Thursday, August 8, 2019
Internet and Democracy Essay Example | Topics and Well Written Essays - 2250 words
Internet and Democracy - Essay Example Internet communication is probably the fastest way of communication. The introduction of internet and other computer-based communication technologies has opened up many possibilities in different aspects of human life. Distance is no longer a constraint for information interchange because of the advanced internet and wireless technologies. Even the outer universe communication and data analysis are made possible with the introduction of wireless technology and internet. Most of the common people believe that internet is just for information interchange only. But the internet can influence other regions of the human life as well. It can assist job seekers in getting jobs, it can assist students in improving their learning potentials, it can act as an excellent medium for advertisement, it can act as a market where people can sell and purchase goods or services etc. Even the politics seem to be one beneficiary of the internet. In early 90ââ¬â¢s it is believed that internet can enhan ce the political process of democracy immensely. Though internet requires a lot of financial and intellectual investments, the lack of centralized control over the internet raised doubts about the implementation of internet technologies for the strengthening of democracy. ââ¬Å"Democracy involves a separation of powers and popular participation in governmental affairs. During the era of the Enlightenment and 18th-century democratic revolutions, public spheres emerged where individuals could discuss and debate issues of common concernâ⬠(Douglas Kellner). Democracy can be defined as a system in all citizens can directly participate in the decision-making process. Proponents of democracy believe legislative, judicial, and executive powers should be handled by the people. Or in other words, the representatives in these three sectors must be appointed by the people.
Wednesday, August 7, 2019
The Rule of St. Benedict and the Prayer of St. Francis Essay
The Rule of St. Benedict and the Prayer of St. Francis - Essay Example The monastic tradition, through the history of the Church, has gone through drastic changes and the religious rules of the monastic people were formulated by the monastic traditions of each period. The Rule of St. Benedict was the most prominent religious rule in the sixth century which was formulated according to the demands of the time. There was drastic change in the way the religious rules of monasticism were formulated and the views regarding such rules changed from one monastic tradition to another. A comparative analysis of the selection of readings from the Rule of St. Benedict and the Prayer of St. Francis drawn from the Christian Monastic tradition in the textbook explicitly suggests the different contexts of the monastic tradition. It is most essential to consider that both of these texts, despite their apparent differences, make sense in the context of the monastic traditions as they reveal the characteristics of the religious rules concerning monasticism in the various p eriods of Church history. The selection from the Rule of St. Benedict which belongs to the first half of the sixth century tells about the rules concerning excommunication for faults and it hints the severity of the religious rules of the period. The Rule of St.
Education on health promotion Essay Example for Free
Education on health promotion Essay
Tuesday, August 6, 2019
Dance - Girl Essay Example for Free
Dance Girl Essay Dance, Girl, Dance is a film from the Classical Hollywood period that presents a complicated reading when viewed through a feminist lens. The 1940 film was directed by Dorothy Arzner, one of the most notable female directors and the only prominent woman in Hollywood at that time. Arzner presents her audience with an array of female characters, the main characters being Judy Oââ¬â¢brien and Bubbles/Tiger Lily White. Judy is a dedicated dancer, honing her talents as a ballerina. Bubbles, on the other hand, uses her looks and sexuality to land jobs as a burlesque dancer. Dance, Girl, Dance reveals these charactersââ¬â¢ experience in a dance troupe with several other girls. When the troupe disbands, Bubbles comes to offer Judy a humiliating job as her stooge. As tensions rise, the two eventually come to blows, quite literally, when both fall for the same man, Jimmy Harris. Through their relationship with each other and with men, a dynamic is defined that gives insight into the power of the male gaze and sexual politics, not only in the film but also in society at large in the context of 1930s America. This can be seen in the analysis of a particular scene near the beginning of the film. Judy and one of her roommates, Sally, are preparing for bed after their performance at the nightclub in the opening scene. Bubbles, their third roommate, arrives at home after a disappointing outing with Jimmy. This scene specifically highlights the contrast between the personalities of Judy and Bubbles, and speaks to the many ways female characters are coded based on their sexuality and appearance. The analysis of the scene begins at the moment Bubbles enters the room. She comes into the frame through the doorway in a medium shot. It is important to note her costume, as it speaks to her character. She is wearing makeup, jewelry, a fox fur stole around her shoulders and a feathered hat. One may get the impression that she is trying to look as glamorous or ostentatious as possible on her limited budget. At this point, Bubbles has already been partly established as a brash woman who does not shy away from her ability to attract men. This can be contrasted with Judyââ¬â¢s costume during this scene, modest button-up pajamas. The scene continues as Bubbles enters the tiny apartment. She turns on the light, when Judy whispers that Sally is asleep from off