Wednesday, August 26, 2020

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

Monetary Accounting - Essay Example In 2003, the Financial Reporting Council embraced a joined code of two reports, one of which secured the non-official director’s job and how they ought to administer their obligations in a moral manner, while the other gave rules on the lead of review boards. With time, different changes have been made on the 2003 Combined Report, and in 2010, the Financial Reporting Council received the UK Code on Corporate Governance that gives the rules on how the recorded organizations in the London Stock Exchange should act while speaking to their investors. This paper targets talking about the ideas contained in the set of accepted rules received on 29th June 2010, while giving an uncommon spotlight on the obligations and duties of Non-official executives, alluding to the 2003 and the 2010 adaptations of The Code of Conduct. Non-official chiefs of an organization don't participate in the official work of the group and are not part of the representatives of the organization (Walter and Shilling 2009, p. 25-28). The Governance Code obliges the chiefs to hold fast to the budgetary revealing principles while speaking to their organizations, and show responsibility and reasonability while doing this (Hamill et al. 2010, p. 56-59). The method of detailing as plot in the set of accepted rules requires the organization to state how it adequately applies the supporting standards and the arrangements, expressing whether they follow the arrangements in the set of principles or not (Ryan, 2004, p. 16). The code isolates the obligations of the administrator with those of the CEO, and gives the fitting proportion of the non-official chiefs and who ought to be joined in the board advisory groups. Organizations must be going by a Board of Directors, who manages the general activities of the organization, holding them at risk for any deception of the financial specialists, and the misfortunes that may in this manner happen in such an occasion. As indicated by Halbert and Ingulli (2011, p. 30), the chiefs of a

Saturday, August 22, 2020

Composition of Hydrates Essay Example For Students

Creation of Hydrates Essay Theoretical The motivation behind this lab was to consider the arrangement of hydrates. Hydrates are ionic intensifies that are concoction arrangements made of water and salt. A primary goal was to expel water from the hydrate by warming, and decide the measure of water that was in the hydrate. Subsequent to doing this, one needed to foresee the experimental equation for hydrated copper sulfate. In doing this lab, one had the option to see the progressive change in the structure of a hydrate into an anhydrous salt. The lab was completed with various advances. Initial, one needed to securely get ready by putting on goggles. One at that point needed to wash and warmth the dish with the fire for around three minutes. In the wake of permitting the dish to cool, one needed to gauge the dissipating dish and record the weight. A few grams of copper sulfate hydrate was then added to the dish and gauged. One at that point warmed the dish until the copper sulfate hydrate’s blue shading turned into a grayish shading. After the dish cooled, one took the mass of the dish and recorded it. One at that point tidied up the lab table and had their information sheet marked. There were three explicit outcomes to the lab. In the wake of finishing the lab one found the percent of water in the hydrate. The percent water came out to be 36. 7%. One at that point continued to figure the exact recipe. The experimental equation was CuSO4 * 5H2O. In conclusion, one found the percent mistake of the lab. The percent blunder was 9%.

Sunday, August 16, 2020

4 Tips to Ensure Your Job Application Doesnt Get Tossed

4 Tips to Ensure Your Job Application Doesnt Get Tossed Job Application Essays Many job applications require that you answer an extensive set of essay questions, even before you get an interview. These questions might transport you back to the days of college essay applications â€" days you may have thought were safely behind you. Are you faced with a list of questions to answer on a job application? Read the following carefully: The absolute most important thing you can do â€" in fact you MUST do â€" on that application is to answer the questions. When I say “answer the questions,” I don’t mean write something in the box provided. I mean answer the questions. Tip #1: Answer Whats Being Asked Seems simple enough, right? But many of the job applications I review make a cardinal error. Sure, there’s an answer in the box provided, but it’s an answer to some other question than the one the company has asked. For instance, one company asked the candidate to speak of a measure an employer had set and to report how he had compared to that measure. The candidate wrote about the measure and then reported how he had measured up to other people in the company instead of to the standard itself. Red flag goes up â€" it sounds like this candidate is hiding something. And he was. I coached him to tell the truth, and we found a way to state it so that it still sounded impressive! Tip #2: Follow the Instructions I once gave a talk to a group of students applying to law school. I asked them, “If a school requested a 500-word essay, would you submit a 511-word essay?” One of the potential law school applicants said that he would have no problem doing so. Guess what? The admissions committee would be justified in choosing not to read a single one of those 511 words. If you were an admissions officer, would you want someone in your law school who could not follow instructions? Tip #3: Dont Go On … and On … and On … Another common tendency is to provide more information than the company has requested. This tendency can get you into trouble. For instance, a newspaper asked how the candidate had become interested in the field of journalism. The candidate drafted almost an entire paragraph about why she did not want to be a lawyer even though she had attended law school. She had read into the question something that simply was not there. I made sure she wrote a great story about her path to journalism, instead of an apology about why she did not do something else. Tip #4: Get a Second Opinion It’s more difficult than you might think to answer questions and to answer them accurately and well. If you are working on a set of essay questions for a job or college application, get a second pair of eyes to make sure your answers have addressed the questions asked â€" no more and no less. Don’t shoot yourself in the foot! If you truly answer the questions, you will position yourself to possibly get an interview â€" where you will get to answer yet more questions, and maybe have a chance to elaborate on the things you were so smart to leave out of your essays. If youd like The Essay Expert to be your second pair of eyes, wed be happy to help you with your application essay. Click here to contact us for more information.

Sunday, May 24, 2020

Research Paper on Knowledge In the field Management

Quality assurance and product perfection is what every organization is aiming to achieve to attract and maintain customers for long in the business industry. To achieve these objectives proper planning and concentration by top management should be established to enhance effectiveness and efficiency of every individual. The success of any business is because of combined efforts among different departments and the commitment of every employee in the organization. As a manager in my organization aiming to produce the best products and services, the first thing is to ensure quality of the workers, all must be professional in their fields so that each one knows exactly what is supposed to be done at what time. I will work extra hard and ensure I set targets for every employee so that each one works knowing that targets must be achieved within a certain stipulated time. I will instill a sense of commitment to them, proper coordination of departments should be highly planned, and follow step by step their functions giving them guidelines whenever necessary and they should be responsible for any mistake. Also utilization of resources is essential since too much waste may lead to high operational cost hence the organization will not achieve the objectives on time and time is the greatest asset of any company, wasting it will pull the company miles back behind (Wales, 2010). The other plan is to put quality control measures at each stage of production. This will ensure that there are no defects or they are minimized. For customer satisfaction, I will have the overall responsibility of making sure that every procedure is followed to the latter although every participant has a role in ensuring good results. In addition, rules and regulations have to be in place so that every worker follows the right procedure. The right channel of communication and passing information in the company should be rectified, for me I will liaise with the telecommunication industry so that they can ensure up to date equipments are installed to facilitate quick processing of information (Wales, 2010). In any company, there are control systems, which facilitate the continuity of duties and smooth running of events. The boards of directors have greater influence on the structure of the control system this because it entails the broader objectives of the company like the financial strategy, effectiveness of management board and monitoring and evaluation of the information system. The board also ensures the employees integrity, competence, and operating style and persuade the audit committee to keep proper records. The control system actually provides the main functions and at the same time disciplining the other components of the structure. If the system fails to function then the organization will definitely fall due to lack of direction and accountability. My organization ensures specialization therefore the risk of some departments being dysfunctional is actually minimized. We strictly follow the format that was put in place in 1992 by the COSO report, which actually put in place components that should be operational in any organization. The components of this structure include control environment, risk assessment, control activities, and monitoring. All these components with proper passage of information amongst them will provide the necessary decisions that the company will rely on for it to achieve its’ objectives (Colbert Bowen, 1996). Control system need to be plan properly because it is the driving force of the organization. With the above components it is very simple if each one of the workers cooperate and the departments are closely monitored so that none will be left behind dragging the efforts of those working extra hard round the clock. Multiple criteria should be applied to establish the viability of each determined plan. The criteria should be analyzed before application and always there are some factors that need to be considered in the planning process. First, the criterion should be acceptable; that is it must accomplish the expected targets. Acceptability verifies whether the work force, resources and the time invested in the organization is worth the venture and is it reliable to the legal constrains. The other point is that the criteria should be adequate implying that it should determine the range and concept of the activities planned. It should establish the efficiency of completing tasks and enab le satisfactory of the management efforts (Simmons, 1996). The criteria should also be complete and give full description of the organizational structure. Be complete in such a way that it give all answers pertaining a particular thing, shows what are the objectives and when are they to be completed showing the format of handling tasks and more so specifying the urgent needs of the organization. Apart from being complete, the control system should be distinguishable from any other course of action within the organization and is recognized from other systems. Since the control system is for the good will of the company, it must be flexible and allow changes since the organizational structure keeps on changing from time to time depending on the market conditions. This is actually the systematic procedure for evaluation of the control system and the board’s plan. The criterion flexibility should be focused to additional research during the analysis, implementation, and testing of the desired measures. Universally I think the possible pro blems will be reliable for assessing the quality of the plan. Possible scale from 0-100% or a scale from uncertainty may be comparable the constructive. Focusing on the probability scale I propose to establish three zones: a red zone where possibility is less than 50%, a yellow zone greater than 50% but less than 75%, and a green zone where possibility is greater than 75%. Following these composite steps will evaluate the plan successfully (Power 2006). For quality products and services to be achieved, the management should put in place certain principles that facilitate the proposed procedures and work towards attaining them. The first principle is customer focused. Since the company’s main goal is to make profits, the customers should be treated with the utmost care. Therefore, their needs and expectations should be taken care of so that whenever they get the services they feel satisfied. The usefulness of this is that it will lead to increased revenue, effectiveness, and customer loyalty. The techniques involved include carrying out market research and ensuring that the quality of the products is maintained. Constant communication with the customers and responding to their specifications helps keep their trust. The other essential for quality management is good leadership. Managers promote unity of action and give direction to the company by creating a conducive environment where each employee feels part of the team. Good leadership therefore helps to motivate workers and make them work hard towards achieving the objectives of the organization and minimize cases of miscommunication among the various departments. The technique applied here is emphasizing the mission and vision of the organization and setting up clear and achievable targets for each individual. The leaders should also accept criticism, share values, fairness, and ethical role models promoting trust and minimizing fear among the workers and also by giving them incentives and promotions done on merits. More so, the managers should also involve everyone right from the junior employees to the seniors, for they all contribute to the success of the organization. Their creativity and innovation should be encouraged and be allowed to work independently so as to avoid cases of mistrust and jealousy among themselves but have a healthy competition; this will enhance their effectiveness, competence and gain the required experience as they develop themselves. Again, the management should engage what is call system approach management to identify, comprehend, and supervise interrelated methods of realizing effectiveness and efficiency of every group. This help in building confidence and consistency of the organization. Another important principle of management is continual improvement. An organization should actually ensure that it performs better each term and if possible think of even expansion of it’s’ services to include other products. Continuity has to be the main objective since you can just enter into a business that has no future. Seizing opportunities all the time should be the interest of every leader. This is achieved by constant and regular training offered to employees and adapting new technologies quickly. Lastly, the leader should be good in decision-making and know when to take actions in handling a situation (Power, 2006). Being in this profession and in particular this organization has brought a lot of impact to my life. First it has expose me to a lot of challenges which are too demanding and needs quick decisions this makes me open minded and act fast to situations providing quick solutions and also gaining a lot of experiences. Due to frequent traveling in the organization I have meet several people of all types and status hence it has helped me to socialize and learn different cultures and their adaptability to life Simmons, 1996). For sure, nothing can be as interesting as being a leader in an organization especially one that is striving very well. Quality management is actually the driving force in any organization and without sound management, that particular organization will not live to achieve its’ objectives. References: Colbert, J. and Bowen, P. (1996). A comparison of internal controls: CobiT, SAC, COSO and  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   SAS. Canada: Altamonte springs. Power, D. (2006). What criteria should be used for evaluating proposed plan? Boston:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Houghton Mifflin Co.

