Tuesday, December 31, 2019

Civil War Debate On American Rhetoric - 2775 Words

Mikala Stokes Professor Beckelhimer Rhetoric in History 29 October 2014 Words: 2450 150 years later: Civil War Debates in American Rhetoric More than sixty years ago William Faulkner proclaimed in his novel Requiem of a Nun that â€Å"the past is never dead. It’s not even past† (Faulkner). These words reign especially true regarding the impact of the American Civil War (1861-1865). The reasons for the conflict were complex and numerous, but mostly controversial. The men who fought in the War were essentially deciding whether nearly 13% of the population (and their descendants) would continue in the United States in a condition of permanent, forced servitude. The nation had come to a point where either slavery would be legal everywhere or nowhere—the country could no longer vacillate on the issue. However, the War Between the States began as a dispute not exclusively about the institution of slavery, though it was the central conflict. The two regions, North and South were each fighting for the nationalization of their opposing cultural views. The North was a place built on the principle of free labor; while the South was constructed on the conflicting foundation of slave labor. These conclusions notwithstanding, 150 years later, in many ways Americans are still debating the causes and impact of the Civil War. As a country, we are still wrestling with the fact that a large portion of the country (the South) was willing to die for the right to own slaves. Consequently, theShow MoreRelatedSlavery And The Civil War958 Words   |  4 Pageshead on collision course: the Civil War. Slavery and the Civil War are more intertwined than face value would ever suggest. For some, the major cause of the Civil War was about slavery, this should not be a shock to anyone, but sadly, it commonly is misinterpreted. According to an article by James Illingworth titled, â€Å"Slavery and the origins of the Civil War†, â€Å"One hundred fifty years after it began, the Civil War remains one of the most misunderstood episodes in American history. In a recent Pew pollRead MoreThe Law Enforcement Operations Model1619 Words   |  7 Pagesargue that a law enforcement operations model should be applied rather than the law of armed conflict because of the nature of the operations that are involved. For instance, Kels notes that human rights advocates â€Å"insist upon a legal geography of war, whereby states must apply a law enforcement (rather than armed conflict) model to any hostilities conducted outside of universally recognized hot battlefields like Afghanistan† ( B3). This approach, however, ignores the realities of military operationsRead MoreAbraham Lincolns Second Inaugural Address1093 Words   |  4 Pagesemotion. The American Civil War began on April 12, 1861 when the Southern United States seceded from the union. The first battle, taking only thirty-four hours, caused Lincoln to officially rally troops against the South. Most Northern Americans would eventually learn to love Lincoln’s courage; however, many Southern Americans would despise Lincoln. Throughout the civil war many lives were lost, and many families were torn apart. Lincoln would remain a strong figure throughout the war. He would giveRead MoreEconomic Anxiety And The Issue With Emancipation Essay1706 Words   |  7 Pagesforum for the abundance of motivations and ideas when it came to race relations leading up to the civil war. Economic, religious, and political justifications for slavery dominated much of the newspapers discussion, arriving from a wide array of viewpoints and sources. Franklin county’s newspaper before the civil war served as a forum of discussion for the quickly changing everyday life that the American people were experiencing. Greater interconnectedness, specifically through newspapers, created aRead MoreWomen s Rights Of Women Essay1455 Words   |  6 Pagesgender gap has been a pressing issue throughout American history, as a myriad of women have expressed through outlets such as public assemblies, literature, and speeches. There have been three waves of the women’s movement, each targeting a variety of issues within each era. The third wave was in 1995, where Hillary Clinton spoke in Beijing, China, claiming that women’s rights were the same as human rights, that every aspiring girl deserved the civil liberties that every man was given around the worldRead MoreThe War On The Battlefield1726 Words   |  7 PagesWars aren’t fought in a vacuum, and those who study the Civil War should know this. While the Confederacy lost the war on the battlefield, a failure to exam the social and political climate before the first shot fired on Fort Sumter and the furling of the CSS Shenandoah’s Confederate Navy Ensign— the war’s final surrender— does not capture the war’s impact on the nation. Certainly, one can’t discuss a war and never mention a battle. The field’s foundation is in traditional military history, but IRead MoreThe Rhetoric of LBJ: Speech Addressing Discrimination and Voting Right Legislation1076 Words   |  5 Pagesresponse to the unjustly attack of African Americans preparing to march in Montgomery. In his address Johnson confronted the problem of racism and racial discrimination. He declared that â€Å"every American citizen must have an equal right to vote. In order for Johnson to handle the American crisis and simultaneously settle into his new position as chief executive, his rhetorical debut as president would have to be one that offered Americans the confidence to believe he was notRead MoreComparison Of Martin Luther King And Henrys Speech1437 Words   |  6 Pagesimpressionable, as the â€Å"old rhetoric was an offspring of dispute, it developed as the rational of pleadings and persuadings [†¦] combative impulse [†¦] (Richards 24). Thus, any attempt of influencing or persuading us is worth of exploring and understanding. It is done partially to support the good causes, partially to prevent being caught in bad rhetoric that may capture hearts, yet flatters the minds into the worst of things. The selected speech is unique It was written by a champion of a civil movement at timesRead MoreThe Media And Its Impact On The World1280 Words   |  6 PagesNaturally, we Americans were looking for answers to why a devastation of this magnitude would happen to us. During the fallout of 9/11, the media played a major role in distributing information about a culture that many Americans knew nothing about. Americans were now pa ying attention to the Muslim community and though there was more awareness by the American people, it seemed the information was a little biased and the media painted Muslims in one broad stroke and it made Americans slide so easilyRead MoreCritical Analysis Of A Fierce, Wild Joy By Stephen Towne867 Words   |  4 Pagesinvestigations and exemplary rhetoric, Stephen Towne critically challenges the deep-rooted theories regarding covert battles between Union intelligence operations and Confederate sympathizers in the Midwest. Along with being commended by the coauthor of the classic For the Common Defense: A Military History of the United States from 1607 to 2012, Dr. Towne is an associate university archivist at Indiana University-Purdue University Indianapolis and editor of A Fierce, Wild Joy: The Civil War Letters of Colonel

Sunday, December 22, 2019

Stereotypical Images Of Mexican Americans And Black Americans

Stereotypical Images of Mexican Americans and Black Americans in the contemporary media? Angel Garcia Bakersfield College In today’s society judging races and ethnic groups have left stereotypical images on them. Stereotypical images are seen all over, even in contemporary media. Hispanic Americans and Black Americans are two ethnic groups that I’ve recognized on having that stereotypical image in the contemporary media. Hispanic Americans and Black Americans are left with harm because of these stereotypes that have been shown in the contemporary media, for example in the television shows George Lopez and Everybody Hates Chris. It seems to be that stereotypes are being less focused on or just being allowed because of the humor they bring out in those television shows. Hispanic Americans are often stereotyped in today’s society. Stereotypes that are said about Hispanic Americans include: The lazy Mexican, the Greaser, drug dealers, and gang bangers. These Stereotypes leave an image on all the Mexican Americans as being bad people. The media has been playing a big part in showing stereotypes but we tend to ignore them because they use it in a way were comedy is being introduced. For example, the television show George Lopez involves a Mexican American family going through their daily routines in the city of Los Angeles, where the majority of the population are Hispanics. In the George Lopez show, George Lopez plays the father role and every night when he getsShow MoreRelatedThe Wonderful World Of Disney1474 Words   |  6 Pagesthe world of Disney is a learning medium in which kids can learn about ethics, values and self-image. The world of Disney over time has become a persuasive form in which children can learn about the world around them . However, The world of Disney teaches messages to children that exceed the boundaries of childhood culture. Many of Disney movies and television shows portray people of color in stereotypical fashion and its attempt in diversity exemplifies the ideals of colorblindness. In the past yearsRead MoreCrash Movie Review1215 Words   |  5 PagesIn today’s world, there are all kinds of stereotypical comments that people have to deal with. We take the concept of judging others for granted. If you peak into your past and recall how many times you have assumed the outcome before weighing all the circumstances. There are a large percentage of people that make quick opinions about people, events, and nationalities based on their little knowledge. In our society, assuming is a common problem. The public has a problem of coming to a conclusionRead MoreCase Study- How Hollywood Portrays Arabs1259 Words   |  6 Pagesway to influence Hollywood’s portrayal of Arabs, very often in stereotypical and negative facets. Issues concerning the Middle East have been omnipresent in American society for several decades. There is daily news coverage of Arabs and the Middle East in all forms of media in the United States, including on television and in movies. Hollywood, for many years has depicted Arabs in stereotypical images, villain roles opposite American heroes who tend to save the day. Since the early days of HollywoodRead MoreRacial Stereotypes3031 Words   |  13 PagesCierra Washington LAN 1080-83733 Racial Stereotypes in American Popular Culture and Media A stereotype can be defined simply as; a process for making metal printing plates, or a plate made by this process (the process of a stereotype). Another definition for the word, more commonly used, means a simplified or standardized conception and/or image of a particular group. The old definition of stereotype relates to the sociological definition of the word, in that it is a taking from a â€Å"mold castRead MoreThe Issues Regarding Race, Culture, And.1557 Words   |  7 Pagesracial profiling, discrimination etc. In the early aftermath of the attacks some Americans that were understandably outraged and horrified, even attacked some members of the Sikh community where at least one was even killed, because they resembled certain types of Muslims, with beards and turbans. Various people of Middle East or South Asian origin have faced controversial detentions or questionings by officials at American airports. This web site’s section on the war against terror has more detailsRead MoreStereotyping Is Found Everywhere? Essay950 Words   |  4 Pagesracial equality. There is an illusion that stereotyping is okay. People believe this act is nothing short of normal. â€Å"Stereotypes are generalizations, or assumptions that people make about the characteristics of all members of a group, based on an image (often wrong) about what people in that group are like. If you assume you know what a person is like, and don t look at each person as an individual, you are likely to make errors in your estimates of a person s character.† – (Conflict Research ConsortiumRead MoreWest Side Story Analysis972 Words   |  4 Pagesbeginning of history through today. In the reading West side story by Alberto Sandoval he explains how the film perpetuates the image of racial problems explaining that the film has its profound structure expressing segregation and racial preferences towards Latinos. The film makers presented the immigrants as stereotypical Puerto Ricans making their skin tones darker, black haired, skinny. The jets are blond, strong, and healthy. The clarity of the different appearances is also pointed out in the readingRead MoreRacism And Its Effects On Society943 Words   |  4 Pagesrationalization in order to justify their beliefs and feeling towards a selected group. Under those circumstances, there are several causes identified that contribute to prejudice. Namely, displaced aggression, disposition, the maintenance of self-image and status, and economic and political competition. Therefore, it is also important to note the various forms of prejudice, because it can be applied to numerous attributes, physical characteristics, be liefs, or anything perceived as different or threateningRead MoreRacial Profiling Is Necessary For The Police Force And Civilians Of These Areas1084 Words   |  5 Pagesessentializing means to combine complex terms into a single thought or image making it simpler. Due to racial profiling we regard terrorists as any type of brown male. It is the society we live in and hence we have no choice to deal with it. What exactly does the term racial profiling meaning? One could say that it is the consideration of race in criminal investigations. â€Å"For example, the popular term â€Å"DWB†, means that black people are more scrutinized and thought of when driving under the influenceRead MoreCultural Appropriation And Its Effects On Society1820 Words   |  8 Pagesothers cultures for fun. It has made many students around the country furious at campus faculty and students. The problem today is that students don’t realize what is right and wrong about today’s culture such behavior can lead to one dressing up as a black person, or wearing sombreros. Dressing up as a clothing of another culture has led many from the culture feeling lacerated. Due to the unacceptable behavior, many of the students from the culture have directed their madness towards the dean or administrator

