Friday, January 24, 2020

Exploring Morality in Measure for Measure Essay -- Measure for Measure

Exploring Morality in Measure for Measure   Ã‚   In Measure for Measure, Shakespeare is able to examine the concept of right and wrong through the characters of Mistress Overdone and Mariana. Throughout the play, by using characters that most people would find morally reprehensible, Shakespeare is able to give the audience a different view of these people and, hopefully, show his audience that people aren't always what they appear to be. Through the character of Mistress Overdone, Shakespeare is able to bring a jovial side to the oldest job known to man -- prostitution. Through the character of Mariana, Shakespeare allows the audience to decide if two wrongs do, in fact, make a right. While the concepts of right and wrong are given a twist in this play, Shakespeare, in the end, allows his audience to decide for themselves what is right and what is wrong. At the beginning of act one, scene two, Shakespeare uses the bawd, Mistress Overdone, to convey to the audience that Angelo is enforcing the fornication laws of Vienna. While this seems like the more moral, and more right, action to take, Shakespeare puts a twist on what the audience would normally view as a clear cut case. In lines 79 - 81, Mistress Overdone explains to the audience the effects of these new policies. So, while it seems right to shut these businesses down, the audience now is shown that prostitution is this lady's livelihood and her way for making money. However, who is to decide if the "moral benefits" of eliminating the public display of prostitution is in the best interest of the city? By posing this question, Shakespeare forces the audience to consider both sides of the issue to, in the end, make some decision.    In England, during that time... ... While, of course, this play does not say that Shakespeare was in favor of prostitution, it does force his audience to see these people as individuals and not objects. Likewise, by introducing the description of Mariana, Shakespeare challenges the idea of something always being right or wrong. Through the two characters, Shakespeare is able to have his audience challenge their ideas of right and wrong and force them into justifying these decisions. Sources Cited and Consulted Knight, G. Wilson. Shakespeare and Morality. London: Routledge & Kegan Paul, 1967. Leech, Clifford. "The 'Meaning' of Measure for Measure." Shakespeare Survey 3 (1950): 69-71. Shakespeare, William. Measure for Measure. The Arden Shakespeare. Ed. J.W. Lever. London: Routledge, 1995. Thomas, Vivian.   The Moral Universe of Shakespeare's Problem Plays.   London: Croom Helm, 1987.

