Coronectomy Alternative Wisdom Teeth Extraction Health And Social Care Essay

Coronectomy Alternative Wisdom Teeth Extraction Health And Social Care Essay Clinical Scenario A female patient aged 23 attends her general dental practitioner with repeated episodes of pain from the back of her lower jaw. Intra oral examination reveals swelling, soreness and erythema overlying the operculum of a partially erupted wisdom tooth, indicating pericoronitis. Radiographic examination reveals an impacted wisdom tooth with narrowing of the root and loss of the inferior alveolar canal lamina dura. Realising the potential complications, the general dental practitioner refers the patient to the oral and maxillofacial department of the dental hospital where you are working as a Senior House Officer. Upon consultation, the patient reveals that she is worried about the complications associated with the procedure, and whether it will affect her future career as an actress. She informs you that a friend of hers recently underwent wisdom tooth extraction and as a result can no longer feel her lower lip and tongue. She asks you questions such as; what are the chances of this happening to me? how long will it last? and is there are any alternative treatments? Upon reviewing the radiographs, you realise the associated high risk of nerve damage to this patient, and recall that you recently overheard a fellow colleague talking about coronectomy as an alternative to extraction of wisdom teeth. You remember the colleague saying that this technique reduces post operative complications, and wo nder if this technique would be a suitable treatment option for this patient. Before informing the patient, you want to know if there is any evidence to support this technique, and its potential harms and benefits. Introduction If present, third molar teeth normally erupt between the ages of eighteen and twenty four.3 An evolutionary reduction in jaw size coupled with a less abrasive diet makes the problem of impacted wisdom teeth somewhat inevitable in modern humans.1 Impaction arises when there is prevention of complete tooth eruption due to lack of space, obstruction or development in an abnormal position.3 This may result in the tooth erupting partially or not at all. Pericoronitis can be defined as an infection involving the soft tissues surrounding the crown of a partially erupting tooth, and is the most common reason for wisdom tooth extraction. Its signs and symptoms include facial and intra-oral swelling, soreness, erythema, trismus, raised temperature, lymphadenopathy and general malaise. Hospital episode statistics for 2009/2010 show almost 12,000 out patient and 65,000 in patient admissions for surgical removal of wisdom teeth, making it the most common oral surgery procedure performed in the UK. The NICE guidelines for extraction of third molar teeth suggest that their surgical removal should be limited to patients with evidence of pathology.3 Such pathology includes unrestorable caries, non-treatable pulpal and/or periapical pathology, cellulitis, abscess and osteomyelitis, internal/external resorption of the tooth or adjacent teeth, fracture of tooth, disease of the follicle including cyst/tumour, tooth/teeth impeding jaw surgery, and when a tooth is involved in or within the field of tumour resection.3 According to the NICE guidelines wisdom tooth extractions cost the NHS in England and Wales up to  £12million per year.3 The guidelines published in 2000 dramatically changed the practice of wisdom tooth extraction. The guidelines do not support the prophylactic removal of pathology free impacted third molars, even in situations where future pathology is inevitable. This is a topic of huge debate at present. Unfortunately the removal of third molar teeth has potential complications. These include damage to the inferior alveolar and lingual nerves, pain, swelling, infection, haemorrhage and alveolar osteitis. Damage to the inferior alveolar nerve may occur if the nerve and tooth are in close proximity. The intimate relationship of the nerve and the tooth is most commonly observed on panoral radiography. At present research into the benefits of cone beam computed tomography is underway, and shows promising results for assessing teeth in close proximity to the inferior alveolar nerve canal. There are several radiological signs visible on regular radiographs that predispose to increased likelihood of inferior alveolar nerve injury (see figure 1).5 These include: Canal deviation Canal narrowing Periapical radiolucency Narrowing of the root Darkening of the roots Curving of the root Loss of canal lamina dura.5 Figure 1: Radiographic signs of increased risk to the inferior alveolar nerve.5 Nerve damage is also a potential complication, the majority of which are temporary but permanent hypoaesthesia, paraesthesia or even more worryingly dysaesthesia may occur. (See table 1 for definitions). Table 1: Definitions of different pain pathologies.8 Research into nerve damage by Seddon and Sunderland classified five degrees of nerve injury ranging from conduction block to complete transaction of nerve fibres.9 Each of these five degrees of nerve injury may be created by wisdom tooth extraction.9 Different methods of nerve injury include; compression injuries causing neuropraxia, crush injuries inducing wallerian degeneration, stretch injuries such as that possible during lingual retraction and complete nerve sectioning.8 Injury to the nerve can occur from its compression either directly by elevators or indirectly by forces on the root during extraction. This neurosensory deficit associated with nerve damage can cause problems with speech and mastication, which may consequently affect the patients quality of life. Third molar surgery related inferior alveolar nerve injury has been reported as temporary in up to 8% of cases, and permanent in up to 3.6%.6,7 Risk factors include increased age of patient, difficult extraction and perhaps most importantly, the proximity of the tooth to the inferior alveolar nerve canal. Many different surgical techniques and approaches to wisdom tooth extraction exist with evidence of geographic preferences. A buccal mucoperiosteal flap is usually raised using a Howarths or similar periosteal elevator. Opinion