Sunday, October 6, 2019
The London Riots of August of 2011 Essay Example | Topics and Well Written Essays - 3000 words
The London Riots of August of 2011 - Essay Example One of the dangers of the news is that often rumour becomes presented as fact creating a reaction by the public that can turn to undesirable action. While the news provides an important service to the people of a nation, the reports must be accurate and ethical to have the social importance that is needed to create an informed public. Information that has been created to have the highest inflammatory effect in order to create the best possible entertainment for viewers or readers does not provide an accurate service to the public. A recent example of the dissemination of premature information that incited the public to action can be seen through the example of the riots in London during August of 2011. These riots were the result of both police action that people of the area of Tottenham found objectionable and unjust, as well as the reports made by the media that constituted rumours that had yet to be substantiated. Between the erroneous news releases and the reports on various soci al media outlets by eye witnesses who could refute the news reports, protest was made that was not met with adequate response from authorities, finally leading to riots and looting which resulted in death and destruction. In examining the reports made by the BBC and those made by The Guardian, an understanding of varying perspectives can be achieved as the outlets released news on the events that was based on how the information was that interpreted by the journalists. The following paper will first examine the background as perceived from reading various reports and written from the understanding of how those reports become a story in the mind of the reader. The news reports from the BBC will first be examined for their perspective on the riots, followed by the reports made The Guardian that can be compared to the reports from the BBC. Background During the month of August a series of riots and protested were motivated by the shooting death of a 29 year old man named Mark Duggan as attempts were made to arrest him. The incident occurred on 4 August 2011 at the Ferry Lane Bridge next to the Tottenham Hale station and was associated with Operation Trident, a police investigation into crimes associated with guns within the black community. The IPCC (Independent Police Complaints Commission) was put in charge of the investigation of the shooting according to policy after a death that occurred through police involvement. Confusion within the media occurred through erroneous statements that seemed to be intended to quell the resulting violence after the incident. In the end it is possible that the false information did nothing more than to incite a larger backlash as the inconsistencies emerged through eye-witness accounts and retractions from the police department. One of the primary problems occurred as the media was lead to believe that Duggan fired on the police where eye witnessed did not see him fire. On 6 August a peaceful protest was planned that was to be a march from the Broadwater farm to the Tottenham police
Friday, October 4, 2019
How will basic business skills play a role in your professional life Assignment
How will basic business skills play a role in your professional life - Assignment Example For every input, that loop completes itself while generating an output against every input. In Python, we have for loops, while loops, and nested loops. For loop sets a loop variable and repeats the set of instructions for a set limit. While loop repeats the set of instructions while a certain condition is true. Nested loops contain loops within loops. An example of loops in real world is the expiration of session after a certain period of time. There are some websites that expire the userââ¬â¢s sessions after a set period of time. Hence, for example, the loop is: Answer: Basic business skills enhance a personââ¬â¢s decision-making and problem-solving skills. Without basic business skills, it takes much time and effort for an entrepreneur to come at par with the competitive business world. For example, effective communication is a very basic business skill. It is the key to success as you can better communicate and negotiate with your partners, stakeholders and clients. Other helpful basic business skills include time management, goal setting, relationship building and desire to learn (CBS Interactive, n,d). CBS Interactive. (n.d.). 12 business skills that will never, ever go out of style. The Bulletin. Retrieved February 8, 2015, from
Cultures in the World Essay Example for Free
Cultures in the World Essay To define culture is not easy because culture means different things to different people. Hence there many definitions of culture as there are many different cultures in the World. Anthropologists define culture as social behaviour of human beings. To others dance, music, theatre, artifacts and fashion constitute culture. On the other hand, fashion is a style characteristic of the social elite and is mainly associated with social class and is highly dynamic. Hence fashion should be in current mode for instance a garment. Fashion, style, vogue or even mode are used interchangeably to refer to a preferred type of dress, behaviour, adornment or a way of life at a given time span. In broadest terms fashion usually refers to conventions which are generally accepted by a society or by any culture or even a subculture. Style like mode often stresses the adherence to standards and elegance and should be socially accepted. For instance miniskirts were the mode in the late sixties. Vogue is applied to style or fashion that prevails widely but often suggests enthusiastic but short lived acceptance (The American heritage 2003). Wilson, further states that fashion is always in a continual change and sets the terms for all sartorial behaviour (Wilson 2003). The importance of fashion can never be overemphasized in the current world since fashion now is always around us from media to our daily lives in clothing and even automobile sector. Let it be clearly noted that fashion is for aesthetic as well as societal class, elegance and modesty. In the current years fashion has become a major factor affecting the psychosocial wellbeing of major cultures and subcultures in the world. This influences the life of people both in style and preferences and their economical sphere. The growth of fashion is linked with the development of cities and urban centres in the 14th century and the growing sophistication of the courts. But it is only in 15th and 16th centuries when people developed the culture of fashion and class such that they felt shameful to wear outdated clothes (Wilson 2003). The entrance of fashion led to increased spending on clothes and a clear cut class differences. The rise of bourgeoisie became so much crucial in the development of fashion and style. The poorest class received the cheapest clothing with the people in the highest level in class ladder wearing the most expensive clothes. With the rise of Industrial revolution came capitalism hence new markets for clothes in fashion and fashion became more and more important with the circulation of images in mass communication. GENDER AND FASHION In the current contemporary world, fashion has become the order of the day. Media houses and world class beauty and model centres have been developed all over the world especially in Europe and U. S. A. However, unlike the past where fashion was associated with female, this industry welcomes both