Saturday, December 14, 2019

Confedrates in the attic Free Essays

Tony Horwitz in the book, â€Å"Confederates in the Attic: Dispatches of an Unfinished Civil War† travels throughout the south following the path of the Civil War he meets many people interesting and different people and visits the cities and towns along the path of the Civil War there are many themes throughout the book, but the two I found most important were Reality, and The Life of a Solider. The reason I choose these as my most important topics are because I feel it is necessary to understand the reality of the Civil War and to do that understanding the life of a solider is necessary. During Horwitz’ travels one of the first things he learns is that the reenactments are not as easy and fun as he had expected, however there are people who have the same love as Horwitz but do not take Reenactment’s as seriously, â€Å"We try to be authentic, but no one wants to eat rancid bacon and lie in the mud all night. We will write a custom essay sample on Confedrates in the attic or any similar topic only for you Order Now This is a hobby, not a religion† (Horwitz 130). The life of a soldier in the 1860’s was difficult and for the thousands of young Americans who left home it was an experience none of them would ever forget. The average reinactor was male thirty-four, and did this for fun, so magine how harsh it was for an eighteen year-old drafted solider to leave home and eat rancid bacon and lie in the mud all night. â€Å"Soldiers would carry their cards, dice, writing utensils, letters, and other necessary goods for passing time in their haversacks. Soldier often had to carry these supplies as well as several other things that they needed with them at all times. The types and amounts of supplies available to these soldiers depended on the resources of their armies. â€Å"( Capman and Jankoviak 9). Here the textbooks goal is to make students aware of what the reality of a solider as carrying the personal with them twenty-four/seven. Racial Tensions in the civil war Throughout the Civil War racial tensions grew exponentially, this was not a very good thing for African American soldiers either fighting with the north or being forced to fght with the south. Getting a Haircut in the army â€Å"The Union and Confederate armies were haphazardly raised, badly organized, poorly trained, inadequately fed, clothed and housed, and almost wholly without comforts, sports, entertainments or proper medical care†(Commerger 1). Im one of ommerger’s articles he writes about getting a haircut during the Civil War something that seams so normal to any of us but at camp Cameron there was only one person who knew how to cut hair, one time a man came running through the camp screaming,† The Yankees are coming! † and right there in the middel of his haircut they picked up their weapons and marched into War. How The Civil War Soldiers Marched No hardships were harder than the marching The roads were dusty in the summerand muddy in the winter; the soldiers were dressed in heavy wool, loaded own with fifty or sixty pounds of equipment, often without food for most of the day. It is no wonder that straggling was almost universal, or that thousands of men fell out of line and got lost. It is difficult to know whether the Confederate or the Federal soldiers suffered most from marching. More Confederates than Federals were country bred, and theretore more accustomed to cross-country hiking; on the other hand the Confederacy was low on shoes, and there are any number of stories of Southern soldiers marching barefoot, even in the winter months. How to cite Confedrates in the attic, Papers

Friday, December 6, 2019

Cultural issues free essay sample

Plays from African American, Latino-American, Asian American and European American cultures often deal with important and relevant issues pertinent to that culture but they also connect to all cultures in a universal way. Throughout history in America people of all races have been discriminated against. Immigrants have dealt with experiencing new ways of life and struggled with the tough decision of holding on to their culture or adapting to change. A Raisin in the Sun is a play about an African American family living in Chicago in the sixties. The Youngers are a family ade up of a mother, her daughter and her son with his wife and son. The home they are renting is a small two bedroom apartment, the bathroom is across the hall and they share it with the other tenants in the building. Chicago is still opposed to integration regardless of the laws. Violence against African American families was common when they would move into white neighborhoods. The play demonstrates issues with housing discrimination, but more importantly the reader watches an African American family pursue the American dream. Their dream is only to be reated as equals in a time when segregation and discrimination was still a big part of the culture in their city. Walter complains that he has nothing to leave for his son Travis. l have been married eleven years and I got a boy who sleeps in the living room and all I got to give him is stories about how rich white people live p. 34 In the play The Colored Museum readers a taken on a voyage with shackled slaves being transported to America. The setting seems to be an airplane and there is a Flight Attendant, Ms. Pat. The plane is actually revealed as the Celebrity Slaveship. Ms. Pat is not actually a Flight Attendant, she is a member of the slave ship crew that is taking the slaves to their destination. While she narrates the play she encourages all slaves to be like her. She is very upbeat and energetic; as if to mask the fact that they are all captive and have no chance of escaping without facing harm. She tells the slaves there will be no singing or playing drums, these actions will lead to rebellion. Rebellion will not be tolerated. She tells the slaves of their future and how they will work in scorching heat. She gives them hope by telling them that it will take civil right leaders to give them any hope of ever being treated equally to their fellow man. The play ends with an example of a stereotype when Ms. Pat displays all right, so your gonna have to suffer for a few hundred years, but from your pain will come a culture so complex. And with this item here (she removes a basketball from the overhead compartment) youll become millionaires! She reveals basketball to point out the stereotype that all black play basketball. African Americans werent the only ace to experience racism and cultural difficulties. Mexican Americans and Asians also experienced their own struggles. Most of those who migrated to America wanted to hold on to their cultural values and heritage. When their children who were born in the United States grew up, they grew up in an American community. They were exposed to American traditions and ways of life. Their parents felt that their children had lost touch with their roots. The parents tried to keep their cultural alive by keeping traditional homes, but their children were attracted to the society they lived n. The play Zoot Suit Riots is a good example of the struggles with racism and loss of young Latino males distinguished themselves with distinctive hairdos (duck tails) and apparel (drape shapes or zoot suits hats with wide brims, long coats with broad shoulders, peg-leg trousers with high waist bands and long dangling chains). The war had caused Los Angeles to swell with servicemen, most of the servicemen had no prior experience with Latinos and Latino culture. Because they were different from the servicemen their look was resented. Yet this was not what bored, restless oung white servicemen saw when rubbing shoulders with strutting, brown-skinned zoot suiters in downtown Los Angeles. The following evening, around two hundred sailors in cabs headed into East Los Angeles. Their goal was to beat up and strip the clothing off any young Latino male they could find. For the next several nights, the sailors were Joined by other military personnel from as far away as Las Vegas and local civilians. They took to the streets and invaded the barrio, bars and movie houses. Young Latino males were assaulted, humiliated and stripped of their lothing. Many of the young men were dressed in plain clothing. Although local police were present their orders were to not interfere. Shore patrol and military police would deal with military men. Los Angeles Mayor Fletcher Bowron down played the racial character of the incidents and blamed local Mexican youth gangs for inciting the riot. Mi Familia is a movie about a Mexican-American family in East Los Angeles. In the 1920s, Jose Sanchez Oacob Vargas) made his migration from Mexico to Los Angeles, California. In Los Angeles he met Mexican-born Maria Oennifer Lopez). They got married and began their families roots in America. The beginning of the movie takes place in the 1920s. The story begins with a storytelling and feeling of what life was like for early immigrants. The movie takes you on a long walk along a dusty landscape giving an experience of such hard lives. While Maria was pregnant with their third child she was picked up by immigration officials. Maria, a citizen of the United States was forced into a crowded livestock railcar. She was transported deep into Mexico along with other Mexican Americans and illegal aliens.

