The Arabian Peninsula Country and Sovereignty Essay

The Arabian Peninsula Country and Sovereignty - Essay Example Israel remains the only separate country on the Peninsula. The new APC has over 25% of the world’s known oil reserves in its territory. The new country is flexing its muscle and claiming its sovereign rights over the water and in the exclusive zone that overlap into other nation’s areas in the Persian Gulf, the Arabian Sea into the Indian Ocean, the Red Sea and the Mediterranean Sea. The APC has restricted the use of the airspace it is claiming to all western nations and threatens to shoot down any aircraft whether military or commercial that flies into its airspace. Further, fearing western satellites spying on its territory from space, the APC claimed territorial sovereignty above its country into space and threatens to shoot down any satellites that fly over its territory. It is unclear if the APC has the technology to fulfill this threat but there are missile exports from Russia and China that may be able to knock out a satellite in orbit. The APC has announced plan s to increase its standing army to over 50,000 troops and is beginning construction of a deepwater naval fleet to project its influence in the region. 2.0. Statement of the Problem Some of the fundamental issues pertaining to the situation are as follows. First, can the APC claim sovereignty after Yemen, Oman, the United Arab Emirates, Saudi Arabia, Qatar, Kuwait, Iraq, Jordan, Lebanon, and Syria sought to consolidate themselves into a single nation to be known as the APC? Second, what will be scope and limits of the claim on sovereignty if this is the case? Third, up to what extent can the APC claim sovereignty over its airspace and into space? Finally or fourth, what are the threats posed by the APC on the United States of America? 3.0. Proposed USA Position: Sovereignty and History/Scope in International Law Jean Bodin first systematically analyzed the doctrine of sovereignty in 1576 in the work, Six Livres de la Republique (Shaw, 21). In the Bodin notion of sovereignty, sovereig nty is only â€Å"subject to the law of God and of nature† as the â€Å"state was regarded as above the law† (Shaw, 21). In the age of enlightenment and as the early theories were influenced by the ideas of Thomas Aquinas who maintained that â€Å"Natural Law formed part of the law of God, and was the participation by rational creatures in Eternal Law,† the notion of state sovereignty may have been subject to reason or what were considered â€Å"reasonable† (Shaw, 22). Later that time, â€Å"elements of both positivism and naturalism† appeared in the work of Vattel (1714-67), a Swiss lawyer, who â€Å"introduced the doctrine of the equality of states into international law, declaring that a small republic was no less sovereign than the most powerful kingdom† (Shaw, 26). At the same time, the idea of natural laws gave way to the concept of natural rights (Shaw, 26). Shaw asserted that international law is based on the concept of the state tha t in turn â€Å"lies upon the foundation of sovereignty, which expresses internally the supremacy of government institutions and externally the supremacy of the state as the legal person† (487). Sovereignty â€Å"is founded upon the fact of territory† (Shaw, 487). Thus, according to Shaw, â€Å"without territory a legal person cannot be a state† (487). Shaw emphasized, â€Å"A state is deemed to exercise exclusive power over its territory† (Shaw, 487). The principle of territorial integrity is the foundation of

Carnival Cruise Lines Case Study Example | Topics and Well Written Essays - 750 words - 1

Carnival Cruise Lines - Case Study Example Few large firms or companies then are left to control the entire market share in the industry and this then will leads to a consolidated industry. Firms or companies like Carnival Cruise Lines in the cruise industry are very well established with very large economies of scale (Enz, 2010). In such cases, the industry is likely to be more competitive compared to the fragmented industries. This is all because well established firms in a consolidated industry have the ability to implement several strategies and come up with new products after thorough research. With adequate resources, firms in a consolidated industry will always be on the run to compete with one another to win more clients and improve their general sales. Such firms will advertise their products aggressively to improve brand loyalty and create awareness of their products and services among many customers in the market. Taking an example of the Carnival Cruise Lines, it is clear that what is happening between the company and the Royal Caribbean International is a stiff competition to win more customers and establish strong brand of their products. 2. A consolidated industry is usually made up of few but very big firms or companies who entirely dominate the industry and control a large market share of a certain product type. This is all because when some new firms try to enter the industry, they meet some setbacks and a lot of competition with the few big firms which have a lot of resources to win a big share of the market. The firms in a consolidated industry deal in differentiated products and get very high profit margins. In that case, one can say that a consolidated industry is more resembles an oligopoly structure because in an oligopoly market structure, there are few firms who control a large market share with differentiated products (Enz, 2010). Like in oligopoly market

What Is The Importance Of Groundwater Environmental Sciences Essay

What Is The Importance Of Groundwater Environmental Sciences Essay Groundwater is a regenerated phenomenon. Its circumstance from long time ago began to become worse and even worst because of people greediness and ignorance. We, group one, attempted strenuously to design this report to accomplish our only purpose which is for our mates to awake their sleeping instinct and make them aware of the importance of the groundwater for the environment and even for us. From antiquity, water especially water from underground has been utilized for irrigation and livestock. People with their narrow understanding of the environment in the past have succeeded in developing new simple methods to attract rain water and bring groundwater to surface so that they can use it easily. Many parts of the world face a lack of freshwater and groundwater occupies approximately two third of the freshwater resources, from that the groundwater is the most important, reliable source of freshwater sources. About 1% of water on the earth is made up by ground water and the groundwater volume is equal to a fifty five m thick layer in the earth surface. Groundwater supplies are the fundamental resources for people drinking, agriculture and even industry, about 80% of drinking water in Middle East, Europe, Russia and North America are groundwater. This Table (1) indicates the percentage of countries dependence on groundwater. Groundwater simply is the existed water in vents and scratches in rocks in ground layers. It is created from the collective of rainfall, melting ice and snow. Through the soil this banding water together moves into groundwater system stored in aquifers and when it find its way to surface it discharge from ground as lakes, streams and oceans. Therefore, groundwater is directly related to the water cycle which is related to the processes of the atmosphere and climate. http://www.tulane.edu/~sanelson/images/wattab.gif Groundwater Occurrence: Through the soil the falling rain seeps down to the aeration or unsaturated zone which its vents are filled with air. It continues to seep deeper to enter the saturated zone where rocks vents are filled with water. The surface of that zone is called the water table that can occur everywhere in ground layers. Water table water reaches the surface at lakes and streams in humid climates. Thus, the amounts of floating water changes as seasons change. For example the depth of water table decreases during wet seasons and increases during dry seasons. http://www.tulane.edu/~sanelson/images/chwattab.gif Groundwater Rocks Textures: Groundwater amount and flow rate is controlled by properties related to rocks: rock porosity The percentage of pore space in the rock volume that allocates the amount of water that a rock can store. Porosity in sedimentary rocks is based on the size of rock partials, their shapes and their sorting and cement degree. http://www.tulane.edu/~sanelson/images/pores.gif Usually rocks with well-rounded rough partial sediments have higher porosity than fine-organized partial sediments, That is because the partials dont fit together very well. http://www.tulane.edu/~sanelson/images/poorsort.gif Usually unsorted sediments have lower porosity than the well sorted sediments because sorted partials head for filling the empty space. http://www.tulane.edu/~sanelson/images/cemented.gif Cements highly fill the space of pore, and it has lower porosity. rock permeability The percentage of how highly the spaces of vents are interconnected in the rock. Usually rocks with low porosity have also low permeability but this isnt always true. There are possibilities that a rock with many pored space has a little interconnections between these pores. Vesicular volcanic rock is a good example for this state. Vesicular volcanic rock has a high porosity which is given from the stored gas in its bubbles but in contrast it has a low permeability because pores in that rock are not connected together. Force of molecular attraction is when water faces a lack in ionic charge and becomes attracted to minerals in rock vents. This shows us that if the permeability is low then water wont move. This means that if the interconnections size isnt enough for the molecular attraction the water wont move. http://www.tulane.edu/~sanelson/images/molecattr.gif Groundwater Aquifers: After rainfall seeps down to the ground, the soil carries away this water to springs and wells which is called aquifers. Precipitation recharge water into the ground in aquifers rocks vents and the recharge rate varies depending on the type of the aquifer rocks. If water is pumped from the well too much and with high speed then it will draw down in an aquifer and if this continues with the same high speed then the aquifer will dry out. There are two types of aquifers : Unconfined Aquifers : This type is the common kind of aquifers. Through unconfined Aquifer water table can expose to surface from aeration zone Confined Aquifers : This type is less common. It occurs when an aquifer constricts between impermeable strata layers. The figure below shows a distinctive kind of confined aquifer in artesian system. Artesian systems result in free flowing springs and wells. http://www.tulane.edu/~sanelson/images/springs.gif When the surface interacts with the water table on the earth surface causing water flowing out of the ground, springs are formed. They occur when aquiclude rock interacts with an aquifer . http://www.tulane.edu/~sanelson/images/wells.gif When human beings dig a deep hole in the ground that interacts with water table, wells are formed. Wells are one of the groundwater sources. They will dry out if we dig holes very deep in the ground. C:UsersLGAppDataLocalMicrosoftWindowsTemporary Internet FilesLowContent.IE5Y3H9SNP97_aquiferswells_large[1].jpg Groundwater Foundation and composition: Most of the shallow groundwater is composed directly from the nominated small amounts of rainwater and snow melt to the class that follows the surface. As for the groundwater remote valley has its adherence to the pores of the soil they remain stagnant for millions of years. Some of this type of water contains large amounts of dissolved salts may be salty sea water retained by the surrounding rock formation during a long time ago. In volcanic regions may produce small amounts of groundwater from molten masses of igneous rocks in the deeper part of the class that follows the surface. Even in areas where there is a hot spring, the quantities of water that originates from molten rock, generally less than 1% of the total hot water flowing on the surface. Through the various stages of geological evolution of groundwater have been too many changes in the structure occurred as a result of mutual influence between water and surrounding rock under the influence of pressure and heat. According to modern conceptions, the groundwater is formed at the expense of water molecules within the solid part of the earth. According to modern conceptions, the groundwater is formed at the expense of water molecules within the solid part of the earth. As a result of the receipt of water to the rocks from the outer shells also it result of dewatering of the sedimentary origin of metals. Groundwater originating outside Established this type of water as a result of leakage of part of the water runoff to the ground by the pores and cracks within rocks. This leakage depends on the quality of the rocks in the area of the leak. Ground water originating in the internal In addition to the emergence of underground water sedimentation and condensation also arise through the presence and the presence of water vapor and other gases resulting from (Amalgam) liquid in the range of the deep Earth. As a result of the movement of these (Amalgam), these gases and vapors separated from the (Amalgam) and the Federation of hydrogen and oxygen, forming water vapor, Which in turn condenses problem fluids rise through cracks and deep tectonic faults and appear on the surface in the form of metal springs are hot and you know this theory virginity. Groundwater chemical origin Many of the rocks under the water molecules attached to such Almirabelit (NasSO4.10H2O) which contains 55.9% water. Plaster and also contains 20.9% water and also Allimonayat and contains 25.2% water in composition. Under the changes affected by geothermal can be freed from a portion of these rocks, and water is a safe house of groundwater. Groundwater Movement: http://www.tulane.edu/~sanelson/images/movement.gif Groundwater movement is very slow, which means they will still exist in the ground and are available for very long periods so that could be used in multiple uses before they reach on its way to the sea and this is one of the most important characteristics. Underground water moves toward the bottom and as a result of Gravitation, and then laterally as a result of increasing pressure and movement might be in places where the alleged high pressure and high water to the places where the alleged low water pressure is less. The speed of ground water on several factors, including: a) Amount Alomta: t rev in the rainy season due to increased water levels a mile underground. b) Permeability: Increases the speed increase of permeability. c) Depth: at least speed up the water depth due to the loss of energy due to friction with rocks. The difference between the level of groundwater and surface water: water moves from the hills to the valleys in the rainy season as it moves from the bottom of the valleys in the dry season. Is determined by the rate of movement of groundwater on the basis of the permeability of rocks or sediments that contain this water and also the rate of decline of water level and the rate of flow of river water depends on the downstream slope. Groundwater Pollution : Water pollution: damage or corruption to the quality of water leading to an imbalance in the system in one way or the other, thereby reducing their capacity to perform its natural role. Collects groundwater beneath the earths crust of Foreign affairs , and these waters are considered the most important sources of water given by the states informed attention to the preservation of environmental pollution by attachment , environmental contamination and the indiscriminate use of groundwater resources threatens the groundwater in the world . There are several reasons for causing pollution of underground water, one of the causes of pollution is the human activities in the land that come through pesticides and chemical fertilizers, and chemicals spills and deep injection wells, these materials cause serious diseases in humans especially in children where up to humans through the irrigation and rain, who nominated them Egervan pesticides non analyst Baltjah aquifers . http://www.55a.net/firas/ar_photo/15/water777.jpg It is important to know that groundwater is a very important source of potable water for use, and may be wasteful in the use of much of the work cause a major threat to the presence and continuity of fresh water is the most important problems who cause reduce the chances of the availability of groundwater collapse of the land and the leakage of salt water to wells constantly Vidhar water and causing her substantial pollution and a clear change its characteristics of natural and unfortunately there are some wells close to the surface of the earth, which expose it to contamination of biological or chemical Valabar that contain ground water should preferably be at altitudes appropriate to avoid what might happen around them .. If the rise was more than 40 feet reduces the pollution of groundwater Only in this case, the layered porous half permeability is working to rid the water of impurities and contaminants, and if there is contamination of the groundwater may be difficult to filter t he whole it is difficult to liquidate quickly, because this water Tkwon slow flow and movement in the ground may not exceed several meters of movement may affect the location and quality of water filtering. There are several diseases caused by pollution of underground water, such as: 1 Cholera. 2 Typhoid. 3 All kinds of dysentery. 4 Hepatitis. 5 Malaria. 6 Schistosomiasis. 7 Liver disease. 8 Poisoning. There are several ways to prevent contaminants from reaching groundwater and some solutions for the liquidation of underground water of pollutants such as: * Chemical precipitation to remove water hardness. * Sedimentation to remove sediment resulting from chemical treatment. * Disinfection process to kill micro-organisms causing disease. * Desalination of saline groundwater. * Wastewater treatment before arriving to the soil and water bodies. * Dissemination of human consciousness for water conservation. * Passing laws to deal with toxic waste and follow the process to get rid of toxic waste. * Passing laws to deal with toxic waste and follow the process to get rid of toxic waste. Groundwater in the UAE Human activities impact: Human activities have a significant impact on groundwater in the United Arab Emirates. Groundwater is the source of the most commonly used provision in the United Arab Emirates, where it is facing a heavy pressure from population growth, urbanization and agricultural and industrial practices. As a result of these activities has become ground water is used excessively in recent decades and, more from the past.  The height of these human activities require an increase in the use of groundwater, which led to their use of groundwater stored in aquifers key and so will this lead to a decrease of excessive use of groundwater in the main stores in the United Arab Emirates.  And also as a result received excellent groundwater degradation where it met with many of the problems that reduce the quality in the United Arab Emirates, and one of these problems, groundwater salinity and will progressively become more saline, and the other problem that may harm the quality of groundwater is due to the imbalance between the annual recharge and discharge. Recently several wells in the eastern and the northern parts of the country went dry. On the other hand, the oil industry and the practice of agriculture are key factors in the pollution of groundwater.  As a result of the oil industry is to increase the salinity in groundwater due to solvents, waste oil thrown staged near areas of groundwater example Bu Hasa area.  The agricultural practices are increasing pollution of groundwater due to the use of pesticides and fertilizers staged affect the quality of groundwater. Future plans: Increase continuity in the use of groundwater has led to decreases dramatically and this is what was observed in recent decades, after studies staged held in the UAE and this is the main reason to re-examine the sources of water in the UAE and building plans for the future adopted by the State in the use of water source and the most important groundwater. Of the most important future plans to maintain the underground water level and the reduction of use, is to regulate the drilling and exploitation of groundwater wells and the exploitation of the groundwater in agriculture properly be used in any modern irrigation methods staged availability of ground water and keep them from drying. In addition to the expansion of the establishment of dams to hold rainwater, and include the application of a program to conserve and rationalize water use, groundwater, and enhance the statistics of groundwater, especially in the area of authentication and authorization withdrawals of water and develop a program to improve methods for rainwater harvesting in order to feed water tank underground. Construction of dams:   Given the importance played by dams in the custody of rainwater for later use feed water storage underground, especially since the natural nutrition are only a small percentage of the amount of water withdrawn and did not exceed in any case 10% were interested in the United Arab Emirates establishment of dams, which now numbered114 dams with a capacity of storing 114 million cubic meters. Modify the patterns of agricultural and irrigation:   Given that agriculture is the largest consumer of water in the state (about 80%) of total water consumption has turned the state in recent years to use the patterns of modern agricultural reduce water consumption through the promotion of workers in the agricultural sector on the use of means and methods of modern irrigation, training in their use,  It is through the provision of irrigation systems, modern farm prices are almost free in some cases, have succeeded the State had notable success in mainstreaming the use of these means, as increased area cultivated areas that are irrigated by the use of those means more than 70% and on that used by some parties   to the plans set standards and specifications for water quality and crops to be cultivated and determine the area and the regulations and conditions of the agricultural plan. Conclusion: So far, we have seen that groundwater is very essential freshwater resources for us without it we will face a remarkable damage in human life span. So, from this importance of groundwater UAE holds many projects to preserve the water sources because I said the water sources in the United Arab Emirates due to lack of rainfall.  Among the most important of these projects the project primarily in the city of Dubai in the United Arab Emirates, the underground injection His aim is to maintain strategic reserves of water in the emirate, through improving the quality of groundwater, which has become unfit for the use of high salinity due to depletion in the past years.

