Friday, November 29, 2019

Was Andrew Jackson A Good President Essays - Andrew Jackson

Was Andrew Jackson A Good President Andrew Jackson was born in a backwoods settlement in the Carolinas in 1776. His parents, Scotch-Irish folk, came to America two years before his birth. His mother was widowed while pregnant with him. At age 13, Andrew joined a regiment. He and his brother were both captured and imprisoned together by the British. Their mother got them released, but his brother died on the long trip home. During his independent days, he lived in a tavern with other students. He gained a reputation for charisma, and wildness and hooliganism (Morris, Introduction). After practicing law for a few years in North Carolina, he took up a job as public prosecutor. And after another several years of practicing law, he married Rachel Donelson Robards, the estranged wife of an abusive husband. Andrew also cultivated the imposing bearing of a gentleman, which entailed, in those days in the South, a challenge to a duel in responses to any grave insult, or otherwise with whipping or caning (Morris, Introduction). In late 1795, Andrew was on the committee to draft a constitution. He was under some powerful men who made him the first member of the House of Representatives from Tennessee. While in Congress, he co-signed in a land speculation with partners who went bankrupt. Fortunately for him, he escaped debtors prison. He retained a lifelong distrust of banks, and paper money, which was involved in the transaction (Morris, Section 3). In an episode of Jacksons presidency, he was at war with the Bank of the United States. The Bank of the United States held a monopoly on the deposits of the federal government, which owned one-fifth of the Banks stock. The bank provided credit to growing enterprises, issued bank notes which served as a dependable medium of exchange throughout the country, and it exercised a restraining effect on the less well manages state banks. Nicholas Biddle, who ran the Bank, tried to put the institution on a sound and prosperous basis. But Andrew Jackson was always determined to destroy it (Brinkley, 249). The Bank had two opposition groups: the soft-money faction and the hard-money faction. Soft money advocates objected to the Bank of the United States because it restrained the state banks from issuing notes freely. Hard money advocates believed that coin was the only safe currency, and they condemned all banks that issued bank notes. Although Jackson was a hard money supporter, he was sensiti ve to his many soft money supporters, and made it clear that he would object to renewing the charter of the Bank of the United States, which was due to expire in 1836. When Jackson could not legally abolish the Bank of the United States before the expiration of its charter, he weakened it by removing the governments deposits from the bank. Jackson fired two of his secretary of treasury when they refused to carry out the order because they believed that such an action would destabilize the financial system. Jackson got Roger Taney to carry out his order. Taney took the deposits out of the Bank of the United States and put them in state banks. Biddle, in response, called in loans and raised the interest rates, in which his actions precipitated a short recession. Supporters of the Bank petitioned to Washington urging a rechartering of the Bank. Jackson blamed the recession on Biddle and refused. When the Bank of the United States died in 1836, it left the country with a fragmented and chronically unstable banking system that plagued the economy for many years (Brinkley, 251). Jackson also wanted to make changes in the government. In his first Annual Message to Congress, he recommended eliminating the Electoral College, and tried to democratize Federal officeholding. He believed that the duties in government could be plain and simple that offices should rotate among deserving applicants (Jackson, Seventh President 1829-1837). During his eight years of presidency, he removed no more than one-fifth of the federal officeholders. In doing so, embraced the philosophy of the spoils system (Brinkley, 239). Jackson favored tariffs for raising revenue. On one occasion, he met head-on the challenge of John Calhoun, leader of forces trying to rid themselves of a high protective tariff. When South Carolina

Monday, November 25, 2019

Free Essays on School Restructuring

Six classes a day, five days week, every day the same schedule. Telephones and radios were still luxuries when high schools nationwide petrified the school day into this rigid pattern. The refrigerator and television hadn't been invented, much less the copy machine, computer, and video player. We live in a very different world now, and we know more about how students learn. Yet most contemporary high school and middle school students are still locked into the same schedule that their great-grandparents experienced when they were teenagers. The big question here is what is wrong with the traditional six or seven period day? For starters, say critics, the pace is tough. A typical student will be in nine locations working on nine different activities in a six-and-a-half-hour school day. An average teacher must teach five classes, dealing with 125-180 students with several preparations. This frantic, fragmented schedule is unlike any experienced either before or after high school. "It produces a hectic, impersonal, inefficient instructional environment," states Gordon Cawelti (1994), limits the amount of time to go in-depth on a subject, and tends to discourage using a variety of learning activities. Opportunities for individualization of instruction and meaningful interaction between students and teachers are hard to come by. No matter how complex or simple the school subject, the schedule assigns an impartial national average of fifty-one minutes per class period. And despite wide variation in the time it takes indivi dual students to succeed at learning any given task, the allocated time is identical for all. Schools will have a design flaw as long as their organization is based on the assumption that all students can learn on the same schedule. In addition, since most disciplinary problems occur during scheduled transitions, the more transitions, the more problems. In my district, the principal states this as the number one disci... Free Essays on School Restructuring Free Essays on School Restructuring Six classes a day, five days week, every day the same schedule. Telephones and radios were still luxuries when high schools nationwide petrified the school day into this rigid pattern. The refrigerator and television hadn't been invented, much less the copy machine, computer, and video player. We live in a very different world now, and we know more about how students learn. Yet most contemporary high school and middle school students are still locked into the same schedule that their great-grandparents experienced when they were teenagers. The big question here is what is wrong with the traditional six or seven period day? For starters, say critics, the pace is tough. A typical student will be in nine locations working on nine different activities in a six-and-a-half-hour school day. An average teacher must teach five classes, dealing with 125-180 students with several preparations. This frantic, fragmented schedule is unlike any experienced either before or after high school. "It produces a hectic, impersonal, inefficient instructional environment," states Gordon Cawelti (1994), limits the amount of time to go in-depth on a subject, and tends to discourage using a variety of learning activities. Opportunities for individualization of instruction and meaningful interaction between students and teachers are hard to come by. No matter how complex or simple the school subject, the schedule assigns an impartial national average of fifty-one minutes per class period. And despite wide variation in the time it takes indivi dual students to succeed at learning any given task, the allocated time is identical for all. Schools will have a design flaw as long as their organization is based on the assumption that all students can learn on the same schedule. In addition, since most disciplinary problems occur during scheduled transitions, the more transitions, the more problems. In my district, the principal states this as the number one disci...

