John Locke, Adam Smith, And Edmund Burke - 1922 Words

Jessica Morales Posc005W February 4, 2016 Section 22 John Locke, Adam Smith, and Edmund Burke have several values that are illustrated by today’s society. One of these values would be conservatism. It is true that we have changed today’s society, however; have we quickly changed these values or have we slowly taken our time to introduce them? Property is another value that illustrates today’s society. We need a state in order to own property. There is no other form of regulation that will tell us who has the rights to certain properties. Lastly, and most importantly, freedom is a value that has been illustrated in the United States in several different ways. Street light tickets are an example of theses certain values and what comes with them. Conservatism is a term that means no change; you conserve what you have. Edmund Burke would agree that street light tickets are not suitable. This change disrupts the economy and causes further problems with society. In today’s society, people are starting to get tickets for crossing a red light. A camera, at the intersection of streets, produces these tickets. Though there have been cameras for a while, they are starting to enforce them more each and every day. My beliefs are those similar to Burke’s. This is not okay because it is an invasion of privacy. Burke believes that radical change is immoral. You cannot simply change something without facing any consequences. Why would I pay taxes, which pay for cameras,Show MoreRelatedClassical Liberalism vs Classical Conservatism2089 Words   |  9 Pagesreligion, speech, press, assembly, and free markets.† (Hudelson, 1999) These two ideas have shaped our philosophies and parties for centuries to come. These philosophies were made possible by many bright men of the time like Edmund Burke, John Adams, John Locke and Adam Smith. Classical conservatism or traditional conservatism, Burkean conservatism, and Toryism, is a party that has re-expressed their convections to fit the time. (Frohnen, Beer, and Nelson, 2006) In classical conservatism, manyRead More Classical Liberalism VS Classical Conservatism Essay2055 Words   |  9 Pagesreligion, speech, press, assembly, and free markets.† (Hudelson, 1999) These two ideas have shaped our philosophies and parties for centuries to come. These philosophies were made possible by many bright men of the time like Edmund Burke, John Adams, John Locke and Adam Smith. Classical conservatism or traditional conservatism, Burkean conservatism, and Toryism, is a party that has re-expressed their convections to fit the time. (Frohnen, Beer, and Nelson, 2006) In classicalRead MoreThe French Revolution And The Enlightenment1601 Words   |  7 Pagescrucial to the progress of the enlightenment. Thinkers such as Immanuel Kant, Jean-Jacques Rousseau, John Locke, and Adam Smith were prominent figures of the enlightenment. They questioned religion, promoted secularism, and freedom. Most believed that the government was to be an extension of the people and should not be totalitarian. Locke and Rousseau were focused on protecting the people’s rights. Adam Smith focused on the economic aspects and promoted a free economy without restrictions from the allRead MoreThe Intellectual Tradition Of Political Economy1692 Words   |  7 Pagesliberal political economy. The common principle of classical liberalism is that the greatest possible number of people should have the greatest possible benefits in the direction taken by their lives. In its quintessential form as conceptualized by John Locke, classical liberalism is hence committed to both equality and liberty. With regards to liberty, classical liberalists want for the individual what Thomas Jefferson fought for the United States , independence. Equality is hence a core principleRead MoreThe Theory Of Government, Science And The Nature Of Human Beings1466 Words   |  6 PagesThomas Hobbes, Baruch Spinoza, Francis Bacon, John Locke, Jean-Jaques Rousseau and Francis Hutcheson are few of the many Enlightenment thinkers that used reason to challenge the structure of government, science and the nature of human beings. For example, Hobbes believed that man was born evil and shared in Aristotle’s belief that government was essentially the preservation of order against man’s instinc t for selfishness and violence. In contrast, John Locke believed that each man was born with a ‘blankRead Morehistory of philosophy5031 Words   |  21 Pagesreality. Therefore, God exists. This argument has been used in different forms by philosophers from Descartes forward. In addition to St. Thomas Aquinas, St. Augustine and St. Anselm, other important names from the medieval period include  Blessed John Duns Scotus,  St. Bonaventure,  Anicius Manlius Severinus Boà «thius, and  Pierre Abà ©lard. The definition of the word philosophy in English has changed over the centuries. In medieval times, any research outside the fields oftheology  or  medicine  wasRead MoreLiberal Perspective of a State7979 Words   |  32 Pagesof Enlightenment, rejecting several foundational assumptions that dominated most of the earlier theories of government, such as hereditary status, established religion, absolute monarchy, and the Divine Right of Kings. The early liberal thinker John Locke, who is often credited for the creation of liberalism as a distinct philosophical tradition, employed the concept of natural rights and the social contract to argue that the rule of law should replace absolutism in government, that rulers were subjectRead MoreBranches of Philosophy8343 Words   |  34 Pagesphilosophy [pic] [pic] John Locke Modern philosophy begins with the revival of skepticism and the rise of modern physical science. Philosophy in this period centers on the relation between experience and reality, the ultimate origin of knowledge, the nature of the mind and its relation to the body, the implications of the new natural sciences for free will and God, and the emergence of a secular basis for moral and political philosophy. Canonical figures include Hobbes, Descartes, Locke, Spinoza, Leibniz

Is Autism Spectrum Disorder Essay - 1335 Words

What is autism spectrum disorder? Autism spectrum disorder is a diagnosis which describes a group of individuals with a common cluster of symptoms, though it is important to note that the degree of severity of these symptoms vary greatly amongst individuals (Speaks, 2011). Autism is a lifelong developmental disorder affecting our communication, our interactions, and processing abilities which co-occur with motor coordination, attention, and physical health conditions which include but are not limited to irregular sleep behaviours and gastrointestinal disturbances (Speaks, 2011). Other traits which are inked to ASD include - Repetitive activities - Resistance to change in daily routines - Unusual responses to sensory stimuli such as touch - Inability to interact with the environment appropriately. Some individuals with ASD appear to excel in areas of visual skills, arithmetic, art, and music. Many believe that it is a disorder caused by genetic default, but in reality, its cause is mainly unknown. Just as we are able to conclude that there is no single type of autism, we are able to conclude that there is no single cause of autism, but the result of ASD is rather multifactorial i.e. a result of both environmental factors and autism risk genes which both influence neural development. Despite the many theories on the causes of ASD, it is generally accepted that those suffering with the disorder suffer from a disorder of neural development occurring in the very early stages ofShow MoreRelatedAutism Spectrum Disorder And Autism Essay1393 Words   |  6 PagesAutism is a neurological disorder with many forms and severities, better known as autism spectrum disorder, that begins early in childhood and lasts throughout the individual’s life. Autism spectrum disorder is defined as developmental disabilities that can cause significant social, communication, and behavioral challenges (CDC). Previously, autism was recognized in distinct groups and types. Now, autism is referred to as a spectrum because there is an overlap among all the different forms of autismRead MoreAutism Spectrum Disorder ( Autism )900 Words   |  4 Pages Autism Disorder Mohamed Ayoub Community College of Aurora Autism Spectrum Disorder We are living in a time where a remarkable and advanced medical treatments exist. However, scientists and medical professionals are constantly faced with diseases and disorders that contemporary humanity needs a cure and treatment. Amongst the disorders that affecting our young people today is the autism spectrum disorder. It is a â€Å"complex and life long behavioral disorder marked by impairment in socialRead MoreAutism Spectrum Disorder ( Autism ) Essay1396 Words   |  6 PagesThe disorders listed under the umbrella of Autism Spectrum Disorder, were once listed as autism and subtypes of autism. This was changed in 2013 when The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) was published, and they were listed under the umbrella of Autism Spectrum Disorder. There are five disorders listed under the umbrella of Autism Spectrum Disorder: Autistic Disorder, Asperger’s Syndrome, Childhood Disintegrative Disorder, Rett Syndrome and Pervasive Dev elopmentalRead MoreAutism Spectrum Disorder ( Autism ) Essay1739 Words   |  7 Pagesconventions (Lai, 2014). These two observations would be the beginning of a disorder known as the Autism Spectrum Disorder. This developmental disorder, characterized by a range of deficits in different areas, is increasingly prevalent in society and in the media. While the exact numbers vary from country to country, according to Lai (2014), 1% of the general population is diagnosed with an Autism Spectrum Disorder. The range of this disorder has a detrimental effect on society, specifically the educationalRead MoreAutism Spectrum Disorder And Autism2594 Words   |  11 PagesAutism Spectrum Disorder is defined as a neurodevelopmental condition that is classified by a triad of impairments. These impairments are in communication, socialization, and repetitive patterns of behavior (Wolf, 2004). Autism affects about 1% of the current population (Shishido, Branko, Norio, 2013). This disorder seems l ike a common diagnosis in the current day in age but the disorder was only discovered around sixty years ago. The two founding researchers that discovered the disorder are KannerRead MoreAutism Spectrum Disorder And Autism1827 Words   |  8 Pagesin the United States had one or more developmental disorders in 2006-2008. This can affect the person mentally, physically, emotionally, or a combination of the three. These range from something as simple as a speech delay to something as complex as cerebral palsy. One of these developmental disorders is autism. Autism can cause social, communication, and behavioral challenges. One in 68 children are affected by autism. Autism Spectrum Disorder (ASD) is 4.5 times more common in boys. One in forty-twoRead MoreAutism Spectrum Disorder1493 Words   |  6 PagesAutistic spectrum disorder is caused not only by environmental factors but also by genetic inheritability. This disorder can range from mild to severe and is shown in many different f orms. Symptoms include speech impairment, disorganized language; sensory processing disorder which causes absent responses, sleep disorders, depression and anxiety, obsessive compulsive disorder and many more. Diagnosing autism does not include medical test but instead a team of physiologists and physicians observe theRead MoreAutism Spectrum Disorder And Autism1590 Words   |  7 PagesAutism Spectrum Disorder, more commonly known as Autism, is a prevalent developmental disorder that has grown to a major extent recently in the United States, UK, Japan and Europe as well (Landrigan 219). According to an article written in 2014 by Chris Bateman, 1 in every 50 children aged 6-17 in the United States are diagnosed with autism, compared to decades ago where it wasn’t nearly anywhere close to that (Bateman 1). As autism continues to grow, it is important that we learn about the differentRead MoreAutism Spectrum Disorder ( Autism ) Essay1858 Words   |  8 Pages Autism Spectrum Disorder affects various aspects of an autistic child’s life. Many children are diagnosed with autism spectrum disorder every year, while others go undiagnosed for an extended time, or even for their whole life. A child exhibiting delays in language benchmarks or showing little interest in the surroundings should be examined for possible ASD. Language is often impaired and although the level of impairment can range from severe too unnoticeable in each child, a child is likely toRead MoreThe Spectrum Of Autism Spectrum Disorders Essay1963 Words   |  8 PagesThe spectrum for autism disorders can be depicted as a scale, with end points ranging from mild to severe. Picturing an umbrella shaped scale that portrays the severity of symptoms, whether their deficits are cognitive, social, or of language; individuals diagnosed with autism or similar disorders fall into a comprehensive term of autism spectrum disorders (Hallahan et. al, 2015, p. 211). The term autism spectrum disorders derive various definitions depending on the type of professional is questioned

