Duchenne Cerebral Essay

Duchenne Cerebral Essay Duchenne Cerebral Essay What Is Duchenne Muscular Dystrophy? What Is Duchenne Muscular Dystrophy? DMD is caused by a change in a gene responsible for making the protein dystrophin, which keeps muscles strong and healthy. This change is referred to as a mutation. When there is a mutation in this gene, the protein dystrophin does not work. The muscle cells become weak and they gradually break down. DMD usually affects boys; it is extremely rare in girls. DMD is a progressive disease. At first, the weakness is mostly in the legs and hips. Those affected fall frequently, have trouble running and climbing stairs, struggle to get up from a sitting position and often walk on their toes. They also develop larger than normal calves. Eventually, the muscle weakness makes walking more difficult and a wheelchair is needed. Gradually, all the muscles become very weak - including the heart muscle and the muscles used for breathing. Duchenne Muscular Dystrophy is an inherited disorder caused by a mutation in the gene that produces dystrophin. This mutation is passed down from mother to son because the dystrophin gene is located on the X chromosome. If the mother passes on an X chromosome with an altered dystrophin gene to her son, he will develop DMD because he has only one copy of the X chromosome. Girls have two X chromosomes. When they inherit the DMD mutation from their mother, they also inherit a normal copy of the DMD gene from their father. That is why they do not develop the disease. However, they may be carriers and pass DMD on to their sons. Daily Life with DMD There is no cure yet for DMD. A healthy lifestyle, exercise and medication can contribute to a better quality of life for those with the disease. Jonathan takes a steroid-based medication called Deflazacort to help maintain his muscle strength. One of the side effects of steroidal medication and a lack of physical activity (as a result of wheelchair use) is a loss of calcium in the bones. This may increase the risk of fractures. Jonathan takes daily doses of calcium, in conjunction with vitamin D, to keep his bones strong. Other possible treatments that may help with some aspects of DMD include physiotherapy to help maintain correct foot position, chiropractic treatments, nutritional supplements and naturopathic preparations. One of the challenges that Jonathan's family had to face was adapting Jonathan's environment to his needs. The local community service centre

Writing a Residency Personal Statement

Writing a Residency Personal Statement As most medical students will attest, formulating a residency personal statement is an extremely difficult task. An essay that must articulate the students career intentions as well as his/her passion for the field, residency statements are not exactly a walk in the park. As someone who has written and proofed dozens of personal statements, I would like to offer the following tips on writing one for residency. As if getting into and graduating from medical school isnt difficult enough, young doctors also most complete several years as a resident in a hospital. Now, considering that young doctors arent paid squat while working as residents, you would think that hospitals would be begging them to apply. Not the case. Not only are top residency positions hard to come by, but graduate hopefuls must compete against the best in their field in order to even be considered. That is why the personal statement is so important. As a potential resident, the personal statement is your chance to stand out above the rest and literally plead your case. Residency personal statements are hard to write, but they arent impossible. For more information on writing a quality personal statement for your residency or if you would like to know where you can find an editor to assist you in the process, please access the link provided. In the meanwhile, good luck!

The Body Gender and Sexuality Essay Example | Topics and Well Written Essays - 1500 words

