Prevention of pressure ulcers: nurses’ sole responsibility

Prevention of pressure ulcers: nurses’ sole responsibility Pressure ulcer is a major health problem. According to previous 10 years nationwide studies, 10% to 15% of the general population suffers from chronic pressure ulcers. In addition, Reddy, Gill and Rochon (cited in Walton-Geer, 2009) approximated 60,000 patients every year will die from hospital acquired pressure ulcers and the treatment of these wounds costs approximately $11 billion per year. These findings are significant in some areas such as patients in intensive care units, critical care units and nursing home residents. These situations cost patient in terms of suffering, impaired quality of life, reduced independence and even increased morbidity and mortality. The patients delay in hospital discharge and decrease the efficiency and efficacy of health services. The health industry is also concerned about lack of sources, work force hours to manage the problem. Various industries and government agencies are disconcerted to either treat these ulcers in early intervention or encou rage prevention (Lippincott Williams Wilkins, 2007). However, a good quality care is important in preventing these sores and nurses come at front to provide this care. In identifying the nurses attitude towards care and perception of barriers in that case may solve this situation. Search strategy The literature search was conducted by using the databases- Cinahl, Pro Quest, Pub med and Waiariki library catalogues. These databases identified the published studies, nursing journals and conference proceedings. The search engine used the terms for search were pressure ulcers and nursing, nurse and bedsores, nurse and hospital, pressure ulcer and patient, and nursing management and decubitus ulcers to search out the articles. The articles only written in English were retrieved for review. This literature review is based on the prevention strategies. Prevention and management of pressure ulcer is of major concern in health care system. Most of the studies revealed the appropriate knowledge of nurses for prevention. The gaps could be in the lack of performance in their practice. The hospital routines for early assessment and culture may be responsible for nurses to practice efficiently. Despite of increasing expenditure neither incidence nor prevalence is reducing. The attitude and supervision towards care of patient are significant review in whole populations generally. The search was wide to find the reliable material and needed to exclude some for relevance. The search boundaries were elaborated for nursing practice and attitude. The access to literature was sometimes limited to abstract only. Eighteen published articles were reviewed for possible inclusions in the final review. Among those ten articles were taken from previous conducted researches, three were the literature reviews and two relevant articles were based on life story of patients. One textbook and two non-research articles were kept for background information. The first line of defense in preventing the pressure ulcer development is the nurse practitioners behavior towards patient, nursing care by using various devices, patients status for devolving risk factors and hospital polices for further improvements. All ages were viewed as inclusion criteria with high-risk abilities. Four articles were more than ten years old and excluded to gather current knowledge for practice. One study was excluded because of emphasize was put on various positions of the patient that are inefficient for critical care units to take efforts in rising out of bed and were not valid. Two researches based studies were included to asse ss nurses knowledge in prevention and treatment strategies that were mainly researched for assessing the nurses knowledge about pressure ulcers and impact on practical decision-making skills and utilizations of various devices. The research literatures on pressure ulcer development filled the education and reliability assessment of nurses. One group of researchers created the longitudinal examination of hospital registered staffing to improve the quality of care and revealed the limited support for quality with number of registered nurses. These variations in favor of care presents a cross comparison of results, at best. Another research study revealed the influence of handling technique, and patients weight and disability that causes serious back injuries to nurses. One research supported computers for prevention and treatment of pressure ulcers at LCD hospital was included because the system reminds documentation to nurses. One life story article included tells about the negligenc e in care that leads towards the death of a woman, because of bone deep bedsores that remained untreated in last six months of her life. The selection criteria in three researches have been taken for use of preventive devices that underline the risk of pressure ulcers early assessment at time of admission. The potential inclusion admits a risk assessment tool, Braden scale in predicting pressure sore risk in hospitalized patients. However, two included studies exposed issues regarding the lack of clinical trials for effectiveness and the quality improvement implementations in nursing homes that associated with organizational culture. As the review included all ages, hospitalized and outside patients, one study assures about the sitting behavior of people lead towards building the risk of pressure ulcers. Nurses knowledge and attitude In 2004, Moore agreed the development of pressure ulcer is linked to nurses attitude, education and competence. Education increases awareness of the problem and gives a pathway for developing and maintaining competency. Thus, the successful prevention is dependent on staff knowledge, skill and attitude. This argument was underlined the content and quality of education, a major concern in decision-making. Hulland (cited in Moore, 2004) was able to identify nurses action, beliefs and opinion on pressure ulcer prevention and treatment. Anthony (cited in Moore, 2004) also agreed, however, nurses have good knowledge for prevention, still usage is inappropriate in practice. Maylor and Torrance (cited in Moore, 2004) supported the value of the attitude of nurses for preventive practices of pressure ulcers in clinical practice. Ousey (2010) accented the need of evidence-based education for whole staff involved in care of pressure ulcers. Another study by Wiechula in 1997 described the focus of quality improvement ought to on the appropriate education program that contains the instructions and guidelines of current and evidence based practice. The education program should include the etiology and risk factors along with risk assessment tools and application in demonstrating the positioning for prevention of pressure ulcers. In this study, the stress was also put on the accurate documentation and monitoring. Another cross-sectional study by a group of researchers explored the comparison between the knowledge among past time and present time nurses. The sample was large (n=522 nurses in 2003 compared with n=351 nurses in 1991), with written questionnaire method. The authors identified the knowledge of nurses in 2003 is better and nurses know the usefulness of preventive measures. However, the raised issue was again the knowledge did not come in practice in the organizations that monitored pressure ulcers (Hulsenboom, Bours Halfens, 2007). Comparing the views of all autho rs, one group of researchers conducted a one-time survey. Fifteen nurses were subjected to check the use of system increase their knowledge and skills. The study resulted in no effective knowledge about pressure ulcers and decision-making skills in practice (Zielstorff et al, 1997). Among various researches, one study by Smith and Waugh in 2009 uncovered the nurses knowledge of pressure ulcer prevention and treatment along with the perception of barrier in providing effective care. After using the Pieper Pressure Ulcer Knowledge Test among 96 nurses, the study revealed the nurses knowledge was higher significantly but the barrier such as the weight of patient, patients refusal, unavailability of