Tuesday, August 25, 2020

National Reconciliation Ordinance

On October 05, 2007, General Pervez Musharaf proclaimed the NRO to give a prompt help and absolution to open office holders, who were charged in debasement cases somewhere in the range of 1986 and 1999 under Article 5(1)(2) of (PCO) Provisional Constitutional Order. One of the most solidify explanation for NRO was to give a prompt help to late PPP director Benazir Bhutto by giving security in all arguments enrolled against her by Nawaz government . The NRO additionally secured our present President Mr. Asif Ali Zardari and Ms Bhutto against $60 million Swiss pay off and Geneva basic tax evasion cases.The case was pending in the Swiss court when General Musharaf declared the NRO and the legislature dropped all the cases in April, 2008. A responsibility court additionally cleared Mr. Asif Ali Zardari on March 05, 2008, of five defilement accusations and unlawful utilization of property under the NRO. The Supreme Court of Pakistan on December 16, 2009, pronounced the (NRO) National comp romise mandate invalid and void and proclaimed that all the cases which were dynamic at the hour of proclamation of the NRO might be revived at where they were closed.A 17-individuals seat of the Apex court headed by the Chief Justice Iftikhar Muhammad Chaudry announced the NRO an instrument invalid and void since it disregards the different protected arrangements including Article 4, 8 , 25 , 62 (f) and others. The administration of Pakistan reported that the administration acknowledges and regards the decision of the Supreme Court. The President appreciates the assurance of Article 248 (2) of the constitution. The article 248 (2) expresses that â€Å"No criminal procedures proceeded against the President or a representative in any court during his term of office†.

Saturday, August 22, 2020

Current Pharma Scenario in India Essay

The Indian Pharmaceutical industry has been seeing exceptional development as of late, determined by rising utilization levels in the nation and solid interest from send out business sectors. The pharmaceutical business in India is evaluated to be worth about US$ 8 bn, developing at a yearly pace of 12-15%. In world rankings, the household business stands third as far as volume and twelfth in esteem development terms. The positioning in esteem terms may likewise be an impression of the low costs at which meds are sold in the nation. The business has seen huge improvement as far as foundation advancement, innovation base and the wide scope of items fabricated. Request from the fares showcase has been becoming quickly because of the ability of Indian players to deliver savvy drugs with world class producing offices. Mass medications of all significant restorative gatherings, requiring confounded assembling forms are presently being delivered in India. Pharma organizations have grown Good Manufacturing Practices (GMP) agreeable offices for the creation of various measurement structures. Moreover, India’s since quite a while ago settled situation as a favored assembling area for global medication makers is rapidly spreading into different territories of re-appropriating exercises. Taking off expenses of R&D and organization are convincing medication makers to move increasingly more of their revelation look into and clinical preliminaries exercises to the subcontinent or to build up regulatory focuses there, exploiting India’s elevated levels of logical aptitude just as low wages A profoundly divided industry, the Indian pharmaceutical industry is evaluated to have more than 30,000 assembling and showcasing units. Indian pharmaceutical industry will be the fourth biggest industry of the nation in 2013 turnover insightful. The sorted out division represents only 5% of the business, while a colossal 95% is in the chaotic segment. An enormous number of players in the chaotic fragment are little and medium undertakings and this portion contributes 35% of the industry’s turnover. Why meds are fundamental? * Increased wellbeing cognizance * Increased life expectancy * Changed way of life, expanded pressure * Junk food utilization * Recurring issues of senior residents (Kidney issues, cardiovascular issues and so on.) * Increasing recurrence of mishaps. (Above figures are taken from â€MAT07 July 2012 IMS ORG information) (ORG IMS Research Pvt. Ltd. is the one worldwide hotspot for driving edge, modified business insight about the pharmaceutical market, furnishing customers with basic data, examinations and answers that drive predominant business choices and methodologies.) Along with the assembling of the measurements structures crude material makers, indicative items, careful item makers and bundling component producer frames a necessary piece of the business. OPPURTUNITIES: a) Generic Market: India has a noteworthy offer in the worldwide generics showcase and is positioned third. As of late, this section has been confronting firm rivalry which makes the size of creation imperative to improve productivity. India has pre-overwhelmingly been a nonexclusive player and can possibly increase a worldwide nearness for the accompanying key turns of events: * Multiple marked medication patent terminations in the present moment of range. As indicated by IMS Health, after 2006-2007 many top selling item licenses lapsed .E.g. In Nov 2011 patent of brand Lipitor terminated. Such termination conveys enormous effect on the nonexclusive market. * Increasing certainty of buyers in generics in the created markets * A professional nonexclusive supposition from medicinal services specialists driven by the weight of containing rising social insurance costs * A maturing populace over the world, prompting expanding interest for ease treatments * Global human services emergency like AIDS in the creating scene, requiring reasonable prescription for the majority Generic organizations in India are perceiving the significance of patent expiries and are making huge gradual interests in research and medication improvement. b) Outsourcing: India’s status as a data innovation superpower, with access to pro aptitudes and every minute of every day work hours, is a colossal bit of leeway as it reinforces its situation as the goal of decision for contract inquire about, including drug revelation. Eighty-two percent of U.S organizations by and large position India as their first-decision IT re-appropriating goal, says driving global clinical research association Chiltern International, including that IT and ITenabled administrations (ITES) organizations have been growing their exercises in India to new business sections, for example, bioinformatics and life sciences; those doing as such or wanting to incorporate Accenture, Intel, Satyam, Cognizant, IBM, Oracle and TCS. Wipro Spectramind, India’s biggest outsider seaward business process redistributing supplier, is directing bioinformatics work for worldwide pharmaceutical organizations MNCs that have just gone into off shoring contracts incorporate Pfizer India, which has marked a favored supplier contract for its biometrics division with Cognizant Technologies India and is additionally working with SIRO Clinpharm; Wyeth, working with Accenture in clinical preliminary information the board; GSK, whose biomedical information sciences and clinical information the executives community in Bangalore underpins reads for the gathering around the world; and Novartis, which has a product advancement place for particular medication improvement programs India’s Other Advantages for Off shoring * Low-cost expertise base * Current Good Manufacturing Practice (cGMP) and U.S. FDA consistence levels * High perceivability in generics * High-quality, agreeable assembling * Strong monetary situation with capacity to scale up * Manufacturing limit * Access to new advancements * Cost proficiency and reputation * Industry position * Recognition of item licenses c) Contract Manufacturing: Assembling re-appropriating gracefully of dynamic pharmaceutical fixings (APIs) and intermediates * Development redistributing leading preclinical and clinical preliminaries * Customized science administrations contract examine administrations for mixes pre-dispatch. Difficulties: Considerably after the expanded venture, advertise pioneers, for example, Ranbaxy and Dr. Reddy’s Laboratories spent just 5-10% of their incomes on R&D, lingering behind Western pharmaceuticals like Pfizer, whose examination spending a year ago was more prominent than the consolidated incomes of the whole Indian pharmaceutical industry. This divergence is too extraordinary to even think about being clarified by cost differentials, and it comes when progresses in genomics have made research hardware more costly than any time in recent memory. The medication disclosure process is additionally impeded by a lack of qualified atomic scholars. Because of the distinction among educational plan and industry, pharmas in India likewise do not have the scholastic coordinated effort that is essential to medicate improvement in the West thus far. It very well may be characterized as arranging and executing different ideas of value, advancement, appropriation and administrations offered to potential purchasers. 1. Difficulties Move from intense to constant With the infection trouble moving from intense to constant and way of life changing, item arrangement of organizations are likewise changing quickly to incorporate long haul treatments. That gets more noteworthy difficulties of ‘adherence’ to treatment for better patient results. On account of irresistible maladies, the issue of medication opposition is posing a potential threat as well. Buyer attitude towards wellbeing Proactively taking care of wellbeing is by all accounts the keep going thing on the Indian consumer’s mind. Except if one falls debilitated, he doesn't look for clinical consideration. What's more, considerably after he falls wiped out, the tendency is towards a brisk recuperation with the goal that he can return to work. Recently, this is starting to change among a specific area who have started to pay attention to preventive wellbeing check up, and focus on sustenance and way of life for better wellbeing. Specialist outlook With the proportion of specialist: individuals being exceptionally low, specialists are amazingly caught up with treating patients. With less time close by, they can't focus on understanding instruction or advising. Nor are they ready to give sufficient opportunity to refresh their insight, regardless of whether they wish to. Hence with more current treatments being made accessible, proceeding with clinical training programs for specialists are getting progressively significant. Such classes, meetings and the web address this issue. Numerous brands, diminished separation With many organizations advertising similar atoms with various brand names, no separation between brands, specialists allowing one moment or so to detail, the difficulties for today’s pharma advertiser are monstrous. 2. Openings Improving social insurance foundation With an ever increasing number of private medical clinics being developed, government spending on social insurance expanding and progressively number of individuals getting to wellbeing protection; the local market provides more noteworthy chances. Be that as it may, the outlook and range of abilities should be tuned for this. Access to data on wellbeing Individuals are progressively getting to data on wellbeing, some of which is right, yet most other being confounding and wrong. Specialists are confronting inquiries from patients as well. This offers an incredible open door for the pharma advertisers to give bleeding edge devices to the specialist to assist him with staying refreshed, and to arrive at patients with instructive and exact data. This likewise opens ways to advertisers of OTC and nutraceutical items to arrive at shoppers. Entering provincial markets A few organizations have just found a way to arrive at provincial markets. Increasingly creative methodologies to arrive at these business sectors are required for development. Here once more, utilizing innovation could be the key. Infiltration of the portable being enormous in India, this medium offers incredible chance. Organizations offering pharmaceutical promoting courses: 1. NIPER 2. Narsee Monjee Institute of Mgt Studies, Mumbai 3. Indian

Monday, July 27, 2020

External fellowship Boren Fellowship COLUMBIA UNIVERSITY - SIPA Admissions Blog

External fellowship Boren Fellowship COLUMBIA UNIVERSITY - SIPA Admissions Blog Boren Fellowships provide up to $30,000 to U.S. graduate students to add an important international and language component to their graduate education through specialization in area study, language study, or increased language proficiency. Boren Fellowships support study and research in  areas of the world that are critical to U.S. interests, including Africa, Asia, Central Eastern Europe, Eurasia, Latin America, and the Middle East. The countries of Western Europe, Canada, Australia, and New Zealand are excluded.   For a complete list of countries, click here. Boren Fellows represent a variety of academic and professional disciplines, but all are interested in studying less commonly taught languages, including but not limited to Arabic, Chinese, Korean, Portuguese, Russian and Swahili. For a complete list of languages, click here. Boren Fellowships are funded by the National Security Education Program (NSEP), which  focuses on geographic areas, languages, and fields of study deemed critical to U.S. national security. Applicants should identify how their projects, as well as their future academic and career goals, will contribute to U.S. national security, broadly defined.   NSEP draws on a broad definition of national security, recognizing that the scope of national security has expanded to include not only the traditional concerns of protecting and promoting American well-being, but also the challenges of global society, including sustainable development, environmental degradation, global disease and hunger, population growth and migration, and economic competitiveness. To view the Program Basics of the Boren Fellowships, click here. Application deadline:   January 31, 2013 at 5:00 p.m. EST.  For more information about the application process, click here. Boren Fellowship applicants will be notified of their status by mail in early May.