Concept of the Strategy Has Been Derived †Myassignmenthelp.Com

Question: How to Concept of Competitive Strategy has Derived? Answer: Introducation: Strategies can be defined as the desired tactics used by many of the well known firms in order to enhance their work processes (Cummings Worley, 2014). From the art of the war of the SUNTZU, the concept of the strategy has been derived. As per this art of the war if the battle is to win then it is said that the strategy was good and if the battle is lost then it is said that the strategy was not good. The strategy is mainly the methods or the plan that an organization implies to get a better future of the organization. For example, the strategy helps to solve any issues that are arising in the organization and also it help to achieve the goal of the organization. The strategy has been derived from the Greek word, where the STRATOS mean the army and the ago mean leading or guiding the group. So it can be said that strategy means to lead or to guide the group of people or organization with a plan and new ideas. For an organization, a strategy is a plan that helps the member of the org anization to move forward and to achieve the goal of the organization. It is very helpful for the managers of the firm to make a plan for the requirements of the organization and also to meet the requirements of the customers. The most common strategy of the organizations is to reduce their product cost for the customers (Simons, 2013). If the organization is able to establish a good strategy then that organization is liable to achieve profit in the future. For the organization, the strategic plan took almost a year to complete the plan of action. Now it is known what is strategy and this helps the researcher to understand the strategy plan of the organization Allergen Australia Ptv. Ltd. in a better way. This company is the pharmaceutical company of Australia and they use different and new strategies to increase the sale of the organization (Ward Peppard, 2016). Their one of the strategy is that the people for the marketing will visit the local physicians and tell them about the quality of the products; actually, their strategy is to build the brand awareness among the local doctors. The representative of the organization visited the local healthcare systems so that they can sell the products of the organization. Their one more strategy is to provide a discount on the products so that it becomes very easy to sell the products. They implemented the strategy of selling their products by online and this helps them to gain more profit by selling through online. They have much more strategies like this that help them to grow in t he future and also to earn the profit for the organization. Actually, the main strategy of the organization is to give the best quality of medicines to the customers and also to take the most of the shares of different companies to grow in the market. Business Innovation Model Business innovation model is the concept that is used to support the financial system of the organization with innovative concepts to bring out the final result of the organization (Massa Tucci, 2013). The business innovation model main objective is to be more conscious about the revenue of the organizational sources by improving quality and value of the services that is provided by the organization to their customers. The business model with the innovation is helpful for the organization to maintain their position in the market. In the recent time innovation has become the important aspect for the organization to maintain their position in the market. With the help of the innovation, any organization is able to decrease the production cost and also they are able to maintain their market position by maintaining their customers (Gobble, 2014). For example, the company Apple Inc. is the company who is known for creating innovative ideas and designs for their products and for this reas on they have a large number of customers and also their market position is very good. With the help of the innovation, any organization can increase the stock of the company and also it helps the organization to maintain the price of the product. Dell also uses the innovative business model to increase their rate of sale and also to increase the customers for their products. For the organization, it is very important to know the use of the innovative idea and an innovative idea has to be unique to apply in the organization. If the idea is unique and new then only it will work for the organization (Tucci Massa, 2013). The innovative ideas of the organization have to be of the best quality and also have very good technology knowledge so that it can be helpful for the organization to achieve success in the market. The innovative ideas of the organization have to be in such a way that the organization stays away from the fringe of the market. The innovative idea or the innovation busin ess model is very much important for the organizations to get the establishment in the market with new ideas and also it helps the organization to maintain the customers. The organizations now use many innovative ideas to hold their market position and also to increase their number of customers (Amit Zott, 2012). In Australia, the agriculture company Grain Crop Ltd. implements new innovative ideas to provide the best quality of products and services to their customers. The company had started their online sale and also they have the innovative idea for the customers that if they are not satisfied with the products then can return the product and the company will exchange the products for the customers. The innovative ideas of the organization are that they are the first one to think about that idea and for the company; the return of the product is very innovative for the customers and also for the company. The innovation business model helps the organization to create powerful brand image among the market and the customers. References Amit, R. and Zott, C., 2012. Creating value through business model innovation.MIT Sloan Management Review,53(3), p.41. Cummings, T.G., and Worley, C.G., 2014.Organization development and change. Cengage learning. Davenport, T.H., 2013.Process innovation: reengineering work through information technology. Harvard Business Press. Gobble, M.M., 2014. Business model innovation.Research-Technology Management,57(6), pp.58-61. Massa, L. and Tucci, C.L., 2013. Business model innovation.The Oxford Handbook of Innovation Management, pp.420-441. Simons, R., 2013.Levers of control: how managers use innovative control systems to drive strategic renewal. Harvard Business Press. Tucci, C. and Massa, L., 2013.Business model innovation(No. EPFL-CHAPTER-187818). Oxford University Press. Ward, J. and Peppard, J., 2016.The Strategic Management of Information Systems: Building a Digital Strategy. John Wiley Sons.

Cell Phone vs Regular Phones free essay sample

AC110685 EN120 English Composition Assignment 02 Beginning English Writing August 5, 2011 Cell Phones vs. Regular Phones Although land lines and cell phones serve the same main purpose of making and receiving calls they have a large variety of differences. Regular home phones are limited to the perimeter of the house while cell phones have the mobility to be taken and used anywhere. In case of an emergency, it is said the home phones are much safer since the cell phones rely on signals from antennas and depending on your location you may not be able to get a signal to make a call. Home phones have limited features such as call forwarding, caller id, voicemail, and long distance. On the other hand, cell phones have a wide variety of features including, but not limited to texting, internet, camera, email, application downloads, etc. These cell phones are also known as smart phones or PDAs. We will write a custom essay sample on Cell Phone vs Regular Phones or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Home phone lines are good for DSL internet connection, home security systems and faxes. Personally those are the only reasons why we have a landline in our home. Another difference between the two is pricing. Depending on the type of cell phone and the data package that your phone requires they can be more expensive, while your landline has one monthly bill. Cell phones are such in demand that the local phone companies are now offering cell phone service in addition to regular land lines. While you can record music to your home phones answering machine, a cell phone acts as a whole music system and can store hundreds to thousands of songs depending on the memory on the phone. Add a memory card to your cell phone, another plus that the home phone doesnt offer, and this adds even more memory to your phone where music, photos, applications, contacts and much more can be stored. Once the memory card is removed it can be used in another phone and so you wont lose your information. Cell phones are a good way to keep the kids busy while you are driving by downloading kid friendly games, videos and movies. In conclusion, Cell phones have more capabilities than regular phones and in the end it all boils down to your budget and what you can afford on a monthly basis. As for me, I am going to stick with my portable minicomputer!

The Blizzard free essay sample

Admissions Essay – Topic of Choice Snow was falling rapidly around us. We had nothing to eat, and no place to stay. Our whereabouts were unknown since the snow made it difficult to see the road. We had no idea what to expect, and night was approaching. It was January 1999, and the weather certainly reflected that. At the moment, my family was traveling from our old home in Rome, Georgia to our new home in Wisconsin. Before this, my brother and I had not yet experienced such weather. We only knew the sunny, pleasant weather of Georgia. The blizzard was a relatively new concept to us. A blizzard is exactly how I would describe our surroundings as we reached Indianapolis, Indiana. The weather was so horrible that the roads were impassible, making it impossible to drive onward towards Wisconsin. We had no idea what to do next. We needed to find a nearby hotel quickly, since everyone else also currently trapped in Indianapolis needed places to stay. We will write a custom essay sample on The Blizzard or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page As luck would have it, we found a Country Springs Inn with some room and we then proceeded in going to the local Meijer’s to buy some necessities, since no one knew how long the storm was expected to last. It turned out that this snowstorm was the worst to hit the Midwest since 1967. Our family began seriously debating the entire idea of moving, and everything that was familiar to us. Maybe we had made the wrong decision. The first eight years of my childhood were spent in Georgia. Rome is a lovely town of around 31,000 people who epitomize Southern charm and character. In Georgia, when it snowed (if ever), the entire city was shut down. Children of all ages would waste the day away making snow angels, building figures that somewhat resembled snowmen, and my personal favorite, snowballs. The one hat and pair of gloves that each family owned were fought over incessantly. It was a joyous day when it snowed in the South. After three long days, the roads were finally clear, and we could continue onward to our new home. Now, when I think of snow, I reflect on that winter back in 1999 and the doubts everyone had about our move. Despite all the adversity we experienced on that trip, we continued onward. Although I would enjoy experiencing the warmth of the weather and the people of Georgia again any day, I don’t regret my parent’s decision to move to Wisconsin. The North and the South don’t only differ in the aspect of weather, but also in the aspect of culture. After having experienced living my life in both the North and the South, I have learned to appreciate both places for their unique characteristics. I hope that this aspect makes me better prepared to attend your university and face all the world has to offer. The Blizzard free essay sample Thesummer before eighth grade my grandmother convinced me to enter acontest. The city of Hartford was looking for a name for its franchise,the first womens team in the American Basketball League (ABL). Thewinner would receive four season tickets and the honor of naming theteam. I jotted down a few names and submitted my entry. Laterthat summer I went to basketball camp and came home to an excitedhousehold congratulating me. Of all the entries, I was chosen to name apiece of womens sports history. The name picked from my listremained a secret until the press conference. I was told that theunveiling would be creative, and that I had to be there. When I arrivedat the Basketball Hall of Fame, there was a pile of artificial snow onthe floor. After a few announcements by the general manager, I picked upa shovel and, in front of six television cameras, shoveled off the snowto reveal the name: the New England Blizzard. We will write a custom essay sample on The Blizzard or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This connection toa professional sports team gave me a behind-the-scenes look at theplayers and crew. Having no experience with publicizing a sports team, Iwas amazed at the amount of work it took to launch the Blizzard. Themarketing and promotion departments were instrumental. Their assignmentsincluded television and radio commercials, billboards, exciting pre-gameand half-time shows, autograph sessions and team apparel. Reebok, theofficial sponsor, was responsible for designing T-shirts, sweatshirts,jerseys, hats, stuffed polar bears, keychains and more to be distributedthroughout New England and at ABL venues. The combination ofmedia and merchandising increased public awareness of the team and keptfans active and excited at games. The marketing and promotiondepartments hard work paid off, with the Blizzard leading the league inattendance its first season. The team was a huge success until the ABLwent bankrupt. I miss these experiences, but my two-yearstint with the team provided a lifetime of memories. Not only did Iwatch a great team play, I got to see the process behind it. After witnessing the development of the Blizzard, I knew I would studymarketing and promotions in college. My persistence, proficiency andcreativity are all required to succeed in promotions and marketing. Toparaphrase Graham Greene, the door opened and let my future in.

