT do monster paragraphs
Monday, April 8, 2019
Stargirl loves Leo Essay Example for Free
Stargirl loves Leo searchThe Stargirl fad is now dying at Mica Area lofty. Leo Borlock, though always describe much excitement and purpose in the company of Stargirl Caraway, was beginning to feel the sharp rub from the spillover of Stargirls shunning. After Leo received a good douse of love from Stargirls huge trait painted with STARGIRL LOVES LEO and, by and bywards, abject rejection by his school, he begged Stargirl to change and be normal.This conformity gave carry to Susan, a girl who is everything but Stargirl. However, it was not enough. May brought the final days of Stargirl at Mica High until she disappeared the day after her most glorious night at the Ocotillo Ball. Her disappearance eventually pressure Leo to reflect upon his life and found peace and contentment knowing that at least, someone was unmingled enough to love and care for him for who he was and will continue to do so even after it all.A celebration of the pure essence of nonconformity, the book dra ws readers to reflect on their avow circumstances and puzzle out which character are they unconsciously playing in realitythe individualistic and exotic Stargirl, the hesitant Leo, or one with the Mica Area High crowd who finds comfort in being fair(a) like everyone else.In the form of normal teen-age circumstances and decisions, the book effectively conveys its stand on the drab social issue of conformity. The mesh of light humor, drama and love that was meant for both the young and old, in the end, brings a resounding resolution to that certain point in our lives where we find ourselves pondering on how to discover our own purposesdo we seek it in our own terms or must we still care for another(prenominal)s opinion?Certain instances during my reading process brought me to reflect deeply on some issues I have found that piqued my interest and some that left me with so many questions. This in turn do me realize that it would greatly table service if I could have someone with me to whom I could disclose my insights and whose insights, in turn, would help compensate for the issues I failed to understand.This experience will help me learn from and acknowledge the opinions of my students as well when discussing lessons that confirm such rapport. Though, as a teacher, I would be personally responsible for the learning process of my students, I know that there would be instances where I would fail to maximize that responsibility if I do not recognize their ideas and insights as well. Bibliography Spinelli, J. (2000). Stargirl. New York Dell Laurel-Leaf.
Sunday, April 7, 2019
Never Ever Give Up on Life Essay Example for Free
Never Ever give surface Up on Life EssayNever ever give up on spirit No matter how hard life gets. Everyday one is faced with problems, some are worse than others. only if because one thing in life goes wrong doesnt mean you are to stop and mediocre shut the book. One is supposed to use that as a lesson and keep flipping pages on the book. God shake off us all on this Earth for a reason. Everyone was made to do a little or major change in this world. Throughout those obstacles we face everyday is how people will insult us and try to bring our self-esteem down to the ground. But no dont let that happen, we are beautiful so dont let anyone tell you otherwise. Relationships Thats another thing that can mess up a lot of peoples brain.Just because your boyfriend/girlfriend left you, doesnt give you the right to take your life away. You are worth much(prenominal) more than that. Trust me God created a soulmate for all of us, but its on us to go out and search for it. Dont lite rally mean go flirt with a thousand people but rag to others get to know them better and determine what they really mean to you and where they stand at. But like I said giving up on life because your partner left you is not a spectacular idea for he/she is happpily going on with their life. Dont you think if they actually felt a little remorse or something they wouldve maybe came back to you or even considered to apologize or something. So my only parole of advice is never ever ever give up on life regardless of how bad the linguistic context is.
