Adults across America Essay Example for Free

Adults across America Essay Although this type of outrageous behavior may upset many people, it is accepted widely and enjoyed by millions of teenagers and adults across America. People in America have become desensitized to sex and violence by having organizations such as the WWF making it appear O.K. on television. Although it is immoral and not yet accepted by society, pornography is rampant in America, with strip clubs and porn shops situated in the same areas as family shopping centers. Violence can be seen everywhere, especially in the evening news. Wrestling takes the two biggest topics of American society, and turns them into a two hour show. Americans accept this and are willing to watch or pay to see the action. Although many wrestling fans such as myself view the show and see it as pure entertainment, there are many more people who believe what they see. Sadly, these type of people make up a large portion of wrestling fans. Because of this, many nations see Americans as ignorant and shallow. Critics claim that wrestling is a Cultural Phenomenon which embodies all of the negative aspects of American culture. People who are willing to watch a man rolling around in feces or someone falling twenty feet from a cage into a wooden table instead of doing something that could be potentially productive does not say much for American society. Opponents of professional wrestling may also say that the direction and values of American culture are quickly deteriorating, in part, due to a cultural phenomenon such as professional wrestling. As long as Americans demand instant gratification and the quick fixes of raunchy entertainment, phenomena such as wrestling will be around to act as mindless distractions from the real world. The critics of wrestling have not stopped its tremendous success across the world. Wrestling can be seen as a form of entertainment, just as movies and sports represent the same kind of enjoyment to viewers. Wrestling is not the cause of societys deterioration, as it is meant to please viewers across America. One form of entertainment is not going to cause American society to crumble. Wrestling used to represent good guy vs. bad guy. Times have changed, and now, everyone cheers for wrestlers such as The Rock and Stone Cold Steve Austin who portray qualities that the fans appreciate. The Rock is extremely popular, due to his coolness factor. Everytime he gets on the microphone, he promises to Lay The Smackdown on Someones Candyass and things of that nature. He always praises the fans, and considers himself the Peoples Champion. Because of his popularity, it doesnt matter if he wrestles a good guy or a bad guy. Fans like someone they can cheer, but would not cheer someone who appears corny, like a superhero type character. Professional wrestling never has any repeats, and always keeps a fresh, new storyline. That may be the biggest reason why people keep tuning in to this phenomenon. When it comes down to watching either a rerun of Ally McBeal or a live WWF Raw, many people would choose to watch something new, such as WWF Raw. American society is constantly evolving, and over time, all people need to accept the changes that it goes through, whether positive or negative. Work Cited Pioch, Nicolas. Realism. January 1, 1996. http://www.oir.ucf.edu/wm/paint/glo/realism/  (December 16, 1999)  Roberts, J.M. The Penguin History of the World. London, England : Helicon Publishing, 1992.  Ross, Cilla. June, 1999. Greek Democracy in Practice. http://www.oir.ucf.edu  (December 18, 1999)

Investigation of Sphincter Muscle Complex

Investigation of Sphincter Muscle Complex Abstract Background: The exact anus reconstruction is the critical in patients with imperforate anus  which is related to the correct diagnosis of sphincter complex. Objectives: The aim of this study  is exact investigation of the prineal region for ultrasound detection of place and pathway of  sphincter muscle complex. Patients and Methods: This descriptive cross-sectional study was performed at Mashhad  medical university during 2016. Transperineal sonography was done in ten patients (6-12 week  age, 8 male and 2 female) with imperforate anus. Results: The shortest distance between rectal pouch and skin was between 8 to 20 mm, but the  distance between rectal pouch and skin via the anal sphincter path was longer (11 to 23 mm). The multi-layer view of anal tubercle was seen in all patients except one. It had a curved and  occasionally parasagittal path and eccentric than muscle complex. Anal muscle sphincter  complex could be seen in all patients with 2- 3.6 mm, occasionally asymmetric. Conclusion: The multi-layer view of anal tubercle and the anal sphincter complex are the two  important sonographic findings, which can better differentiated the level of anal malformation  and act as an indicator for the location of pull through. Keywords: