Tuesday, May 26, 2020

Point of View Essay Topics

Point of View Essay TopicsPoint of view essays allow the writer to put their point of view about an entire story, or the main characters in a particular book. They help you come up with better and more interesting ideas about topics that you would otherwise not have thought of.There are many different types of topics that you can use, depending on your primary interest. Maybe you want to write about yourself and your views on something, or you could use one of the topics that are more general. Whatever your taste, you should be able to come up with topics that will give you more creative freedom.When you are first starting out, it is always important to make sure that you write with the reader in mind. There are many ways to do this, and the most popular ones are almost always part of the core curriculum for all students who are writing about themselves. These are all part of learning how to write. The reason that these should be included in a course for high school English students is that it helps you learn how to get your point of view across to the reader.One of the best places to start is to take some classes at your local high school or community college. For the next few months, you should focus on a certain topic that you know well, and that the teacher agrees upon. You can pick one of your favorite things or come up with something new.Once you have chosen your topic, you need to really think about what you want to write about. What do you know about this topic? If you are trying to get your point of view across, it is important that you describe things as simply as possible.Often, you will want to quote from a newspaper article or other place where the information is being discussed. Another great tip is to choose a different theme each time you write a part of the topic. One example of this is that you might pick a particular season each time you write. This gives you something different to work with each time, and it also gives you a different way to mix things up every time.By picking a different subject each time you write your point of view essay, you will find that it is much easier to come up with interesting ideas and story lines. As a result, you will also come up with a different and better idea for each essay. This will go a long way towards helping you do well in your writing class and will make it much easier for you to write a good essay.

Tuesday, May 19, 2020

How We Define Value Creation - 1521 Words

Questions on Chapter 3 1. How we define value creation and how that is related to competitive advantage? A) Value Creation is a process of creating value to a firm’s product and or service. A firm usually follows a chain of steps (value chain) to create value to its product or service in the market. A company’s competitive advantage and its sustainability is directly proportional to the value it creates for its products among the customers. Value creation can be achieved by the following features of the products or services which form the basic building blocks of the competitive advantage. They are a) Superior quality of the product/service b) Efficiency of the firm c) Innovation ability of the firm and d) Customer responsiveness 2. What is value chain and how it is related to efficiency? A Value Chain is a series of activities a company performs to create value for its products and or service in the market. Michael Porter identified five generic types of activities which are most common in the majority of the firms. These activities are interrelated to each other and may include sub-activities and support activities. Support activities of a firm play a crucial role in building competitive advantage over its rivals. The generic activities form the primary value chain of the company which are listed below. a) Inbound Logistics b) Operations c) Outbound Logistics d) Marketing and Sales e) Service The Chain consisting of generic activities can be depicted as below (MichaelShow MoreRelatedHow We Define Value Creation And How It Is Related? Competitive Advantage?1846 Words   |  8 PagesQuestions on Chapter 3 1. How we define value creation and how that is related to competitive advantage? Competitive advantage leads to superior profitability. At the most basic level, a company’s profitability depends on three factors: the value customers place on the company’s products, the price that a company charges for its products, and the costs of creating those products. The value placed on a product by customers reflects the utility they get from a product, or the happiness or satisfactionRead MoreThe Depth Of Co Creation And Value1470 Words   |  6 PagesINTRODUCTION This essay will go into the depth of co-creation and the co-dependent relationship between businesses and their customers. This relationship is becoming more and more prevalent in the digital age we are currently living in. With the development of technologies that make communication a greater part of our lives – we see an increase of interaction between brands and consumers. As partakers in the digital society, consumers have shown an increased need to be entertained and experienceRead MoreBusiness Analysis : Climate Design1057 Words   |  5 Pagessatisfaction, in addition to increasing sales revenue. Model 1: Customer Value and the Value Creation Process The first framework that I would like to focus on is customer value and the value creation process. What exactly is customer value? How can you define the value customers create? Referring to a simple formula; benefits – cost = customer value, assists in the comprehension of customer value and the importance of value creation in business strategies. This formula states that the cost of a goodRead MoreThe Importance of Understanding Individual Personality in Counseling897 Words   |  4 PagesPersonality as Important to Counseling Each one of us has a vastly different personality that has been morphed from a combination of our experiences and our cognitive processes. In turn, this personality helps define not only who we are, but how we behave. From a counseling perspective, understanding an individuals personality is crucial because it helps guide the therapeutic process into a more definitive and effective manner, correlating the sessions in tune with the mind of the individualRead MoreCulture Is The Greatest Human Invention1243 Words   |  5 Pages Culture is the learned values, beliefs, and rules of conduct that are shared to some extent by the members of a society that govern their behavior with one another. It is the greatest human invention, it is the ultimate definition of what, where, and how we call a place our home. In this essay I will discuss the characteristics, process, and elements within culture, as well as an in-depth look into the different categories and the topic of race within cultur e. A few basic components of cultureRead MoreContent And Nature Of Value Creation912 Words   |  4 Pagesand nature of value co-creation in a service logic based view of value creation, considering the customer perspective in a supplier-customer relationship. They published their findings in the Journal of Service Management vol. 22 no. 1, 2011, pp 5–22. They emphasized to keep apart production and value creation, as according to them they are different constructs. Production is the course of making the resources consumers integrate in their consumption or usage procedures. Value creation is the processRead MoreThe Body And The Earth By Wendell Berry1502 Words   |  7 Pagesdescent into misguided chaos by impact of time, evolution, and industry. He uses evidence from historical literature, religious mindset, the development of gender roles and consumerism of the 1950s, and how one defines love, marriage, and interconnectedness between what Berry calls â€Å"members of Creat ion.† His opinions of sexual monogamy and the importance of self-discovery via entrance into the â€Å"wilderness† are expressed clearly, but as the essay moves through each sub-chapter, his explanations becomeRead MoreDefine Ethics and Social Responsibility and Explain Why They Share Common Characteristics in an Organisational Setting. Identify Recent Examples Where Ethical Practices or Social Responsibility Have Not Occurred and the Implications for Stakehold...1651 Words   |  7 Pagesresponsibility. This essay will define about ethics,social responsibiliy and show how it is going on and how it is importance to manager and global business. So `Ethics or `morality; some people distinguish between ethics and morality: ethics is a standard of conduct for a particular group; morality is a more general standard) is one of those words in our language that we use every day but we find notoriously hard to define. Websters Dictionary defines ethics as 1. the study of standardsRead MoreProject Management1168 Words   |  5 PagesPART I Introduction Von Bertalaffy (1956) defines a system as a complex of interacting elements. Rapaport defines a system as an entity which can maintain some organization in the face of change from within or without. Ryan defines a system as a set of objects or elements in interaction to achieve a specific goal. In 1936, it was first revealed by Ludwig Von Bertalanffy, a biologist. Just because he witnessed them striking parallel to each other he sensed the need for an approach to lead researchRead More Define Ethics And Social Responsibility Essay1556 Words   |  7 Pagesresponsibility. This essay will define about ethics,social responsibiliy and show how it is going on and how it is importance to manager and global business. So `Ethics or `morality; some people distinguish between ethics and morality: ethics is a standard of conduct for a particular group; morality is a more general standard) is one of those words in our language that we use every day but we find notoriously hard to define. Websters Dictionary defines ethics as 1. the study of standards

