Critique of Association between Clinical Manifestations of Complicated Assignment

Critique of Association between Clinical Manifestations of Complicated and Uncomplicated Peptic Ulcer and Visceral Sensory Dysfunction Article - Assignment Example The article was definitely useful in furthering research on complicated peptic ulcers in terms of identifying other significant manifestations, especially in cases where visceral sensation and early symptoms are not evident. Since the age factor has been critically identified as an important contributory factor that diminished visceral sensation, medical practitioners who suspect patients suffering from BUP must be vigilant in addressing the illness through more effective medical interventions. The conclusion of the authors that â€Å"identification, elimination, and management of risk factors are essential for reducing the incidence of BPU† is appropriate and concisely accurate. Other research studies on the subject particularly the article written by Dr. Sidney Cohen indicated that â€Å"the typical ulcer tends to heal and recur. Thus, pain may occur for days or weeks and then wane or disappear. Symptoms can vary with the location of the ulcer and the person's age. For example, children and older people may not have the usual symptoms or may have no symptoms at all. In these instances, ulcers are discovered only when complications develop† (Cohen, 2006, 1). As indicated, older people have greater tendencies not to manifest any significant symptoms to immediately address the illness. However, due to the age factor per se, regular and frequent monitoring of the stomach should be part of medical check-ups even when patients do not complain of discomfort or pain.

Assignment 6 Essay Example | Topics and Well Written Essays - 500 words - 5

Assignment 6 - Essay Example With regards to the case study the administrators of the district schools had to demonstrate how their students were performing by use of evaluation. This clearly shows that evaluation is an important educational management tool (Wiles & Bondi, 2004). The case studies tend to describe in detail the school level based program implementation as well as the evaluation process. With regards to the evaluation process, stages of how it was conducted are clearly outlined and the school administrators that took part in shaping up the process. Evaluation was used in the district schools in order to influence the decision making as well as improve the schools’ operations. Most of the administrators in the schools and districts were given a proposed framework that was meant to guide them in their activities. Based on the case studies, the proposed frameworks simply implies that evaluation is the process of producing information that ,is mainly used to make decisions about the on-going school programs (Wiles & Bondi, 2004). With regards to the case study, the user survey that was conducted in the district schools was meant to irradiate the importance of the evaluation process from the user’s perception. The areas that were looked at in the survey were: the view of the school program, the evaluation stages, the use of the evaluation information, the purpose of the process and the conditions under which the user was operating. Based on the study, the principal, school administrator and also some staff members were interviewed about their views on significant school programs and about the contributions that had been made by the use of evaluation. The user survey was meant to improve the school operations in the future based on the findings (Wiles & Bondi, 2004). Based on the studies, evaluation reporting simply encompasses timing and frequency. The case studies indicate that the timing and frequency that the school administrators gave out the evaluation reports

Law assignment (a legal case brief assignment )

Law (a legal case brief ) - Assignment Example The main point in issue before the appellate court was whether the trial court was justified in holding that the irregularities would not â€Å"give rise to any concern that the accuseds’ right to a fair trial might be prejudiced.†2 Relevant provisions of the law3 are as follows Prior to the enactment of the Jury Act, analogous provisions were s. 621 and s. 622 of the Criminal Code4. Section 621 provided that the jury â€Å"must not separate† and that no person was â€Å"allowed to speak to or communicate with any of them without the leave of the court until they are discharged†. In the matter of Webb & Hay5, â€Å"it was unanimously held† by the High Court â€Å"that the test to be applied for determining whether an irregular incident involving a juror warranted the discharge of the juror or the jury was whether the incident was such that, notwithstanding any proposed or actual warning of the judge, it gave rise to a reasonable apprehension or suspicion on the part of a fair-minded and informed member of the public that the juror or jury had not discharged or would not discharge their task impartially.†6 In the present case, the appellate court took exception to the opinion of the trial judge â€Å"Subsection (4) of Section 53 †¦ requires the Court to focus not so much upon perceptions as upon the reality of prejudice, or likely prejudice, to a fair trial.† The appellate court cited the joint judgment in Jackson and Le Gros.7 The appellate Court gave five irregularities and quashed the convictions and ordered retrials. It was held that the jury should have been discharged even though there was no real danger of bias or of inability of the jury to arrive at a verdict uninfluenced by the irregularities. It was also held that the judge should have considered not only the likely prejudice on the part of the jury to be influenced, but by the perception amongst fair-minded and informed members of

