Family Background Raymond Vasquez - 2079 Words

Name: Raymond Vasquez Age: 6 Grade: 1st grade Family Background: Raymond is six years old and was born to a normal family with no real prominent illnesses among them. He has a mother, Sadie, father, Joe, and sister, Luca, who all live with him in Skokie, Illinois. The Vasquez family comes from a middle class family with both mother and father holding blue collar jobs. In infancy, Raymond was described as separated, and in his own world. He never liked to be close to anyone and would frequently be overwhelmed. Anytime his mother would try to cuddle with him, he would stiffen like a board to avoid being touched. For quite some time Raymond’s mother thought she was the reason why he didn’t like to be close to anyone, little did she know at the time that her son struggled with Asperger Syndrome. Raymond began speaking in full correct sentences at the age of two, he also began to read and write at three. The first book he read was the first installment of the Harry Potter series, although he didn’t really underst and it fully then, he read it over and over until he understood. He often follows adults around unloading massive amounts of information that may not seem important to them, but it is to him. Disability Definition: 1. The disorder is named after Hans Asperger, a Viennese pediatrician who, in 1940, first described a set of behavior patterns apparent in some of his patients, mostly males. Asperger noticed that although these boys had normal intelligence andShow MoreRelatedSadie Hawkins Day and Valentine Grams18321 Words   |  74 Pagesby having this show, the students are able to show off their skills and raise selfconfidence,† says Special Education teacher Maria Casiano. That night, the Piedmont Hills’ High School Theater was packed to the brim with over 500 students, parents, family members and faculty who were anticipating the show. This year, the students had a theme of â€Å"America’s Got Talent.† Freshmen Sarah Hopkinson, Hahn Nguyen and Richard Nguyen acted as judges, while sophomore Keith Baloran entertained the crowd as a host

The Disregard Of Life During War - 1654 Words

The Disregard for Human Life during War Times The quality of life for soldiers of war has decreased and basic necessities are lost. The value of civilian lives is also lost in the disputes between two countries. An example of this is, â€Å"Something was being burned there. A truck drew close and unloaded its hold: small children. Babies! Yes, I did see this, with my own eyes†¦ children thrown into the flames† (Wiesel 33). The above quote from Night by Elie Wiesel represents the disregard of life and the horrors that can be seen in times of war. Many wonder why war changes the value of human lives. Why does war have the power to choose if your life is worth keeping? The quality of life decreases in times of war therefore showing the realities of war and the toll it takes on the soldiers and civilians involved. Conflicts such as the American Revolution, the Civil War, World War One, World War Two and the Vietnam War all share common characteristics. Throughout each of thes e wars the quality of life has decreased because of the demands and needs for soldiers and civilians. Examples of these poor conditions can be seen in journals, letters, propaganda posters, photographs, speeches, essays and songs. These examples prove that the soldiers in these wars lost many of the activities that many take for granted. It also shows how surviving life outside of the fighting is just as hard as the war itself. This further proves that war is a serious matter and should not be taken lightly.Show MoreRelatedHow the Atrocities of War Exemplify the Characteristic Moral Ambiguity of Human Nature719 Words   |  3 Pagesutter disregard for human life that many of the world’s leaders adopt in times of war, inspiring further research through the evocation of a need to more thoroughly learn about the moral ambiguity that envelops those in positions of power during wartime. This characteristic moral ambiguity of human nature is most clearly seen in the atrocities of war through institutionalized torture, mass death, and willingness of leaders to sacrifice troops. Through analyses of conflicts such as the World War IIRead MoreNorth Korea s Confrontational And Unpredictable Behavior1261 Words   |  6 Pagescontrolled places in the world. Formed after World War II and having only two leaders during its time of existence, this country has displayed defiant acts against the global community throughout its history. Currently under heavy sanctions by the U.N., North Korea illustrates a blatant disregard to international law through trade of prohibited goods. Its obsession with nuclear weapons in recent years, its continuous disregard to human life and its affiliation to terrorism creates fear and uncertaintyRead MoreDialogue Between Ophelia And Hamlet742 Words   |  3 Pages William Shakespeare has written some of the greatest plays of all time regarding love and war. In the play, Hamlet, by William Shakespeare, Ophelia and Hamlet exchange many comments about their relationship while Hamlet wages a form of war on the King. It is widely up to interpretation if the comments exchanged signal a friendship or if they allude to something more. In William Shakespeare’s Hamlet, Ophelia and Hamlet maintain a serious relationship, yet lack a sense of affection, which describesRead MoreThe Life And Times Of Scott Fitzgerald764 Words   |  4 PagesThe Life and Times of Scott Fitzgerald How did Fitzgerald’s life and the time period influence his writing? The mastermind behind one of America s greatest and most revolutionary pieces of literature had a humble beginning. He was born on September 24, 1896 to Mary and Edward Fitzgerald of St. Paul Minnesota. As a child, the family moved back and forth between Buffalo and Syracuse New York, they were dependent on his fathers minimum wage jobs. Scott’s first piece of writing, a detective storyRead MoreThe Life And Times Of Scott Fitzgerald766 Words   |  4 PagesThe Life and Times of Scott Fitzgerald How did Fitzgerald’s life and the time period influence his writing? The mastermind behind one of America s best and most revolutionary pieces of literature had a humble beginning. He was born on September 24, 1896 to Mary and Edward Fitzgerald of St. Paul Minnesota. As a child, the family moved back and forth between Buffalo and Syracuse New York, they were dependent on his fathers’ minimum wage jobs. Scott’s first piece of writing, a detective story, wasRead MoreThe Medal Of Honor And Honor1253 Words   |  6 PagesIn 1962 during the American Civil War, the Nation’s highest decoration in combat was established. The Medal of Honor is presented to those who go above and beyond the Call of Duty. These Soldiers did not just display Valor, but also what we now call Army Values. They were Loyal to their country, set on their Duty obligation and Selflessly put our country ahead of themselves. They kept moving forward against the enemy, never retreating, only showing the importance of Integrity for their country, withRead MoreRelation ship between the Protagonists in The Kite Runner1881 Words   |  7 Pagesï » ¿THE KITE RUNNER The Kite Runner is a commentary on history, societal evils and human weaknesses. It is not a story of heroes but of ordinary people and the choices they make in life. It pinpoints a universal struggle of trying to fit in society by bending to its dictates or finding the courage to do the right thing. It is a story of friendship, betrayal and of making things right. Relationship between the protagonists The book, set in the background of Afghanistan, revolves around theRead MoreThe Decision For El Salvador s Supreme Court860 Words   |  4 Pageslaws (Malkin, Palumba). This event is particularly important because previous governments ignored these violations that stemmed from civil unrest. The amnesty law was established in 1992 after a civil war of more than 12 years and â€Å"effectively covers all crimes committed by both sides during the war† (Dolliver, Kanavel, Robeck). However, due to its contestable legality both domestically and internationally, El Salvador’s Supreme Court decided to rule on the amnesty’s law constitutionality for theRead MoreThe Medal Of Honor And Honor1241 Words   |  5 Pages In 1962 during the American Civil War the Nation’s highest decoration in combat was established. The Medal of Honor is presented to those who go above and beyond the Call of Duty. These Soldiers did not just display Valor but also what we call now Army Values. They were Loyal to their country, set on their Duty obligation, Selflessly put our country ahead of themselves. They kept moving forward against the enemy, never retreated showing the importance of Integrity for their country, with CourageRead MoreErnst Fritz Schumacher : A Study Of Economics As If People Mattered1301 Words   |  6 PagesSchumacher was a British economist, born in Germany, who lived and worked during the middle of the 20th century. His work includes the development of full-employment policies during World War 2 and the planning of Britain’s post-war welfare state. He advised Britain’s nationalized coal industry for 20 years and in 1955 he was sent as an economic adviser to Burma with the aim of raising the living standards in the country. His life experiences motivated him to write Small is Beautiful: A Study of Economics

Descrpition Essay on New York City Free Essays

Macy Climer The city that never sleeps When you think of New York City, you most likely imagine the extraordinary buildings that fly in the sky or the crowded sidewalks with hundreds of people shopping on every corner. Even with my short visit I found myself lost in the big apple. The streets are filled with the atmosphere that is like teenagers shopping with their parent’s credit card. We will write a custom essay sample on Descrpition Essay on New York City or any similar topic only for you Order Now Although by the end of the day your feet are so swollen from all the walking, you find yourself wanting to keep going in the hopes of having the best â€Å"New York experience. † It was spring break of my senior year and my dance team plus our moms were about to travel to the city that never sleeps. All of us were so anxious to explore this amazing city that most of us have only seen on TV. When arriving at the airport that early spring morning I had butterflies in my stomach, for the thought of the big city that I have always dreamed visiting. The flight was long but it was comfortable. When the captain announced that we would be landing in about 20 minutes, I was the most anxious I have ever been in my life. Twenty minutes felt like forever! Finally the seat belt sign went off and the flight attendants opened the exit doors. The airport was so crowded with every kind of person you could think of. It was a small airport, only being about 10 minutes away from the city. After we collected our luggage we went to flag down our first taxi. I have watched several movies that were based in New York City so getting a taxi was just as simple as raising your hand and waving them down. As the taxi came up from under a bridge I found myself staring at the most amazing city I have ever been to. Time Square is seen in a lot of movies, but it is way better then I imagined. As I was standing right in the middle of Time Square I was overwhelmed with everything that was going on around me. There were people covering every inch of the sidewalk, hot dog stands and people handing out flyers to shows and other activities. The cars were bumper to bumper while horns came from every direction. Even though NYC is this amazing city, it was kind of a dirty, loud, and crowded place. But behind the crowded loud streets, New York is a beautiful city. Our journey began the second we arrived. I wanted to explore every inch of the city but I knew that was impossible. I was going to try though; the hotel we stayed at was right in the middle of Time Square. It was like a dream every time I walked out our doors. The city was such a fast paced place. People fast walking past you, taxis speeding through the tiny avenues of New York, the people of NYC for sure live off coffee and red bull. The days went by so fast because we were constantly doing something at all times. Mainly sightseeing and shopping, lots and lots of shopping! As the days went by the city became easier to get around. I was a pro at flagging down a taxi, and I understood the whole subway thing. I realized that when they say that New York is the city that never sleeps they meant it. At all hours of the night I would hear car horns and loud music and people talking. I loved every bit of the city, even though it was crowded and loud and sometimes a little smelly. The shopping and all the huge skyscrapers made it worth it. Shopping wasn’t the only good thing about New York; I was able to see two Broadway shows. The shows are amazing and filled with really talented people. Triple threats that can sing, dance, and act, I saw wicked which was a show I have wanted to see since it first came out. These shows are the coolest things; New York is a place full of adventure and excitement. Our journey was ending and it was bitter sweet. I loved the city but Texas is my home and I missed it. I will for sure visit New York again sometime in my life. After exploring the city for a week I came to realize that it is a fabulous place to visit, but maybe not such a good place to live. I loved getting to experience this city with my mom and seeing all the sights that are so cool, and eating all the food that New York is known for , and even shopping at places that a lot of celebrities shop at. It would take several trips to NYC to get to discover everything there but I feel like my trip to the big apple was the real â€Å"New York experienced. † How to cite Descrpition Essay on New York City, Essays

