Saturday, November 30, 2019

Thyroid Cancer Essay Research Paper Cancer of free essay sample

Thyroid Cancer Essay, Research Paper Cancer of the thyroid may be one of the less often happening signifiers of malignant neoplastic disease, but it is the most common malignance of the hormone system. Each twelvemonth, more than 1,100 Americans are diagnosed with thyroid malignant neoplastic disease and most of them can anticipate to populate a normal life span ( Health Conn. hypertext markup language ) . The overall incidence of being diagnosed with thyroid malignant neoplastic disease is about 1 out of every 1,000 people ( Health Answers. hypertext markup language ) . As with other thyroid conditions, more than twice as many adult females as work forces develop thyroid malignant neoplastic disease. Most work forces and adult females who are diagnosed with this type of malignant neoplastic disease are between the ages of 25 and 65 old ages ( Health Conn. hypertext markup language ) . General Description Cancer is a disease in which unnatural cells in some organ or tissue go out of control, turning and increasing in figure. We will write a custom essay sample on Thyroid Cancer Essay Research Paper Cancer of or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Normal cells reproduce themselves throughout life, but in an orderly and controlled mode. When normal cell growing occurs, worn out tissues are replaced and lesions are healed. But when cells grow out of control, they form a mass called a tumour. Some tumours grow and enlarge merely at the site where they began. These types of tumours are referred to as benign tumours. Other tumours non merely enlarge locally, but they besides have the possible to occupy and destruct the normal tissues around them and to distribute to other parts of the organic structure. These types of tumours are called malignant tumours or malignant neoplastic disease. ( Mediconsult hypertext markup language ) Malignant tumours of the thyroid secretory organ tend to develop bit by bit and stay localised. The tumours normally appear as nodules or balls of tissue turning on or inside the secretory organ itself. Most balls on the cervix, nevertheless, are normally caused by thyroid conditions such as goitres. ( Mediconsult hypertext markup language ) There are four chief types of thyroid malignant neoplastic diseases: papillose, follicular, medullary, and anaplastic ( besides referred to as undifferentiated ) ( Graylab hypertext markup language ) . These tumours are identified by the type of cells seen under the microscope. Papillary thyroid tumours occur most frequently. This type of thyroid malignant neoplastic disease develops on one or both sides of the secretory organ and remains confined for several old ages. Follicular tumours, on the other manus, grow merely on one side of the secretory organ. Medullary thyroid tumours are normally uncommon, and like papillose tumours, they grow on one or both sides of the secretory organ. Anaplastic tumours, though highly rare, develop on either side of the thyroid secretory organ and spread quickly to other parts of the organic structure ( Thyroid Cancer Overview ) . Causes The merely known hazard for thyroid malignant neoplastic disease in some people is external radiation to the caput and cervix countries. From the early 1920 # 8217 ; s to the late 1950 # 8217 ; s, 1000s of kids received x-ray interventions to the caput and cervix countries ( Health Conn. hypertext markup language ) .Back so x-ray therapy was used to handle redness of the tonsils and pharyngeal tonsils, tinea of the scalp, ear infections, acne, and other non-cancerous conditions ( Health Answers hypertext markup language ) . At the clip doctors had no indicants that external radiation intervention could take to thyroid malignant neoplastic disease. Several old ages subsequently, thyroid tumours began to look in people who had received this type of radiation therapy. Fortunately most of the tumours were slow-growing and non malignant ( Health Conn. hypertext markup language ) .Other risks factors for thyroid malignant neoplastic disease include patients with a household history of thyroid malignant neoplastic disease and patients who experience chronic goitres ( National Cancer Institute hypertext markup language ) . Symptoms Malignant thyroid tumours may develop without any sensing for many old ages after its original formation. Aside from a somewhat enlarged thyroid secretory organ or ball located in the cervix part, there are no early marks or symptoms that indicate this type of malignant neoplastic disease. If the malignant tumour is left undetected and untreated, the ulterior phases of thyroid malignant neoplastic disease might cause more obvious symptoms ( UPHS Health hypertext markup language ) . Such symptoms could perchance be gruffness or a little alteration in the voice due to coerce from the tumour on the nerve connected to the voice box or, difficultly in get downing or take a breathing due to a tumour blockading the gorge or trachea ( Thyroid Cancer Overview hypertext markup language ) . Other marks of thyroid malignant neoplastic disease are chronic coughing or coughing accompanied by hemorrhage, or diarrhoea or irregularity ( American Cancer Clinic hypertext markup language ) . Diagnosis The diagnosing of malignant neoplastic disease is terrorizing for most patients because it has become associated with utmost hurting and agony ( Brochlure.1 hypertext markup language ) . But what the patients do non recognize is that there are a figure of trials that can be performed to find the being of a malignant or benign thyroid tumour, and most of these trials cause small hurting or disablement ( Mediconsult hypertext markup language ) . Most instances of thyroid malignant neoplastic disease are found during a everyday physical scrutiny. If the secretory organ appears to be enlarged, the doctor may order farther trials to name or govern out malignant neoplastic disease ( CRHA hypertext markup language ) . These trials include: * Thyroid scan- a patient is given radioactive I to imbibe. After the I has been absorbed by the thyroid, the patient must lie on his or her dorsum with the cervix part positioned under a scanner. The information received by the scanner is so sent to a computing machine that displays a two-dimensional image of the thyroid and any tumours that hold absorbed the I. There is no uncomfortableness felt during this testing, and little sickness due to the iodine mixture is the merely reported reaction to this proving. A thyroid scan is approximately 80 to 85 % accurate, and it costs an estimated $ 50- $ 120, plus any hospital stay and excess computing machine costs. ( Health Answers hypertext markup language ) * Thyroid ultrasound- The ultrasound uses high-frequency sound waves that are emitted and received by a transducer ( a handheld instrument ) that is passed over the neck part. The sound waves penetrate the organic structure, and by electronic readings, the sound moving ridges are arranged on a computing machine screen into a image image of the thyroid secretory organ and any tumours. A thyroid ultrascan is wholly harmless, and it is approximately 80 to 97 % accurate. The costs range anyplace from $ 75- $ 100. ( Health Answers hypertext markup language ) * Thyroid excisional biopsy- the trial is done in a infirmary runing room under a general anaesthesia. A ataractic is normally given by an injection about one hr before the process. An endovenous line is placed in a vena in the arm. Throughout the process, the patient is given a mixture of anaesthetic gas and O through a hollow tubing T hat is inserted through the oral cavity and into the