Paper Towns By John Green Essay

Quentin and Margo meet at a random night when Margo sneaks into Quentin’s room. Since then, Quentin follows Margo on her adventurous mission for revenge of her boy friend cheating. Quentin and Margo get closer which makes Quentin to feel like he is going to be close friends with her since that day. However, Margo goes missing the next day, leaving only few clues for Quentin to search for herself. Quentin and his friends, Ben, Radar, and Lacey, find few clues at Margo’s room when her parents go away. At her room, they find Walt Whitman’s book, Leaves of Grass, and find few quotes that are highlighted. Quentin then finds a location clue at his house and head to the location in search of Margo. He finds maps that are connected with holes from the pins. He later finds out that she is at Algoe, New York, and heads to Algoe with his friends on a road trip. After a road trip, Quentin and his friends arrive at Algoe, New York where Margo is. They see Margo writing down s tuffs in her black notebook. Margo is surprised to see that Quentin was able to find her but she soon recognizes their effort and starts to explain about herself. Quotes: 1) â€Å"†¦maybe she loved mysteries so much that she became one.† (Page.8) This quote is important because it’s foreshadowing Margo’s live later in the book. Margo disappeared after her adventurous night with Quentin, only left a few hints for him to look for her. She becomes a mystery for everyone because no one knows where she is. However, Quentin and his friends later found her in Algoe. Margo being different from others is represented with her mysteriousness and odd perception. 2) â€Å"It’s a paper town. I mean look at it, Q: look at all those cul-de-sacs, those streets that turn in on themselves, all the houses that were built to fall apart.† (Page. 57) As Quentin and Margo are on top of the Suntrust Building, Margo is explaining her point of view of the city where she has been living for eighteen years. By comparing Orlando to paper town. The way that she talks about the cul-de-sacs expresses her feeling of being trapped because the roads turn in on themselves not leaving any open places. Also, the paper town relates to the houses where everything is frail including the people who live there because they only care about things that concern them blocking out  everything else. 3) â€Å"I looked down and thought about how I was made of paper. I was the flimsy-foldable person, not everyone else.† (Green 293). Margo explains to Quentin her real thoughts on paper town and paper girl reflecting on her previous statement at the Suntrust Building. Margo begins to understand herself better after having isolated herself by running away. Margo describing herself as â€Å"flimsy-foldable† refers to her dual life where everyone in school perceives her differently. She is viewed as the leader and the popular fashionable person admired by many of her fellow classmates. However, at home, there is a side that no one is aware of regarding Margo such as the record collection she owns. Regarding this fact, Margo can easily change herself to a different person just like paper changes its shape when it’s folded. Therefore, Margo herself sees and realizes who she really is through comparing herself to paper. Character Comparison: Quentin Jaconsen Quentin take his friends and family for granted, thing almost of his own wants and selfish. However, he is also funny and intelligent and has a good heart. In Quentin I found a character I was particularly able to relate in one way, his expectations of his best friend Ben. For pretty much throughout the book, Quentin constantly wants Ben to change. He wants him to stop being so crass, to stop using the word â€Å"honeybunny†, to stop being obsessed with finding a date to take to their prom and to stop being too busy or too tired when Quentin wants to talk again about Margo or play Resurrection. Basically, Quentin wants Ben to be exactly like him. He never truly accepts Ben for who he is. Like what Radar tells him â€Å"You know your problem, Quentin? You keep expecting people not to be themselves. I mean, I could hate you for being massively unpunctual and for never being interested in anything other than Margo Roth Spiegelman, and for, like, never asking me about how it’s going with my girlfriend – but I don’t give a shit, man, because you’re you†¦.You’re funny and you’re smart, and you may show up late, but you always show up eventually.† (Page. 194). Radar then goes on to tell Quentin â€Å"Just saying: stop thinking Ben should be you, and he needs to stop thinking you should be him.† (Page. 195). Reading Radar’s speech helped me to realize I have the same problem with Quentin. I want people not to be  themselves. I want them to be nicer, happier, friendlier, less self-involved, more sincere, more understanding, more enthusiastic, more interest in the thing I’m interested in and a whole of other things. I want them to be what I want them to be. But I don’t just do this with people. I do it with everything. I constantly crave everything in my life to be better, to be more exciting, to be more meaningful than it really is. I think this is because I can’t help but imagine all the awesome and amazing possibilities of what someone or something could be. Connection: In another book of John Green, Looking for Alaska, Alaska mysteriously goes missing, just like Margo. However, in the real world, generally, there are quite a few teenagers who run away from home because they are misunderstood or they feel the need to just get away from the stress, which was the case with Margo. Seminar Question: If I were to lead a seminar discussion on Paper Towns by John Green, I would ask â€Å"Since Margo compared herself to paper, who is the real her? Does she feel comfortable for not being who she really is? Is that mean Quentin been liking the â€Å"paper† Margo all the time?†

American Indian Women and Community Issues

America, where representations of Indian men and women perform stereotyped Noble/Savage or Princess/Squaw functions, depending on their relationships with whites. The â€Å"princess† figure is a â€Å"convert† who rejects or is rejected by her own people for her transgressive attraction to white culture or white individuals, and who may die as a result. The â€Å"squaw† denotes a shameful sexuality that taints the men she associates with (hence the derogatory term â€Å"squaw man†).Mixed-race relationships, especially those between Indian women and white men, are one way in which the landscape and resources of the American West were represented cinematically as available for sexual, economic, and sociopolitical exploitation. Silent Westerns and†Indian dramas† from 1908 to 1916 provide a remarkable window on Euro-American popular culture representations of the encounter between tribal peoples and the United States military and educational establ ishments.These early Westerns, many of them now unknown or unavailable outside of archives, provide a composite narrative that depicts the white â€Å"family on the land† emerging from the â€Å"broken home† of a previous mixed-race marriage, and that equates children, land, and gold as the spoils of failed romance, not of war. The ordeal of separating children from their families and cultures through the Indian boarding school policy and the trauma of their return home as outsiders is fully recognized in silent Westerns, which were produced during a time when federal Indian policy encouraged both assimilation and removal from the land.In these tales of interracial romance, captivity, and adoption, defining narrative features include doubling, mistaken identity, and the social and geographic displacement and replacement of persons. Such narrative strategies reflected the physical acts of displacement and replacement that have been hallmarks of U. S. American Indian pol icy, from Indian Removal and the Indian Wars through the slow erosion of reservation lands in the twentieth century.Indian men and women ultimately choose to return to their tribes, depicting a latent, racially based â€Å"call of the wild† that could reclaim eastern-educated Indian and mixed-blood children from their new lives. Another turn-of-the-century catch-phrase for this idea that the assimilated or educated Indian would simply return to the reservation and abandon white teachings was â€Å"back to the blanket,† again emphasizing clothing as an indicator of racial and cultural allegiance.The Derelict, emphasize the strength of Indian women and moral weakness of white men in cross-racial relationships. Hollywood's silent era did not change the prevailing negative cultural stereotypes about Native Americans, but it did produce a large number of Westerns and documentaries that offered alternative viewpoints influenced by the indigenous writers and filmmakers, refor m movements, and racial theories that were widespread at the time.Films about mixed-race romance and mixed-race children in the first and second decades of the twentieth century articulated and influenced public opinion about Native American assimilation (particularly about the taking of land and children through the Dawes Act and the boarding-school system), as well as public and academic speculation about the nature of race and culture. The films consistently contrast the acquisition of land and export of gold, oil, and children from the West with the importance and value of family and even tribal obligationsWORKS CITED Aleiss, Angela. 1995. †Native Americans. The Surprising Silents. † Cineaste . Allred, Christine Edwards. 2001. Harper’s Indians: Representing Native America in Popular Magazine Culture: Los Angeles, Babcock, Barbara. 1996. †First Families: Gender, Reproduction and the Mythic Southwest. † The Great Southwest of the Fred Harvey Company and the Santa Fe Railway. Ed. Barbara Babcock and Marta Weigle. Phoenix: Heard Museum. 207-17. Bataille, Gretchen M. , and Charles P.Silet, Eds. 1980. The Pretend Indians: Images of Native Americans in the Movies. Ames: Iowa State UP, Bergland, Renee L. The National Uncanny: Indian Ghosts and American Subjects. Hanover: UP of New England, 2000. Berkhofer, Robert F The White Man's Indian: Images of the American Indian from Columbus to the Present. New York: Random House, 1979. Bernardi, Daniel, Ed. The Birth of Whiteness: Race and the Emergence of U. S. Cinema. New Brunswick: Rutgers UP, 1996. Bhabha, Homi.1994. The Location of Culture. London: Routledge. Bolt, Christine. 1987. American Indian Policy and American Reform: Case Studies of the Campaign to Assimilate the American Indians. London: Allen & Unwin. Bourdieu, Pierre. 1990. The Logic of Practice. Trans. Richard Nice. Cambridge: Polity. Brownlow, Kevin. 1979. The War, the West, and the Wilderness. New York: Knopf. Butler, Judit h. 1990. Gender Trouble: Feminism and the Subversion of Identity. New York and London: Routledge.

