Adamantinoma of the Right Tibia Case Study

Adamantinoma of the Right Tibia Case Study INTRODUCTION: Adamantinoma is low grade malignant tumor of fibroblast origin. Also called as primary epidermoid carcinoma of bone, malignant angioblastoma or epithelial tumor of bone. It was first described by Fischer in 1913.1 It represents less than 0.4% of all malignant bone tumors.2 The exact origin of adamantinoma is unknown, the classic variant is composed of epithelial cells and osteofibrous components. It is more prevalent in men than in women, ratio being 5:4. The common age of presentation is in the second decade, though it can vary greatly between the second to fifth decades.3 The common site of occurrence is the ramus of the mandible. The other uncommon locations include shaft of long bones (97%), mid-shaft of tibia (80%-85%).4 Other rare locations includes the humerus, ulna, femur, fibula and radius but ribs, spine, metatarsal and carpal bones.5 The characteristic features of adamantinoma is slow, gradual development with high chances of local recurrences and also metastases to lungs .6 In this case study, we have presented a rare histological acanthomatous variant of adamantinoma of the right tibia with metastases to the right inguinal region. CASE REPORT: A 45 year old male patient presented with history of pain in right leg since 3-4 months, insidious onset, gradually progressive, aggravated on exercise, relieved on rest and medication. Later patient had no relief on medication. There was no history of trauma or fall preceeding to onset of symptoms. The patient also complained of swelling in the right groin since 1 month, without pain. On examination, the patient was stable. Local examination showed, a swelling of about 5X3cm in the upper end right leg, tender, well defined, hard in consistency, smooth surface, involving the right knee joint line. There was restriction of movement, but range of movements was present. Examination of right inguinal region revealed a 7X6cm firm, non-matted mass, immobile, non-tender, non-reducible, non-pulsatile mass. Local examination of penis, scrotum, anal canal, hernia orifices was normal. Baseline investigations were done, all the haematological parameters were normal, ultrasound abdomen and chest radiograph was normal. Plain radiograph of right tibia showed large central lytic lesion with sclerotic margins, involving the upper end and shaft of tibia without involvement of right knee joint. Supra-patellar amputation of right leg with right inguinal and right external iliac nodal dissection was done. Histopathological examination of the mass was done. The reported was suggestive of acanthomatous adamantionoma. The features are as described, central area of squamous cell nests which were well differentiated with keratinization surrounded by a rim of myxoid cells. Further immunohistochemistry(IHC) study was done to confirm the diagnosis. IHC was also consistent with the diagnosis and confirmed the diagnosis. Positivity was found for cytokeratin(CK), EMA, CK-19, CK-5, CK-6, P-63, and Ki-67 and vimentin. Also metastases to right inguinal lymph node was confirmed. DISCUSSION: The first bone tumor with epithelial characteristic was reported by Maier in 1900, later in 1913 Fischer termed it as adamantinoma. It is more common in men than in women. The age of presentation varies between the second to fifth decade. The uncommon sites includes the shaft of long bones(97%), of which the mid-shaft of tibia being the most common site(80-85%). The symptoms at presentation include pain with localised swelling. Swelling is the most common symptom. Pain may be present due to history of repetitive trauma associated with adamantinoma.7 Adamantinoma is low grade malignant tumor, and can metastasize to loco-regional nodal areas and to lungs at presentation. The patient in the case report was also a middle aged man in the fifth decade with pain and swelling in the right tibia since 3-4 months and swelling in the right groin. Three theories have been proposed for the source of cell of origin, 1) epithelial, 2) angioblasts, and 3) synovial tumors from uncommon ectopic sites. This was done because the tumor tissue is composed of both epithelial and osteofibrous components.8 In different combinations, different patterns are formed. On microscopy, the commonest form is the classical variant, followed by the osteofibrous pattern. In the classic variant, the types are basaloid, spindle cell, tubular, and squamous patterns. In the classical variant, central epithelial component with surrounding zone of fibrous tissue containing few immature trabecuated bone components are seen. In the osteofibrous variant, cental area of fibrous tissue, surrounded by peripheral zone of epithelial components are seen. Spindle cell variant is most commonly seen with recurrent lesion and metastatic lesions. The typical findings of classical variant were consistent in our case as well, which showed a well differentiated keratinizing pattern of squamous cell nests surrounded