Parasagittal Meningioma Essay Example

Parasagittal Meningioma Paper Nursing Management 1 PARASAGITTAL MENINGIOMA Nursing management of a patient with Parasagittal Meningioma Nursing Management 2 Nursing management of patient with PARASAGITTAL MENINGIOMA P. A a 41 years old male was brought to the hospital due to the chief complaint of headache and dizziness. During the interview, the patient stated that 2 days prior to admission, he was having a severe headache associated with blurring of vision and dizziness. He took paracetamol which provided temporary relief without any consultation done. He was prompted to seek medical attention on March 23, 2011 due to persistent headache. He underwent MRI scan and revealed that the left part of his brain have a tumor that can lead him to be diagnosed with other signs and symptoms of having a Parasagittal Meningioma. According to Dienpenbrock (2004), Meningiomas are slow-growing and most often occur in middle aged adults. The standard treatment is surgery with the complete removal or partial dissection. Nursing management should focus on the treatment and preventing the effect of increased intracranial pressure or ICP by closed monitoring vital signs, and motor functions should also be checked because specific motor deficits may occur depending on the tumor’s location. Pathophysiology Parasagittal meningiomas form near the falx, a groove that runs along the brain fromfront to back, according to medical experts at the Brigham and Womens Hospital. Meningiomas may occur intracranially or within the spinal canal. They are thought to arise from arachnoidal cap cells, which reside in the arachnoid layer covering the surface of the brain. Meningiomas commonly are found at the surface of the brain, either over the convexity or at the skull base. In rare cases, meningiomas occur in an intraventricular or intraosseous location. The problem of classifying meningioma is that arachnoidal cells may express both mesenchymal and epithelial characteristics. Other mesodermal structures also may give rise to similar tumors (eg, hemangiopericytomas or sarcomas). The classification of all of these tumors together is controversial. Nursing Management 3 The current trend is to separate unequivocal meningiomas from other less well-defined neoplasms. Undoubtedly, advances in molecular biology will allow scientists to determine the exact genomic aberration responsible for each specific neoplasm. We will write a custom essay sample on Parasagittal Meningioma specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Parasagittal Meningioma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Parasagittal Meningioma specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Parasagittal meningioma causes symptoms like: Headache that is due to the increase the normal pressure levels within the brain. The severity of headache pain can range from mild to severe and can localize within any region of the head. Leg weakness can also occur. Typically, a meningioma that forms on the left side of the falx causes right leg weakness, while a meningioma that forms on the right side of the falx causes left leg weakness, explain medical experts with the Merck Manual. In certain cases, sensations of weakness can affect both legs and can experience difficulty standing or walking normally. Vision Problems is also present because of increased pressure within the brain it can affect the optic or eye nerve. If the optic nerve is damaged or pinched, he or she can develop vision problems as a symptom of this condition, report health experts with the Mayfield Clinic. Affected people can experience blurred or cloudy vision, which may contribute to headache symptoms or sensations of dizziness. Cognitive dysfunction or Personality Changes may affect people as stated by professionals with the Brain Science Foundation. A person who is normally quiet or reserved can suddenly become talkative and outgoing. Alternatively, social people may appear abruptly withdrawn or depressed. Some of these are signs and symptoms manifested by P. A. that can lead him to be diagnosed to have Parasagittal meningioma. Nursing Management 4 History P. A. , a 41 years old male was complaining of headache and some episodes of dizziness. He was admitted and diagnosed to have Parasagital Meningioma. According to him, it was his third time to be hospitalized. He stated that he had no previous illness, surgeries and medication therapy. The patient does not have any history of any diseases such as hypertension, diabetes ellitus, heart disease and lung disease. He is having an allergy with fish and doesn’t have any allergies to drugs. He’s avoiding to eat pork because of his religion Islam. Nursing Physical Assessment P. A is conscious alert and coherent. The patient vital signs were as follows: body temperature 37. 5 degree Celsius, pulse rate 81bpm, blood pressure 120/70 mmHg, respiratory rate 17cp m. The client voice was soft and talks pretty slow. He appeared to be disabled. We asked the client about his feelings. He was quite emotional about his situation. He is having headache and also stated the he was experiencing pain at the level of 8. This was related from the surgery he had which can also cause him increase intracranial pressure. The patient had a visible curve on his left parietal head. And that was from the recent surgery he had. The patient is unable to move his right arm, probably due to the left affected part of the brain that would cause few or complex disability on his right hemisphere. The patient’s lower extremities particularly his legs are quite skinny and very weak. He was unable to walk and currently using a wheelchair and assistance from his siblings. He had some wound marks and also has several gunshot marks on his upper and lower right leg. He appeared to have some weakness. The patient did not have any intravenous line, and he is currently wearing eyeglasses due to his vision problems which were caused by his brain condition. He said that the pain was sustained for several days. Nursing Management 5 Related Treatments According to Mayfield clinic a parasagittal meningioma can increase the normal pressure levels within the brain. This pressure elevation can cause headache symptoms in people with this condition. Encourage the patient to verbalize his feelings. Monitoring of patient’s pain is very important together with adequate bed rest and proper drug compliance to relieve headache, drugs: (Celecoxib) TID. Another thing is that, a meningioma that forms on the left side of the falx causes right leg weakness, while a meningioma that forms on the right side of the falx causes left leg weakness, explain medical experts with the Merck Manual. For this reason safety is the priority for the patient, proper assistance, range of motion exercise, physical