Discuss the different types of love Essay Example for Free

Discuss the different types of love Essay In Act 3, Shakespeare portraits love in different characters point of views, also showing the different ways love can be expressed in. Orlando and Silvius both express their love openly, not fear of embarrassments. Touchstones love is very realistic; Phoebes way of express is very childish; and Rosalinds words are very self-contradicting. Touchstones point of view of a wife is a tool that can be replaced or thrown away at any time. Just from the excuse he gave from not having a proper wedding for he is not like to marry me well and, not being well married, it will be a good excuse for me hereafter to leave my wife, it can show that he doesnt really value this marriage and is already thinking about divorcing before they are even married. Also from the reason he gave about the marriage is just by so much is a horn more precious than to want, we can tell how he sees Audrey as a person. Audrey in Touchstones eyes can be seen as an object or just a releasing of sexual needs, he is not respecting her in any point. As a professional jester, people usually imagine them as very nai ve and stupid, but in a contrast to Orlando from a noble family, he acts more mature and is more realistic. By using big difference in status, Shakespeare shows that the way of thinking is actually not affected by the status and job of that person. Different from Orlando, Silvius pursues Phoebe day and night, and begs that she would accept him, while Orlando is just expressing his love without even the courage to go see Rosalind face to face. But the love between Silvius and Phoebe is one sided. We can tell this after Silvius said she is like the common executioner, whose heart thaccustomd sight of death makes hard begging her to go easy on him, but just in return receives Phoebes mocking. She mocks him about his hyperbolic language and says now show the wound mine eye hath made in thee. During the whole scene, she only said Siliviuss name once, showing that she does not even spare him a glance. Not only is their love one sided, Phoebe acts really irritated and is very cruel with the words she chose to use. Like if mine eyes can wound, now let them kill thee, suggests that she would rather kill him than to give him a little of her love. Although she says cruel things, but she never kicked Silvius or physically hurt him. She also never said anything like stay away, I think is because she likes to feeling of being popular, and the amount of attention Silvius is giving her. I think she mistook that every man is like Silvius, only crying for her love, and falling before her knees, thats why she acts like a queen. This shows that Phoebe actually has very little contacts with people outside even the others in the forest. Phoebe actually is very inexperienced with love. Although she didnt say openly, but saying I had rather hear you chide than this man woo to a man which she has just saw reveals her affections. Shakespeare here uses dramatic irony, because Phoebe doesnt know that Ganymede is actually a women in disguised. And denying her own love is just like the actions of a child towards his or her first love, so I think she is very inexperienced in love. The love Orlando holds for Rosalind is very inconsiderate. As Rosalind says, he haunts the forest that abuses out young plants with carving Rosalind on their bards; hangs odes upon hawthorns and elegies on brambles; all, forsooth, defying the name of Rosalind. He doesnt care how much trouble he is causing to the forest and other people that lives in the forest, just for the sake of his quotidian of love. He didnt care about Rosalinds feelings whose name is written by him all over the forest, which makes her widely known, just for the sake of his love. Orlando is very childish, naive, and venire. He wants the whole world to believe that he is in love with Rosalind, even the Ganymede for which he has only seen. He said, fair youth, I would I could make thee believe I love and I swear to thee, youth, by the white hand of Rosalind, I am that unfortunate he. From his urgent tone, we can tell that how much a strangers word weighs on his heart, in order for him to swear. White using to describe a persons skin can mean that he or she is ill, but I think Orlando mean no harm, but this is just the word he can find to describe Rosalind. So, again, we can see the big difference in education between Rosalind and Orlando. He said the verses above right after Rosalind (now as Ganymede) said he doesnt look like he is in love, so he reacted greatly from just a strangers words. Just from one side of the story, without questioning the truth, Orlando accepted the help of a stranger, without even knowing that person. If it was a trap, Orlando would be dead by now, so he is very nai ve. As a woman, Rosalind loves Orlando by heart. By the way she questions Celia about Orlando, answer me in one word shows that Rosalind is very urgent about everything that is about Orlando. Although she loves him, she doesnt show it very much, denying the love rule in Shakespeares plays, which when characters fall in love hard and fast, they would be desperate and reacts greatly. Rosalinds love is very self-contradicting. She says love is merely a madness when she also, is madly in love. She says as if she was very experienced with love, but actually she doesnt hold much experience than Orlando does. These contradictions only happen when she is dress as a man, showing the difference in gender can bring much difference in the way of talking and gestures. Rosalind is a very ironic character. She comments on love from two different points of views when she is having two different identities. She uses her identities to her greatest benefits, but in return receives a self-contradictory image about love. It is because in Shakespeares period, all actors were men. Imagine a man playing a woman who plays a man in order to win a mans love, the neat borders of gender becomes hopelessly muddled. I think Rosalinds Ganymede identity is use to show that men is actually not much better than women, because the things men can do, women can also do if they want. Shakespeare displays love in many different angles, showing to the audience that love cannot be too realistic like Touchstone, but cannot be too imaginative like Orlando; love is a poison that can bring suffer like Silvius and Phoebe, but can also bring sweetness. The love in As You Like It is far to unrealistic that they are not likely to happen, but this is just a hyperbolic play, suggesting that it might occur in another form. Like Rosalinds identities, love need to strike a balance; otherwise they would create problems for others and themselves.