Horror story with vampire Essay Example | Topics and Well Written Essays - 500 words

Horror story with vampire - Essay Example The raws looked like the jaws of a shark; only difference was that the teeth were a sheer white, and the bordering gum line had a crimson hue. â€Å"There’s no use panicking, Rob† Mike said, stepping back. â€Å"Let’s weigh our options. We can run to the car and let him chase us, or we can race to the cafeteria, grab the knives and garlic and fight him. Rob patted Mike’s hand. â€Å"We’ll fight him.† Then, he suddenly bolted towards the cafeteria. As Mike charged behind him, he heard the noise of flapping wings. He rushed into the cafe, banging the door shut behind him. Mike heard the monster’s voice even as he turned from the door, breathing heavily. It had taken the form of a bat, and swooped down from the window, towards Rob who stood in the front side. The monster regained the form of a man as it touched the ground. Jaws clenched, his lips parted to reveal the pairs of fangs in his mouth. Rob cowered, falling to a corner of the cafà ©Ã¢â‚¬â„¢s pantry, as the creature seized him by bending down. â€Å"A puncture by my fangs,† it said, â€Å"is all it will take for you to follow me like little pups.† His voice sounded as if it were coming from some deep void within earth’s womb. Fingers of his left hand, gripping Rob’s throat, tightened. The long nail of his thumb dug into his Adam’s apple, and Rob squirmed like a worm trying to extricate from the trap of a lizard’s mouth. The stench of rotten blood gushed into Mike’s face; he held his breath and struggled to break free. The more he tried the tighter the monster’s grip became. Mike had read that the vampires are affected and finally killed by sunlight. But it was a far cry; morning was several hours away and by that time the monster would have done away with both of them. What could they do? Then, suddenly, as if out of the blue, the idea struck him. Mike raised both his legs up to his waist high and threw his right leg across the kitchen sink,

The Evolution of E-Marketing Tools Research Paper

The Evolution of E-Marketing Tools - Research Paper Example E-Marketers can also use other media such as phones for purposes of advertising their products. There is also the installation of electronic billboards installed on public places and bus stations. E-Kiosks have also emerged, and are used in large malls for purposes of advertising the products of a company. It is also possible for markers to create video brochures, and insert them in feature films, just for purposes of targeting their intended customers (Belch and Belch, 2012). The internet is the most dominant form of e-marketing. Companies use the social media like face book, and twitter to advertise their products. These social media advertisements have the capability of reaching a wide audience of people. It is also a very fast way of sending a message to a wide audience of people. Companies also use their websites, and Google search engine technologies to advertise their products. Google has a pay per click advertisement policy where advertisers pay for their products, once an in dividual clicks on a link that take them to their advertising pages (Juon and Greiling, 2012) . The major challenge in using the internet as a tool of marketing is the inability of the company under consideration to drive traffic to their websites, and create content awareness. ... The social media is a very effective method of conducting a marketing campaign; however, most marketers are unable to use it to their advantage. This is because they are unable to understand the various needs of their target customers. The pioneer of early marketing system is Johannes Gutenberg, with his invention of the printing press that had a replaceable wooden or metal letters (Jones, 2012). This machine had a capability of typing and printing letters in a very effective manner. For example, he managed to use this machine and his printing press to create the Gutenberg Bible in 1455. As a result of this innovation, the use of printing machines spread rapidly in Europe. The Gutenberg press led to the revolution in the manner in which information was passed to the masses. This is because it was now possible to print a mass of brochures and flyers. The Gutenberg Bible is the first written material produced by the use of this technology. This printing press technology remained the st andard until the 20th century, when the evolution of computers emerged (Jones, 2012). Another technology that shaped early marketing is the development and evolution of the telegraph. The telegraph involves a long distance transmission of a message, without the physical presence of the person disseminating the information. The telegraph was invented by Samuel Morse in 1837. Through a series of experiments, Samuel Morse concluded that the telegraph was able to record and transmits messages over a long distance. The telegraph was able to transmit mass messages, and hence it made it possible for markers to use it in marketing their products. In 1922, a new concept of advertisement began, and was referred to as radio-advertising (Jones, 2012). This was a concept whereby companies bought air

Customer Relationship Management in the Business-to-Business Market in Assignment

Customer Relationship Management in the Business-to-Business Market in Brazil - Assignment Example Research has identified that development of trust in B2B marketing is imperative, especially when there is a cultural or geographical disparity between both partners (Moment 2001; Burkert 1994). Trust is the most critical value-added constituent in this business relationship. Companies that engage in B2B marketing, especially when working with international partners, must focus on establishing conviction and reliance in order to progress forward and experience the long-run synergies provided by successful partnership development. This report focuses on business-to-business marketing in Brazil, a country in which there are established hierarchies of business relationship development that actually do take into consideration the dynamics of interpersonal relationship development in order to build the necessary trust between partners. The report also focuses on the tangibles of customer relationship with Pfizer, an international pharmaceutical company operating in B2B environments. Pfizer believes that value-added activities are critical to establishing an appropriate customer relationship management system to ensure long-run sustainability of the marketing relationship. The majority of these activities include reliance on technology to support interactivity between trading partners. Vendors that have been pre-approved are granted access to Pfizer’s technology systems, allowing them to track their own invoice movements and also submit orders through Pfizer’s e-business website (Pfizer 2013). This not only adds convenience but sets the foundation for the vital trust required. According to Starnes, Truhon and McCarthy (2010) trust is only established over time and building this relationship is a cyclical process of reciprocal acts.  

Political science final exam and 3 quizes Case Study

Political science final exam and 3 quizes - Case Study Example Woodrow Wilson was associated with teaching profession for earlier part of his career, and till the early days of his 30s, he had not achieved anything substantial and for this matter he at one time said that even at age of 31, I have achieved nothing, however he had the insight and vision to become one of the best in the field of public administration and he devoted his efforts and energies towards this field and profession that would become corner stone of public administration principles all over the world. 3.Based on the Woodrow Wilson case on pages 26-27, what similarity exists between former President Woodrow Wilson and current President Barack Obama as it relates to both men’s early writings and their stature in the field of academia? Were their writings prominently received? Both the leaders, the present President Barack Obama and the then president Woodrow Wilson were associated with the academic profession, made their way through continuous struggle and hard work rose up to the rank of being the guiders of the nation in longer run. Both had a similarity amongst them in the context of aiming to bring about change, while Woodrow Wilson resolved to bring about change via public administration and governance model, President Barack Obama followed the same pursuit without clearly naming the domain of public administration. Their affiliation to the field of academia enabled them advocating a point towards improvement in the present setup of governmental activities. Both the leaders found their writing as a foundation towards what would be the stepping stone in longer run. Through their writings, they convinced the people, proved their skills and potential, although at first , both were limited to smaller domain, yet with time both found good ground based on their earlier writings and affiliation to the field of academic science and research. Hence it was

Cathedral Research Paper Example | Topics and Well Written Essays - 1500 words

Cathedral - Research Paper Example On the other hand, the blind man had a purpose to draw the cathedral. He was trying to inspire the husband with his enthusiasm to complete a task. For the blind the cathedral was of two views; one, as an abandoned relic and the other, as a beautiful building of affectionate people. His perspectives of the two views were the two different conditions of his lonely life; one is his home, and the other he imagines the homely atmosphere that he like to live in. For him, the cathedral is the symbolic presentation of his present status. The drawing ultimately presents the two characters as the viewers of the same thing from different angles. 2. The drawing brings all the change to the man; he learns the way he should understand how others feel and observe things around them. When the drawing begins, he was sure he couldn’t finish it and the fear that he was not good at drawing pulls him back from his attempt. It can be considered as his real insider, a man willing to identify his own potential only with the stimulation of external pressure. The entry of the blind old man was not a happy concept for him, for he considered the person as his wife’s old friend and now a guest only to her. However, the presence of the old man was pleasing enough to draws his attention and the husband learns to behave towards the uncommon abilities of people. His wife is influential to his attitudes, and with her continuous urges, he starts the ways to talk to a blind man for the first time. He learns the way a blind person lived and realizes that physical challenges are no constraints to man’s insight and determination. I would like to consider that, the husband will surely learn to adapt himself to changing conditions in his life and workplace and respect other people’s opinion, considering the fact that people are always beyond his judgments. I strongly believe that the visit of the blind man will

(you can choose the paper topic) Research Example | Topics and Well Written Essays - 2750 words

(you can choose the topic) - Research Paper Example There are several motivations he cites for the call for nonviolent action. To begin with, he cites ways in which can injustice can be discovered and according to him, there was racial injustice against the minority. Further, he notes the prevalence of two types of laws, the just and the unjust. He says that the unjust law leads to unfair treatment of the minority people and goes ahead to state that, such a law is not law at all and therefore, it should be abolished by all means. King goes ahead to express his disappointment in all the people who witness the injustice happening in their midst and chose to remain silent about it. Most of his disappointment is directed to his fellow religious colleagues who he feels have done very little to fight the racial injustices. It is then that he calls for them to help restore equality by telling that they cannot sit idly as Christians and allows their brethren to suffer. His call for action and why it is very important for everyone to unite and fight alongside him has been retaliated all throughout the letter and especially at the end. King’s letter has effectively used major appealing techniques to show the evil of racial injustice and call for action to fight for equality. This paper seeks to show the relevance and credibility of King’ letter in his quest for equality. King’s letter is very appealing especially since his conclusion for the fight of racial injustices involves the call for nonviolent action. He notes that non-violent action is the future for the civil rights movement as it does not aggravate the situation. While the term ‘nonviolent’ action seems to be ambiguous, he goes ahead to explain what exactly he means by nonviolent action and what actions constitute nonviolent action. He provides a list of the nonviolent actions which are intended to provide insights into the questions he poses, â€Å"Why direct action, why sit-ins, marches and so forth?† (King, 1963, p. 214). It is

Aging with drugs and alcohol Essay Example | Topics and Well Written Essays - 750 words

Aging with drugs and alcohol - Essay Example For example, forgetfulness and confusion, which are the effects of alcohol, can mimic Alzheimer’s disease. â€Å"Due to multiple and chronic diseases, elderly often take numerous drugs. Elderly or those persons who are above sixty-five years of age may take seven or more prescription drugs along with some over the counter drugs† (Stewart & Cooper, 449-461). The sensitivity to alcohol’s effects increases with age and small amount of alcohol can affect judgment, co-ordination, alertness, and reaction time in elderly. Therefore, it makes them prone to accidents, falls, and fractures. The medical complications of alcohol abuse includes alcoholic liver disease, gastrointestinal tract diseases including bleeding, inflammation of pancreas, metabolic disturbances and increase risk of infections. The tolerance level of elderly to infections and bleeding is quite lower then that of younger people. In addition, the elderly are at increased risk of suffering from malnutrition, deficiency of vitamins, anemia, diseases of heart and blood vessels; bone mass reduction and even cancer. The loss of nerve cells occurs normally with aging but alcohol induced degeneration and shrinkage of brain along with damage to nerves throughout the body adds up to it and lead to further consequences. Alcohol use in large amount can lead to inflammation of stomach, intestine, and pancreas, which can hinder the digestion of food and the absorption of nutrients (Stewart & Cooper, 449-461). Alcohol abuse can also have psychosocial implications as the heavy drinker have increased chances of clashes at home, with friends and colleagues. Alcohol when combined either with other drugs, prescription or over the counter can be harmful and even fatal. â€Å"This is especially important for the aged people as they are often the users of prescription drugs and over the counter drugs† (Adams, pp. 13-14). The alcohol drug combination can have problematic consequences especially in

