Saturday, October 26, 2019
Timothy Findley :: essays research papers
Biography of Author Timothy Findley Timothy Findley is a native of Toronto, Ontario. He was born in 1930 and grew up in the Rosedale district of Toronto. Growing up, Timothy Findley knew that he wanted to be an artist of some form. He studied dance and later acting, which had more success. While acting, he met one of his current life long friends; actress Ruth Gordon. Gordon convinced Findley that writing was his real talent and that he should pursue it further with more concentration. So findley gave up acting after his first short story was published in The Tamarack Review to concentrate on his writings. Findley had problems receiving recognition from his first two books, The Last of the Crazy People (1967) and The Butterfly Plague (1969). It was The Wars that gave Findley the recognition that he deserved; he received the Governor Generalââ¬â¢s Literary Award for this novel. In his early years of his writing career, Findley also wrote scripts for television, radio, and film. The most success of his film career cam e from the television series The Whiteoaks of Jalna, and The National Dream; for which he received an ACTRA award for co-writing with his partner, William Whitehead. After The Wars, Findley came out with six other popular novels, two collections of short stories and Inside Memory: Pages from a Writerââ¬â¢s Workbook (1990), a collection of articles, journal entries, and reminiscences. Findley has been very active in the writing community; he has helped to found the Writerââ¬â¢s Union of Canada and has served as its chairperson. He has also been President of the Canadian chapter of P.E.N. International, and is also active in Artists Against racism. In addition to this Findley has won many awards including the Canadian Authors Association Award, The Order of Ontario, The Ontario Trillium Award, and he has been appointed an Officer of the Order of Canada.
Thursday, October 24, 2019
A Conflict Case Study Analysis and Proposal
A destructive conflict was created by the parties involved in the case study 2 section 2 (Erbe, 2003) when they failed to recognize the sole purpose of a spiritual community. The spiritual community's sole purpose was to unite the members by leading them through a common belief and offering them any support they may require.The spiritual leader was charged with the responsibility of ensuring that the goals of the community were achieved. Instead of her using the powers bestowed to her to perform her role and the duties expected of her, she started to abuse these powers and instead of uniting the staff members and drawing them close to her, she scared them off. She started using her power to abuse and intimidate the subordinate staff in her office.This continued for such a long time that it became a ritual. It was in fact perceived that the spiritual leader's intention was to hurt those individuals she thought did not belong to her circle.The issue of a fired staff came at the time th e spiritual leader was also serving as the leader of the community. The spiritual leader's apparent abuse of power is said to have caused the occurrence of the incident.We can not conclusively say that the complaining group's accusations made against the leader are accurate as no face to face interview with the spiritual leader to get her side of the story and comment had yet been conducted. This implies that facts about the true motive behind the sacking of the staff member and whether bullying really is going on are still unknown.Besides, the complaining parties might be exaggerating in describing their accusations against the spiritual leader as there always is possibility of cognitive and perceptual distortions occurring where such issues are concerned. This calls for further investigation into the matter as it is necessary to establish the truth and also find out if the perceptual and distortion theories are present in the issue.It is important to note that the organization com prised of only women. However, the culture of the organization is more masculine than feminine. This is based on the on the way the leader executed her leadership responsibilities. Her expectations of the staff members were more rigid than what is normally expected of feminine organizations (Erbe, 2003).The leader created power and status, had matched experience to commanded attention and built ideas competitively which is characteristic of masculine organizations (Erbe. 2003). These leadership traits hence made the spiritual leader masculine as she did not exert the female leadership skills that are usually more dynamic.This caused her to conflict with the rest of the staff members as her version of leadership was not favourable with them (Erbe, 2003). Ã These differences in the way the leadership was handled caused the first phase of conflict which proceeded with time as in the escalating destructive conflict model created by Erbe.The conflict proceeded as members of the staff who were not in the leader's circle got scared of opposing her abuse and bullying. This resulted to repeated abuse by the leader as no one was able to stand up to her. This eventually triggered accumulation of ill feelings against the leader amongst the staff members.This was even made worse by the fact that the spiritual leader was not meeting the staff member's root expectation of her. Usually people expect spiritual leaders to be kind, fair, just and humane, this was however not so with this leader.The complaining group was later empowered when a law graduate entered the conflict and joined their side. She made them aware of heir legal rights which they did not know before. She explained to them that they could file a suite against the spiritual leader for abusing them.This was an empowerment to the complaining party as they got to know that there was a venue for them to air their grievances and concerns with the hope of getting help. More abuse from the leader were reported, for example there is an instance where she is said to have verbally abused a secretary who later went to seek counselling as she had been deeply hurt by the abuse.The peak of the conflict was experienced when one of the staff members was found with a gun. Violence which is known to be the ultimate manifestation of a conflict usually triggers destructive and undesired dynamics (Erbe, 2003).
