Native Americans relations with Europeans

According to the anonymous author , â€Å"Objectivity is neither possible nor desirable. It's not possible because all history is subjective; all history represents a point of view. â€Å", which In other words means that people see history In the way they want to see It based on what they think Is Important. It Is not possible to be objective because everything one says and thinks Is based on our perceptions, knowledge, thoughts and feelings . It Isn't desirable because If someone Is trying to get a point across, they have to be subjective. History, while trying to be objective is mostly subjective.The historian brings their feelings, prejudices, backgrounds, as well as their P. O. Vs. to historical situations. This effects how history is told and written about. The various authors that have wrote about Columbus arrival to the New World based it off of their own view of the world and of Columbus. In † A People's History of the United States â€Å", Howard Zion approaches hi s view on history in a more opinion based way. Howard Zion beings by retelling the encounter between the natives and Columbus. Zion's view of this Is different from the traditional encounter most historians talk about.Howard Zion points out that the Europeans came to the Americas in search of slaves and gold and brutally killed almost all the Indians, who according to many other people were a peaceful people. This shows that Zion Is subjective and doesn't view Columbus as an â€Å"enlightened † explorer but rather a brutal one that would do anything such as torture others to get what he wants. Then Zion gives his opinion on how history is usually told from the Elite groups point of view. Zion points out that Columbus thought the Natives were weak and wouldn't be able to defend themselves.Howard Zion does give facts about the encounter such as using Columbus own Journal as evidence but he does become biased in certain parts of the first chapter. In other words , Zion wanted to tell the Natives pop because he wants the reader to know about that part of history. Zion wanted to expose Columbus as a cruel man. The idea of exploitation of resources, of people, of cultural differences was an Important factor In the conquest of the New World. Zion's way of thinking and his thought one how the elite shouldn't be the only one that students should read about were reasons why Zion Is not objective at all.He does become biased and bases his reasons on thoughts about letting the reader hear the Natives side of the story. In A Different Mirror: A History of Multicultural America†, Ronald Attack is subjective as well because he takes the Natives side by pointing a lot of negative defects of the Europeans. At first , Ronald Attack talks about how the Natives viewed the Europeans. Attack states that the Natives saw the Europeans as â€Å"ugly † and â€Å"strange† . Ronald gives the reader an insight on how the Natives felt towards these explorers. A l ot of other historians don't teach about the thoughts of the oppressed people.Then Attack talks about how the the English Justified colonization, enslavement and murder. The English didn't view their taking of the land as robbery. Attack points out that Columbus saw these people As loving their neighbors as themselves, and having the sweetest talk In the world, and gentle, and always with a smile. Then the author writes about how the Europeans would destroy the Natives villages. The Europeans reclaimed the natives as savages and non-human. As an opportunity to take over the land. The Natives would be categorized as â€Å"the other† while the Europeans were entitled to the land.Attack describes the Europeans as greedy and in control. Attack focuses on the severe treatment of the Indians and how this affected them in a negative way. This can be seen as being biased because Attack views the Natives as the victims and the Europeans as the villains . In the â€Å"American Pageant , chapter 1: New World Beginnings†, David M. Kennedy, Thomas A. Bailey, and Elizabeth Cohen present history in a more objective way. It is objective but the author still presents history in the way they want the reader to see it. They tell the reader only what they want them to know.These authors start off by talking about the shaping of North America and the theory of Pangaea is explained. Then they inform the reader about early Americans such as the Pueblo Indians , Mound Builders and and Eastern Indians. Later on in chapter one , the authors start to talk about Columbus arrival to the New World. Throughout this section of the text , there was no opinions made. The authors state that Columbus was trying to reach the East Indies and how he misjudged the size of Earth. They are informing the reader rather than trying to convince them about a certain topic.The authors don't give their opinions on Columbus nor talk about his treatment towards the Natives. The quote does not go w ith this text because this text is showing that objectivity can be possible. The authors are being objective because they are basing their Judgment on the facts and what has been presented without putting any personal beliefs or bias comments. In â€Å"A Patriot's History of the United States: From Columbus' Great Discovery to the War on Terror, Chapter 1: The City On A Hill , 1492-1707†, Larry Shareware and Michael Allen's way of telling the reader history can be seen as more objective.Shareware and Allen wants to give the reader a fair story of the nation to the reader but does the opposite. Both authors become subjective because their history telling is based on patriotism. They want the reader to see the proud history of America. Allen and Shareware want to show their appreciation and respect for the United States. They leave out the negatives that occurred in history . This book (chapter 1) shows that history is a product of it's authors. Since both of these authors are proud Americans , they want to show the positives of the nation throughout history.In the first chapter , the authors point out that Columbus and other explorers such as Cortes were innocent and didn't deliberately give the Native Americans diseases. The authors tell the history that all history books have in it but is also trying to go against â€Å"A People's History of the United States. † The authors point out that because Americans had a Christian Culture , they took life, liberty and property as serious manners. They also point out that hard work was a building block of the success of America. From chapter one , Allen and Shareware show a conservative perspective because they want the reader to see that the U.S is a special nation because when the New World was found, settlers adopted several systems such as religious integrity, private property rights and also competition amongst groups like political parties. These authors want to show the reader that history can be s ubjective while containing facts. In â€Å"The Devastation of the Indies: A Short Account†, Bartholomew De Lass Cases does show a subjective way of telling history because he takes a side. Bartholomew tells the reader that the Europeans were cruel Soldiers would use this hospitality as an advantage to take over cities and villages.This would allow them to get to the gold and slaves they wanted. Bartholomew goes on saying that the Europeans would massacre millions of natives , raping innocent woman and killing innocent children. The Spaniards would use slaves to build buildings and to attack other villages since sometimes the Spaniards didn't want to use their own men. Bartholomew points out that the Spaniards committed genocide. There are two sides to every story and Barcarole goes with the side of the indigenous people. Bartholomew focused on the horrific actions taken by the Spaniards. Ironically , Barcarole was a Spaniard priest but still went against his people .He believ ed that the conduct of the Spaniard Christians were not one of someone that followed the Christian faith. This ties in with the quote because Bartholomew is being subjective and is making it clear that objectivity can't be possible in his brief account . Bartholomew wanted to portray the Spaniards in the worst light and also tell people the unfairness treatment that the Natives had to go through. Therefore , various authors that have wrote about Columbus arrival to the New World and the history of Early America have based it on their point of view and thoughts.An authors ultra and worldview can affect the way they write about history by making it bias. Some authors might take a side and argue for that side. Authors will make their point using facts to back up their opinions. This leads to the conclusion that objectivity is rare in writings about history although it isn't impossible . While the authors of â€Å"The American Pageant † present history using facts and don't take sides , other authors want to pursue the reader and make the reader believe what they believe. This shows that history is subjective because an author will base tell history in the way they want to.

