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Tuesday, April 30, 2019

Research Essay Proposal Example | Topics and Well Written Essays - 3750 words

Essay - Research Proposal ExampleGraphics, not words, typically announced the name of a place of business within the towns and villages which were conveniently given names such as the Golden social lion or the Boars Head. This seemingly primitive use of symbols to provide a quick and lite message to customers continues to be used today in the form of company logos. Study of these various operator of expression has provided historians with much information about the social issues and available technology of the time in which they were created. piece of music graphic design has thus had a long and uninterrupted history, the turn of a speed of light precipitates self-examination (Meggs, 2005) and causes us to take a refreshing look at the graphic art of our own earth to ascertain what it is saying about our world. As shapers of messages and images, Graphic Designers have an obligation to contribute meaningfully to a public understanding of environmental and social issues. Graphi c designers have a responsibility to adapt new technology and to express their zeitgeist by inventing new forms and new ways of expressing ideas (Meggs, 2005). The insights that the depth and variety of 20th century graphic design provides regarding the profound changes happening in todays graphic design industry are revealed in the various art forms that have developed over time. Contemporary graphics are designed to be more functional and effective in response to social issues and technology which has helped designers to be more efficient in working today.The roots of what todays researchers identify as the red-brick period are generally recognized to be twined about the natural forms and artistic investigations of the Arts and Crafts reason of the 1860s and the Art Nouveau movement of the 1890s. William Morris is the acknowledged founder of the Arts and Crafts Movement in direct response to the ever-encroaching and dehumanizing normalization of

Monday, April 29, 2019

Joseph Kony Term Paper Example | Topics and Well Written Essays - 1500 words

Joseph Kony - Term Paper prototypeThis paper therefore presents a qualitative research using both primary and secondary entropy to examine the opinions of the public to the issue. The Primary data is gather from 5 students using questionnaires. Secondary data is gathered from various internet websites and journals that analyze opinions on this issue. The opinions gathered in this research showed that has expressed mixed reactions to the issue, with round supporting it and others do not. Various arguments are advanced in support of the different perspectives of the public.Joseph Kony is the head of a Ugandan Guerilla radical known as Lord Resistant Army (LRA). This group was create in 1987 with an agenda of overthrowing the government of Uganda. According to Ksilvers (2012), this group enjoyed long public support initially. However, this changed after the group turned against its own supporters in the process of trying to turn Uganda into a theocracy. Kony is a superstitious at tracter who claims that he is a spirit medium and a spokesman of God. He believes that if he succeeds in overthrowing Ugandan government, he can create a more suitable government based on theocracy and guided by the biblical Ten Commandments. His soldiers have crosses painted on their chests and believe that this will protect them from bullets. Unfortunately, the actions of this group at once contrast the requirements of biblical principles. However, though as the survey portrays most people did not know Kony ahead his indictment by the ICC, Kony remains as the biggest threat to peace and stability in Norhtern Uganda, having carried out massive abductions and killings in his guerrilla tactics.As noted earlier, LRA, originally called United Holy Salvation Army (UHSA) was realised in 1987. Its agenda was political and the ruling party, the National Resistant Army led by Ugandan President did not perceive it as a threat

Sunday, April 28, 2019

RESPOND Article Example | Topics and Well Written Essays - 250 words

RESPOND - Article ExampleOnline students should not be underprivileged in terms of social learning since they are not able to serve well campus. Their entre must not just be access to content instead it should imply access to a rich learning environment that offers a chance for connectedness and interaction (Daniel Palacios-Marqus, 2012).Additionally, numerous place workers are more familiar with different virtual communication tools accessible from instant messaging to netmail to social networks. However, as training courses also move online, they incline to the loose majority of the cooperative constituents that has resulted in these new technologies to be operational in other fields. The biggest task as seen by the instructors is keeping members engaged. To draw in operational online participation, instructors should apply four approaches that address the proper use of technology to carry out online instructor-directed learning, thespian engagement, enabling of fruitful bra instorming gatherings and team collaboration, and session design so as to achieve close results (Young, 2009).Furthermore, Asynchronous learning is a learner-centered teaching technique that applies online learning means to enable information distribution outside the constrictions of place and time amongst a network of individuals. It highlights the significance of peer-to-peer interactions. Resources of online learning that back up asynchronous learning comprise of blogs, wikis, email, online discussion boards, among others. Additionally, course management systems have been formed to back up interaction online, allowing students to organize discussions, reply to and post messages, among others (Jane E. Brindley,

Saturday, April 27, 2019

Strategic Management Accounting Essay Example | Topics and Well Written Essays - 3000 words - 1

Strategic Management Accounting - Essay ExampleSuccess foundation be musical rhythmd by ensuring that the output is as per the desired estimation from the pre-decided input and effort (Rathore, 2009 Siddiqui, 2006). In such situation, obligation accounting signifies classifying the monetary information that is related to the areas associated with the makeupal activity. After considering these financial aspects the responsibilities are allocated for compulsive different areas of operations. These areas are also known as responsibility centres. There are heterogeneous types of responsibility centres, such as cost centre, profit centre, revenue centre, and investment centre (Rao, 2007). The financial performance in the organisation are measured and monitored by the managers by considering the relative measures of profitability. ROI is also a relative measure of financial performance that can be utilised for comparison with the other investments. It also assists in providing a sum mary of the post return on the capital employed. The concept of ROI is based on the yield or benefit that investors reap on investments (Megginson and Smart, 2008). ROI = (Revenue Investment) / Investment * 100 (Jupri, n. ... The focus of ROI is towards profit, and the data required for such reason is easily available. Apart from this, the size of the divisions does not affect the calculation, and the managers can easily choose the projects with higher ROI. However, ROI ignores various risks, and considers historic measures. In this case the projects which shake off slow payoff are generally rejected. This also encourages managers to work shift their focus towards short-run than long-run (Kimmel, Weygandt and Kieso, 2008). Apart from ROI, EVA is another tool for measuring financial performance that has baffle popular among the managers. In this case the performance is calculated on the basis of the residual wealth of the organisation that is deducted by the cost of capital from the operating profit. This is also referred as the economic profit. The formula for calculating EAV is declared below EVA = NOPAT (Net Operating Profit after Taxes) (Capital * Cost of Capital) The organisation having a positive EVA is said to have yielded profit or wealth, while organisation with negative EVA is said to have consumed the capital. The strength of EVA is that it acts as a major indicator of wealth creation and accordingly assists the managers in streamlining the goals of the division or plant with the corporeal goals (Ingram, Albright and Ingram, 2006). However, there are certain limitations in this method, especially when it comes to the size of the division or organisation, or financial orientations. Both the methods discussed here suffer from the drawback of tempting managers with short-term profits. EVA is particularly used for aspects like incentive compensation, investor relations, and vision allocation. The premise in this case is

Friday, April 26, 2019

Freewrite in the Style of Susan Griffins Our Secret Scholarship Essay

Freewrite in the dash of Susan Griffins Our Secret - Scholarship Essay ExampleIt reminds us of our humanity. We weep for a piece of bread at night. Let byg geniuss be bygones, but if I look at the soul of a Jew I pull up stakes never again buy a German car, no matter how much I want a BMW. If I have the soul of a Jew I entrust never truly understand how we shadow look at disasters like Haiti and non be one of the people who constitute $396 M in donations to our darker brothers and sisters living on one-half of an island in the Caribbean. If I have the soul of a Jew I leave never be able to look back at WWII history and non learn its lessons. The wiseness it teaches us. Freedom is a privilege, not a right. Many of us atomic number 18 yet still not free in this populace.Tough times, repeated rhymes. Fourscore and seven years ago becomes a whine in the background.Even though this life is full of sound and fury and signifying nothing, even though it whitethorn start with a ban g and end with a whimper, still, this life is magnificent no matter how one slices it. This life is wonderful, no matter what happens, who tries to put you d let, or who tries to destroy your good name.Men like myself be like torpedoes. From the inside out we distance ourselves away from others, aiming for the target, to pierce others with our consciousness.Silently we are thinking to ourselves, And who are we to destroy But deep within our consciousness lies the subtle fact that we owe our own destinies a shot at finding true meaning and relevance in a rickety world so poorly and yet so magnificently built.Truth was never yet found where shabbiness is considered king. But all of these days, we consider that man is simply a leave of grass that will be blown away with the summer wind.Nothing satiates our desires more perfectly than finding the right person with whom to luck these personal pestilences, these difficulties, these mired-down missions in our petty lives. Nothing.With a ll of the history we refer back to, we realize that in the shadows, in the darkest recesses of our minds, nothing can compare to the hope we have when we come back and take ownership of our own destinies. Like the wind, we fly.Sincerest victory is not won by sitting idly by the sidelines. We essential(prenominal) fight, we must struggle, we must dance to the death, our victory dance.We must realize ourselves. We must self-actualize.Dearly, we hold each other. In the wakeful of each others arms, we realize our true purpose in life, which is to love and be loved.Life can whole be understood backward, but it must be lived forward.2 Because I have the soul of a Jew, I realize all my mistakes must be remedied by love, kindness, compassion, caring, and understanding. I realize my love must be like an overflowing ocean or river in order to manifest love.Because I have the soul of a Jew, I recognize all human pain and suffering. I will not turn a blind eye to the homeless, the destitute , or those who have needs and problems.My mind is racing. Without love in the world, there can be no great change.Without love in the world, there can be no catharsis. Without love in the world, there can be no healing.Because I see with the eyeball of the oppressed, I am more free in my own being. I have more of an top executive to identify with the needs of the suffering.I see the problems. I do not ignore them.I will not turn a blind eye to suffering when I see it in my life. When I see others in pain, I will see and do something.I will take action. I will be a force for change.I will do the right thing. I will get involved.I am trying to be the best man I can be. I am trying to be the best human being I can be.With God as my witness, I take an

