Thursday, October 31, 2019

Fashion Taste and Ethics Essay Example | Topics and Well Written Essays - 2500 words

Fashion Taste and Ethics - Essay Example The essay "Fashion Taste and Ethics" discovers the taste in fashion. If the word can be taken within this context, ways in which the word culture is used seems to be fine. However, there arguably seem to be a different view concerning the term culture ought to be viewed. Perhaps this can enlist some reaction. With a view to help people appreciate the wholesome significance of a culture for the better understanding of humanity it is it certain that there is meaningless distinction between low cultures and high cultures. This thus implies that it is impossible for a certain group of people to be said to be more cultured or otherwise have more cultures than others. It goes without saying that the term culture from the anthropological point of view has a different distinctive meaning away from what it is known. This paper, therefore, investigates the word culture with a view to provide a fairly precise definition. In this paper, other terms that encompass the term culture shall be discus sed. The paper shall cover some pertinent elements of culture, as well as elaborate how essential culture is as far as human species is concerned. The paper shall sum up with explaining the modern anthropological view concerning how physical or biological differences and cultural differences between the human populations are closely related. The most widely celebrated technological developments are those pertaining to culture. These technologies are widely celebrated because they have broken physical barriers, transforming the world. into a village. The eventuality is that the current era is characterized by increased interaction of people across all cultures in the world. Therefore, it cannot be disputed that, as far as intercultural interactions are concerned, communications remains a pertinent subject. Indeed, communication barriers are not uncommon in communication, especially in communications involving low context and high context cultures. What may make the subject further cr itical is when nonverbal communication is involved. Eye-contact non-verbal communication is one of the critical areas of concern in high-context and low-context intercultural communication. Eye contact is not only an important form of verbal communication, buts also a human form for communication; animals are often disturbed by eye contact (Salas, 1992). A substantial focus has been directed to understanding intercultural eye-contact communication, in order to foster cultural competence and minimize cultural conflict. However, few studies have focused on assessing the implications of eye-contact on instruction adherence, especially in the multi-cultural learning environment. In the early phases of human revolutions, most human activities were limited to organized groups, that is, societies. As time went by, the interaction among these societies opened up, extending across regions, cultures, and languages. Undoubtedly, trends in business activities followed the same trend. Even intri guing is the fact that the world has evolved to the extent that globalizations has made human activities subject to cultural interactions. The world is now a global village, where people across diverse culture and all regions of the world interact more frequently than ever. To this extent, it cannot be overemphasized that human beings, as well as

Tuesday, October 29, 2019

Licensing and Professional Organizations Research Paper

Licensing and Professional Organizations - Research Paper Example I decided to work in the Family Practice Clinic, as it will suit my passion of serving all from the young to the elderly who may have different difficulties due to their ages. Family nursing practitioner roles requires nurses to be registered nurses in order to serve as primary and as specialty health care providers. FNPs work with patients throughout their lives, conducting exams, diagnosing illnesses, prescribing medication and therapy, conduct routine checkups, and assisting in minor surgical procedures. Working in family nursing organization requires one to dedicate his profession in serving the patients as their sole care provider while also running own private practices. Offering of these requires the nurses to be well structured, multifaceted, independent, and to have a patient facing mentality (Mason, Leavitt & Chaffee, 2013). In family nursing organization, advocacy is the cornerstone of the complete nursing procedures. Nurses usually advocate causes, patients, and the profession itself. The main advocacy in the organization, motivated by the moral and ethical principles will be seeking to influence different policies in the primary health care sector. The influence would be through arguing or pleading within the economic, political, and social systems in an effort to promote the nursing fraternity in offering family nursing services. The aim of the organization is to coordinate care on a large scale among families adhering to the organizational scope of delivering high quality care to the patients. In this case, communication will be the main governing tool. The organization aims at offering patient-centered care, in that the patients would be in active involvement with their care providers in making health decisions. The organization aims at being all round although the roles, medical treatments, medical duties, and pharmacological abilities in the nursing profession depend on state of licensure. The main roles of the nurses in the Family

