Sunday, January 26, 2020

Case Study: Urachal Carcinoma in a Young Man

Case Study: Urachal Carcinoma in a Young Man A rare case of urachal carcinoma in a young man Young Kwon Hong, Haeyoun Kang1, Moon Hyung Kang, Dong Soo Park INTRODUCTION Urachal carcinoma accounts for less than 1% of bladder cancers and approximately 40% of vesical adenocarcinomas. Historically, patients tend to have a poor prognosis, with 5-year survival rates of 6.5–61.0%. Therefore it is important to detect the disease as early as possible. Most urachal cancers have been reported at the middle or old age, and it is hard to think that urachal remnant has malignant change in a young man at the age of twenties. Here we introduce a very rare urachal cancer case in a young man and we would like to remind that urachal remnants have potential to change from benign to malignant as earlier than expected. CASE REPORT A 26 year old man visited our clinic with gross hematuria starting a few months ago. Urinalysis showed many RBC, and CT scan showed a 4.0 x 6.8 cm sized lobulated cystic mass over the bladder dome which was located midline to the right side. The mass has calcified thick wall with suspicious contrast enhancement (Fig 1). Cystoscopy showed a ball-shape extrinsic mass from the bladder dome with intact bladder mucosa (Fig 2). With an impression of urachal cancer laparoscopic surgery was performed. Camera port was placed 5cm above the umbilicus, and two instrument ports were placed 7cm lateral and 2cm caudal to the camera port. Anterior peritoneum was dissected deep and widely from the level of umbilicus down to the UB including median umbilical ligament and part of both medial umbilical ligaments. Cystoscope was introduced from the urethra into the bladder to illuminate the margin of the mass and to facilitate keeping enough distance from the mass during laparoscopic partial cystectomy. Bladder was repaired continuously with 4-0 vicryl suture. After placing a closed suction drain the mass was wrapped into an Endo CatchTM bag and squeezed out through the extended umbilicus opening. A Foley catheter was inserted into the bladder and the port sites were closed. Cross section of the surgical specimen showed a unilocular cyst without definite solid part, filled with gray tan to brownish thick mucus material. It also showed whitish to yellowish thick wall with multifocal calcifications (Fig 3). Immunohistochemical staining was strong positive on CEA, positive on CD15 (LeuMI), and weak positive on CK7 and CK20. Final diagnosis was well differentiated mucinous urachal adenocarcinoma invading bladder muscle, pT3a based on Sheldon’s staging system, pT2b based on Mayo system, and pT2 based on Ontario system. Surgical margin was negative. DISCUSSION Malignant involvement of the urachus is rarely reported, one in 5 million people, accounting for 0.35% to 0.7% of all bladder cancers [1]. It has been reported mostly in adults over 30 years old. To our best knowledge, only one adult case of urachal carcinoma diagnosed before the age of 26 has been reported in the English written literature, although two cases have been reported in 15 year-old girls [2-7]. The youngest adult case in a 22 year-old patient is found on MD Anderson cancer center experience written by Siefker-Radtke et al [4]. According to the MSKCC study of 24 cases, two young men who was 26, 29 years old each found to have urachal cancer [5]. The 26 year-old man received extended partial cystectomy, umbilectomy and pelvic LN dissection, and survived at only 0.9 month of follow up without long-term survival data. The 29-year-old man received extended partial cystectomy and umbilectomy, and survived at 17 months of follow up without local recurrence or metastasis. Even in a large series study, Mayo clinic study of 49 cases for 53 years, the youngest was 43 years old [8]. Our case is an urachal adenocarcinoma found in a 26 year-old man, the second youngest adult case ever reported. Age at the diagnosis of urachal carcinoma is important to understand pathogenetic transitional mechanism from benign to malignancy. Also clinicians should be aware that urachal carcinoma may occur early in the life time at the age of twenties. References Sheldon CA,Clayman RV,Gonzalez R,Williams RD,Fraley EE. Malignanturachallesions. J Urol.1984; 131(1):1-8. Cornil C,Reynolds CT,Kickham CJ. Carcinoma of the urachus. J Urol.1967; 98(1):93-5. Gupta S,Bhaijee F,Harmon EP. Mucinousneoplasmarisingin aurachalcyst: a first in the pediatric population. Urology.2014; 83(2):455-6. Siefker-Radtke AO,Gee J,Shen Y,Wen S,Daliani D,Millikan RE,Pisters LL. Multimodalitymanagement ofurachalcarcinoma: the M. D. Anderson Cancer Center experience. J Urol.2003; 169(4):1295-8. Gopalan A,Sharp DS,Fine SW,Tickoo SK,Herr HW,Reuter VE,Olgac S. Urachalcarcinoma: aclinicopathologicanalysisof24caseswith outcome correlation. Am J Surg Pathol.2009; 33(5):659-68. Pinthus JH,Haddad R,Trachtenberg J,Holowaty E,Bowler J,Herzenberg AM,Jewett M,Fleshner NE. Populationbasedsurvivaldataonurachaltumors. J Urol.2006; 175(6):2042-7; discussion 2047. Henly DR1,Farrow GM,Zincke H. Urachal cancer: role of conservative surgery. Urology.1993; 42(6):635-9. Molina JR,Quevedo JF,Furth AF,Richardson RL,Zincke H,Burch PA. Predictorsofsurvivalfromurachal cancer: a Mayo Clinic study of 49 cases. Cancer.2007; 110(11):2434-40. Acute Tonsillitis Chronic Ulcerative Colitis | Case Study Acute Tonsillitis Chronic Ulcerative Colitis | Case Study Katharine Buzzbee is a pleasant young girl of 9 years old. She was brought to the health center with complaints of sore throat with difficulty swallowing. Her mother states that Katharine has had similar symptoms three separate times this year. The illnesses begin with irritation in the throat that progress to pain. The pain radiates to her ears and she generally develops a fever during the course of each attack. The patient also has a history of developing frequent colds where she experiences headaches, a stuffy nose and frequent sneezing. Her older brother and sister have both recently had the common cold. The patient is otherwise healthy with no major illnesses or injuries. Clinical manifestations: On examination, Katharines palatine tonsils are swollen, red and surrounded by exudate. She has a temperature of 101.1 °F and complains of a running nose and headache. She appears tired and isnt as energetic as in our previous encounters. Diagnosis: acute tonsillitis. Throat culture confirmed strep. bacterial infection. Etiology: Acute tonsillitis is generally caused by a viral infection, most commonly caused by common cold viruses such as: adenovirus, rhinovirus, influenza, coronavirus, respiratory syncytial virus. The Epstein-Barr virus, herpes simplex virus, cytomegalovirus and HIV occasionally manifest as tonsillitis. The second cause of acute tonsillitis is bacterial1 (about 30% of patients). The common bacterium is group A Beta hemolytic streptoccal. Other strains of bacteria are less common. The patient listed above has this type of infection. Pathogenesis: virus or bacteria attacks tonsil tissue exiting the response of innate immunity and adaptive immunity of T and B cells contained in the tonsils. The lymphocytes fight the