Thursday, November 21, 2019

Geog Essay Example | Topics and Well Written Essays - 1000 words

Geog - Essay Example Indeed, two rounds of the longest African civil war in Sudan cost the lives of 1.5 million people; continuing conflict in the western region of Darfur has driven two million people from their homes and killed more than 200,000; famine and drought in the 1980th displaced millions; nobody knows how many lives and migrants it will take to end the south-north confrontation. The statistic of refugees in the Africa shows that Sudan is on top in the list of receiving countries with Zambia, Uganda, Kenya, DR Congo, Guinea and on the top countries of origin of the refugees with Burundi, Angola, Somalia and DR Congo (Tabutin, Schoumaker 510). I think the most appropriate way to define the immigration/emigration patterns is to solve two problems. First of all, I’ll try to show the general political and economical line of Sudan history in the past 50 years. Secondly, I’ll divine country into four border regions - north, east, west and south – and analyze each region. Sudanâ €™s history began in 1956, after the declaration of independence from British-Egypt rule. Northern Muslims took majority in government and didn’t want to deal with South. Consequently, the first civil war has begun. During the war had happened few coups and in 1972 was signed Addis Ababa Agreement that established the  Southern Sudan Autonomy. ... So, political instability provoked mass demographical emigration and intensive mass in-migration. The economic policy was very ineffective. After 1956, independent government followed the colonial type of economy by assigning more land to both public and private sectors for export-oriented production. Government created new economy on the lands that were previously inhabited and cultivated by indigenous population. Besides, many nomadic tribes lost their historical places. That’s why a lot of peasants and nomads were forced to shift their homes and styles of living to urban centers looking for food and water (Eltigani â€Å"War and Drought†¦Ã¢â‚¬  29). Another big failure in economy of the Jaafar Nimeiri regime (1969-1985) was famine in the 1980s. In 1971, Sudan launched a plan for development to turn the country into the "bread-basket" of the Arab world (Ragnhild 202). But, instead, economy declined because of price falling on the world marker. The Sudan's few export p roducts were seriously affected by falling prices on the world market. The uneven distribution of development activities, the drought that hit the western and eastern parts of the country during the mid-1980s also forced millions of people to leave their homes. After the Omar al-Bashir coupe in 1989, policy of islamization continued and the problems with the separatist movements in south and Darfur remained. Darfur is the western region, near Chad, with strong local elites that want more power and decentralization of the Sudan. In 2003 Darfur conflict was accompanied with mass murders, genocide, thousands of refugees. In 2005 the rebels signed a peace deal with the government to end the civil war. To sum up the survey of leading events in Sudan during the

Wednesday, November 20, 2019

W4 Disc Balanced Scorecard Essay Example | Topics and Well Written Essays - 250 words

W4 Disc Balanced Scorecard - Essay Example Office of Personnel Management, n.d.). The process was evaluated in terms of its ability to link the organization’s mission and vision into the development of strategies that are deemed to be instrumental in the attainment of identified goals. The potential outcomes would depend on the objectives stipulated under each of the four perspectives. For instance, under financial perspectives, the outcome could be indicated as increase of 20% in profits; while under customer’s perspectives, the outcome could be increased customer satisfaction and retention. The strengths of the balanced scorecard method are as follows: (1) the ability to assess the direction of the organization using the designed strategies through measuring outcomes as against stipulated objectives; (2) it provides a holistic view of the performance of the organization from the short-term to the long-term time frame (Bowen, 2011); and (3) strategies could be adjusted, corrected and improved according to indicated performance metrics. On the other hand, the weaknesses of the balance scorecard include: (1) the extensive amount of collaborative effort to define objectives and designing strategies that fit the performance metrics; (2) exclusion of competition; and (3) fitting the requirements of this performance tool to cater to the needs of the organization (Bowen, 2011). U.S. Office of Personnel Management. (n.d.). Using a Balanced Scorecard Approach to Measure Performance. Retrieved from opm.gov:

Monday, November 18, 2019

Management and Leadership Situations Essay Example | Topics and Well Written Essays - 1250 words

Management and Leadership Situations - Essay Example The concept of the world under one umbrella (Globalization) has liberalized the management principles also. Management styles and methodologies have undergone drastic changes over the past two decades because of the introduction of scientific management theories in the organizations. Most of the autocratic approaches have given way to democratic approaches. Business is more oriented towards building relationships between the organization and the employees and also with the organization and the customers or public. The relationship between the employees and the organization should be in good condition for the growth of the organization. The employees should feel happy about the working conditions and the wages in order to deliver maximum productivity. If any damages caused, to the employee- organization ties up, the business may badly affect. On the other hand in some situations, the management may be forced to implement certain strategies for the benefit of the organization which may result in increased workload for the employees. Consider the following case. Your store is having an after holiday sale. All merchandise will be discounted 50% in order to make up for money lost before the holidays because of the weak economy. The store must close at its’ usual time of 10 pm so not to turn away customers but will reopen at 6 AM the following day. Although the staff is tired from a 12 hour day, they must stay past their assigned shift to complete a merchandise inventory and discount the merchandise before the opening the next day. What should the manager do?

