Thursday, September 19, 2019
ComputAbility - Sales Goals Essay -- essays research papers
ComputAbility, a mail-order company, began in 1982. An authorized reseller of computer software and hardware, ComputAbility offers their clients over 50,000 products. The company has built their reputation on a foundation of competitive prices and quality service. In August of 1997, Creative Computers, also a mail-order company, acquired ComputAbility. The acquisition provided a number of benefits to the company, primarily a larger product selection to offer to customers. Currently, ComputAbility employs 60 + people with plans of adding on 20 to 30 more sales representatives and support staff during the next year. Prior to February of 1998, all of the sales representatives were in the inbound division. This division handles all incoming sales calls. Majorities of these calls are from individual consumers. Creative Computers had started their company the same way, but found the growth potential was in the business sector. In February of 1998, ComputAbility started their corporate sales division, an area already underway at Creative. This division of the company was created to develop relationships with business clients, and become the primary way of increasing company profit. Computability added a dedicated trainer to the staff at the same time the corporate division was started. This individualââ¬â¢s primary responsibilities were to train new hires in the areas of sales, product knowledge, company policies and procedures and computer systems. Although there was a solid training program in place, including ongoing new product training from manufacturers, the company was not profiting at an acceptable rate. ComputAbility experienced a decrease in sales and profits during the first year after the acquisition. The expectation was that the acquisition should have provided the tools necessary to increase sales. So what could be the problem? Although ComputAbility sales representatives now had more tools available to them, something was still missing. Creative Computers decided to test a sales training program for the corporate sales division. There are a number of sales training tools available. Tools range from books and seminars to dedicated sales training company programs. Management decided to work with a company who had developed a sales training program. The initial step was for top management to go through the training to see if it was worth the time and... ...o sales improvement. This relationship will take some time. A longer phone conversation can help to qualify better and build the trust needed to assist in repeated sales volume. The longer you are on the phone, the greater the chance you will have to sell something to the client. The last graph looks at the monthly attendance vs adjusted gross profit and one can see little relationship on a direct basis. It should be noted that if you do not come to work you would not make any calls. However just being at work will not guarantee you success. The success of the program is dependent on the attitude of quality not quantity. In summary, the amount of expertise developed over time and the amount of quality conversations developed over time are the important factors. Sales will not improve when activity is based on factors of quantity only. Harlan, R., Woolfson, Jr., W., (1991). Telesales That Works. Chicago, Il: Probus Publishing Company. Stone, B., (1995). Successful Direct Marketing Methods. Lincolnwood, Il: NTC Business Books. Zajas, J., Church, O., (1997). Applying Telecommunications and Technology from a Global Business Perspective. Binghamton, NY: The Haworth Press, Inc.
To Kill A Mockingbird, Movie Vs. Book Essay -- Compare Contrast Haper
To Kill A Mockingbird, Movie Vs. Book Neither the novel nor film version of To Kill A Mockingbird is superior to the other, just different. In the book you delve more into the separate characters while in the film you see the relationships in action. The book gives you a broader view of everything, but at the same time the movie points out everything that seems important. Lastly, the novel shows Scout as a girl caught in the middle, when the movie seems to paint Scout as a girl without a inkling of what is going on. à à à à à The book shows the separate characters. In the novel you see The whole character by what they say. Cal can be described as a teacher to the children. She shows them the way that others live when she takes them to her church in chapter twelve. She also remarks that ââ¬Å"...Donââ¬â¢t matter who they are, anybody sets foot in this houseââ¬â¢s yoââ¬â¢ compââ¬â¢ny...â⬠(p.24) this says that everyone is important no matter who they are. The statement ââ¬Å"I know all that, Scout. It was the way he said it made me sick, plain sick.â⬠(p.199) shows how much Dill really understands of what is going on. Jem is basically the same person in both the movie and the book. He seems to be the distant, yet loving, brother. à à à à à Although the book shows the individual people, the movie shows the relationships in action more than the book. The movie shows Cal and the children in action. It shows how they act around each other, the looks and the tones of voices that are being used, that can chang...
Wednesday, September 18, 2019
Schindlers List :: Film Movie Movies
I wanted to film Schindlerââ¬â¢s List for the reason that the Holocaust was a ghastly occasion in history and should not be over and done. The Jews suffered to the highest degree, they were exposed of their soul rights, treated be fond of animals, slaughtered in the vein of animals. I Intend to remind people of what the Jews had to go all the way through , how Hitler shed them out from the social order. What happened to the Jews should never happen for a second time to anyone. I chose to spotlight Oscar Schindler, because this chap did an extraordinary thing. He saved countless Jews from foreseeable imprisonment and execution. He is evidence that one being can make a difference. During the film the lingo I used was in English with a German twang to show their race. There was lots of rumpus in German and I didnââ¬â¢t bring into play subtitles to endeavour and get the viewers to undergo confusion, like when Stern was approached by a Nazi and shrieked at, Stern had denial plan what he was motto. Goeths verbal communication was very prevailing, he beam of how the Jews come to Krakow and bring zilch, he referred to them as flora and fauna. I Juxtaposed His tongue with disordered images of Jews in the ghetto His verbal communication was spoken at a snail's pace so every word would really be submerged in with the addressees. furthermore thereââ¬â¢s repetition on ââ¬Å"todayâ⬠and ââ¬Å"theyâ⬠this helps to call attention to the summit. He uses undersized sentences to make the speech more theatrical. All of it is ceremonial to inflict say-so. Schindlers speech was very touchy, He took no blame for reduction of the Jews and admitted his innocence fo r being in the Nazi party. As the Jews first went into the ghetto, it was scandalous to see a little lass shouting ââ¬Ëgoodbye Jewsââ¬â¢ her right to be heard could still be heard in the after that view. This showed how much she had been unfair by Hitlerââ¬â¢s cant. I made the film black and white to de-familiarise the spectators and make them feel prickly. The lasso in ruby paint was a momentous symbol during the film. She first appeared at a little arena in the liquidation of the ghetto and represents all the mayhem of the Jews, anger, hate and yet at the same time guilt and worship.
