Policy Recommendation free essay sample

The difficulty with any definition of poverty involves the meaning of minimum needs and the amount of money required to satisfy these needs. (Ansel M. Sharp, 2010) Those in poverty sometimes face an additional obstacle to earning an adequate income. Discrimination as we use it means that equals are treated unequally or that the ‘unequal’s are treated equally. Discrimination exists in the labor market when people with equal productivity are paid different wages or people with differences in productivity are paid equal wages. Discrimination can also exist in the product market when consumers pay different prices for the same product. (Ansel M. Sharp, Evidence of Discrimination in Our Economy, 2010) Discuss the major impact to society of the problem. In 2001, some six-point-eight million families, or nine-point-two percent of all families, lived in poverty. This translates into more than thirty-two-point-nine million individuals, a staggering number to many Americans who have never been personally touched by poverty. We will write a custom essay sample on Policy Recommendation or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Indeed, some have characterized those who live in poverty as the hidden poor. Studies have shown that there is a significant turnover in the poverty population: Families and single individuals move into and out of poverty several times throughout the years in response to significant life events. Although no reliable estimate exists for the number of hardcore poverty cases, the incidence of poverty can be easily seen to vary dramatically across a number of demographic characteristics. (Ansel M. Sharp, What is Poverty? , 2010) Just imagine searching through heaping piles of refuse at landfills, looking for anything that could seem partly edible, to satisfy an unending hunger. Many people around the world face this situation every day of their lives. What could have caused a situation like this to occur? The education and skill level, health or handicap status, and discrimination play a vital role in poverty. A major factor determining whether someone will end up living in poverty, education or skill level can make or break an income. Education plays a vital role in acquiring jobs, learning new skills, and bringing home necessities and comforts of life. A person who doesn’t receive an education has a very small chance of making much money and acquiring skills that would bring home a desirable income. Many who do not have an education bring their family into a cycle of poverty, where their posterity doesn’t necessarily have the income to go to college or even don’t have a desire to acquire a high school diploma. Poverty rates are higher among families with only one parent or head of household present. Poverty is also related to age, those very young and those very old have higher rates of poverty than those in their prime and middle-age years. The economic cause of poverty is family incomes depend on the quantities of resources that families can place in employment and the prices received for those resources. To understand poverty, then, it is important to understand what determines the prices paid for human and capital resources and what determines the quantities that can be employed. Under competitive market conditions, the basic principle of wage rate determination is that units of any kind of labor tend to be paid a price equal to any one worker’s contribution to an employer’s total receipts. In other words, workers are paid about what they are worth to employers. What a worker is worth to an employer is referred to by economists as the marginal revenue product of labor. (Ansel M. Sharp, The Economic Causes of Poverty, 2010) Market discrimination may be traced to two primary sources. These are the power to discriminate in the market and the desire to discriminate. In our complex market economy, the wages of workers vary widely. Even workers hired by the same employer to perform similar jobs are often paid different wage rates. The meaning of wage discrimination is clear enough: unequal pay for equal contributions. But proving discrimination depends on being able to distinguish among individuals on the basis of individual efforts and productivity. Generally, humans are paid pproximately what they are worth in a competitive economy. (Ansel M. Sharp, Evidence of Discrimination in Our Economy, 2010) Employment discrimination means that some people are not hired because of non-economic characteristics such as race or gender. Two individuals with the same training, education, and experience apply for a job, however one is black and one is white. If both do not have the same chance of getting the job, discrimination has entered into the decision-making process. There is a growing belief that discriminatory differences in pay, especially gender differences in pay, occur largely because of occupational segregation. In general, men work in occupations that employ very few women, and women work in occupations that employ very few men. The economic results of occupational segregation for women are low wages. Women are often relegated to occupations where productivity and experience have little to do with their status and where opportunities for overtime and premium pay are limited. Price discrimination occurs when people of different races or genders are forced to pay different prices for the same good or service, provided the differences are not due to differences in cost of serving the consumer. (Ansel M. Sharp, Evidence of Discrimination in Our Economy, 2010) It may seem that racism and discrimination doesn’t exist anymore in the US, with the election of an African American as president, but discrimination still harbors here. To see discrimination first hand, just travel south a few hundred miles where pickup trucks still have the Confederate flag painted on their cabs and many houses have a Confederate flag flying, which a minority in the area views as racist. Discrimination has played a huge role in shaping economies and creating poverty; women, for instance, still reflect a small portion of engineering and higher income job percentages. A report from http://www. yemenpost. net/23/Reports/20081. htm says that women have a 600 percent higher unemployment rate and receive, at average, 13 percent less money than men do while having the same occupations and getting the same work done. Discrimination still affects the poverty rate and unemployment. Design a proposed economic policy solution to the problem. According to text, there are two approaches and only the government can really solve this problem to easing poverty. First, the productivity of the employable poor can be increased. This can be accomplished through ubsidized education of the children of the poor, adult training and education programs, counseling and guidance, job placement programs, and the elimination of discrimination. Second, a minimum annual income can be guaranteed. Income-support programs are required to aid those who are unproductive and those who have low productivity. (Ansel M. Sharp, Government Attempts To Allievate Poverty, 2010) Dr. Martin L uther King said it best, his exact words are; â€Å"two conditions are indispensable if we are to ensure that the guaranteed income operates as a consistently progressive