Compare The Awakening To Madame Bovary Essays - The Awakening

Compare The Awakening to Madame Bovary Kate Chopin's The Awakening and Gustave Flaubert's Madame Bovary are both tales of women indignant with their domestic situations; the distinct differences between the two books can be found in the authors' unique tones. Both authors weave similar themes into their writings such as, the escape from the monotony of domestic life, dissatisfaction with marital expectations and suicide. References to "fate" abound throughout both works. In The Awakening, Chopin uses fate to represent the expectations of Edna Pontellier's aristocratic society. Flaubert uses "fate" to portray his characters' compulsive methods of dealing with their guilt and rejecting of personal accountability. Both authors, however seem to believe that it is fate that oppresses these women; their creators view them subjectively, as if they were products of their respective environments. Chopin portrays Edna as an object, and she receives only the same respect as a possession. Edna's husband sees her as and looks, "...at his wife as one looks at a valuable piece of personal property which has suffered some damage." (P 2 : The Awakening) Chopin foils their marriage in that of the Ratignolles who, "...understood each other perfectly." She makes the classic mistake of comparing one's insides with others' outsides when she thinks, "If ever the fusion of two human begins into one has been accomplished on this sphere it was surely in their union." (P 56 : The Awakening) This sets the stage for her unhappiness, providing a point of contrast for her despondent marriage to Mr. Pontellier. She blames their marriage for their unhappiness declaring that, "...a wedding is one of the most lamentable spectacles on earth." (P 66 : The Awakening) She sees their lifetime pledge to fidelity and love as merely a social trap; the same forces that bind them oppress her. Simultaneously, Mademoiselle Reisz, who "...sent a keen tremor down Mrs. Pontellier's spinal column..." which perhaps is the tremor that marks the beginning of Edna's self discovery. "A certain light was beginning to dawn dimly within her, - the light which, showing the way, forbids it." (P 13 : The Awakening) As she explores her world, other men, swimming, and her other romantic pursuits, she experiences her epiphany; she finds that the world has much to offer and kills herself in the lamentation of that which she cannot truly have. Edna finds herself filled with "An indescribable oppression, which seemed to generate in some unfamiliar part of her consciousness...She did not sit there inwardly upbraiding her husband, lamenting at Fate, which had directed her footsteps to the path which they had taken." (P 6 : The Awakening) Edna takes an active part in finding happiness within her world. She pursues her swimming and other men in the interest of ending the monotony she lives with as a result of her being confined into her aristocratic society. Emma Bovary, being both protagonist and antagonist, by contrast experiences her epiphany solely at death. She takes the arsenic when she realizes all that she will not get from what she already has. Her light of discovery is found only in the darkness of her death. She laments not what she does not possess, but what happiness her world does not give her. Hers is a story of spiritual emptiness and foolish idealism. "...Emma tried to find out what one meant exactly in life by the words bliss, passion, ecstasy, that had seemed to her so beautiful in books." (P 24 : Madame Bovary) She searches for that which is found in the fantasy world of books in her own world and falls short of her expectations. Charles, her husband, she takes for granted as "She would have done so to the logs in the fireplace or to the pendulum of the clock." (P 44 : Madame Bovary) Flaubert allows her to see Charles as an object just as Mr. Pontellier sees his wife as an object. Although the characters are of the op posite sex, leaving both of the women displeased with their men, and moreover, their lives. Edna and Emma both use people (Emma is also used herself) when needed, and are discarded when they have outlived their usefulness: "Charles was someone to talk to, an ever-open ear, an

Leonardos began when his father moved to Florence Essays

Leonardos began when his father moved to Florence Essays Leo Leonardos began when his father moved to Florence as the procurator of the Convent of St. Martire in 1469. There, Leonardo worked in the legendary workshop of Andrea del Verrocchio. He worked together with Perugino, Botticelli, Ghirlandalo, and Lorenzo di Credi. Leonardo worked with other people on the painting Baptism of Christ. He regestered in the Guild of Florentine Painters and becomes the Guilds debtor in 1472. A year later, he paints a Wide View Over A Plain with a view of the Montalbano towards Valdarno and Valdinievole. It is the first reliable point of reference in the cronological index of Leonardos works. He was charged with homosexuality in 1476 and was released on probation. He continues to work in Verrocchios workshop. Lwonardo creates the first folios of the Condex Atlanticus two years later.In 1480 Leonardo went to work for Lorenzo Magnifico in the garden of S. Marco.

