Pain Under the Left Breast Is It a Heart Attack

Pain Under the Left Breast Is It a Heart Attack SAT / ACT Prep Online Guides and Tips Pain under your left breast or rib cage can be really scary, especially if you’re worried you might be having a heart attack or other medical emergency. However, most cases of chest pain under the left breast and rib cage area are caused by benign or easily treatable conditions. In this decision guide, we’ll first help you determine if your chest pain could be an emergency. Then, we’ll review different kinds of chest pain under the left breast, the potential causes, and how you should address the issue. Chest Pain Under Left Breast: Is It an Emergency? You may think: chest pain under my left breast? Time to call the ER! However, if you have pain under your left rib cage, it's unlikely, though possible, that you are experiencing a cardiac emergency. The main worry people have when experiencing pain under the left rib cage is that they are having a heart attack. While a heart attack won’t always have the same symptoms, here are some indications your pain under the left rib cage could be heart-attack related: The pain from a heart attack (or myocardial infarction) is typically not sharp or localized. Instead, it can feel like crushing, burning, squeezing, or tightness deep within the chest. It is also typically spread over a wide area of the chest (and potentially the arms, neck, and upper back). In general, you cannot relieve the pain by changing positions, breathing, stretching, etc. The pain typically increases gradually over several minutes. Here are some other potential symptoms of a heart attack: Sudden-onset vomiting or nausea Sweating or flushing Light-headedness, fatigue, or confusion Shortness of breath Tingling, numbness, weakness in arms Fever If you suspect a heart attack, call 911 or go to the emergency room. Be aware that while your primary concern may be a heart attack, there are some other medical emergencies that can also cause chest pain under the left breast. We’ll briefly go over these here. Pulmonary embolism: A pulmonary embolism occurs when a blood clot gets lodged in one of the arteries of the lungs, typically traveling from somewhere in the legs. Major clots can be life-threatening. These are the symptoms: Shortness of breath (main symptom) Sharp chest pain under the left breast (or right breast if the clot is on the right side) that extends into the arm, shoulder, neck, and/or jaw and gets worse with breathing, coughing, or exertion Fever, sweating Light-headedness, fainting, dizziness Heart palpitations Coughing up blood or bloody sputum Pain or swelling in the leg (typically the calf) Pneumothorax: A pneumothorax, or a collapsed lung, can be caused by lung disease or chest injury, but it can also occur apparently spontaneously. While a small pneumothorax may go away on its own, a severe pneumothorax can inhibit the flow of blood through the chest and be life-threatening. The main symptoms are: Sudden, sharp chest pain on one side of the body Shortness of breath If you think any of the above emergency situations might apply to you, seek medical attention immediately. Next, here are some indications that you are probably not having a heart attack: You’re feeling a stabbing, sharp pain under the left breast You can pinpoint the location where the pain is coming from Pain increases from breathing or coughing Pain comes and goes in sudden, shocking stabs Chest pain improves with exercise Pain follows eating spicy or heavy foods; you may also have a sour taste in your mouth Changing positions relieves the pain Note that some of these symptoms may be caused by chronic cardiac conditions. So if you are experiencing pain under the left rib cage, you should make an appointment to see your primary care physician to get checked out even though you most likely don’t need to go to the emergency room. Moody doctor will see you now. Types of Pain Under Left Rib Cage Even if you feel confident it’s not an emergency, you probably want to know what could be causing chest pain under your left breast. The first thing you’ll want to consider is what type of discomfort you’re feeling. Are you feeling sharp pain under the left rib cage? Dull pain under the left breast? A stabbing or burning sensation? The type of pain you are feeling on the left side of your chest can help you narrow down the potential causes, because chest pain under the left breast can be caused by a wide array of underlying complaints. Also think about the onset of your symptoms. Was the pain preceded by physical activity? Stress? A Big meal? These kinds of questions will help you figure out what your pain might be caused by. Here’s a table describing different types of chest pain under the left rib cage and some potential conditions on the right. Click on a condition to be taken to a more in-depth description of that condition. Type of Chest Pain Potential Conditions Sharp/stabbing; worse with breathing Bruised rib Costochondritis Pleurisy Pneumonia Pneumothorax Pulled chest muscle Pulmonary embolism Sharp/stabbing; not worse with breathing Angina (especially in women) Mitral valve prolapse Myocarditis Panic attack Pericarditis Pain accompanied by uncomfortable sensation of pressure, tightness, or squeezing Angina Aortic valve stenosis Asthma Coronary artery disease Heart attack Hypertrophic cardiomyopathy Severe anemia Myocarditis Pericarditis Pulmonary hypertension Pain localized to a specific area; tender to pressure Bruised rib Costochondritis Pulled chest muscle Shingles Burning chest pain Acid reflux/GERD Angina Aortic valve stenosis Coronary artery disease Heart attack Peptic ulcer Cardiac Causes of Chest Pain In this section, we’ll focus on causes of chest pain under the left breast associated with the heart. While discomfort due to heart disease often manifests as a dull pain under the left breast that feels like uncomfortable pressure, it can also be a burning or even stabbing pain depending on the condition. Conditions are listed alphabetically. Angina Angina refers to the discomfort caused when your heart muscle isn’t getting enough oxygen. It is typically caused by a narrowed or blocked coronary artery due to plaque buildup and is a warning sign of heart disease. Kind of Chest Pain: Uncomfortable feeling of squeezing or pressure; may radiate throughout the upper body to the shoulders, arms, neck/jaw, and back. Can sometimes also feel like indigestion/heartburn. Pain typically comes and goes and is often made worse by exertion. Women may also experience angina as a sharp chest pain under the left breast or breastbone. Other Symptoms: Shortness of breath Sweating Dizziness Angina symptoms may be different in women than in men. In addition to chest pain and also symptoms, a woman may also feel: Nausea and vomiting Abdominal pain Actions: The pain of angina may feel very similar to that of a heart attack, and often sends people to the emergency room (better safe than sorry!). However, it’s actually a warning sign of heart disease. Your doctor will probably recommend medication to help widen the arteries, as well as lifestyle changes. You may also need a procedure like stenting or, in serious cases, coronary artery bypass surgery. Aortic Valve Stenosis Aortic valve stenosis refers to the narrowing of the aortic valve (the valve that allows oxygen-rich blood to flow from the heart into the aorta). The narrowing of the valve causes the heart to have to work harder, potentially leading to eventual heart failure. Aortic valve stenosis can be congenital or it can caused by infection or calcium deposits that form as you age. Kind of Chest Pain: Pressure or tightness. May also feel like burning. Can radiate to the arms, shoulders, and neck. Other Symptoms: Minor stenosis typically has no symptoms. If stenosis becomes more severe, chest pain on the left side under the breast and the following additional symptoms may appear: Dizziness/fainting Irregular heartbeat Fatigue and shortness of breath Actions: Minor aortic valve stenosis will be monitored by a physician, who may recommend lifestyle changes to help protect your heart. Severe stenosis may require valve replacement, an open-heart surgery. Coronary Artery Disease (CAD) Coronary artery disease occurs when plaque builds up in the walls of the arteries that bring blood to the heart. This causes the arteries to narrow, which limits blood flow to the heart and deprives the heart of oxygen. This can lead to heart attacks and heart failure. It is the most common type of heart disease and the most common cause of death for both men and women in the United States. It is typically related to lifestyle factors like smoking, lack of physical activity, and unhealthy diet. Kind of Chest Pain: Pressure or squeezing chest pain; may also feel like burning. May radiate to the left shoulder, the arms, back, jaw, and neck. Physical exertion or stress often triggers the pain. Other Symptoms: Shortness of breath Irregular heartbeat Nausea Fatigue Dizziness Weakness Actions: CAD has serious consequences if left untreated. However, risk of complications can be lowered dramatically through lifestyle changes and medication. Surgery may also be needed to clear plaque from the arteries and restore blood flow to the heart. Mmmm, the sweet taste of lifestyle changes. Heart Attack (Myocardial Infarction) A heart attack occurs when one of the arteries in the heart becomes completely blocked, depriving part of the heart of oxygen. Kind of Chest Pain: As mentioned above, the pain from a heart attack usually feels like a crushing, burning, squeezing, or tightness in the chest. It may radiate throughout the upper body, shoulders, arms, and neck. The pain is not really relieved or changed by shifting positions, breathing, or stretching. The pain typically increases gradually over a period of several minutes. Other Symptoms: Sudden-onset vomiting or nausea Sweating or flushing Light-headedness, fatigue, or confusion Shortness of breath Tingling, numbness, weakness in arms Fever Actions: If you are experiencing a combination of the above symptoms and suspect a heart attack, call 911 or go to the emergency room. Pharmaceutical treatment