Tuesday, August 6, 2019
Macbeth by Shakespeare
Macbeth by Shakespeare Macbeth , written by Shakespeare, is a tragic play written around 1050 A.D. In this catastrophic play, the symbol of blood is mentioned differently several times. Shakespeare uses intricate imagery with the association of the word, blood. This specific word is significant because he uses the word creatively to develop the character of Macbeth and the unfortunate events that occur in the play. The word, blood, is mentioned about forty-two times and ironically the word, fear, also appears forty-two times in the play. As Macbeths character fluctuates throughout the play, the powerful emblematic meaning of the word, blood, changes from the beginning to the end as well. Once Macbeth and Lady Macbeth start their murderous journey, blood soon emerges into a symbol of their guiltiness. They both begin to feel that their appalling crimes have forever stained their lives. The first mention of blood seems to establish the significance of honor. Next, the second allusion of blood shows a terribl e example of betrayal. Lastly, the third reference of blood appears to establish the sense of guiltiness. Therefore, all of these different kinds of images of blood help develop the atmosphere and scene and as well contribute to the over all drama of the play. To begin with, the first allusion of blood in Macbeth is based upon honor. Near the beginning of the scene two in act one, a bleeding sergeant appears on the stage. It is known that Macbeth and the Scottish army defeated Macdonwalds army. The sergeant continues with his description of the battle and how Macbeth and Macbeths friend, Banquo fought bravely, ââ¬Å"For brave Macbeth-well he deserves that name- / Disdaining fortune, with his brandishd steel / Which smokd with bloody execution, / Like valors minion carvd out his passageâ⬠(1.2.19-21). In this specific passage of the play, the allusion of blood is a symbol of bravery and courage. Heroic blood shed for a noble deed is known to be the good kind of blood. On the other hand, Macbeths character changes drastically throughout the unfortunate events in the play by the allegory of the blood he sheds. Before Duncans murder, Macbeth had a horrific vision of a dagger floating in the air in front of him, Macbeth describes intrica tely, ââ¬Å"â⬠¦and on thy blade and dudgeon gouts of blood, / Which was not so before. Theres no such thing: / It is the bloody business which informs / Thus to mine eyesâ⬠(2.1.46-49). The blood imagery in this passage obviously refers to betrayal and murder. This is a dire contrast to what blood symbolized in the beginning of the play. Blood was once seen as a positive merit, but is now associated with the darkness of evil. This imagery also shows the beginning of Macbeths character transformation of nobility and bravery into treachery and evilness. After Macbeth murders Duncan, he begins to realize the severity of his crime as he tries to wash Duncans blood off his hands, Will all great Neptunes ocean wash this blood / Clean from my hand? No; this hand will rather / The multitudinous seas incarnadine, / Making the green one red. (Act II, Scene 2, Lines 71-75) This passage illustrates the act of murder has changed Macbeths character. No longer does the blood connote an image of ambition; it now symbolizes guilt, remorse, and an entry into the gates of hell from which no one can return. Macbeth laments that not even all the water in the ocean will wash the blood off his hands, he is beginning to realize the magnitude of his crime, and that he has done something truly evil. This same blood symbolism continues when Macbeth, shortly after he sees the ghost of the murdered Banquo at his feast, goes into a state of shock and has to be escorted back to his chamber by Lady Macbeth. He tells Lady Macbeth before he goes to sleep, All cau ses shall give way: I am in blood / Steppd in so far that, should I wade no more, / Returning were as tedious as go oer: (Act III, Scene 4, Lines 159-161) Like her husband, the once ambitious Lady Macbeth finally realizes the significance of associating herself in the murder plot, and the severe repercussions it will bring. Tormented by nightmares, she sleepwalks through her bedroom and cries, What, will these hands neer be clean?â⬠¦Heres the smell of the blood still: all the perfumes of / Arabia will not sweeten this little hand. (Act V, Scene 1, Lines 40, 46-47) The blood imagery exhibits Lady Macbeths guilt over Duncans murder. Her hallucinations of blood on her hands and her constant efforts to wash it off demonstrate that the agony of having guilty feelings is causing her to go insane. We later learn that this guilt strains her mind to the point that she commits suicide. We now find that Macbeth has entered so far into hell and the world of evil, it is impossible for him to return to righteousness. He will be forced to kill more and more people in order to retain control of the throne. The sins he has committed have not only perverted his virtuous life, but have condemned him to an eternity in hell. There is no chance of redemption; he has permanently allied himself with the forces of evil. In the plays final scene, Macduff confronts Macbeth to avenge the murders of his children and his wife at Macbeths hand, and to see Malcolm established as the rightful King. As Malcolm sees Macbeth, he exclaims, I have no words: / My voice is in my sword, thou bloodier villain / Than terms can give thee out! (Act V, Scene 8, Lines 8-10) Shakespeare uses this blood imagery to enhance the audiences understanding of Macbeths character. The audience has now witnessed the complete transformation of Macbeth. He begins as a noble, just and brave person, to becoming evil , ambitious, and treacherous during Duncans murder, to his final feelings of remorse for his crime and finally, to the realization that he will be punished for his sins.