infection, which leads to inflammation. As long as the lymphocytes and other cells can weaken the virus/bacteria the damage to the cells within the tonsils will remain reversible. Treatment: 10-day course of oral penicillin2, rest and hydration. Prognosis: symptoms should resolve during course of treatment. If frequent onset of tonsillitis continues tonsillectomy may be recommended. Inflammatory response The bacteria is ingested or inhaled and attaches to the palatine tonsils (injury). At the gross level the tonsils become swollen with erythema causing pain and difficulty completing normal tasks such as swallowing. In the study by Liljaa, Raisanenb and Stenfors3, the researchers studied bacterial and epithelial cells from palatine tonsils of nine patients with positive streptococcus pyogenes infection. The reported findings showed, S. pyogenes could be identified both in the mucous layer covering the tonsils and attached to the surface epithelial cells. Long chains of coccus-shaped bacteria could be seen encroaching on the epithelial cell borders. S. pyogenes can apparently penetrate the mucous barrier, attach to the epithelial cells, spread from cell to cell and possibly penetrate into the outermost layer of the epithelial cells. These events in turn provoke cytokine production and/or complement activation, which induce inflammatory reaction in the tonsillar tissue (activation). Dead bacteria and bacterial debris will remain at the site of the infection and must be removed (phagocytosis) from this area by neutrophils and macrophages. Once the bacterium has been removed through phagocytes the tonsillar tissue will resume its normal form through resolution (healing process). Swelling and pain will cease. Chronic inflammation: Ulcerative Collitis Case study Jedediah Jones is a 24-year-old student pursing a degree in chiropractic medicine. He presents today with abdominal pain and frequent diarrhea containing mucus and blood. The onset of these symptoms began 2 months ago, but Jedediah decided to seek treatment when his frequent bowel movements began to disrupt his studies. Patient states that on average he has approximately 8 bowel movements per day, most frequently occurring after a meal. His abdominal pain is most severe before a bowel movement, but remains constant at the pain level of 4 out of 10. Patient says pain is 6 out of 10 at its worse. Patient attributes the symptoms to his newly adopted diet mostly consisting of fast food. Until recently he lived at home where all his meals were homemade. Patient has experienced an increased level of stress since beginning his studies (6 months ago) and subsequently quit smoking cigarettes. Patient exercises regularly, but has experienced a decrease in energy levels since the onset of symptoms. Patient denies other illness or injuries and is currently not taking any medication. Patients twin brother was recently diagnosed with Crohns disease and his maternal grandfather died of colon cancer at 48 years old. Clinical manifestations: LLQ tender upon palpation and entire abdomen appears distended. Patient claims 8 bowel movements per day with a watery consistency containing mucus and blood. Conjuctiva and finger nail beds appear pale. Diagnosis: ulcerative colitis, confirmed by positive biopsy removed during sigmoidoscopy. Inflammation of bowel appeared to extend no further than the descending colon with most severe inflammation and ulceration in the sigmoid section. Stool cultures ruled out parasitic infection. Etiology: the cause of ulcerative colitis is unknown, but factors such as genetics7, psychological stress, smoking cessation and poor diet have been attributed to onset of disease. Pathogenesis: as stated in the pathology textbook7, Most investigators believe that [ulcerative colitis and Crohn disease] result from a combination of defects in host interactions with intestinal microbiota, intestinal epithelial dysfunction, and aberrant mucosal immune responses. Treatment: Sulfasalazine 2 pills by mouth, 3 times per day. à ¢Ã¢â€š ¬Ã‚ ¨Rowasa (mesalamine) rectal suspension enema, at bedtime until bleeding stops. Prognosis: continue medication until symptoms have resolved completely. Maintenance therapy will be recommended indefinitely to avoid relapse. Inflammatory response Podolsky8 explains in his article that inflammatory bowel disease (IBD) is believed to be the result of an ongoing activation of the mucosal immune system. This abnormal response is likely due to the defects in both the intestinal epithelium and the mucosal immune system (injury). Podolsky8 clearly defines the inflammatory response of IBD, Chronic, recurrent intestinal inflammation appears to result from stimulation of the mucosal immune system by-products of commensal bacteria in the lumen. Stimulation may occur as a result of the penetration of bacterial products through the mucosal barrier, leading to their direct interaction with immune cells, especially dendritic cells and lymphocyte populations (chemotaxis). Alternatively, bacterial products may stimulate the surface epithelium, possibly through receptors that are components of the innate immune-response system; the epithelium can, in turn, produce cytokines and chemokines that recruit and activate mucosal immune cells (transmigration). Cellular changes occur in ulcerative colitis as the chronic inflammation may lead to mucosal atrophy7, damage to the muscularis propria and disrupt neuromuscular function leading to colonic dilation and risk of perforation (cellular changes). As stated in the textbook7, The inflammatory process is diffuse and generally limited to the mucosa and superficial submucosa. Submucosal fibrosis, mucosal atrophy and distorted mucosal architecture remain a residual of healed disease but histology may also revert to near normal after prolonged remission (healing process). Resources Merck Manuals Online Medical Library. Tonsillopharyngitis. Available at: http://www.merck.com/mmpe/sec08/ch090/ch090i.html. Accessed: October 21, 2010 Venes D, Thomas C (Eds.). Tabers Cyclopedic Medical Dictionary 19th ed. Philadelphia, PA: F.A. Davis; 2001 Liljaa M, Raisanenb S, Stenfors L E. Initial events in the pathogenesis of acute tonsillitis caused by Streptococcus pyogenes. Int. J. Pediatr. Otorhinolaryngol. September 1998; 45 (1): 15 20. Mansson A, Adner M, Cardell L O. Toll-like receptors in cellular subsets of human tonsil T cells: altered expression during recurrent tonsillitis. Respir Res. 2006; 7(1): 36 Ebenfelt A, Ericson L E, Lundberg C. Acute Pharyngotonsillitis is an Infection Restricted to the Crypt and Surface Secretion. Acta Otolaryngol (Stockh) 1998; 118: 264 271. Wikipedia contributors. Wound healing. Wikipedia, The Free Encyclopedia. October 23, 2010, 14:00 UTC. Available at: http://en.wikipedia.org/w/index.php?title=Wound_healingoldid=392404843. Accessed October 24, 2010. Kumar V, Abbas A, Fausto N, Aster J. The Gastrointestinal Tract (Ch 17). Robbins and Cotran Pathologic Basis of Disease 8th ed. Philadelphia, PA: Saunders Elsevier; 2010: 810 814 Podolsky, D. Inflammatory Bowel Disease. N Engl J Med 2002; 347:417-429 The Empire Writes Back | Green is the Colour The Empire Writes Back | Green is the Colour Ashcroft, Bill