Tuesday, December 31, 2019
Writing a Paper
The process of writing a paper includes several basic steps. Following these steps will help to complete the paper according to the requirements. First of all it is very important to specify for yourself which type of paper you are going to write. The process of writing persuasive, descriptive, reflective or any other paper is different for each of these types of writing, thus each requires personal approach. In any case, first thing you should do before starting to write is brainstorming. Brainstorming may be very helpful, especially when you are not sure about the topic of your writing. It helps to generate some interesting ideas and thoughts. When you write down every interesting thought that comes to your mind you may find that some of them are really useful. After brainstorming you will be able to select the best idea for your writing. While writing the paper it is very important to analyze the audience that you refer to in your paper. You need to identify age, ethical and religious beliefs, way of life and social status of your audience. This is very important because every group of people may react differently to the same writing. The next step in the process of writing is defining the purpose of the paper. You need to make it clear what is the effect you want to achieve by the paper. There are some different purposes for the paper which require different ways of writing. For example your purpose may be to persuade your audience, or to make your audience think about specific issue. After defining the purpose of your writing, you should generate thesis statement. This statement should be the main idea of your writing. It should reflect the meaning of the paper and its purpose. Thesis statement helps you to keep the paper focused, which is very important. The best way to start your essay is to prepare a short outline. In order to do this, you need to point out few ideas you want to mention in your paper. Outline will help you organize your paper more effectively. Following the outline will definitely prevent you from writing about some ideas that are not important. As soon as you have your outline ready you may start to write the original paper. While writing the paper according to the outline it is very important to write about each idea that you have mentioned. Try to describe every point of your outline extensively. After completing the rough draft of the paper you should revise it. Check the grammar and spelling of the words. Also make sure that your writing is focused because it often happens that you may start to write about one particular idea and then switch off from your topic while writing. At the end, it turns out that you have few different points in the paper. So while revising the rough draft, always make sure that you still write about the same topic. While writing the final version of the paper try to avoid using unnecessary words. Also make sure that the paper is unified and coherent. Pay attention to the structure of the paper, it should have introduction, body and conclusion. Read through your paper few more times after you will finish writing, this will help you to see some mistakes that you havent noticed before. The process of writing a paper requires a lot of concentration. Of course, not all of the steps mentioned above, have to be followed in order to write a paper. But they will help to write well-organized, structured and creative paper.
Sunday, December 22, 2019
To the Mercy Killers Analysis - 1359 Words
Dudley Randallââ¬â¢s poem To the Mercy Killers tackles one of the most controversial issues in America today: euthanasia. No other issue has divided and caused much division and divergence in thought and views in this county as mercy killing and has through the years along with abortion become the defining topic of politics in America. Mercy killing and in fact the very question of what defines life has becoming a moral dilemma and a divisive factor in our society. Dudley Randallââ¬â¢s To the Mercy Killers is a moving appeal against the practice of mercy killing and the tormenting affect it has on its victims. The poem was written in 1973 by the African-American poet and librarian Dudley Randall and has since become one of the most effectiveâ⬠¦show more contentâ⬠¦Subsequently, the arguments put forth by the PopeShow MoreRelatedEssay about The Terri Schiavo Case and Euthanasia1505 Words à |à 7 PagesThe poem ââ¬Å"To the Mercy Killersâ⬠by Dudley Randall refers to the ongoing debate of the right to live. ââ¬Å"If ever mercy move you murder me, I pray you, kindly killers, let me liveâ⬠(Randall 623). Here he is most likely referring to doctors as ââ¬Å"kindly killersâ⬠who feel that letting him die would be a mercy to him. Randall clearly believes that life is a treasured gift, and should not be purposely extinguished for any reason. However, terminally ill patients should have the right to decide whether theyRead MoreEssay about Case Analysis of Richard Ramirez1572 Words à |à 7 PagesIntroduction This paper presents a case analysis