Informative Essay on Hpv

Human Papillomavirus (HPV) Testing What is the Human Papillomavirus? Commonly known as HPV, it is an infection that spreads through sexual contact. There are over one hundred different types of HPV; several types cause genital warts, while other high risk strands can lead to cancer of the cervix, anus, vagina, and penis. Because HPV is often asymptomatic, many people are unaware of their infection status, and thus, their potential for transmitting the virus to a sexual partner.The significance of the Human Papillomavirus is that fifty percent of Americans who are sexually active will contract it within their lives, and at any given point there are twenty million Americans already infected with it (â€Å"By the numbers: HPV Vaccine†). Infection with HPV is a significant public health burden in the United States because of the costs for screening and treatment for cervical abnormalities, as well as costs associated with treating benign genital warts. There is a vaccine known as Gardasil that will prevent strands of HPV. The vaccine, FDA approved, is effective towards different types of HPV.Human Papillomavirus vaccines should be administered to females, who are sexually active, to fight against certain strains of the virus, such as genital warts and most importantly cervical cancer. Genital warts is a skin infection caused by the sexually transmitted disease, the Human Papillomavirus. HPV types associated with genital infections are transmitted sexually, primarily through skin to skin contact during sexual activity. Warts are extremely common. Statistics show that â€Å"each year 250,000-500, 000 Americans develop genital warts† (â€Å"By the Numbers: HPV†).All are benign. In women, warts occur in or around the vagina, on the cervix or around the anus. In men, genital warts are less common but might occur on the top of the penis. There are currently several different strains of HPV that cause both external and internal warts. In the United St ates, about 1. 4 million people have genital warts, which cause HPV (Board, A. D. A. M. Editorial). According to researchers, â€Å"vaccines for the Human Papillomavirus are available to protect against the two types of HPV† (types 6 and 11) that cause about 80% of genital warts (â€Å"HPV Vaccine†).The Human Papillomavirus vaccine has been recommended for females nine to twenty-six years old; it should be administered before the onset of sexual activity, but the girls and women who are sexually active should be vaccinated as well (â€Å"HPV Vaccine†). Most infections go away within 1 to 2 years, but some persevere. Persistent infection can increase the risk of certain types of cancers. Nearly two decades ago, experts discovered a relationship between infection with HPV and cervical cancer. Since then, these experts have learned much more about what HPV can lead to (â€Å"Cervical Cancer Symptoms, Causes, Treatments†).The Human Papillomavirus can cause ch anges in a woman’s cervix. If the body clears the infection, the cervical cells go back to normal, but if they do not and the infection continues, the cells will abnormally change. The American Cancer society says â€Å"about 12,170 women will find out they have cervical cancer in the U. S. this year† (â€Å"By the Numbers: HPV Issues†). Many women in the United States get Pap smear tests, and if they have abnormal cells, they have them removed before they become benign. The high strands of HPV cause Pap smear tests to show that the cells are abnormal.According to Statistics â€Å"researchers say that virtually all cervical cancers, more than 99%, are caused by these high-risk HPV viruses† (â€Å"Cervical Cancer Symptoms, Causes, Treatments†). The most common of the high-strains of the Human Papillomavirus are types 16 and 18, which cause seventy percent of all cervical cancers (â€Å"HPV Vaccine†). Cervical cancer has an effect on women not only in a health manner. The emotional cost from HPV is a further burden as it may include fear of cervical cancer, apprehension, and the stigma associated with a sexually transmitted infection.HPV is so common that drug companies long sought to develop a vaccine against it. In June 2006, Gardasil, a Human Papillomavirus vaccine made by Merck & Co. , was licensed for use and brought to the market (â€Å"HPV Vaccine†). Gardasil, which is given into a series of three injections, targets the main types of HPV. The types targeted are HPV 6, HPV 11, HPV 16 and HPV 18, which cause ninety percent of the genital warts and are the leading causes of cervical cancer (â€Å"Cervical Cancer Symptoms, Causes, Treatments†). Brought to the attention by researchers â€Å"combined, those strains affect an estimated 3 million women in the U.S† (â€Å"HPV Vaccine†). Since HPV is so common in the United States, the makers of Gardasil are trying to get a law approved that wil l make the shots mandatory. In 2006, Upon Gardasil’s release, Merck & Co. launches an intensive lobbying effort to convince state lawmakers to make the vaccine mandatory for girls entering middle school. Approximately two dozen states consider adopting such a law in the first few months after Gardasil’s debut. â€Å"Key Events in the History of HPV† Women are not aware of the causes or effects of HPV. They lack knowledge of the infection and are more at risk.Circumstances are worsened when accompanied by a lack of knowledge about the transmission of the virus and its association with genital warts and cervical cancer. Doctors are recommending Gardasil to their patients to prevent genital warts and cancers. â€Å"I’m a Pediatrician, and in Pediatrics, we do routinely recommend Gardasil to both boys and girls,† says Dr. Marney Gundlach (â€Å"Undernews†). Dr. Alvin Bay Lin also quotes, â€Å"As a family physician, I recommend Gardasil to all appropriate patients, boys & girls 9-26yo, to prevent cervical and other genital cancers, anal cancer, and genital warts.There is some evidence that it may even be useful in women 27-45yo† (â€Å"Undernews†). In today’s generation, girls begin having sex as young as nine years old, and that is causing the risk of HPV to increase. Recently, Gardasil has been approved for males, in order to decrease the risk for spreading infections and to primarily lowering the results of spreading it to women (â€Å"HPV Infection in Men: Symptoms, Treatments, Causes. †). Note that the vaccines are not an HPV cure. Gardasil has been shown to provide protection for five years. The Human Papillomavirus vaccination does not mean women can skip their Pap smear test.Gardasil is slowly becoming known in order to enhance the awareness of its prevention against HPV. Should girls and young women receive the Human Papillomavirus vaccine? Yes. The vaccine is nearly one hundred effecti ve in preventing diseases caused by high-risk strains of HPV (â€Å"By the numbers: HPV Vaccine†). HPV is so common within the United States that at any given point there are twenty million people that have it (â€Å"By the numbers: HPV Vaccine†). The Human Papillomavirus causes skin infections, also known as genital warts. They occur in both men and women, in or around the genital areas.There are over one million people in the United States that have contracted genital warts (â€Å"Cervical Cancer Symptoms, Causes, Treatments†). If infections are not cleared up, they may lead to cervical cancer. Approximately, 3,700 women die each year from cervical cancer (â€Å"By the numbers: HPV Vaccine†). There is a vaccine out that has been Federal Drug Association, and Center for Disease Control approved to help prevent strains of HPV. Gardasil helps target the four main types of HPV. It is administered into a series of three shots, is effective to work up to five years. The shots may be presented to both men and women, in order to reduce etting high risk strains of HPV. Doctors are recommending Gardasil to their adult patients as well as their adolescent patients in order to create awareness against HPV. Due to lack of knowledge of how severe HPV can be, Gardasil should be administered to both men and women to decrease the number of HPV infections a year and the number of deaths of cervical cancer. Statistics show the vast number of Americans who have contracted HPV, and how they are rising every year. Gardasil may be the safest choice in protection for women, in order to slowly decrease future numbers. Works Citied Board, A.D. A. M. Editorial. â€Å"Causes, Incidence, and Risk Factors. † Cervical Cancer. U. S. National Library of Medicine, 18 Nov. 0000. Web. 06 Mar. 2012. â€Å"By the Numbers: HPV Vaccine. † Issues & Controversies. Facts On File News Services, 18 Sept. 2009. Web. 6 Mar. 2012. â€Å"Cervical Cancer Symptoms, Causes, Treatments. † WebMD. WebMD. Web. 06 Mar. 2012. â€Å"HPV and Cervical Cancer. † WebMD. WebMD, 10 Jan. 0000. Web. 06 Mar. 2012. â€Å"HPV Infection in Men: Symptoms, Treatments, Causes. † WebMD. WebMD. Web. 06 Mar. 2012. . HPV Vaccine. † Issues & Controversies On File: n. pag. Issues & Controversies. Facts On File News Services, 18 Sept. 2009. Web. 6 Mar. 2012. â€Å"Key Events in the History of the HPV Vaccine. † Issues & Controversies On File: n. pag. Issues & Controversies. Facts On File News Services, 18 Sept. 2009. Web. 6 Mar. 2012. â€Å"Undernews. † : Gardasil: A Case Study of What Can Happen When Pharma Hustling Goes Wild. Web. 06 Mar. 2012. | | | competency| 50|   37| clear maintained position| 10|   9| analysis/synthesis| 15|   14| use of sources| 15|   14| distinctive presentation| 10|   7| grade|   | 81|