Saturday, November 16, 2019

Multiple Myeloma: Causes, Signs and Treatments

Multiple Myeloma: Causes, Signs and Treatments 1.0 Introduction Human body is consisting of so many of cells, almost uncountable. Normal human body cells are growing, dividing into new cell and dying in an orderly fashion. There are different how the body cell is growing between normal cells and cancer cells. Instead of dying, cancer cell continue to grow and form news and abnormal cells. Differ from normal cells; cancer cells can invade other tissue. The cancer cells are the cell that is growing out of control and invading the other cell. When cancer cells diffuse the blood vessel or lymph vessel, the process called metastasis can happen. It is a process where the cancer cells travel, grow out and form new tumors at the other part of the body but it is always named from its origin. Different types of cancer can act very differently like they growing at different speed and respond to different treatments. Not all tumors are cancerous. They are called benign tumor. This type of tumors cannot invade others tissues and cannot metastasize. This kind of tumors are almost never life threatening. Multiple myeloma is a cancer of plasma cells. It is malignant cancer cells. The other names for multiple myeloma are plasma cell myeloma or Kahlers disease. Plasma cell is a type of white blood cells that functioning as producer of antibodies. In the human body, the interference of the production of normal blood cells happened because of multiple myeloma, when the collection of abnormal plasma cells is accumulating in the bone marrow. The multiple myeloma usually started at the bone marrow. Bone marrow is the soft, spongy tissue that can be found inside the most bone in the human body. The breastbone, spine, ribs, skull, pelvic bones, and femur are rich with marrow. The myeloma cells that accumulate in the bone marrow can destroy the solid part of the bone. It is called multiple myeloma when more than on of the bone have the collection of myeloma cells. Besides that other tissue and organ like, kidneys can be affected and damaged by this disease. This is because the myeloma cells can produce antibodies that called M protein and other protein. They can be found and collected in the blood, urine and organs. 2.0 LITERATURE REVIEW 2.1 CAUSES The etiology of the multiple myeloma is poorly known to the physician. According to (Multiple myeloma 2011) although the exact cause is unknown, the one thing for sure is multiple myeloma is begin with one abnormal plasma cell and its started to multiple in bone marrow (Multiple myeloma 2011). 2.2 CLINICAL FINDING Usually the multiple myeloma is found out accidently when the patients do the routine blood test for another reason. The blood test result will indicate that patients have anemia, abnormal red blood cells, high serum protein level and how levels of normal antibody. In addition, when patients do the urine test, the results will show that the calcium levels is high and same to go to blood urea nitrogen levels and creatinine levels. If the kidneys are not functioning properly, then there is high level of urea and creatinines exist in urine because the kidneys cannot eliminate these substances properly. When the protein electrophoresis is carried out, the result will shows a large M protein spike, high concentration of monoclonal lg and the Bence Jones protein also detected. The marrow is examined by using bone marrow aspiration techniques. The multiple myeloma usually shows 10%-30% of the cells are plasma cells. 2.3 INCIDENCE OF MULTIPLE MYELOMA Incidence of multiple myeloma means the annual diagnosing rate, or the number of new multiple myeloma case being diagnosed each year. According to (Multiple myeloma quick statistics 2012) multiple myelomas are seldom affected children, teenagers and young adults. The incidences of multiple myeloma are increased with age (Multiple myeloma quick statistics 2012). In 50s, 60s and 70s the incidences of the multiple myeloma is the highest (Multiple myeloma quick statistics 2012). According to (Multiple myeloma quick statistics 2012) 65 years old and above is the onset age for this disease, with an incidence rate of 28.6 per 100000 versus 1.8 per 100000 people under 65 years old. In addition, multiple myeloma is common in men and in individuals of African descent (Multiple myeloma quick statistics 2012). In Asian, about 1/100000 population/year will get multiple myeloma, while in Caucasian, 4/100000 population/ year will get multiple myeloma but, for African descent, 8-10/100000 population /year will get multiple myeloma (Multiple myeloma quick statistics 2012). According to (General information about plasma cell neoplasm 2012) the incidence of multiple myeloma in United States in 2012 is 21700. While in Canada, according to (Canadian statistics for multiple myeloma 2013) about 2300 new case of multiple myeloma is recorded in 2011. 2.4 MORTALITY OF MULTIPLE MYELOMA The mortality rate for patients with multiple myeloma is high because the cure for this disease is still unknown to the people and physicians (Multiple myeloma quick statistics 2012). The median survival rate is approximately 3 or 5 years following a diagnosis of systematic multiple myeloma (Multiple myeloma quick statistics 2012). However, there are some patients that live 10 or 20 years following their diagnosing (Multiple myeloma quick statistics 2012). It is making things so unpredictable. According to (General information about plasma cell neoplasm 2012) 10710 of people have die from multiple myeloma in the United Stated. While in Canada, according to (Canadian statistics for multiple myeloma 2013) about 1370 people had die from multiple myeloma in 2011. 2.5 Risk factors The real causes of multiple myeloma is stil unknown. physicians hardly aware why someone get the multiple myeloma and why others do not but, one thing for sure is multiple myeloma is not contangious disease. There are several risk factors that can contribute to the multiple myeloma. Age over 65 years old As the age increase, the change of developing multiple myeloma also increasing (Multiple myeloma 2013). According to (Multiple myeloma 2013) most people are diagnosed with myeloma after the age of 65 years old. Race According to (Multiple myeloma 2013) the african americans have the highest risk to get multiple myeloma while the asian americanshave the lowest risk. The reason of why this happen is unknown (Multiple myeloma 2013). Gender According to (Multiple myeloma 2013) in the United Stated, the numbers of men that are diagnosed with multiple myeloma is higher compared to women. The reason of why this happen is unknown (Multiple myeloma 2013). Personal history of (MGUS) monoclonal gammopathy of undetermined significance MGUS is a benign condition in which abnormal plasma cell make M proteins. Usually, its assystomatic and by running the blood test to the pateint, the abnormal M protein level can be found out (Multiple myeloma 2013). Sometimes people who have MGUS can develop certain cancers, like multiple myeloma(Multiple myeloma 2013). Family history The risk of getting multiple myeloma is increased if a close relative had the disease(Multiple myeloma 2013) . 2.6 SIGN AND SYMPTOMS Usually, depending on how advanced the disease, the symptoms of multiple myeloma may be varies (What is multiple myeloma 2013). In the earliest stages, a person may be assystomatic (What is multiple myeloma 2013). When these symptoms present, its may be obscure and similar to those of other conditions also,it is kindly hard to diffrentiate whether it is multiple myeloma or other diseases. Sometimes not all patient have all these symptoms (What is multiple myeloma 2013). Kidney problem According to (What is multiple myeloma 2013) kidney damage can happen when the kidney filtering excess protein the blood and this may lead to renal failure. The symptoms like loss of appetite, fatigue, muscle weakness,conctipation, nausea and vomiting will appear when hypercalcemia overworks the kidneys (What is multiple myeloma 2013) . Pain One of the most common early symptom of the multiple myeloma is lower back pain or pain at the ribs area (What is multiple myeloma 2013). Because of accumulation of plasma cells and weakened bone structures, there is tiny fracture in the bone and it can leads to the lower back pain ot pain in the area of the fractures(What is multiple myeloma 2013). Fatigue According to (What is multiple myeloma 2013) the number of malignant plasma cells is increases in the bone marrow caused the growth and development of red blood cells in the bone marrow lessen it can lead to anemia. unusual tiredness and abnormal paleness is the common symptoms of anemia. Recurent infection According to (What is multiple myeloma 2013) myeloma patient have higher risk, about 15 fold than a healthy person to get infection, espeacially pneumonia. the immunity of patient is reduced from infections such as bacterial pneumonia, urinary tract infection and shingles and it is happened when the blood produces fewer white blood cell that functional to fight the infection , as the number of myeloma cell increases.