therapy, adequate nutrition and drug compliance, Rest between activities provides time for energy conservation and recovery. If the optic nerve is damaged or pinched, people with a parasagittal meningioma can develop vision problems as a symptom of this condition, report health experts with the Mayfield Clinic. For this reason, wearing eyeglasses will help to improve the patient’s visual problems related to his condition. Parasagittal meningiomas that develop near the front portion of the falx can lead to significant brain dysfunction in affected people, warn medical professionals with the Brain Science Foundation. People with this condition can experience unusual memory loss or can have difficulty with logical decision-making, drugs: (Nurocer. , Adjunct in the treatment of myoclonus of cortical origin; dementia ; other disorders/states w/c include alcoholism, vertigo, cerebrovascular accidents, behavioral disorders. Depakote, valproates 5-15 mg/kg/day), for this situation understanding the patient’s situation with proper drug compliance to treat these symptoms, and a nurse-patient relationship is also an important independent therapeutic approach for this. Must prioritized safety and closely monitoring the patient symptoms is a must to ensure that the patient is responding well to the treatments. Nursing Management 6 Nursing Care Plan Based on what Hickey (2003) have said, one of the complication that may be prevented is headache. So P. A’s nursing diagnosis is chronic pain related to brain trauma as evidenced by verbal reports, guarding behaviour and limited range of motion. Some of the assessment that suggests that the patient was having chronic pain was disorientation, increasing irritability and facial grimacing when palpitated. His vital signs were as follows: body temperature 37. 5 degree Celsius, pulse rate 81bpm, blood pressure 120/70 mmHg, respiratory rate. The goal is to relieve the pain from pain scale of 8 to 3 and to decrease the facial grimacing. The nursing interventions for P. A’s nursing diagnosis were as follows: First is to establish rapport to gain the patient’s trust. Next is to perform comprehensive assessment of pain (location, duration, onset, intensity). These assess the pain felt by the patient. Next is to assess vital signs, noting high blood pressure, rapid heartbeat and increase in body temperature. Physical signs and complaints associated with chronic pain should also be noted. Administer medications as ordered by the physician. Provide patient with health teaching such as: having a bed rest and encouraged to stay on non-stimulating environment to reduce or lessen the pain that triggers him. During the nursing interventions the patient is responsive and tried his very best to help him feel more comfortable. Nursing Management 7 Recommendations In order for P. A to continue his recovery and improve his state of well being, he must adhere to all the orders made by his physician. He must also learn how to provide opportunity to re-energize and refocus on tasks at hand because he was expected to have easy fatigability. Encourage the patient to ask questions regarding his concerns regarding his health to his care providers. References * Smeltzer, Bare, Hinkle, Cheever (2008). Medical Surgical. Brunner and Suddarth’s (Eleventh Edition). Pages 2302-2306. * Mayfield Clinic: Meningiomas * Brigham and Womens Hospital: Meningioma * Brain Science Foundation: Meningiomas * Merck Manual: Meningiomas * Meningiomas. org: Parasagittal Meningiomas

Changes In The Victorian Age essays

Changes In The Victorian Age essays The changes in the Victorian Age, approximately 69 years long, contributed more to the advancement of the world than the other two thousand years of its existence. It was a time of expansion, reform, and technological advancement. Thus mark twain was essentially correct in saying that British history is two thousand years old, and yet in a good many ways the world has moved farther ahead since the queen was born than it moved in the rest of the two thousand years put together. A moderate Whig, Lord Palmerston, had between 1830 and 1840, helped to expand the British empire. He served as their foreign minister and with the annexation of new Zealand and the beginning of a war with China, it seemed as though Palmerstons clever diplomacy showed promise for the British. This idea was affirmed with eventual acquisition of Hong Kong in 1842. British kept expanding. During much of the 1830s many new reforms were passed under Lord Melbourne of the Whig party. Slavery was abolished in the British Empire and the first child labor restrictions were passed. In 1832, the Reform bill was passed, expanding voter rights to men with property. When Sir Peel of the Tories came into power, He abolished the corn laws allowing some ease to famine victims. The Mid-Victorian period proved to be a time of prosperity in the field of technology. The McCormick reaper prevented agricultural decline while the Bessemer process helped simplify the steel making process, benefiting the industry and increasing textile imports. Transportation of people and goods was made easier by steamships and railways, also decreasing their costs. Antiseptic surgery was introduced by Joseph Lister and Florence Nightingale introduced the first modern nursing school. Many of the changes that took place in Britain during those nearly seven decades greatly affected the rest of the world. New things were introduced into the world, revoluti...

A Road Map to Rising in the Consumer Satisfaction Index Essay

A Road Map to Rising in the Consumer Satisfaction Index - Essay Example Such an outlet could have a day's inventory of sales for each product, which could be replenished on a daily basis, and have an additional provision for special real-time deliveries from relevant plants for any products that may be out of stock. The latter should be a most uncommon incident, since time series data of sales of mature products should help us predict daily sales by product with reasonable accuracy. The second immediate step would be to introduce apron control for vehicle movement within the site, with radio communications with each driver. A person from stores could control all vehicular movement within the site, with priority for deliveries to the finished goods store which I have proposed. Each plant should receive its full bills of materials in time for every batch of production. The finished goods inventory and the provision of the bills of materials at plants can both be achieved by a standard enterprise resource plan (ERP) software. We would need to train sales, stores and production personnel to operate the ERP, and maintenance responsibility could rest with the IT function. It is a fairly well established system that does not need top management time.

