Health Care Utilization

According to â€Å"Keeping America Healthy† (2013), â€Å"Medicaid provides coverage for individuals according to poverty guidelines who are unable to afford health care insurance because of limited income† (Eligibility). John Q. Qualifies for Medicaid but lives in a rural community with no public transportation to travel to access his benefits due to provider office hours and the distance he must travel to the location. John does own have a car. John is predisposed to heart disease through heredity and has been diagnosed with high blood pressure. According to â€Å"What Is High Blood Pressure? 2011),† blood pressure is when blood is forced against the artery walls to disperse oxygen and turbines carried in the blood to the body. Blood pressure is measured by two numbers; Systolic the top number or the higher of the two is measured when the heart beats pushing the blood against the walls of the arteries. Diastolic is the measure when the heart is at rest between beats. The normal measure for normal is 120/80. Persons with a measuring of 140/90 or higher is a person with High Blood Pressure or HIP† (What happens in the body when blood pressure is high? ).HIP can lead to Hypertensive heart disease (â€Å"Hypertensive Heart Disease†, 2013). Regular doctor visits and prescribed medications to control blood pressure can offset the nest of Hypertensive Heart disease in patients with high blood pressure. Regular physician visits are required to keep check on John's condition (â€Å"What Is High Blood pressure? † 2011). The problems with health care utilization for John is that he lives in a rural community with limited providers, the distance of travel to reach locations, time needed to schedule appointments, and office hours of the available physician locations will not provide him with reasonable access.Many Medicaid participants are faced with this same set of problems and have to adjust their lives to gain access o healthca re. Medicaid programs have benefits available to help participants conquer many obstacles. Patients need to inquire and learn what benefits are available to help. Utilizing social programs available in the community, and accessing information on Medicaid websites help to inform members of what is available for help. Medicaid programs have established grants for rural health clinics; John needs to find out if a clinic exits in his area.These clinics provide information about benefits and do health screenings. The clinic can be a place where John can go to get blood erasure checks to make sure he is in target range regularly without having to travel too physician's location for blood pressure checks. Rural health clinics provide education to patients and can issue devices such as blood pressure monitoring equipment and train patients to utilize self-check methods between physician visits. Government medical programs do provide for education and training to use medical devices like blo od pressure monitors used at home for patient self-monitoring.Missing time from work can be a problem. Most employers have paid time off that employees can access and schedule for personal situations. John can have his physician provide documentation of his appointments to submit to his employer and arrangements can be made for an adjustment in hours or to come into work on additional days if possible. Other options to John may be to use vacation time or sick time to cover missed time at work when he has to visit the doctor. According to â€Å"Medicaid. Ova; Keeping America Healthy† (2013), â€Å"Medicaid benefits cover inpatient hospital care, outpatient hospital services, and rural clinic services. These services give John comprehensive coverage to help with chronic illnesses like high loot pressure. He also has available prescription coverage for medications to help manage his blood pressure. Preventive services and diagnostic screenings are available for early detection and prevention† (Benefits). Medicaid and Medicare also pays for transportation to and from medical appointments for patients covered through the government programs.John can research and locate Passport certified transportation providers in his area to reach his medical provider of choice. The Affordable Health Care Act of 2010 gave states the option to expand Medicaid in their states with federal funding. It also provides more insurance options for lower income residents to other insurance plans that may be more accessible for member access to services and providers. Starting in 2014 the act also makes John eligible for insurance through other carriers even though he has a preexisting illness (â€Å"Gpo. Ova†, 2010). John may need to make lifestyle changes to accommodate his illness. Eating a healthy diet and reducing sodium intake would be the first changes to make. John's diet should consist of heart healthy foods, like Broccoli and other dark green vegetables. By ex ercising and keeping weight under control at an ideal weight or his height and age he will decrease the chances of heart problems and promote self-healing by keeping blood pressure numbers from getting higher increasing risk of other related illnesses.John and many Americans face the dilemma of access to quality healthcare. John has a chronic illness that may lead to other related illnesses and continuous access to healthcare is crucial to his remaining healthy and productive enough to continue working. The government provides financial coverage because of his eligibility status as beneath poverty level income. Although he has uncial assistance, he still has problems with appointment times and transportation. These obstacles are mutable, but his illness is a predisposed health condition that is immutable.Educating himself in what is covered by government assisted health plans and obtaining the needed medical care access would help John's situation. He must also be responsible for hi s own well-being. Adapting his life, eating healthy, and exercising will not only deter worse health but also improve his high blood pressure.

Forklift truck design – planning systems to enhance forklift safety

I have indentified a need that there is nominally a high rising â€Å"accident† rate which involves forklift trucks, with injuries and fatalities occurring to other workers and members of public who are in the area of the forklift truck whilst in use. I have chosen to design a product that could be fitted, to a forklift truck, which will improve safety and reduce â€Å"accidents† whilst a forklift truck is in use. Resulting in taking all of the above into account my single phrase function statement being â€Å"prevent accidents† however, theirs already methods, procedures and regulations in place to try and prevent â€Å"accidents† such as regulated speed limits, sufficient training in using a forklift truck and warning fixtures such as a drivers horn, hazard light. If an accident was to occur in most cases it will be blamed as an operators fault even if the safety scheme was in place. Employer areas of using forklift trucks, which are also known, to cause accidents. > Lack of training or improper training of employees who operate forklift trucks. > Time factors, having little time to carry out the job in hand causing stress and speeding. > Lack of proper attachments and accessories. > Wrongly tasked job of forklift truck or operators. – Not qualified, using the forklift incorrectly to do the wrong things. > Poor maintenance of forklift trucks Operational areas of using forklift trucks, which are prone, too cause accidents. > Incorrect reversing techniques. > Incorrect turning, use of space > Incorrect use – over loading & over reaching > Incorrect warnings to others about a forklift in use nearby, no signage or alarms/hazard lighting > Poor contact throughout joint jobs, or in shared spaces, could this result in the need of a banks man. > Giving rides on the forklift truck or load – also comes back to incorrect use. > Playing games, not taking the job in hand seriously resulting in stunt driving, erratically driven Having had a quick look at forklift trucks and the ways that they are used I have come to the decision that it would be very rare for a forklift to be involved in an â€Å"accident† due to malfunctions of the forklift truck itself but would result in the incorrect use due to operator error or areas which haven't been covered or have been vaguely thought about by the employee. â€Å"There are reputed to be over 8,000 reported accidents involving the use of forklift trucks in the UK each year and some of these result in fatalities. The majority of these accidents are caused by the lack of sufficient training of the operator, operator error, a lack of knowledge about the equipment and the working environment, bad truck maintenance, poor lighting conditions, inadequate gangways and unsuitable premises in which forklift trucks are used. In fact, slightly more pedestrians are injured as the result of a forklift accident than the operators themselves.† The above statement is taken from http://www.workplacesafetyadvice.co.uk/forklift-truck-safety.html This statement stands by and proves what I have pointed out regarding forklift truck accidents. Having carried out some brief research I can now focus my thoughts onto exactly what I want to be able to achieve for example demands would be things that I would need the final product to have, the principle ideas if you will. wishes, would be the additions, which we don't exactly need but would be an added bonus. Demands Wishes To prevent accidents! Compact Easy to install alongside existing accessories Cheap to produce Universal fitting Works well alongside other accessories Robustness Looks nice Reliable Looks original against existing product Pedestrian safety improved Improved driver visibility Just from carrying out a simple task of listing demands and wishes explores areas, which are possibly endangering humans and infrastructures for example if the product we design does succeed with its demands, then the product its self with reduce risks and risk of accidents, therefore this would result in less employee time off work, less accidents and a lower risk of the health and safety executive getting involved resulting in a fine. All of these problems/potential incidents can be prevented by carrying out the correct procedures and using efficient products and accessories to do so†¦ for example an add on product/accessories that is built and engineered to these exact demands! Outline Specification An outline specification specialises in exact specifications during the early stages of a design process, this being the designing of an accessory to improve the safety whilst forklifts trucks are being used. The specification is to include the need of the particular product, which can then be quantified, by converting each demand into a specific broken down form. Functionality. The functionality would be to try and improve the driver's visibility, increase safety & awareness for pedestrians. User interaction. User Interaction would be visual for example – VDU Monitors so the forklift truck driver can closely examine what is going on with the truck in blind spot areas. Alarms & sensors could be also fitted so as these sound the operator will interact up on hearing these alarms and respond efficiently knowing that something or someone is potentially at risk Physical Form. The physical form of the product should improve the forklifts lifting capabilities and working in tight spaces. Robustness & Operating Environment. The product will have to be robust I,E it is going to be used in different climates, both hot, cold, wet and dusty. If electrical or electronic components are to be used these should be waterproofed in some kind of way, designing a casing that can with stand these conditions could do this. It would need to be made out of a heavy duty material due to the kind of environment being used in, to do this you could design the casing out of a heavy duty plastic or some kind of metal. Signals. Signals of the particular unit or accessory dependant on whether it is electrical/electronic based, it should be ensured that fast response times between display & alarm units are as close to real time as possible. Having Latency type effects will delay the operators response therefore could have already caused an â€Å"accident† Power Supply. Depending on the type of unit a separate battery source (12VDC) could be used, charging the unit off of the existing battery package, it would charge the unit whilst in use. However this may not be very efficient, with solar powered technology becoming more and more common, a little solar panel could be fitted therefore creating its own power supply and charging its own battery source. Safety. The final product designed would need to reach the EU standards and be CE certified, it would need to be proven that the product is safe, and is capable of carrying out the specified task Product Failure. If the product were to fail, it would have to be self-notifying i.e. and integrated alarm with in the unit to notify the operator that it is not working. If the product was to fail and not give any notification of doing so then the operator would still be relying on a piece of accident prevention equipment which could in fact cause an â€Å"accident† Maintenance. The Product should be easy to maintain, be located in a place where it is to do so, maintaining the product would mean checking that the product is working correctly and the connections are all in order. However the product will be designed to last in excess of 5 years under normal operating conditions before it should be due a â€Å"service† Costs. The Estimated development cost of producing this extraordinary accessory would be: à ¯Ã‚ ¿Ã‚ ½50k+ with the forklift truck product retailing at around: à ¯Ã‚ ¿Ã‚ ½350 with a DIY fitting package. However an installation and service/maintenance contract could be agreed resulting in extra income. Schedules. The schedule from designing the specified product to developing it would be roughly around 6 – 12 months. Development schedule would depend on Function Solution Matrix: Function Solution Principle Driver Visibility Cameras – Improving the view of driver, integrated VDU unit 1 Mirrors – Improve the drivers view 2 Maneuverability 5 Second reverse delay – Giving the driver a good chance to look round 2 Restricted speeds for built up area – Reducing the risk of accidents/crashes1 Pedestrian Visibility High-Visibility color's – Another way of enforcing the forklift trucks visibility 1 High intensity lights & Alarms – making people aware of the use of a forklift truck 2 Cordoned off areas/hot spots – reduces the risk of accidents to humans Object sensors Laser Sensors – limit speed of forklift truck depending on how close an object is to the truck, alerting driver Infra Red sensors – limit speed of forklift truck depending on how close an object is to the truck, alerting driver Solution one is rather complex when compared to solution two because it contains more electronic components This means that it may be of a higher potential to fail as there is more that could go wrong. However it would ensure that forklifts trucks that would be lifting more abnormal heavy loads the operator would be easily informed In comparison to solution one, the second solution is much more simple approach to satisfying the specification set. With this would bring better reliability however the product wouldn't be original. The use standardized alarms and hazard lights should be set as a standard, the more complex clever device is the 5-second reverse delay unit. This would delay the operation from putting the forklift truck into reverse giving the operator enough time to check and look around, investigating at this point in time the best route to take and look for instructions The unit would be an all in one manufactured unit in 1 part except the hazard lights. I have chosen to design and build a 5 second reverse power delay (Solution 2) with alarms to indicate a forklift truck is in presence. The 5-second delay gives the operator plenty of opportunity to look around to plan the route to be taken, and there are no objects/people in the way. Picture Taken from http://www.esoftbank.net.cn/images/product_b/10004921/forklift_truck.jpg Standard alarm alerting people of forklift truck operation Hazard light visibility increased for blind/loss of sight people are notified of a forklift trucks operation When the main board detects the forklift truck is put into reverse there is a 5 second delay with restricted power/speed Finally a power source overseeing the whole operation ensuring there is power to all components in order for them to work