Radiology best flash Example For Students

Radiology best flash The best way to visualize a small left sided pneumothorax is a. Right lateral b. Left lateral c. Right lateral decubitus d. Left lateral decubitus Pneumothorax is best demonstrated by taking a radiograph, with the patient in a. Inspiration b. Full inspiration c. Expiration d. Prone Minimal pleural effusion is best detected by x-ray view a. AP b. PA c. Oblique d. Lateral The best view of the chest to show minimal pleural effusion is a. PA view b. AP view c. Lateral decubitus view d. Oblique view Best view to diagnose minimal amount of fluid in pleural space a. AP view b. PA view c. Apical view d. Lateral decubitus view The chest X-ray viewbest suited for pleural effusion detection is a. AP view b. PA view c. Lateral decubitus view d. Lateral view The best view to visualize a right pleural effusion in chest X-ray is a. Right lateral b. Left lateral c. Right lateral decubitus d. Left lateral decubitus A patient presents with minimal pleural effusion on the right side. The best method to detect this would be a. Right side chest X-ray b. Left side chest X-ray c. Left lateral decubitus chest X-ray d. Right lateral decubitus chest X-ray All the following calcify except a. Medulloblastoma b. Ependymoma c. Oligodendroglioma d. Meningioma The earliest USG finding in pregnancy is a. Gestational sac b. Fetal cardiac activity c. Placenta d. Fundal thickening Half-life of 99m Tc is a. 2 hours b. 4 hours c. 6 hours d. 8 hours Which of the following is a naturally occurring radioactive substance in the body found in small quantities a. Radium 226 b. Bismuth 50 c. Iodine 131 d. Potassium 40 Residual mediastinal and retroperitoneal lymphoma is assessed by a. Bipedal lymphangiogram b. Technetium 99m pyrophosphate scans c. Restaging procedure d. Gallium scan Atomic number corresponds to a. Number of protons b. Number of electrons c. Number of neutrons d. Electrons + Protons Bilateral spider leg sign in IVP is indicative of a. Renal stones b. Hypernephroma c. Hydronephrosis d. Polycystic kidney Calcification of meniscal cartilage is a feature of a. Psedugout b. Reiters syndrome c. Hyperparathyroidism d. Acromegaly Ideal imaging method to diagnose hydrocephalus in infant is a. MRI b. USG c. CT scan d. Plain X-ray a. Open fontanelle Neurosonography of neonates is preferred over CT scan because a. Open fontanelle b. Inexpensive c. Children more cooperative d. Better resolution Excretory urography should be catiously performed in a. Leukemia b. Neuroblastoma c. Bone secondaries d. Multiple myeloma IVP is contraindicated in a. Multiple myeloma b. Kidney stones c. Transplanted kidney d. Renal cyst Most important investigation for pericardial effusion is a. Lateral view of Xray-chest b. Echocardiography c. USG d. Cardiac catheterization Best method for diagnosing pericardial effusion is a. Echocardiography b. Gallium scan c. Angiography d. USG c. Sturge weber syndrome Tram line calcification is seen in a. Ependymoma b. Thrombosed cerebral veins c. Sturge weber syndrome d. Meningioma Tram track appearance on X-ray of the hand is seen in a. Sturge-weber syndrome b. Von-hippel lindau disease c. Tuberous sclerosis d. Neurofibroma Which one of the following is the contrast used in MRI scan a. Iodine b. Gadolinium c. Rose Bengal d. Strontium Answer: All of them have egg shell calcificatoin A helpful mnemonic for major causes of eggshell calcification in the thorax and mediastinum is: A Silly Cool Sergeant Likes His Tubercular Blast Mnemonic A: amyloidosis S: Silicosis C: Coal workers pneumoconiosis (CWP) S: Sarcoidosis L: Lymphoma: (postirradiation Hodgkin disease) H: Histoplasmosis (e.g. pulmonary histoplasmosis) T: Tuberculosis B: Blastomycosis (e.g. pulmonary blastomycosis) Egg shell calcification is seen in a. Silicosis b. Sarcoidosis c. Tuberculosis d. Histoplasmosis d. Thumb print appearance Radiologic sign characteristic of ischemic colitis is a. Inverted 3 appearance b. Cobra head sign c. Craggy popcorn appearance d. Thumb print appearance c. Thumb printing Radiological feature of ischemic colitis is a. Saw tooth appearance b. Nose pipe appearance c. Thumb printing d. Cobble stone appearance c. 5.7 Half life of cobalt-60 is ___ years. a. 2-3 b. 1.2 c. 5.7 d. 3.4 c. Gamma rays Radioactive cobalt emits a. Neutrons b. Alpha rays c. Gamma rays d. Beta rays c. 270 days The half life of Co-57 is a. 2.6 years b. 5.2 years c. 270 days d. 3200 years b. CT Which of the following investigations are to be done for the diagnosis of carcinoma head of pancreas a. Pelvic X-ray abdomen b. CT c. USG d. Hypotonic duodenography c. CT scan Best diagnosis for pancreatic disease a. PTC b. ERCP c. CT scan d. USG c. CT scan Most sensitive investigation of pancreatic carcinoma is a. Angiography b. ERCP c. CT scan d. Ultrasound d. Milkmans pseudofracture Loosers zone is characteristic of a. Hyperparathyroidism b. Scurvy c. Hypoparathyroidism d. Milkmans pseudofracture d. Osteomalacia Milkmans pseudofractures These lesions are composed of poorly mineralized osteoid matrix and are not true fractures or stress fractures. It appears as a thin, translucent band, about 2 mm in width, which runs perpendicular to the surface of the bone extending from the cortex inwards. They are oriented perpendicular to the long axis of the bone, and do not cross the entire bone. It represents insufficiency fractures through unmineralized osteoid in patients with osteomalacia. Common sites include axillary margins of the scapulae, ribs, pubic rami, proximal femurs, proximal ulnae and proximal humerus. Similar changes radiographically may be seen in Pagets disease; however, they are only seen in involved bone and are not generalized. In addition, the lines in Pagets occur on the convex side of the bone(tensile aspect) while in osteomalacia they occur on the concave side (compressive aspect). The lines in Pagets represent insufficiency fractures. Read more: 1. http://www.mypacs.net/cases/OSTERMALACIA-WITH-LOOSERS-ZONES-805293.html 2. http://www.arthritisresearchuk.org/arthritis-information/conditions/osteomalacia/symptoms.aspx Pseudofracture or loosers zone is seen in a. Vitamin C deficiency b. Thyroiditis c. Osteoporosis d. Osteomalacia d. 2 D echocardiography Best investigation for cardiac tamponade is a. M mode ECG b. USG c. Real time ECG d. 2 D echocardiography c. 8 days Half life of I-131 is a. 10 days b. 4 days c. 8 days d. 4 hours c. 99m Tc DTPA Renal GRF can be estimated by a. 99m TC + 121 Gallium b. 99m Tc DMSA c. 99m Tc DTPA d. 99m Tc DMSA c. 5 rads Safe maximum dose of radiation per year in human being is a. 20 rads b. 10 rads c. 5 rads d. 1 rad Kerley B lines are seen when pulmonary venous pressure is a. 5 mm Hg b. 10 mmHg c. 22 mm Hg d. 40 mm Hg d. Bronchoalveolar carcinoma Pulmonary kerley B-lines are seen in all the following except a. Pulmonary edema b. Mitral valve disease c. Interstitial fibrosis d. Bronchoalveolar carcinoma c. Intracranial metallic aneurysm clips Contraindication for the user of NMR imaging is a. Psychotic patients b. Patients on lithium c. Intracranial metallic aneurysm clips d. Patients receiving radiotherapy c. MRI scan Radiation exposure does not occur in a. Plain X-ray b. Fluoroscopy c. MRI scan d. CT scan Which is not mutagenic a. Ultraviolet rays b. Beta rays c. X-ray d. Ultrasound Investigation of choice for subarachnoid hemorrhage is a. Angiography b. CT scan c. Enhanced MRI d. MRI Noninvasive procedure for CVA is a. EEG b. Echoencephalography c. Angiography d. CT scan d. Anencephaly Congenital malformation that can be detected earliest on USG a. Down syndrome b. Sacral agenesis c. Hydrocephalus d. Anencephaly b. Lateral view Best view for visualizing sella turcica on X-ray is a. AP view b. Lateral view c. Open mouth view d. Dorsal view c. Se-75 In pancreatic scanning, isotope most commonly used is a. I-131 b. Tc-99 c. Se-75 d. Cr-51 a. Splenic disease Technetium labelled red cells are used in a. Splenic disease b. Pulmonary embolism c. Renal disease d. Biliary tree a. Ventilation perfusion scan Gold standard for pulmonary embolism is a. Ventilation perfusion scan b. Contrast MRI c. MRI d. CT a. Ventilation perfusion scan In pulmonary embolism the investigation of choice is a. Ventilation perfusion scan b. Contrast MRI c. MRI d. CT b. Ventilation perfusion scan Pulmonary embolism is best diagnosed by a. CT scan b. Ventilation perfusion scan c. USG d. X-ray chest PA view a. G2M stage Radiosensitive stage is a. G2M stage b. G2 stage c. G1 stage d. S phase c. Hamartoma Popcorn calcification: A cluster of sharply defined, irregularly lobulated, amorphous calcifications often with rings and arcs that resemble popped corn kernels. Usually seen in a pulmonary nodule Popcorn calcifications within a well circumscribed pulmonary nodule are highly suggestive of pulmonary chondroid hamartoma. This