Friday, May 22, 2020

American Revolution What Range of (Long and Short Term)...

American Revolution What range of (long and short term) causes, when combined, provides a satisfactory explanation for why the American Revolution broke out in 1775? In the period from 1756 to 1765 England was fighting the French in the Seven Years War in Europe. The English also fought the French in North America. The English won both at home and abroad, but at a high financial cost. The English government decided to make the American colonists pay for their protection against the French and help subsidise the costs of the Seven Years War. The American colonists, on the other hand, did not agree that they were vulnerable and believed they could protect themselves as they had done for the past one hundred years. So the British†¦show more content†¦All the documents had to be formally printed in England and were distinguished by a special stamp. Then these pieces of paper had to be bought from a special agent at a price. This meant that the colonists had to pay taxes on every thing they bought from the British government. It was expected that this tax would raise 60,000 pounds annually. The colonists despised this and tried to bu y as little as they could from England. After this act the colonists realised that the British government was revenue-raising. The colonists felt that the British Government should be helping to protect ones property not to take it. The colonists argued that they had no say or representation in the government and that is when the outcry started, â€Å"No taxation without representation!† The British also felt that they could not afford to lose the vast amount of territory they had won for America during the war. So the British Government permanently stationed regular troops in the colonies to protect their interests. This resulted in the Quartering Act of 1765. This stipulated that British regular troops were to be lodged in public houses, inns, even empty homes if the barracks were overcrowded or unavailable. Furthermore, this lodging was to be at the expense of the local colonist authorities. The colonists did not see the need for the standing army as the war was already won. The reaction of the Reverend John Tucker of Boston

Saturday, May 9, 2020

The Relationship Between Fashion and Lifestyle - 1723 Words

The relationship Between Fashion and Lifestyle To begin with, I shall look at what fashion is; it is a currently popular style or practice involving clothing, footwear or accessories. It mostly refers to the current trends in looks and dressing style of a person (Cumming 234). In most cases, fashion is confusedly related to costumes; when a person talks of fashion they are seen to mean fashion in terms of textile. Fashion is seen to originate from the Western world and it is copied by other places. In this paper, we shall look at how fashion affects lifestyles and the group of people who are affected most. The paper further investigates how media is used to transmit fashion from one region to the other. Although it has been seen to affect†¦show more content†¦Presently, modern Westerners have a wide range of fashions to choose from, it is currently believed that what a person chooses to wear has a lot to tell about their personality. Most of the fashions have been introduced by people who have cultural or social status s uch as musicians, leaders and to some extent beauty pageants. Although fashion is universal, everybody has his or her own tastes. Fashion is mostly dictated by a person’s age, social class, generation, occupation, geographical location and time (Brook 53). In the case of age, it is very ridiculous to find an old person dressed in the fashion of young people. People who follow fashion blindly are referred to as â€Å"fashion victims.† Aisha Shajid asserts that youths are the most affected by fashion; she terms them as slaves to fashion (1). She points out that fashion does not only involve clothing but also language, dancing and music. In addition, she argues that at the teenage age the most important thing is to look fashionable and beautiful. Teenagers are the most active because at this time, one is facing identity crisis as they try to cultivate a sophisticated image. According to her observation, a new fashion for teenagers will be sold within a day; she associates this to the fact that most of the teenagers have part time jobs or have pocket money that they feel extravagant toShow MoreRelatedBody Image And Self Image818 Words   |  4 Pagesdiscomfort and uncertainty, it is called cognitive dissonance. Lifestyle Lifestyle refers to the pattern based on which a person lives his / her life. It establishes a pattern of consumption reflecting a person’s choice on how one spends one’s time and money. One’s lifestyle represents the way that one selects to allocate one’s income on different products, including clothing. In modern society, people are freer to select the lifestyle that defines them and create an identity to situate themselvesRead MoreLife Style Affects Fashion, And Shopping Orientation Essay1494 Words   |  6 PagesPsychographic Characteristics 2.6.1 Life style affects fashion, and shopping orientation Lifestyle behaviour is a one of part of the â€Å"AIO† (activities, interests, opinions), which might be determined as a shape of consumption that affects consumer alternatives on how to spend their time and money (Kuruvilla and Joshi, 2010, p. 261; Solomon, 2009, p. 229). Also, lifestyle, as reported in Gutman Mills (1982), has classified fashion apparel lifestyle segments, such as interests, opinions, attitudes andRead MoreGfgdfg1674 Words   |  7 Pagesbusiness) segment with the personalization of gifts, which included T-shirts, mugs and caps to name a few. However, in 2010, the company shifted its strategy to becoming a B2C (business to customer) oriented firm, expanding its catalogue to fashion and lifestyle products. From 2007 to December 2010, Myntra.com was in the business of online demand personalization.  [6]  The products ranged from T-shirts, mugs, greeting cards, calendars, key chains, diaries, wine glasses, coasters and many such productsRead MoreWhat Can Raise Awareness Of Sustainable Consumption Of Textiles For College Students1637 Words   |  7 PagesSustainable fashion, also known as eco fashion, is the use of resources to construct fashion that is environmentally friendly. Sustainability in fashion is important because the goal is to preserve the environment and help improve instead of taking away from it with harsh resources. The purpose of the study was to examine the knowledge students have on sustainable fashions, in addition, examining how the awareness amongst peers and how the globalization of the awareness can change the fashion industryRead MoreFlapper Dream Analysis1477 Words   |  6 Pages Winter Dreams and the Emptiness of the Flapper Life style During the 1920s, there was a massive increase in the post-war economy, and with it came luxuries and technologies that many Americans had never seen before. The changing cultural climate brought with it drastic changes in the ideals and morals of the youth because they had become disillusioned with their parents morals and lifestyles following World War 1. Interestingly, the disillusionment that the youth of AmericaRead MoreCoordinate Brick And Mortar And Online Platforms1722 Words   |  7 Pagesdecide she wants the same shirt in a different color so she goes back online and orders it there. Today’s customers want to be able to move easily across channels with retail and product information at their disposal. In order to make the relationship between online and brick and mortar successful a company must invest in digital technologies, coordinate physical stores with online habits, and maintain the same personality online and in store (Hodson). Investing in digital technologies is mostlyRead MoreSwot, Organisation Strategies of Sportsgirl1387 Words   |  6 Pageswelcome you into the auditorium of modern fashion. For those of you, who may not know me, my name is XXXX , the national supervisor for Sportsgirl, and to my left is my partner Mr XXXX. We have gathered here today to present to you a SWOT analysis, organizational strategies, and the vision and mission statement of Sports girl. We live in the generation of fashion and technology. Our wants fashionably override our needs in life. The Australian fashion industry has come to expect a huge splash fromRead MoreThe Summaries Four Types Of Temperaments788 Words   |  4 Pagesresearched prior to implementing a change. Working with an artisan can also be a good experience. As I take more time in evaluating a change, an artisan can assist in implanting a needed change in a timely fashion. The idealist avoids conflict and confrontation because it upsets them. They put up barriers between people. They also have the tendency to focus on what might be rather than what is. This would cause a conflict to my guardian personality. Guardian leaders deal with confrontation by systematicallyRead MoreThe Success Of Luxury Brands1137 Words   |  5 Pagestherefore does not participate in mass media marketing, yet instead decides to focus on its participation in Formula 1 events and has heavily invested in and been highly successful in the sport (Ferrari, 2014). Similarly, Louis Vuitton, a French fashion house, specialises in luxury goods from luggage to watches, shoes and accessories. One of their brand values is being â€Å"inspired by the soul of travel†, although this is also combined with a need for practicality (Louis Vuitton, 2015). Therefore, theyRead MoreZara Business Model1004 Words   |  5 Pagestarget market is broad, women, men, children that likes fashion an d is sensitive to fashion. Q6 .Who are the customers, and what product/ service attributes do they consider important? The target market is very broad, Zara do not define their target by segmenting ages and lifestyles like what traditional retailers are doing. Its target market is working in big cities, with mid range income, a young, educated person that likes fashion, care about the looks and enjoy shopping. Zara segment their