Thursday, April 25, 2019

The Leadership Challenges Essay Example | Topics and Well Written Essays - 1250 words

The loss leadership Challenges - Essay ExampleThis paper focuses on the challenges be intimated by a leader and how a duty period leader can help the nerve obtain its objective of adopting change. The lead Challenge Introduction Leadership is referred to as an individuals ability to influence an individual or a group of individuals in any heapting to accomplish aims and objectives. In judicatureal context, leader is a person who influences other individuals of the organization to comply with him and help him in stimulateing aims and objectives. The individuals who are being influenced by the leader are recognized as followers of the leader, they follow a leader due to various reasons and peerless of the main reasons of followership is allocation of resources. An organization is a setting that experiences huge number of challenges and it has to meet these challenges to remain in the game for the longer run. receivable to various challenges, an organization always desire a leader as a leader is the one who makes the decisions of furthermost difficulty, carry out the process of change and communicates the vision of the organization to the employees. A leader has to experience various challenges while carrying out the duties he is expected to perform. Body Over the years researchers have count on out various types of leaderships that individuals carry out to attain the main aim of influencing. One of such types is transformational leadership, individuals who bead under this kind of leadership influence their followers by directly appealing the sensitive ramp of the followers or in other words, they appeal to the moral end of the followers in separate to influence them. These leaders carry out their task of leadership with the aid of creating a high valued image of themselves in the minds of the followers, they present a vision of future that is quite positive in disposition and they are the ones who frame the entire process of change. On the othe r end are those leaders who set goals for their followers and provide aid and assistance to their followers for the accomplishment of those goals by all the way informing them active the tasks and the roles they have to perform for the accomplishment of those goals. Transformational leaders are said to have the charisma to influence followers in such a way so the followers give priority to the organizational goals everyplace their own goals. Vision is an idea of the future or the budgeted future that is framed by leaders, leaders manufacture a positive vision in order to keep the followers tied up with individually other. A leader articulates a vision by presenting a future that is quite positive and clearly defines the steps that the organization has to take to achieve a positive future. In transformational leadership, image management is of utmost importance, because a transformational leader has to lead his followers through the concept of idealizing. To achieve this objecti ve, a transformational leaders behavior has to be quite attractive and positive and has to lead by conducting exemplary behavior. A transformational leader is considered as one of the best forms of leadership because he has the duty of injecting the feel of high level of homage and confidence in his/her followers. They conduct the task of articulating the organizations vision in such a way so the followers can relate to the vision and are highly willing to attain the objectives set in the vision. They take the step ahead and delegate authority

Wednesday, April 24, 2019

Different Sources of English Law Essay Example | Topics and Well Written Essays - 1250 words

Different Sources of English Law - Essay ExampleNorth Ireland operates a governance that is similar to that of England, but which is autonomous. Legislation as a main source of English law entails the preparation of laws by the fan tan, commonly known as the primary legislation. In this depicted object, Bills are developed and debated upon in the brook of commons. While they are approved, they are passed on to the house of Lords for approval and later to the Queen for royal assent, subsequently which they become fully fledged laws of the UK (Hughes, 2002 p18). There is secondary legislation that entails the formulation of laws by other bodies, mandated by the parliament to make such laws. This includes bodies such as government ministries and the local regimen (Dicey, 1993 p51). Legislations by parliament do vary, based on the geographical locations, companies, or persons. The ordinary laws that applies universally to all people in all regions are called the public general a cts. There is however a change in the conventional ways of legislation, with some modern legislations being undertaken by the government ministries, even without being approved graduation exercise by the parliament (Barnett, 2008 p17). This is a form of delegated or secondary legislations, which has some reasoning behind. ... igned for specialized areas with unusual professional needs that the parliamentarians cannot meet, the opportunity is provided for, under delegated legislation, where the expert opinions and skills are crafted and incorporate into laws (Barnett, 2008 p23). Further, delegated legislation allows for flexibility in law making, in that it becomes possible to address emergent issues that need legal backing through such statutory instruments or orders provided by the ministries for enactment. This serves to insure that the law making process can adopted to pressing need of a situation, which would otherwise not be possible if the issue had to go through the aver age parliamentary legislation (Hughes, 2002 p32). Thus, legislation as a source of law entails the rigid and the flexible avenues. This serves to ensure that the nature of both complex and simple issues are accorded the right avenues, with complex legislations being handled by the parliament and the simple flexible legislations being undertaken by such delegated bodies as the ministries. The legislations done by the local authorities are called by-laws. The doctrine of parliamentary sovereignty provides for the amendment of common laws by acts of parliament, while the laws formed through parliamentary legislation cannot be changed by the statutes of common laws (Slapper, 2001 p133). Case law is another source of English laws. This refers to the germ made to judicial decisions that were made in the past, considering the ruling that was given by the then judges, in the case a legal suit of the similar nature arises in present day (Hughes, 2002 p55). A relation that was made by a jud ge during a certain ruling can become de jure binding, and thus affect the subsequent judgments made, due to the requirement to observe

History Paper Q2 Globalization Essay Example | Topics and Well Written Essays - 500 words

History Paper Q2 globalization - Essay ExampleThe surmisal of cultural exchange, understanding and tolerance within a spherical civilization.But as many critics involve noticed, we are not perfect human beings. It is hard to remove a fair grapple and conditions of compare between countries that do not know how to trade fairly with each other, but that exploit virtuoso another. By attempting to establish a standard, the differences have been reinforced. The richer get richer the poor get poorer.The historical processes that led to this global movement stomach be traced to a series of economic agreements after the two world wars. Globalization in the era since World War II has been driven by Trade Negotiation Rounds, originally under the auspices of GATT, which led to a series of agreements to remove restrictions on free trade. The Uruguay expand led to a treaty to create the World Trade Organization or WTO, to mediate trade disputes. Other bilateral trade agreements, includin g sections of Europes Maastricht Treaty and the North American Free Trade Agreement have also been signed in pursuit of the goal of reducing tariffs and barriers to trade.The other historical process that can be pointed out in the globalization phenomenon is the transmission of information.

Tuesday, April 23, 2019

The Sacred Pipe Essay Example | Topics and Well Written Essays - 2250 words

The Sacred Pipe - turn up ExampleThe sen erantal value of some possessions may range from something as simple as a letter, a pen or even jewelry which is a family heirloom. These things may seem ordinary and everyday to others but it is what it represents that makes all the difference. The same consideration, at a different level of intensity, makes for the meaning that the sacred subway holds. Another aspect of a sacred pipe is how it serves as a communication device that communes piece not only to his nature but also to his ancestors. This is not an entirely alien concept as there argon other religions that believe in the influence of people who have already passed as guardians present in daily life. The pipe is a means to communicate with ancestors who can be a source of hope for these people. Anyone who has lost a loved one knows how it feels to want to be able to bawl out to them again and maybe to ask them for guidance during the most trying clock times. Winter represents a difficult time and it symbolizes hardships and despair. The knowledge that a sacred pipe could connect two worlds is nothing short of faith. The mother should yield everything for her children and must develop in herself and in her children a great love for Wakan-Tanka, for in time these children result become holy people and leaders of the nation and will have the power to make others wakan. At first we keep only the souls of a few of our great leaders, but later we kept the souls of most all good people (Brown 11) This quote affirms that the Native Americans place the responsibility to mothers to be able to nates her children properly and to sacrifice her own desires and needs for their benefit. Regardless of this passage, I believe that a mothers love is absolute and that even without any order or reminder remains the same except what culture one belongs to. The same mothers love is seen and manifests in a loving rest home in a way that a persons success and virtue is mo st promising to be attributed to ones mother and the patience with which he was brought up to. It is by this same effect that I suppose that my own character was shaped. My mother served as a role model and the native person who has molded me from birth. Mothers would want nothing more than for their children to grow up to be good people. The find you show to your parents is a good indication of a persons upbringing. The same amount of approve is invaluable in the traits that make for a great leader. The concept of wakan provides for the perpetuation of memories of people who have imparted an unerasable memory to the community. They are better than historical figures such as presidents for they remain in spirit with the people. They are not the only subject of stories and anecdotes studied for memory but they are infinite beings that transcend time and lifetimes. This commune with a concept as intangible as the soul substantiates why being a holy wakan is something to achieve f or. The leader of the rite then says This is the fire that will help the generations to come if they habit it in a sacred manner.

Monday, April 22, 2019

Community Research Paper Example | Topics and Well Written Essays - 1250 words

Community - Research Paper ExampleIn prehistoric times, the women gathered firewood, honey and herbs for the family. In the modern community, occupations depend on the relevant skills acquired for different fields. This also depends on the production levels present in the society. However, segregation of duties largely depends on the stereotype of the community towards gender. In history, several women took up various fond responsibilities. Merit Ptah from Egypt is one of the earliest known scientists and physician as fountainhead as Baranamtarra who was an influential fagot of Lugalanda. In most other communities, women assumed roles based on their cultural setup2.Some issues affecting the female gender include health issues especially in regards to reproduction, gender equality. Maternal deaths occur when a adult female is pregnant or during termination of a pregnancy. The World Health Organization records that ab step to the fore 99% of intercontinental maternal deaths occur in the Sub-Saharan Africa and Southern Asia, which are developing nations3. The developed nations came up with productive rights and freedoms. These rights give women an avenue to have control over their sexuality responsibilities. This prevents them from being discriminated due to their femininism as well as violence occurrences. The rights also enforce equality in men and women relationships, sexually, mutual respect, shared certificate of indebtedness for the consequences of sexual behaviour as well as giving full respect for each better halfs integrity4. These rights are said to be violated when a female is forced into sterilization, into or out of pregnancy. Enforced pregnancies occur as a result of lack of contraceptive or abortion facilities as well as inefficient sexual violence laws.An example of a case which dealt with womens procreative rights includes the Scheidler Vs. National Organization for women. In this case, NOW filed a case against individuals and institutions who allegedly opposed the

Sunday, April 21, 2019

The Hazards Of Smoking Essay Example | Topics and Well Written Essays - 750 words

The Hazards Of skunk - Essay ExampleThe posterior has been part of man kinds evolutionary journey for a long period now. In the present day, it holds an entire industry in form of tobacco industry. Established cartels, business enterprises, firms, pretend holders, suppliers, and investors are associated with this business. National, international and multinational operational operations are conducted and across the continent exchange of cigarette products is performed. Governments issue proper licenses for its promotions, its selling, its usage for trade and other purposes. A large amount of investment whole in the field of advertisement of tobacco and cigarette is done and every local media in distinct parts of the world have been enrolled into it. Hence it is a menace that has spread its web firm and sound and has become an integral part of every society and mainly the male members of respective societies.The path awayHaving mentioned its vastly spread network, a vigorous p olicy must be devised to ensure that the menace tidy sum be eradicated and controlled in a contained manner in order to protect the precious lives from it. The alarming position about it is the point that it induces its impact into others through peaceful smoking and inhaling. It is being said that through the passive smoking, the people in the vicinity are nearly or equally prone to the threat of its dangers. Smoking, in general, is a very dangerous thing and poses threats to health and the human body in many forms.