Wednesday, May 13, 2020

Light and Dark in Joseph Conrads Heart of Darkness Essay...

Light and Dark in Heart of Darkness Joseph Conrads Heart of Darkness is a tragic tale of the white mans journey into the African jungle. When we peel away the layers, however, a different journey is revealed - we venture into the soul of man, complete with the darkness of depravity as well as the wonderful. In this essence Conrad uses this theme of light and darkness to contrast the civilized European world with the savage African world in Heart of Darkness. As aforementioned, within Heart of Darkness, Conrad uses light and dark to symbolize good and evil, respectively. It is whiteness that is truly sinister and evil, for it symbolizes the immoral scramble for loot by the unscrupulous and unfeeling Belgian traders†¦show more content†¦As well as the obvious difference between the white and black, we can perhaps see how the boy is trapped beneath and within white greed. This leads me on to the struggle between the white people and the native tribes, which plays into the next theme, that of light versus dark. From the very start, Marlow, the main character, creates a sense of darkness. At last, in its curved and imperceptible fall, the sun sank low, and from glowing white changed to a dull red without rays and without heat, as if about to go out suddenly, stricken to death by the touch of that gloom brooding over a crowd of men(Conrad 28). The use of imperceptible shows the way in which darkness falls without distinction, it sneaks up on the reader and indeed the scene. The dull red is lifeless and without energy and remains stagnant in its nature. Finally the use of the description, stricken to death the finally notion of darkness at its worse is given. Marlows use of a modern city is the first glimpse of what he considers civilized and more importantly, uncivilized. Marlow begins by speaking of the occupants of the boat. He explains that the owner of the boat is an accountant and a lawyer. This fact alludes to the idea of what might be considered civilized. Furthermore the discussion he talks about the lights that are reflected in the water. This also creates the idea that he considers himself and the passengersShow MoreRelated lighthod Light and Dark in Joseph Conrads Heart of Darkness2308 Words   |  10 PagesLight and Dark in Heart of Darkness      Ã‚  Ã‚     Joseph Conrads repeated use of darkness in his novel Heart of Darkness has been widely interpreted. Readers have arrived at many different conclusions about the use of darkness throughout the novel. The critics themselves cannot agree what the darkness means.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The critics draw different conclusions about the use of darkness. For some critics, the use of darkness is seen as an intentional literary device. 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It is a night journey into the unconscious and a confrontation within the self. Certain circumstances of Marlows voyage, when looked at in these terms, have new importance. Marlow insists on the dreamlike quality of his narrative. It seems to me I am trying to tell you a dream - making a vain attempt, because no relation ofRead More Light and Dark Imagery in Joseph Conrads Heart of Darkness Essay594 Words   |  3 PagesLight and Dark Imagery in Joseph Conrads Heart of Darkness   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Heart of Darkness by Joseph Conrad is a novel about a man named Marlow and his journey into the depths of the African Congo. Marlow is in search of a man named Kurtz, an ivory trader. Though Marlow?s physical journey seems rather simple, it takes him further into his own heart and soul than into the Congo. The setting, symbols and characters each contain light and dark images, these images shape the central theme of the novelRead More Use of Light and Darkness in Joseph Conrads Heart of Darkness 1504 Words   |  7 PagesUse of Light and Darkness in Joseph Conrads Heart of Darkness  Ã‚      Joseph Conrads Heart of Darkness contrasts light and darkness, to represent the civilized and uncivilized sides of the world. Conrad uses light to represent the civilized side of humanity while contrasting the dark with the uncivilized and savage. Throughout the thematic stages of the novel, that is the Thames river London, the companys office in Belgium, the journey to the heart of darkness and the conclusion, light and darkRead More Light and Dark in Heart of Darkness Essay1180 Words   |  5 PagesLight and Dark in Heart of Darkness       The brightest of lights can obscure vision while darkness can contain truths: one must not be distracted by the sheen of light, which conceals the deeper reality present in darkness. Joseph Conrads novel Heart of Darkness illustrates this idea with the use of several symbols. White Europeans are used as symbols of self-deception, and objects with an alabaster quality are symbols of barriers to inner truth. Black is the foil of white; it representsRead MoreEssay on Feminist Theory in Heart of Darkness1199 Words   |  5 PagesMonsters in Heart of Darkness Joseph Conrad’s varying depiction of women in his novel Heart of Darkness provides feminist literary theory with ample opportunity to explore the overlying societal dictation of women’s gender roles and expectations in the late nineteenth and early twentieth century. The majority of feminist theorists claim that Conrad perpetuates patriarchal ideology, yet there are a few that argue the novel is gendered feminine. Sandra Gilbert and Susan Gubar claim â€Å"Conrad’s Heart of Darkness†¦penetratesRead MoreAnalysis Of Joseph Conrad s Heart Of Darkness1164 Words   |  5 PagesAs Joseph Conrad’s Heart of Darkness eludes to the inverse interpretation of colors as a motif, Francis Ford Coppola’s Apocalypse Now not only mimics but also portrays through the Vietnam War, the contrasting misguided crusades of enlightenment that the supreme race forces upon savages. The reversed meanings amongst the colors and entangled description in Heart of Darkness shows how backwards civilization is through the need to enlighten or civilize the natives is flamboyantly flaunted in both theRead More Light and Dark of Colonialism and Imperialism in Heart of Darkness1542 Words   |  7 PagesThe Light and Dark of Colonialism Exposed in Heart of Darkness       In Heart of Darkness, Joseph Conrad, challenges a dominant view by exposing the evil nature and the darkness associated with the colonialist ventures. 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Wednesday, May 6, 2020