varies as to whether a lingual flap should be raised. This improves visibility and involves protecting of the lingual nerve using a Howarths elevator or retractor. This has traditionally been the procedure of choice in the UK. It is less common in Europe and the USA where the lingual flap is not used in order to avoid possible damage to the lingual nerve. The tooth can then be sectioned if necessary to assist removal using a Cryers or Warwick-James elevator. Healing by primary intention is ideal, however in practice this is rarely achieved and sutures may be needed to assist healing. Coronectomy is an alternative procedure to complete extraction and aims to remove the crown of an impacted Mandibular third molar whilst leaving the root undisturbed. It involves raising a buccal flap with subsequent removal of buccal bone down to the amelocemental junction of the tooth. The crown is then partly sectioned from the root using a fissure bur, and elevated using a suitable instrument. There is a small chance that on elevation the roots may loosen and become mobile.2 This is increasingly likely in young females, and those with conically shaped roots.2 If the roots are mobilised, they must be removed. A rose head bur should be used to remove any remaining enamel from the tooth, and the buccal flap closed using 4/0 Vicryl sutures. There is no need to medicate the pulp and antibiotics are conta-indicated. Pre- and post-operative corsodyl mouthwash, and good oral hygiene are sufficient. Alveolar osteitis is a possible post-operative complication and patients must be made awar e of this and the need to seek further treatment if there is persistent pain or swelling. The tooth must be high risk, vital and the patient must not be immunocompromised.

A Business Case for an ISO 14001 Essay

Abstract The ISO 14000 series takes the international standards system to the field of environmental concerns. ISO 14001 focuses on the development and maintenance of an Environmental Management System, within the ISO 14000 series. The ISO 14000 series is of relatively recent origin, having been instituted in 1991. However, it has emerged as a significant force within a short time. The ISO 14000 series is relevant for the world of business, for governments and regulators, for organizations that work not-for-profit and for entities of all types and sizes, wherever they may be. Its universal nature makes it a unique and dominant system for all people who are concerned with pollution, waste and about the consumption of resources that are limited and which cannot be renewed. ISO 14000 promotes professional conduct. Training people and involving them in key processes lie at the heart of the ISO 14000 system. The rigors of certification serve to develop human resources. It can serve to motivate people at all levels of the hierarchy, and to foster team spirit. The ISO 14000 system is not limited to altruism and to noble intentions. It is worth hard cash. ISO 14001 puts great pressure to bear on achieving productivity improvements that translate to valuable cost savings. Major international corporations enjoy impressive profit growth through the ISO 14000 series. All ISO certifications carry the benefits of independent and international recognition. ISO extension in to the field of environmental concerns through the 14000 series brings desirable pressure on companies that produce hazardous substances and which generate enormous amounts of waste. Customers everywhere have the choice to insist on ISO 14000 certifications. Companies may find themselves excluded from significant market segments if they continue to ignore or to avoid ISO 14000. Some organizations may find themselves out of business if they do not secure ISO 14000 certification. Apple leads a galaxy of the world’s most respected enterprises in using ISO 14001 certification as a cornerstone of competitive strategy. Lithium ion battery technology is an example of innovation that a commitment to environmental conservation can present. Solutions inspired by ISO 14001 can have welcome economic benefits, apart from noble achievements in terms of environmental conservation. Reduction in energy consumption is an outstanding example, since power generation can be both expensive as well as polluting. ISO 14000 calls for abiding commitment on the part of all entities that seek certification. The system consumes major portions of employee time. ISO 14000 becomes a major element of cost, though it does produce handsome returns. The ISO 14000 series follows a highly structured implementation procedure. There is comprehensive documentation widely available that any organization can use to enter the system. Most organizations find it expedient to use consultants to guide them through the process. Independent auditors are inevitable. External auditors must be knowledgeable, experienced and accredited. ISO 14000 has important weaknesses. Loss of proprietary information is the most serious risk. Certified companies may find that their defenses have been compromised in the event of litigation. This arises from the documentation and management reviews that are integral to ISO 14000. ISO 14000 leaves organizations free to choose their own goals, priorities and standards. It therefore lends itself to potential abuse by organizations that may push important social concerns to the background, or to prevaricate about deleterious aspects of environmental degradation. Some organizations may not be able to fund the investments in time and money that ISO 14000 requires. The benefits may therefore evade small enterprises. ISO 14000 documentation needs can also duplicate documentation that other systems and some regulations require. Training and audit infrastructure is inadequate for widespread and global application of ISO 14000. Some organizations, especially in remote regions can find themselves excluded though they may wish to enlist. ISO 14000 confines itself to the environment. It does not consider issues of human wellness. There are many community concerns that ISO 14000 does not address. It is not a guarantee of ethical performance of an organization on all fronts. Business interests may be served best if companies were to use ISO 14000 for internal review, without going in for certification or