equipments, not having enough time and staff was significantly considerable. Nevertheless, Mark, Harless, McCue and Xu in 2004 found limited support for enduring the belief that improvement in registered nurse staffing improves the quality of care. In addition, Skotte and Fallentin in 2008 s upports the barrier by assessing the low back load on health care workers while using preventive techniques such as repositioning and use of friction reducing devices that is higher than patients weight and disability. Pulkkinen (2009) explores this argument in an article about a health care workers second-degree criminal mistreatment. The evidence shows that the treatment for bedsores was not provided to Harrison and ultimately because of gangrene infection of bone deep ulcers, he died. Use of appliances in practice In 1997, Wiechula described the assessment of risk is important to consider causative and contributing factors that can eliminate the negative effects. This skin care assessment of patient should be at the time of admission, after change in condition and for long-term patients at regular intervals. Specifically, to relieve pressure, attempt should be put on positioning and turning frequently. The major concern was preventing contact on between prone areas and support surface by using devices such as pillows and foams and use of alternating pressure mattress for high-risk patients. Ousey (2010) explored the early detection and effective documentation of pressure ulcers is a key component of quality care if the nurses can identify risk development behavior appropriately. The study assures manual repositioning and pressure relieving support surfaces are important in preventive measures. The early detection includes the assessment within six hours of admission in hospital and in communit y settings; it should be at first visit of practice nurse. However, Wiechula in 1997 outlined, turning of patient every 2 hours is a reliable and cheap method of prevention. Schoonhoven (cited in Ousey, 2010) disputed the effectiveness of preventive measures in some patients. Based on this notion, Ousey agreed the pressure ulcer tool will be helpful for high-risk individuals if practice with professional jugdement. Stotts and Gunningberg in 2007 supported one evidence-based article for use of Braden scale, a good assessment tool. Considering the reliability and validity, Braden scale is affective to practice with the difference in patients culture. In the matter of devices in care of pressure ulcers, the Australian Medical sheepskin is a new pressure-relieving device is effective in relieving pressure with moisture absorbing capacities (Mistiaen et al, 2008). Gardner, Frantz, Bergquist and Shin (2005) explored another perspective study for measuring the wound healing is pressure ulc er scale for healing. When the workers apply this evidence-based tool at weekly intervals, it provides accuracy in differentiating healing of pressure ulcer from non-healing in tracking changes in pressure ulcer status. This study outlined the use of PUSH score can achieve changes during extended follow-ups during the time when pressure ulcers take more than 3 months to heal. As explained by Wiechula in 1997, massage on bony prominences ought to avoid and the ring shaped devices are ineffectiveness in practice. Ousey (2010) agreed the view of not rubbing the skin vigorously to prevent the damage of superficial and deep tissues. Interestingly, one cross-sectional study unveiled the use of these preventive devices and documentation is suboptimal even for high-risk patients. In practice, the documentation and preventive devices are important for all patients who are at risk and having pressure ulcers to note the status of patients. A research nurse to ascertain the use of pressure ulce r devices examined the patients. After examination, 68% patients were documented for pressure ulcers. Among those 15% of patients had preventive devices and 51% receive those were at high-risk. In multiple analyses, the type and stage of pressure ulcer were not associated with high-risk patient but the use of preventive devices (Rich, Shardell, Margolis Baumgarten, 2010). Similarly, Moore (2004) identified the use of pressure relieving devices are not as much helpful in reducing the prevalence of pressure ulcers without nurses positive attitude. Hospital policy The cost of treatment of pressure ulcers can be enormous and significantly run out the health system resources. According to Posnett Franks (cited in Ousey, 2010) the estimated cost for the treatment of pressure ulcer is between 1.8 billion pounds to 2.6 billion pounds annually. In 2009, Walton-Geer gave views on for the improvement in patient care the interventions should be initiated on evidence-based practice. Patients status AHCPR (cited in Wiechula, 1997) recommended the important link of malnutrition with the development of pressure ulcers. Wiechula (1997) indicated, on admission nutritional assessment should also be monitored such as weight changes, loss of appetite and decreased dietary intake. Patients with poor hygiene and skin moisture degrade the integrity of skin that further helps in developing sores. One literature review supported the components of Braden scale such as nutrition, sensory perception, evidence of moisture, activity level and mobility status are the most important predictive of developing risk of pressure ulcers. It is apparent in the study that the risk increases with the susceptibility of tissue tolerance and poor peripheral circulation that relates with poor nutritional status (Schultz, 2005). Ousey in 2010 outlined some intrinsic and extrinsic factors responsible for pressure ulcer development. Intrinsic factors included patients age, mobility, incontinence, medication, anem ia, thin skin, nutritional status and disease condition. The considered extrinsic factors were friction, moisture, poor handling and changing position. The stress was also put on initial assessment of all patients to improve nutritional intakes. Williams et al (cited in Ousey, 2010) considered poor nutrition and decreased tissue perfusion, the main cause of pressure ulcer development. Bain and Ferguson-Pell in 2002 considered the knowledge of sitting behavior of patients outside the hospital especially for wheel chair users who sit continuously for long time. The study tested the use of remote monitoring pressure distributing logger that keeps the record of sitting behavior after testing its feasibility. Phytochemical Method Silver Nanoparticles: Synthesis Phytochemical Method Silver Nanoparticles: Synthesis Phytochemical Method Silver Nanoparticles: Synthesis and Characterization The study of green synthesis of nanomaterials offers a valuable contribution to biomedicine at nanobiotechnology. This study focuses on the green synthesis of nanosilver from O. sanctum leaf extract and loading the nanosilver onto cotton fabrics and assessing their physical and biological properties. In this study, O. sanctum leaf extract was used as reducing agent for the synthesis of silver nanoparticles. When the silver nitrate solution was mixed with leaf extract, the color changes occur immediately in silver nitrate solution. Initially, the leaf extract was green, which turned yellowish brown on adding the silver nitrate solution. The color changes indirectly indicate the formation of silver nanoparticles. The color change was noted by virtual observation of O. sanctum leaf extract incubated with an aqueous solution of AgNO3. It started to change color from watery to yellowish brown at 4 h and dark pink at 24 h after incubation (Figure 1). It is due to the reduction of silver ions; this exhibits the formation of silver nanoparticles (Table 1). The color of the extract changed to intense brown along with threads after 24 h of incubation, and there was no significant change afterward. S.No. Time interval Colour change 1 0 min Dark green 2 10 min Pale green 3 30 min Reddish green 4 1hr Red 5 2 hrs Red 6 4 hrs Reddish brown 7 8 hrs Reddish brown 8 16 hrs Brown Threads 9 24 hrs Brown Threads Table 5. 