Saturday, November 30, 2019
Was Machiavelli Satan Essays - Machiavellianism, The Prince
Was Machiavelli Satan? The Church accused Niccolo Machiavelli of being Satan for writing his book The Prince. Machiavelli completed The Prince in 1513. He wrote it as a gift to Lorenzo Medici, called the Magnificent, ruler of Florence. The political views Machiavelli expressed in his book went against the theology of the Church, specifically the Ten Commandments and the Beatitudes. Machiavelli wrote to gain control of a principality one must be brutal. (I)f you are a prince in possession of a newly acquired state and deem it necessary. . . to annihilate those who can or must attack you. . . . , you must do so to protect your principality. He gave the example of Duke Valentino's slaying of his nobles to maintain order, saying if Valentino had not killed his men, Valentino would have lost power. The Bible strongly forbids the killing of anyone. The Sixth Commandment states You shall not murder. In what is known as the Beatitudes, from Jesus' Sermon on the Mount, the Bible also says those who are meek shall inherit the earth. A meek person certainly does not kill others for standing in his or her way like Machiavelli is suggesting to be done. Another verse from the Beatitudes says those who are peacemakers will be called sons of God. Peacemakers do not kill either. For Machiavelli to say if killing a person is for the betterment of your principality, then to do so went against God's rule and the Church's. True followers of the Church abide by the Church beliefs, because if you are not for God, you are for Satan. As a ruler a prince must make certain pledges and steadfast promises; however, Machiavelli reasons that a prince does not have to keep his word all the time. The prince can pledge one thing under certain circumstances; but if those circumstances change, he is free to change his pledge if the change should benefit his situation. For instance, Pope Alexander VI, who reigned before Machiavelli wrote The Prince, made promises more persuasively or swore to them more solemnly and kept so few of them . . . . Pope Alexander VI also got what he wanted by deceiving others. The Beatitudes say those who desire righteousness will be filled; those who are pure of heart will see God. Righteousness and purity do not occur through deception. The ninth of the Ten Commandments says You shall not give false testimony against your neighbor, meaning do not lie. Matthew, the first book of the New Testament, says Do no break your oath . . . . The Church had good reason to disagree with Machiavelli about cra ftiness. Nobility for princes can be seen as one of two ways: generous or parsimonious. If a prince is generous, his generosity usually comes at the expense of his subjects. The prince would have to tax his people heavily in order to give. This will begin to make him odious to his subjects and . . . will lose him the respect of everyone. For a prince to give money, he need not tax his people, rather give what he pillaged and stole while on various campaigns. If a prince is stingy with the peoples money, he will not tax as much; thus, his subjects will honor him more. The teachings of the Church and the Bible promote generosity, and remark that keeping one's wealth to oneself will lead to self destruction, Hell. The teachings likewise include You shall not steal. Although his ideas were contrary to those of the Church and of the Bible, Machiavelli can not be compared with Satan. He was promoting the survival of a principality at any cost. He said a prince will find things which, though seeming good, will lead to his ruin if pursued, and others which, though seeming evil, will result in his safety and well-being. Machiavelli also said that if a ruler gains control by cruelty and wickedness the ruler is without virtue, and he cannot be compared to men of good character. He does not condone this type of behavior, he merely contends it is necessary to exist as a prince. Various people in the Bible killed others. One of
Tuesday, November 26, 2019
Animal Rights Essay â⬠Check A Sample
Animal Rights Essay ââ¬â Check A Sample The issue of non-human or animal rights raises more and more discussions every year. Animal rights imply that itââ¬â¢s unacceptable to do certain things with animals. The ethical side of the issue pushes us to the idea that ill-treatment of animals is unacceptable. Itââ¬â¢s very important to stop cruelty towards animals that are killed for food or clothing. One of the main points of view regarding animal rights is that itââ¬â¢s inadmissible to use animals for experiments. They cannot be used for food, which means human beings cannot breed them in order to consume them later. Itââ¬â¢s inadmissible to make clothes out of animals, or to use them in medicine. Moreover, animal rights defenders now insist on the prohibition of using animal labor. For example, donkeys, camels and other animals cannot be used for hard labor, under any circumstances. As a rule, people tend to divide animal rights and human rights. However, in terms of morality, there should be no difference between adult animals and adult human beings, since animals also have rights, and humans are also mammals. Many people consider animals to be equal to people, and give a number of arguments in favor of such an assertion. Animals realize themselves, they understand that they are alive, they realize their biological structure. Animals understand what is happening to them; they like some things, and donââ¬â¢t like others. Animals are also capable of making decisions. In terms of ethics, you cannot hunt any animal. Hunting shouldnââ¬â¢t be considered acceptable under any conditions, nor on any grounds. Similarly, itââ¬â¢s immoral to use animals for entertainment, restricting their freedom in zoos, or using them to attract tourists. If we give the same attention to animal rights as human rights, it becomes obvious that any animal has the right to be treated with respect. We must realize the value of each animal as an individual. This means that we must take care of animals, but shouldnââ¬â¢t use them for our own purposes or, even more so, for simple entertainment. For many years, animals have been used for research. Due to such scientific tests, animals die, suffer from pain. Their rights are violated. The essence of this animal rights essay is that animals have the right to live with no human interference, especially in case of drugs testing or other experiments. People constantly use animals as pets. In terms of ethics, dogs, cats, birds and other animals have the right to live their own lives. In the opposite case, given the equal rights of people and animals, this can be considered slavery.
Friday, November 22, 2019
Is It Worth Partnering With A Book Marketer
Is It Worth Partnering With A Book Marketer Is It Worth Partnering With A Book Marketer? Since starting Reedsy, Iââ¬â¢ve heard time and again that ââ¬Å"what authors need most help with is marketing.â⬠But thatââ¬â¢s akin to saying startups like us primarily need help with fundraising; to me, itââ¬â¢s a startup founderââ¬â¢s job to raise funds when the company needs them, just as itââ¬â¢s a writerââ¬â¢s task to sell his or her book. Sure, help would be appreciated, but going as far as outsourcing? The best startups donââ¬â¢t do that.Of course, I can see the case for bringing on a marketing specialist, particularly when an author is not technically savvy or familiar with social networks and communities. Still, this raises the question: who is best placed to promote an authorââ¬â¢s work? If promotion isnââ¬â¢t done by the creator himself, isnââ¬â¢t there a chance the message will get lost?These are several of the questions I asked author Jonathan Gould, who decided to partner with book marketer Mike Doane for the promotion of his latest book, Magnus Opum.Book marketer: it begins with strategyââ¬Å"It begins with strategy,â⬠says Gould. ââ¬Å"I have very little idea about how to strategize a book selling campaign. Thatââ¬â¢s where Mike comes in. From the very beginning, we discussed my goals as a writer, and the sorts of books I like to write. From that, Mike can not only give me advice on which readers I should be reaching out to but also suggestions on how to reach them. Together we are in the process of developing an overall strategy that should help get my name out and define me as a writer with a distinct style and voice.â⬠Iââ¬â¢ve gotten to know quite a few authors just like Jonathan: they blog on a regular basis, spend time on Twitter and Facebook, do Goodreads giveaways, and write to bloggers and reviewers. But not everyone takes time to assess their objectives with each of these marketing tasks.A good book marketer can (or should) help you identify your target audience, find ways to reach out to it, and measure the results of your efforts in each marketing ââ¬Å"channelâ⬠so you can focus on the ones that work. You end up doing the work (reaching out to reviewers, interacting with readers, etc.), so it doesnââ¬â¢t endanger your brand image or your relationship-building. And you know why youââ¬â¢re doing what youââ¬â¢re doing.Mike Doane explains: ââ¬Å"I think a lot of authors do those things theyââ¬â¢re supposed to do without knowing the reasons why. ââ¬ËI blog once a weekââ¬â¢ is not a strategy, itââ¬â¢s a tactic. Whatââ¬â¢s even worse is not being able to measure the outcomes, let alone produce outcomes to measure. This is my job. Iââ¬â¢m supposed to help Jonathan understand why heââ¬â¢s using the tactics heââ¬â¢s using, plus find new tactics and help him test them.â⬠Essentially, thatââ¬â¢s what a ââ¬Å"marketing planâ⬠is all about, and there is a certain skill to putting one together that not every author has taken the time to learn. That said, there is a vast amount of content out there around ââ¬Å"book marketingâ⬠, whether in the form of blog posts, podcasts, webinars, online courses, or even books. Our initial thought was that there is no reason why an author couldnââ¬â¢t learn this on his own (while in contrast, specialized skills like editing and design can take years to learn and perfect). So I asked several authors on forums: what does hiring a personal book marketer bring that you couldnââ¬â¢t achieve on your own with enough time and effort?Personalized advice, moral support, and an extra pair of legsAs indie author and marketing consultant Debbie Young told me: ââ¬Å"Authors often have very unrealistic expectations of how hard itââ¬â¢s going to be to market a book. Too often authors get discouraged and stop trying to market at all, but with a little direction and encouragement of the kind Iââ¬â¢m able to offer, they discover that actually there is a lot they can do after all, and they are re-enthused to do it.