can decrease the damage done by a heart attack, but drugs typically need to be administered within 1-2 hours of the attack. You may also need bypass surgery. You will likely also need to make lifestyle changes and take medications to decrease risk of future heart attacks. Hypertrophic Cardiomyopathy Hypertrophic cardiomyopathy refers to the thickening of the heart muscle, typically between the ventricles. The thickening of the muscle makes it stiffer, which makes the heart work harder to pump blood. While many people with this condition remain asymptomatic, it can lead to abnormal functioning of the valves of the heart or decrease the size of one of the ventricles, which can cause symptoms including chest pain. Kind of Chest Pain: Chest pain or pressure that appears during/after exercise or exertion, but may also occur at other times, like after meals Other Symptoms: Shortness of breath (especially during exercise/exertion) Light-headedness and fainting (especially after exercise/exertion) Heart palpitations/irregular heartbeat Fatigue Actions: See a healthcare provider, as untreated hypertrophic cardiomyopathy can have serious complications. Hypertrophic cardiomyopathy can normally be managed with medication, but surgery may be recommended. Be aware that this condition is sometimes misdiagnosed as exercise-induced asthma. Mitral Valve Prolapse Mitral valve prolapse means that the mitral valve (one of the valves in the heart) bulges backward into the left atrium of the heart instead of closing evenly over it. Sometimes this causes blood to â€Å"leak† back from the left ventricle to the left atrium. People with mitral valve prolapse often have no symptoms, and will never experience health problems related to the condition. Some may have a murmur or other symptoms, including chest pain. It can be a progressive condition, getting worse over time. Kind of Chest Pain: Stabbing pains that come and go, sometimes with exertion but typically when at rest Other Symptoms: A heart murmur or irregular heartbeat dizziness/lightheadedness/fatigue Shortness of breath Panic/anxiety Numbness/tingling in hands/feet Actions: Serious mitral valve prolapse can have similar symptoms both to panic attacks and heart attacks, so patients may end up in the emergency room. If symptoms are more mild (heart murmur, etc) see a cardiologist. You may need medication or surgery in more serious cases to manage the condition. Dr. Frog will see you now. Myocarditis Myocarditis is the inflammation of the heart muscle, most often caused by viral infection. Symptoms normally develop 1-2 weeks after an infection. It can also be caused by fungal or parasitic infection or by autoimmune disorders. Kind of Chest Pain: Sharp/stabbing pain or feeling of pressure. May spread to shoulders/neck. Other Symptoms: Shortness of breath: first from exertion, then at night while at rest Heartbeat irregularities Light-headedness and fatigue Painful or swollen joints Other signs of infection, like fever, headache, diarrhea, and sore throat Actions: See a medical professional. They will conduct tests, and if you do have myocarditis, they will treat the underlying infection or cause and potentially prescribe medications to help your heart operate while you recover. You will likely need to rest and eat a low-salt diet. Most patients will make a full recovery in several months; a minority of patients will have chronic heart problems and may need a heart transplant. Pericarditis Pericarditis is the inflammation of the two thin, lubricated sacs of tissue that encase the heart. The cause is often unknown but it can be a complication of respiratory infection or of taking certain medications. Kind of Chest Pain: Typically a sharp, stabbing chest pain on the left side under the breastbone or on the left side of the chest, but can also manifest as a duller pain and pressure. Leaning forward in a seated position often eases the pain. Coughing typically makes it worse. Pain may spread to left shoulder or neck. Other symptoms: Fever Fatigue and weakness Shortness of breath Coughing Heart palpitations (irregular heartbeat) Actions: Like several of the other conditions described here, the pain of pericarditis may send individuals to the emergency room due to the fact that its symptoms can sometimes resemble those of a heart attack. However, pericarditis usually resolves on its own within a few weeks unless there are complications to be addressed. Pulmonary Hypertension Pulmonary hypertension refers to high blood pressure in the arteries that move blood from the heart to the lungs. It can have a number of causes, including genetic abnormalities, lung disease, heart disease, autoimmune conditions, drug use, and even sleep apnea. This condition causes the heart to pump harder to move blood to the lung, which can ultimately cause heart failure if untreated. Kind of Chest Pain: Pain/pressure towards the front of the chest Other Symptoms: Shortness of breath with light exertion/activity Fatigue Fainting/lightheadedness Ankle/leg swelling Dry cough Coldness in the extremities due to poor circulation (or secondary Raynaud's) Actions: Pulmonary hypertension is progressive (it gets worse over time) so seeking treatment early is important. Treatment will vary based on the cause of your pulmonary hypertension, but your doctor will likely recommend lifestyle changes and medication. In severe cases, your doctor may recommend surgery Delicious, delicious lifestyle changes. Lung and Respiratory Causes of Chest Pain In this section we’ll describe some of the main causes of chest pain on the left side due to lung or respiratory issues. Respiratory causes of chest pain often manifest as a sharp pain under the left breast. Conditions are listed alphabetically. Asthma Asthma is a chronic condition in which irritation (which can be caused by a number of triggers, depending on the type of asthma) causes the airways to narrow and fill with mucus, making breathing much more difficult. Kind of Chest Pain: You may experience chest pain before, during, or after an asthma attack. Before and during the attack, you may experience a feeling of chest tightness or pressure. Following an attack (especially the next day) you may feel soreness in your chest as a result of using accessory muscles to breathe. Other Symptoms: Coughing (especially at night) Unusual shortness of breath Wheezing Fatigue and trouble sleeping Actions: Because asthma is a chronic condition, it is important to be under the care of a physician. They will help you create a treatment plan to manage symptoms. Pleurisy Pleurisy (or pleuritis) is a condition in which the tissue encasing the lungs and lining the inner chest wall (the pleura) becomes inflamed. Pleuritis can be caused by a variety of underlying conditions but the source is often a bacterial or viral infection, like the flu. Kind of Chest Pain: Sharp pain made worse by inhaling; you may also feel pain in your shoulders or your back. Your chest may also feel tender to external pressure. Other Symptoms: Shortness of breath (primarily because taking deeper breaths is more painful). Cough Fever and chills Unexplained weight loss Actions: If you repeatedly feel sharp pain under the left breast that gets worse with breathing, see a medical professional. A variety of tests may be performed to diagnose pleurisy. Your doctor may remove some of the pleural fluid with a needle for testing. The symptoms of pleurisy may be relieved through splinting, but to treat the condition the underlying source of infection or other condition will need to be addressed. Pneumonia Pneumonia is a lung infection caused by viruses or bacteria (and sometimes fungi or other infectious agents) in which the air sacs of the lungs fill up with fluid. It can occur in one or both lungs. Because it is typically accompanied by a host of other telltale symptoms, it will probably be pretty clear to you that your chest pain is from some kind of respiratory infection. Pneumonia is often a complication of the viral flu or the common cold. Kind of Chest Pain: Sharp or stabbing, often on the side of the chest. Typically gets worse with coughing or deep breathing. Other Symptoms: Phlegmy cough; your mucus may be red-brown, green, or have blood flecks Fever and chills Shortness of breath from chest congestion. Weakness and fatigue Gastrointestinal symptoms like nausea, vomiting, and diarrhea Headache Confusion (common in older patients) Actions: If you think you have pneumonia, go to a doctor to manage treatment. Because pneumonia can have serious consequences if left unchecked, it’s best to be under the supervisory care of a physician. They can also prescribe antibiotics if they suspect the pneumonia is caused by a bacterial infection. With treatment, you’ll likely get better in 1-3 weeks. Bacteria bad guys can cause pneumonia. Pneumothorax (Collapsed Lung) Pneumothorax occurs when air gets into the space between the lung and chest wall, causing part or all of the lung to collapse. It can be caused by chest injury, certain medical procedures, or lung disease. But sometimes the cause is unknown. Men are much more likely to have a collapsed lung than women. Kind of Chest Pain: Sudden and sharp, on one side of the chest Other Symptoms: Shortness of breath A severe pneumothorax may cause the following symptoms: Chest tightness Dizziness and fainting Fatigue Rapid heart rate Blueish color to the skin (from lack of oxygen) Actions: While a small pneumothorax may go away on its own, a severe pneumothorax can inhibit the flow of blood through the chest and be life-threatening. If you suspect a collapsed lung, seek medical attention. Treatment typically involves inserting a tube to drain the air. Pulmonary Embolism A pulmonary embolism occurs when a blood clot forms in another part of the body (usually the legs), travels through the bloodstream, and gets lodged in one of the arteries of the lungs. Kind of Chest Pain: Sharp chest pain that extends into the arm, shoulder, neck, and/or jaw and gets worse with breathing, coughing, or exertion Other Symptoms: Shortness of breath (main symptom) Sharp Fever, sweating Light-headedness, fainting, dizziness Heart palpitations Coughing up blood or