American Struggle for Independence Personal Statement

American Struggle for Independence - Personal Statement Example The American Revolution was the first of its kind, and it stimulated an effect on the world since then. Philadelphia, one of the nation's first capitol, bears American revolutionary landmarks inasmuch as it is were a lot of colonial meetings the engendered the Continental Congress took place. Last week, I ventured into exploring the Constitution Center to recapture the ambience of the struggles and the inception of our new nation. First of all, all of the relics at Constitution Center were preserved to keep its luster of its time. I was excited to see the revolutionary cannon, and I appreciated how much our weapons have evolved from then. The area evoked an ambience of the original colonies; the colonial apparel ushered in that atmosphere. I loved the arsenal area and enjoyed the history of guns and their development. I grew in admiration of the First Lady's gallery. I never perceived women would be given credit in their involvement of helping the nation given the well documented past of social parameters placed against women. This was especially depicted in this gallery. This area taught me growth of the roles of the First Lady in politics. Also, I admired the earlier first lady sense of style. One person explained the cultural struggles of women in terms of garment. She depicted that women were not as exposed or flamboyant as they are today but were "ultra-reserved." Women of earlier times wore metal cylinders around their thorax which can induce physical discomfort and pain. Over decades, these metallic plates became woolen but it still stimulated discomfort because of its tightness. However, many did not object to that pain for they accepted this as normal practice. The First Lady began to be internationally recognized as celebrities which in turn coerced or persuaded these women to live up t o their newfound title. Many dresses that the First Ladies wore during presidential balls, concerts, and other special occasions were exhibited. A lot of the exhibits were outside to usher in that colonial atmosphere during the war. I really liked the battle scenes depictions. From the exhibits that were indoors, I was inspired by the caricatures that resemble the first and second Continental Congress. In my mind, that exhibit represented the authentic pre-American regal style. I drew constant admiration for that. Furthermore, if ran the exhibits, I may leave just the way they are. This trip has richly reinforced my personal view of the Revolution and Constitution. The Constitution as a legal document was constructed by men desiring to build a country on equal rights for all and to eliminate monarchy. As aforementioned, many nations have used this framework to develop their own constitution. Countries such Haiti, South Africa, Central America, South America, and others study and marvel at event that seemed impossible. Soon, it inspired their liberation from tyranny and mistreatment. Reminiscing on those thoughts at the Constitutional Center revealed to that the U.S. constitution is more than a document, but a pedantic example for all. I also saw the original flag of the colonies in which I have never seen before. I saw the growth of the flag in terms of stars. I never knew each color of the flag had a meaning. I was also taught that it was disrespect to allow the flag to touch the floor. Another interesting aspect that the administrators taught me was that the importance of drummer boys in the army. The beat of drums engendered an ambience to mentally prepare the

