Low fidelity stimulation is used to teach students basic skills like IV insertion, IM injections, etc. High fidelity is used to teach students critical thinking with different scenarios that may happen to a patient. Most nursing or medical students use stimulation mannequins to learn and practice the skills that they have been taught and perfect their techniques. This practice helps them when it comes them encountering real life situations. With the use of either low or high-fidelity mannequins, they feel more prepared in providing care for real patients. These high and low fidelity mannequins have a high cost which are purchased mostly by nursing programs to improve their learning outcomes. Many of these mannequins have special computerized features that will enhance students learning. These features help most students gain more confidence to when it comes them being hands on in their clinicals.
Get original essayLow-fidelity and high-fidelity stimulation are mannequins with key features used for medical and nursing students to practice real life scenarios and prepare them before going on into their clinicals or graduating with their degree. They also help them practice their skills until they master them and what to do when a task is assigned.
High fidelity in a mannequin is when someone, such as an instructor, is able to modify the mannequin to have abnormal breathing, heartbeat, etc. Low fidelity helps students practice but don’t get the full practice one needs like high fidelity. High fidelity stimulation is fundamental method in learning to all nursing students. It helps students practice with real life scenarios, so when it comes to an actual real-life situation they are ready and know what to do without being scared. High fidelity stimulation allows students to make mistakes in a safe area without harming any patients. High fidelity stimulation helps with the improvement of medical and technical skills, and be more confident, when taking performing them with real patients. Practicing with high fidelity stimulation helps get real time feedback with vital signs, such as a tachy-cardiac or bradycardic patient, or hypertensive and hypotensive patient.
A Low fidelity in a mannequin is when you are limited to only being able to move the mannequin’s body part, but doesn’t have any special features. Low fidelity stimulation is required to be used in certain stages of learning. It may not imitate the realism of women in labor, or abnormal heartbeats but it provides students the opportunity to learn the appropriate ways of treating a patient. It helps students feel more confident when it comes to treating real patients. They have learned all these skills when treating different parts of the body because of the low fidelity mannequin. Low fidelity mannequins are used to practice IV administration, urinary catheter, NG administration and G tube feeding, cleaning of the central venous catheter. Many of these low fidelity mannequins are used by nursing students to practice their IM or IV insertion, and also know all their anatomical areas. Using low- fidelity stimulation reduces medical and nursing student’s anxiety prior to undertaking their clinical placement.
Many of these high technology mannequins such as the Sim Man costs approximately around $27,000, but there are more that cost up to $60,000 with additional accessories and programs that are needed to download onto the mannequin. Most of these mannequins’ costs increase depending on the key features that have be downloaded. The Sim Man 3G cost is around $31,200 with a 3-year program and its features. Just the Sim Baby alone with without training is approximately around $27,715 but with the contract price it comes out around $25,774.95 including the 7% discount. The Sim Mom alone with a 5-year costs approximately around $18,375 but comes out to around $18,191.25 with the 7% discount. They have to make a contract in order to get a little discount for every item purchased. Most of these mannequins are purchased to help students learn and practice for their clinical with the special features. This is the primary reason of why their cost is highly expensive.
According to our lab coordinator Mr. Hill, the high-fidelity mannequins available at Laredo College are priced at $ 80,000 for each of the 4-sim man 3g(s) only, the laptop to help modify its features is and additional $3,000, and the tablet $8,000 in totaling up to $360,000 dollars. The old nursing Anne simulators were $9,000 dollars each which were 7 bought and in total were $63,000 dollars. The new nursing Anne sim and sim pad were $13,000 dollars each. The sim newbie 01 mannequin was $10,000 dollars and with the laptop was $15,000 dollars in total. The sim new newbie 02 was $18,165, the pc instructor monitor is $4,000, and the sim pad man was $2,000 so in total with everything it was $22,165 dollars. In two birthing mom (annes) was $100,000, the sim pad monitor and pc monitor $10,000 dollars each so for everything in total it was $120,000 dollars.
Low and high-fidelity simulation has become a key to the training of both undergraduates medical students and medical professionals. All these mannequins have key features that will help students get a better understating to a scenario they had just been taught. Some of these features are modifying a patient’s abnormal heart rate, high or low blood pressure, abnormal pulse, breath sounds, seizures, palpable pulses, and many more. The increase of realism leads to general improvement in trainees’ outcomes. For example, nursing students tend to learn more with high fidelity simulation. They get to experience real life scenarios and situations that can occur. As a result, they will be more prepared to and have experience in any situation they might encounter in clinicals.
Many might say that high fidelity stimulation doesn’t help and just make students over confident when they go out to the field, but the use of high-fidelity simulation leads to an equal or even performance and growth in knowledge as compared to low-fidelity. They would say that many students get too much practice that they end up perfecting it. This might happen because they know what they are doing and know what to do. Most students know and study everything they are taught so they are sure that they won’t miss anything, but every student should know that they should double check and verify that they didn’t forget anything. They always have to verify that they did everything correctly and did not do any mistakes that may affect the patient. Every nursing student practices many times to get everything right and know what they are doing when accessing a patient. Nursing and medical students always have to make sure that they are doing everything correctly while they are doing a skill. They have to be checking themselves while they perform any skill to make sure they do not do any mistakes that may harm the patient.
Using both low and high fidelity help students achieve a greater level of confidence will benefit them in their future educative role as a healthcare. It offers ideal opportunities for improved interaction and provides a safe non-threating learning environment for all students. Both low and high fidelity are often used by instructors to teach all their students the best and most helpful way. Standard lecture and then high-fidelity stimulation after help students engage more and improve retain all the information they have learned. High fidelity simulation uses advanced technology that provides rapid response to teach students how to interact with patients. It helps teach nursing students how to respond to any kind of scenario or situation they might encounter during clinicals or their career. Teaching students with low and high-fidelity simulation helps them comprehend what the professor is talking about during lecture. It helps students understand more what they are being taught. It helps them actually seeing how to do it instead of just listening to how to do it.
Some discoveries that I made as a whole, would be that low and high-fidelity simulation both help equally nursing and medical students learn all the techniques that they need it. Low and high fidelity have different necessary equipment as well as costs, but they both have positive impacts on the students learning outcomes and their confidence levels. Some difference between the articles are that some show the statistics of how much it low and high fidelity actually helps students with their confidence gaining. While others show how low fidelity and high fidelity actually work. Some similarities among the articles were how they showed what low and high fidelity was and the features each of all the mannequins had. Also, what they are being used for. Mostly nursing students and medical students are the ones that use these mannequins. To learn the skills that they need to help and give the best possible care to patients. This tells me that low and high fidelity have many features that are used to train and teach nursing and medical students all they need to know. In most articles it showed what low fidelity mannequins would do and what high fidelity mannequins would do. It also showed how we have a lot of mannequins to help teach different things depending the lesson the professor is teaching.
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Get custom essayIn conclusion, all the research I have made answered the question I had about low and high fidelity. It answers me what is the difference between low and high-fidelity simulation. It also answered how using low and high fidelity helped nursing and medical students learn the skills they need to. The answered I received what not what I expected I didn’t think I would find many information about low and high fidelity. About how much low and high-fidelity simulation does help students understand better lecture and helps them prepare for their clinicals.
