News Article Assignment Example | Topics and Well Written Essays - 250 words - 2

News Article - Assignment Example very essential in determining the STD that one may be infected with as both viral and bacterial STDs have different treatment methods and some have may have no symptoms, but attack when it is too late. The issue on STD transmission, treatment, and prevention is covered in the biology concepts and connections chapter 27.7. As the article notes, a part from the viral and bacterial STDs, fungi and other organisms can csues some STDs. The article suggests that knowing the cause of the STD would make it much easier to treat, with the most common STD cause being bacteria that affects over 90 million people globally. The article reports that one advantage of bacterial STDs is that they are curable, comparing the viral STDs such as AIDs that has defied any treatment methods. Gonorrhea and syphilis are examples of bacteria transmitted STDs. Therefore, knowing the actual cause of the STD makes it much easier to and prevents cases of misdiagnoses. Lack of enough knowledge about these diseases may be fatal and lead to complications in late stage of some such as syphilis that may attack that nervous system. The article has some scientific facts. The article assesses the main pathogens of many STDs and tries to differentiate them through elaborating on the nature of STDs. Similarly, the article calls for care when dealing with STDs; some are contagious and finally stresses on the need to go for necessary test to determine the actual STD in question. Understanding STDs and the Importance of Regular Testing, Mod to Modern, 24March, 2013 http://www.modtomodern.com/understanding-stds-and-the-importance-of-regular-testing/ (accessed, 12th April,

Comprehensive evaluation in Mathematics Essay Example for Free

Comprehensive evaluation in Mathematics Essay Continuous comprehensive Evaluation should be carried out in relation to learners’ cognitive, affective and psycho-motor growth. Cognitive growth refers to the intellectual development of learners (such as learners’ knowledge, comprehension, application, analysis, synthesis and evaluation). Affective growth emphasizes learners’ attitude, interest and personal development. Psycho-motor growth deals with learners’ ability to perform some activity or do some practical work. Therefore, if you want the teaching-learning process to be really effective, you should evaluate the learners continuously and comprehensively Hence to bring about the improvement in the quality of education and the holistic development of the child who is tomorrow’s global citizen, evaluation process should focus adequately on both scholastic and non-scholastic areas of development. Hence the focus needs to shift to comprehensive evaluation. The comprehensive evaluation also needs to have continuity at regular intervals through out the academic year. This thought is further gets support from the fact that the National Progressive Schools Association has also recommended the scrapping of class X board exams This module focuses upon the various evaluation tools and techniques which can be used for decision making with reference to learners scholastic and non scholastic needs. By comprehensive evaluation, we mean that evaluation should not concern itself only with knowledge but it shall also take into account the factors that are inherent in students’ growth such as skills, understanding, appreciation, interest, attitude and habits. In other words, evaluation should cover all the learning experiences of the learner in curricular as well as non-cognitive areas. Need of Continuous comprehensive evaluation. Continuous and Comprehensive Evaluation is intended to provide a holistic profile of the learner through assessment of both scholastic and non-scholastic aspects of education spread over the total span of instructional time in schools. It helps to identify those positive attributes of the learner which are not usually assessed during the examinations conducted by the Board As it is spread over a period of two years in class IX and X it provides several opportunities for the school to identify the latent talents of the learners in different contexts.