Saturday, April 6, 2019
Run Lola Run - Relentless Passage of Time Essay Example for Free
pass off Lola barrage Relentless Passage of Time essayIn the film, Run Lola Run directed by Tom Tyker, various verbal and visual techniques atomic number 18 used to give and display to the audience several strong ideas. Verbal techniques such as music, and visual techniques such as snapshots, cinematography and others, emphasized and helped to display the important themes and ideas to the audience in Run Lola Run. These ideas and themes included The Relentless Passage of Time, and The Role of Fate and Chance.These all centre somewhat the main character Lola, as she has 20 minutes to raise $100,000 marks, save her boyfriend Manni from certain end and punishment, and for a supernatural reason has three chances to do so after she fails the first 2 times. Run Lola Run is set in the 20th century in the city of Berlin, and is broken up into 3 separate parts of her chances to run and save Manni her boyfriend.The visual editing technique of snapshots is significant and unique to every other film, and used interestingly in Run Lola Run. The snapshot technique was used on occasions in which Lola encountered different strangers on her run to save Manni. The camera zoomed close up to these spate faces before switching to snapshots which showed the major aspects in each persons future. These snapshots were in a approximately dull colour scheme and had the sound of the old flash camera going off at the arrival of each image.The characters that Lola encountered that were affected by the snapshot technique were Doris the brothel keeper with the pram, and Mike the boy on the bike, and for each of the 3 runs the snapshots of their futures were different. This strongly emphasized the displayed theme of The Role of Fate and Chance to the audience. For example, Doriss (the lady with the pram) snapshots show for the 1st run that she becomes poor, has her baby taken away, and in the end steals someone elses baby, for the second run she wins lotto and becomes a million aire, and for the last run she becomes a Catholic.
Nature and Nature in Cognitive Development Essay Example for Free
record and Nature in Cognitive Development EssayWhy ar twain nature and nurture authoritative in perceptual development? How do both help a babys disposition and sensory organs to develop? The question of whether nature or nurture is more important in terms of perceptual development has bee long debated. In general, there are two theories that explain how humanness develop these perceptions. The Nativists claim that our brains are built or hardwired to recognize certain stimuli by both initiation and construction. In contrast, an Empiricist would say that we examine through experience how to perceive things. There was an experiment done by Nativist researchers that sought to determine how very young mammals are able to perceive. The data concluded that previous(predicate) infants were able to perceive kinda a lot before they really had a chance to learn anything. Gibson and Walks the ocular cliff experiment was one such experiment, in this test both young animals and 6 month old human infants were taken to a side of a optical cliff, the test subjects would avoid the clearly deep drop. This indicated that children foundation perceive visual abstruseness and that visual depth dominates even touch information.Additionally, studies halt been done that show babies can recognize faces and that they often prefer the visual stimulation of carton faces as opposed to the same features arranged at random. In other tests it was shown that babies can also recognize whether or not and object is coming directly at their face or not. These experiments show that even the undeveloped infant brain has considerable capacity for perceptual capabilities.In contrast, some(prenominal) Empiricists experiments have been done as well. In one such study, scientists sought to determine the effects of depriving create animals from perceptual stimulations. These tests have consistently shown that the longer the subject is deprived, the more severe the consequences. For exa mple, humans are sometimes born without sight, due to a clouded cornea. Later in life some elect to have surgery to repair this clouded cornea. The result is sight, these people can see but they cannot perceive what it is that they see. As time goes on they slowly learn to distinguish one object from another, but this is however quite easily interrupted. Often changing an objects position or context is quite enough to slow overthrow or prevent recognition.To conclude, although some argue that perception is due to nature, while others argue for nurture, it may in fact be that the two factors are interdependent and rely on each other. Support for this melodic theme comes from an experiment that studied rats and found that those raised in a perceptually restricted environs had smaller brain development than those raised in an enriched environment, suggesting that while we are born with innate capabilities we need the environment to ensure we develop our abilities to perceive well. The perceptual capabilities we have at birth must be alter continuously through perceptual stimulation, furthermore, it would seem that perception in general follows the use it or recur it principle. Just as unused muscles become week, so to do our senses if left unused. Nature and nurture are both essential to health y perceptual development stimulation begins in the womb and promptly follows all the way through adulthood.Sources. Nature and Nurture in Perceptual Development. . www.indiana.edu. Web. 11 Feb 2013. http//www.indiana.edu/p1013447/dictionary/natnurt.htm. . Experiencing mavin and Perception. . physch.hanover.edu. Web. 11 Feb 2013. http//psych.hanover.edu/classes/sensation/chapters/Chapter 15.pdf. Arterberry, M. Perceptual Development. . Colby College. Web. 11 Feb 2013. http//www.elsevierdirect.com/brochures/Infant/PDFs/Perceptual development.pdf.
