Gulmay D3300 X-ray Therapy Machine System

Gulmay D3300 X-ray Therapy Machine System Gulmay D3300 x-ray therapy machine system from Gulmay Medical Ltd. Introduction  ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Ã‚ ­Kilovoltage unit was one of the first external beam therapy used in a radiotherapy department. Despite its popularity then, departments opt into using a megavoltage machine due to its versatility in treatment. The uses kilovoltage therapy, especially superficial x-ray therapy remains widely important in treating certain cancer patients. Gulmay Medical Ltd is one of the world’s leading manufacturers in Kilovoltage x-ray therapy equipment’s. One of its latest accomplishments was building Gulmay D3300, a combined superficial and orthovoltage unit, beam energy ranging from 20-400kv. In this essay, I will be describing the physical aspects of a Gulmay generator and x-ray tube used within this machine, their role in the production of x-ray as well as its cooling mechanism. I will be discussing the uses of having such combined units, the benefits and the complications it will cause to both the NHS, departments and the patients as well as the advantages and disadvantages of using cut out lead shielding within a treatment. Description The generator aims to magnify the initial input voltage to a substantial amount, enough to potentiate x-rays with a certain Half Value layer (Flinton, 2009). The CP225 generator which can be attached to the D3300, is powered by 3200W-4500w and has the capacity to generate voltage from 220V to 20-225KV (Gulmay Medical Ltd, 2014). Connected to the generator is the X-ray tube, via cables joined to both the anode and the cathode (figure one). The tubes are in a unipolar arrangement whereby the negative potential from the generator is fed into the cathode and the anode is maintained at a ground potential (Earth). (Flinton, 2009) Figure one: A map of the equipment’s inside a Gulmay Superficial x-ray therapy machine (Gulmay Medical Ltd, 2014). The CP225 generator is able to attach to a high power x-ray tube, 225/11, which can take up to 225V, ideally suited for its generator (Gulmay Medical Ltd., 2014). The tube is covered in a metal ceramic material and compromises on a ceiling support or on a floor stand. The mounting requires a manual force to move in the three axes -transverse, longitudinal and vertical, as well as rotational and tilt movement of the tube (Flinton, 2009). The cathode assembly, within the tube is held by a ceramic insulator aimed to insulate it from the metal housing of the tube and consists of a single tungsten filament. Compared to the cathode, the anode is structurally dissimilar, as shown in figure two. Made out of copper, the anode is either wielded onto the metal tube envelope or a ceramic insulator is sandwiched between them. The anode has extensions known as an integral hood and located on the side of the hood is a desired x-ray exit known as a beryllium window, which has a filtration of 0.8mm Be. The tube is enclosed within a vacuum to ensure the electrons do not interact with other particles, slowing down the production of pure x-rays (Flinton, 2009). Figure two: The internal structure of an x-ray tube (Flinton, 2009, p.153) As the heat builds up within the tube, it is removed from the target through conduction of the Copper anode acting as a heat sink due to its large size. To ensure efficient and rapid heat conduction, a cooling system is attached to the tube which ensures a high temperature difference away from the target (Figure one). Because the x-ray tube is unipolar, it is safe to ensure the flowing cooling medium within the cooling system is water, (Gulmay Medical Ltd., 2014) and therefore cost effective to implement. Since water is a conductor of heat, it is constantly replaced by new cool water once it has heated up. When the electrical current passes through from the generator to the tube via the cable, it reaches the cathode assembly heating up the tungsten filament. The filament then emits electrons in a process known as thermionic emission. The filament develops into a focussing cup containing a static negative charge stopping the electrons from scattering and to coerce them together to ensure the electrons aim at a small sectional area of the anode (Flinton, 2009). The cathode becomes highly negatively polarised that the grouped electrons are fired and strike a target within the anode, made from tungsten. The electrons begin to decelerate and release energy creating x-rays and heat (Xstrahl, 2014). The integral hood absorbs any unwanted electrons and prevents secondary x-rays from forming (extra focal radiation), whilst the beryllium window allows the primary x-rays to leave the tube (Flinton, 2009). Discussion Evan et al. (2001) states that by having a combined superficial and orthovoltage unit rather than two units, it will save half the money to facilitate separate shielded treatment rooms. There will also be a reduction in