Saturday, April 20, 2019

The Life and Works of S.E. Hinton Essay Example | Topics and Well Written Essays - 750 words

The Life and Works of S.E. Hinton - experiment ExampleS.E. Hinton boasts of seven bestselling novels (The Outsiders (1967), That Was Then, This Is Now (1971), Rumble Fish (1975), Tex (1979), Taming the Star Runner (1988), Puppy Sister (1995) and Hawkes restrain (2004)), three classified as omnibus of novels (Outsiders / Rumble Fish / That Was Then, This Is Now (1995), An S.E. Hinton Collection (2001), and Some of Tims Stories (2007)), maven picture concur (Big David, Little David (1995)), and one upcoming omnibus of a novel Some of Tims Stories in paperback which consists of tetradteen original stories depicting adults trapped in lives of missed connections and opportunities. From among her seven novels, four were made into movies depicting the appeal of their themes to the masses. Most of her themes center on loyalty, transformation accorded through age, identity search, and abandonment. She was satisfactory to depict real-life situations written in the point of view of the au dience in context. Peck averred in his book review written in New York Times, The Outsiders shocked readers with its frank depictions of adolescent smoking, drinking and rumbling. Although former(a) pop culture offerings had dealt with themes most notably Rebel Without a Cause and West Side fable their intended audience was an adult. By contrast, The Outsiders was a story for teenagers, about teenagers, written by a teenager. (Peck par. 1). However, the success of The Outsiders was measured by Hinton in terms of its ability to bring back the joys of reading to children.

Friday, April 19, 2019

Any company Essay Example | Topics and Well Written Essays - 500 words

Any company - Essay ExampleThere are many market models available for different companies to deal from in addressing the marketing views, however, a majority usually choose that fit in their operational programs as well as have the simplest of formats that eases the explanation and interpretation of education available (Gregoriou and Razvan 28). The choice of a particular market model for a company is usually influenced ground on the five characteristics of the models used. Therefore, for every organization, the choice of a particular market model is usually influenced by the characteristics of the particular model.Out of the four types of market models, SaaS Company operates depending on Perfect or Pure tilt Model. This is a type of market model in which ones success is influenced by the ability to outshine the adversary on the goods produced and the services rendered. In this instance, the competitors indeed work in a similar product line, with an aspect of equal quality of the products. The market influence is therefore, dependent upon influencing many buyers and having many suppliers for the products made for success (Gregoriou and Razvan 96).establish on the five characteristics of the market model, each is directly aligned to the companys market model. freshman is that the product in the more or less essential in the championship operations. For SaaS, there is the building of customer systems, providing the customers with most appropriate product choices. The second characteristic is that there is cost/ value preposition. In a business where two or more companies are producing similar products and equal in value, it is substantively important that price be set at a lower value compared to the competitors value for success to be realized. SaaS, on this perspective provides cheaper products compared to the alternatives, provides a network of benefits which are not easily found with the other competitors, operates found on certain sophisticated te chnology models

Thursday, April 18, 2019

Emergency Nursing Assessment Framework Assignment

Emergency Nursing Assessment Framework - Assignment Example at bottom the care for process, use of the stated example has been demonstrated to be effective as a contextualised framework relevant to emergency conditions. This framework consists of 5 steps of history taking, potential red flags, clinical examination, investigations, and nursing interventions (Curtis, Murphy, Hoy, & Lewis, 2009).The inspection of his chest revealed intercostal muscle recession, and auscultation revealed diminished air entry at both bases of the lungs with crackles clunky in the right base. The respiratory rate was higher than the baseline at 28 per min with muddy and laboured breathing. His SpO2 was 89% on Hudson mask at 6 L of group O with elevation of PaCO2 to 54. tout ensemble these information indicate that he was in acute respiratory failure (Delerme & Ray, 2008).The clinical see indicates that this transition in respiratory function has occurred over a short period of time. This patient w as at baseline hypoxaemic indicated by his need for supplemental oxygen to maintain his oxygen saturations above 95%. Given his be on and potential blood loss due to fractured neck of right femur this is expected, although the history does not nominate any degenerative respiratory disease at the baseline (Calverley, 2003). This is an important part of history since quite frequently such patients develop acute respiratory failure superimposed on a chronic pulmonary condition such as chronic obstructive pulmonary disease, which is common in time-honored men of his age (OMalley, Marcantonio, Murkofsky, Caudry, & Buchanan, 2007).While initially 3 L of oxygen per min via nasal prongs ensured a 99% of SpO2 of 99%, postoperatively in 2 days time, his condition deteriorated. The assessment while trying to expire a diagnosis must include an attempt to determine causes for such changes. Although high temperature of 38.5 degrees Celsius may conduce to higher rate of breathing, the labou red breathing and findings at auscultation strongly suggests respiratory failure, which is further confirmed by rise of PaCO2 to above 50 (El Solh & Ramadan, 2006). While a fall of PaO2 to below 50 is expected, given his oxygen supplementation, this may not occur always unless there is severe respiratory failure. As expected the pH is 7.30 which is less than 7.35 indicating respiratory acidosis along with oxygen destaturation indicated by SaO2 of 89%, which is below normal (Antonelli, Pennisi, & Conti, 2003). The X-ray picture confirms right sided basal consolidation and collapse, which may indicate an infective episode, which perhaps is the cause of this failure, since the other former of overuse of PCA can be ruled out through the patients statement.Q2. The doctor initially prescribed two antibiotics. The later appearance of fever and concomitant respiratory failure due to consolidation and right sided pleural effusion leading to collapse indicated that this infection has been a cquired in the hospital.

Wednesday, April 17, 2019

Economics and Contemporary Issues Essay Example | Topics and Well Written Essays - 1750 words

Economics and Contemporary Issues - Essay Example fuck this struggle, health make out costs are skyrocketing, and two primary reasons for the increase find their roots in these same two groups. Life expectancies in the country are getting longer, and the aging boomers pull up stakes lead more health carefulness for longer periods f time. Funding for the existing government health care systems is declining due to the same reasons that Social Security is facing implosion. More citizens receiving realises are fewer citizens are remunerative into the system. The simple equation f higher demand -plus- lower funding -plus- longer lives -equals- higher costs.Secondly, the poor, uninsured and illegal immigrants who can receive health care at any hospital are creating increase drag on a system that is already suffering. Every hospital in the country will treat any person entering its emergency wards. If the services are not paid for, the spill is applies to the bottom line, and costs i ncrease throughout the system.A third reason for the push for Universal healthcare is the pragmatic belief that in the long run it will reduce healthcare costs in general. If preventative care is available to every mavin from birth, the result will be less-costly healthcare needs in peoples later years. Early preventative measures also lessen the magnitude f epidemics when more people are protect and chip in access to treatment, disease cannot spread so easily. (University Wire, 2001)Former US Surgeon General C. Everett Koop tardily stated I think I am right when I write that all Americans have the right to healthcare, Koop said. If we agree that there is a right to healthcare, then we are also agreeing that someone essential provide these rights, he said, noting that the right to healthcare is different than some other constitutional rights because it incurs a pecuniary cost on society. (Anand, 2000) Two year ago, in a survey f medical- school strength and administrators pub lished in the New England Journal f Medicine, 57 per cent said they like a single-payer universal healthcare system over either fee-for-service or managed care. Indeed, more and more doctors are at present keen to work in coalitions where they learn from and fight for the needs f those whom they have traditionally considered inferiors or adversaries. (Gordon, 2000)As a result, when President Clinton ascended the podium, and declared that universal healthcare is a right which Americans shared, no one questioned where the money would come from to fund such a huge expansion f the federal bureaucracy. This has do the clearest argument for universal healthcare, the right f all people to receive healthcare, in the form f physician visits and pharmaceuticals, regardless f their socioeconomic status. (University Wire, 2001) A person who is poor should not be precluded from the benefit f healthcare simply because he or she cannot afford it. Boomers perceive universal health care as another program to benefit them, and the poor / uninsured thought they were looking at a savior. The core question to answer, however, is not whether healthcare coverage is a right or not. The costs f health care are skyrocketing, and the needs f the population are increasing. The question is What is the most efficient means f bringing down

Computer Communications & Networks Essay Example | Topics and Well Written Essays - 2000 words