(What is multiple myeloma 2013) . Nervous system disfunction Because of the bone structure is weakened and collapsed, it may encroach on thenerves, produce severe pain, tingling or numbnes (What is multiple myeloma 2013). Accoding to (What is multiple myeloma 2013) the abnormal proteins that have been produce by the myeloma cellswill contribute to the appearant of the symptoms and if it is produce in the large amounts, it will cause hyperviscosity. 2.7 PATHOPHYSIOLOGY B-lymphocytes are developed from the stem cell in the bone marrow, and from them the plasma cells is being produces. The antibodies that can recognize antigen are carries by the B-cells. Antibodies are responsible in recognizing and destroying material and organisms such as bacteria. As his antibodies recognize and want to destroy the antigen, they will proliferate rapidly and become mature plasma cells. These plasma cells are monoclonal. If there is damaged to the genetic materials when stem cell is develop to B cell, multiple myeloma will begin. This is because; it will lead to the development of plasmablast. The plasmablast will bond together inside the bone marrow because of production of adhesive molecule that allows them to do so. These myeloma cells are growing out uncontrollable and did not die naturally because of interference of a growth factor that called interleukin-6. Multiple myeloma patient have higher contain of plasma cells in their bone marrow compared to normal individual. In this disease, a plasma B cell is genetically damaged and proliferated uncontrollably (Immune cells and multiple myeloma 2013). The antibodies are overproduced by cancerous cell and accumulated in bone marrow. The bone cells named osteoclasts are stimulated by altered plasma cell. The bone structure is dissolved by the enzymes that be produced by the Osteoclasts, caused some of the symptoms associated with the disease, including pain and disfigurement (Immune cells and multiple myeloma 2013). Normally, B cell is move freely around the body, that is why the cancerous cells are available in the blood stream and metastasis is a common thing. Usually, multiple tumors are available in different bones (Immune cells and multiple myeloma 2013). The malignant myeloma cell will produce identical lg (immunoglobulin). The dysfunctional immunoglobulins that produce from myeloma cell are called paraprotein. They are called monoclonal because the myeloma cells are identical clones of a single plasma cell. Multiple myeloma will depress immune system because of action of paraprotein that destroy the functional lgs and other components of immune system. The malignant plasma cells also produce monoclonal light chain or incomplete lgs that call Bence Jones protein and secreted in the urine. 2.8 HISTOPATHOLOGY OF THE MULTIPLE MYELOMA According to (Tobias 2012), plasma cells from patients with myeloma are usually immature in appearance with centrally located nuclei, distinct nucleoli and perinuclear vacuolization. There are also often multinucleated plasma cells. Immunohistochemical analysis can verify monoclonality. The plasma cells produce monoclonal lgG or lgA that can be detected through a characteristic serum protein electrophoresis pattern. Eighty percent of the patients have a complete monoclonal lg in the serum and most of them simultaneously produce light chain in the urine (bence jones protein). The light chain concentration in the urine is often so low that Hellers urinary test is negative. 3.0 IMAGING MODALITIES OF MULTIPLE MYELOMA There are several imaging modalities that can be used to rule out multiple myeloma. According to (Healy et al. 2011) the function of medical imaging in multiple myeloma is crucial in the initial staging of disease, in detection and characterization of complication and to asses patient response toward the treatment. CONVENTIONAL RADIOGRAPHY A full skeletal survey is done in order to rule out the multiple myeloma. This skeletal survey is included a frontal and lateral view of the skull, the cervical, thoracic and lumbar spine, a coned down frontal view of the dens axis, as well as frontal view of ribs cage, humeri, knees and pelvis (Healy et al. 2011). Advantages According to (Healy et al. 2011) the evidence of multiple myeloma can be seen on the radiograph of skeletal survey in 80% of patient. The radiological evidence of multiple myeloma can been seen on vertebrae in 66%, ribs in 45%, skull in 40%, shoulder in 40%, and pelvis in 30% and long bones in 25% (Healy et al. 2011). The advantage of plain radiography compare to MRI is in discovering the cortical bone lesions in the radiograph. It also has the advantage of being easily available and inexpensive compare to the other imaging modalities (Healy et al. 2011). Disadvantages One of the disfavor of conventional radiography is diffusion of bone marrow, which may or may not be associated with cortical bone destruction, is cannot be evaluated by the conventional radiography (Healy et al. 2011). Furthermore, the lytic lesions become clear and appear on plain radiography if only when 30-50% of the bone mineral density is already loss (Healy et al. 2011). In addition, the causes of the diffuse osteopenia that shown on the radiograph cannot be differentiate whether it is because of multiple myeloma or because of other reason such as osteoporosis (Healy et al. 2011). According to (Healy et al. 2011)because of plain radiograph required patient to be in varied positioning that is sometimes painful for the patients who are usually elderly and disable because of pathological fracture then this plain radiograph become disfavor for the multiple myeloma patients. COMPUTED TOMOGRAPHY According to (Healy et al. 2011) CT is a sensitive imaging modality in evaluating the osteolytic effects of multiple myeloma and has a higher sensitivity than conventional radiography at detecting small lytic lesions. The characteristic of myeloma disease like punched out lytic lesions, expansile lesions with soft tissue masses, diffuse osteopenia, fractures and rarely osteosclerosis can be detected by the CT scan (Healy et al. 2011). Advantages If the CT, MRI and conventional radiography is being compared in patient with newly diagnosed multiple myeloma, then CT was advance than conventional radiography at defining lytic lesion and in combination with MRI, aiding in staging the extent of the disease(Healy et al. 2011). CT is more accurate than MRI in the assessing of fracture areas. According to (Healy et al. 2011) in case where MRI is negative, CT is used in identifying bone destruction, hence complementary imaging information may be provided. Furthermore, the presence and extend of extraosseous lesions is demonstrated accurately by CT scan. In image guided spinal or pelvic bone biopsy of MRI defined focal lesions; CT is preferred (Healy et al. 2011). Furthermore, CT can be done quickly and comfortable for the patient as they just need to be lying stilly. Disadvantage According to (Healy et al. 2011) a disadvantage of CT is that it typically shows persistent bone lesions throughout the trend of the disease and unlike MRI and PET/CT, it cannot evaluate continued activity of myeloma in areas of anterior to bone destruction. WHOLE BODY MRI According to (Healy et al. 2011) in detecting diffuse and focal multiple myeloma in the spine as well as the extra axial skeleton, the whole body MRI is proven to be the most sensitive imaging modalities to do it. It is crucial to know that MRI preponderantly showing bone marrow infiltration, which may or may not be related with bone destruction (Healy et al. 2011). Advantages MRI has capability to visualize large volumes of bone marrow without producing radiation exposure and in shorten time, its suitable and favorable method to evaluate disease within bone marrow (Healy et al. 2011). In addition as the number and pattern of lesions detected on MRI is mutual related very well with treatment outcome and overall survival, which is means MRI has prognostic significance (Healy et al. 2011). In patient with extraosseous lesions, it is important to define the degree of involvement and to asses for cord compression so MRI can be the best choice to do it. Disadvantages According to (Michael 2011) ,although MRI is sensitive to the existance of disease, but it it not disease particular, that is why extra test such as direct aspiration of bone marrow and measurement of gamma globulin level to asses for plasmacytosis need to be taken. It is because the signal intensity profile and enhancement pattern produce by MRI is almost the same between any muscoskeletal tumor and myeloma.