even registration. It would then be an effective tool of risk management without opening the firm to unwelcome public scrutiny. Purpose of the Study There are a number of excellent consulting services and other resources available at a cost, to help companies through the process of achieving certification. The key is the element of cost. In order to receive funds for consulting services or any other resources, you may have to justify your endeavor financially prior receiving any funding. Even if your company is capable of going through the process without any outside resources there are still direct and indirect costs associated with the process, prior to hiring a certification company to conduct an audit. You will have to buy materials, pull people in full time and part time, audit and update records. Training will be required for employees and management. The purpose is to show that the costs associated with obtaining and maintaining an ISO 14000 certification as part of an Environmental Management System, can be exceeded by the benefits of doing so. The benefits are not just monetary, but also how the company is viewed in the public eye as well, which is increasingly important in today’s global economy. Importance of the study Several industries are trying very hard to change their public image as environmentally â€Å"unfriendly†. The oil industry with its need to seek more sources, often in wilderness areas, chemical companies which have in the past legally dumped toxic waste, the timber industries and the automotive industry which continues to produce large gas guzzling SUV’s and trucks are all very sensitive to public perception. Perception is very powerful and a company does not want to be perceived as harmful to the environment or not environmentally friendly. The ISO 14000 certification system can be used as a tool to not just say we are concerned about the environment, but to show what you have been doing, are doing and will be doing to improve your performance. In doing so you should be able to add to your bottom line, both direct and indirect. As more and more of these companies and seek and obtain the ISO 14000 certification they require suppliers to do so as well. It is very likely that both public and private demand for environmental responsibility will continue to fuel the shift towards certification as proof of doing so. In the global economy today an ISO 14000 certification could become as important, to show a company’s environmental responsibility, as ISO or QS 9000 is to show a commitment to quality. It may become a prerequisite to doing business with some companies and in more industries as it has in the automotive industry. This study seeks to contribute to the on-going debate within some sections of industry about the economics of ISO 14001. We know that large corporations invest in registrations, often under duress from social activists. But is there money to be gained by following the system? Can there be purely business reasons for seeking ISO 14001 certification? Can smaller enterprises participate? These are some of the questions that this study seeks to answer. Scope of the Study The majority of the top 100 companies in the United States have already achieved ISO 14000 certification. The same trend exists in the European Union. The research will look at what is driving the movement towards certification. It will also look at what is required to become certified and to maintain that certification. This will be done through case studies of companies that have already achieved certification, how it has affected their companies and in what ways. The main focus being that it makes good business sense, and the justification thereof. The study concentrates on the business and profit reasons for ISO 14000 registrations, with tertiary scans of ethical issues and applicability of not-for-profit organizations. The study includes brief descriptions of all phases of the ISO 14001 process, with outlines of the various sections of the manual that is an integral part of the process. Rationale of the Study While a lot companies have already achieved ISO 14000 certification many more have not. One of the biggest factors in failure to achieve or to get the company to attempt certification, especially in small and medium size companies, is that often the appointed SME (subject matter expert) has little knowledge as to what is required. It is a task that is added to their current â€Å"to do† list and they are not given the proper resources or time to conduct a thorough study as to what needs to be done, the resources it will require and what is most important in some cases, R.O. I. (Return On Investment). This study will help to explain what is required, where to look for information and through case studies show that a positive R. O. I. can be achieved through ISO 14000 certification and the maintenance of the certification. Overview of the Study The study will consider the attributes of ISO 14000 as an Environmental Management System. In this paper the main focus will be to define the quantitative as well as qualitative benefits for employing an EMS, in our case ISO 14000. While ISO 14000 will be the primary focus, other EMS systems will also be discusses as alternatives and for relative comparisons. The procedures for and the costs of implementation will also be looked at as part of the study. In the process case studies will be studied and discussed through the use of Internet searches, relevant case studies and publications as well as personal experience and interviews with others in the field. This study will attempt to provide methods for justification of perusing certification. We will also try to give an overview of the process for obtaining certification from the planning stage, through implementation, certification as well as the follow up and continuous improvement required to maintain certification. The Ethical Rationale for Environmental Management Standards Concern for the environment is one of the hallmarks of social concerns during our times. Awareness has been growing since the last quarter of the 20th century. It has snowballed in to a major force. There are signs that countries and people will become increasingly demanding of all organizations with which to deal, in this