Computer communications & Networks - Essay ExampleHowever, in order to examine the processes, methods and techniques, we must first understand the TCP/IP protocol entourage itself. Considering Internet Protocol (IP) first is vital because the rest of the TCP/IP suite is constructed on the IP. Likewise, it is also called as a mechanism that is incorporated for information packaging, transferring and routing via TCP/IP inter net (Kozierok 2005). Moreover, IP is also involved in constructing and packing all data grams in a similar devise while managing them between devices in an intelligent way. Before getting into more detail, the prime objective for having a network, internetwork and TCP/IP suits is to empower and enable networking application. For online accessibility, these applications are flat operational via web browsers. For instance, anyone wants to upload pictures, multimedia contents to share with family, similarly, chatting with friends and colleagues from Internet Relay Chat (IRC) applications. In general, a common interface is now reachable for making communication purposeful. Accordingly, student portals are now developed and considered as an efficient educational interactive interface for universities and colleges. Likewise, apart from some examples given previously, student portals are advanced application bundled with numerous features and applications supports education and learning activities. In the next section, we will explore networking concepts for a student portal named as X-stream server accessed by a student from a remote location. The X-Stream Server The first section i.e. the informal semantics will focus on connectivity of a computer internally as critical components of the computer network must be examines by a holistic approach as every component contributes to the sundry(prenominal) system (Olifer, 2005). If anyone wants to access the X-stream server from the home computer, it must be connected to the Internet. The simplest of troubleshooting steps incorporates the ping command. The sentence structure of the command will be ping (space) (destination address), executes via command prompt. Likewise, tracert command can also be use to give an illustration of delays from source to the router along with end to end connectivity to and from the destination (Ross 2009). However, many devices and protocols are co-ordinated for maintaining and identifying the computer and sustaining connectivity. The first point of interest in addressing internal semantics is Ethernet. It is considered to be the most popular topical anesthetic Area Network technology that is implemented globally (Ethernet. 2007). The Ethernet connects with a shared transmission medium called as twisted pair or a cable with a multi-port hub, switch or a bridge. to the highest degree commonly, an Ethernet switch or a DSL router + Switch is most common. A typical Ethernet frame comprises of half dozen parameters i.e. Preamble, destination addr ess, Source address, type, data and CRC (cyclic redundancy checking). The preamble is responsible for synchronizing clock rates for the recipient role and the sender. Address is usually six bytes in size and is responsible for identifying frames as per the sender and receiver address, it transmits the data in network layer protocol. However, if the match is not made, it discards the frame. Likewise, the type indicates the protocol type. Normally it

Tuesday, April 16, 2019

Injustices during the progressive Essay Example for Free

Injustices during the progressive hind endvassDuring the new-made 1800s and early 1900s, there were a big money of injustices in the United States. The Progressive Movement, which began in the late 1800s attempted to adopt intimately government reforms and correct injustices in America.One example of the problem in the U.S. was over population of the American cities. More and more people began to move cities from rural areas for jobs. As you can see in Document I, the cities were overcrowded and the infrastructure could not hold up with the influx of people moving to urban areas. The people lived in overcrowded housing developments that were dirty and poor.There was also abuse in industries. This was open by Upton Sinclair(Document 2). One of his most well cognize novels was The Jungle, which showed the abuse in the nucleus packing industry. He uncovered how the people would take extremely spoiled meat and use it as sausage or put it in to a can. They also employ all parts of the meat and even rats were imbed to be in the meat. By writing this book, Sinclair was able to expose the corruption in the industry of meat packing, and Congress passed the Meat Inspection Act.A position change brought about the declining numbers of children between the ages of hug drug and fifteen who worked. In Document 3, you can see by the chart that the number of children working decreased by 6.8% from 1890 to 1920. Children were often used as cheap labor and were abused greatly. The government was able to strangle the number of working children under sixteen during this period of time because many states passed children labor laws.Around this time, orotund businesses came to power. As shown in Document 4, there were many abuses in businesses. The people who ran and formed these industries/trusts/businesses, such as Andrew Carnegie, Rockefeller, and Henry Ford. They acted like the big bosses and held control of much of the U.S. industry. In Document 5, Teddy Ro osevelt explained how he entangle about how these big businesses (oil, steel, copper, etc.) should be regulated if they are only in it for the money and power. Teddy Roosevelt became known asa trust-buster because he enforced the Sherman Antitrust Act.During the late 1800s the Progressive Party was formed. They wanted to bring about change in the U.S. One of their main goals included the reforming of industries. InDocument 6, their platform is partially shown. Under their platform, they wanted to prevent accidents, diseases acquired on the job, and unemployment. They further wanted to have better health and condom centers, and minimum wage.In 1913, the 17th Amendment was added to the shaping (Document 7). When the Constitution was first written in 1787, the senators were elected by legislators. In order to make the selection of senators more democratic, the 17th amendment was added. It said that senators would be elected by people from each state, not by the legislature. This is why we now have candidates that campaign for seats in the senates to the people. By adding this amendment to the Constitution, it made the U.S. more democratic.Women suffrage also took place during this time. People like Susan B. Anthony (Document 8) and Elizabeth Cady Stanton worked and campaigned for women to be allowed to vote. Susan B. Anthony used the preamble of the Constitution to argue her case. She stated that the Constitution said We the people not We the men She said the Constitution was written for all people, not just men. Her efforts eventually paid off, and the 19th amendment was passed in 1922 allowing women to work.In purpose there were many injustices in the U.S. from the late 1800s to the early 1900s. The Progressive Movement help to bring about more change as did the government. Teddy Roosevelt tried the limit the abuses of big businesses, and women suffrage was granted, and the meat packing industry was exposed. With each time comes problems but with activists some are changed and reformed. During this time period, there were a lot of injustices and issues, many of which were discovered, addressed, and reformed.

Monday, April 15, 2019

Sympathy for the Devil Essay Example for Free

Sympathy for the D diabolical seekThe first thing that I noticed when I heard this song is how different it is from almost each other song that I have heard. The instruments used seem odd for The Rolling Stones, and rock songs in general. It starts off with a combination of gun barrels and maracas, healthying like Brazilian samba medicinal drug. Usually rock music has a 4/4 back belabor with a bass drum, but this song does not contain that attribute. in that respect is no rhythm guitar but instead an electric bass and piano is used. The bass guitar is used to stand in the rhythm guitar, lead guitarist Keith Richards also plays it, and so this may explain this.Im dismission to start off by discussing the lyrics of the song and what they are about. I noticed that one of the rail lines every grass is a criminal, and all the sinners saints seems to suggest that the behemoth isnt that bad, and that all people have some remonstrate in them. There seems to be confusion of sizable and evil. The devil is portrayed as a piece of wealth and taste and polite as well by greeting using let me occupy introduce myself. Another line, hope you guess my name, but whats puzzling is the nature of my game intrigued me. This line is not the songwriter verbal expression that I hope you guess that its me playing the devil, it means that the devil is saying I hope you can recognize me because I may be in disguise and I dont do evil myself, I trick people into doing it for me.The difference between good and evil is a continuing theme passim the song. Jesus Christ in mentioned and the devil says that he stolen many a mans soul and faith. The songwriter is not arguing Christian doctrine, he is using the devil as a symbol of how it works in the world and that we need to have our guards up because evil will be disguised and may not appear as obvious to us. This was analyzed from the lines I watched with glee, while your kings and queens fought for ten decades for the go ds they made.Now I will discuss the music, the different sections, and how they evolve throughout the song. The track begins with a beat on one drum, and indeed congas are added as accents to the last beats of the line. Other instruments join in and it sounds like a jungle beat with Jagger howling in the solid ground like a wolf, giving the impression of being in a dark jungle. As the beat continues, piano is introduced with a slow series of chords. This is when Jagger beings by singing please allow me to introduce myself, Im a man of wealth and taste. After the first four lines bass starts and it builds on the drum mix still going on in the background. The bass makes the song sound angry, and the bass doesnt play a repetitive riff it seems to be improvised or played randomly.The first rhyme and chorus end with the pianist playing at an even pace, but when the second rime begins he starts playing faster and more frantic. The sound of the instruments matches the lyrics of the so ng, singing about overthrowing government and the blitzkrieg. At the third verse we can hear background vocals singing at the end of each line. These vocals add an eerie sound to the rhythmic instruments, and Jaggers voice begins to crack on every word. The fourth verse is a guitar fly by Keith Richards and is not really following the beat.He goes from note to note, sliding his fingers across the strings, producing a discernible sound and then a note is held for several beats. The guitar represents the character that is portrayed in the lyrics, unpredictable. After the guitar fly we hear the chorus, followed by another verse and the chorus again. All of the instruments are played together this instant and it all seems to be improvised, with no recognizable rhythm. The guitar and vocals play off each other nicely and then Jagger says can you guess my name? referring to the devil. Finally the song fades away to an end.When I watched a live word picture of The Rolling Stones perfo rming this song I noticed how into it the whole crowd was. Sympathy For The Devil is variety show of like an anti-war anthem for people. The whole stage was lit up in red with lights and there was mottle on the stage as well to add more emotion to the song. In 2003, The Stones released this as a maxi-single, with 4 versions of the song. The original was there, as well as remixes by The Neptunes, Fatboy Slim, and Full Phatt. The industrial band Laibach released an built-in album containing different covers of this song. The character and tone of the covers are largely very different from the Stones version. In the possibility track the lead singer sings/shouts in a very deep bass voice with a thick Slavic accent. One of their covers contains references to the violence at the Altamont raceway. In 1969 a fan was fatally stabbed during a performance of this song and they didnt play it live for 7 years because of this.

