Saturday, November 30, 2019

Mario Puzos The Godfather free essay sample

An analysis of the 1969 novel. This paper presents an analysis of the novel by Mario Puzo, The Godfather on which the 1972 film of the same name was based. Parallels are drawn between Mafia life and aspects of family life and politics in the non-Mafia world through an examination of character, setting and themes in the novel. Today, with the popularity of The Sopranos on HBO and the widespread regard given to the film version of The Godfather, it is important to go back and review the actual text the film The Godfather was based on. The 1969 book The Godfather, by Mario Puzo, illustrates persuasively to the reader that the Mafia is not simply about crime, murder, and corruption. Rather the Mafia is an organization that has parallels with other aspects of family and political life. By understanding these parallels and the complexities of the characters described in the novel, the reader gradually comes to an uncomfortable awareness about the tensions and the difficulties in his or her own, non-Mafia family and political world. We will write a custom essay sample on Mario Puzos The Godfather or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page

Tuesday, November 26, 2019

Reflection On Placement Experience In Womens Centre Social Work Essay Essays

Reflection On Placement Experience In Womens Centre Social Work Essay Essays Reflection On Placement Experience In Womens Centre Social Work Essay Essay Reflection On Placement Experience In Womens Centre Social Work Essay Essay The Ipswich Womens Centre Against Domestic Violence is a womens rightist community based administration committed to working towards the riddance of domestic and household force throughout the community. The primary focal point of IWCADV is to supply support to adult females and kids subsisters of domestic and household force. This includes telephone information, referral and support services, tribunal support for adult females, reding services, group work and kids s work. During my placement experience as a adult females s counselor at IWCADV I foremost spent a few hebdomads developing my apprehension of the issues involved in domestic force and the systems that are in topographic point to back up adult females and kids who are subsisters of domestic and household force. My cognition of the issues impacting adult females and kids sing domestic and household force includes an apprehension of the emotional impacts of maltreatment ( such as feelings of heartache and loss, choler, guilt, depression, injury ) , the loss of personal and physical security, safety concerns, the fiscal costs, household jurisprudence and other legal issues, and power and control instabilities in relationships. I have developed my cognition of the issues impacting adult females and kids sing domestic and household force in my university surveies and my work experience. The apprehension that I gained from my University surveies was enhanced during my pupil arrangement at the Ipswich Women s Centre Against Domestic Violence. It was here that I developed my apprehension of feminist positions on domestic and household force, including the person, familial, legal and societal issues. In this function I was able to develop my apprehension of womens rightist informed practises and techniques. I support this model for pattern as it can authorise adult females and assist them happen their voice, promoting adult females who have experienced the loss of control to do picks about their ain life and to take duty for their life picks and to take back control. I worked from within a feminist model to authorise the client to happen her voice and to detect her worth and do her ain picks. In my function as a pupil counselor at IWCADV I provided crisis support and protagonism work to adult females who have experienced domestic and household force. During the get downing guidance Sessionss, I found it was rather hard to ever follow the narrative and put way for the guidance. I took a strengths based narrative attack and normally after 2 -3 Sessionss a clearer image had developed of the client s experience with domestic force, and this continued to blossom throughout the guidance Sessionss. One of the most personally rewarding facets of my reding experience was the chance to research and see symbol and sand tray therapy. I spent some clip reading Sandplay and Symbol Work Emotional healing and personal development with kids, striplings and grownups by Mark Pearson and Helen Wilson to fix for my personal experience with symbols and sand tray therapy during my professional supervising Sessionss. I so had the chance to present one of my reding clients to the sand tray. Whilst I did hold feelings of uncertainness about my ability to ease the procedure, I did experience comfy plenty with the scene and with my client to make a safe topographic point for self-discovery and self-awareness. She was really unfastened to the procedure and we both found this to be an gratifying and meaningful experience. My client reported that this was a really positive experience for her and allowed her to treat some of her experiences with domestic force and that it was a discovery for her in fo otings of larning to accept and value herself. I felt that it was an honor to portion this portion of my client s journey. With another client who was directed by the Department of Child Safety to go to guidance, puting the way for each session was more hard. I did non believe that this adult female was ready to research some of the emotional issues related to the injury that she had experienced as a consequence of long term domestic force. I was encouraged by her regular attending and I believe that this was a consequence of my increasing ability to develop resonance. I was able to develop good resonance with my clients by being non-judgemental, utilizing unfastened ended inquiries and appropriate organic structure linguistic communication. I believe that my accomplishment in developing resonance is reflected by the feedback and regular attending to reding Sessionss by my clients. I did battle with stoping the Sessionss on clip and often found that Sessionss with some clients were running over 1.5 hours long. I spoke with some of the other workers at the service about this and they agreed that it could be hard particularly when adult females are researching really painful issues and that it was of import to be sensitive but direct when shuting a guidance session. The group supervising times that I was included in at IWCADV were besides really honoring and animating times for me. The other workers at the service were all really passionate adult females with a strong committedness to authorising adult females and altering community attitudes about force towards adult females. During group supervising at that place was chance and support for workers to reflect on their ain feelings of desperation and weakness, and at that place was encouragement to widen and portion your cognition and apprehension of the issues associating to domestic and household force. The group times were besides really honoring squad edifice occasions and there is a strong committedness at the service to back uping one another. For illustration, I found that after long phone calls or after a guidance session, another worker would check-in with me to supply any support and to reply any inquiries that I had.