type of calcification may be seen in many radiological settings including: a. Chondroid lesions (e.g enchondroma, chondrosarcoma) b. Fibrous dysplasia c. Pulmonary hamartomas d. Degenerating fibroadenomas of the breast They are also seen in metaphyses and epiphyses of long bones of children with osteogenesis imperfecta. Read more: 1. http://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster;task=viewsection;pi=121234;ti=406237;searchkey= 2. https://online.epocrates.com/u/2921547/Evaluation+of+solitary+pulmonary+nodule/Diagnosis/Approach 3. http://radiopaedia.org/articles/popcorn-calcification Popcorn calcificatoin is seen in a. Tuberculosis b. Carcinoid c. Hamartoma d. Teratoma c. Hamartoma Popcorn calcification in lung is virtually diagnostic of a. Tuberculoma b. Carcinoid c. Hamartoma d. Teratoma c. CT scan (HRCT) Best method of detecting minimal bronchiectasis is a. Chest X-ray b. Radionuclide lung scan c. CT scan (HRCT) d. Bronchography b. Bronchography In bronchiectasis the investigation of choice is a. USG b. Bronchography c. Bronchoscopy d. X-ray c. Driven snow appearance Pindborg tumor: Calcifying Epithelial Odontogenic Tumor On radiographs, it appears as a radiolucency (dark area) and is known for sometimes having small radiopacities (white areas) within it. In those instances, it is described as having a driven-snow appearance. Microscopically, there are deposits of amyloid-like material. Which of the following is seen in Pindborg tumo a. Sunray appearance b. Onion peel appearance c. Driven snow appearance d. Cherry Blossom appearance @ Punched out lucencies without surrounding osteosclerosis are the characteristic lesions seen on plain radiographs of the skull in the patient with disseminated myeloma. In primary hyperparathyroidism, extensive resorption bone in the skull in combination with cystic areas of osteopenia are termed pepper pot skull. 1. http://images.md/myeloma-multiple-myeloma/ 2. http://roentgenrayreader.blogspot.com/2012/09/pepper-pot-skull.html Multiple punched out lytic lesions in X-ray are seen in a. Eosinophilic granuloma b. Multiple myeloma c. Craniopharyngioma d. Pagets disease Dilatation of pancreatic side branches is more apparent on MRI than CT and may cause the so called string of pearls or chain of lakes appearance on MRCP. See more at: http://www.appliedradiology.com/articles/imaging-of-the-pancreas-part-1#sthash Case Analysis Insubordination Essay Unit of one dose of radiation absorbed is: a. Gray b. Roentgen c. Curie d. Becquerel In aortic dissection the investigation of choice is: a. ECG b. Aortagraphy c. CT scan d. MRI scan Estimation of fetal maturity by biparietal sonic measurement at 20-28 weeks of gestation is accurate to within +/-: a. days b. 14 days c. 10 days d. 20 days Investigation of choice for acute subarachnoid hemorrhage: a. Enhanced MRI b. MRI c. CT scan d. Angiography Diagnostic of rickets on X-ray is: a. White line of Frankel b. Epiphyseal widening c. Periosteal elevation d. Cupping and flaring A characteristic of benign tumor of lung in X-ray is: a. Size 5 cm diameter b. Peripheral location c. Cavitation d. Calcification The following is a radiolucent renal stone: a. Cystine b. Calcium phosphate c. Uric acid d. Calcium oxalate Fish mouth vertebra occurs in the: a. Osteogenesis imperfecta b. Ehler-Danlos syndrome c. Gauchers disease d. Marfans syndrome Coffee bean sign indicates: a. Toxic megacolon b. Volvulus of cecum c. Strangulation of incompletely odstructed loop of small bowel d. Mesenteric artery embolism Chickenpox pneumonia is characterized by: a. Nodular infiltrate b. Basilar infiltrate c. Pulmonary edema d. Linear pattern Candle wax appearance is seen in: a. Osteogenesis imperfecta b. Meloorheostosis c. Diaphyseal dysplasia d. Exoxtosis Primary anomaly in Klippel-Fell syndrome is: a. Torticolitis b. Fusion c. Absence d. Segmentation Loss of lamina dura is observed in: a. Cushings disease b. Legg-Calve-Perthes disease c. Hyperparathyroidism d. Osteoporesis Hamman-Rich syndrome is: a. Fibrosing alveolitis b. Idiopathic pulmonary fibrosis c. Recurrent spontaneous pneumothorax d. Central mediastinal adenopathy Batwing pattern of pulmonary edema is typical of: a. Renal failure b. CCF c. ILD d. Sarcoidosis Differential diagnosis of honeycomb lung includes: a. Eosinophilic granuloma b. Sarcoidosis c. Both d. None Pancoast tumor is most commonly due to which cell type: a. Squamous b. Columnar c. Adenocarcinoma d. pseudo-stratified Ulcer crater on barium X-ray examination indicates the diagnosis of : a. Gastric carcinoma b. Duodenal ulcer c. Duodenal diverticulum d. Duodenal stricture Best diagnostic modality for subphrenic abscess is: a. Plain X-ray b. Ultrasound c. CT scan d. Diagnostic laparotomy Lateral source of neutrons for radiotherapy is: a. Strontium 90 b. Iodine 131 c. Californium 252 d. Radium 226 Terminal phalangeal sclerosis is associated with: a. Rheumatoid arthritis b. Normal variation c. Sarcoidosis d. All of the above Round, smooth, slightly lobulated peripheral opacity in the lung with calcification is a feature of: a. Hamartoma b. Hydatid cyst c. Amoebic abscess d. Carcinoma lung Wimberger,s ring is seen in: a. Scurvy b. Rickets c. Osteomalacia d. Osteoporesis Brachytherapy means: a. Irradaiation by radiopharmaceuticals b. Irradiation of tissue at 3 cm from the surface c. Irradiation of tissue by placing radioactive sources into the tissue d. Irradiation of tissue from a distance Type of radiation used in radiotherapy is: a. Photons b. Infrared rays c. Ionizing radiation d. UV rays Which of the following is provided by linear accelerator: a. Infrared rays b. Neutrons c. Electrons d. Protons Atomic weight is equal to the number of: a. Neutrons b. Protons and neutrons c. Electrons d. Protons Normal metacarpel index is: a. 10.4 b. 5.4 c. 5.4-7.9 d. 8.4-10.4 Tear drop sign is seen in: a. Posterior cranial fossa b. Maxillary sinus c. Zygoma fracture d. Blow-out fracture of orbit Which of the following is differential diagnosis for miliary shadow in chet X-ray: a. Tuberculosis b. Pulmonary siderosis c. Histoplasmosis d. All of the above Figure of 8 features are seen in which of the following: a. TOF b. Abnormal origin of aorta c. TAPVC d. Partial APVC Best conductor of electricity is: a. Diamond b. Coke c. Coal d. Graphite Which of the following is a characteristic radiological finding in neonatal necrotizing enterocolitis: a. Gas in the portal system b. Gas in the intestinal wall c. Pneumopritoneum d. Air fluid levels In the diagnosis of pheochromocytoma one of the following radionuclide scan is useful: a. MIBG scan b. MIDA scan c. DTPA scan d. DMSA scan Radiological investigation in female of reproductive age should be restricted to: a. First 10 days of menstrual cycle b. Period of menstruation c. 10-20th day of the cycle d. Last 10 days of the cycle Percentage of cold thyroid nodule likely to be malignant is: a. 72% b. 20% c. 40% d. 30% The test , which is both sensitive and specific for diagnosis of renal artery hypertension is: a. Captopril-enhanced radionucleotide renal scan b. Angiography c. CT d. MRI Stereotactic radiosurgery is a form of: a. Radiotherapy b. Radio-iodine therapy c. Robotic surgery d. Cryosurgery Which one of the following radioisotope is commonly used as a source for external beam radiotherapy in the treatment of cancer patients? a. Strontium-89 b. Radium-226 c. Cobalt-59 d. Cobalt-60 Bracket calcification of skull in X-ray is seen in: a. Meningioma b. Sturge-Weber syndrome c. Corpus callosum lipoma d. Tuberous sclerosis A male patient presents with abdominal pain and distention. On barium enema examination, there is a birds beak deformity. Which of the following is the likely diagnosis? a. Intussusception b. Volvulus of the sigmoid colon c. Enteric perforation d. Crohns disease Thickness of lead apron to prevent radiation is: a. 0.5 mm b. 7 mm c. 3 mm d. 1 mm A young patient presents with history of dysphasia more to liquids than solids. The first investigation you will do is: a. Barium swallow b. Esophagoscopy c. Ultrasound of the chest d. CT scan of the chest Fraying and cupping of metaphyses of long bones in an child does not occur in: a. Rickets b. Lead poisoning c. Metaphyseal dysplasia d. Hypophosphatasia High resolution computed tomography of the chest is the ideal modality for evaluating: a. Pleural effusion b. Interstitial lung disease c. Lung mass d. Mediastinal adenopathy Extensive pleural thickening and calcification especially involving the diaphragmatic pleura are classical features of: a. Coal workers pneumoconiosis b. Asbestosis c. Silicosis d. siderosis Modality of choice for detection of acute subarachnoid hemorrhage is: a. MRI b. X-ray computed tomography c. USG d. Plain X-ray of skull A 40 year old man presented with acute episode of GI bleeding. Initial management was given for 6 