(Michael 2011). That is why, MRI may give worse or better result about the disease to the patients with myeloma, in the other word it may understage the disease or overstage the disease. (Michael 2011). NUCLEAR IMAGING Myeloma is a disease that is caused by overactivity of osteoclasts, with resultant liberation of bone and suppression of osteoblasts (Michael 2011). According to (Michael 2011) nuclear medicine bone scans are depended on osteoblastic activity for diagnosing. In addition, the extend and severity of the disease is underestimated by standard tecnetium -99m (99m Tc) bone scans. So, this bone scan should not be used mundanely. Advantages According to (Michael 2011) 99m TC-MIBI can demonstrated the extend and intensity of bone marrow infiltration equally as well as MRI and its may serve as subtituition to MRI in cases in which MRI is not convenient. Disadvantages According to (Michael 2011) the fast- negative rate of standard 99m Tc bone scintigraphy is high in diagnosing multiple myeloma. Additional test is required for the confirmation if the scan is positive with normal radiograph(Michael 2011). PET/CT PET/CT is a tomographic nuclear imaging tecnique that injected labelled radiopharmaceutical such as flouro-deoxy-glucose (FDG) into the patient then, followed by tomographic scanning 10-40 minutes later. Because of tumor cell have high metabolic rate and high glucose demand, then it can be differentiate from the normal cell by using thic tecnique. in detecting early bone marrow involvement with apparent of solitary plasmacytoma, PET/CT is used. Besides that, PET/CT also used in assessing the extent of active disease, detecting extramedullary involvement or evaluating treatment response given by the doctors to the multiple myeloma patient. (Michael 2011). Advantages According to (Michael 2011) the most substantial benefits of PET/CT imaging is it has ability to differentiate between active myeloma and monoclonal gammopathy of undetermine significance (MGUS) smouldering disease. Disadvantages According to (Michael 2011) the primary drawback of PET is it have limited spatial resolution, that can cause restriction in detecting subcentumetre lytic lesions seen on conventional radiography. 4.0 DISCUSSION Multiple myeloma is known as the disease that is incurable but treaterable,. This disease is also progression slowly and can be repeated again. If this disease is in stage 1, it is very hard to diagnose this disease by the imaging modalities. Usually, in stage 1, this disease have normal bone structure or only isolated plasmacytoma. Most patient are diagnosed at stage 3. As there is no clear cause of these disease, so there is no method for preventing multiple myeloma. 5.0 TREATMENT FOR MULTIPLE MYELOMA Though multiple myeloma is incurable, but with the good treatment the patient can be as normal as healthy person. According to (Multiple myeloma 2012) standard intervention options include: Bortezomib (Velcade) (Multiple myeloma 2012) It is administered intravenously. This drug will blocking the action of proteasomes and can lead to the death of cancers cell (Multiple myeloma 2012). For the people who are newly diagnosed and previously treated myeloma, this drugs can be useful and approvable. 5.2 Thalidomide (thalomid) (Multiple myeloma 2012) This drug is suitable for the treatment of newly diagnosed multiple myeloma (Multiple myeloma 2012). This drug is admitted orally. Lenalidomine (revlimid) (Multiple myeloma 2012) This drug is more potent and causes fewer side effects than thalidomide (Multiple myeloma 2012). It is given orally. This drug can be used for the patient who has previously treated with myeloma and the patient with newly diagnosed myeloma (Multiple myeloma 2012). Chemotherapy (Multiple myeloma 2012) It is involves using medicines that need to be taken orally as a pill or through intravenous injection to kill myeloma cells (Multiple myeloma 2012). Chemotherapy is carry out in a cycles over a period of months,and then followed by a rest period (Multiple myeloma 2012). melphalan, cyclophosphamide, vincristine, doxorubicin and liposomal dexoribicin are the most common chemothreaphy drugs that has veen used in treating myeloma (Multiple myeloma 2012). Corticosteroids (Multiple myeloma 2012) For decade the treatment of the multiple myeloma is using corticosteroids, like prednisone and dexamethasone (Multiple myeloma 2012). The corticosteroids are come in pill form. Stem cell plantation (Multiple myeloma 2012) This treatment is done by using high doses of melphalan, and the immature blood cells that have been collected are transfused to subtitute diseased or damaged marrow (Multiple myeloma 2012). The stem cell is derived from the patient or donor (Multiple myeloma 2012). Radiation therapy (Multiple myeloma 2012) This treatment applies high energy penetration waves to destroy myeloma cell and restrain their growth (Multiple myeloma 2012). In the purpose of to shrinking myeloma cells in a specific area quickly, radiation therapy may be the best choice (Multiple myeloma 2012). 6.0 PROGNOSIS OF MULTIPLE MYELOMA To see the posible outcome of a disease, prognosis is the right medical term for it. It is easy to apply the prognosis to a larger population of patients rather than to a single of patient. For example, it is easy to state that within one year, almost 35% of people in coma will be paralyzed, but its hard to accurately state when will a patient with multiple myeloma die or free from this disease because it is required a lot of patient research specifically. According to (Multiple myeloma prognosis 2011) in multiple myeloma cases by using the international staging system, the prognosis can be done. With the helps of this system, the survival of the myeloma patient can be predicted by depending on stages. The average survival of 62 months for stage one, 42 months for stage 2 and 29 months for a disease that have entered the stage 3 of the disease prognosis ranking is predicted by the international staging system (Multiple myeloma prognosis 2011). The differences of prognosis for multiple myeloma between one patient and others is the common thing. In this disease, 70 years old is the average age that people ussually get the multiple myeloma (Multiple myeloma prognosis 2011). Furthermore, based on the research, the older patient have low change of survival to be compared with younger patients as the older patient may have many other disease that can complicate the situation (Multiple myeloma prognosis 2011). 7.0 CONCLUSION As the conclusion, we can say that imaging modalities have played a big role in diagnosing and treating multiple myeloma patient. Without imaging modalities like plain xray, ct scan , MRI, and others it is hard to diagnose for sure that a patient have multiple myeloma. In addition, it is also hard for physicians to see the progression of the disease or the progression of the treatment without imaging modalities. So, we should be grateful to have so many efficient imaging modalities that can be useful to patients and physicians. By having many imaging modalities, that is mean the doctors will have several choice of use according the type of disease. Different imaging modalities is the best for different types of disease. In this assigment, I can know which imaging modalities is the best for multiple myeloma. Besides that, by doing this assigment, I can learn and differenciate between normal and abnormal appearance of anatomical structures on the radiological images.

