Religion and Environmental Ethics free essay sample

In the paper he wrote Christianity bears a huge burden of guilt and concludes that Hence we shall continue to have a worsening ecologic crisis until we reject the Christian axiom that nature has no reason for existence save to serve man. White depicted Western Christianity as seeing the world existing primarily for the benefit of man, and man, bearing Gods image and sharing in great measure Gods transcendence of nature, exploit nature for his proper ends according to Gods will. This thesis of White shall be referred to as Dominion Hypothesis for ease of identification in this paper. But are the claims in his Dominion Hypothesis valid? Does Christianity bear a burden of guilt for the ecological crisis of the world? The purpose of this paper is to assess the strength of his thesis by firstly analysing what the biblical scriptures and theologians have to say with regard to the relationship of God, man and the environment. We will write a custom essay sample on Religion and Environmental Ethics or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Next the symptoms and origins of our ecological crisis are examined, after which their ties with Western Christianity are assessed to determine whether the later has causal relationship with the former. Finally, after arriving at the conclusion, some recommendations are presented. 1 Whites Thesis Whites thesis can briefly be summarized as: All forms of life modify their contexts, and the human race has in one sense simply done this more than others. However, the human impact on the environment, whilst frequently detrimental in the past, was given an added impetus by Christianity in its Westernized form. Western society, as a product of Westernized Christianity, inherits an exploitative attitude to the natural world which is the key to our present ecological crisis. (Richardson, 1998) . White depicted Western Christianity as seeing the world existing primarily for the benefit of man, and it is according to Gods will that man exploit nature for his proper ends. Biblical verses that align to the Dominion Hypothesis Arguably the following passages from the Bible are aligned to the Dominion Hypothesis and are most frequently cited by ecology critics of the Bible. Then God said, Let us make man in our image, after our likeness; and let them have dominion over the fish of the sea, and over the birds of trhe air, and over the the cattle, and over all the earth, and over every creeping thinng that creeps upon the earth So god created man in his own image, in the image of God he created him; male and female he created them. And God blessed them, and God said to them Be fruitful and multiply, and fill the earth and subdue it; and have dominion over the fish of the sea and over every living thing that moves upon the earth. And God said, Behold, I have given you every plant yielding seed which is upon the face of all the earth, and every tree with seed in its fruit; you shall have them for food. (Gen. 1:26-29) Yet thou has made him little less than God, and dost crown him with glory and honor. Thous hast given him dominion over the works of thy hands; thous hast put all things under his feet; all sheep and oxen, and also the beasts of the field, the birds of the air, and the fish of the sea, whatever passes along the paths of the sea. (Ps. 8:5-8) 2 And God blessed Noah and his sons, and said to them, Be fruitful and multiply, and fill the earth. The fear of you and the dread of you shall be upon every beast of the earth, and upon every bird of the air, upon everything that creeps on the ground and all the fish of the sea; into your hand they are delivered. Every moving thing that lives shall be food for you; and as I gave you the green plants, I give you everything. (Gen. 9:1-3) You have made them to be a kingdom and priests serving our God, and they will reign on earth (Rev. 5:10). According to exegeses by theology scholar (Hiebert, 1996), the term dominion, from the Hebrew verb radah, implies that it grants humans the right and responsibility to rule, to govern the rest of creation. It connotes a hierarchy of power and authority in which the human race is positioned above the rest of the natural world, although the verb radah does not itself define how this dominion is to be exercised, whether benevolently or malevolently. The laws of Leviticus, when they stipulate that household servants are not to be *ruled* harshly (Lev. 25:43, 46, 53), imply that this kind of dominion may be kind and humane. Yet the use of radah in the context of international relations, where it is more commonly employed, carries a decidedly more antagonistic tinge, since it signifies rule over one*s enemies. It occurs frequently in descriptions of military conquest, where it is paired with such verbs as *destroy* (Num. 24:19) and *strike down* (Lev. 26:17; Isa. 14:6). When used of the Israelite king, radah always refers to dominion over his enemies, not to rule over his own Israelite subjects, for which the verb malak, *reign,* is the usual term. Similar conclusions may be drawn about the phrase *subdue the earth* in Gen. :28. The verb *subdue,* from the Hebrew kavash, depicts a hierarchical relationship in which humans are positioned above the earth and are granted power and control over it. The verb kavash is even more forceful than radah, describing the actual act of subjugation, of forcing another into a subordinate position. It is used for military conquest, where the same phrase used in Gen. 1:28 , *subdue the earth/land,* can be employed to depict the destruction and occupation of conquered territory (Num. 32:22, 29). It is also used of the king*s forcing his people into slavery against God*s wishes (Jer. 4:11, 16), and of rape (Esther 7:8; Neh. 5:5). In many of these cases, the abuse {19} of power is patently obvious. 