The Body Gender and Sexuality - Essay Example They understand on the first sight of a human and animals by their bodies. Gender is best understood by kids through moms and dads. The body parts inside and outside are almost similar. Thoughts and feelings are common for both genders. Hopes, dreams and activities in several arenas are the same for both genders. The knowledge of gender is conceived fairly well even by a school going boy or girl. It is the sexual orientation which is the complex subject for kids – in fact for the whole human race – to understand in its fullest depth. The personal wishes, desires, aspirations and goals manifest in establishing the sexuality of human beings. For example, consider the following statement: The baby boy is fondled and kissed in his sleep. Can we ascertain from this sentence ‘who fondled and kissed?’ Was it a father or a mother? Was it by a man or woman? But the baby boy would exactly find who did it. How? The way and style of fondling or kissing are best differe ntiated by the baby. Thus it is the life style in which we establish our manliness and womanliness which decides our sexuality. We the human ever like pleasure, despite the fact that the other way is also true to be faced. We wish to derive pleasure in everything including our body. This kind of bodily pleasure deriving is named sexual by many folks. But it is quite natural for any living being to derive pleasure from body. Because, it is through the senses centred in the body we are to derive pleasure. Pleasure normally is asexual. It is purely psychological. In our going after pleasure, we find pleasure often comes from the style of being rather than in any other technique. No human being can think anything out of his/her body.... (Bhattacharyya, 2002, p.82). No human being can think anything out of his/her body. Just because one is sane and healthy, his/her ideologies need not be out of body experience. Physique is always physique. But the social norms often get confused with physical and mental health issues. As we have already put pleasure derived from body is completely relished and experienced by the self/soul through senses. This is well established by one Caroline’s (who is physically disabled) encounter with a physician who poisoned her mind with a prescription that she might not have loved her husband. She had just approached the physician to get medical relief for her hip pain suffered during her sexual intercourse with her husband. The price in terms of mental pain she paid for her approaching the physician is horrible. Social crippling of the psyche is more painful than physical disablement, which is medically curable.(Shakespere, 2002, p.145) MEDICAL PERCEPTION OF BODY AND SEXUALITY: Chemic al composition of human body was described in the second half of 18th century dealt with chiefly the chemical composition of food. Different body tissues were compared with various types of food. However, the concept of reference man and reference women developed in late 19th century especially during 1970 when body composition was begun to be measured with the fat mass and fat-free mass for man and woman. While a reference man was gauged with 3% essential fat, a reference woman was found to be composed of 12% essential fat. Essential fat in women includes the fat in mammary glands and pelvic region.(Gropper et al, 2009, p.283) Medicine and chemistry thus has begun to view human body as a product of reconstruction. The analysis of

Marketing principle Assignment Example | Topics and Well Written Essays - 2500 words

Marketing principle - Assignment Example for all the business involves the business adapting to some form online marketing through social media particularly in the industries where the trends are regularly evolving like the fashion industry. The usage of social media sites in the marketing strategy of the company continues to increase with the advancement in technology. Despite the popularity associated with it, the information that exists which seeks to answer questions that are concerned with efficiency and measure the return to investment, is still limited (Pradiptarini 1). Social media has provided a broad array of new opportunities for companies to engage in the promotion of their brands, goods as well as services. The personal autonomy as well as the freedom that is offered by the internets has allowed the active connection of people which, enables them to share their experiences and opinions concerning products and services. The benefits that are associated with social media in regard to businesses and the techniques that used to achieve success are yet to be fully understood. This essay will strive to enhance the understanding of social media marketing benefits to a business. The phenomenon referred to as Social media began in 1978 through the exchange of information via telephone cables using the Bulletin Board System. Presently, social media marketing and especially social networks have increased in significance in regard to the purchasing decisions of the customers simply because they broaden the scope of marketing. In the future, they may become more significant than the use of advertisements as a reliable source of product and company information for the customers. It should be noted that when marketing is done through social media, the marketers do not have absolute control over the message as well as positioning (Celine 12). Social media may be considered as a self-generated, genuine communication that occurs between persons concerning a specific subject of common interest, based on the

