Saturday, August 31, 2019

Presidential and Parliamentary Systems of Government Essay

Introduction and Main Distinguishing Features of Both Systems: A presidential system of government is one in which there is a head of government, i.e. the executive branch, who is separate from the legislature and is not accountable to it. Generally, the legislature does not hold power to dismiss the executive. This system can be traced back to the monarchal system in the medieval ages which countries such as France, England and Scotland followed where the Crown held all executive powers and not the parliament. When the office of the President of the United States was created, this system of separate powers of the executive and legislature was replicated in the U.S. Constitution. In contrast, a parliamentary system is different from the above because its executive branch of government needs the direct or indirect backing of the parliament to stay in power, which is generally expressed through a vote of confidence. However, the mechanism of checks and balances is different from one found in a presidential republic because there is no distinct separation of powers between the legislature and the executive. In parliamentary systems, the head of government and the head of state are distinct entities, where the former is the prime minister and the latter is an elected president or a hereditary monarch. The U.K. follows a parliamentary form of government, where the prime minister and the cabinet govern using their executive power on a daily basis, but actual authority is held with the head of state.[1] In distinguishing between presidential and parliamentary systems, three points must be considered. First, in a presidential system the head of government (the president) is elected for a fixed term and will serve this unless there is the ‘unusual and exceptional process of impeachment’, whereas in a parliamentary system the head of government (prime minister or equivalent) is dependent on the confidence of the legislature and thus can be removed (along with the whole government) by a motion of no-confidence. Second, in a presidential system the head of government (the president) is popularly elected, if not literally directly by the voters then by an electoral college popularly elected expressly for this purpose, whereas in a parliamentary system the head of government (prime minister or equivalent) is ‘selected’ by the legislature. Third, in a presidential system there is effectively a â€Å"one-person† non-collegial executive, whereas in a parliamentary system the executive (i.e., the cabinet) is collective or collegial.[2] For his part, Sartori like Lijphart, makes three basic points in that ‘a political system is presidential if, and only if, the head of state (president) i) results from popular election, ii) during his or her pre-established tenure cannot be discharged by a parliamentary vote, and iii) heads or otherwise directs the governments that he or she appoints’. There are two distinctions between Lijphart and Sartori worth noting here. First of all, Lijphart refers to the president as the head of government whereas Sartori refers to him or her as the head of state. Second and related, Sartori conceives of the government as being broader than the individual president. As such, Sartori rejects as too narrow the notion ‘that the head of state must also be the head of government’ in favor of a looser notion that authority flows from the president down – perhaps via a separate head of government.[3] Mainwaring attributes two distinguishing features to a presidential democracy. First, the head of government is elected independently of the legislature in the sense that legislative elections and post-election negotiations do not determine executive power. In countries where the chief executive is selected by the legislature, not as a second alternative when the popular vote does not produce a clear winner but as the fundamental process, the system is either parliamentary (the vast majority of cases) or a hybrid (as in Switzerland). Post-election negotiations that determine which parties will govern and which will head the government are crucial in many parliamentary regimes, but they are not part of the selection process of chief executives in presidential systems. The chief executive in a presidential democracy is usually elected by popular vote, although some countries, notably the United States, have an electoral college rather than direct popular elections. Even so, in the United States, the popular vote has a virtually binding effect on Electoral College votes. In other presidential systems, including those in Argentina, Bolivia, and Chile (before 1973), the congress votes for a president if there is no absolute majority in the popular vote. Yet the popular vote is the first criterion, and in Argentina and Chile, tradition has dictated that congress will select the candidate with the most popular votes. Note that it must be the head of government-not simply the president-who is elected by popular vote or an electoral college. In Austria, Iceland, and Ireland, the president is elected by direct popular vote but has only minor powers and is therefore not the head of government.[4] The second distinguishing feature of presidential democracies is that the president is elected for a fixed period of time. Most presidential democracies allow for impeachment, but this practice is rare and does not substantially affect the definition because of its extraordinary character. The president cannot be forced to resign because of a no-confidence vote by the legislature, and consequently, the president is not formally accountable to congress. In a parliamentary system, in contrast, the head of government is elected by the legislature and subsequently depends on the ongoing confidence of the legislature to remain in office; thus the time period is not fixed.[5] Implications for Policy Making and Democracy: Whether a regime is parliamentary or presidential has a major impact on significant aspects of political life: how executive power is formed, relationships between the legislative and the executive branches, relationships between the executive and the political parties, the nature of the political parties, what happens when the executive loses support, and arguably even prospects for stable democracy and patterns of domination. The proponents of presidential claim that presidential systems claim that such systems ensure that the president’s power is a legitimate one because the president if, in most cases, elected directly by the people. The United States follows a different system in which the president is elected by an electoral college but is still considered to be popularly elected. Parliamentary executives can not claim to be elected via a direct vote of the people. Separation of powers is another benefit which the presidential system provides because it established the executive branch and the legislative as two distinct structures which allows each body to supervise and oversee the other and prevents abuse of the system. In a parliamentary system, the executive is not separate from the legislature, reducing the chances of criticism or scrutiny, unless a formal condemnation in the form of a vote of no confidence takes place. Hence, in a parliamentary system, a prime minister’s unethical deeds or instances of misconduct might never be discovered as Woodrow Wyatt (former British Member of Parliament) said while writing about the famous Watergate scandals during the presidency of Richard Nixon, â€Å"don’t think a Watergate couldn’t happen here, you just wouldn’t hear about it.†[6] In a parliamentary system, even though the option of a vote of no confidence is available, it is an option resorted to only in extreme cases. It is considered extremely difficult to influence or stop a prime minister or cabinet who has already decided to pass legislation or implement measures. Voting against important legislation is tantamount to a vote of no confidence, as a consequence of which the government is changed after holding of elections. This is a very tedious process because of which it is a rare occurrence in some parliamentary countries. Britain for example has only rarely undergone such a situation. Therefore, it is often believed that in a parliamentary system, because of the lack of separation of powers, the Parliament can not actually exercise any real control over the executive. However, there can be a downside to separation of powers. Presidential systems can lead to a situations where the President and Congress both evade blame by passing it to the other. In the words of former Treasury Secretary C. Douglas Dillon as he described the United States, â€Å"The president blames Congress, the Congress blames the president, and the public remains confused and disgusted with government in Washington.†[7] Woodrow Wilson agreed in his thesis, Congressional Government in the United States, as he said, â€Å"†¦how is the schoolmaster, the nation, to know which boy needs the whipping? . . . Power and strict accountability for its use are the essential constituents of good government. . . . It is, therefore, manifestly a radical defect in our federal system that it parcels out power and confuses responsibility as it does. The main purpose of the Convention of 1787 seems to have been to accomplish this grievous mistake. The `literary theory’ of checks and balances is simply a consistent account of what our constitution makers tried to do; and those checks and balances have proved mischievous just to the extent which they have succeeded in establishing themselves . . . [the Framers] would be the first to admit that the only fruit of dividing power had been to make it irresponsible.†[8] Separation of Powers has mixed implications. It can lead to gridlock, i.e. when it becomes next to impossible to pass items on the party’s agenda because the legislature is almost equally divided, usually an occurrence in the U.S. when the Senate and House of Representatives are dominated by opposing parties. However, the upside to gridlock is that it often prevents radical policy changes. Another problem with the presidential system is that while it is inherently stable because the president is elected for a fixed term, this also compounds the issue of the presidency being a zero-sum game, where winner takes all. As Linz (1990, 56) states, â€Å"The danger that zero-sum presidential elections pose is compounded by the rigidity of the president’s fixed term in office. Winners and losers are sharply defined for the entire period of the presidential mandate†¦losers must wait four or five years without any access to executive power and patronage. The zero-sum game in presidential regimes raises the stakes of presidential elections and inevitably exacerbates their attendant tension and polarization.† Parliamentary elections can also lead to one party winning an absolute majority, in most scenarios a number of parties gain representation through these elections. Power is often shared and coalitions are formed, as a consequence of which the position holders give due weight to the needs and interests of smaller parties. In turn, these parties expect a certain share in power and as is obvious, are stakeholders in the overall system, instead of non-entities. Now if, as is the case in presidential systems, one sole person believes that he has independent authority and a popular mandate, he might start to develop a tendency towards authoritarianism. When he develops such notions about his standing and role, he will not react appropriately to the inevitable opposition to his policies, finding it annoying and unsettling, as would a prime minister who considers himself a mere representative of a temporary governing coalition and not the sole voice of the nation. Hence the examples of Venezuela and Colombia, where when democracy was reestablished in times of great political instability, and when the written constitutions warranted a presidential government, the leaders of chief political parties opted for consociational agreements whereby the rigid, winner-take-all consequences of presidential elections were â€Å"softened†.[9] While stability is often touted as one of the prime advantages of the presidential system, it is simply another word for rigidity. On the other hand, parliamentarism lends a certain element of flexibility to the political process. Advocates of presidentialism might reply that this rigidity is actually a plus because it prevents the uncertainty and instability so definitive of parliamentary politics. Under parliamentary government, after all, a number of entities, even rank-and-file legislators, can choose to adopt basic changes, cause realignments and shifts, and, most importantly, make or break prime ministers. But it must be remembered that while the need for authority and predictability might serve as justifications for presidentialism, there can be a myriad of unexpected developments- anything from the death of the incumbent to serious errors in judgment committed under the pressure of adverse political circumstances – that often lead to the presidential rule being less predictable and often weaker than that of a prime minister. The latter can always make efforts to bolster up his legitimacy and authority, be it through a vote of confidence or the dissolution of parliament and the consequential new elections. Also, a prime minister can be changed without it necessarily leading to a major regime crisis.[10] Conclusion: The above analysis has largely favored a parliamentary system over a presidential one. However, one must remember that success regimes, regardless of the amount of thought and care gone into their design, are determined by the extent of support they manage to arrest from society at large, its major forces, groups and institution. Public consensus therefore is a basic need, which confers legitimacy to the authority of the regime, and this is achieved only by the power which is attained lawfully and in a democratic fashion. Regimes also depend to a large extent on the ability and aptitude of their leaders to govern, to arouse trust and to respect the boundaries of the power they hold. Every country has unique aspects that one must take into account-traditions of federalism, ethnic or cultural heterogeneity, and so on. Both systems have their pros and cons, even parliamentary systems can suffer grave crises. Hence, countries must consider their own individual past, present and future, in order to determine which system has the greater probability of success. References Hardin, Charles. 1989. A Challenge to Political Science. PS: Political Science and Politics 22(3): 595-600. Lijphart, Arend, ed. 1992. Introduction in A. Lijphart (ed.), Parliamentary versus presidential government. Oxford: Oxford University Press. Linz, Juan. 1990. The Perils of Presidentialism. Journal of Democracy (Winter): 51-69. Mainwaring, Scott and Shugart, Matthew. 1997. Juan Linz, Presidentialism, and Democracy: A Critical Appraisal. Comparative Politics 29(4): 449-471. Mainwaring, Scott. 1990. Presidentialism in Latin America. Latin American Research Review 25(1):157-179. Sartori, Giovanni. 1994. Neither presidentialism nor parliamentarism, in J.J. Linz & A. Valenzuela (eds.), The failure of presidential democracy, vol. 1: Comparative perspectives. Baltimore, MD: Johns Hopkins University Press. Thomas, Jo. Oct. 9 1988. The fate of two nations. The New York Times. Wilson, Woodrow. 1886. Congressional Government: A Study in American Politics. The New Englander 45(192). [1] Mainwaring, Scott and Shugart, Matthew. 1997. Juan Linz, Presidentialism, and Democracy: A Critical Appraisal. Comparative Politics 29(4): 449-471. [2] Lijphart, Arend, ed. 1992. Introduction in A. Lijphart (ed.), Parliamentary versus presidential government. Oxford: Oxford University Press. [3] Sartori, Giovanni. 1994. Neither presidentialism nor parliamentarism, in J.J. Linz & A. Valenzuela (eds.), The failure of presidential democracy, vol. 1: Comparative perspectives. Baltimore, MD: Johns Hopkins University Press. [4] Mainwaring, Scott. 1990. Presidentialism in Latin America. Latin American Research Review 25(1):157-179. [5] Linz, Juan. 1990. The Perils of Presidentialism. Journal of Democracy (Winter): 51-69 [6] Thomas, Jo. Oct. 9 1988. The fate of two nations. The New York Times. [7] Hardin, Charles. 1989. A Challenge to Political Science. PS: Political Science and Politics 22(3): 595-600. [8] Wilson, Woodrow. 1886. Congressional Government: A Study in American Politics. The New Englander 45(192). [9] Linz, Juan. 1990. [10]   Linz, Juan. 1990.