1. Effect of leaf extract of O.sanctum on colour changes in silver nitrate solution at different time interval Biosynthesis of nanoparticles by time-dependent absorption spectrum The continuous formation of silver nanoparticles was investigated using UV-Vis spectroscopy, which has proven to be a useful spectroscopic method. The presence of silver nanoparticles was confirmed at a range of 200–600 nm. In UV-Vis spectra, silver nanoparticles can be shown by a SPR peak at around 400 nm, but a small shift (blueshift or redshift) in the wavelength of the peak could be related to obtaining —silver nanoparticles in different shapes, sizes, or solvent dependences. After 24 h of incubation, a typical peak of ÃŽ »max at 421 nm was obtained due to the SPR of silver nanoparticles (Figure5. 2). After the reaction time on adding of leaf extract reached 4 h, obtained silver nanoparticles showed a UV-Vis absorption peak, a characteristic SPR band for silver nanoparticles, centered at 400 nm (Figure 5.2). Figure 2, the intensity of the SPR peak increased with the increase in the reaction time, which indicated the continued reduction of the silver nitrate ions, whereas the increase of the absorbance value with the reaction time indicated the increase in concentration of silver nanoparticles. When the reaction time reached 12 h, the absorbance was increased and ÃŽ »max value was slightly blueshifted to 435 nm. At reaction time of 24 h, the absorbance value was also increased and blueshifted to 435 and 421 nm, respectively. At the end of the reaction (24 h), the absorbance value was considerably increased and there was no significant change in ÃŽ »max value (421 nm), compared with that at 12-h reaction time. FTIR spectroscopy analysis of biosynthesized silver nanoparticles FTIR measurements of the biosynthesized silver nanoparticle samples were carried out to identify the possible interactions between silver and bioactive molecules, which may be responsible for synthesis and stabilization (capping material) of silver nanoparticles. These were also to identify the possible biomolecules responsible for capping and efficient stabilization of the metal nanoparticles synthesized by leaf extract. Figure 5.3 shows the FTIR spectra of aqueous silver nanoparticles prepared from O. sanctum leaf extract. The presence of the signature peaks of amino acids supports the presence of proteins in cell-free filtrate as observed in spectral analysis. The silver nanoparticle sample shows peaks at 3313.48, 3193, 2976.90, 2883, 1670, 1452, 1338, 1196.78, and 1112.75 cm−1 (Figure 5.3). The peaks corresponding to protein and silver nanoparticles were found commonly present in the nanoparticles synthesized by leaf extract. X-ray diffraction analysis The crystalline nature of silver nanoparticles was studied with the aid of XRD as shown in Figure 5.4. The dry powders of the biosynthesized silver nanoparticles were used for XRD analysis. The diffracted intensities were recorded from 20à ¯Ã¢â‚¬Å¡Ã‚ ° to 80à ¯Ã¢â‚¬Å¡Ã‚ ° at 2à ¯Ã‚ Ã‚ ± angles. Many strong Bragg diffracted peaks observed at 27.82, 32.25, 46.22, and 76.63 corresponding to 126, 199, 131, and 24 height of the face-centered cubic pattern of silver were obtained. The average grain size of the silver nanoparticles formed in the bio-reduction process was determined using Scherrer formula and it suggested that the synthesized silver nanoparticles were crystalline. The size of the silver nanoparticles was found to be 26 nm, and it was determined using the width of the (126) Bragg’s reflection. In addition, yet some unassigned peaks were also observed suggesting the crystallization of biophase occurs on the surface of silver nanoparticles. Fluorescence spectral analysis Fluorescence spectroscopy is a type of electromagnetic spectroscopy which analyzes fluorescence from a sample. Figure 5.5 shows fluorescence emission spectrum from silver nanoparticles, dispersed in double distilled water. Fluorescence spectral analysis of silver nanoparticles used in the experiment was carried out to confirm the fluorescence emitted from the nanoparticles. A strong maximum at 431 nm wavelength and a quantum yield was 666.450 mV appeared in the fluorescence emission spectrum of O. sanctum leaf extract mediated silver nanoparticles. Potentiometry analysis of biosynthesized silver nanoparticles The biosynthesized silver nanostructure was shown and confirmed by the characteristic peaks observed in zeta potential, which will help to measure the diameter of nanoparticles with corresponding average zeta potential values, and also used for suggesting higher stability of silver nanoparticles. The reduction of silver ions to form nanoparticles was also monitored using a potentiometer. The large negative potential value could be due to the capping of polyphenolic constituents present in the extract. Figure 5.6 shows the results of time-dependent zeta potential analysis from 0 to 24 h of incubation period. A pointed reduction in the potential could be observed on 4 h of interaction, further indicating the formation of nanoparticles at this stage. The potential decrease from an initial value of 0.436 V for silver ions to 0.153 V at the end of 11 h (Figure5.6) was observed, after which the decrease in potential was gradual, decreasing up to 0.048 V at the end of 24 h. Zeta potential analysis of synthesized silver nanoparticles The zeta potential analysis was used to measure the electrophoretic mobility of the silver nanoparticles. The complex zeta potential is a parameter that is used to learn the surface charges and stability of nanoparticles. The zeta potential charges significantly affect the particle distribution and agglomeration of nanoparticles. The high zeta potential value indicates a high electric charge on the surface of the nanoparticles. It describes strong repellent forces among the particles, which prevent aggregation and lead to stabilization of the nanoparticles in the medium. The zeta potential of the nanoparticles formulated was only measured in systems that did not sediment after overnight equilibration. The alteration in zeta potential with a moment in time is shown in Figure 5.7. It can be observed that there was charge stabilization from 11 to 16 h, with the charge stabilized at around −57 mV. The zeta potential was −62 mV for the 14 h interacted samples, which further decreased to −35 mV for the 24 h interacted samples. SEM analysis of silver nanoparticles The morphology of silver nanoparticle was observed using a SEM instrument. The shape and size of silver nanoparticles were analyzed after 24 h of incubation using SEM as shown in Figure 5.8. In general, the nanoparticles were spherical with varying size ranged from 7 to 28 nm. Most of the nanoparticles were combined, with only a few of them scattered, as observed under SEM. The biosynthesized silver nanoparticles were mostly spherical. These were used to characterize the morphology, size, and distribution in aqueous suspension and were prepared by dropping the suspension onto a clean glass plate and allowing water to completely evaporate. It was evident that the ends of silver nanoparticles are brighter than the middle, suggesting the particles are encapsulated by biomolecules such as proteins in the Basil leaf extract (Figure 5.8). EDS analysis of silver nanoparticles The EDS spectrum (Figure 5.9) clearly identified the elemental composition of the synthesized nanoparticles, which suggests the presence of silver as the ingredient element. The vertical axis shows the counts of the X-ray and the horizontal axis shows energy in keV. The strong signals of silver correspond to the peaks in the graph confirming presence of silver. Biosynthesized silver nanoparticles typically show an optical absorption peak at 3.2 keV due to SPR. However, other elemental signals along with silver nanoparticles were also recorded, which were not observed for the biosynthesis of many other nanoparticles. TEM was used to visualize the size and shape of silver nanoparticles. Figure 5.10 shows the typical TEM micrograph of the synthesized silver nanoparticles. It is observed that most of the silver nanoparticles were spherical. A few agglomerated silver nanoparticles were also observed in some places, thereby indicating possible sedimentation at a later time. It is evident that there is variation in particle sizes, and the average size was estimated to be 26 nm and the particle size ranged from 8 to 45 nm. The natural products, namely glycosides, flavanones, and reducing sugars, are the main constituents of the O. sanctum leaf extract

