Success And Success Of Success - 1404 Words

Imagine walking down the street and seeing a pure-white 2017 Mercedes Benz E Class parked in front in of a large house. One thing that may enter your mind is that whoever owns this must have money. You begin to wonder what he or she does for a living. Looking at the house, then at the car you conclude that this person must be famous; therefore, successful. As you stand there gawking at the house and car someone exits the front door and you recognize it’s your friend. Both of you engage in conversation, and you’re overly excited about this new car and home and he just remains cool about it. To him the house is just a place to stay and the car is just a thing to drive, but to you these things represent reaching a level of success. What is success? Success is a term with many definitions. Webster’s dictionary defines success in four different ways: (1) the favorable or prosperous termination of attempts or endeavors; (2) the attainment of wealth, position, honors or the like; (3) a successful performance or achievement; and (4) a person or thing that is successful. Despite the seeming clear definitions of the word, it’s different for each individual. However, out of the four meanings, many only associated the word with definition number two. Society says success is determined by how much money one makes or the level of fame achieved. Although society equates power, prestige, and wealth to success, there is a problem in society s view of success and Webster’sShow MoreRelatedSuccess And Success For Success2050 Words   |  9 Pagesday. Success means having the life you want, so it is something that we all aim for. We all want to be able to live a comfortable life doing what we love. The problem is that many people don t know how to be successful in life. They know how to dream and desire, but because success requires work, they don t know where to start or have the mindset to keep going towards success. If you are struggling with success, following are some things to think about. You Must Figure Out What Success MeansRead MoreSuccess Is Not For Success944 Words   |  4 PagesSuccess has just as many faces as any other possible theme, depending on the society in which it is measured, and the character of the person who measures it. Wrongfully, many people confuse success is only associated with wealth: they assume that a person s triumph can be concluded from the expensiveness of his or her watch, car, or house. But will they be successful just because they are rich? Albert Schweitzer famously once said Success is not the key to happiness. Happiness is the key to successRead MoreSuccess And Success : The Importance Of Academic Success701 Words   |  3 Pagesacademic success is very important. I’m the first generation in my family to go to college, so obviously, they did well enough to guide me into wanting to do well enough in high school to have the grades to get into NJIT. But academic success is a lot more than merely getting good grades- itâ₠¬â„¢s also about the role it plays in advancing in my future. Not to mention, there will be plenty of obstacles along the way, but there will be things I will have to do in order to ensure my academic success in myRead MoreSuccess And Personal Success746 Words   |  3 Pages Success is more than the definition that society has created over the course of the years. Being successful in society is very different than actually being successful in my opinion. Success in my opinion is having the courage, strength and the ability to work hard towards your goals no matter what. Also at the same time being humble and able to appreciate what you have accomplished by not bragging your success to someone who is lesser than you. When I was young, I always wanted to drive a brandRead MoreApples Success And Success1409 Words   |  6 PagesAPPLE SUCCESS METHODS 1 APPLE SUCCESS METHODS Success is a goal of every business. There are few companies that enjoy success the way Apple, Inc does. Fortune Magazine does an Annual ranking of the best companies by revenue known as the Fortune 500. Making it into these top 500 companies is somethin g that is truly to be coveted as being listed among this shows that you are part of the most successful business. In 2015, Apple made it into the Fortune 5 (Fortune 500 List) . MeaningRead MoreThe Success Of Success Quotes1492 Words   |  6 Pageswant to go to bed feeling like we have done something worthwhile with our day. But why is it that so many of us are not living a life of success? Why are so many of us giving up on success and settling for mediocrity? It all has to do with our mindset. We are who we believe we are, just as we are capable of becoming who we believe we can become. That s why success quotes are so important in life. They are quotes from some of the most successful people and they teach us how to not give up on whatRead MoreSuccess And Academic Success840 Words   |  4 PagesSuccess is defined literally by accomplishing one’s goals and ambitions, but its interpretations can vary from person to person. There are many ways to attain success meaning that people can take different routes that can contribute to their aspirations. They strive for a solidity as opportunities open for them. Everyone has their own perspective of what to prioritize to achieve personal growth such as a student. A successful student maintains a balance of thriving in their academics as well as livingRead MoreSuccess Is Not Achieving Success977 Words   |  4 PagesTangible Success Success is something often strived for but not clearly defined. One cannot reach success without first establishing the bounds in which it resides. Without having a general understanding of where success is, it will always be two steps in front of you, causing it to be nearly unreachable. I am incapable of providing a perfect description of success but I am going to attempt to establish the foundation of its definition. Success can be achieved by first interpreting the meaning ofRead MoreThe Success Of Success At School1325 Words   |  6 PagesThe average student in a developed country spends 17.7 years in school. Generally, their success within these years of learning is measured by their grades and development but rarely on success in their careers after school. However, despite what many teachers stress to their students, being successful in school does not ensure a successful career in business as this success requires different skills and personality traits. A narrow view is o ften taken where only western countries are compared. WhenRead MoreSuccess And Its Elements Of Success1203 Words   |  5 PagesSuccess and its elements As we all fold the page on an academic year, for some of us this might have been the most important year of our lives. As we end school and prepare our brains for the next phase, we indulge our thoughts in the prize that everyone dreams of, what some would call ‘The Pinnacle of Civilization’. Our minds drift off thinking of Success, and at that instant we tremble, panic and curl into the corner, as the shadow of the obstacles that will stand in our path appears across

Benzodiazepine as a pain medication in emergency settings Free Essays

Emergency departments frequently come across a wide range of patient with multiple types of presentations. The most common feature among them is pain, which may be acute or chronic. Acute pain can be due to appendicitis, or a gun shot wound, or acute exacerbation of a chronic pain. We will write a custom essay sample on Benzodiazepine as a pain medication in emergency settings or any similar topic only for you Order Now Chronic pain is usually in the cases of rheumatic arthritis, or cancer patients. Regardless of the type of the pain, the medical personnel are always needed to decide which pain medication is needed for a particular patient. Understanding of individual drugs, their mode of action, their potency, and their possible interactions with the person’s condition or with other drugs is necessary to prevent any adverse consequences of prescribing. There are many pain killer drugs now available in the market. With the rapid progression in the pharmaceutical industry, there is a larger pool for the health care workers to prescribe from, and specification for all types of conditions. The UK government has since then put up many guidelines to help practitioners prescribe the right drug. Since many of the drugs are given based on the intensity of the pain described by the patient, the use of pain scales is one of the key instruments in the measurement of pain. The efficacy of these pain measurement scales have been brought into question from time to time. However, up till now, very few if any alternatives have been as useful as this one. Apart from the administration of the pain killer drugs, there are many legal aspects that need to be considered as well. Many patients, when given a certain kind of pain killer drugs, may develop tolerance and addiction to the drugs. Again, there may be patients who may be addicts, and present themselves deliberately to get their â€Å"dose† of the drugs. The recognition of patients who may be developing addiction, or are using hospital as a source of addiction is very important which may require certain corrective and legal measures. Therefore, the administration of painkiller drugs also holds a certain amount of legal perspective as well. Apart from the use of such painkillers, there are many studies and researches that point to the role of various psychotropic drugs in the management of pain. While the association may seem sparse on the up front, patients with pain are frequently agitated and worried, and may require some â€Å"calming of the nerves†. In such patients the use of psychotropic and anti anxiety drugs is considered a good option. There are many researches that now support this theory, and claim that an emergency setting can respond better with appropriate use of these drugs. It is however important to take into consideration the type of pain for which the patient presents with. While acute pain patients may not have a large chance of developing a dependence on the drugs, it is the chronically ill patients that are of more concern. Patients of cancer and arthritis etc. are prescribed with chronic pain medication in accordance with the severity of the pain. Most of these patients are given prescriptions, which may not be maintained or fully monitored. While in the hospital admitted cases, the identification of addiction and dependence patterns can be easily diagnosed and dealt with, the same is not true for patients who are living in homes and receiving their medications their. To address this problem the government again introduced various measures to help control the dispensing of such drugs, and periodic evaluation of such patients at outpatient settings. The administration of pain killer drugs is a measure as well as responsibility of the health care provider. IS PAIN ADEQUATELY MANAGED? Pain is defined as â€Å"an unpleasant sensory and emotional experience associated with actual and potential tissue damage or described in terms of such damage† (Zempsky and Schenchter, 2003) Many physicians feel that pain in the emergency rooms is not treated very well. Studies have shown that pain is the most common presenting complaint in the emergency department, yet is not so commonly handled or managed. (Sorelle, 2002) Researchers in studies have shown that many times the patients are given the pain medication very late or not at all. However, there are many factors that complicate the situation as simply patient comes, patient receives, and patient leaves. The time it may take for various preliminaries, the history taking and the final decision about whether the patient does need medication are among the various factors that can affect prompt medicine giving. The studies have pointed out the lack of information and lack of management of pain in the systematic manner. These studies therefore point out to the need of a good method of understanding and relieving pain. (Sorelle, 2002) Current pain management strategies recommended include the following: †¢ Introduction of low doses of drugs initially and gradually increase to reach the optimum effect for the patient’s pain relief. †¢ Combined drug therapy. This helps in reducing the doses of the drugs, and thereby prevents side effects of one drug †¢ Continuous analgesia, which is now being used widely in emergency settings. †¢ Use of behavioral methods along side pharmacological interventions to increase response. (Feinberg, 2004) OPIOID ANALGESICS IN THE MANGEMENT OF PAIN: Centrally acting opioids analgesics are used widely for the remedy of pain in the clinical settings. Tramadol is among the new line of opioids narcotic agents that are used for moderate to severe pain. It acts both as a weak opioids agonist and as an inhibitor of monoamine neurotransmitter reuptake. Both oral and parenteral forms have shown good results in the management of pain. (Scott and Perry, 2000) The advantage of this drug is that there is less dependence to this drug than other opioids. It does not affect the respiratory rate, and has lesser irritation effect on the GIT than other drugs. It also has a lesser risk of seizure than other drugs. (Feinberg, 2004) NSAIDS IN THE MANAGEMENT OF PAIN: The second most common line of drugs used in this group of medication is the COX 2 inhibitor drugs. These drugs have shown at least similar efficacy in the management of pain when compared to COX non specific drugs. Parecoxib sodium for example, has similar effects to non specific nsaids in the injectable form. These drugs have shown a superior activity to morphine for most measures of analgesic efficacy, and have a prolonged duration of action. (Scott et al,2002) USE OF PAIN SCALES FOR THE DIAGNOSIS OF PAIN SEVERITY Many researches are now questioning the value of the visual analog scales used widely to monitor the level of pain. Bodian et al, (2001) carried out a research to identify the relation between the changes of analgesic intravenous doses with the documentation on the VAS charts by the patients. The study also aimed to find out if watching previous VAS scores by the same patient had any influence on the later scoring of the pain. Bodian was able to conclude that â€Å"when pain is an outcome measure in research studies, grouping final VAS scores into a small number of categories provides greater clinical relevance for comparisons than using a full spectrum of measured values or changes in value. Seeing an earlier VAS form has no apparent influence on the later values. † (Bodian et al, 2001) PAIN MANAGEMNET IN CHILDREN: Pain management in children especially neonatal kids was not much debated until in the recent years. However, there are many recent methods that are used to alleviate pain in the recent pediatric settings. These include prevention of pain, where the pain is treated prophylactically. The identification and proper assessment of the pain is another crucial element in the pain management in children. The treatment of pain while initially considered to be limited to only providing analgesics, has recently evolved to include physical methods such as massages, transcutaneous electrical nerve stimulation, and behavioral methods such as hypnosis, distraction, preparation and rehearsal. (Zempsky and Schechter, 2003) Current child pain management heavily relies on the information received from the parents, and uses them during the pain procedures as a source of comfort to the child. The introduction of painless analgesia technique is another method of inducing cooperation from the patient. And reduction of anxiety, a very important feature in a child is another very important area in the management of pain. (Zempsky and Schechter, 2003) Benzodiazepines are used very widely as sedatives in children with successful results. However, the only problem associated with it is the development of tolerance to it. In such children withdrawal symptoms cause severe distress and the child may express irritability, ataxia, aggression, hallucinations, and twitching. Other symptoms include inconsolable crying, agitation, vomiting, anxiety, hyperactivity, convulsions, tremors, jitterness, poor feeding gagging. The form used in children is midazolam, and is used for a variety of purposes. Their indications include sedation, amnesia, anticonvulsant, and anesthesia. (Bennett, 2001) If benzodiazepines are given to such children for more than 3 days, then these should be weaned off slowly. If the child exhibits withdrawal symptoms, then diazepam, a less intensive benzodiazepine can be given until the effect wears off. (Bennett, 2001) The pain scales used in children include the Oucher Scale, Faces Scale, Poker Chip Tool, Colored Analogue Scale, the Pain Thermometer, Visual Analogue Scale, and the McGill Pain Questionnaire respectively. The most common drugs used in pediatrics include opioids and NSAIDS. Included in the pain management techniques are behavioral approaches such as distraction etc. The current evaluation scales have improved considerably since the last two years, and have improved the outcomes of the pediatric pain management as well. (Zempsky and Schechter, 2003) THE USE OF ADJUVANT ANALGESICS IN THE MANAGEMENT OF PAIN. With increased understanding about the various modalities of pain, there are now novel and newer methods introduced in medicine to reduce pain in patients. The use of adjuvant drugs is used to enhance the efficacy of the analgesia and to improve the tolerance to pain. Drugs such as antidepressants, antihypertensives, local anesthetics, and CNS stimulants are widely used as adjuvants to control analgesia and to improve patients’ experience of pain. How to cite Benzodiazepine as a pain medication in emergency settings, Papers