CRM Assignment Example | Topics and Well Written Essays - 2250 words

CRM - Assignment Example This system will be available to the customers over the internet where they directly send their requests therefore maintaining an interactive customer experience thus enhancing customer satisfaction (Peelen 108). However, the primary goal of the system I am proposing for XYZ Corporation is to increase profits and reduces the costs incurred by the customers in accessing the products. The CRM system will also enable the corporation to track the online actions of the consumer thus it will possible to determine their future moves. The system will also be able to send direct emails to customers. The first step towards implementation of the CRM will be creation of a customer database which is the foundation of the customer relationship activity (Annekie and Adele,57). The homegrown systems used at XYZ Corporation will help in gathering the customer information for the already existing customers. The catalog will consist of data about the customers such as their transactions like the purchase history, price paid and the delivery date. The database will also contain the customer contacts that will be extracted from the homegrown system for the existing customers. Descriptive information will also be included in the database for the purpose of data analysis. The database will be integrated with the CRM system to be implemented such that the data stored on the database c an be accessed through the system. Capturing all the data related to the customers will help XYZ corporation management in understanding the needs of their customers thus; they can focus their production on the customer preferences (Annekie and Adele, 66). It also helps the management understand the customer trends thus they can identify the customer potential. Having a clear understanding of the customers will also help in maximizing profits. By considering all the needs and preferences of the customers,

Project management and strategic planning Essay Example for Free

Project management and strategic planning Essay Question: Language style: English (U.K.).   Write strategic planning and implementation steps involved in any project within IT department. Mention the Total quality management steps followed. What are the problems faced? Which problem solving and decision making methods would you suggest to be utilized? Explain. References: Any 2 Sources from the Internet, or Textbooks or journals. An organisation’s IT Strategic planning should combine some amount of tactical planning.   An IT department would require a strategic planning policy to ensure that the staff members and students can use the network on the campus as and when required.    As per the university requirements, all the schools should have a functional IT system, with certain criteria and specifications.   The IT planning would also help the school to share and receive technology from other schools and in this way be of immense help to the students. An IT Department should form a part and parcel of the education policy and processes of the educational institute.   It should be considered as a very important educational and information tool, for the students and staff members.   Let us now look at the actual strategic planning process and how it can be implemented in an educational institute. Strategic Planning is a process of making important decisions in the organisation so that a link between the present and the future trends is formed, choosing the organization’s goals, establishing the policies needed to meet specific objectives and recognising the means of assuring that policies are implemented in an appropriate manner. In a nutshell strategic plans are the â€Å"action plans† (Majdà ºchovà ¡, 2003 Strategic Initiatives, 2007). STRATEGIC PLANNING PROCESS: Considering an example of a Management institute with special reference to the project to be carried out in the IT department, the following detailing a manager in the unit will have to accomplish and organize (ICFAI). A Manager who is responsible for strategic planning would convert the intentions or objectives of the organisation concrete and measurable strategic plans, policies and budget allocations (Majdà ºchovà ¡, 2003 Strategic Initiatives, 2007). Step one: Defining the mission of the organization Based on the above work assignments, companies change their mission over a period of time to reflect changes in the external environment. The IT unit should address three important issues: What is the business supposed to do? Who are the customers? What goods or services does it offer? An IT department targets the various problems and issues, which are normally faced in a laboratory system of an organisation.   The IT department would provide services to the staff and the students and not merely provide goods alone to the audiences mentioned above (Kotler, 1999). Step two: Drawing up organizational objectives The strategic planning process in an IT department will broadly comprise of the following main objectives to be achieved.   This would help to determine the means of accomplishing the mission: Students online exams / reports / marks, Laptop management (Wi-Fi connection), Internet control, LAN Connections, PC Maintenance, AMC – annual maintenance contract, Software and hardware troubleshooting, UPS, Vendor management, Requisition and procurement of PCs, UPS etc, Intranet management, ERP package connectivity, and Server support  Ã‚   (Kotler, 1999 ICFAI) Step three: Assessing and Analysing SWOT The mangers need to analyse thoroughly the organisation’s current situation in order to develop an effective strategy to gain a competitive edge: Availability of KRA’s Availability of E-commerce technologies and processes Availability of skills in management of the supply chain or the vendor Management of Proprietary technology, superior technological skills, IP, Patents, and the issues concerned with them (Kotler, 1999 ICFAI) Step four: Formulating strategy Michael Porter has described three strategies which can help a firm / unit to gain competitive edge over others. Overall Cost Leadership: An IT firm has to consider the capital investment and access to it, the engineering skills required, intense supervision of labour, products designed for ease in manufacture, etc in order to achieve the its objectives (Kotler, 1999). Differentiation: The IT department may differentiate its products and services into technical and engineering support, strong capability in identifying the LAN, vendors, ERP, Wi-Fi, Internet, skills of the staff members needed, Intranet, etc (Kotler, 1999). Focus: All the above mentioned policies should be directed towards meeting the strategic target of fulfilling the staff’s and the student’s requirements (Kotler, 1999). Step five: Implementing strategy According to McKinsey et al, the best-managed companies exhibit the following 7 elements, known as â€Å"McKinsey 7-S framework for business success†. These include strategy, structure, and systems (known as ‘hardware to success†); and style, skills, staff and shared values (known as â€Å"software to success†) (Kotler, 1999 ICFAI). In an IT department, style refers to the common ways of thinking and behaving of the staff members.   