Danielle Essay 2

Danielle Essay 2 Danielle Essay 2 The development of Obesity in America There has been a fast development of stoutness in America and it isn't difficult to make sense of why. Each corner you turn there is a drive-thru eatery. Inexpensive food is so helpful thus significantly more less expensive than solid food and the low costs for a burger occupy us from practicing good eating habits. Also, for those in a surge it is ideal for them to pass through the drive through and snatch a burger and go to work. Stress is additionally an enormous factor in Americas increment in corpulence, likewise innovation makes everything such a great amount of simpler for us and makes us apathetic which causes absence of activity. Thirty four percent of American grown-ups are fat, and the level of corpulent youngsters is seventeen percent. Something should be done about this and the administration is by all accounts failing to address it. What I figure we ought to do? Littler part estimates. Boycott enormous fries, huge soft drinks and a t wofold burger. Make serving pre-cooked, solidified nourishments, generally defrosted by bubbling in hot oil restricted also. Inexpensive food chains should just be permitted to serve new nourishments, better believe it will be all the more exorbitant yet they're to be faulted for Americas heftiness and something should be done about it. What's more, when the food are increasingly sound significantly more individuals will eat out at drive-through eateries and they will make a benefit on their food. We ought as far as possible the quantity of eateries an inexpensive food chain can have in a city or state. From my home there is 3 McDonalds inside a brief drive, I think its ridiculous. The administration ought to likewise put resources into a drive-thru eatery chain yet that serves sound food or if nothing else food that is made well and new. Inexpensive food organizations assume a huge job in the quick development of corpulence since they burn through a huge number of dollars in commer cials that make cheap food engaging the natural eye. They make everything look so tempting yet don’t give you wholesome data. They practically all have esteem menus which is speaking to a client and makes them purchase their food and hold returning in light of the fact that who doesn’t love a decent arrangement on a burger, chicken tenders or and so forth. Additionally they're kids dinners that accompany toys cause children to go insane and ask their folks for a glad feast since they need the toy that accompanies it. What's more, relatively few guardians can disapprove of a crying, kicking and shouting infant. Sadness, medications, and liquor and being exhausted are likewise a tremendous factor in stoutness in the way that our feelings control the manner in which we eat. Being feeling the squeeze and consistently in a surge powers individuals now and again to snatch something brisk as opposed to setting aside the effort to make a genuine prepared dinner. Connections ar e additionally an enormous factor. Here and there when you're infatuated you don't factor in calories, you factor in comfort. At long last, absence of activity.

Personal Computers are better than Macintosh Computers Essay -- Techno

The contention between (PCs; created by Microsoft) and Macintosh PCs (Macs; created by Apple) has happened for a long time. The two are continually rivaling each other to prevail upon the processing market. Mac asserts that their PCs are progressively proficient when working with visual depiction and media expressions, while a PC is known for scientific predominance and a more grounded assortment of equipment and programming. Numerous fantasies about the two frameworks have been spread among the purchaser world. Be that as it may, legitimate research can undoubtedly explain these fictions. Somebody hoping to purchase another PC has an option to know the realities behind the two frameworks. Despite the fact that the Macintosh PC and the PC have been going after years, a PC is an a lot more shrewd decision for the normal purchaser. The PC and the Mac have numerous variables that can be looked into. Strolling through the PC store, a customer can see the two one next to the other and start to make ends. The Mac looks smooth and extravagant with a wide range of various hues while a PC may seem, by all accounts, to be just a vanilla-shaded box. Nonetheless, when the customer checks out the store, it is anything but difficult to see that Mac titles aren't anything but difficult to track down (Kantor). Microsoft's working framework, Windows, is bolstered by numerous product creating organizations, while just a little choice is made accessible to Mac proprietors. Something different somebody may see is that lone Apple makes Macintosh PCs, while a wide range of organizations can make a PC that underpins Microsoft Windows. Investigating the interface of the frameworks, the Mac looks bubbly and charming while the Windows work area will in general look increasingly corporate or proficient (Farmer, Harris, Kantor, Marks). How about we look a littl... ...rundown of organizations while just Apple makes Macintosh PCs. The two Macs and PCs are powerless against infections, so one of Mac's couple of points of interest is really a legend. Doubtlessly a PC has numerous points of interest over a Mac. In this way, it would bode well that PCs make up 95 percent or a greater amount of the market (Kantor). By staying with the larger part, a client has simple access to individuals who are prepared to fix their PC and to equipment and programming determinations (Kantor). Due to of the reasons expressed, a PC is a vastly improved decision than a Macintosh PC for most shoppers. Individuals with specific needs might be more joyful with a Mac. In any case, most of purchasers will discover unwavering quality and fulfillment in a PC. An informed customer recognizes what they are specifically searching for, and ideally the individuals who read this paper can unquestionably settle on their own decision.

Obsessive Compulsive Disorder Overview

Obsessive Compulsive Disorder Overview OCD Print Obsessive Compulsive Disorder Overview By Owen Kelly, PhD Medically reviewed by Medically reviewed by Daniel B. Block, MD on November 26, 2019 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD on November 26, 2019 Brian Kennedy / Getty Images More in OCD Causes Symptoms and Diagnosis Treatment Types Living With OCD Related Conditions At one time or another, weve all double-checked that we locked the front door, knocked on wood to ward off certain disaster, or had a strange or even disturbing thought pop into our heads from out of the blue. While most people continue about their daily routine without giving these experiences a second thought, if you have obsessive-compulsive disorder (OCD), these kinds of occurrences can become both distressing and debilitating. OCD is considered an anxiety disorder, as people affected by this mental illness experience severe anxiety as the result of obsessive thoughts. Often, extensive rituals are undertaken in an attempt to reduce the anxiety caused by obsessions. Symptoms Obsessions are thoughts, images, or ideas that wont go away, are unwanted, and are extremely distressing or worrying (What if I become infected with a deadly disease? or What if I molest a child or murder my partner?). Compulsions are behaviors that have to be done over and over again to relieve anxiety. Compulsions are often related to obsessions. For example, if you are obsessed with being contaminated, you might feel compelled to wash your hands repeatedly. However, this is not always the case. Whos Affected OCD is a relatively common disease that affects about 2.5% of people over their lifetime. It is experienced equally by men and women  and affects all races and cultures. OCD usually begins around late adolescence/young adulthood, although young children and teenagers can also be affected. Parents and teachers often miss OCD in young children and teenagers, as they go to great lengths to hide their symptoms. Parents should also be aware of a subtype of OCD in children exacerbated or triggered by strep throat, in which the childs own immune system attacks the brain. This Pediatric Autoimmune Neuropsychiatric Disorder (PANDAS) form of OCD accounts for 25% of the children who have OCD. Unlike normal OCD, which develops slowly, PANDAS OCD develops quickly and has a variety of other symptoms not associated with typical cases of OCD. Where Does OCD Come From? Symptoms of OCD usually appear gradually and can be long-lasting if not treated. Stress from unemployment, relationship difficulties, problems at school, illness or childbirth can be strong triggers for symptoms of OCD. In addition, although a single OCD gene has not been identified, OCD may be related to particular groups of genes. You may also be at greater risk if there is a family history of the disorder. People who are vulnerable to OCD describe a strong need to control their thoughts  and feel that strange or unusual thoughts mean they are going crazy or will lose control. So, while many people can have strange or unusual thoughts when feeling stressed, if you are vulnerable to OCD it may be difficult to ignore or forget about these thoughts. In fact, because these thoughts seem so dangerous, you end up paying even more attention to them, which sets up a vicious cycle. OCD can also be understood from a biological perspective. Although there was a time when mental illness was thought to be the result of a character flaw, it is now clear that mental illnesses, such as OCD, have biological causes. One theory is that OCD comes from a breakdown in the circuit in the brain that filters or censors the many thoughts, ideas, and impulses that we have each day. If you have OCD, your brain may have difficulty deciding which thoughts and impulses to turn off. As a result, you may experience obsessions and/or compulsions. The breakdown of this system may be related to serotonin abnormalities.? Treatment There are a variety of medications that are effective in reducing the frequency and severity of OCD symptoms. Many of the medications that are effective in treating OCD, such as Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), and Anafranil (clomipramine), affect levels of serotonin. Psychological therapies are also highly effective treatments for reducing the frequency and intensity of OCD symptoms. Effective psychological treatments for OCD emphasize changes in behavior and/or thoughts. When appropriate, psychotherapy can be done alone or combined with medication. The two main types of psychological therapies for OCD are cognitive-behavior therapy (CBT) and exposure and response prevention (ERP) therapy.