The Long Walk The True Story of a Trek to Freedom by Slavomir Rawicz essays

The Long Walk The True Story of a Trek to Freedom by Slavomir Rawicz essays Slavomir Rawicz was born in the city of Pinsk (today a city in White Russia) in 1915, to a Polish father and a Russian Mother. In Pinsk, The Rawicz family lived a relatively well-to-do life. They not only owned a successful estate business, but a beautiful house within Slavomir grew into a young man, and he entered the Wawelberea and Rotwanda Technical School in Warsaw. There, he studied for a certificate In 1937, Slavomir was called up for military service in the Polish Army. He served a long twelve months in the infantry training school in the city of Brest Lotvsk (also a city in modern-day White Russia). Soon, after the completion of his infantry training, he volunteered for additional training within the cavalry reconnaissance division of the Polish Army, where, in 1937, he graduated with the highest possible cadet rankthat of a Cavalry Brigade Officer. Immediately after his promotion, Slavomir returned to Warsaw, re- entered Wawelberea and Rotwanda, and graduated in 1938. Soon after, in 1939, and right before the beginning of the war, Slavomir married his first After the German Wermacht (German Armed Forces) invaded Poland on September 1, 1939, he was called up to duty, and was sent west with his cavalry brigade to the front lines. However, despite tremendous effort, after one month of fighting, Poland surrendered to the German forces. After the surrender, Rawicz decided to return to familiar surroundings in eastern Poland, and he returned to his house in Pinsk. Unfortunately, this move was a pivotal misstep, leading to the circumstances described in Seventeen days after the Germans began World War II, the city of Pinsk, as well as the entire area eastern Poland, were occupied by the On November 19th, 1939, soon after his return to his family home, and during his mother's "welcome home" party, Slav...

Service quality and cusomer satisfaction in academic libraries Essay

Service quality and cusomer satisfaction in academic libraries - Essay Example For this reason, there is an urgent need to identify and understand the factors that play a key role in bringing about improvement in a library’s quality of service and consumer satisfaction. Going through the process of development an academic library’s management should then start to â€Å"measure the gap between customers' expectation for excellence and their perception of actual service delivered by the library†. (Nitecki, 1997, p.1) this would be done by employing surveys that are structured using what is known as the â€Å"5 ServQUAL dimensions† (Nitecki, 1997, p.1), which are, â€Å"Tangibles, Reliability, Responsiveness, Assurance, Empathy†. (Nitecki, 1997, p.1), respectively these dimensions focus on, physical materials as well as the facilities of the library, the manner of delivering on commitments, the willingness to assist customers, the manner on how library employees make a guarantee of service that gets the by-in of the customers, an d finally how the library handles every customer concern with care. These dimensions would help in the creation of a structured survey. Another method of measurement that can be utilized to measure the expectation of a library’s clientele would be the LibQUAL method, this method however, directly attacks key areas of a library users â€Å"minimum, perceived, and desired levels of service quality† (Lock, Town, 2003, p.3) these key areas are, â€Å"Access to Information, Affect of Service, Library as Place, Personal Control†. (Lock, Town, 2003, p.3). Respectively these key areas focus on the â€Å"Human Dimension of Service Quality, Required information delivered in the format, location, and time of choice, How users want to interact with the modern library, As well as how adequate the facilities are within the library itself† (Cook, 2003, p.18-21). After Determining the expectations of the library’s customer a â€Å"service plan† (Hernon and Whitman, 2001, p.74) can now be formulated. Such a plan is geared towards the continuous fulfillment of the identified needs of their clientele as well as the further improvement of their operational procedures. There are several steps into the creation of a service plan these are: â€Å"establishing goals and objectives, taking control, setting expectations, defining the relationship, empower employees, asking for feedback, respond to customers† (Hernon and Whitman, 2001, p.91). After having identified the needs of their clientele as well as the points for improvement with respect to operational procedures, Goals can now be formed. In this formation process an organization has to make sure that the goals it sets are measurable. Thus it is worth noting that in the process of forming these goals one would be able to point out the feasible and the non feasible goals. Take for example goals set by an environmental protection agency, â€Å"instead of insisting on the costly atta inment of zero pollution instead it had formulated compliance regulations based on acceptable thresholds of tolerance such as pollutant levels not exceeding so many parts per billion† (Hernon and Whitman, 2001, p.75). While it is possible that the maximum potential for attaining consumer satisfaction may not be achieved due to the possibility that some of the needs of library goers might be deemed as a basis for a non feasible and measurable goals, for example â€Å"

3M COMPANY Coursework Example | Topics and Well Written Essays - 1250 words

3M COMPANY - Coursework Example A unique accounting standard is used across the world to deliver a unique and global standard high quality accounting and reporting of financial statements. The main purpose is to convey the economic condition of an organisation in the most fair and unbiased manner. The shareholders would make use of such information to make decision whether to invest in a company or not. Evaluation of the purpose and context of International Financial Reporting Standards The International Financial Reporting Standards Foundation (IFRS) is an autonomous, non –profit organisation that works for the interest of the public. It is devised as a universal global language that is used for business dealings so that the accounts of a company are comprehendible and comparable across boundaries of nations and continents. The main purpose of this accounting standard is to overcome the cross country barriers in today’s time when many companies have their operations overseas and hence have to account for their businesses in different business languages (Bragg, 2010, p.172). The European Union was the first to abide by the IFRS. However, it was later adopted by the other countries across the globe considering the benefits it provided. Prior to the implementation of the IFRS, the International Accounting Standards was used which operated between the years 1973 and 2001 and was controlled by International Accounting Standards Committee (IASC). The prime objectives of the IFRS include: Development of a distinct set of premium, comprehendible, imposable and internationally accepted IFRS through its regulatory and supervisory body. Promotion of such standards and ensuring that it is properly implemented. Providing with assistance to the developing countries in their financial reporting needs. Promotion and adoption of an improved IFRS through the union of IFRS and the National Accounting standards. The IFRS is used across the world by the different companies. Regulatory bodies, analy sts and accounting professionals with an aim to reduce costs for comparing financial statements that otherwise would have arisen due to use of various accounting standards. Most of the MNC’s have cross country operations and they would benefit most from this IFRS as it is a unique standard of accounting. However it had been argued by several experts that the IFRS may not provide with a fair valuation of the companies residing in different countries because the local laws of countries may vary and thus losses or profit may not be accounted for in a proper manner (Kirk, 2006. p.306). The foundation ensures accountability to the public through the pathway of keeping their work transparent and consulting with any party who is interested in this process of setting a standard. They also link to the public in a formal way. There is a monitoring board that is linked to the public for all their accounting questions. The trusties review the constitution once in every five years. The pu blic can also access their proposals through their website and provide recommendations. All their meetings are open to the public and the notes are also disclosed to the public. 3M communicates with its shareholders and sends out the detailed financial performance in the Annual General Meeting through the Publication of the annual report (Needles, 2013, p.714). The main objective of 3M is to impart an unbiased awareness among the investors of the company and encouraging them to hold on with such investments. The company is accountable to the shareholders because they are the ultimate owners of the company. There is a problem with disclosing all the information in

What skills of a leader does she possess Essay Example | Topics and Well Written Essays - 500 words

What skills of a leader does she possess - Essay Example According to Gallo, Mayer is an apt communicator who has a record of moving crowds with her strong oratory skills and presentation prowess. In her speeches, Gallo notes, Mayer tells stories and complements them with pictures. According to Gallo (2012), Mayer dedicates part of her time to employees in the office. Through this method, she would ensure that the employees felt close to the management and therefore more motivated. She makes employees feel the meaning in the work process. Gallo states that the course of the interview proved to him that Mayer was a very committed person to her work as Google vice president. Other sources indicate that Mayer’s commitment to employees surpasses many people. She is known to spend a lot of time travelling worldwide to meet various teams. She is known to trust in team building using a face to face approach. Mayer advocates for simple straight forward approach to solution designs. In this regard, she calls for solutions such as apps to be designed with users in mind. Using this style, Mayer has been accorded great respect by many users who admire her simplicity approach. Marissa Mayer is a person focused on mobile and design and prioritizing of the same. Mayer is known to be committed to this vision and usually reciprocates it in her seminars. By publicly stating her vision and keeping clearly focused on it, through the various referrals she makes to it, Mayer shows great leadership skills on commitment towards what one believes in. she exemplifies how a leader should lead others in focusing on their goals. In her leadership roles at the organizational level, Mayer has been known to allow employees to practice their skills at their best. This is a method that brings many employees associated to her line of command able to perform a lot. She does not believe in putting down a set of guidelines to be followed by the employees but lets the employees’ practice what is expected of them. The noted cases are