Anal sphincter muscle complex; Anorectal malformation (ARM); Imperforate anus  (IA); Child 1. Background Colon cancer is a Imperforate anus is one of the anorectal malformations (ARM) which is  characterized with abnormal termination of the hindgut. The anus reconstruction and fecal  continence is one of the critical aspects of treatment and surgery of these patients which is  related to the correct diagnosis of sphincter complex position and the anus reconstruction in the  appropriate place within the sphincter muscle complex . There are various surgical approaches and procedures for anus reconstruction, including the use  of preoperative MRI for diagnosis of type and level of anorectal malformation . In addition, there  are some articles about the use of MRI in the detection of sphincter complex and the anus path  guidance . However, later technique has some limitations and no available in all pediatric surgery  centers. In Imperforate anus (IA) patients, sonography is used to determine the level of disorder (low,  intermediate, high), which may be divided to three groups according to the distance between  perineal skin surface and rectal pouch. However, there isnt an exact cut off for their  differentiation and there is some diagnostic overlap . Some articles consider above 15mm as high  type and below 10 mm as low type ARM , although another numbers between 5- 25 mm are also  considered as cut off point in articles. The passage of rectum from levator ani muscle in  transverse view of infra-coccygeal plan is another method that can help in differentiation  between high and low groups. Furthermore, it is also used for diagnosis of internal fistula  (rectourethral, rectovaginal and etc) which can be helpful in determining level of disorder .   However in practice, these criteria have a little value for operation protocols and the surgical  planning is mostly according to clinical criteria and intraoperative findings.   The exact localization of anal tubercle and muscle sphincter complex with preoperative  sonography can help the surgeon to select the less invasive surgical technique and improve  surgical results. 2. Objectives The aims of this study is exact investigation of the prineal region for detection ultrasonic criteria  of place and pathway of muscle complex and anal sphincter in the children with Imperforate  anus. 3. Patients and Methods This descriptive cross-sectional study was performed at Dr. Sheikh pediatric Hospital during  2016 after being approved by the Institutional Review Board of Mashhad University of Medical  Sciences, Iran and with its grant. In this study, ten patients (6-12 week age) with imperforate anus were selected after obtaining  informed consent from their parents. Nine patients had previous colostomy within the two days  of life and in another remaining one with rectovestibular fistula didnt previously performed it.   Patients were also evaluated for associated congenital anomalies (VACTERL-H and etc.).   The children were placed in lithotomy position and Foley catheter was passed from distal limb of  colostomy to the rectum and the balloon was inflated and retracted backward and fixed. For  better visualization of rectal pouch, normal saline was injected through fixed Foley catheter in  rectum. After prep drape as the first step, transperineal sonography was done by an  experienced pediatric radiologist. Sterile gel and Betadine were used for sonographic window.   The ultrasound devices used in this study was sonosite Model S Nerve with a 12 MHz linear  superficial probe. The sonographic criteria such as shorten distance of rectal pouch from the surface of skin,  distance of rectal pouch from the surface of skin in anal sphincter complex pathway , the  presence of internal fistula, multi-layered view of anal tubercle, state of anal sphincter complex  were evaluated in both sagittal and coronal planes. The Distance between rectal pouch from the  surface of skin in the shortest path and this distance in correlation with sphincter complex were  separately measured. The distance between the rectal pouch and the surface of the skin and the presence of internal  fistula were evaluated in the sagittal sonographic plane. Internal fistulas can be identified by changing of the rout the echogenic mucus of the rectum  toward urethra or vagina. The multi-layered view of anal tubercle is exactly similar to gut signature, and visualized as a  peripheral hypoechoic layer with two central parallel echogenic lines just below the skin  (dermis). It has vertical position than to anal pit (Fig. 1A) and is visible only in coronal plan.   Anal sphincter complex is noticeable as circular muscular tissue in the depth of the subcutaneous  perineal area and is visible in coronal plan (Fig. 1B). 4. Results Table 1 showed the demographic and sonographic findings of ten imperforate anus patients with  were selected for this study. Eight patients were male and other two were female.   