The Use Of Time In Poetry: Milton, Shakespeare, Wordsworth :: essays research papers

Throughout the Elizabethan and Romantic era, time and nature are themes that are ever-present in the great poetry of the period. Although the poets presented this idea in different ways, it was clear that time and nature were major influences on each man’s writing and that each of them were, in a sense, extremely frustrated by the concept of time. It appeared to me that each poet, in some form, felt empty and unaccomplished, and they all consider as true that time is not on their side. In Shakespeare’s Sonnet LXXIII, the poet is an older man comparing his life to such things as night and day, the four seasons, and as a fire in a fire. Shakespeare uses these images to show us just how quickly time passes. I found his representation of life as the cycle of day and night particularly insightful. â€Å"In me thou see’st the twilight of such day As after sunset fadeth in the west, Which by and by black night doth take away, Death’s second self, that seals up all in rest.†   Ã‚  Ã‚  Ã‚  Ã‚  To Shakespeare, dawn is the birth of a child, mid-day is a child’s youth, and twilight, his current stage, is the stage of life when death is approaching, although it has not yet arrived. The sun has set, and the sky is a beautiful color, but the black night, death, will take that all away. He knows he is past his prime and now he just awaits death. It is easy to see that Shakespeare is quite frustrated because he knows that death is coming, but he doesn’t know when it is coming. The comparison of the cycle of day and night to the cycle of life made me realize how hurried life is and how you should appreciate and make the most of the time you have. The phrase â€Å"death’s second self† is especially strong as he is saying that every time you go to sleep, it is like a small death. Every time you go to sleep, you lose another day. Shakespeare resolves this problem with a couplet that screams love me now while I am still here because when I am gone you will regret not loving me.   Ã‚  Ã‚  Ã‚  Ã‚  Time is also a main theme in Milton’s â€Å"How Soon Hath Time†. Milton, however, is concerned because he feels that he has nothing to show for his life and he is scared that death is approaching him. He personifies time, calling it â€Å"the subtle thief of youth†. At the age of 23, he can’t believe how time is just

Regulatory and Accreditation

Quantitative Research Article Critique Sandra M. Smith NUR/518 February, 26, 2012 Veta Massey Quantitative Research Article Critique Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Introduction The purpose of this study is to explore the current research data and use of the Nurse Teamwork Survey to see if nurse staffing levels predicts teamwork. The importance of teamwork is to achieve a higher level of patient safety, quality of care, job satisfaction, and decrease turnover.A cross-sectional descriptive design was used with a 2,545 nursing staff on 52 units delivering patient care, in four different hospitals among the Mid- West. The relevance of the study is to show that there is an association between quality, safe care, and teamwork which also requires safe staffing (Kalisch & Lee, 2011) The title of the article suggests the main variables an d the population in the study. The abstract concisely and clearly summarize the main problem, method, and results of the study. The problem identified is a lack of understanding between the relationship of workload, teamwork, and level of staffing.Literature review The literature review is up- to -date and focused mostly on primary sources. Dates of the literature review range from 1994- 2009. Only one review studied was over 10 years and six were in the past five years. The review provides a range of comparisons between teamwork and job satisfaction, mortality rate, interpersonal skills, and quality of care. What is known is that a higher level of teamwork in the intensive care units was found to be related to a decrease in mortality rates (Kalisch & Lee, 2011). Also, a decrease in vacancy rates, and staff turnover was associated with higher level of teamwork.Brewer (2006) showed that† improved teamwork found a significant decrease in patient falls. † The literature rev iew provides a solid base for this study. What is unknown is the relationship between workload, staffing levels, and teamwork. Framework The study illustrates a â€Å"conceptual framework which postulates that staffing levels predict teamwork when there is control of the acuity( CMI) of the patients on the units, the size of the hospital and the nurse staffing levels( nurse staffing included RN’s, LPN’s, NA’s, and unit secretaries)† (Kalisch & Lee, 2009, p. 3). There is a conceptual map, which identifies the variables and relationship that is simple and understandable. The framework was based on the outcome of the literature review and the effects that staffing levels had on teamwork. The framework does identify the relationships between teamwork and staffing levels to patient outcomes. â€Å"The framework relates to the body of nursing knowledge in that patient safety and patient perception of care delivered in held in high esteem for nurses† (Kal isch & Lee, 2011, p. 83).The conceptual framework identified the meaning of teamwork by using the Salas, Sims, and Burke (2005) study that identified five important elements of teamwork (trust, team orientation, back up, shared mental model, and team leadership). Using this conceptual framework its basic foundation, the Nursing Teamwork Survey (NTS) was developed and tested to be used for the psychometric elements. This testing resulted in identifying five different elements of the nursing team that was descriptive. The research questions proposed where asfollows: â€Å"By controlling the CMI and size of the hospital, does the level of staffing predict nursing teamwork?By controlling hospital size and CMI, does the level of staffing predict subscales of teamwork (trust, team orientation, back up shared mental model, and team leadership)† (Kalisch & Lee, 2011, p. 83)? The aim of the research questions was appropriate to the study on that they identified the relationship betwee n teamwork and staffing levels. Method The study (Kalisch & Lee, 2011) used a descriptive, cross-sectional design and an appropriate sample was used. â€Å"The setting was four hospitals within the Midwest of the United. Sampling characteristics were 60% over the age of 35.The majority of the sample were female (89%) and RN’s (70%), and the majority (74%) had at least 2 years experience† (Kalisch & Lee, 2011, p. 83). The sample group was identified and described and sufficient in size and character. The size of the hospitals were between 300 -900 beds. All units were eligible for inclusion. A total of 52 beds was the study sample. The sampling staff made up 2,545 respondents. 