Wednesday, January 15, 2020

Early Detection Of Perinatal Asphyxia Health And Social Care Essay

Meconium staining amnionic fluid ( MSAF ) is associated with tonss of inauspicious result and has long been considered to be a bad forecaster of foetal result. Meconium aspiration syndrome ( MAS ) is often associated with foetal hypoxia which promotes meconium discharge in amnionic fluid, panting and aspiration of MSAF, and besides alterations in the vascular muscular media of pneumonic arterias of the foetus. About 30 to 50 % of MAS required mechanical airing or uninterrupted positive air passage force per unit area ( CPAP ) .Aim: –This retrospective survey was undertaken to happen out immediate foetal result in meconium stained spirits in relation to perinatal asphyxia.MATERIAL AND METHOD: –It was a retrospective survey. We reviewed the medical records of all Neonates admitted to neonatal intensive attention unit ( NICU ) between 1st September 2011 to 31st July 2012 at NICU of Manipal Teaching Hospital, Nepal. Gestational age of babes & lt ; 37weeks are coded as prete rm, & gt ; 42weeks as station term and 37 to 42 hebdomads as term. Chi square trial and Binary logistic arrested development were used for the analysis. We calculated odds ratios ( OR ) and their 95 % assurance intervals ( 95 % CI ) . P-valueConsequence: –Out of 399 entire admittances in NICU, male ( 62.4 % ) showed preponderance as compared to female ( 37.6 % ) , among which 6.8 % were instances of MAS, doing female ( 10.7 % ) more prone compared to male ( 4.4 % ) while perinatal asphyxia came out to be 11.5 % , doing male ( 12 % ) more prone to female ( 10.7 % ) . Post term [ odds ratio=3.50 ( CI: 0.39, 31.42 ) ] and term [ odds ratio=2.58 ( CI: 1.16, 5.75 ) ] babes were holding more hazard of developing MAS compared to preterm ( P & lt ; 0.01 ) . Post term [ odds ratio=9.15 ( CI: 1.91, 43.75 ) ] and term [ odds ratio=2.67 ( CI: 1.41, 5.08 ) ] babes were holding more hazard of developing perinatal asphyxia compared to preterm ( P & lt ; 0.01 ) . MAS babe is holding 6.62 ( C I: 2.85, 15.38 ) times hazard of developing perinatal asphyxia ( p & lt ; 0.01 ) .Decision: –MAS is a perinatal job which requires a full co-operation and coordination of Obstetrician and Pediatrician if it is to be avoided. Prompt and efficient bringing room direction can minimise the sequeale of aspirated meconium and diminish the opportunity of perinatal asphyxia.KEYWORDS: –Meconium aspiration syndrome ( MAS ) , Perinatal asphyxia, NICU, PaediatricBackground: –In the early 2000, the prevalence of MAS ranged from 0.20 % to 0.54 % in the general population [ 2-4 ] and from 1.0 % to 6.8 % in babies born through MSAF [ 1, 2-4 ] . A reappraisal of 10 studies published from 1990 to 1998 showed a combined incidence of 13.1 % for MSAF, 0.52 % of MAS, 4.2 % of MAS among MSAF, and 49.7 % of MAS necessitating ventilatory support with a 4.6 % mortality rate [ 3 ] . However, big population-based surveies were scarce and suggested a lower incidence of MAS: the national US birth cohort survey conducted on the footing of singleton term non-Hispanic white unrecorded births ( 1995-2001 ) showed that the rate of MAS markedly increased with gestational age ( GA ) , that is, from 0.10 % at 37 hebdomads gestation ( WG ) to 0.22 and 0.31 % at 40 and 41 WG, severally [ 5 ] . The prevalence of MAS could be extrapolated to 0.18 % in this population of term babies. In Australia, the rate of MAS necessitating mechanical airing in flat III units ranged between 0.024 to 0.046 % at 36-40 WG and so increased to 0.080 % at 41 WG and 0.14 % at 42 WG [ 6 ] . In France, the prevalence of automatically ventilated MAS was estimated to 0.043 % by a retrospective national study among newborns born in 2000-2001 [ 7 ] . Meconium-stained amnionic fluid occurs in about 13 % of unrecorded births. Meconium aspiration syndrome ( MAS ) occurs in 5 to 10 % of babies born through meconium-stained amnionic fluid. When MAS occurs, there is an addition in neonatal mortality and morbidity. Great advancement has been made in the betterment of endurance of babies with MAS. Great advancement in direction has been made since first description of the pathophysiology and hapless result of babies with MAS in 1975. [ 8 ] These include improved intrapartum and post-delivery direction of MAS. Although there is a important lessening in the happening of MAS and associated mortality in developed states MAS remains a major job in developing states. Meconium, the faecal stuff that accumulates in the fetal colon throughout gestation, is a term derived from the Greek mekoni, intending poppy juice or opium. It is a unfertile, thick, black-green, odourless stuff foremost observed in the foetal bowel during the 3rd month of gestation. Meconium consequences from the accretion of dust, including desquamated cells from the bowel and tegument, GI mucin, lanugo hair, fatty stuff from the vernix caseosa, amnionic fluid and enteric secernments. The black-green colour consequences from bile pigments. [ 9, 10 ] Most babies have their first intestine motion after birth ( within the first 24 to 48 hour after birth ) . Occasionally a foetus can go through meconium in uteri. Aspiration of meconium and amnionic fluid can go on during any point of the labour and bringing. The foetus could draw out this mixture of fluids while they are still in the womb, coming through the birth canal, or when they take their first breathe after birth. This is refer red to as Meconium Aspiration Syndrome ( MAS ) . MAS is an of import cause of respiratory hurt in the term neonate, is a serious status with high morbidity and mortality. [ 11,12 ] The pathophysiology is complex and non good defined, including airway obstructor, pneumonic high blood