Contemporary World Culture “Why Women Go Into Porn”

There are quite a few reasons why men and woman enter into the porn industry, but by far it’s all about the money and many porn stars have said it’s because of the money. Porn is a billion dollar industry as money is made through the selling of pornographic magazines and movies. With the advent of the internet, porn has catapulted into an even bigger money maker for the porn industry and not only in the U. S. but world wide. Porn is literally everywhere and there are thousands of websites that offer pornographic videos, pictures and even stream live web-cams. Depending on what you wish to see you can watch live footage of people having sex or engaging in other sexual acts. But what about the actors or actresses that are in porn, how and why do they really get involved in such an industry? For the women more so than the men society asks why women get themselves involved doing sexual acts on film or live. The porn industry makes it seem like the porn actresses love sex and that they want you to think that they enjoy being degraded by all kinds of repulsive acts. The truth about porn actresses is that they showed up on the set not knowing about certain requirements and were told by porn producers to do it or leave without being paid. Work or never work again. Some of these women don’t have a choice because they need the money bad, so some were manipulated and coerced and even threatened. Throughout their career some of these women have caught HIV, Herpes, or some other kind of sexually transmitted disease from that coercion. Other porn actresses have gone home after a long night of numbing her pain, puts a pistol to her head and pulls the trigger. Now she’s dead. It’s safe to say most women who turn to porn acting as a money making enterprise, probably didn’t grow up in healthy childhoods either. In fact, many actresses admit they’ve experienced sexual abuse, physical abuse, verbal abuse and neglect by parents. Some were raped by relatives and molested by neighbors. When they were little girls they wanted to play with dollies and be mommies, not have big scary men get on top of them. The same horrible violations they experienced then, they relive it through as they perform in front of the camera and quite a few of them hate every minute of it. Despite the fact that some people look down on and frown at women working in the porn industry we as a society must realize that it is their choice and their choice alone to work in this industry. Some women who are struggling to become models or actresses will do porn films so they are not forced to live on the streets. The biggest reason for women and even men in porn is the money, and several female porn stars have made millions of dollars in the porn industry. The porn industry can be a stepping stone to other things in life, whatever the case may be. But we all start somewhere and the porn industry is where some women and men choose and want to be. I tried to find some official statistics online from sites like The Department of Justice, but all they had was child pornography statistics. Here are a few from a Christian site that is involved in a program to help those women get out of the porn industry.