Monday, August 5, 2019
Intravascular papillary endothelial hyperplasia
Intravascular papillary endothelial hyperplasia Intravascular papillary endothelial hyperplasia, regarding a case INTRODUCTION Intravascular papillary endothelial hyperplasia (IPEH) was first described as a malignant lesion by Pierre Masson in 1923(1), warning his histological similarity to angiosarcoma. Later, Henschen(2) described an intravascular endothelial proliferation that he interpreted like a reagent process due to inflammation and stasis vascular. We present a case of a patient diagnosed with intravascular papillary endothelial hyperplasia in renal vein. CASE REPORT 61 years old male referred to our department with symptoms compatible with right renal colic. He has previous history of hypertension, obstructive sleep apnea syndrome and benign prostatic hyperplasia with alpha-blocker therapy. The patient relates intense pain in the right flank, sometimes radiating to ipsilateral inguinal region. On physical examination revealed pain with percussion in the right flank. Blood and urine analysis, abdominal radiography and ultrasound are requested, all of them normal. Due to the persistence of symptoms, CT scan with contrast was requested (Fig. 1), in which a solid mass of 3.5 x 3 x 4 cm, lobulated and with heterogeneous necrotic center located at the right renal hilum infiltrates renal vein is seen . This mass is adjacent to lower portion of adrenal gland, kidney, and posterior portion of the duodenum, not clearly identifying dependency. To try to understand the dependence of this mass MRI is requested (Fig. 2), which describes hypointense on T1 and hyperintense on T2 tumor, with probable adrenal gland dependence. Suspecting adrenal injury, hormonal and metabolic study is carried on in blood and urine of 24 hours, all was normal. Scintigraphy was also performed with MIBG finding no enhancing lesions. Given previous findings, and the likelihood of adrenal malignancy (nonfunctional), surgery is decided. By a subcostal laparotomy, a tumor about 4 cm, firmly adhered to the renal hilum is observed. Right radical nephrectomy is performed due to impossibility the tumor excision alone. Postoperative course without incidences and the patient was discharged on the fourth day. Microscopic examination of the surgical specimen revealed kidney and adrenal gland unaltered. Near of the renal hilum and, at least partially, contained within a dilated vein, thrombosis and endothelial reactive area proliferation (capillary and papillary), compatible with papillary endothelial hyperplasia intravascular (Fig 3). Currently the patient is reviewed every six months, with analytical tests and CT normal. DISCUSSION Enzinger and Clearkin(3) suggested several morphological features that served in the differential diagnosis between IPEH and angiosarcoma, including intraluminal location of the lesion, absence of necrotic tissue and presence of thrombotic material, and proposed the intravascular papillary endothelial hyperplasia term. The etiology of IPEH is still unknown. Trauma has been proposed as the main etiological factor, but the traumatic history is exceptional. Several authors agree with the view of Clearkin and Salyer who believe it is due to an alteration in the thrombosis process, consisting of an unusual and peculiar way of organizing thrombus.