â⬠The degree of moral support a personalized marketing consultant can give you might actually be the most valuable part of that collaboration. The same way a good content editor can help you gain confidence in your craft, a good book marketer should be able to teach you how to promote your book in a more confident and effective way.Plus, as Jonathan puts it, ââ¬Å"Itââ¬â¢s nice to have an extra pair of legs when it comes to chasing promotional opportunities such as guest posts, interviews, or paid promotions.â⬠This touches on the subject of personal VAs (Virtual Assistants), which was brilliantly covered on Joanna Pennââ¬â¢s blog recently.Flat fee remuneration or royalty-share?Of course, this extra pair of legs doesnââ¬â¢t come for free. And how much (or even how) you should pay for marketing help is a slightly controversial question.Jonathan and Mike have contracted on a royalty-share basis. This is something that you rarely see for editing or design services, but is a much more frequent occurrence in narration (audiobook) or translation services.The logic behind it is pretty simple: a marketerââ¬â¢s only job is to generate sales for your books, so it makes sense to index the marketerââ¬â¢s remuneration on the results of their work. However, in nearly every other marketing-related profession, such as publicity, flat fees are the norm. I donââ¬â¢t know of one good book publicist who works on a royalty-share basis. Mike explains why: ââ¬Å"Any author-publicist contract thatââ¬â¢s based around sales is foolish. Itââ¬â¢s like those SEO companies that promise a #1 position on Google for a given keyword. Thatââ¬â¢s extremely hard to deliver, especially on a budget. Publicists canââ¬â¢t promise things like reviews or sales. There are just too many factors involved.â⬠As marketers develop deeper, longer-lasting relationships with the authors they partner with, royalty- share might make more sense for them than for publicists or SEO specialists. Whether it makes sense to the author is another question, and one that largely depends on sales, budget-consciousness and risk-aversion. Mike suggested to me that he would like to see a flexible model where authors and marketers can choose to work together on a mix of fee and royalty-share.This would have the advantage of keeping a bonus element (royalty) to incentivize the book marketer, while assuring that he gets paid a decent remuneration even if the book fails to sell well. There is no guarantee in book marketing and asking the marketer to assume all the risk makes little sense. In that sense, a hybrid model is certainly worth exploring.Follow Ricardo, the author of this article, and Reedsy on Twitter: @RicardoFayetà andà @ReedsyHQDo you have any questions about book marketing and whether it makes sense at your stage to hire a professional marketer? Leave us your thoughts in the comments below!
Wednesday, November 20, 2019
Design patterns Research Paper Example | Topics and Well Written Essays - 1000 words
Design patterns - Research Paper Example The observer design pattern highlights a one-to-many reliance between a subject object and any amount of server objects. This is significant when the subject object alters situation, all its observer objects will not be updated and notified instinctively (Butler, 2012). The observer design pattern is also used when the subject object is not aware of the number of observer objects present. Finally, it is used if the subject object is required to inform its observer objects without being aware of the nature of the objects. Advantages First, the observer pattern is a terrific way of maintaining action based applications in significant architectures. In a given application, an individual may have a large number of events taking place at the same time in a browser session. Second, a person may reduce event attachment and enable the observable object to deal with the actions on your behalf using a sole event listener and pass on the information to different subscribers, thus lessening spee ding up connection and memory performance. Third, the dynamic link between observer and subject may be instituted at run time. This provides extra programming flexibility. Fourth, there is support for broad communication. The notice is transmitted involuntarily to the interested objects that may subscribe to it (Madsen, 2012). Disadvantages One, there is a lot of cost incurred in load time when installing the observable objects. Two, there are unanticipated updates. Observers are not aware of one another and are oblivious to the cost of alteration in subject. Three, the update dependence may be difficult to discover due to the dynamic association between observers and subject (Madsen, 2012). Creational Pattern: Prototype Creational design patterns refer to design patterns that handle object creation mechanisms, attempting to develop objects in a way fitting to the situation. The prototype design pattern identifies the form of object to develop utilizing a prototypical instance, and develops novel objects through cloning the prototype. The prototype design pattern is used to elude the intrinsic cost of developing a novel object in the conventional way when it is prohibitively costly for a specified application (Chandler & Munday, 2012). In addition, the prototype design pattern is utilized to avert subclasses of an object designer in the application of the client, in the same way as the abstract factory pattern. Advantages One, the prototype design pattern establishes a profound copy of the complicated hierarchy of objects. The prototype design pattern assists in lessening the work given all objects in the composition can enforce ICloneable interface. This is an essential design pattern in copying objects, for example, trees. Two, the design pattern causes a decreased load of initialization. All novel objects developed using the clone technique highlights the precise object form of the initial object (Proctor, 2011). The need of initialization may be tremendous ly lessened by utilizing the prototype design pattern. It allows an individual to develop a clone of the original object developed in the application to readily have the objects initialized to the default or non-default state. Three, the design pattern causes a simplified process of copying objects. Since copying the object is conducted recursively by calling the clone tech
Tuesday, November 19, 2019
Corporate Social Essay Example | Topics and Well Written Essays - 1500 words
Corporate Social - Essay Example This paper discusses the importance of CSR strategy for the organisations and the challenges faced by organisations when they implement such a strategy. The corporate social responsibility strategy is important for the organisations as this strategy takes into consideration the acceptability of the organisation by the consumers of the particular region. This strategy has to take into consideration the corporate governance factors; this strategy ensures that the organisation is conducting its operations in a responsible ways and will be accountable for all its business activities that are impacting the environment (Brooks, Williams, and Thomas, 2004). Implementing a corporate social responsibility strategy in the organisation is a strategic issue. This is so because this strategy allows organisations to conduct their business by maintaining strong and cordial relationship with their stakeholders and the community (Hemingway and Maclagan, 2004). The customers are important for the success of the organisation, when customers have in mind that the organisation is a socially responsible organisation, the reputation of the organisation further improves and so does the customer base. This positive image proves to be useful for the organisation in the long term. If organisations do not consider the community and their business operations harm the community then there stands a high chance of business failure in that community. Customers may get the message that this particular organisation is not concerned with the welfare and wellbeing of the people (Levy, 2007). Any negative message transmitted to the consumers by any business activity will cause the organisation to face heavy consequences. Therefore, keeping in view the shareholders and the community is important for organisationââ¬â¢s success. The shareholders or the organisation, the valuable customers and the workforce of the organisation, all these elements have expectations with the business and
Saturday, November 16, 2019
Factual reporting, interpretation and distortion Essay Example for Free