respect. Though the first world is more influenced by concern for the environment, developing economies are also dragged in to the vortex of global opinion, as electronic media and desire for market access drive even poorer people to conform to conservation standards. Pollution, use of hazardous substances, non-degradable waste and consumption of limited natural resources are the four principal corners of environmental concerns. Pollution of air and water are most perceptible for lay people, but the effects of land fills can be equally devastating. Pesticides and organic solvents lead a series of chemicals with both acute and chronic effects. Mesothelioma is an example of a consequence of exposure to a hazardous substance, the fatal implications of which can surface after decades. Organochlorine pesticides persist in nature almost indefinitely. People at large have become very concerned about such residues and threats that surround them. Women and children are especially vulnerable. The concept of supply chains has spurred thoughts about life cycle analysis. Exhaustive labeling requirements have made people more generally aware that an innocuous finished product may involve the use of hazardous substances. Processed foods are common examples of convenience products that may contain harmful ingredients and sources of infection and contamination. This matter also leads to consideration of packaging materials that we have traditionally taken for granted. Consumers are now aware that products made from paper can involve the destruction of forest cover, while plastic has acquired a notorious image for its persistence. This applies to tin and other metals as well. Mercury and other heavy metals in batteries and electronic products are also causes of concern. Clean water has been in acute shortage in many parts of the third world for some time now, but even developed economies have begun to worry about large-scale use of this precious resource, Ground water contamination and depletion of the ozone layer are other matters that engage much popular attention. Large corporations that generate profits are prime targets for pressures to develop environmental management standards. Companies, whose operations transcend national boundaries, have to be especially careful of their environmental footprints. However, government, social service organizations and small business may all affect the environment in serious and indelible ways. Hence it is possible that environmental management programs may become increasingly universal with the passage of time. We may conclude that there is a strong ethical foundation for environmental concerns. All organizations regardless of their size, nature and location, will be subject to pressures to monitor their environmental impacts, and to find ways of reducing or even eliminating all harmful implications of their transactions. The ethical rationale has a firm linkage with business reasons for ISO 14000 certifications, as there are societal trends that it soon become a pre-requisite for continuing to be in business. The Sustainability Imperative for Environmental Management Mature sectors of national economies, and ones that grow rapidly, are in danger of extinction if they do not address environmental concerns. Electronic waste generated by computers and emissions from heavy industries are examples of enterprises and activities that may have a natural end if they do not address the irreversible effects that they can have on the environment. Depletion of the ozone layer is the sort of contentious issue that spreads across sectors and across countries as well. Closely held companies and ones whose stocks are actively traded on markets are most vulnerable to sustainability pressures. The effects of litigation on tobacco and pharmaceutical companies does influence market capitalization significantly, while major industrial accidents can cause companies to cease operations altogether. Government authorities responsible for solid waste disposal, drainage and water supply, may also face bottlenecks if they do not institute timely procedures for environmental management. Food safety is an issue that can affect even a small hot-dog stand. All entities are subject to irreversible degradation if they cause continuing pollution and wasteful consumption. Viral pandemics amongst poor communities are proof that the effects of a deteriorating environment are ultimately universal. We may conclude that there are survival compulsions for all sections of society, in terms of using environmental management systems. Damage and depletion have cumulative effects, some of which manifest themselves many years later. Changes in the macro-environment, such as ozone depletion have serious consequences for innocent communities. Stakeholders of all hues need the umbrella of environmental management systems for their own survival. There are indications that the only companies that will survive and prosper as the 21st century unfolds will be the ones with sound environmental management systems in place. The ones that consume too much of energy and that are relatively wasteful of materials, will be forced out of business by more efficient competitors. Companies that consume vast quantities of non-renewable resources will begin to reach deep in to irreversible crevasses. Society will become increasingly impatient with waste that cannot degrade, and even more so with air and water emissions that threaten human wellness. Companies may escape accountability for environmental degradation in the third world for awhile yet, but apocalypse for them is visible on the horizon! Recent concern for the environment in China marks a watershed, for industries and individuals in this enormous market have operated without such cares until now. The new trend in China spells a change for all corporations that sell their goods and services there, and also for those which source inputs from that vast land. India, being a democracy and a land of education, will follow suit in due course. The days for those without environmental management programs in place are numbered, and there is advantage in jumping on to the learning curve of ISO 14001 as soon as possible. The system has a business rationale, shorn of any altruistic motives.