War and Bush Essay -- essays research papers

War and Bush   Ã‚  Ã‚  Ã‚  Ã‚  War has taken place all over the world. It is brutal at times even necessary, and the United States of America has seen its own share of wars. Since September 11, 2001, the President of the United States has launched a war on terrorism, and currently we are still at war. The War on Terrorism has been one of the most important battles our country has ever had and overall it has been the best for the U.S. as well as Iraq. The United States does have its motives for the war, and those purposes are what make this country as safe as it is today. Before September 11, 2001 many individuals assumed they were living in a safe country. The news showed bombings and war in different countries, but people in the U.S. were too ignorant to know such things can occur in the land of the free. When the brutal 9/11 attack occurred President George W. Bush made the proper decision of fighting back by launching a war on terrorism. This was a logical decision because most of the country felt vulnerable after the attack. Furthermore if our country did not fight back, other countries would take it into consideration that we are weak and they can take advantage of us. About 90% of polls conducted by various news stations before and the beginning of war stated the people overall supported it. (http://www.pollingreport.com/iraq.htm) People argue now that we have been at war for a while some people are changing their minds, but not as many as the media makes it seem out to be. All the media has done for the war is damage it. The media's main desire is to make ton of money and in doing so they will try to make the Iraq war seem as pointless as Vietnam. Polls that are conducted may be rigged. One fact that can easily display that is that conservative news sources will have more people supporting the war than media that is non-conservative; this is too close to be a coincidence (www.chronwatch.com). Furthermore, many times on the news a group of kids from school will be interviewed and say how terrible of a job Bush is doing with the war. It does not make sense to interview these kids who probably do not even know why there is a war, much less looked up information from a reliable source and know what they are talking about. People who pose as experts never are experts, the only people who can give a clear aspect of the war are someone who has ... ...r country is not fighting to stop it. The plans for the war have not changed at all. Even though the name has changed to the march toward freedom it is the exact same thing as the war on terrorism. The U.S. is full of Euphemisms and the war on terrorism was changed to the march toward freedom mainly because most Americans cannot face reality. These same people who cannot face reality are the same people who are hurting the war. Whether these individuals like it or not we are at war and complaining will not do anything to benefit it. Many people argue that polls state that most of the U.S. opposes the war this obviously cannot be true because after all Bush was elected our president by a majority of the American people. In conclusion, the Iraq war is not a pointless battle that the U.S. continues to fight each day. The country has motives to fight and those will continue to be carried out despite what the media as well as anti-war individuals persist to believe. Only the people who have been in the war can give a good aspect of the war. The battle for security has only made the country feel much safer. Without the war the U.S. would not be as secure from terrorism as it is today.

