Multispecies Models as an Improvement on Single Species Models for Mea Assignment

Multispecies Models as an Improvement on Single Species Models for Measuring Fishing Impacts on Marine Ecosystem - Assignment Example The study is thorough and provides a deep insight of the multispecies modeling tools along with the single species models and their impacts. In the more recent studies on the topic of multispecies fish modeling and harvesting the factors that can impact the rate of harvesting is usually considered. The purpose is to target and examine the sources. Another study is conducted in the year 2013 in which the authors tried to find the cooperative and non-co operative harvesting in the multispecies fish war models. This paper emphasizes on the role played by support for the sustainable supervision of a broken ecosystem. The authors Daniel Pauly, Villy Christensen and Carl Walton in their study named as the â€Å"Ecopath, Ecoism and Ecospace as tools for Evaluating Ecosystem Impacts of Fisheries† thoroughly studied the key features for the reconceptualized approach. Not only this, they designed two indices based theorem in which they tried to qualify the impacts of an ecosystem on the fisheries. In the research, they used the truth based statistics collected from the users of the Eco Path and extracted from their feedbacks. They further discussed the implementation made up to the date and the limitations of the Eco System. They commented that some of the implementations have been made but the process of up gradation is very slow and it requires quite an effort. In another recent study, the authors studied the statistical and empirical identification of the multispecies fish harvesting Zones. The purpose of the study was to discuss the factors that can help in improving the monitoring and the management of the specific multispecies fish zones. The impacts and the ideas are not only the main theme of the recent researches but  some researchers also conducted the studies on the issues of the multispecies fish modeling and harvesting. Like in a paper the author from India highlighted the problem of harvesting two competing fish species together. For this, he designed a bioeconomic model. Also, the Marine Fisheries Service published their report on the topic of optimal multispecies harvesting in the presences of the nuisance species.  

Phillosophy Teaching Essay Example for Free

Phillosophy Teaching Essay At daybreak on the morning of Friday, August 3 1492, an Italian adventurer named Christopher Columbus set sail from Spain to find a new way from Europe to Asia. His aim was to open up a sorter trade route between the two continents. In Asia, he intended to load his three small ships with silks, spices and gold, and sail back to Europe a rich man. Columbus first sailed south to the Canary Islands. Then he turned west across the unknown waters of the mid-Atlantic Ocean. Ten weeks after leaving Spain, on the morning of October 12, he stepped ashore on the beach of low Sandy Island. He named the island San Salvador – Holy Savior. Columbus believed that he had landed in the Indies, a group of Inlands close to the mainland of India. For this reason he called the friendly, brown-skind people who greeted him los Indios – Indians. In fact, Columbus was not near India. It was not the edge of Asia that he had reached, but islands off the shores of a new continent. Europeans would soon name the new continent America, but for many years they went on calling its inhabitants Indians. Only recently have these first Americans been described more accurately as Native Americans or Amerindians. There were many different groups of Amerindians. Those north of Mexico, in what is now the United States on Canada, were scattered across the grasslands and forests in separate groups called tribes. These tribes followed very different ways of life. Some were hunters, some were farmers. Some were peaceful, others warlike. They spoke over three hundred separate languages, some of which were as different from one another as English is from Chinese. Europeans called America the New World. But it was not new to the Amerindians. Their ancestors had already been living there for maybe 50000 years when Columbus stepped on to the beach in San Salvador. We say maybe because nobody is completely sure. Scientists believe that the distant ancestors of the Amerindians came to America from Asia. This happened, they say, during the earth’s last ice age, long before people began to make written records. At that time a bridge of ice joined Asia to America across what is now the Bering strait. Hunters from Siberia crossed this bridge into Alaska. From Alaska the hunters moved south and east across America, following herds of caribou and buffalo as the animals went from one feeding ground to the next. Maybe 12000 years ago, descendants of these first Americans were crossing the isthmus of Panama into south America. About 5000 years later their camp fires were burning on the frozen southern tip of the continent, now called Tierra del fuego – the Land of fire. For many centuries early Amerindians lived as wandering hunters and gatherers of food. Then a more settled way of life began. People living in highland areas of what is now Mexico found a wild grass with tiny seeds that were good to eat. These people became America’s first farmers. They cultivated the wild grass with great care to make its seeds larger. Eventually it became Indian corn, or maze. Other cultivated plant foods were developed. By 5000 BC Amerindians in Mexico were growing and eating beans, squash and peppers. The Pueblo people of present day Arizona and New Mexico were the best organized of the Amerindians farming people. They lived in groups of villages, or in towns which were built for safety on the sides and top of the cliffs. They shared terraced buildings made of adobe ( mud and straw ) bricks, dried in the sun. Some of these buildings contained as many as 800 rooms, crowded together on top of one another. The Pueblo made clothing and blankets from cotton which grew wild in the surrounding deserts. On their feet they wore boot-shaped leather moccasins to protect their legs against the sharp rocks and cactus plants of the desert. For food the grow crops of maize and beans. Irrigation made them successful as farmers. Long before Europeans came to America and Pueblo were building networks of canals across the deserts to bring water to their fields. In one desert valley modern archaeologists have traced canals and ditches which enable the Pueblo to irrigate 250000 acres of farmland. A people called the apache were the neighbors of the Pueblo. The apache never became settled farmers. They wandered the deserts and mountains in small bands, hunting deer and gathering wild plants, nuts and roots. They also obtained food by raiding their Pueblo neighbors and stealing it. The Apache were fierce and warlike, and they were much feared by the Pueblo. The Iroquois were a group of tribes – a nation- who lived far away from the Pueblo and the Apache in the thick woods of northeastern North America. Like the Pueblo, they were skilled farmers. In fields cleared from the forest they worked together growing beans, squash and twelve different varieties of maiz. They were also hunters and fishermen. They used birch bark canoes to carry them swiftly along the rivers and lakes of their forest homeland. The Iroquois lived in permanent villages, in long wooden huts with barrel-shaped roofs. These huts were made from a framework of saplings covered by sheets of elm bark. Each family had its own apartment on either side of a central hall. The Iroquois were fierce warriors. They were as feared by their neighbors as the Apache of the western deserts were feared by theirs. Around their huts they build strong wooden stockades to protect their villages from enemies. Eager to win a glory for their tribe and fame and honor for themselves, they often fought one another. From boyhood on, male Iroquois were taught to fear neither pain nor death. Bravery in battle was the surest way for a warrior to win respect and a high position in his tribe. Many miles to the west, on the vast plains of grass that stretched from the Mississippi River to the Rocky Mountains, there was another warrior nation. This group called themselves Dakota, which means allies. But they were better known by the name which other Amerindians gave to them – Sioux, which means enemies. Te Sioux grew no crops and built no houses. For food, for shelter and for clothing they depended upon the buffalo. Millions of these large, slow- moving animals wandered across the western grasslands in vast herds. When the buffalo moved, the Sioux moved.

Epic of Beowulf Essay - The Author/Poet of Beowulf -- Epic Beowulf ess

The Author/Poet of Beowulf      Ã‚  Ã‚  Ã‚  Ã‚   Little is known about the poet who wrote Beowulf; we have only what information we can deduce from logically reasoning from whatever evidence scholars find in the poem itself.    First of all, consistency of style suggests that the poem was written by one person only (Thompson 14). There is no appreciable variation from uniform linguistic and metrical characteristics. Antithesis is a strong feature of the style:â€Å"This tendency to antithesis, frequently verging on paradox, and the constant play of irony are but stylistic manifestations of those movements of the poet’s thought which shape the very stuff of the poem† (Blomfield 58). There is the reference to the burning of Heorot woven into the description of its first glories, and the prediction of family strife while yet all is well in Hrothgar’s court. The writer’s style includes depth and vibrancy, and â€Å"a high degree of abstraction and formalism† (Blomfield 64). There are many digressions in the poem: â€Å"the poet’s digressive, revaluative style† (Tripp 64). The author is omniscient: â€Å"The poet reserves the right to say what people are thinking † (Shippey 39).    Secondly, the employment of several conventional poetic devices suggests that the author was an educated person. Beowulf is distinguished primarily by its heavy use of   allliteration, or the repetition of the initial sounds of words. The Old English poet would â€Å"tie† the two half-lines together by their stressed alliteration (Chickering 4). Each line of poetry ideally contains four principal stresses, two on each side of a strong medial caesura, or pause. â€Å"At least one of the two stressed swords in the first half-line, and usually both of them, begin with the same sound as... ...raki, translated by Jesse L. Byock. New York: Penguin Books, 1998.    Shippey, T.A.. â€Å"The World of the Poem.† In Beowulf – Modern Critical Interpretations, edited by Harold Bloom. New York: Chelsea House Publishers, 1987.    Tharaud, Barry. â€Å"Anglo-Saxon Language and Traditions in Beowulf.† In Readings on Beowulf, edited by Stephen P. Thompson. San Diego: Greenhaven Press,1998.    Thompson, Stephen P. â€Å"The Beowulf poet and His World.† In Readings on Beowulf, edited by Stephen P. Thompson. San Diego: Greenhaven Press,1998.    Tripp, Raymond P. â€Å"Digressive Revaluation(s).† In Beowulf – Modern Critical Interpretations, edited by Harold Bloom. New York: Chelsea House Publishers, 1987.    Ward & Trent, et al. The Cambridge History of English and American Literature. New York: G.P. Putnam’s Sons, 1907–21; New York: Bartleby.com, 2000   

A Bintel Brief :: essays research papers

A Bintel Brief   Ã‚  Ã‚  Ã‚  Ã‚  A Bintel Brief, the book of letters from the Jewish daily Forward brought to me the realism of life as a Jewish immigrant. The times were rough on them, they used the â€Å"Bintel Brief† to reveal there problems and to get answers. When I started to read the book I was looking for specific answers to some questions. What do the letters reveal about how immigration was a large part a culrutal process that lasted well after Jews and other immigrants arrived in the U.S.? What was the dominant definition of what it meant to be an American at the time that many Jews arrived arrived in the United States? How did the Jews in the book compare? What hopes did many Jewish immigrants have for life in America? Were the expectations met? What else do the letters reveal about the late 19th Century through the 1920s? These questions really give the purpose of the book itself.   Ã‚  Ã‚  Ã‚  Ã‚  The letters of the Bintel Brief reveal that immigration became a cultural process. When the Jewish immigrants came to the U.S. there culture had to be changed to adapt to the Americans. They shaved their beards and ate non-kosher foods, they slowly had to separate themselves from there homeland. They had to blend in with there surroundings to get a job or even to make friends. In one of the letters, a young Jewish woman would go to work each day knowing that she would be harassed when she arrived. One of her fellow co-workers said the all Galician Jews should be dead. With comments like that, I myself would try to hide the fact that I am of different culture. The Jewish people would have to slowly bring back there heritage after they become treated more equally. Another letter about a 18 year old boy, that is a machinist, would get beaten up as if he was a punching bag. He left the job only to receive the same treatment in the other jobs. â€Å"As soon as they fo und out that I was a Jew they began to torment me so that I had to leave the place,† said the boy (64). The letters do reveal that immigration was a cultural process.   Ã‚  Ã‚  Ã‚  Ã‚  What made you an American during the time of the Jewish arrivals? To be an American in those times, meant that you must be born on the American soil.