Friday, April 5, 2019
Choosing Between Debt And Equity Finance Essay
Choosing Between Debt And candour Finance EssayIn financial endings, the choice between debt and lawfulness pay is one of the some difficult ones. Both types of financing have its advantages and disadvantages. Debt financing is base on borrowing finance, and incurs debts that should be repaid in a certain time. The obligations of the high society include repaying the loan and paying engage on the loan until its repaid. Debt financing does not impact the ownership of the business, but might cause high debt servicing costs.On the separate hand, equity financing represents the exchange of finance to a part of business ownership this is commonly make by issuing stocks. Equity financing allows to receive investments without additional payments and does not cause financial carry on of investors, like debt financing does. However, since the ownership is shared, the owners have to dilute their decisive power (Grossman Livingstone, 2009), and might even drop control of the famil iarity.For the companies, the choice of debt or equity financing is based on many factors, such as size of the company, state and dynamics of the industry, perspectives of the company, debt-to-equity ratio, debt servicing costs etc. The purpose of this essay is to consider the last of the Statesn Superconductor muckle to shift to equity financing from debt financing, made in 2003.AMSC caseAmerican Superconductor Corporation is a company providing wind turbine design, electrical control systems, power systems and superconductive wires (Madura, 2008). It operates mostly in Europe, North America and Pacific Asia. Before 2003, the companys investment policy was based on debt financing however, in 2003, the decision to lead a secured debt financing and to adopt an equity financing strategy under current market conditions (Esposito, 2003) was made. The company experienced recession in 2003 in October 2002, its stock prices have fallen to the record level of $2.25, and in 2003, they con stituted about $3.36, which was very low compared even to 2002 level of $12.26 (AMSC Stock, 2010). The company needed financing, and their choice was to skip a public equity offering instead of debt financing.This decision was explained as strategic solution based on the consequences of 2003 blackouts, and CEO of American Superconductor, Greg Yurek, forecasted an increased need for their power grids and public attention to better electromotive force support with dynamic reactive power compensation (Esposito, 2003). The results of source six months of fiscal 2004 year seemed to express the efficient of the decision to pursue equity financing, since no long-term debt was reported, and $17.4 million revenue in the first two quarters of the year. The company also focused on wind turbines, which were gaining popularity. Wind power in 2007, for example, became the first $30B clean energy industry (Madura, 2008).Current financial position of AMSC shows that its total revenue and uncou th profit values have significantly increased during the last years (2008-2010 financial information available) the companys hoggish margin is 39.14% compared to 32.19% in the diversified electronics industry in general (AMSC Stock, 2010). The operating margin is also high 14.70% compared to 5.71% industrys operating margin, the EPS is also higher (0.64) than 0.08 average (AMSC Stock, 2010). Although the financial position of AMSC is weaker than that of main competitor, ABB. Ltd., the company managed to override some other major competitor, SatCon Technology Corporation. The industry provides a significant development potential, and the stocks of the company were not priced less than $10 since 2007 (AMSC Stock, 2010).Analysis of financial decisionThe combination of debt and equity financing impacts the companys cost of capital. Debt financing is safer for investors, while equity financing is to a greater extent risky for investors, but at the same time safer for the company (Gros sman Livingstone, 2009). Since debt financing creates contractual obligations, the companies should carefully consider their ability to repay the debts. Debt servicing incurs higher costs than equity financing, and if the company experiences luxuriant growth, it might suffer from high debt servicing expenses. It has also been shown that companies with consistent profit operating in low-risk and late growing industries more often opt for debt financing, while companies operating in risky and rapidly changing industries as well as in volatile ones, should choose equity financing since these companies have more opportunities for investments, and would not suffer from underinvestment (Grossman Livingstone, 2009).By 2003, AMSC experienced financial problems and its stocks have dropped in price, but the conditions of the environment indicated the profligate growth of interest to AMSC production. It could be forecasted that in some time the company would need significant investments and 2003-2004 was the sound time to expand. If AMSC continued debt financing, its growth would be hindered by debt servicing costs and worse stock dynamics. Thus, the decision of AMSC to replace debt financing with equity financing was very appropriate in this situation.ConclusionIn gild to perform the choice of business financing (debt versus equity), it is necessary to consider the perspectives of the company as well as the nature and dynamics of the industry. In 2003, AMSC was experiencing financial difficulties and its stocks have significantly fallen. However, there were many opportunities for development, and the 2003 blackouts increased the interest to AMSC production. Therefore, the company had strong potential for growth, and needed strong financing source without excess cost increase. Thus, American Superconductor Corporation performed a right decision to stop debt financing, and to issue a public equity offering. The rightness of the decision can be also traced looking at further financial development of the company AMSC is stably growing, creates new products and shows good progress compared to its competitors.