Symbolism of Blindness

Symbol of Blindness in King Lear Blindness is usually defined as the physical ability of the eye to see. But in King Lear by William Shakespeare, blindness is not just a physical quality but also a mental flaw that people possess. This mental flaw can then lead to people making bad decisions because they can’t see the truth. In King Lear, the recurring images of sight and blindness that are associated with the characters of Lear and Gloucester illustrate the theme of self-knowledge and consciousness that exists within the play and these characters.Gloucester’s characters plot parallels that of King Lear’s. Throughout the play, we explore what is meant by eyesight or the lack of it. King Lear is the first and the main character that faces problems by this idea of blindness. In act one, Lear asks his three daughters to express their love for him in order to get the share of the land and dowry. Goneril and Regan come up with an elaborate speech that uses with wit an d deceit.She starts off by saying â€Å"Sir, I love you more than word can wield the matter; dearer than eyesight, space, and liberty; beyond what can be valued, rich or rare; no less than life, with grace, health, beauty, honour; as much as child e'er loved, or father found; a love that makes breath poor, and speech unable; beyond all manner of so much I love you† (Foakes 1. 1. 55-61). The metaphorical language and beauty of Goneril and Regan’s speeches blind Lear.Cordelia truly loves him a lot but he doesn’t see it in her response when she says â€Å"Unhappy that I am, I cannot heave; my heart into my mouth: I love your majesty; According to my bond; nor more nor less† (Foakes 1. 1. 93-95). But on the other hand, Cordelia’s speech makes him feel less powerful. Her language is legalistic and delimiting. It suggests that it is a contractual relationship (Kronenfeld 96). By using the word bond, she makes it more formal but she’s talking to he r father so she should be able to express her feelings in a less formal way.She declares her love to be of no surpassing quality. She is not like her sisters because it is not in her nature to solicit her father with outward showings of love but instead will show it through her actions (Kronenfeld 106). He misunderstands her love and is unable to see the love she actually has for him because of the way all three of the daughters respond. The two older sisters flatter their father instead of speaking the truth so they can get what they want and this leads to Cordelia being disowned.The cause of his blindness appears to be an infatuation with his own rank and station, which is a result of senility. Lear’s kingdom is used as a symbol of affection towards his three daughters. In the first act, it is implied that Cordelia is his favorite daughter. He feels that dividing up the land by the level of love they show to him is the right thing to do. He does not see that Goneril and Reg an will use this as a chance to become his favorites. They will say whatever they need to for their own benefit because they are greedy.Driven by his own blindness, King Lear begins to make many mistakes not just with his daughters but also with his loyal supporter Kent. His blindness doesn’t allow him to see the truth in a person’s personality and character. When Kent hears about Cordelia getting disowned, he is shocked by the decision that King Lear. He tries helping King Lear understand the truth about his daughters but ends up getting banished himself. King Lear wants Kent â€Å"out of my sight† (Shakespeare 1. 1. 159). Kent responds by saying â€Å"See better, Lear; and let me still remain; The true blank of thine eye† (Foaks 1. 1. 60-161). Kent is trying to make him reconsider his decision but Lear’s anger gets the better of him and he banishes him from the Kingdom. The blank can refer to the center of a target but also the absence of somethi ng which captures the ambiguity and vulnerability of our seeing. Kent was King Lear’s eyes and ears and literally helped him see things clearly. Without Kent, he is even blinder to the reality than before. Kent disguises himself and manages to get rehired by King Lear which further shows his blindness. He knew Kent very well and yet couldn’t figure out that he was the same person.His vision and insight on other people never really improves and this leads to his downfall and eventually his death. Shakespeare uses a lot of offstage episodes which also shows the blindness to the audience. This indirect mode of presenting highly significant events generates doubt and confusion because the audience can’t see what is happening but is known only by reports of those who claim to have observed them. But it is hard to rely on here say because of characters like King Lear who are oblivious and blind from the truth.Due to King Lear’s lack on insight, it causes him to make bad judgements and leads him to endure great emotional pain and suffering as a result. It is through his and Gloucester’s characters that Shakespeare has allowed the audience to see what great emotional torment can plague a person because of disloyalty especially when it is that person’s fault due to a lapse in judgement. Shakespeare uses the plot of Gloucester to explicate Lear’s plot by contextualizing Lear’s blindness with Gloucester’s physical loss of vision.His character is very similar to Lear’s because they both couldn’t tell which of their children truly loved and cared for them. Edmund blindsides his father into believing that Edgar was plotting to kill him so this would allow him to gain power. Gloucester was easily convinced that the letter was real and never considers thinking if his son could actually do such a terrible thing. Both Lear and Gloucester are very quick to believe their children that use their language in a smart way to deceive their fathers.Gloucester also ends up disowning Edgar even though Edgar is the son who truly loves him. He doesn’t feel that he is making any wrong decisions and feels that â€Å"Come, if it be nothing, I shall not need spectacles† (Foakes 1. 2. 363-364). The word need means requiring something that’s important so in this case, being able to see the truth is a necessity but Gloucester feels that he doesn’t need that. It denies him the ability to distinguish between his good and evil sons. Gloucester ends up getting his eyes gouged out which is like a wake-up call for him.Edgar feels that â€Å"The Gods are just and of our pleasant vices; Make instruments to plague us; The dark and vicious place where thee he got Cost him his eyes† (Foakes 5. 3. 170-173). Not only does Edgar deceive his father but believes that his father got what he deserved. The blinding of a man is a symbol for the destruction of one’s manhood lik e getting castrated (Halio 222). Gloucester is an adulterer and is somewhat proud of this fact. Edgar goes on to say â€Å"Met I my father with his bleeding rings, Their precious stones new lost; become his guide, Led him, begg’d for him, sav’d him from despair† (Foakes 5. . 188-191). Edgar uses the word stone to refer to Gloucester’s lost eyes because it is a slang term for testicles which implies that the blinding was like Gloucester getting castrated (Halio 223). Once Gloucester became physically blind was when he actually started seeing clearly. It is very ironic when Gloucester says: â€Å"I have no way and therefor want no eyes; I stumbled when I saw. Full oft ‘tis seen Our means secure us, and our mere defects Prove our commodities. Ah dear son Edgar, The food of thy abused father’s wrath!Might I but live to see thee in my touch, I’ld say I had eyes again! † (Foakes 4. 1. 18-24) His inability to see the realities of his s ons when he was mentally blind but managed to see his son’s true colors when he was physically blind because his eyes were gouged out. He eventually learns that vision is not just through your eyes but rather through your heart and mind. Gloucester’s subplot paralleled that of King Lear’s. Cordelia’s silence throughout the play usually signals acquiescence as she never stood up against her father or her older sisters.In Shakespearean tragedies, it generally conveys feelings of fear, despair, and confusion but Cordelia’s silence is evidence of her strength and constancy. Cordelia’s silence in the first few acts can be compared to her unwillingness to communicate in the later scenes. Lear is very similar to Cordelia in the sense that they both are very inarticulate when expressing emotions. After everything that her father has done to her, Cordelia is still devoted to helping her father and brings an army to help him. She doesn’t need t o try to convince her father with words but instead her actions show it all.They are able to reconcile their relationship because of the love that she has for her father unlike her sisters who are willing to do anything to get power. Even though he has wronged her, she sees that he has recognized the errors of his ways. Cordelia is the only loyal daughter King Lear has. Even though she is silent and doesn’t have great communication skills, you can still feel the love she has for her father from the few things that she says. Throughout the play, Shakespeare uses King Lear and Gloucester to demonstrate how metaphorical blindness can cause a person to make erroneous decisions.King Lear’s lack of sight led him to banish Cordelia and Kent, the two people that supported him the most. Similarly, Gloucester is affected by this metaphorical blindness as well and leads to detrimental decisions for him and his family. Ironically, when Gloucester gets literally blind, he starts to think clearly but it is too late at this point to improve things. Only after they lose everything, they recognize that their blindness to honesty has cost them everything. Cordelia chooses to stay silent which she thinks is beneficial but in turn ends up getting her and her father killed.

Brand equity Essay

How much a product can earn over its identical competitor by virtue of its brand, determines its brand equity. It can be a neat result of many factors like years of experience, proven track record of quality, legacy, emotional bondage and company outlook, where it adds more value to the product and thereby helps the product to score over its identical competitors. Without brand equity a product loses its competitive advantage, and for that matter some companies â€Å"measure brand equity relying on financial measures of brand performance† (Dobney, 2007). Thus Brand India should be able to score over its Asian counterpart. Figure – 3 The brand management chain (Based on Wood, 2000; Kapferer, 2004) Integration of the theoretical constructs brand equity (Aaker, 1996) and brand orientation could be instrumental in the understanding of brand value, where brand equity commands more attention as it aims for generating long-term values for the company by â€Å"understanding the conceptual basis for the value of brand and its implications† (Keller, 1993). Brand loyalty. Brand loyalty refers to the customers’ consistent preference to buy a selected brand in a particular product category, irrespective of other provocative options presented by the competitor of that brand. This situation occurs after the customers make a trial run of the brand and get convinced about the efficacy of that brand towards fulfilling certain needs of theirs and decide to buy that brand again and again. That practice â€Å"forms the habit and thus customers continue purchasing the same brand because the product is safe and familiar† (Giddens, 2002). This situation speaks of the dual responsibility of branding too, where on one hand it should influence the rationality of its prospective customers, while invoking the emotional response among them on the other. As for example, a particular meal in a restaurant might declare about a possible health benefit with the inclusion of tomato in it by saying, â€Å"lycopene in tomato lowers the risk of cancer†, thereby influencing the rationality of the customers, and at the same time it can evoke the nostalgia in customers by labelling the meal as â€Å"grandma’s special recipe†. In this strategy lies the clue of embedding medical/healthcare tourism with general tourism and Incredible India should utilize it. Figure – 4 Brand Awareness: Brand awareness is â€Å"a gauge of marketing effectiveness measured by the ability of a customer to recognize and/or recall a name, image or other mark associated with a particular brand† (Waters, 2008). Though brand awareness cannot measure the customers’ approach towards the brand, yet it is very helpful in forming a positive attitude among the target audience about the brand. Incredible India Campaign should take care of that. Figure – 5 The above diagram shows that recollection or identification ability first created ‘aided awareness in the prospective customers, which might convert into a top-of mind awareness, if the brand convinces customers either with its logistics or direct service. Thus, brand awareness can work on two folds, primarily making its way into the mind of the customer and then working on its way to achieve the recognition, where the brand first generates strategic awareness in customers, where the customers understands the distinctive qualities of the product and associates them with their need. Current campaign strategy of Incredible India lacks that finesse. Brand Value While brand loyalty proves to be a cost-saving yet effective tool to garner higher sales, brand value â€Å"reflects how a product’s name, or company name is perceived by the marketplace† (Free, 2004), which involves both target audience and the general audience. Brand value can be tangible too, in the event of a brand being sold, where extracting the value of the brand from the value provided by other, tangible, resources becomes possible (Simon, C. J. & Sullivan, M. J. , 1993, Conchar, et al, 2005). From this perspective, even the title of the campaign in discussion, Incredible India needs to be reviewed and if needed may be replaced. The name should denote the power and strength of a brand. As for example, â€Å"if Coca-Cola’s facilities Atlanta were to burn overnight, the company would still be able to start up the next day due to its brand value† (What, 1998). Therefore it is the success story of a company that earns its brand value. However, to gauge the impact of brand value, the company needs to take help of empirical research. The process might then looks like below (Persson): Figure – 6 Brand value is the outcome of consistent and successful brand building, where the action of the company would speak louder than words, besides proving its ethical standings in the marketplace. IV. 7. Brand personality Much like a human being, a brand too serves as the ambassador of the company personality, depicting its outlook and aspirations, besides its services and promises. Thus much depends on the carriage of the brand, because it is the coveted message of the company to the outer world about its activities, aims, aspirations and promises – in short, a package of total company outlook. From this angle too, the campaign in discussion needs to be reviewed. Figure – 7 A strong brand does more than it meets the eye, however, its activity should be powered towards achieving the targeted benefit out of it. For that matter, the first step towards creating a strong brand â€Å"is to identify the benefits† (Saarte, 2008). Target benefit would surely help to determine the nature of the branding, which would help the company to identify the necessary elements into branding, such as company image, the USP of its product, type of promises, and desired platforms of bonding and more. Incredible India is yet to create a clear USP to position itself. V. Conclusion/Recommendation The detailed discussion and analysis above clearly shows that Incredible India Campaign falls far too short in achieving its desired outcome and thus needs to be thoroughly reviewed and modified to meet the demand of the time and position India as a strong brand in the global tourism market. Thus this study recommends following steps towards achieving the target of building a strong Brand India in the global market: 1. Incredible India needs to review its name, packaging, price and its history and modify it concerning the current demand. 2. Ensuring that it becomes capable of Delivering the message clearly.   Confirming the credibility of the company. Connectingthe target prospects emotionally. Motivating the buyers.   Concretizing the user loyalty 3. Incredible India has to focus more on emphasizing emotional bond with UK through exploiting the earlier history of close communication. 4. It must study and research other Asian countries pros and cons in this sector to ensure that Brand India should be able to score over them. 5. It should embed medical/healthcare tourism with general tourism to generate brand loyalty. 6. Through constant, consistent, cohesive and cogent campaign, it should create the brand awareness (UK still have a poor awareness, around 30%) 7. Periodic assessment of the campaign is a must to check the brand value. 8. Campaign should get facelift periodically with a central theme of personality. Ends. References Aaker, D. A. (1996) Building Strong Brands. The Free Press, New York. ISBN 0-02- 900151-X Atithi Debo Bhava. (2004) Incredible India [online] available from http://www. incredibleindia. org/newsite/atithidevobhava. htm [accessed 4 September 2008] Bizhelp. (2008) What is Branding? [online] available from http://www. bizhelp24. com/marketing/what-is-branding-. html [accessed 4 September 2008] Brand Definition. (2008) [online] available from http://www. investorwords. com/568/brand. html [accessed 3 September 2008] Brand. (2008) [online] available from http://whatis. techtarget. com/definition/0,,sid9_gci211703,00. html [accessed 4 September 2008] Brandguru Inc. â€Å"What IS Branding? † Viewed 24 March 2008, http://www. brandidentityguru. com/popUps/whatisBranding. html Conchar, M. P. , Crask, M. R. & Zinkhan, G. M. (2005) Market Valuation Models of the Effect of Advertising and Promotional Spending: A Review and Meta-Analysis. Journal of the Academy of Marketing Science, Vol. 33, No. 4, 445-460. Dobney. com. (2007) Brand equity and brand value [online] available from http://www. dobney. com/Research/Brand_equity_research. htm [accessed 4 September 2008] Dolak, D. (2001) Building A Strong Brand: Brands and Branding Basics [online] available from http://www. davedolak. com/articles/dolak4. htm [accessed 5 September 2008] Dunn, S. (2008) What is Branding and Why Do You Want It? [online] available form http://www. ecomhelp. com/KB/Branding/kb_what-is-branding. htm [accessed 5 September 2008] Free Definitions: Define Brand. What is Brand? (2004) [online] available from http://www. learnthat. com/define/view. asp? id=279 [accessed 4 September 2008] Giddens, N. (2002) Brand Loyalty [online] available from http://www. extension. iastate. edu/AgDM/wholefarm/html/c5-54. html [accessed 4 September 2008] Incredible India campaign woos more Americans (2008) The Press Trust of India Ltd [online] available from http://www. accessmylibrary.com/coms2/summary_0286- 34809894_ITM [accessed on 4 September 2008] Indian Tourism’s ‘Incredible India’ Campaign (2005) Research paper [online] available from http://www. icmrindia. org/casestudies/catalogue/marketing%20communications/C LMC010. htm ] India’s rise in medical tourism (2007) News [online] available from http://www. timesonline. co. uk/tol/travel/destinations/india/article2257994. ece [accessed 4 September 2008] Kapferer. (1994) Strategic brand management: new approaches to creating and evaluating brand equity. Free Press, New York. Keller, K. L. (1993) Conceptualizing, measuring, and managing customer-based brand equity. Journal of Marketing,Vol. 57, No. 1, pp. 1-23. King, T. E. (2007) Incredible India? Campaign has Incredible Budget [online] available from http://www. travelmole. com/stories/1118243. php [accessed 5 September 2008] Lake, L. (2008) What is Branding and How Important is it to Your Marketing Strategy? [online] available from http://marketing. about. com/cs/brandmktg/a/whatisbranding. htm [accessed 4 September 2008] McCall, K. (2003) Marketing Angel [online] available from http://business. mainetoday.com/smallbusiness/mmm/030601. shtml [accessed 5 September 2008] O & M (2003). Incredible India [online] available from http://www. ogilvyindia. com/work/incredibleindia. asp [accessed 5 September 2008] Persson, N. Understanding of the nature and relevance of brand orientation and brand equity in B2B brand management – implications for future research. Ph. D. Thesis [online] available from http://www. nhh. no/Admin/Public/DWSDownload. aspx? File=%2FFiles%2FFiler %2Finstitutter%2Ffor%2Fconferences%2Fnff%2Fpapers%2Fpersson. pdf [accessed 1 September 2008] Saarte, L. A. (2008) Fitting It All Together. EzineArticles. [online] available from http://ezinearticles. com/? Branding—Fitting-It-All-Together&id=1043858 [accessed 1 September 2008] Simon, C. J. & Sullivan, M. J. (1993) The Measurement and determinants of Brand Equity: A Financial Approach. Marketing Science, Vol. 12, No. 1, pp. 28-52. UK Indian doctor sets shop in Goa for medical tourists (2007) News [online] available from http://www. newkerala. com/topstory-fullnews-14322. html [accessed 4 September 2008] Waters, S. (2008) Brand Awareness [online] available from http://retail. about.com/od/glossary/g/brand_awareness. htm [accessed 1 September 2008] What is the Value of a Brand? [online] available from http://www. csom. umn. edu/Assets/3478. pdf [accessed 31 August 2008] Why Brand Loyalty is Important? [online] available from http://www. brandloyalty- int. com/site. asp? pagina=8 [accessed 1 September 2008] Why India? (2007) Government report [online] available from http://www. medical-tourism-india. com/medical_tourism_india. htm [accessed 5 September 2008] Wood, L. (2000) Brand and brand equity: Definition and management†. Management Decision, Vol. 38, No. 9, pp. 662-669.