Biocentric Ethics Essay Example for Free

Biocentric Ethics Essay Biocentric Ethics Analysis There have been debates about GMO’s for decades. While farmers fight for their land and the continuance to produce, farmers were given the option to plant seeds that are genetically modified. The seeds in turn would grow more crops and last longer. The compulsion on the farmers to make ample crops and try to help world hunger would not just cost more for them, but it can also cause lack of trust between the suppliers and the consumers that in turn can lead to law suits, as well. Genetically engineered tomatoes helped reduce the standard methods used to prep, make, and grow crops in 1986. The method made the tomatoes resilient to various herbicides. Farmers started to use bacillus thuringiensis which is an insect killer, in the plants. This did not seem to concern the Environmental Protection Agency (EPA) or the Department of Agriculture (DOA) about the new technology. In 1990 when â€Å"Forbes article â€Å"The Lesser of Two Weevils† was released stating â€Å"that cotton farmers in the United States had put 100 million pounds of agricultural chemicals on their crop each year for the last several years† (Newton, Dillingham, Choly, 2006) the media went bonkers over this information. This caused controversy with the growers, distributors, and the media, arguing whether the altered crops will pose a threat to humans and the ecosystem. Countries we not happy with the carelessness and handling of the crops from the United States. Particularly, Germany did not agree with the United States methods. Other countries that did not use the genetically altered method reported traces of the chemicals in their crops. This transfer usually happens by the weather conditions. Changing of the seasons has many scientists believe the chemical transfer through rain and snow, possibly through insects, wildlife, and plants. When man interferes we must take into consideration of how the altered chemicals may travel and how it could be consumed by humans. Also, the ecosystem that includes the consumers, the sun, and the decomposers becomes fragile. When man changes  the DNA of plants it alters Mother Nature work and the ramifications can be irreversible, but can take many years to dis cover. Furthermore, there has been an increase of obesity that is said to be due to the modifications and hormones in the food. People become perplexed when there is a discussion of GMO’s and non-GMO’s trying to understand the difference and what can be patented. â€Å"The preferred approach of the industry has been to use compositional comparisons between GMO and non-GMO crops. When they are not significantly different the two are regarded as â€Å"substantially equivalent,† and, therefore, the GMO food crop is regarded as safe as its conventional counterpart (Arpad, 2001).† When genetically engineered bacteria was thought to enhance the hormones in cows and provide increased milk was claimed by Monsanto, the United Nations did not agree and people began to wonder if the genetically modified foods was a good thing after all. People pay attention to how much money they will make, and will try any new technology, rather than think or care about the dangers these things may pose. Stories showed on TV and aired on the radio on how many farmers lost their farms due to lack of crops from droughts, insects, and no rain, destroying crops. Many people showed empathy for these farmers knowing how tough they have it. There are songs that were made e.g., Rain on a scarecrow, for these historical moments and what our forefathers did in order to survive. There are some advantages to point out that the third world countries have with the use of genetically modified foods, such as the rice it could have more minerals and vitamins, which helps alleviate nutrient deficiencies. E.g., lack of vitamin A can cause blindness. Golden rice containing an unusually high content of beta-carotene (vitamin A) (Whitman, 2000)† was created by some researchers at an institute Swiss Federal Institute of Technology (SFIT) for plant sciences. The disadvantages of GMO’s are that there is no regulation to distribution. It is not a requirement to label the foods, so how do we know what we are eating? Without labeling or regulations how do we know if the food is safe for us to eat? This is when we have to think of health concerns like allergies because genetically modified foods potentially can cause allergic reactions in most people. Out of all the disputes on what may be right or wrong, or what should be used on the crops and or seeds, there is still a question, can the insects land the on chemically altered plants, then travel to other plants dropping any  substances that would interfere with the other plants that are not genetically modified? References Newton, Dillingham, Choly, Lisa H, Catherine K, Joanne (2006). Watersheds 4. Thompson Wadsworth. Whitman, Deborah B (2000). Genetically Modified Foods: Harmful or Helpful?. Retrieved from http://www.csa.com/discoveryguides/gmfood/overview.php Pusztai, Arpad (2001). Scarcity of Safety tests. Retrieved from Genetically Modified Foods: Are They a Risk to Human/Animal Health? Retrieved from http://www.actionbioscience.org/biotech/pusztai.html

Legislation to Safeguard Child Rights in the UK

Legislation to Safeguard Child Rights in the UK Steven Howells CYP Core 3:3 1.1 Because the well – being of all children and young adults is so important, organizations in the United Kingdom and around the world have created policies and legislation’s to ensure a structure of security. This structure ensures that everyone in an educational environment is safeguarded. Some of the main policies include: The Children’s Act 1989 – This policy was designed to make all the laws that relating to children and young adults less complicated. It also brings many organizations and authorities together to ensure that children receive the assistance they require. The Children’s Act 2004 – This Act is an update that was put into place after the death of Victoria Climbie. The information was reviewed by multiple services and yet they failed to work together which resulted in this child’s suffering, and eventually her death. Rules and regulations were put into place to allow services to share the information accordingly to ensure that anyone under the age of 19 years old who may be at risk could be helped and not overlooked. Children and Young Persons Act 2008 – This Act changes the structure of the care system. It pushes services to provide the best care as quickly as possible to children and young people. It also enables children and young adults to be capable of achieving the same as a child who is not in care. Sexual Offences Act 2003 – This policy covers a large scale of offences, but is designed to cover against, sexual offences or rape in the United Kingdom or in some circumstances abroad. Adoption and Children Act 2002 – This act was put into place to ensure that children were going to homes that hold the best intentions for them. It also gives a more reasonable approach to single people and unmarried couples who would like to adopt and provides more assessments to ensure the child is going to the best home for them, but to also ensure that a family is adopting a child best suited to their current environment (i.e. if a family already has children, they will not be put at risk by putting a child with history of severe mental illness in the same home). United Nations Convention on the Rights of the Child 1989 – â€Å"Protecting children from violence, exploitation and abuse is an integral component of protecting their rights to survival, growth and development† UNICEF, (2011) The Education Act 2002 – The policy was designed to create a structure for anyone in educational services to help with safeguarding. The helps protecting children and young people by ensuring a safe place to study. It also helps protect children and young people by identifying anyone who could be / already at risk in a school environment or at home. Domestic Violence, Crime and Victims Act 2004 – The act covers many areas of protecting victims of crimes. It also covers new rules and regulations to give bailiffs the power to use forcible entry to property if a child or vulnerable person is at risk of death. Vetting and barring scheme – After the conviction of Ian Huntley in 2003, further examination into Huntley’s past showed that he had been had been investigated and charged for other offences. But because of the structure of the original checks, he passed and was allowed to work in a school environment. Afterwards, the structure of the checking system was changed in order to ensure this would never happen again. The new checking system now covers every offence, investigation and charges to ensure that individuals with any form of criminal record and/ or any possibility of committing an offence can no longer work in an environment where there is a risk to children, young adults or adults who are vulnerable. 1.2 Child protection is only one piece of a larger concept of safeguarding. The health and safety of children and young people is paramount. It protects those who are young and vulnerable nearly every form of mistreatment like being neglected raped or abused mentally or physically. It helps to prevent those who could later suffer results of impairment of any form from the hands of mistreatment. Risk assessments to ensure a safe home and place of study are part of this. Making sure that schools are governed correctly and a structure of policies, rules and regulations are put in place and kept up to date. Ensuring any safeguard issues are dealt with properly, ensuring all staff are up to date with all aspects of training and also promoting the best development for all its students.The development of the children can include tests like the CAF to ensure that children receive any additional learning required, or other tests that ensure health and well – being of its students. 1.3 Every School and local authority has their own policies concerning child protection. All of them put the same ideals into action which are: â€Å" Be healthy Stay safe Enjoy and achieve Make a positive contribution Achieve economic well-being. â€Å" In order to make the community aware of child protection issues, campaigns and other similar methods are used. All communities have to be monitored to ensure that all targets and policies are met, also to ensure that all issues are being dealt with appropriately. It keeps a healthy communication with local services to ensure the best methods are used to benefit students. Also to report any signs of cruelty, neglect or abuse. This creates a better success rate of child development. If everybody knows what methods work best for a single / group of student(s), there I more chance for students to progress rather than regress in development. External health and safety management teams are put into place as another form of monitoring. This time they monitor the buildings and the possibilities of risks. Also health services visit to make children aware of what is healthy and unhealthy. To summarise, every student is protected by a large structure formed from all the acts that are implemented by the government. They all follow these acts to achieve this structure. When this structure is followed correctly there is less chance for a student to be at risk of many outcomes ( i.e. risk of harm, risk of being neglected or risk of failing to progress in development). 1.4 If a child is being neglected, abused or worst case scenario has died as a result of either, the child welfare officer should be notified in order in order to find out what happened to prevent this from happening again. They will access every aspect in order to achieve the most accurate of reports. When the report is finished, it will be reviewed and from this the government will decide what went wrong, why it went wrong, how they will improve their service in order to make it better. This in my opinion is the wrong approach to take because to me it seems like the government want to wait for it to happen and then study why it happened. I believe there is many forms of serious child abuse that are not considered as neglect or abuse due to the current status of the country. The government believe that just because a child lives in a home with a water supply, fridge – freezer and oven they have what they need. But this does not include food or clothing which should be included wh en raising a child. 1.5 All personnel must keep confidentiality in accordance of the Data Protection act 1998 (See TDA Section 4). This keeps all information private and helps to safeguard everyone who attends or work’s at the school. In order to keep full confidentiality, all staff are only permitted to discuss personal details, circumstances, or school work connected to their own child(ren). A parent will be able to discuss their children’s work and grades but will not have access to them. The only information that is shared is when a child has reached the age to attend secondary school. The secondary school will require information that is relevant in order to help the student maintain progression through this phase.