You Can Have It

Philip Levine writes as though he is from a hard working middle class family geared toward the more highly educated class. Levine directs his poetry towards the higher class, through personal relationships and by showing pride and respectability in manual labor. Levine wants the more educated to know that even though the lower class may not have the most respectable jobs, they still take pride in their work because it supports their family. By using personal relationships, Levine emphasizes the how much pride the working class takes in their jobs. Levine writes as though he is from a hard working middle class family, who works day after day just to make it through life and support the family. Although he is writing from this prospective, his work is actually geared more toward a more highly educated group. Levine wants the higher class to know just how lucky they are. Most people of high stature have never really had a hard manual-laboring job. Its true that most people of this class do not know what hard work is or how it feels to have to struggle to find a job and care for themselves and a family. In the poem, What Work Is, Levine writes, â€Å"if you're/ old enough to read this you know what/ work is, although you may not do it. / Forget you. † In these lines, Levine is saying that the more educated group may know the definition of the word work but the have never really experienced it. This is even further shown in the last line when the man says, â€Å"you don't know what work is. † The man in the poem You Can Have It, is relating to us college students and remembering for himself what it was like to be twenty. We were twenty/ for such a short time and always in/ the wrong clothes, crusted with dirt/ and sweat. I think now we were never twenty. † Twenty year-olds are living the life that this man never had but wishes that he could have had it. He wants the higher class to realize what other people go through and just how easy life really is. In the last line, he says â€Å"You can have it. † Here he wishes to give back everything from the past thirty years just to be twenty one more time, not work and just have his youth back. In all of Levine's poems, the narrator is proud of his work no matter what job he has. In Starlight, a four year-old boy is watching his father relax on the porch and smoke a cigarette after a long rigorous day of work. The father after seeing the child and the beautiful things that he works for, he can proudly answer that he is happy with a head nod, â€Å"Yes! oh yes! oh yes! † He is proud to work hard to support his family. Every child looks up to its parents. In the beginning of this poem the son seems to be timid about bothering his father while he is relaxing but by the end, the son feels right at his fathers level â€Å"among the stars. He is proud to have his father and know that he is an honest hard working man and looks up to him as if he were a the brightest of all stars. The poem You Can Have It also describes the pride that another man takes in his job even if it is only in a factory. In the third stanza of the poem Levine talks about a man and his brother saying that â€Å"they are only one man/ sharing a heart that always labors, hands/ yellowed and cracked. † Their heart is in their work, even if it is not the most respectable job. Although they talk about the hands being yellowed and cracked, I think it is in a good way. They are proud to have these marks of their hard work to support themselves. This is what they have to do to make it through life and they are proud to do it. In many of his poems, Levine uses many personal relationships to highlight the themes in each poem. In Levine's poem, What Work Is, the man is waiting in line trying to get a job. He is very upset refusing to give in but â€Å"waiting, / to the knowledge that somewhere ahead/ a man is waiting who will say, â€Å"No, / we're not hiring today. He has been in this place before and although he is annoyed at the fact that he cannot get a job, he is also proud to be standing there waiting to get a job. He would be proud to have a job working in a factory or anywhere. Whereas this man would be proud to have a job in a factory, his brother is working at the Cadillac factory but is trying to gain a higher status and have what he would consider a respectable job. The brother is not proud to be working in a factory and is therefore studying German to be an opera singer, in which he would be highly regarded. Levine brings out the father and son relationship in Starlight to show a sense of not only pride in his work but also happiness and an escape from the daily struggles that the father faces. After a long day of hard work, the father finds an escape in returning to his family and being away from his job. Just holding his son up there with him for that one minute gives him a sense of happiness and helps him to forget all the troubles of that day. Seeing his son happy and admiring him so much makes the father feel a sense of worth and pride in his job. Philip Levine writes as though he is from a hard working middle class family who works very hard just to make it through life and support the family. He wants the higher class to know how lucky they are and what struggles the less educated go through. In all of the poems, the narrator is proud of his work no matter what job he has, even if it is only in a factory. By using personal relationships throughout his poems, Levine highlights the fact that all the people take pride in their work.

Muddy lake essays

Muddy lake essays I am a scientist specialized in aquatic pollution, I would like to explain some basic facts concerning the case of the muddy lake. The issue of this case is to know if the engineer-contractor is responsible for the turbid water of the lake. Before answering the question, we have to know all the elements of the case. The question is why we have turbid water after expensive work done by professional, is it the company fault or is it another factor. The community hired scientific consultants to make some quick tests of the water and they determined that the year round-turbidity was due to fine clay particles, which came from an abandoned factory. There were almost no algae and the problem was due to a great amount of suspended mineral particles. It wasnt a biological problem. On this base, the community engaged an excellent and expensive engineering contracting firm in order to stop the run off of the clay into the lake. They did their work, and the lake was not turbid until the next spring. During all the summer the water was turbid, reaching a peak by early summer. Although the lake water seemed to clear up over the winter and early spring of the following year, the turbid water was back again by mid-spring. The community blamed the engineering firm of having done a bad work. The engineering firm claims that it wasnt their fault. What is the truth? How can we explain that the water became turbid again? This problem can easily be explained scientifically. The high concentration of clay particles suspended in the water makes the water very turbid. These particles scatter and absorb light, and then the light cannot penetrate into the water. In a very high turbid lake, the biological activity is very limited due to the lack of light. When the light is completely scattered and absorbed by the particles at the surface, there is a very weak primary production and poor b ...

Anderson- Surname Meaning and Origin

Anderson- Surname Meaning and Origin ANDERSON Surname Meaning Origin: Patronymic surname meaning son of Andrew. Andrew (man, manly) was the first of Jesus disciples, and was a revered name in medieval times due to its church connections. St. Andrew is the patron saint of both Scotland and Russia. Swedish patronymic son names traditionally end in -son,  not -sen.  In Denmark the regular patronymic is -sen.  In Norway, both are used, although -sen  is more common. Icelandic names traditionally end in -son  or -dotir. Surname Origin: Swedish, Danish, Norwegian English Alternate Surname Spellings: ANDERSEN, ANDERSSON, ANDERSSEN, MCANDREWS Fun Facts About the ANDERSON Surname: Many Danes, Norwegians and Swedes who emigrated to America with the last name Andersson or Anderssen, dropped the extra -S after their arrival. Famous People with the Surname ANDERSON: Pamela Anderson - Canadian-American model and actressMary Anderson - inventor of the windshield wiperWillie Anderson - professional Scottish golferJoe Anderson - British actorWes Anderson - independent filmmakerHans Christian Anderson - Danish author Genealogy Resources for the Surname ANDERSON: 100 Most Common U.S. Surnames Their MeaningsSmith, Johnson, Williams, Jones, Brown... Are you one of the millions of Americans sporting one of these top 100 common last names from the 2000 census? Anderson and Andersen Family DNA ProjectJoin Anderson and Andersen individuals worldwide working together to sort out Anderson families from different countries and connect Anderson families who came to America through DNA. Anderson Family Genealogy ForumSearch this popular genealogy forum for the Anderson surname to find others who might be researching your ancestors, or post your own Anderson query. There are also separate forums for the ANDERSEN and ANDERSSEN variations of the Anderson surname. FamilySearch - ANDERSON GenealogyFind records, queries, and lineage-linked family trees posted for the Anderson surname and its variations. ANDERSON Surname Family Mailing ListsRootsWeb hosts several free mailing lists for researchers of the Anderson surname. Cousin Connect - ANDERSON Genealogy QueriesRead or post genealogy queries for the surname Anderson, and sign up for free notification when new Anderson queries are added. DistantCousin.com - ANDERSON Genealogy Family HistoryFree databases and genealogy links for the last name Anderson. Looking for the meaning of a given name? Check out First Name Meanings Cant find your last name listed? Suggest a surname to be added to the Glossary of Surname Meanings Origins. - References: Surname Meanings Origins Cottle, Basil. Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967. Menk, Lars. A Dictionary of German Jewish Surnames. Avotaynu, 2005. Beider, Alexander. A Dictionary of Jewish Surnames from Galicia. Avotaynu, 2004. Hanks, Patrick and Flavia Hodges. A Dictionary of Surnames. Oxford University Press, 1989. Hanks, Patrick. Dictionary of American Family Names. Oxford University Press, 2003. Smith, Elsdon C. American Surnames. Genealogical Publishing Company, 1997. Back to Glossary of Surname Meanings Origins

Tracking the Fangle in Newfangled

Tracking the Fangle in Newfangled Tracking the Fangle in Newfangled Tracking the Fangle in Newfangled By Maeve Maddox Until I saw the word fangled used humorously in a couple of blogs, Id never given any thought to the elements of newfangled. Can something be oldfangled, or just plain fangled? Come to find out, the fangled part of newfangled is a fossil from Old English. For those of you unfamiliar with the word, the meaning usually understood by newfangled is Newly or recently invented or existent, novel; gratuitously or objectionably modern or different from what one is used to. OED Ex. My grandmother refuses to use anything so newfangled as a cell phone. The word newfangled, with the sense of addicted to novelty/ready to grasp at new things, is first recorded about 1470. The sense lately come into fashion occurs in 1533. The Old English verb fon (to capture, seize, take) had the past participle form gefangen. Not only does this old verb give us the fangle in newfangled, it gives us the word fang. with the sense of sharp tooth. Makes sense: something with fangs can seize with them. NOTE: Another O.E. word, fengto, meant a catching- or grasping-tooth. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Vocabulary category, check our popular posts, or choose a related post below:"Based in" and "based out of"36 Poetry TermsDozen: Singular or Plural?