Friday, November 22, 2019

5 Tips That Will Help You Get a Job With No Experience

5 Tips That Will Help You Get a Job With No Experience Getting a job, especially in a field that’s relatively new to you, can be fraught with confusion and contradictions. Perhaps the Catch-22-est of them all: everyone wants to hire someone with experience, but how do you get that experience if no one will hire you? You know you’re ready and qualified for these jobs, but without prior experience it’s hard to convince hiring managers glancing at a resume. It’s incredibly frustrating, especially when you’re just starting out in a new field (or trying to).   1. Get Moral SupportFirst things first: you’re not alone. Discouraged job hunters often turn to online social forums like Reddit to see if others are experiencing the same job search pain. There’s comfort in numbers, of course, but more importantly, people are able to share their own experiences and even offer solutions that ended up working.  2. Market Your  ExperienceSometimes, it’s a matter of sending your cover letter and resume to 100  different places until the right job without experience comes along, especially in a tough market. But more likely, you’re unwittingly sabotaging yourself by limiting how you present your experience. Experience comes in many different forms, and although employers tend to prize paid experience above all else, look at your resume and see if you’re unintentionally selling yourself short. Maybe you don’t have three years in a paid role, but you do have a year-long internship doing much of the same role. Ditto for skills you use in a volunteer job or in an educational setting.Make sure your resume is clear on your skills that overlap with the job you want- and if that means tailoring your resume for each job opening, go for it. You can also call out this point in the cover letter, saying you have extensive experience in X skill in a similar office setting.  3.  Be Open to Starting From the BottomGetting the full-time paid gig in your chosen fie ld will almost always be the gold standard. It’s likely what you’re seeking, but if you’re having trouble breaking into the industry, there might be a back door. Many companies seek temporary or part-time employees to work on short-term projects or to screen potential candidates for a permanent position. Being a â€Å"temp† can feel like a step back when you have your heart set on a full-on career-starting position, but don’t count it out.I had this experience when I moved to a new city, degree in hand, and no job. Entry-level jobs in my target field (book publishing) were hard to come by at the time, and unfortunately â€Å"career goals† can’t pay the rent. So I signed up with a local staffing agency and moved through a number of temporary positions over the next few years. Not all of them were in publishing, but every single job gave me necessary workplace skills and experience that eventually helped me get on the path I wanted.It c an seem like you’re giving up on your goals to take a temporary or part-time position, when really you’re repositioning yourself to be a better candidate for the right job.  4.  Network in Your IndustryDoes your target field have a professional association or union? Dig a little deeper and start researching what the resources are in your industry. If there are public networking events or social events, go! Meet new people, and start building relationships and shoring them up via LinkedIn or other social media. You may not get a job right away, but worst case, you’ll have spent an evening learning from people who share your professional interests- and they might remember your name as that awesome person who didn’t have decades of experience but showed great initiative and knowledge at that party a few months ago.  5. Look for the needle in the haystack.Take a close look at companies in your industry- it’s possible that some do offer training o r experience-building positions for people without prior experience. You can also contact human resources departments in your industry and ask them about training and entry-level opportunities offered by the company. It will help you get a better sense of the â€Å"friendly† opportunities for your level of experience and help you focus your search accordingly.Don’t let a lack of experience daunt you. Everyone, in every industry, has to start somewhere. There are breaks available, really. And while it can be frustrating to wait, you can take proactive steps to make sure you’re ready to take advantage when opportunities do come up.