windpipe. A little scratch is made in the cervix, and either side of the thyroid or the full ball is removed. The sample is sent to a research lab to be examined. If thyroid malignant neoplastic disease is detected, the thyroid is removed. The scratch is so stitched up. A patient who undergoes a thyroid excisional biopsy will see sleepiness, a mild sore pharynx, and some uncomfortableness from the scratch. The trial is extremely accurate and costs any where from $ 300 to $ 1,000. ( Health Answers hypertext markup language ) * Laryngoscopy- it is the scrutiny of the inside of the voice box with either the assistance of a little mirror held against the dorsum of the roof of the mouth or a flexible screening tubing called a laryngoscope. This type of proving may do a sore or hoarse pharynx. It is 50 to 75 % accurate and costs around $ 65. ( Health Answers hypertext markup language ) Cancer development Once the malignant neoplastic disease of the thyroid is diagnosed, more trials can be done to happen out if malignant neoplastic disease cells hold spread to other parts of the organic structure. This is called presenting. A doctor demands to find which present the malignant neoplastic disease is in order to be after the proper intervention ( American Cancer Clinic hypertext markup language ) . There are four chief phases in each of the types of thyroid malignant neoplastic disease except for anaplastic ( uniform ) malignant neoplastic disease. In the phase I of papillose thyroid malignant neoplastic disease, the malignant neoplastic disease is located merely in the thyroid and may be found in one or both of the lobes. In phase II if the patients are younger than 45 old ages of age, the malignant neoplastic disease has spread beyond the thyroid. But if the patient is older than 45 old ages of age, the malignant neoplastic disease is merely in the thyroid and is larger than 1 centimetre. In phase III, the malignant neoplastic disease is normally found in patients older than 45 old ages of age and has spread outside of the thyroid or has spread to the lymph nodes but non outside of the cervix. In phase IV, the malignant neoplastic disease is once more normally found in patients over the age of 45. It most probably has spread to other parts of the organic structure such as the lungs or castanetss. ( Graylab hmtl ) In phase I of follicular thyroid malignant neoplastic disease, the malignant neoplastic disease is merely found in the thyroid secretory organ on one of the lobes. In phase II if the patient is younger than 45 old ages of age, the malignant neoplastic disease has spread beyond the thyroid to the lymph nodes. If the patient is older than 45 old ages of age, the malignant neoplastic disease is merely in the thyroid and is larger than 1.5 centimetres. In phase III, the malignant neoplastic disease is normally found in patients older than 45 and has spread to beyond the thyroid into other countries of the cervix and possibly outside of the cervix. Stage IV of follicle thyroid malignant neoplastic disease is really similar to present IV of papillose thyroid malignant neoplastic disease in that the malignant neoplastic disease has likely spread to the lungs and assorted castanetss. ( Graylab hypertext markup language ) Medullary thyroid malignant neoplastic disease is rather uncommon. In phase I, the is located in one or both of the thyroid secretory organs and is approximately 1 centimetre in size, but throughout the last three phases of medullary thyroid malignant neoplastic disease, the tumour grows by 1-4 centimetres and continuously spreads to other parts of the organic structure. ( Graylab hypertext markup language ) There is no presenting system for anaplastic malignant neoplastic disease of the thyroid. This malignant neoplastic disease is located in either of the lobes and spreads faster than any of the other types. ( Graylab hypertext markup language ) Treatment There are fundamentally four different types of interventions used on patients with malignant neoplastic disease of the thyroid: surgery, radiation therapy, endocrine therapy, and chemotherapy ( National Cancer Institute hypertext markup language ) . Each interventions are widely used in battle against thyroid malignant neoplastic disease, but non all yield the same consequences. Surgery the most common intervention for malignant neoplastic disease of the thyroid. A doctor can take the malignant neoplastic disease by utilizing one or several operations. A lobectomy removes merely the side of the thyroid where the malignant neoplastic disease is found. A near-total thyroidectomy removes all of the thyroid except for a little part. A entire thyroidectomy removes the full thyroid, and a lymph node dissection removes lymph nodes in the cervix that contain malignant neoplastic disease. Complications of surgery include: bleeding, harm to the parathyroid secretory organs, and impermanent or lasting harm to the vocal chords. Any type of surgery for thyroid malignant neoplastic disease is followed up by a series of unwritten doses of radioactive I. The concentrations of iodine destroy any residuary thyroid tissue or tumour. Radiation therapy uses high-energy X raies to putting to death malignant neoplastic disease cells and psychiatrist tumours. Radiation for malignant neoplastic disease of the thyroid may come from a machine outside of the organic structure ( external radiation therapy ) or from imbibing a liquid that contains radioactive I. Because the thyroid absorbs the I, the radioactive I collects in any thyroid tissue staying in the organic structure and kills the malignant neoplastic disease cells. Side effects of radiation therapy include: hydrops, increased skin pigment, tegument itchiness, peeling ( casting of outer bed of tegument ) , sickness, purging, hair loss, and possible foetal harm in adult females. Hormone therapy uses endocrines to halt malignant neoplastic disease cells from turning. In handling malignant neoplastic disease of the thyroid, endocrines can be used to halt the organic structure from doing other endocrines that might do malignant neoplastic disease cells grow. The endocrines are normally ingested orally in the signifier of a pill. There are by and large no side effects to hormone therapy other than little sickness, emesis, and diarrhoea. Chemotherapy uses drugs to kill malignant neoplastic disease cells. Chemotherapy may be taken by a pill, or it may be put into the organic structure by a acerate leaf in the vena or musculus. Chemotherapy is called a systemic intervention because the drug enters the blood watercourse, travels through the organic structure, and can kill the malignant neoplastic disease cells outside of the thyroid. Chemotherapy causes similar side effects to those of radiation therapy. Prognosis Fortunately in most instances, people with the malignant neoplastic disease of the thyroid are normally treated successfully. Papillary malignant neoplastic disease of the thyroid is non associated with a high grade of patterned advance so many people maintain a normal life anticipation, if diagnosing is made early. Follicular malignant neoplastic disease of the thyroid is frequently fast turning and may occupy other tissues, but the likely result is still good. The result of medullary malignant neoplastic disease of the thyroid varies. Womans under the age of 40 have a better opportunity of a good result. The figure of people who live at least 10 old ages after diagnosing is 46 % .Anaplastic malignant neoplastic disease of the thyroid has the worst forecast. The expected life span of anyone diagnosed with this type of thyroid malignant neoplastic disease is anyplace from 6 months to 3 old ages.