Microevolution and Macroevolution in Teaching and Learning Essay - 1

Microevolution and Macroevolution in Teaching and Learning - Essay Example Generally, macroevolution is the total of microevolution over extended time periods and occurs above the level of the species. On the other hand, microevolution denotes changes in allele frequencies that lead to smaller evolutionary changes in the population (Rosengren 30). Microevolution, therefore, can be considered as the normal evolutionary mode. These two processes of evolution are linked by speciation or isolated populations, which can be considered to fall in either process’ scope. In microevolution, new species are not formed, and if the changes are not maladaptive, it is possible for these changes to persist in the species, as well as the population. If a new opportunity is presented, a select group of individuals could adapt to a different environment or source of food. Where the adaptations lead to the parental species and the adapted individuals having offspring that is maladaptive, reproduction isolation is the result (Rosengren 31). Macroevolution and microevolution basically address the same process, which is gene frequency changes, meaning that both use the same mechanisms. Small-scale allele frequency changes within the population that occurs in microevolution could be as the outcome of natural selection, gene flow, genetic drift, or genetic drift (Rosengren 33). Natural selection entails a progression in which individuals that adapt best produce the most number of offspring, which also transfer their parents’ genes to their offspring, giving them a survival edge. Genetic drift, on the other hand, would involve a random process where chance has a key role in determining the alleles or gene variants that survive.  

Labor market Essay Example | Topics and Well Written Essays - 1000 words

Labor market - Essay Example Comparatively, the poor performance of the US economy to inflation displays a high fight against recession, which results in an increase in unemployment levels. This paper will review why the labor market is doing unfavorably, due to poor fiscal policy. Since the 1930s, the growth of the government was accompanied by an enlargement of government spending. In those years, government spending made up about 3.3% of the national GDP. By 1944, the figure rose to about 44% before it fell to 11.6% in 1948. In 1883, it stood at 24%, and it was lower  than this figure  at 21%  in  1999 (Conte and Karr). This policy area entails fiscal policy, which entails the president’s proposal of a budget, which is split into different areas, including health, defense, transport and health services, among others. The main source of the funds allocated to the budget process is the tax collected from citizens, which approximated 48% of the federal revenues of the economy in 1999. Local govern ment authorities collect their revenues from property taxes (Conte and Karr). During the 1930s, the US government was getting out of the Great Depression. Therefore, it began to employing the fiscal policy to pursue social policies or in supporting its affairs, and to promote economic stability and growth (Popper). During the 1930s, people lacked enough income to purchase all the outputs from the economy, which resulted to the reduction of prices and bankruptcy of companies. With the increase in the number of companies suffering from bankruptcy, more and more people lost employment, which lead to further failure of companies (Conte and Karr). During the 1960s, the government rechanneled funds into government spending programs, which pushed consumption beyond what could be produced by the economy. Soon, prices and wages increased in an acute manner ending with a situation of inflation. However, the government did not control the increasing inflation. Therefore, during the 1970s, the economy suffered from an acute rise in the prices of food and those of oil resources. As a result, the government resolved to contain the high inflation, through raising taxes and through the reduction of national spending. The strategies employed to contain inflation failed to be effective with inflation and unemployment rising to uncontrolled levels, which led to a situation referred as stagflation in which deficits characterized the US economy (Popper). During the 1980s, these deficits increased despite President Reagan’s use of programs that aimed at increase national spending and cutting tax levels. As of 1986, the deficit had escalated to USD 221,000 million, which was about 22 % percent of the total spending of the economy. The high deficits made the conception of tax policies or increased spending unthinkable policy strategies. Starting with the 1980s, reducing the deficit was the key outlook of the economy’s fiscal policy. The years that followed were characte rized by the expansion of technology and trade with stimulation of economic growth appearing unnecessary. By 1998, the economy had changed to reflect a surplus, which led to fears that it would undergo major budget challenges (Conte and Karr). Despite the fact that the budget process was a very important process, the function of managing the American economy became very important. In general, it shifted from the outlook of fiscal policy towards monetary policy. For this role, the Federal Reserve System played a key role,

MA INTERNATIONAL RELATIONS Essay Example | Topics and Well Written Essays - 1000 words

MA INTERNATIONAL RELATIONS - Essay Example It focuses on studies of conditions pre and post 2003 war. This study will focus on human rights violations and its impact on the international relations of Iraq with various countries. International Relations which has developed as a branch of Political Science and it studies foreign affairs of states and relations among states within the international system. In the present scenario the roles of states, inter-governmental organizations (IGOs), non-governmental organizations (NGOs), and multinational corporations (MNCs) have become very important to determine the International Relations among states. These cover various issues of politics, economics, security and peace and human rights. To formulate any foreign policy all these issues are being analysed and concerned. The diverse range of issues covered in International Relations studies range from globalisation to cultural studies, cross cultural impacts, ecology, nuclear issues terrorism and human security to human rights. One of the approaches of international relations is Inter-statist approach where in State is divided into two separate domains of internatl and external(international) domains. International norms along with human rights comes under the External domain. Understanding of international domain depands in agreeing on various issues and rules. Human rights in Iraq have been one of the concerns of international communities from the past. Human rights have been reported to be violated reign of Saddam Hussein and even after Gulf war in 1991. In Saddam’s period Government had repressed anyone who opposed or questioned any decision. Government had control over major industries and oil production. The human rights violations included Arbitrary or Unlawful Deprivation of Life, disappearance of people after military occupations, Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment, Arbitrary Arrest,

To IP and Beyond Essay Example | Topics and Well Written Essays - 2000 words - 2

To IP and Beyond - Essay Example Additionally, it is believed to be a biggest success for the reason that it successfully provided a small number of fundamental capabilities and services that everyone required at that time. In this scenario, some of the well-known applications and services that were supported by these protocols included remote logon, file transfer, and electronic mail (email) to a large number of users as well as server systems. In fact, a number of different systems located in a small building or office can employ TCP/IP (in conjunction with additional protocols) on a single local area network (LAN). Basically, this is a combination of two protocols, in which the internet protocol (IP) was established to fulfill a need for consistency of distinctiveness. Hence, the development of this protocol allowed all computers across the earth to share data and information the same way. In fact, it is the most affordable method to make a universal network. In addition, the IP part of the protocol allows effect ive routing from one location of a building to the organization’s central network, afterward to provincial networks, and ultimately to the worldwide Internet. As it was developed by DOD so it was intended to be used to provide support and services in battlefield. In view of the fact that on the battleground a communication medium or network will be used to maintain damage, hence the DOD developed TCP/IP to be vigorous and without human intervention recover from any phone line or terminal breakdown. In this scenario, this design facilitated them to construct a very large network with less central management. Though, due to the computerized processing, there was a chance that a wide variety of network issues can go uncorrected and unidentified for long periods of time. On the other hand, the development of TCP was aimed at providing the connection-oriented communication. In this scenario, the basic purpose of

Summary Essay Example | Topics and Well Written Essays - 2250 words

Summary - Essay Example The study aimed at â€Å"investigating the quantity and quality of household waste in terms of socio-economic groups and family size in the Dehradun city, India† (Suthar and Singh, 56). The article provides the reasons for the increased MSW in developing countries in Africa and Asia as increasing population growth in urban centres. The causes of the high population are provided by rural-urban migration, urban lifestyle changes, economic growth, and social improvement. The study was conducted in Dehradun City in India, which is the fastest growing City in India with information on HW quality and quantity conducted between March to May 2011 from 11 blocks consisting of 144 households. ANOVA and descriptive analysis aided in the analysis of HW data collected allowing for the determination of the significant difference in the garbage generation rate in households earning different income levels. Wide statistical parameters including median, range, skewness, standard deviation, kurtosis, steam-and-leaf- plots, and variance were determined using descriptive statistical analysis. SPSS statistical package was used in the study for data analysis purposes. The study found out that biodegradable waste makes up a huge junk of HW including paper waste and food/vegetable waste. Recyclable wastes comprised a small percentage of HW and the authors believe that the reasons for the few percentage of recyclable waste were the screening by households of HW for reusable/recyclable waste. The lack of plastic, glass, metals, fresh paper, cardboards, among others in HW is because of resale by HW to recycling dealers/Pheriwalas (Suthar and Singh, 57). The research also concludes that t he absence of secondary waste collection points creates health and environmental issues in the city. Owing to the high percentage of biodegradable waste in HW, generation of value-added products including compost, digestive slurry, and biogas is possible from HW. I strongly