Criminal Justice Policy Issue (Immigration in Arizona) Essay

Criminal Justice Policy Issue (Immigration in Arizona) - Essay Example Therefore, in order to prevent illegal immigration in the American States, it is relevant not only to take strict measures, but also take into account human rights, the rights of immigrants and develop immigration policies in accordance with socially favorable norms and conditions. Immigration policy in Arizona The main goal of the immigration law in Arizona is to make stricter regulations on immigration measures. For example, a failure of having immigration documents is positioned as a crime and the police have power to detain anyone who is in the country illegally. Such measures are considered to be acts of discrimination focused on Hispanics. The rights of the Mexican residents are in danger in terms of this immigration law. Moreover, this policy is even named â€Å"Nazism†. There are numerous court challenges, which occurred in the result of this policy implementation. There is an evident intimidation for the community distrust, increased level of crimes, expensive litigat ion, national repercussions (Engstrom, 2010). Arizona immigrants are obliged to carry the identity documents, which underline their legitimate presence on the American land. Nevertheless, the developers of this law project are more focused on a facilitation of law carrying out. Law enforcement measures are introduced at a governmental level and there is a need to act in compliance with the laws. There was a striking event concerning the background of law enforcement. A rancher in southern Arizona was killed and it triggered Ms. Brewer and other governmental leaders to intensify the protection on the National border by the National Guard troops. Therefore, there are hostile moods among Hispanics and they are against intensification of their immigration. On behalf of the police, it is currently relevant to detain those people who are suspected to be on the American lands without authorization and identification. Only medical treatment of a suspected individual or his/her involvement i n an investigation would hinder this process. Moreover, local government is under pressure and scrutinized attention from the community because it can be sued in case it violates federal or state immigration law enforcement. There is an essential social turmoil in the State because of the immigration law enforcement introduction. Hispanic voters are much concerned about this law and they can be influenced in the process of elections in case of law enforcement prevention. Thus, it is relevant to create a favorable atmosphere of immigration law enforcement. In case it is prevented in different states and cities, it is relevant to talk about removal of â€Å"sanctuary rules† at the federal level. State Sen. Russell Pearce (R-Mesa) invented the Immigration Law of Arizona State and he underlines that the positive changes of the law enforcement are the following ones: Immigrants would be unable to avoid obtaining adequate alien registration document. Officers would be enabled to ar rest immigrants in case the latter cannot show their legal identification of presence on the American lands. Soft immigration enforcement and sanctuary rules would be disabled and would not be regulated by local governments. Street traffic will not be on halt because of overcrowding due to immigrants looking for employement. Evidently, these are rather strict measures taken against immigrants in the State of Arizona. Brewer experienced protesters’ demands of reforms prevention, but promised to treat everyone fairly

Aboriginal history in north america-the circle of life with mention of Essay

Aboriginal history in north america-the circle of life with mention of the medicine wheel - Essay Example There were numerous ways in which the circle of life is interpreted, all of which illustrate the need for harmonious existence with others and nature. The medicine wheel is a physical manifestation of spiritual energy, through which one can visualize surrounding events, which allowed the Aboriginals to be in harmony with the self and nature by creating notions of new life and renewal (Liebmann 69). The circle illustrates continuity of nature and in human beings, while the four points bear different meanings, for instance, nature’s four elements that are: fire, earth, air and water are all part of the same physical world and should be respected (The Sacred Foundation of Aboriginal Education 5). In addition, it is indicative of human development stages as well as the human potentialities, which include mental, physical, emotional and spiritual. The circle of life also teaches that the symbolic races are part of the same human family, and should live in harmony as brothers and sisters. In this regard, as the Europeans explored the new territory, they would be compelled to respect nature and other races present before them. Thus, the Aboriginal people continued with their beliefs regardless of the prevailing new influence and culture (Bramadat and Seljak 266). Winnipeg, Manitoba. Cultural & Spiritual Values The Sacred Foundation of Aboriginal Education 2012, Sustaining our Ways: Educating for Sustainability. 2012. Web. 9 Oct. 2012.

Torture Essay Example | Topics and Well Written Essays - 500 words - 1

Torture - Essay Example Jacobo Timerman, editor and publisher of the Argentinean newspaper  La Opinion  until his arrest by the military, emphasized the agonizing unpredictability of his years in prison in his book  Prisoner Without a Name, Cell Without a Number: "[W]henever someone was being prepared for transfer, his eyes blindfolded, his hands tied behind him, thrown on the ground in the back of a car and covered with a blanket, he would have preferred to remain in the clandestine prison. You never knew whether you were being led to an interrogation, torture, death, or another prison . . . " (p. 159). Some of the cruelest techniques of psychological torture are those that appear to make the person an active participant. The person may be told to choose which of two family members, friends, or other fellow prisoners should be tortured or put to death. The person may be directed to undress and use the torture devices on him- or herself.

Air pollution in china Essay Example | Topics and Well Written Essays - 1750 words

Air pollution in china - Essay Example Indeed, the poor air quality threatens the power of the Chinese Communist Party which derives its authority from its social contract for providing better quality life to the people. The increase in both indoor and outdoor air pollution in China due to rapid industrialization, urbanization and economic growth adversely affects its people’s healthy, ecology and economy, thus the adoption of critical measures to curb the problem. The contributing factor to China’s air pollution is its rapid economic growth, urbanization and industrialization. He, Huo, and Zhang observe the proportion of China’s urban to total population grew from 18% to 31% between 1978 and 1999, this being three times the world’s average during the same period (398). The use of coal as a source of energy has been the main source of anthropogenic air pollution. Even so, Zhang and Smith observe that 60% of the population still lives in rural areas (848). This population uses biomass, which mainly includes crop residues and wood, in simple stoves. Thus, while the urban population heavily depends on coal for energy, the rural population depends on biomass. As such, China faces the problem of both indoor and outdoor air pollution. Despite the improvement in environmental protection requirements that have improved China’s air quality in the past decade as observed by Liu et al., the issue still remains a critical chall enge (281). SO2 and total suspended particulates, TSP, still remain ten times more concentrated in China’s air than recommended by the World Health Organization. Thus, it would be beneficial to understand the sources of this. The indoor air pollution in China is attributed to the rural population’s reliance on biomass as the source of household energy. Zhang and Smith observe that 80% of the energy that the rural households consumed in 2003 was from biomass, that is mainly wood and crop residues

Guy Fawkes & The Gunpowder Plot of 1605 Research Paper

Guy Fawkes & The Gunpowder Plot of 1605 - Research Paper Example The paper will therefore, outline the political and historical context of the Gunpowder plot and the effect it had to Britain’s culture. Guy Fawkes is one of the York’s known historical characters, being famous for his involvement in the failed Gunpowder plot. Guy Fawkes was a protestant by birth, born in Stone gate, York in the year 1570, after which he became a Roman Catholic after his marriage. Fawkes was the only son in his parents who lived and married in Scotto. He attended school at St. Peter’s where he received Roman Catholic influences among others. Over the years, those who knew him painted him as ‘a man of great piety’ (Fraser 2010, p. 10-15). In the year 1593, he was enlisted in the Spanish Army and in the year 1596, he participated in the capture of the Calais city by the Spanish, as their war with Henry IV of France was underway. In his service in the army, he was furnished as a bravely man and an expert in mining. In the year 1602, he moved to Madrid where he met with Kit Wright and later with Thomas Winter who enrolled him in the gunpowder plot as a useful expert and was unknown to the authority. He played his part well in the plot and behaved in courage and dignity even after his arrest. For several days, Guy Fawkes withstood torture rather than selling his fellow plotters out (MALAM, & MALAM 2008, p. 20-25). Queen Elizabeth 1 had made England one of the Protestant strongholds in Europe, in which under her reign, the Catholics had suffered because of the anti-catholic laws that had been implemented. Therefore, when she died, the Catholics had hoped that King James 1 would scrap out the laws, but as time went by, the religion became stronger and the king felt that his authority was threatened so he implemented the anti-Catholic laws again. Therefore, Guy Fawkes, Robert Catesby, Thomas Percy, Thomas Wright among others

Air pollution in china Essay Example | Topics and Well Written Essays - 1750 words

Air pollution in china - Essay Example Indeed, the poor air quality threatens the power of the Chinese Communist Party which derives its authority from its social contract for providing better quality life to the people. The increase in both indoor and outdoor air pollution in China due to rapid industrialization, urbanization and economic growth adversely affects its people’s healthy, ecology and economy, thus the adoption of critical measures to curb the problem. The contributing factor to China’s air pollution is its rapid economic growth, urbanization and industrialization. He, Huo, and Zhang observe the proportion of China’s urban to total population grew from 18% to 31% between 1978 and 1999, this being three times the world’s average during the same period (398). The use of coal as a source of energy has been the main source of anthropogenic air pollution. Even so, Zhang and Smith observe that 60% of the population still lives in rural areas (848). This population uses biomass, which mainly includes crop residues and wood, in simple stoves. Thus, while the urban population heavily depends on coal for energy, the rural population depends on biomass. As such, China faces the problem of both indoor and outdoor air pollution. Despite the improvement in environmental protection requirements that have improved China’s air quality in the past decade as observed by Liu et al., the issue still remains a critical chall enge (281). SO2 and total suspended particulates, TSP, still remain ten times more concentrated in China’s air than recommended by the World Health Organization. Thus, it would be beneficial to understand the sources of this. The indoor air pollution in China is attributed to the rural population’s reliance on biomass as the source of household energy. Zhang and Smith observe that 80% of the energy that the rural households consumed in 2003 was from biomass, that is mainly wood and crop residues

The Ethical Significance of Consumerism Essay Example | Topics and Well Written Essays - 500 words

The Ethical Significance of Consumerism - Essay Example This research will begin with the definition of consumerism as a negative phenomenon because it involves the purchase of various items and products in very large quantities. Consumerism is often understood as a kind of manic enthusiasm for shopping. This concern is amplified by the fact that â€Å"consumerism appears to be becoming increasingly global in its influence†. Despite the opinion that consumerism is a negative phenomenon (it increases man's dependence on the service sector making him/her earn more), one can point out several arguments in favor of the idea that in ethical terms, consumerism is good. Firstly, one should remember that consumerism is able to bring psychological satisfaction for a shopaholic, making his/her inner condition calm and balanced. In addition, consumerism may be presented in the form of ethical consumerism. Finally, participating in the economic development of the region, consumerism helps to create more favorable conditions of life for many pe ople. Consumerism has ethical significance in the sense that it can help to stabilize relations between people. There are people who need to perform actions that can bring them pleasure and at the same time contribute to the stabilization of their psychological state. As a result, a shopaholic relieves his/her psychological tension and stress and can continue communicating with his/her friends and family in a peaceful state of mind. In addition, consumerism can be presented in the form of ethical consumerism.