The shortest distance between the rectal pouch and the skin surface was between 8 to 20 mm, but  the distance between the rectal pouch and the surface of skin via the anal sphincter path was  longer and between 11 to 23 mm, that it was 3- 8 mm. (4.7 mm mean) longer.   There were rectourethral fistula in 7, rectovaginal fistula in 1, rectovestibular fistula in 1, and in  another one patient no fistula was detected. In patient with rectovestibular fistula, anal sphincter  complex was pushed back toward the coccygeal tip due to fecal material pressure.   The multi-layer view of anal tubercle was seen in all patients except one (rectovestibular fistula  patient). The maximum outside diameter was 3-4 mm, but in patient with cloacal anomaly, it had  about 10 mm in sagittal plan on the posterior of prineal orifice. In often patients, the anal  tubercle path until center of muscle complex had a curved and occasionally parasagittal path and  it wasnt straight (Fig. 1C). The visible length of multi-layer view of anal tubercle was 5-8 mm,  and it attaches to the mucus of muscle complex eccentric or concentric (Fig. 1D).   Anal muscle sphincter complex could be seen in all patients. The muscle complex thickness had  2- 3.6 mm which occasionally was asymmetric (Fig. 1E). 5. Discussion Imperforate anus is a congenital disease with abnormal termination of hindgut which have a wide  spectrum of muscle sphincter complex development (from near-normal muscles to complete  absence of the sphincter muscle). Routinely, depending on the level of the obstruction in above,  middle and below of muscle sphincter, this anomaly is categorized into three groups (High,  intermediate, low type) . The numerous factors especially the fecal continence after the surgery  related to the diagnosis of the exact place of sphincter muscle complex . There are many articles about the role of preoperative MRI in the determining of the type and  level of anorectal malformation which can be helpful in planning and the prediction of the  prognosis and also investigation of the spinal and urethral anomalies which indirectly effect on  the management of disease and operation . MRI has also a role in these patients for  demonstration of the status of sphincter muscle complex, the symmetry of the sphincter, the  perirectal fibrosis . The post-operative MRI is use to evaluate surgical results and the passage of  pulled-through bowel from the center of sphincter complex . Recently, there are some few  articles about the use of MRI in the localization of sphincter complex and the anus pathway as a  guidance instrument . The sonography is usually used to determine the level of disorder (low, intermediate, high)  indirectly basis on the distance between perineal skin surface to the rectal pouch and the internal  fistulae visualization. Although, this approach isnt very determinative and there are a lot of  diagnostic overlap in this field .   In review article, we find only one paper about the detection of the passage of rectum from  levator ani muscle in transverse view of infra-coccygeal plan that can be helpful for  differentiation of high and low groups . The pre-operative exact localization of anal tubercle and especially sphincter muscle complex  with sonography can be helpful for surgeons to select less invasive approaches that determines  the future fecal continence of patient. In this study, with exact ultrasound investigation of prineal region, we noticed two sonographic  findings which can be helpful in patients with imperforate anus to determine the proper path of  anal canal for pull-through operation. These findings were multi-layered view of anal tubercle  and sphincter muscle complex. Multi-layered view of anal tubercle is exactly similar to gut signature and was determined as a  peripheral hypoechoic layer with two central parallel echogenic lines. This view was probably  the result of fetal anal tubercle as a result non-ruptured anal membrane and non recanalized anal  canal. This view wasnt seen in patient with recto-vestibular fistula. Although it had 3-4 mm  diameter, in Cloacal anomaly patient, it had about 10 mm anterior-posterior diameters in sagittal  plan that probably due to fetal merge of anal and vaginal orifices. In most of patients anal tubercle wasnt straight and had parasagittal position and slightly  curvature with eccentric attachment to center of sphincter muscle complex. These can explain  pathophysiology of disease. Anal sphincter and muscle complex was seen as a circular muscular tissue bulk that surrounds  the echogenic mucus of gastrointestinal tract. It was visible on the coronal plane at depth of  subcutaneous fat of the perineal area with 2-3.6 mm thickness. This complex was visible in all of  our 10 patients. In a patient with rectovestibular fistula, this complex pushed backward to the near of coccyx  probably due to fecal retention. Although most patients with Imperforate anus and recto-perineal  fistula categorized as low type, but this patient had high type malformation because the sphincter  complex has been pushed backward and tract of fistula lie above of muscle complex. In this  patient, based on the distance of rectal pouch to the skin (9 mm) and based on clinical findings  alone and without attention to muscle sphincter, the probability of successful surgery was too  low without sonography guide. Then, visualization of the sphincter muscle complex and rectal  pouch is an important sonoghraphic findings in imperforate anus patients that can differentiate  better the patients to the high and low malformation.   