How Can Internet Impact Their Life? Essay

Growing numbers of Americans have access to the Internet at work and at home. That is especially true for Internet veterans: 56% of the long wired1’ say they have access in both places, compared to only 32% of Internet novices who report access at work and at home. The Internet’s growing role in the workplace has translated to changes in the amount of time people spend doing work – whether it is at the office or at home. One in seven Internet users say their use of the Internet has resulted in an increase in the amount of time they spend working at home and one in ten say the Internet increases the time they spend working at the office (kutais 2002 138). Although the magnitudes here are not great, the Internet veterans report greater impacts. As the current time progress, the contributions of internet from the lives of a single individual to the entire community engage in complex approach (Anandarajan 2004 57; Bonilla 2004 88). The evolution of cyberspace provides interconnections to different cultures and traditions that somehow create a notion of monogamy in the ideations and concepts of every human civilization. Information and various socializations are easily facilitated through the use of web connections (Vogel 2007 247). The research involves the utilization of interview procedures in order to obtain probable effects and contribution of internet in the lives of American people. Literature Review The increasingly important role of the internet in users’ lives is also evident when it comes to money matters. These changes in some users’ perspectives are understandable. The initial excitement and fun of emailing a distant friend or family member is bound to make people at first herald the way the Internet enhances the feeling of closeness (Pogue 2006 121). Although the magnitudes here are not great, the Internet veterans report greater impacts (Robert 1994 13). Of those who have been online for more than three years, 21% report that the Internet has increased the amount of time they spend working at home, while 4% report it decreases the amount of time they spend working at home (Huber 2002 186). These veterans also report large impacts when it comes to spending time at the office, but the effects cut both ways. Eleven percent of veterans say the Internet has increased the time they spend at the office; 11% say it decreases time at the office. This compares with 10% of Internet users who report an increase in time spent at the office and 6% who report a decrease. The use of the Internet to find important information or carry out tasks also grew among their respondents. An average user in March 2000 had tried about 11 activities online, compared to an average user a year later who had performed about 14 activities online. They found that a year’s experience online results in a modest decline in the amount of time an average Internet user is online during a typical session. In March 2001, such a session lasted about 83 minutes, compared to 90 minutes for an average session the year before (Vogel 2007 248). There is great flux in people’s time spent online. Some Internet users are spending more time online, especially those who use the Internet at work and those who find new things to do online. Conversely, some are spending less time online and they tend to report that they don’t have as much time as before to be online. Some say they don’t find using the Internet as appealing as they did before. Internet users—veteran users especially—report that their use of email and the Web has changed the amount of time they spend watching TV, shopping in stores, and reading newspapers (Huber 2002 187). One-quarter of all Internet users say that the Internet has decreased the time they spend watching television, with fully one-third (31%) of veterans saying this (kutais 2002 138). The Internet has also prompted some users to spend less time reading newspapers; 14% say this, with 21% of Internet veterans reporting a decline in newspaper reading (Karin and Keller 1997 138). However, Internet users, and veterans in particular, are active online surfers for news, so they might be simply switching time with the paper to tame with the online version. As for elements of the Internet that bother people, spam emails lead the way (especially from marketers), and a substantial number of Internet users complain that they have received unwanted emails with sexual content (Vogel 2007 248). More than ten Internet users (44%) in March 2001 said that unwanted â€Å"spam’ emails were a problem for than, a large increase from 33% who said this in March 2000 (Winston 1998 64). Moreover, many reports getting so much spam that it is hard for them to get to the emails that matter to them . Most Internet users (56%) have received an email with adult content or advertising adult Web sites; 20% say this happens often (Bonilla 2004 88). In this report, the Pew Internet & American Life Project traces the same Internet users from one year to the next. In March 2000, they interviewed 3,533 Americans, inquiring if they used the Internet and if so, what they do when they surf the Web and use email to stay in touch with family and friends. In March 2001, they re-interviewed 1,501 of the people they talked with in their March 2000 sample. Throughout this report, they compare the answers they got in 2001 to the answers we got from the same people in 2000. This provides a rich picture of how people’s internet use changed over the course of a year. Matching the 1,501 people from their March 2001 survey to the previous year, 57% said they were internet users as of March 2001 – compared to the 46% of them who were internet users in March 2000. As we did in March 2000, they asked people how the Internet has affected the way they keep up with family and friends (Pittinsky 2003 99). The study probed whether and how often people go online for work-related tasks and they inquired into the kinds of activities people do online. Further, they pursued some new themes in March 2001, examining the impact of the internet on people’s time-use and looking into people’s feelings about some of the Internet’s possible â€Å"hassle factors† such as unwanted are emails (Huber 2002 188). Not only do we explore how peoples Internet use has changed in the aggregate between 2000 and 2001, they also examine how different kinds of users have changed their surfing patterns. A consistent finding throughout their reports is that the length of time a person has been using the Internet is a strong predictor of how often, person goes online and how much a user does on the Internet (Bonilla 2004 88). The longer a person has been online, the more likely he or she is to have surfed for health care information, sent an instant message, or purchased a product over the Internet (Huber 2002 187). To explore the impact of users’ experience levels more carefully, they compare the Internet’s veterans or the â€Å"long wired,† who have been online for more than three years as of March 2000, to â€Å"mid-range† users who were online for two to three years in March 2000, and â€Å"newcomers† who were online for a year or less in March 2000 . In analysis of these three categories below, when they refer to, say, newcomers in 2000 and newcomers in 2001, they refer to the same respondents and how their responses compared to what they told us in March 2000 (kutais 2002 140). For Internet users with access at work, four in nine (44%) say that the Internet improves their ability to do their job a lot The Internet’s long wired† users—those online for more than three years—report the greatest impact, with 55% saying the Internet has helped them at work a lot By a large margin, those veterans who say the Internet has improved how they do their job are men—fully 60%. The effect is less pronounced for those new to the Internet, with 36% of newcomers saying the Internet has helped them a lot on the job. Americans’ engagement with the Internet as a way to stay in touch with friends and family remains strong. In March 2000, 79% of Internet users said that they email members of their immediate and extended family, a number that grew to 84% a year later (Karin and Keller 1997 138) Seventy-nine percent of all Internet users said they email friends in March 2000, essentially the same as the 80% who said they email friends in March 2001. However, as some people gain experience online their perceptions of the Internet’s role in personal communication change (Vogel 2007 248). Fewer report that emailing is very useful for being in contact with family and friends and a notable number of email users cut back the frequency with which they email family and friends (Huber 2002 186). At the same time, they a bow a substantial increase in the use of email for serious communication, such as sharing worries and seeking advice. All this is in the context of people continuing to value the internet highly, 82% of veterans said that in 2001 compared with 68% who said it in 2000 (kutais 2002 140). Methodology Research Design The study is cross-sectional descriptive design since it studies variables of interest in a sample of subjects are assayed once and the relationships between them are determined. This is also used to examine and identify the cause and effect relationship of the dependent and independent variables. The main purpose of descriptive study is to observe, describe, and document aspects of situations. Furthermore, the design’s objective is to portray accurately the characteristics of persons, situations, or groups and/or the frequency with which certain phenomena occur in the overall course of study. Sampling Criteria The sampling criteria of the respondents to be involved shall cover age, specifically 18 and above; with no racial and/ or gender categorization; and locale, specifically the Cambridge University College of Information Technology. Sampling Technique Random Sampling will be used in this study. The researchers will use simple random sampling since it is more appropriate and practical to use. This is a technique where we select a group of subjects (a sample) for study from a larger group (a population). Each individual is chosen entirely by chance and each member of the population has a known, but possibly non-equal, chance of being included in the sample. Random Sampling is used to prevent the possibility of a biased or erroneous inference. The researchers will use this sampling method to reach a sample frame of at least 2,300 respondents with time frame of September to October 2005. Data Gathering Procedures Upon conducting the study, the initial step is to formulate the tool for evaluation, which includes an open-ended questionnaire: The researchers of this study must accomplish a written consent signed by the concerned locale administrations, significant officials, and the respondents themselves granted that the knowledge and coverage of the research are explained in full detail. The researchers will obtain the sample population guided by the criteria imposed for sample gathering. After which, the respondents shall be given a complete information guided by the standards proceedings of ethical matters. The researchers shall utilize the evaluation tool in order to obtain the set of answers facilitating homogenous perspective. The researchers will provide the interpretation and analysis on the quantitative data in hand. After which, the numerical data obtained shall be categorized into three criterion, namely satisfactory, average and unsatisfactory, in order to facilitate the comparison against the factors influencing the outcome. After which, the proceedings shall involve the tabulation and collation of the data gathered, determine factors and differences on the learning outcomes, and identify the point of views of the respondents. The tabulated data shall then be interpreted and analyzed in order to serve basis for the end conclusion of the study. Considering the previous studies and established norms, the study shall then provide implications associated to the previous research and study. Moreover, the study shall analyze the correlations of the data obtained in order to draw the leading factors that answers the problem statement on how internet affects the lives of the users. Discussion The impact of internet in the lives o human civilization can vary according to the culture and racial orientation as well as the modernization phase employed by the country; however, the settings are proven to be disregarded most especially the impact of internet engages the homogenous aspect of facilitating efficient and fastest means of communication. Hence, one of the impacts obtained from the methodological study is the use of email against the acquisition of knowledge through web-surfing utilizing search engines (kutais 2002 140). Apparently, the use of email has been one of the most prominent purposes of internet. In order to reach an individual from any other part of the world, communication usually takes day, but with internet, it only takes clicks for the message to be delivered. Such outcomes obtained from September 2005 implicate a significant increase from mid-2004 (Pogue 2006 121). The study shows that the use of search engines in June 2004 on a usual day has increase significantly from 30% to 41% of the population that utilizes internet, which evidently expanded from the data compared last year. Such outcomes implicate that the population utilizing search engines on a typical day increased from crudely 38 million in June 2004 to approximately 59 million in September 2005 – a shoot-up of approximately 55%. Such interpretation concludes that the utilization of search engines is clearly making its way to popularity than email, which affects greatly the usual pattern of day-by-day activities on any given day (Vogel 2007 249). On the other hand, the Pew Internet Project data implicates that on a usual day, the utilization of email is still the top internet activity (kutais 2002 140). Considering no specification of day schedule, approximately 52% of American internet users are sending and receiving email, up from 45% in June of 2004. Consistent with the finding that Internet users are less likely to email family members, the study found that a year’s time means that people are less likely to say that they communicate more with family members now that they use email. In March 2001, 56% of those who email family members said that they communicate more with others in the family now that they have email. This number fell to 46% in 2001. At the same time, people are somewhat more likely in 2001 to say that email has improved family relationship. In March 2000, 35% of Internet users said the Internet has improved family relationship. ; this number increased to 39% in March 2001. Again, this suggests that though frequency of contact may decline, the Internet positive impact on family relationships does not decline (Winston 1998 64). The story is similar, although the less pronounced, when people are asked about using email to communicate with friends. In March 2000, 92% of those who email friends said email was useful to stay in touch with friends, with 55% saying it was â€Å"very useful† In March 2001, 90% of people who email friends said email was a useful way to connect with friends; 52% said it was â€Å"very useful. † Long-wired Internet users are largely responsible for this decrease, with this class of Internet user being the only one in which a year’s time led to a decline in support for the idea that the Internet is a â€Å"very useful† way to communicate with friends. For connections to friends, 69% of March 2000’s Internet users said the Internet improved connections to friends â€Å"a lot† or â€Å"somewhat† and 65% said this in March 2001. The share of people saying the Internet improved connections to friends changed very little, going from 37% in 2000 to 35% in 2001 (kutais 2002 140). Within categories of users, again it was the veterans who recorded a notable decline in enthusiasm for this proposition. Similarly, people were somewhat less likely to say email has increased the amount of communication with friends, with 61% of them who email friends saying in March 2000 that email means they communicate with friends more often, compared to 54% saying that a year later. People’s emailing habits have changed in a year’s time, with the daily email to family and friends becoming less frequent. Accompanying this decline, however, has been a sharp increase in the use of email for important communications (Robert 1994 13). Many more people in 2001 report that they use email to get advice or share worries with those close to them. Some 12% of people who have ever emailed family members sent email to a key family member every day in 2001, down from 21% in 2000. Newcomers to the internet in 2000 had the starkest declines, suggesting a novelty effect wearing off. Similarly, about 13% of Internet users emailed a key friend on a daily basis in 2001, down from 17% in 2000. The weekly email is the staple for most Internet users, as about 50% of email users said they send electronic messages to family and friends once a week.

