Monday, February 24, 2020
Answer the three question separately Assignment Example | Topics and Well Written Essays - 500 words
Answer the three question separately - Assignment Example The people have the ultimate voice in choosing the source of government authority, which drives its right to govern from their consent. The people have their freedom of speech with the government and know their rights. The most important key that the opposition plays is also to push the government to set a balance wage, to all employees within the country. To ensure that the society is democratic, the primary values of constitutional democracy have to mirror human dignity, freedom of individuals, and the worth of every person within the society. To begin with challenging the ideas that the only proper criterion, in which a decision would be judged. Therefore, this right should be complete to life aspects such as employment rights, social rights, health care, the economy, and education. Every, individual including children, young people, and both women and men of older age have their rights. Additionally, democracy creates a further income of sources within the counties to ensure that every resource is protected. This may include cash crops, or any resources that may bring funds in the society, whether in rural or urban areas. However, the most important component of constitutional democracy is its highest purpose in securing freedom, which has the highest value in healthy functioning of a country. This is necessary since every individ ual working late hour while running a business or any companies that operate in the night requires the freedom to operate. Democracy gives good protection of peopleÃ¢â¬â¢s properties to the security of the government. However, constitution laws do not rely on one side of politics or any other political parties. The Constitution allows judges to rule according to the constitution rights of the human. Hence, if the court fails to rule on their complaints with constitutional rights, they would be able to protest
Wednesday, February 19, 2020
Masculinities in the Television Series, Friends - Essay Example I have looked into how Joey and Chandler mutually engage with each other, in what context this takes place, and what structures it. How does this relate to the 'real' world' Karen Walker discusses how men and women relate their behavior and conceptualize personal relations within cultural ideologies of relations (Walker: 126). Walker's argument is that most writers on friendships fail to grasp that there are differences between the (gendered) cultural ideologies and social reality. Cultural ideologies signify models and ideals that society and culture enforce upon the sexes. The depiction of Joey and Chandler may serve to counter work dominant ideologies of buddy relations representing homosociality. The concept of homosociality refers 'specifically to the non-sexual attractions held by men (or women) for members of their own sex.' (Bird: 120) Within this framework of interpretation, writers have acknowledged certain elements as vital to social interaction among men. Incapability of displaying emotions is one element, homophobia is another. Cultural norms are powerful in this sense, because they work as blueprints for how men and women perceive friendships are supposed to be (Walker: 126). She claims that few writers have noticed that we must theorize friendships (like all other gendered activity) within a cyclical framework where cultural ideologies inform gendered social interaction, as well as pay attention to how people merge and make sense of structuring elements and behavior. Far too often writers isolate the ideology of gender, and leave out the context and specific practice that people carry out. Men in their late 20s or early 30s usually defined masculinity as performance, which is, continuously reflecting upon their own personality, identity and behavior. Thus, they reflect what is referred to as by Anthony Giddens' that in 'modern society individuals are involved in an ongoing reflexive project of the self.' Giddens claims that people in the West are increasingly aware of a 'pure relation', one that enables one to know someone else fully and in to the most profound depth. Let's discuss how Joey and Chandler are clearly positioning themselves within the gendered ideologies of men's relations. They find it problematic to express emotional care and interest in each other since this opposes to what they know is socially acceptable for heterosexual men to do as partly due to heterosexual constraints on men's emotional presence (Joyrich 1996). There are significant differences between what we say and what we do, as Walker (Walker: 126) points out. She questions whether men's and women's same-sex friendships differ distinctively, disagreeing that men's friendships are motivated by activity, while women emphasise the importance of sharing feelings in friendships with other women. She reflects similar attitudes, finding a gap between the collective 'tough' masculinity, and the individual men's experiences and attitudes. Cultural ideologies were not powerful enough to disable the people she interviewed from making their own friendships in practice differ signif icantly from the norm. Walker contrasts these
Saturday, February 8, 2020