hours. Which is important procedure for diagnosis is: a. Radiolabeled RBC b. Barium meal c. Endoscopy d. USG A patient has ARF but normal USG report. Next most useful investigation is: a. DTPA scan b. IV pyelography c. Retrograde pyelography d. Renal angiography Which of the following isotopes is used to assess renal function? a. DTPA b. DMSA c. Gallium d. Thallium Impaired renal function is assessed by: a. MAGS b. Iodihippurate c. DMSA scan d. DTPA A patient has renal call carcinoma with thrombus in IVC and renal vein. Best investigation for diagnosis is: a. IVP b. Color Doppler imaging c. CT scan d. Angiography A young girl presented with pain in chest. Pain is not associated with exercise. On auscultation there was multiple non-ejection clicks with murmur. Most important investigation for diagnosis is: a. ECG b. Tc pyrophosphate scan c. Thallium scan d. EEG A 50 year old man who is a chronic smoker presents with single lymph node enlargement and hoarseness of voice. Next investigation should be: a. FNAC b. IDL with chest X-ray c. Percutaneous biopsy d. Advise him to stop smoking In aortic dissection the investigation of choice is: a. Digital segmental angiography b. MRI c. CT scan d. USG At birth first paranasal sinus to develop is: a. Sphenoid b. Frontal c. Maxillary d. Ethmoidal An8 year old boy presents with back pain and mild fever. His plain X-ray of the dorsolumbar vertebra with preserved disc spaces. There was no associated soft tissue shadow. The most likely diagnosis is: a. Ewings sarcoma b. Tuberculosis c. HIstocytosis d. Metastasis Which one of the following is a recognized X-ray feature of rheumatoid arthritis? a. Juxta-articular osteosclerosis b. Sacroilitis c. Bone erosions d. Peri-articular calcification All of the following are X-ray features of rheumatoid arthritis except: a. Soft tissue swelling b. Osteoporosis c. Periosteal new bone formation d. Bony erosions Which of the following is the best choice to radiological evaluation of a posterior fossa tumor? a. CT scan b. MRI c. Angiography d. Myelography Treatment of carcinoma thyroid using radioactive iodine is: a. I ¹Ã‚ ³Ã‚ ¹ b. I ¹Ã‚ ²? c. I ¹Ã‚ ³Ã‚ ³ d. I ¹ Most suitable radioisotope of iodine for treating hyperthyroidism is: a. I ¹Ã‚ ²Ã‚ ³ b. I ¹Ã‚ ²? c. I ¹Ã‚ ³Ã‚ ¹ d. I ¹Ã‚ ³Ã‚ ² Radioiodine is not used in the treatment of which of the following: a. Anaplastic carcinoma b. Follicular carcinoma c. Medullary carcinoma d. Papillary carcinoma Non-caseating granulomas are seen in all the following except: a. Tuberculosis b. Byssinosis c. Hodgkins lymphoma d. Metastatic carcinoma of lung Pleural involvement in sarcoidosis is: a. Unilateral b. Bilateral c. Very common d. Very rare X-rays are produced when: a. Electron beam strikes the nucleus of the atom b.Electron beam strikes the anode c. Electron beam reacts with the electromagnetic field d. Electron beam strikes the cathode For the treatment of deep-seated tumors, the following rays are used: a. X-rays and gamma rays b. Alpha rays and beta rays c. Electrons and prositrons d. High power laser beam Ionization radiation act on tissue depending upon: a. Thermal injury b. Formation at pyrimidine dimmers c. Excitation of electron from orbit d. Linear acceleration energy Principle used in radiotherapy is: a. Low dose causes tissue necrosis b. DNA damage c. Ionizing the molecule d. Cytoplasmic coagulation The maximum penetration among the following is seen with which ray: a. Alpha b. Beta c. Gamma d. Electron beam Which of the following has the maximum penetrating power? a. Alpha rays b. Beta rays c. Gamma rays d. Electron beam Characteristic finding in CT-scan of a TBM case is: a. Exudates seen in basal cistem b. Hydrocephalus is commonly seen c. Ventriculitis d. Calcification of cerebellum What is the diagnostic radiological finding in skeleton fluorosis? a. Sclerosis of sacroiliac joint b. Interosseous membrane ossification c. Osteosclerosis of vertebral body d. Ossification of ligaments of knee joint On CT-scan, all are seen as hypodense area except: a. Cerebral hemorrhage b. Glioblastoma c. Cerebral edema d. Cerebral infract Pneumoperitoneum can be used to visualize peritoneal/retroperitoneal structures. The gas that is best for use in pneumoperitoneum is? a. Oxygen b. Nitrogen c. CO? d. N?O Investigation of choice to demonstrate vesicoureteral reflex is: a. Cystoscopy b. IVP c. Contrast MCU d. Isotope cystogram Radiation therapy is given to a carcinoma patient. After 2 days the most common skin manifestation is: a. Dermatitis b. Hyperpigmentation c. Atopy d. Erythema Earliest skin change noticed after irradiation is: a. Erythema b. Hyperpigmentation c. Ulceration d. Dryness Most common presentation of radiation carditis is: a. Pyogenic pericarditis b. Myocardial fibrosis c. Atheromatous plaques d. Pericardial effusion Best diagnostic test for deep vein thrombosis is: a. MRI b. Venography c. Impendence phlebography d. Duplex USG X-ray chest with reticular pattern, air bronchogram sign is seen in: a. Septicemia b. Bronchopulmonary dysplasia c. Pulmonary hypertension d. Respiratory distress syndrome Intracavitary radiation is given in: a. Oral cavity carcinoma b. Esophageal carcinoma c. Lung carcinoma d. Cervix carcinoma On X-ray all the following renal calculi can be seen except: a. Calcium oxalate b. Triple phosphate c. Uric acid d. Cystine stones In bone-scan, hot spots are seen in all the following except: a. Osteoblastic metastasis b. Multiple myeloma c. Osteomyelitis d. Bony lesions of hyperthyroidism In a patient with solitary nodule of thyroid, investigation of choice is: a. FNAC b. USG c. CT d. Radioisotope scan Which of the following is the most radiosensitive phase of cell cycle? a. G? b. S c. G? d. M MRI rooms are shielded completely by a continuous sheet or wire mesh of copper or aluminium to shield the image from external electromagnetic radiations, etc., it is called: a. Maxwell cage b. Faraday cage c. Edisons cage d. Ohms cage A 45 year old coal mine worker presents with: a. Sjogrens syndrome b. Caplans syndrome c. Silicosis d. Wegeneers granulomatosis A patient is suspected to have vestibular schwannoma, the investigation of choice for its diagnosis is: a. Contrast enhanced CT scan b. PET Scan c. SPECT d. Gadolinium enhanced MRI In which of the folowing, a Coer-en-Sabot shape of the heart is seen? a. Tricuspid atresia b. Tetralogy of fallot c. Transposition of great arteries d. VSD In scurvy all of the following radiological signs are seen except: a. Zone of demarcation near epicnysis b. Soap bubble appearance c. Frenkels line d. Pelican spur A 50 year old smoker male presents with pain along the left arm and ptosis: a. Adenocarcinoma lung b. Bronchial carcinoid c. Pancoasts tumor d. Bronchoalveolar carcinoma Sunray appearance on X-ray is suggestive of: a. A chondrosarcoma b. A metastatic tumor in the bone c. An osteogenic sarcoma d. An Ewings sarcoma The investigation of choice for imaging of urinary tract tuberculosis is: a. Plain X-ray b. IV urography c. USG d. CT Which of the following technique uses piezoelectric crystals? a. USG b. NMR imaging c. X-ray diffraction d. Xeroradiography In which of the following conditions the lead pipe appearance of the colon on a barium enema is seen? a. Amebiasis b. Ulcerative colitis c. Tuberculosis of colon d. Crohns involvement of the colon The EEG cabins should be completely shielded by a continuous sheet of wire mesh of copper to avoid the picking up of noise from external electromagnetic disturbances. Such a shielding is called as: a. Maxwell cage b. Faraday cage c. Edisons cage d. Ohms cage The technique employed in radiotherapy to counteract the effect of tumor motion due to breathing is known as: a. Arc technique b. Modulation c. Gating d. Shunting Gamma camera in Nuclear medicine is used for: a. Organ imaging b. Measuring the radioactivity c. Monitoring the surface contamination d. RIA In which one of the following conditions, the sialography is contraindicated: a. Ductal calculus b. Chronic parotitis c. Acute parotitis d. Recurrent sialadenitis Which of the following ultrasound marker is associated with greatest increased risk for trisomy 21 in fetus? a. Echogenic foci in heat b. Hyperechogenic bowel c. Choroid plexus cysts d. Nuchal edema In CT, the attenuation values are measured in Hounsfield units (HU). An attenuation value of 0(zero) HU corresponds to: a. Water b. Air c. Very dense bone structures d. Fat The most sensitive imaging modality for diagnosing ureteric stones in a patient with acute colic is: a. X-ray KUB region b. Ultrasonogram c. Non contrast CT scan of the abdomen d. Contrast enhanced CT scan of the abdomen Which of the following is the investigation of choice for assessment of depth of penetration and perirectal nodes in rectal cancer? a. Transrectal USG b. CT scan of pelvis c. MRI d. Double contrast barium enema