Vascular Sounds, Abdominal,

The clinical treatments described and recommended in this publication are based on research and consultation with nursing, medical, and legal authorities. To the best of our knowledge, these procedures reflect currently accepted practice. Nevertheless, they can’t be considered absolute and universal recommendations. For individual applications, all recommendations must be considered in light of the patient’s clinical condition and, before administration of new or infrequently used drugs, in light of the latest package-insert information. The authors and publisher isclaim any responsibility for any adverse effects resulting from the suggested procedures, from any undetected errors, or from the reader’s misunderstanding of the text.  © 2011 by Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means—electronic, mechanic al, photocopy, recording, or otherwise—without prior written permission of the publisher, except for brief quotations embodied in critical articles and reviews and testing and evaluation materials provided by publisher to instructors hose schools have adopted its accompanying textbook. Printed in China. For information, write Lippincott Williams & Wilkins, 323 Norristown Road, Suite 323, Ambler, PA 19002-2756. Derived from American Gothic, 1930 by Grant Wood. All rights reserved by the estate of Nan Wood Graham/Licensed by VAGA, New York, NY. The publishers have made every effort to obtain permission from the copyright holders to use borrowed material. If any material requiring permission has been overlooked, the publishers will be pleased to make the necessary arrangements at the first opportunity. HAIV020410 Library of Congress Cataloging-in-Publication DataHealth assessment made incredibly visual!. —2nd ed. p. ; cm. —(Incredibly visual) Includes bibliographic al references and index. ISBN 978-1-60547-973-6 (alk. paper) 1. Physical diagnosis—Atlases. 2. Physical diagnosis—Handbooks, manuals, etc. I. Series: Incredibly visual. [DNLM: 1. Nursing Assessment—methods— Atlases. 2. Nursing Assessment—methods— Handbooks. 3. Physical Examination— methods—Atlases. 4. Physical Examination— methods—Handbooks. WY 49 H434 2011] RT48. H448 2011 616. 07'54—dc22 ISBN13 978-1-60547-973-6 ISBN10 1-60547-973-X (alk. paper) 2009049443 Staff Publisher Chris Burghardt Clinical Director Joan M. Robinson, RN, MSNProduct Manager Diane Labus Clinical Project Manager Beverly Ann Tscheschlog, RN, MS Editor Jaime Stockslager Buss, MSPH, ELS Copy Editor Karen Comerford Design Coordinator Joan Wendt Illustrator Bot Roda Associate Manufacturing Manager Beth J. Welsh Editorial Assistants Karen J. Kirk, Jeri O'Shea, Linda K. Ruhf Contents iii A work of art iv Contributors and consultants vi 1 Fund amentals 1 2 Skin, hair, and nails 11 3 Eyes and ears 27 4 Nose, mouth, throat, and neck 49 5 Respiratory system 67 6 Cardiovascular system 87 7 Breasts and axillae 113 8 Gastrointestinal system 127 9 Musculoskeletal system 147 10 Neurologic system 171 1 Genitourinary system 193 Selected references 239 Credits 240 Index 242 12 Pregnancy 213 iv Contributors and consultants I’m so excited to be here today! The gallery is opening its new exhibit, Health Assessment Made Incredibly Visual. best picture outside the norm take note I hear it’s a masterpiece that’s guaranteed to inspire top-notch assessment skills. It’s even more extraordinary than I expected. outside the norm take note v The vividly detailed illustrations and photographs of abnormal findings are definitely â€Å"Outside the norm. † And what chiaroscuro! And I’m certainly going to â€Å"Take note† of this piece. You an tell that it captures lifelike charts that illustrate the correct ways to document assessment findings. If this collection were a movie, it would have â€Å"Best picture† written all over it. The graphic depictions of best assessment practices that appear throughout are unique and innovative. All-in-all, I find this a visually stunning and exciting new work. It has certainly inspired me to master health assessment. best picture vi Contributors and consultants Nancy Berger, RN, MSN, BC, CNE Program Coordinator Middlesex County College Edison, N. J. Marsha L. Conroy, RN, BA, MSN, APN Nurse Educator Indiana Wesleyan University MarionChamberlain College of Nursing Columbus, Ohio Roseanne Hanlon Rafter, RN, MSN, GCNS, BC Director of Nursing Professional Practice Chestnut Hill Hospital Philadelphia, Pa. Dana Reeves, RN, MSN Assistant Professor University of Arkansas—Fort Smith Denise Stefancyk, RN, BSN, CCRC Clinical Specialist University of Massachusetts Medical Center Worcester Allison J. Terry, RN, PhD Director, Center for Nursi ng Alabama Board of Nursing Montgomery Leigh Ann Trujillo, RN, BSN Clinical Educator St. James Hospital and Health Centers Olympia Fields, Ill. Rita M. Wick, RN, BSN Simulation Coordinator Berkshire Health Systems Pittsfield, Mass.Sharon E. Wing, RN, PhD(C), CNL Associate Professor Cleveland (Ohio) State University Lisa Wolf, RN, MS, CMSRN Clinical Educator Mount Carmel West Columbus, Ohio Health history 2 Physical assessment 6 Documentation 9 Vision quest 10 Ready. Action! Health history Interviewing tips To make the most of your patient interview, create an environment in which the patient feels comfortable. Also, use the following techniques to ensure effective communication. Fundamentals  ¦ Provided by the patient, or â€Å"subject†  ¦ Verified only by the patient  ¦ Include statements such as â€Å"My head hurts† or â€Å"I have trouble sleeping† Subjective data Are observed  ¦ Are verifiable  ¦ Include findings such as a red, swollen arm in a pat ient with arm pain Objective data The success of your patient interview depends on effective communication.  Select a quiet, private setting.  Choose terms carefully and avoid using medical jargon.  Speak slowly and clearly.  Use effective communication techniques, such as silence, facilitation, confirmation, reflection, and clarification.  Use open-ended and closed-ended questions as appropriate.  Use appropriate body language.  Confirm patient statements to avoid misunderstanding.  Summarize and conclude with â€Å"Is there anything else?         2 Fundamentals All assessments involve collecting two kinds of data: objective and subjective. The health history gathers subjective data about the patient. Health history 3 Components of a complete health history Biographical data Name __________________________________________ Address ________________________________________ Date of birth ____________________________________ Advance directive explained:  Yes  No Livin g will on chart:  Yes  No Name and phone numbers of next of kin: NAME RELATIONSHIP PHONE # ________________________________________________ ________________________________________________Chief complaint History of present illness ________________________________________________ ________________________________________________ Current medications DRUG AND DOSE FREQUENCY LAST DOSE ________________________________________________ ________________________________________________ Medical history Allergies  Tape  Iodine  Latex  No known allergies  Drug: _________________________________________  Food: _________________________________________  Environmental: _________________________________  Blood reaction: _________________________________  Other: _________________________________________ Childhood illnessesDATE ________________________________________________ ________________________________________________ Previous hospitalizations (Illness, accident or injury, surgery, bl ood transfusion) DATE Health problems Yes No Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Blood problem (anemia, sickle cell, clotting, bleeding). . . . Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . Eye problem (cataracts, glaucoma) . . . . . . . . . . . . Heart disease (heart failure, MI, valve disease) Hiatal hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . HIV/AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . Kidney problem . . . . . . . . . . . . . . . . . . . . . . . . . Liver problem . . . . . . . . . . . . . . . . . . . . . . . . . . . Lung problem (asthma, bronchitis, emphysema, pneumonia, TB, shortness of breath) . . . . . . . . . . . . Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thyroid problem . . . . . . . . . . . . . . . . . . . . . . . . . Ulcers (duodenal, peptic). . . . . . . . . . . . . . . . . . . . Psychological disorder . . . . . . . . . . . . . . . . . . . Obstetric history (females) Last menstrual period _____________________________ Gravida __________ Para ___________ Menopause Yes No Psychosocial history Coping strategies _________________________________________________ Feelings of safety ________________________________________________ Social history Smoker No Yes (# packs/day _____ # years ___ ) Alcohol No Yes (type ________ amount/day ___ ) Illicit drug use No Yes (type ____________ ) Religious and cultural observances ________________________________________________ Activities of daily living Diet and exercise regimen _________________________Elimination patterns _______________________________ Sleep patterns ____________________________________ Work and leisure activities _________________________ Use of safety measures (seat belt, bike helmet, sunscreen) ______________________ Health mainten ance history DATE Colonoscopy ____________________________________ Dental examination _______________________________ Eye examination _________________________________ Immunizations ___________________________________ Mammography __________________________________ Family medical history Health problem Yes No Who (parent, grandparent, sibling) Ask about the patient’s family edical history, including history of diabetes or heart disease. Ask about the patient’s feelings of safety to help identify physical, psychological, emotional, and sexual abuse issues. Arthritis . . . . . . . . . . . . Cancer . . . . . . . . . . . . . Diabetes mellitus . . . . . Heart disease (heart failure, MI, valve disease) . . Hypertension . . . . . . . . Stroke . . . . . . . . . . . . . Be sure to include prescription drugs, over-the-counter drugs, herbal preparations, and vitamins and supplements. 4 Fundamentals During the final part of the health history, ask about each body structure and syst em to make sure that important ymptoms weren’t missed. Start at the top of the head and work your way down to the toes. Head Psychological status Neck Endocrine system Breasts and axillae Gastrointestinal system Reproductive system General health Neurologic system Eyes, ears, and nose Mouth and throat Skin, hair, and nails Cardiovascular system Respiratory system Hematologic system Urinary system Musculoskeletal system Review of structures and systems Health history 5 Evaluating a symptom Perform a focused physical examination to quickly determine the severity of the patient’s condition. Take a thorough history. Note GI disorders that can lead to abdominal distention.Thoroughly examine the patient. Observe for abdominal asymmetry. Inspect the skin, auscultate for bowel sounds, percuss and palpate the abdomen, and measure abdominal girth. My stomach gets bloated. Your patient is vague in describing his chief complaint. Using your interviewing skills, you discover his pr oblem is related to abdominal distention. Now what? This flowchart will walk you through what to do next. Take a brief history. Intervene appropriately to stabilize the patient, and notify the doctor immediately. Review your findings to consider possible causes, such as cancer, bladder distention, cirrhosis, heart failure, and astric dilation. After the patient’s condition stabilizes, review your findings to consider possible causes, such as trauma, large-bowel obstruction, mesenteric artery occlusion, and peritonitis. Devise an appropriate care plan. Position the patient comfortably, administer ordered analgesics, and prepare the patient for diagnostic tests. Form a first impression. Does the patient’s condition alert you to an emergency? For example, does he say the bloating developed suddenly? Does he mention that other signs or symptoms occur with it, such as sweating and light-headedness? (Indicators of hypovolemia) Yes NoAsk the patient to identify the symptom th at’s bothering him. Do you have any other signs or symptoms? Evaluate your findings. Are emergency signs or symptoms present, such as abdominal rigidity and abnormal bowel sounds? Yes No 6 Fundamentals Physical assessment  ¦ Cotton balls  ¦ Gloves  ¦ Metric ruler (clear)  ¦ Near-vision and visual acuity charts  ¦ Ophthalmoscope  ¦ Otoscope  ¦ Penlight  ¦ Percussion hammer  ¦ Paper clip  ¦ Scale with height measurement  ¦ Skin calipers  ¦ Specula (nasal and vaginal)  ¦ Sphygmomanometer  ¦ Stethoscope  ¦ Tape measure (cloth or paper)  ¦ Thermometer  ¦ Tuning fork  ¦ Wooden tongue blade Assessment toolsAssemble the necessary tools for the physical assessment. Then perform a general survey to form your initial impression of the patient. Obtain baseline data, including height, weight, and vital signs. This information will direct the rest of your assessment. Measuring blood pressure  ¦ Position your patient with his upper arm at heart level an d his palm turned up.  ¦ Apply the cuff snugly, 1 (2. 5 cm) above the brachial pulse.  ¦ Position the manometer at your eye level.  ¦ Palpate the brachial or radial pulse with your fingertips while inflating the cuff.  ¦ Inflate the cuff to 30 mm Hg above the point where the pulse disappears. Place the bell of your stethoscope over the point where you felt the pulse, as shown in the photo. (Using the bell will help you better hear Korotkoff’s sounds, which indicate pulse. )  ¦ Release the valve slowly and note the point at which Korotkoff’s sounds reappear. The start of the pulse sound indicates the systolic pressure.  ¦ The sounds will become muffled and then disappear. The last Korotkoff’s sound you hear is the diastolic pressure. best picture Got your tools? Good. Let’s get to work! Tips for interpreting vital signs  ¦ Analyze vital signs at the same time. Two or more abnormal values may provide clues to the patient’s problem.For example, a rapid, thready pulse along with low blood pressure may signal shock.  ¦ If you obtain an abnormal value, take the vital sign again to make sure it’s accurate.  ¦ Remember that normal readings vary with the patient’s age. For example, temperature decreases with age, and respiratory rate can increase with age.  ¦ Remember that an abnormal value for one patient may be a normal value for another, which is why baseline values are so important. Physical assessment 7 Physical assessment techniques When you perform the physical assessment, you’ll use four techniques: inspection, palpation, percussion, and auscultation.Use these techniques in this sequence except when you perform an abdominal assessment. Because palpation and percussion can alter bowel sounds, the sequence for assessing the abdomen is inspection, auscultation, percussion, and palpation. 1 Inspection Inspect each body system using vision, smell, and hearing to assess normal conditions and deviations. Observe for color, size, location, movement, texture, symmetry, odors, and sounds as you assess each body system. 2Palpation Palpation requires you to touch the patient with different parts of your hands, using varying degrees of pressure. Because your hands are your tools, keep your fingernails hort and your hands warm. Wear gloves when palpating mucous membranes or areas in contact with body fluids. Palpate tender areas last. Types of palpation Light palpation  ¦ Use this technique to feel for surface abnormalities.  ¦ Depress the skin 1/2 to 3/4 (1. 5 to 2 cm) with your finger pads, using the lightest touch possible.  ¦ Assess for texture, tenderness, temperature, moisture, elasticity, pulsations, superficial organs, and masses. Deep palpation  ¦ Use this technique to feel internal organs and masses for size, shape, tenderness, symmetry, and mobility.  ¦ Depress the skin 11/2 to 2 (4 to 5 cm) with firm, deep pressure. Use one hand on top of the other to exert firmer pressure, if needed. 8 Fundamentals 3Percussion Percussion involves tapping your fingers or hands quickly and sharply against parts of the patient’s body to help you locate organ borders, identify organ shape and position, and determine if an organ is solid or filled with fluid or gas. 4Auscultation Auscultation involves listening for various breath, heart, and bowel sounds with a stethoscope. Types of percussion Direct percussion This technique reveals tenderness; it’s commonly used to assess an adult patient’s sinuses. Here’s how to do it:  ¦ Using one or two fingers, tap irectly on the body part.  ¦ Ask the patient to tell you which areas are painful, and watch his face for signs of discomfort. Indirect percussion This technique elicits sounds that give clues to the makeup of the underlying tissue. Here’s how to do it:  ¦ Press the distal part of the middle finger of your nondominant hand firmly on the body part.  ¦ Keep th e rest of your hand off the body surface.  ¦ Flex the wrist of your dominant hand.  ¦ Using the middle finger of your dominant hand, tap quickly and directly over the point where your other middle finger touches the patient’s skin.  ¦ Listen to the sounds produced. Getting ready Provide a quiet environment.  ¦ Make sure the area to be auscultated is exposed. ( Auscultating over a gown or bed linens can interfere with sounds. )  ¦ Warm the stethoscope head in your hand.  ¦ Close your eyes to help focus your attention. How to auscultate  ¦ Use the diaphragm to pick up high-pitched sounds, such as first (S1) and second (S2) heart sounds. Hold the diaphragm firmly against the patient’s skin, enough to leave a slight ring on the skin afterward.  ¦ Use the bell to pick up low-pitched sounds, such as third (S3) and fourth (S4) heart sounds. Hold the bell lightly against the patient’s skin, just enough to form a seal.Holding the bell too firmly causes th e skin to act as a diaphragm, obliterating low-pitched sounds.  ¦ Listen to and try to identify the characteristics of one sound at a time. Documentation 9 Documentation Get to know your stethoscope Your stethoscope should have snug-fitting ear tips, which you’ll position toward your nose. The stethoscope should also have tubing no longer than 15 (38. 1 cm) with an internal diameter not greater than 1/8 (0. 3 cm). It should have both a dia phragm and bell. The parts of a stethoscope are labeled below. Ear tips Binaurals (ear tubes) Tension bar Tubing Bell Stem Diaphragm Headset ChestpieceDocumenting initial assessment findings Here’s an example of how to record your findings on an initial assessment form. take note Name Age _______ Sex ______ Height ________ Weight ________ T ______ P ___ R ___ B/P (R) ____________ (L) _____________ Room _____________________ Admission time ____________ Admission date ____________ Doctor ____________________ Admitting diagnosis: __ _________________________ ___________________________ ___________________________ ___________________________ Patient’s stated reason for hospitalization ______________ ___________________________ ___________________________ Allergies ___________________ __________________________ ___________________________ Current medications ________ Name Dosage Last taken _______________________________ _______________________________ _______________________________ _______________________________ General survey _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ Henry Gibson 55 M 163 cm 57 kg 37  C 76 14 150/90 sitting 148/88 sitting 328 0800 4 -28-10 Manzel Pneumonia â€Å"To get rid of the pneumonia† PenicillinCodeine None In no acute distress. Slender, alert, and well-groomed. Communicates well. Make s eye contact and expresses appropriate concern throughout exam. C. Smith, RN General information Identify the assessment technique being used in each illustration. Show and tell Unscramble the words at right to discover terms related to fundamentals of assess ment. Then use the circled letters from those words to answer the question posed. My word! Answers: Show and tell 1. Indirect percussion, 2. Deep palpation; My word! 1. Auscultation, 2. Subjective data, 3. Chief complaint, 4. Palpation; Question: Abdomen 10 1. 2. 1. tunicaastolu 2. ivateacub jest 3. place inchmotif 4. aplaintop Answer: Question: Assessment of which body part does not follow the usual sequence? Anatomy 12 Assessment 14 Skin abnormalities 16 Hair abnormalities 24 Nail abnormalities 25 Vision quest 26 Quiet on the set. The assessment is about to begin. Anatomy 12 Skin, hair, and nails SkinSkin, hair, nails The skin covers and protects the internal structures of the body. It consists of two distinct layers: the ep idermis and the dermis. Subcutaneous tissue lies beneath these layers. Epidermis  ¦ Outer layer  ¦ Made of squamous epithelial tissue Dermis  ¦ Thick, deeper layer  ¦ Consists of connective issue and an extracellular material (matrix), which contributes to the skin’s strength and pliability  ¦ Location of blood vessels, lymphatic vessels, nerves, hair follicles, and sweat and sebaceous glands Subcutaneous tissue  ¦ Beneath dermis and epidermis  ¦ Consists mostly of adipose and other connective tissues Stratum corneum Pore of sweat gland Free nerve ending Eccrine sweat gland Hair bulb Sensory nerve fibers Autonomic nerve fibers Artery Vein Anatomy 13 Hair Hair is formed from keratin produced by matrix cells in the dermal layer of the skin. Each hair lies in a hair follicle. Hair shaft Sebaceous gland Arrector pili muscleHair follicle Sensory nerve fibers Hair bulb  ¦ Contains melanocytes Hair papilla  ¦ Consists of a loop of capillaries  ¦ Provides nourishm ent to hair Nails Nails are formed when epidermal cells are converted into hard plates of keratin. Hyponychium Nail plate Lateral nail fold Lunula Eponychium Nail root Nail matrix Hair bulb Matrix cell  ¦ Produces hair Cuticle cells Inner root sheath Outer root sheath Capillary in hair papilla Melanocyte  ¦ Determines hair color What is the matrix? The area of the dermis on which the nail rests. 