genders nowadays. But because of the past skewed interest of ladies in the industry they are still the major players. Nevertheless, almost every one in the current society setting especially in urban areas appreciates fashion and style and is a product of the same in one way or another. People are more conscious when it comes to fashion and no one is willing to be left behind in the outdated world hence consumption of these fashion products has tremendously risen. ââ¬ËDress is a practical negotiation between the fashion system, the social conditions of everyday life such as class and gender as well as rules or norm governing particular social situations. The outcome of this complex interaction cannot be known in advance precisely because the habitus will improvise and adapt to these conditionsââ¬â¢. Thus dress is a personal attempt to orientate ourselves to particular circumstances and thus recognise the structural influences of the social world and the individual on the other (Entwistle 2000) FASHION AND MODERNITY Fashion has kept pace with modern life. It has followed every step the global world is making and is by itself part and parcel of the globalised world. From North to South, West to East fashion is seen to influence the global ways of life. However, this is bringing about similarity and extinction of cultures since fashion and culture are linked and the change of one leads to change of the other. Since fashion is dynamic it follows that the fashion of yester years is different from the fashion of today hence todayââ¬â¢s fashion is new and can be termed as modern. Modern fashion has greatly been affected by the present technological advancement and the entrance of new marketing approach. For example, the use of internet has revolutionized this industry. It is not a wonder therefore what is considered modern in London today is even being used the following day in Washington. This has promoted customized fashion products to promote what many fashion stars look for in fashion; uniqueness and class. Fashion and style industry has in the recent decades been well established with increased sales as many people go for class and fashion. Also, the quality of the products has greatly developed thus fashion has become our way of life. FASHION, SUBCULTURAL YOUTH STYLES It is important to distinguish between the concept of youth culture and youth subcultures. In general terms youth culture is more homogenous, doing similar things and being treated in the same way playing down aspects of differentiation. This idea was much popular with U. S sociologists in early 1960s. In modern youth culture emphasis is more on subcultures. Unlike the 20th c where fashion was highly linked with class, in 21st c the line of demarcation has narrowed and the mode of classification is not only on class lines but across a wide plane of social and cultural identities. Hence the youth even in ghettos are coming up with their modes of fashion. The issue of subcultures within the large framework of culture in a society is a major phenomenon. Hence these subcultures act as the seed bed for fashion that is embraced by the larger society. The link between class and identity is far less apparent in the 20th c, in particular since high fashion is democratised and not longer the prerogative of a small elite. In contemporary culture distinction does not run along class lines alone but across a wide plane of social identities. Thus, rather than being only imposed from the top, fashion is also ââ¬Ëbubbling upââ¬â¢ from the street and youth cultures (Entwistle 2000). The use of style brings across clear identity within the youth and serves to sometimes oppose dominant values within the society. Youth tend to solve their problems of culture and fashion in their own unique understandable way hence they act against the main stream fashions of the old. However their fashions and style are dominantly affected by the media and celebrities entertainment industry. Fashion trends brought forward by top musicians come fast and go quickly. These fashions and styles linked with subcultures are known to be diverse as the youth are dynamic. Therefore the rate of change of any fashion within a subculture is higher than in the dominant cultures. The youth also customise fashions by either adding or removing some parts from the original fashion to create a different identity. And for sure youth have revolutionised the world of fashion and culture, in the contemporary world. Therefore fashion is regarded as a mode of identity by the youth and serves as the avenue through which the youth express themselves. EFFECTS OF FASHION ON CONSUMERISM The cycle of fashion in the modern times has been found to influence the level of consumerism in the current world. Fashion is fueled by change and conversion. Designers always persuade their customers that their new fashions are everything they need. In the next season the same designers convince their customers to bade farewell to outdated designs and instead embrace the new trends in their latest collections. Western societys culture of mass consumerism has widely been influenced by the fashion cycle. Sociologist Stella C. (1993) likens fashion cycle with the rolling waves of the sea. As one fashion gains popularity and is outdated another style is gaining momentum and this change our modern culture. Todayââ¬â¢s fashion is not only placed on the contest of youth, sexuality and historicism, but also previous culture movements and shows fashion reflects its surrounding, its subjects but ultimately itself. FASHION AND CLASS Fashion is known to influence lifestyle and how people relate within the society. However this relationship is both on the individual and societal levels. Fashion is a product of class division since many people want to be seen in a unique way within any given society and societies also show their class differences using fashion hence affecting the culture of present societies. CONCLUSION It is true that fashion and culture are highly interlinked. A culture that appreciates fashion is a culture that is dynamic and ready to follow where its fashion leads it to. Modern culture is hinged on the fashion of each passing day and unlike the past psychosocial behaviour is influenced by fashion on a larger scale. Youth subcultures promote their own form of fashion which may be interlinked with fashions within the larger sphere of culture. These fashions serve to show their rebellious identity. The cycle of fashion has seen unnecessary changes of fashion due to designers who look forward to make profits and are out to change fashions as quickly as practicably possible. Hence the world is supposed to be aware of these uncalled changes in fashions. Unethical issues are also related to fashion and culture. Therefore, some people see it like their religious and spiritual beliefs are affected by fashion. However on a global perspective fashion has promoted the entrance of more products in the world market leading to increased competitiveness. Modern global culture is a mirror of fashion and design. REFERENCES Bruzzi Stella, and Patricia Gibson, 2000, Fashion Cultures: Theories, Explorations, and Analysis. London; New York: Routledge. Craik, Jennifer, 1993, The Face of Fashion: Cultural Studies in Fashion. London; New York: Routledge. Entwistle, J. 2000, The Fashioned Body: Fashion, Dress and Modern Social Theory. Cambridge: Polity Press. Malossi, G. 2000, Material Man: Masculinity, Sexuality, Style. New York: H. N. Abrams. The American Heritage, 2003, Dictionary of the English Language, Fourth Edition by Houghton Mifflin Company. U. S. A.