Causes of Cardiovascular Disease | Literature Review

Causes of Cardiovascular Disease | Literature Review 2 Abstract 3 Introduction 3.1 Cardiovascular Disease Cardiovascular disease (CVD) is the broad class of diseases that involves the heart or/and blood vessels. CVD includes atherosclerosis, heart valve disease, arrhythmia, heart failure, hypertension, endocarditis, diseases of the aorta, disorders of the peripheral vascular system, and congenital heart disease [1]. However, atherosclerosis accounts for the major part of CVD (up to xx%), and sometimes CVD is misleading used as a synonym for atherosclerosis [REF]. Because atherosclerosis is the underlying disease of several CVD, part of patients, where one diagnosis of CVD became manifest, may present with further co-morbidities, especially other diagnosis of CVD are common. However, the portion of patients with co-morbidities is depending on the baseline disease [2-4]. For example 40-60% of patients with Peripheral Arterial Disease (PAD) also have coronary artery disease (CAD) and cerebral artery disease, but only 10-30% of patients with CAD have also PAD (Figure 1) [2, 4]. Further, the severity of cardiovascular co-morbidities correlates well with each other[5-7]. CVD is today responsible for ca. 30% of all deaths worldwide [8], while heart disease and stroke are the leading causes of mortality and disability in developed countries [9]. Although the mortality rates of CVD has a considerable variation across countries (xx% in xx to xx% in xx) [10], a common trend of increasing rates has been observed worldwide. Before 1900, infectious diseases and malnutrition were the most common causes of death throughout the world, and CVD was responsible for The economic burden and the public health costs are mainly driven by CVD. In terms of combined morbidity and mortality, 148 million Disability-Adjusted Life-Years (DALYs) were lost worldwide (2002), which represents about 10% of all lost DALYs [REF]. In 2008, CVD costs about 192 billion Euros a year alone in the European Union, which results in a per capita cost of 391 Euros [13]. 3.1.1 Atherosclerosis Atherosclerosis is the most frequent and important pattern of Arteriosclerosis, other forms of Arteriosclerosis are Mà ¶nckeberg medial calcific sclerosis and Arteriolosclerosis, which vary in pathophysiological and clinical presentation [14]. As described above (3.1), atherosclerosis is the leading cause of death (up to 30%) in developed countries and represents the major portion of CVD. Atherosclerosis (literal origin from Greek: athero = â€Å"gruel or paste†; sclerosis = â€Å"hardness†) is defined as â€Å"thickening and loss of elasticity of arterial walls† and describes a process, where fatty substances, cholesterol, cellular waste products, calcium and fibrin building up in the inner lining of arteries [14]. These intimal lesions are called â€Å"atheromas†, â€Å"atheromatous† or â€Å"fibrofatty plaques†, which lead into an obstruction of vascular lumens and weakness the underlying media. Even within a given arterial bed, lesions or stenoses due to atherosclerosis tend to occur focally, typically in certain predisposed regions. 3.1.1.1 Pathogenesis of Atherosclerosis Due to overwhelming importance of atherosclerosis, enormous efforts have been spent to discover its cause over the last few decades. Today, the currently accepted concept, so called â€Å"the response to injury hypothesis†, considers atherosclerosis to be a chronic inflammatory response of the arterial wall initiated by injury to the endothelium [15]. Furthermore, lesion initiation and progression are sustained by interaction between lipoproteins, macrophages, T-lymphocytes, and the normal cellular constituents of the arterial wall. This process of developing atherosclerosis, which typically lasts over a period of many years usually many decades, can be divided into several consecutive steps, as illustrated in Figure 2 [REF]. Parallel, a morphological change is observed within the artery wall, where fatty streak represents the initial morphological lesion, even so the pathogenesis has started quite earlier with a chronic endothelial injury [REF]. Figure 2: Illustration of the Pathogenesis and Morphological Development of Atherosclerosis. SMC: Smooth muscle Cell; 6 ÃŽ ¼m thick histology slices of coronary arteries stained with Movats pentachrome. A: pathological intimal thickening with a â€Å"fatty streak†; B: pathological intimal thickening with a macrophage infiltration; C: early fibroatheroma with neoangiogenesis; D: fibroatheroma with thin fibrous cap and a healed rupture; E; late fibroatheroma with a sheet calcification. * demarks necrotic scores. Histology performed by CVPath Laboratory, Maryland, MD. The below described steps of the pathogenesis of atherosclerosis shouldnt been seen as a separated processes. They are interconnected and occur parallel. Further, several mechanism of vicious circles are described [REF]. However, the stratification into the flowing six steps helps to understand the complex pathogenesis and represents the current understanding: (1) Chronic Endothelia Injury As the earliest step in the pathogenesis of atherosclerosis, endothelial activation and chronic injury, also known as endothelial dysfunction, have been described [16]. The following factors contributed in different extent to endothelial dysfunction and are partly known as traditional risk factors for atherosclerosis [17]: advancing age, dyslipidemia, hypertension, increased levels angiotensin, insulin resistance and diabetes, smoking, estrogen deficiency. Several biochemical pathways have been described for those factors increasing the endothelial dysfunction. Other factors like hyperhomocysteinemia, possible infection and especially low or oscillatory shear stress are still discussed whether they significantly contribute to endothelial dysfunction [18-22]. The phenotypic features of endothelial dysfunction are described as the reduced vasodilator and increased vasoconstrictor capacity, an enhanced leukocyte adhesion, an increase of pro-thrombotic and decrease of fibrinolytic activi ty, and an increase in growth-promoting. (2) Accommodation and Oxidation of Lipoproteins In addition and due the endothelial dysfunction lipoproteins, especially low density lipoprotein (LDL), sequestered from plasma in the extracellular space of the arterial intima. Beside the extent of endothelial dysfunction, this process is depending on the concentration of LDL in the blood circulation [23]. Even so several mechanisms have been proposed for transport of LDL into the arterial intima including vesicular ferrying through endothelial cells, passive sieving through endothelial-cell pores, passage between cells, its not finally understand. However, strong evidence exist, that the accommodation of LDL in the arterial intima is not only a passive effect by a â€Å"leaking† vascular endothelium [REF]. Part of the lipoproteins that have entered the arterial wall stay there and are modified subsequently. Especially the modification of the lipoproteins has a trapping function for die selbigen [24]. The most common modification is the oxidation of lipoproteins, giving rise to hydroperoxides, lysophospholipids, oxysterols, and aldehydic breakdown products of fatty acids and phospholipids. But further modification like fusion of lipoproteins, proteolysis, lipolytic degradation and glycation are well known [25]. Such modified lipoproteins or particles of the modification process have inflammatory potential and trigger a local inflammatory response responsible for signaling subsequent steps in the atherogenesis. It includes a further increased endothelial dysfunction, which may cause a vicious circle of LDL accumulation, and activation of various cell types [24, 26, 27]. (3) Migration of Monocytes and Transformation into Macrophages/Foam Cells More important, the inflammatory response induces migration of leukocytes such as monocytes or lymphocytes into the lesion. Leukocytes are attracted by chemoattractant factors including modified lipoprotein particles themselves and chemoattractant cytokines depicted by the smaller spheres, such as the chemokine monocyte chemoattractant protein-1, interleukin 1 (IL-1) or tumor necrosis factor alpha (TNF-ÃŽ ±) produced by vascular wall cells in response to the inflammatory process [REF]. The activated arterial endothelial cells express a number of adhesion molecules and receptors on their surface, which participate in the recruitment of leukocytes from the blood to the nascent lesion [REF]. Macrophages are a key player in atherogenesis [27]. They develop from recruited monocytes, which migrated as described above into the lesion. In the mediator stimulated process of maturation, those macrophages become lipid-laden foam cells by uptake of lipoprotein particles through receptor-mediated endocytosis [REF]. The accumulation of lipid in the macrophages results in the apoptosis and necrosis, which lead first to a boosted expression and secretion of inflammatory cytokines and second to a release of their lipid excess into a necrotic lipid-core [REF]. Macrophages further produce enzymes, such as metalloproteinases, that degrade the extracellular matrix and lead to instability of plaques [REF]. (4) Adhesion of platelets and Release of SMC activating factors The inflammatory process, especially triggered by the necrosis of the foam cells, microscopic breaches in endothelial integrity may occur. Platelets adhere to such sites of limited endothelial denudation owing to exposure of the thrombogenic extracellular matrix of the underlying basement membrane and form microthrombi. Although most of the arterial mural microthrombi resolve without any clinical manifestation, they lead indirectly to lesion progression by pro-fibrotic stimulation [REF]. The platelets, activated by adhesion, release numerous factors that promote a fibrotic response, including platelet-derived growth factor (PDGF), fibroblast growth factor (FGF), insulin-like growth factor 1 (IGF-1), and transforming growth factor alpha (TGF-ÃŽ ±) [28-30]. Thrombin itself generates fibrin that has a pro-fibrotic stimulus [28]. (5) Migration and Proliferation of SMCs The pro-fibrotic response includes first the migration of SMC from the media of the arterial wall, through the internal elastic membrane, and the accumulation within the expanding intima of the arterial wall. Second, stimulate the proliferation of SMC, which is responsible to form the bulk of the advanced lesion. Another part of the advanced lesions is an increased extracellular matrix. TGF-ÃŽ ± and other mediators stimulate the interstitial collagen production by SMC. These mediators may arise not only from neighboring endothelial cells or leukocytes (a paracrine pathway) but also from the same cell that responds to the factor (an autocrine pathway). Together, these alterations in smooth-muscle cells, signaled by these mediators acting at short distances, can accelerate transformation of the early lesion (fatty streak) into a more fibrous SMC and extracellular matrix-rich plaque. (6) Enhanced accumulation of lipids, collagen and proteoglycans The formation of a complex atherosclerotic lesion is characteristic by an extent remodeling process. Further foam cells within the expanding intimal lesion perish, while they phagocytose more and more lipids. The fibrotic cap between the so arisen lipid-rich necrotic core and the vascular lumen may vary in thickness and allows the classification of â€Å"thin cap fibroatheroma†, which correlates with a higher risk for acute luminal thrombosis [REF]. The production of extracellular matrix, as well plaque evolution and complication can be stimulated by diverse growth factors or cytokines like IL-1 or TNF-ÃŽ ±, and can be inhibited by other cytokines (e.g. interferon alpha (IFN-ÃŽ ±)) [REF]. As atherosclerotic plaques advance, they show intimal arterial calcification [REF]. The same proteins, which can be found in bone, are also localize in atherosclerotic lesions, e.g., osteocalcin, osteopontin, and bone morphogenetic proteins [31]. Both, passive and active models are discussed for the development calcification [32]. SMC can, promoted by several cytokines (e.g. transcription core binding factor ÃŽ ±1), acquire osteoblast-like characteristics and secrete bone matrix [33]. These examples illustrate how the pathogenesis of atherosclerosis involves a complex mix of mediators that in the balance determines the characteristics of particular lesions [REF]. 3.1.1.2 The Role of Inflammation The role of inflammation is central, while those inflammatory mechanisms mediate initiation, progression, and the complications of atherosclerotic lesions [26, 34]. Through the inflammatory process, arterial endothelial cells begin to express on their surface selective adhesion molecules that bind various classes of leukocytes, especially monocyte and T lymphocyte which are found in early human and experimental atheroma [REF]. After monocytes adhere to the endothelium, they can first migrate in the intima, largely stimulated by chemokines; and second transform into macrophages and avidly engulf lipoproteins, largely oxidized LDL [REF]. Although the phagocytosis of potentially harmful lipid particles by macrophages and subsequently the transformation into foam cells has an initially protective, this process involves further expression and secretion of inflammatory chemokines like Interleukin (IL)-1, Monocyte Chemotactic Protein (MCP)-1 or Tumor Necrosis Factor (TNF)-ÃŽ ±. Those enhanc e the inflammatory reaction and enable the further migration of leukocytes into the lesion [REF]. Macrophages also produce toxic oxygen species that cause additional oxidation of the LDL in the lesions, and they elaborate growth factors that may contribute to SMC proliferation [REF]. Similary, T lymphocytes (both CD4+ and CD8+) are also recruited to the intima by chemo-attractants. Cross-talk between macrophages and T cells induces a chronic inflammatory state regarding cellular and humoral immune activation characteristics. This state of a chronic inflammation leads also to the next observed steps in the development and progression of atherosclerosis. Thus, it stimulates the migration and proliferation of smooth muscle cells (SMC), as well the proliferation of vascular endothelial cells in the lesion. Through fibrogenic mediators, released from activated leukocytes and intrinsic arterial cells, the replication of SMCs is getting enhanced and contributes to elaboration by these cells of a dense extracellular matrix characteristic of the more advanced atherosclerotic lesion. 