Wednesday, October 30, 2019

Compare & Contrast Hinduism and Buddhism in Ancient India Essay

Compare & Contrast Hinduism and Buddhism in Ancient India - Essay Example This paper will look at the similarities and differences between these two religions in ancient India. Both of these religions which flourished in India recognize the need of man to "escape from the wheel of life." Buddhism and Hinduism teach that man is in a quest to achieve a state where he is freed from all the sufferings of this life. In Hinduism, this is through a transcendental union while the goal of Buddhism is to reach nirvana or become enlightened (Buddha). Both of the religions believe in karma or reaping the fruits of one's actions through reincarnation. These religions teach that a man's life now is the result of what his actions in his past life. Man is not released from the cycle of life unless he attains enlightenment. The basic foundation of a religion is often built on its doctrine of who god is. This is because a religion's god becomes the center of worship. The teachings of Buddhism traces back to the life of Gautama who sought to determine the cause and the cure of human suffering. After enjoying happiness from being the prince in his kingdom, he also exposed himself to sufferings. His prescription is to that a man should live the a life in the middle of these extremes-the middle path. Buddhism therefore doesn't teach salvation through a powerful being becoming a religion which doesn't worship any god. On the other hand, Hinduism is a polytheistic religion worshipping the trinity of god comprised of Brahman, Vishnu, and Shiva and other 33,000 dieties. Another difference between Buddhism and Hinduism is their beliefs on the placement of man in the society. It should be noted that as Buddhism teaches the middle path as the perfect way a man can live his life, it strongly pushes for equality among the members of the society. Buddhism teaches that no man should be deprived of the pleasures and life at the same time that no one should be given to sufferings. This ideology pushes for the eradication of the caste society where man is classified according to his social status. In direct contrast, Hinduism adheres to a hierarchical society where some should lead others in order for the society to function efficiently. Thus, the caste system is only just and should be practiced in the whole India. The ends of the two religions are marked by the emergence of a more popular religious belief. In the case of Buddhism, the wide acceptance of Hinduism marks its downfall. The teachings of this religion become confusing to the people with its division into two factions namely, Theravada and Mahayana. With the rise of a hierarchical society which is lead by the wealthy families during the time, its hold in the Indian society is therefore weakened. On the same way, the end of Hinduism is commenced by the arrival of Islam which also introduced new ideas in the society. Instead of ascribing to the polytheistic nature of Hinduism, Islam introduced the worship of only one god as well as the revives the belief on egalitarianism.

Monday, October 28, 2019

Bill Gates Speech Essay Example for Free

Bill Gates Speech Essay William B. Gates, also known as Bill Gates was welcomed on October 28th, 1955 by his father William Gates II and his mother Mary Gates. Gates attended a public school and also the private Lakeside School. There, he discovered his interest in software and began programming computers at age 13. Today I would like to inform you about William B. Gates the founder of Microsoft, his life before Microsoft, his career, and his accomplishments. As a child, Bill Gates was very competitive, curious and a deep thinker, that is when his parents decided to enroll him in the private preparation school lakeside, where he soon excelled. Bill Gates was surrounded by historical events at a young age, like when Apolo eleven took men to the moon, this event inspired him because a huge computer was involved. When Bill Gates was in high school he would spend hours upon hours in the computer room. He graduated in 1973 from Lakeside and was accepted by the prestigious university of Harvard, where he had no definite career plan. He loved to stay up all day and night, he spent more time in the computer lab then he did in the classroom, that was his true craze. Soon he met Steve Balmer, who lived down the hall from him at Harvard. Balmer is now Microsoft’s chief executive officer. While at Harvard Gates developed a programing language called BASIC, for the first microcomputer. In his junior year gates left Harvard to devote his energies to Microsoft, a company he begun in 1975 with his childhood friend Paul Alan. His belief was the computer would be a valuable tool on every office desk and in every home. So they began developing software for personal computers. Gates foresight and vision was the success of Microsoft and the software industry. Under gates leadership Microsoft’s mission has been to improve software technology and to make it easier, cost effective and more enjoyable for people to use computers. In 1999 gates wrote business @ the speed of thought, the book was published in 25 languages and available in more than 60 countries. Was on the bestseller list of new york times, USA today, the wall street journal and amazon. com. Gates has donated the proceeds of the book to a nonprofit organization that support the use of technology and education and skills development. William Bill Gates is chairman of Microsoft Corporation the world wide leader in software, services and solutions that help people and buisnesses realizes their full potential. In 2008 Bill Gates transitioned out of a day to day role in the company to spend more time on his global health and education work at the Bill and Malinda Gates foundation. Gates Continues to serve as Microsoft s chairman and advisor on key development projects. In conclusion William B. Gates is considered a role model to many people, in many different ways. He has many accomplishments that have made him into the successful businessman he is today. Bill gates changed the way the world operates and functions, he made life easier for humans to live in. In 4 seconds he earns $250, in 24 hours he earns 20 million, and in a year he earns 7. 8 billion dollars. All this due to his co-founding the multi-billion dollar company that is Microsoft today. And as bill gates once said â€Å" be nice to nerds, because youll probably be working for one. †