Wednesday, May 6, 2020

A Film Analysis of Inception Free Essays

string(161) " classic use of time honored techniques, where the shaking of the camera gives you the illusion that the dream world is crumbling when the architect is removed\." A Film Analysis of Inception If â€Å"true inspiration is impossible to fake,† explains a character in Christopher Nolan’s existentialist heist film Inception and If that’s the case, then Inception is one of the realest films ever made. In July of 2012 Nolan crafted a movie that’s beyond brilliant and layered both narratively and thematically. It requires the audience to take in a collection of rules, exceptions, locations, jobs, and abilities in order to understand the text, let alone the fascinating of the subtext. We will write a custom essay sample on A Film Analysis of Inception or any similar topic only for you Order Now Nolan’s magnum opus is his first major blockbuster in over a decade that demanded an intense viewer concentration. It raised thoughtful and complex ideas, wrapping everything in a breathlessly exciting action film. Inception may be complicated, but simply put it’s one of the best movies of 2010. Inception requires so much exposition that a lesser director would have forced theaters to distribute pamphlets to audience members in order to explain the complicated world he’s developed. The movie centers on a team of individuals led by an â€Å"extractor† named Dom Cobb (Leonardo DiCaprio) who is a thief who commits corporate espionage by infiltrating the subconscious mind of his target. When he is offered a chance to regain his old life as payment for a task considered to be impossible. He constructs a dream of a high value target and used this dreams to implant an idea so the target will make a decision beneficial to the individual who hired Dom Cobb. To give a full description of this movie would almost take as long as watching the movie it self but that is why I choose to do a review on Inception. This creation of Director Nolan and Wally Pfister is both gripping and complex in the way that they apply the uses of lighting and angles, CGI, music, and mise en scene to create a master piece that has yet to be imitated or duplicated. To know the movie, one needs to know who wrote it, produced it, and directed it. He was born in London, England in 1970, where Christopher Nolan began making films at the young age of seven using his father’s super 8mm camera and an assortment of malefaction figures. He graduated to making films involving real people and his super 8mm surreal short film Tarantella was shown on PBS Image Union in 1989. Chris studied English Literature at University College London while starting to make 16mm films at the College Film Society. His short film Larceny was shown at the Cambridge Film Festival in 1996, and his other 16mm shorts include a three- minute surreal film called The Doodlebug. Major films that he has directed are The Following, Memento, Insomnia, Batman Begins, The Prestige, The Dark Knight, The Dark Knight Rises and he is currently producing the Man of Steel, a remake of Superman, set to be released in 2013. Most of his movies are based in action and adventure but still have a little bit of science fiction, which gives the film a surreal feeling to them. Nolan usually begins his movies with a personal touch by introducing the main character/s with a Close-up shot of their hands. He is also known for making use of flashbacks or scenes from the end of the movie as an opening. Most of the movies that he directs are usually about characters who have some kind of psychological disorders or who develop a physical or psychological handicap throughout the film. In the case of Inception, the main character Dom Cobb wakes up on the shore with his hands trying to reach or point out to his children who were playing with the sand. This scene reappears again in the end and plays an important role to explain the essence of the movie. The psychological handicap that is portrayed within the main character, can also be considered the main protagonist in this movie but that is not revealed until the closing scene of the movie. The Cinematographer Walter C. Wally† Pfister is known for his work with Christopher Nolan’s films, including Memento, Insomnia, Batman Begins, The Prestige, The Dark Knight, and The Dark Knight Rises. He has worked on the Italian Job and Moneyball. Pfister is known for using the hard cuts and cross cutting method, to build up the suspense in the audience. Along with this editing style he places ending scenes at the start of sequences to make the viewers ask what is going on. This is common in a great deal of suspens eful and mystery films, as is the cross cutting method which is seen every day on daytime television. This kind of cinematography gets you into the storyline and has you sitting on the edge of your seat waiting for the resolve, while at the same time being other part of the world. Without this method of editing you would see one story after another and I really think that boredom would set in and your mind would not be challenged with what could be and we would be left wanting more. The way he builds the suspense and holds back on some of the facts in this film, place it snuggly as a mystery film but with all the car chases, explosions, and gun fights it gets a stronger action film label but is not lacking on the depth in the story. Add in the CGI that Pfister uses to create the dreams and challenge reality, and you have a movie that cannot be place into any one genre. The use of CGI and camera angles in this movie was just breathtaking. To watch the city being folded without disrupting the gravity was a wonderful undertaking and If you are an avid film watcher then you could easily compare that scene with the scene from Royal Wedding with Fred Astaire, (Donen, 1951) where he is dancing on the ceiling and walls. It’s a classic use of time honored techniques, where the shaking of the camera gives you the illusion that the dream world is crumbling when the architect is removed. You read "A Film Analysis of Inception" in category "Essay examples" This technique was also used in Star Trek to make the viewer think the ship was really under attack and the hits they were taking were hard and devastating. These simple effects that were used in this dream world, gives one the illusion that in this dream world the architect can play god. The time structure was also altered to stress the altered and lengthened time lines in each dream, capitalizing on the elapsed time that is gain when traveling from dream into a dream. This time ration was actually matched within each film sequence and speed, as all the dreams where not moving at the same speed, which is explained in the movie. So Pfister uses this multiplication of time to slow down reality and allowed the characters in a layered dream sequences to more time to accomplish their mission. This technique was also done with the sound as well, as the composer Hans Zimmer used the same song though out the movie but in each level of the dream, the music was slowed down. Nolan, 2010) This kind of scene matching is something Hans Zimmer is known for with his work in music. Zimmer also worked on Lion King as well. Using the same elements from the scenes and incorporating them into the sound. One of the other elements to his composing that is not seen in many other composers is that he tries not to match what will happen to the score. Meaning that he would lead the audience with the music, as a horror/suspense film would. A classic example would be Jaws and the known and anticipated â€Å" ba†¦ da†¦ ba†¦da†¦ba da ba da aaaa!! † He wants you to be truly surprised at how the scene plays out. So Zimmer plays a score that would enhance the scene but not give away the ending before it happens. In this way, the score and sound effects maintain the same non-linear form as the story line does. When dealing with dreams you cannot maintain a linear story line. This film had to utilize a non-linear storyline, keeping the audience wondering what is going to happen next. It creates in your own mind, more questions to add to the one you began with. This constant â€Å"make you think† aspect of the film allows the audience to use their own imagination to fill in any blanks they might have, in collaboration with the psychological puzzle that is placed before you, you cannot help but be mesmerized by some of the breath taking visuals and non linear scenes. The main characters protagonist changes as your understanding of the film evolves. This adds a sense of confusion and leave room for debate, as you discuss this film with others. As the story unfolds you learn more and more about the psychological stress this man must be under. The understanding of his psychological distress will later add to a greater understanding of what is and has transpired. This stress was something Leonardo DeCaprio adapted to very well, as did all of the actors in playing their parts rather well, considering some of them have a stigma about their abilities that has left them in comedies and dramas, being unable to broaden their horizons as an actor. The supporting actors in this movie provided more than simple time filling lines. They add as much to the story and plot as the main character, if not more at times. The director, Christopher Nolan, is known for choosing talent that may not fall into the part but makes them have to work to enhance it. He chose actors that would fill the part, but they did so with a progression of their own style. For example one of the co-stars, Joseph Gordon-Levitt is best known for his role on Third Rock from the Sun. (Turner, 1996) He is not known for playing an action star but within this film he is just that, an action, shooting the â€Å"bad guys,† saving the day, and even fighting in yet another â€Å"Fred Astaire† sequence with the rotating hallway. The combinations that Nolan uses in this movie is a masterpiece in itself without the characters but it is the characters that define this movie. The main character of this movie is Dom Cobb. His character is played by Leonardo DiCaprio. Cobb is the Extractor in the dream field. He enters into other people’s dreams, plants an idea in the targets’ mind and then steals their secrets. Due to his previous experience in the dream field, he is hired to steal secrets from Saito; a business man that turns the tables on Cobb. Cobb finds out they want him to do â€Å"inception,† which is the planting of an idea in the target’s mind. Cobb takes the job offer so hopefully one day he can go back to his family. DiCaprio heads out to find similar experienced people to form a team together. Once he finds the people he needs, they start coming up with ideas to plant in the targets’ mind. His team helpers include: Joseph Gordon-Levitt as Arthur, Ellen Page as Ariadne, Tom Hardy as Eames, and Dileep Rao as Yusuf. As they start planting their ideas, Cobb’s dead wife Mallorie â€Å"Mal† Cob, played by Marion Cotillard, keeps interfering in the dreams. With her interfering, it is hard for Cobb to keep focus on what he is trying to do for his job. All the characters play an extremely different roll from one another in the movie. They all have individual, special talents and different jobs to contribute to the planting of ideas. Page, who plays Ariadne, is the Architect. She is a graduate student who Cobb recruits to build the dream- scapes, which they call mazes. Her job is extremely important because she has to make sure every maze is precise. If not, everything could go wrong in the process of planting the idea in the targets’ mind. Levitt plays Arthur as Cobb’s Point Man. His job is to be responsible for researching their targets. Rao is Yusuf, the Chemist. They need him to make the drugs needed to sustain the dream states. Without him, the rest of the team and their targets, could not go into the dream state. The last character to talk about is Hardy. He plays Eames, the Forger, Cobb’s associate. Hardy uses his ability to manipulate dreams. The connections that the characters have with each other are typical for a superior action movie, but Cobb and Mal’s relationship is why Inception stands apart from other action movie The impact that Inceptions had on society was not as dramatic or frightening as some movies are, but it does show a darker side of the immense greed in this world and can make you wonder about the lengths that some people might go to, to obtain wealth or power, the boundaries the government will push to make them better then the enemy, or even the lengths one man might go for his family. These features of this film make it a very cerebral film. These make you think about how far you are willing to go to get what you want. How much are you willing to put others lives in danger to acquire what you think it is you need? Do the ends justify the means when you are dealing with human lives? While others that have watched this film argue that the film itself is a metaphor for film-making and that the filmgoing experience itself, images flashing before one’s eyes in a darkened room, is akin to a dream. Jonah Lehrer also wrote in Wired that he supported this interpretation and presented neurological evidence that brain activity is strikingly similar during film-watching and sleeping. In both, the visual cortex is highly active and the prefrontal cortex, which deals with logic, deliberate analysis, and self-awareness, is quiet. (Lehrer, 2010) Whereas Paul argued that the experience of going to a theater is itself an exercise in shared dreaming, particularly when viewing Inception: the film’s sharp cutting between scenes forces the viewer to create larger narrative arcs to stitch the pieces together. This demand of production parallel to consumption of the images, on the part of the audience is analogous to dreaming itself. As in the film’s story, in a cinema one enters into the space of another’s dream, in this case Nolan’s, as with any work of art, one’s reading of it is ultimately influenced by one’s own subjective desires and subconscious. (Paul, 2010) I personally liked this film and was happy when I decided to review it. My take on this film was that the whole thing was but a dream within a dream, where the main character â€Å"Cobb† (played by Leonardo DeCaprio) (Nolan, 2010) is able to manipulate everyone in his entourage, except his wife. He knew that Ariaden (played by Ellen Page) would return the next day even though you are led to believe that his wife killed herself, because she felt she was still in the dream. I feel she was still in a dream and was able to escape, while he is still trapped inside a dream thinking it is reality. Which he lost his grip on when she â€Å"killed herself† but his subconscious is using her to help him but at the same time, his logic and emotion is preventing him from seeing the truth and in the end he is blinded by it. It really is a lot to wrap your brain around when you just want to watch a ovie for entertainment value but it does have something for everyone, even if it is a little drawn out between climaxes but the overall premise behind the idea of Inception was wonderful and the fact that it made you think about the movie was quite refreshing. References Allers, R. Hahn, D. (1994). The Lion King. United States: Walt Disney. Breznican, A. (2010). â€Å"With Inception, Chri s Nolan’s head games continue. † USA Today. Retrieved August 28, 2012. Donen, S. Freed, A. (1951). Royal Wedding. United States: Metro-Goldwyn-Mayer. Goodykoontz, B Jacobs, C. (2011). Film: From Watching to Seeing. Retrieved from http://content. ashford. edu Lehrer, J. (2010). The Neuroscience of Inception. Wired, July 26, 2010. Retrieved August 28, 2012. Nolan, C. Thomas, E. (2010). Inception. United States: Legendary Pictures. Paul, I. (2010). Desiring-Machines in American Cinema: What Inception tells us about our experience of reality and film. Senses of Cinema, Issue 56. Retrieved August 28, 2012. Spielberg, S. Zanuck, R. (1975). Jaws. United States: Universal Pictures. Turner, B. Turner, T. (1996). 3rd Rock from the Sun. United States: Carsey Werner Company. How to cite A Film Analysis of Inception, Essay examples