The Clubfooted Grocer Essay Example for Free

The Clubfooted Grocer Essay In class we were looking at a short story written by Arthur Conan Doyle the man who wrote the famous Sherlock Holmes detective stories. Conan Doyle was a Scottish writer born in 1859, died in 1930 aged 71. Arthur Conan Doyle was trained as a doctor but never succeeded in this profession. He found more money would come from writing. Aged thirty- two he forgot about being a doctor and became a writer. He wrote all sorts of books Historical, romance, and adventure, but the Sherlock Holmes stories are what made him famous. In this essay I am going to examine the narrative and linguistic techniques Arthur Conan Doyle uses in The Clubfooted Grocer and the effect they have on the reader. The techniques I will focus on are characterisation, location and imagery, and the plot tension in the story.  The Clubfooted Grocer is based on the narrator and his Uncle, who has not excited to him and his mother for many years. Suddenly, out of no where, he sends a litter to ask for his nephew to go visit him up north. He gets on the train and meets his uncles messenger at a different station to where his uncle lives. He doesnt know why he has to meet there and why hes gone up north. He arrives at the house and it is surrounded by sailors but also doesnt know why. The sailors attack the house and break in. Arthur Conan Doyle uses techniques to make the story interesting and give it a little thrill.  Plot tension is when the author doesnt let you know whats going to happen so it makes you read the story further. The author can do this in many ways, maybe by only giving you a little information on someone and only the bad points on them. In The Clubfooted Grocer the author has used a lot of plot tension. The first time he used plot tension is in the opening paragraph. The paragraph opens introducing us to a Mr Steven Maple who is described as an unsociable, unrespectable man. It gives us a little information on his business life, which sounds like it didnt get very far and some of his business was a legal. It also mentions that he got beat up but doesnt give a reason why, which makes you wont to know. This is good plot tension. It also mentions that he disappeared in a lonely part of the north of England, but why, it leads to maybe a thrill in the story, makes you want to read on. The second time plot tension appears is in the second paragraph, again on the opening page. The paragraph opens with the narrators Mother reading him a letter from his Uncle, which is Mr Maple. The letter includes that Mr Maple wants his Nephew to go up north to meet him. Again why? This is what the letter doesnt include. It maybe for a visit or for the boy to help his uncle to get out of all his trouble. By Arthur Conan Doyle not giving any reason for the boys visit makes the story a little tense so would Inca ridge the reader to find out the reason why his nephew needs to go to meet his uncle, which makes you have to read on in the story to find this out. This is excellent plot tension. The third time plot tension appears is in the third paragraph. The paragraph opens with on no account let John get out at Congleton. This starts the paragraph with plot tension straight away because it sounds scary like if John gets out at that station something terrible is going to happen to him.  As you can see there is continuous plot tension in the story.  Arthur Conan Doyle has also used the technique of characterisation to make the reader think on what the characters in this story may look like. Characterisation is when in the story a new important character is introduced he/she is described in much detail to gain your attention. There is two times that Conan Doyle uses this in the story. The first time characterisation appears in The Clubfooted Grocer is on the sixth page of this story. It is used to describe Mr Steven Maple himself. Conan Doyle uses these words thick, small, rounded, ginger, white, heavy, and bald to give you a picture in your mind of what Uncle Steven would look like. With these words you can imagine Mr Maple as a short over weight bald round-headed man. The second time characterisation appears in this story is on the tenth page of this story and finishing on the eleventh. It is used here to describe Captain Elias. Conan Doyle uses the same technique to introduce new characters that are important in the story. He does this by using short nouns to describe the character. So in this case he uses these words to describe Captain Elias Freckled, great black cloak, different, crafty, cruel, dangerous, sly, and gloated. These words you can imagine what Captain Elias looks like and also the way he may act and talk. The very short words like crafty, cruel, and sly describe maybe what Captain Elias is like to his peers. Mr Steven Maple is in trouble with Captain Elias so these words can express what might actually happen to Steven Maple or the actions taken by Captain Elias. The third technique that Conan Doyle uses is location and imagery. Conan Doyle uses this for the readers to imagine where the story is set. On page twenty, the fifth paragraph Conan Doyle has used the narrator to explain the scenery of the place where hes going, in this case north England. This paragraph describes the narrators journey to where he is visiting his Uncle Steven Maple. He explains he doesnt know where the train he is travelling on is leading him. He only knows the stop to get off. For two hours I passed through desolate rolling plains, rising into places into low, stoned littered hills this is taken from the fifth paragraph on page twenty explaining where the story is set. Conan Doyle uses this technique very well on the fifth page of the story on the eleventh line. He uses this for a whole paragraph. It was quite dark outside, with heavy black clouds drifting slowly across the sky this is taken from that paragraph and explains the scenery that the young boy is surrounded by. This is good use of location. This paragraph goes on explaining the actions taken by the young boys guide. At first my guide walked swiftly and carelessly but eventually his pace slowed down this sentence finishes explaining how the guide slows down for the rest of their journey. Conan Doyle has used location very well in this; it gives you a good idea of where the story is set at all times. The Clubfooted Grocer was not interesting for me, the story seemed very pointless in my point of view. I can understand why maybe this story was chose for the students to study as it was wrote by Sir Arthur Conan Doyle but I found this story not one I would want to look at again. I understand the techniques used in this story and these were used very well. I think Sir Arthur Conan Doyle has structured this story well but not a good story line.

