Aristotle On Theory Of Ideas Essays - Philosophy, Ontology

Aristotle On Theory Of Ideas Aristotle refutes Plato's Theory of Ideas on three basic grounds: that the existence of Ideas contradicts itself by denying the possibility of negations; that his illustrations of Ideas are merely empty metaphors; and that they theory uses impermanent abstractions to create examples of perception. Though the theory is meant to establish concrete standards for the knowledge of reality, Aristotle considers it fraught with inconsistencies and believes that the concept of reality depends upon all forms' correlations to other elements. Ideas, Plato believes, are permanent, self-contained absolutes, which answered to each item of exact knowledge attained through human thought. Also, Ideas are in Plato's view concrete standards by which all human endeavor can be judged, for the hierarchy of all ideas leads to the highest absolute - that of Good. In addition, the theory claims that states of being are contingent upon the mingling of various Forms of existence, that knowledge is objective and thus clearly more real, and that only the processes of nature were valid entities. However, Aristotle attacks this theory on the grounds that Plato's arguments are inconclusive either his assertions are not al all cogent. Aristotle says, or his arguments lead to contradictory conclusions. For example, Aristotle claims that Plato's arguments lead one to conclude that entities (such as anything man-made) and negations of concrete ideas could exist - such as "non-good" in opposition to good. This contradicts Plato's own belief that only natural objects could serve as standards of knowledge. Also, Aristotle refutes Plato's belief that Ideas are perfect entities unto themselves, independent of subjective human experience. Ideas, Aristotle claims, are not abstractions on a proverbial pedestal but mere duplicates of things witnessed in ordinary daily life. The Ideas of things, he says, are not inherent to the objects in particular but created separately and placed apart from the objects themselves. Thus, Aristotle says, Plato's idea that Ideas are perfect entities, intangible to subjective human experience, is meaningless, for all standards are based somewhere in ordinary human activity and perception. Thirdly, Aristotle assails Plato's efforts to find something common to several similar objects at once, a perfect exemplar of the quality those things share. Beauty is a perfect example; Plato considered Beauty both a notion and an ideal, isolated by abstractions and fixed permanently while its representatives fade away. Aristotle claims that abstractions like Beauty cannot be cast as absolutes, independent of temporal human experience; the Idea of Beauty changes with time and individual perceptions and cannot (as Plato felt) exist forever as a concrete standard. Plato and Aristotle reach some agreement, though, on the topic of reality. Plato believes that all reality was derived from his Ideas (which themselves dealt with concrete hierarchy of rational ideas. St. Anselm, though, makes the most dogmatic and logically tortuous case for God's existence, relying not upon explanations of goodness, truth, or rational order of ideas but upon an absurd argument. He claims that everyone has some sense of God, and he claims that for one to deny God's existence is an invalid and contradictory assertion; therefore, God exists. Also, Anselm believes that those capable of understanding God cannot believe that he does not exist - as if the enormity of the idea was so clear than only a fool could not perceive it. His arguments seem the weakest of the four viewpoints here, for they are riddled with dogma and assume that God is a constant - using faith alone. Anselm considers faith paramount to logic or other forms of thought and asks no questions as to what powers the universe or what goodness is - he basically follows the Christian "party line" too closely to be valid. In general, St. Augustine combines Plato's idea of a moral hierarchy with his own rational observations of truth and goodness being embodied in their highest form by God. While Plato wavers on God's superiority, Aristotle views man as god's pawn, and Anselm uses tortuous dogmatic logic, Augustine's arguments seem to make the most sense from not only a Christian point of view but from a moral and rational one as well. The philosophies of Plato, Aristotle, St. Augustine, and St. Anselm on the existence of God all vary on the issue of God's nature; though each thinker takes a different approach to why there is a God, that of St. Augustine seems the most valid because he takes a rational stance and does not dogmatically assume God's existence. Plato's philosophy assumes that God exists as a supremely good being whose goodness is analogous to Plato's concrete concept or

11 Memorial

Arads Vision for the National 9/11 Memorial Rebuilding anything is hard work. Nearly two years after the 9-11 terrorist attacks, New York developers announced a challenge - design a memorial for a shocked and grieving nation. Anyone could enter the competition. Entries poured in from architects, artists, students, and other creative people around the world. A panel of 13 judges reviewed 5,201 proposals. It took six months to select the designs of eight finalists. Behind closed doors, one of the judges, Maya Lin, praised a simple memorial originally titled Reflecting Absence. The 34-year-old  architect, Michael Arad, had never built anything larger than a police station. Yet submission 790532, Arads model for the memorial, stayed in the hearts and minds of the judges. Michael Arads Vision Michael Arad had served in the Israeli Army, studied at Dartmouth College and Georgia Tech, and eventually settled in New York. On September 11, 2001, he stood on the roof of his Manhattan apartment building and watched the second plane strike the World Trade Center. Haunted, Arad began sketching plans for a memorial long before the Lower Manhattan Development Corporation (LMDC) launched their competition. Arads concept for Reflecting Absence featured two 30-foot deep voids, symbolizing the absence of the fallen Twin Towers. Ramps would lead down to underground galleries where visitors could stroll past cascading waterfalls and pause at the plaques engraved with the names of those who died. Arads design was truly three-dimensional, with subterranean features as pronounced as those at street level. The design, Arad later told Places magazine, drew inspiration from the simple, sculptural work of architects Louis Kahn, Tadao Ando, and Peter Zumthor. Although the judges admired Michael Arads entry, they felt that it needed more work. They encouraged Arad to join forces with California landscape architect Peter Walker. By all reports, the partnership was rocky. However, in the spring of 2004 the team unveiled an expanded plan that incorporated a scenic plaza with trees and walkways. Trouble