Friday, November 29, 2019

Lord Byron Essay Research Paper Lord Byron free essay sample

Lord Byron Essay, Research Paper Lord Byron wrote a long verse form, published in cantos, about a pilgrim named Childe Harold who he modeled after himself. The journeys he goes on are similar to the 1s Lord Byron encounters in his life-time. The talker in Lord Byron? s? Childe Harold? s Pilgrimage? is Childe Harold. In Canto IV, he begins by discoursing his love for nature and goes on to apostrophise the ocean. In the first stanza, Childe Harold discusses the beauty he sees in nature. He finds pleasance and ecstasy in nature which he compares to a ? society, where none intrudes. ? He states that he? love non adult male the less, but nature more? significance that he does non detest adult male and turns to nature for comfort but alternatively prefers nature to adult male. He talks about the feelings he experiences when he is with nature and explains that he does non cognize how to show them but at the same clip, he can non hide his feelings. We will write a custom essay sample on Lord Byron Essay Research Paper Lord Byron or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Childe Harold begins his apostrophe of the ocean in the 2nd and 3rd stanzas. The 2nd stanza focal points on how adult male is unable to command the ocean. He comments that? 10 thousand fleets sweep over thee in vain? and yet adult male? s? control stops with the shore. ? Childe Harold uses a simile, comparing adult male? like a bead of rain? falling into the ocean? s deepness after the ocean decides to bust up him. The imagination in this stanza conveys the thought of a huge eternal ocean. Byron chooses his linguistic communication carefully, utilizing words like? watery field, ? ? bead of rain, ? and? bubbling groan. ? In the 3rd stanza, he looks back on his childhood and how he has ever viewed the ocean with joy and hilarity. He has neer feared the ocean and trusts it entirely. He describes playing in its bubbles and pleasing in the ocean? s surfs and surges. Byron changes his tone in the 4th stanza and pull back his earlier emotions. In this stanza, he switches from watery images to fiery images. He mentions a? torch, ? ? my midnight lamp, ? and? the freshness which in my spirit dwelt. ? Childe Harold saddens as he remarks on how his spirit is melting off. The local area network guage in this stanza gives the reader a sense of abjuration. The talker in the verse form dies in the last lines while saying that? the freshness which in my spirit dwelt is fliting, swoon, and low. ? A different storyteller takes charge in the last stanza and exclaims a farewell to the pilgrim Childe Harold. The storyteller repeats the word ? farewell? several times and comments that if the reader must retrieve anything, retrieve non the pilgrim but the moral of his verse form. Childe Harold chose to decease in the ocean, which he respected and cherished the most. He uses the verse form to convey the beauty he finds in nature and how of import it is to maintain it untasted by adult male? s catastrophic influences. There are many features of Romanticism that can be found in Lord Byron? s? Chile Harold? s Pilgrimage. ? He assumes the function of a Romantic poet by taking the stance of? a adult male talking to work forces? when he Tells everyone about his love for nature and the ocean. Lord Byron uses a originative and inventive manner to compose his verse form get downing with Childe Harold speech production and so holding a different storyteller terminal the verse form after Childe Harold dies. Lord Byron besides views nature in a psychological sense by detecting its cryptic forces and how it caused alterations. There was a definite relationship between Childe Harold? s head and the nature that surrounded him. Another manner this verse form resembles others of the Romantic Time period is that it involved a captivation with Childe Harold? s young person and artlessness. He played in the ocean as a kid and learned to non fear it. The verse form? Childe Harold? s Pilgrimage? written by Lord Byron deserves a rightful topographic point among the other Romantic verse forms. It expresses the tie between adult male, his head, and nature. The thoughts and ideas adult male lurchs across can be obtained through both what is out at that place in nature and what is inside his head. Both of those factors sum up the whole of Romantic thought. The moral of Lord Byron? s verse form is to go forth nature as unmarked as possible to continue its beauty and to non fear it but take pleasance in it. 31b

Monday, November 25, 2019

What would you do essays

What would you do essays What would you do, or how would you feel, if a man of middle-eastern descent came up to you telling you that he had been a victim of a hate crime where he was attacked from behind, beaten and pelted with eggs while his assailants uttered racial epithets, but later was notified that it was all a lie, a hoax? Well, there was a person that had to deal with this dilemma. Arizona State University junior Ahmad Sadd Nasim performed this gruesome act, and now the Maricopa Attorney's Office, and the ASU disciplinary department, must decide whether or not to press charges on this act of pusillanimity. It is believed by many that Nasim should face charges in order to allow true victims of hate crimes to come forward without shame, prevent a rise in hate crimes, and also prevent further acts of this nature. In order to allow the victims of true hate crimes to identify themselves without fear of not being heard, or believed, Ahmad Saad Nasim should be prosecuted. If he is not prosecuted, the victims of future hate crimes may not choose to come forward. Furthermore, these victims would find it nothing more than a waste of their time if they tried to report the perpetrators. Senior Vikesh Desai said," the lie hurts victims of genuine hate crimes." He continues, "It's like the boy who cried wolf. Now if another person is attacked in a hate crime, more people are going to question it. People are going to be afraid to speak up because they'll think that people won't believe them." (Chiu 1). However, if Nasim is prosecuted, and convicted, this type of situation would not be a problem. Consequently, the number of hate crimes committed will decline. The chance of an increase in the number of hate crimes committed relies partially on whether or not the Maricopa County Attorney's Office decides to press charges on Nasim. The number of performed hate crimes could rise if Nasim is not prosecuted for his wrong-doings. People that are prejudi...

Friday, November 22, 2019

Protection and Advocacy disparity for Mentally Ill Persons Research Paper

Protection and Advocacy disparity for Mentally Ill Persons - Research Paper Example In the recent past, advocacy widened to entail the prerequisites and needs of people with trivial psychological conditions, today, the protection and advocacy concept covers everyone that is part of the mental health treatment processes. The different initiatives are supposed to benefit the mental health patients and their families at depth; however, in some areas, the concept is not that effectual. The comprehensive movement markedly influences cerebral wellbeing initiatives and regulation in some countries where there is significant improvement but some of the areas still need addressing. Appreciably, the concept of advocacy takes responsibility of elevated awareness of the significance of mental health as a prevailing and common condition in people. The main concern comes in because of the neglecting of treatment and care of the mentally ill in the dissertation around healthiness, privileges and equivalence2 (Kenneth, 2014, 1). This is confounding because psychological incapacities are prevalent, affecting a significant number of people around the globe. Additionally, the familiarity of people with cerebral infirmity is one categorized by diverse intertwined echelons of disparity and discrimination within the social order. Strategies aimed at achieving correct parity of every one need comparable determinations to realize applicable egalitarianism for people with psychological incapacities. Essentially, fundamental aspects such as deficiency, inequity, vagrancy and acumen are major contributors to the jeopardy for mental illness treatment and care; in fact, they faci litate most of the negative influences increasing overall disparity3 (WHO, 2003, 6). An approach based on psychological susceptibility should focus on exploiting the normal human aspects of patients by valuing their intrinsic formality, personal