Wednesday, November 13, 2019

Islam the Role and Function of the Mosque in a Muslim Community :: essays research papers

The role and function of the mosque in a Muslim community A mosque is generally a very symbolic place for a Muslim, being a humble way for Muslims to recreate pure divine presence on earth. The primary purpose of the mosque is to serve as a place where Muslims can come together for prayer. Nevertheless, mosques are known around the world nowadays for their Islamic architecture but most importantly for its general vitality to the Muslim Ummah (community). A mosque brings the community together as it acts as many things, a social centre, a community centre and an educational centre etc as it has many events which welcome both old and new members of the mosque. In addition to holding the five obligatory daily prayers, mosques hold jumu?ah prayers, or Friday prayers, which replace the midday prayer as the second required prayer on Fridays. It is required for all men to attend mosque on Friday for Jumu?ah. The sermons often have a strong practical slant, trying to integrate and apply Islamic beliefs and historical teachings into contemporary daily life. In many Islamic societies, jumu'ah often has a significant community or even political role. I believe sermons are significant in bringing the community together as the congregation is standing side by side in a line, facing Mecca, together, all united in their faith and worship of Allah There are study centres for new comers of the faith to come and learn about the Islamic faith, about the teachings of the Qur?an, learn how to read it and pronounce . These are often take place on weekends or in the evenings. Some mosques provide full time schools if you depend on the mosque to provide a full time Islamic education. Few but some mosques have Madrassah?s Arabic classes, classes on the Shariah, the hadith, the Sunnah, Tafsir(Qur?anic interpretation) and Muslim history. This will expand ones knowledge of Islam and will also draw them closer to their faith. Mostly children attend this study centre however all are welcome who care to learn.. Which can deepen the faith as it can expand ones understanding of Islam. Islam the Role and Function of the Mosque in a Muslim Community :: essays research papers The role and function of the mosque in a Muslim community A mosque is generally a very symbolic place for a Muslim, being a humble way for Muslims to recreate pure divine presence on earth. The primary purpose of the mosque is to serve as a place where Muslims can come together for prayer. Nevertheless, mosques are known around the world nowadays for their Islamic architecture but most importantly for its general vitality to the Muslim Ummah (community). A mosque brings the community together as it acts as many things, a social centre, a community centre and an educational centre etc as it has many events which welcome both old and new members of the mosque. In addition to holding the five obligatory daily prayers, mosques hold jumu?ah prayers, or Friday prayers, which replace the midday prayer as the second required prayer on Fridays. It is required for all men to attend mosque on Friday for Jumu?ah. The sermons often have a strong practical slant, trying to integrate and apply Islamic beliefs and historical teachings into contemporary daily life. In many Islamic societies, jumu'ah often has a significant community or even political role. I believe sermons are significant in bringing the community together as the congregation is standing side by side in a line, facing Mecca, together, all united in their faith and worship of Allah There are study centres for new comers of the faith to come and learn about the Islamic faith, about the teachings of the Qur?an, learn how to read it and pronounce . These are often take place on weekends or in the evenings. Some mosques provide full time schools if you depend on the mosque to provide a full time Islamic education. Few but some mosques have Madrassah?s Arabic classes, classes on the Shariah, the hadith, the Sunnah, Tafsir(Qur?anic interpretation) and Muslim history. This will expand ones knowledge of Islam and will also draw them closer to their faith. Mostly children attend this study centre however all are welcome who care to learn.. Which can deepen the faith as it can expand ones understanding of Islam.