Sex in Indian Society

Hindu views of homosexuality and, in general, LGBT (lesbian, gay, bisexual, and transgender) issues, are diverse. Same-sex relations and gender variance have been represented within Hinduism from Vedic times through to the present day, in rituals, law books, religious or so-called mythical narratives, commentaries, paintings, and sculpture. The extent to which these representations embrace or reject homosexuality has been disputed within the religion as well as outside of it. In 2009, The United Kingdom Hindu Council issued a statement that ‘Hinduism does not condemn homosexuality', subsequent to the decision of the Delhi High Court to legalise homosexuality in India Unlike the West, the Hindu society does not have the concept of ‘sexual orientation' that classifies males on the basis of who they desire. However, there is a strong, ancient concept of third gender, which is for individuals who have strong elements of both male and female in them. Third genders include males with a predominant feminine soul or gender orientation. These males are not classified as men. Only non-feminine gendered males are classified as ‘men. ‘ The Hindu society, since the ancient times, does not consider the men's desire or sexual activity with men, the same as that of a third gender's desire or sexual activity with men. Although, the society, formally does not acknowledge sexuality between men, it formally acknowledges and gives space to sexuality between men and third genders as a variation of male-female sex (i. e. , a part of heterosexuality, rather than homosexuality, if analysed in western terms). In fact, Hijras, Alis, Kotis, etc. — the various forms of third gender that exist in India today, all are characterized by the gender role of having receptive anal and oral sex with men. Sexuality between men (as distinct from third genders) have nevertheless thrived, mostly unspoken, informally, within men's spaces, without being seen as ‘different' in the way its seen in the West. Like in other non-western cultures, it is considered more or less, a universal aspect of manhood, even if not socially desirable. Its the effeminate male sexuality for men (or for women) which is seen as ‘different,' and differently categorised. Men often refer to their sexual play with each other as ‘Masti. Western concept of Homosexuality seeks to break this distinction between third gender and men, and to isolate sexuality between men along with the third genders, with all its negative consequences. As such, men in India have long resisted the concept of ‘gay,' and have sex with men without identifying as a ‘homosexual. Gay activists, have sought to introduce a locally acceptable term for ‘homosexual' for two decades, without success. Finally, the term MSM was taken, because it was technically difficult for men to avoid, if they had sex with men. However, it too was rejected by Indian men, as if was seen as just another term for ‘gay. ‘ In the past few years, however, the concept of ‘homosexuality' has finally taken root, as men's spaces have weakened because o f Westernization and gay groups becoming strong with years of gay and AIDS activism. A significant fallout of this has been that sexual desire between men, which was near universal earlier, is now become more and more isolated from the mainstream, as men are distancing themselves from it because of the stigma of effeminacy or third gender attached to the notion of ‘gay. ‘ Things have become so bad in some westernized urban spaces, that two men can no longer hold hands — something which was a common sight in India, not too far back. Contemporary Hindu society Sexuality is rarely discussed openly in contemporary Hindu society, especially in modern India where homosexuality was illegal until 2009, due to colonial British laws. On July 2, 2009 The Delhi High Court in a historic judgement decriminalised homosexuality in India; where the court noted that the existing laws violated fundamental rights to personal liberty (Article 21 of the Indian Constitution) and equality (Article 14) and prohibition of discrimination (Article 15). Even before this judgement, in India homosexuals were very rarely prosecuted despite the existence of such laws in the penal code. Even though Hinduism is never known to exclusively ban homosexuality, certain Hindu nationalist factions are opposed to legalizing homosexuality while certain others choose to remain silent. However, in the last twenty years homosexuality has become increasingly visible in the print and audio-visual media, with many out LGBT people, an active LGBT movement, and a large Indian LGBT presence on the Internet. From the 1990s onward, modern gay and lesbian Hindu organizations have surfaced in India's major cities and in 2004, plausible calls were made for the first time to repeal India's outdated and nontraditional laws against homosexuality Deepa Mehta's 1996 film Fire, which depicts a romantic relationship between two Hindu women, was informally banned for â€Å"religious insensitivity† after Hindu Nationalists attacked cinemas where it was being screened on the grounds that it denigrated Indian culture, not on the grounds of homophobia per se,a position shared and confirmed by feminist Madhu Kishwar. In addition, The Bharatiya Janata Party (Hindu Nationalist Party) who were in power in India at the time, refused to ban it Similar protests occurred in 2004 against the lesbian-themed film Girlfriend — even though the portrayal of lesbianism was this time distinctly unsympathetic Several human-rights groups such as the People's Union for Civil Liberties have asserted that sexual minorities in India face severe discrimination and violence, especially those from rural and lower caste backgrounds. Hijras and other third-gender groups are similarly oppressed in modern-day India, forced to live on the margins of society In her book, Love's Rite, Ruth Vanita examines the phenomena of same-sex weddings, many by Hindu rites, which have been reported by the Indian press over the last thirty years and with increasing frequency. In the same period, same-sex joint suicides have also been reported. Most of these marriages and suicides are by lower middle-class female couples from small towns and rural areas across the country; these women have no contact with any LGBT movements. Both cross-sex and same-sex couples, when faced with family opposition, tend to resort to either elopement and marriage or to joint suicide in the hope of reunion in the next life. Vanita examines how Hindu doctrines such as rebirth and the genderlessness of the soul are often interpreted to legitimize socially disapproved relationships, including same-sex ones. In a 2004 survey, most — though not all — swamis said they opposed the concept of a Hindu-sanctified gay marriage. But several Hindu riests have performed same-sex marriages, arguing that love is the result of attachments from previous births and that marriage, as a union of spirit, is transcendental to gender. Many Indian and Hindu intellectuals now publicly support LGBT civil rights. Some liberal Hindu reform movements, especially those in the West, also support social acceptance of gays, lesbians and other gender minorities. Psychoanalyst Sudhir Kakar writes that Hindus are more accepting of â€Å"deviance or eccentricity† than are adherents of Western religions, who typically treat sexual variance as â€Å"anti-social or psychopathological, requiring ‘correction' or ‘cure'†. Hindus, he argues, believe instead that each individual must fulfill their personal destiny (svadharma) as they travel the path towards moksha (transcendence). Commenting on the legalization of homosexuality in India; Anil Bhanot, general secretary of The United Kingdom Hindu Council said: The point here is that the homosexual nature is part of the natural law of God; it should be accepted for what it is, no more and no less. Hindus are generally conservative but it seems to me that in ancient India, they even celebrated sex as an enjoyable part of procreation, where priests were invited for ceremonies in their home to mark the beginning of the process[ The third gender Hindu philosophy has the concept of a third sex or third gender (tritiya-prakriti – literally, â€Å"third nature†). This category includes a wide range of people with mixed male and female natures such as transgenders, homosexuals, transsexuals, bisexuals, the intersexed, and so on. Such persons are not considered fully male or female in traditional Hinduism, being a combination of both. They are mentioned as third sex by nature (birth and are not expected to behave like ordinary men and women. They often keep their own societies or town quarters, perform specific occupations (such as masseurs, hairdressers, flower-sellers, domestic servants, etc. ) and are generally attributed a semi-divine status. ‘Their participation in religious ceremonies, especially as crossdressing dancers nd devotees of certain temple gods/goddesses, is considered auspicious in traditional Hinduism. Some Hindus believe that third-sex people have special powers allowing them to bless or curse others. In Hinduism, the universal creation is honored as unlimitedly diverse and the recognition of a third sex is simply one more aspect of this understanding. In 2008, the state of Tamil Nadu recognised the â€Å"Third Gender†; with its civil supplies department giving in the ration card a provision for a new sex column as ‘T', distinct from the usual ‘M' and ‘F' for males and females respectively. This was the first time that authorities anywhere in India have officially recognised the third gender. Hindu religious narratives The Hindu god Shiva is often represented as Ardhanarisvara, with a dual male and female nature. This sculpture is from the Elephanta Caves near Mumbai. In the Hindu narrative tradition, stories of gods and mortals changing gender occur. Sometimes they also engage in sexual activities as different reeincarnated genders. Homosexual and transgender Hindus commonly identify with and worship the various Hindu deities connected with gender diversity such as Ardhanarisvara (the hermaphrodite form of Shiva); Aravan (a hero whom Krishna married after becoming a woman); Ayyappa (a god born from the union of Shiva and Mohini, a female incarnation of Vishnu); Bahuchara-devi (a goddess connected with trans-sexuality and eunuchism); Bhagavati-devi (a Hindu goddess associated with crossdressing); Bhagiratha Maharaja (an Indian king born of two female parents); Caitanya Mahaprabhu (an incarnation of Radha and Krishna combined); Chandi-Chamunda (twin warrior goddesses); Gadadhara (an incarnation of Radha in male form); Gangamma-devi (a goddess connected with crossdressing and disguises); Harihara (Shiva and Vishnu combined); Kartikeya; Vallabhavardhana, Yellamma-devi and countless others There are also specific festivals connected to the worship of such gender-variant deities, some of which are famous in India for their crossdressing devotees and homosexual undertones. These festivals include the Aravan Festival of Tamil Nadu, the Ayyappa and Chamaya-Villaku Festivals of Kerala, the Bahucara-mata Festivals of Gujarat and the Yellamma-devi Festivals of Karnataka, among others Mahabharata In the Mahabharata, as the result of a curse he was compelled to honor, the hero Arjuna takes a â€Å"vow of eunuchism,† that is, to live as the third sex for a year: â€Å"O lord of the Earth, I will declare myself as one of the â€Å"neuter† sex. O monarch, it is, indeed difficult to hide the marks of the bowstring on my arms. I will, however, cover both my cicatrized arms with bangles. Wearing brilliant rings on my ears and conch-bangles on my wrists and causing a braid to hang down from my head, I shall, O king, appear as one of the third sex, Vrihannala by name Another important character, Shikhandi, is born female, but raised as a boy. Sihkandi's father, King Drupada, had begged the god Mahadeva to give him a son, to which Mahadeva replied: â€Å"Thou shalt have a child who will be a female and male. Desist, O king, it will not be otherwise. † When Sikhandi comes of age and marries, Sikhandi's wife â€Å"soon came to know that Sikhandiwas a woman like herself, refusing him. † Fleeing from the unnamed wife's enraged father, Sikhandi encounters a male Yaksha (nature spirit) in the forest, and they agree to swap sexes. Now in a male body, Sikhandi proves to his father-in-law that he is truly male, after the latter sends â€Å"a number of young ladies of great beauty† to Sikhandi to test him. They report back that he is â€Å"a powerful person of the masculine sex,† and Sikhandi becomes a skilled and famous warrior, playing a pivotal role in the war. Ramayana In some versions of the Krittivasa Ramayana, the most popular Bengali text on the pastimes of Lord Ramachandra (an incarnation of Vishnu), there is an interesting narrative of two queens that conceived a child together. When the famous king of the Sun Dynasty, Maharaja Dilipa, died, the demigods become concerned that he did not have a son to continue his line. Lord Shiva therefore appeared before the king's two widowed queens and commanded them, â€Å"You two make love together and by my blessings you will bear a beautiful son. The two wives, with great affection for each other, executed Shiva's order until one of them conceived a child. Unfortunately, however, the child was born boneless, but by the blessings of a sage, Astavakra, the child was restored to full health and continued the dynasty. Astavakra accordingly named the child â€Å"Bhagiratha† – he who was born from two vulvas . Bhagiratha later became one of the most famous kings of India and is credited with bringing the Ganges River down to earth through his austerities. Hindu texts Hindus have many sacred texts and different communities give special importance to different texts. Even more so than in other religions, Hindus also foster disparate interpretations of the meaning of various texts. The Vedas, which form the foundation of Hinduism for many, do not refer explicitly to homosexuality, but Rigveda says Vikruti Evam Prakriti (perversity/diversity is what nature is all about, or, what seems un-natural is also natural), which some scholars believe recognizes the cyclical constancy of homosexual/transsexual dimensions of human life, like all forms of universal diversities. People of a third gender (tritiya-prakriti), not fully men nor women, are mentioned here and there throughout Hindu texts such as the Puranas but are not specifically defined. In general they are portrayed as effeminate men, often cowardly, and with no desire for women. Modern readers often draw parallels between these and modern stereotypes of lesbian, gay, bisexual and transgender sexual identities. Historians Ruth Vanita and Saleem Kidwai, in their pioneering book, Same-Sex Love in India: Readings from Literature and History, for the first time compiled extracts from Indian texts, from ancient to modern times, including many Hindu texts, translated from 15 Indian languages. In their accompanying analytical essays, they also demonstrated that Hindu texts have discussed and debated same-sex desire from the earliest times, in tones ranging from critical to non-judgmental to playful and celebratory. Historian Devdutt Pattanaik summarizes the place of homosexuality in Hindu literature as follows: â€Å"though not part of the mainstream, its existence was acknowledged but not approved. † Other Indologists assert that homosexuality was not approved for brahmanas or the twice-born but accepted among the lower classes. In his book, Tritiya-Prakriti: People of the Third Sex, Vaishnava monk Amara Das Wilhelm demonstrates how ancient expressions of Hinduism accommodated homosexual and transgender persons much more positively than we see in India today: â€Å"Early Vedic teachings stressed responsible family life and asceticism but also tolerated different types of sexualities within general society Manu Smriti The Manuscript, which lists the oldest codes of conduct that were proposed to be followed by a Hindu, does include mention of homosexual practices, but only as something to be regulated. Though homosexuality was considered a part of sexual practices, it was not always well accepted. There were punishments prescribed for homosexual behaviour. For instance, the verse referring to sexual relations between an older woman and a virgin (woman) reads†Ã¢â‚¬ ¦ woman who pollutes a damsel (virgin) shall instantly have (her head) shaved or two fingers cut off, and be made to ride (through the town) on a donkey†, suggesting a severe punishment. However, the verse referring to sexual relations between two virgins suggests a relatively milder punishment – â€Å"†¦ a damsel who pollutes (another) damsel must be fined two hundred (panas), pay the double of her (nuptial) fee, and receive ten (lashes with a) rod†. These provisions, quoted out of context, seem homophobic, but in fact they are concerned not with the gender of the partners but with the loss of virginity that rendered a young woman unworthy of marriage. For instance, the punishment for a forced sex act between a man and a woman states â€Å"†¦ if any man through insolence forcibly contaminates a maiden, two of his fingers shall be instantly cut off, and he shall pay a fine of six hundred (panas)†, which seems more severe in comparison to the punishment prescribed for the same act between two virgins. Sex between non-virgin women incurred a very small fine, while homosexual intercourse between men was sought to be censured by a prescription of a bath with one's clothes on, and a penance of â€Å"eating the five products of the cow and keeping a one-night fast†- the penance being a replacement of the traditional concept of homosexual intercourse resulting in a loss of caste. The discrepancy in treatment may have been due to the text's non-equal views on males and females, considering that the Manusmriti is the same scripture that has stated that the status of woman in the society is the same (or even lower than) that of a man’s land, his cattle and other possessions. For Brahmanas and twice-born men, â€Å"causing an injury to a priest, smelling wine or things that are not to be smelled, crookedness, and sexual union with a man are traditionally said to cause loss of caste In the same chapter, the atonement for twice-born men is a ritual bath: â€Å"A twice-born man who has intercourse with a male, or with a female in a cart drawn by oxen, in water, or in the day-time, shall bathe, dressed in his clothes. Here again, it can be noticed that the proscriptions are specifically for brahmana and twice-born males; there is no mention in the Manu Smriti of punishment for homosexual behavior between males of the other classes. The majority of sexual matters dealt with by the law books are heterosexual in nature, and the punishments prescribed for heterosexual transgressions are often more severe. For example, â€Å"A man who is not a Brahmana ought to suffer death for adultery (samgrahana)† (2. 8. 359). The Manu Smriti also notes the biological origins of a third gender: â€Å"A male child is produced by a greater quantity of male seed, a female child by the prevalence of the female; if both are equal, a third-sex child [napumsaka] or boy and girl twins are produced; if either are weak or deficient in quantity, a failure of conception results. † (MS 3. 49) Narada Smriti The Narada Smriti, written around 400 CE, forbids the marriage of homosexual men (mukhebhaga – men who perform oral sex on other men) to women: â€Å"These four irsyaka, sevyaka, vataretas, and mukhebhaga] are to be completely rejected as unqualified for marriage, even for a woman who has been raped. † (NS 1. 12. 15) The Narada Smriti also lists fourteen different types of panda or men who are impotent with women. Kama Sutra The Kama Sutra is an ancient text dealing with kama or desire (of all kinds), which in Hindu thought is one of the four normative and spiritual goals of life. The Kama Sutra is the earliest extant and most important work in the Kama Shastra tradition of Sanskrit literature. It was compiled by the hilosopher Vatsyayana around the 4th century, from earlier texts, and describes homosexual practices in several places, as well as a range of sex/gender ‘types'. The author describes techniques by which masculine and feminine types of the third sex (tritiya-prakriti), as well as women, perform fellatio. The Second Part, Ninth Chapter of Kama Sutra specifically describes two kinds of men that we would recognize today as masculine- and feminine-type homosexuals but which are mentioned in older, Victorian British translations as simply â€Å"eunuchs. † The chapter describes their appearances – feminine types dressed up as women whereas masculine types maintained muscular physiques and grew small beards, moustaches, etc. – and their various professions as masseurs, barbers and prostitutes are all described. Such homosexual men were also known to marry, according to the Kama Sutra: â€Å"There are also third-sex citizens, sometimes greatly attached to one another and with complete faith in one another, who get married together. † (KS 2. 9. 36). In the â€Å"Jayamangala† of Yashodhara, an important twelfth-century commentary on the Kama Sutra, it is also stated: â€Å"Citizens with this kind of homosexual inclination, who renounce women and can do without them willingly because they love one another, get married together, bound by a deep and trusting friendship After describing fellatio as performed between men of the third sex, the Sutra then mentions the practice as an act between men and women, wherein the homosexuals acts are scorned, especially for brahmanas. (KS 2. 9. 37) The Kama Sutra also refers to svairini, who are â€Å"independent women who frequent their own kind or others† (2. 8. 26) — or, in another passage: â€Å"the liberated woman, or svairini, is one who refuses a husband and has relations in her own home or in other houses† (6. 6. 50). In a famous commentary on the Kama Sutra from the 12th century, Jayamangala, explains: â€Å"A woman known for her independence, with no sexual bars, and acting as she wishes, is called svairini. She makes love with her own kind. She strokes her partner at the point of union, which she kisses. † (Jayamangala on Kama Sutra 2. 8. 13). The various practices of lesbians are described in detail within the Second Part, Eighth Chapter of the Kama Sutra.