Saturday, May 16, 2020

Racial Discrimination During The United States - 1592 Words

During the course of the United States’ racial history, being a minority has been no where near easy. Racial discrimination and prejudice were only hushed when M.L.K. gave the famous â€Å"I Have a Dream† speech, and even after that, people still judged based on the color of an individuals’ skin. In the 1960’s, the atmosphere around race was very dense, and there was an extreme amount of tension between whites and blacks. The people of the United States new very well that they had to treat African Americans with respect due to the Declaration of Independence, but words on a piece of paper did not seem to do much when African Americans were discriminated. Now that there are no laws regarding racial undermining or in-equality, a new form of†¦show more content†¦White supremacy has been a problem since the early nineteenth century when a group called the Ku Klux Klan originated. The KKK was a group of southern rebels that were acting out in â€Å"r esistance to the Republican Party’s Reconstruction-era policies aimed at establishing political and economic equality for blacks†(â€Å"Ku†). This rebellious party of southern white supremacy would burn crosses and commit heinous crimes against blacks and white supporters of racial equality. The KKK evaporated into a small portion of the U.S. when the people of America were liberated into understanding that racial discrimination was evil, and that racially segregating people was cruel. The government labeled the KKK as â€Å"terrorists† and banned any type of organization that affiliated with them, but even now, even when Americans believe that white supremacy groups have disappeared, the police brutality cases are proving this belief to be false. It doesn’t matter if the assailant is African American, Indian or Asian because the Executive branch renewed the U.S.A. Patriot Act, which allowed the police task force to racially profile, and make decis ions based on an assailants ethnicity. This racial profiling is not just effecting African Americans, but also Muslims and Arabs. According to the official civil rights website, â€Å"The federal government claims that its

Wednesday, May 6, 2020

How Banks Went Broke A Look Into The Financial Crisis Of...

