High school days worth remembering as I found myself Essay

Life is all but a matter of constancy, with the changing seasons and tides cutting the remaining days of the lives of men. The progression of the life of being a student retains a significant room in my thoughts as my high school days will always be remembered, if not by everybody else, at least by myself. Or so I think at least by myself, lest I forget that I had the company of good friends along the way. They never abandoned me in times when I need them most. I was there for them when they, too, need someone to be with. It is only a fraction of what sum of good deeds I must or feel to give them in return. And this is what I liked most in my high school days, apart from everything else that contributed to my identity of who I am today. High school has given me the highest chances of expanding my view not only of myself but also to the people around me. This is whether they liked me or not, or whether they ever know me at all. I must say, friendship has given a deeper sense of camaraderie and that my friends have occupied my thoughts everyday. The bond of friendship I had is what I liked most, although at times tests on friendship seem to erode the rigid relationship I had with my folks. My friends and I usually hung-out on one of our â€Å"camps†, the term we call the official hang-out place of the group. And more often than not, these â€Å"camps† were usually the houses of those who were just nearby the school. My friends always bring with them loads of food, and stuff that we can use to spend our time away especially during weekends. As much as we love listening to music, my friends also play several instruments, bringing with them guitars and percussion instruments as we fill the room with melody—albeit gruesome in lazy days. I remember the days and nights that our circle of friends spent together, lazy afternoons that encircled us until dawn with frivolous stories and flights of our fantasies as the clouds hover above us like sluggish cottons against a background of sunburst orange, cold and rainy days that made us huddle together and make remarks on our facial expressions. I remember, too, the high school gatherings we attended and left without hesitation and without anticipation of what may stand ahead of us. All we know is that we have each other and the world did not matter much anymore. I remember these and them very well. These friends of mine in high school are the some of the classmates I had during those years, expanding as time moved ahead of us effortlessly while we toil in our daily tasks in the academe. We were classmates, and we were friends, treating each other more like brothers and sisters whose family names never really mattered, or from which place each of us came from, or from what little we know or from what much we oftentimes misunderstand. We were an eager bunch of students, whose friendship gathered itself across the days and months, sweeping us together amidst the diversity we were into. I hated moments that were spent on the nothingness of empty thinking; of sitting alone with no one to talk to as people pass me by as if I was not there, not even my shadow. I also hated those times when I could hardly pass my exams and quizzes just because I was not able to remember the details in the subjects after memorizing in agonizing hours during the most unholy hours of the night. But above all these, the one thing I hated the most during my high school years was my inability to completely beat deadlines for I was always short in passing requirements although I make certain that I pour my best efforts in completing what has to be done. Perhaps I took a lot of time finishing-off my requirements never being full aware that my time is greatly affected. Adjustments had to be made, and during those years I kept on adjusting, never knowing exactly where I am heading to but still braving the path that few dared to wander through. And so, in the end, I remembered them all even though I seem to have lost myself. I thought I was never really able to arrive at a point wherein I can know more about myself, of who I really am. Yet my friends were my eyes, and in them I saw myself clearly reflected in those precious organs of vision that gripped my being far tighter than any embrace could offer. I remember my high school days very well, and I remember myself even more as much as I remember my friends.

Training Professionals Have a Leading Role in Innovation and Change.

Management is a fundamental and broad area of business reality today. Effective management practices can lead to organizational success. For organizations to best achieve this success, they need to be receptive to innovation and change. With these as objectives in mind, it becomes apparent that training professionals can play a leading role. Change (in a business context) can basically mean the management to ‘plan, initiate, realize, control, and stabilize’ change on both, corporate and personal level (Recklies 2011), while innovation is defined by Sylver (2011) as a mean the introduction of something new that makes something better than it was before. Training professionals are those people who help companies use the most out of their workforce, whether they need to receive training or not (Armson 2008). The purpose of this essay is to successfully explain the leading role that training professionals have in innovation and change. Nowadays, the role of a training professional is to successfully come up with a program that will improve the performance of a certain work group with the best practices to lead towards innovation and change (Miller 2010). Having the right skills to professionally develop someone is essential of the training professionals. As mentioned by Training and Development (2008), professional development is essentially an organized ‘maintenance, improvement and broadening of knowledge and skills’ as well as the personal development of one’s qualities to the level that is necessary to maintain relevance and effectiveness. Generally, it is fundamental that training professionals help the organization’s workers learn all that they need in order to know how to get their job done (Poell, Van Der Krogt, Vermulst, Harris & Simons, 2011). Having the right approach is a fundamental step for training professionals to successfully deliver their training and development programs. Firms, nowadays, make considerable effort to efficiently succeed on training their employees. For instance, one of the first steps of training that Mc Donalds US company brings to its new employees is to attend a class called ‘Hamburger U’ – which is now known as ‘ â€Å"Bachelor of Hamburgerology† ’ – so that they can fully understand the firm’s culture and produce a more efficient work (Nation’s Restaurant News 2005). It is also important that training professionals approach carefully to their superiors, as they might need some training or guidance as well. Furthermore, an interesting approach that can be used to train people is to simply not train people. By that, it means that having a training program might not always necessarily be needed measure for performance improvement or change. There are a lot more factors than just the lack of skill that can influence a worker. Asking questions, as Nick Miller (2010) said, about ‘motivation, purpose, end goal, leading indicators, and performance obstacles’ are a really important step to fully know if training is actually needed or not. This is also missed most time due to the lack of relationship between the superiors and the general workers. It is essential that organizations develop innovation into their training and development programs. ANZ Bank focuses its training in four main points: ‘Learning for leadership and talent’ where they help leaders develop their leadership skills; ‘Core banking skills’ where the bank aims to train its employees to develop the necessary technical skills to be able to satisfy their customers; ‘Organizational culture and values’ where it aims to improve social interaction and a deeper knowledge of cultures and finally ‘Learning infrastructure’ where the focus is on ensuring that everyone gets the training that they need (ANZ 2011). The company itself focuses their four points all so that they can bring out the best of its employees towards its customers. Crown is another huge company who has its own training program that is also aimed at their employees. In fact, they have their own college called ‘Crown College’ (HC Online 2011) where employees undergo training to improve themselves. Crown College has a partnership with Swinburne University for its extensive efficient management training programs. As Crown’s human resources executive general manager Peter Coyne (HC Online 2011) mentioned: ‘ â€Å"Employees might start down the Certificate pathway and then step into a Diploma of Business, which can be converted into a degree at Swinburne at some point in the future† ’, this shows that crown focuses its main training facility for a younger age group and that the firm, as mentioned by Peter Coyne (HC Online 2011), trains younger people who got work in crown that had ‘limited success in secondary school’ (HC Online 2011) to change their mindsets from having a job in this epartment of hospitality to turn it into a life time career. ANZ and Crown are two companies that belong to different industries. ANZ is a bank and gets its income mainly from their clients that keep their money there, whereas Crown is a Hotel/Casino where it earns its income from a broad area of hospitality and from gambling itself. Similarly, both firms bring out the most of its employees for one goal: customer satisfaction. Both firms might belong to different industries, but both need customers in order to survive. ANZ needs their money in the bank and Crown needs them for the casino and hotel as well. They both provide services to their customers and the degree of how satisfied the customers are is a really important point for both firms. On the other hand, ANZ focuses its training on people with a good base education that also have high years of experience in the field (ANZ 2011) and Crown aims its training towards the younger age group who doesn’t have much experience as well as studies. In conclusion, various sources believe that the role of Training Professionals is essential for business success, because these people can provide a competitive advantage. Approaches taken by Training Professionals tend to vary, but their common objective is to lead an organization into the level where the business becomes more efficient so that it meets the leaders goals and expectations. In my opinion, training professionals might be under rated. Not much people would even think of it as an option for their careers, but this role is so important for an organization because of its unlimited potential of improving any whatsoever department of the company. References Miller, N 2010, ‘Leading workplace innovation and change: brave new role’, T+D, vol. 64, no. 6, pp. 54-58 Poell, R F, Van der Krogt, F J, Vermulst, A A, Harns, R, Simons, M 2006, ‘Roles of informal workplace trainers in different organisational contexts: empirical evidence from Australian companies’, Human Resource Development Quarterly, vol 17, no. 2, pp. 175-198. Retrieved 14 August 2011 HC Online 2011, ‘Taking the crown: HR at crown casino’ retrieved 18 September 2011, ANZ 2011, ‘Learning and Development’ retrieved 17 September 2011, Sylver, B 2011, ‘What does â€Å"Innovation† really mean? ’, retrieved 17 September 2011, Recklies, O 2011, ‘Managing Change – Definition and Phases in Change Processes’ retrieved 16 September 2011, Armson, G. 2008, ‘How innovative is your culture? : Coaching for creativity in the workplace’, Training & Development, p. 20-23, retrieved on the 1 4 September 2011, Business Source Complete, AN: 41563804 Training & Development 2008, ‘The L&D professional Up-Skilling, developing and evolving’, p. 23-24, retrieved 15 September 2011 , Business Source Complete, AN: 43387257 Nation’s Restaurant News 2005, ‘Hamburger University: Ensuring the future’, p. 104-107, retrieved 16 September 2011, Business Source Complete, AN: 16764918