1,741 were RN’s, 41 were LPN’s, 502 were NA’s, and 191 were unit secretaries. The sample groups were appropriately identified as pertinent to the study question.The NTS was used in this study and was intended to measure nursing teamwork in the inpatient care setting. The Bartl ett test was used to indicate the correlation matrix that showed it not to be an identity matrix. The Kaiser-Meyer-Olkin measured the sample adequacy. In this study it was determined to be excellent at (0. 961). Confirmatory factor analysis also showed that the team work model of five factors fit the data well. A comparative fit index model was 0. 884 with a root mean square error of approximation to be 0. 055. The test and retest reliability was good at 0. 92.The consistency of the survey showed to be 0. 94 with co-efficient ranging from 0. 74-0. 85. The results of these tests showed a similarity in responses of staff members on the same unit (Kalisch & Lee, 2011). The NTS used was a questionnaire. It contains 33 questions with a Likert-type scaling system. This survey was generated by the literature review and from focus groups with staff members. The staff members are dependent variables within the study, although the hospital size and CMI of the patients are independent variable s. The survey was given to the staff with a time limit for responding.The response was anonymous. Staffing data was also obtained by each hospitals database. The nurse staffing indicators included hours per patient day (HPPD), RN hours per patient day (RN HPPD), and skill mix (RN’s LPN’s, and NA’s providing direct patient care). The acuity of the patients was also a factor. The study did ensure comparable data among the four sites. This was done by using the raw data that was provided by the participating hospitals. The appropriate statistical methods were used in this study and the research questions were also addressed with the groups surveyed. Data collectionThe study was conducted over a four- week period where data was collected from each facility. The data collection phase included two separate study phases. The first phase was the administration of the survey to the units and the collection of raw staffing data from the hospitals. The NTS was put in an en velope with a letter of explanation about the study. Incentive was given to each participate by the addition of a candy bar. The participation was made known to be voluntary. The subjects were to place the completed survey in a locked box provided on each unit. A pizza incentive was given for units who achieved a 50% return.This incentive was appropriate because the staff had to take time out of their work day to do the study. The second phase, which collected the raw data of HPPD, RN HPPD, CMI, and skill mix were obtained from each unit prior to the NTS being administered (Kalisch & Lee, 2011). The collected data was appropriate to the study questions. Statistical data analysis Data analysis was obtained by the use of the Statistical Package for Social Science version 16. 0. The unit analysis is identified as the patient care unit. The mean score for teamwork level obtained from the NTS was collected and combined to a unit level team score.Statistical analysis was done to address e ach question in the study. Appropriate methods were used to analyze the data obtained. â€Å"Preliminary analysis involved using frequency, descriptive, and correlation methods that associated with the research question. Correlation analysis was effectively used to address the relationships between hospital bed size, staffing levels, and teamwork† (Kalisch & Lee, 2011, p. 85). Regression analysis was done to identify the correlation of staffing levels as it compares to the five subscales of teamwork.One analysis identified HPPD as the high level of predictability of teamwork on the unit. The analysis showed that the higher the skill mixes on a floor and higher HPPD, the greater the predictability of teamwork. The findings of the study are adequately summarized by the use of multiple tables. The findings are reported in a manner that would support evidence-base practice. Discussion The major findings of the relationship between staffing levels and teamwork were interpreted and discussed. This study does demonstrate that there is a relationship between HPPD and nursing teamwork.It was also reported that the higher the skill mix the greater level of teamwork. Researcher notes that â€Å"the use of actual nurse staffing data adds substantial credibility and confidence to the previous findings† (Kalisch & Lee, 2011, p. 86). The interpretations of the study appear to uniformly flow with the results. The study does discuss the limitations of the study on that the sample was in only four Mid-Western hospitals. According to Kalisch and Lee (2011, p. 87), â€Å"team work is more difficult to achieve in larger hospitals. † The sample does not provide for generalizability of the findings.The study recommends further direct observation studies to measure actual teamwork. Implications The study does discuss the implications of the findings. The results suggest that ensuring adequate staffing is important but also increasing the efficiency of the deliver y of care by using staff more effectively. Summary Despite some identified limitations such as generalizability, the study findings appear to have validity and show confidence in the truthfulness of the results. The study does contribute to meaningful results and evidence applicable in nursing practice and hospital policies regarding staffing.Further study suggested would be to observe larger inner city hospitals with greater levels of skill mix for longer duration of time. References Brewer, B. B. (2006). Relationships among teams, culture, safety, and cost outcomes. Western Journal of Nursing Research, 28(6), 641-653 Kalisch, B. J. , & Lee, K. (2011). Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals. Journal of Nursing Scholarship, 43(1), 82-88. Salas, E. , Sims, D. E. , & Burke, C. S. (2005). Is there a ‘big five† in teamwork? Small Group Research, 36(5), 555-599.