Child Behavior and Development Essay Example | Topics and Well Written Essays - 500 words

Child Behavior and Development - Essay Example He was able to distinguish between a â€Å"cookie† and a â€Å"cake†. The child had asked for a cookie and his brother gave him a cake instead which he refused and insisted he gets a cookie. The child displayed his language and communication ability by answering all the people around him. Kyle was rather a sweet child who got along better with older children and adults. He always wanted to be the center of attraction while he bossed and gave instructions to his older brother and sister. He was a rather friendly kid as he laughed and joked pulling at his brother’s coat and ran around the table as he sat on each one's lap. He seemed to be an egocentric kid as he was always trying to grab the attention of others. According to Erickson, a child’s psycho-social behavior can be judged by observing how well he interacts with people in his environment. He displayed an emotional attachment as he went in search of his grandfather and when he missed his mother he called out, â€Å"Mommy where are you?† I found Kyle to be a healthy kid who was very active and strong. He had excellent motor skills as he tried to hop, jump, twist and run around the whole place. He banged several times on the glass table and laughed louder as he banged harder. While sitting at the table he tried pushing it using both his feet. His brother assisted him to drink from a juice box, but he pulled it from him and began drinking it by himself. According to Piaget’s theory, a child uses his five senses when interacting with people and things in his environment. This is very true in Kyle’s case as he used his senses to interpret and deal with things around him. The child was a keen observer while playing at the sand table. He watched all the others around him and even answered his teacher while she asked him a few questions. He was capable of recognizing which object to use for scooping up the sand.

Flexible Working Practices and Their Place in Todays Organizations Essay

Flexible Working Practices and Their Place in Todays Organizations - Essay Example This is the reason why companies need to focus on increasing employees’ satisfaction with their jobs. Provision of flexible work environment to employees is one of the main steps a company takes to increase employee motivation and satisfaction levels (Brenner, Fairris & Ruser 2004). In this paper, we will discuss some of the key flexible work practices that can make jobs attractive for employees. The paper will include a discussion on the way human resources can be managed so that employees become more motivated and satisfied with their jobs. 2. Flexible Work Practices Flexible work practices mean different things for different organizations. Some organizations think of flexible work practices as a way to establish a good working relationship between partners, customers, and shareholders, whereas some companies take flexible work practices as the ways to improve employee performance. Generally speaking, flexibility in doing job is all about the way an employer and an employee make changes to when, how, and in which way he/she will work to meet business and individual needs in a proper manner. Flexible work practices help companies in reducing workplace conflicts and employee turnover problems. As Batt and Valcour (2003, p. 189) state, â€Å"the most effective organizational responses to work-family conflict and to turnover are those that combine work-family policies with other human resources practices, including work redesign and commitment-enhancing incentives†. Flexible work practices refer to that type of flexibility that serves both employees and companies in accommodating individual needs (Avery & Zabel 2001, p. 139). Flexible work practice enables businesses as well as individuals to meet their respective needs by making appropriate changes to location (where), time (when), and manner (how) in which employers and employees carry out their job activities. â€Å"Flexibility should be mutually beneficial to both the employer and employee and result in superior outcomes† (Workplace Flexibility 2011). There is a number of flexible work practices that managers can carry out to make employees satisfied with their jobs. Some of those practices include flexible working hours, part-time work, variable year and part-year employment, motivation through recognition, facilitating remote working, job sharing, phased retirement, and flexible job hours. Allowing employees to work in ways that can help them balance their personal and professional life requirements easily is good for employees, as well as for businesses (Stredwick & Ellis 2005, p. 1). Let us discuss some of the main flexible working practices in detail to know how they contribute to improved employee and organizational performances. 2.1 Flexible Working Hours One of the best flexible work practices is to allow flexible working hours to employees (Pil & Macduffie 1996). Managers can schedule the working hours of employees in such a way that employees can feel rela xed. For example, they can change the work timings of 8am - 4pm to 9am – 5pm. Similarly, they can alter the scheduling of work timings to facilitate employees in doing their personal works. For example, they can make employees work for 10 hours a day and then give a 2 hours relaxation for the next day. In this way, the total number of working hours for employees will be the same as in normal case.