Friday, November 29, 2019

Revolutionary Art

Revolutionary art if a form of modern art through which artists express their personal convictions about certain issues in the society. The pieces of art might also depict political themes (Douglas, 1970). A true revolutionary artist does not care whether the needs of speculative dealers are met or not.Advertising We will write a custom essay sample on Revolutionary Art specifically for you for only $16.05 $11/page Learn More Revolutionary art should not be characterized by sycophancy that is aimed at making collectors like an artist’s work. When an artists is entirely motivated to meet the needs of dealers in their work then the revolutionary attributes in them ceases to exist (Party, 1969). Revolutionary art addresses the living issues of the society without any fear of contradiction. This paper will highlight the purpose of revolutionary art in the society and at the same time discuss how revolutionary art has affected art and artists in Americ a. Many people in the modern society are very reluctant to think about change and therefore revolutionary artsist and other types of revolutionists have a great assignment of ensuring that people’s minds are provoked to start thinking about change (Party, 1969). The society is always faced with inequalities and revolutionary art often seeks to change the status quo (Douglas, 1970). The true purpose of revolution is to fight any kind of injustice in the society through inspiring other people to fight against all evils and forms of injustice in the society. Revolutionary artists use specific themes in their works that actually reflect revolution or the works can help to bring out a new conscience among the people. Revolution art aims to eliminate political struggles and in the process generate political passions. Revolution art has actually changed life and brought liberation in many countries across the world with America being a perfect example. This form of art has completel y changed American art artists in a great way (Porter, 1986). Artists like John Trumbul were very instrumental in American Revolution by making portrait paintings that helped a great deal in helping America gain its independence fro Great Britain. This inspired other artists to explore revolutionary art by focusing on landscape and personal scenes. After the revolutionary war in the late 18th century, American artists stopped using British styles and invented their own unique American styles. All the colonial art styles and architecture were completely phased out in America to indicate revolution (Porter, 1986). These pieces of art helped spread the wave of change even to the most conservative of minds in the wake of independence. This new style of art that emerged after the American revolution helped in bringing a sense of national identity to American citizens and at the same time inspired a new American consciousness.Advertising Looking for essay on art? Let's see if we can help you! Get your first paper with 15% OFF Learn More In conclusion, revolutionary art has become very popular across the world because of the desire for total liberation. Since revolutionary art was invented, people’s perspective about art has completely changed. A piece of revolutionary art should reflect the true revolutionary conviction of the artist without bearing in mind the needs of dealers. Revolutionary art played a key role in bringing change and liberation in countries such as America and in the process becoming very popular. The fundamental role of revolutionary art is to inspire people to fight all forms of evil and injustice in the society. References Douglas, E. (1970). Revolutionary art: A tool for liberation. New York, NY: John Brown Party. Party, B. (1969). Revolutionary art: A tool for liberation. New York, NY: Black Panther Party. Porter, R. (1986). Revolution in history. New York, NY: Cambridge University Press. This essay on Revolutionary Art was written and submitted by user D00msdayMan to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Monday, November 25, 2019

Benefits from Drinking Milk Essays

Benefits from Drinking Milk Essays Benefits from Drinking Milk Essay Benefits from Drinking Milk Essay This slogan was part of an ad campaign started in 1993 up until February of this year to encourage more and more people to drink cows milk 2. For thousands of years, people have been drinking milk, and its become a sat pale in many of our diets and meals. A. For years weve poured milk into our cereal and poured glasses of milk to accompany our cookies and ores. B. Theres no denying the fact that drinking milk CAN be beneficial for your health , but recent studies have revealed that milk is not as great and healthy as this a d campaign has led people to believe. 3. Im not here to say that all dairy products should be eliminated. Milk, yogurt, a ND cheese can be very healthy when eaten in moderation, but Im here today to t ell you why you may want to cut milk from your diet if you havent already. Body 1. Milk IS nutritious and can be healthy when drunk in moderation. A. A glass of milk contains calcium, protein, Vitamin A, Vitamin D, and many the r nutrients. One of the problems is that a glass of milk also contains pus cells, feces, and n acidic animal protein that increases calcium loss from our bones, but more on that later. Milk also contains bioengineering hormones, antibiotics, and pesticides, all of which are bad for not only us but also the environment. 2. Im sure that some of you here have probably been advised as a child to drink plenty of milk to build strong bones, and to prevent osteoporosis, which is a disease that causes bones to become weak and brittle, in the future. A. A glass of milk has 300 MGM of calcium, which means that its ideal for preventing osteoporosis, right? B. Well according to the Harvard School of Public Health, the answer is no. . Amy Llano PhD, who is the nutrition director for the Physicians Committee f or Responsible Medicine states that the countries with the highest rates of osteoporosis are the ones where people drink the most milk and have the MO SST calcium in their diets. D. The 1 2 year long Harvard Nurses Health Study discovered that those who consumed the most calcium from dairy foods broke more bones than those who rarely drank milk. . According to the American Journal of Epidemiology, consumption of dairy products was associated with an increased risk of hip fracture at an old age. The irony is that the animal protein in milk causes our bodies pH levels to become more acidic, which means that when we ingest milk, calcium is drawn out from our bones to neutralize the effects of this animal protein, and this in turn depl etes the calcium in our bones. In short, the calcium that our bones need to stay strong and healthy is used to cancel out the acidifying effects of milk. 1. Once it leaves the bones, it exits the body through urine, and the net result is a calcium deficit. 3. Research has also shown that milk increases the risk of cancer in men. A. A Harvard study has discovered that men who drank two or more glasses of ilk a day were almost twice as likely to develop prostate cancer as opposed t o those who did not drink milk at all. 4. Cows milk is the perfect drink. If you were a calf. A. Cows milk is perfectly suited for a calf and is capable of turning a pound calf into a pounded cow in just one year. Humans are the only creatures on earth who drink milk past infancy, and the only ones who drink the milk off different creature. i. The truth is that humans arent meant to drink cows milk. 1. 65% of the worlds population is lactose intolerant, and 90% Of East Asian people are lactose intolerant. Milk is generally unhealthy in and of itself . In 2010, research in the Journal of the American Academy of Dermatology has found that there is an association between dairy consumption and acne, and some dermatologists advise their patients to limit their dairy intake 2. Milk is referred to as liquid red meat due to the fact that its very high in saturated fat, which is associated with increased rates of heart attacks. 3. Cow milk has three times more protein than human milk, which creates disturbances in our metabolisms. A. These disturbances have detrimental consequences to the health of our bones. There are many better, healthier ways to obtain the nutrients that milk offers without the downsides. 1. Milk substitutes include almond, soy, rice, coconut and hemp milks, which can be obtained at most supermarkets. . Yogurt is healthy to eat and is much healthier than milk and you wont have to deal with any of these adverse consequences. 3. You can get plenty of calcium and nutrients from vegetables and nuts, and you wont get the gastrointestinal problems that come with drinking too much milk. Conclusion 1. All in all, while milk does have its benefits, the disadvantages outweigh the advantages. Adjust does not make any sense to continue drinking milk when there are man other healthier alternatives.

Thursday, November 21, 2019

Comparing Coca-Cola Enterprise and Pepsi Co. Financial Management Research Paper

Comparing Coca-Cola Enterprise and Pepsi Co. Financial Management - Research Paper Example They are equally important for all, Management, Owners and prospective Investors. The first thing that attracts investors to a Company is its profitability and what the investors will get in return of their investment, as profit whether distributed or not is Profitability measures are important to company managers and owners alike. If an entity has to attract investors , the owners have to show some attractive profits to lure them into investing and for that the profitability ratios are the key. Company’s overall efficiency and performance is shown by the profitability ratios and one can easily compare financial information available for two or three companies to ensure the worth of each after making and investment. Financial Ratios used to determine the satisfaction of a Company’s Stockholders: The Return on Equity is an important ratio as it calculates the company’s earnings performance and tells the shareholders how much are they getting on every $1 of their investment (as capital) made in the company. This ratio explains the shareholders how effectively their money is being employed and getting the profits for the company each period. Shareholders, on comparing the ratios with similar companies or industry as a whole, can get the satisfaction or dissatisfaction that their monies are utilized properly and getting the desired results or not. However, it should be kept in mind while making the comparisons that there are variations in this ratio among some types of businesses. The Dividend Payout Ratio, as the shareholders are always looking for the return, not in form of figures in the financial statements but also in their hands as ready cash. This ratio indicates the dividend a company pays to its common shareholders on every $1 net profit it earns. That is how muc h of the profit is distributed by the company to its shareholders as return and how much is retained. And no matter how forward looking the shareholders are they are always looking for some materialistic return and dividend is one of those things that satisfy the shareholders the most. Guidelines to invest in one of those companies: The debt ratio gives an idea how much the Company is indebted as compared to the assets it held. That is the amount of total liability per $1 of its total assets. The more the debts are the more riskier is the company and its operations to invest in as its shows that the company is not able to pay its debts from the assets it holds if all the amount is called currently. Further it also indicates that in case of liquidation the shareholders equity would be utilized and the owners share in the assets will be reduced or nullified. Comparing Coca-Cola Enterprise and Pepsi Co, in this regard Coca-Cola Enterprise is less risky because of its 0.946 debt ratio a s compared to Pepsi Co’s 0.562. The Current Ratio highlights the liquidity of the company, higher the current ratio means more liquid the company is and that the company’

Wednesday, November 20, 2019

Nucleic acid hybridisation and Nucleic acid probes Essay

Nucleic acid hybridisation and Nucleic acid probes - Essay Example For instance, if a DNA strand with a desired nucleotide sequence is to be detected from a mixture of many other strands, an oligonucleotide containing a few complementary bases to the desired sequence can be prepared and attached to an anchor such as a membrane or a paper. When soaked in a solution having a mixture of many strands, the one, which is complementary to the oligonucleotide, will bind to it through complementary base pairing, also known as â€Å"zippering† (Lodish et al, 2004, p. 11). When double stranded DNA is heated in a dilute salt solution, its two strands separate because of the breakdown of complementary base pairing (melting). This strand separation is called denaturation. The temperature at which the two complementary strands separate is called the melting temperature ‘Tm’, and is affected by the percentage of G.C base pairs, ion concentration of the solution, presence of destabilising compounds like urea, and the pH of the solution (Lodish et al, 2004, p. 105). A particular fragment of DNA or RNA whose nucleotide sequence is complementary to a gene or nucleotide of interest is called a nucleic acid probe. A nucleic acid probe has to be designed in such a way that it hybridises through complementary base pairing to the target DNA or RNA that has to be detected. It should be long enough (about 20 nucleotide long) to pair exclusively to the target nucleotide sequence. Probes are labeled with radioactive tracers, histochemical compounds or fluorescent dyes to enable their detection from a heterogeneous mixture of nucleic acids (Nussbaum et al, 2004, p.41). For instance, 32P labeled probes are developed using polynucleotide kinase that transfers a