Wednesday, November 20, 2019

Systemic Lupus Erythematosus Research Paper Example | Topics and Well Written Essays - 1000 words

Systemic Lupus Erythematosus - Research Paper Example Since other fibromyalgia, CNS diseases, autoimmune diseases and infections disease can present with involvement of multisystem disease, when diagnosis of SLE is being carried out, there is need to consider the possibilities of these other conditions. The disease is a multi-factorial, multisystem, chronic, and rarely life-threatening illness with environment, genetic and hormonal origins (Robinson, Sheets & Currie, 2011). It can also affect any part of the body including blood cells, nervous system, skin, joints, and kidneys. Mostly, women aged 15-40 years are largely associated with SLE. Predominance of SLE In the U.S, the incidence levels reported annually is approximately 5.2% in every 100,000 people. The frequency of the disease differs with ethnicity and race. High rates of SLE are seen in women who are in the childbearing age. Higher rates of SLE have been reported in Hispanic and black people with an estimated 40 in every 100,000 white people in Rochester, Minnesota while in No gales, Arizona a 100 Hispanics in every 100,000 have the disease. However, there is less prevalence reported in the Northern Europe region, but the disease is mostly common in African Americans. Mina & Brunner (2010) also proposed that in an estimated number of 10 in 20% of the patients with SLE experience the disease prior adulthood. In international statistics, highest predominance levels have been report in Afro-Caribbean, Martinique, Italy, United Kingdom and Spain population. Even though the disease is seen more in the black people who reside in United Kingdom, it is less common in those who are in Africa. This has been attributed to environmental influences (Patel et al., 2006). However, in terms of race, the black women possess a higher likelihood of getting the disease than white women and Asians. One in every two hundred and fifty African American women is reported to have the disease showing how widespread the disease is in women Furthermore, the highest predominance rates are seen in ninety percent of the female population while the prevalence rates are considerably lower in the male population. Older men are affected by the disease compared to younger men but generally lupus is seen in very low rates among the male population (Alarcon et al., 2004). The death causes are mostly attributed to cardiovascular disease, organ failure, infections and active disease. The survival rate has progressed signifying that milder cases of SLE are being recognized. Over the past period of four years, the survival rate of patients with the disease has increased to 80% as opposed to that of the last fifteen years which was 50% showing that there is some progress in research. Pathophysiology Patients with Systemic Lupus Erythematosus usually have a complicated range of abnormalities concerning their body defense system. SLE is connected with triggering 2 key components of the adaptive immunity, T and B cells (Alarcon et al., 2004). The abnormalities which target the a daptive immune system consist of production of autoantibodies as well as defective killing of T-Cells. In patients with SLE, the T cells usually express a smaller amount of IL-2. This is the main cytokine for differentiation, activation and proliferation of T-cells. The T-cells in SLE patients have a problem with signaling responses which result to the small IL-2 and CD3 amount. These abnormalities cause a decreased cytotoxic activity. Moreover, there is an incapability to repress

Monday, November 18, 2019

High School Student Obesity and Fitnessgram Assessments Essay - 1

High School Student Obesity and Fitnessgram Assessments - Essay Example The surveyed students had an overall positive experience. Some teachers had positive experience while some had mixed opinions concerning the Fitnessgrams effectiveness of improving students’ BMI. Obesity is a serious problem that is becoming more prevalent among school aged children in America. The Centers for Disease Control revealed that approximately one in three American children and teenagers are obese or overweight (CDC Press Release, 2008). This is three times the number of obese children in America in the 1960s. Childhood obesity now surpasses smoking and drug use as the foremost concern of parents and the Georgia State Board of Education. The CDC suggested that the objective of all programs dealing with childhood obesity is to find ways of reducing the child’s weight while monitoring their lipid profile and blood pressure (CDC Press Release, 2008). The CDC also suggested that strong social support systems should be instituted to encourage a healthy weight among children. Parental involvement in programs created to check the development of obesity is one way this can be accomplished. According to the CDC and Krebs, Jacobson, and the American Academy of Pediatr ics Committee on Nutrition (2003), schools can also be part of the support system by providing only healthy meals for students during the day (CDC Press Release, 2008). According to the CDC, Georgia has the distinction of having the second highest rate of obesity among school aged children in America (CDC Press Release, 2008). This motivated the Georgia State Board of Education in 2011 to endorse programs like the Presidential Fitness Award to impact the obesity trends among children (Georgia Department of Education, 2011). However, according to Hirschmann and Zaphiropoulos (2012) there are still students who become obese in Georgia every month and 40% of Georgia’s school aged children are said to be obese. In 2008, Governor