In addition, the result of this study shows that the distance between rectal pouch and skin without  attention to muscle sphincter is unreliable and can make a serious pitfalls and unaware  complications. In all patients, the distance between rectal pouch and skin through anal tubercle  and muscle complex (11mm) was longer than shorten distance between rectal pouch and skin (3-8 mm mean: 4.7 mm). In lithotomy position, it is important to notice that multi-layered view of anal tubercle and anal  sphincter complex was only visible in coronal view and was invisible in routine sagittal and  transverse view, then it may be ignored and didnt notice to it in literatures. In the review of  articles, we did not encounter a similar publication about the use of this findings in patients with  imperforate anus, although there are many articles about the use of sonography to determine the  anal sphincter complex in adults in various diseases .   This is a preliminary cross sectional study with the low number of patients. In addition, the  frequency of the ultrasonic probe device were our study limitations. Exact examination of  perineal region with high-frequency probes (14 to 20 MHz) with high amount of the patients can  provide better and more reliable results. Conclusion: The multi-layer view of anal tubercle and the muscular bulk of anal sphincter complex are the  two important sonographic findings, which can better differentiated the level of anal  malformation and act as an indicator for the location of anal sphincter pull through in patients  with Imperforate anus.

Biography of Willa Cather Essay -- Biographies Authors Writers Essays

Biography of Willa Cather Willa Cather was born December 7th, 1873 in the Back Creek Valley of Northern Neck, Virginia. Her parents, Charles Cather and Virginia Bloak, both came from families that had lived in the region for generations. Their house was described as â€Å"full of bustling and many-colored life† (E.K. Brown 18) including Willa’s three siblings, neighbors, and the friends of the family who came around often. The people of the town were eager to help one another out. Willa spent much of her time divided between her father, whom she helped in the fields tending to the sheep, and going with her grandmother and friend Margie Anderson â€Å"on errands of mercy and medicine, or [with] her mother on visits to cousins, neighbors or dependents† (21). At age nine, however, Charles Cather decided to move the family and join his father and brother near Red Cloud, Nebraska. The moves were difficult for Willa, but in later years she never regretted the change. Red Cloud was a small, settled prairie town whose population was constantly growing from European immigration. The town was made up of primarily Scandinavian, Bohemian, and French immigrants who had come to work the land. The Cather family grew to include seven children while there, but Cather’s strongest influences came from older people in town: schoolteachers and neighbors who read with her and shared their libraries. Cather also met people like Annie Sadilek, a Bohemian woman credited with the inspiration for the character Antonia of Cather’s My Antonia. The entire town and atmosphere of Red Cloud served as the backdrop for most of Cather’s novels and short stories. She said herself that â€Å"the years from eight to fifteen are the formative period in ... ... Her life’s contribution to society is remembered and praise. Cather was a modernist, but more than that, she was an amazing writer whose novels and writings are relevant and still touch readers today as they did when she had first written them. Resource Page Great Websites: www.unl.edu/Cather : The Willa Cather Electronic Archive http://www.csustan.edu/english/reuben/pal/chap7/cather.html : Perspectives in American Literature, a Research and Reference Guide www.ibiblio.org http://www.gradesaver.com/ClassicNotes/Authors/about_willa_cather.html Bibliography Brown, E.K. Willa Cather: A Critical Biography. Alfred A Knopf; New York: 1953. Jessup, Josephine Lurie. The Faith of Our Fathers. Richard R. Smith; New York: 1950. www.gustavus.edu, Scott Newstron, January 6, 2996, Harvard University, last updated March 5 2002.