Friday, August 30, 2019

Clairant Marketing

We are also thankful to Mr.. Oman Patella 0 for his help and valuable Insights Into Strategic Management at Claimant Pakistan Limited. Mr.. Patella, a very dedicated individual, is a competent and proactive professional at analyzing the implications of Claimant's competitive strategic framework on each of the business' operations. He provided us with every detail about Clangors corporate strategic activities and how they are aligned with the core competencies of the company.Without his time and help, it would have been impossible for us to prepare this report. Sincerely, Amber Alicia Ham Named Virus Mason Razz Mohammad Moms Useful Gaga students of ABA (HON.) Institute of Business Management, Karachi. Letter of Transmittal Mr.. Abdul Qatar Mollie Institute of Business Management Koran Creek Karachi – 75190 Pakistan Date: 18th April, 2013 Dear Mr.. Mollie: Management in Claritin Pakistan Limited† as authorized by you.The purpose of this report is to examine how Claritin Pa kistan Limited manages its strategic activities at the corporate as well as the business level. The project report is a comprehensive outline of Claimant's strategic mission, the competitive strategies it has developed to enhance its core competencies, the macro-economic analysis that it conducts for scanning the various environmental threats/pressures, the strengths and opportunities it effectively utilizes and the weaknesses and threats it counter- balances.The group members were immensely excited to work on this project since in a few months' time we will all be part of the work force and will be concerned with these strategic tasks employed in the organization at the basic level of an individual employee. With much effort and diligence all the work was divided equally amongst us. We prepared a questionnaire which contained a list of questions regarding Strategic analysis, development and execution. We then met a representative of Claritin Pakistan Limited, Mr.. Oman Patella 0 wh o responded to our list of questions diligently.Later different parts of the report were asked to be written by each group member. While working on this report we observed the amount of energy, thought process and effort that goes behind into making an organization strategically competitive in its industry We are grateful to you for teaching us the important aspects of Strategic Management, for helping us whenever we needed your assistance and believing in us to complete this report in the best possible manner by fulfilling our capabilities. Contents 1 Objective To conduct Claimant's organizational analysis in the light of the chemical industry.To achieve this objective a broad environmental analysis needs to be conducted in order to recognize the external opportunities and threats along with internal strengths and weaknesses. This would allow us to improvise their existing strategies and suggest recommendations. 2 Industry Definition At present there are nearly 30 Chemical companie s having the total paid-up Capital of RSI. L . 7 billion. Most of them have shown remarkable progress in their sales in the recent years such as Fuji Fertilizer, Icily Pakistan, Negro Chemical, Atwood Hercules,Claritin Pakistan, Sitars Chemical Colgate Palmolive, Berger Paints, BOCA Pakistan, Sins Alkalis, Dyne Pakistan, are considered as market leaders in the field of Chemical Industry in Pakistan. The rapid industrialization resulting in the large increase in chemical consuming products has enlarged the demand of all types of chemicals in the country. Chemical Industry in Pakistan has gradually developed to its present stage and has played a vital part in the development of the country and will continue to do so in future with more foreign investment.The Chemical Industry produces a arioso range of products such as polyester fiber, sodium carbonate, PVC, Soda Ash, PTA, Pharmaceutical, Paints, Fertilizer, Insecticides, Petrol-Chemical and other Chemicals. Chemical industry in Pakis tan is widespread. The chemical imports constitute about 17% of the total import bill. Pakistan has made considerable progress in basic inorganic chemicals like Soda Ash, Caustic Soda, Sulfuric Acid and Chlorine and has acquired sufficient production capacity of these chemicals to cater for the needs of the local industry, while surplus is being exported. 2 Even then there are some challenges to be countered. The chemical industry of Pakistan is lagging behind due to some challenges. The main challenge is that it has to rely on its imports and foreign materials. It does not benefit the economy and results in production of expensive products. Secondly lack of industrial infrastructure and technology in Pakistan results in low quality products which do not mark the standard. Moreover the discriminatory approach of international community does not integrate the Pakistan market into the international economy and Pakistani products are not given access to the international market.Moreove r the lack of resources and weak trade policies of the ministries also result in the weakening of chemical industry. In order to enhance the chemical industry Pakistan must adopt the policy of â€Å"self-reliance†. Instead of relying on foreign designs and engineering it must improve its own production and ensure high quality of chemical products. Pakistan must work towards integrated approach. It must bring four worlds of a society together which are traders, universities, research and development and production partners.This will bring innovation and must utilize its youth which has rest minds and great ideas to enhance the chemical industry resulting in qualitative and quantitative perfection in the chemical products. Pakistan is capable of producing high technological products all it needs is a little bit of effort in improvement of administrative capabilities and induction of new technology and support from government to put things in order. 3 Company Background and Info rmation 3. History Claritin was formed in 1995 as a spin off from the chemical company Sanded, which was itself established in Basel in 1886. Through their direct lineage, Claritin have massed knowledge and experience of chemistry and industry spanning approximately 150 years. Claritin expanded through the incorporation of the specialty chemicals business of Hooch's (Germany) in 1997, and the acquisitions of BIT Pl (I-J) in 2000 and Saba's Master batches division in 2006.In 2008, it acquired the leading U. S. Colorado suppliers Rite Systems and Ricoh Colors. The latest acquisition, the highly-innovative specialty chemicals company SÃ'Ëœd-Chemic (Germany), was completed on 21 April 2011. Additives Catalysis & Energy Emulsions, Detergents & Intermediates Functional Materials Industrial & Consumer Specialties Leather Services Masturbates Oil & Mining Services of specialty chemicals and application solutions for consumer care and industrial markets.Textile dyes include disperse, reactiv e, direct, acid and sulfur dyes. The textile business encompasses special chemicals for pretreatment, dyeing, printing and finishing of textile. Optical brightener and chemicals for special treatment are also the part of the range. Moreover, textile region also include water based application of the emulsion for the paint and the construction industry. Paper business supplies paper dyes, optical brightener and process and pulping chemicals.Leather region produces chemicals for finishing and complete range of wet-end chemicals. The Consumer Care segment includes the Personal Care business which, among others, develops and produces specialty ingredients for skin and hair care, wet wipes and selected pharmaceutical applications. They supply all relevant information and advice for safer use, handling, labeling, storage, and disposal of our products as a part of Claimant's commitment to sustainability and product stewardship to best meet customer needs.Industrial & Home Care business hel ps customers gain a competitive advantage with its product range for household cleaning fluids, disinfectants, industrial and hospital cleaning solutions Claritin, as a world leader in the field of specialty chemicals, is fully committed to sustainable operation and development in all business activities. It develops and offer products and applications that allow for use of the product during its whole life cycle helping to avoid risk to employees, customers, the public and environment.Claritin has signed the Global Responsible Care Charter as our commitment to Sustainability. It is the chemical industry voluntary initiative to continuously improve health, safety and environmental performance, and to communicate with all stakeholders through the supply chain. This enables Claritin to make a strong contribution to Sustainable Development through the Responsible [email  protected] ethic and the Global Product Strategy targets which promote the safer use of chemical products and enha nce product stewardship throughout the whole supply chain.Their comprehensive product stewardship approach includes cooperation and partnership with Claimant's suppliers Claritin is aware that the energy issue is one of he key challenges of today's and future society and industry. Claritin highlights energy efficiency and savings as the most cost-effective and fastest way to reduce CO and other emissions and increase security of supply. 3. 3 Mission Statement Our mission clearly expresses what is important to us and what we stand for – as a brand and as a company. We build leading positions in the businesses we are active in and we adopt functional excellence as part of our culture.We create value through appreciating the needs of: our customers – by providing competitive and innovative our environment our shareholders by acting sustainable – by achieving above-average returns 4 Porters Five Forces 4. 1 Bargaining Power of Suppliers The bargaining power of suppl iers is low. Claritin is a chemical manufacturing firm; they make chemicals used in different sectors like textiles, oil & gas, mining, dyeing etc. Claritin does not have a particular supplier for its raw materials; the Company buys raw material from different suppliers.The planning department is responsible for planning of the units of raw material to be purchased based on the market forecast. The procurement then takes prices from approved suppliers and then laces an order to the supplier who gives the lowest deal on the purchase. The bargaining power of suppliers is low as there are many suppliers in the market and they cannot charge a high price otherwise they would lose business to their competitors. Yes (+) moderate No (-) 1 . My inputs (materials, labor, supplies, services, etc. Are standard rather than unique or differentiated. 2. I can switch between suppliers quickly and cheaply. 3. My suppliers would find it difficult to enter my business or my customers would find it dif ficult to perform my function in-house. 4. I can substitute inputs readily. 5. I have many potential suppliers. 7. My cost of purchases has no significant influence on my overall costs 4. 2 Bargaining Power of Buyers The bargaining power of buyers is high in the chemicals industry as the buyers have many choices from where they can purchase their products from.Claimant's consumer markets include automobiles, candles, cosmetics, detergents, latex, stationery, as well as finishers for aluminum and leather. Claimant's buyers are aware of the need for information and Claritin helps its customers through the technical service centre. But this does not undermine the fact that other local chemical industries are also major players in the market so similar products are available, and buyers do not really incur a switching cost when changing where to purchase from. To what extent are your customers locked into you?No effect 1) Are there a large number of buyers relative to the number of firm s in the business? 2) Do you have a large number of customers, each with relatively small purchases? 3) Does the customer face any significant costs in switching suppliers? 4) Does the buyer need a lot of important information? 5) Is the buyer aware of the need for additional information? 7) Your customers are not highly sensitive to price. ) Your product is unique to some degree or has accepted branding? 9) Your customer's businesses are profitable. 0) You provide incentives to the decision makers. 4. 3 Rivalry among the Competitors Threat of competitors is high. 1 . The industry is growing rapidly. (Not so rapidly due to Energy constraints) 2. The industry is not cyclical with intermittent overcapacity. 3. The fixed costs of the business are relatively low portion of total costs. 5. The competitors are diversified rather than specialized. 6. It would not be hard to get out of this business because there are no specialized kills and facilities or long-term contract commitments etc. 7.My customers would incur significant costs in switching to a competitor. 8. My product is complex and requires a detailed understanding on the part of my customer. 9. My competitors are all of approximately the same size as I am. 4. 4 Threats of Substitutes Threat of substitutes is high. 1 . Substitutes have performance limitations that do not completely offset their lowest price. Or, their performance is not Justified by their higher price. 2. The customer will incur costs in switching to a substitute. 4. Your customer is not likely to substitute. . 5 Threats of New Entrants The threats of new entrants are high. 1 . Do large firms have a cost or performance advantage in your segment of the industry? 2. Are there any proprietary product differences in your industry? 3. Are there any established brand identities in your industry? 4. Do your customers incur any significant costs in switching suppliers? 5. Is a lot of capital needed to enter your industry? 6. Is serviceable used equ ipment expensive? 7. Does the newcomer to your industry face difficulty in accessing distribution channels?