What sort of society and values does Oscar Wilde present in Importance of being Earnest Essays

What sort of society and values does Oscar Wilde present in Importance of being Earnest Essays What sort of society and values does Oscar Wilde present in Importance of being Earnest Paper What sort of society and values does Oscar Wilde present in Importance of being Earnest Paper Essay Topic: Call of the Wild Literature The Importance Of Being Earnest In the days when the play was set, people were spilt into three different classes. There were the Upper class people, who lived in an aristocrat society, who mainly invested from lands. Then, there were the tradesmen, who had new wealth which they made from their businesses. Finally, you would have the lower class people, who were the servants of the upper classes. The characters in the play are leading a comfortable life. They live in a sophisticated life style, where everything for them is a breeze, they have servants to do all the work for them, while they sit and relax. They lead a superior life style, everyone under them has to look up to them. The lower classes are expected to respect them. In act 1, when Lady Bracknell visits Algernon, he had eaten all the cucumber sandwiches, which were especially made for her. As a good and loyal servant should do, Lane lies to get his master out of trouble, which is what all good servants should do. Algernon quotes, if the lower orders dont set us a good example, what on earth is the use of them? This shows what they thought of the lower classes as being their guide to life. Lady Bracknell quotes, Nor do I approve in anyway of the modern sympathy with invalids when speaking to Algernon about Mr Bunbury. She says this with coldness and in an uncaring way. The aristocrat society lives on an unearned income. They, do not have to work for their living, they neednt a job. That is why land and inheritance are important in their life. They invest in land mainly and thats where their money comes from. With no businesses to worry about, they can enjoy the comfort of gong to dinner parties, arranging them, go to the opera and watch plays. They can sometimes to go into debt, like Algernon for example, who owes much money, pays no bills etc. We know this as he quotes, Half of the chaps who get into the bankruptcy Court are called Algernon, This obviously means that he goes there often, if he know everyones names there who go themselves. He lives beyond his means, he just spends, spends, and spends. Lady Bracknell quotes, He has nothing, but he looks everything when trying to persuade Jack to allow Algernon to marry Cecily. They live in an extravagant lifestyle with many luxuries. Algernons flat is said to be artistically furnished. The rich of that era have calling cards, when someone visits, to inform the owners of the house. A servant carries these to them on a salver, a silver plate. They drink good wine and make sure it does not go to waste. They eat their bread with no crust. They usually own a country estate with acres of land, which are usually let out. Then, they should have a town house, somewhere to stay during the season. The season is when everyone comes to London to attend all the parties, galas, balls, etc. to exchange gossip. Young unmarried girls come with their parents to find an eligible bachelor. Rich girls usually married for a title or name. Men with a title or name, but no money, would marry a rich girl, to gain some money. The book is based in a aristocratic society, where they have many values, which are most importantly; Money, appearance, sincerity, social snobbery and superficial values. Oscar Wilde has put in a whole range of these in his play. Money is everything to the aristocrat society. Without it, they would be pushed down the society ladder. They do not work for their money, but instead they invest it from land and properties. If you had money, you could do anything you want. In Act 1, when Lady Bracknell asks for the cucumber sandwiches, Algernon replies, I am greatly distressed, Aunt Augusta, about there being no cucumbers, not even for ready money, This shows that he just gets his food without paying, they just put it on a tab with him. He probably owes many people money, but who is to argue with the rich? Anyone would do anything for money. When Cecily sneaked out of the house to go and visit Jack in his country house, she probably asked her maid to keep quiet about her whereabouts. Though, by the means of a small coin, Lady Bracknell managed to gain the information of her daughters whereabouts. Lady Bracknell is the one in the play who most considers money to be the main importance in life. It would seem obvious that she even married for money herself, as she says, When I married Lord Bracknell I had no fortune of any kind. But I never dreamed for a moment of allowing that to stand in my way. When questioning Jack, to see if he is fit to be even considered to marry her dear Gwendolen, the most important question is What is your income? Jack replies to this saying Between seven and eight thousand a year,, which in those days, would make him a millionaire. This is the only note she makes of him in her notebook. She is perfectly satisfied that Jack makes his money from investments and not so much from land as she says,, Land has ceased to be either a profit or a pleasure, Lady Bracknell questions Cecily to see if she is acceptable to marry her nephew, Algernon. She first says that she is running out of time, halfway through the interview and she must hurry. Then, as a last question, she asks if Cecily has any fortune. She expects Jack to answer that by saying, No, she has little, she lives here as my ward and I provide for her, To her surprise, Jack tells her that Cecily has about  £30,00 in the funds. He then says, Thats all. Good-bye Lady Bracknell, So pleased to have seen you, knowing her attitude would change now to the mention of that large sum of money. Lady Bracknell decides to stay, after discovering that this girl is an extremely wealthy girl and her money is in the funds as well. She now says, Miss Cardew seems to me a most attractive young lady now that I look at her, Lady Bracknell now finds her a respectable candidate for Algernon, as she has all this money. Her plan backfires though, as Jack refuses their engagement. Lady Bracknell tells Jack, that she will overlook Algernons conduct to him, but this is not true, she hasnt carefully considered her decision, but she wants to try and persuade Jack to accept the engagement so Algernon can grab his hands on Cecilys money. Jack tells Lady Bracknell that Cecily does not come legally of age until she is 35. Lady Bracknell has no objection to this though, as she realises that if she leaves the marriage for a few more years, Cecily s money will grow even more. Gwendolen makes it quite clear, that she is wealthy, by pointing out that she buys the more expensive monthly magazines, when talking to Jack. She doesnt but the expensive magazines, but the more expensive ones. Which shows, shes probably no different to Lady Bracknell, as Algernon says, All women become like their mothers. In every interview, she always starts with a few simple questions e. g. how old are you? Then, in the middle of her questions, she adds the most eagerly waited of question, how much money do you have. Appearance is also important to the characters in the play. The whole of the play is based on the one name of Ernest, which for some reason Gwendolen and Cecily adore and is their dream to marry someone with that name. Gwendolen says, There is something in that name that inspires absolute confidence She says that she was destined to love him as soon as she heard the name mentioned. She says that the name, Produces vibrations This shows us that the first thing Gwendolen looks for in a man is his name. Your Christian name has an irresistible fascination, quotes Gwendolen. The name Jack sounds such a plain name, when you think of Jack, you think of someone who lives in the country, who is quite plain and simple. The name Ernest though, sounds more aristocrat and when saying it, Ernest sounds more interesting than Jack does. She looks for a husband who will listen and do everything she commands, just how Lady Bracknell treats her husband. I know this, from the line Gwendolen says at the end of her engagement discussion with Jack. She says, I hope you will always look at me just like that, especially when there are other people present referring to Jacks blue eyes, like a puppy-dog face. She wants him to be like a dog on a leash that she can take with her anywhere and have him well trained. Cecily, a more plain girl, it would seem, but she is also picky with names. She and Gwendolen both say that they, pity any poor married woman whose husband is not called Ernest. Algernon thinks his name is rather an aristocratic name, but Cecily would only give all her love to someone with the name of Ernest. She here is being a little judgmental towards the name of a person. Its like how Gwendolen first met Cecily, Cecily told her, her name and Gwendolen in turn replies, What a very sweet name! Something tells me that we are going to be great friends, Which is a bit ironic, as later on in their meeting, they despise each other. Lady Bracknell considers the odd number side of the street as unfashionable. She tells us this when she is questioning Jack. This shows us that the respected ones in society live in an even numbered house. When Jack tells her about him, that he was discovered in a handbag at Victoria Station, she immediately is disgusted. She almost certainly now will not allow her daughter to marry someone who was found in a handbag, or as she puts it, to marry into a cloakroom and form an alliance with a parcel. She says that Algernon has no money, but he looks the part, though this is a bit false, as Lady Bracknell is always thinking of money when it comes down to these circumstances. Though it doesnt really matter, because if Algernon and Cecily do get married, then Algernon will share her money. She also finds long engagements not acceptable as, They give people the opportunity of finding out each others character before marriage, She has this idea of making someone look something that theyre really not. As long as you look good, thats what important. She examines Cecilys profile, when inquiring about her. Her first impressions of Cecily, were that she dressed too simply and hair was not done up in any extravagant way, but was left as nature might have left it. She tells Cecily to put her chin a little higher, Style largely depends on the way of the chin is worn, as she states. The characters in the book have many false and superficial values. Girls of the aristocrat society, did not have a choice of who they wanted to marry, it was up to their parents to decide for them. We discover in the first act, that Lady Bracknell has a list of eligible young men, the same list as the Duchess of Bolton in fact. She carries a notebook and pencil in her pocket, as though shes always on the look out for new candidates to add to her list. Algernon thinks that Bunburying should be known to every mans life. He believes that if a man doesnt know about it when he gets married, then hell have a very tedious married life. He believes that, in married life three is company and two is none. Bunbury, as Algernon calls it, is way of making up an imaginary friend/relative and using them as an excuse to get out of town into the country or the other way round. Both Algernon and Jack have invented a imaginary friend/relative to get them out of town and dinner parties. Its this bunburying that causes so much trouble and confusion among the characters. In the play, dinner and meals are mentioned quite a lot. Cecily says, When one is going to lead an entirely new life, one requires regular and wholesome meals, Algernons first conversation in the play with Jack, he asks Jack to dine with him and says, I hate people who are not serious about meals. Most of the lines that are to do with food, are Algernons lines. His character is a very greedy character, food wise that is. Algernon states that, it is customary in good society to take some slight refreshment at five oclock. Nearly every moment in the play he is always eating something, I guess that Wilde, perhaps did this deliberately to make the play more amusing. A dinner party is also a key aspect of their lives. Lady Bracknell is an expert in this and plans her seating plans very carefully. So there is the same amount of men as there is women, so they can all pair up. When Algernon says he cannot attend his Aunts dinner party, Lady Bracknell in turn replies to this, It would put my table completely out, Her husband, instead would have to fill in Algernons place, which she is not too pleased about. This shows that her and her husbands relationship, doesnt seem to be a very strong one and she prefers not to mention Lord Bracknell. Dinner parties are the limelight of the season. Its where everyone went to catch up with news and find a husband/wife. The main characteristics of the character in the play, are their social snoberish, Which they show a lot of in the play. Algernon, when it comes to food and drink, hes quite selfish. He had cucumber sandwiches made especially for his Aunt, but he ends up eating them all. He is allowed them, but no one else is. He finds that not receiving invitations is annoying. Algernon takes his life too easy, he lives in debt and if something goes wrong, he has Lane or another lower class to blame. He thinks it is awfully hard work doing nothing, which is quite the opposite of what most people would think. As he has no job, nothing to occupy himself, it is quite easy to get bored and you realise you need the need of some sort of hobby, events to got to etc. Algernon states that, Relations are simply a tedious pack of people, who havent got the remotest knowledge of how to live This is a bit ironic, as at the end of the play, Algernon discovers that his best friend is in fact his elder brother. The characters find the French as disrespectful and are a bad influence on the English. The Germans, however are more respected. Lady Bracknell, always seem to boast about her social links with people of a high position. When Lady Bracknell finds out there are no cucumber sandwiches, she doesnt mind as she had some crumpets with Lady Harbury, a Lady, probably with a high social position. Lady Bracknell even shares the same list of eligible men as the Duchess of Bolton. There are also several other names of high social stature mentioned by Lady Bracknell in her conversations, Lady Lancing and Lady Dumbleton. Lady Bracknell quotes, That in families of high position strange coincidences are not suppose to occur, referring to the confusion of Jacks true identity. She is trying to say that only the common would find themselves in these inexplicable situations. People, according to Lady Bracknell, are only considered respected, if they are seen at social gatherings and dinner parties. They count as Tories. They dine with us. And Indeed I am told that one of the Mr Markbys is occasionally to be seen as dinner parties. So far I am satisfied. These are examples of this way of judging people by their attendance to social parties, that Lady Bracknell says in the play. People who went to Oxford were said to be truthful people, but this is a lie as Algernon went to Oxford and has told many lies in the play. Algernon says, Literacy criticism should be left to those who didnt go to university, Therefore the ones who could not afford to attend universities, but earn a living from writing critical comments in the newspapers. The uproar between Cecily and Gwendolen, is quite amusing, as they both have to try and control their surge of anger, for the sake of their reputation. They dont want Merriman to see them having a bickering, which could break out into violence, that is not what an upper class lady would do, its something that you would see the lower class do. Gwendolen throws such snoberish comments at Cecily. Sugar is not fashionable anymore, and Cake is rarely seen at the best houses nowadays, which really puts Cecily down. Gwendolen tells Cecily that she hates crowds, which is ironic, as Cecily replies to this, I suppose thats why you live in town? and Gwendolen is furious.

