Define Culture Essay Example for Free

Define Culture Essay â€Å"A person without the knowledge of their past history, origin and culture is like a tree without roots.†- Marcus Garvey. This says that a person is defined by his or her culture by the way he/she acts, thinks, and speaks. A person is defined by his or her culture by the way he or she thinks. A person see’s the world differently so the way they think and act would be distinct. They would think differently because of the different backgrounds that they have. In the story â€Å"Imagine†, it says â€Å"you may say I’m a dreamer, but I’m not the only one. I hope someday you’ll join us and the world will live as one†. John Lennon explains how people think he’s different because of what he is. He also says how people aren’t all the same but he wishes that one day we were. He wishes that one day we will all see the world the same and we would be the same. A person is defined by his or her culture by the way he or she’s history, family tree, and he or she’s way of life. A person is defined by his or her culture because it effects the way they act or speak. In the story â€Å"Where I’m From,† George States â€Å"leaf fall from the family tree† This example from the text explains that every detail, moment, or where she is from in the poem is from her family tree. It’s saying the poem are moments or cultural things that effected her or shaped her as a person. The things she shares in the poem are all from her families history or culture (family tree). Although others may argue that culture doesn’t effect your education, other people don’t always agree,because their culture has taught them everything they know.An example on how culture defines your education is that people can attend any school , but when they are being taught, they realize that it is different from what they know. In the story, â€Å"An Indian Father’s Plea,† the protagonist argues, â€Å"My son is culturally â€Å"different.† If you ask him how many months are in a year he will probably tell you 13. He will respond this way not because he doesn’t know how to count but because he was taught by our people that there are 13 full moons in a year.† This quote demonstrates that even though he is Indian, he is culturally different because his culture has taught him what he knows. Your families history, education, and your view or the way you think all contribute on how your culture defines you. It’s obvious that any person would benefit from he or she’s culture.

A Camping Trip By Bridget Andersen | Short Story

A Camping Trip By Bridget Andersen | Short Story When I say the words breakfast burrito, I bet that an outdoor camping trip in the wilderness doesnt come to mind. My story begins with three friends trying to spend more time together. After several months of heavy duty school, sports obligations, church requirements, and other pressures in their lives, they decided it was time to take a break. One friend wanted to go to Busch Gardens so that she could scream out her frustrations and enjoy the roller coaster rides. Another wanted to go to the beach, where she could relax in the sun and play in the waves. Yet another friend, who was a girl scout, knew the tranquility and solitude of a camping trip. She wanted to go camping in the quiet wilderness of southern Virginia. Therefore, the group of friends put their minds together and came up with a plan for a wonderful camping adventure. They imagined it would be just like the old days when they camped in their back yard, ate kitchen-cooked food, and had the luxuries of the house at their d isposal. They looked forward to a fantastic camping trip of friendship and fun. As the day finally came, it was time to depart. Having spent most of the previous week packing their clothes and supplies, it was a miracle that they could fit all of their provisions in the car. They had even considered strapping a friend to the roof in order to fit in an extra food cooler. Because the trip was going to be long and they wanted to be entertained the whole way, so they also brought their cell phones, DVD players, and snacks to keep them satisfied. When they arrived at the campsite, they expected to see lodges and cabins that had air conditioning and plumbing. What they actually found was far below their expectations. There were no cabins: only small, flat, gravel surfaces on which they were suppose to set up their tents and a charred fire pit, full of leaves, camper trash and other debris. However, this did not dampen the girls spirits; they just got to work unpacking their various supplies from the car. The only trouble that they encountered while setting up camp was pitching the tent. The Girl Scout borrowed the tent from her brother, who was a boy scout. On his many trips the instructions for setting up the tent became water stained and ripped so that the words and diagrams were incomprehensible. None of the girls had much experience setting up a tent so they just had to try their best. When they were done, the tent could stand by itself, but it looked nothing like the tent on the front of the package in which it came. There was also a piece of cloth leftover for which they could not find a use. The girls dismissed these observations and figured that if the tent stood, it was good enough for them. After setting up camp, the three friends decided to go for a relaxing hike to a nearby lake, where they would go for a canoe outing. Unfortunately, one of the campers had forgotten to bring a water bottle. She also happened to be in horrible physical condition. Because of her condition, the short hike to the waterfront became very challenging, as the two campers urged and eventually supported their friend. After resting for a short while at the waterfront, the girls found enough energy to push off the canoes into the water. While doing this, one girl accidentally stepped onto a muddy rock and fell head first into the water. She rose from the lake looking like a wet dog, but she was still good-natured with a smile on her face. The three friends sat there and laughed until they were having trouble breathing. Then they went out on the water. For a while, they explored the shores and docks around the lake. However, due to their exhaustion and poor paddling skills, the canoe flipped over. Again, the friends found some smile in this experience and had fun climbing back into the canoe. Eventually, the friends decided that it was time to finish their canoe outing, and they made their way back to camp. After an afternoon of fun on the water, they had built up quite an appetite. On arrival at the campsite, however, they were in for a very big surprise! The local camp raccoon, Joe Raccoon as he was widely known, had outsmarted them by sneaking into their camp in broad daylight while they were away on their canoeing trip and getting into their food, bins, and buckets! As they looked over the supplies, they found half-eaten fruit pies, opened containers of coffee grounds, missing popcorn kernels, sandwich makings thrown about, and tons of empty candy wrappers. At one point, one of the campers happened to catch a brief glimpse of Joe Raccoon as he scampered away from the campsite with an enormous belly, fingers full of goodies, and wearing a mischievous grin. The girls sat in a circle in great dismay wondering what they were thinking when they had decided to go camping. W ithout food, empty-stomached, exhausted, and frustrated, this camping trip was turning into a not-so-fun outing. Moreover, it was only early afternoon. Even after they arduously cleaned up the campsite, they were still soaked from their dip in the lake. Since the girls had packed a surplus of clothes, they decided that they could risk using up another outfit in order to get dry. However, when they got inside the tent, they all screamed at the sight to behold. There were bugs and spiders of every shape and size crawling around in their sleeping bags. Lions and tigers and bugs, oh my! They had forgotten to close the tent flap when they left for their canoe trip! Rather than going into the tent, they decided that it would be better to remain in their wet clothes than face the creepy crawlies. Eventually they drew straws to decide who would sweep out the tent. What a horrible decision the canoeing trip was turning out to be! They were hungry and miserable and decided to cook dinner over the fire with the supplies that Joe Raccoon had left behind. Maybe their clothes would dry off beside the fire too? They had planned on making spaghetti and meat sauce. None of them envisioned how hard it would be to cook it. They had to make sure that the grate that they placed over the fire was the right distance away, that the heat from the fire was evenly spaced out, and that they did not spill the hot water on themselves. After a while, they finally succeeded in putting the noodles on the fire and letting it stew. However, none of them had ever cooked spaghetti before and they did not know that you have to stir it continuously. As a result, when they took the spaghetti out of the pot, it was clumped at the bottom and burned in such a way that it was inedible. The girls had to satisfy their hunger with the Cheerios and fruit that they had planned on eating in the morning. They finished their meager dinner in silence a nd then grumpily went to bed. Yelling and snapping at each other the whole time. This camping trip was causing more stress than they had originally planned. The next morning two of the girls woke up to find that it had rained in the middle of the night. Their tent was completely soaked, and they were practically swimming in the water that was lining the bottom of the tent (they forgot to put their rain jacket on when they pitched the tent). However, after they got over their frustration with the dampness, they