The Demand for Health Insurance Essay Example | Topics and Well Written Essays - 500 words

The Demand for Health Insurance - Essay Example Alarming policy is the policy involving market-oriented solutions regarding the health insurance. Since customers have the habit of sorting themselves in certain groups, the talks on how to change the policy is based on the aborting criterion (Morrisey 87). Here, strategies should be put in place so that all level of customer should be favored and that they should not sort themselves in groups. In doing the above, the strength part of it is that all the customers will benefit equally. Weakness here is that customers are hard to understand and they tend to oppose the whole procedure for their own benefits. In most cases, health care policy in the developing country entails a government-sponsored clinics and hospital networks. The above has a goal of primarily providing access of the universe. Often, the above exists alongside the private providers systems for which pockets are paid off by individuals. In addition, it is evident as per the researchers that another health care policy includes health care clinics being prioritize, increasing success, and certain special funds being made available (Manning 4). The above is seen when President Nixon Richard decided to tackle cancer, and he planned to channel some millions of dollars to cater research work. Similarly, other health issues like the aids, small pox just to mention but a few are other forms of health policy that Medicaid put up for the fight of the health care issues.

Treatment of Acute Renal Colic: Rectal Diclofenac Sodium

Treatment of Acute Renal Colic: Rectal Diclofenac Sodium Therapeutic Effects of Rectal Diclofenac Sodium and Intramuscular Pethidine Injection  in The Treatment of Acute Renal Colic: A randomized Clinical Trial Mohammad Mehdi Hosseini, Abdoul-Rasoul Ebrahimi Abstract Renal colic is a type of abdominal pain commonly caused by obstructive stones. The aims of this study were to evaluate safety and efficacy of rectal diclofenac sodium ( RD ) in acute renal colic and compare it with intramuscular pethidine (IMP) injection. In an interventional prospective double blind randomized control trial with 541 patients, which referred to Emergency Department due to acute renal colic, RD and IMP were administrated to 266 patient (as group I) and 275 patients (as group II), respectively. Pain relief was measured through asking the patient by the physician at 10, 20 and 30 min after using of respective drugs in each group. In group I, analgesic effects of RD were appeared in 121 patients (45.5%) after 10 min, 191 patients (71.9%) after 20 min and 233 patients (87.5%) after 30 min. 33 patients (12.5%) had no response to RDS . In group II, analgesic effects of IMP were appeared in 123 patients (44.7%) after 10 min, 191 patients (69.5%) after 20 min and 254 patients (92.3%) after 30 min. 21 patients (7.7%) had no response to IMP. Our results demonstrated that although, there were no significant differences in analgesic effects between two drugs (P=0.06), but, due to availability, cheapness, safety and self administration properties, use of sodium diclofenac in suppository form is highly recommended in renal colic. Keywords: Renal colic; diclofenac sodium; pethidine; analgesia. Introduction Renal colic is a common urological emergency at the emergency department, often caused by the movement of ureteral stones and characterized by severe pain. Patients describe this pain as the most severe and excruciating situation ever experienced (Ay et al. 2013). This condition afflicts 5à ¢Ã¢â€š ¬Ã‚ 12% of the population in industrial societies at least once in their life time and its recurrence rate is approximately 50% (Esmailian and Keshavarz 2014). The pain is usually attributed to contraction of ureter soft muscles in response to the presence of stone (Holdgate and Pollock 2004). Therefore, the most important consideration in the emergency management of renal colics is pain control/relief (Esmailian and Keshavarz 2014). Both parenteral opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to provide relief from renal colic (Bektas et al. 2009). For relieving this pain, morphine and pethidine in the traditional approach were used, but, due to their side effects such as addictive effects, constipation, respiratory depression, and mental changes,, using of them is reduced and replaced by NSAIDs (Kalb et al. 2010; Muslumanoglu and Tepeler 2008). Experimental works suggest that prostaglandins (PGs) play an important role in producing pain in renal colic and therefore, antiprostaglandins can eliminate or diminish this type of pain (Hetherington and Philp 