3 Biblical verses that align to the Eco-Friendly perspective On the other hand, the following verses can be interpreted as being aligned to an EcoFriendly view:Let the heavens be glad, and let the earth rejoice; let the sea roar, and all that fills it; let the field exult, and everything in it! Then shall all the trees of the forest sing for joy before the LORD, for he comes, for he comes to judge the earth. He will judge the world in righteousness, and the peoples in his faithfulness. (Psalm 96:11-13) Praise the LORD! Praise the LORD from the heavens; praise him in the heights! Praise him, all his angels; praise him, all his hosts! Praise him, sun and moon, praise him, all you shining stars! Praise him, you highest heavens, and you waters above the heavens! Let them praise the name of the LORD! For he commanded and they were created. And he established them forever and ever; he gave a decree, and it shall not pass away. a Praise the LORD from the earth, you great sea creatures and all deeps, fire and hail, snow and mist, stormy wind fulfilling his word! Mountains and all hills, fruit trees and all cedars! Beasts and all livestock, creeping things and flying birds! Kings of the earth and all peoples, princes and all rulers of the earth! Young men and maidens together, old men and children! Let them praise the name of the LORD, for his name alone is exalted; his majesty is above earth and heaven. (Psalm 148:1-13) *When you besiege a city a long time, to make war against it in order to capture it, you shall not destroy its trees by swinging an axe against them; for you may eat from them, and you shall not cut them down. For is the tree of the field a man, that it should [m]be besieged by you? Only the trees which you known are not fruit trees you shall destroy and cut down, that you may construct siegeworks against the city that is making war with you until it falls. (Deuteronomy 20:19-20) *When you enter the land and plant any kind of fruit tree, regard its fruit as forbidden. For three years you are to consider it forbidden; it must not be eaten. In the fourth year all its fruit will be holy, an offering of praise to the Lord. But in the fifth year you may eat its fruit. In this way your harvest will be increased. I am the Lord your God. (Leviticus 19:2325) You shall not let your cattle breed with a different kind; you shall not sow your field with two kinds of seed; nor shall there come upon you a garment of cloth made of two kinds of stuff. (Leviticus 19:19) For six years you shall sow your land and gather in its yield; but the seventh year you shall let it rest and lie fallow, that the poor of your people may eat; and what they leave the wild beasts may eat. (Exodus 23: 10-11) 5 The nations were angry, and your wrath has come. The time has come for judging the dead, and for rewarding your servants the prophets and your people who revere your name, both great and small * and for destroying those who destroy the earth. * (Rev 11:18) For true and righteous are his judgments: for he hath judged the great whore, which did corrupt the earth with her fornication, and hath avenged the blood of his servants at her hand. (Rev 19:2) They will neither harm nor destroy on all my holy mountain, for the earth will be filled with the knowledge of the Lord as the waters cover the sea. (Isaiah 11:9) The wolf and the lamb will feed together, and the lion will eat straw like the ox, but dust will be the serpents food. They will neither harm nor destroy on all my holy mountain, says the LORD. (Isaiah 65:25) Theology scholars commenting on this view of nature of the Old Testament wrote : It is therefore fair to conclude that nature is far from de-animated in Biblical thought. (Wybrow, 1990), The natural world may not be see n as sacred or divine in the Bible, but it is certainly not dead, lifeless, and outside the divine moral framework here are no scriptures suggesting that nature was viewed as dead matter to be manipulated by man.. (Kinsley, 1995). Referring to the theme of the kingdom of God running through the New Testament, Zerbe (1992) argues that the New Testament has significant ecological implications, he explained: Isaiah*s vision of restored humanity and nature climaxes with the statement that there will no longer be any hurt or destruction in creation (Isa. 11:9; 65:25). And John*s vision of judgment states that those who destroy the earth will themselves be destroyed (Rev. 11:18; 19:2). It is noteworthy that the prophetic critique of Rome in Rev. 17:1-19:4 closely connects greed and the earth*s destruction: the insatiable desire for consumption and wealth is what results in the destruction of people and the earth. The corresponding passages are as quoted above. 