Skills refer to the unique method of handling problems experienced by the organization, especially using creative solutions.   Staffing is the process of hiring, training and allocating the work by the department.   Shared values refer to the common guiding values shared by the staff members (ICFAI). During the implementation, the manager should constantly monitor the technology, staff, incentives/reward system, decision-making processes, structures and functions (ICFAI). IMPLEMENTING TOTAL QUALITY MANAGEMENT This involves selecting the right staff members and using ensuring that the services are of high quality.   The process of TQM is continuous in the organisation so that quality of the organisation would improve (through having appropriate processes, products and services).   Feedback regarding customer satisfaction is gained, and accordingly improvements are made.   The company needs to gain an insight of how the user would be using the product.   Any shortcoming should be identified and modified, as and when needed.   Some of the steps in TQM include: Studying the current quality situation Defining the quality needs Planning for a quality control program initiated by the managers Having structures, functions and strategies for implementing the quality program Allocating and obtaining the resources Monitoring and evaluation of the quality control program (Hashmi, 2000) PROBLEMS FACED: The IT department may face several major problems in cases of IT resource troubleshooting, logistics management, customer satisfaction, changes in the vision of the organisation, leadership problems, incompetent human resources, adoption of new technologies, managing the IP, obsolete facilities, etc (ICFAI). One of the major problems faced by the organisation previously, was regarding the presence of viruses in various network systems.   This seemed a threat to the security of the network.   The organisation had to develop a policy to prevent entry and spread of such virus on its network system.   This ensured that all external connections including CD’s, pen drives, removable discs, etc, were thoroughly scanned so that any virus threat would be contained.   The users were also informed of the security measures that had to be followed whilst using the network.   A strong firewall was installed to ensure that all data entering and existing the network was thoroughly monitored.   In this way, the IT department effectively handled virus threats. A study was conducted in the Institute’s IT Department to determine the effectiveness and the efficiency of the IT department’s network system.   More than 100 individuals were interviewed, which included 80 students and 20 teachers.   It was found that when a definite plan was introduced since 2004, the quality of services provided by the IT department improved drastically.   About 75 % of the staff members and 65 % of the students agreed to this.   The IT personnel are conducting quality checks at various levels to ensure that the services are effective and can enable the organisation to achieve its goals. Services Provided Percent of Staff who felt that the services were good Percent of Staff who felt that the services were satisfactory Percent of Staff who felt that the services were poor Comments Internet 75 21 4 Internet services are very good with fast connectivity and lightning speeds Intranet 50 35 15 Intranet exists, but not updated regularly Messenger 25 13 63 Not utilised very often during instruction Mail 65 26 9 Utilised very frequently and beneficial to all the faculty members and students.   Each staff and student is given their own id and password Library 78 12 10 Services are limited (no of databases subscribed) College Database 50 24 26 Not updated for long Teleconference system 56 25 19 Although, the system is effective and very useful, frequent disruptions occur PROBLEM SOLVING AND DECISION MAKING METHODS: Group Decision making method may be useful in large and complex departments, as the decision adopted seem to be better. Delphi group technique brings a panel of experts together in order to identify the problem and develop solutions for them.   Responses are collected and averaged by the people coordinating the group. It is utilised more often to immediately solve acute problems faced by the unit.   Such problems are time consuming and expensive to solve.   Interacting groups is the most common form of group decision making, in which the members openly discuss the problem, develop ideas, argue about each of them, and choose the best alternative. Decision Tree is a complex instrument that helps the decision-maker to consider various alternative courses needed to solve the problem and select the most appropriate alternative. The decision-maker can implement and monitor the alternative (Kotler, 1999 ICFAI).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Overall, I do feel that from the efforts of the management of the organisation and from the IT department itself, an effective network system has been develop which is very useful for the students and the staff members.   This educational tool helps in education, instruction, and research and even in providing information to the general public.   Regular feedback should be taken from the users, administrators, etc, in order to determine if any modification is required for the IT System, and effectively introduced into the IT strategic plan.   Over, the last four years, incorporation of an IT plan has ensured a faster network, security, greater access, and increased support.   The IT department has also certain trouble shooting devices in place to handle any situation.   This has helped the organisation to achieve its objectives. References: Hashmi, K. (2000), Introduction and Implementation of Total Quality Management (TQM), [Online], Available: http://www.isixsigma.com/library/content/c031008a.asp, [Accessed: 2007, November 23]. ICFAI Introduction to management, ICFAI Center for Management research. ICFAI Project Management, ICFAI publication of management research.    Kotler, P. (1999), â€Å"Marketing Management: the Millennium edition,† 10th ed, Prentice Hall. Majdà ºchovà ¡, H. (2003), â€Å"Strategic Management For The Nonprofit Organizations†, Electronic Library of Scientific Literature, vol. 51, no. 3. http://www.sav.sk/journals/ekoncas/ekon2003_07.htm   Ã¢â‚¬Å"Strategic Initiatives Leading Transformative Change†, [Online], Available: http://www.strategicinitiatives.com/, [Accessed: 2007, November 23]. The University of Colorado at Boulder (2002). â€Å"2002 Information Technology Strategic Planning Report.† [Online], Available: http://www.colorado.edu/ITplan/2002itsp.pdf, [Accessed: 2007, November 23]. The University of Colorado at Boulder (2002). 2002 IT Strategic Vision, [Online], Available: http://www.colorado.edu/ITplan/vision.pdf, [Accessed: 2007, November 23]. The University of Colorado at Boulder (2002). Current Situation (Trends), [Online], Available: http://www.colorado.edu/ITplan/trends.pdf, [Accessed: 2007, November