grendelbeo Epic of Beowulf Essay - The Monstrous Grendel :: Epic Beowulf essays

The Monstrous Grendel  of Beowulf   It is true that Grendel is monstrous. He is not only a deadly enemy to Hrothgar and Herot, but to the Geats in general. Grendel seems to take his only pleasure from assaulting Herot and destroying the warriors inside. He is a bane to all those that live under Hrothgar's rule. They hate him. He is called the â€Å"enemy of mankind† (29) and rightly so. However, because of Grendel’s actions, they cannot see the other part of Grendel that makes him do the evil he does. Grendel, like the Angels before and the Geats soon after, is symbolic of displaced races/peoples and not simply a mindless monster. When Adam and Eve had children, they had two boys. Their names were Cain and Able. When Cain killed Able, God â€Å"banished him far from mankind† (29). From Cain came trolls, elves, monsters, and giants. Grendel is a descendant of Cain, so he shares Cain’s banishment. Cain may have been the first displaced person after Adam and Eve were thrown out of the Garden. G rendel shares his ancestor’s sentence. He is displaced not only from whatever land or wealth he would have if he were â€Å"human† but he is also displaced form God. It is this displacement that causes Grendel to destroy. Since he cannot â€Å"approach the throne† (28) like other people, he chooses to try to destroy the throne, because he has â€Å"no love for him (God)† (28). This is the main reason Grendel is symbolic of displaced peoples. After all, he is a direct descendent of the very first displaced people, Adam and Eve. However, unlike Adam and Eve, Grendel is doomed to an eternity of banishment from God’s light because of Cain’s sin against his brother. That is why Grendel kills, because he cannot be in the light, because he is at war with God. Grendel is not only banished from God’s light, but from the light in general. Throughout the text, references are made to Grendel as â€Å"the walker in darkness† (36), and †Å"the dark-death shadow† (29). This kind of imagery further shows how displaced Grendel has become. The text refers to him as a â€Å"creature deprived of joy† (36). The text also refers to Grendel’s dwelling as â€Å"his joyless home† (37). It is no wonder Grendel was considered so monstrous. Like other displaced peoples, he has nowhere that is a refuge to him, because he has been removed from his home, or in Grendel’s case, the love of the Lord.

Migraines: That Ache In Your Head Essay -- Biology Essays Research Pap

Migraines: That Ache In Your Head Have you ever had a headache? That pounding pain that would not go away, it was probably a headache, however there is another type of headache that happens to one side of the head and could also cause nausea, sensitivity to light, sound or odors. Also accompanying the migraine is a aura, which could be flashes of light, or temporally lose your vision, in any case it is a visual impairment. (1) Migraines differ from headaches because a migraine is a neurological disease. (2) Many Americans are affected by migraines, it is estimated that eleven to eighteen million people are affected, which most of them are women. Migraines are very disabling as well as having life-threatening outcomes. (2) Now you might be saying to yourself, "Well we know the symptoms of a migraine but what causes migraines?" Well the causes are unknown, since triggers, external forces that cause the migraine to occur, vary from person to person. Triggers range from stress, smells, sights, noises and even things a pe rson eats. (3) However there are many theories on what occurs within the brain to cause the pain and throbbing. One of the theories on what occurs within the brain during migraines is blood vessels increase blood flow, which makes the blood vessels expand. The expansion of the blood vessels triggers nerves within the brain and this nerve activity cause a person to feel pain as well as causes the tissue around the brain to become inflamed. (2) Another theory suggests that the brain stem becomes overly activated which causes the release of chemical messengers. The chemical messengers causes inflammation and pain in the fibers surrounding blood vessels. (4) A similar theory to the one described above sugges... ...there are preventive and management measures a person can use to help their condition. References 1)What is a Migraine Headache? http://www.aan.com/public/aaninfo/migraine.htm 2)Migraines: Myth Vs. Reality http://www.migraines.org/myth/mythreal.htm 3)Migraine Headache http://www.mckinley.uiuc.edu/health-info/dis-cond/headache/migr-hea.html 4)Migraines: Myth & Reality http://www.migraines.org/myth/mythwall.htm 5)Headache- Hope Through Research http://www.ninds.nih.gov/disorders/headache/detail_headache.htm 6)The Pain is in the Brain http://infotrac.galegroup.com/itweb/brynmawr_main?http_rc=400&class=session&sev=temp&type=session&cause=http%3A%2F%2Fweb3.infotrac.galegroup.com%2Fitw%2Finfomark%2F290%2F130%2F47974424w3%2Fpurl%3Drc1_EAIM_0_A59535401%26dyn%3D3!xrn_12_0_A59535401%3Fsw_aep%3Dbrynmawr_main&cont=&msg=No+Session+cookies&sserv=no

Dissatisfaction and Mortality Essay -- Literacy Analysis

In Gustave Flaubert’s Madame Bovary and Ivan Turgenev’s Fathers and Sons, the protagonists experience multiple conflicts with society as a whole and with their own place in that society. Emma Bovary and Yevgeny Bazarov, respectively, determine that the solution to their struggles is suicide. By revealing their characters’ reasoning, methods, and legacies, Flaubert and Turgenev seek to expose a fundamental human need for a sense of societal belonging through the resultant act of suicide, should that need go unfulfilled. The sense of despair that is linked to both Emma’s and Bazarov’s suicides originates from their stark incompatibility with the societies into which they were born. Each protagonist goes through a life long struggle to reshape his or her own niche in the community, in a manner reminiscent of attempting to force a key into a lock that it does not fit. Emma, who was brought up in a rural peasant family, had aspirations for a different place in life beginning as a young girl in a convent school. She kept a collection of â€Å"portraits of unidentified aristocratic English beauties† (Flaubert 872). By marrying Charles Bovary (a doctor), Emma raises herself up to the comfortable level of middle class; however, she clearly remains unsatisfied, as she obsesses over magazines from Paris, fills her house with luxury items, and pines for any contact with the upper class. Bazarov also has a more desirable relationship with society in mind. However, unlike Emma, he does not crave for changes in his own lifestyle, but instead he wishes for the majority of society to conform to his ideals. Upon meeting Arkady’s aristocratic father and uncle, Bazarov attempts to persuade them into agreeing with his progressive nihilistic views. He la... ...rimarily in the parallel legacies left behind by Emma and Bazarov. By focusing on their respective protagonists’ reasons and means for committing suicide, as well as their lasting impacts, nineteenth-century novelists Flaubert and Turgenev reveal the importance of possessing a sense of belonging in one’s society. These authors employ Emma’s and Bazarov’s preoccupations with advancing themselves in the eyes of society in order to convey the theme that putting forth such efforts is generally unnecessary (or even counterproductive) to lead a fulfilling life. Works Cited Flaubert, Gustave. Madame Bovary. 1856. Trans. Francis Steegmuller. The Norton Anthology of World Masterpieces. Ed. Sarah Lawall. 7th ed. Vol. 2. New York: Norton & Company, 1999. 850-1063. Print. Turgenev, Ivan. Fathers and Sons. Trans. Peter Carson. London: Penguin Classics, 2009. Print.

Acid and Shoe

CHAPTER 1 Introduction Background of the Study Like many other hygiene convenience, shoe polish or can also be called boot polish is usually a wax , cream or paste used by people to shine, water proof and restore the appearance of leather shoes. This extends the footwear’s life. This is made up of many kinds of chemicals and because of this; it can cause irritations, allergies to us. In our generation, shoe polish is used every day and companies produce a lot of it to meet the demands of consumers. This leads to chemical wastes.We the researchers would like to find or discover materials like banana peelings, leaves, or trash and use them as alternatives for these chemicals but without sacrificing the effectiveness of the shoe polish. Recently the Philippines has experienced flash floods and according to the disaster agency of the Philippines more than 338,000 people in 13 provinces were affected by the disaster, with nearly 43,000 still in schools, churches and gymnasiums. Thi s was mainly caused by illegal logging and improper disposal of garbage.If we are successful in using trash as alternative for making shoe polish we could lessen the trash in the streets because companies would be collecting these trashes to produce their product. As of now, Ateneo de Iloilo students and teachers are using leather shoes when going to school and when it rains it could damage the physical appearance of the shoes which would lead them to buy new ones. Many of them uses shoe polish to protect and clean their shoes and some are not safe when it comes in contact with skin, eyes or other sensitive parts of the body.Our investigation could benefit them because they would be able to homemade shoe polish that would not cause harm or irritations to them. The investigators chose this study because of curiosity and that the investigators are looking for other alternatives in making a shoe polish which is convenient and safe to use. It is through this experiment that most of us c ould greatly benefit in ways that are useful in our everyday lives. Statement of the Problem This study seeks to answer the following questions: What other components can be added in making the shoe polish that would make it a better alternative than those bought in stores?How effective is the presence of the glycerin, charcoal, citric acid in the making of the shoe polish? Will these alternative components be sufficient in making a great shoe polish? What factors affect the efficiency span of the shoe polish? Hypotheses In view of the preceding questions, the following hypotheses are advanced: 1. The harder the charcoal, the smoother and finer shoe polish can be made. 2. The given alternatives are sufficient in the making of shoe polish. 3. Considering that you undergo the process of heating, the more you stir the finer the shoe polish. . The more number of kerosene drops, the slimier the polish. 5. The greater the volume of the water added, the less effective the polish. Significa nce of the Study The investigators believed that the result of the study will be beneficial to the following: Students. This study could help the students by adding some information on their knowledge about shoe polishes. This could also enhance their creativity and resourcefulness while doing the study. Shoe shiners. This study can help shoe shiners by giving them alternative ways on how to create their own shoe polish.Instead of buying the industrial shoe polish, they can use their own creation. It’s more cheaper, less expensive and more convenient. Environment. This study can help the recycling department in our environment. Instead of using the normal ingredients, we can use trash as the main ingredient. In this study, we are not only learning on the alternative ways on how to make shoe polish but also helping the environment at the same time by recycling and reducing of things. Future investigators. This study could serve as a basis for them to do more esearch and add mo re information to the things that we have done. This could also be a form of help to them as a source of information on how to start the research. Scope and Limitations This study revolves or focuses only on the topics about shoe polish and it’s processes. The experiment is only limited to 2 sub trials per trial. The study is limited to safe components that can be used for comparative testing. Thus, flammable or corrosive materials will not be appropriate to use in the investigation. Definition of terms 1.Glycerin – is a thick liquid that is colorless and sweet tasting. It has a high boiling point and freezes to a paste. Glycerin's most common use is in soap and other beauty products like lotions, though it is also used, in the form of nitroglycerin, to create dynamite. (Merriam-Webster Online Dictionary) In this study Glycerin is used as a component in making a shoe polish. 2. Charcoal – a dark or black porous carbon prepared from vegetable or animal substances (Merriam-Webster Online Dictionary) In this study charcoal is used as a component in making a shoe polish. 1.Citric acid – is a natural,  weak organic acid  that is found in many fruits and vegetables, especially citrus. Because citric acid is also a byproduct of the  citric acid cycle, it is also produced by many living organisms, including mold. (Foodreference. about. com) In this study citric acid is used as a component in making a shoe polish. 2. Soap – A substance used with water for washing and cleaning, made of a compound of natural oils or fats with sodium hydroxide or another strong alkali, and typically having perfume and coloring added (Google. com) In this study soap is used as a component in making a shoe polish.