Tuesday, November 26, 2019

Essay about Family and Good Times

Essay about Family and Good Times Essay about Family and Good Times I went over to my grandparents one weekend; they live out in the country in Lynn Center, Illinois. They own a lot of land, mostly wooded area with an old wooden corncrib and a small pond. I’ve traveled in these woods and played in the corncrib as a kid numerous times. I would go with my cousins, sibling and sometimes my grandmother. She would teach us about the different bugs, trees, rocks, and animals we encountered along the way. Going back in the woods, I was overcome with a feeling of nostalgia. I remember the times we would get rides in my grandpa’s gator, try to climb the trees, chase after the grasshoppers or even just walk around and find new things. We used to have so much fun. Walking through the woods alone made me miss all the fun times I had as a child. As I child I was carefree, I knew who my friends were and I had no worries about trust and my relationships with others. Growing up, especially in high school I’ve began to question my friends, I have a whole lot more stress and things are definitely not as simple as they once used to be. The woods were the same woods they used to be, the corncrib is exactly how we left it. Not much has changed, but the person walking through them definitely has. I can’t even remember the last time I walked through the woods, but I know one thing for sure that I have grown up and matured so much since then. While walking through the forest I began to think of all the ways I have changed and I realized a few things. Physically, obviously, my appearance has changed a lot, but emotionally I have changed a whole lot more. I

Friday, November 22, 2019

The Merry Wives of Windsor - Character Analysis

The Merry Wives of Windsor - Character Analysis In The Merry Wives of Windsor, a character is a key ingredient that makes this play one of Shakespeare’s funniest comedies. This â€Å"who’s who† of characters is written to aid your study and enjoyment of the play. You can also find more detail on Sir John Falstaff and Mistress Quickly in these articles. Mistress Ford A resident of Windsor, Mistress Ford is married to Ford, who is a fiercely jealous husband. When Mistress Ford receives a letter from Falstaff trying to seduce her, she finds that her best friend Mistress Page has also received a similar letter. Mistress Ford is a strong independent woman and in the spirit of girl power, she and Mistress Page decide to teach the men in their lives a lesson. They decide to humiliate Falstaff who has attempted to disgrace them. Mistress Ford also sets out to prove to her husband for once and for all that she is a faithful and loyal wife. She is successful in her plans and outwits the male characters proving herself to be a loyal wife but not without teaching her husband and Falstaff a lesson...don’t try and cross her or doubt her, you will regret it. Mistress Page Mistress Page also lives in Windsor. She is married to Page and is the mother of Anne Page. Anne has attracted many suitors and Mistress Page and her husband disagree about who is most suitable for their daughter. She prefers Caius as a match for her daughter whereas her husband favors Slender. Anne likes neither of her parents’ choices and she teaches her mother and father a lesson at the end of the play by marrying her true love. Mistress Page and her husband are made to see that the most important thing was to listen to their daughter and find out who she preferred. Anne takes after her mother in many ways, she teaches them a lesson in the same way that her mother teaches Falstaff the error of his ways. Ford Ford is the jealous husband of Mistress Ford. Presumably, low self-esteem leads to him believing that Falstaff will succeed in seducing his wife, also a shameful lack of belief in his wife’s loyalty to him. Ford even decides to disguise himself as ‘Brooke’ to find out from Falstaff how his wife has been responding to his advances. Of course, Falstaff informs him that his wife has arranged to meet Falstaff secretly which enrages Ford further believing that his wife is being unfaithful. He eventually comes to understand the truth and gains more respect for his wife in that she orchestrates the humiliation and downfall of Falstaff and thus proving her loyalty to him as her husband. He is made to feel a little silly for not believing in her. Page Page is a much easier going character than Ford and does not believe that his wife will be seduced by Falstaff – this shows that he has faith in his wife and shows their relationship to be much more secure. However, he does not listen to his daughter about who she is in love with and is finally taught a lesson by her. Anne Page Anne is Mistress Page and Page’s daughter. She has an array of unworthy suitors including Caius and Slender who her parents favor but Anne is in love with Fenton. She eventually elopes with Fenton and turns up with him to show her parents up and demonstrate that true love is more important. Sir Hugh Evans Sir Hugh is a Welsh Clergyman and much merriment is made about his accent. Sir Hugh Evans and Caius finally group together to humiliate the Host who has made fools of them. Caius Mistress Quickly’s Master and the local Doctor. He is French and like Hugh Evans is mocked for his accent. He is in Love with Anne Page and Mistress Page approves of the match but her husband Page and Anne herself do not like Caius. Caius teams up with Evans to give the Host his comeuppance. Slender Another match for Anne Page. Urged on by Shallow, Slender tries to seduce Anne but is only able to talk nonsense to her. Slender is overlooked by Anne. Fenton Anne’s true love, Fenton is discounted by Page who believes he is after Anne’s money, which he admits he was at first but on getting to know Anne he has fallen in love with her. They elope in secret.