measure. First, it must be pegged to the median income of society, not the lowest levels of income. To guarantee an income at the floor would simply perpetuate welfare standards and freeze into the society poverty conditions. Second, the guaranteed income must be dynamic; it must automatically increase as the total social income grows. Were it permitted to remain static under growth conditions, the recipients would suffer a relative decline. If periodic reviews disclose that the whole national income has risen, then the guaranteed income would have to be adjusted upward by the same percentage. Without these safeguards a creeping retrogression would occur, nullifying the gains of security and stability. This proposal is not a civil rights program, in the sense that that term is currently used. The program would benefit all the poor, no matter what race you are. He hoped that both race would act in coalition to effect this change, because their combined strength will be necessary to overcome the fierce opposition we must realistically anticipate. Our nations adjustment to a new mode of thinking will be facilitated if we realize that for nearly forty years two groups in our society have already been enjoying a guaranteed income. Indeed, it is a symptom of our confused social values that these two groups turn out to be the richest and the poorest. The wealthy who own securities have always had an assured income; and their polar opposite, the relief client, has been guaranteed an income, however miniscule, through welfare benefits. † (Jr. , 1967) Having said that; economists, social workers, and the general public alike widely criticized the old welfare system. This criticism was grounded in the frustration of growing budget requirements for programs that did not appear to reduce the rate of poverty. Policy Recommendation free essay sample The difficulty with any definition of poverty involves the meaning of minimum needs and the amount of money required to satisfy these needs. (Ansel M. Sharp, 2010) Those in poverty sometimes face an additional obstacle to earning an adequate income. Discrimination as we use it means that equals are treated unequally or that the ‘unequal’s are treated equally. Discrimination exists in the labor market when people with equal productivity are paid different wages or people with differences in productivity are paid equal wages. Discrimination can also exist in the product market when consumers pay different prices for the same product. (Ansel M. Sharp, Evidence of Discrimination in Our Economy, 2010) Discuss the major impact to society of the problem. In 2001, some six-point-eight million families, or nine-point-two percent of all families, lived in poverty. This translates into more than thirty-two-point-nine million individuals, a staggering number to many Americans who have never been personally touched by poverty. We will write a custom essay sample on Policy Recommendation or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Indeed, some have characterized those who live in poverty as the hidden poor. Studies have shown that there is a significant turnover in the poverty population: Families and single individuals move into and out of poverty several times throughout the years in response to significant life events. Although no reliable estimate exists for the number of hardcore poverty cases, the incidence of poverty can be easily seen to vary dramatically across a number of demographic characteristics. (Ansel M. Sharp, What is Poverty? , 2010) Just imagine searching through heaping piles of refuse at landfills, looking for anything that could seem partly edible, to satisfy an unending hunger. Many people around the world face this situation every day of their lives. What could have caused a situation like this to occur? The education and skill level, health or handicap status, and discrimination play a vital role in poverty. A major factor determining whether someone will end up living in poverty, education or skill level can make or break an income. Education plays a vital role in acquiring jobs, learning new skills, and bringing home necessities and comforts of life. A person who doesn’t receive an education has a very small chance of making much money and acquiring skills that would bring home a desirable income. Many who do not have an education bring their family into a cycle of poverty, where their posterity doesn’t necessarily have the income to go to college or even don’t have a desire to acquire a high school diploma. Poverty rates are higher among families with only one parent or head of household present. Poverty is also related to age, those very young and those very old have higher rates of poverty than those in their prime and middle-age years. The economic cause of poverty is family incomes depend on the quantities of resources that families can place in employment and the prices received for those resources. To understand poverty, then, it is important to understand what determines the prices paid for human and capital resources and what determines the quantities that can be employed. Under competitive market conditions, the basic principle of wage rate determination is that units of any kind of labor tend to be paid a price equal to any one worker’s contribution to an employer’s total receipts. In other words, workers are paid about what they are worth to employers. What a worker is worth to an employer is referred to by economists as the marginal revenue product of labor. (Ansel M. Sharp, The Economic Causes of Poverty, 2010) Market discrimination may be traced to two primary sources. These are the power to discriminate in the market and the desire to discriminate. In our complex market economy, the wages of workers vary widely. Even workers hired by the same employer to perform similar jobs are often paid different wage rates. The meaning of wage discrimination is clear enough: unequal pay for equal contributions. But proving discrimination depends on being able to distinguish among individuals on the basis of individual efforts and productivity. Generally, humans are paid pproximately what they are worth in a competitive economy. (Ansel M. Sharp, Evidence of Discrimination in Our Economy, 2010) Employment discrimination means that some people are not hired because of non-economic characteristics such as race or gender. Two individuals with the same training, education, and experience apply for a job, however one is black and one is white. If both do not have the same chance of getting the job, discrimination has entered into the decision-making process. There is a growing belief that discriminatory differences in pay, especially gender differences in pay, occur largely because of occupational segregation. In general, men work in occupations that employ very few women, and women work in occupations that employ very few men. The economic results of occupational segregation for women are low wages. Women are often relegated to occupations where productivity and experience have little to do with their status and where opportunities for overtime and premium pay are limited. Price discrimination occurs when people of different races or genders are forced to pay different prices for the same good or service, provided the differences are not due to differences in cost of serving the consumer. (Ansel M.