European History Essay

How did Bismarck’s system of alliances help maintain peace? Bismarck’s system of alliances was the goal of keeping France isolated and not to have any military allies. Also, he wanted to keep Russia and Austria-Hungary from going to war. France was still bitter over the losing Alsace-Lorraine from the Franco-Prussian War. Both Russia and Austria-Hungary desired territory from the weakening Ottoman Empire, which was the Balkans. The Three Emperors League was an alliance with Austria-Hungary, Germany, and Russia. This was against radical movements. With the Congress of Berlin, Austria got Bosnia and Herzegovina. The Balkan states ended up becoming independent. The Triple Alliance was Germany, Austria-Hungary, and Italy was a defensive alliance protection against Russia. The Reinsurance Treaty was between Germany and Russia. If one of them were to be attacked, they promised neutrality. Germany was concerned about war between Austria and Russia. Plus France and Russia being allies. William II ended this treaty and dismissed Bismarck. 2) What were the reasons for Britain and Germany’s love-hate relationship? Between the 1700 and 1800’s, Germany and Britain had a common enemy, which was France. Their racials ties of Anglo-Saxon and Germanic people as well. The rivalry was of course power. Germany was on the rise to power. Economic wise was the colonie and the world market. For the military component, Germany expanded their navy with battleships. Great Britain is known for its naval supremacy and it was threatened by Germany. It ended up being a naval race between the two nations. For the political factors, Great Britain wanted alliances with France, Russia, and the United States. At the Algeciras Conference, Germany attempted to break the friendship between Great Britain and France. They failed and brought them closer. 3) Why was the Moroccan crisis of 1905 a turning point in European diplomacy? France and Great Britain agreed over North Africa. Britain got full control over Egypt and France got full control over Morocco. The Anglo-French Entente was closer relations between France and England. Germany as always wanted to try and break the treaty between France and England. Germany didn’t act diplomatically though. They were now viewed as an international bully. Great Britain, France, Russia, and the United States saw Germany as a common threat. These four nations became closer. Austria became Germany’s main ally as well. 4) What impact did the Congress of Berlin (1878) have on the Balkan area? What were the origins and causes of the â€Å"Third Balkan War†? With the Congress of Berlin, Austria-Hungary had power over Bosnia and Herzegovina. Romania and Serbia won independence. Bulgaria won a somewhat say in their government. Austria-Hungary and Russia wanted to control the Balkans. With nationalism, Serbia wanted to expand by gaining Bosnia and Herzegovina. Austria-Hungary ended up annexing both of their wanted territories. Serbians were furious. The First and Second Balkan Wars consisted of fight within Serbia, Bulgaria, and the Ottoman Empire about territorial gains. Archduke Franz Ferdinand of Austria-Hungary was on a visit to Sarajevo and ended up getting assassinated by Serbians. It was the Black Hand which was a Serbian terrorist group. Austria-Hungary declared war on Serbia which was the start of the Third Balkan War. Austria-Hungary wanted to stop nationalism that threatened their empire. 5) Which of the major powers do you believe were most responsible and least responsible for the war? Explain. Austria-Hungary had imperialism in the Balkans and declared war on Serbia. They were also Germany’s main ally. Russia had total support of Serbia. They allied with Serbia and France. All three of them mobilized against Germany and Austria-Hungary. Germany wrote a â€Å"blank check† to Austria-Hungary. William II’s poor control of international diplomacy lead to the Moroccan crisis and naval build up. In addition, Germany invaded France through Belgium. France became permanently mad at Germany and seeked for revenge. They ended up allying with Russia. This meant the support from Russia meant also from Serbia. Great Britain had a naval build up and entered an alliance with France. This disrupted the balance of power and made it point toward France now. 6) What impact did the war have on the economy and the people at home? How cooperative was the population? The economy changed from a free market system to a state run economy. The government organized price and wage controls, quotas, production and what to be produced. The food and resources vital for war had to be rationed. Due to nationalism, the population was supportive of the â€Å"total war† efforts of their governments, in the beginning of the war. 7) Did the war have any effect on the power of organized labor? On women in society? The labor unions cooperated with governments on production and wages. The government gave back by allowing labor leaders in policy making councils. The unions were accepted in the European countries as legitimate organizations. Women were now in demand for labor because men were off at war. Women became a more visible part in society and this gave a boost for the modern women’s rights movement. 8) What evidence is there that the strain of the war was beginning to take its toll on the home front in Russia, Austria, France, and Germany by 1916? Russia had a lot of war casualties. The population was vital of the czar’s leadership. Nicholas II went to the front to lead the troops. While he was away, Alexandra and Rasputin were in charge. Austria’s chief minister was assassinated. Frances Joseph died as well. The Czechs and Yugoslavs called for autonomous democracies. France and their troops refused to fight. There were labor strikes during the war. Clemenceau ruled practically as a dictator. Germany had Karl Liebknecht, who was a radical social leader, spoke out against war. This had the radicals to protest. There was an expanding anti-war legislation in the Reichstag and massive break strikes in Berlin. 9) What were the reasons for the Russian Revolution in March 1917? Who were the Soviets? The war demoralized troops which led to mass desertions. Many peasant soldiers returned home and angry with weapons. Also the war produced massive food shortages and there were bread riots in St. Petersburg. These riots spread like wildfire. Nicholas II ended up stepping down and leaving Russia. The Soviet and the provisional government ended up trying to rule Russia. The social classes were going for political liberty. The upper middle class were expecting better results from the war. Workers demanded better wages and good. Peasants asked for land reform. The Soviets was a political organization in St. They were against the czar’s government and operated separately from the Kerensky’s provisional government. For example, Army Order #1. 10) What were the reasons for the Bolshevik victory in the civil war? The democracy ended up turning into an anarchy. Not one individual group or person had clear dominance to take power. Lenin and Trotsky were talented leaders who competed for power. Trotsky created an organized and centralized army that was able to outperform the whites. While Lenin was able to appeal to the urban workers and soldiers who were for socialism, successfully. The Bolsheviks ruled the center of Russia while the white were scattered out over thousands of miles. There was a secret police and the use of terror. The â€Å"White Armies† were decentralized and didn’t organize movements. They didn’t have a clear political objective that rallied the enemies of the Bolsheviks into an united front. Foreign military aid was too late and little and rallied nationalistic Russian against the whites. 11) What happened to the Austro-Hungarian and Turkish empires after 1918? Austria-Hungary became Austria. They lost land to Italy which was Tyrol. They became independent states which were Czechoslovakia, Yugoslavia, and Hungary. Austria ended up becoming a small, militarily insignificant European nation. The Ottoman Empire ended up becoming Turkey. France got Lebanon and Syria. While Britain received Iraq and Palestine. The empire was diminished and Turkey’s borders were the Anatolian peninsula and the Bosporus. Both of these nations were once dominant in power and now were put down to secondary status, which is ironic. 12) What were the goals of Wilson, Lloyd George, and Clemenceau at the Versailles Peace Conference? President Wilson of the United States created the Fourteen Points. He wanted national self determinations, rights of small countries, and League of Nations. David Lloyd George was focused on restoring Germany to a reasonable economic strength. He perceived that Germany could be a balance to the communist Russia. Georges Clemenceau seeked revenge against Germany for the two invasions in the last forty years. He wanted to create a buffer state between France and Germany. He wanted protection against future attacks and permanent demilitarization of Germany. Germany had to pay large war reparations and it weakened them, yet gave France a chance to rebuild.