Alzheimers Speech

http://www. nia. nih. gov/Alzheimers/Resources/images. htm I just passed out a blank card to everyone I would like you to draw an analog clock that reads the time 4:45, hang on to this piece of paper and I’ll explain it a little bit later. You might be wondering why there is a picture of an elderly woman on the screen. Well, that lovely old woman Is my grandmom and she was formally diagnosed with Alzheimer’s disease about 6 years ago, she was my inspiration for this speech . Mayo Clinic defines Alzheimer’s to be a disease that causes brain changes that gradually get worse.Alzheimers is the most common cause of dementia dementia is a group of brain disorders that cause progressive loss of intellectual and social skills, severe enough to interfere with day-to-day life. There are 2 types of Alzheimer's, the most common is called late onset alzheimers which symptoms of the disease emerge after age 65, the other is called early onset alzheimers, this occurs in a small amount of people who develop the disease in their 30s 40's and 50s When a person has Alzheimers the brain slowly loses its ability to make and retrieve memories and process information.A friend's name that was once familiar now eludes them, a recipie that they used to make all the time now is impossible to remember, family members names are and even a spouces face are forgotten. Mood and personality changes can also occur, most of the time you will notice increased anxiety or agression.. although sometimes you will notice that person become more introverted and quiet eventually this DZ makes it impossible for people to exist without the help of others. That help often comes from the family members or an assisted living facilityAn easy way to explain this dz is to think about an old light bulb in a lamp, in the beginning its on.. then sometimes it flickers until eventually it is off. So what exactly is going on in the brain that causes it to flicker and finally turn off? The brain w orks by sending signals. Chemical messengers called neurotransmitters allow the brain to communicate with each other. People with Alzheimer’s have a decreased amount of neurotransmitters, they also develop deposits of plaques and the fibers in the brain begin to tangle. This prevents the cells from working properly.Over time the brain begins to shrink and all of these factors put together cause a steady decline in memory and mental function. Earlier I had you draw a clock showing the time 4:45 on it. This is actually one of the many tests that are administered to people who are suspected to have Alzheimer’s. There is no specific test for Alzheimers the only way the dz can be diagnosed with complete accuracy is after the person has died and a microscopic examination of the brain reveals the characteristic plaques and tangles that I talked about earlier With that in mind, Hopefully the clock you drew looks like this (picture of clock on screen).For a person who is believ ed to be suffering with Alzheimer’s their clock looks something like this. This picture actually shows you the progession of someone with Alzheimers, you can see that the first clock is correct and as time goes on the image becomes more disorted. When my grandmom was diagnosed with alzheimers I didnt think much of it, I thought that she could just take some medicine and she would get better but Currently, there is no cure for Alzheimer's. Alzheimer’s is the sixth-leading cause of death in the country and the only cause of death mong the top 10 in the United States that cannot be prevented, cured or even slowed There are just drugs to help cope with the secondary aspects of alzheimers like becoming anxious or nervous. Alzheimer's disease has no survivors. It destroys brain cells and causes memory changes, erratic behaviors and loss of body functions. It slowly and painfully takes away a person's identity, ability to connect with others, think, eat, talk, walk and find h is or her way home. This DZ is something that is close to my heart and i would just like to thank you all for listening.

Animal testing is one of the most long-lasting and controversial questions. It even seems that this issue will remain unresolved forever. A lot of people are in favor of the idea that all the medical experiments should be conducted on animals. Scientists provide us with a long list of pros of animal testing, giving the examples of how it helped to heal serious diseases or even saved people’s lives. And it is hard to argue with that. Firstly, we all know that thanks to some researches on animals, the vital substance hormone insulin was discovered and it continues saving lives of diabetics until today. (â€Å"The Discovery of Insulin†). The cases of polio were reduced by a thousand times within only 20 years due to the positive results that were shown after testing this vaccine on our four-legged friends. (â€Å"Poliomyelitis†) Animal experimentation has also made a great contribution to the crucial progress in understanding and coping with such illnesses as cancer , brain injury, leukemia, fibrosis, malaria, multiple sclerosis, tuberculosis, and many others, and it also became an instrument for the development of pacemakers, cardiac valve substitutes, and anesthetics. If not for the chimpanzees, we would not have a vaccine for hepatitis B and C as well. (â€Å"Diseases & Research†). Of course, these results were gained at the expense of countless suffering animals. Unfortunately, there is no equal substitution for them so far, because the system of any living being is a thousand times more complex than the system of any computer. Only the animal body can react in a similar way to our body. The defenders of animal rights strongly disagree with this statement. They claim that the human body is very different from the body of the animal, and the drugs that are helpful for the mouse will not work for people. And all these tests, experiments and researches are only the waste of time, money and poor animals’ lives. Almost all drugs that were tested on animals had failed to be good for people. The large amount of money that was spent on feeding, housing and treating during all these experiments, could have been spent on medicines for people, who are in need. Get high quality custom written essay just for $10 Both sides have constructive arguments and are ready to defend their positions. Those, who support animal testing, claim that the absence of animal rights is a good thing; otherwise, we could not hunt and eat meat to stay healthy and strong and could not make clothes to protect ourselves during the winter and cold weather. The opposite side considers it to be inhumane. The stance of the church is also a bit vague. It states that the interests of the people are above all, but at the same time we have to be merciful to those, who are much weaker than we are. On the one hand, these tests are really very painful and cause suffering to defenseless animals. All the awful manipulations conducted during the experiments can never be justified. These tortures include immobilization of animals, irritation of their skin and mucous membranes, keeping them in the unnatural for them environment. On the other hand, it would be also cruel to use people for such experimental purposes. Taking into consideration all these facts, it is impossible to determine who is right in this so-called war. Recently, a new tendency has appeared. According to it, the scientists have to look for alternatives of animal testing and research. Some new inventions have already taken place. For example, the Harvard’s Wyss Institute   has created chips that reflect human organs and cells structure and function. New methods of skin and mucous cell growth are becoming popular and more productive as well. (â€Å"Organs-on-Chips†). It can be used for tests, because it does not have emotions and, therefore, will not be scared, frustrated and feel pain. The scientists have also revealed that the human blood can be used for medical tests, and there is no need to make animals consume toxic and poisonous substances and irritate their eyes with corrosive liquids. There are also researchers, who work on creating computer models that will show us the process of tissue and tumor develo pment, thus helping doctors indicate the causes and find the appropriate remedy. Despite the growing number of alternatives, there still is a large amount of experiments on animals. And we still suffer from new diseases that appear every day. It seems that there is no way we could find out how to be healthy and live forever. That is why we have to concentrate on how to live honorably and do only decent things without hurting the creatures that are left at the mercy of us. 1. â€Å"The Discovery of Insulin†.  Nobelprize.org.  Nobel Media AB 2014. Web. Accessed 7 Jan 2016. http://www.nobelprize.org/educational/medicine/insulin/discovery-insulin.html 2. â€Å"Poliomyelitis,† who.int,  World Health Organization. Web. Accessed 7 Jan 2016. http://www.who.int/biologicals/areas/vaccines/poliomyelitis/en/ 3. â€Å"Diseases & Research,† Animal Research.info, Web. Accessed 7 Jan 2016. http://www.animalresearch.info/en/medical-advances/diseases-research/ 4. â€Å"Organs-on-Chips†, Wyss Institute, 2014. Web. Accessed 7 Jan 2016. http://wyss.harvard.edu/viewpage/461/ Rely on professional writers with your college paper and take a load off your mind. Relax while we are working on your essay. Your peace of mind is just one click away

Recession and Consumer Spending Habits in the Clothing Indusrty Essay

Recession and Consumer Spending Habits in the Clothing Indusrty - Essay Example They also spend in different ways due to the recession. As borrowing becomes harder, consumers are more likely to make spending sacrifices. â€Å"People are clearly starting to get a sense that things are not as easy financially as they once were,† said Peter Ayton, Chief Statistician at Mintel. Recession not only affects how much consumers have to spend, but also how they behave. This project investigates changes in womens spending habits and examines how they will change in the future. The project considers a number of essential questions. Will womens spending behavior change when the recession ends? Or will they revert back to their old spending habits? Will consumption be back to the same level as years past? Will women spend less, delay purchases or trade down to cheaper alternatives? Economic recession can be defined as a significant decline in economic activity lasting more than a few months (NBER, 2009). The United Kingdom has been in recession since July 2008. This was prompted by many problems, including: The increased levels of unemployment and high levels of personal debt, mean consumers are feeling the squeeze. During recession it’s a normal propensity of consumers to cut down on spending and save money. The decline in consumers spending is due to decline in consumer confidence levels. The decline in confidence levels may be caused by unemployment or a financial crisis. Therefore, businesses are forced to lower their prices to attract consumers. When prices decrease, consumer spending capacity increases. In terms of profit and human capital, the recession has negatively impacted many industries. Prominent among the industries hit by the recession is the clothing industry. The UK retail clothing & footwear market was worth an estimated  £48.55bn in 2007 (Clothing HYPERLINK "http://www.researchandmarkets.com/reports/594454"&HYPERLINK "http://www.researchandmarkets.com/reports/594454"