Thursday, August 29, 2019

Angina Essay Example | Topics and Well Written Essays - 1000 words

Angina - Essay Example Pain occurring for few seconds or lasting for many hours and which is above the mandible and below the epigastrium is not due to angina (Alaeddini, 2006). Also, the intensity of angina does not change with respiration, cough, or change in position. Other symptoms include palpitations, exertional dyspnoea, diaphoresis, nausea and decreased exercise tolerance (Fenton 2007). Angina decubitus is a variant of angina that occurs typically in the night when the patient is in the recumbent position. Unstable angina is new-onset angina with significant recent increase in frequency and severity of angina, or angina at rest. The angina is of atleast class-III severity (Alaeddini, 2006). 1. Decreased myocardial blood supply due to increased coronary resistance in large and small coronary arteries due to coronary atherosclerotic lesion, coronary spasm, microvascular angina, systemic inflammatory or collagen vascular diseases, etc (Alaeddini, 2006). The major risk factors for atherosclerosis include family history of premature coronary artery disease, cigarette smoking, diabetes mellitus, hypercholesterolemia, or systemic hypertension. Other risk factors are LV hypertrophy, obesity, and elevated serum levels of homocysteine, lipoprotein-A, plasminogen activator inhibitor, fibrinogen, serum triglycerides, or low high-density lipoprotein (Alaeddini, 2006). The main stay of treatment for angina pectoris is sublingual nitroglycerin. It is used both for acute relief of symptoms and as prophylactic treatment during certain activities. Betablockers are also used for symptomatic relief of angina and prevention of ischemic events. Calcium channel blockers can be used to control anginal symptoms in patients with a contraindication to beta-blockers and in those in whom symptomatic relief of angina cannot be achieved with the use of beta-blockers, nitrates, or both (Alaeddini, 2006). Antiplatelet drugs like aspirin or clopidogrel are given to prevent

Wednesday, August 28, 2019

Readings are from Robert Nozick's The Examined Life Essay

Readings are from Robert Nozick's The Examined Life - Essay Example The philosopher offers to two of lives with the same amount of happiness. The first (A) slopes upwards with an increasingly amount of happiness as the individual ages while the second (B) slopes downwards with a decreasingly amount of happiness as the individual ages. In this case, Nozick is of the opinion that most people would prefer (A) over (B) despite the fact that all have an equal amount of happiness. Nozick asserts that (A) lives with the expectation of better things and more happiness in the future while (B) lives with the memories of the past happiness though his happiness continues to decline with age. Nozick concludes that human beings want happiness to have direction and contours as they age this is because people expect good things in the future (Nozick 86). In the second thought experiment of the experiment machine, Nozick demonstrates that pleasure does not lead to happiness. Nozick questions whether human beings would be willing to be hooked up in technology advances whereby virtual reality machines would allow them feel any experience they wish. According to his experiment, people would not be willing to remain in the machine since it is not real and lacks connection with reality matters such as growing. These feelings of experiment machine would only be false evaluations. According to Nozick, people can be happy for seeing numerous things realized such as World Peace thus feelings are directed connected to individual values that are realized such as academic success (Nozick 99). Happiness is a state of consciousness rather than illusions. Nozick focuses on the reality principle by asserting that happiness is seeing that something has been accomplished. Happiness is focusing at one moment in life that your life is better like what people feel when taking a walk. The third form is focusing on the whole life through reflection on the standard of life that an individual hoped to live. Happiness will entail emotions on events such as friendâ€℠¢s promotion in the workplace. Happiness is based on individual evaluations and beliefs concerning the future, the world, and prospects of success based on standards of expectations. Happiness is more than an emotional response (Nozick 102). Nozick demonstrates this using direction of happiness and experience machine. People would start their life unhappy but end it happy. People desire to live a meaningful life and undergo real experiences in their lives. For a person still hooked up to the experiment machine, being happy would not be the same as having a meaningful life. Living a meaningful life will entail having a positive effect on the surrounding people like family members and society. For one to have a meaningful life, repeated good experiences must be balanced with negative experiences. If people lived in the experiment machine, they would never have any opportunity to grow or establish any meaningful relationships with others. According to Nozick, experiment machine would e nable the individual to have the life desires and pleasures they wish but they would incur some costs since they would need to sacrifice their physical bodies in order to enter in the imaginative world that is reality. Nozick states that human beings should not use such machines since they are capable of living a meaningful life, but the machines destroy the idea of self as well as the ability to establish relationships with others (Nozick 101). Nozick advocates assert that human beings are

Tuesday, August 27, 2019

2.Critically evaluate the suggestion that individuals can use leisure Essay

2.Critically evaluate the suggestion that individuals can use leisure and tourism to form and express their identity - Essay Example â€Å"The issue of identity is omnipresent in discourses on tourism - not only in academically informed discourses on tourism, but also in discourses from inside the tourism system, i.e. the local participants - as the contributions by Bras, Schlehe, Senft, and Venbrux exemplify.† (Dahles H, Meijl T, 1999) Everyone has the right to rest on a daily, weekly and yearly basis, and the right to the leisure time that enables them to develop every aspect of their personality and their social integration. Clearly, everyone is entitled to exercise this right to personal development. The right to tourism is a concrete expression of this general right, and social tourism is underpinned by the desire to ensure that it is universally accessible in practice. Studies of leisure and tourism can be located within the social sciences – we can understand tourism and leisure from psychological and sociological approaches. Psychology seeks to understand the individual – in tourism most studies surround the issue of motivation. Sociology seeks to understand societal influences on individual behaviour. Two main strands of sociology - structuralism (consensus and conflict theories) and social action theory (interactionism, phenomenology). Rise of consumption society - leisure and tourism as forms of consumption. An emic primacy given to lifestyle in participant accounts: Some would look at me as a bum; I would feel a bit sorry for them if they look at me like that. What’s really developed in my real lifestyle. (Max, English, 40, 17 years lifestyle travel [LT]) Travelling was so much introduced to me as a baby that it became much more of an option as a way of life. There’s no year in my life that hasn’t involved travel. This type of movement and constant change is very much a part of me and my lifestyle. (Tamara, Canadian/Indian, 34, 17 years LT) â€Å"Young people’s increased leisure opportunities can actually keep them in their parents’ house because they spend