Causes of World War 2

Out of all the wars that the world has gone through, none has been more devastating as world war II. But what caused this war? Well, world war II had six major causes: anger over the Versailles Treaty, the failure of peace efforts after world war I, the rise of Fascism, the goals of Hitler, the isolationism by America and Britain, and the re-armament of Europe. This paper will go over each of these causes individually and then draw some conclusions about world war II. Plagiarism Detection >The first cause of world war II was the intense anger over the Versailles Treaty. Germany was very angry over two things and the first of which was the many territorial losses they had to endure as a result of the treaty. They lost two cities on the French-German border and as per Wilsons thirteenth point Poland was re-formed with access to the Baltic Sea, which went right through Germany. Giving Poland Sea access split Germany into two parts, the main part of Germany, and a small portion to the No rth of the Danzig corridor. The Danzig corridor really inflamed Germany for many years, but they really could not do anything about the situation because they lost world war I. Another country that was angry over the Versailles Treaty was Italy. They were angry because they thought that the land that they had received as a payment for their participation in the Allied effort against Germany did not offset the cost of the war, nor did it satisfy their ambitions to grow. The final country that was angry over the Versailles Treaty was Japan. They were also a victor over Germany and they wanted to gain control over China as reward for their participation in the war. This, however, did not happen and they were angry over the situation.The second cause of world war II was the failure of the many peace efforts that occurred after world war I. The League of Nations, which was one of Wilsons fourteen points and part of the Versailles Treaty, was a forum in which nations could settle their di sputes with one another. The problem was that the League did not have any real power. The only thing it could do was try to persuade the offending nation to concede and if that did not work out they could impose economic sanctions on that country. But the league had so little power that the sanctions it passed were normally ignored and it could do nothing from that point on. Another failed peace effort was the Washington Conference. At this conference the principal naval powers agreed to limit their navies according to a fixed ratio. But again none of the powers really went through with their agreement. Yet another failed peace effort was the Locarno Conference. This conference produced a treaty between France and Germany stating that the border between the two countries was guaranteed. However, we know that this treaty failed because Germany invaded France during world war II. The final failed peace effort was the Paris Peace Act. At this conference all of the major countries, excl uding Russia, and many smaller countries agreed that war was not a national policy and stated that they would try to resolve problems through diplomatic means. The only way that war was acceptable in this act was by means of self-defense. These did not directly cause world war II, but they made it possible by their obvious lack of power. Countries still did not trust each other enough to follow through with the good ideas that they had.The third cause of world war II was the rise of Fascism. Fascism was a movement that began before world war I, but did not become a serious political power until Benito Mussolini took control of the Italian government in 1922. Under Mussolini Italy became a Totalitarian government where labor unions were abolished and political opponents were killed or silenced. This caused many things to happen to Italys social and economic problems. The first of these problems was the lowered living standard of the Italian people. The people lost their eight hour wo rk day protection and their wages were lowered by the government. Mussolini acknowledged that the living standard had gone down, but explained it by saying that the Italian people were not used to eating much anyway, so they would not feel the lack of food as badly as others. Another thing the Fascist government caused was an increased birthrate in Italy. Mussolini wanted women to have more children so that he could create a larger army in the future. In this way he felt that he could have a large army by the time he was ready to go to war for more land. Mussolini used tactics much like the communists in that he had total control over all of the Italian population and could have people killed whenever he wanted. Italy, however, was not the only country to fall under Fascism. Germany adopted this form of government only it was called national socialism. Its leader was Adolf Hitler and it called itself the Nazi party. The Nazi party differed slightly from Mussolinis government in that the Nazis were more racist and believed that it was their destiny to make the world subject to the perfect German people. They were particularly hateful to the Jewish people, which was proven after they started to exterminate all of the Jews within central Europe after world war II started. These events did not directly cause world war II, but they brought us to the brink of war. People that listened to these dictators believed that these men could bring them to world domination.The fourth cause of world war II was the goals of the German dictator, Hitler. He had a vision of the German people becoming a master race and dominating the entire world, but he also knew that he could not achieve all this during the war he intended to start. He, however, had two major goals which was to bring all of central Europe together and form a larger Germany and to create more room for Germany to grow by taking over Poland. His first move was to test the other European powers by inserting troops in to Germanys coal mining area next to France. This was forbidden by the Treaty of Versailles and Hitler wanted to see how far he could push his adversaries before they would strike back. If Britain had not been so passive to Hitler they might have stopped this war before it ever started. They, however, allowed Hitler to do this because they did not want to start another war. Hitler then pushed the European powers further and further until he invaded Poland and Europe had no choice but to react.The fifth cause of world war II was American and British isolationism. After world war I America turned away from Europe and went back to its domestic problems. The American people did not want anything to do with European affairs because many of the debts that were accrued during the war were not being paid and Americans were very bitter. Britain also turned to its domestic problems and did not want to interfere in Continental Europes problems. If one or both of these countries had attempted t o stop Hitler when he first came into power he probably would have been thrown out of office and world war II might have been prevented. Plagiarism Detection >The final cause of world war II was a direct result from all of the previous causes, and that is the rearmament of all the European powers. Tensions started to increase as Hitler tested the European powers and most if not all countries began to increase their armies and navies. This brought war closer because it meant that the government leaders were prepared to use force to resolve the problems that Hitler was causing, and it raised tensions even higher than they already were.In conclusion, world war II was not an extension of world war I, but world war I was a big cause of world war II. Most of the causes of world war II came out of the Treaty of Versailles, and if that treaty had been better there might not have been world war II. Nevertheless, world war II happened and we can only learn from the mistakes we see from the pa st.

Intercultural Communications assignment Example | Topics and Well Written Essays - 750 words

Intercultural Communications - Assignment Example Multiculturalism in Canada is often seen in towns and cities when they hold festivals that celebrate their individual cultures. An example of such festival is Folk fest which shows different cultures that include heritage, cuisine, and dance. These kinds of festivals give Canadians a chance to understand and appreciate different cultures that make up Canada. Canadians are known for their friendly culture. They appreciate that the country is made up of so many cultures and respect each culture. Marriage is viewed differently in different cultures because arranged marriages are accepted in one community while in others, people are expected to choose their future life partners (Coontz, 2014). These behaviors are impacted by the historical background of a culture. This history moves from one generation to the next and is accepted by the group. The behaviors are also impacted by the religious background of a group. For example, in the Muslim community, parents are obligated to arrange for their children’s marriage. Different cultures also view love differently. Communities that support arranged marriages view love as infatuation. Countries that follow this culture have low divorce rates. On the other hand, communities that support individual arrangements view love as the basis of marriage. What an individual’s family might feel to be best for the individual may not be best for him or her. Communities exhibiting these behaviors can be classified in the cultural di mension model because the cultures are differentiated based on the difference in national cultures. Different communities have their own interpretation of public display of emotion. In some communities, public display is a norm and people believe that this helps other people understand a person. However, this is not the case in other communities who believe that the public display of emotions especially, from those who hold power

Microeconomic of my own life Essay Example | Topics and Well Written Essays - 1000 words

Microeconomic of my own life - Essay Example Having learnt various principles and theories in microeconomics, the objective of this paper is to relate my life experiences to some of these microeconomic aspects. Microeconomics has made me appreciate choice as a comparison of alternatives. The forgone opportunities for the next benefit alternatives would be referred to as opportunity cost as noted by Boyes and Melvin (23). Opportunity costs refer to the highly valued alternatives which have to be forgone when making a choice. Thus, in my case, the freedom to watch movies, eat the food of my choice and play with my pet would be considered as the opportunity cost as I had to forgo this for the sake of enrolling in a boarding school. The next benefit alternative would thus be joining a boarding school which was meant to make me excel academically. Despite the academic benefit that I was to realize by being in a boarding school, I found other benefits that I would not have found had I remained in my previous learning institution. My father worked in a pen manufacturing firm and hence gave me the best ball-pens to use for my writing. I made many friends in school because of these pens as many students would borrow my pens. At first, I was generous enough to give them out. Within a short period of time, students would demand to know where the pens were sourced from. Actually, the pens were available in the stores but at a high cost and thus stocked less. Remember, Boyes and Melvin (23) observe that costly goods do not elicit the urge to buy from consumers. A majority of pen users would prefer the less costly pen varieties as long as these pens served the intended purpose, quality aside. Since my father supplied these pens to me free of charge and in unlimited quantities, I started selling them to those students who demanded for it at a slightly lower cost than they fetched in the retail stores. The attractive qualities of the pens including swift gliding while writing and availability in diverse colors made the p ens popular. Word went round the school on the attributes of the pen which made the demand increase. Students drawn from various classes would look for me to supply them with these pens. Realizing the increased demand for the pens, I raised the selling price for each pen. This trend follows the microeconomic law of supply which according to Boyes and Melvin (52) dictates an increase in supply with increase in the prices of specific goods or services and a decrease in supply with a fall in price. Assuming the role of a supplier, as the students were willing to spend more to have the pens, I kept increasing the cost. Since I could not wholly satisfy the demand for these pens, I could not determine the effect of price increase on demand which according to the law of demand dictates that with such price increases, there tends to be a decrease in demand. But the trend did not last for long as I had to be careful neither to sell the pens at the cost in the stores nor to sell them at a cos t deemed exorbitant to the students. It reached a point where I could clearly see the impact of price increment on the demand for the pens from the students. As if abiding by the law of demand, the students gradually reduced their demand until I had a number of students whose demand for the pens I could satisfy at the indicated cost. In essence, this was the equilibrium according to

Immunology Essay Example | Topics and Well Written Essays - 250 words

Immunology - Essay Example The fourth fraction, F4, has a low concentration of protein. This is because in this fraction, serum was not diluted. Therefore, aggregation of proteins could not occur because of lack of hydration of protein. Protein concentration of F1 was 5.90mg. This increased till 14.56mg protein concentration for F3. Fraction F5, which is a mixture of F2 and F3 had a protein concentration of 16.00mg – the highest. Purification by ammonium suphate precipitation is useful for large protein samples. It is a cheaper process. However, the resulting protein obtained is not very pure. Moreover, this technique requires additional purification steps. The results of purification through ion exchange chromatography (IEX) are shown in section 3 of the results. The purification of IgG was performed. IgG accounts for only 10% of the serum proteins. Yet, the concentrations of IgG in fraction F2, F3 and F5 were 2.08, 1.42 and 2.80 mg/ml respectively, which are relatively high. IEX is a cost effective process and results in higher protein recovery. It has high resolving power. The percentage yield of protein for all fractions is given in section 4. A higher yield of IgG is seen in fractions F2 and F5 compared to fraction F3. A machine error may be the reason behind this. This is because the reading for F2/F3 and F5 was taken on different spectrophotometers. The results of the Single Radial Immunodiffusion assay and precipitin arcs are shown in section 5. In figure 1, purple precipitin arcs confirm the presence of IgG. Multiple arcs for F3 and F4 indicate the presence of contamination in these protein fractions. In figure 2, the precipitation ring is observed. It is seen that as the diameter of the ring increases, there is a decrease in the protein (antigen) concentration. Moving further away from the center, IgG concentration

Human resource management Essay Example | Topics and Well Written Essays - 250 words - 1

Human resource management - Essay Example Job analysis refers to the process of identifying and determining  various job duties and requirements as well as the significant role that the duties have in any particular job (Brannick and Levine, 2002, p 48). One aspect of substantive importance about job analysis is that it is solely on jobs rather than the persons in the different positions in different jobs. The major role played by job analysis is to establish the relation in employment procedures in particular recruitment and selection process. By such analysis, one is able to make a description and specification for determining the best place individual to get the job and perform the associated tasks and responsibilities (Brannick and Levine, 2002, p 61). Job analysis, therefore, is the cornerstone of Human Resource Management in the sense that it provides employers with a critical understanding of the requirements of a particular job and make a selection the most appropriate individual to take such a job and contribute towards the enhancement of performance of an organization, aimed towards the realization of success. A competent employee in the right job is the greatest achievement of Human Resource Management towards the implementation of organizational strategies for the realization of success (Brannick and Levine, 2002, p