Monday, November 18, 2019

Amazon's Kindle Fire Aspects of Consumer Behavior Research Paper

Amazon's Kindle Fire Aspects of Consumer Behavior - Research Paper Example In this paper, we shall elaborate on these aspects and how they affect the marketing of Amazon’s Kindle products. The very first aspect that those marketing the Kindle product should consider is the fact that the product should be built or created to be more efficient than those of rival companies. This is essential for the marketing of the product because consumers tend to consider efficiency when buying a product. Consumers may prefer to go buy a product which is fast and wastes less time when they are using it even if the product is more expensive than similar products from other companies. The company should work on improving the speed of products if it intends to attract more consumers by promoting the efficiency of its products. Another aspect of marketing which should consider consumer behavior is the frequent changing of how the product is packaged. Consumers tend to believe that the products with a look that is new and different from the previous one is better. Amazon should therefore ensure that the look of its Kindle products is changed frequently to ensure that consumers are kept interested in them. New tools should be incorporated into the new forms of the product to make its use easier and this can be made a basis upon which the product is promoted (Poole, 2011). Consumers tend to prefer portable products which they can use anywhere at their own convenience. The Kindle products should be made more portable than they already are so that its marketers can use it as a strategy for marketing the product. Consumers are more likely to want to buy a portable product because of the ability to use them in any situation. They can read an eBook anywhere at any time and this can be used as a marketing strategy when promoting this product. The best marketing strategy which considers consumer behavior is the promotion of the product as being cheaper than those of rival products. The company should ensure that the prices of its products are lower than