Rheumatoid Arthritis Physiology

Rheumatoid Arthritis Physiology Introduction Rheumatoid Arthritis (RA) is defined as a chronic, autoimmune condition that affects 400,000 people in the UK (Cooney et al. 2010). It is both bilateral and symmetrical in pattern and is typically presented in individuals between 30 to 50 years with females being more afflicted than men (Cooney et al. 2010). Although, RA is of unknown aetiology, causes are said to be both genetic and environmental in nature (Abhishek et al.2010). More specifically, inflammation, inactivity and loss of mechanical stability around joints plays a role in causing pain, stiffness and swelling of multiple joints. Consequently, long-term effects of RA been associated with reduced muscle strength (Ekbolm et al. 1974) and aerobic capacity (Minor et al. 1988). Currently, there is no cure for RA and therefore, management emphasizes on decreasing symptoms and promoting quality of life through either Drug Modifying Anti-Rheumatic drugs (DMARDs) or physiotherapy (Arthritis Research, UK). Indeed, DMARDs are a first line treatment for RA; however, not everyone responds adequately to DMARDs (Smolen and Keystone, 2012) and RA patients usually refrain from using this due to the potential occurrence of life-threatening side-effects (Kinder et al. 2005). Today, physiotherapy for those with RA consist of many passive interventions such as patient education, delivery of heat or cold, massage and electro-magnetic energy (Wasserman,2011). However, despite earlier fear of aggravation of symptoms, increased disease activity and joint damage, there is now scientific evidence showing that exercise is safe and beneficial; making it an imperative part of rehabilitation (Stenstrom and Minor, 2003). Specifically, the most valued by RA patients is Hydrotherapy treatment (Hall et al. 1996) due to its ability to alleviate symptoms suddenly through exercising in water. The use of water properties such as buoyancy and warm temperatures enables patients to move freely through decreased weight bearing on joints, increased range of motion and reduced pain (Campion, 1997). Although, Hydrotherapy is growing significantly in popularity, literature in regards to the effectiveness of Hydrotherapy for RA has not been evaluated adequately. For example, Eversden et al. (2007) concluded that the Hydrotherapy group reported a greater perceived benefit in comparison to the land-based exercise group after six weeks. Importantly, these authors conducted a fairly well-designed study in that they took some precautions to eliminate bias through true randomization and concealment processes. However, these findings were not reflected in the physical functional or pain scores. Alongside this, there was a greater number of participants in the Hydrotherapy group compared to the Land-based group leading to potential biases. Secondly, Hall et al. (1996) found that all groups assessed (Hydrotherapy, Seated Immersion, Land Exercise and Progressive Relaxation) demonstrated joint tenderness and pain relief. However, Hydrotherapy presented the most improvements (26% mean decrease) after 4 weeks treatment. This study demonstrates strengths over Eversden et al. (2007) in that they had assessed disease activity rather than just improvements in functionality. However, it was not clearly stated whether or not improvements in Hydrotherapy group were statistically significant and treatment dosage, if longer (>4 weeks) could have produced a greater therapeutic effect. Thirdly, Bilberg and Mannerkorpi (2005) found significant improvements in muscle function and endurance of upper and lower extremities and grip force. However, this was not supported by an increase in aerobic capacity as indicated by their hypothesis and primary outcome measure (Cycle Ergometer Test; Astrand 2006). Unlike, Eversden et al. (2007) and Hall (1996) this study reported intensity of exercise (70% of HR) and addressed longer term effects (12 weeks). However, sample size was small (46 patients) and temperature of pool was not specified, making it difficult to generalise data. Overall, there was inadequate reporting of depth, temperature of pool, type and intensity of exercises. Although, outcome measures differed between studies, they were appropriate for use (Al-Qubaiessy et al). Therefore, there is some evidence showing that Hydrotherapy plays a role in reducing pain (Hall et al. 1996). Finally, this highlights the importance of using standardised exercise procedures, longer term-interventions especially as RA is a chronic condition. This will help in making specific recommendations. Therefore, in accordance to PICO, my research question is The long term effects of using specific Hydrotherapy exercise protocols: Aqua-Aerobics Programme and The Bad-Ragaz Ring Methods for RA. A randomized Controlled Trial. Research Design From a pragmatic viewpoint, a mixed methods approach will be best-suited for this study as pain is a multi-dimensional phenomenon. However, a positivist would argue that this study should be carried out only objectively as this would allow generalizable conclusions to be drawn (Brooms and Willis, 2007). Alongside this, they would argue that researchers are detached from the investigation, thereby reducing bias (Bryman, 2004). Contrastingly, an interpretivist would support a qualitivate approach which would allow greater and richer insight into patients perceptions of pain (Bryman, 2001). Therefore, yielding both qualitative and quantitative data will help increase findings and reliability of results (Bryman, 2004). For example, this study will be able to assess the subjective nature of pain whilst still observing the relation between pain and disease activity objectively. Thus, taking this stance, will allow to address the biopsychosocial approach rather just a biomedical model of care objectively (Engel, 1977). Finally, an experimental, embedded design will be used in this study. Alternatively, an interpretivist would use a case-study that assesses an individuals experiences; this will have high ecological validity but lacks the ability to produce generalizable conclusions.