Adolf Hitler and the German State essays

Adolf Hitler and the German State essays War, pestilence, and disease just to name a few of the problems facing Germany in 1919. The Germans had been forced to submit to the Treaty of Versailles and surrender after experiencing heavy casualties. Also, the economic downturn post- World War I caused inflation rates to skyrocket thus devastating all classes of Germans with the working class felt the financial strain the hardest. On November 11th 1918, Germany signed the armistice with the allies, effectively ending the war, but Germany's problems were just beginning. In the later years of the war, Germany had began to run out of food, and as such by the war's end there was widespread starvation, with millions dead from lack of food. This was made worse by the face that Germany had near enough bankrupted itself through the war effort, leading to economic crisis, which only got worse in the following years. The other major problem was that Germany still had millions of soldiers when the war ended, who were told to simply pack up and go home. Many of these soldiers were young, and most had done nothing else but fight. They were born and bred to kill and Hitler preyed on that mindset (Evans, 43). An economically worn out country with little to no job opportunities waiting for them. As such, most of these soldiers turned to rebellion, becoming the right-wing group known as the Freikorps, which committed murders , assaults, and general anarchy in post-war Germany. Germany's political and economic problems were only going to get worse following the Treaty of Versailles in 1919. The treaty imposed numerous provisions on Germany, the main ones being Article 231 also known as The War Guilt Clause which stated that Germany had to accept full responsibility for the war and the damage it caused (Sax & Kuntz, 27). This article required Germany to pay reparations "to the Allied countries for their losses in the war" placing a heavy financial burden on the Germany people (Sax & Kuntz, 27)....

Dokdo Islands are Korean Property

Dokdo Islands are Korean Property The Dokdo Islands have been administered by South Korea since 1954, and yet Japan still claims that the Dokdo Islands are theirs. What Is an Expository Essay? An  expository essay  is a type of written discourse that serves the purpose of explaining, describing and providing information to the reader. This is a simple expository essay definition. Expository essays can also be fairly accurately termed ‘information’ or ‘informative’ essays. 50 MOST POPULAR EXPOSITORY ESSAY TOPICS If you are looking for expository essay examples here is a great one below Expository Essay Example: Dokdo Islands Are Korean  Property The Dokdo Islands have been administered by South Korea since 1954, and yet Japan still claims that the Dokdo Islands are theirs. South Korea is still trying to claim that the Dokdo Islands are theirs and theirs alone as well, and the two nations have been fighting for the right to the islands for more than fifty years. Both countries keep trying to dig back into their respective histories in order to find historic land claims that will validate their present ownership of the islands. However, the Dokdo Islands belong to South Korea. For the sake of international relations, Japan should respect that. Their Word Against Theirs The strategy of both South Korea and Japan in many cases has been to try going back as far into their respective histories as possible to find evidence of their historic claims to the Dokdo Islands. These two nations have literally gone back to the seventeenth century in order to find what theyre looking for, and they have still failed to produce the historical artifacts that will painlessly resolve the situation. Essentially, when it comes to sheer historical documents that will conclusively prove which country is the rightful owner, both of these countries are more or less even. After decades of trying, they havent been able to succeed through the use of the legal argument. There is no reason to believe that they should succeed now. Doing what is best for the international community makes sense, and keeping this terrible land dispute going is certainly not helping anyone. Focusing on Present Land Claims Even if Japan could find such a document, it should not give them any power over the land in the twenty-first century. South Korea has been handling this land since the mid-twentieth century, and its theirs. Different groups have occupied and controlled different land areas for a long time. The distribution of world nations and world politics was completely different in the seventeenth century. Going that far back in order to get land claims means distorting the current world order. South Korea has been controlling the land for decades in modern times  and should continue to do so. The few government workers and residents of the islands are all South Korean. In so much as the islands even can belong to anyone, they belong to South Korea. Japans History of Imperialism Korea is a country that has been torn apart by imperialistic powers for a long time. Japan is one of those imperialistic powers. While the modern nation of Japan has usually become a much more peaceful nation, the incident with the Dokdo Islands seems to suggest that Japan still has not entirely recovered from its violent imperialistic past. Many Japanese conservatives still fail to acknowledge the violent and relatively recent chapter in Japanese history, and modern Japanese people have a responsibility to show the rest of the world that their nation is different now. South Korea and Japan have both failed to find evidence of historic land claims that will completely clear up the situation, and they probably never will. These have always been disputed territories and dragging the past into it just sustains the controversy. When it comes to settling land claims, the distant past shouldnt matter. The needs of people today should matter. In the context of the needs of people today, South Korea should have the Dokdo Islands. Japan should not be able to invalidate everything that has happened to them for decades as a result of a dusty land claim from four hundred years ago, which Japan still cannot find. Japan was fighting to control the Dokdo Islands in the mid-twentieth century, shortly after Japan lost World War Two and should have been fully making amends for its horrific actions during the war. Japans actions now are insensitive, given the history of these islands, and the fact that Japan keeps on pursuing them anyway suggests that its modern cons ervative population may not have learned anything from the past. If you are looking for an excellent expository essay that will be written according to your requirements, will contain proper formatting, language, and structure, feel free to contact our writing staff and  place your order  with us. We have written hundreds of expository papers in the past and have developed extensive expertise in expository essay writing.