et al in the book The Empire Writes Back: Theory and Practice in Post Colonial Literature discusses what post-colonial is and explains among others the theories of post-colonialism. According to Ashcroft et al, the term colonial can be used to cover all the culture affected by the imperial process from the moment of colonization to the present which concerns with the world as it exists during and after the period of European imperial domination and the effects of this on contemporary literatures. These contemporary literatures include those produced in the African countries, Australia, Bangladesh, Canada, Caribbean countries, India, Malaysia, Malta, New Zealand, Pakistan, Singapore, South Pacific countries, Sri Langka and even the USA (p.2). Development of post-colonial literatures happens through several stages along with the stages of national or regional consciousness and the project of asserting difference from the imperial centre (ibid, p.5). The first stage is the stage of the imperialism where writings were produced using the language of the imperial centre because they were written mainly by the literate elites which can also be regarded as the representative of the imperial power. Examples include gentrified settlers (Wentworths Australia), travellers and sightseers (Froudes Oceana, and his The English in the West Indies or the travel diaries of Mary Kingsley) or the Anglo-Indian and West African administrators, soldiers and boxwallah and their memsahibs (volumes of memoirs). At this stage the writers not only talk about the landscape, language and culture of the place but also emphasize the home over the native, the metropolitan over the provincial or colonial and so on (ibid, p.5). The second stage involved literature produced by what Aschroft et. al termed as under the imperial license by the natives or outcasts like the English educated Indian upper class or the African missionary literature. However, the institution of Literature in the colony was still under the control of the imperial ruling class which prevented the writers from fully exploring their anti-Imperial potential. One of the examples given is a novel entitled Ralph Rashleigh by James Tucker. Basically, there are four post colonial models which can be used to study literary texts. The first model is the national or regional models which emphasize the distinctive features of the particular national or regional culture; while the second one is the race- based model which identifies certain shared characteristics across various national literatures such as the common racial inheritance in literatures of the African diaspora addressed by the Black Writing model. Comparative models of varying complex ity which seek to account for particular linguistic, historical and cultural features across two or more post-colonial literature is the third model while the last one which is rather comprehensive is the comparative models which argues things such as hybridity and syncreticity as the constitutive elements of all post-colonial literature. One of the popular preoccupations of postcolonial literature deals with nationalism. Several definitions of nationalism can be found in the dictionaries and among them are the devotion to the interests or culture of ones nation; the belief that nations will benefit from acting independently rather than collectively emphasizing national rather than international goals; and aspirations for national independence in a country under foreign domination (http://www.thefreedictionary.com/nationalism). Benedict Anderson (1983) defines nation as imagined, limited and sovereign communities. According to Anderson imagined community is different from an actual community because it is not (and, for practical reasons, cannot be) based on everyday face-to-face interaction between its members. Anderson argues that nations are a small idea shared by a geographically limited area of people that despite its limitation has influence and power in its greater region and sovereignty over its people. Nation became more and more realized as linguistic diversity, religious authority and traditional monarchies faded. A nation is imagined because the members of even the smallest nation will never know most of their fellow-members, meet them, or even hear of them, yet in the minds of each, lives the image of their communion and regardless of the actual inequality and exploitation that may prevail in each, the nation is always conceived as a deep, horizontal comradeship. Members of the community probably will never know each of the other members face to face; however, they may have similar interests or identify as part of the same nation. Anderson believes that his creation of imagined communities became possible because of print-capitalism. Capitalist entrepreneurs printed their books and media in the vernacular (instead of exclusive script languages, such as Latin) in order to maximize circulation. As a result, readers speaking various local dialects became able to understand each other, a nd a common discourse emerged. Anderson argued that the first European nation-states were thus formed around their national print-languages. Quayum (2009) in his introductory note for Writing A Nation Essays on Malaysian Literature stated that nationalism implies idealisation of the nation that has many positive qualities in its ideal state. Besides creating the sense of belonging, solidarity and shared membership for all its citizens where all members recognise mutual rights and duties towards one another, it also creates a sense of conviction and loyalty among members to certain shared artefacts of the nation. Quayaum however believes that to some extent nationalism may also be dangerous because there is a probability that the idealisation of the nation can turn into idolatry and nationalist sentiment can deteriorate into demagoguery, divisiveness, despotism, radicalism and racism which may lead to sectarian arrogance and destroy the creative bond of the wholeness of humanity. Lloyd Fernandos Green is the Colour Lloyd Fernandos Scorpion Orchid (1976) and Green is the Colour (1993) provide crucial insights into the state of belonging and nation-formation, as well as the understated realities of racial religious segregation and politics of prejudice which are still rampant in the contemporary Malaysian ideological landscape (Qayum and Nam, 2009). Although the exact time frame for Lloyd Fernandos novel Green is the Colour has not been clearly stated, it is quite possible that the historical context which Fernando is indirectly referring to was the Malaysian Racial Riot of 13th May, 1969. The novel exposed the unstable relationship between the racial and religious groups of Malaysia which continues to haunt the socio-cultural fabric of the country up until today (Ng, 2009). Thus, the depiction of violence, prejudices between different races and roaming vigilante in the countryside were quite real and became a common sight at that time. The effect of the racial unrest which is referred in the novel as the unsightly scab in Malaysian history can directly be felt by the multicultural citizens represented by characters like Siti Sara, Dahlan, Yun Ming