Should Assisted Suicide Be Legalized

Introduction The massive exploration and developments in the world of medicine have given human beings the power to rescue people from a wide-range of life-threatening situations more than before.Advertising We will write a custom essay sample on Should Assisted Suicide Be Legalized specifically for you for only $16.05 $11/page Learn More Through these discoveries, several diseases can be managed, even though some of them were known to be killer infections in the past. Besides these possibilities, other developments in medical technology have also made it possible for doctors to sustain and prolong the life of the sick. Oftentimes, this sustenance occurs yet physical and mental well-being of a patient may not be restored under any medical procedure (Quill, 2012). In such cases, the conditions are usually irreversible and the pain experienced by the patient cannot be controlled. This leaves the life of the patient in the hands of physicians, who may choos e to discontinue life-support procedures or maintain the patient up to the last minute. There is need to legalize assisted suicide in order to deal with rising cases of people suffering from terminal illnesses, who endure unnecessary pain before dying. Pro Assisted Suicide It is doubtless that the every human being has the right to live and enjoy life to the fullest without termination. Based on this, it is a criminal offense to end a person’s life, even when the patient has requested to be put to death. In promoting the dignity of a person’s life, it is equally important to consider the need of enhancing dignified death among patients, suffering from terminal illnesses (Quill, 2012). Why should suicide not be considered as a crime yet assisting a terminally-ill person to die is seen as a criminal offense? While this debate has raised a lot of controversy based on the ethical implications and violations of human rights, assisted suicide has countless benefits to the pa tient, family members, physicians, and the government. Regardless of the conditions of a person, it is imperative to appreciate the fact that people have the free will to decide what to do to their lives without causing any form of harm to others. Of great significance is the fact that this right allows one to terminate his or her life, without being pressured by any external forces. In other words, a person who requests to be put to death should be granted his or her plea without any form of pressure from a friend, family member or physician (Quill Battin, 2004). Even though a number of people may be willing to terminate their lives because of various health problems, some conditions make it impossible to die in an honorable manner. It is therefore essential that such people should be granted their wish to die once they call upon a physician or family member to assist them to die.Advertising Looking for essay on philosophy? Let's see if we can help you! Get your first paper w ith 15% OFF Learn More Besides responding to the pleas of the sick and assisting them to die, it is worth noting that human beings have a duty to relieve other people from pain and ensure that their dignity is respected throughout. Today, there are millions of people lying in hospitals, experiencing unbelievable pain and unable to function normally as human beings. In fact, some doctors know that the health condition of such patients cannot be reversed or managed in any way to allow them live their dignity as before. Under such conditions, patients do not see the hope of getting better but know that any extra day added to their lives means additional pain (Quill Battin, 2004). When people who are under irreversible medical conditions request for merciful death, it becomes inhuman for the physician or the person responsible to deny them their right to die honorably. As compassionate human beings, we are supposed to respect and obey the feelings of the sick in order to allow them to have a dignified death. No one can deny that some health conditions can drain patients to a point where they are seen as human shells. In some cases, patients become helpless, unable to take care of themselves, thus calling for assistance from family members or nurses. Other conditions like Alzheimer cause worse loss of memory, making one to forget the past regardless of how successful and happy it might have been (Battin, Rhodes Silvers, 1998). For instance, a president who suffers such an illness may not be remembered for his successful leadership, but for his devastating end-times. Assisted suicide would therefore allow people to die with self-worthiness and pride. Assisted suicide should also be legalized to reduce hospital bills and insurance premiums. While people suffering from terminal diseases may not survive at all, their treatment and sustenance is costly and may cause the family to spend beyond its limits. In order for a hospital to keep a dying patient alive, a lot of technology and resources have to be involved (Battin, Rhodes Silvers, 1998). Family members have to incur costs on lab tests, X-rays, oxygen machines, and other life-supporting equipment. These expenses may be too high for the family to meet and unbeneficial especially when the doctors are aware that the patient won’t live for long. It is important to ask if this is the best way of spending family resources when the patient has expressed the willingness to die. Based on this argument, it is vital to spare a person’s savings for his children and coming generations instead of wasting it on a dying patient in hospital. By legalizing assisted suicide, nurses and other medical practitioners will have ample time to attend to patients who can be saved from their illnesses. This can be quite beneficial based on the fact that the country faces a constant shortage of nurses to attend to patients in hospitals. In recent findings, it has been discovered that hospitals, w hich are understaffed are prone to offering poor quality services to patients.Advertising We will write a custom essay sample on Should Assisted Suicide Be Legalized specifically for you for only $16.05 $11/page Learn More The situation may further worsen especially with increasing life expectancy (Battin, Rhodes Silvers, 1998). At this point, it is essential to make a decision between attending to dying patients and assigning physicians to hospitals with savable patients. It is shocking to learn that one freed nurse or doctor can save hundreds of patients in a few days. This would also promote the quality of services offered to patients in hospitals around the country. In addition, assisted suicide would help patients to exercise their religious freedom. Since most religions believe in life after death, the government ought not to restrict its citizens from dying especially in cases where their health conditions cannot be reversed. Legalizing this wou ld also save families from pain, which they get exposed to when their loved ones are suffering (Hull, 2004). Early death of a loved one would guard against emotional drainage that accompanies the suffering period. It would also save body organs, which could be used to restore the health of living people. These include hearts, livers, and kidneys among others. This is because the life of the living is better than that of a dying patient. Against Assisted Suicide Assisted suicide should not be legalized, because some patients choose to die as a result of stress and not on the basis of an irreversible condition (Friend, 2011). Millions of people have suffered from depression before and recovered to become important members of the society. Therefore, terminating their lives would be unfair because depression is manageable. Additionally, human life is considered to be sacred from a religious point of view. In this context, assisted death is considered as murder and it is unethical in mos t communities (Hull, 2004). One should therefore be allowed to live since God is the giver of life. Instead of governments debating assisted suicide, they should invest in finding solutions to terminal illnesses like cancer so that patients are not killed mercifully. While every human being has the right to live, legalizing assisted death may undermine this provision. For instance, there is likely pressure on sick people to die instead of draining the family through hospital bills and other costs associated with sustaining the sick. The poor, old, and minorities are likely to suffer most and become victims of forced suicide, best on the fact that they depend on other family members for their survival (Hull, 2004). In fact, legalizing assisted death does not solve the problems of poverty and an ageing society. The government should consider better ways of supporting the minorities in the country.Advertising Looking for essay on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More Response to anti-assisted Suicide As stated before assisted suicide is important in cases where the physicians have tested beyond doubt that the life of a patient cannot be saved. In this context, the patient’s wish and the verdict of the doctor concur. This is to say that the decision to terminate a person’s life cannot be conceived without considering possible ways of saving his or her life (Friend, 2011). In other words, assisted suicide cannot be applied in every situation of illness; cases of terminal diseases are common. In addition, termination of one’s life on the basis of health does not undermine the fact that human life is sacred. Based on the fact that most religions believe in life after death, it would be better to terminate a dying person’s life instead of letting him suffer in pain. This can usher the patient into another world, which is unknown. Importantly, legalizing assisted suicide would cut the treatment cost felt by the government a nd families. The law would not focus on the aged or the poor, but on those in irreversible states. Conclusion Assisted suicide remains a debatable issue around the country, with no consensus having been reached. However, based on the advantages of this legislation, it is important for the life of dying people to be terminated. This lessens the burden of spending resources and family savings on a person who ends up dying after a few months or years. Besides the economical advantages, assisted suicide would ensure that families do not suffer emotionally in taking care of sick people that are in irreversible medical conditions. While this is the case, the implementation of such a law should curb against the exploitation of the poor and the aged, who might be pressured to consider merciful death. References Battin, M., Rhodes, R., Silvers, A. (1998). Physician Assisted Suicide: Expanding the Debate. United Kingdom: Routledge. Friend, M. (2011). Physician-Assisted Suicide: Death with Di gnity. Journal of Nursing Law, 14 (4), 110-116. Hull, R. (2004). Phyician Assited Suicide, Pro and Con. Secular Humanism. Retrieved from http://www.richard-t-hull.com/publications/PAS.pdf Quill, T. (2012). Physicians Should ‘Assist in Suicide’ When It Is Appropriate. Journal of Law, Medicine Ethics, 40 (1), 57-65. Quill, T., Battin, M. (2004). Physician-Assisted Dying: The Case for Palliative Care and Patient Choice. Maryland: JHU Press. This essay on Should Assisted Suicide Be Legalized was written and submitted by user Karina Finch to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Opciones cuando visa americana es rechaza por fraude

Opciones cuando visa americana es rechaza por fraude El fraude es una de las causas por las que el oficial consular puede denegar la solicitud de la visa americana o un inspector migratorio puede prohibir el ingreso a Estados Unidos. La ley americana es muy clara. Los extranjeros que pretenden obtener una visa utilizando fraude son inelegibles para un visado hasta que cumplan los 90 aà ±os. Pero es posible pedir un perdà ³n, tambià ©n conocido como waiver o permiso. Y es que es posible cambiar. Y una persona que cometià ³ un error en el pasado puede llevar actualmente una vida honorable que, en otras circunstancias, le permitirà ­a obtener el ansiado visado. En estos casos es posible solicitar un perdà ³n o waiver de la causa de hace que todas las peticiones de visa sean denegadas. En este artà ­culo se informa cundo se da una circunstancia de fraude, que da lugar a que se niegue la visa por causa de inegibilidad 212 (a)(6)(c)(i) y cà ³mo pedir el perdà ³n para estos casos.  ¿Quà © es fraude para denegar una visa por causa 212 (a)(6)(c)(i)? Se comete fraude cuando se dice una mentira o se presenta un documento que no es verdad cuando sin esa informacià ³n no se hubiera aprobado la visa. Es lo que se conoce en inglà ©s como misrepresentation of a material fact o fraud. Si el oficial consular es el que detecta el fraude, no da la visa. Por el contrario, si es el inspector del puesto migratorio el que la descubre, anular la visa y no permitir el ingreso en Estados Unidos.  ¿Cundo se puede solicitar el perdà ³n? No todos los fraudes son iguales ni tampoco las circunstancias de cada persona. Es por ello que el oficial consular ser el que diga al solicitante de la visa americana si considera que podrà ­a solicitarse un perdà ³n o waiver. Esta sugerencia tiene lugar en el momento de la entrevista en la que se deniega la visa solicitada por primera vez o su renovacià ³n o una aplicacià ³n despuà ©s de una cancelacià ³n. Ante quià ©n se presenta peticià ³n de perdà ³n para obtener visa rechazada por fraude Hay que probar ante un organismo llamado ARO y que est ubicado en Washington DC que el solicitante: No es un peligro para la seguridad nacional.Vendrà ­a a Estados Unidos con carcter temporal y respetarà ­a los tà ©rminos de la visa, incluyendo el hecho de que saldrà ­a a tiempo del paà ­s.Que tiene lazos fuertes tanto econà ³micos como familiares en su paà ­s. El ARO, a la hora de decidir, tambià ©n tendr en cuenta la gravedad de la falta cometida. Cà ³mo se solicita la waiver para levantar la inegibilidad de visa por fraude No se requiere ninguna planilla en particular. Basta con un escrito en inglà ©s en el que se cuente quà © sucedià ³, para quà © se quiere ingresar a Estados Unidos con carcter temporal y por quà © el solicitante amerita una waiver. Adems, hay que presentar documentacià ³n adjunta sobre sus lazos en el paà ­s (bancos, propiedades, trabajo, familia, etc). Es muy similar a la documentacià ³n para la visa americana que se presenta ante una oficina consular cuando se solicita un visado. Los documentos hay que traducirlos al inglà ©s. No es necesario que la traduccià ³n la realice un traductor jurado o que està ©n notarizados. Basta que la realice una persona con conocimientos buenos de espaà ±ol e inglà ©s y que certifique en su traduccià ³n tal circunstancia. Envà ­o de la solicitud para la concesià ³n de este tipo de waiver Una vez que se tiene todo el paquete preparado hay que entregarlo en el consulado que le corresponda segà ºn el lugar de residencia de la persona que solicita el perdà ³n. Por lo que se recomienda consular antes quà © oficina consular es la que tiene jurisdiccià ³n. Unos consulados piden que la documentacià ³n se entregue en persona mientras que otros piden que se envà ­e por correo. Asà ­ que lo mejor es preguntar para evitar cometer errores. Una vez que la documentacià ³n est en la oficina consular, à ©sta la remite al ARO. La respuesta suele llegar entre 4-5 meses, aunque en muchos casos se demora ms, cuando otra agencia federal necesita hacer un examen de posibles antecedentes del solicitante. Si el ARO deniega la peticià ³n, es posible recurrir en el plazo de 15 dà ­as. Aprobacià ³n de la peticià ³n de waiver Si el ARO concede la solicitud, el perdà ³n puede tener una validez de hasta por cinco aà ±os. Aunque lo normal es que la primera vez se conceda por sà ³lo medio aà ±o o incluso un aà ±o. El perdà ³n no es suficiente para viajar. Hay que tener una visa vigente en vigor por lo que debe solicitarse. A tener en cuenta: otras causas de negacià ³n de visa En este artà ­culo se ha explicado el trmite bsico para solicitar una waiver por haber intentado obtener mediante fraude una visa americana. Pero hay muchas otras causas de inegibilidad. Y el proceso puede variar de una a otra. Por ejemplo, si su problema es que no le dan la visa por estancia ilegal previa, el procedimiento es totalmente distinto. Por lo tanto, si no se sabe si se puede pedir una waiver o cà ³mo es conveniente informarse detalladamente antes de iniciar cualquier trmite ante una oficina consular americana. E incluso mucho mejor es, sin duda, consultar con un abogado o un representante acreditado. Finalmente, se recomienda tomar este quiz, trivial o test sobre visas porque despeja muchas dudas sobre el proceso de obtencià ³n de la visa americana y cà ³mo mantenerla, evitando que se cancele o revoque. Este es un artà ­culo informativo. No es asesorà ­a legal.