Lawrence Humes Page 1 4/28/15 Mr. Donnellan Period 1 How Banks Went Broke: A Look Into the Financial Crisis of 2007-2008 At first, nobody foresaw what was about to happen to the economy. The economy at first was at a state of peace and unity. People were taking loans and purchasing houses and these houses were increasing in value. The banks were giving out loans to the people to purchase the houses and earning money on the interest of those loans. That is when people began to notice the advantages of what could be taken from this economic situation. With a new method of earning money quickly and easily, it is no surprise that everybody began to try and use the same methods. Soon enough, the Financial Crisis of 2007-2008 was born into reality. But the real question is, what were the main causes of the 2007-2008 financial collapse? People saw the advantages of this situation. People began to buy houses for their lowest possible prices with their always approved mortgages and would eventually sell them at their high price. The economy at the time has an abundance of house buyers and the value of the hous es were consistently increasing. With that price increasing, there was almost guaranteed profit. But this method of making money was almost too easy. Many people caught glimpse of the chance to strike it rich through this reselling of houses methods. In a blink of an eye, everybody wasShow MoreRelatedHow Banks Went Broke : A Look Into The Financial Crisis Of 2007-20081696 Words   |  7 Pages Lawrence Humes 4/28/15 Mr. Donnellan Period 1 How Banks Went Broke: A Look into the Financial Crisis of 2007-2008 Nobody foresaw what was about to happen to the economy. In the beginning of the 21st Century the economy was at a state of peace and unity. People were taking loans and purchasing houses that they normally couldn’t afford while these houses were increasing in value. The banks were giving out loans to the people to purchase the houses and earning money on the interest ofRead MoreThe Worst Recession Since The Great Depression1347 Words   |  6 Pagesgreatest economic crash of our time, and the worst recession since the Great Depression? Michael Lewis takes us to the very beginning, covering the story of how cynical mortgage brokers and CDO managers were playing fraudulent roulette. A rigged system that was doomed from the beginning but that very well needed every piece to be in place for 2008 to happen. Credit rating agencies SP and Moody’s had to be completely oblivious in properly rating the CDO tranche system, mortgage lenders had to be eagerRead MoreMoody’s Credit Ratings and the Subprime Mortgage Meltdown Essay3023 Words   |  13 Pagesthe value of these bonds disintegrated, and Moody’s was compelled to downgrade them significantly. In late 2008, several commercial banks, investment banks, and mortgage lenders that had been profoundly involved in the subprime market failed. In the wake of these implosions, credit stagnated, consumer confidence plummeted, and job losses increased across the globe. Although the financial crisis had many roots, some analysts felt that Moody’s and other credit rating agencies had played a large roleRead MoreCritically Analyse How the Government Debt Problems Initially Faced by a Few Relatively Small Economies Could Trigger Such a Wide Impact in Financial Markets2394 Words   |  10 PagesCritically analyse how the government debt problems initially faced by a few relatively small economies could trigger such a wide impact in financial markets Introduction Since the Greeces debt crisis happened, the Euro zone has to confront with a huge sovereign debt crisis, like governments debt increased, bond yield spreads widened, Euro exchange rate fell as well, which caused that the whole international financial markets gradually lost the confidence. The purpose of this essay is toRead MoreBreakdown of the Mortgage Supply Chain5482 Words   |  22 Pagescurrent financial crisis by looking at the lack of quality management through the mortgage supply chain. The crisis represents a failure of proper regulation and visibility throughout the mortgage supply chain. Only careful management of these quality issues through all financial institutions and through all aspects of the financial supply chain will remedy the past issues. This is a difficult task but not impossible. This report will discuss each section of the mortgage supply chain and how theRead MoreGeorge Santayanas The Crisis1806 Words   |  8 Pages the past is important, it deserve s its due - don’t brush it aside, don’t pretend it didn’t happen – to better build the world of tomorrow, you need to remember (and account for) the mistakes of yesterday. The mortgage crisis, and all that it lead too for our economy, back in 2007, is an event that should never be forgotten†¦ lest we inadvertently doom ourselves by going through it all over again. Today, of course, the situation has significantly improved; our nation managed to get over this ratherRead MoreThe Irish Financial Crisis Was Both Predictable and Preventable. to What Extent Do You Agree with This Statement?9406 Words   |  38 PagesPaper No. 7811 May 2010 ABSTRACT Whatever Happened to Ireland?* Abstract While Irish GNP quadrupled between 1990 and 2007, this Celtic Tiger growth came from two distinctive, sequential booms, with export driven growth during the 1990s being followed after 2000 by a credit fuelled construction boom. Bank lending rose from 60 per cent of GNP in 1997 to 200 per cent in 2008, causing a house price bubble and a building boom where 20 per cent of GNP came from construction. The collapse of the creditRead MoreThe Pursuit Of The American Dream1545 Words   |  7 Pagesis feasible for anyone regardless of their upbringing. It makes the average Joe conceive that the American dream is still alive today and that anything is plausible if an individual perseveres and works hard enough. However, if one takes a moment to look away from Hollywood’s propaganda and rather on the actual issues facing the United States (U.S.) today, one realizes that there is a profoundly imbalanced polarization of wealth and power in America. Robert Reich’s documentary Inequality for All coversRead MoreEurope Economic Crisis55278 Words   |  222 PagesISSN 0379-0991 Economic Crisis in Europe: Causes, Consequences and Responses EUROPEAN ECONOMY 7|2009 EUROPEAN COMMISSION The European Economy series contains important reports and communications from the Commission to the Council and the Parliament on the economic situation and developments, such as the Economic forecasts, the annual EU economy review and the Public ï ¬ nances in EMU report. Subscription terms are shown on the back cover and details on how to obtain the list of sales agentsRead MoreThe Pursuit Of The American Dream1421 Words   |  6 Pagesis feasible for anyone regardless of their upbringing. It makes the average Joe conceive that the American dream is still alive today and that anything is plausible if an individual perseveres and works hard enough. However, if one takes a moment to look away from Hollywood’s propaganda and rather at the actual issues facing the U.S. today, one realizes that there is a profoundly imbalanced polarization of wealth and power in America. Robert Reich’s documentary Inequality for All covers what is called

