The First Article Is Hiv Disclosure Essay - 1677 Words

The topic of the first article is HIV disclosure. There is a current epidemic concerning African-American/Black men (Bird, Viosin, 2013). Black Americans are more affected by HIV when compared to White Americans (Bird, Viosin, 2013). This is due to the sexual conduct of Black American men who have intercourse with men (Bird, Viosin, 2013). Black American men represent 73% of individuals who are diagnosed with HIV in the year 2009 (Bird, Viosin, 2013). The high percentage of Black Americans with HIV brings the question about self-disclosure. Recent studies have found the Black American men were less likely than White Americans to disclose their HIV status. The problem or focus of this study is to explore themes related with a primary barrier to sexual communication, and effective HIV prevention. Because of the high percentage of individuals who are unaware of their HIV status and the HIV infection rates, prevention strategies have been geared toward routine HIV testing for HIV positive individuals (Bird, Viosin, 2013). It is believed that an HIV positive status is less stigmatized as a result of these procedures (Bird, Viosin, 2013). Even with HIV status being less stigmatized, negative views still exist. Infected individuals are facing discrimination from friends, family, co-workers, and strangers (Bird, Viosin, 2013). It is expected that the efforts geared toward interventions aimed at HIV-positive individuals will help to increase self-disclosureShow MoreRelatedHiv / Aids : An Integral Part Of Society That Shapes The Way We Live And Interact With The957 Words   |  4 Pagescitizens, but sometimes that is not the case. With the emergence of HIV/AIDS in the United States, laws have been created in order to decrease the incidence rate but has instead increased stigma around HIV/AIDS. This results in people with HIV being discriminated against by not only their peers but the government that is responsible for keeping them safe. This blatant, federally endorsed, discrimination discourages those with HIV to seek out the appropriate care that they need due to possible punishmentRead MoreCounseling Sexually Active Clients with Hiv Essay examples5394 Words   |  22 PagesSex: Conditions of Disclosure in Counseling Sexually Active Clients with HIV Elliot D. Cohen, Ph.D. The present HIV pandemic presents challenges for mental health practitioners who, in the course of therapy, sometimes become privy to confidential information about potentially lethal sexual relationships ongoing between the client and one or more uninformed partner(s). In this lecture I will discuss the current professional/legal status of making disclosure in such cases, and my workRead MoreEthical Dilemma of Hiv Disclosure in Intimate Relationships5638 Words   |  23 PagesHIV Prevention with Positives in Thailand: Ethical Dilemma of HIV Status Disclosure in intimate relationship. Abstract Every year, there are about ten thousand new HIV infection cases in Thailand. The majority of new HIV transmissions in Thailand have changed from commercial sex to intimate relationships while HIV prevention generally focuses on self protection and universal precaution. In 2003, Center for Disease Control and Prevention recommend to integrate HIV preventive measure into routineRead MoreHiv Viral Suppression Of More Than 200 Copies / Ml Of Blood Is Not The Gold Standard1285 Words   |  6 PagesAlthough a HIV viral suppression of less than 200 copies/mL of blood is not the gold standard at most sites. the rate is measured via the same definition across HHS agencies and programs. This includes HRSA and its HAB (2015) under which the RWHAP Part C falls, the Centers for Disease Control and Prevention, and CMS through â€Å"Medicaid, Medicare Physician Quality Reporting System, Physician Feedback/Quality and Resource Use Reports, [and a] Physician Value-Based Payment Modifier† (N ational QualityRead MoreThe Constant Gardener, The 2005 Intellectual Thriller Directed By Fernando Meirelles1721 Words   |  7 Pagesdescribe why it is important to regulate the activities of drug companies, to examine the unethical treatment of patients in developing countries, and to also review real life applicable literature which consists of only health-related scientific articles and journals. I believe this film was created with the intent to expose the corruption of powerful pharmaceutical companies in the health care industry, and to shed light on the damage they may cause to innocent patients living in developing countriesRead MoreHealthcare Privacy And Security Laws3468 Words   |  14 Pagesregulations and the differences between them. There are certain reporting obligations and penalties that must be obeyed in case of violation of these laws/ regulations which will discuss here. This paper also reviews the varying regulations in the case of HIV privacy in regards to children, and women. 1. INTRODUCTION Today personal information of individuals is maintained in the form of electronic records rather than paper based records. The technical for this is Electronic Health Records. There are certainRead MoreThe Cultural Atmosphere Of South Africa1362 Words   |  6 PagesMoving on from the previous notion that legal systems impact our perceptions as a collective, Elisa Longinett’s study of those living with HIV in South Africa examines the risk of volatile reactions found after sexual disclosure to their partners. What was found that the biggest indicator whether one would face volatile reactions were based upon their sex and their level of income: males with money were less at risk than males without, and males without high income were less likely than females withoutRead MoreSecurity Privacy Confidentiality of Health Information in the Philippines2076 Words   |  9 Pagesin healthcare. There are no SPC provisions in the Medical Act of 1959. Thrice in the Senate (by Dadivas, Cayetano, and Revilla), a Patient Bill of Rights was proposed, but none seem to have been passed. In the Magna Carta of Patients’ Rights, article 3 section 4 states the patients’ Right to Privacy and Confidentiality : The privacy of the patients must be assured at all stages of his treatment. The patient has the right to be free from unwarranted public exposure, except in the following cases:Read MoreFactors Associated with Non-Condom Use among Homosexuals1314 Words   |  6 Pagestransmitted infection (Bull, S et al, 2012). Although the risk of acquiring such infections is common among heterosexual couples, male to male sexual behaviour has been considered as the primary risk factor for STIs, especially human immunodeficiency virus (HIV) (Geibel et al, 2010). The behavior of men who have sex with men (MSM) and their sexual activities are well documented in several literatures; however, there has been little interventions done by authorities to prevent transmission due to its sociallyRead MoreStigma And Discrimination Face By People Living With Hiv / Aids2558 Words   |  11 PagesStigma and discrimination face by people living with HIV/AIDS The concept of â€Å"stigma† was thoroughly researched and defined by Roura et al., (2009) as â€Å"a special kind of relationship between attribute and stereotype† when the attribute is â€Å"deeply discrediting†. Although, literature on stigma is approximately 40 years old, it is still widely referenced to introduce the term and discuss its implications. All cultures have shared beliefs and meanings which help them interpret experiences and behavior

Business Concept Of Cafe Bengaliyana - 2980 Words

BUS: 781 Strategic Business for SME S M Imtiaz Uddin Shovon CIB000020W Cafà © Bengaliyana Cafà © Bengaliyana Business Concept Cafà © Bengaliyana is a locally owned fast food and Indian cuisine store that will be situated as a national establishment through its imaginative way to the organization s presentation and its image. This will be a sole proprietorship business which will give an extraordinary mix of great nourishment and administration at quality valuing, with a craftsmanship arranged climate. Cafe Bengaliyana is the best response to a developing interest for different sorts of fast food and Indian cuisine in a gathered spot. Like, Auckland Mission Cafà © Bengaliyana is a motivating cafe, combining good environment with interesting and excellent food. Its mission is to ïÆ'Ëœ Provide incredible sustenance quality as well as magnificent administration for consumer loyal. ïÆ'Ëœ Reasonable value ïÆ'Ëœ Introduce with new test of food ïÆ'Ëœ Will be the restaurant of first choice for all aged people Vision Cafà © Bengaliyana has some visions, which are: ïÆ'Ëœ Turn into a fine dining restaurant ïÆ'Ëœ Verities dishes with new and delicious Test. ïÆ'Ëœ Providing Qualitied food to the customers. ïÆ'Ëœ Will operate 24/7 Goals Cafà © Bengaliyana will run the business with excellent goals such as: ïÆ'Ëœ To be a top ranking brand in New Zealand ïÆ'Ëœ To be a most Familiar Brand in the food industry of New Zealand ïÆ'Ëœ Focus to the Customer loyalty ïÆ'Ëœ To make Cafà © Bengaliyana a destination spot for locals and