Looms for the 9/11 Memorial Critics responded to the 9/11 Memorial plans with mixed reviews. Some called Reflecting Absence moving and healing. Others said that the waterfalls were impractical and the deep pits hazardous. Still others protested the idea of memorializing the dead in a space located underground. To make matters worse, Michael Arad butted heads with architects in charge of the New York reconstruction projects. Daniel Libeskind, master planner for the World Trade Center site, said that Reflecting Absence did not harmonize with his own Memory Foundations design vision. The architects chosen for the underground National 9/11 Museum, J. Max Bond, Jr. and others from the Davis Brody Bond architecture firm, came on board and tweaked Arads subsurface memorial design - apparently against Arads wishes. After stormy meetings and construction delays, cost estimates for the memorial and the museum soared to nearly $1 billion. In May 2006, New York Magazine reported that Arads memorial teeters on the brink of collapse. Michael Arads Dream Triumphs The World Trade Center towers (the  skyscrapers) and the Transportation Hub are the business end of what is built at Ground Zero in Lower Manhattan. Early on, however, politicians, historians, and community leaders knew that a good part of the real estate had to be dedicated to the people affected by the terrorist tragedy. This meant a memorial and museum within one of the largest spaces set aside for redevelopment. Who was involved? Architects of the underground museum (Davis Brody Bond); architects of the aboveground pavilion entrance to the museum (Snà ¸hetta); architect of the memorial (Arad); landscape architect for the memorial / museum plaza area (Walker); and the architect of the Master Plan (Libeskind). Compromise is the cornerstone of every great project. Like Libeskinds dramatically altered Vertical World Garden, Reflecting Absence saw many transformations. Its now known as the National September 11 Memorial. The names of those who died areinscribed on the bronze parapet on the plaza level, instead of in underground galleries. Many other features that Arad wanted have been modified or eliminated. Still, his core vision - deep voids and rushing water - remains intact. Architects Michael Arad and Peter Walker worked with a water architect and many engineers to construct the enormous waterfalls. Family members or victims remained actively involved as they deliberated over the arrangement of the engraved names. On September 11, 2011, ten years after the terrorist attack on the World Trade Center, a formal dedication ceremony marked the completion of the National 9/11 Memorial. The underground museum by Davis Brody Bond and the aboveground atrium pavilion by Snà ¸hetta opened in May 2014. Together, all of the architectural elements are known as the National September 11 Memorial Museum. The Memorial by Arad and Walker is an open park space, free to the public. The underground museum, includingthe infamous slurry wall that holds back the Hudson River, is open for a fee. The September 11 memorial site is designed to honor the nearly 3,000 people who were killed in New York, Pennsylvania, and at the Pentagon on September 11, 2001, and also the six people who died when terrorists bombed the New York World Trade Center on February 26, 1993. More generally, the National 9/11 Memorial speaks out against terrorism everywhere and offers a promise of renewal. Who Is Michael Arad? Michael Sahar Arad was one of six recipients of the Young Architects Award given by the American Institute of Architects (AIA) in 2006. By 2012 Arad was one of fifteen Architects of Healing receiving a special AIA medal for his Reflecting Absence design of the National 9/11 Memorial in New York City. Arad was born in Israel, 1969, and served in the Israeli Military from 1989 to 1991. He arrived in the US in 1991 to go to school, earning a BA in Government from Dartmouth College (1994) and a Masters in Architecture from Georgia Institute of Technology (1999). He signed on with Kohn Pedersen Fox Associates (KPF) from 1999 to 2002, and after 9-11 worked for the New York City Housing Authority from 2002 to 2004. Since 2004 Arads been a partner at Handel Architects LLP. In the Words of Michael Arad Im proud to be an American. I was not born in this country, nor was I born to American parents. Becoming an American was something I chose to do, and Im so grateful for that privilege because I love the values of this country and Im grateful for the opportunities this country has given me first as a student and then as an architect. America epitomizes for me liberty and equality, tolerance and a belief in shared sacrifices. It is a noble social experiment that depends on every generations engagement and belief in it. The design of the Memorial of the World Trade Center is a physical manifestation of these values and beliefs. It is a design formed by my experiences in New York in the aftermath of the attacks, where I witnessed the remarkable response of the City as a community, united in its most trying hour; united in compassion and courage, determined and stoic. The public spaces of the City - places like Union Square and Washington Square - were the sites where this incredible civic response took shape, and, in fact, it could not have taken shape without them. These public spaces informed and gave shape to the response of its citizens and their design is open democratic forms reflect our shared values and beliefs in a civic and democratic society based on freedom, liberty, and yet even the individual pursuit of happiness what else is a pursuit of solace in the face of grief. Public spaces form our shared responses and our understanding of ourselves and our place within society, not as spectators, but as participants, as engaged citizens, as a community of people united by a shared destiny. What better way to respond to that attack and to honor the memory of those who perished than to construct another vessel for that community, another public space, a new forum, a place that affirms our values and imparts them to us and to future generations. It has been a remarkable privilege and responsibility to be part of this effort. I am humbled and honored to be part of it, and I am grateful for the recognition this award bestows on the efforts of my colleagues and myself. Thank you very much. - Architects of Healing Ceremony, American Institute of Architects, May 19, 2012, Washington, D.C. Sources for This Article: Reflecting Absence, commentary by Michael Arad from Places magazine, May 2009 (at http://places.designobserver.com/media/pdf/Reflecting_Abs_1162.pdf)The Breaking of Michael Arad, New York magazineCost and Safety Put Memorials Striking Vision at Risk, New York TimesReflecting Absence: Exploring The 9/11 Memorial, Huffington Post9/11 Memorial Nears Completion, Ending Complicated, Contentious Process at old.gothamgazette.com/article/arts/20110714/1/3565, Gotham GazetteIroning Out Where to Purpose 9/11†²s Iconic Steel Cross, New York Observer9/11 Memorial Official SiteLower Manhattan Development Corporation (LMDC) at www.lowermanhattan.info/construction/project_updates/world_trade_center_memorial_93699.aspxThe Port Authority website at www.panynj.gov/wtcprogress/memorial-museum.htmlLower Manhattan Construction Command Center Project Update at lowermanhattan.info/construction/project_updates/world_trade_center_memorial_93699.aspx

