Friday, January 24, 2020

Midsummer Nights Dream :: essays research papers

Midsummer Night’s Dream Questions and Answers 1. What does Shakespeare accomplish by setting most of the action at night and in the wood? Explain thoroughly. Use examples. Setting most of the action at night and in the woods creates a dreamlike world. There is no other place that holds more myth than the forest. Obernon makes clear that nighttime is fairies’ time. Theseus, who is present during the daylight, represents reason.The visions of fairies and magic are all related to the nighttime forest setting. Shakespeare was interested in how dreams worked, in how the events in the play transpired, and how time seems to change and loses track. Throughout the entire play, the young lovers are overcome by the magical power of the woods. They are put into a situation that is unrealistic which leads to bizarre mishaps. Even uncanny incidents happen to the fairies of the woods. Titania is put under a love spell and falls in the love with the ass-headed Nick Bottom. Puck reminds us in the end that if the play has offended anyone, they should simply remember it as being a dream. This helps make the play an incredible occurrence, rather than an intense dra ma. 2. Explain how Theseus represents the voice of reason and moderation. Be specific. Use examples and quotes (include act and line numbers) Theseus represents the voice of reason and moderation in the play because he seems to be the only normal character left. He only appears in the play during the daytime, when nothing magical occurs. He is the only character who shows complete sanity in the dreamlike fantasy world around him. He is the Duke of Athens so many people come to him with their problems. When Egeus comes to Theseus about the problem he is having with his daughter, Hermia, Theseus takes power over the situation. He explains to Hermia that if she goes against her father’s rules, by his words, she will be sentenced to death or sent to a convent. (Act 1, Scene 1, Pages 4 and 5, Lines 30-34). He states, â€Å"For you, fair Hermia, look you arm yourself to fit your fancies to your father’s will; Or else the law of Athens yields you up,- which by no means we may extenuate,- to death, or to a vow of single life.† Hermia is so in love that she can not make a reasonable decision, so she runs off in to the imaginative woods with Lysander.