The specific issue that I am interested in focusing on is low income families and poverty in schools. I chose these topics because I believe that the issue is that only some kids in schools have access to new and up-to-date books, but not all of the kids. Readings and writings are habits that cannot be achieved unless you build on it. We may blame the parents by saying that they need to start reading with their kids before they get to age of 5 years old. It is unfair to say that because not everyone is born with the privilege of having parent that speak English. We never talk about values of people in poverty. There are a lot of parents who don’t care about their own kids. Absent fathers, and a society that seems to accept single parenthood as inevitable. Motivation is also one of the keys to explore poverty, Studying comes from a culture where education is highly valued. In some cultures, parents will beat their children if they don’t perform well in school while other cultures may not care about schools as much. Our education system has a lot of room for possible improvement, and hopefully as our generation begins to graduate, we move to make these improvements.
Get original essayThis topic is relevant to me because I grew up in the Mission District and then I move to the Bayview District which are both considered low income neighborhood. Even though my middle school and high school were 1-2 hours away from my house, I knew that I didn’t want to go to schools in my neighborhood due to bad reputation and that I wouldn’t get any support due to low fundings in those schools. That is one of the reasons why I chose to pursue a higher education because I realize that living in public housing and minimum wage jobs is only temporary and that no one should be living paycheck to paycheck. People think increasing the minimum wage will help the economy but forget that corporation will have to start cutting employee hours and the city will raises prices like housing to keep up with the costs.
The issues relate to me I hate how everyone assumes that every Asian is subject to the model minority myth. When teacher talks about racisms in class, it is often referred to American or Hispanic students who certainly deserve the right to receive the equal behaviors as others, but Asian are often always excluded when racial discriminations and racism problems are discussed probably because of lighter skin than other minorities. However, Asians many times do get treated differently and feel uncomfortable listening to stereotypical jokes. I know that darker skin people are greatly discriminated against especially since they’re perceived as disadvantaged in school from the start and that should be addressed but all I’m saying is that anyone can live in poverty but the problem with stereotypes is that there are consequences and even though we’re not label as label us as lazy, underachieving, thugs, thieves and hooligans, Unfortunately, there is this stereotype that all Asians are rich and educated and do not need help. As a result, our communities do not get affordable housing programs like other neighborhoods, which is highly needed and often people do not outreach to their communities to see what kind of help they need. There are a lot of us that need affordable housing programs and need access to social service centers, which is very limited but because there is this stereotype that we’re all rich, most of the time we don’t get the help.
This issue is an equity concern because we have always been giving the perspective of never giving up and if you have the drive to continue, anyone can succeed. They tells us that as long as you are dedicated about your education, it doesn’t matter where you start out in life but that’s not always the case, there’re plenty of factors that go into it like having parents that have low paying jobs and can barely make ends meet? What if they have fallen on hard times and they are unable to provide those extras support for their children from SAT prep to tutoring for their kids when they’re struggling. It’s easy for us to judge, but we truly have no idea if we’re not in their shoes. I don’t really know much about the people that live in my community even though I work in the neighborhood.
For any business to grow and boost its income, it ought to make cogent impacts on its output. The success of Mergers and Acquisition (M&A) propelled many companies into considering partnerships.
Get original essayWhen businesses fail to provide target products that will be valued by the customer, there’s possibility of losing the customer’s trust and patronage. It has therefore become common practice for businesses to gather as much information about their customers. With data at their disposal, they proceed to produce products that meet customers’ pain points.
To illustrate this, let us regard two big players in the industry – Facebook and Google. With Facebook being a platform that links over 1 billion persons in the world, they have over 60% of its users’ information at their disposal. Because companies will like to sell their products and digital advertising is the fastest way to implement sales and make your business visible to thousands of users at a go, these companies approach Facebook for adverts.
The intention is to purchase advert rates using the Facebook Advert platform and Facebook in turn, supplies them with estimated number of its users that might be interested in the company’s product and service. Google on its part runs same channel using its AdWords.
The major downside to this formation is breach and loss of users’ information. Collection of users’ data is anonymous – users hardly know their information had been retrieved from their activities on such platforms such as creating a post and dropping comments on blogs.
These platforms hardly have control over its users’ data after they might have sold same to businesses that need them. A case study is Facebook’s incident with Cambridge Analytica. These had been the case because such platforms were centralized. Have lost over $2 trillion USD in revenue, Loyakk steeped in to salvage the situation.
Loyakk is bringing diversification to business relationships. Partnering with the chain technology, it brings core decentralization to how businesses interact. Most times, customers hardly derived benefits from businesses. Loyakk bridges this gap by creating a Value Web.
The Value Web makes sure customers are provided with products and services that suit their interest. From another perspective, Loyakk’s Value Web also aims at making businesses have the best of partnerships. The partnership fostered by Loyakk’s Value Web intends breeding good relationships among businesses that wish to partner.
Facebook’s incident with Cambridge Analytica was because necessary measures were not in place to fully protect the data of its users. Its centralized database did not help matters either. Loyakk therefore came up with another layer of security – Tokenized Data Containers.
Personal information of users is encrypted and kept within this container. Based on its programming, only participants can have access to available data in the container.
Loyakk features impressive frameworks such as Business and Application services layers. The aim is to implement transparent transactions and breed a platform that can be trusted.
Loyakk is implementable in decentralized platforms. Transactions among businesses in the past were not well-secured. In a digital world, it is pertinent that such practices should be replaced. Loyakk presents a platform that can be tracked and is also secured against hacks.
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Loyakk’s Making Business Relationships Beautiful
Every business’ prosperity depends on its transparent dealings and how trustworthy its customers deem it. The reverse seems the case and that was what Loyakk tends to change. With Loyakk, businesses can have full control over its customers’ data while presenting them with valuable products. With Loyakk, customers needn’t look elsewhere because they’ll be loyal.
On one Tuesday in One Hundred Years of Solitude, José Arcadio Buendía, the Buendía family’s enigmatic patriarch, comes to the sudden realization that “it’s still Monday, like yesterday” (Márquez 77). At first, this may seem like lunacy; the characters around him all discredit his idea, and he is eventually tied to a chestnut tree after his realization drives him mad (78). However, his statement is more than it seems. The realization that it is “still Monday” even as the week continues to progress speaks to the broader theme of the cyclical and ultimately stagnant nature of time in the novel (77). Throughout the novel, Macondo experiences much technological progress, globalization, and population growth, but eventually the town succumbs to collapse and returns to a pre-civilization state. Even as the plot and events move forward, characters seem to repeat themselves, as the constant stream of ‘José Arcadios’ and ‘Aurelianos’ confuse and distort what would be considered a logical or ordered progression of time. Even as time brings progress and change, it eventually erases them, bringing about yet again the beginning of a cycle. Monday represents the beginning of these cycles. It is the first day of creation in the Book of Genesis, and is used in the novel to frame the beginnings of important events. The fact that José Arcadio Buendía declares every day to be Monday shows that Macondo is an analogue for human civilization, symbolizing that despite any apparent progress, ultimately time erodes all; progress and change are merely illusions, because things will always return to their ‘Monday.’
Get original essayJosé Arcadio Buendía comes to his realization based on the fact that his surroundings remain unchanged, despite the fact that it is supposedly a different day. On a Tuesday, he tells his son, Aureliano, to “look at the sky, look at the walls, look at the begonias. Today is Monday too” (77). The following day, he declares that nature and his surroundings are “the same as yesterday and the day before. Today is Monday too” (77). He rejects the established passage of days in a week in favor of determining the day based on unchanging features of life and the world around him. In this way, José Arcadio Buendía decides that, despite the prevailing societal concept of distinct days of the week, each day is essentially the same from a wider point of view. Beyond the scope of the small changes in day-to-day life, things like the sky, the sun, the plants, and the walls remain the same. Thus, José Arcadio Buendía decides that the differences that time brings in the lives of people are ultimately meaningless.