Cloning :: essays research papers
Cloning à à à à à Duplicating of genes and DNAâ⬠¦. Cloning? Cloning is basically the reproduction of cells. You take an unfertilized cell, combine it with a cell from the same organism and create a new living cell. The question isâ⬠¦is cloning OK? Is the breeding of a bigger and meatier cow and fresher healthier potatoes equal to cloning a person? Many different groups debate upon these questions. Religious groups argue that God created all, and he thrives on diversity. This diversity is being threatened by cloning. Some also believe the process which scientists use is murder. Because half of the nucleus used to make a normal being is sucked out, and destroying the original DNA is murder. The half set of DNA in the unfertilized egg cell is destroyed, but suggesting that destroying a mere nonliving, nonthinking chemical such as DNA is murder is ridiculous. Thousands of cells will die in your body as you're reading this, and their DNA will be destroyed with them. Is that murd er? Cloning, in itââ¬â¢s use right now with just foods and animals are quite beneficial. It opens many opportunities for both scientific and general population needs. Scientists use cloning techniques to make identical test subjects, so reducing the amount of error in animal tests. They can also protect endangered species by cloning couples in captivity. Many can benefit from organ cloning, although the process has not been perfected yet. Human ears have been reproduced on mice, which shows all the applications of cloning. In the future, this genetic mutation may save the lives of countless people that are if we can use animals to grow human organs in. The possibilities for this process have no boundaries. Like anything else that is new, the cloning process can be used for wrongful purposes. For instance, when a species is too much alike, the possibility of a single disease wiping it out is very high. Overlook the disease and you bread weak animals. However, are the scientists vulnerable to our criticism for say overlooking the viruses or hereditary sicknesses? Or should we credit them for perhaps looking into that already? The scientists have no doubt already considered the consequences of over breeding in these plants and animals that are weak and diseased. Yet our society relies on the same small variety of plants and animals for our natural resources. All of this was, in actuality, happening before cloning started and it doesn't change much in the way of agriculture. Cloning :: essays research papers Cloning à à à à à Duplicating of genes and DNAâ⬠¦. Cloning? Cloning is basically the reproduction of cells. You take an unfertilized cell, combine it with a cell from the same organism and create a new living cell. The question isâ⬠¦is cloning OK? Is the breeding of a bigger and meatier cow and fresher healthier potatoes equal to cloning a person? Many different groups debate upon these questions. Religious groups argue that God created all, and he thrives on diversity. This diversity is being threatened by cloning. Some also believe the process which scientists use is murder. Because half of the nucleus used to make a normal being is sucked out, and destroying the original DNA is murder. The half set of DNA in the unfertilized egg cell is destroyed, but suggesting that destroying a mere nonliving, nonthinking chemical such as DNA is murder is ridiculous. Thousands of cells will die in your body as you're reading this, and their DNA will be destroyed with them. Is that murd er? Cloning, in itââ¬â¢s use right now with just foods and animals are quite beneficial. It opens many opportunities for both scientific and general population needs. Scientists use cloning techniques to make identical test subjects, so reducing the amount of error in animal tests. They can also protect endangered species by cloning couples in captivity. Many can benefit from organ cloning, although the process has not been perfected yet. Human ears have been reproduced on mice, which shows all the applications of cloning. In the future, this genetic mutation may save the lives of countless people that are if we can use animals to grow human organs in. The possibilities for this process have no boundaries. Like anything else that is new, the cloning process can be used for wrongful purposes. For instance, when a species is too much alike, the possibility of a single disease wiping it out is very high. Overlook the disease and you bread weak animals. However, are the scientists vulnerable to our criticism for say overlooking the viruses or hereditary sicknesses? Or should we credit them for perhaps looking into that already? The scientists have no doubt already considered the consequences of over breeding in these plants and animals that are weak and diseased. Yet our society relies on the same small variety of plants and animals for our natural resources. All of this was, in actuality, happening before cloning started and it doesn't change much in the way of agriculture.
Tuesday, September 17, 2019
Evaluate The Ways in Which Emotion Might Enhance and/or Undermine Reasoning as a Way of Knowing Essay
To start this essay I will define the most important words as I understand them therefore emotion and reasoning will be defined and second I will explain the question. Emotion is what we feel as a reaction towards a person or situation for example: anger, love, and fear. Reasoning is logic, how we argument something, the way we make decisions or how we think and therefore it is how we react to situations. This question is asking us to explain how emotion can make it easier or harder to reason appropriately so it becomes a better or worse way of knowing. Emotion has a very big influence on most peopleââ¬â¢s way of reasoning sometimes it makes this reasoning more reliable and in other cases emotion makes it less reliable. In the following essay the question will be answered from both sites. Emotion might enhance and/or undermine reasoning in several ways for example when you are happy you reason in a positive way but if you are sad or in a bad mood you reasoning is more negative. For example a man that had been promoted in his job he has a car accident and his car is in a very bad state, he firstly will think about that his insurance will pay for the damage. In the other site if a man has been fired from his job and he has a car accident under the same conditions as that other man, the first thing he will think about is his bad luck and what he will do without his car and the last thing he will think about is about his insurance. Emotion might enhance reasoning as a way of knowing because it may encourage you to reason for example if someone really likes chemistry and enjoys the class, if the teacher asks a question then this person will reason faster to answer the question than a person that took the class only because the physics teacher didnââ¬â¢t accept him in the class. As well when a scientist is enthusiastic about doing an investigation because he loves the subject then he will do the experiment as accurate as he can but if he just does it because it is his job then he will do the experiment as fast as he can just to finish it. Emotion might also undermine reasoning because when emotions are involved people may do things wrongly without thinking about them correctly or without using any logic. A famous quote says ââ¬Å"love makes blindâ⬠this means that love (an emotion) takes people to an unreal world and making their reasoning capacity limited. For example if a boy walks into a party and sees his girlfriend kissing his best friend and then she tells him that his best friend kissed her and she couldnââ¬â¢t push him away. Letââ¬â¢s say that the boy really loves his girlfriend then he will believe her even if the story is very unreal. This proves that emotion can make people reasoning unreliable and wrong. In my personal opinion I believe that emotion undermine reasoning as a way of knowing because it makes peoples logic limited and uncertain so the reasoning of this person is unreliable. Also emotions are not always encouraging for example letââ¬â¢s say a woman that works organizing parties lost her dog so she is depressed then she is not able to do her job because she can not think about anything apart from her lost dog. This proves that emotion is not very useful when it comes to reason.