Transcript for Drawbacks - Challenges and Conflicts -myassignmenthelp

Question: Discuss about theTranscript for Drawbacks, Challenges and Conflicts. Answer: The slide provides an introduction for my presentation to you all. the slide states that what is a code of ethics., it provides explanation of code of ethics of united kingdoms college of policing, it will depict how to implement similar code of ethics in Abu Dhabi police, it is going to highlight the drawbacks, challenges, conflicts and disadvantages in implementation and finally it will say how to overcome the code such problems Slide 2 According to my research code of ethics is a guideline of principles which have to be followed by professionals to ensure compliance with ethical principles. A code of ethics sets out the specific duties which have to be observed by the professional while discharging their duties. The code also helps the professionals in relation to addressing ethical dilemmas Slide 3 Through the analysis of UNITED KINGDOMS COLLEGE OF POLICING CODE OF ETHICS I would state that the duty of policing professionals is to prevent crime and to protect the public. Any behavior which is unprofessional reduces the trust of the public in the police. Through this code of ethics high standards which need to be observed by professionals have while discharging their duties has been set out. Slide 4 This slide provides provisions for Honesty and Integrity in the code. The code provides that a person has to depict integrity in his or her actions and should be honest at all times. The person must not abuse the position which has been provided through the profession. The identity of a person in this profession has to be used only for policing purposes All activities of the professionals must depict compliance with ethical principles. Slide 5 This slide provides provisions for Authority, respect and courtesy. Under this duty it is the responsibility of the professionals to depict tolerance and self-control. They must treat their colleagues and the public with courtesy and respect. The person must use the authority provided proportionally and lawfully. Rights of all other individuals have to be respected. Slide 6 The slide provides us information about the provisions of Equality and diversity. The person to whom the code applies has the duty to act with impartiality and fairness. The person must not discriminate unfairly or unlawfully. The person has to treat other in an impartial manner. The person must provide respect to equality and human rights. Slide 7 The Use of force and Challenging and reporting improper conduct provisions have been dealt with under this slide. A person in policing profession must only use force in the course of his or her role and responsibilities. The force must be used only to an extent which is necessary. The force must be used in a reasonable and proportionate manner in all circumstances. Any improper conduct has to be reported. Slide 8 Provisions for Orders and Instructions are discussed by me in this slide A person in policing profession must only provide orders which are lawful and in compliance with Policing Regulations. A person in policing profession must only give reasonable instructions. A person in policing profession must follow all reasonable instructions which have been provided. Slide 9 The slide provides provisions in relation to Duties and responsibilities. A person in policing profession must observe due care and diligence while discharging his duties imposed through the role. The duties imposed on a person must be carried out to his or her best abilities. Update with the roles and responsibilities have to be ensured by a person through the use of information, training and other equipments. Slide 10 Confidentiality, Fitness for work and Conduct provisions have been discussed under the slide. Any private data has to be protected and must not be disclosed without consent. The person in this profession must be fit for work at all times. The person must behave in a manner which is not going to cause any detriment to the reputation of the profession. Slide 11 The slide deals with implementation of the code in ABU DHABI POLICE. As analyzed by me the code has to be rooted in the core values of the organization. A copy of the code has to be provided to all staff. Procedures have to be set out for confidentially reporting breaches of the code. Ethical issues have to include in training programs. A committee has to be set up for the purpose evaluating the effectiveness of the code. Slide 12 The Challenges and conflicts in Implementation of the code are discussed in this slide. There are cultural issues which have to be considered for the purpose of implementing a code of ethics. The culture of UK is a lot different from the culture in Abu Dhabi and thus the implementation o the code would be difficult. The code will create a conflict between personal interest and professional interest where priority must be given to professional interest. The laws which are applicable in UK are also different from that of Abu Dhabi thus the implementation of the code is more difficult. Slide 13 The Drawbacks and Disadvantages of implementing the code of ethics are as follows. The implementation of a code of ethics is done to ensure that it is equally applicable on all persons. However as it is not legally binding the higher officers may escape its effect. Another drawback in relation to the code of ethics application is that it deals with policing in UK which is significantly different from policing in Abu Dhabi thus it is unspecific. Slide 14 There are specific ways of addressing the above discussed problems. The code of ethics has to be customized in accordance to the culture of Abu Dhabi. Vague terms like reasonableness have to be precisely defined as the terms may have a different interpretation in the cultures. The code of ethics has to be restructured as per the regulation if Abu Dhabi police and thus have to be made more specific in nature. Slide 15 The slide provides the references used.

Moores Ford Lynching Essays - Georgia Lynching, Walton County

Moore's Ford Lynching The Long Route Home: On July 25, 1946, two young black couples- Roger and Dorothy Malcom, George and Mae Murray Dorsey-were killed by a lynch mob at the Moores Ford Bridge over the Appalachee River connecting Walton and Oconee Counties (Brooks, 1). The four victims were tied up and shot hundreds of times in broad daylight by a mob of unmasked men; murder weapons included rifles, shotguns, pistols, and a machine gun. Shooting a black person was like shooting a deer, George Dorseys nephew, George Washington Dorsey said (Suggs C1). It has been over fifty years and this case is still unsolved by police investigators. It is known that there were atleast a dozen men involved in these killings. Included in the four that were known by name was Loy Harrison. Loy Harrison may not have been an obvious suspect to the investigators, but Harrison was the sole perpetrator in the unsolved Moores Ford Lynching case. The motive appeared to be hatred and the crime hurt the image of the state leaving the town in an outrage due to the injustice that left the victims in unmarked graves (Jordon,31). Many African Americans lived on farms and tended for white landowners. Bob Hester was a landowner, on this farm the Moores Ford Lynching began. On July 14, Roger Malcom followed Dorothy Malcom to Hesters farm, Roger was arguing with her. According to the original FBI report, Hunter 2 Hesters son, Barney, told Malcom to leave. As he was leaving a fight broke out between Malcom and Hester. Malcom then pulled out a knife and stabbed Hester in the chest. The reason for the argument is uncertain although at that time Barney Hester may have been having an affair with Dorothy Malcom. One of the neighbors said that the black community felt it had more to do with sex than anything else did (Suggs,C1). After the fight broke out, Barney Hester was taken to the hospital and Roger Malcom was taken to jail. On the morning before the lynchings, Harrison drove to the house of Dorothy Malcoms parents, who had begged with him to get Roger Malcom out of jail since the stabbing occurred. Harrison refused to pick him up at first, but suddenly changed his mind. Harrison took along with him Dorothy Malcom , who was pregnant at the time, and George Mae Murray Dorsey to Monroe. Their Harrison signed a $600 bond to bail Roger Malcom out of jail. Harrison, with the two black couples in his car, left the county jail at about 5:30 p.m. on July 25, 1946, and headed back along the Athens Highway toward his farm. Authorities said the route he chose was the longest way home, along a winding dirt road (Suggs,C4). According to Harrison, when he reached the bridge at Moores Ford, a car blocked his way (Rivers,1). A mob of twenty to twenty-five unmasked men stopped him at gunpoint (Suggs, C1). Then they took the two couples into the woods, tied them to the trees and shot them. They were so savagely beaten and overwhelmed with bullets that their bodies were ripped to shreds. The only way to tell the bodies apart was by their lips. Investigator Bobby Howard said. When questioning Harrison he told the local authorities and the FBI he could not identify any members of the Hunter 3 mob or explain how they knew which way he was coming home. No one was ever prosecuted for the slayings of the African Americans and why it happened is left too much conjecture (Rivers, 1). The six month investigation following the incident that came to be known as the Moores Ford lynching garnered sensational headlines that horrified the nation, but yielded nothing (Ford,1). FBI agents eventually left the county unable to break the code of silence that protected the killers. A state official was quoted as saying at the time that the countys residents were hampering the investigation by refusing to reveal what they knew (Suggs,C1). Over one hundred people were taken before a grand jury, but there was never any key evidence leading to the murderers. Anyone that may have had information was afraid to talk about the situation at that time. The fact that

the first casualty essays

the first casualty essays Knightley, Phillip. The First Casualty. New York and London: Harcourt Brace Jovanovich, 1975. This book discusses the impact that the media, particularly the war correspondents, have had on society during and after wars between the years 1854 and 1975. It recounts wars from many different countries and raises questions on how correspondents should report, what they should report and when they should report it. The author, Phillip Knightley, is a special correspondent on the Sunday Times in London. With his colleagues on the Insight team, he is author of The Philby Conspiracy, The Secret Lives of Lawrence of Arabia, and The Pearl of Days. He has never heard a shot fired in anger, and hopes he never will. Though Knightley hasn't experienced war, many authors were quoted and a vast amount of research was done which supported the credibility of the book. In early wars, British officers brought their servants, chefs, dogs and wives to war with them. This showed their attitude. British felt heroic and noble for fighting. Special care was given to the way they looked and acted during a war, when it would seem war tactics might be more important. Then in Vietnam soldiers carried peace symbols, smoked pot from their guns and painted My God! Howd we get in this mess, on helicopters. War correspondents faced problems when war officials wouldnt recognize they were there. Correspondents couldnt find out or see what was happening. They asked other people for accounts, but everyone told stories differently. How accurate could each account be when they were hungry, tired and probably scared at the prospect of sudden death? When correspondents were allowed on front lines and could witness, they of ...

Ronald Reagan Assassination Attempt

Ronald Reagan Assassination Attempt On March 30, 1981, 25-year-old John Hinckley Jr. opened fire on U.S. President Ronald Reagan just outside the Washington Hilton Hotel. President Reagan was hit by one bullet, which punctured his lung. Three others were also injured in the shooting. The Shooting Around 2:25 p.m. on March 30, 1981, President Ronald Reagan emerged via a side door from the Washington Hilton Hotel in Washington D.C. He had just finished giving a speech to a group of trade unionists at the National Conference of Building and Construction Trades Department, AFL-CIO. Reagan only had to walk about 30 feet from the hotel door to his awaiting car, so the Secret Service had not thought a bullet-proof vest to be necessary. Outside, waiting for Reagan, were a number of newspapermen, members of the public, and John Hinckley Jr. When Reagan got close to his car, Hinckley pulled out his .22-caliber revolver and fired six shots in quick succession. The entire shooting took only two to three seconds. In that time, one bullet hit Press Secretary James Brady in the head and another bullet hit police officer Tom Delahanty in the neck. With lightening quick reflexes, Secret Service agent Tim McCarthy spread out his body as wide as possible to become a human shield, hoping to protect the President. McCarthy was hit in the abdomen. In the mere seconds that all this was taking place, another Secret Service agent, Jerry Parr, pushed Reagan into the backseat of the awaiting presidential car. Parr then jumped on top of Reagan in an effort to protect him from further gunfire. The presidential car then quickly drove off. The Hospital At first, Reagan didnt realize that he had been shot. He thought he had maybe broken a rib when he had been thrown into the car. It wasnt until Reagan began coughing up blood that Parr realized Reagan might be seriously hurt. Parr then redirected the presidential car, which had been heading to the White House, to George Washington Hospital instead. Upon arrival at the hospital, Reagan was able to walk inside on his own, but he soon passed out from loss of blood. Reagan had not broken a rib from being thrown into the car; he had been shot. One of Hinckleys bullets had ricocheted off of the presidential car and hit Reagans torso, just under his left arm. Luckily for Reagan, the bullet had failed to explode. It had also narrowly missed his heart. By all accounts, Reagan remained in good spirits throughout the entire encounter, including making some now-famous, humorous comments. One of these comments was to his wife, Nancy Reagan, when she came to see him in the hospital. Reagan told her, Honey, I forgot to duck. Another comment was directed to his surgeons as Reagan entered the operating room. Reagan said, Please tell me youre all Republicans. One of the surgeons responded, Today, Mr. President, were all Republicans. After spending 12 days in the hospital, Reagan was sent home on April 11, 1981. What Happened to John Hinckley? Immediately after Hinckley fired the six bullets at President Reagan, Secret Service agents, bystanders, and police officers all jumped on Hinckley. Hinckley was then quickly taken into custody. In 1982, Hinckley was put on trial for attempting to assassinate the President of the United States. Since the entire assassination attempt had been caught on film and Hinckley had been captured at the scene of the crime, Hinckleys guilt was obvious. Thus, Hinckleys lawyer tried using the insanity plea. It was true; Hinckley did have a long history of mental problems. Plus, for years, Hinckley had been obsessed with and stalked actress Jodie Foster. Based on Hinckleys warped view of the movie Taxi Driver, Hinckley hoped to rescue Foster by killing the President. This, Hinckley believed, would guarantee Fosters affection. On June 21, 1982, Hinckley was found not guilty by reason of insanity on all 13 counts against him. After the trial, Hinckley was confined to St. Elizabeths Hospital. Recently, Hinckley has been awarded privileges which allow him to leave the hospital, for several days at a time, to visit his parents.