6 Alternative view: Dominion Theology in Genesis 1 vs. Dependence Theology in Genesis 2 And lastly, but most importantly, consider the following two verses, both from Genesis 2:Then the Lord God formed a man from the dust of the ground and breathed into his nostrils the breath of life, and the man became a living being. (Genesis 2:7) The Lord God took the man and put him in the Garden of Eden to work it and take care of it. (Genesis 2:15) What is very important to the discussion in this paper is that according to Hiebert (1996), as evident in the above verses, Genesis 2 presents an alternative to the dominion theology of Genesis 1, which he calls dependence theology. His thesis being that the first human is made of the same arable soil as are all of other forms of life; and the divine breath into which his nostrils blown is the same with which all the animals live and breathe (Gen. :7; 7:22). The role of the human in the earth described is not that of mastery but of servanthood. In this account of creation, the theology of the human place in creation is not a theology of dominion but a theology of dependence (Hiebert, 1996). This theology is evident in other parts of Scripture, examples including Psalm 104 and the Book of Job (McKibben,1994). According to Hiebert: In this tradition (Genesis 2), the human being is positioned very differently within the world of nature. Here the archetypal human is made not in the image of God but out of topsoil, out of the arable land that was cultivated by Israelite farmers (Gen. 2:7). As a result of this kind of creation, humans hold no distinctive position among living beings, since plants and animals also were produced from this same arable soil (2:9, 19). Moreover, the role assigned humans within creation in this story is not to rule (radah) and to subdue (kavash) but rather to {23} *serve* (avad; Gen. 2:15; 3:23). The Hebrew term avad is properly translated *till* in these verses (NRSV), since it clearly refers to the cultivation of arable land. But avad is in fact the ordinary Hebrew verb *serve,* used of slaves serving masters and of humans serving God (Gen. 12:16; Exod. 4:23). , the conflicts of Genesis I and Genesis 2 notwithstanding, there are lots of thesis arguing that there is no inconsistency between the two chapters and the ouvert differences are due to different ways in recapitulation only . (Young, 1960),(Archer, 1964),(Kitchen,1966) On another plane of our discussion, we shall now turn to a brief discussion of the historical origins of our ecological crisis. 7 The Historical Origins of our Ecological Crisis There is general consensus that the planet earth is heading towards environmental catastrophe due to alarming development at different fronts: the green house effect, acid rain, damage to ozone layer, deforestation, loss of biodiversity, chemical pollution, freshwater shortage, etc. , amongst others. (Magdoff Foster, 2011).. But how did all these pollutions started? according to Thorsheim (2006), in his book The Invention of Pollution, it all started with the use of fossil energy, which was conducive to the Industrial Revolution. The first largescale commercial use of fossil energy was coal in Britain in the 1800s, which he referred to as a Faustian bargain for Britain, since on the one hand it helped to bring tremendous wealth, advance and power to the country, whilst on the other coal also filled the air with immense smoke and acidic vapors, which was one of the origins of what we now call the green house effect and acid rain. Fossil oil as energy had also been popularized ever since Edwin L. Drake drilled the first oil well in 1853, but the impact on the environment is equally as detrimental as Coal, if not more so. The fossil energy application was conducive to the Industrial Revolution, and the Industrial Revolution had led to the advance in comfort, convenience and enjoyment, from dwelling comfort to transport convenience to material needs, leading to the abundance and later overabundance in supply of products. Consumerism in the past decades had eventually been invented in order to help us to recognize our needs, and due to the needs for growth of enterprises, some products have also began to be designed with built-in obsolescence. All these initiatives had contributed to the generation of ever more wastes than in the centuries before the industrial revolution, much more than can be sinked by the earth, which contributed to the chemical pollution of soil, water, which has also altered the bio-diversity of the Earth. 8 Ever since the Industrial Revolution, the consumption of energy has experienced exponential growth (see figure 1. 1). Concomitantly, different kind of detrimental impacts had been inflicted upon the ecology of the earth (see figure 1. 2). As an in-depth analysis of our ecological crisis is out of the scope of this paper, focus is now centred on the origin of the crisis, viz. the advent of fossil energy application, which shall be discussed below. Some key developments relating to fossil energy application:1665 Invention of the first modern industrial steam engine by English inventor Edward Somerset which can use wood or coal as fuel 1794 First produce of Coal Gas by William Murdoch 1853 First refinement of Kerosene by Abraham Gesner 1859 Drilling of first Oil Well by Edwin Drake 1859 Building of the first practical self-combustion engine by Etienne Lenoir Religious Background of the Inventors / Innovators Astonishingly, what the above key developments have in common, according to research by the author, is that all the inventors / innovators were Judeao-Christian in religious belief, as can be listed below according to extant data. Inventor/Innovator Place of Birth Religion Edward Somerset (1601-67) Monmouthshire, Bri tain Roman Catholic William Murdoch (1754 1839) Cumnock, Scotland Roman Catholic Abraham Gesner (1797-1864) Nova Scotia, Canada Protestant Christian Edwin Drake (1819-1880) New York, U. S. A. Jewish Jean-Joseph-Etienne Lenoir (1822-1900) Mussy-la-Ville, Belgium Roman Catholic However, just as one cannot say that the inventions or innovations in fossil energy application has been due to Western Christianity, as otherwise one will fall into the post-hoc ergo procter hoc fallacy, it is likewise not valid to attribute the ecological crisis directly to Western Christianity. However, If we put the question conversely by asking that if the inventors/innovators were pantheistic, believing that the nature is sacred in itself and should be reverred, then it is highly unlikely that the inventions/innnovations had been conjured and accomplished by them. Science and Christianity It has been argued that science and christianity are coherent to each other, A British Scientist, Robert Clark, once said we may interpret the fact scientific development has only occurred in a Christian culture. The ancients had brains as good as ours. In all civilizations, Babylonia, Egypt, Greece, India, Rome, Persia, China and so on, science developed to a certain point and then stopped. It is easy to argue speculatively that science might have been able to develop in the absence of Christianity, but in fact, it never did. And no wonder. For the non*Christian world felt there was something ethically wrong about science. In Greece, this conviction was enshrined in the legend of Prometheus, the fire*bearer and prototype scientist who stole fire from heaven thus incurring the wrath of the Gods. 10 Consider also these statements from renowned scientists; William Thomson: Do not be afraid to be free thinkers. If you think strongly enough, you will be forced by science to the belief in God. Isaac Newton: This most beautiful system of the sun, planets and comets could only proceed from the counsel and dominion of an intelligent and powerful Being , Stephen Hawking:In fact, if one considers the possible constants and laws that could have emerged, the odds against a universe that produced life like ours are immense. Conclusion This paper has attempted to examine the hypothesis of Lynn Whites that Christianity bears significant responsibility for the earths ecological crisis. The author has attempted to typologize and quote verses from the scriptures, exegeses and writings of theologians on the Biblical scriptures depicting the relationship of God, man and nature. Whilst according to the Dominion theological perspective as discussed above, the hierarchal relationship of God-gt;Man-gt;Nature (see figure 1. 3) is apparent, in the Dependence theological perspective, the hierarchal relationship of God-gt;Man ; God -gt; Nature (see figure 1. 4) is also evident. God God Man Man Nature Nature Figure 1. 3 The Dominion Perspective Figure 1. 4 The Dependence Perspective Other verses as listed under the section Passages that echo Eco-Friendly also act as a counter-argument for the Dominion hypothesis. It would seem therefore that Whites hypothesis that Western Christianity sees the world existing primarily for the benefit of man and therefore Christianity bears a huge burden of guilt is not grounded solidly, because as mentioned above, there are many verses which encourage man to be benign to our environment, and conversely, there is no single passage asking man to abuse nature for his primarily benefit only. However, if White argued that Christians bears a burden of guilt, then it is less reputable, as explained in the next paragraph. 11 If one concurs that scientific thinking is coherent to Christian belief, as discussed above, and like White argues in his paper, Western Christianity has been contributory in promoting modern science and technological advance, and from the standpoint of the analysing of advent of fossil energy as the origin of our ecological crisis, which does have tremendous detrimental impacts to our environment, it seems evident that Christians do have a direct linkage to the inventions and innovations leading to the mass scale use of fossil energy, the detrimental origin to our ecological system. Recommendations It can be said that with subtlety in the Biblical scriptures, interpretations are often contingent upon the context and the wisdom of the readers, as inspired at different times. What can be said is that given the state of development before the advent of sciences, man had been under the perpetual threats of nature, from attacks by animals, storms, sickness to famines and other disasters. The Dominion theological perspective no doubt inspired man to develop creative thinking about mastering the nature for the betterment of his lifelihood and survival, lacking which man might still be living rather primitively. The advent of sciences and most notably the Industrial Revolution can be depicted as the epitome of this mentality. As our civilization, technology and wisdom progresses, we should now be in a position to recognize that a Dominion mentality to the nature is detrimental to our environment and it is time that we revisit the scriptures to investigate whether we have overlooked an alternative theology in the Bible for seeing our relationship with nature-the Dependence approach, treating the nature as equals of ours, in which we serve god to ensure its goodness, and ensuring its long term sustainability to prepare for the Kingdom of God. 2 Bibliography Lynne White Jr (1967), The Historical Roots of Our Ecological Crisis, reproduced in John Barr (ed), The Environmental Handbook (London: Ballantine/Friends of the Earth, 1971) pp 3-16. David Kinsley, Ecology and Religion: Ecological Spirituality in Cross-Cultural