Thursday, November 21, 2019

Applied anatomy and physiology Essay Example | Topics and Well Written Essays - 3000 words

Applied anatomy and physiology - Essay Example I obtained the consent before proceeding with any procedure. For a detailed medical record of the patient please refer to the index at the end of this paper. I was in contact with the patient for three weeks as I was monitoring the patient’s recovery and the effect of medication and diet. I had to monitor the diabetic data that the patient was showing so that I could change any medication or diet in the patient’s diet plan. My capacity included direct interaction with the patient where I could talk and advise any recommendations or any guideline that I deemed necessary. I had to go through a detailed discussion about the confidentiality because the privacy of medical records of the patient is always a debatable issue. The patient’s content that they are the sole owners of their medical record and this cannot be shared with anyone. The patients have the right to access their own medical records (Schoenberg  & Safran, 2000). However, the doctor side of this debate argues that the medical records should be accessible to the medical staff and anyone that the doctors deemed worthy and qualified enough to share their opinion for the recovery and better treatment of the patient. The normal anatomy and physiology of the patient with type II diabetes includes normal blood pressure but the patient presented the case of hypotension. This condition can be explained by the use of drug Amlodipine. The normal physiology of a 45 year old male does not include nausea or headaches. At the age of 45 a person is healthy showing no unusual weakness in limbs and no visual disturbance. Endocrine pancreas is present as cell-clusters (islets of Langerhans) comprising four types of cells: alpha, beta, PP and delta cells (Sussel et al., 1998). Type II diabetes mellitus occurs with the interaction of environmental factors and a certain combination of genetic variants (Sladek et al., 2007). A study by Lorenzo et al. (1994) reveals that amylin fibril formation in

Tuesday, November 19, 2019

Tesco - An In- and External Market Environment Analysis Assignment

Tesco - An In- and External Market Environment Analysis - Assignment Example Tesco was established in 1919 as a company that is engaged in the business of grocery retail chains (Tesco, 2014). The company has grown today to become the second largest retail business after Wal-Mart. Its global store count goes up to 6351 stores while its revenues measure up to  £72,673 million in 2013 (Tesco, 2013). The company is also listed on the London Stock Exchange with an estimated market capitalisation of  £24.4 billion (Tesco, 2013). The report is aimed at an analysis of Tesco Plc from the strategic viewpoint. It is organised in a manner which provides answers to four critical questions. The first segment analyses the external market environment from the micro and the macro perspective for Tesco Plc through Porter’s five forces and PESTEL Analysis. The second segment deals with the analysis of Tesco’s Internal Environment through Value Chain Analysis and Resources based view. The third segment talks in detail about the crisis faced by Tesco and what impact it had on the company. The last part deals with an analysis of different types of strategies undertaken by a business including corporate strategy and business level strategy. With the help of such analysis, the report tries to suggest future strategies and implementation techniques for it. Q1 – Analysis of the external environment Macro Environment Analysis – PESTEL Political – UK supermarket industry has been affected by different political factors like tax rates and legislative compliances. The political climate is relatively stable and the government provides encouragement and enough support to the supermarket establishments because of the high levels of employment potential within the industry.