Sunday, April 14, 2019

Social Work Assessment and Intervention on Marta Ruiz Essay Example for Free

Social Work sagaciousness and Intervention on Marta Ruiz EssayThe patients name is Marta Ruiz, 52 years old, female, clinically diagnosed as human immunodeficiency virus Symptomatic with a CD4 count of 600+ with a detect equal but not high viral load. She has been a person living with human immunodeficiency virus/ assist (PLHA) for five years. She resides at Jackson Heights, Queens, New York urban center after migrating from the Dominican Republic and is living on assistance provided by DASIS. She requested assistance from this kind worker on a crisis precipitated by a fear of contagion transferred sexually by her to a lover named Ruben, with whom she has recently resumed intimate relations with after being separated for many years. This paper presents filth as seen in this case, its effectuate on genial systems and proposed complaisant work interventions for the client. taint and Its Effects HIV smear is defined as prejudice, discounting, discrediting and discrimination directed at people perceived to have HIV or AIDS which may be enacted or felt (Green and Platt, as cited in Emlet, 2006). What is app arnt in this case is a form of felt or internalized stigma characterized by Martas liveings of shame, guilt, and fear of enacted stigma.Marta has not yet get windd stigma deliberated upon her by society because she has placed herself in protective silence in evidence to shield herself from what she views as terrible repercussions once she tells the truth about her condition. This is a type of stigma management used by PLHA. She treats her disease as something shameful, because of a preconditioned belief prevalent in her legal residence country that AIDS is a disease contracted by loose women, drug addicts and homosexuals. Moreover, she has an fire fear of rejection and defectment that could eventually result from a disclosure of her disease.This type of stigma has resulted to self-discriminating behavior and poorly-made decisions that lead to several effects, including a possible contagion transfer Non-disclosure, feelings of denial. As a way of managing stigma, Marta chose to be reticent about her condition and did not reveal it to anyone except with her medical providers. This reflects feelings of denial which eventually had negative effects in terms of the quality of her judgments and decision-making. Physical isolation. Fearing anticipated stigma, Marta subjected herself to physical isolation.She left her pals home in New York to live alone in a one-bedroom apartment in Jackson Heights. This is a type of avoidance behavior common among PLHA (Delahanty et. al. , as cited in Emlet, 2006). Depression and stoppage of fond activities. Stigma also led Marta to discontinue social activities like music and dance which she regularly engaged in previous to her HIV diagnosis. She also experienced increasing levels of stress and depression accompanying her illness. Failure to usurp social carry.Stigma also resulted to an a bsence of social withstand from family or friends, without which, Marta lacked the excited backup to consider the problems and circumstances related to her condition. Possible contagion transfer. Perhaps the closely damning effect of stigma in this case is the casualty of HIV/AIDS infection from Marta to her lover Ruben because of the conditions decision not to disclose her disease. Effects of HIV/AIDS on Social Systems Various social systems are bear on by HIV/AIDS (Emlet, 2006).The individual, family and participation have experienced or are likely to experience the impact of Martas case in different ways. separate. Aside from degenerating health, HIV/AIDS had a negative impact on Martas psychosocial well-being. Because of practiced avoidance behaviors, she suffered stress, depression and loneliness. All this stems from fear of societal rejection that she believes would course keep abreast down on her as a result of her HIV stead. This led her to isolate herself from he r family and abandon some of her previous social engagements.It also led to poor self-confidence, emotional vulnerability and poor self-efficacy. It is burning(prenominal) to note this because empirical literature seems to suggest that above all factors, personal characteristics and beliefs predict successful fastening interventions among PLHA. Family. Martas nondisclosure has created no visible effects on her family system as of yet because her family does not turn in of her condition. However, by physically separating herself from her immediate family in New York, she has effectively cut all lines of communication and support from her family in the Dominican Republic.Judging on a description she made of her family, it is likely that if she reveals her condition to her family, the earthly concern of rejection will come in. While this may be true, and granting that her family seems predisposed to discriminate and stigmatize her, PLHA can pull in so much emotional support from family. If she continues to keep her condition secret from her family, managing her disease would be difficult, considering that she has no strong social support systems in New York. This has grave implications on how social workers can sell social support concerns among PLHA.Social support has been repeatedly associated with psychological well-being and mental health, confirmatory states of mind, grass out with the disease-related stress and quality of life (Catz, Gore-Felton,McClure, as cited in Emlet, 2006). Community. Martas case, along with all HIV/AIDS cases, continue to become a community concern especially because much of the stigma that befall PLHA come from a collective fear of the disease due to ignorance or lack of HIV/AIDS cunningness or education.This is the premise why anti-stigmatization campaigns have been directed on the community level because lately, discriminatory practices against PLHA are often unleashed by entire groups, not by individuals. Addressing th e spread of HIV/AIDS is a community challenge, too. Stigma and discrimination have been identified internationally as major barriers to HIV control and bar (UNAIDS, 2003). Because of stigma, people refuse to undergo testing and take part in prevention and awareness campaigns.In Martas case, poor education and complicity toward unprotected sexual behaviors led to a nondisclosure of HIV status and eventually, the possibility of infection. This is the type of situation HIV/AIDS education campaigns and advocacy is trying to prevent. Proposed Interventions There are more than than one possible modes of intervention for the social worker to handle Martas case as furthest as crisis management and her adherence to treatments. Her current predicament can possibly affect how she views and regards management of her disease and must be resolved.From the crisis report, it could be gleaned that Marta demonstrates a willingness to participate in treatments and programs that may be instrumental in helping her cope with the disease. She is currently enrolled in a DASIS program that assists her in terms of housing and rudimentary needs which she also supplements with employment as a house cleaner. It could be safely assumed that she is undergoing medicine under a treatment viands possibly set for her by health care providers. incase management does not need be used in Martas case but the social worker can still do follow-ups on treatments and medical therapies recommended.Interventions must ensure that Marta sustains a positive view of future treatments in light of the immediate emotional crisis she is experiencing. The forms of intervention that find application in Martas case are (1) individual counseling or therapy and (2) social support. Individual counseling and therapy is the most immediate form of intervention needed to resolve Martas immediate crisis. Marta has demonstrated incapacity to reflect good judgments and decisions, possible due to a confused state of m ind.One initially marvels at how a 52-year old woman could yield sexually to a man who has suddenly resurfaced in her life knowing full well that she has a sexually contagious disease. Her near-hysterical behavior after her sexual encounter with her former lover is indicative of a weakness she describes that might be a result of past experiences and beliefs. Individual therapy will be advisable in Martas case because it allows her to discuss confidentially and on a personal level, unresolved issues she currently face such as guilt, anger, fear, and remorse.During counseling sessions and therapy, she may be able to overcome her fear of disclosure, the greatest breastwork in her case. Therapy must be done in order to resolve these issues on an ongoing basis. Another intervention appropriate for Marta is social support. Her lack of social support systems is one of the salient features in her psychosocial evaluation. Since she was diagnosed five years ago, Marta has distanced herself f rom close associations and has lived in isolation. She is a PLHA with virtually no stable emotional foothold to start from.The only immediate family she has in New York is a brother with whom she finds difficulty in reaching out to, because of mistrust in a sister-in-law she views as hostile. However, she still maintains a few woman acquaintances which could be helpful to her. The social worker can assist Marta by introducing her to self-help groups which would be a great venue for her to feel acceptance. These groups provide an opportunity for PLHA to share experiences with others of like situation and condition. By participating in self-help groups, PLHA meet their own needs as well as others.It will make feel Marta belong to a community which is ready to accept her and treat her normally. These new relationships will be crucial in helping Marta overcome fear and allow her to be comfortable with disclosing her HIV status to others. Barriers to Intervention In helping Marta come to terms with her disease and sustain her adherence to much-needed treatment regimen and therapy, factors such as transference and counter-transference pose a probability of affecting her relationship with the social worker. transfer of training is the conscious and unconscious reproduction of emotions relating to repressed experiences, especially of childhood, and the substitution of another person for the original determination of the repressed impulses (Racker, 2001). This phenomenon may lead to the patients mistrust of the worker because of a minor proportion to a person associated with the emotion. In Martas case, the worker must avoid exhibiting a dominant or authoritative stance because this might cause her non-cooperation.As a girl living amongst nine too dominant brothers with violent tendencies, she might unconsciously transfer her feelings of fear to the worker and this may be an obstacle to her counseling or therapy. She might also associate a female worker with her sis ter-in-law, Betty, who she mistrusts above all. The social worker must take this into consideration because any transference on Betty will make her feel doubtful of the workers ability to maintain confidentiality. In this regard, transference can become a barrier to effective intervention.On the other hand, counter-transference, or the redirection of a therapists feelings toward a client, or a therapists emotional entanglement with a client can influence with the development of a functional working relationship. The social worker must not allow herself or himself to be swayed or pitted against whatever emotion the client is trying to elicit in him or her. Instead, any attempts on counter-transference must be examined and discussed so that the client can objectively view his own motivations, fears and desires.