Perspective (Englewood Cliffs, N. J. : Prentice Hall, 1995) Richard Cameron Wyb row The Bible, Baconism, and Mastery over Nature: The Old Testament and Its Moderrn Misreading (Ph. D disserrtation, McMaster University, Hamillton Ont. Canada, 1990) p. 206 Theodore Hiebert, Professor of Old Testament at McCormick Theological Seminary, Chicago, Illinois. , Direction (Winnipeg, MB), 1996 Gordon Zerbe, Assistant Professor of New Testament at Canadian Mennonite Bible College, Winnipeg, Manitoba. , Direction (Winnipeg, MB), 1992 Howard Snyder, Liberating the Church: The Ecology of Church and Kingdom (Downers Grove: Inter-Varsity Press, 1983) 45-51. Young, Edward J. (1960) An Introduction to the Old Testament (Grand Rapids: Eerdmans Publishing Co. ). Archer, Gleason (1964), A Survey of Old Testament Introduction (Chicago: Moody Press). Kitchen, Kenneth (1966), Ancient Orient and Old Testament (London: Tyndale Press). Thorsheim, Peter (2006), Inventing Pollution: Coal, Smoke and Culture in Britain since 1800 13

Writing a Case Analysis

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Leadership models Essay Example | Topics and Well Written Essays - 1750 words

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We emphasis on the importance of recognizing a challenging diagnosis of a rare disease, which is shown to be treatment responsive. Introduction POEMS syndrome is a rare paraneoplastic disorder of plasma cell dyscrasias, which was first described in 1956 by Crow and then in 1968 by Fukase [1]. The name POEMS was given to it by Bardwick and co-workers in 1980 based on five salient features: polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes [1]. It is more prevalent in men, with male to female ratio of 2.5:1. It usually manifests in 5th and 6th decades of life. Its inheritance is uncertain and its pathophysiology is still not well understood. Case Presentation A 40-year-old male presented with progressive weakness, tingling and numbness sensation in both lower limbs for two years. He had swelling of lower limbs, abdominal distention and dermatologic changes in form of discoloration and thickening of skin over the cheeks, nose, hands and feet for one year. He had also gave history of erectile dysfunction and loss of libido for six months. There was no history of syncope, bony pain or drug abuse. He had no previous history of hypertension, diabetes or tuberculosis. On physical examination, the patient had bilateral pedal edema [Figure 1.c] and abdominal distention [Figure 2.a]. Skin was thickened and hyperpigmented over the face, fingers of the hands and shin (Figure.1a,b,c). Bilateral gynecomastia and testicular atrophy were present. Abdominal examination showed hepatomegaly and ascites. Higher mental functions and speech were normal. Fundus examination showed papilledema on both side and rest of the cranial nerves examination were normal. Motor power in upper limbs was normal and in lower limbs showed predominant distal weakness [Medical Research Council (MRC) 4/5 at hip joint and 4-/5 at ankle joint). Deep tendon reflexes in upper limb were diminished (+1) including biceps, triceps and supinator and absent in lower limbs. There was 30% loss in pain, touch and temperature sense in both lower limbs below knees. Posterior column sensations (joint position and vibration sense) were also impaired in lower limbs below the anterior superior iliac s pine. Romberg sign was positive. Hemogram, liver and renal function tests, muscle enzymes (creatine phosphokinase), serum ferritin and vitamin B12 level were normal. Serum total protein was 7.1 gm/dL, albumin 3 gm/dL, globulin 4.1 gm/dl, and A:G ratio 1:1.3. Fasting and postprandial blood sugar level were normal. Thyroid function test showed raised TSH level (16.62 ÃŽ ¼/ml). Luteinizing hormone (LH) and testosterone levels were 15 IU/L (1.8-8.6 IU/L) and 111 ng/L (300-1,000 ng/dL), respectively. Antinuclear antibody (ANA), Rheumatoid factor (RF), serum human immunodeficiency virus (HIV) ELISA test, hepatitis B and C markers were negative. Ultrasonography of abdomen showed hepatomegaly (16 cm), moderate ascites and enlargement of multiple lymph nodes along the iliac vessels. Fine needle aspiration cytology of mesenteric lymph node was inconclusive. Ascitic fluid examination revealed exudative nature (SAAG Discussion POEMS syndrome is a rare, multiple system disorder, characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal or M-protein band and skin changes. Any three of the five features may be present to establish diagnosis [2]. However, some authors have proposed clinical criteria for diagnosis in which includes two major criteria, which can be either presence of polyneuropathy or plasma cell proliferative disorder. Minor criteria include sclerotic bone lesions, organomegaly, edema, endocrinopathy, papilledema or skin changes [2]. Polyneuropathy is a predominant feature of POEMS syndrome and is found in >90% of the cases. It is usually a sensorimotor, axonal and demyelinating type polyneuropathy [3]. As in our patient, both axonal and demyelinating polyneuropathy are seen on electrodiagnostic studies. The mechanism of neuropathy is not known but the recent evidence of the presence of anti-neural antibodies points to an immunological mechanism [4]. Endocrinopathies occur with a frequency of 60%-80% and the most common are gonadal failure (70%) and glucose intolerance/diabetes mellitus (50%). Hypo or hyperthyroidism, hyperprolactinemia and adrenal insufficiency have also been reported. The mechanism