Relationshipe between cartel crime and corporate governance Literature review

Relationshipe between cartel crime and corporate governance - Literature review Example In a number of jurisdictions, market sharing and price fixing for all purposes and intent are all constitutional violations. However, some people have argued that price fixing curbs destructive or unhealthy competition especially in oligopolistic industries. Assertion from other quarters is of the opinion that Collusion and cartels are no real threat to the market since they are majorly unstable and temporary in nature. This emanates from the fact that cartels are usually united by common interests at the beginning but in later stages, each diverts to pursue and protect its own interest which makes the whole system crumble. In most cases after agreeing to apply a uniform market price, one of the firms within the cartel usually cheats the other by lowering the prices of its products in order to maximize its customer base which in turn translates to profits (Rizza 44, 2012). It is therefore argued that collusion between members of a cartel never long lasts because their exists a general mistrust among them and no clear channel to discipline any member of the cartel who by any means is proved to be violating terms of agrrement.In circumstances of implicit collusion, the problem is magnified because of lack of effective communication channels among the cartel members. Economically, price fixing being just a mere cartel or a heinous crime is judged by whether it adds value to the economic viability or not. If the economy is boosted through cartel collusion then some people have argued that it is economically viable. The theory just discussed has majorly been applied in two ways. Firstly, to take note of those industries that may be susceptible or otherwise and their effectiveness to cartelization. Secondly, how remedies can be effectively devised that destabilizes and detect cartels which would ultimately scuttle their incidence. Initially fronted by George Stigler and later modified by other

Carrier Liability Essay Example | Topics and Well Written Essays - 2750 words

Carrier Liability - Essay Example It is, however, necessary to refer to the Hague-Visby Rules (hereinafter referred to as HVR) and case law in order to investigate the carrier's liability. The HVR function to clarify the duties owed to, and responsibilities owed by, cargo liners, providing a comprehensive explication of the circumstances and types of damages to cargo which carriers are not liable for as well as those that they may be held liable for. Further, and as established by CoGSA (1971) and by national courts, HVR is applicable when either party to the dispute is a member of a Contracting State.1 With these points in mind, the issues to be investigated are, firstly, whether HVR is applicable in this instance and, secondly, in case of applicability, whether the carrier is liable for the damages to the rice. As determined by English law, and as further emphasised through CoGSA, HVR is enforceable upon carriers travelling from any port in Great Britain and Northern Ireland to any port within it.2 More relevant, however, is the fact that it is enforceable upon carriers that are travelling from a port or to any port which is party to HVR.3 The implication here is the HVR is enforceable as both the USA and Netherlands are parties to HVR. Within the context of the stated, it is important to note that Articles III, 1c and III, 2 of HVR establish the carrier as responsible for ensuring that its holds and chambers are well-suited for the storage of cargo, including their preservation and protection.4 These articles further emphasise that the carrier, including its personnel, are obligated to exercise all due caution to safely store and protect the goods.5 Furthermore, as stipulated in Article II, not only is the carrier responsible for the safe storage of the cargo but it is further liable for any damages which may befall the goods through loading and stowing.6 The above mentioned articles are immediately relevant to the question of the carrier's liability towards the damages which the rates may have wreaked upon the bagged rice. In brief, they establish liability as a direct outcome of the failure of the crew to exercise due care regarding the protection of the cargo from damages. The carrier's liability is established by HVR. HVR, Article IV, 2b states that the carrier is not liable for damages to cargo by "fire, unless caused by the actual fault or privity of the carrier." 7 This liability directly arises from Article IV, 1's assertion that the carrier and its personnel are obligated to exercise all "due diligence" to ensure that the ship is seaworthy and its crew fit.8 The crew did not exercise the requisite due diligence, as is evident from the failure to report the sighting of the rates and, the vessel was not seaworthy, a fact which takes on additional importance when considering liability for delay in delivery. Case law supports the argument pertaining to the carrier's liability, as in the matter of Papera Traders Co Ltd & Ors V (1) Hyundai Merchant Marine Co Ltd (2) Keihin Co Ltd Sub Nom Eurasian Dream (2002)9 In this case, the cargo owners sued the carrier following the occurrence of a fire which destroyed the cargo and rendered the vessel a total loss. As the owners of the

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

Paramount - Essay Example Based on the financial statements, the EBITDA, and other indicators the investment in Paramount is a very lucrative investment decision. Refer to Excel Sheet Q1 to Q7. Based on question 5 sheet of the excel file, The merger between Paramount and Viacom will result to total combined sales of $ 6,697. Both companies cater to the same industry like entertainment, networks & broadcasting. The merger will result to cost of sales reduction and expenses of 30%. Please refer to question 5 excel sheet attached for . The only similar business they serve is the networks business. Therefore the estimated cost of sales and expenses reduction will only be an estimated 10% because the other business lines that are disadvantageously unique to one company. These are the entertainment, broadcasting, live entertainment & publishing sectors. The growth rate of Paramount will be increased by the entrance of Viacom because EBITDA will be increased as shown in the excel computations attached. This can be explained by looking at question 12 sheet of the excel file attached. The market value of the combined synergy between Viacom and Paramount is $ 42,105.30( refer to question 9 sheet of the excel file. Whereas, the market value where Paramount is not combined with Viacom is only $ 28,056.30 as computed in excel file question 8 sheet. What would happen to costs & sales growth if Q... Computations are shown in question 5 sheet of the excel file attached. What effect would Viacom have on Paramount's growth rateThe growth rate of Paramount will be increased by the entrance of Viacom because EBITDA will be increased as shown in the excel computations attached. This can be explained by looking at question 12 sheet of the excel file attached. The market value of the combined synergy between Viacom and Paramount is $ 42,105.30( refer to question 9 sheet of the excel file. Whereas, the market value where Paramount is not combined with Viacom is only $ 28,056.30 as computed in excel file question 8 sheet. What would happen to costs & sales growth if QVC bought Paramount The cost and expenses is estimated to decrease by only 10 %. The sales increase is sales will be lesser. This is discussed in question 5 sheet of the excel file. 4. What is Paramount's worth as it is What is its worth to Viacom What about QVC Argue from point of savings / synergies that Viacom would achieve. Paramount is worth is $ 28, 056.30 as shown in Question no. 9 sheet in the excel file below. When Viacom joins Paramount the additional earnings before taxes, deprecation and amortization generated for Viacom is from $134 in 1994 to $223 in 1998. Paramount is worth $7,595.75 when the multiple values are used. Paramount will be very happy when Viacom joins Paramount because now Paramount can use the facilities of Viacom to enter into territories where Viacom is having a good business. Viacom in return can use the facilities of Paramount to enter into territories dominated by Paramount. 5. Should Redstone Continue What price should he offer Should the offer Cash Stock Or combination What should he do about lock out

