Neurofibromatosis & Its Genetic Implications Essays -

Neurofibromatosis and Its Genetic Implications The National Institute of Health characterizes Neurofibromatoses as gathering hereditary scatters that influences the turn of events and development of neural cell tissues. These scatters cause tumor development in nerve tissues, skin changes, and now and again bone disfigurements. Of the eight potential subtypes of Neurofibromatosis (NF) in any event 85% are spoken to by NF Type 1, otherwise called von Recklinghausen or exemplary fringe neurofibromatosis. It has a commonness of about 1:4000 live births. An extra 10% have NF Type 2, otherwise called acoustic or focal neurofibromatosis and happens in about 1:50,000 live births (Baskin 1). This paper will manage the more predominant NF Type 1 and spotlight on the manifestations of the sickness and biochemical parts of the NF1 and the moral ramifications of acquired hereditary issue. NF1 is an autosomal prevailing acquired illness portrayed by various caf?- au-lait detects, various fibromas, and Lisch knobs. Most indications show up during adolescence and early grown-up life. Clinical standards for diagnosing the ailment must incorporate at least two of the accompanying manifestations: (1) six or more caf?- au-lait spots bigger that 5 mm in pre-pubescent people and more noteworthy than 15 mm is post-pubescent people, (2) two or more neurofibromas of any sort or one plexiform neurofibroma, (3) axillary or inguinal freckling, (4) sphenoid bone dysplasia, (5) optic glioma, (6) Lisch knobs, and (7) a family ancestry of NF1. Different appearances incorporate learning inabilities, epilepsy, mental hindrance, scoliosis, gastrointestinal neurofibromas, pheochromacytomas, and renal corridor stenosis (Goldman 2074). Caf?- au-lait spots are pigmented macules of goliath melanin granules found in the basal layer of the epidermis and are recognized by the nearness of more DOPA-positive melanocytes than encompassing skin and a smooth fringe and light earthy colored shade of the macules. Neurofibromas are hamartomatous, a mass of complicated tissue indigenous to a specific site (Robbins 134), that are made generally out of Schwann cells, yet in addition contain fibroblasts, pole cells and macrophages. Plexiform neurofibromatoas, enormous, multilobe pendulous masses, are all the more profoundly arranged in huge nerves, for the most part include the appendages, and are related with hypertrophy of basic delicate tissues and bones. Lisch knobs, or iris harmartomas, are the most well-known appearance of NF1. They are arch formed, raised, avascular, melanocytic knobs of the iris with a smooth shape and some translucency (Baskin 1-3). Neurofibromatosis Type I is an autosomal predominant issue without preference for sex, race, or shading. It appears with complete penetrance with profoundly factor articulation. The quality is situated on chromosome 17q and the quality includes around 350 kilobases (Goldman 2074). The quality codes for the protein neurofibromine which takes after specific proteins that inactivate oncogenes (Hulsebos 620); in this way missing neurofibromine can prompt an expanded manner to malignant growth. In spite of the fact that the turmoil is acquired, the unconstrained change rate is somewhere in the range of 2.4 and 4.3 x 10-5 (ncbl.nlm.nih.gov). A prevalent fatherly deduction recommends that the first change happens in the mitotic divisions that occur during male gametogenesis yet not during female gametogenesis. The NF1 quality can show a twelve kilobase cancellation including exons thirty-two through thirty-nine now and again or a progressively extreme erasure including a 100 kilobase erasure from exon four close to the five prime finish of the quality to intron thirty-nine close to the three prime finish of the quality (nclb.nlm.nih.gov). There doesn't give off an impression of being any relationship between's specific genotypes and phenotypes (Goldman 2074). The grouping of the NF1 quality predicts 2,485 amino acids in the NF1 peptide. The peptide demonstrates some comparability to human GTPase initiating protein (GAP). This finding proposes that NF1 codes for a cytoplasmic GAP-like protein that collaborates with proteins like the RAS quality item in the control of cell development in. shows that the tumor smothering action of the NF1 protein adversely controls p21 (RAS) and shows a ?positive? development job for RAS action in NF1 tumors. The NF1 quality item neurofibromine contains a GTPase actuating protein known as NF1 GRD that downregulates RAS by invigorating inborn GTPase. Since RAS and GTP are significant controller particles in cell development and separation, freak neurofibromines coming about because of physical transformations in the NF1 quality may meddle with the RAS flagging pathway and therefore add to the improvement of tumors (ncbl.nlm.nih.gov). The likelihood of transmission of NF1 is half with every pregnancy,

Oscar Wao: Domincan Irony

Question: The Gangster, in contrast to a considerable lot of the men in the book, is amicable, and treats Beli like a lady. Be that as it may, his activity makes an incongruity in the book. Clarify. Answer: Many of the man in the book have been discourteous toward the young ladies in the book. They imagined that their activity is the correct activity, since they have the Dominican Pride. All they truly thought about was their appearance as a muchacha figure, and couldn't have cared less for the girls’ feeling or needs. When â€Å"gangster† steps in after Beli made some harsh memories with Jack who utilized her as only as a toy; Beli begins to feel a sentiment of adoration. Hoodlum treats her in an unexpected way, getting her endowments, getting her decent cafés, and taking her out to places. He even holds nothing back and outlines for her, about the hardship and torment he is experiencing. Because of his activities, she understands she adores him, since no man has ever valued her or opened up such a great amount before in her life. His activities make an incongruity; and the activities vary from all that we have experienced about the Dominican Culture up until this point. In any case, the genuine incongruity kicks in as Beli understands that hoodlum has a propensity for vanishing for a considerable length of time or weeks on end without notice. At the point when he returns, she perseveres about where he has been, and about their marriage, be that as it may, criminal doesn't offer her any responses back. At the point when Gangster takes Beli out for an outing, to unwind, Beli is very glad. During the excursion, criminal reveals to Beli that he needs to be free, making an amusing second as he goes to and fro between a respectable man, and a muchacha. Nonetheless, when she gets back she understands that she is pregnant, and the peruser foresees for the sensational incongruity that will be made, when criminal settles on his choice about staying with being a man of honor and remaining with Beli, or leave her and the infant, similar to the next Dominican men.