opened their tent and smelled the tantalizing aroma of à ¢Ã¢â€š ¬Ã‚ ¦Ãƒ ¢Ã¢â€š ¬Ã‚ ¦..Potatoes, oh for the love of potatoes! After being hungry and cold all night, the warm, delicious scent of the potatoes was like heaven to their noses! Visions of mashed and baked potatoes danced in their heads. They quickly went in search of the source and found the remaining girl (who was the Girl Scout) cooking hash browns on the fire. She had set up a table that was already filled with scrambled eggs, cheddar cheese, sour crà ¨me, salsa, and warm tortillas. The Girl Scout greeted them and told them that she was making one of her traditional camping foods: breakfast burritos. They nodded and sat down in folding chairs by the fire. They sang and laughed around the fire while the Girl Scout finished roasting the potatoes. The fire crackled and gave off warm waves of heat that the girls savored. When the girl was done cooking, she put the potatoes on the table, and the girls filled their own burritos with the main ingredients along with sour crà ¨me, onions, and salsa in order to make it more flavorful and sat down at the campfire again. At first, the other campers were wary. What if the burritos ended up being a mistake like the rest of their camping trip? But as they watched the other girl dig in, the warm smell of the food overpowered their sense of caution, and they each took a bite. The burrito was fantastic! The potatoes were cooked to golden-brown perfection, and the eggs were simmered just right so that the combination was incredible! The breakfast burritos awakened their five senses. They could see the golden brown potatoes and the yellow of the perfect eggs. They could feel the nice crispy warmth of the tortilla in their hands and the soft feel of the potatoes and eggs as they took each bite. They could still smell the scent of the potatoes, but now it was joined with the satisfying smell of the eggs and onions, mixing together to create the ultimate aroma. They closed their eyes and heard the sound of satisfaction as the other girls enjoyed their own burrito. The burritos tasted like no other food on earth. The combination of all the ingredients created the perfect blend of flavors. Each girl gobbled up two burritos in a flash. Once they were full and content, they all sat around the campfire and eventually took a nap. They woke up and started packing up their things. They had much less to pack, thanks to Joe Raccoon. Once they were done, they set out on the road again. While driving home, the friends reflected on their short camping trip and decided that it wasnt that bad. The breakfast burritos that day had definitely brightened the trip! Plus, it was a good experience for them. Next time they went on a camping trip, they would know what to watch out for so that they would not make the same mistakes that they made this year. They even considered coming back next year to the same place! If they did, then they would certainly remember to eat breakfast burritos! Breakfast Burritos*: Things You Will Need: 1 box hash browns Salt and pepper Garlic powder 8 eggs Oil and butter 8 oz shredded cheddar cheese Sour cream Salsa 14 flour tortillas A pan A spatula Procedure: Put oil in a pan to prevent the food from sticking to the sides. Place hash browns and butter into the pan and cook them over the fire until they start to brown. Flip them every once and in a while to make sure that they dont burn. Scramble eggs and add to hash browns. Continue to cook and flip until all solid. Add salt and pepper to taste and cook until done. Place in heated tortilla. Add cheese, sour cream, and salsa in the burrito (optional). *I received this recipe from: Carrie Clark, leader of Girl Scout troop 2659

Identifying factors contributing to high readmission of diabetic patients

Identifying factors contributing to high readmission of diabetic patients INTRODUCTION. Diabetes Mellitus (DM) is a chronic disease. Where the blood circulation contain of high sugar level, it can occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces (WHO). Diabetes is a progressive disease that can lead to a significant number of health complications and profoundly reduce quality of life. While many diabetic patients manage the health complication with diet and exercise and require medications to improve uncontrolled blood glucose level. Diabetes has been treatable since insulin became available in 1921, and type 2 diabetes may be controlled with medications. Preeti (2008). Both type 1 and 2 are chronic conditions that usually cannot be cured. Acute complications include hypoglycemia, diabetic ketoacidosis, or nonketotic hyper osmolar coma. Serious long-term complications include cardiovascular disease, chronic renal failure and retinal damage. Adequate treatment of diabetes is important, to control blood pressure and healthy lifestyle such as smoking cessation and maintaining a body weight. Treatment of diabetes involves diet, exercise, education, and drugs. If people with diabetes strictly control blood sugar levels, complications are less likely to develop. The goal of diabetes treatment, therefore, is to keep blood sugar levels within the normal range as much as possible. Treatment of high blood pressure and cholesterol levels can prevent some of the complications of diabetes as well. A good health education from the medical staff in the ward can give a good condition to patient health and prevent patient from admit again to the ward. The health education in the ward should begin from day 1 patient admit to the ward until the patient discharge from the ward. This health education should not stop when the patient is discharge from the ward but it must be continued from the health community to make sure that the patient is healthy. PROBLEM STATEMENT. General Objective: To identify factors contributing to high readmission of diabetic patients post discharge. 1.2.3 Specific objective. To identify why the patient is not take their medication after discharge from the ward. To study relationship between knowledge and medication to the patient. In Malaysia, the Third National Health and Morbidity Survey showed that the prevalence of type 2 Diabetes Mellitus (DM) for adults aged 30Â  years and above was found to be 14.9% in 2006. Salwa et. al., ( 2010). Patients with diabetes should know that how importance their health after they has confirmed have diabetes. Health education to patients and families were given continuously by the nurses when these patients were admitted for stabilization of their DM, from day 1 of admission and continued until they discharged. With proper health education, the patient should be able to take care for them self until follow up in the clinic. The health education must include dietary intake and medication. The talk is given by the nutritionist and medication by clinical pharmacist. Nurses should take part in the dietary and medication talk when the patient attends the talk to ensure the compliance by the patient continuously after they discharge from the ward. In January 2011, there are 4 patient has been readmitted to the male and female medical ward within 2 weeks after discharged from the ward. To prevent from this admission, health education should be given continuously to the patients either in the ward or by the community health care provider when the patient is discharge from the hospital. CHAPTER 2 2.1 LITERATURE REVIEW. The literature review has been searched from internet. Diabetes mellitus is now a major global public health problem. The incidence and prevalence of diabetes are escalating especially developing and newly industrialized nations. In Malaysia, diabetes is a growing concern. Through the Ministry of Healths six year thematic Healthy Lifestyle Campaign which began in 1991, diabetes mellitus was the theme for the year 1995. Here, the promotion of adopting healthy lifestyle practices relating to the prevention of diabetes namely creating awareness and balance diet, maintain ideal body weight and physical activities were encouraged. The campaign emphasized on creating, awareness of the disease and its complications to the public. Rugayah ( 2007) According to Zook et.al (1980). Hospitalizations account for about half of all health care expenses, and it has been estimated that 20% of the inpatients in Malaysia and 13% in the USA use more than half of all hospital resources through repeated admissions. During past decades, hospital readmissions have been the subject of retrospective surveys and prospective trials with a view to their prevention. The objective is to review these studies and focus on the frequency of readmissions of diabetes mellitus patient, their causes and validity as a measure of quality of care, and the attempts for their prevention. The recent literature on hospital readmissions and found that most of them are believed to be caused by patient frailty and progression of chronic disease. However, from 11% to 52% of all readmissions have been judged to be preventable because they were associated with indicators of substandard care during the hospitalization, such as poor resolution of the main problem, unstable therapy at discharge, and inadequate post discharge care and advice. Furthermore, randomized prospective trials have shown that 15% to 85% of all readmissions can be prevented by patient education, pre discharge assessment, and domiciliary aftercare. However, high readmission rates of patients with diabetes mellitus may identify quality-of-care problems. A focus on the specific needs of such patients may lead to the creation of more responsive health care systems for the chronically ill. Most complications are the result of problems with blood vessels. High sugar levels over a long time cause narrowing of both the small and large blood vessels. The narrowing reduces blood