Thursday, November 21, 2019

Research proposal Essay Example | Topics and Well Written Essays - 250 words - 2

Research proposal - Essay Example In this research proposal, therefore, attentive oral hygiene is a significant part of VAP prevention approach; though there is a difference in the real practice for particular application technique, products utilized, and timing prevent development of VAP. The participants will be ICU adults receiving mechanical ventilation who are in need of regular oral care hygiene. The problem is that there are no definite recommendations in the guidelines about a specific solution to be utilized and the frequency of oral care. A research in an ICU suggest that performing oral care thrice a day with routine tooth brushing minimized the rate of pathogenic bacteria colonization in the oral cavity that resulted in a remarkable reduction in the prevalence of VAP (Ebbing, 2010). In recent studies, use of 2% chlorhexidine solution as the oral care hygiene technique in ventilated patients indicated a lower rate in oropharyngeal colonization with gram-negative bacilli and therefore, a reduction in the de velopment of VAP (Ebbing, 2010). The research topic is ‘what is the most efficient intervention to reduce ventilator associated pneumonia in adult ICU patients; use of antiseptic agent (chlorhexidine) or performing oral care (using toothbrushes or toothpaste)?’ The tooth brushing technique will involve the use of a soft toothbrush to clean the patient’s teeth to reduce plaque. Also, the patient’s gums and tongue will be brushed to stimulate the tissues (Urden, 2014). The use of antiseptic agent chlorhexidine will be performed after a duration of 6 hours, which is a recommendation for patients undergoing mechanical ventilation. In such a case, the patient’s teeth should be cleaned before using chlorhexidine to minimize staining. However, chlorhexidine can be made less active by toothpaste if used within a period of thirty minutes to two hours. Where the two methods may be

Tuesday, November 19, 2019

Imagine you are a business owner; discuss debt financing, types of Assignment

Imagine you are a business owner; discuss debt financing, types of risk, beta, and investments - Assignment Example This would give you a better idea to stock only as much as you would need. For a small business the ratios can do wonders as it utilizes current cash flows to determine how much cash would be flowing in the future. Most importantly for a small business like mine the financial ratios help to identify the weaknesses and the strengths of the business. This way the retailer can have a better understanding on how to play his cards in order to make his business flourish. A few ratios that tend to be important to a small business would be income ratios, liquidity ratios, and profitability ratios. Though what seems important for a small business enterprise will not be as important for a larger business enterprise. Thus larger business corporations have to consider retailers and wholesalers, for them it’s the ratio is of total assets and total liabilities. They have manufactures and a number of other liabilities and ratios that need to be accounted for while the workings of a small business are fairly simple. Another important factor in managing small businesses that is debt financing. Most small businesses do not require large investments and so they use debt financing. Debt financing is all about taking a loan from the bank to finance the newly found business practice. Debt financing surely has its upsides and downsides. We shall discuss the upside first; debt financing allows you to have full control over your business practices unlike having a partner. Another one would be the tax benefits involved (Bragg, 2011). Another important factor would be that the amount due is fixed and so can be managed over the months’ time because it is easier to generate the amount with a target in mind. Last but not least no amount of profit generated is up for sharing. Where theres an upside theyre bound to be a downside as well. The debt financing brings along with the