First read

First read Welcome those of you who have just joined us! I encourage you to read all the posts from the beginning, and also check out the student blogs: Mitra, Kevin, and Allison. Tomorrow, the entire admissions staff will gather for our meeting to get us prepared to read your thousands of applications. One exercise is that we will discuss the same three folders that we each have read this weekend, getting on the same page as far as what makes a good summary of an application. I just finished reading and summarizing my applications (each application takes about 30 minutes each), and I must say Im very excited to be starting the application reading season. Right now, we have lots of applications started but many fewer finished, so it will probably be another week and a half until we start the serious reading. In the meantime, well contnue with our other work, including wrapping up our fall travels, developing more content for the my.mit.edu portal, catching up on email (Im still behind), etc. Current music: Michael Buble, Come Fly with Me Not the same few colleges: The University of Chicago. This is a school serious about its academics. Check out the essay options on this years application, including Write an essay inspired by super-huge mustard. Also, Chicago is one of my absolute favorite cities in the country, with amazing architecture and interesting neighborhoods.

A Raisin In The Sun Character Analysis - 1052 Words

Name Instructor Name Class Date Walter Lee Younger in A Raisin in the Sun Lorraine Hansberry’s play, A Raisin in the Sun, tells the story of the Younger family, an African-American family living in poverty in 1950s Chicago. The family patriarch, Walter, is a limousine driver struggling to make ends meet and desperate to find a way to propel his family toward wealth. With his father’s death comes an insurance check for $10,000 and each member of the family has different ideas on what to do with it. Walter feels entitled to the money and wants to use it to open a liquor store, which he believes will make his family wealthy. However, his wife does not agree, and neither does his mother, to whom the check is going and who lives with the†¦show more content†¦He misses work even though his family needs the income, and he drinks even though it has negative consequences. In this section of the play, Walter is portrayed not as a family patriarch but almost as a child who is throwing a tantrum because his mother did not give him what he wanted . This is further emphasized when Mama does eventually give Walter the remainder of the money so that he can invest it. Once Walter has invested in the liquor store, his spirits lift. He behaves more like a family man, treating his mother and his sister respectfully and flirting with his wife when he takes her out on a date. This Walter is buried beneath the surface of his unhappiness and despair, and it’s only when it seems like he can see the light at the end of the tunnel that he starts to emerge as a friendlier person. However, his partner, Willy, ends up leaving with all of the money. Walter now has no liquor store and no money, his idea for a get-rich-quick scheme leaving his family in much worse shape than before. While this is going on, a white man from the neighborhood in which Mama bought a new house has offered the family a substantial amount of money to not move in; he does not want the white neighborhood to develop conflict with the presence of a black family. Af ter Walter loses all of the money, he decides that he will take Mr. Linder up on his offer. It is at this point that Walter has hit rock bottom. Previously, Walter hadShow MoreRelatedCharacter Analysis Of A Raisin Of The Sun Essay845 Words   |  4 PagesWriting Assignment 4: Character Analysis of â€Å"A Raisin in the Sun† The male protagonist of this story is Walter Lee Younger, an African American, who plays the roles of a son, husband, father, and brother. The story is set in a Chicago Southside apartment, â€Å"sometime between World War II and the present [1959]† (Hansberry 919). Walter is physically described as â€Å"a lean, intense young man in his middle thirties, inclined to quick nervous movements and erratic speech habits—and always in his voiceRead MoreA Raisin In The Sun Character Analysis1322 Words   |  6 PagesIn the play â€Å"A Raisin in the Sun† written by Lorraine Hansberry, she is able to take us to place to see what it was like for an African American family to survive in the mid-twentieth century. The play details how the main characters are going through an evolving social and economic position, as well as the evolving gender roles. Hansberry uses the characterization of Beneatha, Ruth, and Walter in order to show the expectations and assigned gender roles for the characters in the story. In shortRead MoreA Raisin In The Sun Character Analysis902 Words   |  4 PagesGordon: Segregation vs. Southern Pride Lorraine Hansberry’s â€Å"A Raisin in the Sun† touches on many issues African Americans faced in the early to mid-twentieth century. One can analyze Hansberry’s â€Å"A Raisin in the Sun† from many angles, and come away with different meanings. While Michelle Gordon focuses more on segregation and housing discrimination that plagued African Americans on Chicago’s Southside in Hansberry’s â€Å"A Raisin in the Sun†, William Murray emphasizes on Southern Pride and heritage. ThisRead MoreA Raisin In The Sun Character Analysis917 Words   |  4 PagesIn the play A Raisin in the Sun by Lorraine Hansberry the Younger family faces many conflicts. This is mainly because they are living in Chicago in the 1950’s. This was a time where many African Americans were discriminated, which caused the family to have many issues with money, jobs, and family. Two characters from the pay that help influence the plot would be Mama and Ruth. This i s because of the roles they play, their conflicts, and their actions towards other character. Without the roles ofRead MoreA Raisin In The Sun Character Analysis1026 Words   |  5 PagesIn A Raisin in the Sun by Lorraine Hansberry, one of the featured characters is outgoing and ambitious Beneatha Younger, sister of Walter and daughter of Mama. Beneatha, commonly referred to as Bennie by her family, is an aspiring doctor and currently in medical school. In addition to these desires, she also acquires relationships with Asagai and George Murchinson, two prominent male characters, throughout the course of the play. Although her career choice and relations with these men are completelyRead MoreA Raisin In The Sun Character Analysis1592 Words   |  7 Pagesacquisitiveness have always had the ability to turn people into someone they are not. Greed can tear apart families and friendships when a person neglects others for their own benefit. This is depicted perfectly in Lorraine Hansbe rry’s play A Raisin in the Sun which follows the lives of the Youngers, an African-American family living in 1950’s South Side Chicago. The focus is on a man named Walter Younger, who has the difficult decision of choosing between his personal dream and the progression ofRead MoreCharacter Analysis Of Beneatha In A Raisin In The Sun1487 Words   |  6 PagesCharacter Analysis â€Å" A Raisin in the Sun† is a play written by Lorraine Hansberry about the life of an African American family during the era of segregation. The play starts off with the Younger family receiving a 10,000 dollar check from Mr. Younger’s insurance policy. The family argues over what they are going to do with it. Mama wants to buy a house with it, Walter wants to invest in a liquor store, and Beneatha wants to use the money to go to medical school. The contrast of the characters’ personalitiesRead MoreA Raisin In The Sun Character Analysis1322 Words   |  6 Pages Lorraine Hansberry’s play, A Raisin in the Sun, depicts the lives of the Younger family, an African American family living in the Southside of Chicago during the 1950s. The play takes place in their cramped apartment offering the reader insight into the arguments, discussions, and conversations that take place between the characters. In one scene, Hansberry specifically offers the reader a conversation between Asagai, an influential companion, and Beneatha to show us how disparate the Younger siblingsRead MoreCharacter Analysis Of Raisin In The Sun798 Words   |  4 PagesIn the play a Raisin in the Sun, Walter Lee Younger is an African American man who portrays the role of a father, son, and husband. He has a dream to invest the incoming inherence into something that may help his family in the future. Once this idea comes to him it takes over his mind, and he cannot stop thinking about it. It acts as though its a drug, he addicted to talking about it. Also, when it is broug ht up in a conversation and someone disagrees he become very defensive. In addition, he isRead MoreCharacter Analysis Of A Raisin In The Sun1299 Words   |  6 Pagessoul longs for the satisfaction of meeting a goal? The obstacles along the way may cause one trouble, but one still strives for that personal satisfaction of knowing something grand was accomplished. A Raisin In The Sun, written by Lorraine Hansberry, gives off many aspects of the story’s characters wanting the reward of being able to say, â€Å"I did it†. Beneatha Younger, a passionate, strong-willed woman will do whatever it takes to pursue her dream of attending medical school. Along the way of wanting