of Richard Ramirez, the serial killer of the 1980s better known as ââ¬Å"The Night Stalkerâ⬠. Using the qualitative method and content analysis, the findings reveal that the law enforcement procedures were minimal because of the technology available during that time and the prosecution was sufficient because of the criminal justice system. Literature Review For instance, Vetter (1990) studied the association of the intensity of the violence within theRead MoreOrdinary Men Essay935 Words à |à 4 Pagesof focusing on number of victims, it examines the mindset of how ordinary men, became cold-hearted killers under Nazi Germany during World War II. Christopher Browningââ¬â¢s ââ¬Å"Ordinary Menâ⬠presents a very strong case that the men who made up the Reserve Police Battalion 101 were indeed ordinary men from ordinary background, and examines the question: How did ordinary men become the cold-blooded killers of the holocaust? The Reserve Police Battalion 101 was a unit of German Order Police, known as ââ¬ËOrdnungspolizeiââ¬â¢Read MoreA Critical Analysis of Healthcare Serial Killers1484 Words à |à 6 Pagesthem from the potential evil our world has to offer, but what if I told you the serial killer may not always be the scary man driving a van and offering candy? Our society, like it does most things, has placed a stigma upon serial killers. Although not all implied labels are untrue, this stigma makes us vulnerable to the hidden deviance lurking behind us, dressed in sheepââ¬â¢s clothing. Over the course of this analysis, I will discuss and elaborate on Christine Lubaszka and Phillip Shonââ¬â¢s work, ââ¬Å"The notionRead More Never Cry Wolf by Farley Mowat Essay example1366 Words à |à 6 Pagesà à à à à For my book report, I have chosen the novel Never Cry Wolf by Farley Mowat. In this report I will give a brief summary of the novel as well as why I have chosen it for my report. Finally, I will give my reactions to the novel with regards to its analysis of the place of human beings in nature, whether the destiny of humans and nature is intertwined, and how nature is regarded by the different religious and political philosophies demonstrated in the novel. à à à à à Never Cry Wolf is based upon theRead MoreForensic Examination Of Forensic Science1434 Words à |à 6 Pageswidely debated topic in the world of forensic science. The new ââ¬Å"Goldâ⬠standard in evidence is DNA analysis, because of its reliability. Finger printing as well as ballistics are often used but are said to be imperfect compared to DNA analysis. DNA analysis is deemed the most reliable because it has faced rigorous scientific experimentation. Fingerprinting is one of the oldest tool of forensic analysis. Fingerprinting is done by dusting a latent print with aluminum flakes. This print is then photographedRead MoreIn Cold Blood Literary Analysis1577 Words à |à 7 PagesLiterary Analysis of In Cold Blood In Cold Blood, written by Truman Capote, is a book that encloses the true story of a family, the Clutters, whose lives were brutally ended by the barrel of a 12-gauge shotgun. The killers were 2 men, each with 2 different backgrounds and personalities, each with his own reasons to take part in such a harrowing deed. Capote illustrates the events leading up to the murder in sharp detail and describes its aftermath with such a perspective that one feels that he isRead MoreInfluence Of Writer s Life And Times1416 Words à |à 6 PagesSteinbeck experienced the emptiness and the poverty suffered by his characters during his time in New York, and used his understanding to weave together a masterful and doleful story inspired by the Great Depression. Assignment #4: Literary Analysis ââ¬Å"It is my natureâ⬠says the Scorpion to the Frog in the aged fable of ââ¬Å"The Scorpion and the Frogâ⬠, an allegorical tale with a meaning that parallels Of Mice and Men by John Steinbeck. In the fable, a scorpion wishes to travel across a river on theRead MoreDeath Penalty Inhumane1011 Words à |à 5 Pagesto, . . . more numerous pretrial motions, and a far lengthier jury selection process and trial than non-death penalty cases (Dellapiana 25). There are many more costs dedicated to the death penalty such as, trial level, appellate, cost-benefit analysis and opportunity, and correction. This proves that money is negatively misused for the death penalty. The cost for the death penalty is outrageous and unnecessary; therefor, the death penalty should be abolished everywhere. Innocent people can sometimesRead MoreNineteen Minutes: Fiction Imitating Reality Essay880 Words à |à 4 Pagesheart wrenching, and cuts into the ââ¬Ëgraysââ¬â¢ of school shootings, it is anything but original. Lead character, Peter Houghton, is an almost perfect profile replication of 1999ââ¬â¢s Columbine shooters, Dylan Klebold and Eric Harris. A simple personaltiy analysis will reveal that both Peter and Columbine Shooters suffer from parental neglect, the violent virtual world, ruthless peers, as well as easy access to weapons. One of the most obvious characteristic of a school shooter would be parental neglect