Saturday, November 16, 2019

The Devil’s Highway by Luis Alberto Urrea Essay Example for Free

The Devil’s Highway by Luis Alberto Urrea Essay Luis Alberto Urrea has done thorough research over the topic of illegal immigration and the problems people face while crossing the border before writing this book. Most of them die in the mid of their journey as they have to cross on foot which is very dangerous and involves a lot of risk. Urrea describes the situation and facts so lively that the reader gets completely involved and almost starts feeling the pain by which these men might have gone through. Urrea wants to point out that these illegal immigrants as human eings and wants them to be treated likely because the process of immigration takes us back into the history when men were needed in US to do some odd jobs that the citizens were not willing to do. Also these people could be paid less and thus helped indirectly in the economy of the country. But seeing some of the Mexicans well settled in US lot of them wanted to come and this gave rise to people like Don Moi to create mafia too. The Arizona desert is considered as the devil’s highway because it is deadly. Getting lost nd water are continuous problems that men face there. The description of different kinds of death makes the reader breathless and this looks quite close to reality as they tell their personal stories and the reasons behind why each one is risking his life. Urrea uses terms like ‘cutting the drag’ and explains the reader how these men carry themselves forward in that unimaginably strong sun and drag their body in extreme hot conditions. He also uses terms like ‘a pig at a luau’, which is used to describe the type of death these men were getting in that deadly desert due to heat. The ‘signcutters’ like Don Moi in the story takes away his cut of interest and leave the men in the way lost, as there are no signposts in the way to guide them. Urrea spends a lot of time on the point of view of the Border Petrol because he wants to show the real picture to the readers. He has done complete research work and has interviewed the various politicians on each side. Some of them are in favor of immigration while many want to build a high wall from one end to other end of Border. He wants to tell the reader that the common and poor people suffer due to this kind of politics. The two sides of the story tell the reality of both immigrants and the problems they face and activities involved at the border like patrolling and maintaining them. Urrea has very beautifully mixed the two stories and makes the reader feel the real picture behind what people actually think of. The Devil’s Highway’ is considered as literary nonfiction because it is a story based on acts and author has done a great job of blending reality with story. The facts are so well described in the pattern of story telling that reader actually feels pain and almost relive the story along with words used by writer. Urrea tells the story in a very fascinating way and even gives brief description of each individual, his life and reason why he wants to immigrate. This makes the story even more interesting and live. The book is ‘literary’ because reader is almost linked to facts through the story.

Thursday, November 14, 2019

Tibetan Government in Exile Essay -- Tibet China History Papers

Tibetan Government in Exile The Tibetan government-in-exile functions both adequately and admirably in the role of supporting Tibetans both in exile and in Tibet. While Chinese explanations for considering Tibet a part of China are most often reasonable, they tend not to reflect the nature of the relationship between the two countries accurately. In fact, the same can be said of the Tibetan government-in-exile regarding reasons Tibet is not a part of China. The government-in-exile has acted reasonably well in its attempts to regain Tibet, proceeding in negotiations with China and advocating its cause throughout the world while maintaining a non-violent approach. However, if the government-in-exile wishes to accurately portray the history of its relations with Tibet, it will have to amend some of its misleading statements in favor of the cause of independence. Reviewing a history of the role and form of the Tibetan government as well as relations between China and Tibet will help provide the best foundation for arguments for and against considering Tibet a part of China. Many of the arguments each side presents for their cause rely on how they view the history of their relations. An interesting note regarding history is that the Tibetans have little interest in it unless it centers on religion. Tibetan monks, in fact, do not read history as they might otherwise lose time to focus on texts of religion and philosophy[1]. According to archaeologists, human settlements in the area known as Tibet started appearing between 12,000 and 6,000 BC. Until the seventh century AD, there was no written language and little organization beyond a tribal level. Attempts at establishing a clear history before the seventh century... ...ml> Knaus, John Kenneth. â€Å"Official Policies and Covert Programs: The U.S. State Department, the CIA, and the Tibetan Resistance.† Journal of Cold War Studies Summer 2003: 54-79. Piburn, Sidney, ed. The Dalai Lama, A Policy of Kindness. Ithaca, New York: Snow Lion Publications, 1990. â€Å"Promising Start for Tibetan Envoys; The Government-in-Exile is Heartened by an Apparent Softening in Attitudes.† South China Morning Post 9 June 2003: News; page 6. Shah, Dr. Giriraj. Tibet: The Himalayan Region. Dehli: Kalpaz Publications. 2003. Smith, Warren W. Tibetan Nation. Boulder: WestviewPress. 1996. â€Å"The Status of Tibet.† The Government of Tibet in Exile. 3 October 2003.. â€Å"Structure of the Tibetan Government-in-Exile.† The Government of Tibet in Exile. 3 October 2003. .