Factual reporting, interpretation and distortion Essay How are distinctions made between factual reporting, interpretation and distortion? This essay is going to tell the differences between factual reporting, interpretation and distortion. Factual reporting means that an answer or a statement is based on facts that are true and proven. Interpretation is an individuals opinion and appreciation about a subject. It is not based on facts but just on opinions and theories. Distortion is a way of delivering wrong information, twisted and wrongly explained information. It is based on facts but kind of turns them around. Factual reporting is the way of delivering an opinion/theory based on true facts. An example of this is an article I read in Metro today, which was about conspiracies. The one that caught my eye was one that stated that an airplane never crashed into the Pentagon. This theory was based on facts, which I never had heard of. For example, the surveillance camera of the Pentagon didnt show an airplane but only a white line in the sky. Another thing was that the hole in the Pentagon was way too small to have been creased by an airplane. The write stated that the US Air force shot down flight 77, and to cover this up they blew up a part of the building without the workers knowing anything about it. Also no big wreck parts from the plane were found. This is a factual reporting as its based on true facts and it not created by opinions or own thoughts as in an interpretation. Also the moon landing is believed to be a fake. There are many facts that point against it. In a video from the moon the flag that Neil Armstrong put up was waving in the wind. And theres not supposed to be any wind on the moon. Also the shadows go in different directions and the shadow of the space shuttle should fall on Armstrong, a good example of factual reporting. A theory based on facts. Interpretation is a theory based an individuals own opinion. A great example of this is racists. The Nazis believe that black or people with darker skin than westerners are worth less. This is a great example as this theory of theirs is based on their own opinions and have no actual facts to base it on. There is no proof that colored people are worth less than white people. This is why its an interpretation. No facts or proof are involved in the theory. Another example of interpretation is Bin Ladin. The US government doesnt know that hes alive. The videos that they got from him are old now and he could be dead already. The US government think that he is alive because of the videos, but they have been bombing caves, cities and other places in hope of killing him, so he could be dead. This is interpretation as they base it on what they believe. There is no proof that hes alive. Distortion is when facts are wrong, twisted or inaccurate. Another definition is when two people disagree with one another. An example is if I say to Andreas, we have homework for tomorrow and he says we dont. This is distortion in a way. Another example is all kinds of magazines and television shows as they tent not to show all of their footage information. They cut what they dont want people to hear, which helps them things look negative and positive. This is a typical example of distortion as it twists the truth or the reality. Often when you experience something and they write about it the next day in a newspaper, its never the same. You always say to yourself, Thats not exactly what happened. Sometimes the media exaggerate to find a big audience. They do what I like to call, Stretch reality. Its a clear case of distortion because they twist the truth or give an inaccurate point of view. As a conclusion or to answer the question I would like to say that the difference or the distinctions between factual reporting, interpretation and distortion is the amount of facts they are based on. Factual reporting is based on only facts to make a clear image of a theory, event or opinion. Interpretation is based on opinions but no facts. Only the people who made the theory, its only based on things that are going on inside those peoples heads. Distortion is based on facts but mostly told the opposite way or twisted to change the way people think of it. It often tries to make the facts inaccurate.
Thursday, November 14, 2019
a bridge to the 18th century Essay -- Free Essay Writer
Building a Bridge to the Eighteenth Neil Postman identifies himself as a ââ¬Å"neo-Ludditeâ⬠. What bothers Postman most is the fact that the great innovators of this time have no frame of reference other than their own experience, and that experience is only that of the 20th century. Advocates of trends such as information superhighways and economic globalization appear to know nothing of history, philosophy and culture; they live digitally in the hollow present. à à à à à Postman assesses different ideas in each chapter: Chaper One: A Bridge to the Eighteenth Century à à à à à Postman heralds the accomplishments of personalities of the 18th Century, including Goethe, Voltaire, Rousseau, Diderot, Kant, Hume, Gibbon, Paine, Jefferson, Franklin, Mozart, Beethoven, Bach, and Haydn, among many others. Chapter Two: Progress à à à à à Postman summarizes, ââ¬Å"The idea of progress is a product of the Enlightenment. The eighteenth century invented itâ⬠¦ but it also criticized and doubted it and its limitations and pitfalls. Reason, when unaided and untempered by poetic insight and human feeling, turns ugly and dangerous. Chapter Three: Technology à à à à à When assessing various technological advancements, Postman encourages the reader to be question, ââ¬Å"What is the problem to which this technology is a solution?â⬠ââ¬Å"Whose problem is it?â⬠ââ¬Å"Which people and institutions might be most ser...
Monday, November 11, 2019
Art assignment Essay
1. List and describe three of the technological breakthroughs or discoveries that changed art during the Modern Era, 1800-1945. Indicate specific ways in which these changed the form and/or content, themes, purposes/functions of art, and the lives of artists. Photography Light bulbs Use of metal in construction There have been many inventions since the 19th century that has been incorporated in the artistic realm. Photography has created a new genre of art available to people. This invention allows people to see an image as it was meant to be which may have been something that could only be seen in the moment, like a fox and kits playing in the forest. Lights have affected almost every part of the average personââ¬â¢s everyday life and similarly, lighting has made artwork change and created new options of expression. In ways of architecture, lives and structure have been improved by the production and use of metals in structure and the evolution of architecture that was started in the Crystal Palace. The first true photograph was captured in 1826 with a camera and plate exposed to the sun for eight hours. The creation from this highly impractical form of photography was called a Heliograph. Joseph Nicephore Niepceââ¬â¢s correspondent was able to create a more reasonable medium for the film upon Neipceââ¬â¢s death. The silver iodine coated copper plate, named a daguerreotype after the inventor, gave hope for the creation of photography by allowing a picture to be captured in 10-20 minutes. Before this time only the rich could afford to have portraits done and could only be done by paint (Getlein 197-98). Camera and film was created in more of a form known to us in the middle 1880ââ¬â¢s. Film was an important creation, as it allowed an image to be replicated, unlike the daguerreotypes, which were positives and allowed no way of copying. Photography was able to become a hobby and to advance after the creation of the Kodak Camera in 1888 (198-99). Because of this creation the artistic world changed to be able to include photojournalism, movies and artistic photography. Film and cameras have completely changed the way images are captured and who can afford it. During modern times, we can now afford to take pictures of whatever we would like so the content for photographs is now only limited to our own morals and what is available on the physicalà plane. This invention allowed many people to share images of the world that many people would not be able to see otherwise and enabled any person who is willing to try, a chance to become an artist. The availability of electricity and the invention of the first functioning light bulb in 1820 by Warren De La Rue (The History of the Light Bulb 1) changed the way art is seen and creates. Light can be the focus of the artwork or change the way the art is seen. The best example of light in artwork is photography. The addition of a light bulb to create a flash while taking pictures has allowed different environments for photography by allowing pictures to have a good light source in the front to counteract any negative lighting, like from the back or too little lighting to allow the film to develop properly. This allowed artists more freedom to take picture wherever they are inspired and in normally inadequate lighting. This also prevented the light from behind the subject from being too strong to create the subject as a shadow, thus allowing breathtaking photographs that would have not been able to be captured otherwise. In other ways, lights have been the focal point of art in modern The first example of metal being used as a construction material for true structures was in England around 1851. Joseph Paxton used his plans for greenhouses and magnified them into a building that spanned over 13 acres, showing the world the first glimpse of modern architecture. Because of the use of pre fabrication, also a new concept, this building was able to be constructed in 16 weeks. (Getlein 295) The uses of metal in construction also lead to a new concept design for buildings: skeleton and skin. Skeleton and skin constructed involved a frame with covering over it. In the Crystal Palace, the skin was glass and in modern housing you have drywall, wood, and metal or plastic siding. The idea for modern buildings is just about the same, using metal as the sturdy skeleton with glass as the main covering but using the more modern element of concrete as a secondary structural base and covering. Through the creation of the Crystal palace, the ideas of architecture were changed forever. The metal structure allowed architects in modern times to create towering skyscrapers that would not have been possible using previous materials and allowed the shape of buildings to change as metal is more flexible has a strong tensile strength (Piggott 78). This allowed the creation of amazing bridges that are supported minimally by vertical bases and buildings that can take almost any shape. The Sydneyà Opera house is an amazing structure that is meant to resemble sails, and is constructed of metal rods, to support the specialized concrete called ferroconcrete (Getlein 300). This multipurpose building would have never been thought of as a possibility without the use of a metal skeleton and continues to allow architects more creativity to build structures with intricacy and still have the structural security needed. Works Cited Getlein, Mark. Living With Art 9th Edition. McGraw-Hill, 2010: 197-99, 300. Print Piggott, Jan. Palace of the People: The Crystal Palace at Sydenham, 1854-1936. K. Hurst &Co. 78-79. Print Unknown. The History of the Light Bulb. Arizona State University. http://invsee.asu.edu/modules/lightbulb/meathist.htm. Website