Drugs that can relieve depression Free Essays

string(309) " female who has pioneered functional function of the down encephalon at the University of Texas Health Sciences Center in San Antonio and John Hopkins University School of Medicine, she has realized that interventions take different route within the encephalon, but they finally arrive at the same reference\." Drugs that can alleviate depression Introduction Drugs such as Paxil, Zoloft, and Prozac can alleviate depression by increasing the degrees of both norepinephrine and 5-hydroxytryptamine. However, repeated cardiovascular exercising such as running can besides assist relieve depression ( Myers, 2001 ) . Yet, these interventions may merely work temporarily. We will write a custom essay sample on Drugs that can relieve depression or any similar topic only for you Order Now Deep encephalon stimulation is a radical technology-electrodes are implanted in the encephalon and attached to a battery in the thorax that emits low-tension electrical currents-that promises to be an of import tool for relieving human agony ( Talan, 2009 ) . More than 40,000 patients around the universe have undergone deep encephalon stimulation. Most have experienced singular betterment, and intelligence of the successes has been reported widely. Yet between the encephalon and device are ambuscades and challenges less frequently captured, and they are important to a clearer apprehension of what physicians and scientists mean by a â€Å" discovery † ( Talan, 2009 ) . Medical Electricity History It is amazing to observe that worlds have possessed the ability to use electricity to impact a individual ‘s province of head: in the text of if they are active or inactive. What is even more dumbfounding is the fact that electricity has really been used for a long clip. Literature dictates the fact that a physician from Rome used the unconditioned electricity from certain types of fish to assist comfort trouble off ( Kuhfeld, 1995 ) . Furthemore, scientists such as Benjamin Franklin have besides experimented with electricity. Hence, society is cognizant of how electricity can aide us in the medical field ; we know merely how blameworthy it is. However, scientists lack the cognition of lawfully cognizing how the electricity is able to effectual and if it is a safe path to travel to. History of Deep Brain Stimulation One of the first dramatic associations between depression and Parkinson ‘s emerged rather by accident. In 2001, a Gallic doctor and scientist, Yves Agid, reported in the New England Journal of Medicine that electrical stimulation of the subthalamic karyon by chance turned on nearby nervus fibres that connect to the limbic system, the web of encephalon countries that control temper. In one patient with Parkinson ‘s disease, deep encephalon stimulation triggered an overpowering feeling of unhappiness and desperation. It went off when the stimulator was turned off. A CAT scan showed that the electrode was located near to the subthalamic karyon, really in the substantia nigger ( Talan, 2009 ) . Historically DBS has been found most effectual against hurting, depression, and symptoms of Parkinson ‘s disease, including shudder and dystonia. The curative marks are really similar to, and seem to be fueled by the earlier consequences of medical electricity ( Talan, 2009 ) . Medical electricity, at the heals of DBS, appears to the be at the threshold of a medical discovery ( Kringelbach, Jenkinson, A ; Owen, 2007 ) . Causes of Depression ( Biological Perspective ) Familial Influences It is known that temper upsets, peculiarly major depressive upset, runs in households. If one ‘s akin or parent has been depressed, one is more susceptible to undertaking the upset by genetic sciences. Genes act by directing biochemical events that, down the line, influence behaviour ( Myers, 2001 ) . Although the existent cistron has non yet been isolated, multiple surveies corroborate this fact such as the instance survey of Charles Whitman. Both his male parent and gramps experienced drawn-out periods of major depressive upset, therefore accounting genetic sciences from the male side of his household tree for his exhibition of depression at an early age. This would finally burgeon into him floging out his desperation onto others by the agencies of slaughter at the UT tower in Austin, Texas ( Lavergne, 1998 ) . Depressed Brain Depression is caused by a chemical instability of the neurotransmitters-messenger molecules that transport signals to the nervus cells. Serotonin affects temper, hungriness, slumber and rousing. Norepinephrine helps command watchfulness and rousing. Both norepinephrine and 5-hydroxytryptamine are scarce during depression. When low, they wholly alter the encephalon chemical science ( Myers, 2001, p.550 ) . [ 1 ] Partss of the Brain Are Affected The limbic constructions [ 2 ] that modulate temper provender into the frontal cerebral mantle, the striate body, the thalamus, the hypothalamus, and the encephalon root. These parts talk to one another all the clip ; therefore, jobs in the circuit could take to hard thought, attending, temper, and behaviour. Scientists found that these circuits-particularly a overactive web of encephalon cells in the subjenual cingulated part, besides called the Brodmann country 25-are abnormally hyperactive in people with depression. Amygdala In the limbic system, two amygdaliform nervous bunchs, called the amygdaloid nucleus, influence aggression and fright. Hypothalamus and Pituitary Gland Although it is non unequivocal that both of these constructions have a direct correlativity to major depressive upset, since both of these constructions deal with endocrine degrees it is noted that when these degrees are increased, a down province in maintained for a longer sum of clip ( Harvard Medical School, 2007 ) . How Nerve cells Communicate Signals reach a nerve cell ‘s axon terminal, and from at that place, the message is relayed to the designated country of the organic structure from that axon ( Myers, 2001 ) . As stated antecedently, both norepinephirne and 5-hydroxytryptamine are significantly low in down patients. [ 3 ] ( Carter, 1998 ; Myers, 2001 ) . Treatments of Major Depressive Disorder ( Biological Perspective ) Particular drugs such as Paxil, Zoloft, and Prozac can alleviate depression by barricading their re-uptake therefore increasing the degrees of both norepinephrine and 5-hydroxytryptamine. However, repeated cardiovascular exercising such as running releases endorphins and increases the sum of 5-hydroxytryptamine the blood stream that besides helps relieve depression ( Myers, 2001 ) . Yet, these interventions may merely work temporarily for some sick persons. Since leukotomies are no longer practiced, persons with major depressive upset merely abide by his or her medicine modus operandi or can undergo VNS ( vagus nervus stimulation ) is combined with the cardinal construct of deep encephalon stimulation to breathe electrical currents to the ventromedial cerebral mantle, the centre to a great extent involved in positive support and feelings of pleasance ( Talan, 2009 ) . Harmonizing to Helen Mayberg, a adult female who has pioneered functional function of the down encephalon at the University of Texas Health Sciences Center in San Antonio and John Hopkins University School of Medicine, she has realized that interventions take different route within the encephalon, but they finally arrive at the same reference. You read "Drugs that can relieve depression" in category "Essay examples" That is why people with depression could acquire better many different ways, even with a placebo pill ( Talan, 2009 ) . Stimulating the web of the limbic system affects motive, societal interaction, the ability to see pleasance and anxiousness. One frequently hears people say that the room looks brighter, that a weight has lifted, when the simulators are tested during the surgery of deep encephalon stimulation ( Talan, 2009 ) . When interventions work, the activity of the limbic system webs appears to return to normal. It makes sense that the so many encephalon countries are involved in depression, which is non merely negative temper. Peoples lose their motive to acquire out of bed, to work, to love. They have jobs paying attending and believing clearly. Their feeding and kiping spiels â€Å" are manner off-kitler † ( Talan, 2009, p. 82 ) . How Deep Brain Stimulation Works The basic thought behind deep encephalon stimulation and how it operates is by engrafting electrodes into the encephalon near the subthalamic karyon, and so engrafting a battery in the thorax of the patient. By making so, the sawbones can externally command the battery to breathe peculiar electromotive forces of pulsations the encephalon so it can, hopefully, aim the encephalon where it is most affected. Although in some patients it is necessary to replace the battery every six months since it is hard to find the right battery accustomed for each patient, the success rate is swimmingly above 50 per centum, therefore demoing outstanding possible and procedure in the distant hereafter. Case Study of Deanna Cole-Benjamin Deanna Cole-Benjamin, a public wellness nurse, was the 6th patient at the University of Toronto to undergo deep encephalon stimulation for terrible and grim depression. Virtually every antidepressant on the market, every bit good as 80 unit of ammunitions of electroconvulsive therapy therapy, had failed her. â€Å" It was worse than being dead in a manner † ( Talan, 2009, p. 83 ) said Cole-Benjamin. Her self-destructive ideas and actions had led to four old ages in and out of the Kingston Psychiatric Hospital. Cole-Benjamin was so deeply ill that she could hardly speak. When the sawbones who operated on her turned up the device to excite the first contact, nil happened. When he turned up the stimulation more, the patient described a brighter feeling. When he turned it off, she fell rather once more and thought possibly it was merely her imaginativeness ( Talan, 2009 ) . Within a few hebdomads, the symptoms that had plagued Cole-Benjamin for four old ages were significantly decreased. Before her surgery, she told her sawbones that she wanted to be able to embrace her kids and to experience their heat and love. Finally, after twelvemonth of concealing under her screens, she could embrace her kids and experience deep pleasance ( Talan, 2009 ) . Case Study of Melissa Murphy Depression had landed in Murphy ‘s life with no warning two twelvemonth earlier, when the merrily married and successful public dealingss executive got up from her desk on a warm summer afternoon, walked out of her office, and ne’er returned. She went place and cried, and she had no thought why. Other than for an occasional physician ‘s assignment, she did non lavish or dress for the outside universe for months. Her hubby, Scott, had taken a occupation in Boston and she had remained in Chicago. For a piece, she kept up visual aspect on the phone with Scott. Deeply, distressingly depressed, she remained in this asleep province until October, when Scot traveled to Chicago, packed her up, and moved her back E ( Talan, 2009 ) . By so, Murphy ‘s weight had dropped below one hundred lbs. Neither the healers he saw four times a hebdomad nor all the medical specialty she took for months on terminal helped her. Recognizing how bad things truly were, her household arranged for her to undergo electroconvulsive therapy therapy, but despite 17 sessions-to both sides of the brain- † Nothing made a dent † ( Talan, 2009, p. 86 ) Murphy recalled. Finally she became self-destructive. One twenty-four hours she swallowed an full month ‘s supply of the anti-anxiety drug Konopin. She would fire herself with coffin nails to see what if felt like. She took kitchen knives to cut her carpuss ( Talan, 2009 ) . By the clip Murphy showed up at Dougherty ‘s office, she had been treated by six other head-shrinkers. He looked at a sum-up of all interventions and thought about seeking vagus nervus stimulation, which late had been approved for treatment-resistant depression. The pneumogastric nervus starts at the encephalon root and descends to the cervix, thorax, and venters. It helps in feeling aortal blood force per unit area, decelerating bosom rate, exciting digestive variety meats, and pull offing gustatory sensation. Studies show that the nervus undertakings to some countries of the encephalon associated with depression, and for still unexplained grounds, exciting it seems to raise temper in about a 3rd of patients. Surgeons thread a wire into the cervix, wrap it around the nervus, and connect the wire to a battery-operated pacesetter in the thorax. However, she was excessively ill for even vagus nervus stimulation ( Talan, 2009 ) . Potato became the 10th patient to undergo deep encephalon stimulation in the Cleveland, Brown, and Harvard coaction ( Talan, 2009 ) . Three hebdomads after the operation, Greenberg turned on the batteries and began programming the device. Melissa Murphy laughed for the firs clip in old ages. During Murphy ‘s scheduling with Greenberg, she remembers experiencing a haste of warm blood throughout her organic structure right before she laughed. When the stimulator was turned off, the heat was gone ( Talan, 2009 ) . Programing is portion art, portion scientific discipline. Murphy ‘s initial scene was four Vs on each side, and it was subsequently increased to eight Vs. The alteration was slow and steady, and the battery seemed to necessitate altering every six moths-each alteration intending another twenty-four hours of surgery to open up Murphy ‘s thorax and faux pas in a new hitter ( Talan, 2009 ) . Deep encephalon stimulation turned out to be something less than the instant remedy that Murphy hoped it would be. â€Å" I thought one time they turned it on I would be better right manner, but it has take a batch longer than I thought † ( Talan, 2009, p.89 ) Murphy said. She still has great hard with concentration, memory, and believing clearly. Doctors kept records of these symptoms because it was possible that they were side effects of the device itself ( Talan, 2009 ) . Decision The human encephalon has a long history of entering memory and temper, and it will take more than merely one chink of a button and a bend of a dial to acquire people better. Therefore, it is non yet clear what deep encephalon stimulation is really making at the web degree. Mayberg believes that this depression web is hyperactive, but squads of scientists have shown that stimulation activates end product from the encephalon web involved in depression. Harmonizing to Jerry Vitek, soon at the Cleveland Clinic, stimulation non merely activates the end product from the stirred construction but besides changes the form of neural activity from a noisy, helter-skelter signal to a more regular 1. Vitek believes that this may be the key to how it works, but notes that much remains to be done to understand the effects on the web and how it may alter with long-run stimulation. In 2008, deep encephalon stimulation for depression was still really much an experimental process, and the mechanisms underlying the clinical alteration in patients remained a enigma. Extra old ages of surveies and punctilious analysis of the consequences are necessary to reason a definite consequence so DBS can finally assist some of the patients whom head-shrinkers have been unable to handle conventionally. [ 1 ] Appendix B depicts a Favored scan of the difference between a down and normal encephalon. [ 2 ] Appendix C is a labelled image of the Basal Ganglia, which includes limbic system. [ 3 ] Appendix F shows the different tracts Dopastat and serotonin return in the encephalon. How to cite Drugs that can relieve depression, Essay examples