Monday, August 26, 2019

D2 Assignment Example | Topics and Well Written Essays - 250 words - 3

D2 - Assignment Example fety, I.5 – The educator shall not intentionally expose the student to embarrassment or disparagement, and I.8 – The educator shall not disclose information about students obtained in the course of professional service unless disclosure serves a compelling professional purpose or is required by law (National Education Association, 1975). Explore the Issue (state the facts): The student diagnosed with ADHD scares the younger children at times. The student has a medical condition that causes this behavior. The teacher of the younger students wishes to know what the issue is with the diagnosed student to be able to better handle the effects on his or her students. Initial ideas to solve the problem: If the student directly affects the students in the other teacher’s class, disclosure is acceptable. If the student does not directly affect the students in the other teacher’s class, disclosure is not needed. Actions can be taken to work with the student who is diagnosed in attempt to mitigate the issue. 3. Work with the other teachers being affected by the student’s behavior, and the student themselves, as well as the parents of the diagnosed student to create an IEP that serves to meet the needs of the student, as well as all of the needs of other students that may be affected through the assistance of all adults involved. Revisit, Reflect and Finalize Solution: The best solution is to work with the administrators, counselors, parents, and other affected teachers to come up with an IEP (Individualized Education Plan), which will afford all students the best possible learning environment, and at the same time, ensure that the needs of all students are being met to the educator’s and to the school’s best

Sunday, August 25, 2019

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

Chronicity - Essay Example They are more likely to be trusted by patients because of their community and family-centered approach to care. Finally, I have learned from my readings that the current progress and gains made in medicine are a product of history, and that the past and traditional methods of medicine still have a place in contemporary practice when taken in their proper context and in caring for chronically ill patients. Life-limiting illnesses have a significant impact on patient, family, and the health system. On the patient, it can decrease his productivity, limit his activities of daily living, limit his mobility, and cause him feelings of depression. Among the family, it can cause them mental health issues like depression; it can also limit their own activities in terms of their employment and social life. It can also financially burden them. As for the health care system, life-limiting illnesses can also cause a huge financial burden on the government with more claims on Medicare and Medicaid. It can also limit the productivity of the government due to reduced productivity of workers. The above discussion implies how important it is for the government to establish a chronic care program which can address the health needs of these patients and minimize the impact of these life-limiting diseases on the patients, their families, and on the health system as a

Saturday, August 24, 2019

Definition Argument Essay Example | Topics and Well Written Essays - 1500 words

Definition Argument - Essay Example She has been able to establish much following due to her popular music. Through various platforms such as facebook and tweeter, Taylor Swift interacts actively with her fans in a system that appears to be a family. Her fan community comprises of fans that are characterized by a feeling of camaraderie and empathy with others who share a common interest. In this case, the fan community is interested even in minor details of the celebrity of their fandom and hence spend a significant amount of energy and time involving with their interest in most cases as a part of a social network. Accordingly, the article will explain the six characteristics of a discourse community as described by Professor John Swales. Taylor Swift’s fun base has demonstrated each of the six characteristics and hence can be classified as a discourse community. A fan community demonstrates a commonness of goals and objectives. According the Professor John Swales, â€Å"discourse community is characterized by the commonness of goal and objectives†(Swales 471). Taylor’s fans are engaged in each and every activity that she engages in. He declares that the community has set and agreed upon a set of common objectives that keeps the community aligned together. The fan community shares the experience the Taylor awesome talent in music. The fan are engaged on a fan page, though having minimal numbers of fans gives the platform to those who have joined share more about Taylor. There are updates on Taylor too such as latest events that Taylor is attending or planning to attend, her trends in fashion through a gallery of photos and some of her music that have remained in the global billboard making her one of the youngest musician to top for close to four years consecutively. In terms of a common goal, Taylor’s fans are mostly up coming musicians and other lover of Americans music. They engage each others on various platforms where they share opinions regarding various singles and albums

PAR (Participatory Action Research) and immigration Essay

PAR (Participatory Action Research) and immigration - Essay Example There are powerful people in every society and this knowledge seeks to unveil the extent to which these people are represented and their positions reinforced. There are different sides to participatory action research. One side shows that experience is a good teacher. Some of the issues encountered in public health and other areas might be the first but the lessons they produce can be used in future judgments. From the two sides, people who teach adults in countries with low income got ideas and went ahead to come up with a unique form of research now known as PAR 1 . This form of research enables researchers to work with people in communities and empower them in making significant changes to their health. This is different compared to most research methods where the community is only used in data collection and the final decisions made by a committee or a group of professionals. With the above information, PAR may be simply defined as a research method whose aim is to understand and make improvements to the world by making a change in it. The communities in subject are highly involved in making these changes. Immigration happens every day in different countries around the world for various reasons. It is a major topic especially in public policy matters in developed countries like the UK. In this report, the PAR approach will be used in finding out what the public perceives of immigrants in the UK, brain drain and the exploitation of immigrant workers. The people’s movement in and out of a country is due to various reasons such as economic and political. People from different countries tend to move to the UK in search of better opportunities. The population in the UK has increased over the years mainly due to an increase in resident immigrants. Perceptions are brought about by the knowledge available to people. One public perception of immigrants in the UK is that they have largely

Friday, August 23, 2019

The Regime Theory Essay Example | Topics and Well Written Essays - 2000 words

The Regime Theory - Essay Example One of the major contributions of the economic theory of the international regime and cooperation has been an elucidation of what the absence of a central authority in international affairs implies for the scope and depth of cooperation (Keohane and Martin 1995). Cooperation and conflicts are key concepts employed in economic theory and power in the international regime. Keohane defines cooperation as a process that necessitates that the acts of different persons or entities that are not in prevailing agreement be got into compliance with each other through the negotiation process (Keohane, n.d.). Conflict refers to the confrontation and clash over divergent interests. The difference between conflict and cooperation is the lack of harmony between and among nations, with the chief difference being whether the actors are willing to change their behavior to each other. Economic cooperation in economic regime occurs when the strategies in reality pursued by one administration are also ad opted by another state with the aim of promoting trade. Economic regime operates under several assumptions. One of the assumptions is that economic regime is utilitarian as it takes that all aspects of decision making may be captured by utility pertinent costs and benefits and that actors maximize a utility function. Secondly, economic regime assumes actors in the international system are rational thinkers, who take into account all available information.   The third assumption is that economic regime takes.... For an international regime to be said to exist, the rules and norms must be operative, so as to specify the impact of international regimes. International regimes are almost similar to global organizations and global treaties (Neumayer, nd). Nevertheless, international regimes are theoretical institutions that are not material occurrences, not like global organizations that have material existence with budgets and personnel staff (Mayer and Rittberger 1997). International regimes have rules that act as international treaties and inherent customs, as well. International regime does not change with the changes in decision making and rules. Rather, the change in decision making criteria signifies a change within an international regime. Nonetheless, a change in the international regime itself happens when principles and norms change (Keohane, n.d.). Differences between economic regime and security regime The regime theory has for a long time addressed on how cooperation can be achieved and sustained in a world that is divided into independent national states. Regime theory has addressed the aspect of cooperation with regards to the environment, economics, security and finance. One of the major contributions of the economic theory of the international regime and cooperation has been an elucidation of what the absence of a central authority in international affairs implies for the scope and depth of cooperation (Keohane and Martin 1995). Cooperation and conflicts are key concepts employed in economic theory and power in the international regime. Keohane defines cooperation as a process that necessitates that the acts of different persons or entities that are not in prevailing agreement be got into