Health Care Of The Elderly

Health Care Of The Elderly Geriatrics is the branch of medicine that focuses on health care of the elderly. This is the study of the aging process itself. The term comes from the Greek geron meaning old man and iatros meaning healer. Geriatrics is the branch of medicine dealing with the aged and the problems of the aging.The field of gerontology includes illness prevention and management, health maintenance,and promotion of the quality of life for the aged. The ongoing increase in the number of elder person.The experiences of aging result from interaction of physical,mental,social and cultural factors. Aging as well as the treatment of the elderly, is often determined the way elder person views the process of aging, as well as the manner in which he or she adapts to growing older. A more heterogeneous elderly population than any generation that preceded it can be expected. The majority of elderly seen in the health care setting have been diagnosed with at least 1 chronic condition. Individuals who in the 1970s would not have survived a debelitating illness, such as cancer or a castastrophic health event leki hearth attack, can now life more period of sometimes with a variety of concurrent debilitating conditions. Although age is most consistent and strongest predictor of risk for cancer and for the death from cancer, a mangement of elder cancer patient becomes complex because the choronic conditions, such as osteoarthritis, diabetes, Aging is a broad concept that includes physical changes in peoples bodies over adult life, psychologic changes in their mind and mental capacities, social pyschologic changes in they think and believe, and social changes in how they are viewed, what they expect, and what is expected of them. Aging is constantly evolving concept. Notions that biologic age is more critical than chronologic age when determing health status of the alderly are valid Aging is an individual and extremely variable process. The functional capacity of major body organs varies with advancing age. As one grows older, environmental and lifestyle factors affet the age-related functional changes in body organs GERIATRICS ASSESSMENT CARE MANAGERS A Care Plan is an outcome of a geriatric assessment, and is essentially an action plan for future care. A Care Plan lists all identified problems, suggests specific interventions or actions required and makes specific recommendations regarding resources needed to provide the necessary support services. What is geriatric assessment? A geriatric assessment is a comprehensive evaluation designed to optimize an older persons ability to enjoy good health, improve their overall quality of life, reduce the need for hospitalization and/or institutionalization, and enable them to live independently for as l ong as possible. An assessment consists of the following steps: An examination of the older persons current status in terms of: Their physical, mental, and psycho-social health Their ability to function well and to independently perform the basic activities of daily living such as dressing, bathing meal preparation, medication management, etc. Their living arrangements, their social network, and their access to support services. An identification of current problems or anticipated future problems in any of these areas. The development of a comprehensive Care Plan which addresses all problems identified, suggests specific interventions or actions required, and makes specific recommendations regarding resources needed to provide the necessary support services. The management of a successful linkage between these resources and the older person and that persons family so that provision of the necessary services is assured. An ongoing monitoring of the extent to which this linkage has, or has not, addressed the problems identified, and the modification of the Care Plan as needed. When is a geriatric assessment needed? A request for a geriatric assessment would be appropriate when there are persistent or intermittent symptoms such as: memory loss, confusion, or other signs of possible dementia. DEMENTIA : Global impairment of intellectual function (cognition) interfering with social and occupational activities. Often, what looks like Alzheimers or dementia can be the result of medication interactions or other medical or psychiatric problems. Because of the thoroughness of the geriatric assessment, it is one of the best ways to determine what the actual problem and cause is or is not. Who performs a geriatric assessment? A geriatric assessment can be done in many different settings such as: a hospital, a nursing home, an outpatient clinic, a physicians office or the patients home. It is an assessment that is comprehensive in scope, involving a complete review of the current status of the older person in all of its complex dimensions, and because it is so comprehensive, it can only be successfully conducted by a multi-disciplinary team of experts. This team might include: physicians, ancillary personnel, social workers, physical and/or occupational therapists, dieticians, psychologists, pharmacists, and geriatric nurse practitioners. You can request a referral for a geriatric assessment from a primary care physician. Also, check with any large hospital or university to see whether they have a geriatric assessment unit. Geriatric care managers A geriatric care manager (GCM) is a professional with specialized knowledge and expertise in senior care issues. Ideally, a GCM holds an advanced degree in gerontology, social work, psychology, nursing, or a related health and human services field. Sometimes called case managers, elder care managers, service coordinators or care coordinators, GCMs are individuals who evaluate your situation, identify solutions, and work with you to design a plan for maximizing your elders independence and well being. Geriatric care management usually involves an in-depth assessment, developing a care plan, arranging for services, and following up or monitoring care. While you arent obligated to implement any part of the suggested care plan, geriatric care managers often suggest potential alternatives you might not have considered, due to their experience and familiarity with community resources. They can also make sure your loved one receives the best possible care and any benefits to which they are entitled. Help provided by geriatric care managers Geriatric care managers facilitate the care selection process for family members who live at a distance from their elderly relatives, as well as for those who live nearby but do not know how to tap into the appropriate local services. You can hire a care manager for a single, specific task, such as helping you find a daily caregiver, or to oversee the entire caregiving process. Geriatric care managers can help families or seniors who are: new to elder care or uncomfortable with elder care decision-making; having difficulty with any aspect of elder care; faced with a sudden decision or major change, such as a health crisis or a change of residence; dealing with a complex situation such as a psychiatric, cognitive, health, legal, or social issue. In addition to helping seniors and their families directly, geriatric care managers can act as your informed connection with a range of other professionals who are part of your elder care network, including any of the following service providers: Attorneys or trust officers. A care manager can serve as both elder advocate and intermediary with financial and legal advisors. The GCM is often a good source of referrals if a family needs services from these professionals. Physicians. The GCM is an ideal liaison between doctors and other health professionals, and the elder patient and family members. Social workers. It is useful for hospital and nursing home social workers and discharge planners to know that their senior patient will have someone to coordinate their care and assist them on a long-term basis. Home care companies. The GCM will know local agencies and be able to explain options, costs, and oversight of home care workers. The care manager can also assist in dealing with patients social issues, help link to other community resources, and suggest possible placement options. Residential facilities. The GCM can help identify types of care facilities and assist you in selecting an appropriate one for your situation. The GCM may also be able to streamline the transition into or out of a senior community, for both the elderly resident, family members and staff. Finding a geriatric care manager In addition to the many References and resources available, a good place to start your search for a geriatric care manager is with your family physician. Other sources for referrals include: local hospitals and health maintenance organizations senior or family service organizations senior centers religious affiliations Medicaid offices private care management companies While geriatric care managers are frequently licensed by the state within