How to prepare yourself for the examination Assignment

How to prepare yourself for the examination - Assignment Example 3-3:30 P.M. Be fresh Be fresh Be fresh Be fresh Be fresh Be fresh Be fresh 3:30 to 6:00 P.M. Human systems Human systems Human systems Human systems Human systems Human systems Human systems 6-8 P.M. Snacks/ Roam out Snacks/ Roam out Snacks/ Roam out Snacks/ Roam out Snacks/ Roam out Snacks/ Roam out Snacks/ Roam out 8-10 P.M. Physical science Physical science Physical science Physical science Physical science Physical science Physical science 10-11:30 P.M. Maths Maths Maths Maths Maths Maths Maths 11:30 -1 A.M. Dinner & others Dinner & others Dinner & others Dinner & others Dinner & others Dinner & others Dinner & others Rest of time Sleep Sleep Sleep Sleep Sleep Sleep Sleep Amount of time for revision You certainly need not to be worried about the revision. The time schedule in the above table itself will give you the excellent record. But, finish all your exercise within two months time. Using old papers That's really an excellent idea. It will give you clear picture of examination. But use these papers during your revision process. When you are revising all your exercises be ready with the old papers and find out where you are getting the difficulty to answer the question. If needed, go through those sections again and again carefully. Have a good look at all these papers and find out which sections are regularly asked. Emphasize those sections more during your revision phase. Checking time to answer the question This is of course a stupid question to answer, because it depends on various factors. Some of those may be your grasping power, ability to answer the question quickly and correctly, picking which question to answer first and the most important is your knowledge. If you know everything, I am quiet sure you will be answering all questions before time.... How to prepare yourself for the examination? Before you start the below discussed strategy make sure that you are concentrate enough to carry on your scheduled task properly, make excellent study environment in your room, try to stick with table and chair and have a table lamp (If you can manage) for good concentration to your studies. That's really an excellent idea. It will give you clear picture of examination. But use these papers during your revision process. When you are revising all your exercises be ready with the old papers and find out where you are getting the difficulty to answer the question. If needed, go through those sections again and again carefully. Have a good look at all these papers and find out which sections are regularly asked. Emphasize those sections more during your revision phase. This is of course a stupid question to answer, because it depends on various factors. Some of those may be your grasping power, ability to answer the question quickly and correctly, picking which question to answer first and the most important is your knowledge. If you know everything, I am quiet sure you will be answering all questions before time. So never be worried about this phase. But for your own satisfaction you must check it at least once. Just lock your room, be with a watch, got to chair and start answering the questions. Now the wisest point is in picking the paper. Answer those papers which you have not tried during you revision.

China Economy Coursework Example | Topics and Well Written Essays - 1000 words

China Economy - Coursework Example The share of China of total accumulated FDI stock in Asia almost tripled within 20 years i.e. from 6% in 1990 – 15% in 2010. Currency strengthening against the US dollar- the Chinese RMB has continuously appreciated against US dollar from8.27 in 2005 to 6.41 in 2011. The country still continues to run trade surplus as well as accumulating foreign reserves. Its pressure to appreciate the currency still remains strong (Tong & Wong, 2012). The reason as to why there was no industrial revolution in China is that the brokers as well as tax collectors created a market only for luxurious consumer goods instead of investing in new technologies. â€Å"They could use their surplus capital to extend credit at high interest rates or to run pawnshops, but they failed to invest in new technologies that would spur industrial revolution† (133). When Europe built modern infrastructure within Chinese treaty ports, it did not spark industrial revolution since industries were few (Tong & Wong, 2012). Cultural Revolution was a major drawback since it did cost China economic problems. â€Å"Though it resulted to long term economic damage to government administration and factory management as well as the country’s education system† (Tong & Wong, 2012). 4. China adopted an open-ended approach towards its economic reform process because it did not have any books to help them learn the way of un-planning, hence they needed something with no blueprint or detailed plans. China chose to begin with Agriculture reform step taken by china to start economic reform, which they did through instituting household responsibility system. The reason they chose agriculture was that despite the trial and error reform strategy having work well during the first phases, critical microeconomic measures of reforms failed to lend themselves effectively to the gradualist method through experimentation. Some of these reform measures included taxation,

Mesotherapy Strategies and Techniques

