View from a Bridge - Arthur Miller Essay Example for Free

View from a Bridge Arthur Miller Essay Choose a play in which there is a scene involving intense emotion. Show how the dramatist makes you aware of the intensity of the emotion in the scene and discuss the importance of the scene to the drama as a whole. In his play A View from the Bridge, Arthur Miller successfully conveys to the audience the tensions, jealousy, hostility and raw emotions between the characters in one particular scene at the end of Act 1 in his play. A View from the Bridge centres round the Carbone family who stay in Brooklyn New York, Eddie the head of the family is an ordinary man part of the local Italian community who is master in his own house. Eddie believes that it is a mans place to look after and protect his family and as head of the household he is used to laying down the rules. Eddie and his wife Beatrice take on the responsibility of looking after Eddies late sisters daughter Catherine who Eddie brings up as if she was his own but it soon becomes clear that Eddies feelings are deeper than those of a protective uncle, he is in love with his niece. The arrival of two of his wifes relatives from Italy, Marco and Rodolpho is at first welcomed by Eddie, he is happy to hide the illegal immigrants. However when Rodolpho starts to show an interest in Catherine, Eddie becomes increasingly jealous and hostile towards both men, in particular Rodolpho, but he bottles up his feelings. At the end of the first Act things come to a head and his jealousy, hostility and obsession with Catherine is made obvious when he finally realises that his efforts to stop Catherine and Rodolpho marrying are going nowhere. Eddie resorts to violence under the pretence of teaching Rodolpho to box merely as an excuse to hit him. Forced to watch Catherine and Rodolpho getting close as they dance together Eddies sarcastic comments about Rodolphos manliness clearly show his hostility to Rodolpho He sings, he cooks, he could make dresses I cant cook, I cant sing, I cant make dresses, so Im on the water front. But if I could cook, if I could sing, if I could make dresses, I wouldnt be on the water front. The stage direction tells us that Eddie has been unconsciously twisting the newspaper he is tense, like a spring waiting to uncoil and this finally happens and things are brought to a head when he offers to teach Rodolpho to box and what starts out as a seemingly harmless sparring session leads to Eddie hitting his opponent with needless force a fact which is noticed by everybody in the room. Marco rises from his seat and Catherine quickly rushes to Rodolphos side Eddie aware that he has taken things a step to far and tries to cover his tracks by saying that he punched too hard by accident I didnt hurt him. Did I hurt you, kid? However Eddie has overstepped the mark and in an attempt to humiliate Rodolpho he angers Marco who is careful not to verbally threaten his host, actions speak louder than words. Marco challenges Eddie to lift a chair when it is in a certain position but Eddie fails the challenge. Marco then successfully lifts the chair above his head powering over a frightened Eddie. The stage directions describe Marco as He kneels, grasps and with strain slowly raises the chair higher and higher, getting to his feet they go on to describe how Marco is face to face with Eddie, a strained tension gripping his eyes and jaw, his neck stiff, the chair raised like a weapon over Eddies head-and he transforms what might appear to be a glare of warning into a smile of triumph Marco is obviously giving a warning to Eddie to not continue to mess around, and make fun of his brother by showing him the danger he invites. The audience can tell at once that this is a very dramatic point in the play; Catherine and Rodolpho who have resumed dancing immediately stop. The stage direction Rodolpho and Catherine have stopped dancing in the middle of this hostile situation shows that they are aware that Marco has also taken things a little too far. Miller also describes Eddie when Marco is glaring at him His grin vanishes as he absorbs his look this action by Eddie clearly shown both Marco and the audience that Marco has achieved what he set out to do, give Eddie a warning and this is highlighted by the fact that as soon as Eddies expression turns to one of fear Marco looks at him and his own expression changes into a victorious smile. The feelings revealed in this act of the play an important part in the relationships between the characters in the remainder of the play. The hostility and anger felt by Eddie magnifies. Eddies obsession with his niece finally leads him to hit Rodolpho when he becomes aware that the two have slept together. In the end Catherine finally decides to marry Rodolpho and Eddie decides that he has no choice but to inform the Immigration Bureau that he has been hiding two illegal immigrants. Eddie takes this action despite earlier comments that Its an honour to give the men refuge. In breaking his code of honour Eddie loses everything the respect of his neighbours, his friends and his family and in the final scenes of the play he comes head to head with and angry and betrayed Marco, cowardly brandishing a knife Eddie attacks Marco but in self defence Marco turns the knife on Eddie fatally stabbing him. Arthur Miller cleverly sets the tone of the play during the hostile scene in Act 1. The domestic harmony that exists at the start disappears and the audience learns quickly about Eddies obsession and his obvious frustration and anger towards his nieces admirer. Miller uses stage direction to show the audience the true extent of the raw emotions felt by the characters and to show the drama and crisis which finally climaxes in the death of the main character. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Arthur Miller section.