Daiwa Bank

A Case Study| | Background and History Daiwa Bank, or Osaka Nomura Bank as it was first called, was founded in 1918 in Osaka, Japan by Tokushichi Nomura. It was created mainly to take advantage of the new capital Japan had amassed from foreign commercial ventures and domestic industrialization. Its securities division experienced huge growth in volume and profits that it almost functioned as different entity. Japanese industry spectacularly grew in the 1930s, but after the war the Allied occupation forces enacted a variety of laws aimed at decentralizing the industry.Part of this was that the bank was forced to change its name to Daiwa Bank, Limited. In 1948, Daiwa Bank established a foreign department and the following year it was authorized as a foreign exchange bank. Daiwa opened representative offices in New York and London in 1956 and 1958, respectively as it was also gaining stronger presence in Tokyo. The bank opened more overseas offices, in Los Angeles in 1970, Frankfurt in 1971, Hong Kong in 1976, and Singapore in 1979.It established a new trust headquarters in 1985 to reinforce its position in trust banking, promote fee income, and demonstrate its ability to accommodate the increasingly diverse needs of Japanese society. Daiwa, like most Japanese banks, made its profits through lending, but failed to implement appropriate oversight procedures when it turned to high-volume securities trading. It was not until 1980s that Daiwa’s entry to trading securities would lead to a scandal with longtime repercussions.In September 1995, the news reported that one of its New York bond traders, Toshihide Iguchi, had embezzled funds and altered bank records in order to conceal 11 years of losses than amounted to $1. 1 billion. Five years later, Daiwa was still enduring the impact of the New York scandal when a Japanese court ruled on the shareholder suit when a number of former and current management officials were ordered to pay $775 million in damages to sh areholders for failing to properly oversee Iguchi's trading.Occurrences of Fraud Toshihide Iguchi is a Kobe, Japan-born US citizen who majored in psychology at Southwest Missouri State University, Springfield. He joined Daiwa’s New York branch in 1977. There he learned how to run the small back office of the branch’s securities business. Traders say that he had traded as much as $1billion in a day, striving to affect the prices through big positions, yet his reported profits averaged $4 million a year over the past decade, never exceeding $10 million in a single year.When Iguchi lost a few hundred thousand dollars early on in his trading activities, he was tempted into selling off bonds in the Bankers Trust sub-custody account to pay off his losses. As money was lost in trading mostly short-term Treasury bills, he covered the losses by selling US government securities owned by Daiwa, allegedly forging documents to hide their sale. He concealed his unauthorized sales fr om the custody account by falsifying account statements so that the statements would not indicate that the securities had been sold. He was able to forge some 30,000 trading slips, among other documents.When customers sold off securities that Iguchi had already sold off on his own behalf, or when customers needed to be paid interest on long-gone securities, Iguchi settled their accounts by selling off yet more securities and changing yet more records. Eventually about $377 million of Daiwa’s customers’ securities and about $733 million of Daiwa’s own investment securities had been sold off by Iguchi to cover his trading losses. By the early 1990s, it was difficult for Iguchi to continue to hide them particularly after 1993 when Daiwa made limited efforts to split up its trading and back-office functions.Yet he managed to survive for another two years before engineering his own day of reckoning. Why Violations Occurred When Iguchi was promoted to become a trader in 1984, he did not relinquish his back-office duties. All in all, he supervised the securities custody department at the New York branch from approximately 1977 right through to 1995. This lack of segregation, a relatively common feature of small trading desks in the early 1980s but already a discredited practice by the early 1990s, led to Daiwa’s downfall. Iguchi’s very own words were â€Å"To me, it was only a violation of internal rules.I think all traders have a tendency to fall into the same trap. You always have a way of recovering the loss. As long as that possibility is there, you both admit your loss and lose face and your job, or you wait a little – a month or two months, or however long it takes. † Daiwa and its internal auditors never independently confirmed the custody account statements. Subsequent investigation showed that risk control lapses and cover-ups were part of the culture of Daiwa’s New York operation in the 1980s and early 1990s, to a farcical degree.For example, during the 1995 investigation of the Iguchi affair, the bank was also charged with operating an unauthorized trading area for securities between 1986 and 1993. Opportunities of Fraud Opportunities for fraud open the door for individuals and companies to behave unethically and commit fraudulent acts. Opportunity is created through the use of one’s position and authority, professional and personal pressures, and weak internal controls. Some of these opportunities are taken by Toshihide Iguchi in order to conceal a trading loss dating back to 1984, and additional losses throughout his career as CEO of Daiwa’s New York branch.In the late 1970’s, Iguchi was promoted to bond trader while still maintaining his duties as clerk in the securities deposit department. This allowed him access to two major responsibilities and to take advantage of each position and its authority. He learned the process of trading bonds, the paper work that was required to complete transactions, and how to seamlessly deposit securities. It was a perfect opportunity to learn each process and find holes in the system to conceal fraud.During this time, Iguchi’s financial transactions were not maintained or properly recorded as a financial institution or international financial institution. His process was to first trade then record trades manually on paper rather than on a computer. Trading transactions could not be over seen by the Daiwa corporate office due to this process. This created the ability to freely make trades and conceal and alter transactions when needed. In 1979, Iguchi became executive vice president and head of government and bond trading in the New York branch where he answered only to himself.His superiors failed to manage him properly and instead gave him full control of the New York branch. This allowed him to set his own schedule, standards, rules, and operate the branch how he deemed fit. In addition, I guchi was seen as a â€Å"trustworthy† employee due to his history with Daiwa, position, dedication, and sacrifices he made as a vice president and bond trader. This gave confidence to his superiors that they did not need to oversee Iguchi or question his actions. Iguchi’s expertise in the US government bond market was something that no one else in the company could match.Daiwa failed to train or hire another worker in the field which allowed Iguchi to take full control of its operations and responsibilities without another’s input of his actions. Daiwa Bank had numerous opportunities for fraud in its New York branch office. These opportunities for fraud could have been avoided in the past; however, creating a strong action plan will help deter opportunities for fraud in the future. Deterring Fraud in the Future Opportunities of fraud almost always lead to the occurrence of fraud. The best defense for this is the need for a strong action plan to deter fraud in t he future.Daiwa lacked in several areas including strong internal controls and conducting regular internal and external audits. Strong internal controls are essential to the proper management of a company’s operations and success. Daiwa did not exercise the separation of duties in its New York branch. Separating of duties can ensure that each positions process is efficiently executed by being checked by an independent party. The implementation of a separation of duties also prevents a single business process from being completely managed by a single individual.This increases the difficulty of successfully performing fraudulent activities which reduces them in return. Daiwa and Iguchi did not use a company system or computer system to track transactions made by employees. Requiring all banking transactions to be reported in a company computer system is beneficially to management and the accounting department. Activity of each employee and branch can be monitored which can ensu re duties are being fulfilled and fraud is not being performed. Daiwa’s Japan corporate office failed to supervise and over oversee Iguchi and the New York branch.Increased oversight of international branch’s and branch executives ensures that operations are in accordance to company objectives and processes, and abide by government laws and regulations. Daiwa depended solely upon Iguchi to trade bonds in the US market because the company failed to train or hire another individual with similar expertise. Employing more than one knowledgeable and skilled individual in a specialty field increases its effectiveness and decreases issues related to improper actions. Daiwa failed to conduct regular internal and external audits of company policies and financial statements.Regular internal and external audits can determine whether financial statements are in accordance with company policies and government standards. Audits can also disclose fraudulent transactions and discrepan cies. Daiwa Bank had numerous opportunities for fraud which lead to Iguchi’s ability to conceal trading losses for such an extensive period of time. In order to prevent a similar situation from taking place, it is essential to find why these violations occurred in the first place. Creating a proper action plan is essential to deter fraud in the future. ReferencesBizcovering. 2008. Retrieved on October 6, 2012 from http://bizcovering. com/business-law/toshihide-iguchi-and-daiwa-bank-securities-trading-scandal/ Case Study – Daiwa Bank. 2000. Retrieved on August 29, 2012 from http://202. 70. 81. 13/itd/OTH00009/Course%20Materials/Day%208/S1C%20-%20Case%20Studies/Case%20Study%20Daiwa%20Bank. pdf Funding Universe. 1996. Retrieved on October 2, 2012 from http://www. fundinguniverse. com/company-histories/the-daiwa-bank-ltd-history/ The Daiwa Bank Case. 2000. Retrieved on September 10, 2012 from http://dspace. lib. niigata-u. ac. p:8080/dspace/bitstream/10191/15002/1/34(1-2)_ 107-138. pdf The Independent. 1995. Retrieved on October 5, 2012 from http://www. independent. co. uk/news/business/us-orders-daiwa-bank-shutdown-1537096. html The Key to Financial Management: Management. 2004. Retrieved from September 27, 2012 from http://fic. wharton. upenn. edu/fic/papers/99/9942. pdf The New York Times. 1996. Retrieved on October 5, 2012 from http://www. nytimes. com/1996/02/29/business/daiwa-bank-admits-guilt-in-cover-up. html Wells, J. T. (2012). Principles of Fraud Examination (3rd ed. ) Hoboken, NJ: Wiley.