Compare and Contrast of Sonnet 116 and Othello Essay

What is love? Mr. Shakespeare tries his best to tackle this topic in Sonnet 116. Stating that true love is not merely a physical attractiveness, because how one looks is something that goes away in time. Love is everlasting, that it â€Å"bears it out even to the edge of doom.† (Sonnet 116 Lit Book) One can see that Shakespeare has sturdy roots in what he defines as â€Å"love†, but do his confident beliefs in what love is correspond to the love shown in his play Othello? The love in Othello seems so superficial, but maybe there is more to it than what one sees while reading it. In Shakespeare’s Sonnet 116, he shares with the reader what his beliefs in love are. Shakespeare starts by saying â€Å"Let me not to the marriage of true minds/ Admit impediments.† What he means by this is that there should be nothing that stops two true minded people from being together. No matter the obstacle, challenges, or weaknesses, true love can conquer all ailments. He continues to say the true love cannot be altered with the withering of looks or physique, by saying â€Å"Love is not love/ Which alters when it alteration finds.† Love does not change, ever! Even when a loved one is disloyal, one cannot stray away from the bounds of that marriage, it is everlasting, â€Å"It is a lighthouse/ That looks on tempests and is never shaken.† He goes on to say that loves worth cannot be calculated, but the height of ones love can be felt. â€Å"Love’s not Time’s fool, though rosy lips and cheeks/ Within his bending sickle’s compass come†, Shakespeare goes deeper than usual with this line, he says that love is eternal, and cannot be influenced by time and space, but physical beauty is at the mercy of time, and death. Referring the sickle to the scythe of Death, and when death comes, one’s beauty will be forgotten, but the love you shared, will be remembered forever. Shakespeare defines love something that lasts until the end of one’s days, not something that will change over time. Shakespeare is so confident in his definition of love he ends the poem saying that if I am wrong I take back everything I have ever written, and no man has ever been in love. So does the love portrayed in Sonnet 116 compare to the love shown in Othello? In Othello Othello is in â€Å"love† with and married to Desdemona, but the jealousy placed in him by Iago overtakes him and kills her because he  thought she was having an affair with Cassio. So obviously killing the he â€Å"loves† over a rumored affair, does not shine too kindly on the true affections of Othello towards Desdemona. Shakespeare said in Sonnet 116 that true love will stand through the thick and thin, it will surpass doubts and give you the power to forgive and forget all wrongs your loved one has done. Perhaps it was Othellos quick temper that caused him to act so rashly killing his wife, or maybe it was the constant reminder of Iago of how he could rid these problems by just getting rid of them. Iago played a huge role in the death of Desdemona, he is the whole reason that all of this came to happen. Iago plays the role jealousy in Othello one can see this from the very beginning. Very early into the story Iago’s jealousy of not getting selected for a promotion enrages him and causes him to hate Othello.