Marcel Duchamps Fountain and the Dadaist Movement Essay Example for Free

Marcel Duchamps Fountain and the Dadaist Movement Essay This is a paper about the Dadaist movement and a work of art that is very representative of Dadaist philosophy: Fountain by Marcel Duchamp. The Fountain is one of the most controversial works of art ever. Many argued at the time that it could not be considered art. At first glance, it began as away to test the integrity of an art societys rules for how and what it would consider to be a work of art. It is more complex than this as will be shown. The controversy it raised also forced a re-assessment of the definition â€Å"art. † It embodied the Dada movements irreverence for the rules of a society that had gone mad. To understand Fountain in relation to the Dadaist movement, we must first understand Dadaism and why it emerged as a movement in the early 20th century. The history of Fountain and its creator will be told. Finally, these individual parts of the story will be assembled to give a complete picture of the significance of Fountain as work of modern art The First World War removed any glamorous or noble image of war that may have remained from the days before the mechanization and streamlining of the weapons of war. The death and suffering brought about the Great War had a great effect on soldiers and civilians alike. The number of people killed and wounded was terrible enough. It was the great numbers killed coupled with the lack of a reasonable explanation for sending young men to die or to lose a leg, or an eye, or an arm that perturbed the fragile psychological balance that virtually drove an entire society to the precipice of madness. Death permeated every aspect of life-like never before. Many questioned how a supposedly rational society could destroy itself in such a violent and irrational manner. A movement composed of artists, performers, and intellectuals called for a rejection of the social and artistic norms of the civilization that had brought about the horrors of WWI. The senseless killing proved that life was without meaning; at least it had no meaning for the architects of their world. The movement called for a new beginning that would bring meaning to life. The name of this movement was Dada. There are several explanations for the name. One is that â€Å"da-da† is a common first word said by babies (Adams 915).. â€Å"Dada† is also the French term for a wooden rocking horse. These references to young children symbolize the new beginning that the Dada movement called for in their manifesto (Adams914). Although Dada was a response to a grim situation, one of its characteristics was a lighthearted attitude. From this playful premise, another rationale for the name can be derived from the Slavic â€Å"da, da! † which of course means â€Å"yes, yes† (Adams 914). Yet another rumor claims it was taken from a randomly opened page of a French-German dictionary with the word â€Å"dada† in it. Perhaps the name has no meaning and it was just an arbitrary choice by some of the founding members. This explanation fits perfectly with the â€Å"anti-art† philosophy of Dada. They wished to shock the public into recognizing the absurdity of the Western world through their art (Frank 398). Jean Arp, a French artist, poet, and founding member of Dada summarized the movement with this: While the thunder of guns rolled in the distance, we sang, painted, glued, and composed for all our worth. We are seeking an art that would heal mankind from the madness of the age (qtd. In Frank 398). Artist Marcel Janco said: Dada was not a school of artists, but an alarm signal against declining values, routine and speculation, a desperate appeal on behalf of all forms of art, for a creative basis on which to build a new and universal consciousness of art (qtd. In Frank 397). They wished to remedy society in a way that was in direct opposition to the malevolence of war and destruction. They would heal society through benevolent art that was fun and creative. Fountain (1917) by Marcel Duchamp embodies much of the Dada movements irreverence for all traditional aesthetic values. It has an interesting story behind it. Duchamp was one of many artists that immigrated to New York from war-ravaged Europe. He was at the center of a controversy concerning one of his earlier paintings titled Nude Descending a Staircase in 1912. The painting is akin to time-lapse photograph of a nude woman walking down a staircase with each step superimposed on each other. It give the strong impression of movement; movement being a popular subject of interest by artists of the time. Duchamp was asked to remove the painting before it was to be exhibited at an exposition in France because the organizers of the show felt it was too â€Å"radical† and the public was not ready for such a painting (Camfield 20). Duchamp complied, but was dismayed at being the victim of censorship by an organization that professed to honor democratic ideals in their charter. This is important because this group, the French Independants, would soon have an American counterpart known as the American Independents Society. Duchamp never forgot the hypocrisy of being censored by the French Independants and when the American Independents Society was formed, he wished to test the fortitude of the democratic ideals it too claimed to cherish. The Independents founding principle was â€Å"no jury, no prize† (Camfield 22). This principle would, in theory, allow for a broad interpretation for what could be considered art and spur the great creativity in the creation of art by the Societys members. Submissions by artists that were to be displayed at expositions should have been accepted without being screened and possibly censored by a â€Å"jury† of any kind. Duchamp would submit, under a pseudonym, the work titled Fountain. The reason Duchamp chose to submit such an outrageous piece was not mainly to test the democratic principles of the Independents. Duchamp saw it as a way to inject a true work of Dada into the public view with the purpose of shocking them into recognizing the folly of Western civilization, a key aim of the Dadaist movement. Duchamp was known for the slight additions drawn or painted onto everyday objects or mass-produced replicas of famous art pieces and named them â€Å"Ready-Mades. † Duchamp combined his playful personality and sharp wit with his Ready-Mades. One of his famous Ready-Mades is L. H. O. O. Q. , a revised Mona Lisa in which he has added a mustache to the familiar face of La Gioconda originally painted by da Vinci 500 years ago. The title is meant to be phonetically the same as the word â€Å"look. † The letters are also an acronym in French standing for â€Å"She has a hot ass. † These demonstrates that Duchamps intent was to shock the observer while at the same time doing this with a good sense of humor. One of the greatest shocks the world was to ever receive from a work of art would be administered by Duchamps Fountain. To test the democratic strength of the Independents as discussed earlier, Duchamp submitted a porcelain urinal he purchased from a plumbing store shortly before the first exposition of the American Society of Independent Artists. The urinal was to be displayed upside down from its intended position, the name R. Mutt was inscribed on it, and it was christened with the title Fountain. It arrived a few days before the beginning of the show and it was judged by the â€Å"jury† that was not supposed to exist according to one of the founding principles of the Independents. Just as Nude Descending a Staircase was snubbed from being viewed a few years previous, Fountain too suffered the same indignity of being censored. Duchamp immediately resigned as a director of the American Independents in protest. It was not known until later that R. Mutt was really Duchamp. Fountain is significant in the context of the Dada movement because it was the opposite of anything that Western culture would dream of considering art. That was exactly the point of the movement when it began in Zurich, Switzerland as a response to the horrors of the mechanized death machine unleashed by the First World War. It also asked an important question: â€Å"What is Art? † Duchamp thought that the subjects of his Ready-Mades are as artistic the subjects chosen by a photographer because they are both about the choice of subject matter made by the artist. Photography was well established as an art form in Duchamps time. Why is his choice of subject matter any different from what the photographer chooses to capture on film? The only difference between a Ready-Made and a photograph is the medium in which the subject resides. Why Duchamp chose what he did to create Fountain is hard to discern from the contradictory statements made over the years until his death in 1968. William Camfield makes a good argument that Duchamp did not pick out the urinal at random as he sometimes implied in some responses to questions he was asked about any aesthetic considerations he took when the urinal was purchased. Camfield says: Turning from those late interviews back to 1917 and Duchamps work that preceded Fountain, we find not aesthetic indifference but an oeuvre of extraordinary visual and intellectual rigor. And Fountain fits in that oeuvre. Far from being the product of an impulsive decision to challenge the principles of the Independents, Fountain seems to be expressive of its creator, related to other work by Duchamp, and reflective of other art and the culture around him. (43) It makes sense that the style and creativity exhibited by Duchamp in the other works of art he created around the time of Fountain would be evident in a work that was much more than a last-minute random selection. Fountain seems to be very consistent with his other works during this period and casts doubt on the idea that he did it for anything less than to espouse the tenets of Dada; beliefs he was strongly committed to. Works Cited Adams Laurie S. , Art Across Time. New York: McGraw-Hill, 2002 Camfield, William A. , Marcel Duchamp Fountain. Houston, Texas: Houston Fine Art Press, 1989 Cubitt, Sean. â€Å"Marcel Duchamp† Leonardo 35 (2002): 99-100 de la Croix, H. and Tansey, Richard G. , Art Through the Ages. New York: HBJ, 1975 Frank, Patrick, Artforms. New Jersey: Pearson, 2006 Goldsmith, Steven. â€Å"The Ready-Mades of Marcel Duchamp: The Ambiguities of an Aesthetic Revolution. † The Journal of Aesthetics and Art Criticism 42 (1983) 197-208 Molesworth, Helen. â€Å"The Everyday Life of Marcel Duchamps Ready-Mades† Art Journal 57 (1998): 50-61

Disney Animation And Child Development

Disney Animation And Child Development Disney animated films captivate the imagination of an abundance of people with mesmerizing music, charismatic characters, and vivid visuals. My grandmother, who had lived in poverty through most of her childhood, loved the Disney animated films as a child, because they were an escape from reality and gave her the hope of a better future. Because Disney animation played an important role in my grandmothers childhood, she replicated these memories with her children and grandchildren through watching Walt Disney animated films. Although I was too young to remember my first experiences with the Disney animated films, the first experience Disney animated film that I can draw from memory is the, The Little Mermaid. As a child, I fell in love with the appealing characters and the enchanting music from the movie. The protagonist Ariel was engaging to me as a child because she was curious and yearned to learn about a world enigmatic to hers. The animation of The Little Mermaid is vibrant and displays captivating soundtrack. The plot consists of a mermaid who is fascinated with the human world and finds herself in love with Prince Eric whom she saves from shipwreck. Ariels father, King Triton, is very protective of his daughter and is concerned about her curiosity for the human world. In order to be with the one she loves, Ariel turns to the sea witch, Ursula, who casts a spell upon her to become human. The conditions for Ariel to remain a human are that she must get a true loves kiss from Prince Eric within three days, and that if she does not, she will forever be unable to use her voice again. In the end, Prince Eric is tricked into falling in love with Ursula and Ariel must to fight off Ursula in order to save the kingdom and those she loves. King Triton apologizes for being too protective of Ariel and allows her to live happily ever after with Prince Eric. Disneys The Little Mermaid plot contains friendships, curiosity, consequences from rashness, persistence, and the dangers of being overprotective. Today, Disney animation plays an active role in my life because the movies are relative to loving ones family, embracing creativity and curiosity, and an inspiration. Disney animated films have given me countless memories that I cherish with both friends and family. I want to pass on the same happy memories I had with my grandmother by making a special time to watch Disneys movies with my younger family members. Recently, my three-year-old cousin Addy and I watched Disney-Pixars Brave. Towards end where the protagonist, Merida, hugs both of her parents, Addy asked me if the princess loves her mommy and daddy? I told her yes, of course she does! She replied I love my mommy and daddy too! Although my cousin may never remember that moment, its a moment that I will always remember. Walt Disney Animated Studios embraces positive childhood development through their films. The Disney animated movies focus on a variety of topics that can inspire children to question, love and imagine. Although these films may be viewed only as entertainment to some people, to others it is a useful tool to educate children about supplemental life lessons through an engaging medium. Disney animated films focuses on inspiring children to be inquisitive, as questioning and wonder is essential in the learning process. Disney implements the idea of being analytical and curious through characters that are naturally inquisitive with a strong desire to learn. For example, Belle from Beauty and the Beast, is a girl with an investigative personality and whose hobby is reading. Another character is Alice from Alice in Wonderland who falls down a rabbit hole and lands in a world that only becomes curious and curiouser the longer she is in Wonderland. Examples of Disneys implementation of creati vity are through audio-visual effects in the 1940 film Fantasia. Fantasias core idea throughout the film is to encourage one to use their imagination to create simple music, shapes, and colors to then become a wonderfully complex story inspired by orchestrated music. Creativity plays a key role in the Disney movie Meet the Robinsons. Lewis, young inventor, uses his imagination, creativity, curiosity, and dedication of achieving his goal of in becoming a successful inventor. Another attribute Disney animated studios incorporates into their storylines is the importance of loving one another. Teaching young children the significant and diverse meanings of love is essential in a childs development. Many Disney animated films teach the significance of loving ones friends, families, and community. Whether it is love for a friend, or love for ones dreams and wishes, love plays an essential role in each of Disneys animated movies. Examples of different forms of love include the 1940 film, Pinocchio. Pinocchio is puppet who is loved by his creator, Geppetto. A fairy magically turns Pinocchio into a real boy and Geppetto loves Pinocchio like his own son. In The Many Adventures of Winnie the Pooh, Winnie the Pooh loves all of his friends in the One-Hundred Acres Wood and they all work together with the challenges they face. In Pocahontas, the Native American princess makes the decision to be with her love John Smith, and tries to protect her community from fightin g the English invaders and to come to peaceful terms. The Princess and the Frog is a story about loving and embracing ones dreams in life. Tiana, the main character, wishes to fulfill her and her late fathers dream of owning a restaurant and works hard to make her dreams come true. Although Disney animation promotes healthy child development and essential skills required for learning and growing, there are some who believe the films may play a negative role in a childs development. Those critics typically believe that Disney movies are too unrealistic and have plots which center on anti-feminism, promoting materialism and foster laziness. As Walt Disney had once said, All cartoon characters and fables must be exaggeration, caricatures. It is the very nature of fantasy and fable. For one to expect realism in a childs story is unrealistic within itself. Many of the Disney animated films are adaptations of stories from folk tales and other forms of previous literature. The Grimm Brothers first written down the folk stories of Snow White, Cinderella, and Sleeping Beauty, and The Little Mermaid is an adaptation of the story by Hans Christian Anderson. Therefore, many of the plots behind popular Disney stories are not created by Disney, but are instead Disney animate d studios own interpretations of these stories that are more family orientated than the original stories themselves. Some feminists argue that the Disney princesses set an unrealistic goal of how women should behave and look. They also believe that it teaches young girls that a Prince Charming figure exists. However, many Disney princesses do have character traits outside the traditional, stereotypical female role. In Disneys animated film, Mulan, Mulan breaks away from the traditional customs of her culture of becoming a stereotypical Chinese wife that serves her husband, and instead disguises herself as a male soldier to protect her father and fight for her country. Mulan does fall in love in the movie with Captain Li Shang, who she originally detests. However, the film illustrates that Li Shang is not flawless. Although some soldiers joke around with Li Shang by calling him a pretty boy, Li Shang proves that he is inquisitive, a good leader, and logical. Some believe that the Dis ney princess films contain unrealistic expectations of beauty, and insists that the Disney princesses have a damaging impact on a girls expectations and self-esteem. However, they are not taking into consideration of the importance of the viewers age. Many toddlers and young children still do not have the cognitive ability to grasp the concept of an animated character to be setting the standards of beauty. Then once they are old enough to understand that society has already placed a standard for beauty, they are also old enough to understand that the princesses are animated characters and are not real expectations for living people. Some also argue that Disney animated films encourage children to be materialistic. However, while Disney does sell a multitude of products, it is not the corporations responsibility to parent children. It is instead the sole responsibility of a childs parents to teach against materialism. Thirdly, the idea that Disney animated films promotes the unrealistic dream of lifes problems magically disappearing and that working hard can be avoided is untrue. Many of the Disney animated characters work hard in the stories. Although Cinderella had a Fairy Godmother assist her in escaping from her evil stepmother and step-sisters, one can translate that into a real world scenario that works hard in life, and had a lucky break with someone being able to help them achieve a better life. In the animated film, The Princess and the Frog, Tiana must works hard to make a living and saves money to open up a restaurant she has always wanted. Disney animated films had inspired me during my childhood years to express my creativity and imagination. Disney animated films encourage children to be curious, imaginative and creative, as well as encourage children to love in a variety of ways to promote healthy childhood development. Many of the Disney animated films are adaptations from folk and fairy tales, as well as other novels throughout literary history. Although some may not support children viewing Disney animated films due to their own interpretations of the films and what they believe the films portray, it is ultimately the parents role to teach their children important life lessons and how to interpret the movies. It is only the Disney Animation Studios to entertain both children and adults; their films do promote a multitude of encouraging messages that can translate a child to incorporate being imaginative, curious, and loving into their own lives. In conclusion, Disney animated films promote healthy childhood devel opment. Parents and educators should properly incorporate these films for home entertainment and for education through encouraging children to use their creativity and focusing on the morals of the story. Work Cited Walt Disney Quotes. Walt Disney Quotes. Just Disney, Web. 22 Jan. 2013.