My Career As A Career Autobiography - 1865 Words

A career autobiography has to probably be one of the most interesting and thoughtful essays I’ve had to write so far. I am seventeen years old and am attending my first semester in college. I look forward to getting good grades, opening my mind to new things, and eventually graduating college. However, I have absolutely no idea what I want to be doing in the future. My indecisiveness is at such a high level that I probably change my future career every other day. At this point in life, my family, advisors, and professors are telling me that I don’t need to know what I want to be doing for a living, in the future, yet, I feel that I should know. I don’t want to be wasting my time and taking unnecessary classes. The thoughts about my â€Å"future career† leave me to be extremely indecisive and nervous, at times. I just hope, like people have told me, that â€Å"It comes to me. In regards to my interests and skills, I prefer math and science over reading and history, but it is not because I do poorly in the subjects. I enjoy solving problems and learning about the human body and all the fascinating things it can perform, voluntarily and involuntarily. I am a studious individual and received high grades throughout my educational career, which I hope continues on in college. Striving to do the best is something vital in wanting to accomplish something in life. Being that I am a first generation child, one from parents who are immigrants from Montenegro, Europe, I have some skills whichShow MoreRelatedThe Stages of Career Development Essay1225 Words   |  5 PagesThe Stages of Career Development The Cambridge Online dictionary defines career development as the process of learning and improving your skills so that you can perform your job better and progress to better jobs (Cambridge, 2011). However, my articles on career development have a slightly different view. My article states that career development happens in stages, and it has influencing factors (Gohdes, 1997-2000). Therefore, I will discuss these elements along with its main points. After thatRead MoreReview of Russell Bakers Growing Up Essay1039 Words   |  5 PagesReview of Russell Bakers Growing Up Works Cited Missing Autobiographical works tell a story of their authors by compiling antic dotes and accolades. Most autobiographies are that of famous authors or other celebrities and provide a synopsis of life according to them. Russell Bakers autobiography, Growing Up, achieves all these things as well, but, it does more than just tell of his life. 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At one point I thought: â€Å"A few years until retirement, and probably no special secrets for me to discover during academic year. I can only confirm what I know, gained some new knowledge and meet a bunch of interesting people before returning home. Much to my surprise, already after the first reading and discussion at the seminarRead MoreGraduation Speech For Becoming A Teacher852 Words   |  4 PagesThe following paper is a reflection of the experiences and life lessons that ultimately led me to choose a teaching career in mathematics. Of the many experiences that contributed to my desire to become a teacher, tutoring high school students who struggled with math, and hearing my mother’s stories about the rewards of teaching were my greatest sources of inspiration for becoming a teacher. As a student tutor, I witnessed studen ts who lacked self-confidence find hope and pride in their newly acquiredRead MoreStan Musial Essay1684 Words   |  7 Pagesplayer Stan Musial Stan Musial (born 1920), one of baseballs greatest hitters, enjoyed an extraordinary career with the St. Louis Cardinals from 1941 through 1963. Called Stan the Man because of his intimidating presence at the plate, Musial won seven batting championships and three Most Valuable Player awards. Accommodating to fans and the media both during and after his playing career, Musial was considered one of the games most gentlemanly and down-to-earth ambassadors. He came from ruralRead MoreAcademic Autobiography Essay922 Words   |  4 PagesStudent Success September 9, 2013 My Academic Autobiography Thinking about college and your future career can be very overwhelming at the beginning. There’s so much to consider when it comes to getting ready for college: where to go and what to study. I’ve heard it said that sometimes a student will enter college fully aware of what they want to do in life, and doggedly reach their undergraduate goal after four years of diligent study. My college career didn’t start off on the best footingRead MoreMiles Davis Essay1364 Words   |  6 Pagesentirety of his career. Funny enough, his mother, Cleota Mae Davis, played blues piano but kept it hidden from him. Miles succeeded so well with trumpet playing that he was accepted into the Juilliard School of Music to study classical music. However, during his time at Juilliard, Miles realized that he developed a love for a more non-traditional approach compared to the classical route. In â€Å"Miles, The autobiography†, He claims that â€Å"...the greatest feeling I ever had in my life - with my clothes onRead MoreThe Letters of Abelard and Heloise1200 Words   |  5 Pagesethnical views are all tied together into one autobiography written by Pierre Abelard himself. Pierre Abelard was born in 1079 B.C in France. Abelard was born into a minor noble family where he learned quickly and excelled in the art of dialect, a branch of physiology, which at the time consisted solely on the logic of Aristotle. Unlike his father, Abelard decided to receive an academic career rather than a military career. With his academic career Abelard traveled through France and created aRead MoreThe War Of The Civil War921 Words   |  4 Pagesduring the Civil War era. Understanding the children that lived in the time of the Civil War is important because it affected their future careers, shaped their attitudes towards race, and affected their home lives, and through this understanding that should be provided by historians, it allows the audience today insight into contemporary issues. The future careers and ventures of the children who grew up during the Civil War may have been shaped by the way they experienced the events. James Marten

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Personal Narrative- Destruction of Nature Essay examples

Personal Narrative- Destruction of Nature If you ever get a chance to visit Chaco Canyon National Monument in New Mexico, you should take the time to just stand in the desert and listen. The silence in this place is physical; you can feel it surround you. This is a silence with depth and layers that are unbroken even by the wind, which moves through emptiness and speaks only in occasional sighs through the canyons. The air itself is very clear—the lack of humidity gives the cliffs and buttes sharp lines, and the colors of the earth, though muted, stand in stark relief to the blueness of the sky. Night comes gradually to this place. The height and dryness of the air allows the stars to appear before the sun has set—creating an odd†¦show more content†¦These are issues that I often ponder. I realize this consciousness is atypical of many of my compatriots. However, the roots of my compulsive musings are not wholly random because I was subjected to much similar thinking from an early age. Having grown up in a region where civilization and development were slow in coming, and where trees outnumber cornstalks and coal mines corn silos, we had ample opportunity