The Diagnosing Diabetes Mellitus Health And Social Care Essay

This was a instance control survey, which was conducted at the Mahatma Gandhi Medical College and Research Institute Hospital, Puducherry, a rural Tertiary attention infirmary with an one-year volume of above 1,00,000 patients over one twelvemonth period. The Institutional Medical Ethics Committee approved this survey. From January 2011 until April 2012 we enrolled patients between the ages of 14 and 86 old ages of age. 100 diabetes mellitus patients and 50 healthy not diabetic controls without any urinary ailments viz dysuria, frequence, urgency, strangury, tenesimus, nocturia, nocturnal urinary incontinence, prostatism, incontinency, urethral hurting, vesica hurting, nephritic gripes, prostate hurting, and who attended Mahatma Gandhi Medical College between August 2010 to July 2012 were enrolled for this survey. These patients did non hold any old vesica catheterisation, instrumentality of urogenital piece of land or old urogenital surgery. WHO criteria was applied to name diabetes mellitus.WHO criteria for naming diabetes mellitus.Methods and standards for naming diabetes mellitus1. Diabetess symptoms ( ie polyuria, polydipsia and unexplained weight loss ) plus a random venous plasma glucose concentration & A ; gt ; 11.1 mmol/lora fasting plasma glucose concentration & A ; gt ; 7.0 mmol/l ( whole blood & A ; gt ; 6.1mmol/l )ortwo hr plasma glucose concentration & A ; gt ; 11.1 mmol/l two hours after 75g anhydrous glucose in an unwritten glucose tolerance trial ( OGTT ) . 2. without symptoms diagnosing of DM should non be based on a individual glucose trial but requires collateral plasma venous finding. At least two glucose trials result on a another twenty-four hours with a value within the diabetic scope is indispensable. It can be either fasting, random sample or the two hr station glucose trial. If the fasting glucose or random glucose values are non diagnostic of DM so the two hr value should be used.MethodDuring initial visit relevant facts were elicited from patients sing history, age, continuance of diabetes, absence of urinary symptoms. H/O old catheterisation, instrumentality and surgery of urogenital piece of land. With respect to female patients, their catamenial history, H/O white discharge. H/O pruritus vulva were elicited. Then elaborate scrutiny of patients carried out peculiarly with respect to complications of diabetes. In male patients, per rectal scrutiny was carried out to govern out prostate expansion routinely. In female patients elaborate gynecological scrutiny carried out to govern out any gynecological jobs, cystocele etc. After these preliminary scrutinies, patients non suiting into choice standards were omitted, and 100 diabetes mellitus patients, and 50 non diabetic control were proceeded to following phase of survey. During subsequent visits, patients and command group random blood sugar degrees, blood carbamide, serum creatinine trials were done. On the same twenty-four hours patients urine samples were collected for civilization and microscopic scrutiny. In female patients urine civilization sample were collected during their non-menstural periods.METHODS OF URINE SPECIMEN COLLECTIONClean gimmick mid watercourse urine aggregation method was adopted. Patients were explained about the methods of roll uping clean gimmick midstream piss and aged female patients were provided with nursing helpers for cleaning the external genital organ. Urine was collected in a unfertile wide-mouthed prison guard cap bottle for civilization intent and microscopic scrutiny. Two back-to-back urine specimens were obtained, and refrigerated instantly, because it was non possible to plate all the samples of urine instantly. One civilization of a clean-voide specimen of midstream piss from an person without symptoms of a UTI with at least 105 cfu/ml of the same individual bacterial species was considered equal to name ASB [ 30 ] . The ground to civilization a 2nd clip is to know apart between true bacteriuria and taint. In most surveies, merely the positive civilizations are repeated to name [ 30 ] .Quantitative CULTURE OF URINEUrine was cultured quantitatively by graduated cringle technique. The civilization home bases were read at the terminal of 24 hours and no. of settlements counted in positive civilizations. If there was no growing the civilization home bases were reincubated for another 24 hours and figure of settlements calculated if growing was noted.ANTIBIOTIC SENSITIVITY TESTSThese were done utilizing the standard sums of ( nitrofurantoin, tetracycline, aminoglycosides, co-trimaxazole,3rd coevals Mefoxins, fluroquinolones, ? lactams and nalidixic acid in all civilization positive instances ) and study obtained at the terminal of 48 hours. It was non possible to gauge HbA1C in all the patients in our set-up. Written informed consent was obtained from the patients and controls. We excluded all patients who had factors favoring exclusion standards and included patients who satisfied inclusion standards.Data CollectionAll information was entered into a Data Collection Proforma Sheet ( Appendix 1 ) and were entered into Excel ( MS Excel 2011 ) . The Sheet had a ocular map for taging and divided into indicants for both genders. Other biographical inside informations were besides collected including day of the month of birth, weight and tallness.Statistical MethodsStatistical analysis was carried out utilizing SPSS version 19.0 ( IBM SPSS, US ) package with Regression Modules installed. Statistical methods such as odds ratio and chisquare trials were applied to happen the significance between different variables. ASB Case control Positive 42 [ a ] 3 [ B ] negative 58 [ degree Celsiuss ] 47 [ vitamin D ]Oddss ratio:ad/bc = 42Ãâ€"47/58Ãâ€"3 = 11.34 Diabetic patients have 11.34 times the hazard to develop symptomless bacteruria than a non diabetic person.Chisquare:X2 = ? ( o-e ) 2 vitamin E df = 1 X2 = 20.564 P =DiscussionIn this survey an effort was made to find the incidence of symptomless bacteriuria in diabetes mellitus patients with comparing to non diabetic control group, common organisms doing infection and their antibiotic sensitiveness. On reexamining the literature the undermentioned surveies conducted in similar mode to the present survey noted.WriterYearSexual activityPrevalence Rate %Veljlasgaard 1966 Both 9.3 1986 Both 6.3 Schmitt 1986 F 9.1 Keane 1988 F 3.5 Fold addition Kelestimor 1990 F Meter 31.3 17.4 Zhanel 1955 F Meter 3 fold rise Equal to non diabetic male Zhanel 1955 F 7.9 Kayima 1996 F Meter 28 16 Balasoiu 1997 Meter F 16 32 Very few surveies of this type were carried out in our state. As noted above, most of surveies were conducted merely in female type II diabetes patients. Prevalence of symptomless bacteriuria in female diabetes patients varies from 7.9 % to 32 % . Relatively in the present survey the incidence of asymtomatic bacteriuria in female Type II patients is 35.38 % . Merely few surveies were conducted in male Type II patients. Most of the surveies showed the prevalence of symptomless bacteriuria as equal to non-diabetic work forces. But in the present survey incidence of symptomless bacteriuria in male Type II is 20 % compared to 0 % incidence in non-diabetic control. A survey conducted in Type II patients of both sexes showed the prevalence of symptomless bacteriuria as 9.3 % . In the present survey the incidence of symptomless bacteriuria in Type II patients is 26.66 % ( Male 20 % ; Female 40 % ) . In the present survey incidence of symptomless bacteriuria in both female and male diabetic patients are high when compared with non diabetic control group ( 36 % and 20 % and 0 % ) Both Type II ( insulin ) and Type II ( OHA ) patients are every bit affected ( 26.66 % and 28.33 % ) . Percentage of male patients with diabetes mellitus on insulin with positive civilization – 20.00 % Percentage of male patients with diabetes mellitus on OHA with positive civilization – 20.00 % Percentage of female patients with diabetes mellitus on insulin with positive civilization – 40.00 % Percentage of male patients with diabetes mellitus on OHA with positive civilization – 35.00 % Percentage of patients with diabetes mellitus on insulin with positive civilization – 26.66 % . Percentage of patients with diabetes mellitus on OHA with positive civilization – 28.00 % Percentage of male patients with positive civilization – 20.00 % Percentage of female patients with positive civilization – 36.00 % In control group no. of male patient with positive civilization – 0 In control group no. of female patient with positive civilization – 3 Percentage – 12.00 % Many surveies have found that the commonest being doing symptomless bacteriuria is E. coli 40 % , and gram negative B made up 66.7 % of the isolates. Relatively in the present survey, the common being is E.coli ( 57.14 % ) . Other beings isolated include Klebsiella ( 33.33 % ) Enterococci ( 4.76 % ) , Proteus ( 2.38 % ) , acinetobacter ( 2.38 % ) . Bacteriuria appears to hold no relation to increasing age. In the present survey symptomless bacteriuria occurred in all age groups. About 55 % of civilization positive causes are in the age group of 41-60 old ages. Bacteruria is common among aged life in non- instituitional community scenes, particularly among adult females, although non every bit common as among the aged in institutional scenes [ 16 ] . The feeling that true bacteruria in the diabetic is chiefly confined to aged diabetic adult females. Furthermore, the prevalence of bacteriuria among them was significantly greater than that of aged non diabetic females [ 22 ] . Contaminated piss is defined as the presence of at least 3 different micro-organisms in 1 urine specimen. [ 4 ] The prevalence of ASB is increased in adult females with diabetes [ 26 % vs 6 % ] and might be added to the list of diabetic complications in adult females [ 4 ] . Longer the continuance of diabetes with the presence of complications apparently increases the hazard of ASB in type 1 diabetic adult females [ 4 ] . The rate of ASB is non influenced by quality of diabetic control [ glycosylated hemoglobin, fasting glucose degree ] or nephritic map [ 40 ] . Longer continuance of diabetes, but non glucose control, is associated with bacteriuria prevalence. A statistically important longer diabetes continuance was found for diabetic topics with bacteriuria than without. Prevalence of bacteriuria additions 1.9 – crease times in every 10 old ages continuance of diabetes. However, there was no association between long – term glucose control, as reflected by glycosylated hemoglobin degree, and bacteriuria prevalence [ 34 ] . Asymptomatic bacteriuria is common, particularly in functionally impaired aged patients with multiple medical morbidities. If symptoms or marks of infections are absent testing with everyday dipstick and subsequent antimicrobic intervention is neither recommended. Early acknowledgment and direction of assorted hazard factors of ASB is really of import to potentially cut down its happening [ 6 ] . Sing all results there is no benefit of testing for and intervention of bacteriuria [ 7 ] . It is hard to turn out that ASB is more frequent among adult females with diabetes than among those without diabetes [ 8,12 ] . Prevalence of ASB is about three times higher in patients with diabetes when compared with the control subjects [ 11 ] . Prevalence of bacteriuria was 4.4 times higher among diabetic than non diabetic topics [ 23 ] . The prevalence of ASB among patients with diabetes is higher than in an seemingly healthy group [ 24 ] . The prevalence of bacteriuria in diabetic adult females is 7 % to 13 % , approximately three times higher than not diabetic adult females [ 28 ] . ASB is improbable to be a effect of hapless control of diabetes [ 11 ] . Damage of metabolic control of diabetes as revealed by an addition in HbA1c degree increases the hazard of developing ASB [ 8 ] . Duration of diabetes, high HbA1c degree, glucosuria and pyuria are risk factors for ASB in patients with type 2 diabetes. E.coli and K.pneumoniae are the most often stray bacteriums in diabetes patients with ASB. Routine urine civilization might be recommended in diabetic patients who show no urinary symptoms but who have one or more of the hazard factors mentioned [ 42 ] . The prevalence of ASB and leukocyturia ( & A ; gt ; 5 cells / high power field ) was higher in kids and immature grownups with diabetes than those of control topics and the spectrum of bacteriums in ASB was different from the usual spectrum of UTI. There was a inclination in the diminution in nephritic map in type 1 diabetic adult females who had ASB [ 44 ] . Asymptomatic urinary infection can non with certainty be correlated with increasing continuance of diabetes. The prevalence rate of symptomless bacteriuria increased with longer continuance of diabetes. In the present survey 30 % of positive civilization instances had diabetes for 1-3yrs continuance. Another 24 % instances had diabetes for 5 to 10 year. continuance. Even 33.33 % of freshly detected diabetes patients had positive urine civilization. Any patient with diabetes can hold symptomless bacteriuria irrespective of their continuance of disease. The prevalence of symptomless bacteriuria is non affected by steps of glucose control. In the present survey 40 % civilization positive instances had random blood sugar value in the scope of 201 to 250 milligram % . Another 24 % had in the scope of 151 to 200 % . 15 % patients had in the scope of 251 to 300 % . The determination that quality of diabetic control does non impact the prevalence of symptomless bacteriuria is confirmed. The prevalence of symptomless bacteriuria additions as diabetic retinopathy becomes more terrible [ 33 ] , 2 instances of diabetic retinopathy are civilization positive in the present survey. Of the 6 patients with diabetic nephropathy 4 instances are civilization positive. A instances of diabetic pes in present survey non had any urinary piece of land infection. Of the 4 instances with ischaemic bosom disease, 2 instances are civilization positive. Certain surveies found that isolates were ill sensitive to on a regular basis available antibiotics – Achromycins ( 33 % sensitive ) , cotrimaxazole ( 33 % sensitive ) . Other disinfectants with over 80 % sensitiveness degree included aminoglycosides, nitrofurantoin, 3rd coevals cepholosporins and fluroquinolones. All the beings that are grown in civilization in the present survey are immune to normally used antibiotics like Achromycins, cotrimaxazole, and nalidixic acid. Almost all isolates are sensitive to quinolone group of drugs. Some are sensitive to aminoglycosides. Most of them were sensitive to nitrofurantoin. Some of them were even immune to nitrofurantoin and 3rd coevals Mefoxins. Some of them were merely sensitive to drawn-out spectrum ?-lactam antibiotic. No benefit was idenitified in continued showing and intervention of symptomless bacteriuria. Antimicrobial therapy cleared bacteriuria in the short term, but did non diminish the Numberss of diagnostic episodes and hospitalizations during long term follow up, and the high rate of recurrent bacteriuria led to markedly increased usage of antimicrobic agents. Increasing antimicrobic opposition is a major concern [ 13 ] . Antimicrobial direction of urinary piece of land infection in diabetic adult females should concentrate on the prompt designation and effectual intervention of diagnostic episodes [ 13 ] . Isolated E.coli strains were immune at similar rates to ampicillin, cotrimoxozole, Cipro and Macrodantin in both diabetic and non-diabetic patients. Hence diabetes mellitus could non considered per se a hazard factor for the outgrowth of a non E.coli being and for antibiotic opposition [ 43 ] . Diabetes has a considerable public wellness impact on the hazard for and forecast of enterobacterial bacteriemia acquired in the community [ 45 ] . Screening for or intervention for ASB is non indicated in adult females with diabetes and intervention with antibiotics did non detain nor diminish the frequence of diagnostic UTI untill 3years of follow up [ 10 ] . The clinical significance and direction of ASB differs harmonizing to different groups of patients as listed below [ 36 ]Indications for the intervention of patients with symptomless bacteriuriaDefinitive Possible Not indicated Pregnancy Diabetess mellitus elderly Before an invasive GU process Short- term Indwelling catheterisation Intermittent catheterisation School misss and premenopausal adult females Children with reflux Renal graft Long term indwelling catheter Patients with unnatural urinary piece of land In most of the old surveies E.coli was the most prevailing micro-organism and klebsiella the 2nd most common [ 12 ] . Analyzing the diabetic adult females with ASB showed that diverse E.coli strains are capable to be colonized in piss. Perennial infections were common chiefly after handling ASB most often with a new E.coli strain [ 14 ] . In patients who had frequent E.coli causation ASB, repeated intervention did non decide the vesica infection [ 14 ] . When compared to non diabetics ASB is more prevailing among females with type 2 diabetics in Sagamu, Nigeria [ 35 ] . Womans with ASB had a significantly higher opportunity of developing a diagnostic UTI than not bacteriuric adult females [ 41 ] There is an increased susceptibleness to urinary piece of land infections in female diabetics above the age of 50, and diabetes likely in association with ripening, accentuates factors which allow the constitution of infection in non diabetic individuals instead than specially predisposing the kidney to infection [ 37 ] . Guidelines published by the IDSA in 2005 province that there is no mensurable benefit in testing or handling ASB in the undermentioned patients: diabetic patients, premenopausal adult females who are non pregnant, older patients populating in the community and in the long term attention installations, and with spinal cord hurt patients or patients with indwelling vesica catheters [ 31 ] . Screening and handling is appropriate for adult females during gestation and for patients who have a positive urine civilization consequence prior to surgical use of the urinary piece of land to avoid precipitating sepsis [ 31 ] . In the past diabetes mellitus was regarded as a status in which ASB predisposed to renal papillose mortification and nephritic inadequacy but recent retrospective and prospective surveies indicate that does non transport a nephritic hazard. Therefore the possible benefit from antibacterial intervention of ASB is dubious. However we emphasize that one time diagnostic urinary piece of land infection is present, it tends to run a more aggressive clinical class in the diabetic patient [ 40 ] . From all the surveies, past attacks to direction differed between U.S and European doctors. In the U.S. , intervention of bacteriuria was recommended whereas in Europe, bacteriuria is non treated. Even if diabetic adult females with symptomless bacteriuria are at hazard for diagnostic urinary infection, the overall cost benefit of testing and handling big Numberss of symptomless diabetic adult females at frequent intervals was in the demand to be evaluated. The inquiries were complex and broad -ranging. There was a demand to construct the current clinical observations and prevalence studies to make a foundation of cognition that is sufficient for developing rational and appropriate attack for caring for diabetic patient who has a urinary infection [ 3 ] . Long term follow up surveies will demo whether ASB becomes diagnostic and affects nephritic map in diabetic patients and whether intervention of ASB is warranted [ 4 ] . Recently [ IDSA ] Infectitious Disease Society of America came out with a guidelines in the twelvemonth 2005 for diabetic adult females follows asDiabetic WomansMany prospective and cohort surveies done in diabetic adult females for ASB which was followed up for 18 months to 14years of showed no differences in rates of occurence diagnostic urinary infection, patterned advance to diabetic complications.There was no hold, lessening in urinary infections nor the no of hospitalizations in persons with bacteriuria after 3 old ages of follow up was clearly proved by a randomized, controlled test for bacteriuria reported after a upper limit of 3 old ages of follow-up. There was no acceleration or patterned advance of diabetic complications like nephropathy etc. , in bacteriuric patients who did non have antimicrobic therapy. However, diabetic adult females who received antimicrobic therapy had significantly more inauspicious antimicrobic effects. Thus continued testing and handling symptoml ess bacteriuria in diabetic adult females ne'er showed any benefits and there was even grounds of some injury due antibiotic use.Recommendatio:Screening and intervention of symptomless bacteriuria in diabetic adult females is non indicated ( A-I ) . The guidelines besides mention that antimicrobic therapy is frequently unsuccessful in eliminating the micro-organisms and may, in fact, consequence in occurence of immune micro-organisms, such as drawn-out spectrum ?-lactamase immune bacteriums, vancomycin – immune enterococci, and other multidrug-resistant bacteriums. In add-on, intervention of patients will subject them to the hazard of an allergic reaction, diarrhea, and other inauspicious reactions ensuing from usage of the antimicrobic drug. Finally, clostridia difficile infection may develop, because the intestine vegetation is altered when handling ASB [ 31 ] . Endothelial disfunction, oxidative emphasis, and the increased formation of advanced terminal merchandises, lower urinary cytokine concentration and hence decreased urinary leucocyte Numberss compared with nondiabetic adult females may play a function in the development of diabetic complications [ 4 ] . Defective polymorphonuclear leucocyte maps [ opsonization, chemotaxis, phagocytosis and killing ] are possible conducive factors. Changes of bacterial adhesion to uroepithelial cells, partially explained by alterations of the chemical science and concentration of Tamm-Horsfall protein besides promote urinary – piece of land infection [ 24 ] . The vesica disfunction due to diabetic neuropathy taking to impaired vesica elimination could play a function in the prevalence of ASB among adult females with diabetes and in the natural history of UTI [ 8,28 ] . Clinical tests covering with the intervention of symptomless bacteriuria in diabetes are limited. The undermentioned decisions can be made from these tests. Frequent reinfections occur instead than backslidings. Long term suppressive therapy is effectual, nevertheless when discontinued, perennial infections occur comparatively quickly. Few patients sustain a permanent remittal from bacteriuria. Trying obliteration of bacteriuria in patients with anatomic abnormalcies may be ineffectual. Therefore, there are no benefits in continued showing and handling diabetic persons with symptomless bacteriuria and as there is possibility of some injury with antibiotic overusage.Restrictions:In this survey we could'nt step HbA1c for all the patients as it was non executable and so could'nt assess the relationship between glucose degrees and symptomless bacteriuria. We besides have no thought whether there would be any opportunity of development of complications in the persons diagnosed with symptomless bacteriuria as this is non a follow up survey. Hence measuring of HbA1c degrees and a follow up of these civilization positive patients would give a better apprehension in the relationship between glucose degrees and asmptomatic bacteriuria and the presence or absence of complications in civilization positive patients.SummaryThere is a high incidence of symptomless bacteruria in diabetes patients, chiefly in females than males in this survey. Therefore, there are 2 subjects to inquiry, whether symptomless bacteriuria is associated with inauspicious results. ? , whether the intercessions of showing and antimicrobic intervention better these results? The inquiries whether they develop complications or non and whether antibiotic therapy is needed or non necessitate to be assessed by farther follow up surveies. However latest guidelines suggest that antimicrobic therapy did non detain nor diminish the frequence of diagnostic urinary infection, nor did it diminish the figure of hospitalizations due to urinary infections nor it prevented the acceleration of patterned advance of diabetic complications, therefore periodic proving for symptomless bacteriuria is non recommended for individuals with diabetes mellitus.DecisionBased on the consequences and the methodological analysis employed, we have concluded that: High incidence of symptomless bacteriuria has been observed in both diabetic males and females. High incidence of symptomless bacteriuria occur in both diabetes mellitus on insulin and unwritten hypoglycaemic agents. Causative beings in diabetic and non diabetic symptomless bacteriuria are similar. E.coli is the commonest being. Most of the symptomless bacteriuria instances occurred in the age group of 41 to 60 old ages. Asymptomatic bacteriuria occur inspite of good glycemic control. . Preventive steps for diabetic patients include increased surveillance and turning away of well-known hazard factors for urinary piece of land infections. Asymptomatic bacteriuria can be present even in freshly diagnosed diabetic patients. Most of the being are sensitive to nitrofurantoin. Some are sensitive to aminoglycosides, fluroquinolones. Some beings are merely sensitive to drawn-out spectrum ?-lactam antibiotics. Periodic proving for symptomless bacteriuria is non recommended for individuals with diabetes mellitus as per latest guidelines.AbstractionAim: To analyze the incidence of symptomless bacteruria between diabetics and non diabetics, the common beings and their antibiotic sensitiveness Methods: A sum of 100 diabetic patients and 50 non diabetic controls without any history of urinary piece of land infection and catheterization was enrolled in this survey Consequences: The incidence of ASB was 39 in diabetic and 3 in control with the significance of P & A ; lt ; 0.001. Diabetic patients have 11.34 times higher hazard in developing symptomless bacteriuria than non diabetics. Decision: The incidence of ASB is significantly increased in diabetic patients as compared to non diabetic controls.A larger survey with a longer follow-up is needed to turn to the issue of handling such patients who are symptomless

