Knowledge of Programming Fundamentals

The article â€Å"Future Developments: Tomorrow’s IT Stars Will Need More Than Mere Skills† published in eWeek (2004) likens the science of application development to basic reading and writing skills that all educated people have developed.   This is not to say that all people are today equipped with the knowledge of programming fundamentals.   Rather, the author of the article makes the point that since writing an enterprise application requires a mere set of rules and directions such as those that car drivers are acquainted with, it is possible that every educated person in the near future will be equipped with the knowledge of programming fundamentals.By following a set of rules and directions, therefore, every person who needs to write an enterprise application or software program would be able to find his way.   In that case, what would be the job of trained programmers?   The author describes the programmers of tomorrow as masters in their science.   Lik e â€Å"master tour guides,† these individuals would be akin to the â€Å"Formula 1 racers who can push their enabling technology to new limits.†Ã‚   So yes, there will be need in the days to come for trained computer scientists.   All the same, today’s programmer must seek to be a master in the science – one who knows more about the technology than laymen who merely follow the guidelines to programming.Given that the layman, too, should be able to follow specific rules to write applications, it is wise to let the computer software be divided into operating systems and applications.   This makes it easier for anyone who is not a master in computer science to easily use both operating systems and applications, each with their own guidelines for operation.   If applications and  operating systems were integrated, the layman would have to learn much more than he would be willing to learn about programming anyhow.Lastly, Coffee (2004) asks if knowledg e of programming fundamentals would be required in the same way in the future that reading and writing are taken for granted today as basic skills.   Based on the summary of the article above, the answer to the question is: Yes, every working professional who wishes to follow the set of rules and directions to write his own program in the future would be able to do so almost perfectly.   However, unlike reading and writing skills that are acquired by both working and unemployed people, the skill of writing programs by following a set of guidelines is not expected to be acquired by all people.

Leatherback Loggerhead or Just Turtle Final

After a hard day of laboring through the grease and grim at your pitiful factory job, you come home and meeting you at the door is a 77 year old desert tortoise. You reach down to stroke the turtle, and it retracts its head into its shell because it wants nothing to do with you, starting to feel threatened it snaps at your fingers. Youngsters and adults typically adore animals and especially loves turtles are not what Kay was trying to convey in this piece. She wanted to use an animal that most people would not, or could not relate too.It depicts a harsh reality to a mundane occurrence. Ryan portrays a turtle using metaphors, rhyming, personification, assonance and imagery to relate that the human daily grind Of humanity is no different than any chelonian. As the reader you are being baited into thinking, â€Å"What is she thinking? Is there a human being in this world that would want to live the life of a turtle? † It remains still hibernating in a rocky self-dug hole for lon g periods of time without any contact to the outside world only to emerge to a cruel and unforgiving reality.Eating grass and trying to avoid a speeding teenager riving on a country road, or a starving alligator seems like a life of misery. She goes on and likens the turtle to something cumbersome that can barely get out of its own way. â€Å"A barely mobile hard roll, a four-oared helmet,† (line 2) Dinner rolls are made to be enjoyed while warm, soft and freshly from the oven, but this roll is hard and not consumable. A meal that the majority would not choose if given the chance, but ingest if absolutely necessary is what a crusty dinner roll represents.It brings to mind rowing a boat with three other people in rough water, just trying to make ground in the choppy sea. Turtles have extremely hard outer shells and have serious problems with locomotion, and Ryan uses these metaphors in the first few lines which portrays a seriously immobile, clumsy loggerhead. Ryan shows us ri ght away that being a turtle IS not like Franklin the Turtle, a character in the Franklin picture book series by Paulette Bourgeois who goes to school and eats sandwiches that his mom makes, or plays outside without care with his friends.This turtle does not go to school, or receive an education like Franklin. The reader can start to identify with the turtle as Ryan gives the animal ender and makes you start to feel for her and the chances the turtle must take to eat. Ryan gives the turtle not a name, but describes it as â€Å"her†. The female or egg laying half of the turtle race who not only has to find food through any means possible, but carry the future while doing so. This responsibility was not by her own choice, it was handed down to her by nature.Gathering food is not something civilized people do on a regular basis; they simple order while resting comfortably in their air conditioned vehicle while listening to their favorite AC/DC soundtrack. On the other hand, he t urtle is dangerously rowing with its four stubby legs towards its meager reward of grass. She is moving so slow and deliberately that any number of creatures could easily stop her quest for nourishment. Ryan pens the word rowing, but turtles cannot row.Those slow, deliberate strokes symbolize just how hard any movement is for this leatherback just to find sustenance. Ryan describes a turtle that is not interested in becoming more than just a subpar being dragging its inconvenient shell, trying to eat and not perish doing so. Her turtle is â€Å"below luck level† and could never imagine winning the lottery† or any other prize that would change her â€Å"pottery† or shell in to wings that would enhance her life immensely. People dream of hitting the jack pot and spending their fortunes, but not this turtle, it is a realist.Ryan uses rhyming with â€Å"lottery and pottery' (line 13, 14) to bring attention just how far away this turtle is from anything great, and th e turtle knows that it will be nothing but a turtle living a life of just getting through the next meal. Ryan compares the turtle to an axled vehicle getting stuck almost on a regular basis. Images of an 18 wheeled tractor-trailer, perched on top of raffiti covered concrete K-rail on the side of the freeway come to mind. There will not be a tow truck coming to save this turtle's day, it must fend for itself.The turtle, precariously wedged on the slant of an oversized stone, using gravity to start a rocking motion to hopefully free itself, hoping that its efforts will not upright her and exposed a soft delectable under belly. One definition of insanity is repeating the same action and expecting a different result. The manager who urgently escapes his workplace at the whistle every day because that is when the work day is done, and then complains he did ot receive his bonus based on effort or lack thereof shows insanity. The turtle is not a truck, a train or even a boat, but Ryan uses personification in reverse to relate these things.Our turtle is avoiding things that would make it more difficult to survive, just as a man working in a belt factory would not raise his hand to show interest in becoming a supervisor. Raised hands mean additional labor and nonexistent satisfaction. The unneeded stress of the responsibilities would surely crush the factory worker and his family would undeniably suffer dire onsequences. â€Å"Almost any slope† (line 6) would defeat the pace of any turtle from finding some grass to eat. The turtle ‘Skirts the ditch which would convert' (line 10) her into turtle tar-tar for any mangy animal that happens to be passing through.Ryan uses assonance to convey that the turtle might be slow, but through experience as learned to avoid hazards just like the belt factory worker. Eating your favorite dish, or remembering that when as a child you saw your mother start to prepare for baking Christmas cookies brings you back to that plac e and time. It is a perfect picture in your mind, even though some cookies were not perfect you still remember the image without flaws and imperfections. The author uses imagery of the turtle turning her shell into a serving dish, upside down and vulnerable.Once the turtle is on its shell, it becomes more than just a helpless creature; it becomes lunch, or even a buffet for all to share. After an alligator snaps the turtle in half and partakes in the majority of the supple meat, other smaller creatures stop by to pick through the steamy entrails and leftover pieces its elongated snout prevents it from eating. It is imperative to understand what Ryan means bynot being able to change her â€Å"pottery to wings† and know that this turtle cannot be anything else, but a mindless creature doing the same thing every day just to survive.Our friend the turtle was merely trying to eat, and not be eaten. Millions of people rise without the shine and go through the same mundaneroutines e ven before leaving their residence. The same monotonous lifestyle or career shapes a society and teaches the masses to just place one foot in front of the other. A homeless man wakes every day from a restless few hours of sleep to instantly onder if he is in imminent danger. He struggles to his feet, and starts a plan of action, not unlike to his previous eleven years.Prison would be an easier life. Themiddle aged soccer mom takes the same steps every day starting at the gymand then to daycare before racing to work to avoid the penalties of being late. They both rarely venture outside of their comfort zone. The homeless man knows what small, slow steps he must take to survive for that moment, and the soccer mom thinks of multiple projects and lists she must complete to provide for herself. In either case, both are going through the ame daily steps and in survival mode to reach the next marker in their life.

Ethical Issues of Deception in Psychological Research Essay

In psychological studies, ethical issues associated with deception have always the major concern area. It is largely been viewed as something which in long will cause effect on participants’ willingness to be a part of any psychological research. The controversy associated with this issue has itself led to many researches to ascertain the positivity and negativity associated with the use of deception in psychological research. The findings of those researches have been contradictory. Some researcher has indicated that use of deception has a very negative impact on participant’s perception of researchers and hence reduces the possibility of its further participation in the ongoing project as well as any other research in future (Tuffin, 2005) While on the other hand there are evidences that deception has positive effect and participants have reported that they actually enjoyed being deceived and showed positive participation in the researches in which they are being deceived and feel more benefited than those without deception. Hence it becomes more evident that deception has basically no effect on participants and neither reduces nor increases their willingness in taking part in any future researches irrespective of those requiring deception or not (Lefkowitz, 2003). The above mentioned two contradictory preferences related to deception actually gives a picture which shows that the people have no clear meaning of deception and it varies from person to person i.e., they have different interceptions of what it actually means. This reinforces the need for further research and hence underscores the requirement for an expanded investigation to figure out the possible effects of deception in a prospective participant and the psychological study. The beginning of this new research could be initiated through a controlled environment when some of the participants and informed about the use of deception while some are not informed. The final objective is to ascertain the actual impact of deception when both researchers as well the participants have better understanding of deception (O’Donohue, 2003). References: O’Donohue, W. (2003) Handbook of Professional Ethics for Psychology. Sage Publication Ltd.,   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   London. UK Lefkowitz, J (2003) Ethics and values in industrial-organizational Psychology. Lawrence  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Erlbaum Associates, Inc., Mahwas, NJ Tuffin, K (2005) Understanding Critical Social Psychology. Sage Publication Ltd., London. UK

How diversity and multiculturalism affects my daily life Essay

How diversity and multiculturalism affects my daily life - Essay Example ing unique experiences and characteristics to the work force thus resulting in a diverse work force that is able to accomplish all the tasks effectively (Barni & Extra, 2008). Diversity and multiculturalism affects different facets of my life in the work place. First, it affects my communication ability. Due to a diverse work force, I have to advocate equal respect to the various cultures within the workplace. I have to handle each case differently so as to appear neutral and fair. Sometimes, I am forced to practice correct pronunciation of each of the colleague’s full name for each of them to feel included and not discriminated against. I have to enforce effective communication because different cultures receive information in messages through different ways and lack of effective communication can lead to great challenges (Steinberg, 2009). Diversity and multiculturalism makes me enquire more cultural information about the communities we serve so at to better our interactions with them. My knowledge of the cultural differences as well as my ability to demonstrate respect for those differences has resulted in increased rapport. Secondly, diversity and multiculturalism makes advocate teamwork within the task force. I often encourage fellow Sheriffs to work together for a common cause. It enables me to make a conscious effort in my mind in each situation to treat all people and segment of society fairly and objectively. I usually incorporate elements of inclusion and diversity and strict stance on harassment s well as intolerance for any form of discrimination. I daily advocate a policy of encouraging the maintenance of cultural diversity within the work force. Thirdly, it affects how I treat people. I often direct my effort towards building coalitions with people of different race, class, gender, home language, sexual orientation, and so on. This has helped in providing valuable relationships for collaborative problem-solving as well as feedback. Fourthly, it