Saturday, November 9, 2019
Influence of Cartoon on Children Essay
Cartoons are the most frequent and easily accessible source of entertainment which we provide to children. With the vastness of media and extension of channels, it has become easier for children to watch their favourite cartoons on a single click and at the same time it has become more convenient for parents to provide children with this all-time favourite activity of theirs. Time which was previously spent by children in outdoor activities is now replaced, as now they can be found glued to the TV sets for long hours, peering at all sorts of cartoons, mostly without the supervision of elders who are completely unaware that this might have certain effects on their psychological development later on displayed in their behaviour patterns. There is a wide range of cartoons from fairy tales like ââ¬ËBeauty and the Beastââ¬â¢ to action-based cartoons like ââ¬ËBen Tenââ¬â¢ and ââ¬ËPokemonââ¬â¢. Children between the ages of 6-8 have different preferences; girls are usually into fairy tales and animated ââ¬ËBarbieââ¬â¢ series whereas boys and some girls even usually have their favourite super hero cartoons like ââ¬ËSpidermanââ¬â¢ or ââ¬ËBatmanââ¬â¢ or action flicks like ââ¬ËBay Bladeââ¬â¢ or ââ¬ËDragon Ball-zââ¬â¢. Children are at a stage when their minds are developing and forms impressions easily so parents need to be careful what they expose them with. Children have become much more interested in cartoons over many years and it has become a primary action to some lives. Typically, children begin watching cartoons on television at an early age of six months, and by the age two or three children become enthusiastic viewers. This has become a problem because too many children are watching too much television and the shows that they are watching (even if they are cartoons) have become violent and addictive. The marketing of cartoons has become overpowering in the United States and so has the subliminal messaging. The marketing is targeted toward the children to cause them to want to view the cartoons on a regular basis, but the subliminal messaging is for the adultsââ¬â¢ to target them into enjoying the ââ¬Å"cartoonsâ⬠. This is unfortunate because children watch the cartoons on the television and they see material that is not appropriate for their age group. The Children who watch too much cartoons on television are more likely to have mental and emotional problems, along with brain and eye injuries and unexpectedly the risk of a physical problem increases. Televisionââ¬â¢s Effect on the Brain and Eyes In December 1997, an episode of the Japanese cartoon ââ¬Å"Pocket Monsterâ⬠(later renamed ââ¬Å"Pokemonâ⬠for international distribution) drew worldwide attention after multiple cases of children suffering seizures after watching the episode were reported (Warner, 2004). Parents began to wonder how the cartoons their children watched affected their mental development. While no former study specifically relating to cartoons has taken place, multiple studies over the years have charted the impact of television on the minds and eyes of developing children. Most eye specialists agree that watching television is not a danger to the eyes, as long as children watch in the right conditions. The room should not be pitch black, and children should not sit closer than five feet away from the screen. Sitting in a dark room or closer than five feet will not damage the eyes, but will result in eye fatigue. (Adams, 1992). As for the brain, there is scientific evidence that too much television can be detrimental to children. The April 2004 issue of the medical journal Pediatrics published a study done by Childrenââ¬â¢s Hospital and Regional Medical Center of Seattle, Washington. The study revealed that children who watched three to four hours of television daily had a 30 to 40 percent greater risk of developing attention deficit disorder than children who did not watch television. While no specific program is directly responsible, Dr. Dimitri Christakis, leader of the study, speculates that the speed of the images displayed could affect childrenââ¬â¢s brains (Todayââ¬â¢s Chiropractic, 2004). But does watching television give young children seizures? Yes, and no. A study released by The New England Journal of Medicine in July 2004 found that most children who suffered seizures from that December 1997 episode of ââ¬Å"Pocket Monstersâ⬠had epilepsy, or some other underlying condition that would have caused development of seizures, regardless of whether or not they saw that program (Warner, 2004). TVââ¬â¢s Effect on Childrenââ¬â¢s Behavior Television has long been criticized for influencing our children. People complain that certain TV shows are having negative effects on their children. The American Academy of Pediatrics (AAP) and the American Academy of Child and Adolescent Psychiatry (AACAP) both feel that TV does influence the behavior of children as young as one year old. From their studies, the AACAP states, ââ¬Å"Children who view shows in which violence is very realistic, frequently repeated or unpunished, are more likely to imitate what they see. This speaks to the impressionable mindsets of young children, who are still learning control of their minds and bodies, and are likely to mimic what they see, as it seems quite normal to them. The AACAP also stresses the need for parents to keep a close eye on what their children watch. They must be there, the AACAP says, to explain that the cartoon character or actor that was shot has not been harmed, but would actually be seriously injured, or die in real life. They should also work to tell their children that violent behavior is not the best course of action to resolve a conflict. The AAP states ââ¬Å"Neuroscientists have shown that environmental experiences significantly shape the developing brain. â⬠This again adds to the idea that young children are very impressionable. They paid more attention to the effect of TV on children in their daily lives. ââ¬Å"Higher levelsâ⬠the AAP states, ââ¬Å"of television viewing correlate with lowered academic performance, especially reading scores. This may be because television substitutes for reading practice, partially because the compellingly visual nature of the stimulus blocks development of left-hemisphere language circuitry. A young brain manipulated by jazzy visual effects cannot divide attention to listen carefully to language. â⬠TV is a very quick medium. Messages are shot at the viewer as if by an automatic rifle. Their minds must be equally as quick to interpret the messages, and with such a ââ¬Å"two-minute mindâ⬠, many messages are misinterpreted, or confused. When the child becomes used to receiving information at so fast a rate, they lose interest in information that is more detailed and methodical, such as the information received in day-to-day schooling. Television certainly does affect the children, who find themselves mesmerized by the bright flashing objects, and rapid assault of messages. It is good to know that the leaders of our medical professions feel that parents and supervisors of children are able to help slow the information down, and explain what the messages really mean, so as to have a more positive effect on our children. Auditory Subliminal Messaging in Childrenââ¬â¢s Cartoons The lessons that the media conveys to those parts of the mind without conscious perception through the cartoons that people watch, are referred to as subliminal messages. If thatââ¬â¢s the Democraitc way, I am voting Republican. â⬠This was said by Meowth in an episode of ââ¬Å"Pokemonâ⬠that aired on Monday, October 11th, 2004 at 4:00 p. m. When children watch cartoons, they always pay attention to what is being said. In a childââ¬â¢s subconscious mind, he or she is exposed to auditory subliminal messages that they may never discover, but they will eventually become a part of their lives. Not all auditory subliminal messaging is negative. However, most of these messages have a negative effect on children. The interesting thing about the situation is that these messages are most common in popular cartoons. SpongeBob Squarepants has been on the air since 1999 on Nickelodeon. Today, it still remains popular and new episodes are still being created. It is now 2004 and people are speaking out against the messages that they found hidden in a number of episodes. The main allegation against SpongeBob Squarepants is its use of metaphors in place of profanity. When he is disappointed, SpongeBob will often yell out ââ¬Å"Tartar Sauceâ⬠. To an adult ear, that phrase may sound like it is intended to represent a curse word. Also belonging to the Nickelodeon station is ââ¬Å"Rugratsâ⬠. It has been on the air since 1991. The show is often seen as prurient or ââ¬Å"sex drivenâ⬠. The last name of the main characters is ââ¬Å"Picklesâ⬠which is a euphemism for the male genitalia. Lou Pickles usually calls his grandson, Tommy Pickles by the name ââ¬Å"sproutâ⬠. It has been argued that this nickname is also a euphemism for the male genitalia as well. Angelica Pickles represents the S&M of ââ¬Å"Rugratsâ⬠because constantly physically and verbally abuses the babies. Lesbianism is also portrayed in this cartoon. Phil and Lilââ¬â¢s mom, Betty Deville is what we would call a ââ¬Å"Bull Dykeâ⬠because she wears a bandana, hangs out with feminine women, yells a lot, and loves sports. When parents choose what cartoons to let their children watch, they want to make sure that these cartoons are appropriate for general audiences. If a parent was to find profane or sexual language in the content of a cartoon, they wouldnââ¬â¢t allow their children to watch that cartoon anymore. People who create popular cartoons are careful to not allow any vulgar content to be incorporated into their cartoons. However, every cartoon canââ¬â¢t be made perfectly safe for viewing by children and some of the verbal content may be mistaken for auditory subliminal messages.