Mesotherapy Strategies and Techniques MESOTHERAPY INTRODUCTION Mesotherapy is an art of injecting small quantities of various medicinal preparations such as vitamins, minerals and other conventional drugs directly into the mesoderm to treat pathological conditions locally. It involves the administration of intradermal or subcutaneous injections of compounds to treat a variety of medical conditions and avoiding systemic adverse effects due to drugs. It appears to be a novel technique to administer medicines local to the pathology while the skin serves as a natural time- release system. BACKGROUND OF MESOTHERAPY The term mesotherapy (derived from Greek mesos. â€Å"Middle† and therapeia to treat medically) denotes injection of substances into middle layer of skin ( mesoderm) for medical purposes. Historical aspects[1] Mesotherapy was originally used to treat painful conditions using local procaine injections. Michael Pistor who coined the term mesotherapy is considered the father of mesotherapy. In his original article,he described treating deafness, tinnitus, vertigo and headaches using local injections of procaine. Earlier to this in 1884, Koller an ophthalmologist used local cocaine to relieve pain. In 1925 Lerich used intradermal injections in the intercostal spaces. In 1937 Aron studied the use of intradermal injections to have an analgesic effect. Albert Lemaire, a Belgian physician used procaine injections to treat trigeminal neuralgia. In 1952, Michel Pistor a French physician popularized mesotherapy to treat various conditions in dermatology,sports,traumatology and vascular disease chiefly as a pain-relieving therapy. He defined mesotherapyas a techniquethat was used to treat mesoderm,(primary germ layer that develops into connective tissue, muscle and the circulatory system). In 1953, Dr .Mario Lebel invented a 3mm length needle that could be used precisely for injection of substances into the dermis. In 1964, the French society of Mesotherapy was founded by Michel Pistor and use of mesotherapy was extended to treat cosmetic conditions. The American influence was evident after Dr. Lionel Bissoon popularized the technique in North America. Despite the fact that mesotherapy is gaining popularity in aesthetic medicine especially for localized cellulite reduction, it continues to be a controversial topic and therefore requires cautious approach. The safety and efficacy of these mesotherapy remain ambiguous to patients and physicians alike. [2] Applied basic science [1, 3] The concept that led to discovery of mesotherapy is quite interesting. Pistor saw recovery of chronic hearing loss while treating a patient with procaineinjections for an asthma attack. Subsequent intradermal injections of this product into the mastoid region proved this effect to be true. However the depth of injection was considered important. This led the researchers to the fact that at a depth of 1.5 to 2mm the local activity of the product would last longer due to a persistent reservoir with weak local diffusion in the dermis whereas products injected into dermis would dissipate to greater distances.A product when injected intradermally acts in two ways. Firstly, by stimulating dermal receptors in situ and secondly, over long distances by reaching other organs via circulation. A concept of meso-interface exists which is the surface of contact established between the injected products and the tissue injected. The more the multiple punctures are made and the more fragmented produc ts are delivered in small quantities, the greater the meso-interface and proportionately greater numbers of dermal receptors get activated.Pistor has always described this technique as follows. â€Å"A little volume, a few times and in the right place†. The idea was that by placing these products in the dermis, the skin acts as a reservoir for drugs to diffuse slowly via microcirculation to activate dermal receptors. A general mechanism of action (based on the target site, dermis) and a specific mechanism of action (based on the ingredients used) has been proposed to explain the concept of mesotherapy. The dermis is considered to be common denominator for circulatory, neurological and immunological functions; and the general mode of action is believed to occur by correction of these altered functions. Individual drugs or agents target the specific indication of mesotherapy. EQUIPMENTS The various equipments used in mesotherapy are Mesogun (Fig 1) Mircromesotherapy device Needleless Mesotherapy Mesogun Mesogun is a syringe infusion pump that is capable of injecting the desired substance at a required amount, speed and depth using the injector and needle. Syringes varying from 2cc-10cc and needle lengthsvarying in size from 4mm to 13mm can be used based on the indication, and desired depth of injection. A device known as guide is used to keep the needle at a constant depth. Once the parameters are chosen, the product can be injected by one of the following modes. Continuous – Min 3cc/min Max 10cc/min. Mircrodose – Max0.1cc/trigger. Standard dose – Max 0.3cc/trigger. Mesoperfusion – Max 0.3cc/trigger. Nappage – 0.1cc/trigger. Advantages of Mesogun Good comfort level for patient and physician Procedure is faster and relatively painless Accurate delivery system Versatality – Ability to perform various modes such as nappage, continuous, mesoperfusion in dosimetry. Syringes used in Mesogun: Generally 1ml, 5ml, 10ml and 20ml syringes with luer lock system is used based on the indication. MesoNeedles (Fig2 a): Mesoneedles or â€Å"Lebel needles† are commonly used in mesotherapy.The John Screw needles have an adjustable length.The recommended parameters for needles are based on the site of injection: Face and neck – 4mm 30G mesoneedles Fat and cellulite – 6mm 30G mesoneedles,  ½ inch 30G needles. Multi-injectors and plates (Fig2 b): These accessories help to cover larger areas in a short time facilitating faster and easier procedure for the injector. There are sterile circular and linear multi-injectors with needles ready to be used for any body part. Micromesotherapy Device Micromesotherapy is an evolution of conventional mesotherapy. Usually mesotherapy uses needles to deliver drugs in deep dermal layer. Here a reverse cone shaped device has ultrafine needle 32Gx2mm by which drugs are injected into the superficial layer of dermis therebyminimizing incidence of bruising, pain and scarring. Needle-Less Mesotherapy or No Needle Mesotherapy This is a needle free device that pushes mesotherapy products painlessly through the skin using electrical waves known as isophoresis. The main features of needle less mesotherapy are: Less painful and less traumatic Uses ultrasound/electroporation technology. Probably around 20% efficiency compared to traditional mesotherapy as there is no neocollagenesis or neo angiogenesis reactions that occur with needle micro injury. This may be an option if mesotherapy is not allowed in the country. It has been discussed in details in Chapter 12. MESO SOLUTIONS (Fig6[VG1] The basic requirements of meso products is that it should be approved and skin-compatible.Systemic administration (intravenous, intramuscular, subcutaneous or intradermal) should be safe and known pharmacological actions to be effective. The ingredients used in mesotherapy products should be water soluble, isotonic and non-allergenic. The mesoproducts vary with the indications chosen for treatment. [4] [ Figure 3]Products used for mesotherapy involves combination of products some of which are main ingredients known as principals as they have high grade of evidence in the treatment of each indications and complementary agents that have been approved for treatment of each indications. For a mixture to be effective it should contain 2 – 3 principals for any given indication. Therefore the ingredients in mesosolutions are broadly classified into main categories: Principal (P) / Major Complementary (C) / Minor. The main targets for mesotherapy are skin, hair, fat and cellulite. (Table 11.1). Table 11.1 Principal and Complementary ingredients in meso solutions in various indications INDICATION PRINCIPAL/MAJOR COMPLEMENTARY/MINOR SKIN REJUVENATION Mesolift Hyaluronic Acid5 DMAE Organic silicum Fibronectin + Vegetal Proteins Vitamin C Glycolic Acid Xadenal Vitamin A Growth Factors Stem Cells Mesoglow Hyaluronic Acid Siloag Vitamin C Xadenal Taurine Meso lightening Kojic Acid Azalaic Acid Vitamin C Glutathione Tretinoin Glycolic Acid Striae or stretch marks Stretch Marks Organic silicum Centella Asiatica Vegetal Proteins + Fibronectin DMAE Vitamin C Idebenone Hair Loss Androgenetic Alopecia Minoxidil Finasteride Dutasteride Dexenol Biotin Amino acids Peptides Zinc Azelaic Acid Stem Cells Telogen effluvium Biotin Dexapanthenol Pyridoxine Multi Vitamins Trace Elements Cellulite and Fat Meso Cellulite Caffeine Carnitine Aminophylline DMAE Rutin Artichoke Yohimbine Procaine Vitamin C Fat deposits Body Sculpting, localized fat, Cellulite PPC Deoxy cholate L – Carnitine Aminophylline Pentoxifylline DMAE -Dimethylaminoethanol ; PPC Phosphatidylcholine TECHNIQUES FOR MESOTHERAPY INJECTIONS The mesoproducts can be injected into the skin by various injection techniques to reach desired depth.The commonly used techniques and the desired depth reached are summarized in Table 11.2and Illustration 11.1 Table 11.2: Techniques and depth in mesotherapy injections Technique Depth Intraepidermal 1mm Papular 2mm Nappage 2-4mm Point by point 4mm Mesoperfusion > 4mm The salient features of various techniques are outlined below: Intra-epidermal This is one of the most superficial of the techniques described by Perrin. Depth: 1mm within the epidermis Painless, no bleeding Simple and large surface covered Ideal for patients with low pain threshold Ideal for facial rejuvenation, mesoglow Papular Depth:2mm dermoepidermal junction Painful Useful in mesobotox Ideal treatment of wrinkles Nappage(French for ‘covering’) Also known as picotage is the classic injection technique in mesotherapy. (Illustration 11.2) It is the most widely used technique in aesthetic dermatology. The syringe is held obliquely and the physician applies constant pressure on the plunger flicks the wrist to infuse a drop of the solutioninto the dermis(Fig 4). The injections are 2-2.5mm deep and 1cm apart. This technique can also be used for injections using a mesogun. (Fig 5) Depth 2-4mm Less pain and less bleeding Ideal for rejuvenation and scalp treatments Point by Point(Fig 6) Depth 4mm Perpendicular injection Ideal for fat reduction Mesoperfusion Depth > 4 mm Mesosolution is injected slowly over a priod of 10 minutes Not commonly used in dermatology PRACTICAL ASPECTS OF MESOTHERAPY Indications and contraindications for mesotherapy are listed in box 11.1 and box11.2. Box 11.1 Indications for mesotherapy Box 11.2 : Contraindications for mesotherapy Related to patient Unrealistic expectations Body mass index greater than 30 Pregnancy / Lactation H/O strokes, recent cancer. H/o multiple meds for heart disease H/o allergy to ingredients e.g. Soy proteins, lignocaine. Autoimmune disorders Epilepsy Insulin dependent diabetes Related to product Aminophylline – Known hypersensitivity to drug, active peptic ulcer, Pentoxiphylline, aminophylline- recent cerebral retinal bleed L. carnitine – history of seizure disorder Phosphatidyl choline relative contraindications with antiphospholipid antibody syndrome Caffeine – arrhythmias, anxiety, insomnia hypotension Mannitol – pulmonary edema, renal disease. Patient selection Selecting the patient with a valid indication for mesotherapy is the key to success. Care should be taken to avoid patients with active skin diseases, too elderly and patients with history of sensitive skin. For androgenetic alopecia better results are seen in patient with Grades 1 – 3. Counseling and preparing the patient A proper counseling is essential before starting mesotherapy. Patients with body dysmorphic disorders and those with unrealistic expectations should not be treated. Alternate procedures should be discussed sufficiently as mesotherapy is still in the controversial stage. A written informed consentis mandatory in the present medical scenario. A good before and after clinical photograph is needed to evaluate results following the procedure. Procedural aspects The area to be treated is marked and thoroughly cleaned with an antiseptic solution. For anesthesia, a local anesthetic cream may be applied or ice-anesthesia can be used to numb the treatment area. Patients are preferably injected in a lying down position. The required quantity of ingredients is drawn into the syringe using an 18Gx11/2needle. The injection is given either manually or using a device to deliver by the papular, nappage or point by point technique. A gentle massage is given after the treatments. Fresh normal saline and a mositurising cream can be applied to the treated area and massaged gently. [9]. The procedure takes about 20 – 30 minutes depending on the indication and area to be treated. There is no downtime after the procedure and the patient will be able to return to normal activities immediately. Good results are seen with mesotherapy done for skin rejuvenation, cellulite and double chin. [Fig 7, 8, 9] Post procedure care and counseling for follow up There may be mild pain, pinpoint bleeding, itching, burning or erythema after the injection which will subside spontaneously. Bruising and hematoma can appear occasionally and can be managed symptomatically. Mild swelling at site of injection may require anti-inflammatory agents for few days. The patients need to be counseled on the following aspects: Avoid sun exposure and smoking for next 48 hours Loose fitting clothes to be worn especially after lipolytic injections. The area to be treated is generally massaged after 72 hours and continued daily till disappearance of nodules if any. Follow up: Generally treatments are given once every 1-2weeks for 6 sessions, then once a month for 5months. Maintenance sessions are to be done once or twice a year. This protocol may be altered depending on the indication, patient’s lifestyle, financial position and response to previous treatments. Complications Though there are few evidence based studies on the efficacy of mesotherapy, there are documented reports on various complications. [10-17] The complications can be classified as local and systemic complications. (Box 11. 