of endocrinopathy is also not obvious; however, involvement of direct acting antibodies against hypothalamo-hypophyseal-axis and endocrine end organs has been hypothesized [5]. In our patient, impotence, loss of libido and testicular atrophy and hypothyroidism on ancillary laboratory investigation were present. Increased levels of vascular endothelial growth factor (VEGF) are found in POEMS syndrome. VEGF increases microvascular permeability, thereby inducing edema, ascites and pleural effusions as were present in our patient [6,7]. However, measurement of VEGF level in ascites was not available in our patient. Papilledema may be seen in approximately 37% of patients and is not associated with the increase in intracranial pressure. The real cause of papilledema is not still known. Hepatomegaly may be seen in up to 50% of patients with splenomegaly and lymphadenopathy occurring less often. The hyperpigmentation over the face, legs and hands was also observed in our case. The skin changes usually observed in POEMS syndrome are hyperpigmentation, lichenification, hypertrichosis, sclerodermoid changes and glomeruloid hemangiomas. Skin biopsy may show inflammation, fibrosis, or nonspecific changes. Monoclonal protein is detected in more than 90% of patients and may become positive in the follow- up of patients who have no monoclonal gammopathy initially [8]. Nearly all cases reported in the literature show lambda positivity as in our patient. It may be rarely found in urine and cerebrospinal fluid (CSF). The natural course of POEMS syndrome is chronic, with a reported median survival for a decade (8-13.8ys). The morbidity depends on the extent and number of systems involved. The cause of POEMS syndrome is still unknown. It is tempting to incriminate the presence of lambda light chains in the pathogenesis because of their unexpected frequency (more than 95% of patients), but histopathologic review of affected organs and nerves does not support that it is a form of deposition disorder. Increased levels of cytokines IL-1ß, TNF-Ã ¡ and IL-6, more specifically VEGF, appear to play a pathogenic role in the disorder [9,10]. In view of the constellation of a mixed polyneuropathy, monoclonal gammopathy, osteosclerotic myeloma, extravascular volume overload, bilateral papilledema, skin changes and endocrinopathies, our patient was diagnosed as POEMS syndrome. However, other close differential diagnosis like tuberculosis and hemochromatosis were ruled out with appropriate investigations. Patient was treated with combination of alkylating agent melphalan and corticosteroid. To conclude, when a patient present with unexplained sensorimotor polyneuropathy, signs of extravascular volume overload and evidence of other system involvement, a high index of suspicion should be kept for a diagnosis of POEMS syndrome, to avoid missing this rare syndrome, which is amenable to treatment. Figure Legends Figure 1. Photographs of patient showing skin hyperpigmentation over the face, hand and limbs (thin arrows). Thick arrow showing pitting edema over the left leg. Figure 2. Photograph of patient (a) showing abdominal distention (free fluid was confirmed by ultrasonography). X-ray pelvic bone (b) showing multiple sclerotic lesion over right iliac crest (thin arrow) and one large osteosclerotic lesion (thick arrow) over the neck of left femur (b). Figure 3. Nerve conduction study showing axonal and demyelinating neuropathy in right median nerve. Figure 4. Bone marrow smear in centre reveals one large atypical plasma cell, which has prominent nucleoli and abundant cytoplasm. There is loss of normal nuclear configuration with fraying border. References Bardwick PA, Zvaifler NJ, Gill GN, Newman D, Greenway GD, Resnick DL. Plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, M proteins and skin changes: the POEMS syndrome: Report on two cases and a review of the literature. Medicine (Baltimore). 1980;59:311-322. Dispenzieri A, Kyle RA, Lacy MQ, Rajkumar SV, Therneau TM, Larson DR, et al. POEMS syndrome: definitions and long-term outcome. Blood. 2003;101(7):2496-2506. Min JH, Hong YH, Lee KW. Electrophysiological features of patients with POEMS syndrome. Clin Neurophysiol. 2005;116(4):965-968. Kelly JJ Jr, Kyle RA, Miles JM, O’Brian PC, Dyck PJ. The spectrum of peripheral neuropathy in myeloma. Neurology. 1981;31:31-34. Reulecke MD, Dumas M, Merrier C. Specific antibody activity against neuroendocrine tissue in a case of POEMS syndrome with IgG gammopathy. Neurology. 1988;38:614-616. DSouza A, Hayman SR, Buadi F, Mauermann M, Lacy MQ, Gertz MA, et al. The utility of plasma vascular endothelial growth factor levels in the diagnosis and follow-up of patients with POEMS syndrome. Blood. 2011;118(17):4663-4665. Watanabe O, Maruyawa I, Arimura K, Kitajawa I, Arimura H, Hanatani M, et al. Overproduction of vascular endothelial growth factor vascular permeability factor is causative in Crow-Fukase (POEMS) syndrome. Muscle Nerve. 1998;21(11):1390-1397. Miralles GD, O’Fallen JR, Talley NJ. Plasma cell dyscrasia with polyneuropathy; the spectrum of POEMS syndrome. N Eng J Med. 1992;327:1919-1923. Kanai K, Sawai S, Sogawa K, Mori M, Misawa S, Shibuya K, et al. Markedly upregulated serum interleukin-12 as a novel biomarker in POEMS syndrome. Neurology. 2012;79(6):575-582. Soubrier M, Dubost JJ, Serre AF, Ristori JM, Sauvezie B, Cathebras P, et al. Growth factors in POEMS syndrome: evidence for a marked increase in circulating vascular endothelial growth factor. Arthritis Rheum. 1997;40:786-778.