Homosexuality New Zealand And The Christian Church Essay

Homosexuality in New Zealand and the Christian Church Every dilemma we encounter can test our ethics. Ethics are said to be a set of values or group of moral principles that are right and good as well as a code or principles of behaviour or conduct governing an individual or group. It is important for us as humans to comprehend the fact that ethical answers are not black and white as it doesn’t always shows the right answer to moral issues, for example, homosexuality. The homosexuality debate has been ongoing for the past 30 years in New Zealand, and although legalising sexual intercourse between members of the same sex in 1986, discrimination still occurs in today’s 21st century. Oxford Dictionary defines homosexuality as â€Å"a condition of personal identity in which a person is sexually orientated towards persons of the same sex.† The Christian Bible has never stated the word â€Å"homosexuality† nor defined such an act, but based on modern ideology, the deed of a man having any intimate relations with an other man have been taken to consideration as homosexuality. Within the teachings of the Christian tradition, homosexuality has two very distinct viewpoints held in the Old Testament and the New Testament, which are further enforced through those given by Pope Francis I and the New Zealand State Government who provide insight based on the fact the New Zealand is not a Christian nation; however, it is the most practised religion in the country. Homosexuality is clearly condemnedShow MoreRelatedThe Homosexual Law Reform Act Essay1688 Words   |  7 PagesAct of 1986 is a law that legalised sexual relations with consent between men from aged 16 and older within New Zealand, administered by the Ministry of Justice, although the law change did not occur without significant protest. Legal Inequality Homosexuality has long been looked down upon by society, and until 1986, sexual relations between two males was considered illegal within New Zealand. A law reform, the process of examining existing laws was put into place to make changes to the Crimes ActRead MoreThe Aspect Of Religious Expression Essay1534 Words   |  7 Pagesis Gay marriage. Gay marriage or same-sex marriage was passed by the house of representatives in new zealand on 19th August 2013. With the world slowly adjusting to the views of same-sex marriage NZ joined as the 13th country to recognise and support it as a legal civil union. Civil union is the recognition of two people being in a union as a legal status without religious input. Despite New Zealand being a predominantly secular society i will focus on it with a religious take.According to a 2013Read MoreHomosexuality Is Condemned And Abominations Essay2011 Words   |  9 Pagesare from a religion that is against homosexuality. The second biggest offenders are individuals who are raised in a norm where it is not accepted. It has been said, ‘‘hate the sin and love the sinner, homosexuality is a ticket to Hell. You could not be gay and go to church. You cannot be a Christian. You cannot inherit the Kingdom of God.† (Levy 2014). In the bible Sodom Gomorrah Genesis 19, Leviticus 18:22 , and Leviticus 20:13 talks about how homosexuality are condemned and abominations. ThereRead MoreSame Sex Marriage Is A Matter Of Civil Law1270 Words   |  6 PagesIn the past, marriage was recognized as a social union between a man and a woman and in most cultures, homosexuality was viewed as abnormal and forbidden. However, today, homosexual relationships are fighting their way towards global acceptance as the LGBT community has been extremely active, advocating for their right to marry since the early 90s. With an increased in tolerance for homosexuality in society, controversy over the legalization of gay marriage has become more pressing. To those againstRead MoreThe Development Of Diverse Sexual Orientation2424 Words   |  10 Pageschanging a lot nowadays. In Christian tradition a long country, marriage as a social basic system in addition to the legal sense of the concept of civil marriage, at the same time with a religious sense of the concept of religious marriage. In the modern secular state, two concepts belong to fall under the jurisdiction of the state and the church; In the same country, some marriages, such as heretics, different RACES, same-sex marriage, could only by the state or church party admit, but the otherRead MoreSame Sex Marriage (Debate Paper)4727 Words   |  19 P agesonly for the duration of this ceremony, for in a deeply religious sense he has temporarily become the goddess at these holy rites. Many ancient writers, such as  Strabo and Athenaeus, wrote that the  Gauls or Celts  commonly practiced homosexuality. Aristotle wrote that the Celts â€Å"openly held in honor passionate friendship between males.† Diodorus Siculus wrote that â€Å"Although the Gauls have lovely women, they scarcely pay attention to them, but strangely crave male embraces.† Later, EusebiusRead MoreLgbt19540 Words   |  79 Pagesparades, and related events, such as this stage at Bologna Pride 2008 in Italy, increasingly drop the LGBT initialisminstead of regularly adding new letters, and dealing with issues of placement of those letters within the new title. Part of a series on | Lesbian, gay, bisexual, and transgender(LGBT) people | | Sexual orientation | * Homosexuality * Demographics * Biology * Environment | History | * LGBT history * Timeline * Social movements | Culture | * LGBT communityRead MoreEssay about Billy Graham : Man and Ministry5476 Words   |  22 PagesBilly Graham: Man and Ministry in the Fifties Go ye into all the world and preach the gospel to every nation. (Mark 16:15) While the world is full of Christians, few actually take this commissioning seriously. It is regarded as impractical or even impossible. For one servant of Christ, Billy Graham, impossible does not exist in the realm of the faithful. The Bible teaches that with God all things are possible, and looking at Grahams resume, one would almost be convinced that was true. GrahamRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 PagesAutotown, U.S.A. Van Gosse and Richard Moser, eds., The World the Sixties Made: Politics and Culture in Recent America Joanne Meyerowitz, ed., History and September 11th John McMillian and Paul Buhle, eds., The New Left Revisited David M. Scobey, Empire City: The Making and Meaning of the New York City Landscape Gerda Lerner, Fireweed: A Political Autobiography Allida M. 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Imperialism And Its Effects On Society - 1513 Words

When a person thinks of Imperialism and its effects what is the first concept they might envision? Slavery? Poverty? The empire that covered the world? One might think of men in power or men as the forefront of every decision. While those are all logical assumptions, in reality, in a paradisiacal reality they are not completely accurate. The ignored onlookers in these disparagements were women. Women are the ones who witness the choices being made, they understand the changes taking place, but were they acknowledged during this struggle for power?—not entirely. When one looks at the absence of feminine presence during the time of imperialism we are proposed with what role did they serve and was it meaningful? Did they support this cause or stand for the plight of those enslaved? Looking into the literature that reflects this era, one can assume they knew over and above of what was going on than the men assumed. Using the elements of fiction and truth a mass amount can be gain ed from understanding how women fit in with the government/patriarchy. From novels comparably, A Passage to India and A Handmaid’s Tale, these two reflect different times: a realistic time of Indian Imperialism and a Utopian fantasy that could indubitably become the future of tomorrow. How do they correspond with the role of women? Both either represent or differ from the true, unseen representation of women amongst the power of the elite, against the suppressors of the minority, and theShow MoreRelated Shooting an Elephant Essay1373 Words   |  6 Pagesofficer, and reflects it to the nature of imperialism. He hates his job as a police officer in Moulmein because an â€Å"anti-European feeling was very bitter† due to British Empire’s dictatorship in Burma. Therefore, Orwell, a white man is being treated disrespectfully by the Burmese which allows him to hate his job and British Empire, the root of everything. However, the incident of shooting of an elephant gi ves him a â€Å"better glimpse †¦ of the real nature of imperialism – the real motives for which despoticRead MoreImperialism as a Source of Many Conflicts throughout History658 Words   |  3 PagesImperialism a source of most if not all conflicts throughout history. No matter the century or time period, the start of all wars, battles, and conflicts all draw their roots back to imperialism. Imperialism have had great impacts on nations and brought many changes to societies and their cultures. It has impacted on people lives and how they live. It has affected our societies to this day and shaped or helped create foundations for our countries and cultures that we have today. Imperialism beganRead MoreGlobalization : Positive And Negative Effects On Todays Society1582 Words   |  7 PagesGlobalization has both positive and negative effects on the environment, societies, as well as today’s cultures. Cultural globalization refers to the process of spreading oneâ €™s cultural values, ideology, and uniqueness on a global level. Cultural globalization can have both positive and negative effects on today’s society as well. A positive effect of cultural globalization is the easy accessibility of different cultural products and commodities. A negative effect of cultural globalization is that smallerRead MoreAnalysis Of Rudyard Kipling s The White Man s Burden / Send Forth The Best Ye Breed1132 Words   |  5 PagesWestern nations, such as America and England, was superior to foreign cultures. He was an admirer of British imperialism in India, and was a strong advocate for America’s involvement in the Philippines. Kipling earnestly believed that foreign peoples would benefit from the forceful introduction of American culture. This position has, of course, proven to be heavily misguided, and the damaging effects of colonialism are still being felt today in the Global South. The cultural conversion advocated by KiplingRead Mor e Shooting an Elephant Essays1356 Words   |  6 Pagesexperiences as a British police officer in Lower Burma, and reflects it to the nature of imperialism. Since â€Å"anti-European feeling was very bitter† due to the British Empire’s dictatorship in Burma, Orwell is being treated disrespectfully by the Burmese (12). This allows him to hate his job and the British Empire. However, the incident of shooting of an elephant gives him a â€Å"better glimpse †¦ of the real nature of imperialism – the real motives for which despotic government act† (13). Through his life experiencesRead MoreThe Effects of Economic Imperialism on Colonization in Canada516 Words   |  3 Pages Economic imperialism is a central part of the ongoing contemporary colonization of indigenous peoples in Canada. 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An example of this negative effect is that poverty was very prevalent in India due to the dismantlingRead MoreCause and Effect on World War 1 Essay743 Words   |  3 PagesCause and Effect on World War 1 World War One, a huge conflict that sparked in 1914 and lasting all the way until 1918. The war was between the world’s greatest powers as two opposing sides; the Central Powers and the Allies. It was a chain of events that had started this was which consist of key features such as imperialism, alliances, growth of militarism, crisis, and nationalism. It was the result of these accumulating factors that had eventually evoked war. The effects on World War OneRead More Max Weber on Society Essay870 Words   |  4 PagesMax Weber on Society Max Weber was one of the worlds greatest sociologists and wrote a lot about the capitalist world he lived in. He had a different conception of capitalist society than most of his contemporaries. 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Mood Disorders Free Essays