Sunday, October 27, 2019

MRI as a Breast Cancer Screening Tool

MRI as a Breast Cancer Screening Tool Chapter 1 Introduction In the United States, one in eight women will be diagnosed with breast cancer, accounting for 26% of all cancer cases in women (Jiao, 2014). The standard of care for women over the age of 40 is mammography. It has been shown to increase life expectancy by detecting breast cancer through a quick and easy x-ray. Magnetic resonance imaging, which is more sensitive to breast cancer is costlier and produces more false-positive results, therefore it is not used as often. When mammography is the only test being done, breast cancer is more likely to go undetected in patients with dense breasts and those with small lesions. In high-risk women, MRI has been shown to detect breast cancer in earlier stages than mammography. MRI screening is successfully reported between 77% and 91% (Jiao, 2014). Most detections from MRI are located within axillary lymph nodes during stage 1 breast cancer. A patient may simply refuse yearly mammograms, when she goes five years later breast cancer may be in the fi nal stage whereas MRI could’ve detected it years earlier. Women are recalled more often for additional diagnostic testing when screened less frequently and recalled less often when screened more frequently (Orel, 2005). The American Cancer Society recommends MRI testing for women with the BCRA1 & BCRA 2 genes or a lifetime risk of 20% or greater for breast cancer (Saslow, 2007). Women who inherit the BRCA1 or BRCA2 gene have a 45% to 65% chance of developing breast cancer (Plevritis, 2006). BRCA 1 gene carriers are at a greater risk for developing breast cancer at an aggressive pace. Tumors in women screened with mammography alone are larger and more likely to have metastasized to axillary nodes (Taneja, 2009). MRI is approximately ten times more expensive than mammography making its cost effectiveness a critical consideration (Jiao, 2014). Due to its lower specificity than mammography increased costs are related to biopsies and additional exams. Estimated lifetime costs for 10,000 women would be higher by $10.6 million with MRI in combination with mammography than with mammography alone. In 2009, the costs billed to Medicare for a bilateral mammography was $49.76 while a bilateral MRI was $965.57 (Jiao, 2014). The price per quality adjusted life year would be $310,616 when MRI was performed with mammography (Fieg, 2009). MRI screening is most cost effective if the cost of MRI decreased or the cost of mammography decreased, when the risk of breast cancer increases, when mammography performance worsens, and if greater quality of life is accomplished (Orel, 2005). MRI becomes cost effective when patients with high-risk profiles are treated. If cancer was detected early enough, chemotherapy can be reduced. MRI is also needed for surveillance when breast conserving therapy results in recurrences. MRI would yield an additional 106 years of life per 10,000 women (Fieg, 2009). Women with BRCA1 and BRCA2 start mammograms at the age of 25 which makes MRI more cost effective and would decrease their radiation dose. Given the aggressive nature of breast cancer, screening with MRI whether alone or with mammography is cost effective and will prolong life expectancy (Berg, 2012). Contrast enhanced MRI is proven to detect breast cancer in the earliest stages compared to ultrasound and mammography. Statement of the Problem and Professional Significance Is MRI effective as screening tool for breast cancer? Which modality is the most effective study for diagnosing breast cancer? Are imaging modalities other than MRI a waste of time and money for patients? Mammography is seen as the first step in preventing breast cancer when a patient turns 40. For some patients, it might already be too late. Mammography is quick and low cost but does not detect breast cancer in patients with dense breasts or small lesions. MRI is considered the gold standard in imaging but is used with fewer women. As the population grows and rates of cancer increase, patients are demanding precise diagnosis and early detection for cancer. What factors should stand out to differentiate who receives MRI vs. mammography? By gathering medical history and diagnosis from several women receiving breast MRI’s, data will be examined to determine whether or not breast MRI’s were needed for proper diagnosis and if testing detected further malignancies. Research Hypothesis 1. It is hypothesized that MRI will be more effective in detecting breast abnormalities than Ultrasound or Mammography. This can be tested by comparing the results of their MRI with results of previous tests.    2. It is hypothesized that at least 50% of patients will feel more confident regarding their diagnosis following a MRI scan. This can be tested by having patients rank how they felt before and after having the test and talking with a radiologist on staff (using a scale of 1-10). 3. It is hypothesized that patients will not have had a mastectomy or received radiation until an MRI is performed. By surveying patients to determine who was and wasn’t diagnosed prior to MRI and what measures they took to prevent the malignancy from spreading I can determine these results.    4. It is hypothesized that patients positive for breast cancer will have at least one lesion undetected on mammography or ultrasound because of its small size or position in the axillary region.   This can be tested by comparing MRI test results with other imaging modalities. 5. It is hypothesized that 10% of participants will have had inconclusive results. This can be determined by whether the radiologist recommends a breast biopsy. MRI can produce false-positives, which cause the radiologist to compare results with past imaging. 6. It is hypothesized that at least 50% of the participants were recommended to have an MRI after inconclusive testing in other modalities. This information will be obtained through obtaining previous medical history in the survey. Definitions Breast cancer Uncontrolled growth of breast cells resulting in a malignant tumor (Medical Dictionary Online, 2018). Malignant Cancerous tumor that can spread to other parts of the body. Benign Tumor that is not dangerous to health. Quality adjusted life year Used to assess the value for money of medical intervention. One QALY = one year of perfect health (Science Direct Online, 2018). Probabilistic sensitivity analysis Technique used in economic modeling that allows the modellar to quantify the level of confidence in the output of the analysis (Science Direct Online, 2018). National comprehensive cancer network Not-for-profit alliance of leading cancer centers devoted to patient care, research, and education. BRCA 1 breast cancer type 1 susceptibility protein- Identified in 1990 and is on chromosome 17, increases likelihood of cervical, uterine, and colon cancer (National Cancer Institute, 2018). BRCA 2 breast cancer type 2 susceptibility protein- Identified in 1994 and is on chromosome 13-, increases likelihood of stomach cancer, gallbladder cancer, and melanoma (National Cancer Institute, 2018). Ultrasound Imaging test using high frequency sound waves. MRI Imaging test that used magnets to generate a detailed picture. Mammography Images produced from low dose radiation. Gadolinium Chemical element of atomic number 64, injected into patients as contrast during MRI. Ductal carcinoma in situ (DCIS) Presence of abnormal cells inside a milk duct in the breast (Medical Dictionary Online, 2018). Mastectomy Surgical operation to remove a breast. Stereotactic biopsy Procedure that uses mammography to precisely identify and sample an abnormality within the breast. Limitations and Delimitations This study will survey twenty women (all ages) who are scheduled for breast MRI’s at Geisinger Community Medical Center during September-November 2018. I will conduct surveys with the patient prior to their MRI. Breast MRI’s will be conducted on a 1.5T, Siemens machine. All patients will be scanned using the same protocol for imaging regardless of medical history. External limitations are obtaining a medical history, incompletion of the patient’s MRI, lack of intravenous access for contrast, claustrophobia, and no show appointments. I will rely on patients to give me a detailed, accurate medical history. Assumptions During a typical work day in MRI at Geisinger Hospital a breast MRI is completed once. Within a typical month at least 20 scans are completed. This should allow me to survey enough patients over a six-week period. Permission for this study will come from patients who allow me to ask questions regarding their medical history and diagnosis. In accordance with HIPAA, I will keep all patient names and identifying information anonymous. Chapter 2 Introduction The purpose of this research project is to determine if MRI is effective as an imaging tool for diagnosing breast cancer. By surveying women, who have been diagnosed or are currently being diagnosed, collecting medical history, and analyzing data, imaging modalities will be examined to determine the most reliable, accurate, and timely way to diagnose breast cancer. If MRI is more efficient than mammography and ultrasound, time and money spent on those modalities could be eliminated. Women can be treated faster, and cancer could be diagnosed earlier when proper testing is ordered. Breast cancer during stage one is treatable, thousands of lives could be changed when it is diagnosed in a timely manner. Cancer is the overall most common cause of death in America with breast cancer being the most common type (Jiao, 2014). One in eight women will be diagnosed with breast cancer during their lifetime making it a very costly disease. Standard protocols for screening are determined by the American Cancer Society. Screening mammography is recommended for women with a 25-30% lifetime risk of breast cancer (National Cancer Institute, 2018). This includes women treated for Hodgkin disease and those with a family history of breast or ovarian cancer. Screening mammography typically starts at age 40 unless preexisting conditions are present, screening begins at age 25. The Gail, Claus, and Tyrer-Cusick models are used to estimate breast cancer based on family history. Breast cancer genes 1 and 2 (BRCA) are found in 1/500-1/1,000 women. Women of Jewish ethnicity have a 1/50 risk (National Cancer Institute, 2018). Those who test positive have a 65% chance of breast cancer by 70 years old (Saslow, 2007). What are American Cancer Society Guidelines? Recommendations for women at average risk of breast cancer are women between 40 and 44  have the option to start screening with a mammogram every year. Women ages 45 to 54  should get mammograms every year. Women 55 and older  can continue with mammograms every year or switch to having mammograms every other year (American Cancer Society, 2018). Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer. Not all types of breast cancer cause a lump in the breast. Many breast cancers are found on screening mammograms which can detect cancers at an earlier stage, before the mass can be felt, and before symptoms develop. Women who are at high risk for breast cancer based on certain factors should get and MRI and a mammogram every year, starting at age 30 (American Cancer Society, 2018). This includes women who have a lifetime risk of breast cancer of about 20% to 25% or greater, have a known BRCA1 or BRCA2 gene mutation, have a first-degree relative (parent, brother, sister, or child) with a  BRCA1 or BRCA2 gene mutation, had radiation therapy to the chest when they were between the ages of 10 and 30 years, or have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome, or have first-degree relatives with one of these syndromes. (American Cancer Society, 2018). The American Cancer Society recommends against MRI screening for women whose lifetime risk of breast cancer is less than 15%. MRI in this case would be less cost-effective and timelier for patients to get done. How does MRI detect breast cancer? There are three imaging modalities that can effectively detect breast cancer. MRI, mammography, and ultrasound are commonly used in different combinations. MRI uses magnetic fields to produce cross-sectional images of breast tissue. Hydrogen atoms in fat and water contribute to the signal that is produced (Pilewskie, 2014). Gadolinium, IV based contrast, is administered to detect lesions and cancer. Subtraction images are obtained to differentiate fat from enhancing lesions. MRI produces high quality imaging from signal to noise ratio and high spatial resolution (Pilewskie, 2014). MRI is safe for all women (unless contraindicated by pregnancy) and doesn’t use radiation. A drawback to MRI is false positives that are produced and additional testing that this creates. On the other hand, additional testing leads to a higher number of cancer detected. The more women who are being closely watched and recommended for further tests, the greater their likelihood of being diagnosed earl y. In a study in the UK involving high risk populations, 4% found MRI â€Å"extremely distressing† and 47% reported having disturbing thoughts about it six weeks after (Saslow, 2007). Due to the psychological distress of MRI, other testing needs to be considered. Imaging Limitations Unlike other imaging tests, MRI candidates need to be screened for metal before considering the test. Pacemakers, aneurysm clips, specific stents and filters, and neuro-stimulators are not allowed in the machine. Body habitus and claustrophobia are also factors to consider. A small, loud environment can cause emotional distress and anxiety for a patient, some patients will refuse MRI testing. Breast MRI testing should be completed with and without contrast. Gadolinium, MRI contrast, can only be injected in patients with a glomerular filtration rate of >60. Patients on dialysis, with impaired kidney function, diabetes, high blood pressure, or certain allergies may not be able to receive contrast, making the test inconclusive. MRI results can also be misleading. False-negatives and false-positives occur from technical limitations, patient characteristics, quality assurance failures, human error, and heightened medical concern. A false negative exam looks normal even though the patient has breast cancer. They are more likely to occur in younger patients with dense breasts. MRI is commonly used for dense tissue to differentiate benign and malignant lumps. A false positive test looks abnormal even though the patient doesn’t have cancer. False positives occur in half of women getting mammograms over a ten-year period (Gillman, 2014). MRI’s and MRI guided biopsies are usually recommended for more accurate diagnosis. A patient’s need for definitive findings may increase testing ordered. According to the American Medical Association, 7% of women are biopsied only because of MRI findings. The call back and biopsy rates of MRI are higher than mammography in high risk populations due to the increased sensitivity of MRI (Gillman, 2014). MRI is also able to obtain images for women with breast implants. 3D and 2D images are acquired in all planes, whereas mammography could miss an area of interest and compromise the breast implant.    Economic Impact   Cancer treatment can be impacted by lack of insurance, proximity to health care facilities, and availability of services. According to  Cancer Facts & Figures 2018, â€Å"Uninsured patients and those from many ethnic minority groups are substantially more likely to be diagnosed with cancer at a later stage, when treatment can be more extensive, costlier, and less successful.† (American Cancer Society 2018). Without routine mammograms, breast cancer can go undiagnosed and impose much higher costs when it’s found in a later stage. Early detection can potentially eliminate radiation, chemotherapy, mastectomy, and breast reconstruction. In 2009, the average Medicare reimbursement for a bilateral mammogram was $49.76, a bilateral MRI $965.57, and mastectomy $13,590.03 (Moore, 2009). These procedures drastically differ in costs therefore insurance companies use cost effectiveness and quantity adjusted life years as means in determining which patient will benefit from costlier studies. MRI screening becomes more cost effective as the cost of MRI decreases or the cost of mammography increases. It is also more cost effective for patients with higher risk profiles such as BRCA1 & BRCA2 genes. MRI combined with mammography would produce 106 years of life per 10,000 women compared with mammography alone (Taneja, 2009). The drawback is that MRI in addition to mammography would increase lifetime health care costs for those 10,000 women by $10,600,000 (Taneja, 2009). What does insurance cover? Breast cancer is the costliest cancer to treat. In 2010, it cost $16.5 billion in the United States to treat breast cancer. A major concern when ordering breast MRI’s is that insurance will deny it or charge a high co-pay. MRI’s cost more due to radiologist, facility, contrast, and technology fees. According to a survey by the American Cancer Society, many patients are cutting prescriptions, not going to their doctor, and not getting preventive services due to the high costs. Yearly mammograms are covered by insurance companies. The average cost of a breast MRI in the United States is $1,325 with prices ranging from $375 to $2,850. Patients with health insurance are responsible for paying their deductible, copay, and coinsurance amounts. The amount of each of these costs depends on their health plan. Patients without health insurance are responsible for 100% of mammogram and MRI costs. Case Study In a study published by the New England Journal of Medicine, titled MRI evaluation of the Contralateral Breast in Women with Recently Diagnosed Breast Cancer, 969 women with a diagnosis of unilateral breast cancer and no abnormalities on mammography went for a breast MRI. MRI detected clinically occult breast cancer in the contralateral breast tissue in 30 women (Lehman, 2007). Biopsies were performed on 121 of the 969 women whose MRI showed breast cancer (Lehman, 2007). Of those 121, 30 were tested positive. MRI was able to detect cancer that was missed by mammography and clinical exam. Within the 969 women, 33 tumors were diagnosed with 30 being from MRI. The three others were diagnosed from a mastectomy specimen before a biopsy could be performed. Those three samples contained ductal carcinomas in situ and measured 1, 3, and 4 mm in diameter. The most common types of invasive cancer found on MRI was ducal carcinoma (67%), invasive lobular carcinoma (22%), and tubular carcinoma (Le hman, 2007). 96.7% of cancer found was stage 0 or 1. The overall high accuracy of MRI is due to technology and interpretation of results. Contrast enhanced MRI aids in distinguishing benign from malignant patterns. This study also showed that screening MRI can improve on mammography by detecting cancer in women at high risk especially those with aggressive cancers. When ordering MRI, cost effectiveness continues to be a major concern. In the article, American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography, benefits of MRI’s sensitivity in detecting lesions is noted but without data on the recurrence and survival rates, MRI is not recommended as a screening exam. The article compares study results from six published studies, sensitivity for MRI is consistently higher than mammogram and ultrasound while specificity was lower than mammogram and ultrasound. High sensitivity means MRI correctly identifies a patient with cancer. Low specificity means MRI is not able to correctly reject a patient without cancer as accurately as other modalities. MRI has higher error but in calling back more patients and performing more biopsies, it diagnoses cancer more accurately. With this being said, the article does not recommend MRI as a screening tool unless women are at an increased risk of breast cancer, have a fami ly history, or carry the BRCA gene (Stephens, 2011). Conclusion Women who present with signs and symptoms of breast cancer or have a family history should be screened with MRI in addition to mammography. It is not acceptable to deny patients imaging studies that can prolong their life. Breast cancer is 100% treatable when caught early. Due to advances in technology and a growing healthcare system, facilities are more readily available to treat women. Patients no longer need to wait months for tests or results. Steps should be taken to reduce anxiety associated with MRI cancer screening and wait time. Patients should be informed about the likelihood of false-negative and false-positive findings. Whether or not patients need to go through additional imaging, the chance of early detection outweighs the stress of additional testing. MRI is a very useful imaging test that can save lives if performed. Patients who want to be proactive in their treatment should be encouraged to get routine imaging tests done and educate themselves on different stages of breast cancer, so they understand the process they are going through. By creating high resolution imaging, MRI proves to be the most effective study for diagnosing breast cancer. MRI is able to detect smaller masses and abnormalities than other imaging tests miss. Utilization of MRI is crucial for early detection, with its results breast cancer can be highly treatable and late stages along with metastases can be stopped. MRI used in screening for women with high risk factors proves more cost effective than mammography and ultrasound because it detects cancer in earlier stages which reduces the need for more invasive, long term care. MRI is also able to cover a larger area including axillary lymph nodes where cancer is commonly missed on mammograms. References: Jiao, X., & Hay, J. (2014). Cost-Effectiveness Of Breast Mri And Mammography For Screening High Risk Population.  Value in Health,17(3). doi:10.1016/j.jval.2014.03.780 Orel, S. (2005). 1–10 Efficacy of MRI and Mammography for Breast-Cancer Screening in   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Women With a Familial or Genetic Predisposition.  Breast Diseases: A Year Book Quarterly,16(1), 37-38. doi:10.1016/s1043-321x(05)80023-2 Saslow, D., Boetes, C., Burke, W., Harms, S., Leach, M. O., Lehman, C. D., . . . Russell, C. A.   Ã‚   (2007). American Cancer Society Guidelines for Breast Screening with MRI as an   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Adjunct to Mammography.  CA: A Cancer Journal for Clinicians,57(2), 75-89.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   doi:10.3322/canjclin.57.2.75 Feig, S. (2009). Cost Effectiveness of Breast Cancer Screening With Contrast-Enhanced MRI in High-Risk Women.  Breast Diseases: A Year Book Quarterly,20(4), 383-385. doi:10.1016/s1043-321x(09)79390-7 Berg WA, Zhang Z, Lehrer D, et al. Detection of Breast Cancer With Addition of Annual   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Screening Ultrasound or a Single Screening MRI to Mammography in Women With Elevated Breast Cancer Risk.  JAMA.2012;307(13):1394–1404. doi:10.1001/jama.2012.388 National Cancer Institute. (2018). Retrieved August 31,2018, from National Cancer Institute   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q1 Medical Dictionary Online. (2018). Retrieved August 31,2018, from Medical Dictionary Online:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://medical-dictionary.thefreedictionary.com/breast+cancer Medical Dictionary Online. (2018). Retrieved August 31,2018, from Medical Dictionary Online: https://medical-dictionary.thefreedictionary.com/carcinoma Elsevier Online. (2018). Retrieved August 31,2018, from Science Direct Online:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.sciencedirect.com/search?qs=QALY&show=25&sortBy=relevance Elsevier Online. (2018). Retrieved August 31,2018, from Science Direct Online:  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   https://www.sciencedirect.com/science/article/pii/0010480986900200 National Comprehensive Cancer Network: Practice Guidelines in Oncology – Genetic/Familial   Ã‚   High-Risk Assessment: Breast and Ovarian. 2005, National Comprehensive Cancer   Ã‚   Network, Inc, 1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ: Cancer Statistics, 2008. CA Cancer J Clin. 2008, 58: 71-96. 10.3322/CA.2007.0010. Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin. (n.d.). Retrieved September 18, 2018, from https://www.cancer.org/ Ali, K., & Vinnicombe, S. (2018). Accuracy of contrast enhanced breast tomosynthesis in patients suspected of having breast cancer: Comparison with digital mammography and breast MRI.  Http://isrctn.com/. doi:10.1186/isrctn12691785 Gillman, J., Toth, H. K., & Moy, L. (2014). The Role of Dynamic Contrast-Enhanced Screening Breast MRI in Populations at Increased Risk for Breast Cancer.  Womens Health,10(6), 609-622. doi:10.2217/whe.14.61 Pilewskie, M., & King, T. A. (2014). Magnetic resonance imaging in patients with newly diagnosed breast cancer: A review of the literature.  Cancer,120(14), 2080-2089. doi:10.1002/cncr.28700 Heil, J., Czink, E., Schipp, A., Sohn, C., Junkermann, H., & Golatta, M. (2012). Detected, yet not Diagnosed Breast Cancer Screening with MRI Mammography in High-Risk Women.  Breast Care,7(3), 236-239. doi:10.1159/000339688 Lehman, C. D. (2007, March 29). MRI Evaluation of the Contralateral Breast in Women with Recently Diagnosed Breast Cancer. Retrieved September 19, 2018, from http://www.nejm.org/ Stephens, T. (2011). Breast Cancer Screening With Imaging: Recommendations From the Society of Breast Imaging and the ACR on the Use of Mammography, Breast MRI, Breast Ultrasound, and Other Technologies for the Detection of Clinically Occult Breast Cancer.  Yearbook of Diagnostic Radiology, 2011, 46-47. doi:10.1016/s0098-1672(10)79236-5 Plevritis, S. K., Kurian, A. W., Sigal, B. M., Daniel, B. L., Ikeda, D. M., Stockdale, F. E., & Garber, A. M. (2006). Cost-effectiveness of Screening BRCA1/2 Mutation Carriers With Breast Magnetic Resonance Imaging.  Jama,295(20), 2374.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   doi:10.1001/jama.295.20.2374 Taneja, C., Edelsberg, J., Weycker, D., Guo, A., Oster, G., & Weinreb, J. (2009). Cost Effectiveness of Breast Cancer Screening With Contrast-Enhanced MRI in High-Risk Women.  Journal of the American College of Radiology,6(3), 171-179. doi:10.1016/j.jacr.2008.10.003 Moore, S. G., Shenoy, P. J., Fanucchi, L., Tumeh, J. W., & Flowers, C. R. (2009). Cost-  Ã‚   effectiveness of MRI compared to mammography for breast cancer screening in a high risk population.  BMC Health Services Research,9(1). doi:10.1186/1472-6963-9-9