Lim Goh Tong Essay Example for Free

Lim Goh Tong Essay Successful business are ofter managed by what type of leaders? Successful business are ofter managed by leaders who know how to mobilize their human resources (HR) to produce better products and service compared to their competitors. b) How can a change of mindset can be the pre-requisite step for building and existing entrepreneurs to stay in the business? A change of mindset can be the pre-requisite step for building and existing entrepreneurs to stay in the business because it having a positive mindset and to step up efforts to deal with constant changes and challenges in a highly competities market place. c) What are the key factors to be considered in the exercise? The key factors to be considered in the exercise are entrepreneur must be smart and resilient in mobilizing all its resources, including HR to move towards common goals and to deal with challenges that affect the business. It requires the creation the creation of a more robust and knowledge business culture with people that deeply understand the business environment. d) What are the key factors to be considered in the exercise? The key factors to be considered in the exercise are considering knowledge as a factor that can make a distint difference and identifying emerging key and new method of conducting business and making it more competitive. e) What the factors to achieve entrepreneurial success to sharpen a company’s competitive adge? The factors to achieve entrepreneurial success to sharpen a company’s competitive adge depends on the ability to attract, retain and develop competent people continuously. f) Why is having leadership ability is important? Having leadership ability is important because it stand in good stead for the entrepreneur to help worker in problem-solving as well as to provide guidance on the right work ethics and maximize the employee’ performance. g) How to be a successful entrepreneur? To be a successful entrepreneur , one should have the ability to plan, arrange and control the business in every aspect. . Based on your understanding, give one example of successful entrepreneur in Malaysia. That constributes a lot in Malaysia economy. Give the strength of his (her) product/service. Lim Goh Tong is classic story of a rag-to-riches story. He migrated from China mainland in his youth. And as fate would have it, the two later became friends when he was on his way to build Genting. From the day he was born until his death, Lim Goh Tong did not speak English, he only communicated in Chinese and Malay language. But his language barrier did not prevent him from negotiating one of the largest contracts around. Financial. His strength could be seen from his early age involved in petty trade. He always keeps some of his revenue for future used and increases his capital. 2. Intellectual . Lim Goh Tong always did a survey and made a feasibility study whether to project to be taken really produce profit or loss. He will not close the deals unless money back guaranteed. 3. Location . Choice of location is gave him ahead of others. Genting Resort was built to encourage local people to enjoy breezy environment near Kuala Lumpur. 4. Diversification on Product Offered. Genting Group has diversified from its initial hotel and resort activities to plantations, properties, paper manufacturing, power generation, oil and gas, electronic commerce and information technology development under Genting Group. 5. Government Rule and Regulation. Genting was extremely advantage after government announced in October 2002 to restrict development of highlands. It will create no competition for Genting Group on their resort business. 6. Product Diversification . Lim Goh Tong knows to play his card. He is not dependent on his Casino business. He has Conglomerate Company dealing in Star Cruise, Property Development, Education, Construction, Oil and Gas, Investment, Plantation, Independent Power Industry and Hospitality. He has well diversified revenue and will not worry on economic trend if collapse in certain industry. 6. Favorable access to distribution net works. Lim Goh Tong relationship with all the Prime Minister of Malaysia make his job easy. He received a pioneer status from Tun Abdul Razak on his Genting business. In 1976 the status was extended another year by Tun Hussin Onn through Tan Sri Mohd Noah who is in-law to Razak and Hussin Onn. 7. Market Trend. Lim Goh Tong always follow the trend from his early involvement in construction industry. After WW2 he bought all unused heavy machinery and reconditioned it before it was sold to tin miner and rubber Estate Company for their rehabilitation work.