Monday, November 11, 2019

Love is Ephemeral

So much of what we do is lost and quickly forgotten, even by ourselves. In the short story, â€Å"One of His Good Days†, by Laurence Hill, defines the idea that love is ephemeral. Love is a bond between mortal beings. But what happens when that bond is broken because of an illness? Can you love someone and not be in love with them? To prove this, the author uses the literary technique known as tone to show the reader how the characters feel about their situation they are In. Another literary technique the author uses to demonstrate the theme Is characterization.Hill uses horizontally in the story by showing the actions of the characters. Therefore, Hill uses the literary techniques of tone and characterization to develop the controlling idea that love is ephemeral. Hill uses tone to show the reader how Charlotte emotions get In the way of her love for Francis. Love is a dark and intangible feeling that can expose its targets to danger, pain and suffering. After the car acciden t that Francis had, Charlotte was taking care of him and was nurturing him In any way she could. But it came to a point when Charlotte realized she was no longer his wife and only a caregiver to him.And that's when her love died for Francis. For instance, Francis wants her to stay downstairs with him for the night when she responds, â€Å"l want to sleep. Haven't slept in a month. She had hardness to her voice that he hadn't heard before he tried to look in her eyes. She turned her head away. (9). Charlotte found it suffocating to be around Francis twenty four seven looking after him as If he was a baby. She was tired and reached her limit, which Is why she couldn't look at him any longer. And when she did look at him, she would â€Å"stare at him with eyes like empty saucers†. ). It was not only Francis who was suffering, but Charlotte to, and she did not want the love for her husband to have a dark and miserable end. Hill uses characterization of Charlotte to demonstrate h ow diminishing health in the elderly, establishes leads to marital estrangement. Charlotte personality changes from warm and loving to cold and removed due to her husband's worsening health. First, Charlotte does everything In her power to ensure her husband's well being, â€Å"she cooked for him and lifted him onto the toilet and got up four times a night for him† (9).Charlotte character changes throughout the story. She starts to see her spouse more as a burden than a husband. Charlotte is exhausted and leaves her husband in the hospital's care. Charlotte visits became fewer and fewer. â€Å"At first, she visited him twice a day, then once a day, then a few times a week, and lately, once a week† (9). It was as If she no longer knew him. Charlotte marriage with her husband has failed due to his recurring disease. People Judge others when they find out a spouse have dropped of the other at the door of a hospital or nursing home. But at what cost?