and Gita. The ill-fated, cross-cultural relationship between Siti Sara and Yun Ming and their reflections to the uncertain situation in the country become the focus of the novel. Yun Ming, a second generation Chinese is a civil servant working for the Ministry of Home Affairs who seeks justice by working from within the government. He lusts for Sara, an oversea- graduate lecturer teaching in a local premier university from the first moment he sees her at a concert. Since the first meeting, Yun Ming seems to feel a kind of attraction towards Siti Sara and always tries to find ways or opportunities to be near her. Siti Sara who at first tries not to make her feeling obvious due to her status as Omars wife finally responds and begins to find comfort and peace in Yun Mings company who is described as gentle and moderate and looks at things from a human point of view and believes in the brotherhood of all. His sincerity and trustworthiness are evidenced through his willingness to risk his life in d istributing relief goods in the Malay areas even during the peak of racial riot. The understanding and tolerance that Sara never gets from her spouse leads Sara to be deeply in love with the Chinese guy. Despite all the challenges and disapproval from others (except from Lebai Hanafiah, Siti Saras father), the couple is almost successful in their relationship until Yun Ming is caught under the instruction of the villain in the novel- Panglima. Siti Sara is very significant in the novel not only as a heroine but also a narrator. As such, the story is mainly narrated from her viewpoint except for Chapter 9 which is narrated by Lebai Hanafiah, Siti Saras father and Chapter 15 by Dahlan a lawyer. Saras father has certainly becomes instrumental in shaping her into a liberal, tolerant and accommodative woman ( ). Although described as not having a unitary, parochial sense of identity like her lover Yun Ming, nor adopt a monolithic model of nationalism like her husband Omar ( ), Siti Saras character is used to realise the authors philosophy of fellowship and understanding among multi-racial Malaysia ( ). Fernando tries to promote a tolerant, selfless Bangsa Malaysia in this novel through the depiction of the characters of Yun Ming, Siti Sara and Lebai Hanafiah. Through the story, Fernando not only shows the effect of explosive and intractable racial riots on the entire nation but also on the band of closely linked individuals and how their relationships are affected by the event particularly by their contesting views of the nation. The interpretation of nation or imagined community according to him would be a community that is open- minded, receptive and tolerant towards each other just like the relationship of Siti Sara and Yun Ming. Even though Panglimas single set of values may be necessary as a reference, it is wise to allow for some freedoms for the multiracial society to practice what they believe to be right and appropriate without letting their contesting views affect their judgments and relationship with other. As Quayum, (2007) puts it, as long as we consider love as the base of all metaphysics and humanity and as the highest principle in life, we can never go wrong in self-refashioning ourselves as a nation or a society. Fernando enunciated his firmly-held belief in the integration of races and religions in his two novels Scorpion Orchid (1976) and Green is the Colour (1993) while deftly criticising communal and divisive politics which inevitably result in intolerance and destruction. These two novels provide an insight into the state of belonging and nation-formation as well as the understated realities of racial-religious segregation and politics which are regarded as sensitive but anyhow still relevant to be discussed up till now (Ng, 2009). Even though Fernando seems to rely on the incidents of the 1969 racial riot to construct the ideological backdrop of the novel, it is however inaccurate to generalize it as depicting the realities of the tensions. Instead, a careful reading will reveal that the novel is in fact depicting the ideological state of affairs in Malaysia of the 80s and 90s, a situation which Fernando views as dire to the nations health due to the communal, prejudicial agendas of cer tain political groups. Fernando tries to bring to attention the dangerous direction towards which the nation is heading, a direction that is increasingly forgetting its multicultural makeup in the move towards racial-religious homogeneity (ibid. p.118-119). Although some critics feel that the portrayal of women characters in both Fernandos novel Scorpion Orchid and Green is the Colour is rather bias Mohammad A.Quayum who reads Siti Sara as a metaphor of a nation argues that her rape by Panglima is especially significant: she is at the centre of the novel and associated with the countryside and the natural beauty of Malaysia from time to time. The authors worst fears about the future of Malaysia would be realised if corrupt politicians and bureaucrats like Panglima were allowed to remain at the helm and rule of the country (Shaping a New National Destiny with Dialogic, p. 170) The novel reveals what would happen to Malaysia if megalomaniac, bigoted and close-minded politicians were to come into power and threaten to divest other racial groups of their rights to religious and cultural affiliations (Andrew Ng, 2009, p.119) Fernando articulates the dangers of deploying religion for selfish, politically-invested ends echoes precisely the socio-political situation in Malaysia during this period. (Andrew Ng, 2009, p.119) Other character include Dahlan, a renegade Malay lawyer who persistently questions Malay supremacy and privileges resulting in him being rejected by his community (Andrew Ng, 2009, p.119) Racial harmony cannot be reinstated by force. Panglima who represents the corrupted leader of the country and Ustaz Bahaudin a leader of a religious extremist have their own way to forward their homogenising, monolithic agendas. Panglima constantly talks about an ominous strategy for nation-building. According to him in order to maintain the order in the country everybody must follow one way of life and has one way of doing things. Tuan Guru Bahaudin and the Panglima endorse the view that a nation comprising many religions cannot become united and only through a single faith at the (potentially violent) expense of others can function as the adhesive for a people that is otherwise racially segregated (Wilson in Andrew Ng, 2009, p.123)

Saturday, January 18, 2020

Ajanta Caves Essay