Response to Intervention (RTI) model Assignment

Response to Intervention (RTI) model - Assignment Example This diversity in terms of culture, language, has infiltrated in to the mainstream education system in the city. Most of the mainstream schools also have students with special needs who need special care to ensure they benefit from the education system just like other students. As an English teacher in the city, with a diverse group of students, I have to develop strategies aimed at ensuring inclusiveness in my teaching approach, more especially because a majority of the students in the school speak Chinese and English will only be a second language to them. I have to create a good learning environment for non- English speakers as well as those students with special needs to feel comfortable throughout the learning process and benefit from the education albeit their differences. Education should be a uniting factor in such diverse mainstream schools where people from different backgrounds come together to share ideas, knowledge and learning experiences. In order to ensure inclusivene ss in my role as the English teacher, I would employ the use of Response to intervention (RTI) model. The Response to Intervention (RTI) model is very important in the provision of inclusive education to a diverse group of students. ... rning disabilities or even any other disabilities that may hinder the students from fully concentrating on their education and getting the best outcomes possible. The Retention to Intervention (RTI) model can therefore be defined as a general framework of education that involves research based interventions and instructions and regular structures of monitoring the progress of students in the learning process as well as the subsequent application of these data and information over time in order to make useful educational decisions (Klingner, 2006). One of the main advantages of the RTI model is the use of scientifically based interventions whose effectiveness has already been determined through scientific experiments in various randomly controlled trials. One of the main goals and objectives of the RTI model is to apply the concepts of accountability to educational programs by allowing teachers to focus only on those programs that have been scientifically proved to work rather than re lying on programs that seem to be simple and easier to use. The RTI model is a multi-tier strategic approach that promotes early identification of children with learning and behavioral needs in a diverse learning environment. The model employs various techniques and approaches to ensure the students’ needs are addressed and fully met so as to ensure positive learning outcomes for all students (Gresham, et al. 2004). The model can be used for by both regular and special needs education teachers who have a group of highly diversified students with different leaning and behavioral needs. The process starts with a general universal screening of all the students in a class room and the use of high quality instructions. After the screening process, the learners identified to be struggling are

McDonalds Business Strategy Essay Example | Topics and Well Written Essays - 1250 words

McDonalds Business Strategy - Essay Example This essay introducts the reader to McDonald's corporative history, it's global strategy success ass well as other business strategies. Today, McDonald’s is considered as the world’s No. 1 fast-food company with more than 31,000 restaurants across 120 countries particularly in US, Europe, APMEA, Latin America, and Canada. The success of McDonald’s going global strategy is reflected with its 5.7% increase in global sales as of January 2008. In this essay SWOT analysis as well as Porter’s Five Forces model and Related Key Points were used to demonstrate corporative strengths and weaknesses. However, this essay not only focuses on McDonalds itself, but also analyzes McCafà ¨'s as being one of the world's biggest coffee retailer. With the use of SWOT analysis and Porter’s Competitive Forces Model, the researcher will examine the business status of McCafà ¨ within the global coffee industry. The researcher also tries to promote franchising option to business people and even suggests some operational strategies for McCafà ¨. Prior to the conclusion, the researcher will propose an appropriate strategic plan for McCafà ¨s. These strategic plans mainly focusses on Merger and Acquisitions (M&A) strategies, using of organic food products and entering into a joint-venture contract. In conclusion, the researcher suggests that by maintaining a good quality customer service, McCafà ¨ could provide its customers a pleasant atmosphere wherein friends and families could meet for a fresh cup of good quality coffee experiences.

Position Paper on Achilles (As the Hero) Essay Example | Topics and Well Written Essays - 1250 words

Position Paper on Achilles (As the Hero) - Essay Example In Greek mythology honor meant courage, integrity in ones belief and actions and honesty of intent. Achilles fulfills all of them whereas we see that Hector is unable to stand his ground in trying to fight for his people. In book 22, Hector was the single Trojan left outside Troy. His father, Priam, stands guard observing the battleground from the Trojan fortifications. He pleads with Hector to come inside. We then see that Hector contemplates finding a less damaging solution by giving over Helen of troy, who was the fountainhead of the war, and with her the treasures that Alexandrus bought, in order to settle with Achilles. But he still stands guard deciding that Achilles would not be merciful. However, the sight of Achilles at the gates struck fear in the heart of Hector who fled with Achilles in hot pursuit. Hector runs the length of troy thrice, trying to rid himself of Achilles. Meanwhile in Olympus Zeus, watched this chase and pitied the noble Hector who had ‘burned many a heifer’ in his honor and considers saving him. Minerva (Athena) then flares up saying that if her father wishes to alter the prophesied fate of Hector then she would not be of mind with him. In response to Athena’s disapproval, Zeus urges her to descent from Olympus and fulfill Hectors predefined fate. Then at last as the two warriors were approaching the fountains of Troy for the fourth Troy, Zeus balanced his golden scales and placed on each end the fate of Achilles and Hector, whereby Hectors scale fell into the depths of Hades. We witness then that Athena goes to Achilles relays news of his upcoming victory and informs him of her plan to trick Hector. Athena then appears near Hector disguised as Deiphobus and convinces Hector to face Achilles with Deiphobus by Hectors side. When Hector finally faces Achilles he pledges not to mistreat his body if Achilles is slain and return it to the Achaeans, in turn for a return favor incase Hector meets his end. Achilles refu ses to bind himself in any such pledges and tried to strike his spear at Hector. But Hector managed to avoid it. In retaliation Hector, with remarkable aim, hurls his spear at Achilles but it bounces off his armor. When Hector turns to Deiphobus to ask for another spear he finds that his brother has disappeared and then it dawns on him that Minerva has tricked him to his doom. Hector, nevertheless, wants to die a glorious death and swoops upon Achilles with a sword. Achilles moves forward for an attack as well and having spotted the exposed collarbone of Hector through the armor he pierces his neck. As the last breathe leaves him Hector asks for his body to be sent to his parents instead of being devoured at the banks of the Achaen ships but Achilles does not honor his request and ridicules him. Following this the Achaen soldiers wounded the body of Hector and his body was then dragged in dirt by the chariot of Achilles. The city mourns for their hero as Hectors father, mother and w ife go manic with grief. An example of a show of honor is when Achilles shows immense resolve and righteousness for his cause as Hector nears his end. While Hector lay bleeding, he tries to entice Achilles with promises of gold and treasure if Achilles would return Hectors body to his people. Earlier when Hector asks Achilles to deliver his body to his city if he dies, he replies: â€Å"Hector stop! You unforgivable you †¦ don’t talk to me of pacts. There are no binding oaths between men and lions –

Assign 1) Chpt 6 & 7 Assign 2) Soci DB Essay Example | Topics and Well Written Essays - 500 words

Assign 1) Chpt 6 & 7 Assign 2) Soci DB - Essay Example In the turn of old age or physical weakness, the spouse must be able to take hold of that responsibility of taking care of his or her partner, and it is only in that way that they can justify what long-term relationship means. Commitment has a particular role to play in long-term relationships. In an episode about marriage in the Oprah Show, there was one thing that she told her guests that really struck me. Oprah said that you will not be in love everyday in the entire course of your marriage and it takes your choice and effort to be in love. This is true about intimacy in long term relationships. This kind is not limited to heterogeneous relationships, because human emotions do not know any gender. What the heart feels is just the way it is, but the relationship existing between the couple, whatever their genders are, is universal. Long term relationships cannot stand with love alone, as love has the tendency to outgrow and consequently ending the emotion. Whereas if a long term-re lationship would rest in commitment, responsibility, acceptance, and respect, there is more chance for love to grow.

Mythology Essay Example | Topics and Well Written Essays - 1500 words

Mythology - Essay Example MYTHOLOGY The world of mythology is interconnected with heroism and supernatural elements. Within this context, the stages of development in a hero’s life (departure, initiation and return), put forth by Joseph Campbell in the work The Hero with A Thousand Faces is noteworthy. One can see that the Godfather films (The Godfather, The Godfather Part II, and The Godfather Part III), by Francis Ford Coppola, belong to gangster film genre. The protagonist’s (Michael Corleone) transformation from a young man who hates gangster life to a gangster and later to an elderly individual who seeks redemption is beautifully portrayed by the director. Thesis statement: The portrayal of the character Michael Corleone from The Godfather films by Francis Ford Coppola proves that the same is according to the stages (departure, initiation and return) in the journey of a hero, put forth by Joseph Campbell in the work The Hero with A Thousand Faces (Special references to the films: The Godfat her, The Godfather Part II, and The Godfather Part III). The main stages in Joseph Campbell’s The Hero with A Thousand Faces According to Joseph Campbell, there is number of stages within the hero’s expedition or journey. All the heroes do not undergo all these stages, but the three stages (say, departure (past life), initiation (adventurous life) and return (return to motherland)) are most important. Seaward (2004), states that â€Å"The template of the hero’s journey involves three distinct stages: (1) the departure, (2) initiation, and (3) the return home† (p. 52). The first stage or departure helps the readers to have deep understanding on the hero’s adventurous life because this stage describes the hero’ adventurous in the past life. Moreover, this stage provides ample importance to the concept of heroism which can be generalized to the broader context of mythology. The second stage or initiation portrays the hero’s travel to the unknown world and adventures. This stage is important because it reflects the hero’s growth and development to a fully fledged hero, who is ready to face dangerous situations without fear. This stage is applicable to most of the conventional heroes because adventure is helpful to portray heroism. The problems faced by the hero during his travel to the unknown world are helpful to maintain the suspense of the whole story. The third and final stage is return, which portrays the hero’s return to his motherland. In this stage, the hero returns with immense power gained from the hardships faced during the journey. This stage is helpful for the hero to establish his victory over the evil. All these stages are again divided into sub-stages, but the essence of the hero’s growth and development is limited to the context of the foretold three stages. Michael Corleone and stages put forth by Joseph Campbell The plots of the three Godfather films revolve around Michael Cor leone, the main character. Campbell (2008), states that â€Å"Many tales isolate and greatly enlarge upon one or two of the typical elements of the full cycle (test motif, flight motif,

Role of Persuasion in Advertising Essay Example | Topics and Well Written Essays - 3750 words - 1

Role of Persuasion in Advertising - Essay Example According to the research findings, it can, therefore, be said that it needs to be very targeted, precise and significant for them in order for them to take notice and understand that the particular brand connects with them in the best and easiest of manners possible and hence they should be the ones to buy it for themselves and for this reason satisfy their need or even please themselves more than they had already expected. It is a sure tough job for the people who have to extract the perfect message which needs to be sharpened again and again before it actually gets down to the right kind of people who will make the actual purchase and therefore the product will be sold in the end. However, on the flip side of the coin, this requires selling the product or the brand in the mind of the consumer before he actually decides to go and buy the very same. This is referred as the pre-selling stage and advertising has got a lot to do with it. Psychologically speaking, consumers connect with what is there on the electronic and/or print media for them in the form of a message that says a lot about their preferred brand and lists down the details as to how it could benefit the same person if he or she uses it. Advertising is the non-personal communication of information usually paid for and usually persuasive in nature about products, services or ideas by identified sponsors through the various media. This is all the art of selling and it comes under the heading of marketing and for marketing to happen in the first place, advertising is of fundamental importance. Without advertising, marketers can only think of their product lying on the retail outlets waiting for angels to come and satisfy themselves. People need to be told the plus points of their brands (by the company) so that they actually go out and make the eventual purchase which in all fairness, not an easy job for the company, say that is producing a shoe polish which does not stick on to the shoes as much as d o the other competitor shoe polishes already available in the market.