14 Skin, hair, and nails Assessment To assess the skin, hair, and nails, use inspection and palpation. SkinObserve the skin’s overall appearance. Then inspect and palpate the skin area by area, focusing on color, moisture, texture, turgor, and temperature. Examine the conjunctivae, palms, soles, buccal mucosa, and tongue. Look for dull, dark color. Examine the area for decreased color and palpate for tightness. Palpate the area for warmth. Examine the sclerae and hard palate in natural, not fluorescent, light if possible. Look for a yellow color. Examine the sclerae, conjunctivae, buccal mucosa, lips, tongue, nail beds, palms, and soles. Look for an ashen color. Examine areas of lighter pigmentation such as the abdomen. Look for tiny, purplish red ots. Palpate the area for skin texture changes. Cyanosis Edema Erythema Jaundice Pallor Petechiae Rashes Color Look for localized areas of bruising, cyanosis, pallor, and erythema. Check for uniformity of color and hypopigmented or hyperpigmented areas. Moisture Observe the skin’s moisture content. The skin should be relatively dry, with a minimal amount of perspiration. Be sure to wear gloves during your examination of the skin, hair, and nails. Detecting color variations in dark-skinned people Assessment 15 Texture and turgor Inspect and palpate the skin’s texture, noting its thickness and mobility. It should look smooth and be intact.To assess skin turgor in an infant, grasp a fold of loosely adherent abdominal skin between your thumb and forefinger and pull the skin taut. Then release the skin. Th e skin should quickly return to its normal position. If the skin remains tented, the infant has poor turgor. Temperature Palpate the skin bilaterally for temperature using the dorsal surface of your hands and fingers. The dorsal surface is the most sensitive to temperature changes. Warm skin suggests normal circulation; cool skin, a possible underlying disorder. Assessing skin turgor in an adult Gently squeeze the skin on the forearm or sternal rea between your thumb and forefinger, as shown. If the skin quickly returns to its original shape, the patient has normal turgor. If it returns to its original shape slowly over 30 seconds or maintains a tented position, as shown, the skin has poor turgor. best picture Normal skin variations You may see normal variations in the skin’s texture and pigmentation. Such variations may include nevi, or moles, and freckles (shown below). 16 Skin, hair, and nails Lesion configurations Discrete Individual lesions are separate and distinct. Gro uped Lesions are clustered together. Dermatomal Lesions form a line or an arch and follow dermatome. Confluent Lesions merge so that discrete lesions are not visible or palpable. Lesion shapes Discoid Round or oval Annular Circular with central clearing Target (bull’s eye) Annular with central internal activity Hair When assessing the hair, note the distribution, quantity, texture, and color. Hair should be evenly distributed. Nails Examine the nails for color, shape, thickness, consistency, and contour. Nail color is pink in light-skinned people and brown in dark-skinned people. The nail surface should be slightly curved or flat and the edges smooth and rounded. Lesions When evaluating a lesion, you’ll need to classify t as primary (new) or secondary (a change in a primary lesion). Then determine if it’s solid or fluid-filled and describe its characteristics, pattern, location, and distribution. Include a description of symmetry, borders, color, configuration, diameter, and drainage. Skin abnormalities I know you’ll have these assessment skills nailed in no time! Lesion distribution Generalized — Distributed all over the body Regionalized — Limited to one area of the body Localized — Sharply limited to a specific area Scattered — Dispersed either densely or widely Exposed areas — Limited to areas exposed to the air or sun Intertriginous — Limited to reas where skin comes in contact with itself Skin abnormalities 17 outside the norm Types of skin lesions Fissure A painful, cracklike lesion of the skin that extends at least into the dermis Cyst A closed sac in or under the skin that contains fluid or semisolid material Papule A solid, raised lesion that’s usually less than 1 cm in diameter Vesicle A small, fluid-filled blister that’s usually 1 cm or less in diameter Bulla A large, fluid-filled blister that’s usually 1 cm or more in diameter Ulcer A craterlike lesion of th e skin that usually extends at least into the dermis Macule A small, discolored spot or patch on the skinWheal A raised, reddish area that’s commonly itchy and lasts 24 hours or less Pustule A small, pus-filled lesion (called a follicular pustule if it contains a hair) Nodule A raised lesion detectable by touch that’s usually 1 cm or more in diameter Documenting a skin lesion take note At 0820, pt. c/o right shoulder blade pain, 4/10 on a 0-10 scale. A closed, purulent lesion noted in right upper scapular region of back, approx. 1. 5 cm x 1 cm, with 3 cm surrounding area of erythema. T 100. 2 F. Call placed to Dr. Tomlin’s service at 0830. Angela Kessler, RN 4/15/10 0845 18 Skin, hair, and nails Benign versus cancerous lesionsLesions may be benign, such as a benign nevus, or mole. However, changes in an existing growth on the skin or a new growth that ulcerates or doesn’t heal could indicate cancer or a precancerous lesion. Types of skin cancer outside t he norm  ¦ Abnormal changes in keratinocytes  ¦ Can become squamous cell carcinoma Precancerous actinic keratosis  ¦ Abnormal growth of melanocytes in a mole  ¦ Can become malignant melanoma Dysplastic nevus Note the differences between benign and cancerous lesions.  ¦ Symmetrical, round, or oval shape  ¦ Sharply defined borders  ¦ Uniform, usually tan or brown color  ¦ Less than 6 mm in diameter  ¦ Flat or raisedBenign nevus  ¦ Abnormal changes in keratinocytes  ¦ Can become squamous cell carcinoma  ¦ Abnormal growth of melanocytes in a mole  ¦ Can become malignant melanoma Skin abnormalities 19 More severe Less severe  ¦ Begins as a firm, red nodule or scaly, crusted, flat lesion  ¦ Can spread if not treated Squamous cell carcinoma  ¦ Most common skin cancer  ¦ Usually spreads only locally Basal cell carcinoma  ¦ Can arise on normal skin or from an existing mole  ¦ If not treated promptly, can spread to other areas of skin, lymph nodes, or int ernal organs Malignant melanoma If you suspect a lesion may be malignant melanoma, observe for these haracteristics. memory board ABCDEs of malignant melanoma A = Asymmetrical lesion B = Border irregular C = Color of lesion varies with shades of tan, brown, or black and, possibly, red, blue, or white D = Diameter greater than 6 mm E = Elevated or enlarging lesion 20 Skin, hair, and nails Common skin disorders outside the norm Contact dermatitis is an inflammatory disorder that results from contact with an irritant. Primary lesions include vesicles, large oozing bullae, and red macules that appear at localized areas of redness. These lesions may itch and burn. Contact dermatitis Psoriasis is a chronic disease of marked pidermal thickening. Plaques are symmetrical and generally appear as red bases topped with silvery scales. The lesions, which may connect with one another, occur most commonly on the scalp, elbows, and knees. Psoriasis Occurring as an allergic reaction, urticaria appea rs suddenly as pink, edematous papules or wheals (round elevations of the skin). Itching is intense. The lesions may become large and contain vesicles. Urticaria (hives) Skin abnormalities 21 Mites, which can be picked up from an infested person, burrow under the skin and cause scabies lesions. The lesions appear in a straight or zigzagging line about 3/8 (1 cm) ong with a black dot at the end. Commonly seen between the fingers, at the bend of the elbow and knee, and around the groin, abdomen, or perineal area, scabies lesions itch and may cause a rash. Scabies Herpes zoster appears as a group of vesicles or crusted lesions along a nerve root. The vesicles are usually unilateral and appear mostly on the trunk. These lesions cause pain but not a rash. Herpes zoster Tinea corporis is characterized by round, red, scaly lesions that are accompanied by intense itching. These lesions have slightly raised, red borders consisting of tiny vesicles. Individual rings may connect to form atche s with scalloped edges. They usually appear on exposed areas of the body. Tinea corporis (ringworm) Once I burrow under the skin, I settle down and make myself comfortable. 22 Skin, hair, and nails Pressure ulcers Pressure ulcers are localized areas of skin breakdown that occur as a result of prolonged pressure. Necrotic tissue develops because the vascular supply to the area is diminished. Staging pressure ulcers You can use characteristics gained from your assessment to stage a pressure ulcer, as described here. Staging reflects the anatomic depth of exposed tissue. Keep in mind that if the wound contains necrotic issue, you won’t be able to determine the stage until you can see the wound base. outside the norm Suspected deep tissue injury  ¦ Maroon or purple intact skin or blood-filled blister  ¦ May be painful; mushy, firm, or boggy; and warmer or cooler than other tissue before discoloration occurs Stage I  ¦ Intact skin that doesn’t blanch  ¦ May differ i n color from surrounding area in people with darkly pigmented skin  ¦ Usually over a bony prominence  ¦ May be painful, firm or soft, and warmer or cooler than surrounding tissue Note: This stage shouldn’t be used to describe perineal dermatitis, maceration, tape burns, skin tears, or excoriation.Stage II  ¦ Superficial partial-thickness wound  ¦ Presents as a shallow, open ulcer without slough and with a red and pink wound bed Skin abnormalities 23 Stage III  ¦ Involves full-thickness wound with tissue loss and possibly visible subcutaneous tissue but no exposed muscle, tendon, or bone  ¦ May have slough but not enough to hide the depth of tissue loss  ¦ May be accompanied by undermining and tunneling Stage IV  ¦ Involves full-thickness skin loss, with exposed muscle, bone, and tendon  ¦ May be accompanied by eschar, slough, undermining, and tunneling Unstageable  ¦ Involves full-thickness tissue loss, with base of ulcer covered by slough nd yellow, tan, gray, green, or brown eschar  ¦ Can’t be staged until enough slough and eschar are removed to expose the wound base 24 Skin, hair, and nails Hair abnormalities Typically stemming from other problems, hair abnormalities can cause patients emotional distress. Among the most common hair abnormalities are alopecia and hirsutism. Alopecia occurs more commonly and extensively in men than in women. Diffuse hair loss, though commonly a normal part of aging, may occur as a result of pyrogenic infections, chemical trauma, ingestion of certain drugs, and endocrinopathy and other disorders. Tinea capitis, trauma, and ull-thickness burns can cause patchy hair loss. Alopecia Excessive hairiness in women, or hirsutism, can develop on the body and face, affecting the patient’s selfimage. Localized hirsutism may occur on pigmented nevi. Generalized hirsutism can result from certain drug therapy or from such endocrine problems as Cushing’s syndrome, polycystic ovary syndrome, a nd acromegaly. Hirsutism outside the norm Now â€Å"hair† this: Hair abnormalities may be caused by certain drugs or endocrine problems. Nail abnormalities 25 Nail abnormalities Although many nail abnormalities are harmless, some point to serious underlying problems.Nail abnormalities include clubbed fingers, splinter hemorrhages of the nail bed, and Muehrcke’s lines. outside the norm Splinter hemorrhages are reddish brown narrow streaks under the nails. They run in the same direction as nail growth and are caused by minor trauma. They can also occur in patients with bacterial endocarditis. Splinter hemorrhages Muehrcke's lines or leukonychia striata are longitudinal white lines that can indicate trauma but may also be associated with metabolic stress, which impairs the body from using protein. Muehrcke's lines Clubbed fingers can result from chronic tissue hypoxia. Normally, the angle between the ingernail and the point where the nail enters the skin is about 160 degr ees. Clubbing occurs when that angle increases to 180 degrees or more. Clubbed fingers Normal fingers Normal angle (160 degrees) Clubbed fingers Angle greater than 180 degrees Enlarged and curved nail Answers: Able to label 1. Epidermis, 2. Dermis, 3. Subcutaneous tissue, 4. Hair bulb, 5. Eccrine sweat gland; Rebus riddle The dorsal surface of the hand is most sensitive to temperature changes. 1. 2. 3. 4. 5. Identify the skin structures indicated on this illustration. Sound out each group of pictures and symbols to reveal terms that complete this assessment onsideration. Able to label? Rebus riddle 26 Anatomy 28 Assessment 31 Eye abnormalities 42 Ear abnormalities 46 Vision quest 48 Aye, aye, matey! I best be gettin’ along. They’re filming the eye and ear assessment down on Soundstage 3. 28 Eyes and ears Anatomy EyeEsye and ears The eyes are delicate sensory organs equipped with many extraocular and intraocular structures. Some structures are easily visible, whereas ot hers can only be viewed with special instruments, such as an ophthalmoscope. Extraocular structures The bony orbits protect the eyes from trauma. The eyelids (or pal pebrae), lashes, and lacrimal gland, punctum, canaliculi, and ac protect the eyes from injury, dust, and foreign bodies. Bony orbit Lacrimal gland  ¦ Pars orbitalis  ¦ Pars palpebralis Upper eyelid Lashes Lower eyelid Lacrimal punctum Lacrimal canaliculi Lacrimal sac Nasolacrimal duct Eye muscles Superior oblique muscle Superior rectus muscle Medial rectus muscle Lateral rectus muscle Inferior rectus muscle Inferior oblique muscle Anatomy 29 Intraocular structures The intraocular structures of the eye are directly involved in vision. The eye has three layers of tissue:  ¦ The outermost layer includes the transparent cornea and the sclera, which maintain the form and size of the eyeball. The middle layer includes the choroid, ciliary body, and iris. Pupil size is controlled by involuntary muscles in this region.  ¦ The innermost layer is the retina, which receives visual stimuli and sends them to the brain. Retinal structures: A closer view Superonasal arteriole and vein Optic disk Physiologic cup Arteriole Inferonasal arteriole and vein Vein Superotemporal arteriole and vein Fovea centralis Macular area Inferotemporal arteriole and vein Sclera Choroid Conjunctiva (bulbar) Ciliary body Cornea Lens Pupil Iris Anterior chamber (filled with aqueous humor) Posterior chamber (filled with aqueous humor) Schlemm’s canalVitreous humor Optic nerve Central retinal artery and vein Retina These structures are located in the posterior part of the eye, also called the fundus. They’re visible with an ophthalmoscope. 30 Eyes and ears Ear External ear The flexible external ear consists mainly of elastic cartilage. It contains the ear flap, also known as the auricle or pinna, and the auditory canal. This part of the ear collects and transmits sound to the middle ear. Middle ear The tympanic mem brane separates the external and middle ear. The center, or umbo, is attached to the tip of the long process of the malleus on the other side of the tympanic membrane.The eustachian tube connects the middle ear with the nasopharynx, equalizing air pressure on either side of the tympanic membrane. The middle ear conducts sound vibrations to the inner ear. Inner ear The inner ear consists of closed, fluid-filled spaces within the temporal bone. It contains the bony labyrinth, which includes three connected structures: the vestibule, the semicircular canals, and the cochlea. The inner ear receives vibrations from the middle ear that stimulate nerve impulses. These impulses travel to the brain, and the cerebral cortex interprets the sound. Auditory ossicles  ¦ Stapes (stirrup)  ¦ Incus (anvil) Malleus (hammer) Semicircular canals Vestibule Cochlea Cochlear nerve Eustachian tube Tympanic membrane (eardrum) Helix Anthelix Lobule of auricle External acoustic meatus Assessment 31 Assess ment Eyes Snellen charts The Snellen alphabet chart and the Snellen E chart are used to test distance vision and measure visual acuity. Snellen alphabet chart Snellen E chart Age differences 20 20 In adults and children age 6 and older, normal vision is measured as 20/20. 20 50 For children age 3 and younger, normal vision is 20/50. 20 40 For children age 4, normal vision is 20/40. 20 30 For children age 5, normal vision is 20/30.To measure distance vision: Have the patient sit or stand 20 (6. 1 m) from the chart. Cover his left eye with an opaque object. Ask him to read the letters on one line of the chart and then to move downward to increasingly smaller lines until he can no longer discern all of the letters. Have him repeat the test covering his right eye. Have him read the smallest line he can read with both eyes uncovered to test his binocular vision. If the patient wears corrective lenses, have him repeat the test wearing them. Record the vision with and without correction. Distance vision Recording results Visual acuity is recorded as a fraction.The top number (20) is the distance between the patient and the chart. The bottom number is the lowest line on which the patient correctly identified the majority of the letters. The larger the bottom number, the poorer the patient’s vision. The Snellen E chart is used for young children and adults who can’t read. 32 Eyes and ears Test peripheral vision using confrontation. Confrontation can help identify such abnormalities as homonymous hemianopsia and bitemporal hemianopsia. Here’s how to test confrontation:  ¦ Sit or stand directly across from the patient and have him focus his gaze on your eyes.  ¦ Place your hands on either ide of the patient’s head at the level of his ears so that they’re about 2 apart.  ¦ Tell the patient to focus his gaze on you as you gradually bring your wiggling fingers into his visual field.  ¦ Instruct the patient to tell you as soon as he can see your wiggling fingers; he should see them at the same time you do.  ¦ Repeat the procedure while holding your hands at the superior and inferior positions. Rosenbaum card The Rosenbaum card is used to evaluate near-vision. This small, handheld card has a series of numbers, E’s, X’s, and O’s in graduated sizes. Visual acuity is indicated on the right side of the hart in either distance equivalents or Jaeger equivalents. To measure near-vision: Cover one of the patient’s eyes with an opaque object. Hold the Rosenbaum card 14 (35. 6 cm) from the eyes. Have the patient read the line with the smallest letters he can distinguish. Repeat the test with the other eye. If the patient wears corrective lenses, have him repeat the test while wearing them. Record the visual accommodation with and without corrective lenses. Near-vision Confrontation Does your patient wear glasses or contacts? Remember to test his vision with and without his corrective lens es. Assessment 33 Each upper eyelid hould cover the top quarter of the iris so the eyes look alike. Look for redness, edema, inflammation, or lesions on the lids. Eyelids The corneas should be clear and without lesions and should appear convex. Examining the corneas Examine the corneas by shining a penlight first from both sides and then from straight ahead. Test corneal sensitivity by lightly touching the cornea with a wisp of cotton. The irises should appear flat and should be the same size, color, and shape. Irises Corneas Inspecting the eyes With the scalp line as the starting point, determine whether the eyes are in a normal position. They should be bout one-third of the way down the face and about one eye’s width apart from each other. Then assess the eyelids, corneas, conjunctivae, sclerae, irises, and pupils. 34 Eyes and ears Each pupil should be equal in size, round, and about one-fourth the size of the iris in normal room light. Testing the pupils Slightly darken th e room. Then test the pupils for direct response (reaction of the pupil you’re testing) and consensual response (reaction of the opposite pupil) by holding a penlight about 20 (51 cm) from the patient’s eyes, directing the light at the eye from the side. Next, test accommodation by placing your finger