Saturday, November 16, 2019

Total Knee Replacement Post Op Pain Management

Total Knee Replacement Post Op Pain Management To improve the quality and mobility of life, the most frequently used operative procedure is the total knee replacement. But it is necessary to administer the pain relief measures in the post operative period which would allow the ambulation and reduce the post operative complications. It is important to consider the pain relief options provided in the text with reference to the possible adverse affects in each case. Objective The main objective is the identification of the most suited method for the post operative pain control after the Total Knee Replacement Surgery. Methodology The random control trials executed on adult patients with the Total Knee Replacement Surgery was identified by going through the databases of MEDLINE, PUBMED, COCHRANE and CINAHL from the year 2000 to the present year. Results The patients involved in this study had pre operative and post operative osteoarthritis diagnosis. The continuous pain arising due to the arthritis can be eliminated by the total knee arthoplasty treatment. The use of femoral nerve blockade can be used to treat the pain after the total knee arthoplasty. Reduced oral opioid were taken in by the patients with primary, unilateral, noncemented total knee arthoplasty. These patients are also known to take less stool softener as a post operative measure and have increased mobilization. The patients poor health often resulted due to the obesity which led to a modifiable co-morbidity as was shown by the higher classification of the ASA. Conclusion Until now no adequate solution has been found to the pain after the Total Knee Replacement surgery. Although some consideration could be given to the combined femoral nerve block, the author however supports the use of multimodal approach in the control of postoperative pain in the TKR surgery. This method should be administered keeping in mind the clinical status of the individual patient, availability of skilled technicians and adequate equipment.Contents Page 1 Introduction Pain according to the International Association for the Study of Pain, has been described as an unpleasant emotional and a sensory experience that is often connected to an actual or a potential damage or is a sense that may be described in terms of that damage (Merskey, 1986). Although much advancement have been made in the study of mechanisms and their treatment, still they scientists have been unable to find the appropriate solution to postoperative pains (Joshi and Ogunnaike, 2005). If the inadequate methods of relieving pains are administered, then this may cause damage to the physiological and psychological workings and the patient may need more time to recover and return to the daily life (Gottschalk and Smith, 2001; Joshi and Ogunnaike, 2005). The most dreadful consequence can be death itself. In addition patients are complaining about the post operative symptoms such as pain which results due to the anesthesia or any surgical procedure. It is also an established fact that a postoperative pain treated inadequately can inculcate into a chronic pain which may be not diagnosed properly and will lead to its negligence (Joshi, and Ogunnaike, 2005). The health care costs and the resources are required more in these cases (Phillips, 2003). It is important that steps be taken to improve the control of preoperative pain which is a much better option and will lead to the reduction of post operative morbidity. This will therefore increase the standard of health associated quality of life and will also benefit the health sector economically. Theory of Pain The Gate Control Theory was established by Melzack and Wall (1965), to explain the differences in the perceptions of the similar stimuli. These scientists believed in the existence of some sort of a gate in the spinal cord that would open in specific situations and allow the passage of the nerve impulses linked with the pain stimulation which was then read by the brain as a sensation of pain. They also believed that certain psychological factors such as the anxiety would also affect the degree of the opening of the gate. Therefore in order to minimize the pain the theory was based on the idea of closing this gate. According to the Gate Theory, it was possible to control the transmission of the pain impulses through a gating mechanism present along the nervous system. The pulses can move in both the direction both up and down the nervous system. This means that the whole nervous system is involved in the perception of the pain response (Suza, 2007). Physiology of Pain The basic process of the pain transmission is Nociception. According to Loeser and Treede (2008), the Nociception is the neural process of encoding and the process of noxious stimuli. The mechanical, thermal or the chemical changes when surpasses the set limit, then they can be detected by the nociceptors or the pain receptors. The nociceptors transmit a signal along the spinal cord after its stimulation, to the brain which is then perceived by the brain as a sensation of pain (McCaffery and Pasero 1999). Pathophysiology of pain The sympathetic nervous system is activated by the stress responses in which the body is alerted to the existing harm. This denotes that the stress responses are a protective measure by nature. Through the stress responses the damages like blood loss is minimized as well as the perfusion to the vital organs will be maintained, healing will be enhanced and prevention to infections will also be carried out (Singh, 2003). But if the pain is prolonged then harmful consequences may be caused to the multiple systems of the body. A calculated amount of the hormones are released by the endocrine system which are responsible for the conversion process and the utilization of the carbohydrates, proteins and fats. Excessive amounts of these hormones are released by the endocrine system when the person is under stress. These hormones include Cortisol, Growth hormone, Adrenocorticotrophic hormone, Antidiuretic hormone, Catecholamine and Glucagon. Tachcardia, fever, shock, increased rate of respiration and some severe results leading to death may be produced by the combination of the inflammatory process, endocrine and the metabolic changes. The stress responses are prolonged by the pain and physical changes and may severely affect the recovery of the patient from the situation of trauma (McCaffery and Pasero, 1999). The sympathetic nerves system is activated as a response to the stress by the cardiovascular system. A number of affects are caused by the activation of the sympathetic nervous system in the post operative period, such as; increase in the heart rate, hypercoagulation due to the decrease in the fibrinolysis, blood pressure, oxygen demand and a cardiac workload. Major impacts of the hypercoagulation may be seen on the morbidity and the mortality as these may be connected to the infarction, irregular angina and myocardial ischemia. The risks of pulmonary embolism may be increased due to the deep venous thrombosis (DVT) which is generally associated with the surgical procedures and an absence in the movement postoperatively. The respiratory system affects of the severe pain can be calculated in terms of the high inspiratory and expiratory residual capacity, tidal volumes and the alveolar ventilation. If the controlling measures applied to the postoperative pain are not adequate then the adverse respiratory affects can convert to severe pulmonary complications in the form of atelectasis and pneumonia (McCaffery and Pasero, 1999). The urine outputs, electrolyte balance, other fluids are regulated by the hormones in the Genitourinary System. These hormones also control the blood volume and the pressure. These hormones may include ADH, cortisol, angiotensin II, catecholamine, prostaglandins and aldosterone. If the pain is not relieved then it may lead to the excess release of the hormones which can cause the water and the sodium ions to be retained, the functional extracellular fluids are decreased with the fluids being moved to the intracellular compartments and the excess excretion of the potassium ions. Among the harmful effects are: decrease in the urinary output, increase in the cardiac workload, urine retained, hypokalemia, hypertension and the overloading of the fluids (McCaffery and Pasero, 1999). The activity of the sympathetic nervous system is increased due to the stress responses which affect the Gastrointestinal System, increase in the smooth muscle sphincter tone, intestinal secretion and the decrease in the gastric disposal and intestinal motility. These may lead to the gastrointestinal function to be temporarily impaired (McCaffery and Pasero, 1999). The pain in the Musculoskeletal System may lead to the impairment of the muscle function, muscle spasm, immobility and fatigue. The short and the long term recovery can be affected by the inadequate control of the pain after the execution of an orthopedic surgery as this may create interference in the patients performance of the physical therapy exercises (Choy, Bandar, Scott and Dockets, 2010). The hospital stay for the patient may be prolonged as a result. The time duration spent by the patient in the hospital indicates the patients satisfaction level. Patients who had a short stay were found to be more satisfied as compared to those with longer hospital stay. The Immune function can be suppressed by the pain (page 2000) which will make the patient more vulnerable to postoperative infections such as pneumonia, sepsis and the wound infection. The severe acute pain or the pain which is prolonged can affect the Cognitive function which will make the patient to undergo some behavioral changes such as the increased sensitivity to the external stimuli like light and sound. Individuals may react by withdrawing themselves form interpersonal interactions and an increased indulgence in ones self concern (NHMRC, 2005). If the pain is not relieved the patient may experience a loss of control over the environment such as the expression of anger and resentment which may make the patient believe that the treatment is being delayed (Joshi and Ogunnaike, 2005). Postoperative pain control The surgical pain should be appropriately managed owing to the negative effects that it has on the physical and the psychological system of the postoperative patient. The following methods have been applied in the Total Knee Surgery in the practice area of the author in the area of orthopedic surgery: Systemic Opioids The treatment of moderate and acute pain can be done through opioids which is still the main systemic analgesia. Titration is needed to estimate the individual needs as the opioids requirements differs from one patient to another with respect to dosage. The most effective pain relievers are the opioids but they are generally not desired by the patients or the doctors due to the wide ranging adverse effects (NHMRC, 2005). Paracetamol To treat the post operative pain, paracetamol was introduced as an analgesic and antipyretic. The use of opioid was reduced by 20-30% by the usage of paracetamol and the level of patient satisfaction was also increased. The