Cyber Studies Essay -- Technology Media Technological Papers

Cyber Studies This essay will argue that the influence of new technologies are changing the relationship between the media and their audiences. This concept will be explored by examining the current media communication model and how new technologies influence it’s future. Future media possibilities are raised and the implications of them for the relative industries are discussed. This essay is molded around the idea that these new technologies are giving audiences the power to shape the future of media and it’s capabilities. The premise being discussed involves many participants and factors as it is becoming increasingly difficult to separate them due to technological and communication convergence. Basically this essay will demonstrate how new technologies are allowing consumers to have more control over where, when and how they receive information. Communication and media are one and the same. As media is defined as ‘means of communication to the public; newspapers, TV and radio collectively, (Penguin, 1979). Media refers to the medium by which communication to a particular audience takes place. Traditionally information was communicated through these mediums via a system of centralized dissemination meaning from one source (or relatively few) to many receivers. This was the First (electronic) Media Age and it was due to technological advancements of the time that formed this communication model and introduced the concept of mass media. This remains the model dominating our societies communication today. However technological developments such as the internet and mobile phones are challenging this centralized communication system heralding in a Second Media Age characterized by distributed systems of... ...iously influenced by the advancements and integration of new technologies. Works Cited: American Press Institute. (2004). Retrieved September 13, 2004, from http://www.american pressinstitute.org/content/4646.cfm Corporate Influence in the Media, media and advertising. (2004). Retrieved September 13, 2004, from http://www.globalissues.org/HumanRights/Media/Corporations/Ads.asp Garmonsway, G.N. (1979). The Penguin Modern English Dictionary. England: Penguin Books. Media Futures Archive. (2004). Retrieved September 13, 2004, from http://www.hfac.uh.edu/MediaFutures/home.html Media Magazines Forecast 2005. (2004). Retrieved September 13, 2004, from http:www.mediapost.com/forecast2005/forecast2004temp.cfm?c=overview The Media Centre at the American Press Institute. (2004). Retrieved September 13, 2004, from http://www.mediacentre.org/