Kinesiology as a Massage therapist Essay Example | Topics and Well Written Essays - 1000 words

Kinesiology as a Massage therapist - Essay Example These increased blood circulation will increases both our physical and mental activities. Kinesiological principles were built up one these body movements which are now extensively used in massage therapy, research, the fitness industry, and in industrial environments. â€Å"When a person seeks the help of a kinesiologist, the practitioner will study the client as a whole. This is because kinesiology theory suggests that the mind and body are inexplicitly linked and that one has a vital affect on the other.† (Kinesiology) The author is relatively a new massage therapist, who found immense value of kinesiology in massage therapy. He believes that applied kinesiology (muscle testing) can be used to evaluate symptoms and conditions presented by his clients. When client’s came in for a session with me, I would stand them up and do body reading to analyze the structural distortions. (McCann) Muscles are the body part which controls the body movements and hence as per the kinesiology principles, in order to study body movements, the massage therapist must first evaluate the functioning of the muscles. McCann‘s arguments are justified considering the opinion of Arlene Green, written in the article Touch for Health Kinesiology for Massage Therapists. In his opinion â€Å"Each muscle is associated with a specific meridian energy pathway Massage may only be a temporary fix to chronic muscle problems, if the underlying cause isn’t being addressed. The weak muscles are often the real culprit in causing muscle imbalance† (Green) Another argument put forward by McCann in this article is that â€Å"The effectiveness and accuracy of massage treatment can be increased if kinesiology is applied properly. (McCann) Kinesiology will help the massager to identify the problematic areas of our body after analysing the body movements and can concentrate more on the defective areas. The patient will experience difficulties in moving the

