Monday, January 27, 2020

M Night Shyamalan, The Auteur

M Night Shyamalan, The Auteur Manoj Nelliyattu Shyamalan, also known as M. Night Shyamalan, has earned his auteur reputation with film productions such as The Sixth Sense, Unbreakable, and The Signs. He is best known for his ability to create a thoroughly fictional world with unbelievable events. His style is well expressed through his films as most of his stories focus on the supernatural. In this respect, M. Night Shyamalan can easily manipulate the viewers expectations by means of mystical elements and breath-taking twists. It can be claimed that M. Night Shyamalan achieved great success with the 1999 blockbuster The Sixth Sense. The narrative structure of the film could be interpreted from two quite different perspectives. On the one hand, Malcolm Crowe is a therapist, who survives a gun shot accident and tries to help Cole Sear, a very young and emotionally introverted child. On the other hand, the intensity that surrounds the entire storyline of the film keeps the audience in suspense until the very end of the film, only to reveal that Crowe has been murdered. The story then takes the viewers to a completely different dimension where Crowes presence is not physical anymore as he roams as a ghost who can be only seen by Cole. Indeed, it is the young Cole who helps Malcolm understand that he must leave his mournful life in the past and move on to take his place among the living dead. This is a perfect example of how M. Night Shyamalan can play games with the viewers expectations. After the enormous success of The Sixth Sense, M. Night Shyamalan came back with yet another thrilling film. Unbreakable is a story about ordinary people looking for the supernatural element or event in their lives. Bruce Willis plays the role of David Dunn who soon realizes he has extraordinary abilities as a consequence of a train accident. The relationship between him and his son, Joseph, emphasizes the supernatural element as Joseph is very excited with the idea that his father is a real-life superhero. Meanwhile, David and his wife, Audrey, have to patch up their crumbling marriage. Sooner rather than later, however, David meets Elijah Price, played by Samuel Jackson, who thinks and actually tries to persuade David that he is, indeed, a modern-day superhero. M. Night Shyamalan succeeds again in surprising the audience with another twist in the plot. The viewers realize at the end of the film that Elijah has staged numerous disasters for the past few years in order for him to dis cover his superhero ego. Signs is yet another example of a typically characteristic M. Night Shyamalan film. Released in 2002, the film explores a different supernatural phenomenon of crop circles that soon turn out to be an alien invasion of global scale. Hollywood star Mel Gibson plays Graham Hess who is a former minister of religion. As soon as his wife dies in a car accident, Graham decides to renounce his faith in God. Throughout the film Hess recollects the moment he saw his wife for the very last time and M. Night Shyamalan does an excellent job in conveying hidden messages. She talks to him about their family and asks him to tell his brother and a former baseball player, Merrill, to swing away. Although the audience might consider his wifes death as a random event in the storyline, the films finale proves that it is not a random event after all. In the scene where the alien is about to kill his son, Graham again remembers the moment when he talked to his wife just before she died. It is then when she somehow managed to foresee the future and tell her beloved how to save his family. Therefore, M. Night Shyamalan presents a story of Grahams moral passage from his loss in divine providence to the conditions that help him regain his religious faith again. It can be even argued that Graham is quite similar to Bruce Williss hero in The Sixth Sense who realizes and reconciles with the fact that he is a living dead man. In addition, the three films share common storyline features and themes. In The Sixth Sense Crowe cannot realize that he is a ghost at first and in Unbreakable David does not believe in his extraordinary powers and learns from both his son and Elijah that he must embrace them and the responsibility that comes with them. In Unbreakable Shyamalan presents the human side of mystical events in quite a new theme where he illustrates how different people could be. In Signs Mel Gibsons character questions his faith