3.1.1.3 Vasa Vasorum and Neo-Angiogenesis The vasa vasorum of the aorta is as a plexus in the wall of artery of microvessels, which are functional endarteries [35, 36]. They either originate from major branches, originate from the main lumen of the aorta or drain in concomitant veins [37]. These vessels allow the humoral communication between intravascular lumen, vessel wall and adventitial layer of large arteries including oxygen and nutrients supply [REF]. Several studies demonstrated that hypoxia [38], cytokines (e.g. vascular endothelial growth factor) [39, 40], pro-angiogenic factors (e.g. hypertension or hypercholesterolemia) stimulate the growth of the vasa vasorum [41]. Those increased microvascular network may contribute to inflammation and lesion complications in several ways. First, the vasa vasorum provides an abundant surface area for leukocytes trafficking and may serve as the portal of entry and exit of white blood cells from the established atheroma. Microvessels in the plaques may also furnish foci for intraplaque hemorrhage. Like the neovessels in the diabetic retina, microvessels in the atheroma may be friable and prone to rupture and can produce focal hemorrhage. Such a vascular leak leads to thrombosis in situ and thrombin generation from prothrombin. In addition to its role in blood coagulation, thrombin can modulate many aspects of vascular cell function, as described above. Atherosclerotic plaques often contain fibrin and hemosiderin, an indication that episodes of intraplaque hemorrhage contribute to plaque complications. Multiple and often competing signals regulate these various cellular events. Increasingly, we appreciate links between atherogenic risk factors, inflammation, and the altered behavior of intrinsic vascular wall cells and infiltrating leukocytes that underlie the complex pathogenesis of these lesions. The present data indicate that vasa vasorum neoangiogenesis and atherosclerosis are seemingly inseparably linked, triggered and perpetuated by inflammatory reactions within the vascular wall. 3.1.1.4 Risk Factors for Development of Atherosclerosis Local shear stress In the coronary circulation, for example, the proximal left anterior descending coronary artery exhibits a particular predilection for developing atherosclerotic disease. Likewise, atherosclerosis preferentially affects the proximal portions of the renal arteries and, in the extracranial circulation to the brain, the carotid bifurcation. Indeed, atherosclerotic lesions often form at branching points of arteries, regions of disturbed blood flow. Age, Gender, HTN, HLP, DM, Smoking, Race/Ethnicity, 3.1.1.5 Atherosclerosis of the Aorta In the characteristic distribution of atherosclerotic plaques in humans the abdominal aorta (Fig. 11-8) is usually much more involved than the thoracic aorta, and lesions tend to be much more prominent around the origins (ostia) of major branches. In descending order (after the lower abdominal aorta), the most heavily involved vessels are the coronary arteries, the popliteal arteries, the internal carotid arteries, and the vessels of the circle of Willis. Vessels of the upper extremities are usually spared, as are the mesenteric and renal arteries, except at their ostia. Nevertheless, in an individual case, the severity of atherosclerosis in one artery does not predict the severity in another. In an individual, and indeed within a particular artery, lesions at various stages often coexist. 2009_Dijk_The natural history of aortic atherosclerosis_A systematic histopathological evaluation of the peri-renal region.pdf 3.1.2 Peripheral Arterial Disease Peripheral Arterial Disease (PAD) is caused by atherosclerosis and represents the most common cause of lower extremity ischemic syndromes in developed countries [42]. Symptoms of PAD are variable including pain, ache, hair loss, thickened nails, smooth and shiny skin, reduced skin temperature, cramp, muscle atrophy, or a sense of fatigue in the muscles. Because of the variability of symptoms, the diagnosis of PDA is frequently missed [43]. In addition, the major part of patients with PAD is asymptomatic [REF]. Beside these diagnostic challenges, PAD affects a large and increasing numbers of patients worldwide. Round 30 million people are diseased in worldwide, but of those only 10 million patients are presenting with symptoms [44]. Further, the prevalence is increasing with age [6, 45], while the prevalence is 10% at the age of 60 years [46]. Association to mortality!!! 3.1.2.1 Pathogenesis of Peripheral Artery Disease The leading cause of PAD is atherosclerosis, especially in older patients (>40 years) and at the lower extremities [42]. Other, but rare causes of PAD include embolism, vasculitis, fibromuscular dysplasia, entrapment, and trauma. Atherosclerotic lesions, which are segmental and cause stenosis, are usually localized to large and medium-sized vessels. The pathology of these lesions is based on atherosclerotic plaques development, as described above (xxx). The primary sites of involvement are the abdominal aorta and iliac arteries (30% of symptomatic patients), the femoral and popliteal arteries (80-90%), and the more distal arteries (40-50%) [REF]. Atherosclerotic lesions have been predominantly observed at arterial branch points. These may be explained by altered shear stress [REF]. However, the involvement of the distal and smaller arteries is more common in elderly individuals and patients with diabetes mellitus [REF]. 3.1.2.2 Risk Factors for Peripheral Arterial Disease While atherosclerosis is the major underlying condition of PAD, the risk factors for PAD are essentially the same as those for other form of atherosclerosis (like e.g. CAD), see Table 1 [47-50]. However, the risk factors smoking and diabetes may have even greater effect for PAD as compared for CAD [51]. Risk Factors Increased risk for PAD Hypercholesterolemia 1- to 2-fold (low) Homocysteinemia 1- to 3-fold (moderate) Hypertension 1- to 3-fold (moderate) Smoking (current and past) 2- to 4-fold (high) Diabetes mellitus 2- to 4-fold (high) Table 1: Risk Factors for Peripheral Arterial Disease 3.1.2.3 Clinical Presentation of Peripheral Artery Disease PAD affects more often the lower extremities (xx times more often than upper extremities) [REF]. The most common symptom of PAD is intermittent claudication, which is defined as presence of pain, ache, cramp, numbness, or a sense of fatigue in the muscles. Those symptoms occur during exercise and are relieved by rest, as result of the increased muscle ischemia during exercise caused by obstruction to arterial flow. Patients with PAD in the lower extremities resulting in ischemia may range in presentation from no symptoms to limb-threatening gangrene. Two major classifications based on the clinical presentations are established, the Fontaine and the Rutherford classification. While the more simple Fontaine classification consists of four stages (Table 2) [52], the Rutherford classification has four grades (0-III) and seven categories (0-6). Asymptomatic patients are classified into Rutherford category 0. Any patient with claudicants are stratified into Rutherford grade I and divided into three categories based on the severity of the symptoms. If patients have pain at rest, they belong to Rutherford grade II and category 4. Any patient with tissue loss are classified into Rutherford grade III and categories 5 and 6, based on the significance of the tissue loss [4]. These two clinical classifications can be translated into each other according to Table 2. Fontaine Classification Rutherford Classification Stage Clinical Grade Category Clinical I Asymptomatic 0 0 Asymptomatic IIa Mild claudication I 1 Mild claudication IIb Moderate to severe claudication I 2 Moderate claudication I 3 Severe claudication III Ischemic rest pain II 4 Ischemic rest pain IV Ulceration or gangrene III 5 Minor tissue loss III 6 Major tissue loss Table 2: Classification of Peripheral Arterial Disease based on the Fontaine Classification in Comparison the Rutherford Classification In the Framingham Offspring Study, the prevalence of PAD was determined in 1554 males and 1759 females from 1995 to 1998.55 The mean age was 59 years. PAD, defined as an ankle-brachial (blood pressure) index (ABI) of ABI Severity of PAD The physician also queried the participant about symptoms of intermittent claudication using a standardized questionnaire [53]. 3.2 Local Adipose Tissue Depots 3.2.1 Variability of Adipose Tissue 3.2.1.1 Anatomy and Morphology SACK: Epicardial, mesenteric, and omental fat all share the same origin from the splanchnopleuric mesoderm associated with the gut.11 Pericardial fat (pericardial adipose tissue [PAT]) is defined as epicardial fat in all these possible locations plus paracardial fat.14 Paracardial fat is situated on the external surface of the parietal pericardium within the mediastinum and has alternatively been termed mediastinal fat.15 Paracardial fat originates from the primitive thoracic mesenchyme, which splits to form the parietal (fibrous) pericardium and the outer thoracic wall.16 Epicardial adipose tissue is supplied by branches of the coronary arteries, whereas paracardial fat is supplied from different sources including the pericardiacophrenic artery, a branch of the internal mammary.17 Lipolysis and lipogenesis have not been measured directly in human epicardial fat. Based on approximately 2-fold higher rates of lipolysis and lipogenesis in guineapig epicardial fat than other fat depots, Marchington et al18,19 proposed that EAT serves to capture and store intravascular free fatty acid (FFA) to protect cardiomyocytes from exposure to excessive coronary arterial FFA concentrations during increased energy intake and, at other times, to release FFA as an immediate ATP source for the myocardium during periods of need. Epicardial fat and the myocardium are contiguous. Islands of mature adipocytes are more frequ ent within the subepicardial myocardium of the RV than the LV13 and may act as more readily available, direct sources of FFA for cardiomyocytes. The thickness of the wall of the right atrium is about 2 mm; the left atrium, 3 to 5 mm; the RV, 3 to 5 mm; and the LV, 13 to 15 mm.20 Possibly, FFAs could diffusebidirectionally in interstitial fluid across concentration gradients from epicardial fat into the atrial and RV walls where EAT predominates and vice versa, but this process in the LV wall can be questioned because the diffusion distance is much longer. Peri-vascular adipose tissue is defined as any adipocytes, which are located close to the vascular wall and has the possibility to secret their biomarkers into the vasa vasora of the wall (see 3.2.1.2). 3.2.1.2 Secretion of Biomarkers by Adipose Tissue Adipose tissue is known to have more functions than lipid storing. Adipose tissue secrets biomarkers and serves as an endocrine organ. Beside hormones, it secrets also different inflammatory cytokines and chemokines. The amount of adipose tissue were associated to xxx, xxx, xxx (FRAMINGHAM?!). Especially peri-vascular adipose tissue like epicardial or visceral adipose tissue demonstrated higher expression of inflammatory biomarkers compared to other adipose tissue depots in the body [REF]. Beside the systemic effect of the secreted cytokines and chemokines, also a local effect/paracrine is hypothesied. Biomarkers secreted of peri-vascular adipose tissue reach over the vasa vasora of the major arteries their adventitia, media, and intima. Therefore it might be involved in the inflammatory process of atherosclerotic plaque. Further, a local effect can be thought by direct diffusion. 3.2.2 Association of Adipose Tissue to Cardiovascular Disease 3.2.2.1 Atherosclerosis 3.2.2.2 Peripheral Arterial Disease 3.2.3 In-Vivo Assessmentof Adipose Tissue 3.2.3.1 Traditional Measures * BMI and WC [54] 3.2.3.2 Imaging-based Assessment * dual energy X-ray absorptiometry (DXA) [55] * magnetic resonance imaging (MRI) [56, 57] * ultrasound [58] * multi-detector computed tomography (MDCT) [59, 60] 3.3 Framingham Heart Study 3.3.1 Historical Origin of the Framingham Heart Study Infectious diseases were prior to World War II the major burden for public health. But through a greater microbiological knowledge and improved sanitation, the morbidity and mortality of infectious disease decreased continuously. When penicillin was introduced in 1942, a dramatic reduction was made in the prevalence and incidence of infectious diseases, especially by controlling tuberculosis and pneumococcal pneumonia [REF]. Replacing infectious diseases, public health was challenged by a mounting epidemic of CVD starting in the 1940s. With World War II over the alarming rise of CVD became increasingly evident. In the United States, 30% of all men developed CVD before reaching the age sixty. The prevalence of CVD was twice of cancer by 1950 and had become the leading cause of death [REF]. Even so the available statistic data from around the world was often crude and inaccurate, it clearly demonstrated a worldwide atherosclerotic CVD problem. Furthermore there was no known treatment to prolong life and to reduce mortality. Added to these distresses was the fact that little was known about etiology, pathogenesis and epidemiology of CVD. The big gap between the enormous public health burden of CVD on the one site and the little understanding of this disease on the other site increased drastically the need for action. At this time, some believed a primary preventative approach was more promising than a search for cures [Dawber, Thomas R. (1980), The Framingham Study: The Epidemiology of Atherosclerotic Disease, Cambridge, Mass.: Harvard University Press.], while the secrets of the etiology of CVD and subsequently for treatment were not being uncovered by basic laboratory and clinical research. Some of these prevention-minded individuals occupied positions of influence and were able to translate their beliefs into actions. The key was to develop a preventive approach, where first of all the characteristics of the host and environment, which lead to the early appearance of the disease, had to be determined. In particular, preventable or modifiable predisposing factors had to be identified. If a practical preventive approach was developed, the hope was that doctors and public health officials would adopt it and so have a widespread impact on the reduction of CVD-based morbidity and mortality. Accordingly to the preventive approach, the Framingham Heart Study was designed given the charge to identify these modifiable characteristics of host and environment for CVD. 3.3.2 Initiation of the Framingham Heart Study By the mid 1940s several striking studies were conducted with an examples epidemiological approach in the fields of nutritional imbalance, metabolic disorders, occupational hazards, accidents, cancer and rheumatic fever under principle investigators (PI) Drs. Dawber, Meadors and Moore [REF, Dawber, Meadors and Moore 1951]. In common, an association between the circumstances and the disease could be identified with-out knowledge of the precise etiology. One of those studies was performed by Dr. John Snow in 1936. He demonstrated that cut-ting off the water supply from contaminated wells, despite incomplete knowledge of the pathogenesis of the disease, stopped cholera. He observed on the one hand the source of the water supply and on the other hand the time and place where the disease occurred. He sufficiently pinpointed based on his observations the major environmental factor for cholera. Further investi