3) Box 11.3: Complications Local Bruising Burning or itching Pain, Tenderness, swelling Urticaria [10] Skin necrosis, Ulcers [11] Abscess [12] Hyper pigmentation Atypical mycobacterial infection [13] Rare – granulomatous panniculitis [14,15], koebnerisation, granuloma annulare, Oleoma [16] Systemic Anaphylaxis Nausea Vasovagal shock Hepatic toxicity Nerve demyelination Allergy to specific ingredients Thyrotoxicosis Ischaemic colitis [17] Management of Complications: Bruising:  It is a common but preventable complication. Always advice patient to stop aspirin or NSAIDs at least 2 weeks prior to the day of procedure. While injecting be slow and gentle. It is advisable to avoid mesotherapy during menstruation. Burning/Itching:  Burning can be overcome by adding lignocaine to the products if compatible. A mesomask applied immediately following procedure can also minimize burning and itching as it has a soothing effect. Pain/Tenderness: Procedural pain can be minimized by using adequate topical anaesthesia. Immediate post treatment pain can be alleviated by cold compresses with ice. Other methods that help to minimize pain are by pinching the skin for point by point injections or by stretching it when giving a nappage. Change needles after every few pricks to reduce the pain caused by blunt injecting needles Urticaria:  Urticaria can be avoided by a careful history to avoid products that would provoke an allergic reaction. E.g. phosphatidyl choline in individuals with history of allergy to soy proteins. Skin necrosis:  Skin necrosis occurs usually with phosphatidyl choline when the injections are given superficially Ulcers:  Ulcers can due to infection or irritant nature of the drugs. Irritant induced ulcers can be prevented by minimizing the number of drugs used in the cocktail to 4 or 5. Infective ulcers can be avoided by disinfecting the treatment area thoroughly and by wearing sterile gloves and using sterile equipment and materials. Hyper pigmentation:  This can be avoided by advising the patient photo protection for 48 hours after the procedure and by addition of topical skin lightening agents in patients with a history of post inflammatory hyper pigmentation. COMBINING MESOTHERAPY WITH OTHER TECHNIQUES Mesotherapy can be combined with other techniques to enhance results.Soon after injection of mesotherapy products, ultrasound, radiofrequency or electroporation may be applied to help in better diffusion of the injected products. The techniques are discussed in chapter 12. Mesomasks can be applied immediately after the injections to minimize bleeding points and to overcome the discomfort that follows injections.It is a 150 g of powder to be mixed with water to form a paste which is applied for 15minutes as a mask over gauze. This allows all products to penetrate deeper in the skin to give a better effect. These masks contain a mixture of calcium sulfate, talc and orange oil. Other procedures such as chemical peels, fillers and neurotoxins can be carried out between the mesotherapy sessions. In countries where mesotherapy is not practiced, mesotherapy products can be used following cosmetic skin needling. By using a dermaroller in the area to be treated, it is possible to create micro perforations that will be used as channels to deliver a product deeply into the skin. CLINICAL STUDIES Mesotherapy has been in history for a long time and there are proponents who have been successfully using it in practice for the benefits of their patients. However there are few indexed studies about the safety and efficacy of mesotherapy but many about its complications, hence it only natural to distrust proponents in relation to this technique Hence adequate controlled studies are needed to establish the value of mesotherapy in aesthetic dermatology. [18] Mesotherapy for skin rejuvenation, treatment of local fat deposits, body sculpting have been assigned Evidence Level C, whereas cellulite treatment has been assigned Evidence Level D [18]. Few recent studies have shown promising results for mesotherapy in various aesthetic indications. A study by Larruba et al showed good results with hyaluronic acid mesotherapy on photoaging and assessed by ultrasound techniques. [5] A study by Savoia etal showed promising [VG1] An excellent compilation with evidence for few of them are given in these two articles from IJDVL Sarkar R, Garg VK, Mysore V. Position paper on mesotherapy. Indian J Dermatol Venereol Leprol 2011;77:232-7 Konda D, Thappa DM. Mesotherapy: What is new?. Indian J Dermatol Venereol Leprol 2013;79:127-34 Another review of various indication s of mesotherapy is in this article by Dr. premlatha 3.Latha P. and Vandana K.R. / International Journal of Advanced Pharmaceutics / 1 (1), 2011, 19-29 ( full text available of all three) The meso solutions can be tabulated in the format below Indication Product Mechanism of action ( should include original intention versus intention in mesotherapy e.g. aminophylline was originally used for brochodilation. In mesotherapy it is used for vasodilatation etc Evidence grade ( wherever available)

french revolution :: essays research papers

French Revolution Questions The Outbreak of the Revolution: 1) French society around 1789 was split into three groups of people or the Three Estates. The First Estate consisted of the clergy or the leaders of the church. The Second Estate were the nobles who were highly privileged. The Third and final estate consisted of peasants, city workers, and the middle class, all of which were taxes heavily and underprivileged. 2) The complains of the Third Estate were they were being taxed to heavily, they had land too small to support their families, and they lived in poverty compared to the other classes. The only complaints that the Second and First Estates had were that they would not pay taxes and that the Third Estate complained too much. 3) In 1789 under the reign on Louis XVI France faced an inefficient government, which was nearly bankrupt. There was a shortage of food and the food they had was incredibly expensive. 4) A meeting of the Estates General was called in May of 1789 because the nobles refused to be taxed and Louis XVI hoped they would approve of a new tax plan. The problem they had was they were not able to decide on a method of voting. 5) The bourgeoisie wanted all the Estates to meet together with each delegate having one vote. Seeing as they had about half of the delegates represented there they would have a better chance to bring about change. 6) On June 17, 1789 the Third Estate’s delegates decided to force the other Estates to meet as one body so they created the National Assembly and invited the others to join. 7) The â€Å"Tennis Court Oath† was an oath in which the people took demanding a constitution for France and they swore not to leave until this was done. The king responded by giving in after a week and he ordered all the nobility and clergy to join the National Assembly. 8) The people of Paris stormed the Bastille on July 14th, 1789 because they were angry about food shortages and high prices, as well they feared the king’s soldiers would crush the National Assembly and plunder the city. 9) The effect of the â€Å"storming of the Bastille† on the revolutionary moment was it caused the king to pull back his troops and it saved the National Assembly. This caused a rebellious spirit to move across the county.