Saturday, November 16, 2019

Sherman Alexie Essay Example for Free

Sherman Alexie Essay According my researching from Encyclopaedia Britannica Online, Academic Search Complete, and Superman and Me in class, I found out biographical information on Sherman Alexie. The reason I searched about Sherman Alexie because I wanted to know about how he had been through his life and become a successful American poet. He also writes essays and novels. In childhood, Sherman Alexie was born October 7, 1966 on the Spokane Indian Reservation in Washington. He lived where surrounded by alcoholism, crimes, and drugs around him. His father was an alcoholic. Alexie’s health was poor which hydrocephalus -water on the brain was. The doctor gave up to save his life, and he was not expected to survive through his severe disease. â€Å"The hydrocephalus had left him with an enlarged skull, and he suffered from seizures and bed-wetting throughout his childhood†. Even though he had suffered his life through his mental disabilities, he patiently spent most of his childhood reading. Time went by; his surgery was successful and survived. His hardworking is the cornerstone to success when he spent most of time to read. This reminds me that even though I have struggle in my life, I will stand up to deal with problems and never give up on anything. Without my hardworking, I won’t go anywhere and have a successful life. I think that all his efforts spending time his childhood reading will bring matter to a resolution and equality to his life. Alexie had to deal with all the challenges and problems that he met at the reservation school even though he was teased by other kids. â€Å"As a boy, Alexie was teased mercilessly by the other reservation kids, who called him â€Å"The Glode†. I think he was called The Globe because his head was larger than other kids due to his as infant hydrocephalus. He also was kept out from many of the activities at the reservation school for young Indian males due to his health issues. Nothing he could do at the moment, Alexie was being outstanding to read anything available to him (Lynn 197-198). This shows me that I try hard and spend the amount of my available time to work on anything, the price of success will come from my hardworking. According to Sarah Quirk, one of the American novelists said â€Å"Blend elements of popular culture, Indian spirituality, a nd the drudgery of poverty-ridden reservation life to create  his characters and the world they inhabit† .One of the influences of Alexie’s writings is meant to bring sadness to the conscious mind. He uses humor, literature, and cultural activities. The purpose he wanted to use humor in his plot was to leave the readers with an observation of a particular aspect, admiration, understanding, and sympathy. This means Alexie’s influences for his literary works don’t depend all the listings of Indian modern forms. Alexies work is filled with using humor to present all his character’s works, and most of his writing focused on what he had experienced as a Native American. It was very meaningful to read his collection of poems and short stories because all his works helped me to explore and know more many facts of contemporary life on a reservation. Alexie has the best way of describing circumstances and tenderness through different poems and short stories that make me hurt and pain for the Native Americans who live on reservations. Alexie thought to have a better life and better himself, so he decided to leave the reservation and attended Reardan High school at his eighth grade. He tried all his best to study hard and at the end all the grant he received from his hardwork made him at expert at his studying and became a basketball star and elected as class president. â€Å"There, he flourished, becoming a star player (and the only Indian) on the schools basketball team (ironically called the Reardan Indians), as well as the team captain, class president, and a member of the championship debate team† (Lynn 198). His achievement in High School was admitted his admission to Jesuit University in 1985. He had a successful academic career path. After Alexie successful academic career in there, he transfer to Washington State University in 1987 where he started writing poetry and short fiction .I knew that because of his hard working brought them a better life. I also think that even though there is any problem in my life, I have to deal in order to overcome problems, never give up in my life. Giving up easily every decision I make, it won’t let me succeed and bright me the path I choose to go. In 1990, one of Alexie’s first work collections of poetry was The Business of Fancydancing. It was published in Hanging Loose magazine. â€Å"The Business of Fancydancing, was published in 1992, The New York Times described him as one of the major lyric voices of our time. Ever since, the writer has continued to receive critical acclaim†. (McNally) .The knowledge and learning all he put gave him satisfaction and motivation; he  succeeded in writing first poetry. It also gave him the motivation to quit drinking. â€Å"On the night of his twenty-first birthday, Alexie-drunk, as usual-was robbed at knifepoint. He had sunk low enough. He gave up drinking for good.† (Lynn 198). He knew that the risk of drinking was bad for health, so he chose the right decision to focus on his work. The right decision he made would lead him to attain greatness and make him rich through an enormous awards and grants of his hard work. Sherman reflects on his successful career and being a successful Indian writer. I used to be a binge alcoholic. Ive substituted writing for alcohol. Writing is everything. It takes stuff away. Its like being married. Its a high-maintenance relationship. You cant get lazy. Im doing something around it every dayreading, writing, editing, and thinking. I can be staring out the window, and Im working real hard.(Lynn 202). Alexie received many awards and grants. â€Å"In 2010 he won a number of literary awards, including the PEN/Faulkner Award for War Dances (2009; another mix of prose and poetry) and the 2010 Lifetime Achievement Award from the Native Writers’ Circle of the Americas( Daniel). Through his hard working, it led him a successful career path from poems to short stories to novels through reading and writing. In his essay â€Å"Superman and me†, Alexie writes, â€Å"In all my years in the reservation school system, I was never taught how to write poetry, short stories, and novels. I was certainly never taught that Indians wrote poetry.† This reminds and wants readers to explore their new options in reading and writing, it may save your life (Sherman 112). I think that exploring new options in reading may ultimately save my life. The more I explore new options in reading, the more I gain more knowledge. Just like Sherman Alexie, he was surprised he became a writer despite all the books he read and all the time he spent reading; consequently, education can save his life successfully. Education can save life once people spend time and work hard on it. From what I have been reading and knowing about Sherman’s literacy work, I explore new possibilities for assessing his rich and challenging work. Not only do I know about his life, but I also know about how much time he put his efforts in and how hard his life had been through to be a successful literacy career. When I do research, each research step is to determine the purpose of my research, to do some background I have done reading that familiarize with the topi c, select and use the best  Library Catalogue research resource, analyze my research, organize and write, cite my research. Since I had been doing with research, I learned about a particular topic in depth, enhancing of credentials, understanding process, an ability to think and work independently, MLA formatting and style, works cited and citations. The more I do research, the more I enhance my experience, knowledge, and credibility. Works Cited McNally, Joel. Sherman Alexie. Writer (Kalmbach Publishing Co.) 114.6 (2001): 28. Academic Search Complete. Web. 19 Feb. 2014. Cline, Lynn. About Sherman Alexie. Ploughshares 26.4 (2000): 197.Academic Search Complete. Web. 19 Feb. 2014. Quirk, Sarah. Dictionary of Literary Biography.278. American Novelists since World War II, Seventh Series. Detroit: Gale Group,2003 Grassian, Daniel. â€Å"Sherman Alexie. Encyclopaedia Britannica. Encyclopaedia Britannica Online Academic Edition. Encyclopaedia Britannica Inc., 2014. Web. 19 Feb. 2014.