Human Control Over Nature: The Computer Revolution and Medical Research :: Essays Papers

Human Control Over Nature: The Computer Revolution and Medical Research Throughout history, human beings have struggled to achieve control over nature. Now, in the twentieth century, with all of the scientific advances in computers and medicine, humans have come closer than ever to reaching this ultimate goal. However, along with the benefits of these new and rapidly increasing scientific advancements come moral, ethical and social issues that need to be given consideration. The Computer Revolution has not only vastly improved communication and produced amazing amounts of information, but has raised questions of human rights, privacy and social implications. While medical research has achieved medical benefits not even conceivable in the past, it has also raised major ethical and moral issues. Humans must consider all of these things when making decisions or judgments about human control over nature. Computer technology is advancing at rapid rates. More and more information is found and processed every day. According to Linowes, à ¬More information has been produced in the last thirty years than in the previous five thousand.à ®1 This information that is rapidly becoming available has produced many benefits to the human race. It has given humans more and more control over nature. It has been stated that à ¬the computer has opened up new dimensions in communication, architectural design, engineering, medical analysis, and even artistic expression.à ®2 People thousands of miles away can do more than simply talk over the phone, but see each other while talking on their computer screens. Architectural structures are planned three dimensionally on the computer. This is much faster and easier than using blueprints. Humans are even considering education through computers. Students would not have to leave the comfort of their own home to go to school. Linowes sta tes that à ¬instead of confining formal learning to the classroom, students would be taught wherever they might beÃâ€"by giving them access to centralized information networks.à ®3 This would open up new doors for schooling and revolutionize the education system. Tasks for almost every profession and area of interest are done faster, more efficiently, and with less effort on computers. New advancements make it possible to not only program computers to do what people tell them to, but to think for themselves.

One Hot Pot

This was a birthday to be remembered. It had been two years since I had seen my dad, half brother, and stepmom. They came to visit from Los Angeles the week of my birthday. It was also days before Christmas. I knew this birthday was going to be special because I couldn’t remember the last time we were all together for my birthday or Christmas. I’m thankful for the special birthday dinner I had with my family. On the day of my birthday, I had to go to work. After work, I hurried home to get ready for dinner. We all met at my sister’s house at 6:30 P. M.  When I walked inside, nobody was ready. Everyone including my nieces, nephew, sister, and brothers were busy watching television or playing on their I phones. I looked around and saw my dad and stepmom in the kitchen preparing food. I asked them, â€Å"what are you guys doing? † and my dad said, â€Å"I’ve decided to have dinner at home instead of going out to eat. † I thought that was a great idea because I would rather spend quality time with them at home instead of at the restaurant. Then I started to look around to see what he was making. I saw a big pot of boiling stock. At that point, I knew we were having a hot pot. Hot pot consisted of simmering a metal pot of stock placed at the center of the dining table which was fueled by a portable butane gas stove. While the hot pot was simmering, ingredients were placed into the pot and were cooked at the table. Ahhh†¦. I was so excited about the evening because hot pot was one of my favorites. The weather was cold and raining outside while the hot pot was simmering which made the house felt warm and cozy. There was no better meal for this particular day than a hot pot. My dad took all day to prepare the food. He cut and cleans various uncooked items including meat (lamb, beef, chicken, and duck), vegetables (bok choi, bean sprout, daikon, tofu, tomatoes, taro, lettuce, and mushroom), seafood (fish, squid, lobster, prawn, crab, clam, and oyster. ) He had to pull apart the crabs, scrub the clams, and shuck the oysters from the shell; preparing the food was the most difficult part of the meal. Finally it was time for dinner. Everyone started to load the food individually into the hot cooking broth with their chopsticks. When the food was cooked in the pot, it was usually eaten with a dipping sauce. My favorite was the clams, so I grabbed a lot of clams and loaded it into the pot with the strainer and gently placed it over the boiling water and watched the clams open. Once they opened, I placed them in my bowl and started to dig in. Hot pot wasn’t like any regular meal because it could last for hours. Everyone would eat or wait for the food to cook while talking with each other. Even after I was full and I would sit there and listen to everyone talk and then I got hungry again. We would usually eat late into the night when we had hot pot for dinner. I couldn’t imagine a better time than Christmas time to be with my family sitting around at the dinner table admiring each other. Besides my dad and step mom, my oldest sister, three older brothers, a half brother and my sister’s five children were there. Even my mom and step dad came over to celebrate and some of my cousins too. Because of my parent’s divorce, it took a lot for all of us to be sitting around the same table. This meal was unforgettable.