bloody sputum Pain or swelling in the leg (typically the calf) Actions: Major clots can be life-threatening; seek medical attention. Long flights can increase your risk of blood clots. Musculoskeletal Causes of Chest Pain This section reviews pain in the left rib cage due to damage to bones, cartilage muscles, and ligaments. If your pain is musculoskeletal in origin, you’ll likely have a specific area of pain in the left rib cage or pain under the left breastbone that’s tender to pressure. A Broken, Fractured, or Bruised Rib Trauma to the chest can cause rib injury, which naturally causes chest pain. Excessive coughing can also cause rib injuries in some cases. Most rib breaks are cracks or fractures; complete breaks are rare and very serious. Kind of Chest Pain: Site-specific pain on one or more ribs (you will be able to pinpoint the general area); will most likely feel worse with pressure, with deep breathing, and when bending and/or twisting. Other Symptoms: An injured rib may impede your breathing, which can lead to headache, dizziness, shortness of breath, and fatigue. Trauma strong enough to cause rib injuries can also sometimes damage internal organs and blood vessels, which could cause their own symptoms. Actions: If you suspect a damaged rib or ribs, see your doctor. Broken ribs are primarily treated through rest and pain management so that you can continue to breathe relatively normally to lower your risk of developing pneumonia. Costochondritis Costochondritis refers the inflammation of the cartilage that connects your ribs to your sternum (or breastbone). The cause is often unknown, but it can be caused by strenuous exercise or lifting, intense coughing, chest injury, or viral infection. Kind of Chest Pain: Typically a sharp pain in the breastbone area that gets worse when you apply pressure to the area. Pain will be increased by deep breathing or coughing and eased by rest and quiet breathing. Other Symptoms: There typically are not other symptoms of costochondritis other than the pain. Actions: This is one of the more benign causes of chest pain. Costochondritis typically goes away on its own within a few weeks. Treatment focuses on pain management. However, if you develop other symptoms like trouble breathing, a high fever, etc, you should follow up with a health care provider. Similarly, if pain does not resolve, your provider may perform a chest x-ray. Pulled or Strained Chest Muscle A strain or tear in the muscles and ligaments around the chest could be caused by a traumatic event or just from simple overuse, particularly related to sports or exercise. Kind of Chest Pain: The chest pain will likely accompany weakness and get worse with certain motions, especially of the arms. You may also feel that the area is tender to pressure. Other symptoms: Swelling Muscle spasms Actions: If pain is minor, you can treat a pulled muscle at home with ice, rest, and over-the-counter painkillers. If pain is severe or does not improve, see a doctor; you may need physical therapy or other treatment. Be careful, Santa Claus! Don't tear a muscle. Digestive System Causes of Chest Pain Issues in the digestive system can cause chest pain. Because both heart attack pain and digestive system pain can manifest as intense, burning pain under the left breast, digestive issues are often mistaken for a heart attack. However, if the pain seems impacted by your food consumption, the issue is probably digestive in nature. Acid Reflux/GERD (Gastroesophageal Reflux Disease) Acid reflux occurs when stomach acids move up into the esophagus, causing pain. If this is a chronic problem, you likely have GERD- a defect in the esophagus. Kind of Chest Pain: Burning chest pain after eating that gets worse when you lie down and improves in an upright position. Often worse at night. Some people mistake the pain of severe heartburn for a heart attack. But if the pain follows eating a heavy or spicy meal or is improved by sitting upright, it’s most likely not a heart attack. You may also feel pain below the left rib cage area. Other Symptoms: Hoarseness (from vocal cord irritation) Bitter or sour taste in mouth or throat Nausea Difficulty swallowing Dry cough Actions: You can relieve occasional acid reflux by popping a couple of antacids. But a chronic issue can damage the esophagus if it's not addressed. Your doctor might prescribe a medication to reduce the amount of acid in your stomach. You will also likely need to make some lifestyle changes (especially dietary ones) to manage your symptoms. Peptic Ulcers Peptic ulcers are sores in the stomach or the first part of the small intestine. They develop when the mucosal lining of the stomach thins and gets irritated by stomach acids. A variety of underlying issues can cause ulcers, including H. Pylori infection. Kind of Chest Pain: Burning pain that gets worse on an empty stomach and at night. You may feel pain below the left rib cage. Other Symptoms: Difficulty digesting fatty foods Nausea/vomiting; vomit may look like coffee grounds Bloating Weight loss Appetite changes Dark/black stool (from bleeding) Actions: It’s important to seek medical treatment because untreated ulcers can cause serious complications like tearing in the stomach, intestine, or blood vessels, and scarring that obstructs the digestive process. This little organ can cause major chest pains. Pain Under the Left Breast: Other Causes This section has a few other potential causes of chest pain under the left rib cage. Severe Anemia Anemia means your body is not producing enough healthy blood cells. There are a number of causes of anemia, including nutrient deficiencies, genetic abnormalities (like sickle cell anemia), and rapid blood loss. This means your heart has to work harder to pump oxygen through your body. When anemia becomes severe, your heart may not get enough oxygen-rich blood, leading to chest pain. Kind of Chest Pain: Feeling of pressure or tightness in the center of chest. Other Symptoms: Intense fatigue Shortness of breath Heartbeat irregularities Persistent feelings of coldness Paleness Headaches and dizziness Trouble concentrating; irritation Actions: While mild to moderate anemia is often not very serious and is typically easily treatable with supplements and/or lifestyle changes, long-term, severe anemia can have major consequences, like heart disease. If you suspect you are anemic, see a doctor. Panic Attack Panic attacks are intense, sudden-onset anxiety episodes lasting about 20 minutes to an hour, with unpleasant physical and emotional symptoms. They can be brought on by intense stress or the cause may be unknown. Repeated panic attacks are called panic disorder. Kind of Chest Pain: Sharp/stabbing, lasting for short bursts. Pain is often directly behind the breastbone. Other Symptoms: Feeling terrified, anxious, and out-of-control Feeling of dissociation or unreality Fast heartbeat and shortness of breath Feeling of choking Shaking/trembling Sweats and/or chills Numbness, tingling Abdominal pain or nausea Dizziness, lightheadedness Weakness Actions: Many people confuse initially confuse panic attacks for heart attacks, particularly because panic attacks are so scary. However, the chest pain associated with a panic attack is typically different from a heart attack as it is sharp and intense, lasting in short bursts. If you do have a panic attack, see a doctor. They will help you figure out coping strategies should the panic recur. If you have panic disorder, you will likely to treated with some combination of therapy and medication. Shingles Shingles, or herpes zoster, is a viral infection that causes a localized, painful rash, often on the side of the chest but sometimes elsewhere. It’s caused by the same virus that causes chickenpox. Anyone who has had chickenpox (or varicella) can get singles. Shingles is fairly common; about 1 in every 3 people in the US will get it at some point in their lifetime. Kind of Chest Pain: Before the shingles rash surfaces, many people feel intense pain at the infection site. Because the rash often appears on the side of the chest, many people experience a band of tight, intense chest pain on one side as the initial symptom. Other Symptoms: The main symptom of shingles is the rash itself, which, when it emerges is typically very painful. It typically blisters. Before or during the emergence of the rash, you may also experience chills, nausea, diarrhea, or stomach pain Swollen lymph nodes Headache and/or light sensitivity Fatigue Actions: If you suspect shingles, get to the doctor as soon as possible after the rash appears. Shingles is rarely life-threatening, but if you catch it early enough you’ll be able to take antiviral medication, which will shorten the course of the infection and reduce the chance of ongoing complications. Wrong kind of shingles. Pain Under Left Breast: Action Points If you’re feeling pain under your left breast, you may be worried that you’re experiencing a heart attack. The pain from a heart attack typically feels like a crushing or tight sensation. You probably won't be able to relieve the discomfort by changing positions, stretching, or breathing. If you suspect a heart attack, call 911 or go to the emergency room. However, most chest pains are not heart-attack related. If you feel a sharp pain under your left breast, it’s probably not a heart attack. With that said, you should still probably make an appointment with your doctor just to get checked out. Any kind of chest pain under the left rib cage can be a cause of an underlying chronic issue in need of treatment even if it’s not an immediate medical emergency like a heart attack. Early treatment of such chronic conditions dramatically decreases the risks of complications further down the line. In this guide, we went over most of the common causes of chest pain under the left breast to help you identify what the issue could be and what actions to take. Even if the cause of your chest pain is not serious, it’s important to consult with a medical professional. What's Next? Do you have shingles? Is shingles contagious? Here's how to treat that painful shingles rash. Need help understanding your blood pressure reading? Let us explain!