Neonatal Medicine: CPAP and Ventilation in Neonatal Respiratory Distress

You are reviewing Nathan, a 12 hour old neonate with respiratory distress. He is 37 weeks gestation and was born by caesarean section following failure to progress. The oxygen saturation is 94% in 50% FiO2, the respiratory rate is 80. There is moderate intercostal recession and an occasional grunt. Your hospital participated in the â€Å"bubbles for babies† trial and you have just started to use CPAP in your unit now the trial is finished. Your registrar suggests using CPAP on this neonate, but the nursing staff have called you to arrange transfer. Questions: Would you use CPAP or ventilate and transfer this neonate? Please give reasons for your choice with reference to the current literature. In your answer you should also consider the following main points: †¢ the benefits of CPAP over ventilation, particularly with reference to your current practice environment †¢ the potential complications of CPAP †¢ reasons why ventilation may be required even though CPAP is in situ. The baby Nathan is suffering from Neonatal respiratory distress syndrome, which is a condition most often seen in newborn babies and is characterized by a difficulty in breathing.   The condition more frequently develops in prematurely born babies as their lungs are not fully developed.   The lubricant that lines the inner membranes of the lungs (known as ‘surfactant’) is deficient, thus causing difficulty in inflating the lungs and resulting in the air sacs collapsing. Surfactant helps to lower the surface tension of water that is present on the alveoli, thus helping to prevent the lung sacs from collapsing.   Usually, the condition develops in infants born before the 38 week.   The baby is cyanosed and has difficulty in breathing.   The accessory muscles of respiration are active and a frequent grunting sound is heard.   The other symptoms that may be observed include nasal flaring, shallow breathing, swollen legs, unusual movement of the chest wall, etc. The infant may be hypoxic and the CO2 levels in the blood rise.   The symptoms usually develop at birth, or a little while after birth.   The symptoms tend to worsen and may progress to respiratory failure and death.   As the prematurity increases, so does the chance of developing this condition.   This is because surfactant is produced only during the later stages of gestation in the infant.   The diagnosis of RDS in babies is made based on the history, presence of certain risk factors, Chest X-ray, Blood tests, CSF studies, lung tests, blood gas analysis, etc (Greene, 2007 & Merck, 2005). When a neonatal is born, certain signs are observed which include:- a heart rate between 110 to 150 beats per minute a respiratory rate between 40 to 70 breathes per minute absence of cyanosis, nasal flaring, grunting sounds, forceful use of accessory muscles during respiration, etc Oxygen saturation which is about 95 % the P ao2 is higher than 50 % the FiO2 is about 40 to 50 % (CCM, 2007, NGC, 2008, & Millar et al, 2004) Previously, for the treatment of RDS, ventilatory support was utilized.   This may be utilized if the blood carbon dioxide levels are high, the blood oxygen levels are low, and if acidosis sets in.   To some extent ventilation helps to reduce the infant mortality rate arising from RDS, but the morbidity to develop Bronchopulmonary dysplasia (a condition characterized by oedema of the air sacs and of the connective tissues due to persistent inflammation) is high as the young neonatal lungs are damaged from ventilation. One of the treatments that have been developed in order to overcome the limitations of ventilation is Continuous Positive Airway Pressure (CPAP).   This is an advanced form of therapy in which the upper and the lower airways receive a continuous distending pressure through the infant’s pharynx and/or nose throughout the respiratory cycle.   An endotracheal tube can also be utilized.   The device is connected to a gas source that provides humidified warm air continuously (NGC, 2008, Millar et al, 2004, Tidy, 2007). CPAP has several benefits including:- helps to maintain a normal breathing pattern helps to arrive at normal functional residual capacity helps to lower any airway resistance in the upper respiratory tract helps to prevent development of apnea prevents the airways and the air sacs from collapsing helps stimulate release of surfactant helps to increase the lung volume and lung function After expiration, CPAP helps to keep the air sacs open The chances of developing lung trauma such as barotrauma and atelectotrauma are lesser (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP is required in several situations that arise from RDS including:- When it is difficult to maintain the Pa02 above 50 %. When the respiratory rate is above 70 breathes per minute Excessive use of the accessory muscles of respiration The oxygen saturation falls to between 90 to 95 % The presence of apnea It can be utilized along with administration of surfactant that develops out of the   Ã‚  need to treat RDS (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). As the patient is not suffering from a severe form of RDS and the oxygen saturation levels have not dropped to a serious extent, ventilatory support is not required, and the patient can be treated with CPAP.   Besides, the findings do not suggest that the patient is suffering from a cardiovascular complication, an upper respiratory tract abnormality or intractable apneic episodes.   Along with CPAP, several other measures are required such as using larger nasal prongs, ensuring that the baby is in a prone position and keeping a towel below the neck.   This helps to ensure that the certain areas are aerated better (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004). CPAP has several complications including:- mucous from the upper respiratory tract may block the nasopharyngeal tube that delivers CPAP Sometimes blockages may result in the pressure rising to higher levels in the tube If the peak pressure is very high, then gastric complications can develop The nasopharyngeal tube has to be placed in exact position.   Any deviation from the position can result in fluctuation of the air pressure The nasal devices may be swallowed or aspirated resulting in severe complications Sometimes harnesses may be utilized to place the head and the neck in position.   This may cause serious dermatological and musculoskeletal complications in the infant Air leakage problems in the lungs Abdominal distention Decrease in the cardiac output Higher working of breathing pneumothoraces and air embolism can also develop Cardiac monitoring needs to be performed more closely in the case of CPAP compared to ventilation often air leaks from the nose and the mouth it may be very difficult to control the air press ure in the lower airways If CPAP is applied to an infant with normal lungs, several problems can develop Several respiratory complications such as pneumothorax, pneumomediastinum, and pneumopericardium can develop (CCM, 2007, Sehgal, 2003, NGC, 2008, Millar et al, 2004, Halamek et al, 2006) References: California College of Midwives (20080, Guidelines for Assessing the Neonate, [Online], Available: http://www.collegeofmidwives.org/Standards_2004/Standards_MBC_SB1950/Assess_HealthyNeonate_Oct2004_OOO.htm [Retrieved on: 2008, April 2]. Greene, A. (2007), Neonatal respiratory distress syndrome, [Online], Available: http://www.nlm.nih.gov/medlineplus/ency/article/001563.htm [Retrieved on: 2008, April 2]. Halamek, L. P. Et al (2006), Continuous Positive Airway Pressure During Neonatal Resuscitation, Clin Perinatol, 33, pp. 83-98. http://www.mdconsult.com/das/article/body/91421747-3/jorg=journal&source=MI&sp=16080552&sid=690389052/N/525142/s0095510805001235.pdf?issn=0095-5108 Millar, D., & Kirpalani, H. (2004), Benefits of Non Invasive Ventilation, Indian Pediatrics, 41, pp. 1008-1017. http://www.indianpediatrics.net/oct2004/oct-1008-1017.htm NGC (2008), Complete Summary, [Online], Available: http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6516&nbr=4085, [Retrieved on: 2008, April 2]. Sehgal A. Et al (2003), Improving Oxygenation in Preterm Neonates with Respiratory Distress, [Online], Available: http://www.indianpediatrics.net/dec2003/1210.pdf, [Retrieved on: 2008, April 2]. The Merck Manual (2005). Respiratory Distress Syndrome, [Online], Available: http://www.merck.com/mmpe/sec19/ch277/ch277h.html, [Retrieved on: 2008, April 2]. Tidy, C. (2006), Infant Respiratory Distress Syndrome (RDS), [Online], Available: http://www.patient.co.uk/showdoc/40000462/, [Retrieved on: 2008, April 2].

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