Monday, December 30, 2019

17th Century Literature Throughout Europe - 1973 Words

14th Century Literature in Europe The 14th century consisted of many different events, which then lead to a rise in literary movements and influential writers. The writers and poets of medieval Europe created their own tropes and themes throughout the entire history of the century. 14th century literature is greatly impacted by many factors: historical, religious, aesthetic. The 14th century also contained a mass of literary movements, often times coexisting with the aforementioned factors. Historical Events and Context Peasants’ Revolt The Peasants’ Revolt was an aftermath of the Black Death, which also greatly influenced literature and arts throughout its course. The Peasants’ Revolt—year 1381—significantly altered literature during the course of the 14th century. The Peasants’ Revolt was unique in its significance because what is considered modern-day England was â€Å"the only medieval society to have a peasants’ revolt† (Swain). Naturally, such a huge uprising brings influence with it. Besides the Bubonic Plague, another reason for the Peasants’ Revolt occurred due an expanding middle class, which then in turn took land away from Nobles. This land crisis caused the Nobility to have an upset, and they enacted a law to stop the Peasant Class from having social mobility. Like most societal uprising, money was a huge factor. This new law included a poll tax, which heavily taxed the lower class. Unfortunately, the Nobles made an error and based the tax on the population beforeShow MoreRelatedThe Eight Wars Of Religion1587 Words   |  7 Pagesescalated thought-out 36 years, with intermittent interruptions. The Protestant progressing originated in Northern Europe in the early 16th century. but escalated in the 19th century. It began as a reaction to the Medieval Roman Catholic doctrine and practices. 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Sunday, December 22, 2019

Changing The Etp Approach On Writing New Charter University

Changing the ETP Approach to Writing New Charter University Abstract How does one go about making change to a large and prestigious English Teaching Program? The person approaching this obstacle will have to have a clear plan in order to move forward. They must have plenty of support to move forward with suggesting changes. When they have a large number of people that are accustomed to doing things in certain ways, there are going to be various forms of resistance from doubters. The person suggesting changes must move forward with having as many answers as possible to answer the questions from any doubters. They must also have a plan that shows the role of everybody would could feasibly be involved in this process. The person must also consider Kurt Lewin’s theories on how to establish change. Overall, the work that goes into the process of proposing change can be almost as daunting a task as change itself. However, if the process is executed properly, the entire organization can benefit greatly. Keywords: change, doubters, plan, involved, Kur t Lewin, process of change Changing the ETP Approach to Writing The Fulbright Commission’s English Teaching Program (ETP) is located in Quito, Ecuador. Its student population consists mostly of Ecuadorian adults with occasional foreign nationals from other Latin American or European countries. The ETP is geared towards teaching its students academic and professional English in the areas of grammar,

Saturday, December 14, 2019

Oxidative Stress Cardiovascular Risk Factors Health And Social Care Essay Free Essays

Background: High blood pressure, one of the modifiable hazard factor for cardiovascular disease ( CVD ) and shot is known to be associated with oxidative emphasis and decreased cardiovagal transition. Similar to high blood pressure, prehypertension besides has greater hazard of inauspicious cardiovascular events. But there is a dearth of literature in our population in happening the relation of cardiovagal transition and oxidative emphasis with prehypertension and associated cardiovascular ( CV ) hazard factors. We will write a custom essay sample on Oxidative Stress Cardiovascular Risk Factors Health And Social Care Essay or any similar topic only for you Order Now Methods: Subjects ( n=178 ) recruited through high blood pressure showing cantonment conducted in our population Puducherry, India were grouped into prehypertensives ( n=97 ) and normotensives ( n=81 ) . They were farther divided based on the age as immature grownups ( 20-39 old ages ) and middle aged grownups ( 40-60 old ages ) . Basal physiological parametric quantities, cardiovagal transition, oxidative emphasis parametric quantities ( thiobarbituric acid reactive substance and entire antioxidant capacity ) and CV hazard factors/parameters were measured. Consequences: We found important difference between prehypertensive and normotensive topics of both the