DO I HATE OR LOVE YOU essays

DO I HATE OR LOVE YOU essays Why is it that you leave me feeling so alone and confused? All I want in our relationship is a feeling of love, but something keeps me coming back to you. Maybe it's your smile that keeps me from saying we're through. Or maybe your eyes that I just fall into. Maybe it's the sweet words you claim you mean. I don't think you mean them, from what I've seen. It's hard to understand why you hurt me when you say you love me. I wish you would show me you want to be with me. When I think of you, I think I hate you. When I hear your voice, I can't feel any way other than I love you. Please, just give me a sign you're still there. Just, please, show me you really care, Because right now I'm feeling low and alone. I wanted to slowly give you my heart and my soul. But, you stole my heart and my soul whole. You left no love for me to love others with. You are the only one I love and want to be with. Just, please, show me you want to be with me, too. For I know what I feel and I feel that I love you. Do I Hate You Or Love You? Why is it that you leave me feeling so alone and confused? All I want in our relationship is a feeling of love, but something keeps me coming back to you. Maybe it's your smile that keeps me from saying we're through. Or maybe your eyes that I just fall into. Maybe it's the sweet words you claim you mean. I don't think you mean them, from what I've seen. It's hard to understand why you hurt me when you say you love me. I wish you would show me you want to be with me. When I think of you, I think I hate you. When I hear your voice, I can't feel any way other than I love you. Please, just give me a sign you're still there. Just, please, show me you really care, ...

Alfred Hitchcock Essay Example | Topics and Well Written Essays - 2500 words

Alfred Hitchcock - Essay Example Margot once had a relationship with Mark Halliday (Robert Cummings), a crime writer for American TV, but broke it off when Mark went to America. The meticulous planning of his wife's murder invariably brings Tony under the spotlight but does not diminish his stature by one iota for the sole reason that he is not desperately trying as someone in his position should do. Tony's diabolical character and the macabre detail of the film make it not only a three dimensional suspense thriller but also a multidimensional critique of upper echelons of the society. German Expressionism and post-modernism could have influenced Hitchcock to a greater extent because he uses a lot of symbolism and mise-en-scene that borders on imaginative handling of the plot. Mise-en-scene is a production technique that enables the director to achieve some of the mood effects through improvisation. Hitchcock's incredible manner of seamlessly integrating the plot and then resolving it by using that uncannily characteristic deus ex machina in the form an untiring intelligent sleuth is obvious throughout the story. Though a number of films were made in keeping with this novel discovery, none of them could match the 'master effect' of it as "Pandora's Box" did. German Expressionism had a big impact on Hollywood by way of influencing some of the big studios to employ German migrs wh o were mostly cinematographers and directors fleeing Nazi rule in Germany.Expressionism, particularly, had a positive effect on horror genre and noir genre - both highly receptive to imaginary influences in design and production. Though the very far fetched features associated with this movement, were gradually rejected, the visual aesthetics of it continue to appeal to generations of film-makers till the present day. The plot thickens here with more suspense being added by Margot's susceptibility and naivety. When Margot is alone at home, Swann the hired would-be assassin sneaks in with a key that's been left for him. Tony calls his wife on the telephone, luring her out of the bedroom, and Swann strangles her with a stocking. But Margot buries a pair of scissors in her killer's back. Through some fancy maneuvering, Tony is able to make it appear that his wife acted against a blackmailer in cold blood. She's arrested and sentenced to death, but a police inspector (John Williams) beg ins to unravel Tony's story. Critics have not spared Hitchcock and his films of their poison pen. We should take a closer look at the Montage technique used in this film. From the 1930s to the 1950s, montage sequences often combined numerous short shots with special optical effects such as fades, dissolves, split screens, double and triple exposures and even music. There were special artistes to assemble these effects other than the director. Hitchcock made use of this technique to achieve a coordinated synthesis between the conveyed impression of a set and the anticipated response of the audience. Critics did not appreciate this technique much. Hitchcock's first American movie, Rebecca (1940), won the Best Picture Academy Award., but in spite of this achievement the critic in "Variety" (March 27, 1940) gave it a bad review. He wrote "Dave Selznick's picture is too tragic and deeply psychological to hit the fancy of wide audience appeal. General