Saturday, November 9, 2019

Two Theories of Literacy Development

In this task I am going to identify 2 different theories of language development I am going to be doing, Naom Chomsky and Jean Piaget. Jean Piaget According to Piaget, language development is related to cognitive development, that is, the development of the child’s thinking determines when the child can learn to speak and what the child can say. For example, before a child can say, â€Å"This teddy is smaller than that one†, she/he must have developed the ability to judge differences in size.In Piaget’s view, children learn to talk ‘naturally’ when they are ‘ready’ without any deliberate teaching by adults he thinks children pick up language by repeated behavior. From doing his research into children’s language and how they think, Piaget put his theory on the idea that children do not think like adults he thought that they learnt through schemas which is repeatable behaviour which you see in children as they play and then Piaget t hought that through their play and interactions with their surroundings children build up their own understanding of the world.And Piaget thinks language development comes from logical thinking and reasoning skills. Schemas Schemas are patterns of repeatable behaviour which you might see children do everyday through play and on placements I have seen children do things on placements. Schema: Transporting I have seen most children when I’ve been at placement doing this e. g. when they carry blocks from one place to another either in a bag or trolley or when they take sane from the sand tray to the sensory area this is transporting. Rotation this is when children are fascinated by things spinning e. . the washing machine or anything with wheels they like rolling things down a hill and children enjoy spinning around or being swung around. An example of how children could learn language though schemas could be, if a chid is rolling or pushing a toy car along the floor. And it goe s under the sofa they will say something like ‘oh or its gone’ only as they do it more and more and they have influence through the environment they will become more advance in there language and later on the child will be ale to identify that its gone under the sofa.Piaget thinks children pass through 4 distinct stages: sensory motor, pre-operational; concrete operational; formal operational. Sensory-Motor Period According to Piaget’s theory he thinks children are born with basic ‘action schemas’ such as sucking and grasping. The sensory-motor period starts from birth to 2 years. This is when the children are doing their basic action schemas to take in information about the world. Piaget describes two functions of children's language: the â€Å"egocentric† and the â€Å"socialized. During the sensory-motor period, children's language is â€Å"egocentric†: they talk either for themselves or â€Å"for the pleasure of associating anyone who happens to be there with the activity of the moment. † This stage involves the use of motor activity without the use of symbols. Knowledge is limited in this stage, because it is based on physical interactions and experiences. Infants cannot predict reaction, and therefore must constantly experiment and learn through trial and error. Such exploration might include shaking a rattle or putting objects in the mouth. As they become more mobile, infants' ability to develop cognitively increases.Early language development begins during this stage. Children show that they know objects are still the when they can’t see them at 7-9 months, demonstrating that memory is developing. Infants realize that an object exists after it can no longer be seen. The pre-operational stage usually occurs between toddlerhood (18-24months) and early childhood (7 years). During this stage children begin to use language; memory and imagination also develop. In the pre-operational stage, childr en engage in make believe and can understand and express relationships between the past and the future.More complex concepts, such as cause and effect relationships, have not been learned. Intelligence is egocentric and spontaneous, not logical. The Concrete Operations Stage, this stage was believed to have affected children aged between seven and eleven to twelve years old. During this stage, the thought process becomes more rational, mature and ‘adult like', or more ‘operational', although this process most often continues well into the teenage years. Piaget claims that before the beginning of this stage, children's ideas about different objects, are ormed and dominated by the appearance of the object. For example, there appears to be more blocks when they are spread out, than when they are in a small pile. During the Concrete Operational Stage, children gradually develop the ability to ‘conserve', or learn that objects are not always the way that they appear to be. This occurs when children are able to take in many different aspects of an object, simply through looking at it. Children are able to begin to imagine different scenarios, or ‘what if' something was to happen. This is because they now have more ‘operational' thought.Children are generally first able to conserve ideas about objects with which they are most comfortable. Once children have learnt to conserve, they learn about ‘reversibility'. This means that they learn that if things are changed, they will still be the same as they used to be. For example, they learn that if they spread out the pile of blocks, there are still as many there as before, even though it looks different! Formal Operations Stage (11yrs-16yrs) Finally, in the formal operational stage of adolescence, When faced with a complex problem, the adolescent things about all possible solutions before trying them out in the real world.So when the child has passed through these stages Piaget thinks t hey are ready for the world and they will be able to sort things out throughout their life. Noam Chomsky Chomsky believes that children are born with an inherited ability to learn any human language. He claims that certain language structures which children use so accurately must be already engraved on the child’s mind. Chomsky believes that every child has a ‘language acquisition device’ or LAD which stores children’s language and structures for them to use and expand using their growing vocabulary.Chomsky points out that a child could not possibly learn a language through imitation alone because the language spoken around them is highly irregular – adult’s speech is often broken up and even sometimes ungrammatical. Chomsky’s theory applies to all languages as they all contain nouns, verbs, consonants and vowels and children appear to be ‘hard-wired’ to acquire the grammar. Every language is extremely complex, often with subtle distinctions which even native speakers are unaware of.However, all children, regardless of their intellectual ability, become fluent in their native language within five or six years. Chomsky thinks children learn language quickly and easily, and he thinks language is natural. All babies babble the same sounds, deaf babble. I’ve notice children at my placement make grammar mistakes and example would be, a child fell over in the playground and they said ‘I fellded down’ instead of saying ‘I feel down’ so Chomsky thinks children learn this themselves and we influence it as they get older because they listen to what we say and then we would say ‘oh have a fell down’.So by use saying it the correct way were hoping that the child them remembers this. Evaluation: Both Piaget and Chomsky believe that language is just something that children are born with and that it’s not through nurturing them but they believe that nurturing wil l help bring on their language and support it. Piaget thinks language development is related to cognitive development, that is, the development of the child’s thinking controls when the child can learn to speak and what the child can say.For example, before a child can say, â€Å"This teddy is smaller than that one†, she/he must have developed the ability to judge differences in size. Whereas Chomsky just thinks children will pick up the language but he believe it’s get influenced but people around but he think vocabulary has to be learned and that grammar is influenced by interaction. Chomsky he thinks children are born with all that is needed to produce language, but Piaget thinks parents and carers reinforce and therefore shape children’s language.