to reflect on man’s relationship to nature. My parents are two well-educated, biologically trained individuals with an almost obsessive need to be outdoors. They met, so the story goes, in a graduate school class when my mother asked my father for his pocketknife to scrape moss from a tree trunk. It was love amongst the bryophytes. They spent several years trekking all over the U.S. on vacations to national forests and monuments and deserts and mountains, and my arrival on the scene did not cease their wanderings. Though I did restrict the locale. There are numerous pictures of one of my parents standing on some wooded ridge with the peak of my red hat sticking up over their shoulder. Once I was old enough to scramble along the trails by my own power, my father began taking me to work with him. In those days, he was a state biologist, and by the time I started kindergarten, I had been all over the state hiking, trapping, caving, camping, and generally running as a feral child. School was a change in routine, though on nice days, either one or bothShow MoreRelatedAnalysis Of The Wind Rises And Showa 1660 Words   |  7 Pagesthe war. However they are far from the â€Å"heroic narratives† that gained favor right after the war. (gluck 49). While the content of heroic narratives differ nation to nation, they all evoke the same sense of â€Å"national unity by effacing experiential difference, creating whole nations of partisans, resistant’s, anti-facists – and above all victims (gluck 50). Showa and The Wind Rises escape the constraint of heroic narratives, by interjecting personal memory into vernacular and public memory. The worksRead More The Rings of Saturn by W.G. Sebald1335 Words   |  5 PagesW.G. Sebald’s novel The Rings of Saturn explores the relationship between toleration and persecution through a first person narrative. The novel is preoccupied with loss and the ways we have tried to come to terms with mortality. It is a meditation on the destructive nature of history, the human lives affected, and the restorative power of art. However, his work is not simply a record of these human-induced catastrophes, but also attempts to fashion new representational tools for the purpose of acknowledgingRead MoreEssay on WRACK TECHNIQUES994 Words   |  4 Pagesbook Heart of Darkness to explore the darkness in man’s heart. His character Kurt parallels Conrad’s Kurtz. He also quotes from Ondaatje p.37 to develop his idea about maps â€Å"whose portraits have nothing to do with surface.† This coupled with his narrative about the explorers in the Age of Colonialism Develops the idea that reality can be deceptive. It can hold hidden dangers and often are a false premise to start a quest. 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So not only does finding out more about the stranger make him a friend of Walton’s, but it also sets the scene for the narrative as the letters do. It becomes evident that Walton’s character parallels Frankenstein’s character in the storyRead MoreThe Theme Of Fire And Ice In Frankenstein1243 Words   |  5 Pagesuse of fire† (Griffin 53), abandoning her past self. In the beginning of Frankenstein, Walton is literally traveling into polar regions. The entirety of his narrative takes place in the Arctic and the majority of Victor’s and the Creature’s accounts are set in Switzerland, northern Scotland, and finally the Arctic, where all three narratives connect. Differing from Jane Eyre at the start of her story, Walton is less interested in the ice and frost, â€Å"he dreams instead of an impossible conjunctionRead MoreA Clockwork Orange By Anthony Burgess1473 Words   |  6 Pagesremaining an individual in the face of group-oriented violence. Images drawn from the realm of music parallel the destruction of Alex’s identity, either through conformity to a group’s style of violence or through failure to embrace the homogeneity of group actions associate with violence. As Alex’s narrative progresses, the musical imagery follows the decline and re-emergence of his personal identity as a function of his involvement in violence. Musical references underscore the power of violence toRead More Music, Violence, and Identity in A nthony Burgess’ A Clockwork Orange1456 Words   |  6 Pagesremaining an individual in the face of group-oriented violence. Images drawn from the realm of music parallel the destruction of Alex’s identity, either through conformity to a group’s style of violence or through failure to embrace the homogeneity of group actions associated with violence. As Alex’s narrative progresses, musical imagery follows the decline and re-emergence of his personal identity as a function of his involvement in violence. Musical references underscore the power of violence to negateRead MorePsychological Aspects Of Narrative Of The Life And Adventures Of Henry Bibb1133 Words   |  5 PagesKaho Adachi Dr. Benjamins US History AP/DC, period 6 30 November 2015 Psychological Aspects of Narrative of the Life and Adventures of Henry Bibb In Henry Bibb’s Narrative of the Life and Adventures of Henry Bibb, the author utilizes rhetorical strategies of religion, family, and psychological aspects to create an effective argument that under any circumstances slavery was simply ‘no good’. In his autobiography, Henry Bibb accentuates the slave masters’ avaricious temper and arduous conditionRead MoreEssay On Social Morality In Macbeth938 Words   |  4 Pagesconsidering the aspect in which gender plays a divisive role, addressing masculinity to be considered superior in all societal functions. The machinations at work driving the play’s narrative forward are parallel to the guises both the witches as well as Lady Macbeth undertake in order to achieve their ends. Upending against the narrative was the perceived notion that reigned within the time of Shakespeare through which public norms had enabled an extensive division between the genders took root as the social

A Game of Thrones Chapter Sixty-five Free Essays

Arya The scent of hot bread drifting from the shops along the Street of Flour was sweeter than any perfume Arya had ever smelled. She took a deep breath and stepped closer to the pigeon. It was a plump one, speckled brown, busily pecking at a crust that had fallen between two cobblestones, but when Arya’s shadow touched it, it took to the air. We will write a custom essay sample on A Game of Thrones Chapter Sixty-five or any similar topic only for you Order Now Her stick sword whistled out and caught it two feet off the ground, and it went down in a flurry of brown feathers. She was on it in the blink of an eye, grabbing a wing as the pigeon flapped and fluttered. It pecked at her hand. She grabbed its neck and twisted until she felt the bone snap. Compared with catching cats, pigeons were easy. A passing septon was looking at her askance. â€Å"Here’s the best place to find pigeon,† Arya told him as she brushed herself off and picked up her fallen stick sword. â€Å"They come for the crumbs.† He hurried away. She tied the pigeon to her belt and started down the street. A man was pushing a load of tarts by on a two-wheeled cart; the smells sang of blueberries and lemons and apricots. Her stomach made a hollow rumbly noise. â€Å"Could I have one?† she heard herself say. â€Å"A lemon, or . . . or any kind.† The pushcart man looked her up and down. Plainly he did not like what he saw. â€Å"Three coppers.