4.2. American Revolution Essay Example | Topics and Well Written Essays - 250 words

4.2. American Revolution - Essay Example George Washington who is counted in the list of the founding fathers of the country did not have a very comfortable childhood and he became a land surveyor during his teenage. His assessment of land helped him when he became a part of the military. He was made the Commander in Chief of the Continental Army in the year 1775. Following this, he performed his duties in an extraordinary way leading his soldiers to victory eventually. He did not give up hope and kept on pushing for the fight to continue which then became the reason for the surrendering of the British troops in the year 1781. His important decisions during the period of war were the unexpected attacks on the military bases at Trenton in 1776 and at Princeton in the year 1777 2. The success of Washington and his popularity during the American Revolution led him to become the first President of the United States of America in 1789. His services in the war are still remembered and he was an important figure of the Revolution3 (Learning 2008). Blythe, Bob. 2008. â€Å"George Washington.† The American Revolution.National Park Service. U.S. Department of the Interior. 2008. Accessed March 28, 2013.

Drugs Essay Example | Topics and Well Written Essays - 2000 words - 1

Drugs - Essay Example In the second case, the EU also passes a (fictitious) directive on the right of all residents to high speed broadband by Jan 2014. This includes the duty to replace all existing broad band connections with modern connections to the new fibre optic system. The Directive is to be implemented by Member States by July 2013. The UK Statutory Instrument implementing the directive says that ‘all connections within private buildings will be replaced with modern connections.’ The connections are being changed by a subcontractor; Sparky Ltd. Sparky has been given a wide discretion as to how they complete the job as long as they are finished by December 2013. They are given details of all current broadband users so that they can contact them to arrange changing the connections. Martin’s small IT business leases part of a building used by the local secondary school. This is a public building. Sparky therefore refuse to replace the connections as they are only required to repl ace connections in private buildings. As a result, Martin loses business to operators who are able to offer high-speed broadband. The EU law should be able to assist both Bob and Martin. In the case of Bob, the regulation passed by the EU requiring that current copper wire network gets replaced with fibre optic cable by December 2013 is a type of EU law that is directly effective. Worth noting, however, is that the responsibility to enforce the EU regulation does not rest exclusively with the EU. EU law does not just come up with legal rights and obligations for member states; this was famously said by the Court during the Van Gend Loos case that obligations are also imposed. According to the legal system developed by the treaties of EU, a distinction is made between national and international law; the reason the system is in existence is because it was created by member states through