Book Review Essay Example | Topics and Well Written Essays - 2500 words

Book Review - Essay Example Even with the good press associated with the Marshall Plan, revisionists and diplomatic historians from both the United States and the sixteen involved nations from Western Europe—even more than fifty years after its ratification and implementation—still debate on its origins, motives and effects (Agnew and Entrikin 2004, p. 1). For instance, historical revisionists have found that â€Å"the economic impact of the plan has been significantly downgraded as scholars concluded that the crisis of 1947 in Europe was less grave than American policy-makers had thought† (Hitchcock n.d.). With these considerations in mind, two of the most substantial and celebrated books on rethinking and revisiting the Marshall Plan will be reviewed in this paper in order to shed some light on what the real purposes and effects of the Marshall Plan are in relation to the United States’ supposed gigantic role in the economic recovery of Europe. The book by Michael Hogan and two chapters from Agnew and Entrikin’s volume will be compared against each other through their contributions to the rethinking of the Marshall Plan. While the former is very detailed, the message that Hogan wants to state is somewhat lost within the detailing of the various facets of the creation of the Marshall Plan. On the other hand, Agnew and Entrikin’s chapters are composed of separate papers that present an all-encompassing view of the Marshall Plan and its effects. These separate chapters that can stand on their own present a more comprehensive and understandable argument as to the sig nificance of the Marshall Plan in history. It can be said then that quality and readability of a work does not depend on the length and an extreme attention to detail, but on a concise presentation of facts and figures that would make the reader understand and accept the argument presented as true. Although there are a lot of differences between the two books, one of the main causes

2 Million Minutes Movie Review Example | Topics and Well Written Essays - 750 words

2 Million Minutes - Movie Review Example Directed by Robert Compton, Adam Raney and Chad Heeter; 2 million minutes is a documentary film which raises stark questions on the competitiveness and efficiency of education system of America.Taking examples of students from three major competing nations ought to become superpowers- America, India and China, the film addresses issues of schooling, establishing balance between education and extra-curricular activities and overall power of these nations in supplying innovative and intelligent minds (Harvard Educational Review 2011). The movie revolves around 6 students- two each from America, India and China. While American students get themselves more involved in friends and extra-curricular activities; students of India and China not only develop long term goals in fields of Science and Math, but also maintain a balance between other activities. All in all, schooling system in India and China exposes its youth to more comprehensive education and extra-curricular experience than do American system. This is why Indian and Chinese students aspire to become scientists, engineers and doctors, while American kids are dazzled by football players, actors and sports persons. Issues raised in the film The film highlights numerous issues which the American economy is exposed to. Dealing with education system and its contribution in making a nation competitive and self-sufficient; the movie revolves around seeking answers to how American system has lost its motivation of developing entrepreneurs and inventors and how parents are setting deviated priorities for their children. Lack of motivation and unclear priorities Aspirations of students take shape by prominent inventions and research work going on in the nation. America was once the land of space research, math and science geniuses which molded student aspirations to become scientists, engineers and researchers. Now when students see football players, sports persons and actors steal the show, their motivation level a nd direction has changed. This is seriously going to hurt the American economy in the long run as the latter category of careers do not make a nation self-sufficient and competitive in the fight of global reliance. Responsibility of parents In India and China, most of the poor parents want their children to be educated and independent as they themselves have been living in miserable plights. As such, both the parents and children have their goals clear and focused upon. This is not the case with American parents who have been living affluently and whose children do not understand what poverty is. Thus, American education system suffers from confusion between what parents think and what children want. Another point revealed from this discussion is the level of involvement and responsibility sharing by parents in making their children competitive globally. In India and China, parents are equally responsible for how their children fare in their exams and career. They invest time, effor t and obviously