Fast food industry Essay Example for Free

Fast food industry Essay Fast food industry has been in existence for the past years. The growing popularity of the industry gave way for many businessmen to put up many branches or chains in different parts of the country. This leads to the birth of fast food chains, by which Jollibee, McDonalds, KFC, Mang Inasal, Chowking, WOK Express and Greenwich are few examples. People prefer to go into fast food chains not just because of their food preference but because they serve their customer in a quick manner. Since their products are in demand to the customers, they need to maintain a specific level of inventory in order to respond to the needs of their customers. Because of the unpredictable demand of customers, management of fast food chains is struck in a dilemma of ordering the right level of their raw materials for production. That is why it is important that fast food chains know the policies in determining their inventory level or size. The size of inventory stocked by fast food chains depends on forecasted requirements and product popularity as demanded. Inventory shortage or erratic delivery of ingredients for production can prevent the manufacturer from completion of its finished products. The importance of the study includes knowing if low or high level of inventory will have great effects on production of fast food industry. Studying the inventory levels of fast food chains and their effects on production will allow the researchers to venture more into the depth of the inventory process of each business.

Metaphysics Essay Example for Free

Metaphysics Essay Plato vs. Freud on Metaphysics Plato and Freud have made great strides in their respective fields of study. Both men have made a lasting impact on the way we now as humans view the world that we live in. Plato and Freud have similarities in views that they share but they also have some differences metaphysically. Plato believes that what is ultimately real are ideas, he believes that images are imperfect representations of the perfect concepts. While Freud believes what is physically real is by the evolution of man. Freud ultimately puts his faith in what he can see and analyze in front of him instead of what he cannot. Freud developed a â€Å"talking cure† which he would let the hysterical patient talk freely about the earliest occurrences which would then entirely eliminate the patient’s symptoms.†Ã¢â‚¬ ¦developed the idea that many neuroses (phobias, hysterical paralysis and pains, some forms of paranoia, and so forth) had their origins in deeply traumatic experiences, which had occurred in the patient’s past but which were now forgotten–hidden from consciousness. The treatment was to enable the patient to recall the experience to consciousness, to confront it in a deep way both intellectually and emotionally, and in thus discharging it, to remove the underlying psychological causes of the neurotic symptoms.† Plato answers the question of metaphysics by saying of ideas and ideal forms and Freud answers the metaphysical question through his belief in hu man nature. For Plato what is ultimately real are ideas and Ideal forms. Plato believes that the object was constantly changing so the ideal form is what was ultimately real. Everything in existence has a form of perfection for itself. All things in the physical world work in their existence to approach their perfection. An object, living or dead, always works in some way or another to meet its nature. For example, if you have a brand new table in your house the brand new table itself is not perfect. It is not perfect because the table itself is in a constant state of change. There is however a perfect ideal form of the table that does not change. â€Å"It is most of all from Plato that we get the theory of Forms, according to which the world we know through the senses is only an imitation of the pure, eternal, and unchanging world of the Forms.† While on the other hand Freud believes ultimately what is real is physical matter the whole universe is in evolution, which means he believes in no God or Gods. He concludes that all religious beliefs are illusions that have little proof. Freud also believed that the evolution that man had endured from the beginning to where he stood presently is what is ultimately real. â€Å"The psychoanalyst Sigmund Freud, whose practice began in 1885, believed that each person’s subconscious mind was fraught with desires stemming from earlier phases of evolution. These desires, suppressed by modern society, accounted for much of neurotic behavior. Likewise, an individual’s personality was at least partially determined by heredity.† Freud believes that evolution plays a very pressing role in the lives of humans and that is what is real in the world. Further, what is ultimately real about humans is that man is the highest and most complex of all living creatures whose personali ty is composed of three interacting parts—the Id, the Ego and the Super-ego. The Id (or it) part of the psyche is the primitive instinctive component of personality. It consists of all of the inherited biological components of personality including the sex life. The Id is impulsive and unconscious and responds immediately to the instincts of human beings. The personality of a newborn child is all id and later it starts to develop ego and superego. The ego develops in order to mediate between the unrealistic id and the external real world. It is the decision-making component of personality. The ego only satisfies the id on the realistic terms sometimes compromises to avoid negative consequences of society. The superego incorporates the values and morals of society, which are learned from ones parents and others. It develops around the age of 3 – 5 during the phallic stage of psychosexual development. Through all of these different stages in personally there are some check and balance stages that go along with stages. For example if the id wants somethin g that is wrong and the ego lets the person have such thing, guilt can come into play. â€Å"The superego consists of two systems: The conscience and the ideal self. The conscience can punish the ego through causing feelings of guilt. For example, if the ego gives in to id demands, the superego may make the person feel bad though guilt.† Freud and Plato have made great strides in influencing the world after their work in their respective fields was completed. Freud has influenced many great psychologists after him and Plato has done the same in his respective field of philosophy. Freud influenced the minds such as: Anna Freud, Melanie Klein, Karen Horney, Alfred Alder, Erik Erikson, and Carl Jung. Freud’s influences in his field were great toward the constant search for a deeper analysis of how the mind works. â€Å"His work supported the belief that not all mental illnesses have physiological causes and he also offered evidence that cultural differences have an impact on psychology and behavior. His work and writings contributed to our understanding of personality, clinical psychology, human development and abnormal psychology.† Plato as well left a lasting impression on philosophers after him. He gave great insight to know the world around him works and functions. Plato’s ideas were used to jus tify some religions and certain academic subjects. Plato gave a lot to the teachers and scholars after him. â€Å"In his lifetime he was the most celebrated teacher of his day. After his death his ideas were taken up by countless other thinkers. Philo of Alexandria used Platos ideas to give a philosophical framework to Judaism. Early Christian writers eagerly embraced Platos thought as the best available instrument for explaining and defending the teachings of the Bible and church tradition. Of the Christian Platonists, St. Augustine of Hippo was the best known and most influential. Platos influence spread into Islam as well, through the writings of the philosophers Avicenna and Averroes.† Freud and Plato are not just polar opposites they have things in common as well. They both thought that trouble in the human soul/mind arises when the three parts dont work in harmony with each other. Plato thought that the key to such harmonious relationship was to yield control to the rat ional soul; after all, he was the founder of the rationalist program in philosophy. Freud, on the other hand, concentrated on dealing with the id by means of psychoanalytical techniques. The difference of these men is clearly seen but they also have ideas that intertwine them. Plato thought the human soul, which we now call the mind, was made up of three parts: appetitive, rational, and the spiritual soul. Freud in turn in his career built a system around Plato’s comparable ideas. The system was: id similar to the appetitive soul, ego similar to the rational soul, and superego similar to the spiritual soul. Both men have given the world a foundation to build upon and expand their theories. References Brickhouse, Thomas, and Nicolas D. Smith. Internet Encyclopedia of Philosophy. Plato []. N.p., n.d. Web. 27 Feb. 2014. Thornton, Stephen P. Internet Encyclopedia of Philosophy. Freud, Sigmund []. N.p., n.d. Web. 27 Feb. 2014. KR, Holmes. Result Filters. National Center for Biotechnology Information. U.S. National Library of Medicine, n.d. Web. 27 Feb. 2014. Lorenz, Hendrik. Ancient Theories of Soul. Stanford University. Stanford University, 23 Oct. 2003. Web. 27 Feb. 2014.