† Arya tapped her wooden sword against the side of her boot. â€Å"I’ll trade you a fat pigeon,† she said. â€Å"The Others take your pigeon,† the pushcart man said. The tarts were still warm from the oven. The smells were making her mouth water, but she did not have three coppers . . . or one. She gave the pushcart man a look, remembering what Syrio had told her about seeing. He was short, with a little round belly, and when he moved he seemed to favor his left leg a little. She was just thinking that if she snatched a tart and ran he would never be able to catch her when he said, â€Å"You be keepin’ your filthy hands off. The gold cloaks know how to deal with thieving little gutter rats, that they do.† Arya glanced warily behind her. Two of the City Watch were standing at the mouth of an alley. Their cloaks hung almost to the ground, the heavy wool dyed a rich gold; their mail and boots and gloves were black. One wore a longsword at his hip, the other an iron cudgel. With a last wistful glance at the tarts, Arya edged back from the cart and hurried off. The gold cloaks had not been paying her any special attention, but the sight of them tied her stomach in knots. Arya had been staying as far from the castle as she could get, yet even from a distance she could see the heads rotting atop the high red walls. Flocks of crows squabbled noisily over each head, thick as flies. The talk in Flea Bottom was that the gold cloaks had thrown in with the Lannisters, their commander raised to a lord, with lands on the Trident and a seat on the king’s council. She had also heard other things, scary things, things that made no sense to her. Some said her father had murdered King Robert and been slain in turn by Lord Renly. Others insisted that Renly had killed the king in a drunken quarrel between brothers. Why else should he have fled in the night like a common thief? One story said the king had been killed by a boar while hunting, another that he’d died eating a boar, stuffing himself so full that he’d ruptured at the table. No, the king had died at table, others said, but only because Varys the Spider poisoned him. No, it had been the queen who poisoned him. No, he had died of a pox. No, he had choked on a fish bone. One thing all the stories agreed on: King Robert was dead. The bells in the seven towers of the Great Sept of Baelor had tolled for a day and a night, the thunder of their grief rolling across the city in a bronze tide. They only rang the bells like that for the death of a king, a tanner’s boy told Arya. All she wanted was to go home, but leaving King’s Landing was not so easy as she had hoped. Talk of war was on every lip, and gold cloaks were as thick on the city walls as fleas on . . . well, her, for one. She had been sleeping in Flea Bottom, on rooftops and in stables, wherever she could find a place to lie down, and it hadn’t taken her long to learn that the district was well named. Every day since her escape from the Red Keep, Arya had visited each of the seven city gates in turn. The Dragon Gate, the Lion Gate, and the Old Gate were closed and barred. The Mud Gate and the Gate of the Gods were open, but only to those who wanted to enter the city; the guards let no one out. Those who were allowed to leave left by the King’s Gate or the Iron Gate, but Lannister men-at-arms in crimson cloaks and lion-crested helms manned the guard posts there. Spying down from the roof of an inn by the King’s Gate, Arya saw them searching wagons and carriages, forcing riders to open their saddlebags, and questioning everyone who tried to pass on foot. Sometimes she thought about swimming the river, but the Blackwater Rush was wide and deep, and everyone agreed that its currents were wicked and treacherous. She had no coin to pay a ferryman or take passage on a ship. Her lord father had taught her never to steal, but it was growing harder to remember why. If she did not get out soon, she would have to take her chances with the gold cloaks. She hadn’t gone hungry much since she learned to knock down birds with her stick sword, but she feared so much pigeon was making her sick. A couple she’d eaten raw, before she found Flea Bottom. In the Bottom there were pot-shops along the alleys where huge tubs of stew had been simmering for years, and you could trade half your bird for a heel of yesterday’s bread and a â€Å"bowl o’ brown,† and they’d even stick the other half in the fire and crisp it up for you, so long as you plucked the feathers yourself. Arya would have given anything for a cup of milk and a lemon cake, but the brown wasn’t so bad. It usually had barley in it, and chunks of carrot and onion and turnip, and sometimes even apple, with a film of grease swimming on top. Mostly she tried not to think about the meat. Once she had gotten a piece of fish. The only thing was, the pot-shops were never empty, and even as she bolted down her food, Arya could feel them watching. Some of them stared at her boots or her cloak, and she knew what they were thinking. With others, she could almost feel their eyes crawling under her leathers; she didn’t know what they were thinking, and that scared her even more. A couple times, she was followed out into the alleys and chased, but so far no one had been able to catch her. The silver bracelet she’d hoped to sell had been stolen her first night out of the castle, along with her bundle of good clothes, snatched while she slept in a burnt-out house off Pig Alley. All they left her was the cloak she had been huddled in, the leathers on her back, her wooden practice sword . . . and Needle. She’d been lying on top of Needle, or else it would have been gone too; it was worth more than all the rest together. Since then Arya had taken to walking around with her cloak draped over her right arm, to conceal the blade at her hip. The wooden sword she carried in her left hand, out where everybody could see it, to scare off robbers, but there were men in the pot-shops who wouldn’t have been scared off if she’d had a battle-axe. It was enough to make her lose her taste for pigeon and stale bread. Often as not, she went to bed hungry rather than risk the stares. Once she was outside the city, she would find berries to pick, or orchards she might raid for apples and cherries. Arya remembered seeing some from the kingsroad on the journey south. And she could dig for roots in the forest, even run down some rabbits. In the city, the only things to run down were rats and cats and scrawny dogs. The potshops would give you a fistful of coppers for a litter of pups, she’d heard, but she didn’t like to think about that. Down below the Street of Flour was a maze of twisting alleys and cross streets. Arya scrambled through the crowds, trying to put distance between her and the gold cloaks. She had learned to keep to the center of the street. Sometimes she had to dodge wagons and horses, but at least you could see them coming. If you walked near the buildings, people grabbed you. In some alleys you couldn’t help but brush against the walls; the buildings leaned in so close they almost met. A whooping gang of small children went running past, chasing a rolling hoop. Arya stared at them with resentment, remembering the times she’d played at hoops with Bran and Jon and their baby brother Rickon. She wondered how big Rickon had grown, and whether Bran was sad. She would have given anything if Jon had been here to call her â€Å"little sister† and muss her hair. Not that it needed mussing. She’d seen her reflection in puddles, and she didn’t think hair got any more mussed than hers. She had tried talking to the children she saw in the street, hoping to make a friend who would give her a place to sleep, but she must have talked wrong or something. The little ones only looked at her with