Assessment of the patient with acute abdominal pain Research Paper

Assessment of the patient with acute abdominal pain - Research Paper Example The authors has first discussed the anatomical and physiology of organs associated with abdominal pain, then has listed the various bodily malfunctions and diseases which could cause pain, and importantly listed out the procedures that could be undertaken by the nurses as part of the assessment, diagnoses and even treatment of the abdominal pain. â€Å"It is therefore desirable that in addition to traditional nursing assessments, registered nurses are able to ask the correct questions, initiate tests and implement first-line treatments to ensure a timely and effective experience for the patient† (Cole, Lynch and Cugnoni, 2006). The authors first focused on the anatomy and the physiology of organs associated with abdominal pain, by pointing out how problems in one or more organs located within the abdominal cavity can lead to abdominal pain. â€Å"This cavity contains the stomach, spleen, liver, pall bladder, pancreas, kidneys, small intestine and large intestine†¦the bla dder, caecum, appendix, sigmoid colon, rectum and female reproductive organs.† (Cole, Lynch and Cugnoni, 2006). ... Problems in these organs are the main reasons for abdominal pain and those problems are categorized into various diseases and malfunctions like Appendicitis, Biliary colic, Bowel obstruction, Cholecystitis, Gastrointestinal disease, Hepatitis, etc. The authors for major part of the article discuss each of these diseases, their causes, bodily problems associated with it, and importantly the severity, nature and position of the pain. For example, they point out how in the case of Biliary colic, pain will be sudden and is ‘severe and continuous until it resolves spontaneously†, and then in the case of Cholecystitis â€Å"pain can be colicky or constant and is usually localised to the right upper quadrant† (Cole, Lynch and Cugnoni, 2006). After extensively discussing the various causes of the abdominal pain, the authors in the second half of the article has focussed on the role of nurses in assessing the abdominal pain. The authors point out how the nurses should ask r elevant questions to patients with abdominal pain, so that the exact or even the tentative cause of the pain can be diagnosed. Questions should be asked about: > Pain. > Associated symptoms. > Past medical and medication history. > Social and family history. (Cole, Lynch and Cugnoni, 2006). The authors state that the nurses should ask questions regarding pain position, radiation and also the nature of pain. To locate the pain position, the nurses has to first ask the patients to point out the area, where the pain is being felt. In addition, nurses can also place their own hands, pressing and pointing out, where the pain is originating. â€Å"The patient should also be asked if the pain travels anywhere (radiation) or is

A museum visit to autry museum los angeles and its relation to class Essay

A museum visit to autry museum los angeles and its relation to class - Essay Example This showed not only the basics of what occurred at this time, but also represents and observes the past of how things were. The vastness of the land, as well as the cowboys desires to chase the large animals were two of the concepts which I immediately noticed. This was followed by observations of the hand made tools, hats and other artifacts which were important to the cowboys. The significance was based on how each of the men had to change their level of innovation to try to settle and build a specific life, while having the sense of dominance over a specific piece of land. This led to the noticed cowboy movies that were also represented, which held this same ideal and continued to show the mindset of cowboys that were settling in the West. The representation of cowboys after the 1900s that is seen in the exhibition is one which is seen to link to the myth of the cowboy. The representations of the cowboy outfits, paintings of the salon girls and the guitars also represent this ide ology. The concept of movies such as â€Å"The Lone ranger† and the idolized cowboy are highlighted in these particular areas, specifically with reference to what the cowboys became.

Advantages of Internet Essay Example for Free

Advantages of Internet Essay Science and technology play a very important role in our life. Most of our daily activities are greatly associated with science and technology. One of the contributions of science and technology to mankind is the invention of Internet. With this invention being so widely used, it has both advantages and disadvantages. In this essay, I shall discuss the advantages and disadvantages of the Internet. The first advantage of the internet is that it provides us with leisure. This is because the Internet can provide us with various endless entertainment. For example, we can watch videos in YouTube which has millions of videos from comedy to romance and horror to suit our mood. Not only that, some television networks have their own websites. These enables us to catch up on movies or television programmes on television which we have missed. Radio channels such as Class95 and Perfect10 also have their own sites to listen to radio programmes for those who do not own a radio set. There are also many sites that enable the users especially youths to watch anime or read manga online. This is good as this enables us to save money as the cost of a manga or anime DVD can be quite expensive. These different from of online entertainment will not only gives us leisure but also provide a medium in which we can relieve the daily stress from school and work. The second advantage of the internet is E-commerce which is growing rapidly and becoming more popular. Examples of e-commerce include online shopping and e-banking. Through online shopping, we can buy many things over the net which provides a range of products from all over the world with just a click of the mouse. Examples of famous online shopping sites are Yahoo!, Amazon and e-bay which sells various products from books and furniture to electronic devices and office supplies. Doing shopping online is indeed convenient as we do not need to travel to do our shopping. As a result, time is saved.