Saturday, November 16, 2019

Accuracy of Rectal Water Contrast Transvaginal Ultrasound

Accuracy of Rectal Water Contrast Transvaginal Ultrasound Abstract Objectives:  To compare the accuracy of rectal water contrast transvaginal ultrasound (RWC-TVS) and double-contrast barium enema (DCBE) in assessing the presence and extent of bowel endometriosis. Methods:  This prospective study included 198 patients of reproductive age with suspicion of bowel endometriosis. RWC-TVS and DCBE were performed before operative laparoscopy by two groups of physicians specialized in endometriosis, each blinded to the results of the other groups. Findings of RWC-TVS and DCBE were compared with histological results. The severity of pain experienced during RWC-TVS and DCBE was measured by a 10 cm visual analog scale. Results:  In total, 110 of the 198 women had bowel endometriosis nodules confirmed at laparoscopy and histopathology patients. For the diagnosis of bowel endometriosis DCBE and RWC-TVS had a sensitivity of 96.4% and 88.2%, specificity of 100% and 97.3%, positive predictive value of 100% and 98.0%, negative predictive value of 98.0% and 88.0% and accuracy of 98.0% and 92.4% respectively. DCBE was associated with more intense pain than was RWC-TVS. Conclusions: RWC-TVS and DCBE have similar accuracy in the diagnosis of bowel endometriosis, but patients tolerate RWC-TVS better than they do DCBE. Keywords: double-contrast barium enema; rectal water contrast transvaginal ultrasound; bowel endometriosis; diagnosis Introduction Bowel endometriosis affects between 4-37% of patients with endometriosis1. Intestinal endometriosis lesions may have variable size2. Small endometriosis nodules located on the serosal surface of the bowel rarely cause symptoms and, therefore, do not require treatment2. Larger endometriosis nodules infiltrate the bowel wall and may cause various gastrointestinal complaints such as dyschezia, diarrhea, constipation, abdominal bloating and intestinal cramping1, 3. These symptoms may mimic irritable bowel syndrome. Symptoms caused by bowel endometriosis are nonspecific, often resulting in misdiagnosis or delay in diagnosis4. Physical examination may suggest the presence of rectovaginal endometriosis; however, it has poor accuracy in diagnosing rectosigmoid nodules5, 6. Until recently, the ultrasonic diagnosis of endometriosis was limited to patients with ovarian endometriomas and other imaging techniques were used for the assessment of bowel endometriosis including rectal endoscopic ultrasound, transvaginal ultrasound (TVS), double-contrast barium enema (DCBE), magnetic resonance imaging (MRI), multidetector computerized tomography enema (MDCT-e) and virtual colonoscopy7-10. TVS is a reliable non-invasive method to assess the presence and the extent of bowel endometriosis11. Injecting saline through a catheter into the rectum during TVS (rectal-water contrast TVS, RWC-TVS) may facilitate the identification of rectosigmoid nodules, the assessment of the depth of infiltration of endometriosis in the intestinal wall and estimation of the degree of stenosis of the bowel lumen. However, no previous study compared the accuracy of DCBE and RWC-TVS in the diagnosis of rectosigmoid endometriosis4, 12, 13. A preoperative diagnosis of the presence and extent of bowel endometriosis is necessary to determine whether surgery is required and to plan the surgical procedure with the colorectal surgeon14. Knowing before surgery the size and number of intestinal endometriosis nodules, the depth of infiltration of the nodules in the intestinal wall and the degree of stenosis of the bowel lumen allows determining whether surgery is required and may allow the surgeons to choose between nodulectomy and bowel segmental resection15, 16. In addition, determining before surgery the extent of bowel endometriosis allows the surgeon to inform the patient about the potential benefits and complications of the surgical procedure that will be performed. In fact, postoperative complications and evolution of digestive symptoms after surgery may differ between patients undergoing nodulectomy and those undergoing segmental resection, with a higher incidence of bladder-voiding dysfunction and postoperative constipation in patients undergoing the latter procedure. In this study, we compared the accuracy of DCBE and RWC-TVS in assessing the presence and extent of bowel endometriosis. Methods Study population This prospective study was performed between May 2012 and Aug 2016. Participants were recruited among patients of reproductive age scheduled for laparoscopy with strong suspicion of intestinal endometriosis based on symptoms and clinical examination. During this period, the imaging workup required that both DCBE and RWC-TVS were performed in patients with suspicion of bowel endometriosis. Institutional review board approval was obtained before initiating the study. Patients participating in the study signed a written consent form. Inclusion criteria for the study were: reproductive age and suspicion of deep pelvic endometriosis; presence of gastrointestinal symptoms that might be caused by bowel endometriosis; and desire to undergo complete surgical excision of the endometriosis. Patients were excluded from the study if they had previous bilateral ovariectomy; previous barium radiological examination or radiological diagnosis of bowel endometriosis; previous colorectal surgery; previ ous episodes suggestive of intolerance to iodinated contrast medium; renal or hepatic failure; refusal to undergo DCBE and psychiatric disorders. Symptoms were systematically investigated during the study period and they were recorded in a database. The presence of dysmenorrheal, deep dyspareunia, non-menstrual pelvic pain and dyschezia was investigated and the intensity of their symptoms was assessed in all patients on a 10 cm visual analog scale (VAS), on which the left extremity represented absence of pain and the right extremity indicated maximum intensity of pain. The presence of the following gastrointestinal symptoms was assessed: diarrhea-predominant irritable bowel syndrome; constipation-predominant irritable bowel syndrome; passage of mucus in the stools; rectal bleeding; intestinal cramping; and abdominal bloating. A symptom analogue scale questionnaire was used to estimate the severity of each gastrointestinal symptom. DCBE and RWC-TVS results were compared with surgical and pathologic findings. The radiologists performing DCBE and the gynecologists performing TVS were each blinded to the others results. They were blinded to the clinical data and knew only that the presence of intestinal endometriosis was suspected. All patients underwent laparoscopy within 1 month from the completion of the diagnostic investigations. Intestinal endometriosis was defined as the disease infiltrating at least the muscularis propria. Endometriosis foci located on the bowel serosa were considered peritoneal and not bowel endometriosis. The present study determined the accuracy of DCBE and RWC-TVS in assessing the presence of bowel endometriosis, estimating the size and the number of bowel endometriosis nodules and determining the presence of peritoneal endometriosis infiltrating only the intestinal serosa. Rectal water contrast transvaginal ultrasound technique Two physicians performed all the examinations according to a standardized procedure. RWC-TVS was performed by using a Voluson E6 machine connected to a transvaginal transducer. After the transducer had been introduced into the vagina, an assistant inserted a 6-mm flexible catheter through the anus into the rectal lumen up to a 15 cm distance from the anus. A gel infused with lidocaine was used to facilitate passage of the catheter. A 50 mL syringe was connected to the catheter and warm sterile saline solution was injected inside the rectum and the sigmoid under ultrasonic control. The amount of saline solution needed to show the rectosigmoid ranged between 100 and 350 mL, depending on the distensibility of the intestinal wall. One hundred milliliters of saline solution were continuously and slowly infused at the beginning of the procedure; the rest of the solution was infused when requested by the ultrasound. During ultrasound, when saline solution was not being infused, backflow through the catheter was prevented by placing a Klemmer forceps on the catheter. There w as no significant leakage of saline solution into the space between the catheter and the anus. Images were obtained before, during and after saline injection. Bowel endometriosis appears ultrasonographically as a nodular, solid, hypoechoic lesion, adjacent to and/or penetrating the intestinal wall. Hyperechoic foci may sometimes be present within the lesion. Intestinal distension allows defining the limits of the intestinal nodules and in particular the various layers of the rectal wall in order to estimate the depth of infiltration. The intestinal serosa is hyperechoic; the two layers of the muscularis propria appear as hypoechoic strips separated by a fine hyperechoic line; the submucosa is hyperechoic; the muscularis mucosa is hypoechoic and the interface between the lumen and the mucosal layer is hyperechoic. Rectal endometriosis infiltration is demonstrated by the fact that the hypoechoic nodule penetrates the intestinal wall and, in general, it thickens the muscularis mucosa. Two different ultrasonic signs are commonly used to describe this condition. Double-contrast barium enema All DCBE procedures were carried out using a motorized tilting table for fluoroscopic and radiological examination. In preparation, patients maintained a low-residue diet for 1 day prior to the examination in order to keep the enteric content fluid. The examination was performed after intramuscular administration of 20 mg (1 ampoule) Scopolamine in order to induce colonic hypotonia. The presence of bowel endometriosis was diagnosed on DCBE when the bowel lumen was narrowed at any level from the sigmoid to the anus in association with crenulation of the mucosa and/or speculation of contour. Tolerability of the examinations Immediately after each examination patients were asked to rate the discomfort encountered during DCBE and RWC-TVS by means of a 10 cm visual analogue scale (VAS), mild pain was defined as a VAS score of 5. Surgery and histological evaluation The surgeons examined the reports and the images of DCBE and RWC-TVS prior to laparoscopy. Although the diagnosis of recto-sigmoid endometriosis and its treatment were based on laparoscopic findings. All surgical procedures were performed laparoscope by a team of gynecological and colorectal surgeons with extensive experience in the treatment of pelvic and bowel endometriosis. In all cases, after adequate adhesiolysis, the sigmoid colon and rectum were systematically examined to verify the presence of endometriosis lesions. Bowel endometriosis lesions were removed by intestinal resection in cases of a single lesion >3 cm in diameter, a single lesion infiltrating at least 50% of the circumference of the intestinal wall or three or more lesions infiltrating the muscular layer. In all other cases of bowel endometriosis partial- or full-thickness disk resection was performed. Intestinal lesions infiltrating only the serosal layer of the bowel wall were excised by shaving. All visible les ions suspected to be endometriosis were excised and sent for histological examination in agreement with our clinical protocol. The surgical specimens were evaluated by histological; the depth of infiltration of the endometriosis nodules in the bowel wall was assessed. In cases of nodulectomy the specimens were macroscopically oriented along the intestinal wall (from the serosa towards the mucosa) and cut into macro sections of 2 mm thickness. From each macrosection tissue blocks of 1.5 cm length were obtained in variable numbers according to the size of the lesion, and from each tissue block a 5  µm section was obtained for microscopically evaluation. In cases of bowel resection the specimen was opened longitudinally through its entire length and 2mm longitudinal bands of bowel wall, reaching the two resection margins and passing through all macroscopically visible lesions, were cut. These bands were sampled in tissue blocks and 5  µm sections were obtained for microscopic evaluation. Statistical analysis Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated for both DCBE and RWC-TVS. The diagnostic value of each test was also assessed using positive likelihood ratio (LR+) and negative likelihood ratio (LR-). Efficacy parameters were calculated with 95% confidence intervals (CIs). McNemars test with the Yates continuity correction was used to compare the accuracy of DCBE and RWC-TVS in the diagnosis of intestinal endometriosis. McNemars test was used to compare the number of patients in which the number of rectosigmoid nodules was correctly identified by DCBE and RWC-TVS. The accuracy of the measurement of nodule size by imaging techniques was estimated by subtracting the size of the nodule as measured by the techniques from the size of the nodules measured at histology. The nonparametric Mann-Whitney test was used to compare the intensity of pain experienced by patients during DCBE and RWC-TVS, the chi-square test was used to co mpare the type of pain (mild, moderate or severe) and Spearmans rank correlation coefficient was used to determine whether there was a correlation between the intensity of pain experienced by patients during the two techniques. Data were analyzed using the SPSS software. p Results Study population A total of 198 patients were enrolled in the study and all underwent surgery were included in this study (Figure 1). The main demographic characteristics of the study are demonstrated in Table 1. The intensity of pain and gastrointestinal symptoms are presented in Table 2. Surgery and histology demonstrated that 110 patients (55.6%) had bowel endometriosis nodules. The endometriosis lesions infiltrating the intestinal serosa in 28 patients. The remaining 82 patients had only pelvic endometriosis with no evidence of intestinal lesions. The largest intestinal endometriosis nodule was found locate on the sigmoid colon in 53 patients, on the rectum in 30 patients, at the rectosigmoid junction in 20 patients, on the ileum in 5 patients and on the caecum in 2 patients. The endometriosis lesions infiltrating only the intestinal serosa were located on the sigmoid colon in 15 cases, on the rectum in 5cases and at the rectosigmoid junction in 3 cases. The mean ( ±SD) length of the resected bowel segment was 12.2  ± 3.6 cm. The diagnosis of endometriosis was confirmed in all the excised nodules by histological exam. Furthermore, it demonstrated that the deepest endometriosis nodule infiltrated the muscularis propria in 62 patients (56.4 %), the submucosa in 3 1 patients (28.2%) and the mucosa in 17 patients (15.5%). Accuracy of RWC-TVS and DCBE in the diagnosis of bowel endometriosis The accuracy, sensitivity, specificity, PPV, NPV, LR+ and LR- of DCBE and RWC-TVS in the diagnosis of bowel endometriosis are described in Table 3. DCBE identified 106 of 110 patients with bowel endometriosis (96.4%). In 4 patients endometriosis nodules infiltrating the muscularis propria of the rectum were not identified, which were excised by partial-thickness nodulectomy. RWC-TVS identified 97 of 110 patients with intestinal endometriosis (88.2%). RWC-TVS did not identify 4 ileal lesions, 2 cecal lesions, 4 sigmoid nodules and 3 rectal nodules infiltrating the muscularis propria. Furthermore, we identified 4 of these patients had large bilateral endometriosis ovarian cysts, which may have hampered the identification of intestinal nodules. There was 2 false positive on RWC-TVS-a rectovaginal endometriosis nodule that was judged to infiltrate the muscularis of the rectum. Surgery confirmed the presence of the rectovaginal nodule but did not reveal infiltration of the rectal muscularis. The sensitivity, specificity, PPV, NPV, LR+, LR- and accuracy of the two techniques in the diagnosis of intestinal endometriosis were shown in Table 3. McNemars test showed that there was no significant difference in the accuracy of the two techniques in the diagnosis of bowel endometriosis (P=0.109). Histology examination demonstrated that endometriosis infiltrated the submucosa or mucosa of the rectosigmoid colon in 53 patients. DCBE correctly identified the depth of infiltration in 27 of these patients (50.9%), while RWC-TVS correctly identified the depth of infiltration in 20 of them (37.7%) (P=0.126). All the other nodules that were seen to infiltrate the submucosa or mucosa at histology were judged to reach only the muscularis at DCBE and RWC-TVS. Both techniques had no cases of false-positive diagnosis of submucosal or mucosal infiltration. Both DCBE and RWC-TVS underestimated the size of the endometriosis nodules; however, the underestimation was greater for RWC-TVS than for DCBE (Table 4). In addition, in both imaging techniques the underestimation was greater for nodules with diameter≠¥30 mm. Tolerability of DCBE and RWC-TVS DCBE was safely performed in all the patients. During both the examinations all patients tolerated intestinal distension and in no patient was it necessary to interrupt the procedure. However, the intensity of pain experienced during DCBE was significantly higher than the intensity of pain experienced during RWC-TVS (Table 5). A positive correlation was observed between the intensity of pain experienced by the patients during the two examinations (Spearman correlation coefficient=0.575; p Discussion To the best of our knowledge, this is the first study demonstrated that DCBE and RWC-TVS have similar accuracy in the diagnosis of bowel endometriosis. Both RWC-TVS and DCBE underestimated the size of bowel endometriosis nodules, but under estimation was greater for RWC-TVS than for DCBE, particularly when the nodules had largest diameter ≠¥ 30 mm (Table 4). The choice of the ultrasonic technique is often based on the experience of the ultrasonographers rather than on evidence of superiority of one technique compared to the others. In fact, TVS must be performed by highly skilled, it has been recently estimated that the learning curve for an accurate diagnosis of deep pelvic endometriosis by TVS requires performing about 40 cases17. Therefore, it may be difficult to achieve such experience for ultrasonographers working in small hospital. The main advantage of DCBE could be that, with a retrograde distension of the entire colon, this technique may provide a complete overview of t he whole colon18. In the current study, the distension was targeted to the rectosigmoid because the aim of the study was the comparison with RWC-TVS and endometriosis lesions of the right colon are beyond the field of view of a transvaginal approach. Furthermore, we did not compare the accuracy of RWC-TVS with TVS alone, which was the objective of a previous study. RWC-TVS was chosen for the comparison with DCBE because of the personal experience of the authors and of the common criterion of bowel distension with fluid. The usefulness of this technique was subsequently confirmed by the same authors in larger series. Furthermore, other authors confirmed that intestinal distension and opacification using ultrasound gel helps to visualize rectosigmoid endometriosis nodules19, 20. Previous studies have suggested that TVS could reliably diagnose rectosigmoid endometriosis. The sensitivity of TVS for detecting rectosigmoid endometriosis is between 91 and 98%, the specificity between 97 and 100%, the PPV between 97 and 100% and the NPV between 87 and 98%21-24. Recently, RWC-TVS has been developed to facilitate identification of intestinal lesions in patients with rectovaginal endometriosis and to determine the depth of infiltration of endometriosis in the intestinal wall25. TVS has been extensively used in patients with bowel endometriosis; while only little data is available on the use of DCBE in these patients. This study demonstrated that DCBE and RWC-TVS have similar accuracy in the diagnosis of bowel endometriosis. Both techniques precisely estimated the length of the rectosigmoid nodules, but DCBE was more precise than RWC-TVS in assessing the distance between the endometriosis nodule and the anal verge9. Obviously, the extensive experience of the radiologi st and the gynecologist in DCBE and RWCTVS, respectively, may have influenced the accuracy of these techniques in diagnosing bowel endometriosis24, 26. The findings may be explained by the fact that when performing imaging techniques, particularly RWC-TVS, it might be difficult to choose the plane in which the irregular endometriosis nodule has the largest diameter. However, the difference between the estimated size of the nodule and the largest diameter as measured on histopathology was quite small and, in most cases, it seems unlikely that this difference would affect the choice of nodulectomy or bowel resection as treatment27. Importantly, patients tolerated RWC-TVS better than they did DCBE. These findings are in line with those of previous studies demonstrating the accuracy of TVS in the diagnosis of bowel endometriosis and comparing TVS with other techniques such as MRI and rectal endoscopic ultrasound11, 28-30. The potential benefits of introducing aqueous contrast medium into the rectum during TVS have been questioned. TVS is an operator-dependent procedure and it is possible that the differences observed in the accuracy of this technique are determined by the experience of the ultrasonographer carrying out the procedure31. However, adding intestinal aqueous contrast to TVS may facilitate the identification of rectosigmoid lesions. Other techniques have been proposed for improving the accuracy of TVS in the detection of deep endometriosis, such as sonovaginography or the use of large quantities of ultrasound transmission gel (12 mL) in the probe cover32. Up to now, no study has established whether any one of these ultrasonic techniques is superior to the others in the diagnosis of deep endometriosis. TVS should be considered the first-line investigation in patients with deep endometriosis, and allows the diagnosis of intestinal lesions24. Other investigations such as RWC-TVS, MDCT-e, MRI, rectal endoscopic ultrasound and DCBE may be used to determine the characteristics of intestinal endometriosis, such as the size and number of nodules, the depth of infiltration of the nodules in the intestinal wall and the degree of stenosis of the bowel lumen33-35. RWC-TVS has several advantages over the other techniques. It is less expensive than MDCT-e and MRI and the equipment required to perform the procedure is commonly available to gynecologists, who are usually involved in the management of patients with endometriosis. A recent study has shown that RWC-TVS allows estimation of the degree of stenosis of the intestinal lumen caused by endometriosis36. Unfortunately, this parameter was not examined in the current study- the major limitation of our investigation. Theoretically, RWC-TVS may also allow determination of the extent of the disease along the longitudinal intestinal axis. Obviously, RWC-TVS cannot determine the presence of intestinal nodules located proximally to the sigmoid because these lesions are beyond the field of TVS. This study had several limitations. First, the experience of the ultrasonographer in RWC-TVS may influence the accuracy of these techniques in diagnosing bowel endometriosis. Second, the surgeons were aware of the findings of DCBE and RWC-TVS. Although in an ideal prospective study the surgeons should be blinded to the findings of the preoperative investigations, this theoretical study design appears unethical in clinical practice because diagnostic imaging may facilitate the identification of intestinal endometriosis nodules during surgery. Furthermore, the knowledge of the findings of the preoperative investigations may only help the surgeons in identifying endometriosis nodules that were actually present. Third, RWC-TVS and DCBE did not estimate the percentage of the circumference of the intestinal wall infiltrated by endometriosis, a criterion used to choose between nodulectomy and bowel resection. Therefore, patients scheduled for nodulectomy on the basis of DCBE and RWC-TVS fin dings should be informed that bowel resection might be required for the complete excision of intestinal endometriosis. Future studies should examine whether DCBE and RWC-TVS can reliably estimate what percentage of intestinal circumference is infiltrated by endometriosis. DCBE may still have a role in the diagnostic workup of patients with suspected bowel endometriosis. When TVS or RWC-TVS demonstrates large intestinal nodules infiltrating the bowel muscularis, bowel resection can probably be performed without further investigation unless the surgeon wants to exclude intestinal lesions located proximally to the sigmoid. In contrast, when ultrasound demonstrates a single bowel nodule that may be excised by nodulectomy, DCBE should be used to exclude the presence of other intestinal nodules and, thus, to adequately plan the surgical procedure with the colorectal surgeon and the patient. Conclusions This study showed that RWC-TVS is a reliable technique for determining the presence and extent of bowel endometriosis and that it has an accuracy similar to that of DCBE. However, RWC-TVS may sometimes underestimate the presence of multiple bowel nodules and can be performed easily in an ambulatory setting and it is better tolerated by patients. It may be hypothesized to combine TVS and DCBE to achieve a complete preoperative assessment of the bowel in order to offer to the patients an adequate counseling and the most appropriate one-step surgical treatment.