Is Fast Food Killing People? Essay
Nowadays obesity has become one of the vital problems in the USA. The quantity of overweight or obese people has been increasing dramatically through the past decades, carrying the raise in number of young people suffering from heart diseases, diabetes and other weight-related diseases. Maintaining healthy weight among the citizens has become one of the most significant tasks for the contemporary health professionals. The nutritionists and therapists name several reasons that lead to obesity in children, adolescents and adults. They say that while the lack of physical activity plays its part in this process, it is mostly improper ration that leads to the progress of this disease. The thing is that most Americans eat more than they should. They overeat every day, and, in addition, their food is mostly high in calories and fat. One of the reasons of this process is that the fast foods are gaining popularity in throughout the USA with each passing year. The excessive consumption of fast foods leads to developing dangerous diseases, which often lead to lethal outcome. A contemporary pace of life often doesnââ¬â¢t allow time for cooking at home, thus the families either eat out, or order food home. It is rarely that families order home healthy foods like salad. Most of Americans prefer pizza, where it is lots off fat and carbohydrates. In addition lots of parents prefer to stock the fridge with high-calorie snacks the children can eat while watching TV or playing computer games. Chocolate bars, soft drinks, and chips are the main ration for many American children. Over and above, there are few kids in the USA that are involved in some kind of physical activity. Itââ¬â¢s no wonder the statistic says that 11% of children are obese in the USA and there is also the significant percent of those, who are overweight. (World Heart Federation Fact-Sheet, 2002). The situation with adult obesity is even more threatening. If we consider the fact that being overweigh is having body mass index higher than 25, and obesity is defined as having BMI 30, or greater, the statistical data, gathered in 2003, shows that 39. 8 million American adults, more than 57% are overweight. One-quarter of American adults are also obese. (CDC, 2006) Television and computer games contribute greatly to the weight problems, as today 43% of American adolescents watch TV more than two hours a day, sitting still near the TV set, and often eating snacks. Genetic predisposition factors also shouldnââ¬â¢t be neglected, as their combination with the unhealthy lifestyle usually leads to the severe weight problems. And it is often that obese teenagers become obese adults. Most Americans love fast food, and some of them are dining there two-three times a week. As you understand, no weight loss is possible in such a regime, as the foods offered in McDonalds and similar restaurants are full of empty calories. After a snack in the fast food a person often still feels hungry, even thus he /she consumed twice more calories than he/she needed. As we can see, fast food is one of the factors that determine obesity epidemic that exists in the U. S nowadays. Of course, the McDonalds and other fast food restaurantsââ¬â¢ officials try to disprove this fact. Nevertheless, the movie Super Size Me, filmed by Morgan Spurlock, proved it convincingly. Mr. Spurlock, the author and the director of this film, put his own body on the line. He decided to live on nothing, but McDonaldââ¬â¢s food, during the entire month. The results were that he gained lots of weight, developed depression, and sugar cravings. As we can se, fast food influences the physical and psychological health of its consumers badly. Healthcare professionals state that consuming fast food leads to obesity, which is one of the causes of diabetes, heart diseases, and other dangerous conditions. Moreover, obesity influences the psychological condition of the patient, leading to development of eating disorders, like Anorexia or Bulimia Nervosa, or Binge eating (Levy, 2000). It is obvious that consuming great amounts of fast food is mortally dangerous. References 1. Center for Disease Control and Prevention. (2006). Overweight and Obesity: Obesity Trends: U. S. Obesity Trends 1985ââ¬â2004. Retrieved 12 March, 2006 from URL: http://www. cdc. gov/nccdphp/dnpa/obesity/trend/maps/ 2. World Heart Federation (2002). World Heart Federation Fact-Sheet. Obesity/Nutrition. 3. Supersize Me. A film of Epic Portions. (2002). About the Movie. Retrieved 12 March, 2006 from URL: < http://www. supersizeme. com/home. aspx? page=aboutmovie> 4. Levy, L. (2000). Understanding Obesity: The Five Medical Causes. New-York: Firefly Books Ltd. , p. 11.