The Science of Love Essay -- Science of Sex Appeal

Around the world people love. They live for love, they write for love, the sing, eat, cook, die and kill for love (ForumNetwork, 2009). Since the beginning of recorded time, people have wondered why love is such an intense and universal feeling. There is no culture in this planet that does not have love (ForumNetwork, 2009). This essay will only talk about romantic love were sexuality and attraction are involved. Romantic love, is one of the most powerful energies on earth (ForumNetwork, 2009), it is indeed one on the most addictive substances we can experience at least once in our life. The rush of cocaine and the rush of being in love depend on the same chemicals in our brain (ForumNetwork, 2009); we are literally addicted to love. The feeling of being in love does not depend whether the other part loves you back or not, it will help you feel more happy that is for sure, but the intensity of the feeling loved or heartbroken is the same, they both depart from the same principle: the love and desire of the other. Love remains in the most basic system of our brain, under all cognitive process, under all motor impulses; it is placed in our reward system, the most ancient systems of all (ForumNetwork, 2009). In order to gather all the information we have got in the science of love, many researchers in different fields have cooperated to form an idea of what occurs when love happens. One of the world leading researches in this field is the American anthropologist Helen Fisher, author of many best-seller books such as why we love, or why him, why her. She has worked with many neuroscientists, psychologists, sociologist, and doctors in order to achieve a big experiment where brains of participants that claimed to be in love or hear... .... New Scientist , 36-38. Fisher, H. (2004). Why we love (1era ed.). new york, USA: Henry holt. Meyer, B. (11 de feb de 2009). Science of romance: Brain have a love circuit. Recuperado el 4 de oct de 2011, de www.cleveland.com: http://www.cleveland.com/nation/index.ssf/2009/02/science_of_romance_brains_have.html Miller, T. (29 de dic de 2009). Factoidz.com. Recuperado el 3 de oct de 2011, de The chemistry behind a fool love.: http://factoidz.com/why-love-makes-us-act-so-irrational-the-chemistry-behind-a-fool-in-love/ inforefuge.com. (n.d.). Recuperado el 5 de oct de 2011, de The Science of Smell: http://www.inforefuge.com/science-of-smell-conclusion Rooks, P. (2009). the science of love. skeptic , 15, 73-75. DiscoveryNetworks. (13 de feb de 2009). Science of Sex Appeal. ForumNetwork. (21 de sep de 2009). Helen Fisher. This is your brain on love .

Ancient Sculpture And Architecture :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ziggurats were used in ancient times for purposes of worship and to fulfill spiritual needs. One example, The Pyramid of the Magician, has a legend attached to it depicting the god Itzamna who had single-handedly built it in one night. The Pyramid of the Magician is, by 100 feet, the tallest architectural structure in the city of Uxmal on the Yucatan peninsula. Interestingly enough, the pyramid has a stairwell that faces the setting sun on summer solstice. Also of note, the whole city is perfectly aligned to mimic how the planets were thought to lie in the solar system at the time.   Ã‚  Ã‚  Ã‚  Ã‚  At the top of most Ziggurats, there were sanctuaries that were dedicated to the protective gods and/or goddesses of that particular city. The buildings were normally magnificent in size and the stairways leading up to the sanctuaries normally consisted of a very long series of steps. Experts feel that this symbolism represents how various peoples wished to unite the heavens and the earth.   Ã‚  Ã‚  Ã‚  Ã‚  As ancient as Ziggurats may seem, they can easily be compared to modern day churches and place of worship. Modern day churches are used presently as places where people can worship their god, who is felt to protect and watch over them; highly comparable to the purpose of the ancient Ziggurats. Not only are their purposes analogous, but their appearances can also be similar. For instance, most modern day places of worship have some sort of symbolic representation of their god near or at the very top of the building. This may seem commonplace to most, but perhaps the origin of the influence comes from the ancient architects. The long and high stairways of most Ziggurats can be compared to the symbolism that we, today, use near the top of churches.   Ã‚  Ã‚  Ã‚  Ã‚  Along the same lines of thought, modern day churches also normally possess some sort of symmetry, whether it is to the surroundings or within the structure itself. This can be paralleled to the Pyramid of the Magician in that that structure was symmetrical to the solar system. Most modern day facilities, however, have symmetrical attributes to their outer appearance.   Ã‚  Ã‚  Ã‚  Ã‚  Church architecture could be researched in depth, but the purpose here is to express some similarities between the ancient centers of worship and modern day facilities. One such example could be the prevalent grand expanse. Perhaps this attribute is to accommodate for the large amount of worshippers, which does not seem to fluctuate in accordance with history.