CNS Involvement in GBS: Brainstem Auditory Evoked Potential

CNS Involvement in GBS: Brainstem Auditory Evoked Potential BRAINSTEM AUDITORY EVOKED POTENTIAL AS AN INDEX OF CNS DEMYELINATION IN GB SYNDROME Dr. Smita Singh*, Dr. Nitesh Mishra**, Dr. Shraddha Singh#, Dr. Sunita Tiwari## ABSTRACT: Guillain-Barrà © Syndrome (GBS) is an acute, frequently severe and fulminant polyradicular neuropathy that is autoimmune in nature. GBS manifest as rapidly evolving areflexic motor paralysis with or without sensory disturbances. It mainly involves peripheral nervous system and autonomic nervous system. There are rare evidences about the involvement of central nervous system (CNS) in GBS. The main objective of the study was to assess the CNS involvement in GBS using the Brainstem Auditory Evoked Potential (BAEP). The study was conducted in the clinical neurophysiology lab in the department of physiology, CSMMU Lucknow. Study group involved 26 subjects (n=26) having GBS and control group involved 30 normal subjects (n=30). BAEPS were recorded by Neuroperfect- EMG 2000 EMG/NCV/EPsytem. The data so obtained were subjected to analysis using Statistical Package for Social Sciences (SPSS) Version 13.0. There was significant increase in PIII PV peak latencies and PI-PIII PI-PV interpeak l atencies in both left and right ear in the study group, which showed the CNS involvement in GBS which can be assessed using BAEP. Key words: Guillain-Barrà © Syndrome, Central Nervous System, Brainstem Auditory Evoked Potential INTRODUCTION: Guillain-Barrà © Syndrome (GBS) is an acute, frequently severe and fulminant polyradicular neuropathy that is autoimmune in nature. GBS manifest as rapidly evolving areflexic motor paralysis with or without sensory disturbances. The usual pattern is ascending paralysis i.e. weakness begins in distal limbs but rapidly advances to affect the proximal muscle functions. Lower cranial nerves are usually involved causing bulbar weakness and difficulty with handling secretions and maintaining airways. Deep Tendon Reflexes (DTR) usually disappears with in 1st few days of onset. Bladder dysfunction if present is usually transient1. In severe cases of GBS autonomic involvement is common. Usual feature are loss of vasomotor control with wide fluctuation in blood pressure, postural hypotension and cardiac dysrhythmias. Pain is another common feature of GBS most common is deep aching pain in weakened muscles. GBS shows mainly two types of pathophysiology, demyelinating form and axonal degeneration. Basis of demyelinating form is conduction block, which results in flaccid paralysis and sensory disturbances. Recovery is possible as remyelination occurs. Axonal degeneration shows slow rate of recovery and results in greater degree of residual disability. CSF shows albuminocytological dissociation that is elevated CSF protein level (100-1000gm/dl) without accompanying pleocytosis. CSF usually remains normal when duration of illness is less than 48 hours. CSF protein level increases at the end of first week of illness. Electrodiagnostic features are mild or absent in early stages and lag behind clinical evolution. Demyelinating form shows prolonged distal latencies, slow conduction velocities, conduction block and temporal dispersion of compound action potential. Axonal form shows decrease amplitude of compound action potential without conduction slowing and prolongation of latencies. There are several clinical, pathologic and electrophysiologic evidences that have established that GBS affects predominantly the peripheral nervous system. Focal demyelination of the Schwann cell derived myelin has been described. Neuropathologic and electrophysiologic evidences for involvement of central nervous system are rare. There are few studies2, 3, 4, 5, which have been performed to explore the involvement of CNS in GBS. However, there exists no study in the Indian environment regarding the same. The present study is an effort to explore the CNS involvement in GBS by measuring auditory evoked potentials. This test evaluates the integrity of auditory (Brainstem Auditory Evoked Potential) pathway by measuring evoked potentials. Evoked potentials are recorded as electronic impulses by surface electrodes attached to the scalp. A computer extracts these low amplitude impulses from background brain wave activity and averages the signals from repeated stimuli. Brainstem auditory evoked potentials, produced by delivering clicks to the ear, and help to locate auditory lesions and evaluate brainstem integrity. MATERIAL METHODS: The study was conducted in the clinical neurophysiology lab in the department of physiology, CSMMU Lucknow. The subjects of study group were selected from neurology, pediatrics and medicine department of CSMMU Lucknow and selection of the subjects of study group had been done on the basis of detailed history, though clinical examination, laboratory investigations and clinically proven cases of GBS. Normal healthy controls were selected after through clinical examination and it was insured that they do not have any apparent clinical illness that may affect the evoked potentials. Clearance from the institutional ethical committee was obtained written informed consent had been taken from the entire subjects study and control group. The study was conducted on clinically diagnosed cases of GBS of both sexes. The subjects were diagnosed on the basis of history, clinical examination, and typical CSF profile (albuminocytological dissociation) and electrophysiological evidences of demyelination. Subjects having prior neurological illness, apparent hearing and visual impairment, AFP due to another cause were excluded from the study group. All the subjects of study and control group were tested under similar laboratory conditions. Subjects were given sufficient time to relax rapport had been established so that they feel comfortable and cooperate during investigation Recordings of BAEPS: BAEPS were recorded by Neuroperfect- EMG 2000 EMG/NCV/EPsytem. The EPs were recorded with disc electrode from standard scalp location. Electrode were placed at vertex (Cz, reference electrode) ,ipsilateral and contralateral mastoid process (Ai and Ac active electrode) and forehead (Fz, ground electrode) after proper cleaning the scalp or skin site with alcohol followed by EEG conducting paste For recording 2000 click stimuli at the rate of 11Hz/sec with duration of .1 ms were delivered at 70 dB. The other ear was masked by pure white noise at 40 dB. This click generated by passing 0.1 ms square pulses trough shielded headphone. Electrical impedance was kept less than 5 kilo ohm. Peak latencies of all the waves I., II, III, IV and V and interpeak latencies of I-III,II-V and I-V were determined for both right and left ears separately. STATISTICAL ANALYSIS: The data so obtained were subjected to analysis using Statistical Package for Social Sciences (SPSS) Version 13.0. The data has been shown as mean ±SD, to compare the difference between the normal and healthy controls; â€Å"t† test for independent samples has been carried out. The confidence limit of the study was kept at 95%, hence a â€Å"p† value less than 0.05 denoted statistically significant difference. RESULTS: Table 1: Peak Brainstem Auditory Evoked Potentials for Left Right Ears ** p Table 2: Inter-peak latencies for BAEP for Left Right Ears * P DISCUSSION: Guillian Barre syndrome (GBS) is regarded as a predominantly motor neuropathy with transient or absent sensory features. Although the central nervous system is rarely involved, GBS associated with CNS, manifestations has been described in children by Okumura et. al (2002)6. and in adults by Maier H et. al. (1997)3, and Muller HD et. al.(2003)4 Maier H et. al. (1997)3 observed histopathological changes in CNS of GBS patients. He found infiltration of macrophages microglial cells and/or lymphocyte in different areas of central nervous system. Spinal cord and brainstem shows lymphocytic infiltration and microglial activation. Histopathological feature of CNS involvement is also observed by Muller HD et. al. (2003)4 in form of the cellular infiltration of spinal cord though not very significant and suggested CNS involvement in GBS occur, though rare. There are few studies which had demonstrated CNS (changes) lesion in GBS on neuroimaging. Nadkarni N et. al. (1993)7 observe MRI finding of CNS white matter lesion in patient of GBS who had developed symptoms of optic neuritis after plasmapharesis. These findings suggest there may be possibility of same antigenic mechanism of pathogenesis in CNS as well as peripheral nervous system. Okumura et. al. (2002)6 reported the clinical course and electrophysiological and neuroimaging of a patient of GBS associated with CNS lesion. He found mild slowing of background activities without paroxysmal discharge in electroencephalogram (EEG), mildly prolonged N2 latency with abnormal waveform in VEPs. BAEPs were unremarkable. In magnetic resonance imaging (MRI) there were multiple lesions in cortex and sub-cortex in the right occipital lobe and in the deep white matter in both frontal lobes. Despite all these lesions there was no evident CNS manifestation in the case. This implies that an association of CNS involvement in patients with GBS could be under estimated because some lesions can be clinically silent. The present study was an effort to evaluate central nervous system involvement in patients of GBS in Indian population because there is no study regarding the same performed in the India. In the view of known pathologic involvement of most proximal portion of peripheral nerves in GBS, the most likely cause of these BAEP abnormalities is focal demyelination of Schwann cell derived myelin sheath that covers the extramedullary portion of the auditory nerves. Prolongation I-III IPL indicative of lesion in the auditory nerve to medullary junction or lower pons around superior olive trapezoid body. The prolongation of I-V IPL suggests the abnormality of conduction of auditory signals from the proximal auditory nerve to the mesencephalon via pons. The findings of the study of BAEPs are comparable and show similarity with the results of study done by Zgorzalewicz M et. al. (2003)8 except there is an additional finding of IPL III-V prolongation in our study. In the study done by Schiff JA et. al. (1985)9 had also found prolonged I-III inter peak latencies (IPL) in five of six patients of GBS and I-V IPL in two of six patients, these results are comparable with the present study. Ropper AH et. al. (1986)10 also find the BAEP abnormality in the form of I-III and III-V IPL prolongation in patients of GBS, though that was not clinically significant. Whereas Nelson KR et. al. (1988)11, find the BAEPs abnormality in patients of GBS as prolongation of wave II latency and total absence of BAEM wave form in the early stage of disease and with the complaints of sudden onset of deafness, hearing improved with the recovery and BAEP abnormality of conduction block was replaced as a prolongation of wave I latency. After convalescent period BAEPs become normal. In present study there was no case present as similar complaint and BAEPs finding. Topcou M et. al. (1993)12 had performed evoked potential study in patients of GBS and found BAEPs and VEPs values were abnormal in some patients during early course of illness, though the values were not statistically significant. Wong V et. al. (1997)13 had found BAEPs abnormality in Miller Fischer syndrome (MFS), a variant of GBS. His findings of BAEPs abnormalities suggest proximal auditory nerve and brainstem involvement. CONCLUSION: Thus it can be concluded from our study that though often ignored, the central nervous system demyelination does occur in Guillain-Barrà © Syndrome (GBS) and the same can be assessed using evoked potentials like Brainstem Auditory Evoked Potentials (BAEP). REFERENCES: Harrisons; Principle of internal medicine, 15th ed. McGraw-Hill 2001. Lobuz-Roszak B, Pierzchala K, Kapustecki J, GBS central nervous system symptoms, Neurol Neurochir Pol 2004 May-June; 38 (3) : 221-6. Maier H, Schmidbauer m, pfausler B et al., Central nervous system pathology in patients with the GBS, Brain, 1997 Mar, (pt 3); 451-64 Muller HD, Beckman A, Schroder JM, Inflammatory infiltrates in the spinal cord of patients with GBS, Acta Neropathol (Berl) , 2003 Dec, 106 (60 : 509-17 Nadkarni N, Lisak Rp , GBS with bilateral optic neuritis and central white matter disease, Neurology, 1993 Apr, 43(4) : 842-3 Okumura A , Ushida H , Maruyama K et al., GBS associated with central nervous system lesions, Arch dis Child 2002 Apr ; 86 (4) : 304-6. Nadkarni N, Lisak Rp , GBS with bilateral optic neuritis and central white matter disease, Neurology, 1993 Apr, 43(4) : 842-3 Zgorzalewicz M Zielinska, Kilarski D. Brain stem auditory visual evoked potential in children adolescents with GBS, Neurol Neurochir Pol, 2004; 38(1Suppll): 531-7 Schiff JA , Cracco RQ, Cracco JB, Brain stem auditory evoked potentials in GBS, Neurology. 1985 May; 35 (5). Ropper AH, Chiappa KH, Evoked potentials in GBS, Neurology, 1986 Apr; 36(4): 587-90 Nelson KR , Gilmore RL, Massey A , Acoustic nerve conduction abnormalities in GBS ,Neurology, 1988 Aug ; 38(8): 1263-6 Topcu M, Ergin M, Nurlu G et al., Evoked potential in GBS, Turk J Pediator, 1993 Apr- Jun; 35 Wong V. A neurophysiological study in children with Miller Fisher syndrome and Guillain Barre Syndrome. Brain Dev. 1997 Apr; 19(3): 197-204.

William Shakespeare :: essays research papers

William Shakespeare, undoubtedly one of the best playwrights of all time, was born in April of 1564 in Stratford-upon-Avon in Warwickshire. His parents were John Shakespeare, a whittawer, and Mary Arden Shakespeare. He was the third of eight children born to John and Mary and was their first son. They lived on Henley Street in Stratford. His baptism was on April 26 of that year at Stratford's Holy Trinity Church. His date of birth is assumed to be April 23. He went to Stratford Grammar School from the age of seven to fourteen. At the age of eighteen, on November 28, 1582, William was married by the bishop of Worcester, to Anne Hathaway of Shottery. Anne was seven or eight years older than him and was three months pregnant at the time of their marriage. Their first child together, Susanna, was born on May 26, 1583. Two years after that, Hamnet and Judith were born together. Shakespeare and his family most likely lived in the house on Henley Street. In 1592, Shakespeare's theater career took off. Robert Greene referred to him as an "upstart crow", and from that point on, everyone started paying attention to him. Other famous and notable literary critics also commented on Shakespeare. Shakespeare belonged to a number of acting companies in the beginning: The Queen's Men, Pembroke's Men, and Lord Strange's Men. But in January of 1593, a plague broke out and theaters all across London were closed. In December of 1594, Shakespeare has been noted to have started performing again. His new acting company was known as Lord Chamberlain's Men. The decade or so after that, was huge for Shakespeare. This was the time of The Great Globe theater where many of his best plays were performed. During this time, Shakespeare produced a steady line of hit plays, historical plays, comedies, and tragedies. In 1599 he finally became a part owner of the Globe. While all of this went on in London, Shakespeare's family resided back in Stratford, about 100 miles northwest of London. It is suggested that he often made trips to see his family and deliver them money.

Internet Addiction Disorder Essay -- Internet Addiction Essays

The World Wide Web is an intriguing information highway. Its beginnings only date back to the 1990’s, but it has quickly become a major staple in our lives. As with anything there is a good and bad side. Americans and people around the world are becoming more and more reliant on using the internet for their informational, academic, social, entertainment, organizational, and connectional needs. Along with all of the good that this has brought a new disorder is arising, internet addiction disorder. Although internet addiction disorder has not been added as of yet to the DSM hopes by the researchers are high that it will be added in the future editions. Much research has been done to understand the complexities of the disorder. Most of the research has been done on youth and young, college age adults because they seem to be the most vulnerable. Our young people are growing up with the internet and rely on it much more than older adults at the present. They seem to have more of an interest in things of a technological nature (Chou, Condron & Belland, 2005). Through the research predictors of internet addiction disorder are being examined. Scales are being developed to help in diagnosis. Diagnosis criteria are being formulated. Patterns in and researched. There has been an international congress to discuss the disorder and what is being done for treatment around the world. This paper will review the information on research findings, diagnostics, and the treatments that are being used. It will also examine information as to the very nature of the internet what seems to give it the power to pull people into addiction. Explaining Internet Addiction Some researchers say that internet addiction is similar to gambling addiction (Chou... ...2010). Internet addiction or excessive internet use. American Journal Of Drug & Alcohol Abuse, 36(5), 277-283. doi:10.3109/00952990.2010.491880 Yen, J., Yen, C., Wu, H., Huang, C., & Ko, C. (2011). Hostility in the real world and online: The effect of internet addiction, depression, and online activity. Cyberpsychology, Behavior & Social Networking, 14(11), 649-655. doi:10.1089/cyber.2010.0393 Young, K. (2014). Reflections on the first international congress on internet addiction disorders- cultural and clinical perspectives. Retrieved from http://netaddictionrecovery.blogspot.com/ Zhang, H., Jiang, W., Lin, Z., Du, Y., & Vance, A. (2013). Comparison of psychological symptoms and serum levels of neurotransmitters in shanghai adolescents with and without internet addiction disorder: A case-control study. Plos ONE, 8(5), 1-4. doi:10.1371/journal.pone.0063089