money in their child’s endeavor to fly with bright colors. American parents, however, do not take this much of their child’s academic responsibility as they prefer sports and athletics to academics. This is something which raises brows on how students are supported in their goal formation, planning and execution in America, India and China because after school or college, children learn from their home and parents. Stress taking Many experts opine that Indian parents put unnecessary pressure on their children. Students get stressed by subjects and are also not allowed to play or socialize much. To some extent, this is true. But on close observation, it is actually the need of the hour. The world has already been grappled with economic crisis, employment levels have plummeted and careers are not secure. In such circumstances, students need to be accustomed of functioning under stress conditions; otherwise hardships and challenges of life could not be fac ed. This is what Indian

Psychiatry and control of human behavior Essay Example for Free

Psychiatry and control of human behavior Essay I. In order to create such a resolution and usually to resolve an ethical dilemma nurses use four fundamental ethical principles of nursing care and practice, which are considered by many experts as a cornerstone of ethical guidelines. Autonomy The first one is autonomy. This principle means that individuals have a right to self-determination, that is, to make decisions about their lives without interference from others (Silva, M. Ludwick, R., 1999b, p. 4). It is also possible to define empirically that autonomy consists of two elements: data acquired or proposed as a presupposition and reaching the decision as the action. Beneficence The second is beneficence. This principle is thought to be a basis of day-to-day nursing care and practice. The principle of beneficence and utilitarianism direct health care professionals to make an ethical decision to provide the maximum benefit and to minimize harm to the greatest number of people involved (Silva, M. Ludwick, R., 1999b, p. 4). Beauchamp and Childress (1994, p. 192) state that Each of three forms of beneficence requires taking action by helping preventing harm, removing harm and promoting good. (cited by Silva, M. and Ludwick, R., 1999b, p. 4). This ethical principle may cause some ethical questions when a dilemma regarding performing of a mentally ill patients wishes appears. Nonmaleficence The third fundamental ethical principle is nonmaleficence or do no harm, which is easily connected with the obligation of a nurse to defend safe keeping of the mentally ill patient. Born out of the Hippocratic Oath, this principle dictates that we do not cause injury to our mentally ill patients (Silva, M. Ludwick, R., 1999b, p. 6). Justice The fourth basic ethical principle is justice. This principle implies giving each person or group what he/she or they are due (Silva, M. Ludwick, R., 1999b, p. 7). This principle applies to parity, integrity or another point that may be fundamental for the justice decision. In nursing care and practice the principle of justice usually centered on rightful admission to nursing care and on rightful allocation of scarce resource. Rightful admission to the care means that nurses are easy of access to provide nursing care and a mentally ill patient as well as any member of a society realizes that nursing care is completely accessible. The principle of justice †¦ guides health care professionals to treat every client with fairness and equity regardless the prognosis of illness, social and economic status of clients, the social and financial consequences impose on others (Wilcockson, M., 1999, p. 21). Though it is necessary to remember what actually has the priority if we will compare it with nurses good, a nurse sometimes mixes up with what the nurse considers to be a mentally ill patients good. It is questionable what composes good for a mentally ill patient without violating his or her autonomy or allowing the mentally ill patient to suffer bitterly. And can it be ethical to abolish the choice of the mentally ill patients. For example Beauchamp and Childress (1994, pp. 277-278) maintain that paternalism can obtain two forms a weak and a strong one. They assert that weak form paternalism implies is that a nurse defends the mentally ill patients good when he or she is incapable to resolve some questions as a consequence of problems like depression or the effect of medicaments. But a strong form of paternalism, they say involves interactions intended to benefit a person despite the fact that the persons risky choices and actions are informed, voluntary, and autonomous (cited by Silva, M. and Ludwick, R., 1999b, p.5). II. In the proposed case study the old lady didnt write DNR order, thus, the nurse behaved just adequately. She remembered about her duty to a mentally ill patient to preserve her autonomy but it was no possibility for her and for her mentally ill patient to identifying and addressing problems in the decision-making process as the lady was too depressed. Her quality of life was decreasing ad she couldnt live independently but it was