What Are Start Ups - 2790 Words

Introduction 1. What are start ups? A start-up can be described as ‘a business or undertaking that has recently begun operation: grew from a tiny start-up to a large corporation’. (Anon., 2014). The key point here is to grow from a tiny business which denotes starting small. Meanwhile Merriam-Webster dictionary makes it more action oriented by describing a start-up as â€Å"the act or an instance of setting in operation or motion† or â€Å"a fledgling business enterprise.† The likes of Neil Blumenthal, cofounder and co-CEO of Warby Parker say â€Å"a start-up is a company working to solve a problem where the solution is not obvious and success is not guaranteed,† (Robehmed, 2013). In other words we should be seeing a start-up as a tiny venture,†¦show more content†¦In the eyes of the entrepreneur or initiator of a start-up, they don’t see problems as problems rather they see them as opportunities. Which brings us to the next phase of the discussion – what are opportunities? Literature review and critical analysis 2. a What are opportunities in the eyes of an entrepreneur? The Ebola epidemic of 2014 is the worst in history (Center for Disease Control, 2014), with 3 countries in Africa ravaged to their limits. However in the midst of this catastrophe, some entrepreneurs recognise this as their Eureka moment. As a result relatively unknown biotechnology companies like Ibio Inc, Lakeland Industries Inc , and Alpha Pro Tech Ltd who manufacture diagnostic products, Hamzat suits and face masks respectively have seen their stocks rise on the new York stock exchange with investors buying up their shares rapidly (Yasmeen Abutaleb, 2014). In the means of all the chaos, entrepreneurs are still able to identify opportunities. 2 C. Identifying opportunities Doug Neal, the Executive Director of the Center for Entrepreneurship, University of Michigan College of Engineering, Ann Arbor attempted to distinguish 6 different techniques through which Entrepreneurs identify opportunities upon which they build their businesses from observing patterns of behaviour and