Bring On The Cheesecake Essay Example For Students

Bring On The Cheesecake Essay I AM†¦beautiful. As you are beautiful, as he is beautiful, as all of us, even our enemies, are beautiful. And yet, most of us spend a good portion of our everyday lives looking in the mirror, critiquing ourselves, pointing out problem areas, and generally going ugh. We compare ourselves to Kate Moss, Ricky Martin, Nicole Kidman, Brad Pitt, and Brittney Spears, all of whom in our eyes exemplify the ultimate in beauty, sensuality, and †¦ airbrushing. Yes, airbrushing, that oh-so-handy technique employed by magazines worldwide to make the attractive look perfect. Perfect? You call Kate Moss perfect? Every time I see her picture, I just want to force-feed her a huge piece of cheesecake!(Ethos) But her look of three-square-meals-a-year has become en vogue as women and men all over the country starve themselves in order to conform to what they perceive as societys concept of beauty. Our appearance, this thing we call beauty, where does it come from? Can it be photographed and pla stered on a 50-foot billboard or circulated on a million magazine covers? Consider for a moment that it might be something more personal. Something a little more than skin-deep. So hit me baby, one more time, fasten your seatbelts, and hold on to your cheesecake as I take you for a ride through societys conceptions and misconceptions of beauty. I dont know how many times Ive heard some healthy, attractive individual proclaim that they would do anything just to lose 15 pounds. Hello, we live in America. The land of plenty. The land of opportunity. The land of a $33 billion diet industry. People all over the world are starving and yet here we are spending ridiculous amounts of money so people can tell us not to eat. And then we get into the fad diets. Between the Cabbage Soup Diet, the Atkins Low-Carb Diet, the Grapefruit/Fruit Juice Diet, the Metabolism Diet, and the Russian Airforce Diet (it actually exists), it seems that all Americans ever do is diet. In fact, at any one time, half of all teenage girls in America are dieting. Now I prefer a different set of diet rules. I like the one that says if you eat something and no one sees you eat it, it has no calories. And then there are the rules that if you drink a diet soda with a candy bar, the calories in the candy bar are cancelled out by the diet soda. Oh, and did you know that food used for medicinal purposes NEVER count, such as hot chocolate, toast, ginger ale, and my personal favorite, Sara Lee Cheesecake. Ah, cheesecake: my #1 recommended cure for†¦ anything! Never underestimate the healing powers of cheesecake. Speaking of people in dire need of cheesecake, People Magazine recently did a cover story entitled Wasting Away which chronicled eating disorders among female college students. It opened by talking about an incident in 1996 in which sandwich bags disappeared in mass quantities from the kitchen of a college sorority house. Upon investigation, the sandwich bags were found hidden in a basement bathroom, filled with vomit. These popular, successful girls were making themselves sick in order to conform to the types of bodies they saw portrayed in the movies and on TV. Interestingly enough, in the very same issue, People Magazine ran a picture of Mariah Carey, with a caption discussing how Mariah scarcely squeezed into a designer dress for the Oscars. They denounce eating disorders and say that what matter is truly inside, and yet in the same breath, they denounce a celebrity for gaining a couple pounds. Now what kind of message does that send?We must think about what kind of messages we a re sending. Professor Theresa Thompson recently did a class project in her communications course at the University of Dayton in which the students studied magazines for girls ages 8 to 18. The messages? Beauty, body, and boys. In discussing the body, the magazines did not talk about health and fitness, but rather they spoke of looking good and what one could do to look better. Eating disorders were viewed as a problem, not because of their health risks, but because of their affect on your hair, skin, and nails. One quiz invited readers to discover if they were a brain or a beauty, implying that the two are mutually exclusive. And talk about your bad messages, has anybody seen the movie Shes All That? In the film, the most popular guy in school, after being dumped by his girlfriend, makes a bet with his friend that he can turn any girl in school into the Prom Queen in six weeks. The target? Shy, self-conscious, Laney, the weirdest girl in school. Within a few weeks, Laney trades in h er overalls, mousy haircut, and Pointdexter glasses for a little red dress, 4-inch platforms, a trendy hairdo, and lots of Mary Kay. She turns heads with her new look, becomes automatically happy, falls for jerk-boy, and (surprise, surprise) he falls for her. So let me get this straight. If youre a guy, youre not attractive unless youre shallow and insensitive, and if youre a girl, then it doesnt matter what youre like on the inside, honey, because all anybody cares about is how you look. We all know that a popular guy can come along and transform a dorky girl into the Kathy Ireland of her high school with one wave of his†¦magic wand. Now theres somebody who could really use some cheesecake. .ucd83e77c1d29bbd37c9adedaaddd19bc , .ucd83e77c1d29bbd37c9adedaaddd19bc .postImageUrl , .ucd83e77c1d29bbd37c9adedaaddd19bc .centered-text-area { min-height: 80px; position: relative; } .ucd83e77c1d29bbd37c9adedaaddd19bc , .ucd83e77c1d29bbd37c9adedaaddd19bc:hover , .ucd83e77c1d29bbd37c9adedaaddd19bc:visited , .ucd83e77c1d29bbd37c9adedaaddd19bc:active { border:0!important; } .ucd83e77c1d29bbd37c9adedaaddd19bc .clearfix:after { content: ""; display: table; clear: both; } .ucd83e77c1d29bbd37c9adedaaddd19bc { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ucd83e77c1d29bbd37c9adedaaddd19bc:active , .ucd83e77c1d29bbd37c9adedaaddd19bc:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ucd83e77c1d29bbd37c9adedaaddd19bc .centered-text-area { width: 100%; position: relative ; } .ucd83e77c1d29bbd37c9adedaaddd19bc .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ucd83e77c1d29bbd37c9adedaaddd19bc .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ucd83e77c1d29bbd37c9adedaaddd19bc .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ucd83e77c1d29bbd37c9adedaaddd19bc:hover .ctaButton { background-color: #34495E!important; } .ucd83e77c1d29bbd37c9adedaaddd19bc .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ucd83e77c1d29bbd37c9adedaaddd19bc .ucd83e77c1d29bbd37c9adedaaddd19bc-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ucd83e77c1d29bbd37c9adedaaddd19bc:after { content: ""; display: block; clear: both; } READ: The Gender Oppression of Boys EssayIn perusing the magazine rack at Borders, you might come across articlessuch as A Better Body in 30 Days, The Easy Way to a Flat Stomach, 101 Best Clothing Tips, and Good Hair, Good Sex. It might surprise you to know that all of these articles come from mens magazines. Tolstoy once said Nothing has such a striking impact on a mans development as his appearance†¦ Men fall victim to this artificial concept of beauty just as readily as women. Men spend an estimated $9.5 billion a year on cosmetics and plastic surgery. It is a proven fact that tall men earn $600 more per inch. Hello, NBA, and look at Donald Trump, Steven Seagal, the Joll y Green Giant, and everyday, men are bombarded with media images of tall, muscular manly men, when in reality, the average man is less of a Ricky Martin and more of a Rick Moranis. Featured twice on the list of People Magazines 50 Most Beautiful People of the Year, a plus-sized supermodel who goes simply by the name Emme states that, If we cant see ourselves as we truly are, we can never present ourselves as we wish to be seen. How do you wish to be seen? In a study of the American ideal of beauty by Vogue columnist Charles Gandee, one female panel member proclaimed that if she could just look like actress Uma Thurman for a week, she could die happy. Another panel member said that any woman, who says that she wouldnt like to look like Pamela Anderson, at least for a day, is lying. We live in a society that values silicone and sex over intelligence and compassion. We are so preoccupied with our appearance that we forget that true beauty isnt something you can buy. As the Oil of Olay commercial says, Its not about looking beautiful†¦its about feeling beautiful. Plato described beauty as an everlasting loveliness which neither comes nor goes, neither flowers nor fades†¦the beauties of the body are as nothing to the beauties of the soul. Throughout history, we as a society have changed our minds a myriad of times about what we consider beautiful and we have arrived at this false, inhuman ideal of starvation and artificiality. If we want to change societys concept of beauty to something more natural, realistic, and healthy, it has to start here. It starts with me and it starts with you. Ralph Waldo Emerson once wrote Though we travel the world to find the beautiful, we must carry it with us, or we find it not. I urge all of us to seek true beauty in our lives. To be healthy and be beautiful, but know that true beauty truly comes from the inside. And with that, I say bring on the cheesecake! Bibliography1. Gandee, Charles. â€Å"American Ideal of Beautyâ € . Vogue Magazine. March 08, 19982. Lipton, Michael A. â€Å"Wasting Away†. People Magazine. June 3, 19963. Thompson, Theresa. â€Å"The impact of Advertising on Teens.† Nov., 19954. Quoteland. Social Issues