Ideas for Fun Dates for College Students

Ideas for Fun Dates for College Students Being in college doesnt mean youre limited with ideas for fun dates. Even though finding the money, getting off campus, and being alone can seem complicated, these fun date ideas are easy to plan and enjoy. Mix up the dinner-and-a-movie tradition. Sure, dinner and a movie can be fun but it can also be expensive. Consider mixing it up by doing breakfast, brunch, or lunch and a movie. Youll save money on lunch vs. dinner and a matinee vs. a late night show. Additionally, you can still enjoy the rest of the day ... with each other, too, if things go well. Head to a museum with an interesting exhibit. Youre both in college, meaning you both like to learn new things. Head to a museum with a new and interesting exhibit. Youll have time to talk and hang out while also doing something fun and relaxing. Think small and head to a concert. Tickets for your girlfriends/boyfriends favorite band are perhaps out of your budget. Instead, find a local band playing somewhere nearby. Youll have a more intimate experience, get to hear some great music, and still have a fun night out. Go for a classic at a not-so-classic place. Heading out for a nice dinner is a timeless date idea, but paying for a super nice meal often isnt in a college students budget. Instead, mix it up by heading to a hole-in-the-wall place or even to a place that serves cuisine that is new for both of you. Youll have fun while exploring something new together. Do something your date is really into. Is your date really into dancing, for example? Consider heading to a dance troupe performance or even doing a one-time lesson of a kind of dance he or she has never done. Do something youre really into. Conversely, you might be really into something youre date has never experienced. If, for example, youre really into astronomy, consider taking your date out to a planetarium or even somewhere where you can show him or her your knowledge of the constellations once the stars come out. Do something new to both of you. Never taken a cooking class? A kayaking class? Sign up for a local (and usually cheap!) class that offers a one-time session for an hour or two. Youll have fun, learn something new, and definitely have something to laugh about later. Head to a farmers market. Farmers markets are nearly everywhere these days. Even if you dont have anything specific to buy (or a kitchen to store a ton of veggies in), the trip to the market, the time you spend walking around, and the conversation you can have about all the different foods, arts and crafts, etc., are all perfect ingredients for a fun date. Go see a musical, play, performance, etc., off campus. Even if youre at a huge public university, chances are youll see someone one or both of you knows. Head off campus for some kind of show to make sure your date, well, really feels like a date. Do something physical if you both like being active. If both of you enjoy being active, dont be afraid to incorporate that into a date. You can go for a hike, volunteer somewhere, or otherwise do something fun and engaging outdoors.