Thursday, August 22, 2019

The Australia immigrant entrepreneurship Essay Example for Free

The Australia immigrant entrepreneurship Essay Australia, one of the most cosmopolitan of contemporary western societies, has a long history of immigrant entrepreneurship, with many ethnic groups significantly over-represented in entrepreneurial activities, particularly in the small business sector of the Australian economy. Immigrant enterprises, mainly small businesses, generate significant economic growth, employment opportunities and import export activity across a broad range of industries in Australia. The experiences of immigrant entrepreneurs in Australia vary considerably, with diversity in pathways to immigrant entrepreneurship in Australia evident for both male and female immigrant entrepreneurs. This means that `one size will not fit all, pointing to the need for a diverse, complex policy response to immigrant entrepreneurship in Australia today. In Australia, immigrants have a slightly higher rate of entrepreneurship (18.8%) than non immigrants (16.3%). However, some immigrant groups, such as the Koreans, have much higher rates of entrepreneurship compared to non-immigrants and other immigrant groups. In order to understand the dynamics of immigrant entrepreneurship (Waldinger et al., 2010), stressed the importance of understanding the interaction between the group characteristics of immigrant communities and the opportunity structure in their host country when they settled. This in turn helps explain the rates of entrepreneurship and the characteristics of immigrant enterprises. Light and Rosenstein (2009) developed the concept of group characteristics in more detail. Immigrants draw on ethnic resources, they argued, which include ‘ethnic ideologies, industrial paternalism, solidarity, social networks, ethnic institutions and social capital’. Immigrants also have access to class and other resources that they bring to entrepreneurship and to the ‘ethnic economy’ (Light and Gold 2010). Immigrant entrepreneurship continued to be a feature in Australia in the post-1945 period as Australia embarked on a large scale immigration program that delivered nearly 7 million immigrants, with immigrants a greater proportion of the Australian population than most other western nations (OECD 2011). The ethnic diversity of contemporary Australian society is reflected in the Australian small business sector. In Australia, as in other countries, restaurants, food and other retailing are areas of the economy with a strong immigrant presence (Collins and Low 2010). Australia is shaped by the intersection of a number of factors: ethnic resources and networks, class resources, regimes of regulation, inclusion/exclusion, opportunity, gender, radicalization and family. Collins and Low (2010) argued that while the international research rightly stressed the extent to which immigrant entrepreneurship is embedded in family relationships with immigrant women playing an important role in their husband’s businesses, it is important to recognize the many immigrant women themselves become entrepreneurs in their own right. One key fact that emerges from the Australian research is the increasing diversity of the paths to immigrant entrepreneurship (Collins 2009). Some immigrants arrive in Australia as successful business migrants with ample start-up capital. Other immigrants arrive with high professional and educational qualifications to enable them to fill labour shortages in the corporate sector, though minority immigrants often reach an ‘accent ceiling’ that constrains their promotion opportunities. Others tread the ‘traditional’ path from low-wage jobs to entrepreneurship. Finally, some immigrants see entrepreneurship as an alternative to unemployment and take advantage of federal government programs to assist the unemployed to establish business enterprise. The Australian research on immigrant entrepreneurship (Collins, 2009) shows that there is increasing diversity in the paths that new immigrants take to entrepreneurship: some were previously unemployed, while others were manual labourers before opening a small business. Some must attain university qualifications that are prerequisites for entering the professions (such as doctors, dentists, accountants and lawyers) and opening a private practice, others leave corporate jobs to become entrepreneurs, while still others, business migrants were already established as entrepreneurs before migrating to Australia. The Australian research also points to a diversity of class background among and between birthplace groups of immigrant entrepreneurs (Collins, 2011) and a great diversity in educational achievement. Australian immigrant enterprises are very diverse, and so policy is required to respond to that diversity. While many immigrant enterprises produce or sell ethnic products such as food, coffee or artifacts, many others do not. Immigrant entrepreneurs are spread across the economy, with businesses in the services sector of the economy, including retail, real estate, finance, media and tourism. Others are professionals such as doctors, dentists and architects who run their own private practices. The Federal Australian Government promotes immigrant entrepreneurship directly though it’s permanent and temporary immigration policy (Collins, 2011). Australia introduced an Entrepreneurial Migration Category in November 1976 to allow immigrant entrepreneurs with detailed business proposals and capital to enter Australia under the permanent migration programme as migrant settlers. Over the years this policy has been fine-tuned in the wake of the identification of anomalies in the programme. Evaluations of this programme suggest that it is largely successful. Today business owners, senior executives and investors can apply for a visa under the Business Skills category. The main problem appears to be in attracting a sufficient number of entrants under this category, with Australia facing strong competition from other Western countries, including Canada. In March 2003 three Business Skills Processing Centres were opened and a two-stage process was introduced, whereby business migrants are granted a Business Skills (Provisional) visa for four years. If they establish a business or maintain their legal investment over the four-year period they become eligible to apply for a Business Skills (Residence) visa, an entrepreneurial pathway to permanent residence in Australia. A direct permanent residence category is still available for high-calibre business migrants sponsored by State and Territory governments, known as the Business Talent visa. In addition to these immigration policy initiatives, a number of Federal Government agencies assist immigrant entrepreneurship, directly or indirectly. One Federal scheme, the New Enterprise Incentive Scheme (NEIS), was designed to assist cash-poor unemployed people in entering the setting-up phase of a business enterprise, allowing them to take advantage of business training and draw on future unemployment benefits during the period in which the business enterprise is being established. The State governments play a key role in the regulation of enterprises in Australia, including those owned by immigrants. These regulations relate to issues such as health and safety requirements and employment conditions, including wages, impacting on immigrant and non-immigrant entrepreneurs. For example, a decision in the 1980s to permit outdoor dining in the State of New South Wales meant that al fresco eating became possible for the first time. Today many immigrant enterprises are concentrated in the food industry, with ethnic restaurants and cafes, most with outdoor tables, in evidence across metropolitan and regional Australia. Ethnic precincts are key spatial sites though, significantly, not the only sites of the ethnic economy in the city (Collins, 2011). In central or suburban parts of the city, ethnic precincts are essentially clusters of ethnic or immigrant entrepreneurs in areas of the city that are designated as ethnic precincts by place marketers and Government officials. They are characterized by the presence of a substantial number of immigrant or ethnic entrepreneurs who populate the streets of the precinct selling food, goods or services to co-ethnics and non-co ethnics alike. Ethnic precincts come in a number of forms. Often they tend to be associated with one ethnic group, as evinced by districts. Each of these ethnic precincts has been developed with the financial and marketing support of local government. Ethnic festivals become key moments in promoting the precinct to a broader clientele, including tourists. Promotion of ethnic festivals is a key element of any strategy to promote immigrant entrepreneurship. Policies designed to develop and promote ethnic precincts (Collins and Kunz, eds,2010), the ethnic economy and urban ethnic tourism(Rath, ed, 2010) will, in turn, help the immigrant entrepreneurs whose small businesses are located in clusters in particular. The important growth in female immigrant entrepreneurship in Australia, like other countries, also suggests a need for policies to be sensitive to matters related to intersection of ethnicity and gender. This area requires further research in Australia. Moreover, minorities face barriers in respect to language difficulties and racism and prejudice, issues that do not confront non-immigrant entrepreneurs. References Collins, J and Low. A. (2010)â€Å"Asian female immigrant entrepreneurs in Small and Mediumsized Businesses in Australia†, Entrepreneurship Regional Development, Volume 22 Issue 1, January 2010, pp 97-111. Collins, J. (2009), â€Å"Ethnic Diversity Down Under: Ethnic Precincts in Sydney†, International Journal of Diversity in Organisations, Communities and Nations, no. 4, pp. 1043-53. Collins, J. and Kunz, P. (2010), â€Å"Ethnic entrepreneurs, ethnic precincts and tourism: The case of Sydney, Australia† in Richards, G. (ed.), Tourism Creativity and Development, London and New York: Routledge, pp. 201-14. Collins, J. (2011), â€Å"Ethnic Diversity Down Under: Ethnic Precincts in Sydney†, International Journal of Diversity in Organisations, Communities and Nations, no. 4, pp. 1043-53. Collins, J. and Kunz, P. (2010), â€Å"Ethnic entrepreneurs, ethnic precincts and tourism: The case of Sydney, Australia† in Richards, G. (ed.), Tourism Creativity and Development, London and New York: Routledge, pp. 201-14. Light, I. and Rosenstein, C. (2009), Race, Ethnicity and Entrepreneurship in Urban America, Aidine de Gruyter, New York.Light, I. and Gold, S. J. (2010), Ethnic Economies, Academic Press, San Deigo.OECD (2010), Open for Business: Migrant Entrepreneurship in OECD Countries, OECD Publishing, Paris.OECD (2011), International Migration Outlook: SOPEMI 2011, OECD Publishing.http://dx.doi.org/10.1787/migr_outlook-2011-en Rath, J. (ed.) (2010), Tourism, Ethnic Diversity and the City, New York: Routledge. Stromback, T. and Malhotra, R. (1994), Socioeconomic Linkages of South Asian Immigrants with their Country of Origin, Canberra: Australian GovernmentPublishing Service. Rezaei (2011) Royal delicacies at peasant prices: cross-national differences, common grounds towards an empirically supported theory of the informal economic activities ofmigrants. World Review of Entrepreneurship, Management and Sustainable Development, 2011, vol. 7, issue 2, pages 109-154 Waldinger, R., Aldrich, H., Ward, R. and Associates (2010), Ethnic Entrepreneurs Immigrant Business in Industrial Societies, Sage, Newbury Park, London, New Delhi. Source document