The specific choice of Monday is important, because Monday is seen as the beginning to the week’s routine, or cycle, as well as the first day of God’s creation of Earth in the Book of Genesis. If Sunday, the seventh day, is the day of rest, then Monday was the first day, when God “created the heavens and the earth.” From the very first page of the novel, Macondo serves as a symbol for the world and for human civilization as a whole. Márquez writes that “the world was so recent that many things lacked names” (1). The fact that, according to José Arcadio Buendía, it is always Monday in Macondo means that it is essentially always the first day of Creation, always the beginning of time and history. The use of Monday as a representation of this beginning day shows that the characters, storylines, and Macondo as a whole seem to exist in cycles that eventually revert back to their previous states, such as the technological influx and then eventual collapse of the town, or the repetition of incestuous relationships between characters, or the fact that characters who have the same name tend to share aspects of a collective personality. In One Hundred Years of Solitude, it is always Monday, because things always eventually revert to how they were previously, despite any apparent change that has taken place.
In the context of the insomnia plague, Monday serves as a representation of the nature of time in Macondo. During the time of the insomnia plague, the entire town was discovered to have been afflicted “that dawn on Monday.” The event began on Monday, but what is perhaps even more important is the fact that, due to their amnesia, the townspeople are beginning each day without certain knowledge or memories, thereby making each day seem like a metaphorical Monday in that it marks the beginning of another cycle of time. Furthermore, the fact that they must learn the names of things each day points to the idea that they are almost recreating the world in their minds each day; each day they are resetting a cycle, stagnant in time. Despite their apparent progress in learning the names of objects as each day progresses, or in attempting to learn of their past through Pilar Ternera’s card readings, they remain static, relying on labels to remind them of things they would otherwise forget. Furthermore, the fact that the village does not sleep during this plague connects each day together, blurring the lines between the days. In this regard, the statement that it is always Monday holds significant meaning for the insomnia plague, because it describes not only the way that the amnesia seems to reset the townspeople’s minds and lives, but also the fact that their lack of sleep blurs each successive day into the original Monday. In the case of the insomnia plague, Monday represents the way time works in Macondo; everything returns to its beginning, and ultimately change is merely an illusion, hiding the true cyclical, static nature of Macondo’s history and events.
When Colonel Aureliano Buendía is captured by the Conservatives, he is brought back to Macondo on a Monday and then given his sentence the following Monday, showing again the cyclical nature of time in the novel. The fact that both of these events occurred on a Monday strengthens the underlying meaning of Monday in the novel, as it points to the idea that Mondays are ultimately the beginning and end for Macondo’s cycles, the basis upon which time builds, constantly moving forwards but at the same time returning continuously to the same point. Colonel Aureliano’s return to Macondo occurs on a Monday, and his final departure was intended to take place on a Monday as well. These Mondays mark the end of the era of Colonel Aureliano Buendía. For a man so intent on enacting change through leading insurrections and rebellions, he ultimately was no able to escape the ultimate cycle of his life, returning to Macondo to live out his life crafting golden fish and exerting next to no influence on the town as a whole. Despite his best efforts, despite the war, and despite the deaths and changes in Macondo, none of the change is permanent in the long run. Furthermore, the fact that it is always Monday in Macondo highlights the fact that Aureliano’s return and his intended execution take place as true events of Macondo, thereby contributing to its pattern of cyclical time.
Ultimately, however, the most important mention of ‘Monday’ in the novel may not be the word ‘Monday’ at all. In Spanish, the word for Monday is lunes, which draws from the Latin dies Lunae, essentially translating to ‘day of the moon.’ The word ‘moon’ only appears once in the entire novel; the night when José Arcadio Buendía and his wife Ursula finally engage in sexual intercourse is described as “a fine June night, cool and with a moon” (22). Extrapolating from this passage, it could be said that the origin of the entirety of the Buendía line in Macondo—every José Arcadio, every Aureliano, every Amaranta—was essentially a metaphorical ‘Monday’ upon which the eventual settlement and population of Macondo was predicated. The family upon which the novel is centered all began under a moon, under the influence of the symbol of Monday; if every day in Macondo is Monday, then every day is truly the beginning of its history, showing the stagnant nature of the town when viewed as a whole. Progress and change may have occurred, but the cyclical nature of events in Macondo means that eventually, events repeat themselves, characters begin anew as the next generation grows up with the same names, and finally, the town itself eventually collapses, all remnants of civilization wiped out at the final stage of the novel.
Towards the end of the novel, José Arcadio Segundo and his son Aureliano are visited by an apparition of an old man in Melquiadés’ lab. The old man, presumably Melquiadés himself, explains that, in the world many years before they were born, “it was always March there and always Monday” (348). Like Monday, March also symbolizes beginnings: the beginning of spring, the blooming of the flowers, and other beginnings associated with the springtime. But the fact that Macondo of old was always in a stage of beginning shows that Macondo was trapped in a series of historical cycles, in which meaningful progress is never achieved. Even at this point in the novel, where it is implied that it is no longer always Monday or always March, Macondo’s progress and globalization is eventually halted as growth slows, and finally reversed by the apocalyptic winds at the end of the novel. No time period is safe from the eventual return to Monday, to the beginning, as all time in Macondo follows this highly cyclical structure. After hearing Melquiadés say this, the two characters “understood that José Arcadio Buendía was not as crazy as the family said, but that he was the only one who had enough lucidity to sense the truth of the fact that time also stumbled and had accidents” (348). This line is hugely important, as it reinforces and legitimizes the claims made my José Arcadio Buendía much earlier in the novel. If José Arcadio Buendía was “the only one who had enough lucidity” to realize that it is, in fact, always Monday, then his realization carries far more weight than any of his family members believed. Time in the novel is imperfect, as everything else is, but ultimately follows a pattern; things repeat and return to previous states. José Arcadio Buendía’s realization of this pattern through his metaphorical understanding of the concept of ‘Monday’ frames the entire novel in the context of being ‘Monday;’ that is, the story of Macondo exists as a series of cycles and a series of beginnings, and even when things come to an end, that end is ultimately only a return to the beginning.
The concept and meaning of Monday is used on multiple occasions to frame important events and stories within the novel. Due to the cyclical narrative structure, José Arcadio Buendía’s assertion that it is always Monday comes not from a place of insanity but from a place of intense clarity; he understands that the petty constructs of civilization, such as days of the week, are ultimately meaningless in the face of the unchanging world around him. While people enact change throughout their lives, the story of Macondo in conjunction with the use of ‘Monday’ show that ultimately, these changes lead to nothing; Macondo is constantly in a state of beginning, and all change eventually erodes and returns back to its original state. From every character sharing the name ‘Aureliano’ sharing similar personality traits, to the fact that Macondo itself eventually collapsed, erasing all of its apparent progress, the cyclical nature of time is extremely present in One Hundred Years of Solitude. By understanding this through the concept of ‘Monday’ in the novel as a symbol of beginnings, of Creation, and of repetitiveness, the reader can truly understand what it is that Macondo represents. Macondo’s founding is analogous to the beginning of the world, the Christian creation story, and the beginnings of human civilizations. Macondo’s fall parallels the fall of great civilizations such as Rome or Babylon—even the final character’s name, Aureliano Babilonia, contributes to this idea. Macondo, then, represents a fairly pessimistic view on humanity and civilization as a whole, because it shows that change and progress are ultimately meaningless concepts, for they eventually fade away into the constant cycles of time.