Efficacy of Oral Exfoliative Cytology in Diabetes Mellitus

Efficacy of Oral Exfoliative Cytology in Diabetes Mellitus EFFICACY OF ORAL EXFOLIATIVE CYTOLOGY IN DIABETES MELLITUS PATIENTS-A LIGHT MICROSCOPIC CONFOCAL MICROSCOPIC STUDY Abstract Introduction: Diabetes Mellitus has become a global problem. By monitoring the health status of these individuals, diabetic complications leading to morbidity can be prevented. Aim: We aimed to analyze alterations in the morphology and cytomorphometry of buccal epithelial cells of Type 2 Diabetes Mellitus patients using oral exfoliative cytology technique and determine its importance in public health screening, diagnosis and monitoring of diabetes mellitus. Material Methods: The study was carried out in 100 Type 2 Diabetes Mellitus patients and 30 healthy individuals. Smears were taken from the right buccal mucosa and stained by the Papanicolaou technique. Staining with Acridine orange was carried out to view qualitative changes with confocal laser scanning microscope (LSM-510 Meta).The cytomorphometry was evaluated using IMAGE PRO PLUS 5.5 software with Evolution L.C camera. All findings were statistically analyzed. Results: The results showed that with increase in fasting plasma glucose levels, there is significant increase in nuclear area, decrease in cytoplasmic area, and increase in nuclear cytoplasmic ratio (P Conclusion: In the present study, we found significant alterations in the cytomorphometry and cytomorphology of buccal epithelial cells of Type 2 Diabetes Mellitus patients. This study supports and extends the view that these cellular changes can alert the clinician to the possibility of diabetes and aid in monitoring of diabetes throughout the lifetime of the patient. Keywords: Confocal laser scanning microscope; Cytomorphometry; Diabetes mellitus; Oral exfoliative cytology. Introduction Diabetes mellitus (DM) is not a single disease entity but rather a group of metabolic disorders sharing the common underlying feature of hyperglycemia. Hyperglycemia results from defects in insulin secretion, insulin action or both. The chronic hyperglycemia and resultant metabolic deregulation of carbohydrate, fat and protein may be associated with secondary damage in multiple organ systems, especially the kidneys, eyes, nerves and blood vessels.1Recent estimates indicate that the number of people with DM in 2010 is 285 million and is expected to be 438 million in 2030. The global prevalence rate is 6.6% in 2010 and is expected to rise to 7.8% in 2030.2 India leads the world with largest number of diabetic subjects earning the dubious distinction of being termed the â€Å"diabetes capital of the world†. According to the Diabetes Atlas 2009 published by the International Diabetes Federation, the total number of people with diabetes in India is 50.8 million and is expected to rise to 87 million in 2030.3 It can no longer be considered a disease of affluent nation alone, it has become a global problem, a major epidemic of the twentieth century, and one which shows no sign of abating. 3 DM is the leading cause of end-stage renal disease, adult-onset blindness and traumatic lower extremity amputations. The prevalence of DM is increasing sharply in the developing world as more people adopt a sedentary lifestyle, with India and China being the largest contributors to the world’s diabetic load.2 Oral Exfoliative cytology is a relatively simple and non-invasive clinical technique which has the potential to be developed as a routine investigation for screening of DM. It can be used chair-side during routine dental examination.4The various alterations in the cytomorphology of the oral mucosa in diabetes and characterization of these changes give clinicians a more accurate image of what really happens during diabetes. So in our study, the cytomorphometric and cytomorphologic changes were compared according to the different glucose levels of diabetes. In addition to light microscope, we used confocal laser scanning microscope, to ascertain the various cytomorphologic changes seen under light microscope. It is possible that the degree of cellular change depends on the progression of diabetes. Hence the present study was undertaken as this research area has received little attention to date. Materials Methods Selection of subjects: The study was carried out in Type 2 DM patients attending the diabetic outpatient department of General Medicine of Sri Ramachandra University, Chennai, India. These patients were under regular monitoring of blood sugar levels and subsequent treatment. The experimental group included 100 Type 2 DM patients and the control group consisted of 30 healthy individuals free of any systemic diseases with clinically normal oral mucosa. Study groups: The entire study sample was grouped for statistical analysis, based on the recent Fasting Plasma Glucose (FPG) levels as follows: Group I: FPG 110-150mg/dl; Group II: FPG 150-200mg/dl; Group III: FPG >200mg/dl; Control: FPGExclusion criteria: Individuals with habit of tobacco use in any form, habitual alcohol intake, any other systemic illness, clinically evident nutritional deficiencies like anemia, presence of oral sepsis were excluded from the study. After selection of the patient, informed consent was obtained and the p rocedure was carried out. In addition, the biochemical hematological measurements were carried out to exclude anemia other systemic disease. Smear collection and preparation: Patients were asked to rinse their mouth to remove any debris. Following this, with a gentle scraping motion, cells were scraped from clinically normal appearing right buccal mucosa. The scrapings were then evenly smeared onto the glass slide and immersed in 95% isopropyl alcohol in a coplin jar, for half an hour. Staining technique: Smears from all the samples were stained by the Papanicolaou technique (PAP).For few samples two smears were taken from the same site, one stained using PAP and other using Acridine orange(AO), a fluorescent dye, to view with confocal laser scanning microscope. In cases with very high plasma glucose levels smear was stained with Periodic Acid Schiff (PAS) technique to assess presence of candida. Cytomorphometric assessment: The cytomorphometric analysis was done using IMAGE PRO PLUS 5.5 software with Evolution L.C camera. In each of the PAP stained slide, ten fields were chosen by systematic sampling in a step wise manner, moving from left to right and then down and across in order to avoid measuring the same cells again. Cells with clearly defined cellular outlines were only chosen those that were clumped, overlapped or folded were excluded for analysis. The cells were projected on to the monitor via the camera at 40x magnification and images were captured. In the software main menu, the function ‘Measurement mode’ was selected and the icon specifying ‘polygon’ was enabled to analyze the area of interest. The nuclear area (NA) and cytoplasmic area (CA) were obtained by drawing around the nuclear and cell boundaries using the cursor. The areas were recorded in square microns. The nuclear cytoplasmic ratio (N/C) was calculated for all the cells. The various parameters calculated were by the Image analysis software thereby reducing the subjective error. Cytomorphologic assessment: The PAP PAS stained slides were viewed under light microscope whereas the AO stained slides were viewed under confocal laser scanning microscope (LSM-510 meta).Morphologic assessment included inflammatory component, cell degeneration, micronuclei, binucleation, intracytoplasmic inclusion, candida, keratinization, intracytoplasmic microorganisms any other changes. Results On comparison of the cytomorphometry between the various study groups, the results showed a significant increase in the NA N/C ratio (p Discussion DM has become a global problem. It is not a disease but a metabolic disorder. Early detection and subsequent monitoring of this disorder will definitely improve the health of individuals suffering from diabetes. By monitoring the health status of the individuals, diabetic complications leading to morbidity can be prevented, thus producing a healthy society. In the present study we aimed to analyze alterations in the morphology and cytomorphometry of buccal mucosal cells of Type 2 diabetics using exfoliative cytology technique and determine its importance in public health screening and monitoring of DM. The study showed a significant steady increase in NA with increase in blood sugar level (Figure1) from control group (Mean NA-51.03 µm2) to the diabetic Group III (Mean NA-81.21  µm2). This finding concurs with other previously reported studies who reported a significant increase in NA in diabetic patients.5-7 However all these studies did not categorize the patients based on the blood glucose levels. Similar studies using cytomorphometry have been done to analyze the effect of alcohol, tobacco, radiotherapy on buccal mucosa. 8-12 Nucleus contains the genomic DNA, histones and several proteins. The nuclear size can therefore be altered by change in the content of DNA or proteins. There is usually twice as much protein as DNA in a nucleus.13 Hyperglycemia induces a compensatory increase in insulin secretion which in turn causes increase in protein formation. Insulin has several mitogenic functions, including initiation of DNA synthesis in certain cells. These may account for the i ncrease in NA seen in diabetes patients.14 Our study revealed a decrease in CA with increase in blood sugar level i.e.GroupIII mean CA was 2270.63  µm 2 and control mean CA was 2771.6  µm2 (Figure1). This finding is contradictory to studies by Alberti et al 5 and Shareef et al6 who found that CA did not show any significant difference in diabetics and Hassan et al7 who reported a significant increase in CA. However this finding concurs with Prasad et al15 who reported increase in cell diameter and cytoplasmic diameter with increase in glycemic status. Ogden et al10 have reported a similar reduction in cell diameter in patients with habit of alcoholism. The reduction in CA in our study could be due to the dehydrated condition of the diabetics. Increased blood glucose causes dehydration, polyuria polydipsia, intracellular extracellular dehydration. Glucose does not diffuse easily through the pores of the cell membrane causing an increase in osmotic pressure. This increase in osmotic pressure in extracellular fluid causes o smotic transfer of water out of the cells explaining the reduction in CA.16 The comparison of N/C ratio between control and experiment groups showed a steady increase in N/C ratio (from Control-0.0188 to Group III-0.0369) with increasing blood glucose levels(Figure1) .This may be due to a real increase in NA and decrease in CA in diabetic patients, rather than just a deviation from normal. This finding concurs with Rivera et al17 and Prasad et al15 who also reported increase in N/C ratio. In the qualitative changes we found that micronuclei (MN) was present in 44 cases which was statistically significant (p=0.018). MN are known biomarkers of genome damage and has been studied in buccal cell systems. They provide a convenient and reliable index of both chromosome breakage and chromosome loss.MN is found in cells that have completed nuclear division.MN was judged according to criteria by Tolbert et al. 18 Another biomarker of genome damage is nuclear bud formation which was also visualized but not statistically analyzed.16 The nuclear bud has the same morphology and staining properties as the nucleus, however, its diameter may range from a half to a quarter of that of the main nucleus. Hyperglycemia results in formation of Advanced Glycation End products (AGE), endothelial nitric oxide synthase uncoupling, activation of protein kinase C activation of polyol pathway. This in turn causes activation of reactive oxygen species which results in induction of oxidative stress . Oxidative stress is an imbalance between the production of reactive oxygen species and the biological systems ability to readily detoxify the reactive intermediates or to repair the resulting damage. The effects of oxidative stress depend upon the size of these changes, wherein a cell can overcome small perturbations and regain its original state. However, more severe oxidative stress can cause cell death and even moderate oxidation can trigger apoptosis, while more intense stresses may cause necrosis. Oxidative stress has been found to cause genomic damage in DM. 19 This supports the observation of MN in diabetic patients. Few other studies also showed increase in MN in lymphocyte cultures of type 2 diabetics.20, 21 This is the first reported study in which an attempt has been made to study qualitative changes of buccal smear using confocal microscopy. The use of fluorescence dye (Acridine Orange) and visualization under confocal laser scanning microscope enhanced the demonstration of nuclei and micronuclei. They also helped to avoid false positive results. Statistical analysis revealed that cell degeneration was present in 44 cases out of 100 cases. It was statistically significant (p=0.05) implying that increase in blood glucose level leads to oxidative stress and showed increase in degeneration and necrosis. The various qualitative changes included karyorrhexis, pyknosis, apoptosis chromatin abnormalities. Previous studies by Alberti et al5 Shareef et al6 also demonstrated qualitative changes of karyorrhexis. Another significant qualitative change found was the presence of keratinization. This finding is in accordance with an earlier study by Zimmermann et al22 who stated that endocrine dis orders like DM had increased keratinized cell count in the buccal mucosa. The increase in this keratinization may be a compensation for decreased salivary flow.5 Binucleation was present in 45 cases out of 100 but showed no statistically significant result. The significance of these binucleate cells is unknown, but they are probably indicative of failed cytokinesis following the last nuclear division in the basal cell layer. Studies by Alberti et al5 and Shareef et al6 also showed similar findings of binucleation. Increased number of polymorphonuclear leukocytes was observed in the experiment group than chronic inflammatory cells. Increase in inflammation could be due to decreased salivary flow found in diabetics owing to hypofunction of the salivary glands. Hassan et al7 in their study found that incidence of inflammation was higher in diabetic smears. Figure2 Figure3 shows the various qualitative changes viewed under light microscope and confocal microscope. Conclusion: From our study, we could conclude that diabetes produces significant alterations in the cytomorphometry and cytomorphology of buccal epithelial cells. The use of confocal laser scanning microscopy demonstrated qualitative changes with higher resolution and clarity and helped in reducing the possibility of recording false positive and/or false negative observations. Clinical significance: Exfoliative cytology is helpful in diabetic patients who have aversion and fear to needle pricks as it is painless and can be carried out regularly .The minimal time and ease of the procedure is beneficial in mass screening and public health awareness programme. They also aid in monitoring of diabetes mellitus throughout the lifetime of the patient, thereby decreasing the morbidity and preventing long term complications. Acknowledgements Authors would like to thank the Central Research Facility Department of General Medicine of Sri Ramachandra University, Chennai. We would also like to thank the lab assistant Department of Oral pathology and statistician for their valuable help in the study. No conflict of interest. No source of funding.