capital costs, spares, precautionary maintenance and quality control resources. However, by having a combined unit, the beam characteristics should be compromised as they are all necessitated by the use of a single X-ray tube to generate a beam as well as if the machine was to break down, the department may be at a loss of all kilovoltage treatment capacity. By having a low energy treatment, it is simple to treat superficial lesions. The low energy components of Gulmay d3300 allow many skin lesions to be treated up to 5mm deep, and by having a medium energy component it will allow treatments of skin lesions up to 2cm deep to be treated (Klevenhagen and Thwaites , 1993, and Glees, J.P and Wolstenholme, V., 2006). The aim of superficial x-ray therapy is to apply the dose superficially, maintaining the lack of skin sparing in order for the treatment to be successful. The fall in dose with depth is slower for x-rays than electron, thus the dose is below the treatment site is higher, being most effective in superficial treatment. Majority of the internal anatomical sites are not significantly affected by the radiation, The drawbacks to this is if treating an area neighbouring structures in which contain poor blood supply and are at risk of radiation damage such as cartilages, then it would be beneficial to use an electron beam due to the rapi d fall-off (Griffiths, 1994). When using an orthovoltage machine, the aim is to treat deep seated tumours at a close depth to the skin by applying a great amount of dose to the surface of the patient before it reaches the tumour site. The lack of skin sparing can result into skin damage caused on a patient (Griffiths, 1994). Patients can suffer acute reactions and late reactions. When patients begin their treatment, the acute reaction will follow in stages. During the first treatment, the patient may feel warmth in the area being treated; this is followed by the reddening of the skin, known as erythema, which can appear from a dose level of 1GY. As the dose escalates, the treated area will become itchy, sunburn like red, and is prone to injuries. Around 14 days, the hairs in the treated areas may fall out in a process known as epilation. By the time patients get to this stage finish their treatment course. This is due to the lengthy fractionations of treatment; the degree of reactions becomes less severe. Once the treatment stops, skin will begin to heal and becomes tanned. However, patients that go through a long treatment will experience reactions at a greater degree. The next stage in the skin reaction is dry desquamation, the peeling of the skin in dry flakes. Furthering this treatment, the skin then becomes dark red or purplish and fluid will start to build up underneath causing oedema, which is tender to touch. It is broken down and blisters start to form, the fluid begins to seep out of the skin. Patients treatment is then at a halt due to the severity of the reaction. Within an orthovoltage machine, by giving a high dose, the stem cell pool within the skin will be destroyed and area of ulceration will remain lasting within the treated area of the patient (Lochhead, 1983, p. 107-108). Late reactions are dependent on the beam energy and the dosage level. ‘The beam energy determines the part of the skin that is affected by the radiation.’(Lochhead, 1983, p. 107-108). By using low beam energy of up to 300kv, the germinal or basal layer of the skin demonstrates the most change to the skin. Activity is lost within the cells and the skin becomes thin. Once the skin becomes damaged it will take a long time to heal. Places where the hair has epilated may become permanent due to the destruction of the hair follicles. Sweat glands are destroyed and superficial blood vessels deteriorate. Other blood vessels nearby would enlarge to compensate the damaged blood vessels, and patients may begin to form Telangiectasis, a condition whereby the patients skin becomes pale and the red blood vessels enlarge. An injury to the patient may cause a necrosis of the skin. According to Griffiths et al. (1994, p.35) it was thought that by creating multifeilds across the tumour, patients’ skin reactions may subside. However this had caused a high integral dose on the patient as well as sore skin. Now it is often more advantageous to have a megavoltage machine treating these tumours due to the skin sparing affect it provides for the patient and the orthovoltage is progressing to become outdated. One of the main forms of shielding in a superficial and orthovoltage machine is the use of a lead cut out. A lead cut out is made to define the treatment area as well as shielding normal healthy tissue from the radiation beam. This is used in conjunction with an applicator attached to the machine collimator. It also provides direction and localisation of the beam. For the face and areas close to the eye a specific lead mask is produced, to avoid radiation to critical structures nearby (Mills et al., 2012). The