Tuesday, April 28, 2020

Tucked horror. Volume 1 Review Essay Example

Tucked horror. Volume 1 Review Paper Essay on Tucked horror. Volume 1 HEP love for his elegantly-paranoid mythology, made a collection of paper books, found all the works in electronic form, and watching how his name is used in Russia, only regret. What do we see? And we see a reprint of the same works from book to book. It is obvious that there is a demand. But to author a bunch of untranslated books, many rare translations of published little documentary evidence And in this book again repeats (content The Dream-Quest of Unknown Kadath Life Charles Dexter Ward We will write a custom essay sample on Tucked horror. Volume 1 Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Tucked horror. Volume 1 Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Tucked horror. Volume 1 Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The Dunwich nightmare Morok over Insmutom Through the Gates of the Silver Key Night alien book * Something in the moonlight The Labyrinth Eriks * Wanderer of Darkness The criminal priest * Just me marked with an asterisk stories do not always meet: on Maze Eriks authorship Lavkraf but somehow challenged the way, the story was written in 1936, that does not correspond to the dates in the description The Book -.. this is probably translated The Book Volodarskaya (translation already 5 years, the book is written, too beyond those years in 1933), or compilers still love this way called History of Necronomicon I would be surprised if its something new Criminal priest -.. it is obvious, the Evil Clergyman, in this version of the translation of the title is not seen, as I will be glad, if re-transferred. Although, from the read transfer is very like the version Thrary, hardly did better. The book is also beyond the scope of (October 1933). And so. If you really feel like connoisseurs spend, get the best of his poetry. I can recommend the collection.

Friday, March 20, 2020

Free Essays on Galileo, Science And The Church

Galileo, Science and the Church By: Jerome J. Langford Galileo, Science and the Church, by Jerome J. Langford, are about the trails and tribulations of Galileo and the Roman Catholic Church. Langford wrote this book to let people know that there was a double fault in the conflict between Galileo and the church. The church did not agree with Galileo’s ideas, mostly his theories associated with Copernican. The intentions of Langford is to bring the truth of Galileo’s trails to his readers, and to show that ultimately Galileo was correct in his theories and was not trying to go against the church’s beliefs. Galileo was trying to seek truth in science, and wanted to be known as a historical scientific figure. Galileo was one of the truly greatest of scientist of all time. His discoveries and inventions place him up at the top with, Newton, Einstein, and a few more. Langford shows in the book, that in the beginning of the sixteenth century the geocentric view was accepted in majority by theologians and scientist alike, but by the end of the century scientific ideas began to emerge that was different. Through a series of events, by the end of the sixteenth century, the church had developed a stubborn dedication to the status quo; which tolerated no suggestions of flaws in their beliefs. From this book I gathered that Langford wrote the book to express how the church was wrong, and Galileo was right on his theories. I learned that long ago you had to pretty much go with the flow. You had to do what the church told you to do. Mainly because they could read and you couldn’t. You couldn’t tell right from wrong in the real world because the church told you what was considered right and wrong. You had to go with what they said no matter if you believe it or not. Once Galileo came in there with his theories on the earth and the sun, and inertia and the scientific point of view, the church was scared. Galileo kn... Free Essays on Galileo, Science And The Church Free Essays on Galileo, Science And The Church Galileo, Science and the Church By: Jerome J. Langford Galileo, Science and the Church, by Jerome J. Langford, are about the trails and tribulations of Galileo and the Roman Catholic Church. Langford wrote this book to let people know that there was a double fault in the conflict between Galileo and the church. The church did not agree with Galileo’s ideas, mostly his theories associated with Copernican. The intentions of Langford is to bring the truth of Galileo’s trails to his readers, and to show that ultimately Galileo was correct in his theories and was not trying to go against the church’s beliefs. Galileo was trying to seek truth in science, and wanted to be known as a historical scientific figure. Galileo was one of the truly greatest of scientist of all time. His discoveries and inventions place him up at the top with, Newton, Einstein, and a few more. Langford shows in the book, that in the beginning of the sixteenth century the geocentric view was accepted in majority by theologians and scientist alike, but by the end of the century scientific ideas began to emerge that was different. Through a series of events, by the end of the sixteenth century, the church had developed a stubborn dedication to the status quo; which tolerated no suggestions of flaws in their beliefs. From this book I gathered that Langford wrote the book to express how the church was wrong, and Galileo was right on his theories. I learned that long ago you had to pretty much go with the flow. You had to do what the church told you to do. Mainly because they could read and you couldn’t. You couldn’t tell right from wrong in the real world because the church told you what was considered right and wrong. You had to go with what they said no matter if you believe it or not. Once Galileo came in there with his theories on the earth and the sun, and inertia and the scientific point of view, the church was scared. Galileo kn...

Tuesday, March 3, 2020

10 Writers Block Memes to Keep Your Book Afloat

10 Writers Block Memes to Keep Your Book Afloat 10 Writer's Block Memes to Keep Your Book Afloat If you’re a writer, you’re 99% guaranteed to agree that writer’s block is not a lot of fun. Whilst we can offer tips and help you try and overcome writer’s block  and writing strategies, we can also reassure you that you are not suffering alone.The fact that you’re here - possibly having searched for ‘writer’s block memes’ - suggests you’re in need of a little light relief. This post will hopefully provide you with some confirmation that you’re not the only one who’s struggling and remind you that, all in all, writer’s block is a strange and funny thing.1. Your first experience of writer’s block went something like this: What's your favorite writer's block meme? Tell us in the comments and we'll be happy to add it to our list!

Sunday, February 16, 2020

SAINT AUGUSTINE'S CONFESSION Essay Example | Topics and Well Written Essays - 1250 words

SAINT AUGUSTINE'S CONFESSION - Essay Example First, Monica’s outstanding obedience to her husband influenced Augustines conversion. Second, Monica introduced her son to Ambrose, who would later baptize him. Finally, Monica compelled and encouraged Augustine to attend school that shaped his life and would culminate in him becoming a priest. Monica played a significant role in the conversion of Patricius (Augustine’s father) and Augustine. Initially, both Patricius and Augustine were not believing in Christ but finally were saved through the influence of Monica. Monica prayed to God on behalf of her husband’s soul and Augustine. Augustine recounted that Monica, â€Å"With a pure heart and faith in you she even more lovingly travailed in labor for my eternal salvation.†1 This follows that Monica vowed not to stop at nothing but to see a Catholic Christian Augustine. The mother took time praying and laboring while serving the Lord so as to send grace upon his son and get saved. Augustine wonders how his parents lived harmoniously with each other. Monica was a God fearing individual and served her husband as her lord with care to her children. Her virtuous traits bear witness to the Christian life, which make a strong impression on Augustine. She significantly inspires Augustine to grow as a God fearin g individual ultimately leading to his Christian conversion. My physical mother was distraught. With a pure hear and faith in you she even more lovingly travailed in labor for my eternal salvation. She hastily made arrangements for me to be initiated and washed in the sacraments of salvation, confessing you, Lord Jesus, for remission of sins. But suddenly I recovered. My cleansing was deferred on the assumption that, if I lived, I would be sure to soil myself; and after that solemn washing the quilt would be greater and more dangerous if then defiled myself with sins2. From the block quote above, we further realize how Monica was determined to ensure his son did not die a sinner.

Sunday, February 2, 2020

Benefits of a Restaurant Management System Assignment

Benefits of a Restaurant Management System - Assignment Example The RMS ensures that minimal time is taken to deliver a guest’s order. Guests dislike restaurants where it takes a lot of time to process an order. RMS will ensure that guests get their orders delivered on time, since the order system is automated (Connor 61). The system streamlines employees’ tasks thus saving time, which results in improved productivity. Better Reaction to TrendsThe RMS keeps track of sales and cost information by employee, time period, outlet, table and meal period among others. This way, the restaurant can easily identify any problems or areas affecting profitability and take the appropriate actions. This would not be easy to spot using a manual system.  Ã‚   Reduced Labor ExpensesThe RMS can take many orders at the same time without the risk of mix up, as would be in the case of a manual system. RMS reduces the need for excess paperwork which can be easily printed from the system. This reduces the number of employees on the payroll thus reducing labor expenses, which form a significant part of total expenses.   Reduced Late ChargesThe system ensures that the charges pertaining to foods and beverages are posted to a folio prior to check-out. A manual system would not efficiently post the charges resulting to late charges. An automated management system ensures that charges are posted on time and accurately, in addition to checking the status of the room or credit pertaining to a particular guest. It also reduces the time used to serve each guest resulting in better guest control.