their respective fields of expertise, there are no state or national regulations for professional care managers per se. For this reason, anyone can use the title case or care manager. Membership in a professional organization and/or certification in care management are good indicators of appropriate background. The National Association of Professional Geriatric Care Managers recognizes the following designations for a Certified Care Manager: CMC, CCM, C-ASWCM and C-SWCM. Each of these requires testing and continuing education. Geriatrics syndroms Dementia, Delirium, Urinary Incontinence, Osteoporosis, Falls/ Gait Disorders, Decubitus Ulcers, Sleep Disorders, Failure to Thrive Organ specific disease/syndrome Ear, Eye, Cardiovascular, Musculoskeletal, Neurological, Communicable Diseases, Respiratory, Oral, Gastrointestinal, Endocrinological, Sexual Dysfunction and Gynecology, Hematology and Oncology, Kidney/Prostate, Skin Diseases Geriatric psychiatry Mood Disorders, Anxiety Disorders, Personality Disorders, Substance Related Disorders, Memory Disorders (non-dementia) Patient care Geriatric Assessment, Hospitalization, Emergency Medical Services, Surgical Procedures, Long-Term Care, Preventive Health Services, Rehabilitation, Pain Management/ Palliative Care Aging Age Distribution/Demography, Basic Sciences, Pharmacology/ Polypharmacy Patient care of the elderly Tips for working with the eldery patient Take time to edudcate the patient and his or her family. Speak lower and closer treat the patient with dignity and respect.Give the patient time to rest between projections and procedures. Avoid adhesive tape: elderly skin thin and fragile. Provide arm blankets in cold examination rooms. Use table pads and hand nails. Always access the patients medical history before contrast media is administered. Patient and family education Educating all patient, especially the elderly ones, about imaging procedures is crucial to obtain their confindence abd compliance. More time with elderly patient may be necessary to accommodate their decreased ability is rapidly process information. The majority of elderly have been diagnosed with at least one chronic illness.They typically arrive at the clinical imaging environment with the natural anxiety because they are like to have lilttle knowledge of the procedure or highly technical modalities employed for their procedure. Moreover, a fear concerning consequences resulting from the examination exacerbates their increased level of anxiety. Taking time to educate patient and their family or signification caregivers in their support system about the procedures makes of a less stressfull experiences and improved patient compliances and satisfaction. Communication Good communication and listening skills create a connection between the radiographer and his or her patient. Older people are unique and should be treated with dignity and respects. Each elderly person is a wealth of cultural and historical knowledge that is turn becomes a learning experiences for the radiographer. If it is a evident that the patient cannot hear or understand the verbal directions. It is appropriate to speak lower and closer. Background noise can be disrupting to an older person and should be eliminated of possible when giving precise instructions. Giving instruction individual gives the elder person time to process a request. An empathetic, warm attitude and approach to the geriatric patient will result in a trusting and compliant patient. Transportation and lifting Balance and coordination of the elderly patient can be affected by normal aging changes. Their anxiety about falling can be diminished by assistance in out of a wheelchair and to and from the examination table. Many elderly patient have decreased height perception resulting from some degree of vision impairment. Hesitition of the elderly person may be due to previous falls. Assiting an older patient when there is need to step up or down throughout the procedure is more than a reassuring gesture. Preventing opportunities for falls is a necessity for the radiographer. The elderly patient will often experiences vertigo and dizziness when going from a recumbent postion to a sitting position. Giving the patient time to test between position will mitigate these disturbing, frightening, and uncomfortable sensations. The use of table handgrips and proper assistance from the radiographer creates a sense of security for the elderly patient. A sense of security will result in a compliant and tr usting patient throughtout the imaging procedure. Skin care Acute age-related changes in the skin will cause it to become thin and fragile.The skin becomes more susceptible to bruising, tears, abrasion, and blisters. All health care professional should use caution in turning and holding the elderly patient.Excessive pressure on the skin will cause it to break and tear .Adhesive tape should be avoided because it can be irritating and can easily tear the skin of an older person. The loss of fat and makes it painfull for the elder patient to lie in a hard surface and can increase the possibility developing ulceration. Decubitus ulcers, or pressure sores, are commonly seen in bedridden people or those will decreased mobality.Bony areas such as the heels, angkle, elbow and the lateral hips are frequent side for pressure sores. A decubitus ulcer can develop in 1 to 2 hours. Almost with out exception, table use for imaging procedures are hard surface and cannot be avoided.However the use of table pad can reduce the friction between the hard surface of the table and the patient fragile skin. Sponges,Blankets and the positioning aids will make the procedures much more bearable and comfortable for the elderly patient.Because skin plays a critiscal role in maintaining body temperature, the increasingly thinning process associated with aging skin renders the patient less able to retain normal body heat. Thus the regulation of body temperature of the elderly person varies from that to a younger person. To prevent hypotamia in room where the ambient ier temperature is comfortable for the radiographer, it may be essential to provide blankets for the elderly patient. Contrast administration Because of age related changes in kidney and liver function, only the amount, the type of contrast media is varied when performing radiographic procedures on the elderly patient. The number of functioning nephrons in the kidneys steadily decreases from middle the throughout the life span. Compromised kidney function contributes to the elderly patient being more prone to electrolcyte and fluid imbalance. This can create life-threatening consequences. They are also more suspectible to the effect of dehydration because of diabetes and decreased renal or adrenal function. The decision if type and amount of contrat media used for the geriatric patient usually follow some sprt of routine protocol. Assessment for contrast agent administration accomplished by the imaging technologist must include age and history of liver, kidney or thyroid disease; history of hypersensitivity reactions and previous reaction to medications or contrast agent ; sensitivity to asprin; over the-counter and prescription drug history including acetotaminophen (Tylenol); and history of hypertension. The imaging technologist must be selective in locating an appropriate vein for contrast administration on the elderly patient. They should consider the location and condition of the vein, decrease intergrity of the skin, and the duration of the theraphy.Thin superficial veins, repeatedly used veins,and veins located area where the skin is bruised or scarred should be avoided. Assess the patient for any swallowing impairments, which could lead to difficulties with drinking liquid contrast agents. The patient should be instructed to drink slowly to avoid choking, and an upright position will help prevent aspiration. The Radiographers Role The role of radiographers is no different than that of all other health professionals.The whole person must be treated, not just the manifested symptoms of an illness or injury. Medical imaging and therapeutic procedures reflect the impact of ongoing systemic aging in documentable and visual forms. Adapting procedures to accommodate disablilities and diseases of geriatric patient is a critical responsibility and a challenge based almost exclusively on the radiographers knowledge, abilities and skills. An understanding of the physiology and pathlogy of aging, in addition to an awareness of the social, physiologic, congnitive and economic aspects of aging, are required to meet the need of elderly population. Condition typically associated with elderly patient invariably requires adaptations or modifications of routine imaging procedures. The radiographers must be able to differentiate between age-related changes and disease processes. Production of diagnostic images requiring professio nal decision making to compensate for physiologic changes, while maintaining the campliances,safety and