Pathophysiology of sepsis | Case Study

Pathophysiology of sepsis | Case Study Thomas, a 70-year-old man, admitted to hospital with a five-day history of coughing with yellow-green sputum, pyrexia, rigors, poor appetite, mild chest pain and increasing difficulty of breathing. The initial observations are: Neurological: Altered neurological status, GCS 11/15. Agitated and confused. Cardiovascular: Sinus tachycardia, HR 135bpm. Hypotension, 90/45 mmHg. Respiratory: Tachypnoeic, RR 35bpm. Decreased saturation while receiving 6L O2 through Hudson mask. Metabolic: Febrile, 39 degree Renal: Oliguric with 20ml/hr urine output. Indwelling catheter (IDC) was inserted. The blood test revealed that the patient was suffering from hypernatremia, hyperkalaemia, hyperglycaemia, elevated urea, poor creatinine, increased WCC and low platelet count. The ABG indicated that Thomas was experiencing combined respiratory and metabolic acidosis. Thomas was finally diagnosed as sepsis complicated by the right middle lobe streptococcus pneumonia. He required intubation and invasive ventilation support. In this case study, the pathophysiology of sepsis will be discussed and the mechanism of synchronised intermittent mandatory ventilation (SIMV) volume control ventilation mode will be explained. Sepsis is defined as the dysregulated inflammatory response caused by severe infection (Neviere 2015). It has the interchangeable definition as Systemic inflammatory response syndrome (SIRS) while the SIRS is resulted by a suspected or confirmed infectious source (Neviere 2015). The concept of SIRS was first introduced by the American College of Chest Physicians (ACCP) and Society of Critical Care Medicine (SCCM) in 1992 (Kaplan 2014). It is characterised by two or more following symptoms. They are fever of high than 38 degree or hypothermia; tachycardia; tachypnoea or partial pressure of arterial carbon dioxide (PaCO2) less than 32 mmHg; deranged white cell count of more than 12,000/Â µL or less than 4,000/Â µL (O’brien et al. 2007). Associated with Thomas’s symptoms, it is clear to see that he was definitely experiencing sepsis. It is because that he was febrile up to 39 degree, tachycardic with heart rate of 135 bpm, and had increased respiratory rate of 35bpm as w ell as the elevated leucocytes count of 14,000 per microliter. The clinical signs are related to the inflammation process which is activated by the body immune system. Due to the severe infection, a large number of proinflammatory mediators are released which in turn result in the serial inflammatory reaction and extensive tissue damage (Neivere 2015). It is reported that SIRS can lead to high mortality rate because of high occurrence of SIRS induced multiple organ dysfunction syndrome (MODS) (Singh et al. 2009). In the following paragraphs, the pathophysiology of sepsis/SIRS will be more comprehensively examined. The pathophysiology of SIRS is complex. There are a few elements that need to be emphasised. They are acute stress response, inflammatory process and cytokine storm. Firstly, stress response is the acute phrase reaction when the body tries to defence against the threatening triggers. Those triggers are also known as ‘stress’. Stress can be caused by daily life events, environmental factors or physical illness (Better Health Channel 2012). In Thomas’s case, the stress response is initiated by infection. Under the influence of stress, the body steady state is disrupted. To maintain the homeostasis, the stress response is activated to reverse the body balance and redistribute the oxygen and energy to maintain the function of vital organs (Kyrou et al. 2012). Hypothalamus plays a vital role in processing the distress signals (Seaward 2015). Once it senses the stress, it triggers the activation of sympathetic nervous system. The sympathetic nervous system