1986; Thompson et al. 1989). Diclofenac, 2-(2-(2,6-dichlorophenylamino)phenyl)acetic acid, is an NSAID taken or applied to reduce inflammation and as an analgesic reducing pain in certain conditions such as renal colic. The exact mechanism of action is not entirely known, but the primary mechanism responsible for its analgesic action is thought to be inhibition of PG synthesis by inhibition of cyclooxygenase, one of the basic enzymes in the PG synthesis pathway (Dutta et al. 2000). On the other hand, pethidine is a once popular synthetic opioid analgesic of the phenylpiperidine class (MacPherson and Duguid 2008). The specific adverse event of vomiting showed a clear association with opioids, in particular pethidine. Although no studies reported serious adverse events, the short follow-up period and failure to specifically record renal dysfunction and gastrointestinal bleeding means these results should be interpreted cautiously (Holdgate and Pollock 2004). Given these findings, when a single bolus of analgesia i s used, an NSAID rather than an opioids was recommended. However, in some condition such as severe pain using of opioids is inevitable. Therefore, in this study, we compared the efficacy of analgesic therapy of rectal diclofenac sodium (RD) and intramuscular pethidine (IMP), commonly preferred in emergency departments in our country in patients with renal colic. Participants and Methods A. Patients and study design An interventional prospective multicenter double blind randomized control trial (RCT) with five hundred forty one eligible patients which had renal colic and referred to Motahhary and Peymanieh Hospitals of Jahrom and Faghihi and Nemazee Hospitals of Shiraz between Dec 2005 to Apr 2007 was done. The study protocol and informed consent were approved by the Ethics Committee at Jahrom University of Medical Sciences. All patients who enrolled in this study, were read, accepted and signed the consent form. Participant, with age between 17 to 52 years, randomly allocated in two parallel groups, RD (single dose of 100 mg) and IMP (single dose of 50 mg) in the approximately ratio of 1:1 (266 and 275 patients, respectively). Randomization was performed using a computer-generated random permuted block method. Patients with history of allergy to NSAIDs, hemorrhoids and anal fissures, peptic ulcers, coagulopathy, inflammatory bowel disease, pregnancy, ischemic coronary diseases, chronic obstruct ive pulmonary disease, and liver or renal failure were excluded from the study. B. Method of measurement Subjects reported pain and its decline at 10, 20 and 30 min after drug receiving and according to significant decrease in pain intensity at each time (decrease in pain intensity more than 50%), the patient was placed in the respected groups. Subjects were blind to their previous reports. Our outcome measure was the change in pain intensity at 10, 20, 30 and more than 30 min. The participants that enrolled in group 3 (significant decrease in pain after 30 min) were composed from patient in group 1 (significant decrease in pain after 10 min) and 2 (significant decrease in pain after 20 min) and there was similar pattern between group 2 and 1. C. Statistical analysis SPSS for Windows version 16 package program was used for statistical analysis of the data. t test and analysis of variance were used for analysis of variables. Results were expressed as n (number of patients), and percentage (%). According to the results, a P value 0.05). Distribution of patients according to time of responding to analgesic effects of RD and IMP is displayed in Figure 2. According to these data, the percentage of patients that showed defined decline in pain at 10 and 20 min after using of drug in RD was higher than IMP. However these differences were not significant (P=0.06). Discussion In this study, the analgesic efficacy of rectal sodium diclofenac and intramuscular pethidine administration in patients which suffered from renal colic were evaluated. Our results demonstrated that although, the percent of patients with diminished pain in 10 and 20 min after using of RD was higher than IMP but, this difference was not significant. Therefore, the efficacy of these two drugs is similar. However, due to availability, cheapness, safety and self administration properties, use of RD is highly recommended in renal colic in compare to IMP. In two previously studies, the efficacy of using of sodium diclofenac versus pethidine in acute renal colic were evaluated and reported. In the study of Hetherington and Philp (1986) on 58 renal colic patients, it has been concluded that 75 mg of sodium diclofenac, IM, was more effective than 100 mg of Pethdine, IM, in the management of acute