Media Portrayal of Female and Male Body Image :: Media Argumentative Persuasive Argument

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Representation of Gender in the Film The Crucible Essay

Nicolas Hytner has used a number of techniques such as camera angles, dialogue and music to represent gender through the film version of Arthur Miller’s The Crucible. This is evident through the study of the characters John Proctor, Reverend Hale, Judge Danforth, Elizabeth Proctor and Abigail Williams. The film is set in the mid 17th century in the Puritan society of Salem. The Puritans are a group of people who take the Bible literally and very seriously. Law and religion was tied together so that sin became crime and visa versa. Salem was a place where pleasure and relaxation of any sort was restricted and people lived under rigid Puritan constraints that allowed no room for privacy. All power within the society was derived from biblical authority and the patriarchal views of Salem, thus the society was led by ministers of religion and the patriarchs, with women as the third class citizen. Miller, reflecting his own 1953 context, is paralleling the Salem witch-hunt with the infamous drive by Senator Joseph McCarthy to expose ‘radicals’ and ‘communists’ in the USA. Clearly, the term â€Å"witch hunt† has come to mean the slandering of innocent people using them as scapegoats for the things that are wrong in society. Discrimination against Muslims during the recent Gulf War and War on Terrorism illustrates the universality of the issue of witch-hunting. With the context in mind, the representation of gender in Salem can be analysed. The tragic hero of the film, John Proctor, is presented as a stereotypical man of the late 1600s Salem. John is presented by Hytner as very much the moral centre of the film through the use of a variety of filmic techniques in the construction of his character. In the first scene he appears, his clothes are natural and earthy in colour and his movement while reaping is close to the natural rhythms of the earth. This paints a picture of Proctor as a handsome masculine man, a worthy farmer doing an honest day’s work. The rhythmic reaping of the field gives a comforting feel and shows John’s confidence with his tools – a man used to hard work. The sunlight reflects off his face bathing him in some spiritual power. His  children are out working with him giving the impression of a family man. Images of Proctor are also painted in the scene in Proctor’s household and both male and female roles in the home and family are juxtaposed. John as the head of the family is blunt and abrupt to his wife which was representative of family life at the time. John is master of his house and shows his power when he shouts the word â€Å"Woman!† at Elizabeth. The single word establishes that John’s status is higher than that of Elizabeth and she must submit to his will. Proctor’s dominance is shown in the repetition of the words â€Å"I’ll think on it† and his slamming down on the table signifies the end of their argument. His male qualities are shown in the way he uses his body to make a point and his physical supremacy over his wife. Juxtaposed to this is the representation of female gender through Elizabeth’s character. She is constructed as a rather cold, but highly moral woman. Elizabeth’s role in the home is to care for the house so John can relax whilst she waits on him. This is shown by how she begins to clean up the table as dialogue is established and how she serves John and does the dishes while he is comfortably seated. Thus her inferior status in this patriarchal society is established. The scene portrays the female gender as quiet, submissive and subservient, and a protector of the home from outer influences as we learn that she â€Å"sent Abigail on the roads† because of her sexual attraction to John. Elizabeth is a fine example of the women in Salem. She is stoic, in keeping with the cultural expectations where any show of emotion is considered unseemly. She demonstrates the reserve that, as a woman, she has practiced all her life. This gender role is celebrated throughout the film. She is resigned, willing to accept the laws of her society however unjust which can be seen in the scene when she is arrested. Endowed as the home maker and nurturer, socially expected roles, her meek submissiveness highlights her strength of character as a wife and a mother. This is done through the close up of her hugging her children before she is taken away. The film lauds her behaviour in this scene as quietly dignified, and her integrity is highlighted when she organises the care of her children and comforts them  and hopes her husband will bring her home soon. Essentially, Joan Allen’s acting accounts for much of Elizabeth’s dignity, for the actress stands upright and faces her ordeal with confidence. Hence, the actions of an actor compliment the other filmic techniques that represent gender roles in the film. Despite his patriarchal prerogatives in the household, Proctor’s status is eclipsed by the status of those involved with the theocracy, such as Reverend John Hale and Judge Thomas Danforth. Reverend Hale is portrayed in the traditional stereotype as a gentleman of intellect and authority. He acquires this authority through his unique knowledge of ‘the invisible world’. This can be seen in the scene when Hale interrogates the girls. His demeanour and dress linked with his patronising voice threaten the powerless girls, and establish his authority as a feared ‘expert’. The tilted camera angle looking up at Hale and down at the girls reinforces this power. Judge Danforth represents another form of biblical power in the patriarchal society of Salem. He is the enforcer of law, one with absolute power over the individual, one who holds power over life and death. In the scene of his arrival, his importance and power is signified by the music with an insistent drum beat that is very loud. The camera angle looks up at the entourage showing soldier, carriages and horses charging into Salem to take control. The crescendo of music stops with a gong like sound as Danforth steps out of his carriage in medium close up with an upward camera angle. He is dressed very formally in black with a gold buckle standing out on his hat and stands in an upright and confident stance. These factors combine to establish Danforth as the stereotypical judge – an aged man endowed with wisdom and knowledge, but nonetheless with a hint of stubbornness. Contrasting to all this is the representation of female gender. Women in the society possess barely any power at all, not even the right of freedom of expression. This is why they were dancing in the woods and ultimately triggering the whole episode of the witch hunt. It is no wonder why a girl like Abigail would seize her chance to enjoy her powers as â€Å"God’s fingers†. However this empowerment of Abigail, her unnaturally strong sexual  attraction and her unwilling to be a submissive maid/housewife all works against social expectations of Salem and the film’s stance on being male and female – this establishes Abigail as evil and dangerous. Apart from being represented as countering stereotypical qualities, she is also established as a manipulative whore. This could be seen in the scene where John and Abigail meet against the wall. Dialogue is used to represent Abigail as a seductress, â€Å"give me a sweet word John†. Music accompanies Abigail’s emotional state, simple, unmelodic and mysterious as Abigail tries to seduce John and becoming more melodic and threatening as Abigail grabs John’s crotch and harangues him to position Abigail as a more powerful figure. As Abigail and John start to argue, Abigail occupies the foreground and the centre of the frame. This framing positions her as an empowered female. All this contributes the film’s construction of Abigail as a resistant and countering role and a temptress. In conclusion, Miller has used various filmic techniques to construct and represent gender roles as pointed out above.