The Marquis De Sades Attitude Towards Women Essay -- essays research p

The Marquis de Sade's Attitude Towards Women The Marquis de Sade was an author in France in the late 1700s. His works were infamous in their time, giving Sade a reputation as an adulterer, a debaucher, and a sodomite. One of the more common misrepresentations concerning Sade was his attitude toward women. His attitude was shown in his way of life and in two of his literary characters, Justine and Julliette. The Marquis de Sade was said to be the first and only philosopher of vice because of his atheistic and sadistic activities. He held the common woman in low regard. He believed that women dressed provocatively because they feared men would take no notice of them if they were naked. He cared little for forced sex. Rape is not a crime, he explained, and is in fact less than robbery, for you get what is used back after the deed is done (Bloch 108). Opinions about the Marquis de Sade's attitude towards sexual freedom for women varies from author to author. A prevalent one, the one held by Carter, suggests Sade's work concerns sexual freedom and the nature of such, significant because of his "refusal to see female sexuality in relation to a reproductive function." Sade justified his beliefs through graffiti, playing psychologist on vandals: In the stylization of graffiti, the prick is always presented erect, as an alert attitude. It points upward, asserts. The hole is open, as an inert space, as a mouth, waiting to be filled. This iconography could be derived from the metaphysical sexual differences: man aspires, woman serves no function but existence, waiting. Between her thighs is zero, the symbol of nothingness, that only attains somethingness when male principle fills it with meaning (Carter 4). The Marquis de Sade's way of thought is probably best symbolized in the missionary position. The missionary position represents the mythic relationship between partners. The woman represents the passive receptiveness, the fertility, and the richness of soil. This relationship mythicizes and elevates intercourse to an unrealistic proportion. In a more realistic view, Sade compares married women with prostitutes, saying that prostitutes were better paid and that they had fewer delusions (Carter 9). Most of Sade's opinions of women were geared towards the present, in what they were in his time. He held different opinions, however, for how he envisioned w... ...ries felt. By punishing Justine in his novels, he isn't punishing woman, simply the innocence that woman represents. While Sade believed that the woman with which he was copulating was simply there to serve his needs, he also felt it could (and should) work the other way around. It is as if he is saying, "Just because I use you, it doesn't mean you can't use me." Sade couldn't be a sexist in the modern sense, simply because he advocated free sexuality so much. He saw the women of his time and was troubled by it. In turn, he wrote about these women, represented in Justine. The woman he saw in the future were a bolder, free-spirited kind, represented in Juliette. It was the promise of this new genre of women he looked forward to and was enlightened by. In short, Sade disliked subjugated women and liked empowered women. He liked women closer to his own persona. Sade was probably the first pornographer, and as such, caused quite an uproar. Most of the judgements made about Sade by critics were reflexes, made without taking in the full spectrum of what he was, what he wrote, and what he did. The judgement of Sade by the populus, therefore is one more severe than it should be.

Foucault: History of Sexuality/ A Reading

According to Foucault, power from the 18th century began to be exercised in two dimensions. The first one was formulated by the disciplinary techniques and methods of ‘bio-power', the power over life which increased the capacities of the human body, and at the same time enhanced its economic utility. The second dimension focuses around the exercise of bio-power over the body and its vitality. Foucault focuses on relations of power and knowledge but his immediate object of analysis was sexuality because it concerns with both, the relations of power of the individual as well as the society. Sex was supposed to be located at the centre of the two axes of the development of political technology of life. Sexuality in Foucault's work thus achieved an important means of addressing the question of formation of the subject. The issue of sexuality emerges at several points in Foucault's works but it is only approached in a limited and sustained manner in ‘History and Sexuality'. The essays constitute the central theme of the history of sexual conduct and behaviour, and the analysis of philosophical and religious ideas on sexuality so as to reach an understanding of the formation and the development of the experience of sexuality in modern societies. He keeps shifting from keeping a historical focus to more analytical concerns in his work on sexuality. The Introduction of the essay provides an analysis of sex as an historical theory rather than as the most basic innate human element. Foucault compares and analyses sex and sexuality in relations to power and knowledge and extends the study further to dissect the modes of what he calls the ‘objectification' through which human beings are made into subjects. In the beginning, the historical focus moves from the post-enlightenment period of the 18th and 19th century events to a period encompassing the centuries immediately before and after the death of Christ right up to the middle ages, further onto an analysis of Greek and Christian texts. In the following volumes relations of power, through which individuals form and change themselves through the techniques of the self are focused upon. Foucault begins by analyzing the popular Victorian concept of sexual experience that sex was used as a means of repression and as a symbol of power. He questions the general belief of ‘repressive hypothesis' to reach an understanding of the relations between power and sex. As an effect to that he formulated a set of questions like, why has sexuality been so widely discussed? , what are the links between these discussions and the pleasures and power effects that were caused by them? Etc. This hypothesis describes the history of western societies after the 17th century as a period in which a series of prohibitions laid down on the individuals and their physical behaviour. By the coming of the Victorian age, sexuality was confined and controlled to home and marriage, except for the licensed access to sex in markets and brothels. This prohibition of sexuality is seen by Foucault as having some similarity to the general repression due to capitalism and its class related problems. Foucault argues that another sexual tendancy is also evident in the increase of discourses concerned with sex. There emerged a political, economic and technical incitement to talk about sex. From this point onwards, sex became an object of administration, management and the government. He argues that a proof that sex was implicitly present as an object of inquiry was the government's focus on population. Population became an object of government and administration with the realization that it had its own limitations. The governments became more aware and concerned of the economic, moral, health and political problems of their populations. This in turn lead to a study and a minute analysis of various influences on population like birthrate, legitimacy of births, age of marriage, frequency of sexual relations, fertility etc. Therefore as on one hand, sex became confined to home and the licensed married couple, on the other hand, it also became a governmental matter between the state and the individual. Sex became a public issue open to discourses, analysis and a matter of gaining knowledge in. This resulted in the emergence of the 18th and 19th century discourses on sexuality through the fields of medicine, psychiatry, criminology and social work. Foucault comments that the past three centuries reveal a vast accumulation of endless discourses on sex and sexuality. We can thus say that modern western societies were distinct not for their repression and censor of sex, but rather for their simultaneous subjection of sexuality to never ending discussions and their curiosity for exploring of the secrets of life and birth. We may then conclude that all different legal, medical and moral discussions had in the end, cultivated a reproduction of labour capacity and the preservation of the prevailing form of social relations. Foucault argues that if the increase in these discussions was governed by the intention of eliminating fruitless pleasures, then they had failed as the 19th century saw a bifurcation of sexualities into many perversions. Foucault suggests that power did not prohibit or eradicate extra-conjugal, non-monogamous sexualities, on the contrary they were multiplied. The form of power to which sex was subjected did not set boundaries for sexuality. It extended the various forms of sexuality, pursuing them according to lines of uncertain analysis. It did not exclude sexuality, but rather included it in the body as a mode of specification of individuals. It did not seek to avoid it but attracted its varieties by means of complex gyre like structures in which pleasure and power reinforced one another. Thus the manifold sexualities, sexualities of different ages and those fixated on particular tastes, all formed equations of power. Perverse forms of sexuality are then seen as the effects or the products of the exercise of a type of power over bodies. This extension of power over bodies, conduct and sex, does not produce repression, but an incitement of unorthodox and perverse sexualities. Thus Foucault's argument that we need to abandon the hypothesis of increased sexual repression associated with the development of modern industrial societies. Power in its exercise has not taken the form of law, it has been positive and productive rather than negative, and has ensured an increase of pleasures and a multiplication of sexual perversions. In the 19th century, sexuality was constituted in scientific terms. Within western societies, there developed a ‘scientia sexualis', whose objective was to produce real and honest discourses on sex, the truth on sex to be precise. At its centre was a technique of confession, whose history may be traced back through the middle ages in western Europe to the first centuries of Christianity. From the Christian penance to the psychiatrists couch, sex has been the central theme of confession. Foucault argued that with the rise of protestant religion, anti-reformation and the 19th century medicine, confession spread beyond its traditional Christian usage and entered a diverse range of social relationships, an effect of which was the constitution of archives of the truth of sex inscribed within medical and psychiatric discourses. Within modern societies this intersection of confession with scientific investigation constructed the domain of sexuality as problematic and thus needing interpretation and therapy. In short the object of investigation became to uncover the truth of sex, to reveal its secret and thus to gain knowledge of individuals and their behaviours. As a result of this, sex became not only an object of knowledge, but the focus of our being, our truth. Although the concept of power is central to both the analysis of penal incarceration and the preliminary work on sexuality, in no sense does Foucault's work constitute, or even attempt a formulation of a theory of power. At the most what is presented is the critique of the prevailing formation of the exercise of power which lies at the foundation of both sexual repression and alternative hypothesis in which desire is conceived to be constituted in the form of law like rules. Such a conception of power has structured the analytical field of inquiry in terms of problems of right and violence, freedom and will and the state of sovereignty. According to Foucault's view power is relational. It is not born from a particular site or location. It is a concept which refers to an open, organized, hierarchical group of relations which are both unstable and local and the analysis of sex proceeds by analyzing the complex relations between the discussions on sex and on the multiplicity of power relations associated with them. There emerged four strategic unities associated with the production of the discourses on sexualities in the 19th century. These constituted of the specific mechanisms of knowledge and power, centred on sex and the four sexual subjects. The strategic unities were: a hysterization of womens bodies, a pedagogization of childrens sex, a socialization of procreative behaviour and a psychological analysis of perverse pleasures. And the subjects were hysterical women, a masturbating child, a Malthusian couple and a perverse adult respectively. According to Foucault, these four unities do not represent mechanisms for controlling or regulating pre-existing forms of sexualities, rather they represent the relations of power and knowledge articulated in medical, pedagogical, psychiatric and economic discourses. In Foucault's view, from 19th century onwards the ‘Deployment of Alliance', a system of rules and practices defining the permitted and the forbidden relations between sexual partners, has been paralleled by the development of sexuality operating through techniques of power rather than a system of rules. Whereas the former is concerned with the link between partners, the latter, the deployment of sexuality manifests a different connection to the economy through the cultivation of the body, ‘a body that produces and consumes'. The family gradually became a transmission of the strategies of ‘sexualisation' that emerged in the 19th century. Foucault's theory is that in the first instance, it was in the ‘bourgeois' or the aristocratic family that the sexuality was given a status of a medical problem. The psychological convergence of sex thus began with the bourgeoisie with a sexualisation of the idle and the nervous woman with the self-abusing child. The objective was to constitute a body and a sexual identity for the bourgeoisie to ensure the vigour and longevity of the classes that ruled rather than a repression of the class that was exploited. This new distribution of pleasures had as its initial purpose the self affirmation of the bourgeoisie by a specifically political ordering of life in which a technology of sex was fundamental. Just as the aristocracy constructed a sense of itself, its special qualities and its difference from other social classes in terms of concept , so did the bourgeoisie, through a conception of a sound body and a healthy sexuality articulated in biological and medical discourses, sought to affirm its present and future specificity. Turning to the lower orders, the working classes, Foucault argues that just as the Christian technology of the flesh had exercised a little influence over their rude sensuality, so for a good while they remained untouched by deployment of sexuality. But gradually from the 18th century however, a series of developments like the identification of problems of birth control and the development of juridical and medical measures to protect society from perverse forms of sexuality, precipitated a diffusion of mechanisms of sexualisation throughout the society. This effected in the working class being subject to the deployment of sexuality. However the sexuality of the working class was in no way synonymous to the bourgeoisie, there is no sense in which Foucault's analysis brings us to this interpretation. The practice of sexuality in modern western society is not conceived by Foucault to be either collective or united. On the contrary, the forms taken and instruments employed are conceived to have varied in relation to the social class. The domain of sexuality in Foucault's works is presented as one of the most important concrete arrangements through which power has been exercised over life in modern western societies. It is the key element in the emergence and development of the measures of supervision which have constituted the foundation of forms of public provision and welfare. The exercise of a pastoral or caring power over life in general and in particular is presented as a fundamental or defining characteristic of modern societies and as a necessary precondition for the distribution of capitalist economic relations throughout social life. It is because of this articulation of the phenomenon of human existence that the general social significance of the deployment of sexuality is initially focused on by Foucault. The specificity of modern western societies is associated with a particular historical transformation or shift of the emphasis from exercise of absolute power by or in the name of the sovereign, literally to take life, to the emergence and development of governmental technologies of power directed towards an administration of the processes of life in order to increase their economic utility. The two basic forms in which power began to be exercised over life from the 17th century are: * An anatomo-politics of the human body, * A bio-politics of the population. The first form according to Foucault concerns the exercise of power over the life of the body and is exemplified by the disciplines and techniques directed towards the increase of bodily forces and capacities. The second form in which power has been exercised over life is that of the management and regulation of the population, the body as a species and its mortality and fertility issues. The emergence of the technology of bio-power constituted an important event and signified a shift away from unstable, dramatic and ceremonial exercises of sovereign power towards an investment of the processes of life by an economic and efficient form of power. The emergence of bio-power designated the moment at which the phenomena of human existence were submitted to the calculation and order of knowledge and power. At the intersection of the two axes along which the exercise of power over life developed, namely the disciplines of body and the regulation of populations, lies the political issue of sex. Sex achieved importance as a political issue because it offered access to both life of the body and the life of the species so that we comprehend the pursuit in dreams, behaviour and beyond the truth of sexuality. Foucault deals with various modes of explaining the relations of power and knowledge through which human beings are made subjects. Foucault not only rejected the belief that sexuality is predicated on a biological given sex, but argued that the autonomy given to sex was an effect of the deployment of sexuality. Foucault argued that the category of sex established through the deployment of sexuality in the course of the 19th century performed a number of functions. It offered a principle of unification through which anatomical elements, biological functions, conducts, sensations and pleasures could be presented as the underlying cause of behavioural manifestations, as a secret to be discussed and interpreted. Through such proximity to biology and physiology, the knowledge of sexuality gained a semi-scientific status and contributed to the development of a process of normalization of human sexuality to the determination of normal sex and its various pathological corollaries. The idea of sex as the latent, secret force repressed within us allowed power to be conceptualized solely as law and taboo and thereby hiding the positive relation of power with sexuality. The corollary of this position is of course that it led to the equation of human liberation with the discovery and expression of the secret of sex and sexuality. The final section of the idea of sex outlined by Foucault focuses on the process by which human beings become subjects. It is through the idea of sex that each individual has to pass in order to have access to his own intelligibility, to the whole of his body and to his identity. Thus Foucault's position is that the exercising of power over life has advanced through the deployment of sexuality and its construction of sex as the secret of existence to be discovered and articulated, as a force to be liberated and realized, and be synonymous to our very being. This arises from the fact that in his view sex-drive cannot be free of power. It is an effect of the deployment of sexuality and of the exercise of technologies of power over life. Sex is not the underlying reality beneath the illusory appearance of sexuality, on the contrary, sexuality is a typical historical formation from which the notion of sex emerged as an element central to the operation of bio-power. In western civilization there has been a tendency to associate the theme of sexual austerity with various social or religious taboos and prohibitions. Foucault argues that in fact it seems to have been quite different. To begin with, moral considerations of sexual condition were subject to a fundamental gender dissymmetry. The moral system was produced by and addressed purely to free men, to the exclusion, to the exclusion of women, children and slaves. A second significant feature of the moral system is that it did not form fundamental prohibitions or taboos in relation to forms of sexual austerity, rather it intended to present or propose modes of conduct appropriate and relevant for men in view of their right, power, authority and freedom. Foucault states that in the texts of Greek or Gaeco-Roman antiquity, the emphasis as far as moral considerations are concerned tends to be placed on practices of the ‘self', rather than on codes and conducts in terms of the permitted and the prohibited. I have tried to make a thorough reading of Michael Foucault's essay the ‘History of Sexuality' and found that it effectively establishes that the roots of our modern sexual ethics go back to ‘Antiquity'. Although the emergence of Christianity did not introduce a novel code of sexual behaviour, it did transform people's relationship to their own sexual activity. Although the essays address themselves explicitly to the question of the so called ‘problematization' of sexual activity, they also are important for their implications for an understanding of the art of government which developed in modern western societies.

