Tuesday, May 31, 2011

In Chapter 23 of Harper Lee's To Kill a Mockingbird, how does Jem's argument about there being "four kinds of folks" apply to our world today?

In Chapter 23 of Harper Lee's To Kill a Mockingbird, Scout grows extremely upset when Aunt Alexandra denies Scout permission to play with Walter Cunningham, Jr.; Aunt Alexandra even goes so far as to call Walter "trash." In an effort to console his sister, Jem explains to Scout realizations he has had about the differences in people, differences that help explain why everyone is so willing to "go out of their way to despise each other." Jem explains his understanding of differences in the following speech:



There's four kinds of folks in the world. There's the ordinary kind like us and the neighbors, there's the kind like the Cunninghams out in the woods, the kind like the Ewells down at the dump, and the Negroes. (Ch. 23)



Jem continues in his explanation to link people's differences to levels of education. We see him draw this connection when he explains to Scout what he believes Aunt Alexandra means when she speaks of "Old Family." Jem has reached the conclusion that "Old Family" does not refer to a person's background but rather to "how long your family's been readin' or writin'." In other words, a family, like the Finches, can be considered a good family of solid birth if the members are well-educated. Those who are not equally well-educated, like the Cunninghams and the Ewells, can be considered, according to Jem and Aunt Alexandra, inferior.

Though Jem's views are controversial, especially today when we like to think of everyone as the same and equal, there is some truth to his argument. Even today, there are different classes and varieties of people. There are the well-educated types, like the Finches; the farming types, like the Cunninghams; the derelicts of society, like the Ewells; and the marginalized. Though there are more opportunities for education today, what separates classes of people is still their education level. Education is and always will be the great equalizer; so long as differences in levels of education exist, inequalities and class distinctions will always exist.

Which sentences contribute to a sense of hope in this excerpt from "The Story of an Hour" by Kate Chopin?She wept at once, with sudden, wild...

When Louise Mallard goes to her room right after she learns her husband died in a train accident, she locks the door and goes to sit in front of an "open window [in] a comfortable, roomy armchair."  The connotations of words like open, comfortable, and roomy are all very positive, and thus they begin to contribute to the hopeful mood.  It seems easier to imagine that a woman, having just learned of her husband's death, might be unable to find any place comfortable or even feel emotionally equipped to look out at the wide world.  When we are terribly sad, we often hole up in a dark place and cry or sleep or both.  However, Louise does the exact opposite; she goes to her open window where she can experience the world outside, instead of dwelling in the world inside herself.


Further, the types of things Louise notices when she looks outside have even more positive connotations, and help to establish that sadness is not her overwhelming emotion;  in fact, she now feels hope.



She could see in the open square before her house the tops of trees that were all aquiver with the new spring life. The delicious breath of rain was in the air. In the street below a peddler was crying his wares. The notes of a distant song which someone was singing reached her faintly, and countless sparrows were twittering in the eaves.



Again Chopin uses the word open as if to signify the new possibilities of Louise's life, her increased options and freedom.  Moreover, it is spring, the season typically associated with rebirth; it is a hopeful season, after the chill death of winter, that heralds new life all around.  The trees are aquiver, the smell of coming rain is delicious, the trees and streets are full of life and sounds that are all completely positive and joy-giving and hopeful.  Water, like spring, also frequently connotes a new life or rebirth as well.  In addition, Louise hears music made by both people and birds, and the singing sparrows -- like her new possibilities -- are so numerous that they seem countless to her.  All of these descriptions work to establish not a sad or depressed mood but, rather, a hopeful, joyful one.  

What effect did the Spanish-American War have on American society?

The Spanish-American War impacted American society. Many Americans were looking for our country to expand beyond our borders. They were hoping for an opportunity for the United States to get more land. The Spanish-American War gave us that opportunity. After the Spanish-American War, we received colonies from Spain. We got the Philippines, Puerto Rico, and Guam.


After the Spanish-American War, Americans continued to believe we should expand our influence around the world. Many Americans supported Theodore Roosevelt’s actions to get a canal built in Panama. They supported the building of our new navy and its travel around the world to show our military power. They supported the invasion into the Dominican Republic in 1905. They supported Taft’s program of Dollar Diplomacy. Our society wanted a more aggressive foreign policy and that developed after the Spanish-American War. There was a stronger belief in our actions and status as a world power country. Americans had a very confident attitude about our actions and about our country as a result of the Spanish-American War.

Which quotes from the novel Lord of the Flies best illustrate the breakdown of social order on the island?

In Chapter 8, Jack says that he quits Ralph's group and runs off to the other end of the island to start his own tribe. Shortly after Jack leaves, the majority of the boys follow him and decide to join his tribe. Ralph is extremely upset to see how many boys abandoned the group and has a discussion with Piggy about why the social order has been declining. Ralph mentions that he is scared and says,



"Not of the beast. I mean I’m scared of that too. But nobody else understands about the fire. If someone threw you a rope when you were drowning. If a doctor said take this because if you don’t take it you’ll die—you would, wouldn’t you? I mean?" (Golding 200).



Ralph cannot comprehend how Jack and his band do not care about being rescued. They are not concerned about maintaining a signal fire and choose to hunt rather than be civil. The boys' disregard for maintaining a signal fire and Ralph's frustration illustrate the breakdown of social order on the island.

In Chapter 11, Ralph, Piggy, and Samneric travel to Castle Rock to retrieve Piggy's stolen glasses. While Ralph is speaking with Jack, Roger hurls a giant boulder towards Piggy. Golding writes,



"The rock struck Piggy a glancing blow from chin to knee; the conch exploded into a thousand white fragments and ceased to exist. Piggy, saying nothing, with no time for even a grunt, traveled through the air sideways from the rock, turning over as he went" (260).



The rock not only kills Piggy but also destroys the conch which is a symbol of civility and democracy. This scene depicts how depraved and barbaric the boys have become on the island. With the destruction of the conch, there is no longer any hope for civilization on the island which illustrates the extensive breakdown of social order.

What materials will help me start writing an essay on The Hunger Games?

Do you know the essay's prompt already? If you have free reign over the topic of your essay, you should enter your planning period with some questions you will answer in your essay. Think about the topics and themes in The Hunger Games that are interesting to you before your begin planning. Remember, the best literature essays set out to answer some sort of problem that exists within the text. Determine what "problem" you want to solve, and work from there. 


After you select a literary problem to solve, having quotes and character profiles is excellent. Your quotes should all center on similar themes so that it is easier to use them as you organize your essay. Since this is The Hunger Games, you may also want to look at the relationships of  the characters in addition to having a detailed profile. It sounds like you are off to a good start.

Monday, May 30, 2011

This passage in In Cold Blood precedes the story: "Men, our brothers, who live after us, Do not harden your hearts against us, For if you take...

Among the reasons so many were shocked and affected by the murder of the Clutter family was that the crime seemed to be meaningless and without motive. In the 1950s, the idea that a person or people would kill someone for the thrill was incomprehensible and a clear indication that the person who committed the crime was a monster. In light of that, one of Capote's objectives was to demonstrate that, despite the violent and shocking nature of the crime, the murder wasn't the act of a monster, but of an ordinary human being. Moreover, Capote largely avoids the good/evil binary, choosing instead to explore how the personal history and experiences of each killer has led up to the murder of the Clutters.


When it comes to his portrayal of Perry Smith and Dick Hickcock, his bias is heavily present throughout the story. In describing Dick, Capote is generally light on sympathy and at times seems to go out of his way to emphasize Dick's violent and psychotic behavior. His description of Perry, on the other hand, is almost overly sympathetic. Capote spends considerable time detailing Perry's tragic personal history, pointing out the various ways in which he has been victimized and abused in his younger years. While he never tries to justify the behavior of either man, it is apparent that Capote sees (and wants the reader to see) a possible connection between Perry's personal history and his crime, which has provoked the author's sympathy. He offers considerably less sympathy for Hickcock.


As for the Villion quote that appears at the beginning of the story, you are correct in connecting it with Capote's desire for the criminals to be better-understood and forgiven. From his perspective, the violence and abuse that Perry suffered as a child has led to his violent behavior. Therefore, to offer  compassion, pity, or forgiveness has the potential to break those cycles and possibly prevent such things from happening in the future.

What did Mr I suffer from?

Mr. I is an artist who suddenly became completely colorblind. After a car accident that was potentially caused by a small stroke, Mr. I went home to his wife in a state of confusion. After a long nap, he could not remember the accident, and his wife found out about when she saw the dent in the car. The next week, he suffered from alexia, the inability to read, and complained that words looked as if they were in Cyrillic or Greek, two completely foreign languages to him. Though this vanished after a few days, Mr. I then suddenly noticed that his world was drained of color.


Normal color blindness only slightly impairs a person’s ability to see color. It’s a very common vision deficiency that makes it more difficult to differentiate between red and green, as well as sometimes blue and yellow. Mr. I had a completely different form of colorblindness. For him, color ceased to exist. Formerly an abstract painter, he “knew all of the colors of his favorite paintings, but could no longer see them, either when he looked or in his mind’s eye.” Mr. I describes this state as “like living in a room molded by lead.” People were “animated gray statues.”