Nurse ethics Essay

Ethics has become part of the nurses’ life when it comes to decision making and taking actions in the face of adversity or opportunity. Husted and Husted (2008, p.9) states that the patients has lost their power to take actions on their medical conditions due to the lack of knowledge in the health care settings. Hence, the healthcare providers are there to impart their skills and knowledge to treat the patient with the best care. This assignment would discuss how the medical decisions for A B who has undergone radical mastectomy are made using the model for ethical decision-making. A B’s husband suspects that there might be a spread of the tumors and informed the nurse in the out patient clinic not to mention to her if she had a spread of the tumor. A has the right to refuse to speak to the counselor and not to know in depth of her disease process. The ethical dilemma is in this case study is, whether the nurse should refrain herself from reveBng A’s progress on her condition. The second ethical dilemma is should A continue to restrain herself from speaking to her counselor. Yarbro, Frogge and Goodman (2005) states that the prognoses of patients with non invasive tumors will benefit from the mastectomy, however for patients who have invasive tumors are at probability for relapse. After the mastectomy operation the patients are at risk of wound infection, flap necrosis and seroma formation. Yabro et al. (2005) also mentioned that although breast cancer in young women is a rare condition, the disease is more aggressive biologically and has unfavorable prognosis as compared to older women. In most of the conditions, radiation therapy or chemotherapy is given to reduce the chances of relapses and to increase the chance of survival. This shows that there is high chance for A to have a relapse and that she is also highly at risk for depression due to her medial condition, and the altered body image. Mastectomy causes emotional distress and that is advisable to seek a counselor or a social worker to express the feelings which aids in recovery (Mills, 2006, p.561). In a research done on emotions of patients after mastectomy found that patients who have undergone mastectomy experienced is similar feelings to those of bereavement. Anxiety, denial and tension leading to stress are commonly found after post operation of mastectomy patients .The research further elaborates that the role of the patient in social, sexual and interpersonal is altered thus affecting the individual physically and mentally (Farooqi, 2005, p.270). Having so many mental and physical conflicts, A should seek help from the counselors and allow herself to express her thoughts so that she is able to cope with the situation. By doing so, she will be able to see things positively and have the courage to move on. Keeping in mind that she has two children, A will also need to make the necessary arrangements for the children in terms of financial, social and physical needs. National University Hospital (n.d) states that patients have the right to know information about their treatment and care plan and to participate in decision-making about their treatment care and their discharge. A has the right to know her treatment plan. She will not be able to see the broader picture of her condition and will remain in depression thinking that it is the end of the world if she remains unaware. When help is provided, she will be highly motivated to move on. Respect for autonomy is the fundamental rule of clinical ethics. It is defined as an individual right to make a decision without having interferences by others and personal limitations. Healthcare providers should educate and guide the patients so that they can understand the medical condition and will be able to make decisions. Patients have the right to seek consent for their medical treatment and to disclose information about their medical condition to them (Pantilat, 2008). Therefore, the nurse should inform A regarding the spread of the cancer, if there is, so that she will be able to make a rightful decision on her treatment. This is supported by AustrBan Nursing and Midwifery Council (AMNC) (2006), Code of Professional Conduct, Conduct Statement 7; nurses are required to inform the patient of the nature and purpose of recommended nursing care to assist the patient to make informed decisions. However, the husband had mentioned not to inform A about the spread to prevent their marriage from getting worst. By listening to the husband’s point of views, there are chances of saving their marriage and it benefits A and her family. Beneficence Beneficence is explained has an action done to promote good for others. An obligatory act to assist patients based on their importance and legitimate interests (Beauchamp & Childress, as cited in Parker & Dickenson, 2010, p.195). In the case study, it is said that A is very stressful and that she does not want to talk about her disease to the counselors. If the nurse listens to the husbands instruction, A’s stress level will not be added on and thus doing good for her. On the other hand, if A is not told about the disease and how much the counselors wanted to help her. The more she will pull herself back and may decide not to have any further treatment. These will deteriorate her condition. SNB Code of Ethics and Professional Conduct Value Statement 7 states that clients’ best interests must be taken care of (SNB, 2006 p. 8). Non-maleficence is a principal that requires not inflicting harm to the patients. Before being ethically reasonable in trying to help the genuine interest, the nurse must be very certain of doing no harm. Aiken (2004), non-maleficence demands that health care providers defend from harm to those who cannot protect themselves. SNB Code of Ethics and Professional Conduct Value Statement 5.1 and AustrBan Nursing & Midwifery Council (ANMC) Code of Ethics for Nurses in AustrBa Value Statement 1 both supports that nurses should safeguard the health and safety of their clients against incompetent, unethical or illegal practices. In A’s case, there is no evident that she is in a state of unsound mind or there that she wants her husband to decide for her. Therefore A should be informed of a disease process and allow herself to speak to the counselors. If A is not told the truth, the nurse is indirectly inflicting harm for the patient as she owes a duty of care. Yeo, Moorhouse, Khan and Rodney (2010, p.293) mentioned that justice is the wider sense of fairness, whereby everyone should be treated fairly and equally based on the individual or groups entitlements. Every patient would want know how much their condition has improved or deteriorated. In A case, she deserves to be treated and to know her prognosis as this allows her to have time to make arrangements in her social life. She may not want to talk about her disease to the counselor but there might be someone whom she feels comfortable in opening up. As her care providers, the team of healthcare professionals should find out the details and provide her with the best care possible. There is no evidence that A is in a state of unsound mind and that she has given her rights to her husband to make decisions on behalf of her. Therefore it is Madam Aminiah’s right to know her condition and to discuss her treatment plan. Although by breaking the news A would be distressed but it is the responsibility of the practitioners to give her an opportunity to participate in the decision making even if it has to involve a third party with A’s approval. After making discussions with A, she decides that her husband will be the only decision maker, he will be the surrogate decision maker (University of Illinois at Chicago College of Medicine, n.d) and we should respect her decision. Butts and Rich (2013) mentioned that a better ethical approach to patient care is by providing truthful information at the same time keeping the patient composed and educating her successful ways to manage her condition. Although by not telling A the truth may save her marriage life and benefit her family. The rights of the patients should not be violated. When patient right are being violated, the nurse is at risk of causing harm. SNB Code of Ethics and Professional Conduct Value Statement 2 emphasize the mandate of respect and support clients’ autonomy. Value Statement 7 requires nurses to defend those clients who may be vulnerable and incapable of protecting their own interests and to be an advocate in the best interest of their clients. Everyone is considered innocent until proven guilty. The approved investigators must collect enough evidences to visibly convince Nursing commission members that a violation had occurred. Under the Patients’ Right (Scotland) Act 2011, section 3, states that patient has the right to know about their condition and to make decision relating to the patient’s health and well being. As nurses, we should not refrain ourselves from telling the patient the truth unless stated. This is vastly supported by SNB Code of Ethics and Professional Conduct, value statement 2 Respect and promotes client’s autonomy. Therefore the nurse could be liable for professional misconduct under the Nurses and Midwives Act 2012, Chapter 209. Although A is in a stressful situation, there is no evident that her stress is allowing her to loose her rights in making decision for her disease. A is still in a state of sound mind and therefore her rights should not be violated unless she has agreed for her husband to decide for her or she showed signs and symptoms of unsound mind. This case is indeed an ethical challenge faced by the health care professionals. The author’s decision is to inform the patient on her current condition. If A is to have a spread, it’s her right to know so that she could make the right decision. This decision is supported by AustrBan Nursing and Midwifery Council, (AMNC, 2008) conduct statement 7; Nurses support the health, wellbeing and informed decision making of people requiring or receiving care. However, the physician will be the best person to break the news. Sullivan (2011) mentioned that health information is compulsory for the patient and it is the ethical and legal obligation of the physician to communicate that information so that patients can make decisions. The patient has the right to a diagnosis and, if consented to, the physician has a duty to treat. Therefore the author will update the team doctors. When A had decided to allow her husband to be her decision maker, than her rights will be respected. In A’s case, a family conference would help to resolve not only her medical issue but also her social issue. The team doctors will have to document the decision in the treatment and progress notes Medical records are legal documentations that are extremely essential and serve as a means of communication in the health care industry. When there is systemic documentation of patient’s medical history and the treatment provided are recorded, it may benefit when used as an evident in the court (Judson & Harrison, 2013, p. 196). ANMC National Competency Standards for Registered Nurse, statement 6.3 and 8 both highlight that documentation of care plan must bring about towards achieving expected outcome based on continuity of assessment and to be transparent (ANMC, 2006, p. 5 & 6). A’s decision should be clearly documented on the progress notes highlighting the issues of her decision maker and the treatment recommended to her. Situations that offer ethical dilemmas are common in the healthcare industry. In such situations, it is critical to consider not only the standard regulations, but also the professional code of ethics within the profession. To avoid any legal implication, the medial and nursing team should be mindful of their care provided without violating patient’s interest.