Thursday, October 3, 2019
Amniotic Fluid Volume In Pregnancy
Amniotic Fluid Volume In Pregnancy Objectives . To assess the relationship between the amniotic fluid volume (AFV) in low risk pregnancy and the perinatal outcome, using either AFI or SDP, and to evaluate the effects of different fetal positions and Attitudes on those measurements Methods . A prospective study was performed, in which a sample of 3000 low-risk pregnant women were studied using routine ultrasound, including fetal biometry and measurement of AFI, and SDP. Data were analysed using multiple linear regression, and constructing a curve for both the AFI, and SDP measurements, according to gestational age, the fetal positions and attitudes, in addition to the assessment of the final perinatal outcome. Results . The 50th percentile remained practically constant at approximately 150 mm between the 20th and 33rd week, after which there was a decline in volume, which became evident after the 38th week. At the 40th week, the 10th percentile was around 62 mm and the 2.5th percentile around 33 mm. Among the group with intact membranes, no significant differences in perinatal outcome could be seen in relationship to the AFI and SDP, although a 50% increase in emergency operations for fetal distress was seen in women with oligohydramnios. Fetal position had significantly affected the AFI, which was remarkably lower in breech pregnancies, but without similar effect on SDP. There was no significant difference for either SDP (P = 0.8) or AFI (P = 0.3) between fetuses lying on the right or the left side of the maternal abdomen. Conclusions . The percentiles incidence of amniotic fluid measurements in low-risk pregnant women showed significant decrease with gestational age, especially after the 33rd week pregnancy. Fetal position and laterality had affected significantly the AFI, but not the SDP. Key words: Amniotic fluid index, low-risk pregnancy, obstetric ultrasonography Abbreviations: AFI: amniotic fluid index, AFV: amniotic fluid volume, GA: gestational age, p: percentile Introduction The importance of variations in volume of amniotic fluid to fetal well-being has been particularly well-established, and are closely correlated to an increase in perinatal mortality and morbidity rates (1, 2), although some doubts have recently been raised (3). Fetal well-being is an important question that can, however, remain unanswered in many situations, but progress in diagnostic techniques has resulted in better perinatal outcomes, and has also contributed to understanding the complex physiological and pathological interaction between fetus and mother (4, 5). AFI and SDP are the sonographic parameters most commonly used to estimate amniotic fluid volume. Both use a two-dimensional measurement to estimate a three- dimensional parameter and are therefore subject to error. Amniotic fluid index (AFI), a semiquantitative ultrasound measure used to denote the volume of amniotic fluid, was first described in 1987 by Phelan et al. (6, 7). Since AFI involves measurements in four quadrants and SDP only measures the deepest pocket, it is possible that fetal position would affect these two indices differently. The relative accuracy of SDP and AFI is still controversial. Using invasive methods, some studies have shown these methods to be comparable, while others have shown that one index might be better than the other. However, none of these studies took into account the potential effect of fetal position on the amniotic fluid volume indices (8). Many studies have shown an increased risk of intrapartal fetal distress in parturient women with oligohydramnios, as identified by ultrasound examination. The exact pathophysiologic mechanism of olighydramnios has not been defined, but one likely explanation is an increased risk of umbilical cord compression during uterine contractions (7,9). However, doubts remain concerning normal values of AFI for each gestational age. The reference curves established some years ago are still in use in current obstetrical practice, but there is a need for new data, using a reliable reference low-risk pregnant women sample, to establish the limits of AFI that would indicate perinatal risk (9). Some existing curves (10 13), were based on relatively small sample sizes, and normal AFI for each gestational age was not yet definitely established. The purpose of this study was to estimate the curve for the amniotic fluid volume in low risk pregnancy, using a set of obstetric sonograms of women between the 20th and 42nd week, using two established parameters, the AFI and SDP, and to assess the effects of those measurements on the final perinatal outcome, in addition to studying the effects of different fetal positions and attitudes on those measured parameters. Material and methods A prospective study was carried out to estimate and evaluate the reference curve of AFI values in low-risk pregnant women, and to follow its effects on the final perinatal outcome. The study was performed at the Feto-maternal Unit, Department of Obstetrics and Gynecology at El-Minya University, Egypt. Inclusion criteria were: gestational age clearly established by last menstrual period, and confirmed by early ultrasound examination performed in first trimester of pregnancy; and gestational age between 20 and 42 weeks. Women excluded were those with pregnancy-induced hypertension, diabetes mellitus, chronic hypertension, gestational diabetes, fetal macrosomia, ruptured membranes, placental senescence, twin pregnancy, fetal growth restriction, fetal abnormalities, fetal death, fetal isoimmunisation, or other conditions, such as metabolic disorders, kidney and heart disorders, and hypo- and hyperthyroidism. Amniotic fluid volume was measured using a 3.5 MHz linear transducer linked to a ALOKA SS 280. A scanner using the 4-quadrant technique for the assessment of AFV, described by Phelan et al.(6, 7, 9), with a modification proposed by Jeng et al.