Saturday, October 26, 2019

Sakis Stories and the Impression they Create about Adult-Child Relatio

Saki's Stories and the Impression they Create about Adult-Child Relationships In order to answer this question I am going to be focusing on three of Saki?s stories; the story-teller, the lumber room and the open window. Children at the time Hector Munro (Saki) was writing these stories would have had very vivid imagination; this is shown in Saki's story 'The Open Window' when the niece makes up the saga of Mr Sappleton's death, illustrates how imaginative children can be, and that adults are very easily fooled. Fooling adults is a key theme in Saki's stories; another time when it occurs is in the story 'The Lumber Room' when Nicholas dupes his aunt into believing that he is somehow trying to get into the gooseberry garden, but instead has no intention of doing so but does sn...

Thursday, October 24, 2019

The Physics of Basketball Essays -- Physics Essays

The Physics of Basketball Introduction Any child can pick up a basketball, bounce it a few times, and throw it at the hoop without realizing the complex physics he is involving himself in. However, a greater understanding of the sport can be gained by applying the principles of physics to these actions. Through this paper I will be examining the physics of dribbling and shooting. For the equations, I will use a standard men’s basketball with a mass of 25 oz. (0.7 kg) and a diameter of 9.39†. Dribbling If the basketball was simply dropped from a height of 1 meter with no initial push from the dribbler and rebounded from the floor in a perfectly elastic collision, Mechanical Energy for the system would be conserved (1). However, the collision is not completely elastic and the dribbler pushes the ball with an initial force to ensure that it returns to his hand. To simplify the process I will first consider a situation in which the ball is allowed to fall freely from a height of 1 meter and has a perfectly elastic collision with the floor. After that I will take the true nature of the collision with the floor and the force applied by the dribbler into consideration. Because Mechanical Energy (ME) is equal to Kinetic Energy (KE) plus Gravitational Potential Energy (GPE) and Mechanical Energy is conserved, I know that the initial KE + GPE at 1 meter equals the KE + GPE just before it impacts the ground. If KE =  ½ mv2 and initial velocity is zero, then the initial Kinetic Energy is zero. GPE would equal mass X gravity X height. Assuming mass is 0.7 kg, gravity is 9.8 m/s2 , and the height is 1 meter, then GPE is equal to 7.0 kg * m2/s2. Conversely, the GPE would be zero just before impact because height is zero but KE wo... ...with no spin (1). Therefore, giving the ball backspin decreases the force necessary to propel a basketball a certain distance because it will not fall as quickly. Understanding the physics of shooting and dribbling a basketball may not increase the enjoyment of watching the NBA finals, but it may help improve a basketball player’s skill. If he can find the right force necessary to propel the ball back to his hand when dribbling and realizes the importance of giving the ball a chance to fall down into the rim, he will be better off for the next game. Works Cited 1.Kirkpatrick, L. D., & Wheeler, G. F. (2001). Physics: A World View. Orlando: Harcourt College Publishers. 2.How Things Work. Louis A. Bloomfield. Retrieved April 2003. http://howthingswork.virginia.edu/bouncing_ball.html 3. Spalding basketball - http://www.spalding.com/faq/basketball.html#Q7