Mycobacterium Marinum Treatment Literature Review

Mycobacterium Marinum Treatment Literature Review Abstract Background Mycobacterium marinum is an atypical mycobacterium that can be found in water environment. It is the agent of a characteristic skin disease known also as fish tank granuloma. In some occasions it can spread as a nodular lymphangitis, extend to deep structures as well as in exceptional cases disseminate systemicaly . The infection is adquired after contact with fish or contaminated water mainly from aquaria or swimming pools. Although the real incidence is understimate, it is a uncommon infection that needs high clinical suspicion to be diagnosed. As a consequence, delay in the diagnosis is common. Mycobacterium marinum is intrinsically a multidrug resistant mycobacterium.There is no clear consesus in the management of this infection. Usually it is managed either with monotherapy or with combination of antibiotics plus surgery in selected cases. Methods Retrospective study of cases of fish tank granuloma collected from 2000 to 2009 in the dermatology surgery of The Hospital of Tropical Diseases (HTD) of the University College London Hospitals. Systematic review of the literature with the terms Mycobacterium marinum and fish tank granuloma from 1999 to 2009. Results From the HTD dermatology surgery were collected 7 cases. Identification of M. marinum was possible only in 5. The response to treatment was good at least in 5 of them. In the literature review there were reported a total of 516 cases. From those 133 could be analyzed as individual cases. Identification was possible in 89.5% of the cases. Cured was reported in 82% of the cases. Conclusion The key of the diagnosis is to collect accurately the history of exposure. Histology, although no pathognomonic, will rise the suspicion if granuloma formation are found and will facilitate the differential diagnosis. Identification is done after culture with classical biochemical tests. Molecular biology techniques have the advantage of accelerate the procedure. There is not enough evidence to propose any specific treatment. Currently, recommendations are based in experts opinions. A prospective, randomized controlled clinical trial would be valuable to propose a base evident treatment. Contents Pages Introduction M. marinum is an environmental atypical mycobacterium ubiquitous in fresh, salt, and brackish water. It is known that infects temperate and tropical species of fish of at least 150 species, including ornamental fish. But also affects frogs, eels, oysters, aquatic mammals, toads and snakes [2, 11]. It cause tuberculosis-like disease in fish, its natural host [129]. The infection in fish has an average incubation period of 3 months. It affects viscera and produce anorexia with emaciation, skin defects, distension of the abdomen, being cause of sudden death [11, 12, 66]. In 1904, Alexander described for first time lesions in a cod fish that were associated with acid fast bacilli. But it was Aronson in 1926 that isolated the bacteria from tubercles of fish that died in an aquarium of Philadelphia. He described the bacilli as acid fast, chromogenic, pleomorphic and growing best at 18 º-20 ºC. Aronson suggested the name of Mycobacterium marinum [130]. M. marinum is as well the causative agent of the human disease called fish tank granuloma, also known as swimming pool granuloma or fish fancier ´s finger syndrome. In 1951 Norden and Linell reported for the first time the human disease in a swimming pool outbreak in ÃÆ'–rebro, Sweden. They described the lesions as chronic papulous ulcerations, usually located in the elbows. The pathogen was isolated from the walls of that swimming pool as well as from the lesions of the patients. They called the pathogen isolated Mycobacterium balnei [131]. It was not until 1959 when Bojalil demonstrated that M. marinum and M. balnei were in fact, the same mycobacterium [132]. M. marinum is the most frequent cause of skin infection among the environmental mycobacterium that affects humans [86, 133]. Nowadays the frequency of human infections is mainly sporadic. But in the past, outbreaks related with swimming pools were not uncommon [134]. As an example, one of the biggest epidemics was in Glenwood springs pool, Colorado in 1956 with 262 cases reported [135]. That was before chlorination became a common practice. Chlorination makes water safer. As was seen recently in Bologna, were water from swimming pools were free of M. marinum. But still could be isolated in 4.5% of the samples from the shower floor of the same [136]. The real global incidence of the disease is not know because the number of cases are underreported, due probably to the difficulties in the diagnosis [94]. It is world wide distributed but with a tendency to aggregate geographically [137]. Like in Chesapeake bay, Maryland, where there is an incidence of 4 cases per 100000 population per year [138]. Meanwhile in California was estimated in 0.27 cases per 100000 adults [139]. Or in Satowan, Micronesia, with an estimated prevalence of 10% of the population [115]. Apparently the global annual incidence remains small and stable [140]. Even though an increase number of reported cases has been noticed in The United States, going from an average of 40 cases per year in the 80s to an average of 198 cases per year in the 90s [141]. What seems clearer is that differing from other atypical mycobacteria the prevalence of M. marinum has not increased with the HIV epidemic [140]. Opposite to humans, the incidence in fish is increasing in hatchery fish, probably due to the high population density of fish. Transmission is possible fish to fish and between fish and amphibians. In addition it has been proposed transmission through eggs and through practice of feeding fish with fish carcasses [140]. There are 2 groups or clusters of M. marinum with different pathogenicity. Cluster I is characterized by producing acute disease and death in fish and also for affecting humans. On the contrary, cluster II only affects fish producing the classical chronic disease with granuloma formation [9]. This is also supported by a study done in Israel were it was seen that only certain strains of M. marinum affected humans. They also demonstrate that in Israel strains affecting humans came from ornamental fish and not from local fish for consumption [5]. The mode of transmission to humans is mainly waterborne and fish borne. Person to person transmission has not been documented [137]. However, It has been described indirect transmission via fomites in at least 3 cases. Two very small children and one infant who acquired the infection after bathing in containers that were previously used to clean the family fish tanks of tropical fish [27, 40, 142]. As other environmental mycobacterium, M. marinum has commonly low pathogenicity. For this reason in normal conditions only affects disrupted skin [8]. The main risk factor to contract the infection consists in having lesions or abrasions in the skin with exposure to non chlorinated water or marine animals infected [140]. The most frequently nowadays is the exposure to private aquaria. But some times the source of exposure is unknown. As a consequence, after the description of cases following injuries with plants, it has been suggested the possibility that could be other reservoirs different from water and fish. Although at the present moment this possibility has not been demonstrated [30, 43]. The incubation period is usually 3 to 4 weeks [135]. Following, the most common manifestation is a cutaneous lesion at the site of inoculation. It initiates as a solitary nodule or pustule that eventually evolutes to an ulcer , abscess or verrucous plaque [143]. It affects more frequently the extremities, probably because the pathogen grows better at low temperatures [144]. The severity of the disease depends, among other factors, on the number of microorganisms inoculated [134] In 20% of the cases the cutaneous lesions spread along ascending lymphatic vessels. This is called sporotrichoid spread or nodular lymphangitis [143]. As a result of direct extension invasion of deep structures as tendons, articulations and bones occurs in 29% of the cases [144]. Systemic dissemination is unusual but has been described in immunocompromised patients [140]. Spontaneous resolution , usually with scaring , has been documented from months after the infection up to 2 years [133, 135]. The diagnosis is based on the history of exposure and risk factors along with the characteristic clinical features. It is supported with histopathology, culture and bacteriological identification that in some cases require molecular biology techniques [94, 120]. The fact is that the diagnosis is not easy and in most of the cases is either delayed or remain being presumptive based in the history and response to treatment. The objective of the treatment is to increase the speed of resolution and prevent progression of the disease [1]. With this purpose different combinations of antibiotics plus the support, in selected cases, of surgery are the common practices in the treatment of this infection. Although the election of the drugs still depends of the preference of individual authors and is not based on controlled evidence [143]. Aims and Objectives The overall aim of the project is to determine the current state of evidence for the diagnosis and treatment of M. marinum infection. Being the specific objective to review the literature and the series of HTD cases with the purpose of suggest appropriate diagnosis and case management of Mycobacterium marinum infection. Material and Methods Cases with diagnosis of fish tank granuloma were review. The cases were diagnosed and treated from 2000 to 2009 in the dermatology surgery of The Hospital of Tropical Diseases of the University College London Hospitals. There were included patients with either culture positive for M. marinum or clinical diagnosis plus response to appropriate treatment. The files of those patients were reviewed and data were collected in a questioner that included: anthropological data, past medical and drug history, risk factors and exposure, description and location of the lesions, spread or deep extension of the infection, incubation period , delay in diagnosis, diagnosis, treatment and evolution (see questioner in annex). Additional information considered relevant was as well collected. A literature review in Medline and Cochrane databases was done. The review included the combination of the following terms: Mycobacterium marinum or fish tank granuloma. It was limited to papers from 1999 to July 2009, English and Spanish literature and humans. The papers obtained in the search were divided in 3 categories. First, case reports in which it was possible to collect data from individual cases. Information of those papers was collected in the questionnaire previously mentioned. Second, case series of 14 or more cases in which data from individual cases was not reported. And finally, a miscellaneous category of papers that were considered relevant for the diagnosis and treatment of this infection. The information gathered in the questioners was computerized in Microsoft Excel 2007. No statistical analysis was done in view of the cases were publish not with this purpose. As a consequence probably important reporting bias would invalidate any statistical outcome. Simple description of the results was done. Results Cases of The Hospital of Tropical Diseases From 2000 to July 2009 there were collected 7 cases with diagnosis of Mycobacterium marinum infection. The 7 cases included 6 males and 1 female and their ages ranged form 31 to 65 years. All the cases admitted to have had contact with an aquarium. In two cases the exposure was occupational. One of them worked in the London Zoo being responsible of the management of the aquaria. The second was a cook in a restaurant that store crustacean in an aquarium. All the cases presented nodular lesions located in one of the upper limbs, six of them with sporotrichoid spread and one with a solitary nodule (see photos is annex). One patient that was taking oral prednisolone due to severe atopic eczema presented with tenosynovitis of the left hand, sporotrichoid spread and palpable regional lymphonodes. The rest of the patients were not immunosuppressed. Biopsy of the lesions was performed in all the cases. However AFB were found just in one case. Whereas cultures were positive in 5 cases for M. marinum. In the other two cases the diagnosis was done based on history of exposure, clinical characteristics and positive response to treatment. Different combinations of antibiotics were used with no clear advantage of any regimen in particular. In 4 patients it was need to change the regiment. The reasons were drug intolerance in one case and lack of improvement in the rest. There was also one case that initially was improving with a regimen of rifampicin plus minocycline. But after simplification of the regiment to clarithromycin monotherapy presented worsening of the lesions. This case was eventually controlled switching to minocycline plus ethambutol. There was one patient who presented a relapse after one year of the previous infection. Finally it was cured with 6 months of rifampicin plus clarithromycin. Susceptibility test was done in 3 cases. It was detected resistance to trimethoprim-sulfamethoxazole and rifampicin in one case and susceptibility to clarithromycin, ethambutol and doxycycline in 3 cases. The average time of duration of the treatment was 6 months with a range of 2 to 9 months. Surgery was not required in any patient. The final outcome was good in 5 patients being the other 2 lost of follow up (see table 1). Case No Age(y) /Sex Medical history Drug history Exposure Location Clinical characteristics Histology AFB results Culture Treatment Duration (months) Evolution 1 9/M No Aquarium Upper limb Multiple nodules sporotrichoid spread Granulomatous inflammation AFB + 1-RIF+DOX 2-RIF+EMB+DOX 3-RIF+EMB+CLR 7 Cured 2 61/F Psoriasis Chronic paronychia Aquarium Upper limb 3 nodules Sporotrichoid spread AFB + 1-MIN 2 Improving Lost of follow up 3 64/M No Aquarium Upper limb Multiple nodules Sporotrichoid spread Noncaseating granuloma 1-EMB+TET 2-RIF+EMB+INH 9 Relapse after 1year 3(*) 65/M Fish tank granuloma Aquarium Upper limb Multiple nodules Sporotrichoid spread 1-RIF+CLR 6 Cured 4 59/M Severe atopic eczema Systemic steroids Aquarium Upper limb Multiple nodules Sporotrichoid spread Tenosynovitis AFB + 1-DOX 2-RIF+EMB 3-RIF+EMB+CLR 4-ERI+MIN ? Lost of follow up 5 44/M No Aquarium Upper limb 5 nodules Purulent discharge Sporotrichoid spread Necrotizing granulomatous inflammation AFB- + 1-RIF+MIN 2-CLR 3-MIN+EMB 3.5 Cured 6 31/M No Aquaria (London Zoo) Finger Solitary nodule AFB + 1-CLR+EMB 4 Cured 7 49/M No Aquarium (Restaurant) Upper limb 5 nodules Sporotrichoid spread + 1-RIF+EMB 5 Cured (*) Notice that case number 3 is repeated. It belongs to the same patient that the one above but one year later. The patient presented a relapse after one year of being cured. Results from the literature review From 1999 to July 20009 there were found 233 results in Medline database and zero In Cochran Library. From those, 127 were considered relevant and consequently analysed in this review. From the 127 papers reviewed, 108 contained case reports and the 19 remaining were a miscellaneous of reviews or original articles covering issues related with diagnosis and treatment. No clinical trials or randomized control trials were found. In those years the literature reported a total of 516 cases of M. marinum infection. From those cases reported only 133 could be analyzed as individual cases. The rest of cases were reported as series of cases (See figure 1). The number of cases reported per year since 1999 up to July 2009 have been variable with a minimum of 6 cases per year in 2004 to a maximum of 88 cases in 2000. No clear tendency to increase neither decrease has been notice (see Figure 2). The majority of the cases have been reported in Europe, North America and South East Asia. No cases have been reported in Africa and only one case in South America (see Figure 3). Results from papers that could be analyzed as individual cases The reports included 82 men and 51 women. The average age was 46.7 years with a minimum of 18 months and a maximum of 87 years (see Figure 4). 