Annotated Bibliography: Drug Delivery Mechanisms

Annotated Bibliography: Drug Delivery Mechanisms LITERATURE REVIEW Nyol et al., had presented thesis on among all dosage forms tablet is the most popular dosage form existing today because of its convenience of self administration, compactness and easy manufacturing; sometimes immediate onset of action is required than conventional therapy in many cases. So that to overcome these drawbacks, immediate release dosage form has emerged as alternative oral dosage forms. Immediate drug release dosage forms disintegrate rapidly after administration with enhanced rate of dissolution tablets .The objective of this work was to explain about immediate release tablets. P. Rohini et al., Developed oral disintegrating tablets of Rosuvastatin by superdisintegrants addition method by direct compression technique using sodium starch glycolate, croscarmellose sodium, lycoat Rs 720 and cross povidone in different concentrations. All the formulations were evaluated for disintegration, hardness, friability, dug content and dissolution study. The best release formulation was compared with the marketed product of Rosuvastatin. Bheemeswara rao k et Al., The objective of this study was to develop immediate release film coated tablets of Rosuvastatin by wet granulation method. Different formulations were made by using various concentrations of superdisintegrants ployplasdon XL-10 and granulating fluids like water, isopropyl alcohol and butyl hydroxyl toluene. Opadry pink was used as film coating material. The prepared tablets were evaluated for the physical characteristics, invitro dissolution and stability. Mayank Bansal., et.al.Zaltoprofen is a nont concentran-steroidal anti-inflammatory drug (NSAIDs) with powerful analgesic action on inflammatory pain. The purpose of this research work was to formulate an immediate release tablet of Zaltoprofen for the treatment of pain and inflammation, by using superdisintegratnts such as Croscarmellose sodium and different grades of microcrystalline cellulose. Immediate release tablets of Zaltoprofen were prepared by direct compression method using superdisintegratnts such as Croscarmellose sodium and different grades of microcrystalline cellulose in different ratios. Sodium starch glycolate was added to aid disintegration. Murdochet al., 2005 :( Escitalopram (Cipralex ®, Lexaproâ„ ¢), the activeS-enantiomers of the racemic selective serotonin reuptake inhibitor (SSRI) citalopram (RS-citalopram), is a highly selective inhibitor of the serotonin transporter protein. It possesses a rapid onset of antidepressant activity, and is an effective and generally well tolerated treatment for moderate-to-severe major depressive disorder (MDD). Pooled analyses from an extensive clinical trial database suggest that escitalopram is consistently more effective than citalopram in moderate-to-severe MDD. Mishra DN et al., 2005: Formulated rapid disintegrating oral tablets of valdecoxib using super disintegrating agents such as crosspovidone, croscarmellose sodium, sodium starch glycolate. The results showed rapid disintegration with use of cross caramellose sodium at low concentrations.   Chaudhari PD et al., 2005: Formulated fast dissolving tablets of famotidine by using croscaramellose sodium and crospovidone as superdisintegrants. Famotidine was initially masked for its bitter taste by preparing solid dispersion with eudragit E100. Compressed tablets containing different concentrations of super disintegrants showed disintegration time between 11 to 26 seconds. Invitro release was about 92% to 1005 at the end of 12 minutes. Schreimer T et al., 2005: Investigated about the mechanism of immediate drug release from solid oral dosage forms. They found that starch and cellulose substances favoured the matrix disintegration and the generation of effective dissolution surface of the drug substances. They developed a mathematical model suitable for the characterization and optimization of immediate drug release by the choice and modification of excipients. Stanifort John N et al., 2004: Studied that microcrystalline cellulose excipients having improved compressibility whether utilized in direct compression, dry granulation or wet granulation and possess excellent disintegration and dissolution properties when exposed to gastrointestinal fluid. Emily R et al., 2004: Citalopram, a selective serotonin reuptake inhibitor, is used as a neuroendocrine probe in human subjects to assess serotonin function as reflected in prolactin and plasma cortisol release. Citalopram is a racemic mixture of equal proportions of the S(+) and R(−) enantiomers. Inhibition of serotonin reuptake and, consequently, antidepressant activity is associated, almost exclusively, with the S(+) enantiomers (â€Å"escitalopram†). Shirwaikar A et al., 2004: Carried out formulation of fast dissolving tablets of granisetron hydrochloride using super disintegrants by direct compression method, formulation containing crospovidone and croscarmellose sodium displayed shortest disintegration time compared to other disintegrants. Shimizu T et al., 2003: Performed the formulation study of lansaprazole fast disintegrating tablet by MCC, low substituted hydroxyl propylcellulose and cross povidone as binders and disintegrants respectively. Formulation showed rapid disintegration of tablets in mouth (not more than 30 seconds). Larry Augsburger L et al., 2002: Studied about characterization and functions of super disintegrants. In recent years, several newer disintegrants have been developed called superdisintegrants and these disintegrants may be organized into three classes based on their chemical structure (such as SSG, crospovidone and croscaramellose sodium). It was concluded that these would be used at lower levels than starch and any possible adverse effect on fluidity would be minimized.   Bi YX et al., 1999: Evaluated rapidly disintegrating tablets prepared by direct compression method using excipients MCC, lactose, croscaramellose sodium and erythritol. Within the optimal region, the minimum tensile strength was 5kg/cm2 while the maximum disintegration time was 15 seconds. The method described here was useful for the preparation of rapidly disintegrating tablets. Chetan N. Yeole et al., Formulated and evaluated paroxetine immediate release tablets. Paroxetine is a selective serotonine reuptake inhibitor (SSRI) used in treatment of depression. Paroxetine immediate release tablet have been prepared by direct compression method. Effect of various fillers and disintegrants were also explored. MCC and DI-Tab were used as directly compressible fillers. In order to obtain acceptable product several trials were conducted. Various pharmacopoeial evaluations of the formulations were conducted including weight variation, hardness, friability, disintegration time and dissolution. Final selection of formulation was done on pharmaceutical equivalence of developed formulation to that of marketed one. Rishikesh et.al. Studied Immediate Release Drug Delivery Systems. Oral administration is the most popular route for the systemic effects due to its ease of ingestion, pain, avoidance, versatility and most importantly patient compliance. Tablets or capsules are most popular among all dosage forms existing today because of its convenience of self administration, compactness and easy manufacturing; however in many cases immediate onset of action is required than conventional therapy. By using MCC, DI-TAB, CCS, SSG like excipients we will achieve the immediate release. Syed azeem.et.al Studied immediate Release Drug Delivery Systems. Tablet is the most popular among all dosage forms existing today because of its convenience of self administration, compactness and easy manufacturing; however in many cases immediate onset of action is required than conventional therapy. To overcome these drawbacks, immediate release pharmaceutical dosage form has emerged as alternative oral dosage forms. There are novel types of dosage forms that act very quickly after administration. The basic approach used in development tablets is the use of superdisintegrants like Cross linked carboxy methyl cellulose, Sodium starch glycolate, Poly vinyl pyrrolidone etc. which provide instantaneous disintegration of tablet after administration. Immediate release liquid dosage forms and parenteral dosage form have also been introduced for treating patients.

Search for Identity in Amy Tans The Joy Luck Club Essay -- Joy Luck C

Search for Identity in The Joy Luck Club "Imagine, a daughter not knowing her own mother!" And then it occurs to me. They are frightened. In me, they see their own daughters, just as ignorant, just as unmindful of all truths and hopes they have brought to America. They see daughters who grow impatient when their mothers talk in Chinese, who think they are stupid when they explain things in fractured English. (Tan 40-41) Amy Tan frames The Joy Luck Club with Jing-mei Woo's search for identity. When Jing-mei's mother's friends tell Jing-mei that her sisters have at long last been found and insist that she tell her sisters about their mother's life, Jing-mei emotionally replies that she does not know her mother. However, her mother's friends' generosity helps Jing-mei to realize how much she wishes that she had understood her mother, how desperately she would like to question her if only she could. It is in this moment that Jing-mei recognizes the necessity of understanding her mother's life in order both to figure out who her mother was and to understand herself. Jing-mei's placement at the mah jong table already suggests a link between Jing-mei and her mother that parallels Jing-mei's position in the rest of the novel, for wherever Suyuan should be telling her story, it is told through the voice of Jing-mei instead. While Suyuan should be the one to reconcile with her lost daughters, Jing-mei will go in her place. This planned act of reconciliation where Jing-mei will fulfill her mother's dream foreshadows the other mother-daughter stories in the novel where An-mei, Lindo, and Ying-ying are just as eager to reclaim their daughters as Suyuan, in order to help in their daughters' struggles ... ...perately to connect with her mother. In her quest to close the cultural gap between her Chinese heritage and her American upbringing, she questions what it means to be Chinese. Suffering from a disadvantage compared to the other daughters in the story, since her mother is dead, Jing-mei struggles to remember the foods her mother cooked, her relatives' names, and the stories her mother told. However, it is when Jing-mei finally embraces her sisters, and they observe in the polaroid shot how they all look like their mother, that it occurs to Jing-mei that her family is the part of her that is Chinese. Therefore, in order to understand that part of her identity, she must embrace the memory of her dead mother. With the sisters linked by their mother in their family likeness, the photograph symbolically reconciles the two generations, as well as the two cultures.