Portrayal of the American Dream in the 20th Century Theatre

Portrayal of the American Dream in the 20th Century Theatre The American dream has become one of the most important values in the sense that it has played a significant role in providing American citizens with the freedom to pursue their goals, rights and dreams. This has been a dominant phenomenon for many years now. The idea of the American dream has been existing since as early as the 17th century. However, in the beginning of the 20th century period, it was generally formulated and widely accepted among people who arrived in the USA.Advertising We will write a custom essay sample on Portrayal of the American Dream in the 20th Century Theatre specifically for you for only $16.05 $11/page Learn More As a result, different playwrights developed dramas which were played in theatres and largely portrayed the quest for the American dream by individuals, as well as society. This paper examines how the search for the American dream was portrayed in two plays namely the American salesman by Arthur Miller and the melting p ot by Israel Zangwill. The melting pot The American dream has received different and yet numerous definitions over the years. In spite of the various descriptions that have been given to the American Dream, it is also worth noting that this concept has been a major driving force aimed at attaining success in the widely acknowledge land of America. The various facets of the American dream tend to touch on the aspirations of the youth and beauty, dreams of property ownership, upward mobility and equality among others. This has made the American dream to be real for many people and also elusive to other groups and social classes which regarded it as a mere guideline for people who wanted to become successful. The concept of the search for the American dream was clearly displayed in the works by Israel Zangwill who in his play The Melting Pot indicated how different individuals in modern societies shift their focus on realizing their freedom (Kraus, 1999). This form of a freedom has bee n described in various ways ranging from social to financial. However, different analysts criticized the use of the melting pot in the play to show the pursuit of the American dream terming it as unrealistic in the sense that the term ‘melting’ creates a picture of individuals who completely abandon their cultures in search for the American dream (Cardullo, 2007).   In addition, this has been viewed as an uncivilized way of seeking perfection in society, especially if culture is to be abandoned for the sake of the American dream. Nonetheless, the play brings out the importance of freedom tacking into consideration the fact that during the previous era, it was evident that some identities and cultures were perceived as unwanted and inferior, certain groups, like black people, were under the yoke of slavery, while the Native Americans, South European immigrants and Irish Catholics were discriminated. As a matter of fact, there were adequate and quite justified reasons w hy the American dream was being considered as the best available option.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More In order to back up the concept of the American dream and respond to criticisms from the analysts in the play the melting pot, the concept of cultural pluralism was developed in 1915 with an aim of incorporating the fact that even with American freedom diverse ethnic groups can still keep and enrich their different cultures in a harmonious and mutual manner (Alba et al., 2000). However, different individuals fro the outside interpreted the American dream wrongly. The dream was interpreted and largely perceived as a peaceful co-existence of different people and ethnic groups. While there was great discriminations among different ethnic groups in America with the minority ones suffering while the whites enjoying great dominance. The play was meant to motivate various g roups towards freedom. During that time, the civil rights of Afro Americans, as well as many Native Americans, had been denied (Cardullo, 2007). These incidences were reflected in the events that took place shortly before, during and immediately after the Martin Luther’s time. The long way that America had come required a clear understanding of issues and a straightforward method of addressing them. It is also notable that both, the white segregationists and black community clearly understood that the constitution was being broken and justice was not being delivered to all (Alba et al., 2000). Addressing the issues of segregation and discrimination of the Native Americans by different leaders was a call for freedom that drove many followers to offer support since they sought to address the gap. Straightforwardness supports the leader’s values that tighten the bond between them and followers. During the great march on Washington in 1963, President Kennedys administratio n and pro-discrimination whites could not resist but grant the hard fought freedom by changing the existing laws (Alba et al., 2000). The American salesman As indicated earlier, the notion of upward mobility of the American dream saw many people in the 20th century develop a strong belief in improving their economic status and overall wellbeing. Developing a dream of upward mobility was strongly expressed in theatres in Arthur Miller’s American salesman shows whereby Willy Lowman together with his son hoped to make their lives better by pursuing the American dream (Fix, 2008). As much as they belonged to the citizens of the low class, Lowman, as his name suggests, knew quite well that he could not arise above this level and as such saw it as necessary to prepare his sons for a better life indoctrinating his dreams in them (Fix, 2008). Perhaps, instilling some dream in them would be the most viable way of attaining the kind of success they were yearning for.Advertising We will write a custom essay sample on Portrayal of the American Dream in the 20th Century Theatre specifically for you for only $16.05 $11/page Learn More According to the play, the protagonist intended to help his sons live and fulfill their dreams. Scholars posit that the play brings out a self made American man whose need for upward economic mobility is based on pursuit of happiness and secularization of Puritan and Calvinist dreams (Cardullo, 2007).   