study of Medvedevas et al (2001) concludes that the application of lead shielding attenuates the dose received to normal tissue significantly. However, according to Flinton (2009) the drawbacks in using lead shielding is the elevation in dose on the beam side of the lead caused by the interactions that arise in the lead shielding behind the target volume, as a result from the high backscatter component at these energies. The build up to full back scatter is most rapid in small fields, more so in low energy beams. For small fields such as the eye, this is a problem. Mills et al (2012). At the point when treating the eye, shielding made from either tungsten or lead is inserted to protect the lens. ‘The problem encountered with eye shields is the contribution from scatter which reaches into the region under the shield from the surrounding field.’(Mills et al., 2012, p. 125). A way to resolve this was by applying tissue equivalent material, i.e. wax, around the shield to absorb the scatter avoiding this problem. Conclusion Reference Evans, P.A., Moloney, A.J., Mountford, P.J. . (2001). Performance assesment of the Gulmay D3300 kilovoltage X ray therapy unit. The British Journal of Radiology. 74 (882), 537-549. Flinton D.. (2009). Kilovoltage Equipment. In: Cherry P. and Duxbury A.M. Practical radiotherapy physics and equipment. 2nd ed. Oxford: Wiley-Blackwell. 149-150. Glees, J.P and Wolstenholme, V.. (2006). The Role of Kilovoltage X-rays in the Treatment of Skin Cancers. European Oncological Disease. 1 (1), 32-35. Griffiths, SE., Short, CA., Jackson, CS. and Ash,D. (1994). Radiotherapy : principles to practice : a manual for quality in treatment delivery. Edinburgh: Churchil Livingstone. 33-37. Gulmay Medical Ltd.. (2014). Gulmay Corporate Brochure. Available: http://www.gulmay.com/. Last accessed 27th April 2014. Klevenhagen, S.C. and Thwaites D.I.. (1993). Kilovoltage X rays. In: Williams J.R. and Thwaites D.I. Radiotherapy Physics in practice. Oxford: Oxford Medical Publications. 95-112. Lochhead,J.N. M. (1983). Care of the patient in radiotherapy. Oxford: Blackwell Scientific. 105-111. Medvedevas, N., Adliene, D., Laurikaitiene, J., and Andrejaitis, A.. (2011). The role of shielding in superficial X-ray therapy. Radiaition Protection Dosimetry. 147 (1-2), 291-295. Mills, JA., Porter, H., Gill, D.. (2012). Radiotherapy beam production. In: Symonds, P., Deeham, C., Mills, JA., and Meredith,C.Walter Millers textbook of Radiotherapy. Oxford: Elsevier Health Sciences/Churchill Livingstone. 122-125. Xstrahl Medical. (2014). Physics of Low Energy Radiation. Available: http://www.xstrahl.com/NewStep/physics-of-low-energy-radiation.html. Last accessed 28th April 2014.

Mentally disturbed Aiko-sama of the Yano family :: Creative Writing short Story Essays

Mentally disturbed Aiko-sama of the Yano family Early one morning in the winter of 2003, there was a cry for help from my daughter, who was upstairs. "Mother! Help me, Mother!" I rushed upstairs with an uneasy premonition, my heart pounding. What I found there was a lavatory bowl full of used tissues. The culprit was standing by the bowl, looking puzzled, as if to wonder who had done such a naughty deed. She said, " Someone came here, and put a bunch of camellias into this bowl," while peering worriedly into it. "I do wonder who has done this!" I could not blame her. I went downstairs to fetch disposable gloves and a bag, with my eyes dimmed with tears. A couple of days before, I had had an interview with a judge from the city care agency to evaluate the level of the home care services my Mother needed. I took a photograph of this situation so that it could be used to help determine such a level later. Almost in the same hour the next morning, I had to rush upstairs for the same reason. By the end of the day we had placed a sign indicating, "This toilet is out of order!", on the door of the toilet. Instead, a bedside toilet was installed with a restricted amount of paper. Because of her failing memory, Mother wipes herself as long as there are tissues, forgetting that she has already done so. Several days ago she broke the disposable toilet bag into small pieces and scattered them all over the floor. As the bag was made of polymer composition, her clothes, the floor, bedding, and everything else in her room became crunchy and sticky. I called my sister, who lives in the immediate neighbourhood, for help. She soon came to my assistance, but it took hours to clean the room, and to clean Mother's body. This kind of event never happens in daytime when helpers are at home. This might be another proof that famous "Murphy's Law" is correct. The development of Mother's symptoms of mental disturbance went from bad to worse. I used to ask a helper to come and take care of her while she was having her meals. One evening, a helper came to me, saying, "Aiko-sama is calling you." When I went upstairs to see her, she asked me, "Are you the person who is always looking after me?