Monday, September 16, 2019
Choledocholithiasis
Choledocholithiasis (which called bile duct stones or gall bladder stones in the bile duct) is the presence of stones from gall bladder in the common bile duct. Stones usually form in gall bladder but they sometimes pass through the cystic duct into common bile duct. There are many symptoms of gallstone in common bile duct. For example; abdominal pain (in the right upper or middle upper abdomen), fever, jaundice (yellowing of the skin and eyes), loss of appetite, nausea and vomiting and clay-colored stools.) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP (Endoscopic retrograde cholangiopancreatography) is a procedure that enables doctor to examine the pancreatic and bile ducts by insert lighted tube which called endoscope (like the thickness of your index finger) is placed through the mouth and into stomach and first part of the small intestine (duodenum) exactly in (ampulla) and passed of cannula (which a small plastic tube) through the endoscope and into this opening with injected contrast material and X-rays are taken to study the common bile duct. (Suissa et al., 2018) (Turk, 2011) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018). In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ?ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (ASGA, 2016).Role of Radiographer in ERCP:Before examination: First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron. (ASGA, 2016). During examination: Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray.The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition. (ASGA, 2016).After examination:The radiographer save the image and sent it. Make sure the machine is clean. (ASGA, 2016).Technical of ERCP: Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP: In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃ ±iga, 2011)Patient preparation and care: Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018) To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018) Case study: This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018) Conclusion: Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it. Choledocholithiasis Choledocholithiasis (which called bile duct stones or gall bladder stones in the bile duct) is the presence of stones from gall bladder in the common bile duct. Stones usually form in gall bladder but they sometimes pass through the cystic duct into common bile duct. There are many symptoms of gallstone in common bile duct. For example; abdominal pain (in the right upper or middle upper abdomen), fever, jaundice (yellowing of the skin and eyes), loss of appetite, nausea and vomiting and clay-colored stools.) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP (Endoscopic retrograde cholangiopancreatography) is a procedure that enables doctor to examine the pancreatic and bile ducts by insert lighted tube which called endoscope (like the thickness of your index finger) is placed through the mouth and into stomach and first part of the small intestine (duodenum) exactly in (ampulla) and passed of cannula (which a small plastic tube) through the endoscope and into this opening with injected contrast material and X-rays are taken to study the common bile duct. (SAGES, 2018) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018).In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ? ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (University et al., 2018)Role of Radiographer in ERCP:Before examination:First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron.During examination:Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray. The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition.After examination:The radiographer save the image and sent it. Make sure the machine is clean. Technical of ERCP:Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP:In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃ ±iga, 2011) Patient preparation and care:Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018)To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018)Case study:This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018)Conclusion:Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it. Choledocholithiasis Choledocholithiasis is one common disease in common bile duct. It defined as stones found it in biliary tree by usually formed in gall bladder. The bile drainage from gall bladder through the bile duct to the intestine. The location of gall bladder is under the liver and the shape of it is like a pear. The place of these stones either stay in gall bladder or go to common bile duct. The patient who has this disease, may feel one or some of these symptom like; abdominal pain which exactly felt in middle or right upper abdomen, fever or jaundice (mean yellowish color in eye and skin). Also, loss appetite, nausea, vomiting or clay colored stools. ) Healthline, 2016) So, this condition diagnosed and treated by ERCP. ERCP stands for endoscopic retrograde cholangiopancreatrography. The definition of ERCP is a minor operation done by the doctor to examine biliary tree with insert lighted tube which called endoscope, so it is placed in second part of duodenum exactly in ampulla through the mouth into esophagus and stomach. The size of endoscope is similar to index finger size. At the site of endoscope in ampulla, the cannula passes through the endoscope and into this hollow with injected contrast media and the fluoroscopy taken by the radiographer to study the common bile duct. (Suissa et al., 2018) (Turk, 2011) Fluoroscopy is a radiographic procedure that provides a dynamic image of the inside of the body frequently after the administration of the contrast media with the use of persistent x-ray beam that passes through the area of interest and later the attenuated beam that come out of the patient is received by a video monitor to view the body part motion in details. The fluoroscopic studies can efficiently detect variety of abnormalities of different body systems such as the skeletal, digestive, cardiovascular, respiratory, reproductive and urinary system. (University of Rochester Medical Center,2018). In this assignment I will discuss about equipment used in ERCP, role of radiographer in ERCP, technical and exposure consideration of ERCP and case study. ? ERCP Equipment ERCP contain endoscopy and fluoroscopy. Fluoroscopy consists of C-arm and monitor. Endoscopy consist of flexible tube which called endoscope with at the end it contain a tiny video camera and light. There is a canal inside components of the scope through which thin instruments are passed and can be poked out the tube's end. These instruments include a catheter, balloon, basket, sphincterotome, biopsy forceps and cytology brush and stents. So, for injecting contrast media into the ducts by used of catheter. Used of balloon is to stretch tight areas of the bile duct or pancreatic duct. Also, for removing and manipulating stones used of basket, and to incise tissue and make the bile duct or pancreatic duct opening larger used of a