still questionable were these reasons adequate enough to make end-of-life decision. On this ground it is necessary to investigate the notion of quality of life. This obscure notion implied the situations when decisions concerning the question of withdrawing nursing care are formed and †¦based on the likely low levels of self-awareness, reasoning, communication and activity that the mentally ill patient will have and the low probability of improvement (Thompson, E., Melia, K. M. and Boyd, K. M., 2001, p. 44). Usually it is not up to mentally ill patient to make quality-of-life decisions as they are often reached by doctors or relatives. In other words quality of life should be determined by mentally ill patients themselves being able to evaluate it adequately. The unproved understanding of notion is often used in statements like: After all, we shouldnt waste any more money on this person because their quality of life will be so low, anyway (Hunt, G., 1994, p. 125) Considering the case study we may that the quality of life of the old lady was not so low as to bring to end-of-life solution. However it was up to the mentally ill patient to decide that problem independently as it was her right to create DNR order but she didnt do it, besides her depressed state and, thus, low self-determination was among the main reasons for reasonable nurses acts. III. If we try to use these four fundamental ethical principles to the case study that was chosen for our investigation beforehand we will be able to evaluate the deeds of nurse from ethical point of view. For example, it is clearly evident that nurse violated the principle of autonomy because autonomy of a mentally ill patient means the opportunity to make decisions about his or her life without interference of others. If taking into account this principle then it was up to a seventy three year old woman to decide either she needs to obtain emergency CPR or not. This principle was thus violated by the nurse, and the reasons for such behavior are not deciding in this matter. She might have ignored this principle basing on the other principles that prevent a nurse from doing harm, meaning to rescue the life of her mentally ill patient because human life is valuable and unique. But while the nurse deprived her mentally ill patient of the possibility to choose life or death, the nurse thus made herself responsible for this decision, which is evidently wrong. At least, the nurse should have noted that the mentally ill patient didn’t want to be rescued. As for beneficence, we may suppose, on the other hand, that it was a demonstration of weak form of paternalism. In such case the nurse protected the good of a seventy three year old lady as she was incapable to resolve end-of-life questions as a result of her depression and decreasing of the quality of her life. Consequently the deeds of the nurse were well-taken and righteous. But the nature of the action is also ambivalent, as the nurse might have been directed by her own notion of good, or the notion that the nurse obtained while studying ethics. The nurse shouldn’t have been define independently if the woman was really unable to make reasonable decisions, the nurse must have at least objectively estimate the problems and conditions of the mentally ill patient that led to such mentally ill patient’s intention.   This thought may also be confirmed and at the same time called in question by the principle of nonmaleficence. The nurse protected the safety of her mentally ill patient, but without mentally ill patients wish. It is questionable, would be the note of DNR be regarded as the injury caused to the mentally ill patient. If the life and conditions of this old woman were so poor, they made her suffer; the nurse must have taken it into account while deciding what would be more or less painful for her mentally ill patient. This may be regarded as the intention to take off responsibility from the nurse. Observing the last principle of ethics, justice, it is necessary to note that this principle was violated by the nurse. Her mentally ill patient was at least due to be heard. Her wishes and demands should have been taken into consideration, moreover, the mentally ill patient did not ask to help her die, and she just wanted to prevent her from suffering in future. Thus taking into consideration these four main principles, the case seems to be contradictory. It seems that the nurse acted basing upon her own notion of what is good, safe and just for her mentally ill patient, without taking into account the demands, wishes, living conditions and problems of her mentally ill patient. Of course, definite peculiarities of these principles allow justifying the actions of the nurse, if we look at the situation form the point of view of value of human life. One more issue that should be examined is the absence of mentally ill patient’s order for DNR. This may also be a reason to justify the actions of the nurse. But as soon as the demands was heard by the nurse, the nurse should have defined this problems with the mentally ill patient and helped the woman write a necessary order, if it was her wish. Nurses often cant