postoperative pains are also affectively dealt with the combination of Non-Steroidal Anti-inflammatory drugs (NSAIDs) and the opioids. The NSAIDs are effective analgesics, anti-inflammatory drugs and antipyretics. The NSAIDs are also helpful in reducing the usage of opioid, but the adverse effects associated with this drug has made the clinicians extra careful when using it. The method in which the patient can administer the analgesics as needed is referred to as the Patient Controlled Analgesia (PCA). Although this term may be more frequently associated with the programmable infusion pumps that administer the dose for the opioid medication intravenously (Morgan, et al. 2006). The cumulative doses of the drugs are decreased in comparison to the continuous epidural infusion by the usage of Patient Controlled Epidural Analgesia which contains Bupivacaine and Fentanyl. This may be done without any difference seen in the side effects or the relief of pain. The duration of the postoperative analgesia is extended beyond the duration which is generally available in a single injection by the help of Continuous Peripheral Nerve Blockade (CFNB). The technique utilized in the nerve location, the typology of the continuous catheter, local anesthesia, equipment and the management is some of the technical issues that are brought under consideration. The CFNB is sometimes referred to as the 3-in-1 due to the triple benefits that it offers as when it the catheter is positioned in the femoral nerve sheath, it will allow the penetration of the local anesthesia to the lateral femoral cutaneous, the obturator nerve and the femoral nerve block (NHMRC, 2005). Total Knee Replacement (TKR) The patient suffering from acute pain and unstable knees, in order to gain a pain relief and a functional movement, requires a total Knee replacement surgery. Prophylaxis and early mobilization can reduce the complications and morbidity caused after the surgical procedures. Prophylaxis According to Palmer (2010), in the absence of prophylaxis there was an occurrence of 40-88% of deep venous thrombosis (DVT) after the TKR. According to Palmer several methods can be applied to reduce these risks such as low dose of warfarin, mechanical compression stockings, heparin of low molecular weight and aspirin. Mobilization A rapid recovery to the normal functions after surgery can be done through postoperative mobilization. If the postoperative pain is not relieved then it will lead to late mobilization which will increase the DVT risks, chest infection and pulmonary embolism. If the chest infection is concurred, then the static secretions will lead to atelectasis and pneumonia (Bone and Joint, 2009). 3 Methods The method of study was primarily based on the extensive literature review of the publications which were related to the management of postoperative pains in adults who have undergone Total Knee Replacement Surgery. The method was more preferred by the author due to limited clinical access to the patients as the author is an international student. This method was also chosen under the light of the statement by Aveyard (2007), who said that the literature review is able to provide a complete picture and helps in forming a systematic approach towards the studys answer. Therefore the study will include as many options available from the literature review as possible. Search strategy The Cardiff Universitys electronic database was used as the source to gain data on the most effective method used in the post operative pain control after the Total Knee Replacement Surgery. The search gave 246 hits with the keywords used such as Pain, Analgesia, Anesthesia, postoperative and Knee. Among these results the author selected the most relevant options with the help of Medline Ovid. The search was limited to the English language due to convenience in understanding this language as compared to the others and included results from the year 2000 to the present. The appendix 1 shows the details of the research strategy. Scope of the study The inclusion of the data in the study was based on adult human beings and total knee replacement surgery. The pediatric and other surgical specialties were not included in the research as was the study involving non human subjects. Data collection The MEDLINE, PUBMED, COCHRANE and CINAHL were the primary source of information. The Critical Appraisal Skills Programme criteria were used in the judging of the key methodological points considered in the Randomised Control Trials (PHRU, 2006). Data analysis In the published materials, broad themes were identified and studied with the most common and frequently used methods of pain relief resulting for the Total Knee Replacement Surgery were compared and analyzed with each other. The adverse effects of these methods were also considered in the analysis. The results were analyzed under the CASP (PHRU, 2006) criteria which was developed by the Center of Evidence based Medicine (CEBM, 2011). The appendix 2 shows the appraisal sheet. 3 Results (Review of the literature) A double blinded Randomized Controlled Trial was conducted by Kardash et al (2007), for the comparative analysis of the obturator with the femoral nerve block used for the analgesia after the Total Knee Replacement surgery. This was done by using at the surgerys end the spinal anesthesia with the femoral, obutrator or the placebo nerve block. The study consisted of 60 patients who were divided in treatment groups of varying sizes. The participants and the collectors were not aware of this allocation at all. All the patients were present in the study except for one patient who was removed from the study due to the confusion of the patient in the recovery room postoperatively. The patients were given a follow up after 48 hours of post surgery. The pain scores were found to be lowered after the femoral nerve block as compared to the obturator nerve block. But no difference was found in the groups after 48 hours related to pain or baseline among the groups. There was an absence of a sign ificant difference between the groups with the pain score of p=0.03 as an option. This would favor mobilization of the femoral block over the obturator block. The data is widely represented as shown by the demographics of the total knee replacement population. The findings could not be generalized owing to the small size of the groups. A prospective randomized placebo controlled single blind study was executed by Macalou (2004). The assigning of the patients into three groups was done randomly through envelops given to the patients. A femoral nerve block (FNB) was given to group 1 while combined and selective obturator nerve block, FNB=33 was given to the group 2. The group 3 was given the placebo FNB (n=28) with a total of 90 patients enrolled in the study. The three groups demonstrated no significant demographic differences. All the participants were present in the study without any dropouts and there was no failure of the block experienced which makes the study even more valid. In the first 6 hours the patients were monitored postoperative. The administration of the Patient Controlled Analgesia was initiated post anesthesia without the recording of any symptoms of pain in the first 6 hours. The study follow ups are from 24 to 48hours which means that the duration of the study of 6 hours is not sufficient to obtain any conclusions. 3 tables and 1 graph presented the study. The results obtained in the first 6 hours after the surgery showed the morphine boluses given through the PCA were consumed in a lesser number in group 2 as compared to the group 1 and 3 (P0.05). The ITM group showed an increase in the occurrence of nausea, pruritus and vomiting. About 20% of the patients in the ITM group in the follow up satisfactory survey rated their anesthetic experience as not satisfactory. These were considered in comparison with none in the FNB group (P=0.035). The validity and reliability of the study was enhanced by the reporting of the P value and the confidence interval. Equal amounts of the postoperative analgesia were experienced but the fewer side effects were seen in the FNB group such as nausea, itching and vomiting. Less level of satisfaction was observed among patients receiving T morphine. However the interventions were not sufficient to provide the completed postoperative analgesia. A randomized controlled trial was conducted by Davies in 2004, in which the 60 patients who underwent unilateral primary total knee replacement surgery were included in one of the two study groups. The continuous epidural analgesia was given to the group 1 until a single shot combined with sciatic plus femoral which is available in 3 in 1 combined block. The research used a random number generator, Arcus Quickstat version 1.0, to divide the participants in groups in which a third party would store the codes in sealed and opaque envelopes which would reduce the chances of bias (Parahoo, 2006). The exclusion of the patients was done on the following basis: local anesthesia, ASA>3, neuraxial blockage or the use of tourniquet, contraindications to use the non steroidal anti inflammatory drugs, pain poly analgesia. The criteria used for the exclusion seemed to be correct. All the participants were present in the study and in the conclusion. The failure to locate the epidural space led to the exclusion of one patient. After the exclusion the analysis was done but no difference in the results were seen in the analysis on an intention to treat the basis. The data collection was done in a similar manner and the follow up was carried out. A performance bias was created by the inconsistencies. The analysis of the patients was done for the pain assessment after 48 hours postoperatively with the use of a visual analog VAS. The power analysis was used to determine the sample size, obtained from a lower limb neural block study which showed the 10mm VAS difference. A risk of 0.05 was obtained in group A and a risk of 0.2 was obtained in group B. a minimum of 24 patients would be sufficient for the study. In each group 30 patients were however recruited to make up for the incomplete data collected and to make sure that the validity was ensured. 3 tables and 3 graphs were used to demonstrate the results. An absence of a statistical difference between the two groups was seen in the two groups for the block insertion time (P=0.92). The dose given for the fentanyl was to be same. In both the groups the score for the pain was higher than 24 and 48 hours. A greater number of the patients were found in the epidural group with the completed recovery of the analgesia. There was no pain reported in the 0.23 of 39 patients when a movement was attempted as compared to the 16 out of 30 patients form the block group. The scores of the level of satisfaction were found to be high in both the groups with an increased tendency of the statistical significance which was found to favor the block group at 48 hours. The validity of the study was increased with the discussion of the P value and the confidence interval. A practical alternative to the epidural analgesia was offered by the combined block for the total knee replacements. The results can be applied to the clinical setting.