Wednesday, October 23, 2019
Renal Cyst Ultrasonic Differential Diagnosis Health And Social Care Essay
With the aid of ultrasonography simple cysts, complex cysts and solid multitudes can be identified. Simple cysts may non necessitate surgical intercession but complex cysts and solid nephritic multitudes should be farther evaluated and decently managed. Nephritic cysts are common nephritic mass. Their frequence addition with age and they are present in half the population above the age of 50. The etiology of nephritic cysts is non known, but it is possible that they form from the epithelial giantism of tubules or roll uping canals, with ensuing distention of the uriniferous tubule. This would explicate why cysts enlarge over clip, and the engagement of next uriniferous tubules might explicate why thin septations develop2. Elkin and Bernstein classified nephritic cysts ; ( 1 ) renal cysts due to dysplasia of the kidney ; ( 2 ) polycystic disease ; ( 3 ) cortical cysts ; ( 4 ) medullary cysts ; ( 5 ) assorted intrarenal cysts ; ( 6 ) extraparenchymal nephritic cysts. Ultrasound standards for the diagnosing of a simple nephritic cyst includes ( 1 ) Spherical or egg-shaped form ; ( 2 ) absence of internal reverberations ; ( 3 ) presence of a thin, smooth wall that is separate from the environing parenchyma ; and ( 4 ) sweetening of the buttocks wall, bespeaking ultrasound transmittal through the water-filled cyst3. The object of survey was to observe the supersonic differential diagnosing of nephritic cysts, because echography is a uniquely safe and non-invasive agencies of imaging internal anatomy. Nephritic cysts are common incidental findings on echography but may besides organize portion of specific disease procedure. Differentiation of the forms of the cystic disease is necessary for diagnosis4.Patients AND METHODS:The survey was conducted between January 2007 to April 2008 at the section of Radiology and Urology, Chandka Medical College Hospital, Larkana. 100 ( Symptomatic or Asymptomatic ) patients of either sex with nephritic cysts who were detected on echography were included in the survey. Along with history, physical scrutiny nephritic echography was performed to see the site, size and figure of cysts. A nephritic ultrasound is a radiological survey of the kidneys that can look at the kidneys in cross subdivision. Position of the patient for right kidney scanning supine, left posterior oblique, left sidelong decubitus, and prone as needed. For left kidney scanning right sidelong decubitus, prone as needed. Different patient places were used whenever the suggested place does non give the coveted consequences. Just Vision 400 ultrasound machine by Toshiba with 3.5 MHz convex ( multi frequence ) investigation was used for kidneys scrutiny. No readying was required for ultrasound scrutiny.Consequence:From January 2007 to April 2008, hundred patients were included in the survey. 72 were males and 28 were females. Male to female ratio was 2.5:1. Age ranges were between 1-100 old ages ( Table-1 ) . Of the one hundred patients 40 presented with symptoms but 60s were symptomless. Among 40 diagnostic patients the most clinical presentation associated with nephritic cyst in this survey was di abetes mellitus 10 ( 25 % ) and abdominal hurting 7 ( 17.5 % ) ( Table-2 ) . Among 100 patients differential diagnosing of nephritic cyst in 89 ( 89 % ) patient simple nephritic cysts were detected, hydronephrosis in 7 ( 7 % ) , medical nephritic disease in 2 ( 2 % ) , polycystic disease in 1 ( 1 % ) , haematoma in 1 ( 1 % ) were observed ( Table-3 ) . Of the 89 patients of simple nephritic cysts 57 ( 64 % ) were cortical cysts, 4 ( 4.5 % ) medullary cysts, 22 ( 25 % ) parenchymal cysts, 4 ( 4.5 % ) Para pelvic cysts, 2 ( 2.2 % ) extra parenchymal cysts. Different sizes of simple nephritic cysts were measured ranged from 1mm to 100 millimeters, 3 ( 03.40 % ) steps ( 01-10 ) millimeter, 25 ( 28.40 % ) steps ( 10-20 ) millimeter, 11 ( 12.50 % ) steps ( 20-30 ) millimeter, 27 ( 30.33 % ) steps ( 30-40 ) millimeter, 9 ( 10.22 % ) steps ( 40-50 ) millimeter, 5 ( 05.28 % ) steps ( 50-60 ) millimeter, 3 ( 03.40 % ) steps ( 90-100 ) millimeter and 6 ( 06.81 % ) measures variable sizes. ( Fig: ) . Cystic standards were besides assessed through 89 patients. Along this series the most frequent type of loculation in assorted nephritic cyst was uniloculated 87 ( 98 % ) and 2 ( 2 % ) were biloculated. 