Thursday, April 4, 2019
Franklin and Eleanor Roosevelt
Franklin and Eleanor RooseveltAlly BrouwereFranklin and Eleanor Roosevelt were no regular couple. They dependably have had eyes on them particularly being the prexy and the principal woman of the fall in States. But when bits of gossip about the president becoming individualizedly heterogeneous with his security began to turn out there were more eyes on them than any time before. Who even is Franklin and Eleanor Roosevelt? Franklin Roosevelt was thirty second president of the united states. Franklin Roosevelt was born in 1882. His dad had been married beforehand and was at that headway was 54 social classs of age with a 28 year old child already. So, Franklin became actually close with his mom, Sara. He spent the virtually of his childhood by his moms side, to the signify that when he went to life experience school, some of his peers named him a mommys boy. As a young child, he became involved with his second cousin Eleanor Roosevelt. Franklin D. Roosevelt was the main U.S. president to be chosen four terms. He was the leader of the United States through the Great Depression and World War II. Franklin Roosevelt was leader of the United States from jar against 4, 1933 April 12, 1945. He was parcel presidency during World War II and additionally the immense misery. He had a lot of up flummox times being president al one and only(a) his relationship made it even harder with his wife Eleanor Roosevelt.Who is Eleanor Roosevelt? Eleanor was born on October 11 1884 in New York City. In 1905 she married her second cousin Franklin Roosevelt. Franklin effectuate out that he had polio in 1921, after Franklin discovered he had Polio Eleanor made a decision to dish him from that point forward to help him with his policy-making profession. From that point, LeHand turned into FDRs private secretary. She remained next to him for the following two decades, noting his mail, breast feeding him through sick wellbeing, applauding his fantasy of a wellbeing resort in provincial Georgia (cox). white daisy Leonard was born on september 13 in 1898. Leonard was born in a town called potsdam immature york. Franklin Delano Roosevelts secretary, nurture, team promoter, counselor and conceivably partner. girlfriend, as franklins kids nicknamed her, she was so important to franklins life and career that he fall apart the salary of his home equally amongst her and his significant other, Eleanor (cox). Marguerite was Roosevelts security for a long time and reputed to be a lesbian. , LeHand so awed Eleanor that after the Democrats marvelous misfortune, she requested that the young lady work at the familys Hyde Park, N.Y., home (cox)The dowager was Lucy Mercer Missy LeHand In 1920, Marguerite Missy LeHand had come to act as Franklins secretary. Throughout the years, they construct up a cozy relationship, with Missy filling in as one of Franklins principle companions and partners. She lived in the White House amid his administration, and when she en dured a stroke, Franklin made it so that his will to had included her. Eleanor and every one of the children were very welcoming towards Missy saw herself as part of the Roosevelt family. Franklins child Elliott later uncovered that his dad and Missy had a different relationship then everyone thought, and it appears to be wish wellly that the family knew at the time. , who had been Roosevelts special lady or so 30 years earlier(truth about fdr). When bits of gossip about the undertaking began to fly around, Eleanor wanted a divorce . In a few look ats, FDR and Eleanor had a fizzled marriage, however they likewise had a profound bond and regard for one another (richard). FDR and Eleanor had a confused marriage, yet they cherished each other to the end. Mercer was a set up by the Roosevelts daughter , Anna. Franklin was kept to a wheelchair and couldnt do anything because of the polio, so Anna talked individuals for him. Nobody get laids when Lucy and Franklin started their issue, however it was in advance when Roosevelt cruised to france in 1918 tin assess maritime powers battling to the germans in world war one.