Strategy of Corporate Social Responsibility Essay Example for Free

Strategy of Corporate Social Responsibility Essay We all know that profit an enterprise earns is not only made by itself, but also by a result of the interaction between consumers, politics and the society environment of the enterprise being at. If an enterprise wants to operate in the long run, it needs to be concerned about the problem of its surrounding environment. Also, only a corporation which can shoulder responsibilities of society and obey the rule of ethic deserves to obtain support from the society. In this essay, I am going to discuss about whether if the strategy of Corporate Social Responsibility is relevant. The concept of Corporate Social Responsibility (CSR), like ethics, is easy to understand: it means distinguish right from wrong, and doing right. It means being a good corporate citizen. The formal definition of social responsibility is management’s obligation to make choices and take actions that will contribute to the welfare and interests of society as well as the organization (Szwajkowski, 1986: Davis et al., 1979). CSR is a kind of philosophic conception, it does not have tangible executive criteria and rules. A lack of the spirit of CSR, we cannot find the meaning and reputation of why this enterprise exists. Companies and people need profounder meaning of exist. Nowadays, CSR strategy is overall acceptable by the managers of every enterprise. However, there are numerous of people have been arguing about their different beliefs, many of the experts debate about CSR. Milton Friedman and others have argued that a corporations purpose is to maximize returns to its shareholders, and that since (in their view), only people can have social responsibilities, corporations are only responsible to their shareholders and not to society as a whole. Milton Friedman have pointed out this in his book, Capitalism and Freedom: There is one and only one social responsibility of business to use its resources and engage in activities designed to increase its profits so long as it stays within the rules of the game, which is to say, engages in open and free competition without deception or fraud (Friedman, 1962). Most of the managers and laws supported this concept in the early days. â€Å"Only people can h ave responsibilities. A corporation is an artificial person and in this sense may have artificial responsibilities, but ‘business’ as a whole cannot be said to have responsibilities, even in this vague sense†. (Friedman, 1970) In addition, in the 1996 speech of Roger Kerr, the argument that â€Å"the activities of private business are socially beneficial so long as they are  conducted under the rule of law and within a framework of open competition. When subjected to those disciplines, business by and large promotes its interests in a way that promotes the interests of the whole community, and, moreover, promotes the community interest more efficiently and reliably than any other economic arrangement.†(Kerr, 1996) If the corporate business take too much responsibility of society, then Basically, the function of an enterprise organisation is to create profit, and government should solve the problem of society by the taxes it imposes. I wonder if the more responsibility the enterprises take, then there are no much differences between an enterprise and government, moreover the enterprise will end up being a monopolizing organisation. On the other hand, R J Hubbard presents a different point of view from Milton Friedman and Roger Kerr. â€Å"shareholders aren’t the only group of people that have a stake in the success of a company and that other stakeholders are employees, customers, suppliers.†(Hubbard,1996) And â€Å"business owners and business managers should try and reconcile the interests of the various stakeholders.† (Hubbard,1996) â€Å"as shareholders in a company one gets certain privileges from society as delivered through government.† â€Å"limited liability, the ability to earn a dollar over and above that of the average wage or salary earner and a host of other benefits.† Thus, â€Å"one should not only receive these privileges but also give back to the society that has made them available.†(Hubbard, 1996) The social responsibility of business encompasses the economic, legal, ethical, and discretionary expectations that society has of organizations at a given point in time. (Carroll, 1979) To sum up, I consider Corporate Social Responsibility to be a sensible strategy. But we should not solely put emphasis on CSR without considering business’s goal of maximizing profit. CSR will be desirable if corporate increase its profit though such conduct and society as a whole is the beneficiary. Nevertheless, how much responsibility should a corporate burden with? This is a constantly difficult problem to grasp. To a corporate, it should evaluate capacity itself and balance the benefits inner and outer before taking certain responsibilities. Word count : 769 Reference List Friedman, M. (2002) Capitalism and Freedom. Chicago: University of Chicago Press. Hubbard, R J. (1996)The business of business is not just business Samson, D., Daft, R L. (2003)Management South Melbourne, Victoria