Policing The Lives Of Black And Latino By Victor Rios Oakland

In Punished: policing the lives of Black and Latino by Victor Rios Oakland boys are studied in an ethnography. The purpose of the ethnography was to examine the how the boys interacted with themselves, the education system and the justice system. The purpose of this essay is to review what Rios has witnessed and recorded, in his book, and look through the lens of different sociological theories and theorists. These Theories and theorists Rios himself used when describing the behavior. Rios describes different situations and plights that afflict the boys of his study. He did so in his book by organizing the ideas by chapter. The first part examines how the police abuse and accuse the boys in their everyday life. They do not need to be†¦show more content†¦They were subject to physical, verbal abuse, and an exile from their peers. Rios in his ethnography kept himself as an outsider. He did not try to become one of his subjects to get them to trust him. Even though his past was like the boys which were his subjects, he kept his distance enough and kept the culture at arm’s length. This is shown in that he did not participate in crimes, and did not intervene with theirs. The reason I say he is an outsider to the study group is because as he states, â€Å"I had dug [my past] six feet under on the day I buried my best friend† (Rios, 2011). A common theme in the book is that of symbolism in language. Pierre Bourdieu, a sociologist, in brought to light the idea of symbolic language. Bourdieu shows that there is two different types of language, signs and symbolism (Bourdieu, 1991). A sign is what it means stop means stop. Symbolism would be what the boys did in their delinquency, they acted out in aggression to thoughts of authority and get punished. In the eyes of the boys they saw that they received more respect afterward. The symbolic power can relate to just about everything, including gift giving (Hyà ¡nkovà ¡, 2010). Hyà ¡nkovà ¡ writes that giving the more expensive gift creates a sort of soft power by the one who gives the more expensive present. This relates to how the boys act to the convenience store clerk, who had a rule of no more than two kids at a time in is store. The boys got their items and queued inShow MoreRelatedJustice, Masculinity, And Race And Crime Essay1370 Words   |  6 PagesPunished Victor Rios is not only an author of a book called Punished: Policing the Lives of Black and Latino Boys, but he is also an ex-felon. Rios holds a PH.D. in sociology and is now an assistant professor at the University of Santa Barbara. Victor Rios has published on juvenile justice, masculinity, and race and crime in scholarly in journals such as the Critical Criminology. He has not only lived the life he preaches about, he has shown to be extremely knowledgable in this life he has onceRead MorePolicing The Lives Of Black And Latino Boys1348 Words   |  6 PagesPolicing the Lives of Black and Latino Boys The book Policing the Lives of Black and Latino Boys was written by Victor M. Rios, containing 174 pages, and was published in 2011 by the New York University Press. In total, the book contains eight chapters with a preface, expanding on the methods and measures Rios used to collect information and interviews, and an appendix that Rios used to further explain the sociological impact criminology and race have had throughout history. The research for theRead MoreSummary Of The By Victor Rios1420 Words   |  6 PagesPunished Reflection Victor Rios starts of the book by giving a brief background of his own life and what he experienced as a child in the ghettos of Oakland, California and the events that caused him to turn from his old way of life. During the span of Victor Rios’ juvenile years he decide to join and become a gang member Rios states â€Å"I joined the gang seeking protection that I thought police and other authority figures in the community had failed to provide†(Rios ix) Rios’ quote is the most commonlyRead MoreAnalysis Of The Book The By Victor Rios845 Words   |  4 PagesPunished was written by Victor Rios and published in 2011. Rios wrote the book to chronicle the challenges young black and Latino boys faced within their improvised highly criminalized neighborhoods. Rios grew up in Oakland California and lived in what was considered the ghettos mainly a minority poor community; he was also a gang member with his fair share of trouble. Rios began looking for answers to the plights he and his community faced after the murder of his friend while they ran from a rivalRead MoreWe Can Not Deny Society s Progression Of Social Equality Essay1187 Words   |  5 Pagesdiscoursed in Victor Rios’ Punished: Policing the Lives of Black and Latino Boys. Intersectionality posits that inequalities are not generated through one act or variable, but through a connected web of multiple variables that work together to oppress a group(s) of people (Collins and Blige 2016:1-6; Hill Collins 2000). Gender, race, sexuality, and class (among other diffuse characteristics) work together as a metaphorical net that aids in the maintenance of a systematic racial hegemony. Rios shadowedRead MoreOakland, California. A Place Where People Call It Home1636 Words   |  7 Pages Oakland, California. A place where people call it home or a war zone. In the case of many teenagers, Oakland was their destruction. Based on my reading, The Labeling Theory will best suit with this book simply because many teens from this volume were said to be someone they weren’t. In case you don’t know about this theory, the focus of it is not on the behavior of a person but on how others view that behavior or the person itself. According to the book â€Å"Punished: Policing the Lives of Black and