camera. Bubbles leaves the light on, looks down at Sally in the bed, and proceeds to loudly close the door while muttering ââ¬Å"So, what? â⬠As she delivers her dialogue, the camera follows her as she walks to her bed, panning over to include Judy in a two shot. One key element in this simple interaction is the difference of attitude toward female solidarity between Bubbles and Judy. Judy obviously cares to not disturb Sally, while Bubbles seems disappointed and only concerned with her own problems at this point. Then, the camera cuts to a close shot of Sally lying in bed, smiling and clearly awake. She then closes her eyes and continues to try and sleep, rendering her unimportant to the rest of the scene. The next cut brings us back to a long, two shot of Bubbles and Judy as they discuss what happened to Bubbles that evening. Bubbles is explaining how she had gone out with Jimmy, but he suddenly left her at the bar after giving her a little stuffed bull. In this shot, Bubbles is in the foreground, a little closer to the camera than Judy, making her appear slightly larger. This could be interpreted as signifying her social dominance over Judy, and the fact that she ââ¬Å"stoleâ⬠Jimmy from Judy earlier that evening. Bubbles dismissively tosses the bull onto a chair in front of Judy. Judy picks it up, stating ââ¬Å"Itââ¬â¢s cute. â⬠Bubbles tells her that she can have it. The audience is clearly meant to get the impression that the token of the night has no significance to Bubbles, and she is merely disappointed that she could not add Jimmy to her list of men to dote on her occasionally. The camera stays stationary as Bubble walks to the background of the shot and sits on her bed. Judy gently places the bull back on the chair, already showing signs of her eventual fetishization of the bull and Jimmy. Then, she continues to bend and stretch her legs, as Bubbles pouts behind her. It is interesting to point out that as Judy resumes her exercises, she has gained the ââ¬Å"high groundâ⬠of the shot. The reminder of her status as a dancer, a more artful and talented dancer than Bubbles, means she is the larger, more significant character in the frame now. The focus has moved from Bubbles proficiency as a female spectacle, completely at home under the male gaze, to Judyââ¬â¢s proficiency as a ballerina, with no real concern for superficial male attention. Then, this is reinforced when there is a cut to a medium shot of Bubbles, looking at Judy. The camera follows Bubbles line of sight and there is a quick cut to a medium shot of Judy, then it reverses back to the shot of Bubbles on her bed, shaking her head. She says, ââ¬Å"Iââ¬â¢ll say one thing for you, Pavlova. Youââ¬â¢ve certainly got ambition, even if itââ¬â¢s dumb. â⬠As she says this, Judyââ¬â¢s foot briefly enters from the side of the frame as she kicks her leg. Once again, Bubbles is coded as having no passion for her craft as a dancer, seeing it as a means to an end of attracting men and/or making money, while Judy genuinely loves to dance. One way of reading the film is through the suggestion that Judyââ¬â¢s ballet is high art, while Bubblesââ¬â¢ burlesque is low art. In the world of the Dance, Girl, Dance, women utilizing their sexuality for physical and financial gratification given by men is deemed less valuable than artistic expression. What follows is a short series of counter shots between the two, as Bubbles ponders how she will get back to New York, going through her list of male suitors to find a solution to her dilemma. On a surface level, this shows that Bubbles needs men to get where she is going, whether it is for a trip to New York or a trip to stardom as they buy tickets to her shows later in the film. The scene comes to a close as Bubbles decides on Sam, the traveling salesman that is ââ¬Å"sweet on her. â⬠As this line is delivered, there is a quick cut to Judy whipping her head around to look back at Bubbles. Judy has an expression on her face that is hard to describe, but it gets across the fact that her reality is very different from that of Bubblesââ¬â¢. Judy goes on to ask if there will be room for Sally, as the camera tracks Bubbles while she walks to the bathroom. As the camera stops tracking, it stops in a medium shot of Bubbles as she eventually replies, ââ¬Å"â⬠¦ All right, she can go, but donââ¬â¢t blame me. That guyââ¬â¢s got more arms than an octopus. â⬠There is a cut to a close shot of Sally in bed with a wide-eyed, nervous expression as she quickly lifts up her head and plops back down. Like Judy, her reality is very different from the reality of the dynamic Bubbles, and the possibility of encountering a man from that reality seems to frighten her. After the last cut of the scene, it ends on a medium shot of Judy picking up the stuffed bull once again and smiling at it fondly. This emphasizes the fact Judy is not asexual and clearly is developing feelings for Jimmy. Although, Judy seems to have a more deep, emotional connection to Jimmy than Bubbles has for her various men. Judy only became interested in Jimmy after he helped the girls at the nightclub and talked with her earlier in the film. Her interest is not based solely on what he can provide to her. The differences in costume, behavior and motivation between Bubbles and Judy are relevant to a larger scope of the film involving sex and gender politics. For all of the above reasons found in the formal elements of the filmââ¬â¢s visual and narrative composition, Bubbles is coded as superficial, purely physical and vapid. On the other hand, Judy is given much more value and depth. While Bubbles goes on to find success by exploiting her good looks, Judy is the winner in the end, when she lands her position in the ballet company and achieves her dreams. In this way, the film is sending a message that female self-worth is not derived from male approval or reaffirming of beauty, but from accomplishment of what are considered to be more substantial goals.