70% of the patients had no relevant past medical history. 9% of the patients were immunosuppressed: 5 patients had HIV infection, 4 were recipients of solid organ transplant, 1 patient had a myelodisplastic syndrome, 1 had Non-Hodking Lymphoma and 1 had Chronic Lymphocytic Leukaemia. Among other relevant pathologies were reported 12 diabetic patients, 11 with rheumatic diseases and finally 5 that were suffering from other problems as: asthma, bullous pemphigoid, myasthenia gravis, Cronh ´s disease and sarcoidosis. The majority of the patients were not taking any relevant drug. However, 20 of them were on systemic steroids, 12 had received steroids as local injection, 10 took methotrexate and 9 TNF-blockers. The most frequent exposure referred was the contact with an aquarium usually of tropical fish, it was reported in 51% of the cases. It was followed in 26 cases (20%) by other kind of contact with fish mainly referred as contact while cooking or cleaning fish. Finally 16 cases (14%) had other kind of contact with water environment. That included mostly fishermen or recreational sailors. Opposite to papers from the 60s, only in 2 patients referred contact with swimming pools. In 15 cases (11%) the source of exposure was not recall or reflected in the papers. Injury related with plants was reported in 3 cases. In one case the exposure was a bucket. The bucket was used to bath a child of 18 months after being used to put fish from an aquarium. As a result the child got infected [40]. History of trauma with skin barrier impairment was referred in 46 cases (71%) of the patients. Among those, 18 cases (39%) recall direct injury with either fin fish, fish hook or crab bite. Occupational exposure was reported in 20 cases (15%). The most frequent occupational risk was to be cook and have injuries while cleaning fish. Another common job of high risk was to work in a pet shop, with the duty of cleaning aquaria. Finally fishermen are evidently in direct contact with water and fish and prone to suffer injures with fish hooks. The incubation period was documented only in 30 patients. It went from 1 day up to 4 months with and average of 48.9 days. The cases that presented an incubation period less than two weeks had in common to have suffered penetrating injuries with fish (figure 5). The upper limbs were affected in 120 case (90.2%), being the fingers the most frequent location. The lower limbs were affected in 11 cases (8.3%). The face in 7 cases (5.3%) and that included delicate locations as nostrils, eyelid and cornea. Finally, cutaneous dissemination was reported in 7 cases (5.3%). Sporotrichoid spread was found in 53 cases (39.8%). Lymphonodes affectation was recorded in only in 7 cases (5.3%) of the cases. The lesions were described as nodules in 63 cases (7%), plaques in 23 (17.35%), papules in 13 (9.8%) and ulcers in 22 (16.5%). There was purulent discharge in 32 cases (24.1%), as well as swelling and tenderness in 37 (27.8%) and 42 (72.4%) cases respectively. Involvement of deep structures was referred in 45 cases (33.8%) of the cases being the most frequent tenosynovitis with 34 cases (75.6%), followed by arthritis with 12 (26.7%) and osteomyelitis with 6 (13.3%). Systemic dissemination with documented bacteraemia was reported in 3 cases. The 3 of them were males from 66 to 87 years. In 2 cases the patients were on systemic steroids, due to myasthenia gravis[103] in one case and polymyalgia rheumatica[62] in the other. Sadly the third case that initially was not taking drugs, after being misdiagnosed as rheumatoid arthritis was put on systemic steroids, infliximab (TFN blocker) and methotrexate [59]. From the patients with invasive disease, including involvement of deep structures or systemic dissemination, 21 (46.6%9 were taken some kind of immunosuppressive drug. Meanwhile only 13 (15.5%) of the rest of the patients were taken them (see figure 6). Other interesting characteristic of the patients with invasive disease was that 15 (33.3%) of them referred direct fish injury. Only 3 (3.4%) of the rest had this exposure (see figure 7). Patients that for any reason were taken immunosuppressive drugs presented different characteristics from the rest of the patients. More than half of them presented invasive disease compared with only 20% of the rest (see table 2). Patients taking immunosuppressive drugs (*) Patients no taking any drugs Number of patients 36 91 Average age (years) 53.2 44.9 Female % 14 / 38.9% 36 / 39.6 % Sporotrichoid spread 13 / 36.1% 39 / 42.8% Involvement deep structures 21 / 58.3% 19 / 20.8% Systemic dissemination 3 / 8.3% 0 AFB positive 19 / 52.7% 33 / 36.3% Culture 33 / 91.6% 75 / 82.4% Bad evolution 2 / 5.5% 3 / 3.3% (*)Immunosuppressive drugs including: TNF-Blockers, systemic steroids, local injectable steroids, methotrexate and azathioprine. The time of evolution until the patients presented for consultation was as short as 4 days and as long as 18 years with an average of 8.6 months. The time until the diagnosis was finally done was only reflected in 17 patients. However the delay went from 21 days to 2 years with an average of 6.3 months. Tuberculosis skin test was only done in 19 patients. From those 86.4% were positive. Biopsy of the lesions was done in 120 cases (90.2%). Aspirate was reported only in 19 cases (1 4.3%). Histology characteristics suggestive of mycobacterial infection with granuloma formation were found in 45.5% of the biopsies. However, only 21% of those were described as caseating granulomas. Other frequent finding reported was mix infiltrates with chronic and acute inflammatory cells. In some cases a wrong diagnosis was done due to confusion with rheumatoid nodules, Sweetà ¢Ã¢â€š ¬Ã¢â€ž ¢s syndrome, foreign body granuloma or interstitial granuloma annulare (See table 3). Table 3: Histology Findings Histology description Number of patients Non caseating granuloma 19 Caseating granuloma 12 Granuloma( type not specified) 26 Infiltrates of chronic and acute inflammatory cells (lymphocytes , neutrophils, histiocytes) 18 Granulation tissue 6 Abscess formation 9 Necrotizing folliculitis 1 Focal dermal necrosis 3 Fibrinoid degeneration 1 Necrotizing paniculitis 2 Cystic degeneration 1 Pseudoepitheliomatous hyperplasia 4 Acute suppurative paniculitis 1 Fibrinous exudates 3 Lichenoid inflammation 1 Acanthosis in epidermis 2 Necrotic Corneal Stroma 1 Dermal fibrosis 2 à ¢Ã¢â€š ¬Ã‚ ¢ Pseudocarcinomatous hyperplasia of follicles à ¢Ã¢â€š ¬Ã‚ ¢ Nodular and perifollicular infiltrate of neutrophils and histiocytes à ¢Ã¢â€š ¬Ã‚ ¢ Dermal fibrosis à ¢Ã¢â€š ¬Ã‚ ¢ Collections of neutrophils within follicles 1 patient with lesions of 18 years evolution Confusion with other pathologies Rheumatoid Arthritis ( rheumatoid nodule) 2 Sweet ´s syndrome 2 Foreign body granuloma 2 Interstitial gra nuloma annulare 2 In the samples collected AFB was found in 41.7%, was negative in 34.6% and was not reported in 23.6%. In total identification of M. marinum was possible in 119 cases (89.5%). Culture was positive in 114 cases (85.7%). The time until the cultures grew went from 8 to 56 days, with an average of 23.3 days. Identification with PCR was done in 19 cases (14.2%). The imaging techniques were useful to diagnose extension of the infection. Radiographies were used in 25 cases (18.7%) to rule out bone involvement. Magnetic resonance imaging was used in 16 cases (12%) resulting in the diagnosis of tenosynovitis, abscess, join effusions or osteomyelitis. About the treatment, 126 patients were treated with antibiotics; in the rest of the cases the management is not mentioned. Surgery was need in 38 patients (84.4%) with affectation of deep structures and in 21 patients (25%)with cutaneous lesions. Monotherapy was used in 54 cases (42.8%), bitherapy in 38 cases (29.4%), triple therapy in 20 cases (15%) and combination of 4 or more drugs in 5 cases (4%). Finally combinations of drugs that included classical tuberculosis treatment were used in 10 cases (8.7%). In 41 patients the regimen of drugs needed to be change, either for non effectiveness or non tolerance. The regiment was change one time in 29 cases (21.8%), two times in 10 cases (7.5%), and up to 3 times in 2 patients (1.5%). The drug more frequently used as monotherapy was clarithromycin, followed by minocycline, doxycycline, ciprofloxacin and trimethoprim-sulfamethoxazole. The combinations of drugs more frequently used were rifampicin + ethambutol followed by clarithromycin + rifampicin and clarithromycin + ethambutol. (Effectiveness of the different regimens depending of the extension of the disease can be seen in table 4) Susceptibility test were reported in 34 patients. Rifampicin was susceptible in 86.4% of the test, ethambutol in 91.3%, clarithromycin in 95% and minocycline in 62.5%. Isoniazid was resistant in 100% of the tests done and streptomycin in 66.6% (see table 5). The average time of duration of antibiotic treatment was 5.4 months, with a range of 12 days to 15 months. After completion of the treatment the final evolution of 109 patients (81.9%) was reported as good outcome or cured. Only in 8 patients (6%) the evolution was reported as bad outcome. No mention about the evolution was done in the rest of cases. Among 12 patients in which long follow up was reported, only one patient presented recurrence of the infection after 3 months course of doxycycline. (Characteristics of the cases with bad outcome are resumed in table 6. Table 4:: Antibiotic Combinations Used Depending On The Extension of The Disease Patients with only cutaneous lesions Patients with Invasive disease Number of patients Effectiveness Number of patients Effectiveness Monotherapy 38 52.5% 16 75% CLR 8 75% 5 100% MIN 10 70% 1 100% DOX 8 50% 1 100% CIP 4 25% 2 50% CTX 2 100% 3 33.3% AZI 3 0% 0 AMK 1 0% 0 ERI 0 1 0% LEV 0 1 0% MOX 1 0% 0 OFL 1 0% 2 50% Combinations of 2 drugs 26 92% 11 83.3% CLR + EMB 6 100% 2 100% CLR + CIP 1 100% 0 CLR + MIN 1 100% 0 CLR + RIF 5 80% 0 CLR +CTX 1 100% 0 RIF + EMB 9 100% 5 60% RIF + CTX 0 1 100% RIF + INH 0 1 100% CIP +DOX 1 100% 0 CIP + EIR 1 0% 0 DOX +CTX 0 2 100% CIP + EMB 1 100% 0 Combinations of 3 drugs 13 72.7% 7 66.6% CLR + EMB + CIP 0 1 0% CLR + EMB + RIF 2 100% 5 100% CLR + EMB +RFB 0 1 0% CLR +CTX + CIP 1 0% 0 EMB + AZI + MIN 1 0% 0 RIF + CLR + AMK 1 100% 0 RIF + INH + CLR 1 0% 0 RIF + EMB + CTX 5 100% 0 RIF + EMB + DOX 1 0% 0 RIF + EMB + MOX 1 0% 0 Combinations of > than 3 drugs 2 100% 3 33.3% CIP+RIF + EMB + CLR + RFB + AMK 0 1 100% CLR + DOX + RIF + EMB 0 1 0% RIF + EMB + CLR + AMK + IMP 0 1 0% RIF + EMB + AZ I+ CTX 1 100% 0 RIF + EMB + CLR + CIP 1 100% 0 Combinations with TB treatment 1 100% 9 55.5% INH + RIF + EMB + CLR 1 100% 1 0% INH + RIF + EMB 0 3 100% INH + RIF + EMB + PZA 0 4 50% INH + RIF + EMB + PZA + CLR 0 1 0% TABLE 5: PATTERN OF SUSCEPTIBILITY Drug Number of patients Susceptible Resistant Indeterminate Isoniazid 9 9 Rifampicin 22 19 3 Ethambutol 23 21 2 Pyrazinamide 1 1 Streptomycin 6 1 4 1 Rifabutin 2 2 Azithromycin 4 1 3 Clarithromycin 20 19 1 Minocycline 8 5 1 2 Doxycycline 6 6 Tetracycline 2 1 1 Trimethoprim-sulfamethoxazole 6 5 1 Ciprofloxacin 11 6 1 Levofloxacin 1 1 Moxifloxacin 4 4 Gatifloxacin 1 1 Amikacin 9 9 Linezolid 1 1 Imipenem 2 2 Erythromycin 2 1 1 Cefotaxime 2 1 1 Kanamycin 3 3 Ethionamide 3 3 Ansamycin 1 1 The table reflects in how many patients each drug was tested and in how many it resulted as susceptible, resistant or indeterminate. TABLE 6: CHARACTERISTICS OF CASES WITH BAD OR POOR OUTCOME References Age Sex Past medical history Type of infection Treatment Duration treatment (months) Evolution [25] 67/M DM Cutaneous disseminated RIF+EMB+CLR+CIP 3.7 Deceased Secondary bacterial infection [26] 50/M No Tenosynovitis RIF+EMB Synovectomy 3 Dysfunctional index finger [46] 62/F No Tenosynovitis CLR 4 debridements 6 Amputation index finger [46] 26/M No Tenosynovitis DOX+CTX 4 debridements 3.5 Persistent infection Need of grafting [73] 56/M No Tenosynovitis Local gentamicin Synovectomy 3 drainages ? Deformity [83] 47/M HIV infection Osteomyelitis 1-INH+RIF+EMB+PZA 2-Avobe + Fluoroquinolone 3-RFB+EMB+CIP 4-RFB+CIP ? Amputation Knee [88] 60/F NHL Systemic steroids Cutaneous disseminated 1-Ofloxacine 2-RIF+EMB+LEV+CLR 3-Above+STR+IG 4-CTX+MOX ? Continue with signs of active infection [103] 81/M Myasthenia gravis Systemic steroids Cutaneous and systemic dissemination 1-CIP 2-Hyperthermia 3-DOX intravenous 5 Deceased Bone marrow infected by M.marinum Results from papers that contain series of 14 or more cases There were 14 papers that contained series of cases with no available information of individual cases. As a consequence, individual cases could not be analyzed separately. There were 2 papers that reported the same series of cases in different years, the cases were counted just once. The principal characteristics of the papers are described in the table 7. There were 363 cases reported, 68% were males with an average of 44.3 years. In most of the cases the past medical history was not relevant; only 4 cases of HIV infection were reported. The most frequent exposure was to own an aquarium in 134 cases (37%). There was other kind of contact with fish in 37 cases (10%), swimming pool contact in 7 cases (2%) and other kind of contact with water in 58 cases (16%). In the rest of cases exposure was not mention. Finally occupational exposure was referred in 68 cases (19%). The incubation period was not reported. The upper limbs were affected in 245 cases (67%), the lower limbs in 78 cases (21%), the face in 3 cases (0.8%) and there was cutaneous dissemination in 10 cases (3%). Sporotrichoid spread was reported in 46 cases (12%). The lesions were described as plaques in 92 cases (25%) and nodules in 54 cases (15%). Deep structures were affected in 45 cases (12%): 41 tenosynovitis (91%), 8 arthritis (18%) and 3 osteomyelitis (6%). There were no cases of systemic dissemination described in any of the series. The average in the delay until the diagnosis was done was 3.8 months. The drugs more commonly used as monotherapy were doxycycline, minocycline, trimethoprim-sulfamethoxazole and clarithromycin. The combinations more prescribed were rifampicin plus ethambutol, rifampicin plus clarithromycin and clarithromycin plus ethambutol. The effectiveness of the treatments were not frequently reported. Consequently is not possible to point the advantage of any concrete regimen (see table 8). The average duration of the treatment was 5 months. Surgery was reported in 73 cases (20%). The evolution was good in 225 cases (62%), poor in 15 cases (4%) and not mention in the rest. There were 5 papers that contained series of cases of atypical mycobacterial infecti