Connection between Dharma and Destiny Mahabharata Essay Example For Students

Connection between Dharma and Destiny: Mahabharata Essay When it comes to literature the world has a lot to offer. From novels to poems history has given us plenty to read and learn from. Some literary works are more than just for reading purposes such as the great epic of Mahabharata. In Hinduism Mahabharata is one of two major factors that led to the creation of the religion, the other being Ramayana. Around 3000 BC Mahabharata was told in the form of stories or gossip between gods, kings, and common people. â€Å"It presents sweeping visions of the cosmos and humanity and intriguing and frightening glimpses of divinity in an ancient narrative that is accessible, interesting, and compelling for anyone willing to learn the basic themes of Indias culture† (Fitzgerald 5). This shows why Mahabharata is more than just apiece of literature, it teaches us the connection between destiny and dharma and how one can get lost in the mist of finding out which is the right path. The 90,000-verse epic consists of a hero and a villain both being from the same bloodline. The hero is Yudhishthira, the leader of the Pandavas and son of Dharma. Pandavas consist of him and 4 of his younger brothers: Bhima, Arjuna, Nakula, and Sahadeva. All of the Pandavas were born through a boon that was given to Pandu’s first wife Kunti. Pandu was cursed after he accidently killed a sage and his wife that he would die is he had intercourse, so he couldn’t have children. Kunti had a boon to have kids from different gods, which she gave the boon of two kids to Pandu’s second wife Madri. Kunti gave birth to Yudhishthira (son of Dharma god of righteousness), Bhima (son of wind god Vayu), and Arjuna (son of sky god Indra); while Madri gave birth to the twins Nakula, and Sahadeva (sons of Ashwini gods). The villain of Mahabharata is Duryodhana, the leader of the Kauravas. He is the oldest of 100 siblings; however, he is still younger than Yudhishthira. The Kauravas and Pandavas are first cousins, making Yudhishthira the rightful heir to the throne of Hastinapur. This is where all the problems start to come in because Duryodhana thinks he should be the heir to the throne since his blind father Dhritarashtra is the current king due to the passing of Pandu. There is tension between the Kauravas and Pandavas ever since their childhood that keeps building up more and more until the war of Kurukshetra takes place between the two clans. Throughout the epic of Mahabharata the association of dharma and destiny comes into play over and over again with different sceneries and situations. Dharma is doing what’s right under a certain situation. â€Å"Dharma is based on wisdom, insight and human values† (Kini 1). Destiny is seen as fate or unchangeable, if it’s meant to be then it will happen no matter what. This often creates an unbalance between destiny and dharma. One might be so caught up in his destiny that they might forget their responsibilities due to dharma. For example when Dhritarashtra plans to give the Pandavas half of the kingdom in order to keep peace and harmony within the family, Duryodhana is furious. He writes a long speech to convince his father not to give the Pandavas anything. Saying that if the Pandavas are destined to have the throne then they will get it even if the whole world is against them, and if they’re not destined then no matter what they do they will be unsucce ssful. This shows how much Duryodhana believed in destiny, and how badly he didn’t want to give up any of his kingdom without a fight. Throughout the epic Duryodhana tends to blame everything on fate and destiny opposed to blaming himself for his own actions and mistakes. He forgets the role of dharma and acts out of place without thinking of any consequences he might face due to his ego and stubbornness. He felt as if a war is destined to happen then let it happen, no matter what measures are taken to prevent it. This is a key reason why it’s said that Duryodhana and Dhritarashtra are to blame for the destruction of the Kauravas. The blame goes on Dhritarashtra for not stopping his son from starting war even though he had multiple chances to create peace. And Duryodhana for wanting to have the war against the Pandavas even though the war wasn’t necessary. The Pandavas were great-full for everything even when they were given only half the kingdom, or when they s erved 13 years in exile due to their lost in the dice game against Duryodhana. .ue070c086058d2d548b10a8867b41b6ed , .ue070c086058d2d548b10a8867b41b6ed .postImageUrl , .ue070c086058d2d548b10a8867b41b6ed .centered-text-area { min-height: 80px; position: relative; } .ue070c086058d2d548b10a8867b41b6ed , .ue070c086058d2d548b10a8867b41b6ed:hover , .ue070c086058d2d548b10a8867b41b6ed:visited , .ue070c086058d2d548b10a8867b41b6ed:active { border:0!important; } .ue070c086058d2d548b10a8867b41b6ed .clearfix:after { content: ""; display: table; clear: both; } .ue070c086058d2d548b10a8867b41b6ed { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ue070c086058d2d548b10a8867b41b6ed:active , .ue070c086058d2d548b10a8867b41b6ed:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ue070c086058d2d548b10a8867b41b6ed .centered-text-area { width: 100%; position: relative ; } .ue070c086058d2d548b10a8867b41b6ed .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ue070c086058d2d548b10a8867b41b6ed .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ue070c086058d2d548b10a8867b41b6ed .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ue070c086058d2d548b10a8867b41b6ed:hover .ctaButton { background-color: #34495E!important; } .ue070c086058d2d548b10a8867b41b6ed .