The Day My Music Died :: Personal Narrative, Autobiographical Essay

Some memories never fade. Tucked away in the accordion file of our minds, some memories live forever. Some memories walk hand in hand with us to our six-foot retirement homes. And though it is true that some are great blessings, some memories scar the hopes, some memories mar our dreams. In my heart I will always have a passion for music. The rhythm of the beat is the blood in my veins. I can close my eyes and hear the notes, tasting the sweet sound they leave on the top of my tongue. The sound of my soul, that reverberates inside the corridors of my heart. I feel empty without its presence, naked without the silken cloth of sound. This is my life; this is my true love. But love does not pay the bills, my father would say to me, loosening his tie and kicking off his leather shoes, those tight leather shoes. I like my sandals, I thought to myself, as I had so many times before. After all, thinking seems to be the only thing to do. I couldn't speak; I couldn't put that replenishing sound into his heart. Hell, thinking was the only cure. It sure beat hearing another lecture on the myopia of my dreams. Really, I was tired of it all. Every time I tried to tell my father about the passion, the sheer energy that music provided for me, my words fell on deaf ears. Listening, he would cross his arms and nod his head in that patronizing way. Soon, I could no longer distinguish the true meaning of any of my father's gestures. In our home, a nod no longer meant yes; a smile no longer meant happiness. As soon as my father realized that I was serious about being a musician, his world and mine collided head on. Father always believed in the importance of politics. He lived his life based on the philosophy that it isn't what you do, but who you know that really matters in the world. I still cringe at the thought of such an idea. I was never the one to go after people. I wasn't the type of person who you would interview when composing a "How to Win Friends and Influence People" book. If for some reason I didn't feel like grinning like a birthday boy upon making the acquaintance of a friend of my fathers, then that was that.

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Moreover, it saves time and healthcare expenditure. This essay aims to discuss the comparisons between two projects, in Cambodia-partners Telekinetic project and a remote volcanic group of Islands In South Atlantic Ocean-Telemeter comes home. To begin with, recent studies illustrate that there are many benefits of using telekinetic, especially for the least developed environments like Tristan dad Chunk and several distant places in Cambodia. It can be used effectively via 24-hour satellite-internet connection in Tristan De Chunk; first of all, It Is helpful for doctors to monitor patients' conditions and even for surgery.According to a foreman of medication at IBM named Richard Baklava, â€Å"What we are starting to see now is a patient-doctor model. † It is presently ordinary that physicians send patients' information such as X-rays in a computer program version to other experts. For example, If Dry. Van De Mere requires advising specialists, he can function It over a video l ink. As the technology amends, a mechanical-liked operation system called Dad Vinci was used to remove a gall-bladder on a patient in the year of 2001. (The Economist, 2008, p. 3) In Cambodia, telekinetic is typically used In provinces In some resource-poor areas the same as In South Atlantic Ocean, too. The Cambodia villagers, especially those who live In Roving and Ban Lung, have been very grateful for the provision of internet access. To be able to send and obtain data, the local populations need solar and generator- powered satellite dishes, wireless technology and mobile systems to approach. Furthermore, telemeter mostly works on some sicknesses like malaria and diarrhea that are likely to be occurred on kids in the remote Cambodia.On the other hand, without the motormen who take responsibilities on delivering patients' information to physicians, it is almost impossible for the villagers to know what recklessly goes wrong with their health. (Hellmann, 2005, Internet). In other words, with the aids of the internet, telekinetic has cured and saved so many people's lives. Taking the ill patients at Roving in Preach Viewer province as an example, if they want to visit the doctors at Phonon Penn city, they have to spend time and fees on traveling to receive better treatments or Just to have simple health check-ups.As regards to a Cambodia report, It states that almost 80% of the residents derived a great satisfaction from the resistance involved and that they would be willing to foot 1 OFF hey are not required a direct visit to the specialty hospitals. (Heinlein, 200, internet) Similarly, Tristan dad Chunk, does not have an airstrip to provide clinical heath care for urgent situations, therefore, it would be a difficulty to contact other places in the world face to face in approximately one week.