(11). A total of 3000 women between the 20th and 42nd week of pregnancy were evaluated in this study, between August 2008 and December 2010. In order to avoid any possible bias due to repetition of examinations in women with some undetected problem, an independent sample was chosen. Therefore, only the first ultrasonographic examination of each woman was included in the study, and different sample populations were used for each gestational age, in a cross-sectional design. A formal consent had been taken form the women included in the study, after full explanation and counseling, and approval of the regional ethical committee. The uterus was imaginarily divided into right and left halves along the linea nigra on the surface of the maternal abdomen. Using the mid-point between the fundus uteri and the pubic symphysis, the uterus was also divided into upper and lower halves. With the transducer head perpendicular to the ground, the largest amniotic fluid pocket in each quadrant was identified. The vertical diameter of this largest pocket of each one of the four quadrants was then measured. The AFI was defined as the sum of the measurements of each quadrant in millimeters. All examinations were performed by only one professional in order to avoid inter-observer variability. The intra-observer variability of the measures performed with this technique was estimated to be high (correlation coefficient 0.92) (14-18). Both AFI and SDP were measured at the same time during the examination. SDP was obtained by measuring the depth of the single deepest vertical amniotic fluid pocket that was clear of umbilical cord or fetal parts (19,20). AFI was calculated as the sum of the depths of the deepest pockets from each of the four quadrants of the uterus. The position of the fetal trunk was characterized by three parameters. Initially, the ultrasound probe was placed transversely on the maternal abdominal wall, with the midpoint of the probe over the sagittal midline of the maternal abdomen, at the level of the fetal abdominal circumference (Figure 1). A vertical line (Line Y) was drawn downwards from the center of the ultrasound probe. A horizontal line (Line X) was drawn across the maximum diameter of the fetal abdominal circumference. Line X was thus divided by Line Y into a shorter part (S) and a longer part (L). The first parameter to be determined was the position of the fetal trunk. This was assigned as either fetal trunk left or fetal trunk right depending on whether L was on the left or the right side, respectively, of the maternal abdomen (21-24). Next, we determined by how much the fetal trunk lay to one side of the uterus, by calculating the laterality score, defined as S/(S + L). This score ranged from 0 to 0.5; a score of exactly 0.5 meant that the fetal trunk was on the sagittal midline of the maternal abdomen, and a score of 0 meant that the fetal trunk was to the side and did not cross over Line Y. The use of the laterality score has not been reported previously. Finally, we determined the orientation of the ventral part of the fetal abdomen: a line (Line Z) was drawn from the fetal hepatic vein to the fetal spine, and the angle (A) between Lines Z and Y was determined. Fetuses were classified into one of three groups: ventral anterior (A = 300.1 360- or0-60-), ventral lateral (A = 60.1 120- or 240.1 300-) and ventral posterior (A= 120.1 240-). Figure I. The study population was categorized into different groups according to the fetal position, and AFI and SDP in the different groups were compared. Pearsons correlation coefficient between laterality score and AFI was considered the primary outcome measure. For an r of 0.25, a minimum of 62 cases was needed at a Type I error of 0.05. Based on the curve of Jeng et al. (25), and adopting a mean AFI measurement of 140 mm at 40 weeks, and a standard deviation of 48 mm, a sample size of at least 120 measurements for each week of pregnancy was estimated, assuming an à ± error of 0.05 and a maximum difference of 10 mm between population and sample measurements. The AFI was correlated to perinatal outcome based on the Apgar score, umbilical cord blood pH, birthweight, frequency of cesarean section for fetal distress, operative delivery for fetal distress, including both cesarean section, vaginal forceps, and ventous extractions, and referral to the neonatal intensive care unit (NICU). Fishers exact test was used for statistical evaluation. P < 0.05 was considered statistically significant. The computer program nQuary Advisor Release 3 (Statistical Solutions Ltd, Cork, Ireland) was used to calculate the sample size needed in order to obtain significance levels at p < 0.05 and 0.01 with 90% confidence intervals (CI). Data were analysed using multiple linear regression, and by constructing a curve of the 2.5th, 10th, 50th, 90th and 97.5th percentiles of the amniotic fluid measurements according to gestational age. All statistical analyses were performed using the Statistical Package for Social Sciences for Windows version 10.0 (SPSS Inc, Chicago, IL, USA). Students t- test, Pearsons correlation coefficient, linear regression and ANOVA were used as appropriate. A P-value of < 0.05 was considered statistically significant. Results The 3000 pregnant women included in the study had a mean age of 25.9 years (range 13 46), with low parity (45% were primigravida). The sample was basically from a low risk population because of the exclusion criteria used. The values of the 2.5th, 10th, 50th, 90th and 97.5th percentiles of the AFI, and SDP according to gestational age are shown in Figure II, III and IV show the data after being submitted to a smoothing process using quadratic polynomial adjustments. Analysis of the 50th percentile measurements of the AFI, and SDP curve at different gestational ages revealed that these values remained practically constant, at around 150 mm, between the 20th and 33rd week of pregnancy. At this point, values began to decrease, and this decline became particularly evident after the 38th week, reaching 130 mm at the 39th week, 120 mm at the 41st week and 116 mm at the 42nd week of gestation. Table I, and II The mean gestational age at the time of examination was 33.3 à ± 2.8 weeks. The mean SDP and AFI were 5.5 (range, 2.8 9.3) cm and 14.5 (range, 6.7 29.3) cm, respectively. There were no significant differences in mean AFI measurements when these data were controlled for age, race, literacy, parity or previous caesarean scar (data already published elsewhere) (18). Measurements of the 10th percentile remained 100 mm until the 33rd week, when an accentuated decrease started, declining even more sharply after the 38th week of gestation, reaching values 80 mm and 40 mm at the 42nd week. According to the published normal ranges, six cases had polyhydramnios (AFI = 29.3 cm at 29 weeks gestation, SDP = 9.1 cm at 37 weeks and SDP = 9.3 cm at 33 weeks gestation) and two cases had oligohydramnios (AFI = 6.7 cm at 36 weeks gestation). Twelve hundreds and five (42%) cases were fetal trunk right and 1663 (58%) were fetal trunk left. There were no significant differences between these groups with respect to gestational age (33.1 à ± 2.4 vs. 33.4 à ± 2.7 weeks, P = 0.7), mean SDP (5.4 à ± 1.3 vs. 5.5 à ± 1.4 cm, P = 0.3) and mean AFI (15.1 à ± 5.1 vs. 14.1 à ± 4.0 cm, P = 0.8).Table III In fact, our results showed that fetal position had a significant effect on AFI but not on SDP; the more the fetus was positioned to one