?Vincent is not a hero? Discuss :: essays research papers

â€Å"Vincent is not a hero† Discuss Andrew Niccol has created a character that is portrayed as being a struggler from the moment he was born, he was destined to play this role as soon as he was conceived naturally as he was to wear the label of â€Å"God child† for the rest of his life , this label determines they life style and quality of life he will lead and the prospects are not good -â€Å"They used to say that a child conceived in love has a greater chance of happiness. They don't say that anymore†. Niccol leads us to believe that Vincent is a man who has overcome the odds in order to achieve his dream in a society where individuality is an unrequited trait and the ability to conform plus right DNA is all a person needs to succeed. What can easily be missed is the reality that in order to achieve his dreams he had to become a criminal which raises the question, is this man who is seen as a hero defiant of his opposition, worthy for our admiration considering the un-admirable form he had to take on t o gain it?. The measures Vincent goes to, to achieve his dream of becoming an astronaught make him seem less of a hero than he is portrayed as, The idea of changing your identity from an â€Å"invalid† with problems that prevent one from leading a normal life, to taking on the identity of a â€Å"Valid† with a physical make-up so perfect that â€Å"you could go anywhere† with his â€Å"helix tucked under your arm†, again lowers the opinion of his character and makes it difficult to separate his true identity to the false one he has taken on, Throughout the film Niccol makes it hard to distinguish which parts of Vincent’s personality actually are, we see many instances where Vincent shows admirable qualities such as him romantically letting go of a strand of Irene’s hair and saying â€Å"the wind caught it† . But this incident could also psychologically be a way of ensuring if Irene ever had a piece of him, that she would do the same and his identi ty would be protected. His personality as we knew it before he took on Eugene’s identity portrayed him as lonely dreamer. He was the stereotypical outcast down to finest detail. He sat by himself, ate by himself , dreamt of great things and in true Hollywood style left home and took on the job that all people take when they have nothing left, a cleaner.

A Collection of Essays by George Orwell

Book Review [pic] Essays of Orwell [pic] George Orwell (1903 – 1950) [pic] Edited by : M. G. Nayar Review done by : [pic] Fahimuddin Shaikh Roll no. 44 R. H. Patel English Medium B. Ed. College Kadi Sarva VishwaVidyalaya Campus, Sector 23, Gandhinagar. Year 2007-2008 Introduction : 1) The Aims of Book review : The book-review is appreciating, analyzing and criticizing a book wherein the reviewer goes through the book comprehensively to come out with his own ideas about the book and its value in terms of its internal and external features i. e. he content, subject-matter, theme, language, target appropriateness, impact upon the readers, the ability of the writer to convey his ideas and intention behind his work as well as the composing, binding, price, size and other physical features of the book. 2) Objectives of Book review : 1. The students develop writing skill by preparing notes. 2. The students develop interest in reading. 3. The students develop the reading skill. 4. The students acquire the hobby to develop the attitude of reading. 5. The students organize their thoughts. 6. The students get to know the nature of the book. 3) Importance of Book review : It enriches the knowledge. It enriches the language. It improves the skill of reading, writing and presentation. It develops the thinking ability. (4 ) Advantages of Book review : As B. Ed. is a new field for teacher-trainees to get acquainted with various types of books, the book-review enables them to acquire necessary skills of reading, writing, appreciating, criticizing and presentation. (5) Title of the book : The title of the book selected for the book-review is ‘Essays of Orwell’ edited by M. G. Nayar. (6) The aims of selecting a particular book : Selection of a particular book depends upon the need and the interest of the reviewer. The reviewer can review the book which he liked the most regarding the content or idea of the book. Or he can review a book to appreciate a particular work of art or literature or some useful information given in the book. I have selected ‘Essays of Orwell’ which is a compilation of essays written by George Orwell (1903-1950) in a very simple and lucid language. The aim of my selecting the ‘Essays of Orwell’ for the book-review is that the author shares his real-life experiences written with great earnestness and with the purpose of exposing, ridiculing and reforming the evils that prevailed in his age. Also the essays brings out the author’s extraordinary wide range of taste and concerns – like social, cultural literary, political and autobiographical. External features of the book : 1) Name of the book : The name of the book selected for the book-review is ‘Essays of Orwell’ and is edited by M. G. Nayar. 