Hong Kong's Disneyland and Ocean Park Essay Example | Topics and Well Written Essays - 2000 words

Hong Kong's Disneyland and Ocean Park - Essay Example Walt Disney mainly focuses its activities on fantasy by producing movies and owning intellectual properties. However, there is an uncertainty that its customers may change their tastes to demand more of products and services that focus on nature and reality. This will see the company record a sharp drop in its attendance, revenues and profits. The Hong Kong economy has been stable because of its dependence on high property prices. A drop in the prices of prices would result in the economy experiencing a recess. Many people will be unemployed hence they will not afford money for leisure and entertainment. There will be low attendance and the firm may be forced to reduce ticket prices in order to attract customers. This will increase the cost of borrowing for the company hence limit the capital outlay for investment. This is majorly because the company depends on borrowing to supplement its capital for investments. Lobby groups include environmentalists and labor organizations. The activities of such groups against Walt Disney may result in negative publicity for the business. This is because lobby groups may incite the public against visiting facilities owned by Walt Disney for a number of reasons. One of the reasons for the campaigns may be the violation of the laws of the environment. The overall effect of such activities is a reduction in the level of attendance. Walt Disney is planning to make a new entrance into the Hong Kong market. Customers may be reluctant to respond to the new products introduced by Disney hence leading to low attendances and losses for the business. Ocean Park was having a problem with its brand and logo. The problem was that its brand image was very poor and could not attract customers to its businesses. This is attributed to the fact that the firm had an unattractive brand logo that had a very low visibility and weak association to the park.  

The Awakening and Into The Wild Essay Example | Topics and Well Written Essays - 1000 words

The Awakening and Into The Wild - Essay Example Into the Wild, on the other hand, is a 1996 factual book written by Jon Krakauer. It is an extension of the author’s 9,000-word piece on Christopher McCandless known as the Death of an Innocent, which was published in the January issue of Outside, in 1993. This novel tackles the issues of how to be accepted and recognized in society, and how finding yourself, at times, clashes with being an active member of the society. In this reading, a reader could see that Chris McCandless was behind left to find some kind of enlightenment. He endeavors to find his path in the wild with little material assets since "it made the journey more fun" (Krakauer 32). His intense risk-taking habit was the hubris that finally led to his downfall. These two writings focus on theme them of how to be accepted into society with The Awakening incorporating a female character as the protagonist and Into the Wild incorporating a male character as the protagonist. This paper will discuss how the two writin g bring out these themes (the effects of self-expression) through analysis of character roles, conflict resolution and literary devices. Edna is the central character in The Awakening, which also refers to her title. The 28 years old woman, who is wifed to a New Orleans businessman, instantly finds herself dissatisfied with her husband, as well as the limited conservative way of living that it dictates (Chopin 30). She appears from her semi-conscious situation of a devoted companion and a mother to a situation of complete awareness, through which she finds her own identity and acts on her own desires for sexual and emotional satisfaction. Through a series of "awakenings", Edna turns into a shockingly independent girl and is accountable only to her personal passions and urges (Chopin 189). Sadly, Edna’s experience (awakening) isolates her form other members of society, which led to her state of complete solitude. Christopher McCandless was a smart, optimistic young man who dee med that life is best lived in isolation, otherwise in nature. He spent two full years putting his theory into practice in the "wild-wests" of the U.S before moving into Alaska. However, he was unprepared of this journey and eventually starved to death (Krakauer 40). What these two accounts show us is that these two character where on endeavors to find themselves in opposition to the accepted societal ways, but eventually ended up harming themselves. Edna, in the awakening, ended up in utter solitude the made her to commit suicide and McCandless, in Into the Wild, ended up starving to death. Edna’s breakthrough of ways to express herself brings about the disclosure of her long-repressed emotions. Through her experience, she learns at least three fresh "languages" (Chopin 78). First and foremost, she learns the style of expression of Creole women in Grand Isle. In spite of their chastity, Creole women converse freely and share their thoughts openly. Their openness initially st unned Edna, but she soon was free about it. Edna discovered that she can face her sexuality and feelings directly, devoid of any fear. Once some of her Creole friends reveal to her that it is fine to dwell on one’

Physicians Ethics and Lethal Injection Research Paper

Physicians Ethics and Lethal Injection - Research Paper Example Basically this view involves the concept that that it is impermissible for the doctor or anyone else to terminate intentionally the life of an individual. The traditional view is that the intentional termination of human life is impermissible, irrespective of whether this goal is brought about by action or inaction. Is the action or refraining aimed at producing a death Is the termination of life sought, chosen or planned Is the intention deadly In order to better understand this concept, the notion of physicians participating in lethal injections will be discussed, and the point that the participation in lethal injections is an unethical concept of physicians will be revealed. The main objection against this argument is that of the patients' comfort, but many argue that we should not be as concerned with the comfort of murderers. Whether this is an important issue or not, the primary reason physicians should not participate in this action has to do with their own oaths as doctors; t heir purpose is to save lives, not to destroy them. First, it is important to present the statistics behind lethal injections when realizing their prevalence in certai... The execution involves three separate injections, that once administered lead to a painless, trouble free execution and it takes approx. 8 minutes for the criminal to die. It is the most reliable form of capital punishment in the United States today and is used by 37 states. However, it is the actual process that is the longest of all methods of execution. The protocol, from start to finish, takes between 30 and 45 minutes. This is a punishment in itself, as the condemned awaits his inevitable execution. Banner points out how the long procedure causes mental torture because of the anticipation of what is to come. Many other countries use the lethal injection as their most common form of capital punishment. Guatemala, for example put two suspected kidnappers to death in 2002, simultaneously and actually televised the execution (Rachels, 1995).Understating the concoction that is injected into the accused is also important to understanding this debate. The drugs used to execute inmates in the US sometimes do not always work according to plan, causing slow and painful deaths that in turn are in breech of constitutional bans on cruel punishment. (Ramsey, 1999) Even when used in the right way, the lethal injection method of execution appears to have caused some prisoners to suffocate while they were conscious and unable to move. For example, in 1986, drug addict Randy Woolls had to help execution technicians find a suitable vein for the injections; and in Raymond Landry's case in 1988, the catheter used to inject the chemicals flew out of his arm and sprayed chemicals all over the execution chamber, right in front of several state witnesses. On this occasion, a curtain was drawn preventing the spectators from seeing what was going on, and they were

Language acquisition by a bilingual child Essay

Language acquisition by a bilingual child - Essay Example Of concern to this paper is vocabulary acquisition in bilingual children and the impact that various factors have in determining children’s proficiency in their two languages. While little research exists in this area, a few researchers have since conducted research and came up with interesting results on the role these factors play in their children’s language development. It is also very important to compare the bilingual children with those from the monolingual families to see the extent of vocabulary acquisition of the two, though researches have since indicated that the language scores in bilingual children are lower than the scores of those from monolingual homes (Altarriba & Heredia, 2011, p.170). This calls for more studies so as to know the exact factors that contribute to this difference. In their article, Quiroz et al., (2010) summarise their study findings on the impacts of a mother on the learning outcomes of their children, as regards to mastering the vocabularies of the different languages. The study was conducted mainly to examine the various home factors affecting language acquisition of children of 4-5 years old, in bilingual families. Another question of this research involved the impact of the mother-child book sharing activity in bilingual families, and how it compares with that of the monolingual families. Since this study used Latin American kids from families who also used English as their other langiage, it also endeavoured to find out whether the Spanish vocabulary input also impacted the English vocabulary outcomes. The participants of this study were 250 Spanish-Speaking children. Family samples were from three communities living in Maryland and Massachusetts. A comparison sample comprised 150 children drawn from families living in Puerto Rico. The researchers made sure that the children participated came from families where at least Spanish was one of the languages spoken in the

Can other parts of a crime lab be as scientific as the DNA lab Essay

Can other parts of a crime lab be as scientific as the DNA lab - Essay Example Many police and anti-crime organizations the world over still rely on fingerprint evidence to track down a criminal but this technique has recently been put into doubt. Part of the reason is that new DNA technique is more accurate and reliable but most organizations lack the expensive equipment and expertise to do DNA testing. However, experts claim fingerprinting is not 100% fool-proof or reliable. Overview of fingerprinting – the first-ever precedent-setting criminal case in which the only evidence of fingerprints left at the crime scene was used to convict a suspect was the Rojas murders; this was a case in Necochea, Argentina back in 1892 in which the mother killed her two young children but originally accused her neighbor of the twin murders. However, when she was confronted with the incriminating evidence of bloody fingerprints on her door post, she admitted to the crime. Prior to fingerprinting, there was also the Bertillion system that had utilized a set of body measurements to identify and classify people; it was named after Alphonse Bertillion who was a French anthropologist. However, the famous case of Will West – William West in which two people had the same measurements, had almost the same names also and almost identical facial features (based from their photographs) called his systems reliability into question and caused doubts among criminologists. Fingerprinting was found to be reliable than the Bertillion system, in the same way that DNA testing is today more reliable than fingerprinting. Basic scientific principles – the method of fingerprinting was first developed by a great British anthropologist named Sir Francis Galton who first suggested the use of fingerprints based on the uniqueness of very minute details. It was another Englishman named Sir Edward Henry, assigned to Bengal, India as inspector general of the police during the

Questions Essay Example | Topics and Well Written Essays - 250 words - 18

Questions - Essay Example and team’s productivity because supervisors and workers together develop teams that are successful in total quality processes and continuous improvement. As every member is involved in process improvement each gets cash awards, paid from savings and revenue gains, hence collectively work together thus improving productivity and earning incentives (Wyman, 2011; GAO, 2000). Non-monitory incentive programs such as awards, recognition, shields, certificates etc., or assigning prestigious works, autonomy or training opportunities for performance exceeding expectations also increase productivity more than monetary incentives because they provide more motivation to perform better (GAO, 2000). According to Gordon (2004, p. eGovernance is â€Å"about the use of information and communications technology to improve the quality and efficiency of all phases of the life cycle of legislation†. Whereas Indian planning commission states that â€Å"e-Governance is in essence, the application of Information and communications technology to government functioning in order to create ‘Simple, Moral, Accountable, Responsive and Transparent’ (SMART) governance† (Planning Commission of India, 2003: Para 83). In simple terms it means that using information technology to improve the public administration’s organization, efficiency and effectiveness to satisfactorily serve the citizens (Zouridis and Thaens, 2003). eGovernment enables public administration to bring its transactions online and provide customers ease and convenience in transactions dealings with public administration with the use of information technology. However it has been established that it provides only shallow transactions whereas complicated transactions that require regulations and legislations are not provided online, thus reducing the effectiveness of eGovernance. Yet eGovernance at present has become an essential part of public administration and has improved the efficiency and quality of public

Relativism and Morality Essay Example | Topics and Well Written Essays - 750 words - 1