Wednesday, October 23, 2019

Essay on Eletronic Media

Electronic media such as the Internet, e-books and tablet readers may be having an effect on the print media sector. This essay finds out if there is any validity to this argument. Digital media does seem to have had an impact on the modern world, both affecting the online world and the offline business sectors, as well as world markets. It has certainly affected the communications sector and so it is plausible that it has affected print media too. (G5lo, 2013). Since the year 2003, the amount of printed material in use for recreational purposes has gone down whilst the use of TV and other electronic media has gone up.This may indicate that digital media is having a direct influence on print media. (Wala, 2009). Children are being encouraged towards digital media because there is more of it and because it is easier for parents when trying to entertain children. This means that children will grow to love digital media whilst ignoring print media. This is going to affect the print medi a sector in the long run. (Farnia, 2012). Print media is easier to use and read which may be why it has not sunk out of our society completely.But, the read availability, convenience and price of digital media means that it may soon replace print media permanently. (Withers, 2012). Studying may always rely on reading material, which begs the question of whether print media is going to fall from existence completely. It would appear that the transition from print media to digital media has been a lot slower in the academic world. And yet, it is conceivable that print media will be replaced by more convenient tablet devices in the future. (Ezeji, 2012).AnalysisData does suggest that digital media is having an influence on the popularity of printed media, and that children are going to grow up to be fond of digital media. Print media is easier to read, but that is just one benefit of print media, where digital media has many benefits. Evaluation The evidence points towards the fact tha t digital media is influencing print media. But, the sliding popularity of print media may be more to do with social factors such as children are reading less. On the other hand, the benefits of digital media do seem to significantly outweigh the benefits of printed media.Conclusion Even though the reasons for the decline of print media popularity are unclear, it cannot be argued that digital media is rising. It may be rising as it replaces printed media, or it may be pushing printed media out of the arena. The two factors may be completely unrelated, but given the evidence provided on this essay, and the subsequent analysis and evaluation, I conclude that digital media is influencing print media. Electronic and Printed Media in American Pop Culture Radio, television, music, motion pictures, magazines, newspapers, etc, all are very influential in American popular culture.All of these types of media play a similar role, which is to decide the standard for American pop culture at that moment in time. All which focus on 3 major trends: style, health, and taste (interest). They all have their own way that they impact the way we think and impact our opinions, thus shaping what American popular culture will be. For example, let us take electronic media, electronic media being the radio, music, and television/motion pictures. They all influence the 3 major trends: health, style, and your interest.Health, it is single handedly one of the most important trends in popular culture. Turn on the television and you are guaranteed to see a minimum of 3-4 weight loss commercials, and the same counts for radio. It is filled with advertising commercials of gyms, workout regiments, and muscle building supplements. TV/motion pictures and music are the most important in this portraying this message of health. You hear and see about musicians and actors/actresses losing weight or whatever is necessary to portray a perfect image.By no means am I arguing that it is not important to b e healthy and to be in shape, but a growing trend in American pop culture is that it is less than accepted to be a larger size. There is much pressure for people to be thin, and because it is the more accepted trend people are willing to go through anything to reach that perfect pop culture image to make their selves feel happier and more accepted. Nowadays, another very popular means of social interaction and propagation that has emerged along with the print Media is the rise of Electronic Media.The birth of electronic media took place with the invention of Radio when a single voice mile away thrilled millions across the continents who marveled at this miraculous hearing of a voice. People wondered and were over-joyed with this great invention. It was the beginning of an entirely new era. Science was hailed as the mistress of all knowledge become it had made the impossible happen – a voice travelled and reached every nook and corner of the word. Owning a radio becomes a symb ol of pride and social status.When the voices get a face through Television, the people were left aghast. How could they see a person sitting miles away? And that hear him? So clearly so closely? It was the miracle of miracle, wonder of wonder. Science is a park of magical things. Television is a revolution in itself. The whole get shrunk into that one room of the house. The on September 15, 1959, Doordarshan