Works Cited
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Get custom essayGarcía Márquez, Gabriel, and Gregory Rabassa. One Hundred Years of Solitude. New York: Harper Perennial Modern Classics, 2006. Print.
Lupus is a chronic, autoimmune disease that damages any part of the body such as skin, joints or any part inside the body. Autoimmune disease means that our immune response cannot differentiate foreign invaders and the healthy tissue in the body. Thus the body creates autoantibodies that will attack the body’s healthy tissue. Most of the people that being affected are woman as 9 out 10 people who have lupus are woman. It commonly develops in woman between the ages of 15 to 45. It can be difficult to distinguish lupus from other disease as it can mimic many other diseases and often the symptoms will develop slowly as no pattern can be detected. It also can come and go away. Early detection is always the best way to lessen the progression and severity of the disease. Lupus can be caused by few factors such as genes, environment, hormones. There are no genes to be scientifically proven to cause lupus but the incidence of having lupus on family member give the idea of genes does contribute to lupus disease. Lupus can also be triggered by some environmental factors such from the uv rays from the sun, antibiotic drugs like penicillin, sulfa drugs which make a person more sensitive to sun, an infection, injury or even a cold or viral illness. Regarding hormones, sex hormones can play a role in developing lupus particularly estrogen. This hormone is produced by both male and female but the production is high in female which may indicate the severity of lupus. Lupus is categorized into three different types that are:
Get original essayA 70 year old woman was reported to the Department of Periodontology of Adesh Institute of Dental Sciences & Research with chief complaint of dry mouth, fever and generalized redness of gums with associated burning sensation in the gum for one month which had started spontaneously. She also had complaint of bleeding gums for the past one month while brushing and eating. Her medical history revealed that she was diagnosed with systemic lupus erythemathosus about 10 years ago. Her vital signs were monitored which showing normal. Clinical examination revealed facial cutaneous depigmented malar rash.
Her laboratory examination showed WBC count at 2300 (neutrophils 30%, lymphocytes 45%, monocytes 25%), high ESR and normal urinalysis. Intraoral examination revealed that there are presence of erythematosus marginal, attached gingiva and interdental papilla in maxillary and mandibular anterior region. Nikolsky’s sign showed positive. Generalized bleeding on probing was positive; however no periodontal pockets or furcation involvement was seen.
Clinical diagnosis was established by incisional biopsy, performed under local anesthesia. Histological examination reveals the findings that are consistent with SLE. So the management for this patient in periodontal department is scaling as gently as possible as well as advise to maintain the oral hygiene. She was prescribed with soft bristle toothbrush with Triamcinolone acteonide oral paste and Chlorexhidine mouthwash.
A 68 year old male presented with a complaint of non healing ulcers in the mouth since 6 months associated with pain and burning sensation. Gradual onset associated with erythema and burning sensation followed by blistering that ruptured within 2-3 days led to ulceration of the region. There was no prodromal fever or malaise. Initially lesions were noted over the dorsum of the tongue followed by the involvement of the palate and buccal and labial mucosa associated with difficulty in swallowing. Two months later, he noticed similar lesions over the skin, predominantly on the trunk and scalp regions, which healed within 7-14 days.
The patient is under skin consultation and currently taking topical corticosteroids and anticandidal mouth rinses. Skin lesion showed signs of healing but intra oral lesion persistent. Medical history revealed that the patient is known with diabetic since 14 years and is under medication. Family history is not significant. Patient was poorly nourished and weak with signs of pallor.
Examination of the trunk revealed multiple, well defined, roughly round erosive lesions measuring approximately 1x2 cm in dimension. Head and neck examination showed discrete erosive lesions over the cheek, nose and scalp measuring approximately 0.5 x 1cm in diameter. Scalp lesions causing scarring. The bilateral submandibular lymph nodes are palpable, single in number, tender, firm, mobile and measured 1cm in diameter.
Intraoral examination revealed painful restricted mouth opening with multiple superficial discrete ulcerations along the upper and lower buccal mucosa, labial mucosa, soft palate and vestibule. Diffuse, irregular ulcer covered by a pseudomembraneous slough were noted. On palpation, the ulcers are tender and bleed on slight provocation. Multiple fibrotic bands are felt along the bilateral buccal mucosa and circumorally. The tongue seems to be depapillated, with areas of fissuring and erythema. Hard tissue examination was done revealed poor periodontal health, with generalized mobility and attrition of the teeth.
Histopathological section was obtained from the incisional biopsy of a skin lesion that revealed epidermal hyperkeratosis and focal keratotic plugging. It also can be seen mild atrophy of the stratum malphigii and mild degeneration of the basal layer. It suggests DLE as the dermis showed mild edema and few scattered aggregates of mononuclear chronic inflammatory cells in the form of lymphocytes and plasma cells.
The treatment given to this patient on the first visit was given to her the topical antibiotics and analgesics along with multivitamins, antioxidant supplement and protein, topical corticosteroid was given for the skin lesions. Follow up was done after 5 days.
A 19 year old male patient, work as farmer came with the chief complaint of painful ulcer on his lower lip since 6 months ago. The nature of the pain was insidious in onset, localized throbbing to pricking type which is moderate intensity aggravates on taking food or trauma to that region. The ulcers were initially small in size and gradually progressed to the present size with the incidence of white serous discharge. Lymph node were non palpable. Systemic evaluation was done and no significant evidence contributes. The patient had class 3 facial profile with lower lip protuberance. Two discrete ulcers which are oval in shape measuring 1cm x 1cm with regular borders with the thin marginal zone of erythema. There was a presence of radiating striae from the zone of erythema. Considering the oral manifestation, a provisional diagnosis for the mixed white and red lesions was given. The differential diagnosis given was DLE actinic keratosis and erythema multiforme minor.
The treatment given was corticosteroid therapy systemically and topically for the duration of 21 days. The patient was advised to cover the mouth with a soft cloth while he is out in the fields. It is reaffirmed that the diagnosis is DLE based on the clinical presentation, the nature of the lesion and the reponse towards treatment.
Systemic lupus erythematosus is an autoimmune disease that comes with many cutaneous and oral manifestations. As mentioned before, the disease attack whenever the body produces autoantibodies to many of their cells and cell components and tissues. Hormone and gender play a vital role in SLE as it is more common in females and always correlate to the production of estrogen and progesterone levels. SLE often appears in no pattern. Clinically, lupus is a disease with an unpredictable course involving the flares and remissions, where the longer the time it progress the more damage it give to the body.