Reflection Upon A Critical Incident Essay -- Reflective Practice Nursi

Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue their professional development throughout their careers (Jasper, 2006). In keeping within current legislation on the protection and respect of an individuals’ right of anonymity, (Polit and Beck 2007), and to confidentiality, (Munhall 2007), any and all possible identifiable characteristics of the client have either been altered or omitted entirely where the potential for identification of the client was seen as possible or probable. The incident I will describe occurred when I was working in a regional hospital where we handled a large number of cases each year, with a range of specialties. The incident concerns ventilator-associated pneumonia and the use of CASS. John Baptiste Moliere stated "It is not only what we do, but also what we do not do, for which we are accountable.(Von Wartburg, 1991)† Accountability is being able to give reason to something that was done and to take responsibility for any errors made. Professional nurses are accountable in several areas including accountability to the public, client, profession, employer and self (Hood, 2013, p. 307). The public is aware that they have the right to receive the best care possible by professionals in the medical field (Hood, 2013, p. 307). Nurses must be competent in their abilities to provide safe effective care to their pa... ...Clin Infectious Disease 2010 Aug 1;51 Suppl 1:S59-66. doi: 10.1086/653051. Cawley M. (2007) Mechanical ventilation: a tutorial for pharmacists. harmacotherapy. 2007 Feb;27(2):250-66. http://www.ncbi.nlm.nih.gov/pubmed/17253915 Hood, L. (2013) Leddy & Pepper's Conceptual Bases of Professional Nursing. Lippincott Williams & Wilkins 2013 Von Wartburg, Walter. (1991) How to Lead with Genius: Words of Wisdom for the Common Sense Manager. Jasper, M. (2006) Professional Development, Reflection and Decision-making (Vital Notes for Nurses), Wiley-Blackwell; 1 edition 15 Nov 2006 Munhall, P. (2007) Nursing research: A qualitative perspective. 4th Ed. Jones and Bartlett Publishers. Sudbury. p523. Polit, D., Beck, C. (2007) Nursing research: Generating and assessing evidence for nursing practice. 8th Ed. Lippincott Williams and Wilkins. Philadelphia. p180.

The Runaway Jury by John Grisham Essay -- Movie Runaway Jury Grisham E

The Runaway Jury by John Grisham Takes place in Biloxi, Mississippi. MAIN CHARACTERS Nicholas Easter – (real name is Jeff Kerr) Juror that was a plant on the jury. He and his girlfriend Marlee had money motives. Nicholas molded the jury from day one to vote his way. Marlee – (aka Claire Clement - real name is Gabrielle Brant) Nicholas Easter's accomplice on the outside of the courtroom. Rankin Fitch - Ran the show of high-priced lawyers and consultants for the defendant, Pynex (tobacco co.). Directed all the illegal proceedings going on outside the courtroom for the defendant. Durwood Cable - Head lawyer for the defendant team. Wendal Rohr – Plaintiff's, Mrs. Jacob Wood, head lawyer. Judge Frederick Harkin - the presiding justice for this case.   Ã‚  Ã‚  Ã‚  Ã‚  This story was about how two very smart and focused individuals who could manipulate a jury and the defense team in a multi-million dollar legal battle to receive a very large cash payment. The defense was Pynex, a tobacco company, and they had very deep pockets and were willing to pay for the correct verdict. A verdict for not guilty.   Ã‚  Ã‚  Ã‚  Ã‚  The story starts with the very laborious job of jury selection. The tobacco industry has on their payroll a man by the name of Rankin Fitch. Fitch foresees the selection of the lawyers and consultants. Fitch and the consultants foresee the selection of the jurors. Each perspective juror is investigated and watched. The defense as well as the plaintiffs want to secure a verdict so they only want jurors sympathetic to their side. Fitch along with Rohr, the plaintiff's lawyer, also had high priced detectives tailing perspective jurors. Anyone who was the least bit wrong for their cause had to be eliminated from the process.   Ã‚  Ã‚  Ã‚  Ã‚  One person both sides couldn't find any information on was Nicholas Easter. He seemed rather neutral which is good for both sides but not being able to find out his past made them nervous. Nicholas had covered his tracks rather well along with Marlee his accomplice. The two of them wanted Nicholas on that jury for personal as well as monetary reasons. Their hard work was paid off because Nicholas along with eleven other people was selected as the jurors.   Ã‚  Ã‚  Ã‚  Ã‚  The case had to do with Mr. Jacob Wood. He died in his early fifties from lung cancer. The plaintiff was trying to prove that the lung cancer was directly caused f... ...t she would double their money in days.   Ã‚  Ã‚  Ã‚  Ã‚  As Nicholas was swaying the jury towards a plaintiff verdict, Fitch was finding out about Marlee's true past. Her mother and father both died of lung cancer and they were heavy smokers. This was Marlee's pay back for her parent's deaths. She got money from Fitch who was the tobacco co. and then doubled it by playing with cigarette stocks. She then would really hit the tobacco co. where it hurts with a large verdict for the plaintiff. It would be a double bang.   Ã‚  Ã‚  Ã‚  Ã‚  The verdict came in, the jury found for the plaintiff $2 million in compensatory damages and $400 million in punitive damages. The vote was 9 to 3 in favor of the plaintiff. Nicholas slipped into the night and had a Learjet take him to Marlee.   Ã‚  Ã‚  Ã‚  Ã‚  Six weeks after the trial ended Marlee showed up where Fitch was eating lunch alone. She gave Fitch back the $10 million since she already made her money from using it in the stock market. She explained to him she was returning the money because it wasn't hers and that she did this for her parents. She told Fitch she would always be watching him and if they went to trial again she and Nicholas would be there in some way.

Greek Art - The Geometric Period, Classical Period, and Hellenistic Period :: Greek Art

Greek Art - The Geometric Period, Classical Period, and Hellenistic Period Over a period of time Greek art of the past has changed and evolved into what we value in todayà ­s society as true art and services as a blue print of our tomorrow. As we take a closer look at the Geometric Period and stroll up through the Hellenistic Period allow me to demonstrate the changes and point out how these transitions have served the elements of time. During the geometric period the Greeks style of vase painting was know as Proto-geometric because it was preceded and anticipated the Geometric style - was characterized by linear motifs, such as spirals, diamonds, and crosshatching, rather than the stylized plants, birds, and sea creatures characteristic of minoan vase painting. Artist of the geometric time period created decative funerary art to be placed at the tombs of there dead. These pieces were made of ceramic and created in the form of geometric shapes, hence the time period. One such piece is a vase from the Dipylon Cemetery, (750 BCE) its over-all shape is like that of a hemisphere supported by a cylinder. We also notice that the vase is divided into registers and here the humans are depicted as part of a narrative. The body of the deceased is placed on its side and set on what would appear to be a pedestal in the center of the top register. The form used to represent the human figures are somewhat abstract. For example triangles are used for the torsos, the head is a triangle in profile, round dots would stand in for the eyes and long thin rectangles would serve as arms. The figures have tiny waists, and long legs with bulging thigh and calf muscles. The abstract designs were painted with a clay slip and to still a page form the Egyptians, all the humans were shown as full-frontal or full-profile views that emphasize flat patterns and outline shapes. However unlike the Egyptian funerary art the Greeks focused on the survivors, not the fate of the dead. During this period it was customary to create vases that did not contain supernatural beings, nor made reference to the afterlife that might have provided solace for the bereaved. Another early piece that surfaced back in the late tenth century was the Centaur, half-human, half-horse.