sphincterotome. Biopsy forceps and cytology brush use to obtain microscopic exam, and use stent to bridge blockages. Other openings allow the doctor to suck out water or air inside digestive system as well as clean the camera lens. Control the movement of the tube by gently pushing and pulling on its outside end is done by the doctor while also steering the inside end with control knobs that the doctor holds in his hand. Video television screen in the procedure room is received images from the endoscope. Also, obtain an x-ray image of the bile duct and pancreatic duct by the fluoroscopy. (ASGA, 2016).Role of Radiographer in ERCP:Before examination: First, asked to remove any clothing or jewelry that may get in the way of the body area to be examined and wear gown. Then, check name and an identification number of the patient. Third, prepare the C-arm machine and the monitor. Fourth, positioned on the x-ray table depending on what the doctor want. Fifth, make sure everyone who stays in ERCP room wear lead apron. (ASGA, 2016).During examination: Regarding on department's equipment, radiographer may have to stay out in the control panel or may be able to stand in the room to x-ray. stand in the room to x-ray In the latter, it is important to pay close attention so as not to miss cue to x-ray. The doctor will ask the radiographer to x-ray when it is required if screen or spot. Also, the radiographer be attention for doctor and patient condition. (ASGA, 2016).After examination:The radiographer save the image and sent it. Make sure the machine is clean. (ASGA, 2016). Technical of ERCP: Endoscopic retrograde cholangiopancreatography (ERCP) is a technique that to diagnose and treat diseases regarding to the pancreatobiliary system by used of endoscopy and fluoroscopic imaging. The endoscopic portion of the examination uses endoscope that is passed through the esophagus and stomach and into the second portion of the duodenum. For obtaining high-quality radiographic images and for the prevention of pulmonary aspiration and considered optimal for cannulation of the papilla, so ERCP is performed with the patient in the prone position. But, patients who can not able for prone position for ERCP are often placed in the left lateral decubitus or supine positions. ( Malas, 2017) Radiation exposure consideration of ERCP: In ERCP the fluoroscopy time is shorter when ERCP is performed by doctor who has many years experience of done ERCP and carried out a large number of ERCPs in the past year. In general, radiation exposure is higher during therapeutic ERCP than during diagnostic ERCP. Radiation dose to patients during ERCP depends on many factors, and the doctor unable to control some variables which are patient size, procedure type, or fluoroscopic equipment used. In a recent prospective study where ERCP instruments used for example, stent insertion, lithotripsy, needle-knife, biopsies, the use of a guide wire or additional wires other than the standard, a balloon and catheter, that will significantly increase fluoroscopy duration. (Boix and Lorenzo-Zà ºÃ ±iga, 2011) Patient preparation and care: Before the examination, the stomach should be empty. The patient who does the ERCP must not eat anything after midnight on the evening before the exam. Regarding for examination time, if the procedure is done early in the morning, no drinks must be taken, but if examination is done at noon time, a cup of tea, juice, milk, or coffee can be taken four hours earlier. medications of heart and blood pressure must always be taken with a little amount of water in the early morning. The patient needs to have a companion drive them home after the procedure, since the procedure will require intravenous sedation. (Jay and Marks, 2018) To cause relaxation and sleepiness, the patient will be given medications through a vein. Local anesthetic is given to the patient to decrease the gag reflex. Some doctors prefer to give the patients more intravenous medications for sedation, so do not use local anesthetic. This also applies to those patients who cannot tolerate the bitter taste of the local anesthetic or who have a history of allergy to xylocaine and the numbness sensation in the throat. The intravenous medication is given, while the patient is lying on the left side on the X-ray table, and then the instrument is inserted gently through the mouth into the duodenum. The instrument advances through the food passage and not the air passage. It does not interfere with the breathing and gagging is usually prevented or decreased by the medication. After the examination, patients must be observed in the recovery place until most of the effects from the medications have worn off. This sometimes takes one to two hours. (Jay and Marks, 2018)Case study: This case study is about 77 years old female patient with H/O common bile duct stones. The condition start 8 months ago by right upper abdominal pain and clay colored stools. The patient came to Royal Hospital and the doctor decided to take x-ray first. So, they found 3 large stones in common bile duct. Then the doctor decided to do ERCP. The ERCP was done in 7/5/2018. The doctor saw a perimapullary diverticulum and with injected contrast through common bile duct, the cholangiogram showed 3 large stones proximally back to back, the balloon was used to remove the stones. However, this patient was uncooperative, so stenting done in long time with use 9cm plastic biliary stent with good bile drainage. (Royal, 2018) Conclusion: Overall, ERCP is procedure to examine different diseases regarding to biliary system. One of these conditions is choledocholithiasis which is stone in gallbladder or common bile duct. ERCP can diagnose and treat choledocholithiasis. ERCP used fluoroscopy to examine the endoscope inside the patient, so radiographer is one of most important member in ERCP room. Also, ERCP used endoscope insert through the mouth into stomach with insert some instrument inside its canal. Technique of insertion endoscope with lower radiation dose for the experienced endoscopists, patient and who stay in ERCP room. Nowadays, ERCP is most common done in world, so most of the people know about it.
Expressionism in Death of Salesman Essay