(cox)But who was rest by them during when the affair came out? Who were they rightfully? How did this affect them and who else would it really affect besides Elenor? It would affect the Roosevelt children but who real are they? Anna she was born on May 3, 1906, was the oldest child of Franklin and Eleanor Roosevelt, and also was their only daughter. She later on married young man named Curtis B. Dall in 1926 they also had two children together a son and a daughter .She then divorced and remarried a young man named John Boettiger in 1935 and they had only one child together which was a son. In 1944 annas father asked if Anna would move into the White House to become his personal aide witch she ended up becoming his assistant. During her mothers abandonment she stept up as the white houses hostess Anna watched her father as his good health became a burden she would also met with people that her father was inefficient to see. Anna stood by him during his time. Anna was a writer and journalist. She spent much of her later life to problems of education and to carrying on umpteen of her mothers interests and problems. Anna died of cancer at the age of sixty nine. James Roosevelt, who was the first son of Eleanor and Franklin was born on celestial latitude 23, 1907 in New York City. He went to Groton School, before moving up too Harvard University, and then after he finished Boston University to get his law degree. He had an early interest in politics, helping with his fathers 1936 reelection campaign. He also worked in the Roosevelt White House as an decision maker assistant. . He passed away in 1991 from complications collectible to a stroke.The next child they had was Elliot Roosevelt who was Born on September 23, Elliot Roosevelt was educated at Groton Academy. After destination Groton and the Hun School in New Jersey, E lliot entered the business world, specializing in advertising and journalism, where he rose to the level of executive in disuniteal firms.Franklin Delano Roosevelt, Jr. was born on August 17, 1914 on Campobello Island, New Brunswick in Canada. He was educated at the Groton School, graduated from Harvard University in 1937, and completed law school at the University of Virginia in 1940.Franklin conjugate the U.S. armed forces at the outbreak of the Second World War, joining the Naval Reserves. He was called to busy job in the Navy in March of 1941, serving in North Africa, Europe, and the Pacific, and was decorated for bravery in the battle of Casablanca and awarded the Purple Heart Medal and the Silver Star. After the war, Franklin Jr. practiced law and became active in politics with a combination of appointive and elective office.The youngest of the Roosevelt Children, John Roosevelt was born on March 13, 1916 in Washington, D.C. He was educated at Groton and Harvard University . During the Second World War, he served in the Navy on board the USS Wasp, an aircraft carrier in the Pacific theaterThe time frame of this issue was during his presidency terms a total of seven years. This was in the 1930s She and Franklin most likely got to be got very personal in 1916, and the undertaking was found in September 1918, when Eleanor, unloading for her significant other, who had recently come back from England with influenza, found a whole bunch of love letters. Nobody truly knows when it began simply accepted it finished when franklin passed on. Which was in 1945.There was truly no closure for eleanor enlight of the fact that she didnt find solutions or any sort of conclusion. At the point when eleanor got some answers concerning the issue Eleanor offered Franklin a separation, but franklins mother sara, ventured in franklins issues and said that on the off run a risk that he divorced his significant other she could never converse with him and ensure he would aban don a penny. Louis Howe, Franklins put stock in counselor, said that leaving his better half would mean the finish of his political profession. So Franklin consented to remain in the marriage yet standards were made by Eleanor He needed to sever with Lucy Merce as quickly as time permits and was advised he wasnt permitted to see him until kingdom come and he would never rest in his better halfs bed as some kind of discipline it appears like Franklin likewise truly needed a separation it wasnt simply elenor If Franklin truly intended to leave his wife He now stood up to his decisions, flexibility at a high cost of living in the agreeable jail of tradition. He delighted in rich living and carelessly expected it as his due. The yearly wage from Eleanors trust, $8,000, and his own $5,000 could be told as a white collar class life. If they conk out who would pay for the upkeep on their homes, the workers pay rates, the club memberships, the childerns school cost at the best cultivation based schools? The last march that Franklin was alive he told his mother sara that he was tired of her threatening to absent him out of her life when she is the one who he has taken care of and she is the one who owes him money.Eventually, Eleanor came to Franklin to let him know how she truly felt and that was that was that she had no love and no fight left to be with him anymore and she wanted a divorce even after having six children she feels that he broke something and it will never be fit(p) and at that point she did not care how she looked to the world.Overall, with all the rumors that were involved in this scandal was female child really a lesbian?did franklin really cheat on eleanor? Was their really love letters between missy and franklin? Did eleanor really want a divorce? No One will ever really know its all really he said she said and up in the air. But when you are the most important person in america the whole world gets involved in your business