( 3,6 ) IPEH can occur at any age, more frequently in female. Most of the cases are localized to skin vessels, in head and neck, where they appear as small hard mass of bluish red coloration to the skin. Although there have also been less frequent locations as jejunum, central nervous system, liver, and lungs (4,5). Three forms have been described: Primary, on dilated vascular lakes; secondary or mixed, with preexisting vascular lesion as hemangioma , arteriovenous malformations or pyogenic granuloma; and the third and less frequent, extravascular, resulting in a hematoma (7). The finding of IPEH in the renal vein is rare, there are very few cases reflected in the literature. The symptoms are variable, ranging from an incidental finding, asymptomatic, to colic pain and hematuria. In imaging, with the CT scan with contrast we can find a solid lesion with heterogeneous contrast enhancement, and in MRI a lesion hypointense on T1 and hyperintense on T2 , which does not exclude malignancy(8, 9). In a case reported(10), preoperative diagnosis was performed with excision of the lesion and kidney preservation. But in most cases, it was impossible to rule out malignancy, and the radical surgery is usual, either for technic impossibility by proximity to the renal vessels, or the suspicion of malignancy. No metastases or malignant degeneration has been reported. Preoperative diagnosis of IPEH is difficult as there are no characteristic symptoms or an imaging test that allows adequate differential diagnosis. There are several neoplastic and non-neoplastic lesions that can be found in the renal hilum. Among them: renal carcinoma, angiomyolipoma , schwannoma , myelolipoma , hemangiopericytoma , lymphoma, cysts, Castleman disease or lipomas. Therefore, this condition, although rare, must fall within the diagnostic possibilities, especially if their dependency or proximity to vessels is detected. CONFLICT OF INTEREST The authors declare no conflict of interest REFERENCES Masson P. Hemangioendothelioma vegetant intra-vasculaire. Bull Soc Anat Paris 1923;93:517ââ¬â23. Henschen F. Là ´endovasculite proliferante thrombopoietique dans la lesion vasculaire locale. Ann anat Pathol 1932;9:113-21. Clearkin KP, Enzinger FM. Intravascular papillary endotelial hiperplasia. ARch Pathol Lab MEd 1976;10:441-4. Johraku A, Miyanaga N, Sekido N, et al. A case of Intravascular Papillary Endothelial Hyperplasia Arising from Renal sinus.Jpn J clin Oncol 1997; 27(6) 433-36. Pelosi G, Sonzogni A, VIale G. Intravascular Papillary Endothelial Hyperplasia of the renal vein. Int J Surg Pathol 19(4) 518-20 Salyer WR, Salyer DC. Intravascular angiomatosis: development and distinction from agniosarcoma. Cancer. 1975; 36: 995-1001 Hashimoto H, Daimaru Y, Enjoji M. Intravascular papillary endothelial hyperplasia. A clinicopathological study of 91 cases. AM J Dermatopathol. 1983; 5:539-46 Kuo T, Sayers CP, Rosai J. Massonà ´s `Vegetant intravascular hemangioendotheliomaà ´: a lesion often mistaken for angiosarcoma. Cancer 1976; 38: 1227-36. Van den bogaert S, Boel K, Van Poppel H, et al. Massonà ´s tumour of the kidney. Cancer Imaging. 2002; 2: 116-9. Akhtar M, Aslam MAL-Mana H, et al. Intravascular Papillary endothelial Hyperpasia of Renal Vein. Arch Pathol Lab med. 2005;129: 516-520 LEGENDS TO FIGURES Fig.1CT: heterogeneous mass with necrotic core located in the right renal hilum. Fig. 2 T1-weighted MR image: hypointense mass on the right renal hilum. Fig. 3 Histological specimen. Close to the renal vascular pole and partially including a dilated vein, an intravascular thrombus and a reactive endothelial proliferation zone (capillary and papillaroid) are observed. Fig. 4 Greater magnification of the previous image, which can be seen proliferation of papillary structures that tend to anastomose that are lined by a row of endothelial cells, centered on an axis of collagen and fibrin. No images of necrosis, atypia or mitosis (not characteristic of malignancy) were observed.