China Town

1. 0 Introduction During the 19th century, Malaya had been colonised by the British and many Chinese and Indian had migrates to Malaya. As a city, Kuala Lumpur had become the most crowded and fast development place. Many colonial and migrations stay at Kuala Lumpur. Through colonisation and migration, both knowledge and methods of house construction had been adapted to the Malaya architecture during that time. Therefore there are many heritage buildings especially the Chinese shop houses had been influence by the foreign design. In this essay, I had make a field trip to Petaling Street to collect photographs of shophouses. Through the characteristic of the design of the shophouses I need to identify the Malaysia and foreign design influences of the traditional shop houses in Petaling Street. Description and contrast had been made of the influences of the shop houses by comparing the buildings which the structures had been influence by. 2. 0 Background 2. 1 British Colonisation In Malaysia During 19-20 Century Figure 1: Tin mine Tim mining, a popular activity amongst there and they increases many Chinese workers to migrates to Malaya (figure 1). Chinese migrates brought their tradition dwelling design where the two storey Chinese shop houses becomes common. â€Å"During British colonise Malaya, many public and private building had been built by the British which contain the mixture of architecture styles such as Renaissance, Palladia, Neoclassical and revived Gothic because Kuala Lumpur has become the Federal Capital and Headquarters of the Resident General. † (Mohammad Iza,(2010),p. 45. ) 2. 2 Shophouses Before 1880's Chinese shophouses was a very simple construction of one storey houses which only use wooden parts supporting on attap roof which is open to the street. While the rear section of the shophouses was usually built on piles over a river to facilitate the delivery of goods. Most of the construction is use the locally available materials combine with Chinese architecture influence. Therefore curved gable are glazed ornamental tiles are some of the Chinese shop houses characteristic. Moreover the stucco decorations is the intention of which was to emphasis the character and background of the owner. The early shophouses are build in rows with uniforms facades and a continuous, covered five-foot way in front (figure 2). There are also jack roof on the shop houses which rise above the main roof to allowed accumulated hot air in the house to escape (figure 3). Besides that, there is also low rickety, shuttered window on the front of the first floor. Figure 2: Five-foot way Figure 3: Jack roof â€Å"Before World War II, the commercial centre of every Malaysian town was featured by one or more streets lined with usually two storeys high shophouses, where trading were occurred at the lower floor and the upper floors as residential accommodation area. † (Anon,(2008),p. 44. However, the position of the shop and residential space might be different depending on the number of floors of a shophouse. For an example, a single story shophouse tends to include residential area behind the shop; while for the shophouses of two or more storeys have residential space typically located above the shop. Early masonry shophouses were often built around 6-7 metres wide and 30 metres deep occasionally extended to 60 metres according to its location. They were often built in rows with uniform facades and a covered five-foot way in front of the shophouse. The five-foot way was first imposed by Sir Thomas Stamford Raffles, a British colonial administration that founded the city of Singapore in 1822. †(online,www. wikipedia. com). It is an old practice specifying that all shophouses should include a minimum five-foot-wide veranda on the ground floor. This building tradition addressed the extremes of the tropical sun and rain, and created pedestrian linkages at ground level. These shaded areas were conducive to the shopkeepers by providing an extra space area to displaying their products (figure 4) . Apart from that, the typical Chinese shophouse was built in rows with a common wall between each unit. The walls that separate the shophouses are generally constructed by local manufactured baked clay. They are structural, load bearing walls to transfer the weight of the roof and upper floors down to the ground. Besides, the front of the shophouse on the ground floor has no walls, enabling goods to be displayed along the full width (figure 5) . Since the shophouse has no front walls, the front will be boarded up with fitted timber panels and secured with horizontal bars to lock up the shop. In addition, to ventilate the shophouse, a central courtyard can be found inside, which was later reduced to an airwell when space became more precious (figure 6). It was built to cool the building before the air-conditioning was invented. Courtyards were typically for residence all over China especially in the less densely populated areas of the north where they were located at the central of the layout, which often surrounded by high walls. Besides, a lane was also allocated at the back of the shophouse as a sanitary lane. It is a space found in between two rows of shophouses that faced back to back. This lane allows bullock carts to collect night soil as well as for safety purpose, for example, allow access for a fire truck when required. Figure 4: Displaying their products at the five-foot way Figure 5: Ground floor of the shophouses has no front walls Figure 6: Airwell found in one of the shophouse 2. 3 Foreign architecture and design influence There are five types of shophouses, Traditional, Neoclassical, Dutch Patrician, Art Deco and Modern. There are three principal varieties of shop houses during 1930's to 1940's which are Utilitarian design is made by simple wooden shutters and a minimum of decorations. While the Neoclassical design had elaborate the Greek and Roman columns and arnately decorate the Greek and Roman columns and arnately decorated window frames, pediments, paraprets and cornices. However Art Deco is the simplest design which only use simplified lines and geometrical patterns to decorate. The Noeclassical style can by recognised by a Grecian pediment (figure 7) , columns (figure 8) and moulded plasters swags decorated the facade. Besides, some of the Neoclassical style include a parapet and the top of the building and ornate window frames. Different from the Neoclassical, Dutch Patrician design as a Dutch-inspired gable was adopted for the front facade of the shop houses. Figure 7: Neoclassical pediment Figure 8: Original style Neoclassical column Art Deco was started during 1930's. The design only contain geometrical shapes and simplified lines were departure from the 1920's style. The ground floor and windows are not original. This is because it is from traditional vernacular and Western Neoclassical styles to Early Modernism and International style. Art Deco style had marked the transition from traditional vernacular and Western Neoclassical styles to Early Modernism and International style. 