Old Chinese Gender Selection Method Health And Social Care Essay

Methods: This was a longitudinal descriptive survey. Pregnant adult females ( Civilian non entitled ) holding full term gestation labeled bringing instances and admitted in officer ‘s household ward of Pakistan Navy Ship Shifa infirmary Karachi Pakistan from 31 March 2010 to 11 June 2010 were included in the survey. Consequences: Entire topics observed in the survey were 100.The average age of the adult females was 27.44 old ages with standard divergence of 4.35. Out of 100 delivered babes 42 were misss and 58 were male childs and 50 % .were right predicted with misss. sensitiveness of 45.23 % and specificity of 53.44 % . and sensitiveness of 53.44 % and specificity of 45.23 % .The positive predicted values calculated for foretelling boys baby was 57.40 % and for miss babies 41.30 severally. Decision: This survey remained focused on cognizing its truth after construct and revealed same consequence of truth of 50 % as with chance of tossing a coin but it did happen better sensitiveness for foretelling male as compared to female. Bing non invasive, this trial can give better and new consequences if practiced under the supervising of a confer withing household doctor particularly on good educated pregnant adult females. Cardinal Wordss: Mother ‘s age, Last catamenial Period, Month of Conception, sex anticipation, Sex planning, Chinese Method. —IntroductionThe ultimate purpose of every married adult female remains to be a female parent. Marital life starts with guess and planning of kids, their Numberss and sex. Fertility, which refers to holding construct or existent kid bearing, becomes the foremost desire. Gender of the pick is a natural desire of a adult female. However on first gestation this desire remains hibernating in the supplications. During initial phases of gestation suspense remain in cognizing the sex of an unborn babe. Assorted scientific methods are available for the anticipation of the sex of the foetus. These include Chorionic villus sampling ( CVS ) , amniocentesis and ultrasound. Other methods used to foretell the sex of foetus after construct are Old married womans narratives, foetal bosom rate trial, draino trial and Chinese lunar calendar ( CLC ) method etc. The most popular method is extremist sound which is best done between 18 and 26 hebdomads of gestation but its truth depends upon several factors: babe ‘s cooperation, gestational age, technician ‘s ability, etc ( 1 ) . Once the twosome have the babe of either sex and wants to hold the babe of their ain pick, they go for gender choice or planning of methods which provide counsel for following steps before construct. There is a broad prevailing tendency among pregnant adult females of developing states of holding a penchant for male child babes. In states like China, India, and Korea socio-cultural environments do be which contribute to boy kid prejudice in attitude and action ( 2 ) . A societal study on gender penchants prepossession sex choice among pregnant adult females in Karachi, Pakistan revealed that 27.6 % Pakistani adult females do demo a statistically important penchant for male childs over misss ( 3 ) , In Egypt a survey found 1.4 overall boy penchant index ( 4 ) Among the United States general population harmonizing to a cross-sectional web-based study, 39 % of respondents liked their first kid to be a boy, and 19 % liked their first kid to be a girl ( 5 ) .However on big graduated table, prepossession sex choice for non medical grounds raises of import lesson, legal, and societal issues and it can take to a socially riotous instability of the sexes. The methods which provide the option of planning of sex of the babe before construct include the Shettles method and Chinese lunar calendar method. Shettles method named for Dr. Landrum Shettles, based on timing of sexual intercourse in relation to ovulation, sexual place and adult females orgasm ( 6 ) . The Chinese lunar calendar chart ( Table – 1 ) has the advantage of utilizing it for planning of sex of the babe before construct and foretelling the sex even after construct. Harmonizing to fable, the Chinese birth gender chart is based on statistics taken from adult females inside the out metropolis during the China dynasty. This chart was discovered by a Chinese scientist around 700 old ages ago buried in a royal grave. Original transcript of the chart is now placed in the institute of scientific discipline of Beijing China. Accuracy of this chart is claiming to be 99 % and is based on female parent ‘s age and month of construct which are converted into their lunar eq uivalents ( 7 ) . Globally really few surveies have been conducted on this method but in Pakistan no such record were found. The purpose of this survey was to prove the truth and prognostic value of Chinese calendar method in a sample of pregnant adult females admitted for hospital bringing at PNS Shifa Hospital Karachi.SUBJECT AND METHODSThis was a longitudinal descriptive survey in which truth of the Chinese method of foretelling sex of unborn babe was noted in the conceived adult females. Pregnant adult females holding full term gestation labeled bringing instances and admitted in officer ‘s household ward of Pakistan Navy Ship Shifa infirmary from 31 March 2010 to 11 June 2010 were included in the survey. Civilian non entitled ( CNE ) class of the adult females was included as compared to services forces households sing their better socio economic conditions, instruction and better place of remembering the day of the month of last catamenial period ( LMP ) . Inclusion Standards: All CNE pregnant adult females 15 -45 old ages of age holding singleton gestation. Exclusion Standards: All pregnant adult females belonging to Pakistan Armed Forces. All CNE pregnant adult females & A ; lt ; 15 old ages and & A ; gt ; 45 old ages age and holding multiple and premature bringings. A Performa was drafted to observe indispensable bio informations of topics including name, age, day of the month of last catamenial period, expected day of the month of bringing ( EDD ) , existent day of the month of bringing, sex of delivered babe and observed truth of the trial. The month of LMP was correlated with the age of each pregnant adult females and anticipation of gender was done against each severally. This consequence was tested on the twenty-four hours of bringing of the babe and truth of the trial was compared.ConsequenceEntire topics observed in the survey were 100.The average age of the adult females was 27.44 old ages with standard divergence of 4.35. Minimal age was 18 and maximal age was 38 ( Figure -1 ) . The average gestational age was 36 hebdomads. Out of 100 delivered babes 42 were misss and 58 were male childs. Among 42 miss babes 19 were right predicted, hence the method holding a sensitiveness of 45.23 % and specificity of 53.44 % . Out of 58 male childs ba bes 31 right predicted with a sensitiveness of 53.44 % and specificity of 45.23 % ( Figure – 2 ) . .The positive predicted values calculated for foretelling male childs was 57.40 % and for misss 41.30 severally.DiscussionFamily / Community physicians like accoucheurs while covering with a pregnant lady normally encountered the inquiry about anticipation of sex of foetus. The concerns of twosome remain on top peculiarly when they already had series of kids of either sex particularly misss. In an eastern developing state like Pakistan where there is a male-dominancy and broad prevalent female illiteracy led to penchants for male child babe. Here even the life of adult females may stay on interest because of the menaces by hubby / female parent in jurisprudence or due to seeking an illegal abortion. The Chinese lunar calendar method is a non -invasive cheap method to foretell the sex of the foetus. With simple counsel and follow up by household doctor it is possible to acquire coveted consequences. Our survey being the experimental survey remained focused on acquiring the information pertaining to age, last catamenial period ( LMP ) day of the month, full term period of gestation and consequence of the bringing. Although CLC method holding no information on the principle or biological footing, we were funny in cognizing the consequences in Pakistani adult females. In our survey truth found was 50 per centum.Same consequences were obtained by two other international surveies ( 8, 9 ) .However in our survey trial sensitiveness was higher for male childs babies ( 53.44 % ) as compared to girl babies ( 45.23 % ) and therefore the positive predictive values for male baby was high ( 57.40 % ) Versus female babies ( 41.30 % ) .DecisionThe Chinese lunar calendar method offers two manner uses of planning of sex of babe before construct and anticipation of foetus sex after construct. This survey remained focused on cognizing its truth after construct and revealed same consequence of truth of 50 % as with chance of tossing a coin but it did happen better sensitiveness for foretelling male child as compared to girl babies. This survey can give better and new consequences if practiced under the supervising of a confer withing household doctor for the intent of be aftering babe ‘s sex before construct particularly on good educated pregnant adult females.