renal colic and has fewer side effects (Hetherington and Philp 1986). Also, Thompson et al (1989) reported that diclofenac suppositories provided potent, specific analgesia in renal colic. They also concluded that, diclofenac is superior to pethidine, because its effect starting at a similar time but lasting longer (Thompson et al. 1989). On the other hand, this fact that diclofenac can be self administered and is not an opiate makes it a useful drug in general practice, especially for patients with recurrent renal colic. Pethidine as a synthetic opioids, is about one tenth as potent as morphine and due to having more lipid solubility than morphine, elimination half life of two to four hours and duration of action of only two to three hours were considered for it (Foley 1985). At 2000, in a double blind RCT, analgesic efficacy, patient satisfaction and side effects of morphine and pethidine in patients with clinically suspected renal colic were evaluated. Although, their data demonstrated that there was no significant difference between morphine and pethidine with respect to any of the parameters measured, but they concluded that because of the well known adverse effects that may be associated with pethidine use, morphine should be the preferred agent in suspected renal colic, when an opioid analgesic is to be used (O 'Connor et al. 2000). In addition, it has been reported that norpethidine, the predominant metabolite of pethidine, is potentially toxic and causing central nervous system excitability such as tremors, myoclonus or seizures. Also, accumulation of norpethidine has also been seen in patients with normal kidneys, particularly with large doses or frequent dosing intervals (Marinella 1997). Finally, due to adverse effects of pethidine and its metabolite, norpethidine and also due to possibility of pethidine addiction, we believe that diclofenac suppositories should be considered as the first line treatment of renal colic, both in hospital and in general practice. Acknowledgment The authors thank the staff physians and nursing team of the Emergency Department of the Motahhary and Peymanieh Hospitals of Jahrom and Faghihi and Nemazee Hospitals of Shiraz and all other people who help in this study. References Ay MO, Sebe A, Kozaci N, Satar S, Acikalin A, Gulen M, Acehan S (2013) Comparison of the Analgesic Efficacy of Dexketoprofen Trometamol and Meperidine HCl in the Relief of Renal Colic. American Journal of Therapeutics. doi:10.1097/MJT.0b013e318274db78 Bektas F, Eken C, KaradenÄ ±z O, Goksu E, Cubuk M, Cete Y (2009) Intravenous paracetamol or morphine for the treatment of renal colic: a randomized, placebo-controlled trial. Annals of Emergency Medicine 54 (4):568-574 Dutta NK, Annadurai S, Mazumdar K, Dastidar SG, Kristiansen JE, Molnar J, Martins M, Amaral L (2000) The anti-bacterial action of diclofenac shown by inhibition of DNA synthesis. International Journal of Antimicrobial Agents 14 (3):249-251 Esmailian M, Keshavarz M (2014) Synergistic Effects of Citalopram and Morphine in the Renal Colic Pain Relief; a Randomized Clinical Trial. Emergency 1 (2):26-29 Foley KM (1985) The treatment of cancer pain. New England Journal of Medicine 313:84-95 Hetherington JW, Philp NH (1986) Diclofenac sodium versus pethidine in acute renal colic. British Medical Journal 292 (6515):237-238 Holdgate A, Pollock T (2004) Nonsteroidal anti-inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database Syst Rev 1:1-54 Kalb B, Sharma P, Salman K, Ogan K, Pattaras JG, Martin DR (2010) Acute abdominal pain: is there a potential role for MRI in the setting of the emergency department in a patient with renal calculi? Journal of Magnetic Resonance Imaging 32 (5):1012-1023 MacPherson RD, Duguid MD (2008) Strategy to Eliminate Pethidine Use in Hospitals. Journal of Pharmacy Practice and Research 38 (2):88-89 Marinella MA (1997) Meperidine-induced generalized seizures with normal renal function. South Medical Journal 90:556-558 Muslumanoglu AY, Tepeler A (2008) Renal kolik tani ve tedavisi. Marmara Med J 21:187-192 O'Connor A, Schug SA, Cardwell H (2000) A comparison of the efficacy and safety of morphine and pethidine as analgesia for suspected renal colic in the emergency setting. Journal of Accident and Emergency Medicine 17 (4):261-264 Thompson JF, Pike JM, Chumas PD, Rundle JS (1989) Rectal diclofenac compared with pethidine injection in acute renal colic. British Medical Journal 299 (6708):1140-1141 Figure 1. Number and percentage of patients which response/non response to rectal sodium diclofenac and intramuscular pethidine. Figure 2. Comparison on the efficacy of rectal sodium diclofenac and intramuscular pethidine in attenuating of renal colic pain.