Only a Girl in Boys and Girls by Alice Munro Essay -- Boys and Girls A

Only a Girl in Boys and Girls Alice Munro's short story, "Boys and Girls," explores the different roles of men and women in society through a young girl's discovery of what it means to be a girl. A close examination of the elements of a short story as they are used in "Boys and Girls" helps us to understand the meaning of the story. The story is set in the 1940s, on a fox farm outside of Jubilee, a rural area only twenty miles away from the county jail. The farm is a place that reflects the ingenuity of the narrator's father. The pens for the foxes are arranged in neat rows, inside a high guard fence like a "medieval town". The pens each contain a kennel, a wooden ramp, and dishes attached to the wire fence. The fox farm is the father's domain, a place of hard work and creativity, in which the narrator feels at home. The house itself is the mother's domain, but it is a place that the narrator shuns, as she shuns many elements of the feminine world. The contrast between the girl's concept of the farm and of the house demonstrates the conflict she experiences between her chosen position as her father's helper and her position in society as a girl. The point of view of the story is first person. The narrator is a young girl in the process of growing up, who is, at the end of the story, only eleven years old. She is a naà ¯ve narrator, being so young, and is unreliable in her view of the people around her, especially her understanding of her mother's motives. By writing the story in this way, Munro gives us a look at women's role in society through the eyes of a girl who is just finding out the effect that society's expectations have on her. The narrator is the main character of the story. As the protagonist, she is a ... ... as a girl, her role in society is different from her father's and brother's. Although limitations are placed on her, she is free to follow her own heart. This, to her, is the meaning of being "only a girl." In conclusion, the elements of this short story work together very well to demonstrate the theme of the story. The narrator's conflict between filling a masculine role and accepting a feminine one, the contrast between her mother and her father, and the setting that is divided between the mother's domain and father's domain all build the effect of the theme well. This story gives a fresh look at the question of women's role in society through the eyes of a young girl. Work Consulted: Munro, Alice. "Boys and Girls." The Norton Introduction to Literature. Eds. Carl E. Bain, Jerome Beaty and J. Paul Hunter. 6th ed. New York: Norton, 1995. 465-75.

The Changing Function of Victorian Public Parks, 1840-1860 :: European Europe History

The Changing Function of Victorian Public Parks, 1840-1860 Tastefully laid out in grass intersected by broad gravel walks, and planted with a great variety of trees, shrubs and flowers, botanically arranged. The Arboretum, as these gardens are designated, is much frequented, and has already produced a perceptible effect in improving the appearance and demeanour of the working class. J.M. Milton, in reference to The Derby Arboretum, State of Large Towns, 1871 (l)    This mid to late-19th century account of an early Victorian (English) public park illustrates the change of function and transformation of the Victorian public park from its original role as an upper-middle class observatory of Nature to its redefinition as this class' s social observatory of the lower classes. Between the years of 1840 and 1860, the public park's role in the eyes of England' s upper crust changed drastically due to the economic and political structure of Victorian England during this time and J.M. Milton's quote reflects this reality. In the mid-19th century, public parks in England began to emerge in response to a rise in pollution and lack of open space within newly industrialized urban centers in places such as London, Derby, Birmingham, and Manchester.(2) The first public parks were funded by private benefactors who were often times the owners of the factories that created these tainted environments. Influencing this environment-friendly attitude was the increased Victorian interest in the sciences (especially botany) due to nineteenth century contributions of both biologists and writers including the empirical work of Darwin's Origin of Species (1858) and Tennyson's literary work, InMemoriam (1867).(3) Many of these benefactors put money into the development of public walks and parks to give birth to not only a healthier urban setting, though, but also to create a faà §ade that made them appear as altruistic philanthropists who were genuinely concerned with the social welfare of the urban-based factory worke rs who had little or no open space of their own.(4) However, while these upper-middle Victorian philanthropists appeared to provide the working class with the social and health ideals of the upper crust, the public environments that they created did not reflect this universal ideal of integrating the disparate classes together, but rather they were attempts to maintain the isolation and segregation the Victorian upper class desired. The English public park from 1840-1860 provides a physical reflection of this Victorian frame of mind in that it exemplifies one of the grave contradictions that defines the upper-middle class Victorian society which boasts for universality of its ideals for all yet is exclusionary toward the proletariats.

Personal Worldview Inventory Essay

My personal beliefs have formed me over the course of my lifetime by many different influences. Many people have made important impact in my life that have changed my beliefs in society and my life. The major two values that help determine my worldview are God and Ethics they are the ways that help me shape my beliefs, and life decisions. I feel the strongest aspect of my worldview is my tremendous sense of spirituality and the relationship I have with God. All of these beliefs help me every day with my decisions. The moral values I have learned are from many different influences through my lifetime. Strong Catholic influences have been the good foundation to be closer to God. I have learned to live a life of compassion, service and teaching. Ethical choices that I have made in my life have not been the most popular but they are the ones I live with. One of my beliefs is that not all humans respond or act the same way. It all depends on their world view, background, morals, and personalities. My main goal in life is to help others ever since I was a child. I was raised in a very religious catholic home. I was the middle child of five children in a Hispanic family. I grew up in a small Hispanic community near Mexico. As we were growing up we were exposed to people living in poverty and we were expected to help them with what we had. Even though we were not a rich family we would give we would make the effort to donate food and the necessary items to the needy families. We would donate dinners on Christmas Eve to the most unfortunate families with small children for the holiday. This tradition continues to be in my family and now my children are experiencing it. My mother and father  have always taught us values and morals. I grew up with the belief to help out people in need. While I was growing up I wanted to be a Doctor or a nurse because my main objective was to help people in need. Now that I have accomplished my dream I am able to help people who are in need by caring for them. What is prime reality? One of the many definitions that describe Prime reality is â€Å"Prime reality is the infinite, personal God revealed in the Holy Scriptures. This God is triune, Transcendent, sovereign and good. (Sire, 2009). It is also describes God as being a supreme power. God cannot be compared with the study of Cosmos. Also the relationship that man has with God is extraordinary because man can trust God for any problems in life and relate with him in any personal way. In religious pluralism defines Prime reality generally refers to the belief in two or more religious worldviews as being valid or acceptable. It is a multiple path that leads to the same God. Early as the seventeenth century the main concept was the religious working together. Even though Muslims and Christians believe in helping the most need both have different ideas and precept of God (Tripp, 2000). In Scientism the main concept of Prime reality is main goal is to extend to broaden scientific methods, to the life of humans in society and political issues. In post modernism the Prime reality the main concept is there main philosophy that states, â€Å"There is no absolute truth does not exist†. This leads to relativism which means that what is right for one group is not necessarly true for everyone in today’s society. What is the nature of the worlds around us? Nature can be interpreted as patterns of relationships. This is encouraged by the Buddhist belief that there is a interconnectedness of all things. This belief does not deny the reality of things that are typically perceived as being â€Å"in the objectively real world†, but it denies that these things have any ontologically isolated essence (Tripp, 2000). The basic idea is that there are no substantial or truly independent â€Å"essences† of things because the essence of any given thing consists in its interconnections with every other thing. The â€Å"objectively real† world cannot exists without us, not  because minds â€Å"create the world† but because the quality of our experiences and the things in the world that we typically call â€Å"objectively real† are ontologically interdependent. The ontological essence of each thing consists in its relations to all other things, thus nothing exists unless everything it is related to exists as well. External reality is the way God created the earth to work in uniformity and the earth was made out of nothing (Sire, 2009). In a scientism view it was the art of science that started the universe. Chemical reactions within the world is what started life in earth. What is a human being? It is a creature created by God. We are extraordinary machines full of mystery images of God and we were made to serve God. â€Å"Human beings are created in the image of God and thus possess personality, self-transcendence, intelligence, morality, gregariousness and creativity† (Sire, 2009). In postmodernism and scientism human beings are created by matter and there is no foundation of human beings from the beginning or why we exist. What happens to a person at death? Death is viewed as a gate to meet God and live an eternal life with him. Whatever happens at death is always a mystery. In much religious death once everyone dies they will face judgment by God (Noebel,2006). Death is not the end of life; it is the beginning of eternal existence. Postmodernism has no moral absolutes but rather places responsibility into the hands of the individual. Each absolute belongs into the hands of the individual and therefore each position on after afterlife is relative to an individual’s meaning of truth. In scientism death is viewed as the end of life and that a person is not passed to a better life. They also have the belief that near death experiences do not exist. Their only conclusion is that there s no scientific evidence that near death experiences are actual afterlife experiences. Why is it possible to know anything at all? Human beings are the images of God. God gave us the capacity to know and learn from his teachings. In postmodernism the truth about reality itself is forever hidden and no explanation. In scientism human reason & the methods of science the universe is responsible for knowing everything. Humans were  created this way(Tripp,2009). How do we know what is right or wrong? We determine what is right or wrong based on our teachings from the bible and from the word of God. As we are growing up our parents are the ones who teach us the values and morals. The way they learned from their parents. It is guided by the teachings of the bible. In scientism right and wrong are what we decide for our ourselves as humans it may be individually, or families. In postmodernism each person or culture develop their own moral values. It also depends how each individual is raised. They sometimes ask each other is that right for me? How will this help me? Also our actions are determined by our responsibilities as human beings. What is the meaning of human history? The meaning of history for people who follow a certain religion is creation, fall and redemption. God is wonderful and has a plan for everyone. God is in total control of the world. The main purpose of God was to create man and have a good relationship with him. God gave us the tools to follow him and if we commit sin God is always willing to forgive us. In postmodernism their belief is that human history is the study of one’s culture over another. It is main concept is relative, the postmodernist will be will to rewrite history to try to convince other in believing what is better for them. In scientism history has no purpose. Also they believe that someday the plant will freeze up or burn and will be the end of life. Conclusion All human beings have a purpose in life, regardless of their worldview. We should respect them and love them the way they are. Sometimes they will learn from each other and obtain the positive beliefs from each other. A good paper, Shirley. I would like to have seen you give more attention and analysis to pluralism, scientism and postmodernism. Still, this is a good paper. References Noebel, D(2006). Understanding the Times: The Collision of Today’s Competing Worldview 2nd(ed) Summit Press. Sire, J. (2009). The universe next door. (5 ed.). Downers Grove, Illinois: IVP Academic. Tripp, D (2000). â€Å"Where did I come from†. Exploring Christianity. Retrieved on June 26, 2015 from www.christanity.co.nz