Sustainable tourism and educating the tourist Essay

Sustainable tourism and educating the tourist - Essay Example With such high and definitely increasing demand, protection of culture and environment has become imperative. "Sustainable tourism in its purest sense is an industry which attempts to make a low impact on the environment and local culture, while helping to generate income, employment, and the conservation of local ecosystems. It is responsible tourism which is both ecologically and culturally sensitive" http://www.gdrc.org/uem/eco-tour/eco-tour.html ST makes maximum use of environmental resources without disturbing natural heritage and biodiversity, respecting socio-cultural authenticity of the region, and ensuring long term economic wellbeing of the stakeholders. In relation to mass tourism, sustainable tourism is a specialised branch. Mass tourism is economically beneficial, easy to market, but is rather harsh on attractions. It no doubt cares for environment and cultural attractions; but not enough. It does not involve local communities as stakeholders and there is hardly any dialogue between communities, tourists and tour operators. It is a positive force for poor countries, which can, if allowed to go unbridled, also can harm local culture and environment. Pope John Paul II thought mass tourism was another way of exploiting local communities, even though mass tourism is vital for many countries. (http://news.bbc.co.uk/1/hi/talking_point/1468503.stm). Responsible tourism like ST minimises the damage that could be caused by mass tourism to environment and culture. MEDITERRANEAN Spain and Mediterranean coastlines offered mature mass tourism for decades now. Mass tourism has created complex issues like demands and pressures and new policies and planning techniques. It has also created the necessity of sustainable tourism application in this area. Uncontrolled tourism almost ruined the freshwater basin here. Italy and Greece too were adversely affected by mass tourism. "The mass model of sun and beach tourism which is characteristic of the Mediterranean coastline has caused both the spectacular urban, demographic and economic growth of small coastal towns once inhabited by farming and fishing families who eventually came to make their living from tourism, and the increasing degradation of their natural setting" http://geographyfieldwork.com/TourismMatureDestinations.htm This statement is true as the involved countries have only recently woken up into the enormity of the problems that tourism has created. Mediterranean holidays deal with all major holiday brands and depend on seasonality. But in recent years, it had been seen as a single major threat to the pristine coastline and equally destructive to valuable wetlands even though tourism is the most important vehicle of growth. STAKEHOLDER Under these circumstances, Sustainable tourism that involves the local community in safeguarding and protecting the cultural and environmental assets of the region comes into picture and gives new hope. ST believes in the economic benefit of the region because tourism is connected with productivity, mobility, communication facilities and broadened horizons. "Obviously, these factors are interrelated, but a greater weight probably should be assigned to productivity than to the others," Smith (1989, p.41). Without further opportunity of productivity, it is difficult to

Research study Essay Example | Topics and Well Written Essays - 250 words

Research study - Essay Example This characteristic is a necessary component of teacher education programs. The problem that is being investigated is the subject of reflection of the professional vocational careers of educators in a tertiary educational institute environment. The dilemmas and issues which are discussed in the literature are the benefits and characteristics of reflection. Dewey (1933) said that teachers must reflect in order to properly deliver and implement the subject taught in their classes. Reflection is an answer to a previous event which entails learning, remembering, circumspection and introspection. The sample population was at a Liberal arts college in the Midwest. An autobiographical academic report was collected along with statistical information about the respondents. The statistical method which was applied was comparative analysis. The bias is the self perception of the respondents. The areas where future research could be conducted are upon the elements of self satisfaction within the psychological domain and the selections of the three respondents who did not fit into the status

Breaking the Norm Essay Example for Free

Breaking the Norm Essay A norm is something that is usual, typical, or standard of something in society. Some examples of a norm are going to school, taking a bath, sleeping at night, wearing clothes in public, and eating breakfast lunch and dinner. All those things are stuff we do in our everyday lives and don’t think about it, we just do it because it is normal and it has been taught to us since we have been very little. If you end up breaking the norm though, people will look at you differently and you could really stand out from everyone around you. I am going to challenge this and break the norm to see what other people do and think around me. What I am going to do to break the norm is go to the grocery store with my mom and instead of walking everywhere, I am going to skip. I am going to start skipping right when I get out of the car into the parking lot until the time I get back in the car after shopping. I am even going to skip when I am standing in the checkout line. When I do this I think people are going to give me really weird looks and look annoyed that I am skipping everywhere. I also think my mom is going to feel embarrassed to walk with me. When I broke the norm by skipping everywhere in the grocery store I got the weirdest looks from people, but some people smiled and laughed. I did not tell my mom that I was going to do this and I did not tell her that this was a project. At first my mom laughed, but then she got really annoyed and yelled at me and told me to stop but I didn’t listen to her and kept going. At one point she tried walking in front of me because she didn’t want to be seen with me. All the other people just stared at me with weird faces on and when I would look back I could see them laughing and talking about me. At first when I got out of the car I felt kind of embarrassed to do this because it is not the normal thing to do. As I proceeded to do it though it got easier and I knew I was going to be right about all the people looking at me with weird looks and my mom being annoyed of me and embarrassed to be with me. The lady in the checkout line looked very confused and uncomfortable when I was just skipping in place; she looked like she didn’t know what to do. I just kept skipping though and minding my own business and acting like nothing was wrong. People in today’s society do normal things every single day. When we see someone breaking the norm, like I did, you think twice about that person and wonder what they are thinking. If Americans see someone from another country wearing a turban, or seeing the Chinese foot binding, or seeing different tribes from Africa putting copper rings around the girls necks to make them longer we tend to judge them and wonder what they were thinking. Other Countries could think we are different and not normal too when they see us with mohawks or tattoos or piercings. Those things are normal to us but not normal to other people. When you break the norm you get a really good feel on how everyone does the normal things every day and doesn’t think twice about it until you see someone else breaking the norm.

The Odyssey: The Use Of Hubris :: essays research papers

â€Å"There is no safety in unlimited hubris† (McGeorge Bundy). The dictionary defines hubris as overbearing pride or presumption; arrogance. In The Odyssey, Homer embodies hubris into the characters Odysseus, the Suitors, and the Cyclopes. Odysseus shows hubris when he is battling the Cyclopes, the Cyclopes show hubris when dealing with Odysseus, and the Suitors show it when Odysseus confronts them at his home. To start, within the course of The Odyssey, Odysseus displays hubris through many of his actions. The most prominent instance in which Odysseus shows hubris is while he and his men are trying to escape from the Cyclops Polyphemus. They drug the monster until it passes out, and then stab him with a timber in his single eye. Polyphemus, now blinded, removes the gigantic boulder blocking Odysseus’ escape, and waits for the men to move, so he can kill them. The men escape from the cave to their boat by tying themselves under flocks of rams, so they can easily slip by. Odysseus, now proud after beating the giant, starts to yell at Polyphemus, instead of making a silent escape. Odysseus’ men ask him to stop before Polyphemus would â€Å"get the range and lob a boulder† (436). But Odysseus shows hubris by saying that if they were to meet again, Odysseus would â€Å"take your life† and â€Å"hurl you down to hell!† (462; 463). Polyphemus, now extremely angr y with Odysseus, prays to his father, Poseidon, to make Odysseus â€Å"never see his home† again, and after which, throws a mountain towards the sound of Odysseus’ voice. (470). Because of Odysseus’ hubris after blinding Polyphemus, Poseidon grants the prayer, and it takes Odysseus 20 years to return home, at the cost of the lives of all his men. Next, Polyphemus demonstrates hubris by believing that because he is a giant, he is unbeatable by anyone, even a god. This is shown when Odysseus meets Polyphemus and greets him with gifts, as it is a custom to show courtesy to hosts and guests alike, (unexpected or not). Failure to give gifts can lead to revenge from the gods. Odysseus tells Polyphemus this, but Polyphemus â€Å"would not let you go for fear of Zeus† because the Cyclopes â€Å"have more force by far †. (205; 200) Polyphemus then angers the gods further by kidnapping and eating Odysseus’ men, both of which are considered extremely uncivil in Greek society. Polyphemus is so confident in his invulnerability he lets the men roam free inside the cave, a mistake that leads to his downfall.