Wednesday, November 13, 2019

Essay --

In Africa there have been many wars and problems with poverty as well as famine that lead to war. One specific war was the civil war in Congo also known as The Great War of Africa. The war in Congo lasted from August 1998 to July 2003 and left thousands of people dead or injured. The war started because of issues in the DRC which stands for the Democratic Republic of Congo. The war was a long and terrifying war that ended when the transitional government of Democratic Republic of Congo took power. Africas unfriendliness has continued with the Lords Resistance Army Insurgencies and The Kivu as well as Ituri conflicts. The civil war in congo has made a huge impact on the people of africa and how they live today. The Kivu conflict was an armed conflict against the FARDC ,which stands for The Military of the Democratic Republic of the Congo, and the Hutu power group Democratic forces for the liberation of Rwanda in 2004. The main group against the FARDC was the rebel tutsi forces under the command of Laurant Nkunda. As a result of this conflict the CNDP, which stand for the National Congress Defence of the People, divided R0wandan Hutu power in 2009. The Ituri was a conflict between the Agriculturalist Lendu and Pastoralist Hema ethnic groups of the Ituri region which is in the northeastern region of the DRC. This started as early as 1972 and the most recent conflict was in 1999 to 2003 but has had small amounts of conflict until 2007. The lendu ethnicity was represented by the FNI which stands for Nationalist and integrationist Front. The hema ethnicity was represented by the UPC which stands for the Union of Congolese Patriots. there was a lot of violence like large massacres that both ethn icity did. The BBC found out that from 199... ... to blend into the forest and wait for them to attack; the nature of the army even further undermines the military operations. There are many attempted solutions that the security council of UN tried, but did not completely succeed in stopping the war. In the future there will not be as much fighting. There will be less conflict and more peace with the government and the FDLR. Hopefully in the future the people of Africa will not live in poverty as well as famine and have more money than what they have now. They could have enough money to survive longer and to buy medicine as well as food. In africa there should be more laws passed to for gun control and the government should try to get bigger and stronger to stop the FDLR. The UN should try to do more to stop the war in Africa. there are many solutions that that were tried but failed in stopping the war in Africa.

Monday, November 11, 2019

Music and Crime

Music and crime are two very distinctly different but related things. Music has effects other than providing pleasure to listeners. On one hand, music may affect emotions in such a way that it may trigger a person to justify a criminal act. On the other hand, it can also help suppress a potential criminal’s emotions, which may possibly prevent crime from happening. For most people, classical music is that which usually has a positive effect. It may calm the violent instinct that is deep within a person, especially those who have no other means to release these instincts.   Thus, classical music may have a negative effect on crime. Music and crime can be correlated through an individual’s mood. The mood that music inherently suggests is usually reflected in one's thoughts. To clarify, crime may be usually driven by a person's mentality, while music can influence one's thinking.   In some forms of music, there are seemingly subliminal messages that may cause a variety of effects for different personalities. The subliminal messages that could influence a person can be a contributing factor in crimes (Cooper). However, other forms of music, like classical music, are popularly believed to have positive effect that can prevent potential criminals from committing crimes. For instance, some studies also show that classical music has the effect of keeping the violent instinct down.   This can be attributed to the kind of slow, meditative and soothing quality that classical music has in trying to deal with certain elements, such as brute force and violence. It can bring back gentle and tender memories of a person, which would most likely result in bringing out the gentle emotions that a person might have hidden deep inside of him (Partenheimer).This can have the unexpected effect of eliminating the kind of violent instinct that leads to crime.   For instance, in West Palm Beach, Florida, authorities found that playing classical music in the streets have lessened the criminal incidents in the said street (USA Today). Everyone is subjected to music with embedded messages.   There are kinds of music that seems harmless and innocent that may actually influence one to commit crimes if it has an embedded negative message.   This occurs because people have different levels of comprehension; these negative messages may unconsciously encourage them to commit crimes. If a person was exposed to music with a positive message, like that of classical music, the person that might have been previously inclined to commit crimes will be persuaded to gently stop committing crimes.   Moreover, a person's mood can also be influenced by music.   Basically, it works in the same way subliminal messages do. However, it only targets more of the emotional side of a person (Wilson). People who might have been in the mood for violent acts or criminally prosecutable actions will be very reluctant to engage in these kinds of acts if there is a big emotional weight pressing their feelings. This is the power that classical music has; it is capable of influencing the kind of mood that a person has. Classical music may help encourage resistance for criminal thoughts that will prove to be beneficial to one's psychological state. Classical music has the kind of ephemeral quality that the human mind cannot possibly comprehend in all its subtleties.   For this reason, the mind cannot actively stop the kind of influence that music exerts. The human mind unconsciously follows the lead made by the kind of music it is exposed to since the sounds are not hindered by simple syntax of human language. The kind of wordless but emotionally tangible quality that is inherent in classical music takes it straight to the inner workings of the human emotion. There is nothing but the defenseless inner self or ego that bears to receive the kind of message that the music has.   Since classical music transcends the usual human emotional barriers through its capability to affect emotions, the person's thoughts and mood is usually affected as well.   In turn, it also strongly influences the actions of the person. Classical music is powerful because it targets the basic emotions that can influence a person’s intention to commit crimes. In addition, classical music can influence a person in a relatively peaceful or positive way.   Even if there are various reasons behind criminal or deviant acts coming in many forms, all of them are at least connected to some emotions as part of the underlying reasons hidden deep in the part of the human psyche. Classical music, which has an unfathomable effect on the human psyche, can highly influence a person’s decision to commit a crime. In conclusion, classical music is conducive to positive emotions; therefore, it has a negative effect on crime because it triggers a positive effect on one's emotions and thinking.   The effect of such musical forms and the mood it represents has the capacity to diminish a person's violent instinct, as well as to keep criminal thought at bay.   In this way, classical music can be instrumental in preventing crimes. Works Cited â€Å"Classical Music on West Palm Corner Deters Crime.†Ã‚   USA Today. 8 July 2001. The Associated Press. 22 March 2008   Cooper, Candy. â€Å"Subliminal Messages, Heavy Metal Music and Teen-age Suicide.† San Francisco Examiner. 29 September 1989. 5 March 2008 â€Å"What are subliminal effects?† World of Mouth Experiment. 2007. 5 March 2008 Wilson, Stephanie. â€Å"The effects of Music on Perceived Atmosphere and Purchase Notions in Restaurant.†(Abstract). Psychology of Music 31.1 (2003): 93-112. 5 March 2008 Partenheimer, David. â€Å"Violent Music Lyrics Increase Agreesive Thoughts and Feelings, According to New Study.† APA. 2003. 5 March 2008 â€Å"Classical Music on West Palm Corner Deters Crime.†Ã‚   USA Today. 8 July 2001. The Associated Press. 22 March 2008 < http://www.usatoday.com/news/nation/2001/07/08/music.htm>      