Emerging technologies in education Research Paper

Emerging technologies in education - Research Paper Example Creating new strategies to enhance learning is beginning to develop with technologies that are being made available. There are several theories and strategies that are combining to create different learning channels for students.Defining the technology that is used as well as how this relates to learning outcomes is one which is gaining a different understanding for building into a society that can produce learning while enhancing the community. The development that is now based on teaching traditionally and with the concept of using emerging technologies is creating new methods and theories that can be used to enhance the learning experience. Changes in Learning The ability to teach and learn is one that was originally depicted by what is now known as traditional learning. With this concept, there was a general environment which was inclusive of a lecturer combined with a textbook and writing used to show the knowledge. Memorization of materials, tests and quizzes are also a part of traditional learning theories. This has altered with technology as well as with a different understanding of what is occurring for those that are working into a field of learning. The concepts have created what is known as blended learning, which combines the use of technology with traditional concepts to assist with the way in which individuals are able to build into the learning environment. This particular pedagogy is one which is based on emerging e-learning applications with the traditional methods of working with teachers and gathering information. The blended learning framework is furthered by the type of technology used and the ways in which teachers can enhance these components (Bonk et al, 2006). The blended learning and the movement outside of the traditional aspects of learning are one of the forms that are emerging with technology. The concept which is used to move out of the traditional styles of learning is combined with the way in which technology is transforming th e expectations of younger generations. New information models are required because of the amount of information available as well as the possibilities of learning more in-depth options for different subjects. The ability of moving into continuous information creation as well as the information sharing that is forming is providing more alternatives to learning content. In image 1, there is an understanding of how information is now changing with approach for different learning alternatives. Image 1: Information Fragmentation and Coherence (Siemens, Tittenberger, 2009). The first column as representative of traditional learning and the second as the information today is defined by the way in which information is given today. More information sources and scattered information is creating a need for technology to be immersed with different ways of teaching and the ability to interpret and make sense of the information that is available. The use of technology is then changing what is ass ociated with the main approaches to learning as well as the needs in teaching because of the amount of information available (Siemens, Tittenberger, 2009). The Internet and Learning The changes in learning with technology are influenced by software programs for schools. However, there is also a massive set of changes that are occurring with learning because of the Internet and the applications which are available online. The main way in which this has changed is Web 2.0, the second generation of the Internet. This offers interactions for those online and also allows the information to be altered by community input, comments and responses from various portals. Those that are working with learning are able to use the Internet and leverage Web 2.0 to change the way in which learning is available. The nature of learning is altering with this available, specifically because it draws in different learning styles, specifically through hands – on and interactive activities as well as speaking

What function does religion play in human society Why is religion Essay

What function does religion play in human society Why is religion Universal Is there an evolutionary explanation or a social phenomenon - Essay Example It also explores the reasons why human society appears to be so fond of religious expressions, looking at both evolutionary and social explanations for its popularity. There are many religions in the world, and they can appear very different to observers, but they share three main features in common: there is faith in something supernatural; there is a system of beliefs that adherents sign up to, and there is a set of ritual behaviors which believers follow as a way of expressing their religion (Palomar College, 2011). These things work together to help people formulate a world view, in which there is meaning and purpose. Human beings have a high intelligence compared to other animals, and religion appears to be both a result of the ability to reason with an advanced brain, and of the need to have explanations for things so that future actions can be properly planned. It could be, then, that religion serves an evolutionary purpose, in helping people to understand the environment and adapt to its changes. Its universality is due to the way that the human mind works, seeking out answers to things. This curiosity and search for understanding lies behind human progress through different stages of technology and is a fundamental feature of the homo sapiens species. This evolutionary explanation shows that the first function that religion plays in human society is therefore â€Å"to provide a sense of order in what might otherwise be seen as a chaotic existence.† (Palomar College, 2011) Religion provides a collective framework which people use to interpret inexplicable events like natural disasters or the changing seasons. The supernatural dimension arises because human beings know that their own power and understanding is limited, and that there are forces far bigger and stronger than they are. Religion is needed to explain how human beings fit into the universe around them. This has a dual function, first in providing a connection between humans and these gr eater forces, and secondly in allowing people to harness these powers and let them affect their daily lives: â€Å"religion tunes human actions to an envisaged cosmic order and projects images of cosmic order onto the plane of human experience† (Geertz, p. 90) This binds human beings to their environment more closely and explains why so many religions have connections with the sky, the sun and weather phenomena. By developing a set of beliefs around these phenomena, people make them more comprehensible, and less frightening. This is a psychological need which minimizes stress, and provides some security for people who could otherwise feel afraid and lost in a world that can bring unexpected events at any moment. The first and most important reason for the universal existence of religion in human societies is therefore the evolutionary advantage that it gives, but the second reason has more to do with the way that human beings live in social groups. Forming groups appears to b e a common behavior in many different animal types, and these groups create safety in numbers against predators and a hostile environment. One of the ways that groups determine the boundaries between one another is to have different cultures, or ways of doing things. Religions are an important way of forming groups. Many of the rituals that religions have are initiation rituals, such as circumcision, baptism, trials of faith, etc. which demonstrate who has become a member of the group and who has not. Following the rituals of religion binds the

Social injustice Essay Example for Free

Social injustice Essay We’ve all applied to a job and didn’t get it. Did you ever think to yourself it was some type of discrimination? Social and racial discriminations happen all the time in the workplace. You may be turned down from a job because of your race, social status, or even your gender. Many times in the workplace people are deemed unfit for the position, but why? Why should it matter if you’re a female or male for certain jobs positions? Who says a male cant preform the job to potential as a female or visa versa? If you walk into a Claire’s, per say, it will be all women working there and I’m sure when males walk in they feel discriminated to ask for an application because all they see is females working in there; It’s a double standard contraception. However, it’s how society implies how or what kind of roles the male or female should contribute to the work environment. I for one have thought of applying for a certain job that society would not †expect† a young man to partake in, so sadly knowing I would have fulfilled the job exceptionally suitable did not take it because I cared about what other people thought of. Race is one of the biggest struggles for many perfectly applicable people who would fulfill the desired job they want to apply for. One of the most sensitive subjects that have been around for decades would be peoples race. I have two close friends, whom are extremely hard working, book smart, and have great social skills who applied for a high end job down south after college. They were turned down =, and for what? What color they were? This is one of the biggest disappointments our society still has to deal with to this day. Perfectly adequate young men or women could perform any job they believe and work hard for and they should NEVER be turned down for their race. Because who would know if that certain raced man or woman would have executed that job better than lets say the white raced man or woman? The way people look is another example of a high social injustice situation. The â€Å" benefit of the doubt† is the proper mindset of what every interviewer should have. Say a man comes into an interview with tattoos and wearing jeans and a dirty button up, yes, they look like they don’t care but that’s all they can afford to look like until they are hired and get a job. Vs. a man who comes in tight suit, brief case and put together. The man with the tattoos is a hard workingman and has all the exceptional social skills they need to fulfill the job, and the man in the suit is only book smart and has no patience to work with people. The interviewer picks the man with the suit because he looks more †suitable† for the job. That is not acceptable. The other man would no doubt work extremely hard to make sure he executed his job to the highest standards. But what our society and the work place wants is who will be the fresh face that is the face for the company. The â€Å"benefit of the doubt† is dying in these kinds of situations because our society these days expects a certain kind of person to be dealing with customers and when doing so, look a †certain† way. I’m sorry but our society these days, is just not right. And we all need to start giving the benefit of the doubt and know what the real â€Å"face of the company is†. All these examples of Social Injustice are what real people are living through/with every day of their lives and its man vs. society when they deal with these situations. It’s just not right that there are people out there who think its acceptable to turn down adequate males or females who could perform a job better than people they hire whom they think they can. And if there is a day that it happens to myself I will stick up for myself and prove that person wrong because all the people who have been turned down know what they are capable of and its not fair they don’t get the chance to show what they can do.