Cooking With Your Children

Cooking With Your Children Free Online Research Papers How many parents take the time to cook with their children? How many of you were taught to cook by your parents or someone else in your family? I actually started cooking with my mother when I was 6 years old rolling out bread dough to make crescent rolls (homemade, of course). Due to my childhood experience, I now cook with my children at least twice a week. Since I am normally only home on the weekends to see my children, I use this time for bonding; as well as for teaching them skills that they will need in order to survive in today’s world, better known as life skills. Cooking with your children is great way to strengthen family bonds, while enforcing math and life skills. First, cooking with your children can create strong family bonds. This provides the opportunity for spending quality time with your children. While preparing meals, daily discussions regarding current topics in and about their lives are abound (â€Å"How was your day†, â€Å"What did you do in class†, â€Å"Have you spoken to your grandmother†). These discussions during meal preparation can lead to enjoyable moments that children tend to remember as they grow older. They then share these experiences and moments with their children (Eisenhower). In the words of my favorite T.V. Cook, Alton Brown of â€Å"Good Eats†, â€Å"Cooking with children is just plain fun†. How can you not have fun in the kitchen while cooking with your children? Yes, it can be messy; yes, it can be time consuming; but that is what makes it a fun learning environment. Make mistakes, get messy, have fun. Secondly, cooking with your children will teach them a necessary life skill, a required skill that they will need in order to survive on their own. Cooking not only teaches food preparation, but also educates them on making healthy food choices (Eisenhower; Ryan). By allowing them to cook for themselves, they are not dependent on fast food or constant dining out. It also teaches the principles of time management. For example, if for dinner we are having a roast that requires four hours of cooking then they need to consider that the additional sides or â€Å"fixings† should be prepared in a sequence that would allow them all to be ready at the same time as the roast. These basic life skills of cooking and time management are important for your child and are necessary for them to survive. Third, cooking with your children helps to reinforce their math skills. Having your child count the beans or carrot sticks gives them a reason to count. It makes counting fun purposeful or â€Å"Purposeful Counting† (Marinelli). Employing your children in the kitchen can be fun and will reinforce their measuring skills. Using the volume method of measuring, such as one-quarter cup of flour or two cups of sugar, helps children to visualize the actual measurement. In my household, we also use ruler measurements when baking. When making cinnamon rolls we measure the length and width of the rolled dough for proper sizing. In the case of the cinnamon roll dough, we are looking for a perfect rectangle. In other baking situations, we will use other geometric shapes including circles, triangles, squares, cones. Cooking also teaches and reinforces their skills at telling time, which will assist with proper time management. Such as with the aforementioned roast, if you put it in t he oven at 4 P.M. and it takes one and half-hours to cook, you can ask, at what time does the roast have to be taken out of the oven? Having your children count, measure and tell time can reinforces those skills with â€Å"Purposeful Counting†. These activities conducted in a fun atmosphere and used in â€Å"real world† situations reinforce the basic life skills that are important. In conclusion, Cooking with your children can create a naturally fun environment for family bonding. It gives them some of the skills, cooking and time management, they will need to survive. As well, cooking reinforces their math skills by letting them use what they have learned in a â€Å"real world† situation. Taking the time to cook with your children will create stronger family bonds, teach them basic life skills that they will need as they grow older and reinforces many math skills that they will not only be able to utilize at home but in school too. Brown, Alton. â€Å"Apple Family Values† Foodnetwork.com, Food Network Season 2 Episode EA1B03 Video. Eisenhower, Julie. Cooking With Children. The Saturday Evening Post , Curtis Publishing August 1975, 94-110 Print. Marinelli, Noel. Count Cook. Scholastic Parent Child, Scholastic Publishing March 2006, 73 Print. Ryan, Kelley Andrea. Cooking With Kids. Nebraska Kitchens, Nebraska Life Publishing June 20088, 37-39 Print. Research Papers on Cooking With Your ChildrenEffects of Television Violence on ChildrenPersonal Experience with Teen PregnancyInfluences of Socio-Economic Status of Married MalesHip-Hop is ArtRelationship between Media Coverage and Social andComparison: Letter from Birmingham and CritoBook Review on The Autobiography of Malcolm XThe Spring and AutumnMarketing of Lifeboy Soap A Unilever ProductThe Effects of Illegal Immigration

Text of the 14th Amendment

Text of the 14th Amendment The Fourteenth Amendment to the U.S. Constitution was passed by Congress on June 13, 1866, during the Reconstruction period after the end of the Civil War. Along with the Thirteenth and Fifteenth Amendments, it is one of the three Reconstruction amendments. Section 2 of the Fourteenth Amendment modified Article I, section 2 of the Constitution. It has had far-reaching effects on the relationship between states and the federal government. Text of the 14th Amendment Section 1.All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside. No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws. Section 2.Representatives shall be apportioned among the several States according to their respective numbers, counting the whole number of persons in each State, excluding Indians not taxed. But when the right to vote at any election for the choice of electors for President and Vice-President of the United States, Representatives in Congress, the Executive and Judicial officers of a State, or the members of the Legislature thereof, is denied to any of the male inhabitants of such State, being twenty-one years of age,* and citizens of the United States, or in any way abridged, except for participation in rebellion, or other crime, the basis of representation therein shall be reduced in the proportion which the number of such male citizens shall bear to the whole number of male citizens twenty-one years of age in such State. Section 3.No person shall be a Senator or Representative in Congress, or elector of President and Vice-President, or hold any office, civil or military, under the United States, or under any State, who, having previously taken an oath, as a member of Congress, or as an officer of the United States, or as a member of any State legislature, or as an executive or judicial officer of any State, to support the Constitution of the United States, shall have engaged in insurrection or rebellion against the same, or given aid or comfort to the enemies thereof. But Congress may by a vote of two-thirds of each House, remove such disability. Section 4.The validity of the public debt of the United States, authorized by law, including debts incurred for payment of pensions and bounties for services in suppressing insurrection or rebellion, shall not be questioned. But neither the United States nor any State shall assume or pay any debt or obligation incurred in aid of insurrection or rebellion against the United States, or any claim for the loss or emancipation of any slave; but all such debts, obligations, and claims shall be held illegal and void. Section 5.The Congress shall have the power to enforce, by appropriate legislation, the provisions of this article. *Changed by section 1 of the 26th amendment.

Total confinement Term Paper Example | Topics and Well Written Essays - 1250 words

Total confinement - Term Paper Example Such units are meant for aggressive inmates. Generally, the units are single-cell, and are designed for confining inmates for up to 23-hours in one day over extremely period of time. Inmates in control units are mainly barred from enjoying normal contact with prison officials and fellow inmates. In contrast, the definition of a control unit is still debatable, since different countries have their own ways of categorizing prisons as Supermax (Rhodes, 2004). However, there are some general features which apply across board as far as Supermax prisons are concerned. Firstly, Supermax prisons provide long-term imprisonment of convicts. Once a criminal convict has been transferred to a control unit, he or she is expected to serve their sentence for several decades or indefinitely. Secondly, prison wardens and the administrators are at liberty to exercise high-handedness in their effort to exalt punishment on or in management of inmates (Rhodes, 2004). Any decisions made by the administrators or guards working in control units are final. Thirdly, Supermax prisons provide limited opportunities for inmate activities. The administrators limit entertainment, education, and recovery plans from substance abuse. In a nutshell, control units deviate from the generally rehabilitative culture of other prison facilities. Finally, inmates in Supermax prisoners are segregated from other prisoners, and as such, they are in solitary confinement. Supermax Prisons are primarily meant for intensive, and permanent solitary confinement purposes, which essentially deprives the inmates some of their human rights. The segregation policy is designed to inflict punishment upon the prisoners and safeguard them from causing self-harm or injury to others. Supermax inmates are allowed limited interaction with individuals from outside, perhaps because such interactions may heighten their criminal behaviour. In control units, inmates are normally permitted

Polarization as a Barrier to Effective Crisis Negotiation Essay

Polarization as a Barrier to Effective Crisis Negotiation - Essay Example ellow participant in an argument as â€Å"the other† or as something of an antagonist rather than an equal shareholder in the process and something that is quite actually neutral. Similarly, when dealing with a given situation, it is common for me to assume that the self-interested motives of others will be the sole determinant in helping to determine the way that the engagement plays out. Thirdly, rather than being able to see the situation in shades of nuance and shades of gray, or even shades of right or wrong, I am oftentimes tempted to view it from a perspective of fulfilling my own needs; regardless of whether it is able to do the same for the fellow shareholder. Although fulfilling my own needs within the given circumstance is not bad in and of itself, it is a selfish motive that helps to drive the integration apart. Fourthly, with regards to a polarizing situation regarding communication, it is often my weakness to seek to link to the speaker and the message. This is a n oversight due to the fact that it assumes that these two are necessarily the same (Medvec 389). Moreover, a better approach would be to seek to focus upon the message without polarizing it and seeking to have it intimately related to the original speaker or his/her own vantage point. Lastly, and perhaps most specifically, I oftentimes attempt to polarize situations into firmly determinant shades of good/bad/right/wrong etc. These levels of polarization serve to lessen my ability to analyze and draw inference from a number of situations; it ultimately weakens my skill in interpreting the world around me. As a function of these 5 polarizations that have been listed, the most effective way to engage them is to seek to lessen the effect that they play on my everyday life and as a means of understanding them, seek to work to overcome them. Furthermore, by approaching the above situations with an open mind and thoroughly focusing upon not developing preconceived perceptions of the

Human Bioscience Essay Example | Topics and Well Written Essays - 1500 words

Human Bioscience - Essay Example Something that is endemic is typically restricted or peculiar to a locality or region†. The opposite of this word will be Epidemic which means sudden severe outbreak of any disease. (2) So, as per the terminology clarification, that particular sentence can be described with more clarity – â€Å"There is a high morbidity (Illness) associated with Tripudiovirus and while it is endemic (Present in low frequency)in the tropics there is almost no Seroprevalence ( Frequency in the population) in the mainland Australian population. â€Å" The structure of Bacteria looks like this. The cell consists of the cell walls and nucleosids The reason that makes bacteria vulnerable to antibiotics is the Cell wall itself. The antibiotics like amoxicillin or other stains of antibiotics directly interacts with the cell wall, breaks the same and the spreading is inhibited. It is the common practice of all the antibiotics but the same thing can not be applied against viruses. III. The Bacteria at first penetrate inside the cell. Then they produce more number of bacteria that rapture the cell wall. Thus the infection been spread fro cell to tissue and so on, causing a general state of morbidity. III. Offers much different way of cell destruction. Look wise virus is much smaller then the bacteria and it attack the healthy cell. The cell engulfs the virus and the virus start producing own set of instructions and would throw the normal cell function out of gear. As a result, the healthy cell start producing the viral protein in lieu of normal protein and thus the cell was flooded with viral substances. Some virus even can copy the genetic code triggering further damage. The structure of viruses is different all together. As per one statement, the activity of virus is perhaps best discussed goes like that-â€Å"Viruses are different from all other forms of life in that they generally do not have any "internal machinery" of their own. A bacterial cell is able to carry out its