quick, wary eyes and ran away if she came too close. Their big brothers and sisters asked questions Arya couldn’t answer, called her names, and tried to steal from her. Only yesterday, a scrawny barefoot girl twice her age had knocked her down and tried to pull the boots off her feet, but Arya gave her a crack on her ear with her stick sword that sent her off sobbing and bleeding. A gull wheeled overhead as she made her way down the hill toward Flea Bottom. Arya glanced at it thoughtfully, but it was well beyond the reach of her stick. It made her think of the sea. Maybe that was the way out. Old Nan used to tell stories of boys who stowed away on trading galleys and sailed off into all kinds of adventures. Maybe Arya could do that too. She decided to visit the riverfront. It was on the way to the Mud Gate anyway, and she hadn’t checked that one today. The wharfs were oddly quiet when Arya got there. She spied another pair of gold cloaks, walking side by side through the fish market, but they never so much as looked at her. Half the stalls were empty, and it seemed to her that there were fewer ships at dock than she remembered. Out on the Blackwater, three of the king’s war galleys moved in formation, gold-painted hulls splitting the water as their oars rose and fell. Arya watched them for a bit, then began to make her way along the river. When she saw the guardsmen on the third pier, in grey woolen cloaks trimmed with white satin, her heart almost stopped in her chest. The sight of Winterfell’s colors brought tears to her eyes. Behind them, a sleek three-banked trading galley rocked at her moorings. Arya could not read the name painted on the hull; the words were strange, Myrish, Braavosi, perhaps even High Valyrian. She grabbed a passing longshoreman by the sleeve. â€Å"Please,† she said, â€Å"what ship is this?† â€Å"She’s the Wind Witch, out of Myr,† the man said. â€Å"She’s still here,† Arya blurted. The longshoreman gave her a queer look, shrugged, and walked away. Arya ran toward the pier. The Wind Witch was the ship Father had hired to take her home . . . still waiting! She’d imagined it had sailed ages ago. Two of the guardsmen were dicing together while the third walked rounds, his hand on the pommel of his sword. Ashamed to let them see her crying like a baby, she stopped to rub at her eyes. Her eyes her eyes her eyes, why did . . . Look with your eyes, she heard Syrio whisper. Arya looked. She knew all of her father’s men. The three in the grey cloaks were strangers. â€Å"You,† the one walking rounds called out. â€Å"What do you want here, boy?† The other two looked up from their dice. It was all Arya could do not to bolt and run, but she knew that if she did, they would be after her at once. She made herself walk closer. They were looking for a girl, but he thought she was a boy. She’d be a boy, then. â€Å"Want to buy a pigeon?† She showed him the dead bird. â€Å"Get out of here,† the guardsman said. Arya did as he told her. She did not have to pretend to be frightened. Behind her, the men went back to their dice. She could not have said how she got back to Flea Bottom, but she was breathing hard by the time she reached the narrow crooked unpaved streets between the hills. The Bottom had a stench to it, a stink of pigsties and stables and tanner’s sheds, mixed in with the sour smell of winesinks and cheap whorehouses. Arya wound her way through the maze dully. It was not until she caught a whiff of bubbling brown coming through a pot-shop door that she realized her pigeon was gone. It must have slipped from her belt as she ran, or someone had stolen it and she’d never noticed. For a moment she wanted to cry again. She’d have to walk all the way back to the Street of Flour to find another one that plump. Far across the city, bells began to ring. Arya glanced up, listening, wondering what the ringing meant this time. â€Å"What’s this now?† a fat man called from the pot-shop. â€Å"The bells again, gods ha’mercy,† wailed an old woman. A red-haired whore in a wisp of painted silk pushed open a second-story window. â€Å"Is it the boy king that’s died now?† she shouted down, leaning out over the street. â€Å"Ah, that’s a boy for you, they never last long.† As she laughed, a naked man slid his arms around her from behind, biting her neck and rubbing the heavy white breasts that hung loose beneath her shift. â€Å"Stupid slut,† the fat man shouted up. â€Å"The king’s not dead, that’s only summoning bells. One tower tolling. When the king dies, they ring every bell in the city.† â€Å"Here, quit your biting, or I’ll ring your bells,† the woman in the window said to the man behind her, pushing him off with an elbow. â€Å"So who is it died, if not the king?† â€Å"It’s a summoning,† the fat man repeated. Two boys close to Arya’s age scampered past, splashing through a puddle. The old woman cursed them, but they kept right on going. Other people were moving too, heading up the hill to see what the noise was about. Arya ran after the slower boy. â€Å"Where you going?† she shouted when she was right behind him. â€Å"What’s happening?† He glanced back without slowing. â€Å"The gold cloaks is carryin’ him to the sept.† â€Å"Who?† she yelled, running hard. â€Å"The Hand! They’ll be taking his head off, Buu says.† A passing wagon had left a deep rut in the street. The boy leapt over, but Arya never saw it. She tripped and fell, face first, scraping her knee open on a stone and smashing her fingers when her hands hit the hard-packed earth. Needle tangled between her legs. She sobbed as she struggled to her knees. The thumb of her left hand was covered with blood. When she sucked on it, she saw that half the thumbnail was gone, ripped off in her fall. Her hands throbbed, and her knee was all bloody too. â€Å"Make way!† someone shouted from the cross street. â€Å"Make way for my lords of Redwyne!† It was all Arya could do to get out of the road before they ran her down, four guardsmen on huge horses, pounding past at a gallop. They wore checked cloaks, blue-and-burgundy. Behind them, two young lordlings rode side by side on a pair of chestnut mares alike as peas in a pod. Arya had seen them in the bailey a hundred times; the Redwyne twins, Ser Horas and Ser Hobber, homely youths with orange hair and square, freckled faces. Sansa and Jeyne Poole used to call them Ser Horror and Ser Slobber, and giggle whenever they caught sight of them. They did not look funny now. Everyone was moving in the same direction, all in a hurry to see what the ringing was all about. The bells seemed louder now, clanging, calling. Arya joined the stream of people. Her thumb hurt so bad where the nail had broken that it was all she could do not to cry. She bit her lip as she limped along, listening to the excited voices around her. â€Å"—the King’s Hand, Lord Stark. They’re carrying him up to Baelor’s Sept.† â€Å"I heard he was dead.† â€Å"Soon enough, soon enough. Here, I got me a silver stag says they lop his head off.† â€Å"Past time, the traitor.† The man spat. Arya struggled to find a voice. â€Å"He never—† she started, but she was only a child and they talked right over her. â€Å"Fool! They ain’t neither going to lop him. Since when do they knick traitors on the steps of the Great Sept?† â€Å"Well, they don’t mean to anoint him no knight. I heard it was Stark killed old King Robert. Slit his throat in the woods, and when they found him, he stood there cool as you please and said it was some old boar did for His Grace.† â€Å"Ah, that’s not true, it was his own brother did him, that Renly, him with his gold antlers.