Merriwell Bag Company Case Study Example | Topics and Well Written Essays - 500 words

Merriwell Bag Company - Case Study Example Furthermore, demand forecasting helps in constructing the pricing decisions as well as estimating the investment requirements for the future use (Lapide, 2006). From the demand forcast, it can be noted that the demand for the bags are maximum in the market in the pick season. It shows that Merriwell Bag Company’s bag demands depend largely upon its seasonality. However, it can also be observed that the demand for the bag declines steeply in the market during the off-season. Even though, from an overall perspective a growing trend can be witnessed in the demand forecasted. To certain extent the accuracy of forecasting can be improved through selecting separate forecasting groups with proper management control system. The primary objective of forecasting group is to make plans in order to collect appropriate information related to demand. The members of the forecasting group should be well trained in this regards. Members of the group should use both the qualitative and quantitative method in forecasting to gain more accurate information along with development of new measures for improving forecasting in future. After every session the group member should measure the processed method and re-analyze the data collected to minimize errors (Moon, Mentzer, Smith, & Garver, 1998). The forecasting method used by Ed Merriwell in the prior years was based upon his ‘feel’ which has been recently observed as ineffective in terms of accuracy. According to the quantitative method used, the sales of the organization are likely to increase during the entire year of 2008, especially in the season time. However, in establishing the new sales forecast, Ed Merriwell’s ‘feel’ is quite likely to have a negative impact on the operational process owing to the changes in the personnel associated with the customer purchasing departments along with the rapid increase in the short-shipped accounts. It is worth mentioning in this regard that quantitative method

Marketing Assignment Example | Topics and Well Written Essays - 250 words - 1

Marketing - Assignment Example (Bloomsberg, 2011). The company maintains that all of its products are aimed at an older market, and that they will always promote responsible drinking. There are serious doubts about the sincerity of this claim due to the choice of bright colors and cartoonish designs on the cans, and the very sweet taste, both of which appeal to younger drinkers. The connection with Snoop Dog and rap music is also tied in with the youth market, and this may well encourage young fans to choose this drink. The pricing of the product at a rather low level is also seen as a possible encouragement for the young to buy it. The danger occurs when very young drinkers are not aware of the dangers of drinking, and when they are tempted to experiment with a product that is likely to cause health damage, and lead to erratic and risky behaviour. References Bloomsberg Businesseek and Associated Press. Online news item: â€Å"Maine AG seeks end to new high alcohol drink Blast. April 22nd, 2011. Retrieved from: h ttp://www.businessweek.com/ap/financialnews/D9MOPME00.htm Talanova, J. Colt 45’s fruit flavoured Blast drink comes under fire. CNN web page, 20th April, 2011.

Controversy Japanese Internment Camps Research Paper

Controversy Japanese Internment Camps - Research Paper Example were not included in these camps (Joy, p104). The President of United Stated Franklin D. Roosevelt declared war with Japan on December 7, 1941 after the Japan’s attack on the Pearl Harbour. After this declaration situation became worst for the Japanese living in the United Stated and most of them had to go through extremely tough time that they had never thought about. The President allowed the removal of all the Japanese from their homes to the guarded camps established in the interior part of the country. In this way the Japanese living in United States had to pay very heavy cost of Japanese attack on Pearl Harbour and getting United States involved in the war (Karen, p183). During this process, over 120,000 Japanese were taken out from their homes in United States and they were forces to leave their houses, work places, businesses and lives they were living in US. They were moved to the camps that were mostly set up in the desert areas with little facilities of life. There was no running water around the camps and the imprisoners were all time surrounded by barbed wires and guards. The establishment of these camps and moving the Japanese descents in these camps was a highly controversial step taken by the government of United States and the action started up heated and prolonged debate about the justification of the action taken by the U.S government. The government of United States put forward their stance that they had the fear of further attacks from Japan on their territory and they see the danger of presence of Japanese descent spying for Japan. They justified the establishment of camps that the step was taken to avoid the possible support provided by the Japanese American to their homeland by providing information to the Japanese or though different assets and cooperation (Nash et al, p92). Despite this justification the experts and people widely opposed the act of United Stated to detain the Japanese American in these camps and the justificatio n given by the U.S. government was also rejected. It was argues from the other side that almost two third of the interned were American citizens and half of the people kept in the camps were children. There were no evidences to prove the involvement of these people in the spying activity neither there were sign of disloyalty for America shown by these people. These camps were also criticised for providing poor living conditions to the detainees. It was reported that the people had problems in getting access to fresh water. The weather was extremely harsh and the environment of the camps was also very hostile and antagonistic. The members of the families were separated from each other and they were kept in different camps from where they found it impossible to contact their family members and reunite with them. Throughout the war there were just ten people found accused to spying for Japan and over 120,000 people were kept in the camps just because of doubt of spying and disloyalty ( Daniels et al, p54). The government of United States clarified that the step was necessary to strengthen the position of America in the war by eliminating the possibilities of spying and internal support to Japan from America but it is widely believe that it was just a cover used to justify the action and in real the step was led by racism and biasness for the Japanese Americans. The detention of Japanese Americans also became matter of