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ue070c086058d2d548b10a8867b41b6ed .ue070c086058d2d548b10a8867b41b6ed-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ue070c086058d2d548b10a8867b41b6ed:after { content: ""; display: block; clear: both; } READ: Free College Admissionss: My Biggest Mistake EssayThe dice game is one of the biggest events that take place in Mahabharata. The dice game comes about when Duryodhana goes to visit the Pandavas half of the kingdom. He becomes embarrassed because he falls in a swimming pool, so he invites Yudhishthira to play a game of dice in hopes of revenge. Yudhishthira accepts knowing the laws of dharma, and destiny. He knows that a roll in the dice is all on destiny yet he still wants to play saying that he is bows down to his fate. Eventually Yudhishthira losses everything: his kingdom, his wife, his brothers, and even himself. At this point Duryodhana wages one last roll where the w inner gets the kingdom and the losers go on exile for 13 years. Duryodhana says that the loser can ask for the kingdom back when they are done with their exile. Yudhishthira replies by saying, â€Å"Success or misfortune will come to me whether I play or not† (William 100). This shows how Yudhishthira is not afraid of the outcome regardless if he wins or loses. He believes in fate and regardless of what he does, his fate is sealed. Even when he loses everything he keeps playing thinking maybe he can control his fate, but he comes out empty handed at the end. Dharma also comes up throughout Mahabharata, and is mainly present in the warrior cast. To warriors dharma is the obligation due to their job as a warrior opposed to thinking of what’s best for the people. Such as Duryodhana, he doesn’t care of the consequences and problems that may arise after the war. He never thinks about what would be left if he won the war, would he still have all 100 of his brothers? Is there even going to be a kingdom left to rule after the war? Little did he know that dharma and destiny are always on the good side, the side of truth and justice. Another example of dharma is when the war at Kurukshetra begins and the two armies go head to head. The warriors on both sides are following their dharma by fighting against their own relatives. Ones dharma as a warrior is to fight and defend until it’s all said and done, even if that means to fight their own blood. Before the war started Lord Krishna explains the laws of dharma and destiny to Arj una, who doesn’t want to fight his own relatives. Krishna tells Arjuna that for him as a warrior his dharma is to fight no matter who it is; neglecting to do so would be disrespectful to all the great warriors that died on the battle field. Lord Krishna showed Arjuna his divine form and told him that he is the truth, he is god, and therefore victory is on their side. This scene tell all about the aspects of right and wrong, one duty to their caste, and how fate is something that is uncontrollable even by god. Throughout history Mahabharata has grown into a classic, not only in Hinduism but also as a great piece of work. â€Å"The Mahabharata definitely is one of those creations of human language and spirit that has traveled far beyond the place of its original creation and will eventually take its rightful place on the highest shelf of world literature beside Homers epics, the Greek tragedies, the Bible, Shakespeare, and similarly transcendent works.† says James L. Fitzgerald, a professor of Sanskrit at Brown University (Fitzgerald 4). This really shows how important this masterpiece has become in the literary world. It shows us how ancient authors wrote and also how they came about with all the different stories within Mahabharata. Like the bible, Mahabharata teaches us how to obey or dharma while letting fate do the rest. As long as we follow our dharma and follow the truth there will always be light to show us the way to righteousness, because what isn’t dharma is forbidd en by dharma. .u3bb9ccf6ab1e2b61dec27be0072e269e , .u3bb9ccf6ab1e2b61dec27be0072e269e .postImageUrl , .u3bb9ccf6ab1e2b61dec27be0072e269e .centered-text-area { min-height: 80px; position: relative; } .u3bb9ccf6ab1e2b61dec27be0072e269e , .u3bb9ccf6ab1e2b61dec27be0072e269e:hover , .u3bb9ccf6ab1e2b61dec27be0072e269e:visited , .u3bb9ccf6ab1e2b61dec27be0072e269e:active { border:0!important; } .u3bb9ccf6ab1e2b61dec27be0072e269e .clearfix:after { content: ""; display: table; clear: both; } .u3bb9ccf6ab1e2b61dec27be0072e269e { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u3bb9ccf6ab1e2b61dec27be0072e269e:active , .u3bb9ccf6ab1e2b61dec27be0072e269e:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3bb9ccf6ab1e2b61dec27be0072e269e .centered-text-area { width: 100%; position: relative ; } .u3bb9ccf6ab1e2b61dec27be0072e269e .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3bb9ccf6ab1e2b61dec27be0072e269e .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3bb9ccf6ab1e2b61dec27be0072e269e .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u3bb9ccf6ab1e2b61dec27be0072e269e:hover .ctaButton { background-color: #34495E!important; } .u3bb9ccf6ab1e2b61dec27be0072e269e .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3bb9ccf6ab1e2b61dec27be0072e269e .u3bb9ccf6ab1e2b61dec27be0072e269e-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3bb9ccf6ab1e2b61dec27be0072e269e:after { content: ""; display: block; clear: both; } READ: We as a society are fortunate. We have the luxury EssayToday dharma is seen through a different perspective. The average person continues to link morality with religion and this make the Mahabharatas rational deliberations on dharma seem modern and even revolutionary†, says Gurucharan Das. The debate between what’s moral and immoral when it comes to religion is todays example of dharma. Dharma is morality of what’s right and what’s wrong, and for Mahabharata to be dealing with the same issues that are here today shows us how mankind will forever have the same characteristics and same flaws as they’ve had all throughout history. However we can learn from the situations that were faced by the Pandavas and Kauravas in Mahabharata by reading and learning its teachings. Learn how to be grateful for everything that life has to offer, that’s why the Pandavas were always happy just to have one another no matter of the situation that destiny has put them in. Destiny will always be sealed no matter what we do to empower it, all we can hope for is to follow our dharma and let fate do the rest. Works Cited Fitzgerald, James L. A Brief Description of the Mahabharata. A Brief Description of the Mahabharata. N.p., 09 May 2009. Web. 1 Dec. 2013. Kini, MD. Sense, Non-Sense and Common Sense. Mahabharata: A Story of Dharma. N.p., 03 Mar. 2011. Web. 02 Dec. 2013. Bhartiya History. Mahabharat. The Vedic Foundation, Jan. 2006. Web. 02 Dec. 2013. Buck, William. Mahabharata. 1st ed. CA: University of California, 2000. Print. Pattanaik, Devdutt. Jaya: An Illustrated Retelling of the Mahabharata. N.p.: Penguin India, 2011. Print