Family Planning

Real Distinction between the Natural Family Planning to the Artificial Family Planning What is Family Planning? What are the differences between the Natural and Artificial Family Planning? Family planning  is the  planning  of when to have  children,  and the use of  birth control and other techniques to implement such plans. Other techniques commonly used include sexuality education,  prevention and management of  sexually transmitted infections, pre-conception counseling  and  management, and  infertility management.Family planning is sometimes used as a synonym for the use of  birth control, however, it often includes a wide variety of methods, and practices that are not birth control. It is most usually applied to a  female-male  couple who wish to limit the number of children they have and/or to control the timing of  pregnancy  (also known as  spacing children). Family planning may encompass  sterilization, as well as  abortion.Family plann ing services are defined as â€Å"educational, comprehensive medical or social activities which enable individuals, including minors, to determine freely the number and spacing of their children and to select the means by which this may be achieved. † Natural family planning  (NFP) comprises the  family planning  methods approved by the Roman Catholic Church. In accordance with the Church's teachings regarding  sexual behavior  in keeping with its philosophy of the dignity of the human person, NFP excludes the use of other methods of  birth control, which it refers to as â€Å"artificial contraception. Periodic  abstinence  is the only method deemed moral by the Church for avoiding pregnancy. When used to avoid pregnancy, NFP limits sexual intercourse to naturally infertile periods; portions of the  menstrual cycle, during pregnancy, and after  menopause. Various methods may be used to identify whether a woman is likely to be  fertile; this information may be used in attempts to either avoid or achieve pregnancy. There are three main types of NFP: the symptoms-based methods, the calendar-based methods, and the breastfeeding or  lactational amenorrhea method.Symptoms-based methods rely on biological signs of fertility, while calendar-based methods estimate the likelihood of fertility based on the length of past menstrual cycles. Clinical studies by the  Guttmacher Institute  found that periodic abstinence resulted in a 25. 3 percent failure under typical conditions, though it did not differentiate between symptom-based and calendar-based methods. Symptoms-based Some methods of NFP track biological signs of fertility. When used outside of the Catholic concept of NFP, these methods are often referred to simply as  fertility awareness-based methods  rather than NFP.The three primary signs of a woman's fertility are her  basal body temperature, her  cervical  mucus, and her cervical position. Computerized  fertility m onitors  may track basal body temperatures, hormonal levels in urine, changes in electrical resistance of a woman's saliva or a mixture of these symptoms. From these symptoms, a woman can learn to assess her fertility without use of a computerized device. Some systems use only cervical mucus to determine fertility. Two well-known mucus-only methods are the  Billings ovulation method  and the  Creighton Model Fertility Care System.If two or more signs are tracked, the method is referred to as a symptothermal method. Two popular symptothermal systems are taught by the  Couple to Couple League  and the Fertility Awareness Method (FAM) taught by  Toni Weschler. A study completed in Germany in 2007 found that the symptothermal method has a method effectiveness of 99. 6%. In Canada, the symptothermal method is taught by  SERENA Canada  which is an inter-denominational organization which has been developing the Symptothermal Method as a part of NFP since 1955.They are als o not specifically affiliated with the Roman Catholic Church. It is also taught by  Justisse Healthworks for Women, a pro-choice feminist organization that allows and supports women to combine other methods of birth control with their fertility awareness practice. A study by the World Health Organization involving 869 fertile women from Australia, India, Ireland, the Philippines, and El Salvador found that 93% could accurately interpret their body's signals regardless of education and culture. In a 36-month study of 5,752 women, the method was 99. 86% effective. Calendar-basedCalendar-based methods determine fertility based on a record of the length of previous menstrual cycles. They include the Rhythm Method and the Standard Days Method. The Standard Days method was developed and proven by the researchers at the Institute for Reproductive Health of Georgetown University. CycleBeads, unaffiliated with religious teachings, is a visual tool based on the Standard Days method. Accordi ng to the Institute of Reproductive Health, when used as birth control, CB has a 95% effectiveness rating. Computer programs are available to help track fertility on a calendar.Lactational amenorrhea The  lactational amenorrhea method  (LAM) is a method of avoiding pregnancy based on the natural  postpartum  infertility  that occurs when a woman is  amenorrheic  and fully  breastfeeding. The rules of the method help a woman identify and possibly lengthen her infertile period. A strict version of LAM is known as  ecological breastfeeding. Artificial Family Planning/Birth Control, also known as  contraception  and  fertility control, refers to methods or devices used to prevent  pregnancy. Planning and provision of birth control is called  family planning.Safe sex, such as the use of male or  female condoms, can also help prevent transmission of  sexually transmitted diseases. Contraceptive use in  developing countries has cut the number of  materna l deaths  by 44% (about 270,000 deaths averted in 2008) but could prevent 73% if the full demand for birth control were met. Because  teenage pregnancies  are at greater risk of adverse outcomes such as  preterm birth,  low birth weight and  infant mortality, adolescents need comprehensive  sex education  and access to reproductive health  services, including contraception.By lengthening the time between pregnancies, birth control can also improve adult women's delivery outcomes and the survival of their children. Effective birth control methods include  barriers  such as  condoms,  diaphragms, and the contraceptive sponge;  hormonal contraception  including  oral pills,  patches,  vaginal rings, and injectable contraceptives; and  intrauterine devices  (IUDs). Emergency contraception  can prevent pregnancy after unprotected sex. Long-acting reversible contraception  such as implants, IUDs, or vaginal rings are recommended to reduce  tee nage pregnancy.Sterilization  by means such as  vasectomy  and  tubal ligation  is permanent contraception. Some people regard  sexual abstinence  as birth control, but  abstinence-only sex education often increases teen pregnancies when offered without contraceptive education. Non-penetrative sex  and  oral sex  are also sometimes considered contraception. Birth control methods have been used since ancient times, but effective and safe methods only became available in the 20th century. For some people, contraception involves moral issues, and many cultures limit access to birth control due to the moral and political issues involved.About 222 million women who want to avoid pregnancy in developing countries are not using a modern contraception method. Birth control increases  economic growth  because of fewer dependent children, more women participating in the work force, and less consumption of scarce resources. Women's earnings, assets,  body mass index , and their children's schooling and body mass index all substantially improve with greater access to contraception. Methods of Artificial Family Planning Artificial Family Planning/Birth control includes  barrier methods,  hormonal contraception,  intrauterine devices  (IUDs), sterilization, and behavioral methods.Hormones can be  delivered by injection, by mouth (orally),  placed in the vagina, or implanted under the skin. The most common types of oral contraception include the  combined oral contraceptive pill  and the  progestogen-only pill. Methods are typically used before sex but  emergency contraception  is effective shortly after intercourse. Determining whether a woman with one or more illnesses, diseases, risk factors, or abnormalities can use a particular form of birth control is a complex medical question sometimes requiring a  pelvic examination  or medical tests.The  World Health Organization publishes a detailed list of medical eligibility criteria for each type of contraception. Birth control methods * An unrolled male  latex condom * A polyurethane  female condom * A  diaphragm  vaginal-cervical  barrier, in its case with a  quarter U. S. coin  to show scale * A  contraceptive sponge  set inside its open package * Three varieties of  birth control pills  in calendar oriented packaging * A transdermal contraceptive patch * A  Nuva Ring  vaginal ring * A hormonal  intrauterine device  (IUD) against a background showing placement in the  uterus *A copper IUD next to a dime  to show scale * A split dose of two emergency contraceptive pills (most morning after pills now only require one) Barrier Barrier contraceptives  are devices that attempt to prevent  pregnancy  by physically preventing  sperm  from entering the  uterus. They include: male  condoms,  female condoms,  cervical caps,  diaphragms, and  contraceptive sponges  with  spermicide. The condom is mos t commonly used during  sexual intercourse  to reduce the likelihood of  pregnancy  and of spreading  sexually transmitted diseases  (STDs—such as  gonorrhea,  syphilis, and  HIV).It is put on a man's erect  penis  and physically blocks ejaculated semen from entering the body of a sexual partner. Modern condoms are most often made from  latex, but some are made from other materials such as  polyurethane,  polyisoprene, or lamb intestine. A  female condom  is also available, most often made of  nitrile. Male condoms have the advantage of being inexpensive, easy to use, and having few side effects. Contraceptive sponges combine a barrier with spermicide. Like diaphragms, they are inserted vaginally prior to intercourse and must be placed over the  cervix  to be effective.Typical effectiveness during the first year of use is about 84% overall, and 68% among women who have already given birth. The sponge can be inserted up to 24 hours before intercourse and must be left in place for at least six hours afterward. Some people are allergic to spermicide used in the sponge. Women who use contraceptive sponges have an increased risk of  yeast infections  and  urinary tract infections. Leaving the sponge in for more than 30 hours can result in  toxic shock syndrome. Hormonal Hormonal contraceptives  inhibit  ovulation  and  fertilization.These include  oral pills,  subdermal  implants, and  injectable contraceptivesas well as the  patch,  hormonal IUDs  and the  vaginal ring. The most commonly used hormonal contraceptive is the  combined oral contraceptive pill—commonly known as â€Å"the pill†Ã¢â‚¬â€which includes a combination of an  estrogen  and a  progestin  (progestogen). There is also a progestin-only pill. Currently, hormonal contraceptives are available only for females. Combined hormonal contraceptives are associated with a slight increased cardiovascular risk , including a small increased risk of  venousand  arterial thrombosis. However, the benefits are greater than the risk.Oral contraceptives reduce the risk of  ovarian cancer  and  endometrial cancer  without increasing the risk for  breast cancer. They can lower body weight by reducing  water retention  (not loss of fat), and several are used to treat mild to moderate  acne. Between 2% and 10% of women of childbearing age experience emotional and physical symptoms associated with  premenstrual syndrome  (PMS) andpremenstrual dysphoric disorder  (PMDD). Combination hormonal contraceptives often ameliorate or effectively treat these problems and can effectively treat heavy menstrual bleeding and  dysmenorrhea  (painful menstruation) as well.Lower doses of estrogen required by vaginal administration (i. e. , from the vaginal ring or hormonal IUDs instead of the pill) may reduce the untoward side effects associated with higher oral doses such as breast tend erness,  nausea, and headache. Progestogen-only pills and intrauterine devices are not associated with an increased risk of thromboses and may be used by women with previous venous thrombosis, or hepatitis. In those with a history of arterial thrombosis, non-hormonal birth control should be used. Progestogen-only pills may improve menstrual symptoms such s  dysmenorrhea,  menorrhagia, premenstrual syndrome, and anemia, and are recommended for breast-feeding women because they do not affect lactation. Irregular bleeding can be a side effect of progestin-only methods, with about 20% of users reporting  amenorrhea  (often considered a benefit) and about 40% of women experiencing regular menstrual cycles, leaving the remaining 40% with irregular spotting or bleeding. Uncommon side effects of progestin-only pills, injections, and implants include headache, breast tenderness, mood effects, and  dysmenorrhea, but those symptoms often resolve with time.Newer progestins, such as drospirenone and desogestrel, minimize the  androgenic  side effects of their predecessors. Intrauterine devices The modern  intrauterine device  (IUD) is a small ‘T'-shaped birth control device, containing either copper or progesterone, which is inserted into the uterus. IUDs are a form of  long-acting reversible contraception, the most effective type of reversible birth control. As of 2002, IUDs were the most widely used form of reversible contraception, with nearly 160 million users worldwide. Evidence supports both effectiveness and safety in adolescents.Advantages of the copper IUD include its ability to provide  emergency contraception  up to five days after unprotected sex. It is the most effective form of emergency contraception available. It contains no hormones, so it can be used while breast feeding, and fertility returns quickly after removal. Disadvantages include the possibility of heavier menstrual periods and more painful cramps. Hormonal IUDs do not increase bleeding as copper-containing IUDs do. Rather, they reduce menstrual bleeding or stop menstruation altogether, and can be used as a treatment for  heavy periods.Levonorgestrel-releasing IUDs may be used during breastfeeding whether or not they also include copper. Sterilization Surgical