Achievement of an upward mobility therefore comes through unrestricted and persistent effort, ambition, hard work and desire to master one’s own destiny. However, Arthur Miller seems to criticize the search for American dream in the play indicating that it led to loss of identity. Indeed, the American dream instilled in people some desires to pursue success regardless of the outcome of the entire pursuit. This perception and consideration that America would eventually provide the much need upward mobili ty has been brought out well in the play through heteronomy which happened to take humanity away. The play also brings out the fact that the pursuit for freedom can lead to destruction, a consideration that is seen in the end of Willi Lowmans life, who after directing his entire life and material possession to achieve his dreams, fails to achieve one of his extrinsically prescribed goals of upward mobility. This drives him to madness as he feels segregated. He eventually loses his mind. The American Dream, ever since its inception, influenced people’s livelihoods due to its application to the national social-economic and political points of view.   According to the definition of the term, it seeks to create a sense of economic improvement for various classes of people in the United States who are all seeking for the better economic achievements. It is also worth mentioning that theaters during the 20th century played a key role in advancing the need for developing a stronge r drive towards the achievement of better living standards, freedom from discrimination, segregation and economic hardships (Cardullo, 2007). Scholars agree with the reality depicted in the American salesman that the attainment of the American dream has been elusive to many Americans who still feel discriminated and undergoing economic hardships (Cardullo, 2007). In any case, the current economic divide has unfortunately been obstructive regarding the overall objectives of the American dream.  With the original objective to create a level playing ground for all, the current economic divide, as Madsen (2011) indicates, appears to act in a different direction.  Notably, the high social class has increasingly assimilated the dominance of key economic units such as industries and private institutions. Madsen adds that though this notion takes root silently, its implications are strongly felt.   Even after completing university education and gaining enough experience in management, many individuals still belong to the same social class (middle class) for a long time without shifting upwards.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More During economic recession, stagnations have been evident as salaries were cut down while people’s economic positions were greatly threatened. Summing up everything mentioned above, it is imperative to reiterate that both plays attempt to portray the American dream as a powerful drive that saw individuals work hard to attain it. Nonetheless, the 20th century theater was also quite ironical in the matter of presenting the American dream, indirectly describing it as being elusive. References Alba, R., Portes, A., Kasinitz, P. Fonari, N. (2000). Beyond the melting pot 35 years later: On the relevance of a sociological classic for the immigration metropolis of today. The International Migration Review, 34(1), 243-279. Cardullo, R. J. (2007). Selling in american drama, 1946-49: Millers death of a salesman, O’Neill’s the iceman cometh, and William’s a streetcar named desire. The Explicator, 66(1), 29-33. Fix, C. (2008). The lost father in death of a salesman. M ichigan Quarterly Review, 47(3), 464-467. Kraus, J. (1999). How the melting pot stirred America: The reception of Zangwill’s play and theatres role in the American assimilation experience. MELUS, 24(3), 3-19. Madsen, D. (2011). Out of the melting pot, into the nationalist fires. American Indian Quarterly, 35(3), 353-371,476-477.

The Tuskegee Airmen essays

The Tuskegee Airmen essays After WWII many men were forgotten. Up until 1942 our military had no African Americans in the Air Force. It was literally unheard of. In 1917 Walter White the director of the NAACP had demanded that blacks be allowed in the Air Corps. His demand was not met until March 7, 1942 when the first Black military pilots were awarded their wings at Tuskegee Army Airfield, Alabama. This event marked 25 years of determined effort by African American Activists. This was one of the main civil rights topics in the WWII era. After the pilots flight training, there were a select few that made a major impact in the war through their expert piloting skills. This group of African Americans are known today as the Tuskegee Airmen, and they will never be forgotten. Tuskegee Army Air Field was opened July, 23 1941, however training didnt begin until November 1st . Tuskegee was located in Alabama so it was a clear indication that black pilots were to be trained although all the trainees were not black. The war department announced in July of 1941 that the 99th Pursuit Squadron would enlist 33 pilots, 27 planes, and 400 men total. It also said that 270 men were also in training to be enlisted as ground and hangar crews. Additionally it stated that Tuskegee had the intention to train100 pilots per year at Tuskegee. In March 1942 the first five black pilots graduated. Their names were George S. Roberts, Benjamin O. Davis, Jr., Charles H. BeBow, Jr., Mac Ross, Lemuel R. Custis. These men completed and passed normal Army flight instruction and many hours of flight time. By July 1942 there were enough black pilots to form a strong squadron. However the Army was not ready to send black pilots overseas, the group stayed at Tuskegee to receive extra combat training under the leadership of Captain Benjamin O. Davis Jr. After being deployed to a base in North Africa, the Airmen got the first shot at combat on June 2, 1943. It was just a simple stra ...