Essay --

This book honestly kind of is kind of weird. The reason behind this is the fact that the novel is really instable and its theme and setting, because at one point where one point in time in a certain setting, and it literally the blink of an eye you are another in time and in another setting. Basically the first part of the novel is talking about how fond good got the idea of writing this book that we are about to read. And it talks about his education and his time in Dresden as a prisoner of war. We realize that it's taken him long time to come up with this book because of all of the imagery that he can't seem to portray his writing. Spurts I missed of the story is Billy Pilgrim, here is an optometrist who was later drafted into world war two. Before Billy shipped overseas, his dad dies in a hunting accident. He begins his war career in the Battle of the Bulge in Belgium, where he is immediately taken prisoner behind German lines. Just before he is captured, he experiences what he calls â€Å"time shifting† and he sees his entire life from beginning to end, all in one big sweep. The lead is then sent through aware railway car to a prisoner of war camp in Germany. Billy has a breakdown and is sent into his time shifting again. He and the other prisoners of war are sent to the city of Dresden, and their Presentment is one of the former slaughterhouses. Then the firestorm of Dresden begins when the allies carpet bomb the city of Dresden with incendiary bombs. This caused most buildings to be caught on fire and all of the oxygen sucked out into the fire's that were blazing. This caused about 130,000 people to be suffocated to death. The only way that Billy and the other prisoners of war survived is by hiding in an airtight meat locker i... ...p of what I was reading. He is a very different kind of author and it's hard to explain but I just really feel like I wouldn't want to read another one of his books. 19. As I stressed throughout these multiple questions I feel like the most important phrase that he has said in the book is â€Å"so it goes†. The reason why I feel as if it is most important is because it explains his life out of how dying is a fact of life and we can't do anything to stop it. This really asked the entire gloominess of the novel because we realize his indifference to death. If I had to make a T-shirt slogan for this book I think you have to be 99 problems but, so it goes. My reason behind this is that there is a popular song out there were talks about he has 99 problems but a cheating girlfriend is not one of them, I added the fact that even if you have 99 problems that's just the way life Essay -- This book honestly kind of is kind of weird. The reason behind this is the fact that the novel is really instable and its theme and setting, because at one point where one point in time in a certain setting, and it literally the blink of an eye you are another in time and in another setting. Basically the first part of the novel is talking about how fond good got the idea of writing this book that we are about to read. And it talks about his education and his time in Dresden as a prisoner of war. We realize that it's taken him long time to come up with this book because of all of the imagery that he can't seem to portray his writing. Spurts I missed of the story is Billy Pilgrim, here is an optometrist who was later drafted into world war two. Before Billy shipped overseas, his dad dies in a hunting accident. He begins his war career in the Battle of the Bulge in Belgium, where he is immediately taken prisoner behind German lines. Just before he is captured, he experiences what he calls â€Å"time shifting† and he sees his entire life from beginning to end, all in one big sweep. The lead is then sent through aware railway car to a prisoner of war camp in Germany. Billy has a breakdown and is sent into his time shifting again. He and the other prisoners of war are sent to the city of Dresden, and their Presentment is one of the former slaughterhouses. Then the firestorm of Dresden begins when the allies carpet bomb the city of Dresden with incendiary bombs. This caused most buildings to be caught on fire and all of the oxygen sucked out into the fire's that were blazing. This caused about 130,000 people to be suffocated to death. The only way that Billy and the other prisoners of war survived is by hiding in an airtight meat locker i... ...p of what I was reading. He is a very different kind of author and it's hard to explain but I just really feel like I wouldn't want to read another one of his books. 