Discuss the Roles of Language and Reason in History

Discuss the roles of language and reason in history. History as the area of knowledge is virtually indivisible from language and reasoning. Language is one of the most potent means of interpreting and reporting historical information that is derived from the sources pertinent to the events and occurrences. The sources themselves, in their turn, are frequently presented by the written documents, recorded anecdotal experiences, and works of art, archeology, anthropology and photography which, yet again, are interpreted through the language in conjunction with the context of a historical event. It appears to be an endless loop, where language is the alpha and omega, the main vehicle of†¦show more content†¦Here, historical event calls for the help of reasoning, which can raise further questions to authorities that put the entire responsibility on the Al-Qaeda. The more scientific and factual evidence emerges from the research, the more controversial this event seems to be. But it is for an individual to arrive to a conclusion pr ovided he or she is concerned with the issue. However, the prevailing opinion that was projected into the minds of the public by mass media remains adamant: the terrorist group dealt a tremendous blow to the democracy of the United States and must pay for it. Hence, there is a fully justifiable war with Iraq, the country which has a doubtful connection with Al-Qaeda, apart from the fact that it is run by a dictator and constitutes a predominantly Muslim society. But the non-Muslim world has already been contaminated by the fear of Muslims who seem to be nearly synonymous with â€Å"terrorists†. â€Å"Thus, [†¦] crowds have come,[†¦] to acquire a profound antipathy for the images evoked by certain words†2 and fully accepted the justification for the war in Iraq. Reasoning is an indispensable tool for those who wish to form a personal opinion on historical events which are presented through language. 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To speak another persons language, toRead MoreThe, Fathers Of The Pueblo : Patriarchy And Power998 Words   |  4 Pagesthey lose all their land and belongings and are lost to history. Pubols uses the de la Guerra family to show that California Mexicans not only had agency but also played a large part in society. Pubols second argument was that patriarchal language was being used to describe the de la Guerra’s family governance within their community. First, lets discuss Pubols main argument about California Mexicans having agency and playing a large role in society. Pubols did a great job of using the de la

Short Story Dream Come True - 1553 Words

Dream Come True â€Å"You know you can , Rock, Rock, Rock† I look into the crowd and notice my entire family watching, and smiling. They look so proud. I m doing great. As I turn around to belt out the last note , I’m looking right into the eyes of Nate. â€Å"You cannn ROOOOOOOOooockkkk† As we belt out the last note together he leans in for a kiss! Right in front of everyone- â€Å"Sofie get down here , your going to be late for school!!† As I open my eyes I realize it was all a dream- â€Å"Noo† â€Å"Don t tell me no, young lady† I can tell she’s coming up the stairs. There s a horrible creak with every step. When I hear two angry knocks at the door, I know she’s arrived. When she walk in she gasps. â€Å"SOhpie†! â€Å"GET UP, your bus will be†¦show more content†¦As I sit down in 1st period , I notice Josh(The Drummer) standing in the door window trying to motion my attention. How long has he been standing there. When I get an excuse from the teacher , I go out the door and see Josh standing casually as he always does. â€Å"Hey , whats up?† I asked him. â€Å"Oh nothing , I just wanted to ask you something† â€Å"O..kay what is it?† I’m a little worried now. He leaned in and kissed me really fast and I had no time to react. Right at that moment the worst thing possible happened . Nate walks around the corner and sees us. â€Å"Oh , sorry to interrupt† Nate says , I could see the hurt in his eyes. He walks into the classroom that I just came out of and took a seat. â€Å"Um , Josh , I-† â€Å"Shhhhh† he put his finger to my lips , â€Å"I know you like me† â€Å"No actually , I don t , I like you as a friend Josh , I don t know what gave you the impression that- Mrs. Johnson walked out and told me it s time to start class. â€Å"I gotta go† I said swiftly and rushed into the class. This was the worst day ever. School passed by as a blur , I don’t even recall what I got for homework. The only thing I can think about is Nate. Does he think I like Josh . Is he mad? Is he jealous? Ugh. Why did Josh have to do that. I haven t even had time to callShow MoreRelatedHarveys Dream and Where Are You Going, Where Have You Been?1707 Words   |  7 PagesSneaky Similarities The pair of short stories I will be analyzing and comparing is â€Å"Harvey’s Dream† by Stephen King, and â€Å"Where Are You Going, Where Have You Been?† by Joyce Carol Oates. These two stories are similar in many ways, and they can be compared critically based on their diction, point of view, similarities in narration, characterization, tone, et cetera. 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In Alice Walker’s short story â€Å"Everyday Use,† Lorraine Hansberry play â€Å"A Raisin in the Sun,† and Langston Hughes’sRead MoreNarratives, It Is How You Inter pret Them1091 Words   |  4 Pagesand not seen at all,† was stated in the 2008 movie â€Å"It might get loud.† This quote is true to life today. We often look at things one way, and one way only. We repeatedly have to be reminded to take a step back and look at a situation from someone else’s shoes. When we look at certain situations through another angle, often times our perception and emotions toward the situation change. While reading several short narratives this semester, I recognized the same thing. The characters were put into situationsRead MoreSemiotics of the Landscape1006 Words   |  5 Pagesalways find a way to express themselves. This is true of every individual. Our secret desires and experiences show themselves little by little through our dreams, our personalities, and even through our hobbies. This is a partial description of Sigmund Freuds theory of the unconscious mind. What secrets are being expressed in Margaret Atwoods short story which is called Death by Landscape? How are these secrets manifesting themselves through the story? The answer to that question is how the presenceRead MoreDream As A Butterfly And The Butterfly1444 Words   |  6 PagesDreams in Japanese Tales â€Å"Chuang Tzu in dream became a butterfly, And the butterfly became Chuang Tzu at waking. Which was the real—the butterfly or the man?† -Li Po In these few lines from the poem â€Å"Chuang Tzu and the Butterfly†, Li Po simplifies the question raised by Chuang Tzu: Which is the true reality? Are we currently in the true reality or is the true reality in our dreams? These questions separate dreams and reality into two different concepts; however, in Japanese tales a common themeRead MoreTheme Of Independence In The Story Of An Hour By Kate Chopin1087 Words   |  5 Pagesof many short-stories and novels. Her short story, â€Å"The Story of an Hour,† is about a woman named Mrs. Louise Mallard with a fragile heart that suddenly and unexpectedly loses her husband in a train accident. Throughout the story, Mrs. Mallard learns to embrace the accident because for her it meant she finally obtained freedom from her demanding life that she has been wanting to break away from. Freedom and independence is one of the themes of â€Å"The Story of an Hour† and appears in the story when MrsRead MoreDestino By Salvado r Dali And Walt Disney And The Great Gatsby930 Words   |  4 Pagesemotions, symbols, and motifs, an artist can show or tell a unique story; however, despite the usage of creative symbols, distinct stories can show a similar theme. Two such examples are the short film Destino by Salvador Dali and Walt Disney and The Great Gatsby by F. Scott Fitzgerald which share the common theme of â€Å"the struggle of obtaining dreams†. 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Plato s Allegory Of The Cave - 1217 Words