“A Civil Action” by Jonathan Harr

â€Å"A Civil Action† by Jonathan Harr is considered to be one of the most popular movies about legal issues.There was even film adaptation that had starred John Travolta as the protagonist lawyer. But what businessmen could learn from the story is not concerned with the legal process. The insights that this story provide is concerned with what could be the positive and negative characteristics that a businessman could have.The protagonist of the story is the flamboyant lawyer Jan Schlichtmann. The book had expressed that over-confidence could cause an individual to be off-guarded from unexpected predicaments. But what is commendable about Schlichtmann is his strong determination and perseverance. He had managed to pull himself together through their arduous legal battles with giant companies.What the book is suggesting to those in field of business is that confidence is essential but one must make sure they keep their feet on the ground.The world of business is full of risk t hat may catch businessmen off-guard just because their focus is on their achievements and profits. But more significantly, the book teaches us the importance of determination and perseverance. It is an unfortunate reality that in the business world, failure is almost inevitable. It is important for businessmen to keep a high level of determination and perseverance until success smiles upon them permanently.Work CitedHarr, Jonathan. A Civil Action. New York: Random House, Vintage Books. 1964

Protein Energy Malnutrition Essay

* Kwashiorkor (protein malnutrition predominant) * Marasmus (deficiency in both calorie and protein nutrition) * Marasmic Kwashiorkor (marked protein deficiency and marked calorie insufficiency signs present, sometimes referred to as the most severe form of malnutrition) Note that this may also be secondary to other conditions such as chronic renal disease[3] or cancer cachexia[4] in which protein energy wasting may occur. Protein-energy malnutrition affects children the most because they have less protein intake. The few rare cases found in the developed world are almost entirely found in small children as a result offad diets, or ignorance of the nutritional needs of children, particularly in cases of milk allergy.[5] Kwashiorkor (pronounced /kwÉ‘Ë ÃŠÆ'iˈɔrkÉ™r/) is an acute form of childhood protein-energy malnutrition characterized by edema, irritability, anorexia, ulcerating dermatoses, and an enlarged liver with fatty infiltrates. The presence of edema caused by poor nutrition defines kwashiorkor.[1] Kwashiorkor was thought to be caused by insufficient protein consumption but with sufficient calorie intake, distinguishing it from marasmus. More recently, micronutrient and antioxidant deficiencies have come to be recognized as contributory. Cases in the developed world are rare.[2] Jamaican pediatrician Dr. Cicely D. Williams introduced the name into the medical community in her 1935 Lancet article.[3] The name is derived from the Ga language of coastal Ghana, translated as â€Å"the sickness the baby gets when the new baby comes†,[4][citation needed] and reflecting the development of the condition in an older child who has been weaned from the breast when a younger sibling comes.[5] Breast milk contains proteins and amino acids vital to a child’s growth. In at-risk populations, kwashiorkor may develop after a mother weans her child from breast milk, replacing it with a diet high in carbohydrates, especially starches, but deficient in protein. SIGNS AND SYMPTOMS The defining sign of kwashiorkor in a malnourished child is pedal edema (swelling of the feet). Other signs include a distended abdomen, an enlarged liver with fatty infiltrates, thinning hair, loss of teeth, skin depigmentation and dermatitis. Children with kwashiorkor often develop irritability and anorexia.[1] Victims of kwashiorkor fail to produce antibodies following vaccination against diseases, including diphtheria and typhoid.[6] Generally, the disease can be treated by adding food energy and protein to the diet; however, it can have a long-term impact on a child’s physical and mental development, and in severe cases may lead to death. In dry climates, marasmus is the more frequent disease associated with malnutrition. Another malnutrition syndrome includes cachexia, although it is often caused by underlying illnesses. These are important considerations in the treatment of the patients. POSSIBLE CAUSES There are various explanations for the development of kwashiorkor and the topic remains controversial.[8] It is now accepted that protein deficiency, in combination with energy and micronutrient deficiency, is necessary but not sufficient to cause kwashiorkor.[citation needed] The condition is likely due to deficiency of one of several types of nutrients (e.g., iron, folic acid, iodine, selenium, vitamin C), particularly those involved with anti-oxidant protection. Important anti-oxidants in the body that are reduced in children with kwashiorkor include glutathione, albumin, vitamin E and polyunsaturated fatty acids. Therefore, if a child with reduced type one nutrients or anti-oxidants is exposed to stress (e.g. an infection or toxin) he/she is more liable to develop kwashiorkor. Ignorance of nutrition can be a cause. Dr. Latham, director of the Program in International Nutrition at Cornell University cited a case where parents who fed their child cassava failed to recognize malnutrition because of the edema caused by the syndrome and insisted the child was well-nourished despite the lack of dietary protein.[citation needed] One important factor in the development of kwashiorkor is aflatoxin poisoning. Aflatoxins are produced by molds and ingested with moldy foods. They are toxified by the cytochrome P450 system in the liver, the resulting epoxides damage liver DNA. Since many serum proteins, in particular albumin, are produced in the liver, the symptoms of kwashiorkor are easily explained. It is noteworthy that kwashiorkor occurs mostly in warm, humid climates that encourage mold growth. Protein should be supplied only for anabolic purposes. The catabolic needs should be satisfied with carbohydrate and fat. Protein catabolism involves the ureacycle, which is located in the liver and can easily overwhelm the capacity of an already damaged organ. The resulting liver failure can be fatal. In a study of twins from Malawi, presented March 9 at the International Human Microbiome congress in Vancouver, kwashiorkor affected one twin in 50% of a study group, but both twins only 7% of the time. When gut bacteria from the twins were transplanted into germ-free mice, the mice receiving bacteria from affected twins lost more weight on a typical Malawian diet consisting largely of corn flour and water with some vegetables. It was speculated that transplantation of fecal bacteria may help affected children MARASMUS Marasmus is a form of severe protein-energy malnutrition characterized by energy deficiency. A child with marasmus looks emaciated. Body weight may be reduced to less than 80% of the average weight that corresponds to the height .[citation needed] Marasmus occurrence increases prior to age 1, whereas kwashiorkor occurrence increases after 18 months. It can be distinguished from kwashiorkor in that kwashiorkor is protein wasting with the presence of edema. The prognosis is better than it is for kwashiorkor.[1] The word â€Å"marasmus† comes from the Greek ÃŽ ¼ÃŽ ±Ã ÃŽ ±ÃÆ'ÃŽ ¼ÃÅ'Ï‚ marasmos â€Å"consumption† from ÃŽ ¼ÃŽ ±Ã ÃŽ ±ÃŽ ¯ÃŽ ½ÃŽ µÃŽ ¹ÃŽ ½ marainein â€Å"to consume, exhaust.† ————————————————- Signs and symptoms The malnutrition associated with marasmus leads to extensive tissue and muscle wasting, as well as variable edema. Other common characteristics include dry skin, loose skin folds hanging over the buttocks (glutei) and armpit (axillae), etc. There is also drastic loss of adipose tissue (body fat) from normal areas of fat deposits like buttocks and thighs. The afflicted are often fretful, irritable, and voraciously hungry. Marasmus is generally known as the gradual wasting away of the body due to severe malnutrition or inadequate absorption of food. Marasmus is a form of severe protein deficiency and is one of the forms of protein-energy malfunction (PEM). It is a severe form of malnutrition caused by inadequate intake of proteins and calories

Trade Policy in Agriculture Essay Example | Topics and Well Written Essays - 1250 words

Trade Policy in Agriculture - Essay Example From this study it is clear that known as the Common Agricultural Policy (CAP) , it is a system of agricultural subsidies and price support programs. It consists of direct payments to farmers for crops as well as land cultivated with price support, tariffs and quotas on agricultural goods imported from outside the Union, and intervention prices whereby the EU would buy all production if prices fall to these levels. The objective was to achieve food self-sufficiency, set fair and stable consumer prices, preserve the rural heritage, and ensure a fair and reasonable standard of living for EU farmers. As the study outlines   the CAP imposes import tariffs on certain goods; import quotas designed to restrict quantity that enter the EU market, except for some countries with which it has had some traditional links; intervention prices, already described above; direct subsidies designed to motivate farmers to cultivate certain crops that would ensure stable domestic supply, paid on the basis of land area devoted to such crops; and production quotas intended to prevent overproduction of some food crops. â€Å"Set-aside† payments (meaning payment for setting aside land that were difficult to farm) were also made, although this has been suspended. Several attempts to reform the CAP system have been made. The first one was made in the 1960s by the Mansholt Plan, sought to consolidate small farms into larger ones for more efficient farming. This proposal was defeated by powerful farm lobbies. The MacSharry reform plan sought to limit rising production while simultaneously promoti ng less restricted market through reduced support levels for agricultural products such as beef and cereals.

Formal Criticism Essay Example | Topics and Well Written Essays - 1000 words

Formal Criticism - Essay Example This paper will use formal analysis of a selection of scenes from the film 2046 by Wong Kar-wai to highlight Sontag's objection to such analysis. The film explores the experiences surrounding the many loves of the main character, Chow Mo Wan, but doesn't give a precise meaning for the events or even the relationships themselves. The film opens with the enigmatic and multi-layered image of a large, donut-shaped object. It is dark and smooth and shiny, yet also gives the impression of the spiral form of a shell. This represents the "hole in the tree" into which, according to a story repeated by Chow several times in the film, people whisper their deepest secrets, after which they fill the hole with mud to prevent the secret from ever being discovered. As Chow talks about a woman he once loved, we see a woman from behind, whispering her secret into the hole. We don't see her face. The film is filled with images that try to enlarge and deepen the impression that human memory and meaning are limited. The settings are few; a few hotel rooms, a rooftop, streets in which all that is shown is the street light or the wall of a building, a club, a restaurant, and the futuristic train that exists within the science fiction story Chow is writing. Also simplified are the appearances of the actors, almost always shown only from the chest up. They are frequently shown alone, even while conversing with another character. The colors red and black dominate the dcor and the clothing, and dark lighting is used in the majority of the scenes. On rare occasions light colors and daytime scenes are used, as when one of the hotel owner's two young and still somewhat innocent daughters is shown dressed in light green, or when a character is seen on the hotel rooftop during the day. Similarly, worldly women, or women who become worldly during the film, almost inevitably smoke and wear red, black, or gold. Many conclusions could be drawn from such repetitive symbolic content, but from Sontag's point of view, it would be a mistake to do so. Would smoking be interpreted as worldliness at all times and in all cultures, just as the colors a woman wears would always reveal her level of morality If we allow ourselves to see the red dress and the cigarette as symbolic of something specific and universal, do we then, for instance, start to ignore the facial expressions Even here the film seems to adhere to a pattern; the majority of expression shown by the actors is whether and when they do and don't look at one another. This could be interpreted as a device of emotional distancing between people who try to avoid intimacy while at the same time desperately yearning for it. Could it be that the visual elements of the film are simplified in order to force our attention to less obvious parts of the story, or to more subtle characterizations of the actors But it could also be said that the film us es such devices in order to render a flatness and hopelessness in the storyline that lets the viewer know well in advance that there will be no happy endings here. The film doesn't defend itself against this kind of analysis. In one particularly engaging sequence, Chow is writing a futuristic story in which he imagines himself as a Japanese man riding a train into the year 2046, "the place where people go to recover memories". It is