The Things They Carried

Tim O’Brien’s novel, The Things They Carried, provides an incredible realization of what life was like for an American soldier who fought in Vietnam from perspectives before, during, and after the war. The story’s power draws you in. It makes the events in the story seem real and provides the reader with a sense of what it feels like to be one of the soldiers. O’Brien’s talent as a writer made a fictional story more than believable to the reader. When reading this book, the reader struggles with depicting what is factual and what is fictional. O’Brien provides this effect by blurring the line between reality and fantasy. The book recollects many stories from O’Brien’s own experiences as a soldier and includes fictional aspects to enhance the story and to help O’Brien get his point across. O’Brien teaches us in all of these stories that there is no difference between what is factual and what is fictional in war. By doing this, the reader experiences the feelings that O’Brien and his comrades felt. The Things They Carried describes what those men carried to battle and back home, both tangible and intangible. The novel questions what war is and what the individual soldiers received out of it. This novel is an eye opener. Any person’s perspectives on the war and its soldiers are most certainly to change after reading this book. The Things They Carried brings the Vietnam War to life like no civilian could have ever imagined. The things the soldiers carried in Vietnam were both tangible and intangible. The tangible items include the usual equipment that soldiers carry, but most important is the intangibles. This book emphasizes that the intangibles the soldiers carried influenced everything about their lives, before, during and after the war. These things included the mental and psychological weight carried by the soldiers. This weight included shame, horrid memories, death and destruction. It included relationships and personal trials and temptations. It also included the soldiers’ way of handling the war. Many soldiers described in the novel used things such as drugs, pain, or fantastical illusions to deal with the war. The author, who is the narrator, was against the war. The book displays the weight of the personal struggle that he felt as someone against what he was doing over there. Another aspect that the book describes is the inexperience that the soldiers carried. This came from their age. Most, including the author, were of 21 years of age or younger. They carried the weight of large futures being destroyed by their involvement in the war. All of these aspects put extreme emotional stress on the lives of these soldiers during and after the war. The author deals with his emotional dilemmas by wiring about the tragedies and emotions he and his comrades felt. The book is entirely based off of these things. Its purpose is to help those who were not there to understand what it felt like to be them and for us to never forget the things they carried. The Things They Carried is about death. It questions death. It asks what death feels like. It also answers these questions by pulling death up and bringing it back to life. It brings it back to life and tells its stories. These stories share with the reader what death feels like. They show the reader what death is like for you and those who care about you. The author includes this topic, because it relates to something important to him that he â€Å"carried† over there. He carried his first experience of feeling what death is like. This was the story he wrote at the end of the novel about his first love, Linda, as a nine year old dying of a brain tumor. He took this story and related it to the death of his comrades and the people he killed. It provides the reader with the experience of not just knowing about death, but living it. This book impacted United States history greatly. It provides a perspective of not just the Vietnam War, but all war. It is a testament to Americans of what life is like defending freedom, whether or not you agree with the cause. This book impacted United States history by helping finishing the story. It helps write the last few pages of what this war was about; not by filling it with more facts, but by filling it with questions, experiences, and life. This book demonstrates to Americans why views and opinions were made and also the purpose for many controversial decisions in our history. This book impacted our country’s history by giving the Vietnam War a personal touch. Without this book, Americans would be left with only facts, information, and brief explanations for what life was like for the soldiers. The Things They Carried continues to impact readers and helps give understanding of current events. Because of this, it will continue to impact United States history for generations and its importance to our nation and its history will only grow. The Things They Carried also greatly impacted history in general. It did this especially for those living in Vietnam who were impacted by the war. It shares with them the trials and tribulations that Americans encountered. The book shares with these people an emotional side to the war and helps them understand our soldiers’ many motives. On an international scale, the book helps those who question American tactics and procedures to understand our nation’s motives, principles, and character. Many mistakes were made on our country’s part during the war and this book helps those who question those mistakes and or were impacted by them a sense of understanding and mercy. This book also helps people to understand what life was like for all those who fought in wars throughout the Earth’s history. It provides a sense of understanding of what all soldiers are impacted by in war starting from the beginning of time. I have been greatly impacted by this book in both a positive and negative way. I have been positively impacted by the new sense of understanding and compassion for the Vietnam War Veterans. I can now see clearly what experiences they faced during the war. I can also understand the feelings of those who were against the war and attempted to avoid fighting in it, much like the author. Another aspect I understand better now is their lives after the war. The emotional turmoil that veterans go through once they arrive home from war can be greatly understood by reading this book. Even though it is disturbing and I find it more than sinful, I have a greater sense of understanding for those like Norman Bowker from the novel who took his own life. Even though I am highly against his action, I understand why he felt lost, empty, and purposeless on Earth after the war. Norman felt like he died in Vietnam and he struggled to find his place and purpose in life. This led to his suicide. Because O’Brien included this story, it is much easier to find compassion for someone who would do what Bowker did. After reading this book, I have a new found respect for Veterans. I have felt their emotions and their tragedies, because of the power and realism of this book and now my compassion and respect for them has heightened greatly. The book also impacted me in a negative way. I hate to ever imagine that the things described in the book ever happened, but this book made these things a reality for me. Many of the tales told in this book are very disturbing and horrifying. Though without the truthfulness and realism of this book and its stories, we would never be able to truly understand what happened to those who served in the Vietnam War. I am forever grateful for reading this book. All Americans need to read it. Without it, they will never be able to understand what the Vietnam War Veterans truly went through in Vietnam and what horrible memories they are faced with remembering today. Tim O’Briens talent as a writer is what makes this novel such a compelling and eye opening experience. The Things They Carried is truly an American timepiece and a pivotal piece of American and historical literature. The Things They Carried OutlineLiterature Summary: â€Å"The Things They Carried†, published in 1990 tells a true story of Tim O’Brian, author and main character, who is drafted for the Vietnam war. He tells about the different items that him and his fellow soldiers carried with them to help cope with the traumatic environment that they were placed in.Thesis Statement: com/tim-obrien-the-things-they-carried-and-his-writing-style/">The Things They Carried is a perfect example that shows that post-traumatic stress disorder (PTSD) is an issue as old as war, only recently have we discovered its true effects on our servicemen and women, and we have yet to find a truly effective remedy. I. What are the causes of PTSD?A. Tony Dokoupil claims â€Å"moral injury† is the leading cause of PTSD. B. Robert Burns says army suicides are way to high. II. How current treatment for PTSD is failing? A. Lindsey Tanner reveals that dangerous painkillers are given to vulnerable veterans. B. Tony Dokoupil exa mines the changes in a group of veterans once they return from battle. III. How could treatment be better?A. William Becker shares his belief on the ideal treatment. B. What is our job as civilians for our veterans? PTSD: An Epidemic Does America Need to Improve Treatment?Most Americans know that post-traumatic stress disorder (PTSD) is something that effects veterans when they come back from war. However, most Americans don’t know the full extent of PTSD in a veteran’s life. There are some very serious effects of war that change the lives of veterans and those close to them. Most soldiers want to protect their country and still make it home alive. This sometimes forces an innocent man to do things that he is ashamed of.Also, just the trauma and risk of being in a war can cause a man to be changed drastically when he returns from war. The treatment for this common disorder is lacking effectiveness. In some cases veterans end up being worse after finishing treatment and others just cover up their guilt and sadness with prescription drugs. Being one of the most advanced countries in the world it is only reasonable that America could find a better way to treat this devastating syndrome. It is the least American citizens can do for sending thousands of troops into a traumatic situation.The Things They Carried is a perfect example that shows that post-traumatic stress disorder (PTSD) is an issue as old as war, only recently have we discovered its true effects on our servicemen and women, and we have yet to find a truly effective remedy. In the book The Things They Carried Lieutenant Jimmy Cross feels guilty because he believes that he is not the leader that the men in his company need (1990). Tony Dokoupil also discusses this in his article, â€Å"Moral Injury†, by stating that recent studies have discovered that guilt may be a major factor of PTSD.Dokoupil talks about a group of marine preservatives, the Saints and the Sinners. He explains how Fox Company, members of The Saints and the Sinners, were walking through the streets of Baghdad when their radio operator was shot in the head. Fox Company began taking heavy fire, so they started shooting at everything that moved. Instantly bullets rained down and a grenade even bounced behind their cover. However it was a dud. Tony claims that â€Å"moral injury† is the leading cause of PTSD. Most marines talk about guilt, shame, or regret, not about being scared.Dokoupil continues to write about Lu Lobello who was a machine gunner in Fox Company. When Lobello talked to a group of people about his experience, he revealed that they had killed about 20 civilians that particular day in Baghdad. Lobello describes the many cars holding families in them that were lifeless after the firefight. His most disturbing image of that day was a fellow marine who turned to Lobello and screamed, â€Å"We shot a baby† (as cited in Dokoupil, 2012)! Dokoupil explains that marines arenà ¢â‚¬â„¢t scared, they feel guilty and regretful (2012).In Robert Burns article, â€Å"Military Suicides are at a Record High†, he stresses â€Å"Suicides in the U. S. Military surged to a record 349 last year. † Burns explains that not only is this number way too high, but is 48 suicides more than the year before (2012). Warren Kinghorn, a psychiatrist at the Department of Veteran Affairs (VA), stresses that in 2012, suicide was a greater cause of death than combat for Army soldiers. â€Å"An estimated 10%-20% of returning combat veterans meet criteria for PTSD,† says Kinghorn.She explains that when a veteran  walks into the VA, the treatment often involves a short-term talk therapy course and medication. â€Å"That is far from enough†, Kinghorn expresses. The definition of PTSD is having â€Å"experienced, witnessed, or (have) been confronted with death or serious injury in oneself or others. † This is very misleading because most veterans suffe r due to taking the life of other human beings. Shira Maguen, a psychologist at the San Francisco VA Medical Center, has documented that PTSD is worse and thoughts of suicide are higher among veterans who have killed someone (as cited in Kinghorn, 2012).  (2012)According to an article by Lindsey Tanner, a government study claims that pain killers such as morphine are being prescribed to veterans who suffer from physical pain along with PTSD, and the results are often dangerous. The same study mentions that not only are these veterans prone to drug and alcohol abuse but they are twice as likely to be prescribed addictive pain killers over veterans with only physical pain. Along with addiction, suicides, and other self inflicted injuries, are more common for veterans with PTSD who received those drugs.Michael Von Korff, a chronic illness researcher, stresses that the emotional problems involved in PTSD are often made worse by these opioids (as cited in Tanner, 2012). Tanner goes on to say, â€Å"These prescriptions went to almost 18 percent of vets with PTSD and 12 percent of those with other mental health problems, compared to about 7 percent of vets without these problems. † Dr. William Becker, a Yale university instructor, says â€Å"The study brings much needed attention to the complexity of this problem (2012). † Tony Dokoupil’s article points out that even though Fox Company made it home alive they were changed forever.One in four of them had PTSD. The men of Fox Company tried to hide it, but careers crumbled and marriages fell apart. Dokoupil adds, â€Å"Self harm is now the leading cause of death for members of the army†¦ Every month 1,000 of them attempt to take their own lives (2012). † This is similar in the novel The Things They Carried. Tim introduces us to his daughter Kathleen, he tries to tell her the meaning of war and why we participate in it but he just cannot tell her the whole truth. Just like Fox Company T im had done things that he was ashamed of and he could not talk about them openly to his family.Which is why treatment is such an important foundation for veterans (1990). In Lindsey Tanner’s article â€Å"Vets Prone to Drug Addiction Get Risky Painkillers†, William Becker says â€Å"The ideal treatment includes behavioral counseling therapy for war wounds and management of chronic pain† (as cited in Tanner, 2012) (2012). â€Å"On Guard Against PTSD† is an article that explains that security professionals who get assigned to dangerous, stressful situations will also experience post-traumatic stress. This is normal says the article, but when this occurs continuously and intensely is when it gets dangerous.The article continues by stating that sooner or later the human body runs out of ways to cope and is overwhelmed mentally and physically, leading to PTSD (2013). Warren Kinghorn also explains in his article, â€Å"The Moral Dimensions of PTSD†, tha t as civilians it is our job to take care of the veterans and have patience with their recovery, we sent them to war in the first place, it’s the least we can do (2012). PTSD going untreated is still a current epidemic. â€Å"Gunman killed by police was Iraq vet who spoke of PTSD† is an article explaining the story of Santiago A. Cisneros III.He lived in Multnomah county and on Monday, March 4th, 2013 he opened fire on two police officers. The officers had no choice to shoot back and kill Cisneros. This Oregonian veteran had frequently talked about PTSD and how he may have it, but he never got treatment. This just shows how these men and women are expected to be tough and strong and how they can feel ashamed to ask for help (2013). â€Å"Take heart; Post-traumatic stress disorder† says that the death and suicide of too many veterans has prompted the Army to promise that seeking treatment will not affect a soldiers job.This article also says that the idea of givi ng PTSD sufferers a Purple Heart award has been tossed around among government officials. This only seems fair due to the life-changing risk that they took to end up with this dramatic disorder (2009). America should take Ted Lavender into account when they think of how not to treat PTSD. He is another character that O’Brian writes about in The Things They Carried. Sadly he dies shortly after the novel begins but up until that point he is popping tranquilizer pills to calm himself down. This illustrates the type of addiction that could occur in a veterans life (1990).Post-traumatic stress disorder is extensively described in the book The Things They Carried. It shows that PTSD is an injury that hasn’t changed in decades. The only thing that has changed is America’s knowledge of it. It has been called shell shock, battle fatigue, accident neurosis, PTSD, and even more recently it is known as â€Å"moral injury. † Even though America cannot precisely pinpoi nt what causes this disorder, the doctors who treat veterans can narrow it down by using examples of previous patients, examples such as guilt and taking another man’s life.Currently the system for treating veterans with PTSD is failing, and in some situations making patients worse, like supplying addicted veterans with drugs. Short amounts of therapy and large amounts of painkillers are not what they need. Veterans need time and support with years of talk therapy to work through the moral dimensions of PTSD. For veterans who have this disorder it is a scary and helpless situation. They deserve good quality medical care, but if America cannot find a way to better treat this dilemma then future veterans will be faced with the same trauma that previous veterans have faced for years. The Things They Carried Tim O’Brien’s novel, The Things They Carried, provides an incredible realization of what life was like for an American soldier who fought in Vietnam from perspectives before, during, and after the war. The story’s power draws you in. It makes the events in the story seem real and provides the reader with a sense of what it feels like to be one of the soldiers. O’Brien’s talent as a writer made a fictional story more than believable to the reader. When reading this book, the reader struggles with depicting what is factual and what is fictional. O’Brien provides this effect by blurring the line between reality and fantasy. The book recollects many stories from O’Brien’s own experiences as a soldier and includes fictional aspects to enhance the story and to help O’Brien get his point across. O’Brien teaches us in all of these stories that there is no difference between what is factual and what is fictional in war. By doing this, the reader experiences the feelings that O’Brien and his comrades felt. The Things They Carried describes what those men carried to battle and back home, both tangible and intangible. The novel questions what war is and what the individual soldiers received out of it. This novel is an eye opener. Any person’s perspectives on the war and its soldiers are most certainly to change after reading this book. The Things They Carried brings the Vietnam War to life like no civilian could have ever imagined. The things the soldiers carried in Vietnam were both tangible and intangible. The tangible items include the usual equipment that soldiers carry, but most important is the intangibles. This book emphasizes that the intangibles the soldiers carried influenced everything about their lives, before, during and after the war. These things included the mental and psychological weight carried by the soldiers. This weight included shame, horrid memories, death and destruction. It included relationships and personal trials and temptations. It also included the soldiers’ way of handling the war. Many soldiers described in the novel used things such as drugs, pain, or fantastical illusions to deal with the war. The author, who is the narrator, was against the war. The book displays the weight of the personal struggle that he felt as someone against what he was doing over there. Another aspect that the book describes is the inexperience that the soldiers carried. This came from their age. Most, including the author, were of 21 years of age or younger. They carried the weight of large futures being destroyed by their involvement in the war. All of these aspects put extreme emotional stress on the lives of these soldiers during and after the war. The author deals with his emotional dilemmas by wiring about the tragedies and emotions he and his comrades felt. The book is entirely based off of these things. Its purpose is to help those who were not there to understand what it felt like to be them and for us to never forget the things they carried. The Things They Carried is about death. It questions death. It asks what death feels like. It also answers these questions by pulling death up and bringing it back to life. It brings it back to life and tells its stories. These stories share with the reader what death feels like. They show the reader what death is like for you and those who care about you. The author includes this topic, because it relates to something important to him that he â€Å"carried† over there. He carried his first experience of feeling what death is like. This was the story he wrote at the end of the novel about his first love, Linda, as a nine year old dying of a brain tumor. He took this story and related it to the death of his comrades and the people he killed. It provides the reader with the experience of not just knowing about death, but living it. This book impacted United States history greatly. It provides a perspective of not just the Vietnam War, but all war. It is a testament to Americans of what life is like defending freedom, whether or not you agree with the cause. This book impacted United States history by helping finishing the story. It helps write the last few pages of what this war was about; not by filling it with more facts, but by filling it with questions, experiences, and life. This book demonstrates to Americans why views and opinions were made and also the purpose for many controversial decisions in our history. This book impacted our country’s history by giving the Vietnam War a personal touch. Without this book, Americans would be left with only facts, information, and brief explanations for what life was like for the soldiers. The Things They Carried continues to impact readers and helps give understanding of current events. Because of this, it will continue to impact United States history for generations and its importance to our nation and its history will only grow. The Things They Carried also greatly impacted history in general. It did this especially for those living in Vietnam who were impacted by the war. It shares with them the trials and tribulations that Americans encountered. The book shares with these people an emotional side to the war and helps them understand our soldiers’ many motives. On an international scale, the book helps those who question American tactics and procedures to understand our nation’s motives, principles, and character. Many mistakes were made on our country’s part during the war and this book helps those who question those mistakes and or were impacted by them a sense of understanding and mercy. This book also helps people to understand what life was like for all those who fought in wars throughout the Earth’s history. It provides a sense of understanding of what all soldiers are impacted by in war starting from the beginning of time. I have been greatly impacted by this book in both a positive and negative way. I have been positively impacted by the new sense of understanding and compassion for the Vietnam War Veterans. I can now see clearly what experiences they faced during the war. I can also understand the feelings of those who were against the war and attempted to avoid fighting in it, much like the author. Another aspect I understand better now is their lives after the war. The emotional turmoil that veterans go through once they arrive home from war can be greatly understood by reading this book. Even though it is disturbing and I find it more than sinful, I have a greater sense of understanding for those like Norman Bowker from the novel who took his own life. Even though I am highly against his action, I understand why he felt lost, empty, and purposeless on Earth after the war. Norman felt like he died in Vietnam and he struggled to find his place and purpose in life. This led to his suicide. Because O’Brien included this story, it is much easier to find compassion for someone who would do what Bowker did. After reading this book, I have a new found respect for Veterans. I have felt their emotions and their tragedies, because of the power and realism of this book and now my compassion and respect for them has heightened greatly. The book also impacted me in a negative way. I hate to ever imagine that the things described in the book ever happened, but this book made these things a reality for me. Many of the tales told in this book are very disturbing and horrifying. Though without the truthfulness and realism of this book and its stories, we would never be able to truly understand what happened to those who served in the Vietnam War. I am forever grateful for reading this book. All Americans need to read it. Without it, they will never be able to understand what the Vietnam War Veterans truly went through in Vietnam and what horrible memories they are faced with remembering today. Tim O’Briens talent as a writer is what makes this novel such a compelling and eye opening experience. The Things They Carried is truly an American timepiece and a pivotal piece of American and historical literature.