Biological warfare essays

Biological warfare essays There is no longer a question of whether or not a bioterrorist will attack, but rather the question remains, when will they attack? It is highly likely that a terrorist group could threaten or attack Americans with germs within the next few years, according to President Clinton. (Solomon) Biological warfare intentionally uses viruses, bacteria, fungi, or toxins from living organisms and death or disease in humans, animals, or plants. Fermentation can be used to produce such bacterial agents as anthrax, brucellosis, cholera, meloidosis, plague, q fever, or tularemia. Other viral agents are smallpox, cimean congo HF, rift valley fever, and vee. Use of these types of viruses and bacteria are becoming widespread in many areas of the world because they can affect many people efficiently and are cost effective. Biological weapons can ve traced back to Exodus when God placed the ten plagues upon the Egyptians, as a result of Pharaohs refusal to free the Jews from slavery. These plagues included blood, frogs, vermin, flies, murrain, boils, hail, locusts, darkness, and the slaying of the first born. Even though this type of warfare may have had origins as early as Exodus, the methods of making these germs is described in scientific literature and is no secret to terrorists. This germ warfare is an especially serious threat for several different reasons. The first reason is the ability of these germ agents to be undetectable to spy technology. Secondly, the warfare labs that are used to produce these germs are difficult to detect, and major nations sometimes work together collectively to produce these agents for use in warfare. Most importantly, it is against this threat that there may be no defense. Even though bioterrorism has been banned, it poses the greatest threat upon the Western World because of the mobility of their population. For this reason it is necessary for extremists to use ae...

Analysis of a Story’s Satisfaction as Presented by Norman Maclean in His Book, A River Runs Through It

Analysis of a Story’s Satisfaction as Presented by Norman Maclean in His Book, A River Runs Through It Reading is an intimate experience that one shares with a book. You enter the world of the story and live in it while reading. Often times, this experience is so vivid that one would feel as though the experience is realistic. Books are so powerful that they draw the reader into the author’s brain so they can have a close encounter with the story. Readers can create a mental movie while reading, which helps making the experience much more special. Not literally, but you can see all the aspects in which the author includes in his or her story. Seeing goes beyond looking with your eyes, it plays a part with imagining all that the book has to offer. In â€Å"A River Runs Through It† by Norman Maclean, you get to experience the joy of the story within the film and the text. The story is about the summers spent in Missoula, Montana with the Maclean family. There is the dad Reverend Maclean, the mother, and the two brothers Norman and Paul. The narrator Norman explains how fly fishing is like a religion to the young boys in their days. Maclean writes the story in such a descriptive way that you also feel closely connected to them while fishing. The style of writing Maclean uses serves as the passenger seat of a car while he drives us through all of the events in the story. Even when the road got tough, he still managed to steer us in the right direction. In the film, there is a different experience that one has while watching. The film provided more background and character development for more characters than the book did. The book is written through first person narrative; everyone and every experience is described through Norman’s eyes. The film on the other hand is shown through the eyes of the director. Nevertheless, the story was still the same. You got to see more things than the book had to offer. You got to see the unconditional love between the brothers Norman and Paul. There was a scene where the boys got in trouble and they made eye contact with each other. Without any dialogue, so many things were said between the two of them that a book could never capture. There was also a scene in the movie where Norman danced with his love Jessie. By the way he looked at her, you could tell she was the woman of his dreams. He stared at her so deeply that you would really believe that her eyes were the window to her soul. And t o Norman, Jessie’s soul was likely to be the most beautiful soul he’d ever seen. The book provided a very intimate session for me while reading, and I felt as though I got to know Norman personally. Whereas the movie was more closed off and brief. Although both served the same purpose, it served a different experience. In the book â€Å"One Flew Over the Cuckoo’s Nest† by Ken Kesey, you also get to have a close experience with the narrator in the book. The story is about the events that take place inside a psychiatric hospital in Oregon, where we get a personal experience of the structure that the hospital has. While reading the book, you get a sense of how unstable the patients might be due to the slang that was used to write the story. It could also act as the side effects of the drugs that the patients take. One part of the book described how the nurses’ clothes ripped off as she grew into the big monster within the halls of the psych ward. That part served as great imagery and provided a great example of some experiences that the mental patients have. You had the ability to follow along the story with the patients as if you were right there with them. However, the movie provided something much more different. In the book you viewed the patients as mentally unstable people that were in the mental hospital just to get the help that they need and to not be a burden on society. The characters had more personal development in the movie, offering more than just a â€Å"patient† title. We got to hear the inner thoughts and emotions of the characters during their discussion and their reactions to their friends. I saw them more as regular people with an edge, and not crazy people who needed help like the book suggested. There was a powerful scene in the movie where some of the guys revealed that they were voluntary patients who could leave at any moment. They all said that they were there to get the therapy needed and that they were not ready to go back into the real world. This scene showed that these patients are more than what society labels them. We think about the mentally ill and often times assume that they are incapable of d oing much on their own and that they have to be hovered over at all times. We forget that these are real people with real feelings despite their sickness or disabilities they may have. It shows that society has to stop putting labels upon people because we are far more special than any label could ever describe. When reading and viewing text, one can have a range of different experiences. One may enjoy reading better, the other may enjoy watching a movie. The eyes offer more than what we know to be true about them. We use our eyes to see of course, but it goes far beyond that. When we see, we get to analyze and wonder. We analyze what we see, and conjure up thoughts. What does this mean? Where does this come from? Why does this happen? Our eyes allow us to go deeper into books, unearthing all that the story has to offer. You can search forever among the themes, symbols, and metaphors that a story has. Without our eyes, we would not be able to truly see these things. We are oblivious to the powers and talents that we have, but we have to truly look into ourselves to find them.

Cognitive Behavioral Therapy and Interpersonal Psychotherapy Essay

Cognitive Behavioral Therapy and Interpersonal Psychotherapy - Essay Example This essay discusses two leading nursing theories, namely, (1) cognitive behavioral therapy and (2) interpersonal psychotherapy. The first section presents a separate discussion of these two nursing theories. The second section determines the similarities and differences between these two nursing theories in terms of major tenets, concepts, views, techniques, view of pathology/normality, etc. The third section discusses the relevance of these two nursing theories in nursing practice. The fourth section gives recommendations for advanced nursing practice in relation to interpersonal psychotherapy. The last part is the summary and conclusion of the entire paper. Cognitive-Behavioral Therapy Even a quick look at current literature in the discipline of child psychology suggests that the cognitive-behavioral theory has received significant empirical and clinical attention in recent times. Cognitive-behavioral therapy (CBT) has been effectively used in a broad array of medical disorders ex perienced by children, adolescents, and adults, such as learning difficulties, eating disorders, anxiety, and depression. According to Abela and Hankin (2007), cognitive-behavioral therapy is highly recognized for its focus on factors that make individuals vulnerable to emotional and behavioral difficulties, for its emphasis on the importance and function of the social context/environment and family in the growth and continuation of these problems, for its focus on unspoken ideas about the self and how these could affect emotional and behavioral wellbeing, and for its attention to scientific/empirical assessment approaches to psychopathology and the usefulness of treatments or interventions obtained from them. Cognitive therapy is rooted in the idea that behavior is capable of adjusting and that there is a connection between a person’s behaviors, emotions, and thoughts. A primary focus in cognitive-behavioral therapy, especially with adolescents, is on having an accurate know ledge of an individual’s behavioral pattern and the associated perceptual and cognitive components (Abela & Hankin, 2007). Cognitions are defined as â€Å"an organized set of beliefs, attitudes, memories and expectations, along with a set of strategies for using this body of knowledge in an adaptive manner† (Reinecke, Dattilio, & Freeman, 2006, 3). Basically, cognitions denote an individual’s existing ideas or self-awareness, including expectations, values, objectives, attitudes, judgments, memories, and perceptions. It is crucial to take into account each of these factors when trying to understand and treat emotional and behavioral disorders. It is not possible, therefore, to differentiate the cognitive from the social. Cognitive processes are achieved, sustained, and operate in social environments. They are shaped and strengthened by parents, members of the family, and others in the immediate environment of the child, and play an adaptive role in structuring a nd controlling the child’s reactions to traumatic life episodes (Reinecke et al., 2006). This point of view is in agreement with

Investment Finance-II Assignment Example | Topics and Well Written Essays - 2750 words