Saturday, December 14, 2019
Case 33 â⬠the Casino Industry in 2011 Free Essays
Case 33 ââ¬â The Casino Industry in 2011 Brant Davis Problem Summary The Las Vegas and Atlantic City locations have lost revenues in recent years. In addition to the economic slowdown, these gambling locations are also facing new competitors in the market that are providing attractive choices to the customers. Though there are some external forces beyond their control, it seems that attractiveness and accessibility are very important focus areas for these cities. We will write a custom essay sample on Case 33 ââ¬â the Casino Industry in 2011 or any similar topic only for you Order Now Analysis Using the SWOT analysis, we can get a broad picture of the Las Vegas and Atlantic City locations. Some of the strengths of these two cities are; the variety of entertainment they offer, the accommodations available, the atmosphere delivered, and providing a benchmark of quality service expected by the customers. Weaknesses of Las Vegas and Atlantic City are that they can be heavily affected by changes in the economy and the rising numbers of competitors. As the number of competitors rise, Las Vegas and Atlantic City have lost some of their business to places that are simply closer to the customers home. This has opened up some opportunities for these casino giants to make their locations more attractive and accessible to the customers and steal back some of the lost business. One of the largest threats to Las Vegas and Atlantic City locations is that it is getting much easier for the customers to gamble without traveling far. In fact, now the customers have the ability to gamble online right from their homes. Alternatives There are several courses of action these cities can take to grow. The first would be to make it even easier to get to their locations. There were times in the past when Las Vegas and Atlantic City used to basically pick the customer up and bring them into town. If it was easier for the customers to reach them, they might take back some of the business lost to more local casinos. The downside to that of course is the cost of travel would then be transferred to the casino cities. The real gamble here is that there are always people just looking for a free vacation, and just bringing them into town doesnââ¬â¢t guarantee that they will spend a lot while staying there. Another alternative is that Las Vegas and Atlantic City could both focus their efforts on the Legislation that has been keeping gambling from being legal online. Though this would require a lot of employed lobbyists, lawyers, and Politians to side with them. The con to that plan of action would that it would be hard to corner the online market so late in the game. Finally, Las Vegas and Atlantic City could focus on what it can offer to the customers that the other locations donââ¬â¢t. Recommendations Though gambling is such an important part of their revenue, they should focus even more on bringing the customer in for the experiences that canââ¬â¢t be found anywhere else. This would require even more advertisements that give emphasis to the features of the city, and not just the slot machines. Though the retro rebranding of Las Vegas as ââ¬Å"Sin Cityâ⬠seemed like the honest move, they need to make it the place for anyone to come and enjoy. Because Atlantic City has so many people within driving distance, they should focus more on picking families up and bringing them in as well. Often a family will travel on only one major vacation per year. Why not have that location be a city that just happens to have gambling. Additionally, MGM Mirage should be the poster casino for revenue. Las Vegas and Atlantic City have to get further away from the focus of gambling and make themselves the entertainment capitals of the east and west coasts. They need to advertise their cities as the places for people to escape and experience something that canââ¬â¢t be seen at home. They also need to lure in people with discounts and free complimentary benefits so that when the customers arrive, they can justify spending money on the entertainment. Finally, they need to have patience while staying aggressive. The economy is bound to improve, but they canââ¬â¢t just throw money into new buildings that people wonââ¬â¢t travel to. They should slow some of the growth for the next few years and focus on advertising what they have to offer. Customers shouldnââ¬â¢t have to learn about all the great stuff by arriving there, they should go there because of all the great stuff they have already heard about. How to cite Case 33 ââ¬â the Casino Industry in 2011, Essay examples
Friday, December 6, 2019
Dermatology free essay sample