Methods, Advantages and Disadvantages of Securitization Coursework

Methods, Advantages and Disadvantages of Securitization - Coursework Example Securitization largely supports the financial strength and stability of electric distribution utilities by availing the capital to purchase and make develop investments in utility infrastructure. Indeed, the Shikshak Sahakari Bank Ltd & another Vs Indian Oil Corporation Ltd & Another  case law that explains property mortgaged to the Bank leased out to a third party. Possession is subject to the leasehold rights of the Lessee. This case law explains the different parties to securitization. In an asset securitization process, a collection of assets transform into asset-backed securities. Securitization has greatly evolved with time. In modern times, securitization finances transition and stranded costs that relate to an open market, storm cost recovery, and environmental control equipment costs. Indeed, the difference between securitization and other forms of traditional financing is that in securitization, the cash flow generated by the asset pool to support securities with higher c redit quality than the company has secured debt. Ideally, the ultimate goal of securitization is to enable a corporation to obtain proceeds from the sale of assets and not necessarily borrowing funds.There are different securitization methods that have different goals. However, they share common elements that include the pledge from the state not to take or permit any action that would impair the value of the transition property and the recognition that alternative financing is beneficial to ratepayers. In addition, the variant securitization methods adopt the same mechanism for periodic true-ups, requirements of a financing order issued by the public service commission, and authorization of a non-by passable rider in the repayment of the securitized debt. In addressing, real property securitization, the two methods are the "Asset Liquidation Scheme" and "Asset Investment Scheme.†

America and the Great War Essay Example | Topics and Well Written Essays - 1000 words

America and the Great War - Essay Example (Stubbs, 2002) The rise of Pan-Slavism, which is a form of ethno-nationalism, in Eastern European countries had also precipitated the war. The strong diplomatic, economic and strategic interests in neighboring countries induced a cascade effect in terms of drawing reluctant participants to the war. The Great War was characterized by the long periods spent by the armed forces in â€Å"trenches†, so much so that the war is often described as trench warfare. This not only indicates the lack of sophistication in the art of war at the time but also the â€Å"stagnant† nature of this type of warfare. The recorded duration of the First war was close to five years, ranging from 1914 to 1919, most of this time was spent in combats that have reached a state of â€Å"stalemate†. (Kiesling, 2005) The First World War, also referred to as the Great War due to its sweeping scale, would shake-up then existing power equations within Europe and set up the region for the Second Wor ld War two decades later. While America's participation in the latter war was more substantial, it nevertheless played a crucial supportive role to its conventional allies in the former too. America’s support to the French cause would prove to be a major factor in the eventual outcome of the war. (Robert Bruce's book titled The Fraternity of Arms: America and France in the Great War traces this alliance and places it in the historical, political, ideological and imperialist contexts.) While Britain was witnessing a period of unprecedented prosperity and power during the beginning of the twentieth century and its connection to the United States goes two centuries further back, it was the alliance with France which was strategically important in the context of the Great War. This assessment goes against the grain of popular history, but nevertheless true. For example, the shared ideological basis of the two countries goes back to the Declaration of Independence on July the four th, 1776. The installation of the Statue of Liberty in Ellis Island, off the banks of New York, as well as the adoption of the democratic ideals of 'Equality, Fraternity and Liberty' into the American constitution are enduring symbols of this shared heritage. (Bruce, 2003) It is for the aforementioned commonalities that American public were in unison with their elected representatives' decision to join the war. At the beginning of the Great War, most of the American public was aloof to events on the other side of the Atlantic. This stands to reason, for there was no direct threat to American sovereignty and vested interests. Also, as the American demography was composed of various European ethnicities, joining ranks with one side might prove costly in domestic politics. But eventually, the shared ideological underpinnings between the United States, France and Britain proved to be an important factor in turning around public opinion in a quick time. (Kiesling, 2005) During the early months of 1918 the amalgamation controversy assumed its peak and it became uncertain whether Britain would receive any American help at all. But the ultimate victory for the Western powers was made possible due to their superior cohesion and coordination – something which their enemies could not achieve. So, despite America's Navy being very weak, its supply of troops to the Western cause was a decisive factor. And their successful integration under British and French

A History of Modern Psychology Essay Example | Topics and Well Written Essays - 750 words

A History of Modern Psychology - Essay Example Following the year 1870, college students in the United States increasingly became responsive to the innovative psychology: a professor at Harvard University, William James, initiated theories of intellect and displayed pragmatic results with a set of ‘brass devices’, taken from laboratories of physics and physiology. â€Å"Wundt, who is considered to be the originator of contemporary psychology† (Schultz, 2011), wrote extensively on psychology as an autonomous educational field and, during the year 1879, founded the earliest psychological laboratory. Sigmund Freud developed his individual structure of psychology as well as psychiatric therapy, which he named as psychoanalysis. His structure was extended by means of an apprentice technique of â€Å"training analysis† (Schultz, 2011) earlier than the psychoanalyst started a private practice. Psychoanalysis within America turns out to be linked with the medicinal line of work, expanding independently from edu cational psychology. Early Western philosophy is identified largely by the three great thinkers: Socrates, Plato and Aristotle. They set the groundwork for Western philosophy by investigating and describing the â€Å"range, scope, method, terminology, and problematic of psychological investigation† (Goodwin, 2008). In the 19th century, the issue of the ‘relationship of mind to brain’ turns out to be ever more critical. In fact, the concern was so profound that it is complicated to discover a methodical text printed after 1860 that does not have a dialogue about this concern. Largely, this directly revealed two key advancements that united to make an impact on philosophers as well as psychologists with the ‘centrality of the mind/brain problem’. The first of these deals with improvement in understanding the localization of intellectual job, founded on the thought that the brain serves as the part of mind. The second deals with a rising awareness with the opinion that mental occurrences - such as faiths, intellectual ideas, captivating trance states, and intuitive upsets - occasionally result in drastic modifications in the condition of the body. This alteration took place as advancement was made in knowing the nature of functional nervous disorders’. During the year 1870, Shadworth Hodgson provided the earliest contemporary expression of a vision that he named as ‘epiphenomenalism’ (Benjamin, 2006). Descartes had envisioned the thought that animals were entirely â€Å"physical automata devoid of mental states, a notion that carries with it the implication that a completely self-sufficient neural mechanism can produce complicated and apparently intelligent acts† (Benjamin, 2006). Later this vision was broadened to include human beings, but moderated so that just the underlying usefulness and not the real existence of psychological conditions were rejected. In addition, dominant in the rising discipline of psychology, were discussions surrounding the usefulness of Mesmerism in addition to the importance of phrenology. The earlier one was extended during the year 1770 by Anton Mesmer, who declared to apply the control of ‘gravity’ to heal a number of physical as well as psycho

Threats to an indigenous culture Essay Example | Topics and Well Written Essays - 1000 words

Threats to an indigenous culture - Essay Example The SÃ ¡mi culture encompasses various unique activities carried out by the SÃ ¡mi people for many decades. However, this precious culture faces external threats that interfere with the core activities and beliefs carried out by the SÃ ¡mi people. The SÃ ¡mi people rely greatly on natural resources for their livelihood hence making the SÃ ¡mi culture to be associated with nature. According to the Resource Centre for the Rights of Indigenous Peoples, the Sami people were initially categorized depending on the characteristic of the natural environment they occupied (1). This means that different Sami people depended on different natural resources for their livelihood depending on their location. Firstly, the Sami people living in the coast of the Arctic Ocean are categorized as the Sea SÃ ¡mi (Resource Centre for the Rights of Indigenous Peoples 2). Due to the closer location to Arctic Ocean, the livelihood of the Sea SÃ ¡mi mainly depended on resources from the ocean. This means that the main economic activity that was associated with this category was fishing from the ocean. The second category of the SÃ ¡mi people is called the forest SÃ ¡mi. This category of SÃ ¡mi people relied heavily on hunting and gathering as th e source of their livelihood. However, it is worth noting that the SÃ ¡mi people are nomadic and relied heavily in the reindeer in addition to other resources offered by nature. Historical background of the SÃ ¡mi people provides important clues about various activities carried valued in the SÃ ¡mi culture. According to Resource Centre for the Rights of Indigenous Peoples, the SÃ ¡mi people descended from people who inhabited the Northern Fennoscandia after the ice age period (1). This indicates that the SÃ ¡mi people are the original landowners in the arctic region. In addition, the ancestry of the SÃ ¡mi people indicates that they had already adapted to the living conditions in the arctic regions. Resource Centre for the Rights of Indigenous Peoples further

Comparison of Nursing Process Theory','Helath Promotional Theory' and Essay

Comparison of Nursing Process Theory','Helath Promotional Theory' and 'Health as Expanding Consciousness Theory' - Essay Example To date, most of the research in nursing has been of the theory-testing variety with little concern for where and how theories were developed. Theoretical progress in a discipline is measured to a great extent by the number and the quality of the theories developed by its scholars. From that point of view in nursing, the most useful measure of research outcome is the growth in sound theory on which to base nursing care and education (LoBiondo-Wood. & Harber, 2006). Nursing theories may be classified by their levels of abstraction along a continuum from grand theories to practice theories. As alluded to above, grand theories are broad and abstract and do not easily lend themselves to application or testing. In contrast, narrow-range theories are very precise and restricted in their focus. It is evident that for a theory to be usefully generalized to other nursing situations, it needs to be abstract. However, this means that it is difficult to operationalize the concepts within a theory. Being abstract means, there are no measurable indicators, and this it becomes very difficult to test the concepts and propositions through systematic and rigorous research. Mid-range theories go some way towards solving this problem. They are moderately abstract and inclusive but are composed of concepts and propositions which are measurable. Therefore, midrange theories, at their best, balance the need for precision with the need to be sufficiently abstract. Mi d-range theories are more focused than grand theories. They have fewer concepts and variables within their structure, are presented in a more testable form, have a more limited scope and have a stronger relationship with research and practice. Mid-range theories provide nurses easy applicability in practice and enough abstract ideas to be scientifically interesting (Tomey & Alligood, 2006). Comparison In this assignment, three nursing theories will be compared. These are "Nursing Process Theory", "Health Promotional Theory" and "Health as Expanding Consciousness Theory." Background of the Theorists Ida Jean Orlando was born in 1926 in New York. Her nursing education began at New York Medical College School of Nursing where she received a diploma in nursing. In 1951, she received a Bachelor of Science degree in public health nursing from St. John's University in Brooklyn, New York, and in 1954, she completed a master's degree in nursing from Columbia University. Orlando's early nursing practice experience included obstetrics, medicine, and emergency room nursing. Her first book, The Dynamic Nurse-Patient Relationship: Function, Process and Principles (1961), was based on her research and blended nursing practice, psychiatric-mental health nursing, and nursing education (Tomey & Alligood, 2006). Dr. Jean Watson has earned undergraduate and graduate degrees in nursing and psychiatric-mental health nursing and holds a doctorate in educational psychology and counseling. Dr. Watson's published works on the philosophy and theory of human caring and the art and science of nursing are used by clinical nurses and