Dynamic and Static Elements of Marketing Communications Assignment

Dynamic and Static Elements of Marketing Communications - Assignment Example The communication is said to be successful if 'a customer goes to buy the shoes of a particular brand, not for keeping his feet warm and dry but because the shoes make him/ her feel masculine/ feminine, rugged, young, glamorous etc.' This is indeed the real task for the marketing team in general and the marketing communication guys in particular. The marketing team is supposed to thoroughly understand the customer's needs, buying habits and then plan the launch of the product in the appropriate market. UK market today boasts of an increasing number of young spenders. An increasing use of credit cards has further fueled these spending habits. These spending habits further vary with cities across the UK because a flow of wealth and income also depends upon the extent of industrialization of the city, 'mood/ attitude' of the city etc. as flows of income and wealth correspond to such an extended system of industrialization and stages of growth of the city. London, for example, can be cla ssified as having class, design, retailing, and a big share of the resulting income and wealth. More and more of the international corporate players prefer to make London it's home and such corporations orchestrate and finance production and marketing at the expense of firms into the operations business. They take stock of the size of the market, competitor's presence, and their communication strategies. At times it is advisable to plan out the communication strategy taking a leaf out of the strategies of existing companies. This holds particularly useful for service industries because in this case the consumer is lured with the help of innovative ideas of service delivery for example in the tourism industry, a market is segmented depending upon the paying capacity, existing preferences of tourists and bouquet of discounts etc. enjoyed by them. Marketing communication tools play a crucial role in the process. UK market is an advanced market in term of IT and communication technology . In most of the commercial environments, a technically advanced product finds more acceptance. A big chunk of working IT professionals is from Asian countries, for which different types of strategies are required than used for the residents Englishmen. The working communities from other nations are generally here to 'earn'. Their main concern is how to optimize their savings. At the same time, they are a crucial factor in the nation's economy. They help in the production of goods, materials etc. and they are the consumers as well. In fact, it is said that marketing people are the most secular lot. They don't believe in favoritism or any such discrimination. For them, the customer is one community with different attitudes and profiles. UK is in fact considered to be the most liberal regime amongst the OECD. UK has implemented reforms with far-reaching consequences over the last decades (OECD, 2006). A network of local authority local trader schemes is also functional which helps in giving consumers by way of providing them with a reliable way of finding trustworthy businesses and offers them adequate help when required. Such networks empower the consumers and assist them in making 'well-informed choices' when purchasing goods and services.  

Financial Accounting Week 4- Individual Work Assignment

Financial Accounting Week 4- Individual Work - Assignment Example If the solvency ratios reveal a higher turn, then the business is worth to be given loan because it is in a position to meet its obligations. On the other hand, the liquidity ratios show that the business can easily convert its assets to meet its obligations. The following ratios will be used to test the business credibility for the loan. The working capital ratio is increasing as the years increases; it is more in 2015 than in 22014. This shows that the business is doing quite well hence can manage its financial obligations. It can therefore viable to be given loans. This indicates presence of working capital and the business is in a position to meet its financial obligations as the ratio increases with the change in the years. The banker on considering the current ratio will be able to approve the loan for the business this is because the banker will have confidence that the business will be able to repay their loans without default given their wide financial stability, strength and base. This ratio gives the short term liquidity of a business. It is vital in the measuring of the business short-term debts in relation to its liquid assets. The higher the ratio the better the position of the business.it is calculated as: Since there are no inventories, the quick ratio is similar to the current ratio. From all the above ratios, it is a clear indication that the business is in a position to meet its financial obligations, therefore the banker will be find it viable to advance the loan to the business. From the ratios calculated it is noted that the company has good performance as it is in a position to meet all its financial obligations both in the short-term and in the long-term. The leverage and solvency ratios are large showing that the company is very stable and has very good financial base. The company also enjoys very good returns as shown by

The Monk & The Riddle Essay Example | Topics and Well Written Essays - 500 words

The Monk & The Riddle - Essay Example My viewpoint contradicts Komisar’s concepts that attribute losses or failures to have close relations to entrepreneurship. It is surprising that Komisar relates failure as justified in entrepreneurship while associating factors such as interest as sole motivators of innovation. Komisar’s adventure with the Monk through their trip up hill and back without paying for the services contradicts entrepreneurial primary and core goals (Kosimar 5). Komisar’s actions involve shifting of entrepreneurship focus from harnessing the motivation to make profits. Instead, Komisar advocates pursuit for passion, gaining experience and satisfaction as vital entrepreneurial goals. I believe an individual’s success in relation to entrepreneurship involves gaining and earning profit from initial capital investments. Similarly, it is surprising that Komisar recommends his own experience involving loss value in as a means of success in entrepreneurship. Based on my viewpoint, Komisar’s perception is surprising in relation to other entrepreneurial contexts because it involves accepting losses and lack of vision in developing an enterprise can cause failure. Lenny is a visionary character and ready to make bold decisions. I perceive Lenny as possessing boldness because of his willingness to interact and share his problems. He identified that Randy could assist him. Based on my viewpoint, Lenny’s character can allow him to take risks and, therefore, is a great entrepreneur. Randy expressed willingness to listen to Lenny for several reasons. First, Randy is passionate to assist individuals who are confident to take the most for their entrepreneurial roles. I perceive Randy as a proud character who believed he understood other people better than they did (Komisar 23). Risk takers such as Lenny are always willing to bet everything for their urge to set up entrepreneurial enterprises. Second, Randy expressed concern about the plight of

EBay in Asia Essay Example | Topics and Well Written Essays - 750 words

EBay in Asia - Essay Example 22). EBay has been trying to make its way into the Asian markets. It has been noticed that the American companies have had to face some problems in making their ways into the Asian markets. However, Starbucks has been successfully working in Asian markets since many years. Cultures have an influence over the markets thus making them cultural markets and these are the main factors that are to be understood. EBay has been a failure in understanding the culture of Asian markets (Lovelock and Wirtz, 2005, p. 23). Gunaxi is the term that American companies should be familiar with. This explains the basic nature of dynamics involved in the personal network of influence and this concept runs in the Chinese society. This explains the dealing between two people in which one of the persons performs an act of service. EBay has failed to learn the fact that the Chinese, after the Africans, are corrupt people and bribery is a common factor in the Chinese society. To excel in the Chinese society, EBay has failed to make notice of the ways in which Chinese people could be handled so as to make ways in the markets. EBay had to make sure that right officials were bribed so as to make way into the markets (The University of California, 2006, p. 33). Marketing is an integrated communication based process wherein it is understood that the needs of the customers can be satisfied through proper communication. Marketing orientations play an important role in the marketing strategy. The product orientation is where the firm is concerned with the quality of the product. The sales orientation, customer orientation, production, marketing and organizational orientations are the main orientations that firms have to keep in mind. For proper marketing the four Ps are known to the marketing world. The four Ps are necessary to understand the basic requirements for international marketing. The four Ps are inclusive of the Product deals with specification related to the products as well as the needs of the customer. Pricing includes the prices as well as the discounts being offered on the products. Placement or distribution refers to the ways in which a product reaches the customer. Promotion is the way in which a product is marketed in the market so as to attract customers. These are the four main points that EBay has to keep in mind when reaching out to the international markets (Freeman and Bartels, 2004, p. 33). These are the four points which make up the marketing mix for any organization. Apart from these four points the other issues that should be kept in mind while reaching out to the international markets are the cultural differences with the other countries. These are the main errors that have been committed by EBay when making their ways into the international markets, especially Asian markets. In addition to this the expansion and entry into foreign markets can be achieved successfully by following the four mechanisms. Exporting is the mechanism by which an international market can be reached in a proper manner by selling the product in a foreign market. The property of the licensor for product production can be used by the mechanism of

Learning to read and write Essay Example | Topics and Well Written Essays - 250 words

Learning to read and write - Essay Example When Douglas attained 12 years, he acquired a book, the Colombian Orator that gave him an insight about slavery. Within the book was a conversation between a slave and his master. The slave had made three futile attempts to escape but finally managed to negotiate his terms of slavery. Douglas quest for education spurred deep resentment against his masters and the whites. The more he read about slavery, the more he loathed the white people. He hated himself for being black and even worse hated how the whites treated him and fellow blacks. Douglas learnt about the abolishment campaign by citizens from the North but lacked the nerves to see it happen. Once when helping Irish whites unload a scow of stones, he learnt of the northerners’ piety for the black slaves in the south. His resentment peaked when he decided he needed to run away but later settled to stay since he was young. For him to earn a dignified life as any other free American, he needed to know how to read and write. He knew how to read but was not good at writing. Douglas made an effort to educate himself on how to write with the help of other white children (Frederick). I t was a long, painstaking journey for Douglas to learn how to read and

Plea Bargaining Essay Example for Free

Plea Bargaining Essay Search for justice is a sensitive process. It entails accurateness and reliability. The truth, which is the road to justice, must fully be established without any trace of doubt. The process itself is complicated and time- consuming. Nonetheless, it has to be undergone by every party because of the precious life that is at stake. In criminal prosecution, the defendant has been guaranteed rights and privileges. This is so not because the legal system favors him but to shield himself from any arbitrary manipulation of the court or any legal officer. Constitutionally, the accused is presumed innocent unless proven beyond reasonable doubt (Davis, 2007, p. 44). This is a constitutional grant that cannot be surrendered by the accused. Most importantly, it is to avoid incrimination of innocent people. During the prosecution of the case, it is also very important that the accused undergoes the process of plea bargaining. Generally, plea bargaining is â€Å"the negotiation of an agreement between a prosecutor and a defendant whereby the defendant is permitted to plead guilty to a reduced charge† (Merriam- Webster Online, 2008). Specifically, from the word bargaining, it entails two or more parties, usually the defendant and the prosecutor. On the bargaining, the defendant is given a choice whether to plead guilty and waive his constitutional right or to continue to trial. But before the defendant makes his choice, the prosecutor presents the circumstantial evidences that would lead to the conviction of the defendant. Sometimes, the prosecutor offers dropping some charges against the defendant or the crime will be lowered to a lighter offense in exchange of guilty plea by the defendant. It can be observed here that the prosecution is in control of the plea bargaining (Davis, 2007, p. 43). The plea bargaining process usually evokes negative reactions because of the belief that the defendants right is curtailed (Davis, 2007, p. 43). However, in many instances, it offers several benefits for both the defendant and the prosecutor. It has been said that criminal prosecution consumes time, money, and effort. Plea bargaining offers the shortening of the trial process when the defendant pleaded guilty. On the part of the prosecutor, if the defendant pleaded guilty, he no longer needs to conduct trials in every case that he prosecute (Davis, 2007, p. 43). Notably, the burden of proving guilt beyond reasonable doubt lies on the prosecutor. If the defendant pleaded guilty, he is no longer required to establish every element of the crime being attributed to the defendant. In addition, the prosecutor will be freed from stress of for presenting witnesses, sending subpoenas, preparing statements for every testimonies, and argue on every issue. Thus, the trial is shortened and the prosecutor can have other time for his other duties. However, in order to obtain all these, the prosecutor must offer an encouraging and strong incentive to the defendant. Th defendants rights to trial and innocence unless proven are a very essential privileges that cannot easily be surrendered. However, when the prosecution can easily establish the elements of the crime committed, the burden will certainly be met and the defendant will be put to prison. In addition, if the prosecutions evidences are strong enough, conviction for the defendant will easily be achieved. In these case, it is advantageous for the defendant to plead guilty so as not to expose him to long and tiring trial period. Additionally, it will also shun his family away from stressful trial process. Most importantly, some charges will be dropped in his favor, and he will also be penalized for lesser offense. It also follows that his criminal liability or term of imprisonment will be shortened. Furthermore, plea bargaining do not necessarily sacrifice the rights of the defendant because at the onset of the plea bargaining, he has given the freedom whether to enter a plea or not. The defendant is very aware of the consequences that the trial may bring to his life and his family, and at this particular stage, he is given a choice to obtain a favorable, or mitigating grant for himself. But definitely, if he is strongly aware that he is innocent, then his rights to trial and presumption of innocence shall be granted.