Read the case study and type using 12 fonts directly into the rubric. Save the document, print it and submit to your clinical instructor (turn in to secretary) when due (see course calendar). Darlene, age 62 years, has been admitted to the local psychiatric facility for inpatient treatment of depression. We will write a custom essay sample on Mood Disorders or any similar topic only for you Order Now She became severely depressed when her son experienced a traumatic brain injury sustained in an automobile accident 6 years ago. Since her son’s accident, she has selected to pay her bills on time, has difficulty sleeping and difficulty concentrating, has lost interest in eating, and has lost 30 pounds during the last year. She is complaining of frequent headaches, generalized pain and malaise. She no longer attends the weekly sewing club due Tao lack of interest and energy. Her husband of 40 years divorced her 2 years ago. Her home needs repairs, and she says she feels overwhelmed with completing the maintenance required. She expresses feelings of helplessness. She states that she â€Å"is alone and no one cares. Darlene reports that he often sits alone at night watching television and sips on a can of beer. She has been noncompliance with pharmacological antidepressant therapy, which has led to her admission to an acute care psychiatric setting. She hardly makes eye contact, slouches in her seat and wears a blank but sad expression. She says to you, â€Å"this feeling of depression is the worst thin g I have had to go through since my son’s accident. I will never go through this again. I guarantee you this will be my last episode of depression. † â€Å"My mother suffered from depression and it destroyed our family. The physician has indicated that if Darlene does not respond to medication over the next 2-3 days, he will order ACT. Darlene has a history of hypertension but has not been taking medication. On admission her pulse is 98, Temperature is 99. 2 and blood pressure is 174/96 and her doctor prescribes Corer. She states she has been diagnosed with GEAR and used to take Proposes, but she has not taken any the past six months even though she still has symptoms of Acid Reflux. Her doctor reorders the Proposes upon admission. She had surgery twenty years ago to remove a benign tumor from her left ovary. Mood Disorders By enormous How to cite Mood Disorders, Papers

The Effects of Computer Games free essay sample

Alcohol, drugs and sex have all been known to bring out the addictive personality trait in some people, but other forms of addictive behaviour, such as exercise, watching television or spending too much time on a computer, have only recently been recognized. Computer addiction, like any addiction, can creep up on a person without one being aware of it. Talk shows are full of people whose relationships have been torn apart by one partners computer addiction. Spending hours chatting online, surfing the web or playing computer games can cause relationships to deteriorate as other parts ofa person’s life are neglected. The researchers found out that according to Funk (1993) identified computer game playing as a relatively high frequency activity among adolescents. Study has indicated gender differences in computer game playing habits, with males playing more frequently than females (Kaplan, 1983). Morlock, Nigolean and Yanto (1985) found reasons for this include: the game content, in that games tend to contain more masculine than feminine characters. There are many reasons why the researchers are conducting this research but the main goal is to find out the effects of computer games to the academic performance of the students, and toknow the perception of the respondents and the way they interact with to their problem and gain knowledge about the problem that the researchers may face someday. As a student the researcher are also concerned to its fellow students to help them and give them ideas about the effects of the computer games on their academic performance. The research desires a deeper and clearer understanding of the problem and the situation to know the effects of computer games to the academic performance and take actions in improving ways to controlling their addiction and give more time to their studies. Statement of the Problem 1. What is the profile of respondents in terms of: 1. 1Year and Section 1. 2Gender 1. 3Course 2. What is the level of usage of the respondents in playing computer games? 2. 1Hours Per Day 2. 2Days Per Week 2. 3Weeks Per Month 3. What is the extent of reasons of the respondents in playing computer games. 3. 1Personal reason 3. 2Peer pressure 3. 3Social Pleasure . What are the effects of computer games to the academic performance of the respondents? 4. 1Class Participation 4. 2Major Examinations 4. 3Others 5. What is the implication of the outcome of the study to the present AIMS students who are engaged in computer gaming? Hypothesis Ho1. There is no effect in level of usage of the college of business stude nts according to the time they spend during hours per day, days per week, and week per month. Ho2. There are no reasons of the respondents in playing computer games in terms of the following:personal reason; peer pressure; and social pleasure to the academic performance of the respondents. Ho3. There is no effect of computer games to the academic performance of the respondents according the following: class participation; major examinations; and others. Significance of the Study The result of this study will prove to be beneficial to the following: Students of Asian Institute of Maritime Studies (AIMS). They are the primary beneficiaries of this study because as of now many students addicted to computer games affected their academic performance. Instructors of Asian Institute of Maritime Studies (AIMS). The findings in this thesis will make the instructors or professors aware regarding on the ow academic performance of the students. Their credibility as an instructor is affected by the way how they teach their students. The findings will also convince and motivate them to share their knowledge and experience to their fullest extent so that students will learn more and will be able to have a good skill. Future Researchers. This study may help so much the researchers to answer some of their question that will benefit the future researchers. This study can also be open for further improvement and development of the study. Conceptual Framework The study was focused in the effects of computer games to the academic performance of Asian Institute of Maritime Studies students. The outline started with the students of Asian Institute of Maritime Studies, next is the independent variable which is the computer games that played by the Asian Institute of Maritime Studies students. The intervening variable here are the students that are playing computer games and the students that are not playing computer games in which it can strengthen or weaken the dependent and independent variable depending on the result. The next variable is the academic performance of Asian Institute of Maritime Studies students in which the researchers will know if it will turn out a positive or negative effect to the students. Figure 1. 1 As shown on the previous figure (Figure 1. 1), the researchers would like to know if the computer games will affect the academic performance of the students, if the students will pass or fail there subjects if they play computer games. The independent variable here is the student of Asian Institute of Maritime Studies, below is the computer games in which we have two kinds of result that will answer to our question. As a result, researchers find out that to have a positive result on our academic performance we have to stop or to control playing computer games to avoid addiction on playing computer games to have a focus on our study and to gain high grades, gain more knowledge and more skills that will help us to competent with others. This is what the positive extent means; on the other hand, if we will continue playing on computer games it will create a problem first on our academic performance and lastly on our physical and mental health. Scope and Limitations of the study This research was conducted to determine the effects of computer games to the academic performance of AIMS students as perceived by the reliable students who are engaged in the problem. The aspects looked into the negative and positive results of through the academic performance of students and proposed solutions to problems. Students who are dealing with the problem were the target of this study: Asian Institute of Maritime Studies students. Topics that will be studied and discuss: The students who are engaged of the problem and the effects of computer games to the academic performance and how effective this study in solving the problem and how it affects the academic performance of AIMS students. The population or universe of the study is the students of Asian Institute of Maritime Studies. And locale of the studyis the college students of Asian Institute of Maritime Studies and the period of the study is in month of July to August 2012. Definition of Terms The following terms and variables will be defined in the context of their use in this particular proposal: Academic Performance. Is the ability to study and remember facts and being able to communicate your knowledge verbally or down on paper, also refers to how students deal with their studies and how they cope with or accomplish different tasks given to them by their teachers. Addiction. the state of being enslaved to a habit or practice or to somethingthat is psychologically or physically habit- -forming, as narcotics, tosuch an extent that its cessation causes severe trauma. Computer. A computer is a device that accepts information (in the form of digitalized data) and manipulates it for some result based on a program or sequence of instructions on how the data is to be processed. Complex computers also include the means for storing data (including the program, which is also a form of data) for some necessary duration. A program may be invariable and built into the computer (and called logic circuitry as it is onmicroprocessors) or different programs may be provided to the computer (loaded into its storage and then started by an administrator or user). Todays computers have both kinds of programming. Effects. A phenomenon that follows and is caused by some previous phenomenon; the magnetic effect was greater when the rod was lengthwise; his decision had depressing consequences for business; he acted very wise after the event. That which is produced by an agent or cause; the event which follows immediately from an antecedent, called the cause; result; consequence; outcome; fruit; as the effect of luxury. Internet. A vast computer network linking smaller computer networks worldwide (usually preceded by the). The Internet includes commercial, educational, governmental, and other networks, all of which use the same set of communications protocols. Internet Addiction Disorder (IAD). Or, more broadly, Internet overuse, problematic computer use or pathological computer use, is excessive computer use that interferes with daily life. These terms avoid the distracting and divisive term addiction and are not limited to any single cause. Online games. Is a video game played over some form of computer network or on a video game console such as the Xbox 360 and PlayStation 3. This almost always means the Internet or equivalent technology, but games have always used whatever technology was current: modemsbefore the Internet, and hard wired terminals before modems. PC games. They are played on the personal computer with standard computer interface devices such as the keyboard and mouse, or ajoystick or gamepad. Video feedback is received by the gamer through the computer screen, and sound through speakers or headphones. Technology. Is the making, modification, usage, and knowledge of tools, machines, techniques, crafts, systems, methods of organization, in order to solve a problem, improve a pre-existing solution to a problem, achieve a goal or perform a specific function. CHAPTER 2 REVIEW OF RELATED LITERATURE Related Studies Many studies indicate that violent computer games can have very negative effects on teenagers. New studies indicate that even the non-violent games may have negative effects on teens. Games can have some positive results in helping teens deal with stress and to learn difficult school subjects such as math and reading. Based on the previous research, the computer has also disadvantages aside from the fact that it provides the students information’s and other features. In that research they conclude many students spent more time playing rather than researching and doing other academic works. This is result to computer addiction. From these students, huge percentage of them is male. This shows that male students are more prone to be affected by computer disadvantages. The research goal is to inform the students about what computer can really do to them, how can it affects them and what it is that affects them. The researchers proved that the research made is really true and precise because they are also once addicted in using these so called computers (Justin Vista, Hienson Tan and Bryan Yaranon, 2009). There is evidence that playing computer games helps with eye-hand coordination. Teens who play computer games must learn to use hand controls and steer their way through complex game environments. Also, computer games often initiate exposure to various types of technology that have applications in other areas of life and work. According to Fisher (2006) stated that theres also another type of computer addiction that’s been identified, which has been labelled â€Å"positive addiction. † Having it is an obsessive behaviour that in terms are purpose and the outcome of addiction. Not all the stuff in the internet is bad in fact some of them might be helpful as well. Further, it is important to remember that even if a person spends a significant amount of time on the computer every day, that doesnt necessarily mean that the person is negatively addicted. Spending a considerable amount of time online doesnt always ruin a persons life or the lives of the other people. There are people who use their computers to reach out to others in a meaningful way and use the awesome power and positive aspects of the Internet to learn and grow in every area. In addition, there are a growing number of researchers who argues that meeting someone online may actually be a more intimate and revealing experience than face to face contact, because youre communicating your thoughts, feelings, and emotions in a more real way, free of the game playing and posturing that often accompanies real world dating. You get to know the inner person in a more direct, spontaneous way without worrying about facial expressions or inflections of the other persons voice. In a very real way, couples who made their first contact online often know each other in a deeper, more intimate way than couples who meet in the outside world. Related Literature According to the Australasian Journal of Educational Technology: â€Å"Gaming Frequency and Academic Performance† individuals who spend two or more hours playing games on a daily basis score lower in every subject than their non-gaming counterparts. By spending a high percentage of time on video games there is not enough time left to spend in studying for classes. The study found that there was â€Å"not a single significant positive correlation between gaming and academic performance. † According to Anderson and Bushman (2001), found that across 54 independent tests of the relation between video game violence and aggression, involving 4262 participants, there appear to be five consistent results of playing games with violent contents. Playing violent games increase aggressive behavior’s, increases aggressive cognitions, increases aggressive emotions, increases physiological arousal, and decreases pro-social behavior’s. Since most electronic games are violent, children below legal ages are emotionally disturbed and caused several changes on their behavior. According to Austin, Pinkleton Fujioka (2000), quoted that â€Å"parental meditation is correlated with better academic performance. And has been shown to increase beliefs in social norms, and to decrease fear. Which refers to the parental consent of the player as they play a violent-oriented game? According to Gentile Walsh (2002), wherein 55% of parents said that â€Å"always† or â€Å"often† should parents put limits on the amount of the time their children may play computer and video games, and 40% said they â€Å"always† or â€Å"often† check the video game rating before allowing their children to buy or rent compu ter or video games. Even through these numbers are not particularly high, they may overestimate the amount of parental monitoring of children’s video game play. Moreover,Kranz (2008) stated that the seriousness of the issues caused bycomputer game addiction and video game addiction was even claimed to have created a new face of addiction in modern-day societies. Since this kind of addiction roots from seemingly harmless sources, what leads to addiction is the peoples abuse to the effects or benefits that they bring. Since no one will ever prevent using computer these days, at work or in school, theorists predict that this kind of disorder will be much harder to manage. When time spent on the computer, playing computer games or cruising the internet reaches a point that is harm a child’s or adult’s family and social relationships, or disrupt school or work life, that person may be caught in a circle of addiction. Like other addiction, the computer or video game has replaced friends and family as a source of person’s emotional life. Increasingly, to feel good, the addicted person spends more time playing video games or searching the internet. Time away from the computer or game causes moodiness or withdrawal. According to Lepper, M. R. Gurtner, J (2000), states that prolonged and excessive use of these games can cause, mainly upon children, a number of physical and psychological problems which may include obsessive, addictive behavior, dehumanization of the player, desensitizing of feelings, personality changes, hyperactivity learning disorders, premature maturing of children, psychomotor disorders, health problems (due to lack o f exercise tendonitis), Development of anti-social behaviour and loss of free thinking and will. According to Portal (2007)stated that, compulsive gaming is already considered a psychological disorder. The growing number of students suffering fromComputer games addiction can be puzzling for many people. What the people don’t realize is that any form of addiction roots from the things that used to be harmless the seriousness of computer games addiction has gone unnoticed. It is a good thing that turned bad due to bad usage. Justification of the Study According to research, that computer games can become addictive, which few teens would find surprising. The complex nature and advanced graphics of many computer games make them compelling entertainment. Both gaming experts and parenting support groups agree that for teenagers, computer games should be played in moderation. Today almost all of us have electronic devices at home for us to be comfortable and handy at times. But it also has a negative effect on children, especially teenagers. Parents usually buy computers for their children educational resource. But teenagers who always seek to fun activities around them use computer to play games, chat with their friends. And before they know it they’ are already addicted to computer. Computer can cause teenagers to be physically, and mentally ill, and the more the child spends more time on the computer, the more he or she loses time to focus on academics. Computers, video games, and the internet have become entrenched features of our daily lives. Computer use has reached beyond work and is now a major source of fun and entertainment for many people. For most people, computer use and video game play integrated into their lives in a balanced healthy manner. For other time spent on the computer or video game is out of balance, and has displaced work, school, friends, and even family. Many studies indicate that violent computer games can have very negative effects on teenagers. New studies indicate that even the non-violent games may have negative effects on teens. Games can have some positive results in helping teens deal with stress and to learn difficult school subjects such as math and reading. Based on the previous research, the computer has also disadvantages aside from the fact that it provides the students information’s and other features. In that research they conclude many students spent more time playing rather than researching and doing other academic works. This is result to computer addiction. From these students, huge percentage of them is male. This shows that male students are more prone to be affected by computer disadvantages. The research goal is to inform the students about what computer can really do to them, how can it affects them and what it is that affects them. The researchers proved that the research made is really true and precise because they are also once addicted in using these so called computers (Justin Vista, Hienson Tan and Bryan Yaranon, 2009). There is evidence that playing computer games helps with eye-hand coordination. Teens who play computer games must learn to use hand controls and steer their way through complex game environments. Also, computer games often initiate exposure to various types of technology that have applications in other areas of life and work. According to the Australasian Journal of Educational Technology: â€Å"Gaming Frequency and Academic Performance† individuals who spend two or more hours playing games on a daily basis score lower in every subject than their non-gaming counterparts.