Eminent Domain Free Essays

Eminent Domain Business 186 The ancient right, for the government to take property from an individual with out consent for a common good is called Eminent Domain. Some examples of a common good are, to build a dam, an airport, a hospital or a highway. The U. We will write a custom essay sample on Eminent Domain or any similar topic only for you Order Now S. constitution understands that right; as long as â€Å"just compensation† is paid they are permitted to take the privet property for public use. However, New London took land from one privet party and gave the property to another privet party. By doing so the city promises to attract new growth, which in return will help invigorate the community and bring in more tax revenue. The area they want to build all these new structures is where the Undersea Warfare Center of the Navy was. When the Navy moved it took 1,400 jobs with it. The unemployment rate of the city only got worse. This has been a rough neighborhood for quite some time. Pfizer, a pharmaceutical company built a $350 million research center, which created 1,400 job opportunities. Since then the government has created parks and opened up the river fort access to the public. Furthermore, the city wants to build new homes for professionals, office buildings and a hotel. They want space to build these luxurious homes for the professional employees of Pfizer. The houses that sit above the Thames River in front of Fort Trumbull is the area they want to use to build all these new structures. Though many people have left their houses, there are still a few that remain in their homes in this area. The city is offering a fair price for their homes but the residents do not want the money, they just want to keep their homes that they worked very hard to get. The Supreme Court upheld the city’s condemnation right; the homeowners had to forcefully sell their homes. It ruled that required purchase to foster economic development falls under public use and is constitutionally permissible. By making this decision the Supreme Court drives the argument over eminent domain back to the states and local communities. Eminent domain has been used correctly to rebuild decayed urban areas or start economic growth; conflict now is rising with political and legal battles, there are many states that are taking advantage of it. In 2009 Pfizer closed its New London location and transferred its 1,400 employees to a campus the company owns in Groton, Connecticut. I enjoyed this article because it opened my eyes to what people are experiencing around the country with Eminent Domain. I don’t think New London treated their residents fairly by authorizing these structures built over their homes. Towns such as New London and others are not pursuing their decisions wisely as to their beneficial and progressive social policies. I think that they are socially harming and being biased against ordinary working people and small business owners. I do not think that eminent domain is a morally legitimate right of the government. I do not think that the government should have the right to take away your property. It takes someone about thirty years to pay off a home and finally be able to call it their property and not the banks. I think that after thirty years of slaving away making payments and paying interest rates, the government should not be able to just come in and take your property, it is not morally correct. Now on the other hand, if the property is abandoned then yes, the government should be able to obtain it for public use. I do not think its right for the government to forcefully vacate someone from his or her home to use it publicly. How to cite Eminent Domain, Essay examples

Strengths and Weaknesses of Research Methodology

Question: Discuss about the Strengths and Weaknesses of Research Methodology. Answer: Introduction A large number of immigrants need health services beyond basic healthcare provided by NHS and thus, go to hospitals in their respective regions to receive healthcare services. Such healthcare service providers need to understand the healthcare expectations of immigrants and refugees to be able to provide them best healthcare services. This research involves a study on a public regional hospital in Victor whose management is seeking support in understanding the perceptions of immigrant and refugee patients on the healthcare services provided by the hospital( Islington Council, 2016). Certain research questions can be used to guide this research to achieve this aim including: What are the services provided by the hospital to the immigrants and refugees What are the demographic and personal characteristics of the immigrant and refugee patients coming to Victoria hospital? How do these immigrants and refugees perceive the healthcare services of the hospital? Can there be a scope for improvement in services of the hospital to better take care of the needs of these patients? Literature Review The quality of healthcare in UK varies with the hospitals and regions. Citizens of the country definitely enjoy some healthcare benefits and preferences. However, when it comes to immigrants, rules and treatments differ. But NHS claims to provide free healthcare services even to immigrants but government is considering restricting this free access to healthcare for immigrants and refugees with limited stay in UK. Currently, NHS provides free basic healthcare to migrants and full NHS healthcare service to migrating students. Free services are provided by public hospitals but advanced healthcare services are provided at a cost. There is very less information that is available on how these healthcare services perform with the refugees and immigrants. Various aspects of care may be explored in order to understand if the patients have positive experiences of receiving these services. Various aspects of healthcare that may be explored can include communication with healthcare professionals, medications, nursing services, discharge planning, pain management, and more. Past researches has shown that the perception of patients about healthcare services is affected by actual services as well as by several other factors like demographics, health condition, age, and education levels. A HCAHPSstudy on 4032 hospitals of USA had studied the perceptions of patients considering hospitals services and characteristics of students. Over 63% of the patients provided positive ratings to healthcare services and 67% were open to recommending services to friends and family. 74% of the patients were satisfied with the communication received from healthcare professionals. There are a variety of studied conducted on the patients of hospitals but there is very less literature specific to the healthcare received by immigrants and refugees in UK and thus, the current study can fill this gap for UK region by taking the case of Victorian hospital understand the views of immigrants and refugees(Jha, Orav, Zheng, Epstein, 2008). Research design and conduct Methodology: A quantitative research methodology would be used involving survey for capturing experiences of the immigrants and refugees served at the Victorian hospital. Research instruments: A survey would be conducted on the immigrant and refugee patients of the hospital for which a questionnaire would be prepared. This questionnaire would involve objective questions asking patients about their experiences with the hospital with respect to different dimensions like communication, nursing, pain management, medications, discharge planning, and more. They would be asked to rate the services considering some major parameters to explore their views(Chawla Sondhi, 2011). Sampling: A convenient sampling would be used as the study targets a single hospital such that the data would be collected from the patients who would be available at the time of the study. Data Collection: The patients of the hospital would be personally met by the researcher and a questionnaire would be distributed in order to receive their inputs for the study. A written consent with declaration of the significance and use of study would be taken from them before their responses are recorded by the researcher(Creswell, 2008). Data analysis: The data received would be coded and recorded in SPSS and statistical tests like T-Test and Chi-square test would be utilized for analysis. These tests would be used for comparing various characteristics of hospital services as well as patients from different demographics(Choy, 2014). Limitations: This research is targeted only to a single hospital and thus, it may not be generalized for a wider array of patients including immigrants and refugees. If their views have to be studied then the study would have to be reproduced for more hospitals(VisitScotland, 2013). Bibliography Islington Council. (2016). NHS healthcare for migrants with NRPF (England). NRPF. Chawla, D., Sondhi, N. (2011). Research Methodology: Concepts and Cases. New Delhi: Vikas Publishing House. Choy, L. T. (2014). The Strengths and Weaknesses of Research Methodology: Comparison and Complimentary between Qualitative and Quantitative Approaches. IOSR Journal Of Humanities And Social Science , 19 (4), 99-104. Creswell. (2008). Selection of Research Design. Sage Publications. Jha, A. K., Orav, E. J., Zheng, J., Epstein, A. M. (2008). Patients' Perception of Hospital Care in the United States. The New England Journal of Medicine , 359:1921-1931. VisitScotland. (2013). Netherlands: Consumer Research. VisitScotland.