Softdrinks History free essay sample

Agri-Food Trade Service Softdrinks Industry: Another Side of a Filipinos Beverage Life1 2009 Ditas R. Macabasco Agribusiness Specialist Center for Food and Agri Business University of Asia and the Pacific Softdrinks, also known as carbonated drinks, cola, soda or pop, is one of the most consumed beverages in the country. Prior to the introduction of bottled water, ready-to-drink teas, ready-to-drink fruit juices, and other functional drinks, it was the usual choice of Filipino consumers in many parts of the country. Industry Definition A pending bill in Congress (House Bill 5039) defined carbonated drinks as â€Å"aerated potable water, whether or not it contains added sugar or other flavor sweeteners, and non-alcoholic beverages which are charged under pressure with carbon dioxide gas and are sold in bottles and other air-tight containers. † Just like other beverages, softdrinks are a popular thirst quencher in the country. Market Total household spending on non-alcoholic beverages reached P33. 3 billion in 2006 based on the latest Family Income and Expenditure Survey of the National Statistics Office. We will write a custom essay sample on Softdrinks History or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The figure was higher by 2. 9% per year from P30. 6 billion in 2003. In inflation-adjusted terms, expenditure grew by 7. 4% per annum during the period. The bulk of the spending may be attributed to softdrinks. Meanwhile, the total size of the softdrinks market in the country was estimated at 8,591 million liters in 2007, with projected growth of 7. 6% in 2008 to 9,241 million liters (www. euromonitor. com). The Players The softdrinks industry in the country consists of a handful of players. The market leader is Coca Cola, followed by Pepsi. The other smaller players include Virgin Cola, Zesto, and RC Cola. Coca Cola Bottlers Philippines Inc. (CCBPI) is now 100%-owned by The Coca Cola Company. The latter bought the entire 65% stake of San Miguel Corporation (SMC) in CCBPI in 2007 for US$590 million. The acquisition includes low-end softdrinks manufacturer Cosmos Bottling Corporation (CBC), which was acquired by SMC back in 2002, as well as Philippine Beverage Partners, Inc. , the company which distributes the products. Today, the companys carbonated brands in the market include Coke, Diet Coke, Coke Zero, Sprite, Sprite Light, and Royal, and CBC brands Pop Cola, Sarsi, Cheers, Lift, Jaz Cola, and Sparkle. Another player is Pepsi Cola Products Philippines, Inc. (PCPPI) which is 32. 9% owned by PepsiCo. PCPPIs brands in the market include Pepsi, Diet Pepsi, Pepsi Light, Pepsi Max, 7Up, Diet 7Up, Mountain Dew, Jazz, Mirinda, and Mug. The company went public early this year, the proceeds from which are intended mainly for expansion of its carbonated and non-carbonated beverages. Also in the softdrinks business is Interbev Corporation, a subsidiary of beer company Asia Brewery Inc. , which managed to secure a licensing agreement for Virgin Cola, a popular British brand, in 2004. Virgin Cola comes in four variants: regular, diet, lemon and lime. It competes with lower-priced brands in the market like Pop Cola, RC Cola and Jazz. Juice company Zesto Corporation has also entered the softdrinks market via Zesto Cola in 1994. Its product â€Å"challenged the market leaders in terms of taste, refreshing qualities and price. Zesto has since diversified its carbonated drinks line to include Zesto Cola Zero Cal, Rootbeer, Rootbeer Light, Twist, Squiz Orange, Squiz Grape, Dalandan Fruit Soda, Calamansi Fruit Soda, and Pomelo Fruit Soda. Yet another player is Asiawide Refreshments Corporation, which is the Philippines licensed bottling manufacturer and distributor of US brand RC Cola. The product is among the relatively low-priced brands in the local market. |Table 1. SOFTDRINKS: Key Industry Players | |Company |Brands |Coca Cola |Coke, Diet Coke, Coke Zero, Sprite, Sprite Light, Royal, Pop, Sarsi, Diet Sarsi, Lift, Cheers, | | |Jaz Cola, Sparkle | |Pepsi Cola |Pepsi, Diet Pepsi, Pepsi Light, Pepsi Max, 7Up, Diet 7Up, Mountain Dew, Jazz, Mirinda, Mug | |Interbev Corporation |Virgin Cola | |Zesto Corporation |Zesto Cola, Zesto Cola Zero Cal, Rootbeer, Rootbeer Light, Twist, Squiz Orange, Squiz Grape, | | |Dalandan Fruit Soda, Calamansi Fruit Soda, Pomelo Fruit Soda | |Asiawide Refreshments |RC Cola | |Corporation | | According to an industry report, CCBPI controls about 50% of the market for carbonated softdrinks in the country, followed by CBC with 23%, PCPPI with 17%, and the remaining 10% is shared by the other small players. Figure 1. Market shares of key players [pic] Source: AC Nielsen as cited by 2TradeAsia, January 2008 Distribution, Packaging and Pricing The softdrinks industry enjoys extensive distribution. The companies have manufacturing plants, warehouses, and sales offices located in various parts of the country. The distribution outlets include sari-sari stores, grocery stores, supermarkets, convenience stores, restaurants, hotels, resorts, canteens, movie theaters, amusement parks, and vending machines, among others. The products are sold in three types of packaging: returnable glass bottles, lift ring aluminum can, and polyethylene terephthalate (PET) bottles. In the past, most softdrinks are packaged in glass bottles. Today, however, more and more companies are using PET bottles. The usual packaging sizes are 2 liters (li), 1. 5 li, 1 li, and 500 milliliters (ml) for PET; 8 ounces (237 ml), 12 ounces (355 ml), and 1 li for glass bottles; and 330 ml for aluminum cans. The usual packaging available in supermarkets, groceries and convenience stores are PET and aluminum cans. Those in glass bottles are usually sold in sari-sari stores. There are also institutional packs and dispensers for the food service industry. Prices vary depending on the brand, the variant, the type of packaging, the size, the type of outlet, the location, among others. In some supermarkets and sari-sari stores, retail prices ranged from P36. 00 – 49. 50 for a 2 li PET bottles, P29. 00 – 39. 50 for 1. 5 li PET bottles, P17. 50 – 21. 00 for 500 ml PET bottles, and P15. 95 – 22. 50 for 330 ml aluminum cans. |Table 2. Indicative Prices of Selected Softdrink Products, September 2008 | |Company |Brand |Packaging / Retail Price (P) | | | |2 li PET |1. li PET |500 ml PET |330 ml can | |Coca Cola |Coke | |34. 00 |21. 00 | | | |Coke Light |49. 50 |36. 75 | |20. 00 | | |Coke Zero |44. 95 |33. 50 | |22. 50 | | |Sprite | |35. 25 | |18. 50 | | |Sprite Ice | | | |18. 0 | | |Sprite Light | | | |21. 00 | | |Royal | |34. 50 |21. 00 |18. 50 | |CBC |Sarsi | |36. 00 | |21. 00 | | |Sarsi Light | |39. 50 | | | | |Sarsi Rootbeer Light | | |21. 0 | | |PCPPI |Pepsi | |34. 00 | |17. 50 | | |Pepsi Light | |34. 00 | | | | |Pepsi Max |36. 00 |29. 00 | |17. 50 | | |7Up | |33. 25 |20. 00 |17. 50 | | |Mountain Dew | |33. 25 |20. 0 |17. 50 | | |Mirinda | |33. 25 |20. 00 |17. 50 | | |Mug Rootbeer | |33. 50 | |17. 50 | |Zesto Corp. |Cola | |31. 00 |18. 50 | | | |Cola Zero | | | |14. 50 | | |Dalandan Soda | |30. 75 |17. 00 |17. 0 | | |Calamansi Soda |30. 75 |18. 25 | | | | |Diet | | | |17. 00 | | |Squiz | |29. 25 |17. 50 |14. 50 | | |Rootbeer | |31. 00 |17. 50 |15. 95 | |Asiawide Refreshments Corp. |RC Cola |   |31. 50 |   |15. 95 | Source: Selected supermarkets in Metro Manila SWOT Analysis The success of the softdrinks industry in the country hinges on several strengths (S). For one, many of the brands are well-established and have been in the market for several decades now. The local licensees also enjoy strong support from their mother companies abroad. The brands have also developed a loyal customer base. The companies have established manufacturing facilities and extensive distribution network all over the country. Further, the companies spend heavily on marketing and multi-media advertising. They also continuously pursue product innovations to cater to changing demands and lifestyles of the market. The products are also priced reasonably and there is a wide array of choices for the consumers. In terms of weaknesses (W), sales have been declining in recent years due to the growing health and wellness concerns among consumers, which lead them to shy away from sugar-loaded softdrinks. In addition, rising costs of ingredients, packaging materials and energy exert pressure on the companies bottomlines. Meanwhile, an opportunity (O) for growth is the development of new variants of carbonated drinks to take advantage of the growing trend on health consciousness. These could include low calorie, low sugar, no sugar and fruit-flavored variants. In addition, the increasing incidence of eating out among Filipino families also presents an opportunity as it may translate to more orders of carbonated drinks. There are also threats (T) brought about by intensifying competition in the market, not only within the industry itself but also coming from other non-carbonated beverages such as bottled water, ready-to-drink teas, fruit juices, fitness waters, sports drinks, among others. The shift in consumer preferences towards beverages tied to health and wellness also pose a threat. Scarcity and quality of water, which is a vital input in the manufacturing process, are also key concerns to watch out for. Rising consumer prices is also a threat in that it could lead consumers to cut back on â€Å"unnecessary† expenses. |Table 3. SWOT Analysis of the Philippine Softdrinks Industry | |Strengths |Weaknesses | |Established brands |Declining sales | |Strong relationship with mother companies abroad |Rising costs of ingredients and packaging materials | |Highly loyal consumers |Increasing energy costs | |Established manufacturing platform | | |Extensive distribution network | | |Heavy marketing and advertising expenditure | | |Continuous product nnovations | | |Affordable | | |Wide variety of products | | |Opportunities |Threats | |Introduction of new variants (low calorie, low sugar, zero|Intense competition within the industry itself and from other | |sugar) |non-carbonated beverages | |Increasing incidence of eating-out |Shift in consumer preferences towards beverages tied to health and | |   |wellness | | |Scarcity and quality of water (a key ingredient in manufacturing) | | |Rising consumer prices | Prospects The softdrinks industry is faced with challenging times. According to industry reports, sales have not been as brisk as in the past as consumers shift to healthier (less sugar-laden) alternatives like bottled water, fruit juices and teas. Rising food and fuel prices have also weakened consumer demand. Recently, a bill was filed in Congress for the imposition of a 20% excise tax on soft drinks, energy drinks and non-carbonated beverages. House Bill 5039 actually seeks to amend Section 150 of the National Internal Revenue Code of 1997 by expanding the coverage of goods levied with a 20% excise tax to include the said beverages. It seeks to curb the excessive intake of such beverages, and at the same time, generate about P5 billion a year in added revenues for the government. If this bill is passed, it will be another setback for the industry which is still grappling with difficult market conditions. Inspite of these, the outlook for the industry remains optimistic. Softdrinks have managed to survive tougher times in the past. And they will continue to be a popular segment of the beverage industry since they have become a part of the diet of many Filipinos. Nonetheless, to enhance consumer demand, players are actively pursuing promotional activities such as tie-ups with value meals of popular fastfood chains, restaurants as well as pizza chains, sponsorship of events, setting up of booths in schools/club fairs, conduct of contests, provision of free softdrinks in some events, among others. They are also conducting massive multi-media advertising campaigns and price cuts, as well as continuous research and development, and product introductions. Their aggressive efforts in reviving interest in the product are slowly paying off. According to reports, while sales of the regular softdrink products have been broadly flat, the demand for the new variants (e. g. sugar free, low sugar, zero sugar, fruit-flavored) have been posting good growth. And it is likely that these new variants will continue to drive growth in the coming years.