Drugs that can relieve depression Free Essays

string(309) " female who has pioneered functional function of the down encephalon at the University of Texas Health Sciences Center in San Antonio and John Hopkins University School of Medicine, she has realized that interventions take different route within the encephalon, but they finally arrive at the same reference\." Drugs that can alleviate depression Introduction Drugs such as Paxil, Zoloft, and Prozac can alleviate depression by increasing the degrees of both norepinephrine and 5-hydroxytryptamine. However, repeated cardiovascular exercising such as running can besides assist relieve depression ( Myers, 2001 ) . Yet, these interventions may merely work temporarily. We will write a custom essay sample on Drugs that can relieve depression or any similar topic only for you Order Now Deep encephalon stimulation is a radical technology-electrodes are implanted in the encephalon and attached to a battery in the thorax that emits low-tension electrical currents-that promises to be an of import tool for relieving human agony ( Talan, 2009 ) . More than 40,000 patients around the universe have undergone deep encephalon stimulation. Most have experienced singular betterment, and intelligence of the successes has been reported widely. Yet between the encephalon and device are ambuscades and challenges less frequently captured, and they are important to a clearer apprehension of what physicians and scientists mean by a â€Å" discovery † ( Talan, 2009 ) . Medical Electricity History It is amazing to observe that worlds have possessed the ability to use electricity to impact a individual ‘s province of head: in the text of if they are active or inactive. What is even more dumbfounding is the fact that electricity has really been used for a long clip. Literature dictates the fact that a physician from Rome used the unconditioned electricity from certain types of fish to assist comfort trouble off ( Kuhfeld, 1995 ) . Furthemore, scientists such as Benjamin Franklin have besides experimented with electricity. Hence, society is cognizant of how electricity can aide us in the medical field ; we know merely how blameworthy it is. However, scientists lack the cognition of lawfully cognizing how the electricity is able to effectual and if it is a safe path to travel to. History of Deep Brain Stimulation One of the first dramatic associations between depression and Parkinson ‘s emerged rather by accident. In 2001, a Gallic doctor and scientist, Yves Agid, reported in the New England Journal of Medicine that electrical stimulation of the subthalamic karyon by chance turned on nearby nervus fibres that connect to the limbic system, the web of encephalon countries that control temper. In one patient with Parkinson ‘s disease, deep encephalon stimulation triggered an overpowering feeling of unhappiness and desperation. It went off when the stimulator was turned off. A CAT scan showed that the electrode was located near to the subthalamic karyon, really in the substantia nigger ( Talan, 2009 ) . Historically DBS has been found most effectual against hurting, depression, and symptoms of Parkinson ‘s disease, including shudder and dystonia. The curative marks are really similar to, and seem to be fueled by the earlier consequences of medical electricity ( Talan, 2009 ) . Medical electricity, at the heals of DBS, appears to the be at the threshold of a medical discovery ( Kringelbach, Jenkinson, A ; Owen, 2007 ) . Causes of Depression ( Biological Perspective ) Familial Influences It is known that temper upsets, peculiarly major depressive upset, runs in households. If one ‘s akin or parent has been depressed, one is more susceptible to undertaking the upset by genetic sciences. Genes act by directing biochemical events that, down the line, influence behaviour ( Myers, 2001 ) . Although the existent cistron has non yet been isolated, multiple surveies corroborate this fact such as the instance survey of Charles Whitman. Both his male parent and gramps experienced drawn-out periods of major depressive upset, therefore accounting genetic sciences from the male side of his household tree for his exhibition of depression at an early age. This would finally burgeon into him floging out his desperation onto others by the agencies of slaughter at the UT tower in Austin, Texas ( Lavergne, 1998 ) . Depressed Brain Depression is caused by a chemical instability of the neurotransmitters-messenger molecules that transport signals to the nervus cells. Serotonin affects temper, hungriness, slumber and rousing. Norepinephrine helps command watchfulness and rousing. Both norepinephrine and 5-hydroxytryptamine are scarce during depression. When low, they wholly alter the encephalon chemical science ( Myers, 2001, p.550 ) . [ 1 ] Partss of the Brain Are Affected The limbic constructions [ 2 ] that modulate temper provender into the frontal cerebral mantle, the striate body, the thalamus, the hypothalamus, and the encephalon root. These parts talk to one another all the clip ; therefore, jobs in the circuit could take to hard thought, attending, temper, and behaviour. Scientists found that these circuits-particularly a overactive web of encephalon cells in the subjenual cingulated part, besides called the Brodmann country 25-are abnormally hyperactive in people with depression. Amygdala In the limbic system, two amygdaliform nervous bunchs, called the amygdaloid nucleus, influence aggression and fright. Hypothalamus and Pituitary Gland Although it is non unequivocal that both of these constructions have a direct correlativity to major depressive upset, since both of these constructions deal with endocrine degrees it is noted that when these degrees are increased, a down province in maintained for a longer sum of clip ( Harvard Medical School, 2007 ) . How Nerve cells Communicate Signals reach a nerve cell ‘s axon terminal, and from at that place, the message is relayed to the designated country of the organic structure from that axon ( Myers, 2001 ) . As stated antecedently, both norepinephirne and 5-hydroxytryptamine are significantly low in down patients. [ 3 ] ( Carter, 1998 ; Myers, 2001 ) . Treatments of Major Depressive Disorder ( Biological Perspective ) Particular drugs such as Paxil, Zoloft, and Prozac can alleviate depression by barricading their re-uptake therefore increasing the degrees of both norepinephrine and 5-hydroxytryptamine. However, repeated cardiovascular exercising such as running releases endorphins and increases the sum of 5-hydroxytryptamine the blood stream that besides helps relieve depression ( Myers, 2001 ) . Yet, these interventions may merely work temporarily for some sick persons. Since leukotomies are no longer practiced, persons with major depressive upset merely abide by his or her medicine modus operandi or can undergo VNS ( vagus nervus stimulation ) is combined with the cardinal construct of deep encephalon stimulation to breathe electrical currents to the ventromedial cerebral mantle, the centre to a great extent involved in positive support and feelings of pleasance ( Talan, 2009 ) . Harmonizing to Helen Mayberg, a adult female who has pioneered functional function of the down encephalon at the University of Texas Health Sciences Center in San Antonio and John Hopkins University School of Medicine, she has realized that interventions take different route within the encephalon, but they finally arrive at the same reference. You read "Drugs that can relieve depression" in category "Essay examples" That is why people with depression could acquire better many different ways, even with a placebo pill ( Talan, 2009 ) . Stimulating the web of the limbic system affects motive, societal interaction, the ability to see pleasance and anxiousness. One frequently hears people say that the room looks brighter, that a weight has lifted, when the simulators are tested during the surgery of deep encephalon stimulation ( Talan, 2009 ) . When interventions work, the activity of the limbic system webs appears to return to normal. It makes sense that the so many encephalon countries are involved in depression, which is non merely negative temper. Peoples lose their motive to acquire out of bed, to work, to love. They have jobs paying attending and believing clearly. Their feeding and kiping spiels â€Å" are manner off-kitler † ( Talan, 2009, p. 82 ) . How Deep Brain Stimulation Works The basic thought behind deep encephalon stimulation and how it operates is by engrafting electrodes into the encephalon near the subthalamic karyon, and so engrafting a battery in the thorax of the patient. By making so, the sawbones can externally command the battery to breathe peculiar electromotive forces of pulsations the encephalon so it can, hopefully, aim the encephalon where it is most affected. Although in some patients it is necessary to replace the battery every six months since it is hard to find the right battery accustomed for each patient, the success rate is swimmingly above 50 per centum, therefore demoing outstanding possible and procedure in the distant hereafter. Case Study of Deanna Cole-Benjamin Deanna Cole-Benjamin, a public wellness nurse, was the 6th patient at the University of Toronto to undergo deep encephalon stimulation for terrible and grim depression. Virtually every antidepressant on the market, every bit good as 80 unit of ammunitions of electroconvulsive therapy therapy, had failed her. â€Å" It was worse than being dead in a manner † ( Talan, 2009, p. 83 ) said Cole-Benjamin. Her self-destructive ideas and actions had led to four old ages in and out of the Kingston Psychiatric Hospital. Cole-Benjamin was so deeply ill that she could hardly speak. When the sawbones who operated on her turned up the device to excite the first contact, nil happened. When he turned up the stimulation more, the patient described a brighter feeling. When he turned it off, she fell rather once more and thought possibly it was merely her imaginativeness ( Talan, 2009 ) . Within a few hebdomads, the symptoms that had plagued Cole-Benjamin for four old ages were significantly decreased. Before her surgery, she told her sawbones that she wanted to be able to embrace her kids and to experience their heat and love. Finally, after twelvemonth of concealing under her screens, she could embrace her kids and experience deep pleasance ( Talan, 2009 ) . Case Study of Melissa Murphy Depression had landed in Murphy ‘s life with no warning two twelvemonth earlier, when the merrily married and successful public dealingss executive got up from her desk on a warm summer afternoon, walked out of her office, and ne’er returned. She went place and cried, and she had no thought why. Other than for an occasional physician ‘s assignment, she did non lavish or dress for the outside universe for months. Her hubby, Scott, had taken a occupation in Boston and she had remained in Chicago. For a piece, she kept up visual aspect on the phone with Scott. Deeply, distressingly depressed, she remained in this asleep province until October, when Scot traveled to Chicago, packed her up, and moved her back E ( Talan, 2009 ) . By so, Murphy ‘s weight had dropped below one hundred lbs. Neither the healers he saw four times a hebdomad nor all the medical specialty she took for months on terminal helped her. Recognizing how bad things truly were, her household arranged for her to undergo electroconvulsive therapy therapy, but despite 17 sessions-to both sides of the brain- † Nothing made a dent † ( Talan, 2009, p. 86 ) Murphy recalled. Finally she became self-destructive. One twenty-four hours she swallowed an full month ‘s supply of the anti-anxiety drug Konopin. She would fire herself with coffin nails to see what if felt like. She took kitchen knives to cut her carpuss ( Talan, 2009 ) . By the clip Murphy showed up at Dougherty ‘s office, she had been treated by six other head-shrinkers. He looked at a sum-up of all interventions and thought about seeking vagus nervus stimulation, which late had been approved for treatment-resistant depression. The pneumogastric nervus starts at the encephalon root and descends to the cervix, thorax, and venters. It helps in feeling aortal blood force per unit area, decelerating bosom rate, exciting digestive variety meats, and pull offing gustatory sensation. Studies show that the nervus undertakings to some countries of the encephalon associated with depression, and for still unexplained grounds, exciting it seems to raise temper in about a 3rd of patients. Surgeons thread a wire into the cervix, wrap it around the nervus, and connect the wire to a battery-operated pacesetter in the thorax. However, she was excessively ill for even vagus nervus stimulation ( Talan, 2009 ) . Potato became the 10th patient to undergo deep encephalon stimulation in the Cleveland, Brown, and Harvard coaction ( Talan, 2009 ) . Three hebdomads after the operation, Greenberg turned on the batteries and began programming the device. Melissa Murphy laughed for the firs clip in old ages. During Murphy ‘s scheduling with Greenberg, she remembers experiencing a haste of warm blood throughout her organic structure right before she laughed. When the stimulator was turned off, the heat was gone ( Talan, 2009 ) . Programing is portion art, portion scientific discipline. Murphy ‘s initial scene was four Vs on each side, and it was subsequently increased to eight Vs. The alteration was slow and steady, and the battery seemed to necessitate altering every six moths-each alteration intending another twenty-four hours of surgery to open up Murphy ‘s thorax and faux pas in a new hitter ( Talan, 2009 ) . Deep encephalon stimulation turned out to be something less than the instant remedy that Murphy hoped it would be. â€Å" I thought one time they turned it on I would be better right manner, but it has take a batch longer than I thought † ( Talan, 2009, p.89 ) Murphy said. She still has great hard with concentration, memory, and believing clearly. Doctors kept records of these symptoms because it was possible that they were side effects of the device itself ( Talan, 2009 ) . Decision The human encephalon has a long history of entering memory and temper, and it will take more than merely one chink of a button and a bend of a dial to acquire people better. Therefore, it is non yet clear what deep encephalon stimulation is really making at the web degree. Mayberg believes that this depression web is hyperactive, but squads of scientists have shown that stimulation activates end product from the encephalon web involved in depression. Harmonizing to Jerry Vitek, soon at the Cleveland Clinic, stimulation non merely activates the end product from the stirred construction but besides changes the form of neural activity from a noisy, helter-skelter signal to a more regular 1. Vitek believes that this may be the key to how it works, but notes that much remains to be done to understand the effects on the web and how it may alter with long-run stimulation. In 2008, deep encephalon stimulation for depression was still really much an experimental process, and the mechanisms underlying the clinical alteration in patients remained a enigma. Extra old ages of surveies and punctilious analysis of the consequences are necessary to reason a definite consequence so DBS can finally assist some of the patients whom head-shrinkers have been unable to handle conventionally. [ 1 ] Appendix B depicts a Favored scan of the difference between a down and normal encephalon. [ 2 ] Appendix C is a labelled image of the Basal Ganglia, which includes limbic system. [ 3 ] Appendix F shows the different tracts Dopastat and serotonin return in the encephalon. How to cite Drugs that can relieve depression, Essay examples