ÂÂ   By employing a multi-faceted approach, it will strengthen causal inferences by providing the opportunity to observe data convergence or divergence in hypothesis testing (Abowitz and Tool, 2010). Research Method In line with Rogers et al. (2003), the embedded experimental design utilised in this study will involve a two-phase sequential approach (Creswell et al. 2005). This will include qualitative analysis carried out before intervention to inform the development of the treatment and after to help explain treatment outcomes (Figure 1). Figure 1: Experimental Embedded Design. (Creswell 2005). Alongside this, an RCT will be used. In accordance to the hierarchy of evidence an RCT is suggested to be one of the most powerful in research (Akobeng, 2005) due to its ability to reduce risk of bias and systematic error (Bryman, 2004; Suresh, 2011). Contrastingly, a cross-over design would be difficult due potential carry-over effects even with a washout period (Saks and Allsop, 2013). Intervention Details The CONSORT statement will be used in order to enhance completeness and transparency of the study (Schulz et al. 2010). For example, attrition bias will be reduced through reporting drop-outs and reasons for this will also be included (Schulz et al. 2010). Reporting of eligibility criteria is essential to determine whether results can be applied to others in the same condition (Bluml et al. 2011).ÂÂ   In this instance, patients (men and women) aged 18+ (in line with the American College of Rheumatology) with chronic RA who meet Steinbrocker Functional Class I, II, or III (Steinbrocker, 1949) will be recruited from NHS outpatient settings in the West Midlands. Those who sustain a steady drug intake for 30 days in relation to Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) 3 months and DMARDs will be included in the trial. Although injections and corticoid injections in the 4 weeks leading up to the study will not be permitted, drug changes and injections will be during; this reflects the pragmatic nature of this study. Consequently, recruiting in this manner will increase ecological validity as it represents a real-world situation (Broom and Willis, 2007). Those, which have received physiotherapy treatment within 30 days of assessment will be excluded in order to avoid any carry over effects. Also, patients who have had joint-replacement surgery within the last 6 months will be excluded. Likewise, contraindications of exercise and immersion in water needs to be taken into account (e.g. patients with uncontrolled epilepsy or fear of water) will also be excluded. It is true that greater exclusion criteria can reduce generalisability of results. However, such steps have to be taken in order to eliminate occurrence of confounding data which could potentially have a negative impact on the results of the clinical trial (Broom and Willis, 2007) Group Details Patients will be randomized using sealed opaque envelopes with treatment allocation. Random sequence of numbers will be established through flipping a virtual coin (Eversden et al. 1996) to either: Hydrotherapy 1 (Aqua Aerobics Group) (Eccentric, Concentric Exercises). Hydrotherapy 2 (The Bad Ragaz-Ring Group). Home-Exercise group that continue with daily activities. Unlike previous research (e.g. Hall 1996; Eversden et al. 1996), this study will consider intensity at moderate level (70%) as it has been shown to demonstrate physiological improvements (Astrand, 1986); assessed via a heart rate monitor throughout sessions. Additionally, depth of pool will be just under chest height whereby 50%+ of bodyweight is offloaded through buoyancy and hydrostatic pressure has been suggested to reduce swelling at this level (Becker, 2009). Importantly, temperature will range from 33.5-35.5 degrees which is safe and sufficient enough to produce therapeutic benefits (Becker, 2009). Finally, treatment dosage will be twice a week consisting of 30 minute sessions for a 20 week period. This will address longer-term effects. Outcome Measures A research assistant blinded to the treatment allocations will evaluate the outcomes measures in order to reduce detection bias. Bilberg and Mannerkorpi (2005) used a C Reactive Protein (CRP) (i.e. higher levels demonstrates active inflammation) in order to test assess disease activity. However, it is said that more than 40% of RA patients have normal CRP levels (Sokka and Pincus, 2009), thus decreasing validity and clinical applicability. Therefore, this study will use Magnetic Resonance Imaging (MRI) as the primary objective measure due its ability to present visual aspects of inflammation within the synovial membrane; shown to be a superior method and very relevant for RA (e.g. Østergaard, 2009) (Figure 1). This will be taken, baseline and post treatment for all groups. Secondary outcome measures will include Visual Analogue Scale (VAS) (Figure 1) assessed on a 10cm scale, whereby 0cm indicates no pain. This is widely used to assess rheumatic diseases and a number of studies have established data showing that VAS results are very reproducible (e.g. Dixon and Bird, 1981).ÂÂ   Other physical measures will include the Ritchie Articular Index in order to assess joint tenderness; intra-reliability of this test has been shown to be acceptable (Levy and Dick, 1975) and is easy to perform. Finally, aerobic capacity will be analyzed through a submaximal test in accordance to Astrands Principle (Astrand and Rodahl, 1986); shown to have satisfactory reliability in RA populations (e.g. Mannerkorpi and Ekdahl, 1997). Both of which taken pre-post. Statistical Considerations and Analysis Analysis will be completed via the Fishers exact test and continuous variables by Wilcoxon signed rank tests for within group comparisons. Importantly, data analyses will be completed according to the intention to treat principles. Ethical Considerations In line with Beauchamp and Childress (2001) it will be essential to have respect for autonomy. Respecting this value, means to protect participants through data protection/confidentiality and ensuring they are adequately informed