Pathways to College Essay Example for Free

Pathways to College Essay Pathâ€Å"Less than 17% of African-American and Latino students will finish high school and graduate from college. † (Landy, 2013) Less than 70% of students in Milwaukee graduate from high school. (Pathways PowerPoint, 2013) Only a little over 25% of the people in Wisconsin hold a four-year college degree. (O’Connell, 2014) This educational disparity leads to economic disparity which affects the entire state, not just the urban areas with a higher achievement gap since most jobs with an annual salary over $30,000 will require a four-year degree. (Winters, 2014) There is a program called Pathways to College that is working hard to change these shocking statistics. We are here tonight to show you that Pathways to College is a cause worthy of your and your organization’s time, talent, and treasure. The problem is that not enough people know about Pathways to College. We would like to take a few minutes of your time to introduce you to this exceptional program. According to Pathways director Kelly Ramirez, Pathways to College was the vision of past WLC president Tim Kriewall and the program accepted its first students in 2007. Although located on the WLC campus, Pathways to College is a non-profit organization independent from WLC. With the mission â€Å"to create a belief that college is an option for everyone (Pathways pamphlet),† the program assists lower-income college prospects who are â€Å"first-generation† students (neither of their parents have graduated from college) and have the potential to succeed in college. In this program, students develop academically, socially, and spiritually for college. The program also assists them in finding the financial resources to attend college. The ultimate goal is to increase â€Å"the number of lower income and minority students pursuing and completing a post high school education. † (Pathways pamphlet) The Pathways to College program consists of four components. First is Pathways Prospects in which families visit the WLC campus to become familiar with a college environment and prepare for the Pathways program. (Pathways pamphlet) Next is the precollege component, which is the center of the program. Students in grades 6-12 participate in the after school prep center at least once a week and also once a month on Saturday mornings. They study, receive tutoring and mentoring, attend life skills workshops, and participate in STEM (Science, Technology, Engineering, and Mathematics) and literacy programs. In addition, the program sponsors a summer academy for grades 6-11 which focuses on academics, sports, and fine arts such as art, dance, drama, and music. (Pathways pamphlet) Director Ramirez said that in addition, high school seniors are able to broaden their educational horizons every summer on an international trip. (This year they are going to Puerto Rico!) Freshman, sophomores, and juniors take a Civil Rights tour in the Southern states, visit colleges in California, and colleges on the East Coast on alternating years. For the first time in the coming 2014-2015 school year, Pathways to College will be privileged to implement the final component, the college program, as the first graduating class of Pathways begins college next fall! Ramirez said the directors of the program will continue to encourage and mentor these college students. They will keep tabs on the students’ grades and attendance. In addition, financial support, workshops over school breaks, and internship as well as job and career assistance will also be offered. (Pathways PowerPoint, 2013) Finally there is the parental program. Parents also attend workshops throughout the school year. These regular meetings offer help with life skills and support for guiding their child toward college. (Pathways pamphlet) It takes a special student to be accepted into the Pathways program. Ramirez informed us that at present there are 17 Pathways partner schools. Teachers at these schools identify students that they feel meet the program qualifications of a low-income, first-generation student with a minimum â€Å"C† grade average and minimum behavior problems at school. Once accepted into the program, students must sign the Pathways to College Covenant. Here they promise attend at least 80% of the activities offered, exhibit Christ-like behavior at all times, keep up schoolwork and grades, and keep an open communication with their parents and with the Pathways program. Parents must also sign the covenant and agree to attend at least 80% of the parent programs, support and encourage their son or daughter in his/her academic career, and do everything to promote a loving Christian household. As long as these commitments are maintained, the child is welcomed and encouraged to stay in the program. (Pathways to College Covenant) Besides the above commitments, there is no monetary cost to the parents or the students who are selected for the program. This is not to say that the program itself comes without a price tag, however. Pathways director Kelly Ramirez said that the annual budget for Pathways is a half million dollars. This budget is totally dependent on grants, private donors, foundation contributions, and fund raisers. She also said that even though the directors have pulled the $500,000 budget together for this year, this just covers the basic program for its 240 students. A larger staff and a more reliable long-range financial picture are needed to lighten present workloads, add a kindergarten-4th grade component, and expand this program to its maximum capacity of 700 students. We feel this is a great program, which we ourselves promote and support. We don’t want you to just take our word for it, however. We’d like you to hear from families that have already benefited from the Pathways to College program. (YouTube testimonial) (Attention Era, 2013) Better yet, come see for yourself. If you can come early to class some Monday afternoon, stop by and visit with some of the volunteers and students in the program. Drop in and talk with Director Kelly Ramirez or Executive Director Milton Cockroft in their offices in the administration building. Now you are aware of the Pathways to College program. You have seen for yourself the great work that Pathways to College is doing with these young people. That’s all well and good, but you figure, â€Å"Well, this is all far removed from me and my family and my business. I know there’s a sales pitch coming, but it really has nothing to do with me. † It has everything to do with you, your family, and the community. Successful college graduates of this program will produce dedicated, responsible, skilled workers with whom you will be working and that will be working for the companies that you own or manage. This can only mean success for you and your business! In addition, these young people won’t need help from the government and other agencies but will have great potential for a productive future. First of all there will be decreased need for WIA funding. (â€Å"U. S. Department,† 2014) As young people with STEM training at Pathways, they have excellent prospects for good paying jobs since â€Å"47% of Bachelor’s degrees in STEM occupations earn more than PhDs in non-STEM occupations. † (â€Å"The case for,† 2013) Over a lifetime, a college graduate will earn $1,000,000 more than someone who only earned a high school degree. (Pathways PowerPoint, 2013) As you can see from the following chart (Youth Indicators, 2011), it does take education to get out of poverty. Every graduate will be one more person to contribute his/her talents and skills to society. Every graduate will help and encourage the next generation of friends and family to also go to college, which will have a positive ripple effect on the community. (Some Pathways parents themselves have already been inspired to enroll in college!! ) Best of all, you will know that you had enough love and foresight to take a part in enriching the lives of these deserving young people and the lives of those they touch. Now you are convinced that Pathways is certainly a great program and worthy of your support. However, you are thinking, â€Å"Jeepers, I’m going to college. I have a family to support. You’re barking up the wrong tree, ladies. I don’t have any extra money! † Don’t you? Let’s put Pathway’s half million dollar budget into perspective. Ramirez says that it costs about $3000 a year for each child that goes through the program. If we in this room would adopt a child and split that amount up among us, and then divide that by the weeks in a year, it would cost each of us no more per week than the price we’d pay for a latte at Starbucks! If you own or manage a business there are other things you can do. Visit your company’s HR department to see what type of donation your company could make. Perhaps you could have your company or PTA make Pathways the beneficiary of its next fund raiser. There are other things Pathways can use that are just as valuable as money/treasure. Pathways can use your time and talents. If you are great at math or grammar, for example, think about tutoring a struggling student. Maybe you don’t have time to come in to tutor once a week. As a sales manager, you could lead a once-a-year workshop instructing students how to write a resume. As the assistant manager of a bank, you could offer your financial expertise by teaching a workshop on money management. As a cook and cafeteria manager you could give a nutrition workshop. These are just a few suggestions to get you started. You have seen for yourself the great work Pathways is doing for these young people! You know that the program is worthy of support in the form of your time, talents, and treasure. You are aware of Pathways to College. Please spread the word and help us make others aware! References Attention Era. (2013, March 10). Pathways to College-the story [Video file]. Retrieved from http://www. youtube. com/results? search_query=Pathways%20to%20Collegesm=12. The case for STEM education as a national priority: good jobs and American competitiveness. (2013, June). Retrieved from http://www. stemedcoalition. org/wp-content/uploads/2013/ 10/Fact-Sheet-STEM-Education-Good-Jobs-and-AmericanCompetiveness-June-2013. pdf Landy, B. (June 13, 2013). Graph: U. S. college graduation rates are rising, but the rest of the world is catching up [Web log post]. Retrieved from http://tcf. org/blog/detail/graph-u. s. college-graduation-rates-are-rising-but-the-rest-of-the-world-is O’Connell, M. (2014, February 11). The role of education in the state of the economy. Paper presented at the Wisconsin ACT Organization 2014 Annual Conference, Middleton, WI. Pathways to College. (n. d. ). [Information pamphlet] Pathways to College. (n. d. ). Pathways to College covenant [Organization contract] Pathways to College. (2013). What path are you on? [PowerPoint] Ramirez, K. (2014, February 19 and March 3). Interview by C. Ristow and R. Flagg. What are Needs of Pathways to College? U. S. department of labor employment and training administration notice of availability of funds  and solicitation for grant applications for Youth Build. (2014, February 18). Retrieved from http://www. doleta. gov/grants/pdf/YouthBuild SGA-DFA-PY-13-04. pdf Winters, D. (2014, February 11). The brutal facts about the changing labor market and the need for an educated workforce. Paper presented at the Wisconsin ACT Organization 2014 Annual Conference, Middleton, WI. Youth indicators 2011 America’s youth: Transitions to adulthood youth indicators 2011America’s youth. (2011, December 26). Retrieved from http://nces. ed. gov/pubs2012/ 2012026/figures/figure_32a. asp.