Monday, May 4, 2020

COMPARISON OF WEST SIDE STORY AND ROMEO free essay sample

AND JULIET Essay, Research Paper A Comparison of Romeo and Juliet and West Side Story. There is a batch in common between the two dramas Romeo And Juliet and West Side Story. The chief male characters have many things in common. In fact, Toni and Romeo both miss the beginning battle at the beginning of the dramas, they both fall in love and stop up acquiring killed. The difference between the two is that Toni takes topographic point in the 1950s # 8221 ; , while Romeo happens in Elizabethan times ( the tardily 1500s ) . The two chief female characters besides have many things in common. Juliet and Maria both come from households that hate each other # 8217 ; s boyfriend # 8217 ; s households. Something that makes Juliet different from Maria is that Juliet dies and Maria lives. In both of these dramas the chief male character kills a relation of their lover. In Romeo And Juliet, Romeo kills Tybalta, Juliet # 8217 ; s cousin. We will write a custom essay sample on COMPARISON OF WEST SIDE STORY AND ROMEO or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In West Side Story, Toni kills Bernardo, Maria # 8217 ; s brother. There was a individual in both drama # 8217 ; s that tried to do peace. These people were the Prince and the Lieutenant. The Prince, from Romeo And Juliet, had told Romeo and Juliet # 8217 ; s households that if there was another public violence that the caputs of each household will be killed. The Lieutenant, from West Side Story, had told the Puerto Rican # 8217 ; s and the American’s that if they get into another battle they all will hold to travel to gaol. The difference between the two peace-makers is that the Prince has more power than the Lieutenant. In the narrative of Romeo and Juliet, Paris wants to get married Juliet against her wants. Her male parent wants Paris West Side Story to get married Juliet. Juliet goes away and marries Romeo without stating anyone. In Chino wants to get married Maria against her wants, merely like Paris in Romeo and Juliet. Maria and Toni do non acquire married, which is in contrast to Romeo and Juliet. Marcucio in Romeo and Juliet, is killed while combating Tybalta. In West Side Story Riff is killed in a knife battle with Bernardo. Both deceases are inadvertent and do the hero’s ( Romeo and Toni ) to kill the close relation of their lovers ( Tybalta and Bernardo ) . Both narratives conclude in the sad rapprochement of two contending cabals at the cost of the lives of the two immature lovers. After comparing and contrasting the two dramas I # 8217 ; ve come the decision that Romeo and Juliet is better than West Side Story. It is better because the linguistic communication and the narrative moves in a more interesting mode. # 8220 ; A preparing peace this forenoon with it brings. The Sun for sorrow will non demo his caput. For neer was there a narrative of more suffering, than this of Juliet and her Romeo # 8221 ; .

Saturday, March 28, 2020

Bradstreet Heritage Essays - DudleyWinthrop Family, Anne Bradstreet

Bradstreet Heritage Anne Bradstreet (1612-1672), although born in England, is considered to be the first American poet. She is also revered as the first woman to be published. Married to Simon Bradstreet at age sixteen, she ventured with her family to the Massachusetts colony. Simon, the governor of Massachusetts colony, served a major role in her life and her literary career. He was the subject in many of the poems included in the two volumes Bradstreet had published. A Puritan all her life, Bradstreet led a simple life guided by principles of grace, plainness, and divine missions. In "To My Dear and Living Husband", she shows her devotion to her husband in a smooth and simple manner. We can see from the poem the strong feelings she has for her husband. However, she contradicts some of her Puritan beliefs at certain points in the poem. To Anne Bradstreet, her husband is exactly what he should be; the love of her life. Over and over again she expresses her devotion to him with a repetition of images. One such image is presented in lines 5-7. She states... "I prize my love more than whole mines of gold Or all the riches that the East doth hold. My love is such that rivers cannot quench,..." She states here that she would accept nothing in return for the love that she shares with her husband and that no power, great or small, could destroy it. Love is a tricky subject to many, and to some: a fictional thing. On a personal note, I hope to one day find this love that she speaks of. Bradstreet's love for Simon is untouchable and eternal. "To My Dear and Living Husband" is a beautiful and well-written poem. In breaking apart the structure, we see that the poem contains twelve lines, each containing ten syllables. Since each line is write in the iambic fashion of alternating unstressed syllables and stressed syllables, we can conclude that the poem is a sonnet. However, since the rhyme scheme is AA BB CC DD EE FF, we see that it does not fit in as one of the more famous Shakespearean or Petrarchian sonnets. In the first line, we see the togetherness Anne and Simon share as she says the two of them are one. Physically, this is a paradox. No two people can be united as one. But, however, spiritually, the two complete each others' life , so that, in marriage, they are one. Throughout lines 1-3, Bradstreet gives their relationship as an example to others with phrases like, "If ever two were one", "If ever one were loved by wife", and "if ever wife was happy in a man." In lines 1 and 3, we see two sound examples of alliteration. The "w" sound is repeated in the phrases "two were one" and "ever wife was". In line 4, the author seems boastful of her relationship. But I will address that subject later. As I mentioned earlier, lines 5-7 present images which show her love for Simon. Some may view these three lines as a hyperbole, but love can completely change a person. And as a Puritan, Bradstreet has no desire or need for "mines of gold" or eastern riches anyway. In lines 7-8, we see an insignificant fault in the poem. The rhyming pattern throughout the entire poem is exact rhyme. Lines 7-8 are a forced rhyme (quench & recompense. In the 9th line, she says that his love for her can in no way be repaid. This can be seen as a symbol of how great her love is, or as an example of synaesthesia; for there is no way to purchase or pay for true love. Metonomy is seen in line 10 with the word "heavens". When the author speaks of the heavens repaying him, heaven is symbolic of God or life. Soundwise, line 11 is one of the most beautiful and flowing lines of the poem. When the author says, "while we live, in love let's so persever", we see alliteration of the "w" sounds, alliteration and consonance of the "l" sounds, and alliteration and consonance of the "s" sounds. This allows for the words to flow well and just roll of your tongue. Lines 11 and 12 each contain a ceasura. These pauses in the middle of the line make the statement seem to add emotion to mere printed words. Finally, in line 12, we reach what I consider to be the strongest statement in the poem: "That when