in God until the moment he understands that the circumstances, which helped him save his family, are not accidental. Indeed, Signs bears a strong religious theme as Graham Hess is being subjected to a test of what he actually believes in and why he believes it. Aided by a recovered memory and a supernatural occurrence, Graham Hess manages to revive his relationship with God. Moreover, not only does M. Night Shyamalan pay attention to the storyline of all his films, but he also focuses on interpersonal relations. It is important to note the strong relationship between Malcolm and Cole in The Sixth Sense, David and his son, Joseph, in Unbreakable, and Graham with both his children Morgan and Bo as well as Merrill, his younger brother, with his nephew and niece in Signs. Another aspect of Shyamalans work is the slow pace he imposes on the plot. Malcolm Crowe gradually realizes that he is dead in The Sixth Sense, David Dunn gradually sees the superhuman powers he has in Unbreakable, and Graham Hess gradually rediscovers his faith in God in Signs. Also, in order to establish a stronger and more emotional bond between the characters, M. Night Shyamalan uses long-take shots. For example, in The Sixth Sense shot duration helps him build up emotional bonds not only between Malcolm and Cole, but also between Cole and his mother, Lynn. There is also a scene in Unbreakable which is a direct analogue of the one that takes place at the Anniversary Dinner restaurant in The Sixth Sense with the only exception being that David Dunn is alive as he talks to his wife, Audrey. M. Night Shyamalan makes use of long-take shots in Signs as well in order to highlight the strong bond between the two brothers. The most notable scene between Graham and Merrill is when they sit before the television set and have a long conversation, in which they share their feelings on the menacing alien invasion and what they believe in. In such dialogue scenes, long-take shots are the most appropriate visual tool that can cast further emphasis on the strong emotion al relationships between the main characters. Furthermore, M. Night Shyamalan uses windows, glasses, and mirrors as symbols for thematic reasons in most of his films. For example, in The Sixth Sense M. Night Shyamalan uses parallel shots and mirror images in a scene where Crowes wife, Anna, appears with a bottle of wine in order for them to celebrate the award Malcolm has earned for outstanding achievement in the field of child therapy. Sitting in front of the fireplace they both enjoy it sarcastically, with their images reflected in the glass encased award. Shyamalan shows Malcolm and Anna as well as their reflection in parallel shots with purpose. The mirror image symbolizes the false reality of Crowe who soon becomes a reflection of himself. In addition, reflected images take an important part in Signs as well. When Graham comes out of the basement he feels as if the aliens are already gone and everything is back to normal again. It is then when he goes to take the television set from the closet and rolls it back into the living room. The timing of the scene turns into a powerful device as it only contributes to the one of the most horrifying scenes in the film. As soon as Graham brings the television set, there is a loud sound which emphasizes the terrifying revelation of an alien reflected on the screen. Similar shots are used in Unbreakable where the image of Elijah Price is reflected on a television set as well. It is an indisputable fact that the great amount of themes Shyamalan uses in his films reflects his directing style. Last but not least, M. Night Shyamalan makes cameo appearances in most of his films. In The Sixth Sense he appears as a doctor and shows in quite a short scene with Coles mother. In Unbreakable he plays the role of a drug dealer at a stadium, while in Signs Shyamalan takes a bigger part as Ray Reddy, the veterinarian who is accused guilty by Graham of the car accident, in which Grahams wife died. In conclusion, the slow pace and mystical elements constitute the plots as well as the characters in M. Night Shyamalans films. This is what appears to be his signature and philosophy in terms of directing and this is why I think his films are far better than the ordinary horror and thriller films. In addition to the visual technique, he also makes use of mystical elements and ambiguity in such a way that the storyline can easily get under the viewers skin and hold suspension until the very end.