The American Presidency essays

The American Presidency essays The Power Of the American Presidency The office of the American President is unquestionably a democratically ruled position. The checks and balances of the Legislative and Judicial branches, known as Separation of Powers, keep the presidency one of the most important duties in the world, but at the same time, the checks and balances do not let the president have too Separation of power was very effective; The three branches of government (executive, legislative, and judicial) are kept separate, and each has different powers. Congress has legislative, or law making, powers; the President has the power to carry out, or execute, the laws; and the Judicial branch had the judging power, used to interpret the laws. In addition, each branch is able to restrain or balance the powers of the other two branches upon power abuse. If the President is suspected of unlawful acts, he can be impeached, or tried by the House and Senate for misusing his power. If he is found guilty, he can be thrown out of office, unless two thirds of Congress agrees with a treaty he proposes. Furthermore, if the President wants to spend money, his request must pass through Congress, since it has control over spending. Lastly, Congress can re-pass a vetoed bill. Congress also has checks and balances against itself. The president can veto a bill from Congress, and although Congress can override a veto, obtaining a two-thirds vote is very difficult. Public speeches by the President may also concern the public with an issue, putting pressure on Congress to The American President is one of the most important persons on earth. The president, however, cannot pass a single bill without the approval of the House and the Senate. The president can propose bills, and he often deals with many short, yet unthinkably important questions concerning various factors throughout the world. ...

Evaluating You and Your Business Idea a Book by Joseph Covello and Brian Hazelgren

Evaluating You and Your Business Idea a Book by Joseph Covello and Brian Hazelgren The paper is aimed at examining the chapter Evaluating You and Your Business Idea from the textbook written by Joseph Covello and Brian Hazelgren. These authors pay attention to the process of goal setting, and they offer some valuable recommendations to future entrepreneurs.Advertising We will write a custom essay sample on â€Å"Evaluating You and Your Business Idea† a Book by Joseph Covello and Brian Hazelgren specifically for you for only $16.05 $11/page Learn More On the whole, these researchers believe that an individual should identify personal and economic objectives that should be attained (Covello and Hazelgren 13). In other words, it is necessary to examine the financial objectives that should be achieved by the enterprise. Moreover, it is vital to quantify these economic objectives (Covello and Hazelgren 13). Furthermore, a person should explain why he/she wants to work in a specific area of business. Moreover, it is vital to explain how t his particular choice can help a person fulfill his/her talents or ambitions. To some degree, these goals included in this plan are consistent with the recommendations offered by these authors. In particular, this plan includes clear economic objectives that are quantified. However, it is necessary to pay more attention to personal objectives because they are not clearly identified. This is one of the drawbacks that can be singled out. Additionally, it is important to discuss the distinction between short and long-term objectives. This distinction is important for the successful implementation of business plans. In this way, one can better develop the strategies for the development of a business (Covello and Hazelgren 13). Furthermore, this knowledge can help a person see the relations between different steps that will be taken in the future (Covello and Hazelgren 13). The given plan includes some of the goals that will be attained in the near future. Moreover, it is critical to sin gle out the resources that should be accumulated. For instance, the author of this plan discusses the need to accumulate start-up capital. Apart from that, this plan includes some long-term objectives. In particular, the writer mentions the intention to open new shops within the next four years. Furthermore, Joseph Covello and Brian Hazelgren believe that it is necessary to set the timelines for the implementation of the goals (15). However, these researchers also note that in many cases, such timelines cannot be rigidly fixed. Moreover, by focusing only on timelines, a person can make flawed business decisions. This is one of the pitfalls that should be avoided. To a great extent, the plan, which is analyzed, is compatible with the suggestions offered by the authors of this chapter. Nevertheless, there are some limitations of this plan, and they should not be overlooked. For instance, this document does not clearly show how this venture can gain the loyalty of clients. It is not ev ident why they will choose the services of this particular cafà ©. In turn, this issue is examined by Joseph Covello and Brian Hazelgren who believe that entrepreneurs should differentiate the venture among other companies. This is one of the issues that should be taken into account.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More On the whole, the discussion suggests when starting up a business venture, a person should clearly explain the steps that will be taken to attain business goals. Moreover, one should clearly identify the resources that will be needed. The elements of this plan are compatible with the recommendations offered by scholars. Nevertheless, the author does not show why the future venture will be remain competitive. These are the main arguments that can be advanced. Covello, Joseph, and Brian Hazelgren. â€Å"Evaluating You and Your Business Idea.† Comp lete Book of Business Plans: Simple Steps to Writing Powerful Business Plans. Ed. Joseph Covello and David Carpenter. New York, NY: Sourcebooks, Inc, 2006. Print.

Review of the Literature 3 Essay Example | Topics and Well Written Essays - 1250 words

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Exporting goods via airfreight Essay Example | Topics and Well Written Essays - 500 words

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