Thursday, November 7, 2019
eatonao essays
eatonao essays "Brave New World"-Character Study of Linda Linda is one of the most interesting and complex characters in the novel. Can you imagine what it would be like to be removed from your home and family and placed in a totally unfamiliar environment? How would it feel to be ridiculed, abused, degraded, and tormented relentlessly? Well, that is exactly what happened to Linda in Aldous Huxley's novel, "Brave New World." Linda was obese, blonde, and unkept. Due to neglect and abuse , she was missing her two front teeth and her skin was severely wrinkled. Because of her love of alcohol she had blood shot eyes and red veins on her nose. Her " expansive" wardrobe consisted of one filthy and ragged brown-sack shaped tunic. Linda was a victim of circumstances. She was at one time very beautiful and desirable. In fact, she was so desirable that she was asked to visit the reservation with the Director Tomakin. This was a great honor for Linda, since very few people were considered worthy or fortunate to visit the reservation. While Linda and Tomakin were on their trip they became separated. Tomakin and others searched in vain for Linda. They abandoned the search assuming Linda had met her demise and returned to the Brave New World. In reality, Linda was very much alive, well, and pregnant. Linda gave birth to Tomakin's love child , whom she named John. Linda was overwhelmed and devastated by this blessed event. She could not imagine something so horrible and at the same time so wonderful happening to her. It is true that Linda was not a good mother. This is understandable, given her "conditioning". She was a citizen of the "civilized" world. She was one of the upper caste- a Beta. She worked in the Fertilizing Room with the embryos. She was a valued citizen because she faithfully did the Malthusian Drill, took her soma regularly, "well conditioned", and fastidious. After all, "cleanliness is next to fordliness." All ...
Tuesday, November 5, 2019
Brain Tumour Glioblastoma Multiforme Problem Health And Social Care Essay
GBM normally affects people who older than 50 old ages old although the disease can happen in patients from all age group [ 2,25,28 ] . Patients suffer ictus, concern, ocular perturbation and sometimes personality alterations which can do great emotional hurt [ 25,30,31 ] . The average endurance of GBM patients is hapless, with about 12 to 14 months [ 7 ] . At this minute, the exact causes of GBM still remain vague to the scientists. Figure 1 GBM tumor is normally found in frontal and temporal lobe. Beginning: hypertext transfer protocol: //ebsco.smartimagebase.com/brain-tumor/view-item? ItemID=4027 Accumulative Word Count: 131 Possible Treatments Surgery Surgery is normally the initial measure to handle GBM by taking every bit much tumor as possible. It is non healing but aims to cut down the tumor ââ¬Ës size every bit much as possible so that other therapies right after the surgery can be more effectual. Furthermore, surgical resection Acts of the Apostless to alleviate hydrops by debulking tumor every bit good as being a alleviative intervention for neurologic symptoms such as ictus activity [ 7 ] . The surgery includes standard surgical process craniotomy which removes a subdivision of skull to expose the encephalon underneath in order to unclutter the tumor. Besides, patients may choose to undergo optical maser microsurgery or supersonic aspiration to hold their tumors removed. 2 1 3 4 Figure 2 Craniotomy hypertext transfer protocol: //ebsco.smartimagebase.com/surgical-craniotomy/view-item? ItemID=40345 Accumulative Word Count: 242 Radiation Therapy Normally, radiation therapy ( RT ) is administered instantly after surgery. It works chiefly by damaging the Deoxyribonucleic acid of tumor cells, killing any residuary tumor cells after surgical remotion of the tumour [ 3-6,32 ] . A research has shown that the average endurance clip has increased from 17 hebdomads ( treated with conventional attention ) to 37.5 hebdomads when the GBM patients were treated with RT entirely while combination of BNCU ( carmustine ) and RT produced a 40.5 hebdomad average endurance [ 11 ] . Table 1 Randomized surveies of post-operative radiation compared with no radiation therapy in malignant gliomaa [ 23 ] Study [ Ref. ] Study group Radiation dose Gy/ no. of fraction No. of patients randomized ( analyzed ) Median endurance ( hebdomads ) Overall endurance P value Shapiro et al. , 1976 [ 62 ] Connecticut RT + CT ââ¬â 60 16 ( 16 ) 17 ( 17 ) 30 44.5 NR Not important Andersen, 1978 [ 1 ] Surgery entirely RT ââ¬â 45/25 57 ( 57 ) 51 ( 51 ) 15b 23b â⬠¹0.005 Survival at 6 months Walker et al. , 1978 [ 78 ] vitamin D Surgery entirely RT ââ¬â 50-60/25-35 42 ( 31 ) 93 ( 68 ) 14c 36c 0.001 Walker et al. , 1980 [ 79 ] vitamin D Connecticut RT ââ¬â 60/30-35 111 ( 111 ) 118 ( 118 ) 31 37 0.003 Kristiansen et al. , 1981 [ 36 ] vitamin D Surgery entirely RT + / ââ¬â Connecticut ââ¬â 45/25 38 ( 38 ) 80 ( 80 ) 23 47 NR Significant Sandberg-Wollheim et al. , 1991 [ 60 ] Connecticut RT + CT ââ¬â 58/27 87 ( 87 ) 84 ( 84 ) 42 62 0.028 a CT, chemotherapy ; NR, non reported ; RT, radiation therapy. B Calculated from survival curve. 500 Multi-arm survey that included a radiation plus chemotherapy arm. For both surveies by Walker et al. , merely information from the radiation entirely arm are shown in Table 2. Kristiansen et Al. reported combined informations from the radiation entirely arm and the radiation plus chemotherapy arm. In each of these surveies, there was a important survival benefit favouring radiation plus chemotherapy compared with no radiation therapy but no important difference in endurance between radiation entirely and radiation plus chemotherapy ( informations non shown ) . degree Celsiuss Merely consequences for the evaluable patients were reported ( 31 patients in the surgery entirely arm and 68 patients in the RT arm ) . Accumulative Word Count: 329 RT is normally administered through external beam radiation but internal radiation called Brachytherapy is besides possible. Each manner differs in how the radiation beginnings are delivered to the tumour [ 4-6,32 ] . Using IMRT ( Intensity-Modulated Radiation Therapy ) , a machine such as additive gas pedal delivers precise high-energy radiation doses ( eg: X raies ) to the tumor accurately and kills the affected cells [ 6,33 ] . Most patients will have the intervention for five to seven hebdomads [ 6,32,34 ] . Typically, around 6000 to 6500 units of radiation are delivered over seven hebdomads [ 6 ] . In contrast, brachytherapy topographic point the radiation beginnings every bit near as possible to the targeted cells in shorter clip comparison to external radiation. It consists of radioactive implants in the signifier of catheters or seeds which has impermanent radioactive beginnings in the tumor [ 8 ] . Figure 3 Brachythrapy hypertext transfer protocol: //ebsco.smartimagebase.com/brachytherapy/view-item? ItemID=24923 Besides, stereotactic radiosurgery, a noninvasive method of presenting an intense and focused dosage of radiation to a little country can be used for GBM excessively. Treatment dose is individualized but the typical dosage is about 2500 units of radiation per intervention [ 6 ] . Other signifiers of radiation intervention such as installing of inflatable balloon incorporating liquid radiation or interpolation of monoclonal antibodies tagged with radioactive substances may be used [ 8 ] . Accumulative Word Count: 519 Chemotherapy Chemotherapy may be given after surgical resection and radiation. In this therapy, chemotherapeutic drugs play an of import function in impacting retroflexing cells by damaging the Deoxyribonucleic acid of these cells. The