Providing Quality Service Assignment Example | Topics and Well Written Essays - 1250 words

Providing Quality Service - Assignment Example The first step in involving guests in providing quality service in the industry is being able to understand the guests that are in the industry’s target market to the most possible extent. Ideally, this understanding comprises of the typical demographic breakdown of age, gender, race and the location of the visitors. Also, there are the emotional breakdowns of their feelings, beliefs, attitudes are, the kind of experience they require, want, also expect the tourism industry to deliver. Also, there is the understanding of guest’s capacities that is, their skills, knowledge and abilities so as to coproduce the experience (Hyde, Ryan & Woodside, 2012). Providing quality service normally needs the interaction between the service provider and the guest. The interaction can be a belief encounter between the guest and the server. The interaction can be face-to-face, on the web, over the phone, by mail or via texts. When it is a face-to-face interaction, the employees have to be trained on how to coproduce the experience in a orderly manner. For instance, a restaurant may train its servers to train guests on the right manner of cooking using a Fondue pot. When the experience takes place at the time of consumption, then the industry has to plan to make sure that fresh, inexperienced, untrained and informed customers receive a similar service, experience quality plus value that the recurring, experienced, trained and informed ones received (Waalen et al., 2004). As every guest is different, the industry cannot expect each of them to take the same amount of time or resources in gaining experience. Being able to accommodate the variability in customer divergence is how the industry would make crucial contribution by researching carefully and planning thoughtfully to adjust the service experience offered to every customer. Different situations in the service delivery call for different plans in the

Critical review of Literature Research Paper Example | Topics and Well Written Essays - 2000 words

Critical review of Literature - Research Paper Example These factors mean that interventions for alcohol dependency in children and young people have to vary slightly from standard interventions. As a public health topic, alcohol dependency in this age group is important as it can help to normalize certain behaviours (Lembke, 2011), which may further the problem. Alcohol itself is one of the biggest burdens on the NHS, as it can lead to problems with the cardiovascular and digestive systems (Lembke, 2011), as well as causing dementia and related psychiatric problems. The purpose of this research is to explore which interventions for alcohol dependency in the 10-17 age bracket are most appropriate, and should inform policy guidelines on the matter. To do this, a critical review of the literature on the topic will be conducted. In this review, primary research on alcohol dependency in young people will be explored to show some of the most important issues that this age group has with alcohol dependency. This will highlight the important areas upon which to focus when considering interventions, and suggest areas that may be missing from current knowledge. Additionally, current policy guidelines in the UK will be analysed to ascertain whether they are appropriate when considered in light of the literature review. Literature published before 2002 was excluded from the literature review as it was deemed to be irrelevant and potentially out of date, particularly the information on guidelines. Literature that was included was judged to be the most relevant amongst the search results at that time when informing the research objectives. Alcohol dependency in children and young people is on the rise in the UK (NICE, 2011), and therefore has the potential to become a serious public health issue. Bonomo et al (2004) researched the relationship between alcohol dependency in those aged 14 to 15 and their

Accounting-- Annotated Bibliography Essay Example | Topics and Well Written Essays - 250 words

Accounting-- Annotated Bibliography - Essay Example I learned quite a lot from reading this article. Firstly, I grasped the meaning of key terms such as internal restructuring. Secondly, I also learned to show differences between company profits by using tables which can make it easier for readers to follow. This source is an important reference for future researches regarding financial institutions ability to adapt to economic changes. In addition to this, the source can serve as a guide on further exploring the importance of market perception in the profitability of the company. This reading can also provide good model in analyzing the problems of insurance companies. Anver, Versi, ex al. "Africas Top 100 bank African Business Annual Rankings."African Business". Business Source Premier (2008): 2p. Oct2008 The article talks about banking in Africa and outlines information about the top 1000 banks found on the continent. Whilst the total assets of the 1000 banks are estimated to be $856 billion, it can be noted that about 84% of the banking assets are held by the top 30 banks. South Africa has 43% of the continent’s total bank assets. This article is also related to accounting where the author mainly relied on using numbers and statistics to illustrate the structure of banking in Africa. The author also talks about profits in the banking sector which is related to accounting. This article is very enlightening particularly when I am also writing something characterized by figures and statistics. The article is arranged in a nice format where ideas flow in a sequence which is easy to follow. It compares the operations of each bank as well as the profits. In the future, this article can be used in other related studies about banking and provide in-depth reference to what makes a bank successful in the industry. Furthermore,

NursingResearch critique part 2 Essay Example | Topics and Well Written Essays - 750 words

NursingResearch critique part 2 - Essay Example The introduction is not very clear. There is quite a lot of information there but this reader found that it had to be re-read several times to assure that it were understood. It does create interest in the study and there is good reason for the target audience to read it. It just needs to be better organized and more succinct. The problem was stated twice and in a clear manner and it very clearly important to nursing. This about turning patients and preventing pressure ulcers. It is definitely a caring, patient advocate type of problem. A qualitative approach could have been used here but the quantitative approach makes more sense and the result would lead to a process change. The study question, "does repositioning alternately 2 hours in a lateral position and 4 hours in a supine position reduce the incidence of pressure ulcer lesions in comparison with repositioning every 4 hours in patients lying on a pressure-reducing mattress" In looking at this in PICO statements, it meets the needs of a research question and the literature review is consistent. The synthesis of the literature review was quite well done, organized, and easy to understand. This reader has some question as to whether it is up to date as many of the articles were written between 1992 and 1996 and this particular research was conducted in 2006. There have been many changes in nursing and nursing process since the 90's so this reader is concerned that there may have been better research out there. There is definitely reason after this research to continue to study this problem in an effort to solve it. Conceptual Framework The key concepts are well defined and well organized as is the framework of the study. There is also good description of how the randomization was done and the methods used to frame and carry out the work Conclusion: This a well conducted and well written study though in places such as the introduction, it is wordy and unclear. The information is there but is cumbersome to read. Qualitative Study A qualitative study of smoking during pregnancy Title: This title does tell the reader what the article is about but it really does not tell the reader what the study is looking for or what the content of the study is. This study is really about finding ways to stop young females from smoking not only during pregnancy but before and after pregnancy. It does not waste words; there are probably not enough of them. Abstract This abstract is more succinct though it is more in narrative form than the quantitative study. It does clearly summarize what is in the study. Introduction The introduction is short and really does not say much. It does talk about some of the recommendations that have been made by other researchers and how those recommendations tie into this study but overall it does not tell me what to expect of the study. It is something important for the target population to read but it does not generate

E-commerce And Marketing Coursework Example | Topics and Well Written Essays - 2000 words

E-commerce And Marketing - Coursework Example ling goods and services may prefer internet services in marketing and doing economic transaction with other businesses or to customers because of its efficient and effectiveness to the consumers or the suppliers. E-commerce and marketing have played an important role in marketing and promoting businesses throughout the world through websites namely Facebook, blogs, YouTube and twitter etc. this social media websites provides opportunity to connect and to communicate with customers all over the world on a more personalized. This report also tries to evaluate how marketing and e-commerce websites for companies provides viewers with fresh and updated information about new products, innovations, offers and programs that the company is undertaking at any moment (Dholakia, Nikhilesh). This provision of current and updated data to viewers encourages clients to visit the Company’s website, which results into increased sales and advice the company of any changes to be made to the produ ct or to the services for their satisfaction. When marketing services or products, a company must ensure that there is production and purchase of products and services at the right time by the consumers. These products must meet and deliver the required quality standards and performance specifications for the customers’ satisfaction that might be done through internet. In this process, companies must ensure it has sufficient stock that meets the demands of the customers. In addition, the products must reach the customers in a timely manner and a perfect condition. However the e-commerce and marketing process will enable the company to interact with customers and improves their satisfaction, as it establishes clear business strategy and process. The company does this by ensuring that it meets... This report stresses that E-commerce and marketing have had an important impact in Business-to-Business, Consumer to Consumer and Business-to-Consumer models of electronic commerce. Also the media is one of the key determinants of the purchasing decision of the present consumer. Consumers in the present society will want to look for information about a product or service from any available source that appears to be reliable. For many consumers, the media appears as one of the independent and reliable in situations that can offer information to the public without bias. Unfortunately, some media companies have taken advantage of the trust that consumers have bestowed on them, to manipulate the consumer into purchasing products and services unwillingly. This paper makes a conclusion that the media companies achieve this by delivering faulty information on the real identity of the products and services to the target market. E- Commerce is necessary to a business since it helps in spreading information from one person worldwide. Through this business have greatly marketed themselves and increased profit since the negative and positive responses they get encourages them to develop or maintain the loyalty of the customers. The author of the essay recommends the company to redesign the website requirements by considering the preferences of users rather than the company requirements.Through this business have greatly marketed themselves and increased profit since the negative and positive responses they get encourages them to develop or maintain the loyalty of the customers.