Saturday, March 7, 2020

Censorship and First Ammendment Rights essays

Censorship and First Ammendment Rights essays Congress shall make no law... abridging the freedom of speech or of the press... So why is censorship such a big deal? Maybe because the time this was written you didnt have to worry about people expressing their thoughts with words like shit, fuck, or fag. What if those words are just your way of getting the point across? For example, which is more effective on getting people to be quiet and listen, someone yelling be quiet! or someone yelling shut the fuck up!!! Of course the latter is going to get peoples attention. One of the most controversial publicly expressed people would have to be Eminem. Most of his lyrics do have cuss words in them, but isnt that freedom of speech? Hes not going out in public and yelling these things on the streets, if you dont want to hear him, dont listen to him. You dont have to buy his CDs and you dont have to go to his concerts. Many of his songs do have a meaning to them. Like the song Cleaning Out My Closet expresses why he feels such strong dislike towards his mother. To some people they might listen to his music and relate. But because of some people personally not liking his music, message or not, they dont want his music heard. He writes for people to hear what he has to say. In this line from the song My Dads Gone Crazy Id rather... have pussy lips glued to my face with a clit ring in my nose then quit bringing my flows, so quit giving me my ammo, Cant you see why Im so mean? If yall would leave me alone this wouldnt be my M.O. I wouldnt have to go eenie, meenie, meinie, mo, catch a homo by his toe he gives a reason why he says what he says. He feeds off of the media and the public saying what they do about him. He likes to rap and society wont let him say what he wants, so he says t...

Wednesday, February 19, 2020

Data Protection Regulation and control Essay Example | Topics and Well Written Essays - 500 words

Data Protection Regulation and control - Essay Example The universal declaration of human rights article12 states that: "there should be no interference with a person, family, home etc. or attacks upon their reputation" (Lloyd1998.58-60). The company has the duty of finding out the stipulated rules and regulation in the various legislative acts that address data protection. The law for example, requires the firm to get registered and get authorization from information commissioner (Carey, 1998.16-31). It is the responsibility of the company to develop policies and procedures that protect customer information using the knowledge so gained. The company then needs to institute the office of a data controller who is the person who, either alone or with others, directs the content and use of personal data (ILO, 1997.14-67). The company, through the office of the data controller has the responsibility of ensuring that personal information collected from client is relevant and secure and its uses in an appropriate manner (Hornberger, 2001.21-49). The company has a duty to keep updating themselves on amendments on data protection acts inorder to maintain relevant policies. It is thus their responsibility to keep in touch with the concerned regulatory bodies or any the media houses that highlight such changes or amendments. To improve this privacy and security, the company should prohibit the use of social security numbers or social insurance numbers as

Tuesday, February 4, 2020

Diversity in Criminal Justice Essay Example | Topics and Well Written Essays - 1500 words

Diversity in Criminal Justice - Essay Example As a result, Arizona felt it had that right to to enhance existing federal provisions, openly enforce them, and add state misdemeanor charges to anyone found to be in violation of being in the country illegally. The law itself gave much more power to law enforcement personnel than was previously possible, which lead to much public outcry. One such provision was that individuals suspected of being an illegal immigrant could be stopped by a police officer, or other agent of the law, and asked to prove his or right to be in the state. Failure to provide such proof would be a misdemeanor in Arizona, and potentially result in federal prosecution as well. This, and several other provisions of the law, reflect a great divide in the criminal justice in America today and form the basis for this brief report. At the time that this particular bill was passed in Arizona in 2010, it was believed to be the strongest and strictest piece of immigration currently enacted to guard against illegal immigration. Part of what made the law so strong was the sweeping power that it gave to the police in their interaction with people within their jurisdiction. The law itself springs off a federal law that does require that any alien over the age of 14, and desiring to be in the country for longer 30 days, register with the federal government. Such registration provides individuals with a document that they are to have in their possession at all times, and failure to abide by this would result in being charge with a misdemeanor. Arizona added onto this law and made it a misdemeanor according to state law as well, which allowed local police the right to ascertain the immigration status of any individual stopped during a ‘lawful stop, detention, or arrest’. This right carried over to any lawfu l contact that the police might have with such an individual, regardless of

Monday, January 27, 2020

Michelangelos Pietà and Leonardo Da Vincis Mona Lisa

Michelangelos Pietà   and Leonardo Da Vincis Mona Lisa The Pietà   (1498-1499) is a masterpiece of Renaissance sculpture by the renowned artist Michelangelo Buonarroti, housed in St. Peter Basilica in Vatican City. It is the first of a number of works of the same theme by the artist. The statue was commissioned for the French cardinal Jean de Billheres, who was a representative in Rome. The statue was made for the cardinals funeral monument, but was moved to its current location, the first chapel on the right as one enters the basilica, in the 18th century. It is the only piece Michelangelo ever signed (See History after completion). This famous work of art depicts the body of Jesus on the lap of his mother Mary after the Crucifixion. The theme is of Northern origin, popular by that time in France but not yet in Italy. Michelangelos interpretation of the Pietà   is unique to the precedents. It is an important work as it balances the Renaissance ideals of classical beauty with naturalism. The statue is one of the most highly finished works by Michelangelo. The structure is pyramidal, and the vertex coincides with Marys head. The statue widens progressively down the drapery of Marys dress, to the base, the rock of Golgotha. The figures are quite out of proportion, owing to the difficulty of depicting a fully-grown man cradled full-length in a womans lap. Michelangelos Pieta, Figure 1.8 Much of Marys body is concealed by her monumental drapery, and the relationship of the figures appears quite natural. Michelangelos interpretation of the Pieta was far different from those previously created by other artists, as he sculpted a young and beautiful Mary rather than an older woman around 50 years of age. The marks of the Crucifixion are limited to very small nail marks and an indication of the wound in Jesus side. Christs face does not reveal signs of The Passion. Michelangelo did not want his version of The Pieta to represent death, but rather to show the religious vision of abandonment and a serene face of the Son, thus the representation of the communion between man and God by the sanctification through Christ Leonardo da Vinci in probably one of the most renowned artist in the world, in this work we will try to depict who the man is through some of his life and some of his predominate works such as The Mona Lisa, The Last Supper, and Self Portrait. These works and the man have been analyzed and critiqued over time and we will attempt to see how his affect on us helped shape some of the art world we live in today. Da Vinci was an Italian polymath: painter, sculptor, architect, musician, scientist, mathematician, engineer, inventor, anatomist, geologist, cartographer, botanist and writer. Leonardo has often been described as the archetype of the Renaissance Man, a man of unquenchable curiosity and feverishly inventive imagination. He is widely considered to be one of the greatest painters of all time and perhaps the most diversely talented person ever to have lived. According to art historian Helen Gardner, the scope and depth of his interests were without precedent and his mind and personality seem to us superhuman, the man himself mysterious and remote. Marco Rosci points out, however, that while there is much speculation about Leonardo, his vision of the world is essentially logical rather than mysterious, and that the empirical methods he employed were unusual for his time. The Mona Lisa is a 16th-century portrait painted in oil on a poplar panel by Leonardo di ser Piero da Vinci during the Renaissance in Florence, Italy. The work is currently owned by the Government of France and is on display at the Musà ©e du Louvre in Paris under the title Portrait of Lisa Gherardini, wife of Francesco del Giocondo. The painting is a half-length portrait and depicts a seated woman (it is almost unanimous that she is Lisa del Giocondo) whose facial expression is frequently described as enigmatic.] The ambiguity of the subjects expression, the monumentality of the composition, and the subtle modeling of forms and atmospheric illusionism were novel qualities that have contributed to the continuing fascination and study of the work.[1] The image is so widely recognized, caricatured, and sought out by visitors to the Louvre that it is considered the most famous painting in the world. Leonardo Da Vinci began painting the Mona Lisa in 1503 or 1504 in Florence, Italy. According to Da Vincis contemporary, Giorgio Vasari, after he had lingered over it four years, left it unfinished. It is known that such behavior is common in most paintings of Leonardo who, later in his life, regretted never having completed a single work.http://en.wikipedia.org/wiki/Mona_Lisa He is thought to have continued to work on Mona Lisa for three years after he moved to France and to have finished it shortly before he died in 1519. Leonardo took the painting from Italy to France in 1516 when King Franà §ois I invited the painter to work at the Clos Lucà © near the kings castle in Amboise. Most likely through the heirs of Leonardos assistant Salai, the king bought the painting for 4,000 à ©cus and kept it at Chà ¢teau Fontainebleau, where it remained until given to Louis XIV. Louis XIV moved the painting to the Palace of Versailles. After the French Revolution, it was moved to the Louvre. Napoleon I had it moved to his bedroom in the Tuileries Palace; later it was returned to the Louvre. During the Franco-Prussian War (1870-1871) it was moved from the Louvre to the Brest Arsenal. There has been much speculation regarding the paintings model and landscape. For example, that Leonardo probably painted his model faithfully since her beauty is not seen as being among the best, even when measured by late Quattro cento (15th century) or even twenty-first century standards. Some art historians in Eastern art, such as Yukio Yashiro, also argue that the landscape in the background of the picture was influenced by Chinese paintings, however this thesis has been contested for lack of clear evidence.[12] Mona Lisa was not well known until the mid-19th century when artists of the emerging Symbolist movement began to appreciate it, and associated it with their ideas about feminine mystique. Critic Walter Pater, in his 1867 essay on Leonardo, expressed this view by describing the figure in the painting as a kind of mythic embodiment of eternal femininity, who is older than the rocks among which she sits and who has been dead many times and learned the secrets of the grave. The Last Supper was created when Leonardo da Vinci was already a well known artist when he created his masterpiece The Last Supper. He painted The Last Supper on the back wall of the dining hall at the Dominican convent of Sta Maria delle Grazie in Italy. The reason this painting is laid out the way it is is that Leonardo was trying to extend the room, to make it look like Jesus and his apostles were sitting at the end of the dining hall. This painting became an instant famous work of art considering the religious aspects of Christianity at the time of its painting and is considered mysterious by some people to hold hidden messages about the life of Christ and his followers. The Last painting of Da Vinci we will look at is his own Self Portrait. The portrait is drawn in red chalk on paper. It depicts the head of an elderly man in three-quarter view, turned towards the viewers right. The subject is distinguished by his long hair and long waving beard which flow over the shoulders and breast. The length of the hair and beard is uncommon in Renaissance portraits and suggests, as now, a person of sagacity. The face has a somewhat aquiline nose and is marked by deep lines on the brow and pouches below the eyes. It appears as if the man has lost his upper front teeth, causing deepening of the grooves from the nostrils. The eyes of the figure do not engage the viewer but gaze ahead, veiled by the long eyebrows, with a sense of solemnity or disillusionment. If this is indeed a self-portrait of Leonardo, his attitude may reflect the fact that by this time his career was largely behind him, and artistic fashion was beginning to leave him behind. The drawing has been drawn in fine lines, shadowed by hatching and executed with the left hand, as was Leonardos habit. The paper has brownish fox marks caused by the accumulation of iron salts due to moisture. It is housed at the Royal Library (Biblioteca Reale) in Turin, Italy, and is not generally viewable by the public due to its fragility and poor condition. This is just a small sample of the work and the life of one of the most famous if not the most famous artist in the world. All of his works have captivated the art community for centuries. This man probably shaped and influenced some of the greatest and brightest people throughout history. He is one of the most beloved artist as well he was very concentric in that it was not only art in which thing he influenced but here we will just talk about his art and how it helped shape the world of today.