pressure, epithelial hurt, surfactant inactivation, and redness. [ 11,13 ] Fetal asphyxia [ 14 ] and infection are suggested to be chief causative agents. [ 15,16 ] Meconium produces inflammatory responses in both carnal theoretical accounts and neonates with MAS. [ 17 ] After intratracheal instillment of meconium in animate beings, there is an intense pneumonic inflammatory reaction with inflow of polymorphonuclear leucocytes, monocytes/macrophages, and T cells within a few hours. The production of proinflammatory cytokines further propagates parenchymal lung cell hurt, [ 18,19 ] and apoptotic epithelial cells are present in meconium containing lungs. [ 20,21 ] MAS is a disease of the term and near-term baby that is associated with considerable respiratory morbidity. The disease is characterized by early oncoming of respiratory hurt in a meconium-stained baby, with hapless lung conformity and hypoxemia clinically and patchy opacification and hyperinflation radiographically. [ 22, 23 ] At least one tierce of babies with MAS require cannulation and mechanical airing, [ 24, 25 ] and newer neonatal therapies, such as high-frequency airing ( HFV ) , inhaled azotic oxide ( iNO ) , and surfactant disposal are frequently brought into drama. [ 26, 27 ] In the past few decennaries, there seems to hold been a decrease in the incidence of MAS in many centres, at least in the developed universe. [ 25, 28, 29 ] The evident decrease in the hazard of MAS has been attributed to better obstetric patterns, in peculiar, turning away of postmaturity and expeditious bringing where fetal hurt has been noted. [ 28 ]Aim:This retrospective survey was undertaken to happen out immediate foetal result in meconium stained spirits in relation to perinatal asphyxia.MATERIALS AND METHODS: –Study design and the participants:It was a infirmary based retrospective experimental survey conducted in the Department of Paediatrics, Manipal College of Medical Sciences ( MCOMS ) , Kathmandu University. Manipal learning infirmary ( MTH ) is a third attention infirmary in pokhara metropolis of Nepal and it is a good facilitated and equipped infirmary for patients with neonatal intensive attention unit ( NICU ) . It was chosen for the survey because Manipal lea rning infirmary is a third attention 825 bedded infirmary and it was expected that most of the patients will come to this infirmary from Western Nepal.DATA COLLECTION: –This survey was carried out from 1ST SEPTEMBER 2011to 31st JULY, 2012. The survey population included patients admitted in Pediatrics NICU from different parts of Pokhara, Nepal. After obtaining the permission from the caput of the section, information was collected from the medical record section of the patient from NICU. The variable collected were Age, sex, weight, manner of bringing and gestational age. Sum of 399 instances were included in the survey holding both meconium aspiration syndrome, perinatal asphyxia and other neonatal infections.INCLUSION CRITERIA:Gestational age of babes & lt ; 37weeks are coded as preterm, & gt ; 42weeks as station term and 37 to 42 hebdomads as term.SAMPLE SIZE CALCULATION: To be added subsequentlyResult Variables:To happen out immediate foetal result in meconium stained sp irits in relation to perinatal asphyxia.Explanatory Variables:Factors at single degree are gestational age and sex.ETHICAL COMMITTEE APPROVAL:Predating the survey, blessing for the survey was obtained from the institutional research ethical commission.DATA MANAGEMENT AND STATISTICAL ANALYSIS:Analysis was done utilizing descriptive statistics and proving of hypothesis. The information was analyzed utilizing Excel 2003, R 2.8.0, Statistical Package for the Social Sciences ( SPSS ) for Windows Version 16.0 ( SPSS Inc ; Chicago, IL, USA ) and the EPI Info 3.5.1 Windows Version. A p-value of & lt ; 0.05 ( two-tailed ) was used to set up statistical significance. [ 30, 31 ]Consequence: –Table 1: Cross tabular matter between Socio demographic factors and meconium aspiration syndrome: Variables MECONIUM ASPIRATION SYNDROME p-VALUE Yes NO Entire Sexual activity Male 11 ( 4.4 % ) 238 ( 95.6 % ) 249 0.016 Female 16 ( 10.7 % ) 134 ( 89.3 % ) 150 Gestational age 1 ( & lt ; 37 hebdomads ) 12 ( 4.5 % ) 252 ( 95.5 % ) 264 0.001 2 ( 37-42 hebdomads ) 14 ( 10.9 % ) 114 ( 89.1 % ) 128 3 ( & lt ; 42 hebdomads ) 1 ( 14.3 % ) 6 ( 85.7 % ) 7 Table 1depicts: female ( 10.7 % ) more prone compared to male ( 4.4 % ) . Post term [ odds ratio=3.50 ( CI: 0.39, 31.42 ) ] and term [ odds ratio=2.58 ( CI: 1.16, 5.75 ) ] babes were holding more hazard of developing MAS compared to preterm ( P & lt ; 0.01 ) . from the above statistics it ‘s really clear the female in our survey are doing an dominant portion as compared to do in meconium aspiration syndrome. Along with this, we can do out that station and term newborns are holding larger hazard of developing meconium aspiration syndrome. Table 2: shows relationship of perinatal asphyxia with Socio demographic factors and meconium aspiration syndrome: Variables PERINATAL ASPHYXIA p-VALUE Yes NO Sum Sexual activity Male 30 ( 12.0 % ) 219 ( 88.0 % ) 249 0.676 Female 16 ( 10.7 % ) 134 ( 89.3 % ) 150 Gestational age 1 ( & lt ; 37 hebdomads ) 20 ( 7.6 % ) 244 ( 92.4 % ) 264 0.001 2 ( 37-42 hebdomads ) 23 ( 18.0 % ) 105 ( 82.0 % ) 128 3 ( & gt ; 42 hebdomads ) 3 ( 42.9 % ) 4 ( 57.1 % ) 7 Meconium aspiration syndrome Yes 11 ( 40.7 % ) 16 ( 59.3 % ) 27 0.0001 NO 35 ( 9.4 % ) 337 ( 90.6 % ) 372 Table 2: shows Perinatal asphyxia came out to be 11.5 % , doing male ( 12 % ) more prone to female ( 10.7 % ) . Post term [ odds ratio=9.15 ( CI: 1.91, 43.75 ) ] and term [ odds ratio=2.67 ( CI: 1.41, 5.08 ) ] babes were holding more hazard of developing perinatal asphyxia compared to preterm ( P & lt ; 0.01 ) . MAS babe is holding 6.62 ( CI: 2.85, 15.38 ) times hazard of developing perinatal asphyxia ( p & lt ; 0.01 ) . From the tabular array we formulated that male are holding more hazard of developing perinatal asphyxia as compared to females.post term babes and term are holding greater hazard holding asphyxia. Therefore from the above consequence we can do out that there is strong relationship between MAS and perinatal asphyxia i.e, meconium aspiration newborns are prone for developing perinatal asphyxia.Discussion:The increased hazard for pneumonic morbidity and mortality among babies born through meconium stained amnionic fluid is good recognized. Though many studies have noted a clinical spectrum of pneumonic disfunction such as mild tachypnea and terrible pneumonic inadequacy, this survey confirms that meconium stained amnionic fluid is associated with an increased hazard for pneumonic disfunction. The hazard for pneumonic disease, nevertheless, is non manifested every bit in all babies with meconium staining. As it was shown by several old surveies, the greatest hazard for pneumonic disease occurred among babies with associated marks of possible intrapartum foetal via media. Despite airway direction following recommended guidelines, these babies continued to attest a high rate of pneu monic morbidity [ 32-35 ] . The recommendation by the American Academy of Pediatrics in 1983 did non propose that all babies born through thick meconium stained amnionic fluid needfully necessitate tracheal suction. The 2nd edition of these Guidelines noted the absence of extra surveies to back up or rebut the pattern of tracheal suction for meconium stained amnionic fluid and recommended that â€Å" in the presence of midst or particulate meconium, the voice box should be visualized, and if meconium is present, the clinician should cannulate the windpipe and use suction † . The most recent edition of the Guidelines published in 1992, is downwind dogmatic. It is recommended that down babies with meconium in the hypopharynx have tracheal suction. However, it is further noted that cord visual image and tracheal suction in the vigorous baby with thick meconium may non be necessary. None of the Guidelines have recommended tracheal suction of babies born through thin meconium stained amnionic fluid [ 32, 33 ] .MECONIUM ASPIRATION SYNDROME WITH GESTATIONAL AGE:The overall incidence of MAS and terrible MAS additions with GA as reported in recent population-based surveies [ 36, 37 ] . The overall rates of MAS in the USA [ 36 ] and Burgundy are similar: 1.0 versus 1.1 per 1000 unrecorded births ( aˆÂ ° ) at 37 hebdomads ; 1.1 versus 1.0aˆÂ ° at 38weeks ; 1.5 versus 1.1aˆÂ ° at 39weeks ; 2.2 versus 2.4aˆÂ ° at 40 hebdomads, and 3.1 versus 2.6aˆÂ ° at 41weeks. Furthermore the incidence of terrible MAS recorded in Australia [ 37 ] at 41weeks ( 0.80aˆÂ ° ) is close to the 0.67aˆÂ ° observed at 39-41weeks in our series. Some surveies suggested that bar of post term gestation prevents terrible MAS [ 38 ] .Our retrospective observational survey showed that station term [ odds ratio=3.50 ( CI: 0.39, 31.42 ) ] and term [ odds ratio=2.58 ( CI: 1.16, 5.75 ) ] babes were holding more hazard of developing MAS compared to preterm ( P & lt ; 0.01 ) .MECONIUM ASPIRATION S YNDROME WITH SEX:In our survey, male ( 62.4 % ) showed preponderance as compared to female ( 37.6 % ) , among which ( 6.8 % ) were instances of MAS, doing female ( 10.7 % ) more prone compared to male ( 4.4 % ) .PERINATAL ASPHYXIA WITH GESTATIONAL AGE:For more than two decennaries, post term gestation has been defined as a gestation that persists beyond 294 yearss or 42 hebdomads of gestation [ 39 ] . The most common ground to name it is inaccurate gestation dating. Last catamenial period with regular catamenial rhythm is the best physiological landmark to measure the gestational age in gestation. However, a few adult females are certain of their day of the months and frequently cause anxiousness when they come with postdates [ 40 ] . The cause of post-term gestation is unknown. A Post term gestations are associated with higher hazard of perinatal mortality and morbidity including meconium aspiration syndrome, A asphyxia neonatrum respiratory hurt syndrome, icterus neonatrum, sepsis neonatorum, oligohydramnios, macrosomia, foetal birth hurt, foetal hurt and increased rate of cesarean subdivision [ 41 ] . Our survey showed that station term [ odds ratio=9.15 ( CI: 1.91, 43.75 ) ] and term [ odds ratio=2.67 ( CI: 1.41, 5.08 ) ] babes were holding more hazard of developing perinatal asphyxia compared to preterm ( P & lt ; 0.01 ) .PERINATAL ASPHYXIA WITH SEX:In legion surveies, asphyxia was more prevailing in male than female [ 42, 43, 44 ] . In our survey, male preponderance is seen. Out of 399 instances perinatal asphyxia came out to be 11.5 % , doing male ( 12 % ) more prone to female ( 10.7 % ) .Decision:The present survey showed a good correlativity of prevalence of meconium aspiration syndrome and perinatal asphyxia both in term and post term babes doing perinatal asphyxia more common in meconium aspiration syndrome. There is demand of a big randomized controlled test to analyze the functions of intrapartum nasopharyngeal and immediate postpartum tracheal suctioning in newborns born through MSAF in developing state scene.Conflict OF INTERESTS:The writers do non hold any struggle of involvement originating from the survey.RecognitionsDr. K.S RAO, Professor and Head of Department, Pediatrics, Manipal College of Medical Sciences, Pokhara ( Nepal ) for allowing the writers to utilize the infirmary paperss during the survey.What this survey adds:By agencies of this survey we can turn out that perinatal asphyxia is more prevailing in meconium aspiration syndrome.

