Wednesday, December 25, 2019

Clinical Manifestations Of Hiv Infections - 1545 Words

1- A 20-year-old cocaine abuser with a recurring upper respiratory infection is examined and is noted to have white patches in the oral cavity along with parotid enlargement. a. What history is pertinent to the examination of this patient? HIV is manifested clinically as the development of recurrent, often severe, opportunistic infections, such as respiratory infections, and oral candidiasis (white patches), due to their compromised immune system. Parotid enlargement is another common finding in person with HIV, and the use of illicit drugs, especially by injections positions the patient at high risk of acquiring HIV infection. Then, the history of present illness, past medical history, family, and personal and social history should†¦show more content†¦Oral white patches suggest a yeast infection of the mouth named candidiasis (trush), and it is the most common oral condition in people with HIV infection. Researches estimated that 9 in 10 people with HIV present at least one oral condition related to HIV disease. This may be the first sign of immune suppression and the reason why physicians recommended HIV testing. The immune system weakens progressively over time and becomes susceptible to bacterial, viral, fungal and parasitic (opportunistic) infections. Another infection (viral) with oral white patches manifestation is the hairy leukoplakia, which is believed to be caused by Epstein-Barr virus mononucleosis, also very common in HIV-related oral conditions(â€Å"HIV and the mouth†, 2011). 2- Mrs. Kline, a postoperative patient who has just undergone a right modified mastectomy, is found to have edema of the right arm. a-What is the cause of the edema and what teaching is necessary to help Mrs. Kiner? Modified mastectomy include removal of the entire breast (nipple, areola, the overlying skin, and the lining over the chest muscles), and most of the lymph nodes under the arm (axillary lymph nodes) Often, breast cancer spreads to these lymph nodes, thereby entering the lymphatic system and allowing the cancer to spread to other parts of the body. Removal of lymph nodes may affect the drainage of lymphatic fluid from the arm on the surgical side. Problems with lymphatic drainage mayShow MoreRelatedPapular Pritic Eruption Essay1368 Words   |  6 PagesIntroduction: Papular pruritic eruption (PPE) is the most common cutaneous manifestation of HIV, and is recognized as a WHO Clinical Stage 2 disease of HIV. PPE has a reported prevalence of 11-46% depending on geographic region, and is most commonly reported in African countries, Haiti, Brazil, and Thailand, and is less common in European and North American countries. PPE is characterized by multiple discrete skin-colored or erythematous urticarial papules symmetrically distributed on the bodyRead MoreHiv And Human Immunodeficiency Virus Essay1208 Words   |  5 PagesHIV has been a pandemic that has affected the world relentlessly for many years in a never-ending circle. HIV, or Human Immunodeficiency Virus, is the virus that is spread through certain bodily fluids and can lead to AIDS (Acquired Immunodeficiency Syndrome). HIV attacks the immune system by destroying CD4+ T cells, which leaves the person infected with HIV vulnerable to other infections, diseases, and other complications.1 Once th is virus is acquired, the human can never fully rid itself of thisRead MoreThe Developmental Stages Of Psychological Development1466 Words   |  6 PagesVirus (HIV). This virus alters the immune system and has a specific affinity for the nervous system, where it causes a series of neurological traumas. HIV is able to cross the blood brain barrier and enter the nervous system through monocytes, early in the course of infection, probably concomitantly with initial systemic infection. The virus can damage or kill nerve cells either by viral replication or toxic effects. HIV can lie dormant in the nervous system, and hence, the initial seeding of HIV onRead MoreThe Developmental Stages Of Psychological Development1494 Words   |  6 PagesVirus (HIV). This virus alters the immune system and has a specific affinity for the nervous system, where it causes a series of neurological traumas. HIV is able to cross the blood brain barrier and enter the nervous system through monocytes, early in the course of infection, probably concomitantly with initial systemic infection. The virus can damage or kill nerve cells either by viral replication or toxic effects. HIV can lie dormant in the nervous system, and hence, the initial seeding of HIV onRead MoreTuberculosis And The Hiv / Aid Epidemic1414 Words   |  6 PagesHowever, with the advent of antimicrobial cocktails and public health measures, the incidence of these diseases saw a sharp decline. [1-2] Conversely, with the increase of pulmonary diseases due to smoking, immunosuppressive drug therapies, and the HIV/AID epidemic, the incidence of diseases caused by non-Tuberculosis Mycobacteria (NTM) began to increase. [2] These NTMs are ubiquitous in nature and can be found nearly everywhere (e.g., soil, domestic and wild animals, tap water, surface water, milkRead MoreHIV: Biochemistry and Pathogenicity744 Words   |  3 Pagesï » ¿HIV: Biochemistry and Pathogenicity Since the Human Immunodeficiency Virus (HIV) was discovered in 1983 by Francoise BarrÃÆ' ¨-Sinoussi and colleagues (reviewed by Weiss, 2013) an estimated 70 million people have been infected with this retrovirus (WHO, 2013). Of these, close to half have died of the clinical manifestation of the infection called AIDS (Acquired Immune Deficiency Syndrome). Although tremendous progress has been made, including accurate testing of patients and donated blood, developmentRead MoreBenefits Of A Voluntary Counselling Center ( Vct )1721 Words   |  7 PagesHIV is considered a worldwide epidemic that is raging out of control especially in the sub-Saharan African countries. Thus being a termed as a chronic disease, rather than a deadly killer disease. It is known to be manageable if one tested early and knew their status, because one is able to seek voluntary counselling from a health provider. These centers are commonly known as voluntary counselling center (VCT) in most African countries . The world Health organization urges everyone worldwide to getRead Morechancroid1376 Words   |  6 Pagesï » ¿ Chancroid at a Glance A sexually transmitted disease (STD) Common symptoms include sores on the genitals Treatment is available Easily spread Condoms reduce your risk of infection Want to get tested for chancroid? FIND A HEALTH CENTER STDs are very common. But we can protect ourselves and each other from STDs like chancroid. Learning more about chancroid is an important first step. Here are some of the most common questions we hear people ask about chancroid. We hope you findRead MoreThe Prevention Of Infectious Disease1596 Words   |  7 PagesEcology of Infectious Disease Final Exam HIV Public Health Campaign Purpose of the Guide to HIV Infection for Healthcare Professionals Presented on pages 1 through 3 is a mock guide that will be handed out to public health professionals for the purpose of identifying and treating those afflicted with HIV. General Information on the Human Immunodeficiency Virus with Specified Information for the Healthcare Professional Human Immunodeficiency Virus or HIV is a single stranded positive sense RNARead MoreHpv Associated Anal And Oral Cancers1465 Words   |  6 Pages and HIV-1 infected individuals. Interestingly, anal cancer is predominant in women while a higher incidence of oral cancer is found in men. This review gives a brief summary of epidemic, risk factors, mechanisms, diagnosis, and treatment of these two HPV-associated cancers. Most sexually active individuals will have detectable human papillomavirus (HPV) at least once in their lifetime. 14 million people are infected annually, and 79 million people have the prevalent infection. Approximate

Tuesday, December 17, 2019

Case Study 1 - Kfc in India - 1152 Words

Case Study 1 KFC in India – Ethical Issues 1. Since its entry into India in 1995, KFC has been facing protests by cultural and economic activists and farmers. What are the reasons for these protests and do you think these reasons are justified? Explain. No tolerance for ‘cruel multinationals’ was the main reason for the protests made by cultural and economic activists and farmers. Due to the economic liberalization policy of the Indian government during the early 1900’s, foreign fast food companies were granted permission to enter India. From the cultural and economic activists and farmers perspective there were numerous disadvantages with the opening of these fast food chains, in particular KFC. The main fear for nationalists and†¦show more content†¦Local businesses are also affected as it is hard to compete against a large international company. Angry farmers were led by Nanjundaswamy. The main reason for their protests was to go against the unethicality of promoting high processed ‘junk food’ in a poor country where malnutrition is already a major concern. An increase in the number of fast food stores also posed a threat to local agriculture (with the depletion of livestock) which 70% of India’s population depended on. 2. PETA has been protesting against KFC in India since the late 1990s. What are the reasons for PETA’s protest against KFC and how did KFC’s management react to them? Do you agree with PETA that KFC has been cruel toward the birds and hence it should leave India? The reason for PETA’s protest against KFC was primarily due to the inhumane treatment the chickens faced on KFC farms. Though other fast food organizations such as McDonald’s and Burger King had already ‘upped’ their standards regarding the treatment of animals, KFC had yet to do so. In these factories and poultry farms, birds were kept in very unhygienic conditions and treated cruelly. In the 10 minute video released by PETA in regards to these allegations, viewers witnessed birds living in overcrowded, crammed warehouses with barely any space toShow MoreRelatedKfc Marketing Strategies20155 Words   |  81 PagesI become a KFC franchisee? Initial Franchise Fee =   Monthly Service Fee (Royalties) =   Advertising = $45,000 (if you open a KT multi-brand restaurant, the fees will be $75,000)   5 percent (5%) of Gross Sales 5 percent (5%) of Gross Sales (Includes national and local contributions) The above amounts do not include the initial investment required