What are some characteristics that describe Scout in To Kill a Mockingbird?

Jean Louise "Scout" Finch is the narrator of the novel To Kill a Mockingbird and she displays numerous character traits which make her unique, entertaining, and memorable. Scout is a "tomboy" who enjoys playing with her brother and best friend, Dill. She wears overalls and absolutely despises acting feminine. Scout has a short temper and is involved in several fights throughout the novel. Despite being hot-headed, Scout has a good heart and is a morally upright character like her father. She tries her best to follow Atticus' instructions and views every individual equally, regardless of race or class. Since Scout is very young, she is naive about the world around her. As the novel progresses, Scout matures and gains perspective on Maycomb's society. Scout also has an affinity for reading and writing. Scout feels most comfortable on her father's lap while they read together. She even gets into trouble on her first day of school for having the ability to read and write. Scout is also a curious person. She is continually asking Atticus, Calpurnia, and Jem questions concerning comments that she hears or events that she witnesses throughout the novel.

Sunday, May 29, 2011

Why do all of the African Americans in the balcony stand when Atticus walks out of the courtroom? How do they feel about him after the outcome of...

At the end of chapter 21, the Tom Robinson trial is over and a conviction by the jury seals his fate. The balcony which housed the African American community for the long day's proceedings was packed. With the defeat recently decided, one would think that those in the balcony would revolt or leave immediately; but they did not move. Instead, they stood in honor of Atticus as he left the building. Scout hadn't stood up as she watched her father exit the courtroom down the middle aisle, but Reverend Sykes nudges her:



"I looked around. They were standing. All around us and in the balcony on the opposite wall, the Negroes were getting to their feet. Reverend Sykes's voice was as distant as Judge Taylor's: 'Miss Jean Louise, stand up. Your father's passin'" (211).



The African American community knew that Atticus Finch could have done his worst in the case and not taken a bit of flack from the white community. He could have simply shown up and let the inevitable conviction happen without providing a strong defense, but that's not what he did. Atticus did his best for Tom Robinson and his people knew it and respected him for it. That is why they stand up while he's passing--out of respect. 


The next morning after the trial, Atticus comes into his kitchen to find that Calpurnia had cooked a chicken for breakfast. She said that Tom Robinson's father sent the chicken for Atticus that morning, so she fixed it for him. Also, there were rolls sent by Estelle, and she found other goods on the back steps, such as "hunks of salt pork, tomatoes, beans, even scuppernongs" (213). Atticus even found a jar of pickled pigs' knuckles. In an effort to show their appreciation, Tom's people sent over loads of food. Because of the Great Depression in America at the time, Atticus was humbled and tells Calpurnia the following:



"Tell them I'm very grateful . . . Tell them--tell them they must never do this again. Times are too hard" (213).


Friday, May 27, 2011

In Sir Gawain and the Green Knight, Gawain's quest is accompanied by detailed descriptions of the changing seasons of the year. How does this...

The description of the year's passage comes at the beginning of the second part of the story, visualizing how winter gives way to spring, crops grow and are harvested, and then things begin to rot, green things turn grey, and winter returns "without asking anyone."


This may be an allegory for the way in which the Knight's challenge has affected Gawain and those around him; the Knight swept in without any invitation, bringing death with him, and now waits at the end of the year, like an omen, casting a shadow over the rest of the year because every moment brings Gawain closer to the appointed time of their meeting. Further, the Knight is huge, imposing and seemingly invincible, as though he were a force of nature rather than a person; symbolically, fighting him is akin to fighting the seasons themselves. Resisting his quest would be like resisting the onset of winter, and so Gawain must do this with the most grace, control and faith he can muster in order to maintain his reputation. 

What is phenobarbital? How does it interact with other drugs?


Folate


Effect: Supplementation Possibly Helpful



Phenobarbital can reduce folate levels, perhaps by increasing the rate of
breakdown of the vitamin. Over time, such a decrease can cause anemia.
Taking folate supplements can correct this anemia.
Anticonvulsant-induced folate deficiency might also cause birth defects. Women who
plan to become pregnant while on phenobarbital should be sure to take a supplement
to prevent deficiency.




Vitamin D


Effect: Supplementation Possibly Helpful


Phenobarbital appears to interfere with the normal absorption or metabolism of
vitamin
D. In turn, this can impair calcium absorption. Making sure
to get enough vitamin D (and calcium) should help prevent any problems from
developing.




Vitamin K


Effect: Supplementation Helpful for Pregnant Women


Children born to women taking phenobarbital while pregnant may be deficient in
vitamin
K. This might lead to bleeding disorders and facial bone
abnormalities. Supplementing with vitamin K during pregnancy should help; however,
physician supervision is recommended.




Biotin


Effect: Supplementation Possibly Helpful, but Take at a Different Time of Day


Many antiseizure medications, including phenobarbital, are believed to interfere
with the absorption of biotin. For this reason, persons taking
phenobarbital may benefit from extra biotin. Biotin should be taken two to three
hours apart from antiseizure medication. One should not exceed the recommended
daily intake, because it is possible that too much biotin might interfere with the
effectiveness of the medication.




Dong Quai, St. John’s Wort


Effect: Possible Harmful Interaction


Phenobarbital has been reported to cause increased sensitivity to the sun,
amplifying the risk of sunburn or skin rash. Because St. John’s
wort and dong quai may also cause this problem,
taking them during treatment with this drug might add to this risk. One should use
sunscreen or wear protective clothing during sun exposure if taking one of these
herbs while using this anticonvulsant.




Ginkgo


Effect: Possible Harmful Interaction


The herb ginkgo (Ginkgo biloba) has been used to
treat Alzheimer’s disease and ordinary age-related memory loss, among many other
conditions. The possible harmful interaction involves potential contaminants in
ginkgo, not ginkgo itself.


One study found that a natural nerve toxin present in the seeds of Ginkgo biloba made its way into standardized ginkgo extracts prepared from the leaves. This toxin has been associated with convulsions and death in laboratory animals.


The detected amounts of this toxic substance are considered harmless. However, given the lack of satisfactory standardization of herbal formulations in the United States, it is possible that some batches of product might contain higher contents of the toxin, depending on the season of harvest. In light of these findings, taking a ginkgo product that happened to contain significant levels of the nerve toxin might theoretically prevent an anticonvulsant from working as well as expected.




Hops, Kava, Passionflower, Valerian


Effect: Possible Harmful Interaction


The herb kava (Piper methysticum) has a sedative
effect and is used for anxiety and insomnia. Combining kava with anticonvulsants,
which possess similar depressant effects, could result in add-on or excessive
physical depression, sedation, and impairment. Because of the potentially serious
consequences, one should avoid combining these herbs with anticonvulsants or other
drugs that also have sedative or depressant effects, such as phenobarbital, unless
advised by a physician.




Glutamine


Effect: Theoretical Harmful Interaction


Because phenobarbital works (at least in part) by blocking glutamate pathways in
the brain, high dosages of glutamine might possibly overwhelm the
drug and increase the risk of seizures.




Bibliography


Arenz, A., et al. “Occurrence of Neurotoxic 4’-O-Methylpyridoxine in Ginkgo biloba Leaves, Ginkgo Medications, and Japanese Ginkgo Food.” Planta Medica 62 (1996): 548-551.



Cornelissen, M., et al. “Supplementation of Vitamin K in Pregnant Women Receiving Anticonvulsant Therapy Prevents Neonatal Vitamin K Deficiency.” American Journal of Obstetrics and Gynecology 168 (1993): 884-888.



Kishi, T., et al. “Mechanism for Reduction of Serum Folate by Antiepileptic Drugs During Prolonged Therapy.” Journal of the Neurological Sciences 145 (1997): 109-112.



Lewis, D. P., et al. “Drug and Environmental Factors Associated with Adverse Pregnancy Outcomes: Part I–Antiepileptic Drugs, Contraceptives, Smoking, and Folate.” Annals of Pharmacotherapy 32 (1998): 802-817.

What are some quotes that demonstrate that Ralph is not being a good leader in Lord of the Flies?

First of all, Ralph is chosen as the leader for nebulous reasons. He hasn’t actually exhibited any leadership skills, except when he blew the conch and all of the boys came, drawn to the sound. He is elected leader almost immediately. 



None of the boys could have found good reason for this; what intelligence had been shown was traceable to Piggy while the most obvious leader was Jack. But there was a stillness about Ralph as he sat that marked him out: there was his size, and attractive appearance; and most obscurely, yet most powerfully, there was the conch. (Ch. 1) 



Jack has leadership experience because he is the head of the choir. He leverages the choir to become leader of the hunters, and then slowly creates a schism between his followers and Ralph’s followers, undermining his leadership. 


Ralph’s leadership problems extend beyond Jack. He doesn’t know how to get the boys to do what he wants. Ralph tries to provide civilization and order to the island, but the boys are usually not interested in his ideas. Getting them to work is next to impossible. 