Development Assistance Essay Example for Free

Development Assistance Essay The best way for international donors to quicken development in poor Asian countries is to maximize overseas developmental assistance. ODA should be provided both to governments directly and to international and local NGOs. † Development can be considered as one of the most omnipresent concepts today. This term had been a commonplace in governments and non-governmental organizations alike (Nault, 2008). Overseas developmental assistance also referred to as official overseas assistance (ODA), had been a vital part of world economies especially to those who belong to the third world. As early as 1960s, underdeveloped and developing countries have seen the importance of receiving grants in forms of ODA from more developed countries (Berlage and Stokke, 1992) It is now given that most of the countries, which are underdeveloped, or those who are still in the process of developing are indeed in great need of ODAs coming from their more developed counterparts. The lack of resources on the part of the poor countries makes them suffer the opportunity cost of not attending to other pressing issues in within their territories. This paper will present arguments in two fold. First, it will make a point on how international donors can quicken development in poor Asian countries by maximizing the amount it gives through ODAs. Second, it will argue on why is there a necessity to give funds directly to international and local NGOs rather than just giving it to the government; it having the sole discretion on the funds’ disbursement. Similar to the case in developed countries, rising and relentless budget deficits had become one of the major causes for concern in developing countries. Asian countries have been suffering from massive budget deficits for the past recent years (Gupta, 1992). Given that most of the developing and underdeveloped countries are suffering from budget deficit, there really is a need that ODAs should be intensified in order to address other social concerns that are being neglected by the governments due to lack of budget. These social concerns, which deals with welfare and other public issues are often taken for granted by governments despite their noble ideas because they lack resources in financing these programs. If resources will be provided through ODA, the local government will be better equipped of bringing service to their people. Aside from mere economic progress, development must also entail improvements with regard to life expectancy, education levels, literacy, and access to resources (Nault, 2008). With more funds, which are easily available to finance social programs of the government, people may easily reap the benefits of ODAs coming from developed countries. The funds coming from the ODA can be allocated to programs aimed at empowering the grassroots and improving the living conditions of the people. With regard to economic progress, there is also a great need for the funds, which are given by more developed countries. Given the lack of resources of underdeveloped countries, they have no enough assets to stimulate their respective economies. Nowadays, government-initiated economic policies are necessary to save the worsening condition of the global economy. The world economy is being threatened by massive recessions. Hence, there is a necessity for state intervention in stimulating the economy. ODAs can be used by the government to back up state-initiated economic programs aimed at ameliorating the country’s economy. ODAs may be used as capital by the government and also as investment so that it would yield to higher profits in the future. ODAs can also be used by the government in coming up with schemes that will help protect the economy from the global trend of economic downturns by implementing regulations, which will somehow put safety nets to the national economy. ODAs may be used in employment training and job creation in order to assure that the citizens of the country are equipped with appropriate knowledge, which they may use in finding employment. Having established the necessity of increasing the amount of ODAs being transferred by developed countries to their poorer and less fortunate counterparts of Asia, the argumentation will shift towards the necessity of diverting funds not only to state governments but to non-governmental organizations as well. First, the author of this paper acknowledges the vital role being played by the government with regard to managing ODAs. Much substance have been given earlier in this paper and it is beyond argumentation that state-government acceptance of ODAs is indeed necessary. However, a new concept is being realized and offered which relates to the offering of ODAs from developed nations directly to international and local NGOs in the country. Perhaps one of the reasons to such proposition is the lessening trust of developed nations to their underdeveloped counterparts in Asia when it comes with governance. Many Asian countries, especially those who are financially-burdened, are often described in the international arena as engaging in the process of corruption. Documented evidence is being studied to support such claim (Lindsey and Dick, 2002). Good governance within the public sphere is indeed crucial in creating an environment, which will help mobilize resources, both domestically and internationally as well (Organization for Economic Co-operation and Development, 2002). Grantors of ODAs take into consideration the political climate within the country, which will receive their grant. They give premium to those who are practicing good governance. However, most countries in Asia had been involved in cases related to corruption. Hence, they do not appear as flawless to those who are sending them their ODAs. On the other hand, NGOs send a message of altruism to the international community. These NGOs project an image that they are indeed concerned in bringing progress to the countries where they have offices in. They appear as the good guys, whose business is to promote the welfare of the oppressed. NGOs are also offering programs that are aimed at bringing progress and development to their host countries. Sometimes, such programs from the NGOs are not being offered by state-governments. Another point is the fact that since grantors of aids are losing trust to corrupt governments, they are finding alternative channels to send their ODAs to residents of the receiving countries. Most NGOs in the international levels have earned themselves of the reputation to help others due to their noble causes. In spite of the manner as to how developed countries will be sending in their grants, what matters most is the fact that these grants are indeed helpful in bring progress and development to underdeveloped countries. References Berlage L. and Stokke, O. (1992). Evaluating Development Assistance: Approaches and Method. London: Routledge Publishing. Gupta, K. L. (1992). Budget Deficits and Economic Activity in Asia. London, Routledge Publishing. Lindsey, T. and Dick, H. W. (2002). Corruption in Asia: rethinking the governance paradigm. Annandale: NSW Federation Press. Nault D. M. (2008). Development in Asia: Interdisciplinary, Post-Neoliberal, and Transnational Perspectives. Boca Raton: Brown Walker Press. Organization for Economic Co-operation and Development (2002). Official development assistance and private finance: attracting finance and investment to developing countries. Paris: OECD Publishing.