Massachusetts Social Services and Information Technology Case Study

Massachusetts Social Services and Information Technology - Case Study Example In addition to his, the state legislature would pass a bond for Information Technology, which the agency targeted. In order to receive it, the agency must submit a justification request for the fund, which included an examination of both the two failed projects. The first failed project had a $20 million budget while the second one, still under development, had a $32 million budget. The state legislature approved the funding, giving the agency an obligation of ensuring this project succeeded. In order to do this, they analyzed the agency’s services, organizational culture and the current challenges that developers may face (Garson, 2006). One such project is the Information systems’ project at the Department of Transitional Assistance (DTA), which is an agency branch for Health and Human Services. This department deals with complex, unstructured and a large amount of information including tracking recipients of services, welfare benefits applications, scanning fingerpri nts and electronic benefits card issuing. In addition to this, Policies in the federal governments constantly change, at least four times in a year thus affecting any rule that already exists. The agency provides aid to families in different ways including childcare, food stamps, and families with dependent children, emergency aid to children, disabled and the elderly, emergency assistance, supplemental security income, and employment services program. Because of the variety of these services, social workers, as well as clients move from one place to another, meeting different people in order to receive services. The processes are complicated and tiresome. In addition to these, social workers must ensure that benefiters are genuine and deserving of the services by racking their backgrounds and history of benefits. The organizational realized that an effective ay of dealing with these problems would be adopting an Information system, which would facilitate speed and make duties of th e social workers easy. The system would store client information and make tracking them easy. All information systems projects require feasibility studies that examine the possibility of their successes. Failure to carry out these studies or poorly carried out feasibility studies leads to failures of projects. Poor feasibility studies lead to poor planning, documentation, staffing, budgeting, and scheduling. In addition to these, other issues such as organizational and cultural issues, as well as under estimation of scope and complexities are contributing factors to the failure. The planning and management team in the initial project failed to plan for the system. The system developers designed and documented it poorly. In addition to this, system was written in COBOL, which is difficult to understand and document. To ensure success of this project, the agency’s management The state governor appoints a commissioner who heads the agency’s department. At the initial stag es of the project, the commissioner was an employee from the career department from Field and Eligibility operations. A deputy commissioner was also appointed, from the Field and Eligibility Operations. The department has positions for administration and finance, procedure and program management and MIS, policy, who are all appointed from the Field an

Policy Brief Addressing The Issue Of Offender Recidivism Essay

Policy Brief Addressing The Issue Of Offender Recidivism - Essay Example It has been noted that there is a widespread inequality in the treatment of people in various institutions including the courts. There are allegations and reports that the minorities are being treated more strictly by court officials than the whites. They tend to receive harsher treatment for their crimes, are believed to be more predisposed to crimes and are likely to re-offend, especially the youths. Bridges and Steen (1998) explain that the perceptions of court officials towards the various categories of youths based on racial backgrounds influence their assessment of these youths. This impairs their ability to correctly assess the dangerousness of these youths.Although there is high rate of recidivism among the racial minorities especially the blacks, it should also be noted that it has turned into a stereotype. This can foster unequal treatment of white and minority offenders in dealing with criminal and juvenile cases and the administration of justice. Consequently, it can trig ger high offense and re-offense rates among the blacks as a reaction to the unfair perception given to them and the racial unfairness they witness in courts. It also opens a loop for recidivism by white offenders since they are not likely to receive a harsh treatment for their crimes. Drug offense is the main cause of rise in prison population in the United States. The percentage of people imprisoned for drug offenses has also risen dramatically and a high population of re-offenders is drug offenders. Spohn and Holleran (2002) state that people will keep way from crimes if they are sure to receive a severe penalty and immediately they commit the crime. People also commit crimes if the benefits obtained from them are higher than the costs. The state therefore needs prescribe tough disciplinary measures for drug offenders such as long prison sentences to deter the present and prospective drug offenders. This will make the cost of offending to be higher than the benefits received from the crime. The state should also remove fines levied on drug offenders because they could pay the fine from proceeds from the same crimes Administration of tough legal measures in based on severity of crime and past criminal record If people who find their way back to the prison for a second time receive a harsher punishment than first time offenders of the same crime, more offenders will be discouraged from reoffending. When administering the harsher punishment, considerations should not be