Ajanta Caves in Maharashtra, India are a Buddhist monastery complex of twenty-nine rock-cut cave monuments containing paintings and sculpture considered to be masterpieces of both â€Å"Buddhist religious art†[1] and â€Å"universal pictorial art†[2] The caves are located just outside the village of Ajiná ¹ ­hÄ  in Aurangabad District in the Indian state of Maharashtra (N. lat. 20 deg. 30†² by E. long. 75 deg. 40†²). Since 1983, the Ajanta Caves have been a UNESCO World Heritage Site. Excavation of the caves began in the third-second century B.C.E., during the period when Dakshinapath was ruled by Satavahana dynasty, and activity at the complex continued until the fifth to sixth century C.E., when the region was ruled by Vakatakas. Both the Satavahanas and Vakatakas were followers of Brahmanism, but also patronized the Buddhist shrines. The walls, ceilings and columns of the caves were covered with complex compositions of the Jataka stories (the stories of the Buddha’s former existences as Boddhisattva), and ornate floral and animal decorations. The exuberance and richness of the painting suggests that the artists were accustomed to painting secular as well as religious works. The paintings have a natural fluidity, depth and volume not found in later, more stylized Indian art. Jataka tales from the Ajanta caves Ajanta Caves – view from ticket officeAjanta Caves in Maharashtra, India are a Buddhist monastery complex of twenty-nine rock-cut cave monuments containing paintings and sculpture considered to be masterpieces of both â€Å"Buddhist religious art†[1] and â€Å"universal pictorial art†[2] The caves are located just outside the village of Ajiná ¹ ­hÄ  in Aurangabad District in the Indian state of Maharashtra (N. lat. 20 deg. 30†² by E. long. 75 deg. 40†²). Since 1983, the Ajanta Caves have been a UNESCO World Heritage Site. Excavation of the caves began in the third-second century B.C.E., during the period when Dakshinapath was ruled by Satavahana dynasty, and activity at the complex continued until the fifth to sixth century C.E., when the region was ruled by Vakatakas. Both the Satavahanas and Vakatakas were followers of Brahmanism, but also patronized the Buddhist shrines. The walls, ceilings and columns of the caves were covered with complex compositions of the Jataka stories (the stories of the Buddha’s former existences as  Boddhisattva), and ornate floral and animal decorations. The exuberance and richness of the painting suggests that the artists were accustomed to painting secular as well as religious works. The paintings have a natural fluidity, depth and volume not found in later, more stylized Indian art. Jataka tales from the Ajanta caves Ajanta Caves – view from ticket office Horse shoe shaped Ajanta caves view from Caves Viewpoint some eight kms away Contents [hide] †¢1 Description and History †¢2 Dating of the Caves †¢3 Structure of the Caves o3.1 Cave One o3.2 Cave Two †¢4 Paintings †¢5 See also †¢6 Notes †¢7 References †¢8 External links †¢9 Credits Description and History The Ajanta Caves are a Buddhist monastery complex consisting of 29 caves (as officially numbered by the Archaeological Survey of India), located in a wooded and rugged horseshoe-shaped ravine about 3.5 km from the village of Ajintha, which is situated in the AurangÄ bÄ d district of Maharashtra State in India (106 kilometers away from the city of Aurangabad). Along the bottom of the ravine runs the Waghur River, a mountain stream. The caves, carved into the south side of the precipitous scarp made by the cutting of the ravine, vary from 35 to 110 feet in elevation above the bed of the stream. The monastic complex of Ajanta consists of several viharas (monastic halls of residence) and chaitya-grihas (stupa monument halls), adorned with  architectural details, sculptures and paintings that, even in their partially damaged state, are considered one of the glories of world art.[3] Excavation of the caves began in the third-second century B.C.E., during the period when Dakshinapath was ruled by Satavahana dynasty, and activity at the complex continued until the fifth to the sixth century C.E., when the region was ruled by Vakatakas. Both the Satavahanas and Vakatakas were followers of Brahmanism; nevertheless, they not only generated a liberal climate in which all religions could flourish, but also patronized the Buddhist shrines. The mention of a rock-cut monastery as the abode of the Buddhist monk Achala celebrated Buddhist philosopher and author of well-known books on logic, and the mountain range where it was located, the monastery being for certain Cave No. 26 and the mountain range, Ajanta ridge, appeared in the travel account of the Chinese pilgrim Hiuen Tsang, who visited India in the seventh century C.E. and stayed there for 15 years[4]. Nothing more was known of Ajanta before 1819, when some British officers of the Madras Army made a chance discovery of this magnificent site. They named it Ajanta after the name of the nearest village. In 1843, after a gap of 25 years, James Fergusson presented a paper to the Royal Asiatic Society of Great Britain and Ireland and drew global attention to the site. The M adras Army deputed its officer R. Gill to prepare copies of the Ajanta murals. Gill worked from 1849 to 1855 and prepared 30 paintings, but unfortunately they were destroyed in a fire in 1866. The efforts to discover Ajanta progressed in two directions, the preparation of copies of the murals, and research on Ajanta’s other aspects. Mr. Griffiths, the Superintendent and Principal of Sir Jamshedji Jijibhai School of Art, Bombay, was at Ajanta from 1872 to 1885 with a team of his students, to copy its murals, but unfortunately most of these were also destroyed in a fire. Finally, Lady Haringham and a team of artists comprising Syed Ahmad and Mohammad Fazlud-din of Hyderabad and Nandalal Bose, Asit Kumar Haldar and Samarendranath Gupta of the Calcutta School, camped at Ajanta from 1910 to 1912 copying its murals. In 1956-1957 the Archeological Survey of India took up the project and authentic copies of the murals were prepared. In 1983, the Ajanta Caves were declared a UNESCO World Heritage Site. Dating of the Caves The period during which Ajanta Caves were excavated stretches over eight- or nine hundred years from the third- to second century B.C.E. to the fifth- sixth century C.E. The caves reveal two distinct phases of excavation. Six of them, namely, caves 9, 10, 8, 12, 13, and 15-A (the last one was re-discovered in 1956, and is still not officially numbered), belong to the early period. Caves 9 and 10 appear to have been excavated during the second half of the third or the first half of the second century B.C.E.. The other four date from the first century B.C.E. However, Cave 10 is the earliest; it precedes even Cave 9 by at least 50 years. Caves 12, 13, and 15A of this phase are vihÄ ras (monastic halls of residence). During this period, Buddhism pursued the HÄ «nayÄ na doctrine, which initially prohibited the worship of anthropomorphic images of Buddha. Caves 9 and 10, the Chaitya-grahas (homes of the Sacred, monument halls) do not have anthropomorphic images of Buddha, though on th e faà §ade of Cave No. 9 such images were subsequently added. Around the first century B.C.E.Hinayana allowed the making of Buddha’s personal images. The shift from non-image to image characterizes other caves of this early phase, known as the Hinayana-Satavahana phase. Caves 1, 2, 4, 7, 11, 14, 15, 16, 17, 18, 19, 20 to 24, 25, 26, 27, 28 and 29 belong to the later phase, which began three centuries later, from the fifth to the sixth century C.E.. Buddhism had largely shifted to Mahayana doctrine and the region was ruled by Vakatakas of the Vatsagulma branch, who were also the patrons of these caves; this phase is usually known as Mahayana-Vakataka phase. As suggested by