Sunday, January 19, 2020

Permanent Change In An Individuals Knowledge Or Behaviour

Learning can be ocular, kinesthetic, musical, interpersonal, intrapersonal, lingual, logical, realistic, religious and moral, and, consequentially, scholars have really differing degrees of intelligence in these different sorts of larning. It is per se of import for instructors to hold a on the job cognition of how different pupils learn because of this fact that non all pupils learn in the same manner. An educators occupation is to ease acquisition for a pupil, and hence must be adaptable to these assorted acquisition manners in order to adequately supply for them, and this can non be done without an apprehension of different larning theories and manners. A pupil who is kinesthetic or visually intelligent is non traveling to profit from certain manners of learning every bit much as a pupil who is a logical scholar, presuming the pedagogue is merely learning in a logical manner. Therefore it is necessary for pedagogues to understand the differing sorts of larning so that they can pro vide for multiple intelligences within their lessons, both by admiting their being and leting pupils the chance to larn in different ways every bit good as developing pupils abilities to interact with intelligences that they might otherwise be non as accustomed to. Equally good as different intelligences there are different worldviews on how learning occurs, whether it is inactive or active, whether it is societal or personal, and these theories straight affect the teaching method embraced by the instructor keeping them. Therefore the acquisition theories will needfully order the types of intelligences most supported by the acquisition that is taking topographic point, and it is up to the pedagogue to understand these learning theories so that they may use them in a manner to outdo explore all of the multiple intelligences and give their pupils the best opportunity of making a higher order apprehension of any capable affair. Behaviourism is a theory that operates upon an ‘action-reaction ‘ or ‘stimulus-response ‘ construct of larning. At its kernel this worldview places the scholar in the place of being a ‘blank slate ‘ , an empty vas or ‘tabula rasa ‘ , which is so filled with the coveted cognition or acquisition. Behaviourism assumes that the scholar is inactive and that they respond to any and all environmental stimulations that they are exposed to. The environment acts on the scholar, non the scholar on the environment. Behaviorism can be broken down into two possible signifiers of conditioning: classical conditioning and operant conditioning, the late of which was founded by B. F. Skinner and is one of the most outstanding larning theory places. Skinner ‘s operant conditioning position is non-dualistic, it denies that the head is a separate thing to the organic structure, alternatively situating ideas to be private behaviors, analysable in the same manner that public behaviors are. Essentially learners learn to ‘operate ‘ on the environment. Functionally, operant conditioning plants on a footing of support and penalty. Reinforcement is a procedure by which a targeted behavior is caused to happen with greater frequence and penalty a lesser frequence. Both these effects have positive and negative fluctuations, by positive and negative we refer to their linear or subtractive qualities, non their moral deductions. Positive support is when a rewarding stimulation is to happen following a desirable behavior, therefore increasing its frequence. Negative support occurs when an unwanted stimulation is removed after a desirable behavior, besides increasing its frequence. Positive penalty is the happening of a penalty or negative stimulation following an unwanted behavior, diminishing its likelihood, while negative penalty is the remotion of a positive or honoring stimulation following a unsought behavior, besides diminishing the opportunity of reoccurrence. In contrast to behaviorism, constructivism positions the scholar as an active participant in the acquisition procedure. The scholar is an â€Å" information builder †[ 3 ], one of the basic premises behind constructivism is that â€Å" people are active scholars and must build cognition for themselves. †[ 4 ]This base premise is that the scholar is a â€Å" alone person with alone demands and backgrounds. †[ 5 ] Learning is a constructive, contextualized and active procedure by which the scholar is engaged in actively making a subjective reading of an otherwise nonsubjective world. One of the cardinal differences between constructivism and behaviorism is that the scholar is seen as conveying past experience and cognition to the acquisition, and that it is this past experience that is the specifying factor in the defining and constructing of new cognition. This construct at work postulates that people generate their appreciation on cognition through an interaction between their thoughts and experiences. Furthermore the scholar acts upon the environment, interacting with it to make significance, instead so being acted upon. Constructivism, nevertheless, is non a incorporate theory. Under the streamer of constructivism subsists three chief positions dubbed the exogenic position, the endogenous position and the dialectical position. An exogenic constructivism â€Å" position posits a strong influence of the external universe on cognition building, such as by experiences, instruction, and exposure to theoretical accounts. Knowledge is accurate to the extent it reflects that world. †[ 6 ]On the other manus, endogenous constructivism provinces that cognition is derived from earlier mental constructions and focal points on a coordination of â€Å" cognitive actions †[ 7 ], while dialectical constructivism is a blend of the two, situating that cognition is non wholly construed from the external universe, nor is it entirely of the head but instead is the consequence of interactions between the scholar and the environment. – Schunk, Dale H. ( 2008 ) Constructivist Theory ( Chapter 6 ) . In Learning Theories: An Educational Perspective. 5th Edition. ( pp.234-277 ) . Upper Saddle River, New Jersey: Pearson, Merrill Prentice Hall. ISBN 9780132435659 pg 239 A behaviorist schoolroom places the scholar in a inactive function, as earlier mentioned, they are ‘tabula rasa ‘[ 8 ]. As a consequence the pedagogue is positioned in an active function, basically ‘acting ‘ on the scholar to instil cognition. This can take to a schoolroom where the scholar is non needfully encouraged to prosecute with the cognition presented to them, but instead to basically digest it, taking the cognition in to regurgitate ‘as is ‘ when needed. There is nil incorrect with this type of acquisition, so for certain topics and certain countries of topics it is arguably the most efficient signifier of acquisition. However a failing nowadays within the behaviorist theory is that it does non let the scholar to come on much further so the ‘applying ‘ phase in the new blooms taxonomy. It may be wrong to state that it does non ‘allow ‘ , but it surely does non promote the scholar to come on farther into the analysin g, measuring and making phases of the theoretical account without proper motion into determining the scholars behaviour. Even though they may acquire their ain their ain, the attack does non supply scaffolding to back up the scholar to these more advanced interactions with the cognition. This is because the scholar is non forced to prosecute with the cognition in an active manner, they do non hold to do it their ain, alternatively expected to be able to retrace what the instructor has presented to them, demoing an ability to retrieve and reproduce, but non needfully to grok on a meaningful degree. On the other manus a constructivist attack efforts to guarantee that the scholar interacts on a degree that allows them to prosecute in making from the footing of the cognition conveyed, hence promoting higher order thought. However In a behaviorist schoolroom the instructor will be actively seeking to place behavior to be changed, and, one time identified, they will be after specific intercessions to change that behavior in a coveted manner utilizing ancestors and effects. The instructor invariably accumulates informations on the consequences of these intercessions and modifies their attack to more efficaciously ‘shape ‘ the pupils behaviour. Praise, although contingent upon the behavior of the pupil, will strategically and often be given out to reenforce coveted behaviors. Each lesson will hold clear and precises ends in footings of cognition, attitudes and accomplishments to be transferred to the pupils, and cues and prompts will be utilized in order to put up behavioral forms and determine the pupils into the coveted acquisition form. This would so be scheduled with uninterrupted regular support to get down with, followed by more intermittent and sporadic support to ease the pupil into ego regula ted acquisition. This defining is necessary because a rigorous behaviorist attack is merely utile for a short period of clip, determining is required to foster the pupils larning. In an English schoolroom it would be expected that the instructor would be actively reenforcing the battle of pupils in category treatment with prima and directed oppugning accompanied with congratulations for engagement. The teacher*/*** As a instructor it is of import to gain that behaviorism does work, it is a important portion of any instruction and has a really effectual and functional intent but that it is non all of the image. As with the demand to be various in learning to cover the multiple intelligences, so excessively do we hold to be various in the theories we use in our pattern. While behaviorism is a really of import tool we can utilize, and basically covers a big part of the behaviour direction and positive forms we can put in the category, we still need constructivism in order to ease * Piaget posited four phases that all human existences go through in the procedure of ripening. The sensorimotor phase is that phase â€Å" from birth to age 2. Children experience the universe through motion and senses ( utilize five senses to research the universe ) † -Santrock, John W.. Children. 9. New York, NY: McGraw-Hill, 1998. The preoperational phase consists of kids from ages two to seven and consists of egoism and begins to see the universe symbolically, so the kids begin to believe logically and travel into the concrete operational phase between ages seven and twelve and eventually from age 12 onwards reach the formal operation phase and develop abstract logical thinking. â€Å" the fact that many of the voluntary responses of animate beings and worlds are strengthened when they are reinforced ( followed by a desirable effect ) and weakened when they are either neglected or punished. † â€Å" †¦ organisms learn new behaviors and when to exhibit them and E »unlearnE? bing behaviors. † â€Å" †¦ all behaviors are accompanied by certain effects, and these effects strongly influence whether these behaviors are repeated and at what degree of strength. † â€Å" Positive interactions between instructor and pupils can bring forth successful acquisition results in the presence of complex kineticss of individuals, conditions and results. † Snowman et Al. ( 2009 ) . Chapter 7. â€Å" Behavioural Learning Theory: Operant Conditioning † . In Psychology Applied to Teaching. 1st Australian Edition. Milton, QLD: John Wiley & A ; Sons Australia Ltd. Bibliography