2) Name and detail of the author : The author of the book is George Orwell, one of the most prominent essayists of the 20th century. Eric Arthur Blair, who later became famous as George Orwell, was born at Motihari in Bengal where his father Richard Blair was employed in the Customs and Excise Department of the Government of India. pic] Orwell was sent to England at a very early age and he saw very little of his father till he returned to England on his retirement. His early years were very unhappy; he was lonely and had few playmates or companions. He had two sisters, a father and a mother all of whom were no closer to him. They were poor and the family depended solely on Mr. Blair’s small pension which was barely enough to keep up appearances. They found an exclusive preparatory school in the south coast, which was prepared to take the promising boy at a concessional rate in the expectation that he would win a scholarship and bring credit to the school. The lonely and sensitive boy had a very unhappy time in this school run by a snobbish headmaster and his equally snobbish wife. They never missed any opportunity to remind him that his parents were poor and that he was there through their charity. Orwell gives a vivid description of his school (under the fictional name Crossgates) and his sufferings there in his long essay satirically titled Such, Such were the Days’. He tells us : â€Å"I had no money, I was weak, I was ugly, I was unpopular, I had a chronic cough, I was cowardly, I smelt†¦Ã¢â‚¬ ¦.. † The humiliations inflicted on the sensitive and self-conscious boy in his wretched school by his bullying classmates as well as by those in authority left a deep scar on his soul. But from his childhood he had made up his mind to become a writer. He writes in his ‘Why I Write’, â€Å"From the very early age, perhaps the age of five or six, I knew that when I grew up I should be a writer. Between the ages of about seventeen and twenty-four I tried to abandon this idea, but I did so with the consciousness that I was outraging my true nature and that sooner or later I should have to settle down and write books. Writing would also enable him to answer two compelling needs of his nature, namely, to fight against injustice and oppression in all its forms, and to take upon himself the sins of the world and make atonement. Orwell essays show his deep concern with contemporary reality and its awareness of its sordid aspects. In other words we may say that it’s a fruit of his endeavour to remove various evils to reform the world around him so as to make it a better place to live in. Apart from essay Orwell is also known for his novels. Orwell shot into world-wide fame with the publication in 1945 of ‘Animal Farm’, a brilliant Swiftian satire on Russian Stalinism, authoritarian government and human fallibility and brutality. One of his most popular novels is ‘1984’ which presents a striking spectacle of totalitarianism in action. 3) Name of the Publisher and Edition : The book is published by ‘Macmillan India Limited’ and edited by M. G. Nayar. It was first published in the year 1980 and it has been reprinted in 1981, 1986 and 1994. 4) Cover page and Back page : The cover page is green-coloured thick paper with its title ‘Essays of ORWELL’ printed upon it inside a hexagonal white border. At the top is written the name of the publisher and at the bottom is the name of the editor. The back page is a plain white thick paper with the name of the publisher written on it. 5) Price of the book : The price of the book is Rs. 28. 00 6) No. of pages and no. of chapters : The book runs into 159 pages along with 11 pages of introduction at the beginning. The book consists of 12 essays on different subjects. 7) Binding of the book : The book is loosely bound with gum. The cover page is not strong enough to hold the pages of the book with the gum. 8) Fonts – shapes and size, printing size of the book : The fonts of the book are readable and have appropriate size. Proper line-spacing is given between the lines for a comfortable reading. The book is a pocket-size one and easy to carry. internal features of the book : (a)Theme of the book : The theme of the book ‘Essays of Orwell’ is promoting the moral responsibilities among people. Orwell feels disgusted with the intellectual dishonesty and moral depravity of his times and feels regret over the loss of sound values. He revolts against the various ills of his age, like injustice, inequality and loss of individual freedom. The theme of the book revolves round the idea to reform the people by inculcating the ideas of decency, integrity and intellectual liberty. b) Chapterisation : The book consists of 12 essays each of which are interesting and poised with the author’s qualitative analysis of the situations of the new world order. The central idea of some of the important essays are as follows : Essay I. Reflections on Gandhi : George Orwell showers praises on Mahatma Gandhiji referring to his autobiography ‘The Story of My Experiments with Truth’. The essay enables to see how the Western rationalist views the life an doctrines of the Mahatma whose life the author considers as a sort of pilgrimage in which every act was significant. Even though he fought against the mighty British Empire through the principle of non-violence the British officials who spoke of him with a mixture of amusement and disapproval also genuinely liked and admired him. Orwell stating Gandhi’s qualities says, â€Å"Nobody ever suggested that he was corrupt, or ambitious in any vulgar way, or that anything he did was actuated by fear or malice. † He further says, â€Å"His character was an extraordinarily mixed one, but there was almost nothing in it that you can put your finger on and call bad, and I believe that even Gandhi’s worst enemies would admit that he was an interesting and unusual man who enriched the world simply by being alive. † While admiring Gandhiji’s uncommon physical courage, his incorruptibility and political integrity, Orwell finds in the high moral values held scared by Gandhiji, especially in the doctrine of non-attachment, a vein of anti-humanism – a quality which made him more saintly than human. Orwell ends the essay by the remark, â€Å"†¦.. but regarded simply as a politician, and compared with the other leading political figures of our time, how clean a smell he has managed to leave behind. † Essay II. Shooting an Elephant : This essay enables us to get a glimpse of the author’s experiences in Burma where he was employed in the British Imperial Police (1922-1927). Orwell had already come to regard imperialism ‘as very largely a racket’. And he knew he was ill fitted for the role he was called upon to play. During this period of Imperial service a sense of guilt continually haunted him. While secretly he condemned imperialism as an evil, he was embittered by the anti-European sentiment among the natives who hated him as a representative of British Imperialism. The incident described here brought home to him the tyranny that imperialism imposes on the ruler as well as the ruled. It was as he marched at the head of an expectant crowd, rifle in hand, to shoot the mad elephant, that the irony of his own position struck him. He instinctively recoiled from the destructive act to which he had committed himself, but, should he fail to carry it out, he knew he would be ridiculed by the crowd that followed him. It was therefore imperative that he should impress them in order to be considered firm, fearless, imperturbable and capable of rising to the occasion in a crisis. Torn between the immediate need to play the ‘Sahib’ and his own ingrained aversion to the role thrust upon him, he