by a rim of myxoid cells. Immunohistochemistry exhibits positivity for both epithelial and osseous elements. Fibrous components are positive for vimentin. Epithelial components show positivity for cytokeratin(CK) 5, 14, 19; rarely positive for CK 1,13,17. It is usually negative for CK 8 and 18. Also shows positivity for epithelial growth factor, fibroblast growth factor, fibroblast growth factor receptor. Our case had features as described, also positivity was found for p-63, Ki-67 and CK-6, which favour our diagnosis of acantomatous adamantinoma. Genetic studies reveal chromosomal abberations on chr 7,8,12,19.9 Also aneuploidy has been associated with epithelial components.10 There is loss of heterozygosity of p53 gene. Rarely,(11;22) translocations have been reported in case of adamantinoma, and is termed adamantinoma-like ewing’s sarcoma.11 11;22 translocation is not seen is in adamantinoma. Radiological investigations include radiographs, computer tomography(CT), magnetic resonace imaging(MRI). All the modalities are necessary not only to confirm the diagnosis, also to define the extent of involve and the aggressiveness of the tumor. On plain radiographs usually eccentric, lobulated, cental lytic lesions with a peripheral sclerosis is present in the diaphyseal or metaphyseal ends of long bones. These lesion tend to appear on tibia with a typical picture of soap-bubble appearance.12 CT shows osteolytic lesion in the bone. MRI is the investigation of choice. It helps not only in defining the extent of cortical involvement of bone, soft tissue involvement, but also helps in ruling out other etiologies such as ewing’s sarcoma, adamantinoma, osteosarcoma, metastatic disease, fibrous dysplasia of bone.13 The typical features as described in the literature was true in our case as well. Treatment of adamantinoma has no definitive guidelines. Excisional biopsy is preferred rather than curratage of bone. Curratage of bone is associated with recurrence’s, upto 30% recurrence has been reported with curettage.14 Radical excision of the bone is associated with better outcome and prognosis. Limb salvage procedures include en-block resection, followed by reconstruction of the bony defect which includes vascularised or non-vascularised bone grafts, custom made protheses, intercalary allografts and distraction osteogenesis.15 When limb salvage is not possible, amputation is the definitive treatment of choice. The incidence of mortality with adamantinoma is about 17%, and increases to about 20% when pulmonary metastasis is present. In our patient work up was done and right supra patellar amputation was done, with right inguinal and right external iliac lymph nodal dissection was done and histopathological examination further showed metastases to right inguinal region.

Reading Report

From my experiences reading novels, dramas, poetry, and short stories, I think the purpose of fiction is to entertain; to provoke thought. I think students study fiction because it is very entertaining, and can teach many different lessons. People read fiction stones because it lets them get lost In a story that's not theirs. I believe people tell stones to express their Imagination and thoughts. B. A â€Å"take away† value I have learned from this concentration on fiction would be many life lessons. I feel Like the fiction stones we read In school relate to us somehow, and teach us lessons.They also teach us different vocabulary terms and how to use them. Reading stories Like Romeo and Juliet and Lice's Adventures In Wonderland also let us experience different types of literature. II. Nonfiction A. My English II class this year studied three very different examples of nonfiction. 1. The World Geography Textbook- Our geography textbook has a professional tone. The organization of the textbook had headers and sections, which makes finding the information you need easier to find. The purpose of this nonfiction is to inform. 2.The Burden of Womanhood- 3. MASS- This personal memoir about WIN has a serious, melancholy tone. The organization of this book is set up like a story, with pictures. I believe the purpose of MASS is to not only to inform about the events during WI, but to also entertain. B. Studying nonfiction in classes, such as an English II class, would be very beneficial. There are so many different values gained from studying nonfiction, such as how it helps develop critical thinking as well as literary skills, broadens students vocabulary ND world knowledge.Reading Report By theologically read fiction stories because it lets them get lost in a story that's not theirs. I believe people tell stories to express their imagination and thoughts. B. A â€Å"take away' value like the fiction stories we read in school relate to us somehow, and teach us lessons. Like Romeo and Juliet and Lice's Adventures in Wonderland also let us experience A. My English II class this year studied three very different examples of nonfiction. 1 . 3. MASS- This personal memoir about WI has a serious, melancholy tone.