Idea of Belonging

The idea of belonging is an important and fundamental value in our lives. Belonging most commonly emerges from experience and notions of identity, relationships, acceptance and understanding. The sense of belonging is represented in various ways throughout texts such asâ€Å"Ancestor† by Peter Skrzynecki and ‘China Coin’. Each of the texts has a wide range of ideas on how belonging is created though personal experiences and notion of acceptance and understanding. In â€Å"Ancestors† Peter Skrzynecki expresses a detachment from ancestors resulting in a lack of belonging in terms of relationship and understanding. Being separated from his heritage, the speaker experiences a kind of guilt about not being attached to his parents’ culture, but also a sense that this issue will have to be resolved, even if doing so may involve some distress and turmoil. The use of active voice in the poem shows – there are no passive voice verbs at all — his need to do something about the problem of belonging. The â€Å"bearded, faceless men† represent the shadow/spirit of his ancestors but the speaker may also be actually referring to photographs he has seen of these ancestors â€Å"standing shoulder to shoulder† – which also depicts the unity of these ancestors and the force they create is firm in his mind and forces him to find out what his roots are. â€Å"The eyes never close† shows that the moment is still and may be evidence that he is in a dream partly based on looking at such photos. A questioning tone also carries on throughout the poem. This questioning is about his identity though examination of the past which is represented by the ancestors, creating a sense of reflection and investigation on his relationship to his ancestors. But we can see that throughout the poem Skrzynecki is refusing to explore the past of these ancestors because he is afraid of the tainted, torturous past which stops him continued searching for a home: â€Å"To what star do their footprints lead? † This not only evokes his fear of the past but also shows that his uncertainty about re-rooting to his ancestral culture. The ancestors â€Å"Never speak â€Å"implying that those ancestors communicate to â€Å"you† in some other way. The poem is mainly a nightmare about the idea of ancestry/belonging, and Skrzynecki uses the blood allusion in â€Å"The wind tastes of blood† to show that the root is in our blood which connects us to our ancestors. However, the speaker’s sense of alienation from his ancestors has blocked his ability to belong and find the relationship between him and the ancestors. Blood† therefore limits our understanding of our past, which is what we originally belong to. Comparing to Peter Skrzynecki, Leah in The China Coin chooses to belong with her mum and her friends and being positive and happy. At beginning, Leah's relationship with her mum Joan was strained since she refers to her as the â€Å"evil aunt† â€Å"Joan†,evil aunt is a technique of metaphor,it shows nagetive feelings † Joan† is a technique of 3 rd person which sh ows the distance between Leah & â€Å"Joan. Espicially when Leah is lost during the student protest and result in a huge arguement with Joan†It's your rotten China. â€Å"presents again a big difference from Both Joan and Leah,through the emphasis on â€Å"your† and â€Å"from China with the describtive word â€Å"rotten† Comparing to Peter's relationship with his school and folk museum, Leah's realtionship with her mum at first was even more unstisfactory . But rather than running away and belonging to someone else,Leah has stayed with her mum and tried to fix this relationship. When she decides to end the conflict with her mother and rebuild the relationship,saying â€Å"It's over†Leah took Joan's hand and squeezed†we've been through a lot,eh†The action of squeezing echoes they are becoming closer. While Leah decided to belong to her Chinese culture,she also finds a second home. Even though Leah is reserved,the warmth and acceptance of this family draw her in,it's also for the first time Leah was thinking of Joan's family as her family. further more,Leah again builds relationships with family members Ke, Linan and uncle Tong. When the other half of the coin falls from the croll. Leah's reaction is positive†Li-Nan crushed her pounded her on the back and called her â€Å"sister† The symbolism of the strong hug and approval by Li Nan shows her acceptance into this family. Leah also build a special relationship with her cousin Ke. When Joan's in the hospital,Ke becomes the only one who Leah can depend on. She decides to build a relationship with him in order to belong with him. Since then,Ke refers to Leah with the word†mate†,This typical Australian word presents Ke accepted Leah and her clture. Also mate's a very positive word. It shows a positive relationship with people that's what it exactly represents here. Comparing to Peter's homeless, Leah both physically and mentally chooses to belong,therefore,she gets a positive and good result. Each of the texts shows us a strong will to belong and we can see that the ways people achieve belonging emerge from all these elements. Therefore it can be said that the texts have provided a wide range of ideas on belonging that support the statement that â€Å"a sense of belonging can emerge from experiences and notions of acceptance and understanding. †

Task 1 Eymp 1

Context and principles for early years provisions. The Early Years Foundation Stage was brought into force in September 2008 by orders and regulations which come under section 39 of the Childcare Act 2006. All of the early years providers are required to use the EYFS to ensure a flexible approach to children’s care, learning and development that enables young children to achieve the five Every Child Matters (ECM) outcomes. These 5 outcomes are staying safe, being healthy, enjoying and achieving, making a positive contribution and achieving economic wellbeing.The EYFS is used in many different settings and some of these are schools, nurseries, pre-schools, playgroups, after school clubs, breakfast clubs and child minders. This statutory framework sets out legal requirements to relate to the learning and development of children and the legal requirements relating to welfare. There are early learning goals which are the educational programmes and the assessment arrangements. The welfare requirements are given legal force by regulations made under section 39 of the Childcare Act 2006.Together the order, the regulations and the statutory framework documents make up the legal basis of the EYFS. Each individual child is supported by the EYFS because it is there to support the needs and interests of each individual child. There are six areas covered by the early learning goals and educational programmes. They are equally important and depend on each other to support the rounded approach to child development. All these areas much be delivered through planned, purposeful play with a balance of adult-led and child-initiated activities. These six areas are; * Personal, Social and Emotional Development. Communication, Language and Literacy. * Problem-solving, Reasoning and Numeracy. * Knowledge and Understanding of the World. * Physical Development. * Creative Development. * The EYFS has partnerships with parents and from this we know when parents and practitioners i n the early years work together it has a direct impact on the children’s development and learning. The EYFS does observations to look at and listening to children to find out how they are developing, what they like doing and what they are learning through their play and the other experiences they are given.Assessment in the EYFS is of two main types. The first type is  on-going assessment  which is what practitioners do on a daily basis to make decisions about what the child has learned or can do already. This is to help the child move on in their learning. Another type of assessment known as summative assessment takes place twice in the Revised EYFS. Firstly when a child is between 24 and 36 months, the outcomes of this are recorded and parents and practitioners  use the information gained to identify  a child’s strengths and their learning needs.The second assessment takes place  towards the end of the Early Years Foundation Stage. This is to sum up all the different information from on-going assessments that have been made about the child. Planning in the early years is about meeting young children’s needs so that they can play and learn happily in ways which will help them develop skills and knowledge across the   Prime and Specific areas of learning in the EYFS. Development Matters in the Early Years Foundation Stage is non-statutory guidance material which is intended to support practitioners in implementing the statutory requirements of the EYFS.It shows how the four themes of the EYFS and the principles that inform them work together to support babies and children. A progress check is done when the child is two years old which was developed by the National Children's Bureau. This check covers the legal requirements for the EYFS. It is done to check how the child is progressing. There is also a check done at 5 years old which is when children are starting school. The statutory framework is split into 3 sections which are the introduction, the learning and development requirements and the welfare requirements.The introduction is an overview which explains the aims and legal requirements. The learning and development requirements is the early learning goals and are a statutory requirement for all Ofsted registered providers. The welfare requirements are universal and have to be met by all Ofsted registered settings. There are 4 main themes to the EYFS which are a unique child, positive relationships, enabling environments and learning and development. A unique child theme is there because every child is a unique child who is constantly learning and can be resilient, capable, confident and self-assured.The positive relationships are there so children can learn to be strong and independent through these positive relationships. Enabling environments is a theme because Children learn and develop which gives them experiences which respond to their individual needs and there is a strong partnership between practitioners and parents and carers. Learning and development is a theme as it means children develop and learn in different ways and the framework covers the education and care of all children in early years provision, including children with special educational needs and disabilities.There are many different theorists which have very different approaches on the early years education for children. Some of these theorists are Reggio Emilia, Friedrich Frobel, Rudolf Steiner, Susan Isaacs, Margaret MacMillan and Maria Montessori. I am only going to explain in detail about 3 of these. The 3 I have chosen are Reggio Emilia, Friedrich Frobel and Margaret MacMillan. The Reggio Emilia approach is an early childhood education approach and was started in a town in the Northern end of Italy in 1940’s and is now worldwide.This approach values the potential of all children to think, learn and construct knowledge. This approach gives children the right to be recognised as subjects of in dividual, legal, civil and social rights. The Reggio Emilia approach offers training materials and courses which are designed to promote this approach throughout Italy and the world. This approach is a progressive child-centred approach to education which believes children must be free to discover and learn for themselves. A teacher which teaches in the Reggio Emilia approach allows children to do many things and supports them in many ways e. . they allow the children to ask their own questions and to explore and generate many possibilities. The teacher provides opportunities for the children to communicate their own ideas to other children. The Friedrich Frobel approach enables children to be cherished, simulated and to flourish their full potential. Friedrich set up education systems in Germany which are still used to this day. Friedrich Frobel believes all children are like tiny flowers, they are varied, they need care but each child is beautiful alone and glorious when seen in t he community of peers.He done this approach for children from birth to 7 years old and it recognises how unique each child is and every child’s different areas of development as a whole. This approach provides an environment which is safe, intellectually challenging, allows free access to a rich range of materials, opportunities for play and which work close in partnership with parents and other skilled adults. The Margaret MacMillan approach emphasis relationships, feelings and ideas in the physical aspect of learning. It also works in close partnership with parents and provides play for children as Margaret believes it helps children apply what they understand.Margaret believes in first-hand experience and active learning so she provides most of her learning through play because she believes this helps the children. She also believes children can’t learn if they are undernourished, poorly clothes, sick or ill, with poor teeth, poor eyesight, ear infections, rickets a nd so on. Therefore Margaret provides everything possible which is needed to help these things e. g. free school clothes and meals. She will not allow a child which is ill or sick into her environment as she believes they should be at home getting better.