Sunday, August 4, 2019
Somewhere Under my Rainbow :: essays papers
Somewhere Under my Rainbow When you are little, the whole world feels like a big playground. Your dreams are big and your hopes are always high. When you are little, your biggest worry is who will get the big swing at recess. As a child I had a very vivid imagination and a best friend whose imagination was even livelier than mine. I was living in Conyers, Georgia the summer it all happened. I was a second grader, but my best friend Stephanie was only in the first grade. Both of our parents were at work and had left my older sister, Kim, in charge of us. She was sixteen years old with a haughty attitude. Most of the time she let us go our own way, while she talked on the phone and groomed herself. Today was no different than any other day that she had kept us. We left the house around 3:00pm and hadnââ¬â¢t been back since. Sweat poured down our foreheads as we sat on Stephanieââ¬â¢s front lawn. Stephanie was a plain girl with long stringy blond hair, the shade of honey mustard and brown eyes whom faded into the sun. Although her looks didnââ¬â¢t show it, she had a spark about her. She had a spark that most kids, at the age of seven, didnââ¬â¢t have. ââ¬Å"So , what can we do? Itââ¬â¢s hot but neither of us have a pool. There isnââ¬â¢t a kid within three blocks of here, and Iââ¬â¢m bored!â⬠she exclaimed, with am agitated look upon her face. ââ¬Å"I donââ¬â¢t know, but it sure is hot. Hey! Letââ¬â¢s go in your basement and see whatââ¬â¢s in there. I promise to go first!â⬠I told her. If there were anything in the world Stephanie feared more than hell, it was her basement. She had feared it since she was tall enough to see down the dark and empty staircase. She had never been down there, but the thought of itââ¬â¢s contents drove her wild. ââ¬Å"Okay but only on my terms. First of all, you go first. And we are only going for a minute. Oh, and one more thing, if I get scared, Iââ¬â¢m coming back up. Okay?â⬠she told me. I agreed to her terms and we headed into her house.
Saturday, August 3, 2019
Conflicts of Interest between Auditors and Clients Essay -- Business E
The complete destruction of companies including Arthur Andersen, HealthSouth, and Enron, revealed a significant weakness in the United States audit system. The significant weakness is the failure to deliver true independence between the auditors and their clients. In each of these companies there was deviation from professional rules of conduct resulting from the pressures of clients placed upon their auditors (Goldman, and Barlev 857-859). Over the years, client and auditor relationships were intertwined tightly putting aside the unbiased function of auditors. Auditor careers depended on the success of their client (Kaplan 363-383). Auditors found themselves in situations that put their profession in a questionable time driving them to compromise their ethics, professionalism, objectivity, and their independence from the company. A vital trust relationship role for independent auditors has been woven in society and this role is essential for the effective functioning of the finan cial economic system (Guiral, Rogers, Ruiz, and Gonzalo 155-166). However, the financial world has lost confidence in the trustworthiness of auditor firms. There are three potential threats to auditor independence: executives hiring and firing auditors, auditors taking positions the client instead of the unbiased place, and auditors providing non audit services to clients (Moore, Tetlock, Tanlu, and Bazerman 10-29). According to the Institute of Internal Auditors, ââ¬Å"conflict of interest is a situation in which an internal auditor, who is in a position of trust, has a competing professional or personal interest (Institute of Internal Auditors)â⬠. Competing interests can make it difficult to fulfill his or her duties impartially as an auditor. "A perso... ...tion Law 29 (2):363-383. 365-partners and clients Threats to Auditor Independence: The Impact of Relationship and Economic Bonds. By: Ping Ye; Carson, Elizabeth; Simnett, Roger. Auditing, Feb2011, Vol. 30 Issue 1, p121-148, 28p, 1 Diagram, 6 Charts; DOI: 10.2308/aud.2011.30.1.121 Exploring Trust and the Auditor-Client Relationship: Factors Influencing the Auditor's Trust of a Client Representative. By: Rennie, Morina D.; Kopp, Lori S.; Lemon, W. Morley. Auditing, May2010, Vol. 29 Issue 1, p279-293, 15p, 1 Diagram, 3 Charts; DOI: 10.2308/aud.2010.29.1.279 The Auditor-Firm Conflict of Interests: Its Implications for Independence: A Reply. By: Goldman, Arieh; Barlev, Benzion. Accounting Review, Oct75, Vol. 50 Issue 4, p857-859, 3p Are Auditors Becoming Too Cozy With Their Clients? By: Briloff, Abraham J.. Business & Society Review (00453609), Summer85, Issue 54