to construct the restaurant building, training expenses, grand opening expenses or opening inventory. Please refer to the KFC Franchise DisclosureRead MoreCase Study1771 Words   |  8 PagesMcDonald’s – Business Strategy in India Case Study Abstract This case study discusses how McDonald’s India managed to buck the trend in a struggling economy, its early years and business strategy to get more out of its stores in India. The case also briefly discusses how McDonald’s adapted to local culture in India, its localization and entry strategy, its strong supply chain and pricing strategy. Table of Contents 1. Introduction 2. McDonald’s entry into India 3. Exhibit I: McDonald’s – CountryRead MoreCase Study1781 Words   |  8 PagesMcDonald’s – Business Strategy in India Case Study Abstract This case study discusses how McDonald’s India managed to buck the trend in a struggling economy, its early years and business strategy to get more out of its stores in India. The case also briefly discusses how McDonald’s adapted to local culture in India, its localization and entry strategy, its strong supply chain and pricing strategy. Table of Contents 1. Introduction 2. McDonald’s entry into India 3. Exhibit I: McDonald’s – CountryRead MoreKfc India4427 Words   |  18 Pagesinternationalisation of KFC into India, and will discuss the key issues that led to the successes and failures of their internationalisation process. From the outset, expanding into a foreign market such as India looked like it could only be accompanied by huge gains for KFC. A booming Indian economy and millions of the population hungry for consumerism meant that KFC could expand rapidly into the market to beat their competitors to the punch and capitalise on such a promising opportunity. Unfortunately for KFC, theyRead MoreKFC VS MCDONALDS5280 Words   |  22 Pagesï » ¿CHAPTER I: INTRODUCTION MCDONALD’S VS KFC McDonald’s and KFC are everybody’s favourite food trip destinations. When you like burgers, McDonald’s is always the top option. When you like fried chicken, KFC is always the first thing that comes to everyone’s mind. The reason for this is these companies claim of particular  products that have became their trademark until now. The difference between McDonald’s and KFC is mainly the cuisine. Read MoreScm of Kfc13161 Words   |  53 PagesManagement of KFC  -  December 29th, 2010 KFC Corporation (KFC), founded and also known as Kentucky Fried Chicken, is a chain of fast food restaurants based in Louisville, Kentucky, in the United States. KFC has been a brand and operating segment, termed a concept[2] of Yum! Brands since 1997 when that company was spun off from PepsiCo as Tricon Global Restaurants Inc. KFC primarily sells chicken pieces, wraps, salads and sandwiches. While its primary focus is fried chicken, KFC also offers a lineRead MoreKfc Market Analysis6781 Words   |  28 Pages| KFC | |MM-1 Project Phase 23 | |By : Group 10 | Introduction The Indian fast food market has been witnessing rapid growth on the back of positive developments and presence of massive investments. Currently, market growth is largely fuelled by the rising young population, working women, hectic schedules, and increasing disposable income of theRead MoreKfc in Nepal3353 Words   |  14 PagesKFC in Nepal â€Å"KFC Corporation, based in Louisville, Kentucky, is the world’s most popular chicken restaurant chain, specializing in Original Recipe, and Colonel’s Crispy Strips ® chicken with home style sides and new freshly made sandwiches.† Everyday nearly, KFC serves eight million people in the world with the same old crispy crunchy recipe Sander developed more than half century ago. With their old recipe they are moving ahead in more than 300 countries serving their mouth watering dishes. TheRead MoreCase Study : Kfc s Original Product Essay3012 Words   |  13 PagesAssessment 1 Lecturer: Uswa Zahra Submitted by: Dave, Ada Steven I.D. no.: 1408266, 1308050 1401276 Question 1 1a. Give a brief introduction to the organization, covering relevant information such as its origins, the nature of its products or services, its customers, markets and country in which it operates. Answer: Origins: KFC is one of the American multinational restaurant chain, is also the world s second largest fast food and the largest Fried Chicken chain. KFC was foundedRead MoreTell Me What You Eat, and I’ll Tell You Who You Are1279 Words   |  6 PagesFood and Agriculture Organization (FAO) of the United Nations show that consumption of rice in China has gone from 50 million metric ton in 1961 to 160 millions metric ton in 2002. Same increasing trend applies to the other countries of the Far East, India and South East Asia (â€Å"UNCTAD Infocomm Market information in the commodities area†). The new agro-industrial advancements have made this leap possible. William Marling emphasizes on the fact that babies raised in different cultures develop a sensibility

Monday, December 9, 2019

“Invisible Man” by Ralph Ellison Essay Sample free essay sample