Thursday, November 7, 2019

Skin Cancer Essays - Dermatologic Surgery, Carcinoma, RTT

Skin Cancer Essays - Dermatologic Surgery, Carcinoma, RTT Skin Cancer Every hour one American is killed by skin cancer and every thirty seconds one American gets skin cancer. Cancer is a deadly disease that alters the DNA of a skin cell and causes it to reproduce at a rapid pace. This overproduction of cells can be harmful and in many cases deadly. Out of these cancers the most common is Basal cell carcinoma. Many steps have been made in the treatment of Basal Cell Carcinoma, some have been very successful and some not. The cells that have the altered DNA are called malignant or cancerous cells. These cells are found in the outer layers of the skin. The skin's main job is protect the body from infections and to insulate the body to keep it at the proper temperature. The first layer of skin is called the epidermis. This is the layer that is closest to the surface of the skin. There are three types of cells in this layer. The first is the squamace. The squamace cells are flat and scaly and are located closest to the surface of the skin. Second are the basal cells and finally are the melanocytes which give the skin its color. The second layer of skin is the dermis, which is much thicker than the epidermis. This layer contains sweat glands, nerves and blood vessels. The dermis also contains follicles which are tiny pockets from which the hair grows. (Jablonski) The most common malignant cells are the basal cells. Cancer in the basal cell is called nonmelanoma cancer. This means that the cancer did not start in the melanocytes located in the epidermis. (Prestan 1650) Basal Cell Carcinoma is caused by overexposure to the sun. The sun gives off ultraviolet rays which are harmful to the human body. Basal cell carcinoma will affect body parts such as the eyes, ears and nose. If it is detected before it gets deep into the skin there will most likely be no problem treating the cancer. The problem is when it is detected after it has progressed into the deep portions of you tissue. If Basal cell carcinoma is left untreated it can be very hard to treat and may even cause death. (Elson, 1) The common methods of treatment involve the use of Mohs micrographic surgery, radiation therapy, electrodesiccation and curettage, and simple excision. Each of these methods is useful in specific clinical situations. Depending on the case, these methods have cure rates ranging from 85% to 95%. Mohs micrographic surgery, a newer surgical technique, has the highest cure rate for surgical treatment of both primary and recurrent tumors. This method uses microscopic control to determine the extent of tumor invasion. Although Mohs micrographic surgery method is complicated and requires special training, it has the highest cure rate of all surgical treatments because the tumor is microscopically outlined until it is completely removed. While other treatment methods for recurrent basal cell carcinoma have failure rates of about 50%, cure rates have been reported at 96% when treated by Mohs micrographic surgery. (Thomas 135-142) "Mohs micrographic surgery is also indicated for tumors with poorly defined clinical borders, tumors with diameters larger than two cm, tumors with histopathologic features showing morpheaform or sclerotic patterns, and tumors arising in regions where maximum preservation of uninvolved tissue is desirable, such as eyelid, nose and finger." (Thomas 135) Next there is a treatment involving simple excision with frozen or permanent sectioning for margin evaluation. This traditional surgical treatment usually relies on surgical margins ranging from three to ten millimeters, depending on the diameter of the tumor. (Abide 492-497) Tumor recurrence is not uncommon because only a small fraction of the total tumor margin is examined pathologically. Recurrence rate for primary tumors greater than 1.5 cm in diameter is at least twelve percent within five years; if the primary tumor measures larger than three cm, the five year recurrence rate is 23.1%. Primary tumors of the ears, eyes, scalp, and nose have recurrence rates ranging from 12.9% to 25%. Third there is electrodesiccation and curettage. This method is the most widely employed method for removing primary basal cell carcinomas. Although it is a quick method for destroying tumor, adequacy of treatment cannot be assessed immediately