decide what their actual point of view about some ethical dilemmas is and how far those perceptions go. Anyway nurses should have to do with their own system of moral values but at the same time to determine whether it fits into the big picture (Stacey, J., 1998, p.8). It is necessary for a nurse to take a turn for the better foreshortening of problems and challenges in the area of care by forming at any rate a bifocal view of the problems (Stacey, J., 1998, p.7) Of course, not all ethical dilemmas concern death. Nurses deal with ethics on every eight-hour shift. †¦for example, the Nursing Code of Ethics says to hold all things confidential, but sometimes there is information others need to know, explains Freeman (cited by Stacey, J., 1998, p.4). However nurses often can appear in the situation of resolving of a complex moral dilemma that regards an appeal for assisted death. This problem is one of the most complicated issues in nursing practice. This question is also a key one in the case study that we have in some way already investigated earlier. Given the poor quality of life that seventy-three years old woman would probable suffer she demanded not to perform any heroic measures in the event of cardiac arrest. So she does not want to live anymore. But when the nurse sees the mentally ill patient next she is being resuscitated as there was no Do Not Resuscitate order (DNR) in her notes. Reference List Hunt, G. (1994) Ethical issues in nursing. Routledge. Silva, M. and Ludwick, R (1999a). Ethical Thoughtfulness and Nursing Competency. Online Journal of Issues in Nursing, 10 December, 1999. Available from http://www.nursingworld.org/ojin/ethicol/ethics_2.htm [Accessed 17 February 2006] Silva, M. and Ludwick, R. (1999b). Interstate Nursing Practice and Regulation: Ethical Issues for the 21st Century. Online Journal of Issues in Nursing, 2 July, 1999. Available from http://www.nursingworld.org/ojin/ethicol/ethics_1.htm [Accessed 14 February 2006] Silva, M. and Ludwick, R. (2002). Ethical Grounding for Entry into Practice: Respect, Collaboration, and Accountability. Online Journal of Issues in Nursing, 30 August, 2002. Available from http://www.nursingworld.org/ojin/ethicol/ethics_9.htm [Accessed 14 February 2006] Silva, M. Ludwick, R., (2003) Ethical Challenges in the Care of Elderly Person. Online Journal of Issues in Nursing, 19 December, 2003. Available from http://nursingworld.org/ojin/ethicol/ethics_14.htm   [Accessed 15 February 2006] Stacey J. (1998) A Question of Ethics. Emory Nursing University[online]. Available from http://www.whsc.emory.edu/_pubs/en/ [Accessed 17 February 2006] Thompson, E., Melia, K. M. and Boyd, K. M. (2001) Nursing Ethics. 4th ed. [n.p.] Wilcockson, M. (1999) Issues of life and death. [n.p.]

Two Poets and Two Cultures :: Culture Poetry Literature Essays

Two Poets and Two Cultures Two poets from two different sides of the planet whose cultures are just as far apart exchange letters that are themed on single words. The first trick, the word, is based on a memorized arbitrary pairing between a sound and a meaning. [S. Pinker pg.2] A word is a simple concept when thought about at first. A word is an arbitrary sound used to represent some random thing. Memorize what each arbitrary sound and the random thing it stands for and that should be all there is to fill your mental lexical database. Words are the building blocks to sentences, but before you're ready to build a sentence there are few rules you must memorize. Then the movie "Letters not about love" should have been simple. State a word then state its meaning. For example, 'Dog' four-legged mammal that barks (incessantly if it lives next to me) and chases cats. End of statement, well except there is so much more. These poets and poets in general act like scavengers in a dark corner of a basement rummaging around in the clutter and finding treasure buried there. The treasure they are finding is some stray meaning for a thought. Bakhtin's statement "Language does not move through uncluttered space." is a true representation of this. Each time someone utters something it must move past your lexical database of meanings. This stray representation can add a dimension to a word like the strokes of paint from a paintbrush. Poets use this clutter like clay to mold an image of something in our minds; some of the things they overturn in this basement of clutter will mean nothing to some and everything to others. When Arkadii Dragomoshchenko wrote of his Grandmother and how he felt free of fear about her tight lips, her dark eyes, all of the different ways he described her, were words that really filled in the picture of who his grandmother was. Some of these 'words' weren't so far out of the ordinary but free of fear, there is some clutter overturned here. I immediately get the feeling of safety when I think free of free. My feelings of being free of fear came from somewhere else, I remember as a child, late at night I would have scary thoughts before falling asleep, then I could hear my father walking around downstairs, this filled me with a feeling of safety, free of fear, the scary thoughts wouldn't be so scary anymore.