Moral Self-Knowledge in Kantian Ethics Essay

In the article titled, Moral Self-knowledge in Kantian Ethics, Emer O’Hagan discusses Kant’s views and ideas concerning self-knowledge and the role it plays in duty and virtuous action. O’Hagan first introduces a key feature of Kant’s ethical theory which is its recognition of the psychological complexity of human beings. O’Hagan uses this recognition of psychological complexity by Kant to dive into Kant’s feeling on self-knowledge. Once a basic understanding of Kant’s attitude towards self-knowledge has been established, O’Hagan then uses Kant’s ethical theory to show how self-knowledge can be used as a means to help determine the goodness of an action. The arguments presented by O’Hagan are logical and clearly supported and verified through the presented evidence. Kant is shown to have recognized the psychological complexity of the human being in recognizing that, â€Å"judgments concerning the rightness of actions are vulnerable to corruption from self-interested inclination† (O’Hagan 525-537). Kant is saying that that even though an action may start out as from duty, our internal feelings as human beings can create a beneficial end as a means for the action, thus rendering it not from duty. Kant also recognizes that our own judgments about us may not be accurate. Moral self-development is a practice to develop accuracy for our self-judgments and takes into consideration one’s motives for action. O’Hagan tells us that this moral practice requires moral self-knowledge which is a form of self-awareness disciplined by respect for autonomy, the theoretical foundation of Kantian ethics. According to Kant, the first command of the duties to oneself as a moral being is self-knowledge. This is the ability to know yourself in terms of whether your heart is for good or evil and whether your actions are pure or impure. Kant describes duties of virtue to be wide duties, in that there is not a clear standard for how one should go about performing action for an end that is also a duty. O’Hagan tells us that Kant’s duty of moral self-knowledge is the duty to know one’s own heart. Kant tells us that moral self-knowledge is quite difficult because it involves abstracting, or taking a non-biased analysis of one’s self. Because we are bound to our own feelings and inclinations, we cannot completely separate ourselves from our own bias. The power of self-knowledge is the power to see things in objectivity instead of subjectivity. The final step of the argument is relating self-knowledge to determining the goodness of an action. O’Hagan tells us that developing self-knowledge will develop one’s self-understanding and will develop guards against self-deception. Using these skills to truly understand one’s heart allows for one to know one’s motives, and thus practical stance in action. According to Kant, the goodness of an action is determined by one’s motives, so the goodness of one’s action can now be evaluated. O’Hagan clearly demonstrates the importance of self-knowledge in Kant’s theory of ethics and validates its importance by describing application for use of the practice of self-knowledge (O’Hagan 525-537).

Social And Race And Ethnicity - 968 Words

Which is a bigger impact, social or race/ethnicity? I am leaning toward social life chances would be the biggest impact. I believe that race and ethnicity can also be a big impact, society plays an even bigger role on how people are molded. In the book it says race and ethnicity still matter, minorities have less power, privilege, and social status. This is where I believe that if society could change we could try to be more equal and with that I believe we can assume that how we feel, what we feel, who we have become are all part of what society has done to us. Social classes are the hierarchical arrangement of people in society as economic or cultural groups. Elements which can represent and determine ones class, wealth, prestige, power and education. The term â€Å"life Chances† was brought on by Max Weber and his definition is : to improve their quality of life or the extent to which an individual has access to important social resources, such as healthy affordable food, shelter, education, unemployment and health care (thesciencecartforum.com/viewtopic.php?f=82t=18523). Each individual begins a travel through their life as a member of a class. There are differences in class not only between countries but also within countries we have upper class, middle class and lower class and the non-working class. The upper class usually refers to the higher status members of upper class, most are well educated professionals with graduate degrees and comfortable income. Children ofShow MoreRelatedSocial Class And Race And Ethnicity Essay2005 Words   |  9 Pagesthat I have become today. Many of my identities have influenced and changed my life especially my identities in social class, race and ethnicity, religion, citizenship and immigration status, first language I learned, my gender, and my gender expressions. When it comes to my inner identity I think I would classify it with my social class and race and ethnicity. I would consider my social class to be middle class, but many of my family members consider us