The Schlesinger Polls and the Reasons behind the Change Essay Example for Free

The Schlesinger Polls and the Reasons behind the Change Essay Americans love to take polls. They rank everything from Hollywood scandals to insects, and they often reflect the state of mind of the American people at the time of the ranking. This propensity for opinion polls has been carried over to the equally American love of criticizing the government and the people in it, especially Presidents. One only has to turn on the television to watch spoofs about George W. Bush to get an idea of this. Presidential ranking was begun by historian Arthur Schlesinger whom in 1948 polled 55 scholars. He took a second poll in 1962 in which 34th president Dwight D. Eisenhower placed 22nd, a little over year after his second term of president. What is interesting to note that when son Arthur Schlesinger, Jr. , following in his father’s footsteps took another poll in 1996, Eisenhower placed 10th. Prior to this 1996 poll, other polls showed a similar tendency to elevate Eisenhower in the presidential rankings, with 2000 C-SPAN Poll placing him at ninth place. (Watson and Berger) This paper will provide some insights into the possible reasons for these shifts in opinions in the case of Eisenhower from a historical perspective. I. Brief background on Eisenhower Dwight David Eisenhower, popularly referred to as â€Å"Ike† was born in Texas in 1890, the 3rd of seven boys. He was brought up in Abilene Kansas and was a West Point graduate who became stationed in Texas as a second lieutenant where he met and married Mamie Geneva Doud. (â€Å"Dwight D. Eisenhower†) Ike was an excellent staff man, rapidly rising in the Army ranks under generals such as John J. Pershing, Douglas MacArthur, and Walter Krueger. His performance as supreme commander over the NATO forces in 1951 led to his nomination as Republic presidential candidate, with the slogan â€Å"I like Ike† leading him to the White House. (â€Å"Dwight D. Eisenhower†) A successful soldier and military leader, Ike nevertheless negotiated for peace whenever possible. The Cold War was escalating but he negotiated for better relations with the Soviet Union from a position of military strength, an effort undermined by the death of Stalin in 1953. In the same year, Ike signed a truce which rough armed peace in South Korea. In further efforts to conciliate with the Soviets, Ike invited Nikita Khrushchev to the Presidents Camp David retreat in Marylands Catoctin Mountains to discuss Khrushchev’s demands for Western allies to get out of Berlin. Kruschchev did agree to lift his ultimatum, which positive response was cut short in 1960 when the Russians shot down an American U-2 spy plane. (â€Å"Eisenhower: soldier of peace†) It led to public humiliation for Ike, but it emphasized his desire to maintain world peace. He developed his â€Å"atoms for peace† program which was designed to develop uranium for peaceful uses. He also urged conservative military spending, pushing for enough military strength to ensure national security while monitoring potentially dangerous military spending policies. (â€Å"Dwight D. Eisenhower†) It was during his second term that he issue orders to desegregate schools, a significant landmark in the civil rights movement, which was also carried out in the Armed Forces. He declared that There must be no second class citizens in this country. Ike was chronically ill, but he was a vigorous man and when he finally succumbed on March 28, 1969, he was almost 80 years old. (â€Å"Dwight D. Eisenhower†) His popularity was such that he could have run for a third term if he wanted two and if the 22nd Amendment prevented him from doing so. (â€Å"Eisenhower: Soldier of Peace†) II. Criticisms Despite his popularity during his two terms, Ike was constantly being criticized by political analysts for his â€Å"middle-ground† stance and was characterized as a â€Å"caretaker† president who did not really get much done. (Watson and Berger) In fact, in the 1970s Ike’s presidency characterized as the Eisenhower doll: â€Å"You wind it up and it does nothing for eight years. † With the myopia of near history, many believed that Ike concentrated on keeping the status quo in military, social and economic issues. Of particular damage was his handling of Senator Joseph McCarthy, who was condemned for his extreme anti-communist views and what is termed a â€Å"witch hunt† for Soviet spies within the government. (Ansary) â€Å"â€Å"I am convinced that the way for me to defeat Senator McCarthy is to ignore him,† Eisenhower noted in a personal memo in April 1953. † (â€Å"Eisenhower: soldier of peace†) He was seen uninvolved and ineffective in the day-to-day running of the country. He often delegated such decisions to his aides and advisors and was widely considered to spend most of his days in pleasurable pursuits such as golf, social functions and vacations. Politically, he was aloof and he made no secret of the fact that he disliked politics and politicians, and made many decisions which made him politically vulnerable. He once said that the â€Å"only thing successful politicians had in common was that they married above themselves. † (qtd. in Madonna and Young) The 1961 Time Magazine article â€Å"The Debits† enumerated some of the specific issues. Ike was said to have been unable to implement a workable farm program, resulting in an annual $9 billion cost of price supports and food storage, from the $1. 5 billion at the end of Harry Truman’s term. The tax policies were also criticized because Ike showed no interest in reforming outdated, piecemeal tax laws, preferring to concentrate on balancing the federal budget and reducing debt. His failure to promote the rule of law in his foreign policy and practical politics that would make him politically viable was also attacked. It is suggested that such criticisms stemmed from Ike’s belief that in his dual role as head of state (which unifies and symbolizes the nation) and head of government (political decision maker), the former should be prominent while the latter should be hidden, a governing style now referred to as the hidden hand presidency. (Madonna and Young) It also explained why in 1962, Ike ranked 22nd of 35 presidents despite his apparent popularity and military hero status. III. Discussion The upward revision on Ike’s poll ranking may well be due to what is referred to as â€Å"hindsight. † Many of his policies made little sense to his contemporaries and the public during his two terms. However, later events proved that Ike was a man who was more than he appeared to be, and that his policies had a sound basis. Ike was first and foremost a military man. He realized from his campaigns that military preparedness was crucial to a nation’s security, and took great pains to ensure that the state of military strength during his presidency was adequate. However, he was also a staff man, so he was aware of the potential dangers associated with unbridled military spending and took steps to ensure that there was balance between necessity and spending. His knowledge of war would also account for his efforts to avoid it breaking out as much as possible. As a soldier and campaign strategist, Ike had to deal with the casualties and collateral damages of war, and sought â€Å"peace with justice† (â€Å"The Debits†). He was unable to prevent the Cold War from escalating or the Cuban missile crisis that bore fruition in Kennedy’s term with such disastrous results, but he never stopped trying, an attitude which recent anti-war sentiment fully supports. Because he was a soldier, Ike probably loathed admitting physical weakness, but later accounts both from his personal memoirs and from other sources revealed that Ike suffered from several, severe health crises associated with gastrointestinal problems and heart disease. It was little known at the time, but Ike’s health gave him a lot of trouble, and he was said to have suffered anywhere up to 7 cardiac episodes. However, because this was not widely known at the time, his recuperative periods were misinterpreted by his critics as part and parcel of his â€Å"caretaker† governing policy. In particular, his 12-day stay in the presidential retreat in Key West from December 28, 1955 to January 8, 1956 was illustrative of how circumstances could be grossly misleading. Far from being on a repairing lease, Ike’s visitors and schedule showed how hard we worked even when he was supposed to be resting. (Madonna and Young; Watson and Berger) It was this as well as other documentary evidence that was later revealed which showed how much more deeply Ike’s â€Å"hidden hand† was in the various pies in political decision making and policy formulation, although his aim was to provide general policy guidelines than specific policies. Scholars now concede that Ike had a good grasp of most situations and made sound decisions that allowed him to keep his options open and yet enabled him to act decisively when necessary. (Madonna and Young) It is well to consider as well that of the presidents three had great military reputations in actual war prior to ascending to the presidency and subsequently consistently ranked high in the polls. These were Washington, Jackson and Theodore Roosevelt. A fourth was Eisenhower, whose 1962 below average ranking was revised in later polls. This would seem to indicate that those who were great military prowess were likely to become good presidents when they are elected into office. While their styles of governing are widely divergent, they were all practical and sensible decision makers in times of crisis. (Schlesinger) In Ike’s case, he chose to be relatively low profile in such decisions. John Dean in his 2001 article â€Å"Ranking presidents – utter nonsense or useful analysis? † points out that polls such as the ones undertaken by the Schlesingers were without any consistent basis for the criteria used by the surveyed scholars. Even with efforts to benchmark the results, the results remain largely subjective and vague, making it difficult to provide comparisons within the polls as well as between polls. The fact that it was a survey of scholars it was by no means a reflection of the general public’s opinion of Ike’s presidency. In fact, Ike was very popular when he left office and retained the admiration of the public as a man of integrity, strength and modesty. (â€Å"Dwight David Eisenhower†) However, in the case of Dwight Eisenhower, existing documents and later events do seem to provide a basis for his rise in the polls. It may well be that the 1962 Schlesinger Sr. poll and the 1996 Schlesinger Jr. poll is an accurate reflection of the political and social climate of the respective time period. IV. Conclusion It has been said that one can miss the forest for the trees; in retrospect, it seems clear now that Ike’s politically unpopular â€Å"centrist† image was deliberate. It allowed him to move silently away from the limelight to make crucial policy and political decisions. Because he had projected himself as an ineffective president, he was able to put his policies forward without being targeted by his critics of being its author. Despite the criticisms, Ike retained his popularity, no doubt as a result of his war record, his subsequent pacifist attitude as president and his widely known dislike of political posturing. In retrospect, he was more effective for his â€Å"hidden hand† style of governing than was initially suspected, as evidenced by the 1996 poll undertaken by Schlesinger Jr. , considered a more accurate reflection than that of his father’s 1962 survey. Works Cited â€Å"Dwight D. Eisenhower. † The White House. 6 November 2007 http://www. whitehouse. gov/history/presidents/de34. html. â€Å"Dwight David Eisenhower. † Findarticles. 2005. 6 November 2007 http://findarticles. com/p/articles/mi_gx5221/is_2005/ai_n19136311/print. â€Å"Eisenhower: Soldier of Peace. † Time. 4 April 1969. 6 November 2007 http://www. time. com/time/magazine/article/0,9171,839998-9,00. html. â€Å"Ike’s Presidential Legacy. † Eisenhower Memorial Commission. 6 November 2007 http://www. eisenhowermemorial. org/legacyreport/presidential-legacy. htm. â€Å"The Debits. † Time. com. 27 January 1961. 6 November 2007 http://www. time. com/time/magazine/article/0,9171,826765,00. html. Ansary, Tamin. â€Å"Who Was the Greatest President? † Encarta. MSN. com 2007. 6 November 2007 http://encarta. msn. com/encnet/features/columns/? article=greatestpresident. Dean, John â€Å"Ranking presidents Utter Nonsense or Useful Analysis? † FindLaw. 11 May 2001. 6 November 2007 http://writ. news. findlaw. com/dean/20010511. html. Madonna, G. Terry Young, Michael. â€Å"Why George Bush Should Like Ike. † Real Clear Politics. 19 October 2007. 5 November 2007 http://www. realclearpolitics. com/articles/2007/10/why_george_bush_should_like_ik. html. Murphy, Arthur. â€Å"Evaluating the Presidents of the United States. † Presidential Studies Quarterly 14 (1984): 117-126. Schlesinger, Arthur Jr. â€Å"Rating the Presidents: Washington to Clinton. † Political Science Quarterly 11. 2 (Summer 1997): 179-90. Watson, Robert Berger, Dale. â€Å"Reconsidering Ikes Health and Legacy: A Surprising Lesson in Duty at the Little White House Residential Retreat. † The Eisenhower Institute. Gettysburg College. 6 November 2007 http://www. eisenhowerinstitute. org/publications/opinions__editorials/Watson_Berger_Reconsidering. dot.