Sunday, January 19, 2020

CT scan of abdomen and pelvis without contrast Essay

ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen. PELVIS: Good quality, non contrasted actual CT examination of the pelvis with coronal reconstructions. Prostate, seminal vesicles and urinary bladder appeared WNL. The bowels seen on the study appeared WNL, except for inflammatory changes of the appendix and seccum with acute appendicitis. Osseous structures of the pelvis appeared in tract with evidence of bilateral hip degenerative changes. IMPRESSION: 1. Findings consistent with acute appendicitis 2. Degenerative changes of the hips Paula Reddy NN:EF D: T: DISCHAGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05/Age: 46Sex: M Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Benard Kester, MD General Surgery Procedures Performed: Laparoscopic appendectomy with placement of RLQ drain on 11/14/2012 Complications: None. Discharge Diagnosis: Acute subapperative appendectomy perforated. DIAGNOSTIC/IMAGING LABS: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with fleggon. HOSPITAL COURSE: The 46 years old Caucasian gentleman presented to the ED with a 3 day history of abdominal pain, however in the last 24 hours and it has________ migrated to the RLQ with anneorixia, guarding and elevated WBC of 13 and CT scan consistent with appendicitis. The patient was taken to the operating room where he underwent a laparoscopic appendectomy that revealed appendix perforation and phlegmon. The appendix was removed in toto with an intact stable line. A drain was placed in the RLQ due to the fleggmonous material. Patient did well over the successive 2-3 days postoperatively with resumption of an oral diet having past flatus with having bowel movement with minimal drain output. However his WBC lowered to 6. His drain has been left intact. Patient is being discharged on the post operative day 3 on a 1 week course of PO gentamicin. The drain left in place. The drain will be removed in my office on 11/24/2012 if the drain output is minimal. Patient is on a PO diet. He was given a script for both antibiotics and PO narcotics. (Continued) PLAN: Post operative visit in my office in 1 week for evaluation and possible removal of JP drain. No heavy lifting for 4 weeks following surgery. Patient is to complete his full course of post operative antibiotics. DISCHAGE SUMMARY Patient is to report to the ED or my office earlier if any redness or foul smelling drainage out of the wound sit. Any swelling, fever, pain or any other concerns. Patient and his wife verbalized the understanding of the agreement with the above plan. Bernard Kester CC: Max Hirsch, MD D:11/14/2012 T:11/14/2012 HISTORY AND PHYSICAL EXAMINATION Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46 Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, MD Admission Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: 46 year old gentlemen with past medical history significant only for degenerative disease with bilateral degenerative disease of the hips. Secondary to arthritis. Presents to the Emergency room after having had 3 days of abdomen pain. It usually started 3 days ago and was generalized vague abdomen complaint. Earlier this morning the pain localized and radiated to the RLQ. He had some nausea without amesis. He was able to tolerate PO earlier around 6am. but now denies having an appetite. Patient had very small bowel movement earlier this morning that was not normal for him. He has not passes has the morning. ‘he is voiding well. Denies fevers, chills or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy. PAST MEDICAL HISTORY: Significant for arthritis of bilateral hips seen by Dr. Hersch. PAST SURGICAL HISTORY: Negative MEDICATIONS: Piroxicam for degenerative joint disease of bilateral hips ALLERGIES: No known drug allergies SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married. FAMILY HISTORY: No history of cancer or inflammatory bowel disease in his family. REVIEW OF SYSTEMS;;12 point ROS was preformed and is negative except noted in above HIP, PMH and PSH. Careful attention was paid to endocrine, integumentary, pulmonary, renal and neurological exam PHYSICAL EXAMINATION: Vital Signs. TEMPERATURE: 101.0, Blood Pressure- 127/179, Heart Rate-129, Respirations- 185, Weight-215. Situations 96% on room air. Pain Scale- 8/10. HEENT-Normal cephalic, atrumatic pupils equally round and reactive to light. Extra ocular motions intact. ORAL: Shows oral pharynx clear but slightly dry mucosal membranes. TMS: Clear. NECK: Supple, No thrangegally or JVD. No cervical,  subclavicular, axilarry or lingual lymphinalpathy. HEART: Regular rate and rhythm. No thrills or murmur heard. LUNGS: Clear to aspiration bilateral. ABDOMEN: Obese with minimal bowel sounds, slightly distended there is RLQ tenderness with guarding and pinpoint rebound. Positive _____. Actuator signs with negative psoas side. RECTAL: No evidence of blood or masses. PROSTATE: WNL. EXTREMITIES: No clubbing, cyanosis, clots or edmea. 1+ pedal pulses bilaterally. NUERO: Cranial nerves 2-12 grossly intact. DIAGNOSTIC DATA: WBC was 13.4, Hemoglobin and hematocrit 15.4 and 45.8, platelets 206 with 89% shift. Sodium 133, Potassium 3.7,Chorlide 99, Bicarbonate 24, BUM and Creatine 18 and 1.1, Lukeuos 146, adermin 4.3, total bulliru,1.7, remainder of the LFTs is WNL. Urinary analysis reveals trace keytones with 100 mg per decimeter with small amount of blood. CT scan was preformed revealing evidence of acute appendicitis with parasitical inflammation as well as facilitation of appendix inflammation and haziness in aperparacifiacal dilation. There is evidence of degenerative joint disease in bilateral hips on the cat scan as well. ASSESTMENT PLAN: This 46 year old Caucasian gentleman has signs and symptoms and radiographical findings consistent with acute appendicitis without evidence of abscesses. The plan is to take him to the operating room for laproscopic possible open appendectomy and possible large bowel dissection should the case resisitated. Plan was discussed