was inaugurated in India. It was a great privilege to have a Television set every evening either to watch Chaupal or Humlog or Chitrahaar.Sunday were the eagerly awaited days with the Sunday Feature-film and then in the late 80s and early 90s with the nine to ten show or Ramanand Sagar’s epic creation â€Å"The Ramayana† and later BR Chopra’s ‘The Mahabharata’ The entire nation used to come to a standstill with great love, respect and interest the greatest epics of all times dramatized on the silver screen. These also reflect upon the social im pact that television has. With the introduction of cable Television in 1993, electronic media has emerged as a greatest social force than ever. Gone are the days when television was a monopoly of a few rice.Now the ‘Idiot box’ as it has been called by many is found in every home, shop and office. Television now has invaded not only every home, but every sphere of life. In fact, in some way or the other television now-a-days dictates our life. It has invaded and cut shot our social life . People prefers to watch television instead of visiting people or socializing. It has severed all homely conversations around the hearth. People don’t want to talk to each other as they don’t want to miss even a single image displayed on the Idiot-Box. Thus, Families sit around as strangers watching sacrificing their family bonds at the alter of Television.Visitors too are unwelcome when the favourite serial or movies is being aired. Moreover, with the host of channels, Tel evision is also responsible for quarrels within the families for people wanting to watch different programmes on different channels at the same time. But blaming Television for all this solely would be an utter foolishness. Such things happen when human beings are enslaved by technology, when they let such thing to guide their lives and master them. If used judiciously, the electronic media can prove to be very useful, educationally as well as socially, political and economically.TV can in fact, be used to as a powerful medium to spread social awareness among the illiterate masses against various social evils. Discussions on various topics can help the educated masses increase their intellectual abilities and widen their horizons. The various news channels keep the vigilant citizens updated. Channels like Discovery and national Geographic keep the inquisitive mind busy and satisfy every intellectual query of a probing mind. Along with these are endless number of entertainment channe l have come up to cater to this special section of the society of the society.Television can help popularize technology and internationalize and universalize our outlook. Along with TV, there are other means of electronic media like the internet or cinema which are fast growing and are extremely popular TV can help strengthen our diversity, strengthening our unite and integrity and shake off social evils and superstitions. Thus electronic media can play a great constructive role in help build of the social and cultural infrastructure of the nation if wisely within the limits of decency and intellectuality. In recent years the media, both print and electronic, has developed immensely.It is a form of communication which is feeding us with information from all corners of the world and not only that it is a form of entertainment as well. These are the main reasons that are causing the media to penetrate into our lives. Although, media has many advantages but at the same time it has cert ain drawbacks as well. In my opinion their are more disadvantages of living in a media rich society rather than its good effects. The first detrimental effect of the media is that it is the major source of violence among the youth.Children watch violent sports like wrestling, watch violent and horror movies and the aftermath of such shows is that children try to do the same acts as done by their heroes and can seriously harm them selves and their fellow children too. Furthermore, now on television their are large number of channel options are available. Children come home from school and sit down in front of the television, hardly involve in physical activities or participate into face-to-face communication or share virtual and non virtual information.This lack of socialism can seriously affect a child's' confidence and communication skills. The other equally important factor is that in the newspapers, on websites and during a television show too many advertisements are being shown, trying to convince the public to buy their products even if they do not need it. Many people too get attracted by these ads and waste their money on non competitive things. However, their are few people who consider media's influence beneficial. They claim that media can be auxiliary while making decisions about many aspects of life, like politics.Through media different people give different opinions, giving us choice to decide what is right for us. In addition, internet has made the research process so efficient and simple that we cannot think of redeeming ourselves from this form of media. To sum up, I concede that the influence of media can be effective in many ways but it is causing many harmful effects as well at an alarming rate. We are are living in 21st century where we are completely dependent on the media and we cannot remove it from our daily routines. The best way to control its influence is to limit its use.