Market Research Essay -- essays research papers fc

1. Introduction   Ã‚  Ã‚  Ã‚  Ã‚  An increasing amount of attention is being paid in the literature to business Guanxi or relationship in Asia particularly in the business dominated economies of the Hong Kong, Singapore, Taiwan and the People’s Republic of China. Chinese business relationships and contracts that needs to be understood and worked within to successfully conduct business and management in most countries in the region. However, the attention is directed to the different perspective on the importance of guanxi to business practices and possible impacts of the guanxi on western firms’ success in China. In order for western firms to enter China market, they have to confront with complex and constantly changing ethical percepts in China (Wu, 1999) and different types of guanxi not only exist but also can be harnessed in an ethical fashion to create wealth (Leung et al., 1999). Dates back to the mid 1980s, Motorola’s presence operates the largest owned subsidiary in China and had moved their country from a centrally planned economy to a market economy. The Motorola has invested in China for a decade and is so far the largest foreign investor in China. Therefore, guanxi has an impact on Motorola to be an established company in China compared to their competitors, Siemens and Nokia. The limitation on this research is addressed. The continuous development and changes in market condition in China is of a certain period of time. This is because it needs to be adapted to fit the prevailing situation at that time. Moreover, interview session is difficult to conduct as the research is on Motorola-China and therefore it is heavily rely on secondary sources. 2. Guanxi’s implications to practices In recent decades, there have been several fundamental concerns for western companies in China. For the Motorola, they learn how to manage a socialist workplace culture in which employees depend on their state-run employers for housing, food transportation and other necessities. The managers also have to baffle by guanxi, the vulnerable Chinese practice of developing and nurturing intricate networks of personal relationship. Nevertheless, priority is sometimes given to them over bottom-line performance. As China is admission to the World Trade Organisation (WTO) in 2001, it has reduced tariffs and business prospects are likely to grow even more prom... ...stern. Fabtech. (2004, March 19). Available HTTP:   Ã‚  Ã‚  Ã‚  Ã‚  www.fabtech.org/industry.news/008/21.01.shtml Forbes. (2004, March 19). Available HTTP: www.forbes.com/home/newswire/2003/07/03/rtr1018223.html Kahal, S. E. (2001). Busines in Asia Pasific. United States: Oxford University Press Inc. Noble, C. (1997). Asia Pacific Business. Australia: Charles Stuart University People’s Daily. (2004, March 13). Available HTTP:   Ã‚  Ã‚  Ã‚  Ã‚  www.fpeng.peopledaily.com.cn/200011/05/eng20001105_54382.html People’s Daily. (2004, March 15). Available HTTP:   Ã‚  Ã‚  Ã‚  Ã‚  www.fpeng.peopledaily.com.cn/200111/08/eng20011108_84118.shtml Recommendations For Western Firms While Operating in China. (2004, February 29)   Ã‚  Ã‚  Ã‚  Ã‚  Available HTTP: bigtp.com/inf_3.html Spotlight: China: Factory for the World. (2004, March 19). Available HTTP:   Ã‚  Ã‚  Ã‚  Ã‚  www.bizsites.com/spotlight/china.html Testimony of Christopher B. Galvin. (2004, March 13). Available HTTP: www.finance.senate.gov/2-23galv.htm Workforce. (2004, March 15). Available HTTP:   Ã‚  Ã‚  Ã‚  Ã‚  www.workforce.com/section/09/feature/23/56/96