Crucible In Detail Essays - Salem Witch Trials, The Crucible

Crucible In Detail A crucible, as defined by the Merriam-Webester Concise Electronic Dictionary, is"the state or fact of being tested (as by suffering)", which attests to what Elizabeth Proctor is going through exactly. Elizabeth has quite a crucible to struggle through. The infidelity of her husband is a major element in her being. Her struggle includes staying true to both her husband and her God. Another is the persecution by Abigail Warren, a former employee and assistant. Elizabeth also has to suffer through the decision to reveal the unfaithfulness of John or to remain strong in her love of him. All of this is too much for Elizabeth and the burden is very heavy. Elizabeth's husband, John, is a religious man. He believes in God, but not the minister who preaches His word. John's actions, though, are not so religious and devoid of sin. Abby, a young seductress, was able to gain his attention while Elizabeth was bedridden. A fiery and passionate affair scared his relationship with his wife. Elizabeth struggles with his infidelity. When Reverend Hale questions the couple on the commandments, it is evident that there is still a void between her and John. All commandments could be recited except for adultery. In the puritan culture, adultery is a grievous sin, one punishable by death. She has to live through each day knowing that John was unfaithful, and that he did not fulfill the commitment of marriage. She feels hurt and betrayed, but what Abby tries next is the most underhanded trick possible. Abigail was placed in power due to her "ability" to spot the devil in people. She could see those who trafficked with the devil and who was in his book. This was an opportunity to settle the score for her. Goody Proctor had discharged Abby from her home, and now was Abby's chance to get back at Elizabeth.. All she needed was an opportunity. Following the idea of spirits leaving the body of a host, she stabbed herself with a needle, and blamed it on Elizabeth's familiar spirit. Elizabeth had to fight the accusations and the suspicions about her and her bad intentions. She was backed in a corner and there was nowhere to go. If she confessed to being a witch, she would spend her days in jail, and her name would be forever tarnished. If she did not confess at all, she would be hanged for being a witch. It was trying not only on her, but on her faith. Another factor, though, would impact her emotional problems. In an attempt to prove that Abby was just condemning people out of vengeance, John Proctor asked the court to allow Elizabeth to reveal the real reason that Abby was discharged from their home. His favor was granted, with the understanding that neither John nor Abby could face or gesture to Elizabeth. She was asked why she discharged Abby, and then if she believed that there was an affair between John and Abby. She denied an affair, and in that way condemned John as a liar and as one trying to overthrow the court. He was arrested and was indicted in the matter of trafficking with the devil. Throughout the time that the Salem trials took place, John believed that they were a farce. Now, with Elizabeth present, he was given a choice. He could sign a confession and indict other people. He asked Elizabeth if she wanted him to live, and she said yes. He made the decision to not confess, though, and she had the choice of stopping him. She could if she wanted to, but she made the decision to let John be at peace with God. She allowed him to leave without confessing, and he was hanged. The Crucible was not just about one town experiencing a trial that would forever change it. It was about individual people experiencing events that would destroy lives, reputations, and families. Elizabeth was one of those individuals who would go through the hardest trials and tribulations. She had three crucibles to bear, each of equal strength. Standing by her husband, who was unfaithful, was the first in the chain. Being attacked by the girl that caused her husband to be unfaithful was the second, and deciding to let her husband be at peace or to be with her was the third. She was faced with three hard decisions that would change everything that she knew. The Crucible used these characters to amplify the inner lives of those caught up in