most normally used drugs are carmustine ( BNCU ) , lomustine ( CCNU ) , temozolomide ( Temodar ) and procarbazine. They are classified as alkylating agents which are DNA-damaging drugs. These drugs alkylate the Deoxyribonucleic acid in the tumor cells, doing the dual strands to be cross-linked to each other in an inappropriate manner. This thereby, blocks DNA reproduction and bit by bit leads to cell decease [ 4,5,8 ] . Soon, Gliadel Wafer ââ¬â a biodegradable wafer soaked with BNCU is prevailing among the interventions. This is done by engrafting wafers in the pit after surgical remotion of the tumor. The wafers so easy let go of high concentrations of BCNU straight into the tumour country over a period of 2-3 hebdomads. Gliadel does non supply a remedy for GBM but is believed to be capable of protracting endurance. Apart from that, temozolomide is more frequently administered orally on monthly rhythm for 6-12 months after surgery and radiation as a care therapy [ 6,8,28,29 ] . Traditional chemotherapy drugs can be effectual, but most of them do non separate between healthy and tumour cells, thereby forestalling the disposal of high doses to kill the unnatural cells. What is more, their generalised toxicity can do terrible side effects. Targeted therapy drugs like Avastin ( bevacizumab ) are more precise than some chemotherapy drugs and tend to hold fewer side effects. It has been approved by FDA in 2009 as a new biologic drug to handle GBM. Avastin acts chiefly as an angiogenesis inhibitors by decelerating the growing of new blood vass environing the tumor. It selectively blocks VEGF to suppress the activation of VEGF receptors tyrosine kinases VEGFR1 and VEGFR2 [ 13-15 ] . There are some surveies to turn out that approximately 20-30 % patients with GBM do react to the drugs [ 27 ] . Accumulative Word Count: 823 A Graph 1 Kaplan-Meier endurance curves for patients treated with steroids and ( A ) resective surgery merely, ( B ) resective surgery and radiation therapy and ( C ) resective surgery, radiation therapy and chemotherapy. [ 12 ] Bacillus C Accumulative Word Count: 848 Social and Economic Deductions The trouble to digest with the side effects of the medicines such as sleepiness and hair loss may do GBM patients to experience down and hurt. They may be easy frustrated by concerns they suffer often or experience suffering and hopeless after the diagnosing [ 34 ] . This could take to serious societal impact and would worry the people around them. Furthermore, most of the patients find it hard to return to work due to decrease in productiveness. A study has shown that with 91 % patients were employed before diagnosing, merely 33 % of them continue working after interventions. While health professionals who were still working experience employment alterations such as taking leave of absence to be with their loved 1s for interventions or taking on extra paid work might experience stressed and have to fight difficult to get by with the tough life [ 9 ] . In order to run a normal life, patients require undergo a plentifulness of interventions including hospitalization after surgery which would do great fiscal load. It is estimated that cost of GBM interventions ranged from Ãâ 10 893 to Ãâ 125 275 [ 22 ] . Trouble of obtaining insurance makes the status even worse. Drugs that are necessary for GBM interventions are expensive and are normally administered over long period of clip. All this becomes a beginning of depression which affects non merely the patients but their households and friends [ 9 ] . The return of GBM after conventional therapy is inevitable. This so creates unstoppable medical crisis every bit good as fiscal hurt to the patients and their households. Accumulative Word Count: 1084 Benefits and Hazards I believe a combination of surgery, radiation therapy and chemotherapy is the most effectual intervention for GBM presently. In malice of its forecast has remained hapless for the last few decennaries, patients do acquire better after adhering to this standard therapy. Although GBM can non be cured, the patients had have their survival clip prolonged, acquiring a opportunity to pass their last few months with their loved 1s in a meaningful manner [ 34 ] . Nevertheless, the interventions do enforce distressing side effects to human wellness. Despite killing tumour cells, alkylating agents used are considered toxic, ensuing in suppression or lowering of blood counts. They have been associated with important sickness, hair loss, weariness and sterility [ 5 ] . High doses of BNCU may take to damage and marking of the lungs while procarbazine can do raging concern, purging and numbness. Hence, doses of drugs administered have to be carefully monitored by doctor to avoid taking to unwanted effects. Recently invented drugs temozolomide, has comparatively mild side effects but they are still inevitable [ 6 ] . Meanwhile, hazard of developing acute leukaemia old ages subsequently is increased when patients are exposed to alkylating agents [ 5 ] . Avastin, a freshly developed drug, provides a more effectual therapy for GBM. However, it potentially creates fatal toxicity, doing the late closed surgical lesion interruptions down. Some claim that the development of toxicity by avastin may shorten endurance in some patients when it is added to radiotherapy and temozolomide. Thus, researches on the effectivity and safety of use of avastin should be carried on continually until desirable consequences are obtained [ 20 ] . In add-on, the return of the tumor is ineluctable, with the average endurance rate of patients who relapse runing from 3-6 months despite aggressive intervention [ 10 ] . Patients may develop the feeling that the medicines are useless or may give up because of the intolerable side effects and the unstoppable backsliding of disease. This will take to non-adherence to therapy and increase the hazard of mortality. However, in my sentiment, the multimodal treatments I discuss above are still considered the best solution for GBM as they outweigh the hazards by protracting the patients ââ¬Ë survival clip. Accumulative Word Count: 1432 Alternate Treatments Gene therapy Another promising attack of handling GBM is cistron therapy. Herpes simplex virus thymidine kinase/ganciclovir ( HSV-tk/GCV ) has evolved as a cytotoxic cistron therapy. In this instance, recombinant adenoviral vectors are used to give favorable consequences. Adenoviral HSV-tk ( AdHSV-tk ) is able to assail the residuary dividing tumour cells while go forthing the non-dividing nerve cells unharmed. What ââ¬Ës more, it can destruct the malignant neoplastic disease cells through bystander- consequence [ 19 ] . HSV-tk first converts GCV to GCV-monophosphate [ 16,17 ] . Then, cellular kinases farther convert this merchandise to GCV-triphosphate which is a hapless substrate for uninterrupted DNA elongation due to the lacking of 3 ââ¬Ë hydroxyl group that is needed to organize phosphodiester bond in chain-elongation-reaction. Ultimately, nonfunctional Deoxyribonucleic acid fragments are formed, triping programmed cell death in malignant neoplastic disease cells [ 18 ] . Nowadays, AdH SV-tk /GCV is going preferred comparisons to conventional radiation therapy and chemotherapy due to its fewer inauspicious effects. Figure 4 The rule of HSV-tk/GCV cistron therapy. hypertext transfer protocol: //www.gtmb.org/VOL4A/GTMBVOL4AHTML/23_Adachi_files/image001.gif Accumulative Word Count: 1575 Table 2 Surveies by Sandmair et Al. and Immonen et Al. demo a singular protraction of endurance in patients treated with AdHSV-tk [ 19 ] . Patients Vector Phase Gene Transfer Method Adverse Effectss Survival ( Months ) Response Brain Tumour Glioblastoma Multiforme Problem Health And Social