“Been working for days now. And look!”


Two shelters were in position, but shaky. This one was a ruin.


“And they keep running off. You remember the meeting? How everyone was going to work hard until the shelters were finished?” (Ch. 3) 



Jack’s way is more fun. The boys would rather paint their faces and eat pig meat than build shelters and mind a signal fire. Even when Ralph’s ideas are good, nothing comes of them. He doesn’t know how to get the other boys to listen to him.


After Simon and Piggy have died and most of the boys are allied with Jack, Ralph blames himself for what happened. He believes he should have been a better leader and prevented the tragedies that unfolded.

Thursday, May 26, 2011

Why is Nick telling the story in The Great Gatsby?

Making Nick the narrator is an interesting decision on Fitzgerald's part. If he wanted a truly objective narrator, he could have easily written the novel in third person omniscient point of view, with a narrator who was not involved in the story at all. Instead, he uses the character Nick. For all of Nick's insisting in the first chapter that he is so nonjudgmental and tolerant, he wouldn't exist at all in the story if he were completely objective.  


So what purpose does he serve, if not to relate the story objectively as it happens? There are a few answers to this. For one, Nick works as a reader surrogate, the everyman coming from the country to the glitzy life of New York and taking the reader along for the ride. As Nick experiences this new life, readers are introduced to it as well, through his eyes.


On a related note, Nick as a character struggles with this new life of Jazz Age parties and superficiality. He undergoes an internal conflict throughout the book as he works out whether the glamorous, fast-paced life of New York is worth the damage it does to people and relationships. This is symbolized through his relationship with Jordan Baker, whose liveliness attracts him at first, until her carelessness and dishonesty turn him off of her.


Finally, Nick plays a role in doing exactly what he says he doesn't do: providing judgement. As he looks over Gatsby's unattended funeral, he contemplates the moral emptiness of free-wheeling East Coast life and the futility of the American Dream. At the end of the novel, Nick acts as a vehicle to transport Fitzgerald's themes to the reader.

What causes the Earth to move?

For objects moving with constant velocity, nothing is "causing" the object to move - there is no absolute movement, it all depends on your reference frame.

Now, if there is a change in the object's velocity (the Earth is orbiting the Sun, with its velocity is changing direction continuously), then by Newton's Second Law a force is acting upon it (the gravitational force from the Sun).

Applying this to Earth...
If you are standing still on Earth, then the Earth isn't moving relative to you (look at the ground to notice this). But if you're travelling in a car and you look at the ground through the window, you'll notice the Earth is moving relative to you (rotating, to be more precise). Which reference frame is correct? Neither! There is no preferred inertial reference frame, the physics looks the same in all of them.

Now, what I believe your question refers to is about the Earth's movement relative to the Sun.

The Earth's trajectory around the Sun is an ellipse, which in our case looks a lot like a circumference. The reason for this elliptical trajectory has to do with how gravity behaves. More precisely, the fact that the gravitational force is proportional to 1/r², where "r" is the distance to the source (in our case, the distance between the Sun and the Earth), is why we get this sort of trajectories (you can get other types of trajectories as well).

Adopting a reference frame in which the Earth is orbiting the Sun, if our star were to disappear all of sudden then the Earth would follow a straight line! There wouldn't be any source for the centripetal force responsible for the "circular" trajectory (ignoring the gravitational attraction from the other planets)! So, in this case, you can consider the Sun as the responsible for causing the Earth to move in an almost-circular trajectory, that is, with acceleration (change in velocity with time)!

In To Kill a Mockingbird, what conflicts might involve man vs the supernatural?

Jem, Dill and Scout create their own conflict with the supernatural by believing the gossip and superstitions handed down to them from people in the community--mostly from Stephanie Crawford. At first Jem was only trying to make the newcomer, Dill, nervous by telling him about their neighborhood phantom, Boo Radley. Little did they know that the following would happen:



"The Radley Place fascinated Dill. In spite of our warnings and explanations it drew him as the moon draws water, but drew him no nearer than the light-pole on the corner, a safe distance from the Radley gate" (8).



The above passage seems to draw upon the supernatural to describe Dill's fascination. Eventually he draws Jem and Scout into adventures centered around enticing Boo to come out of the house, sending him a letter by way of fishing pole, and sneaking into his yard to get a view of him through a broken shutter. There really was nothing supernatural about it except in the children's imaginations, though. Nevertheless, conflicts do arise as they go on these adventures.


One adventure surrounding Boo Radley is when Scout finds gum in an oak tree's knothole in the Radley's yard. Kids in the schoolyard would never eat nuts that fall from Radley trees; so, for Scout to eat something from that tree is unthinkable based on deadly and supernatural beliefs. When Jem finds out that Scout found the gum where she did, he comes apart and tells her to spit it out immediately:



"I spat it out. The tang was fading, anyway. . . Jem stamped his foot. 'Don't you know you're not supposed to even touch the trees over there? You'll get killed if you do!'" (33).



These supernatural superstitions create tension with the children that also drive their behavior. If Jem didn't believe in the supernatural, he wouldn't have panicked when he discovered Scout eating gum from the Radley tree. 


Another supernatural-type conflict centers around another superstition. In chapter four, during the second summer with Dill, Jem tells him about Hot Steams, as follows:



"A Hot Steam's somebody who can't get to heaven, just wallows around on lonesome roads an' if you walk through him, when you die you'll go around at night suckin' people's breath" (37).



Fortunately for Dill, there is a remedy that can be applied if he ever finds himself in a Hot Steam. All he has to say is the following:



"Angel-bright, line-in-death; get off the road, don't suck my breath" (37).



Belief in supernatural superstitions like these is normal for children. It's interesting, though, that when it comes to Boo Radley, the adults in the community believe them as well. For example, Calpurnia spit to the side of the road when Mr. Radley's dead body was carried out of his home. Also, people in the community get involved in this conflict because they blamed random acts of nature on Boo Radley, such as an unexpected cold snap or other odd mysteries. For the children, though, they eventually grow out of it until one dreadful Halloween night a couple of years later.


On the night that Bob Ewell attacks the children, there is a supernatural sense of conflict. First, they laugh about believing in Hot Steams on the way to the Halloween festival. They also notice a mockingbird singing as they walk. Next, Cecil Jacobs scares the kids before they get to the school. Then, on the way home after the festival, they hear someone following them and get very scared. This is a very spooky scene, which the children might have thought would be supernatural. Unfortunately, they are faced with someone worse than a Hot Steam. Ironically, the phantom of Maycomb, Boo Radley saves their lives. The one man who seems like a supernatural antagonist for the children at the beginning of the book now becomes their savior. 

Wednesday, May 25, 2011

How does Jack interact with others in Lord of the Flies?

Jack is tyrannical and selfish in his interactions with the other boys.


Jack’s first interaction with the other boys on the island is as leader of the choir.  He maintains control of that same group of boys for most of the book, transforming them into hunters.  Jack mocks the use of first names, insisting he be called “Merridew,” but it does not stick.  When Ralph is elected leader it is basically just because he has the conch, because Jack is the natural leader.


Jack cedes power to Ralph, grudgingly and partially.  His reaction to the suggestion that the group obey the leader with the conch demonstrates his personality and his view of power.



“And he won’t be interrupted: Except by me.”


Jack was on his feet.


“We’ll have rules!” he cried excitedly. “Lots of rules! Then when anyone breaks ’em–” (Ch. 2)



Jack doesn’t want rules to keep order.  His interest is in controlling others and inflicting pain if possible.  He is the perfect choice for leader of the hunters.  The hunters exist as a separate band, allowing him to maintain control, and with them he can satiate his appetite for blood. 



Behind Jack walked the twins, carrying a great stake on their shoulders. The gutted carcass of a pig swung from the stake, swinging heavily as the twins toiled over the uneven ground. The pig’s head hung down with gaping neck and seemed to search for something on the ground. (Ch. 4)



Being the head of the hunters also gives Jack power.  Although the boys have fruit to eat aplenty on the island, they naturally want meat.  Even after the schism when Jack and the hunters go one way and Ralph and his followers go theirs, Ralph is drawn to the meat.


Jack is a tyrant.  We know that he inflicts harsh punishments on his followers and that he rules in a most mercurial way.  He ties a boy to a tree and has him beaten.  Yet he has meat and war dances, so his is a much more attractive lifestyle than Ralph’s attempted order.  Copying adults and babysitting signal fires is pretty boring.

What is the "sheer emptiness" Tom encounters in "Contents of the Dead Man's Pocket"?

The literal answer to this question is that Tom encounters the "sheer emptiness" of open space where he was expecting to feel a continuation of the brick wall that he was clinging to:



"Then his moving left hand slid onto not brick but sheer emptiness, an impossible gap in the face of the wall, and he stumbled."



Right then, he's edging, crablike, along the wall, trying to reach the paper that flew out the window with the breeze. That's the only time that the phrase "sheer emptiness" appears in the story. In fact, that's also the only time we see even the word "emptiness" by itself.