epigraphic records, Caves No. 16 and 17 were commissioned by Vakataka ruler Harishena (475-500 C.E.) through one of his ministers Varahadeva, who was posted at the site for supervising the progress, and a subordinate vassal of the area respectively. Ajanta had been a center of monastic and religious activities since the second- to first century B.C.E.; the embellishment of facades and wall spaces with paintings and sculptures continued all through. However, the excavation of the caves seems to have been suspended until the excavation of Caves 16 and 17. Cave 8 was long thought to be a HinayÄ na cave; however current research shows that it is in fact a Mahayana cave. Three chaitya-grihas, caves 19, 26, and 29, were excavated during the Vakataka or Mahayana phase. The last cave was abandoned soon after it was begun. The rest of the excavations are viharas: caves 1-3, 5-8, 11, 14-18,  20-25, and 27-28. None of the caves in the Vakataka phase were ever fully completed. Based on the archaeological evidence visible on site, the suggestion of Walter M. Spink that a crisis occurred when the ruling Vakataka dynasty suddenly fell out of power and forced all activities to a sudden halt, is increasingly gaining acceptance. Structure of the Caves The viharas are of various sizes, the maximum being about 52 feet. They are often square-shaped. Their designs are varied; some have simple and some have ornate facades, some have a porch and others do not. The hall was an essential element of a vihara. The early viharas of the Vakataka phase were not intended to have shrines because they were meant to be used solely as halls of residence and congregation. Later, a shrine set in the back wall of the vihara became a norm. The shrines were fashion to house a central object of reverence, often the image of the Buddha seated in the dharmachakrapravartana mudra (the gesture of teaching position). In the more recent caves, subsidiary shrines are added on the side walls, porch or the front-court. The facades of many vihÄ ras are decorated with carvings, and walls and ceilings were often covered with paintings. Most of the subjects of the paintings have been identified by the German Ajantologist, Dieter Schlingloff. Cave One Painting from Cave No. 1 Cave 1 The first cave on the eastern end of the horse-shoe shaped scarp, it is, according to Spink, one of the latest caves to have begun on site and brought to near-completion in the VÄ kÄ Ã… £aka phase. Although there is no epigraphic evidence, it has been proposed that the VÄ kÄ Ã… £aka king Harisena may have been the benefactor of this better-preserved cave. This cave has an elaborate carving on its facade with relief sculptures on entablature and fridges, depicting scenes from the life of the Buddha as well as a number of decorative motifs. A two-pillared portico, visible in nineteenth-century photographs, has since perished. The cave has a front-court with cells fronted by pillared vestibules on either side, and a porch with simple cells on both ends. The absence of pillared vestibules on the ends suggest that  the porch was not excavated in the latest phase of Ajanta, when pillared vestibules had became the norm. Most areas of the porch were once covered with murals, of whi ch many fragments remain. There are three doorways: a central doorway and two side doorways, and two square windows carved between the doorways to brighten the interiors. Each wall of the hall inside is nearly 40 feet long and 20 feet high. A square colonnade of 12 pillars inside supports the ceiling and creates spacious aisles along the walls. A shrine carved on the rear wall houses an impressive seated image of the Buddha, his hands in the dharmachakrapravartana mudra (position). There are four cells on each of the left, rear, and the right walls. The walls are covered with paintings in a fair state of preservation, depicting mostly didactic, devotional, and ornamental scenes from the Jataka stories (the stories of the Buddha’s former existences as Boddhisattva), the life of the Gautam Buddha, and those of his veneration. Cave Two Painting, Cave No. 2 (?) Painting from the Ajanta caves Ajanta Caves Ajanta Caves Cave 2, adjacent to Cave 1, is known for the paintings that have been preserved on its walls, ceilings, and pillars. It resembles Cave 1 and is in a better state of preservation. The porch and the facade carvings are different, and the cave is supported by robust ornamented pillars, but the size and ground plan have many aspects in common with the first cave. The front porch has of cells supported by pillared vestibules on both ends; porch-end cells, which provided more room, symmetry, and beauty, became a trend in all later Vakataka excavations. The paintings on the ceilings and walls of this porch have been widely published. They depict the Jataka tales that are stories of the Buddha’s life in former existences as Bodhisattva. The porch’s rear wall has a doorway in the center, which allows entrance to the hall. On either side of the door is a square-shaped window to brighten the interiors. Four colonnades arranged in a square support the ceiling; the  capitals are carved and painted with various decorative themes that include ornamental, human, animal, vegetative and semi-divine forms. The paintings covering the walls and ceilings are eroded and fragmentary at various places. Painted narratives of the Jataka tales are depicted on the walls in such a way that a devotee walking through the aisles between the colonnades and the wall would be able to â€Å"read† about the Buddha’s teachings and life through successive births. Paintings The Ajanta Cave paintings are the earliest and most important wall paintings in India and are particularly significant because all other forms of painting, such as palace murals and painting on wood, cloth or palm-leaf from before about 1000 C.E. have not survived. [5] The technique and process used to create the Ajanta cave paintings are unlike any other artwork found in the art history of other civilizations, and are unique within the history of South Asian art. The walls, ceilings and columns of the caves were covered with complex compositions of the Jataka stories and ornate floral and animal decorations. The paintings depict a universe in which aristocratic men and women dwell in harmony with an abundant nature. The exuberance and richness of the painting suggests that the artists were accustomed to painting secular as well as religious works. The process of painting involved several stages. First, the rock surface was chiseled to make it rough enough to hold a plaster made of c lay, hay, dung and lime over a clay under-layer. Differences are found in the ingredients and their proportions from cave to cave. While the plaster was still wet, the drawings were outlined and the colors applied. The wet plaster had the capacity to soak up the color so that the color became a part of the surface and would not peel off or decay easily. The colors were referred to as ‘earth colors’ or ‘vegetable colors.’ Various kinds of stones, minerals, and plants were used in combinations to prepare different colors. The paint brushes used to create the artwork were made from animal hair and twigs. The outline drawing has a fluency and vigor not found in later Indian painting. Modeling and highlights, as well as spatial recession are used to accentuate the volume of the figures. The latest paintings show some of the highly-stylized, flatter qualities of paintings from the succeeding centuries. Sculptures were often covered with stucco to give them a fine finish and lustrous  polish. The stucco had the ingredients of lime and powdered sea-shell or conch. The latter afforded exceptio nal shine and smoothness. In cave upper 6, where some of it is extant, the smoothness resembles the surface of glass. See also The Ajanta Caves (Ajiá ¹â€¡Ã¡ ¹ ­hÄ  leni; Marathi: à ¤â€¦Ã  ¤Å"à ¤ ¿Ã  ¤â€šÃ  ¤  Ã  ¤ ¾ à ¤ ²Ã  ¥â€¡Ã  ¤ £Ã  ¥â‚¬) in Aurangabad district of Maharashtra, India are 30 rock-cut cave monuments which date from the 2nd century BCE to the 600 CE. The caves include paintings and sculptures considered to be masterpieces of Buddhist religious art (which depict the Jataka tales)[1] as well as frescos which are reminiscent of the Sigiriya paintings in Sri Lanka.[2] The caves were built in two phases starting around 2nd century BCE, with the second group of caves built around 600 CE.[3] It is a protected monument under the Archaeological Survey of India.[4] Since 1983, the Ajanta Caves have been a UNESCO World Heritage Site. The caves are located in the Indian state of Maharashtra, near Jalgaon, just outside the village of Ajiná ¹ ­hÄ  (20 °31†²56†³N 75 °44†²44†³E). Caves are only about 59 kilometers from Jalgaon Railway station (on Delhi – Mumbai, Rail line of the Central railways, India); and 104 kilometers from Aurangabad (from Ellora Caves 100 Kilometers). Contents [hide] †¢1 First period †¢2 Second period †¢3 Rediscovery by Europeans †¢4 Cave One †¢5 Cave Two o5.1 The facade o5.2 The porch o5.3 The hall o5.4 The paintings †¢6 Cave Four †¢7 See also †¢8 References †¢9 Literature †¢10 External links [edit]First period According to Spink (2006), the first phase was the construction of sanctuaries (known as chaytia-grihas) built during the period 100 BCE to 100 CE, probably under the patronage of the Satavahana dynasty (230 BCE – c. 220 CE) in the canyons of the Waghora River. The caves 9, 10, 12 and 15A were constructed during this period.[5] Murals preserved from this time belong to the oldest monuments of painted art in India. Bird’s eye view of Ajanta Caves. [edit]Second period Ajanta Caves, map Scholars disagree about the date of the Ajanta Caves’ second period. For a time it was thought that the work was done over a long period from the fourth to the 7th century AD, but recently long-time researcher Walter M. Spink declared that most of the work took place over short time period, from 460 to 480 CE, during the reign of Emperor Harishena of the Vakataka dynasty. Some 20 cave temples were simultaneously created, for the most part viharas: monasteries with a sanctuary in the structure’s rear centre. Each of cave temples seem to be patronised by influential authority, numerous best available artists have been involved in the work with fruitful rivalry between the neighbouring construction sites.[6] According to Spink, the Ajanta Caves appear to have been abandoned shortly after the fall of Harishena c. 480 CE. Since then, these temples have been abandoned and gradually forgotten. During the intervening centuries, the jungle grew back and the caves were hidden, un visited and undisturbed.[7] [edit]Rediscovery by Europeans On 28 April 1819, a British officer for the Madras Presidency, John Smith, of the 28th Cavalry, while hunting tiger, accidentally discovered the entrance to one of the cave temples (Cave No. 10) deep within the tangled undergrowth. Exploring that first cave, long since a home to nothing more than birds and bats and a lair for other, larger, animals, Captain Smith scratched his name in on one of the pillars. Still faintly visible, it records his name and the date, April 1819. Since he stood on a five foot high pile of rubble collected over the years, the inscription is well above the eye-level gaze of an adult.[8] Shortly after this discovery, the Ajanta Caves became renowned for their exotic setting, impressive architecture, historic artwork, and long-forgotten history. [edit]Cave One Painting of Padmapani and Vajrapani from Cave No. 1 Porch of cave no. 1. Ajanta Caves The first cave was built on the eastern end of the horse-shoe shaped scarp. According to Spink, it is one of the latest caves to have begun on site and brought to near-completion in theVÄ kÄ Ã… £aka phase.[clarification needed] Although there is no epigraphic evidence, it has been proposed that the VÄ kÄ Ã… £aka Emperor Harishena may have been the benefactor of this better-preserved cave. A dominant reason for this is that Harisena was not involved initially in patronizing Ajanta. This cave has one of the most elaborate carvings on its facade with relief sculptures on entablature and ridges. There are scenes carved from the life of the Buddha as well as a number of decorative motifs. A two pillared portico, visible in the 19th-century photographs, has since perished. The cave has a front-court with cells fronted by pillared vestibules on either side. These have a high plinth level. The cave has a porch with simple cells on both ends. The absence of pillared vestibules on the ends suggest that the porch was not excavated in the latest phase of Ajanta when pillared vestibules had become a necessity and norm. Most areas of the porch were once covered with murals, of which many fragments remain. There are three doorways: a central doorway and two side doorways. Two square windows were carved between the doorways to brighten the interiors. Each wall of the hall inside is nearly 40 feet (12 m) long and 20 feet (6.1 m) high. Twelve pillars make a square colonnade inside supporting the ceiling, and creating spacious aisles along the walls. There is a shrine carved on the rear wall to house an impressive seated image of the Buddha, his hands being in the ‘dharmachakrapravartana mudra. There are four cells on each of the left, rear, and the right walls. The  walls are covered with paintings in a fair state of preservation. The scenes depicted are mostly didactic, devotional, and ornamental. The themes are from the Jataka stories (the stories of the Buddha’s former existences as Bodhisattva), the life of the Gautama Buddha, and those of his veneration. [edit] Cave Two Ajanta Caves ï‚ § Painting, cave no. 2. ï‚ § Painting from the Ajanta Caves. ï‚ § A section of the mural at Ajanta in Cave No 17, depicts the ‘coming of Sinhala’. The prince (Prince Vijaya) is seen in both of groups of elephants and riders. ï‚ §The consecration of KingSinhala (Prince Vijaya) (Detail from the Ajanta Mural of Cave No 17). ï‚ § Entrance of cave no. 9. ï‚ § Lord Buddha in preaching pose flanked by Bodhisattvas, Cave 4, Ajanta. Cave 2, adjacent to Cave 1, is known for the paintings that have been preserved on its walls, ceilings, and pillars. It looks similar to Cave 1 and is in a better state of preservation. The facade Cave 2 has a porch quite different from Cave one. Even the facade carvings seem to be different. The cave is supported by robust pillars, ornamented