Phylicia nixon Essays (154 words) - Tourism, Anaheim, California

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Cómo Cerrar Cita Para Visa Americana de Emergencia

Cà ³mo Cerrar Cita Para Visa Americana de Emergencia En ocasiones puede surgir la necesidad de obtener una visa para Estados Unidos con carcter de urgencia. Pero,  ¿quà © es considerado como urgente y cul es la tramitacià ³n para solicitarla? Adems de a esas preguntas en este artà ­culo se recuerda cules son las causas por las que la visa puede ser negada. Quà © Es Considerado Emergencia Para Solicitar la Visa Americana Son consideradas emergencias situaciones como: La muerte de un familiar inmediato (padre, madre, cà ³nyuge, hijos o hermanos).Una importante necesidad de recibir atencià ³n mà ©dica en Estados Unidos para sà ­ mismo o para acompaà ±ar a un familiar inmediato que la necesita. La visa para recibir tratamiento mà ©dico es la de turista.Cuando surge una oportunidad de negocio.Cuando se necesita asistir a un evento deportivo, conferencia profesional, un entrenamiento o una conferencia de prensa.Cuando la cita ordinaria para una visa de estudiante est fechada posteriormente al dà ­a de inicio del curso.En los casos de visas de trabajo, cuando la planilla I-797 està © aprobada y el empleador requiera la presencia inmediata del empleado en Estados Unidos. No se concedern adelantos de las citas para las visas americanas por cuestiones de turismo ya que eso no es una emergencia. No importa que se tengan los boletos de avià ³n o el paquete de hotel y atracciones. Es por esta razà ³n que nunca debe pagarse por las vacaciones si no se tiene ya la visa en mano. Procedimiento Para Solicitar una Visa de Emergencia Es necesario entender que no existe un procedimiento estndar, sino que varà ­a de paà ­s a paà ­s. Por ejemplo, en Mà ©xico debe solicitarse una visa de turista siguiendo el procedimiento regular. Y una vez que se tenga la cita, enviar un correo electrà ³nico solicitando el cambio de tramitacià ³n regular a urgente. Si la peticià ³n es concedida, se notificar al interesado y se le indicar el procedimiento a seguir. Tener en cuenta que la direccià ³n de correo electrà ³nico es distinta si la solicitud se formula en inglà ©s o, si por el contrario, se escribe en espaà ±ol. Si la peticià ³n es denegada, todavà ­a sigue vigente la cita regular para la visa. Sin embargo, en otros paà ­ses la peticià ³n de cita urgente para una visa americana debe hacerse por telà ©fono, por lo que se debe consultar la pgina web de la oficina consular para saber bien quà © procedimiento debe seguirse. En estos casos de peticià ³n por telà ©fono hay que tener en cuenta que se est cobrando la llamada a un precio superior al ordinario. Adems, si se concede la peticià ³n de cita habr que pagar al momento el arancel de la visa, mediante una tarjeta de crà ©dito o de dà ©bito Visa, MasterCard o American Express. En los casos de peticià ³n por telà ©fono de cita urgente para la visa debe tenerse a mano para hablar con el operario la siguiente informacià ³n: Nombre, lugar y fecha de nacimiento del solicitante.Nà ºmero de pasaporte y nacionalidad.Direccià ³n de correo electrà ³nico.Y para ciertas visas, como algunas que permiten trabajar temporalmente en Estados Unidos, informacià ³n sobre las mismas. Si el solicitante no puede realizar la llamada por sà ­ mismo, puede realizarse en su nombre un familiar o amigo, pero necesitar tener a mano el nombre completo y nà ºmero de pasaporte del solicitante. Consejo Sobre Lugar de Residencia Para solicitar urgentemente una visa se suele requerir tener la residencia o la nacionalidad del paà ­s desde donde se solicita la peticià ³n, salvo casos muy excepcionales. Por ejemplo, cuando se est en otro paà ­s de vacaciones y se precisa la visa americana de urgencia para transitar por Estados Unidos en su viaje de regreso al paà ­s de origen. Problemas Para Sacar la Visa de Emergencia A pesar de surgir una emergencia por la que hay que viajar a Estados Unidos, el consulado puede negar la peticià ³n. Y es que para poder obtener una visa americana no inmigrante, como por ejemplo la de turista, hay que cumplir dos requisitos: ser admisible y ser elegible. Son varias las razones por las que se considera que una persona es inelegible para la visa americana. La ms frecuente es la de no probar lazos econà ³micos y/o familiares suficientes en el lugar de residencia habitual. Si la razà ³n por la que se negà ³ la visa es causa por ser inelegible no es posible solicitar un perdà ³n, conocido en algunos paà ­ses como waiver o permiso. Por el contrario, si la razà ³n por la que el consulado no aprueba la visa es por causa de inadmisibilidad, en algunos casos es posible pedir un perdà ³n. La razà ³n ms frecuente que convierte a una persona en inadmisible es por estancia ilegal en Estados Unidos en una fecha anterior. Para un mayor conocimiento sobre cà ³mo sacar la visa de turista y cà ³mo evitar su cancelacià ³n o revocacià ³n es conveniente tomar esta prueba de respuestas mà ºltiples, ya que ayuda a aclarar dudas. Este es un articulo informativo. No es asesorà ­a legal.