But more to the point, Tom encounters a sheer emptiness in his own life, brought on by his focus on his work to the exclusion of enjoying his marriage. He's missing a potentially fun and meaningful evening out with his wife just so he can stay home and work on some research for his job at the grocery store. And when the sheet of paper containing his notes flies out the open window, he foolishly chases after it; the dangerous excursion out onto the ledge of the apartment building makes up most of the story, and Tom nearly gets himself killed.


Eventually, he's trapped outside on the ledge, unable to reopen the window, and wondering if he'll lose his balance and die before anyone can rescue him, when he starts emptying his pockets of everything except that paper of notes that he was able to grab. He throws away meaningless letters and useless coins. And there's nothing else in his pockets that would help people identify his body if he were to fall and die on the concrete far below. Tom is empty, then, in a figurative way as well: he's wasted his time at work, and all that people will find on his dead body is an "incomprehensible" sheet of notes. Even this project he's been working on doesn't matter, he realizes.


Let's take a look at the passage where Tom realizes all this, when he understands how he's been living his life in an empty way:



He wished, then, that he had not allowed his wife to go off by herself tonight--and on similar nights. He thought of all the evenings he had spent away from her, working; and he regretted them. He thought wonderingly of his fierce ambition and of the direction his life had taken; he thought of the hours he'd spent by himself, filling the yellow sheet that had brought him out here. Contents of the dead man's pockets, he thought with sudden fierce anger, a wasted life.



Happily, we realize that Tom has changed and that he will change the way he lives his life from now on when he breaks the window, safely reenters the apartment, and allows even the yellow paper to fly back outside as he laughs and heads out to join his wife. He's going to fill the emptiness of his spirit by recognizing what's really important to him: his wife, not the potential money he might make by being recognized and promoted at work.

What is the significance of the setting in Hemingway's short story "In Another Country"?

The setting in Ernest Hemingway’s short story “In Another Country” is significant because Nick Lyons is a soldier who is literally and figuratively a man without his country. Lyons, a soldier who is wounded in the war, ends up in Milan. Milan is near the front line fighting but he feels his is “in another country” knowing he will never return to action. Due to his injury, Lyons, is undergoing rehabilitation, on his wounded leg, along with Italian soldiers at a hospital in the city. He is far from his home in America, away from the fighting in Italy, and an outsider in the group of men, which makes him a man "in another country.”


The group of men walk through the streets of Milan each day until they arrive at the hospital. Hemingway reiterates that it is cold with snow, and "darkness comes early." This is not an uplifting setting but rather it points to the desolation that Nick Lyons is feeling.


During their time at the hospital, the Italian men find out that Lyons received his medal for his injury not for the valor associated with his fighting. Upon learning this, the men look at Lyons in a different way, and he is ostracized.


The men have to walk through the “Cova” on the way back to their sleeping quarters. The “Cova” is a raucous part of town in which the young men and women congregate, but once again, the soldiers are excluded and often find themselves walking in the streets to avoid the crowds. They do not belong.


As a setting, the hospital itself contributes to the feeling of hopelessness. The soldiers are subjected to experimental treatments while they are filled with false promises of a return to health. The walls are void of pictures until the Major’s wife dies. When he returns, there are pictures of people who have received successful treatments. This does not phase the Major as he stares blankly out the window knowing that his hand will never be functional again.


In each instance, Hemingway uses the setting to emphasize Nick’s situation of being alone and injured, with no true purpose in life now that his days as a soldier were cut short.  

Tuesday, May 24, 2011

What is polycythemia vera?





Related conditions:
Essential thrombocythemia, idiopathic myelofibrosis






Definition:
Polycythemia vera is a rare myeloproliferative disorder that causes chronic overproduction of red blood cells and possibly of white cells and platelets. Although these cells function normally, their overabundance causes increased blood viscosity and decreased blood flow, with possible clot formation and resultant heart attack or stroke, and possible systemic decreases in oxygen supply, resulting in compromised muscle function, lung function, and visual acuity, or in angina, congestive heart failure, or gout.



Risk factors: Polycythemia vera occurs more frequently in men aged sixty and older and in Jews of eastern European descent. Although family history is not a risk factor, polycythemia vera occasionally occurs in more than one family member.



Etiology and the disease process: The cause of polycythemia vera is unknown. Disease progression is slow, as is symptom onset. Polycythemia vera occurs because of a deoxyribonucleic acid (DNA) mutation in most cases, in the JAK2 gene in hematopoietic stem cells (blood-forming cells in bone marrow) that triggers blood cell overproduction.


In rare instances, myelofibrosis abnormal, fibrous bone marrow tissue may develop and may lead to acute myelogenous leukemia (AML), an aggressive disease characterized by overabundance in blood and bone marrow of immature white blood cells.



Incidence: The reported incidence ranges from 0.5 to 2.5 per 100,000 people worldwide.



Symptoms: Overabundance of red blood cells and platelets causes the symptoms associated with polycythemia vera. Symptoms may include dizziness, enlarged spleen, fatigue, headache, itchy or flushed skin, kidney stones, profuse sweating, shortness of breath, stomach ulcers, tinnitus, and vision problems.



Screening and diagnosis: Due to its slow progression and delayed expression of nonspecific symptoms, polycythemia vera may be diagnosed via routine blood testing if results indicate a 33 percent or greater increase in hematocrit level, hemoglobin concentration, and red cell count. Other indicators may be elevated platelet count or white cell count, presence of the JAK2 mutation in blood cells, or low erythropoietin (EPO) level (determined by assay).



Treatment and therapy: Initial options are phlebotomy to reduce blood volume and drug therapy to decrease cell count. The platelet count-lowering drug anagrelide or the myelosuppressive drugs hydroxyurea, interferon alpha, and radioactive phosphorus (32P) may be used. However, side effects are associated with all treatments, including phlebotomy, which can result in anemia.



Prognosis, prevention, and outcomes: There is no cure for polycythemia vera. If untreated, it can lead to death. If treated, life expectancy and quality of life may be unaffected. Response to therapy may be monitored via hematocrit levels and hemoglobin concentrations.



"Chronic Myeloproliferative Neoplasms Treatment: Polycythemia Vera." National Cancer Institute. Natl. Inst. of Health, 11 Nov. 2014. Web. 11 Dec. 2014.


Goldman, Lee, and Andrew I. Schafer. Goldman's Cecil Medicine. 24th ed. Philadelphia: Elsevier, 2012. Print.


Hoffman, Ronald, et al. Hematology: Basic Principles and Practice. 6th ed. Philadelphia: Elsevier, 2012. Print.


"Polycythemia Vera." Merck Manual. Merck, Apr. 2014. Web. 11 Dec. 2014.


"What Is Polycythemia Vera?" National Heart, Lung, and Blood Institute. Natl. Inst. of Health, 1 Mar. 2011. Web. 11 Dec. 2014.

What is the chickenpox vaccine?


Definition

The chickenpox
vaccine is a live, attenuated vaccine
producing CD4 and CD8 effector and memory T cell antibody immunity to the
varicella zoster virus (VZV), which causes chickenpox.







Pathogenicity and Clinical Significance

Varicella is a highly contagious viral illness caused by VZV, a human
herpesvirus of the Alphaherpesvirinae subfamily.
Transmission is by respiratory droplets or by direct contact with the
virus-containing vesicle fluid. Household transmission rates approach 90
percent.


During the ensuing week, the virus spreads to various parts of the body, including the skin, liver, central nervous system, lymphatic system, and spleen. The majority of affected persons have symptoms that include fever, malaise, and inflamed, pruritic vesicles, which resolve in two to three weeks.


Approximately 1 in 50 persons exhibit complications that include
encephalitis, pneumonia, and hepatitis.
Secondary bacterial skin infections can occur as open skin
lesions provide an entry portal. Varicella virus can be
transmitted through the placenta to the fetus if the disease is acquired by the
pregnant girl or woman during pregnancy. The fetus may be born with congenital
varicella syndrome and demonstrate skin, extremity, ocular, and brain
abnormalities.


Herpesvirus remains dormant in the spinal and cranial sensory ganglia. It
reactivates typically in later life as the person’s antibody level wanes or the
person experiences immune suppression, like that seen in cancer. Reemergence of
the herpesvirus is called shingles and can lead to extremely
painful postherpetic neuralgia, which lasts from weeks to years.




Disease Prevention

The vaccine Varivax was licensed in the United States in 1995. In 1996, the
Advisory Committee on Immunization Practices of the Centers for Disease Control and
Prevention recommended Varivax as part of routine childhood
immunizations. Initially a single dose, a second dose was added in 2006. The
combination vaccine ProQuad, which contains mumps, measles, rubella, and varicella
antigens, was approved in 2005. The vaccine Zostavax has been effective in
boosting cell-mediated immunity (antibody production) and in providing partial
immunity. It is approved for use in persons at age sixty years.


The most common side effects of varicella vaccine include fever, injection-site complaints, and a varicella-like rash. The vaccine is not recommended for persons with hypersensitivity to its ingredients, which include gelatin and neomycin; for persons with immunosuppression or with active tuberculosis; or for women or girls who are pregnant.