Wednesday, November 13, 2019

To Make a Difference in the World :: Personal Narrative Essays

Racism - To Make a Difference Racism is a dark word; it is as black as the night, as black as the soul of those that harbor this hate. Yet, I want to talk about racism - not just in far away places, but here in the United States. Actually, I want everyone to talk about racism. Only by talking about it can we begin the process of overcoming past and present injustices. On my third day in South Africa, while walking down the street with my black female friend, several workers interrupted our conversation by calling out, "Hey, you're white and she's colored." In the United States, while walking down the street with white friends, I've had people stick their heads out of car windows to yell, "Stick with your own race." In South Africa, I spoke to white people who longed for the old days of apartheid when, for them, things were not so chaotic. In the United States, I spoke to a white man over the phone who, assuming I was white, tried to distinguish between the images that arise when black and white people talk about affirmative action by telling me to note the difference between "you and I discussing affirmative action and that black guy in California." In South Africa under apartheid, the lighter you were the better you were. Many in the U.S. and throughout the world still believe, to some extent, that lighter is better. I recently attended a black/brown conference on coalition building between the African-American and Latino communities and the question of discrimination within the Hispanic community arose. The questioners concern was how light dark discrimination would inhibit coalition building between the two communities. When I was a kid growing up in Columbia, South Carolina, I believed I would accomplish more in life if I were white. Most of the successful, stable families I knew were white. I believed whites had what they had because they were white. When achievement is seen as a purely a white domain, bad things happened to kids. As my barber told me over spring break, her teenaged niece stopped trying in school when the other kids accused her of "acting white." In South Africa, I often heard people ask, "why do I need to suffer for past injustices, I never committed?