Choose a AHp - Research Paper Example 1). The professionalsÃ¢â¬â¢ roles also include evaluating the nature of patientsÃ¢â¬â¢ needs at an accident scene or emergency room and making decisions on the appropriate action for saving the patientsÃ¢â¬â¢ lives. Such decisions may be treating the patients and connecting life support machines to sustain the patientsÃ¢â¬â¢ lives before access special treatments. Further to their independent care services, paramedics work closely with other health care professionals such as nurses, patientsÃ¢â¬â¢ relatives, and safety offices such as the police and fire service officers (NHS Careers, n.d.). One of the identifiable characteristics of paramedics is their consistency as the first care personnel to arrive at an accident site. They are also conspicuous in emergency care rooms. In accident scenes, paramedics work in pairs and with an ambulance but are sometimes assisted by a care assistant or technician. There are however cases where paramedics work alone and may use a Ã¢â¬Å"mo torbike, emergency response car or even a bicycleÃ¢â¬ (NHS Careers, n.d., p. 1). A paramedic can also serve as an air ambulance crew but this requires more training (NHS Careers, n.d.). ... Lack of their skills would worsen the already realized conditions among patients. The accident involved a collapsed building that trapped victims under the ramble. While people were still stranded on how to overcome the resultant dust and rescue the victims, a team of paramedics arrived with their protective masks and was able to rescue most of the victims. The team was also able to offer first aid care and put victims who were already unconscious on oxygen support as they were rushed to the nearest hospital. Even though some of the victims succumbed to the accident, it was clear that the number of fatalities would have been more had it not been for the role of the paramedics. I also chose the profession because of its diversified scope that extends to elements of the mainstream healthcare professions. Paramedics can offer primary care and their quick response guarantees emergency care and these makes it fundamental to peopleÃ¢â¬â¢s lives and the societyÃ¢â¬â¢s quality of life. P aramedics are certified after completing a university course in paramedic science, entry into which is subject to a threshold pass in final secondary education. The minimum qualifications from secondary school further include pass in English and Mathematics but the exact marks for the qualifications may vary from one institution to another. A valid driving license is another entry requirement into the profession and corresponds to the paramedics operations with ambulances. Further professional training is also necessary into the professionÃ¢â¬â¢s practice. Paramedic profession, like many others, operates under professional bodies. In the United States, the profession lacks a national professional body but there exist regional
Tuesday, February 4, 2020
Human Resource Management Training Proposal - Research Paper Example It can enable to address the employeesÃ¢â¬â¢ requirements in keeping with the organizational goals and objectives. The proposed training program can facilitate to enhance the level of motivation of employees as well owing to the fact that they can better equip themselves to the expected level of performance from them after the execution of the training program. Overview of the Human Resource Management Process and Steps Involved Human Resource Management (HRM) is gaining its importance in the healthcare sector. Proper human resource management is a critical aspect which helps in providing high quality healthcare. Human resource planning is important for determining the staff support required by the healthcare to meet the service seekersÃ¢â¬â¢ needs. Human resource planning is the process of identifying current and future needs of human beings in an organization. The steps involved in the planning of human resource involve review of the business goals which deals with understandin g the needs and the future objective of the business. The second step is the scanning of both the internal and external environment to determine the trend of the employees, policies implemented along with evaluating the culture and activities within the healthcare company. The third step is gap analysis which facilitates to determine the future needs and explores the possible shortfalls. Subsequently, development of the plans considering the budgets and priorities based on need of the healthcare company would be executed. The last step is to evaluate the performance by measuring the achievement of the goals, evaluating the progress of the strategies implemented along with the reports. The steps of the proposed human resource planning are depicted through the diagram below: Source: (New Foundland Labrador, n.d.) The planning process will be effective when the recruitment process is smooth and effective. To make the process of hiring, retention well-organized and to ensure consistency in the process of recruitment along with selection various steps are to be followed to make the progression efficient. The first step is to identify the vacancy and to evaluate the need. The human resource management training need to ensure that there is a proper alignment of the skills of the new employees with the organizational requirements. The second step is job description which is important for the successful recruitment process. The job description helps in forming the questions for the interview along with the relevant checks which are to be developed. The information about the work, the purpose and the responsibility will be discussed to recruit the right person. The third step is to develop the recruitment plan which deals with the posting period, goals of the placement, along with placing advertisement through print and social media. The recruitment plan is basically done to attract good qualified candidates for the job purpose in the healthcare company. The fourth step involves selection of the search committee who will be responsible for the recruitment. The committee includes the hiring manager, job specialist and other members. The fifth step is to implement the recruitment plan and then sixth step is to review the applicants and shortlist the candidates according to the health care companyÃ¢â¬â¢s available vacancy. The next step is the important part which is the interviewing process for the selection purpose. Before the interview is to