Inflation in the UK Economy Essay -- Economics Money England Essays

Inflation in the UK Economy Before starting to explain inflation it is necessary first to define it. Inflation can be described as a positive rate of growth in the general price level of goods and services. It is measured as a percentage increase over time in a price index such as the GDP deflator or the Retail Price Index. The RPI is a basket of over six hundred different goods and services, weighted according to the percentage of how much household income they take up. There are two measurements of this: the headline rate (includes all the items in the basket) and the underlying rate (RPIX) which excludes mortgage interest payments. It is the RPIX which is used more often in this country, as a feature of the UK when compared to the rest of Europe is a very high proportion of owner/occupier homeowners. This means that many people have mortgages, and as such, changes in interest rates (to control inflation) can artificially raise the headline rate. Causes of Inflation There are two main causes of inflation, 1) Demand Pull Inflation This is where the total demand for goods and services in the economy exceeds the total supply. This happens after excessive growth in aggregate demand, and creates an inflationary gap. Excess demand in the economy drives up prices, and high prices mean that Suppliers want to produce more units of their product in order to make more money. To supply more, they must increase their production capacity, and the easiest way to do this in the short run is to increase the amount of labour they employ. This means that they are paying more wages, so people will have more disposable income, and hence there is more demand in the economy. Demand pull inflation is often monetary in origin: when the money supply grows faster than the ability of the economy to supply goods and services. This concept is explained by the Quantity Theory of Money. The quantity theory of money holds that changes in the general level of prices are directly proportional to changes in the quantity of money. It is obvious though, that merely an increase in the supply would have no effect on prices. The increase must be spent in order for this to happen. This is where velocity of circulation (V) becomes important. If the total amount of all transactions is T, and the total amount of money is... ...sion (ie unemployment) are lagged ? they do not respond until after the damage has been done, and so, in the example of the Lawson Boom, because consumer demand did not respond swiftly to interest rate increases, rates were put up too much, which stifled growth instead of merely slowing it. Some people are now suggesting that the cycle of boom and bust has ended with the advent of e-commerce, as more and more firms employ increasingly fewer people, and are far more responsive to changes in demand. There is some empirical evidence to suggest this as inflation seems to have been fairly constant for the last few years (see appendix 2). However, whether this is due to e-commerce, the Bank of England having semi-autonomous control over interest rates, or some other factor, has yet to be seen. Bibliography Introductory Economics - GF Stanlake Chapter 11 Principles of Economics ? Lipsey and Chrystal Chapters 26- 32 Macroeconomics ? Greenaway and Shaw www.tutor2u.net ? inflation, income and unemployment statistics www.answersleuth.com/numbers/1970.shmtl ? chronology of oil prices www.thebankofengland.co.uk -The Bank of England ? interest rate statistics