Automatism and Veristic Surrealism

Automatism and Veristic Surrealism Surrealism was a means of reuniting conscious and unconscious realms of experience so completely, that the world of dream and fantasy would be joined to the everyday rational world in an absolute reality, a surreality. Andre Breton, a major spokesman of the movement gave this proclamation as the principal founder of Surrealism. This paper will start off by explaining the main influences on Surrealism art; The cultural Movement called Dada, the principal founders of Surrealism; Andre Breton, Sigmund Freud and a psychiatrist, Carl Jung. Two separate forms of expression in Surrealism arose through different conceptual theories which derived from specific formations such as Dadaism and the theories of Breton, Freud and Jung. Through the clarification of the founding and influences on Surrealism, the research question: Surrealism art and the comparisons of the two formations of Automatism and Veristic Surrealism will be responded. The founding of the Surrealist movement has a great deal to do with the development of the two eccentric groups; Verisitic surrealism and Automatism. The beginnings of the Surrealist movement and how it derived from the Ideas of the Dada movement in World War I will be explained in the first section of this paper. The Dada movement was a cultural movement that came to believe that the true cause of the war arrived upon the ideas of excessive rational thought and bourgeois values. Surrealism flourished as a reaction to Dadaism, but rather than the negative approach Dadaism had, Surrealists developed a constructive approach in sharing their beliefs of rational thought to society. Surrealism has been greatly influenced by Andre Breton a French writer and poet, and the discoveries of Sigmund Freud and his co-workers. During the war Andre Breton trained in medicine and psychiatry where he used psychoanalytic methods of Sigmund Freud, with the aim of trying to expand the potential of the mind by reconciling the opposing states of dream and reality.2 Freud was able to develop techniques allowing individuals to release their imagination through his exertion of work with free association, dream analysis, and the unconscious, which ultimately became of great importance to the Surrealists. Their accomplishments and investigations will be discussed further to form a basis of knowledge of the founding of Surrealism in order to be able to understand and compare Veristic Surrealism and Automatism to the fullest. In the next section Carl Jung will be discussed in relation to the formation of Automatism and Veristic Surrealism. A Swiss psychiatrist Carl Gustav Jung, was the founder of analytical psychology. Carl Jung was the first modern psychologist to deeply investigate the human mind and stated that our minds are in nature religious. He profoundly explored dream analysis as did Sigmund Freud. Jung stated that the images of the subconscious should be accepted as they came into consciousness and not be judged purely so that the images could be accurately evaluated. This principle is what founded the surrealism style of Automatism and is therefore a significant element to this paper. The automatisms came to express themselves in the abstract tradition, while the Veristic surrealists expressed themselves in the symbolic tradition. As a result of extracting the resemblance and contrasts in the judgments of the Veristic and Automatist groups, the research question will most efficiently be answered. Two famous artists: Pablo Picasso and Salvador Dalà ­, arrived from the principal ideas of Surrealism, yet they had very different ways of approaching their art styles which were formed by two different groups; Automatism and Veristic Surrealism. The works of Dali and Picasso will be compared thoroughly in this paper to further emphasize the distinction of the two groups. Picasso used and believed in the Automatism form of surrealism while Salvador Dalà ­ was a practitioner of the Veristic form of Surrealism. Picassos work developed into a more primary form of art rather than the traditional artistic practices where precision was essential. A majority of his work was based in the notion that childrens ingenuity can present us directly to the unconscious. Salvador Dalà ­s work juxtaposes anachronistic images which developed more directly from Dadaism. Dalà ­ profoundly believed that art should be studied and mastered, and that expression of the unconscious would become visible fro m metaphor. An important quality to surrealist works is the element of surprise, where often images are used with apparent lack of relative meaning in comparison to its context. Surrealism art is created through the subconscious mind with its purpose to create incomprehensible visual imagery. Relying greatly on theories from Sigmund Freud, Breton viewed the unconscious as the source of our imagination. The Surrealist movement carries on thriving throughout the world with persistent thought processes and investigations into the mind which have produced some of the finest art ever seen. 1 With this thought kept at the back of ones mind while reading this paper, the exhilarating question of the importance of Surrealism and how it came to evolve to two separate forms: Automatism and Veristic Surrealism will be carefully examined. Dadaism: The Dada movement was a cultural movement which flourished in the 20th century between world war I and II. They were known for questioning political culture in order to test the human mind and challenge it to view things in an entirely different manner than used to. The principal growth point of Surrealism was the founding of Dadaism during World War I, when famous artists and writers initially from Paris spread and became part of the Dada movement.2 The Dada movement created works of anti-art prior to World War I, which purposely defied reason. Surrealism emphasis was not on abolition of popular culture but on reinforcement of the power of positive expression of the mind. The Dada movement expressed a response against what they perceived as the destruction shaped by rationalism in the past which lead European culture and politics and began the terror of World War I.1 Due to the Dadaism attack on society at the end of the First World War, the Surrealist movement gained momentum. Tristan Tzara, the leader of the Dada movement aimed to attack society through scandal. Tzara strongly believed that art is not worthy for a society that creates war. Therefore he decided to give society anti-art; which is defined as ugliness rather than beauty. They intended to insult the new industrial commercial world, however they werent insulted, but instead thought that their rebellion was directed to the old art and patrons of feudalism and church domination. The Surrealist artists were those that did not embrace anti-art which got rid of what all artists have learned and passed on about art. Surrealism split into two separate groups in the 1930s when artists expressed themselves in the more symbolic or abstract tradition. These two groups were the Automatists and the Veristic Surrealists.2 The artists in the movement studied the works of Carl Jung and Sigmund Freud. To understand the Veristic and Automatist surrealists, the work of Freud and Jung will be analyzed in the next section. Andre Breton and Sigmund Freud: Andre Breton, a French writer and a poet, was the principal founder of Surrealism. Throughout World War I, Breton skilled in medicine and psychiatry at the neurological hospital, where he employed Sigmund Freuds psychoanalytic techniques with soldiers suffering from shell-shock. Using the psychoanalytic studies of Sigmund Freud, the surrealists attempted to increase the minds potential by integrating the separate states of dream and reality. Breton and his companions tried to place themselves in a hallucinatory state, in which they thought they were able to perfectly obtain their subconscious minds and extract pure thoughts, uncontaminated by the conscious mind and its rational restrictions.2 Freuds work with free association, dream analysis, and the unconscious, was essential for the Surrealists so that they could discover new ways to liberate the minds thoughts. They embraced unusual behavior, while rejecting its chance of mental illness. They emphasized the reality that one could combine inside the same frame, elements not normally found together to produce illogical and startling effects. In 1924, Breton included the idea of the juxtapositions in his manifesto: a juxtaposition of two more or less distant realities. The more the relationship between the two juxtaposed realities is distant and true, the stronger the image will be the greater its emotional power and poetic reality. The literary journal Littà ©rature contained a published record of dreams and writings of their experimentation of automatic writing, written by Andrà © Breton, Louis Aragon and Philippe Soulpault. Automatic writing is where they were able to write and draw impulsively without containing their judgment. While they developed their theories and continued publishing, they concluded that Surrealism sustained the idea that ordinary expressions are essential, but that the logic of their understanding must be fully open to the full imagination. In the end, the movement intended to change and modernize human understanding and experience, in all aspects; personal, cultural, social, and political. They ultimately aimed to release citizens from false wisdom, and restrictive customs. Carl Gustave Jung: Carl Gustav Jung (1875-1961) a psychiatrist from Switzerland was significant in the analytical movement. Freud laid the scientific foundation for Jung to investigate further how the unconscious reveals itself though symbols. To recognize and understand his dreams, Jung painted and sculpted his own visions. Jungs theory of the human mind consisted of three fractions: the ego (conscious mind), the personal unconscious, and the collective unconscious. The collective unconscious which we yet can never be directly aware of is the reservoir of our experiences as a species, a kind of knowledge we are all born with. It manipulates all of our decisions indirectly, particularly the emotional ones. Automatism was termed as Jung stated that one should not judge the vision of thoughts, but accept them purely as they are for personal and proper analysis. The suggestions of these new psychological theories captivated many artists. From the theories they were able to recognize that the unconscious has essential messages for the conscious mind, and that it is at first perceived through images while in the end communicated through language. Surrealist artists sought after the relation between the abstract spiritual realities and the actual forms of the material world in their work. The object in actuality stands as a metaphor for an inner deeper truth. By analyzing their art work, artists could bring the inner realities of the subconscious to the conscious mind, so that their significance could be made sense of. Therein lies the social significance of art: It is constantly at work educating the spirit of the age, conjuring up the forms in which the age is more lacking. The unsatisfied yearning of the artist reaches back to the primordial image in the unconscious, which is best fitted to compensate the inadequacy and one-sidedness of the present. The artist seizes on this image and, in raising it from deepest unconsciousness, he brings it into relation with conscious values, thereby transforming it until it can be accepted by the minds of his contemporaries according to their powers. Automatism Veristic Surrealism: Michael S. Bell, a specialist in American Art, has been a major voice in the academic art world to distinguish Visionary Art. He researched the Surrealist phenomena where he recently was the first to discover two separate forms of expression in surrealism; Automatism and Veristicism. Automatism is a form of abstraction. It has been the only type of surrealism accepted by critical reviewers after the war.6 While both groups point of view stayed the same, their foundation was different due to their diverse interpretations of the works and experiments of Breton, Freud and Jung. Automatism: Automatism is mainly for the intention of self analysis where like Jung stated, one does not evaluate the image of the subconscious but accepts it as they come into consciousness so that it can be accurately analyzed. For the Automatists, Surrealism was interpreted as a control of the consciousness which supports the sub conscious. Automatists were more concerned about the true feelings rather than the analysis itself. It was their automatic way in which their subconscious reached their conscience. Rather than what was really there they focused on emotions and feelings that took place before the final image, therefore their paintings were also a lot more abstract in comparison to the Veristic Surrealists. Although free expression of feelings had always been an important factor in the history of art, the Automatists didnt believe in it.2 To them, abstractionism was simply the only approach that was able to carry life to the images of the subconscious. Automatists took a more Dadaist approach where they presented scandal and disrespect towards those that were privileged and thought that through lack of form in their art, they were rebelling against them. Automatism is an abstract artistic form greatly influenced by Carl Jung Sigmund Freud. The most significant painters of abstract Surrealism or Automatism were; Pablo Picasso, Joan Miro and Andre Masson.The automatic drawings of Andrà © Massons in 1923, are often used as an illustration of the point of recognition of Surrealism and the break from Dada, in view of the fact that they reveal the influence of the idea of the unconscious mind.2 Andre Masson was very passionate for automatic drawing. By forcing himself to work under very strict conditions, Masson would for example draw under the influence of drugs or after long periods of time without food nor sleep. By forcing himself into a reduced state of consciousness he believed it would facilitate his art to get closer to the mechanism of his subconscious mind and therefore be free from rational control. Bison on the brink of a chasm 1944, Andre Masson Veristicism The Veristic Surrealists, viewed academic discipline as the assets to represent images of the subconscious with reality. This was a way for them to congeal images that normally would be forgotten if not recorded. They aimed in discovering a way to go after the images of the subconscious until the conscience could be aware of their significance. The image itself is the language of the subconscious, as the consciousness learned to interpret the images so that it could translate it into its true meaning. For the Veristic surrealists, the images represent a metaphor for the inner reality. They wanted to authentically characterize these images as a bond between the abstract spiritual realities, and the real forms of the material world. 6 The Veristic surrealists split from Automatism principally by defining the unconscious as visualized by psychiatrist Carl Jung. The universal unconscious was Jungs theory that every individual holds an instinctive knowledge and understanding of images, as the images are universal in nature and recur constantly in literature and art. Veristic surrealists hoped to understand and gain access to unconscious thoughts by looking into the image and what it represents. Paintings of the Veristic Surrealists usually consisted of images portraying people and objects which appeared to look realistic but were shown in an odd manner. A good way to define Veristic Surrealism is as representational Surrealism. Some of the most famous painters of Veristic Surrealism were Salvador Dalà ­, Rene Magritte and Max Ernst. Veristic Surrealism in its progression has become a new kind of art that in the words of Donald Kuspit, Must first show that it has democratic appeal-appeal to those generally unschooled in art or not professionally interested in it. Then it must suffer a period of aristocratic rejection by those schooled in an accepted and thereby traditional form of art-those with a vested interest in a known art and concerned with protecting it at all costs.6 Individuals who are able to follow the images of the subconscious, and with endurance, cannot only paint their thoughts but also analyze them carefully, have a great understanding of the spiritual interactions between the psychological, and the physical areas. Salvador Dalà ­ and Veristic Surrealism Salvador Dalà ­ is an example of a famous and successful Veristic surrealism painter. He often juxtaposes contrary or anachronistic images into his art work which follow similar ideas coming directly from Dadaism. Salvador Dalà ­ expressed his thoughts in his paintings through symbols and imagery in a direct and vulgar way which relates more closely to the way in which the Dadaists approached their ideas. On the contrary, Dalà ­ believed that art should be studied and mastered, and that artistic skill was of great importance, which is something the Dadaists principally did not follow. Dadaism made anti-art, unattractive art made to frown upon the bourgeois and to make a higher statement of their values against them. Salvador Dalà ­ also believed that expression of the unconscious would be revealed through metaphor when analyzing a painting. 17

My Educational Goals and Philosophy Statement :: Philosophy of Education Teaching Teachers Essays

My Educational Goals and Philosophy Statement Imagine your life without a proper education. Without the proper education you could properly provide for yourself or your family. All students are born with a different nature, however; the reason for their education remains the same. The purpose of education is to provide a foundation for students. Many methods of teaching and methods of discipline are used in the classroom. There are also many areas of curriculum that are important in the elementary level. Education provides the necessary grounds to succeed in our country today. Students’ intelligence levels vary drastically from student to student. However, their dispositions are identical at birth. All children are born with the ability to be a wonderful and loving person. Our society has the power to change the caring dispositions of our children. This is why many of our children live difficult lives; the world has made them mean or evil. This is described as having a relative nature, meaning that a child is constructed and dependent upon person, place, or time. Not all children have the ability to become one of our countries doctors or lawyers, but all of them are born with capability of living a joyful and happy life. The overall purpose of education is to prepare students for challenges that life brings to them. Challenges such as applying for a job, providing for a family, and managing a business. Education is important because it provides a solid background for the child to begin a healthy and happy life. As a teacher I hope to give my students the confidence to continue with their education. I also hope to provide a good educational foundation so that my students are well prepared as they do continue their education. I hope that my students acquire self – confidence. I hope that my students have the drive and the compassion to further their education. I also hope that my children understand that education is necessary in order to live a successful life. There are many ethics that a teacher must follow inside and outside of the classroom.