From the opening flute notes to their final reprise, Millerââ¬â¢s musical themes express the competing influences in Willy Lomanââ¬â¢s mind. Once established, the themes need only be sounded to evoke certain time frames, emotions, and values. The first sounds of the drama, the flute notes ââ¬Å"small and fine,â⬠represent the grass, trees, and horizon ââ¬â objects of Willyââ¬â¢s (and Biffââ¬â¢s) longing that are tellingly absent from the overshadowed home on which the curtain rises. This melody plays on as Willy makes his first appearance, although, as Miller tells us, ââ¬Å"[h]e hears but is not aware of itâ⬠(12). Through this music we are thus given our first sense of Willyââ¬â¢s estrangement not only from nature itself but from his own deepest nature. As Act I unfolds, the flute is linked to Willyââ¬â¢s father, who, we are told, made flutes and sold them during the familyââ¬â¢s early wanderings. The fatherââ¬â¢s theme, ââ¬Å"a high, rollic king tune,â⬠is differentiated from the small and fine melody of the natural landscape (49). This distinction is fitting, for the father is a salesman as well as an explorer; he embodies the conflicting values that are destroying his sonââ¬â¢s life. The fatherââ¬â¢s tune shares a family likeness with Benââ¬â¢s ââ¬Å"idyllicâ⬠(133) music. This false theme, like Ben himself, is associated finally with death. Benââ¬â¢s theme is first sounded, after all, only after Willy expresses his exhaustion (44). It is heard again after Willy is fired in Act II. This time the music precedes Benââ¬â¢s entrance. It is heard in the distance, then closer, just as Willyââ¬â¢s thoughts of suicide, once repressed, now come closer at the loss of his job. And Willyââ¬â¢s first words to Ben when he finally appears are the ambiguous ââ¬Å"how did you do it?â⬠(84). When Benââ¬â¢s idyllic melody plays for the third and final time it is in ââ¬Å"accents of dreadâ⬠(133), for Ben reinforces Willyââ¬â¢s wrongheaded thought of suicide to bankroll Biff. The fatherââ¬â¢s and Benââ¬â¢s themes, representing selling (out) and abandonment, are thus in opposition to the small and fine theme of nature that begins and ends the play. A whistling motif elaborates this essential conflict. Whistling is often done by those contentedly at work. It frequently also accompanies outdoor activities. A whistler in an office would be a distraction. Biff Loman likes to whistle, thus reinforcing his ties to nature rather than to the business environment. But Happy seeks to stifle Biffââ¬â¢s true voice: HAPPY . . . Bob Harrison said you were tops, and then you go and do some damn fool thing like whistling whole songs in the elevator like a comedian. BIFF, against Happy. So what? I like to whistle sometimes. HAPPY. You don t raise a guy to a responsible job who whistles in elevator! (60) This conversation reverberates ironically when Howard Wagner plays Willy a recording of his daughter whistling Roll out the Barrelâ⬠just before Willy asks for an advance and a New York job (77). Whistling, presumably, is all right if you are the boss or the bossââ¬â¢s daughter, but not if you are an employee. The barrel will not be rolled out for Willy or Biff Loman. Willyââ¬â¢s conflicting desires to work in sales and to do outdoor, independent work are complicated by another longing, that of sexual desire, which is expressed through the ââ¬Å"raw, sensuous musicâ⬠that accompanies The Womanââ¬â¢s appearances on stage (116, 37). It is this music of sexual desire, I suggest, that ââ¬Å"insinuates itselfâ⬠as the first leaves cover the house in Act 1.5 It is heard just before Willy ââ¬â reliving a past conversation ââ¬â offers this ironic warning to Biff: ââ¬Å"Just wan na be careful with those girls, Biff, thatââ¬â¢s all. Donââ¬â¢t make any promises. No promises of any kindâ⬠(27). This raw theme of sexual desire contrasts with Linda Lomanââ¬â¢s theme: the maternal hum of a soft lullaby that becomes a ââ¬Å"desperate but monotonousâ⬠hum at the end of Act I (69). Lindaââ¬â¢s monotonous drone, in turn, contrasts with the ââ¬Å"gay and brightâ⬠music, the boysââ¬â¢ theme, which opens Act II. This theme is associated with the ââ¬Å"great timesâ⬠(127) Willy remembers with his sons ââ¬â before his adultery is discovered. Like the high, rollicking theme of Willyââ¬â¢s father and like Benââ¬â¢s idyllic melody, this gay and bright music is ultimately associated with the false dream of materialistic success. The boys theme is first heard when Willy tells Ben that he and the boys will get rich in Brooklyn (87). It sounds again when Willy implores Ben, ââ¬Å"[H]ow do we get back to all the great times?â⬠(127). In his final moments of life, Willy Loman is shown struggling with his furies: ââ¬Å"sounds, faces, voices, seem to be swarming in upon himâ⬠(136). Suddenly, however, the ââ¬Å"faint and highâ⬠music enters, representing the false dreams of all the ââ¬Å"lowâ⬠men. This false tune ends Willyââ¬â¢s struggle with his competing voices. It drowns out the other voices, rising in intensity ââ¬Å"almost to an unbearable screamâ⬠as Willy rushes off in pursuit. And just as the travail of Moby Dick ends with the ongoing flow of the waves, nature, in the form of the fluteââ¬â¢s small and fine refrain, persists ââ¬â despite the tragedy we have witnessed. Sets In the introduction to his Collected Plays, Miller acknowledges that the first image of Salesman that occurred to him was of an enormous face the height of the proscenium arch; the face would appear and then open up. ââ¬Å"We would see the inside of a manââ¬â¢s head,â⬠he explains. ââ¬Å"In fact, The Inside of His Head was the first title. It was conceived half in laughter, (60) for the inside of his head was a mass of contradictionsâ⬠(23). By the time Miller had completed Salesman, however, he had found a more subtle plays correlative for the giant head; a transparent setting. ââ¬Å"The entire setting is wholly, or, in some places, partially transparent,â⬠Miller insists in his set description (11). By substituting a transparent setting for a bisected head, Miller invited the audience to examine the social context as well as the individual organism. Productions that eschew transparent scenery eschew the nuances of this invitation. The transparent lines of the L oman home allow the audience physically to sense the city pressures that are destroying Willy. ââ¬Å"We are aware of towering, angular shapes behind [Willyââ¬â¢s house], surrounding it on all sides. The roofline of the house is one-dimensional; under and over it we see the apartment buildingsâ⬠(11-12). Wherever Willy Loman looks are these encroaching buildings, and wherever we look as well. Willyââ¬â¢s subjective vision is expressed also in the homeââ¬â¢s furnishings, which are deliberately partial. The furnishings indicated are only those of importance to Willy Loman. That Willyââ¬â¢s kitchen has a table with three chairs instead of four reveals both Linda Lomanââ¬â¢s unequal status in the family and Willyââ¬â¢s obsession with his boys. At the end of Act I, Willy goes to his small refrigerator for life-sustaining milk (cf. Brechtââ¬â¢s parallel use of milk in Galileo). Later, however, we learn that this repository of nourishment, like Willy himself, has broken down. That Willy Lomanââ¬â¢s bedroom contains only a bed, a straight chair, and a shelf holding Biffââ¬â¢s silver athletic trophy also telegraphs much about the man and his family. Linda Loman has no object of her own in her bedroom. Willy Loman also travels light. He has nothing of substance to sustain him. His vanity is devoted to adolescent competition. Chairs ultimately become surrogates for people in Death of a Salesman as first a kitchen chair becomes Biff in Willyââ¬â¢s conflicted mind (28) and then an office chair becomes Willyââ¬â¢s deceased boss, Frank Wagner (82). In, perhaps, a subtle bow to Georg Kaiserââ¬â¢s Gas I and Gas II, Millerââ¬â¢s gas heater glows when Willy thinks of death. The scrim that veils the primping Woman and the screen hiding the restaurant where two women will be seduced suggest Willy Lomanââ¬â¢s repression of sexuality. Lighting Expressionism has done more than any other movement to develop the expressive powers of stage lighting. The German expressionists used light to create a strong sense of mood and to isolate characters in a void. By contrasting light and shadow, and by employing extreme side, overhead, and rear lighting angles, they established the nightmarish atmosphere in which many of their plays took place. The original Kazan Salesman made use of more lights than were used even in Broadway musicals (Timebends 190). At the end of act 1, Biff comes downstage ââ¬Å"into a golden pool of lightâ⬠as Willy recalls the day of the city baseball championship when Biff was ââ¬Å"[l]ike a young God. Hercules ââ¬â something like that. And the sun, the sun all around him.