Tuesday, January 7, 2020

Sexuality As A Means Of Identifying Self Essay - 1703 Words

Sexuality as a means of identifying self: Das’ poetry is â€Å"self centered and unabashedly sexual although the sexuality seems more fascinating to the poet because it is hers than because it is sexual.† Kumar remarks: Several verse of her communicates the tediousness and repetitiveness of sexual category inside as well as exterior wedding ceremony. Their sex is a surprised desire, an underprivileged replacement for authentic sex. The existence of Kamala’s qualities can be well thought-out a romance of her testing through sex. She seems to be winning every come across as a replacement for the genuine knowledge about the factual sex. [80] Her poetry has often been considered â€Å"as a gimmick in sex or striptease in words, an over exposer of body or ‘snippets of trivia.’† 7 She feels it and gives better expression to her joys and longings as a woman. Satchidanandan considers it as â€Å"‘female sexuality’ which truthfully expresses a woman’s ‘swelling limbs’, ‘growing hairs’, ‘the pitiful weight of breasts and womb’. It is the ‘female physicality–the sad body of the woman which encounters with masculine violence that belongs to the same frightening world of trees in the storm and the mutterings of the funeral pyre.† (Satchidanandan â€Å"Transcending the Body†, as â€Å"Introduction† to Only the Soul Knows How to Sing.10) MacKinnon opines: â€Å"the social meaning of sex (gender) is created by sexual objectification of women whereby women are viewed and treated as objects for satisfying men sShow MoreRela tedSexuality And Gender Identification : A Perspective Point Of View855 Words   |  4 PagesThis analysis the focal point regarding the readings focuses around sexuality and gender identification. First, in Chapter twenty-two, Kaja Silverman clarifies both Freud and Lacan’s theories from a perspective point of view. 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Monday, December 30, 2019