Friday, October 25, 2019

Essays --

Abortion itself is not an easy process to go through. Having a simple fetus removed medically might seem easy, but the woman herself might go through many difficult situations before, during, and after the process of abortion emotionally and physically. Making the right choice of having an abortion might be regretful to some woman and their family. The choices are either having the baby and later finding out they can’t take care of the baby or having an abortion and finding out later that you cannot have a child in the future. There can physical effects on woman that have abortion. Abortion can result in miscarriages, ectopic pregnancies, and a slight chance of breast cancer. Many miscarriages happen when an abortion is used on the previous pregnancy because it can be dangerous to the future reproductive systems of woman. After an abortion, there can be severe case where bleeding and infection can occur. A woman might have five times the chance of ectopic pregnancy because the woman who had their first pregnancy was terminated. An ectopic pregnancy happens when the embryo is implante...

Thursday, October 24, 2019

TTTC Essay

Vietnam in the form of stories that change the reader's outlook on a variety of topics. One Of O'Brien chapters, â€Å"How to Tell a True War Story† truly exemplifies his role as a storyteller in the unique way he retells each of his stories. O'Brien alters his style with each recount to emphasize the different ways a story can affect a reader. Through his specific style of storytelling, O'Brien is able to describe his different experiences of Vietnam while explaining his perspective of the human situation.O'Brien alternation between narrating a story and commenting on its exceptive effects explicitly expresses his role as a storyteller in this chapter. In doing this, he is also able to point out the influence it had on his view of human disposition and the true nature of war. He explains the traits of a true war story while giving examples of his own. His strategy of retelling a war story with multiple different approaches emphasizes the power of his storyteller position.He c laims that ‘A true war story is never to depict his recount of the incident in a specific way, thus characterizing one of his many experiences . Just like most soldiers after war find a way to cope with their sufferings, O Brine relays his own experiences by stating that â€Å"In any war story, but especially a true one, it's difficult to separate what happened from what seemed to happen†(63). This chapter is unique in the sense that it takes the minutiae of a certain war memory, twists it to invoke certain emotions, and stimulates a reaction in the reader.Throughout the chapter he illustrates how incredibly the meaning and the effect of a story can change with the smallest adjustment to details . The different ways that O'Brien tells a story help us realize the power of his practice. O'Brien analyses of true war stories, followed by his real life account strike the reader in the heart and change their view of the war as a whole. Brine's storytelling is a powerful mediu m through which he expresses his thoughts on the war.Aside from relaying the incidents during the war, O'Brien also aims to point out his observations Of human nature relating to war. Whether we realize it or not, war has a large influence in all of our lives – O'Brien aims to bring out hose realizations through his storytelling. During this chapter O'Brien repeatedly shares the many characteristics of a true war story. He describes many different traits such as: a true war story â€Å"never seems to or â€Å"a true war story cannot be believed â€Å"(64). Then O'Brien gives an example of how that certain trait rings true in a story of his own.The effect produced is eye opening and causes the reader to adapt the same mindset that O'Brien takes towards his revelations. With his continued explanations of why war stories are so complex, O'Brien moves into the realm of legacies. His vivid description of Curt Lemon's Death is a poignant reminder of the gruesome and tragic, yet sudden end to a great man's life. Even though Lemon perished in the snap of a finger, O'Brien urges us to realize that his creative style of storytelling keeps Curt Lemon alive.Just like Ted Lavender and Kiowa, Curt Lemon left behind a legacy that lived among the memories of the soldiers. This is how O'Brien is able to keep him alive along with all of the others who he does not want to let go of. This novel can be viewed as simply a novel that describes a war experience room the point of a soldier; however, the way it's portrayed makes it much more. Not only does O'Brien express what it was like to be in the Vietnam war, but also he gives us a deep analysis of our race in relation to common struggles among us.Often when a soldier has a hard time coping with their return, it is because he or she does not feel like they belong. It's as if no one believes what they say is true because of how terrible it sounds. O'Brien explains that if â€Å"somebody tells a story, let's say, and afte rward you ask, ‘Is is true? ‘ [then] if the answer matters, you've got your There are any people who are ignorant to the lengths that soldiers go to for protecting this country, and when those people fail to appreciate those actions, it is heartbreaking.When O'Brien says that â€Å"if the answer matters, you've got your answer he is emphasizing the point that all war stories can be true even if they never actually happened. The experience Of war as a whole is so unbelievable that any story is true in some sense if it helps the reader understand what the narrator went through. His depiction of war is gruesome to say the least, but it explains to us how war impacts a man. He also expresses the importance off legacy like those of Curt lemon's, Kiosk's, and Ted Lavender's.O'Brien has the potential to be scarred for life from these death incidents; however, he uses the power of his stories as a coping mechanism, and in turn is able to keep the souls of his comrades alive. He does this with Timmy preserve his innocence, and in the same way, he does this to his friends to aid the hurt the war has caused him. All in all, O'Brien strategy of storytelling achieves the multiple goals intended: to portray his tragic war experiences, to explain the human notation in relation to the war, and to portray the strength of a legacy preserved in a Story.