Definition and Examples of Prescriptivism

Definition and Examples of Prescriptivism Prescriptivism is the attitude or belief that one variety of a language is superior to others and should be promoted as such. Also known as  linguistic prescriptivism and purism.  An ardent promoter of prescriptivism is called a prescriptivist or, informally, a  stickler. A key aspect of traditional grammar, prescriptivism is generally  characterized by a concern for good, proper, or correct usage. Contrast with descriptivism. In a paper published in Historical Linguistics 1995, Sharon Millar defined prescriptivism as the conscious attempt by language users to control or regulate the language use of others for the purpose of enforcing perceived norms or of promoting innovations (Language Prescription: Success in Failures Clothing).Common examples of prescriptive texts include many (though  not all)  style and usage guides, dictionaries, writing handbooks, and the like.   Observations [Prescriptivism is the] policy of describing languages as we would like them to be, rather than as we find them. Typical examples of prescriptivist attitudes are the condemnation of preposition stranding and of the split infinitive and a demand for Its I in place of the normal Its me.  (R.L. Trask, Dictionary of English Grammar. Penguin, 2000)A prescriptive grammar is essentially a manual that focuses on constructions where usage is divided and lays down rules governing the socially correct use of language. These grammars were a formative influence on language attitudes in Europe and America during the 18th and 19th centuries. Their influence lives on in the handbooks of usage widely found today, such as A Dictionary of Modern English Usage (1926) by Henry Watson Fowler (1858-1933), though such books include recommendations about the use of pronunciation, spelling, and vocabulary as well as grammar.  (David Crystal, How Language Works. Overlook Press, 2005)I think sensible prescr iptivism  ought to be part of any education.(Noam Chomsky, Language, Politics, and Composition, 1991.  Chomsky on Democracy and Education, ed. by  Carlos Peregrà ­n Otero. RoutledgeFalmer, 2003) Verbal Hygiene [T]he overt anti-prescriptive stance of linguists is in some respects not unlike the prescriptivism they criticize. The point is that both prescriptivism and anti-prescriptivism invoke certain norms and circulate particular notions about how language ought to work. Of course, the norms are different (and in the case of linguistics they are often covert). But both sets feed into the  more general arguments that influence everyday ideas about language. On that level, description and prescription turn out to be aspects of a single (and normative) activity: a struggle to control language by defining its nature.  My use of the term verbal hygiene is intended to capture this idea, whereas to use the term prescriptivism would just recycle the opposition I am trying to deconstruct.  (Deborah Cameron, Verbal Hygiene. Routledge, 1995) Language Wars The history of prescriptions about Englishof grammar texts, manuals of style and O tempora o mores-type laments- is in part a history of bogus rules, superstitions, half-baked logic, groaningly unhelpful lists, baffling abstract statements, false classifications, contemptuous insiderism, and educational malfeasance. But it is also a history of attempts to make sense of the world and its bazaar of competing ideas and interests. Instinctively, we find the arbitrariness of existence hard to accept. Our desire to impose order on the world, which means inventing the forms of language rather than discovering them, is a creative act. Furthermore, the quarrel between descriptivists and prescriptivists ... is a sort of mad confederacy: each party thrives on lambasting the other.   Ã¢â‚¬â€¹(Henry Hitchings, The Language Wars. John Murray, 2011) The Problem WIth Prescriptivists [G]eneral ignorance of grammar allows prescriptivists to impose nonsensical mandates and allows test-makers and test-takers to focus primarily on superficial error in language use.​(Martha Kolln and Craig Hancock, The Story of English Grammar in United States Schools. English Teaching: Practice and Critique, December 2005) Pronunciation: pree-SKRIP-ti-viz-em

Texas State Laws on Flag Burning, Desecration

Texas State Laws on Flag Burning, Desecration In Texas, it is a misdemeanor if someone intentionally or knowingly damages, defaces, mutilates, or burns the flag of the United States or the State of Texas. A flag includes any emblem, banner, or other standard or a copy of an emblem, standard, or banner that is an official or commonly recognized depiction of the flag of the United States or of this state and is capable of being flown from a staff of any character or size but does not include a representation of a flag on a written or printed document. Source: 42.11 Analysis of the Law Texas was the source of the infamous Texas v. Johnson Supreme Court decision which upheld peoples right to burn American flags. At the time, the law made it a misdemeanor for someone to knowingly desecrate a state or national flag, where desecrate was defined as deface, damage, or otherwise physically mistreat in a way that the actor knows will seriously offend one or more persons likely to observe or discover his action. There isnt much difference between the law that was held unconstitutional in 1989 and the law which currently sits on the books in Texas. Now, as then, the crime is located not so much in the act as it is in causing negative reactions in others. You arent guilty of flag desecration in Texas if you burn a a flag and no one is offended; you only become a criminal when others take offense.

Social Media Policies, Concerted Activity and HR Management Research Paper

Social Media Policies, Concerted Activity and HR Management - Research Paper Example As the use of social media in workplaces continue to be entrenched in the normal work routines of employees, employers are finding a way to spy and eavesdrop on the discussions and opinions that employees have, concerning the organization. This has escalated to the extent where employees are using social media to punish or banish employees who make negative or disparaging remarks about the company. This paper discusses the ethical issues involved in the use of social media among employees and employers. In one case before NLRB, BMW fired one employee for posting on Facebook about the company serving hot dogs during a sales event instead of serving more upscale foods. The company management determined the comment to amount to disparaging remarks and fired the employee for ridiculing the company. The NLRB determined that the employee was unfairly dismissed because the issue of serving hot dogs to customers was of concern to other employees and that the company also stood to lose customers because of serving them with hot dogs. The board argued that the employee only engaged in protected concerted activity that the company stood to benefit if it changed the kind of foods it served its customers (Tanick, 2012). I agree with the decision by the NLRB in the case above because the company would be the final beneficiary as a result of serving upscale foods. In addition, the company failed to show that it had engaged the opinion of the employees on the kind of foods they were serving their customers. The above case would lead to better employee relations at BMW if the company management would have decided to assemble the views of the employees on the kind of foods they were serving their customers and give them an opportunity to suggest the foods they thought would attract more customers to the company dealership.

Cause and effect Essay Example | Topics and Well Written Essays - 1000 words - 1

Cause and effect - Essay Example When other nations present a better outlook expectation, advanced earnings and a sparkling way of life, it draws many populaces. Other people tent to move in search of means for survival and to be able to support their families back home (Lujà ¡n 78). Many developed states have many advancements taking place daily in their places. The numerous expansions attract people mainly from the least urbanized nations to shift there to earn good incomes. Education: majority of citizens tend to progress to other countries with the anticipation of securing good quality schooling. Other states are appareled with a huge range of learning prospects. Many of them have numerous and classy professional establishments, colleges, universities as well as high schools that are better that those established back at home. The superiority and the prestige that comes in line with being associates with such a teaching drive many to shift other lands. Others have a preference to attend institutions that are well known globally in order for them to be famous (Sharma 196). Many students particularly those from wealthy backgrounds travel to countries of their picking to get PhD and Masters Credentials. Through scholarship students also get an option to move to their preferred sates to learn. Lofty Standards of living: numerous parents over and over again tent to propel their kinds overseas for them to attain the best existence. Manly they do this with an objective covering up on the life they were denied or did not achieve. Parents believe that once their children have travelled overseas they will get a plentiful and fruitful life there. With this major concern of a lofty living, much populaces do all they can to shift abroad. Other populaces go to any extend that they abandon their occupations in their motherlands just try their fortune in other states. Others even choose to revolutionize their

Practice and Principles of Nursing Essay Example for Free

Practice and Principles of Nursing Essay Principles and Practices of Nursing We will describe collaborating with other health care professionals in the management of health care, and what should be done according to this regulation. (Oklahoma Board of Nursing, 2011). We will describe confidentiality and discuss how it affects the Nurses professional decision making in this Case study. We will discuss the ethical implications of placing this patient on the ventilator. We will discuss things the Patients brother Mr.Y should consider before agreeing to allow Dr. K to place the Patient Mr. E on the ventilator, and facts that affect the Patients Advance Directive. We will discuss violations of HIPAA seen in this Case Study. We will discuss the conduct of the Nurses in this case study. We will discuss the steps the professional Nurse should take based on the ANA code of ethics. Collaboration is not just cooperation, it is the combined efforts of a team to provide the best care possible (Nursing World, 2010). The Physician and nurse should be working together to achieve the best care for this Patient. The Nurse and Physician should discuss the Patients condition and wishes and the wishes of the family if the Patient is incapable of making decisions for himself (Nursing World, 2010). The nurse and Physician should make certain the patients brother knows about the advance directive, so he will be able to make an informed decision about his brothers care. Confidentiality is very important in the medical field. Confidentiality represents a relationship between Patient and care giver of trust and respect for his privacy (Nursing World, 2010). If a Patient is unsure of privacy then the communication will be adversely affected. The Nurse in this scenario should never discuss patients in the dining area, the waiting room, or anywhere else that privacy can not be guaranteed (Nursing World, 2010). The nurse should never discuss the patients condition with family members if they do not have medical power of attorney or been given permission by the medical power of attorney to do so (Nursing World, 2010). The nurse should not discuss patient with other staff members unless they are directly responsible for giving care and have a need to know (Nursing World, 2010). This Patient has signed an Advance Directive and has named his brother as Power of Attorney (Nursing World, 2010 ). This fact was never discussed with the brother before this Patient was put on the Ventilator. The patients brother was not the one who gave permission for the procedure to put patient on the ventilator(Nursing World, 2010). The brother needs to tconsider these facts before giving Dr. K permission to place the patient on the ventilator. The patient has a low oxygen level of 88%. He has a low grade temp of 101 degree F. His mental capacity may not be adequate to make this decision without assistance (Nursing World, 2010). The brother needs to consider the fact that the patient had the Advance Directive before he became ill, and consider his ability to make decisions at the time he signed the advance directive (Nursing World, 2010). There were several HIPAA violations noted in this scenario. The physician spoke to the niece about the condition of the patient without consent of the power of attorney or the patient (Sheahan, 2011). The nurse spoke to other staff who were not directly responsible for the care of this patient (Sheahan, 2011). The nurse also discussed patient information in a very public place where anyone could overhear the conversation (Sheahan, 2011). The nurse who was directly responsible for this patient did not advocate for this patients rights. The nurse had information that she never gave to anyone in a position to make decisions for this patient (Nursing World, 2010 ). The nurses used derogatory language when speaking of this patient (Nursing World, 2010). The nurses had no consideration for the patients privacy or dignity in this scenerio. None of the nurses offered to help educate the nurse who admitted she knew nothing of HIPAA. The Nurse needs to protect the Patients privacy at all times. The nurse should Advocate for the Patients rights to refuse treatment or have his Power of Attorney make this decision for him (Nursing World, 2010). The nurse needs to insist the Physician or she herself speak with the brother again to clarify that the niece could give permission to place Patient on Ventilator before the procedure is performed. The nurse should never have gone to lunch before she had obtained permission from the power of attorney to allow the procedure to be performed. The Nurse should also give her fellow employees in the cafateria a copy of the Nurse Practice acts of Oklahoma, the Nurses Code of Ethics and HIPAA. She needs to be certain that all of the nurses involved including herself understands all three of these papers. The nurse should request that they not speak in a derogatory fashion of any patient, and make certain they understand that they are in violation of the nursing code of ethics and HIPAA (Nursing World, 2010). We have discussed the nursing regulation collaborating with other health professionals in the management of health care, it’s importance, and what the health care team should do in this situation (Nursing World, 2010 ). We have discussed confidentiality, and the professional Nurses role in maintaining confidentiality. We have discussed the ethical implications of putting this Patient on the ventilator. We have discussed things his Brother needs to know and consider before making this decision for the patient and things that could interfere with the Advance Directive. We found several HIPAA violationa.  We have discussed the conduct of the nurses in this scenerio. We have discussed the things the professional nursw should do.