Thursday, November 14, 2019

Analysis of My Papas Waltz by Theodore Rothke Essay -- My Papas Walt

Analysis of My Papa's Waltz by Theodore Rothke My Papa's Waltz is by Theodore Rothke it is about a childhood memory written later in his lifetime. Theodore Rothke's dad was an alcoholic drunk. Theodore Rothke went through a period where he was depressed and mentally unstable. Theodore Rothke was fascinated by the nature of the world; many of his poems were about this subject. Some people who read My Papa&'s Waltz come to the conclusion that it is about a drunken abusive father. However, I think when he was writing this he was reminiscing about a good childhood memory from when he was around seven years old. Theodore Rothke?s life was anything but ordinary. Not only alcoholism but also mental breakdowns through out the middle and later part of his life troubled Theodore Rothke. Roth...

Monday, November 11, 2019

When to bail out

Even the proponents of free economy accept some form of regulatory intervention on organizations that become mighty powerful. The regulatory authorities have a right to intervene, if the market forces are giving unfair advantages such as monopoly or pollution. Commercial banks can become mighty powerful and at the same be very fragile. Even flourishing capital markets have not undermined the importance of commercial banking. Commercial banks are a widely used tool to stimulate the economy through loans that stimulate consumption and investment. Therefore, in essence the health of the banking sector is directly related to the health of an economy. Liquidity risk is inherent to commercial banking because the depositors can come and claim their deposits at anytime. A mismatch of time to maturity of advances and deposits can create severe problems. For instance, a wave of panic-stricken withdrawals can essentially bankrupt a bank in no time. This can trigger systematic risk and leave the entire economy shaken. The banks need to monitor their asset liability management statistics because any mismanagement can lead to bank runs or cash shortages. For these problems, central banks require of commercial banks to insure their deposits and provide them with liquidity support. By providing liquidity support central banks regulate the money market and injecting cash in the economy when demanded. These solutions in effect lead to other problems. For example, in insured deposits, depositors stop monitoring a bank’s performance and the banks increase their risk appetite by increasing lending. To address this issue the central bank requires banks to maintain a minimum capital adequacy ratio, and regulate insurance premiums to be proportional to the risk of a bank’s lending. However, recent stats suggest that capital adequacy is not a safe determinant to monitor banking sector. Commercial banks start to over rely on central bank’s liquidity support and tend to lend high premium loans to institutions with lower credit ratings. Even if such lending results in volatility in the money market such variations are small compared to the bank’s capital. Central bank needs to be proactive rather than be reactive because the public cost of economic instability and high interest rates is too high. Even the Basel II addresses risk capital framework but does not address provisioning for funding. The emphasis should be on liquidity rather than on solvency alone. Therefore, commercial banks need to be scrutinized through stricter prudential regulations.

Saturday, November 9, 2019

Modern Business Environment

In modern business environment, knowledge is the most important resource, information regarding competition mainly concerned their market share and offer, showed to be a satisfactory volume of information. Nowadays requires information about the competition. These information refer not only to competitors market share and their offer, but also to the level and structure of their expenses, products and services quality-price relations, sales volume, scope of activities, cash flows, liquidity, solvency and profitability. Building information system that supports the management and decision-making, and that can be a source of competitive edge, is not an easy task. Problem is how to get quality and useful information. In the present commercial center, there are tons of items and administrations accessible to satisfy the necessities of people and organizations. Your capacity to recognize and abuse the highlights and related advantages of your item or benefit and exhibit how it is unique or superior to anything the opposition will furnish you with a focused edge. The edge or preferred standpoint will furnish your firm with the instruments to: Increment deals and piece of the pie. Enhance overall revenues for a given timeframe in new or existing markets. Guarantee your survival in to a great degree focused markets. Grow hard-to-duplicate promoting blends. A COMPETITIVE EDGE : To begin, you should assemble every one of the information gathered about your objective market patterns, clients, items and contenders. Recorded various market plan elements is a framework of the different market design components you should survey to identify your competitive edge. Each organization must have no less than one favorable position to effectively contend in the market. On the off chance that an organization can't distinguish one or simply doesn't have it, contenders soon beat it and power the business to leave the market. There are numerous approaches to accomplish the favorable position however just two fundamental kinds of it: cost or separation advantage. An organization that can accomplish prevalence in cost or separation can offer shoppers the items at bring down expenses or with higher level of separation and above all, can contend with its rivals. 1.0 BACKGROUND: Firstly the identification of your firm's strengths and weaknesses is an important task that needs to be accomplished before any competitive edge can be developed. The aggressive edge your firm picks will rely upon the reasons your client will purchase a specific item or administration. A competitive advantage means you need to offer some things your competitors don't. You need to know what it is your competitors do well, and do not do well. For instance, if your opposition has one formula that numerous clients go to that eatery for, basically impersonating their formula won't add to your upper hand. Rather than endeavoring to duplicate your rival's points of interest, fortify your own particular to make a special arrangement of qualities that can't be imitated. There's no compelling reason to enlist somebody to do what you can do yourself, however consider utilizing research firms to discover data that isn't freely accessible. Here are a couple of instruments you can use to secure aggressive knowledge. Online scans are a fast technique for finding aggressive data. In any case, this hunt will just give data that has been made open. On location perceptions of the contender's parking area, client administration, volume and example of providers' conveyances, and so on can yield valuable data about the condition of the contender's business. Overviews and meetings can yield a lot of information about contenders and items. Research reviews and center gathering interviews for the most part give more inside and out points of view from a constrained example. Aggressive benchmarking is utilized to look at the association's activities against those of its rivals. In making particular correlations inside an industry, an association picks up data about regular advertising rehearses, accessible workforce, and providers. Problems to Gain Competitive Edge over your Competitor in Business: Rivalry is great. Indeed, a sound competition provokes you to work more brilliant with the assets you have. To do as such, use your group's interesting gifts and construct a business contenders wouldn't set out test. Regardless of whether different organizations in your industry endeavor to undermine your costs and take your clients, ponder ways they can enable your startup to develop.Maintaining a strategic distance from lack of concern. Sole providers in an industry rapidly quit advancing essentially in light of the fact that they never again have any need to. Unfortunately, they unwittingly focus on keeping up the present state of affairs. Contenders have a propensity for keeping you on your toes.Building brand clout. Make it your central goal to emerge as the main specialist in your space of ability. Your gathering of people will appreciate your idea authority and normally pick you over different sellers.Creating mindfulness. Adversaries constrain you to evaluate your qualities and shortcomings. Utilize your superpowers to make a more exceptional incentive to clients. Comprehend your weaknesses and discover approaches to defeat them.Empowering separation. Contenders will reliably attempt to offer better client benefit, item quality and promoting. In sound markets, purchasers will request the best answers for their particular needs. Separate your contributions with the objective of making huge incentive for the clients you serve.Abusing industry patterns. Rivalry signals solid customer request. It gives approval to what you are doing. In new markets, this is a chance to advance a developing pattern that will get purchasers and the media amped up for your work.Shaping startling associations. Make organizations together with similar organizations. Trade innovation and apparatuses, extend the general market, cross advance each other's items and team up on novel research to instruct buyers. Mayb e one day, you may converge with, or gain, your greatest rival.Shared learning. Watch the opposition deliberately. The learning and assets they have might be both preferred and distinctive over yours. Effectively gain from how they oversee and develop their task. Before long, you will find approaches to apply those lessons figured out how to your business.Narrowing down a specialty. Somebody will dependably be superior to you at something – and that is alright. Clients merit the best items and administrations to satisfy their individual needs. To manufacture a productive business, concentrate your endeavors on making a littler fragment of the general market exceptionally upbeat. By narrowing your specialty, you build up an aggressive edge that prevents promote rivalry.Arranging long haul. Without contenders, most firms lose all sense of direction in the everyday exercise of keeping up their business. As different organizations join the market, you should begin testing yoursel f to achieve more.Organizing client needs. Rather than concentrating your vitality on exceeding the opposition, put resources into turning into a client driven association.Along these lines, you will help purchaser dependability and effortlessly shield against forceful providers or merchants goal on taking your customers. By the day's end, it is your clients – not your rival – who have the ability to represent the deciding moment your business.