flow to many parts of the body, leading to problems. There are several causes of blood vessel narrowing. Complex sugar-based substances build up in the walls of small blood vessels, causing them to thicken and leak. Poor control of blood sugar levels also tends to cause the levels of fatty substances in the blood to rise, resulting in atherosclerosis. Poor circulation to the skin can lead to ulcers and infections and causes wounds to heal slowly. People with diabetes are particularly likely to have ulcers and infections of the feet and legs. Too often, these wounds heal slowly or not at all, and amputation of the foot or part of the leg may be needed. Currently there are at least 4-5 patients will be readmission for stabilization then discharged. Upon admission of a patient, this would cause overpopulation of ward, increase expenses and uncontrolled condition of the patient in the ward. Nurse also must provide health education to the patients, their relative and refer patients to nutritionist and education unit for counseled. Browne (2000) conducted a scientific research on factor for diabetes patient on knowledge and the diabetic drugs for diabetic patients. The major purpose of the research are to identify the important factors for patient compliance in the usage of diabetic drugs, specific knowledge on the action drug, the correct dosage and adverse side effects. . From Browne (2000), noted that only 15% of the patient knows the action of the drug they are consuming, where as 62% of them consume at the right time and 23% of patients gained a proper knowledge on medication or drug that they are consuming. In summary it is concluded that the diabetes patient has the more knowledge and information on the adverse effect of the drug compared to the action of oral hypoglycaemic drugs. According to Ranjini et al,(2003) done a research on knowledge, attitude and practice from patient diabetic at Klinik Kesihatan Seri Manjung, Perak. The findings showed correlation between knowledge, attitude and practice. The finding showed that increases knowledge for patients who have education is better from the patient who does not have any education. Hospitalizations account for about half of all health care expenses, and it has been estimated that 20% of the inpatients in Malaysia and 13% in the USA use more than half of all hospital resources through repeated admissions. Zook et al (1980). For past decades, hospital readmissions have been the subject of retrospective surveys and prospective trials with a view to their prevention. The objective is to review these studies and focus on the frequency of readmissions of diabetes mellitus patient, their causes and validity as a measure of quality of care, and the attempts for their prevention. Soeken et al (1991), done a research on readmission rates according to demographic, social, and disease-related characteristics. Researcher Wray et al (1988), done a meta-analysis of 44 studies published before 1990 revealed that age, length of stay during the index hospitalization, and previous use of hospital resources were among the main independent predictors of readmissions. These findings indicate that patient-specific factors predict readmissions. A study of a national sample of patients with chronic obstructive pulmonary disease or dementia revealed that after adjusting for severity and clinical and demographic characteristics, patients discharged to nursing homes were less likely to be readmitted within 30 days after discharge than those discharged to personal homes. According to Comberg et al (1997) Finally, some studies have found an association between readmission rates and inappropriate care during the index hospitalization. A case-control study revealed that 5 criteria of inpatient care (resolution of main problem, adequacy of the post discharge destination, stability of doses of therapy, and appropriate timing of the first follow-up visit) predicted readmissions within 30 days. Ashton et al (1987) Another case-control study found that a set of disease-specific, explicit criteria of appropriateness of care predicted readmissions. It has been suggested that 1 of 7 readmissions in patients with diabetes, 1 of 5 readmissio ns in patients with heart failure, and 1 of 12 readmissions in patients with obstructive lung disease were attributable to substandard care. Absence of documentation of discharge planning, increased temperature, intravenous fluids on the day of discharge, or unaddressed abnormal test results at discharge were related to an increased subsequent mortality. Ashton et al (1997). A meta-analysis of 29 studies published from 1975 through 1993 confirmed that low-quality inpatient care during the index hospitalization increased the risk of subsequent readmissions. Wei et al (1995). At least some readmissions, therefore, are associated with modifiable factors. Readmission rates have been reported to decline after the implementation of pre-discharge reviews and improved follow-up after discharge. Bean et al (1995) However, non-experimental, before-after study designs are subject to confounding and to regression toward the mean. Confounding refers to changes beyond the planned intervention that occurred over time and that in and of themselves may have reduced readmission rates. Regression to the mean is the tendency of above-average rates to fall toward average over time. Since programs aiming to reduce readmission rates are likely to be implemented in institutions with high readmission rates, their favorable results may reflect a decline that would have occurred on subsequent determinations even without any specific interventions. The findings concerning the effect of interventions indicate that improved hospital and post discharge care are associated with fewer readmissions. Still, there is evidence that global readmission rates have a limited value as indicators of quality of care. For example, about half of the studies failed to uncover any relationship between quality of care and readmissions. Ashton et al (1997). In all clinical condition readmission rates of patients who received poor-quality care were similar to those of patients whose care was judged acceptable. Thomas (1996). Similarly, assessed risk-adjusted outcomes after renal failure, gastrointestinal tract hemorrhage, stroke, myocardial infarction, and heart failure and concluded that length of stay, death, and unplanned readmission were predicted mainly by age, severity, and co morbidity. Roe et al (1996). Hospital readmissions raise concern among health care providers, and therefore efforts for their reduction are likely to be endorsed by clinicians and administrators. CHAPTER 3 METHODOLOGY 3.1 Introduction. This is a prospective study. The data is collect from the patient who admitted to the ward. The project was conducted in the one of the district hospital at Negeri Sembilan. Data on diabetes was obtained from adult respondents through interviews by trained nurses using a questionnaires. A 2-hour-post glucose load test was conducted by the nurses to the respondents who self-professed that they were non-diabetics and have not been diagnosed by any, medical personnel. These non-diabetes were measured for their blood glucose level using glucophotometer in a dry non-wipe technique. Those who refused to be examined were classified as refused to be examined and those who could not tolerate glucose due to old age were classified as unable to be examined. For the purpose of analysis in this survey, the respondents were categorized into 3 categories. The known diabetes were the adult respondents who self-professed they were diabetics and diagnosed by medical personnel. Those non-diabetics who had undergone the 2 hour post glucose load test and whose blood glucose measurement level of 11.1 mol/1 or more were categorized as undiagnosed diabetes. Those with blood glucose measurement of 7.8 < 11.1 mmol/1 were classified as impaired glucose tolerance (IGT) The known diabetes were enquired about their treatment status, utilization pattern of health facilities and perceived complications associated with their diabetic condition. 3.2 Research design. This is prospective study. Data will be collected by reviewing medical records and completing a structured data collection sheet. Data including admission diagnosis, the type of medication that patient receive in the ward, sign and symptom of diabetic mellitus, the correct statement for people with diabetic, when the patient feel hypoglycemia, the hypoglycemia condition, and no identifiers such as medical record numbers, patients names and gender will be used on the data collection instrument. In this study it will have a graphs, charts, table and summary. 3.3 Sample size. There is 10 questionnaire was given to diabetic patient in the medical male and medical female ward at the district hospital at Negeri Sembilan. About 30 respondent involved in the interview. 3.3.1 Inclusion i. How many years the patient have diabetes. ii. The patient should understand and can read in Bahasa Melayu or Bahasa English. iii. The age of the patients above 40 years 65 years.. 3.3.2 Exclusion. i. The patient who do not understand and can read in Bahasa Melayu or Bahasa English. Ii For patient who senile or psychiatric patient which they cannot give a cooperation and understand the question during the interview. 3.4 Instrument. There is 10 questionnaire about diabetes are given to the patient in the ward. The patient should give a correct answer when answer the question. There is time frame of the project. It starts from 1st March to 31st March. 2011. There question are divided to part I and part II. There is 8 question on part I where the answer is to choose a, b, c or d. Part II has 3 question where the patient have to choose true or false in the statement. The question adopt from the: Diabetes and Hormone Center of the Pacific Ala Moana Pacific Center www.testprepreview.com/modules/diabetes.htm 3.5 Ethical Consideration. 