side of the uterus, the lower was the AFI. Both methods show good correlation between the measurements and the actual volume of amniotic fluid. The effect of laterality score on amniotic fluid volume indices was assessed by Pearsons correlation coefficient and linear regression. It had no significant effect on SDP (r = 0.13, à ² = 1.1, standard error = 0.9, P = 0.23). However, it did significantly influence AFI (r = 0.31, à ² = Transverse section of maternal trunk level of fetal abdomen8.7, standard error = 3.0, P = 0.005). The regression line is shown in Figure III. In other words, when the laterality score increased, the AFI increased proportionately. When the laterality score was 0.5 (fetal trunk positioned at the midline of the maternal abdomen), the AFI was, on average, 4.35 cm higher than it was when the laterality score was 0 (fetal trunk lay on the side and did not cross the midline of the maternal sagittal plane). Figure III, IV. There were two case of high AFI (29.3 cm) in the study population. In order to exclude the possibility that the results were influenced by this single case, we repeated the analysis quadrants of the ipsilateral side, the vertical depth of these two quadrants being be much shallower compared with those on the contralateral side. Although amniotic fluid should be displaced to the contralateral side, this may not be reflected completely in a two-dimensional measurement of the depth of the other two pockets. Therefore, it is not surprising to find that AFI measurement is lower when the fetus lies on one side of the uterus instead of centrally. The difference was statistically significant and is clinically important. When the fetus lay on one side of the uterus, the AFI was, on average, 4.35 cm lower compared with the AFI for a fetus lying centrally. On the contrary, SDP is apparently rather inert to fetal position. Since SDP only measures the deepest pocket, it is understandable that the effect of fetal position on its measurement is less. Based on the results of this study, SDP may be a better index for estimation of amniotic fluid volume than is AFI, because the association between SDP and laterality score remained non-significant (P = 0.4, à ² = 0.8, standard error = 0.9). Further analysis was also performed with linear regression to control for the effect of gestational age. These results showed that the laterality score had a significant effect on AFI (à ² = 9.6, standard error = 3.0, P = 0.002) that was independent of gestational age (à ² = âËâ0.4, standard error = 0.2, P = 0.019). AFI was significantly higher in cephalic fetal position, more than with breech ones. This result had been clearly apparent after 32 weeks gestation, and with less AFI with the ventral fetal trunk attitude with the breech position, than other. SDP had not show the same picture in different fetal positions, either breech or cephalic, so SDP as an AFV parameter had not been affected with the different fetal positions. Of the 3000 fetuses, 345 were ventral anterior, 1720 were ventral lateral and 803 were ventral posterior. The respective gestational ages of these groups were 33.5 à ± 2.7, 32.8 à ± 2.7 and 34.2 à ± 2.8 weeks, the SDPs were 5.5 à ± 1.4, 5.5 à ± 1.3 and 5.5 à ± 1.4 cm, and the AFIs were 14.5 à ± 5.3, 14.4 à ± 4.4 and 14.8 à ± 4.4 cm. None of these was significantly different between the three groups (P = 1.0, P = 0.14 and P = 0.9, respectively). The 3000 pregnant women were divided into two subgroups according to the status of the fetal membranes. The membranes were found to be ruptured at the time of the examination in 1400 (44%) women; 750 (25%) had oligohydramnios. The membranes were intact in 1600 (55); 350 (15%) had hydramnios. Table I shows the maternal variables of the two groups. The median interval between the ultrasound examination and delivery was 4 h (range 0-24 h) in the group with ruptured membranes and 6 h (range 0-70 h) in those with intact membranes. In the group with ruptured membranes there was a significant difference in the frequency of operative delivery due to feta distress between the parturients with oligohydramnios and those with a normal volume of amniotic fluid [10.6% and 3.0%, respectively, p < 0.02, OR 3.86 (range 1.34-1.11)]. No significant differences were found regarding the other variables of perinatal outcome (Table II). In the group with intact membranes, there was a 50% increased risk of operative intervention due to fetal distress (OR 1.5), though not significant (CI 0.48-4.63) (Table III). Discussion There is a variation in AFI measurements according to gestational age. Values in the current study remain relatively constant until the 33rd week of pregnancy when a progressive decrease starts, becoming particularly evident after the 38th week of gestation. The normal lower and upper limit values of the AFI commonly used up to now, which vary between 50 and 200 mm, are similar to those found in the present study up to the 40th week of pregnancy. When adopting reference values between 80 and 180 mm for every week of pregnancy (19,20), incorrect diagnosis are likely to occur. Our findings, suggested a strong influence of fetal position on sonographic indices of amniotic fluid volume. Furthermore, we recruited women with apparently normal pregnancies and hence most likely with normal amniotic fluid volumes. Further studies should look at the relationship between fetal position and amniotic fluid volume indices in cases of oligohydramnios and polyhydramnios. Pregnant women, who are classified as having oligohydramnios by these criteria, may possibly be considered normal if a reference curve of AFI specific to gestational age were used, especially in term and post-term pregnancies. The adopted limit values indicating an alteration in the AFV are variable. For the fetal biophysical profile, the measurement of just one pocket is adopted, varying from 1 to 3 cm, and considered the lower normal limit by some authors (21,22); however, in this case, total volume would be considered decreased if the AFI were used. In fact, a RCT comparing both techniques showed an overestimation of abnormal results with AFI in post term pregnancies, increasing the number of obstetric interventions (23). These variations in classifying oligohydramnios reflect doubts regarding which percentiles best express the correlation between the decrease in AFV and poor fetal outcome. When the 50th percentile AFI was compared with that reported in a previous study (14), measurements were always higher in our study at all gestational ages by approximately 50 mm up to 28 weeks, and by 30 40 mm between 32 and 40 weeks of pregnancy. On the other hand, the current 50th percentile showed fewer variations, around 