The common symptoms that can occur to a person with SLE are extreme fatigue, headache, fever, swollen joints, anemia, pain in chest on deep breathing, butterfly shaped rash across cheek and nose, sun or light sensitivity, hair loss, abnormal blood clotting and mouth and nose ulcers. Mucosal involvement as in patient with SLE is common. It typically seen as a well demarcated erythema or erosion with central white papules surrounded by white radiating striae. A study was done looking at oral findings in patients attending the multidisciplinary lupus clinic between January 2015 and April 2016. The results are most of the patients are female (88%) and had diagnosis of DLE (62%), 26% had SLE. Half of the patients had positive oral finfings, 26% had no oral examination documented and 24% had oral examination documented. The commonest site of oral findings are at the palate. Then at the labial mucosa, buccal mucosa, gingiva and alveolar ridge. Oral manifestations that were consistent with lupus were erosion or ulcers (5cases), erythema in 4 cases and a white plaque in 4 cases. In this cohort study it is normal to find oral pathology and it is compulsory to do oral examination to identify oral lupus and provide the treatment.
Fabri et al revealed that the treatment of periodontal disease is beneficial in controlling disease activity among SLE patient with immunosuppressive therapy. A recent study also said that periodontal treatment can be helpful in reducing the symptoms in SLE.
DLE is a type of lupus erythematosus that usually confined to the skin and has minimal systemic involvement. The lesions usually appear as eryhthematous, edematous, scaly papules that spread centrifugally and coalesce into plaques. Lifting of the scales produces a carpet-tack appearance then revealing dilated pilosebaceous orifices occupied by horny plugs. The healing of a lesion will takes place in the center, producing atrophy, scarring, telangiectasia and pigmentary changes. Scarring alopecia is a significant finding. Mucosal findings usually affected about 24% of the DLE patients appearing as chronic plaques or lichen planus-like oral lesions, ulcerations, cheilitis and plaque=like palatal lesions.
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Get custom essayDLE patients may manifest any symptom of SLE that why assessment for symptoms of pleuritis, pericarditis, neurologic involvement and renal involvement. The diagnosis of DLE can be obtained from biopsy taking from an established lesion. Topical steroid will always be the first line of treatment for the localized cutaneous and mucosal lesion. There also intralesional cortisone injections, systemic corticosteroid, calcineurin inhibitors, pimecrolimus cream or tacrolimus ointment, aminoquinoline antimalarials, dapsone or imiquimod 5% may be used for antifungal therapy topically. Follow up is very crucial and necessary for every 6 months as DLE is considered as a pre-cabcerous condition and also for early detection of SLE.
The Second World War was an international conflict fought from 1939 to 1945 involving Germany, Italy, and Japan, who were known as the Axis powers, and France, Great Britain, the United States, and the Soviet Union, who were known as the Allies. The war officially commenced in 1939 with the German invasion of Poland when Great Britain and France countered by declaring war on Germany. The United States attempted to remain neutral in the war, but it was thrust into the worldwide conflict when Japan attacked the unsuspecting American naval fleet at Pearl Harbor in Hawaii and the U.S. declared war on Japan, thus causing Italy and Germany to declare war on the U.S. While the Allies seemingly “won” the war because of the surrenders of Germany and Japan, no single country truly benefited from the catastrophic fighting. American society was greatly changed after WWII, bringing about many issues that future presidents would have to settle, such as poverty and social welfare. The issue of social welfare arose in the U.S. due to the belief that the government should provide economic assistance to groups of people to address problems such as poverty – especially after the harsh effects of the Great Depression – in which several US presidents, including Dwight Eisenhower, John F. Kennedy, and Lyndon B. Johnson, and their administrations became heavily involved in after WWII.
Get original essayPresident Dwight Eisenhower came into office in 1953 with very little experience, but he was also one of the most politically successful presidents of the postwar era. He avoided creating many new initiatives and continued the work of earlier reformers, such as his predecessor, President Truman. However, Eisenhower aspired to limit federal activities and encourage private enterprise; he lowered federal support for farm prices and “removed the last limited wage and price controls maintained by the Truman administration.” He also “opposed the creation of new social service programs such as national health insurance” and steadily strove to reduce federal expenditures (Glass, 1). The right wing of his Republican party urged the president to overturn the welfare policies of the New Deal, but Eisenhower resisted. On the contrary, in 1954 he agreed to extend the Social Security system, originally initiated in 1935 under President Franklin D. Roosevelt, to an additional ten million people and unemployment compensation to an additional four million people and agreed to increase the legal minimum hourly wage from 75 cents to one dollar. The legislation also increased payments to all retired workers by at least 60 dollars a year while raising annual benefits for future retirees to as much as 4,200 dollars (Glass, 1). Not long after, the Eisenhower administration passed what may be its most significant legislative accomplishment and the largest public operation in American history, known as the Federal Highway Act of 1956, which authorized 25 billion dollars for a ten-year project to build over 40,000 miles of interstate highways. Overall, the Eisenhower administration avoided creating any new large-scale programs for social welfare, but it did expand on former programs and was able to greatly improve the benefits they offered individuals.
When Eisenhower’s presidency ended in 1961, John F. Kennedy succeeded him and even though his presidency was cut short, he was still able to create his own economic and social programs as part of his “New Frontier.” Before Kennedy was even elected he offered a long list of major proposals to achieve his goals, including establishing a volunteer Peace Corps to assist undeveloped countries, raising the minimum wage and broadening its coverage, raising Social Security benefits, providing medicare, providing federal aid to education, creating a federal department of urban affairs, and increasing the power of the federal government to deal with economic recessions. Although Congress refrained from passing all of Kennedy’s reforms, a Peace Corps was established and Social Security benefits and the minimum wage were raised (U.S. Department of Labor, 1). Despite the unfortunate fact that Kennedy was assassinated shortly into his first term and was not able to accomplish all that he aspired to, he still had a lasting impact on the nation with his reforms and accomplishments.
Vice president Lyndon B. Johnson succeeded Kennedy after his assassination in 1963. During his presidency from 1963 to 1966, Johnson was able to accomplish more than most of his predecessors by not only winning support for many New Frontier proposals but also by constructing his own reform program known as the “Great Society.” Johnson assisted the federal government in developing the first major new social welfare programs since the 1930s to contribute to what he called his “war on poverty.” The most significant of these being Medicare, which was a program enacted in 1965 to provide federal aid for the medical expenses of the elderly. The program seemed to end the debate about national health assistance and whether it was “socialized medicine” or not and pacified critics by simply shifting the responsibility of medical expenses from the patients to the government rather than giving the elderly special treatment at the expense of others. Johnson also drove the creation of the Medicaid program in 1966, which extended federal medical assistance to welfare recipients and virtually all poverty-stricken individuals. Another important reform Johnson was able to establish was the Office of Economic Opportunity (OEO), which created an assemblage of new programs for education, housing, employment, and health-care. However, the OEO was controversial due to its commitment to the idea of Community Action, or an effort to involve members of the programs designed to help them. This program provided jobs for many poor people and gave them valuable experience in administrative and political work. Many of the men and women involved in Community Action, including many Hispanic and black politicians, grew to obtain careers in politics. However, although this program helped reduce poverty in some areas, it failed overall due to inadequate funding. Lastly, the Johnson administration worked to improve decaying cities with the Housing Act of 1961, which offered cities 4.9 billion dollars in federal grants for the conservation of open spaces, the development of mass-transit systems, and the subsidization of middle-income housing. In addition, Johnson managed to achieve something that Kennedy had fought hard for but failed to achieve: federal aid to public education. The Johnson administration passed the Elementary and Secondary Education Act of 1965 in order to extend services to both private and provincial schools; these services were not based on the needs of the schools like in the past, however, bur rather the economic conditions of the students. Although the Great Society reforms of social welfare immensely increased federal spending, they were some of the most innovative and aided the American population living in poverty hugely.