Wednesday, August 21, 2019

analysis of klinefelters syndrome

analysis of klinefelters syndrome Many chromosomal abnormalities occur early in development and involve the sex chromosomes. Klinefelters Syndrome falls directly into this category. Klinefelters Syndrome is a genetic condition affecting the male population. The following information observes who discovered Klinefelters Syndrome and when it was first diagnosed. The etiology or genetic and environmental factors of the condition are discussed as well as complete description of the disability and the clear diagnostic criteria. The affects of Klinefelters Syndrome are more recognized in adulthood, when it is typically diagnosed. Many Klinefelters patients live out their entire lives without ever knowing they have the condition. Upon conclusion, there should be an adequate amount of information that will give you, the reader, valuable knowledge into the diagnosis and treatment of Klinefelters Syndrome. History Klinefelters Syndrome was first diagnosed in 1942 at the Massachusetts General Hospital in Boston Massachusetts (Schoenstadt, 2006). Dr. Harry Klinefelter was completing his fellowship at the Massachusetts General Hospital when he was assigned to work with Dr. Fuller Albright, also known as the father of endocrinology (Bock, 1993; Klinefelter Syndrome, 2006). Dr. Klinefelter came to examine nine adult men that had a common set of symptoms during the course of his fellowship (Klinefelter Syndrome, 2006). Dr. Klinefelter organized a case study that involved these nine men and their similarities and was encouraged by Dr. Albright to lead the study (Klinefelter Synrome, 2006). The Journal of Clinical Endocrinology was published in November of 1942 with the completed case study of these nine mens similar qualities, which Dr. Klinefelter identified as Klinefelters Syndrome (Klinefelter Syndrome, 2006). The report written by Dr. Klinefelter on these men described them as having testicular dysgenesis, elevated urinary gonadotropins, eunuchoidism, azoospermia, and gynecomastia, all of which have an effect on the underdeveloped size of the testes, the lack of the amount of testosterone produced by the testes, and infertility (Schoenstadt, 2006; Visootsak Graham, 2006). These adult males also exhibit enlarged breast and sparse facial hair (Schoenstadt, 2006). Two groups found out fourteen years after Dr. Klinefelters original description of the syndrome, that the buccal mucosal cells contained an extra chromatin mass or that the cells were chromatin positive (Klinefelter, 1966). Although the patients were described as having a positive female sex chromatin, Dr. Klinefelter states that the patients are phenotypic males and should never be considered otherwise (Klinefelter, 1996). Fourteen years after Dr. Klinefelter first diagnosed Klinefelters Syndrome, another case study was performed to further understand the characteristics that define the condition (Klinefelter Syndrome, 2006). In 1956, Dr. Joe Hin Tjio and Dr. Albert Lavan took the research further to determine the factors that made those men with Klinefelters Syndrome dissimilar from normal adult males through genetic research (Klinefelter Syndrome, 2006; Schoenstadt, 2006). With the advanced experimental methodology available, Dr. Joe Hin Tjio and Dr. Albert Lavan found that humans had 23 pairs of chromosomes, confirming 46 chromosomes, which prior to this time there was thought to be 48 chromosomes (Bock, 1993; Klinefelter Syndrome, 2006). This clarification by Dr. Tjio and Dr. Lavan is the basic foundation for modern cytogenetics, the study of chromosomes and diseases originating from numerical or structural abnormalities in chromosomes (Klinefelter Syndrome, 2006). Dr. Tjio and Dr. Lavan discovered that men with symptoms of Klinefelters Syndrome had an extra sex chromosome that created the chromosomal arrangement of XXY, which is distinct to the normal male chromosomal arrangement of XY (Klinefelter Syndrome, 2006; Schoenstadt, 2006,). Klinefelter Syndrome was still believed to be an endocrine disorder of unknown etiology at this time (Visootsak Graham, 2006). In 1959, just three years after Dr. Tjio and Dr. Lavan made their historical discoveries, an English researcher by the name of Dr. Patricia Jacobs and her associate Dr. J. A. Strong published a study supplementing earlier studies (Klinefelter Syndrome, 2006; Noble, 2003). Dr. Jacobs and Dr. Strong found the link between the endocrinal disease and the extra X sex chromosome (Noble, 2003). Dr. Jacobs linked forty-seven chromosomes in Klinefelters Syndrome males and determined it to be the X chromosome, which she considered an aneuploidy defined as an unusual number of chromosomes and labeled 47, XXY (Bock, 1993; Klinefelter Syndrome, 2006; Schoenstadt, 2006). The 1970s brought forth a larger examination of males born with Klinefelters Syndrome (Bock, 1993). During this time doctors began screening newborn male babies for the extra chromosome (Bock, 1993; Visootsak Graham, 2006). The most significant of the studies done at this time was sponsored by the National Institute of Child Health and Human Development (NICHD) whom examined over forty thousand infants for this extra chromosome (Bock, 1993; Visootsak Graham, 2006). This study was important for the reason that most studies done prior to the 1970s were biased and primarily done on adult males in mental institutions and the penal system (Visootsak Graham, 2006). At this time is when the prevalence of Klinefelters Syndrome was noticed as frequently as one in five hundred to one in one thousand male newborns (Bock, 1993; Visootsak Graham, 2006). Also observed in this study was the reduction in speech and language abilities as well as decreased reading and spelling achievement (Bock, 1993; Visootsak Graham, 2006). Along with these disabilities, Klinefelters patients are characterized by an increased tendency towards fertility, endocrinal, and psychiatric disorders (Noble, 2003). This study demonstrated that most but not all of these males born with the extra chromosome will have these characteristics, and many demonstrate varying degrees of the characteristics (Bock, 1993; Visootsak Graham, 2006). Based on this research it has been found that the extra X chromosome that causes Klinefelters Syndrome is very common, however, the symptoms and characteristics that are most recognizable are quit uncommon (B ock, 1993). Most males are not diagnosed as having Klinefelters Syndrome until they reach adulthood, and many that have the syndrome are never diagnosed as having this chromosomal defect at all (Bock, 1993). One pediatrician at the University of Colorado Medical School in Denver and the director of the National Institute of Child Health and Human Development (NICHD) during the major screening research referred to these newborn males as not having Klinefelters Syndrome because of the possibility that the characteristics may not develop into a syndrome (Bock, 1993; Visootsak Graham, 2006). Etiology and Genetic Factors Every normal human cell has 46 chromosomes that are made up of 23 pairs (Stewart, 2007). Of these 23 pairs, there are 22 that are exactly the same in both males and females called autosomes (U.S. National Library of Medicine, 2010). The 23rd pair of sex chromosomes is what makes males and females different in that the male will have only one X and Y chromosome whereas the female will have two copies of the X chromosome (Stewart, 2007; U.S. National Library of Medicine, 2010). During the formation of the egg and the sperm, or gametes, the chromosomes are halved through a process called meiosis (Stewart, 2007; The Dorsey, 2009). Cells that carry a single chromosome such as the X or Y chromosome are called haploid cells (The Dorsey, 2009). When the egg and sperm join carrying 23 chromosomes each they create the fertile egg, or zygote, which has two haploid sets of chromosomes (The Dorsey, 2009). Therefore, the baby receives two copies of each chromosome, 46 total chromosomes, just like the parents (Stewart, 2007). The extra X in Klinefelter Syndrome is caused from either nondisjunction or anaphase lag. Nondisjunction occurs when the chromosome pairs do not separate as they are intended in the meiosis I or meiosis II stage (Pineyard Zipf, 2003; Stewart, 2007). When this happens there may be a chromosome pair with 24 chromosomes instead of the 23 chromosomes (Stewart, 2007). If this chromosome pair of 24 joins with an egg or sperm with 23 chromosomes then it results in a karotype with 47 chromosomes (Stewart, 2007). In this case there will be three copies of chromosomes rather than the usual two copies of chromosomes (Stewart, 2007). The sperm or egg may donate the extra X chromosome at conception causing a chromosomal abnormality (Mayo Foundation for Medical Education and Research, 2008; Stewart, 2007). This forms the XXY chromosomal formation, which is diagnosed as Klinefelters Syndrome. At least half of 47, XXY conceptions are spontaneously aborted (Pineyard Zipf, 2003). The chromosomal abnormality is random and not known to be caused by any environmental factors (Genetic Science Learning Center, 2010; Mayo Foundation for Medical Education and Research, 2008; National Institute of Health, 2007). This anomaly happens entirely by chance and is unrelated to family history prior to the male childs birth (Mayo Foundation for Medical Education and Research, 2008). This is to say that the male embryos likelihood of being born with Klinefelters Syndrome is not increased or decreased by what the parent does or does not do (Mayo Foundation for Medical Education and Research, 2008). Klinefelters Syndrome is not affected by race (Chen, 2010). This is a completely random occurrence of the sex chromosomes not successfully separating during the formation of the egg or the sperm (Genetic Science Learning Center, 2010). Once this occurs the extra chromosome is then copied into every cell of the embryo (Genetics Science Learning Center, 2008). There are extremely rare cases when there may be three or four extra X chromosomes in all copies of the cells known as 48,XXXY or 49, XXXXY (Stewart, 2007). The 49, XXXXY mosaic is also known as Fraccaros Syndrome and is the most rare form of Klinefelters Syndrome (Duenas et al., 2007). This rare chromosomal abnormality results in more exaggerated features of Klinefelters Syndrome (Stewart, 2007). There are instances where an extra X chromosome is found in only some of the cells (Stewart, 2007). This can be found as two different chromosomal patterns (Stewart, 2007). One pattern occurs when some cells have 46 chromosomes and some have 47 chromosomes (Stewart, 2007). The other pattern is called the mosaic XXY syndrome, or chromosomal mosaicism, and affects approximately six percent of these cases, with the most rare cases being the 48, XXXY or the 49, XXXXY, or other arrangements of X chromosomes (Stewart, 2007). The mosaic XXY syndrome occurs only after conception from a mistake in cell division (Stewart, 2007). Anaphase lag is a result of a gamete lacking a sex chromosome (Klinefelter, 1966). When this chromosome lags it is not incorporated into the new cell during the mitosis stage (Kinefelter, 1996). Anaphase lag is thought to be a reason for the mosaic variations of Klinefelters Syndrome (Klinefelter, 1966). Although the chromosomal abnormality of 49, XXXXY is considered to be a variant form of Klinefelters Syndrome, it appears to have a very independent, distinct phenotype (Duenas et al., 2007). Males that show the 49, XXXXY chromosomal structure have much more severe clinical features than that of a Klinefelters Syndrome male (Duenas et al., 2007). This is the most rare of the Klinefelters Syndrome variants and has been reported in over one hundred cases with the frequency being approximately 1 in 85,000 newborn males (Duenas et al., 2007). There have been reports of an even more extreme variant of Klinefelters Syndrome mosaic in newborn males (Duenas et al., 2007). This variant is a 47, XXY/48, XXXY/49, XXXXY mosaicism and has only been reported in three cases according to a researcher in Mexico (Duenas et al., 2007). This means that the male newborn would have the whole spectrum of XY variations. Another variant that affects only males is the 46, XX chromosomal variation (Bock, 1993). This condition occurs when individuals have two X chromosomes in each cell, but are male in appearance. These individuals have male external geniltalia. These individuals also have small, undescended testes possibly along with an urethra opening on the underside of the penis. A small amount of 46, XX Males have external geniltalia that dont clearly resemble either male or female genitalia. These individuals are typically raised male. Phenotypically, there are three groups of these sex-reversed individuals. The first group includes phenotypically normal XX Males, the second group includes the males with genital ambiguities, and the third group is the true hermaphrodites (Bock, 1993). Description of Characteristics or Traits Klinefelters Syndrome has only one constant physical description and that is the small testicular size (Visootsak Graham, 2003). Boys with Klinefelters Syndrome have variable phenotypic characteristics with no obvious facial dysmorphology (Visootsak Graham, 2003). The presence of gynconemastia, or enlarged breast, and other findings of eunuchoid body habits and sparse body hair vary (Visootsak Graham, 2003). Eunuchoid or eunuchoidism is defined as an abnormal condition in males, characterized by underdeveloped reproductive organs with some female characteristics, such as a higher voice or the lack of facial and body hair that results in the lack of male sex hormones (Eunuchoidism, n.d.). Gonadotropins are produced by glands, such as the pituitary, and can result in sparse body hair when not produced adequately (Gonadotropin, 2010). The medical dictionary states that eunuchoidism is marked by a deficiency of sexual development with the persistence of prepubertal characteristics, and often has the presence of characteristics that are typical of the opposite sex (Eunuchoidism, n.d.). Another likely characteristic is azoospermia (Schoenstadt, 2006; Visootsak Graham, 2006). Azoospermia is defined as having little or no sperm count (Azoospermia, 2010). Testicular dysgenesis, or gonadal dysgenesis, is another characteristic of Klinefelters Syndrome (Schoenstadt, 2006; Visootsak Graham, 2006). Testicular dysgenesis is considered a reproductive system developmental disorder that causes a progressive loss of primordial germ cells, or cells that create gametes, in the developing gonads of an embryo (Gonadal dysgenesis, 2010). This gonadal dysgenesis can lead to the extremely hypoplastic, or underdeveloped, and disfunctioning gonads mainly composed of fibrous tissues (Gonadal dysgenesis, 2010). Most infants and children with the 47, XXXY chromosomal abnormalities go through normal growth stages. It is not until puberty that the Klinefelters Syndrome characteristics or traits become more prevalent and noticeable (Visootsak Graham, 2003). There is a significant increase in height between the ages of five and eight (Visootsak Graham, 2003). Another characteristic of Klinefelters Syndrome is the elongated length of arms and legs (Klinefelter, 1966). There is a decrease in androgen production that causes the secondary sexual characteristics to not fully develop (Visootsak Graham, 2003). An androgen is any substance such as androsterone or testosterone that supports male characteristics (Androgen, n.d.). Typically Klinefelters