N analysis of any assigned primary source document from the book Major Term Paper

N analysis of any assigned primary source document from the book Major Problems in American History Volume II - Term Paper Example In the eighth stanza, Randolph laments that he cannot take up the musket and fight anymore.1 The word â€Å"anymore† illustrates that he probably took part in the recently ended war. The conflict was bitter and quite biased against the North, so he views the Republic and the constitution as mere instruments from the latter region. His biases have thus caused him to speak against critical principles of the US like freedom. Southerners were regarded as masters by their slaves; not only were they going to lose this status, but they now had to submit to the North. The hatred and bitterness should not come as a surprise as the defeat had adverse consequences. It is these sentiments that informed the writer of the song. He probably detested the fact that he now had to play to demands from the ‘Yankees’. He has a rebellious character in the song because he lost so much. It is for this reason that he does not care for their pardons; he boldly claims that he wishes he could kill some more Northerners, but the law does not allow him. The song was written in 1860 immediately after the Civil war; the South had lost, and one of the terms of the war was to integrate them into the Union. A lot of losses had been reported and it was clear that the people were devastated. In the period just before composure of the song, an appalling loss of lives had been recorded. It is estimated that approximately 20% of the adult white male population had been wiped out in the South. Therefore, the men were physically and emotionally wounded. Farm buildings in the region had been fully ruined. Additionally, work animals as well as the machinery used for in economic activities were destroyed. The value of everything within the Southern states was low because of the War. In fact it is estimated that even 10 years after the Civil war, all the assets in the South were still 30% less than their former value. The people left behind would soon have to tackle a long road to

Critical Issues in Policing Essay Example for Free

Critical Issues in Policing Essay Many people count the possibility of getting shot as the most significant danger a police officer faces. Officer-involved shootings appear to be on the rise, and there is no shortage of video footage on television or online showing shootouts between officers and criminals. Today’s law enforcement officers face a multitude of dangers during everyday duties that rival the threat of getting shot. Officers are exposed to these dangers on a daily basis such as, foot and vehicle pursuits, responding code three (lights and siren), making an arrest, traffic control, heat stroke, stress, and duty equipment and biohazard or sun exposure. Officers wear ballistic vests and heavy leather belts containing batons, pepper spray, handcuffs, a radio and a handgun. The equipment that is worn can weigh up to 20 pounds, which puts a tremendous amount of stress on the back, hips, knees and feet. Officers must also get into and out of a patrol vehicle up to 20 times a day wearing this equipment. As a result many officers are injured to the point of being unable to work in law enforcement any longer. Officers are also exposed to extreme temperatures for extended periods of time. Officers are at the mercy of whether, whether conducting traffic control at an accident scene in 100 degree heat or providing crime scene security in freezing temperatures. Most time they have not had time to stop at the store or the station before they are sent to the call so they can be standing out there without the proper protection or hydration they might need. In addition to the physical dangers, being ready for the unknown is what officers must deal with, and this can place a significant amount of physical and mental stress on the officer. Officers need to remain vigilant and  prepared for any situation that develops. Rarely does an officer have time to fully prepare for the emergency call for service. Officers have to rely on training and make split second decisions based on an ever changing set of circumstances. But one of the most dangerous aspects of police work is pursuit driving or responding â€Å"code 3.† Not only do the officers have to be in control of their own vehicle, they must be fully aware of the traffic surrounding them. Officers are also responsible for the fleeing suspect even though they have no control over his vehicle. One of an officer’s main priorities when responding â€Å"code 3†, or pursuing a fleeing suspect is to ensure the safety of the public. This takes split-second decision making, s pecific driving skills and an awareness of the motoring public that may not see the officer or the fleeing suspect.