Wednesday, October 23, 2019

Morality and Babyhood Essay

Characteristics of babyhood: (From 2 weeks to 2 years) i) Babyhood is the true foundation age. At this time, many behavior patterns, attitudes and emotional expressions are established. It is a critical period in setting the pattern for personal and emotional adjustments. ii) Babyhood is an age of rapid growth and development. Babies grow rapidly both physically and psychologically. Changes are rapid in appearance (height and weight) and capacities. The limbs develop in better proportion to the large head. Intellectual growth and change are parallel to physical growth and change. iii) Ability grows to recognize and respond to people and objects in the environment. The baby is able to understand many things and communicate its needs and wants. iv) The babyhood is an age of decreasing dependency. The baby begins to do things to itself. With decrease of dependency, a rebellion against being treated as baby. A protest takes protest comes in the form of angry outbursts and crying when independence is denied. v) It is an age of high individuality which can be realized in appearance and in patterns of behavior. vi) Babyhood is the beginning of Creativity, sex role and socialization for adjustment in future life. vii) Babyhood is a hazardous period. The physical hazards are illness, accidents, disabilities and death. Psychological hazards are disinterests and negative attitude. Havighurst’s Developmental Tasks During The babyhood Learning to take solid food Learning to walk. Learning to talk. Learning to control the elimination of body wastes. Learning sex differences and sex modesty. Getting ready to read. Learning to distinguish right & wrong and beginning to develop a conscience. Babyhood skills Hand skills – self-feeding , self dressing,and play skills Leg skills-Jumping, climbing stairs, running without falling speech development in babyhood Talking is one of the biggest milestones there is, and the latest research suggests there’s a lot you can do to help your child become a master chatter. Months before my daughter Ella spat out her first official word (â€Å"bath! â€Å"), she was a Chatty Cathy in terms of sheer noise–exercising her pipes by howling for a feeding, squealing at a sock puppet, or babbling â€Å"ba ba ba† at the top of her lungs. And it turns out there’s a reason behind the racket. For babies, it’s a kind of linguistic cross-training–a way they prep for the main event of real speech, otherwise known as one of the coolest milestones ever. The average age at which kids utter a bona fide first word is 12 months, and they’re able to manage two-word â€Å"sentences† by the time they’re 2. But (reality check! ) as any pediatrician will attest, babies hit language milestones at a wide range of ages. A child who seems behind can all of a sudden make a giant leap ahead of her peers, verbally. And a kid who starts talking early may get stuck on the same few words for months before adding more to her repertoire. So no comparing or panicking! Sure, you can hardly wait to hear that first word or â€Å"wuv you. † But like all Big Moments in your baby’s life–sleeping through the night, sitting up, first steps–it will happen when she’s ready. There are, however, proven ways you can nudge language development along, experts say. Check out our stage-by-stage (and completely anxiety-free! ) guide to baby talk for the scoop on what you’ll hear, when to expect it, and how best to keep up your end of the conversation. 1 Month Waaah. Crying may not sound conversational, but it’s your newborn’s primary way to communicate, meaning she uses it for everything from â€Å"I’m tired† and â€Å"I need food† to â€Å"It’s a little too bright in here. † Wailing also primes your baby for genuine language by strengthening the same neural pathways in the brain that are used for speech–and by giving her larynx, the organ in the throat responsible for sound production, a good workout. What to say back: Something that will soothe the fussing and squalling. While a good cry may exercise your baby’s vocal cords, the sooner you can comfort her, the more confident she’ll be that you’re really listening to her–and the more willing she’ll be to keep trying to â€Å"tell† you what she’s feeling. 2 to 5 months Ooh? aah. Those supercute coos are airy sounds that come straight from the larynx–making them easy to say for tiny babies still figuring out how to use their lips and tongues. They’re also fun. â€Å"Kids tend to focus on particular sounds: squeals, vowels, or growls, as we call them,† says D. Kimbrough Oller, Ph. D. , a professor of audiology and speech-language pathology at the University of Memphis. These will help your little one learn to control vocal tone and volume–something she’ll need to form her first word. What to say back: Anything in â€Å"parentese,† that singsongy voice that sounds like it came off a children’s CD–only it’s you repeating â€Å"Hiiiii! † Research shows the high pitch makes your infant really take notice of–and want to imitate–what you say. 5 to 7 months Ah? goo. When your baby begins to add in consonants, it means she’s now able to produce a full repertoire of sounds–a major linguistic milestone. â€Å"It’s harder to produce consonants because they require interaction between the tongue and the lips,† says Roberta Golinkoff, Ph. D. , director of the University of Delaware Infant Language Project in Newark. â€Å"It’s a big deal. † What to say back: Narrate the sights you see on your drive or your daily plans (â€Å"We’re going to the store for some milk, and then Daddy’s taking you to the park! â€Å"). Talking to a non-talker may feel bizarre, but research has found that infants actually understand far more than we realize. In one study, 6-month-olds who heard the word â€Å"mommy† responded by looking at a picture of their mom. 7 to 9 months Ma-ma-ma. Was that a first word? Hmm? Though your baby is probably still simply parroting sounds, once she starts babbling in distinct syllables, her â€Å"conversation† can sound so much like language that it’s hard to tell. Consider this her final dress rehearsal for putting those syllables together in a way that has real meaning. What to say back: Talk about the things around her so she’ll connect objects with words. Just don’t assume â€Å"bo-bo† means â€Å"ball† if she says it while reaching for her shoe. â€Å"Notice where your child is looking before you label an object. It’s very adaptive for babies–and a lot of parents do it naturally,† says Jenny Saffran, Ph. D. , director of the Infant Learning Lab at the University of Wisconsin-Madison. 9 to 12 months Nee-nigh. Getting out just the right sounds takes practice, so for now, your baby’s making up combos that indicate real objects–a halfway point between babbling and true speech. She may say â€Å"nee-nigh† for â€Å"bottle,† or â€Å"sho-sho† for â€Å"yogurt,† for example. What to say back: As long as you know what your baby’s trying to say, don’t quibble over correct pronunciation. Swapping in weird names for regular words is normal for new talkers–so your best move is to respond in a way that shows you understand: She says â€Å"banktee,† you produce her blanket. It’s cute to hear (and say) her made-up words, and experts say it’s fine if â€Å"banktee† becomes de rigueur in your household. Eventually, you’ll phase it out for the real thing. 12 to 15 months Dog. Whatever recognizable word your child produces first, it’s bound to be something she’s fascinated by and something she can easily say–which is why the single-syllable â€Å"Da,† â€Å"Ma,† â€Å"ball,† and, yes, â€Å"dog† are fairly common first words. â€Å"Kitten† and â€Å"television†? Not so much. What to say back: â€Å"Hurrah! † Cheering on her speaking attempts will motivate her to master new words. Plus, Golinkoff notes that the rule for babies learning to talk is â€Å"the more language in, the more language out. † So keep chatting! By doing so, you’re supplying the words for interesting objects and emotions. Add that to praising her for using the ones she already knows and you’ll soon have a total motor mouth on your hands. 15 to 18 months Go. After your toddler has spit out that first word, she’ll learn what she needs to do to make others–including different parts of speech, like verbs and adjectives. By 15 months, most kids are able to say 20 or more words, and the lexicon expands as weeks go by. What to say back: Cuddle up with a good story for a no-brainer vocab booster. Perfect at this age: board books filled with short-and-sweet words, like Where Is Baby’s Belly Button? by Karen Katz, or Dear Zoo, by Rod Campbell. â€Å"Talk about what’s in the pictures, as well,† suggests Julie Masterson, coauthor of Beyond Baby Talk: From Sounds to Sentences, A Parent’s Complete Guide to Language Development. â€Å"It’s fun for kids to hear you say ‘See the dog? It says ‘woof. ‘† 18 to 22 months Da-me-fo-bee. You know your toddler is saying something amazing–if only you could understand it. In their second year, kids become masters of nonsensical speech, producing strings of elegant gibberish that sound like a faux version of adult conversation (often complete with inflection and hand gestures). She’ll also be saying around 30 or so real words-but even those may not be crystal clear. What to say back: Ask questions that get your kid talking. If she says â€Å"boo-bee-lala† while building a block tower, ask â€Å"What do you like about the blocks? † One recent study in the journal Pediatrics showed that back-and-forth conversations between adults and little ones are the best way to improve their verbal skills. 22 to 24 months. More milk. By the time she turns 2, your toddler will likely be able to string two or three words together to make mini-sentences. A favorite to throw into the mix of the dozens of words in her growing vocabulary: â€Å"more. † It’s a sign that your kid is figuring out the ability of language to make things happen. What to say back: Give her what she asks for! (Within reason, of course. ) Being able to tell you what she wants is a major milestone for her, but it’s a happy day for you, too. Just think: fewer meltdowns over misunderstood requests! And by responding, you show her just how powerful and rewarding talking really can be. Prespeech forms of communication Four prespeech forms of communication are there Crying- Hurlock considers it to be the very first piece of human behaviour that has social value. It gradually becomes differentiated as the newborn reaches the third or fourth week of life. Cooing and Babbling-As the baby’s vocal mechanisms develop,he becomes capable of producing explosive sounds which develop into babbling or lallation. Babbling begins during the second or third month of life. Gesturing –This develops and is used by the baby not to supplement,but to substitute for his speech. Emotional expressions- This is most effective forms of preseech. Baby communicates with others by using some gestures and emotional expressions emotional development in babyhood month 1 Makes eye contact Cries for help Responds to parents’ smiles and voices Month 2 Begins to develop a social smile Enjoys playing with other people and may cry when play stops Prefers looking at people rather than objects Studies faces Gurgles and coos in response to sounds around her First begins to express anger Month 3 Starts a â€Å"conversation† by smiling at you and gurgling to get your attention Smiles back when you smile at him. The big smile involves his whole body — hands open wide, arms lift up, legs move Can imitate some movements and facial expressions Month 4 Is intrigued by children. Will turn toward children’s voices in person or on TV Laughs when tickled and when interacting with others Cries if play is disrupted Month 5 Becomes increasingly assertive Can differentiate between family members (parents and siblings) and strangers Likes to play during meals Month 6 May quickly tire of a toy but will never tire of your attention Temperament becomes increasingly apparent. You’ll see whether she tends to be easygoing or easily upset; gentle or active Recognizes his own name Coos for pleasure and cries with displeasure Can make noises like grunts and squeals; clicks his tongue Month 7 Starts to understand the meaning of â€Å"no† Enjoys social interaction Expresses anger more strongly Tries to mimic adult sounds Month 8 Can differentiate between familiar and unfamiliar May become shy or anxious with strangers Cries in frustration when he can’t reach a toy or do something he wants to do Month 9 Imitates gestures that other people make Looks at correct picture when an image is named. Smiles and kisses own image in the mirror Likes to play near parent (i. e. , in kitchen while Mom is cooking) May be more sensitive to the presence of other children Month 10 Separation anxiety may begin Self-esteem begins to develop Responds to positive recognition such as clapping Becomes cautious of heights Shows moods such as sad, happy, and angry Month 11 Tries to gain approval and avoid disapproval Can be uncooperative Month 12 May have temper tantrums Can fluctuate between being cooperative and uncooperative Shows a developing sense of humor May cling to parents or one parent in particular Development of understanding. As the babies grow the criteria of understanding increases. It depends largely on two factors : their level of intelligence and their previous experiences. Most important concepts that are related are Space Weight Time Self Sex-role Social Beauty The comic Functions and vertues od play: 1 it aids growth 2 it is a voluntary activity 3 language can be developed through it 4 it offers opportunities for matery of physical self PLAY PATTERNS OF BABYHOOD: sensorimotor play exploratory play imitative play make -believe play games and amusements Moral development in babyhood: Babies have no scale of values and no conscience. They are therefore neither moral nor immoral but nonmoral in the sense that their behavior is not guided by moral standards. Eventually they will learn moral codes from their parents, and later from their teachers and playmates etc. Learning to behave in a morally approved manner is a long, slow process. However, foundations are laid in babyhood and on these foundations children build moral codes which guide their behavior as they grow older. Because of their limited intelligence, babies judge the rightness or wrongness of an act in terms of the pleasures or pain it brings them rather than in terms of its good and harmful effects on others. They therefore perceive an act as wrong only when it has some harmful defect in themselves. They have no sense of guilt because they lack definite standards of right and wrong. They so not feel guilty when they take things that belong to others because they have no concept of personal property rights. Baby is in a stage of moral development which Piaget has called morality by constraint- the first of three stages in development. This stage lasts until the age of seven or eight years and is characterized by automatic obedience to rules without reasoning or judgment.