The East India Company Research Paper Example | Topics and Well Written Essays - 3000 words

The East India Company - Research Paper Example However the Company’s trading practices were challenged by a rival English company in the late 17th century which led to the amalgamation of both companies. The new Company was formed in 1708 and was proclaimed as United Company of Merchants of England Trading to the East Indies. Under the new arrangement the Company was provided with an environment that favoured the creation of a monopoly. The Company was largely involved in the trade of commodities such as tea, silk, saltpetre, opium and indigo dye. The burgeoning trading enterprise eventually formed into a mega-corporation and was responsible for governance in India as well as for military expansion in India. (Ride, Ride, & Mellor, 1995) The Company loomed large on the British trading and political scenes for a good two and a half centuries. One of the most important time periods for the Company comprises of the Company’s amalgamation with the rival English company in the late 17th century to the impeachment of Warre n Hastings. In between the company went from an ordinary trading enterprise to become the eventual master of India. A combination of human factors helped transform the Company into a behemoth that wielded power in both England and abroad alike. This paper attempts to analyse the subject period in the Company’s history to discover how the Company was able to achieve such a transformation. (Anderson, 1854) Expansion of the Company’s Influence By the mid 16th century the Company had establishments all across India including Bengal. Oliver Cromwell also supported the Company’s charter and this helped the Company fortify its position. The Company was also allowed by Charles II in 1670 to acquire territory, to mint money, to command troops and fortifications as well as to exercise criminal and civil jurisdictions in the acquired territories. Political manipulation by the Company had also begun by this period. Consequently the Company was allowed to trade in Bengal wit h no duties on the trade in 1717 by the Mughal emperor. The later part of the 17th century also saw trouble with the Mughal Empire although the Company acted diplomatically to convince the Mughal emperor for concessions. On the other hand the Company was able to expand into China as well and was able to establish a trading post at Canton in 1711 for trading silver and tea. (Gandhi, 1997) Forming Trade Monopolies Service for the Company allowed the officers to develop large estates and businesses. This in turn allowed the accumulation of political power for the officers of the Company. This political power was projected in the British parliament as a lobby for the Company. In contrast former Company employees who wanted to establish smaller private firms and trading enterprises were allowed to do so after a deregulation act in 1698. These people were termed as Interlopers pejoratively. Later these opposing groups tried to wrestle each other and were subsequently merged as mentioned b efore. The emerging Company was a tripartite venture between the original East India Company, the British government and private traders and former employees of the Company. The newly formed Company lent the Treasury a total sum of 3.2 million pounds in exchange for exclusive privileges for the next three years. (Dean, 2009) In the years that followed the Company’s lobby and Parliament were in constant battle. The lobby for the Company was looking for an establishment of a more permanent nature but the Parliament was reluctant to give the Company any more power. An act in 1712 helped to renew the Company’s status even though the existing debts were repaid. The Company gained strength with time and by 1720 the Company was processing around 15% of

Services-Learning Individual Reflection Paper Assignment

Services-Learning Individual Reflection Paper - Assignment Example The primary role of a community health care nurse is to render service that helps to rehabilitate people with special needs through prevention, diagnosis and treatment. In my selected community site, the role of a community health care nurse was to improve the quality of the patient’s life by restoring the functions caused by either temporary or permanent conditions and promoting good progress. The role of the community health care nurse is of utmost importance especially while working in a culturally diverse community due to the disparities relating to different cultures, castes, language, food habits and customs of different people. Utmost attention and care should be taken by the health nurse in order to avoid clashes of opinions in such vulnerable diverse groups. As a change agent in my community, it is imperative to acquire a high level of skills and knowledge of evidence based research in order to improve the standard of living of people with disabilities. Through collaboration of both education and practice, improving communication and other skills and keeping up with current research in the health care system, I could make my role as a change agent more meaningful. If I had to repeat such an experience in community health I would first update myself on the current research in the field by reading current literature on the subject and I would also try to visit such communities and gain hands on experience on how to care for people with special needs. To accomplish cultural nursing competency within a diverse community, I try to make myself more familiar with a patient’s cultural background, likes and dislikes, temperament etc. For example, I could welcome or wish patients in their own language or I could help them with things that they are familiar with in their culture or background. Co-ordination and integration of the knowledge gained through