Dental Caries

Dental Caries is a chronic disease of childhood that has reached epidemic proportions (Garcia-Cortes et al., 2014). The oral health of children is critical for their overall well-being with prompt diagnosis and early management being a key to the success of this approach. Despite significant progress in reducing oral diseases in developed countries over the past three decades, dental caries remains a significant public health problem, particularly amongst disadvantaged people and people living in remote areas (Estai et al., 2017c). Saudi Arabia is a large country with over 700 towns and villages. Despite the growth of dentistry in the Kingdom, there are still very few areas with specialized pediatric dental care. Specialists tend to be concentrated in the major towns and cities (AlShammery, 2016a). This increases the challenge of providing high quality pediatric dental care to every part of the Kingdom. This is a problem, as it is documented that a lack of dental care to the primary teeth will increase the risk of dental problems in the permanent teeth (Li and Wang, 2002). Pediatric dentistry is a complex field with the interaction of many different specialties. Children require not only restorative and endodontic care to the primary teeth but also require consultations from endodontists, prosthodontists and orthodontists on the condition of the tooth and future treatment planning. It is very difficult to locate such multi-disciplinary care even in smaller towns and almost impossible to obtain in remote villages of the Kingdom (AlShammery, 2016a). As a result of this maldistribution in the dental workforce, many rural and remote communities in are left underserved, leading to untreated oral disease (Estai et al., 2017b). Workforce shortages, sparsely populated regions, funding challenges and the decreasing cost of and advances in technology, have resulted in an increased interest in the adoption of telemedicine services (Bradley et al., 2010). The use of role substitution in dentistry is not a new concept. One of the potentially viable solutions to address geographical hurdles and the unavailability of dentists is mobile teledentistry (Estai et al., 2016b). Teledentistry allows local service providers to see advice from specialists without the patient having to leave the local practice (Marino et al., 2016).Teledentistry is a domain of telemedicine that emerges from the combination of information communication technology (ICT) and dentistry. For several decades, telemedicine has played a role in bridging gaps and overcoming barriers related to distance through expanding care access to unreachable populations (Estai et al., 2016a). Teledentistry is defined as the use of electronic information and telecommunications technologies to support long-distance clinical oral health care, patient and professional health related education, public health, and health administration (Marino and Ghanim, 2013). It is one of a number of growing solutions to address limited access to dental care is the utilization of telemedicine technologies in the screening for oral diseases, providing care, evaluation of care and referral (Estai et al., 2016c). There are two telemedicine modalities: real-time consultation and store-and-forward. For most dental applications, the store-and-forward method provides excellent results without excessive costs for equipment or connectivity (Daniel and Kumar, 2014). Mobile teledentistry is a subset of telemedicine that incorporates cellular phone technology and store-and-forward telemedicine into oral care services. Almost all smartphones have a built-in camera and mobile connectivity and are readily accessible at a low cost. (Estai et al., 2016d). Despite dental photography becoming an integral part of daily dental practice, it has rarely been used as means of diagnosis, consultation, or referral in routine practice. However, evidence on the use of smartphone cameras in epidemiological dental research is rare (Estai et al., 2017b).Given the need for specialist consultation in the remote parts of Saudi Arabia, there is a need for a study to examine the reliability of mobile phone teledentistry in the Kingdom. Since the mixed dentition is the period of maximum dental change for a child, this study focused on the use of mobile phone teledentistry in the mixed dentition.1.2 Aim of the StudyThe aim of the study is to test the reliability of mobile phone teledentistry in diagnosis of dental caries of children in the mixed dentition.1.3 Specific Objective of the StudyThe study had the following specific objective, which is to compare the diagnosis of oral caries in the mixed dentition obtained via teledentistry to the diagnosis of these conditions obtained by physical clinical examination.The use of mobile phones and the sharing of photographic data on platforms such as WhatsAppâ„ ¢ or Instagramâ„ ¢ is a relatively new phenomenon. However, the field of teledentistry itself is not new. This literature review tracks the development of telemedicine and teledentistry. It also looks into the validity and reliability of diagnosis made using photographs. Lastly, it seeks to demonstrate the demographic and human resource challenges that highlight the need for teledentistry in Saudi Arabia.2.1 Development of TeledentistryThe development of telemedicine began in the 1960s, when the United States department of defense decided to establish a data base of interconnected networks to provide healthcare to