After reviewing a timeline of the postwar U.S. presidents, it is safe to say that America experienced numerous changes, both positive and negative. The social welfare system of the country advanced remarkably during this time and many presidential administrations contributed to its growth with the development of Social Security, Medicare, and Medicaid, which continue to be vital components of American life today, and many more. However, new social welfare programs did not stop evolving after these three presidents; an abundance of new programs have also been created since WWII and will continue to evolve.
This is a Photograph of Me by Margaret Atwood poem is a lyric, which means it's spoken by someone who, as the title suggests, describes a photograph of them. We're told the photo was taken 'some time ago.' The speaker describes the photograph's contents to us, revealing that what appears to be a smudge in one corner is actually a branch of a tree. There is also a small house in the photograph, as well as a lake and some hills in the background.
Get original essayThe speaker then reveals, in a devastating parenthesis that concludes the poem, that they are dead, and that this photograph was taken the day after they drowned. They are not clearly visible in the photograph, but they drowned in the lake in the background, just beneath the surface. According to the speaker, if we look hard enough, we should be able to see them beneath the lake's surface.
In my opinion, 'This Is a Photograph of Me' poem is a troubling poem because of how casually it transitions from a matter-of-fact description to a terrible revelation: the poem is being spoken from beyond the grave. In this way, the poem 'gives a voice to the voiceless,' as we often say about works of literature narrated or spoken by people who are socially marginalized. And the dead have no voice; the drowned, too, raise troubling questions. Did the dead speaker in Margaret Atwood's poem drown by accident or on purpose? And, if the latter, whose design is it? Is this a suicide or a murder? Was the speaker a man or a woman? Was it a small child? There are several reasons to believe this, though Atwood only provides hints.
The poem's first feature is its show-and-tell nature ('This Is a Photograph of Me' is oddly performative, as if the child were standing up in front of the class at school and showing the picture, in a version of 'what I did during the school holidays'). Second, there is the straightforward, simple, even naive manner in which the speaker conveys the news that they have died: they bury (or drown) the key revelation beneath a slew of minor or even trivial details, only one of which will be directly relevant (that lake in the background).
The language used by the speaker also suggests a younger person, albeit one with some education: they know the tree in the photograph is either balsam or spruce, but can't tell the difference. Even if we conclude that there is insufficient evidence to declare the speaker to be a child, there is a certain innocence to their manner of addressing us (and look at how we are quietly and unassumingly ushered into their confidence through the use of the second this, along with the syntax, contributes to the unsettling nature of Atwood's poem (placing the shocking twist in parentheses as though, like the earlier brackets surrounding the detail about the tree, this later revelation was no more important). Person pronoun, 'you,' so we are made complicit in whatever happened to them as if we are responsible for finding their body).
When they would be a weakness of course it must have strengths in this poem that can attract the reader to read it which is the 'This Is a Photograph of Me' poem also raises intriguing questions about the relationship between visual and verbal (or written) representation. Because the process of photography uses light to capture and reproduce images (much like photocopying), the word 'photography' comes from the ancient Greek for 'light-writing.' A number of details in the poem, beginning with the title, implying that the photograph described in the poem and the poem itself serve as two types of 'text.'
Begin with the title, 'This Is a Photograph of Me': it alludes to the (described) photograph, but the deictic 'This' also implies that this (i.e. the poem that the title also describes or denotes) is the photograph. In the first stanza, the speaker's references to smeared/print' (the print of the page? ), 'blurred lines' (verse lines? ), and 'paper' all allude to both the poetic and photographic texts.
Similarly, in the following stanza, one might 'scan' a photograph for specific details, but one also scans a poem (scansion is the term for analyzing the meter of a poem). So, from the start, we are invited into a troubling relationship with both the poem and the photograph, with both the speaker and the (supposed) subject. The photograph is the subject of the poem, but the speaker is the subject of the photograph, even if they are displaced, invisible beneath the surface of that lake.
In conclusion, The poem 'This Is a Photograph of Me' has 26 lines: The first 14 words describe the photograph, and the last 12 (in parentheses) usher us deeper into the speaker's confidence with the first use of the 'I' pronoun. The traditional sonnet's length of 14 lines establishes a fairly traditional rural scene, a landscape described in a million nature poems. The bracketed aside, however, overturns this sonnet-length description by revealing the dark secret lurking beneath the surface of the lake and, by implication, within all such nature scenes. In the end, this free verse poem, like all good free-verse poems, is not as artless or loose as it appears. Its syntax, punctuation, and length all contribute to the sinister and troubling atmosphere.
"Still I Rise" is a poem by African American poet, Maya Angelou, written in 1970, where she discusses racism towards African Americans and sexism towards the Black Woman. Precisely, this poem shows how Black Women from the African American society were being judged, and how they gained their power to overcome this injustice of treatment. The poem ‘Still I Rise’ by Maya Angelou addresses how black women gained confidence and self-respect through the impression of white oppressors that were oppressing them. Angelou portrays this using her personal experiences and her talent in the literature to show the society of the 1970s, how hard it was to deal with racism and sexism, specifically for black women.
Get original essay‘Still I Rise’ by Maya Angelou is derived from the historical context of discrimination which partially was ending in the 1920s. By the 1920s the segregation and discrimination towards African Americans were over, but the new injustice began towards Black Women. Maya Angelou is considered an activist most known for her contributions to the African American Civil Rights Movement, and is renowned for her portrayals of excellence of historically discriminated populations, in hopes of creating a movement to stop the sexism and racism towards black women. “Excellence is the best deterrent to racism or sexism” (Oprah Winfrey). This shows the dearest friend of Angelou supporting the thoughts and helping her throughout her devastating life experiences. Angelou writes this poem for the minority voices to be heard and to disclose the crime of discrimination. She uses her talent in the literature to express unfairness. This poem has a variety of literary devices, such as similes, figurative languages, and allusions which transfer the message of Angelou’s spirit and poetics “soul to readers”, In other words, telling that a soul has its purpose for every individual and you should express it.
‘Still I Rise’ portrays a deep recognition into the reality of the black female fundamental issues in the 1970s in America. “You may shoot me with your words, You may cut me with your eyes” (Angelou line 21-22). Angelou’s inspirations behind her poem were brought from her past life experiences. She comes from a small town where she was segregated in the deep South area and had to keep her hopes high in order to survive the ‘racial hatred’. Her dark moments from her childhood could be seen in the poem when she says “You may trod me in the very dirt” (Angelou line 3). She suffered from discrimination, which augmented her determination in raising by her family. Hence it could be argued, but made her as a person confident but also emotionally harsh personality. These identities were evident when she asked “Does my haughtiness offend you?” (Angelou line 21) “Does my sexiness upset you?” (Angelou line 25). The power of words used here can also be considered as Angelou being feminist which according to Black Woman’s engagement with Black Power in politics, led to blazing freedom. This prompts the rise and development of women’s liberation in the 1970s. Coincidentally, she uses the power of language to empower people who are suffering in isolated silence. Her personal life experience influences her. For instance, when her parents were divorced and her being sexually abused by her mother’s boyfriend gave her a complex. Her life was full of never-ending miseries. However, towards the end of her poem, she tells the audience that the severe suffering she had in her past, gave her enough power to strengthen herself and raise her voice and help the other women in society to embrace who they are. “I rise I rise I rise” (Angelou lines 41-43). This poem is a strong moral towards her enemies where she assures that no one is going to caress their actions to speak for who she is but herself. She simply embraces her greatness and of every other woman who is lenient in their faces. ‘Still I Rise’ has taught a life morally, “Do not let oppression beat you down and never let your past domination your presenter ruin your future!”