Thursday, November 7, 2019

An Overview of the Process of Balkanization

An Overview of the Process of Balkanization Balkanization is a term used to describe the division or fragmentation of a state or region into smaller, often ethnically similar places. The term can also refer to the disintegration or break-up of other things such as companies, Internet websites or even neighborhoods. For the purposes of this article and from a geographic perspective, balkanization will describe the fragmentation of states and/or regions. In some areas that have experienced balkanization the term describes the collapse of multiethnic states into places that are now ethnically similar dictatorships and have undergone many serious political and social issues such as ethnic cleansing and civil war. As a result, balkanization, especially with regard to states and regions, is typically not a positive term as there is often much political, social and cultural strife that takes place when balkanization occurs. Development of the Term Balkanization Balkanization originally referred to Europe’s Balkan Peninsula and its historic break-up after control by the Ottoman Empire. The term balkanization itself was coined at the end of World War I following this break-up as well as that of the Austro-Hungarian Empire and the Russian Empire. Since the early 1900s, Europe, as well as other places around the world, have seen both successful and unsuccessful attempts at balkanization and there are still some efforts and discussions of balkanization in some countries today. Attempts at Balkanization In the 1950s and 1960s, balkanization began occurring outside of the Balkans and Europe when several British and French colonial empires began fragmenting and breaking up in Africa. Balkanization was at its height in the early 1990s however when the Soviet Union collapsed and the former Yugoslavia disintegrated. With the collapse of the Soviet Union, the countries of Russia, Georgia, Ukraine, Moldova, Belarus, Armenia, Azerbaijan, Kazakhstan, Uzbekistan, Turkmenistan, the Kyrgyz Republic, Tajikistan, Estonia, Latvia, and Lithuania were created. In the creation of some of these countries, there was often extreme violence and hostility. For example, Armenia and Azerbaijan experience periodic war over their borders and ethnic enclaves. In addition to violence in some, all of these newly created countries have experienced difficult periods of transition in their governments, economies, and societies. Yugoslavia was created out of a combination of over 20 different ethnic groups at the end of World War I. As a result of differences between these groups, there were friction and violence in the country. Following World War II, Yugoslavia began to gain more stability but by 1980 the different factions within the country began fighting for more independence. In the early 1990s, Yugoslavia finally disintegrated after around 250,000 people were killed by war. The countries eventually created out of the former Yugoslavia were Serbia, Montenegro, Kosovo, Slovenia, Macedonia, Croatia and Bosnia and Herzegovina. Kosovo did not declare its independence until 2008 and it is still not recognized as fully independent by the entire world. The collapse of the Soviet Union and the disintegration of the former Yugoslavia are some of the most successful but also the most violent attempts at balkanization that have taken place. There have also been attempts to balkanize in Kashmir, Nigeria, Sri Lanka, Kurdistan, and Iraq. In each of these areas, there are cultural and/or ethnic differences that have caused different factions to want to break away from the main country. In Kashmir, Muslims in Jammu and Kashmir are trying to break away from India, while in Sri Lanka the Tamil Tigers (a separatist organization for the Tamil people) want to break away from that country. People in the southeastern part of Nigeria declared themselves to be the state of Biafra and in Iraq, Sunni and Shiite Muslims fight to break away from Iraq. In addition, Kurdish people in Turkey, Iraq, and Iran have fought to create the State of Kurdistan. Kurdistan is currently not an independent state but it is rather a region with a mostly Kurdish population. Balkanization of America and Europe In recent years there has been talk of the balkanized states of America and of balkanization in Europe. In these cases, the term is not used to describe the violent fragmentation that occurred in places like the former Soviet Union and Yugoslavia. In these instances, it describes potential divisions based political, economic and social differences. Some political commentators in the United States, for example, claim that balkanized or fragmented because it is special interests with elections in specific areas than with governing the entire country (West, 2012). Because of these differences, there have also been some discussions and separatist movements at the national and local levels. In Europe, there are very large countries with different ideals and opinions and as a result, it has faced balkanization. For example, there have been separatist movements on the Iberian Peninsula and in Spain, particularly in the Basque and Catalan regions (McLean, 2005). Whether in the Balkans or in other parts of the world, violent or not violent, it is clear that balkanization is an important concept that has and will continue to shape the geography of the world.