Friday, August 2, 2019
Essay About Family: Families Torn Apart :: essay about my family
Family ties have been a sour topic in my life since as long as I can remember. Through the years I have managed to cope with the reality of being on my own. Though it was not easy, I have been through more than most people my age. One of the hardest things I had to cope with was moving around as much as we did. I was born in Nurnberg, Germany while my father was in the military. When I was two, my parents divorced and I stayed with my father and lost all contact with my mother until I was 18. After they divorced, dad and I moved in and out of three states, and ended up in Wausau. Growing up with an abusive father, and without my mother, was very difficult to manage. To make matters worse, I attended 12 schools before high school, I had no friends. Homework was always a struggle for me, given that I attended 12 different schools. It seemed as if I was always behind or ahead of the class, because the last school was at a different pace or taught things differently. I have grown up without relying on family but relied on myself. Even today I have little or no contact with my family. My mother and all her relatives live in Oregon. I had the pleasure of reuniting with my mother in 1994. When we met again after 16 years I decided to live in Oregon with her. I stayed in Oregon for almost two years by then it was apparent that my mother and I lost the bond that a mother and child should always have. We were separated for so long, and I was at such a young age that I found it difficult to be close to her. I have since moved back to Wausau, and started a family of my own. On occasion I talk to my mother on the phone but this has never been a very fulfilling relationship either. Although unfulfilling, it has allowed for some progress in our relationship. In the same way I have lost connection with family so has Chakkravann "Chucky" Saukom. During an interview with my friend Chuck, I learned some very interesting things. Chuck moved to the United States in 1975 with a "first class ticket from the U.
Thursday, August 1, 2019
Brindage Act 1902 Essay
1.The Brindage Act 1902 that was implemented on November 12,1902, prohibits the Filipinos to form or join groups against the US government. The Act was created in order to pacify the Filipinos so that it would be easier for the American government to execute their plans for the country. This law states that whoever continues to revolt against the Americans will be considered as thieves. Even though Americans tried to stop the activists, there were still some Filipinos like Macario Sakay that remained fighting. They were affected greatly by the law, because they cannot walk streets without getting themselves arrested. And although they had the rich people funding them from the beginning, it was stop, therefore it led to the lack of food and arms. The bandoleros continued fighting even though some of their fellow Katipuneros surrendered to the US. I consider them heroes and patriots even though it is said that the country is in a ââ¬Å"peaceful situationâ⬠, because they were fighting for the independence they fought since the Spanish times. 2.The First Philippine Republic or the Malolos Republic was established along with the proclamation of the Malolos Constitution. This was said to be the end of the Spanish rule. First President Emilio Aguinaldo changed the revolutionary government to a dictatorial and later went back to the revolutionary government. Malolos Republic has its President, Cabinet Members and Ministers, but in my opinion, it is still premature. The departments are messed up like the Department of Foreign Affairs, Navy and Commerce; Department of War and Public Works; Department of Police, Internal Order, Justice, Education and Hygiene; Department of Finance, Manufacturing Industry. Itââ¬â¢s as if it was hastened just so they could form departments. I also believe that if this was a successful government, it would last longer, and the Americans could have let go of us to be an independent country.