91 ( 91 % ) instances presented as one-sided simple nephritic cyst, 9 ( 9 % ) instances as bilateral simple nephritic cyst and multiple cysts nine in figure. Internal echogenisity of simple nephritic cyst in this survey revealed there were 100 ( 100 % ) takes all features of simple nephritic cyst anechoic or echo-free with absence of internal reverberations. In 89 patients of simple nephritic cysts concomitant sonographic abnormalcies were detected. Fatty liver were the most common accompaniment with simple nephritic cyst during this survey ( 4 Patients ) . There was one instance showed benign prostate. Others each instance for nephritic rock, pleural gush, enlarged prostate secretory organ, nephritic expansion, cut down kidney size, ectopic kidney, nephritic organ transpla nt and angiomyolipoma ( Table-4 ) .Discussion:This survey was carried out on 100 patients in whom nephritic cysts were identified sonographically, 72 % were male patients and 28 % were females. So males were more affected in our survey than females. Previous survey by Hanna et Al confirmed that, the distribution is equal between males and females5. In our series 89 % of instances were diagnosed as simple nephritic cyst which represent the most common differential diagnosing of nephritic cysts followed by, 7 % hydronephrosis, 2 % medical nephritic disease, 1 % polycystic kidney disease, 1 % haematoma. There was no instance presented with nephritic dysplasia. .Study by Yamagishi et Al confirmed that, thorough reappraisal of household history can besides add valuable information. Differential diagnosing should include multicystic and polycystic kidney disease and structural anomalousnesss such as duplicate and calyceal diverticula, tumour, abscess and haematoma may be considered, but t hey most probably will hold internal reverberations. Although nephritic cysts can be seen in chromosomal abnormalcies, there are normally other anomalousnesss present6. When cystic lesion is seen in the upper pole, an adrenal beginning must besides be considered. Finally, a cystic teratoma of the retro peritoneum can be considered. The youngest patient was 3 old ages old male child with mean size of left kidney showed mild back force per unit area alteration with good parenchymal thickness, dilated nephritic pelvic girdle and ureter down to bladder. Umbilical hernia noted with defect at anterior abdominal wall steps ( 7mm ) with enteric cringles seen go throughing through. The eldest patient was 95 old ages old male with bilateral simple parenchymal cyst. The highest incidence of simple nephritic cyst in 6th and 7th decennaries of life. While the lowest incidence in 1st and 2nd decennaries. Previous surveies confirmed that, the pathogenesis of nephritic cyst is non wholly known. Because of increasing frequence of nephritic cysts with age ( they are found in over 50 % of people over 50 old ages of age ) . It has been suggested that cyst formation is acquired- a consequence of the aging process5,7. Another theory suggests that cysts are developmental in beginning. During nephritic organogenesis, the 2nd to 4th coevals of uriniferous tubules, ensuing in cyst formation 8. Among 40 diagnostic patients the most clinical presentation associated with nephritic cyst in this survey was diabetes mellitus 10 ( 25 % ) and abdominal hurting 7 ( 17.5 % ) they were more often associated with simple cyst, there