Counseling a adolescent girl (theories of counseling) Essay

Counseling a adolescent girl (theories of counseling) - Essay Example , emotional and social environment while therapy based on Bowen’s theories draws its conclusions and therapeutic energy from the family of the client. By declaring that â€Å"only intelligence †¦.tends towards an all-embracing equilibrium† in human life, Jean Peaget had been one of the pioneers of cognitive behavioral theory (9). Kendall has described cognitive behavioral theory as â€Å"problem solving in its orientation, deals directly with the cognitive forces that impact social information processing, incorporates emotional and social domains, addresses matters associated with parenting and families, and emphasizes performance-based interventions† (4). The ability to identify a problem and arrive at possible solutions is a skill that a child has to acquire as she grows up (Kendall, 4). The psychological health of a growing child depends heavily on cognitive problem solving strategies, that is, her capacity to consider the full range of solutions, evaluate them properly and choose the best one applicable in a given situation (Kendall, 4). Cognitive behavioral theory, in its application, aims at enhancing the cognitive problem-solving strategies in the mind of a person (Kendall, 4). As the emotions of a person always meddles with the problem-solving process, this theory also helps one learn to understand one’s emotional experiences and modify them (Southam-Gerow and Kendall, 320). Social domain is included as another major factor in this theory because any psychological problem that arises out of the interaction of an individual with other individuals as well as the society as a whole (Kendall, 5). When it comes to a child or adolescent, naturally the parents and family become yet another influencing factor. Last but not least, the child or the adolescent has to be constantly encouraged to practice their problem-solving skills so as to strengthen their cognitive problem-solving strategies (Kendall, 6). While doing a cognitive-behavioral therapy (CBT), the

Occupational Therapy for Dementia Patients Assignment

Occupational Therapy for Dementia Patients - Assignment Example A patient may display abrupt mood swings, become aggressive and angry due to chemical changes in the brain. The patient may develop fear and frustration as he feels that he is gradually losing knowledge and understanding of his surroundings (Scout News, 2006). A person with AD may live anywhere from three to twenty years after diagnosis. On the final phase of AD, a patient becomes increasingly immobile and dysfunctional, totally incontinent that he cannot control his urine or bowel movement; may become bedridden that bed sores and suffers from muscle pain; may lose the ability to swallow and may not be able to eat or drink properly. At the stage of end of life care, the patient may require feeding tubes, respirator, antibiotics and hospitalization. Occupational therapy is recommended by physicians to help the patient improve the ability to perform daily activities and reduce the pressure on their caregivers (Griffith, 2007). Occupational therapy can improve the daily performance, communication, sense of competence and quality of life of an AD patient. The therapist applies a combination of education, setting feasible goals, using adaptations in physical environment, training compensatory skills, training supervision skills, and changing dysfunctional cognitions on patient behavior. The occupational therapist can help the patient's caregiver to understand the impact of AD ona person's day-to-day function (Scout News, 2006). ... the occupational therapist based on Canada's Occupational Therapy Resource Site (2009): 1) minimize distractions in the environment by reducing excess noise at mealtime and decrease confusion by eating regularly, maintaining same table setting, use plain dishes and minimal cutlery; 2) provide opportunities for independence and personal control by dressing, lay out the clothes in the order that they will be put on by the patient and allow the patient with AD to do as much as he can for himself together with verbal cues and encouragement. When eating, use tableware with enlarged handles, plates with rims, and non-slip placemat to help the patient maintain coordination and be independent; 3) ensure consistency in routines by preparing a schedule of regular daily activities for personal care, medication, meals, leisure, walking, and retiring to bed; 4) maintain a safe and secure environment for the patient by providing grab-bars, non-slip bathmat, bathbench and hand-held shower with ther mostatic shower control in the bathroom; 5) manage stress by developing coping skills, providing support, and counseling; 6) learning about the disease, its effects, and future care. II. Diagnostic procedures and Prognosis of OT Intervention Physicians usually do not tell the patient that he has AD. Only in the case than the patient expresses the need to know the truth that the doctor discloses his condition. The doctor will prescribe drugs to slowdown progression of AD. Drug trials are performed in early stages of AD. Most of the doctors dealing with AD will recommend Occupational Therapy to help the patient improve his capability to perform daily activities and speech therapy to maintain verbal skills of patients with mild symptoms of AD. Another type of therapy developed is