International Business Essay -- International Business Management

International Business Question No 1: Describe the four basic levels of international business activity.Do you think any organization will achieve the fourth level?Why or why not. Question No 2: For each of the four globalization strategies, describe the risks associated with that strategy and the potential returns from that strategy. __________________________________ Answer for question No 1: The four general levels of international buisness activity are: 1.  Ã‚  Ã‚  Ã‚  Ã‚  Domestic business 2.  Ã‚  Ã‚  Ã‚  Ã‚  International business 3.  Ã‚  Ã‚  Ã‚  Ã‚  Multinational business 4.  Ã‚  Ã‚  Ã‚  Ã‚  Global business. Domestic Business: Is the one that acquires all of its resources and sells all of its products ot services within a single country.(8/143) Interational business: Is the one that is based primarily in a single country but acquires some meaningful share of its resources or revenues (ot both) from othe countries. (8/143) Multinational business: The one that has a worldwide marketplace from which it buys raw mateials, borrows money, and manufactures its products and to which it subsequently sells its prducts.(8/143) Global business: Is the business that transcends national boundaries and is not committed to a single home country.(8/143) In my opinion there is no opportunity for a business to achieve this level of Iinternationalization.The reason is that all business in all over the world are controled by the government which are committed.There is no way for a business ...

Diary of a Young Girl: Anne Frank Essay

What I am about to write is a summary of The Diary of a Young Girl, written by Anne Frank. This book starts from when Anne gets her diary on her thirteenth birthday. The book is about when Anne and her family have to live in the â€Å"Secret Annex.† On her thirteenth birthday, Anne’s parents give her a diary. She’s excited because she wants something in which to confide all of her secret thoughts. Even though she has a social life, she feels misunderstood by everyone she knows. Anne starts writing about daily events, her thoughts, school grades, boys, all that. But, within a month, her entire life changes. As Jews in German-occupied Holland, the Frank family fears for their lives. When Anne’s sister, Margot, is called to appear before the authorities, which would almost surely mean she was being sent to a concentration camp, Anne and her family go into hiding. They move into a little section of Anne’s father’s office building that is walled off and hidden behind a swinging bookcase. For two years, the Frank family lives in this Secret Annex. Mr. and Mrs. van Daan and their son Peter are also in hiding with the Franks. Later, Mr. Dussel, a dentist moves in, and Anne has to share her bedroom with him. Anne is hidden from the outside world. She’s cooped up in tiny rooms, tiptoeing around during the day and becoming shocked from the sounds of bombs and gunfire at night. Luckily, the Franks have tons of reading material and a radio. Anne grows in her knowledge of politics and literature, and she puts tons of energy into studying and writing. At the same time, she grows further and further away from the other members of the Annex. There is a change in Anne when she begins hanging out in the attic with Peter van Daan. Around this time she starts having dreams about a boy she was in love with, another Peter, Peter Schiff. She sometimes even gets the two Peters confused in her head. She comes to see Peter as much more than she first thought. She finds him sensitive and caring, and they talk about everything. Eventually their relationship changes. Anne and Peter’s passion turns into a friendship and a source of comfort for them both. Another big change for Anne happens when the war seems to be ending. She hears that personal accounts such as her diary will be in demand after the war ends. We see a return to her earlier enthusiasm as she begins editing her diary with excitement. Unfortunately, this does not last. Even as Anne becomes more and more sensitive to the suffering going on in the world, her own suffering becomes unbearable. She feels completely alone. She thinks everyone hates her. She feels constantly criticized. And there is no escape. At one point, she thinks it might have been better if she and her family had all died instead of hiding in the Annex. As Anne becomes harder on those around her, she also becomes harder on herself, berating herself for being mean to the other members of the Annex. There her diary ends. Two short months after Anne’s fifteenth birthday, and two days after he last diary entry, the Secret Annex is raided. We don’t know Anne’s thoughts or feelings at that point or any time after, but we know things got worse. Afterwards Anne and the other members of the Annex were sent to various concentration cmps. Anne’s father, Otto Frank, was the sole survivor. I would recommend this book to others who like to know what happened throughout history, though I personally wouldnt read it again. I say this because I didnt really enjoy reading about her life, and I am not all that into history, except Greek mythology, but thats just me personally.

Gender Roles in Beowulf and The Decameron Essay

The Anglo- Saxon epic Beowulf and Giovanni Boccaccio’s Decameron tell very different stories, but nevertheless can be said to share one common literary element: the representation of gender. Both Beowulf and many of the stories in the Decameron represent women as being the subject to men in all respects. Beowulf is a masculine epic altogether, in which women are absent, silent or otherwise merely a tool that serves the world of men. In The Decameron on the other hand, although women are present in all the stories, Boccaccio makes them the victims of his irony most of the times, picturing them either as adulteresses or as very simple beings that completely lack cleverness, like the woman who lets herself be persuaded by her lover that he is the angel Gabriel himself. However, in both Boccaccio’s tales and in Beowulf the role of the women is even more interesting to notice when the authors intend to give a positive representation of them, in the form of ideal women. The ideal women for the two texts, Griselda in Boccaccio’s hundred story and Wealhtheow in Beowulf offer indeed a good insight into the way in which women were represented: they are intended to be positive figures, but they are ideal only insomuch as they are perfect tools that serve in the men’s world. Thus, Beowulf is as Gillian Overing notes, an absolutely masculine epic, which focuses only on heroism. The world of men is accurately constructed: it is entirely composed of men’s wishes, men’s actions and so on: â€Å"Beowulf is an overwhelmingly masculine poem; it could be seen as a chronicle of male desire, a tale of men dying†¦There is no place for women in the masculine economy of Beowulf. â€Å"(Overing, 69) Beowulf is the hero and later the king, who saves the Danish people of the powerful monster Grendel and of his mother. The very few women who appear in the story are mostly mentioned directly as instruments in the world of men, as â€Å"peace-weavers† more exactly, like Hrothgar’s daughter for example, who is mentioned directly as a â€Å"promise† to a certain man, as a means to bring peace to the kingdom: â€Å"Oft to the heroes Hrothgar’s daughter,/ to earls in turn, the ale-cup tendered, –/she whom I heard these hall-companions/ Freawaru name, when fretted gold/ she proffered the warriors. Promised is she,/ gold-decked/ maid, to the glad son of Froda. / Sage this seems to the Scylding’s-friend,/ kingdom’s-keeper: he counts it wise/ the woman to wed so and ward off feud,/ store of slaughter. But seldom ever/when men are slain, does the murder-spear sink/ but briefest while, though the bride be fair! † It is quite clear that this woman will probably fail even in her modest role, as a peace maker, according to the prediction of the anonymous author. Wealhtheow, queen to Hrothgar is the only woman who is given a voice in the poem at all. Her two speeches, one addressed to her king and the other to Beowulf mark very important moments in the poem, and she almost seems to have a certain power. She advises her king not to adopt Beowulf as a son, since he already has two sons of his owns, and pledges him to his word by offering a cup. She then goes to Beowulf and offers another symbolic object, a neck-ring as a reward for his feats of heroism and urges him to fight again and confront death: â€Å"Enjoy this neck-ring with safety, Beowulf, beloved youth, and make use of this corselet, of our people’s treasure; prosper well, declare yourself with strength, and be kind of counsel to these youths. I shall remember to reward you for that. You have brought it about that men shall praise you from far and near for a long time to come†¦. Here every nobleman is true to the other, mild of heart, loyal to his lord; the thanes are united, the people willing; the wine-drinking warriors do as I bid. † (â€Å"Beowulf†, 1216-1231) In both these instances, the Danish queen seems to hold some power over the events and the world of men, since she performs such symbolic acts and since she herself declares that the warriors obey her. However, it is quite obvious that she also is an instrument just like the other women mentioned in the text. She does not perform her own will, but only acts as an ideal tool for men that takes the cup from one of them and gives it to another. It can be said that Wealhtheow is merely a mediator and a peace bringer in the poem, just like the other women represented. As Gillian Overing remarks, in Beowulf women serve only as mediators for the alliances between men, either through marriage or through symbolic, minor acts: â€Å"While we have no way of guessing at Beowulf’s sexuality, or at the poet’s or the hero’s personal views on marriage, we cannot ignore the strength of expressed masculine desire in the poem. Intensity and passion are located in the bonds of loyalty and friendship forged between men, and marriage is valued as an extension of this larger emotional context. †(Overing, 72) Thus, Wealhtheow is an ideal woman in Beowulf insomuch as she serves the purposes in men’s world, her will simply coinciding with the desires of men. In the last story of The Decameron, one of the very few that actually have a â€Å"happy† ending, Griselda the modest daughter of a shepherd is married to the Marquis of Saluzzo. Her role in the story is strikingly similar to that of Wealhtheow in Beowulf, even if the context is very different. In the story Gualtieri is a typical man, who as shown from the start, is preoccupied only with men’s business, such as hunting, and despises the idea of marriage: â€Å"†¦having neither wife nor child, [he] passed his time in naught else but in hawking and hunting, and of taking a wife and begetting children had no thought; wherein he should have been accounted very wise†¦Ã¢â‚¬ (Boccaccio, 837) As the author declares, the idea of taking a wife would be completely unwise, suggesting that women are merely troublesome acquisitions for men. However, Gualtieri is married at last, but chooses the daughter of a shepherd, so as to make sure she will be more likely to obey him in everything: â€Å"He then asked her, whether, if he took her to wife, she would study to comply with his wishes, and be not wroth, no matter what he might say or do, and be obedient†¦Ã¢â‚¬ (Boccaccio, 840) After a few happy years, he starts to deliberately torment his wife, through cruel acts, such as taking her children away and making her believe they are dead or humiliating her for her base condition in front of everyone. All this is done of course to try the wife’s patience and her limits in her total obedience to her husband. In the end, he makes her believe he is going to marry again, but instead brings her daughter, and the story ends well. The moral is quite evident: Boccaccio attempted to portray his idea of the perfect woman, that is the woman is nothing else but an instrument of man’s will. Griselda is so modest as to consider herself unworthy of any kind of regard, and so patient as to bear in silence her husband cruelty: â€Å"My lord, do with me as thou mayst deem best for thine own honour and comfort, for well I wot that I am of less account than they, and unworthy of this honourable estate †¦Ã¢â‚¬ (Boccaccio, 842) Her similarity to Wealhtheow is now apparent: both the queen in Beowulf and Griselda are ideal women only because they serve men properly, as instruments, that do not have any will of their own. Thus, the heroines of the two texts, although they appear in very different contexts, are obviously represented in the same way, that is, as instruments that are in harmony with men’s affairs and desires. Their perfection comes precisely from their nullity as characters, as persons of their own will. Both of them are wives first of all, and are defined only through this role. Although their authors intended a positive representation of women through them, they are in fact just useful devices for men, with no real consistence of their own. Works Cited: Risden, Edward L. tr. Beowulf. Troy: Whitston Publishing, 1994. Boccaccio, Giovanni. The Decameron. New York: Signet Classics, 2003 Overing, Gillian R. Language, Sign and Gender in ‘Beowulf. ’ Carbondale: Southern Illinois University Press, 1990.