10 mm at all gestational ges, compared to the results of the indian study population (15). The importance of a curve that includes the 10th and 90th percentiles is reflected in its greater capacity to identify abnormal cases. Therefore, if the 10th percentile is used as the lower normal limit, there would be less likelihood of missing a case of real oligohydramnios. A curve that included the 2.5th and 97.5th percentiles would diagnose fewer cases of abnormal AFI, and this could result in more cases of oligohydramnios or polyhydramnios being included within the normal range. By adopting the 10th percentile of AFI as the diagnosis for oligohydramnios in our population, the values are higher than those found for the Chinese study up to 36 weeks, but similar around 40 weeks of pregnancy (14). When we compare the results of this study to previous published curves (10-17), similarities can be seen for the 50th percentile of AFT at all gestational ages. However, when comparing the 2.5th percentile, it is evident that the measurements in Moore and Cayles curve are lower up to the 35th week of pregnancy, after which they are higher than the values found in our study curve. The 97.5th percentile of the Moore and Cayle curve is slightly higher at all gestational ages except for the 41st and 42nd weeks. The lower limit of 2 standard-deviations and the mean values of the Jeng et al. (11) curve are slightly lower in relation to the present curve at corresponding gestational ages, except from the 37th to the 42nd week, when values remain higher than those in the present curve. The definition of normal AFI cannot, in itself, guarantee good perinatal outcome. For instance, a 42-week pregnancy with an AFI of 45 mm would be considered normal, but how physiological this value is and what real risk it represents are questions that still need to be fully answered. If the correlation between AFV and perinatal outcome can be established, this curve may have a broader clinical application in prenatal diagnosis and care. Moreover, the curve of the 2.5th, 10th, 50th, 90th and 97.5th percentiles of the AFI measurements shows a significant decrease according to gestational age, especially after the 32nd week. This measurement could, therefore, considered a normal reference curve for the evaluation of AFI. The results of the present study suggest that oligohydramnios after rupture of the membranes in low-risk pregnancies is associated with a nearly four-fold increased risk of operative delivery due to fetal distress. An ultrasound examination of AFI could thus identify those who may need intensified fetal surveillance during labor. The present study was performed on a selected group of women with low-risk pregnancy. As AFI is one of the parameters checked in high-risk pregnancies at our hospital, these parturients were excluded in order to make the study blind. By adding high-risk pregnancies, a much smaller sample size would be needed. The frequency of oligohydramnios in cases with intact membranes was unexpectedly high: 15% instead of 5% in the controls. Although our pregnancies were low-risk, a few showed signs of pregnancy complications on admission to the labor ward (Table I), which might explain the higher frequency of oligohydramnios in this group. Although there was a significant correlation between operative delivery due to fetal distress and oligohydramnios in cases of ruptured membrane (Table II), sensitivity was low (11%), and false-positive and negative rates were 46% and 23%, respectively. Thus the knowledge of oligohydramnios in these low-risk pregnancies did not cause any immediate action, only more intense surveillance during labor. In the present study there was a 50% increased risk of operative fetal delivery due to fetal distress in parturients with oligohydramnios and intact membranes. Teoh et al. studied 120 pregnancies as an admission study in early labor with intact membranes. The frequency of oligohydramnios (AFI < 5 cm) in their study was 22%, and operative delivery due to fetal distress frequency among these was 27%. Based on these data, a sample size of 100 would be sufficient. We chose, however, three times that size, as the low-risk status of their population was uncertain (9, 11). The pathophysiology of oligohydramnios before membrane rupture is unclear. One theory is that a reduced perfusion of the placenta causes hypovolemia in the fetus, and/or an automatic redistribution of fetal blood volume to vital organs with a resultant reduced blood supply to the kidneys. This in turn could lead to reduced production of urine, and thus reduce the volume of amniotic fluid. Bar- Hava et al. studied signs of redistribution, renal blood flow, and signs of oligohydramnios, but could find no correlation. There was no change in the renal artery pulsatility index (12, 14, 19). Oligohydramnios in labor after the rupture of membranes in a low-risk pregnancy is probably not caused by a reduced perfusion of the placenta, but is more probably caused by the loss of large amounts of amniotic fluid at the time of the rupture. One explanation for the significantly increased risk of operative delivery due to fetal distress in the group with ruptured membranes might be that there is an increased risk of the umbilical cord becoming trapped in an ad- verse position, at the time of the rupture, if a large amount of amniotic fluid is lost. Amnioinfusion may be a way to treat such cases in order to restore the volume of amniotic fluid and reduce the risk of compression of the umbilical cord, thus averting the need for operative delivery (11, 21, 23). As a conclusion of the current study, assessment of the AFV during pregnancy using the SDP appears to be more accurate than the AFI, especially the SDP evaluation has not been affected significantly with either different fetal positions or attitudes, but still we are in need for further controlled studies to compare the accuracy of the two modes of AFV assessment. Another conclusion drawn from our study is that an ultrasound examination, including measurement of AFI as an admission test for women presenting at the labor ward with ruptured membranes after an uneventful pregnancy, could help identify those with an increased risk of intrapartum fetal distress, namely those with oligohydramnios. Moreover Measuring AFI in low-risk pregnancies on admission to the labor ward might detect cases needing special surveillance. We are currently preparing a new ongoing study, as an extension to the current study, comparing the previous two parameters of AFV assessment in high risk pregnancies, and the preliminary results could confirm the previously mentioned results, but it is too early to get to a final conclusion.