Friday, November 8, 2019

Pharoah Tutanchamen essays

Pharoah Tutanchamen essays Tutanchamen name means living image of AMEN. Tutanchamen birth name was Tutankhaten. He was the son of Pharaoh Amenophis IV and his Queen, Kiya. He married his half sister Ankheseenamun, the daughter of Amenophis IV and Queen Neferrtiti. He became king when he was 9 years old (around 1333BC). Imagine ruling an entire country when you are only nine! King Tut ruled Egypt, which is located in the northeast corner of Africa along the banks of the Nile. Tutankhamen became king after the death on Ikhnaton in 1362 BC. During most of his rule he lived in Memphis, near present day Cairo. Egypt was actually governed by his senior officials and Ay, senior minister of state. Peace was brought to Egypt during his reign as the worship of Amon, which was abandoned under Ikhnaton, was restored and Thebes the city sacred to Amon, Egyptians enjoyed life on earth and they planned for life in the here after. They lived in impressive houses and enjoyed dressing up and wearing wigs. Most people wore clothes made of linen. They were entertained by musicians while feasting on goose, meat, figs, dates and pomegranates and they drank grape or date wine. Some of their favorite pets were monkeys, King Tuts reign was very short He died suddenly during the war with the Hittite people. He was only 19 years old. He had no heirs. No one knows the mystery of his death. He was buried in the Valley of the Tombs, of the kings of southern Egypt. The Egyptians believed that life after death was similar to life on earth. They protected and preserved themselves for the next life. The pyramids protected the bodies and mummification preserved the body. The mummification process could take as long as 70 days. All the organs were removed and put in jars to dry. Then the body was embalmed and treated with oils and molten resin. The body w ...

Wednesday, November 6, 2019

The Great Compromise essays

The Great Compromise essays In May 1787, fifty-five delegates from eleven of the thirteen American states assembled in Philadelphia. Their goal was to revise the current government created by the Articles of Confederation, which had been in effect since 1781. The Articles had created a weak alliance among the states. The national government had no way to levy taxes or regulate commerce. The delegates who were in attendance at the Philadelphia convention had come in general agreement that there were defects in the Articles of Confederation that should be remedied. But instead of convening and deciding to list and remedy the defects of the Articles, the delegates at the convention took another course of action. Soon after George Washington was elected to be the presiding officer of the meeting, the Virginia delegation, relying heavily on the draftsmanship of James Madison, presented a new plan for an entirely new national government. This plan became the main topic of debate at the convention for the next several weeks. When the delegates decided to make the Virginia Plan the focus of their agenda, they had essentially changed the task for which they had been sent to Philadelphia. The defects of the Articles took a backseat to the more pressing issue of how to design a true national government. The Virginia Plan called for a strong union of the states into a centralized national government. Under the plan, the national government would be divided into three governing branches the legislative, the executive, and the judicial. The legislative branch would consist of two houses. The first house would be directly chosen by the people, and the second house would be chosen by the first house from candidates nominated by state legislatures. The executive and the national judiciary would be chosen by the national legislature. The executive along with some members of the judiciary would be selected to serve on a council of revision, which...

Monday, November 4, 2019

Substance abuse Essay Example | Topics and Well Written Essays - 2000 words

Substance abuse - Essay Example There are many ongoing debates in regards to this issue, and this is especially so in particular regards to that of the exact distinction between substance abuse and substance dependence; these are two totally separate issues however they are often confused or considered wrongly as being the same thing. In regards to be able to show a proper example of substance abuse, we will be discussing one movie in particular, 28 days. By thoroughly examining this movie and understanding about the environment, the characters, the situations take place, and all of the related issues in this regards we will be able to come to a much more critical and knowledgeable viewpoint in regards to what substance abuse actually is and what can be done about it. There are many critical issues that will be discussed using this film, and this is what will be dissertated in the following. 28 Days is a movie in which basically what happens is a big-city newspaper columnist is forced to enter a drug and alcohol rehabilitation center after stealing a limousine and crashing it into a house; the main character is Gwen Cummings who is played by Sandra Bullock, who is a Caucasian woman that ends up getting into a car crash on the day of her sister’s wedding, and she is then given a choice between either going to prison or going to a rehab center, and so she ends up choosing the rehab center. However, she is not exactly willing to admit that she has a problem with alcohol, and so at the beginning of the rehab center program she is quite negative and is extremely resistant in regards to taking part in any of the treatment programs that they have to offer. However, after a certain point she starts to realize that she does in fact have a problem, and that rather than simply using alcohol she does in fact have an addiction, and she then gradually begins to re-examine her life and she becomes willing to at least give it a try and get herself help and get better.

Saturday, November 2, 2019

Written communication assessment ( 30%) Essay Example | Topics and Well Written Essays - 2000 words

Written communication assessment ( 30%) - Essay Example PSA is considered to be the leading supporter of pharmacists’ rights. It helps influence the attitudes and policies of the government and society through networking, continuing education, coordination, and health promotion activities. The Consumers Health Forum (CHF) speaks in behalf of the health consumers. It is an independent non-governmental organization which helps fashion Australia’s health care system by encouraging the consumers to participate in establishing health policies. The CHF gathers data, opinions, and complaints from the people and brings them to the attention of concerned government officials. Through their actions, government officials can make the necessary adjustments in policies for the good of the public. According to CHF, the general public should be given affordable, safe and quality medicines and health services. They also believe that consumers should have a chance to be involved in the management of their health care. Consumers should also be given access to vital health information in ways they can easily understand. The CHF prioritizes the safety and quality of health care services especially for patients with chronic conditions. The organization members come from different c ommunity and health sectors, including illness-based groups, population groups and other health-interest groups. (â€Å"Our CHF – Who are we?†). Through these various members, they give a voice to the consumer public. In 1928, the Pharmacy Guild of Australia was established. It successfully bonded together a number of pharmacy organizations from various States. It is registered as an employees’ organization and it has about 4500 member pharmacists throughout Australia. The Guild functions as a single entity, not a federation. The Guild involves itself in several areas of health care such as health

Thursday, October 31, 2019

The use of DDT in malaria vector control Essay Example | Topics and Well Written Essays - 750 words

The use of DDT in malaria vector control - Essay Example DDT is slowly absorbed in the gastrointestinal tract; however, if the DDT has been dissolved in fats from vegetables or animals, then the absorption rate is enhanced up to 1.5 times. The oral ingestion of DDT usually results in convulsions after 2 hours, if the rate of administration is twice that of the oral LD50 value. It has also been established that absorption of DDT by the skin is minimal (DDT). Subsequent to absorption, DDT accumulates in the tissues, especially in the adipose tissue. Many studies have reported the storage of DDT in the central nervous system, blood, liver, heart and kidneys. The body excretes DTT in milk and urine (DDT). A small amount of the ingested DDT changes into DDE, whose toxicity is much less. The latter is impervious to biotransformation, and consequently persists in the adipose tissue, indefinitely. The chief detoxification route for DDT is transformation to DDD, which quickly changes into the water soluble DDA, and then excreted (DDT). The rate of elimination of DDT from the body has been assessed at 1% of the amount stored in the body. DDA excretion in the urine is around 47% of the ingested precursor material; however, this loses significance, when the amount of DDT being ingested increases. Moreover, there has been a reasonable correlation between the DDA concentrations in urine and DDT levels in body fat (DDT). The different routes of exposure, associated with DDT are first; oral which transpires when there is ingestion of DDT or food contaminated with DDT. Second; by inhalation; however, this is not of much importance, because absorption is insignificant, due to the non – volatile nature of DDT. Third; absorption through the skin, which is not an important route. DDT absorption by the skin is negligible, and an increase is effected, if it is dissolved in oil. Fourth; absorption through the eye,

Tuesday, October 29, 2019

A Second Chance Essay Example for Free

A Second Chance Essay It was my chance to prove myself; I was about to go out there and audition for a talent show through singing and playing the piano. I was so sure that I would do it, since I knew the judges personally and they were already aware that I had the talent. I haven’t actually practiced the song as much as I was supposed to, but I was certain that I would know it properly since I have practiced before several times. I was waiting for my turn, and while I was waiting, I was starting to get nervous and tense about the whole thing. When I was up, I took a deep breath and started playing the song. The first thing I did wrong was mix up the notes. The first time was excused as it was thought to be normal and that everyone makes mistakes. The second time was also excused, the third, the fourth.. It was starting to get irritating. Other than the note mix up, when I started to sing, my voice went too high and I started to get out of breath. In addition to this, I forgot and mixed all the lyrics of the song. This made me stop in the middle of the song excusing myself for all the mistakes that I’ve done. Since the judges were my friends, they were totally understandable; they realized that I was nervous and that I am good at this, despite my failed efforts. This made me feel miserable. I have failed to preform something I have known and been playing for almost a year. I couldn’t sing the song without making a word mixup every now and then. I informed the judges the next day that I would like to audition again, and this time I was going to do it right. The minute I told them I was going to audition again, I went home searching for a completely different song to preform, and this time I was going to focus on singing it only. I found the perfect song, and once I did I started practicing on it. I have noticed that the last time I auditioned, I was nervous when my turn was up, so I decided to ask different people I knew to hear me out, and anytime I would get nervous I would randomly start singing, to try and overcome my fear of preforming in front of a crowd. When the day of my second audition finally arrived, I was assured that I would do it this time, given the fact that I have practiced beforehand and tried to overcome my fear. The minute I preformed, I felt a tinge of nervousness, but then It was like I was preforming to myself, not scared at all. I was confident enough and because of this I did a good job and the judges loved it. This made me realize that once you set your mind on something, even if you fail it once, you can always achieve it. If you have the will to do it, you will succeed. The second thing I realized was that you should always, ALWAYS make sure you are prepared for any situation that may arise, even if you think you know how to handle it. After all, practice makes perfect. This has made me believe that I should never give up on where I want to study, and even if I don’t get accepted the first time, I can work harder and apply again, I have nothing to loose. I should believe in myself and prepare myself for what’s ahead and will hopefully succeed.