2.5.1 Letter from Head of Department, Health Sciencs UiTM to the Hospital Director for the project. Appendic 1 Approval letter from the Hospital Director to the Health Sciences for the project. Appendic 2 2.5.3 Consent from patient, if respondent refused to be interview, the respondent should be droped from this project. Appendic 3. 3.6. Limitation. 2.6.1 Receive late approval letter from the acedemic. 2.6.2 Because this is the distric hospital the total number of admission into the ward is low. 2.6.3 If the patient refused for the interview, the respondent should be droped from the project. 2.6.4 The duration time to collect data from the patients should be finish in one month. CHAPTER 4 4.1 Result . A total number of 40 patients were admitted to the both male and female medical wards from 1st March to 31st March 2011. The gender distribution was 33.33% is female and 66.66% is male. There is 96.7% or 29 of the respondents said that they eat too much of sugar or sweat drink when they are young before they diagnose have diabetes mellitus. The patient was admitted to the ward for stabilization of sugar level. See table 1 Table 1 Frequency Percent Caused by eating too much sugar 29 96.66667 Condition which the body cannot use the food properly 1 3.333333 Total 30 100 About 80% (24) of the respondents have the common symptoms of diabetes such as frequent urination specially at bed time, where they will get up 2 to 3 times to toilet. Hunger and thirsty specially in the morning before lunch time and 20% (6) of the respondents craving for sweets. See table 2 Table 2 Frequency Percent Frequent urination, hunger, thirst 24 80 Craving for sweets 6 20 Total 30 100 70% (21) of the respondents said the following statement is correct for people with diabetes that they should have snacks between-meal. Because they feel hungry and thirsty before they had their lunch in the afternoon or in the evening. They like to had drink and eat some snacks to prevent hunger. See table 3 Table 3 Frequency Percent Everyone with diabetes should have between-meal snacks 21 70 Changes lifestyle (meal, planning, exercise, medication, stress) 4 13.33333 Travelling should avoid taking insulin 5 16.66667 Total 30 100 76.7% (21) patients who take insulin once a day said that they take the breakfast 30 minutes after the insulin injection. It show the patient understand why it is important to take breakfast after the medication to prevent from hypoglycemic attack. See table 4. Table 4 Frequency Percent About 30 minutes before breakfast 23 76.66667 I do not know 7 23.33333 Total 30 100 46.7%(14) of the patients have the symptoms of hypoglycemia attack, 20% (6) have sweating, sudden weakness, 16.7% (5) have trembling or shaking, sudden weakness, and 16.7% (5) have trembling or shaking and sweating. It showed that the symptom is different between each patient. See table 5 Table 5 Frequency Percent 1 and 2 5 16.7 2 and 3 6 20 1 and 3 5 16.7 all of the above 14 46.7 Total 30 100 What is the reaction of the patient if they get hypoglycemic attack, 73.3% (22) of the patients said that they will eat some food that has sugar or chew some sweet to prevent from severe hypoglycemia attack. They will bring along the sweets if they on exercise, working in the farm or they on vacation. See table 6 Table 6. Frequency Percent Ignore it and it will go away 5 16.66667 Eat some food that has sugar 22 73.33333 lie down and see whether it will pass 3 10 Total 30 100 50%(15) of the patients said that confusion is not an indicator of hypoglycemia. Because the patient know about the sign and symptom of the hypoglycemia and they will prevent from get this attack either in the house or out site of their house compound. They will bring some sweets along with them. See table 7. Table 7. Frequency Percent Fatigue 7 23.3 Poor Appetite 7 23.3 Tachycardia 1 3.3 Confusion 15 50 Total 30 100 73.3% (22) patients said that they are allowed to use as much sugar as they want because they use too and lack of knowledge of the diabetes symptom when they are young. All of the respondents (100%) said that they have greater change to get the complications such as hypoglycemic attack from a patient who does not have diabetes. 93.3% (28) patients said if they did not control the blood sugar level there is greater change of infection and illness. The infection will take time to heel. See table 8 Table 8 CHAPTER 5 5.1 Discussion. The World Health Organization (WHO) has estimated that in the year 2030, Malaysia would have a total of 2.48 million people with diabetes compared to 0.94 millions in 2000. In Malaysia, the First National Health and Morbidity Survey (NHMS I) conducted in 1986 reported a prevalence of diabetes of 6.3% and in the Second National Health and Morbidity Survey (NHMS II) in 1996, this had risen to 8.3%. The NHMS I and NHMS II involved subjects above 30 years. The third National Health and Morbidity Survey (NHMSIII) conducted between April to July 2006 and included the diabetes module in the survey on subjects above 18 years. Zanariah et al (2008). Diabetic is a costly, disorder. Defining the distribution of specific characteristics among diabetics can assist in the planning, implementing and evaluating diabetic programmers for primary, secondary and tertiary prevention and control of diabetes. In planning of services for diabetes control, equity policies have to be considered. In this study it show that the patients know that they prone to get diabetes because of take a sweet drinks and rich of sugar in their food. When the patient in the ward, the nurse should teach the patient how to do the insulin injection, where are the side of injection and tell the patient that he should change the site of the injection to prevent from boil. The nurse should observe the patient how he syringe out the insulin and how to inject to his body. The nurse should remind the patient about sign and symptom of hypoglycemic attack and the precaution of the disease. The health education should continuously given to the patients from day 1 they admitted until the patient discharge from the ward and continued by the health community by do a home visit to the patient if the patient cannot go to the clinic for follow up. Regarding the diet, health education from the nutritionist and the medication from the clinical pharmacist should be continued since the patient stay in the ward. 5.2 Conclusion. Diabetes prevalence rate in Malaysia has risen much faster than expected, almost double over the last decade. Prevention and control of this chronic disease should be stepped up. Diabetes is certainly a diagnosis that nobody ever wants to receive. There is no cure, but it can be managed through diet, medication and exercise. Having high blood sugar level is out of control, the result in irreparable damage to the body, particularly with the kidneys, cardiovascular and blindness. Health education to patient on how to manage the disease and how to avoid or prolong adverse effects on the body.

Antipredator Defense as a Limited Resource : Unequal Predation Risk and

INSECTS WITH PARENTAL INSTINCTS More than two centuries ago, a Swedish scientist named Modeer described what appeared to be maternal behavior in the acanthosomatid shield bug Elasmucha grisea. He noted that the female did not fly away when an intruding object threatened her compact egg mass; instead, she remained steadfast and tilted her body towards the object (Tallamy). Unfortunately, this evidence, no matter how well documented, was not enough to convince countless people of the possibility of insects having parental instincts. The acknowledgement of parental behavior in insects was not a widely accepted idea for a number of years. Many people believed insects were too primitive to care for their young and that only when physical conditions became extremely severe were insects capable of expressing paternal abilities. The traditional view of maternal care is that it is an exceptional and relatively recent evolutionary leap forward (Tallamy). Fortunately, the assumptions made about maternal care in insects do not have to be accepted or rejected based only on faith or an educated guess; today it is possible for these predictions to be empirically tested so that the data may be recorded and analyzed. The following experiment is just one example of the various ways in which ideas regarding insects and maternal care may be effectively evaluated. Reginald B. Cocroft, of the Neurobiology and Behavior Department at Cornell University in Ithaca, New York, researched insects known as Umbonia crassicornis, or the thornbug treehopper. U. crassicornis offspring thrive in large aggregations on the often exposed stems of host-plants. These offspring are incredibly vulnerable, making them easy targets and subject to intense predatio... ...ymphs unequally. The mother distributed her protection equally throughout the entire aggregation along the length of the branch. Main Points: Location in relation to the mother is possibly competitive Location independent of the mother is possibly competitive, but only exploitation competition Signaling is not competitive for maternal care, it is cooperative and the mother distributes protection along the aggregation equally. WORKS CITED Cocroft, Reginald B. 2002. Antipredator Defense as a Limited Resourse: Unequal Predation Risk and Broods of an Insect With Maternal Care. Behavioral Ecology, 13, 1, 125-133. Tallamy, D. W. and C. Schaefer. 1997. Maternal behavior in the Hemiptera: Ancestry, Alternatives, and Current Adaptive Value. pp. 94-115, In B. Crespi and J. Choe (eds.). Social Behavior in Insects and Arachnids. Cambridge University Press, Cambridge.