Basal layer: it is where we have mitosis, and then the cells will migrate to the layers above. Prickle cell layer (spinous or squamous). * Granular layer. * Horney layer: it is the uppermost layer in the skin, and it is the layer that we see and touch on the surface of the skin, and it is composed of dead cells that had lost their nuclei. As you can see in the picture that the basophilic structures (the nuclei) are not present in this layer. Although the horney layer has dead cells, it is an important layer in the epidermis because it forms a physical barrier line to protect the internal environment. So problems and diseases affecting the horney layer will impair this protecting function leading to infections, allergiesâ⬠¦ This is how the skin looks under the microscope. The bulk of the skin is dermis; 9/10th of the skin is dermis, and the bulk of dermis consists of collagen (mostly type 1 collagen). The blue things are the nuclei, and the horney layer is devoid of nuclei. And this is the normal basket-weave appearance of the skin. Epidermal cells: * Keratinocytes: the majority. Melanocytes: they are the color-producing cells in the epidermis that produce melanin which is then transferred to keratinocytes. Melanin absorbs UV light and inactivates it, otherwise we have a risk of having cancer. So western communities that have a white skin color (low activity of melanocytes) are more prone to have skin cancers, and the most common type of cancer in the western community is skin cancer; in particular the basal cell carcinoma. * Langerhans cells: they are the macrophages of the skin, and the predominant antigen-presenting cells in epidermis and dermis. And as we know, macrophages have different names in different tissues; in the liver they are called kupffer cells, and in the brain they are called microglial cells. Their function is to take the antigens, process them, and then present them to T lymphocytes, and then they go to the lymph nodes where their action starts. * Merkel cells: they are modified transducers for fine touch. The dermis: The dermis consists of several components: * Fibers (collagen and elastin). * Ground substance (glycosaminoglycans) that hydrates the skin. Several types of cells: Fibroblasts (they produce collagen and elastin), Lymphocytes, Macro, Mast cellsâ⬠¦ * And it has appendages; Glands like sebaceous glands that produce sebum that moisturizes the skin, Apocrine and Eccrine glands that produce sweat that has a function in the thermoregulation of the body; Hair follicles, and Nails. * Also we have supportive structures; nerves, lymphatics, vasculature, smooth muscles. So if a lesion bleeds, then we k now that the pathology is in the dermis. Now, how do we approach patients with a skin disease? * Donââ¬â¢t be shy to introduce yourself as a medical student! Only few of your previous colleagues in the school could get into the medical school, so be proud to say to the patient that Iââ¬â¢m a medical student ðŸâ¢â * Believe it or not, you can establish a connection with the patient by breaking the ice with saying these few words. So it is important for you to identify yourself, so that the patient knows your name and sees your face to have a more personal relation. * Then you take the permission to touch the skin, this is the polite way! Some patients may reject that and say ââ¬Å"NOâ⬠, so you should respect that and say ââ¬Å"thank youâ⬠. * Also you should always maintain the patientââ¬â¢s privacy. Now you have to take the patientââ¬â¢s story, and the first thing you have to think of is to take the chief complaint of the patient. When we say that the patient has rash, this means that the patient has multiple red things with or without scale. And when the patient says that he has a lesion, this means one or few things. And the patient may have other complaints like hair loss, blisters, color change â⬠¦ etc. After you identify the chief complaint, you have to do a quick analysis of the chief complaint: * Onset and progression. * Modifying factors. * Symptoms: the most common symptom in dermatology is itching. Some itches may be painful. And this has a diagnostic indication, for example, herpes zoster infection is a famous painful infection. * In patients who present with rashes, we have to inquire about previous illnesses; viral, fevers, infections, thatââ¬â¢s because the rash may happen because of the illness. * Atopy like in patients who have aczema, asthma, or hay fever, this is only relevant if it was in the patient himself or in a 1st degree relative (father, mother, brothers, sisters), other relatives are not important. * Drugs used. Next we do a quick review to the systems and take the past medical history. In dermatology, weââ¬â¢re lucky that we see the disease, so we depend on a good description or a proper pathologic examination. Derm Exam (TSAD) Then we signified the TSAD exam (Type, Shape, Arrangement, and Distribution). * Type: The 1st step in doing dermatologic examination is to identify the type, itââ¬â¢s not that easy, so you have to know the terminologies and the definitions. We have primary lesions and secondary lesions, we call them secondary lesions if they are modified by other factors, and the main factor is the patient himself when he scratches the primary lesion, so it becomes a secondary lesion. Why is it important to identify the type? Because here is where formulating the differential diagnosis starts. If somebody describes a primary lesion as being a macule, for example, that means that there is only an alteration in the color or the texture of the skin, but no elevation, and no depth. So we only see a color change or a textural change. We call it patch if the diameter is more than 2 cm, and the macule is less than 0. 