about what is proposed. In order to keep data anonymised personal details of quantitative data sets will be replaced with numbers. Most importantly, informed consent will be obtained before commencing the study to ensure participants are not subject to an intervention they do not want. To further fulfil these requirements, an information sheet for participants will be written which will also state risks as well as what data will be used for. Conclusion The main advantage of this study is that is assesses disease activity on a physiological level objectively and also observes the impacts subjectively via VAS scale; an unpopular approach in the Hydrotherapy literature (E.g. Hall, 1996, Bilberg et al. Eversden et al, 2007). Findings from this study, will hopefully assist in creating structured and standardised exercise programmes that could be used throughout healthcare systems. Finally, limitations of this study include the high costs that are associated with MRI scans and Hydrotherapy facilities. Nevertheless, this will address the longer term effects of Hydrotherapy for RA. Referenced Material Abhishek, A., Butt, S., Gadsby, K., Zhamg, W. Deighton, C.M. (2010). Anti-TNF-alpha agents are less effective for the treatment of rheumatoid arthritis in current smokers. Journal of Clinical Rheumatology. 16(1): 15-8. Abowitz, D.A. and Toole, T.M. (2010). Mixed Method Research: Fundamental Issue of Design, Validity, and Reliability in Construction Research. Journal of Construction Engineering and Management. 136 (1). Akobeng, A.K. (2005). Understanding Randomised Controlled Trials. Archives of Disease in Childhood. 90. 840-844. Ã…strand, P.O. Rodahl, K. (1986) Textbook of Work Physiology, 4th edition. New York: McGraw- Hill, 1986. Beauchamp T. and ChildressÂÂ   (2001). Principles of medical ethics. Fifth Edition. New York: Oxford University Press Becker, B. (2009). Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications. American Academy of Physical Medicine and Rehabilitation. 1. 859-872. Bilberg, A., Ahlmen., M. Mannerkorpi, K. (2005). Moderatley Intensive Execise in a Temperate Pool for Patients with Rheumatoid Arthritis: A Randomized Controlled Study. Rheumatology. 44: 502-508. Blumle, A., Meerpohl, J.J., Rucker, G., Antes, G., Schumacher, M. and Elm, E.V. (2011). Reporting of Eligibility Criteria of Randomised Trials: Cohort Study Comparing Trial Protocols with Subsequent Articles. British Medical Journal. 342. 18-28. Broom, A., and Willis, E. (2007). Competing paradigms and health research. In Mike Saks and Judith Allsop (Ed.), Researching health: Qualitative, quantitative and mixed methods (pp. 16-31) London: Sage. Bryman, A. (2001) Social Research Method, 1st Edition. Oxford: Oxford University Press. Bryman, A. (2004) Social Research Methods. 2nd ed. Oxford: Oxford University Press Campion, M.R (1997). Hydrotherapy: Princples and Practice. Oxford: Butterworth-Heinemann. 3-24. Cooney, J.K., Law, R.J., Matschke, V., Lemmey, A.B., Moore, J.P., Ahamd, Y., Jones, J.G., Maddison, P. and Thom, J.M. (2011). Benefits of Exercise in Rheumatoid Arthritis. Journal of Aging Research. 1-14. Creswell, J.W., Clark, V.I., Gutmann, M. and Hanson W. (2003). Advanced Mixed Methods Research Designs. In A. Tashakkori, A. and Teddlie, C. (Eds). Handbook of Mixed Methods in Social and Behavioural Research (pp. 209-240). Thousand Oaks, CA: Sage. Dixon, J.S. and Bird, H.A. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Annals of the Rheumatic Diseases. 40. 87-9. Ekblom, B., Lovgren O., Alderin, M., Fridstrom, M. Satterstrom G. (1974). Physical Performance in Patients with Rheumatoid Arthritis. Scandinavian Journal of Rheumatology. 3(3): 121-5. Eversden, L., Maggs, F., Nightingale., P. Jobanputra, P., (2007). A pragmatic randomised controlled trial of hydrotherapy and land exercises on overallÂÂ   well being and quality of life in rheumatoid arthritis. BMC Musculoskeletal Disorders, 8(1), p.1. Hall, J., Skevington, S.M., Maddison, P.J. Chapman, K., 1996. A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Rheumatism, 9(3), pp. 206-215. Kinder, A.J., Hassell, A.B., Brand, J., Brownfield, A., Grove, M. and Shadforth, M.F. (2004). The treatment of inflammatory arthritis with methotrexate in clinical practice: treatment duration and incidence of adverse drug reactions. Rheumatology.44 (1): 61-66. Minor, M.A., Hewett, J.E., Webel, R.R., Dreisginer, T.E. Kay, D.R. (1988). Exercise Tolerance and Disease Related Measures in Patients with Rheumatoid Arthritis and Osteoarthritis. The Journal of Rheumatology. 15(6): 905-11. Saks,M. and Allsop,J. (2013) Researching Health: Qualitative, Quantitative and Mixed Methods. 2nd ed. London: Sage Schulz,K., Altman,D. and Moher,D. (2010) CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. British Medical Journal, 340:698-702 Smolen, J. and Keystone, E.C. (2012). Rheumatoid Arthritis: Where are we now? Pathogenesis, treatment response and tailored therapy. Rheumatology. 51(5). 18-20. Steinbrocker 0, Traeger C.H. and Batterman RC. (1949). Therapeutic criteria in rheumatoid arthritis. Journal of The American Medical Association. 140: 659-662. Stenstrom, C.H. and Minor, M.A. (2003). Evidence for the benefit of aerobic and strengthening exercise in Rheumatoid Arthritis. Arthritis Care Research. 49(3). 428-434. Sokka, T. and Pincus, T. (2009). Erythrocyte Sedimentation Rate, C-Reactive Protein, or Rheumatoid Factor Are Not Normal at Presentration in 35%-45% of patients with Rheumatoid Arthritis Seen Between 1980 and 2004: Analyses from Finland and the United States. The Journal of Rheumatology. 36(7). 1387-1390. Suresh,K. (2011) An overview of randomisation techniques: An unbiased assessment of outcome in clinical research. Journal of Human Reproductive Sciences, 4(1):8-11 Ostergaard, M. (2009). Magnetic Resonance Imaging in Rheumatoid Arthritis. Quantitative methods for assessment of the inflammatory process in peripheral joints: Summary of Thesis. Scandinavian Journal of Rheumatology. 28. 265.ÂÂ   Wasserman, A.M. (2011). Diagnosis and Management of Rheumatoid Arthritis. American Family Physician. 84(11). 1245-1252.