Mr. Omijie Famous

A Brief History of School Guidance and Counseling in the United States The history of school counseling formally started at the turn of the twentieth century, although a case can be made for tracing the foundations of counseling and guidance principles to ancient Greece and Rome with the philosophical teachings of Plato and Aristotle. There is also evidence to argue that some of the techniques and skills of modern-day guidance counselors were practiced by Catholic priests in the Middle Ages, as can be seen by the dedication to the concept of confidentiality within the confessional.Near the end of the sixteenth century, one of the first texts about career options appeared: The Universal Plaza of All the Professions of the World, (1626) written by Tomaso Garzoni. Nevertheless, formal guidance programs using specialized textbooks did not start until the turn of the twentieth century. The factors leading to the development of guidance and counseling in the United States began in the 1890 s with the social reform movement. The difficulties of people living in urban slums and the widespread use of child labor outraged many.One of the consequences was the compulsory education movement and shortly thereafter the vocational guidance movement, which, in its early days, was concerned with guiding people into the workforce to become productive members of society. The social and political reformer Frank Parsons is often credited with being the father of the vocational guidance movement. His work with the Civic Service House led to the development of the Boston Vocation Bureau. In 1909 the Boston Vocation Bureau helped outline a system of vocational guidance in the Boston public schools.The work of the bureau influenced the need for and the use of vocational guidance both in the United States and other countries. By 1918 there were documented accounts of the bureau's influence as far away as Uruguay and China. Guidance and counseling in these early years were considered to be mostly vocational in nature, but as the profession advanced other personal concerns became part of the school counselor's agenda. The United States' entry into World War I brought the need for assessment of large groups of draftees, in large part to select appropriate people for leadership positions.These early psychological assessments performed on large groups of people were quickly identified as being valuable tools to be used in the educational system, thus beginning the standardized testing movement that in the early twenty-first century is still a strong aspect of U. S. public education. At the same time, vocational guidance was spreading throughout the country, so that by 1918 more than 900 high schools had some type of vocational guidance system.In 1913 the National Vocational Guidance Association was formed and helped legitimize and increase the number of guidance counselors. Early vocational guidance counselors were often teachers appointed to assume the extra duties of t he position in addition to their regular teaching responsibilities. The 1920s and 1930s saw an expansion of counseling roles beyond working only with vocational concerns. Social, personal, and educational aspects of a student's life also needed attention. The Great Depression of the 1930s led to the restriction of funds for counseling programs.Not until 1938, after a recommendation from a presidential committee and the passage of the George Dean Act, which provided funds directly for the purposes of vocational guidance counseling, did guidance counselors start to see an increase in support for their work. After World War II a strong trend away from testing appeared. One of the main persons indirectly responsible for this shift was the American psychologist Carl Rogers. Many in the counseling field adopted his emphasis on â€Å"nondirective† (later called â€Å"client-centered†) counseling.Rogers published Counseling and Psychotherapy in 1942 and Client-Centered Therapy in 1951. These two works defined a new counseling theory in complete contrast to previous theories in psychology and counseling. This new theory minimized counselor advice-giving and stressed the creation of conditions that left the client more in control of the counseling content. In 1958 the National Defense Education Act (NDEA) was enacted, providing aid to education in the United States at all levels, public and private.Instituted primarily to stimulate the advancement of education in science, mathematics, and modern foreign languages, NDEA also provided aid in other areas, including technical education, area studies, geography, English as a second language, counseling and guidance, school libraries, and educational media centers. Further support for school counseling was spurred by the Soviet Union's launching of Sputnik and fears that other countries were outperforming the United States in the fields of mathematics and science.Hence, by providing appropriate funding for educa tion, including guidance and counseling, it was thought that more students would find their way into the sciences. Additionally, in the 1950s the American School Counselor Association (ASCA) was formed, furthering the professional identity of the school counselor. The work of C. Gilbert Wrenn, including his 1962 book The Counselor in a Changing World, brought to light the need for more cultural sensitivity on the part of school counselors.The 1960s also brought many more counseling theories to the field, including Frederick Perl's gestalt therapy, William Glasser's reality therapy, Abraham Maslow and Rollo May's existential approach, and John Krumboltz's behavioral counseling approach. It was during this time that legislative support and an amendment to the NDEA provided funds for training and hiring school counselors with an elementary emphasis. In the 1970s the school counselor was beginning to be defined as part of a larger program, as opposed to being the entire program.There wa s an emphasis on accountability of services provided by school counselors and the benefits that could be obtained with structured evaluations. This decade also gave rise to the special education movement. The educational and counseling needs of students with disabilities was addressed with the passage of the Education for All Handicapped Children Act in 1975. The 1980s saw the development of training standards and criteria for school counseling. This was also a time of more intense evaluation of education as a whole and counseling programs in particular.In order for schools to provide adequate educational opportunities for individuals with disabilities, school counselors were trained to adapt the educational environment to student needs. The duties and roles of many counselors began to change considerably. Counselors started finding themselves as gatekeepers to Individualized Education Programs (IEP) and Student Study Teams (SST) as well as consultants to special education teachers, especially after passage of the Americans with Disabilities Act in 1990.The development of national educational standards and the school reform movement of the 1990s ignored school counseling as an integral part of a student's educational development. The ASCA compensated partially with the development of national standards for school counseling programs. These standards clearly defined the roles and responsibilities of school counseling programs and showed the necessity of school counseling for the overall educational development of every student. Major Roles and Functions for School Counselors

Does It Affect Culture as Much as Culture Affects It?