Reflective Essay On Patient Encounters Using Gibbs Cycle Nursing Essay

Reflective Essay On Patient Encounters Using Gibbs Cycle Nursing Essay In this essay, I will reflect upon a experience which I had with a patient using the Gibbs cycle of reflection (Gibbs, 1998) to help to signpost my answer and help the reader to read this essay with ease. Description of the event: During my clinical placement I have encountered a number of patients, each one possessing a unique personality thereby required a slight adaptation of my professional behaviour in order to communicate most effectively with each individual. During one particular placement within my allocated hospital, I encountered a patient who was younger than the patients that I had previous met and conversed with over the previous months. The patient, aged 3 months, attended the clinic with his father regarding his physiotherapy for his Cystic Fibrosis (CF). I was asked to carry out a subjective assessment of the patient however, the setting of this encounter was rather different from the set-up which had been used in the past, and although I had seen patients who were younger in the past, this patient was different as it rapidly became apparent that he had been brought by his father who was unable to speak fluent English and was also unable to understand much English at all. In the normal situation with young patients, due to the patients young age and the presence of her father, it would be typical to direct most of the questioning towards the patients parents or guardian with whom they attended rather than at the patient himself, despite the necessary inclusion of the patient in the discussion wherever possible. I would then physically assess the patient. However, in this setting, it was very difficult to ask any questions to both the patient or to their parent and instead, most of the information about the health of the patient and their physiotherapeutic interventions which they required was gained from the examination of the patient and not from any information which they provided. Feelings: Upon reflection, I feel that although, at first the situation did both feel and appear new and challenging, my ability to communicate with the client was not helped by the fact that I was unable to think of a new way to phrase the questions, which I had. In addition, the patients father kept looking at the trained physiotherapist (my mentor) for reassurance and guidance with the language being used and thus, this made me also look towards my mentor for help. When my mentor took over the line of questioning, and the conduction of the assessment, his approach was to ask the patients the questions in a loud and slow voice. This appeared to aid the patients fathers understanding greatly. I felt, at this point however, that I had let myself and the mentor down, as I was unable to conduct the procedures which I was expecting to and I also felt that I had let the patient down, through my inability to communicate effectively with them. When examining the patient, my tutor made sure that he looked at the patients father at all times when speaking and also that he used body language to highlight the meaning of what he was saying also. This again, helped the patients father to understand the meaning of what was being carried out and what was being said. Visual aids were also used to ensure that the patients father understood. For example, when my tutor was asking whether the patient had taken his antibiotics for his CF and what physiotherapy he thought his child required. When asking such questions, he pointed to a prescription on his desk, which helped the father to understand what was being said. This clearly made the difference between the patient not understanding what was being said to gaining an appropriate understanding and being able to answer the questions properly and accordingly. Evaluation: From this experience I also learnt that in the case of younger patients, particularly babies, it is important to be able to talk to the parents, as the patient themselves would be unable to provide information. This is because when a child has a condition such as CF, it is regularly the parents who will be worried and concerned about this and additionally; it is the parents who deal with the physiotherapy and the treatments, which the child receives. Additionally, it will be the parents of the child who will manage the symptoms that their child has, and conduct the physiotherapeutic interventions on the child until they come of age where this can be continued by the child. In the case of the patient who was not fluent in speaking English, I have noted the importance of speaking both loudly, and slowly and using all the different sorts of body language possible in order to ensure that the patients parents were put at ease and were able to comprehend the questions, which we re being asked. Analysis: My experience has taught me that in order to improve my communication skills with patients of different languages, I will need to increase my interaction with a range of patients with different native languages and those who are not fluent in speaking English. This will most likely be achieved through increased exposure to patients within my clinical placement and I will try to ensure that I increase my exposure to individuals of a variety of nationalities wherever possible within my placements. Meeting this patient and his father also highlighted the requirement to adapt not only the language used when asking questions, but also the language tone and the nature of my body language used throughout the assessment. Conclusion: In conclusion, due to the presence of both the patient (the baby) and his father, not only did this patient encounter bring with it the challenge of the language barrier, but it also brought the experience of needing to integrate multiple people into a conversation without loosing the flow of the conversation. For example, it was clear that there was a need to build a rapport with the patient themselves, despite their young age, in order to put them at ease during their physical, physiological examination. This is important for physiotherapists to establish a good patient rapport, especially with children, in order to make physical assessment easier. This was clear because when the patient first entered the room, he was looking around the room and not smiling very frequently. After being within our company for a small amount of time, and after I had smiled at the patient and looked at him to engage him when speaking to his father it was clear that he felt much more relaxe d and comfortable as he began to smile and look at us when we were talking. He was less interested in his surroundings and appeared to be much more at ease. Action plan: The experience also showed that I must work on my communication skills and my coping strategies in different clinical situations. Thus, in the future, I aim to increase my level of exposure to patients of all ages by attending a variety of physiotherapy clinics and talking to patients. This should help in the development of such skills and make experiences such as this, much easier to manage effectively.

Hitler’s Quest for Aryans Essay -- History, Holocaust

Imagine being shoved off of an old, dirty train and not having a clue where you were headed. Everyone on the train is in incredible shock, and not much is heard except horrifying screams and cries from those around you. No one has access to food or water. Believe it or not, that is what you would have experienced if you lived in Germany, Poland, or Hungary about seventy years ago. Nearly six million Jews were murdered during the Holocaust. The Holocaust was much more than a cruel, belittling era; it was an atrocity beyond measure. On September 11, 2001, three thousand people were killed from a terrorist attack at the World Trade Center in New York City. That is not even a comparison to the Holocaust, in which six million Jews were murdered. The word â€Å"holocaust† has multiple meanings. In the early times, it meant a burnt offering to the gods (Downing 4). Middle Age citizens referred to it as a huge sacrifice or destruction (4). Between June 1941- March 1945, there were approximately four thousand Jews murdered each day (4). There is no way anyone can grasp how bad it must have been. Death, around camps, was expressed in many ways; starved, froze or worked to death, gassed in death chambers, or even shot for no reason at all. As the death rates rose, finding a place to bury everyone was becoming a perplexing challenge. With Hitler’s wish for living space, his goal for world domination and World War II as a cover, Hitler and his Nazi regime were able to carry out one of the greatest crimes in human history with about three and half million Jews being murdered at the death camps. All Hitler wanted was to eliminate defective genetic diseases, which in the end could endanger his wish for the Aryan race worldwide. ... ...sign was up above that read â€Å"Arbeit Machttrei† or work will make you free. This was a trick to the prisoners to make them believe they were going to an actual work camp. The camp was surrounded by barbed wire fence and had nine watch towers. The first few days at camp were spent in quarantine. Meaningless tasks were done and they were given very little food. Sleeping conditions were beyond awful. Some people even considered camp â€Å"a living hell† (Downing 31). The Holocaust was by far one of the worst events in history. So many people were killed for no reason at all. Hitler’s gal was not only to kill all Jews, but also to have a worldwide race of Aryans, blonde hair and blue eyes. There will never be enough horrifying words to describe the physical and mental pain each and every prisoner went through. Do you think you could have survived the Holocaust?

The Basis of Medical Practice Essay -- Ethical Issues, Physicians

Overall, medical practice is carried out when physicians identify health concerns, e.g., diseases, mental disorders, and physical injuries, and provide treatments for patients in order to properly cure them of their maladies. Medical practice should be based on science—specifically, scientific research focused on discovering medical treatments—, ethical considerations regarding the wellbeing of patients that limit science, and intuition. However, because science is limited by ethical considerations and scientific evidence is sometimes unavailable, then the most important basis should be physicians’ intuition influenced by their past medical experience. On the whole, science plays a major role in the realm of medicine, as it is the foundation for the creation of new treatments and advancement of the medical field’s healing capability. Science is defined as field of knowledge based on discovering the truth about nature through formulating hypotheses and conducting research in an objective manner (Ehrenreich 19-20). The aspect of scientific research is significant because as more diseases and other medical conditions are identified, scientists need to determine possible cures and develop medicine in order for physicians to treat their patients. For example, neuroscientist V.S. Ramachandran recounts how patients with â€Å"reflex sympathetic dystrophy† participated in a scientific experiment that tested if there was a way to cure the unremitting pain associated with the syndrome (17). As a result of scientific research, a new and effective treatment for those with RSD was discovered when patients’ pain disappeared and mobility returned to limbs after undergoing a procedure that employed mirrors (18). Through the powers of science, variou... ...ck competence, sincerity, or diligence, but because they must make decisions about tremendously complex problems with very little solid evidence available to back them up† (Kumar and Nash 82-83). Though intuitive errors may be made, some of these are due to how the discovery of new ailments is continuous, and how humankind still does not understand everything about how illnesses and biological systems function. The treatment of medical conditions has still not been perfected and is the reason why the field of medicine is still attempting to discover new, innovative ways to cure diseases and other medical conditions. Though there may be certain issues regarding the individual doctors and their anomalous choices, overall the appropriate foundation for medical practice is a combination of the three facets of science, ethical considerations, and informed intuition.

The Knowledge Explosion :: Essays Papers

The Knowledge Explosion The current trends in education are moving educators toward adoption of an integrated curriculum. What is now referred to as the integrated curriculum was once known as interdisciplinary studies. Integration focuses on the organization of central themes or concepts combining several subjects. These themes, or concepts, allow students to interconnect information between subject areas. Giving students this skill will enable them to combine information in large quantities, assess the quality and validity of information, and help them to determine the importance of any given context. Replacing the isolated subject areas with an integrated curriculum develops in the student an interrelated view of learning. There are two common models for curriculum integration, the Daisy Model and the Rose Model. Independent subjects are organized around a central theme in the Daisy Model. The subjects refer back to the theme but are taught separately. The theme is represented by the center of the daisy surrounded by the unique and separate petals which represent subjects. On the other hand, the petals of the rose are intertwined symbolizing the fully integrated subjects of the Rose Model. The focus of the Rose Model is on a particular theme rather than individual subjects. The subjects are united under one theme and are taught simultaneously through the exploration of that theme.(Martin, D. J., 2000). Curriculum integration has become a way to redirect the aims and purposes of schooling because of its positive benefits for students. James Beane has found evidence that shows that "we have known for many years that movement in this direction benefits both young people and their teachers"(1992). One positive aspect of this curriculum is that students see the relevance of the instruction because of the connections made among subject areas(McDonald, J., 1994). This makes the instruction less abstract and more applicable to real life(Berlin, D. F., 1994). Students then tend to search for meanings and answers to their questions instead of simply memorizing facts to pass exams(Beane, J, 1992). Ms. M, a fifth grade teacher in Maryland, has observed this element of integration in the actions of her students. They seem more motivated by the subject matter when they can relate it to their personal experiences and other parts of their education. In addition, she noticed that the students had a better sense of accomplishment when they could draw from previous instruction and tie together information from each subject. Students who feel successful will acquire the skills necessary for cooperation, socialization, communication and self-motivation.