Tuesday, October 22, 2019

Protectionism versus Free-Trad essays

Protectionism versus Free-Trad essays The main objective of the following paper is to explain the protectionism versus free trade argument, to explain the problems this debate has created in the arena of international trade and to outline the ways in which international agreements have contributed to their resolve. Although many of the following issues are still present in the world economy today, they are constantly improving due to agreements such as the Uruguay Round and the North American Free Trade Agreement (NAFTA). Protectionism is easily related to the belief that a nations resources need to be protected from international competition brought about by trade. Protectionist policies include trade restrictions which are of many natures. (See Appendix 1.A) Nations seek protectionist policy for various reasons such as: a source of government revenue,, to satisfy domestic interest groups and for the infant-industry argument among others. (See Appendix 1.B) The on-going debate regarding protectionist measures in the world economy seems to be an everlasting struggle. The recent World Trade Organization (WTO) conference in Seattle, for example, turned into a political battleground where protectionists rioted against the free traders. (Martin Morse Wooster, 55, June 2000) Violent riots and passionate arguments come to characterize meetings regarding the following topics, however to understand the issues at hand, one must get beyond the sound and the fury and examine the basic topics at hand. Tariffs are additional costs, such as taxes, that are added to a commodity as it either enters or leaves a nation. Import tariffs will be the type of tariff discussed in this paper. Tariffs can be calculated in the following three manners: the ad valorem tariff which is calculated by a fixed percentage of the estimated market value of the good, the specific tariff which is calculated as a fixed dollar amount per unit and the compound tariff whic ...

Monday, October 21, 2019

Definition of Wormhole - Theory of Relativity

Definition of Wormhole - Theory of Relativity Definition: A wormhole is a theoretical entity allowed by Einsteins theory of general relativity in which spacetime curvature connects two distant locations (or times). The name wormhole was coined by American theoretical physicist John A. Wheeler in 1957, based on an analogy of how a worm could chew a hole from one end of an apple through the center to the other end, thus creating a shortcut through the intervening space. The picture to the right depicts a simplified model of how this would work in linking two areas of two-dimensional space. The most common concept of a wormhole is an Einstein-Rosen bridge, first formalized by Albert Einstein and his colleague Nathan Rosen in 1935. In 1962, John A. Wheeler and Robert W. Fuller were able to prove that such a wormhole would collapse instantly upon formation, so not even light would make it through. (A similar proposal was later resurrected by Robert Hjellming in 1971, when he presented a model in which a black hole would draw matter in while being connected to a white hole in a distant location, which expels this same matter.) In a 1988 paper, physicists Kip Thorne and Mike Morris proposed since that such a wormhole could be made stable by containing some form of negative matter or energy (sometimes called exotic matter). Other types of traversible wormholes have also been proposed as valid solutions to the general relativity field equations. Some solutions to the general relativity field equations have suggested that wormholes could also be created to connect different times, as well as distant space. Still other possibilities have been proposed of wormholes connecting to whole other universes. There is still much speculation on whether it is possible for wormholes to actually exist and, if so, what properties they would actually possess. Also Known As: Einstein-Rosen bridge, Schwarzschild wormhole, Lorentzian wormhole, Morris-Thorne wormhole Examples: Wormholes are best known for their appearance in science fiction. The television series Star Trek: Deep Space Nine, for example, largely focused on the existence of a stable, traversible wormhole that connected the Alpha Quadrant of our galaxy (which contains Earth) with the distant Gamma Quadrant. Similarly, shows such as Sliders and Stargate have used such wormholes as the means of traveling to other universes or distant galaxies.

Sunday, October 20, 2019

The Voyager Mission

The Voyager Mission In 1979, two tiny spacecraft were launched on one-way missions of planetary discovery. They were the twin  Voyager spacecraft, predecessors to the  Cassini spacecraft at Saturn, the Juno mission at Jupiter, and the New Horizons mission to Pluto and beyond. They were preceded in gas giant space by the Pioneers 10 and 11. The Voyagers, which are still transmitting data back to Earth as they leave the solar system, each  carry an array of cameras and instruments designed to  record magnetic, atmospheric, and other data about the planets and their moons, and to send images and data for further study back on Earth.   Voyagers Trips Voyager 1 is speeding along at about 57,600 kph (35,790 mph), which is  fast enough to travel from Earth to the Sun three and a half times in one year. Voyager 2 is   Both spacecraft  carry a gold record greeting to the universe  containing sounds and images selected to portray the diversity of life and culture on Earth. The two-spacecraft Voyager missions were designed to replace original plans for a Grand Tour of the planets that would have used four complex spacecraft to explore the five outer planets during the late 1970s. NASA canceled the plan in 1972 and instead proposed to send two spacecraft to Jupiter and Saturn in 1977. They were  designed to explore the two gas giants in more detail than the two Pioneers (Pioneers 10 and 11) that preceded them. The Voyager Design and Trajectory The original design of the two spacecraft was based on that of the older Mariners (such as Mariner 4, which went to Mars). Power was provided by three plutonium oxide radioisotope thermoelectric generators (RTGs) mounted at the end of a boom. Voyager 1 was launched after Voyager 2, but because of a faster route, it exited the Asteroid Belt earlier than its twin. Both spacecraft got gravitational assists at each planet they passed, which aligned them for their next targets.   Voyager 1 began its Jovian imaging mission in April 1978 at a range of 265 million kilometers from the planet; images sent back by January the following year indicated that Jupiters atmosphere was more turbulent than during the Pioneer flybys in 1973 and 1974. Voyager Studies Jupiters Moons On February 10, 1979, the spacecraft crossed into the Jovian moon system, and in early March, it had already discovered a thin (less than 30 kilometers thick) ring circling Jupiter. Flying past Amalthea, Io, Europa, Ganymede, and Callisto (in that order) on March 5th, Voyager 1 returned spectacular photos of these worlds. The more interesting find was on Io, where images showed a bizarre yellow, orange and brown world with a least eight active volcanoes spewing material into space, making it one of the most (if not the most) geologically active planetary bodies in the solar system. The spacecraft also discovered two new moons, Thebe and Metis. Voyager 1s closest encounter with Jupiter was at 12:05 UT on March 5, 1979, at a range of 280,000 kilometers. On to Saturn Following the Jupiter encounter, Voyager 1 completed a single course correction on April 89 1979, in preparation for its rendezvous with Saturn. The second correction on October 10, 1979, ensured that the spacecraft would not hit Saturns moon Titan. Its flyby of the Saturn system in November 1979 was as spectacular as its previous encounter. Exploring Saturns Icy Moons Voyager 1 found five new moons and a ring system consisting of thousands of bands, discovered a new ring (the G  Ring), and found shepherding satellites on either side of the F-ring satellites that keep the rings well defined. During its flyby, the spacecraft photographed Saturns moons Titan, Mimas, Enceladus, Tethys, Dione, and Rhea. Based on incoming data, all the moons appeared to be largely composed of water ice. Perhaps the most interesting target was Titan, which Voyager 1 passed at 05:41 UT on  November 12th at a range of 4,000 kilometers. Images showed a thick atmosphere that completely hid the surface. The spacecraft found that the moons atmosphere was composed of 90 percent nitrogen. Pressure and temperature at the surface were 1.6 atmospheres and -180 ° C, respectively. Voyager 1s closest approach to Saturn was at 23:45 UT on November 12,  1980, at a range of 124,000 kilometers. Voyager 2 followed up with visits to Jupiter in 1979, Saturn in 1981, Uranus in 1986, and Neptune in 1986. Like its sister ship, it investigated planetary atmospheres, magnetospheres, gravitational fields, and climates, and discovered fascinating facts about the moons of all the planets. Voyager 2 also was the first to visit all four gas giant planets. Outward Bound Because of the specific requirements for  the Titan flyby, the spacecraft was not directed to Uranus and Neptune. Instead,  following the encounter with Saturn, Voyager 1 headed on a trajectory out of the solar system at a speed of 3.5 AU per year. It is on a course 35 ° out of the ecliptic plane to the north, in the general direction of the Suns motion relative to nearby stars. It is now in interstellar space, having passed through the  heliopause boundary, the outer limit of the Suns magnetic field, and the outward flow of the solar wind. Its the first spacecraft from Earth to travel into interstellar space. On February 17, 1998, Voyager 1  became the most distant human-made object in existence when it surpassed Pioneer 10s range from Earth. In mid-2016, the  Voyager 1  was more than  20 billion kilometers from Earth (135 times the Sun-Earth distance) and continuing to move away, while maintaining a tenuous radio link with Earth. Its power supply should last through 2025, allowing the transmitter to keep sending back information about the interstellar environment. Voyager 2 is on a trajectory headed out toward the star Ross 248, which it will encounter in about 40,000 years, and pass by Sirius in just under 300,000 years. It will keep transmitting as long as it has power, which may also be until the year 2025.   Edited and updated by Carolyn Collins Petersen.