Great Gatsby: Fitzgeralds Criticism of the American Dream

Great Gatsby: Fitzgeralds Criticism of the American Dream Charlette Montague Rather than an eager celebrant, Fitzgerald is a harsh critic of the American dream in his novel, The Great Gatsby . It is the American dream, and the idea of it that pushes the characters, more so, Jay Gatsby, the titled character and protagonist. Jay Gatsby is symbolic of the American dream and its corruption. Jay Gatsby is seen as innocent, optimistic and hopeful. He was born poor, and as such despised it. He yearned for the American dream and what it represented. It can be said then, that he loved Daisy, not for who she was, but what she represented in his eyes. He fell in love with Daisys life. He was fascinated with her world, her lifestyle, her grace and her charm, It excited him, too, that many men had already loved Daisyit increased her value in his eyes. (Chapter 8) The green light on Daisys dock can be used as an example for his longing, as he spends hours gazing at it a single green light, minute and faraway, that might have been the end of a dock. (Chapter 1, Page 22). The green light is symbolic of Gatsbys longing for the American dream, the color could also represent dollar bills, capital, which is another appealing aspect of the American dream. Her voice is full of money, he said suddenly. That was it. Id never understood before. It was full of money that was the inexhaustible charm that rose and fell in it, the jingle of it, the cymbals song of it high in a white palace the kings daughter, the golden girl. (Page 120, Chapter7) It is in Daisys character that we see what went wrong with the American dream, its corruption, so to speak. In Gatsbys mind, Daisy is seen as perfection, but though she is graceful and charming, she is also, selfish, hurtful and shallow, this is seen in the novel by her lying, cheating, and leaving Gatsby to take the blame for her murdering Toms mistress. In a sense, Gatsbys quest for the American dream is ill-fated, as his devotion for Daisy is misguided as she cannot fulfill the role and expectations placed upon her by him. Another symbol used in the novel to represent the disintegration of the American dream is the Valley of Ashes. This is symbolic as it represents the lost hopes and the moral and social decay of the period. This results from the pursuit of wealth, the American dream. Whereas at one time the American dream was simultaneous with various ideals of freedom, the novel shows how it became equated with material objects. Jay Gatsby represents this change very well as he flaunts the things he has in an attempt to win Daisy over. The author shows us the hollowness of the upper-class through the representation of old money versus new money Motifs are another device used by the author to develop the theme throughout the novel. This brings us to the use of geography as a motif. The author uses places to symbolize various aspects of the era. East Egg represents old money, West Egg new money while The Valley of Ashes represents the fall of the morality of the American dream and society. The new rich is portrayed by the author as lacking is social graces, pretentious and base, Gatsby is a perfect example as he lives in a monstrosity of a mansion, drives a rolls Royce and wears a pink suit. in contrast the old aristocracy is seen as graceful, tasteful , possess subtlety. Gatsby is the epitome of the fall of the moral values of society as we the readers see where he is involved in criminality, which accounts for his vast fortune. But even has graceful as the old aristocrats are; represented by the Buchanans, they lack in compassion as they prove themselves to be a careless bunch of inconsiderate individuals. This is seen to b e true where after Gatsbys death they (Tom and Daisy) simple move to an unknown destination with no forwarding address. Nick describes them as careless people. They were careless people, Tom and Daisythey smashed up things and creatures and then retreated back into their money of their vast carelessness, or whatever it was that kept them together and let other people clean up the mess they had made. (Chapter. 9) Though Gatsby is seen as a criminal and as such represents the ideal of a self-made man, from rags to riches. He is the force that corrodes the American dream, it is through him that we see the harsh reality of the dream, its rise and its end. It is with his death that we see the death of the American Dream. All his hopes shattered with a bullet. The death of both him and George, the rich man and the poor man, show again the fall of the American dream. With nothing left for him there, Nick moves back to his home, away from the emptiness and the moral decay. To conclude, The Great Gatsby is a representation of the harsh reality of the American dream. It shows its corruption and its fall. Each of the characters in the novel are seen trying to attain happiness through one way or the other. They become lost, and lose their touch with morality and reality. Criminality, infidelity, murder and lies pervade the story. The theme of the corruption of the American dream was seen throughout the novel and was exemplified by the authors use of characterization, motifs and symbols. The American dream is of freedom and of social upward mobility through hard work and success. Gatsbys life in criminality gave him money but not freedom and not happiness. His goal of attaining the American dream was never realized. The Great Gatsby Response Paper