19. As I stressed throughout these multiple questions I feel like the most important phrase that he has said in the book is â€Å"so it goes†. The reason why I feel as if it is most important is because it explains his life out of how dying is a fact of life and we can't do anything to stop it. This really asked the entire gloominess of the novel because we realize his indifference to death. If I had to make a T-shirt slogan for this book I think you have to be 99 problems but, so it goes. My reason behind this is that there is a popular song out there were talks about he has 99 problems but a cheating girlfriend is not one of them, I added the fact that even if you have 99 problems that's just the way life

Different Brands of Car Dealerships Are Usually Located Near One

1. Different brands of car dealerships are usually located near one another on the same street. What are the pros and cons of this strategy? There are several pros and cons when considering car dealerships locating near one another on the same street. Car dealers cluster because it is in their best interest to do so, given consumer behavior. Buyers would be less prone to buy if dealers were discrete and far away from one another, but they are more prone to shopping if dealers cluster along the same street. One disadvantage of this strategy is the high level of competition amongst each other.This strategy also encourages dealerships to decrease prices, have sales or promotions on vehicles to attract customers. It also encourages the employers to find additional ways to keep their employees motivated to maintain high quality customer service. 2. How does the mall that you shop at frequently combine the shopping and entertainment experience? The mall that I shop at frequently combines t he shopping and entertainment experience by expanding the size of the mall and introducing a vast selection of food choices in the food court.Recently, they open another food court on the other end of the mall, which also has new restaurants from which persons can choose from when they desire to have a meal. In addition, they built a theatre which has eight screens that can be viewed on a daily basis. Also, the entertainment experience is enhanced by performances of both local and international artiste on a regular basis as they perform different genres of music and dance. 3. Why would a Payless Shoe Source store locate in a neighborhood shopping center instead of a regional shopping mall?A Payless Shoe Source would locate in a neighborhood shopping center instead of a regional shopping mall because neighborhood shopping centers are attached rows of stores managed as units, with onsite parking usually located in front of the stores. Payless would want to locate here because they off er customers convenient locations and easy parking, and they have relatively low occupancy costs. Whereas, a regional shopping mall have higher intensity of competition. This is so because it is an enclosed area with similar types of stores with the same products.Also, the occupancy cost is high, in addition to the restricted rules governing window displays and signage. And, customers don’t always have time for a leisurely stroll through a mall. A freestanding location is more convenient because customers can park in front the store, buy what they want, and continue their other errands. 4. Staples and Office Depot both have strong multichannel strategies. How does the Internet affect their strategies for locating stores? Internet has become a major turning point in businesses today.Because of the internet, customers can now order their products from both Staples and Office Depot via the internet. There is no need for them to actually visit a store to see what they have to off er and purchase goods. As a result of this shift in the internet technology, Staples and Office Depot don’t have to be as concerned about the location of their stores. Once their goods and services are well advertised and popular (which they are), people will see them via the internet and make the necessary purchases.