Conflict environing justness is an issue that is experienced and overcome by many different groups of people. In â€Å"Invisible Man† by Ralph Ellison. the storyteller faces issues of justness due to his race. and inability to be an equal in a white man’s universe. While faced with this issue the storyteller is forced to react to the unfairness he is shown. and he does this with his ain apprehension of the justness he deserves. and with noticeable success ; these experiences he goes through are vastly important to the subject of the novel since its chief focal point is invisibleness. and what one needs to make in order to merit justness and visibleness. The storyteller is neer named in this novel. which gives the first intimation to his lower status throughout the narrative. His arrangement in a predominately white universe besides adds to this feeling of lower status. Injustice is foremost seen when he is brought to a affluent white assemblage to read a address. but is foremost ridiculed by them through combat and flim-flam money made to mortify the immature black work forces. When the storyteller is sent to college on a scholarship he feels that the unfairness of those events is compensated by his chance in school. However. when he is expelled his feeling of invisibleness grows. and the easiness to which he accepts it shows that he may non to the full understand the unfairness he is being shown by his supposed higher-ups. He seems to happen himself and his beliefs one time he sees an old twosome being evicted from their places. and he gives a address to beat up people into standing up for. and assisting the old twosome. This act shows he may recognize the unfairness being shown toward the old twosome. and that he may recognize the unfairnesss shown toward him. After that he continues to beat up groups for the Brotherhood. and through that integrity and that group he develops an thought of what is right. what is incorrect. and the sort of j ustness he deserves as a black person. Once the storyteller sees the type of life he should be able to populate he takes action with the Brotherhood. and the things he does for that group parallel his ain hunt for justness. Although they believe he may be working against the group. and in favour of his ain personal addition entirely. he is truly merely conflicted about what he deserves. However. when he is working with the optim white pigment company. he realizes how much work he. and other black workers go through to do things that their white higher-ups take all the recognition for. The realisation of this unfairness fuels his work with the Brotherhood since he has a cause to drive him toward success. When Clifton leaves the brotherhood and degrades himself to selling Sambo dolls. the storyteller feels really offended by Clifton’s action. He views the Sambo dolls as really degrading to his race since they symbolize the puppetry of the inkinesss in relation to the white marionette Masterss commanding the black mar ionettes. or retainers. This patterned advance represents the degree to which the storyteller has developed an thought of the significance of unfairness. which leads him to more goaded and successful action. Although the storyteller did non motivate the concluding public violence toward the terminal of the book. it is so that he realizes the sort of action that must take topographic point to have the justness he feels he deserves. When he is trapped underground during the public violence he realizes that he does non hold to do himself unseeable. And. merely like the adult male he was frequently mistaken for with multiple individualities. he excessively can be seeable in any manner he chooses to be. Possibly all along justness to the storyteller was largely defined as the ability to do an individuality for him. alternatively of being labeled by others. The realisation that he defines himself. and the white higher-ups do non specify who he is. shows the success to which he has found the justness he was looking for. The subject of this novel relates straight to individuality. and the ways in which race and 1s rights can bring down unfairnesss on 1s right to their ain self-declared individuality. The hunt the storyteller goes on to happen justness for him is really of import to the novel as a whole since he is non merely happening the justness he deserves. but he is besides happening the right to populate life the manner he chooses to. without holding the individuality of an unseeable adult male. As he additions these beliefs of what is right and the wrongs that have been done to him. he additions the power to utilize that cognition in order to repair the errors he had been accepting most of his life. Once he was successful in this he was able to free himself of his grandfather’s advice to ever maintain running. and was able to take a base for himself. demo his visibleness. and truly take the sort of justness he deserves. Although the narrative ends before the reader is able to see the success to which the storytellers visibleness changes his life. he/she is still able to seethe success to which the storyteller realized and fought for the rights he deserves. As the character went through the journey of developing a significance of justness. and taking action for what he deserves. he was able to demo that individuality is something that is equal that can be defined by no 1 but oneself. every bit long as he/she is able to recognize and stand for the rights that they have as an person.