Wednesday, January 29, 2020
Not-For-Profit Organizations Essay Executive Summary Not-For-Profit organizations are fundamentally different than for-profit, private sector businesses in that they do not have shareholders, their mission statements are focused on furthering a cause rather than just increasing profitability and most Not-For-Profits earn the majority of their revenue through donor contributions. As a result, Not-For-Profit Organizations operate under different reporting requirements than for-profit businesses. In order to provide proper accounting for the numerous activities undertaken by a Not-For-Profit Organization in a given year, it is imperative that one understand the two financial accounting standards that affect Not-For-Profit organizations the most: Statements of Financial Accounting Standards (SFAS) 116 and 117 which provide guidance on donor contributions and the presentation of the financial statements. The objective of this summary is to provide a high-level overview of the standards and the effect they have on the financial statements of a Not-For-Profit organization. The Statement of Financial Accounting Standards No. 116 establishes the standards for accounting for contributions received and contributions made to all organizations with fiscal years beginning after December 15, 1994. Contributions are defined by SFAS No. 116 as voluntary transfers in which the donor does not receive any value in return. Donor contributions may include the following resources: Cash, Marketable securities Property and equipment Utilities and Supplies Intangible assets such as intellectual property Professional services SFAS 116 requires that all contributions and unconditional promises to donate in the future, known as pledges, are recognized as revenues at fair value in the period in which they are received. Pledges are recognized as soon as the requirements of a pledge are met and it is no longer contingent on a future event. Additionally, contributions made and received are also recognized at as expenses upon receipt at fair value. The Statement of Financial Accounting Standards No. 116 also requires organizations to identify those contributions that contain donor-imposed restrictions and the timeframe or requirements for meeting these donor-imposed restrictions. According to SFAS No. 116, organizations must classify contributions into one of the following categories based on the existence or absence of donor imposed stipulations: Permanently Restricted Net Assets Temporarily Restricted Net Assets Unrestricted Net Assets Those assets that are restricted by a donor imposed stipulation of time, a particular purpose or program, or the occurrence of a future event must be set aside and cannot be expended until the restriction has expired through the satisfaction of the donor stipulation. Statement of Financial Accounting Standards (SFAS) No. 117 is also important in accounting for Not-For-Profit Organizations in that it provides standards for the presentation of the financial statements for organizations with fiscal years beginning after December 15, 1994. Overall, this standard requires that the financial statements provide the necessary information for all of the users of Not-For-Profit financial statements. The standard requires that Not-For-Profit Organizations produce the following financial statements on an annual basis: A statement of financial position (balance sheet) A statement of activities (income statement) A statement of cash flows In the statement of financial position, SFAS No. 117 requires that theÃ Not-For-Profit organization provide amounts for the total assets, liabilities, and net assets at the end of the fiscal period. Additionally, the statement of financial position must classify the organizations net assets as temporarily restricted, permanently restricted, or unrestricted based on donor imposed stipulations. The statement of activities is required to report to the financial statement users the transactions which caused a change in net assets during the period and the statement of cash flows is must provide a reconciliation of activity between beginning and ending cash balances of the period as either operating activities, financing activities or investing activities. Additional schedules are also required by SFAS No. 117 for special organzations such a voluntary health and wellness organizations that provide unique services related to their cause. Overall, a thorough understanding and application of Statements of Financial Standards No. 116 and 117 allows Not-For-Profit organizations to properly account for their unique activities and provide their financial statement users with relevant, understandable and comparable information in order to assess the financial position of the Not-For-Profit organization over the past fiscal year and going forward into the future.