Relativism and Morality - Essay Example From this research it is clear that violation of another human being and to society with the taking of a life is universally wrong; it cannot be comprehended nor excused except in very few cases where violence begets violence. Warfare and the making of war between factions can be said to be racially motivated, territorial motivated, self-interest motivated, religiously motivated and politically motivated. None of these reasons present a strong enough argument to be the deciding faction which starts a conflict such as war. Responding in like becomes a very difficult position to be in for all of society. Taking quick action such as Goodman suggests would seem to be the best choice to avoid the mass murder of millions in a tense situation but look how we have responded to 9/11, a conflict that is still going on despite the death of the leader the United States initially sought. War unites and disunites people unlike any other act. Terrorist usually have a purpose or message behind their violent acts of destruction though these messages and purpose are immediately discounted when the act becomes violent and takes human lives that should be valued above all other considerations. Terrorism uses media sensation to gain national attention to a group or faction self-interested purpose, policy, religion, or idea. Media must take some responsibility in ascribing so much coverage and attention as to elicit repeats of similar behavior though citizens want to know what is going, regardless of their opinion on the issue. By our very actions we further feed the terrorist’s actions and it is a repetitious cycle.... Terrorist usually have a purpose or message behind their violent acts of destruction though these messages and purpose are immediately discounted when the act becomes violent and takes human lives that should be valued above all other considerations. Terrorism uses media sensation to gain national attention to a group or faction self-interested purpose, policy, religion, or idea. Media must take some responsibility in ascribing so much coverage and attention as to elicit repeats of similar behavior though citizens want to know what is going, regardless of their opinion on the issue. By our very actions we further feed the terrorist’s actions and it is a repetitious cycle. Human trafficking and slavery are just as deeply wrong, though I would imagine for the one being enslaved there must be periods of time that are so hateful that they are only thankful to be alive and not much else. It is pointed out that drugs, which are extremely scrutinized and resisted by the United States are sold merely once, while human beings can be sold repeatedly. Incest and human trafficking are to a much greater degree fundamentally wrong while polygamy can be situational. I disagree with Goodson’s views in this area, he uses the statement that polygamy diminishes intimacy and trust and transforms the nature of marriage which I believe that once again he is relying on language and communication as relationship factors, and societal standards which as his whole paper describes are obviously seriously out of order and frequently wrong because as a society we are extremely divide. I do not feel it is a morally wrong act to be a polygamist unless it involves minors marrying or situations that preclude to incest or child endangerment. Rape and clitoridectomy distorts

The (Feasibility)pratical of Using Unmanned Aerial Vehicles in Essay

The (Feasibility)pratical of Using Unmanned Aerial Vehicles in Delivery of Parcels - Essay Example the feasibility of the use of UAVs will help companies such DHL, UPS and FedEx as that specialize in service delivery reduce the cost of operation and consumer charges eventually bringing in efficiency and effectiveness. Moreover, the present tech-savvy society will be able to straightforwardly manage their parcel delivery time thus giving them more intuition. This report uses the qualitative technique where various literatures including journals, research articles, books and papers shall be referenced. Secondary sources will help in determining the drone’s pragmatism, acquiescence, and security. Due to time constraint and data inadequacy, this study shall not delve into the relationship between UAVs and technology or how technology impacts on parcel delivery. However, it hopes to efficaciously answer the questions within the stipulated scope, and recommend what parcel delivery companies should

Climate Change and National Security Essay Example for Free

Climate Change and National Security Essay That same month, the UN Security Council—at the initiative of the UK government—held its first-ever debate on the potential impact of climate change on peace and security. In October 2007, the Nobel committee recognized this emerging threat to peace and security by awarding former vice president Al Gore and the Intergovernmental Panel on Climate Change its peace prize. In November 2007, wo think tanks, the Center for Strategic and International Studies (CSIS) and the Center for a New American Security (CNAS), released another report on the issue, concluding from a range of possible scenarios of climate change that, â€Å"We already know enough to appreciate that the cascading consequences of unchecked climate change are to include a range of security problems that will have dire global consequences. †2 The new interest in climate change and national security has been a valuable warning about the potential security consequences of global warming, but the proposed solutions that accompanied recent efforts have emphasized broader climate policy rather than specific responses to security threats. Because the links between climate change and national security are worthy of concern in their own right, and because some significant climate change is inevitable, strategies that go beyond long-run efforts to rein in greenhouse gas emissions are required. This report sharpens the connections between climate change and national security and recommends specific policies to address the security consequences of climate change for the United States. In all areas of climate change policy, adaptation and mitigation (reducing greenhouse gas emissions) should be viewed as complements rather than competing alternatives—and the national security dimension is no exception. Some policies will be targeted at adaptation, most notably risk-reduction and preparedness policies at home and abroad. These could spare the United States the need to mobilize its military later to rescue people and to prevent regional disorder—and would ensure a more effective response if such mobilization was nonetheless necessary. Others will focus on mitigation, 2 CSIS/CNAS, The Age of Consequences: The Foreign Policy and National Security Implications of Global Climate Change, November 2007; available at http://www. cnas. org/climatechange. 2 which is almost universally accepted as an essential part of the response to climate change. Mitigation efforts will need to be international and involve deep changes in the world’s major economies, such as those of China and India. As a result, the processes of working together to craft and implement them provide opportunities to advance American security interests.