then stimulates the adrenal gland to produce epinephrine. It is also known as adrenaline. The adrenaline can lead to increased heart rate and myocardial contractility; dilated pupils and bronchi; peripheral vasoconstriction; accelerated respiratory rate; decreased digestive activity and increased production of glucose from liver (Seaward 2015). In addition, stress can also activate another pathway of stress response. That is the hypothalamic-pituitary-adrenal (HPA) axis (Seaward 2015). It means the stress triggers the release of corticotrophin-releasing factor (CRF) from anterior hypothalamus. The CRF then promotes the pituitary gland to produce adrenocorticoid trophic hormone (ACTH). The ACTH stimulates the production of cortisol and aldosterone through the adrenal cortex. Those corticosteroids can result in increased metabolism, sodium and water retention (Seaward 2015). Therefore, it is obvious that Thomas was under the effect of stress. He was tachycardic, tachypnoeic and slightly hyperglycaemic due to the effect of sympathetic nervous response. He was oliguric because of the acute kidney injury secondary to the vasoconstriction. His hypernatremia status can be contributed by the impact of aldosterone. He had poor oral intake can be cause by the suppressed digestion function. Secondly, the inflammatory cascade plays an essential role in the pathophysiology of systemic inflammatory response syndrome. Sagy et al. (2013) summarised the inflammation mediator related mechanisms in the systemic inflammatory response. It is indicated that the excessive release of pro-inflammatory mediators result in the inflammation, inhibit the function of compensatory anti-inflammatory response, and compromise the immune system eventually (Sagy et al. 2013). Cytokines are the essential components of immune system. Bone et al. (1992) explained that the local cytokines are activated immediately after an insult in order to repair the wound and initiate the innate immune system. Because of the release of local cytokines, a small amount of cytokines go into the circulation. This promotes the production of growth factor and adhesion of macrophages and platelets to help with the recovery of the local damage. However, when the infection is severe and the homeostasis is unable to be restored, cytokine storm occurs. More specifically, cytokine storm is formed from a complex progression. Cytokines are made up by macrophages, monocytes, mast cells, platelets and endothelial cells, which are the initial immune defensive components (Plevkova 2011). The multitude of cytokines can soon induce the cytokine tissue necrosis factor-alpha (TNF-a) and interleukin-1 (IL-1). Those two elements result in the removal of nuclear factor-KB (NF-KB) inhibitor. This in turn prompts the production of more proinflammatory mediators, such as IL-6, IL8 and interferon gamma (Plevkova 2011). In other words, cytokines stimulate the production of immune cells, which in turn induce more cytokines in the circulation. The cytokines have a great impact on the body, including direct or indirect contribution of mortality in SIRS. TNFa is discovered causing fever, abnormal haemodynamic values, low white cell count, increased liver enzymes and clotting problems (Jaffer et al. 2010). IL-1 is reported having connection with fever, haemodynamic abnormality, loss of appetite, general weakness, headache and neutrophilia (Jaffer et al. 2010). IL-6 is found having strong relationship with fever and impaired lung function as well as acting a determinant of severity of SIRS and mortality rate (Jaffer et al. 2010). The massive accumulation of cytokines can cause widespreading vasodilatory effect. It is because the cytokines stimulate the release of vasodilators such as nitric oxide (Sprague and Khalil 2009). Additionally, cytokines promotes adhesion of the