set about the task of shooting the elephant, though it had never been his intention to kill the animal. Finding himself thus caught between two tyrannies – the tyranny of the ruler and the tyranny of the ruled that seemed to push him to and fro as if he were an absurd puppet – he realized the futility of Imperialism that deprives the tyrant himself of his free will. Essay III. You and the Atom Bomb : This essay was first published in the Tribune (19 October 1945). Here Orwell discusses the effect of the power that a sophisticated weapon is likely to bestow on the strong and affluent nations and the consequent threat to the freedom of the weaker ones. The more complex and expensive a weapon is, the more are the chances of its becoming the monopoly of the state and the more likely it is to keep its people under subjection. In the past, as the major weapons were accessible to the people, they could rise in revolt against despotic governments. But the atomic bomb, being expensive and difficult to manufacture, will ever remain a rare weapon under state control and any revolt of the exploited classes will be rendered more and more difficult in future. And if the number of states possessing the bomb increases, it is unlikely that they will use it against one another, but they will tend to be despotic within and aggressive without, and as a result the poorer nations which cannot afford to make it will always be in danger of losing their freedom. In these circumstances, a reimposition of slavery like that of ancient Rome and Greece is a possibility that cannot be wholly ruled out. Essay IV. How the Poor Die This is a chapter from the author’s days of penury and vagrancy in Paris. Here, Orwell tells us of his experience in a French hospital where he was treated for pneumonia in 1929. From his own bed in the dingy public ward of Hospital X in Paris, he could watch everything that went on around him with a gently critical eye. The poor died of disease and neglect, getting very little by way of real medical aid or human sympathy. The account we ger of the patients, doctors, nurses, and of the whole sordid atmosphere of the ward reads almost like the pages of a novel. The primitive conditions of the hospital – callous indifference of the doctors and nurses who regarded the patients as nothing more than ‘specimen’ – reminded him which used to be houses of torture rather than centres of healing. The entire picture is painted with a certain degree of detachment, devoid of any cynicism or sentimentality, but marked by a fine sense of humour. Essay V. New Words In this essay (1940), Orwell dwells on the need to coin new words to communicate certain feelings that are too subtle for expression. He feels that there is a considerable province of human experience that lies beyond the descriptive power of words, especially aesthetic and moral feeling, our likes and dislikes and all that concerns our inner life. Orwell here discusses the possibility of bridging these gaps in language by inventing new words. He refers to certain methods, by which words may be coined, the source of methods like analogy, onomatopoeia and slang. Orwell hopes that large numbers of people apply themselves to the task of inventing new words on the basis of common experience so that we world be able to overcome the verbal inadequacy and ‘give an objective existence’ to our thoughts. Essay VI. Propaganda and Demotic Speech : The paradox about modern propaganda is its unintelligibility and its consequent failure to impress the audience it is aimed at. According to Orwell, this is due to the fact that the language used for the purpose has nothing to do with thelanguage of the common man. There is, in every language, a lot of difference between its written and spoken forms, but in English this difference is so glaring that the bookish language of Government leaflets or party pamphlets very often fails to get across, and succeeds at best only in creating vague and sometimes, erroneous impressions on the ordinary man. Eminent writers like Harold Laski also are guilty of this sin. Orwell says that, in order to appeal to the ordinary man, neither high-sounding words nor ’the educated accent’ which is viewed suspiciously by the working classes as an upper-class affectation, will serve as a vehicle of communication. The language of propaganda, to be effective, must be brought closer to the language of the common man. A truly democratic government that needs to educate the public on matters of national interest will necessarily have to choose the right words and adopt the right tone – the vocabulary and tone of a genuinely demotic speech. Essay VII. The Writing of History : Orwell in his essay discusses the question of objectivity in the writing of history. It often happens that some of the facts of history get so mixed up with falsehood as to become indistinguishable from lies. Orwell cites certain verifiable facts of recent history which have, within a brief period of time, undergone such distortion. Truth, which is of paramount importance in the recording of events, seems to be at the mercy of ‘might’ and the modern tendency to tamper with truth is likely to make the task of the future historian complex as well as difficult. Essay VIII. Bookish Memories : After his return to England from Paris, before he could earn enough to live on his writings, in the early thirties, Orwell worked as a part-time assistant in a London bookshop, where he worked for about a year. Though it was drudgery for him, he had opportunities of observing customers of various kinds, including eccentrics, their habits and tastes. Here he records his impressions of such people with a half-humorous, half-indulgent attitude which, incidentally, enables us to get a glimpse into his own tastes and habits of reading. The essay reveals one curious face – that Orwell lost his love of books. The changing literary tastes of the reading public are also brought out. Essay IX. The English Character : In this essay Orwell perceptively analyzes the general characteristics of the English people with a remarkable degree of objectivity. The usual generalizations about the English character are vitiated by pre-conceived notions of the British aristocracy that is often drawn upon to typify the national image. Orwell draws our attention to the hitherto ignored majority – the English commoners – whose exclusion from the picture has so far tended to perpetuate misleading notions about the race as a whole. The racial characteristics described like artistic insensibility, xenophobia, snobbery and hypocrisy are common to the entire race. The picture that emerges is no idealized image but a true one, as sharp and well defined as the reflection in an undistorting mirror held up before English humanity