Investment Finance-II - Assignment Example Answer – 1: HPR, AAR and GAR The company selected for Part - A is AMP Ltd. It is a financial services company headquartered in Sydney, Australia. a) The monthly HPR (Holding Period Returns) can be calculated using the following formula: HPR = (end period value – initial value)/initial value The data for HPR is the adjusted close price of AMP Ltd starting from July 2013 to June 2015. The results of the calculation are summarized graphically below: Variance, standard deviation, maximum and minimum is calculated using the following formulas, Standard deviation = ; in excel, SD = stdev (array of numbers) Variance = (SD)2 Maximum = max (array of numbers) Minimum = min (array of numbers) The results of calculation is summarized and shown below:- The arithmetic average and geometric average of returns are calculated in excel using the functions AVERAGE (array of numbers) and GEOMEAN(array of numbers) and the results are shown below: d) Based on the given problem the number of shares bought are 11,055 as shown below The number of shares is calculated by diving available funds with adjusted close price Based on the given assumptions the total gain will be $ 23,598 as shown below

Recycled Toothbrushes Make Sense Essay Example | Topics and Well Written Essays - 250 words - 1

Recycled Toothbrushes Make Sense - Essay Example The great advantage to Recycline is that they get raw materials for production at free cost in partnering with Stonyfield Farm. It is cost-effective and time saving as it eases the efforts made on collecting raw-materials through this partnership deal. An array of techniques can be applied for the sales promotion of these recycled products. In the current business scenario people are exceedingly influenced or affected by the power of advertisement. The celebrities appear in advertisements have an intangible influence on people as they attract public to the respective products. So deploying contemporary celebrities will certainly increase the sales. Announcing special offers on product sale is an emerging trend these days which Hudson can also implement as one of his marketing tactics. In addition to product offers, giving price reduction during special events can also promote sales at a considerable range. It is very difficult for a firm to withstand in the modern business world without being highly competitive. As the business trends change, business policies should also be changed. For this, entrepreneur must be up to date with appropriate strategies to meet the challenges of market fluctuations. Since consumer based marketing is the core of current businesses, the company can launch regional outlets in order to be available the products as and when required by consumers. House door delivery is also a suggestive method. The company can also make use of Information Technology to provide services to customers and collect feedbacks from them. At the same time company should maintain quality of the

Quranic and Biblical Depictions of Sulayman Research Paper

Quranic and Biblical Depictions of Sulayman - Research Paper Example The author of the paper tells that when comparing the two texts, some key differences in the depiction of Sulayman/Solomon is revealed. Firstly, in the Holy Koran, the emphasis was laid on Sulayman's role as a Prophet, whereas in the Holy Bible he is portrayed as a King. And to go with the notion of a prophet, Sulaiman was endowed with supernatural powers such as the power to move wind. The following select quotations from Abdul Haleem's translation of the Holy Koran illustrates this point: â€Å"And (We made) the wind subservient to Sulaiman whereof the morning course was a months journey and the course a months journey." (54:12) "So We subjected the wind to his power, setting fair by his command whithersoever he intended" (38:36) "And unto Sulaiman, We subdued the wind in its raging. It flows by his order towards the land which We had blessed And of everything We are aware." (21:81)† Seen from an Islamic point of view, one need not see any contradiction in designations such as a Prophet or a King, for, in the Islamic tradition, most Prophets happen to be Kings and vice-versa, including Prophet Muhammad himself. Secondly, in the Holy Koran, Sulayman is said to have lived only 53 years; whereas The Bible suggests that he lived longer than that. Other minor differences in the two versions pertain to minor linguistic differences such as King David (the father of Solomon) being referred to as Prophet Daud in the Holy Koran. As for similarities, the historical/religious character in question is said to have gathered knowledge from his illustrious father.

Politics course work Essay Example | Topics and Well Written Essays - 1000 words - 1

Politics course work - Essay Example The main principles of the cabinet government are as follows. The monarch (Queen Elizabeth II) has the power to appoint or dismiss any ministers to the government, although this is usually done ‘on the advice of the Prime Minister’ (Heyward, 2008, p20), meaning that the monarch has very little political influence. When these changes are made, this is referred to as a reshuffle, something which generally happens on a yearly basis. The cabinet are generally chosen from the current Prime Minister’s own political party, with the shadow cabinet – those who hold a corresponding role to those in the cabinet – being formed of the official opposition (the largest non-Governmental party, currently the Labour Party) (Heyward, 2008, p17). The various titles and duties held by the members of the cabinet (and the corresponding shadow cabinet) change depending on the demands of the UK population and the views of the currently elected premier. The currently appointe d cabinet government have weekly meetings to discuss potential and actual policy changes. These weekly meetings have ensured that the Institute of Government see the cabinet government as having a reduced capacity as a decision-making body (Blick & Jones, 2010, p97) due to their infrequency and short length. Despite this, however, it is the cabinet that makes policy decisions and thus hold all responsibility for these decisions. The various ministers and secretaries within the cabinet must exhibit public support for the decisions made for the government and all policy choices must be made collectively. In practise, many decisions can be and are delegated to the sub-committees of the cabinet, such as education, who carry out all research, present findings and seriously influence the final choice of the governmental cabinet (Heyward, 2008, p14). As previously mentioned, the cabinet is generally chosen from members of the current Governmental party, such as the Labour Party under Tony Blair (Kavanagh et al., 2006, pp32-34). The current Governmental party is chosen using the first-past-the-post system – the party with the most seats gains power, despite how many votes they may have in total. This system requires that the winning party holds at least 326 seats in Parliament to hold a majority, or else a hung parliament will occur. In the event of a hung parliament, it is necessary to create a coalition government of two or more political parties so that the total number of seats held by these parties totals at least 326. In the case of the 2010 elections, the Conservative Party won 306 seats and formed a coalition with the Liberal Democrats, who won 57 seats, giving a total of 363 seats. The shadow cabinet is thus formed from members of the Labour Party, who hold a total number of 258 seats (BBC News, 2010). The creation of this coalition government means that the current cabinet is formed from members of both the Conservatives and the Lib Dems. There are 18 cabinet ministers or secretaries from the Conservative Party and 5 from the Liberal Democrats (BBC News, 2010). This ratio must be maintained throughout Cameron’s premiership – if a Liberal Democrat leaves cabinet, another must be appointed in their place (Daily Telegraph, 2010). The traditional role of Prime Minister has also been affected – David Cameron currently holds the office, but Nick

Discuss weber's concept of ideal types in political authority, with Essay

Discuss weber's concept of ideal types in political authority, with reference to real world examples - Essay Example According to Weber, â€Å"authority is power accepted as legitimate by those subjected to it. Weber outlines three forms of authority in modern societies: traditional, charismatic, and rational-legal. These forms of authority are ideal pure types that are rarely â€Å"pure† in real life†. Political system has a rational nature and it gives political authority a legal outlook. The people who govern have been given the right to do so. The people who are subordinate believe in the actions taken by leaders trusting in their right of action. Every society has people in different position to govern the system. During the second First World War Weber raised as major critic to the government’s war policies. Marx writing had central focus on inequality and he considered it to be an inevitable part under capitalism(Laundy ,p 55,1988)After the end of the war the Germany found in Weber a statesman and an intelligent leader.Thus according to Weber they are traditional, charismatic and rational- legal. â€Å"Webers three kinds of ideal types are distinguished by their levels of abstraction† (Coser,1977). It is very essential to understand which factors lead to the formation of different kind of leaders in the world. They are from different field of activities like political, spiritual, cultural entertainment etc. Weber details different types of ideal political authorities in order to show their genuine nature. The following are the ideal types of Weber’s political authority. According to traditional way the authority is transferred by custom or religious means. .The practice of authority is in a dictator mode and it is passed on from past. In this case the power of the authority is not challenged by the subordinates. It can be made up from cultural or spiritual aspects. They have a dominant status as the power is being given from past authority. The people are more obedient to these leaders as this system is being

Politics course work Essay Example | Topics and Well Written Essays - 1000 words - 1

Politics course work - Essay Example The main principles of the cabinet government are as follows. The monarch (Queen Elizabeth II) has the power to appoint or dismiss any ministers to the government, although this is usually done ‘on the advice of the Prime Minister’ (Heyward, 2008, p20), meaning that the monarch has very little political influence. When these changes are made, this is referred to as a reshuffle, something which generally happens on a yearly basis. The cabinet are generally chosen from the current Prime Minister’s own political party, with the shadow cabinet – those who hold a corresponding role to those in the cabinet – being formed of the official opposition (the largest non-Governmental party, currently the Labour Party) (Heyward, 2008, p17). The various titles and duties held by the members of the cabinet (and the corresponding shadow cabinet) change depending on the demands of the UK population and the views of the currently elected premier. The currently appointe d cabinet government have weekly meetings to discuss potential and actual policy changes. These weekly meetings have ensured that the Institute of Government see the cabinet government as having a reduced capacity as a decision-making body (Blick & Jones, 2010, p97) due to their infrequency and short length. Despite this, however, it is the cabinet that makes policy decisions and thus hold all responsibility for these decisions. The various ministers and secretaries within the cabinet must exhibit public support for the decisions made for the government and all policy choices must be made collectively. In practise, many decisions can be and are delegated to the sub-committees of the cabinet, such as education, who carry out all research, present findings and seriously influence the final choice of the governmental cabinet (Heyward, 2008, p14). As previously mentioned, the cabinet is generally chosen from members of the current Governmental party, such as the Labour Party under Tony Blair (Kavanagh et al., 2006, pp32-34). The current Governmental party is chosen using the first-past-the-post system – the party with the most seats gains power, despite how many votes they may have in total. This system requires that the winning party holds at least 326 seats in Parliament to hold a majority, or else a hung parliament will occur. In the event of a hung parliament, it is necessary to create a coalition government of two or more political parties so that the total number of seats held by these parties totals at least 326. In the case of the 2010 elections, the Conservative Party won 306 seats and formed a coalition with the Liberal Democrats, who won 57 seats, giving a total of 363 seats. The shadow cabinet is thus formed from members of the Labour Party, who hold a total number of 258 seats (BBC News, 2010). The creation of this coalition government means that the current cabinet is formed from members of both the Conservatives and the Lib Dems. There are 18 cabinet ministers or secretaries from the Conservative Party and 5 from the Liberal Democrats (BBC News, 2010). This ratio must be maintained throughout Cameron’s premiership – if a Liberal Democrat leaves cabinet, another must be appointed in their place (Daily Telegraph, 2010). The traditional role of Prime Minister has also been affected – David Cameron currently holds the office, but Nick

Ocean Carriers Essay Example for Free

Ocean Carriers Essay Iron ore and coal imports will most probably decrease the upcoming year With the increasing supply of vessels should result in a market surplus By creating this surplus, prices will be driven down, since we will have limited demand and suppliers competing Average daily rates, based on historical numbers, have a direct relationship with the number of shipments. Only Accept the project if we sell after 25 years in a tax free environment Reject all of the following; sell after 15 years in both a tax and tax free environment, also after 25 years with a tax environment The longer the wait to sell; the better How Long Should Vessels Operate? The company’s current policy is to not operate ships older then 15 years old If Ocean Carrier operates for 25 years the NPV will be higher then if they operate for 15 years and sell the scrap metal (,368,557 vs. $2,238,411) The present value of the future cash flows exceeds the value of selling the scrap metal 10 years earlier. Hence there is greater value operating the vessel for an additional 10 years/ Iron and coal’s demand is expected to increase annually and the charter rates are expected to increase by annually for the life of the vessel. The company can generate more income if they decide to operate the ship for an additional 10 years.