The Top 10 Secrets of All Nurses

The Top 10 Secrets of All Nurses Everybody job has secrets, but the club of nursing is one with a shared language and camaraderie more intense than most professions. Here are 10 things nurses never tell their patients. 1. They’re poopedTheir feet are aching. They’ve been on rotating shifts with high stress and very little sleep. They probably haven’t had a regular sleep routine since adolescence. And they never seem to go home! No matter how tired you are, a nurse is probably more fatigued.2. Handing out pills is not so simpleBy the time your morning meds get to your bedside, you may think it’s just a matter of downing the contents of that little plastic cup. But the nurse who prepared them also prepared meds for dozens of other patients. And for each one, had to double-check the name and purpose of each drug, plus any contraindications and special dosages, and then acquire each drug (sometimes from the pharmacy, sometimes requiring calls to your physician). So be patient and grateful nex t time you chug those pills.3. They don’t just blindly follow rulesSometimes a nurse, because of experience and expertise, might bend a directive ever-so-slightly if he or she is sure it isn’t in your best interest. Remember, nurses spend a whole lot more time with patients than doctors typically do. And they’ve seen everything before.4. They get sickThough they’ll never show it, they spend all of their time around your germs and are just as susceptible, if not more so, given their schedules! No nurse will put a patient in danger when contagious, but plenty of nurses do their jobs when they aren’t feeling 100%. They’ll care for you even when they neglect themselves!5. They have families who need them, tooYour nurse could have a sick kid at home or a sick family member in the hospital the next town over. They’ll give you 100% because it’s their job to care for you, even when they go home and care for someone else- and probably w ish they could be doing that full time instead.6. They see you as a personYou’re not just a case file to a nurse. Often you might remind them so much of someone in their lives- a parent, child, or friend. Even if you or your case don’t perfectly resemble their favorite uncle Joe, they’ll often be struck by some personal connection or will identify with some aspect of you or your treatment.7. They fight for youYou’ll never know it, because it isn’t very nurse-like to boast of such things, but nurses are constantly going to bat for their patients. If they disagree with a doctor or they want to make you more comfortable, they’ll do everything they can to set things right.8. They don’t want to lose youWhen things go scary and the crash cart rolls out, nurses are terrified. They may not show it- in fact, they operate like elite officers to move efficiently and perfectly through the life-saving steps they’ve been trained to take. But inside, they’re panicking, and utterly relieved when you pull through. Nurses never want to lose a patient. Never.9. They take their work homeEver heard a nurse promise to pray for you or your loved one? That’s not an empty threat. When they’re home and off the clock, chances are they think of you from time to time and wonder how you’re doing. If they’re worried enough, they’ll probably call a colleague to inquire.10. They very likely have had a rough dayIf your nurse seems distracted, it’s not that he or she doesn’t know what’s going on with you or that you’re getting sub-par care. Nurses deal with many, many patients at a time–and due to the nature of the job, many of those patients are very sick. Your nurse might have even lost a patient that day. Yes, nursing is their job, but they’re human, too, and helping sick people day in and day out can take its toll. Have empathy, and know your nurse is d oing the best she/he can.About all other things, it’s safe to say, nurses are an open book.

CREATING A NARRATED BOOK TRAILER

CREATING A NARRATED BOOK TRAILER I wanted a book trailer to promote my third picture book, Silly Frilly Grandma Tillie, illustrated There were two books I consulted before undertaking the creation of the trailer: Katie Daviss ebook, â€Å"How to Promote Your Children’s Book† and Darcy Pattison’s ebook, â€Å"The Book Trailer Manual†. My goal wasn’t to replicate the text of the story in the trailer, but to give viewers a feel for the characters and the plot in a very short space of time- an oral summary. The publisher’s blurb for the book was a helpful starting point but it was directed to adults. My script needed to be more child friendly and shorter. Both Davis and Pattison recommend keeping trailers to a minute or less; Pattison says images should not be on screen for more than five seconds. The final (I thought) version of the script read like a mini-movie- for each â€Å"scene† was a visual image (one of Anne Jewett’s fabulous illustrations), followed For those who are technologically challenged, like me, the website lynda.com is a good source for tutorials on using iMovie and Garage Band- a month of lessons was well worth the twenty-five dollar fee. Recording voiceovers in GarageBand is relatively simple- follow a few steps and controls will appear with record, play and rewind functions that operate like any standard recording device. Though the editing options on GarageBand are much more detailed, even a non-techie like me could easily shorten or remove sections of audio clips. The greater challenge was getting my voice right. Writing each line of script on a notecard and taping the notecard to the top of my screen was helpful, as were underlining the words I wanted to emphasize and indicating whether my voice should rise or lower at the end of a line (professional voice artists definitely deserve respect). Despite all this work, when the audio was incorporated into iMovie, there was a major problem- my audio still took up too much space. I eliminated some sound effects and some spoken lines. To more easily match the length of the narration with the corresponding image, I recorded the voiceovers directly in iMovie. This again was simple to do- select the microphone image and click on the record button. There is a three second delay until the recording begins. Repeating the first word of my line several times during this delay helped eliminate awkward pauses and throat clearing noises when I began speaking. The process of creating a narrated book trailer for the first time took many hours, but it was well worth the effort. I learned how to make podcasts, how to edit video clips, how to combine images and sound. Trust me, if I can do it, you can too! You can view the trailer on my website at www.laurieajacobs.com

Ecobeach Eco-tourism Operation Essay Example | Topics and Well Written Essays - 2500 words

Ecobeach Eco-tourism Operation - Essay Example It involves the activities of educating tourists and the provision of funds for the purpose of the environments preservation (Frisch and Johannsen, 2004). The major purpose of carrying out these activities is to aid in the protection of nature and to empower the locals politically. It also assists in fostering the economic growth of a country and the reverence for the different cultures along with the right’s of humans. The major aim of eco tourism is to preserve nature so that the coming generations can enjoy environments that are safe and habitable (Fennel and Dowling, 2003). Tourism on the other hand is the activity of organizing the commercial operation of vocations and places that are of interest to the visitors in an area. Most people view the process of making improvements on the environment as the duty of the local authorities, the nongovernmental organizations dealing in protection of the environment and other profit making organizations dealing with the matter. Eco b eaches are those beaches where environmental protection efforts have been done on them to ensure that nature, the community and the visitors all benefit. 1.1 Background information The importance of ecotourism has been put to consideration by different environmentalists who desire to conserve the environment for the coming generations. Their efforts focus on the charitable sustainability of our surroundings. Tourism entails visiting areas where flowers, fauna and artistic traditions are the major appeals for commercial reasons (Zeppel, 2006). The major goal of this practice is to enhance the tourists views on the impacts of mans activities on his surroundings. It also aids in enabling... The paper tells that the importance of ecotourism has been put to consideration by different environmentalists who desire to conserve the environment for the coming generations. Their efforts focus on the charitable sustainability of our surroundings. Tourism entails visiting areas where flowers, fauna and artistic traditions are the major appeals for commercial reasons. The major goal of this practice is to enhance the tourists views on the impacts of mans activities on his surroundings. It also aids in enabling people to appreciate their natural homes better. Among the activities that these programs carry out aim at reducing the harm tourism causes on the surroundings and enhance the artistic honor of the locals. The international target market of choice for the beach eco tourism operation at Kimberly are visitors from all around the globe. The visitors to the beach all come from different cultures with different convictions, approaches and values to life and nature. The chosen int ernational market requires to be in a safe environment with fresh waters. They also require high quality and safe supplies of the products on offer from the beach resorts they visit. There should be provision of adequate and standard accommodation to handle any number of visitors who decide to visit the beach. Provision of all the adequate amenities in the visitors accommodation areas should be put into consideration before advertising the premises. The wants and needs of the target market should enable the management of the tourist operations to determine what to produce.

Compare and contrast the concept of reception developed in Essay

Compare and contrast the concept of reception developed in contemporary film studies with that of audience and reception - Essay Example But the most short fallen movies are the ones which have culturally specific backbone, as audiences of different location follow different customs and traditions and cannot just accept some other ways over their own. Isaac Newton states that every action has an equal but opposite reaction and this law holds good for many everyday life tasks, some customary and some exclusive ones (Sadler, 1996,p.49). The law of reaction applies to the film studies to a greater extent. Media research has transmuted over the decades into a compound of different researches going on simultaneously. Towards the end of the twentieth century it was largely practiced as plainly researching the media that was quite concordant to content analysis. However, contemporarily audience research has become an integrated part of the subject, and many people refer to it while relating to media research (cited in Glossary of research methods). One inference devised through the contemporary film studies is that, what is famous in one place would not necessarily be popular in other place, that is, the films which are adored at one corner of the world, may not ineluctably get the same appreciation elsewhere. For instance, a film like Speed was among the thirteen most affluent Hollywood movies in Hong Kong in the whole twentieth century that was actually the eight most successful movies in the U.S. in 1994. In contrast, the most popular movie in America in 1994 was Forrest Gump, which was not particularly popular after it traveled across to Asia (cited in untitled document). It is not hard to comprehend rather tempting to look at, that the movie audience around the globe was mesmerized to enjoy the thrills and excitement of Speed and other contemporary Hollywood blockbusters without it being mandatory for them to have some background knowledge or culturally specific insight of the matter! But about Forrest Gump, there were some keen-eyed people in

Plato's Allegory of the Cave Essay Example | Topics and Well Written Essays - 250 words - 1

Plato's Allegory of the Cave - Essay Example This is because we are being told lies every minute of our lives. Currently people are chained to a wall known as stereotypes. We are made to believe that the stereotypes we see in the media are precisely the same in reality, something which is not true. Most ignorant individuals have it that every Muslim is a terrorist .Generally, most people falsely believe that all American lasses are full figured idealists, Asians are quite smart, the Irish take Guinness the whole day, Canadians dwell in igloos, Mexicans are field laborer and Jamaicans are forever high. Most Americans currently think that anybody hailing from Middle East is a suicide bomber or a Muslim terrorist. The media which is the inferno behind us is portraying these stereotypes with ignorance fueling the inferno. People therefore, have to break free from the wall, get past the inferno and out of the cave to really observe things as they are in reality (Hanly, 2007). People thus, need to re-educate themselves on what they should believe about various nationalities as well as cultures surrounding us. Breaking free form the wall will allow us to view people for their individual characters and who they really are, instead of some ill thought of stereotypical