to be upper class when they compare theirRead MoreRace, Religion, Social Class, And Ethnicity1274 Words   |  6 Pages your social ability, and your awareness of others are all guided by how you identify. Identification in one’s gender, race, religion, social class, and ethnicity are all driving forces behind your future self. Identity is a crucial part of who you are, and in recent studies and experimentation researchers have been trying to identify new, untested factors that influence behavior in people. Although, in the past there hasn’t been a strong focus on the positive and negative effects of race and ethnicityRead MoreRace, Religion, Social Class, And Ethnicity Essay2019 Words   |  9 PagesHow one does in school, one’s social ability, and one’ s awareness of others are all guided by how an individual identifies. Identification with one’s gender, race, religion, social class, and ethnicity are all driving forces behind an individual’s future self. Identity is a crucial part of who you are, and in recent studies and experimentation researchers have been trying to identify new, untested factors that influence behavior in people. Although, in the past there hasn’t been a strong focus onRead MoreEssay about Race and Ethnicity in Social Sciences877 Words   |  4 PagesUse of the Terms Race and Ethnicity in the Social Sciences Defining identity can be complex and therefore we have to investigate the factors involved that make us who we are and how we are seen by others, collectively or individually. Social scientists have to consider the key elements which shape identity, the importance of social structures and agency involved. The differences and/or similarities between us are the focus that categorise and label us in society. Knowing who we are is importantRead MoreThe Social Construction of Race, Ethnicity, Class, and Gender1043 Words   |  5 Pagesincome and social status between individuals and groups. This distribution is not random, it is patterned and structured. Three important axes of global inequality are gender, race and ethnicity, and class. These inequalities are on a global scale and are found in virtually all societies. It wasnt until relatively recently, however, that a caste system developed to include race and ethnicity among class and gender. Since imperialism and the conquest of the Americas, a number of social changes haveRead MoreThe United States : Social Class, Race, Ethnicity, And Health1416 Words   |  6 Pagespersonal conduct and poor health decisions that result in serious yet avoidable illnesses and disabilities? Will charging people higher health insurance premiums help curb poor health habits? In Health Disparities in the United States: Social Class, Race, Ethnicity, and Health - Edition 1 by Donald Barr, the author explores the questions, â€Å"What is health? How should we define it? How should we measure it?† Barr addresses the â€Å"danger of approaching health as a moral imperative† and references FaithRead MoreThe United States : Social Class, Race, Ethnicity, And Health1447 Words   |  6 Pagespersonal conduct and poor health decisions that result in serious, yet avoidable illnesses and disabilities? Will charging people higher health insurance premiums help curb poor health habits? In Health Disparities in the United States: Social Class, Race, Ethnicity, and Health - Edition 1 by Donald Barr, the author explores the questions, â€Å"What is health? How should we define it? How should we measure it?† Barr addresses the â€Å"danger of approaching health as a moral imperative† and references FaithRead MoreHow Do You Feel Race, Ethnicity, Social Class, And Religion846 Words   |  4 PagesHow do you feel race, ethnicity, social class, and religion has shaped you and your family lives? Whether we take notice or not these aspects of our childhood and today’s life contributed to our viewpoint about different parts of the world. Also, the way your family interacted with you and others is determined in a way by these key points. My race, social class, ethnicity, and religion have helped mold me into the young adult I am, beliefs, and values I hold today because my understanding of whoRead MoreHealth Disparities Of The United States : Social Clas s, Race, Ethnicity, And Health1606 Words   |  7 Pagesserve its citizens. Donald Barr’s text Health Disparities in the United States: Social Class, Race, Ethnicity, and Health examines the various factors that can contribute to unequal health outcomes. He starts by defining health and disparities for us, making the reader understand that being healthy is not merely just lacking illness. Health is a multidimensional concept involving absence of disease as well as social role functioning and psychological health. This is crucial to understand, especiallyRead MoreWhat Do Race And Ethnicity, Social Class And Commercialism Influence Participation?1617 Words   |  7 Pages To what extent do race ethnicity, social class and commercialism influence participation in sport, and in what ways? Intro Anglo-Saxon culture is in many ways obsessed with sport and, from the late eighteenth through to the nineteenth centuries, produced many of the formalized sports now adopted world-wide and played according to the standard rules (Holt, 1989). In the last century following a brief period of participation, black sportsmen were barred participating alongside whites e.g. Baseball