† â€Å"You shut your lying mouth, woman. You don’t know what you’re saying, his lordship’s a fine true man.† By the time they reached the Street of the Sisters, they were packed in shoulder to shoulder. Arya let the human current carry her along, up to the top of Visenya’s Hill. The white marble plaza was a solid mass of people, all yammering excitedly at each other and straining to get closer to the Great Sept of Baelor. The bells were very loud here. Arya squirmed through the press, ducking between the legs of horses and clutching tight to her sword stick. From the middle of the crowd, all she could see were arms and legs and stomachs, and the seven slender towers of the sept looming overhead. She spotted a wood wagon and thought to climb up on the back where she might be able to see, but others had the same idea. The teamster cursed at them and drove them off with a crack of his whip. Arya grew frantic. Forcing her way to the front of the crowd, she was shoved up against the stone of a plinth. She looked up at Baelor the Blessed, the septon king. Sliding her stick sword through her belt, Arya began to climb. Her broken thumbnail left smears of blood on the painted marble, but she made it up, and wedged herself in between the king’s feet. That was when she saw her father. Lord Eddard stood on the High Septon’s pulpit outside the doors of the sept, supported between two of the gold cloaks. He was dressed in a rich grey velvet doublet with a white wolf sewn on the front in beads, and a grey wool cloak trimmed with fur, but he was thinner than Arya had ever seen him, his long face drawn with pain. He was not standing so much as being held up; the cast over his broken leg was grey and rotten. The High Septon himself stood behind him, a squat man, grey with age and ponderously fat, wearing long white robes and an immense crown of spun gold and crystal that wreathed his head with rainbows whenever he moved. Clustered around the doors of the sept, in front of the raised marble pulpit, were a knot of knights and high lords. Joffrey was prominent among them, his raiment all crimson, silk and satin patterned with prancing stags and roaring lions, a gold crown on his head. His queen mother stood beside him in a black mourning gown slashed with crimson, a veil of black diamonds in her hair. Arya recognized the Hound, wearing a snowy white cloak over his dark grey armor, with four of the Kingsguard around him. She saw Varys the eunuch gliding among the lords in soft slippers and a patterned damask robe, and she thought the short man with the silvery cape and pointed beard might be the one who had once fought a duel for Mother. And there in their midst was Sansa, dressed in sky-blue silk, with her long auburn hair washed and curled and silver bracelets on her wrists. Arya scowled, wondering what her sister was doing here, why she looked so happy. A long line of gold-cloaked spearmen held back the crowd, commanded by a stout man in elaborate armor, all black lacquer and gold filigree. His cloak had the metallic shimmer of true cloth-of-gold. When the bell ceased to toll, a quiet slowly settled across the great plaza, and her father lifted his head and began to speak, his voice so thin and weak she could scarcely make him out. People behind her began to shout out, â€Å"What?† and â€Å"Louder!† The man in the black-and-gold armor stepped up behind Father and prodded him sharply. You leave him alone! Arya wanted to shout, but she knew no one would listen. She chewed her lip. Her father raised his voice and began again. â€Å"I am Eddard Stark, Lord of Winterfell and Hand of the King,† he said more loudly, his voice carrying across the plaza, â€Å"and I come before you to confess my treason in the sight of gods and men.† â€Å"No,† Arya whimpered. Below her, the crowd began to scream and shout. Taunts and obscenities filled the air. Sansa had hidden her face in her hands. Her father raised his voice still higher, straining to be heard. â€Å"I betrayed the faith of my king and the trust of my friend, Robert,† he shouted. â€Å"I swore to defend and protect his children, yet before his blood was cold, I plotted to depose and murder his son and seize the throne for myself. Let the High Septon and Baelor the Beloved and the Seven bear witness to the truth of what I say: Joffrey Baratheon is the one true heir to the Iron Throne, and by the grace of all the gods, Lord of the Seven Kingdoms and Protector of the Realm.† A stone came sailing out of the crowd. Arya cried out as she saw her father hit. The gold cloaks kept him from falling. Blood ran down his face from a deep gash across his forehead. More stones followed. One struck the guard to Father’s left. Another went clanging off the breastplate of the knight in the black-and-gold armor. Two of the Kingsguard stepped in front of Joffrey and the queen, protecting them with their shields. Her hand slid beneath her cloak and found Needle in its sheath. She tightened her fingers around the grip, squeezing as hard as she had ever squeezed anything. Please, gods, keep him safe, she prayed. Don’t let them hurt my father. The High Septon knelt before Joffrey and his mother. â€Å"As we sin, so do we suffer,† he intoned, in a deep swelling voice much louder than Father’s. â€Å"This man has confessed his crimes in the sight of gods and men, here in this holy place.† Rainbows danced around his head as he lifted his hands in entreaty. â€Å"The gods are just, yet Blessed Baelor taught us that they are also merciful. What shall be done with this traitor, Your Grace?† A thousand voices were screaming, but Arya never heard them. Prince Joffrey . . . no, King Joffrey . . . stepped out from behind the shields of his Kingsguard. â€Å"My mother bids me let Lord Eddard take the black, and Lady Sansa has begged mercy for her father.† He looked straight at Sansa then, and smiled, and for a moment Arya thought that the gods had heard her prayer, until Joffrey turned back to the crowd and said, â€Å"But they have the soft hearts of women. So long as I am your king, treason shall never go unpunished. Ser Ilyn, bring me his head!† The crowd roared, and Arya felt the statue of Baelor rock as they surged against it. The High Septon clutched at the king’s cape, and Varys came rushing over waving his arms, and even the queen was saying something to him, but Joffrey shook his head. Lords and knights moved aside as he stepped through, tall and fleshless, a skeleton in iron mail, the King’s Justice. Dimly, as if from far off, Arya heard her sister scream. Sansa had fallen to her knees, sobbing hysterically. Ser Ilyn Payne climbed the steps of the pulpit. Arya wriggled between Baelor’s feet and threw herself into the crowd, drawing Needle. She landed on a man in a butcher’s apron, knocking him to the ground. Immediately someone slammed into her back and she almost went down herself. Bodies closed in around her, stumbling and pushing, trampling on the poor butcher. Arya slashed at them with Needle. High atop the pulpit, Ser Ilyn Payne gestured and the knight in black-and-gold gave a command. The gold cloaks flung Lord Eddard to the marble, with his head and chest out over the edge. â€Å"Here, you!