Sunday, December 1, 2019

What were the relative influences on Macbeth to kill his King essay Example For Students

What were the relative influences on Macbeth to kill his King essay There were a number of factors that influenced Macbeth’s decision whether to assassinate King Duncan or not. Each of these arguments worked for or against Macbeth’s better judgement of the situation. Eventually, a combination of all these factors broke down his conscience through his mental weakness; this led to an unwise decision to kill the King. The consequences of this were fairly disastrous because Macbeth began to regret his actions just moments after the deed was done. The whole concept of Macbeth’s desire to become King of Scotland began when he and Banquo first met the three witches on the moorland. The witches greeted Macbeth each with a prophecy of his future titles: ‘All hail to thee, Thane of Glamis We will write a custom essay on What were the relative influences on Macbeth to kill his King specifically for you for only $16.38 $13.9/page Order now All hail to thee Thane of Cawdor All hail to thee Macbeth, that shalt be King hereafter’ Macbeth seemed to be somewhat stunned by the witches prophecies, whereas Banquo continued to question the three witches in a calm and humorous manner. He noticed Macbeth’s troubled facial expression and said: ‘Good sir, why do you start, and seem to fear Things that do sound so fair?’ This was the point where Macbeth started to seriously think about the witches’ predictions, the possibilities of becoming King, and how he was going to become King. Although he appears to be head-strong in the opening scenes, the witches’ predictions frighten him because he knows he wants to become King, but he realises that he has to take action to progress any further. One of Macbeth’s first soliloquies shows us that he has frightening thoughts, as the idea of murder has slipped into his mind. Although the witches did not suggest murder, Macbeth starts to think solemnly about killing King Duncan. Near the beginning of his first soliloquy, he says: ‘If good, why do I yield to that suggestion Whose horrid image doth unfix my hair And make my seated heart knock at my ribs, Against the use of nature?’ Macbeth is showing here that deep inside him, there are forces that want him to take action to become King, even if this action is murder. In a way, this scares him, as it would you or me if in his position. It is already starting to show that he is brave in battle, but fragile in mind. Macbeth’s conscience works well for him at first by helping him reject the idea of murder, as Macbeth tells himself: ‘If I chance will have me King, why, chance may crown me, Without my stir.’ This means that if the witches’ prophecies are true, then he will become King whatever the circumstances, so he wouldn’t need to commit any crimes, for example murder. By the end of scene four, Macbeth realises that he may have to take some action to become King, whether it be murder or not. His soliloquy indicates that he wants no one to see what he feels, and what he wants to do. He admits to himself that he has black and deep desires locked up inside him, which he does not want anyone good to see, as he says: â€Å"The Prince of Cumberland! That is a step On which I must fall down, or else o’er leap, For in my way it lies. Stars hide your fires! Let not light see my black and deep desires;† From one of Macbeth and his wife’s first conversations, he proves his reluctance to give his wife a final decision on the matter. As he says: â€Å"We will speak further.† He seems to have developed an uncertainty about the situation, and fails to stand up to his wife for the first time and say, â€Å"I will not murder the King†. He hasn’t completely dismissed the subject, but so far it is in his best interests to let his wife know that he is not all for the idea of murder. This would help her understand Macbeth’s side of the story, so she would not be so much against him. At the banquet, Duncan proclaims that his son Malcolm is next in line to the throne. Macbeth then acquires the understanding that to become King, he has to overcome an even larger task now- to kill the King and his two sons. .u45ddb89ee957f07e14aed9284d42b40a , .u45ddb89ee957f07e14aed9284d42b40a .postImageUrl , .u45ddb89ee957f07e14aed9284d42b40a .centered-text-area { min-height: 80px; position: relative; } .u45ddb89ee957f07e14aed9284d42b40a , .u45ddb89ee957f07e14aed9284d42b40a:hover , .u45ddb89ee957f07e14aed9284d42b40a:visited , .u45ddb89ee957f07e14aed9284d42b40a:active { border:0!important; } .u45ddb89ee957f07e14aed9284d42b40a .clearfix:after { content: ""; display: table; clear: both; } .u45ddb89ee957f07e14aed9284d42b40a { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u45ddb89ee957f07e14aed9284d42b40a:active , .u45ddb89ee957f07e14aed9284d42b40a:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u45ddb89ee957f07e14aed9284d42b40a .centered-text-area { width: 100%; position: relative ; } .u45ddb89ee957f07e14aed9284d42b40a .