Have you ever judged a person, an object, or even a place by what it looks like on the outside? Or maybe you have judged all of that just by what someone else has told you. Everyone in this world has either judged someone or something in their lifetime or has been judged. Many people out there in the world also believe they know many things and have tried to get the point across to someone and well, they just don’t believe them in any way. They believe there point of view is more right than the other persons and sometimes that can get a little out of hand, depending on who you are dealing with. I guess the major point in all this is to never judge a book by its cover, always learn yourself. In Plato’s â€Å"Allegory of the Cave†, there are these prisoners that live in a cave and have never seen any natural sunlight. They can only see shadows of things displayed on the wall by the light coming from the fire. The prisoners get happy and interested by the shadows th ey see. The shadows could be of humans, objects, animals, or even plants. They see them as real, whereas, we see them as just shadows. One day, a prisoner goes out into the real world. He is blinded by the sunlight, so after his eyes adjust, he realizes that the shadows that were being shown in the cave aren’t actually real and that all the real objects are outside of the cave. Objects like plants, colors of what the animals look like, animals, tree, and even stars. Plato puts it as, â€Å"Previously he had been lookingShow MoreRelatedPlato s Allegory Of The Cave1716 Words   |  7 PagesIn Plato’s, Allegory of the cave, a key theory I found was the importance of education. Plato uses an â€Å"allegory to illustrate the dilemma facing the psyche in the ascent to knowledge of the imperishable and unchanging forms† (104) Based on my research of the republic, the allegory can reveal multiple hidden messages. Plato describes, ordinary mortals are chained within an underground chamber, which according to Fiero, represents the psyche imprisoned within the human body. These mortals can’t lookRead MorePlato s Allegory Of Cave1979 Words   |  8 PagesJaneva Walters December 6, 2016 Dr. T. Brady ENG 391 Plato’s Allegory of Cave The allegory of the cave is regarded as one of the most reputed and acclaimed works by the Greek philosopher Plato in modern literature as well as philosophy. First published and presented in his work known as a Republic (514a–520a), the dialogues that have been used as conversation can be regarded as fictitious as the main conversation takes place between Plato’s brother Glaucon and Socrates. First and foremost, allegoricalRead MorePlato s Allegory Of The Cave1814 Words   |  8 PagesIn Plato’s, â€Å"Allegory of the Cave†, a key theory I found was the importance of gaining knowledge. Plato uses an â€Å"allegory to illustrate the dilemma facing the psyche in the ascent to knowledge of the imperishable and unchanging forms† (Fiero, 104). Based on my research of the Republic, the allegory can reveal multiple hidden messages. Plato describes in the Allegory, ordinary mortals who are chained within an underground chamber, which according to Fiero, r epresents the psyche imprisoned within theRead MorePlato s Allegory Of The Cave1379 Words   |  6 Pagesbeen in a cave? Caves are dark, cold, and often times dangerous. People who lose their source of light in a cave often face death from physical injury or hypothermia, unless otherwise rescued. The Greek philosopher Plato illustrated the difference between reality and illusion through a story about prisoners who lived their entire existence in a cave. Plato tells the â€Å"Allegory of the Cave† as a conversation between Socrates, his mentor, and Glaucon, one of Socrates’ students. Plato’s allegory of theRead MorePlato s Allegory Of The Cave Essay1630 Words   |  7 Pagescondition impressed by an image can sometimes like as a flame, spreading throughout other discourses for long after its initial kindling. Such is the case with Plato s allegory of the cave, which has for over 2,500 years inspired significant contributions to theorizations of truth. Despite t he age of Plato s work, the truth in the allegory is demonstrated by its own universality; as a formative piece of literature, the story acts as a gateway into Western discourses of truth. 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An allegory is defined as â€Å"a story, poem, or picture that can be interpreted to reveal a hidden meaning, typically a moral or political one.† In Plato’s Republic the short excerpt The Allegory of the Cave can be viewed through multiple perspectives. Plato’s image of the cave is known as the â€Å"theory of forms†¦ The theory assumes the existence of a level of reality inhabited by ideal â€Å"forms† of all things and concepts (Revelations:Read MorePlato s Allegory Of The Cave Ess ay1842 Words   |  8 Pagesto find pieces about importance of our ego as well. Plato is one of the most important philosophers in western history. That brings us a question, why ego is such significant for both western and eastern philosophers and religious works? Sigmund Freud, who carried on Plato’s thinking on humanity and our society, pointed out what Plato has vaguely discussed about that the significance and impact the ego has on us. In Plato’s Allegory of the Cave, what the prisoners are actually experiencing the fight

Write An Essay About The Consumer Relationship And Behavior