Contrast Media and Intravenous Urography

Contrast Media and Intravenous Urography Introduction The practice of clinical diagnostic radiology has been made possible by advances not only in diagnostic equipment and investigative techniques, but also in the contrast media that permit visualisation of the details of the internal structure or organs that would not otherwise be demonstrable. The remarkably high tolerance of modern contrast media has been achieved through successive developments in chemical pharmacological technology. A single dose of X-ray contrast medium commonly contains upwards of 2000 times as much iodine as in the total physiological body content, and yet it is cleared from the system rapidly and naturally, usually with no adverse effects at all. The choice of contrast medium has always been a matter of debate, but is ultimately the responsibility of the radiologist. In order to be able to make a rational decision as to the selection of contrast media, it is necessary to have some understanding of the physical and physiological principles involved. The objective is to provide a background for non-specialists on this complicated specialist subject. Why contrast media are necessary Different tissues within the body attenuate the beam of X-rays to different degrees. The degree of attenuation of an X-ray beam by an element is complex, but one of the major variables is the number of electrons in the path of the beam with which it can interact. The number of electrons in the path of the beam is dependent upon three factors: The thickness of the substance being studied Its density The number of electrons per atom of the element (which is equal to its atomic number) In a complex mixture of elements, which is of course what we are concerned with in the organs of a patient, the degree of attenuation is particularly influenced by the average of the atomic numbers of all the atoms involved. Where there is a considerable difference between the densities of two organs, such as between the solid muscle of the heart and the air in the lungs, then the outlines of the structures can be visualised on a radiograph because of the natural contrast that exists. Similarly, if there is a difference between the average atomic numbers of two tissues, such as between soft tissues, which are composed of elements of low atomic number, and bone, which is partly composed of the element calcium, with a rather higher atomic number, then the outlines of the different structures can be seen by natural contrast. However, if the two organs have similar densities and similar average atomic numbers, then it is not possible to distinguish them on a radiograph, because no natura l contrast exists. This situation commonly occurs in diagnostic radiography, so that, for example, it is not possible to identify blood vessels within an organ, or to demonstrate the internal structure of the kidney, without artificially altering one of the factors mentioned earlier. Two of the factors important in organ contrast can be artificially altered, the density of an organ, and, more usefully, the average atomic number of a structure. The density of a hollow organ can be reduced by filling it with gas or air, providing negative contrast. This is mainly of historical significance, but is still used when, for example, gas is introduced into the stomach or colon during a double-contrast barium examination. The average atomic number of hollow structure such as a blood vessel can be increased by filling the cavity with a liquid of much higher average atomic number (such as iodine containing contrast medium) than that of blood. In fact this is the principle by which contrast media consist of solutions or suspensions of non-toxic substances that contain a significant proportion of elements of high atomic number, usually iodine. EXAMINATION USE CONTRAST MEDIA common are described below. It should be noted that the volume, strength, as well as the type of contrast medium, will vary between patients according to the examination type and radiologists requirements. 1. Angiography Angiography is the general term which describes the investigation of blood vessels. Usually a distinction between arteriography and venography is made, depending on the kind of blood vessel (artery or vein) which is examined. Arteriography In arteriography a contrast medium is introduced via a catheter into an artery, which makes the lumen of that vessel opaque to X-rays. The natural flow of blood carries the contrast medium peripherally, and by taking a series of radiographs the radiologist can obtain images akin to a road map of the blood supply to an organ, or a limb. Localised narrowing or obstruction of an artery or a pathological circulation in a tumour can then be identified. Sometimes the radiologist may then proceed to treat the patient using the catheter system, which was introduced initially for diagnosis. Arteriography is relatively time consuming for the radiologist depending on the complexity,  ½ hour 2 hours, or even longer can be spent on the procedure. Venography (phlebography) The natural flow of blood in veins is towards the heart, and by injection of a contrast medium into a peripheral vein, a map of the venous drainage of a limb can be obtained. The larger size and greater number of peripheral veins, and the fact that the flow of blood is much slower in veins than in arteries,means that it is usual for the radiologist to take several radiographs of each area with the limb in different positions. The commonest indication for venography is to confirm a suspected diagnosis of deep venous thrombosis of the leg. Venography is also performed on organs within the body by introducing a catheter into a peripheral vein and manipulating it into an organ. Digital subtraction angiography (DSA) A special type of angiography is digital subtraction angiography (DSA). These procedures involve the use of specialised electronic equipment, computing and radiographic hardware to produce rapid sequential images. The DSA image is produced by electronically subtracting images without contrast media from images after contrast media injection. The result of this subtraction process is the visualisation of contrast filled vessels which are free from the distraction of overlying structures. 2. Intravenous urography (IVU), intravenous pyelography (IVP) When injected intravenously, most contrast media are rapidly excreted by the kidneys, and a series of radiographs taken after the injection will demonstrate the urinary tract. Intravenous urography is still the basic radiological examination of the urinary tract. The main indication is to assess the morphology of the kidneys. Further indications are: detection of kidney stones and calcifications in the ureter or bladder, assessment of obstructed urinary flow and investigation of patients with haematuria (the passage of blood in urine). Children may be investigated for congenital abnormalities of the urinary tract. In recent years for some investigations of the urinary tract, particularly uncomplicated infection, an ultrasound examination and plain abdominal radiograph have replaced intravenous urography as the initial investigation of the urinary tract. 3. Computed tomography (CT) Since 1973 an imaging technique known as computed tomography (CT) has developed to become one of the most important radiological examinations in the industrialised countries. CT uses conventional X-rays in a thin nondivergent beam to produce cross sectional images of the body. The X-ray tube and an array of detectors mounted within a supporting framework, rotate round the patient with each scan. CT produces digitalized images, although these are usually printed onto hard copy film in a format that is useful for transfer and viewing throughout the hospital. By electronic means CT improves via a higher contrast sensitivity, the natural radiological contrast between organs. However, it cannot create contrast where none exists naturally. CT is exceptionally sensitive to contrast media and can detect abnormalities, caused by disease, following an injection of an intravenous dose of contrast medium. This procedure is known as enhancing the scan. About 43% of all CT procedures involve the use of a contrast medium. CT is widely used throughout the body but the most frequently investigated areas using this technique are neuroradiology (brain and lumbar spine) and general radiology of the chest, abdomen and pelvis. It is particularly useful for the diagnosis, staging and follow up of malignant disease. 4. Myelography The spinal cord and the attendant nerve-roots which radiate from it cannot be visualised using conventional X-rays alone without the use of contrast media. They can be visualised directly using magnetic resonance imaging (MRI). They can be visualised if contrast medium is injected in the cerebrospinal fluid (CSF), which surrounds the spinal cord, rendering the CSF radio-opaque but not the cord of nerve roots. Specific contrast media have been developed for this examination. The majority of myelograms (or radiculograms) were performed to examine the lumbar region to confirm the clinical suspicion of a prolapsed intervertebral disc. However, CT and MRI have now largely replaced myelography as the initial investigation of the lumbar spine. Myelography, particularly combined with CT scanning is still used however to investigate the cord and cervical region and its nerve roots in difficult cases when other investigations are equivocal or normal. Interventional Techniques/Procedure Many radiologists are now specialised in therapeutic procedures that have bee developed from radiological diagnostic techniques using catheters and guidewires. These procedures include: The dilation of pathologically narrowed arteries angioplasty, percutaneous transluminal angioplasty (PTA). The deliberate occlusion of arteries supplying abnormal areas such as tumours, aneurysms and vascular malformations, so depriving them of their blood supply. The placement of artificial tubes or stents into blood vessels, bile ducts or ureters to bypass a pathological narrowing. These procedures often necessitate the use of high doses of contrast medium, because several examinations of the same vessels may be required during the control of the therapeutic process. Safety of Contrast Media Contrast media are among the safest of all of the pharmaceutical products available to the doctor today. They are anomalous in that they are not intended to have therapeutic activity: indeed, the ideal contrast medium would have no pharmacological activity at all. For this reason the concept of therapeutic ration, which can be applied to medicines, does not apply to contrast media. The development of a contrast medium from the first design of the molecule through to product licence takes many years. The minimum period of time that can reasonably be allotted to preclinical and clinical development is six years, and in practice it is not uncommon to take nine years or even more. During this long period, the tolerance of the medium is rigorously tested by collecting data from various preclinical and clinical trials to establish a profile for the product. One critical area examined during its development is the incidence of adverse reactions. The rate of adverse reactions to iodinated co ntrast media on the market is extremely low, but such reactions do occur just as they do with every pharmaceutical product. The adverse reactions associated with contrast media can be divided into two groups: Those reactions that are clearly dependent on the dose and concentration of the contrast medium administered and those that are almost independent of dose and concentration. Dose-dependent adverse reactions are mostly due to the physiochemical effects of the contrast medium, such as its osmolality, or electrical charge. Possible adverse reactions include heat, pain, vasodilation, cardiac depression and hypotension. The adverse reactions which are almost independent of dose and concentration are nausea and vomiting as well as allergy-like or hypersensitive reactions such a urticaria (hives), certain cardiovascular reactions, bronchospasm and laryngospasm, but there is little evidence of any antigenantibody interaction. These reactions cannot be predicted and their underlying cause remains unknown. For clinical purposes it is meaningful to divide contrast media reactions into three categories: Minor e.g. Flushing, nausea, vomiting, pruritis, mild rash, arm pain Moderate e.g. More severe urticaria, facial oedema, hypotension, bronchospasm Severe e.g. Hypotensive shock, laryngeal oedema, convulsions, respiratory and cardiac arrest Most contrast media reactions are minor and need no treatment. Moderate reactions are encountered rarely (about 1%) and severe reactions very rarely (about 0.1%), but all moderate and severe reactions require adequate treatment. Deaths following contrast media administration are extremely rare. Reported mortality rates vary between 1 in 10,000 and 1 in 169,000 averaging around 1 in 75,000. Katayama et al. (Radiology 1990; 175: 621-628) found that there is a reduction in adverse reaction rate of about four times using low osmolar contrast media (LOCM) for intravenous injection compared to high osmolar contrast media (HOCM). There is surprisingly no documented difference in mortality between intravenous LOCM and HOCM in large series from Japan and Australia. It is not usually possible to predict severe reactions, even by looking at the effect of a small test dose of a contrast medium. Guidelines have been produced for the use of low osmolar contrast agents. Risk Renal adverse reactions Contrast media-induced nephropathy is defined as impairment in renal function (an increase in serum creatinine by >25% or 44à £Ã¢â€š ¬Ã¢â€š ¬mol/L (0.5mg/dL) occurring within 3 days following the intravascular administration of contrast media in the absence of an alternative etiology Risk factors include raised s-creatinine levels particularly secondary to diabetic nephropathy, dehydration, congestive heart failure, age over 70 years old, concurrent administration of nephrotoxic drugs, e.g., non-steroidal ant-inflammatory drugs Systematically effective 1. Adequate hydration in terms of oral fluid intake or intravenous normal saline (depending on the clinical situation) at least 100 ml per hour starting 4 hours before to 24 hours after contrast administration is recommended. Concurrent administration of nephrotoxic drugs should be stopped for at least 24 hours. High osmolar contrast media, large doses of contrast media, or multiple studies with contrast media within a short period of time should be avoided. Alternative imaging techniques that do not require the administration of iodinated contrast media should be considered. Recent work in preventing and ameliorating contrast medium-induced nephropathy with N-acetyl cysteine 4-6 and various hydration regimens including use of sodium bicarbonate has been promising but is not conclusive yet. No measure has yet resulted in avoidance of its occurrence in all patients.Non-renal adverse reactions.These are generally classified as idiosyncratic or chemotoxic. Idiosyncratic (i.e., anaphylac toid) reactions occur unpredictably and independently of the dose and concentration of the agent. Most anaphylactic reactions relate to the release of active mediators. Conversely, chemotoxic-type effects relate to the dose, the molecular toxicity of each agent, and the physiologic characteristics of the contrast agents (i.e., osmolality, viscosity, hydrophilicity, calcium binding properties, and sodium content). Chemotoxic-type effects are more likely in patients who are debilitated or medically unstable 2. Acute reactions to contrast media can be divided into minor, intermediate, and severe life-threatening. Minor reactions include flushing, nausea, arm pain, pruritus, vomiting, headache, and mild urticaria. Such reactions are usually mild in severity, of short duration, selflimiting and generally require no specific treatment. Intermediate reactions are more serious degrees of the same symptoms, moderate degrees of hypotension, and bronchospasm. The reactions usually respond readily to appropriate therapy. Severe life-threatening reactions include severe manifestations of all the symptoms described as minor and intermediate reactions, plus convulsions, unconsciousness, laryngeal oedema, severe bronchospasm, pulmonary oedema, severe cardiac dysrhythmias and arrest, cardiovascular and pulmonary collapse. The prevalence of adverse reactions with lowosmolar contrast media is less than with high-osmolar contrast media by a factor of 5-6. Lethal reactionsrarely occur. The actual risk of death is less than one in 130,000 at most 3. The incidence of severe adverse reactions increases in patients with previous contrast medium reaction, bronchial asthma and allergy requiring medical treatment. Premedication with corticosteroid prophylaxis has been proved safe and effective in preventing minor adverse events in high-risk patients when ionic agents are used 4. The data indicating a protective effect of corticosteroid prophylaxis are less established when non-ionic agents are used. Opinion is divided about the value of premedication when nonionic agents are used. Even if it is given, there is a wide variety of regimes with different doses, number of doses, and frequency for corticosteroid prophylaxis. 