How To Live in a Frank Lloyd Wright Design

How To Live in a Frank Lloyd Wright Design American architect Frank Lloyd Wright (1867-1959) is alive and well. Believing that philosophy is more important than design, Wrights aesthetic - harmony, nature, organic architecture - is recognizable in the patterns of his design. Do not try to teach design, he wrote at Taliesin. Teach principles. The real Frank Lloyd Wright blueprints are his unwavering ideals. Do the comfortable, Prairie style houses make your heart skip a beat? Have you always dreamed of owning a Frank Lloyd Wright masterpiece like Fallingwater? Okay, maybe not so much water. But how about a Wright Usonian home, like the Zimmerman House in New Hampshire? Brick and wood and a wall of windows bring nature into your living space, blurring the lines between outside and inside. Frank Lloyd Wright (FLW) built hundreds of private homes, and every year a few change ownership. In 2013, The Wall Street Journal reported that about 20 homes were on the market from the approximately 270 privately owned FLW residences. Many of the homes by Mr. Wright pose challenges, reports the WSJ. Small kitchens, no basements, narrow doorways, built-in furniture, and leaks are just a few of the difficulties for the modern homeowner. When you buy a Wright, youre buying a piece of history important to many people - some might say to too many people. Wright fans will always be lurking around your house if you buy an original. Many of Wrights homes are in the Wisconsin / Illinois area, and every year thats where most of the turnover is. Wright architecture outside of this area is more rare and may tend to be on the market for longer periods of time. The Frank Lloyd Wright Building Conservancy keeps track of Wright houses currently for sale  - Wright on the Market. If theres nothing by Wright in your city, consider hiring an architect to custom design a new home in the spirit of the master. Without a doubt, the premier firm for Wright-inspired creations used to be Taliesin Associated Architect (TA). From Wrights death in 1959 until the group reorganized in 2003, TA continued the architectural practice established by Frank Lloyd Wright in 1893. The Frank Lloyd Wright School of Architecture maintains two design studios, one at Taliesin West in Arizona and another at Taliesin in Spring Green, Wisconsin. An architect who has trained or apprenticed at either Taliesin may better understand the spirit of Wrights architecture. The Taliesin Fellows stay connected but practice privately after graduation. The first thing you may want to do, though, is take a tour at either Taliesin. Architects dont need to train at Taliesin to design like Wright, but these former Taliesin Fellows present a delightful array of their own designs: Michael Rust; Richard A. Keding; Aaron G. Green; William Arthur Patrick, founder of Midglen Studio; Barry Peterson at Studio 300A Architecture; Jeremiah (Jaimie) Kimber at j kimber design; Floyd Hamblen; and Anthony Puttnam, Architect, LLC. For more about modern-day architecture inspired by Frank Lloyd Wright, check out the books A Living Architecture: Frank Lloyd Wright and Taliesin Architects by John Rattenbury (2000) and John H. Howe, Architect: From Taliesin Apprentice to Master of Organic Design by Jane King Hession (2015). Private homeowners generally cant use original Frank Lloyd Wright blueprints. The folks at Florida Southern College, however, already had Usonian house plans Wright had designed for the campus in 1939. Construction of the house was finished in 2013 and you can tour it and the entire Lakeland, Florida campus. Taliesin architects can be pricey, no doubt. If youre building on a budget, consider purchasing construction-ready building plans for a Prairie style house. While not duplicates of Wrights work, many of these stock plans resemble the rambling homes that Frank Lloyd Wright designed - and they can be modified by your local architect. A number of companies offer plans for Wright-inspired houses. Remember that Wright first experimented with the Prairie design way back in 1893 - before 1900 Wright had developed the modern design loved today, but variations were made in Wrights own lifetime. The Prairie house style is just that - a style that inspired many adaptations . Even if your new home is not a Wright original, it can incorporate his most popular details. Evoke the spirit of the master through furniture, glassware, textiles, lighting, and wallpapers. Frank Lloyd Wright is well-known for his built-in furniture and bookcases, but his reproduction housewares can be found everywhere. Especially popular are Wright-type hanging lights. After author T.C. Boyle bought a Frank Lloyd Wright house in Montecito, California, he was inspired to write one of the most popular books about Wright, a fictionalized account of Wrights love affairs called The Women. Maybe you could be the next T.C. Boyle. Sources Seeking the Wright Path at Taliesin West by Logan Ward, Architect Magazine, December 9, 2014The Pleasures and Pitfalls of Frank Lloyd Wright Homes by Joann S. Lublin, The Wall Street Journal, May 16, 2013 at http://online.wsj.com/news/articles/SB10001424127887323372504578469410621274292Taliesin ARchitects Reorganized by Jim Goulka, Taliesin Fellows Newsletter, Number 12, July 15, 2003 at http://re4a.com/wp-content/uploads/taliesinfellows_Jul03.pdf [accessed November 21, 2013]Frank Lloyd Wright On Architecture: Selected Writings (1894-1940), Frederick Gutheim, ed., Grossets Universal Library, 1941, p. 214 SUMMARY Start packing. You can live in a house designed by Frank Lloyd Wright - or one that looks like it might have been. Heres how: Buy an Original Wright-Designed HouseBuild a Wright-Like House Designed by a Taliesin FellowUse Mail Order Stock House PlansAdd Wright Details to Your Home

Gender and the effectiveness of leadership Research Paper

Gender and the effectiveness of leadership - Research Paper Example Leadership is defined as an art and science of influence (Emmerik, 2010). In the past, males were believed that they were blessed with the ability to practice leadership and females were considered ideal for occupying the subordinate roles in the organizations (Jogulu, 2006). Nevertheless, with the passage of time, females’ ability to practice leadership grew and therefore, many of them managed to break the so-called glass ceiling in the organizations that are operating in a vast range of industry (Kolb, 2013). The basic and fundamental purpose of the study is to run a descriptive investigation with reference to males and females’ capability of practicing leadership. The study will be conducted in order to evaluate the presence of the glass ceiling in the local corporate market (Mavin, 2012). Following are the research question and hypotheses respectively (Maleki, 2011). The character of the study will be experimental in nature Literature review Females as Effective Leaders Reports show that male and female leadership styles get influenced for their tasks and considerations based upon the organizational-structure (Maleki, 2011). This structure puts that one’s position in the hierarchy, rather than the gender influences the leadership style. The gender-organization and the gender-organization system develop that gender and organization system combine to influence the leadership behavior in an independent and interactive method (Jogulu, 2006). Major research in the area of gender and leadership stereo typicality show that the workplace is either self -perception centered or subordinate centered, based upon the female or male leadership behavior. ... The character of the study will be experimental in nature Literature review Females as Effective Leaders Reports show that male and female leadership styles get influenced for their tasks and considerations based upon the organizational-structure (Maleki, 2011). This structure puts that one’s position in the hierarchy, rather than the gender influences the leadership style. The gender-organization and the gender-organization system develop that gender and organization system combine to influence the leadership behavior in an independent and interactive method (Jogulu, 2006). Major research in the area of gender and leadership stereo typicality show that the workplace is either self -perception centered or subordinate centered, based upon the female or male leadership behavior. In most of the cases, gender differentiation has been more frequently reported by their subordinates rather than by the leaders themselves (Mavin, 2012). Marissa Mayer who is a CEO of Yahoo proved hersel f as the effective leader as she successfully managed to stimulate growth in the company by taking bold and concrete measures. The removal of policy supporting telecommuting is the most risky decision she took after becoming a leader. The featured lady challenged and nullified the presumption that under her command people can manage to take things easy because female leaders are weak when it comes to implementing discipline. The featured leader proved the common belief wrong by tightening the strings. The females that are leading the show for famous companies are known for their dedication towards discipline whereas; they tend to follow mechanistic philosophy in terms of organizational management. Elena Ford who is Vice President of Consumer Experience

Football Hooliganism Essay Example | Topics and Well Written Essays - 2000 words

Football Hooliganism - Essay Example ..... it is a sure-fire sign that the hooligan element is present and that their senseless fury is about to be unleashed"( Chaudhary, 2002). Though hooliganism in football originated in Britain, it is today by no means isolated to the UK, and is in fact a major source of concern and much sociological and psychological research across Europe and other nations. It is today an accepted fact that hooliganism has had its presence in various countries across the last century, a fact which has been systematically established with concrete evidence: By now, most students of sports violence recognise the spurious nature of the claim that soccer hooliganism is a "British disease".....In content analyses of media Williams et al. (1984) unearthed over 70 reports of spectator disorder at soccer matches in 30 different countries in which English fans were not involved between 1904 and 1983.(Coakley, Dunning, 2000) The exact date of origin of this phenomenon in soccer cannot be easily ascertained . It came to the notice of the public and government authorities in the sixties, but in fact the first recorded instances of football hooliganism hark back to a much earlier date. " During a match in 1846 in Derby the riot act was read and two troops of dragoons called in to deal with a disorderly crowd, whilst pitch invasions became increasingly common from the 1880's onwards"( Pearson, 2001). Indeed, violence has always been associated with a majority of sporting activity, and more specifically with soccer, which is "in both the pejorative and non-pejorative sense, an intrinsically aggressive event which sanctions some violence in attempts to win, and retain, possession of the ball". (Bonny, Giulianotti, Hepworth, 1994) But it was during the Swinging Sixties that football became more of a fashion than a sport, a part of youth culture, and developed a relationship with fashion, style, image and even music. This was in part because football clubs became more organised, the limits to a footballer's weekly earnings were abolished, and last, but not the least, the hosting of the 1966 World Cup finals in UK, which got widespread media coverage. Also important was the establishment of fan followings for different football clubs, and the concepts of "ends" in the stadia, which the supporters of the home and away group respectively marked as their territory, and the defence of which became paramount, attaining almost a cult status. "The most important feature of contemporary hooliganism is the taking and holding of 'ends'. Away supporters, especially those from clubs with 'hooligan' reputations, try to drive home supporters from their traditional end"( Holt, 1992). In this decade, male youth gradually became a community on its own, distinct from the patriarchal concepts of family and society, and football became a mode of independent expression. There are manifest continuities between the rites of violence in contemporary Britain and earlier periods. But the specific forms of hooliganism are new; football crowds were not segregated by age before the 1960s; youth did not congregate around parts of football clubs as their territory--they had a larger territory and community which they shared with their older male relatives. ( Holt,1992) Hooliganism became a growing