Monday, November 11, 2019

Therapy Management Of Rheumatoid Arthritis Health And Social Care Essay

Rheumatoid Arthritis is the most common signifier of inflammatory arthritis which was described in item for the first clip at the terminal of the eighteenth century. This systemic disease affects all cultural groups with the peak incidence in the fifth and 6th decennaries of life. It is characterized by proliferating and destructive alterations in the synovial membrane, periarticular constructions, skeletal musculuss and perineural sheaths of the host. Finally, the affected articulations become fibrosed or ankylosed because of destructive alterations in the joint construction [ 1 ] .EpidemiologyThe prevalence of the RA is about 1 % in the general population in the United States. Prevalence is similar worldwide. It affects all cultural groups with the peak incidence in adult females between the ages of 30 and 50. Disorder occurs three times more often in adult females than in work forces ) . Sing the significance and impact of RA is vitally of import, because it is a progressive destr uctive disease which leads to cram malformation, joint devastation and lasting disablement of the affected articulations [ 2, 3 ] .PathophysiologyEven though the exact cause is still unknown, research workers have found the disease is caused by auto-antibodies which affect synovial tissue. Most of the instances ( 70 % to 90 % ) are caused by the Rheumatoid Factor ( an autoantibody ) matching with IgG, itself an antibody. Most of the balance is caused by the arthritic factors attaching to IgM, IgA or IgE. This immune composite, which is a step of these arthritic factors, are engulfed by WBCs and luxuriant destructive muramidases within the lysosomes. Procollagenase, an enzyme released by neutrophils, is converted into active collagenase by the synovial fluid. Collagenase so splits the collagen of the articular surface gristle and leads to primary synovitis. This primary synovitis gives rise to a pannus which in bend signifiers villi. These villi migrate toward the joint doing its devastation and anchylosis [ 1, 4 ] . In add-on, some research workers say the disease is influenced by familial, environmental, infective factors, and autoimmunity [ 3 ] .DiagnosisThe right diagnosing is the key to the planning of intervention at any phase of a disease. Diagnosis of RA is suspected chiefly by detecting, forenoon articulation stiffness, inflammation and puffiness of the articulations of more than 6 hebdomads continuance impacting the little articulations of the custodies and pess symmetrically, synovial puffiness and hypertrophy with an infiltrate of assorted inflammatory cells including lymph cells and macrophages. Presence of serum rhe umatoid factor, radiological characteristics of RA and periarticular osteoporosis are the characteristic characteristics of the disease, apart from other characteristics such as febrility, weariness, weight loss, vasculitis and arthritic nodules. keratoconjunctivitis, dry eyes, and dry oral cavity, are excess articular and systemic characteristics of RA. Confirmation of the diagnosing is done by blood trials, joint aspiration and radiologic imagination [ 1, 2 ] .Orthopedic malformations of Rheumatoid ArthritisRheumatoid Arthritis can impact any joint in the organic structure. But it involves the peripheral articulations more frequently and really seldom affects the larger articulations. Deformities in the manus Symmetrical peripheral puffiness of phalangeal and interphalangeal articulations. Ulnar divergence of the manus is due to rupture of the collateral ligaments at the metacarpophalangeal articulations. This leads to stealing of the extensor sinews from their channels towards the ulnar side. Boutonniere & A ; acirc ; ˆâ„ ¢s ( button hole ) malformation is due to the rupture of cardinal enlargement of the fingers ensuing in flexure at the proximal interphalangeal articulations. Swan cervix malformation is due to the rupture or stretching of the palmar home base of the proximal interphalangeal articulations which enables the sinews to steal towards the dorsal side. Here there is hyperextension of the PIP articulation and flexure of the distal interphalangeal articulations. Trigger fingers and the trigger pollex are the nodules over the sinews. Deformities in the pes RA affects the whole pes which consists of forefoot mid pes and back pes. If it is in the fore pes patients may develop, hallux valgus malformation of the great toe, claw toes, callus over the back of the pes and the sole, broadening of the fore pes and the heel may demo valgus malformation. Deformities of the other articulations In the articulatio genus, patient may develop hempen anchylosis or bony anchylosis due to widespread devastation of the articular gristle by the pannus tissue. And besides causes the followerss such as flexure and valgus malformation of the articulatio genus.ManagementPharmacological direction Under pharmacological direction, Analgesics NSAIDs and DMARDs are the chief drug classs that are ordering for the intent of cut down the patterned advance of the disease and the symptoms such as redness, swelling and hurting. Normally Azathioprine, Cyclophospamide, Ciclosporin, Hydroxychloroquine, Leflunomide, Methotrexate, Penicillamine, Sulfasalazine are the major drugs which use for the direction of RA [ 3, 4 ] . Physiotherapeutic and rehabilitative direction in Rheumatoid Arthritis The chief intent of physical therapy direction for RA is to accomplish hurting alleviation and prevent joint harm and the functional loss. Physiotherapeutic and rehabilitative applications have significantly augmented medical therapy by cut downing the disabilities in day-to-day life for patients with RA. The basic PT program of attention for the patients who have RA include educate the patient, relieve hurting and musculus guarding, promote relaxation, minimise joint stiffness, maintain available gesture, minimise musculus wasting, and prevent malformation by protecting joint constructions. Inform the patient on importance of remainder, joint protection, energy preservation, and public presentation of scope of gesture ( ROM ) are the inaugural stairss of the patient instruction. Besides teach place exercising plan and activity alteration that conserve energy and minimise emphasis to vulnerable articulations will cut down the patterned advance of the disease. Application of physical therapy modes and intercessions include cold / heat applications, electrical stimulations, soft massage, immobilise in splint, relaxation technique and hydropathy are the intervention techniques which use to alleviate hurting, musculus guarding and to advance relaxation. Even though there are several physiotherapy agents that normally used in day-to-day pattern, most frequently their usage is based on the personal experiences of the physical therapist [ 5 ] . Cold is one of the most normally used physical agents which is utilizing in assorted types of creaky conditions particularly during the acute phase. Applications of cold battalions, Ice, cold air are some of the different methods of using cold therapy. Harmonizing to the pathology of RA, the enzymes ( gristle – destructing enzymes ) such as collagenase, elastaase, spreading factor and peptidase which are doing devastation of the joint construction are impacting by the temperature of local articulations. The normal intra-articular temperature is 33 0C, but it may be lift up to 36 0C in patient with RA. With temperature of 30 0C or lower, effects of these enzymes are negligibly little. Cold is impacting on the circulation of the local articulations and causes vasoconstriction which reduces the blood supply to the joint. Reduced force per unit area inside the blood vass consequences low unstable exudate which reduces swelling and hurting. Application of hot battalions is effectual for the chronic creaky hurting. Vasodilatation occurs with the heat and delivers extra blood in to the damaged tissues. Increased O and foods supply to the damaged tissues facilitate tissue mending. Heat therapy can be applied as hot battalions, dry hot towels, and every bit good as moist heat ( steam ) . Transdermal Electrical Nerve Stimulation ( TENS ) , signifier of electrical stimulation which uses to cut down the hurting perceptual experience. Harmonizing to the hurting gate theory, the electrical urges travel through the centripetal A-delta fibres which has connexions with substantia gelatinosa, elicit a negative response at T cells. Percept of hurting diminishes due to shutting of the hurting gate by negative response of the T cells. Application of electrodes over where the hurting is most intense is good to cut down the hurting perceptual experience. Passive or active assistive ROM within absolute bounds of hurting and gradual patterned advance as tolerated are required to minimise joint stiffness and maintain available gesture. Gentle grade I and II joint distraction and oscillation techniques are used to suppress hurting and minimise unstable stasis. In fact these techniques cut down the swelling significantly. Maintain normal muscular strength and prevent musculus wasting are indispensable to go independent in Activities of Daily Living ( ADL & A ; acirc ; ˆâ„ ¢s ) . Gentle isometric exercisings in hurting free places and patterned advance as tolerated minimize musculus wasting caused due to inadequate musculus work. In the interim, usage of supportive and assistive equipment for all pathologically active articulations, good bed positioning while resting, and turning away of activities that stress the articulations must be practiced to forestall progressive joint malformation. The ultimate end of physical therapy program of attention for the patients with RA is to do them independent in their ADLs. However, there are some contraindications and safeguards that physical therapist should see before administer any PT intercession to patients. Joint distraction, oscillation technique, stretching and inactive ROM should be done with the utmost attention of hurting and tissue harm. Besides application of heavy opposition over affected articulations and vigorous stretching are contraindicated particularly when articulations are swollen. The thought of the text was to give an overall description about RA and its direction schemes related to physical therapy. However, be aftering intervention Sessionss and find necessary intercessions are the responsibilities of the healer and besides it depends on patients disease position. It is far beyond the range of this text.

Saturday, November 9, 2019

The Founding of Thebes

The Founding of Thebes The founder of Thebes is known as Cadmus or Kadmos. He was a descendant of the union of Io and Zeus in bull shape. Cadmus father was a Phoenician king named Agenor and his mother was named Telephassa or Telephone. Cadmus had two brothers, one named Thasos, and the other Cilix, who became king of Cilicia. They had a sister named Europa, who was also carried off by a bullZeus, again. The Search for Europa Cadmus, Thasos, and their mother went to look for Europa and stopped in Thrace where Cadmus met his future bride Harmonia. Taking Harmonia with them, they then went to the oracle at Delphi for a consultation. The Delphic Oracle told Cadmus to look for a cow with a lunar sign on either side, to follow where the cow went, and to make sacrifices and establish a town where the bull lay down. Cadmus was also to destroy the guard of Ares. Boeotia and Ares' Dragon After finding the cow, Cadmus followed it to Boeotia, a name based on the Greek word for cow. Where it lay down, Cadmus made sacrifices and started to settle. His people needed water, so he sent out scouts, but they failed to return because they had been killed by Ares dragon who guarded the fountain. It was up to Cadmus to slay the dragon, so with divine assistance, Cadmus slew the dragon using a stone, or perhaps a hunting spear. Cadmus Founds Thebes Athena, who helped with the slaying, advised Cadmus that he should plant the teeth of the dragon. Cadmus, with or without Athenas help, sowed the teeth-seeds. From them emerged fully armed warriors of Ares who would have turned on Cadmus had Cadmus not thrown stones at them making it appear that they were attacking one another. Ares men then fought with each other until only 5 worn out warriors survived, who came to be known as Spartoi the sown men who then helped Cadmus found Thebes. Thebes was the name of the settlement. Harmonia was a daughter of Ares and Aphrodite. The conflict between Ares and Cadmus was resolved by the marriage of Cadmus and Ares daughter. The event was attended by all the gods. Offspring of Cadmus and Harmonia Among the children of Harmonia and Cadmus was Semele, who was the mother of Dionysus, and Agave, mother of Pentheus. When Zeus destroyed Semele and inserted the embryonic Dionysus in his thigh, the palace of Harmonia and Cadmus burned. So Cadmus and Harmonia left and traveled to Illyria (which they also founded) first handing over the kingship of Thebes to their son Polydorus, father of Labdacus, father of Laius, father of Oedipus. Founding Legends Athena reserved some of the dragons teeth to give to Jason.Thebes was an Egyptian city, too. One story of the founding of Thebes says that Cadmus gave the Greek city the same name his father had just given to the Egyptian city.Instead of Polydorus, Pentheus is sometimes named as the successor of Cadmus.Cadmus is credited with bringing the alphabet/writing to Greece.The continent of Europe was named for Europa, the sister of Cadmus. This is the background for the first of three sets of stories from Greek mythology about Thebes. The other two are the sets of stories surrounding the House of Laius, especially Oedipus and those around the conception of Dionysus. One of the more enduring figures in the Theban legends is the long-lived, transgendering Tiresias the seer. Source Ovids Narcissus (Met. 3.339-510): Echoes of Oedipus, by Ingo Gildenhard and Andrew Zissos; The American Journal of Philology, Vol. 121, No. 1 (Spring, 2000), pp. 129-147/