1984 Big Brother Is Watching You Essay -- essays research papers

Someone has always been there to tell you what to do in life. As a young child, you were told to behave properly and not to eat too many sweets. As you grew older and older, it seemed as if the responsibilities became greater and greater in number. Even as an adult, there was always an officious boss telling you what to do. There was always some higher force that bound your actions. Authority was the major theme in the novel 1984, by George Orwell. Authority was also a profound factor in Stanley Milgram’s experiment conducted in 1974. It seems that authority has been around longer than any of us can remember, and it is authority that dictates the way we act.   Ã‚  Ã‚  Ã‚  Ã‚  Authority is based on instinct. When we receive an order, we intuitively react and follow the command. At first, we do not think, nor contemplate the effects that come as a result of our actions. In 1984, we get a sense of a greater authority in Big Brother. Although we never come to know if Big Brother actually exists, the power and authority that this idol holds over the people is unimaginable. The people of Oceania are divided into two classes, the members of the Party and the proletariat. The Party members are like machines that do the jobs of the government. In this world, never has anyone thought any different of his or her place in society. Due to this authority that attempts to control the human train of thought, paranoia among the people became common. Nobody would talk to each other. Bonds between one another were broken, and it was never thought to be any different than before. To hold on to what makes you human - emotions and the ability to speak freely - was considered a crime against Big Brother. Of course, with authority comes punishment. To break from traditional views essentially asks for some form of retribution. For Winston, this resulted in undergoing a painful stay at the Ministry of Love. In the experiment conducted by Stanley Milgram, the power of authority over one’s personal conscience was laid bare. Subjects were asked to apply shocks to another person at increasing levels if questions were answered incorrectly. Although equipment was specious, 63% of the subjects followed through with the experiment and delivered the shocks at the highest intensity. “I was just following orders,'; was the excuse of many of the s... ...experiment, felt that the experiment made such a deep impression on him that he became convinced that “social sciences and psychology, are much more important in today’s world.'; One can only imagine the inner conflicts that were running through his head. After the experiment, he described the mood, “I did want to stop at that time. I turned around and looked at [the experimenter]. I guess it’s a matter of…authority.';   Ã‚  Ã‚  Ã‚  Ã‚  It was clearly evident in the storyline of 1984, and was an outlining theme of Milgram’s experiment. Authority has always been with us; its laws are instilled within us. Most times, we know what is right and what is wrong. It is wrong to steal, and authority punishes us for doing so. It is wrong to disobey the government, and authority again punishes us for doing so. These truths are imposed upon us. Authority not only dictates the way we act, but it also changes our outlook on life. Ordering someone to apply shocks to another person is one thing. Making someone change the way they have viewed the world their whole life is something that authority has the power to make you do.

Insanity of Hamlet and Ophelia

Hamlet’s insanity comes from his passion to get revenge and grief over his fathers death, while Ophelia has true and justified insanity. Hamlet has reason behind his madness, he is saddened by his father’s death, planning on how to kill his uncle, and his mind is in a fragile place throughout the play. Ophelia is very naive, defenseless, and loyal to the men in her life. She cannot contend with difficulties that occur during the play such as, her father dying, Hamlet’s attitude towards her, and her lack of judgement. The are both insane yet have different reasons and ranging motives behind their insanity. Hamlet is in a unique situation where he his mother has married his uncle, Claudius, and his father has been murdered by his uncle. He wants nothing but revenge for his father. Hamlet is obsessed with proving Claudius guilty. Hamlet receives a lot of pressure from the ghost of his father to achieve revenge and feels like he has some sort of responsibility to get revenge for his father. Hamlet is hasty, erratic, and does not really think about his actions. When he stabs Polonius thinking that it is Claudius hiding behind the curtains, he does not even bother to look behind the curtain he just does it. His wild elocution and deranged actions upset other characters and set them up for other actions. When Hamlet repetitively acts nastily towards Ophelia she winds up committing suicide . When Hamlet says, â€Å" Get thee to a nunnery! † to Ophelia she even questions Hamlet’s sanity at that point and may have been a contribution to Ophelia’s suicide. Hamlet is also upset with his mother, Gertrude, for marrying Claudius so fast after his fathers death. Hamlet feels betrayed by his mother and is enraged with her. In the play Hamlet tells Gertrude how much better his father was than Claudius and tries to make her promise how much better his father was than Claudius. Hamlet says to Gertrude in Act 3 Scene 4, â€Å"Mother, you have my father much offended. † Hamlet feels like his mother has betrayed his father and is angry. Hamlet makes Gertrude feel guilty for doing this. Ophelia madness is brought upon by her love for Hamlet, her loyalty to men, the death of her father, her lover killing her father, and many other things. Hamlet and Ophelia’s relationship is not based on love, but almost around their insanity. It seems as if Hamlet does not really love Ophelia until she passes and then he finally realizes his true love for her. Hamlet states in Act 5 Scene 1,†I loved Ophelia. Forty-thousand brothers could not with all their quantity of love make up my sum. What wilt thou do for her? †. Ophelia truly loves Hamlet and thinks that Hamlet loves her the same way, she is traumatized by the fact that Hamlet shuns her and is rude to her. While watching the play in the castle Hamlet says to Ophelia, â€Å"That’s a fair thought to lie between maids' legs. † His rude comment to Ophelia causes her to become distraught. Hamlet is a possible cause of Ophelia’s suicide. When she finds out that Hamlet has killed her father she talks in riddles, rhymes, and sings songs about death and virginity. In Act 4 Scene 5 Ophelia sings, â€Å"Larded with sweet flowers which bewept to the grave did not go with true-love showers. † Ophelia is hysterical over the fact that Hamlet had killed her father and this is where she completely loses her sanity. She listens to all the men in her life and follows their commands. Polonius and Laertes tell Ophelia to not see Hamlet and that Hamlet does not love her. Laertes states to Ophelia in Act 1 Scene 3, â€Å"Perhaps he loves you now, and now no soil nor cautel doth besmirch the virtue of his will but you must fear. † Laertes is telling Ophelia that Hamlet only wants her love now and will be done with her later. She believes Laertes and does not think for herself. Ophelia is an unpredictable woman who is confused by the males in her life. Ophelia and Hamlet are both undoubtedly insane, but at times Hamlet is on the brink of sanity. Ophelia is clearly crazy throughout the play. She is wild, emotional, and is operated by others. Hamlet’s madness has a source behind it and is at times a sham to throw off others. He is frazzled by his fathers’ death and getting revenge for his father by killing Claudius. He also is angered over the fact that Gertrude, his mother, married Claudius, his uncle, so quickly. Hamlet states in Act 1 scene 2, â€Å" The funeral baked meats did coldly furnish forth the marriage tables. † He is saying that his mother got married so quickly that the left overs from the funeral could cater the wedding. His relationship with Ophelia tears at his heart. He tells Ophelia that â€Å"a woman’s love is brief† during the play within a play nd makes sexual remarks to her. He is very passionate about his fathers death but not about Rosencrantz and Guildenstern’s death . Hamlet is so enveloped in getting revenge for his father, that he does not even care about the death of his two friends. Hamlet is deep in his plot for revenge against Claudius, he makes himself â€Å"crazy† over it. Hamlet and a few others are the only ones that see the ghost, people who do not see the ghost think Hamlet and the others are mad. Hamlet’s relationship with his mother was ruined after she marries Claudius. He feels betrayed by her and his mind is filled with memories of his father. Hamlet has crude passion and purpose behind his insane feelings. Ophelia is entirely insane. Hamlet’s insanity comes from the passion to get revenge for his father’s murder on Claudius and his mother for getting married so quickly to Claudius. Hamlet and Ophelia are both crazy, but Ophelia is absolutely insane and cannot handle the struggles of life. Hamlet could have possibly gotten over his insanity and dealt with his feelings, but his passion for revenge took him over. They are both insane and unstable people as Shakespeare indicates through their deaths.