My thoughts and ideas Essay

Firstly I would like to congratulate you on your excellent audition for the part of Juliet. As time is limited and due to our individual work commitments, we are unable to meet up before rehearsals begin. Therefore, as the stage director I thought it maybe helpful to discuss some of my thoughts and ideas for the play and give you some background information that will be useful in helping you prepare for the part of Juliet. Shakespeares’s Romeo and Juliet was written during the reign of Queen Elizabeth I although it is unknown exactly when it was set. During this time people were taught that there was a divine way of doing things and that God has instituted a church and ordained a monarchy so that the people could be ruled over in a proper way. Despite the country being ruled by a powerful woman, women had very little freedom socially, economically or legally. At the time of this play marriages were comparably different to today’s idea of marriage. Firstly the common age for girls to be married was fourteen and they had little or no say in the choice of husbands who were often chosen by families. Husbands were often chosen for their status in society so they could be rich and powerful allies to a family. Within families the father ruled over the wife and children just as the monarch did over the state. Religion played an important part in everyday life and children were taught about their duty to God and attendance at Church services was compulsory. Services were carried out by licensed clergy. This meant that the authorities were able to keep checks on citizens and monitor conformity. Julia, at this point a brief overview of the play maybe useful to you. Essentially it is about two chief families in Verona, the rich and noble Capulets and the Montagues. An old feud between the two families had grown in deep hatred that affected not only the family members but also anyone associated with each household, including the staff. Chance meeting often led to brawls and bloodshed disturbing the quietness of the streets of Verona. Romeo is a Montague and Juliet is a Capulet. The play is a tragedy and the main theme is love and hatred. The first two scenes in Act 1 set the scene for the play and are mainly about the males and establishes the violence between the two families. Your first appearance as Juliet in this production is in Act 1 scene III. This scene is very important as we meet the main female character and two others: Lady Capulet who has a rather formal and distant relationship with her daughter and the nurse who is Juliet’s carer. We learn that Juliet is nearly fourteen years old in the play. In Act I Scene III Lady Capulet asks the nurse to summon Juliet then Lady Capulet asks the nurse to leave her and Juliet alone as they â€Å"must talk in secret† but then immediately asks her to â€Å"come back† as she has known Juliet from a young age. This demonstrates the nurse’s closeness to Juliet and the Capulet family. It also establishes her importance in the play. I would like you to portray Juliet as the young, polite and quiet girl she appears to be at this point although as we know her character changes after she meets Romeo. In Act 1 scene III Juliet is respectful and polite to her mother in a formal way. This is clearly demonstrated when Juliet replies to Lady Capulet after being summoned, â€Å"Madam, I am here, what is your will? † You should speak these words in a quiet soft voice and you could make direct eye contact with Lady Capulet before looking away towards the Nurse so the audience sense Juliet’s respectful but shy nature. Lady Capulet appears to want to stick to convention and asks Juliet to agree to look at a possible husband during the feast that night at the Capulet’s home. Lady Capulet reminds Juliet that she was the same age as Juliet when she gave birth to her. â€Å"By my count I was your mother much upon these years† and that girls younger than Juliet were â€Å"already mothers. † The nurse is present throughout this conversation and establishes her importance in the play. She cares for Juliet as she almost replaced the nurse’s own daughter who had died. At this point the nurse starts to tell stories about Juliet as a baby. Juliet is embarrassed particularly when she recalls how she got her to stop breastfeeding. There are some sexual implications in the nurse’s speech here and you need to show the shock and embarrassment that the naive Juliet will feel. We know that she has cared for Juliet since she was a baby as she talks about her childhood. You need to portray Juliet’s embarrassment about her childhood stories. The Nurse explains that it would be an â€Å"honour† to see her married. You may be taken by surprise at the abrupt way the question of marriage is asked by Lady Capulet. â€Å"Speak briefly can you like of Paris’ love? † You will need to convey that although Juliet’s in awe of Lady Capulet she seeks parental approval. So even though Juliet has not met Paris before and does not know whether she can love him she agrees to look at him during the festivities that night. After a quick glance at the nurse again I want you to pause slightly before replying to Lady Capulet in a soft, formal manner, â€Å"I’ll look to like, if looking like move But no more deep will I endart mine eye Than your consent gives strength to make it fly† This shows Juliet’s willingness to do as her mother says. The audience should sense your anxiety in anticipation of Lady Capulet’s response and then the relief you feel, when as you finish your sentence, Lady Capulet smiles with approval at your response. In Juliet’s reply there is some mirroring of language between her and Lady Capulet, words such as â€Å"look† and â€Å"like. † This adds to the idea that at this point Juliet is