â⬠The pool of light both establishes the moment as one of Willyââ¬â¢s memories and suggests how he has inflated the past, given it mythic dimension. The lighting also functions to instill a sense of irony in the audience, fo r the golden light glows on undiminished as Willy exclaims, ââ¬Å"A star like that, magnificent, can never really fade away!â⬠We know that Biffââ¬â¢s star faded, even before it had a chance to shine, and even as Willy speaks these words, the light on him begins to fade (68). That Willyââ¬â¢s thoughts turn immediately from this golden vision of his son to his own suicide is indicated by the ââ¬Å"blue flameâ⬠of the gas heater that begins immediately to glow through the wall ââ¬â a foreshadowing of Willyââ¬â¢s desire to gild his son through his own demise. Productions that omit either the golden pool of light or the glowing gas heater withhold this foreshadowing of Willyââ¬â¢s final deed. Similarly, productions that omit the lights on the empty chairs miss the chance to reveal the potency of Willyââ¬â¢s fantasies. Perhaps even more important, the gas heaterââ¬â¢s flame at the end of Act I recalls the ââ¬Å"angry glow of orangeâ⬠surrounding Willyââ¬â¢s house at the playââ¬â¢s beginning (11). Both join with the ââ¬Å"red glowâ⬠rising from the hotel room and the restaurant to give a felt sense of Willyââ¬â¢s twice articulated cry: ââ¬Å"The woods are burning!â⬠¦Thereââ¬â¢s a big blaze going on all aroundâ⬠(41, 107). Without these sensory clues, audiences may fail to appreciate the desperation of Willyââ¬â¢s state. Characters and Costumes Miller employs expressionistic technique when he allows his characters to split into younger versions of themselves to represent Willyââ¬â¢s memories. Young Biffââ¬â¢s letter sweater and football signal his age reversion, yet they also move in the direction of social type. The Woman also is an expressionistic type, the playââ¬â¢s only generic character other than the marvelously individualized salesman. Millerââ¬â¢s greatest expressionistic creations, however, are Ben and Willy Loman. In his Paris Review interview, Miller acknowledged that he purposely refused to give Ben any character, ââ¬Å"because for Willy he has no character ââ¬â which is, psychologically, expressionist because so many memories come back with a simple tag on them: somebody represents a threat to you, or a promiseâ⬠(Theater Essays 272). Clearly Ben represents a promise to Willy Loman. It is the promise of material success, but it is also the promise of death.6 We might consider Uncle Ben to be the ghost of Ben, for we learn that Ben has recently died in Africa. Since Miller never discloses the cause of Benââ¬â¢s death, he may be a suicide himself. His idyllic melody, as I have noted, becomes finally a death march. In Willyââ¬â¢s last moments, the contrapuntal voices of Linda and Ben vie with each other, but Willy moves inexorably toward Ben. Alluding to Africa, and perhaps also to the River Styx, Ben looks at his watch and says, ââ¬Å"The boat. Weââ¬â¢ll be lateâ⬠as he moves slowly into the darkness (135). Willy Loman, needless to say, is Millerââ¬â¢s brilliant demonstration that expressionistic techniques can express inner as well as outer forces, that expressionism can be used to create ââ¬Å"felt,â⬠humane character. The music, setting, and lighting of Salesman all function to express the world inside Willy Lomanââ¬â¢s head, a world in which social and personal values meet and merge and struggle for integration. As Miller writes in the introduction to his Collected Plays: [The playââ¬â¢s] expressionistic elements were consciously used as such, but since the approach to Willy Lomanââ¬â¢s characterization was consistently and rigorously subjective, the audience would not ever be aware ââ¬â if I could help it ââ¬â that they were witnessing the use of a technique which had until then created only coldness, objectivity, and a highly styled sort of play. (39) In 1983, when Miller arrived in Beijing to direct the first Chinese production of Death of a Salesman, he was pleased to find that the Chinese had created a mirror image of the original transparent set. Seeing this set, and observing that the kitchen was furnished with only a refrigerator, table, and two (not even three) chairs, Miller felt ââ¬Å"a wonderful boostâ⬠to his morale (Salesman in Beijing 3-4). Teachers and directors might offer a similar boost by giving full weight to the expressionistic moments in Death of a Salesman. For directors, achieving such moments may be technically demanding, but they should not be abandoned simply because they are challenging.7 Similarly, the expressionistic devices should not be considered too obvious for postmodern taste. In truth, the expressionism in Salesman is not intrusive. Its very refinement of German expressionism lies in its subtlety, in its delicate balance with the realistic moments in the drama. This ever-shifting tension between realism and expressionism allows us to feel the interpenetration of outer and inner forces within the human psyche. The expressionistic devices also elevate Willyââ¬â¢s suffering, for they place it in the context of the natural order. To excise the expressionism is to diminish the rich chord that is Millerââ¬â¢s drama
Sunday, September 15, 2019
Challenges That Cathay Pacific Airways Faces