Tuesday, October 22, 2019

Malala Yousafzai Essay Example

Malala Yousafzai Essay Example Malala Yousafzai Paper Malala Yousafzai Paper Malala Yousafzai Marc Champion, Salman Masood, and Beclan Walsh further analyze the outcome of the Nobel Peace Prize to reflect upon Malala Yousafzais attributes to society. The writers professionally address the perspectives of the Pakistani people while applying their opinions as to why Yousafzai deserved to be recognized. Marc Champion adequately expresses the idea that Yousafzais achievements are the embodiment of the Nobel Peace Prize representation, therefore being the rightful contender. He assertively states that, l know who I would have chosen for this years Nobel Peace Prize: Malala Yousafzai. Reclaiming her contributions to the world, Champion reasons that the Nobel Peace Prize should have gone to her on the basis that she deserved it now, while the OPCW deserve it in the future. Using President Obama, Champion argues, [He was] awarded the Nobel Peace Prize in 2009 for getting elected, as a, kind of advance payment on great deeds to come. This advanced payment does not promise future the fulfillment while Yousafzai has already done the greatest deed of all; she endangered herself for the greater good. As such, he implies, l dont see how [the OPCW] competes with the bravery of Malala and her family. Does Champion make an acceptable case for her? I agree the contributions by Yousafzai should have been appreciated by the Nobel Peace Prize standards. Many opinions follow the actions of Yousafzai and her family including those that claim fraud and publicity purposes. The people of Pakistan will not associate with Yousafzai on the grounds that, [she is] a C. I. A agent, part of a nebulous Western Plot to humiliate their country and pressure their government. It is also claimed that Yousafzais assassination attempt was fake to dramatize her actions towards society. The Pakistani people do not believe she deserved the Nobel Peace Prize because of the lack of proof behind Yousafzais experiences. Simply put, Malala Yousafzais involvement with education and womens rights brought multitudes of opinions, especially on the results of the Nobel Peace Prize. Marc Champion, Salman Masood, and Beclan Walsh eloquently establish respect for Yousafzai while addressing the perspective of those who believe she is false. So is Yousafzai worthy of the Nobel Peace Prize? Indeed, she earned the respect deserving of the Nobel Peace Prize, but in the end she did not go unnoticed and she did not go unrewarded. By HSslacker