Saturday, January 11, 2020

Critique Nursing Journal Article

Complications from, and economic costs associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One quantitative research study aims to improve patient outcomes specifically related to proper control of blood glucose level, by linking patient outcomes with health literacy and patient trust. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was used. Patient demographics, socioeconomic status, and diabetes related knowledge, and depression were measured. The results of this study are mixed in supporting the hypothesis that lower health literacy directly impacts glycemic control. The 2010 journal article titled, â€Å"Impact of health literacy and patient trust on glycemic control in urban USA population† from Nursing Health and Sciences, hypothesizes a direct relationship between a patient’s overall health literacy and the ability to maintain glycemic control. Also read this  Critique of Stuff Is Not Salvation The study’s intent is to examine questions related to health literacy and a patient’s trust in their healthcare provider to make a connection to how well the subjects managed glycemic control. Questions related to potential depression are also relevant. Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals: Journal Of Nursing Care Quality, Journal Of Professional Nursing: Official Journal Of The American Association Of Colleges Of Nursing, Western Journal Of Nursing Research, and Nursing & Health Sciences. In this research study, the author seeks to examine correlation between dependent and independent variables. The suspected purpose is often to generate hypotheses that can be tested in experimental research. In her study, Mancuso used the following set of eligibility criterion: subjects were ? 18 years of age, fluent in English, confirmed diabetes type 1 or 2, HbA1c within 6 months of the study, and received treatment for diabetes at least twice in the previous year. Using the above criteria, 102 subjects total ere selected from two different urban healthcare clinics (Mancuso, 2010). This study aims to draw correlation between glycemic control (dependent variable) and overall health literacy and patient trust (independent variables). According to Polit & Beck, a dependent variable is what is measured in an experiment and what is affected during the experiment. The dependent variable responds to the independent variable. It is called â€Å"dependent† because it cannot exist wit hout the independent variable. An independent variable can be controlled and manipulated (Polit & Beck, 2010). Strength of this research is the highlighting positive effects of proper glycemic control on overall health. The author states, â€Å"Control of blood glucose is a central outcome of diabetes management† (2010). This suggests that with proper maintenance of blood glucose levels and by lowering the HbA1c by 1%, patients can extend their life expectancy 5-8 years with lowered risks of eye, kidney, and peripheral nerve complications (2010). Strength is also found in validation of statistical information from the American Diabetes Association. While conducting the study, Mancuso noted that 35% of participants achieved the desired HbA1c of ?7% (2010). She cites the ADA reporting that, â€Å"37% of adults diagnosed with diabetes in the USA achieve glycemic control† (Mancuso, 2010). It is important for all individuals with diabetes to be mindful of blood glucose levels and HbA1c levels to reduce potential life-limiting complications of diabetes. Finally, strength in the research is found in the correlation of a person’s level of depression and trust in healthcare providers. Mancuso states, â€Å"The current ?ndings are congruent with and add to the other studies that evaluated the in?uence of patient trust and depression on glycemic control† (2010). This is important to healthcare professionals in part because communication can be hindered if depression is present. Recognizing depression and opening lines of communication is crucial in establishing patient trust (2010). When a patient trusts the health care professional, they will likely be more open to discussing symptoms, adherence to medication management, and non-compliance with health care regimen. With this information, the health care professional can create a plan of care that is individualized and meets the unique learning style needs of every patient. Improving patient trust will improve patient outcomes. Limiting characteristics that potentially threaten the validity of the results include a relatively small sample size of a homogenous population, potential cultural bias and lack of congruent variables. If a sample size is too small, it may be difficult to find any significance in the relationship between the variables. Also, a small sample size may not provide a representative distribution of the population being studied (Mancuso, 2010). In addition, the study’s objective and design were incongruent. Lack of a control group threatens internal validity because it was not clear if any benefits â€Å"observed† accurately reflected correlation between dependent and independent variables. Perhaps with this low income demographic, simply having access to a physician would have been sufficient to foster improved patient outcomes. In addition, it is not clear how or why these urban health care centers were selected. Whether or not there is any affiliation bias remains uncertain. External validity is questioned because it was not clear to whom the results would benefit. Potential bias is evidenced in the following statement by Mancuso, â€Å"The use of such similar samples that capture the working poor is rather generalized in its interpretations. This could lead to potential bias as socioeconomic and demographic information was collected† (2010). Additionally, patient trust develops from an initial vulnerability that eventually results in a reliance on the provider to care for their interests and needs. If a person is feeling intimidated or their current health literacy level prevents them from fully understanding information given, faulty findings may be demonstrated in this quantitative study. Further limitation is discovered in the lack of identified interventions that increased health literacy and patient trust. Whether an intervention is effective, on whom it is effective, how much benefit it produces and whether or not it is associated with negative outcomes should be addressed. Clearly, this study had many weaknesses that limit its value and the applicability of results. It is not clear why the study was not labeled simply as an exploratory qualitative study. Possibly further research exists on the topic. Ultimately, the convenience sample of 102 patients with diabetes demonstrated that patient trust and patient depression was significant. In addition, there was a significant positive correlation between a test subject’s lack of knowledge of diabetes management and low health literacy (Mancuso, 2010). Discovery of the correlation between an increase in health literacy and an increase in diabetes knowledge was found (2010). A positive correlation was found between a patient’s HbA1c level and that patient suffering from depression. A negative correlation was found between patient trust and HbA1c. As patient trust increased, HbA1c decreased (Mancuso, 2010). These results indicate that promotion of the patient–provider relationship, adequate depression screening in individuals with diabetes, as well as needed exploration of new strategies for diabetes education are much needed interventions in the goal of glycemic control. According to the study, the majority of participants who demonstrated poor glycemic control conversely demonstrated health literacy. It is not known how or why some individuals with satisfactory health literacy revealed poor glycemic control. Because of this, the study fails to connect health literacy and glycemic control in the test subjects (Mancuso, 2010). The significant variables related to proper glycemic control were patient trust and depression (Mancuso, 2010). Brega,et al state, â€Å"results indicated that diabetes-related knowledge is a key mediator of the relationship between health literacy and glycemic control and highlighted the important association of diabetes knowledge with health behavior† (2012). Similarly, a study by Coffman, Norton & Beene, acknowledged a knowledge deficiency related to diabetes. This lack of knowledge when coupled with low health literacy created obstacles to health care and prevented fitting interventions (2012). The importance of the direction of this study is most relevant. The author attempts to address barriers to glycemic control that lead to complications from diabetes. Disease complications and rising costs associated with diabetes, is likened to a public health crisis that is projected to only get worse. The improvement of diabetes related outcomes could potentially positively impact all health care system. Future research in all areas of diabetic monitoring and teaching will be needed to advance the structure of diabetes education. The WHO estimates that 347 million people worldwide have diabetes. The WHO projects that diabetes related deaths will double between 2005 and 2030 (2013). No longer is diabetes associated with the gluttonous rich. The WHO states, â€Å"More than 80% of people with diabetes live in low and middle-income countries† (WHO, 2013). Diabetes has become a disease of poverty in developed countries. Incidents of diabetes is increasing most rapidly in developing countries, in theory, because industrialization and urbanization have led to a decrease in time to prepare a nutritious meal and costs associated with fresh produce is prohibitive. Preservation of functional status and improvement in quality of life can be achieved with proper management of diabetes through adequate glycemic control. Depression and any correlation with patient trust of healthcare providers will need further investigation in other patient demographics. As we struggle to combat diabetes, ongoing encouragement of individuals to change their lifestyle choices may be the best way to proceed.