The United Arab Emirates - 1279 Words

The United Arab Emirates is currently adjusting to the balance of modernization and tradition. The United States of America has an important participation in this endeavor.Different beliefs, opinions, and views from people inside and outside the United Arab Emiratesabound regarding the matter involving free speech, media, and trademark laws in the country. The foundation and goal that was set by the UAE government in creating these laws resulted in the similarities and differences of the perspectives of the society. The events in UAE have considerable effect in the American economy due to the economic ties between the two countries. Words, signs, figures, pictures, or any other mark utilized in identifying a service or product is called a trademark (UAE Media Law, n.d.). In the UAE, some trademarks that may not be registered are like the flags, geographical names, and public emblems. The registration period of trademarks is ten years, and can be applied for renewal for another ten years. The significance and advantages of trademark protection in promoting a prosperous local economy were acknowledged by Sheikh Zayed bin Sultan Al Nahyan(UAE Media Law, n.d.). Registered trademarks in the UAE are protected by the law, which had an amendment through Law No. 19 of 2000 and Law No.8 of 2002. Trademark protection preserves the interests of both consumers and businesses in the UAE. The description of trademarks, procedures for trademark registration and cancellation, signs that areShow MoreRelatedThe United Arab Emirates1464 Words   |  6 Pagesavailable. An extreme example of this would be the city of Dubai, which i s part of one of the seven emirates that constitute the United Arab Emirates. Dubai is one of the most impressive and wealthiest cities in the world and is well known for the luxurious lifestyle, extremely modernized architecture, and can be viewed as the epitome of a Westernized society. However, the land of the United Arab Emirates is sandy and barren, and not capable of being used for agricultural purposes, there is no majorRead MoreThe United Arab Emirates Essay1306 Words   |  6 Pagesand 7.8 million expatriates, majority of whom came from India, Pakistan, Philippines and other Arab countries. It was established in 1971 as a federation of seven emirates (states). Each emirate is governed by a monarch; together, along with some elected representatives, they form the Federal Supreme Council – legislative organ. One of the monarchs is selected as the President of the United Arab Emirates. The UAE s economy is the most diversified in the Gulf and the wider region. There’s no incomeRead MoreUnited Arab Emirates589 Words   |  3 PagesThe United Arab Emirates (UAE) consists of the seven small emirates of Abu Dhabi, Dubai, Sharjah, Ras Al-Khaimah, Ajman, Umm Al-Qaiwain, and Fujairah, which were united as a federal state on 2 December 1971. Before the establishment of the oil economy in the early 1960s, two main orientations shaped traditional Emeriati culture: the nomadic desert-oriented Bedouins with small oasis farming within the broader context of the desert economy and culture, and the sea-oriented culture that revolved aroundRead MoreThe United Arab Emirates.2420 Words   |  10 PagesThe United Arab Emirates The United Arab Emirates also known as the Emirates or the UAE, is a country located in the southeast end of Arabian Peninsula on the Persian Gulf, bordering Oman to the east and Saudi Arabia to the south, as well as sharing sea borders with Qatar and Iran. The United Arab Emirates was establish in 1971, and it is a federation of seven emirates; which include Abu Dhabi, Ajman, Dubai, Fujairah, Ras al-Khaimah, Sharjah, and Umm al-Quwain. Abu Dhabi serves as the capitalRead MoreUnited Arab Emirates1797 Words   |  7 PagesCountry Profile United Arab Emirates is located in the eastern part of the Arabian Peninsula and it extends along the part of the Gulf of Oman and the southern coast of the Persian Gulf. Country is not very big; it is only the size of the Maine. The neighboring countries are Saudi Arabia to the west and south, Qatar to the north, and Oman to the east. : The UAE is primarily flat or rolling desert. Its coast, which stretches along the southern shore of the Persian Gulf, consists mainly of salt pansRead MoreThe United Arab Emirates.2421 Words   |  10 Pages Abstract The United Arab Emirates The United Arab Emirates also known as the Emirates or the UAE, is a country located in the southeast end of Arabian Peninsula on the Persian Gulf, bordering Oman to the east and Saudi Arabia to the south, as well as sharing sea borders with Qatar and Iran. The United Arab Emirates was establish in 1971, and it is a federation of seven emirates; which include Abu Dhabi, Ajman, Dubai, Fujairah, Ras al-Khaimah, Sharjah,Read MoreThe United Arab Emirates1861 Words   |  8 Pages The United Arab Emirates, more commonly referred to as the UAE, gained independence from England in 1971. The late President, Sheikh Zayid bin Sultan al Nahyan, ruled the UAE from the start of its sovereignty all the way until his death