Postexposure Vaccine

Post-varicella-exposure vaccination in children has shown some effectiveness in preventing disease if administered within three days of exposure. Protection has not been demonstrated in adolescents and adults.




Impact

Before the development of a chickenpox vaccine, four million people in the United States acquired varicella annually, leading to ten thousand hospitalizations and one hundred deaths. After the development of a vaccine, these numbers were reduced by 85 to 90 percent. The initial vaccine dose reduced varicella infection by 64 percent, and the second dose further reduced infection by 90 percent. Research has shown that the administration of varicella vaccine in childhood reduces the incidence of herpes zoster in adulthood as well.




Bibliography


Campos-Outcalt, Doug. “ACIP Immunization Update.” Journal of Family Practice 59, no. 3 (2010): 155-158.



Centers for Disease Control and Prevention. “Recommended Immunization Schedules for Persons Aged 0-18 Years—United States, 2008.” Morbidity and Mortality Weekly Report 57 (2008): Q1-Q4. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5701a8.htm.



_______. “Varicella (Chickenpox) Vaccination.” Available at http://www.cdc.gov/vaccines/vpd-vac/varicella.



Macartney, K., and P. McIntryre. “Vaccines for Post-exposure Prophylaxis Against Varicella (Chickenpox) in Children and Adults.” Cochrane Database of Systematic Reviews (2008): CD001833.Available through EBSCO DynaMed Systematic Literature Surveillance at http://www.ebscohost.com/dynamed.



Marin, M., H. C. Meissner, and J. F. Seward. “Varicella Prevention in the United States.” Pediatrics 122 (2008): 744-751.



Roush, Sandra, et al. “Historical Comparisons of Morbidity and Mortality for Vaccine-Preventable Diseases in the United States.” Journal of the American Medical Association 298, no. 18 (2007): 2155-2163



Smith, Candace, and Ann Arvin. “Varicella in the Fetus and Newborn.” Seminars in Fetal and Neonatal Medicine 14 (2009): 209-217.



Tyring, S. K. “Management of Herpes Zoster and Postherpetic Neuralgia.” Journal of the American Academy of Dermatology 57, no. 6 (December, 2007): S136-S142.



Ward, Mark A. “Varicella.” In Conn’s Current Therapy 2011, edited by Robert E. Rakel, Edward T. Bope, and Rick D. Kellerman. Philadelphia: Saunders/Elsevier, 2010.



Whitley, Richard J. “Varicella-Zoster Virus.” In Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases, edited by Gerald L. Mandell, John F. Bennett, and Raphael Dolin. 7th ed. New York: Churchill Livingstone/Elsevier, 2010.

Monday, May 23, 2011

What is consumer psychology?


Introduction

The decision-making approach to understanding consumer behavior follows from the assumption that the consumer is someone who seeks and takes in information from numerous sources, processes it, and then makes a selection from a set of alternatives. A major proponent of this view is James R. Bettman. The essence of his theory, presented in An Information Processing Theory of Consumer Choice (1979), is an explanation of how consumers react to information—from advertisers, friends, family, salespeople, and so on. The theory integrates six components of information processing: limitations in the human capacity to process information; the motivation to move from some initial state to a desired state; attention to and perceptual encoding of information; the search for information from memory and the external environment, and the evaluation of this information; decision processes; and the effects of consumption and learning. All these components are related through the construct of choice. Put another way, one becomes motivated, pays attention, obtains and evaluates information, learns, and compares alternatives to reach a goal. Because of its comprehensive nature, Bettman’s theory of consumer choice has been highly influential in the academic and marketing communities.







The information-processing and decision-making perspectives on consumer purchases stand in sharp contrast to an alternative view, called behavioral influence, which presumes that consumers respond directly to pressures of the environment and give little or no conscious thought to their purchases. There is some evidence that consumer purchase decisions can be influenced by factors (such as music) of which they are unaware. Hence, consumers can be influenced by factors that they cannot evaluate and weigh in a decision process. This raises special concerns about methods of protecting consumers.


Perhaps the most useful and enduring theory to explain consumer behavior is Martin Fishbein and Icek Azjen’s theory of reasoned action. This theory states that behavior results from an intention. For example, the purchasing of a product is a consequence of an intention to purchase that product. Thus, what is important to understand is how people form intentions. Consumers form intentions by taking into account two types of information. One is their overall evaluation of the product. The other is the subjective norms supporting purchase of the product. According to this theory, people plan to purchase a product if they evaluate it positively and believe that their purchase of it would be approved by those who are important to them. Because this theory emphasizes attitudes concerning a behavior toward an object and not only the object itself, it has successfully predicted many behaviors that attitudes alone could not.


In reality, the extent to which information is sought, evaluated, and weighed in a decision process on the part of a consumer depends greatly on the extent to which the consumer is involved in the process. The complexity of the decision process varies with consumer involvement. If the consumer is relatively uninvolved, the search for information is likely to be limited, with little evaluation of alternatives. With such routine decision making, there is little opportunity for the formation of attitudes toward the product—until after purchase or consumption. Involvement is thought to be a result of the personality of the consumer, the nature of the product, and characteristics of the situation. Consumers who are more self-confident, younger, more educated, or less experienced with the product category tend to engage in a more extensive information search. Consumers show greater information search for products with higher perceived financial, performance, social, or physical risk. Situational factors such as amount of time, quantity of product, or store alternatives also help determine the extent of information search.


The consumer’s decision to buy involves two major components: what brand to buy and where to purchase it. The decision process used to purchase a product can be classified as either compensatory or noncompensatory. With a compensatory rule, only the overall evaluation is important. This means that high evaluations on one dimension can compensate for low ones on another. In contrast, a noncompensatory rule results in a product being eliminated if it falls below an acceptable level on one dimension, regardless of its standing on other dimensions.


The decision process has been monitored by a variety of techniques to learn whether compensatory or noncompensatory rules are being used. Another objective of studying the consumer-choice process is to learn how information is selected and used. Researchers have used eye-movement monitors, computerized information displays, and information boards to track the order and extent of information search. Research by cognitive psychologists has shown that people tend to compare products on a single attribute rather than forming overall evaluations of each product and then making comparisons. This points to the value of displaying information such as unit price or nutritional values, which facilitates comparisons across products.




The Difficulties of Prediction

The prediction of
behavior on the basis of attitudes has always been complex. While it is true that people who have a positive attitude toward a product buy more of it than those who do not, other hypothesized links between attitudes and behavior simply do not hold. For example, lifestyle surveys have shown an increasing trend toward the belief that meal preparation should take as little time as possible. Yet during the same time period in which these surveys were conducted, sales of frozen pizza remained constant and sales of frozen dinners fell.


Along similar lines, attitudes
toward advertisements do not necessarily correlate with attitudes toward the product being advertised, let alone with purchase of the product. Even a specific attitude may fail to predict behavior toward an object. To demonstrate this, one might ask a friend to describe her attitude toward a Mercedes or a Porsche and toward a Kia. The attitude of many people toward the former is far more favorable, but in reality they are less likely to purchase their preferred make of automobile.


One reason the theory of reasoned action has been successful is that it does not attempt to link attitudes to behaviors in general. Because of this, the prediction of specific behaviors toward “attitude objects” can be achieved. This theory can also be applied to changing specific behaviors. For example, if a person does not intend to engage in a safety practice, a traditional attitude-change approach would attempt to persuade the person of the value of the practice. Fishbein and Azjen’s theory, however, suggests an alternative: persuading the person of the existence of subjective norms supporting the safety practice. This approach is not suggested by any other theoretical perspective on consumer behavior.


The debates about information and consumer decision making have had an impact on public policy and regulatory activities. William Wilkie identifies three concerns in the policy arena, all of them relating to the type, amount, and form of information that should be provided to consumers. First is the goal of providing consumers with complete information. Only by being fully informed can people spend their time, money, and effort in their best interest. Yet complete information may be impossible, and, even if it is available, the consumer may be unwilling or unable to process it all in decision making.


The second objective of public policy is to provide information that is “choice-neutral.” Since the marketing community presents information that will favor particular brands, public policy provides balance with an emphasis on objective information. The last, and most difficult, public policy application concerns trade-offs between the freedom of marketers to control information dissemination and the costs and benefits of information to consumers. This is likely to remain a politically controversial matter.


An understanding of the decision rules used by consumers can be applied effectively in marketing. The use of noncompensatory rules is encouraged by product ratings of critical factors such as safety. It is easy to eliminate those brands that do not possess a certain rating or “seal of approval” from further consideration. Another application of this principle can be seen in attempts to create the belief that consideration of a particular attribute should dominate the choice process. By stressing price and only price, the marketer is in effect telling the consumer that no other attributes are relevant. No matter how competing brands may be evaluated on other attributes, they cannot compensate for inferior positions on the price dimension.