comfort of the patient, is the foundation of the contract between the elderly patient and the radiographers. Radiographic positioning for geriatric patient The preceding discussion and understanding of the physical,cognitive,and physchology effect on aging can help radiographers adapt the positioning challenges of the geriatric patient.In some cases routine examination need to be modified to accommodate the limitation,safety and comfort of the patient.Communicating clear instruction with the patient is important.The following discussion addresses positioning suggestion for various structures. Chest The positioning of choice of the chest radiography is the upright positions, however the elderly patient may not able to stand without assistance for this examination. The tradisional posterioranterior (PA) position as to have the back of hand on hips. This may difficult for someone with ampaired balanced and flexiblelity. The radiographer can allow the patient to wrap his or her arm around the chest stand as a means of support and security. The patient may not able to maintain his or her arms over the head for the lateral projection of the chest.Provide extra security and stability while moving the arms up and forward. When the patient cannot stand, the examination may be done seated in whellchair, but some issue will be effect the radiographic quality. First the radiologist need to be aware that the radiograph is an anterior-posterior (AP) instead of a PA projection, which may make obscure the lung bases, in a sitting position, respiration may be instructed on the importance of a deep inspiration. Positioning of the image receptor for the kyphotic patient should be higher than normal because the shoulder and apices are in a higher position. Radiographic landmark may change with age and the centering may need to be lower if the patient is extremely kyphotic. When positioning the patient for the sitting lateral chest projection.The radiographer should place large sponge behind the patient to lean hind or her forward. CHEST (Portable) Exam Rationale: Cassette size: 35ÃÆ'-43cm Non-grid 72 kVp, 6 mAs AP projection (upright or supine) Spine Radiographic spine examination may be painful for the patient suffering from osteoporosis that is lying on the bucky table. Positioning aids such as radiolucent, sponges, sandbags, and a mattress may be used as long as the quality of the images is not compromised. Performing upright radiographic examination may also be appropriate if a patient can safety tolerate this position. Performing upright radiographic examination may also be appropriate if a patient can safely tolerate this position. The combination of cervical lardosis and thoracic kyphosis can make positioning and visualization of the cervical projection can be done with the patient standing, sitting, or lying supine. The AP projection in the sitting position may not visualize the upper cervical vertebrae because the chin may abscure this anatomy. In the supine position the head may not reach the table and result in magnification. The AP and openmouth projection are difficult to do on a wheelchair. The thoracic and lumbar spines are sites for compression fractures. The use of positioning blocks may be necessary ho help the patient remain in position. For the lateral projection, a lead bloker or shield behind the spine should be used to absorb as much scatter radiation as possible. Pelvis/Hip Osteoarthiritis, osteoprosis and injuries as the result of falls contribute to hip pathologies. A common fracture in the elderly is the femoral neck. An AP projection of the pelvis should be done to examine the hip. If the indication is trauma, the radiographers should not attempt to rotate the limbs. The second view taken should be cross-table lateral of the effected hip. If hip pain is the indication, assist the patient to internal rotation of the legs with use of sandbags if necessary. Upper Extremity Positioning the geriatric patient for projection of the upper extremities can present its own challenges. Often the upper extremities have limited flexiblelity and mobality. A cerebrovascular accident or stroke may cause contractures of the affected limb, Contractures of the affected limb, Contracted limbs cannot be forced into position, and cross-table views may need to be done. The inability of the patient to move his or her limbs should not be interpreted os a lack of cooperation. Supinated is often a problems in patient with constructures, fracture and paralysis. The routine AP and lateral projections can be supported with the use of sponges, sanbags, and blocks to raise and support the extremities being image. The shoulder is also a site of decreased mobality, dislocation, and fratures.The therapist should assess how much movement before the patient can do before attempting to move the arm. The use of finger sponges may also help with the contractures if the finger. Lower extremity The lower extremities may have limited flexibility and mobality. The ability to dorsiflex the ankle may be reduced as a result of neurologi disorder. Imaging on the x-ray table may need to be modified when a patient cannot turn on his or her side. Flexion of the knee may be impaired and require a cross-table lateral projection. If a tangential projection of the pattela, such as the settegast method, is necessary and the patient can turn on his or her side, place the image receptor superior to the knee and direct the central ray perpendicular throught the pattela-femoral joint. Projection of the feet and ankles may be obtained with the patient sititng in the whellchair. The use of positioning sponges and sanbags support and maintain the position of the body part being imaged. Technical Factors. Exposure factors also need to be taken into considerarion when image the geriatric patient. The loss of bone mass, as well as atrophy of tissue, often requires a lower kilovoltage (kVp) to maintain sufficient contrast. kVp also a factor in chest radiographs when there may be a large heart and pleural fluid to penetrate. Patient with emphysema require a reduction in technical factors to prevent overexpose of the lungs fields. Patient assessment can help with the appropriate exposure adjustment. Time may also be a major factor. Geriatric patient may have problems maintaining the positions necessary for the examinations. A short exposure time will help reduce any voluntary and involuntarymotion and breathing. Ensure that the geriatric patient clearly hears and understands the breathing instructions. Conclusion The imaging professional will continue to see a changes in the health care delivery system with the dramatic shift in the population of person older than age 65. This shift in the general population is resulting in an ongoing increase in the number of medical imaging procedures performed on elderly patient. Demographic and social effect on aging determine the way which the eldely adapt to and view the process of aging. An individuals family size and perceptions of aging, economic resources, gender, race, athnicity, social class, and the availability and delivery of health care will affect the quality of the aging experiences. Biological age will be much more critical than chronologic aging when determining the health status of the elderly. Healthier lifestyles and advancement in medical treatment will create a generation of successfully aging adults, which in turn should decrease the negative stereotypes of the elderly person. Attitude of all health care professionals, whether positi ve or negative, will affect the care provided to the growing elderly population. Education about the mental and physiologic alteration associated with aging, along with the cultural, economic, and social influences accompanying aging, enables the radiographers to adapt imaging and therapeutic procedures to the elderly patients disablities resulting from age-related changes. The human body undergoes a multiplicity of physiologic changes and failure in all organ systems.the aging experiences is affected by heredity, lifestyle, choices, physical health, and attitude making it highly individualized. No individuals agign process is predictable and is never exactly the same as that of any other individuals. Radiologic technologist must use their knowledge.abilities and skills to adjust imaging procedures to accommodate for disabilities and disease encountered with geriatric patients. Safety and comfort of the patient is essential in maintaining compliances throughtout imaging procedures. Implementation of skills such as communication, listening, sensitivity, and empathy, all lead patient compliances. Knowledges of age-related changes and disease process will anchance the radiographers ability to provided diagnostic imformation and treatment when providing care that meets the needs if tge increasing elderly patient population. GERIATRICS

Causes of Muscle Damage