Monday, January 27, 2020
CNS Involvement in GBS: Brainstem Auditory Evoked Potential BRAINSTEM AUDITORY EVOKED POTENTIAL AS AN INDEX OF CNS DEMYELINATION IN GB SYNDROME Dr. Smita Singh*, Dr. Nitesh Mishra**, Dr. Shraddha Singh#, Dr. Sunita Tiwari## ABSTRACT: Guillain-BarrÃ © Syndrome (GBS) is an acute, frequently severe and fulminant polyradicular neuropathy that is autoimmune in nature. GBS manifest as rapidly evolving areflexic motor paralysis with or without sensory disturbances. It mainly involves peripheral nervous system and autonomic nervous system. There are rare evidences about the involvement of central nervous system (CNS) in GBS. The main objective of the study was to assess the CNS involvement in GBS using the Brainstem Auditory Evoked Potential (BAEP). The study was conducted in the clinical neurophysiology lab in the department of physiology, CSMMU Lucknow. Study group involved 26 subjects (n=26) having GBS and control group involved 30 normal subjects (n=30). BAEPS were recorded by Neuroperfect- EMG 2000 EMG/NCV/EPsytem. The data so obtained were subjected to analysis using Statistical Package for Social Sciences (SPSS) Version 13.0. There was significant increase in PIII PV peak latencies and PI-PIII PI-PV interpeak l atencies in both left and right ear in the study group, which showed the CNS involvement in GBS which can be assessed using BAEP. Key words: Guillain-BarrÃ © Syndrome, Central Nervous System, Brainstem Auditory Evoked Potential INTRODUCTION: Guillain-BarrÃ © Syndrome (GBS) is an acute, frequently severe and fulminant polyradicular neuropathy that is autoimmune in nature. GBS manifest as rapidly evolving areflexic motor paralysis with or without sensory disturbances. The usual pattern is ascending paralysis i.e. weakness begins in distal limbs but rapidly advances to affect the proximal muscle functions. Lower cranial nerves are usually involved causing bulbar weakness and difficulty with handling secretions and maintaining airways. Deep Tendon Reflexes (DTR) usually disappears with in 1st few days of onset. Bladder dysfunction if present is usually transient1. In severe cases of GBS autonomic involvement is common. Usual feature are loss of vasomotor control with wide fluctuation in blood pressure, postural hypotension and cardiac dysrhythmias. Pain is another common feature of GBS most common is deep aching pain in weakened muscles. GBS shows mainly two types of pathophysiology, demyelinating form and axonal degeneration. Basis of demyelinating form is conduction block, which results in flaccid paralysis and sensory disturbances. Recovery is possible as remyelination occurs. Axonal degeneration shows slow rate of recovery and results in greater degree of residual disability. CSF shows albuminocytological dissociation that is elevated CSF protein level (100-1000gm/dl) without accompanying pleocytosis. CSF usually remains normal when duration of illness is less than 48 hours. CSF protein level increases at the end of first week of illness. Electrodiagnostic features are mild or absent in early stages and lag behind clinical evolution. Demyelinating form shows prolonged distal latencies, slow conduction velocities, conduction block and temporal dispersion of compound action potential. Axonal form shows decrease amplitude of compound action potential without conduction slowing and prolongation of latencies. There are several clinical, pathologic and electrophysiologic evidences that have established that GBS affects predominantly the peripheral nervous system. Focal demyelination of the Schwann cell derived myelin has been described. Neuropathologic and electrophysiologic evidences for involvement of central nervous system are rare. There are few studies2, 3, 4, 5, which have been performed to explore the involvement of CNS in GBS. However, there exists no study in the Indian environment regarding the same. The present study is an effort to explore the CNS involvement in GBS by measuring auditory evoked potentials. This test evaluates the integrity of auditory (Brainstem Auditory Evoked Potential) pathway by measuring evoked potentials. Evoked potentials are recorded as electronic impulses by surface electrodes attached to the scalp. A computer extracts these low amplitude impulses from background brain wave activity and averages the signals from repeated stimuli. Brainstem auditory evoked potentials, produced by delivering clicks to the ear, and help to locate auditory lesions and evaluate