willing and keen to get approval from her mother. As Lady Capulet and the nurse leave you can show further relief as you relax the animated posture and drop your shoulders. After a few seconds you could portray a sense of excitement and anticipation of the dinner. The lights fade as you jauntily exit the stage. The next scene that Juliet appears in is Act 1 Scene V. In this scene Romeo and Juliet meet for the first time. Romeo spots Juliet while standing to the side during the dancing at the banquet. He immediately falls in love with her. Romeo is so struck by Juliet’s beauty he is inspired to speak a monologue in tribute. He uses light and dark imagery to stress her beauty. He says it seemed to him that she could â€Å"teach torches to burn bright† and â€Å"she hangs upon the cheek of night as a rich jewel in an Ethiop’s ear†. Shakespeare continues this theme of light and dark imagery by using metaphors such as â€Å"snowy dove trooping with crows† to demonstrate how Juliet shines above the other ladies there. Though Romeo is awestruck by your perfection you are unaware that you are being watched so you continue to dance in the background however your movements must be light, graceful but spirited to convey your youthful innocence. Shakespeare uses metaphors to create a positive image about Juliet’s beauty. Romeo also describes Juliet’s beauty as â€Å"To rich for use, for earth to dear! † This is one of the many references to the theme of wealth in the play. This scene will be challenging for any actress as you are on the stage all the time. Eventually Romeo finds Juliet and touches her hand. At this point I want you to look at his hand and then slowly wonder your gaze up to make eye contact with Romeo. This is an electrifying point in the play and as such the audience need to be made to actually feel the sudden love at first sight. You and Romeo speak in a sonnet form to one another. Your tone is soft and flirtatious yet clear and precise. This makes the verse more noticeably poetic and allows the audience to believe in your love. At this point you are at the centre of the audience’s attention but you need to be totally focussed onto Romeo’s face. You need to make the audience believe they are almost intruding into your emotions and feelings. They need to sense the strength of your love. This is a very significant part in the production as Romeo and Juliet do not know each others status but the audience do. The audience will realise that it will be impossible for Romeo and Juliet to be together despite their passionate love for each other. This is known as dramatic irony as the audience knows something that the characters do not. Around you the festivities will be continuing with the other actors, dining and dancing. You and Romeo are totally engrossed in each other so much so that you do not notice that Tybalt has recognised Romeo as a Montague and is forced to restrain himself by Capulet not to cause a brawl in the middle of the festivities. Romeo eventually gets to kiss Juliet â€Å"Let lips do what hands do† that is join together. The poetry in lines 92-109 is between Romeo and Juliet. They share the same images and thoughts and their words flow together giving us the idea that they complete each other. The content of the sonnet has a religious theme and is an example of how religion is related to love. It uses imagery of saints and pilgrims. Romeo takes Juliet’s hand in the gentlest manner calling it a â€Å"shrine†. The use of religious words and references shows that Romeo sees Juliet as a blessing. The imagery for the audience needs to be that if Romeo is a pilgrim then Juliet is a saint and his love is holy devotion. Juliet tells Romeo that they should not kiss but she does not really mean this in fact she says â€Å"The have my lips the sin that they have took. † You need to show the contradiction in what you are saying and your body language should support this. Move your face closer to Romeo’s face as if inviting him to kiss her again. The couple are engaged in this loving exchange when Juliet is called away to her mother. You need to show reluctance in having to leave Romeo to respond to your mother’s call. Then hurry away after a little hesitance showing your desire for Romeo. The nurse tells Romeo that Juliet is a Capulet and he realises he has fallen in love with someone from the enemy but this does not lessen his feelings towards Juliet. Juliet also begs her nurse to find out who Romeo is. â€Å"Go ask his name- if he be married My grave is like to be my wedding-bed† The nurse returns and informs her that he is Montague. Juliet is taken back that she has fallen in love with someone that she has been brought up to hate. You need to react to this in a stunned manner moving onto momentary despair and confusion. â€Å"My only love sprung from my only hate. † Juliet appears to be thinking out loud. She realises that she must love her enemy even though family considerations should induce her to hate Romeo. The audience needs to sense your predicament leaving the audience wondering what she will do. By the end of the scene the audience will understand that Juliet is a stronger character than she appears to be in Act 1 Scene III. She is willing to break with tradition to be with Romeo. Juliet’s behaviour is changing, she is showing signs of defiance and her tone is more assertive. As the stage director I am attempting to send a message that despite this tragedy, love triumphs over hate. I want the audience to have warmth for Juliet as she dies for love and sense the needless tragedy that has occurred. I hope the information in this letter will help to you prepare for the production. I’m looking forward to working with you in rehearsals. Feel free to contact me if I can be of any further assistance.