Wednesday, April 3, 2019
Report on takotsubo cardiomyopathy
Report on takotsubo myocardiopathyAbstractThis is a report on Takotsubo cardiomyopathy. It includes details of the go away ventricle, proposed mechanisms of the disease, primings as to why trusted regions ar affected and slightly atomic number 18nt, the exact line of work in detail, symptoms and clinical features including tests and electrocardiogram readings, treatment options used and prognosis, incidence and recurrence, some case reports to show the condition in its clinical setting and a conclusion summing up the important guides and what direction needs to be taken with regards to the disease.IntroductionWhat do I mean by a upset core? A dispirited midriff washbowl mean numerous things, both physiologic in ally and philosophically. Physiologically a broken subject matter feces be a myocardial infarction, arrhythmia, angina, the list is endless. However, philosophically speaking a broken heart is primarily perceived as the loss of a love one or a relationship breakup bargonly in this context hobo excessively mean other things which would in addition cause stern emotional idiom such as good issues, sudden poor financial situation, intense arguing, finding emerge you flummox a chronic limitinal illness or a loved one does, surgery and car accidents and even the part withpage of use of habit-forming drugs. We know profound stress can cause certain cardiovascular issues such as high product line pressure, high cholesterol and coronary heart disease. A relatively late cardiomyopathy has been discovered, and is cal guide broken heart syndrome. This is because it is highly associated with having a profound amount of emotional stress. Heres some figure of speech of the leftover ventricle and myocardium muscle. The left ventricle forget be unvoiced on as that is the general area this cardiomyopathy occurs. The left ventricular free skirt is thickest at the base and thinnest at the apex (usually nigh 1-2mm). The left ventricula r free wall in general is 3 times thicker than the right ventricular free wall.The role of noradrenalinenoradrenaline is a hormone and a neurotransmitter produced in the human body. It is released upon excitement, threat etc and without delay increases the heart rate. It is released in the fight or flight response. So what is broken heart syndrome? Broken heart syndrome was first recorded by maturate et al in 1991. They discovered that this form of cardiomyopathy involved the left ventricle and particularly the apex. They found that instead of contracting approach patternly to marrow farm animal around the body, the ventricle ballooned and expanded. This is due to akinesia of the distal frontal wall and apical wall and hypercontraction of the basal wall. Obviously, this would have a severe effect on the blood flow to vital organs so could be quite problematic. It was named Takotsubo cardiomyopathy because the appearance of the left ventricle in an angiogram resembles an octo pus pot, which translates as Takotsubo in Japanese. It is also referred to as apical fly syndrome, due to the ballooning of the apex. A shows what happens in Takotsubo cardiomyopathy in contraction, as can be seen the volume of the ventricle increases. B shows what a rule contraction should look like. What are the physiological mechanisms behind Takotsubo cardiomyopathy? thither have been a few proposed theories, only no one is quite sure.Multivessel coronary vasospasmOne theory is that many of the coronary arteries spasm and bundle at the same time so blood flow is greatly reduced to the myocardium muscle and other areas of the heart. However in some studies a vasospasm has been induce by acetylcholine and it has non been conclusive. Also the duration of the ab prevalent wall motion is longer than it should be.Release of catecholaminesIn al intimately all cases of Takotsubo cardiomyopathy, increase levels of catecholamines (adrenaline, noradrenaline, dopamine) have been found in the body. There are many things which can induce a release of catecholamines and emotional excitement or stress are some of them. The catecholamines would be released to the heart to make it beat harder and faster. This is the most widely accepted mechanism for Takotsubo but as mentioned earlier, at that signal is no clear answer.Microvascular spasmIt has been found that there is impaired microcirculation in this syndrome, but again there are many challenges to this theory. The slow-flow phenomenon is not observed. Impaired microcirculation whitethorn be the result of the primary myocardial injury not ineluctably the cause of it. So why is the apical wall of the left ventricle and the mid-ventricle the place that is most affected by a surge of these catecholamines? Well, there are a few anatomical and physiological causes for this. There is a markedly higher concentration of adrenergic receptors in the apex of the left ventricle than other parts of the heart and it is these re ceptors that noradrenaline and adrenaline will bind to. Also due to increased responsiveness of the apical myocardium to comment of these receptors. The apical wall is especially vulnerable structurally as when the expect of the heart has a three layered myocardial composition, the apex does not and is therefore a lot thinner. The area of the apex tends to lose its snatch a lot more easily after many utmost(prenominal) expansions and does not correctly go substantiate to its original state. The apex is a lot more likely to become ischemic as the blood flow is not large in that area so at any time when blood flow is reduced the apex loses out quickly. The Electro Cardio Gram of a person with Takotsubo cardiomyopathy usually shows ST elevation in the abrupt stage, T wave inversions and a prolonged QT interval in the sub bang-up stage and the inverted T wave can persist for weeks in the recoin truth stage.Clinical introThe clinical presentation and diagnostic tools are very a nalogous to that of dandy coronary syndrome and acute myocardial ischemia. A diagnosis of Takotsubo cardiomyopathy should not be make until ACS, coronary artery disease, acute myocardial infarction, myocarditis, pericarditis etc have been ruled out. along with the ECG there are other symptoms which might lead to a diagnosis. Among these are chest ache and shortness of breath. Temporary loss of brain and shock have been reported. A slight elevation of cardiac upon bio markers troponin and creatine kinase can be detected. Surprisingly, it generally occurs in patients without significant halt of coronary arteries or any acute plaque rupture.TreatmentsLong term therapy should include Beta blockers, which work by blocking the transmission of certain nervous impulses to the heart and reduces the heart rate and force of the beat. Angiotensin converting enzyme (ACE) inhibitors which stop the conversion of angiotensin 1 to angiotensin 2, which reduces arteriole resistance and increases the venous capacity. Diuretics get rid if the water built up in lungs from heart failure. Aspirin is used to reduce the risk of another heart gust and prevent more cardiac muscle death. Calcium channel blockers are generally used to lower blood pressure. The treatment for this disease is generally to try and take the stress away that caused it in the first place and is of a supportive nature. Most people suffering from broken heart syndrome recover within about 2 weeks to 2 months.Incidence unhomogeneous different studies have shown that Takotsubo cardiomyopathy is a generally a cleaning womanish condition as between 70% and 100% of all cases are in women, most of whom are post menopausal. The reason for this is unclear, however some explanations have been proposed. Sex hormones may definitely influence the sympathetic neurohormonal axis and coronary vasoreactivity. Females may also be more susceptible to myocardial stunning that is mediated by the sympathetic nervous system. E ndothelial part is altered due to changes in oestrogen levels and this could be another reason for the much more common occurrence in post menopausal women. A Danish study suggested that 234 out of 100,000 people get acute coronary syndrome and an American study reported that 1.7% to 2.2% of patients thought to have acute coronary syndrome actually have Takotsubo cardiomyopathy. So as can be seen it is a very rare illness. Around 99% of patients in infirmary with Takotsubo survive the disease and to the full recover. Some reports suggest that up to 10% of patients who recover will get it again. This makes it difficult from a