Radiation Induced Symptoms in Gynaecological Malignancies

Radiation Induced Symptoms in Gynaecological Malignancies CHAPTER I INTRODUCTION Cancer is a condition where a specific part of the body cells grow and reproduce uncontrollably .The Cancerous cells invade and destroy the surrounding healthy tissues , including organs .( National Health Service, 2005). Gynaecologic Cancers are the uncontrolled growth of cell and spread abnormally in the female reproductive organs, including the cervix , ovaries ,uterus , fallopian tubes, vagina and vulva .(American Cancer Society, 2004). Gynaecological cancer is the fourth most common type of cancer among women and annually it affects approximately 1 in 20 women. It is a frequent group of malignancies in women, which accounts approximately 18% of all female cancers Worldwide. The most common gynaecological cancers in women are cervical, endometrial and ovarian cancer, vaginal and vulvar cancers are rare. (Goker et al, 2004) Cervix, which is the lowest part of the uterus there the cervical cancer is starting. Where in Uterine or endometrial cancer it starts from the uterus. The uterus is a pear shaped organ in a women’s pelvis where the baby grows when a women becomes pregnant. Ovarian cancer begins in the Ovaries. Ovaries are located on each side of the uterus. Vaginal cancer starts in the vagina, which is a hollow organ, outside of the body and called birth canal and vulva is the outer part of the female genital organs that includes the inner and outer lips of the vagina, the clitoris, and the opening of the vagina and its glands where it starts cancer namely vulval cancer. (Kearney, 2006) Women are at risk for Gynecological Cancer, the risk factors include increasing age, strong family history, problems with gene mutation , multiple sex partners, exposure to hormones such estrogen pills ,exposure to diethylstilbestrol in the womb, viral infection such as human papilloma virus, life style factors such as smoking and overweight . (Gynecological Cancer foundation Women’s centre, 2002). National Health Service (2004) , reported that the symptoms of Gynecological Cancer depends on where the tumor is situated, the size of the tumor and how quickly it is growing. The symptoms include abnormal or persist vaginal bleeding, bleeding after menopause and bleeding after sex, unusual vaginal discharges, pelvic pain , pressure or discomfort in the abdomen, swelling of the abdomen, change in bowel or bladder habits, pain during sex, itching, burning or soreness ,lumps or warts like growth in the vulval area . Gynaecological cancer can be treated depending on the stage, type of the disease, the severity of symptoms and the women’s general health. Treatment mostly involves surgery to remove tumor by determining its stage. Radiotherapy, chemotherapy and hormonal therapy, may also be used to treat the Gynaecological cancers. (National Health Service, 2004). Cervical cancer accounted new cases for 493,000 and 273,000 will be dying, in which uterine cancer 199,000 new cases and death was 50,000. Considering the ovarian cancer 204,000 new cases and 125,000 deaths. Regarding vagina, valvul and choriocarcinoma together constituted 45,900 cases. Cervical cancer occurred 60% in the developing countries whereas in developed countries two thirds of is uterine cancer. (Sankarnarayanan and ferlay, 2006). Cervical cancer is the third most common gynaecological cancer in the USA and second most common cancer among women in worldwide. In Indian scenario annually, 132,000 new cases are diagnosed, and 74,000 deaths occur. The incidence rise during 30-34 years of age and peaks at 55-65 years with a median age of 38 years. It is mainly caused by HPV, multiple sex partners, use of contraceptive pills. The common signs are bleeding from the vagina before or after intercourse, pelvic pain during sex and Pap smear test used to diagnosis. The treatment options are surgery, chemotherapy and radiation therapy. (Karthikeyan, 2012). Endometrial cancer is the sixth most common malignancies among females in the worldwide and fourth most common cancer in developed countries with an estimated incidence of 288,000 new cases in the year of 2008. It occurs in the age group of 50 years with a median age group of 63 years. The risk factors are Obesity BMI (>30), long Lasting endogenous or exogenous, hyperestrogenism (polycystic ovary, tamoxifen therapy, an ovulation, null parity), hypertension. Hysterectomy surgery, radiation therapy both external and internal combined with chemotherapy are management for treating the endometrial cancer. (Colombo et al, 2006) Radiotherapy plays a key role in the treatment of patients with cancer in European countries. It is used for treating the palliative symptoms. Sometimes it may be combined with chemotherapy, surgery and hormone therapy for effective outcome. (Richardson, 2006). In the last century, radiation has been successfully used as primary and adjuvant treatment in the management of gynaecological malignancies .It is anticipated that the radiation therapy will continues as an integral component in the treatment of cervical, endometrial , vulvar, and vaginal carcinoma. (Bradley, 2006) Radiation therapy to any site in the pelvis can cause damage to many adjacent structures. The problems when treating pelvic areas include urinary problems such as pain or burning on mituration, increased frequency, and urgency of passing urine, incontinence or leakage and nocturia 23 % to 80%. Gastrointestinal effects such as nausea and vomiting, diarrhea and proctitis can occur as a result of the radiation therapy.86% of the women receiving pelvic radiation therapy have these symptoms. Sexuality and fertility problems frequently affect men and women following pelvic radiotherapy (Kearney, 2006). Advances in the treatment of gynecological cancer had extended the duration of survival of many patients. However ,these patients frequently experience a variety of treatment and disease related side effects that diminish their quality of life during and after treatment ; because of pain ,nausea and vomiting, anemia ,fatigue ,peripheral neuropathy ,emotional distress , and sexual dysfunction . Therefore, it is important to monitor the Quality of Life during the course of the disease and its treatment. (Wenzel, 2002). Gynaecological malignancies receiving radiation therapy, experience more symptoms like fatigue, nausea and vomiting, constipation, radiation cystitis and stomach upset. Therefore, it needs prompt identification and management. (Cancer.net.com, 2012). Barbara, (2004) reported more than 60% of all clients with cancer receive radiation therapy at some point during the course of disease. It can be used as a primary , adjuvant ,or palliative treatment modality . the radiation therapy is the only primary modality of treatment used to achieve local cure of the cancer .As the adjuvant radiation therapy can be used either pre -operative or post operative to aid in the destruction of cancer cells. Chemotherapy also can be combined with radiation therapy and is administered before the Radiation therapy close in order to potentiate the effects of radiation therapy and as a palliative treatment modality to relieve pain caused by obstruction , pathologic fractures, spinal cord compression and metastasis Rebecca (2011) reported that during 20th century nearly 60% of cancer patients received radiation therapy aimed at the specific area where the tumor was located. Radiation usually given daily 5 days per week for 5 to 8 weeks. Daily treatment lasts about 15 to 30 minutes. It may be delivered externally or internally. Those with cervical or endometrial cancer, receive both external and internal radiation therapy. Henry.et al (2008) carried out the study, which examine the prevalence side effects and related treatment burden among cancer patients receiving chemotherapy or radiotherapy. The study design was cross sectional survey, 63,949 cancer patients were included. Data were collected regarding type of cancer, time since diagnosis, side effects of treatment, visits, caregiver burden, missed workdays and socio demographic characteristics. The result of the study showed that the patient experienced side effects were fatigue (80%), pain (48%), and nausea and vomiting (48%).They concluded symptomatic experienced, reported by a patients is considerable time burden during treatment. It is important to consider supportive care strategies that may effectively reduce side effects and their associated treatment burden. NEED FOR THE STUDY Cancer is a group of disease characterized by uncontrolled cell growth and spread of abnormal cell. The uncontrolled growth damages or mutations occur in the DNA. In our world, more than 100 types of cancer are existing. It is classified according to the type of cell that is initially affected in the body such as squamous cell carcinoma, adenocarcinoma, and transitional cell carcinoma etc., (Yarbo.et al, 2005). Gynaecological cancers estimated surveillance in 2013 in which, those 91,730 women will be diagnosed and in which, 28,080 will die from her disease. About cervical cancer, 12,340 were new cases and 4,030 were estimated deaths. In uterine cancer, estimated new cases 49,560 and 8,190 deaths, regarding ovarian cancer 22,240 were new cases and 14,030 deaths occur and in Vaginal and Vulvar cancer 2, 890 found new cases and 840 deaths occur. (American cancer society, 2013). In India about more than 10 lakhs people are affected by cancer among them one third is dying every year. The incidence of cancer will be increased by five times in the year of 2025. In the year of 2012, more than 5.55 lakhs people have died due to cancer in India. (Indian council for Medical Research, 2012). Gynaecological Cancer is the cancer of the female reproductive system, which includes cervical cancer, endometrial or uterine cancer, ovarian cancer, vaginal cancer, vulvar cancer, other types include fallopian tube cancer and placenta cancer, primary peritoneal cancer. (Gynecological Cancer foundation Women’s centre, 2002). Cancer has become an important public health problem with over 800, 000 new cases occur every year in India. It is the one of the ten leading cause of death. The incidence estimated to be around 70-90 /100,000 population .Cancer registries have also highlighted that more than 80% of cancer in females occur in the age group of 35- 64. Nearly 1,500,000 people require facilities, treatment and follow up at given time. About 50 -60% of all cancers among women in India are related mainly to the four organs; namely, cervix, uteri (endometrial), corpus uteri and ovaries. (Uma Devi, 2009). Radiation therapy is an important therapeutic management for treating the Gynaecological malignancies. The evidence based treatment guidelines, epidemiologic analysis suggests that radiation therapy is indicated 60% for cervical cancer patients, 45%for endometrial cancer patients, 35% of vulvar cancer patients, 100% to the vaginal cancer patients, 5% of patients with ovarian cancer. (American cancer society, 2013) Radiotherapy is the one of the main treatment options for patients with cancer. One-half of all patients with cancer receive radiation therapy during the course of the disease. It can be administered from a variety of sources. It can be divided into those outside the body called external beam radiation or teletherapy and, those inside the body or close to the surface of the body is known as internal radiation or intra cavity radiation or brachytherapy . These patients have their special needs and using inclusive of the concept of holistic care. (Ramsharan Mehta, 2007). Women with gynecological malignancies undergoing radiation therapy on the pelvic area may affect more in physical and sexual wellbeing. Radiation side effects such as nausea and vomiting, diarrhea, constipation, fatigue, urinary problems and sexually depression. We nurses are the person in a position do the necessary assessment, identify the problems, and provide quality of care in order to relief from the symptoms. (Ram sharan Mehta, 2007) Dunberger Bergmark (2012) stated that majority of cancer patients treated for gynecological, rectal and anal cancer suffer from physical symptoms such as bowel problems, the urinary bladder and the genitals. They supported the nurses are important role in managing these side effects with rehabilitation programme. I have seen in my clinical posting many of the patients receiving radiation therapy for cancer treatment. In which, Woman who are undergoing radiation therapy for gynecological malignancy in that majority of them diagnosed as cervical and endometrial cancer. They have undergone both external and internal radiation therapy. However, during the course of the treatment they apparently faced many side effects from the radiation source in which it affect the overall quality of life and disrupt the daily activities. Most of the woman told mainly they have physical symptoms such as fatigue, nausea and vomiting, insomnia, anorexia, bowel incontinence, urinary problems, vaginal problems, and emotional upset. Therefore, they need to be addressed and provide the quality nursing care to reduce the symptoms experience. Nursing strategies implemented during the radiation therapy treatment help them to get rid of radiation-induced symptoms. Nurses are the experts in identifying the symptoms and pro viding best quality of care to relieve the symptom experienced by the patients. STATEMENT OF THE PROBLEM: A study to assess the Radiation Induced Symptoms and execution of Nursing Strategies among patients with Gynaecological Malignancies at KMCH, Coimbatore. OBJECTIVES: The objectives were to, assess the Radiation Induced Symptoms of patients with Gynaecological Malignancies. determine the effectiveness of Nursing Strategies on Radiation Induced Symptoms among patients with Gynaecological Malignancies. OPERATIONAL DEFINITION: Radiation Induced Symptoms: It refers to the symptoms, which include pain, fatigue, nausea and vomiting, loss of appetite, insomnia, diarrhea, abdominal cramps, urinary incontinence, urgency, and vaginal problems that will be assessed by radiation induced symptoms assessment questionnaire. Nursing Intervention: Independent and collaborative nursing measures will be taken and direct to manage the Radiation Induced Symptoms such as pain, fatigue, nausea and vomiting, diarrhea, abdominal cramps, urinary incontinence, urgency, vaginal problems and psychosexual problems. Radiation Therapy: Radiation therapy is the one of the cancer treatment strategies by using external and internal radiation therapy to kill the cancer producing cells in the body. Patients: Patients with gynaecological malignancies such as cervical cancer, uterine cancer (endometrial), who are undergoing radiation therapy. HYPOTHESIS: H1: There is a significant difference between radiation-induced symptoms before and after execution of nursing strategies. ASSUMPTIONS: Patients who receiving radiation therapy for gynaecological malignancies are developing radiation induced physical symptoms. Nursing strategies reduce the symptoms experience. CONCEPTUAL FRAMEWORK Conceptual framework act as a building block for the research study. The overall purpose is to make research finding meaningful and generalisable. It deals with abstractions that are assembled by virtue of their relevance to a common theme (Polit and Hungler). Conceptualizations are a process of forming ideals, which are utilized for the development of research design. It helps the researcher to know what data is to be collected and gives direction to an entire research process. It provides certain framework of reference for clinical practice and research. Nursing is complex field of study with a need for practical and hands- on training as well as knowledge of the theoretical and the historical basis. Conceptual framework for this study was developed based on Ernestine Wiedenbach’s clinical nursing practice. She proposed her theory in 1970. This theory helps the nurse to guide practice and identify activities to help the patient the situation. Elements of Nursing According to Wiedenbach, there are four essential components to the field of nursing: 1. Philosophy of nursing Philosophy of nursing includes the attitudes and beliefs about life, the nurse maintains and how these beliefs affect the reality. Philosophy leads the nurse to act in a certain way to improve the patient outcome. 2. Nursing purpose The purpose of nursing includes what a particular nurse wishes to accomplish through the profession and the activities that are directed to the overall good of the Patient. 3. Nursing Practice The practice of nursing involves identifying and administering the required needs of a patients and determining whether the actions were helpful to the patient. 4. Art of Nursing Wiedenbach encouraged nurses to see nursing as an art, which includes understanding whether those actions are helpful to the patient. Wiedenbach’s view of nursing as an art based on goal directed care. Wiedenbach’s vision of nursing closely parallels the assessment, implementation and evaluation of the nursing practice. According to wiedenbach, nursing practice consists of identifying a patient’s need for help, ministering the needed help and validating that the need for help was met. According to her factual and speculative knowledge, judgment and skills are necessary for effective nursing practice. `This theory consists of three factors: central purpose, prescription and realities. A nurse develops a prescription based on a central purpose and implements it according to the realities of the situation. According to wiedenbach’s central purpose is the overall goal towards which a nurse strives. Prescription refers to the plans of care for a patient. Realities refer to the physical, physiological, emotional and spiritual factors that come into play in a situation involving nursing actions. The attributes adopted in this study are, Central purpose: The central purpose of this study is to assess the radiation induced symptoms and execution of nursing strategies among patient with Gynaecological Malignancies. Prescription: The investigator plans the prescription that will fulfill the central purpose by identifying various needs to achieve the goal. Thus, the investigator prepared nursing strategies for symptoms such as pain, fatigue, nausea and vomiting, appetite loss, bowel problems, urinary problems and vaginal problems. Realities: The five realities identified by Wiedenbach are agent, recipient, goal, means and framework. Agent Investigator. Recipient Gynaecological patients receiving radiation therapy. Goal Reduces the symptom experience level and feel comfortable. Means Nursing strategies. Framework Radiation oncology department in KMCH. Identification: `This includes identification of radiation-induced symptoms, the need for nursing strategies and its effectiveness on the symptom experience among Gynaecological Malignancies patients. Ministration: Ministration refers to the administration of nursing strategies for reduce the radiation induced symptoms such as pain, fatigue, nausea and vomiting, nutritional imbalances, bowel problems, urinary problems and vaginal problems among patients with gynaecological malignancies. Validation: It concerns the evaluation of the effectiveness of nursing strategies on radiation-induced symptoms among patients with gynaecological malignancies. A positive outcome represents patients had markedly decreased symptoms experience.