A good illustration of strategies to promote noncompensatory decision rules can be seen in the environmental movement. By focusing consumers on the environmental impact of their purchases, marketers prevent other attributes from being taken into consideration. Sometimes this can lead to the purchase of one product over another, as in the case of cloth rather than disposable diapers; or one brand of the product may be chosen over alternatives, as in the case of nonchlorine rather than chlorine bleach or a high- rather than a low-energy-efficient appliance. In the most extreme cases, noncompensatory rules in decision making can lead to “negative purchases”: If all brands of tuna fish are obtained through techniques that kill dolphins, no brand is bought. Similarly, consumption of products with possible health hazards falls if a single dimension dominates information search and noncompensatory rules are used by consumers. No price reduction or rebate will induce one to purchase any brand if the product itself is judged unacceptable along the health dimension. One way of inhibiting such negative purchase decisions is to create ambiguity about the actual health hazards of the product or about information on product risks. With an overload of information that is difficult to process effectively, the consumer may become more reluctant to deem a product below the threshold necessary for purchase.




Advertising and Consumption

There have historically been three independent forces stimulating research on consumer behavior. One arises from the desire to influence consumers. Consumer decision-making research combines with advertising and marketing to create desires for products, preferences for brands, and patterns of consumption. An opposing force encouraging consumer behavior research is the desire to protect consumers; organizations committed to consumer rights have identified their own agendas for research on the decision-making processes of consumers. The third group interested in consumer behavior consists of scientists with a fundamental interest in human behavior as it occurs in the marketplace. The field on the whole is neutral with respect to the interests of consumers or those who wish to influence them.


The strong emphasis on decision making in the field of consumer psychology has, as in many areas in psychology, been encouraged by the cognitive revolution. Although researchers continue to recognize that people respond to affective and emotional appeals, they have become more attuned to consumers’ conscious processing of information. This trend can be expected to continue. The need to gather and evaluate information will grow as products and services become more diverse and complex. Another reason that consumer psychology will continue to place an emphasis on decision making is consumers’ demand for more complete and accurate information about goods and services.


One of the limitations of the cognitive theories of consumer decision making is that they typically fail to take into account differences between individuals and groups of people. Consumer psychology is likely to become increasingly concerned with market segmentation as the ability to understand the diverse needs of various groups develops. Further specialization of research on the aged and children as consumers is also predictable. Among emerging global trends is an increased interest in marketing to women around the world. The rise of Internet shopping has also made enormous changes in consumer behavior, diminishing the face-to-face interaction of consumer and salesperson and vastly increasing the ease of comparison shopping.




Bibliography


Acuff, Daniel S. What Kids Buy and Why. New York: Free, 1999. Print.



Bettman, James R. An Information Processing Theory of Consumer Choice. Reading: Addison, 1979. Print.



Fenwick, Ian, and John A. Quelch, eds. Consumer Behavior for Marketing Managers. Boston: Allyn, 1984. Print.



Foxall, Gordon R. "Consumer Behavior Analysis: Behavioral Economics Meets the Marketplace." Psychological Record 63.2 (2013): 231–37. Print.



Graham, Judy F. Critical Thinking in Consumer Behavior: Cases and Experiential Exercises. Upper Saddle River: Pearson Education, 2004. Print.



Griskevicius, Vladas, and Douglas T. Kendrick. "Fundamental Motives: How Evolutionary Needs Influence Consumer Behavior." Jour. of Consumer Psychology 23.3 (2013): 372–86. Print.



Jacoby, Jacob, and Jerry C. Olson, eds. Perceived Quality: How Consumers View Stores and Merchandise. Lexington: Lexington Books, 1985. Print.



Solomon, Michael R., and Nancy J. Rabolt. Consumer Behavior: In Fashion. Upper Saddle River, N.J.: Prentice Hall, 2007. Print.



Wells, Victoria K., and Gordon R. Foxall. "Matching, Demand, Maximization, and Consumer Choice." Psychological Record 63.2 (2013): 239–57. Print.



Wilkie, William L. Consumer Behavior. 3d ed. New York: John Wiley & Sons, 1994. Print.

What is liposuction?


Indications and Procedures

The fat contained in
adipose tissue makes up 15 to 20 percent of the body weights of most healthy individuals. Much adipose tissue is found inside the abdominal cavity, but significant amounts are located under the skin of the abdomen, arms, breasts, hips, knees, legs, and throat. The quantity of this subcutaneous fat at any such site is based on individual heredity, age, and eating habits. When excessive eating greatly elevates body fat, a patient becomes obese, a condition that can be life-threatening. Until recently, the sole means for decreasing fat content resulting from
obesity was time-consuming dieting, which requires much patience and will power. In addition, the positive consequences of long diets can be easily obliterated if dieters begin to overeat again. Recurrent overeating is common and often followed by the rapid regaining of the fat.



Persons who have undesired, unattractive fat deposits as a result of age, heredity, or obesity may undergo cosmetic surgery, such as so-called tummy tucks, to remove them. Such major procedures, however, often remove muscle along with fat and cause considerable scarring. Liposuction is a relatively easy way to lose unattractive body fat; it also is seen as a fast way to reverse obesity and is touted as more permanent than dieting. A cannula connected to a suction pump is inserted under the skin in the desired area. Then a chosen amount of fat is sucked out, the cannula is withdrawn, and the incision is closed. The result is a recontouring of the body part. Hence, liposuction has become a very popular cosmetic surgery procedure for the abdomen, arms, breasts, hips, knees, legs, and throat; many pounds can be removed from large areas such as the abdomen.


Liposuction begins with the administration of antibiotics and the anesthesia of the area to be recontoured. Local anesthesia is safer, but general anesthesia is used when necessary. The process usually begins after a 1.3-centimeter (0.5-inch) incision is made in a fold of the treated body region, so that the scar will not be noticeable after healing. At this time, a sterile cannula is introduced under the skin of the treatment area. Next, the surgeon uses suction through the cannula to remove the fat deposits. Liposuction produces temporary tunnels in adipose tissue. Upon completion of the procedure, the incision is closed and the surgical area is wrapped with tight bandages or covered with support garments. This final stage of recontouring helps the tissue to collapse back into the desired shape during healing. In most patients, the skin around the area soon shrinks into the new contours. When this does not happen easily, because of old age or other factors, liposuction is accompanied by surgical skin removal.




Uses and Complications

Liposuction can be used for body recontouring only when undesired contours are attributable to fat deposits; those attributable to anatomical features such as bone structure cannot be treated in this manner.


A major principle on which liposuction is based is the supposition that the body contains a fixed number of fat cells and that, as people become fatter, the cells fill with droplets of fat and expand. The removal of fat cells by liposuction is deemed to decrease the future ability of the treated body part to become fat because fewer cells are available to be filled. Dieting and exercise are less successful than liposuction because they do not diminish the number of fat cells in adipose tissue, only decreasing fat cell size. Hence, when dieters return to eating excess food again or exercise stops, the fat cells expand again.


Another aspect of liposuction which is becoming popular is the ability to remove undesired fat from some body sites and insert it where the fat is wanted for recontouring. Most often, this transfer involves enlarging women’s breasts or correcting cases in which the two breasts are of markedly different size. Liposuction also can be used to repair asymmetry in other body parts as a result of accidents.


Liposuction, as with any other surgery, has associated risks and complications. According to reputable practitioners, however, they are temporary and relatively minor, such as black-and-blue marks and the accumulation of blood and serum under the skin of treated areas. These complications are minimized by fluid removal during surgery and by the application of tight bandages or garments after the operation. Another related complication is that subcutaneous fat removal leads to fluid loss from the body. When large amounts of fat are removed, shock occurs if the fluid is not replaced quickly. Therefore, another component of successful liposuction is timely fluid replacement.


The more extensive and complex the liposuction procedure attempted, the more likely it is to cause complications. Particularly prone to problems are liposuction procedures in which major skin removal is required. Hence, surgeons who perform liposuction suggest that potential patients be realistic about the goals of the surgery. It is also recommended that patients choose reputable practitioners.




Perspective and Prospects

Liposuction, currently viewed as relatively safe cosmetic surgery, originated in Europe in the late 1960s. In 1982, it reached the United States. Since that time, its use has burgeoned, and about a half million liposuction surgeries are carried out yearly. Although its first use was as a purely cosmetic procedure, liposuction is now done for noncosmetic reasons, including repairing injuries sustained in accidents. Women were once the sole liposuction patients. Men make up about 15 percent of treated individuals; liposuction is the most popular form of cosmetic surgery among men.


In the United States, liposuction is not presently accepted by insurance companies or considered tax deductible. This situation may change because several studies have found that obese people have a greater chance of developing cardiovascular
disease and cancer. It must be noted, however, that liposuction offers only temporary relief from body fat. Although it does decrease fat deposition in a treated region, lack of proper calorie intake and exercise will deposit fat elsewhere in the body.




Bibliography


Rubin, J. Peter, et al. Body Contouring and Liposuction. New York Elsevier Saunders, 2013.



Schafer, Jeffry B. A Patient's Guide to Liposuction: How to Make an Informed Decision. Denver, Colo.: Outskirts Press, 2011.



Schein, Jeffery R. “The Truth About Liposuction.” Consumers Digest 30 (January/February, 1991): 71–74.