Political Philosophy and User Responses Essay

1. The belief that a person’s fate can be closely attributed to his or her own efforts is KNOWN AS ________ AND IS FUNDAMENTAL TO THE AMERICAN DREAM. a. populism b. equality c. individualism d. republicanism e. fatalism Grade: 1 User Responses: c. individualism Feedback: 2. Which of the following attributes is associated with capitalism, the economic system in America? a. Government should be involved in protecting the health of the financial industry over individual citizens’ rights. b. Government should allow the market economy to be free and unrestricted. c. Government should not obstruct individuals’ efforts to obtain property. d. Government should promote equality only to those who were born in the country. e. The national government should become more involved in state politics. Grade: 1 User Responses: c. Government should not obstruct individuals’ efforts to obtain property. Feedback: 3. ________ often predict the degree and type of political participation, which shapes political culture. a. Political values b. Demographic factors c. Community-oriented economics d. Individual incentives e. Group dynamics Grade: 0 User Responses: a. Political values Feedback: 4. Belief in which of the following ideals is part of the core of American political culture? a. Allegiance to parental homeland b. Strength in diversity c. Caste system d. Foreign diplomacy e. Government intervention Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 2 Grade: 0 User Responses: c. Caste system Feedback: 5. Which of the following is advocated by socialism, which emphasizes planned economies over free market economies? a. Government ownership of key industries b. Private jobs over public programs c. Higher taxes for the poorest citizens d. Financial rewards for productivity e. Government investment in large corporations Grade: 1 User Responses: a. Government ownership of key industries Feedback: 6. Each individual’s political beliefs are rooted in ________ and ________. a. ideals; values b. core beliefs; experiential learning c. core beliefs; political attitudes d. partisan bias; values e. values; religion Grade: 0 User Responses: b. core beliefs; experiential learning Feedback: 7. Which of the following constitutes an element of the United States’ national political CULTURE? a. Belief that individualism hampers the overall strength of the country. b. The citizen class a man or a woman belongs to c. The notion that government is the basis for decisions that will affect all American citizens d. The idea that freedom is for those who earn it e. The rights and liberties citizens have Grade: 0 User Responses: a. Belief that individualism hampers the overall strength of the country Feedback: Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 3 8. Communitarianism refers to a set of beliefs with a long history of impacting political culture in the United States. Communitarianism emphasizes the importance of ______ __. a. economic classes and communism b. agrarian practices c. limited government d. needs of the community over needs of the individual e. voting and democracy Grade: 0 User Responses: a. economic classes and communism Feedback: 9. In which way do Americans best express the essence of the American Dream? a. Their commitment to welfare programs b. Their universal support of limited government c. Their enthusiasm for capitalism d. By sending humanitarian aid overseas e. By regularly voting in elections Grade: 0 User Responses: d. By sending humanitarian aid overseas Feedback: 10. The term that refers to widely shared ideas about who should govern, toward what ends, and by what means is ________. a. subculture b. fundamentalism c. ideology d. political culture e. demography Grade: 1 User Responses: d. political culture Feedback: 11. What is the natural outcome of the United States’ history of immigration? a. A decline in diversity caused by the immigration rate b. Substantial racial and ethnic diversity in the American population c. The foreign-born form the majority of the U. S. population d. Domination by foreign countries e. Substantial racism and anti-immigrant feelings in the majority of the American population Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 4 Grade: 1 User Responses: b. Substantial racial and ethnic diversity in the American population Feedback: 12. A belief in free markets, limited government, and self-reliance in economic affairs, combined with a belief in tradition, law, and morality in social affairs are values upheld by ________. a. socialists b. the modern Republican Party c.the Republican party historically d. modern libertarianism e. the Communist Party historically Grade: 0 User Responses: d. modern libertarianism Feedback: 13. A belief that individuals can provide stronger chances for economic and personal betterment for their children, if not for themselves, is part of the ________. a. American Dream b. Communist Manifesto c. American exceptionalism d. expectations of society e. American socialization Grade: 1 User Responses: a. American Dream Feedback: 14. Which of the following generally ensures that government follows the will of the people in a democratic system? a. Lobbying b. Elections c. Interest groups d. Initiatives e. Opinion polls Grade: 1 User Responses: b. Elections Feedback: Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 5 15. One factor that has helped reduce political conflict over economic inequality in the United States is the strong belief in ________. a. equality of personal opportunity and individualism b. fate c. the promise of global competition for creating economic equality d. a strong work ethic creating equal rewards e. strong government intervention. Grade: 1 User Responses: a. equality of personal opportunity and individualism Feedback: 16. Most Americans would acknowledge that those with greater resources and connections to government officials are more likely to ________. a. participate in politics and be represented in government b. participate in a revolution c. become distrustful of the government d. be white-collar workers e. provide fewer opportunities to their kids than they had Grade: 1 User Responses: a. participate in politics and be represented in government Feedback: 17. While no single religion represents all Americans’ belief system, most of the FOUNDING POPULATION OF THE UNITED STATES WAS________, WHICH HAS HAD LASTING EFFECTS ON THE LAWS AND POLITICAL CULTURE IN AMERICA. a. Jewish b. Muslim c. Catholic d. Protestant e. Pentecostal Grade: 0 User Responses: c. Catholic Feedback: 18. The fastest growing ethnic group in the United States is ________. a. Pacific Islanders b. Asian Americans c. African Americans d. Caucasians e. Hispanics Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 6 Grade: 0 User Responses: b. Asian Americans Feedback: 19. Income ________ between the classes in the United States has risen steadily since the 1920s. a. caste system b. acquisition c. inflation d. inequality e. disbursement Grade: 1 User Responses: d. inequality Feedback: 20. Voters sharing any particular political belief have the greatest chance of shaping policy when they are ________. a. inspired b. registered c. canvassing d. dispersed e. concentrated Grade: 0 User Responses: b. registered Feedback: 21. Culture refers to ________. a. a series of expectations of a political system b. basic values about participating in a society c. a predisposition about participation in a group or a political system d. a way of thinking or a mode of behavior common to a group e. beliefs about a political system Grade: 0 User Responses: e. beliefs about a political system Feedback: Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1 7 22. The right to own private property is ________. a. more attainable for middle-income citizens in Europe b. not very important to most Americans c. guaranteed by the Constitution d. one of the economic incentives that motivates Americans to embrace capitalism e. only for those with wealth Grade: 0 User Responses: c. guaranteed by the Constitution Feedback: 23. Concerns about the level of_______ and its impact on regional politics and social cohesion from the 1920s to the 1950s resulted in many restrictions of ________ to the United States. a. immigration; entry b. education; immigration c. trade; economic growth d. terrorism; travel e. health regulations; entry Grade: 1 User Responses: a. immigration; entry Feedback: 24. A person who opposes government regulation of business is likely to be a ________. a. liberal b. communist c. socialist d. Green Party member e. conservative Grade: 1 User Responses: e. conservative Feedback: 25. The strength of the economy is directly tied to the monetary value of all goods and services produced in a nation each year, which is called the ________. a. mass production factor b. gross domestic product c. poverty line d. median household income e. Gini coefficients for the economy Take the Chapter 02 Exam Section: Intro to US Government F 2014 flanery,daniel Submitted:9/3/2014 1:38:33 AM Gradebook Grade: — Questions Attempted: 25/25 Submission No: 1/1.

Main Features of French Rule in Indochina

Main Features of French Rule in Indochina By 1893 France had colonised all of Vietnam, Laos and Cambodia and renamed it the French Indochinese Union. The French were oppressive and self-interested. They ran Indochina as a profit making venture and tried to ensure it paid for its own administration. Colonial governor Paul Doumer made the people pay for the cost of their own rule by increasing customs duties and direct taxes. He created official monopoly on salt, alcohol, and opium.Doumer concentrated on building railways and lighthouses while denying the people development and education. Before French rule 80 per cent of Vietnamese were literate in Chinese but by the end of 1940 only 20 per cent of boys were at school and a much smaller per cent of girls. The French exploited Vietnamese resources and labour. They paid the people minimal wages and forced them to work in horrific conditions. Vietnamese land was turned over to the production of rice, rubber, opium, spices and other commo dities to export for French profit.The French altered traditional land ownership and the Vietnamese peasants had to take out loans with the interest rate of up to 70 per cent to pay the rent of there land and homes. The French also introduced a currency system which was poorly understood and not trusted by the peasants who had always used bartering. With the change in land ownership came a massive change in Indochinese social structure. This destroyed village life which was the main Indochinese social unit. The village was the centre of their religious, cultural and economic lives and was the most important administrative unit in Vietnam.This destruction of the social system along with land ownership changes resulted in a small elite group of Vietnamese land owners who collaborated with the French and left the 90% of the population of the peasants oppressed and in poverty. The French ruled Indochina with force and used repressive methods to end any rebellion. They divided Vietnam in to three administrative divisions of Tonkin, Annam, and Cochinchina. A number of Vietnamese groups tried to rebel and were executed by the French. The majority of Vietnamese were Buddhist and the French tried to convert everyone to Catholicism.Anybody who rebelled against the French priests was imprisoned or executed. With the outbreak of World War Two France surrendered to Germany and allowed Japan to administer Indochina. This resulted in the destruction of culture and widespread famine. Towards the end of WW2 Japanese soldiers seized the bulk of the Vietnamese rice crop and French officials with held the remaining supplies from the peasants. This resulted in a major famine where 2 million people died. After WW2 the French tried to reclaim Indochina supported by the United States and Britain.Relations between the French and the Vietnamese deteriorated as key independence leaders Ho Chi Minh and General Giap began to fight for the rights of the Vietnamese. When the French broke the August agreement and bombed Haiphong killing six thousand civilians the first Indochinese war began. This war of attrition saw the Vietnamese develop skilled guerrilla tactics in the face of superior French fire power. By 1954 this conflict ended in the battle of Dien Bien Phu with a decisive Vietnamese victory. The Geneva conference that began the day after battle ended resulted in the end of French rule in Indochina.