Similes are used throughout this poem and commonly in literature. Angelou grabs the attention and interest of the audience by making distinctive comparisons. Angelou portrays confidence with her humor and a positive tone in her poem, such as “’Cause I walk like I've got oil wells Pumping in my living room” (Angelou 7). In the 1970s, this phrase would be considered as an absurd joke that a black woman was wealthy enough to have oil wells. Ignoring this judgment, she walks proudly keeping her head high as if she was a luxurious woman. This is a very good example of Maya Angelou on how she carries herself in public and lets others know her place in society and the equal rights she has. Another following example is “’Cause I laugh like I've got gold mines” / “Diggin’ in my own backyard” (Angelou 19-20). She expresses the way she would like to laugh at her oppressors, loudly with satisfaction. Shooting with another simile is “That I dance like I've got diamonds” “At the meeting of my thighs?” (Angelou 27-28). Angelou playfully shows the comparison between her pride of being a black female and the most expensive jewelry, compares her genitals to diamonds, and thus, emphasizing that she is worth it and expensive no matter her skin color or gender. Oil Wells, Diamonds, Gold Mines are symbols of wealth which at the same time symbolizes to show her dignity and fair treatment, and the respect she and black women deserve from society. Angelou throughout the poem only uses one simile to show her weakest moment when she interests our sympathy to her sadness, loneliness, and emptiness “Shoulders falling down like teardrops”, “Weakened by my soulful cries?” (Angelou 15-16). However, this weakness does not hold her back from her fight to have the same rights as everyone else. Other yet most heartful similes are “Just like moons and like suns,” (Angelou 9). “Just like hopes springing high”, (Angelou 11). “But still, like dust, I'll rise” (Angelou 4) “But still, like air, I’ll rise” (Angelou 24). She refers to the sun and moon, she will continue rising and learn from her failure. Like the dust, she will go high after being walked on, and like the air, she will rise strongly. For instance, we can comprehend that air refers to a sense of encouragement and the dust as the revival. These similes she uses to share her personal experiences, gave the black women in society the motivation to never give up on themselves under any condition instead stand up.
‘Still I Rise’ uses simile to draw attention by expressing complex emotions. Hence, she also uses allusions which is an essential aspect that helps to bring out the achievements from ‘Still I Rise’. Angelou uses this to show the devastating and using past she went through especially because of being black. “You may write me down in history” “With your bitter, twisted lies” (Angelou lines 1-2). She starts off with this opening verse referring to being a black woman, especially in America, being forced to receiving “special treatment” and yet not be accepted. This can also refer to the stereotypes misunderstood about her culture and it being modified generation through generation. “You may shoot me with your words”, “You may cut me with your eyes”, “You may kill me with your hatefulness” (Angelou 21-23). Angelou shows a mixture of hyperbole and allusion by using the verbs to describe the painful effects that the discrimination left them. They were treated unfairly and harmed like vulnerable humans. They were treated like nothing. In the last stanza, “Bringing the gifts that my ancestors gave”, “I am the dream and the hope of the slave”. “I rise.”(Angelou 39-41) She refers to the black people, specifically women, who will rise and have a brighter tomorrow being successful because contributions are never forgotten.
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Get custom essayTaking everything into consideration and referring to the question in focus, Maya Angelou uses her emotions and expresses them in similes and allusions that help understand the reader the concept of the topic they are reading. With the help of her personal experiences she portrays and speaks for all minorities, especially black women in the 1970s. Regardless of race and gender, anyone who has experienced discrimination can relate to this poem in different ways. It is no more than an opinion and experience, but raising the voice helped the new society to learn from past mistakes and ingeniously create empathy.
In media like books, movies, plays, etc. there is always a reason behind why a specific character goes from having a powerful and a wealthy status to a weak status with guilt and despair within them. In the play, Macbeth by William Shakespeare, Macbeth, a Scottish general , hears a prophecy that one day he will be King of Scotland according to three witches he met. Consumed by ambition and persuaded by his wife, Macbeth kills the former king of Scotland and takes the throne for himself and by the end of the story, Macbeth is full of guilt and left with no hope which all leads to his death. Macbeth's downfall to being a weak person with a sad and despair personality is caused by many reasons throughout the play. Macbeth's misery and eventual downfall are caused by his insecurities, ambition, and his guilt.
Get original essayMacbeth is satisfied with his life and he did not think about becoming king of Scotland or has any intentions to. However, after hearing the witches' prophecies, “All hail Macbeth! Hail to thee, Thane of Glamis!” (Macbeth 1.3.50) “All hail Macbeth! Hail to thee, Thane of Cawdor!” (Macbeth 1.3.51) “All hail Macbeth! Hail to thee, Thane of Scotland!” (Macbeth 1.3.52), Macbeth becomes somewhat drawn into the prophecy. He also shows interest in them when he commands the witches to tell him more about the prediction, “Stay, you imperfect speakers, tell me more…” (Macbeth 1.3.72-80). This explains how Macbeth starts this other side of him which is to become a betrayer. He believes in the witches' words without any questioning and becomes very excited. However, this excitement leads him to become impatient, which is one of the causes of his downfall.
Another insecurity of Macbeth is shown in act 1, scene 7 when Macbeth falls for Lady Macbeth's suggestions. In act 1, scene 5, Lady Macbeth reads out the letter sent by Macbeth, “They met me in the day of success…” (Macbeth 1.5.2-15), she is more excited and happy than Macbeth himself and she begins to plan on what she can do for Macbeth to be crowned king. In act 1, scene 7 Macbeth tries to let down Lady Macbeth, “We will proceed no further in this business” (Macbeth 1.7.31-35) but Lady Macbeth persuades him by questioning his strengths and using such language towards Macbeth. At the end of the scene, Macbeth says “I am settled, and bend up” (1.7.79-82) and agree with Lady Macbeth. This is one of Macbeth's largest insecurities whereas he loves his wife so much that he agrees with her to commit a crime. Although he knows it is not right to betray the king, he is letting his thoughts down and depending more on what people are telling him what to do like his wife, who is manipulating him and is willing to kill her baby just so Macbeth can become king “Does unmake you…” (Macbeth 1.7.44-49). This is a weakness in Macbeth where he is listening to what others tell him what to do instead of listening to himself which is also how he is led to his downfall in the end.
Throughout the whole play, Macbeth gains power every time he achieves his goal. Now that he is King, he has more power than ever which allows him to kill anyone who threatens his kingship. After becoming Thane of Cawdor in act 1, scene 2, Macbeth is still humble and respectable. However, when he hears the witches' prophecies in act 1, scene 3, he realizes the ambition within himself. He suddenly feels somewhat powerful and realizes how contented and rich his life is going to be. But even after the prophecies, Macbeth is still loyal to the King and has no intention to kill and replace him. However, when Macbeth tells his wife Lady Macbeth about what he heard, she has the opposite reaction as him. Lady Macbeth suddenly feels eager to become the queen of Scotland and for her husband to become King. She is so elevated, she makes a plan to kill the King without any hesitation, and when Macbeth approaches, Lady Macbeth fully persuades him to use his ambition to gain power and position in act 1, scene 7. After killing Duncan in act 2, scene 1 Macbeth is crowned king of Scotland in act 2, scene 4 which makes him realize he has more power than before. He is also feeling confident and pleased with the achievements he has reached. However, he is also scared and intimidated when he begins to view Banquo, his noble friend as a threat to his throne after he realizes that Banquo's sons will be King too. Macbeth's thoughts show the anxiety he has about his throne being taken by Banquo's sons and he is intimidated to kill Banquo and his son, Fleance. In act 3, scene 3, Macbeth orders his murderers to kill Banquo. This scene shows the loyalty and respect Macbeth has lost and how his ambition is taking the best of him.