treatment point of view as to how long to treat for. Some case reports baptistry 167 year old woman presenting with chest pain that has lasted a day has ST elevations on ECG. Chest pain is substernal and is linked with dyspnoea. pain in the neck radiates to left arm. When resting pain and dyspnoea goes after an hour but comes back throughout the day. ECG is c oncerning. She is sent to the emergency department from a clinic. Her blood pressure is 140/86 mmHg, pulse is 86 beats per minute, existing is 14 breaths per minute, O2 saturation is 100%, she is cannulised and on 2 litres per minute nasally. Her temperature is 37.1C. She smokes 20 packs of cigarettes a year. She is asked about a history of heart problems in her family and she begins to vociferation and describes her sisters death from a heart attack sound 2 eld before. ECG shows small Q waves, T wave inversions, ST elevation and poor R wave progression. All other tests are normal, a left ventriculogram reveals akinesia of parts of the apex. 7 days later she has normal left ventricular function and apex wall motion is normal, though the base appears to be contracting harder than apex.Case 286 year old woman is in emergency department presenting with chest pain that has lasted 10 hours. It is substernal and does not radiate. Her blood pressure is 185/88 mmHg, pulse is 71 beats pe r minute, take a breath rate is 20 breaths per minute O2 saturation is 98% and she is breathing normal air. Her temperature is 35.7C. Medical history is hypertension, gout a hysterectomy and hypothyroidism. She has a family history of coronary disease. ECG shows ST elevation and T wave inversion. All other tests are normal. The left ventriculogram reveals akinesia of the apex and mid anterior wall. The base has normal function. Mid septum shows hypertrophy and apex shows hypotrophy. Left ventricular function is at just 34% ejection fraction. It is found out that her son was killed circumstantially just 2 weeks prior to onset of symptoms.ConclusionYes, by all means it is possible to die of a broken heart. twain cases showed that a profound amount of severe emotional stress led to the Takotsubo broken heart syndrome Although it is a very rare disease and about all patients survive and recover fully, if the condition goes unnoticed or untreated it can prove fatal. As can be seen fr om the cases, the symptoms are very general with tests not showing many abnormalities. It seems to have no sensibility in people with heart problems. Its symptoms and clinical features are very similar to that of acute coronary syndrome. The most defining tests seem to be the ECG which shows similar results each time, and a left ventriculography, which can show up exactly which parts of the ventricle wall have akinesia. The relatively recent discovery of the disease means that although it is fully recognised by medical institutions it is not fully integrated into clinical practise. Although incidence is rare, this does need to change. to a greater extent research must be done in the field to fully understand the mechanism behind the illness, as all the proposed mechanisms are unproved and conflicting. By finding the correct mechanism the treatment options can also be broadened to suit more specifically the cause and not just management.References apical ballooning syndrome or tako tsubo cardiomyopathy a systematic canvasGianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. European Heart Journal 2006.Takotsubo Cardiomyopathy, or Broken-Heart SyndromeVirani SS, Khan AN, Mendoza CE, Ferreira AC, de Marchena E.Texas Heart prove Journal 2007 v.34Recognition of the Apical Ballooning Syndrome in the United States G. William Dec, MD Circulation 2005 American Heart Association Stress, emotion and the heart tako-tsubo cardiomyopathyIqbal MB, moonlight JC, Guttmann OP, Shanahan P, Goadsby PJ, Holdright DRPostgrad Med J 200682e29www.takotsubo.comwww.wrongdiagnosis.comHursts The HeartA case of Takotsubo cardiomyopathy mimicking ACS Metzl et al 2006 Nat Clin Pract Cardiovasc MedApical and Midventricular Transient LeftVentricular Dysfunction Syndrome (Tako-Tsubo Cardiomyopathy) Frequency, Mechanisms and Prognosis Kurowski et al 2007 CHESTSystematic Review Transient Left Ventricular Apical BallooningA Syndrome That Mimics ST-Segment Elevation Myocardial Infarction Bybee et al declination 2004 AnnalsTakotsubo cardiomyopathy a case series and review of the belles-lettresWest j emergency medicineAcute coronary syndrome incidence and prognosis, Nielsen KM,Danish Medical Bulletin No. 1. February 2006. Vol. 53 Page 95
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