Monday, August 5, 2019
Technique to Facilitate Treatment of Urethral Strictures
Technique to Facilitate Treatment of Urethral Strictures Title:à A simple technique to facilitate treatment of urethral strictures with optical internal urethrotomy Konstantinos Stamatiou MD,PhD,Consultant Urologist, Urology Dpt, General Hospital Tzanio, Piraeus, Greece Aggeliki Papadatou MD, Radiology Resident, Radiology Interventional Radiology Dpt, General Hospital Tzanio, Piraeus, Greece Hippocrates Moschouris MD, Consultant Radiologist, Radiology Interventional Radiology Dpt, General Hospital Tzanio, Piraeus, Greece Corresponding author: Aggeliki Papadatou, General Hospital Tzanio, Zanni Afentouli 1 str, 18536, Piraeus, Greece Key words: urethral stricture, optical internal urethrotomy Introduction An urethral stricture is a narrowing of a section of the urethra. It causes a blocked or reduced flow of urine which can result in a range of manifestations, from asymptomatic to severe discomfort. Moreover, it can lead to serious complications such as urinary infections and renal insufficiency secondary to urinary retention. Blunt perineal trauma, urological instrumentation, chronic inflammatory disorders such as lichen sclerosus et atrophicus and sexually transmitted diseases are the most frequent causes of strictures; a large proportion are iatrogenic . Currently, three different interventions are used to treat urethral strictures: dilations, optical internal urethrotomy and open urethroplasty(1). Dilations are easy to perform in every day clinical practice, however they show the highest recurrence rates while their outcomes are the less satisfying to the patients. On the other hand, open urethroplasty shows the lowest recurrence rates and its outcomes are the most satisfying to the patients (2). Although it is the current gold standard against which the traditional treatments are compared, this technique requires skills, expertise and equipment, often not available in the resource limited settings. For the above reasons, most patients with urethral stricture are offered optical internal urethrotomy . This procedure is preferred as the first treatment option by many urologists, as it is performed within short operative times, under either spinal, or local anaesthesia. It can be also done as an outpatient procedure for the treatment of short urethral strictures . Optical internal urethrotomy is performed by a rigid urethrotome or a flexible cystoscope/urethrotome combination. The instrument is inserted and guided to the face of the stricture and a small blade at the tip of the instrument is deployed using a trigger mechanism to cut the stricture at locations determined by the surgeon. Upon completion of the internal incision(s), the instrument is withdrawn and an appropriately sized Foley catheter is inserted through the repair and into the urinary bladder. Hospitalization lasts 2 days and the patient keeps the catheter a few days . However, technical difficulties associated with poor visualization of the stenosis or of the urethral lumen may increase procedural time and substantially increase the failure rates of internal urethrotomy. In this report we describe a technique for urethral catheterization via a suprapubic, percutaneous approach through the urinary bladder. Case Report A 35-year-old male patient, presented to our urology department with a severe (> 5 cm), tortuous stricture of the penile urethra, previously diagnosed by descending cystourethrogram (Figure 1). A suprapubic catheter was in place. Technique The urinary bladder was filled with 300 millilitres of diluted iodinated contrast (contrast/normal saline: 1/3) via the suprapubic catheter. A 0035â⬠, J-tip standard angiographic guidewire was inserted into the urinary bladder through the suprapubic catheter. The latter was removed and exchanged with a short (11 cm), 5-French angiographic sheath. The angiographic guidewire was subsequently withdrawn and a Cobra-1 angiographic catheter (5 Fr, 65 cm) loaded with a 0035, hydrophilic, J-tip guide-wire was inserted into the bladder. Under fluoroscopy, the catheter-guidewire combination was guided towards the internal urethral orifice and urethra was catheterized. The hydrophilic guidewire was used to negotiate the stricture and was finally advanced through the external urethral orifice (Figure 2). The angiographic catheter was subsequently advanced through the stenosis, over the guidewire (Figure 3). The hub of the catheter was cut off and the vascular sheath was removed. The posteri or part of the catheter is stabilized on the abdominal wall with a suture. The patient was then taken to the operating room and placed in lithotomy position, under spinal anaesthesia. By keeping the angiographic catheter stretched, the rigid urethrotome