Wednesday, October 2, 2019
A Critical Essay on Edgar Allan Poeââ¬â¢s The Fall of the House of Usher (1
The twenty first century author Alexandra Iftodi Zamfir (1986- ) argues that ââ¬Ëarchitecture and settings are more important in Gothic fiction than in any other type of literature.ââ¬â¢ (Zamfir. 2011: 15). The nature of architectural space performs a significant role within the narrative structure of Gothic fiction as it creates and builds layers of imagery that signify the horrific and gloomy; a construction full of atmosphere and suspense. It was the Gothic writer Horace Walpole (1717-1797) who first illustrated in his Gothic novel The Castle of Otranto (1764) an example symbolic to the nature and power of architectural space explored through the nature from his own ââ¬Å"â⬠¦house in Strawberry Hill which was the most complete neo-Gothic structure of the time. His mansion, as the author admits, stands at the base ofâ⬠¦architectural designâ⬠¦shapes, decors, landscapes, were all under one form or another, elements of Gothic construction.â⬠(Zamfir. 2011 : 18). This critical essay will explore and analyse the nature of Gothic architecture deployed as a vehicle of Gothic construction within the narrative structure of the American author Edgar Allan Poeââ¬â¢s (1809-1849) macabre and fictional prose The Fall of the House of Usher (1839). (Poe. 1987: 1). I shall present and argue how the artistic effects deployed in the narrative structure create an atmosphere of tension and suspense, through the exploration and investigation of Gothic architecture, demonstrating a close reading and analysis from key passages of the text applying psychoanalytical examples from the nineteenth century theorist Sigmund Freud (1856-1939). (Chiriac: 1998-2011). The Fall of the House of Usher was written by the American author and poet Edgar Allan Poe, it first feat... ...gn_of_Space_in_Gothic_Architecture. [Accessed 11th May 2012] Giordano, R. (2005-2011) Poestories.com: An Exploration of Short Stories by Edgar Allan Poe. [On-line] Available from: http://www.poestories.com/. [Accessed 24th September 2011] Gunn, A.G. (1997-2002) Cyclopaedia of Ghost Story Writers. [On-line] Available from: http://www.jb.man.ac.uk/~agg/ghosts/#poeea. [Accessed 24th September 2011] Hallqvist, C. (2001) The Poe Decoder. [On-line] Available from: http://www.poedecoder.com/. [Accessed 24th September 2011] Montagna, J.A. (2006) The Industrial Revolution. [On-line] Available from: http://www.yale.edu/ynhti/curriculum/units/1981/2/81.02.06.x.html. [Accessed 11th May 2012] Pridmore, J. (1998-2011) Edgar Allan Poe (1809-1849). [On-line] Available from: http://www.literaryhistory.com/19thC/Poe.htm. [Accessed 24th September 2011]
Father of the Bride Speech with Humor, Sentiment, and Love
Father of the Bride Speech with Humor, Sentiment, and Love (Stand up, mobile phone in hand)â⬠Well thank you vicar it is a bit inconvenient at the moment I am just about to start the speeches." Iââ¬â¢m afraid there's been a bit of a hiccup in the proceedings; the vicar has just phoned to say that we have to do the registry signing all over again. It appears that the groomââ¬â¢s pen wouldnââ¬â¢t work so he borrowed the vicarââ¬â¢s. He was still having problems so the vicar said. "Put your weight on itâ⬠(To the bride) Iââ¬â¢m afraid that you are now Mrs. 179 lbs. I'm only going to speak for a couple of minutes because of my throat. If I go on too long my wife has threatened to cut it. I've tried to memorize this speech, which isn't easy when you have the memory retention of a goldfish. So forgive me if I resort to my notes every five seconds. When the happy couple announced that they were going to get married, I asked them what that entailed for me and my daughter said that I would have to give her away. To those of you who know me well, that came as a bit of a shock as I am not used to giving things away. Selling maybe, but giving away, I ask you. However, I did a deal with the groom, your tickets for a Wimbledon tennis match for my daughter. I hope youââ¬â¢ll agree that he came out best. My wife and I would like to welcome the groom's parents and all relatives and friends of both families to this very happy occasion. There are also several people who I. wish could have been here but aren't and hopefully they are keeping an eye on proceedings from afar. I would like to thank the beautiful bridesmaids for looking after the bride, the vicar for a lovely service, his boss for the great improvement in the weather and the staff at the h... ...u in the bar after the speeches. (Be very careful with this joke. It backfired on me. My sister-in-law, who I love dearly, was dressed all in scarlet!) Anyway, I would like to finish off, by giving a few words of advice, to the newly weds. You must always consider the words of Oscar Wilde. "Women are meant to be loved, not understood.â⬠Marriage will bring to you main thingsââ¬âloyalty, self restraint, obedience, a sense of fair play, and a whole host of other virutes that you wouldn't need had you remained single. Put the seat down after you. And remember those two invaluable words ââ¬Å"Yes dear.â⬠. And finally some musical adiue. (Play the first couple of verses of Bobby Veeââ¬â¢s version of ââ¬Å"Take Good Care of My Babyâ⬠) And now, at long last, I hear you say, it gives the great pleasure to propose the toast of long life and happiness to the bride and groom. Father of the Bride Speech with Humor, Sentiment, and Love Father of the Bride Speech with Humor, Sentiment, and Love (Stand up, mobile phone in hand)â⬠Well thank you vicar it is a bit inconvenient at the moment I am just about to start the speeches." Iââ¬â¢m afraid there's been a bit of a hiccup in the proceedings; the vicar has just phoned to say that we have to do the registry signing all over again. It appears that the groomââ¬â¢s pen wouldnââ¬â¢t work so he borrowed the vicarââ¬â¢s. He was still having problems so the vicar said. "Put your weight on itâ⬠(To the bride) Iââ¬â¢m afraid that you are now Mrs. 179 lbs. I'm only going to speak for a couple of minutes because of my throat. If I go on too long my wife has threatened to cut it. I've tried to memorize this