Lack of Mother and Reunion in Victorian Times

LACK OF MOTHER AND METAPHORS OF REUNION IN OLIVER TWIST AND JANE EYRE The aim of this paper is to discuss the psychological effects of being motherless and orphanhood and metaphors of reunion under social class distinction observation on the characters of two well known Victorian novels; Jane Eyre and Oliver Twist. Orphanhood means having no parents but in Victorian society this term also refers to â€Å"one who has deprived of only one parent† as Laura Peters states. As a result of this, motherlessness and orphanhood were considered the same in the Victorian Era. To write a life, in the Victorian period , is to write the story of the loss of mother† says Caroline Dever. In other words, Victorian fiction mostly tells us the piteous stories of little motherless,orphan children who are vulnerable and disadvantaged. The importance of family and blood relations are significant aspects of Victorian Era. So these little orphans should have defend themselves against disadvantag es of being alone in this material world, also they had to get over their psychological traumas mostly by themselves. According to Dever, mother is the symbol of the unity,safety and order in a child's life. Within the death of mother, the hero/heroine finds himself in a very dangerous , chaotic situation. In addition to that, the female protagonist has to face with erotic danger. Mostly in Victorian novels, maternal lossis used a path to set the young protoganist free to construct selfhood independently of parental constraint. The lack of parents leads the protagonist to start his quest in a disadvantaged position and he finds his inner strength to assert his personality. Orphans are in search of identity in social, psychological and personal dimensions. Lacan's â€Å"mirror phase† is the very first step of being a person. When a baby first sees himself on the mirror, at first he tries to control and play it. When the baby understands that this is a reflection,he realizes that he is not a part ofmother, on the contrary, he has another personality. Until now,the baby thinks himself like a body part of his mother. With the mirror stage, he sees himself as a whole being and this realizationis very important for his identification. On the other hand,this realization creates alienation. Understanding her mother is a seperate object makes him realise that this object is not under his control. Starting from now,he searches identificatory images to fill this lack,such as representations,doubles and other. In order to understand and achieve the main goals of Jane Eyre and Oliver Twist, we should have a glance at Charles Dicken's and Charlotte Bronte's early lives. Charlotte Bronte was born in 1816, the third daughter of the Rev. Patrick Bronte and his wife Maria. Her brother Patrick Branwell was born in 1817, and her sisters Emily and Anne in 1818 and 1820. In 1820, too, the Bronte family moved to Haworth, Mrs. Bronte dying the following year. In 1824 the four eldest Bronte daughters were enrolled as pupils at the Clergy Daughter's School at Cowan Bridge. The following year Maria and Elizabeth, the two eldest daughters, became ill, left the school and died: Charlotte and Emily, understandably, were brought home. In 1826 Mr. Bronte brought home a box of wooden soldiers for Branwell to play with. Charlotte, Emily, Branwell, and Ann, playing with the soldiers, conceived of and began to write in great detail about an imaginary world which they called Angria. In 1831 Charlotte became a pupil at the school at Roe Head, but she left school the following year to teach her sisters at home. She returned returns to Roe Head School in 1835 as a governess: for a time her sister Emily attended the same school as a pupil, but became homesick and returned to Haworth. Charles Dickens was born on February 7, 1812, the son of John and Elizabeth Dickens. John Dickens was a clerk in the Naval Pay Office. He had a poor head for finances, and in 1824 found himself imprisoned for debt. His wife and children, with the exception of Charles, who was put to work at Warren's Blacking factory, joined him in the Marshalsea Prison. When the family finances were put at least partly to rights and his father was released, the twelve-year-old Dickens, already scarred psychologically by the experience, was further wounded by his mother's insistence that he continue to work at the factory. His father, however, rescued him from that fate, and between 1824 and 1827 Dickens was a day pupil at a school in London. At fifteen, he found employment as an office boy at an attorney's, while he studied shorthand at night. His brief stint at the Blacking Factory haunted him all of his life — he spoke of it only to his wife and to his closest friend, John Foster— but the dark secret became a source both of creative energy and of the preoccupation with the themes of alienation and betrayal which would emerge, most notably, in David Copperfield and in Great Expectations. Jane Eyre and Oliver Twist both grew up as orphans. They both struggled with poverty. Growing up in misery, because they were lower class, both Jane and Oliver did what they needed to do to survive. Oliver joined the pick-pocketers to earn money to live. Jane went through school and applied herself, so she would not end up unhappy and in poverty. Jane and Oliver had similar obstacles while trying to basically survive. Both Jane and Oliver, as children, were lower class. The plot of Jane Eyre follows the form of a Bildungsroman, which tells the story of a child’s maturation and focuses on the emotions and experiences that accompany and incite his or her growth to adulthood. In Jane Eyre, there are five distinct stages of development, each linked to a particular place: Jane’s childhood at Gateshead, her education at the Lowood School, her time as Adele’s governess at Thornfield, her time with the Rivers family at Morton and at Moor House, and her reunion with and marriage to Rochester at Ferndean. From these experiences, Jane becomes the mature woman who narrates the novel retrospectively Jane has no real parents and family, but only her dead uncle's wife and her cousins. Jane's childhood focuses on who she is and where she belongs to. She always looks for someone to identify herself because she faces the world with the â€Å"primal â€Å"lack† The psychologist Carl Jung was interested in the â€Å"collective unconscious† or the primordial images and ideas that reside in every human being's psyche. often appearing in the forms of dreams,visions and fantasies , these images provoke strong emotions that are beyond the explanation of reason. In Jane Eyre, the bounds of reality continually expand, so that dreams and visions have as much validity as a reason,providing access to the inner recesses of Jane's and Rochester's psyches. Their relationship also has a supernatural component. Throughout the novel, Jane is described as a â€Å"fairy†. Sitting in the red-room, she labels herself a â€Å"tiny phantom,half fairy,half imp†. As a fairy, Jane identifies herself as a special,magical creature. Her dreams have a prophetic character, suggesting their almost supernatural ability to predict future. In a dream foreshadowing the direction of her relationship with Rochester, she is â€Å"tossed on a buoyant but unquiet sea†. Jane's dream warns her that their relationship will be rocky, bringing chaos and passion to her life. Not only Jane is a mythical creature, but the narrative she creates also has a mythic element, mixing realism and fantasy. We see the first instance of this as Jane sits nervously in the red-room and imagines a gleam of light shining on the wall; for her,this indicates a vision â€Å"from another world† As Jane's departure from Gateshead was marked by her pseudo-supernatural experience in the red-room, her movement away from Lowood also has a paranormal component. Meditatingupon the best means for discovering anew job, Jane is visited by a â€Å"kind fairy† who offers her a solution. This psychic counsellor gives her very spesific advice: Place an advertisement in the local newspaper, with answers addressed to J. E. , and do it immediately. The fairy's plan works, and Jane soon discovers the job at Thornfield. As a gypsy woman, Rochester aligned himself with mystical knowledge. During his telling of her fortune, Rochester seems to have peered directly into Jane's heart, leaning her deep into a dram-state she likens to â€Å"a web of mystification†. He magically weaves a web around Jane with words, and appears to have watched every movement of her heart, like an â€Å"unseen spirit†. During this scene, he wears a red cloak, showing that he has taken over the position of Red Riding Hood that Jane held earlier. The position he gives Mason also has mystical powers, giving Mason the strength he lacks for an hour or so, hinting at Rochester's mysterious possibly supernatural powers. In emphasizing the uniqueness of Jane and Rocester's love, Bronte gives their meetings a mythical feel, so that they are depicted as archetypes of true lovers. Her association of Rochesters's horde and dog with the Gytrash places their initial meeting in an almost fairytale-like