with designs. The size and ground plan have many things in common with the first cave. The porch The front porch consists of cells supported by pillared vestibules on both  ends. The cells on the previously â€Å"wasted areas† were needed to meet the greater housing requirements in later years. Porch-end cells became a trend in all later Vakataka excavations. The simple single cells on porch-ends were converted into CPVs or were planned to provide more room, symmetry, and beauty. The paintings on the ceilings and walls of this porch have been widely published. They depict the Jataka tales that are stories of the Buddha’s life in former existences as Bodhisattva. The porch’s rear wall has a doorway in the center, which allows entrance to the hall. On either side of the door is a square-shaped window to brighten the interior. The hall The hall has four colonnades which are supporting the ceiling and surrounding a square in the center of the hall. Each arm or colonnade of the square is parallel to the respective walls of the hall, making an aisle in between. The colonnades have rock-beams above and below them. The capitals are carved and painted with various decorative themes that include ornamental, human, animal, vegetative, and semi-divine forms. The paintings Paintings appear on almost every surface of the cave except for the floor. At various places the art work has become eroded due to decay and human interference. Therefore, many areas of the painted walls, ceilings, and pillars are fragmentary. The painted narratives of the Jataka tales are depicted only on the walls, which demanded the special attention of the devotee. They are didactic in nature, meant to inform the community about the Buddha’s teachings and life through successive rebirths. Their placement on the walls required the devotee to walk through the aisles and ‘read’ the narratives depicted in various episodes. The narrative episodes are depicted one after another although not in a linear order. Their identification has been a core area of research since the site’s rediscovery in 1819. Dieter Schlingloff’s identifications have updated our knowledge on the subject. Some believe that the art work has erroneously been alluded to as â€Å"fresco†, rather than mural, and assert that the technique and process used to produce this kind of artwork is unlike any other artwork found in the art history of other civilizations, including within the history of South Asian art. Cave Four The Archeological Survey of India board outside the caves gives the following detail about cave 4 : â€Å"This is the largest monastery planned on a grandiose scale but was never finished.An inscription on the pedestal of the buddha’s image mentions that it was a gift from a person named Mathura and paleographically belongs to 6 th century A.D. It consists of a verandah , a hypostylar hall, sanctum with an antechamber and a series of unfinished cells.The sanctum houses a colossal image of Lord buddha in preaching pose flanked

Thursday, January 9, 2020

The Appeal of Online Term Paper Writing Services Review

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Wednesday, January 1, 2020

Impact of Kinship Arrangements on Children Essay - 724 Words

With the number of traditional families in decline, many people have questions regarding the sanctity of marriage, as well as how we define the family unit as a whole. The purpose of this report is to offer facts and opinions about working parents and their children, strength of marriage and the effects of kinship arrangements on children of modern society. When parents regulate their lives in any way, including work schedules and other career options, it is reasonable to believe that the welfare of their child could be an important part of this choice; however, such preferences are not necessarily selected â€Å"to save the traditional family† (Macionis, 2010,  ¶ 8), as is suggested within parts of this week’s article. Instead, these plans†¦show more content†¦Wives have been professionals outside of the home for many years, which changes the dynamics of a marriage from a codependent situation to a true partnership. As a bona fide team effort, the parent’s union becomes stronger while they share the responsibilities of their household. Insofar as refusing traditional roles and positions in a relationship, it is true that more women today want independence from household work and child rearing duties. Nonetheless, I do not think this is a major reason for the countless marriages that end in divorce, f or other classic problems between married people are far more likely candidates such as money, sex, drugs and societal pressures to conform. Instead, women’s freedom of house duties is liable to be a reason that couples do not marry in the first place. As I see it, the importance of family patterns is not a major issue. Specifically, any plan that guarantees a child substantial and consistent time with their parents, which is carried out often, is the best arrangement possible. I believe that first choice goes to married parents who live together and raise their children as a pair, for a child deserves to have equal access to each parent; however, as a single father myself, I know that single parent homes are perfectly fine for raising well-adjusted, happy children. In addition, I am aware that several people in my town do not approve of my single parent status , as a father, whileShow MoreRelatedFactors Associated With Stress Among Grandparents Raising Their Grandchildren966 Words   |  4 Pagesplace of 129 grandparents raising grandchildren to examine the extent to which social support are related to the grandparent’s stress. Situations such as parental substance abuse, physical and mental illness, imprisonment and ab use and neglect of children lead to grandparents becoming surrogate parents. Grandparents and great-grandparents older than 50 that identified themselves as the primary caregivers of one or more grandchild were sought out. 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Bowlby stated that a child who has experienced a secure attachment is however, likely to develop a representational model of attached figure that will be available, helpful and responsive to them (BowlbyRead MoreTheories That Serve As Lenses For Analyzing Society : Functionalism, Conflict Theory, And Symbolic Interactionism1433 Words   |  6 Pagesperspective, society exists as a harmonious system of interconnected parts that maintain a state of social equilibrium and balance as a whole. Different social elements contribute unique aspects to society, and functiona lism emphasizes how each part impacts and is impacted by other parts. 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These topics have driven faultfin ders to view Tolkien s own encounters amid World War I as instrumental in molding the story. The creator s academic information of Germanic philology and enthusiasm for children s stories are frequently noted as impacts. The distributer was energized by the book s basic and money related achievement and, in this way, asked for a spin-off. As Tolkien s work advanced on the successor The Lord of the Rings, he made review lodging for it in