Examination of the Cardiovascular System

Examination of the Cardiovascular System The child should be undressed appropriately to the waist. In the older child, the examination easily performed with the patient sitting over the edge of the bed or even on a chair. Preferably, examine the younger child on the parents lap. Removing a toddler from his parents is less likely to yield good clinical signs and more likely to yield a screaming child. For examination of femoral pulses, the child should be in the supine position. Warm your hands by rubbing them against each other. STEPS OF THE TASK You should use the middle three fingers of your dominant hand to palpate the pulses against the underlying bone. The finger tips are used for palpation as they have maximum sensitivity. While palpating, the artery is stabilized by the proximal and distal fingers and the thrust of the pulse is felt by the middle finger. Partial occlusion of the artery by the distal finger improves the thrust of the pulse wave on the middle finger. Palpate all the pulses listed below first on the right and then on the left side. Always compare the respective pulses on both sides except the carotids. In case of carotids, palpitating both sides can induce cerebral ischemia and can cause the patient to faint. Carotid (dont palpate both sides simultaneously) Palpated at the level of thyroid cartilage along the medial border of the sternomastoid muscle either with finger tips or thumb (left thumb for the right side and vice versa) Brachial Palpated with the elbow flexed along the medial aspect of the lower end of the arm Radial felt at the lower end of the radius on the anterior aspect of the wrist, medial to the styloid process with the patients forearm slightly pronated and wrist semiflexed Femoral (DO NOT FORGET FEMORALS) felt in the middle of the groin with the leg slightly flexed and abducted and foot externally rotated. Dorsalis pedis can be felt on the dorsum of the foot lateral to the extensor hallucis tendon in the middle third of the foot Posterior tibial felt posterior to the medial malleolus and anterior to the Achilles tendon. For assessing the pulse rate, use brachial pulse in an infant or toddler and radial pulse in older children While counting the pulse rate, count for 15 seconds and multiply by 4. But tell the examiner that ideally, you would like to count for one minute. However, if the pulse is irregular, then count for one full minute and also count the heart rate by auscultation. Rhythm while looking for the rhythm, one looks for the gap between the pulse waves and comment on their regularity. Volume This is a highly subjective sign. It describes the thrust (expansion) of the pulse wave and reflects the pulse pressure. If high volume, always check for collapsing nature. (Hold the right forearm of the patient by your hand in such a way as the radial artery is under the head of the metacarpals of our hand. Lift the patients entire upper limb vertically by 90à ¯Ã¢â‚¬Å¡Ã‚ °and feel for the sudden and exaggerated rise and fall of the pulsations of radial artery.) Character This describes the form of the wave and various types are decided by the rise, peak and waning of the wave. It is best appreciated in carotids. Radio femoral delay (femoral pulse appears following a time delay after radial suggests coarctation of aorta) POST- TASK Make sure you dont leave the child exposed. Thank the child/ parent for co operation if no further examination is planned VIGNETTE Characteristics of pulse should be described as follows Rate Rhythm Volume Character Symmetry Radio-femoral delay Rate Comment on rate as normal, tachycardia or bradycardia based on age specific heart. In general, for children over 3 years of age pulse rate >100 beats per minute is tachycardia and pulse rate Tachycardia has poor specificity and always make sure child is not anxious/ febrile before attributing significance Bradycardia in a child is usually point to underlying pathology once exercise (athletes), drug intake (Digoxin, beta blockers) is ruled out. Rhythm Reported as regular, Regularly irregular and Irregularly irregular Regular there is a normal variation of heart rate on breathing sinus arrhythmia. It is present in most children. Regularly Irregular: abnormal beats occur at regular intervals pulsus bigeminus, coupled extrasystoles (digoxin toxicity), Wenckebach Phenomenon Irregularly Irregular no specific gaps between the waves Extrasystoles are common in normal children and disappear with exercise. Atrial fibrillation is another common condition which causes an irregularly irregular pulse. Comment on the pulse deficit i.e. the difference between heart rate and pulse rate Volume High volume anemia, carbon dioxide retention or thyrotoxicosis Low volume pulse is seen in low cardiac output states. Character Slow rising and plateau (pulsus parvus et tardus) severe aortic stenosis Collapsing pulse e.g. aortic incompetence Pulsus Paradoxus- pulse is weaker or disappears on inspiration e.g. Constrictive pericarditis, tamponade, status asthmaticus Jerky pulse normal volume, rapidly rising and ill sustained.-suggestive of hypertrophic obstructive cardiomyopathy Pulsus bisferiens two peaks felt during systole, seen in the presence of moderate artic stenosis and severe aortic regurgitation Pulsus alternans Pulse wave with alternate small and large waves seen in severe left ventricular failure and arrhythmias Symmetry Unequal or absent pulses may be suggestive of previous surgery e.g. Blalock-Taussig shunt, repaired coarctation, cervical rib or absent radial pulse OSCE CHECKLIST PRIOR TO THE TASK Hand washing or using alcohol rub Asks the name and age of the child, if already not told by the examiner Explains the purpose of his/ her visit and what he/ she is going to do Positions the patient appropriately TASK Uses the middle three fingers of the dominant hand to palpate the pulses Palpates all the pulses first on one side and then on the other side Compares pulses bilaterally Does not palpate the carotids simultaneously Counts the pulse rate at least for 15 seconds If pulse is irregular, then counts for one full minute and also counts heart rate Looks for Radio femoral delay While describing the pulse, comments on rate, rhythm, character, volume, symmetry and radio-femoral delay POST- TASK Makes sure that the child is not left exposed Thanks the child / parent for co operation Task: MANUAL Measurement of blood pressure PRIOR TO THE TASK Mercury sphygmomanometer should be used as aneroid sphygmomanometer loses accuracy on repeated usage. Choose the appropriate size cuff the cuff bladder should cover at least 2/3 of the length of the arm and 3/4 of the circumference . Cuff size should always be documented. Make sure that the child is calm and not crying or agitated Child can be either seated or in the supine position Any clothing over the arm should be removed THE TASK The convention is to measure BP in the right arm in a calm but awake subject. If conditions differ from this they should be documented with the reading. The elbow should be supported and flexed and should be at the level of the heart. The cuff is wrapped around the upper arm with the bladder centered over the middle of the arm. Approximate estimation of the systolic blood pressure is done initially by inflating the cuff fully and then deflating slowly and smoothly while palpating the radial pulse. Systolic blood pressure is noted at the point when the radial pulse returns. Following this, the blood pressure is recorded by auscultatory method which is the more accurate measure. The diaphragm of the stethoscope is placed over the brachial artery along the medial aspect of the lower end of the arm below the edge of the cuff. The cuff should be inflated to 30 mm above the palpatory systolic blood pressure and then deflated slowly and smoothly at the rate of 2-3 mmHg per second. Systolic blood pressure is recorded at the point when clear, repetitive tapping sounds are just heard. Diastolic blood pressure is recorded when the sounds disappear. In some children, instead of disappearing, the sounds muffle first before disappearing. In this case, the value at which the sounds muffle should be recorded as the diastolic pressure if the difference between the point of muffling and disappearance of the sounds is greater than 10 mmHg. POST- TASK Make sure you do not leave the child exposed. Thank the child/ parent for co operation if no further examination is planned While interpreting the readings, the state of the child should be taken into account. Values should be compared to normal values with reference to the age/height and sex of child. VIGNETTE In infants, instead of radial, brachial pulse should be palpated. Sometimes, auscultation can be difficult in infants in which case systolic pressure by palpation should be documented. If measuring a lower limb pressure, the same cuff can be applied to the lower leg and a foot pulse palpated. It is advisable to measure the blood pressure in both upper and lower limbs. When coarctation is suspected, it is imperative that blood pressure is recorded in both arms and one leg. The same should be done is cases of hypertension and in those who have had shunt surgeries as in Blalock Shunt. While recording blood pressure in the lower limb, a larger appropriate size cuff should be used and auscultation is done over the popliteal artery. The sounds which are heard while auscultating are called as Korotkoffs sounds and has five phases. Phase 1 is the first heard clear, tapping sound, phase 2 is intermittent murmur like sound, phase 3 is the loud tapping sound, phase 4 is the muffling of sounds and phase 5 is disappearance of the sounds. Occasionally, the sound might disappear after the Korotkoff sound phase 1 before reappearing later. This auscultatory gap can lead to either underestimation of the systolic blood pressure (if prior estimation of blood pressure by palpation is not done) or overestimation of diastolic blood pressure is the auscultation is not continued till the end. In atrial fibrillation, phase 4 of Korotkoff sound should be used for recoding diastolic blood pressure. Pulsus paradoxus is best appreciated while recording blood pressure by auscultation and is identified by recording the value at which the tapping sounds are heard only during expiration and the value at which the sounds are heard both during inspiration and expiration. When the difference between the two values is greater than 10 mmHg, pulsus paradoxus is said to be present. Pulse pressure is the difference between systolic blood pressure and diastolic blood pressure. A weak pulse is associated with narrow pulse pressure and is seen in cardiac failure, shock, aortic stenosis and constrictive pericarditis. Pulse pressure is wide in aortic regurgitation, hyperthyroidism, anemia and febrile states. OSCE CHECKLIST PRIOR TO THE TASK Washes hands or uses alcohol rub Explains the purpose of his/ her visit and what he/ she is going to do Positions the patient appropriately Chooses mercury sphygmomanometer Chooses the appropriate size cuff Removes any clothing over the arm TASK Supports the elbow and keeps it at the level of the heart. Wraps the cuff around upper arm with the bladder centered over the middle of arm Estimates systolic blood pressure by palpatory method Uses brachial pulse in infants for palpatory method Estimates systolic blood pressure by auscultatory method Uses diaphragm of the stethoscope for auscultation POST- TASK Makes sure that the child is not left exposed Thanks the child / parent for co operation Records blood pressure as estimated by palpatory and auscultatory method including the site and the position of the child Interprets the blood pressure Task: Evaluation of jugular venous pulse PRIOR TO THE TASK The room should be adequately lit for the assessment of jugular venous pulse The patient should be in semi-reclining position with the trunk at 45à ¯Ã¢â‚¬Å¡Ã‚ ° to the bed. The head and the back should be well supported with a pillow under the head. The head should be positioned in the midline THE TASK Stand on the right side of the patient and assess the jugular venous pulse. The torch should be shined from the left in an oblique direction and the jugular pulsation is observed Jugular venous pulse is located just lateral to the clavicular head of the sternomastoid muscle. Pulsations of the jugular veins should be differentiated from the carotid pulsations as discussed below. The jugular venous pressure is assessed by measuring the vertical distance between the top of the jugular venous pulsations and the sternal angle (angle of Louis). In cases where the top of the jugular pulsations is not visible at 45à ¯Ã¢â‚¬Å¡Ã‚ °, increasing the reclining angle up to 90à ¯Ã¢â‚¬Å¡Ã‚ ° can make the top of the pulsations obvious. The assessment is done when the child is breathing quietly Look for hepato-jugular reflex. This performed by exerting firm and sustained pressure on the right upper quadrant of the abdomen and looking for an elevation in the jugular venous pressure by 2-3 cm. POST- TASK Make sure you do not leave the child exposed. Thank the child/ parent for co operation if no further examination is planned VIGNETTE Assessment of jugular venous pressure is rarely important in the younger child. It is also difficult to obtain an accurate reading because of the short neck in children It can be generally measured easily if the child is greater than 10 years Jugular Venous Pulsation Carotid Pulsation Pulse lateral to sternomastoid Pulse medial to sternomastoid Better seen Better felt Multiple waves seen Single wave Abdominal pressure makes the pulsations prominent Abdominal pressure has no effect Valsalva maneuver makes the pulsations prominent Valsalva maneuver has no effect Can be obliterated with pressure Cannot be obliterated with pressure The right jugular vein is in a straight line with the right atrium and is more likely to show the pressure effects than the left jugular vein which has more tortuous course and is more likely to kinked. This can lead to false elevation of the jugular pressure. In patients with highly elevated JVP, the pulsation may be seen only below the angle of jaw. In such cases, increasing the reclining angle to 60à ¯Ã¢â‚¬Å¡Ã‚ ° or more makes the pulsations more obvious. Turning the head slightly towards the contralateral side can make the pulsations prominent, if the pulsations are not obvious. JVP consists of a, c and v waves and x and y descent. a wave is due to right atrial contraction, c