Saturday, April 13, 2019

Patient Education And Epidural Pain Management Essay Example for Free

Patient t separatelying method And Epidural throe Management EssayThe term throe pertains to a sensation that is communicated by the sensory(prenominal) neurons that atomic number 18 located around the human body to the brain. This sensation is described as an unpleasant thought that is world- broad(a)ly related to a form of damage to a particular tissue in the body. Pain then activates a specific somatogenetic and psychological reaction that tends to find a mechanism to break the unpleasant aspect. The ability to sense distress serves as the bodys warning system that informs us of any form of injury to our bodies. Pain is principally described in terms of its intensity and its duration. effectiveness can be expressed by means of a range of descriptors from slight to agonizing, while the duration of wound may be depicted as constant or intermittent. Other characteristics that atomic number 18 commonaltyly employ to describe wo(e) include sharp, dull, throbbing and nauseating. The threshold of torment varies among individuals hence a numeric evaluate scale, with rating from 1 as the least wrenching situation to 10 as the most wo(e)ful author, has been employed for a more specific quantification of painfulness in forbearings.The numeric rating scale identifies train 4 as the cut-off score for pain that impedes an individual from performing his normal functions (Krebs et al. , 2007). In order to meliorate an individual from pain, pain direction is much provided at hospitals and clinics. In cases wherein the longanimous only suffers from acute pain, transient medications are commonly administered to correct the medical problem. However, if the affected role is experiencing chronic pain that is related to a condition that is shortly being treated or is still undiagnosed, pain conduits are often put up to alleviate the sensation of pain in the patient.These conditions generally include cancer and neuropathy, wherein the pain is d istinguished from the major(ip) medical condition of the patient. Pain watchfulness usually employs that regime of pharmacologic drugs such(prenominal) as analgesics and pain modifiers. In addition, some otherwise non-pharmacologic words may as wellhead up as be provided, which as normally interventional methods such as physical therapy, heat or cold compression and psychological therapy.One of the major interventional methods for pain management involves the brass instrument of extradural analgesia, which is provided through the introduction of a catheter into the extradural anaesthesia space which is the space between the spinal pile and spinal canal. The effect of the injection of pain medications is to essentially remove the pain that the patient is experiencing by inhibiting get on conduction of pain signals along the nerves or the spinal cord. Epidural analgesia is con placered as a common technique for pain management because aside from reducing the pain felt by the patient, it besides promotes vasodilation of parentage vessels.Such result is actually a side-effect of epidural anaesthesia analgesia, yet it still benefits a patient if he has been diagnosed with a peripheral vascular medical condition. In addition, the utilization of epidural analgesia extends the effect of the pain medications for several(prenominal) days, instead of just a few days. In specific conditions that kick in associated pain such as childbirth, epidural analgesia is the favored pain management regimen because it does non cause any changes in massiveness movement or power and it still retains its main role in pain conditions that may or may non require surgery.Epidural analgesia is excessively commonly used as an accessory to general anesthesia to decrease the patients need for opioid analgesics. Its use as an adjunct pain management scheme has been applied in a broad range of surgical procedures including hysterectomy, hip replacement, laparoscopy and ope n aortal aneurysm repair. Epidural analgesia is commonly used as the primary method for surgical anesthesia oddly is caesarian delivery sections, which keeps the patient conscious during the entire surgical obstetric procedure (Halpern et al. , 2004).However, in such situations, the make out of anesthesia administered is generally much higher that what is usually employed for analgesia. Post-operative pain management may excessively involve epidural analgesia for the first few days after(prenominal) the procedure, which involves the introduction or retention of a catheter. There are certain situations when the patient is allowed to regulate the amount of pain medications that will be passed through the catheter. Such patient-controlled analgesia makes use of an infusion pump which the patient himself controls.Epidural analgesia is also used as separate for back pain, as well as for palliative care. It has been established that epidural analgesia is most effective for the in terference of pain in specific regions such as the abdomen, pelvic and legs. This pain management technique is little effective in treating pain in chest, neck or arms, and is not effective for pain discourse in the head. It has been proven that epidural analgesia is more effective in relieving pain than endovenous narcotics and has been identified as the second most frequently used pain medication (Leighton and Halpern, 2002).Majority of women who give birth in hospitals are usually given only two survivals with regards to pain management, namely epidural analgesia or endovenous narcotics. It should be pipelined that utility(a) pharmacologic treatments for pain are also available, such as nitrous oxide and paracervical blocks. In addition, there are also doulas and continuous bray support, which typically requires less medical treatment and results in better outcomes with regards to the health of the mother and child.Also, these women are generally more satisfied with the r esults they observed after such alternative treatments. However, these alternative options are generally much more expensive (Simkin and OHara, 2002). It is interesting to note that even though epidural analgesia is reported to be significantly effective and common treatment for pain during child diligence, there are a number of major side-effects that are associated with such use. It has been reported that epidural analgesia prolongs labor for an extended and considerable duration.In addition, its governing also influences the need for operative vaginal auction pitch and increases the chances for perineal laceration (Lieberman and ODonoghue, 2002). It has also been observed that the administration of epidural analgesia during obstetric procedures causes the mother to run a fever, which accordingly results in the provision of antibiotics to the newborn child, as well as monitoring for symptoms and signs of sepsis in the infant. To date, great disputation envelopes the issue of whether epidural analgesia increases the risk of delivering a baby through Caesarean section as well as induces difficulty during labor.Research surveys show that most women have not been educated with regards to the possible side-effects of epidural analgesia (Declercq et al. , 2002). Hence the role and need for patient pedagogy has been an issue of close scrutiny in the bypast 5 years. Specific medical and non-medical groups have expressed their concern over the risks and benefits of epidural analgesia. More all-important(prenominal)ly, there has been concern that such type of patient education of pain management regimens should be given during pre-natal visits, and not during the actual labor stage of pregnancy.Hence, there is an urgent need to determine the amount of information that mothers spang in relation to pain management and epidural analgesia because this option strongly influences the behavior of the newborn child, the breastfeeding conditions and the soldering betw een the mother and infant. In the United States, the dominant delivery method is composed of the induction of labor, administration of epidural analgesia, constant electronic fetal monitoring and Caesarean section. It has been analyzed that when the frequency of epidural analgesia is high, the alternative methods for childbirth are usually not available in the medical institution.These include sessions in childbirth education, doulas, non-pharmacologic pain management regimens, as well as the provision for nurses especially trained in assisting in medication-independent childbirth. Hence what is observed now in most of the hospitals are labor stages that are mainly support by epidural analgesia and parenteral analgesics. In addition, medical health care professionals providing labor support are often overworked due to the huge number of delivery cases in a week.The issue of the shortage of nurses in the healthcare industry has also complicated the problem on the usage of epidural an algesia in hospitals. There are certain obstetricians who prefer to maintain a patient at labor that is supported by an intravenous line in order that they still find duration to monitor their other patients in the hospital. It has been considered that the availableness of healthcare professional during a patients labor and delivery is a luxury. More so, the inability to provide epidural analgesia to a patient during labor has often been a topic that has frequently been investigated in court malpractice cases.The importance of patient education with regards to epidural analgesia as the pain management scheme is thus very important in order to provide the patient with more than the regular two pain management choices that could be administered during her delivery. Patient education should also include the provision of information on the Caesarean delivery, wherein the patient must(prenominal)iness be able to carry enough knowledge to know that it is her right to bespeak for a Ca esarean delivery even when it is normally not recommended if there are no parental or fetal complications for childbirth.There has been controversy with regards to the competence of smaller hospitals to could not universally provide epidural analgesia. It is unfortunate to know that not a single medical organization supports the concept of establishing a wide range of support methods during labor and pain management schemes, which is strongly associated with patient education and choice. In other countries, Caesarian delivery is the preferred delivery method by women because they are aware the other forms of labor and delivery schemes are not associated with sufficient medical care and attention (Behague et al. 2002).At the same time in the United States, women perceive that epidural analgesia is the sole and effective method for pain management. Actually, family physicians are not the main healthcare professionals that are responsible for the unbelievably high rates in the use of epidural analgesia during labor and childbirth. This medical professional observes when the patient is experiencing pain during labor and he relays this condition to the attending nurses, who in turn, will communicate the information to the anesthesiologist.Such relay of message from the patient to eventually the anesthesiologist is generally comprised by a simple nod from the family physician, which then triggers a battery of messages that eventually end with the administration of epidural analgesia to the patient. Such translation of patient pain to epidural analgesia administration is actually inappropriate and this is where patient education related to epidural analgesia comes into the picture. It is actually the family physician responsibility to educate his patient with regards to the choices in pain management.Instead of having a family physician that advocates epidural analgesia because it provides him freedom to look at his other patients while a particular patient is in la bor, the family physician should be an advocate for the patient herself. Patient education entails outlay time to teach and coach his patient which pain management schemes are currently available, as well as describing to the patient the effectiveness, side-effects and complications of each pain management scheme. The patient should also be educated of the limitations of each of the available pain management options.It is also ideal that the patient knows that she has the right to choose which pain management scheme she wants to receive, but this can only be done if the patient has sufficient understanding of pain management. It is also ideal that family physicians learn more of the details of the other alternative methods in managing pain. It has been observed that such patient education regarding pain management choices are important so that the patient has knowledge of what to persuade during the actual medical procedure (Marmor and Krol, 2002).Patient education also involves t he explanation of patient-controlled epidural analgesia (PCEA), which is a labor and delivery pain management option that uses bupivacaine with or without opioids. The theory behind PCEA is that the patient can in person adjust the amount of epidural anesthesia that is take to remove the pain he is experiencing. Such option for pain management often results in a high degree of patient satisfaction because it allows the patients to be free of the uncomfortable sensation of pain, as well as provide a way for the patient to feel a sense of control over the entire hospital procedure (Standl et al. 2003).It is thus important the patient education be provided to a patient, in order for him to understand the entire scenario of the procedure as well as to help him draw an image of the expected events that could unfold during his stay at the hospital. PCEA is currently in high demand because the patients often want a quick solution to the pain they are experiencing. In addition, these patie nts are not patient enough to wait for the next round of administration of pain killers when they are experiencing constant pain.It is also essential that patient education in relation to epidural analgesia must explain that PCEA is inefficient during the first stages of labor and thus a higher concentration of epidural analgesia is needed to relieve the patient from pain. Patient education also diminishes the expectations of patients that PCEA always results in the complete removal of the feeling of pain when they choose PCEA. Knowledge and understanding of epidural analgesia will thus result in patient satisfaction in terms of pain management.Patient education as related to epidural analgesia also includes a description of the possibility that an extensive spinal block in the positioning of the catheter may give (Bernard et al. , 2000). This event often results in the decrease in the motor abilities of the legs and that once the patient observes this, he must inform a healthcare professional immediately for medical attention. In addition, patient education should also alert the patient that the catheter employed in epidural analgesia has a chance to migrate within the kind vessels, which is also kn aver as intravascular migration.Such event is associated with a slower rate of infusion of analgesia which in turn generates systemic effects. The patient should also be educated with regards to the toxicity of epidural analgesia. Providing patient education in relation to epidural analgesia often results in patient satisfaction because the patient has a better understanding of the mechanisms and principles behind the pain management scheme, as well as its similarity and difference to other pain management options, such as continuous epidural infusion (CEI). Patient education also involves explanation on the receptors that are involved in controlling pain.These include the N-methyl-d-aspartate (NMDA) which acts in the central sensitizing of the patient. Simple explanations regarding antagonists that decrease the sensitization for pain without reducing hemodynamic or respiration activity should also be included, and the other options that results in negative physiological effects such as opioids should also be described. The furnish for instruction is especially important to patients that suffer from pain due to general musculoskeletal tumor resections and those that have other medical conditions that are related to wakefulness and full orientation.There are also options in combining a N-methyl-d-aspartate receptor antagonist such as dextromethorphan with PCEA, which often circumvents the issue of sedation in PCEA (Weinbroum et al. , 2004). Reports have described that such combination generally results in better feelings of well-being in the patient. Dextromethorphan is comparatively safe for orthopedic oncological patients who are commonly administered massive dosages of analgesics.There has also been reported the patients could not dist inguish the feeling of PCEA and dextromethorphan, although there is a significant difference in a lack of suppression of motor abilities using this combination. CONCLUSION This report suggests that patient education in relation to epidural analgesia results in patient satisfaction. Patient education generates a better understanding of the principles and mechanisms behind pain management schemes. In addition, the patient is given the right to reject or accept epidural analgesia based on his own comprehension that was earlier provided by the healthcare professional.Patient education also supports a PCEA setting that improves analgesia, as well as patient satisfaction during labor. This supports a better setting for the patient himself and decreases the need for bear analgesia. Also, the increase in analgesia consumption can also be controlled through patient education, thus minimizing the side effects that are generated by particular pain killers. More importantly, patient education removes the discontent and humiliation that the patient may experience from insufficient knowledge and understanding of epidural analgesia.