Free Essays on Emilys Frugal Literary Devices

â€Å"prancing Poetry† (4) help the reader imagine himself dancing and jumping through each line of the poetry he reads. Also, imagery helps the reader to imagine himself in certain situations. Also, one can imagine a scene better when he can visualize his surroundings. For these reasons, the imagery Dickinso... Free Essays on Emily's Frugal Literary Devices Free Essays on Emily's Frugal Literary Devices What are some important Literary Devices used in the poem â€Å"There is no Frigate like a Book?† Emily Dickinson uses several literary devices in this poem to give it form and meaning. A few important literary devices Dickinson uses in â€Å"There is no Frigate like a Book† are simile, overstatement, imagery, and connotation. First, Dickinson uses the literary devices simile and overstatement. The similes Dickinson uses help the reader better understand what she was thinking when she was choosing her words for the poem. The words â€Å"Frigate like a Book† (1) help the reader understand that a book, though small in size, is capable or delivering vast amounts of knowledge. Since one does not usually move anywhere while he or she reads a book, the statement â€Å"Coursers like a Page† (3) helps the reader understand that a page in a book or poem actually moves one along mentally. Next, the overstatements in Dickinson’s poem are important literary devices. In the overstatement â€Å"To take us Lands away† (2), Dickinson does not actually mean that a book carries one to another place as a vehicle does. The overstatement is actually referring to the way one’s mind imagines being in a different place when reading a book. Second, the imagery Dickinson uses in â€Å"There is no Firgate like a Book† is an important literary device. Imagery, while connecting with one’s senses, helps the reader grasp more feeling about what he or she is reading. For example, Dickinson’s words â€Å"Coursers like a Page† (3) help the reader feel that he or she is actually moving with the pages in a book or poem. In another example, the words â€Å"prancing Poetry† (4) help the reader imagine himself dancing and jumping through each line of the poetry he reads. Also, imagery helps the reader to imagine himself in certain situations. Also, one can imagine a scene better when he can visualize his surroundings. For these reasons, the imagery Dickinso...

The Pros and Cons of Assertiveness 3 Real Life Examples

The Pros and Cons of Assertiveness 3 Real Life Examples For several weeks, I’ve had the May 2016 issue of Success Magazine open on my desk. I had gotten about half-way through the issue when I  stalled in the middle of an article by Sophia Dembling about assertiveness. More pressing papers piled on top of it. In fact, I forgot it was there until today, when I set out in search of material for my weekly blog. I’ve been looking a lot at my own methods of assertiveness lately, so the article jumped out at me this morning. Just last weekend, I participated in a workshop called â€Å"Group Process.† There, I was part of a group that spent 14 hours on Saturday and six hours on Sunday simply being with each other to see what we would create in our interactions. The feedback I got from the group is that I have a tendency to want to dominate the conversation. This did not surprise me. It’s not that I talk more than other people in the group, but I do like to get attention, sometimes by stirring things up. Being assertive often requires not being nice, and I am starting to accept the fact that I am not a â€Å"nice† person. I am willing to hurt people, and to be hurt myself, in service of telling the truth and getting satisfied. Here are some examples, along with the attendant advice offered by Ms. Dembling: 1.) Accept the Learning Curve. In our Group Process group, the topic came up of how each of us sees ourselves as functioning in a group. Someone spoke about himself, and I wanted to spend more time with him, with each group member giving him feedback before moving to the next person. So when another group member started sharing about how she saw herself in the group, I interrupted her and said I’d like to spend more time on the first person. She was hurt and angry with me for doing that. I did end up getting part of what I wanted: I shared my thoughts with the first person. But then the conversation got derailed as the second woman and I worked through what had just happened. Frankly, we did not do the best job of resolving the conflict, despite my strong desire to do so. My assertiveness had created a rift in my relationship with this woman that will take more work to repair. 2.) Control Thyself. In another group, we were voting on who would fill a particular role. One person enthusiastically went for the role and was quickly voted in with no opposition. I did not trust that he was the best person for the job, so I asked someone else if he wanted the position, which he did. We then had a vote between the two of them. Person #1 still won, and I still was not satisfied, so I asked for further consideration and discussion. As you can imagine, Person #1 had some feelings about my behavior. But in the end, the group made a much more considered decision. Person #1 still got the role, but we were all much more clear about why he was chosen and what value each member of our team could have brought to the role. As the Success Article pointed out, we can’t control people. We can only control ourselves and our own behavior and words. I felt good in this instance that I spoke up and went for my full satisfaction, and maintained the respect of my group in the process. 3.) Pick a Delivery Mode. With the first group, we have eight more weeks of work to do together. I wrote an email suggesting that we assign roles within our group so we have specific people designated to organize our calls, take notes for the group, and support our members in various ways. I immediately got pushback on this idea, with three out of four members saying no, that they did not want to take on any more work. When I tried to explain that I wanted to make things easier, not harder, by having clear lines of responsibility for the things we were doing anyway, I was told that I was making things harder than they needed to be and that I was trying to control the group. As predicted by Randy J. Paterson, author of The Assertiveness Workbook: How to Express Your Ideas and Stand Up for Yourself at Work and in Relationships, things got worse. Obnoxiousness went up. And I began to question whether I ever did what I did. Ouch. These are the times where I wish I had thicker skin – and that I had not used email, where misinterpretation is so easy, to express myself. I felt hurt, not seen, and even persecuted. But thankfully I am good at reaching out for support, which I did (by telephone!), and I was able to get more perspective. One group member was able to see things more the way I saw them and to talk through what could address my concern and the concerns of everyone else. I’m feeling confident that we will come to a solution that works for the whole group. In all of these situations, what I truly wanted in the end was to be heard and understood. Yes I take a lot of risks and,   someone observed, often â€Å"throw myself under the bus† when I see what I think is a better way to do things. As stated by Diana Bacon, a financial planner who coaches women entrepreneurs on their assertiveness, being assertive doesn’t mean people will do what you want. But it does â€Å"give you the confidence of knowing you can stake out your space in the world.† I’m encouraged by Randy Paterson’s assertion that assertiveness is a set of skills that can improve over time. I definitely have room for growth, and I look forward to what’s possible.

Planning And Control Of Budgets Essay Example | Topics and Well Written Essays - 3000 words

Planning And Control Of Budgets - Essay Example Budgeting is a significant control system in almost all organizations (Armstrong et al., 1996; Ekholm and Wallin, 2000; Merchant and Van der Stede, 2003). A budget is defined as a quantitative statement, which comprises for a defined period of time. In which, planned revenue, assets, expenses, cash flows and liabilities may be included. And, it can be used for multiple purposes (Garrison and Noreen, 2003; Horngren et al., 2003).Additionally, a budget helps the organization to concentrate its current availability of resources; ensure an appropriate level of coordination has been put in place to ensuring budgetary objectives. In which, costs are highlighted to be controlled; and control is achieved when different types of budgets, such as master budgets, sales budgets, purchase budgets, production budgets are compared with the actual costs. On the other hand, planning comes after the step of determining budgets. Planning is strategy how to serve the budgetary objectives.Budgetary objec tives are achieved with the implementation of budgets. And, the prior study suggests that organizations use budgets for the attainment of their identical objectives and they are not determined in isolation (Moores and Yeun, 2001). Consequently, the reasons to the budget are going to be correlated (Shields and Shields, 1998). First, budgets are devised to be used as a means of communication horizontally and vertically. Horizontally, budgets can be used for the purpose of discussion among or between different departmental managers.