was inserted in the urethra (Figure 4) and directed to the face of the stricture. The blade at the tip of the instrument was deployed using a trigger mechanism to cut the stricture at the 12 o clock location along the entire length of the stenosis. Upon completion of the internal incision, the instrument was withdrawn and a Foley catheter was inserted through the repaired stricture and into the urinary bladder. Results Antegrade catheterization of the urethral stricture and subsequent treatment of the stricture by using the angiographic catheter as a guide for the urethrotome proved feasible. No urethral injury, false passage or development of fistula were observed. The fluoroscopically guided antegrade catheterization of the stricture lasted 11 minutes. The patient remains free of recurrence 7 months post-operation. Discussion Internal urethrotomy has advantages of ease, simplicity, speed and short convalescence. However, success rates vary and long term results are generally low. In the short-term (less than 6 months), success rates are 70 to 80 percent. After one year, however, recurrence rates approach 50 to 60 percent and by five years, recurrence falls in the range of 74 to 86 percent(4). Although different studies have proposed different etiologies as poor responders to optical internal urethrotomy, technical and anatomical factors such as reduced visibility during the operation and stricture length are uniformly recognised as predictors of recurrence . Other factors associated with treatment failure are the perioperative urinary infection, the presence of periurethral fibrosis (spongiofibrosis) and stricture etiology(5). In cases of severe urethral stenosis or excessive urethral tortuosity the actual site of the stricture may not be visible at all4. Intraprocedural bleeding, presence of blood clots, inflammatory or injured tissues add extra difficulty in localization of the stenosis and in safe advancement of the urethrotome. Retrograde instillation of methylene blue through the suprapubic catheter and/or antegrade advancement forwarding of an ureteral stent are usually used in order to visualise narrowed urethral lumen, or to guide the urethrotome through a tortuous urethra respectively. However both manoeuvres are of questionable effectiveness. In several cases the procedure is concluded in two sessions; in other cases a scar appears after urethrotomy (probably as a result of a false route of the urethrotome) and this causes a new stricture. The above may explain surgical success rates as low as 20% . To overcome these problems, we devised a technique which is based on percutaneous, trans-cystic catheterization of the urethra. The technique requires low-cost, widely available materials of interventional radiology and a fluoroscopy unit. The procedure is brief, well-tolerated and requires no anesthesia. Our initial experience showed that even a long and severe stenosis could be negotiated with rotational and gentle probing movements of the hydrophilic guidewire. Of note, we preferred to utilize the angiographic catheter instead of the guidewire as a guide for the urethrotome; compared to the guidewire, the angiographic catheter proved more stable, more efficient for straightening of the urethra and more easily visible endoscopically. References 1. Tritschler S, Roosen A, Fà ¼llhase C, Stief CG, Rà ¼bben H. Urethral stricture: etiology, investigation and treatments. Dtsch Arztebl Int. 2013;110:220-6 2. Wani BN, Jajoo SN, Bhole AM. Outcome of urethral strictures managed by general surgeons in a rural setting of India. Indian J Surg. 2011;73:336-40. 3. Kreder KJ, Stack R, Thrasher JB, Donatucci CF. Direct vision internal urethrotomy using topical anesthesia. Urology. 1993;42:548-50. 4. Jordan GH, Schlossberg SM, Devine CJ. Surgery of the penis and urethra. In: Walsh PC, Vaughan ED, Retik AB, Wein AJ, editors. Campbells Urology. Philadelphia: Saunders; 1998. pp. 3316ââ¬â3394. 5. Wong SS, Aboumarzouk OM, Narahari R, ORiordan A, Pickard R. Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men. Cochrane Database Syst Rev. 2012;12:CD006934. Legends Figure 1 Descending cystourethrogram showing severe stenosis of the penile urethra (arrow). Figure 2 Demonstration of the technique after the replacement of the suprapubic catheter with the angiographic sheath (arrow). The angiographic catheter (dotted arrow) and the guidewire (arrowhead) have been inserted through the angiographic sheath into the bladder. The guidewire has negotiated the stenosis and has been externalized through the external urethral orifice. Figure 3 The angiographic catheter (dotted arrow) has been advanced across the stenosis over the guidewire. Figure 4 Endoscopic view of the angiographic catheter which served as a guide for the urethrotome.