Tuesday, May 5, 2020

Physical Therapy Abdominal Surger

Question: Case Scenario Mary, a 29 year old healthy, active female, has just returned from a trip abroad. One week before returning to this country she began noticing some right shoulder and upper thoracic pain. Initially she thought it might be a mild strain since she had been carrying heavy bags throughout the different train stations and airports. Since returning home, the pain increased. She saw her physician for the problem the week after her return. An x-ray of the shoulder was normal. She was given Motrin anti-inflammatory medication and referred to physical therapy. During the physical therapy evaluation, she reported that she was in good health except for the pain in the right shoulder region. However, she did notice her urine had been noticeable darker since she had initially seen the doctor but reported no pain with urination or back pain. The objective assessment by the physical therapist was as follows: In standing the patient presented with a mild mid-thoracic spinal kyphosis. Thoracic symptoms were not provoked with active trunk movements. Passive accessory movements using central and unilateral pressures over the thoracic spine were unremarkable for pain except for some hypomobility between T5-T8. On palpation of the mid rhomboids and right upper trapeziums, tenderness was noted. Shoulder arm range of motion was restricted in the last 25% of motion in flexion and external rotation. Special test for impingement was unremarkable. Shoulder strength was normal and distal sensation intact. Based upon the findings, the physical therapist began treatment of the right shoulder. The patient proceeded with manual therapy and exercise for several visits gaining in right shoulder range of motion and noting a decrease in her shoulder pain. The beginning of the second week of therapy the patient called in sick and indicated she was not going to make her appointment. She returned on her next scheduled appointment. She reported to the therapist that during the weekend she had right upper abdominal pain and that her urine appeared to be darker and noted a change in bowel habits. In addition she began to note a slight yellowish to the skin as well as a fever from time to time. The physical therapist cancelled the treatment and notified the patient's physician of the change in status. 1. What do you think is going on with this patient? 2. What history, symptoms, and patient information clued the therapist to refer the patient back to the physician? 3. Why was therapy canceled? Explain your answer. 4. Active and passive mobility test of the thoracic spine failed to provoke any significant symptoms. During the initial assessment, what type of follow-up questions should the therapist have asked to further investigate the pain? Additional Questions:Respond to these questions using information from your textbook and your clinical practice. DoNOTrefer to the scenario above. Each question is worth 2 points. 1. Where does visceral pain occur in the abdominal region? Why is visceral pain considered hard to localize with the abdomen? 2. Define dysphagia. Other than occurring in gastrointestinal disorders, name at least two other conditions where the symptoms of dysphagia can occur. 3. Low back pain may be the only symptom associated with what type of cancer affecting the digestive system? 4. Explain the different ways of bleeding in the GI tract can be manifested and the possible causes. 5. What is the significance of Kehr's sign? 6. What areas of the body can gastrointestinal (GI) disorders refer pain to? Answer: (1) Mary, a healthy lady, just returned from the trip.The problem with the patient started as pain in right shoulder and upper thoracic region before her return to the country. As her x-ray report was normal physician suggests her to go for physical therapy and gave her anti-inflammatory drug and her pain was relieved to some extent. The patient is facing the problem of dark urination from the day beginning of her appointment with the physician, but she is not having any pain. Dark urination without any burning sensation, in this case, helps to rule out the chance of urinary tract infection. According to van Slambrouck et al., (2013), dark coloration of urine can happen due to dysfunction of liver.Bile is produced at liver and gets accumulated in the gall bladder. Excess bile excretes out through the kidney and makes the color urine darker. In this case as fever is not associated with chill the case of biliary obstruction can be ruled out (Yang 2015). T5-T8 region is the position where the liver is located. The patient is having the dark urine from the very first day and it is still continuing and additionally, her skin color is changing. Yellow discoloration of skin with fever is a symptom of liver ailment like jaundice. It takes few days to week to develop symptom of jaundice (Barr, 2013).Upper abdominal pain accompanying the other symptoms is also an indicator of jaundice. As stated by Yabluchansky et al., (2015), change in bowel habits and yellowing of skin with fever is warning symptoms of hepatitis C. Looking at the above conditions, it can be suggested that the patient is suffering from the liver related problem. (2) The patient has a history of a recent foreign trip. She also developed symptoms of upper abdominal pain and intermittent fever. A change of skin color to yellow is also reported by the therapist. The patient also informed that there is change in the color of urine and change in bowel habit. This entire series of incidents clued the therapist