Social Cognitive Theory of gender development and functioning Essay

Social Cognitive Theory of gender development and functioning - Essay Example Though there are both positive and negative effects of classification through gender, it can be considered as the main basis in the segregation needed in different aspects of life (p. 92). Gender differentiation is another influential concept that has effects on the social functions and roles of a person. This can be attributed to the fact that the society often presents a double standard on the genders resulting to prejudice on the basis of being male or being female. The stereotypical notion, that males are stronger, more capable and have higher status, can be considered as the effect of such view. Although gender differences can evidently be based on the physical attributes, it is the socio-cultural aspect which can greatly affect the development of a person (p. 92-93). There are different theories through the course of history include the Freudian psychoanalytic theories, Kohlberg’s cognitive theory, the gender schema theory and the social and biological theories (p. 93). The study undertaken is focused on the discussion of the Social Cognitive theory which constitutes different aspects namely biological, cognitive and social. The said theory can be considered to have the important applications in the different scenarios in the society due to its recognition the complex interaction of functions that can constitute the gender development of a person. In terms of the basic point of view of the theory, it can be considered as a synergy of the concepts of personal, behavioral and environmental theories which include the different interactions between the said factors can be considered as the main strength of the Social Cognitive Theory (p. 94). It can be analyzed that from the main cause and origin of the said theory, the cognition and the analysis of the different issues and concerns within the social realm is the main

Creative Thinking Essay Example | Topics and Well Written Essays - 500 words

Creative Thinking - Essay Example Brainstorming has become part of every management problem solving issue and lateral thinking is now part of any well-rounded planning process. Human beings seem to be born with the capacity to think creatively. Children, in the guise of play, begin to form their personality and their mind sets very early on in life. They creatively experiment with their own limbs as well as with the world around them. It is believed that this creative process in children is one, among many, reasons they can develop skills more quickly than adults. Their capacity for language acquisition is never greater than before the age of eight. A flash of insight, a clever way to do something, a realization of some truth about ourselves--all signal the activation of the creative mind. We deploy its enormous potential for creating new solutions in our lives when we free ourselves from many of our automatic reactions, reeducate ourselves to speak in original ideas not slogans, suspend judgment, avoid arguments and ego battles, listen more attentively, and think in terms of options instead of one right way. (Albrecht, 2002, p. 39) As illustrated by Einstein’s example, our brains tend to think in imagery. Words and language are the process by which we communicate and we are often forgetful about using imagery and our imaginations. Thinking in words, according to most researchers, comes after the brain has associated imagery with those words. Pattern recognition, which are brains are expert at, kick in but often concepts can become so concrete in words that we leave ourselves no other way of looking at it. By deconstructing that process with techniques like brainstorming, random input or provocation, derails our usually linear thought processes into more creative avenues. In the present study, imaging ability had a significant influence on creativity. Good imagers scored significantly better than poor imagers on

A policy dictating mandatory marriage classes before couples get Essay - 1

A policy dictating mandatory marriage classes before couples get married should be introduced - Essay Example This method is expressive and therefore I found it most appropriate for my work. It gives me room to express the project using figures, diagrams, tables, different colouration and symbols. The mode of presentation has a big room for creativity which allows the presentation of the work to be lively, attractive and entertaining. Some of the pictorials added to the presentations are very expressive and helps the reader to understand well the explanation made in the presentation. This mode also makes the work appear smart and memorable to the audience. Because of this attractiveness, the audience is more likely to be attentive to the presentation when it is made. My project is directed especially to policy makers at all levels. This is because this is a presentation which is building up support for an enactment of a policy therefore I need to convince the policy makers that this is a good policy for the society. There are other bodies which may care about this policy and thus about this presentation. The church is one of such bodies. In most churches divorce is discouraged and therefore church leaders may find this policy worth adopting in their policies. It is important for the government to formulate a new policy, one which will require couples to take mandatory marriage classes before they officially get married. This move will minimize the ever-rising cases of divorce and all the negativity and pain that are associated with it. In this presentation, the need and urgency for the institution of this policy is shown. This is done by showing that the causes of divorce can be handled if proper counseling is carried out. It is noted, with a lot of concern, that in first five years of marriage many couples opt for divorce. This is especially the trend for those who marry when they are young. A number of misconceptions about marriage are associated with this trend. Different states are making

International marketing Essay Example | Topics and Well Written Essays - 3000 words - 4

International marketing - Essay Example Coming up with novel, more competitive products and continuously improving its offer strengthens Asseco Group position while opening new market and client opportunities. As of January 2010 the Asseco Group employed over 8500 people. Asseco Poland SA is in the process of trying to introduce its Customer Care Integration and Operation system in to renowned big banks and financial institutions in the UK, but without much success at the moment (Bennett, & Blythe, 2002). This is a system that aims to integrate customer care operations of the bank in to the main functions of the bank –that is seamless integration. That is if a customer calls the bank, their calls will be automatically recognized by the system and routed to the proper area of the bank. Asseco Poland SA is interested in targeting the UK market, London in particular as it’s the number one financial center in the world, as there are a number of small and medium scale banks and financial institutions. It is aiming to target these medium and small scale banks and financial institutions in UK. Product placement strategy related opportunities. Company can place the product in well researched market segments like small and medium scale banks and financial institutions in cities such as London. The current UK legislation may have a negative impact due to increase in taxes. If taxes increase this increase may have to be passed down to the customer. Thus price of the product will increase. This will affect the business of the company. The threat of new software companies coming to the market is mitigated to a great extent by the fact that investing in the software industry is an expensive deal. Developing sophisticated software is expensive, thus this is a barrier against new companies entering the market. While many stakeholders – internal and external – would show an equally great amount of interest in the successful outcome of the event, there can

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

Freedom - Essay Example Freedom of speech is important in media and press since it heals with public. In a democratic state, of which most states in the world are, the interest and the rights of the state take priority. Politics and freedom to speech is inseparable since politics is the main component of democracy. Some argue that democracy is an idea of peoples self governance. The electorate in such a system must be properly informed and with no constrains for ideas and information to flow. If constrained, the electorate can easily be manipulated to avoid criticisms which are healthy. Accountability process and freedom of speech significantly impacts on the governance quality of a country. The worldwide measure and indicator of the freedom of speech is the freedom of association, freedom of expression and freedom of media. Debating and open discussions in democratic nations is important in the achievement of a stable and more adaptive community. This brings about consensus rather than imposition of laws. Through social interactions, stakeholders of a particular institution are able to engage in discussions that bears development in the direction of the community. Thus, the freedom of speech and expression plays a major role in the world today and it is one of the main pillars of the democracy building. Freedom of worship also means the freedom of religion or freedom of belief. It protects individual and gives them the liberty to choose to believe in the teachings and faith of their choice. Nobody in any part of the world is compelled to follow any specific religion. Article 18 of the Universal Declaration of Human Right covers the fundamentals of the freedom of worship. There are different religions in the world ranging from Islam, Christianity, Hinduism and even Judaism. In pursuit of democracy, a nation should strive as much as possible to tolerate and respect the people’s choice that allows them to worship freely. This was a universal full fledge after the United Nations G eneral Assembly passed a declaration on elimination of all forms of intolerance and religion based discrimination on 25th November 1981. Religion freedom was recognized as a fundamental human right henceforth. (John Winthrop, 2009), the government should allow people to choose religion freely so that long run societal interest to prevail. He pointed out that laws that prevent the freedom of religion seek to preserve belief and power in a particular religion. In a given religion, the way of worship is almost similar but sharply differs between religions. Since there are no laws that prohibit religion choice, it definitely means that the freedom of worship is also guaranteed. This freedom allows people to worship God in their own way and style. In as much as freedom of worship is universal all over in the world, there are no specific and outright laws that dictate and govern on how people should worship. There is also a limit beyond which worship freedom should not go beyond. In pursu it of worship, it musts be within the limits as not to conflict with other laws. In as much as the holy books such as the bible and the Quran being one of the sources of most constitutions in the world, it does not give them prevalence over the constitution. The constitution is the supreme law of any country and any other law that is consistent with it is declared void to the extent of inconsistency. People are free to switch