Wednesday, November 6, 2019

Middle Ages Weddings and Hygiene

Middle Ages Weddings and Hygiene A popular email hoax has spread all sorts of misinformation about the Middle Ages and The Bad Old Days. Here we address medieval weddings and bride hygiene. From the Hoax Most people got married in June because they took their yearly bath in May and still smelled pretty good by June. However, they were starting to smell so brides carried a bouquet of flowers to hide the body odor. Hence the custom today of carrying a bouquet when getting married. The Facts In the agricultural communities of medieval England, the most popular months for weddings were January, November, and October,1 when the harvest was past and the time for planting had not yet arrived. Late autumn and winter were also when animals were usually slaughtered for food, so freshly butchered beef, pork, mutton, and similar meats would be available for the wedding feast, which often coincided with annual festivals. Summer weddings, which might also coincide with annual festivals, enjoyed some popularity, as well. June was indeed a good time to take advantage of good weather and the arrival of new crops for a wedding festival, as well as fresh flowers for the ceremony and celebrations. The use of flowers in wedding ceremonies goes back to ancient times.2 Depending on the culture, flowers have numerous symbolic meanings, some of the most significant being loyalty, purity, and love. In the late fifteenth century, roses were popular in medieval Europe for their connection to romantic love and were used in many ceremonies, including weddings. As for yearly baths, the idea that medieval people rarely bathed is a ​persistent but false one. Most people washed on a regular basis. Going without washing was considered a penance even in the early Middle Ages. Soap, possibly invented by the Gauls sometime before Christ, was in widespread use throughout Europe by the end of the ninth century and made its first appearance in cake form in the twelfth century. Public bathhouses were not uncommon, although their ostensible purpose was often secondary to their clandestine use by prostitutes.3 In short, there were numerous opportunities for medieval people to cleanse their bodies. Thus, the prospect of going a full month without washing, and then appearing at her wedding with a bouquet of flowers to hide her stench, is not something a medieval bride was likely to consider any more than a modern bride would. Notes Hanawalt, Barbara, The Ties that Bound: Peasant Families in Medieval England (Oxford University Press, 1986), p. 176.garland  Encyclopà ¦dia Britannica [Accessed April 9, 2002; verified June 26, 2015.]Rossiaud, Jacques, and Cochrane, Lydia G. (translator), Medieval Prostitution (Basil Blackwell Ltd., 1988), p. 6.

Monday, November 4, 2019

The New York Stock Exchange Essay Example | Topics and Well Written Essays - 500 words

The New York Stock Exchange - Essay Example The New York Stock Exchange (NYSE) is a non profit organization whose ownership is composed of 1300 members or â€Å"seats†. Richard Grasso was the Chairman of NYSE for several years during the first decade of the 21st century. He did a good job of as chairman of the NYSE increasing the productivity of the stock exchange. Some of his major accomplishments included tripling seat prices, investing $2 billion in information technology upgrades, and achieved record volume of business in a bad economy and tough competitive environment. The problem with his tenured as chairman is that he took advantage of his position to benefit economically beyond what he deserved. He also colluded with the board of directors creating agency issues that help him inflate his total compensation. For instance the Board of Directors was handpicked by Mr. Grasso. They were his puppets and would approve without debating the outrageous bonuses Richard Grasso paid himself. In 2003 when they scandal was rev ealed Richard Grasso received $2.3 million dollars in salary. The previous four years his total compensation ranged between $9.9 million and $24.2 million. Grasso was a greedy executive that acted in an unethical manner. Upon his resignation due to public pressures Grasso received a lump sum payout which included liquidation of pension plan of $140 million. The NYSE is most powerful and influential stock exchange in the world.

Saturday, November 2, 2019

Personality Disorders Essay Example | Topics and Well Written Essays - 1250 words - 1

Personality Disorders - Essay Example It is this special trait of living beings which sets them apart as a class having emotions, personality, behavior, etiquettes etc. Whenever something conflicting strikes the emotional behavior of the individual, the overall personality gets affected. Once the personality disorder starts appearing in the individual and no cognizance is taken of the change in behavior, it gradually takes the shape of long term patterns, if there's no Personality disorders take the shape of long-term patterns, thus causing serious problems in relations at home and at work. Under normal circumstances, we as human beings often come across many stressful situations which results in tension like situations. As normal human beings we start taking such situations in our stride and try to come out with appropriate solutions, but a person with personality disorder finds the situation difficult to deal with. This often reflects in their relationship with people around them. Personality disorders as such do not come up suddenly like some other diseases, or due to malfunctioning of some body organs, but it is a gradual process. A major incident or accident can at times be a major reason for personality disorders, but in general such disorders start affecting the human behavior over a period of time. The Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association (APA) defines personality disorder as, "An enduring pattern of inner experience and behavior that differs markedly from the expectations of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment" (Bienenfeld, 2008). This manual of APA considers personality disorders to be categorically distinct entities. Emotions can act as positive or negative stimulant for the personality of an individual. Dyck et al (2006) state that, 'human personality is a complex system, affected by positive emotional attractors (PEA) and negative emotional attractors (NEA)'. It is further stated that personality style is not determined by a single behavioral event; instead a pattern of behavior over a period of time indicates the personality of the human being. The personality traits form the basis of the five factor model ( FFM) propounded by the APA. McCrae and Costa (1990) defined personality traits as, "dimensions of individual differences in tendencies to show consistent patterns of thoughts, feelings, and actions". The basis five dimensions of FFM are defined as N, E, O, A and C (Costa and Widiger, 2002); i. Neuroticism (N): It refers to the chronic level of emotional adjustment and instability. If an individual is having high N, that signifies higher psychological distress. N includes the facet scales for anxiety, angry hostility, depression, self-consciousness, impulsivity, and vulnerability. ii. Extraversion (E): It refers to the quantity and intensity of preferred interpersonal interactions, activity level, need for stimulation, and capacity for joy. A person with this trait is found to be sociable, active, talkative, person oriented, optimistic, fun loving, and affectionate. But on the other hand if a deficiency of this dimension