Ameloblastoma Case Study

Ameloblastoma Case Study Introduction: Ameloblastoma is the most common odontogenic epithelial tumor of the jaw bones. [REF] It was first described by Churchill in 1881 and defined by Robinson as a tumor that is usually â€Å"unicentric, nonfunctional, intermittent in growth, anatomically benign, and clinically persistent†.[M] Although most ameloblastomas are histologically benign and lack cytological atypia, they are generally considered to be locally aggressive and destructive, exhibiting various rates of recurrence. [K] WHO describes four variants of ameloblastoma, i.e. solid multicystic- follicular, plexiform, desmoplastic and unicystic. [Ref] However, many unusual histological variants have been reported in the past that mimic the conventional ameloblastomas but present with a widely variable histological presentation. Only few cases of such histological variants though have been reported in the literature which has made it difficult to predict the clinical course and biological behaviour of these variants. He re, we report a case of verrucopapillary ameloblastoma which is a very uncommon histopathological variant of ameloblastoma. Case report: An 18 year old male patient reported with a chief complaint of swelling in the right side of the lower jaw near the body of the mandible since 3 months which was visible on extraorally. The swelling was hard in consistency and was not associated with pain, paresthesia or discharge. The loco-regional lymph nodes were not palpable. On intraoral examination, the overlying mucosa showed swelling in the right buccal vestibular region without any signs of ulceration or paresthesia. The teeth in the region showed positive response to stimulus on vitality testing. The panoramic radiograph showed a lytic lesion with well defined margins in the premolar–molar region extending distal to the mandibular right second molar. The orthopantomograph of the patient showed a radiolucent multilocular osteolytic lesion extending from the distal periradicular area of 43 till right posterior body angle region corresponding to mesial crown outline of 48 antero-posteriorly and from the alveolar crest t ill the inferior mandibular cortex supero-inferiorly. The 3D cone beam computed tomography reconstruction showed a lesion measuring 5.9cm x 3.2cm x 2.7cm in size with fine curved and linear bony septae in the centre of the osteolytic area. The lesion was expansile with perforation of the buccal and lingual cortical plates and thinning of the inferior border of the mandible. The histopathological examination of the submitted specimen showed an unencapsulated lesion with mature fibrocellular stroma with proliferating odontogenic islands. The periphery of the tumour showed cystic cavity lined by hyperkeratinizing stratified squamous epithelium of varying thickeness. The lining epithelium was thrown into multiple sharp or blunt and rounded verrucopapillary projections into the cystic lumen plugged by keratin. These projections were supported by thin connective tissue cores. Keratin was seen deposited on the surface in the form of parallel lamella and keratin flakes were also present. An unusual finding seen in our case was the presence of acantholytic cells with areas of focal necrosis on the surfa. The lining epithelium shows basal layer with columnar cells with hyperchromatic nuclei and peripheral palisading with surface keratinization and cellular vacuolization indicative of KCOT like areas. Multiple odontogenic islands with peripheral columnar odontogenic cells with hyperchromatic nuclei were present in the connectice tissue stroma. The suppoting connective tissue stroma showed epithelial islands with acanthomatous changes and microcystic degeneration. Interconnecting strands of odontogenic epithelium resembling the plexiform variant were also present. The connective tissue was densely fibrocellular with numerous dilated and engorged blood vessels. Immunohistochemical staining with Ki-67 antibody showed intense positivity in the basal and supra-basal cells with infrequent positivity in the superficial cells indicative of high proliferative potential of the les ion. Immunohistichemical staining with anti-p53 antibody showed basal and suprabasal positivity of the lining epithelium suggestive of mutation in the tumour suppressor gene. Based on the histopathologic evaluation, a diagnosis of papilliferous keratoameloblastoma was given. The lesion was removed completely with wide excision and the patient has not reported back with any recurrence two after the surgery. Discussion: Ameloblastomas are common odontogenic tumour that show diverse, yet pathognomic histopathological features. However, wide variation has been reported in the past regarding the histopathological presentation of ameloblastoma. Squamous metaplasia has been reported commonly in the acanthomatous variant of ameloblastoma where the central stellate reticulum like areas are replaced by squamoid cells. This keratinization is well documented in some lesions such as odontogenic keratocyst, acanthomatous ameloblastoma, calcifying odontogenic cyst, squamous odontogenic tumor, and squamous odontogenic carcinoma. [G] Keratin formation has also been reported in another variant of ameloblastoma termed keratoameloblastoma, which was first described by Pindborg in 1970. Another variant of keratoameloblastoma, with verrucopapillary projections into the lumen has been reported under the name papilliferous ameloblastoma. Till date, 15 cases have reported in English literature with papilliferous histologi c components in ameloblastoma. [F] The distinction between acanthomatous ameloblastoma with keratin production and keratoameloblastoma is not clear. WHO in 2005 described keratin with pearl formation in ameloblastoma under the histologic variant of acanthomatous ameloblastoma. In 1992 classification of odontogenic tumours by WHO, it was defined as ameloblastoma with extensive keratinization. [G] However, Morgan et al have described ameloblastoma with unequivocal keratinization occurring in the centre of the epithelial follicles at the expense of the stellate reticulum-like areas as a keratoameloblastoma. Norval et al suggested that keratoameloblastoma should be considered a variant of acanthomatous ameloblastoma.[F] However, one criteria to distinguish acanthomatous ameloblastoma form keratoameloblastoma is the presence of keratin in the connective tissue stroma as compared to acanthomatous ameloblastoma which has keratin only in the areas showing sqauamous metaplasia in the centre of odontogenic islands and follicle. [H, cross ref 7] The present case in a male patient in the right mandibular body region is similar in presentation as compared to previously reported cases except the age of the patient which is comparatively younger (second decade) as compared to mean age of presentation of KA with papilliferous proliferation which occur at a relatively older age (mean age of occurrence in sixth decade). The right side of the mandible is commonly involved as compared to the left (2:1) with most cases reported in the posterior body-ramus region. [H] Our case differs from the previous cases in showing multiple papilliferous projections with acantholytic cells with necrotic and hemorrhagic material in the lumen and dilated, congested blood vessels. The lesion also showed multiple solid islands of odontogenic epithelium with hyperchromatic nuclei in the connective tissue stroma.[H] Whitt et al have described 4 variants of ameloblastoma showing keratin formation (Table 1). Corio et al.20 have described a keratinizing ameloblastic carcinoma showing the typical histologic features of malignancy in their series of ameloblastic carcinomas, which included pleomorphism, increased nuclear/cytoplastic ratio, nuclear hyperchromatism, increased numbers of mitotic figures, abnormal mitotic figures, and necrosis. Our case fulfils the criteria of papilliferous type of KA. The present case exhibited an elevated level of mitotic activity, altered p53 profile and proliferation index (Ki-67). It can be inferred that the lesion is comparatively more aggressive locally as compared to conventional ameloblastoma, and should be excised extensively to avoid local recurrence. [F] However, it is still unclear how the production of keratin in histopathologic variants of ameloblastoma affects the biological behaviour and prognosis of such lesions. The probable reason could be attributed to less number of reported cases with follow up of such variant to comment definitively on its behaviour. [G] Conclusion: Papilliferous keratoameloblastomas refers to a variant of ameloblastoma that is rarely reported and its biological behaviour is poorly understood. The present case shows higher proliferative activity in the basal and suprabasal cells of the tumour providing an indication of its local aggressiveness as compared to the conventional ameloblastomas. Presently, such lesions are treated in a manner similar to conventional ameloblastomas, though it lacks any authoritative evidence. Report of more such cases with longer follow up duration and molecular profiling is required in the future to completely understand the spectrum of clinical and histological features, biological behaviour and prognosis of such cases. Table 1 : Types Of Keratoameloblastoma Based On Histopathological Features(Whitt et al) Histological type Features Papilliferous histology Odontogenic epithelium is in papillary projections into the cystic spaces Simple histology Epithelial follicles filled with parakeratin or orthokeratin and lined by ameloblast like cells with reversal of polarity Simple histology with odontogenic keratocyst (OKC)-like features Features of conventional odontogenic keratocyst in addition to simple type Complex histology Epithelial follicles packed with parakeratin or orthokeratin, extrusion of keratin masses into connective tissue stroma in the form of pacinian like stacks with or without foreign body reaction; also there may be hard tissue formation resembling cementum and woven bone