When Worlds Collide Essay -- Culture Anglo Saxon Essays

When Worlds Collide The world of Beowulf and that of modern America have some interesting similarities. The Anglo- Saxon belief in "wyrd," or fate, is alive and well in the 21st century. Like the Anglo- Saxons, our culture regards the crime of killing one’s own kin or family to be the most heinous of all. Americans love entertainment just as much as the Anglo- Saxons of Beowulf’s time did. Of course, with our modern technology like movies, television, and the Internet, we are allowed to experience many more methods of enjoyment than medieval people were able to enjoy. However, their culture is remembered through portions of our popular culture. Within its pages, Beowulf contains the notion of â€Å"wyrd.â€Å" This is the Anglo- Saxon concept of fate, the idea that everything is destined or planned to happen. The Anglo- Saxon people believed that everything was predetermined and that all their fates were already fixed. Beowulf says to Unferth that â€Å"Fate often saves an undoomed man when his courage is good,†(p.12) meaning that fate may save a warrior if he has true courage. In modern- day America, this idea of fate is similar to the idea of having ‘an angel on your shoulder.’ Many of the people who survived the September 11th tragedy did so by missing their train that day or getting struck in traffic. One gentleman who worked high up in the first tower surfed down twelve flights of stairs as the building collapsed and survived with only a broken leg. Some believe that it was just chance or a random thing, but many believe that it was fate that saved them, the idea being that some other force had pl ans for these people and that their time on this earth was not yet over. In Beowulf’s time, the w... ... Lord of the Rings, originally a trilogy of books written by J.R.R. Tolkien, pays respect to the ancient culture and ways of the Norse people, with their traditions of oral story telling and epic quests embedded within the story’s plot. These similarities show where some of our roots as Americans come from. Our culture is a massive patchwork quilt of various cultures and ethnicity. There are strong strains of this ancient culture running through our modern society. Beowulf is only one example of the Anglo- Saxon literature we possess today, but from it, we obtain more of what their culture was and we keep some these values alive in our own ways. Works Cited Associated Press. â€Å"Doctor: Yates felt she had no choice.† http://www.msnbc.com/news/709713.asp 5 March 2002. Howe, Nicholas ed. Beowulf: A Prose Translation. New York: W.W. Norton & Company, 2002.

Racial tensions and problems Essay

Racial tensions and problems are common for multiracial countries. They are unavoidable as wherever there is a mixture of cultures, there always is prejudice. As far as the history is concerned, blacks were the ones to whom the hatred was directed the most. Laissez-faire- the initial policy of the British government towards migration proved to work for country’s disadvantage, which only became clear in the years that followed. Negroes, Indians, Asians or any other ethnic minority whose skin color is darker than that of WASP (White Anglo-Saxon Protestants) are referred to as black. For these people the term â€Å"equality of opportunity† is far from the truth and their struggle for â€Å"freedom† seems to be endless. They experience many humiliations on everyday basis and often are objects of bullying. They find it difficult to assimilate owing to many reasons and the society is not helping them at all. However, in accordance with some claims, there exist certain opportunities that these people may take an advantage of. The children of black families are said to be the ones that can make the most of the two cultures- the native and the target one. Owing to their susceptibility, it is easier for them to assimilate than for their parents who have a strong feeling of identity and are often nostalgic about their origin. Mixed schools are places where black children learn about the target culture and socialize with their friends of different origins. It is an opportunity for them to enrich their cultural values and at the same time preserve their own. Due to the disrespectful attitude they meet with everyday, these children become much more motivated to do well at school than their peers. It is education that is inculcated into their mind since it is essential to lead a decent and respectful life in future. On the other hand, schools are often places of terror for black students. In fact, they are bullied and intimidated on every occasion. There are many racist groups including skinheads, whose ideologies are close to that of Nazis. â€Å"The skinheads beat the Bengalis with baseball bats and bottles  and drove at them in a van. One Asian was beaten unconscious  as the mob returned for a second assault just minutes  after the first one. When police searched their van they found  a swastika flag, white supremascist literature as well as machete,  axe, knives and a CS cannister.† (‘Asian Weekly’ 12 July 1993) Blacks are considered as enemies or plague of the country and these subgroups refer to themselves as the cure. Their severe attacks most often have fatal effects or even result in suicides. The victims are innocent adolescents whose only crime seems to be their complexion. Strange as it may seem, elocution and clothing can contribute a lot to an improvement of ones image and status. There are numerous blacks who became successful on television or in politics and many other walks of life. These people surely do not consider themselves different from their parents or ancestors; neither do they consider themselves better. It is hard work that has got them so far and they have every right to be proud of themselves. This may be regarded as the very last step of acculturation where a person is fully assimilated and integrated into the target culture. At this stage one may say that the opportunities for blacks become almost equal with those of WASP. People seeing a black man on television reading news no longer see a black speaker but a speaker who happens to be black and that is a grave difference. It can be safely said that speech manner and impeccable appearance combined with good education opens a window of opportunities for blacks, however, not many of them are willing to accept this chance. â€Å"The fact that many black teenagers dress in the style  of extremist groups, such as the rap group Public Enemy,  conjures up images of hostility and aggression in some people’s  minds. Rightly or wrongly, they will be equated with the attitudes  that such groups represent.† (‘The Sunday Times’ 30 August 1992) Making an effort to assimilate is crucial. Most of young blacks do exactly the opposite. Their appearance and offensive language stray too far from the established norms that exist in a given society. By doing that they exhibit a very negative attitude toward life, which is portrayed not as a desire to assimilate but the converse. Because of the facts presented above only a small percentage of blacks gains respect and a good position in life. This gave rise to something which was termed an â€Å"affirmative action†. All it meant was that employers, to some extent, were forced to give job to people from ethnic minorities. In every institution there must have been a certain percentage of these people employed in order to create a general feeling of equality. Positive as it may seem, this also created problems. It was a â€Å"backstab† for people of the target culture because their jobs were threatened. General attitude was that blacks are given the jobs of whites who are often better skilled to do them. Considering an assembly-line job it did not matter much but a police force was more serious issue. Blacks were teamed with whites to patrol the streets not because their abilities or test scores were high but because they were black and that was an outrage. The society was very negative toward the idea of affirmative action and remained so until today. All in all, I would venture to say that the parents are the ones to be blamed for the problems that their children have with assimilation. It is often their attitude and the feeling of nostalgia that does not allow the youngsters to adopt the target culture. The children are left confused and undergo an identity crisis trying to reconcile themselves to a particular culture. This is where all the problems result from and they seem to outweigh the opportunities that I presented above. Yet, the hope for better future is still at hand. Next generations of blacks will certainly analyze the faults their parents and grandparents had made and allow more freedom of choice for their children. REFERENCES ‘Skinhead mob jailed for attack on Asians’ in â€Å"Asian Weekly† (12th July 1993) ‘Young, gifted and not-too-black’ in â€Å"The Sunday Times† (30th August 1992) BIBLIOGRAPHY Fiedler, E., Jansen, R. and M. Norman-Risch., 1995. America in close-up. Harlow, Longman. O’Driscoll, J., 1995. Britain. Oxford, OUP. ‘Growing up BLACK in Britain’ in â€Å"She† (January 1991) ‘My parents are racist’ in â€Å"Just Seventeen† (1st June 1994) ‘Skinhead mob jailed for attack on Asians’ in â€Å"Asian Weekly† (12th July 1993) ‘When Asian youths hit back’ in â€Å"The Guardian† (16th september 1993) ‘Young, gifted and not-too-black’ in â€Å"The Sunday Times† (30th August 1992)