age groups in cardiovagal transition and oxidative emphasis parametric quantities, important correlativity of oxidative emphasis with cardiovagal transition and average arterial force per unit area even after seting for other hazard factors, but a weak negative correlativity between average arterial force per unit area and cardiovagal transition. Derangements in oxidative emphasis and cardiovagal transition parametric quantities observed in prehypertensive immature grownups are similar to that of normotensive middle-aged grownups. Decisions: Increased oxidative emphasis and reduced cardiovagal transition in prehypertensive immature grownups with the presence of CV hazard factors increases their hazard for CVDs as that of center aged grownups, early and appropriate intercession could turn to this job. Introduction The 7th study of Joint National Committee for bar, sensing, rating and intervention of high blood force per unit area ( JNC 7 ) in 2003, emphasized the term â€Å" prehypertension † 1. The persons with prehypertension have higher hazard for developing high blood pressure and morbidity due to their sensitivity to cardiovascular diseases ( CVDs ) in future when compared to normotensive persons 2. In developing states the prevalence of prehypertension, high blood pressure and CVDs are increasing 3 and in south India prevalence of prehypertension is found to be 47 % 3. The blood force per unit area ( BP ) is regulated neurally by cardiovascular autonomic nervous system. Imbalance in autonomic nervous map, either by heightened sympathetic or declined parasympathetic activity is associated with premature aging 4, prehypertension 5, 6, high blood pressure 7, 8, CVDs and mortality 4, 9-11 and another subscriber for this addition in prevalence is the presence of oxidative emphasis 12, 13 may take to the patterned advance of prehypertension to high blood pressure 14, but it is still ill-defined whether oxidative emphasis or altered cardiovascular autonomic map is the cause or effect of high BP. Another of import factor which is known to impact cardiovascular autonomic map 15, oxidative emphasis 16 and lend to the load of CVD 17 is age. Framingham bosom survey provinces that the presence of any two major hazard factors like high blood pressure, diabetes, increased cholesterin or smoke in middle-age addition the life-time hazard for CVDs 18. The presence of prehypertension in immature grownups, whether associated with reduced cardiovagal transition or increased oxidative emphasis, is frequently ignored. Several surveies have demonstrated bunch of hazard factors in immature grownups 19, 20 which can take to CVDs in ulterior life 21. Previous surveies have demonstrated the association between bosom rate variableness ( HRV ) and oxidative emphasis in indispensable high blood pressure 22. There is dearth of surveies showing the association between cardiovagal transition, oxidative emphasis and prehypertension in immature and middle-aged grownups. SUBJECTS AND METHODS Capable enlisting After the blessing from the Institute Human Ethics Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. We conducted ‘Hypertension testing cantonments ‘ in our population Puducherry, India during the period of Mar 2011 to Dec 2012. A sum of 524 voluntaries consented for the showing plan. During the cantonment, BP was recorded 3 times with 5 minute intervals utilizing automatic BP proctor ( Citizen CH432B, Japan ) . Participants were considered ( n=294 ) for the survey after taking into history the inclusion ( systolic BP of lt ; 140 millimeter Hg and diastolic BP of lt ; 90 millimeter Hg and 20-60 old ages of age ) and exclusion standards ( history of chronic unwellness, CVDs, diabetes, primary autonomic inadequacy, kidney diseases, athleticss individual, under medicine for prehypertension and chronic unwellness ) . Finally 178 participants gave their written informed consent to take part in the survey. Lab measurings Participants were requested to describe to lab between 07.00 ante meridiem to 09.00 a.m. , and instructed to avoid any drugs that influence bosom rate variableness ( HRV ) and alcohol a twenty-four hours before and coffin nail smoke for at least 30 proceedingss. . Subject ‘s occupational position and medical history were besides reviewed. Based on the BP class as normotensive ( lt ; 120 millimeter Hg and lt ; 80 millimeter Hg ) and prehypertensive ( 120-139 millimeter Hg or 80-89 millimeters Hg ) and ages as immature grownups ( 20-39 old ages ) and middle-aged grownups ( 40-60 old ages ) , the topics were grouped as depicted in Figure 1: Cardiovascular hazard factors Waist perimeter measured halfway between top of the iliac crest and the lower costal boundary line. Global Physical Activity Questionnaire ( GPAQ ) was used to measure the physical activity of the topics, and represented as metabolic equivalent ( MET ) . A lower limit of one coffin nail per twenty-four hours and consumption of