Shelton, Ron M., and Terry Malloy. Liposuction. New York: Berkley, 2004.



Shiffman, Melvin A., and Alberto Di Giuseppe, eds. Liposuction: Principles and Practice. New York: Springer, 2006.



Wilkinson, Tolbert S. Atlas of Liposuction. Philadelphia: Saunders/Elsevier, 2005.



US Food and Drug Administration. “The Skinny on Liposuction.” Author, April 12, 2013.



Zollinger, Robert M., Jr., and Robert M. Zollinger, Sr. Zollinger’s Atlas of Surgical Operations. 8th ed. New York: McGraw-Hill, 2003.

Friday, May 20, 2011

Who is your favorite character in the novel The Outsiders and why?

In my opinion, I would have to say my favorite character in The Outsiders is Dallas Winston. Dally is the toughest member of the Greasers and lives by his own rules. His unapologetic attitude and wild lifestyle are intriguing. Dally is more than just a typical thug. As the novel unfolds, Dally's true character is revealed. Similar to most adolescents who grow up in broken homes and are exposed to the street life at a young age, Dally develops a callous personality to protect his spirit. Dally's outlandish behavior and anti-establishment disposition make him one of the novel's most memorable characters. His affinity for Johnny and willingness to help Ponyboy in a time need displays his loyalty and character. Dally tells Johnny that he doesn't want him to go to prison because he will end up like him. Dally's comments portray him as an introspective individual. Dally is aware that he has become emotionally unattached and lives a fast life because he has no purpose. His understanding of himself and compassion towards his fellow gang members make him a sympathetic character. Also, Dally's anger makes him an unpredictable character, which is why he is exciting to read about. One could not predict that Dally would pull an unloaded gun out in front of police and get shot. Dally's death also makes him a tragic character. Dallas Winston is one of literature's most intriguing characters and is my favorite person in the novel The Outsiders.

What is hypoxia?


Causes and Symptoms

Various diseases or conditions of the lungs can cause mechanical problems with air exchange. These problems generally cause a diminished supply of oxygen and an excess of carbon dioxide in the blood. Hypoxia is present in any condition that causes inadequate amounts of oxygen to be delivered to body cells. Various types of hypoxia have been identified, including hypoxemic, anemic, and stagnant. Hypoxemic hypoxia is related to inadequate oxygen in inhaled air or respiratory problems that prevent adequate oxygen from reaching lung capillaries. Anemic hypoxia is related to any condition that causes a reduction in hemoglobin. Although adequate oxygen may reach the blood, it is not adequately transported to tissues. Stagnant hypoxia is related to reduced blood flow to capillaries and may be caused by conditions such as heart failure or obstruction of a blood
vessel.




Treatment and Therapy

The treatment of hypoxia depends on its cause. Although oxygen therapy
(administration of inhaled oxygen) seems a logical therapeutic measure, it may be helpful in some types of hypoxia but of little value in others. Oxygen therapy is clearly indicated when hypoxia is due to lack of oxygen in environmental air, to hypoventilation, or to problems that interfere with pulmonary diffusion. Oxygen therapy is moderately helpful in hypoxia from anemia and carbon monoxide poisoning. When hypoxia is caused by failure of the circulatory system, oxygen therapy may be slightly beneficial. It is of almost no value when hypoxia is caused by the inability of cells to use oxygen. In addition to oxygen delivered by face mask or cannula, in emergency situations a cricothyroidotomy and tracheostomy may be performed. Mechanical ventilation may also be necessary.


Adequate tissue oxygenation is evaluated by the following: Does the atmospheric air contain enough oxygen and humidification? Is the airway clear, or does it seem to contain excess secretions? Is the client able to ventilate without pain or discomfort? Do both sides of the thorax rise and fall equally with inhalation? Does breathing sound noisy? Are the rate, rhythm, and depth of respiration within normal limitations? Is cough and sputum production present? Is chronic lung disease present? Are blood gases within normal limits? Is the complete blood count within normal limits? Is the radial/apical pulse rate, rhythm, and volume within normal limits? Is blood pressure within normal limits? Is mental confusion, disorientation, or memory loss present?




Bibliography


Des Jardins, Terry. Clinical Manifestations and Assessment of Respiratory Disease. New York: Elsevier Science, 2005.



Lei Xi, and Tatiana V. Serebrovskaya, eds. Intermittent Hypoxia: From Molecular Mechanisms to Clinical Applications. Hauppauge, N.Y.: Nova Science, 2013.



"NINDS Cerebral Hypoxia Information Page." National Institute of Neurological Disorders and Stroke. October 2010.



Roach, Robert C., Peter D. Wagner, eds. Hypoxia Into the Next Millennium. New York: Springer Science + Business, 2013.



Vordermark, Dirk. Hypoxia: Causes, Types and Treatment. Hauppauge, N.Y.: Nova Science, 2012.



Wilkins, Robert L. Egan’s Fundamentals of Respiratory Care. New York: Elsevier Health Sciences, 2008.



Wilkins, Robert L. Respiratory Disease: Case Study Approach to Patient Care. New York: F. A. Davis, 2006.

Thursday, May 19, 2011

Was the Progressive movement a success?

The Progressive Movement was very diverse, sometimes pulling in opposite directions. I would argue, however, that it was largely successful. Progressives did not completely remake the social order, but that was never their goal. Many reforms promoted by Progressives were established, and indeed are still around today. Public education in the South, for example, was a reform promoted by many Progressives. Progressives successfully pushed for child labor and workplace safety laws that are still with us in expanded form today. The Sixteenth and Seventeenth Amendments, which established direct election of senators and a federal income tax respectively, are also still with us. And of course, the Nineteenth Amendment, a progressive reform, doubled the size of the electorate by granting the right to vote to women. The settlement house movement, a cornerstone of Progressivism in the urban north, helped give rise to the modern field of social work, and Progressives secured legislation that forced food and drug manufacturers to disclose their ingredients.


There were many failures to Progressivism. Prohibition, established by the Eighteenth Amendment, was a catastrophic failure, and the consolidation of big businesses continued in the twentieth century. Many southern Progressives supported segregation, and many Northerners supported discriminatory measures against immigrants as well as the emerging eugenics movement. Many Progressives were also remorseless imperialists. But overall, the Progressive movement led to great, and I would argue, positive, change in American life. It was therefore a success.  

At the end of the story, what does Squeaky decide to do for Raymond? Why does she make this decision?

At the end of Toni Cade Bambara’s short story “Raymond’s Run” Squeaky has a moment of clarity in her life. After seeing how her brother, Raymond, keeps up with her while she runs May Day race, she comprehends that he has the potential to be a great runner “in the family tradition” and she has the ability to be his coach. She realizes she lived up to her potential as a runner and her reputation as the toughest girl in the neighborhood. Raymond becomes a person with potential, and Hazel Elizabeth Deborah Parker wants more for him. She has her ribbons and trophies, he does not.



And I’m smiling to beat the band cause if I’ve lost this race, or if me and Gretchen tied, or even if I’ve won, I can always retire as a runner and begin a whole new career as a coach with Raymond as my champion.



Not only does she decide that she can coach Raymond, she realizes with more work she can be a better student, and with more compassion she can be a friend to the other girls. At her young age, Squeaky has an epiphany; she has more potential than merely being a good runner. Her most important decision is her change of attitude toward Raymond. He is no longer the disabled brother she cares for; he is a person with a future.

Wednesday, May 18, 2011

In Tuck Everlasting how do the Tucks earn a little extra money?

Angus Tuck and Mae Tuck make little trinkets and household items to sell.  Some of the examples that are given in the text are a model ship, wooden bowls, and wooden cooking utensils.  The text says that Angus does the carving and that Mae does necessary sewing.  


Jesse and Miles Tuck are a different story though.  They both get odd jobs wherever they can find work.  Miles has better luck finding work, because he looks old enough to get a variety of jobs.  Mae tells Winnie that Miles prefers working as a carpenter or a blacksmith.  In either case, Miles earns his money by hitting stuff with hammers.  Jesse's problem is that he doesn't look old enough to have very many types of jobs.  Mae tells Winnie that Jesse tends to work in farm fields or in saloons.  

What is guided imagery?


Overview

Guided imagery has been used since ancient times by the Greeks and Egyptians. Normally, a person uses imagery many times each day when anticipating events or activities. Some of the imagery is negative and causes worrying. A person develops thoughts about who he or she is through mental imagery. Guided imagery channels this use of the mind to affect the body.


When initiating guided imagery, it helps to relax, because doing so makes the body more receptive to mental images. Some persons use guided imagery when they wake up in the morning and before they go to sleep at night. Guided imagery can be effective when practiced regularly, but it takes time to learn and to see its effects. Guided imagery should be practiced a minimum of twice per day.


Guided imagery is sometimes referred to as visualization or affirmations. Both visualization and affirmations apply the same principles as guided imagery.




Mechanism of Action

Guided imagery uses the mind/body connection to change the body or its functioning. The mind already has a great deal of control over the body, and this control can be increased by using guided imagery.