How to Build a Backyard Kennel
? How to Build a Backyard Kennel? By Kimberly Mathis The most important thing, about building a backyard kennel, is what size, what strength and what features are needed for your dog. What is a backyard dog kennel? A backyard dog kennel is a small, fenced ââ¬â in area used to contain your dog. It is an area used to keep your dog safe and contained while outdoors. It is not recommended that your dog stay in the kennel permanently. In fact, dog psychologists recommend that you allow your dog time inside as well. What size do you need? Well, what size is your dog? If you have a small dog, you won't have to build a big yard. The larger the dog, the bigger the yard. A yard has to be big enough for your dog to eat, sleep, and use the bathroom. A dog will not soil the area where he eats. This is very important because if you have a large dog and you put him in a small kennel, he has nowhere to eat and do his business. The size of your dog, also, depends on how strong you need to make it. You also need to ask yourself ââ¬Å"How long is my dog going to stay in this kennel? â⬠As I mentioned before, it is not a good idea to make the kennel your dog's permanent home. It causes anxiety in your dog. It also causes behavioral differences in your dog. Okay, let's get started. First, you will need to get supplies. Now most of the supplies can be bought at a local feed store or a local hardware store. You will need the following: Wooden Support Poles. You want these poles to be 6 ft high and at least 4 inches at the base. Unless you have a big dog, then you want to go taller with the posts. We don't want the dog to jump out of his cage and cause a unpleasant mess. U-nails is also required. These will help hold your fence in place. You will also need fencing. The experts prefer you to use portable metal fencing. You will need a gate for your kennel. This gate needs to be heavy and with a latch. That way your pooch can't push it open and escape. Finally, you will need a hammer and a screwdriver. Next, you will need to measure out where you are going to put this kennel. You need to make sure that it is big enough so your dog can run around yet not so big it inhibits your whole yard. Then you go and buy your materials. Remember that your yard is outside and should be able to withstand the forces of nature. Pick your spot. Make sure that there is shade and sunlight. A grassy yard is a good thing. It helps recycle the dog's urine and feces well. You also want to make sure that when it rains, it isn't going to fill up with mud and puddles. These can cause serious problems for your pet. Make your fence. Put your posts in the ground approximately 2 feet down and 4 foot apart. After you put in your posts, you want to put the dirt in around them and pack them down well. It will help your fence stay sturdy and strong. Now you are ready to attach the fence. You will attach your fence by using the U-nails. The experts say to use 3 per post. You are almost finished now. The last thing you want to do is attach your gate. Now to attach the gate, you have to make sure that it will closeâ⬠¦. that was a little humorâ⬠¦. I would be the type to put a gate on and it not close properly. The gate should have a latch on it. You want to screw the hinge onto a post. Check that the gate swings easily. I cannot express how important it is that the latch work. I actually have a backyard dog kennel that was built almost exactly like the one I am describing. There is no latch on the gate. This creates a problem. My dog manages to push the concrete bricks, that are holding the gate shut, out of the way. With a latch, I wouldn't be having this problem. I have stated previously that I have a backyard kennel made almost exactly like the one I described. I found that it doesn't work very well. I have a wolf breed type of dog and she digs out from under the fence. My suggestion would be to lay concrete down and make sure the fence is in the concrete. Also, with a large breed dog, you will want to make sure that it is high enough so your dog will not crawl out of it. We have had that problem as well. I searched for different sites to help me write the best description of a backyard kennel and found only one. It is apparent that most sites do not recommend putting your pet outside in an enclosure. I, personally, am one that doesn't find anything wrong with it. I tried to let my dog inside and she ate my house. She likes being outside. Unfortunately, she likes to be UNDER our house and that is not acceptable. So we built her a dog yard with house and a porch and a canteen area. She is living the life of dogs out there and doesn't seem to like it. She is constantly figuring ways to escape and go under our home and into our duct system. I refuse to put air conditioning in her house. We have a state-of-the-art dog house that is under a perfect shade tree. The only solution, that I could come up with is that I am going to have to install concrete around the fence line. I am hoping that it works and keeps our dog in her yard. I did my essay on this subject in hopes of finding out what we did wrong. Unfortunately the only thing I see that we did wrong was making it her permanent home. I really didn't learn a lot about this but it was a fun and informative subject. This is how to make a backyard dog kennel. http://www. ehow. com/about_4568749_backyard-dog-kennels. html
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