Boundary Issues Essay

When working in the human service profession you must understand the importance of setting boundaries. One of the most important aspects a counselor should instill into their work ethics is to build a strong, health line of communication and trust between themselves and their clients. This line of trust can determine whether there will be a therapeutic session and if it will end in success, or detriment. Professionals must understand that mixing a personal and professional relationship could produce a negative outcome. One of the easiest ways to prevent boundary crossing is to acknowledge, and adhere, to the Code of Ethics which is provided by the organization of employment. A Code of Ethics is a set of principles of conduct within an organization or business that guide decision- making and behavior. The purpose of ethic codes is to provide professionals, clients and other interested persons with guidelines for making ethical choices in conduct of his or her work. How can a counselor identify certain scenarios to protect themselves and their clients from such damage? As a counselor you should be clear on your limits as a provider. Make sure the client understands that boundaries are set to keep each party involved focused on the work at hand. Identifying poor boundaries: You and your client call each other friends and interact outside of the facility where you work. Valuable gifts are exchanged between you and the client. You reveal personal information that is not relevant to your client case. You find yourself discussing the client and his or her case during social interactions with your friends and family. Knowing the consequences of poor boundaries: Without professional relationship boundaries you may not provide appropriate services to your client. If you are acting as the client’s friend, and not his or her provider, you may not challenge the client to deal with presenting problems. Failure to set professional boundaries can cause you to burn out from caring for the client beyond what is required of a professional relationship. If you do not maintain a professional relationship you can find yourself acting in an unethical manner. How to prevent poor professional boundaries: Explain your role as provider and the limits of your availability to the client outside of office hours at the beginning of the relationship. Make it clear that the client will only be able to contact you at the facility and that your personal life (outside of  the relevant information you volunteer) is not up for discussion. Make sure any personal information you reveal (called self-disclosure) is helpful to the client’s case. For example if the client is a rape victim, it is important to talk about your history of rape (if any) and the resources you used to change your life. You are making the session about you if you discuss parts of your personal life that are not relevant to the client. When a client crosses the professional boundaries, redirect them by immediately clarifying your role and the limits of your relationships with the client. Discuss boundary issues with your supervisor, colleagues or your own therapist. Be sure to maintain good physical emotional and mental health so you work at your personal best. Review the code of ethics.

How has the evolution of the internet and ethics changed the practice Essay

How has the evolution of the internet and ethics changed the practice of marketing communication - Essay Example eception doctrine has been relatively easier to substantiate compared to unfairness, and this is specifically applicable for electronic media (Johnson & David, 1996; Who’s Watching the Web, www.aaf.org/relations/onlineprivacy.htm). The current study seeks to evaluate the evolution of the internet and ethical and their implications on the practice of marketing communication. It presents the factors which are perceived as unethical by internet consumers, and the significant predictors of consumers’ evaluations of fairness and ethicality. The following section presents the review of related literature. The components of the unfairness doctrine suggest that an organization is in discordance only when â€Å"injury† is sustained as an outcome of the marketing communication under contention. A critical issue has been borne out of the tangibility of the requirements to justify injury, and the intrinsic intangibility of the internet. Particularly, this has reinforced the ability to concretely link an organization’s marketing activities on the internet to a monetary or physical injury inflicted on the consumers. This challenge has caused the FTC to dedicate substantial attention and energy to drafting standards for internet marketing communications, in that claims to consumers must be adequately justified through research. However, the issue remains regarding how such a policy that is drafted in the present will be transferable to unfairness issues in the future (McGrath, 1999). The FTC has very distinguished and specific principles and guidelines with regards to determining when marketing communications have committed a violation of fairness. The original policy has been drafted on December 18, 1980, with the intention of precluding â€Å"unfair†¦acts or practices in or affecting commerce.† Drafting a list that stringently expressed that all that is considered â€Å"unfair† would be unproductive due to very dynamic and fast changing market conditions in each industry.