Works of Ludwig Mies Van Der Rohe

Works of Ludwig Mies Van Der Rohe Ludwig Mies van der Rohe (1886-1969), a German-born architect is widely regarded as one of the pioneering masters of Modern architecture, responsible for establishing and popularizing a new architectural style in the U.S. Mies left Germany in 1938 to head the Armour Institute, which later became the Illinois Institute of Technology. His design of the Main Campus and of other important buildings, such as the apartment towers at 860 and 880 North Lake Shore Drive in Chicago and the Seagram Building in New York, helped set a new aesthetic standard for modern architecture. (Blake, 1960).Mies created an inspiring 20th century architectural style, stated with high clarity and simplicity. He carried the ideals of rationalism and minimalism to new levels. His work in US made use of modern materials such as steel and glass to define interior spaces.(Kostof, 1995). He called his buildings skin and bones architecture. He wanted to achieve an architecture with a minimal framework of structural o rder balanced against the implied freedom of free flowing space. Mies Buildings in US radiate the confidence, rationality and elegance of their creator, free of ornamentation excess.(Blake, 1960) His philosophy that less is more became a guideline for architects in the 20th century. (SearchQuotes) With the establishment of a new campus for the Illinois Institute of Technology (IIT), Mies van der Rohe had the opportunity to plan the campus as well as several other of building. The Minerals and Metals building (1942- 1943) was Mies very first construction on the campus. This building marked the first step toward the realization of Mies master plan for the IIT campus which was one of his most famous works in America. This project is not something made by the God of Crown hall stated by Kevin Harrington but rather Mies urges us to understand the building as part of the development of his own architectural language.This is where we first see his transition from forms that has been dear to his heart, seen in his work in Europe, to new forms that were possible, necessary and significant. It is in the Minerals and Metals building we first see Mies use of rolled -steel- I beam as part of his structural grammar. Mies unconventional use of steel was a map to the inside of the building, a nd it inaugurated a technique he used again in his projects in America. Giedion,1982). Crown Hall (1950-1956). This building situated on the IIT campus is a modern masterpiece. The National Historic landmark described Crown hall as A straight forward expression of construction and materiality, which allows the structure to transcent into art. Crown hall is an enormous room, 120 x 220 ft. in plan, 18 ft. high without interior columns, used for the architectural school. The building is raised several feet above the ground to allow light for the below grade school of Design. The most interesting point is the structural solution of exposed structural beams above the roof, making dear the method of achieving the clear-span interior. The huge scale of the building and the column-free open plan of the main floor of Crown hall demonstrates Mies innovative concept of creating universal space. Mies van der Rohe ended his relationship with the school in 1958.(Blake, 1960) Exterior, entry faà §ade Open plan of Crown hall, creating universal space. Shifting away from Mies work on IIT campus, another of his well renowned work is Farnsworth House (1946-1951).A small weekend retreat outside Chicago. The Farnsworth house is one of the most radically minimalist houses ever designed. Its interior, a single room, subdivided by partitions and completely enclosed in glass.The muteness speaks to us through the gentle and contlingent setting of the house on its site Hartoonian(1984,pp.48).The building is held together by only eight steel columns. Mies van de Rohe was able to realize spatial and structural ideas. For example the I beams are both structural and expressive. The use of glass negates the dialectics of enclosure and openness Hartoonian(1984,pp.48). Farnsworth House which may seem as an iconic glass box to be viewed from afar is rather a space through which life unfolds both independently and interdependently with nature.(Blake, 1960). Sketch of Mies Farnsworths House. Floor plan of Farnsworth House. The Seagram Building on Park Avenue was Mies first attempt at tall office building construction.Mies creates a stunning monument to the International Styles faith in simplicity and clarity. The 38-story tower quickly began the countrys most influential and copied office building, an instant classic. The buildings external faces are given their character by the quality of the materials used the tinted glass and the bronze I-beams applied all the way up the building. In the picture below you can see the building is pulled back from street line to allow the building to circumvent the setback provisions of the city code as well as create its own breathing space(Kostof,1995) The Seagram Building is the first bronze-coloured skyscraper. The metal bronze skin that is seen in the facade is non-structural but is used to express the idea of the structural frame that is underneath. Additional vertical elements were also welded to the window panels, not only to stiffen the skin for installation and wind loading, but to aesthetically further enhance the vertical articulation of the building.(Blake,1960). Exterior view from the northwest Structural plan of one corner, showing the main . pier and projecting I- beams. 860-880 Lake Shore Drive Apartments in Chicago is another of Mies high rise building where he implied the same style of modern architecture carried in his projects in the US. The 26-story towers bordering Lake Michigan give a beautiful waterfront view. The reason for this creation involved his concept that architecture should be independent of the site. The buildings are renowned for their structural clarity and composition on the site. The same common materials are used in this project: steel, aluminium and glass. The most impressive feature of the building is the skin and bone expression of the steel and glass towers.The steel I-beams effortlessly define the structure while the glass suspends and encloses space. It is obvious that he relies on clarity of form achieved through elegant proportions. Prior to this point, structure was hidden within architecture, but here we see a change.Mies merged the two by exposing the steel, realizing his own words: When technology reaches it true fulfilment, it transcends into architecture This is not only seen in this project but many of his other projects in the US.(Blase,1999) Two apartment buildings at cross axis towards one another on the triangular site delivering view of surrounding area. Another of Mies very striking projects is Federal Center.Here once again we see the minimalist glass and steel design which is very simple yet very striking. According to the AIA guide of Chicago: Miess uncompromising devotion to principle, together with his vaunted sensitivity to proportion and structural detail, and, in this case, the organizational scale, combine to give the complex a monumental urban presence. Both towers are curtain-wall structures, characteristic of the high-rise design of Miess American period. Their steel frames, suppressed behind uniform walls of glass and steel, are marked off by projecting steel I-beam mullions. The Post Office, a unitary space with a central core, is similarly typical of Miess reductivist concept of the single-storey pavilion. Externally thin yet powerful structural columns of steel brace enormous panes of tinted glass. The plaza at the federal center is cold, uninviting which minimal seating and with this the one story post office, every thing feels very utilitarian. But this does not mean Mies lacked an eye for detail.His eye for details is seen through all glass design, which was very deliberate as well as the granite tiles of plaza to the granite walls in the lobby. Black I-beams look very industrial running up the side of the building and are completely ornamental. The Alexander Caldwells flamingo structure in the center is marked contrast to the plain building behind it.(Blaser,2004) The plaza of the Mies van der rohe designed Federal center in Chicago,The Klucynski builidng is to the left,one story post office to the right and Alezander Caldwells flamingo structure in the center. Mies van der Rohe without a doubt created an influential 20th century architectural style in the US, stated with high clarity and simplicity.He helped define modern architecture in the US by emphasizing open space, revealing the industrial materials used and reinventing the form of buildings. He carried the ideals of rationalism and minimalism to new levels. This is clearly evident in Minerals and Metals, Crown hall, Farnsworth house, Seagram building and the Federal Center.His use of modern materials such as glass and steel can also be seen in these buildings. Mies Buildings in the US radiate the confidence, rationality and elegance of their creator, free of excess ornamentation. He follows his philosophy that less is more and this approach of Mies is pertinent as ever in his projects.(Blake,1960).