with patient with his wife. Risk, benefits and alternatives were discussed. There was no barriers to communication and all questions were answered appropatily The patient understands the plan and desires to proceed . (Continued) The plan was discussed with Dr. Keslerof general surgery who agrees and will take patient to operating room . Alex McClure, MD D:11/14/2012 T:11/14/2012 PATHOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/Age: 46Sex: M Pathology Report No: 10-S-9044 Date of Surgery: 11/14/2012 Attending Physician: Bernard Kester, MD general surgery Preoperative Diagnosis: Acute appendicitis Postoperative Diagnosis: Necrotizing acute appendicitis Specimen Received: Appendix other than incidental Date specimen received: 11/14/2012 Date reported: 11/16/2012 CLINICAL HISTORY: Acute appendicitis. GROSS DESCRIPTION: The specimen was received in formily? With patient name, ID and appendix. It consist of a appendix measuring 6 x1.5Ãâ€"1.5 cm there periepdesial fat attached to it measuring 6Ãâ€"4 by1 cm. The cirrosal surface is hemmoraggric. Upon opening the appendix there is percudent exudates material. The wall thickness measures 0.3cm. Representive sections are present is 1 cassettes. MICROSCOPIC DESCRIPTION: Performed MICROSCOPIC DIAGNOSIS: Appendix appendectomy, Necrotizing acute appendicitis. ICD Diagnosis Code: 540.9 (Continued) CPT Code: 8-88304 Georgia Tamato,MD ALW: D:11/14/2012 T:11/14/2012 OPERTIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/05Age: 46Sex: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester, MD General Surgery Surgeon: Bernard Kester, Assistant: Jason Wangner, PAC Circulating nurse: Jimmy Dale Jet, RN Preoperative diagnosis: Acute appendicitis. Post operative diagnosis: Perforated appendicitis. Operative Procedure: 1: Laparoscopic Appendectomy. 2: Placement of RLQ drain. Anesthesia: General endotracheal. Specimen Removed: 1 Necrotic appendix. IV Fluids: 1700 crystalloid. Estimated Blood Loss: 10mL. Urine Output: 300mL. Complications: None. INDICATIONS: This gentleman is a 46 year old Caucasian male that came in with a 3 day history of abdominal pain, however the pain worsened after 24 hours to the RLQ and caused a significant amount of anorixia. He presented to the ER department. CT scan to abdominals and pelvis showed acute appendicitis. Labs showed WBC at 13. Laparoscopic appendectomy procedure was explained along with the risk, benefits and possible complications. Patient voiced his desire to proceed. Patient was started on preoperative gentamicin. DESCRIPTION OF PROCEDURE: Patient was ID’d times 2 in the pre op holding area. A final timeout was held in the nursing area, anesthesia and surgical service during in which the patient ID was confirmed and the surgical site was initialed. He was given preoperative antibiotics. He was taken back to the OR and placed in the supine position. General endotracheal anesthesia was induced. SEDs were placed on his lower extremities. His Left arm was tucked to the side. Foley Catheter was placed. His abdomen was shaved and prepped with betadine solution, and draped in the usual standard fashion. A small semicircular umbilical incision was made to the subcutaneous tissue down to the fascia. And was gasped at either side and was incised. Kelly clamped was easily inserted. Stay sutures made a _____on either side the Hasson trocar was placed and pneumoperitoneum was easily  achieved. 10 mL port was placed in Left abdomen and a 5 mL was placed in the LLQ. Inspection of RLQ showed a significant amount of adhesions and the small bowel trying to wall off perforated appendix. Milky purulent exudates was noted in surrounding area. The small bowel was carefully peeled off the RLQ side wall. Fibrous exudate the vermiform appendix was identified. It was neurotic perforated in appearance The cecum was mobilized by taking down the lateral attachments laterally. The adhesions of the terminal illium through the pelvis were significant, attempts at this time were not made to free them. There was no evidence of obstruction. The base of the appendix was Identified and dissected and lifted free. Stapler loaded with___ was used to transect the base______however again inflammation extended to the level of the cecum. Though the cecum itself was also inflamed. The remainder of the mesoappendix was divided with a Endo GIA loaded with a _____. Appendix was placed into a endo catch bag was brought out through the umbilical cord site and sent to pathology for routine processing. Inspection of the RLQ and the area was irrigated coupsuley, there was no further evidence of purulent exudate. The appendicualr stump remained and doesn’t appear to be inflamed. However____wasn’t bl eeding. There was some fibrous exudate in the area. Consequently I felt like we had 2 options, we either perform a right epicolodectomy, given the intent of the adhesions in the pelvis would likely require a laparotomy or place a drain with antibiotics possibly controlling the fistula until the inflammation resolves. But hopefully it will heal on its own spontatensouly. Consequently we placed a19 French round Blake drain in the RLQ and brought it out through the LLQ in the 5mm port site. It was secured to the skin using a micro suture. Nuenopartiumeum was then desufflated the fascia of the umbilical port site was closed using a 2,o vicro that had been previously placed. All wounds were enthsitized using 1/2% marking solution and was coupsley irrigated. Skin edges approximated using 4 or monocro. The wounds were dressed with beatdine spray and steri strips. Drain sponge was placed around the drain, Foley catheter was removed. The patient was awakened, exubated then taken to recovery PAR in stable condition. Having tolerated the procedu re well. No complications were observed. DISPOSISTION: 1: The patient will be transferred to the floor. 2: He will be kept at least overnight. 3: He will be taught drain care. 4: He will go home with the drain on place. 5: He may require a fistulagram in the future. Benard Kester, MD D:11/14/2012 T:11/14/2012