males are infertile (Visootsak Graham, 2003). However, there have been cases of impregnation without the assistance of medical technology (Visootsak Graham, 2003). Autoimmune diseases such as juvenile arthritis can also be present in Klinefelters adolescents. Whereas boys with Klinefelters Syndrome are generally tall with long limbs and remain thin until puberty, they tend to suffer from obesity latter in life. Neurocognitive effects of Klinefelters Syndrome may be more subtle than that of the physical stigmata. Klinefelters males have been found to have relative deficits on verbal IQ subtests and have verbal IQ scores around 20 points lower than those of unaffected siblings. There are also deficits in articulation, word finding, phonemic processing, verbal memory, language comprehension, oral expression problems, as well as linguistic processing speed. It seems that the speech/language problems and some motor deficits are most common in Klinefelters males that have an extra X chromosome. Ninety-two percent of individuals with Klinefelters Syndrome confirm difficulty learning to read. Seventy percent had reading achievement discrepancies or absolute reading deficits on standardized testing. A group of boys with mental retardation and suspicion of fragile X were subject to a genetic screening and the results showed that eight of these boys had Klinefelters Syndrome. Most of the more extreme verbal, visuospatial, and motor skills, such as found in mental retardation and fragile X syndrome are typically spa red. However, some boys with Klinefelters Syndrome suffer from poor manual dexterity and are commonly found to be clumsy and below average in sports (Wodrich Tarbox, 2008). There are many different factors that may underlie linguistic and reading problems. One possibility is a dysfunction of the left hemisphere that may be related to diminished gray matter or a lack of hemispheric asymmetry, or both. It is also possible that executive and frontal deficits may be a cause (Wodrich Tarbox). There is evidence that language is a fundamental issue for Klinefelters children and this can result in further scholastic issues. This problem seems to manifest as dyslexia as defined by poor reading in the setting of normal intelligence. Klinefelters males have also been observed to have difficulties with arithmetical functions. The deficits in auditory processing and verbal memory are the two key cognitive processes that underlie these difficulties. These deficits are also true for normal chromosomal children with dyslexia. The findings are supportive of the concept that defects in frontal systems seem to be caused by a language-based, left frontal-systems problem (Geschwind Dykens, 2004). Adult Klinefelters males have reported to have difficulties with mental flexibility (Wodrich Dykens, 2004). Even with these studies, it should be noted that not all adults that have Klinefelters Syndrome show these classic patterns of verbal deficits that are observed in children (Geschwind Dykens, 2004). However, these findings are not appropriate for all Klinefelters males, many of which complete high school and move on to post-secondary education successfully (Wodrich Tarbox, 2008). Two characteristics that has been falsely associated with Klinefelters males in the past, is sociopathy and criminal behavior. There is, contrary to this belief, fewer psychiatric problems reported among these individuals. However, there are commonly traits of introversion, unassertiveness, and a paucity or lack of ambition. There are also possible traits of impulsivity and social inappropriateness (Wodrich Tarbox, 2008). A Reiss Profile of Fundamental Goals measurement was used to assess the degrees of which Klinefelters males were motivated in 15 domains (Geschwind Dykens, 2004). The Reiss Profile generates a profile that is based on the motivational sensitivities across the domains of aversive sensations, citizenship, family, curiosity, honor, independence, food, order, physical exercise, rejection, power, sex, social contact, vengeance, and social prestige. The Reiss Profile is a well-established psychometric measure that is being used more and more to assess people with and without mental retardation (Geschwind Dykes, 2004). The results suggested that the Klinefelters male group was not particularly motivated by the need for social prestige, independence, or the desire to seek vengeance. This group was also not motivated to avoid physical pain. The general motivator for all the Klinefelters males in this group was curiosity. There were no age effects to this study (Geschwind Dykes, 2004). Characteristics in Adulthood There is a persistent deficiency of androgen in adulthood that can result in the loss of libido, decreased muscle bulk and tone, decreased bone density, a propensity for thromboembolism (an obstruction in a vein or artery from a blood clot), and an increased risk of mortality from cardiovascular and diabetic complications. A common characteristic for Klinefelters adults is gynecomastia (Wattendorf Muenke, 2005). Gynecomastia involves the risk of developing breast carcinoma. There is 200 times more of a risk for Klinefelters males to develop breast carcinoma than other karyotypically normal individuals. This may be a result of the estradiol (the prominant sex hormone in females) to testosterone ratio being so much higher that karyotypically normal men. Another possibility is that it is caused by the increase of peripheral conversion of testosterone to estradiol (Visootsak Graham, 2006). There are different views as to whether Klinefelters adult males are more aggressive or have a greater chance of psychological issues depending on the resource. One study describes the differences as relative to individual testosterone levels and the age at which they received the diagnosis (Morris, Jackson, Hancock, 2009). Equally, there is an impact from the way the diagnosis is reacted to by the Klinefelters male, the family, and friends or peers. The seven major themes that emerged from this study were the diagnosis, the testosterone treatments, health care problems, appearance, self-identity, relationships, and school and education. Of the Klinefelters adults studied, 60 % reported clinical levels of anxiety and 34% had clinical levels of depression. The results of this study show that a prolonged lack of testosterone can have far reaching negative effects on the Klinefelters adult (Morris, Jackson, Hancock, 2009). The historical studies show a disturbingly increased risk for psychiatric disturbance, criminality, and mental retardation. However, these results are outdated and extremely questionable given the initial examinations were given to institutionalized populations (Chen, 2010). Differential Diagnosis Classic Klinefelters Syndrome, 47, XXY, cases make up approximately 80-90% of all Klinefelters diagnosis. There are approximately 6-10% of these cases that are mosaics, which are the cells with 46, XY/47, XXY; 46, XY/48, XXXY; and 47, XXXY/48, XXXY (Chen, 2010; Visootsak Graham, 2003; Visootsak Graham, 2006). In 5% of the cases there are two X chromosomes without a Y chromosome or 46, XX (Visootsak Graham, 2006). The other cases were karyotypes 48, XXXY, 48, XXYY, 49, XXXXY, and 49, XXXYY (Visootsak Graham, 2003). Approximately 1% of these cases are due to a structurally abnormal X with a normal X and Y chromosome described as kayotypes 47, X,i(Xq)Y and 47, X,del(X)Y (Chen, 2010). Klinefelters Syndrome variants occur much less frequently than the classic 47, XXY chromosomal abnormality (Bock, 1993; Visootsak Graham, 2006). Klinefelter variant 48, XXXY is characterized by being average or tall stature with ocular hyperterlorism, which are widely spaced or deep set eyes; flat nasal bridge; curving of the fifth finger, or clinodactyly. Other characteristics are small penis and testicles with hypergonadotropic hypogonadism, which is the absence or decrease in function of the male testes. Theses individuals intelligence quotients range from 40-60. Variant 48, XXYY is characterized by having a tall stature, an eunuchoid habitus with long legs, sparse body hair, small testicles and penis, hypergonadotropic hypogonadism and gynecomastia. These individuals intelligence quotients range from 60-80. Males with variant 49, XXXXY are severely affected. They have smaller than average head circumference also known as microcephaly, short stature with ocular hypertelorism, flat nasal bridge, and upslanting palpebral fissures. Cleft palates are present along with small geniltalia and a heart defect known as patent ductus arteriosus. These individuals intelligence quotients range from 20-60. (Visootsak and Graham, 2003). Klinefelters Syndrome 47, XXY, has no major physical signs, which explains why it may go undiagnosed or misdiagnosed throughout an individuals life. Also with no physical signs, it is truly only diagnosed when genetic testing occurs for a variety of unrelated reasons. Klinefelters Syndrome may be diagnosed prenatally or during early childhood, as an adolescent during puberty, or as an adult when there are recognized fertility problems (Bock, 1993). Klinefelters Syndrome can be diagnosed prenatally through amniocentesis or chorionic villus sampling (Bock, 1993). These tests are normally done if the pregnant woman is older than 35, if there is a family history of genetic defects, or when other medical indications exist (Bock, 1993). A pediatrician may suspect a male child as having Klinefelters Syndrome if there are delays in learning to talk or difficulties in reading and writing as well as physical abnormalities during adolescence (Bock, 1993). Treatments and Interventions All hope is not lost when it comes to the treatment and interventions of the undesirable traits and characteristics that males diagnosed with Klinefelters Syndrome may display or develop. It is recommended that Klinefelters males have a comprehensive neurodevelopmental evaluation as soon as they have been diagnosed. A multidisciplinary developmental evaluation can determine the appropriate treatments during infancy and early childhood. These treatments may include physical therapy, infant simulation programs, and speech therapy (Wattendorf, 2005). If the language difficulties are detected in childhood, then there is more of a possibility for intervention. The language barriers that Klinefelters males may have to cope with can not only affect their academics, it can obstruct their building of social relationships and learning social skills necessary for these relationships. Here is where the Klinefelters child could benefit from a social skills training program. In a social skills training program, the Klinefelters child will be able to practice talking and listening, observing childrens making friends processes, sharing of information, attitudes, and beliefs. This will also assist them in proper classroom behavior and playground behavior. Language disabilities and barriers can prevent Klinefelters males from fitting in socially, so this kind of intervention and assistance can benefit the child greatly. Hearing can be an issue if frequent ear infections occur. Hearing test and screens should be done to ensure that a hearing impairment is not a part of the language difficulties. If the Klinefelters child is not communicating effectively with single words by the ages of 18 to 24 months, then consultation with a speech and language pathologist will be very beneficial (Klinefelter Syndrome Information, 2002). Teachers should be informed of the difficulties that a Klinefelters child may be dealing with in the classroom. A teacher may consider the Klinefelters child to be lazy and daydreaming and a teacher may even forget the child is even in the room. This can result in the Klinefelters child falling behind and eventually being held back a grade. Under the Public Law 94-142, the Individuals with Disabilities Education Act, adopted by Congress in 1975, all children with disabilities have a right to a free, and appropriate public education (Klinefelter Syndrome Information, 2002). Once the Klinefelters male reaches puberty there is usually an inability to produce a normal amount of testosterone. This along with hypogonadism can result in impaired bone mineral density and skeletal muscle development. Also associated with testosterone deficiency is a decrease in libido and energy (Wattendorf Muenke, 2005). Androgen therapy or Testosterone Treatment should begin by time the Klinefelters male reaches middle school, approximately 12 to 14 years of age, based on the level of pubertal development (Klinefelter Syndrome Information, 2002; Wattendorf Muenke, 2005). Testosterone Treatment will ultimately increase the muscle size and strength, as well as, promoting the growth of body and facial hair. It must be noted that Testosterone Treatments can also bring on psychological changes. It is important to adequately inform the parent(s) and the child of these changes so that they can make the most informed decision (Klinefelter Syndrome Information, 2002). There are diff erent ways to receive Testosterone Treatment and that is through injections, transdermal (patches, gels, or creams), orally, or implantation. The kind of testosterone injection will depend mainly on the dosage used and the country in which you receive the injections. Some injectable testosterone esters are Testosterone enanthate, Testosterone cypionate, Sustanon, Testosterone propionate, Testosterone phenylpropionate, Omnadren, and Aqueous testosterone suspension. Types of transdermal patches are Androderm and Testosterone TTS. Two different kinds of testosterone gels and creams are Androgel, and Testim. A few oral supplements include Methyltestosterone and Testosterone undecanoate. The last form of Testosterone Treatment is the Subcutaneous testosterone pellet, which is delivered by implanting a pellet of pure, crystalline testosterone under the skin of the buttocks or abdomen (Testosterone Types and Delivery, n.d.). Adult males with Klinefelters Syndrome usually develop gynecomastia which predisposes men to breast cancer. Therefore, it is important that Klinefelters males do monthly breast examinations. If gynecomastia causes psychological or physical problems, then possible treatment would be cosmetic surgery to remove the breast tissue (Wattendorf Muenke, 2005). Swerdlow et. al (2005) stated that men with Klinefelter Syndrome have elevated risks of several cancers. Prostate cancer, along with breast cancer was more prevalent. Men with Klinefelter Syndrome are also at a substantially higher risk for non-Hodgkin lymphoma, and possibly lung cancer. Breast cancer risk is higher in 47, XXY mosaics. Adult males may face possible infertility issues due to the lack of testosterone production, but if diagnosed early on, this can be minimized and they will be able to reproduce without outside assistance. Summary Klinefelter Syndrome is one of the more recently discovered medical syndromes. Klinefelter Syndrome is not one that causes major dysfunctions and is usually only discovered during genetic testing for infertility or during prenatal testing due to maternal age or prior genetic issues within the family. Because Klinefelter Syndrome has not had a lot of research until the last few years, there is no federal funding set aside for this syndrome. Families with sons that are found to be affected by it have no real support system that is knowledgeable of this syndrome and have to research on their own and create resources to fit their situation as none are available in most areas.