History and Origins of ISIS

History and Origins of ISIS Since the last United States (US) presidential elections, there has been a raise in hate speech and crimes, frequently by right-wing parties and often directed towards Muslims, there has also been an emphasis on ISIS propaganda (Lewis, 2017). The Islamic State in Iraq and Syria, known as ISIS, is an offspring of al-Qaeda in Iraq (AQI) which is a branch of the group al-Qaeda. The Islamic State, aka the Islamic State of Iraq and the Levant (ISIL) or in Arabic Da’esh, is a Sunni Salafi-jihadist militant movement and unrecognized quasi-state as it once controlled 10 million people (see Figure 1). As ISIS is a descendent of al-Qaeda, in order to outline its birth, this paper will explain the origins of al-Qaeda and the history that leads up to ISIS. Primarily done through a literature review, this paper will look at historical events, periods and their deeply rooted issues that led up to the formation of al-Qaeda, al-Qaeda in Iraq and more importantly ISIS starting with the Ottoman Empire to the 21st century. This is the history of the rise of ISIS to what it has now become. Rise of ISIS It is perceived around the world that al-Qaeda is a terrorist group that conducted or has inspired many horrible acts of violence since the 21st century including a series of car bombings and shootings, 9/11, and more. Although, ISIS is also known as a terrorist group, a key difference between al-Qaeda and ISIS are their enemies, al-Qaeda engages in a war with the West, while ISIS is more involved in the Middle East (Lister, 2015). This has caused the war on terror, which include international military campaigns, particularly by the United States, as we will discuss. Although, some attacks have been inspired by ISIS in the West, the organization does not advocate for such actions or war on the West, unlike al-Qaeda who conduct 9/11 style attacks, ISIS usually does not participate in major terrorist attacks against the West (Lister, 2015). ISIS is rather reluctant to engage with the West directly or to ‘take on’ the West, this can be seen through the refusal of attack Isr ael, as it is a US ally nor did it openly pick a side in the Israeli-Palestinian War (Lister, 2015). In spite of this, they are still a terrorist group who conduct horrendous acts of violence and cruelty such as the use children soldiers, kidnapping and sell women as sex slaves or force them to marry their fighters, murder praying Shiites, and sell organs on the black market, all in the name of Allah. Furthermore, ISIS is known to use Sunni resentment[1] against Shiites in their fight and recruitment as they are a Sunni group. ISIS is a Salafi[2] jihadist militant movement with great power; by 2014, the group embodied 31,000 Muslims fighters who have joined its rank from nine different countries (Hassan, 2016; Lister, 2015). Many of these ISIS fighters join for religious reasons, other believe that the group offers some answers and a purpose to their anger towards Shiites and Westerns (VIDEO). Their commitment to establish a unitary state or caliphate with no borders in the Middle East and wish to extend this to India (Lister, 2015). Ottoman Empire & Colonial Era   During the time of the Ottoman Empire in the Middle East, the Tanzimat, which is the reorganization of the Empire, brought about the development of an elite and liberal nationalism with the goal of independence from colonial powers, but saving the beneficial characteristics of these Western states and their markets (Hazbun, 2015). This reorganization caused power to centralized and the bureaucracy to modernized and that opened new markets. This challenged the national identity, sovereignty, self-determination and security of Middle Eastern countries, but also created different groups with a common interest in these capitalist economies, which the need for specific political representation (Hazbun, 2015). While supporting the modernization of the upper class, these reforms also caused lower social classes to become populist[3] and develop a radical nationalism as they wished to oppose these developments (Hazbun, 2015). This internal separation occurred until Sykes and Picot[4], British and French diplomats respectively, divided the Ottoman Empire and created new territorial borders (Hazbun, 2015). The collapse of the Ottoman Empire, thus, started British rule and French rule in the Middle East. These new states (and borders) were rejected by, â€Å"Arab nationalist and social-reformist ideologies territorial nationalisms, Islamic solidarity and tribal identity† (Hazbun, 2015). This gave rise to populist protests and revolts for independence across North Africa, Syria, Palestine, Egypt and Iraq against the imposed leaders from the recent protectorates (Hazbun, 2015). When independence occurred, there was still a dependence on external powers, which caused a more recent rise of middle class of urban professionals that led â€Å"radical Arab-nationalist, socialist, labor and communist movements that sought to challenge both the colonial states and the Arab elite who had inherited political power and economic privileges† (Hazbun, 2015). These movements sought change through the modernization and socio-economic reforms that the middle-class could identify with. The institutionalization of inequality in the colonial-era resulted of the Sykes and Picot agreement and led to the social discontent of Middle Eastern society that sparked disruption that can be seen as the root revolutionary groups. Arab-Nationalism   During the 1950s and 1960s, the region was occupied with disruption and change, which some call the Arab Cold War due to the series of uprisings and conflicts (Hazbun, 2015). As the radical Arab-nationalist groups challenged the Western influence in the area; Arab politics were also altered by ‘street politics’[5], an ideological shift and social movements (Hazbun, 2015). These groups rallied enough support to promote Arab-nationalist leaders that opposed the West, such as Gamal Abdel Nasser, Egyptian President. Even though, many Arab-nationalist revolutions were accomplished with military coups, the objective was to take over a state and claim sovereignty over its resources (Hazbun, 2015). During President Nasser’s government, Egypt became the first Arab regime to have state power and encourage â€Å"self-determination and modernization† and grew to be a regional force (Hazbun, 2015). In the mid sixties, the basis of their confrontation with the old system was gone, as their modernization of welfare, programs and development could not be done without external support (Hazbun, 2015). This made governments turn to autocratic means of social control and the suppression of conflicting views. The same people that encouraged Arab-nationalist leaders, such as Nasser, now were the same people â€Å"who provided the social bases for the rise of the radical Islamist movements that challenged the legitimacy of the rulers of the secular modern Arab states† (Hazbun, 2015). And the governments need for external help led to foreign intervention and dependence which continued opposition domestically, regional competitiveness and conflict (Hazbun, 2015). Arab-Israeli War In 1967, the Arab-Israeli War was fought by Syria and Egypt to regain occupied territory taking by Israel[6] and other Middle Eastern countries competed for control. An accumulation of factors above lead to the definition of regional politics in the Middle East to be described in terms of conflict and feuds. The oil Crisis of 1973 produced an even larger divide between the Middle East with oil-producing countries (such as Iraq) gaining more wealth and influence while non-producing countries were heavily on intervention and aid (such as Syria) (Hazbun, 2015). By the 1970s and 80s, the inequality in Arab states grew to new heights that made societies and citizens dissatisfied and caused resentment towards the government, and its top officials, due to the lessening of protections and corruption (Hazbun, 2015). Therefore, governments restrained mobilization and political expression, and they relied more heavily on international support, from foreign nations such as the United States. This support allowed leaders to keep their power and security while facing domestic threats of discontent. It is through this social repression, government exhaustion and an authoritarian regime that helped emerge militant Islamist movements, which ideologically challenged the â€Å"modern secular-nationalist state† (Hazbun, 2015). These movements and groups used violent means in order to overthrow regimes in Egypt, Syria, Iraq, and Saudi Arabia (Hazbun, 2015). Among Islamic jihad actions were the assassination of Egyptian President Anwar Sadat and numerous tourists’ attacks. During the Cold War, in 1979, the Soviet Union invades Afghanistan with intentions of defending the authoritarian leader against rebels (VIDEO). For many of these rebels, they were fighting for a religious struggle, called the mujahid, and some developed extremist views (VIDEO). One of the rebels who did so was Osama Bin Laden, a well-educated Saudi, which later created al-Qaeda and was executed by the US forces in 2011 (Stern & Berger, 2016). Another rebel was Abu Musab Al-Zarqawi, uneducated Jordanian and former gangster, who later created ISIS (Fishman, 2016; Stern & Berger, 2016). These fighters subsequently used the civil unrest and discontent to their interests and founded their own militant groups. Al-Qaeda was founded in 1988 with recruit fundamentalist soldier that fought against the Soviets earlier on; the terrorist organization became a network that defended the struggle against Islam’s enemies (Riches, & Palmowski, 2016). United States Foreign Policy in the Middle East and its Effects   As the US does not work or encourage terrorist groups, by the late 1960s, they had abandoned rational nationalism’s progressive reforms and modernization (Hazbun, 2015). Instead, they created closer ties with the Israelis and practiced containment policies of radical Arab states (Syria for example) and invaded Lebanon in order to drive out the Palestine Liberation Organization[7] (PLO) (Hazbun, 2015). In order to help the US interest and development a Middle Eastern strategy, they kept close relations with growing authoritarian regimes and â€Å"backed their efforts to suppress social and political mobilization† (Hazbun, 2015). The support of authoritarian regimes for national interest, as well as, disregarding human rights and American values of democracy and freedom has become a recurring pattern in US foreign policy. In the late 1980s and 1990s, policy makers in the George H.W. Bush and Bill Clinton administrations wanted to use US power to contain instability and lead the regions into the modern world (Hazbun, 2015). This led to an even greater difference between societal and national rhetoric of insecurity that led to the foundations of Arab uprisings (Hazbun, 2015). US foreign policies and actions regarding the Middle Eastern disruption and violence lead to the invasion of Iraq in 2003, which caused an increase in societal insecurities and division (Hazbun, 2015). This 2003 invasion was largely opposed to by neighbouring countries as they did not perceive Syria as a threat, and thus, US went to war with limited support from the region (Hazbun, 2015). Under President Bush, the US alleged that Iraq had nuclear weapons and the hosting of al-Qaeda members by Saddam Hussein (Fishman, 2016). The US secretary of state also emphasized Zarqawi as the leader of a fatal terrorist network, which made Zarqawi internationally known and in doing so, actually recruited fighters (Fishman, 2016). Furthermore, the consequences of the invasion were wide and include breaking civil order, mobilization of Sunni jihadist movements in Iraq and the general radicalization of Sunnis (Krieger, 2014). Both before and after this intervention and conflict, Sunni radicalization increased, but more importantly the US withdrawal from Iraq caused a power vacuum that the group took advantage of (Lister, 2015). Particularly due to the failure of the United States government to establish and â€Å"leave behind sustainable democratic institutions, a well-trained army, a functioning bureaucracy, and relative ethnic and sectarian harmony† (Lister, 2015). As ISIS’s growth is dependent on the particular military and political situation that has resulted from the isolation of and hostility to the Sunni population by the government and the lack of infrastructure left behind by the US (Lister, 2015). This lack of permanent and beneficial action in Iraq happened in Afghanistan and in Lybia, where the US overthrow Gaddafi, but did not build a new government (Lister, 2015). This lack of action has created a hatred for the US of which ISIS has benefited from (Lister, 2015). Thus, this invasion set the foundations for ISIS, for example, the Sunni dictator of Iraq, Saddam Hussein, destroyed the nation’s army, which led to thousands of angry and unemployed Sunni-Iraqi soldiers who joined the Sunni insurgency (Stern & Berger, 2016). As jihadist groups saw this as a repeat to the Soviet invasion of Afghanistan, many came to fight of which Zarqawi (VIDEO). The jihadist group led by Zarqawi became the most violent group in Iraq and targeted mostly Shiites, which sparked the Sunni-Shiite civil war. By 2004, Zarqawi was famous jihadi, fighter of the struggle against the enemy of Islam, by that time, al-Qaeda had weakened and thus an alliance was formed between both leaders which lead to al-Qaeda in Iraq (AQI), which was created to fight against US forces in its occupation of Iraq (Hassan, 2016; Stern & Berger, 2016). Until 2006, Iraq Sunnis stand up to Zarqawi and he was killed by an US air strike (Fishman, 2016). Then, US leaves Iraq in 2011 as it has stabilized according to them. According to Hassan, â€Å"Iraqi Sunnis have been subjected to years of political and economic marginalisation, state-sanctioned repression, lawlessness and rampant corruption in the hands of Iraq’s Shia-led government under the former Prime Minister Nuri al-Maliki [and others]. They have rebelled by joining ISIS† (2016). Which leads to the Arab springs in the Middle East in 2011, caused by Syrian dictator Assad suppression of protesters that leads to a civil war (Fishman, 2016). As he fears external intervention (that will overthrow his dictatorship), he releases jihadists that were supposed to help suppress protesters, but instead make them more extreme (VIDEO). In Iraq, the remains of Zarqawi’s groups are still allied with al-Qaeda, but are now known as ISI (the Islamic State in Iraq) lead by religious scholar Abu Bakr al-Baghdadi (Fishman, 2016). In 2012, Baghdadi sends top ISI deputy in Syria to start a new al-Qaeda branch that will fight along the rebels called Jabhat al-Nusra (Stern & Berger, 2016). In order to gain strength, Baghdadi strikes prisons and releases former jihadis, as well as, forming new fighters (VIDEO). A year later, he announces that he is taking over all al-Qaeda forces in Syria, in addition to Iraq, the group therefore expands to be known as ISIS to include Syria (Fishman, 2016; Stern & Berger, 2016). The al-Qaeda branch, Jabhat al-Nusra, rejects Baghdadi’s ISIS and causes civil war (Stern & Berger, 2016). As the oppression and conflict in Iraq allowed ISI to expand, the Syrian violence caused Baghdadi to expand in Syria (Stern & Berger, 2016). Nevertheless, ISIS grows powerful in Syria, because Assad tolerates its rise (which he does because it divides his enemies within Syria and causes an emphasis of foreign power on ISIS rather than on himself and his regime) (VIDEO). In early 2014, ISIS had been disowned by al-Qaeda claiming â€Å"ISIS is not a branch of the group, we have no organizational relationship with it, and is not responsible for its actions† (Stern & Berger, 2016). Yet this break in alliance did not hinder ISIS; by summer 2014, ISIS has a large army within Syria, which invades Iraq militarily and become victorious quickly due to a corrupt Iraqi army (VIDEO; Fishman, 2016). According to Fishman, this invasion of ISIS in Iraq â€Å"signalled the emergence of a new force in the Middle East – a hybrid organisation that combined terrorist tactics, military precision, religious ideology, and technological and bureaucratic innovation (2016). And because many Iraqi Sunnis are tired of the Shiite authoritarian government, most welcomed ISIS or at least tolerated them in Iraq (VIDEO). Within days of entry in Iraq, ISIS had captured 1/3 of its territory and a large part of Syria. ISIS’s goal is more audacious that al-Qaeda’s as it wants to revive the ancient caliphate and expand it to involve all Muslims (VIDEO). Conclusion In conclusion, the Islamic State in Iraq and Syria’s origins are found the roots of al-Qaeda particularly in its offspring al-Qaeda in Iraq (AQI). Al-Qaeda and ISIS are said to be ideological twins, but strategic enemies, as they both adhere to the same ideology, yet, ISIS overshadows al-Qaeda due to its control of territory and oil rigs, its large financial resources, its great success in the proclamation of caliphate and its alliance to many Islamic groups that have pledged alliance to it like Boko Haram (Lister, 2015). The development of ISIS and its self-proclaimed Caliph al-Baghdadi was a mixture of societal exclusions and discrimination (both ethnic and religious) that explains the â€Å"angry, disillusioned and marginalised Iraqi Sunnis† support for ISIS (Hassan, 2016). Thus, the combination of political and religious oppression and personal circumstances led ISIS to grow strong from the roots of Al-Qaeda in Iraq (Hassan, 2016). In addition, some critics of US fo reign policy claim that the US caused the birth of ISIS due to its withdrawal of Iraq in 2010, which left the group with the ‘space’ to expand with limited military resistance. There is a general consensus and hope within scholars that ISIS will be soon defeated, especially with its current size. Recently, ISIS lost its control in Raqqa by its seizure by an alliance of Syrian and Arabs fighters backed by the US after a 3 year hold, which greatly diminishes the group’s power. This is, of course, a watered down and simplified version of the origins and history behind ISIS. As Fishman explains, the defeat of ISIS will depend on how it is defined, meaning that if it is defined as a cult with a distort interpretation of Islam, its abolishment would simply account for explaining its false views, rather than if it is defined through violent actions that need a war to destruct the organization (2016). â€Å"As President Barack Obama observed at the 2015 White House conference on countering violent extremism, ‘When governments oppress their people, deny human rights, stifle dissent or marginalise ethnic and religious groups, or favor certain religious groups over others, it sows the seeds of extremism and violence’.† (Hassan, 2016). â€Å"In the modern globalised world, diversity and cultural crossovers are becoming a matter of routine. Hybridity is transforming different Islamic countries and regions into autonomous cultural systems; thus posing a challenge to the conventional categorical oppositions of ‘us’ and ‘them’, ‘Muslim’ and ‘other’.† (Hassan, 2016). Please note: This is a ‘watered down’ version of historical facts and the origins of ISIS. All sections discussed could have been discussed in great detail as they are complex matter, as well as, more events could have been discussed. Although, for this paper, I decided to give a simple yet far lengthen view of the rise of ISIS. References Lister, C. R. (2015). The Islamic State: a brief introduction. Washington, D.C: Brookings Institution Press. Hazbun, W. (2015). A History of Insecurity: From the Arab Uprisings to ISIS.  Middle East Policy,  22(3), 55-65. doi:10.1111/mepo.12143 Riches, C., & Palmowski, J. (2016). ‘PLO’, ‘al-Qaeda’, and ‘ISIS’ in A dictionary of contemporary world history: over 2800 entries. Krieger, J. (2014). US Invasion of Iraq in The Oxford companion to international relations. Fishman, B. (2016). Defining ISIS.  Survival (00396338),  58(1), 179-188. doi:10.1080/00396338.2016.1142145 Hassan, R. (2016). ISIS and the Caliphate. Australian Journal of Political Science, 51(4), 759–771. https://doi.org/10.1080/10361146.2016.1242115 Stern, J., & Berger, J. M. (2016). ISIS: the state of terror (First ECCO paperback edition). New York: Ecco Press, an imprint of HarperCollins Publishers. https://www.researchgate.net/blog/post/al-qaeda-5-years-after-the-death-of-osama-bin-laden http://www.bbc.com/news/world-middle-east-27838034 Figures Figure 1. Map of ISIS control. We can clearly see the decrease in ISIS control between January 2015 and October 2017. [1] The Sunni and Shiite divide started in †¦ and is caused by ideological differences among which †¦. [2] Salafism is an ultra-conservative branch of Sunni Islam [3] A populist is a member of a political party that represents ordinary people and their interests. [4] The Sykes and Picot Agreement divided the former Ottoman Empire who had been newly defeated by the members of the entente cordiale (France and Great Britain) into new borders and sphere of influence and control. [5] Street-politics refers to the use of the streets to discuss and protest their wants from their government. [6] This capture of land by Israelis from the Palestinians is part of a long Israeli-Palestinian conflict, which is a complex and ongoing conflict in the Middle East. [7] Founded in 1964, the PLO wants a secular and democratic state of Palestine, along with the elimination of Israel (Riches, & Palmowski, 2016).