Monday, October 21, 2019

hiv affected parents Essays

hiv affected parents Essays hiv affected parents Essay hiv affected parents Essay Lapriah Morrison soc 482 Dr. Donna Cole December 4, 2013 HIV-lnfected Parents and Their Children in the United States HIV has an insightful influence not only on the people it infects, but also on their families. Children who are dependent on their parents are particularly vulnerable. Because of the effects of HIV disease and the social conditions that are often associated with it, parents living with HIV may have limited financial, social, and emotional resources to draw upon in raising their children. Additionally, if parents become incapacitated or die, others need to take over the role of caring for the children. Children and families of people with HIV may depend on public and charitable resources that cover such services as income supplementation, health care, child care, housing, bereavement support, foster care, and adoption. These services are not always available, and the dishonor associated with HIV can complicate access to such services. To address the needs of children and families affected by HIV, they needed to know the extent and importance of the problem. Analysis Nationally representative data have not previously been available to describe this population, although the percentage of HIV infected adults with hildren has been reported for regional and convenience samples. 10-12 studies have estimated the number of children with vertically acquired infection and the percentage of childbearing women who are HIV infected. 4-16 several researchers have used modeling techniques to estimate the number of children in the United States who have lost or will lose their mothers because of HIV. These studies have drawn attention to the fact that HIV affects more than Just those who are infected. To gain a better understanding of parenthood and family responsibilities among HIV nfected adults in the United States, they used data from a national probability sample of men and women who are receiving health care for HIV to dete rmine who had children the ages of the children, and with who the children lived with. Methods The HIV Cost and Services Utilization Study used multistage national probability sampling to select a random sample of adults with known HIV infection who had at least one visit for health care at a facility other than a military, prison, or emergency department facility during a two month population definition period in 1996. They also sampled geographical areas, medical providers, and then patients. In the first stage of sampling, they sampled metropolitan statistical areas with the largest AIDS caseloads, along with an additional 20 metropolitan statistical areas and 24 clusters of rural counties. In the second stage of sampling, they sampled 58 urban and 28 rural known providers from list of all providers known by local informants to sampled 87 urban and 23 rural other providers who had affirmed caring for HIV patients in a screening survey of approximately 4000 physicians randomly selected rom the physician master file maintained by the American Medical Association. In the third stage of sampling, they sampled patients from anonymous lists of all eligible patients who had visited participating providers during the population definition period. Women and members of staff model health maintenance organizations were oversampled. Data collection began in January 1996 and ended 15 months later. Their overall rates were 68% for full interviews and 87% for people with abbreviated interviews or information supplied by others. In total they gained 2864 full interviews. Living Arrangements for Children Fifty-two percent of children lived with the respondent, and 28% lived with their other parent, for a total of 80% living with at least one parent. The remaining children lived with their grandmother (9% of all children), with another relative (5%), with an unrelated foster or adoptive parent (4%), or in another situation. Living situation varied a lot by the sex of the respondent. Sixty-nine percent of children of a female respondent lived with the respondent and 6% lived elsewhere with their father, whereas 32% of children of a male respondent lived with the respondent and 53% ived elsewhere with their mother. There was no significant decrease in the proportion of children who lived with their parent. Infected Adults Living With Their Children HIV- Women were much more likely than men to be living with their children: 76% of women with children (and 45% of all women) and 34% of men with children (and 6% of all men) lived with at least 1 child. Among women and men living with children, 15% and 21%, respectively, had at least 1 child living elsewhere. The possibility that a respondent lived with his or her children varied by household income for women and en and by the respondents level of education. Percentages of Children Younger Than 18 Years in Various Living Arrangements, by Sex of Respondent: HIV Cost and Services utilization study, 1996-1997 Living Arrangement Female Male Respondent parent 69 32 Other parent 6 53 Grandmother 10 8 Another relative 3 Unrelated adoptive/foster parent 2 Other Health of and Available Support for Parents Living With Children Many parents were at a fairly advanced stage of illness that could have been affecting their ability to take care of their child. Twenty-three percent of parents living with children eported that their lowest CD4 count was 50 to 199, and 22% reported less than 50. Sixty percent of parents living with their children had symptomatic HIV, and another 30% had AIDS. Many of the parents may have been too sick to tend to their childrens needs or may have had other conditions that interfered with their ability to take care of their children. For example, 21% of parents living with children had been hospitalized during the previous 6 months, including 10% who had been hospitalized for 7 or more days. 0% of parents who had been hospitalized during the previous 6 onths were also living with a spouse or partner. Eighteen percent of parents living with children had needed home health care in the previous 6 months; 45% had symptoms consistent with a psychiatric disorder; 10% showed evidence of probable past drug dependence; 5% had been heavy alcohol drinkers in the previous 4 weeks; and 10% had needed drug or alcohol treatme nt in the previous 6 months. Although many parents appeared to have resources available to draw upon, some parents lacked social networks that could pick up the slack if they were unable to take care of heir childrens needs, and some had limited financial resources. Twenty percent had no close friends, and 16% saw family members once a month or less. Twenty-five percent had no one to lend them money, and 16% had no one to help with chores. Thirteen percent had gone without needed health care at least once in the previous 6 months, because they needed the money for basic necessities such as food, clothing, and housing, and 8% had gone without basic necessities because they needed the money for health care. Some put off going to the doctor because they were too sick 19%), they were taking care of someone else (16%), or they did not have a way to get there (23%). Twenty percent had had to find a place to live in the previous 6 months. Sixty-seven percent were participating in 1 or more government supplemental income programs and 31% received Supplemental Security Income, 31% received Social Security Disability Insurance, and 39% received Aid to Families with Dependent had private insurance, and 17% had no health insurance. Conclusion In this sample of HIV-infected adults in care, we have shown that many throughout the country have children and some continue to conceive and have hildren after diagnosis. HIV-infected parents generally continue to live with their children even as their disease progresses. If there are any future plans of the epidemic they will need to consider the impact on parents of having responsibility for children and the impact on children of having parents with a chronic, stigmatizing, and potentially fatal condition. Parents may need support in meeting conflicting responsibilities of looking after their own health needs while also taking care of their children. 51 the children, as well having needs related to their parents HIV infection, ncluding financial assistance, emotional support, and supervision when the parent is incapacitated or dies. HIV-infected adults could also benefit from counseling and support when making decisions about having children. Unfortunately, even if transmission rates decrease many parents are already infected, and the disease will continue to have a large impact on families and on how society treats them. Reference Page 1 . Caldwell MB, Mascola L, Smith W, et al. Biologic, foster, and adoptive parents: care givers of children exposed perinatally to human immunodeficiency virus in the United States. Pediatrics. 199Z90:603-607. 2. Carten A], Fennoy I. African American families and HIV/AIDS: caring for surviving children. Child welfare. 3. Cohen FL, Nehring WM. Foster care of HIVpositive children in the United States. Public Health Rep. 4. Forsyth BW, Damour L, Nagler S, Adnopoz J. The psychological effects of parental human immunodeficiency virus infection on uninfected children. Arch Pediatr Adolesc Med. 5. Mark A. Schuster, MD, PhD, David E. Kanouse, PhD, Sally C. Morton, PhD, Samuel A. Bozzette, MD, PhD, Angela Miu, MS, Gwendolyn B. Scott, MD, and Martin F. Shapiro,