in 2004 (Rugh, 1997, p. 18). Zayid implemented a federal monarchy across the state. Unlike many other monarchies, the UAE has sustained great rule while maintaing peace with its people. Many factors influence this trend and without them the regime of the UAE wouldRead MoreThe United Arab Emirates2998 Words   |  12 PagesThe United Arab Emirates has achieved great success in developing its hospitality industry and its general economy. The country however is faced with a big challenge of having its local citizens work and feel part of the growing hospitality industry. The biggest part of the problem is that while the hospitality industry should be a social institution that is embedded into the culture of the host country, it is not viewed as such an d there are various reasons for that. The current situation is quiteRead MoreThe United Arab Emirates ( Uae )1003 Words   |  5 Pages1. Introduction Forty years ago the United Arab Emirates (UAE) was a deserted land surrounded by vast desert and governed by Bedouins tribes. Since the early 1970s The United Arab Emirates (UAE) has emerged from an isolated deserted country into an international destination for hundreds of nationalities. Today, the UAE is considered as one of the most developed countries in the Middle East. The UAE has experienced an economic transition and has reached similar standards as the developed countriesRead MoreThe United Arab Emirates And India927 Words   |  4 Pageswhether to vacation in India or the United Arab Emirates(UAE), there are many factors to consider. The United Arab Emirates and India have an innumerable amount of differences; because of this, these places attract different people. For a significant number of reasons, the United Arab Emirates is a worthier place to vacation compared to India. Living standards in India and the United Arab Emirates are significantly different to each other. The United Arab Emirates has better living standards when compared

Considered As One Of America’S Most Famous Poets, Emily

Considered as one of America’s most famous poets, Emily Dickinson wrote a variety of poetry throughout her adulthood. Yet, she failed to gain literary notice during her own lifetime (â€Å"Biography of Emily Dickinson†). Her vast ambiguity as a poet was not because of lackluster poems, however, she failed to publish nearly all of the eighteen hundred poems she had written before her death on May 15th, 1886 (â€Å"Biography†). Left to rot, Dickinson’s poems lay hidden until their final discovery by her sister, Lavinia Dickinson, who then submitted them to American publishing companies a few months after Dickinson’s demise (Biography.com Editors). Within decades, her once hidden pieces of poetry were known throughout the world as astounding pieces of†¦show more content†¦Without school, she would not have been able to develop the type of unique punctuation style that is customarily seen throughout her poems (â€Å"Biography†). Even though she may have written near eighteen hundred poems within her lifetime, Dickinson received no rewards for her pieces of literature, since she was not alive to receive any (Poets.org). At any rate, some of her poems became famous among those who enjoy poetry (â€Å"Biography†). Some pieces such as â€Å"‘Hope’ Is The Thing With Feathers† and â€Å"Because I Could Not Stop For Death,† are found particularly enjoyable among poetry enthusiasts, and are well known for their views towards abstract concepts (O’Connor). The following literary work, highlighting the unhappiness and liberation of the individual, describes a soul personified as a woman experiencing a variety of intense emotions. In â€Å"The Soul has Bandaged Moments,† Dickinson’s frequent use of symbolism and punctuation greatly contributes to the overall thematic concept that depression is inescapable. When initially read, the poem â€Å"The Soul Has Bandaged Moments,† portrays a woman whose soul is constantly â€Å"bandaged,† (l.1) emphasizing the horror of anxiety that plagues the human psyche. When in fact, it is paramount to recognize Dickinson’s recurrent use of symbolism to understand the true theme behind these erroneous notions. OneShow MoreRelatedThe Flea By William Shakespeare, Emily Dickinson, And John Donne1521 Words   |  7 Pagesshifts in style, prose, and content that come with the times. This is showcased in the works by famous poets like William Shakespeare, Emily Dickinson, and J ohn Donne. William Shakespeare is credited to be a wordsmith ahead of his time for crafting some of the most well known works in literature, Emily Dickinson is considered one of America’s leading female poets of the 1800s, and John Donne is recognized as one of the leading members of the metaphysical movement. Even so, their work spoke out on religionRead MoreMortailty and Eternity in Emily Dickinson Poems Essay1541 Words   |  7 PagesEmily Dickinson is the epitome of the modern poet. Her poetry breaks from the traditional style with dashes to separate ideas. Dickinson, also, challenged the religious belief of her time. Growing up as a Puritan in Massachusetts, Emily Dickinson knew the bible, yet as an adult, she questioned that belief. Many of her poems seem focused on death; death of the body, death of the soul, death of the mind. Why