Challenges that Cathay Pacific Airways faces With the integration of Dragonair into Cathay Pacific Airways in 2006, its influence over the domain of aviation has extensively elevated. From 2006 to 2007, the turnover of Cathay Pacific Airways has raised from HK$60,793 million to HK$ 75,364 million with a percentage increase of 24. 0% . Nevertheless, there are internal and external challenges existing as obstacles to its future development, such as labour conflicts, global financial crisis, high capital cost and emergence of low-cost airlines,.In this essay, the latter two issues with be examined at length in terms of causes, effects and possible solutions. According to Mr. James Tien Pei-Chun, the chairman of Hong Kong Tourism Board, the rising oil prices increase the capital cost of global aviation industry, triggering difficulties in operation . In the first-half of 2008, the average price of aviation fuel that Cathay Pacific Airways paid was 60% higher than that in the first-half o f 2007 . It is patent that the high capital cost is predominately attributed from perpetual high-priced air fuel which detrimentally influences Cathay Pacific Airways on the whole.On 2nd July 2008, a profit warning announcement was submitted by Cathay Pacific Airways to Hong Kong Exchanges and Clearing Limited. It stated that high-priced aviation fuel posing a ââ¬Ësignificant and adverseââ¬â¢ impact on financial performance of Cathay Pacific Airways. Effective strategies of reduce the usage and wastage of fuels are urgent and prominent to offset the impact of high-priced oil for the interest of survival of business. To increase cost effectiveness in the short-run, Cathay Pacific Airways has newly adopted redeployment on flights according to capacity.Owing to the significant demand, 8 flights are provided to Australia in addition and bigger aircrafts were used for 14 European countries. Besides, the number of flights of appreciable revenue potential to the Middle East like Duba i and Bahrain is increased by 4 per week, whereas 10 flights to North American are cut down. For sustainable and profit-maximizing development, targeted solutions of considerably reducing the wastage of fuel in the long-run are of paramount importance. It is worth noting that the weight of aircrafts determines the amount of fuel consumption.Therefore, another initiative is to reduce the weight of aircrafts by technological improvement on designs. For examples, minimizing protrusions around the aircraft fuselage, enhancing the design of air conditioning air-in-takes and installing large lightweight wing fairings. Cumulatively, higher wing efficiency and smoother airflow are resulted. Stripping the paint of aircrafts is also a direct way to reduce the weight . In the light of CSR report 2006 of Cathay Pacific Airways, it is expected to save 2,730 tonnes of fuel each year approximately.In addition to the weight of aircrafts, air traffic congestion and regional air traffic control restr ictions provoke a substantial wastage of fuel which is 12% of total fuel consumption . In order to improve the air traffic control system, Cathay Pacific Airways work collaboratively with other airline companies and regulatory agencies to strive for opening of flexible entry or exit points into Russian and Chinese airspace and adoption of flexible, fuel-optimized flight paths according to wind variability.According to the expectation of Cathay Pacific Airways, an estimated 32,000 tonnes of fuel can be saved each year. Consequently, the capital cost can be reduced. Apart from these, a number of low-cost airlines have emerged in recent years such as Hong Kong Express and Hong Kong Airlines . Facing the threat of new competitors, Cathay Pacific Airways emphasized the high-quality service with well-trained employees and introduced various strategies to attract customers.To enhance the service standard, it provides new arrival lounge at the Hong Kong International Airport with high-quali ty catering service, well-equipped shower suites computers with Internet access. Meanwhile, in order to attract customers to travel during current economic downturn, ââ¬ËWorld Passââ¬â¢ with flight discount and a variety of choices on destinations is offered. Apart from these, special fares to senior citizens with a discount of 25% are offered to the elderly .Not only would this help to attract customers, this improves the image of Cathay Pacific in terms of Corporate Social Responsibility which plays a fundamental role in retaining loyal customers. Building a lifelong and friendly relationship with customers is beneficial to maintain stable market share.. To conclude, it is obvious that the fast-changing external environment with numerous unknown factors poses threats to the growth of Cathay Pacific Airways.High capital cost caused by high-priced aviation fuel and entry of low-cost airlines in the market are expected to be the major challenges faced by Cathay Pacific Airways in foreseeable future which lead to far-reaching influence on the revenue. Among those solutions stated, alliance with other airline companies to technically improve the design of aircrafts and monitor the air traffic system as well as developing lifelong relationship with customers are the most effective strategies to address the problems in the long-term. (786 words) References:
News Analysis
This article by Caren Bohan is entitled ââ¬Å"Clinton, Obama prepare for battle in Wisconsin.â⬠The newsworthiness of the piece has been determined by the fact that it immediately concerns the American people. It also involves proximate issues that have to do with the up-coming presidential elections and is concerned with the selection of the two persons who will vie for the presidency later in this year. The conflict level of the situation is high. Hilary Clinton, who had been in the lead for the democratic candidacy, has now lost that lead as Obama has recently won in eight states in a row (Bohan 2008). The story, found on a Canadian website (Canada.com) is placed in the world news section as a high-priority story. This has been determined by the fact that as a close neighbor who shares a border, the political news that highly concerns United States citizens is also of great concern to the readers of this news site. The headline is clear and to the point, depicting precisely the next step in the battle between the two candidates. The image of Barack Obama is found within the article, and is well-placed at the top. Another image, one of Hilary Clinton, is also readily accessible by clicking on links associated with ââ¬Å"more picturesâ⬠(Bohan, 2008). The candidatesââ¬â¢ business in Wisconsin is given in detail, but only Hilary Clinton is strictly quoted in the article, as it was indicated that Obama tried to avoid the press. However, quotations are given concerning Obamaââ¬â¢s business as identified by his spokesman Bill Burton. The overall impact of the story is that Obamaââ¬â¢s popularity in the United States is strengthening, leaving Hilary Clinton feeling threatened. The reporters refer to her strongly appealing for the help of some of her supporters, and imply that her statement ââ¬Å"Iââ¬â¢m feeling good todayâ⬠represents a concealment of her anxiety. Because this democratic race represents a major political event, it can be noticed that care is taken to provide in-depth analysis of the candidatesââ¬â¢ positions and what that might mean for their prospects. The story also had an eye to the future, with predictions made (or suggested) about up-coming and related political events. This demonstrates the impact that the outcome of this important political event is likely to have on the future of America. Reference Bohan, Caren. ââ¬Å"Clinton, Obama prepare for battle in Wisconsin.â⬠Canada.com: where à à perspectives connect. Canwest Publishing.
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