Sunday, August 4, 2019
People Express Airlines Case Study Essay -- Business and Management St
People Express Airlines Case Study Abstract: In the well documented case of the early low-fare and economy carrier People Express Airlines (PE) the common explanation for the rapid rise and decline is excessive corporate growth. Based on a dynamic resource based, this case finds that it is not only the rate of growth embodied in the resource buildup processesââ¬âwhich determines the outcome of a corporate growth strategy. ââ¬Å"Despite the rapidly increasing financial problem by the spring of 1986, PE continued to win praise for its impact on the airlines industry and the value it offered to customers. But PE was fighting for market share all over the country. In Denver, United and Continental were destroying Frontier. Other airlines continued to entice customers away with low fares and more amenitiesâ⬠, (Pg18, Holland). People Express (PE)ââ¬â¢s low fare and economy strategy did change in the speed of corporate growth and in other vital strategic decisions, like implementing a hub and new network and giving service to major airports but later it went down as PE try to grow faster and merge with other airlines. Could people express have been saved? Why or why not? People Express (PE) was the first airline that was opened in the time of US airline deregulation back in 70'. People Express was one of the most impressive business success stories in airlines business, growing to the nation's fifth largest air carrier by mid 80ââ¬â¢s, ââ¬Å"In 1985, its revenue were nearly $1 billion. By the end of...
Saturday, August 3, 2019
My Summer Vacation in Florida Essays -- Summer Vacation Essays
Have you ever been on a vacation? To me a vacation is a time to be with friends or family. When I think of vacations, I think of packing, the flight or drive, and relaxation. Not only is it very exciting to go on a vacation, but you get closer to the people that go with you. Linda, my best friend's mom had asked me if I would want to go with their family to Florida. When she asked me I thought she was kidding, but when she said, "I need to know because if you are I need to get you a airplane ticket," I knew she was serious. I was so excited I could have kissed her. I was going to Florida with my best friend, Lisa, and her family. The people from Lisa's family that were going were Tina, Randy, Ashley, and Linda. Tina is Lis'?s sister, Randy is Tina?s husband and Ashley is Tina?s daughter. Linda is Lisa?s mom and she was the only one out of all Lisa?s family I knew. Going on a trip packing is defiantly a priority. The whole week before the trip I had began packing. I didn?t realize how many things I was going to need until I started packing. I packed two suit cases full of clothes, but I figured I?d rather have more clothes because you never know what the weather will be like. I packed cards, connect four, guess who, I pod, and food so we wouldn't be bored on the flight. When I was done packing my mom asked ? Are you moving out?? The night before leaving I couldn't sleep. When I woke up that morning it was a beautiful spring day. The sun was shining brightly, and the clouds in the sky looked like giant marshmallows. I was so excited because this was my first time going on a vacation. I had already put my suitcases and bags in my car the night before. After I said my goodbyes to my family, I was on my way. I met with Lisa a... ...icking because we didn?t want to miss our flight. Randy called the company where he had rented the van from and they came to pick us up. We made it to the airport just in time because when we walked in the airport they called our flight. This made us very relieved. The flight home went just as well as the flight there except this time I didn't have the butterflies. Overall going on a vacation is something I want to do more in the future. I learned many things from this vacation such as even though you go with some people you don't know as well, you get to know them and by the end of the vacation it's like you have known them your whole life. This vacation brought my friend Lisa and I closer because we experienced things together. Going on a vacation with someone makes your relationship stronger and you find out many different likes and dislikes about each other.
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