Wednesday, January 15, 2020

Graded Unit Essay

As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation. After consultation with my work experience mentor and lead lecture (appendix 1 and 2) it was agreed, the project will be a nursing activity, weighing a patient , which will be carried out within an ambulatory care settings which is my current placement . This will take place on Monday the 22nd of April. The chosen activity is a part of the patients’ treatment care plan and its aims maintaining patient’s safety related to correct medicine administration as well as to detect potential side effects associated with pharmacological treatment. In accordance with applicable law (Data Protection Act 1998) and to maintain patient confidentiality and privacy the name of the patient has been changed. I will be referring to the patient as Cinderella. The patients’ personal information had been obtained with her consent and knowledge (NMC Code of Conduct 2008). Cinderella is a 26 years old patient attending the Peter Burnt Centre at Aberdeen Royal Infirmary where she has been receiving Hepatitis C (HCV) treatment since November 2012. Cinderella lives alone in high rise block of flats in one of Aberdeen City Council estate. She left school at the age of sixteen with no qualifications and used drugs for several years. She was brought up by single parent – her mother, and has no siblings. With the help from local drug rehabilitation team she managed to stop using drugs for five years. Currently she works as a housekeeper on a part time bases in one of the hotels in the city centre. Recently, she has reduced the number of working hours due to the side effects of medication which make her feel very tired. She also complains of an upset stomach and lack of appetite. After having a chat with Cinderella she has told me that her social life and circle of friends is quite limited as her income is now much lower. She also mentioned that is quie t difficult to make new friends while you have drug use history. When speaking to Cinderella it became evident to me that being HCV positive makes her feels worse than others and reminds her of when she was using drugs. It is well  evidenced that people who have both; history of drug use and disease which can be sexually transmitted such is HCV, are likely to experience stigma and discrimination in their life (Gilman 1999).Stigma and discrimination are socioeconomic factors which have a damaging health, social and financial consequences (Nursing Standard 2008). It is believed that those who are stigmatised and discriminated are more likely to have a lower income and due to this cannot afford to purchase better quality food, better housing, live in safer environments and have worse access to healthcare and education. Cinderella’s low socioeconomic status and negative social attitudes evidently put her physical and mental wellbeing at risk. Stigma and discrimination may relate to Social Symbolic Interaction Theory and in particular to the i dea of labelling and its negative impact on people behaviour and self- concept (Miller J, Gibb S 2007). This would also fit with Carl Rodgers Person- Centred Theory and his idea of self- concept. Self –concept in other words is how we perceive and value our self. Rogers believes that humans need a positive environment to achieve fulfilment in their lives. In Cinderella’s case both her socioeconomic status and unfavorable social attitudes may make her feel negatively about herself and stop her from social integration. I also believe that Abraham Maslow’s Hierarchy of Needs can be applied to the patient situation. According to this psychological perspective every person is motivated by their needs and cannot achieve his/he full potential (self-actualization) if some of these are not met. I feel that this may relate to Cinderella’s safety, love and belongings needs. Limited social contacts, stigma and fear caused by her illness may stop her from moving on to the next level personality development. To support people in similar to Cinderella’s circumstances the Scottish Government launched the Hepatitis C Action Plan in 2006. The aim of this policy is to improve health care services for people living with HCV and to tackle HCV- related social stigma, by rising public awareness and changing the way HCV is portrayed in media. I have decided to use Roper Logan and Tierney twelve activities of daily living (A DLs) to asses Cinderella’s needs. The reason for this is that I find it to be the nursing model which is very effective in assessing basic day to day activities which have its own importance to the survival of life;  also it follows the objectives of my graded unit. For the purpose of this project I will focus on maintaining safe environment in relation to Cinderella’s HCV antiviral therapy. Cinderella had been referred to Peter Brunt Centre at Aberdeen Royal Infirmary by her GP due to the result of blood test which revealed Hepatitis C antibodies. After a number of blood tests and liver biopsy Cinderella had been diagnosed with Chronic Hepatitis C with genotype 1 and mild liver damage. HCV is a disease caused by blood – borne virus Hepatitis C, which infects the liver and causes its inflammation (British Liver Trust 2010). The term chronic describes illnesses that last for a lon g period of time (more than six months) or for the whole life. The liver is an organ which is a part of the digestive system and carries out numerous important jobs’ such as; detoxification, aiding digestion or extracting nutrients. These play a vital role in maintenance of equilibrium of the body internal environment, known as a homeostasis. Due to prolonged liver inflammation scaring of liver tissue occurs (fibrosis) and permanent liver damage is likely to occur (cirrhosis, liver cancer). As a result liver work capacity become impaired and the whole body may become poisoned (WHO 2011). There are several effective HCV treatment options available however none of them gives a one hundred percent guarantee. Nevertheless, adequately matched therapy can permanently clear the virus from blood and prevent liver from further damage. Cinderella after consultation with liver specialist doctor and liver specialist liver nurse decided to undergo HCV treatment known as a ‘triple therapy’ which is recommended by National Institute for Health and Clinical Excellence (NICE) The effectiveness of treatment among other factors lay in an adequate dosage and duration of medicine intake. Both too low or too high dosage as well as side effects of medication may negatively impact Cinderella’s physical health and put her life at risk. To maintain the patient safety it was agreed that Cinderella will be visiting PBC every Monday for blood tests and weight checks. To ensure Cinderella’s safety I will follow appropriate NHS procedures and policies (NHS Procedure guidelines: Weighing the patient 2008) in line with the Health and Safety at Work Act (1974). To perform chosen activity I will require specific resources which I listed in Appendix 3 and project timescale (see Appendix 4). I have obtained consent from a different patient who is also visiting PBC this day if for some reason I will not be able to complete it with  Cinderella. References Health Protection Scotland – a division of NHS National Services Scotland. (2009). Blood Borne Viruses & Sexually Transmitted Disease . Available: http://www.hps.scot.nhs.uk/bbvsti/hepatitisc.aspx. Last accessed 25yh March 2013. The Scottish Government (2011). The Sexual Health and Blood Borne Virus Framework 2011-15 . Edinburgh: Scottish Government. p31- 42. Grundy G, Beeching N . (2004). Understanding social stigma ii women with hepatitis C. Nursing Standard. 19 (4), 35-39. Gilman S (1999) Disease and stigma. Lancet. 354, Suppl, SIV15. World Health Organization. (2012). Hepatitis C . Available: http://who.int/mediacentre/factsheets/fs164/en/index.html. Last accessed 5th April 2013. Nicole Cutler. (2007). Breaking the Hepatitis C Social Stigma. Available: http://www.hepatitis-central.com/mt/archives/2007/08/breaking_the_he.html. Last accessed 7th April 2013. British Liver Trust. (2011). Facts and functions of the liver. Available: http://www.bbc.co.uk/health/physical_health/c onditions/in_depth/liver/liver_facts_functions.shtml. Last accessed 11th April 2013. Maslow, A. H. (1970). Motivation and Personality. New York: Harper & Row Rogers, Carl. (1951). Client-centered Therapy: Its Current Practice, Implications and Theory. London: Constable. Miller,J and Gibb, S (2007). Care in practise for Higher Second Edition. Paisley: Hodder gibson. 202-204. Nursing and Midwifery Council (2008). The code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC. p2- 8. Roper, Logan, Tierney (1980). The elements of nursing. Edinburgh: Churchhill livingstone. 141.