Biography of Nellie Bly, Investigative Journalist

The reporter known as Nellie Bly was born Elizabeth Jane Cochran in Cochrans Mills, Pennsylvania, where her father was a mill owner and county judge. Her mother was from a wealthy Pittsburgh family. Pink, as she was known in childhood, was the youngest of 13 (or 15, according to other sources) of her fathers children from both of his marriages; Pink competed to keep up with her five older brothers. Fast Facts: Nellie Bly Also Known As: Elizabeth Jane Cochran (birth name), Elizabeth Cochrane (a spelling she adopted), Elizabeth Cochrane Seaman (married name), Elizabeth Seaman, Nelly Bly, Pink Cochran (childhood nickname)Occupation: journalist, writerKnown For: investigative reporting and sensationalist journalism, especially her commitment to an insane asylum and her around-the-world stuntBorn: May 5, 1864 in Cochrans Mills, PennsylvaniaParents: Mary Jane Kennedy Cummings and Michael CochranDied: January 27, 1922 in New YorkSpouse: Robert Livingston Seaman (married April 5, 1895, when he was 70; millionaire industrialist)Children: none from her marriage, but adopted a child when she was 57Education: Indiana State Normal School, Indiana, Pennsylvania Blys father died when she was only six. Her fathers money was divided among the children, leaving little for Nellie Bly and her mother to live on. Her mother remarried, but her new husband, John Jackson Ford, was violent and abusive, and in 1878 she filed for divorce. The divorce was final in June of 1879. Nellie Bly briefly attended college at Indiana State Normal School, intending to prepare to be a teacher, but funds ran out in the middle of her first semester there, and she left. She had discovered both a talent and interest in writing and talked her mother into moving to Pittsburgh to look for work in that field. But she did not find anything, and the family was forced to live in slum conditions. Finding Her First Reporting Job With her already-clear experience with the necessity of a woman working and the difficulty of finding work, she read an article in the Pittsburgh Dispatch called What Girls Are Good For, which dismissed the qualifications of women workers. She wrote an angry letter to the editor as a response, signing it Lonely Orphan Girl—and the editor thought enough of her writing to offer her an opportunity to write for the paper. She wrote her first piece for the newspaper, on the status of working women in Pittsburgh, under the name Lonely Orphan Girl. When she was writing her second piece, on divorce, either she or her editor (the stories told differ) decided she needed a more appropriate pseudonym, and Nellie Bly became her nom de plume. The name was taken from the then-popular Stephen Foster tune, Nelly Bly. When Nellie Bly wrote human interest pieces exposing the conditions of poverty and discrimination in Pittsburgh, local leaders pressured her editor, George Madden, and he reassigned her to cover fashion and society—more typical womens interest articles. But those didnt hold Nellie Blys interest. Mexico Nellie Bly arranged to travel to Mexico as a reporter. She took her mother along as a chaperone, but her mother soon returned, leaving her daughter to travel unchaperoned, unusual for that time, and somewhat scandalous. Nellie Bly wrote about Mexican life, including its food and culture—but also about its poverty and the corruption of its officials. She was expelled from the country and returned to Pittsburgh, where she began reporting for the Dispatch again. She published her Mexican writings as a book, Six Months in Mexico, in 1888. But she was soon bored with that work, and quit, leaving a note for her editor, Im off for New York. Look out for me. Bly. Off for New York In New York, Nellie Bly found it difficult to find work as a newspaper reporter because she was a woman. She did some freelance writing for the Pittsburgh paper, including an article about her difficulty in finding work as a reporter. In 1887, Joseph Pulitzer of the New York World hired her, seeing her as fitting into his campaign to expose all fraud and sham, fight all public evil and abuses—part of the reformist trend in newspapers of that time. Ten Days in a Mad House For her first story, Nellie Bly had herself committed as insane. Using the name Nellie Brown, and pretending to be Spanish-speaking, she was first sent to Bellevue and then, on September 25, 1887, admitted to Blackwells Island Madhouse. After ten days, lawyers from the newspaper were able to get her released as planned. She wrote of her own experience where doctors, with little evidence, pronounced her insane and of other women who were probably just as sane as she was, but who didnt speak good English or were thought to be unfaithful. She wrote of the horrible food and living conditions, and the generally poor care. The articles were published in October 1887 and were widely reprinted across the country, making her famous. Her writings on her asylum experience were published in 1887 as Ten Days in a Mad House. She proposed a number of reforms—and, after a grand jury investigation, many of those reforms were adopted. More Investigative Reporting This was followed with investigations and exposà ©s on sweatshops, baby-buying, jails, and corruption in the legislature. She interviewed Belva Lockwood, the Woman Suffrage Party presidential candidate, and Buffalo Bill, as well as the wives of three presidents (Grant, Garfield, and Polk). She wrote about the Oneida Community, an account republished in book form. The World cover story about Nellie Bly. Bettmann  /  Getty Images Around the World Her most famous stunt, though, was her competition with the fictional Around the World in 80 Days trip of Jules Vernes character, Phileas Fogg, an idea proposed by G. W. Turner. She left from New York to sail to Europe on November 14, 1889, taking only two dresses and one bag. Traveling by many means including boat, train, horse, and rickshaw, she made it back in 72 days, 6 hours, 11 minutes and 14 seconds. The last leg of the trip, from San Francisco to New York, was via a special train provided by the newspaper. The World published daily reports of her progress and held a contest to guess her return time, with over a million entries. In 1890, she published about her adventure in Nellie Blys Book: Around the World in Seventy-Two Days. She went on a lecture tour, including a trip to Amiens, France, where she interviewed Jules Verne. The Famous Female Reporter She was, now, the most famous female reporter of her time. She quit her job, writing serial fiction for three years for another New York publication—fiction that is far from memorable. In 1893 she returned to the World. She covered the Pullman strike, with her coverage having the unusual distinction of paying attention to the conditions of the strikers lives. She interviewed Eugene Debs and Emma Goldman. Chicago, Marriage In 1895, she left New York for a job in Chicago with the Times-Herald. She only worked there for six weeks. She met Brooklyn millionaire and industrialist Robert Seaman, who was 70 to her 31 (she claimed she was 28). In just two weeks, married him. The marriage had a rocky start. His heirs—and a previous common-law wife or mistress—were opposed to the match. She went off to cover a womens suffrage convention and interview Susan B. Anthony; Seaman had her followed, but she had the man he hired arrested and then published an article about being a good husband. She wrote an article in 1896 on why women should fight in the Spanish American War—and that was the last article she wrote until 1912. Sheet music cover image of the song Nellie Blys Tour Around the World Triumphal March and Galop, with original authorship notes reading By Chas D Blake, United States, 1890. Sheridan Libraries/Levy/Gado/Getty Images Nellie Bly, Businesswoman Nellie Bly—now Elizabeth Seaman—and her husband settled down, and she took an interest in his business. He died in 1904, and she took over the Ironclad Manufacturing Co. which made enameled ironware. She expanded the American Steel Barrel Co. with a barrel that she claimed to have invented, promoting it to increase the success appreciably of her late husbands business interests. She changed the method of payment of workers from piecework to a salary and even provided recreation centers for them. Unfortunately, a few of the long term employees were caught cheating the company, and a long legal battle ensued, ending in bankruptcy, and employees sued her. Impoverished, she began writing for the New York Evening Journal. In 1914, to avoid a warrant for obstructing justice, she fled to Vienna, Austria—just as World War I was breaking out. Vienna In Vienna, Nellie Bly was able to watch World War I unfolding. She sent a few articles to the Evening Journal. She visited the battlefields, even trying out the trenches, and promoted U.S. aid and involvement to save Austria from Bolsheviks. Back to New York In 1919, she returned to New York, where she successfully sued her mother and brother for the return of her house and what remained of the business she had inherited from her husband. She returned to the New York Evening Journal, this time writing an advice column. She also worked to help place orphans into adoptive homes and adopted a child herself at age 57. Nellie Bly was still writing for the Journal when she died of heart disease and pneumonia in 1922. In a column published the day after she died, famous reporter Arthur Brisbane called her the best reporter in America. Books by Nellie Bly Ten Days in a Mad-House; or Nellie Blys Experience on Blackwells Island. Feigning Insanity in order to Reveal Asylum Horrors.... 1887.Six Months in Mexico. 1888.The Mystery in Central Park. 1889.Outline of Bible Theology! Exacted from a Letter by a Lady to the New York World of 2nd June, 1889. 1889.Nellie Blys Book: Around the World in Seventy-Two Days. 1890. Books About Nellie Bly: Jason Marks. The Story of Nellie Bly. 1951.Nina Brown Baker. Nellie Bly. 1956.Iris Noble. Nellie Bly: First Woman Reporter. 1956.Mignon Rittenhouse. The Amazing Nellie Bly. 1956.Emily Hahn. Around the World with Nellie Bly. 1959.Terry Dunnahoo. Nellie Bly: A Portrait. 1970.Charles Parlin Graves. Nellie Bly, Reporter for the World. 1971.Ann Donegan Johnson. The Value of Fairness: The Story of Nellie Bly. 1977.Tom Lisker. Nellie Bly: First Woman of the News. 1978.Kathy Lynn Emerson. Making Headlines: A Biography of Nellie Bly. 1981.Judy Carlson. Nothing Is Impossible, Said Nellie Bly. 1989.Elizabeth Ehrlich. Nellie Bly. 1989.Martha E. Kendall. Nellie Bly: Reporter for the World. 1992.Marcia Schneider. First Woman of the News. 1993.Brooke Kroeger. Nellie Bly: Daredevil, Reporter, Feminist. 1994.