Care Essay GBM normally affects people who older than 50 old ages old although the disease can happen in patients from all age group [ 2,25,28 ] . Patients suffer ictus, concern, ocular perturbation and sometimes personality alterations which can do great emotional hurt [ 25,30,31 ] . The average endurance of GBM patients is hapless, with about 12 to 14 months [ 7 ] . At this minute, the exact causes of GBM still remain vague to the scientists. Figure 1 GBM tumor is normally found in frontal and temporal lobe. Beginning: hypertext transfer protocol: //ebsco.smartimagebase.com/brain-tumor/view-item? ItemID=4027 Accumulative Word Count: 131 Possible Treatments Surgery Surgery is normally the initial measure to handle GBM by taking every bit much tumor as possible. It is non healing but aims to cut down the tumor ââ¬Ës size every bit much as possible so that other therapies right after the surgery can be more effectual. Furthermore, surgical resection Acts of the Apostless to alleviate hydrops by debulking tumor every bit good as being a alleviative intervention for neurologic symptoms such as ictus activity [ 7 ] . The surgery includes standard surgical process craniotomy which removes a subdivision of skull to expose the encephalon underneath in order to unclutter the tumor. Besides, patients may choose to undergo optical maser microsurgery or supersonic aspiration to hold their tumors removed. 2 1 3 4 Figure 2 Craniotomy hypertext transfer protocol: //ebsco.smartimagebase.com/surgical-craniotomy/view-item? ItemID=40345 Accumulative Word Count: 242 Radiation Therapy Normally, radiation therapy ( RT ) is administered instantly after surgery. It works chiefly by damaging the Deoxyribonucleic acid of tumor cells, killing any residuary tumor cells after surgical remotion of the tumour [ 3-6,32 ] . A research has shown that the average endurance clip has increased from 17 hebdomads ( treated with conventional attention ) to 37.5 hebdomads when the GBM patients were treated with RT entirely while combination of BNCU ( carmustine ) and RT produced a 40.5 hebdomad average endurance [ 11 ] . Table 1 Randomized surveies of post-operative radiation compared with no radiation therapy in malignant gliomaa [ 23 ] Study [ Ref. ] Study group Radiation dose Gy/ no. of fraction No. of patients randomized ( analyzed ) Median endurance ( hebdomads ) Overall endurance P value Shapiro et al. , 1976 [ 62 ] Connecticut RT + CT ââ¬â 60 16 ( 16 ) 17 ( 17 ) 30 44.5 NR Not important Andersen, 1978 [ 1 ] Surgery entirely RT ââ¬â 45/25 57 ( 57 ) 51 ( 51 ) 15b 23b â⬠¹0.005 Survival at 6 months Walker et al. , 1978 [ 78 ] vitamin D Surgery entirely RT ââ¬â 50-60/25-35 42 ( 31 ) 93 ( 68 ) 14c 36c 0.001 Walker et al. , 1980 [ 79 ] vitamin D Connecticut RT ââ¬â 60/30-35 111 ( 111 ) 118 ( 118 ) 31 37 0.003 Kristiansen et al. , 1981 [ 36 ] vitamin D Surgery entirely RT + / ââ¬â Connecticut ââ¬â 45/25 38 ( 38 ) 80 ( 80 ) 23 47 NR Significant Sandberg-Wollheim et al. , 1991 [ 60 ] Connecticut RT + CT ââ¬â 58/27 87 ( 87 ) 84 ( 84 ) 42 62 0.028 a CT, chemotherapy ; NR, non reported ; RT, radiation therapy. B Calculated from survival curve. 500 Multi-arm survey that included a radiation plus chemotherapy arm. For both surveies by Walker et al. , merely information from the radiation entirely arm are shown in Table 2. Kristiansen et Al. reported combined informations from the radiation entirely arm and the radiation plus chemotherapy arm. In each of these surveies, there was a important survival benefit favouring radiation plus chemotherapy compared with no radiation therapy but no important difference in endurance between radiation entirely and radiation plus chemotherapy ( informations non shown ) . degree Celsiuss Merely consequences for the evaluable patients were reported ( 31 patients in the surgery entirely arm and 68 patients in the RT arm ) . Accumulative Word Count: 329 RT is normally administered through external beam radiation but internal radiation called Brachytherapy is besides possible. Each manner differs in how the radiation beginnings are delivered to the tumour [ 4-6,32 ] . Using IMRT ( Intensity-Modulated Radiation Therapy ) , a machine such as additive gas pedal delivers precise high-energy radiation doses ( eg: X raies ) to the tumor accurately and kills the affected cells [ 6,33 ] . Most patients will have the intervention for five to seven hebdomads [ 6,32,34 ] . Typically, around 6000 to 6500 units of radiation are delivered over seven hebdomads [ 6 ] . In contrast, brachytherapy topographic point the radiation beginnings every bit near as possible to the targeted cells in shorter clip comparison to external radiation. It consists of radioactive implants in the signifier of catheters or seeds which has impermanent radioactive beginnings in the tumor [ 8 ] . Figure 3 Brachythrapy hypertext transfer protocol: //ebsco.smartimagebase.com/brachytherapy/view-item? ItemID=24923 Besides, stereotactic radiosurgery, a noninvasive method of presenting an intense and focused dosage of radiation to a little country can be used for GBM excessively. Treatment dose is individualized but the typical dosage is about 2500 units of radiation per intervention [ 6 ] . Other signifiers of radiation intervention such as installing of inflatable balloon incorporating liquid radiation or interpolation of monoclonal antibodies tagged with radioactive substances may be used [ 8 ] . Accumulative Word Count: 519 Chemotherapy Chemotherapy may be given after surgical resection and radiation. In this therapy, chemotherapeutic drugs play an of import function in impacting retroflexing cells by damaging the Deoxyribonucleic acid of these cells. The most normally used drugs are carmustine ( BNCU ) , lomustine ( CCNU ) , temozolomide ( Temodar ) and procarbazine. They are classified as alkylating agents which are DNA-damaging drugs. These drugs alkylate the Deoxyribonucleic acid in the tumor cells, doing the dual strands to be cross-linked to each other in an inappropriate manner. This thereby, blocks DNA reproduction and bit by bit leads to cell decease [ 4,5,8 ] . Soon, Gliadel Wafer ââ¬â a biodegradable wafer soaked with BNCU is prevailing among the interventions. This is done by engrafting wafers in the pit after surgical remotion of the tumor. The wafers so easy let go of high concentrations of BCNU straight into the tumour country over a period of 2-3 hebdomads. Gliadel does non supply a remedy for GBM but is believed to be capable of protracting endurance. Apart from that, temozolomide is more frequently administered orally on monthly rhythm for 6-12 months after surgery and radiation as a care therapy [ 6,8,28,29 ] . Traditional chemotherapy drugs can be effectual, but most of them do non separate between healthy and tumour cells, thereby forestalling the disposal of high doses to kill the unnatural cells. What is more, their generalised toxicity can do terrible side effects. Targeted therapy drugs like Avastin ( bevacizumab ) are more precise than some chemotherapy drugs and tend to hold fewer side effects. It has been approved by FDA in 2009 as a new biologic drug to handle GBM. Avastin acts chiefly as an angiogenesis inhibitors by decelerating the growing of new blood vass environing the tumor. It selectively blocks VEGF to suppress the activation of VEGF receptors tyrosine kinases VEGFR1 and VEGFR2 [ 13-15 ] . There are some surveies to turn out that approximately 20-30 % patients with GBM do react to the drugs [ 27 ] . Accumulative Word Count: 823 A Graph 1 Kaplan-Meier endurance curves for patients treated with steroids and ( A ) resective surgery merely, ( B ) resective surgery and radiation therapy and ( C ) resective surgery, radiation therapy and chemotherapy. [ 12 ] Bacillus