Despite the overwhelming evidence against his own misperceptions, :: English Literature

Despite the overwhelming evidence against his own misperceptions, Stevens emerges as a somewhat compassionate character.[Wong, 2000] Do you agree with this assessment of Ishiguro's representation of Stevens? Stevens is riddled with misperceptions about his work, his relationship with Miss Kenton and Lord Darlington. During the course of the novel, the reader is shown - not through what he tells us, but by what he doesn't - the truth behind them, and just how wrong he is. Stevens also realises the reality of his beliefs and his situation, but long after the reader. Despite his mistakes, as he begins to come to terms with the events of the past, there is a glimmer of hope that he will change and become a better person. However, he is still detached and at the end appears to return to his old, self-deceiving ways, escaping the responsibility of his mistakes. One of Steven's misperceptions is the importance of his work. For example, at the beginning of the novel, he is obsessed with the trivial matter of "what is a great butler?" [pg 32]. For Stevens, this is a matter of some importance, and shows he considers butlering to be more than just a job. This point of view is reinforced by the statement: The great butlers are great by virtue of their ability to inhabit their professional role and inhabit it to the utmostà ¢ they wear their professionalism as a decent gentleman will wear his suit [pg 43] His job is a way of life, not simply a means of employment, and he has an utter devotion to duty, to the extent that he will only discard his 'suit' when he is completely alone. It is this necessity to keep a public face that ruins his chance of happiness. He perceives his role to be more important than it is, believing that he has "been given a part to play, however small, on the world's stage" [pg 198] and he is also convinced that: it is not simply my fantasy that the state of the silver had made a small, but significant contribution towards the easing of relations between Lord Halifax and Herr Ribbentrop that evening. [pg 144] Stevens believes his job to be much more important than it is, and because of this he neglects his relationships with other people. His relationship with his father suffers because both are devoted to their jobs. He admires his father's abilities as a butler, but as father and son they have no relationship at all: for some years my father and I had tended to converse less and less even brief exchanges took place in an atmosphere of mutual