Sunday, December 22, 2019

Internal Conflicts In Kate Chopins The Awakening - 823 Words

Title The story, The Awakening, is about Edna Pontellier’s internal conflict between her desire for independence and her need to remain a high-class member of society. When away on summer vacation Edna has the realization that she has control of her own life and begins to focus on her self and not what others think. During her awakening, Edna is faced with much resilience from her husband and friends and instead of becoming someone she is not, Edna Pontellier ends her own life as she sees it is her only option. The author, Kate Chopin, uses many characters to exemplify the conflicting ideals emerging in Edna; particularly Madame Ratignolle acts as a foil to Edna’s newfound persona, instead symbolizing the conservation of a traditional†¦show more content†¦Chopin uses the first hand description of Adele from Edna as a literary comparison to previous descriptions of Adele, allowing insight into Edna’s own perceptions and changing world view. In Chapter 8, Madame Ratignolle pulls Robert aside and asks him to leave Edna alone. She explains that Edna,† Is not one of us; she is not like us. She might make the unfortunate blunder of taking you seriously.† Chopin’s use of repetition in Adele’s dialogue puts emphasis on Edna’s uniqueness and labels her as an outcast. Adele sees Edna drifting further and further away from the social norms of their accustomed society and wishes to stop her before its too late. Chopin also uses this scene to foreshadow Robert’s unwillingness to commit to Edna as he brushes off Madame Ratignolle’s warning, seeing his relationship with Edna as a fling rather than being the passionate lover Edna craves. Later in the story, Madame Ratignolle visited Edna to address her recent associations with Alcee Arobin. She continues to express her concern for Edna’s reputation explaining, â€Å"†¦some one was talking of Alcee Arobin visitng you. Of course, it wouldn’t matter if Mr. Arobin had not such a dreadful reputation†¦his attentions alone are considered enough to ruin a woman’s name.† Adele places more value on Edna’s image and the potential harm to her family name, instead of inquiring on Edna’s well being. She notices Edna’s change in behavior and is more concerned with the wayShow MoreRelatedKate Chopin s Life And Feminism1281 Words   |  6 PagesKate Chopin’s Life and Works- Feminism Kate Chopin, born on February 8th, 1850, was a progressive writer in the midst of a conservative and unequal time. She exposed the unfair undertones of society in such a way that made people outrage and condemn some of her works. However, in the early 1900s, her works were examined again and people started to listen to her ideas. One of these main motifs that Chopin’s works kept bringing up were feminism and equality. In The Awakening, Edna Pontellier, a radicalRead MoreEssay about The Voice of the Sea in The Awakening871 Words   |  4 PagesThe Voice of the Sea in The Awakening  Ã‚  Ã‚        Ã‚  Ã‚  Ã‚   Many different symbols were utilized in Kate Chopins The Awakening to illustrate the underlying themes and internal conflict of the characters.   One constant and re-emerging symbol is the sea.   The voice of the sea is seductive, never ceasing, whispering, clamoring, murmuring, inviting the soul to wander for a spell in abysses of solitude; to lose itself in mazes of inward contemplation.   The voice of the sea speaks to the soul.   The touchRead MoreAnalysis Of Desiree s Baby By Kate Chopin919 Words   |  4 PagesDesiree’s Baby†: An Annotated bibliography Thesis: Kate Chopin combines the racial and social differences on the eighteen century, in which people have to face racial discrimination amongst a social empire, which brings many conflicts within diverse couples about their firstborns. Chopin, Kate Desiree’s Baby. Short Stories (print 7/14/2015). In the short story, Desiree’s Baby, written by Kate Chopin there is a about of karma and consequences that produce the drama on the literature. The storyRead MoreThe Idea Of Feminism Grew Through A Variety Of Movements,1310 Words   |  6 Pagesin his lecture, The Classical Feminist Tradition, he states that there have been several prominent waves in which modern feminist criticizes through literature. Opponents of feminism claim that women s quest for external power, as opposed to the internal power to affect other people s ethics and values, leaves a vacuum in moral training, where women held sway. Some feminists reply that the education, including the moral education, of children has never been, and should not be, seen as the exclusiveRead MoreThe Awakening By Kate Chopin1334 Words   |  6 PagesImmersion into the frame of mind of Edna Pontellier, in Kate Chopin’s The Awakening, is a fascinating experience, one with many conflicting internal and external influence s. Like a marionette, Edna acts as a slave to her perceived social constraints in the beginning of The Awakening, a poignant contrast to her emotionally fueled, self-destructive choices towards the end. In the opening chapters of Edna’s story, she is described from an external viewpoint. Readers do not especially see the interworkingRead More The Importance of Setting in The Awakening Essay2206 Words   |  9 PagesThe Importance of Setting in The Awakening  Ã‚        Ã‚  Ã‚  Ã‚  Ã‚     Ã‚   Setting is a key element in Chopins novel, The Awakening  Ã‚   To the novels main character, Edna Pontellier, house is not home. Edna was not herself when enclosed behind the walls of the Pontellier mansion. Instead, she was another person entirely-- someone she would like to forget. Similarly, Edna takes on a different identity in her vacation setting in Grand Isle, in her independent home in New Orleans, and in just about every otherRead More Kate Chopins Awakening - Edna Pontellier as Master of Her Destiny3367 Words   |  14 Pages   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In Kate Chopins The Awakening, the main character, Edna leaves her husband to find place in the world. Edna believes her new sexually independent power will make her master of her own life. But, as Martin points out, she has overestimated her strength and is still hampered by her limited ability to direct her energy and to master her emotions (22). Unfortunately, Edna has been educated too much in the traditions of society and not enough in reason and independent survival, admittingRead MoreThe Awakening By Kate Chopin1633 Words   |  7 Pages1. Title of text (underline novels/plays) author’s name The Awakening by Kate Chopin 2. Characterization Character Development (a) 1.Edna Pontellier- Edna is the main character of the novel who is married to a businessman. Edna is a dynamic character because at the beginning of the novel, she conforms to society by being the â€Å"perfect† mother and wife; however, Edna suddenly realizes that she is no longer happy with the way she was living her life and began to become independent only for herRead MoreKate Chopin s The Awakening1704 Words   |  7 Pagesintimate, and internal – and American society – the cultural, institutional, and legal – forges a conflicting war within individual souls. Kate Chopin, W.E.B. Du Bois, and Langston Hughes prompt their readers to analyze the individual costs – the emotional impacts of dominating social and cultural forces. American society, despite habitually being disguised as a detachment from individual lives, sways American individuals through its cultural and political flaws. Kate Chopin’s The Awakening exploresRead More Comparing the Symbology and Imagery in T. S. Eliot’s Poetry Essay1481 Words   |  6 PagesPrufrock says that he is going to go the beach; the ocean has always been a symbol of freedom, whether it is freedom from culture, limits, expectations, etc. One of the strongest representations of the sea as a symbol of freedom is in Kate Chopin’s story The Awakening, published in 1899; Poseidon, the god of the sea in Greek mythology, is often seen with horses, which were a symbol of freedom to the Native Americans (Daly 107, Viola 10). J. Alfred Prufrock is very confined, seemingly by his own view