Monday, November 11, 2019

Customer feedback Essay

The purpose of this report is help Dave Smith, the General Manager of the Landmark Hotel Auckland to improve the hotel’s current customer satisfaction measurement scheme by comparing a range of survey methods and recommends the most appropriate survey programme for the hotel. The report is broken down to two sections. The first section defines customer satisfaction and articulates the importance of measuring customer satisfaction. Section one also compares the functions of CSQs and TripAdvisor.com and introduces the content analysis method to the Landmark Hotel. The second part of the report defines measures of central tendency and dispersion and presents calculations from the guest survey spreadsheet provided. Based on summary table 1.1, the report briefly describes what the calculations mean to the hotel and produced a short recommendation. The report is produced with several limitations, which need to be addressed and overcome for future research. The recommendation made to Landmark Hotel under the first part, regarding the most appropriate research method was selected based on one of only two options. Further, since there is no standard ways to perform content analysis, the report simply presented what appeared to be the most logical procedure. Finally, the recommendation regarding internal marketing was much generalised due to word limits. PART A Defining Customer Satisfaction Customer satisfaction has been a topic of great importance in business practices. There is an overwhelming amount of outcome definitions characterising customer satisfaction, many of which have not yet been empirically tested. According to Yi (1993), some academics and practitioners define customer satisfaction from an outcome-based approach. Alternatively, other perceives and defines customer satisfaction as a process. Engel and Blackwell (1982) defined customer satisfaction as â€Å"an evaluation that the chosen alternative is consistent with prior beliefs with respect to the alternative† (p. 501). This definition is comparable with the disconfirmation theory, which proposes that guests are either satisfied or dissatisfied based on their expectations prior and subsequent to the purchase of the actual service experience. In this section, we are particularly concerned with the importance of measuring customer satisfaction. Fortunately, this question can be answered directly using the service-profit chain. The service-profit chain is simply a proposition of a series of linkages between â€Å"profitability, customer loyalty, and employee satisfaction, loyalty, and productivity† (Heskett, Jones, Loveman, Sasser & Schlesinger, 1994, p. 164). Customer satisfaction represents a crucial role in the service-profit chain because satisfaction is essentially a driver of customer loyalty (retention, repeated business and referrals), which directly impacts the profitability of a hospitality firm. Customer satisfaction is extremely important because it produces word-of-mouth, reduces operating overheads and facilitates price premiums (Denove & Power, 2006). Hospitality firms constantly look for more effective ways to measure customer satisfaction. Managers try to achieve greater accuracy in survey outcomes and use them to reliably address the gaps between management’s visions and the customer’s needs. Comparing Data Collection Methods Guest Feedback Forms Guest feedback forms, comment cards or customer satisfaction questionnaires (CSQs) are frequent tools used by most hotels for measuring customer satisfaction. Barsky (1992) stated two major disadvantages of guest comment cards, â€Å"poor construct validity†¦ poor statistical validity† (Barsky, 1992, p. 51). Yesawich (1978) also hypothetically considered CSQs as â€Å"more often than not, unreliable and statically invalid† (p, 72). Barsky (1992) further argues that guest comment cards may indicate customer satisfaction or dissatisfaction and related trends, but generally does not provide sufficient information for decision-making. Poria (2004) outlined several key advantages of using CSQs during guest complaints. Poria claimed that asking the guest to fill in CSQ would allow the staff extra time to resolve the problem and calms the guest. Tripadvisor.com In comparison with CSQs, Tripadvisor.com is an online interaction platform. Unlike the majority of quantitative methods, online customer reviews often articulate psychological changes of the hotel guests. According to Li, Ye and Law (2012), online reviews are more likely to convey guest’s true feelings, which make up for the missing information that was not captured by guest surveys. Tripadvisor.com and other eWOM platforms allow managers to interact with the guests, form one-to-one dialogues and perform qualitative content analysis. Content analysis is a systematic and objective approach to make inference from written data (Downe†Wamboldt, 1992). Like all qualitative research methods, content analysis is concerned with meanings and contextual aspects of a service experience. Content analysis can be described as an intensive exploration of a single customer review and typically, managers look for rich and vivid descriptions in the review, rather than generalised knowledge. However, content analysis and comparable qualitative research methods may lack scientific validity. Thus, it is difficult for managers to make reliable generalisations from a confined sample size. Research Methods and Design The Landmark Hotel needs to go beyond measuring performances and begin to understand perceptions and gain practical and context-dependent knowledge relating to specific guest experiences. I recommend the Landmark Hotel to focus on qualitative content analysis. Content analysis can be performed on online guest reviews as well as guest comment cards. Additionally, I recommend the use of open-ended question in guest comment cards in order to provide greater insights to the guest’s feelings (Lukas, Hair, Bush & Ortinau, 2005). According to Guthrie and Abeysekera (2006), content analysis requires a randomly selected sample, clearly defined criteria of analysis and a systematic data categorisation method, so that statistical analysis of the data can be performed. Downe†Wamboldt (1992) proposed an eight step procedure that the researcher should follow when conducting content analysis. These steps can be briefly described as 1) selecting unit of analysis, 2) defining the categories, 3) defining the categories, 4) testing for reliability and validity, 5) define or revise coding rules, 6) pre-testing the revised category schemes 7) data coding and 8) reassessing reliability and validity. According Marković and Raspor (2010), reliability of content analysis can be improved by developing coders for similar contents. Data coding allow researchers to measure frequency and percentage through tabulations, compute measures of central tendency and dispersion, test for difference, association and interdependence by performing t-tests and chi-square analysis using SPSS applications. Integration After the results have been analysed and interpreted, the researcher can choose to integrate and present the research outcomes within the hotel using an analytical report that is credible and believable. The report clearly defines the research problem/issue and the research methodology, which clearly articulates the objectives of the research, the research design used, descriptions of samples and the sampling methods and the how data are analysed. The results section is the most important section. This section should contain presentations of findings that are relevant to the research problem. The report should also contain a conclusion section, a recommendation and a limitation section which illustrates â€Å"extraneous events that place certain restrictions on the report† (Lukas, et al., 2005, p. 557). PART B Calculations and Definitions of Measurements Considering the guest survey spreadsheet, I have calculated the measures of central tendency and dispersion for each behavioural intention scale. For measures of central tendency, I have computed the mean, median and mode respectively. These measures are used as data reduction, which describes the set of responses through a single value. The mean is â€Å"the arithmetic average of the sample† (Lukas et al., 2005, p. 436). The mean is derived from the sum of all values pertained from the responses and divided by the exact number of valid responses. The median is â€Å"the middle value of a rank-ordered distribution† (Lukas et al., 2005, p. 436). The mode is defined as â€Å"the most common value in the set of responses to a question† (Lukas et al., 2005, p. 436). Standard deviation is a measure of dispersion. It is defined as â€Å"the average distance of the distribution values from the means† (Lukas et al., 2005, p. 438). The Excel function which I have used to compute the standard deviation of the data given was STDEV.S. STDEV.S estimates standard deviation from a sample rather than the entire population. The guest survey spreadsheet provided a number of intention statements aimed to obtain some ideas about guest experiences for certain aspects of the hotel. The management hoped to explore the guest’s intended behaviours as much as possible and the likelihood that guests will demonstrate predictable behaviour towards staying at the hotel in the foreseeable future. Table 1.1 shows that first and second rating scale demonstrated a lower average value in comparison with other rating scales. Evidently, service standard and staff competence to make guests feel accustomed during their stays did not meet the required expectations. Question eight also shows that on average, guests would not recommend the Landmark Hotel to others. Recommendations I postulate that service quality could be a major contributory factor to declines in booking rates. According to Parasuraman, Zeithaml and Berry (1985), there are ten determinants of service quality – competence, courtesy, reliability, responsiveness and understanding are five relatively important determinants directly influenced by staff. Additionally, empathy and assurance are additional components of service quality directly determined by hotel personnel, as proposed in the SERVQUAL scale (Parasuraman et al., 1988). For the purpose of restoring and improving service quality, I recommend an adjustment of focus onto internal marketing activities. According to George and Gronroos (1991), â€Å"internal market of employees is best motivated for service-mindedness and customer-oriented behaviour by a marketing-like approach, where marketing-like activities are used internally† (p. 86). Internal marketing is essentially a process of building a customer-oriented culture through training and achieving internal satisfaction. Internal marketing implies a number of activities besides training utilisation. Take, for example, regularly assessing internal satisfaction, empowerment, and the provision of adequate supervisory support, open communication policies and the development of a sound reward system all forms part of internal marketing activities that seeks to achieving continuous quality improvements. References Barsky, J. D. (1992). Customer satisfaction in the hotel industry meaning and measurement. Journal of Hospitality & Tourism Research, 16(1), 51-73. Denove, C. & Power, J. D. (2006). Satisfaction: How every great company listens to the voice of the customer. New York, NY: Portfolio. Downe-Wamboldt, B. (1992). Content analysis: method, applications, and issues. Health care for women international, 13(3), 313-321. Engel, J. F., & Blackwell, R. D. (1982). Consumer behavior. New York, NY: Hole, Rinehard and Winston. George, W. R., & Gronroos, C. (1989). Developing customer-conscious employees at every level: internal marketing. Handbook of services marketing, 29-37. Guthrie, J., & Abeysekera, I. (2006). Content analysis of social, environmental reporting: what is new?. Journal of Human Resource Costing & Accounting, 10(2), 114-126. Heskett, J. L., & Schlesinger, L. A. (1994). Putting the service-profit chain to work. Harvard business review, 72(2), 164-174. Li, H., Ye, Q., & Law, R. (2012). Determinants of customer satisfaction in the hotel industry: An application of online review analysis. Asia Pacific Journal of Tourism Research, (ahead-of-print), 1-19. Lukas, B. A., Hair, J. F., Bush, R. P., Ortinau, D. J. (2005). Marketing research. North Ryde, NSW: McGraw-Hill Australia Pty Limited. Markovic, S., & Raspor, S. (2004). Measuring perceived service quality using SERVQUAL: a case study of the Croatian hotel industry. Management, 5(3), 195-209. Parasuraman, A., Zeithaml, V.A. & Berry, L.L. (1985). A conceptual model of service quality and implications for future research. Journal of Marketing, 49, Fall, 41-50. Parasuraman, A., Zeithaml, V.A. & Berry, L.L. (1988). SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, Spring, 12-40. Poria, Y. (2004). Employees’ interference with the distribution of guest satisfaction questionnaires. International Journal of Contemporary Hospitality Management, 16(5), 321-324. Yesawich, P. C. (1978). Post-opening marketing analysis for hotels. Cornell Hotel and Restaurant Administration Quarterly, 19(3), 70-81. Yi, Y. (1993). The antecedents of consumer satisfaction: The moderating role of ambiguity. Advances in Consumer Research, 20, 502–506.