The brain does not “understand” words; rather it understands only pictures or images, and these mental images must be repeatedly reviewed. With enough repetition, the brain and unconscious mind will attempt to make these images real. Positive imagery can trigger the release of brain chemicals, such as serotonin and endorphins, which are natural tranquilizers.


Guided imagery is more effective if all of the senses are used in forming the images. For example, a runner imaging his or her performance in a race should imagine the smell of perspiration, feel the pain in the legs and chest, imagine the dryness of the mouth, see competitors through peripheral vision, see the finish line, feel sweat running down the neck, and hear feet beating the ground as he or she pulls ahead and crosses the finish line first. One can then imagine the joy of winning the race and receiving a trophy or medal.




Uses and Applications

Guided imagery assists in relaxing the body, controlling some body functions, and increasing the effectiveness of performance. It can be used to treat depression, anxiety, cancer, the side effects of chemotherapy, pain, high blood pressure, obesity, diabetes, insomnia, headaches, wounds, premenstrual syndrome, asthma, spastic colon, and low white-blood-cell counts.




Scientific Evidence

Much research has been conducted to determine the effectiveness of guided imagery. Many of the studies examined guided imagery as a CAM therapy for healing, reducing the side effects of drugs, or initiating personal change. In general, however, the effectiveness of guided imagery depends on the efforts of the individual person and cannot be controlled or measured accurately.


One study of women with breast cancer demonstrated such
questionable results. The study, performed by the Oregon Health and Science
University in 2002, looked at twenty-five women with either stage one or stage two
breast cancer. They were taught guided imagery to see the natural killer cells of
their immune
system destroying the cancer cells. The initial session was
taped; participants were asked to practice at home with the tape three times per
week for eight weeks. Their immune function and emotional state were measured
three times: before the study began, at the end of eight weeks, and three months
after the study ended. Participants reported being less depressed. The measure of
their immune system demonstrated higher levels of natural killer cells but no
change in the physical effects of the killer cells.




Choosing a Practitioner

Guided imagery can be done without a practitioner. Audiotapes and CDs are available to provide guided imagery coaching. Good books describe the process and include scripts for guided imagery. A mental health counselor or a physician can provide coaching in guided imagery, and trained guided imagery counselors can be consulted.




Safety Issues

There are no known safety issues with guided imagery. However, intense worrying can have negative physical and emotional effects.




Bibliography


“Guided Imagery: Using Your Imagination.” In Stress Management for Life: A Research-Based Experiential Approach, edited by Michael Olpin and Margie Hesson. Belmont, Calif.: Wadsworth/Cengage Learning, 2010.



Naparstek, Belleruth. Staying Well with Guided Imagery. New York: Grand Central, 1995.



Rossman, Martin L. Guided Imagery for Self-Healing. 2d ed. Tiburon, Calif.: H. J. Kramer/New World Library, 2000.

Tuesday, May 17, 2011

What is water treatment? How does it help prevent infectious diseases?


Definition


Water
treatment is the process of removing contaminants from water to make it safe for drinking, cooking, bathing, and
swimming. Without water treatment, waterborne pathogens
such as Cryptosporidium
species, Escherichia coli
, hepatitis A virus, and Giardia intestinalis
(also known as G. lamblia) can proliferate and
cause illness and death, often from the dehydration that follows diarrhea.




Clean water is expected to be clear, colorless, odorless, and tasteless. This requires that water be free of particulates (minute substances). Treating water involves the killing of microbes such as bacteria, viruses, and parasites, and the binding and removal of minerals such as iron, calcium, magnesium, manganese, and sulphur.


To clean water, a series of specific processes must be performed: physical separation of solids by settling and filtration; chemical reactions of coagulation and disinfection; and biological methods such as aeration, bacterial digestion of sludge, and filtration through natural materials. The choice of processes depends on the nature and volume of the water to be purified. An analytical survey must be performed initially.


Two original sources of water exist: surface water and ground water. Surface water comprises rivers, lakes, streams, and ponds. Ground water is accessible by digging wells. Ground water generally requires less water treatment than surface water, which contains more debris and pollutants.




Treatment Processes


Coagulation. When water is first received at a water-treatment plant, large pieces of solid material, such as sewage, are removed by a coarse screen and then discarded. Smaller solid particles are then induced to bind together so that they will form into larger particles through coagulation. Ions with multiple charges (polyelectrolytes) change the pH (acidity) of the water and trigger chemical reactions that cause aggregation. Alum is frequently added to attract dirt particles, which may contain herbicides and pesticides. Lime and soda ash cause calcium and magnesium to precipitate, thus softening the water.



Sedimentation. The material resulting from coagulation, called floc, has sufficient weight that it sinks to the bottom of settling tanks. This separation of solids by sedimentation is time-consuming. Algae eventually rise to the surface, where they may be skimmed. The clearer water on the surface is then slowly siphoned for filtration. Aerobic and anaerobic bacteria may be added to the withheld solids (sludge) to digest organic waste matter and to neutralize pollutants. Carbon dioxide, ammonia, and methane gases are generated. The digested sludge may then be used as a fertilizer supplement in farming.



Filtration
. Remaining particles in the water may be removed by filters made of artificial membranes, nets, or natural materials. Water may be filtered by passing it through beds of sand, gravel, or pulverized coal. Activated charcoal may be added to the water first to remove color, odor, taste, and radioactivity. In another method of removing calcium and magnesium, water may be passed through ion exchange columns, in which sodium ions compete with these cations for binding to porous material.


Aeration is used to remove dissolved elements such as iron, sulphur, and manganese. Air is forced into the water to remove carbon dioxide, hydrogen sulfide, and other gases. In diffused aeration, air is bubbled through the water. In spray aeration, water is sprayed through the air.


The process of removing salt from the water, called desalination,
is often used to make ocean water drinkable in places where fresh water is scarce.
The salt is removed by microfiltration and by reverse osmosis.



Disinfection. Disinfection is the general method of killing pathogens (bacteria, viruses, and parasites). The most common method of water disinfection is chlorination with sodium hypochlorite bleach. Used less frequently are ultraviolet light and ozone aeration. (To disinfect water in one’s home in an emergency, one should boil the water to kill microbes.)




Storage

Treated water must then be stored and delivered under clean conditions to prevent recontamination. The water is stored in closed tanks or reservoirs; from there, it is piped to homes, businesses, and other facilities. Minimal chlorine may be added at this stage to maintain cleanliness. Fluoride also may be added to the treated water as a method to prevent tooth decay.




Impact

The U.S. Safe
Drinking Water Act of 1974 established national drinking-water standards, which includes
maximum acceptable contaminant levels. The act was amended in 1986 and 1996 to
protect natural water sources. The original act was intended to address drinking
water as it flowed in homes, businesses, and public drinking fountains. The
amendments address water safety as it flows from the original water source to the
faucet.


Most water-treatment plants are not prepared to remove pharmaceuticals, including natural and synthetic hormones, that are flushed down the sink or toilet. Those treatment plants that use chemical oxidative processes to remove estrogen and other medications generate disinfection by-products in the water supply that pose potential risks to human health. Communities are organizing collections of unused and unwanted over-the-counter and prescription medications for disposal by authorized incineration.




Bibliography


Amjad, Zahid, ed. Science and Technology of Industrial Water Treatment. Boca Raton, Fla.: CRC Press, 2010. This text by the International Water Association features discussion of the “fundamental and practical aspects of industrial water treatment.”



Binnie, Chris, and Martin Kimber. Basic Water Treatment. 4th ed. Cambridge, England: Royal Society of Chemistry, 2009. A comprehensive textbook on water quality standards and practices in the United States and in Europe.



Brettar, Ingrid, and Manfred G. Hofle. “Molecular Assessment of Bacterial Pathogens: A Contribution to Drinking Water Safety.” Current Opinion in Biotechnology 19 (2008): 274-280. A summary of detection methods for bacterial pathogens in drinking water.



Centers for Disease Control and Prevention. “Safe Water System: A Low-Cost Technology for Safe Drinking Water.” Available at http://www.cdc.gov/safewater/publications_pages/fact_sheets/WW4.pdf.



Edzwald, James K., ed. Water Quality and Treatment: A Handbook on Drinking Water. 6th ed. New York: McGraw-Hill, 2011. This text by the American Water Works Association discusses “state-of-the-art technologies, water quality from source to tap, conventional and advanced methods and processes in water treatment, and drinking water standards and regulations.”



Morris, Robert D. Blue Death: True Tales of Disease, Disaster, and the Water We Drink. New York: HarperCollins, 2007. An epidemiologist who specializes in waterborne diseases discusses the history of water purification and the drinking water industry without avoiding controversy.



Symons, James M. Plain Talk About Drinking Water. 5th ed. Denver, Colo.: American Water Works Association, 2010. Provides consumers with clear information about drinking water in a question-and-answer format written in easily understood language.

How does the choice of details set the tone of the sermon?

Edwards is remembered for his choice of details, particularly in this classic sermon. His goal was not to tell people about his beliefs; he ...