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u45ddb89ee957f07e14aed9284d42b40a .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u45ddb89ee957f07e14aed9284d42b40a .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u45ddb89ee957f07e14aed9284d42b40a:hover .ctaButton { background-color: #34495E!important; } .u45ddb89ee957f07e14aed9284d42b40a .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u45ddb89ee957f07e14aed9284d42b40a .u45ddb89ee957f07e14aed9284d42b40a-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u45ddb89ee957f07e14aed9284d42b40a:after { content: ""; display: block; clear: both; } READ: There are many different aspects of Love in "Romeo and Juliet" by William Shakespeare EssayYou can already tell that Macbeth and his wife, Lady Macbeth, hold no secrets from each other, and that they share a loving and affectionate relationship. This relationship is gradually destroyed by the consequences of both their actions to promote Macbeth to King of Scotland. By the end of act 1 you can tell that Lady Macbeth is the more dominant partner in the relationship. This is indicated by the fact that she takes no less than full control of the situation, and Macbeth is happy to let her have the responsibility. It is clear by now that Lady Macbeth’s desire to become Queen is just as strong as her spouse’s are to become King. She even went to the limits and called evil spirits upon herself, and gave up all the tender, gentle qualities of a woman to become a sexless pitiless fiend. One of her motives for doing this is likely to be the fact that she would become Queen of Scotland if Macbeth became King. Her only problem is that she knows Macbeth would need a lot of persuasion to complete the task at hand, but she also knows that Macbeth is too loyal to kill the King and his two sons. In act 1 scene 7, when Macbeth is alone after dinner, he seriously thinks about murdering his King, how he is going to do it, and if he is going to do it. His conscience counter-acts these terrible thoughts by making him think about his duties as a kinsman, a subject of the King, and a host to his guest. He also thinks about the fact that all crime is punished, whether it be in this life or the next. One of Macbeth’s most justified reasons against murdering the King, is that his death would be mourned throughout Scotland, and regarded as a tragedy in the extreme. Macbeth also begins to think about King Duncan’s kind-hearted and trusting character, and how he considers him to be a King of almost divine excellence. Macbeth then studies his own despicable motive for killing the King, and he can only find one pathetic reason. He refers to this as his ‘vaulting ambition’, and he realises now that such a high vault could only lead to a fall with undoubtedly severe consequences. Macbeth finally makes his decision on this matter and tells his wife: ‘We will proceed no further in this business’ This is the most decisive Macbeth has ever been in the play, and so he starts to think highly of himself for standing up to his dominant wife for once. He obviously didn’t think about the consequences of his actions and was totally unprepared for the fury and insults his wife was about to give him. Lady Macbeth uses a wise way of convincing Macbeth to change his mind to kill the King. She picks on three main points which, by the end of her speech, breaks down Macbeth and so once again she gets her own way. The first point is when Lady Macbeth says: ‘From this time Such I account thy love. Art thou afeard To be the same in thine own act and valour As thou art in desire?’ What she is saying to Macbeth here is ‘if you don’t do it, then you don’t love me’. This influences him because he does love his wife and he doesn’t want to lose her affection. So this helps to change his mind. The second point is probably the most influential issue of the three; this is when Lady Macbeth says: ‘Wouldst thou have that Which esteem’st the ornament of life, And live a coward in thine own esteem, Letting ‘I dare not’ wait upon ‘I would’, Like the poor cat i’ the adage?’ What Lady Macbeth is doing here is calling Macbeth a coward. This would deeply offend him because it is insulting his manlihood and is basically challenging his right of being a man. This makes him want to prove her wrong and redeem himself from being called a coward. .u8f18b909542de06987a755d77fa261c1 , .u8f18b909542de06987a755d77fa261c1 .postImageUrl , .u8f18b909542de06987a755d77fa261c1 .centered-text-area { min-height: 80px; position: relative; } .u8f18b909542de06987a755d77fa261c1 , .u8f18b909542de06987a755d77fa261c1:hover , .u8f18b909542de06987a755d77fa261c1:visited , .u8f18b909542de06987a755d77fa261c1:active { border:0!important; } .u8f18b909542de06987a755d77fa261c1 .clearfix:after { content: ""; display: table; clear: both; } .u8f18b909542de06987a755d77fa261c1 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u8f18b909542de06987a755d77fa261c1:active , .u8f18b909542de06987a755d77fa261c1:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u8f18b909542de06987a755d77fa261c1 .centered-text-area { width: 100%; position: relative ; } .u8f18b909542de06987a755d77fa261c1 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u8f18b909542de06987a755d77fa261c1 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u8f18b909542de06987a755d77fa261c1 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u8f18b909542de06987a755d77fa261c1:hover .ctaButton { background-color: #34495E!important; } .u8f18b909542de06987a755d77fa261c1 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u8f18b909542de06987a755d77fa261c1 .u8f18b909542de06987a755d77fa261c1-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u8f18b909542de06987a755d77fa261c1:after { content: ""; display: block; clear: both; } READ: Eddie and Mickey and evaluates the situation EssayThe third point is the one that finalises Macbeth’s decision; this is when Lady Macbeth says: ‘I have given suck, and know How tender ‘tis to love the babe that milks me; I would, while it was smiling in my face, Have pluck’d my nipple from its boneless gums, And dash’d the brains out, had I sworn as you Have done to this.’ This means that she’d never break a promise and always keeps her word. She is implying that Macbeth doesn’t know how powerful a promise can be to a person, and how far you should go to keep one. To give an example of this, she uses a foul and disgusting way of expressing how far she would go to keep a promise that she had sworn on. The example she gives of beating the brains out of her own child just proves that she is beginning to go insane and psychotic. All of this abuse from his wife defeats him and immediately alters Macbeth’s final decision and so he has agreed with his wife to kill the King. By now, Macbeth is starting to show signs of stress, for out in the courtyard, he seems to speak few words in reply to Banquo’s comments and questions. Also, he is very confused about what is going on and what he is about to do in the near future. He is convinced that he is living in his own nightmare. Macbeth is alarmed when his imagination first creates the dagger, because it is a part of his conscience and his deteriorating mental state. The hallucination he is experiencing is caused by stress. What makes the situation worse, is that his conscience is almost certainly lost now, and instead of helping him, it lures him further down the corridor. As Macbeth follows the floating dagger, it is as if the pace of his words slows down as he walks along the corridor. This is a good use of language because it makes it sound as if his steps are getting heavier. Although he was scared when the dagger originally appeared, he doesn’t seem to mind murdering his King as much as he feared before, because Shakespeare introduces a touch of sick and frightening humour into Macbeth when he says: ‘The bell invites me. Hear it not Duncan; for it is a knell That summons thee to heaven, or to hell.’ Immediately after the terrible deed is done, Macbeth begins to regret what they have planned and done. He and his wife show signs of great tension and stress, by the way they speak. Instead of speaking in an intellectual and poetic sense, they begin to talk to each other in less complex single word sentences. Although they are both tense and uncertain whether they have made the right decision or not, Lady Macbeth shows now to be the stronger partner in the duo. As a conclusion, I think that the final event that modified Macbeth’s decision was the speech from Lady Macbeth. When she used emotional blackmail, insulted his manlihood, and said she’d even kill her own baby in order to keep her word, she completely turned Macbeth around. Although this was the main turning point for Macbeth’s lifestyle, there were many other factors that influenced his final decision to commit the crime of murder. All this so far has come together to prove that Macbeth maybe strong and valiant on the outside and very mentally stable and confident in battle, but he just can’t stand up to his wife. This may be because he doesn’t want to lose his wife, or it could mean that he is just mentally weak when it comes to his emotional situations. This shows that he has very little will power and is an emotional coward. All of the Shakespearean plays end in tragedy, and Macbeth was not an exception. Macbeth, as the main character, and also a battle-scared hero, is the person whose life ends in tragedy. He enters the play as a ‘valiant’, and ‘brave’ man, but ends up a twisted wreckage of a hero who once was.