Saturday, November 9, 2019

Limitations and Criticisms of the Adlerian Theory Essay

ADLERIAN Limitations and Criticisms of the Adlerian Theory Adler chose to teach and practice over getting organized and presenting a well- defined systematic theory, making his written presentations difficult to follow. More research needed to support the effectiveness of the theory. Limited use for clients seeking immediate solutions to their problems and unwilling to explore childhood experiences, early memories, and dreams. One of its strengths is that it is a therapy for everyone in the society and its practitioners do mind about what kind of generation is coming that will inherit in a comprehensive ecological sense and one of its weaknesses has been fairly an amazing amount of family gathering and lifestyle information that is typically collected. Advantages of Adlerian Theory It can be used for numerous issues and disorders. Uses encouragement. It is phenomenological. it does not consider people to be predisposed to anything. Applicable to diverse populations and presenting issues Disadvantages of Adlerian Theory Difficult to learn (e.g., making dream interpretations) Works best with highly verbal and intelligent clients. This might leave out many people who do not fit that category. Might be too lengthy for managed care. Adlerians do not like to make diagnoses PSYCHOANALYSIS Two Strengths One of the strengths of the Psychodynamic Approach is that it provided a valuable insight into how early experiences or relationships can affect our adult personality. One of the examples of this is that fixations can be caused at the Oral Stage of psychosexual development such as being separated from the primary caregiver too early or having feeding difficulties. These fixations can then lead to psychological problems centred round eating or drinking. Supporting evidence for this strength was carried out by Jacobs at  al (1966) using Rorschach inkblots to compare the orality of smokers and non-smokers. It was found that smokers emerged as being significantly more oral. Another strength of the Psychodynamic Approach is that it is the first approach to try and attempt to explain mental illness in psychological terms and has had an enormous influence on the understand and treatment of mental disorders. An example of this is Psychoanalysis and Dream Therapy which aims to make the unconscious material conscious so it is easier to deal with as Freud believed that dreams showed our hidden thoughts and wishes. Evidence to support this was carried out by Sandell (1999) who studied the symptoms of 756 patients before and after three years or state-funded psychoanalysis and found that patients had significantly fewer symptoms after the therapy. Two weaknesses One of the weaknesses of the Psychodynamic Approach is that most of Freud’s is based on findings of case studies, single individual where cases are often unique and there are problems with generalization. Another weakness of the Psychodynamic Approach is that Freud did not take into account cultural variations. Most of his research was done on white, middle class people. Every class and culture of people have differ ways and values, so his findings cannot be generalized to all cultures. 11 Strengths of Psychoanalysis 1)Offers an in-depth perspective (i.e., transference, countertransference) that emphasizes exploring the origins of psychopathology 2)The focus on developmental considerations 3)Most of the models address sexuality (except self psychology, which sees sexuality as a drive derivative—secondary to narcissistic concerns). 4)Freud brought gender issues to the fore with notion of â€Å"penis envy†. 5) The notion of â€Å"repetition compulsion† transcends theory, often drawn by several models as a central concept. 6)Gabbard—Many people do not respond to medications or brief therapy—Some people want to derive deeper meaning about themselves beyond symptom reduction. 7) The notion of â€Å"unconscious† begins to explain behavior that we are unaware of. 8) There is biological research that supports some of Freud’s claims (â€Å"divided brain† studies). 9)The focus on relationship (particularly by object relations) 10)Self psychology understands psychopathology in terms of â€Å"dysregulation states†, which has been confirmed through neurobiological literature. 11)The universality of defense mechanisms and their use across theories. 6 Weaknesses of psychoanalysis: 1)Psychoanalytic jargon serves to confuse rather than clarify concepts. 2)Some of the ideas (penis envy, Oedipus) are outdated in terms of our contemporary world, and it is questioned by some theorists/practitioners whether these concepts are clinically useful. 3) The approach lacks a theory of intervention—not enough focus on technique. 4)The exclusive focus on the past can lead to â€Å"analysis paralysis† 5)The theory only provides a piece of the pie—often neglecting biological, cultural, and social considerations 6)Too many patients (perhaps psychotic, borderline) are not considered appropriate for psychoanalysis. Person centeret (itouch) Existentialism The therapist Function and role The existential therapist is primarily concerned with understanding the subjective world of the client and how to help them come to a new understanding and option. The therapy focuses on the client’s current life situations. Existential therapist uses various methods for different clients and different methods at different phases of the therapeutic One of the strengths of the existential therapy is their ability to enable clients to examine the degree to which their behavior is influenced by family, cultural, social conditioning. If personal needs cannot be satisfied or personal goal cannot be realized in interpersonal relations, one may experience frustration, anxiety, or depression (Chen, 2009). Limitations for multicultural counseling One of the limitations of the existential therapy in the area of multicultural populations is that they are excessively individualistic and  ignores the social factors that cause humans problems. Even though clients change internally, the social factors and environmental circumstances such as racism, discrimination and oppression severely restrict their ability to influence the direction of their lives. An example is an African American client who comes from the ghetto and the existential therapist consistently tells the client that he or she has a choice in making his or her life better, when in reality he or she does not. . Reality therapy (iotuch other) According to most experts, the main advantages of reality therapy relate to the way it focuses clients directly on solutions to their problems. Reality therapists tend to avoid too much focus on internal issues and things in a person’s past, preferring instead to deal with things that are happening in the present. According to some, the strength of reality therapy can also be its weakness. Some people feel that reality therapists don’t have enough focus on how internal issues and things in a person’s memory can affect present-day behavior, potentially leaving clients with lingering issues. Additionally, some experts feel that the focus on the consequences of life decisions may make patients feel like they are being blamed for their problems, which could be counter-productive. Reality therapy is generally all about identifying problems, making plans to solve them, and then doing what is necessary to keep clients focused on implementing the plans. In this sense, it is a therapeutic method much more focused on solutions than causes. There may be some attention paid to the reason why a person has a problem, but only as much as is necessary to figure out a workable solution. This focus on plans and solving of problems is sometimes seen as a weakness because experts worry that the focus on psychological issues as a consequence of behavior may make patients feel like failures, potentially hurting their self-esteem. REBT Another criticism is that this technique would be easy to practice poorly and since the approach is loose, it would be easy to get off track. Some people would even say that all the talking and â€Å"disputing† could be better spent â€Å"doing† something about the problems. For people who don’t like to talk, this would probably not be the best approach. if the client does not want to  be an active participant in changing the way he/she thinks, this method would not be a good fit. Or even if a client is already very skilled in self-reflection, this might be a less useful approach. As for advantages or strengths, REBT is a drug-free approach for people looking for solutions in changing the way they think, not using drug therapy. The results are seen relatively quickly because of the emphasis on the present. The therapist does not need to delve into every bad thing that ever happened. He/she needs to look at a few activating situations and do exercises about how to change your thinking about these events. another advantage is that once a person becomes well-versed in the technique, he/she can use it anytime if the negative or irrational beliefs appear. When a person is skilled at the technique, there may not be a need to go to a therapist every time. but hard work is the only way to feel better and continue to feel better about yourself. So, we must do the work on a daily basis to help us understand our behavior. Behavioral Therapy Strength It has a wide variety of empirically supported techniques used by behavioral therapists. Another upside to behavior therapy is it’s availability to a broad spectrum of individuals. the efficiency of behavior therapy has allowed for the patient’s complaints to be addressed more quickly than other forms of psychotherapy. Behavior therapy focuses on techniques to address current problems, instead of trying to get to the internal root of the problem through years of intense therapy or looking through the patient’s long history. LIMITATIONS behavior therapy has, over the years, sculpted many of their techniques and methods from clinician experience, which is far from the empirical support they claim to have. One of the more serious criticisms that behavior therapy has received it that it is dehumanizing. Behavior therapy is also said to lack the promotion of internal growth in its clients.