Pearl Harbor :: essays research papers

I am going to focuse on the relations between the United States and the Japanese after W.W.I and Pearl Harbor. There were a few incidents out of this book that I felt were very interesting that helped contribute to the United States and Japanese mistrusts and miscalculations over the next twent or thirty years until the relations ended up in war after the surprising terriblr=e terrorist bombing of Pearl Harbor. Thus, causing the start of World War II. The first incident that I wanted to discuss out of this book took place in 1922. In 1922 the big powers (which were all European except the United States and Japan from a treaty at a Washington Conference.) In this conference the powers agreed to form a multilateralist state of existence with each other and the world. In this conference the powers agreed to form a sort of peaceful coexistence and disarmament between themselves and the world. What was misunderstood by the major powers was that they believed that peace and disarmament was wanted by all the members of the conference which was not the case what so ever. The powers believed that they would form a national community that shared the same interest by all the majorly diverse nations. When itbecame known that the highly diverse countries did not have the same interst there was not a national law committee (like today; NATO) to uphold the laws that were made by the Washington Committee so the idea of this multilateralist state was dropped and animosity continued for years at a time until things became out of hand and hate ran rapid. The second incident that I want to discuss is the Manchurian Incident of September 1931. The United States was deep in an economic crisis and committed to staying isolated from the other countries in Europe because the US feared another war could happen. Even if the United States would have not been isolated they lacked the power to influence other countries around the world. This conflict happened because the Japanese faced a lot of problems on the world scene and domestic problems caused the Japanese to go from a multilateralist state of being (like they agreed to do after W.W.I) to seeking an autonomous state of being in their foreign policy. In this autonomous state the Japanese wanted to form a stron military and political influence over Asia for themselves rather than the West.