Language Techniques Essay

1. Abstract Language: Language describing ideas and qualities rather than observable or specific things, people, or places. 2. Alliteration: The repetition of initial consonant sounds, such as â€Å"Peter Piper picked a peck of pickled peppers. † 3. Allusion: A reference contained in a work 4. Ambiguity: an event or situation that may be interpreted in more than one way. 5. Analogy: a literary device employed to serve as a basis for comparison. It is assumed that what applies to the parallel situation also applies to the original circumstance. In other words, it is the comparison between two different items. 6. Anaphora: repetition of a word, phrase, or clause at the beginning of two or more sentences in a row. This is a deliberate form of repetition and helps make the writer’s point more coherent. 7. Anecdote: A story or brief episode told by the writer or a character to illustrate a point. 8. Annotation: explanatory notes added to a text to explain, cite sources, or give bibliographical data. 9. Antithesis: the presentation of two contrasting images. The ideas are balanced by phrase, clause, or paragraphs. â€Å"To be or not to be . . . † â€Å"It was the best of times; it was the worst of times . . . † â€Å"Ask not what your country can do for you, ask what you can do for your country . . . † 10. Argument: A single assertion or a series of assertions presented and defended by the writer 11. Assonance: Repetition of a vowel sound within two or more words in close proximity 12. Attitude: the relationship an author has toward his or her subject, and/or his or her audience 13. Authority: Arguments that draw on recognized experts or persons with highly relevant experience. 14. Backing: Support or evidence for a claim in an argument 15. Balance: a situation in which all parts of the presentation are equal, whether in sentences or paragraphs or sections of a longer work. 16. Begging the Question: Often called circular reasoning, __ occurs when the believability of the evidence depends on the believability of the claim. 17. Causal Relationship: In __, a writer asserts that one thing results from another. To show how one thing produces or brings about another is often relevant in establishing a logical argument. 18. Character: those who carry out the action of the plot in literature. Major, minor, static, and dynamic are the types. 19. Colloquial: the use of slang in writing, often to create local color and to provide an informal tone. Huckleberry Finn in written in a __ style. 20. Comic Relief: the inclusion of a humorous character or scene to contrast with the tragic elements of a work, thereby intensifying the next tragic event. 21. Conflict: a clash between opposing forces in a literary work, such as man vs. man; man vs.  nature; man vs. God; man vs. self 22. Connotation: the interpretive level or a word based on its associated images rather than its literal meaning. 23. Consonance: Repetition of a consonant sound within two or more words in close proximity. 24. Cumulative: Sentence which begins with the main idea and then expands on that idea with a series of details or other particulars 25. Deduction: The process of moving from a general rule to a specific example. 26. Denotation: the literal or dictionary meaning of a word 27. Description: The purpose of this rhetorical mode is to re-create, invent, or visually present a person, place, event, or action so that the reader can picture that being described. Sometimes an author engages all five senses. 28. Dialect: the recreation of regional spoken language, such as a Southern one. Hurston uses this in Their Eyes Were Watching God. 29. Diction: the author’s choice of words that creates tone, attitude, and style, as well as meaning 30. Didactic: writing whose purpose is to instruct or to teach. A ___ work is usually formal and focuses on moral or ethical concerns. 31. Dramatic Irony: In this type of irony, facts or events are unknown to a character in a play or a piece of fiction but known to the reader, audience, or other characters in the work 32. Either-or reasoning: When the writer reduces an argument or issue to two polar opposites and ignores any alternatives. 33. Ellipsis: Indicated by a series of three periods, the __ indicates that some material has been omitted from a given text. 34. Ethical Appeal: When a writer tries to persuade the audience to respect and believe him or her based on a presentation of image of self through the text. 35. Ethos: an appeal based on the character of the speaker. An __-driven document relies on the reputation of the author. 36. Euphemism: a more acceptable and usually more pleasant way of saying something that might be inappropriate or uncomfortable. â€Å"He went to his final reward† is a common __ for â€Å"he died. † They are also used to obscure the reality of the situation. 37. Example: an individual instance taken to be representative of a general pattern 38. Exposition: The purpose of this rhetorical mode is to explain and analyze information by presenting an idea, relevant evidence, and appropriate discussion. 39. Figurative Language: Writing or speech that is not intended to carry literal meaning and is usually meant to be imaginative and vivid. 40. Figure of Speech: A device used to produce figurative language. Many compare dissimilar things. Examples are apostrophe, hyperbole, irony, metaphor, metonomy, oxymoron, paradox, personification, simile, synecdoche, and understatement. 41. Genre: The major category into which a literary work fits. The basic divisions of literature are prose, poetry, and drama. 42. Homily: This term literally means â€Å"sermon,† but more informally, it can include any serious talk, speech, or lecture involving moral or spiritual advice. 43. Hyperbole: a figure of speech using deliberate exaggeration or overstatement 44. Imagery: The sensory details or figurative language used to describe, arouse emotion, or represent abstractions. On a physical level, __ uses terms related to the five senses; we refer to visual, auditory, tactile, gustatory, or olfactory. For example, a rose may present visual __ while also representing the color in a woman’s cheeks. 45. Infer: To draw a reasonable conclusion from the information presented. 46. Irony: The contrast between what is stated explicitly and what is really meant. The difference between what appears to be and what actually is true. 47. Metaphor: a direct comparison between dissimilar things. â€Å"Your eyes are stars† is an example. 48. Metonomy: a term from the Greek meaning â€Å"changed label† or â€Å"substitute name† __ is a figure of speech in which the name of one object is substituted for that of another closely associated with it. For example: a news release that claims â€Å"The White House declared† rather than â€Å"The President declared† 49. Mood: This term has two distinct technical meanings in English writing. The first meaning is grammatical and deals with verbal units and a speaker’s attitude. The second meaning is literary, meaning the prevailing atmosphere or emotional aura of a work. 50. Narration: The purpose of this type of rhetorical mode is to tell the story or narrate an event or series of events. 51. Narrative: The telling of a story or an account of an event or series of events. 52. Narrative Device/convention: This term describes the tools of the storyteller, such as ordering events to that they build to climatic movement or withholding information until a crucial or appropriate moment when revealing in creates a desired effect. 53. Onomatopoeia: a figure of speech in which natural sounds are imitated in the sounds of words. Simple examples include such words as buzz, hiss, hum. 54. Oxymoron: From the Greek for â€Å"pointedly foolish,† ___ is a figure of speech wherein the author groups apparently contradictory terms. Simple examples include â€Å"jumbo shrimp† and â€Å"cruel kindness. † 55. Paradox: A statement that appears to be self-contradictory or opposed to common sense but upon closer inspection contains some degree of truth or validity. 56. Parallelism: refers to the grammatical or rhetorical framing of words, phrases, sentences, or paragraphs to give structural similarity. 57. Parody: A work that closely imitates the style or content of another with the specific aim of comic effect and/or ridicule. 58. Pathos: an appeal based on emotion. 59. Pedantic: An adjective that describes words, phrases, or general tone that is overly scholarly, academic, or bookish. 60. Personification: The assigning of human qualities to inanimate objects or concepts. An example: Wordsworth’s â€Å"the sea that bares her bosom to the moon. † 61. Point of View: In literature, the perspective from which a story is told. 62. Prose: One of the major divisions of genre, ___ refers to fiction and nonfiction, including all its forms, because they are written in ordinary language and most closely resemble everyday speech. 63. Repetition: The duplication, either exact or approximate, or any element of language, such as sound, word, phrase, clause, sentence, or grammatical pattern. 64. Rhetorical question: A question that is posed by a writer or speaker to make the audience think. It does not require a reply. Often used to engage an audience. 65. Sarcasm: from the Greek meaning â€Å"to tear flesh,† ___ involves bitter, caustic language that is meant to hurt or ridicule someone or something. It may use irony as a device. 66. Satire: A work that targets human vices and follies or social institutions and convention for reform or ridicule. Regardless of whether or not the work aims to reform humans or their society, ___ is best seen as a style of writing rather than a purpose for writing. The effect of __, often humorous, is thought provoking and insightful about the human condition. 67. Situational Irony: a type of irony in which events turn out the opposite of what was expected. 68. Stream-of-consciousness: This is a narrative technique that places the reader in the mind and thought process of the narrator, no matter how random and spontaneous that may be. 69. Style: an evaluation of the sum of the choices an author makes in blending diction, syntax, figurative language, and other literary devices. 70. Symbol: generally, anything that represents, stands for, something else. Usually, a ___ is something concrete—such as an object, action, character, or scene—that represents something more abstract. 71. Synecdoche: . a figure of speech that utilizes a part as representative of the whole. â€Å"All hands on deck† is an example. 72. Syntax: The grammatical structure of prose and poetry. 73. Theme: The central idea or message of a work, the insight it offers into life. Usually, __ is unstated in fictional works, but in nonfiction, the __ may be directly stated, especially in expository or argumentative writing. 74. Third Person Limited Omniscient: This type of point of view presents the feelings and thoughts of only one character, presenting only the actions of all remaining characters 75. Third Person Omniscient: In ___, the narrator, with a godlike knowledge, presents the thoughts and actions of any or all characters. 76. Tone: Similar to mood, __ describes the author’s attitude toward his or her material, the audience, or both. 77. Transition: a word or phrase that links one idea to the next and carries the reader from sentence to sentence, paragraph to paragraph. 78. Understatement: the opposite of exaggeration. It is a technique for developing irony and/or humor where one writes or says less than intended. 79. Verbal Irony: In this type of irony, the words literally state the opposite of the writer’s true meaning 80. Voice: can refer to two different areas of writing. One refers to the relationship between a sentence’s subject and verb (active and passive). The second refers to the total â€Å"sound† of the writer’s style. 81. Wit: In modern usage, intellectually amusing language that surprises and delights. Usually uses terse language that makes a pointed statement.