Friday, January 10, 2020

Commercial Influences

Scientific research, considered to be the absolute study by universities or other non-commercial institutions, is now becoming commercialized gradually. However, the involvement of business into the professional studies brings more negative impacts than positive ones. Apparently, some special areas that are popular with commercial industries, are now suffering difficult challenges. Therefore, this essay will emphasize how businesses influence science negatively. Indeed, the involvement of commercial companies influences both scientists’ independence and the relevant balance of different areas. Firstly, scientists who are engaged in some areas being sponsored by commercial institutions appear to lose certain parts of their patents and be more dependent on businesses. For example, it is clear that almost all engineering department in the UK have received funding from the arms industry (text 3a, lines 27-30). Meanwhile, the research scientists carrying on would be required to consider commercial interests more than public needs. Some scientists would be limited to express their own concerns, such as Nancy Olivieri, who is the haematologist of university and have been stopped to publicize her own concerns of the drug toxicity (text 3b, lines 64-66). Secondly, in terms of short-term interests, most companies prefer to participate in some research that is intended to be immediately profitable so that other areas that need a long-term study would be neglected. Definitely, it is so hard for those studies that focus on environmental problems, such as ‘blue-sky’ research and ‘low-input’ agriculture, to gain adequate support from businesses. Even if these research are low-cost and public would benefit lots from them, few companies are willing to cooperate with these studies (text 3a, lines 70-74). Although the excessive involvement of business could be increasingly detrimental, some areas will not worry about the fund any more if they can gain more support from business. To avoid the conflict between business and scientific research and to harness the commercial interest effectively, review panels can be set up to protect both science and public (text 3b, lines 120-125). In conclusion, the negative participation of businesses are now considered to be an obstacle to some extent, but what the social needs most should be an appropriate control from government to balance the commercial and public interests. However, the fact that the commercial behavior brings so bad impacts on the scientific environment cannot be neglected, so that we should approach the conflicts between them.

Thursday, January 2, 2020

The Theory Innocent Until Proven - 2102 Words

The theory Innocent Until Proven... (IUP) is a psychological theory developed to understand persons who exhibit characteristics and personalities shaped by their external environment. In our society, we are exposed to certain behaviors which shape our personality as we become adults. The theory specifies that infants are brought into this world having no knowledge of the â€Å"outside world.† They are taken from the comfort of their mother’s womb, and forced to adapt to the daily life of the individual they choose to become. Humans were at one point considered ‘innocent,’ thus the theory called IUP (Innocent Until Proven...). In addition to environmental factors, we are also introduced to others (peers, teachers, family) where we learn their varied behaviors, actions and reactions and combine them with our external environment to shape and mold our human nature. This has been contradicted by a recent Senior Pastor of Harvest Bible Chapel, who questioned th e impact of the environment on human behavior and he concluded that personal choice is also a main factor. However, there is ongoing research, as well as historical data by many renowned psychologists aiming to prove that the environment does affect human nature, which coincides with the IUP theory. Our parents play a major role in the development of our personality and character. As infants, humans are mainly involved with their parents, as they feed, play, and provide all the necessities a baby requires for nurturing andShow MoreRelatedScenario on Social Learning Theory Essay1304 Words   |  6 Pagesadult behavior. After carefully doing creativity thinking, we came up with a policy to help prevent the young children from the social learning theory. 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