speech, which isn't easy when you have the memory retention of a goldfish. So forgive me if I resort to my notes every five seconds. When the happy couple announced that they were going to get married, I asked them what that entailed for me and my daughter said that I would have to give her away. To those of you who know me well, that came as a bit of a shock as I am not used to giving things away. Selling maybe, but giving away, I ask you. However, I did a deal with the groom, your tickets for a Wimbledon tennis match for my daughter. I hope youââ¬â¢ll agree that he came out best. My wife and I would like to welcome the groom's parents and all relatives and friends of both families to this very happy occasion. There are also several people who I. wish could have been here but aren't and hopefully they are keeping an eye on proceedings from afar. I would like to thank the beautiful bridesmaids for looking after the bride, the vicar for a lovely service, his boss for the great improvement in the weather and the staff at the h... ...u in the bar after the speeches. (Be very careful with this joke. It backfired on me. My sister-in-law, who I love dearly, was dressed all in scarlet!) Anyway, I would like to finish off, by giving a few words of advice, to the newly weds. You must always consider the words of Oscar Wilde. "Women are meant to be loved, not understood.â⬠Marriage will bring to you main thingsââ¬âloyalty, self restraint, obedience, a sense of fair play, and a whole host of other virutes that you wouldn't need had you remained single. Put the seat down after you. And remember those two invaluable words ââ¬Å"Yes dear.â⬠. And finally some musical adiue. (Play the first couple of verses of Bobby Veeââ¬â¢s version of ââ¬Å"Take Good Care of My Babyâ⬠) And now, at long last, I hear you say, it gives the great pleasure to propose the toast of long life and happiness to the bride and groom.
Tuesday, October 1, 2019
Comparing and Contrasting PCs and mainframes Essay
Before the existence of personal computer or PC, there is minicomputer or microcomputer, the term ââ¬Å"computerâ⬠simply referred to mainframes. Mainframes and personal computers have changed drastically over the years but their core functions and systems have stayed the same. The mainframe is used to connect multiple users for large organizations, while personal computers are generally used for a single user. The more drastic changes for mainframes and personal computers have been the increase of speed, memory, and the reduction of size. Mainframes use to be the size of buildings, now they are the size of a normal Intel blade server system. Last time when you need to access the mainframe you need to use a terminal for data entry or retrieve certain data. Then, the idea came to off load some of the processing from the mainframe and place it on a personal computer. Compare A mainframe is not much difference from a personal computer. There are many similarities between mainframes and personal computers which stands to reason since one evolved from the other. Both mainframes and personal computers have one or more central processor units, a huge number of memory, one or more busses, and one or more I/O systems. Another similarity between the two is that they are both IBM-based systems and similar hardware is used to build them. They can also perform some complex calculations, applications and handle multiple programs. Another area is that both require operating system to work and also to handle and optimize all the I/O systems or modules. Differences Although they are much similarity between the mainframes and computer as mention above, the similarity stop there as they are many differences too. Mainframes cost much more in terms of thousands of dollar than a normal personal computer or server. The mainframe nowadays takes up less space and less power consumption compare to a server farm task to do the same job. As mention (Shurkin, 1996), Transaction processing jobs run constantly in real-time and must be available more than 99. 99% of the time. The reboots and lock-ups common with PCs are simply not acceptable. Thousands of individual users can log in simultaneously from a variety of sources such as computer terminals, ATM, or Internet web sites, and complete a single transaction. Time-sharing jobs can be started when needed from a computer terminal by authorized users who then use the mainframe as their own big PC. Finally, batch jobs are started automatically by the system at regular times according to a strict predetermined schedule. Batch jobs are used to do the periodic processing required on the data being received from transaction and time-sharing jobs. Closing the accounting books at month-end or copying disk files to tape for backup are examples of batch type processing. The OS or Operating System in a mainframe such as from IBM z/OS which is the successor to the IBM OS/390 can run Multiple Virtual Systems (MVS). The new IBM z/OS support WebSphereà ® Application Server on z/OS, and also the new zFS (System z File System) Direct I/O capability in z/OS. This help to enhance performance improvements to the system, and also provide an easier Parallel Sysplex functionality (IBM, September 2011). In an article by (Barnett G, 2010) stated that the mainframe is best suited for enterprise cloud computing as it is easily able to handle hundreds of complex applications or programs, and most important able to run hundreds of environment in a single physical footprint and easily deliver the 24Ãâ"7 availability that our customers demand. Conclusion (Doerbecker & Patterson, 2002), stated that the role of the mainframe has gradually changed from that of a data processor to that of a server, with the processing being done on the userââ¬â¢s PC. It has also been modified to interface to the Internet through the addition of TCP/IP protocols, Unix, and Java programming, to enable businesses to connect to their customers over that network. Once the only form of business computer available, the mainframe has survived the PC revolution and maintained an important function in commercial computing.
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