sterilization  is available in the form of  tubal ligation  for women and  vasectomy  for men. There are no significant long term side effects and tubal ligation decreases the risk of  ovarian cancer. Some women regret such a decision: about 5% over 30 years, and about 20% under 30. Short term complications are less likely from a vasectomy than a tubal ligation. Neither method offers protection from  sexually transmitted nfections. Although sterilization is considered a permanent procedure, it is possible to attempt a  tubal reversal  to reconnect the  Fallopian tubes  in females or a  vasectomy reversal  to reconnect the  vasa deferentia  in males. The ra te of success depends on the original technique, tubal damage, and the person's age. Behavioral Behavioral methods involve  regulating the timing  or methods of intercourse to prevent introduction of sperm into the female reproductive tract, either altogether or when an egg may be present. ]LactationalFrom ancient times women have extended breastfeeding in an effort to avoid a new pregnancy. The  lactational amenorrhea method, or LAM, outlines guidelines for determining the length of a woman's period of breastfeeding infertility. For women who meet the criteria, LAM is highly effective during the first six months postpartum  if breastfeeding is the infant’s only (or almost only) source of nutrition. Feeding formula, pumping instead of nursing, and feeding solids all reduce the effectiveness of LAM. Fertility awarenessCalendar-based contraceptive methods  such as the discredited rhythm method and the  Standard Days Method  estimate the likelihood of fertility bas ed on the length of past menstrual cycles. To avoid pregnancy with fertility awareness, unprotected sex is restricted to a woman's least fertile period. During her most fertile period, barrier methods may be used, or she may abstain from intercourse. The term â€Å"natural family planning† (NFP) is sometimes used to refer to any use of fertility awareness methods. However, this term specifically refers to the practices that are permitted by the  Roman Catholic Church.The effectiveness of  fertility awareness-based methods of contraception is unknown because of the lack of completed standardized and controlled scientific trials. More effective than calendar-based methods, systems of fertility awareness that track basal body temperature, cervical mucus, or both, are known as symptoms-based methods. Teachers of symptoms-based methods take care to distance their systems from the poor reputation of the rhythm method. Many consider the rhythm method to have been obsolete for at least 20 years, and some even exclude calendar-based methods from their definition of fertility awareness.A  Cycle Beads  birth control chain, used for a rough estimate of fertility based on days since menstruation The  Standard Days Method  has a simpler rule set and is more effective than the rhythm method. The Standard Days Method has a typical failure rate of 12% per year. A product called  Cycle Beads  was developed alongside the method to help the user keep track of estimated high and low fertility points during her menstrual cycle. The Standard Days Method may only be used by women whose cycles are always between 26 and 32 days in length.In this system: * Days 1-7 of a woman's menstrual cycle are considered infertile * Days 8-19 are considered fertile; considered unsafe for unprotected intercourse * From Day 20, infertility is considered to resume Symptoms-based methods of fertility awareness involve a woman's observation and charting of her body's fertility sign s, to determine the fertile and infertile phases of her cycle. Charting may be done by hand or with the assistance of  fertility monitors. Most methods track one or more of the three primary fertility signs:  changes in  basal body temperature, in cervical mucus, and in cervical position.If a woman tracks both basal body temperature and another primary sign, the method is referred to as â€Å"symptothermal. † Other bodily cues such as  mittelschmerz  are considered secondary indicators. Unplanned pregnancy rates have been reported from 1% to 20% for typical users of the symptothermal method. Withdrawal Coitus interruptus  (literally â€Å"interrupted sexual intercourse†), also known as the withdrawal or pull-out method, is the practice of ending sexual intercourse (â€Å"pulling out†) before ejaculation.The main risk of coitus interruptus is that the man may not perform the maneuver correctly or in a timely manner. Despite older studies claiming that no sperm was found in preejaculatory penile secretion, a more recent study states that â€Å"41% [of subjects] produced pre-ejaculatory samples that contained spermatozoa and in 37% a reasonable proportion of the sperm was motile†. Abstinence Though some groups advocate total  sexual abstinence, by which they mean the avoidance of all sexual activity, in the context of birth control the term usually means abstinence from vaginally penetrative sexual activity.Abstinence is 100% effective in preventing pregnancy; however, not everyone who intends to be abstinent refrains from all sexual activity, and in many populations there is a significant risk of pregnancy from nonconsensual sex. Abstinence-only sex education  does not reduce  teen pregnancy. Teen pregnancy rates are higher in students given abstinence only education, compared to comprehensive sex education. Some authorities recommend that those using abstinence as a primary method have backup method(s) available (su ch as condoms or emergency contraceptive pills).Non-penetrative  and  oral sex will generally avoid pregnancy, but pregnancy can still occur with  Intercrural sex  and other forms of penis-near-vagina sex (genital rubbing, and the penis exiting from  anal intercourse) where semen can be deposited near the entrance to the vagina and can itself travel along the vagina's lubricating fluids. Emergency (after sex) Emergency contraceptives, or â€Å"morning-after pills,† are drugs taken after sexual intercourse intended to prevent pregnancy. Levonorgestrel  (progestin) pills, marketed as â€Å"Plan B† and â€Å"Next Choice,† are available without prescription (to women and men aged 17 and older in the U.S. ) to prevent pregnancy when used within 72 hours (3 days) after unprotected sex or condom failure. Ulipristal(â€Å"Ella†) is the newest emergency contraceptive, available by prescription only for use up to 120 hours (5 days) after unprotected sex , resulting in a pregnancy risk 42% lower than levonorgestrel up to 72 hours and 65% lower in the first 24 hours following sex. Providing morning after pills to women in advance does not affect sexually transmitted infection rates, condom use, pregnancy rates, or sexual risk-taking behavior. Pharmacists  are a major source of access to emergency contraception.Morning after pills have almost no health risk, no matter how often they are used. Copper T-shaped IUDs can also be used as emergency contraceptives. Copper IUDs can be inserted up to the time of implantation (6–12 days after ovulation) but are generally not inserted more than five days after unprotected sex. For every eight expected pregnancies, the use of levonorgestrel morning after pills will prevent seven. Ulipristal is about twice as effective as levonorgestrel. Copper IUDs are more than 99% effective in reducing pregnancy risk. Family Planning Real Distinction between the Natural Family Planning to the Artificial Family Planning What is Family Planning? What are the differences between the Natural and Artificial Family Planning? Family planning  is the  planning  of when to have  children,  and the use of  birth control and other techniques to implement such plans. Other techniques commonly used include sexuality education,  prevention and management of  sexually transmitted infections, pre-conception counseling  and  management, and  infertility management.Family planning is sometimes used as a synonym for the use of  birth control, however, it often includes a wide variety of methods, and practices that are not birth control. It is most usually applied to a  female-male  couple who wish to limit the number of children they have and/or to control the timing of  pregnancy  (also known as  spacing children). Family planning may encompass  sterilization, as well as  abortion.Family plann ing services are defined as â€Å"educational, comprehensive medical or social activities which enable individuals, including minors, to determine freely the number and spacing of their children and to select the means by which this may be achieved. † Natural family planning  (NFP) comprises the  family planning  methods approved by the Roman Catholic Church. In accordance with the Church's teachings regarding  sexual behavior  in keeping with its philosophy of the dignity of the human person, NFP excludes the use of other methods of  birth control, which it refers to as â€Å"artificial contraception. Periodic  abstinence  is the only method deemed moral by the Church for avoiding pregnancy. When used to avoid pregnancy, NFP limits sexual intercourse to naturally infertile periods; portions of the  menstrual cycle, during pregnancy, and after  menopause. Various methods may be used to identify whether a woman is likely to be  fertile; this information may be used in attempts to either avoid or achieve pregnancy. There are three main types of NFP: the symptoms-based methods, the calendar-based methods, and the breastfeeding or  lactational amenorrhea method.Symptoms-based methods rely on biological signs of fertility, while calendar-based methods estimate the likelihood of fertility based on the length of past menstrual cycles. Clinical studies by the  Guttmacher Institute  found that periodic abstinence resulted in a 25. 3 percent failure under typical conditions, though it did not differentiate between symptom-based and calendar-based methods. Symptoms-based Some methods of NFP track biological signs of fertility. When used outside of the Catholic concept of NFP, these methods are often referred to simply as  fertility awareness-based methods  rather than NFP.The three primary signs of a woman's fertility are her  basal body temperature, her  cervical  mucus, and her cervical position. Computerized  fertility m onitors  may track basal body temperatures, hormonal levels in urine, changes in electrical resistance of a woman's saliva or a mixture of these symptoms. From these symptoms, a woman can learn to assess her fertility without use of a computerized device. Some systems use only cervical mucus to determine fertility. Two well-known mucus-only methods are the  Billings ovulation method  and the  Creighton Model Fertility Care System.If two or more signs are tracked, the method is referred to as a symptothermal method. Two popular symptothermal systems are taught by the  Couple to Couple League  and the Fertility Awareness Method (FAM) taught by  Toni Weschler. A study completed in Germany in 2007 found that the symptothermal method has a method effectiveness of 99. 6%. In Canada, the symptothermal method is taught by  SERENA Canada  which is an inter-denominational organization which has been developing the Symptothermal Method as a part of NFP since 1955.They are als o not specifically affiliated with the Roman Catholic Church. It is also taught by  Justisse Healthworks for Women, a pro-choice feminist organization that allows and supports women to combine other methods of birth control with their fertility awareness practice. A study by the World Health Organization involving 869 fertile women from Australia, India, Ireland, the Philippines, and El Salvador found that 93% could accurately interpret their body's signals regardless of education and culture. In a 36-month study of 5,752 women, the method was 99. 86% effective. Calendar-basedCalendar-based methods determine fertility based on a record of the length of previous menstrual cycles. They include the Rhythm Method and the Standard Days Method. The Standard Days method was developed and proven by the researchers at the Institute for Reproductive Health of Georgetown University. CycleBeads, unaffiliated with religious teachings, is a visual tool based on the Standard Days method. Accordi ng to the Institute of Reproductive Health, when used as birth control, CB has a 95% effectiveness rating. Computer programs are available to help track fertility on a calendar.Lactational amenorrhea The  lactational amenorrhea method  (LAM) is a method of avoiding pregnancy based on the natural  postpartum  infertility  that occurs when a woman is  amenorrheic  and fully  breastfeeding. The rules of the method help a woman identify and possibly lengthen her infertile period. A strict version of LAM is known as  ecological breastfeeding. Artificial Family Planning/Birth Control, also known as  contraception  and  fertility control, refers to methods or devices used to prevent  pregnancy. Planning and provision of birth control is called  family planning.Safe sex, such as the use of male or  female condoms, can also help prevent transmission of  sexually transmitted diseases. Contraceptive use in  developing countries has cut the number of  materna l deaths  by 44% (about 270,000 deaths averted in 2008) but could prevent 73% if the full demand for birth control were met. Because  teenage pregnancies  are at greater risk of adverse outcomes such as  preterm birth,  low birth weight and  infant mortality, adolescents need comprehensive  sex education  and access to reproductive health  services, including contraception.By lengthening the time between pregnancies, birth control can also improve adult women's delivery outcomes and the survival of their children. Effective birth control methods include  barriers  such as  condoms,  diaphragms, and the contraceptive sponge;  hormonal contraception  including  oral pills,  patches,  vaginal rings, and injectable contraceptives; and  intrauterine devices  (IUDs). Emergency contraception  can prevent pregnancy after unprotected sex. Long-acting reversible contraception  such as implants, IUDs, or vaginal rings are recommended to reduce  tee nage pregnancy.Sterilization  by means such as  vasectomy  and  tubal ligation  is permanent contraception. Some people regard  sexual abstinence  as birth control, but  abstinence-only sex education often increases teen pregnancies when offered without contraceptive education. Non-penetrative sex  and  oral sex  are also sometimes considered contraception. Birth control methods have been used since ancient times, but effective and safe methods only became available in the 20th century. For some people, contraception involves moral issues, and many cultures limit access to birth control