was she so intrigued with death? The poems that embody this theme are: â€Å"Success is countedRead MoreReligion and Individualism3105 Words   |  13 Pagesdescribed by different American writers, painters, politicians and philosophers. Probably the most important ingredient of Americans ideology is their belief in the freedom of the individual called individualism. America’s highest ideal and greatest blessing is freedom and each individual decides to what purpose should it be employed. Everyone should set his own goals for himself. Americans are considered to be rather religious nation. A majority of Americans report that religion plays a very importantRead MoreEssay on 103 American Literature Final Exam5447 Words   |  22 Pagesfollowing best describes the conditions most urban factory workers faced at the end of the nineteenth century? (A) low wages, dangerous working conditions, and few laws regulating safety or working hours (B) dangerous working conditions but relatively high wages and job security (C) low wages but effective union organization that ensured worker safety and reasonable working hours (D) There were few urban factor workers at the end of the nineteenth century; most laborers worked in agriculture duringRead MoreANALIZ TEXT INTERPRETATION AND ANALYSIS28843 Words   |  116 Pagesaccordance with his vision and is permeated with his idea of the world. The reader’s interpretation is also highly individual and depends to a great extent on his knowledge and personal experience. That’s why one cannot lay down a fixed â€Å"model† for a piece of critical appreciation. Nevertheless, one can give information and suggestions that may prove helpful. PLOT The Elements of Plot When we refer to the plot of a work of fiction, then, we are referring to the deliberately arranged sequence of interrelatedRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pagescentury c.e. arrived, and there were several points both before the year 2000 (the collapse of the Soviet Union, the reunification of Germany, the surge of globalization from the mid-1990s) and afterward (9/11, or the global recession of 2008) when one could quite plausibly argue that a new era had begun. A compelling case can be made for viewing the decades of the global scramble for colonies after 1870 as a predictable culmination of the long nineteenth century, which was ushered in by the industrialRead MoreLogical Reasoning189930 Words   |  760 Pagesappreciate your writing to him at dowden@csus.edu. iv Praise Comments on the earlier 1993 edition, published by Wadsworth Publishing Company, which is owned by Cengage Learning: There is a great deal of coherence. The chapters build on one another. The organization is sound and the author does a superior job of presenting the structure of arguments. David M. Adams, California State Polytechnic University These examples work quite well. Their diversity, literacy, ethnic sensitivity

Homeless free essay sample

I do not have a home. For, if it is a place where all your friends and family are, a place you have inhabited long enough to form roots and the strongest of emotional attachments, then this place does not exist for me. Or, rather, it exists but it is very different from the one most people have. I cannot help but think of a brilliant, fragile soap bubble blown by a childs breath, whisked away by the lightest sigh of Lady Fortune. I have drifted from continent to continent, from one circle of friends and mentors to another, again and again. Of Jewish-Ukranian background, I was born in a metropolitan area in Russia; having lived at the outskirts of Karachi, Pakistan, for three years, I returned to my native country only to abandon it all again to emigrate to the United States of America in the hot summer of 1993. We will write a custom essay sample on Homeless or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page From a tiny apartment to a high-rise development in a growing part of the city, to a tropical residence with 5-feet-long Varanae Salvator lizards leisurely basking in the sun on the open verandas, to an aged colonial in a quiet, friendly neighborhood It has been an amazingly long, short life. The multitude and variety of my experiences seem to defy the brevity of my existence, a mere 17 years. Seventeen years in a world where many people are born, grow up, and die in the same quiet neighborhood, never venturing beyond the overcrowded and overhyped excitement of theme parks and guided tours. I have had first-hand, real-life experiences which go beyond any showcase or excursion, which have brought me in close contact with the everyday lives, concerns, and delights of human beings around the world. Just as a soap bubble, I reflect the world that surrounds me. I have moved from place to place, changing colors in my spectrum, ever adapting, improving, growing. I have seen Muslim mosques and Russian orthodox churches; I have attended services in Judaic temples according to the religion of my ancestors. I have communicated through Arabic, Germanic, and Cyrillic languages. I have walked the majestic Red Square, redolent with the glory of the Slavic tribes, and the busy, glittering Fifth Avenue, the capital of modern wealth and style. The elegant script of Arabic neon