5. A variety of symptoms (e.g. nausea, vomiting, headache, itching, skin rash, musculoskeletal pains, fever) have been described, but many are unrelated to the contrast medium. Allergy-like skin reactions are welldocumented side effects of contrast media, with an incidence of approximately 2%. Most late skin reactions after contrast medium exposure are probably T-cellmediated allergic reactions. Patients at increased risks are those with history of previous contrast medium reaction and those undergoing interleukin-2 treatment. Most skin reactions are usually mild to moderate, selflimiting and likely resolve within a week. Treatment is symptomatic and similar to the treatment of other druginduced skin reactions.Extravasation of contrast material is a well-recognised complication. The introduction of automated power injection has increased the incidence because power injection may result in extravasation of large volumes in a short period of time and may lead to severe tissue damage. Intravenous Urography Introduction Intravenous urography is a radiographic study of the  urinary system  using an intravenous contrast agent (dye). It is a medical procedure used to visualise the kidney and lower urinary tract to help diagnose problems such as infections. A contrast dye is injected into a vein on your hand or arm, and then x-rays are taken. The dye helps to outline more clearly the structure of the kidneys and lower urinary tract. The  kidneys excrete the contrast into the urine, which becomes visible when x rayed (radiopaque), creating images of the urinary collection system. An intravenous urogram is ordered to demonstrate the structure and function of the kidneys, ureters, and bladder. Patients complaining of abdominal pain radiating to the back may require this exam to rule out  kidney stones. Hematuria may also be an indication of kidney stones,infection, or tumors. Patients with high blood pressure (hypertension) and recurrent bladder infections may also require an intravenous urogram (b ut hypertension usually is imaged with MRA or nuclear medicine imagery and this exam is done when renal artery stenosis is the suspected cause of refractory hypertension). Sometimes the exam is ordered to evaluate the function of the kidney in a renal transplant patient. The transplanted kidney is located in the iliac fossa, so special films of the pelvis area are done instead of the normal routine views. The radiographic technologist may also be required to take x rays in the operating room when a retrograde pyelogram is ordered by a urologist during a C and P (cystoscopy  and pyelography). Indication A normal intravenous urogram indicates no visible abnormality in the structure or function of the urinary system. The radiologist looks for a smooth non-lobulated outline of each kidney, no clubbing or other abnormality of the renal calyces (collecting system), and no abnormal fluid collection in the kidneys that could suggest obstruction. The ureters must contain no filling defects (stones) or deviations due to an adjacent tumor. The bladder must have a smooth outline and empty normally as visualized on the post-void film. Abnormal results include hydronephrosis (distension of the renal pelvis and calices due to obstruction) as a result of tumors or calculi (stones). Cysts or abscesses may also be present in the urinary system. A delay in renal function can also indicate renal disease. An abnormal amount of urine in the bladder after voiding may indicate prostate or bladder problems. Intravenous urograms are often done on children to rule out a rapid developing tumor in the kidneys, called a Wilms tumor. Children are also prone to infections of the bladder and kidneys due to urinary reflux (return back-flow of urine). Procedure The patient will be required to change into a hospital gown and empty his or her bladder. The x-ray technologist will verify that the patient has followed the bowel preparation and complete a detailed questionnaire on the current medical history of the patient. This includes previous contrast reactions, known  allergies, risks of  pregnancy, and current medications. The x-ray technologist will explain the exam in detail to the patient as well as the risks of the contrast material that will be injected intravenously. All departments require that the patient sign a consent form before the examination is started. The x-ray technologist will relay this information to the radiologist who will decide on what type of contrast will be used. Patients who have had an injection with no reaction can be given less expensive iodine based contrast, whereas patients who take various  heart  medications or those with known allergies or  asthma will be injected with a more expensive contrast agent (known as non-ionic contrast) that has fewer side effects. Some departments use the non-ionic contrast exclusively. The patient will be instructed to lie supine (face-up) on the x-ray table and a preliminary KUB will be done. This is an abdominal view of the kidneys, ureter, and bladder used to verify patient preparation, centering, and the radiographic technique needed to demonstrate all the required structures. Kidney stones may or may not be visualized on the preliminary film. The x-ray technologist prepares the required amount of contrast to be used depending on the weight of the patient (1 ml per pound). This is normally 50-75 cc of contrast for an average-sized patient. The contrast will be injected all at once (bolus injection) or in some cases, through an intravenous drip. Some radiologists prefer to start an intravenous drip with saline as a precautionary measure while others inject with a small butterfly needle. The needle usually remains in place for 10-15 minutes, in case more contrast is needed or in case drugs need to be administered because of an allergic reaction. Most reactions occur immediately but some can take place 10 or 15 minutes after the injection. The first film is taken immediately after the injection to see a detail of the renal outline (nephrogram). Films are usually taken at five-minute intervals depending on the routine of the radiologist. Compression may be applied to the lower abdomen with a wide band to keep the contrast material in the kidneys longer. This creates a more detailed image of the renal collecting system. When the compression is released after approximately 10 minutes the contrast material drains quickly and a detailed, filled image of the ureters is obtained. Films done in the upright or prone (face-down) position may also be ordered to better visualize the lower ureters. Some departments require routine renal tomographic images to be done as well when the kidneys are well visualized. This allows the kidneys to be seen free of gas or fecal shadows. Sometimes the radiologist requires oblique views of the kidneys or bladder to determine the exact location of calculi (stones). At approximately 20 minutes aft er the injection a film centered on the bladder may be required. The x-ray tube is angled slightly caudad (towards the feet) so that there is no superimposition of the pubic area of the pelvis over the bladder. The films are shown to the radiologist and if no further films are necessary the patient will be asked to void (urinate) and a post-void film will be taken. The exam can take from 30 minutes to one hour depending on the number of films required. If the kidney is obstructed, delayed films may be required to complete the exam. Patient care The x-ray technologist must work in conjunction with the doctors and nurses in making sure the patient has not had a previous allergic reaction to a contrast agent. All hospitals have an emergency team ready to react in such a situation, so the technologist must be aware of the procedure to follow when assistance is necessary due to a severe reaction. Details of patient preparation must also be communicated to the hospital wards. In some hospitals the radiologic technologists are trained to give injections, but if this is not the case nurses may be asked to install an intravenous drip before the patient is brought to the radiology department. The x-ray technologist must explain the risks of an allergic reaction to each patient even though severe reactions are extremely rare due to the advances made in the preparation of contrast agents. The x-ray technologist explains to the patient that a warm, flushed feeling or a metallic  taste  in the mouth are normal reactions in some patients. Breathing instructions are also important since the kidneys change position depending on the phase of respiration and to prevent motion artifacts. Sometimes an emergency patient with renal colic (acute abdominal pain) is asked to urinate through a special filter used to trap small stones. All radiographic technologists must be certified and registered with the American Society of Radiologic Technologists or an equivalent organization. Continued education credits are mandatory to remain registered. Risk and side effect Some of the side effects and possible complications including minor reactions to the contrast dye. It may include flushing, warmth and a metallic taste in the mouth. These usually resolve quickly. These symptoms are much less common with the newer contrast dyes. Some patient might experience severe allergic reactions. It may occur in a small percentage of the population. Symptoms range from relatively mild to severe, and can include hives (skin rash), breathing difficulties, swelling of the lips and tongue, low blood pressure and loss of consciousness. There is case when a patient experienced acute renal failure  but it occurs in less than 0.5 per cent of cases. Risk factors include advanced age, diabetes, dehydration and a past history of kidney disease. For patients with these risk factors, extra intravenous fluids, pre-treatment with acetylcysteine, and a reduced dose of contrast dye may be recommended, or they may undergo different procedures altogether. Problems that found There are several limitations of ultrasonography, CT, and MRI: lack of visualization for large portions of the urinary tract with ultrasonography, necessity of contrast agent administration and excretory images with CT, inability to visualize subtle urothelial abnormalities with sufficient spatial resolution with both CT and MRI, and insufficiency in visualizing calcifications with MRI[1]. Additional disadvantages of MRI are inconspicuousness of small intrarenal calculi, susceptibility artifact due to metallic objects that interfere with the visualization of ureteral segments, flow-related artifact in some sequences, and interference of hemorrhage into renal collecting system with static-fluid MR urography[8]. The patient effective dose, and therefore radiation risk, of CT urography is 1.5 times that of conventional urography. The increased radiation risk from a CT urography compared with an IVU should be considered in the context of the amount of information that is necessary for th e diagnostic task. Radiation risk is increased for smaller patients in CT urography and for larger patients in IVU[5]. Although CT falls short of IVU in the evaluation of urothelium, helical CT technology continues to evolve with introduction of multidetector row scanning (MDCT)[3,9]; MDCT may eventually replace IVU for the evaluation of hematuria[2,4]. Finally, there is not an optimum or ideal examination technique for CT urography[10] or MR urography. Examination techniques must be constructed according to suspected pathology of the patient and urinary system status. Although advances in imaging technology have given CT and MR urography advantages over IVU, many centers still use IVU as a part of routine radiological practice. Therefore, techniques or modifications for improving application and diagnostic capabilities of IVU should still be considered. For decades, intravenous urography has been the primary imaging modality for evaluation of the urinary tract. In recent years, however, other imaging modalities including ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging have been used with increasing frequency to compensate for the limitations of intravenous urography in the evaluation of urinary tract disease . Like intravenous urography, however, these examinations have their limitations. Large portions of the urinary tract are not visualized at US; CT requires contrast material administration and excretory images (at times with a prolonged delay), often with image reformatting for evaluation of the urothelium; and MR imaging may not demonstrate calcifications or show the urothelium with sufficient resolution for evaluation of subtle abnormalities. Thus, despite increasing use of these alternative modalities, the ideal global urinary tract examination remains controversial . Axial imaging with con trast material opacification of the urinary tract will likely evolve as the most efficient imaging evaluation. However, the declining use of intravenous urography in clinical practice reduces the opportunity to learn important interpretive skills. Formal urography (or the urographic equivalent of conventional radiography of the urinary tract following administration of contrast material for CT) is frequently performed in the evaluation of hematuria. Urography may also be performed in the pre- or posttherapeutic evaluation of stone disease that has been discovered with other modalities. BARIUM SWALLOW Introduction A barium swallow and meal is type of X-ray test that allows your doctor to examine your throat, oesophagus (the pipe that goes from your mouth to your stomach), stomach and the first part of the bowel (duodenum). X-rays usually pass straight through parts of the gut such as the oesophagus, stomach and bowel and so these structures dont show up well on plain X-ray images. However, if the gut wall is coated with barium, a white liquid that X-rays cant pass through, a much clearer image of the outline of the gut can be captured. If your stomach is being examined, the test is called a barium meal. If your oesophagus is examined at the same time, its called having a barium swallow and meal. A barium swallow and meal test can help work out why youre getting symptoms such as difficult or painful swallowing, heartburn, reflux and abdominal pain. The tests give your doctor information about the swallowing action, and