Saturday, October 19, 2019

Managerial Economic and Quantitative Analysis Essay

Managerial Economic and Quantitative Analysis - Essay Example Thomas & Maurice, 2007). So in order to obtain the profit equation, total cost equation is subtracted from the total revenue equation (that is, profit = total revenue – total cost). However, from the equations given, there is no total cost and total revenue function. In order to obtain a total revenue function of the two firms, the demand function of each firm is integrated, and in order to obtain the total cost of each firm, the average cost function of each firm is integrated. After obtaining the total revenue and total cost functions, it is now possible to obtain the profit function. Economists argue that profits are maximized where total cost balances total revenue. So in order to obtain optimal price and output of each firm working individually, the total cost function is equated to the total revenue function (R. Thomas, C. Thomas & Maurice, 2007). This helps in obtaining the optimal output and price. Optimal price and output may also be obtained through differentiating t he profit function of each firm and equating it to zero, and then solving for the values of price and output. Consider the second case, where the two companies work together. ... Thomas, C. Thomas & Maurice, 2007). Part Two Estimation of the price per plane The estimated price per plane is as follows. price per plane (million $) probability Estimated price per plane (million $) 125 0.25 500 175 0.25 700 225 0.5 450 Optimal output and price when the firms act individually Airbus optimal price and output Airbus demand function is P = 500 – 0.0003Q. From this demand function, the total revenue function derived by integrating the demand function is TR = 500Q – 0.0003Q2. Airbus has the following Average cost function; AVC = 104.8822Q – 0.001Q2 + 0.09 Q3. By integrating this average cost function, a total cost function is obtained; TC = 104.8822Q2 – 0.001Q3 + 0.09Q4. In order to determine the optimum quantity and price the profit function is obtained first and then differentiated with respect to output. The profit function obtained is 500Q – 104.8825Q2 + 0.001Q3 – 0.09Q4. Differentiating this profit function and solving for the value of Q yields the value of Q as 500 M. Hence, substituting the value of Q in the original demand function, the value of P obtained is $ 499.85 M. thus; the optimal values of price and output are $ 499.85 Million and 500 million respectively. Boeing Optimal Output and Price The demand function of the firm is P = 700 – 0.00013Q. The total revenue function obtained through integration of the demand function is TR = 700Q – 0.00013Q2. The Average cost function of the firm is AVC = 25.8678Q – 0.00023Q2 + 0.4Q3. Integration of this function yields TR = 25.8678Q2 – 0.00023Q3 + 0.4Q4. From the total revenue and total cost functions, the following profit function is obtained, which is then differentiated and equated to zero in order to obtain the value of Q that is

Friday, October 18, 2019

Information Technology Service Yakka Tech Pty Ltd Essay

Information Technology Service Yakka Tech Pty Ltd - Essay Example It seems that despite having substantial employee strength, it is not being able to meet the standards as per the demands of its customers. The customer service department has been underperforming which is the present cause of concern for the company. The company has been stagnating and the number of customer complaints has been rising dramatically. This case provides a perfect situation for the identification of management loopholes. Accordingly, suitable recommendations have been proposed for rectifying the situation. The underperformance of employees can be dealt with by applying various theories of management. Employee motivation has a key role to play in this regard. The company has also been facing the problem of employee turnover. A similar issue was raised in Cadbury’s where the turnover rates remained high because of unfavorable conditions and malpractices in the areas of human resource management. However, the situation was brought under control by restructuring the HR strategies. An ideal working environment was provided along with sick pays, holidays and other benefits for the employees (Pinnington, Macklin & Campbel, 2007, p.39). This is a critical human resource issue which requires careful understanding of the causes why the employees have been leaving the organization. It is important to make an in-depth analysis of the reasons for employee dissatisfaction, insecurity and lack of commitment (Taylor, 2002, p.60). High turnover rates result in significant costs to the company in the form of recruitment, training and productivity loss (Reichheld & Teal, 2001, p.96). Research reveals that the organizational hassles often affect the quality of work. The kind of supervision, operational hassles or disagreement about of how something requires being done may be reflected through low productivity and poor performance (Basch & Fisher, 1998, p.6). The situation in Yakka Tech is also similar where the operational hassles results on lack of coordination of resources eventually lowering the level of performance.

Critical Thinking Assignment on Jacob Ind Essay Example | Topics and Well Written Essays - 500 words

Critical Thinking Assignment on Jacob Ind - Essay Example Jacob Ind faced several risk factors that might have contributed to their criminal activity. Behavioral and social factors were the major risk factors in his case. He lived in a poor family structure characterized by home dissonance, child abuse, and inconsiderate parents, which resulted in his delinquency. His father was physically abusive, while his mother perpetrated emotional abuse. Ind thought about killing his parents for over three years and finally did it because he saw no way out of the abuse from his parents. Although the punishment for murder is legally proscribed, Ind does not have a blameworthy frame of mind. His actions resulted from the risk factors his parents exposed him to at home. If he were an adult and of a mature mind, he would have simply walked away from home and lived elsewhere with his abusive parents. I do not think that a sentence of life without the possibility of parole is a just punishment for Jacob Ind. There is enough evidence of the motive of the criminal offense, and it was plainly because of the torture from his parents. It is a cruel and unusual punishment for a teenager to undergo a life sentence without parole for an offense done out self-defense, without any ulterior motive. In fact, Ind believed that the marijuana in his bedroom was a more serious offense that the murder of his oppressive parents. The wealth of characteristics and circumstances attendant to the offense is convincing enough for a lesser sentence by the judge. The PBS website indicates, â€Å"Even some of the jurors who convicted him wonder if he deserved life without parole†. The life sentence without parole was an unfortunate sentence for Jacob Ind. I believe that the death penalty and sentences of life imprisonment are both punitive measures that significantly change the life of a youth offender.

Thursday, October 17, 2019

Managing Financial Systems in the Hospitality Industry Essay

Managing Financial Systems in the Hospitality Industry - Essay Example This essay stresses that financial statement appraises the company’s owners of the financial standing of the firm. Based on this the organization takes decisions, which affect both the profitability and the risk of the firm’s operations. In the hospitality industry, management accounting system (MAS) gives an evaluation of the performance. Financial statements help to monitor business performance and analyze statement relevant to investment decisions. There is more emphasis now on risk assessment and non-financial performance measures. This paper makes a conclusion that Market analysis gives details of competition, and expected business based on macro and micro factors. It takes into account the country’s economy, the reasons for recessions and downslide and the resultant impact on the business proposed. The projections of sales and profitability can only be made once the revenue per customer is estimated. Market segmentation further helps to get a realistic picture. The value of the company is determined by the analysts and the capital market by discounting the present value of the future cash flows that will be generated by the company’s operations. The assets and liabilities also change in value over time. The revaluations are fixed with reference to either the stock market or the real estate market. In the case of the hospitality industry it is related to the real estate market. The financial analysts also deal separately with the assets and liabilities.