Saturday, January 25, 2020

Acute Myeloid Leukemia: Causes and Treatment Strategies

Acute Myeloid Leukemia: Causes and Treatment Strategies Pathology Acute myeloid leukemia is a disease that primarily afflicts adults. The likelihood of being diagnosed with AML increases with age; the median age of diagnosis is 65 with very few cases reported in those under the age of 40 [4]. Several risk factors have been associated with increased incidence of AML including: Li-Fraumeni disease, Klinefelter’s syndrome, radiation exposure, chemotherapy, and chemicals (benzene, herbicides, etc) (See supplementary figure S.1) [4]. However, the initiation of AML is a multistep process and can be the result many different genetic aberrations [4][5]. Therefore, the aforementioned risk factors do not account for all cases of AML [4]. Acute myelogenous leukemia is the result of oncogene-driven accumulation of immature myeloblasts within the bone marrow [5]. Myeloblasts are progenitor cells, which will ultimately give rise to neutrophils, basophils, eosinophils, and mast cells (collectively known as the granulocytes) [6]. In AML, the genes that govern proper differentiation of myeloblasts into one of the aforementioned cell types are mutated. This prevents differentiation and leads to a buildup of myeloblasts within the marrow [5]. The clinical consequences of myeloblast buildup are marrow failure leading to low white-blood cell count, low red-blood cell count, and insufficient levels of clotting factors [5]. Therefore, clinical symptoms are depressed immune function, anemia, and continued hemorrhaging. The molecular pathogenesis of AML (and all cancers) begins with the acquisition of genetic abnormalities. There are two models that describe how these acquisitions arise. The conventional model of cancer cell initiation proposes that the cell gradually acquires certain mutations to genes involved in mitotic signaling (KRAS or APC) and tumor suppression (P53), thereby allowing the cell to divide uncontrollably [7]. However, Recent work by Stephens et al. [8] showed that multiple mutations can be induced in a â€Å"one off† event by the random shattering and re-ligation of one or more chromosomes [8]. They termed this event â€Å"Chromothripsis† [8]. Chromothripsis results in massive translocations and changes to copy number state, but is distinct from the conventional model of cancer cell initiation by the presence of large-scale inter-chromosomal rearrangements [8]. Thus, the chromothripsis model differs from its conventional counterpart in the time taken for the cell t o reach malignancy and the scale to which the genome is altered. Chromothripsis is observed in a portion of AML cases; Rausch et al. [9] found nearly half of the AML cohort showed chromosomal rearrangements consistent with chromothripsis [9]. This shows that, accumulation of the necessary mutations that drive AML may occur by more than one mechanism. By either mechanism of AML initiation, myeloblasts lose the ability to differentiate. The molecular pathogenesis commonly shows two frequent chromosomal aberrations – a translocation between chromosome 8 and 21, and an inversion of chromosome 16 [5]. These changes affect two genes crucial for myeloid differentiation (CBF1ÃŽ ± and CBF1ÃŽ ²) [5]. The effect of the inversion and translocation results in a gene chimera, which is translated into a protein that interferes with proper CBF1ÃŽ ± and CBF1ÃŽ ² function [5]. However, these specific chromosomal alterations are not observed in every case of AML. DNA-damage inducing agents like radiation or certain chemicals, may cause aberrations to chromosome 5 and 7, which has also been implicated in the initiation of AML [5]. This shows that there are several factors involved in proper myeloid differentiation and that interference to any of them may result in AML. Visual differentiation of healthy myeloblasts from leukemic myeloblasts can be challenging. Myeloblasts should contain 3 5 nucleoli, which are full of uncondensed chromatin [6]. Some leukemic myeloblasts may show more than 3 – 5 nucleoli [5]. Also, they do not normally contain granules, however, leukemic myeloblasts may have granules, which can serve as a potential marker for diagnosis [5]. It is important to stress that these morphological changes may not appear in all cases of AML. Therefore, prognosis is confirmed by the presence of greater than 20% myeloblasts in bone marrow biopsy [5]. Treatment There are different avenues for treating AML. Treatment may include supportive care (in advanced cases), chemotherapy, and stem cell transplantation. However, chemotherapy is the most common and effective method of treatment [3]. When medicinal chemists began isolating antibiotics produced from bacteria in search of potential leads for drug design, Aurelio Di Marco and his research team discovered a new species of bacteria, Streptomyces peucetius, within a soil sample they obtained from an area near Bari, Italy [10][11]. This new strain of bacteria was produced a compound that was efficacious as a chemotherapeutic agent against many tumors; the compound was later named daunorubicin and is now considered a key intervention administered to patients with AML [12]. Daunorubicin and doxorubicin are part of the class of antibiotics collectively known as the anthracyclines. Anthracyclines can cause cytotoxicity by different mechanisms depending on their intracellular concentration. As reviewed by Gerwitz [13], in vitro studies show there are several possible mechanisms for the anti-tumor effects of these agents including: Inhibition of DNA synthesis, free radical generation leading to either DNA damage or lipid peroxidation, inhibition of DNA topoisomerase resulting in helix super-coiling, DNA alkylation, and DNA cross-linking [13]. The induction of apoptosis was also mentioned as a mechanism of cytotoxicity, but it is likely that apoptosis is a byproduct of the aforementioned cellular stresses, rather than a direct consequence of anthracycline exposure [13]. It is important to note that these mechanisms were observed in vitro, and that in vitro conditions allow for exposure at concentrations that may greatly exceed in vivo concentrations [13]. Pharmacodynamics Although, daunorubicin and doxorubicin are thought to cause cytotoxicity by several different processes, their ability to bind to DNA and prevent DNA replication or transcription is considered to be the primary means of anti-tumor activity in vivo [13][14]. This is because replication is inhibited at anthracycline concentrations that can be reached in vivo following a standard dosage [13]. The two anthracyclines appear to intercalate preferentially to regions of DNA with select base-pair composition, specifically, regions with CGATCG sequences [14]. Rabanni, Finn, Ausio [15] suggest that intercalation stabilizes hydrogen bonds between the two strands of DNA [15]. This means that the energy required to separate the strands is higher, and cannot be achieved by DNA helicase [15]. Thus, strand separation is inhibited, preventing DNA replication and tumor cell proliferation. For both compounds, the chromophore portion (DCBA in fig. 1) of the molecule intercalates between complementary guanine-cytosine (GC)  base pairs on each side of the DNA double-helix (fig. 2). The compound is stabilized in this position by hydrogen bonds on either side of the molecule. The â€Å"D† side of the molecule is held in position with aid from a solvent atom (believed to be ionic sodium), which forms hydrogen bonds between oxygen 4 and 5 to  nitrogen 7 of guanine12 (fig. 2) [14]. The â€Å"A† side of either drug is coordinated by hydrogen bonds from oxygen 9 to nitrogens 2 and 3 of guanine 2 (fig. 2) [14]. As previously mentioned, all of these interactions occur between both daunorubicin/doxorubicin and C/G DNA sequences. However, the added hydroxyl group on C14 of doxorubicin creates an extra association. The hydroxyl appears to shift solvent molecules such that indirect interactions between itself and the phosphate backbone of DNA are created (fig. 3) [14 ]. This added interaction might explain the slightly higher in vitro affinity constant between doxorubicin-DNA (Ka = 1.610-5) as compared to daunorubicin-DNA (Ka = 1.210-5) (in vitro Ka determination performed at 37 °C in 10% fetal calf serum) [17]. Doxorubicin is more potent than daunorubicin. In the case of anthracycline induced inhibition of DNA strand separation, the potency and efficacy are directly related. The increased binding affinity of doxorubicin means that it will associate with DNA and prevent DNA separation at a lower concentration (See supplementary fig.S2). Therefore, pharmacological factors aside, it will be more potent and will prevent tumor cell proliferation at lower concentrations. Synthesis Doxorubicin is a semi-synthetic analog of daunorubicin. The daunorubicin producing bacteria, Streptomyces peucetius, was mutated to the doxorubicin producing subspecies Streptomyces peucetius subsp. caesius [18]. This mutated strain was found to carry an oxidizing cytochrome P450 isoform capable of hydroxylating the C14 of daunorubicin [19]. The gene that encodes this P450 is called doxA [19]. Although, this gene is crucial for doxorubicin production, its presence does not guarantee collectable quantities of doxorubicin (See supplemental figure S.2) [20]. Enzymes, such as dnrH and dnrX, may further oxidize or reduce the newly formed doxorubicin into other metabolites that do not have antitumor abilities [18]. Therefore, in order to make doxorubicin production sustainable, the down regulation of such genes is required to increase doxorubicin yield. Pharmacokinetics Despite their similar molecular structure, daunorubicin and doxorubicin have distinct pharmacokinetic properties. This section will begin by contrasting the differences in elimination, metabolism, and distribution. Bioavailability will not be contrasted because both of these agents are administered intravenously. The section will then conclude with a description of tissue distribution, intracellular distribution, and toxicity. Administration As already mentioned, both anthracyclines are administered via intravenous injection [21][22]. They should not be injected subcutaneously or intramuscularly due to the significant risk of tissue death at and near the injection site [23]. The exact dosage schedule for both daunorubicin and doxorubicin is dependent on several different factors including: age, health, pre-exisiting heart conditions, and renal functioning, therefore exact dosages vary among different patient populations. In terms of daunorubicin, dosage ranges between 30 and 45 mg/m2, whereas doxorubicin dosages range between 40 and 75 mg/m2 during the initial course of treatment [24][25]. Elimination Both compounds are eliminated from the plasma via urinary and biliary mechanisms [23]. However, a much greater proportion of a daunorubicin dose is excreted through the kidneys (14-23%) as compared to doxorubicin (5%), while a larger proportion of doxorubicin was reported to be excreted through the bowels (50%) compared to daunorubicin (40%) [23]. Daunorubicin and doxorubicin are considered to be high clearance drugs. They have a similar clearance value of 1-2 L/Kgà ¯Ã¢â‚¬Å¡Ã… ¸h [26]. The elimination of either drug, along with their metabolites, follows a triphasic decline in plasma concentration [23]. After a 60ml/m2 infusion of daunorubicin/doxorubicin, the plasma concentration/time graph shows that both drugs are eliminated with a similar rate (fig.3) [26]. However the Medsafe ® [23] datasheet for daunorubicin/doxorubicin reports that the plasma T1/2 for the first phase averages 45min daunorubicin and 12min doxorubicin, while the second phase is 18.5hrs daunorubicin, 3.3hrs doxorubicin. Metabolism The primary metabolites of daunorubicin and doxorubicin are daunorubicinol and doxorubicinol respectively. Because of their similar structures, the metabolism of either compound occurs in a likewise fashion. The enzyme most implicated in metabolism is NADPH (nicotinamide-adenine-dinucleotide-phosphate) dependent cytochrome P450 reductase [27]. This enzyme reduces the ketone at C13 to an alcohol to produce daunorubicinol and doxorubicinol [28]. These two products are believed to retain their cytotoxicity and are cleared from the plasma at a similar rate [28][29]. Another common metabolite for either compound is generated via reduction of the glycosidic bond by gycosidases. Glycosidic reduction results in removal of the amino-sugar that is bonded to C7 [28]. This reaction eliminates the anti-tumor capabilities of either compound [28]. Following removal of the amino-sugar, the remaining aglycone is demethylated and then undergoes phase II metabolism (sulfonation or glucuronidation) [23]. Phase II metabolism by sulfonation or glucuronidation increases plasma clearance and enhances elimination. Two other metabolites are listed in literature, 7-deoxydoxorubincolone and 7-deoxydoxorubinone, however the enzyme or enzymes that facilitate these reactions were not noted [30]. Two other enzymes metabolize both daunorubicin and doxorubicin under aerobic conditions, xanthine dehydrogenase and xanthine oxidase, and produce reduced semiquinones and oxygen radicals [31]. These radicals could provide added efficacy to the drug therapy. It has been suggested that advanced stage cancer cells exhibit high oxidative stress and that it may be advantageous to exploit this finding to preferentially and specifically attack and destroy them [30]. Under anaerobic conditions, xanthine dehydrogenase metabolizes doxorubicin to 7- deoxydoxorubicin aglycone, which has been found to be efficacious in the reduction of the drug’s toxicity [31]. Volume of Distribution Daunorubicin and doxorubicin localize in the tissues. The Vd for daunorubicin is 39.2 L/Kg, while the Vd for doxorubicin is 24.6 L/Kg [26]. This indicates that both compounds have high tissue distribution [26]. Although the addition of a hydroxyl group at C14 markedly reduces doxorubicin’s ability to distribute into the tissues (relative to daunorubicin), doxorubicin remains within leukemic cells for a longer duration than daunorubicin (fig. 5) [26]. Upon administration, daunorubicin accumulates within leukemic cells more rapidly than does doxorubicin (fig 5). This is likely because of the increased polar surface area brought on by the added hydroxyl group of doxorubicin, which hinders its ability to cross membranes. However, the added hydroxyl group provides increased binding affinity to DNA [17]. Therefore, it will not leave the cell as rapidly because it will remain bound to DNA [26]. Toxicity The clinical use of doxorubicin and daunorubicin may be limited by their similar inherent toxicity. It goes without saying that chemotherapeutics should not be administered to women who are lactating or pregnant due to significant health complications that can be incurred by the infant or fetus, respectively, therefore these drugs should not be considered in these