Question: Write an essay about the consumer relationship and behavior. Answer: Overview Communication in the existing market place is one of the most important factors in corporate functioning. For maintaining the continuous growth in existing competitive business environment, regular communication with its stakeholders is an essential step. Customers are the significant parameters of the corporate marketplace. As a marketing manager of a lifestyle caf based in Kuala Lumpur, Malaysia, it can be asserted that the customers are the key building blocks of such kind of service provider businesss profit. According to the present scenario of corporate competition, every caf delivers more or less same kind of products. Subsequently, the differentiation is highlighted from the area of physical evidences in service environment. This specific physical evidence of cafs service environment is directly related with the customers. Customers feedback and effective communication help at the time of business expansion, franchise programs along with gaining an understanding regarding the need of the business as well (Parvatiyar Sheth 2001). In order to expand the business and to open almost eight retail branches of lifestyle caf throughout Kuala Lumpur metro area, the business needs to focus on a franchise program along with strengthening the customer relationship first. This essay is based on the perception of a marketing manager of lifestyle caf and includes an in-depth literature survey on the importance of customers feedback, incorporation of IDIC model to improve the customer relationship, and certain programs that can assist to understand the customers behavior. Literature Survey on the Importance of Customers Feedback According to Torokoff (2006), feedback is the proof of development and continuous growth of a business. Organizational goals rest on the factor of profit maximization through implementations of strategic business ideas. These business thoughts are developed towards a practical perspective through the efficient intellectual capital incorporation within the existing operations of the respective firm. Torokoff (2006) also asserted that intellectual capital mainly includes the organizational learning and the effective feedbacks of its stakeholders. In respect of the organizational learning process, Mets (2002) depicted that it is a cognitive mapping, wherein learning originates from the organizational external as well as internal environment. In this context, Mets (2002) asserted about a basic framework of organizational development through effective feedback. From this framework, it is evidently illustrated that the feedback system plays a significant part in the organizational developm ent as well as both are having a mutual impact on each other. In respect of the mutual impact, Georgievska (2007) stated that communication is a return message of certain service or products. There are always two parties involved in the feedback system; feedback provider and taker. One is providing the service or product for the feedback and the other one is offering feedback about it. This feedback is most effective one for the service providers because through the feedback system they are able to gain a comprehensive idea about their provided service or product. Oja (2010) supported this fact and commented that it is easier to rectify the gaps within the provided services or products through the feedback system. According to Hearst Newspapers, LLC (2016), feedback also helps in launching new products or services within market. Simultaneously, for expanding the business or enhancing the existing customer relationship along with creating new customer base, a large number of corporate firms utilize several marketing research surveys to collect the information about the customers. At times, these information collecting surveys include customer feedback as well to know their perceptions. According to Torokoff (2006), feedback is a regular development process for the modern corporate firms, through which it is capable to gain an in-depth understanding about a newly launched or existing product or service in terms of whether it is ready for the marketplace or not. Customer feedback is one the best sources through which corporate firms are able to know about the customers requirements and tastes. Specifically, when a corporate firm introduces new products in the market then the customers feedback is the most important factor for profitable business. With the assistance of customers feedback, the modern corporate firms are able to gain knowledge regarding the features, flavors, and styles i.e. the requirements and expectation of the customer. In respect of this context, Hearst Newspapers, LLC (2016) reported that it is the only one process through which corporate firms can understand the products or service differentiation from the competitors products or services and identify the gaps. The modern firms distinguish their loyal customer base from the feedback reaction and take significant proceedings to attract new customers as well. Moreover, based on the customers feedback, the modern corporate firms can gain competitive advantages in the respective marketplace. From the perspective of functional approach, it has been emphasized that customers feedback is the manifest of the behaviors of firms employees towards the customers, which also determines the customers satisfaction level from the employees services (Hearst Newspapers, LLC, 2016). Besides the internal manifestation scenario, it also assists to identify the market trends along with technological advancements. Customers feedback program is one of the potential ways through which respective firms can get an idea about competitors technological improvements as well as significant threats in terms of price and quality from marketplace. If the customers feedback indicates that they prefer other firms as compared to the firm which is conducting the survey due to better quality, price or technological support, the respective firm should make necessary changes i n order to transform their overall operations for gaining utmost customer satisfaction (Hearst Newspapers, LLC, 2016). Based on these literature supports regarding the importance of customers feedback, as a marketing manager it can be determined that to launch new products or services from lifestyle caf, it needs to seek feedbacks from the customers. Moreover, to ascertain potential customers feedback, the caf first requires developing strong customer relationship. In order to augment the customer relationship, certain steps are required to be followed that are illustrated below. IDIC Model and Customer Relationship Customer relationship management is one of the core business strategies, which integrates the functions and generates values for the organization and the customers too. There are several models that can assist the business firm to collaborate with the customers for building an operational distinction, product and service leadership along with customer familiarity (Parvatiyar Sheth, 2001). In order to set up the relationship with the customers, on behalf of the managerial position, it requires to be accomplished through the IDIC model implementation. The model includes four basic steps, which are described in the following section: Figure: IDIC Model Source: (Marketing Information, 2015) Identify the Customers Individually: Before creating the relationship, it is essential to know each other. In respect of this statement, the lifestyle caf will be required to identify its actual customers and gain a comprehensive knowledge regarding them. For generating such database of existing customers, the caf require to have an information system wherein it segregates all the data about customers, their individual tastes and their visiting time span in the caf. Differentiate Each Customer from Another: Every customer is valuable for the business purposes and they have different tastes and preferences as well. If the business can value its customers preferences and behaviors, the ultimate result will be in favor the firm. Conversely, a negative