5 Most Important Things You Can Do for the Environment

5 Most Important Things You Can Do for the Environment If you feel you’re not doing enough for the environment by replacing your incandescent light bulbs with LED lights and composting your kitchen scraps, maybe you’re ready to make a deeper commitment to environmental stewardship. Some of these strategies may seem a little radical, but they are among the most valuable actions you can take to protect and preserve Earth’s environment. Have Fewer Children- Or None Overpopulation is arguably the world’s most serious environmental problem because it exacerbates all of the others. The global population grew from 3 billion in 1959 to 6 billion in 1999, an increase of 100 percent in just 40 years. According to current projections, the world population will expand to 9 billion by 2040. This represents a slower growth rate than that of the last half of the 20th century, but it will nevertheless leave us with many more people to accommodate. Planet Earth is a closed system with limited resources- only so much fresh water and clean air and only so many acres of land for growing food. As the world population grows, our finite resources must stretch to serve more and more people. At some point, that will no longer be possible. Some scientists believe we have already passed that point. Ultimately, we need to reverse this growth trend by gradually bringing the human population of our planet back down to a more manageable size. This means more people must decide to have fewer children. This may sound pretty simple on the surface, but the drive to reproduce is fundamental in all species. The decision to limit or forgo the experience is a difficult one for many people because of emotional, cultural, and religious traditions and pressures. In many developing countries, large families can be a matter of survival. Parents often have as many children as possible to ensure that some will live to help with farming or other work and to care for the parents when they are old. For people in cultures like these, lower birth rates will only come after other serious issues such as poverty, hunger, poor sanitation, and freedom from disease have been adequately addressed. In addition to keeping your own family small, consider supporting programs that fight hunger and poverty, improve sanitation and hygiene, or promote education, family planning, and reproductive health in developing nations. Use Less Water- And Keep It Clean Fresh, clean water is essential to life- no one can live long without it- yet it is one of the scarcest and most endangered resources in our increasingly fragile biosphere. Water covers more than 70 percent of the Earth’s surface, but most of that is salt water. Freshwater supplies are much more limited and today a third of the world’s people lack access to clean drinking water. According to the United Nations, 95 percent of the cities worldwide still dump raw sewage into their water supplies. Not surprisingly, 80 percent of all illnesses in developing countries can be linked to unsanitary water. Especially if you live in a dry climate, you should use only as much water as you need, avoid wasting the water used, and strive to protect  water supplies. Eat Responsibly Eating locally grown food supports local farmers and merchants in your own community as well as reducing the amount of fuel, air pollution, and greenhouse gas emissions required to move the food you eat from the farm to your table. Eating organic meat and produce keeps pesticides and chemical fertilizers off your plate and out of rivers and streams. Eating responsibly also means eating less meat and fewer animal products such as eggs and dairy products, or perhaps none at all. Eating less meat is a matter of good stewardship of our finite resources. Farm animals emit methane, a potent greenhouse gas that contributes to global warming, and raising animals for food requires many times more land and water than growing food crops. Livestock now uses 30 percent of the planet’s land surface, including 33 percent of farmland worldwide, which is used to produce animal feed. Every time you sit down to a plant-based meal instead of an animal-based meal, you save about 280 gallons of water and protect anywhere from 12 to 50 square feet of land from deforestation, overgrazing, and pesticide and fertilizer pollution. Conserve Energy- And Switch to Renewable Energy Walk, bike, and use public transportation more. Drive less. Not only will you be healthier and help to preserve precious energy resources, but you’ll also save money. According to a study by the American Public Transportation Association, families that use public transportation can reduce their household expenses by $6,200 annually, more than the average U.S. household spends on food every year. There are dozens of other ways you can conserve energy. You can turn off lights and unplug appliances when they are not in use and substitute cold water for hot whenever practical. Other small steps you can take include weather stripping your doors and windows and not overheating or overcooling your home and office. One way to start is to get a free energy audit from your local utility. Whenever possible, choose renewable energy over fossil fuels. For example, many municipal utilities now offer green energy alternatives so that you can get some or all of your electricity from wind, solar, or other renewable energy sources. Reduce Your Carbon Footprint Many human activities- from using coal-fired power plants to generate electricity to driving gasoline-powered vehicles- cause greenhouse gas emissions that heat the atmosphere and contribute to climate change. Scientists are already seeing significant climate changes that point to the likelihood of serious consequences. Some scenarios foresee increasing drought that could further reduce food and water supplies and, at the same time, rising sea levels that will submerge islands and coastal regions and create millions of environmental refugees. Online calculators can help you measure and reduce your personal carbon footprint, but climate change is a global problem that requires global solutions and, so far, the world’s nations have been slow to find common ground on this issue. In addition to lowering your own carbon footprint, let your government officials know that you expect them to take action on this issue- and keep the pressure on until they do. Edited by Frederic Beaudry

Analysis of Linear DNA Genomes Separation in Gel Electrophoresis

Agarose gel electrophoresis has been widely used as a form of separating DNA genomes in varying sizes from 100 kp upto 25 kb. Isolation of Agarose gel is obtained from the genera Gelidium and Gracilaria.in the gelato process, the polymers of agarose often form an association of none covalent which form networks of pore sizes which determine the molecular ability of sieving properties. Use of gel electrophoresis is beneficial in separation of DNA genomes. Electrophoresis process is key in separating the different nucleic acids using various sizes and charges depending on the contents of the solution. In this experiment, lab analysis of gel was used to put gel solutions in charged nucleic acids for separation purposes. At this point the larger DNA and RNA have a hard time in separating thus allowing time for separation of the genomes based on the sizes. The rate of separation of the DNA molecule in the experiment was determined by the rate at which the sizes of the DNA, the concentration of the gel, DNA Conformation present, voltage degree applied, ehidium bromide solution introduced, type of agarose and the buffer being utilized in electrophoresis. After the process of separation, DNA molecules will be able to be visualized in the UV light using staining process to identify the different genomes. Thus in essence DAN electrophoresis defines the process by which the DNA migrates in the supporting medium. Most of electrophoresis is carried in agarose gels in narrow polymers of gels using pores of different sizes, this sieving provides a means by which the pores gives an opportunity for the DNA molecules to go through the pores at different sizes thus being separated using molecular weights. Thus this laboratory report uses agarose Gels while staining with ethidium bromide   to assess the separation process of the different DNA genomes. Thus it seeks to investigate the DNA genome separation to assess the different nucleic acids by their respective sizes. Refer to the Lab Manual 5 for in-depth methodology and procedure. Diagrammatic presentation of gel DNA Table 1; Showing gel electrophoresis picture Table 2; Showing curve presentation of the base pairs against distance travelled Table 3; Showing table figure for the curve Table 4; Showing how to calculate base pairs Example suppose we have a base pair having travelled 0.3 cm, then draw a line as illustrated above and take the readings on the corresponding logbp and take the anti log, which you get the base pair size. Table 5; Showing the sizes of pUC19 and their insert sizes Agarose gel electrophoresis has been utilised as a common method for separation of proteins, (Kryndushkin et al., 2003). The basic forms of nucleic acids can be separated through the aid of electrification process whereby charged molecules move to the anode side. This migration as depicted in the experiment ensures that molecules which have lower molecular weight are able to move faster, (Sambrook & Russel 2001). The process of electrophoresis is a crucial step in ensuring purification process of the desired DNA bands. In this experiment the usage of ethidium bromide is essential in visualizing the staining of the transcend DNA molecules. In this task, the Agarose gel electrophoresis plays a key role in ensuring the characteristics of DNA are obtained without any alterations. This experiment has yielded results which have enabled determination of DNA fragments sizes through digestion by restriction enzymes. The visualization has been effected with the use of ethidium bromide which is a common agent in nucleic acid purification process. The Agarose gel concentration on this task entailed the separation of the gel using agarose gel concentration of 0.2%w/v having bands from 0.1-1 kb. The distance travelled by DNA molecules in electrophoresis is directly proportional to the size of the DNA itself. The agarose gel is beneficial in ensuring that there are movements based on their sizes. With the various differences between the various rates of the DNA molecules in the gel solution, they are separated based on the size of the bases. The relationship built between the varied sizes of the DNA genome. The sieving of DNA is done through the size which it bears, (Southern, 1975). The length of DNA strands often vary from 50 base pairs to upto million s base pairs which agarose gel electrophoresis can be effective in separating them , the migration and distance travelled is linked on the concentration of the agarose used to prepare the gel. Concentrations having lower concentration are able to travel faster in the distance travelled and vice versa. In this study agarose gel of 2% has been used which was effective in separating the DNA at range of 0.1-1 kb, the low percentile gels often signify gels which are weak. Double stranded DNA moves faster as the molecules travels; its speed is inversely proportional to the logarithm of base pairs. This linked and established relationships depends on the strength of the of gel composition. The distance travelled by the digested genome signifies that there is action of restriction enzymes which shows that there restrictions which have taken place, thus distinguishing the variability linked to genetics and enzyme cost. The digested fragments were this separated using the agarose gel electrophoresis which showed continuous smear on the gel surface with the distribution of the difference fragment sizes being established. Digested pUC19 is a plasmid and able to transform itself on the transformation process where it can be able to multiply itself and express. Undigested pUC19 originate from E coli and contain high number of base pairs. The transformation efficiently portrayed shows that smaller pUC19 plasmid sin E choli can be manipulated and be transformed from the ampicilin forms. This shows that the DNA is in contact form with plasmid DNA being intact and with presence of viral chromosomes which can be transformed into high efficiencies. This transformation is through the resulting effect of digestion of peri plasmids. The undigested Puc19 shows presence base pairs which have the ability to perform recombination and be incorporated into cells, (Goto, Kenta & Yukio, 2013). The lanes which have recombination factor is able to facilitate the cloning of DNA in host cells.   This signifies recombination of various fragments of gel solution. The lanes that have been generated originated from digestion of particular DNA, which gives it equimolar amounts. Based on the lanes, there is variation on the number of non molar amounts, thus signifying that there is difference in band lengths. Others have shown to represent circular forms of the plasmids which is dependent on the age and quality of the plasmids. The existence of three forms of DNA formation which exists include linear formation, open circular formation and supercoiled forms. Plasmid DNA have been prevalently been studied in laboratory studies. After its preparation they exists in the three forms above. With good plasmid preparation, DNA often form plasmid which exist in any one strands of the DNA, this break causes the release of the phosphordiester backbones of the DNA to be released out. The visualising process of the agarose gel using the standard control tool is key to assess whether the bands have created a generation or not. Closer bands are well compressed than far away bands as indicated in the gel view. The standard marker used in this experiment was essential in ensuring that the standards sizes are generated using base pairs. This result signifies that electrophoresis is an effective way of separating nucleic acids. High gel agarose gives room for handling of low percentage gel separation. Due to the size of the base pair present in this experiment, has utilised field gel electrophoresis. This is   comparable to studies done (Lee et al, 2012), which have shown that sizes of DNA can be separated effectively through plotting on the log of molecular weight and different bands of DNA against the distance moved, this portray how different forms of gel can be able to move at different speeds. Super coiled plasmid DNA have sown to move faster, while those in linear formation travel averagely while open circular travel slowly. Goto, K., & Nagano, Y. (2013). Ultra-low background DNA cloning system. PloS one, 8(2), e56530. Kryndushkin DS, Alexandrov IM, Ter-Avanesyan MD & Kushnirov VV (2003). Yeast [PSI+]   prion aggregates are formed by small Sup35 polymers fragmented by Hsp10. Journal of Biological Chemistry.278 (49): 49636. Lee, P. Y., Costumbrado, J., Hsu, C. Y., & Kim, Y. H. (2012). Agarose gel electrophoresis for the separation of DNA fragments. Journal of visualized experiments: JoVE, (62). Sambrook J&Russel DW(2001). Molecular Cloning: A Laboratory Manual 3rd Ed. Cold Spring Harbor Laboratory Press. Cold Spring Harbor, NY. Southern, E. M. (1975). Detection of specific sequences among DNA fragments separated by gel electrophoresis. J mol biol, 98(3), 503-517.