Semiotics in Fashion Photography: Does it affect culture as much as culture affects it? Introduction Fashion Photography has taken quite the belittling from the conventional world of photography. Where other forms of photography ‘naturally capture beauty, fashion photography is have said to be too meticulous in ‘setting up' the photograph.. Brooked states that, â€Å"fashion advertising, in particular, is seen as negating the purity of the bibliographic image. We see the typical [in fashion photography] instead of the unique moment or event. †Despite such an outlook on fashion photography, it has received thorough analysis and academic attention from the likes of Breathes, Wilson, Anderson, Brooked and Kumara. Breathes has taken fashion photography and placed it within a seismological framework, where he applies the semiotics into fashion photography as a meaner of communication through the signs and symbols for any photographs. Culture revolves around fashion phot ography. Or is it the other way round? It has become apparent that semiotics is greatly relevant to fashion photography, and assign is an excellent example off ‘identity-image producing media'.Fashion is an incredibly distinct language itself, and â€Å"emblematic the essence of its social context†. With that, is culture affected, or is the fashion photography affected by culture? With this essay I will be investigating the idea of whether culture is affected by fashion photography, or does fashion photography dictate our culture. Enquiry Outcomes I will be exploring the world of semiotics and how relevant it is to fashion photography and using it to solve the question of; whether fashion photography allow culture or dictates it.We take it for granted that fashion photography is something we pass by everyday, something that we do not pay very much attention to detail in our everyday lives and we don't know how much it really affects our culture to a certain degree. With this essay I will propose the idea of culture either being the one affected and dictated by fashion photography or the vice versa. Feasibility of proposed enquiry Fashion is constantly everywhere around us, and I will take advantage of the fact that I live in a world surrounded by fashion.For my research I will be gathering large amounts of my facts and data from online sources, Journals and e-books, and if possible from books, and my own observational analysis from fashion magazines and opinions of audiences. My aim for this essay is to analyses and conceptualize the semiotics in fashion photography, coming to the conclusion of how much it affects society and culture. With my own analysis of fashion photography I will come to the conclusion of either end of the spectrum. Relevance of enquiry to personal practiceThrough the research that I acquire and what I learn, I think it is important to broaden my aspects of skill to other industries. The fashion industry is not too far from t he design, and I think as being one of the most ‘communicative languages' through visual meaner, fashion is an important step to understanding wholly of what makes the world tick through visuals. As an inspiring designer and photographer, I would like to use this practice to benefit me in constructing my own meanings in works and to conceptualize them on my own in the future. Bibliography 1 . Jacobsen, M. 008) Semiotics, Fashion and Cognition. Unknown. A paper that concentrates on â€Å"Rolando Breathes early cosmologically inspired theory of fashion and discusses how this theory can be revised to fit later cognitive theories of language and semiotics. † Has a considerate large amount of relevant information pertaining to my essay. 2. Breathes, R. (2006). The Language of Fashion. Oxford: Berg Publishers. The original source of placing fashion photography into a semiotic framework, I will base most of my essay towards Breathes theories of semiotics in fashion. 3. Rhodes, A & Galoot, R.A semiotic analysis of high fashion advertising. Http:// www. Garrotes. Com/Semiotics andafashionF Though I will be focusing more of fashion photography, advertising does play a great role, and fashion photography is basically the significant part of fahsfashionertising. Through this source it concentrates more on a fashion advertising aspect and describes the art of it. 4. httpHttpews. mongMonogamym/Com5/0507chicaTinaler. htmlHTMLs is a paper done by Tina Butler on BartBreathesshion Photography as semiotics: BartBreathes the limitations of classification.Here Butler describes the details of semiotics, how they work in fashion photography and analyzes BartBreathesory in such a framework. 5. Stone, R. A Semiotic Analysis of Four Designer Clothing Advertisements http:// www. aberBaber. AC/mUKia/SstuStudents9robbersmlHTMLpite this source focusing more on an advertising aspect rather than photography, ultimately those two will always go together. Through a more thorough a nd focused analysis of brands, ads and the semiotics they present I can further contconceptualizehion photography in a semiotic framework.