setting. Later, Rochesters reveals that at this initial meeting, he thought Jane was a fairy who had bewitched his horse. The lovers' reunion at the end of the novel also has a psychic component. As she is about to accept St. John's wishes, Jane experiences a sensation as â€Å" sharp, as strange , as shocking† as an electric shock. Then she heards Rochester's voice calling her name. The voice comes from nowhere,speaking â€Å"in pain and woe,wildly,urgently†. So powerful is this voice that Jane cries, â€Å"I am coming† and runs out of the door into the garden, but she discovers no sign of Rochester. She rejects the notion that this is the evilish voice of the witchcraft, but feels that it comes from benevolent nature, not a miracle , but nature's best effort to help her, as if the forces of nature are assisting this very special relationship. She introduces the ideal of a telepathic bond between the lovers. This psychic sympathy leads Jane to hear Rochester's frantic call for her,and for Rochester to pick her response out of the wind. In fact, he even correctly intuits that her response came fromsome mountainous place. Through the novel's supernatural elements, Jane and Rochester become archetypes of ideal lovers, supporting Jane's exorbitant claim that noone â€Å"was ever nearer to her mate than I am†. These mythic elements transforms their relationship from ordinary to extraordinary. The ending of Jane Eyre is perhaps the most obvious â€Å"happy† ending of the books in Victorian Era. The ending, which is like a beginning when Rochester and Jane are reunited at the house at Ferndean , details the manifold ways in which Jane and Mr. Rochester's lives and souls evolve and change after their reunion, through their own work and by the hand of God. They mature as individuals, but also grow exceptionally close as a couple, coming to work together with â€Å"perfect concord† (Bronte, 384. ) As the novel concludes, miracles are worked, love and sight are restored, a child is born and a new haven of domestic bliss is established in Jane and Rochester's home. Emerging as an ideal Victorian companion, wife and mother, Jane stands as the perfect woman that Bertha, the mad woman in the attic and Mr. Rochester's first wife, could never be. She and Rochester establish the domestic bliss that could not found with Bertha, and come to prize it above all else but God. The end of Jane Eyre starts with a beginning: Jane, who calls Rochester â€Å"master,† and Rochester, who calls Jane â€Å"darling,† come together once more, and this time for good. Seeing him for the first time in years, Jane is in â€Å"rapture† (367), although she initially keeps her presence concealed from Rochester. When she finally presents herself to Rochester, the couple is together once more, It is an ideal reunion. With her return, Rochester's life is instantly changed: Rochester's heart renewed, the couple goes on to define themselves a new as companions, and then lovers. Jane Eyre is critical of Victorian England’s strict social hierarchy. Bronte’s exploration of the complicated social position of governesses is perhaps the novel’s most important treatment of this theme. Like Heathcliff in Wuthering Heights, Jane is a figure of ambiguous class standing and, consequently, a source of extreme tension for the characters around her. Jane’s manners, sophistication, and education are those of an aristocrat, because Victorian governesses, who tutored children in etiquette as well as academics, were expected to possess the â€Å"culture† of the aristocracy. Yet, as paid employees, they were more or less treated as servants; thus, Jane remains penniless and powerless while at Thornfield. Jane’s understanding of the double standard crystallizes when she becomes aware of her feelings for Rochester; she is his intellectual, but not his social, equal. Even before the crisis surrounding Bertha Mason, Jane is hesitant to marry Rochester because she senses that she would feel indebted to him for â€Å"condescending† to marry her. Jane’s distress, which appears most strongly in Chapter 17, seems to be Bronte’s critique of Victorian class attitudes. Jane herself speaks out against class prejudice at certain moments in the book. For example, in Chapter 23 she asks Rochester: â€Å"Do you think, because I am poor, obscure, plain, and little, I am soulless and heartless? You think wrong! —I have as much soul as you—and full as much heart! And if God had gifted me with some beauty and much wealth, I should have made it as hard for you to leave me, as it is now for me to leave you. † However, it is also important to note that nowhere in Jane Eyre are society’s boundaries bent. Ultimately, Jane is only able to marry Rochester as his equal because she has almost magically come into her own inheritance from her uncle. Jane struggles continually to achieve equality and to overcome oppression. In addition to class hierarchy, she must fight against patriarchal domination—against those who believe women to be inferior to men and try to treat them as such. Three central male figures threaten her desire for equality and dignity: Mr. Brocklehurst, Edward Rochester, and St. John Rivers. All three are misogynistic on some level. Each tries to keep Jane in a submissive position, where she is unable to express her own thoughts and feelings. In her quest for independence and self-knowledge, Jane must escape Brocklehurst, reject St. John, and come to Rochester only after ensuring that they may marry as equals. This last condition is met once Jane proves herself able to function, through the time she spends at Moor House, in a community and in a family. She will not depend solely on Rochester for love and she can be financially independent. Furthermore, Rochester is blind at the novel’s end and thus dependent upon Jane to be his â€Å"prop and guide. In Chapter 12, Jane articulates what was for her time a radically feminist philosophy: Women are supposed to be very calm generally: but women feel just as men feel; they need exercise for their faculties, and a field for their efforts as much as their brothers do; they suffer from too rigid a restraint, too absolute a stagnation, precisely as men would suffe r; and it is narrow-minded in their more privileged fellow-creatures to say that they ought to confine themselves to making puddings and knitting stockings, to playing on the piano and embroidering bags. It is thoughtless to condemn them, or laugh at them, if they seek to do more or learn more than custom has pronounced necessary for their sex. Dickens sets Oliver Twist in early 19th-century England, a time when long-held ideas and beliefs came under serious scrutiny. Profound changes brought about by the Industrial Revolution, religious uncertainty, scientific advancement, and political and social upheaval caused many Victorians to reexamine many aspects of their society and culture. Industrialization drove many farmworkers into the cities, where poor labor conditions and inadequate housing condemned most of them to poverty. The unprecedented increase in urban population fostered new and overwhelming problems of sanitation, overcrowding, poverty, disease, and crime in the huge slums occupied by impoverished workers, the unemployed, and the unfortunate. London slums bred the sort of crime Dickens portrays in Oliver Twist. The novel is set against the background of the New Poor Law of 1834, which established a system of workhouses for those who, because of poverty, sickness, mental disorder, or age, could not provide for themselves. Young Oliver Twist, an orphan, spends his first nine years in a â€Å"baby farm,† a workhouse for children in which only the hardiest survive. When Oliver goes to London, he innocently falls in with a gang of youthful thieves and pickpockets headed by a vile criminal named Fagin. Dickens renders a powerful and generally realistic portrait of this criminal underworld, with all its sordidness and sin. He later contrasts the squalor and cruelty of the workhouse and the city slums with the peace and love Oliver finds in the country at the Maylies’ home. Oliver Twist The novel’s protagonist is an orphan born in a workhouse, and Dickens uses his situation to criticize public policy toward the poor in 1830s England. Oliver is between nine and twelve years old when the main action of the novel occurs. Though treated with cruelty and surrounded by coarseness for most of his life, he is a pious, innocent child, and his charms draw the attention of several wealthy benefactors. His true identity is the central mystery of the novel As the child hero of a melodramatic novel of social protest, Oliver Twist is meant to appeal more to our sentiments than to our literary sensibilities. On many levels, Oliver is not a believable character, because although he is raised in corrupt surroundings, his purity and virtue are absolute. Throughout the novel, Dickens uses Oliver’s character to challenge the Victorian idea that paupers and criminals are already evil at birth, arguing instead that a corrupt environment is the source of vice. At the same time, Oliver’s incorruptibility undermines some of Dickens’s assertions. Oliver is shocked and horrified