immune cells and the endothelial cells, which in turn leads to leaky endothelium and loss of fluid from intercellular space to extracellular space (Sprague an d Khalil 2009). Moreover, the cytokines cascade can also lead to the clotting disorder. It is because of the high concentration of fibrinogen in the inflammation process (Esmon 2005). The fibrinogen is converted from thrombin, which is generated by tissue factor. Tissue factor is a substance that is expressed by the surface of white cell. It can also be induced by TNFa and endotoxin from the infection (Esmon 2005). The fibrinogen can be transferred into fibrin which in turn forms clots. As the excessive amount of fibrin in the inflammation status, it can result in extensive clotting disorder. To sum it up, it can be concluded that Thomas’s fever is highly likely related to the release of TNFa, IL-1 and IL-6. IL-1 could be one of the contributors of his poor appetite and elevated white cell count. IL-6 could worsen Thomas’s existing affected lung function. Thomas had increased white cell count can be contributed by the immune response and IL-1. The hypotension is related to the vasodilation effect. Due to the hypotensive, the kidney perfusion dropped and then led to the acute kidney failure and poor urine output. The acute kidney injury may affect the elimination of potassium so that Thomas was found having high potassium level. The low platelet count could be related to the massive production of cytokines and damaged endothelium. In the next section, the synchronised intermittent mandatory ventilation volume control will be explained as Thomas’s mechanical ventilation management. The synchronised intermittent mandatory ventilation (SIMV) is commonly used in ICU. With the volume control mode, the patient is given the ventilation support with a set tidal volume during the mandatory breaths (Deden 2010). To provide the effective ventilation support, there are a few specific values that need to be set up for the SIMV volume controlled mode. They are tidal volume and respiratory rate. The tidal volume refers to the amount of oxygen delivered by the ventilator or the amount of oxygen the patient breathes voluntarily. The respiratory rate is set up for mandatory breaths. In the SIMV volume controlled mode, the ventilation is trigger by the ventilator or patient self. It means the actual respiratory rate can be upon the preset rate (Goldsworthy and Graham 2014). There is a window of time for the ventilator to sense the patient’s inspiratory effort. This trigger window helps avoid the ventilator deliver the oxygen when the patient exhales (Deden 2010). If the p atient is able to trigger the ventilation within the time frame, the patient-triggered mandatory breath is induced. After reaching the demand tidal volume, the inspiratory phrase ends and expiratory starts. Between each mandatory breaths, the patient is able to initial own spontaneous breath, the breathing volume and length depend on the patient’s respiratory effort (Pierce 2007). If the patient is heavily sedated and unable to initiate the spontaneous breath within the trigger window, the machine-triggered mandatory breath will be activated to provide constant ventilation support according to the set respiratory rate and tidal volume (Deden 2010). Once the ventilator delivers the demand tidal volume, the inspiratory cycle ends and expiratory phrase starts until the next scheduled inspiratory cycle. If the patient’s attempt of breathing is not strong enough to trigger the patient-triggered mandatory breath, the assisted synchronised breath will be provided to achieve t he desired the tidal volume. Like the other mode, the inspiratory cycle ends once the set tidal volume is delivered (Deden 2010). It is believed that Thomas would be beneficial from the SIMV volume controlled mode. It is