troops stationed in remote locations (Rocca et al., 1999). The US Army conducted the first study of teledentistry at Fort Gordon, Georgia in July 1994. In this study a dental image management system was used in conjunction with an Intra-oral camera to capture color images of a patient's mouth. These images were then transmitted over a 9600 baud modem from the dental clinic in Fort McPherson, Georgia to Fort Gordon, a distance of 120 miles (Rocca et al., 1999).The initial set up for teledentistry, relied on communication via modems and wire based telephonic communication (Eraso et al., 1996). In the 1990s, the internet gained rapid popularity with the public revealing of the World Wide Web, an entity that had hitherto been a secret US army project. This led to the exploration of newer modes of transmitting data. Reviewing the existing systems of the time, Eraso et al (1996) looked at the effect of digitalizing and transmitting tomographic radiographs. Tomograms of the temporomandibular joint were digitized in three different formats using a PC-based system. The image resolution for various projections was determined at different camera-film distances. Three series of images were transmitted by telephone, and transmission times were measured. They found that while no difference in image quality was found between the initial digitized and the transmitted images; transmitted and transmitted-and-printed images were of significantly lower quality than the original radiographs or the digitized images viewed on a computer monitor (Eraso et al., 1996). In the late 1990s, the national electrical manufacturers association had developed a standard guideline for the storage and transmission of images. Digital Imaging and Communications in Medicine (DICOM) is a standard for storing and transmitting medical images enabling the integration of medical imaging devices such as scanners, servers, workstations, printers, network hardware, and picture archiving and communication systems (PACS) from multiple manufacturers. It has been widely adopted by hospitals, and is making inroads into smaller applications like dentists' and doctors' offices (Bauer and Brown, 2001, Folke, 2001, Chen and Chen, 2002). Chen and Chen (2002) compared DICOM images to existing videoconferencing techniques for the transmission of dental information. They found that DICOM images greatly reduced the cost of transmitting information without significantly compromising quality. The early part of the new millennium was characterized by the rapid spread of e-mail and electronic communications. The launch and spread of several free email providers such as Hotmailâ„ ¢, Gmailâ„ ¢, Yahooâ„ ¢ etc. meant that scanned images could be transmitted between persons without Dental Caries Dental Caries is a chronic disease of childhood that has reached epidemic proportions (Garcia-Cortes et al., 2014). The oral health of children is critical for their overall well-being with prompt diagnosis and early management being a key to the success of this approach. Despite significant progress in reducing oral diseases in developed countries over the past three decades, dental caries remains a significant public health problem, particularly amongst disadvantaged people and people living in remote areas (Estai et al., 2017c). Saudi Arabia is a large country with over 700 towns and villages. Despite the growth of dentistry in the Kingdom, there are still very few areas with specialized pediatric dental care. Specialists tend to be concentrated in the major towns and cities (AlShammery, 2016a). This increases the challenge of providing high quality pediatric dental care to every part of the Kingdom. This is a problem, as it is documented that a lack of dental care to the primary teeth will increase the risk of dental problems in the permanent teeth (Li and Wang, 2002). Pediatric dentistry is a complex field with the interaction of many different specialties. Children require not only restorative and endodontic care to the primary teeth but also require consultations from endodontists, prosthodontists and orthodontists on the condition of the tooth and future treatment planning. It is very difficult to locate such multi-disciplinary care even in smaller towns and almost impossible to obtain in remote villages of the Kingdom (AlShammery, 2016a). As a result of this maldistribution in the dental workforce, many rural and remote communities in are left underserved, leading to untreated oral disease (Estai et al., 2017b). Workforce shortages, sparsely populated regions, funding challenges and the decreasing cost of and advances in technology, have resulted in an increased interest in the adoption of telemedicine services (Bradley et al., 2010). The use of role substitution in dentistry is not a new concept. One of the potentially viable solutions to address geographical hurdles and the unavailability of dentists is mobile teledentistry (Estai et al., 2016b). Teledentistry allows local service providers to see advice from specialists without the patient having to leave the local practice (Marino et al., 2016).Teledentistry is a domain of telemedicine that emerges from the combination of information communication technology (ICT) and dentistry. For several decades, telemedicine has played a role in bridging gaps and overcoming barriers related to distance through expanding care access to unreachable populations (Estai et al., 2016a). Teledentistry is defined as the use of electronic information