Performer is a man of action. He is not somebody who plays another. He Essay

Performer is a man of action. He is not somebody who plays another. He is a doer, a priest, a warrior... What is Acting - Essay Example The works by Aeschylus, Euripides, Sophocles etc, are the treasures of the classical drama. In different times drama has unfolded several new facets that have brought revolution on the stage. In the Restoration era, drama featured absolutely different characteristics. (Jahn, 2003) It became more vulgar and vigorous, portraying the lecherous and degenerated society. The works of Wycherley, Etherege, Moliere enriched this age with their worthy contributions in drama. However, these were mostly comedies. The revenge tragedies such as Thomas Kyd’s The Spanish Tragedy, the Seneca’s bloodthirsty tragedies and many others of this genre, exhibited a gory and violent trait of stage performances. On the other hand in later period the classical notes are represented again, in the Shakespearean drama (both tragedies and comedies) with a close connection with the modern psychoanalytic traits, such as Macbeth, Hamlet, Othello, Julius Ceaser etc. In the later period, nineteenth centur y ushered a whole new schools of drama with several innovative carves in it. The dramatists like G. B. Shaw, Henrik Ibsen, Brecht etc. came up with excellent notions that metamorphosed the entire figure of world drama. The versatility in the genre of drama has kept the definition of acting or performance moving continuously. Each genre exhibited his or her uniqueness. An actor cannot be captured in a certain frame of definition for a very general reason. He/ she always keeps changing their roles according to the drama. He is essentially a ‘doer’ and hence a performer too. Acting is an art that the performer procreates in each moment of his/ her lifetime by giving life to series of characters, and such a performer who cannot be categorized in any definite role because the art of acting is universal. Dissimilar from the actors in ancient Greece, who were honored, it is supposed that the actors of Rome in the

Wednesday, October 16, 2019

Library Database Exercise #4 Essay Example | Topics and Well Written Essays - 250 words

Library Database Exercise #4 - Essay Example By using database a person is able to obtain information not freely available on the internet. Secondly, the information obtained via a general search may not authoritative and credible, online websites are sometimes by people who are novice on the subject. Finding credible information is critical in doing research and by using library databases one can always get accurate and reliable information. The information obtained from the library database is from reliable sources such as: academic journals, popular magazines, newspapers, trade journals and scholarly reviewed articles. The information is written by credible authors such as: journalists, researchers, and experts in the particular subject. Thirdly, search engines give millions of results making it hard for people to scan the results and find the exact information needed. However, by using databases one can access thousands of articles and books, charts and images and databases that are focused on the particular topic. Library databases have powerful search tools that enable a person to have more control over the search results. The tools suggest additional keywords for users to use and narrow down the results. Conclusions are that databases have the following advantages: They provide credible information, a person spends less time searching, have powerful search tools, and better

Performer is a man of action. He is not somebody who plays another. He Essay

Performer is a man of action. He is not somebody who plays another. He is a doer, a priest, a warrior... What is Acting - Essay Example The works by Aeschylus, Euripides, Sophocles etc, are the treasures of the classical drama. In different times drama has unfolded several new facets that have brought revolution on the stage. In the Restoration era, drama featured absolutely different characteristics. (Jahn, 2003) It became more vulgar and vigorous, portraying the lecherous and degenerated society. The works of Wycherley, Etherege, Moliere enriched this age with their worthy contributions in drama. However, these were mostly comedies. The revenge tragedies such as Thomas Kyd’s The Spanish Tragedy, the Seneca’s bloodthirsty tragedies and many others of this genre, exhibited a gory and violent trait of stage performances. On the other hand in later period the classical notes are represented again, in the Shakespearean drama (both tragedies and comedies) with a close connection with the modern psychoanalytic traits, such as Macbeth, Hamlet, Othello, Julius Ceaser etc. In the later period, nineteenth centur y ushered a whole new schools of drama with several innovative carves in it. The dramatists like G. B. Shaw, Henrik Ibsen, Brecht etc. came up with excellent notions that metamorphosed the entire figure of world drama. The versatility in the genre of drama has kept the definition of acting or performance moving continuously. Each genre exhibited his or her uniqueness. An actor cannot be captured in a certain frame of definition for a very general reason. He/ she always keeps changing their roles according to the drama. He is essentially a ‘doer’ and hence a performer too. Acting is an art that the performer procreates in each moment of his/ her lifetime by giving life to series of characters, and such a performer who cannot be categorized in any definite role because the art of acting is universal. Dissimilar from the actors in ancient Greece, who were honored, it is supposed that the actors of Rome in the

Tuesday, October 15, 2019

Method of Inquiry Essay Example for Free

Method of Inquiry Essay The method of inquiry is based on gathering observable, factual and measureable evidence. Basically, methods of inquiry are ways that an investigator gathers the information for the case that they are investigating. Methods of inquiry are used in criminal investigation by collecting evidence, statement collection, and going through electronic databases and even the internet. The methods of inquiry are all used in conjunction to reconstruct the crime scene. The methods are also used by utilizing the five W’s, who, what, when, where, and why, and also how. There are three methods of inquiry that are used in an investigation and those are authority method, tenacity method, and intuition. An example of a method of inquiry is when an investigator is collecting the statements from either the victims or witnesses. The investigator will take all the information and evidence that is collected, compile it all together and come up with the reconstruction of the crime that was committed. The optimal mindset of an investigator is one that is able to look for the motive of the crime that is at hand and able to investigate all the possibilities of even the most obvious evidence that has been gathered. In my own opinion, I think that an optimal mindset is where the investigator can process all the evidence at hand, in their mind and come up with a conclusion of what occurred. Also I believe that the mindset is one that can be taught through training and experience. The scientific method is a systematic approach of observation, hypothesis formation, hypothesis testing and hypothesis evaluation that forms the basis for modern science. There are anywhere from five to eight steps in the scientific method. However, all versions of the scientific method involve the person trying to solve the problem experimenting to find an answer. A prudent criminal investigator will apply the scientific method within the course of his or her investigation to ensure that an investigation is done neutrally and without basis.

Monday, October 14, 2019

Lord Palmerstons Achievements as Foreign Secretary

Lord Palmerstons Achievements as Foreign Secretary Assess the achievement of Palmerstons first period at the Foreign Office, between 1830 and 1841. Viscount Palmerston was, without doubt, one of the most famous foreign secretaries ever to have held the office- and he did so on two occasions- between 1830-41, and 1846-52. As with many famous figures he is also rather a controversial one, receiving a mixture of praise and criticism from historians. Anthony Wood generally sees him as a dextrous negotiator, who threatened to use force in a judicious and responsible manner[1]. Eric Evans, on the other hand, is more inclined to see Palmerston’s obvious sabre rattling and ‘Gun Boat diplomacy’ as an irresponsible and unprincipled pursuit of the National interest[2] that aggravated diplomatic wounds (especially with the French) – and left Lord Aberdeen (when he took over in 1841) to ‘pick up the pieces’[3]. The function of this essay will be to evaluate Palmerton’s achievements in the first (and perhaps more influential) period under the premierships of Earl Grey and Lord Melborne in light o f this historiographical debate. This essay will adopt a chronological structure to facilitate the clarity of discussion. It will cover the three most famous events in British Foreign affairs in this period- the Belgium Crisis of 1830-1, the creation of the Quadruple Alliance in 1834, the finally the Egyptian Crises concerning France and Russia from 1831-41. It will then assess if, on balance, Palemerston’s first period at the Foreign Office can generally be called a success, as argued by Wood, or in fact did more harm than good- as argued by Evans. Palmerston’s general attitude to foreign affairs was famously one of the pursuit of national self-interest above the maintenance of any kind of consistent, or ‘ethical’ position. He told the House of Commons: â€Å"We have no eternal allies, we have no perpetual enemies. Our interests are eternal and perpetual, and those interests it is our duty to follow† For Evans, this was attitude represented a carte blance form of pragmatism. Palmerston was able to wrap himself in the union jack- often mobilising British public opinion behind him- and effectively conduct himself as he pleased with little regard for the sovereignty or stability of other nations- and most importantly- without any regard for long term-worsening of diplomatic relations. This approach was first demonstrated in respect of the Crisis in Belgium in 1830-1. In the Congress of Vienna in 1815, Belgium had been placed under the United Provinces of the Dutch- ignoring the obvious differences in religion and national feeling[4]. Eventually, Belgium Patriots were able to gather enough support to drive out the Dutch garrison from Brussels. King Louis Phillipe, who had come to power in France in 1830, was known to favour a satellite Belgium state under a French protectorate- although it was unknown as the extent the French were prepared to use military force to get it. At a London conference in 1831, Palmerston found himself in a difficult position- but refused to hand over two fortresses on the Belgium border to the French- thus ensuring the creation of a neutral Belgium. Some months later, after the French posted troops inside Belgium, Palmerston let it be known that he would be prepared to use force against them if they did not withdraw[5]. The French could n ot take this risk, and retreated. A treaty was signed in December 1832, establishing an international guarantee of Belgium’s neutrality. On the face of it, this seemed like a triumph for Palmeston. It could be argued that he had played the game of diplomatic bluff to perfection, and by refusing to assent to French demands and sabre rattling, had achieved a settlement most inkeeping with his goal of maintaining British national interest- and one which ensured a potentially dangerous French power-base did not grow any more menacing. However, there was no doubt that ‘Lord Pumicestone’s’ abrasive qualities had soured Anglo-French relations and perhaps a more delicate and consensual stance might have yielded a more satisfactory outcome to all sides The diplomatic problems with France did not go away. In 1834, the Queens of Spain and Portugal (who were constitutional rulers) were threatened by absolutist regimes in their own countries- and Palmerston was suspicious that the French planned to take advantage. His idea to create a ‘Quadruple Alliance’ between all four countries seemed, on the face of it, another great success. France could not diplomatically refuse an alliance already agreed to by Britain, Spain, and Portugal[6], and was seemingly once again outmanoeuvred by what Palmerston called a ‘Capital Hit all of my own doing’ (He was not known for his modesty). Palmerston had always been unequivocal in his support for Constitutional rulers, and Britain’s self-interest was arguably sustained by the maintenance of moderate regimes in the Iberian Peninsula[7]. On this occasion, he had arguably used diplomatic guile rather than the implied threat of military force to achieve success- so it can pe rhaps be said that Palmerston was occasionally prepared to dock his gunboat for a spot of peaceful diplomacy. Once again, though, the price of safeguarding British Interests had worsened Anglo-French relations. In 1831, Mehemet Ali, a rebellious vassal of the Turkish Sultan Mahmud in Egypt, declared war and took possession of Palestine and Syria from the Turkish Empire. The Russians- in offering to help forced the beleaguered Sultan to sign a rough treaty which effectively passed control of the strategically vital Unkiar Skelessi Straits to them. Palmerston was worried about an escalation of Russian influence- as it heightened his fear of a potential alliance between Russia and France. In 1839, the Sultan made an ill-advised attack on Ali, and ended up suffering an ignominious defeat, and gave the vassal his excuse to carry the war deep into Turkish territory. It was Palmerston’s policy to support Turkey, mainly because it dispersed the power base of Europe, and also because of a recently signed commercial treaty between the two nations. The Turkish town of Aden (which had the added benefit of being a useful place for British steamships to replenish their coal stocks en route to Ind ia) was placed under a British protectorate. Rather predictably, the French sided with Mehemet Ali. Palmerston offered a deal to his enemies- that Ali could retain Egypt and Syria for his lifetime, but the French encouraged him to turn it down. Palmerston refused to climb down, and instructed Lord Granville (the British Ambassador in Paris) to: â€Å"Covey to him (King Louis Phillipe) in the most friendly and unoffensive manner possible†¦that if France begins a war, she will lose her ships, colonies and commerce before she sees the end of it; that her army of Algiers will cease to give her anxiety, and that Mehemet Ali will be chucked into the Nile†[8] This uncompromising stance once again was a gamble, made more intense when British Marines helped capture the cities of Acre and Beirut after Ali rejected Palmerston’s deal. France (also worried by threatening movements in Bavaria) was in no position to engage Britain in a war, and she ended up having to aid Britain and Russia to defeat Ali[9]. Eventually, Russia was even persuaded to relinquish control of the Straits, and all four powers agreed to return to the original settlement of 1809[10]. Disaster had seemingly been diverted again by Palmerston’s tough diplomatic line. For Wood, he had read France’s hand perfectly[11], and once again maintained peace, even if (for Evans) he had put several noses out of joint with more ‘Gun Boat Diplomacy’[12]. In Conclusion, this essay has shown that Palmerston’s abrasive approach to Foreign policy was generally a great success. In each of the three instances covered, his reluctance to compromise worked in Britain’s interests, and against those of France- her eternal foe. Undoubtedly, he did prioritise the national interest above all else, but it could be argued that- such was Britain’s dominance- that her interests and the goal of stability and peace in Europe were by no means unrelated. In fact, one could argue from this evidence that they were very closely linked, and that maybe Palmerston’s reputation as irresponsible is slightly unfounded. It can be said that Palmerston’s hands-on and confrontational approach was extremely risky, and that there was a large element of luck involved in achieving a successful outcome on each occasion. For example, had France not withdrawn from Belgium in 1831, a bloody war might have ensured. In 1839, it may only have been the sudden advent of threatening activity in Prussia that made the French swallow their pride, and abandon Mehemet Ali. Palmerston was also aided by his fleet of gunboats that backed up everything he said. Britain’s naval dominance at that time allowed him to adopt a far more hard-line and interventionist approach than many other Foreign Secretaries before or since. Overall, Palmerston’s guile- backed up by his luck and his powerbase made his period at the Foreign Office between 1830-41 extremely successful, but arguably it could have easily gone horribly wrong. Bibliography Wood, A, ‘Lord Palmerston at the Foreign Office 1830-41’ in Nineteenth Century Britain , 1960, Longman Droz, J, Europe between Revolutions 1815-48, 1967, Fontana/Collins Evans, E, ‘Influence without Entanglement: Foreign Affairs, 1815-46’ in The Forging of the Modern State 1783-1870, 1983, Longman Felling, K, A History of England, 1973, Book Club Associates Roberts, J, A History of Europe, 1996, Helicon Publishing Word-Count- 1620 1 Footnotes [1] See Wood, ‘Lord Palmerston at the Foreign Office 1830-41’ in Nineteenth Century Britain , 1960, pp.156-63 [2] See Evans, ‘Influence without Entanglement: Foreign Affairs, 1815-46’ in The Forging of the Modern State 1783-1870, 1983, pp.210-3 [3] ibid, p.211 [4] Wood, pp.157-8 [5] In a letter to Granville, he wrote â€Å"The French must go out of Belgium or we have a general War†. See Wood, p. 159 [6] Droz, Europe between Revolutions 1815-48, 1967, p.236 [7] Evans, p.211 [8] See Evans p. 211, also Wood, p.157 [9] Felling, A History of England, 1973, p. 856 [10] Wood, p.163 [11] ibid [12] Evans, p.211