at least 1 alcoholic drink ( 90-100 milliliter ) per twenty-four hours was considered as history of smoke and alcohol addiction severally and the familial history of high blood pressure and diabetes were besides recorded, Table 1. Fasting plasma glucose and lipid profile parametric quantities ( entire cholesterin, triglycerides, high, low and really low denseness lipoprotein cholesterin ) were assessed utilizing to the full automated clinical chemical science analyser ( AU400, Olympus, USA ) . Short-run bosom rate variableness The lead II ECG and respiration recorded in dim lighted room with the room temperature of 24-26A °C. Analogue signals were digitized, utilizing a 16-bit information acquisition system ( LabChart, AD instruments, Australia ) . Sampling rate was kept at 500 Hz. The tendency in fluctuation in bosom rate around radical bosom rate due to the interaction between sympathetic and parasympathetic activity were analyzed utilizing HRV package ( version 1.1. , Biomedical signal analysis group, University of Kuopio ) . Frequency spectral constituents classified based on the scope of country under the power spectrum as low frequence power ( LF ) between 0.04 to 0.15 Hz represents the part from parasympathetic and sympathetic systems ; high frequence power ( HF ) between 0.16 to 0.4 Hz represents the part from parasympathetic system to cardiovascular system and the ratio of LF/HF represents the balance between parasympathetic and sympathetic system influenced chi efly by parasympathetic nervous system 23, 24. Time sphere constituents viz. standard divergence of RR intervals ( SDNN ) , standard divergence of HR ( SDHR ) , square root of the mean of the amount of the squares of consecutive RR interval differences ( RMSSD ) , next RR intervals differing more than 50ms ( NN50 ) and NN50 divided by entire figure of RR intervals in per centum ( pNN50 ) besides represents the parasympathetic activity on CV system. Oxidative emphasiss parametric quantities thiobarbituric acid reactive substance ( TBARS ) and entire antioxidant capacity ( TAC ) were measured utilizing ELISA kit harmonizing to maker instructions ( Cayman chemical company, USA ) . Datas analysis: Continuous informations were expressed as average A ± SD and categorical informations as frequences. Frequency distributions between the groups were compared utilizing Chi Square trial. The comparing of parametric quantities between the groups was carried out utilizing one manner ANOVA for parametric informations and Wilcoxon Sign Rank trial for non-parametric informations. The association between the parametric quantities was analyzed utilizing Spearman ‘s rank correlativity. HRV constituents like LF and HF power were natural log transformed and denoted as ln ( LF ) and ln ( HF ) severally, before ANOVA and additive arrested development analysis. The part independent variable on the discrepancy of dependent variable was assessed utilizing additive arrested development. RMSSD was considered as stand foring cardiovagal transition parametric quantity for correlativity and arrested development analysis. All the analyses were performed with statistical bundle for societal scienti fic disciplines ( SPSS ) 13.0 for Windows ( SPSS, USA ) . A p-value of less than 0.05 was considered statistically important. Consequence Distribution of demographic profile: Number of topics and gender distribution in each group differed based on age. The figure of prehypertensive topics was more in middle-aged grownups ( n=62 ) as compared to immature grownups ( n=35 ) . The male to female ratio declined from 2.18 ( immature grownups ) to 1.21 ( middle-aged grownups ) with age 25, represented in Table 1. Comparison between normotensives and prehypertensives of both age groups Basal physiological and bosom rate variableness parametric quantities Subjects with prehypertension were compared to those with normotension of same age group. The basal HR did non differ significantly between normotensive and prehypertensive topics in both age groups. Waist perimeter was significantly higher in immature grownups with prehypertension than in normotensive immature grownups but such a difference was non observed in middle-aged grownups. The resting cardiovagal transition parametric quantities obtained as frequence sphere indices ; ln ( HF ) , HFnu, and clip sphere indices ; RMSSD, NN50 and pNN50 were decreased significantly in prehypertensive immature grownups when compared to normotensive immature grownups but in the prehypertensive middle-aged grownups HFnu entirely did non differ significantly from normotensive middle-aged grownups. Same sort of consequences was observed in the index of sympathovagal balance ( LF/HF ratio ) , worsened significantly in immature grownups with prehypertension when compared to immature grownups with normotension but non in the middle-aged grownups with the presence of prehypertension. Cardiovascular hazard factors and oxidative