brainstem integrity. MATERIAL METHODS: The study was conducted in the clinical neurophysiology lab in the department of physiology, CSMMU Lucknow. The subjects of study group were selected from neurology, pediatrics and medicine department of CSMMU Lucknow and selection of the subjects of study group had been done on the basis of detailed history, though clinical examination, laboratory investigations and clinically proven cases of GBS. Normal healthy controls were selected after through clinical examination and it was insured that they do not have any apparent clinical illness that may affect the evoked potentials. Clearance from the institutional ethical committee was obtained written informed consent had been taken from the entire subjects study and control group. The study was conducted on clinically diagnosed cases of GBS of both sexes. The subjects were diagnosed on the basis of history, clinical examination, and typical CSF profile (albuminocytological dissociation) and electrophysiological evidences of demyelination. Subjects having prior neurological illness, apparent hearing and visual impairment, AFP due to another cause were excluded from the study group. All the subjects of study and control group were tested under similar laboratory conditions. Subjects were given sufficient time to relax rapport had been established so that they feel comfortable and cooperate during investigation Recordings of BAEPS: BAEPS were recorded by Neuroperfect- EMG 2000 EMG/NCV/EPsytem. The EPs were recorded with disc electrode from standard scalp location. Electrode were placed at vertex (Cz, reference electrode) ,ipsilateral and contralateral mastoid process (Ai and Ac active electrode) and forehead (Fz, ground electrode) after proper cleaning the scalp or skin site with alcohol followed by EEG conducting paste For recording 2000 click stimuli at the rate of 11Hz/sec with duration of .1 ms were delivered at 70 dB. The other ear was masked by pure white noise at 40 dB. This click generated by passing 0.1 ms square pulses trough shielded headphone. Electrical impedance was kept less than 5 kilo ohm. Peak latencies of all the waves I., II, III, IV and V and interpeak latencies of I-III,II-V and I-V were determined for both right and left ears separately. STATISTICAL ANALYSIS: The data so obtained were subjected to analysis using Statistical Package for Social Sciences (SPSS) Version 13.0. The data has been shown as meanÃ ±SD, to compare the difference between the normal and healthy controls; Ã¢â¬Å"tÃ¢â¬ test for independent samples has been carried out. The confidence limit of the study was kept at 95%, hence a Ã¢â¬Å"pÃ¢â¬ value less than 0.05 denoted statistically significant difference. RESULTS: Table 1: Peak Brainstem Auditory Evoked Potentials for Left Right Ears ** p Table 2: Inter-peak latencies for BAEP for Left Right Ears * P DISCUSSION: Guillian Barre syndrome (GBS) is regarded as a predominantly motor neuropathy with transient or absent sensory features. Although the central nervous system is rarely involved, GBS associated with CNS, manifestations has been described in children by Okumura et. al (2002)6. and in adults by Maier H et. al. (1997)3, and Muller HD et. al.(2003)4 Maier H et. al. (1997)3 observed histopathological changes in CNS of GBS patients. He found infiltration of macrophages microglial cells and/or lymphocyte in different areas of central nervous system. Spinal cord and brainstem shows lymphocytic infiltration and microglial activation. Histopathological feature of CNS involvement is also observed by Muller HD et. al. (2003)4 in form of the cellular infiltration of spinal cord though not very significant and suggested CNS involvement in GBS occur, though rare. There are few studies which had demonstrated CNS (changes) lesion in GBS on neuroimaging. Nadkarni N et. al. (1993)7 observe MRI finding of CNS white matter lesion in patient of GBS who had developed symptoms of optic neuritis after plasmapharesis. These findings suggest there may be possibility of same antigenic mechanism of pathogenesis in CNS as well as peripheral nervous system. Okumura et. al. (2002)6 reported the clinical course and electrophysiological and neuroimaging of a patient of GBS associated with CNS lesion. He found mild slowing of background activities without paroxysmal discharge in electroencephalogram (EEG), mildly prolonged N2 latency with abnormal waveform in VEPs. BAEPs were unremarkable. In magnetic resonance imaging (MRI) there