Tuesday, August 20, 2019

I Have a Dream

I Have a Dream Speech of Heart: a personal response to â€Å"I Have a Dream†. America was built by the people who were searching for freedom and equality; they met in a new land and started to build it as a land of freedom. Ironically, over 100 years after the Independence Day of America, freedom and equality were still unattainable luxury for many people, especially people from different races than white. Non-white Americans had to suffer through racial injustice and discrimination. One of the greatest activists who fought against those inequalities was Martin Luther King Jr. In his momentous speech, â€Å"I have a dream†, King called for racial equality and the end of discrimination. The speech consolidates my belief that people from different races have the right to be treated equally. It also reminds me how hard it was to gain freedom and justice, and encourages me to stand up and make dreams come true. With allusions invoked from widely respected sources as Bible, the United States Declaration of Independence, the Emancipation Proclamation, and the United States Constitution, King described how disappointed his fellow blacks were when the government broke their promises by giving his fellow a â€Å"bad check†. The blacks suffered numerous inequalities; they had to drink â€Å"from the cup of the bitterness and hatred†. The inequality was not even covered up; there were buildings with â€Å"For Whites Only† signs including the voting places. But King still believed in justice, believed in his â€Å"dream†: â€Å"we are free at last†. He was not dreaming for African American only, he dreamed for a world of equality, a world where people from different races are treated equally. The American government also contributed to disappoint their black citizens by breaking their promises, which also disappoints me. After the declaration of the Emancipation Proclamation, the blacks expected that the Government would do what they promised: providing the â€Å"unalienable Rights† of â€Å"Life, Liberty and the pursuit of Happiness†. But then, the Government exposed their unreliability giving to their black brothers a â€Å"bad check†, they left their citizens â€Å"lives on a lonely island of poverty†. In my opinion, Government is the organization that supposed to archive what it promised but in this situation, they lured African Americans to join their army with the promise of freedom and wealthy then leave them with poverty after the war. I could barely hold my anger when I know that the American government had treated non-white Americans as they were not official Americans. I feel so depressed when I listen to the first part of Kings speech about the unfairness that the blacks had to struggle with before they gained their civil rights. â€Å"Five score years† after the Emancipation Proclamation was signed, the African-Americans still were segregated. Although they were considered American citizens on paper, they were not treated as such. Despite the fact that there was no longer slavery, blacks were still treated as inferior; they were not allowed to vote, they were not allowed to go to places specifically designated as â€Å"For White Only†, and they were even absurdly prohibited from sitting at the front rows on buses. I cannot accept the way that some Americans treated their black brothers and sisters back then, it was racism. It is so bad knowing that black people were treated as even lower than the lowest class in American society. I am impressed and encouraged by Kings strong belief in justice and his disregard for his situation. King said â€Å"we refuse to believe that the bank of justice is bankrupt†, â€Å"we hold these truths to be self-evident, that all men are created equal†. They did not just dream, they were ready to fight for what they believed, King described their willing by this say â€Å"to work together, to pray together, to struggle together, to go to jail together, to stand up for freedom together, knowing that we will be free one day†. Those quotes emphasize that despite all the unfairness that they had to suffer through, the bad treatments from their white brothers and the lies from their government, they still believed in justice and wanted to â€Å"make justice a reality†. I admire the blacks; they kept their belief and fought for it no matter what obstacle they might encounter. The speech alarms me that believing and doing must go together in order to archive a goal. Another detail that makes me admire King is that he had led his fellows on a peaceful-war. He suggested that his followers should not use â€Å"physical violence† in their battle because he understood that he was fighting for peace and peace cannot be created by hurting the others. And he also said â€Å"we must rise to the majestic heights of meeting physical force with soul force†. Although he was bursting to gain freedom and racial equality for his race, he tried his best to avoid any physical conflict. I am inspired by the dream of King, a world of equality, brotherhood and freedom. In that world, everyone can â€Å"be able to sit down together at the table of brotherhood† no matter what color they are, no matter where they are from. People will erase all of the bad memory of slavery and injustice, they will not think about themselves as superior or inferior. In that world, people will be treated equally and â€Å"not be judged by the color of their skin but by the content of their character†. There will be no barriers between religions and races â€Å"black men and white men, Jews and Gentiles, Protestants and Catholics, will be able to join hands†. The world in Kings dream inspires me with its beauty, there is no such thing more beautiful than an equal, happy and peaceful world. Through the speech, I was touched by the great love of King for his nation. That love was first showed in his care for his fellow blacks, an indispensable part of America. Besides that, he had implied his patriotism through his speech â€Å"this nation will rise up†, he wanted to â€Å"transform†¦ our nation in to a beautiful symphony of brotherhood†. He does not just love and care about his followers but also care about and love his white bothers â€Å"Their freedom is inextricably bound to our freedom†. It is a great love of a patriot for his country and its citizens. In my opinion, King was willing to fight for his country, which is what makes him unforgettable in hearts of Americans. The speech was delivered from the heart of a man who was willing to exchange anything he had for freedom and civil right for his country. His persistence has inspired me; it makes me want to stand up for my dreams and my rights. It also makes me appreciate the freedom that I have because I know to create it; many people had sacrificed even their lives. Kings works have been continued by many activists, he would love it if he could see that.

Monday, August 19, 2019

Dances With Wolves Essay -- Movies Native Americans History Papers

Dances With Wolves No matter how you choose to categorize human beings, whether by race or religion, nationality or gender, the resultant categories will display at least one immutable constant. Each group, no matter how diverse their beliefs or how dissimilar their behaviors, will contain men of honest and peaceful natures as well as men of divisive and violent natures. In the film Dances With Wolves, we are exposed to two distinct categories of people inhabiting post civil war America, the white man and the Native American. We, most likely, begin the movie with defined ideas as to which group contains honest, peaceful men and which group contains violent and savage men. We are, however, exposed to behaviors which are in opposition to the accepted stereotypes associated with these groups. As we move through the film we are taken from the comfortable starting point of our existing stereotypes into new territory, both literally and philosophically. The film accomplishes this by allowing us to journey wi th John Dunbar, a man who is as open minded and free of preconceived notions as the originally empty journal on which his new ideas and understandings are written. Through his experiences we are exposed to the sharp contrast between the violent and crude, as well as the peaceful and thoughtful natures of men. With every exposure we are purposefully moved further and further away from what may have been our preconceived notions regarding these groups of people. Through John's eyes we are first exposed to the world of the white man embroiled in the carnage and butchery of the Civil War. The gruesome hospital scene only emphasizes the fact that life in the "civilized" world can be anything but. A brief contrast is made when the... ...bar, separate ourselves from them. The film Dances with Wolves provides us with an opportunity to journey out of a comfortable world which may be founded on hastily established stereotypes, into a world of truth. It begs us to deal with people from a position of knowledge and understanding, rather than one of ignorance clothed in superiority. It shows us enough of our own shortcomings to make us see that we could also be the victims of generalizations made by others based on the behaviors of the few. It presents us with a poignant example of what can be lost when people become what they claim to be fighting. It is a message that is as applicable today as it was in the time of the American West. Works Cited: Costner, Kevin, dir. Dances with Wolves. Perf. Kevin Costner, Mary McDonnell, Graham Greene, and Rodney A. Grant. 1990. Videocassette. Orion, 1991.