Benign Prostatic Hyperplasia Causes, Signs and Treatments

Benign Prostatic Hyperplasia Causes, Signs and Treatments As a man matures, the prostate goes through two main periods of growth. The first occurs early in puberty, when the prostate doubles in size. Around of the age 25, the gland begins to grow again. This second growth phase often results, years later, in BPH. Though the prostate continues to grow during most of a mans life, the enlargement doesnt usually cause problems until late in life. BPH rarely causes symptoms before age 40, but more than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH. As the prostate enlarges, the layer of tissue surrounding it stops it from expanding, causing the gland to press against the urethra like a clamp on a garden hose. The bladder wall becomes irritable and thicker. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination. Eventually, the bladder weakens and loses the ability to empty itself. Urine remains in the bladder. The narrowing of the urethra and partial emptying of the bladder cause many of the problems associated with BPH. Prostate enlargement is as common a part of aging as gray hair. As life expectancy rises, so does the occurrence of BPH (NucleusMedicalMedia, 2013). Clinical Findings Most men with BPH complain of symptoms of the lower urinary tract. Doctors should ascertain whether the symptoms are really caused by BPH or by another pathology. In the assessment, distinction needs to be made between obligatory and optional investigations which follow in the cases where diagnostic uncertainties persist after the basic examination (Dr. med. Matthias Oelke, 2013). Obligatory Examinations Patient history: A family history of prostatic disease and prostatic cancer, a history of lower urinary tract disease such as bladder stones, cystoscopic examination, transurethral surgery, and systemic disease and a history of alpha-blockers, 5-alpha-reductase inhibitors, antimuscarinics, or neurological medications should be recorded (Dr Hann Chorng Kuo, 2008). In addition to the general and neurourological history, a detailed history with regard to micturition should be taken. In the micturition history, obstructive and irritative symptoms are elicited and possibly quantified (Table 1). The history should also clarify whether drugs are being taken that might affect the functioning of the lower urinary tract (Dr. med. Matthias Oelke, 2013). Symptom and quality of life questionnaires: The frequency and extent of symptoms can be quantified by using a questionnaire, and changes during therapy can thus be documented. The International Prostate Symptom Score (IPSS) is the most commonly used questionnaire (Table 2). The first 7 questions capture the frequency of symptoms of the lower urinary tract within the preceding 4 weeks, the 8th question the extent to which the patients quality of life is compromised. The symptom score is obtained by adding up the answers to questions 1 to 7 and will be a number between 0 and 35 (Dr. med. Matthias Oelke, 2013). On the basis of this score, the symptoms can be classed as mild (IPSS score 0-7), moderate (IPSS score 8-19), or severe (IPSS score 20-35) as shown in the Table 3. Physical Examination: Patients should be examined systemically and locally. Examination of the abdomen includes checking for a palpable bladder. This may indicate chronic outflow obstruction or a neurogenic bladder. The presence of an abdominal scar, a palpable, distended bladder and genital lesions should be carefully examined. Obviously, any further abnormalities require a full neurological history and examination. In addition to a general physical examination, the patients neurourological status should be assessed. This provides information on the anal sphincter muscle tone and the sensorimotor state of the lower extremities, the perineum, and the genitals. During the basic neurological examination, the reflex pathways of the lower extremities should also be assessed (Table 3), to enable conclusions about the functional fitness of the neural pathways in the bladder and the bladder sphincter (Dr. med. Matthias Oelke, 2013). A digital rectal examination (DRE) of prostatic consistency, prostatic size, surface and abnormal nodularity should be carefully done. It includes noting the tone of the anal sphincter and the pelvic floor (Diagram 2.2.1A). It may be poor with a neurogenic bladder. Urologists report their findings in terms of the size of the prostate, a normal gland in a young adult weighing about 20 g. A useful guide for those less familiar with prostates is that a fingers breadth represents about 15 to 20 g and so a gland that is three fingers in breadth across is 45 to 60 g. Symptoms are unusual below two fingers in breadth. It is also important to note the texture and contour of the gland. It should be firm but not hard, and smooth without nodules. The median sulcus should be clearly defined. A gland that is hard rather than firm, nodular and lacks a clear median sulcus suggests carcinoma of prostate (Dr Laurence Knott, 2012). Compared with transrectal ultrasonography, the prostate volume is usua lly underestimated by 10 to 20% on digital rectal examination (Dr. med. Matthias Oelke, 2013). A Digital rectal exam (DRE) is done to assess the prostate size and shape. After putting on a lubricated glove, the physician gently inserts a finger through the anus into the rectum and assesses the size and hardness of the prostate gland. Laboratory tests: Urine test (urinalysis). When a patient complains of urethral symptoms (micturition pain, burning sensation) a urinalysis should be performed (Dr Hann Chorng Kuo, 2008). Analyzing a sample of the urine in the laboratory can help rule out an infection or other conditions that can cause similar symptoms (MayoClinic, 2011). When the urinalysis shows a miscroscopic hematuria or pyuria, a KUB radiograpgh should be done to investigate whether there are bladder or lower ureteral stone. Blood urea nitrogen and creatinine levels should be investigated when chronic urinary retention is noted (Dr Hann Chorng Kuo, 2008). Prostate-specific antigen (PSA) blood test. The prostatic specific antigen (PSA) level is indicated in all patients with an enlarged prostate or abnormal DRE findings (Dr Hann Chorng Kuo, 2008). Its normal for the prostate gland to produce PSA, which helps liquefy semen. PSA levels increase with an enlarged prostate. However, PSA levels can also be elevated due to prostate cancer, recent tests, surgery or infection (prostatitis) (MayoClinic, 2011). Men with high PSA levels have a higher risk of future growth of the prostate, symptom and flow rate deterioration, acute urinary retention and BPH-related surgery. BPH levels increase with age and approximately 25% of men with BPH have a PSA of >4ng/ml. PSA testing is more appropriate for patients whose future natural life span is likely to be more than 10 years (Dr Hann Chorng Kuo, 2008). Uroflowmetry. It is a dynamic test that measures the volume of urine released from the body, the speed with which it is released, and how long the release takes. Both average and maximum flow rates can be measured (U.S National Library of Medicine, 2012). As shown in the Diagram 2.2.1B and Graph 2.2.1A, the patient will be asked to urinate into a funnel connected to the electronic uroflowmeter, which records and translates the urine flow into a graph which gives a good indication of the degree of bladder blockage (Chin Chong Min Urology Robotic Surgery Centre, 2013). The peak flow rate, also known as Qmax is generally used as the basis for determining the severity of any blockage or obstruction. Low flow may indicate such conditions as obstruction of the urethra, enlarged prostate or poor bladder function (UrologyCare, 2011). This technique, which is used to detect an obstruction of the  urethra and  bladder neck, is widely used in the diagnosis of BPH (EhealthMD, 2012). A Qmax value over 15 mL/s is usually considered normal. A Qmax below 7 mL/s is accepted as low. Results can vary according to effort and volume and so the usual compromise is to obtain at least two readings with at least 150 mL of urine each time (Dr Laurence Knott, 2012). Postvoid residual urine: One of the important subjects of tests for urinary incontinence is the postvoid residual urine volume (PVR), the amount of urine left after urination. Normally, about 50 mL or less of urine is left; more than 200 mL is a definite sign of abnormalities. Measurements in between require further tests. This test is done using  ultrasonography  or it can also be done with a small tube (catheter), being put into the bladder through the urethra. By using the transabdominal ultrasonography, it uses a device placed over the abdomen. It can give an accurate measure of postvoid residual urine and is less invasive and expensive than transrectal ultrasonography (TRUS) (UrologyCare, 2012). Postvoid residual urine can occur in bladder outlet obstruction in BHP, but also in other forms of bladder outlet obstruction or detrusor underactivity. (Dr. med. Matthias Oelke, 2013). Urosonography: The bladder and kidneys should be examined in every patient. Since a raised serum creatinine concentration occurs only after about 50% of nephrons have failed, an ultrasound investigation of the kidneys can diagnose upper urinary tract dilatation even in the absence of raised creatinine. Since bladder outlet obstruction results in compensatory hypertrophy of the detrusor muscle, ultrasound measurements of the detrusor thickness when the bladder contains at least 250 ml urine can be used as an additional variable in assessing the degree of obstruction. A detrusor wall thickness of †°Ã‚ ¥ 2 mm indicates a bladder outlet obstruction with 95% certainty (Dr. med. Matthias Oelke, 2013). Optional Examinations TRUS: Transrectal ultrasonography (TRUS) can determine the volume of the prostate more precisely than transabdominal volumetry, the methods differ by about 10%. Only TRUS can visualize and assess the zonal anatomy of the prostate (Dr. med. Matthias Oelke, 2013). Transrectal ultrasonography (TRUS) uses a rectal probe for assessing the prostate. TRUS is significantly the most accurate method for determining prostate volume. It can sometimes detect cancer (UrologyCare, 2012). Urodynamic studies and pressure flow studies.  With these procedures, a catheter is threaded through your urethra into your bladder. Water is slowly injected into your bladder. This allows doctor to measure bladder pressures and to determine how well your bladder muscles are working (MayoClinic, 2011). These should be used only if standard diagnostic tests have not been able to assess the degree of obstruction. (Dr. med. Matthias Oelke, 2013). Cystoscopy.  Also called urethrocystoscopy, may be performed in men diagnosed with BPH, particularly if they are surgical candidates or if other urinary tract problems are suspected (Chin Chong Min Urology Robotic Surgery Centre, 2013). This procedure allows your doctor to see inside your urethra and bladder. After you receive a local anesthetic, a lighted flexible telescope (cystoscope) is inserted into your urethra to look for signs of problems as shown in the Diagram 2.2.2A (MayoClinic, 2011). Intravenous pyelogram or CT urogram.  