The Teaching of Foreign Languages Research Proposal

The Teaching of Foreign Languages - Research Proposal Example In the result, one can observe impact of globalization on almost every aspect of different societies around the world, such as immigration, e-commerce, learning and most importantly, language learning. In particular, English has become an international language, and millions of individuals are endeavoring to learn foreign languages to equip themselves with the tools of surviving and competing in this modern global village. In this regard, institutions and organizations (Kirkman, 2010) are putting efforts to ensure effective learning of foreign languages by students and professionals around the world. In such an attempt, huge advancements in the field of information and technology have been playing a pivotal role in enhancing the language learning globally. Moreover, educational institutions are in midst of endeavors to identify the most effective methodology of teaching foreign languages. At the same time, it is an observation that technological tools are currently the most effective and interactive way of ensuring efficient teaching methodology when it comes to teaching of foreign languages. ... Research Statement In this regard, the proposed research will focus on the following research statement: â€Å"To identify and analyze the impact of teaching methodology on the performances of students and teachers toward technological language learning in EFL context† Literature Review In order to carry out research to analyze the impact, it is very imperative to acquire a foundational understanding of teaching methodologies that exist in the area of language learning. In this regard, brief review of the literature (Kirkman, 2010) has facilitated in identification of ‘computer assisted language learning’ that indicates very effective outcomes in terms of efficient teaching of foreign language. In the result, a huge number of organizations and institutions (Johnson, 2008) are in midst of implementing CALL technology for teaching different languages around the globe. In addition, due to effectiveness of CALL, statistics have indicated that due to advancements in th e field of information technology, a higher number of institutions are transferring their teaching environment into a CALL atmosphere that is an effective way of learning foreign languages. Although a huge number of experts (Ruffin, 2000) have carried out researches on the effectiveness of CALL technology; however, it is an observation that a very few has focused on its impact on students’ performance in the subject, and thus, there exists a need of new researches in this area. In this regard, to understand its impact, it is imperative to have an understanding of its different forms. In specifically, CALL technology has come to the present era while passing through different stages where it existed as ‘Structural CALL,

Cajun Food in South Korea Essay Example | Topics and Well Written Essays - 1250 words

Cajun Food in South Korea - Essay Example Target country for this case is South Korea. South Korean people are very much attracted towards the sea food items. That is why the country is an automatic choice for this business expansion. Food habits of South Korean people are significantly suitable and at par with the Cajun Food item. High level of seafood affinity from Korean people has made this place absolutely suitable for the particular food item. Availability of seafood items has made Korean peninsula an attractive destination for Cajun Foods. The aim of the project is to expand the idea of Kajun food into the market of South Korea by removing its competitor â€Å"The Boiling Crab and Cajun Restaurant Pier 17†. Another way it can deal with it is to start a joint venture with its competitor. Kajun has the motive to explain & elaborate the present trend in the ROI market. The food under consideration originated from the deepest part of Louisiana and Mississippi. The flavors of the food consist of an amalgamation of sea foods with spices. The availability of sea food is ensured by the bordering Japan Sea and Yellow Sea. Sea food always forms a major item of the people living in the boundaries of Eastern Asia. The study confers to expansion into the markets of South Korea. The brand name of this company is Cajun. This brand overcomes the cultural barriers. It gives a youthful perception and tries to increase the frequency of the purchase. This brand delivers a common message to all of its customers. Kajun aims to offer a new taste to the western world with the slogan that the south has risen following Kajun’s lifestyle. The packaging can be done in tinned containers for export purpose. Such packaging system will keep the food fresh. The customers can buy frozen fresh Cajun food. For instant serving the food can be served on platters. The mission of the company is provide best quality food to the customers and so it is advised to make the packaging

Andrew Jackson Essay Example | Topics and Well Written Essays - 250 words

Andrew Jackson - Essay Example During his presidency, he familiarized the spoils structure to the state government, assigning persons to positions grounded on the political backing. This made support on the government level prevail on the nationwide level. In addition, he used the executive influence of rejection expansively. In his term, he rejected extra bills compared to all the preceding presidents combined, and he was the first president to use the pocket rejection (Wilson, Dilulio and Bose 367). He used his position in the party to augment his supremacy and the primacy of the presidency. In his era, Jackson did not familiarize with numerous new policies, but he removed the ones he loathed. He removed some policies when the electorate size was growing quickly, and other states were joining the union. Jackson and his counterparts in White House walked the political phase when unpleasant sectional battles over slavery and profitable policies were starting to separate the country. Because of this, he attempted t o return to the agrarian easiness of Jefferson’s time, but he was stopped by the influential civic government. He is also remembered by the party he prepared in the White House that was attended by anybody in the populace to sign him as a tribune of the people. In the history of American Presidents, Andrew Jackson marks some remarkable transition on the power of a president. He is well known for his unprecedented use of presidential power in his era, and he is the foundation of the modern president.