due to the moral and political issues involved.About 222 million women who want to avoid pregnancy in developing countries are not using a modern contraception method. Birth control increases  economic growth  because of fewer dependent children, more women participating in the work force, and less consumption of scarce resources. Women's earnings, assets,  body mass index , and their children's schooling and body mass index all substantially improve with greater access to contraception. Methods of Artificial Family Planning Artificial Family Planning/Birth control includes  barrier methods,  hormonal contraception,  intrauterine devices  (IUDs), sterilization, and behavioral methods.Hormones can be  delivered by injection, by mouth (orally),  placed in the vagina, or implanted under the skin. The most common types of oral contraception include the  combined oral contraceptive pill  and the  progestogen-only pill. Methods are typically used before sex but  emergency contraception  is effective shortly after intercourse. Determining whether a woman with one or more illnesses, diseases, risk factors, or abnormalities can use a particular form of birth control is a complex medical question sometimes requiring a  pelvic examination  or medical tests.The  World Health Organization publishes a detailed list of medical eligibility criteria for each type of contraception. Birth control methods * An unrolled male  latex condom * A polyurethane  female condom * A  diaphragm  vaginal-cervical  barrier, in its case with a  quarter U. S. coin  to show scale * A  contraceptive sponge  set inside its open package * Three varieties of  birth control pills  in calendar oriented packaging * A transdermal contraceptive patch * A  Nuva Ring  vaginal ring * A hormonal  intrauterine device  (IUD) against a background showing placement in the  uterus *A copper IUD next to a dime  to show scale * A split dose of two emergency contraceptive pills (most morning after pills now only require one) Barrier Barrier contraceptives  are devices that attempt to prevent  pregnancy  by physically preventing  sperm  from entering the  uterus. They include: male  condoms,  female condoms,  cervical caps,  diaphragms, and  contraceptive sponges  with  spermicide. The condom is mos t commonly used during  sexual intercourse  to reduce the likelihood of  pregnancy  and of spreading  sexually transmitted diseases  (STDs—such as  gonorrhea,  syphilis, and  HIV).It is put on a man's erect  penis  and physically blocks ejaculated semen from entering the body of a sexual partner. Modern condoms are most often made from  latex, but some are made from other materials such as  polyurethane,  polyisoprene, or lamb intestine. A  female condom  is also available, most often made of  nitrile. Male condoms have the advantage of being inexpensive, easy to use, and having few side effects. Contraceptive sponges combine a barrier with spermicide. Like diaphragms, they are inserted vaginally prior to intercourse and must be placed over the  cervix  to be effective.Typical effectiveness during the first year of use is about 84% overall, and 68% among women who have already given birth. The sponge can be inserted up to 24 hours before intercourse and must be left in place for at least six hours afterward. Some people are allergic to spermicide used in the sponge. Women who use contraceptive sponges have an increased risk of  yeast infections  and  urinary tract infections. Leaving the sponge in for more than 30 hours can result in  toxic shock syndrome. Hormonal Hormonal contraceptives  inhibit  ovulation  and  fertilization.These include  oral pills,  subdermal  implants, and  injectable contraceptivesas well as the  patch,  hormonal IUDs  and the  vaginal ring. The most commonly used hormonal contraceptive is the  combined oral contraceptive pill—commonly known as â€Å"the pill†Ã¢â‚¬â€which includes a combination of an  estrogen  and a  progestin  (progestogen). There is also a progestin-only pill. Currently, hormonal contraceptives are available only for females. Combined hormonal contraceptives are associated with a slight increased cardiovascular risk , including a small increased risk of  venousand  arterial thrombosis. However, the benefits are greater than the risk.Oral contraceptives reduce the risk of  ovarian cancer  and  endometrial cancer  without increasing the risk for  breast cancer. They can lower body weight by reducing  water retention  (not loss of fat), and several are used to treat mild to moderate  acne. Between 2% and 10% of women of childbearing age experience emotional and physical symptoms associated with  premenstrual syndrome  (PMS) andpremenstrual dysphoric disorder  (PMDD). Combination hormonal contraceptives often ameliorate or effectively treat these problems and can effectively treat heavy menstrual bleeding and  dysmenorrhea  (painful menstruation) as well.Lower doses of estrogen required by vaginal administration (i. e. , from the vaginal ring or hormonal IUDs instead of the pill) may reduce the untoward side effects associated with higher oral doses such as breast tend erness,  nausea, and headache. Progestogen-only pills and intrauterine devices are not associated with an increased risk of thromboses and may be used by women with previous venous thrombosis, or hepatitis. In those with a history of arterial thrombosis, non-hormonal birth control should be used. Progestogen-only pills may improve menstrual symptoms such s  dysmenorrhea,  menorrhagia, premenstrual syndrome, and anemia, and are recommended for breast-feeding women because they do not affect lactation. Irregular bleeding can be a side effect of progestin-only methods, with about 20% of users reporting  amenorrhea  (often considered a benefit) and about 40% of women experiencing regular menstrual cycles, leaving the remaining 40% with irregular spotting or bleeding. Uncommon side effects of progestin-only pills, injections, and implants include headache, breast tenderness, mood effects, and  dysmenorrhea, but those symptoms often resolve with time.Newer progestins, such as drospirenone and desogestrel, minimize the  androgenic  side effects of their predecessors. Intrauterine devices The modern  intrauterine device  (IUD) is a small ‘T'-shaped birth control device, containing either copper or progesterone, which is inserted into the uterus. IUDs are a form of  long-acting reversible contraception, the most effective type of reversible birth control. As of 2002, IUDs were the most widely used form of reversible contraception, with nearly 160 million users worldwide. Evidence supports both effectiveness and safety in adolescents.Advantages of the copper IUD include its ability to provide  emergency contraception  up to five days after unprotected sex. It is the most effective form of emergency contraception available. It contains no hormones, so it can be used while breast feeding, and fertility returns quickly after removal. Disadvantages include the possibility of heavier menstrual periods and more painful cramps. Hormonal IUDs do not increase bleeding as copper-containing IUDs do. Rather, they reduce menstrual bleeding or stop menstruation altogether, and can be used as a treatment for  heavy periods.Levonorgestrel-releasing IUDs may be used during breastfeeding whether or not they also include copper. Sterilization Surgical sterilization  is available in the form of  tubal ligation  for women and  vasectomy  for men. There are no significant long term side effects and tubal ligation decreases the risk of  ovarian cancer. Some women regret such a decision: about 5% over 30 years, and about 20% under 30. Short term complications are less likely from a vasectomy than a tubal ligation. Neither method offers protection from  sexually transmitted nfections. Although sterilization is considered a permanent procedure, it is possible to attempt a  tubal reversal  to reconnect the  Fallopian tubes  in females or a  vasectomy reversal  to reconnect the  vasa deferentia  in males. The ra te of success depends on the original technique, tubal damage, and the person's age. Behavioral Behavioral methods involve  regulating the timing  or methods of intercourse to prevent introduction of sperm into the female reproductive tract, either altogether or when an egg may be present. ]LactationalFrom ancient times women have extended breastfeeding in an effort to avoid a new pregnancy. The  lactational amenorrhea method, or LAM, outlines guidelines for determining the length of a woman's period of breastfeeding infertility. For women who meet the criteria, LAM is highly effective during the first six months postpartum  if breastfeeding is the infant’s only (or almost only) source of nutrition. Feeding formula, pumping instead of nursing, and feeding solids all reduce the effectiveness of LAM. Fertility awarenessCalendar-based contraceptive methods  such as the discredited rhythm method and the  Standard Days Method  estimate the likelihood of fertility bas ed on the length of past menstrual cycles. To avoid pregnancy with fertility awareness, unprotected sex is restricted to a woman's least fertile period. During her most fertile period, barrier methods may be used, or she may abstain from intercourse. The term â€Å"natural family planning† (NFP) is sometimes used to refer to any use of fertility awareness methods. However, this term specifically refers to the practices that are permitted by the  Roman Catholic Church.The effectiveness of  fertility awareness-based methods of contraception is unknown because of the lack of completed standardized and controlled scientific trials. More effective than calendar-based methods, systems of fertility awareness that track basal body temperature, cervical mucus, or both, are known as symptoms-based methods. Teachers of symptoms-based methods take care to distance their systems from the poor reputation of the rhythm method. Many consider the rhythm method to have been obsolete for at least 20 years, and some even exclude calendar-based methods from their definition of fertility awareness.A  Cycle Beads  birth control chain, used for a rough estimate of fertility based on days since menstruation The  Standard Days Method  has a simpler rule set and is more effective than the rhythm method. The Standard Days Method has a typical failure rate of 12% per year. A product called  Cycle Beads  was developed alongside the method to help the user keep track of estimated high and low fertility points during her menstrual cycle. The Standard Days Method may only be used by women whose cycles are always between 26 and 32 days in length.In this system: * Days 1-7 of a woman's menstrual cycle are considered infertile * Days 8-19 are considered fertile; considered unsafe for unprotected intercourse * From Day 20, infertility is considered to resume Symptoms-based methods of fertility awareness involve a woman's observation and charting of her body's fertility sign s, to determine the fertile and infertile phases of her cycle. Charting may be done by hand or with the assistance of  fertility monitors. Most methods track one or more of the three primary fertility signs:  changes in  basal body temperature, in cervical mucus, and in cervical position.If a woman tracks both basal body temperature and another primary sign, the method is referred to as â€Å"symptothermal. † Other bodily cues such as  mittelschmerz  are considered secondary indicators. Unplanned pregnancy rates have been reported from 1% to 20% for typical users of the symptothermal method. Withdrawal Coitus interruptus  (literally â€Å"interrupted sexual intercourse†), also known as the withdrawal or pull-out method, is the practice of ending sexual intercourse (â€Å"pulling out†) before ejaculation.The main risk of coitus interruptus is that the man may not perform the maneuver correctly or in a timely manner. Despite older studies claiming that no sperm was found in preejaculatory penile secretion, a more recent study states that â€Å"41% [of subjects] produced pre-ejaculatory samples that contained spermatozoa and in 37% a reasonable proportion of the sperm was motile†. Abstinence Though some groups advocate total  sexual abstinence, by which they mean the avoidance of all sexual activity, in the context of birth control the term usually means abstinence from vaginally penetrative sexual activity.Abstinence is 100% effective in preventing pregnancy; however, not everyone who intends to be abstinent refrains from all sexual activity, and in many populations there is a significant risk of pregnancy from nonconsensual sex. Abstinence-only sex education  does not reduce  teen pregnancy. Teen pregnancy rates are higher in students given abstinence only education, compared to comprehensive sex education. Some authorities recommend that those using abstinence as a primary method have backup method(s) available (su ch as condoms or emergency contraceptive pills).Non-penetrative  and  oral sex will generally avoid pregnancy, but pregnancy can still occur with  Intercrural sex  and other forms of penis-near-vagina sex (genital rubbing, and the penis exiting from  anal intercourse) where semen can be deposited near the entrance to the vagina and can itself travel along the vagina's lubricating fluids. Emergency (after sex) Emergency contraceptives, or â€Å"morning-after pills,† are drugs taken after sexual intercourse intended to prevent pregnancy. Levonorgestrel  (progestin) pills, marketed as â€Å"Plan B† and â€Å"Next Choice,† are available without prescription (to women and men aged 17 and older in the U.S. ) to prevent pregnancy when used within 72 hours (3 days) after unprotected sex or condom failure. Ulipristal(â€Å"Ella†) is the newest emergency contraceptive, available by prescription only for use up to 120 hours (5 days) after unprotected sex , resulting in a pregnancy risk 42% lower than levonorgestrel up to 72 hours and 65% lower in the first 24 hours following sex. Providing morning after pills to women in advance does not affect sexually transmitted infection rates, condom use, pregnancy rates, or sexual risk-taking behavior. Pharmacists  are a major source of access to emergency contraception.Morning after pills have almost no health risk, no matter how often they are used. Copper T-shaped IUDs can also be used as emergency contraceptives. Copper IUDs can be inserted up to the time of implantation (6–12 days after ovulation) but are generally not inserted more than five days after unprotected sex. For every eight expected pregnancies, the use of levonorgestrel morning after pills will prevent seven. Ulipristal is about twice as effective as levonorgestrel. Copper IUDs are more than 99% effective in reducing pregnancy risk.