These tests can help detect urinary tract stones, tumors or blockages above the bladder. First, dye is injected into a vein, and X-rays or CT scans are taken of your kidneys, bladder and the tubes that connect your kidneys to your bladder (ureters). The dye helps outline the drainage systems of the kidneys (MayoClinic, 2011). Etiology of Benign Prostate Hyperplasia The actual cause of prostate enlargement is unknown.  However, most urologists agree that age is most definitely a factor in the development of an enlarged prostate (ProstateHealthGuide, 2012). Several theories have been proposed to explain benign cell growth in older men (University of Maryland Medical Center, 2009). Benign prostatic hyperplasia is probably a normal part of the aging process in men, caused by changes in hormone balance and in cell growth (Healthwise, 2012). Hormonal Changes Male Hormones.  Androgens (male hormones) most likely play a role in prostate growth. The most important androgen is  testosterone, which is produced in the testes throughout a mans lifetime. The prostate converts testosterone to a more powerful androgen,  dihydrotestosterone  (DHT). DHT stimulates cell growth in the tissue that lines the prostate gland (the glandular epithelium) and is the major cause of the rapid prostate enlargement that occurs between puberty and young adulthood. DHT is a prime suspect in prostate enlargement in later adulthood (University of Maryland Medical Center, 2009). Female Hormones.  The female hormone estrogen may also play a role in BPH. (Some estrogen is always present in men.) As men age, testosterone levels drop, and the proportion of estrogen increases, possibly triggering prostate growth (University of Maryland Medical Center, 2009). Late Activation of Cell Growth Another theory focuses on cells in a certain section of the gland that may become active late in life, signaling other prostate cells to replicate or causing them to be sensitive to growth-stimulating hormones (University of Maryland Medical Center, 2009). The incidence of Benign Prostate Hyperplasia Interest in alternative treatments for BPH increased after epidemiologic studies showed a lower incidence of BPH and prostate cancer in Asians compared with persons from Western countries.   The incidence of BPH is also low in vegetarian men. It is an interesting finding that BPH incidence is lower in Asian countries than in Western countries whereas Asian immigrants in the United States have the same incidence of clinical BPH as their white American counterparts. It is also to note that the lower incidence of clinical BPH of Asian men increases in immigrant generations after they have started to live in North America. One postulated explanation is the higher soy content of the typical Asian diet. Genistein, a major isoflavone ingredient of tofu, has been found to decrease the growth of hyperplastic prostate tissue in histoculture. Dietary factors are accused to explain this phenomenon since Asian people consume low-fat, high-fiber diets than Western people. In different series, it was shown that high energy and animal product diet increase the risk of BPH while fruit and vegetable based diet has a protective effect against BPH (Dr Praveen R, 2008). The incidence of BPH is 34.4 per 1,000 persons per year in the U.S. in men over age 55. The prevalence of lower urinary tract symptoms secondary to BPH in the U.S. population is 41% in black men and 34% in white men. The prevalence of BPH increases with age. Histologic BPH is present in approximately 8% of men aged 31 to 40, 50% of men aged 51 to 60, 70% of men aged 61 to 70, and 90% of men aged 81 to 90. Correspondingly, symptomatic (clinical) BPH is present in approximately 26% of men in the fifth decade of life, 33% of men in the sixth decade, 41% of men in the seventh decade, and 46% of men in the eighth decade of life and beyond (Elsevier, 2012). Mortality and Morbidity Benign prostatic hyperplasia (BPH) is a common problem among older men, and is responsible for considerable disability. However, it is an infrequent cause of death. According to the World Health Organization database, the mortality rates for most developed countries in the 1980s were 0.5 to 1.5/100,000. Death from BPH is rare in the United States. The large number of men with the symptoms of this disorder, the easy access to diagnostic tests, and the availability of drug therapy make it appropriate for the primary care provider to participate in the management of men with this disorder (Wolters Kluwer Health, 2012). BPH associated mortality is rare and serious complications are uncommon (Dr. Dan Van Syoc, 2010). Benign prostatic hyperplasia (BPH) is a common cause of morbidity among older men, (Annual Reviews, 2013) causing morbidity primarily through lower urinary tract symptoms (LUTS). The primary physician should attempt to distinguish LUTS due to BPH from the other causes of such symptoms, objectively determine symptom severity, and, when the symptoms are bothersome enough, work with the patient on a therapeutic approach to reducing symptoms while minimizing side effects (Lippincott Williams Wilkins, 2009). Surgery  consists of various approaches that resect or ablate prostate tissue.   While effective in expanding the urethral lumen and relieving symptoms, tissue resection or ablation also contributes to significant morbidity (NeoTract, 2011). However, because of the morbidity associated with the surgical treatment of this condition, alternative treatments are being developed and are coming into increasing use (National Health and Medical Research Council, 2011). Histopathology Microscopically, the prostate consists of glandular epithelium and fibromuscular stroma elements. Smooth muscle cells, fibroblasts and endothelial cells are in the stroma and the epithelial cells are secretory cells, basal cells and neuroendocrine cells (Diagram 2.6A) (Mark Frydenberg, Nathan Lawrentschuk, 2012). Both the glandular epithelial cells and the stromal cells (including muscular fibers) undergo hyperplasia in BPH. Most sources agree that of the two tissues, stromal hyperplasia predominates, but the exact ratio of the two is unclear (Wikipedia, 2013). The columnar secretory cells are tall with pale to clear cytoplasm. These cells stain positively with prostate specific antigen. Basal cells are less differentiated than secretory cells and so are devoid of secretory products such as prostate-specific antigen (PSA). Finally, neuroendocrine cells are irregularly distributed throughout ducts and acini, with a greater proportion in the ducts .The prostate has the greatest number of neuroendocrine cells of any of the genitourinary organs. Glands are structured with open and closed cell types with the open type facing the inside of the duct having a monitoring role over its contents. Most cells contain serotonin but other peptides present include somatostatin, calcitonin, gene-related peptides and katacalcin. The cells co-express PSA and prostatic acid phosphatase. Their function is unclear but it is speculated that these cells are involved with local regulation by paracrine release of peptides. Prostatic ducts and acini are distinguished by architectural pattern at low power magnification. The prostate becomes more complex with ducts and branching glands arranged in lobules and surrounded by stroma with advancing age (Mark Frydenberg, Nathan Lawrentschuk, 2012). Pathophysiology Prostatic enlargement depends on the potent androgen dihydrotestosterone (DHT). In the prostate gland, type II 5-alpha-reductase metabolizes circulating testosterone into DHT, which works locally, not systemically. DHT binds to androgen receptors in the cell nuclei, potentially resulting in BPH. In vitro studies have shown that large numbers of alpha-1-adrenergic receptors are located in the smooth muscle of the stroma and capsule of the prostate, as well as in the bladder neck. Stimulation of these receptors causes an increase in smooth-muscle tone, which can worsen LUTS. Conversely, blockade of these receptors (see Treatment and Management) can reversibly relax these muscles, with subsequent relief of LUTS. Microscopically, BPH is characterized as a hyperplastic process. The hyperplasia results in enlargement of the prostate that may restrict the flow of urine from the bladder, resulting in clinical manifestations of BPH. The prostate enlarges with age in a hormonally dependent manner. Therefore, castrated males (ie, who are unable to make testosterone) do not develop BPH. The traditional theory behind BPH is that, as the prostate enlarges, the surrounding capsule prevents it from radially expanding, potentially resulting in urethral compression. However, obstruction-induced bladder dysfunction contributes significantly to LUTS. The bladder wall becomes thickened, trabeculated, and irritable when it is forced to hypertrophy and increase its own contractile force. With the increased sensitivity (detrusor overactivity [DO]), even with small volumes of urine in the bladder, is believed to contribute to urinary frequency and LUTS. The bladder may gradually weaken and lose the ability to empty completely, leading to increased residual urine volume and, possibly, acute or chronic urinary retention. 25In the bladder, obstruction leads to smooth-muscle-cell hypertrophy. Biopsy specimens of trabeculated bladders demonstrate evidence of scarce smooth-muscle fibers with an increase in collagen. The collagen fibers limit compliance, leading to higher bladder pressures upon filling. In addition, their presence limits shortening of adjacent smooth muscle cells, leading to impaired emptying and the development of residual urine. Signs and Symptoms     When symptoms (known as lower urinary tract symptoms, or LUTS) occur, they may range from mild and barely noticeable to serious and disruptive. The amount of prostate enlargement not always related to the severity of the symptoms. Some men with only slight enlargement have serious symptoms, and some men with a great deal of enlargement have few symptoms (WebMD, 2010). The signs and symptoms of BPH (benign prostatic hyperplasia) can vary, but usually involve changes or problems with urination (eMedTV, September 2008). According to eMedTV, the following are the most common symptoms of benign prostatic hyperplasia. However, each individual may experience symptoms differently. Symptoms may include: Leaking or dribbling of urine More frequent urination, especially at night A strong or sudden urge to urinate Urine retention inability to urinate A hesitant, interrupted, weak stream of urine Trouble starting a urine stream or making more than a dribble Feeling that the bladder has not fully emptied Stopping and starting again several times while passing urine At their worst, common BPH symptoms can lead to severe symptoms such as: A weak bladder Backflow of urine causing bladder or kidney infections Complete block in the flow of urine Kidney failure. Symptoms can be quantitated by scores, such as the 7-question American Urological Association Symptom Score in Table 2.   As shown in Table 3, this score also allows doctors to monitor symptom progression from mild to severe. Sometimes these symptoms can reduce the quality of life to such a great extent that those affected build their daily routines around the condition. They avoid drinking or plan their errands around easy access to toilet facilities. If BPH is not treated, it holds considerable risks (Roehrborn CG, McConnell JD, et al. 2010).