C Accumulative Word Count: 848 Social and Economic Deductions The trouble to digest with the side effects of the medicines such as sleepiness and hair loss may do GBM patients to experience down and hurt. They may be easy frustrated by concerns they suffer often or experience suffering and hopeless after the diagnosing [ 34 ] . This could take to serious societal impact and would worry the people around them. Furthermore, most of the patients find it hard to return to work due to decrease in productiveness. A study has shown that with 91 % patients were employed before diagnosing, merely 33 % of them continue working after interventions. While health professionals who were still working experience employment alterations such as taking leave of absence to be with their loved 1s for interventions or taking on extra paid work might experience stressed and have to fight difficult to get by with the tough life [ 9 ] . In order to run a normal life, patients require undergo a plentifulness of interventions including hospitalization after surgery which would do great fiscal load. It is estimated that cost of GBM interventions ranged from Ãâ 10 893 to Ãâ 125 275 [ 22 ] . Trouble of obtaining insurance makes the status even worse. Drugs that are necessary for GBM interventions are expensive and are normally administered over long period of clip. All this becomes a beginning of depression which affects non merely the patients but their households and friends [ 9 ] . The return of GBM after conventional therapy is inevitable. This so creates unstoppable medical crisis every bit good as fiscal hurt to the patients and their households. Accumulative Word Count: 1084 Benefits and Hazards I believe a combination of surgery, radiation therapy and chemotherapy is the most effectual intervention for GBM presently. In malice of its forecast has remained hapless for the last few decennaries, patients do acquire better after adhering to this standard therapy. Although GBM can non be cured, the patients had have their survival clip prolonged, acquiring a opportunity to pass their last few months with their loved 1s in a meaningful manner [ 34 ] . Nevertheless, the interventions do enforce distressing side effects to human wellness. Despite killing tumour cells, alkylating agents used are considered toxic, ensuing in suppression or lowering of blood counts. They have been associated with important sickness, hair loss, weariness and sterility [ 5 ] . High doses of BNCU may take to damage and marking of the lungs while procarbazine can do raging concern, purging and numbness. Hence, doses of drugs administered have to be carefully monitored by doctor to avoid taking to unwanted effects. Recently invented drugs temozolomide, has comparatively mild side effects but they are still inevitable [ 6 ] . Meanwhile, hazard of developing acute leukaemia old ages subsequently is increased when patients are exposed to alkylating agents [ 5 ] . Avastin, a freshly developed drug, provides a more effectual therapy for GBM. However, it potentially creates fatal toxicity, doing the late closed surgical lesion interruptions down. Some claim that the development of toxicity by avastin may shorten endurance in some patients when it is added to radiotherapy and temozolomide. Thus, researches on the effectivity and safety of use of avastin should be carried on continually until desirable consequences are obtained [ 20 ] . In add-on, the return of the tumor is ineluctable, with the average endurance rate of patients who relapse runing from 3-6 months despite aggressive intervention [ 10 ] . Patients may develop the feeling that the medicines are useless or may give up because of the intolerable side effects and the unstoppable backsliding of disease. This will take to non-adherence to therapy and increase the hazard of mortality. However, in my sentiment, the multimodal treatments I discuss above are still considered the best solution for GBM as they outweigh the hazards by protracting the patients ââ¬Ë survival clip. Accumulative Word Count: 1432 Alternate Treatments Gene therapy Another promising attack of handling GBM is cistron therapy. Herpes simplex virus thymidine kinase/ganciclovir ( HSV-tk/GCV ) has evolved as a cytotoxic cistron therapy. In this instance, recombinant adenoviral vectors are used to give favorable consequences. Adenoviral HSV-tk ( AdHSV-tk ) is able to assail the residuary dividing tumour cells while go forthing the non-dividing nerve cells unharmed. What ââ¬Ës more, it can destruct the malignant neoplastic disease cells through bystander- consequence [ 19 ] . HSV-tk first converts GCV to GCV-monophosphate [ 16,17 ] . Then, cellular kinases farther convert this merchandise to GCV-triphosphate which is a hapless substrate for uninterrupted DNA elongation due to the lacking of 3 ââ¬Ë hydroxyl group that is needed to organize phosphodiester bond in chain-elongation-reaction. Ultimately, nonfunctional Deoxyribonucleic acid fragments are formed, triping programmed cell death in malignant neoplastic disease cells [ 18 ] . Nowadays, AdH SV-tk /GCV is going preferred comparisons to conventional radiation therapy and chemotherapy due to its fewer inauspicious effects. Figure 4 The rule of HSV-tk/GCV cistron therapy. hypertext transfer protocol: //www.gtmb.org/VOL4A/GTMBVOL4AHTML/23_Adachi_files/image001.gif Accumulative Word Count: 1575 Table 2 Surveies by Sandmair et Al. and Immonen et Al. demo a singular protraction of endurance in patients treated with AdHSV-tk [ 19 ] . Patients Vector Phase Gene Transfer Method Adverse Effectss Survival ( Months ) Response
Saturday, November 2, 2019
Business formation and purpose Lab Report Example | Topics and Well Written Essays - 2000 words
Business formation and purpose - Lab Report Example All these four airline services were integrated on 31st March 1974 to form British Airways. BA continued its operations for almost 13 years as a state-owned company. In February 1987, the BA was privatised as part of the Conservative governmentââ¬â¢s wider privatisation plan. Soon after its privatisation in 1987, the company acquired British Caledonian in the same year, Dan-Air in 1992, and British Midland International in 2012 so as to promote its global expansion. BA is a member of the Oneworld airline alliance along with other founding members like American Airlines, Qantas, Canadian Airlines, and Cathay Pacific. Today the Oneworld alliance has become the worldââ¬â¢s third largest airline alliance after SkyTeam and Star Alliance. On 21st January 2011, BA merged with Iberia to form the International Airlines Group (IAG), which is the parent company of BA. IAG is the third largest airline group in the world and the second largest in Europe by annual revenues. It has been liste d on the London Stock Exchange and in the FTSE 100 Index. The BA operates under airline industry. While analysing the industrial classifications of the BA, it seems that the company maintains four major subsidiaries including BA CityFlyer, OpenSkies, British Airways Limited, and British Airways World Cargo. The BA CityFlyer, Didsbury based wholly owned subsidiary airline of BA, operates a number of European and domestic services from London City Airport. This BA subsidiary has gained a United Kingdom Civil Aviation Authority Type A operating licence to carry passengers, cargo, and mail on aircrafts having 20 seats or above. In 2008, the BA CityFlyer signed a contract with Embraer to obtain the delivery of 11 E-Jet aircrafts for the purpose of modernising the fleet. In addition, the organisation ordered 3 extra Embraer 190 aircraft in late 2013. According to official data, the company carried roughly 1.2 million
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