were 60 patients symptomless normally associated with nephritic cysts. Previous surveies confirmed that, highlight a figure of facets refering to simple nephritic cysts. First, most instances are symptomless and are best treated cautiously by regular ultrasound follow up. Last, as the natural history of simple cyst is non known, long- term sonographic followup is recommended ; simple cysts can be the initial manifestation of autosomal dominant polycystic disease in a child9,10. Sonographic rating of nephritic cyst revealed that simple visual aspects were most normally seen in nephritic cysts and limited polycystic disease and haematoma. Along this series among 89 patients of simple nephritic cysts the most frequent type of loculation in assorted nephritic cyst was uniloculated 87 ( 98 % ) and 2 ( 2 % ) were biloculated. The major sonographic findings of wall thickness and regularity were thin and regular walls, that more presented in nephritic cysts. There were ( 57 of 89 ) were cortical cyst, ( 22 of 89 ) were parenchymal cyst, ( 4 of 89 ) were medullary cyst, ( 4 of 89 ) were parapelvic cyst and ( 2 of 89 ) were extraparenchymal cyst. Previous survey confirmed that, the upper pole is the most common site5. Normally the cysts are lone but may be multiple. As was seen in this survey, 91 ( 91 % ) instances presented as one-sided simple nephritic cyst, 9 ( 9 % ) instances as bilateral simple nephritic cyst and multiple cyst nine in figure. Previous survey confirmed that, the distribution is equal between right and left kidneys5. Internal echogenisity of simple nephritic cyst in this survey revealed there were ( 100 % ) takes all features of simple nephritic cyst anechoic or echo-free with absence of internal reverberations. Previous survey confirmed that, many incidental nephritic multitudes are discovered on abdominal ultrasound examinations11. When the ultrasound standards for a simple cyst are met, the likeliness of malignance is highly little. Asymptomatic patients with incidental nephritic cysts that meet these standards require no extra rating. Fatty liver were the most common accompaniment with simple nephritic cyst during this survey ( 4 Patients ) . There was one instance showed benign prostate. Others each instance for nephritic rock, pleural gush, enlarged prostate secretory organ, nephritic expansion, cut down kidney size, ectopic kidney, nephritic organ transplant and angiomyolipoma. Fatty liver were the more frequent attendant disease in association with simple nephritic cyst were detected as an incidental sonographic happening during this survey. Previous survey confirmed that, simple nephritic cyst has controversy related to high blood pressure and nephritic disfunction. There was ( 6 of 40 ) ( 15 % ) high blood pressure patients during this survey. Different sizes of 89 simple nephritic cysts were measured, 3 ( 03.40 % ) steps ( 01-10 ) millimeter, 25 ( 28.40 % ) steps ( 10-20 ) millimeter, 11 ( 12.50 % ) steps ( 20-30 ) millimeter, 27 ( 30.33 % ) steps ( 30-40 ) millimeter, 9 ( 10.22 % ) steps ( 40-50 ) millimeter, 5 ( 05.28 % ) steps ( 50-60 ) millimeter, 3 ( 03.40 % ) steps ( 90-100 ) millimeter and 6 ( 06.81 % ) measures variable sizes. Pervious survey confirmed that size scope from really little to really big in diameter. By and large ultrasound detected all nephritic cysts, while CT scan used to corroborate the diagnosing and picked up of peripherally located and cystic multitudes. Two instances were aspirated under ultrasound counsel, were clear fluid.Decision:The most common differential diagnosing of nephritic cyst is simple cortical nephritic cyst with highest incidence in 6th and 7th decennaries of life. The least common is polycystic kidney disease or haematoma. Out of this survey we believe more that ultrasound is the individual cost effectual mean in sensing of nephritic cyst.
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