Thursday, November 7, 2019

HOW DO YOU EXPLAIN THE LARGE N essays

HOW DO YOU EXPLAIN THE LARGE N essays England in the eighteenth century saw a significant increase in criminal activity specifically in the growing towns where urbanisation was taking place. England prospered and her cities and ports flourished as worldwide trade and manufacturing expanded. The population soared as harvests improved and people migrated into the cities and towns searching for better lives. Cities became the centre for politics and culture. People were forced to live in close proximity to each other in a rather confined space. All this had huge implications for crime. In the generation after the Glorious Revolution few contemporaries doubted that crime and disorder were not only increasing but rampant. In particular they saw towns and cities as sinks of vice, stores of disrespect, and dens of thieving. For the most part they were just as certain that dramatic and at times drastic initiatives were necessary to stem this tide. This took the form of numerous laws and acts. The growing population stretched resources and work became a shortage. The peace disbanded many soldiers who returned home, facing unemployment. Food prices rose but wages fell. Poverty and hardship pushed many towards crime in order to survive; they were victims of economical and societal change, living on the very margins of society. As towns became the centres for trade, commerce, manufacture and home to the upper classes new opportunities for crime especially theft presented themselves. The upper classes felt progressively more threatened by the criminal behaviour of the lower classes. They were a menace to the political and social authority of the ruling class and it was feared that they would cause anarchy. Contemporaries felt that crime was very largely the work of an alienated fringe population living in idleness, immorality, and depravity, in fact a criminal, and a dangerous, class that congregated particularly in London and the enlarging citie...

Monday, November 4, 2019

What is the message of the film House of Sand by Essay

What is the message of the film House of Sand by - Essay Example Upon arriving at the place, Aurea, who is pregnant, urges Vasco to leave the place since they would not have a good environment of raising their child, but Vasco opposes her strongly. This highlights the theme of male domination whereby the producer is showing the viewer that women had no say in family matters in that setting. Unfortunately, Vasco succumbs to an accident which leaves Aurea as the head of the family. Aurea decides to leave the area but her attempts to abandon this isolated and uncivilized area are rebuffed since there are no transport channels. The only link to the outside world is a salesman who is called Chico, but he also dies leaving Aurea with no options. Asa result of this, she is forced to stay in the desert and accept her fate. She is forced to raise her child, Maria in these conditions. Time elapses into years and decades. A lot happens in this time; Aurea’s mother is killed by a sandstorm and she begins interacting with the surrounding community. The message here is that despite hardships in life, resilience, industry and hard work is necessary for ensuring one’s survival. Aurea epitomizes hard work and character which enables her to raise Maria in the hard conditions. Besides, she never gives up on her daughter going to the normal world, which illustrates her virtu es of hope and belief. She has been used to highlight problems and challenges that women face in family settings, and how they should go about in fighting these challenges. Aurea is, therefore, a model of women empowerment in society. Therefore, the tale is about survival in the difficult desert conditions, and how this survival has enabled various characters develop. Therefore, the message the author is giving here is that despite hardships that people may face in life, it is possible to transform this situation into an

Saturday, November 2, 2019

Colonial america Essay Example | Topics and Well Written Essays - 500 words - 3

Colonial america - Essay Example 17th century but in 1664, the first legislation for slaves was passed by Maryland that said, all â€Å"Negroes or other slaves hereafter imported into the province shall serve for life, as should their children. It also stated that any white woman who forgot her status and married a slave would have to serve the master of her husband. All children born into such a union would be slaves as well (Middleton, pg. 324). Around 1680, there was an increase in the purchase of slaves since there were fewer whites to do the jobs. Another reason for the increase was the abolition of the Royal African Company monopoly of trade. Therefore slaves were used to grow crops and vegetables, to maintain livestock and also used as craft and industrial workers. The Quakers were the first group to take up the issue on slavery and its codes. The existing slave codes in the colonies deprived the slaves of their basic human rights while providing the opportunity to slaveholders to exercise ruthless and merciless control over their slaves. Another revolutionary leader, James Otis, called this as â€Å"the most shocking violation of the law of nature.† He too fought against slavery and in 1807 the Federal government put an end to the trading of slaves from Africa. Right through history, the people who held power tended to side track or marginalize the people who do not have any power. In the same way, they never failed to make use of the resources as well as the technologies of the people they dominate, but yet they have neglected to give due credit to them or even acknowledge them. This is mutual where Europeans and Indians are concerned. Before slavery was abolished, agriculture was the predominant occupation during the colonial period. Blacks as well as American Indian slaves were utilized to grow crops such as flax, apples and onions. They were also used in the production of dairy products, fish and whale oil which were very important commercial products and hence trade and commerce