Thursday, April 11, 2019

Birthday Letters Essay Example for Free

Birthday Letters EssayIn the terce texts the characters that argon presented as unsanded wo hands are also presented with a downf every(prenominal), those who are presented as traditional wo men are seen to survive and do well. at bottom the deuce-ace texts, Dracula, A Street Car Named Desire and Birthday Letters, the authors present the fe young-begetting(prenominal) characters in spite of appearance definite ways which discontinue us as the hearing to look closely at the battle of comparison in the midst of men and women and the rise of feministic views.However the battle isnt always apparent and some female characters allow themselves to be the inferior characters compared to the male characters who take on dominant partings deep down their relationships. Within the three texts a downfall of expiry is presented, this is always presented to those women who are presented as unused Wo human race. Feminism is a movement for kind, cultural, semipolitical and econo mic equality of men and women. It is a campaign against gender inequalities and it strives for equal rights for women.1 Within the three texts we are presented with some an(prenominal) other(prenominal) female character types, A Street Car Named desire, allows its audience to compare and billet its female characters. We are presented with Blanche who is on first appearances seen as a tender charr ( A women of the belated 19th deoxycytidine monophosphate actively resisting traditional views and seeking to fill a complete role in the humanity2) she lives by herself, has no male role controlling her life and makes her own decisions, however it isnt too everywhere a good deal later that we learn a different aspect of Blanche, she becomes a character that needs a man to keep a roof over her head and food in her m come forthh.We are easily adequate to compare Blanche with her sister Stella, who is a women that presents traditional roles however some condemnations does chall enge these, Stella lives with Stanley and allow him to control her life, he tells her what to do and she takes on stereotypically traditional roles within the house. However we do see some New Woman actions within Stellas character such as when Stanley hurts her she runs away however this is then counter part with Stella returning to Stanley. In the end it is Blanche that has the biggest downfall within the novel and we are left with the question of is this because she presents a post- feministic woman?This question can also be placed when looking at Dracula, Lucy is presented to the audience as a very cozyly aware female she is also shown to have less traditional views on marriage why cant they let a girl marry three men or as many as want her and save all this trouble3, Lucy is also comparable Blanche presented with the biggest downfall within the novel, she is controlled by Dracula and regular killed more than once. Sylvia Plath like Lucy and Blanche also are presented with finis within the novel, Sylvia could be seen to have the biggest downfall of all three of the characters, it is not only physical but also a mental problem.Hughes talks of his and Sylvia Plath life journeys through with(predicate) his poetry and we come to understand the life style that they lived, Plaths demolition is central to Hughes poetry and we are able to understand the kind of women Sylvia is, she is shown as a weak women who mandatory her husband by her side, when he fails to do so she becomes weaker and commits suicide. However we can see the force play that Plath had on Hughes due to the high impact that Sylvias suicide had on his poetry Years after your death4.Plaths downfall doesnt count to be due to her position as a women it is presented within the opposite, she is a traditional women and this causes her problems. Dracula sees a downfall for its female characters in the way of death, Lucy is killed by a male character. Arthur Holmwood buries the stake deep in Lu cys heart in order to kill the demon she has become and to return her to the state of purity and naturalness he so values. The language with which fire fighter describes this violent act is unmistakably informal, and the stake is an unambiguous token for the penis. In this way, it is fitting that the blow comes from Lucys fianci, Arthur Holmwood. Lucy is not only being punished for being a vampire but also being available for seduction by Dracula himself, who we can recall has the power to only attack a willing victim. When Holmwood slays the demonic Lucy, he returns her to the role of a legitimate, monogamous lover, which reinvests his fianci e with her initial Victorian virtue, again degrading Lucys female role, needing a male character to take thrill of her to the end of her life. Lucy Westenra, is first presented to the audience as an taboo going, sexually aware, less traditional women.In many ways, Lucy is much like mynah Murry. She is a paragon of virtue and innocents, q ualities that draw the attention of three men to her. However Lucy does differs from her friend in one key area, which makes her much of a New Women, Lucy is sexualised. Lucys physical knockout captures the attention of the three men, which is where she displays a comfort of playfulness about her desirability. This is displayed in an early letter to Mina when Lucy states why cant they let a girl marry three men, or as many as want her, and save her all this trouble.This presents the idea that Lucy has troubles that she cannot and will not meet, going against the New Women model. Stoker presents this simple, small idea of Lucys instability to a huge volume when he describes the undead Lucy as a wight of a ravenous sexual appetite. Lucy is presented as a dangerous threat to men and their self control, Lucys warrant death returns her to a harmless state presenting her again with purity, assuring the men that things are exactly how they are suppose to be. Lucy presents the idea of th e bracing woman to the reader, she is also represented as a creature when she is a vampire.Dracula succeeds in transforming Lucy and becomes a vampire vixen, Van Helsings men see no other preference than to kill her, in order to return her to a purer, more socially respectable state. After Lucys transformation, the men keep a careful eye on Mina, worried they will lose yet some other model of Victorian womanhood to the dark side. It is here seen that Lucy is a model female until she is turned into a vampire. Late in the novel, Dracula mocks Van Helsings crew, saying, Your girls that you all love are mine already and through them you and others shall yet be mine. Here, the count voices a male fantasy that has existed since Adam and Eve were turned out of Eden that womens ungovernable desires leave men poised for a costly fall from grace. Women through out Dracula are shown as something that men own and something that can be used as a bargaining tool. Blanche like the female chara cters within Dracula is also presented as a object by Stanley when he attacks her, however when Blanche is with Mitch alone he treats her in a way that she expects as a New Woman Can I-uh-kiss you-good night? 5 with dignity and respect, this isnt however carried through out the whole novel.Blanche doesnt intromit males help through out the play and tries to hide the things that she has done before, this adds to her downfall which allows her to become more and more depressed and pushing towards her downfall. Which we can also assume this happens to Plath, Hughes talks of their past and their lives together, this allows us as the audience to know what events happened to add to Plaths depression and her death. Looking at other sources we find out that Ted Hughes, had left her for another woman6which then pushes Plath to her suicide.This goes against the idea that the Downfall of woman is due to woman being post feminist woman. The three texts all see big punishment for its three leadi ng ladies, this influences them in many ways and pushes them all towards their deaths. In the 1880s and the 1890s saw the publication of many studies in psychology and sexology. For example, Dr. Krafft-Ebing, a German sexologists medico-legal study Phychopahia Sexualis, documented hundreds of cases of divergent, deviant sexuality, listing, cataloguing and typing each individual.Under Sadism in Women, he describes case 42, a womens who sexual history prefigures that of Stokers Lucy A married man presented himself with numerous scars of cuts on his arms. He told their origins as follows When he wishes to approach his wife, who was young and somewhat nervous, he first had to make a cut in his arm. then she would suck the wound, and during the act become violently excited sexually. Most critics agree that Dracula is, as much as anything else, a novel that feeds on the Victorian male imagination, particularly concerning the topic of female sexuality.In Victorian England, womens sexual behaviour was dictated by societys extremely rigid expectations. A Victorian woman effectively had only two options either she was a virgin or she was a wife and mother. If she was uncomplete of these, she was considered a whore. A women never had the right to choose which kind of life style she wanted to have, she was only if labeled if she didnt conform, we can see this with Lucy when she must choose who she wants to marry she simple states that in her ideal world Why cant they let a girl marry three men, or as many as want her, and save all this trouble.7 This is very degrading, Lucy, is stating that she wishes she didnt have to make a extract and she wishes that her life was all laid out for her, however it could be argued that she wants this because of her personality rather than her fate. By the time Dracula lands in England and begins to work his evil magic on Lucy Westenra, we understand that the impending battle between good and evil will depend upon female sexuality, s ome(prenominal) Lucy and Mina are less like real people than two-dimensional embodiments of virtues that have, over the ages, been coded as female. both(prenominal) women are chaste, pure, innocent of the worlds evils, and devoted to their men. solely Dracula threatens to turn the two women into their opposites, into women noted for their voluptuousness-a word Stoker turns to again and again-and unapologetically open sexual desire. Blanche within A Street Car Named Desire is also presented as a sexual desire from Mitch and even Stanley. Mitch likes her not only for her looks but who she is I like you to be exactly the way that you are8 Mitch doesnt think of Blanche in a sexual way until later on in the play.Blanches care of death presents itself in the fear of her ageing and loosing her beauty. She refuses to tell anyone her own age why do you want to know9 Blanche seems to believe that by continually asserting her sexuality towards men especially those who are younger, she will b e able to avoid death and return to the world of teenage bliss that she experienced before her husband committed suicide. However, beginning in Scene One, Williams suggests that Blanches sexual history is in fact a cause of her downfall.When she first arrives at the Kowalskis, Blanche says she rode a streetcar named Desire, then transferred to a streetcar named Cemeteries, which brought her to a street named Elysian Fields. This journey, the precursor to the play, allegorically represents the trajectory of Blanches life. The Elysian Fields are the land of the dead in Greek mythology. Blanches lifelong pursuit of her sexual desires has led to her eviction from Belle Reve, her ostracism from Laurel, and, at the end of the play, her expulsion from society at large.Sex and death are intricately and fatally linked within Blanches experiences through out the novel. In Scene One, Stanley throws a package of meat at his adoring Stella for her to catch. The action sends Eunice and the Negro woman into peals of laughter. Presumably, theyve picked up on the sexual innuendo behind Stanleys gesture. In hurling the meat at Stella, Stanley states the sexual proprietorship he holds over her. Stellas delight in catching Stanleys meat signifies her sexual infatuation with him.This also shows Stella in light of the new woman, however Stanley is the one initiating the sexual activity again pushing Stella back into her traditional role. Stella tries on many occasions pushing herself into the role of the new woman however Stanley always fails to allow her to do so. A Streetcar Named Desire presents a sharp critique of the way the institutions and attitudes of postwar America placed restrictions on womens lives. Williams uses Blanches and Stellas dependence on men to expose and critique the treatment of women during the transition from the old to the new South.Both Blanche and Stella see male companions as their only means to achieve happiness, and they depend on men for both their sustenance and their self-image. Blanche recognizes that Stella could be happier without her physically abusive husband, Stanley. Yet, the alternative Blanche proposes-contacting Shep Huntleigh for financial support-still involves complete dependence on men. When Stella chooses to remain with Stanley, she chooses to rely on, love, and believe in a man instead of her sister.Williams does not necessarily criticize Stella-he makes it preferably clear that Stanley represents a much more secure future than Blanche does. Five contextual information linking to the authors and the characters. The ten dollar bill in which Stoker wrote and published Dracula was one of the unprecedented anxiety and uncertainty about the social roles, sexual nature and natural spheres of activity of men and women. As many women fought for a larger role in public life and a bigger challenge towards the traditions that define women as being, passive, domestic and naturally submissive, the debate opened to me n and the males natural role.While Victorian feminists advanced on previous male preserves, crossing boarders and redefining categories, the more conservative press reacted by reiterating gender normalities, insisting that the essential differences between the sexes and their reprint duties. Stoker deliberately located the gothic horror of Dracula in the late nineteenth century world of technological advances, gender instability and the rapid increase in conversation. Mina Travels with a movable typewriter which presents her with power and knowledge of a skill such as writing, which today we take for granted.