Chapter 16 Summary Essay

In this chapter we are going to learn about therapy, treating psychological disorders, evaluating psychotherapies, the biomedical therapies, and preventing psychological disorders. You have three ways on how to treat disorders. They are psychotherapy, biomedical therapy, and eclectic approach. Psychotherapy is treatment involving psychological techniques consisting of interactions between some seeking to overcome difficulties and a trained therapist. Biomedical therapy is prescribed medicine that acts differently on every person’s physiology. Lastly eclectic approach is an approach on the client’s problems which uses various forms of therapy. Sigmund Freud’s psychoanalysis was the first of the therapies to be formed. The techniques that we have are resistance, interpretation, and transferring. Interpretation is noting supposed dream meaning’s and other significant behaviors and events in order to promote insight. We have psychodynamic therapies which is a tradition that views on individuals when they respond to unconscious forces and childhood experiences. There are three psychotherapy skeptics which are people often need therapy when they are in crisis, clients need to believe that doing therapy will eventually help them with their problems, and clients need to speak kindly to their therapist and to respect what they have to say. Many studies are digested by what they call meta-analysis. Various therapies which have three benefits. These benefits are hope for demoralized people, a new perspective of the way we look at things, and a trusting, caring, empathetic relationship. The emotion between the client and his/her therapist is called therapeutic alliance which is a key concept to being a therapist. In our world we have antipsychotic drugs, antidepressant drugs, and mod-stabilizing medications. Antipsychotic drugs are drugs used to schizophrenia and other severe disorders. While antidepressant drugs are used to treat depression and anxiety disorders. Electroconvulsive therapy is a therapy for severely depressed patients which is a brief electric current sent through the brain.

Free Essays on My Life Chances As Compared With The Rivers

Life chances, as defined by Dr. Perkins, are one’s access to goods of society which are generally in short supply (lecture 11/7). As one moves up in her status in the stratification hierarchy, her life chances will increase. This can be seen in the comparison of life chances from two different social locations; mine and the Rivers’. In order to understand what this means, one needs to know what is meant by social location. One’s social location is a sum total of statuses that the person presently is (lecture 9/17). For example, I am a fairly well educated freshman, Asian-American, young man. Though this is not a complete representation of my social location, it will suffice as an example by which the reader can identify. A large part of a person’s social location is defined by her social class. I have come to the conclusion that I fit into the â€Å"Average-middle† class. According to Macionis, middle-class people generally accumulate a small amount of wealth over time, such as a house, the household income for this class usually falls between $40,000 and $80, 000 a year, and average-middles typically work in less prestigious white-collar jobs (Macionis 205). My family definitely fits into these criteria. My mother works in the actuarial department of an insurance company and my father works as the Director of Counseling at the Erie City Mission, a non-profit organization. Cumulatively, my parents earn about $65,000 a year. They own our house as well as two automobiles. Another reason why I believe that I fit into the average-middle class is the moderately high level of upward social mobility available to my family. My father is currently taking classes to attain a doctorate degree in counseling in order to obtain a higher paying job. The Rivers, on the other hand, would be classified as members of the lower class. Approximately half of the members of this class complete high school, and only one in four r... Free Essays on My Life Chances As Compared With The Rivers Free Essays on My Life Chances As Compared With The Rivers Life chances, as defined by Dr. Perkins, are one’s access to goods of society which are generally in short supply (lecture 11/7). As one moves up in her status in the stratification hierarchy, her life chances will increase. This can be seen in the comparison of life chances from two different social locations; mine and the Rivers’. In order to understand what this means, one needs to know what is meant by social location. One’s social location is a sum total of statuses that the person presently is (lecture 9/17). For example, I am a fairly well educated freshman, Asian-American, young man. Though this is not a complete representation of my social location, it will suffice as an example by which the reader can identify. A large part of a person’s social location is defined by her social class. I have come to the conclusion that I fit into the â€Å"Average-middle† class. According to Macionis, middle-class people generally accumulate a small amount of wealth over time, such as a house, the household income for this class usually falls between $40,000 and $80, 000 a year, and average-middles typically work in less prestigious white-collar jobs (Macionis 205). My family definitely fits into these criteria. My mother works in the actuarial department of an insurance company and my father works as the Director of Counseling at the Erie City Mission, a non-profit organization. Cumulatively, my parents earn about $65,000 a year. They own our house as well as two automobiles. Another reason why I believe that I fit into the average-middle class is the moderately high level of upward social mobility available to my family. My father is currently taking classes to attain a doctorate degree in counseling in order to obtain a higher paying job. The Rivers, on the other hand, would be classified as members of the lower class. Approximately half of the members of this class complete high school, and only one in four r...