populations [33]. The use of these agents in a long-term manner is cautioned due to their ability to cause cardiotoxicity [29]. Under aerobic conditions, the semiquinone radical that may be produced during metabolism undergoes redox cycling [27]. Accumulation of reaction oxygen species soon occurs and can cause cytotoxicity [27]. This is believed to account for tissue death in cardiac cells, and is one of the major implications of using the anthracycline class of anti-tumors agents [27]. The cardiotoxicity itself includes effects such as functional damage to mitochrondrial DNA, interference of cytochrome c oxidase, and dysf unctional lipid peroxidation [13]. Personalised Cancer Treatment: Known Markers in Treatment Personalised Cancer Treatment: Known Markers in Treatment Personalised cancer treatment – known markers and what they mean for treatment Contents (Jump to) Known markers and what they mean for treatment Overview Drug target markers Diagnostic and prognostic markers Meta description Keywords Copyscape Known markers and what they mean for treatment Overview Personalised, targeted and hormonal treatments all depend on genetic mutations that can be identified in cancer cells to be effective. These mutations are sometimes referred to as â€Å"markers†. The markers can manifest through over-expression, lack of expression or mutated expression of specific proteins. Some markers can be targeted using specific treatments whereas some can act as measurements for disease diagnosis, prognosis and treatment response. Drug target markers The genes listed below have all been associated in cancer, the majority of which can also be treated. (*) – Targetable genes and proteins that can also be measured to determine treatment response, cancer diagnosis and prognosis. Diagnostic and prognostic markers The following markers are all related to diagnosis, prognosis and treatment progress. Meta description Cancer markers can help with the diagnosis and treatment of cancer and can give access to targeted therapies. Keywords Cancer markers, genetic markers, diagnostic markers, drug target markers Copyscape Checked Sep 2014 CIGNPOST: KNOWN MARKERS AND WHAT THEY MEAN FOR TREATMENT © Cignpost Ltd 2014PAGE | 1 [EB1]If these are genes not proteins then they should be in italics Psychology Christianity: Five Views | Eric L. Johnson Psychology Christianity: Five Views | Eric L. Johnson Review of â€Å"Psychology Christianity- Five Views† by Eric L. Johnson. Title: Psychology Christianity Five Views Author: Eric L. Johnson Publisher: InterVarsity Press. (U.S.A.) 2000 Price:  £14.37 ISBN: 978-0-8308-2848-7 Introduction: In this book review, I intend to cover the following outcomes: evaluate psychological theories against biblical teaching, discuss the contribution psychology has to make to Christian counselling, assess the compatibility of psychology (research and psychotherapy) with Christian counselling and critical examination of psychological theories. About the editor Eric L. Johnson is a teacher, editor, author and director. He attended Toronto Baptist Seminary and proceeded on to Calvin College before going on to Michigan State University where he bagged his PhD. He is an academic psychologist and initially lectured for nine years at the Northwestern College in Minnesota teaching Christian worldview, psychology and theology. Johnson wrote â€Å"Foundations for Soul Care: A Christian Psychology Proposal† and contributed several articles for the Baker Encylopedia of Psychology and Counselling. He argued for the necessity of theology in counselling and psychological research. He is with the Journal of Psychology and Theology as an associate editor. Johnson edited a special issue of the Journal of Psychology and Christianity, entitled â€Å"Psychology within the Christian Tradition† in 1998. He made contributions in two books: â€Å"Christianity and Psychology: Four Views† and â€Å"God under Fire: Modern Scholarship Reinvents God† in addition to editing this book that I am reviewing. Johnson is currently the director of the Society for Christian Psychology and the Lawrence and Charlotte Hoover Professor of Pastoral Care at The Southern Baptist Theological Seminary in Louisville, Kentucky. About the Book Psychology and Christianity: Five Views, is divided into seven chapters and has three hundred and nineteen pages. It is a review and expansion of the first edition titled â€Å"Psychology and Christianity: Four Views†. This book essentially lends to give a precise understanding of human nature and this is an issue that has refused to go. In page 104, we see that Adams argues that the Bible is sufficient to understand human nature and there is nothing psychology can offer but there are opposing arguments. Freud cited in Chapman (2007:41) argues that religion is an illusion. However, Crabb cited in Lutzer (1998:72) argues that we can spoil the Egyptians; take the best of both Christianity and Psychology for our use and become more effective as long as they are not in conflict with the Bible because the Bible will always be superior. The Wesleyan Quadrilateral advocates that four factors (Scripture, Tradition, Experience and Reason) must be considered when reaching decisions. In view of all this on-going debates, Johnson tries in this book to advance the argument for a relationship between Psychology and Christianity, and address the issue of helping Christians to understand and grasp the nettle of psychology. In this edition, there is a fifth view which has been added to the first edition of four views. This fifth view is contributed by John H. Coe and Todd W. Hall and it is titled â€Å"A Transformational Psychology view†. The other four view contributors were still involved in this edition but with revised contributions. The authors put forward five different views of how Psychology and Christianity can be integrated. They are David G. Myers who deals with the levels of explanation; an integration view by Stanton L. Jones, biblical counselling view by David A. Powlison and Christian psychology by Robert C. Roberts co-authored by P.J. Watson. Johnson wrote the opening chapter discussing the history of Christian psychology and also the closing chapter which talks about gaining understanding through the five views put forward by the various authors. The authors gave very good account of themselves in their respective views. Every chapter is concise, well laid out and the thought flow pattern is quite consistent and credible. Content of the book Johnson sandwiches the five views in between two chapters that he authored. He started in this first chapter by looking at the history of Christians in Psychology. In this chapter, Johnson looks at a generic background of psychology but with special reference to how psychology is viewed today. He argues (page 10) that science is a gift from God and that the scientific revolution was initiated by mostly Christians. Some Christians have unreservedly incorporated modern psychology while others like (Bobgan Bobgan 1987) have out-rightly rejected it and called it â€Å"psychoheresy†. Johnson explained in this chapter about the neutrality of this book and that it is rather a picture of the views of the majority of Christians. The second chapter was by David Myers and it deal with levels of explanation. This chapter delves into the subject of human characteristics. This view recognises that Christian theology and Psychology are different and should be treated so but that both should combine well. Myers argues (page 49) that both vary especially in the methodology of research and so each should free to explore as they deem fit. He further argues (page 72-74) that scientific data has enabled him along with some other Christian thinkers to shift from their view of seeing homosexuality as a sin, to understanding the biological explanation of prenatal influences to brain differences especially also considering the fact that the Bible did not have much coverage on the subject matter. Stanton Jones wrote the third chapter which is on the integration view. He shares the same view as Myers; that both Christian theology and Psychology have something to contribute to each other and consequently should be integrated; an aspect that is contrary to Myers view that they should be separated. Christianity is God’s word and psychology is God’s work. Jones argues (page 101) that God’s sovereignty prevails over every facet of human life and that Christian psychologists should benefit from that. However, Jones also shares a common view as Myers with regards to the fact that the Bible does not address some issues adequately (page 101). Jones shares a personal testimony of the tension points that he struggled with in-between Christianity and Psychology. (103-104). Jones became more confused as he desired to be faithful to the Bible, yet, he could not argue with the result that he was actually learning a lot about human nature in Psychology and so through excl usion, he found himself blending both Psychology and Christian theology. The fourth chapter deals with Christian psychology and was co-authored by Roberts and Watson. They argue that understanding God which is revelation (general and special) should be the starting point for the development of psychological theories. These authors (page 155-156) argue that Christian sermons (using Jesus’ sermon on the Mount as an example) are aimed at helping people to live well; dealing with character and transformation of persons and that psychology also deals with how to live, and changing a person’s character with the aim of living well. They identify terminology as the only difference between both. They argue (page 157) that sermon conceptualises psychology. John Coe and Todd Hall co-authored this fifth chapter which deals with the transformational view. They set out, not to develop or defend a model but to shed light on their argument, (page 200) that psychology and Christianity are closely related and that psychology is only an expression of faith and love. This view is the view that has just been added in this edition making it five views. They argue (page 200) in favour of the process and methodology of psychology as a process to new ways of transforming people. This approach looks into the psychologist’s transformation (emotional and spiritual). David Powlison authored the sixth chapter which discusses a Biblical counselling view. He started with a very bold statement â€Å"Christian faith is a psychology†. Also that â€Å"Christian ministry is a therapy† These statements summarises his view. Powlison argues (page 245) that the Scriptures talks about thoughts and intentions of the heart. He further argues that God through the scriptures reveals how human beings should achieve their potentials and a clear change process of attaining such too. Powlison assumes a very new approach in his view; the approach is to delve into the meanings of the word â€Å"psychology† in the very context in which it is used. He argues (page 248) that obviously the meaning is relative. In a bid to drive home his argument, he develops sub themes; Psych 1 – 6. Psych 1 looks at how you work,; Psych 2 looks at the detailed knowledge of human functioning; Pych 3 looks at the competing theories of human personality; Psych 4 de als with the practical application to psychotherapy; Psych 5 looks at a system of professional and institutional arrangements and Psych 6 deals with a mass of ethos. Powlison was really keen on ensuring that his readers have a very clear understanding of his view and goes a step further with a case study as he argues (page 262) that looking at cases is the best way to understand psychological views including biblical counselling. Eric Johnson authored the seventh and closing chapter where he made reference to similar books that has multiple views on the same subject. According to him, this book helps to highlight the point that a group of people, and specifically Christians in this instance, have the same belief but varied perspectives even within the same belief. Johnson (page 293) uses Proverbs 12:15 to affirm that a wise man will be humbled, by that awareness of what he does not know. No one has absolute knowledge except God. He argues that because we are finite creatures, we are limited in terms of views but God is the omniscient observer. He further argues that the more views we are open to, the better our understanding will be, and he encourages his readers especially Christians to dialogue, engage, critique and integrate the strengths of these views as it will enhance their understanding and scope in other to develop their own â€Å"postformal synthesis† (page 309). There is something I found very fascinating about this book. I found out that each chapter have contributing responses from the perspective of the other authors highlighting the strengths and weaknesses of the particular view in light of their own view. My thought. I think that the writing style is easy to read and understand. The chapters are logically laid out and concise and the literary genre is prose. The subsequent contributions from diverse perspectives to each chapter are not common and made it all seem like a conference, answering most questions that readers could have raised. I am the pastor of my local church; I encourage members through prayers, teaching, preaching and pastoral care, based on the Scriptures. I have found myself at crossroads in some contemporary issues which are similar to the observations of Myers and Jones, where they have found the Bible silent on some issues and inadequately addressing some other issues. This is one of my reasons of studying Counselling, and a book like this has opened me up to differing views highlighting both strengths and weaknesses of those views. This review has been an eye opener for me. CONCLUSION In conclusion, I consider the book well-structured as Johnson sets the stage with the historical background and after taking the five views, he borders the book at the end, encouraging scholars to critically and constructively engage to progress the work. Finally, I observe that Johnson claims (page 10) that the book is neutral and that the views represent the collective views of a majority of Christians. This is a very good claim but it would have been very good if he had gone a step further to substantiate his claim with data. However, overall, I consider this book to be of immense value to any Christian psychologists irrespective of their chosen model; it will open them up to differing views even within the Christian community of Psychotherapists. . I identify with Stanton Jones who authored the Integrative view and I will recommend this book to anyone who is seeking a clearer understanding of the integrative model of counselling. References: Chapman, C.N. (2007). Freud, Religion, and Anxiety. USA: Lulu.com. Page 41 Lutzer, E.W. (1998) Pastor to Pastor: Tackling the Problems of Ministry. USA: Kregel Publications. Page 72 Peter Emordi Psychology of Christian Counselling COU2001 1