Hills Like White Elephants Essay

In the story â€Å"Hills like White Elephants† the vague dialogue conveys an allusive tone, in order to be represented correctly the author puts more emphasis in the character’s interaction with the setting. The setting is at a stopping point before their final destination. The dialogue mainly transpires throughout between the Girl and the American. This story is based around a vague dialogue, but is filled with the observations of the setting in order to express the pressure, significance, and opinions upon the subject at hand. In order grasp these messages, the reader interprets through the vivid imagery that is depicted by the author.The style of writing conveys this picture with an intended amount of clarity to leave the rest up to the reader to elucidate. This clarification is necessary in order for the reader to truly grasp the decision at hand and the weight of it as well. A metaphorical aspect of the setting is the â€Å"Elephant in the Room [2]†. This im plies that there is a subject that no one truly wants to discuss, and is left there to fester within the subconscious of these two characters until they have finally reached their decision. Another extended metaphor throughout the story is â€Å"†¦Like White Elephants†.This symbol can be interpreted as a great gift given to a person, but it is also a heavy burden that most would not desire. At this time they are having the discussion on whether or not to have an â€Å"Operation†. There are four main aspects of the setting that reflect upon the tone. The first are the hills mentioned in the beginning of the story. The second is the isolation between the two characters within the train station, and this is mainly because of it’s opposition to the tone, The first part of the setting that is mentioned is the hills along the Ebro Valley that from their perspective has no shade or trees.The absence of shade represents the blatant manner of how the American goes a bout convincing the girl in this story. Over and over again he promises happiness if she agrees. The trees represent life she is considering having. The absence of shade also shows why there is an absence of trees. As the â€Å"sun† overwhelms the â€Å"trees† they start to wither away. For example, later in the story as another form of persuasion he says â€Å"I don’t want you to do it if you feel that way [1]† in order to coax her in to making the decision he wishes for without making it seem that he had any influence with it.This displays the American’s true intention to rid Jig and himself of the baby. The lack of shade may also symbolize the lack of thought the girl goes through for the American’s suggestions. For example, the girl does not speak Spanish and therefore relies on him in order to get her a drink, and after that she also asks him if a drink is good with water claiming that she couldn’t decide this on her own. Her dep endency on the American in these situations indicates how reliant she is on him. This is an example of why she is so incapable of making such heavy decision.The second significant aspect of the setting is the Train station. The statement â€Å"the station was between two lines of rails in the sun. [3]† this has two significant observations. The first is the fact that the station is between two lines. This means that the conversation and the two’s relationship is at a â€Å"Stop† or a crossroad. At this point they are to make an important decision about whether or not to keep the baby. In this story you’ll notice the dialogue of the girl sounds somewhat ambivalent due to the way her decision sways back and forth. This is a prime example of why.What she sees on that side ultimately depicts the choice she is about to make. For example; in the story the reader may notice that there are â€Å"no trees† along the hillside. Later in the story the American is still busy trying to convince and then she gets up and she walks to the other side of the station she notices fields of prospering vegetation full of life alongside a flowing river whose viscosity emphasizes the idea of moving forward. These enticing promises from the American paired with the barren valley are dwarfed by the cornucopia of life seen within the field on the other.The juxtaposition between the two sides represents the heaviness of the choice on whether to give life or take it. The second tone-related characteristic of this station was the drinking between the American and the girl. As the girl and the American sat, she asked him what they should drink the American suggested alcohol. The beer was a way of escaping the serious discussion the two were trying to avoid. The alcohol was a method of getting around the â€Å"Elephant in the Room† with such dry small talk as â€Å"The beer is nice and cool [4]† or â€Å"They look like white elephants†¦.. I`ve never seen one†¦no you wouldn’t have [5]†.The girl points out that this routine of â€Å"look at thing and try new drinks? [6]†has grown tiring. This is the first change in her mood that is noticed, but after this small inquiry she recedes into her submissive nature continues this throughout most of the story. The third aspect of the setting that expresses the allusive tone is the juxtaposition between the two sides of the valley. This is another example of the reader relying on the setting in order to understand the representation of the tone. One of the sides features long white hills that resemble white elephants and are without shade or any trees.White Elephants are a symbol of burden, which anyone would normally abhor from. This mainly represents the American’s view on how this pregnancy will affect the two of them and how they’ll live. He states â€Å"We`ll be fine afterwards [7]† and â€Å"That’s the only thing that bothers us. [8]† in order to convince her about the positive things that will come out of this operation. The girl later retracts the statement about the hills looking like white elephants but states â€Å"They’re lovely hills†¦.. They don’t really look like white elephants. I just meant the coloring through the trees. 9]†. This portrays a sudden change within the girl; from being very submissive to what the American suggests (Reason why she sees the hills without trees and lifeless) to questioning the reason for avoiding the true matters at hand (Reason she now sees flaws in his logic and starts form optimistic views about how the baby should not have an effect on how their relationship functions. ). The trees on this side of the station ultimately resemble the life she can hope for, but the other side of the station represents a promise of homogenous happiness.This side is showcases the joys of not having to worry about the â€Å"One thing that mak es unhappy†. The fields of grain and the river appeared to represent the progress that the American promised. While the girl stares into this auspicious land a cloud’s shadow is cast upon it. This shadow foretells the future that land that would prosper will have the shadow’s influence over, meaning the American will most likely take over her will and rid her of independent thought. Moreover there have already been examples of her relying on him for the simple decisions, and taking his desires as a primary concern instead of her own.The fourth aspect setting that reflects the allusive tone is the train. This part of the story conveys a sense of pressure to the story since it occurs within a time period of 40 minutes. Also since this in an unpopulated train station the sense of isolation also has an effect on the characters. This sense of isolation forces them to face the â€Å"Elephant in the Room† no matter how much they want and they must face it within the time frame. In order to avoid â€Å"talking with her† or communication between each other he speaks to her as if his attention was omewhere else. This explains why the American’s compelling reasoning is being heard over and over again. It’s mainly because he wants her to see his view and submit to his â€Å"Suggestion†. Once his suggestions fail he entices her with promises of affluence in the future by showing her the land and saying all this could be ours. The girl once again falls under the pressure of the time frame she has to make the choice and looking for relationship security, but after her acceptance of this the American perseveres with his insistence.In response the asks for silence or otherwise she’ll scream, this symbolizes the need for seclusion in order to steal away from the constant battering and pressure of another’s thoughts. The Woman then comes out with more alcohol in order to break the tension, also adds more pressu re by saying â€Å"The train comes in five minutes. [10]†. Instead of reiterating his last point he decides to take the heavy bags to the other side of the station, and when he comes back he decides to sit at the bar instead of the table with the Girl. He asks her if she felt better now and she replies with â€Å"I feel fine†¦.There’s nothing wrong with me. I feel fine. [11]† This tells us that she has resolved the issue by herself and is ready to continue with what she desires. In conclusion, we see that the different parts of the setting portray different methods of expressing their decision due to the lack of direct dialogue. Through things such as scenery like the hills; the change in how she sees them represent how her forms and has changed from when the story started. It has also been depicted through how the different sides of the train station juxtapose one another.On one side prosperity and promising futures are seen, but on the other side the deso late, dry, and lifeless hills promise nothing but a lack of progression. Another way the train station represents the tone is the change in what the girl sees alongside the hill as she abjures her previous statement and restates the hills no longer seem like white elephants but only appear that way through the trees. This change in viewpoint shows how she is starting to no longer lean on the opinion of the American and form one of her own.This retraction of her statement also means that she no longer sees this birth as the burden or the â€Å"Only thing that makes us unhappy† anymore. And lastly the inclusion of a timeframe increase the amount of weight that is felt within the decision making process. The train shows why the American is trying to be overly-persuasive in this conversation in order to convince her to go through with the operation. Overall, Ernest Hemingway expresses the majority of the decision through the characteristics of the setting and how the characters a re willing, unwilling, or unable to interact with one another.

Confirmation Letter Essay

The reason why i am seeking the rite of confirmation is because i have followed the catholic religion all of my life and want to be part of the catholic religion for the rest of my life. i would like to raise my children and family as catholics. I believe in jesus christ and all the teachings of the bible. I have been baptized, i’ve had my first communion and its only natural that i would take the next step to be confirmed. im looking forward to being seen as an adult in the eyes of the catholic church. I will attend church masses on a regular bases. Another reason why i want to be confirmed is because its one of the seven sacrements. Sacrements are signs of God’s life and love. Confirmation is the sign that gods holy spirit will love you and always be with you. The sacrement of confirmation is the strength to be faithful to gods will, to be a strong and perfect catholic. Confirmation is a stage in catholic religion after Baptism, and is completed in the reception of the holy eucharist in communion. One last reason why i would like to get confirmed is to recieve the holy spirit and you become more responsible. When you recieve the holy spirit you are recieving God and it will help you make decisions and it will comfort you and strengthen you. Getting confirmed will also make you become more responsible because if you say you want to be confirmed then you are responsible for coming to church each week, praying more and acting more like jesus.

Is that possible all students and techers or professers have a healthy Research Paper

Is that possible all students and techers or professers have a healthy insurance from their university or college - Research Paper Example The students as well as the professors spend the maximum time of their day in the college or the university which enhance the probability of accidents, being the main reason why health insurance is not only a possibility rather a necessity. Firstly, as a general rule health coverage is found to be directly correlated with better health outcomes amongst individuals (Bovbjerk & Hadley 2007), this being the main reason for acquiring a reliable insurance plan. Students and even professors work under high pressure situations in a competitive college environment which increases the risks of acquiring health problems. Thus, the need for a reliable health insurance plan by the universities increases as better health outcomes will lead to a high production. Nowadays, the cost for education is being increased by every passing day which puts a lot of pressure on the students. Besides, there is a lot of competition in the job market which further stresses out the students. An average student is found struggling to balance school life, work life and the social life which increases the risks of anxiety and depression. To counter this condition, universities and colleges should ensure a health insurance plan along with regular checku ps as basic requirements to make sure that the students are in best health. Secondly, depending on the degree and the college environment, various activities pose different threats to the health of an individual (Baker 2010). For instance, sports are the basic components of the school as well as university life of many students. Some of these sports are highly aggressive in nature and chances are that a severe injury might occur. It is the sole responsibility of the college in this case to keep the students covered under a reliable health insurance policy. Also, students conducting experiments in the lab handling highly toxic chemicals are also at a high risk of getting mild injuries. In such a scenario, the college or the university is responsible