were multiple lesions in cortex and sub-cortex in the right occipital lobe and in the deep white matter in both frontal lobes. Despite all these lesions there was no evident CNS manifestation in the case. This implies that an association of CNS involvement in patients with GBS could be under estimated because some lesions can be clinically silent. The present study was an effort to evaluate central nervous system involvement in patients of GBS in Indian population because there is no study regarding the same performed in the India. In the view of known pathologic involvement of most proximal portion of peripheral nerves in GBS, the most likely cause of these BAEP abnormalities is focal demyelination of Schwann cell derived myelin sheath that covers the extramedullary portion of the auditory nerves. Prolongation I-III IPL indicative of lesion in the auditory nerve to medullary junction or lower pons around superior olive trapezoid body. The prolongation of I-V IPL suggests the abnormality of conduction of auditory signals from the proximal auditory nerve to the mesencephalon via pons. The findings of the study of BAEPs are comparable and show similarity with the results of study done by Zgorzalewicz M et. al. (2003)8 except there is an additional finding of IPL III-V prolongation in our study. In the study done by Schiff JA et. al. (1985)9 had also found prolonged I-III inter peak latencies (IPL) in five of six patients of GBS and I-V IPL in two of six patients, these results are comparable with the present study. Ropper AH et. al. (1986)10 also find the BAEP abnormality in the form of I-III and III-V IPL prolongation in patients of GBS, though that was not clinically significant. Whereas Nelson KR et. al. (1988)11, find the BAEPs abnormality in patients of GBS as prolongation of wave II latency and total absence of BAEM wave form in the early stage of disease and with the complaints of sudden onset of deafness, hearing improved with the recovery and BAEP abnormality of conduction block was replaced as a prolongation of wave I latency. After convalescent period BAEPs become normal. In present study there was no case present as similar complaint and BAEPs finding. Topcou M et. al. (1993)12 had performed evoked potential study in patients of GBS and found BAEPs and VEPs values were abnormal in some patients during early course of illness, though the values were not statistically significant. Wong V et. al. (1997)13 had found BAEPs abnormality in Miller Fischer syndrome (MFS), a variant of GBS. His findings of BAEPs abnormalities suggest proximal auditory nerve and brainstem involvement. CONCLUSION: Thus it can be concluded from our study that though often ignored, the central nervous system demyelination does occur in Guillain-BarrÃ © Syndrome (GBS) and the same can be assessed using evoked potentials like Brainstem Auditory Evoked Potentials (BAEP). REFERENCES: Harrisons; Principle of internal medicine, 15th ed. McGraw-Hill 2001. Lobuz-Roszak B, Pierzchala K, Kapustecki J, GBS central nervous system symptoms, Neurol Neurochir Pol 2004 May-June; 38 (3) : 221-6. Maier H, Schmidbauer m, pfausler B et al., Central nervous system pathology in patients with the GBS, Brain, 1997 Mar, (pt 3); 451-64 Muller HD, Beckman A, Schroder JM, Inflammatory infiltrates in the spinal cord of patients with GBS, Acta Neropathol (Berl) , 2003 Dec, 106 (60 : 509-17 Nadkarni N, Lisak Rp , GBS with bilateral optic neuritis and central white matter disease, Neurology, 1993 Apr, 43(4) : 842-3 Okumura A , Ushida H , Maruyama K et al., GBS associated with central nervous system lesions, Arch dis Child 2002 Apr ; 86 (4) : 304-6. Nadkarni N, Lisak Rp , GBS with bilateral optic neuritis and central white matter disease, Neurology, 1993 Apr, 43(4) : 842-3 Zgorzalewicz M Zielinska, Kilarski D. Brain stem auditory visual evoked potential in children adolescents with GBS, Neurol Neurochir Pol, 2004; 38(1Suppll): 531-7 Schiff JA , Cracco RQ, Cracco JB, Brain stem auditory evoked potentials in GBS, Neurology. 1985 May; 35 (5). Ropper AH, Chiappa KH, Evoked potentials in GBS, Neurology, 1986 Apr; 36(4): 587-90 Nelson KR , Gilmore RL, Massey A , Acoustic nerve conduction abnormalities in GBS ,Neurology, 1988 Aug ; 38(8): 1263-6 Topcu M, Ergin M, Nurlu G et al., Evoked potential in GBS, Turk J Pediator, 1993 Apr- Jun; 35 Wong V. A neurophysiological study in children with Miller Fisher syndrome and Guillain Barre Syndrome. Brain Dev. 1997 Apr; 19(3): 197-204.