5 cm in diameter. Here we may think of a pigmentary disorder or a resolving papulosquampus condition as a differential diagnosis. Papules and plaques: means that it is solid and elevated; you can feel the lesion if you close your eyes. If they were small; less than 0. 5 cm in diameter, then we call them papules. If they were more than 2 cm we call them plaques. And when the patient has scaly papules/plaques, we call that papulosquamous condition; eczema is the commonest example on that. When having non-scaly papules/plaques (elevated and red in color), it is called reactive erythema. So the first step of formulating a differential diagnosis is by right identification of the type. So if somebody gives the right description -even if he consults the dermatologist on the phone-, he can know what he has, or at least he becomes oriented to a certain group of lesions. This is just to illustrate the types of the lesions. (Refer to slides #13 amp; 14) *Macule: you can see that there is only change in the color or the texture with no elevation. *Papule: there is an elevation but no apparent depth. *Nodule: its depth reaches the dermis. Those have diagnostic indications, like when we have a pathology of thickening in the epidermis, we think of pure skin disorders. But if it is significantly more in the dermis (the pathology is more in the dermis) where we have blood vessels that may bring diseases from elsewhere in body, so we think of systemic causes. *Pustule: it is accumulation of pus with a diameter less than 0. 5 cm. *Plaque: it is a solid elevation of the skin that is more than 2 cm in diameter. *Scale: it is when there is an increase in the mitosis level of the basal cells, so lots of cells are going to the surface. Cells on the surface have to be desquamated (shed). Normally, we shed cells without realizing that, because cells are shed as single cells (each cell on its own). But when we have hyper-proliferation, the shedding will be in sheets (millions of cells together); this will be visible as a scale. Scales are a hallmark of a group of lesions called papulosquamous conditions. * Shape: Here we give more details of the primary lesion concerning the color, surface, and margins. * Color: * If a lesion is red in color, this means there is blood. [The only thing in the human body which gives a red color is blood (hemoglobin in RBCs)]. This blood can be inside the blood vessels (dilated blood vessels because of inflammatory mediators like Histamine) or hemorrhage (extravasation as in vasculitis or bleeding tendency). * If a lesion is brown or black in color, there is either increase in melanin or increase in the amount of melanocytes. This has good diagnostic implications. * Yellow color comes from carotin. Carotin is present mainly in the subcutaneous fat and to some extent in the horney layer. So there are only three natural colors (pigments) in the skin: brown or black (from melanin), red (from RBCs), and yellow (from carotin). If there is excess pigment of any of them, it will give the predominant color. * Surface: When we look at the surface of the primary or secondary lesion, we have to see whether it is scaly or not. If it is scaly, then it belongs to the papulosquamous conditions; one of the biggest groups of lesions we see. If it is non-scaly, then it belongs to the group of reactive erythemas. * Margins: Margins are either well-defined or ill-defined; and this is especially important for scaly conditions. * Arrangement: How the primary lesions are arranged together. Sometimes they can be in a line (plane warts) or in vesicles (Herpes). * Distribution: If something is generalized affecting the whole skin, we think of inflammatory conditions; they tend to be symmetrical and bilateral. If it is involving only part of the skin, we think of external causes: infection, contact allergy, or trauma. If it is on the sun-exposed parts like hands and face, we think of the sun (conditions like photodermatoses / photoaggravated dermatoses). Red non-scaly rash If a patient has a rash which is red and non-scaly, then it could be a reactive erythema. We have different types of reactive erythemas; the commonest ones are urticaria, erythema multiforme, and erythema nodosum. Vasculitis is the only one of the non-scaly erythematous lesions that has hemorrhage. The other reactive erythemas are inflammatory conditions, so they are non-scaly and associated with dilated blood vessels. If we have a red area, how do we know if it is due to hemorrhage or dilated blood vessels? We do what we call diascopy. We bring a glass slide and press it over the skin; if the color disappears, then the blood vessels are dilated and can be compressed, so its not vasculitis.
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