Saturday, December 14, 2019

The Changing Demographics of Nursing Free Essays

The face of nursing has been changing over the last 50 years. Women who a half a century ago would only work as nurses until they married are now ending up as nursing managers and administrators, moving out of the practical field. . We will write a custom essay sample on The Changing Demographics of Nursing or any similar topic only for you Order Now But still it has been noted that the age of the nursing workforce has increased over the last quarter of a century, and fewer younger people are entering the nursing profession. In fact, at the time of the survey by the Bureau of Health Professions in 1997, baby boomers (those born between 1947 and 1962) were the largest component of the nursing workforce and at the current time only nine percent of registered nurses are younger than 30 years of age (Santucci, 2004). If this trend continues, then it would mean that the need for nursing would increase by as much as 22% between the years of 1998 and 2008. The demographics of nursing are changing as to the working environment as well. While hospitals employ about 60% of all nurses, the nurses who work in hospitals are likely to be younger, mostly due to the strain of physically demanding work and the shift work involved. While the hospitals tend to produce recruiting programs more focused on younger nurses, this also means that there is the need to promote relationships between the different generations of nurses. Problems in workplaces are the most often sited issues when it comes to job turnover rates among nurses. And the flow of younger nurses toward the hospital setting also means that the number of new graduate nurses being hired into the nursing pool is getting higher. This in turn results in a greater number of rather inexperienced new nurses in positions that may be better filled by experienced nurses. In order to answer this problem, residency programs have been developed for new graduate nurses, to provide orientation to the specialty areas such as critical care, medical/surgical and psychiatry. These residency programs appear to do much to help the new nurses address the challenges they face in their new positions. Green and Puetzer (2002) clearly define in their article the issues surrounding the importance of effective recruitment, efficient training and ultimate retention of experience nursing staff. A structured mentoring and precepting program appears to be key to all three of these issues and shows that while the schools prepare the nurses for the basics, mentoring programs are the most effective in the workplace. Without residency programs, there is a significant degree of turnover in the nursing staff, which leads to poor clinical are and burnout. A study by Bowles and Candela in 2005 reviewed involved the experiences of recent RN graduates in their first jobs (Bowles and Candela, 2005). The study was meant to determine new graduate perceptions of first jobs and why they left them, if they had. The results showed that 30% of new graduates left their positions within one year, and 57% had left their first positions within 2 years. Issues cited for leaving consisted of patient care problems, unsafe nurse to patient ratios, and stress associated with the acuity of the patients. Other significant issues (22%) noted a lack of support on the part of management, as well as a lack of guidance and a sensation of being given too much responsibility for patient care as compared to the nurse’s level of comfort and experience. This review showed that RNs in the first year of work tend to leave their first position at a much higher rate than RNs who are in second or subsequent positions. It would appear from this study that to improve RN retention one must consider the development of orientation and mentoring programs. This would improve work environments and reduce stress levels. There is a limited availability of preceptors. This often causes nurse interns multiple preceptor assignments that causes problem with educational continuity, follow through on assignments and progress assessments, as well as preceptor burnout. Smith and Chalker (2005) describe the issue from the nurse interns’ view where all active duty military nurses assigned to a military hospital between December 2000 and November 2003 were surveyed. A total sample of 216 nurse interns were surveyed regarding the nurse intern’s perception of the preceptor continuity within the existing four-month nurse intern program. These nurses were also asked about differences in perception between clinical performance, role transition, job satisfaction and nursing retention issues among nurse interns who had the same preceptor throughout their 4-month internships as compared to those who did not. In this study, there appeared to be no difference reported in the clinical performance, role transitions and retention in nursing between nurse interns who had assigned clinical preceptors versus those who did not. Over 48% of those surveyed indicated that the presence of one or multiple preceptors had little to do with the nurse’s desire to stay within the nursing profession. It is important, however, to note that of those who were surveyed who were new graduates, of these respondents 85% felt that having the same preceptor was most beneficial. Some supporting comments included issues such as building a trusting bond with the preceptor, consistency and continuity, and confidence building. Another interesting study assessed the effectiveness of using a mentorship program not only to retain quality nurses, but also to actually recruit them to programs in the first place. In this study (Nelson and Godfrey, 2004) identified that the new graduate nurse population required special attention, quoting that one in every three nurses under the age of 30 planned to leave their current job within the year (Aiken, et. l. 2001). Understanding this effect of patient care continuity, Nelson and Godfrey set out to see if a nurse mentorship program designed to provide an intense experience for students to gain greater clinical skills, and work values that would lead to commitment to professional teams and hopefully job retention. This study included nursing students who were within 2 semesters of graduation from a local program in Florida. All candidates for the program were prescreened and required a completed application as well as two letter of reference before they would be accepted into the program. Students in this study worked with assigned preceptors for a minimum of 16 hours with each two-week period, mentoring one on one with an experienced RN. It is interesting to note that ten of the students are now graduated, and remain employed by the hospital at which they precepted. It is likely that the selection process weeded out those applicants who most likely would be in benefit of a preceptor program, perhaps the more clinically insecure RN or the one who is struggling with assimilating clinical decision making skills and the like. There was benefit to the students in that they all felt better prepared for entry into employment as an RN. The benefit to the hospital also cannot be denied. As noted in the study, savings related to RN retention continues to accrue. Using the assumption that the 62 graduate nurses who did not participate in the program had participated, and applying the hospital’s 23% turnover rate applied to this hypothetical group, this would mean a net savings of 14 nurses (instead of the 29 they would have lost without the program, according to previous rates of turnover). Assuming that the cost of mentorship for each RN would be approximately $10,000, and then the savings would be around $150,000 to the hospital based on nurse retention alone. This study would seem to indicate that the nurse mentorship program not only improves nurse clinical skills and job satisfaction, but also can be of monetary savings to the hospitals themselves. While relatively few articles available on mentorship for graduate nurses exist, there are enough valid studies out there which all seem to indicate the importance of orientation programs not only to improve clinical care, but to decrease nursing staff turnover, preceptor burnout and decrease the financial burden such turnover costs to the healthcare system. How to cite The Changing Demographics of Nursing, Essay examples

Friday, December 6, 2019

Summary Or Response free essay sample

In the article, â€Å"Is Facebook Making Us Lonely? † by Stephen Marche we are informed of the negative effect social media can have on out psychological self. â€Å"Social media – from Facebook to twitter – have made us more densely networked than ever. Yet for all this connectivity, new research suggests that we have never been lonelier. † (Marche 60) What is loneliness? It is a psychological state. Marche stated many times that loneliness and being lonely are not the same thing. â€Å"Solitude can be lovely. Crowded parties can be agony. † (Marche 64) It was said that loneliness is at the middle of American society. We get together less, and when we do get together it does not mean as much as it once did. That bond just is not there anymore. If loneliness is becoming such a big problem in the world today, why are we spending countless hours and enormous amounts of money trying to achieve loneliness? â€Å"Despite its deleterious effects on health, loneliness is one of the first things ordinary Americans spend their money achieving,† Marche informed. We will write a custom essay sample on Summary Or Response or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Money moves us to the serenity of that quiet beach or the undisturbed house in the middle of nowhere. Loneliness is being invited into our live by our very own selves, even when such suffering and strain can result. Marche expressed, â€Å"Loneliness is certainly not something that Facebook or twitter or any of the lesser forms of social media is doing to us. We are doing it to ourselves. † An example used in the article was going to self checkout versus a normal check stand at a grocery store. Marche admitted to going to the self-checkout, only to avoid wait time and because it is more efficient. Marche isn’t trying to bring loneliness upon himself, he is only trying to â€Å"Bypass the whole circus and just ring up the groceries myself† (68) Studies had been done to see if online, social networking, users were more lonely than non-users. They came to the conclusion that the more you have face-to-face communication the less lonely you are. â€Å"The danger with Facebook is not that it lets us isolate ourselves, but that it threatens to alter the very nature of solitude.