Stanley Kowalski in A Streetcar Named Desire by Tennessee Williams Es

Stanley Kowalski in "A Streetcar Named Desire" by Tennessee Williams In the play, A Streetcar Named Desire, author Tennessee Williams does a wonderful job developing the character of Stanley Kowalski. To me, his character seemed most like that of a true person. On the other hand, Stella, Stanley's wife, is mainly displayed as being the loving type, and because that is basically the only character trait she displays, it is difficult to really understand her as a person. The character of Stanley Kowalski is developed much like a real person, having numerous personality traits. One characteristic of Stanley is his rudeness and cruelty towards Blanche, Stella's sister. It is very apparent that Stanley does not care for Blanche. Scene eight mentions Blanche's birthday party, and surprisingly, she receives a gift from Stanley. This gift, however, is not one that most people would appreciate. Blanche is very surprised to get a gift from Stanley, and as she opens it she says, "Why,why-Why, it's a-" . This is the first indication that there is something the matter. Because Blanche can't finish her sentence, Stanley lets everyone know that it's a "Ticket! Back to Laurel! On the Greyhound! Tuesday!" . Blanche obviously couldn't finish her sentence because she was insulted that her birthday present implied that she was not welcome by Stanley. Even Stella knew how rude and cruel Stanley had acted towards Blanche. Stella lets Stanley know, "You needn't have been so cruel..." . In scene ten, Stanley says to Blanche, "Take a look at yourself in that worn-out Mardi Gras outfit, rented for fifty cents from some rag-picker! And with the crazy crown on! What queen do you think you are?". This quote shows that Blanche's p... ...takes the only remaining course to maintain his territory; by raping Blanche he establishes the physical domination he attempted, unsuccessfully, early in the play, and the psychological domination he attempted, later, by using Blanche's own guilt against her. From our first introduction to Stanley, when he tosses the bloody package to Stella, to our last, when he rips the lantern off the light just before the doctor and nurse take Blanche away, we see this man as an expression of animalistic territoriality. He uses every tactic possible to exert his power over a fragile, but threatening woman. Finally, using brute force and sexual dominance, he appears to win. In fact however, the winner is ambiguous if even in existence. A rift has developed in the only relationship that Stanley values - that between him and his wife, with no promise of a better future.

Saudi Student Organization; Objectives

Just like any other organizations for international students in the university, we aimed to provide family oriented environment for our members. We are genuinely inviting other Saudi students therefore to get involved with â€Å"The Saudi Student Organization at USI†, as we firmly believe that our common culture and social orientation will help us to work more effectively as family and organization. This organization will represent Saudi culture, civilization and history and link them to other USI students of whatever nationality. Furthermore, this organization will help strengthen the social bonds of Saudi students as we are going to redefine the common misconceptions about us. Basically one of its objectives is to increase the members’ understanding towards Saudi and Middle Eastern cultures and to provide them with better understanding with American culture as well. In this way, Arabic students will be able to cope and adjust to the American culture easier and faster. Since, we are anticipating an increasing number of students from Saudi Arabia; we are also aiming to increase the number of our members in SSO. Assuredly, this organization will respond effectively to the members’ special needs and to ensure smooth and positive integration and relationship between other students in the campus. The Saudi Student Organization will provide many opportunities to students from Saudi Arabia and the like to share the beauty and authenticity of their culture and tradition and thus engaging in meaningful and educational dialogues with American students and others. Apparently, the main objective of this is to increase mutual understanding among individuals inside the campus. Furthermore, to be involved in this organization will give the Arabic students opportunities to continue fulfilling and practicing their tradition and religion within their co Arabic members who share the same beliefs. Therefore, there will never be a sense of isolation in this organization since every member can always find something or someone to relate to. They can always accumulate updates towards their culture within the organization and can share ideas and thoughts on how to reaffirm their identity in a foreign country like United States. Meanwhile, SSO will also represent and address the concerns of its members in the administration. Thus, SSO guarantees its members that they always have a voice through their support group. New members, that are those who just came from their country of origin, will be guaranteed that they will acquire enough orientation through SSO about the university as a whole; its culture, trends, academic pattern and sense of community. Furthermore, members will be exposed too to various activities of the university inside and outside. In this way, they can widen their experiences towards different culture and people and as a result they will have more chance to widen their social network, learning and wisdom. Apparently SSO will guarantee its members that learning will not stop within the confinement of the four corners of the classroom but rather SSO will assure them that we will provide them free learning activities and experiences. These objectives will make the members more tolerant and flexible in a society where there is an apparent diversity of culture and different set of belief system. Aside from the aforementioned objectives, SSO will also help its members to develop their leadership skills and self esteem and to explore their full potentials. This will be beneficial for the application of their profession in the future. Interestingly, joining SSO will be a good and wise investment for future endeavors. Members will also be exposed to different kinds of experiences that will even give them many opportunities to help people through sharing and camaraderie. In the future, they will become tolerant and flexible individuals who are prepared to face different kinds of circumstances. Throughout these objectives, SSO conclusively encourage its members to be globally competitive to ensure success not just materially but socially, spiritually and intellectually. We are thus encouraging our co Saudi students to join Saudi Student Organization (SSO) as we want you to experience the fulfillment of our goals and objectives.