Management Information Systems for Shipping Company

Management Information Systems for Shipping Company Course Title: Management Information Systems Background of the Enterprise Mediterranean Shipping Company was started in 1970 in Brussels as a tramp operator with only one second-hand ship carrying containers, the Patricia. The following year Rafaela, a much bigger and more modern vessel was added, eventually inaugurating a link Italy-East Africa that has remained a part of the MSC service ever since. Similarly the next years MSC continue the growth with more ships and at the end of 1978, MSC moved from Brussels to Geneva and became a Swiss company. The worldwide network of MC services were added slowly and quietly, but judiciously; with strategically placed hubs. Most of the worldwide success-story of MSC can be traced at this junction because Mr. Aponte the founder of the company was quicker than most to appreciate the benefits of containerization and hubbing. Mediterranean Shipping Company Greece S.A. was founded in 1994 with main shareholders the liner shipping MSC Geneva S.A. and the shipping agent Dimitri Theodorikas. Within a short period of time MSC Greece S.A. attained a leading position in the liner shipping sector in Greece as a result of the gradual connection of Greek ports with the world network of MSC and the continuous upgrade of services of MSC Greece to its customers. In 1997 on the initiative of Dimitris Theodorikas MSC Geneva signed a contract with the Piraeus Port Authority deciding to use the port of Piraeus as its main hub port in the Mediterranean area. This vanguard action opened the door for the globalization of Greek ports. Very soon Piraeus climbed in the worlds top 50 list of container ports with multiple benefits for a wide spectrum of local port related services providers The weekly connection of the basic Hellenic ports (PIRAEUS, THESSALONIKI, HERAKLION, VOLOS) with the globalnetwork of MSC, the continuous upgrade of the fleet of MSC through the incorporation of modern units, and the high quality services provided by our 200 specialized executives, guarantees the high level of qualitative transport services that Hellenic Import and Export enterprises seek to receive . (http://www.mscgreece.com/index.html ) 1. Security/Threats Security has always been a priority concern of IT professionals, especially the Information Officers of Mediterranean Shipping Company who hold ultimate responsibility for their companys computer and internet security. In the years since the internet first came on the scene, the security scenario has undergone rapid changes and developments as threat and counter-threats have been developed and deployed. Recent surveys tend to confirm this perception. While IT security threats continue, the form and nature of these threats may not be what most people expect or even suspect. Â © SANS Institute 2003, as part of the Information Security Reading Room6 2. Global MIS/Risks Global Information Management is a new class of enterprise solution that provides the essential business strategy and tools for enabling a corporation to manage the escalating requirements for local language delivery. Many companies have invested in content management and web management solutions to manage the content creation, approval and publishing processes. Whilst these systems can manage and deliver localized content once it has been created they do not have the capability needed to manage the localization process. Global Information Management solutions augment a companys existing solutions to provide the capability needed to manage the process of taking approved content and localizing it appropriately fora global audience. Effective GIM can dramatically reduce processing time whilst reducing localization costs. 3. Ethics/Social Issues In business today there are many instances of corporations that act from an ethical standard, including the company that I work for. Ethics and Social Responsibility are very important for modern businesses to possess to function productively and profitably. In a world that has been rocked my multiple corporate scandals and environmental disasters, it is essential that companies put forth the effort to regain and maintain the trust of their customers and the public in general hopefully the efforts of organizations. Lucas, H. C.; Jr. Implementation: The Key to Successful Information Systems. New York: Columbia University Press, 1981 . 4. Project Failures A project is usually a one-time effort composed of many interrelated activities, costing a substantial amount of money, and lasting for weeks or years. The management of a project is complicated by the following characteristics. Most projects are unique undertakings, and participants have little prior experience in the area. Uncertainty exists due to the generally long completion times. There can be significant participation of outsiders, which is difficult to control. Extensive interaction may occur among participants. The many interrelated activities make changes in planning and scheduling difficult. Projects often carry high risk but also high profit potential. (http://www.gantthead.com/article.cfm?ID=187449) 5. New Technology Given the right locale and purpose these shipping containers of MSC can provide a viable option for housing people and businesses and the strategy of implementing these shipping containers should not be limited to the finite size of the container itself. The process of threat identification begins with an understanding of the financial institutions environment, including its business strategy, information systems, policies and procedures, human stakeholders (management, employees, customers), and physical resources (facilities, equipment) of the MSC company. Each of these factors will impact potential threat sources, their motivation, method, and consequences. An understanding of threats can best be achieved by grouping them into categories. Three intuitive categories include human, non-human, and mixed threats. Some examples include the following: Human People-based threats can include individuals from inside and outside the shipping company. Hackers These individuals are characterized by their strong interest in computer technology and desire to learn more by playing with systems and testing their capabilities. Often this involves testing systems they do not own. Crackers This group is distinguished from hackers by their more malicious intentions. While claiming a strong interest in technology, their goals tend to be criminal in nature (e.g., theft, destruction, or denial of service to data or systems). In the other part Mediterranean Shipping Company are turning into global concerns. Information technology is an important tool in making this transformation and in designing the international organization. As tariffs fall, you can expect to see firms rapidly moving operations to different parts of the world to take advantage of special competencies and disparities in wage rates. Even a one-person company can have worldwide sales through the Internet. The General Manager of MSC Greece said that information technology is the glue that can hold an international organization together and help coordinate its operations. All of our IT design variables that focus on communications, such as electronic links, technological matrixing, electronic customer/supplier relationships, and virtual components, are available to help manage and coordinate the global firm. Also MSC managers are exposed to new, complex risks more and more frequently and they often can only understand their financial implic ations when its already too late to react. Additionally, regulatory changes and regional legislations are forcing MSC to rethink their approach to risk management. Equally important for the MSC as a worldwide transportation company of goods are the ethical issues as safety and security that concerns the overloading of the vessel, the theft of the goods, the maritime accidents and all the terrorist activities that happening now days. More can be included the air and water pollution of the ships, the excessive consumption of fuels and several times the oil slicks of the shipping industry. MSC Secretary-General, who exchanged Memoranda of Understanding with all companies, said he would like to see the GIA serving as a model for more such alliances, all embracing the goals of corporate social responsibility and addressing the many safety, security and environmental protection issues that characterize todays shipping industry. MSC headquarters aware that the overall purposes of the United Nations are to maintain international peace and security, to develop friendly relations among nations, to co-operate in solving international economic, social, cultural and humanitarian problems and in promoting respect for human rights and fundamental freedoms and to be a centre for harmonizing the actions of nations in attaining these ends. As a reminder, heres the list of The Top 10 Reasons Projects Fail: Inadequately trained and/or inexperienced project shipping managers Failure to set and manage expectations Poor leadership at any and all levels Failure to adequately identify, document and track requirements Poor plans and planning processes Poor effort estimation Cultural and ethical misalignment Misalignment between the project team and the business or other organization it serves Inadequate or misused methods Inadequate communication, including progress trackingand reporting Parsons, G. Infonnation Technology: A New Competitive Weapon, Sloan Management Review. (Fall 1983), pp. 55-85. Garud, R.; and H,. C. Lucas, Jr., Virtual Organizations: What You See May Not Be What You Get. New York: Stem School, NYU working paper, 1997. Differently Options to considerate as a Manager In Shipping industry a different option to considerate is selecting proper partners in the current time is a big concern for corporate with other shipping companies. In the container shipping management on the issue of carrier selection, we have to be able to look for information that we might not have been looking for so much in the past. In these circumstances one of the considerations for shippers like managers is to try and anticipate what is going to happen and be sure we select the proper partners. We of course take more interest in the financial situation of the company for whatever information we can obtain to avoid exposure. Financial viability especially has become such a big concern that when shippers and carriers meet to negotiate freight rates and other transportation terms, shipping line representatives themselves volunteer to highlight their financial strength and ability to sustain through the trying times. When we meet with carriers on a face to face basis without as king them first, their opening is to describe what makes them able to survive the crisis as opposed to their competitors. We hear arguments that their activities are much diversified and that containers are only part of it. So after hearing all of this its up to us within a strategic management to make a judgment on it and to see what is more likely to happen. Its not always easy to do but thats what we have to do at this point in time. Shippers fretting over the financial strength of carriers and its collateral impact on their own business may however draw consolation from the recent move by many national governments to bail out companies on the verge of bankruptcy. Recent financial bailouts of shipping companies can be attributed to their corporate or government linkages and affiliations. For example, the Korean shipping industry has benefited from its governments bailout package. Likewise state-backed carriers in China like COSCO and CSCL and Singapore like the APL have received automatic financial assistance. In Hong Kong, OOCL reportedly gained US$2 billion by selling off some of its terminal operations just before the crisis began. A great move was when Piraeus Port Authority and MSC Greece renewed a contract for the movement of containers through the countrys biggest port. The contract was signed by the Piraeus Port Authoritys general director, Hairless Psaraftis, and MSC Greeces chairman, Dimitris Theodorikas. Under the terms of the deal, MSC Greece wills double its annual minimum transit container movement through Piraeus from 100,000 to 200,000 per year. The new five-year contract offers an option for renegotiation of prices, which are charged in euro, after the first two years. The deal with one of the worlds largest shipping companies shows the confidence in the quality of services offered by the port of Piraeus, and is expected to boost the ports growth plans in a time of increasing competition among ports in the Mediterranean seas. (http://www.imo.org/) Conclusion Good performance in ships management translates into high standards in health, safety, quality, and operational efficiency. Extraordinary performance is about outperforming ourselves, by a wide margin and in every respect, and maximizing the benefits for all our company in a fair and balanced way. It means being recognized by our best customers and our principals as a preferred service provider and strategic partner. Extraordinary performance also implies covering longer distances with less energy: increasing the quality while decreasing the cost. Overcoming the ordinary requires innovation and breakthroughs, as well as cohesiveness to the principles in developing the ways that we have to work. Mediterranean shipping companys responsibilities towards society must to incorporate a wide range of commitments: protection for the environment, rewarding workplace and opportunities to their people (both shore-based and seafarers), ethical way of business conduct, and respect for the communi ties in which we deliver our services. References (http://www.mscgreece.com/index.html ) Â © SANS Institute 2003, as part of the Information Security Reading Room6 Lucas, H. C.; Jr. Implementation: The Key to Successful Information Systems. New York: Columbia University Press, 1981 (http://www.gantthead.com/article.cfm?ID=187449) Parsons, G. Infonnation Technology: A New Competitive Weapon, Sloan Management Review. (Fall 1983), pp. 3-14. Garud, R.; and H,. C. Lucas, Jr., Virtual Organizations: What You See May Not Be What You Get. New York: Stem School, NYU working paper, 1997. (http://www.imo.org/)

Bar Kochba Revolt :: essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚  The Jewish revolt led by Bar Kochba in 132 AD was not the work of a single if a single radical revolutionary. It was the inevitable result of years of promises not kept to the Jews, and laws which suppressed the basis of Jews as a nation.   Ã‚  Ã‚  Ã‚  Ã‚  To understand the reason for Bar Kochba’s Revolt one must go back many years even before the war. Prior to Hadrian, an emperor by the name of Trajan was the ruler of the Roman empire. Due to the rebellion of the Jews in the Diaspora to the east and the west of them, Trajan, in order to keep the Jews in Palestine from rebelling he had to send a great general to be governor of the Jews in Palestine, a general who was well with the harshness in which he treated people. This general’s name was Tineius Rufus, he was the general that put down the uprising of the Jews in Parthia. Because of Rufus’ reputation of his severity to the Jews, he uprooted any thought of the Jews in Palestine to rebel against Rome at that time. The Jews did not want to rebel anyway. Trajan had promised the Jews that he would rebuild the asenv ,hc, the Jews assumed this also meant to rebuild Jerusalem. The Pagans in Palestine did not want the asenv ,hc to be rebuilt, they thought that if it was rebuilt it would be the rebirth of the Jewish nation. Also, in addition, Trajan, the Emperor who made this promise died and was succeeded by Hadrian. The Jews were unsure if Hadrian would keep the promise that Trajan once made. Hadrian wanted to go to Jerusalem to see what he was rebuilding before he started the construction. When Hadrian got there he was awed by the sight of a once desolate and fruitful city in ruins. He immediately wanted to start the reconstruction. However later the Jews were surprised and disappointed to discover that Hadrian wanted to rebuild Jerusalem not as a city for the Jews to restart in, but as a Pagan city sanctified to the Pagan G-d Jupiter. He was going to put an alter where the Jews asenv ,hc once stood. Hadrian was to be the high priest. What once was called Jerusalem would now be called Aelia Capitolina. This was a mockery to the Jews. The Jews waited sixty years from the destruction of the Second asenv ,hc for Rome to restore it to them. The Jews held themselves back from Rebelling with their neighboring Jews in Diaspora because they held onto, and believed that Trajan’s promise

physics essay :: essays research papers

What’s wrong with the Detroit Lions?   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  It is obvious to me that the laws of physics can be applied to the game of football. However, The Detroit Lions may be unaware of this fact. With there current 0-12 record they are on a losing streak that could be placed in the record books. No team has ever lost every single football of their whole season. What an embarrassing way to be placed in the record books. Maybe if they looked at some of the laws of physics they could win a game.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The passing game for the lions is one area that can be examined. Quarterback Charlie Batch has one of the lowest ratings in the league. He completes a little under 60% of his passes. His average passing yardage is approximately ten yards. Using the knowledge of physics to examine the projectile motion we can help Charlie complete more passes.   Ã‚  Ã‚  Ã‚  Ã‚   Let’s look at what we know:   Ã‚  Ã‚  Ã‚  Ã‚  1. Charlie is about 2 meters tall.   Ã‚  Ã‚  Ã‚  Ã‚  2. His average pass is ten yards or 9 meters.   Ã‚  Ã‚  Ã‚  Ã‚  3. He’s throwing with parabolic trajectory.   Ã‚  Ã‚  Ã‚  Ã‚  4. We will use the equations:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The velocity in the horizontal direction (Vx)= The initial velocity (Vi) cos (the angle)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The velocity in the vertical direction (Vy)= The initial velocity (Vi) sin (the angle)   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The distance in the horizontal direction (x)= The velocity in the   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  horizontal direction (Vx) multiplied by The time (t).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The gravity is always equal to -9.8m/s squared.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  From the equations we can say that the initial velocity could be Charlie’s problem. Say Charlie always passes with an angle of 20 degrees so that it isn’t easy for the other team to intercept the pass. This kind of pass would usually takes 2 seconds to get the receiver. This means that Charlie’s average pass of 9 meters needs and initial velocity of 11m/s to get to the receiver. If any of these things don’t work out, or say, Charlie changes his passing angle, the pass will probably be incomplete.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Kicking the football can also be an aspect of the game that could improve for the lions. Two weeks ago, Jason Hanson missed 3 field goals. Kicking field goals can be examined from a physics perspective. The football will follow the same parabolic trajectory as passing.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Using the Same Equations we can determine the initial velocity needed to make his average 23 meter kick. He usually kicks with an average 40 degree angle. Also it takes 3 seconds for the kick to go threw the uprights.