Tuesday, November 5, 2019

A Thousand Splendid Sunsâ€Discussion Questions

'A Thousand Splendid Suns'- Discussion Questions A Thousand Splendid Suns by Khaled Hosseini is superbly written, has a page-turning story, and will help your book club learn more about Afghanistan. Use these book club discussion questions to probe deeper into the story. Spoiler Warning: These book club discussion questions reveal important details from the novel. Finish the book before reading on! Discussion Questions What did A Thousand Splendid Suns teach you about the history of Afghanistan? Did anything surprise you?Mariam’s mother says: Women like us. We endure. It’s all we have. In what ways is this true? How do Mariam and Laila endure? How is their endurance different from the ways their mothers faced their trials?Several times Mariam passes herself off as Lailas mother. In what way is their relationship like mother-daughter? How did their own relationships with their mothers shape how they treated each other and their family?What is the significance of Lailas childhood trip to see the giant stone Buddhas above the Bamiyan Valley? Why did her father take her on this trip? How did his influence shape the way Laila would cope with her future?Afghanistan changes rulers several times in the story. During the Soviet occupation, the people felt life would be better once the foreigners were defeated. Why do you think the quality of life deteriorated after the occupation rather than r eturning to the way it was in the pre-communist era? When the Taliban first enter the city, Laila does not believe women will tolerate being forced out of jobs and treated with such indignity. Why do the educated women of Kabul endure such treatment? Why are the Taliban accepted?The Taliban forbid writing books, watching films, and painting pictures; yet the film Titanic becomes a sensation on the black market. Why would people risk the Taliban’s violence to watch the film? Why do you think this particular film became so popular? How does Hosseini use films throughout the novel to symbolize relationships between people and the state of the country (i.e. Jalils theater, Tariq Lailas outings to the movies)?Were you surprised when Tariq returned? Had you suspected the depth of Rasheeds deceit?Why does Mariam refuse to call witnesses at her trial? Why didnt she try to escape with Laila and Tariq? Do you think Mariam made the right decision? Even though her life was hard, Mariam wishes for more of it in the end. Why do you think tha t is? Do you think Laila and Tariq can be happy?Afghanistan is still in the news a lot. Do you think the situation will truly improve there?Rate A Thousand Splendid Suns on a scale of 1 to 5.

Saturday, November 2, 2019

Artifacts of our own cultures surround us. From art and music to Essay

Artifacts of our own cultures surround us. From art and music to architecture and literature, from philosophy and religion to laws and economics, we live among cultural artifacts that have deep roots - Essay Example The United States of America has its rich history that is being evidenced by the various artifacts that are seen in museums, which are preserved to serve as a symbol of the changes the nation has gone through the years. One of these significant artifacts is the Star-Spangled Banner, the flag that became the inspiration of Francis Scott Key in creating a poem, which is now America’s national anthem. The stars in the banner are about two feet across in size. The method used to create the cotton stars was the reverse applique’ method. The blue portion of the banner is canton or wool pigmented with indigo. There was a stain on one star that may have come from a metal buckle. Georgina Armistead Appleton sewed an inscription into the flag. Only fifteen stars were left since one star was cut out during the 1800s (Smithsonian National Museum of American History, n.d.). Wool pigmented with roots of madder plant make up its red stripes. One stripe and one star represented the fifteen states of the U.S during that period (â€Å"The Star-Spangled,† n.d.). The flag has deteriorated with its edges damaged, and it has undergone several repairs prior to reaching the Smithsonian museum, where it is now being preserved (Smithsonian National Museum of American History, n.d.). The Star-Spangled Banner is a legacy, a symbol of freedom and victory for the American people. If not because of this flag, the national anthem that America has in this day age will not be made. Americans live in a country, where there is liberty and diversity, and this is well embodied by this artifact. The banner has been made at that point in history, where the American soldiers were fighting for the country. Thus, it became a witness to some of the crucial points in American history. Americans are warriors, who value peace and benevolence. This is evidenced by the nation’s participation to worldwide