to refer the patient to the physician. (3) The therapy was canceled by the therapist as the condition of the patient deteriorated when she developed some other symptoms which may have risen due to some other reason. Patient has returned from a foreign trip with a history of pain in her upper thoracic and right shoulder region. Later she went through physiotherapy with anti-inflammatory medication as her X-ray report was normal. When the patient was referred to the physiotherapist she had mild thoracic kyphosis and hypo-mobility was observed between T5-T8 regions. Tenderness on palpitation of mid thromboids and upper trapeziums with normal shoulder strength was also observed before she was referred to a physiotherapist. During her second week of appointment to the physiotherapy the patient developed the symptoms of upper abdominal pain and irregular bowel movement. She also reported that dark urination problem was consistent for more than two weeks, and she is also having fever at regular interval. (4) A physiotherapist must evaluate and examine all the probable causes of the patients symptoms. A visit to the therapist for a number of times the patient was able to gain right shoulder range of motion and a decrease in shoulder pain. In this case, it was thought that the patients symptoms were due to pain in shoulder. Therapist should have asked the questions When is the pain beginning? How long is the pain sustaining? Is there any activity which is increasing the pain? Whether the pain is radiating or localized? Is there any previous injury? (1) Abdominal cavity being the largest body cavity contains the following organs liver, adrenal glands, gallbladder, spleen, pancreas, small intestine kidneys, and large intestine. Abdominal visceral pain arises from visceral peritoneum. Visceral pain is hazy, crampy, tedious which is hard to describe. Visceral pain abdomen is hard to locate also (Brglum Jensen, 2012). As visceral organs are connected with spinal cords and send afferent stimuli to spinal cord. A number of nerve endings in the visceral organs of abdomen are comparatively less than other organs like skin. This is also due to widespread deviation of visceral input within the CNS (2) Dysphagia: Dysphagia is a medical term used to indicate difficulty in swallowing. This also refers to condition in which a sensation of stacking some thing in the tract from mouth to stomach. According to Tsuzuki et al., (2012) dysphagia can happen due to conditions other than gastrointestinal disorders. Lung cancer and lymphoma in can create similar type of symptoms as dysphagia. Infectious disease such as tuberculosis may also develop dysphagia like symptoms. Cardiovascular diseases like dilated auricles can also cause esophageal dysphagia. (3) Pancreatic cancer is associated with only symptoms of lower back pain. (4) Bleeding may occur in GI in different ways. Vomiting red blood or heatemesis is bleeding from upper gastrointestinal tract. Black blood vomiting is an indication of upper gastrointestinal tract bleeding. The color of vomitus becomes dark due to exposure to gastric acid of heme molecule of red blood cells. Peptic ulcer is considered to be the cause of black blood vomiting. Blood in stool is the excretion of fresh blood in or with stool. This kind of bleeding pattern is associated with lower GI tract due to due to hemorrhoids, colorectal cancer, ulcerative colitis, inflammatory bowel disease, etc. Black stool or melena is associated with peptic ulcer or bleeding from upper GI tract. (5) Kehrs sign is a kind of referred pain. This indicates a violent pain in the shoulder (Intravia DeBerardino, 2013). This happens due the presence of blood in the peritoneal cavity. When the pain is in the left shoulder, then it is an indication of ruptured spleen. Often this discovery is endorsed with German surgeon Hans Kher. (6) Pain can be felt at different region of body, but it can have its origin in gastro intestinal tract. Pain in upper right abdomen and right shoulder area may be due to dysfunctional gallbladder. Mild to moderate pain in right shoulder may be due to hepatitis. Manifestation of esophageal pain is heart burn or chest pain. Acute pancreatitis or pancreatic pain injury refers to the left shoulder. Gastric ulcer pain passes on to substernal region while perforated ulcer pain refers to one or both the shoulders. (Huang Azagury, 2016). References: Barr, D. A. (2013). Jaundice and liver injury: 5 case reports.Reactions,1453, 25. Brglum, J., Jensen, K. (2012).Abdominal surgery: advances in the use of ultrasound-guided truncal blocks for perioperative pain management. INTECH Open Access Publisher. Huang, L. C., Azagury, D. E. (2016). His Upper GI Tract. InMen's Health(pp. 51-67). Springer New York. Intravia, J. M., DeBerardino, T. M. (2013). Evaluation of blunt abdominal trauma.Clinics in sports medicine,32(2), 211-218. Tsuzuki, A., Kagaya, H., Takahashi, H., Watanabe, T., Shioya, T., Sakakibara, H., ... Saitoh, E. (2012). Dysphagia causes exacerbations in individuals with chronic obstructive pulmonary disease.Journal of the American Geriatrics Society,60(8), 1580-1582. van Slambrouck, C. M., Salem, F., Meehan, S. M., Chang, A. (2013). Bile cast nephropathy is a common pathologic finding for kidney injury associated with severe liver dysfunction.Kidney international,84(1), 192-197. Yabluchansky, M., Bogun, L., Martymianova, L., Bychkova, O., Lysenko, N., Makienko, N. (2015). Approach to the Patient with Disease of the Hepatobiliary Tract and Pancreas. Yang, D. (2015). Abnormal Liver Function.Handbook of Medicine in Psychiatry.