Thomas Hobbes Answer to Davenants Preface to Gondibert :: Answer to Davenants Preface to Gondibert

Thomas Hobbes' Answer to Davenant's Preface to Gondibert    In his "Answer to Davenant's Preface to Gondibert," Thomas Hobbes takes a stab at literary theory. He is prompted to write the reply because Davenant mentions Hobbes in the preface to the epic poem, Gondibert. Hobbes notes up front that he is hindered in two ways because he is 1) incompetent in poetry and 2) flattered by the praise Davenant has lauded him. These hindrances don't prevent Hobbes from detailing a general theory of poetry. He delineates the different types of poetry, discusses the poet and mode of composition, and addresses issues of form, content, and style. His ideas are based largely on his philosophy of rational thought and empirical evidence.    Hobbes begins by dividing poetry into three types that correspond with the three types of philosophy and the three "regions of mankind." Philosopy can be divided into "celestial, aerial, and terrestrial." Mankind divides itself into "court, city, and country." Poets write about these three different regions of mankind in "three sorts of poesy, heroic, scommatic, and pastoral." Each of these types of poetry can be conveyed in either a narrative or dramatic form. Hobbes writes:    the heroic poem narrative...is called an epic poem. The heroic poem dramatic is tragedy. The scommatic narrative is satire, dramatic is comedy. The pastoral narrative is called simply pastoral...; the same dramatic, pastoral comedy.    In this way he describes the "six sorts of poesy;" there can be no more or less than that. On the subject of what is a poem, Hobbes reiterates the Aristotelian concept that verse alone does not make poetry. Hobbes sums up the difference between historical or philosophical verse and poetic verse like so:    But the subject of a poem is the manners of men, not natural causes; manners presented, not dictated; and manners feigned, as the name of poesy imports, not found in men.    He goes on to allow that "fictions writ in prose" may be given entrance into the world of poetry because prose delights both in fiction and in style, but, were prose and poetry to contend toe-to-toe, it would be as if prose were "on foot against the strength and wings of Pegasus."    Hobbes addresses briefly the conventions of verse and rhyme in poetry. He iterates that ancient poets created verse to go along with musical accompaniment, which was necessary because of their religious beliefs.

Bridge Analysis

The overall goal in completing this project of bridge analyses was to come up with a framework or model of a bridge that is structured in order to meet supreme standards of practicable performance and fortitude. In realizing this goal, in depth research was completed analyzing preceding bridge contests in order to determine which style of bridge withstood numerous tests and has exhibited the best results in terms of its achieving quality of standards.The results of the research study and bridge analysis revealed that the W-shape style of bridge is the most stable and highly favorable model or structure, considering concepts regarding the true truss formation. The design of the W-shape truss enables the walls of the test jig to endure the bridge’s load. Summary Several tests were conducted in order to finalize the design of the W-shape style, including the integration of matching members of the same dimensions, and subsequently the use of three trusses. However, both tests fail ed the standards set regarding member sizes and considerations of geometrical dimensions.In the end, the most favorable conditions were exhibited by the W-shape style designed with two trusses. The Performance Rating and the weight of Load at Failure were obtained from comprehensive analysis of bridges in preceding contests. The former was utilized in order to come up with rough calculations predicting what the Load at Failure will be, while the latter was concluded based on factual evidences that prove how the Performance Rating of the bridge is influenced by the dimensions and figures of the members.The Performance Rating is adjusted by keeping in mind that cross-sectional areas should be proportional to the load to be carried. Interpretations Several trials were conducted in order to test the influence of the main compression members and the member cross-sections to the stability of the bridge. The first trial instituted a bridge design with two main compression members and a cro ss-sectional area with dimensions equal to 8Ãâ€"20 mm. Three brace supports were integrated into the design.The results of the first trial have revealed how the number of brace supports influenced the internal forces acting on the main compression members. To determine how the stability of the bridge is to be maintained while decreasing the load or weight, the reduction of the number of cross-sectional area of the main compression members was conducted. The second trial integrated the addition of bracing members, which changed the displacement values and axial compression on the main compression members.After several trials, putting into consideration the dimensions and figures of the main compression members, the number of brace supports, and the dimensions of the cross-sectional areas in order to decrease the internal forces acting on the main compression members, the reduction of displacement values and axial compression acting on the main compression members, the decrease of th e load or weight, and the sustenance of stability and fortitude of the bridge, the final design constituted main compression members with cross-sections of dimensions that are equal to 8 x 20 mm up to 6 x 10 mm.Conclusion Information obtained from in depth analysis of the results, the final dimensions and structure of the W-bridge, the results of the calculations that will be found at the end of this text utilizing the S-Frame, the bridge is able to withstand increased weight of load in contrast to the results of the calculations obtained through the S-Frame framework.Discrepancies between the result of the trials and calculations, the ideal structure of the bridge, and the actual structure of the bridge, were caused by the inability to follow the supposed dimensions of the members and the location of the forces that are intended to act on the members. The actual design of the bridge, slightly differing from the ideal dimensions and specifications presented on the first table are il lustrated below. Estimated Weight of the Bridge 1 stick – approximately 1 g. 35g.– support 8g. – cross bracing 18g – angled bracings & centre brace 35g – side tension members 85 g – main compression members SUM: 181g (sticks) Weight of Glue Used: approximately 20g or more Weight of Sticks and Glue Combined: approximately 201g or more Estimated Performance Rating & Load Failure Weight of Bridge 201 g. or 0. 443 lbs. Load at Failure 1672 lbs. or 7. 5 KN Performance Rating 3800 lbs/lb Performance Rating = Load at Failure (lbs) = 1672 lbs. = 3774 lbs. Weight of Bridge (lbs) 0. 443 lbs.

Hip Replacement

BSN-3B1 Critical Thinking Exercise Nursing Management of the Client with Total Hip Replacement Situation: A 72-year-old male client is being discharged home from the hospital following hip replacement surgery. In addition to the prevention of other complications, the staff has made every effort to prevent deep vein thrombosis and pulmonary embolism: the two most common causes of postoperative mortality in older clients. Prior to discharge, the nurse gives the client a list of instructions for positioning, sitting, and ambulating at home.The client is also instructed to use a walker or crutches until weight bearing is safe, and to employ adaptive devices for everyday activities. Finally, the client is advised to watch for any signs of hip prosthesis loosening or dislocation, and to call the surgeon immediately if such signs occur. 1. What are the signs and symptoms of deep vein thrombosis and pulmonary embolism? Deep Vein Thrombosis * Swelling of the leg or along a vein in the leg * P ain or tenderness in the leg, which you may feel only when standing or walking * Increased warmth in the area of the leg that's swollen or painful * Red or discolored skin on the legPulmonary Embolism * Unexplained sudden onset of shortness of breath * Chest pain or discomfort that worsens when you take a deep breath or when you cough * Feeling lightheaded or dizzy, or fainting * Rapid pulse * Sweating * Coughing up blood * A sense of anxiety or nervousness 2. What types of adaptive equipment is available for clients who have undergone hip replacement surgery? Adaptive equipment to help in daily activities: * Reaching – use a reacher in getting items from cabinets or off the floor. Do not bend over to pick up something from the floor. Dressing – since you are not to bend past 90 degrees, use adaptive devices to be as independent as you can when dressing. -Wear slip-on shoes or use elastic shoelaces so you will not have to bend over to tie your shoes. -A long-handled sh oe horn will help you put shoes on or take stockings and socks off. -A dressing stick may be used to put on pants. * Use the hook to catch the waist of underwear or pants. * Place your operative leg first in the pants when dressing, and take it outlast when undressing. * Pull the slacks up over your knees. * Stand with the walker in front of you and pull your slacks up. Socks and Stockings – a stocking aid will make it easier to put on socks or stockings. Elastic stockings may be ordered for you. * Slide the sock or stocking onto the stocking aid. Be sure the heel is at the back of the plastic and the toe is tight against the end. * Secure the sock in place with the notches on the plastic piece. Do not pull the top of the sock over the top of the plastic piece. * Holding onto the cords, drop the stocking aid out in front of the operated foot. * Slip your foot into the sock and pull it on. * Release the sock from the notches on the plastic piece using your dressing stick or re acher. To take the stocking or sock off, use the hook on the dressing stick or reacher to hook the back of the heel and push the sock off your foot. * Using the Bathroom * A raised toilet seat may be helpful to you at home. It will keep you from bending too far when sitting or standing. The higher seat also makes it easier to stand up from the toilet. * Clean yourself after toileting as you are used to, just be careful not to bend too far forward or twist too much at the hip. * Bathing – unless you have a walk-in shower, you will have to learn a new method for getting in and out of the bathtub.Do not sit down into the tub for 6 to 12 weeks. * If possible, have someone help you the first time you bathe at home. * You may sponge bathe until you are comfortable or have help to shower. * If you have a walk-in shower, you may stand and shower as long as you feel steady and balanced. * If you have a tub shower and need to sit to bathe, you will need a shower bench. Make sure the sh ower bench is placed firmly in the tub. Have someone adjust the height of the shower bench so it is as tall as it can be to allow you to rest your feet comfortably on the floor of the tub when you are sitting. Have someone put non-skid strips or pads in your bathtub for safety. * Have a secure place to put your soap to avoid dropping it. Try soap on a rope or a deep soap dish. These items are sold at many department stores. * Use a long-handled sponge or bath brush to reach your lower legs and feet without bending more than 90 degrees at your hips. * A portable shower hose may be helpful. * Turn on cold water first to avoid burning yourself. * Getting In and Out of Bed * You will get in and out of bed on the same side as you had surgery. A hospital bed may be needed at home. Your physical therapist, nurse and case manager will talk withyou about this if needed. * Some people find it helpful to wear pajamas made of silky materials to help them slide more easily on the sheets. * You w ill need someone to carry youroperative leg as you use your arms and non-operative leg to scoot yourself in and out of bed. * Sitting – use a hip cushion to help you sit safely and not break your hip precautions. The cushion adds height to help keep your knees lower than your operative hip when you are sitting.It also may make it easier for you to stand up. If you are not sure about the height of a chair, put your cushion on it to be safe. * Getting Into a Car – it is important to know how to get into the car in a safe manner. It is better for you to ride in a mid-size or large car with regular bench seats rather than bucket seats. Use a thick pillow or cushion. On a long trip, be sure to make frequent rest stops, about every 30 minutes. Get out and shift your weight from one leg to the other or walk around. The best choice after a total hip replacement is to ride in the back seat . What are the signs of prosthetic hip dislocation and how can this problem be prevented? * Hip Pain * Uneven Leg Lengths * Numbness Acute phase complications -sciatic nerve damage -inability to perform closed reduction – recurring dislocation Recovery phase complications -avascular necrosis -arthritis, chondrolysis -myositis ossificans Precautions: -Do not cross your legs at the knees. -Do not twist at the hip. -Do not bend your hip past 90 degrees. (This means you are not to bend over at your waist or lift your knee higher than your hip if you are sitting)