Causes of Muscle Damage An antioxidant has been defined as a substance that reduces oxidative damage such as that caused by free radicals (Halliwell 1984). Oxygen-centred free radicals known as Reactive Oxygen Species (ROS) may contribute to exercise induced muscle damage (Mc Ginley 2009). Due to this, it has been widely accepted over the past 20 years that increasing antioxidants in the body will provide greater protection against ROS (Sastre 1992; Hathcock 2005). However, the significance of exercise-induced oxidative stress is open for discussion (Cabrera 2008) with unclear conclusions in literature. This has led to the recent investigation on the possibility of increased production of free radicals during exercise and the effects of antioxidant supplementation in athletes (Finaud 2006; Gomez-Cabrera 2008;Ristow 2009). Free radical proliferation is a widely suggested mechanism in the damage response to exercise by process of phacocytosis and activation of the respiratory burst by neutrophils during the i nflammatory response (Pyne 1994). The most commonly used antioxidants in the sporting world are vitamin C (ascorbic acid) and vitamin E (tocopherol) with an astonishing 84% of athletes using antioxidants during the 2008 Beijing Olympics (International Olympic Committee 2008). It has been well documented that high intensity exercise results in damage to active muscle fibres resulting in soreness, stiffness and a reduction in the muscles force producing capabilities (Allen 2001; Armstrong 1990; Clarkson 2002). Peroxidation of muscle fibre lipids causes disturbance in cellular homeostasis which may result in muscle fatigue or injury, possibly implicating free radical formation as a major cause of delayed-onset muscle soreness (Byrd 1992). Preventing muscle tissue damage during exercise training may help optimize the training effect and eventual competitive sports performance (Sen 2001). In order to minimise tissue cell damage, there must be an equilibrium maintained between oxidants (ROS) and antioxidants (reductants). ROS increases with intense physical exercise (Fig 1) which can exceed the capacity of the bodys natural antioxidant defence (Reid 2001). This was illustrated by Davis (1982) and Ebbeling (1990), whereby strenuous activity led to increased lev els of malondialdehyde (MDA), a 3-carbon-chain aldehyde. Measurement of MDA has become the most commonly used indicator of lipid peroxidation (Mc Bride 1999).Thus, the ingestion of exogenous antioxidants has been proposed to attenuate this increase in ROS. Evans (1990) noted that several antioxidants, including vitamin C and especially vitamin E, have been shown to decrease the exercise-induced increase in the rate of lipid peroxidation, which could help prevent muscle tissue damage. The effects of Vitamin E have been more extensively researched than Vitamin C due to some promising results in the literature. Vitamin E is the main lipidsoluble, chain-breaking antioxidant (Ji 1996) which accumulates in the phospholipid bilayer of cell membranes and helps attenuate lipid peroxidation (Sjodin 1990) within the cell membrane acting as an important scavenger of superoxide and lipid radicals (Powers 2000). Vitamin E supplementation has been shown to significantly decrease the amount of lipid peroxidation (Kanter 1993) and membrane damage associated with single bouts of low and high intensity submaximal exercise aswell as resistance exercise (Mc Bride 1998; Ashton 1999). Sumida (1989) stated that 300 mg of vitamin E given for 4 weeks reduced exercise-induced lipid peroxidation . Mc Bride (1998) reported the effectiveness of vitamin E supplementation in reducing MDA and creatine kinase (CK) levels. Cannon (1990) reported a decrease in CK and a faster recovery after supplem entation of vitamin E. Furthermore, Kanter (1997) recently reported a 35 % increase in T-lag time (indicative of a diminished LDL oxidation rate) in subjects who consumed 1000 mg d-a-tocopherol acetate daily for 1 week before exercise. Various studies have also demonstrated beneficial physiological effects of vitamin C supplementation in physically-active people. Jakeman and Maxwell (1993) found that supplementing vitamin C showed less strength loss (Fig 2) in the triceps surae post-exercise, and a faster recovery (Fig 3) compared to placebo. The force response to tetanic stimulation was less in the vitamin C group also, indicating a reduction in contractile function. Kaminski and Boal (1992) pre-supplemented subjects for 3 days with 1 g of vitamin C 3 times a day and then induced damage in the posterior calf muscles. Supplementation continued for 7 days post-exercise with vitamin C group reporting reduced soreness ratings ranging from 25-44% less than the control group. Peters (1993) noted fewer cases of upper respiratory tract infection in runners who consumed 600 mg vitamin C/d for 3 weeks before a 42 km road race. Bryer (2006) reported lower DOMS in a high-dose Vitamin C supplementation group 2 weeks prior and 4 days post eccentric exercise Studies which have used combinations of antioxidants (consumed 300-800 mg d-cr-tocopherol plus 200 mg vitamin C/d for 4-8 weeks) reported post-exercise declines in serum enzymes indicative of muscle tissue damage in subjects (Sumida 1989; Rokitzi 1994). Kanter (1993) reported that a mixture of vitamin E (592 mg), vitamin C (1,000 mg), and 30 mg of beta carotene resulted in a decreased level of a lipid peroxidation marker after exercise. All the previously mentioned studies suggest tangible benefits of antioxidant supplementation in combating detrimental physiological processes that may be initiated by physical activity thus appearing beneficial to sports and exercise participants. Exercise exhibits numerous positive effects on general health (Wartburton 2006), most notably improving glucose metabolism. It is well documented that exercise increases ROS production (Powers 2008), however it is unknown whether this may influence the health promoting effects of exercise. The effects of antioxidant supplementation on the health-promoting effects of exercise have recently been investigated (Gomez-Cabrera 2008; Ristow 2009). Exercise helps initiate mitochondrial metabolism, with a reduction of this metabolism linked with type 2 diabetes (Simoneau 1997). Since mitochondria are the main source of ROS, its been proclaimed that ROS may be a factor in some health promoting effects (Schulz 2007; Birringer 2007). Ristow (2009) investigated this theory and hypothesized that antioxidant supplementation may repeal certain health promoting benefits of exercise and oxidative stress. Thus, if increases in oxidative stress exhibit a counteracting effect on insulin-resistance, then the prevention of ROS activation by antioxidants may increase the risk of disease such as type 2 diabetes. Ristow (2009) proposed an essential role for ROS formation in increasing insulin sensitivity in exercising humans. The study found that vitamin C and vitamin E blocked many of the beneficial effects of exercise such as insulin sensitivity (glucose infusion rates-GIR) and the promotion of muscle antioxidant defence post-exercise. James (1984) found non-supplemented subjects showed significant increase in GIR after 4 weeks training whereas antioxidant group found no significant change (Fig 4). In addition, the non supplemented group also increased adiponectin levels compared to the supplemented group (Fig 5). Adiponectin (secretory protein) has been shown to have a positive correlation with insulin sensitivity and is inversely correlated with risk of type 2 diabetes (Spranger 2003). A recent meta-analysis of 232,550 participants suggests use of antioxidants may increase all-cause mortality (Bjelakovic 2007). Of the 136,023 receiving antioxidants, 13.1% died (17,880) whereas of the 96,5 27 controls, 10.5% died (10,136). Studies in healthy subjects show that low aerobic capacity is a strong predictor of mortality (Myers 2002; Yusuf 2004). Impaired regulation of mitochondrial function is an important mechanism for low aerobic capacity (Wisloff 2005). Gomez-Cabrera (2008) found that mitochondrial content is a key determinant of endurance capacity and that vitamin C decreases exercise-induced mitochondrial biogenesis in muscle. Free radicals serve as signals to adapt muscle cells to exercise through gene expression (Khassaf 2003). Vitamin C was found to prevent beneficial training effects to occur due to their prevention of activation of two major antioxidants (Mn-SOD and GPx) (Gomez-Cabrera 2008). The aforementioned study also concluded that endurance capacity is directly related to mitochondrial content, which is negatively affected by antioxidants. Antioxidant supplementation is extremely popular among athletes, but data indicating beneficial effects on functional capacity of muscle are elusive. There is no strong evidence from literature for the use of antioxidant supplementation in athletic populations as there are many poor controlled studies involving unusually high doses, involving low muscle damaging activity and more recent research has alleviated to minimal if any benefits. Antioxidants do not seem beneficial in preventing DOMS, increasing recovery time or protect against muscle damage but in fact long term supplementation (with vitamin E in particular) may increase mortality (Bjelakovic 2007). Most notably for athletes, not only does supplementation appear ineffective in preventing against exercise induced muscle damage, but interferes with the ROS signalling which are needed for adaptation to occur (Gomez-Cabrera 2008). References: Allen DG (2001). Eccentric muscle damage: mechanisms of early reduction of force. Acta Physiol Scand; 171(3):311-9 Aoi W, Naito Y, Takanami Y, Kawai Y, Sakuma K, Ichikawa H (2004). Oxidative stress and delayed-onset muscle damage after exercise. Free Radic Biol Med;37:480- 7. Armstrong RB (1990). Initial events in exercise-induced muscular injury. Med Sci Sports Exerc; 22(4): 429-35 Ashton T, Young IS, Peters JR, Jones E, Jackson SK, Davies B (1999). Electron spin resonance spectroscopy, exercise, and oxidative stress: an ascorbic acid intervention study. J Appl Physiol;87:2032- 6 Birringer M, et al. (2007) Improved glucose metabolism in mice lacking alphatocopherol transfer protein. Eur J Nutr 46:397-405. Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C (2007) Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: Systematic review and meta-analysis. J Am Med Assoc 297:842-857. Bryer SC, Goldfarb AH (2006). Effect of high dose vitamin C supplementation on muscle soreness, damage, function and oxidative stress to eccentric exercise. Int J Sport Nutr Exerc Metab; 16(3): 270-80 Byrd, S.K.(1992) Alterations in the sarcoplasmic reticulum: A possible link to exercise-induced muscle damage. Med. Sci. Sports Exerc. 24:531-536 Cannon, J.G, Evans W.J (1990). Acute phase response in exercise: Interaction of age and vitamin E on neutrophils and muscle enzyme release. Am. J. Physiol. 259:R1214-R1219. Clarkson PM, Hubal MJ (2002). Exercise-induced muscle damage in humans. Am J Phys Med Rehabil; 81(11): S52-59 Davies, K.J, BROOKS G.A, and Packer L (1982). Free radicals and tissue damage produced by exercise. Biochem. Biophys. Res. Commun. 107:1198-1205. Dillard CJ, Litov RE, Savin RE, Dumelin EE Tappel AL (1978) Effects of exercise, vitamin E, and ozone on pulmonary function and lipid peroxidation. Journal of Applied Physiology Ebbeling, C.B, and Clarkson P.M(1990). Muscle adaptation prior to recovery following eccentric exercise. Eur. J. Appl. Physiol. 60: 26-31. Finaud J, Lac G, Filaire E (2006). Oxidative Stress: relationship with exercise and training. Sports Med;36(4):327-58 Gomez-Cabrera MC, Domenech E (2008). Moderate exercise is an antioxidant: upregulation of antioxidant genes by training. Free Radic Biol Med; 44(2): 126-31 Gomez-Cabrera MC, et al. (2008) Oral administration of vitamin C decreases muscle mitochondrial biogenesis and hampers training-induced adaptations in endurance performance. Am J Clin Nutr 87:142-149. Halliwell, B., Gutteridge J. M (1984). Oxygen toxicity, oxygen radicals, transition metals and disease. J. Biochem. 219:1-14. Hartmann A, Nies AM, Grunert-Fuchs M, Poch B Speit G (1995) Vitamin E prevents exercise-induced DNA damage. Mutation Research 346, 195-202. Hathcock JN, Azzi A, Blumberg J (2005). Vitamins E andCare safe across a broad range of intakes. Am J Clin Nutr;81:736-45 Hellsten, Y, Sjodin B (1997) Xanthine oxidase in human skeletal muscle following eccentric exercise: A role in inflammation. J. Physiol. 498: 239-248. James DE, Kraegen EW, Chisholm DJ (1984) Effect of exercise training on whole-body insulin sensitivity and responsiveness. J Appl Physiol 56:1217-1222. Ji, L.L (1996). Exercise, oxidative stress, and antioxidants. Am. J. Sports Med. 24:S20-S24. Ji, L.L. (2000) Free radicals and antioxidants in exercise and sports. G.E. Garrett, and D.T. Kirkendall. Exercise and Sport Science. New York, NY: Lippincott Williams and Wilkins. pp. 299- 317. Kaminski, M, Boal M (1992). An effect of ascorbic acid on delayed- onset muscle soreness. Pain 50:317-321. Kanter MM, Bartoli WP, Eddy DE Horn MK (1997) Effects of short term vitamin E supplementation on lipid peroxidation, inflammation and tissue damage during and following exercise. Medicine and Science in Sports and Exercise 29, S40. Kanter, M.M., Nolte L ,and Holloszy H (1993). Effects of an antioxidant vitamin mixture on lipid peroxidation at rest and postexercise. J. Appl. Physiol. 74:965-969. Kanter, M.M., Nolte L.A and Holloszy J.O (1993). Effects of an antioxidant vitamin mixture on lipid peroxidation at rest and post-exercise. J. Appl. Physiol. 74:965-969. Khassaf M, McArdle A, Esanu C (2003). Effect of vitamin C supplements on antioxidant defence and stress proteins in human lymphocytes and skeletal muscle. J Physiol;549:645-52. Kosmidou I, Vassilakopoulos T, Xagorari A, Zakynthinos S, Papapetropoulos A, Roussos C (2002). Production of interleukin-6 by skeletal muscle myotubes. Role of reactive oxygen species. Am J Respir Cell Mol Biol;26:587- 93. Maxwell SRJ, Jakeman P, Thomason H, (1993). Changes in plasma antioxidant status during eccentric exercise and the effect of vitamin supplementation. Free Radic Res Commun;19:191-202. McBride, J.M., and Kraemer W.J (1998) Effect of resistance exercise on free radical production. Med. Sci. Sports Exerc. 30:67-72. McBride, J.M., and Kraemer W.J (1999). Free radicals, exercise, and antioxidants. J. Strength Cond. Res. 13:175-183. Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE (2002). Exercise capacity and mortality among men referred for exercise testing. N Engl J Med;346:793- 801. Powers SK, Jackson MJ (2008) Exercise-induced oxidative stress: Cellular mechanisms and impact on muscle force production. Physiol Rev 88:1243-1276. Pyne, D.B (1994). Regulation of neutrophil function during exercise. Sports Med. 17:245-258. Reid, M.B, Shoji T,Moody M.R, and Entman M.L.(1992) Reactive oxygen in skeletal muscle. II. Extracellular release of free radicals.J. Appl. Physiol. 73:1805-1809. Ristow, M., Zarse, K., Oberbach, A., Kloting, N., Birringer, M., Kiehntopf, M. Stumvoll, M., Kahn, C.R., Bluher, M. (2009). Antioxidants prevent health-promoting effects of physical exercise in humans. Proceedings of the National Academy of Sciences of the United States of America, 106, 8665-8670. Rokitzi L, Logemann E, Sagredos AN, Wetzel-Roth W Keul J (1994) Lipid peroxidation and antioxidative vitamins under extreme endurance stress. Acta Physiologica Scandinavica 154, 149-154. Sastre J, Asensi M, Gasco E (1992). Exhaustive physical exercise causes oxidation of glutathione status in blood: prevention by antioxidant administration. Am J Physiol;263:R992-5. Schulz TJ, et al. (2007) Glucose restriction extends Caenorhabditis elegans life span by inducing mitochondrial respiration and increasing oxidative stress. Cell Metab 6:280-293. Sen, C, K (2001). Antioxidants in Exercise. Nutrition Journal of Sports Medicine- Volume 31 Issue 13 pp 891-908 Simoneau JA, Kelley DE (1997) Altered glycolytic and oxidative capacities of skeletal muscle contribute to insulin resistance in NIDDM. J Appl Physiol 83:166-171. Sjodin, B., Y. And Apple F.S (1990). Biochemical mechanisms for oxygen free radical formation during exercise. Sports Med. 10:236-254. Spranger J, et al. (2003) Adiponectin and protection against type 2 diabetes mellitus. Lancet 361:226-228. Sumida, S., Tanaka K, Kitao H, Nakadomo F (1989). Exercise- induced lipid peroxidation and leakage of enzymes before and after vitamin E supplementation. Int. J. Biochem. 21:835- 838. Warburton DE, Nicol CW, Bredin SS (2006) Health benefits of physical activity: The evidence. Can Med Ass J 174:801-809. Wisloff U, Najjar SM, Ellingsen O (2005). Cardiovascular risk factors emerge after artificial selection for low aerobic capacity. Science; 307:418 -20. Yusuf S, Hawken S, Ounpuu S (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the Interheart Study): case-control study. Lancet;364:937-52.

Essay --

1. Why choose seasonal sales promotion as key KPI for Global electronic retail Seasonal sales promotion has grown substantially in recent years because it encourages people to buy more. There are few benefits for this growth in sales promotion for global electronic retail. ï  ¬ First consumers have easily accepted seasonal promotion as part of their buying decision criteria therefore they have a reason to look electronic product up constantly. ï  ¬ Second it is an opportunity to attract customer’s attention for global electronic retail and bring in new business in the sense of inheriting marketing themes with each season, holiday or event. ï  ¬ Third seasonal promotions focusing mainly on short term growth in sales which will immediate bring in additional revenue and increase margins. ï  ¬ Fourth it motivates and stimulates sales staffs. Create a sense of urgency: the promotion won’t last longer than the season/event. 2. The reason setting seasonal promotions could be based on the benefits above, but when decide to setting the target of seasonal promotion figures, the list of things below need ...