Friday, January 17, 2020

Diversity and Individual Behaviour

Diversity is what the world is made of. Without diversity, the world would be an uninteresting and inhospitable place. Without diversity, there would be no variety of opinions or alternate views. There would be no different views or ways of thinking. Being diverse provides a way for people to express opinions and views to others who may not have pictured a situation the same. Four factors that cause diversity are ethnicity, gender, religion and sexual affinity. These groups have an outcome on the course of daily choices. The author of this paper will look into each of the groups and how the aspects have an impact on individual behavior. Ethnicity has an influence on behavior that cannot easily be ignored. At work the influences of ones ethnicity is dealt with everyday. African-American stereotypes have led to â€Å"being black as similar to having a felony conviction when regarding the chances of finding a job. The results of a study suggested black men must work at least twice as hard as equally qualified white men to rise above the stigma their skin color provides (Pager, 2009).† The humiliation is, for the most part, due to labeling. According to Devine and Elliot (1995), in the 1930’s the adjectives used to describe an African-American were superstitious, lazy, and ignorant, and today the adjectives vary from unintelligent, loud, and criminal to musical, athletic and very religious. Discrimination is often difficult to observe, and yet, despite the antidiscrimination laws discrimination still occurs. The author of this paper is a case manager for individuals with developmental disabilities, and observes the subtle nuance of bigotry almost on a day to day basis. Being articulate and having a name that belies the true ethnicity frequently surprises people when meeting in person. The dumbfounded expression is not easily hidden regardless of one’s efforts to mask it. Statements such as ‘you sounded different over the phone, or you look nothing as I imagined’ are uttered frequently during these meetings. After such meetings, those who are truly prejudiced will request to work with someone else; giving superficial explanations to the request.  For example, ‘we prefer to work with someone with more experience’, or with a man, regardless of the fact the author has more than 20 years of experience in the profession. Being African-American has its hardships. In addition to that adversity, consider the privation of being an African-American woman. The author’s supervisor admitted to being cautious with relaying the information about the requests of those who had recently met the author in person. Why was the supervisor afraid to approach the author? Because, the African-American woman is often portrayed as a defiant, smart-mouthed, sassy, finger-waving and eye-rolling person, it is easy to understand her fear. The African-American woman has to be diligent in the efforts to contradict the assumptions. Just being female impacts a woman’s behavior. Women are portrayed as and believed to be whiners, nags, flakes and shopaholics. Women are thought to be helpless and in need of rescuing; by a man, of course. In the business world certain jobs have traditionally been considered gender specific. A woman who holds a stereotypical masculine position, such as construction ‘foreman’, is capable to use the equipment just as successfully has the men, but often the men see her as delicate; unable to work too hard, resulting in less productivity and more stress in the workplace. Women want the same respect, opportunities and responsibilities as men. However, chauvinistic attitudes often obstruct a woman’s advancement. The author has overheard such comments as: ‘she doesn’t need a promotion, her husband makes more’, presuming a female employee has no right to a full fledged career, or a larger salary comparable to the male employees. Surprisingly, th e comment was made by a female. Sexism is evident in all areas of life. For example, people debate if women should play a sport traditionally played by men. The year 1896 is when women playing football was first documented. The men’s reaction to the football game was mentioned more than the game itself: ‘the crowd of men looking on, excited by the struggle, closed in with a rush.’ It was not until 1970 that a woman was allowed to play on a men’s semipro football team and not until 1999 did  The Women's Professional Football League begin playing professional women’s tackle football games (Women's Professional Football League, n.d). Sexism exists in religion as well. To the Catholic Church, Mary, the mother of God is the most perfect human being. Yet, a woman cannot be ordained as a priest. The woman’s highest role in the Catholic Church is that of a Nun; a servant living under vows of poverty, chastity, and obedience. In other faiths women have more of a role, for instance in the Episcopalian religion; a woman may be a priest. In Judaism rabbis have been known to depict women as envious, unproductive, lazy, greedy, and prone to gossip. In Judaism a Jewish woman’s role in life is traditionally a wife, mother and keeper of the household. The Jewish woman knows her place and the depictions have discouraged many women from pursuing an education, career advancement and sexual affinity (Marcy Hyatt, personal communication, January 7, 2009). Marcy Hyatt, a Jewish woman and a homosexual, also reported her experience of being homosexual and being Jewish as parallel. She has fought prejudice and fought for civil rights, and although she no longer has to fear being visible, she continues to work to maintain her self-worth in the face of ignorance and bigotry. According to the American Psychological Association (2004) while sexual orientation is not a conscious choice that can be voluntarily changed, several homosexual and bisexual people seek to change their sexual orientation through therapy, often coerced by family members or religious groups. In the United States, homosexual and bisexual people often meet widespread violence, discrimination, and prejudice. The discrimination takes many forms from being denied raises, promotions and getting poor performance evaluations to bullying in schools. The fear of being known as a homosexual or bisexual has led to men hiding sexual orientation from loved ones and doctors thereby possibly putting themselves and loved ones at an increased risk for HIV/AIDS. Regardless of the fact that no one can avoid diversity, people fear differences and seek only what is perceived as safe; remaining ignorant to what others have to offer. Fearing people different from us is a natural tendency because of how we were raised. When we treat one another as individuals with feelings, then we will experience true multiculturalism.