3. 0 Analysis 3. 1 Compare and contrast between Kuala Lumpur’s Chinatown shophouses to the original foreign Neoclassical styles Figure 3. 1. 1: High ceiling found in Petaling Street shophouses(left) and St. George Hall, London(right). One of the special feature in Neoclassical architecture is high ceiling. High ceilings (Figure 3. . 1), tend to help to ventilate the air in the building through convection process, where the hot air rises and cool air sinks, as a result, the house will be cooling. The shophouses these days have a standard height of 8 metres, where space had become more precious besides saving cost. Figure 3. 1. 2: Petaling Street shophouses(left) and Rue De Rivoli, Paris(right) painted in white o r pastel colours. Apart from the high ceiling, Neoclassical buildings are often painted in white or pastel colours (Figure 3. 1. 2). White and pastel colours are bright and attracts people’s attention. Furthermore, these colours are poor conductor of heat, they helps to reflect more of the visible light spectrum, causing the particular building to be as cooling as posible. This may be the reason why the buildings in Neoclassical period painted in this series of colour. Figure 3. 1. 3: Petaling Street shophouses(left) and Arc De Thriump, Paris(right) with parapet on the top. Parapet (Figure 3. 1. 3) is a wall-like structure at the edge of a roof, which served as a fire wall, that prevents the flames from coming up to the exterior of the building, igniting the roofing membrane. In addition, it also modifieds the wind flow over the roof so that the pressure exerted is distributed evenly to prevent it from collapsing. Figure 3. 1. 4: Petaling Street shophouses(left) and Madeleine Church, Paris(right) with pediment. A pediment is a classical architectural element which consist of the triangular section found on top of a building, supported by the columns. It is founded in the classical Greek temples, Renaissance, and Neoclassical architecture. The pediment of Madeleine Church, Paris is filled with relief sculptures while the one found in Petaling Street shophouses are filled with floral sculptures (Figure 3. . 4). Figure 3. 1. 5: Petaling Street shophouses(left) and New York City Hall(right) columns. A column is an upright pillar which supports a beam or a roof, sometimes it might just simple for decoration purposes. There are 3 types of columns which is doric (oldest and simplest of classical orders), ionic (more complex than doric, with a scroll on top) and corinthian (with most ornate). Ionic order is found in the Petaling Street shophouses, while New York City Hall contained the doric order (Figure 3. 1. 5). Figure 3. 1. 6: Petaling Street shophouses(left) and New York City Hall(right) are symmetrical. Symmetry and balance are the most pedominat characteristic of Neoclassical buildings. This feature is recognizable easily as the left and the right portion of the building is the same to maintain the balance of the building so that it does not fall (Figure 3. 1. 6). 3. 2 Compare and contrast between Kuala Lumpur’s Chinatown shophouses to the original foreign Art Deco styles Figure 3. 2. 1: Petaling Street shophouses(left) and Caisse Nationale d'Economie, Monteal (right) with flag pole. Concrete flagpoles are one of the common feature of Art Deco buildings (Figure 3. 2. 1). The flagpoles are stretched from the top of the building with bands or motif sculptured at the base of the poles as if it is attached to the wall of facade. Figure 3. 2. 2: Petaling Street shophouses column(left) and Patel’s Building, Durban’s column(right). On the other hand, Petaling Street shophouses and Patel’s Building (Figure 3. 2. 2) both have geometrical shapes running down the column, which is also a common feature of Art Deco architecture. Nonetheless, Petaling Street’s column has a mixture of both Art Deco and Neoclassical styles as on top of it’s column, since there’s some swirls on it which belonged to Ionic order. Figure 3. 2. 3: Petaling Street shophouses(left) and Caisse Nationale d'Economie, Monteal’s (right) mouldings. Furthermore, plaster moulding is another characteristic of Art Deco architecture. Shanghai plaster is commonly used as it provides the same visual effect as stone and it’s a cheaper building material. This finished plaster was usually left in it’s original colour, sometimes painted in the pastel colour of the era. The fine vertical lines plaster moulding at Petaling Street shophouses and Caisse Nationale d'Economie, Monteal are easily recognizable (Figure 3. 2. 3). Figure 3. 2. : Petaling Street shophouses(left) and Thorp Coffee House(right) stated the year it was built. To the contrary, Art Deco buildings usually state the year that it was built on the top of the building. For example, the particular Shophouse in Petaling Street was built in the year 1910, therefore, the figure 1910 is placed on the top of the building as well as for Thorp Coffee House (Figure 3. 2. 4). Figure 3. 2. 5: Petaling Street shophouses(left) and Louis Hay’s Office(right) with air vents. Lastly, Art Deco buildings have horizontal air vents usually located above the windows (Figure 3. 2. 5). The air vent is placed above the window to cool down the interior of the building as hot air are less dense and rises up, thus, escaping through the air vents. 4. 0 Conclusion Through compare and contrast of the different style of the shop houses, we able find out that the different style of the shop houses was influence by different background. From the 18th century until now we can see that the style of the Chinese shop houses change according to the place the shop houses was built. Beside that, the structure of the shop houses also depends to the need of the owner and the period of time those shop houses was built.