Classical Theory Essay

The Difference Between a Classical Management Theory & a Human Relations Theory by Stacy Zeiger, Demand Media Human relations theory seeks to develop satisfied employees. Classical management theory and human relations theory represent two views of management on the opposite ends of the spectrum. One view focuses on looking at workers solely as a means to get work done, while the other focuses on developing an organization and the behaviors and motivations of employees. Most managers find that a combination of the two theories serves them best in their businesses. Ads by Google Ssangyong Korando Special New Offer On SsangYong Korando From Only R2499p/m. Enquire Online Now! www.ssangyongdeals.co.za What is Classical Management Theory? Classical management theory involves creating multiple levels of workers to improve productivity. Employees at the lowest levels find their tasks overseen by supervisors who, in turn, are overseen by managers. At every level, employees are expected to perform tasks according to specific procedures designed to maximize productivity. In addition, this theory focuses on an impersonal side of business. Employees and managers should not allow friendliness and personal interactions to become involved with the organization. Rules must be followed exactly, and the hiring and firing of employees must relate only to the skills they possess. Pros and Cons of Classical Management Theory Classical management theory is not used in many organizations because of its shortcomings. While some components of the theory, such as designing procedures for completing a task and keeping personal issues out of business, help an organization focus on the job at hand, the theory fails to recognize the differences among employees. When employee feelings and opinions are not taken into account, the business may not grow or may experience high levels of employee turnover as employees fail to develop a relationship with the business and leave in search of a more satisfying job. What is Human Relations Theory? Human relations theory, also known as behavioral management theory, focuses more on the individuals in a workplace than the rules, procedures and processes. Instead of directives coming directly from management, a human relations theory provides communication between employees and managers, allowing them to interact with one another to help make decisions. Instead of giving workers quotas and requiring certain procedures, workers are exposed to motivational and emotional tactics to get them to increase productivity. The focus of this style is creating fulfilled, productive workers and helping workers invest in a company. Pros and Cons of Human Relations Theory While many companies operate based on the human relations theory, this type of management has dangers. Companies risk workers becoming too social or easily swayed by personal emotions and opinions when making decisions, rather than relying on hard data. It may be more difficult to reprimand employees for poor performance or dismiss them once they have become invested in the company. Despite these risks, human relations theory has the potential to increase employee retention rates and productivity. As employees feel more valued by a company, they invest in that company and its greater good.

Women and traditional roles in girl interupted essays

Women and traditional roles in girl interupted essays Films tell us stories and present us with values and messages about our society and what needs to be changed. In the film Girl, Interrupted, Susannas struggle with self-discovery and her fight to find a place in society illustrates the view that the women who do not fit into traditional roles should be ostracised from mainstream society given that they pose the threat of change. It is clear that women like Susanna, who have little ambition in becoming a carbon copy of their mother, are seen as a threat and therefore classified as crazy. Susanna is clearly misunderstood by her peers as well as the authority figures in her life. She is not a degenerate but a young girl frustrated with her limited options for the future. When Susanna is held after class by her teacher to discuss why she is the only senior not going on to college, she tries to reach out for support from her teacher by explaining that she's not a druggie but she is concerned about ending up like her mother. The teacher does not hear this and claims that there are more options for women today. Susanna is trying to open up and seek some guidance, but the only solution she gets is that she gets is to start acting like everyone else. This scene reveals how secluded and trapped Susanna feels, nobody seems to understand her even her parents don't know what to do with her. The people she is reaching ou t to, brush off her ambitions of being an artist, as something to do in her spare time, and place social pressure on her to do what is expected. Even her peers expect more from her; at the after-grade party the boy that is trying to pick her up is talking about his scholarship and future, but this does not impress Susanna. He sees this as strange and is willing to believe her when she jokes about joining the Krishna's because she seems to have no plan for the futu ...