The last murder he commits is when he kills Macduff’s family in act 4, scene 2. After hearing that Macduff is preparing to fight him, Macbeth decides to capture and burn Macduff's wife, children, and servants to warn Macduff and make him realize how much more powerful he is than Macduff. Each time he commits a murder, he realizes his power and ambition are very high and he is somewhat satisfied with the fact that he is very powerful and rich. He is also becoming obsessed with gaining more power by killing those who might expose him. Even after killing Macduff's family, Macbeth wants to kill Macduff as well and be given more power than before. Although Macbeth is becoming more and more powerful, he does not know that this much power would suddenly be a cause of his downfall. As a result of their ambition, both Macbeth and Lady Macbeth are in distress and incomplete guilt over what they have done. They have both realized the consequences of their decisions when they really should have thought about it before committing all these crimes.
Lady Macbeth is in so much guilt and emotionally in pain, that she supposedly kills herself. Lady Macbeth is also a reason why Macbeth loses all hope in remaining his place on the throne. The last cause of Macbeth’s downfall is his guilt towards the whole situation. Because of his guilt, Macbeth does not have enough confidence and strength when fighting Macduff. Macbeth is feeling guilty even before killing Duncan. In act 2, scene 1, Macbeth's soliloquy, “Is the dagger which I see before me” (Macbeth 2.1.33-61) exposes his guilt towards the situation. Macbeth was hallucinating and was seeing a floating dagger in front of him, he knew he was hallucinating because every time he would reach out to grab the dagger, it would move further away from him. He confirms his hallucination when he says “Which was not so before. There's no such thing. It is the bloody business which informs Thus to my eyes.' (Macbeth 2.1.47-49) which means that he knows there is no dagger in front of him but the murder he is willing to commit is making him think he sees one. This soliloquy shows how Macbeth feels about killing Duncan and how much guilt he has within him.
Another scene that shows Macbeth’s guilt is in act 3, scene 4 when he sees Banquo’s ghost at the banquet. The ghost that Macbeth sees is also a hallucination which means that he is guilty. When Macbeth first sees Banquo’s ghost, he asks everyone in shock “Which of you have done this?” (Macbeth 3.4.53) which means that he is scared and afraid of what he has done to Banquo. Macbeth continues with remaining shock and acting very strange in front of the guest and the end, the guest leave due to Macbeth's behavior. This scene is about how Macbeth is guilty of murdering Banquo and because of his guilt and despair throughout these specific scenes, Macbeth ends up with almost nothing and is worthless.
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Get custom essayIn conclusion, the main cause of Macbeth's downfall is himself. His insecurities are that he is easily persuaded by people like his wife, in the end, he is mentally and physically bothered by his ambition, and he is mentally let down by his guilt. Macbeth's status starts to rise every time he gains more and more power but because he does not earn the throne fairly, his downfall is his fate throughout the entire story and because he feels like he has nothing by the end of the play, his last and only pathway is death.
The tragic hero displays a discrepancy between mind and feeling as well as between recognition and acting. Macbeth is the drama of self-alienation, derealization, loss of identity, expediency, nihilism and self-destruction; but at the same time, it is the drama of emotional intensity, intuitive self-insight and suffering (see Unterstenho?fer, p.187, l.5-8; l.16-20).
Get original essayFrom Macbeth speaks the deep philosophical wisdom that, ultimately, the human is an un-explorable, impenetrable secret, which withstands the access of our regulative thinking and the attempt of rational mastery. In this tragedy, it becomes evident that there is a border, beyond which reason fails. Macbeth walks his path until this end and discovers the secret in the shape of his psychomachia – the conflict with himself and the not-understanding of himself – as an all the more darker and realer reality (see Unterstenho?fer, p.189, ll.1-9), namely his death.
In Macbeth, the decay of the tyrant is depicted in a psychological pathology. The experience of suffering as an inner process, namely suffering from evil, has entirely moved to the foreground (Unterstenho?fer, p.193, l.13-17). In general, both the story as well as the crime are shown completely through personal experiences (see Kott, p.111, l.1-3) – in accordance with the internalized character depiction that started with Shakespeare in that time.
With the emancipation of the individual, however, there is now also the possibility of freedom for evil, which ultimately causes the loss of the soul. The protagonist's disintegration begins with the conception of evil itself. In the manner of a psychomachia, Macbeth experiences his conscious decision to commit villainy as a conflict within his own soul (see Unterstenho?fer, p.193, ll.25-34).
What is central for the humanistic conception of man is the idea of the harmony of body and soul, a prerequisite for a well regulated soul as a God-given unity of the soul on the basis of a divine reason to which the passions are subordinate. However, this harmony is deeply disturbed in Macbeth's case due to his sacrilegious murder of the king since, as someone who is possessed by ambition, he acts without ethos and responsibility and surrenders the Ciceronian ideal of a just state governance entirely to his mania for power (see Unterstenho?fer, p.191, l.8-10; l.23-28).
With the capital crime of his regicide – which, especially for the Elizabethans, exhibits sacrilegious, almost blasphemous traits and for this reason alone can lastly by no means remain unpunished – the knot of the excited, torturing hesitation and procrastination has finally burst for Macbeth and the path is now free for numerous new crimes – since he now entertains various fears and hopes due to his misdeeds and his usurpation of the throne. These crimes are all to be understood as reactions to this crucial first murder. Thereby, in order to secure his power, Macbeth's felonies become more and more gruesome but, at the same time, also ineffective. The climax is the bloodbath of Macduff's family ordered by Macbeth. With increasing fear, which has to be overcome by ever more senseless, murderous bravery, the tyrant's self decays more and more (Unterstenho?fer, p.194, l.20-21; l.23-26).
In the end Macbeth becomes the victim of divine providence in the shape of the armies united against him and dies just the way he previously celebrated his greatest victory, namely in a duel, as a soldier, on the battlefield – as a tragic hero. In the process we, as the recipients, have difficulties to perceive Macbeth exclusively as a perpetrator or as a victim, since he possesses traits of both.
He finally conquers his fear, which depicts the characteristic state of the tyrant, through his bravery. However, the overcoming of fear is followed by despair, which the Elizabethan defines as a sin against the Holy Spirit (see Unterstenho?fer, p.194, l.15-19), and ultimately his death.
Like Christopher Marlowe, Shakespeare too deviates from the, at that time, typical character description and counters it with his depiction of the figure as an individual. Through a strong differentiation of the mental processes of the tyrannic protagonist up into the fine ramifications of the figure – in this case Macbeth – he thus manages for the first time, to some extent, to create the portrayal of a 'self-identity' within the drama. Just like before with the figure of Hamlet, Shakespeare intuitively undertakes the attempt of a character analysis in a modern depth-psychological sense with Macbeth as well.