Anglo Saxon Literature :: History Beowulf

Anglo Saxon Literature W Y R D The word wyrd generally means fate in Anglo Saxon literature. It is one of the recurrent themes in many old English works. For example, wyrd is seen as the force that determines the result of events in Beowulf. In another story, â€Å"The Wanderer,† wyrd is mentioned several times. In the first few lines, the speaker states that â€Å"fully-fixed is his fate† (Norton 100). This shows that wyrd is unchangeable. Then, he goes on to say â€Å"Words of a weary heart may not withstand fate† (Norton 100). Here it seems that a person must be strong, brave, and show no emotion in order to be able to cope with wyrd. Later on, wyrd is proclaimed as â€Å"mighty† because not even earls are able to escape their deaths. Lastly, we see the power of wyrd: â€Å"The world beneath the skies is changed by the work of the fates† (Norton 102). This quote reflects the belief of Anglo-Saxons that wyrd is an invisible, powerful force that controls the outcome of a personà ¢â‚¬â„¢s life. This final use of wyrd may also refer to the â€Å"Weird Sisters.† They are seen in Shakespeare’s play Macbeth. The Fates are also an important part of Greek culture. Usually they are depicted as three horrid old ladies who share one eye with which they see the future. They also are seen tending to so-called â€Å"threads of life.† Each time they cut a thread another soul goes to the underworld. This portrayal of the Fates can also be related to the â€Å"Measurer† in â€Å"Caedmon’s Hymn.† The â€Å"Measurer† seems to be the one who decides the destiny of a person, just as the Fates: â€Å"The Measurer’s might and his mind-plans† (Norton 24). Like witches, the Fates are sometimes shown surrounding a large pot, brewing spells. Women were given the opportunity to pick their own husbands. The families acted merely as financial advisors. However, in many circumstances, women were married off to members of enemy tribes in order to bring peace. Hence, they were given the name peace-weavers. Women, depending upon social standing, were also educated and wise, sometimes acting as advocates and protectors of the people of the village. Over all, the women in Anglo Saxon were well respected and valued. Scene Analysis: Beowulf Fights Grendel's Mother Summary In the Howe translation of Beowulf, the scene depicted on pg. 26-29 deals with the battle between Beowulf and Grendel’s mother.

Our Moral Responsibility to Provide Monetary Aid to Pakistani Villagers Essay

In this essay, I will argue that the theory of Utilitarianism presents resilient, compelling arguments that exemplifies why we have a moral obligation to donate money to help the Pakistani villagers affected by recent floods. Though the argument put forth by Ethical Egoists in favor of donating money to the Pakistanis is convincing, it lacks the quantitative validation that Utilitarianism provides. The Perspective of an Ethical Egoist Ethical Egoism is a consequentialist moral theory that says each person ought to pursue his or her own self-interest exclusively (EMP 69). A person’s only moral duty is to do what is best for him or herself, and he or she helps others only if the act [of helping] benefits the individual in some way (EMP 63). On the surface, it appears that it is not in a person’s best self-interests to donate money to help villagers in Pakistan. The giver experiences monetary loss and the diminution of personal financial wealth, and expends time, energy, and effort in the donation-transaction process. He or she receives neither public acknowledgement nor donor recognition. There are, however, intangible benefits that the giver may reap as a result of his or her deed, such as the satisfaction that he or she receives from giving monetary aid to the Pakistanis or the happiness that he or she experiences for acting in accordance with his or her values. It is in the giver’s self-interest and, therefore, his or her moral duty to give monetary aid to those plagued by the Pakistan floods. The facts that an Ethical Egoist would consider to be important are the consequences to him or herself because Ethical Egoism is a consequentialist moral theory that revolves around the self. Consequentialism contends that the right thing to do is determined by the consequences brought about from it (Class Notes, 10/05/2010). In this case, the morally relevant facts that the Ethical Egoist is primarily concerned with are the intangible benefits and advantages that he or she would receive from giving. The Ethical Egoist would also consider the actual and implicit costs of giving aid, as they are consequences brought about from helping the Pakistani villagers. The argument put forth by Ethical Egoism is good because it is compatible with commonsense morality. To reiterate, Ethical Egoism says that â€Å"all duties are ultimately derived from the one fundamental principle of self-interest† (EMP 73). According to Hobbes, this theory leads to the Golden Rule, which states that â€Å"we should ‘do unto others’ because if we do, others will be more likely to ‘do unto us’† (EMP 74). In this case, if we do not give to others, other people will not give to us. Thus, it is to our advantage to give to others. The Utilitarian Argument Classical, or Act, Utilitarianism maintains that the morally right act is the one that yields maximum happiness for all sentient beings impartially. Utilitarianism requires us to consider the general welfare of society and the interests of other people. Giving money to help the villagers in Pakistan generates positive consequences and diminishes the negative effects of the floods. Specifically, donations for disaster relief results in the availability of medicines to treat sicknesses, the provision and distribution of cooked meals, hygiene kits, and clothing, and the reconstruction and restoration of homes and schools. In short, giving money relieves great suffering of the flood-affected Pakistanis, enhances the balance of happiness over misery, and endorses the maximum and greater good of society. Therefore, the morally right thing to do is to donate money to help the Pakistani villagers. Similar to Ethical Egoism, Utilitarianism is a consequentialist moral theory, though this theory is concerned with the greater good of society. Therefore, the morally relevant facts for a Utilitarian are the consequences to all people impartially. In this case, they include the circulation of food, clothing, medicines, and the restoration of villages. Providing monetary aid ultimately produces the greatest balance of happiness over unhappiness for society. The Utilitarian argument for donating money is good because it provides calculable validation. In other words, the utility of the receivers is quantifiable and tangible (number of meals, hygiene kits, water tanks provided, number of homes rebuilt, etc. ). This tangibility clearly illustrates that the utility of the receiver exceeds the marginal cost to the giver and produces the greatest amount of happiness over unhappiness. Why the Utilitarian Argument is Stronger There is an epistemic problem that weakens the argument given by the Ethical Egoist. We do not know precisely what the consequences will be. We expect that the intangible benefits include self-satisfaction, enjoyment of giving, and happiness from providing financial aid, and we estimate that the costs consist of the actual donation payment and all related opportunity costs; however, we do not know exactly what the consequences will be and the extent of the results. It is, thus, difficult to gauge whether donating to charity is actually in the giver’s best self-interest exclusively because the associated costs may be very great (the giver may end up poorer or the donation-transaction process may be stressful; both situations would not be to his or her advantage). The immeasurability and intangibility of the benefits also weakens the argument. Ayn Rand, an Ethical Egoist, responds to this objection and asserts that it is completely moral and permissible to offer aid to others even when one does not anticipate any tangible return; â€Å"personal reasons for offering aid—reasons consistent with one’s values and one’s pursuit of one’s own life—are sufficient to justify the act† (Gordon Shannon, 10/16/2010). Rand says that personal reasons, such as values and pursuit of a flourishing life, are adequate to justify the act. We run, however, into a problem: just because we have a moral justification to give aid, does it mean we are morally required to give aid? Rand provides a moral justification, but not a moral mandate; this makes the argument put forth by Ethical Egoism weak. While Ethical Egoism provides a convincing argument and response to the objection, the Utilitarian argument is stronger because it buffers against the epistemic problem and provides quantitative, calculable validation. The problem of epistemology does not apply to or weaken the Utilitarian argument because we know what the consequences will be, based on present initiatives. Plan UK has provided cooked meals to over 250,000 people, shelter for 230,000, water tanks, hygiene kits, and medicines for thousands of families (Plan UK). We know how the money will benefit the Pakistani villagers and we can quantify the amount of happiness and good that entails the act of giving aid to others. To summarize: Ethical Egoism says that we ought to pursue our own self-interests exclusively. The morally right act is the one that benefits the self. There is, however, an epistemic problem. We do not know what the consequences will be or the extent of these outcomes. Donating to charity may not benefit the self. Utilitarianism, however, avoids the problem of epistemology and immeasurability. Therefore, Utilitarianism is the stronger argument. Conclusion In this paper, I have presented the theories of Ethical Egoism and Utilitarianism, delved into the morally relevant facts, and reflected on why each argument is good. I illustrated why Utilitarianism is stronger by appealing to a weakness of Ethical Egoism. Thus, the Utilitarian perspective that we have a moral duty to donate money to help Pakistani villagers is a better argument.