and telecommunications technologies to support long-distance clinical oral health care, patient and professional health related education, public health, and health administration (Marino and Ghanim, 2013). It is one of a number of growing solutions to address limited access to dental care is the utilization of telemedicine technologies in the screening for oral diseases, providing care, evaluation of care and referral (Estai et al., 2016c). There are two telemedicine modalities: real-time consultation and store-and-forward. For most dental applications, the store-and-forward method provides excellent results without excessive costs for equipment or connectivity (Daniel and Kumar, 2014). Mobile teledentistry is a subset of telemedicine that incorporates cellular phone technology and store-and-forward telemedicine into oral care services. Almost all smartphones have a built-in camera and mobile connectivity and are readily accessible at a low cost. (Estai et al., 2016d). Despite dental photography becoming an integral part of daily dental practice, it has rarely been used as means of diagnosis, consultation, or referral in routine practice. However, evidence on the use of smartphone cameras in epidemiological dental research is rare (Estai et al., 2017b).Given the need for specialist consultation in the remote parts of Saudi Arabia, there is a need for a study to examine the reliability of mobile phone teledentistry in the Kingdom. Since the mixed dentition is the period of maximum dental change for a child, this study focused on the use of mobile phone teledentistry in the mixed dentition.1.2 Aim of the StudyThe aim of the study is to test the reliability of mobile phone teledentistry in diagnosis of dental caries of children in the mixed dentition.1.3 Specific Objective of the StudyThe study had the following specific objective, which is to compare the diagnosis of oral caries in the mixed dentition obtained via teledentistry to the diagnosis of these conditions obtained by physical clinical examination.The use of mobile phones and the sharing of photographic data on platforms such as WhatsAppâ„ ¢ or Instagramâ„ ¢ is a relatively new phenomenon. However, the field of teledentistry itself is not new. This literature review tracks the development of telemedicine and teledentistry. It also looks into the validity and reliability of diagnosis made using photographs. Lastly, it seeks to demonstrate the demographic and human resource challenges that highlight the need for teledentistry in Saudi Arabia.2.1 Development of TeledentistryThe development of telemedicine began in the 1960s, when the United States department of defense decided to establish a data base of interconnected networks to provide healthcare to troops stationed in remote locations (Rocca et al., 1999). The US Army conducted the first study of teledentistry at Fort Gordon, Georgia in July 1994. In this study a dental image management system was used in conjunction with an Intra-oral camera to capture color images of a patient's mouth. These images were then transmitted over a 9600 baud modem from the dental clinic in Fort McPherson, Georgia to Fort Gordon, a distance of 120 miles (Rocca et al., 1999).The initial set up for teledentistry, relied on communication via modems and wire based telephonic communication (Eraso et al., 1996). In the 1990s, the internet gained rapid popularity with the public revealing of the World Wide Web, an entity that had hitherto been a secret US army project. This led to the exploration of newer modes of transmitting data. Reviewing the existing systems of the time, Eraso et al (1996) looked at the effect of digitalizing and transmitting tomographic radiographs. Tomograms of the temporomandibular joint were digitized in three different formats using a PC-based system. The image resolution for various projections was determined at different camera-film distances. Three series of images were transmitted by telephone, and transmission times were measured. They found that while no difference in image quality was found between the initial digitized and the transmitted images; transmitted and transmitted-and-printed images were of significantly lower quality than the original radiographs or the digitized images viewed on a computer monitor (Eraso et al., 1996). In the late 1990s, the national electrical manufacturers association had developed a standard guideline for the storage and transmission of images. Digital Imaging and Communications in Medicine (DICOM) is a standard for storing and transmitting medical images enabling the integration of medical imaging devices such as scanners, servers, workstations, printers, network hardware, and picture archiving and communication systems (PACS) from multiple manufacturers. It has been widely adopted by hospitals, and is making inroads into smaller applications like dentists' and doctors' offices (Bauer and Brown, 2001, Folke, 2001, Chen and Chen, 2002). Chen and Chen (2002) compared DICOM images to existing videoconferencing techniques for the transmission of dental information. They found that DICOM images greatly reduced the cost of transmitting information without significantly compromising quality. The early part of the new millennium was characterized by the rapid spread of e-mail and electronic communications. The launch and spread of several free email providers such as Hotmailâ„ ¢, Gmailâ„ ¢, Yahooâ„ ¢ etc. meant that scanned images could be transmitted between persons without