Insulin-Dependent Diabetes Mellitus Essay Example for Free

Insulin-Dependent Diabetes Mellitus Essay Etiology of Diabetes Mellitus â€Å"Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs, especially the eyes, kidneys, nerves, heart, and blood vessels.† (Association, National Center for Biotechnology Information , 2009, p. 1) â€Å"The cause of type 1 and type 2 diabetes remains a mystery. Although genetic factors may play a role†. (Association, Diagnosis and Classification of Diabetes Mellitus, 2010, pp. 562-569) Diabetes mellitus generally results from an insulin deficiency or resistance. Insulin transports sugar into cells for use as energy and storage as glycogen which is a carbohydrate. Insulin also stimulates protein synthesis and free fatty acid storage. Insulin deficiency or resistance compromises the bodies access to essential nutrients for fuel and storage. Several processes called pathogens(capable of causing disease) are involved in the development of diabetes. The reasons of the abnormalities in carbohydrates, fats, and protein metabolism in diabetes is deficient action of insulin on certain tissues in the body. The term Deficient insulin action, results from not enough insulin secretion and/or diminished tissue response to insulin at one or more points in the complex pathways of hormone action (a chemical messenger that transports a signal from one cell to another). If insulin secretion is blocked or impaired, then defects in the insulin action occur in the same patient, and it is often unclear which abnormality, the cause of the hyperglycemia. (Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 1997, pp. 107-109) Type 1 Diabetes Mellitus is defined as an autoimmune disorder or simply put an overactive immune response of the body against substances and tissues normally present in the body. In other words, the body actually attacks its own cells (What-is-Autoimmune-Disease). This form of diabetes is brought on by a viral infection in which certain cells are destroyed which leads to absolute (complete) insulin deficiency and is usually diagnosed in childh ood. Many pediatric patients that have diabetes normally have Type 1 diabetes and therefore a lifetime dependency on insulin. â€Å"Diabetes mellitus (DM) is a chronic metabolic disorder caused by an absolute or relative deficiency of insulin, an anabolic hormone.† (Diabetes-MellitusDefinition-Causes-Symptoms-and-Treatment) In contrast Type 2 Diabetes Mellitus is a more progressive disorder in which the glandular organ in the digestive system and endocrine system known as the pancreas makes less insulin over time. Because the body’s cells have a reduced response to insulin, symptoms arise that include poor control of liver glucose (sugar) output, a decrease in cell function, and eventually cell failure. The true cause of Type 2 diabetes is unknown; however, it usually occurs in adulthood, from heredity, excessive obesity and sedentary lifestyle. These lifestyle choices may play a major role in its development. For both types of diabetes the main feature is chronic high blood glucose (sugar) levels (Ignatavicius, 2006). Risk factors for Diabetes Mellitus include obesity, physiologic or emotional stress, which can lead to an elevation of stress hormone levels. In women sometimes pregnancy, which causes weight gain and increases levels of estrogen and placental hormones, may aggravate insulin output. There is also something called the metabolic syndrome which is a combination of medical disorders that, when occurring together, increase the risk of developing cardiovascular disease and diabetes. There are also some medications that can provoke the effects of insulin, including thiazide diuretics, adrenal corticosteroids, and hormonal contraceptives (Mackay, 2004). Classification of Diabetes Mellitus There are several different types of diabetes mellitus; they may differ in cause, clinical course, and treatment. The major classifications of diabetes are: * Type 1 diabetes (insulin dependent diabetes mellitus) is caused by B-cell destruction, usually leading to absolute insulin deficiency a) Immune mediated b) Idiopathic * Type 2 diabetes (previously referred to as non-insulin dependent diabetes mellitus) ranges from those with predominant insulin resistance associated with relative insulin deficiency, to those with a predominantly insulin secretory defect with insulin resistance (Alberti, 2007). Insulin is secreted by beta cells, which are one of four types of cells in the islets of Langerhans (dendritic cells = antigen-presenting immune cells) in the pancreas. Insulin is an anabolic, or storage hormone. When a person eats a meal, insulin secretion increases and moves sugar from the blood into muscle, liver, and fat cells. In those cells, insulin transports and metabolizes glucose for energy. Later it stimulates storage of sugar in the liver and muscle (in the form of glycogen). Following this it signals the liver to stop the release of glucose, then enhances storage of dietary fat in adipose which is a storage tissue. Finally it accelerates the transport of amino acids (derived from dietary protein) into the body’s cells. â€Å"Insulin also inhibits the breakdown of stored glucose, protein, and fat. During fasting periods (between meals and overnight), the pancreas continuously releases a small amount of insulin (basal insulin); another pancreatic hormone called glucagon (secreted by the alpha cells of the islets of Langerhans) is released when blood glucose levels decrease and stimulate the liver to release stored glucose. The insulin and the glucagon together maintain a constant level of glucose in the blood by stimulating the release of glucose from the liver. Initially, the liver produces glucose through the breakdown of glycogen (glycogenolysis). Glycogen is the storage form for glucose in the liver and muscles. Glycogenolysis is the conversion of glycogen into glucose in the liver. After 8 to 12 hours without food, the liver forms glucose from the breakdown of non-carbohydrate substances, including amino acids (gluconeogenesis)† (Hamouda, 2012). Type 1 Diabetes Treatment and Study This form of diabetes is immune-mediated in over 90% of cases and idiopathic in less than 10%. The rate of pancreatic B cell destruction is quite variable, being rapid in some individuals and slow in others. Type 1 diabetes is usually associated with ketosis in its untreated state. It occurs at any age but most commonly arises in children and young adults with a peak incidence before school age and again at around puberty. It is a catabolic disorder in which circulating insulin is virtually absent, plasma glucagon is elevated, and the pancreatic B cells fail to respond to all insulinogenic stimuli. Exogenous insulin is therefore required to reverse the catabolic state, prevent ketosis, reduce the hyperglucagonemia, and reduce blood glucose. Clinical manifestations of all types of diabetes include the â€Å"three Ps†: polyuria, polydipsia, and polyphagia. Polyuria (increased urination) and polydipsia (increased thirst) occur as a result of the excess loss of fluid associated with osmotic diuresis. The patient also experiences polyphagia (increased appetite) resulting from the catabolic state induced by insulin deficiency and the breakdown of proteins and fats. Other symptoms include fatigue and weakness, sudden vision changes, tingling or numbness in hands or feet, dry skin, skin lesions or wounds that are slow to heal, and recurrent infections (Hamouda, 2012, p. para. 8). The onset of type 1 Diabetes may also be associated with sudden weight loss or nausea, vomiting, or abdominal pains. (Association, Diagnosis and Classification of Diabetes Mellitus, 2010) In recent years, there has been increasing interest in the impact of diabetes mellitus on the central nervous system (Lukovits TG, 1999).Clinically and epidemiologically, it has been shown that diabetes mellitus is an important risk factor for cerebrovascular accidents (Kannel WB, 1979), and may underlie many of the neuropsychological and cognitive deficits observed in diabetic patients (CM, 1988). Few studies have sought to establish the pathophysiological mechanisms that occur before these deficits appear, with a view to detecting early subclinical abnormalities that could serve as markers of the risk for stroke in patients who might benefit from preventive treatment. The study I read was performed in 15 insulin-dependent diabetics (eight men and seven women) with no history of central neurological symptoms. Their ages ranged from 27 to 59 years (mean 46 ±8 years) and the mean time since diagnosis of diabetes mellitus was 19 ±6 years. The characteristics of the patients are given in the Table below. The study was been reviewed by the hospitals ethics clinical committee, and before being enrolled each patient gave written informed consent. Characteristics of study subjects No. 15 Gender (M/F) 8/7 Age (years) 46 ±8 Arterial hypertension (yes/no) 5/12 Total cholesterol (mg/dl) 214 ±49 Time from diagnosis of IDDM (years) 19 ±6 Hemoglobin A1C (%) 8.19 ±0.8 Diabetic nephropathy (no/micro/macro albuminuria) 10/1/4 Diabetic retinopathy (yes/no) 7/8 Diabetic neuropathy (yes/no) 7/8 IDDM, Insulin-dependent diabetes mellitus The study dealt with the Cerebrovascular reserve (CVR) which is the capacity of cerebral arteries and arterioles to dilate, thus increasing blood flow in areas of decreased perfusion pressure (WJ, 1991). It is one of the first mechanisms of the brain to be activated in cases of hemodynamic compromise and is an early indicator of its existence (Baron JC, 1981). The chemical Acetazolamide, a carbonic anhydrase inhibitor, induces dilatation of the cerebral microvasculature and has been widely used in assessing CVR in large series of patients with different cerebrovascular disorders. (Julio F. Jimà ©nez-Bonilla, 2001). The study concluded that Insulin-dependent diabetic patients with no clinical history of neurological disorders present baseline abnormalities in cerebral perfusion and a decrease in CVR in extensive areas of the brain. The decrease in CVR and the behavior of baseline subclinical abnormalities after administration of acetazolamide suggested the existence of chronic cerebrovascular disease, the severity of which varied between patients and was better assessed with this technique than with baseline SPET (PET scan). In addition, the introduction of acetazolamide made it possible to classify baseline irregularities as being of probable metabolic origin or of probable ischemic origin. They concluded that the post-acetazolamide brain SPET is a valid tool which, in comparison with baseline SPET, provided additional information on cerebral perfusion in insulin-dependent diabetes. The technique should prove useful in evaluating future preventive strategies aimed at reducing the incidence of complications in diabetics. (Julio F. Jimà ©nez-Bonilla, 2001) The main goal of diabetes treatment is to normalize insulin activity and blood glucose levels to reduce the development of vascular and neuropathic complications. Insulin is indicated for type 1 diabetes as well as for type 2 diabetic patients with insulin openia whose hyperglycemia does not respond to diet therapy either alone or combined with other hypoglycemic drugs. The therapeutic goal for diabetes management is to achieve normal blood glucose levels (euglycemia) without hypoglycemia and without seriously disrupting the patient’s usual lifestyle and activity. There are five components of diabetes management †¢ Nutritional management – teaching the patient to eat properly and manage their diet accordingly. †¢ Exercise †¢ Monitoring – Use of a glucose meter and watching their numbers. †¢ Pharmacologic therapy – medicines that help level off sugars in their system. †¢ Education – finding out all the information they can about the disease so they will be informed as to the preventative measures taken to lead a more normal life. Bibliography Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. (1997). Diabetes Care, 20:1183-97. CITATIONS AND CLINICIANS NOTES: ETIOLOGY, PREDICTION, AND INCIDENCE OF DIABETES. (2005). Current Medical Literature: Diabetes, 22(2), 32-33. Alberti, K. M. (2007). International Diabetes Federation: a consensus on Type 2 diabetes prevention. Diabetic Medicine, 24(5), 451-463. doi:10.1111/j.1464-5491.2007.02157.x. Association, A. D. (2009, January). National Center for Biotechnology Information . Retrieved from PMC US National Library of Medicine : http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613584/ Association, A. D. (2010, January). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, pp. 562-569. Baron JC, B. M. (1981). Reversal of focal â€Å"misery-perfusion syndrome† by extra-intracranial arterial bypass in hemodynamic cerebral ischemia. A case study. Stroke, 12: 454-459. CM, R. (1988). Neurobehavioral complications of type I diabetes. Examination of possible risk factors. Diabetes Care, 11: 499-505. Diabetes-MellitusDefinition-Causes-Symptoms-and-Treatment. (n.d.). Retrieved 12 15, 2012, from www.healthguidance.org: http://www.healthguidance.org/entry/7366/1/Diabetes-MellitusDefinition-Causes-Symptoms-and-Treatment.html Hamouda, M. (2012, May 24).