Essay --

Within the body of this paper, readers will find an analysis of the motor development, visual-perceptual, fine motor development, communication, social behavior and play, attention, emotions and self- regulations, attachment and development of the self, and hearing and vision of children aging between 0 and 6 months. The continuation of this essay will include identified values and/or belief systems of the 0-6 month culture that could possibly present changes in social worker’s abilities to develop culturally responsive therapeutic relationships. There will also be a distinguishing of recommended tools for identifying problems within this developmental stage including a visual reference for the identified tools. Resources regarding the tools will include what the tool assesses, the age it is designed for, who is to use the assessment tool, how long the assessment typically takes, and the scoring of the results. Motor development In these early stages of life, there is little motor development in comparison to older children, however many of the developments of their later years begin in these tender times ("Occupational therapy," 2002) Between the ages of 0-2 months, some of the motor developments that are present at this time include sparing kicks and what seems like stretching of the arms ("Occupational therapy," 2002). When lying on their backs, the infants head is usually laid to one side or the other based on how they were laid, as they are not yet able to hold the weight of their own head yet ("Occupational therapy," 2002). These activities later on grown into more frequent arm stretches and kicks between the ages of 3 and 6 months. By this time, the baby will have a much greater ability to hold the weight of their o... ...erience is more so focused on the parent(s) of that child in hopes to best serve the child in their home context ("Touch therapy with," 2014). This is a very important consideration in regards to the therapeutic experience of the infant because without parent involvement there is an almost guaranteed failure rate of change or development for that child. Because the infant is not able to fend or express for themselves at this age, it is a necessity for the parent(s) of an infant in therapy to be invested in therapeutic process and dedicated to the implementation of what was discussed in therapy outside of the therapy sessions. With lacking parental involvement, it would make it almost impossible for a clinician to be able to develop a therapeutic relationship with a child reaping positive change of any kind ("Touch therapy with," 2014). Instruments See Attachment

New Product Launch Marketing Plan Essay

This paper will discuss the details market profiles, key buying behaviors, and decision motivators for the consumers and organization target markets. It will explain how to manage each stage of the PLC and tactical plans for the Four P’s at each stage. It will also provide the product mix for the new offering of features and benefits, branding, and any other products in line; it will show the differentiating characteristics from competitive or substitute products, packaging and labeling, and warranties and guarantees. In addition, this paper will discuss how the company will create a new positioning statement for the product, and provide justification for the new positioning strategy. Product Mix It is believed that many users will eventually start to look for alternate products created by Q-saver. For this reason after the first year of successful operation Q-saver will provide a mix of products for consumers. Q-saver will develop handheld scanners called Q-saver light to be attached to key-chains that will serve the same purpose of the smartphone app, but available for those who were not interested in using their smart phones. Another product to be offered is a digital website subscription called Q-saver virtual that will be available for consumers to see the breakdown process of discounts for products offered amongst retailer to retailer. The benefits of the two new product offerings are convenience, variety, and knowledge to support the mission to provide consumers with the greatest set of discounts by using Q-saver for their shopping needs. The Q-saver branding label will be adhered to the new products Q-saver light and Q-saver virtual. The addition of the new products w ill provide a convenient unique approach to saving. Differentiating the characteristics of the Q-saver  features the company will make surveys of recent buyers to analyze the consumer value set against the company cost for the different features. Q-saver will consider how many people want the feature, and how long it would take to introduce it and whether the competitor could certainly copy it. The company will also consider in terms of bundles or packages, as well as consider feature customization at a higher price or a many standard packages at a lower price (Kotler, & Keller (2012). Q-saver will differentiate products by customizing them. As Q-saver continue to increase it will gather information of each individual consumer and the business partner (retailers, suppliers, and distributors) the factories are designed for more flexibility. Q-saver will meet each customer requirement as individuality designed service, products, and communication (Kotler, & Keller, (2012). Q-saver packing the design for the consumer of the product. It will be attractive the consumer will want to displayed it at their home. Q-saver is a unique packaging and has a resealed spout that will bring big benefits to the consumer and profit Q-saver. Q-saver package will: Recognize the brand Q-saver Transport expressive and influential data Enable Q-saver shipping and security Storage Benefit Q-saver consumption Q-saver will choose color of packaging that carries meanings and the culture and market segments. Q-saver labeling will identify it brand and promote the product through it attractive graphics. Q-saver responsible for having a warranty statement for returned to the manufacturer or designed repair place for all repairs, replacement, or returns. Q-saver guarantees reducible risk. Q-saver has the highest quality and it service performance are dependable. The guarantee will assure the buyer of the quality and stability of Q-saver product (Kotler & Keller, (2012). Positioning For the diversified shopper, short on time, Q-saver provides the knowledge of savings and variety with the convenience of different stores and products. Q-saver is not affiliated with just one or two stores. The smartphone and  tablet app provides access to a wide variety of stores and products, providing access to current sales promotions, brand coupons, availability and so on. The objective is to position the app in the coupon app industry to best serve the market segments concerned with time management, savings and variety. Q-saver differentiates itself from competitors by providing access to a wide array of different stores’ information as well as sales promotions, providing guidance to what promotions can align with what manufacturer coupons to get the best savings, providing services such as scan and compare, the comparison of savings with consideration of other stores and so on. The application will constantly be evolving to better serve the well-informed shopper; requesting feedback and most importantly, acting on the feedback to provide the best product possible. In conclusion, the product will give details of target market profiles, behaviors and motivators’ for the organizational target market. It will explain the tactical plans of four P’s at each stage, and explain the features benefits and all differentiating characteristics for the competitive or substitute products, packaging and labeling, and warranties and guarantees. Also, create a positioning statement, which will provide justification for new positioning strategy. Reference Choosing a Product or Service to Sell. (2014). Retrieved from: http://www.entrepreneur.com/article/78778 Kotler, P., & Keller, K.L., (2012). Marketing management(14th.ed) Upper Saddle River. NJ: Pearson Prentice Hall What is competition in marketing?- definition, types & quiz (2003-2014). Retrieved June 22, 2014, from http://education-portal.com/academ/lesson/what-is-competition-in-marketing- defintion-types-quiz.html#lesson What is an offering in marketing. (2014). Retrieved from: http://smallbusiness.chron.com/offering-marketing-24088.html Reference Kotler, P., & Keller, K. (2011). Marketing management: analysis, planning, and control(14th ed.). Englewood Cliffs, N.J.: Prentice-Hall.

The Function of Different Settings in A Dolls House and...

The Function of Different Settings in A Dolls House and Twelfth Night The setting comparison and deliberation in this essay is between Henric Ibsens A Dolls House and William Shakespeares Twelfth Night. A Dolls House deals with the social life and duty, the womans proper place and role within the family and the society. Twelfth Night is about illusion, deception, disguises, madness, and the extraordinary things that love will cause us to do and to see. The plot of the Twelfth Night takes place in Illyria, the unreal, fairy-land, the land of illusions and dreams. The beauty and the lighthearted atmosphere of Illyria influence the characters of the play. Orsino, Duke of Illyria, doesnt care about his†¦show more content†¦Only at the end of the third act the noticeable change in Noras behavior shows us the emancipation of women in the modern period, the change in their status and rights in the society. In both plays music is very important. Listening to the songs, Orsino enjoys the situation of being in love with Olivia. He doesnt realize that he is in love with love and not with her. This is why he needs music. It sustains and calms down his stormy emotions, helps him to overcome the pain of unshared love. In A Dolls house the Tarantella symbolizes Noras agitation at her struggle with Krogstad and with her husband. The piano with its black and white keys symbolizes the contrasts in the play (between Nora and Mrs. Linden, Nora and Torvald, changing in Noras behavior between the first and the third acts). Songs, tarantella, piano and the bell rings -- all together are designated to brake tension throughout the play. The doors are also the very important part of the setting in A Dolls House. They make an illusion of the more rooms in the house and give the ides of the positive and negative issues in the play. Nora enters and exits through the same door. This is a foreshadowing to the end of the third act, where she exits from the house and Torvalds life through the same door she has entered them before. When she goes to the door of Torvalds study and listens, it points to the gap in their relationship and to the lack