Luis Valdezs Los Vendidos Essay -- mexico Mexican Los Vendidos Essays

Luis Valdez's Los Vendidos Social science teaches that a person’s self identity is a reflection of that which other people put on the individual, in other words a person’s behavior steams more from what they see of themselves from someone else’s perspective and less from how they see themselves. In the case of the Mexicans, this concept holds true. From that, which has been studied thus far this semester, Mexicans/ Mexican Americans are good examples of this concept. Their sorted past has resulted in a new kind of Mexican American and perhaps a new kind of Mexican. Certainly the Mexicans American’s experience in this country has brought about some changes from the first generation of Mexicans who were born in this country to those who are born here now with native Mexican ancestry. Luis Valdez’z play Los Vendidos is a satirical commentary on not only the sociological concept of self-identity, but also the change that has taken place in the Mexican/Mexican American over the ye ars. What is of particular interest is the meaning of the title of the play. The literal translation is the sold out ones, however a group known as Somos Raza, who are a part of Unià ³n del Barrio (Liberacià ³n Exige Organaizacià ³n), have a somewhat different interpretation of the word. As part of their ten point platform Somos Raza defined the word vendidos as the following: "We recognize Hispanic vendidos as those people who unite with the government and tell us to assimilate with the system - the very same people and system that is oppressing us." The play consists of one scene. The setting is in "Amano Sancho’s Used Mexicans Dealership"; a store that features used Mexicans for sale. The store carries a wide variety of Mexicans. They range from Mexicans as... ...dn’t deserve fair treatment. The result then is a confused Mexican American in search of some self worth. It was really not until the Brown Power Movement of the 60’s and 70’s, which instilled some Mexican pride into those who were born in the US. The play ends with the Raza gathered around a map of the US. The professor reads off all the major cities Mexican have representatives in, one persons speaks out "they think we are robots", he responds "God help us to be humans". All any body wants is to be treated fairly and that is all the vendidos want. To them they best way to do it is wipe out the reflected image whites have put on them, and through it all they have to remain human. Sacrifices have to be made for la causa, but it is for the best. Even if you can’t be what you want for a little while, like Tequi, who was not Tequi anymore, "Its is Erick now, Chula".

Game Theory in Nature :: essays research papers

Game Theory in Nature: Biologists observe that animals and even lower organisms often behave altruistically. Such behavior is obviously beneficial for the species as a whole. Although it is difficult to measure how an animal’s altruistic behaviour affects its chances for survival and reproduction, theoretical research is starting to fill in the picture of how cooperation may survive natural selection. Some of the most illuminating ideas are coming from game theory, the field of mathematics that studies strategic behavior in competitive situations. For decades, game theorists' basic paradigm for the puzzle of cooperation has been the scenario called the prisoner's dilemma, in which each player has a powerful incentive to exploit the other. The game is set up so that cooperation is best for the group, but each player individually does better by taking advantage of the other. TIT FOR TAT: Things look rosier for cooperation in situations where a participant plays the prisoner's dilemma repeatedly with the same opponent and learns from previous games. After all, it can be risky to exploit someone you know you're going to encounter again. A player using the tit-for-tat strategy cooperates in the first round and then in each subsequent round mimics the opponent's behavior in the previous round. In a population containing a mix of defectors and tit-for-tat players, the latter generally do better, provided there are enough of them. When they meet another tit-for-tat player, both cooperate and get a high payoff. When they meet a defector, they get suckered once, but only once. If repeatedly losing the game translates into low fitness, often the defectors do so poorly that they eventually die out, leaving an entirely cooperative population. Ultimately, a better understanding of the interplay between cooperation and exploitation could help explain the emergence not just of cooperation but also of life itself. After all, life owes its origins to primeval acts of inanimate cooperation, in which RNA, proteins, and other molecules banded together to form cells. Game Theory in Nature :: essays research papers Game Theory in Nature: Biologists observe that animals and even lower organisms often behave altruistically. Such behavior is obviously beneficial for the species as a whole. Although it is difficult to measure how an animal’s altruistic behaviour affects its chances for survival and reproduction, theoretical research is starting to fill in the picture of how cooperation may survive natural selection. Some of the most illuminating ideas are coming from game theory, the field of mathematics that studies strategic behavior in competitive situations. For decades, game theorists' basic paradigm for the puzzle of cooperation has been the scenario called the prisoner's dilemma, in which each player has a powerful incentive to exploit the other. The game is set up so that cooperation is best for the group, but each player individually does better by taking advantage of the other. TIT FOR TAT: Things look rosier for cooperation in situations where a participant plays the prisoner's dilemma repeatedly with the same opponent and learns from previous games. After all, it can be risky to exploit someone you know you're going to encounter again. A player using the tit-for-tat strategy cooperates in the first round and then in each subsequent round mimics the opponent's behavior in the previous round. In a population containing a mix of defectors and tit-for-tat players, the latter generally do better, provided there are enough of them. When they meet another tit-for-tat player, both cooperate and get a high payoff. When they meet a defector, they get suckered once, but only once. If repeatedly losing the game translates into low fitness, often the defectors do so poorly that they eventually die out, leaving an entirely cooperative population. Ultimately, a better understanding of the interplay between cooperation and exploitation could help explain the emergence not just of cooperation but also of life itself. After all, life owes its origins to primeval acts of inanimate cooperation, in which RNA, proteins, and other molecules banded together to form cells.

L.A.?s Traffic Causes Trouble Essay -- essays research papers

Whether you’re stuck on the 405 freeway during rush hour, on the 15 freeway heading back from a long-weekend vacation, or driving through the busy streets of Hollywood, traffic on the highways and streets of Los Angeles can often be a hassle. In Dagoberto Gilb’s short story Love in L.A., first published in 1986, the troubles of traffic are experienced first hand by our main character Jake. Jake is a common fellow with a steady occupation who is merely trying to make his way to work through the busy streets of Hollywood. As he is working his way through the piled traffic, not paying complete attention to the road in front of him, Jake crashes into the back of a Toyota. In the midst of exchanging information with the driver of the Toyota, Jake finds himself attracted to the female driver, whose name is Mariana. Jake attempts several times to ask her out for some coffee or breakfast; however his persistent attempts were not successful. The two drivers continue to exchange insurance information, however Jake not having any valid insurance gives false information to Mariana, and the two of them go their separate ways. In this short story, the author demonstrates the effect of gender roles, Marxist criticism, and new criticism in his writing. Written in third person limited, this short story is a vivid portrayal of gender roles. Looking in the perspective of a gender critic, one might say that the character of Jake is very persistent. At first, Jake asks Mariana if she would like...

Debt versus Equity Financing Paper Essay

In the accounting industry. funding remains an of import construct. as many organisations are reliant on them for fiscal stableness and length of service. Although there are a overplus of funding options and types to take from. the focal point of the work will go around around debt and equity funding. These two normally used signifiers of funding are of import as they are both alone in how they are utilised. The writer of this piece will turn to these two funding options while supplying illustrations of each and turn toing which capital construction is most advantageous. Debt Financing Debt funding is the procedure of borrowing money from a loaner such as a bank. These fundings option comes in the signifiers of loans both secure and unbarred. â€Å"Security involves a signifier of collateral as an confidence the loan will be repaid. If the debitor defaults on the loan. that collateral is forfeited to fulfill payment of the debt† ( Entrepreneur. 2014. p. 1 ) . In most instances a loaner will inquire for some clip of security on a loan and least frequently times will impart based on name acknowledgment or position. One of the most common beginnings of debt funding is seen within startup concerns where debt funding is frequently provided by friends and household alternatively of commercial loaning establishments. â€Å"When borrowing money from relations or friends. hold your lawyer pull up legal documents ordering the footings of the loan. as formalistic documentation† ( Entrepreneur. 2014. p. 1 ) . Another signifier of debt funding that is most common occurs with recognition cards through a recognition line. Recognition cards are used to supply a manner to concerns to acquire several 1000s of dollars rapidly without traveling through the fusss of acquiring approved for a loan and make fulling out huge sum of paperwork ( Entrepreneur. 2014 ) . Though this method is really popular it is of import to take note that the involvement can roll up if non monitored as this debt can add up rapidly. Equity Financing Unlike debt funding. equity financing involves raising capital through selling portions within the concern. â€Å"Equity financing basically refers to the gross revenues of an ownership involvement to raise financess for concern purposes† ( Investopedia. 2013. p. 1 ) . This signifier of funding does non merely include selling common equity but it besides consists of selling preferable stock. exchangeable preferable stock. and warrants. When a startup company additions success it will achieve equity as it evolves. Since startups attract a huge sum of investors at different phases of the company’s development rhythm. different signifiers of equity are used for the business’s fiscal demands. Convertible stock is comprised out as a loan. which the company is obligated to refund and if company meets the specified benchmark in footings of public presentation. the unpaid balance of that loan is so converted into an equity interest in the concern ( Merritt. 2013 ) . Companies can besides achieve capital by selling portions to investors. â€Å"This allows a company to give up a piece of itself as a manner to raise money to finance growing. Small. in private held companies sell portions to private investors. who so hold equity within the company† ( Merritt. 2013. p. 1 ) . This is one of the quickest manner for obtain capital to finance growing for a concern. particularly if it goes public. Decision Though both of these methods of funding are good for a concern to turn and obtain capital it is of import to admit which of these signifiers are most advantageous. In footings of raising mass sums of money for growing and concern operations. it would be most advantageous to use equity funding within the concern as this provides are manner for the concern to achieve big amounts of money by selling portions. It is of import to observe that maintaining history of the figure portions is of import as the concern needs to guarantee it maintains the bulk of 51 % of more to contradict hostile coup d'etat from rivals and other concerns. At times one funding on either head can look to hold more advantages so the following it is of import the a concern attempts to use both in order to keep balance and control of the concern for optimum success. Mentions Entrepreneur. ( 2014 ) . Debt Financing. Retrieved from hypertext transfer protocol: //www. enterpriser. com/encyclopedia/debt-financing Investopedia. ( 2013 ) . Equity Financing. Retrieved from hypertext transfer protocol: //www. investopedia. com/terms/e/equityfinancing. asp Merritt. C. ( 2013 ) . What Are Examples of Equity Financing? Retrieved from hypertext transfer protocol: //budgeting. thenest. com/examples-equity-financing-23831. hypertext markup language