Neurological Features Systemic Lupus Erythematosus Health And Social Care Essay

Systemic lupus erythematosus ( SLE ) is a chronic multisystem autoimmune connective tissue upset, which has variable clinical manifestations that range from mild to life-threatening. Young adult females between their late teens and early 40s have a much higher prevalence in developing SLE, with a female to male ratio of 9:1 [ 7 ] . In the United States ( U.S. ) for illustration, Lawrence et Al. [ 8 ] reported that SLE appeared to be more common in black adult females than in other population groups. One U.S. retrospective survey of patient medical records, by McCarty et Al. [ 9 ] found that the disease was diagnosed 23 times more frequently in black adult females. Certain cultural groups besides appear to demo a higher prevalence, such as people with Afro – Caribbean [ 127 – 129 ] or African beginning [ 130 – 133 ] . The world-wide prevalence of SLE ranges between 12 and 50 per 100,000. These figures vary and are related to location and to the patient ‘s ethnicity every bit good as better acknowledgment of the disease today [ 10 ] . Factors such as sunshine, the part of infection, oestrogen endocrines, emphasis and drugs may precipitate the disease and there is besides a complex familial footing [ 11 ] . It has been reported by Deapen et Al. [ 12 ] that a familial factor in the sensitivity to the disease is reflected by 25 % harmony in indistinguishable twins. Many of the recent familial findings, [ 13, 14 ] seem sensible from a mechanistic point of view: they identify cistrons with of import functions in the immune system ; on occasion in concurrence with functional informations of the allelomorphs tested that besides fit the paradigm of loss of self-tolerance. Familial lacks of complement besides plays a function, [ 15 ] with C1q, C1r, C1s C4, and C2 being the most of import of the complement proteins, [ 16 ] nevertheless, no individual cause for SLE has been identified. Recent information, [ 17 ] besides suggested that a about omnipresent virus Epstein-Barr virus ( EBV ) might besides play a facilitating function [ 18 – 22 ] . A case-control survey, by James et Al. [ 23 ] demonstrated that EBV antibodies were present in 99 % , and EBV DNA was present in 100 % of the kids and immature grownups who had SLE, which was significantly higher than those in the control group. Despite this, the association between active EBV infection and the precipitation of SLE remains ill-defined. Neuropsychiatric manifestations are progressively recognised in patients with SLE. These include a broad assortment of neurological and psychiatric characteristics that account for considerable morbidity and mortality in these patients. They besides involve both the cardinal and peripheral nervous systems and scope from elusive abnormalcies of cognitive disfunction and anxiousness to obvious manifestations, such as shot, ictuss and psychosis. This article through systematic published literature, efforts to summarize the of import neurological characteristics of cardinal nervous system disease of SLE.Clinical PresentationThe widely recognised presentation of a immature female showing with inflammatory arthritis and a butterfly roseola on the face ( Fig 1 ) is comparatively uncommon [ 7 ] . Non-specific symptoms of unease, weariness, arthralgia, unwritten ulcers, radiosensitivity, lymphadenopathy, pleuritic thorax strivings, concerns, parathesiae, symptoms of dry eyes and oral cavity, Raynaud ‘s phenomenon and mild hair loss are the more likely presentations [ 24 ] . Fig 1. Typical â€Å" butterfly † -like roseola over the cheeks in SLE [ 24 ] . The diagnosing of SLE of single patients hence requires certain clinical and laboratory informations, [ 25 ] based on the widely accepted modified ( 1997 ) standards suggested by the American College of Rheumatology ( ACR ) ( although intended, and in fact more utile for research and curative test intents ) ( Table 1 ) [ 26 ] . The agencies to early diagnosing is in the clinical rating of patients. It should include a complete ‘systems ‘ reappraisal with scrutiny and subsequent probes, guided by the extent of organ involvement [ 7 ] . For illustration, in primary attention, a diagnosing of SLE or a related upset is often evident after clinical rating, uranalysis for blood and protein. Probes such as a full blood count ( FBC ) , which frequently shows an anemia or a cytopenia, nephritic and liver map trials and acute stage reactants: a high erythrocyte deposit rate ( ESR ) with a normal C reactive protein ( CRP ) concentration are characteristic. A simple algorithm for the diagnosing of SLE is provided as an illustration ( Fig 2 ) [ 25 – 29 ] .Central nervous system diseaseHistoryCentral nervous system ( CNS ) engagement in SLE was foremost described by Kaposi in 1872 [ 1 ] . Osler in 1903 was the first to describe a perennial focal intellectual ischemia in SLE [ 2 ] . Libman and Sacks [ 3 ] described endocarditis in SLE in 1924. The association of the lupus d ecoagulant ( LA ) and thrombosis in patients with SLE was described by Bowie et Al. [ 4 ] in 1963, and in 1968 Johnson and Richardson reported neuropathlogical findings in 24 instances of SLE [ 5 ] . In 1988, Devinsky et Al. [ 6 ] reported on an necropsy survey of 50 SLE patients ; 10 of whom had embolic intellectual infarcts, five caused by Libman-Sacks endocarditis and four from other cardiac beginnings.Neurological characteristicsCNS disease is extremely diverse and remains a challenge in footings of pathogenesis, appraisal and intervention and it is now better to see CNS disease in footings of separate syndromes. It is a serious but potentially treatable unwellness, which still presents really hard diagnostic challenges. The ACR defines 19 different syndromes in its categorization for the neurological complications of SLE ( Table 2 ) , as opposed to old uncomplete footings such as cardinal nervous system lupus, neurolupus or lupus cerebritis [ 30 ] . CNS engagement is reported to happen in 14 – 70 % of SLE patients [ 31 ] . The most common neurological manifestations of SLE are the organic brain disorders, which comprises of all the possible fluctuations of acute confusion, lassitude, or coma ; chronic dementedness ; depression, passion, or other affectional perturbations ; or psychosis.ConcernOf the more often encountered CNS complications, concerns are highly common. Fernandez-Nebro et Al. [ 32 ] and Raskin et Al. [ 33 ] stated that up to 40 % of persons experience severe disenabling concerns at least one time per twelvemonth. There are, nevertheless three controlled surveies in the literature on chronic or episodic concern [ 34 ] that can non be tracked back to other SLE syndromes [ 32, 35 ] .. The consequences are instead conflicting, nevertheless, and do non let for a unequivocal decision. For illustration, a nexus between megrim and SLE activity and ‘flare – ups ‘ has decidedly non been established [ 34, 35 ] . If future research confirms that megrim is so induced by SLE, the neurological load would still be overestimated by including megrim without limitation in the list of SLE neurological standards. Early surveies showed that concerns might react to corticosteroid intervention and this proved to be more effectual than the conventional anti-migraine therapy used in commanding concerns in SLE patients [ 36, 37 ] . A clear differentiation between CNS manifestations due to SLE and those due to antiphospholipid ( Hughes ) syndrome ( APS ) has been indicated [ 7 ] . An association of megrim concern with antiphospholipid antibodies ( APAs ) has been suggested, [ 38 ] nevertheless, more recent surveies have found no such nexus [ 35 ] .SeizuresSeizures are the following most frequent neurological complication and are known to happen in 14-25 % of patients ( compared with 0.5-1 % in the general population ) [ 39 ] . Seizures may ensue from intellectual vasculitis, cardiac intercalation, timeserving infection, drug poisoning, or associated metabolic mental unsoundnesss. They are more likely to be associated with APS than with intellectual vasculitis, which is highly rare in clinical pattern [ 40 ] . Electrolyte perturbation and medicative effects should be excluded, particularly those ensuing from antidepressants, stimulating medicines to handle weariness, or backdown from depressants or intoxicant. The primary neurological presentation of SLE is more common than originally thought ( 10/41 patients ) and included both ictuss ( 4 instances ) and motion upsets including Parkinsonism and chorea ( 4 instances ) [ 41 ] . Higher overall frequences of ictuss ( 42 % ) ; an early manifestation in 27 % , and in 10 % ictuss were the first SLE symptom seen. Epileptic ictuss are among the most common CNS manifestations in SLE. In separate surveies, Sibley et al. , [ 42 ] Steinlin et al. , [ 43 ] and Brinciotti et Al. [ 44 ] demonstrated that generalised tonic-clonic ictuss ( once known as expansive mal ictuss ) , simple and complex partial ictuss, automatic ictuss and position eliepticus all occur [ 45 ] . It is presumed that most ictuss in patients with SLE would be elicited by vascular abnormalcies in the encephalon, or would be either due to CNS infections or secondary to other marks, but this can non ever be demonstrated. In a big retrospective survey, in 18 out of 266 patients, ictuss were non attributable to any cause other than SLE [ 42 ] . Table 1. ACR Classification Criteria for SLE [ 26 ] The diagnosing of SLE requires the presence of four or more of the following 11 standards at the same time or in sequence ( besides see algorithm in Fig 2 ) .SLE standardDefinition or illustrationsSerositis Pleuritis – pleuritic hurting, Pleuralrub, pleural gush Pericarditis – Electrocardiogram alterations, pericardiac hang-up, pericardiac gush Oral ulcers Frequently painless sores Arthritis Nonerosive – two or more peripheral articulations affected Photosensitivity Skin roseola as a consequence of unusual reaction to sunlight Blood Hematologic upset Hemolytic anemia Leucopenia Lymphopenia Thrombocytopenia Nephritic upset Proteinuria ( with 3+ or more protein noted in urinalysis specimen or 0.5 g of protein/day ) Cellular dramatis personaes in piss Antinuclear antibody Antibodies to atomic components Immunological upset Anti- DNA antibodies Anti – Samarium antibodies Antiphospholipid antibodies Neurological upset Seizures Psychosis Malar roseola Fixed erythema over the malar distinctions Discoid roseola Erythematosus raised spots may mark ECG = EKG A mnemonic to retrieve the 11 symptoms is ‘SOAP BRAIN MD ‘ . Table 2. The neurological complications of SLE [ 30 ] Central nervous system Neurological Aseptic meningitis Cerebrovascular disease Multifocal subacute lesions Headache ( including megrim and idiopathic intracranial high blood pressure ) Motion upsets ( peculiarly chorea ) Myelopathy Seizure upset Psychiatric Acute confusional province Anxiety upset Cognitive map Temper upset Psychosis Peripheral nervous system Acute inflammatory demyelinating polyradiculopathy ( Guillain – Barre syndrome ) Autonomic upset Cranial neuropathy Mononeuropathy, individual or manifold Myastheia gravis Plexopathy PolyneuropathyDiagnosis of SLEPatient showing with disease manifestations affecting two or more organ systems ANA proving Titre a†°? 