emphasis parametric quantities Family history of high blood pressure and diabetes, figure of tobacco users and alkies and physical activity were non differed significantly between normotensive and prehypertensive of both age groups. TC, HDL-c and LDL-c were besides non significantly altered between normotensives and prehypertensives in both age groups. The waist perimeter, fasting plasma glucose and TG were merely increased significantly in prehypertensive immature grownups and non in between middle-aged grownups with normotension and prehypertension ( Table 1 ) . No female tobacco user or alky was present in our survey. The oxidative emphasis parametric quantities, TBARS and TAC were significantly deranged in prehypertensive topics in both immature and in-between age ( Table 2 ) . Prehypertension in immature grownups Young grownups with prehypertension were compared with middle-aged normotensive topics. Resting radical physiological parametric quantities, cardiovagal transition, lipid profile, oxidative emphasis parametric quantities and waist perimeter did non differ significantly between normotensive middle-aged grownups and prehypertensive immature grownups. Association between cardiovagal transition, oxidative emphasis parametric quantities, age and blood force per unit area The MAP correlated indirectly with cardiovagal transition ( RMSSD ) , TAC and straight with TBARS, Figure-2 and Figure-3. But the correlativity of MAP with RMSSD, TBARS and TAC were reduced to ( r= -0.199, p=0.009 ; r=0.335, p= lt ; 0.001 and r= -0.318, p= lt ; 0.001, severally ) after repairing the CV hazard factors like age, waist perimeter, physical activity, FPG, TC and TG. The oxidative emphasis parametric quantities, TBARS correlated reciprocally and TAC correlated positively with RMSSD, Figure 4. The correlativity of TBARS and TAC with RMSSD were strong plenty ( r= -0.311, p= lt ; 0.001 and r=0.437, p= lt ; 0.001, severally ) even after adjusting/fixing the CV hazard factors. The MAP contributes to 16.4 % and 15.8 % discrepancy in TBARS and TAC severally. The TBARS and TAC explained the discrepancy in MAP by 23.2 % . Age, TBARS and TAC together explained 42.3 % of discrepancy in RMSSD, out of which 36.8 % is by TBARS and TAC, Table-3. Discussion The most of import determination of the present survey is that prehypertension in immature grownups with the presence of altered cardiovagal transition, elevated oxidative emphasis and other CV hazard factors is an alarming phase as the parametric quantities are comparable to those observed in middle-aged grownups. Surveies have reported that either altered cardiovagal transition or oxidative emphasis may take to the development of high blood pressure 7, 26. Change in cardiovagal transition is an of import marker for foretelling future CV morbidity 27, was decreased in prehypertensive immature and middle-aged grownups when compared to normotensives of matching age group. The cardiovagal transition can be influenced partially by each hazard factor like waist perimeter, physical activity, FPG, TC, TG and age 15, 28-31. Therefore, all of these confounders were fixed to quantify the association between MAP and cardiovagal transition. But we could happen lone hebdomad relation between these two variables, bespeaking that the presence of high BP entirely does non bring forth much influence on cardiovagal transition. This contradicts the consequences demonstrated in the survey by Pletcher et al. , in which prehypertension by itself was concluded as an independent hazard factor for the development of C VD 21. At the same clip, oxidative emphasis is one of the of import parametric quantities responsible for the development and care of CVD including high blood pressure, was significantly increased in prehypertensive topics of both age groups. The relation between MAP and oxidative emphasis ( TBARS and TAC ) was strong plenty even after seting for confusing CV hazard factors. This goes manus in manus with old survey 32. Our survey reveals the association between oxidative emphasis and prehypertension, but it is non plenty to convey about a causal relationship as surveies have shown high blood pressure per Se can increase oxidative emphasis or frailty versa. Further the association between oxidative emphasis and cardiovagal transition parametric quantity ( RMSSD ) were besides strong even after seting for all the confusing parametric quantities. These observations lead us to speculate that oxidative emphasis may be the precursor for both prehypertension and altered cardiovagal transition, the later are manifestations of the underlying oxidative emphasis. This may necessitates the demand for longitudinal research to happen the causal relationship between oxidative emphasis, cardiovascular autonomic map and pre-hypertension. Increased oxidative emphasis and reduced cardiovagal transition observed merely in immature grownup with prehypertension as compared to normotension, but