signs streaked across the car windows and reflected in the deep browns of my eyes as I drove down the brilliantly lit streets of a vast Oriental port city I do not have a home or, at least I do not have one in the most conventional sense. They say that the entire planet Earth is a living, breathing, intelligent organism called Gaia. That is my home. Not a street, not a city, not even a continent it is the entire planet, with all its cultures and civilizations, brilliant, beautiful, magnificent. So what makes me different from the fragile soap bubble? It is my soul. My soul, which has been shaped by these experiences and is stronger than ever. I know exactly where I am coming from and where I am going. I am taking control. I am grateful, for these experiences have enhanced my soul, giving it volume and dimension, making it shine and forever stand out. What you see is not just a superficial rainbow; it is what I am: thoughtful, multifaceted, dynamic. These experiences have taught me the value of being open, inquisitive, confident. They have given me many wonderful insights. I struggled with the complexities of a new language, but, ironically, this has ultimately become an advantage for me, as I now have multiple outlooks, multiple views and approaches to many conventions and banalities which usually inspire little thought. And after years of search and discovery, I have so much to share and yet so much to discover. Homeless free essay sample Ann replies hat she not homeless and shows her several photographs to prove this theory. In the second paragraph Quintile describes these photos that Ann pulls out from her bag. She describes them as an assortment of random homes. Even though she could obviously tell that none of these homes were Ann.s she used them as evidence to prove that she does have a home. Quintile could plainly tell from her bags and her raincoat with the grime shadowing its creases, that she was in fact homeless. However, this made her realize that home was not a house but in fact home was ended where you live. In paragraph four, Quintile describes in detail why home is where the heart is. She goes on to describe personal things about her house that makes it a home. Such as: the hot-water heater, the plastic rack you drain dishes in, the roof over my head, which occasionally leaks. We will write a custom essay sample on Homeless or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She then analyzes these facts and concludes that all these little things define the true meaning of a home. In fact, a home is just a place that encompasses all these different aspects and creates memories and these memories create a foundation of love for a particular place.This analysis defines that home is where the heart is, and where ever your heart may lie that is everything. Lastly, Quintile analyzes in paragraph seven, how a sense of pride of ownership, can define how we as people relate this idea to why a home is truly everything. She explains how some People find it curious that those without homes would rather sleep sitting up on benches or huddled in doorways than go to shelters. She then follows this up by explaining that some people will not compromise.The thought of Just going to a shelter Is simply not an option for some homeless people. The reason may vary as to why they do not desire to go there, rather It is over the fear of violence or too much pride, people urn for a sense of ownership. Without this feeling of pride and ownership many feel as If they do not truly have a home. Without a place of their own to call home people begin to feel Like they have nothing instead of everything. Home Is In fact the definition of the word everything. Home encompasses all these Ideas and portrays these thoughts onto the amps of life.We go on to paint our own picture of home and we decide what It will end up looking like In the end. It may not be a particular place, four walls, or a loving family but home is still everything. It Is everything we need as people to have a sense belonging, love, and ownership. Homeless By Tiffany-Reese In Homeless, Anna Quintile explains her views on home and how it is everything and anything. I agree with her idea that home is everything. First, I agree with her statement home is where you live. Second, I agree with her statement home is here the heart is. Lastly, I agree with her statement that home is pride of a house. In the first paragraph Quintile asks Ann if she is homeless. Ann replies She describes them as an assortment of random homes. Even though she could home is Just a place that encompasses all these different aspects and creates compromise. The thought of Just going to a shelter is simply not an option for some rather it is over the fear of violence or too much pride, people urn for a sense of ownership. Without this feeling of pride and ownership many feel as if they do not rule have a home. Without a place of their own to call home people begin to feel like they have nothing instead of everything. Home is in fact the definition of the word everything. Home encompasses all these ideas and portrays these thoughts onto the campus of life. We go on to paint our own picture of home and we decide what it will end up looking like in the end.