Wuthering Heights A Thematic Analysis

Wuthering Heights A Thematic Analysis Revenge is one of the prominent and stronger issues in the novel Wuthering Heights. Emily Bronte has discussed the cruel and wicked nature of human beings. Novel was set in the harsh, rough and isolated atmosphere of Yorkshire moors in northern England. There are many reasons of emergent revenge amid the characters. People were bounded and restricted due to their class systems. One of the causes of Heathcliffs vindictive nature is his belonging of lower class. Mr. and Mrs. Earnshaw was failed to maintain equality between Hindley and Heathcliff. Throughout their lifes, both suffered and thus became as a victim of injustice. Character of Catherine is the true representation of Victorian women. One way Catherine pretends that she loves Heathcliff but on the same way she cheats him. If she chose Heathcliff for marriage, revenge would not have raised and automatically lives of many people would have saved. Edgar, Hindley and Catherines behaviour towards Heathcliff seems inhumane and disre spectful, therefore their brutal behaviour becomes the reason of Heathcliffs hurtful nature. Heathcliff proves himself that extreme of love is equally dangerous than as extreme of hate. His desire of taking revenge is superior to his love for Catherine. Edgar, Hindley, Catherine and Heathcliff have evenly participated in destroying lives of many people. By showing Heathcliffs devil style look, description of Wuthering Heights as haunted place, lack of religion, elements of ghost, Catherins and Heathcliff madness in love makes the story affected by supernatural elements and it also gives us contemplation that there is a super power around them who does not like peace and instructs them to take revenge from others. Showing the characters of Isabella and young Cathy, Emily has given us the lesson of morality as well. If both ladies obeyed Edgars suggestion, they would not become fools. Despite the fact that the revenge moves from one generation to another but in my perception character s like young Cathy and Hareton presents as the hope of peaceful future. Their sincere bonding abolishes the revenge completely at the end. Though my research topic seems pessimistic but I have ended up it an optimistic note. God does not take revenge from us. We all have to go to God with empty hands, only our deeds will go with us. Now it depends on us, either we want to die peacefully or not. Introduction Emily Bronte belongs to the Victorian age. Her novel Wuthering Heights is one of the classical novels of this age, although she died very young but Emilys work still have its uniqueness. The novel basically set in the harsh and isolated Yorkshire moors in northern England. Emily discussed very mature and bold issues. For example she wrote on escapism from religion which was totally against the customs of Victorian age. The people of this age were very strict and conservative about their religion. Women were also confined to their houses even they did not have the rights to choose their partner for marriage. We see Emilys own perception and imagination in this novel. According to the novel Wuthering Heights it depicts, that she was against the norms of Victorian age. The love triangle between Heathcliff, Catherine and Edgar seems very complex and complicated. Writer has revealed to the readers in earlier chapters that Catherine and Heathcliff both fall in love but Catherine chooses Edgar for marriage just for the sake of money and temporary physical attraction. After some time when Heathcliff gets wealth Catherine again gets closer to Heathcliff that is quite ironical. The character of Hindley represents as a jealous and a wicked person. He was the first person who started the vengeance. Revenge travels one generation to next generation. Characters like Hareton, Cathy and Linton are shown as the symbols of Victim. They suffered because of their parents. On the other hand Nelly Dean and Lockwood are shown as the narrators of the story. Since my research is qualitative so the only source of my research is reading. My research thesis has consisted on four chapters. First chapter is about The Issue of Class System. Difference between the classes of the characters is one of the main issues of the novel. The novel was written at a time when the people of England were affected not only with the economy and Industrial revolution but also with the traditional class structure of this age. The orphan Heathcliff suffered due to his lower class. Second chapter has covered The Role of Revenge and Vengeance in the novel. Because of the revenge, Hindley used to torture Heathcliff. Heathcliffs education was stopped by Hindley, he did not get a chance to raise his social class. Although Catherine loved Heathcliff but she got fascinated by the wealth and life style of Edgar and decided to marry with him. Catherines rejection made him cruel, selfish and arrogant. Third chapter is about the Impacts of Violence and Obsession that rotate around the characters of the novel. Hindleys jealousy and the ill- treatment with orphan Heathcliff raised aggression in him. As a result Heathcliff did not spare anyone. The violent and jealous behavior of Hindley destroys his sisters life too. Wuthering Heights is a strong but morbid novel of love and suffering. Through this novel Emily has tried to convey the lesson that why it is important to keep the balance between relationships? We can conclude it at the end of the story in the following way, doing anything in an excess level is not supposed to be a good thing. The obsession of love and revenge both have crossed the limits in the novel. Victim of the destructive influences of the obsession are Isabella, Cathy and Linton. The extremist love of Heathcliff destroyed his own life too. Fourth chapter has included The Supernatural Effects of the story. Wuthering Heights is famous for its gothic elements. The house (Wuthering Heights) itself gives the mysterious, unwelcoming, haunted and old looks. The eighteen century was dominated by supernatural novels. That is why Emily wrote a romantic story along with the gothic effects. Heathcliff has shown as a hero with horror looks. LITERATURE REVIEW Keyword: Revenge The act of harming somebody in return for harm they have done (Oxford Popular School Dictionary. 2008) Charles Percy Sanger wrote an essay in (1926). He is the first person, who did detailed examination of the novel Wuthering Heights. Throughout his essay, he was finding an answer of question which had in his mind. Sanger starts an essay with the pedigree of the two families. Sanger notices all the dates. Novel starts with the date 1801. June 1778 was the year of Haretons birth, 20th March was the date of birth of Catherine. The marriage date of Catherine Earnshaw and Edgar Linton was June 1783. Catherine died at 2 a.m. on Monday 20th March 1784. According to Charles, Emily Bronte did not use a calendar. For him this mistake seems unusual characteristic of novel. I found his research very unique and different but on the same time, he has neglected some major issues of the novel. Revenge is one of the main issues, he has not written a single sentence on it. This seems strange because this was one of the detailed works on Wuthering Heights. At the end of his essay he has accepted that h is research is technically dull. Linda Golds examined the Wuthering Heights on the basis of Freudin interpretations in (2011). She analysed in depth, the symbiosis of Catherine, Heathcliff and Edgar. In the same way she has made readers mind that how did revenge grown up between them? She has written her research on the interpretations of Freuds id, ego and superego. Heathcliffs id is suspicious. No one knows where he spent three years before coming into Wuthering Heights. Then she comes on Catherine, she had a very social personality. Her id was energetic and sharp minded. Her ego restricted and controlled her life to take changes. Then she discussed Edgar the super egoist. He is a true representative of Victorian era. He uses his wit power to select him rather than to Heathcliff. According to Freuds analysis a male ego person would have the courage to deal successfully with the world, a female egoist person would have to live through males. Gold moves her Freudin Scrutiny to the second generation at the end. She s aid the whole structure of Wuthering Heights would be read as the development of one personality. If we see Wuthering Heights in the light of Golds research we will definitely agree with her. Id, ego and superego belong to Heathcliff, Catherine and Edgar respectively. An entirely different approach has given by Grame Tytler in (2011). He has applied 19th century psychological theory on Wuthering Heights and further wrote an essay on it. Healthcliff was affected by monomaniac. Monomaniac was a very famous disease in Brontes days. New name of this disease is obsession, specific disorder in someones personality. Healthcliff had clearly symptoms of monomaniac. The whole research of Grame revolves around Heathcliff and the effects of monomaniac on him. The first symptom of this disease is passion. We all agree with the fact that Heathcliff loved Catherine passionately. When Catherine chose Edgar as her life partner, Heathcliff whole life destroyed. We can compare our self with Heathcliff. What will be our reaction if someone rejects us? Naturally we shout, scold and cry. Simultaneously reaction of Healthcliff seems natural at start but after some time his human nature turned into wild animal. He has taken out all his pain as revenge. He used to torture and harassed Isabella, Cathy and Hareton. Isabella says to Nelly Is Mr Heathcliff a man? If so, is he mad? And if not, is he a devil? (Bronte,E.1988,ch:13:135) Tytler described different stages of Heathcliff. He is the true picture of obsession. It could be more beneficial for us if he would emphasis on other characters too. The readers who were read Wuthering Heights were shocked by the violence in the story. It is true because in 1847 people were not habitual for this kind of violence. Violence enhanced the revenge factor in the story. Violence revolves around many characters. For example it starts with Heathcliff and Hindley fight. We see in every violent scene there was a reason behind it. Hindley did not accept Heathcliff in his house. He used to hate his father when he supported Heathcliff. The relationship between Edgar and Heathcliff were full of revenge. Characters like Isabella and Cathy who suffered a lot, changed into wild and violent characters. Knives, blood on tree, taunts, harsh and aloud sound, whip are symbolisms of violence in the story. It is very important to think why Emily has shown this kind of extreme violence? It can be several interpretations. May be she wanted to reveal the reality of Victorian society or maybe she wanted to give a lesson or by showing violence and revenge she wanted to highlight the inner pain of human being. Vengeance is the most imminent topic in Wuthering Heights. Many researches and essays have been written on this issue. In this essay critic added Austin OMalley Statement he said Revenge is often like biting because a dog bit you (123helpme.com):(a) OMalleys quote gives a sense of cruel reality. No one can find peace through revenge. An essay starts with the Heathcliff plan that he wanted to take revenge from Edgar through Isabella. The death of Catherine proves that the plan helps him nothing. Catherine ghost were used to wandering around the earth. For 20 years, visiting Heathcliff and tortured him. Let me alone, let me alone. Sobbed Catherine, if I have done wrong, Im dying for it. It is enough! You left me too: but I wont be upbraid you! I forgive you. Forgive me! (Bronte, E.1988,ch:13:144) .In my opinion the problem maker is Catherine in the story because she does not love Edgar. She chooses social status, fame and popularity instead of Heathcliffs true love. Catherine nature re sembles with the poetry of Oliver Goldsmith When lovely woman stoops to folly and finds too late that men betray, what charm can soothe her melancholy? What art can wash her guilt away? The only art her guilt to cover, to hide her shame from every eye, to give repentance to her lover, and wring his bosom, is to die. (Goldsmith,O, When lovely woman stoops to folly:1-8) Hindleys revenge destroys his own life. He got bankrupt and his beloved wife died and eventuality he died. Emily story compels her readers to think what Heathcliff achieved at the end? Is he got Catherine? Revenge worked nothing for him. Emily did great work by showing revenge as negative stigma. Anton has written a thesis on the characterization of Wuthering Heights in (2011). Emily depicts the social code, conventions and challenges of Victorian society. It can also be taken as a deep criticism on Brontes time. Antons approach is quite new because he has taken out several important points. Thrushcross Grange symbolises as Edgar personality like decent and full of manners. While Wuthering Heights symbolises as Heathcliff personality like wild and unfriendly. Both houses inhabit dogs. The dogs of Wuthering Heights are wild, chaotic and habitual of natural environment. Grange owns pet dogs. Hindleys personality shows a real man of Victorian era. He is charming, sensitive and emotional but when his father did discrimination between him and Heathcliff, his nature becomes alter. Catherine also affected by the situation and lifted closer to Heathcliff. The whole novel is full of paradoxical and ironical situations. For example, Catherine chooses Edgar instead of Heathcliff however she does not love Edgar. Catherine still loves Heathcliff but tries to bring Isabella and Heathcliff nearer. My poor little sister-in-law is breaking her heart by mere contemplation of your physical and moral beauty. It lies in your own power to be Edgars brother! No, no, Isabella, you shant run off, she continued, arresting, with feigned playfulness, the confounded girl, who had risen indignantly. We were quarrelling like cats about you, Heathcliff (Bronte,E.1988,ch:10:108) Isabella, who is educated and mannered girl and lives with Catherine in one house still un aware with the affair of Catherine and Heathcliff how strange? The whole structure of the novel compels readers to think beyond the imaginations. According to Eric Solomon Wuthering Heights has an incest theme. He has written a thesis in (1959) in which, he has raised many issues to justify his opinion. He quoted Richard Chase statement. He considers that Is impossible to imagine such a stormy, undisciplined pair as Cathy and Heathcliff ever setting down to a normal life of domesticity. (Chase,R. quoted in Solomon,E.1959:80) Because of Heathcliffs black skin ton, it is not clear whether he was a gypsy or prince or devil? According to Nelly Deans narration old Earnshaw brought orphan Heathcliff to his own home. Mrs.Earnshaw did not like her husbands step. She was thinking that her husband is mad or he may be having an illegitimate child. Because it was an old tradition in 18th century the provincial slum, the waif must have had some protector then why this child was wandering alone? Erics philosophy seems right because as brother and sister they could not be get married. As a son of Mr.Earnshaw he had rights to own the property . In the middle of the story we see Heathcliff comes as an owner of Wuthering Heights. The characters of Heathcliff and Catherine can be taken as victims of fate and things were beyond with their control. Erics research might be true because he closes his research on the Cathys question. She is Heathcliff, does she mean that they are one flesh as well as one spirit? (Solomon, E. 1959:83) Emily has left many questions on readers. Now it depends on us, from which angle of Wuthering Heights do we see? Arnold Shapiro has compared Wuthering Heights with Great Expectation and Jane Eyre in (1969). His research is based on the ethical and moral traditions of the Victorian period. According to him Dickens, Charlotte and Emily have shown same issues in their writing. Like their characters have to face the problems and at the end they reach into the same conclusion. Heathcliff and Pip both are orphan alone and outcast as much as alien in the novels. Then he compares Mr.Earnshaw with Reeds, they bring stranger to their houses. Characters of Heathcliff and Jane also resembles both are looking different from everyone else therefore seems to bear a threat like Mrs.Earnshaw was ready to fling out Heathcliff and Reeds forced Jane to live with servants. Joe and Mr.Earnshaw both helped Pip and Heathcliff in many ways and it is very interesting to know that both Estella and Catherine betrayed to their lovers. In the Victorian period people were very good christens. In novel Wuthering Heights, Lint ons brought up shows that he is good in religion but when Isabella spoiled by Heathcliff and looking towards his brother, Edgar shows no humanity and ill behavior. I seek no revenge on you, replied Heathcliff, less vehemently. Thats not the plan. The tyrant grinds down his slaves and they dont turn against him; they crush those beneath them. You are welcome to torture me to death for your amusement, only allow me to amuse myself a little in the same style. (Bronte,E.1988,ch:11:114) Both Cathy and Catherine are having different natures. Catherines nature is greedy therefore she made her house on the grave of her lover while on the other hand young Cathys nature is sympathetic. As in the same way, the desires of Heathcliff are endless because he has sadistic nature. According to James Hafley villain and problem maker in Wuthering Heights is Ellen Dean. He has read Wuthering Heights in the light of new experience. Charlotte Bronte said about Nelly For a specimen of true benevolence and homely fidelity, look at the character of Nelly Dean. (Bronte,C. quoted in Hafley,J.1958:199) In my opinion, Nellys role in Wuthering Heights is very prominent. She is a nurse and narrator of the story and to write thesis on Nelly is something exceptional. The critic of this paper adds textual evidence in order to make strong his points. Nelly had an objection that why Mr.Earnshaw brought Heathcliff in home? Throughout her life she never liked Heathcliff. Joseph always notices Nellys facial expression becomes change when she is narrating about Heathcliff. She used to create problems between characters. After Catherines marriage Nelly moved with her to Thrushcross Grange. She became greedy and acted as a queen over there. A person who has not done one half his days work by ten oclock runs a chance of leaving the other half undone. (Bronte, E.1988,ch:7:69)She never tried to solve the problems of Grange house. I rang the bell and committed it to a servant care. (Bronte, E.1988,ch:17:164) She knows Heathcliff came back and now he is trying to meet with Catherine but she remained as silent and sees how Heathcliff compelled Isabella to marry him. She is also responsible when Cathy got hostile by Heathclif. I really appreciate James effort but we should remember the fact that Nelly Dean is just a poor servant of house. She has fulfilled all the duties commendably. Distortion and exaggeration are equally important topic in Wuthering Heights which lifts Heathcliff to take revenge. Heathcliff cries many times for Catherine. I cannot live without my life! I cannot live without my soul! (Bronte,E.1988,ch:17:161) Catherine also feels same for him once she spoke to Nelly that Whatever our souls are made of, his and mine are the same. (Bronte,E.1988,ch:11:86) It shows both of them truly love each other. After Catherines death her she used to haunt Heathcliff as a ghost. Despite of their physical separation, Edgar could not part them spiritually. Heathcliff shows his vindictive nature and becomes evil more than Satan. After Catherine he decides to take revenge from every one. Only Catherine could have saved because of her death. Heathcliff has tried his best to destroy Isabella, Linton, Cathy, Hareton lives. Emily over exaggerated the fear of death. For example in the beginning it was shocking to read Lockwood injured by the wild dogs. At that time peo ple were not habitual for this kind of tension. Because of this Wuthering Heights had faced criticism but ultimately novel has changed peoples mind. Now Wuthering Heights considers as classics of Victorian period. Critics appreciated the frame narration of Wuthering Heights a lot. Many researches and essays have been written on Nelly Dean. In another paper critic has expresses his thoughts. Nelly is having a very strong character in novel. She had philosopher type mind Nelly says: Proud people breed sad sorrows for themselves. (Bronte,E.1988,ch:7:64) She is not only nurse and servant but in addition she is a mother for Catherine and Hindley. She has lived all her life between moors and justified his role whether live in Grange or Wuthering Heights. Whenever Cathy needed help she always did whatever she could. She is a person of wisdom and. dignity. Once she said A good heart will help you to a bonny face, my lad, if you were a regular black; and a bad one will turn the bonniest into something worse than ugly. (Bronte,E.1988,ch:7:65) Witness of almost every incident but never cheated any one. She used to guide everyone. Bitirme Tezis writes thesis in (2009). He emphasizes on the love and isolation of Wuthering Heights. He further elaborates his research and says it can be a cause of destructive relationships in the novel. Our mind starts understanding his point of views when we closely read the novel. Isolation of Wuthering Heights recognises as have the connection of moors and hills and strong natural environment, on the other hand isolation of Thrushcross Grange is connected with the idea of lively atmosphere. Gimmerton society was the high class society in those days. Wuthering Heights had no communication with Gimmerton and they were isolated from society while the Thruchcross Grange had strongly relations with Gimmerton people. That is the reason people of Thrushcross were more educated, mannered and very much affected with the norms of 18th century. Therefore lack of association with high class strongly affected the people of Wuthering Heights. Catherine, who is poor, meets with rich Edgar, sh e impresses by his wealth and finally they get married. It seems very normal but on the wider imagination it has created differences between many people and became a cause of revenge. Wuthering Heights was very famous in Victorian period. Some readers like the novel and some not. Many critics have long list for the reasons of disliking. Infanticide and Sadism is one of the reasons. Wade Thompson has criticised the novel. I respect his views and agree with what he said about infanticide. Catherine Earnshaw is not quite eight when her mother dies; Cathy Lintons birth coincides with her mothers death; Haretons mother dies in the year of his birth; and Heathcliff is an orphan by the time he is seven. Even the children who receive motherly care throughout their childhood do not receive it long after they reach puberty. Linton Heathcliff loses his mother when he is not quite thirteen-Linton, of course, is a child all his life-and Isabella Linton is orphaned when she is fourteen. The only exceptions-and these unimportant-are Hindley Earnshaw and Edgar Linton, who are sixteen and eighteen respectively when their mothers die and even their mothers are apparently not very m otherly.(Thompson,W.1963:69) but I m not agree when he said about sadism, in my opinion Heathcliff never wanted to have an adult relation with Catherine but for his desire of revenge, he forced Linton to have relation with Catherine. Only Heathcliff and Catherine are not responsible for Linton and Catherine, Isabella and Edgar are equally responsible for the destruction. Wuthering Heights shows destructive relationships between the characters. In another essay critic has pointed out the characteristics of destructive relationship. He discusses topics like un-caring parents, jealousy and desire of revenge. His research seems right because Mr.Earnshaw was unsuccessful to maintain a balance between Hindley and Heathcliff. Another example is Hareton and Hindley. Hindley never became a good father, he had spoiled his life in drugs and because of him Hareton departed as uneducated person. The primary example of destructive relationship is Heathcliff and Linton. Once Linton says: himMy father threatened me, and I dread him I dread! (Bronte,E.1988,ch:27:244) Isabella, Heathcliff and Catherine, Edgar both couples are the example of destructive relationship. In my opinion our brought up make our life good or bad, if we have proper family atmosphere we wont be get jealous which creates ultimately a desire of revenge. The influence of childhood pervades throughout the novel. In another essay, critic has compared two generations childhood behaviour. Heathcliff, Catherine and Hindley have shared childhood together. According to Steve Davies The childhood of both protagonists Heathcliff and Catherine, haunts them in their adult lives thus affecting their interactions with and their behavior towards other people in a negative way.(customwritings.com):(b) They used to dinning and sleeping together. But because of many quarrels and jealousy their relation became dejected and vengeful. At one time Heathcliff said Im trying to settle how I shall pay Hindley back. I dont care how long I wait, if I can only do it at last. I hope he will not die before I do! (Bronte,E.1988,ch:7:69) In my point of view Emily has fully justified with the plot. One way she has shown negative impacts of these people at the end of the story then on the same way, she has opened a door of new life by showing Catherine and Hareton m arriage. They are the hope of new generation. They have overcome their bitter memories. In another essay critic expresses his views and says Wuthering Heights is a silly love story. He has given this title on the basis of two books one is written by Robert McKibben, and second is Control of Sympathy in Wuthering Heights written by John Hagan. I totally agree with his perception that only Catherine and Heathcliff should not be blame for the disasters in the story. They were passionately in love. But we all know in every love story there is always a third person who creates problems between lovers life. Edgar has played third persons role in the story. After the death of Catherine, Heathcliff used to cry and scold most of the time. Come in! come in! he sobbed. Cathy, do come. Oh, do -once more! Oh! My hearts darling, hear me this time Catherine, at last!(Bronte,E.1988,ch:3:41) Wuthering Heights gives us lesson that revenge is dangerous and harmful for our life. To conclusion, Emily Bronte has created a new world in one novel Wuthering Heights. She has shown influence of childhood, social problems, destructive relationships, violence, isolation and many others. The root cause of all these problems is Revenge. My research focuses on finding the reasons behind any act of revenge because I truly believe that God has not created men with the negative nature it is the circumstances that creates human being nature as vindictive. Since those researches which I have discussed in literature review are not adequate, therefore I have done this research. My research is not the last research on this topic I hope it will link towards new beginning. RESEARCH QUESTION: How does revenge rotate around the characters of Wuthering Heights? SIGNIFICANCE Whenever we read word revenge something negative comes in our mind and we usually fixed our mind on it. There is always a reason behind any negative behavior and that is why I have chosen this topic. My target is to find out the reasons that make the human being hard hearted and contemptuous. The Wuthering Heights by Emily Bronte is the perfect example of Revenge. We see revenge starts from the beginning of the novel and stays throughout the story. My research will compel people to change their minds and they will get to know how harmful and dangerous revenge is. If Earnshaw maintained the equality between Heathcliff and Hindley, revenge would not be raised. My research has ended on an optimistic message and people will surely take a lesson from it. ANALYSIS Chapter: 1 The Issue of Class System The social and class structure of 18th century were the same as it is today. Classes were confined into Lower, Bourgeois and Aristocrat. People from lower class were feeling reluctant because they did not get respect from the society. Bourgeois people used to degrade these people and that was the reason, both sides of people were feeling jealous for each other. Emily has created a new world by writing Wuthering Heights. She shows the actual game of our society in which everybody is running after lust. Acquiring of everything is not a new habit of human being. When we see Wuthering Heights under the roof of class structure, the cruel reality of human being comes in front of us. We see a selfish world, in which clever, arrogant, self centered and selfish people lives they think only for themselves. Everyone seems greedy for money. Lets take firstly the house of Wuthering Heights. People who lives in the house, belongs to middle class. The live of these people grows very well but one day Mr. Earnshaw brings a boy in his home by the name of Heathcliff. He does not get a warm welcome by the family members. Mrs Earnshaw was ready to fling out of doors: she did fly u, asking how she could fashion to bring that gypsy brat into the house. (Bronte,E.1988,ch:4:48) Even after so many years he fails to make strong relations with them. According to them, a black hair boy with dirty clothes comes and disturbs the smooth life of Wuthering Heights. Once Catherine says, Poor Healthcliff! Hindley calls him a vagabond and wont let him sit with us, nor eat with us anymore; and he says, he and I must not play together and threaten to runs him out of the house if we break his order. (Bronte, E.1988,ch:3:36) A very first question arises here why family members did not accept Heathcliff in the house? An answer of this question is, h e belongs to lower class or he has a black colour. Because of this weakness he did not get a chance to learn education, he lost his lover Catherine and the whole life of Heathcliff turned as disaster. Time passes, Mr. and Mrs. Earnshaw dies. Catherine and Heathcliff come nearer on the other hand Hindley appears as an enemy of Heathcliff. Catherine loves Heathcliff but she decides to marry with Edgar. Heathcliff is a poor man with no money no assets no land. On the other hand Edgar is a rich boy with everything which any girl wants after marriage. Catherine expresses her feelings with Nelly as He will be rich and I shall like to be the greatest woman of the neighbourhood, and I shall be proud of having such a husband (Bronte,E.1988,ch:8:83) If Heathcliff and I married, we should be beggars? Whereas, if I marry Linton, I can aid Heathcliff to rise, and place him out of my brothers power (Bronte,E.1988,ch:8:87) Catherine shows her greedy nature, she thinks she will live lavishly with Edgar. Heathcliff wont give her high standard living which she used to live in Wuthering Heights. Nelly was also in favour of Edgar. She thinks Heathcliff is a Worthless friend (Bronte, E.1988,ch:11:113) of Catherine. According to Derek Traversi Reflection, aided by Nelly, presents Heathcliff as what he undeniably is: a brutal creature whom she could certainly abandon with social advantage to marry the young, rich and attractive Edgar Linton. Nelly guided by her inherent good nature and by long if not particularly imaginative experience of life, maintains that Edgar is a good match, that he is socially speaking acceptable and likely to bring her to normal domestic happiness, where as he