Sunday, October 13, 2019

The Awakening: Edna :: essays research papers

The Awakening: Edna This is a look at "The Awakening" by Kate Chopin. When you first look at the life of Edna you think there is not much to discuss. Edna is a married woman who at first seems vaguely satisfied with her life--"she grew fond of her husband, realizing with some unaccountable satisfaction that no trace of passion or excessive and fictitious warmth colored her affection, thereby threatening its dissolution." (Chopin, 558). Edna doesn't know what she wants from life. It is evident from the way she tries to change her life to make it better, that she wants her own happiness. She refuses to stay home on Tuesdays, which she is expected to do to satisfy the social conventions of the time. She spends more time on her art. She goes to races and parties all the time. All of this doesn't seem to help her maintain happiness all the time. There were days when she was very happy without knowing why. She was happy to be alive and breathing, when her whole being seemed to be one with the sunlight, the color, the odors, the luxuriant warmth of some perfect Southern day. There were days when she was unhappy, she did not know why, when it did not seem worth while to be glad or sorry, to be dead or alive; when life appeared to her like a grotesque Pandemonium and humanity like worms struggling blindly toward inevitable annihilation. (Chopin, 588) Edna struggled to make her life more fulfilling. Edna wanted what? Passion, excitement? She states to the Doctor, "But I don't want anything but my own way. That is wanting a good deal, of course, when you have to trample upon the lives, the hearts, the prejudices of others--but no matter--still, I shouldn't want to trample upon the little lives." (Chopin, 629). In the title of "The Awakening" I get the impression of someone waking up and deciding that their life is not what they want. Edna goes from being reasonably happy in her life to very unhappy with her life and tries to change it to make it better. The ways she goes about it are not necessarily the right ways, but at least she tries to change it to make it better. The acceptable behaviors of the time in which she lived worked against her. Edna stays married because divorce was unheard of in those days. She wants to marry Robert, but he will not because it will disgrace her to leave her husband. She exceeds the social boundaries of the day by going her own way and The Awakening: Edna :: essays research papers The Awakening: Edna This is a look at "The Awakening" by Kate Chopin. When you first look at the life of Edna you think there is not much to discuss. Edna is a married woman who at first seems vaguely satisfied with her life--"she grew fond of her husband, realizing with some unaccountable satisfaction that no trace of passion or excessive and fictitious warmth colored her affection, thereby threatening its dissolution." (Chopin, 558). Edna doesn't know what she wants from life. It is evident from the way she tries to change her life to make it better, that she wants her own happiness. She refuses to stay home on Tuesdays, which she is expected to do to satisfy the social conventions of the time. She spends more time on her art. She goes to races and parties all the time. All of this doesn't seem to help her maintain happiness all the time. There were days when she was very happy without knowing why. She was happy to be alive and breathing, when her whole being seemed to be one with the sunlight, the color, the odors, the luxuriant warmth of some perfect Southern day. There were days when she was unhappy, she did not know why, when it did not seem worth while to be glad or sorry, to be dead or alive; when life appeared to her like a grotesque Pandemonium and humanity like worms struggling blindly toward inevitable annihilation. (Chopin, 588) Edna struggled to make her life more fulfilling. Edna wanted what? Passion, excitement? She states to the Doctor, "But I don't want anything but my own way. That is wanting a good deal, of course, when you have to trample upon the lives, the hearts, the prejudices of others--but no matter--still, I shouldn't want to trample upon the little lives." (Chopin, 629). In the title of "The Awakening" I get the impression of someone waking up and deciding that their life is not what they want. Edna goes from being reasonably happy in her life to very unhappy with her life and tries to change it to make it better. The ways she goes about it are not necessarily the right ways, but at least she tries to change it to make it better. The acceptable behaviors of the time in which she lived worked against her. Edna stays married because divorce was unheard of in those days. She wants to marry Robert, but he will not because it will disgrace her to leave her husband. She exceeds the social boundaries of the day by going her own way and

Saturday, October 12, 2019

American Encounters :: essays research papers

Who Speaks The Voice Of History   Ã‚  Ã‚  Ã‚  Ã‚  The facts of history in the eyes of Americans have been viewed in many lights. The Smithsonian exhibit entitled, “American Encounters'; is no exception. This multimedia exhibit focuses on American Indians, Hispanics and Anglo-Americans in New Mexico. Although the exhibit contains many noteworthy facts about the culture and lifestyle of the Indians, in my opinion, many other aspects of Native American history were left in the shadows. The Smithsonian did not clearly illuminate the struggle and oppression which the Indians endured during the European settlement. This obscured information raises the issue of which historical facts are selected as notable. E.H. Carr, an historian, explains this argument with a very prominent quote from the first chapter of his book What is History. The quote states, “The facts speak only when the historian calls on them: it is he who decides to which facts to give the floor and in what order or context'; (Carr 9).   Ã‚  Ã‚  Ã‚  Ã‚  As stated above, Carr believes that “facts only speak when the historian calls on them. . .'; (Carr 9). In the “American Encounters'; exhibit, the facts concerning Indian tribulation and European domination could not be heard. By all means I believe that their situation was more than just an encounter. From the statement on the plaque, one could interpret that the Europeans were given the land, or that the Europeans established forts, trading posts, and colonies to live as one with the Indeginous peoples; however, that was not the case.   Ã‚  Ã‚  Ã‚  Ã‚  Consequently, Carr’s statement holds true. The authors of the exhibit choose how to present this portion of history. They decide in what context to display the facts. Obviously the authors feel that a blurb on the wall is enough to express years of struggle and strife. If visitors to the Smithsonian had no previous knowledge about the conflict between Native Americans and the Spaniards, does this excerpt explain the real situation?   Ã‚  Ã‚  Ã‚  Ã‚  From this plaque I am taught nothing of the hardships that the Natives endured. I do not learn that thousands of Indigenous lives were taken at the hands of the Spaniards simply to acquire land that wasn’t theirs. I do not learn that families and tribes were broken up in order to teach the Europeans how to survive. To my dismay no artifacts, pictures or any other type of visual display told this side of the story. It is the responsibility of the authors of this exhibit to accurately convey the facts and clearly elaborate on them.