Tuesday, January 7, 2020

The Proposal For Renewables, The Proposition Of Cogeneration

Along with incentives for renewables, the proposition of cogeneration was introduced. The idea is such that waste heat from power generators will be recovered to increase the overall efficiency of fuel consumption. With the development of cogeneration units, heat can be much more easily and efficiently stored, and even further, such units could be ramped up whenever power is needed and the heat would be stored for later. To provide an incentive for cogeneration units, Energiewende set a bonus for each kW-h of power produced by the cogeneration unit—this power has priority on the grid. With the development of renewable sources and the emphasis on renewable energy, the energy transition will need an expanded, adapted grid to cope with more renewable power. The current grid in Germany is designed to take power from central power stations to consumers, but this is not sustainable for renewable energies. Large power plants will continue to export power to the transit grid, but it needs to be changed so that power from wind turbines in the north can reach consumers in the west and south. In 2011, the German Parliament passed the ‘Act on Accelerating Grid Expansion’ calling for a review of ultra-high voltage lines by Germany’s Network Agency and for high-voltage (110-kilovolt) lines to be installed as underground cables. With large plans and dramatic changes to German energy policy, it yields the question of just how successful Germany has been in accomplishing these goals (inShow MoreRelatedCase Study for Management Accounting36918 Words   |  148 Pagesclimate, the Dublin Shirt Company can only afford to reduce its prices if it can cut costs. The Sales Director suggests that the company can lower its quality inspection costs by reducing inspections, which will improve on-time delivery rates. This proposal is to be discussed at the next Board meeting. Second, last week, the Sales Director proposed that the company should enter the American market for women’s sports shirts, where comparable shirts sell for the equivalent of â‚ ¬9.75. This is consideredRead MoreCase Study for Management Accounting36912 Words   |  148 Pagesclimate, the Dublin Shirt Company can only afford to reduce its prices if it can cut costs. The Sales Director suggests that the company can lower its quality inspect ion costs by reducing inspections, which will improve on-time delivery rates. This proposal is to be discussed at the next Board meeting. Second, last week, the Sales Director proposed that the company should enter the American market for women’s sports shirts, where comparable shirts sell for the equivalent of â‚ ¬9.75. This is considered