Thursday, January 9, 2020

Obesity Improving Health Outcomes - 520 Words

While exploring possible health issues and a population to focus on for my project, I was overwhelmed by the number of issues we are faced with everyday. I narrowed the search down to obesity and the population I would like to focus on is the adolescents. Health People 2010 identified overweight and obesity as one of the top ten leading health indicators that needs serious attention. Obesity has reached epidemic levels globally; being a significant threat to our own nation’s health. Adolescent obesity rates have more than tripled, as the adult obesity rate has doubled since 1980’s (Trust for Americas Health, 2011a). It was interesting to learn of particular statistics and trends concerning adolescent obesity in our nation. Geographic†¦show more content†¦It’s not easy growing up in today’s world as an adolescent. The psychological, physical, social, and environmental factors can have significant negative impacts on their health. During the adolescent phase it is a very â€Å"extraordinary plasticity† period (Steinbeck, Baur, Cowell Pietrobelli, 2009, p. 2). These individual’s habits, attitudes, and physical morbidity develop during this phase. This establishes the pathway and blueprint that influence their long term health and wellbeing. When deciding what approach I would take when addressing this epidemic problem, I decided on health promotion and prevention. The two are so closely interrelated that it is hard to separate. However, health promotion and prevention also have over lapping boundaries with health management, marketing, community empowerment, and policy. In order to promote and prevent this epidemic, we need to rely on the policies (that regulate food and exercise in our schools and communities), the marketing (that promote and provide the tools to make our nation aware about this epidemic), and community empowerment (to support our nation about how to permanently change their lifestyles and way of thinking). I chose health promotion and prevention as it draws from the actions of these other elements. In order to be most effective, a system-wide approachShow MoreRelatedThe Healthy People 2020 Objective Nutrition And Weight Status Essay1451 Words   |  6 PagesThe Healthy People 2020 objective Nutritio n and Weight Status has a goal of improving the diet of Americans, thus improving their overall health. â€Å"Diet quality is critically important to the prevention of many types of chronic disease† (Wilson et al, 2015, p. 302.) 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This has resulted in a nutritional transition from traditional plant based diets to western high fat, energy dense diets withRead MoreThe Prevalence Of Paediatric Obesity1731 Words   |  7 PagesThe prevalence of paediatric obesity has escalated to epidemic proportions, with 28.2% of children and adolescents aged 2 to 15 classified as either overweight or obese in 2015 (Health Survey of England, HSE, 2015). The factors that can contribute to childhood obesity includes genetics and environmental factors such as increasingly sedentary behaviours and caloric intake (Arluk, Branch, Swain, Dowling, 2003; MacKenzie, 20 00). Increased obesity in youth leads to an array of co-morbidities includingRead MoreObesity Essay1253 Words   |  6 PagesChildren and adolescents with obesity and obesity related diseases reported to have systemic inflammation and evidence of endothelial activation. 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Wednesday, January 1, 2020

Escapism And Disassociation In The Sun Also Rises - Free Essay Example

Sample details Pages: 6 Words: 1841 Downloads: 8 Date added: 2019/08/16 Category Literature Essay Level High school Tags: The Sun Also Rises Essay Did you like this example? In The Sun Also Rises, written by Ernest Hemingway, we are met with many problems faced by the lost generation after WW1, including the search for fulfillment, love, and the aimlessness of the lost generation. However, readers are also met with another and more problematic conflict. Dissociation and escapism which is presented through the main protagonists Jacob Barnes and Lady Brett Ashley who display similarities with Maladaptive Daydreamers. Don’t waste time! Our writers will create an original "Escapism And Disassociation In The Sun Also Rises" essay for you Create order Just like those who are Maladaptive Daydreamers, Jake and Brett are constantly trying to dissociate and escape from the world around them, because they cant bear to live the life they have post-war or stand to be the people they have become, this results in them further losing their sense of self and becoming more dissatisfied. As shown above Maladaptive daydreaming is an under researched and a unrecognized mental disorder. In a article written by Eli Somer, he describes it as a extensive fantasy activity that replaces human interaction and/or interferes with academic, interpersonal, or vocational functioning (1). The symptoms include highly vivid daydreams that are abnormally long, a strong attachment to such daydreams, inability to carry out everyday tasks, insomnia, and daydreams triggered by real life events or stimuli. Those who maladaptive daydream tend to have some other underlying mental disorders alongside it, for example, within the article it is mentioned that six patients who were identified to be maladaptive daydreamers, four were diagnosed with dissociative disorder, and two were diagnosed with narcissistic personality disorder. However, if they dont have a mental health issue, they have some sort of traumatic experience that has happened to them instead. According to the article Maladaptive Daydreaming: A Qualitative Inquiry, written by Eli Somer, people who maladaptive daydream, often do so to cope with what is going on in their lives or an traumatic experience, but also as a way to express themselves. Through their daydreams they are able to disengage from stress and pain, have fulfilling fantasies, and companionship. In their dreams there is recurring themes such as violence, power, control, and an idealized-self (1). Many people view this disorder as an quirky trait, but its much more than that, some think of it as a addiction, not being able to stop it, others view it as a much deeper issue. The issue of you not wanting to be you. Which therefore leads to them daydreaming a different world in which they are someone they want to be and are able to escape who they are in reality. Just like the maladaptive daydreamers both Jake and Brett had gone through a traumatic experience themselves, which leads to both of them trying to disengage from themselves in order to forget and not feel the pain caused from those experiences. Jakes traumatic experience is being wounded while fighting in WW1, in which it can be assumed he also saw many horrors. Bretts traumatic case would be losing the so called love of her life in WW1, but it can also be assumed since she was a nurse during WW1 that she some horrific injuries and the deaths of other soldiers who could have possibly been under her care. Therefore, in order to forget such incidents, they try to suppress their emotions, and both start to dissociate from the world around them and themselves hoping to escape, especially Jake. Therefore, Jake resorts to alcohol, in which he uses it to suppress his emotions, and just like any Maladaptive Daydreamer, Jake cuts ties with his ego and insecurities. An example of this, I swung at him and he ducked. I saw his face duck sideways in the light. He hit me and I sat down on the pavement. As I started to get on my feet he hit me twice. I tried to get up and felt I did not have any legs. (Hemingway, 195). Leading up to this Jake shows a great deal of anti semitism and hate towards Robert Cohn, however, when he is sober Jake holds it back, and at most is passive aggressive. Whereas in this scene, Jake being intoxicated, gets in a argument with Cohn, starts a fight and throws the first punch, and ultimately ends up getting knocked out and losing the fight. The significance of this scene shows us that by attempting to escape through the use of alcohol and in a attempt to abandon his emotions, he only engages in them, doing the exact opposite of what he intended to do thro ugh the use of alcohol. According to the article, Painful interpersonal experiences encountered during a time when basic assumptions about the world and their self-images were developing, sent these young persons into their much safer imaginary world. (Somer 14). For many Maladaptive Daydreamers, when daydreaming, will often have their daydreams, even though a complete fantasy, reflect the emotions they feel, because through these daydreams just like Jakes alcoholic tendencies, they express what they fail to express in real life. We see the feelings they didnt express, the words they didnt say, the journeys they didnt make, and the beliefs they didnt defend. Jake in his attempts to cut ties with who he is, fails in cutting ties with his emotions, and in his attempt to escape and dissociate he ends up causing more misery and despair for himself. Whereas Brett uses neither alcohol nor Maladaptive Daydreaming to escape, but rather uses relationships instead. By trying to seek that happiness and fulfillment and essentially fill that role of the true love she lost, she only ends up becoming more and more dissatisfied. She uses these relationships thinking theyll fix everything yet they always fail and some poor mans heart is broken for the most part. Brett is especially aware of the role she is playing in her relationships, and she is also aware of the fact that she is hurting others whenever she goes into and out of such relationships, however she continues to act like this. In the end of it all, she leaves, every time she isnt able to get what she wants, or when she isnt able to gain full control of the relationship. She has troubles in her interpersonal relationships just like Maladaptive Daydreamers. For example, Im going back to Mike. I could feel her crying as I held her close. Hes so damned nice and hes so awful. Hes my s ort of thing. (Hemingway 247). After which Pedro Romero and Brett end their relationship, for the first time in the novel we see Brett not only truly upset. But we also see that Brett is capable of emotional depth, and that she is also capable of expressing it, yet she doesnt and in fact tries to avoid doing so in an attempt to dissociate from herself. Furthermore, just like Maladaptive Daydreamers, Brett is running, because shes afraid of emotional depth because it means commitment, but it also means coming to terms with who she is and acknowledging what she feels. As a result, Brett chooses not to express her emotions and ends up trying to hide them in an effort of trying not to ever face them, so she engages in these meaningless relationships with no emotional connections. However, by running and trying to get away by having these disconnected relationships, we can see Brett only further disappoints herself, and even though she breaks someone elses heart, she also ends up breakin g her own in the process. And in all these attempts of running and the constant search of fulfillment she only finds more heartache and sorrow, the very things she didnt want to find. Jake is also very clearly not happy, not only with himself but the life he is living, because of his wound he is not capable of having children nor is he able to be in a relationship with Brett, his true love, which is not only the main source of conflict in the novel, but also one of the main reason for his unhappiness and why he doesnt want to be who he is. Jake is constantly dissociating, shifting focus from himself to immediately something else as though by not thinking about the pain and bitterness, that itll go away. For example, Undressing, I looked at myself in the mirror of the big armoire beside the bed. That was a typically French way to furnish a room. (Hemingway 38). Through this example we can see the shame Jake feels by immediately changing narration and the main focus from himself to something immensely different. Not only is Jake depressed, unhappy, but he is also not proud of himself, because just like Maladaptive Daydreamers, he is not his idealized self. Hes this veteran of World War 1, hes suppose to be the traditional male hero, and what better way to show that by him fighting in a war and coming back alive. However, he isnt or at least he doesnt feel like it, but instead he feels insecure because hes emasculated since he doesnt have the ability to have sex anymore. By having Hemingway present Jake the way he is, he allows for Jake to represent the lost generation, including their feelings of aimlessness and unhappiness. He does this by making Jake display the actions that some of those of the lost generation did. Such as becoming an expatriate, and leaving behind America, his home country, which is a clear and physical example of an attempt to escape, because perhaps by physically leaving jake could leave behind the part of himself he doesnt like, and give himself a fresh start. However, by leaving America, living and working in Paris, and traveling all over Europe, Jake doesnt change, he doesnt get that fresh start, he doesnt gain more power or control over his situation. He doesnt magically get with Brett and everythings happily ever after, and he doesnt stop drinking, and he certainly doesnt reach nirvana, but even in the last lines of the novel, Bretts still there beside him, and nothing much changes for her either. If anything, nothing from the beginning of the book changed towards the end, but maybe thats how things are suppose to be. By constantly trying to escape and dissociate from the world around them and who they are, in an attempt to disengage from their emotions as well, how would Brett and Jake ever know what made them happy, or more importantly how would they ever know how to move on, when they couldnt confront the issue head on or be capable of being who they really are. They werent able to change their situations because they never confront ed the issue that was the source of their pain because such confrontations or conflicts are too difficult to face. So they ran and tried to live being something else, just like how Maladaptive Daydreamers dreamed another life, the life they wanted to live, but thats the problem, they dreamed and nothing more, and tried to be something they werent. They couldnt be happy because they werent themselves, after all thats what they were running from ultimately leading to their dissatisfaction and despair.