† an angry voice shouted at Arya, but she bowled past, shoving people aside, squirming between them, slamming into anyone in her way. A hand fumbled at her leg and she hacked at it, kicked at shins. A woman stumbled and Arya ran up her back, cutting to both sides, but it was no good, no good, there were too many people, no sooner did she make a hole than it closed again. Someone buffeted her aside. She could still hear Sansa screaming. Ser Ilyn drew a two-handed greatsword from the scabbard on his back. As he lifted the blade above his head, sunlight seemed to ripple and dance down the dark metal, glinting off an edge sharper than any razor. Ice, she thought, he has Ice! Her tears streamed down her face, blinding her. And then a hand shot out of the press and closed round her arm like a wolf trap, so hard that Needle went flying from her hand. Arya was wrenched off her feet. She would have fallen if he hadn’t held her up, as easy as if she were a doll. A face pressed close to hers, long black hair and tangled beard and rotten teeth. â€Å"Don’t look!† a thick voice snarled at her. â€Å"I . . . I . . . I . . . † Arya sobbed. The old man shook her so hard her teeth rattled. â€Å"Shut your mouth and close your eyes, boy.† Dimly, as if from far away, she heard a . . . a noise . . . a soft sighing sound, as if a million people had let out their breath at once. The old man’s fingers dug into her arm, stiff as iron. â€Å"Look at me. Yes, that’s the way of it, at me.† Sour wine perfumed his breath. â€Å"Remember, boy?† It was the smell that did it. Arya saw the matted greasy hair, the patched, dusty black cloak that covered his twisted shoulders, the hard black eyes squinting at her. And she remembered the black brother who had come to visit her father. â€Å"Know me now, do you? There’s a bright boy.† He spat. â€Å"They’re done here. You’ll be coming with me, and you’ll be keeping your mouth shut.† When she started to reply, he shook her again, even harder. â€Å"Shut, I said.† The plaza was beginning to empty. The press dissolved around them as people drifted back to their lives. But Arya’s life was gone. Numb, she trailed along beside . . . Yoren, yes, his name is Yoren. She did not recall him finding Needle, until he handed the sword back to her. â€Å"Hope you can use that, boy.† â€Å"I’m not—† she started. He shoved her into a doorway, thrust dirty fingers through her hair, and gave it a twist, yanking her head back. â€Å"—not a smart boy, that what you mean to say?† He had a knife in his other hand. As the blade flashed toward her face, Arya threw herself backward, kicking wildly, wrenching her head from side to side, but he had her by the hair, so strong, she could feel her scalp tearing, and on her lips the salt taste of tears. How to cite A Game of Thrones Chapter Sixty-five, Essay examples

Dental Nurse Nvq free essay sample

The skull consists of 28 bones, 22 of which form the framework of the head and provide protection for the brain, eyes, and ears; six are ear bones. With the exception of the lower jaw bone and the ear bones, all skull bones are joined together and fixed in one position. The seams where they join are known as sutures. The bones of the skull are classified as either cranial or facial bones. Cranial Bones. The cranium is formed by eight major bones, most of which are in pairs. The frontal bone forms the forehead and the roof of each orbit (or eye socket) and the nasal cavity. The parietal bones form the roof of the skull. The temporal bones help form the sides and base of the skull and also house the auditory and hearing organs. The occipital bone forms part of the base and back of the skull, and contains a large hole called the foramen magnum. We will write a custom essay sample on Dental Nurse Nvq or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This opening permits passage of the spinal cord from the cranium into the spinal column. The sphenoid bones are wedged between several other bones in the anterior portion of the skull. Ways to maintain this is to always dedicate appropriate instruments to there dedicated areas on not to get then crossed. 15) Using chemicals or other hazardous substances at work can put people’s health at risk, so the law requires employers to control exposure to hazardous substances to prevent ill health. They have to protect both employees and others who may be exposed by complying with the Control of Substances Hazardous to Health. Your employer has a duty under the law to ensure, so far as is reasonably practicable, your health, safety and welfare at work. Your employer must consult you or your safety representative on matters relating to your health and safety at work, including:  ¦ any change which may substantially affect your health and safety at work, e. g. in procedures, equipment or ways of working;  ¦ the employer’s arrangements for getting competent people to help him/her satisfy health and safety laws;  ¦ the information you have to be given on the likely risks and dangers arising from your work, measures to reduce or get rid of these risks and what you should do if you have to deal with a risk or danger;  ¦ the planning of health and safety; and the health and safety consequences of introducing new technology. 16) †¢Computer central for dentist and nurse. †¢Spittoon in reach for the nurse and the patient. †¢Lighting in reach of the dentist †¢Zoning areas †¢Nurse instruments and medicament in reach for the nurse †¢dentists instruments and medicament in reach for the nurse When work ing along side then dentist, the dentist sits one side and the nurse sits the other. 17) When working along side the operator the dental nurse must be prepared for the treatment laying out all equipment and medicaments the operator may need. The DN must have a well stocked surgery to avoid leaving to operator unassisted at any time. Working efficiently with the operator is important to provide a smooth treatment for the patient. It also minimises the risk of accidents that may occur in the surgery. (e. g. needle stick injuries) 18) The suction plays a important role in the dental surgery, during treatment it provides the operator a clear operating field, the dental nurse can use it to help retraction this is also done to provide a clear operating field. The suction also aides the patient during treatment as it aspirates water that is needed, making it more comfortable for them. The aspirating tips are disposable and must be disposed of in a clinical waste bag. The tips must also be changed in between each patient to prevent cross infection. There are different typed of aspirating tips. 1) Usually the bleu tips are used by the dental nurse during treatment as it is attached to a high powered suction compressor. 2)Saliva ejectors, these are made of a thinner plastic than is able to bend easily, these tips are usually held by the patient to suction access water . The are particularly good if the patient has a severe gag reflex as they are in control. 3) Metal saliva ejectors are also held by the patient but they are not flexible, they are made from stainless steal and has a barrier so the thee patients tongue is protected. At the end of each working day, the suctions pipes must be flushed through with a disinfectant that will kill all bacteria. 19) If insufficient retraction is provided by the dental nurse or the operator, there is a great risk of tissue damage, this includes, tissue damage of the tongue, cheek, and gums. Methods of providing efficient retraction can be done by the nurse retracting with gloved fingers, suction tips, dental mirror heads or rubber dams. 20) The workers role when assisting with haemostasis can include efficient suction before preparing gauze. The nurse will change gloves to prevent cross infection, select required instruments, this will include, gauze and scissors. The dental nurse will then cut the required amount needed, and roll it up tightly, the dental nurse will then either pass efficiently to the operator, or place tightly were required. 21)