Professional Competence Presentation

University of Phoenix Material North American Colonies Project Part 1: Native American Resources Access and review the Early Native Peoples interactive map link available through the HIS 110 [pic] page. Study the map identifying the regional distribution of Native Americans (also located in Ch. 1). Using the grid, identify the seven regions. Then indicate how each of the native tribes within the regions supported themselves prior to the arrival of European civilizations. Region: |Principle Basis of Subsistence: | |Artic |Fished and hunted seals. | |Northern Forests |Big game hunters. | |Pacific Northwest |Salmon fishing. | |Far West |Fishing, hunting small game, and gathering. | |Southwest |Farming and trading. | |Plains |Farming and hunting. | |Woodlands |Farming, hunting, gathering, and fishing. | 0. 2 Part 2: Contributions GridComplete the Contributions Grid by describing the contributions of the three groups of peoples, Native Americans, Europeans, and Africans, to the creation o f the British North American Colonies. List the aspects of each of these peoples—Native Americans, Europeans, and Africans—that contributed to the development of the British Colonies. | |NATIVE AMERICANS: |EUROPEAN |AFRICANS | |Economic |Fishing, gathering, farming, and hunting. Created goods which they either sold or |Trade with the Mediterranean world: | |Structure | |traded. |ivory, gold and slaves. Economies based | | | | |on resources of the lands they inhabited:| | | | |farming and hunting etc.. | |Political |Tribes had chiefs and the chiefs had |Centralized nation-states. With the |North: Ghana and Mali Empire. |Structure |advisors. |monarchs and their courts as the ultimate|South: A village system that was very | | | |law of the land. |family orientated. | | | | |Both men and women choose leaders of | | | | |their own gender to handle their gender | | | | |affairs. |Social System |Woman had a big part of the social |A class system. There were the ri ch, not |Maternal – families traced through | | |structure. They had big roles in their |so rich and poor. Male gender dominated. |mother’s side. Jobs were separated | | |families too. Most of the jobs and duties| |through gender lines. Women were dominant| | |that were needed to effectively run the | |in trading in farming, while men hunted | | |tribes were allocated along gender lines. |and fished. Women took care of the | | | | |children. | |Cultural Values |Their culture was centered around the |For the most part their cultural values |Ancestor worship and very gender related | | |tribes and the natural world which they |came from the bible and Christianity. |values. Women were almost equal with men | | |in habited. | |in many things they were superior. |Religion |Their religions were derived from the |Different denominations of Christianity. |Islam and various tribal faiths. | | |natural world around them. They had many | | | | |gods which represented eleme nts of the | | | | |natural world in which the different | | | | |tribes lives. | | Part 3: North American Colonies Response Using the Readings found on the [pic] page, prepare a 350- to 700-word response in which you compare and contrast the early British North American colonies; for example, the Virginia colony and the Massachusetts Bay colony: in terms of their goals, government, social structure, and religion. In your response be sure to address the ways in which they were similar and different, and why. Be sure to properly cite any references.The most significant differences between the British colonies in North America lay between the ones in New England and those in the south. The colonies of New England were mainly founded by English people escaping religious persecution in England. While, the colonies in the south were founded mainly for financial gain, though some of the New England colonies were stuck out at first for the same reasons. For example, the colony that wo uld soon become Pennsylvania started out as an attempt to make money by selling land parcels to refuges of English religious persecution and others. In the south he colony that would become Virginia started as a corporate venture by the London Company. The proprietors of this company hoped that if they financed a group (and later groups) of people to come to the new world and set up shop that they would make financial gains off the gold they would find (they were convinced there was gold, because of the success the Spanish had in pursuing it in South America). There were some colonies in New England that were founded solely on the basis of creating the â€Å"perfect† Christian communities by different denominations of the Protestant and Puritan faiths. Among hese were the settlers of Plymouth Rock. Roger Williams and his followers founded Rhode Island in an attempt to get away (for Roger it was because he had been banished from the Massachusetts Bay colony), from religious pe rsecution in the New World by the same people who fled England in attempt to get away from the same. In the south, colonies were mainly set up as corporate ventures as I stated earlier. The first colony of Jamestown was there for gold and other precious goods. While, Maryland and the Carolina colonies were created as an attempt for their proprietors to get rich on land schemes and by taking ortions of the settlers goods i. e. crops and such that they farmed. In terms of goods between the two colonial areas the southern colonies made good in growing tobacco mainly, while, the northern colonies grew crops such as beans, pumpkins and corn. They both at fur trades, but of the two only the New England colonies did not have as much trouble with the natives. Southern colonies battled the native’s for years over the settler’s infringement of more and more of their lands among other things. While, in the New England colonies they did not have as much problems with the Indians.T wo factors contribute to this: 1) By the time settlers reached the New England area many of the natives had already been wiped out by earlier explorer’s diseases. Small Pox among others created deadly plagues in these areas destroyed much of the population prior to their arrival and in the settlers early years there. Since the natives were eventually outnumbered by the settlers, the Indians in this area were way more compromising and in the most part just sold their land off and left. 2) The settlers who came to the New England region were much more respectful of the Indians han their counterparts in the south. For the most part, they started with the idea that the land belonged to the natives, so they would buy or trade for their lands instead of pushing the Indians off like in the south. The majority of settlers in both the New England colonies and those of the south were Christians. They varied in denomination somewhat, but in most colonies charters were created allowing t he freedom of worship to all. Southern and New England colonies had governors or proprietors who were the final word in all issues, but the governors were voted in and most areas had representative assemblies.