non in between middle-aged normotension and prehypertension can be explained by the presence of CV hazard factors. In our survey, we observed that the CV hazard factors like waist perimeter FPG and TG were significantly different between immature normotensive and prehypertensive grownups, but the increase in CV hazard parametric quantities were observed in middle-aged prehypertensives as compared to normotensives, but non significantly. This farther emphasizes that the presence of CV hazard factors contributes to CVD hazard more than the presence of prehypertension entirely. Framingham bosom survey stated that the presence of multiple hazard factors in in-between age increases the life-time hazard for CVD for the staying old ages and reduces their length of service by 10 old ages 18. Surveies besides demonstrated that the presence of prehypertension and associated CV hazard factors increase the opportunity for acquiring CV events when compared to normotensive topics 2. In our survey, prehypertensive immature grownups tend to portion similar CV hazard factors as in middle-age adults.. Hence the CV hazard factors associated with prehypertension in immature grownups has to be viewed with cautiousness. Altered cardiovagal transition and oxidative emphasis parametric quantities were besides non differed significantly between prehypertensive immature grownups and middle-aged grownups, bespeaking that the damage has occurred earlier in the class of life with the presence of prehypertension and associated hazard factors 25, 33. The consequences of our survey demonstrate that the immature grownups with prehypertension have high hazard for developing CV events as comparable to that of middle-aged grownups. But prehypertension and CV hazard factor appraisal in immature grownups is frequently neglected 34. The complications start roll uping with come oning age when left untreated, ensuing in development of other co-morbid conditions 35. Restrictions We did non mensurate LDL-c atom size. More figure of male prehypertensives in immature grownup age group would hold besides reduced the difference between immature grownup with prehypertension and middle-aged normotensive grownups but the old surveies have demonstrated that immature work forces are more prone to developing prehypertension when compared to immature adult females of peer age group 25. The prevalence of prehypertension and high blood pressure in adult females additions with progressing age 25, 36. This may explicate the gender difference in immature prehypertensive grownups. Decision Prehypertension in immature and middle-aged topics is associated with increased oxidative emphasis and altered cardiovagal transition. In our survey, the hazard factors for CVDs in prehypertensive immature grownups were found to be tantamount to that of middle-aged grownups who are in dusky zone for its development. Particular wellness programmes need to be undertaken in the signifier of antioxidant and yoga therapy to turn to the cardiovascular hazard among the immature and middle-aged prehypertensives. Recognition We like to unfeignedly thank Jawaharlal Institute of Postgraduate Medical Education and Research for funding the undertaking and Department of Science A ; Technology, Government of India for back uping the first writer through INSPIRE family. We besides thank Dr. Madanmohan Trakroo, Professor and Head of Physiology Department, Mahatma Gandhi Medical College A ; Research Institute, Puducherry, Dr. Abdoul Hamide, Professor of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry and Dr. T N Sathyaprabha, Additional Professor of Neurophysiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India for their part in planing the survey How to cite Oxidative Stress Cardiovascular Risk Factors Health And Social Care Essay, Essay examples

Friday, December 6, 2019

Embodiment and Experience Fatness

Question: Discuss about theEmbodiment and Experience forFatness. Answer: BodyImage Critical Bodies Fatness is an aspect that nobody desires. Apparently, fat people feel unhappy after noticing that he/she is too fat (Tischner, 2012). Sometimes, the term fat has a negative perception from people such as laziness, gluttonous and poor self-management person. According to Paus (2014), when the test for fat is done on people, it has the ability to accordingly identify fat people without the involvement of their personal experiences. The sign of fatness can be marked on people and can be used to point out some special symbolic power and force to an individual. For example, some individuals usually question if others comprehend how to properly manage the body. Nowadays, fat people feel guilty about their state. A good example is the Asian society where fatness is not an aspect to like. The perception regarding fat by employers is also dented. They perceive fat workers as too fat, unproductive, undetermined and unprofessional. I vividly remember the time