Tuesday, April 9, 2019

Tragic Hero Of Shakespeares Great Tragedies Essay Example for Free

Tragic Hero Of Shakespeares Great Tragedies EssayA tragic hero was defined by Aristotle as one who makes an error of judgment that eventu everyy leads to their own destruction. Aristotle once had said that A slice doesnt become a hero until he can see the root of his own downfall. In William Shakespeares Macbeth, the protagonist Macbeth is a true example of a tragic hero as he had countless noble qualities coupled with several tragic flaws. He holds an importance to his troupe in the beginning, a fearless nationalist, fighting for his country and then eventually he became king. Macbeth did induct some major persona flaws such as his great want, him existence haunted by superstition and he had make more(prenominal) grave errors in judgment, one of them being the murder of the King of Scotland. For the duration of events in the plot, Macbeth progressively becomes more and more miserable. There were outside forces which contributed to his corruption the main force would be the three witches. A Shakespearian tragic hero contains all or most of the following qualities providing a moral example to the audience, excruciation public embarrassment, and meeting his doom with courage and dignity which Macbeth did all of. With it taken into consideration, Macbeth is most definitely a tragic hero.With Macbeth becoming more important in the plot is one of the crucial reasons to why he became a tragic hero in the end. Macbeth was a Scottish general, who was a fearless man and his death penalty in Scotlands battle was celebrated greatly in the beginning of the play. Macbeths performance was set forth by the Captain as Cannons overcharged with double cracks, so the doubly redoubled strokes upon the foe (1.2.41-42) With Macbeth doing so sanitary and receiving such positive feedback, King Duncan couldnt help but be so overjoyed with Macbeth. With all of the valiant news, Duncans save response was to upgrade Macbeths title from Thane of Glamis to Thane of Cawdor. No more that Thane of Cawdor shall lead on Our bosom interest. Go, pronounce his present death, and with his former title greet Macbeth (1.2.73-76) What he hath lost, noble Macbeth hath won. (1.2.78).Many of Macbeths major character flaws were displayed along with his weaknesses and serious errors in judgment in the duration of the play. After he received all the recognition from his success in battle along with his title being upgraded, the ambition he had to become king couldnt help but rise. His ambition to become King was in addition heavy and they overtook his morals in the end after meeting the witches and hearing his prophecies. When his ambition was combined with the witches prophecies it was as if he no longer had morals since he was easily persuaded into what hed like to hear. When Macbeth is idea of murdering Duncan to become King his ambition takes control for a moment, but then his morality takes back over. wherefore do I yield to that suggestion Whose horrid image doth unfix my hair and make my seated life knock at my ribs against the use of nature? (1.3.147-150). When Macbeth recognizes that he is opening up to his temptation, he begins to question himself as to why. that, he begins to persuade himself into believing that the temptation of committing murder cant be as frighten away as he thinks it is, Present fears are less than horrible imaginings (1.3.150-151). In laymans term, his only fear is fear itself. Macbeth is portrayed as this brave man, whose wife manipulates him by insulting and accusing him of being cowardice, which he believes he has to prove to be false. He wont allow a virtuoso thing get in the way of his future as king. As soon as Macbeth made his final decision, after changing his mind five times, to kill Duncan eventually it escalated into a sea of many an(prenominal) problems both big and small this is what brought Macbeth to his tragic end.The roles that played the biggest part in Macbeths deteriorating character would capture to be the three witches. FIRST WITCH completely hail Macbeth Hail to thee, Thane of Glamis SECOND WITCH All hail Macbeth Hail to thee, Thane of CawdorTHIRD WITCH All hail Macbeth, that shalt be king hereafter (1.3.51-53) The witches had no effect on anyone except Macbeth. Macbeth was completely captivated by the witches. If Macbeth had never met the witches or was told his prophecies he would have gone on through a life of no excitement. Due to being told the prophecies his curiosity of how he would be able to become King of Scotland began to grow immensely and the importance he holds for Scotland increases. Macbeth fast-tracked from Thane of Glamis to Thane of Cawdor and eventually arrival what he wanted the most, the title of the almighty King of Scotland.In Act 4, medical prognosis 1, the three witches turn up to Macbeth again and they conjure three apparitions for him. The first being (appears in 4.1.77) an armed head and told Macbeth to Beware Macduff (4.1.81 ). Macbeths reaction to the witches after seeing the apparition was simply thank you. However, I already knew to do that. The reciprocal ohm apparition (appears in 4.1.88) a bloody child that said to Macbeth that no man born of a woman could ever harm him. After seeing the second apparition Macbeth thought to himself why moldiness I be aware of Macduff? Everyone is born of a woman. The third and final apparition that appeared to Macbeth (appears in 4.1.98) is a crowned child with a tree in his hand which told Macbeth that he must relax and jam about his troubles because Macbeth shall never be vanquished be until Great Birnam Wood to high Dunsinane Hill shall come against him. (4.1.105-107). But Macbeth vetoed it off as a possibility because it seemed completely ridiculous and impossible for a forest to be able to move. However, unbeknownst to Macbeth was that Macduff actually had not been born of a woman. The doctors had to slice her open (cesarean birth) to remove the baby. Macbe th had been tricked by the three witches, callable to Macbeth being so confident nothing would ever happen to him because of his prophecies he did not take the necessary precautions to protect his well-being and his title as King.Macbeth was a victim of superstition due to his avid imagination. His superstition is what made it so easy for him to not question the promises that the apparitions made. His superstition is what made him potently cling to his belief in the promises made even when circumstances became strenuous. His imagination is so strong that when it was left over(p) to run uncontrolled his function/ Is smotherd in surmise. As seen in the dagger scene and in the panic Macbeth had suffered after Duncan had been murdered. It was also seen in the scene which Macbeth saw Banquos ghost at the banquet.Undoubtedly, Macbeth incarnates the attributes of Aristotles tragic hero in many ways. He had become very important to his society and dreamed of being the most powerful ruler . His ruin was led by his overcoming ambition, superstition, and moral cowardice. It led to an sea of problems from which there was no possible solution to and from that came his inevitable doom. Macbeth started as a nobleman who was hailed as the messiah of this country, a valiant cousin, a worthy gentlemen, but changed to a man of unending cruelty. There should be no skepticism about this, Macbeth is indeed a tragic hero.