Development Of The Shoulder Arthroplasty Health And Social Care Essay

Like the hip, the shoulder includes a ball and socket articulation. The replacing of the shoulder articulation is the operation which occupies the 3rd topographic point among common joint replacing, merely after replacing of the hip and articulatio genus articulations. Historically, shoulder replacing has a clear and defined objective which to reconstruct or retroflex the bone of the glenohumeral and the rotator turnup. The nature of shoulder arthroplasty is the most complex articulation Reconstruction in the human organic structure. It need see the factors of figure and fluctuation. With the development of surgical techniques and clinical doctors recognize, shoulder joint anatomy engineering has made important advancement. With the development of surgical techniques and clinical doctors recognize, shoulder joint anatomy engineering has made appreciable advancement. The modem epoch of shoulder replacing is no more than thirty old ages old range to present society. The conventional en tire shoulder arthroplasty ( TSA ) achieves this end that it brings significantly improves map for many patients and reduces pain they suffer. The cost of wellness attention is increasing every twelvemonth. There is a turning demand that the costs of intervention be justified by proved measuring of quality of life betterment. In finding the appropriate use for joint replacing surgery, and therefore specifying its function in the intervention of degenerative upsets, effectiveness rating is critical. Regional fluctuations in the frequence of joint replacing processs and the deficiency of consensus sing many facets of related patient attention, which have spurred involvement in the methodological analysis of surgical results research. The purpose is to better specify the function of specific interventions through valid, evidence-based clinical result and epidemiological surveies.1 The development of the shoulder arthroplastyThe history of shoulder replacing can be dated from late nineteenth century France. A Parisian tooth doctor, J. Michael Porter, who designed pean unreal shoulder which successful dainty a patient whose shou lder was already tubercular infection. This operate can be classified as an original implant in the country of glenoid part. ( Lugli, 1978 ) In 1953, the Neer produced vanadium unreal humeral caput prosthetic device to handle humerus near terminal comminuted break and the consequence achieved satisfactory healing consequence. From now shoulder arthroplasty began to be widely used in clinical intervention. The technique advanced highly rapidly in following few old ages. Since half shoulder arthroplasty ( besides called unreal humeral caput prosthetic device replacing, hemi-arthroplasty, HA ) successful treated humeral breaks near terminal, this technique applied the range of the shoulder joint replacing bit by bit spread to osteoarthritis, rheumatoid arthritis. This operation does non handle the shoulder articulation disease that the both sides of the articulate surface caput of the humerus and glenoid pit have been broken. In 1970s, Neer added polythene glenoid pit prosthetic device on the unreal humeral caput prosthetic device, in order to develop the first coevals which is Neera†¦ entire shoulder prosthetic device system. Because the glenoid pit prosthetic device can easy be abraded, loosed and shoulder joint replacing inspection and repair engineering non mature, clinical applications tend to utilize HA, but there are besides glenoid pit abrasion job. Biological surface angioplasty began to clinical applications in 1988, ( Krishnan SG, 2007 ) in order to supply a method to work out glenoid pit bring by the wear job of the humeral HA prosthetic device. At the same clip, other types of the shoulder joint replacing engineering besides begins to look and use, such as unreal humeral caput prosthetic device surface replacing, shoulder arthroplasty somersault angioplasty, and so on. At present shoulder arthroplasty has become a preferable method to handle most patients suffer from diseases of end-stage shoulder arthritis and humerus near terminal comminuted b reak. The current research chiefly focused on the humeral caput prosthetic device and glenoid pit prosthetic design, in order to cut down glenoid pit wear.2 the caput of the humerus prosthetic device replacing positionShoulder joint prosthetic device design for the chief portion of the caput of the humerus. The survey found that the curvature radius of the caput of the humerus was inconsistent, in each subdivision on the consecutive size is non the same. Now the caput of the humerus prosthetic device design is the caput of the humerus diameter and thickness correlativity coefficient as 0.75 ( Gregory T, 2007 ) The size of the caput of false organic structure and the shoulder articulation stabilisation straight relate to the strength of environing musculus in shoulder arthroplasty. Not suited prosthetic device caput will impact the caput of the humerus normal centre of rotary motion, change the shoulder articulation lever arm about, so that the musculus map alteration, causes a shoul der to shoulder, environing soft tissue hurt replacing failure. So first of all should take appropriate false figure figure to reconstruct the humerus near terminal anatomy, so as Reconstruction of soft tissue around the balance ( Yuan benxiang, 2005 ) . Normal shoulder the caput of the humerus and glenoid pit are non fiting, glenoid pit surface curvature radius is bigger than the curvature radius of caput of the humerus 2 ~ 3 millimeter, and the being of articular gristle and dishes lip in do them both basic matching. Shoulder arthroplasty â€Å" mismatch † refers to curvature radius of the caput of the humerus prosthetic device and glenoid pit prosthetic device are different, the ratio between them called consistent index, research shows that when the index is 0.80 ~ 0.88, joint stableness is best ( Anglin C, 2001 ) . It is considered that it will be better if the glenoid pit and the caput of the humerus prosthetic device in shoulder arthroplasty are wholly fiting from some theories, but in pattern most bookmans believe that do non fit more contributing to the stableness of the shoulder. The ground include two chief point: one is that does non fit the design can be in prosthetic device disruption happened when half the extra burden transportation to the environing soft tissue, cut down direct action in the articulations of dishes from head burden from head burden is the consequence of joint prosthetic device relaxation after one of the chief grounds. The 2nd point is that the comparatively little caput of the humerus false physical lessening abrasion atom coevals. The design and choice of caput of the humerus prosthetic device depends on the length and the mush pit breadth. Medullary pit breadth and humeral diameter relate to the thickness of the cerebral mantle, seemingly show approximately broad at the top and narrow in the underside. When intraoperative to the full enlarge mush aid prosthetic device grip with the environing bone, and to recognize the full contact force per unit area distribution better, better prosthetic device handle stableness. At present, although the 3rd coevals of anatomical type prosthetic device system already can good better the forecast of patients. Through the betterment of the caput of the humerus prosthetic device, prosthetic device single adaptability increased, shoulder map and the quality of life improved.2.2 the caput of the humerus prosthetic device fixed engineeringThe caput of the humerus prosthetic device grip fixed means has bone cement and the bone cement two. Bone cement into the bone cement and close terminal bone cement fixed engineering, non-bone cement is divided into force per unit area with fixed and compression bone grafting.3 glenoid pit prosthetic device replacing positionGlenoid pit prosthetic device has been use as clinical applications for 30 old ages, but it is still controversial. In the shoulder arthroplasty after usage joint prosthetic device will non merely increase the operation clip, intraoperative sum of hemorrhage and operation trouble, and a series of postoperative complications may happen, particularly glenoid pit prosthetic device relaxation. Glenoid pit prosthetic device relaxation is the consequence of operation failure, demand to make shoulder joint replacing surgery is one of the chief grounds for the alteration.3.1 glenoid pit the applied anatomy and prosthetic device designGlenoid pit prosthetic device ideal design is to recognize anatomical Reconstruction, glenoid pit the applied anatomy and biomechanics belongings of the prosthetic device design has an of import function. At present there are chiefly the undermentioned difference: ( 1 ) the glenoid pit prosthetic stuff: all sorts of polyethylene prosthetic device and metal pat of polyethylene prosthetic device. ( 2 ) The form of the glenoid pit, Due to the glenoid pit bone mass less, addition with age will do bone loss, and patterned advance of disease cause bone defect, and glenoid pit signifier will be altered evidently, increase the trouble of the anatomical Reconstruction. In or der to recognize the anatomical Reconstruction, bookmans design the ultra-high molecular weight polythene cuneus gasket to counterbalance for defect, preoperative adopts modern imaging engineering after bone and joint harm, right rating, in order to run into the single intervention. Glenoid pit prosthetic device nidation manner: joint prosthetic device after implant place to action in bone cement bed emphasis and glenoid pit prosthetic device have obvious influence on the burden, prosthetic Angle can besides impact the caput of the humerus in glenoid pit prosthetic device place [ 16 ] . The survey found that the glenoid pit and shoulder blade organic structure between axis Angle, Angle in the forward 2 A ° and pour 7 A ° between, after an norm of 1.23 A ° pour, glenoid pit prosthetic device downward inclining a hitter to cut down the caput of the humerus prosthetic displacement, so glenoid pit prosthetic device nidation in moderate backward, downward inclining can break cut do wn partial head burden, and false organic structure wear and loose ( Yuan benxiang, 2005 )3.2 glenoid pit prosthetic device fixed engineeringGlenoid pit prosthetic fixed engineering harmonizing to the fixed manner into bone cement and the bone cement, harmonizing to the prosthetic device design patterns into bolt fixed and stagger fixed. At present most bookmans think bone cement is non bone cement fixed more stable house. Neer design application foremost glenoid pit prosthetic device is made from polyethylene stuffs, ellipse, curved back, the bone cement and stagger fixed, after 30 old ages of survey the proficient betterment is really little. Pure polythene, bone cement fixed, arc line drive prosthetic device design still is the best pick, the difference is bolt fixed than stagger fixed more stable.4 other technological advancement4.1 glenoid pit biological surface angioplastyIn the presence of glenoid pit prosthetic device relaxation and pure HA the glenoid pit wear, glenoid pit biological surface angioplasty began to clinical applications. It is in the footing of HA will joint capsule, wide facia, Achilles tendon or semilunar cartilage and organ transplant fixed on glenoid pit, and â€Å" file dishes and activities to reshape † engineering. The angioplasty is chiefly used in immature and middle-aged patients, but compared with the TSA its healing consequence is unsure. Krishnan reported the shoulder arthritis utilizing glenoid pit biological surface angioplasty intervention after five old ages, it was found that glenoid pit of wear and tear visible radiation, the caput of the humerus prosthetic device stableness, did non happen secondary to false organic structure wear and the dishes brachial arthritis, shoulder articulation map is good. They think the glenoid pit biological surface angioplasty can obtain and TSA similar clinical results. The operation that immature patients and to shoulder joint map demanding patients has a opportunity to go through a comparatively long recuperation achieve good shoulder articulation map recovery, and to avoid a joint prosthetic device nidation after the hazards of, but still necessitate farther measure its effectivity and persistent. By utilizing this engineering is still need to be s olved such as transplant stuff beginning, its lastingness, surgical hurt jobs such as large. The development of tissue technology make it go the solution of this job is one of the most effectual ways.4.2 shoulder joint replacing alteration processsShoulder arthroplasty can look for shoulder hurting worse and functional restrictions, need to shoulder joint replacing alteration processs. Neer will be its ground loosely grouped into the undermentioned three facets: [ 2 ] : ( 1 ) the hapless preoperative status, such as rotator turnup hurt, infection, etc. ; ( 2 ) the operation and the false organic structure of complications, such as during the operation, the structural harm, anatomical Reconstruction failure ; ( 3 ) the jobs, such as rehabilitation exercising, hapless dishes brachial joint continued instability. HA postoperative lead to pass the most common ground is glenoid pit wear, TSA for dishes brachial joint continued instability and glenoid pit prosthetic device relaxation5 the market of shoulder articulation replacingThe cost of wellness attention is increasing every twelvemonth. There is a turning demand that the costs of intervention be justified by proved measuring of quality of life betterment. In finding the appropriate use for joint replacing surgery, and therefore specifying its function in the intervention of degenerative upsets, effectiveness rating is critical. Entire joint replacing has become a feasible option for immature, middle-aged, and aged patients who want to prolong athletically active life styles. Although shoulder arthroplasty can break easiness serious shoulder joint disease patients clinical symptoms and better with shoulder map, but at present the application more focal point on low to the map demand of the aged patients. And in the clinical pattern of many immature and middle-aged patients because of the serious harm to the same shoulder surgery. The traditional surgery, ankle arthrodesis and joint operation from off the serious influence shoulder articulation map and patient quality of life, immature and middle-aged patients to joint functional demand is high, the more hope the shoulder arthroplasty. To handle immature and middle-aged patients with shoulder joint replacing, clinicians ever hold more conservative. on the one manus, because of the shoulder articulation is the whole organic structure of big articulations activity scope biggest articulations, its activity strength, more easy to do prosthetic device relaxation and wear, particularly glenoid pit false organic structure parts, shorten the prosthetic device life ; On the other manus because of shoulder articulation inspection and repair engineering non mature. But there are besides clinicians claims for immature and middle-aged patients with shoulder arthroplasty, because: ( 1 ) Tell from the map upper limbs than lower limbs are more likely to avoid weight factors, can cut down false organic structure wear ; ( 2 ) from the surgery manner, ankle a rthrodesis and joint from off the shoulder articulation map BASIC is lost, the serious influence patients quality of life, and shoulder arthroplasty can maintain a certain extent with shoulder map, better the quality of life. Burroughs [ 31 ] on 19 instances of average age, 38.6 old ages of the immature and middle-aged patients with shoulder joint replacing therapy, after a average followup of 5.6 old ages, and from diseases and surgical types of categorization treatment. The consequences showed that patients postoperative shoulder articulation map and quality of life improved, no postoperative shoulder articulation map impairment, and TSA is HA has good healing consequence. Sperling [ 32 ] reported so far the longest followup were the consequences of the survey, this survey included 78 patients with HA and 36 instances of patients with TSA, age are & lt ; fifty old ages old, and a average followup of 16.8 old ages. The consequences showed that HA and TSA on hurting alleviation and functional betterment of all can obtain long-run, steady consequence, HA a TSA in quality of life better healing consequence, but the outlook of life is comparatively short and overhaul rate is higher. He thought that should be based on the single state of affairs of patients with disease patterned advance and take the right manner of replacing. At present shoulder arthroplasty can do immature and middle-aged patients get better and stable forecast, But for the immature and middle-aged patients with TSA or HA, is still controversial. At present, the shoulder arthroplasty is still has many jobs, the chosen replacing engineering, fixed method and stuffs to acquire the best healing consequence, still necessitate big multicenter randomized controlled tests and long-run follow-up observation. A hot topographic point in the survey of many focal point on glenoid pit portion ; Shoulder joint prosthetic device system are largely based on western people study design, with the popularisation and application of engineering in our state, how to plan a more suited for China ‘s patients with shoulder articulation prosthetic device system ; Whether can utilize tissue technology theory and material better work out the glenoid pit surface angioplasty are faced with the job ; For joint map of the high demand on the immature and middle-aged patients, how can break better the long-run forecast. All these need farther research to better and corroborate. LUGLI, TOMASO M.D, Artificial Shoulder Joint by Pean ( 1893 ) : The Facts of an Exceptional Intervention and the Prosthetic Method, Clinical Orthopaedics & A ; Related Research: June 1978 – Volume 133 – Issue – ppg 215-218 Krishnan SG, Nowinski RJ, Harrison D, et Al. Humeral hemiarthro plasty with biologic resurfacing of the glenoid for glenohumeral arthritis-Two to fi fteen-year results. J Bone Joint Surg ( Am ) , 2007, 89 ( 4 ) : 727-734. Gregory T, Hansen U, Emery RJ, et Al. Developments in shoulder arthroplasty. Proc Inst Mech Eng H, 2007, 221 ( 1 ) : 87-96. e ¬c , e‘?e†¹Ã‚ ±? µÃ‚ · . e‚ ©a†¦?eS‚a?†c†?e §?a†°-a?Za?†¡a?â€Å"e ®?e ®? . aa?Sec §Ã¢â‚¬ËœÃ¢â‚¬Å¡a?- , 2005, 8 ( 6 ) : 571-573. Anglin C, Wyss UP, Nyffeler RW, et Al. Loosening public presentation of cemented glenoid prosthetic device design brace. Clin Biomech ( Bristol, Avon ) , 2001, 16 ( 2 ) : 144-150. Boileau P, Avidor C, Krishnan SG, et Al. Cemented polyethylene versus uncemented metal-backed glenoid constituents in entire shoulder arthroplasty: A prospective double-blind, randomized survey. J Shoulder Elbow Surg, 2002, 11 ( 4 ) : 351-359.