Tuesday, November 5, 2019

Chicago Referencing †4 Things You Should Know

Chicago Referencing – 4 Things You Should Know Chicago Referencing – 4 Things You Should Know Chicago referencing is a flexible system for citing sources in academic writing. If it’s your colleges chosen system or you’re writing a paper for a journal, knowing how to use Chicago referencing is vital. Before you set to work, though, there are a few things you should know. 1. The Chicago Manual of Style Chicago referencing is set out in The Chicago Manual of Style. The 16th edition of this was released in 2010 and includes details on every aspect of editorial practice, from grammar to formatting. In the U.S., The Chicago Manual of Style is commonly used by publications in the social and human sciences. However, if your college simply specifies â€Å"Chicago referencing,† it’s only the rules for citing sources that you need to worry about. 2. One Manual, Two Styles Chicago referencing can be a little confusing because it incorporates two citation styles: author-date citations and a footnote and bibliography version. Author-date citations use a style similar to APA referencing, with the author’s surname, year of publication and (if relevant) page numbers given in brackets: The New World was colonized around 11,000 B.C. (Diamond 1997, 67). This is accompanied by full publication detail in a reference list. The footnote and bibliography system, meanwhile, cites sources with superscript numbers (e.g., 1, 2, 3) in the main text. You can then give source information in footnotes (as well as in a bibliography). The first footnote for the source named above, for example, would appear as: 1. Jared Diamond, Guns, Germs Steel: A Short History of Everybody for the Last 13,000 Years (London: Vintage, 1997), 67. The fact there are two citation styles within Chicago referencing makes it crucial to check your style guide before you start writing. 3. Subsequent Citations If you’re using the author-date system, citing the same source more than once simply requires giving the author’s name and year of publication each time. With the footnote and bibliography system, however, you can shorten subsequent citations of the same source. For consecutive citations, you can use the Latin term â€Å"Ibid.† For nonconsecutive citations, give the author’s surname, a shortened title and relevant page numbers: 1. Jared Diamond, Guns, Germs Steel: A Short History of Everybody for the Last 13,000 Years (London: Vintage, 1997), 67. 2. Ibid., 112. 3. Derek Author, A Different Book, (New York: Publisher Inc., 2005), 45. 4. Diamond, Guns, Germs Steel, 23. 4. Reference List/Bibliography The two citation systems covered by Chicago referencing use a similar format for creating a reference list/bibliography, but there are differences. The information required for a book in a reference list when using the author-date system is: Author Surname, First Name. Year. Title. City of Publication: Publisher. With the footnote and bibliography system, on the other hand, publication information should be presented as follows: Author Surname, First Name. Title. City of Publication: Publisher, Year.

Saturday, November 2, 2019

Assignment Example | Topics and Well Written Essays - 500 words - 129

Assignment Example e policy focused on reallocation of resources to reflect market forces which was followed by reduction and removal of tariff protection in addition to corporatization and privatization of government business enterprises (Australia 1998). The microeconomic reforms aimed at improving the efficiency and effectiveness of industries and therefore impose competition (Gittins & Forsyth 2008). When more and more industries become efficient per unit production the costs will eventually be lowered (Gittins & Forsyth 2008). This will automatically results to increased profit made by the business. The main objective is to ensure that producers transfer and supply their resources to the industries that are efficient. This will see abandonment of those industries which are not using the resources efficiently. The implementation of the microeconomic reforms basing on the 5 sector flow model has seen sharper competition develop between lower and foreign investments. More and great incentives are now available for local investors to improve their productivity by reducing costs and seeking new markets (Gittins & Forsyth 2008). There is great openness to trade and many people are encouraged even to specialize in business. Moreover, prices of commodities have also lowered and things are much affordable to the domestic consumers. Competition in communication sectors has seen advancement since the reforms ended monopoly discrimination of single business (Gittins & Forsyth 2008). The microeconomic reform policies have one major advantage. It is upon individual businesses to come up with the best strategies to sell and overcome competitors. This has seen service delivery and quality of products improve. One of the shortcomings is conflict among competing business companies (Budget.gov 1998). The free business environment needs to have regulation. This will ensure there is respect among competing companied as far as competition is concerned. Australian microeconomic policy has a major