as a whole, apt to jolt them out of their complacency rather than flatter their national pride. Essay X. The Moral Outlook of the English People : In this essay Orwell draws our attention to the moral sense of the English people. While the majority of the English people are indifferent to organized religion, some of the ethical aspects of Christianity do appeal to them still. In this age of power-politics, they cling to the belief that might is not right – a truly Christian principle, though it is not one among the Biblical doctrines. That England has always supported the cause of the weak against the strong even when it was disadvantageous to them shows that the English do not subscribe to the power cult. They are neither prudish nor lax about matters of sex, gambling and drinking. Violence of any sort is repellent to the English. They have an ingrained respect for the law and human liberty. The vaunted freedom of the press in England may largely be an illusion, but freedom of speech is a reality. The English people are never afraid to give expression to their opinions in public, but then they are never fanatic because they lack conviction, and being a phlegmatic race they are not easily roused to action. Essay XI. The English Class System : Class distinctions are a vestige of the past still clinging to English society. The aristocracy of the feudal age was replaced by the nobility of the later periods, and the titled class today commands a certain respect, probably because of its traditional integrity, though its importance has been steadily dwindling with the rise of the rich middle class. By adopting the habits and manners of the nobility, the rich middle class tends to become indistinguishable from the upper class. At the lower level, despite the antagonism in the political field, the working classes which are not entirely free from snobbishness try to imitate the middle class in speech, manners and dress. There is also a large section of classless people – the technically educated persons. Thus both at the top and the bottom, a sort of levelling process has been at work. On the whole, the general trend seems to be towards the blurring of class distinctions, though essentially English society remains what it used to be in the nineteenth century. Essay XII. Why I Write : In this essay originally written in 1946 for publication in the journal Gangrel, Orwell discusses the impulses that prompted him to take to creative writing as a profession. The motives that urged him to turn author are mainly those that urge every artist, namely, egoism and aesthetic pleasure. Like other writers, Orwell too had a passion for truth. What he calls the historical impulse is his concern for truth – the truth about things as they are. In Orwell’s case, it was chiefly a concern for finding the truth about political institutions and movements as he understood them. In fact, the political purpose was strong and it bestowed on his writings a certain verve without affecting his aesthetic and intellectual integrity. c) Presentation of Content : George Orwell in his essays has presented the issues that concerned him during the 1940s. In these essays we find considerations of the totalitarian impulse, the quality of modern intellectual life, the nature of modern art, nationalism, and the emergence of the new managerial society. All the essays are inter-connected as they are concerned with the real life and invites the readers to ponder upon certain subtle issues concerning the human life. They are all essays in thought and maintain a sequence of thought. Orwell has presented the content in his essays in the neutral style, good, limpid, contemporary, and it was always equal to its purposes. Within what seems a narrow range, he showed virtuosity in the different ‘timings’. He managed diligently the narrative, descriptive, critical, denunciatory and straight exposition from his life. Due to this he is also successful to reach to the target-groups from various cross-section of the society. d) Content Validity : The content of the essays of Orwell has direct validity to the aims of his purpose. The subject as well as the content has been aptly justified with the references and context to the situations. Orwell has presented his real life incidents with an aim to expose the hypocrisy of the powerful nations as well as the snobberies of the upper-class people. e) Language : Lucidity and clarity are the two main features of Orwell’s prose style. He disliked all vagueness and ambiguity in thought and is clear and straightforward in his thinking. Often he writes the slangy, colloquial English, mostly his prose is that of the journalist. Moreover, we also do not find unnecessary ornamentation and use of a figurative language, rather he has frequently made use of apt metaphors and images that enhances the beauty of his writing. John Atkins rightly observed, â€Å"Orwell’s campaign was therefore for a language that should be both pure and subtle, flexible and simple. † ) Justification of the Title of the Book : The title of the book ‘Essays of Orwell’ is apt and appropriate as it contains the selected essays written by George Orwell. g) Other features depending upon material selected : The book also consists of the short summary of each of the essays along with the glossary and the unfamiliar words at the end. Overall evaluat ion : In ‘Essays of Orwell’ we find a direct expression of Orwell’s ideas. Both quantitatively and qualitatively, his essays stand favourable comparision with the essays of the prominent essayists of modern times, like Gardiner, Chesterton, Stevenson, Huxley and others. The essay is the dominant literary form employed by Orwell throughout the later half of his writing career. As in his other works, so in his essays there is the frequent intrusion of the author and a direct expression of his ideas. According to B. T. Huxley, â€Å"The real backbone of his work is to be found in the essays – a form of writing mainly characterized by just such a personal intrusion on the part of the author. † Some of the best work of Orwell is to be found in his essays. They constitute a valuable comment on criticism of contemporary life. Though he was a professed socialist he did not accept a party line. He is quite sincere and honest about what he sys, and does not hesitate to criticize the terrors of fellow socialists and the short-comings of socialism. Orwell says, â€Å"To write in plain, vigorous language, one has to think fearlessly, and if one thinks fearlessly, one can not be politically orthodox. † John Atkins also says, â€Å"Orwell’s uniqueness lay in his having the mind of an intellectual and the feelings of a common man. † To conclude we can say that the book makes an interesting reading for all the people who think.