I was in High School. I never realized that I was fat until the society changed my perception. Moreover, I discovered that there is a different treatment between standard and fat ladies by the society. I was thus left with many rhetoric questions. For example, I guessed whether the treatment was because of the media power hegemony, male gaze or society stereotype. However, I never got the appropriate answer. Undoubtedly, the above thought relates fatness to ugliness and sizeable equals to beauty. For example, the models from Victoria Secret are all perceived as sexy. Also, the social media keep making pretty comments non-fat people as beautiful Laura Mulvey (1975). A discussion escalated to whether women can ever hold the gaze. Notably, a female body is an amorous object for male to look at (Powrie, 2004: 187). Females performance and appearance are drawn up by mans perspective and male gaze. The Asian Society of stereotype expects girls to be tender, white skin and slender for them to qualify to be beautiful. Body Identity After noticing that I could not fit the societal expectations in my home country, I tried to figure out my problem. The society judged me as an overweight and this could result to some health issues. On receiving such comments, I tried to examine myself keenly in the mirror to verify their assertion. I realized that my figure was the embodiment of the image viewed in the mirror. I did not have a strong feeling before I took another look in the mirror. Rebecca Coleman, a lecturer in Media and Culture Studies and Sociology used empirical work and research to point out some views about how teenage girls need to develop a feminist outlook (Buchanan, 2011). Coleman (2008) points out that I consider the ways in which bodies are known, understood and experienced through images, that is, the ways in which bodies appear through their relations with images. Although, some people do not easily accept the truth but I used to keep the mirror in my room so that I could check my body shape every day. Body Shaping and Body in Pain When I joined the university, my parents advised me to practice yoga. In the beginning, I had no idea about yoga. The only thought I had about yoga was stretching the body all the time. So this meant I had to be very flexible. After enrolling for the practice, I learned that yoga is an exercise that keep challenging oneself and body, not only flexibility but also training muscle endurance. Sometimes I used to cry during the yoga classes due to the severe pain in the muscles. However, in the long run yoga practice made me calm and self- motivated. I therefore resolved to encourage myself that there is no option about yoga. Either one is willing to shape up or to shape out. Each of which has serious consequences. Besides practicing yoga two hours every day and going to gym three times per week to do cardio training, I also stretched so hard to exceed my limit. My body was always in pain whenever I stretched in order to shape a new reflection in front of the mirror. I was under high pre ssure both physical and mental because I had to destroy my original body shape and had to rebuild it in pain in order to suit the society demands. Fortunately, every time I took a look in the mirror after practice, I felt motivated by my outlook which inspired me to move on to achieve my goal. Although, sometimes I felt upset of my lifestyle and thought it was quite unfair because I exercised a lot and controlled my daily meal so carefully compared to other normal individuals. I was wondering why I suffered to do all this, but after reforming my body shape, I noticed that it was quite worth. For my mental part, I was getting relieved after going through all the painful stages. Conclusively, embodiment and experience all relate to personal perspective and lifestyle. Tischner (2012) suggests that psychology is often seen as discovering the reasons why individuals behave in obesogenic ways and subsequently apply this knowledge to facilitate behavior change in fat people with the aim of weight loss. It is hard to build up the new habit and change the personal embodiment which takes at least 21 days to use to create the new habit (Mesluk, 1999). References Buchanan, I. (2011).Deleuze and the body. Edinburgh: Edinburgh university press. Coleman, R. (2008). The becoming of bodies,Feminist Media Studies, 8(2), pp. 163179. doi: 10.1080/14680770801980547. Mesluk, R. (1999)How to write a million dollar adventure novel: Novel writing as aprofitable profession. Toronto: Productive Publications,Canada. Paus, C. (2014).Queering fat embodiment: Edited by Cat Pause. London, UnitedKingdom: Ashgate Publishing. Powrie, P. (2004).The trouble with men: Masculinities in European and Hollywoodcinema. New York: Wallflower Press. Tidd, U. (2003)Simone de Beauvoir. London: Taylor Francis. Tischner, I. (2012)Fat lives: A feminist psychological exploration. London, United Kingdom: Taylor Francis.