Humor of Flannery Oconnor

Aaron Kalman Professor Suppes Art of Literature 15 September 2012 Humor in â€Å"Good Country People† Flannery O’Connor has always liked to use various types of humor and irony in her stories centered around the dark, tragic, and uncomfortable ways of life. She uses these literary techniques to mask what she is truly trying to say. â€Å"Good Country People† by Flannery O'Connor is a prime example of humor and irony which makes fun of the simple, intellectual, as well as the incongruous people in the world. The most blatant and simple type of humor is found while observing the flat characters of Mrs. Freeman and Mrs.Hopewell. These two women begin the story by participating in routine gossip with one another. Their constant bickering and desire to feel superior to the other is humorous because of how uneducated they sound. O’Connor puts them in the category of â€Å"good country people† due to the fact that they are pure, simple, and honest. This is ironic because good country people are referred and compared to as trash multiple times in the story. Another example of irony includes when Mrs. Hopewell said that the Freemans were a â€Å"godsend,† but the reason she had hired them was that there were no other applicants.Despite Mrs. Freeman being extremely nosy, Mrs. Hopewell ironically refers to her as a â€Å"lady and that she was never ashamed to take her anywhere or introduce her to anybody they might meet† (O’Connor 379). O’Connor uses these two women to lighten up the mood of the story before introducing Mrs. Hopewell’s atheist and pessimistic daughter Joy. The humor that the author uses when describing Joy is more complex and tragic than any other character in the story. As a well-educated 32 year-old, Joy is not a pleasure to be around. Joy constantly suffers through tantrums and still dresses like a six year-old.While reading O’Connor’s description, it is hard not to lau gh at the way she acts towards her mother as well as visitors. Joy â€Å"slams doors, stomps noisily around on her wooden leg, and is in constant outrage† (O’Connor 378). An example of her disruptive behavior is when she associates Mrs. Freeman’s daughters, Glynese and Caramae, with Glycerin and Caramel. Joy changes her name to Hulga, which is ironically more suited to her personality. Her mother believes she does it to spite her, but Hulga really does it with the idea that her mother has to accept her by using the new name.This light humor becomes darker when Hulga gets ready to go on a date with the sadistic bible salesman, Manley Pointer. The bible salesman known as Manley Pointer contains a comical sense which makes taking him seriously extremely hard. First of all, the name he chooses to use is extraordinary in its own right. Manley Pointer has a cartoon character approach to him as he enters Mrs. Hopewell’s house. An example of this type of characte rization is shown when O’Connor states that the man â€Å"fell forward into her hall†¦as if the suitcase had moved first, jerking him after it† (O’Connor 382).Manley Pointer has a youthful and awkward approach to his customers mixed in with a hint of cleverness. Mrs. Hopewell states that â€Å"she never liked to be taken for a fool† (O’Connor 383). Her statement is ironic because of the slyness used by Manley to trick Mrs. Hopewell into inviting him over for dinner. As Manley fools Mrs. Hopewell, he begins his devilish act with Hulga. The climax of the humor in â€Å"Good Country People† occurs when Manley Pointer and Hulga go on a date.Manley and Hulga’s date begins with some comical light humor as Hulga tries to dress up in slacks, a dirty white shirt, and some vapex she finds in the medicine cabinet in order to seduce the bible salesman. This is humorous because its shows her ineptitude to do a basic task despite her having a PhD. Hulga thinks she is making Manley fall in love with her as he kisses her head to toe; however, ironically Manley is secretly seducing her. Her downfall occurs when she gullibly gives up her soul by entrusting Manley with her wooden leg. He then takes her leg and runs off into the distance with it, leaving Hulga stranded up in the hayloft.Satirically, the only person Hulga has ever given herself up to steals her life and breaks her heart. Throughout â€Å"Good Country People,† dark, uncomfortable, tragic as well as lighter and simple humor are all used by O’Connor. This and some situational and literal irony allowed all types of characters to be made fun of by the author. The ingenious humor and necessary irony by Flannery O’Connor in â€Å"Good Country People† are what make her story brilliant. Works Cited O’Connor, Flannery. â€Å"Good Country People. † Meyer, Michael, ed. The Compact Bedford Introduction to Literature. 8th ed. Boston: Bedford/St. Martin’s, 2009. Print.