Body Image And Stoma Health And Social Care Essay

Body Image And Stoma Health And Social Care Essay INTRODUCTION Colorectal cancer has its mortality rate of around 655,000 a year throughout the world (World Health Organization, 2006); this is seen to be the third leading cancer cause death in western world and in united states colorectal cancer is fourth common in all cancer types causing disease (National Cancer Institute. 2009), around 35,000 morbidity rate causing common solid organ malignancy in United Kingdom (Hall Nigel, 2007). Colorectal cancer is commonly called as bowel cancer or colon cancer. This essay mainly focuses on the pathophysiology of colorectal cancer, its psychological and sociological responses. Here the pathophysiological part gives a clear idea of the clinical signs and symptoms, pathology and medical management of the disease, the main psychological part deals with the body image of the patient who lives with stoma. The result of final medical and surgical management of colorectal cancer is an opening in the abdominal surface, done as a life saving measure. So the opening may be a colostomy or ileostomy where a bag is given to collect the body waste from the intestine usually stools. Then the sociological aspect of the patients body image and living with stoma is been understood. COLORECTAL CANCER Colorectal cancer can be defined as the cancerous stage of colon and rectum. These cancerous cells are seen as malignant tumours in the inner wall of the large intestine (Medicinenet.com, 1998). Clinical features and Diagnoses: The clinical features of the disease can be, rectal bleeding, diarrhoea, right side abdominal lump and sometimes in rectum, weight loss, abdominal pain, patient being anaemic due to bleeding, bowel obstruction, sickness due to constipation and bloating (Cancer Research UK, 2010). The most common are the gastrointestinal symptoms; these are seen in the pathological absence and even theres similarity at the time of malignancy and benign tumour. Recent research study at Portsmouth has found that this symptom is first recommendation for confirming colorectal cancer and is considered to be the consistent pointers of malignant colorectal (Hall Nigel, 2007). When the tumour size increases bowel lumen is likely narrowed causing obstructive symptoms. At this time the patient experiences loosening of the stool instead of constipation, the other problems arising from determined bowel habit changes should be examined carefully with proper investigation. Whereas the distal tumours shows bowel habit alterations leading to the solid state of stool consistency, this distal tumour symptom is more possible than proximal tumours. Since the proximal tumours shows its symptomatic outcomes only after complete obstruction. Tenesmus or an incomplete evacuation feeling is the cancerous mass effect in the rectum (Hall Nigel, 2007). The most disturbing symptom is rectal bleeding (Hall Nigel, 2007). This bleeding looks bright blooded same like haemorrhoids if the tumour is in the low rectum and bleeding in case of left sided tumours its in dark redden colour and stools with blood is seen. There are some uncommon symptoms like pain, weight loss and anorexia unless or not extensive metastatic disease or else the disease reaching its malignancy to bone and/or nerves. If the patient is obstructed with abscess formation the immediate requirement is surgical emergence (Hall Nigel, 2007). Patients by these symptoms indicate that the colorectal pathology must go through abdominal examination, rectal examination and a rigid sigmoidoscopy at proper diagnostic centres. General examination might expose the signs of anaemia. Most of the colorectal cancers due to its mass is palpable and helps the examiner to give something the once-over. Colorectal cancer investigation has its most important findings from sigmoidoscopy (Hall Nigel, 2007). Pathophysiology: The most basic stages of colorectal tumour genesis start with the normal mucosa, with a widespread condition of cell replication, then with the clustered appearance of enlarged crypts. These abnormalities of aberrant crypts or the enlarged crypts are very proliferative, biochemical and bio-molecular (Ponz de Leon, M. Di Gregorio, C. 2001). The most part of colorectal malignancies are been developed from adenomatous polyps. These are said to be the well-defined epithelial dysplasia masses with the uncontrolled crypt cell division. When the neoplastic cells are passing through the muscularis mucosae and submucosal infiltrate it is been considered as malignant adenoma (Ponz de Leon, M. Di Gregorio, C. 2001). The more used confusing definitions like carcinoma in situ or intramucosal carcinoma should be abandoned (Ponz de Leon, M. Di Gregorio, C. 2001). Even though numerous lines of suggestion specify that carcinomas typically initiate from pre-existing adenomas, this doesnt indicate that all tumours go through malignant variations, and doesnt eliminate de novo carcinogenesis. Above and beyond of adenomas, there are several other polypoid lesions, they are hyperplastic polyps which shows the elongated crypts frequently by cystic dilatation, serrated adenomas seen as serrated glandular pattern, flat adenomas are usually flat lesions and makes the investigation process difficult when using routine lower endoscopy so it can even be a malignancy, hamartomatous polyps is in the pattern of smooth muscle branching supports lamina propria and glands and next one is inflammatory polyps (Ponz de Leon, M. Di Gregorio, C. 2001). Now in the western society colorectal carcinomas is seen to be the most frequent condition. When seeing the macroscopic appearance its the lesions as polypoid vegetating mass and even sometimes as a flat infiltrating lesion. About 96% of tumours remain as adenocarcinomas and in quite few cases shows mucinous component. There are even some very rare malignant cases in large bowel like signet ring cell carcinoma, squamous carcinoma, undifferentiated neoplasms and medullary type adenocarcinoma which is seen to be solid carcinoma having very less cellular pleomorphism or slight glandular differentiation. The three grades of colorectal carcinoma are well differentiated lesions, moderately differentiated lesions and poorly differentiated lesions. These grading usually helps in evaluating the disease prognosis from the patient even considered being as little evidence (Ponz de Leon, M. Di Gregorio, C. 2001). By the end of this pathophysiological section of colorectal cancer it is clear that the disease covers widespread premalignant and malignant lesions, in which most of the lesions are being removed at the time of endoscopy. By interfering at the numerous stages of a carcinogenesis it is possible to prevent the neoplasmic stage of colorectal. The stages after carcinogenesis begins are uncontrolled epithelial cell replication, the adenomas are formed in various sizes and finally progresses into malignancy (Ponz de Leon, M. Di Gregorio, C. 2001). Medical management: During the last decade we have seen dramatic variations in managing colorectal cancer. The most noticeable changes in case of colorectal cancer are like, very precise pre-operative assessment, extensive use multimodality treatments and this includes neo-adjuvant therapy, theres even changes in procedures through minimal invasive and a very good prognosis in rectal cancer surgery (Cunningham C and Lindsey I, 2007). So this section of medical management speaks about the various management of colorectal cancer. The sufficient management of cancer rising inside the polyps is colonoscopic polypectomy. Now there are lots of advancements in kind of colonoscopic polypectomy treatment like endoscopic mucosal resection. This advanced colonoscopic polypectomy techniques has its goal to recover tumour clearance and decrease the occurrence of colonic meticulous pathological assessment (Cunningham C and Lindsey I, 2007). Later this help in defining the importance in the involvement of lymph node and adequacy of local excision. The former condition is conducted by Haggitts staging of malignant-polyps Kikuchis-levels of sub-mucosal invasion in sessile lesions. Now the possibility of lymph node involvement is been easily estimated, because of the classifications it helps in preventing some great loss like avoiding the necessity of prescribed resectional surgery. This is also depending on some aspects like age of the patient, fitness and personal choice. In the remaining histo-pathological factors are fa vouring formal resection over the local excision which includes poor tumour differentiation, invasion of lymph and vessels and resection margin involvement (Cunningham C and Lindsey I, 2007). Radiotherapy is usually not as much of effective as preoperative treatment (Cunningham C and Lindsey I, 2003). Also, it is accompanying injurious effects on the functioning of the neo-rectum and destruction to small-bowel confined in the pelvis as an effect of surgical-adhesions. This is used at the event when circumferential margin seen to involve in pathological specimen and if the prior treatment was not given. So this will be signifying the failure of surgical excision (Cunningham C and Lindsey I, 2003). Since the last two decades, more advancement in the chemotherapy for treating colorectal cancer has been achieved (Lawes D and Taylor I, 2005). These advancements have made the treatment as optimal by systemic chemotherapy for the colorectal cancer over last decades. The average life of a patient has been gradually increased. This systematic chemotherapy progressively increased the survivalist from six months (normally without treatment) to reach more than twenty months when given the combinations of 5-FU/FA, irinotecan, oxaliplatin or monoclonal antibodies. Adjuvant therapy by means of 5-FU established routines outcomes in an enhanced 5 year continued existence in stage III disease from 51 to 64%, by other modest aids for those with stage II disease (Lawes D and Taylor I, 2005). Body image and stoma bag The result of final medical and surgical management of colorectal cancer is an opening in the abdominal surface, done as a life saving measure. So the opening may be a colostomy or ileostomy where a bag is given to collect the body waste from the intestine usually stools. Here comes the concept of body image, this is a concept being used in various fields which includes psychology, medicine, psychiatry, psychoanalysis, philosophy, cultural and feminist studies (Cash S Brown T A, 1987). More often this concept is carried by public media. Other than these fields and media the term does not have an approved definition (Cash S Brown T A, 1987). Basically in psychology it can be said that the belief and perception of an individual body being intended along with the emotional attitude (Cash S Brown T A, 1987). About one quarter of stoma patients know how clinically important psychological symptoms post-operatively (White C.A Hunt JC, 1997). Those who involved in the care of stoma patients are usually not detecting the psychological disorders. Psychological morbidity after the surgery is resulted from the unawareness of the condition which includes the past psychiatric history, dis-satisfaction with pre-operative preparation for surgery, post-operative physical symptoms and the negative thoughts and beliefs related to stoma and the condition of being a patient (White C.A Hunt JC, 1997). So normally surgeons are the important healthcare professionals dealing with the patient who needs to take the responsibility to collect patient information and let them know the process before and after surgery (White C.A Hunt JC, 1997). Various forms, questionnaires and surveys should be introduced for the screening purpose, where the other healthcare professionals and Para-medicals could take the in-charge of detecting the possibilities of psychological morbidities. This can even develop with applying effort in liaising with the mental health services. The authors future research will be done on the prospective using valid measurements psychologically and to be focussed on the morbidity by predicting, preventing, detecting and treating the psychological upset after the surgery of stoma (White C.A Hunt JC, 1997). PSYCHOLOGICAL AND SOCIALOGICAL ASPECTS OF COLORECTAL CANCER In a recent survey on the colorectal cancer patients, they have found that the patients have a good quality of life after the treatment (Medical News Today, 2011). This is because the patients has followed the medical management with some physical restrictions but the survey also shows there are sufferers from this condition post operatively. They are mostly dealing with the emotional and social living where the life of the patient is seriously affected even after many years (Medical News Today, 2011). Even though the disease is a common one, only a few details are known about post-operative and the quality of life they lead (Medical News Today, 2011). The survey dealt with approximately 300 patients who received treatment for colorectal cancer. But after many years of investigation they diagnosed that the patients are having lots of suffering due to the disease. The reason behind suffering is not with the physical problems but the fact is very serious about the problems facing psychologically. Patients are struggling due to the psychological causes. Dr. Volker Arndt and his colleagues of the Division of Clinical Epidemiology and Aging Research of the German Cancer Research Centre (Deutsches Krebsforschungszentrum, DKFZ), the Saarland Cancer Register and the Department of Epidemiology of Ulm University did this research and found that the patients are suffering from mental strains (Medical News Today, 2011). The patients are also having secondary diseases and these were studied from the sufferers who are relatively young age (Medical News Today, 2011). Throughout the world for one year there are about one million new cases being recorded. So this takes the colorectal cancer as the most common form of cancer among other types of tumours. For the past decade there is consistent and significant prognosis as most of the cases are been detected at the early stages. Long-term researches concerning colorectal cancer patients frequently deal with repetition of tumours and/or survival rates, whereas the long term wellbeing and eminence of life of patients once completion of therapy has been of slight systematic attention to date (Medical News Today, 2011). Arndt et al. has diagnosed after many years that the colorectal cancer patients quality of life is been restricted due to the emotional and social problems they face (Medical News Today, 2011). Other than this the colorectal cancer patients is suffering from a list of problems like respiratory distress, sleeping dis-orders, listlessness, problems in bowel and most important is financial worries. When seeing the quality of life of these patients even after three years of treatment, the improvement was modest and mostly they were restricted by the financial problems and/or living an adjustable life with stoma (Medical News Today, 2011). The persistent depression of the patient was continued for a long period. The researchers concluded that these sufferings and problems have its impact mainly due to the age and there is lots of influence in age factor on the psychological resistance. Thats the reason behind young patients are predominantly affected by the mental illness. Therefore, the younger patients are more affected by the disease compared to the older patients. This is even more threatening and having health deficits to the younger ones than the older sufferers. But still the older patients have to come up with the physical problems (Medical News Today, 2011). A literature review clearly states that the depression state is not only to the patients but the depression is seen in the life of spouses (Goldzweig. G et al. 2009). However the communication and distress issues and sufferings between the patients and spouses are still being understudied (Goldzweig. G et al. 2009). Accommodating the primacy of gender, attention should be given to whether the demand-withdrawal pattern in female cancer patients and their spouses is similar to the demands and emotional needs of both male cancer patients and male caregivers (Goldzweig. G et al. 2009). Price (1990) developed a method for taking care of patients with altered body image (Price B, 1990). He recommended that the nurses who are dealing with the patients with body image problem should use the principles of body components. He states that the body should be viewed as three components, body reality, body ideal and body presentation (Price B, 1990). CONCLUSION As summarizing the colorectal cancer patients body image and living stoma, the issues primarily dealing with loss of energy, loss of control, isolation, feeling dirty, sexual dysfunction, fertility and the female patients face pregnancy and menopause. As Price Bob recommended the social workers, health care workers and even the relations or care takers of the colorectal cancer patients should know well about the body components principles and do the rehabilitation. The basic problem of the disease deals with the medical management, if the patient in the later stage suffering from psychological issues he must be under critical care under psychologist. Most of the health professionals believe that the patient suffering from stoma is their concern but the thought should be changed and particularly stoma care nurses should be thinking wisely in helping the psychological issues faced by the colorectal cancer patients.