wave is due to bulging of the tricuspid valve and v wave is due to atrial filing. x descent is due to atrial relaxation and y descent results from ventricular filling and tricuspid valve opening. The sternal angle (angle of Louis) is taken as the reference point as it roughly corresponds to the middle of the right atrium. JVP is elevated in congestive cardiac failure, fluid overload, constrictive pericarditis, pericardial tamponade, tricuspid stenosis and tricuspid regurgitation. Non-pulsatile elevation of JVP is seen in superior vena cava obstruction. a wave are absent in atrial fibrillation. Large a waves: are caused either by hypertrophied right atrium in response to decreased right ventricular compliance as in pulmonary hypertension and pulmonary stenosis or contraction of atrium against resistance as in tricuspid stenosis. Cannon a waves are giant a waves seen in early systole and is caused by contraction of the atrium against a closed tricuspid valve. It is usually seen in complete heart block and ectopics. Large v waves are seen in tricuspid insufficiency. Sharp x and Sharp y descents are seen in constrictive pericarditis and restrictive cardiomyopathy. OSCE CHECKLIST PRIOR TO THE TASK Washes hands or uses alcohol rub Explains what he/ she is going to do Makes sure that the room is adequately lit Positions the patient in semi-reclining position with the trunk at 45à ¯Ã¢â‚¬Å¡Ã‚ ° to the bed Supports the head with pillow to ensure relaxation of the neck Positions the head in midline TASK Stands on the right side of the patient and assesses the right jugular venous pulse. Locates the jugular pulse correctly If the jugular pulse is not obvious, then makes it obvious by turning the head slightly to the left and shines the torch from left obliquely if necessary Measures the jugular venous pressure correctly Looks for hepato-jugular reflex. POST- TASK Makes sure that the child is not left exposed Thanks the child / parent for co operation Lists the differences between carotid pulse and jugular pulse Task: general inspection of the body with reference to cardiovascular system PRIOR TO THE TASK Introduce yourself to the child and carer and ask for permission to examine For inspection, the room should be well lit. Ensure that the lights are turned on and the windows are open The child should be undressed appropriately to the waist. In older child, the examination is easiest to perform while they sit over the edge of the bed or even on a chair Examine the younger child on the parents lap. STEPS OF THE TASK LOOK GENERAL General well being Well/ Ill looking child Interest in the surroundings Sick child will not be interested Size of the child thin small, thin tall, well nourished and tall, well nourished and short. Degree of breathlessness classify as none, mild or severe Environment (Equipment) oxygen mask, nasal cannula, intravenous catheter, pulse oximetry, feeding tube/ gastrostomy, LOOK SPECIFIC Head look at the size (microcephaly or macrocephaly) and shape (dolichocephaly) Face Normal or dysmorphic features, malar flush Conjunctiva pallor, jaundice (refer chapter on general examination) Mouth Using the pen torch, take a quick look in the mouth and look for the presence of age appropriate teeth, abnormal teeth and caries. Ask the child to stick their tongue outwards and upwards towards the nose and examine the tongue for central cyanosis. Hands and fingers pallor; clubbing; polydactyly and syndactyly; Oslers nodes; Janeway lesions; splinter haemorrhages. Examine both the hands quickly. Difference in colour between limbs POST- TASK Make sure that the child is not left exposed Thank the child / parent for cooperation VIGNETTE Always think whether the findings combine to form a recognizable clinical syndrome. It is preferable to inspect the child in sunlight than in artificial light. Children with chronic cardiac conditions are usually thin and small for age. Breathlessness is classified as mild when the child has only chest recession, and there is no contraction of sternocleidomastoid or nasal flaring and severe when all three are present Microcephaly can be associated with some of the intrauterine infections and genetic disorders like congenital rubella syndrome and Edwards syndrome Dolichocephaly (increased antero-posterior diameter) is seen in ex-preterms Syndromes with dysmorphic facial features Downs syndrome almond shaped eyes (due to epicanthal folds); Brushfield spots (light colored spots in the iris); small, flat nose; small mouth with a protruding tongue; small, low set ears; round faces; flat occiput Turners syndrome prominent, posteriorly rotated auricles with looped helices and attenuated tragus; infraorbital skin creases; mildly foreshortened mandible Williams syndrome broad forehead; short nose with broad tip; full cheeks; wide mouth with full lips Noonans syndrome downwards slanting eyes with arched eyebrows; epicanthal folds; broad forehead; nose with wide base and bulbous tip; pointed chin Marfans syndrome long, thin face; deep-set eyes; down-slanting palpebral fissures; receding chin; dolichocephaly; malar hypoplasia; enophthalmos DiGeorge syndrome small ears; asymmetric facies; small mouth and chin Malar flush plum coloured malar eminences Hutchinson (conical) incisor is seen in congenital syphilis (patent ductus arteriosus) and enamel hypoplasia in Ellis-van Creveld Syndrome (atrioventricular canal, ventricular septal defect, atrial septal defect, and patent ductus arteriosus). Caries tooth may be a cause of infective endocarditis in congenital heart disease. In preaxial polydactyly, the extra digit is on the radial (thumb) side while in postaxial polydactyly, it is on the ulnar (little finger) side of the hand. Oslers nodes are painful, red, raised lesions found on the hands and feet and is seen in infective endocarditis Janeway lesions are nontender, macular lesions, most commonly involving the palms and soles and seen in infective endocarditis. Splinter hemorrhages appear as narrow, red to reddish-brown lines of blood that run vertically under nails. Splinter hemorrhage can be associated with infectious endocarditis, systemic lupus erythematosus, and trauma OSCE CHECKLIST PRIOR TO THE TASK Washes hands or uses alcohol rub Explains what he/ she is going to do and ask for permission to examine Positions and exposes the child appropriately Makes sure that the room is adequately lit TASK Looks for the following general points General well being Interest in the surroundings Size of the child Degree of breathlessness Environment (Equipment) Looks for the following specific points Head size and shape Face Conjunctiva Mouth Hands and fingers Difference in colour between limbs POST- TASK Makes sure that the child is not left exposed Thanks the child / parent for co operation Task: INSPECTION OF THE CHEST PRIOR TO THE TASK Introduce yourself to the child and carer and ask for permission to examine For inspection, the room should be well lit. Ensure that the lights are turned on and the windows are open The child should be undressed appropriately to the waist. In older child, the examination is easiest to perform while they sit over the edge of the bed or even on a chair Examine the younger child on the parents lap. STEPS OF THE TASK Look tangentially from foot end of the bed in supine patients and from the sides in sitting patients. Look for the following and comment Shape of the Chest symmetrical or asymmetrical Symmetry of chest expansion Scars Pulsations Observe for apical impulse, parasternal, suprasternal, epigastric pulsations. Spine for scoliosis POST- TASK Make sure that the child is not left exposed Thank the child / parent for cooperation VIGNETTE Common asymmetrical chests Pectus carinatum: also called pigeon chest, deformity of the chest characterized by protrusion of the sternum and ribs. It may occur as congenital abnormality or in association with genetic disorders such as Marfans syndrome, Morquio syndrome, Noonan syndrome, Trisomy 18, Trisomy 21, homocystinuria, and osteogenesis imperfecta. Pectus Excavatum: also called funnel chest, deformity of the anterior wall of the chest producing sunken appearance of the chest. It may occur in rickets, Marfans syndrome and spinomuscular atrophy. Harrisons sulcus: horizontal indentation of the chest wall at the lower margin of the thorax where the diaphragm attaches to the ribs. It may occur in conditions with increased pulmonary blood flow or chronic asthma. Scars: lateral thoracotomy scar results from closure of patent ductus arteriosus, tracheoesophageal fistula repair and Blalock Taussig shunt. Central sternotomy scar is seen after open heart surgery and lobectomy. Children can have drainage scars in epigastrium, subclavian/axillary scars from pacemakers and scars following cardiac catheterization in the groin and neck. Pulsations: Apical impulse will be shifted peripherally due to cardiomegaly, collapse of left lung or fluid in the right pleural cavity Parasternal pulsations can occur due to right ventricular enlargement or enlarged left atrium pushing the right ventricle. The most common cause of suprasternal pulsations is dilated aorta due to aneurysm or markedly increased blood flow. Epigastric pulsation may be seen in thin children, right ventricular hypertrophy and abdominal aneurysm. Scoliosis should be looked for in the standing and not in sitting position OSCE CHECKLIST PRIOR TO THE TASK Washes hands or uses alcohol rub Explains what he/ she is going to do and ask for permission to examine Positions and exposes the child appropriately Makes sure that the room is adequately lit TASK Looks tangentially from foot end of the bed in supine patients and from the sides in sitting patients Looks for the following points and comments Shape of the Chest Symmetry of chest expansion Scars Apical impulse, parasternal, suprasternal, epigastric pulsations Spine for scoliosis POST- TASK Makes sure that the child is not left exposed Thanks the child / parent for co operation Task: PALPATION OF THE CHEST PRIOR TO THE TASK Introduce yourself to the child and carer and ask for permission to examine The child should be undressed appropriately to the waist. Position the older child so that they sit over the edge of the bed or lie down on the couch Examine the younger child on the parents lap. Warm your hands for palpation STEPS OF THE TASK Be gentle with palpation Apical Impulse: Place the palm of the whole hand flat over left chest wall to get a general impression of the point of maximal impulse. Next, lay the ulnar border of the hand on the chest parallel to rib space where the impulse was felt and try to locate the apex. Finally palpate with the fingertip of the index or middle finger to localize the apical impulse and define its character. Use the left hand to palpate the carotid artery to time the apical impulse. With the finger of the right hand still in place over the apex beat, palpate the manubriosternal joint (angle of Louis) which is present just below the suprasternal notch and is felt as a prominence with the left hand. It corresponds to the second intercostal space. Slide the index finger and count down the next few intercostal spaces until you locate the intercostals space that is level with the apex beat. Look at the position of the apex with reference to the midclavicular line. If the apical impulse is not readily palpable in the supine position, ask the child to lie on their left side. If the apex beat is not still palpable, try on the right side in case of dextrocardia. Parasternal pulsation and heave: With the fingertips, palpate over the left sternal edge to find the parasternal pulsations. With the child lying in supine position, place a pencil lateral to the left sternal edge and look tangentially for lifting of the pencil. Next, place the base of your hand just lateral to the left sternal edge and palpate for a parasternal heave. If parasternal heave is present, try suppress it by exerting pressure with base of the hand. Thrills are best felt with fingertips. Time the thrill with carotid or brachial pulse. Palpate the following areas. Apex of the heart 3rd to 5th intercostal space along the left sternal border Pulmonary area (left second intercostal space) Aortic area (right second intercostal space) Suprasternal area Carotids POST- TASK Make sure that the child is not left exposed Thank the child / parent for cooperation VIGNETTE Apical impulse is the farthest inferior and lateral maximal cardiac impulse on the chest wall. It results from the heart rotating, moving forwards and striking against the chest wall during systole. Apical impulse is normally felt in the 4th left intercostal space on the midclavicular line. It may be difficult to palpate in obese children and in pericardial effusion. Displaced apex Tension pneumothorax and pleural effusion (push apex away from the lesion) Pulmonary fibrosis and collapse (pull towards the side of the lesion) Left ventricular hypertrophy apex is displaced down and out Right ventricular hypertrophy apex is displaced outwards Skeletal abnormalities Quality of apical impulse (normal apex lifts the palpating fingers briefly) Sustained (increased amplitude and duration) pressure overload (aortic stenosis) Hyperdynamic or forceful (increased amplitude but not duration) volume overload (mitral incompetence and aortic incompetence) Tapping palpable first heart sound of mitral stenosis Parasternal pulsations Palpable 2nd heart sound reflects pulmonary hypertension. Parasternal heave is present in right ventricular hypertrophy or left atrial enlargement pushing the right ventricle. There are three grades of parasternal heave Grade I heave identified by lifting of the pencil alone and not the heel of the hand Grade II easily identified, can be suppressed with pressure Grade III lifts the heel of the hand and cannot be suppressed with pressure Thrill is a palpable murmur that felt like a purring cat. While describing the thrill, describe the site and phase of cardiac cycle. When thrill is present, the accompanying murmur is by definition at least 4/6 in intensity. OSCE CHECKLIST PRIOR TO THE TASK Washes hands or uses alcohol rub Explains what he/ she is going to do and ask for permission to examine Positions and exposes the child appropriately Warms hands before TASK Palpates gently Apical Impulse Places the palm flat over left chest wall to get a general impression Keeps the ulnar border of the hand parallel to rib space Palpates with the fingertip to locate the apical impulse Palpates the carotid artery