when he sees the Artful Dodger and Charley Bates pick a stranger’s pocket and again when he is forced to participate in a burglary. Oliver’s moral scruples about the sanctity of property seem inborn in him, just as Dickens’s opponents thought that corruption is inborn in poor people. Furthermore, other pauper children use rough Cockney slang, but Oliver, oddly enough, speaks in proper King’s English. His grammatical fastidiousness is also inexplicable, as Oliver presumably is not well-educated. Even when he is abused and manipulated, Oliver does not become angry or indignant. When Sikes and Crackit force him to assist in a robbery, Oliver merely begs to be allowed to â€Å"run away and die in the fields. Oliver does not present a complex picture of a person torn between good and evil—instead, he is goodness incarnate. [pic] Even if we might feel that Dickens’s social criticism would have been more effective if he had focused on a more complex poor character, like the Artful Dodger or Nancy, the audience for whom Dickens was writing might not have been receptive to such a portra yal. Dickens’s Victorian middle-class readers were likely to hold opinions on the poor that were only a little less extreme than those expressed by Mr. Bumble, the beadle who treats paupers with great cruelty. In fact, Oliver Twist was criticized for portraying thieves and prostitutes at all. Given the strict morals of Dickens’s audience, it may have seemed necessary for him to make Oliver a saintlike figure. Because Oliver appealed to Victorian readers’ sentiments, his story may have stood a better chance of effectively challenging their prejudices Throughout Oliver Twist, Dickens criticizes the Victorian stereotype of the poor as criminals from birth. However, after a strident critique of the representation of the poor as hereditary criminals, he portrays Monks as a criminal whose nature has been determined since birth. Brownlow tells Monks, â€Å"You . . . from your cradle were gall and bitterness to your own father’s heart, and . . . all evil passions, vice, and profligacy, festered [in you]. † Monks’s evil character seems less the product of his own decisions than of his birth. Oliver Twist is full of mistaken, assumed, and changed identities. Oliver joins his final domestic scene by assuming yet another identity. Once the mystery of his real identity is revealed, he quickly exchanges it for another, becoming Brownlow’s adopted son. After all the fuss and the labyrinthine conspiracies to conceal Oliver’s identity, it is ironic that he gives it up almost as soon as he discovers it. The final chapters quickly deliver the justice that has been delayed throughout the novel. Fagin dies on the gallows. Sikes hangs himself by accident—it is as though the hand of fate or a higher authority reaches out to execute him. Mr. and Mrs. Bumble are deprived of the right to ever hold public office again. They descend into poverty and suffer the same privations they had forced on paupers in the past. Monks never reforms, nor does life show him any mercy. True to Brownlow’s characterization of him as bad from birth, he continues his idle, evil ways and dies in an American prison. For him, there is no redemption. Like Noah, he serves as a foil—a character whose attributes contrast with, and thereby accentuate, those of another—to Oliver’s character. He is as evil, twisted, and mean while Oliver is good, virtuous, and kind. Oliver and all of his friends, of course, enjoy a blissful, fairy-tale ending. Everyone takes up residence in the same neighborhood and lives together like one big, happy family. Perhaps the strangest part of the concluding section of Oliver Twist is Leeford’s condition for Oliver’s inheritance. Leeford states in his will that, if his child were a son, he would inherit his estate â€Å"only on the stipulation that in his minority he should never have stained his name with any public act of dishonor, meanness, cowardice, or wrong. † It seems strange that a father would consign his child to lifelong poverty as well as the stigma of illegitimacy if the son ever committed a single wrong in childhood. In the same way that the court is willing to punish Oliver for crimes committed by another, Leeford is ready to punish Oliver for any small misdeed merely because he hated his first son, Monks, so much. One contradiction that critics of Oliver Twist have pointed out is that although Dickens spends much of the novel openly attacking retributive justice, the conclusion of the novel is quick to deliver such justice. At the story’s end, crimes are punished harshly, and devilish characters are still hereditary devils to the very end. The only real change is that Oliver is now acknowledged as a hereditary angel rather than a hereditary devil. No one, it seems, can escape the identity dealt to him or her at birth. The real crime of characters like Mr. Bumble and Fagin may not have been mistreating a defenseless child—it may have been mistreating a child who was born for a better life. Yet Dickens’s crusade for forgiveness and tolerance is upheld by his treatment of more minor characters, like Nancy, whose memory is sanctified, and Charley Bates, who redeems himself and enters honest society. These characters’ fates demonstrate that the individual can indeed rise above his or her circumstances, and that an unfortunate birth does not have to guarantee an unfortunate life and legacy. Oliver Twist is a story about the battles of good versus evil, with the evil continually trying to corrupt and exploit the good. It portrays the power of Love, Hate, Greed, and Revenge and how each can affect the people involved. The love between Rose and Harry in the end conquers all the obstacles between them. The hate that Monks feels for Oliver and the greed he feels towards his inheritance eventually destroys him. The revenge that Sikes inflicts on Nancy drives him almost insane and eventually to accidental suicide. Dickens' wide array of touching characters emphasizes the virtues of sacrifice, compromise, charity, and loyalty. Most importantly, though the system for the poor is not changed, the good in Dickens' novel outweighs the evil, and the main characters that are part of this good live happily ever after Poverty is a prominent concern in Oliver Twist. Throughout the novel, Dickens enlarges on this theme, describing slums so decrepit that whole rows of houses are on the point of ruin. In an early chapter, Oliver attends a pauper's funeral with Mr. Sowerberry and sees a whole family crowded together in one miserable room. This ubiquitous misery makes Oliver's few encounters with charity and love more poignant. Oliver owes his life several times over to kindness both large and small. The apparent plague of poverty that Dickens describes also conveyed to his middle-class readers how much of the London population was stricken with poverty and disease. Nonetheless, in Oliver Twist he delivers a somewhat mixed message about social caste and social injustice. Oliver's illegitimate workhouse origins place him at the nadir of society; as an orphan without friends, he is routinely despised. His â€Å"sturdy spirit† keeps him alive despite the torment he must endure. Most of his associates, however, deserve their place among society's dregs and seem very much at home in the depths. Noah Claypole, a charity boy like Oliver, is idle, stupid, and cowardly; Sikes is a thug; Fagin lives by corrupting children; and the Artful Dodger seems born for a life of crime. Many of the middle-class people Oliver encounters—Mrs. Sowerberry, Mr. Bumble, and the savagely hypocritical â€Å"gentlemen† of the workhouse board, for example; are, if anything, worse. Oliver, on the other hand, who has an air of refinement remarkable for a workhouse boy, proves to be of gentle birth. Although he has been abused and neglected all his life, he recoils, aghast, at the idea of victimizing anyone else. This apparently hereditary gentlemanliness makes Oliver Twist something of a challenging tale, not just an indictment of social injustice. Oliver, born for better things, struggles to survive in the savage world of the underclass before finally being rescued by his family and returned to his proper place—a commodious country house. In both novels,the protagonists managed to survive in spite of their lack of disadvantages. Jane,who never saw her parents,finds herself positive role-models and with the inspirationof these models she manages to reach her happy ending even there is a strict class distinction. Some critics say, Jane's success comes from her motherlessness. Marianne Hirsch explains this and says â€Å"The heroine attemping to cut herself off from a constraining past, to invent a new story, her own story, and eager to avoid the typically devastatingfate of her mother (Hirsch 44) Oliver, who suffered a lot and managed to stay pure and clean, got the divine judgement and possesses a family now and he is away happy with his family ———————– Throughout the novel, Jane is described as a â€Å"fairy. † Read more: http://www. cliffsnotes. com/study_guide/literature/Jane-Eyre-Critical-Essays-A-Jungian-Approach-to-Jane-Eyre. id-23,pageNum-725. html#ixzz0ogTEssy5