because that SIMV mode could help him reduce the work of breathing, especially when he was in the high energy-consuming septic status. In addition, due to the SIMV mode, the ventilator allows him to have extra breath to blow off the accumulative carbon dioxide. This can improve his acidosis. Moreover, because of the systemic inflammatory response syndrome and severe pneumonia, his lungs could be stiff and fragile secondary to the inflammation effect and accumulation of cytokines. The volume controlled ventilation acts as a protective strategy to avoid the ventilator related complications, such as volutrauma. It is recommended not to set the tidal volume more than 8-10ml/kg (Deden 2010). In conclusion, sepsis is a systemic inflammatory response syndrome resulted by the infection. The stress response, inflammation reaction and cytokines play essential roles in the progression of SIRS. As SIRS can cause high mortality rate, it is vital to control the infection and manage the widespreading inflammation as well as providing appropriate support to treat the symptoms. In Thomas’s case, the volume controlled synchronised intermittent mandatory ventilation would be the better option of managing his severe pneumonia and respiratory distress. Reference Better Health Channel 2012, Stress, viewed 12th March 2015, http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/stress Bone, RC, Balk, RA, Cerra, FB, Dellinger, RP, Fein, AM, Knaus, WA, Schein, RM Sibbald, WJ 1992, ‘Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee. American College of Chest Physicians/Society of Critical Care Medicine’, Chest, vol. 101, no. 6, pp. 1644-1655. Deden, K, 2010, Ventilation modes in intensive care, Dragerwerk AG C0. KGaA, Germany Esmon, CT 2005, ‘The interactions between inflammation and coaulation’, British Journal of Haematology, vol. 131, no. 4, pp. 417-430. Goldsworthy, S Graham, L 2014, Compact Clinical Guide To Mechanical Ventilation : Foundations Of Practice For Critical Care Nurses, New York, NY Jaffer, U, Wade, RG Gourlay, T 2010, ‘Cytokine in the systemic inflammatory response syndrome: a review’, HSR Proceedings in Intensive Care Cardiovascular Anaesthesia, vol. 2, no.3, pp. 161-175. Kaplan, LJ 2014, Systemic inflammatory response syndrome, viewed 19th March 2015, http://emedicine.medscape.com/article/168943-overview#a0101 Kyrou, I, Chrousos, Kassi, E Tsigos, C 2012, Stress, Endocrine physiology and pathophysiology, viewed 12th March 2015, http://www.endotext.org/chapter/stress-endocrine-physiology-and-pathophysiology/#h23 Neviere, R 2015, Sepsis and the systemic inflammatory response syndrome: Definition, epidemiology and prognosis, viewed 19th March 2015, http://www.uptodate.com/contents/sepsis-and-the-systemic-inflammatory-response-syndrome-definitions-epidemiology-and-prognosis O’brien, JM, Ali, NA, Aberegg, SK Abraham, E 2007, ‘Sepsis’, The American Journal of Medicine, vol.120, no.12, 1012-1022. Pierce, LNB 2007, Management of Mechanically Ventilated Patient, 2nd edn, Saunders Elsevier, London Plevkova, J 2011, Systemic inflammatory response syndrome, viewed 24th March 2015, http://eng.jfmed.uniba.sk/fileadmin/user_upload/editors/PatFyz_Files/Handouty/angl/Systemic_inflammatory_response_syndrome_2011.pdf Sagy, M, Al-Qaqaa, Y Kim, P 2013, ‘Definitions and pathophysiology of sepsis, Current Problems in Paediatric and Adolescent Health Care, vol. 43, no. 10, pp. 260-263. Seaward, BL 2015, ‘Physiology of stress’, Managing Stress, Jones Bartlett Learning, Burlington, MA. Singh, S, Singh, P Singh, G 2009, ‘Systemic inflammatory response syndrome outcome in surgical patients’, Indian Journal of Surgery, vol.71, no.4, pp. 206-209. Sprague, AH Khalil RA 2009, ‘Inflammatory cytokines in vascular dysfunction and vascular disease’, Biochemical Pharmacology, vol. 78, no. 6, pp. 539-552. 1 Ying Hu 76898