1:40 Titre & lt ; 1:40 See referral to rheumatologist for full Strong statement against SLE rating, including the followers: SLE ; alternate account ACR diagnostic standards ( see Table 1 ) for organ system Lab trials: full blood count, uranalysis, manifestations should be serum creatinine degree and antiphospholipid, pursued anti-dsDNA and anti-Sm antibodies Explanation found No account Zero to three Four or more Sufficient to See referral to ACR standards ACR standards regulation out SLE rheumatologist if inquiry of SLE or uncomplete SLE remains No SLE or SLE Incomplete SLE Fig 2. An algorithm for the diagnosing of SLE. ( ANA = antinuclear antibody ; ACR = American College of Rheumatology ; anti-dsDNA = antibody to duplicate isolated DNA antigen ; antiSm = antibody to Sm atomic antigen ) . Information from mentions: [ 25 – 29 ] Stroke and perennial transient ischemic onslaughts ( TIAs ) are among the CNS diagnoses seen in 3-15 % of instances ; although these figures vary harmonizing to the literature [ 46 – 48 ] . Annual shots were calculated for illustration, utilizing informations from 91 patients with SLE observed for 599 patient-years. It was found that the shot rate dropped from 6.6 % in twelvemonth 1 to 0.6 % during old ages 6-10 [ 46 ] . The International Classification of Diseases ( ICD-9 ) codification for SLE, estimated that ‘cerebrovascular accidents ‘ were 10 times more frequent in 18 to 44 twelvemonth old females with SLE, than in those of similar age without the disease [ 49 ] . The frequence of ‘cerebrovascular accidents ‘ were about twice as frequent in in-between age ( 45-64 year ) , whereas in old age, the frequence was found to be somewhat below normal. APAs have one time once more been implicated, as shown by Provenzale et Al [ 50 ] . Neuroimaging surveies suggested no important differences in the incidence of multifocal little white affair lesions, or of big vas shots, between patients with primary or secondary APS. Harmonizing to the literature, subarachnoid bleeding in SLE is good documented [ 47, 51 – 55 ] , nevertheless, by far the most studies of this are from one state: Japan. A survey by Mimori et Al. [ 56 ] of the medical records of patients with SLE in one Nipponese Centre, covering a 20 twelvemonth period, revealed that 10 of 258 patients had at some clip experienced a ( clinically defined ) subarachnoid bleeding. Figures in the literature on TIAs in SLE indicate that the overall incidence is raised [ 46, 48, 57 ] .Aseptic meningitisAcute, chronic or recurrent sterile meningitis is a rare manifestation of SLE. The term is frequently used for a meningeal syndrome of non-infectious beginning with some grade of nuchal rigidness ( neck stiffness ) and with increased white cells ( pleocytosis ) in the cerebrospinal fluid ( CSF ) [ 26, 58 ] . Pathologically, meningeal redness is found in about fifth part of patients [ 59 ] . SLE should be considered in any patient who ab initio presents with a meningitic image and in whom beings have non been identified, particularly if the meningitis is perennial. Aseptic meningitis has been reported in patients with shot or ‘ischaemic encephalon lesions ‘ ; vasculitis was non demonstrated, but was non ruled out [ 60, 61 ] . There are studies of sterile meningitis following non-steroidal anti-inflammatory drugs ( even after merely a individual tablet ) in SLE and assorted connective tissue disease. Jolles et Al. [ 62 ] stated that up to 60 % of patients with SLE are estimated to hold CNS symptoms associated with redness at some clip during their unwellness, and that this could predispose them to drug-induced sterile meningitis ( DIAM ) . Maignen et Al. [ 63 ] suggested that assorted drugs ( non-steroidal anti-inflammatory agents such as isobutylphenyl propionic acid and Clinoril, antibiotics such as cotrimoxazole, trimethoprim, Cipro and assorted drugs such as carbamazepine, human immune globulin and muromonab CD3 ) can be associated with development of DIAM and those patients with SLE and/or connective tissue upsets are at a higher hazard. Ibuprofen for illustration, has been reported on a figure of occasions as a cause of sterile meningitis, particularly in patients with SLE [ 64, 65 ] . The exact mechanism for the reaction to these agents is non to the full understood, but it is speculated that APAs perchance have a function. Meningeal symptoms occur a few hours after drug consumption and decide without sequelae within one or two yearss after the drug is withdrawn. Chorea, although rare, is frequently quoted as the classical neurological characteristic of SLE [ 43 ] . There are conflicting studies, as suggested by Janvas et Al. [ 66 ] and Cervera et Al. [ 67, 68 ] in respect to its incidence, runing from 1-4 % . It can develop at any clip, but is more likely to look during an ague flair, which has led some research workers to propose that it could be used as a marker of disease activity, where there is a reported return rate of up to 25 % . It has besides been associated with shot [ 69 ] and with idiopathic intracranial high blood pressure and dural fistula thrombosis in kids [ 70 ] . It is non yet clear, nevertheless, whether it is due to a vascular abuse or to antibody-induced neural disfunction [ 71, 72 ] . Psychiatric perturbations range from temper and personality upsets to psychosis, the latter being defined as a psychotic upset, harmonizing to the standards of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV ) [ 73 ] . No alone clinical image is seen, but three comparatively distinguishable forms can be discerned: ‘pure ‘ behavioural or psychiatric unwellness without overcasting of consciousness, subacute encephalopathy/encephalitis, and dementedness. Affectional upsets, peculiarly anxiousness and depression are the most common ( e.g. in 103 of 414 outpatients from two surveies and 19 of 43 hospitalised patients from another survey ) , though non in similar proportions in the surveies [ 74 – 76 ] . It has, nevertheless, non been shown that these upsets occur more often in patients with SLE [ 77 ] than in those with arthritic arthritis or other chronic diseases [ 78 – 80 ] . The association with psychotic episodes – ‘lupus psychosis ‘ – is more dependable [ 81 ] , although its differentiation from corticoid induced psychosis can be hard. In a big and frequently quoted retrospective survey, 11 of 266 patients developed psychosis during a average follow-up period of at least 90 months [ 42 ] . Delusions, ocular and audile hallucinations, catatonia and transition upsets are all good recognised [ 82 ] . Dementia is a normally recognized complication, although small elaborate published information is available. Harmonizing to DSM-IV, ‘cognitive upset ‘ can be compensated for at least partly ; the diagnosing therefore requires neuropsychological appraisal [ 73 ] . The per centum of patients with SLE enduring from cognitive upset varies among surveies. For illustration, an overall incidence of cognitive alterations in SLE of 55 % has been suggested [ 83, 84 ] . In four surveies, these figures varied from 21-35 % , [ 85 – 88 ] and from 43-67 % in two other surveies [ 89, 90 ] . All these fluctuations are due in portion to different cut-offs that were chosen for normalcy by these different writers. Furthermore some writers [ 91, 92 ] contend that the grade of cognitive upset fluctuates over clip, but this is disputed by others [ 88 ] . Two possible causes of cognitive upset have been suggested: little vas vasculopathy and an antibody mediated consequence on neural operation [ 85, 93 ] . Perturbations of the cranial [ 94 – 97 ] and peripheral nervousnesss – individual and manifold [ 98 ] , rete [ 99, 100 ] , sensorimotor [ 101 – 103 ] , and autonomic lesions [ 102, 104 – 106 ] , myasthenia gravis [ 107, 108 ] , and Guillain-Barre syndrome [ 109 – 111 ] , have all been reported in SLE, albeit with limited survey.Antiphospholipid syndrome ( Hughes syndrome )The ‘antiphospholipid syndrome ‘ ( APS ) was first described in patients with SLE ( secondary APS ) , but may happen in the absence of any other upset ( primary APS ) . In other words, the branchings of this syndrome extend beyond SLE, to all subjects of medical specialty. An emerg ing impression is the differentiation between CNS manifestations due to SLE and those caused by APS [ 112 ] . Some constituents of APS have been recognised since the 1950s, but the complete syndrome was non to the full described until 1983 [ 113 ] . Since so the categorization standards have been updated to include manifestations non antecedently distinctive [ 114 ] . Categorization standards for ruinous APS have been validated, and a world-wide registry set up to enter clinical informations for these rare patients in order to analyze intervention and results [ 115 ] . A description of the clinical characteristics of 1000 patients with this syndrome remains the largest of such series [ 116 ] . It is defined as the association of antiphospholipid antibodies ( APAs ) with arterial or venous thrombosis, perennial fetal loss, thrombopenia or neurological upsets such as shot and TIAs, transverse myelopathy, chorea and migrainous concern. Primary APS, nevertheless seldom progresses to SLE. One survey carried out on 128 patients over a 9 twelvemonth period showed that merely 8 % developed SLE ; where a positive antiglobulin trial was used as a clinically important forecaster of patterned advance [ 117 ] . The spectrum of clinical characteristics of APS continues to broaden with descriptions of nephritic arteria stricture [ 118 ] , metatarsal breaks [ 119 ] , avascular mortification [ 120 ] , and abnormalcies of vascular map [ 121 ] . Accelerated atheroma has become a major focal point of research in persons that have APS, with probes demoing cross-reactivity of antiphospholipids with oxidised LDL and early marks of arterial disease in these peculiar patients [ 121, 122 ] . George and Shoenfield [ 123 ] have termed APS as the ‘crossroads of autoimmunity and coronary artery disease ‘ . The contentions of intervention of APS remain, chiefly in footings of the sum of anticoagulation required to forestall perennial thrombosis. Two prospective surveies by Crowther et Al. [ 124 ] and Finazzi et Al. [ 125 ] indicated that a high-intensity government of anticoagulation, with international normalized ratios ( INRs ) above 3.0, were no better than conventional therapy with INRs of 2.0-3.0 in the bar of perennial thrombosis. This contradicted old retrospective informations. A farther survey by Levine et Al. [ 126 ] added drift to this research by proposing that positive baseline antiphospholipids in shot patients failed to foretell future cerebro-vascular occlusive accidents. It besides stated that everyday showing for antiphospholipids was non warranted. The survey has later been criticised as flawed, in that it was non designed to turn to the issue of testing and that merely one baseline measuring was used. Most physicians hence, still see antiphospholipid proving as being indispensable, particularly in immature shot victims.DecisionSLE was one time considered a rare disease with a universally fatal result. The past 20 old ages, nevertheless have shown that this upset is more common than originally thought and that it is treatable, with the bulk of patients now holding about normal life spans. One must be cognizant, nevertheless, that a patient who is diagnosed with SLE at 20 old ages of age still has a 1 in 6 opportunity of deceasing by 35 old ages o f age, largely from the disease itself and/or related infections. Reducing the cardiovascular hazard, which still claims significant loss of life, is besides of major importance. The neurological characteristics of cardinal nervous system disease of SLE are easy get downing to be unravelled, although there are still many inquiries that need to be answered. Delay in diagnosing, particularly in patients with low-grade disease, remains debatable. The staying challenges are in bettering the quality of life for these peculiar patients by bettering the symptoms of SLE. For illustration we will necessitate to develop biomarkers and neuroimaging trials for SLE – associated neuropsychiatric disease that have the ability to place the implicit in pathological mechanism and steer curative determinations [ 134 ] , which will hopefully ensue in more effectual intervention for this potentially dangerous unwellness.