Tuesday, January 21, 2020
Conflict in William Shakespeare's Romeo and Juliet Conflict meaning 'a state of opposition or a fight or struggle' is used in all good dramas, old and new. It makes the drama interesting. Conflict is mostly used by dramatists and script writers to make audiences interested in the drama, tense and wonder what will happen next. The play 'Romeo and Juliet' has to have a conflict because; it is one of the main themes in the play. The disagreements and fight between the two family, that is Capulet and he Montague, their children Romeo and Juliet who truly were in love with each other end up dying. So, after this incident, the quarrels stop between the two families. The whole play starts because of the mutual hostility and conflict between the Capulet and the Montague and ends with tragedy of two lovers. The abundant swordplay throughout the play affects the theme of conflict used in ?Romeo and Juliet?. In this play, there are spontaneous actions of the characters rather than their thoughts. There are many types of conflicts to be appeared in this play such as family conflicts society conflicts and generation conflicts. When lady Capulet wants Juliet to marry Paris but Juliet wants to marry Romeo, appears to be a conflict between them. There is also conflict in the two families and their general relationship with their children. A prologue is the beginning of a play, books or film that introduces. It gives a warning or indication of the events of the play. The idea of conflict occurs in the prologue where it talks about the two houses of Verona have had a long- standing grudge which will lead to a new conflict, love and death of the lovers. It tells us about how violently the two families fight with each other and ends up doing. It also mentions that the next two hours of the play will be full of conflicts. Many different kinds of language are used in the prologue. Some words that are used in the prologue to express the idea of conflict are ?fight? ?unfortunate death?, ?star-cross lovers? ?fated love? etc. the words that are used in the play makes the audiences feel as if they are also part of the play and feel involved in it. Words like ?star crossed lovers? and ?fated love? are used and the audience know what is going to happen. They feel really tensed to what will happen next to the ancient grudge when two unlucky childre... ...ne 5, the conflict that occurs is mainly within the family where it consists of a parent-child conflict. It is different from act1 scene 1 because the conflict used there were to do with the two different families where in this act, the conflict is to do within the two houses and is private. There is a different kind of violence used in this act where there is no blood or swords. Instead words are used. In this scene, lady Capulet tells Juliet of her meaning with Paris, Juliet?s replies to her mother are filled with double meaning. For example she says.? Madam, I am not well.? By this, lady Capulet believes that this is because of grieving over her cousin, Tybalt. However in Juliet?s sense, she is trying to say that she just parted from her husband and her heart is full of sorrow. So there are double meanings in what Juliet says. So when Juliet hears of her weeding with Paris, she defies her mother and refuses to co-operate. So lady Capulet is furious and threatens her own daughter that if she doesn?t marry Paris then she has to leave the house. Not even her nurse is on her side. She feels shattered but continues to speak when her father, Lord Capulet arrives.