Millennium Development Goals Essay

The term â€Å"sanitation† is applied to a wide range of subjects such as: * Improved sanitation – refers to the management of human faeces at the household level. This terminology is the indicator used to describe the target of the Millennium Development Goal on sanitation, by the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. * On-site sanitation – the collection and treatment of waste is done where it is deposited. Examples are the use of pit latrines, septic tanks, and Imhoff tanks. * Food sanitation – refers to the hygienic measures for ensuring food safety. * Environmental sanitation – the control of environmental factors that form links in disease transmission. Subsets of this category are solid waste management, water and wastewater treatment,industrial waste treatment and noise and pollution control. * Ecological sanitation – an approach that tries to emulate nature through the recycling of nutrients and water from human and animal wastes in a hygienically safe manner. Sanitation can be of three types Personal sanitation Sanitation at home Sanitation at surroundings. â€Å"Wash your hands before you eat†¦ give those germs a clean sweep.† 1) Personal sanitation :- a) Bathing regularly b) Washing your hands after using washroom c) Washing your hands before having food d) Cutting your hairs clean e) Cutting your nails & keeping them clean f) Drinking clean water,using chlorine tablets or boiling it 2) Sanitation at home a) Keeping your home clean b) Keeping washroom at home clean c) Using washroom rather than going in open d) Eating healthy & nutritious food e) Washing fruits before eating 3) Surroundings a) Saniataion at school b) Sitting on clean benches c) Cleanliness while playing at playgrounds d) Dressing/cleaning your wounds e) Don’t play at dirty places f) Stay away from hazardous chemicals Why sanitation is important 1) To keep you healthy 2) You will smell good 3) Waste attracts disease carrying hosts like rats & other scavengers. 4) In our country most of the diseases are caused due to contaminated water and poor sanitation. In tribal areas, there are shortage of water supply and lack of awareness about proper sanitation till today. People depend on the water of polluted rivers or ponds and suffer from lack of sanitation. These cause highly infectious diseases such as – diarrhea, malaria, cholera, jaundice, plague etc. If we follow clean sanitation and use purified water then we can easily control and avoid many of the above diseases.

Top Evaluation Topics Guide!

Top Evaluation Topics Guide! Lies You've Been Told About Evaluation Topics Therefore, you have an outstanding idea for a project. The size and range of the undertaking will determine how many topics and how much detail is going to be required. The work description will often concentrate on the performance expectations, which can likewise be included. To receive your project approved or to get the budget and support you require, you are going to have to convince others in your organization. Ok, I Think I Understand Evaluation Topics, Now Tell Me About Evaluation Topics! Ahead of writing, one ought to get extensive understanding about the subject. Before you begin, it's imperative to choose topics that you truly know well. The topic has to be interesting to you. Among the excellent evaluation essay topics above will definitely make a very good start for your paper, and thus do not put it off and begin writing now! A writer may also form evaluation essay topics by studying what's happening in society. Our writers are highly professionals and they're able to create high excellent content for any specific essay topics. There are lots of very good evaluation essay topics and a writer can select the one which appeals to their interests. If topics for evaluation essay are unavailable, then the writer is absolutely free to pick any topic of her or his own interest. In the event you're not sure regarding the content of your upcoming essay, consider looking for relevant advice online. One of the most important advantages when you will need to submit an evaluation essay is you have the freedom to select from a selection of topics. You may also have to learn to compose a review essay in an academically sound way. A superb sample evaluation essay ought to be concise and on point. The New Angle On Evaluation Topics Just Released There are lots of resources out there to aid in obtaining training. It is going to also be required to establish the method by which the training is going to be evaluated once it's been completed. There are several low-cost, effective approaches which can be used when it regards training. Leadership Training In little businesses where the company owner is the sole supervisor, good training or research on tips and strategies can help to make the process more objective and not as cumbersome. Want to Know More About Eva luation Topics? An evaluation paper should incorporate summary info and your earnest viewpoint on the matter. In the event the applicant has lived outside of Canada for any period of time as an adult, a global background check might also be required. Obviously, choosing the right topic also is dependent on the duration of your paper. The students should listen to the tape and there are a few pictures for them to select from. While evaluation essays are simple enough to write, as you're simply required to evaluate a product, service, entity, event or something different, there's one major trap to be on the lookout for creating your piece overly opinionated. Free range parenting because you can see, there are a terrific number of useful, informative and intriguing topics to write about and evaluate. It's possible for you to get assistance from experts. The formulation of issues and possible solutions needs to involve a wide assortment of constituencies. The Evaluation Topics Game A Likert Scale permits a participant to give feedback that's slightly more expansive than a simple close-ended question, but that's much less difficult to quantify than a completely open-ended reaction. Such evaluations might consider the amount of steps necessary to finish the procedure, the resources used during each step, the degree of training needed for workers, the amount of injuries recorded during the period of evaluation and the grade of the product as rated by consumers and industry publications. They take into account the employee's performance with respect to a particular set of responsibilities along with other factors, such as attitude and ability to function as a member of a team. The present kind of the standard wouldn't cover operational shutdown decision criteria, sound source verification, or the way to establish the essential detection reach of the system, for reasons explained in a subsequent link. No matter if it is a performance evaluation essay sample or a different type, you will discover essential info to take into account in your writing. When formulating a question, begin by determining the kind of answer you want to receive. When choosing a topic for an evaluation essay, it is necessary to concentrate on a particular company, service, product or policy.

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