Pepsi Advertisement Analysis Essay

Advertising and powerful images have always gone hand in hand in producing effective advertising.   Without powerful visuals, advertisements in a newspaper would look very similar to the news and obituary.   Images are the language of advertising and without them, people would have to go through the rigorous task of reading about a product and not seeing it in full action color. This advertisement is highly effective in communicating its message to the viewer.  Ã‚   It is effective because it makes the consumer want to buy Pepsi, which is of course the objective of advertising.   By just taking a quick glance at the image, the viewer will get very thirsty and will start craving for a can of ice cold Pepsi.   In the initial stage an advertisement must attract attention.   Once an advertisement has one’s attention, the viewer must gain interest, or else he may not look long enough to absorb the message conveyed in the advertisement.   Lastly, the advertisement must motivate action from the viewer, which in concrete terms, is purchasing the product. First, the image is highly attractive and pleasing to eye because of the contrasting colors of blue and yellow-orange which will immediately stand out if placed beside other advertisements in a magazine or newspaper, or even among other billboards.   This is important because advertisements are not supposed to blend in with its surroundings, or else they will go unnoticed.   Standing-out among other advertisements or other forms of media is crucial.   This is because despite that fact that an advertisement may be funny, witty, or memorable, it important that it must first be initially attractive to target viewers. This Pepsi advertisement makes good use of color as a medium of showing the tone or mood of the message the advertisement is trying to convey.   Blue or teal is the most dominant color in this advertisement.   The can of Pepsi is blue and so is the table and the rest of the background, giving the advertisement a very cool and relaxing visual feel.   It is not only the color of the product’s packaging, the can of Pepsi, but it is also pleasing to the eye and relaxing to look at.   It is curious to note that its direct competitor, Coca-Cola, uses red. The yellow-orange of the bowl of cheese curls immediately stands out of the rest of the blue background as a happy, vibrant and exciting color.   It creates contrast in the image. This selection of colors go hand in hand with the punchline of the advertisement which shows humor, and which gives human qualities to inanimate objects such as a bowl of cheese curls. These colors of blue and yellow-orange give the advertisement a very vibrant and positive tone or mood.   The bowl of cheese curls, being in the color or yellow-orange and immediately standing out of the blue background, is the object immediately seen by the viewer. Upon looking at the bowl of cheese curls, one’s view is immediately directed towards the part of the cheese curls that is forming a hand.   Then only is the view directed to look at the can of ice cold Pepsi.   This is how the composition of objects within a frame can control the gaze of the viewer from one object to another until the entire message of the advertisement is conveyed. Aside from showing the product itself, the advertisement shows a bowl of cheese curls.   This is a snack which is commonly eaten by children, teenagers, and young adults alike.   The use of this snack in the advertisement together with the can of Pepsi shows us the target audience of this image: children, teenagers, and young adults.   It is most likely that the people who have eaten cheese curls or other similar products are the ones who will understand why the bowl of cheese curls is reaching out for the can of   ice cold Pepsi. The cheese curls, shown in a happy shade of yellow-orange, is arranged in such a way that brings humor to the image.   This is the punchline or the big idea of the advertisement.   The cheese curls are shown to have crawled out of the bowl and holding on to each other to form a human hand that is reaching out for the can of cold Pepsi. It is this ultimate message that triggers the viewer to think, â€Å"Aha!† and subsequently crave for cheese curls and a can of ice cold Pepsi.   It persuades the viewer to buy a can of Pepsi and a bag of chips.   If one looks more closely, the can of Pepsi is wet with dew around it, indicating that it is a very cold can of Pepsi.   This makes the can of Pepsi a lot more enticing to the viewer while he reads the newspaper, magazine, or while walking in a subway station, especially in the middle of a hot summer day. The angle of the entire image is also very direct and horizontal, not signifying any status symbol, or edgy look.   It is clear, plain, and simple, and straightforward.   It is just showing the viewer in a very plain and simple manner the humor of the punchline. This makes the image easily understandable when viewed from a distance or from a moving vehicle. It is interesting to note that nowhere in the image does it show or explain what exactly Pepsi is.   This is because Pepsi has long been a player in the soda industry and has been advertising long enough already.   They no more need to inform consumers what exactly their product is.   This is one of the advantages of being a known brand. It allows the brand to use humorous advertisements such as these. Clearly, there is no way that Pepsi could have effected this advertisement without the use of images.   Images in advertising are of paramount importance.

Personal Narrative Reflection Paper - 1234 Words

My second year of university was BUSY! In addition to taking a full course load, I also had jobs on campus and was volunteering. Plus, I had to fit in my workout regime, social time, ‘me’ time, and best of all, sleep. And I was able to do all of that, while maintaining my all-A transcript. When my friends ask me how I managed to pull that off, most of the time I would tell them the truth, which is â€Å"I really don’t know†. But there was a lot of careful consideration that went into basically my every action so that I could stay on top of all of my responsibilities. There’s one key thing that I did that made my success possible: PRIORITIZE. I know, it seems like a lame word that your parents use against you when they think†¦show more content†¦Essentially, my job was to be there for all of the first years, whether they needed advice, someone to talk/cry to, or someone to be a friend and go to the dining hall/library/gym with. Not a bad gig at all. But, this meant that the majority of the times that most would consider free time, I was basically ‘on-call’. We were supposed to have our doors open and phones on basically anytime we were in the building in case someone needed us. So, unless I had some school related crises (AKA the millions of times I left papers till the last minute), my time belonged to the first years. When I took the job, I knew that was the commitment I was making. And honestly, I loved the job. I loved it so much that I’m doing it again my third year, but as a full-blown RA this time. There was also only a few times that my top two priorities conflicted together, such as a frosh (first year) wanting to vent to someone, but I had a paper due in an hour. PRIORITY THREE: The next priority for me was my social life. This sort of mixed in with being a member of residence staff, as I was friends with a lot of my frosh, so I was able to kill two birds with one stone. 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