The History Of amsterdam essays

The History Of amsterdam essays An Investigation into the Historical Development of Amsterdam. This project focuses upon the development of Amsterdam between the years 1200 and 1800 AD. The city of Amsterdam is of great importance to the Netherlands, as it is the countrys nominal capital (the political centre is Den Haag). Alongside being the most carefully constructed Dutch city, Amsterdam attracts the highest number of foreign visitors to the Netherlands. The city itself stands upon the confluence of the rivers Amstel and Ijsselmeer, at the heart of the Randstad . As Amsterdam was one of the first medieval cities to be established in the Netherlands, it has a long and interesting past. It has a present-day reputation for as a multicultural, tolerant, and prosperous area; naturally, this has arrived as a result of its history. The aim of the project is to produce a comprehensive, chronologically organised discussion of Amsterdams development. This will involve looking at the early establishment of a small fishing village upon the marshy riverbanks (c. 1200). The religious and dynastic conflicts that shaped much of the Low Countries medieval development will be discussed. This will precede an account of Amsterdams metamorphosis into a major European market and global centre, particularly during the Golden Age of the 17th century. The consolidation of Amsterdams wealth during a nationwide recession, followed by the citys decline (1672 1813), will be considered. A secondary consideration will be the ways in which Amsterdams political and economic position influenced the Republic as a whole, and vice versa. The citys financial climate will continually be compared with the Republics wealth; I expect to find some interesting differences between the two. Social and cultural aspects, which 00obviously play an important role in any citys development, will be addressed when relevant. T...

Evidence and practice Essay Example | Topics and Well Written Essays - 500 words

Evidence and practice - Essay Example quently utilized to define facts based medicine, but can also encompass other specialties, for instance, facts based nursing, pharmacy as well as dentistry (Scally and Donaldson, p.9, 2008). This process also incorporates the attributes, state, requirements, standards as well as preferences of those who might be impacted (Spring and Hitchcock, p. 23, 2009). This is usually attained in a way that is attuned with the environmental, as well as the institutional context. The evidence is usually from research upshots derived from the methodical compilation of facts via observation and experiment as well as the formulation of queries and hypothesis testing (Buysse and Wesley, 2007). It is an extremely crucial process which involves intricate and careful decision making which is not only grounded on the accessible resources but also on the ailing individual’s attributes, conditions, and preferences (Rubin and Parrish, p. 25, 2007). EBP realizes that care differs from one individual t o another, and it is also dynamic and encompasses uncertainties and possibilities. In addition, EBP also involves the establishment of individualized procedures of best practices to guide the advancement of any professional duty at hand (Mercer, p.12, 2007). EBP has attained momentum in the nursing field. For instance, research upshots, understanding from fundamental science, clinical understanding as well as expert judgement represent evidence (Mercer and Pignotti, p. 5, 2007). Nonetheless, practices grounded on research upshots are probable to result in the preferred patient upshots across varied settings, as well as geographic locations. The drive for EBP is mainly from the payer and healthcare system pressures for expenditure containment, enormous accessibility of information and escalating client savvy with regard to treatment, as well as care alternatives (Melynk, p.9, 2008). EBP demands alterations in education of scholars and emphasizes on practice crucial research. Additionally,

Characteristics and Behaviors of Effective Counse Assignment

Characteristics and Behaviors of Effective Counse - Assignment Example The new therapist had some good guiding techniques that helped make progress during the session. It is extremely important to know the major theories in counseling, but even more important still is to know when and what circumstances to apply them on. The therapist was able to figure out that the problems he was dealing with stemmed from childhood and personal experiences. This is evident of evidence-based practice, which is where rather than incorporating one theory, they apply specific techniques for intervention on a specific problem (Corey, 2009). The therapist was then able to lead the client on a guided introspection which is good in having the client understand their problems by looking at themselves. Empathy and positive encouragement were also extremely good techniques in order to build understanding with the client. This also was a good example of listening, with the therapist asking for input from the client as well as the guide and pace method (Levitt 2001). Empathy and u nderstanding help build the trust and understanding between the two. Positive encouragement is good in instilling confidence in the patient and evoking positive feelings. As a new therapist, it is a given that mistakes will be made. There were some major flaws in the first counseling session.