turn of events can also happen due to disregarding customers behaviors. The lifestyle caf will segregate its customers in two significant bases such as value and requirements. Though the caf gives more value to its customers, the customers are also generating value for them. Furthermore, differentiation in customers needs makes the business profitable for caf, because serving as per the tastes of individual customer makes them satisfied and loyal as well. Interact with the Customers: Relationship always depends on the communication between two parties, who are mutually ready to interact with each other along with sharing the individual conceptions. Moreover, it would facilitate the set forth a clear blueprint regarding the firms understanding about the customers expectations and their relationship with the product or service, through which the caf will be able to find out the key success drivers of its continuous profitability. For the caf, interaction must be cost effective but intense in order to reciprocate the market needs. Customize for Customers: Customization is the word that has the power to increase the business profitability of an organization. Through understanding the requirements of every customer, if the firm presents products and services as per their choices, it will be able to add value to the customers behaviors along with the firms presentation as well. Customization is required to be adopted for the lifestyle cafs future expansion and franchise program because it will reflect an in-depth interaction with the customers and will enable it to transform and channelize its operations according to their values and requirements along with enhancing the chance of profitable business (Sphan, 2015; Gordon, 2013). Based on the IDIC model, it is quite apparent that the lifestyle caf will need to implement certain steps for gaining utmost customer relationship and comprehensive interaction. For further business expansion process, it is the most crucial factor for the caf. At the time of arranging the steps, the caf will need to concentrate on each of the steps to eliminate the gaps and evade the failure. Plans for Understanding the Customers Behaviors Customers behaviors are typically replicated through their buying behaviors. Customers buying behaviors are often influenced by the initial impressions that they derive of a particular product of service. At times, this influence comes from their peers groups via the internet. Now, people are connected with each other through the internet, hence it is the best way to reach the customers and develop knowledge about them. Here are certain possible processes through which the lifestyle caf will able to reach its customers accordingly. Search Engine Optimization: It is one of the internet marketing strategies that can be utilized for generating connection with the customers for future business prospects and sustainability. There are several search engines present in existing web networking process such as Google and Yahoo among others. Through these networking sites, the lifestyle caf can easily connect with the customers. The caf can also open its own official website for its customers. It will be a great opportunity for the caf to attract the customers and maintain the growth (Lee, 2015; Spais, 2010). Social Media Traffic: Social media is recognized as one of the most prominent networking platforms in the modern day purview. Almost every person nowadays has their social media accounts in several social networking sites such as Twitter, Facebook, and LinkedIn among others. Hence, it is one of best ways to directly connect with the customers and collect their feedbacks. Besides, the caf can also operate through a Facebook page or a Twitter and LinkedIn account for connecting with a large number of people through sharing information, pictures and updates. This process will be able to deliver huge prospects for the lifestyle caf to get the attention of new customers and build relations with them (Management Association Information Resources 2015). Content Marketing: It is an enhanced marketing strategy through which corporate firms are able to present a specific content to its customers. These content pages are enriched with information and adequate relevancy to attract the target customers. Moreover, this process is also applicable as the customer retention strategy. From the perspective of a marketing manager, it can be inferred that content marketing is a trendy process in the present global marketplace. If the lifestyle caf needs to attract a large number of customers at a time through the internet, content marketing can be one of the best ways (Brito, 2013; Close, 2012). Summary The essay has highlighted an important factor of marketing scenario namely consumer relationship and behavior. In order to get the relevant knowledge regarding the stated fact, a literature survey on the importance of customer feedback and relationship with the corporate firm has been conducted. Accordingly, a comprehensive idea to lifestyle caf for creating potential relationships with customers has been provided. References Brito, M 2013, Your Brand, The Next Media Company: How a Social Business Strategy Enables Better Content, Smarter Marketing, and Deeper Customer Relationships, Que Publishing, US. Close, A 2012, Online Consumer Behavior: Theory and Research in Social Media, Advertising, and E-tail, Routledge, UK. Georgievska, A 2007, The feedback, Comunication, The Importance of Feedback and A Study Research on the Rating of the Two Courses Advanced Fife Support and Emotional Management in the Areas of Emergency, pp. 43-55. Gordon, I 2013, Managing the New Customer Relationship: Strategies to Engage the Social Customer and Build Lasting Value, John Wiley Sons, US. Hearst Newspapers, LLC 2016, Business Technology Customer Support, Viewed 9 July 2016, Lee, A. Y 2015, Handbook of Culture and Consumer Behavior, Oxford University Press, UK. Lee, E 2013, The Consumers, Impacts of Social Media on Consumer Behavior. Decision Making Process, pp. 11-23. Management Association Information Resources 2015, Social Media and Networking: Concepts, Methodologies, Tools, and Applications: Concepts, Methodologies, Tools, and Applications, IGI Global, US. Marketing Information 2015, Models Of CRM (Customer Relationship Management), Mets, T 2002. Learning-based strategic development framework: implementation in Estonian company, Management of Organizations: Systematic Research, pp. 83-93. Oja, P 2010, Significance of Customer Feedback, An Analysis of Customer Feedback Data, 2-40. Parvatiyar, A Sheth, J, N 2001, Customer relationship management: emerging practice, process, and discipline, Journal of Economic and Social Research, vol. 3, iss. 2, pp. 1-34. Rani, P 2014, Factors influencing consumer behavior, Int.J.Curr.Res.Aca.Rev. vol. 2, iss. 9, pp. 52-61. Spais, G S 2010, Search Engine Optimization (SEO) as a dynamic online promotion technique: the implications of activity theory for promotion managers, Innovative Marketing, vol. 6, iss. 1, pp. 7-15. Sphan, N 2015, Customer Relationship Management Strategies in the Digital Era, IGI Global, US. Torokoff, M 2006, Introduction, The Importance of Feedback in the Organisations Development Process, pp. 1-12.