Nitric oxide therapy

There is not much use for the lungs during the fetal life. At such stage, the function of the lungs is carried out by the placenta through the umbilical cord. Fetal life is characterized by a high pulmonary vascular resistance (PVR) with pulmonary blood flow being restricted to a less than 10% lung-directed cardiac output. Blood vessels that connect the heart and the lungs are constricted, sending the circulating blood back to the heart through the ductus arteriosus, a blood vessel that functions only in fetuses. In other words, the lungs in the fetal stage are bypassed.At birth, when the lungs finally assume the function of gas exchange, the PVR decreases, allowing for an increase in pulmonary blood flow. The blood vessel that is previously constricted, favoring blood flow to the ductus arteriosus is now relaxed, simultaneously with the permanent closure of the ductus arteriosus. This happens as the lungs become ventilated and the alveolar oxygen tension is increased.Persistent Pulm onary Hypertansion occurs when at birth, the lung circulation fails to achieve the normal drop in PVR, preventing the transition from fetal to newborn circulation. This failure results in the continuous functioning of the ductus arteriosus which impairs the flow of blood from the heart to the lungs and limits the amount of oxygen that can be picked up by the blood to be delivered to the different parts of the body. The blood that flows back to the heart remains in an unoxygenated state which could lead to the development of refractory hypoxemia, respiratory distress and acidosis.It is only in 1987 when nitric oxide (NO) was recognized as a key endothelial-derived vasodilator molecule. From then, research has been expanded to establish the role of NO throughout the body, and to discover its therapeutic potential.   To appreciate the effects of NO in alleviating pulmonary hypertension, it is important to gain understanding of its chemistry and mechanism of action.Nitric Oxide is a g aseous compound that rapidly diffuses across membranes and has a single unpaired electron. This explains its high reactivity, especially to Hemoglobin (Hb) in the blood. This nature of the compound accounts for its noted biological significance. It has been discovered to function as stimulant in the release of hormones; as neurotransmitter; a significant participant in the magnification of synaptic actions and learning processes; and an inhibitor in platelet aggregation, which makes it a marvel in the field of cardiology.In the field of pulmonology, nitric oxide is valued for its vasodilatory effect in the blood vessels. This effect can be explained by the mechanism involving the compound's diffusion from the vascular endothelial cells to the subjacent smooth muscles of the pulmonary vessels. From here, NO activates the enzyme guanylate cyclase to change conformation to promote smooth muscle relaxation by converting GTP to cGMP.   This vasodilatory effect signals the mechanism to modulate blood flow and vascular tone.Given the mechanism of action, it is easy to surmise how NO can be utilized as a therapeutic agent in the management of blood-vessel-related diseases such as those related to the heart (hypertension), the reproductive system(erectile dysfunction) and in this case, the lungs (Persistent Pulmonary Hypertension in infants (PPHN)).Before NO, treatments used in infant PPHN are hyperventilation, continuous infusion of alkali, tube vasodilation and vasodilator drugs. A study on the effects of these various treatments was done by Ellington, Jr., et. al., (2001) showing no specific therapy clearly associated with the reduction in mortality in infants. In determining whether therapies were equivalent, the study showed that hyperventilation reduced the risk of extracorporeal membrane oxygenation (ECMO) with no oxygen increase at 28 days, while alkali infusion increased the use of ECMO as well as an increase in the use of oxygen at 28 days (Ellington, Jr., et. al., 2001). ECMO is a highly invasive procedure that requires major surgery, performed in serious cases of PPHN when patients fail to respond to treatments.It is only after post-lab studies were able to identify the role of NO-cGMP signaling in the regulation of lung circulation that NO therapy was developed for PPHN (Channick, R., et. al., 1994). Like previous treatment methods, NO therapy improves oxygenation as well as reduces the risk of ECMO in infants with PPHN (Oliveira, et. al., 2000). But because nitric oxide is capable of acting on its own upon inhalation to relax the blood vessels and improve circulation, it is considered as a less invasive procedure in the management of infants with PPHN compared to the previous treatments mentioned in the preceding paragraphs.The efficiency of the treatment procedure can be determined by observing its effect on the patient's ventilation and blood flow, which is a determinant of the efficiency of transpulmonary oxygenation and partia l pressure of oxygen in the systemic arterial blood (Ichinose, et. al., 2004). NO therapy enhances the mechanism by which blood flow is redistributed toward regions in the lungs with better ventilation and higher intra-alveolar partial pressure of oxygen (Ichinose, et. al., 2004).Other treatments used in the management of PPHN such as tube ventilation, alkalosis and intravenous vasodilators were shown to be effective in ameliorating pulmonary hypertension in some infants, but in many instances, it does not, as ECMO almost always becomes a necessity in saving the life of the infants (Ichinose, et. al., 2004). A type of hyperventilation has been proven not to increase the risk of ECMO, but unlike NO-therapy (Ellington, Jr., et. al., 2001), it is invasive as to require a tube inserted inside the infant's trachea.In patients with moderate PPHN, there is an improvement in arterial p a O 2, reduced necessity of ventilator support and low risk of progression to severe PPHN (Sadiq, et. al., 2003) and this, without the risk of increasing the incidence of adverse outcomes when the age of 1 year is reached (Clark, et. al. 2003). Inhaled NO is able to rapidly increase the arterial oxygen tension and increase the blood flow in the lungs without causing systemic hypotension (Roberts, 1992; Kinsella, 1992). No apparent increase in morbidity has been shown after one year of treatment with NO (Aparna and Hoskote, 2008). For high-risk infants with PPHN, inhaled NO has been found to lessen the risk of pulmonary hypertensive crisis (PHTC) after congenital heart surgery (Miller, et. al. 2000).Studies on the role of NO in the management of PPHM show that while it is therapeutic, it also prevents the occurrence of chronic lung disease which affects morbidity. Vascular cell proliferation and pulmonary vascular disease have been shown to decrease with NO in the newborn (Roberts, et. al., 1995). In addition, while NO treatment can be more costly, it is the most cost-effective among oth er methods because of the reduced need for ECMO (Angus, et. al. 2003). For these reasons, it is understandable why NO therapy seems to have taken over in the area of PPHN treatment.ReferencesAngus DC, Clermont G, Watson RS, et al. (2003). Cost-effectiveness of inhaled nitric oxide in the treatment of neonatal respiratory failure in the United States. Pediatrics. 112, 1351–1360.Aparna U., Hoskote, MD., et. al. (2008). Airway function in infants treated with inhaled nitric oxide for persistent pulmonary hypertension. Pediatr Pulmonol. 43, 224-235.Channick R, Hoch R, Newhart J, et al. (1994). Improvement in pulmonary hypertension and hypoxemia during nitric oxide inhalation in a patient with end-stage pulmonary fibrosis. Am J Respir Crit Care Med. 149, 811-814Clark, RH., Huckaby, JL., et. al. (2003). Low-Dose Nitric Oxide Therapy for Persistent Pulmonary Hypertension: 1-Year Follow-up. Journal of Perinatology. 23, 300.Ellington Jr, Marty, O'Reilly, et. al. (2001). Child Health S tatus, Neurodevelopmental Outcome, and Parental Satisfaction in a Randomized, Controlled Trial of Nitric Oxide for Persistent Pulmonary Hypertension of the Newborn. Pediatrics,107.Ichinose F, Roberts JD, et.al. (2004). A Selective Pulmonary Vasodilator: Current Uses and Therapeutic Potential. Circulation. 109, 3106-3111. Kinsella JP, Neish SR, Shaffer E, et al. (1992). Low-dose inhalation nitric oxide in persistent pulmonary hypertension of the newborn. Lancet.   340, 819–820.Miller O, Tang SW, et. al. (2000) Inhaled nitric oxide and prevention of pulmonary hypertension after congenital heart surgery: A randomised double-blind study. The Lancet. 356: 9240, 1464.Oliveira cac, et. al. (2000). Inhaled Nitric oxide in the management of persistent pulmonary hypertension of the newborn: a meta-analysis. Rev. Hosp. Clin. Fac. Med. S., 55 (4): 145-154, 2000Roberts JD Jr, Polaner DM, Lang P, et al. (1992). Inhaled nitric oxide in persistent pulmonary hypertension of the newborn. Lan cet. 340, 818–819.Roberts JD Jr, Roberts CT, Jones RC, et al. (1995). Continuous nitric oxide inhalation reduces pulmonary arterial structural changes, right ventricular hypertrophy, and growth retardation in the hypoxic newborn rat. Circ Res. 76, 215-222.Sadiq HF, Mantych G, et. al. (2003). Inhaled Nitric Oxide in the Treatment of Moderate Persistent Pulmonary Hypertension of the Newborn: A Randomized Controlled, Multicenter Trial. Journal of Perinatology.   23, (2).98

Free Essays on 1984 Summary

related to it. Even thinking rebellious thoughts is illegal. Such thoughtcrime is, in fact, the worst of all crimes. As the novel opens, Winston feels frustrated by the oppression and rigid control of the Party, which prohibits free thought, sex, and any expression of individuality. Winston dislikes the party and has illegally purchased a diary in which to write his criminal thoughts. He has also become fixated on a powerful Party member named O'Brien, whom Winston believes is a secret member of the Brotherhood- the mysterious, legendary group that works to overthrow the Party. Winston works in the Ministry of Truth, where he alters historical records to fit the needs of the Party. He notices a coworker, a beautiful dark-haired girl, staring at him, and worries that she is an informant who will turn him in for his thoughtcrime. He is troubled by the Party's control of history: the Party claims that Oceania has always been allied with Eastasia in a war against Eurasia, but Winston seems to recall a time when this was not true. The Party also claims that Emmanuel Goldstein, the alleged leader of the Brotherhood, is the most dangerous man alive, but this does not seem plausible to Winston. Winston spends his evenings wandering through the poorest neighborhoods in London, where the proletarians, or proles, live squalid lives, relatively free of Party monitoring. One day, Winston receives a note... Free Essays on 1984 Summary Free Essays on 1984 Summary Winston Smith is a low-ranking member of the ruling Party in London, in the nation of Oceania. Everywhere Winston goes, even his own home, the Party watches him through telescreens; everywhere he looks he sees the face of the Party's seemingly omniscient leader, a figure known only as Big Brother. The Party controls everything in Oceania, even the people's history and language. Currently, the Party is forcing the implementation of an invented language called Newspeak, which attempts to prevent political rebellion by eliminating all words related to it. Even thinking rebellious thoughts is illegal. Such thoughtcrime is, in fact, the worst of all crimes. As the novel opens, Winston feels frustrated by the oppression and rigid control of the Party, which prohibits free thought, sex, and any expression of individuality. Winston dislikes the party and has illegally purchased a diary in which to write his criminal thoughts. He has also become fixated on a powerful Party member named O'Brien, whom Winston believes is a secret member of the Brotherhood- the mysterious, legendary group that works to overthrow the Party. Winston works in the Ministry of Truth, where he alters historical records to fit the needs of the Party. He notices a coworker, a beautiful dark-haired girl, staring at him, and worries that she is an informant who will turn him in for his thoughtcrime. He is troubled by the Party's control of history: the Party claims that Oceania has always been allied with Eastasia in a war against Eurasia, but Winston seems to recall a time when this was not true. The Party also claims that Emmanuel Goldstein, the alleged leader of the Brotherhood, is the most dangerous man alive, but this does not seem plausible to Winston. Winston spends his evenings wandering through the poorest neighborhoods in London, where the proletarians, or proles, live squalid lives, relatively free of Party monitoring. One day, Winston receives a note...