Saturday, October 26, 2019

Internal Point Of View Role Harts Theory Philosophy Essay

Internal Point Of View Role Harts Theory Philosophy Essay Jurisprudential debate concerning the nature of law is often thought of as a long-running battle between two schools of thought the rival camps of natural law and legal positivism. The natural law tradition has always emphasised laws grounded ness in justice and the common good, while legal positivism had tended to emphasise laws basis in authority. Legal positivism emerged from the work of Jeremy Bentham and his disciple John Austin. John Austin famously claimed that the idea of sanctions is the key to the science of jurisprudence.  [1]  Thus, he held legal rules to be threats backed by sanctions and statements of legal obligations as predictions that the threatened sanctions will be carried out. Furthermore Hans Kelsen sought to explain legal rules and obligations in terms of norms, he understood these norms to be directives to courts requiring that sanctions be applied. Splitting the difference between Austin and Kelsen, Alf Ross conceived of legal rules as norms addressed to courts directing the use of sanctions and statements of legal validity as predictions that these norms will be followed. However, one of the two greatest twentieth-century (the other one is Hans Kelsen) exponents of the legal positivism was, without question, Hart. In his principal book The Concept of Law  [2]  , Hart describes the central thesis of legal positivism as the simple contention that it is in no sense a necessary truth that laws reproduce or satisfy certain demands of morality, though in fact they have often done so.  [3]  Therefore the central claim of legal positivism is that law is separate and distinct from morality. However, Hart showed that sanction-centred accounts of every stripe ignored an essential feature of law. This feature he termed the internal point of view. Though the internal point of view is perhaps Harts greatest contribution to jurisprudential theory, this concept is also often and easily misunderstood. Seen from the internal point of view, the law is not simply sanction-threatening, directing, or -predicting, but rather obligation-imposing. Therefore, what, exactly, is the internal point of view? What role (or roles) does it play in Harts theory? Briefly the internal point of view is the practical attitude of rule-acceptance it does not imply that people who accept the rules accept their moral legitimacy, only that they are disposed to guide and evaluate conduct in accordance with the rules. The internal point of view plays four roles in Harts theory: (1) it specifies a particular type of motivation that someone may take towards to the law; (2) it constitutes one of the main existence conditions for social and legal rules; (3) it accounts for the intelligibility of legal practice and discourse; (4) it provides a naturalistically acceptable semantics for legal statements. At one point, Hart observes that the element of authority involved in law has always been one of the obstacles in the path of an easy explanation of what law is  [4]   Hart argues that the command theorists emphasised force as the main component of all law and have looked only on one side of the coin the external element of law which compels people to act out of fear. This may be the bad mans view of the law and Hart argues that it does not present a balanced picture. A positivist theory of law must offer an account of the nature of law-making authority. At the same time, positivists claim that the validity of a law does not entail an obligation to obey it. This means that the theory is quite independent of any theory about the basis of a moral obligation to obey the law. Bentham and Austin approached these problems by treating statements about sovereignty, rights and obligations as straight forward statements of observable social facts. Therefore in focusing only on the commands of a sovereign and the actions of officials in imposing sanctions, the command theorists have ignored the internal element which characterises all law. This is known as t he internal point of view which make people feel a sense of obligation to obey the law. There is a distinction between the two aspects of law, to be obliged that is to be forced to act in a certain way because of some threat, such as when an armed man orders a person to hand over money, and to be under an obligation that is to feel within oneself a sense of duty to act in a certain way without some external stimulus compelling such action. Hart also argues that the command theories explain law only in terms of the first notion, and that to this extent they are inadequate, because the law operates both in an external and an internal fashion to induce compliance. According to Stephen Perry, for example, [t]he general idea of the internal point of view is that an adequate jurisprudential account must at some point take into consideration how the practice looks to at least some of the practices participants, from the inside.  [5]  Likewise, Gerry Postema writes: The law, like other similar social practices, is constituted not only by intricate patterns of behavioural interactions, but also by the beliefs, activities, judgments and understandings of participants. The practice has an inside, the internal point of view of participants.  [6]   On this reading, Harts doctrine of the internal point of view is a methodological prescription which demands that legal theories resonate with the shared experiences of legal natives. Jurisprudence must take the point of view of the insider, and come in contrast with those theories that ignore the beliefs and attitudes of those who live under the law. Hart used the internal point of view to discredit sanction-centred theories of law, such as those proposed by Oliver Wendell Holmes and Hans Kelsen. Hart argued that these theories are myopic for they ignore or mask the range of attitudes that people typically have towards the law. The problem with bad man theories such as Holmes is that they assume that people are motivated to follow the law solely in order to avoid sanctions, rather than for the reason that rules require such behaviour. These theories, Hart says, define [the internal point] of view out of existence. The problem with Kelsens theory, he claims, is that it focuses exclusively on one technique that the law uses to motivate conduct to the exclusion of all others. The law not only directs officials to punish those who dont comply with the rules, but provides guidance for those who want to live up to their obligations. Holmes bad man is an insider himself, namely, one whose curiosity about the law is aroused solely by his aversion to sanctions. The problem with Holmes theory, rather, is that he privileges one type of insiders point of view over another. By focusing solely on the perspective of the bad man, sanction-centred theories define the other point of view, namely, the internal point of view, out of existence. What, then, is the internal point of view? As Hart used the term, the internal point of view refers to the practical attitude of rule-acceptance. Someone takes this attitude towards a social rule when they accept or endorse a convergent pattern of behaviour as a standard of conduct. Whereas the phrase the internal point of view is univocal it refers to a specific practical attitude. With respect to the practical point of view, there are two attitudes the insider can take towards the rules: acceptance and non-acceptance. Anyone who accepts the rules has, according to Hart, taken the internal point of view. Anyone who does not accept the rules, either because they are like the bad man and take the practical, but non-accepting, point of view, or because they are merely observing and hence dont take a practical stance at all, has taken the external point of view. Harts internal point of view, therefore, is the practical attitude of rule-acceptance. But what exactly does it mean to accept a social rule? Hart says that to accept a social rule is to regard a pattern of behaviour as a general standard to be followed by the group as a whole. It is to treat existence of the rule as a reason and justification for action, as the basis for claims, demands, admissions, criticisms or punishment, as establishing the legitimacy of these demands and criticisms. Hart is quite clear that one does not have to believe in the moral legitimacy of the law in order to accept its authority. Given that the internal point of view is not the moral point of view, what does Hart mean when he characterizes it as acceptance of a rule as a standard of conduct? When one takes the internal point of view towards a rule, one acts according to the dictates of the rule. Of course, there must be something more to the internal point of view, given that the bad man also conforms to the rules. The second way in which the internal point of view is expressed is through critical evaluation. Thus, participants who accept the rules criticize others, and perhaps even themselves, for failing to conform to the rules. Finally, the internal point of view is usually expressed by statements that use normative terminology such as ought, must, right, and wrong.22 Thus, if someone accepts the rule that men must bear their heads upon entering a church, this practical attitude might be expressed by statements of the form: You ought to take off your hat in Church or It was wrong of me not to take off my hat last Sunday. Hart calls these statements internal statements, because they normally express the internal. point of view.23 Hart contrasts these practical statements with theoretical statements that others accept a particular rule. For example, someone might say, Episcopalians accept a rule requiring men to take off their hats in Church. Hart calls these external statements because they usually express the external point of view.24 They are statements that a particular group accepts certain rules normally made by t hose who do not accept those rules themselves. Harts internal point of view must be understood as a commitment to act in all of the above ways. That is, one takes the internal point of view towards a rule when one intends to conform to the rule, criticizes others for failing to conform, does not to criticize others for criticizing and expresses ones criticism using evaluative language. At first impression Hart conception of law, as a symbiotic relationship between primary and secondary rules, and more importantly the internal aspect seems valid. Hart concept of the internal aspect distinguishes between social rules and social habits. A crucial distinguishing feature from a social habit and a social rule is that habit lack criticism from others in a group when the convergent behaviour is deviated from. Deviation from the convergent behaviour makes criticism and the rule legitimate, and often is manifested through normative language such as you ought to or you should do, a certain type of behaviour. The internal aspect and therefore rules is an important constituent for Hart conception of law, because essentially law is the union of primary and secondary rules. A primary rule imposes duties and prescribes how one must act by way of recognizing a general standard mode of behaviour. The secondary rules consist of the three important characteristics, which can be charac terized as sub rules, which give the concept of rules as law and obligations, but more importantly, law as a system of rules. First is the rule of recognition, which helps to determine whether a rule is indeed a rule, this is determined by the influx of criticism for deviation of the rule and the existence of social pressures to conform. The second, denoted as the rule of change, which allows for the creation of new primary rules or the change and modifications of old rules for the group to live by, these rules are also subject to procedural standards. The final characteristic is the rule of adjudication that determines whether or not a primary rule has been violated and prescribes the procedure the courts must follow to apply sanctions. Indeed the mosaic of the internal aspect, a primary and secondary rule as law is very attractive, for Hart is able to explain where Austin has failed. Primary rules are laws, because they are general and span over the territory in which the sovereign has authority, and secondary rules are a means to enforce and amend the laws. However Hart analysis