Management of Implant Related Nerve Injury

Management of Implant Related Nerve Injury Nerve injury following implant therapy often results in paraesthesic or anaesthesic effects that affect quality of life of the patient. Patients usually experience postoperative changes in sensation, including pain, even though the intraoperative procedures were uneventful. In cases of uneventful clinical implant placement procedures, a postoperative telephonic interview, as soon as the effects of anaesthesia have dissipated, will enable the clinician to determine possible nerve injury and hence initiate management protocols. Postoperative radiography would be essential to assess whether the inferior alveolar nerve canal or mental foramen have been traversed, however it must be noted that absence of radiographic findings do not preclude nerve injury. Management protocols aim to alleviate pain, loss of normal sensation and overall discomfort following nerve related injuries, with varying degrees of success depending on the nature of injury. Hence, it is clearly identified that the imp ortance of comprehensive pre-planning mitigates the need for management of nerve related injuries. Nerve injuries in the maxilla are relatively uncommon compared to mandible. Branches of the greater palatine nerve, posterior superior alveolar nerve, and the nasopalatine nerve, which supply the gingival issues in the anterior and posterior palate and buccal mucosa of the maxilla, are inevitably damaged due to flap procedures in implant therapy. Due to the rich anastomosis between these nerves, very rarely does this damage result in neural deficit. Numerous academic studies have been attributed to implant related nerve injury of the mandibular branch of the trigeminal nerve, more importantly, the inferior alveolar nerve, mental nerve, and the lingual nerve. Interventions can be broadly classified as, a.  Non-surgical b.  Surgical, and c.  alternate treatments. a. Non-Surgical Therapy This form of therapy should be mandated as soon as signs and / or symptoms of nerve injury be suspected, whether intraoperatively or postoperatively. Corticosteriods, dexamethasone (8mg daily for 3 days) or prednisolone (1mg/kg/day up to 80mg day), in high doses have been shown to minimize neuropathies in acute nerve injuries if administered within 1 week of the injury. A non-steriodal anti-inflammatory drug (NSAID) could be added to the regimen or prescribed as an alternative. Ibuprofen, 800mg three times daily for 3 weeks, is a suitable NSAID. Corticosteriods and NSAIDs reduce the inflammatory response with corticosteroids having the added effect of preventing ectopic discharges from injured axons and preventing neuroma formation (Juodzbalys et al, 2011). Pain and temperature are the first sensations to resolve with other sensations taking longer (Alhassani and Alghamdi, 2010: 405; Juodzbalys et al, 2011). The use of topical applications has not been broadly researched. Capsaicin and clonidine patches along with EMLA paste (4% lignocaine) are some of the products used to treat hyperalgesia with varying success. Topical clonazepam, 0.5mg to 1.0 mg 3 times day was shown to be effective in relieving burning oral pain (Graff-Radford and Evans, 2003: 979, Fukada et al, 2012). Tricyclic antidepressants (TCAs), antiepileptic drugs, and muscle relaxants have been effective in treating cases with neuropathic pain and intermittent pains which exhibit an â€Å"electric shock† – like symptoms (Graff-Radford and Evans, 2003: 980). An example of a TCA is amitriptyline although other antidepressants can be used. In patients where TCAs are contraindicated, serotonin and norepinephrine reuptake inhibitor (Venlafaxine) can be prescribed. Gabapentin and topiramate are antiepileptic drugs which stabilize the injured nerve membrane. It must be noted that this class pharmacological agents depress the activity in the central and peripheral nervous systems. Hence patients on these therapies can expect side effects including, drowsiness, loss of memory, and somnolence. It can be expected that some patients cannot manage the side effects of these drugs and opt to live with pain or altered sensations (Renton et al, 2012; Park et al, 2010: 345). Cryotherapy is effective treatment to minimize swelling over the osteotomy site and hence minimizing secondary nerve damage due to swelling. Use of ice packs in the first 24 hours promotes post-surgical recovery and reduces nerve degeneration and neuroma formation (Juodzbalys et al, 2011). A stellate ganglion block is a treatment modality that used to treat patients experiencing chronic neuropathic pain and to relieve subjective symptoms. If performed early,1 to 2 month post nerve injury, it accelerates neurophysiological repair by blocking the sympathetic nervous system hence increasing blood flow and decreasing oedema (Fukada et al,2012;). A more recent non-surgical, non-invasive approach includes the use low level laser therapy (LLLT), also known as cold laser therapy, for inducing tissue repair. The initial concept, now available for mainstream commercial use, has been gaining interest as research with over 200 random clinical trials have been already published, 50% of which were aimed at pain relief, but it must be noted fewer studies have investigated its efficacy in the head and neck region. LLLT broadly aims to reduce inflammation and provide analgesia by blocking peripheral axonal transmission and stimulating nerve regeneration / healing. After repeated treatments with LLLT, decreased central sensitization is acheived (ThorLaser). [ABDUL PLEASE ASSIST ME WITH THAT REFERENCE FROM THORLASER]. In animal studies, LLLT has shown positive results in enhancing myelination of axons and nerve function. In the Midamba and Haanaes 1993 study, similar protocols were used on patients with long standing inferior alveolar or l ingual nerve neurosensory deficits, an average of 71,1% improvement was noticed in subjective symptoms (cited in Ozen et al, 2006: 7). The use of vitamin B12 as an adjunct with routine pharmacotherapy is thought to promote the regeneration of nerve terminals. Modalities that increase blood flow to the injured nerve also promote healing. These include near infrared therapy to increase local blood flow and adenosine triphosphate by causing vasodialation. b.Surgical Therapy Microsurgical repair includes procedures that involve internal neurolysis, external neurolysis, and removal of the neuroma. Microsurgical repair of the injured nerve carries its own risk as permanent anaesthesia is a possibility. Hence, these procedures are carried out with aid of a microscope by specialist neurosurgeons or trained maxillo-facial surgeons. Microsurgical repair of the lingual or inferior alveolar nerve has been shown to have significantly improved sensory outcomes in most patients with total recovery in a fewer patients. Zicchardi et al (2009: 300) have concluded that statistically, there were no significant differences between the microsurgical neurosensory outcomes between the inferior alveolar and lingual nerves. It has been reported that 55% to 82% of patients show improved neurosensory outcomes of microsurgical repair of the inferior alveolar nerve (Strauss et al, 2006: 1769; Bagheri et al, 2012: 1983). This wide range leads to hypothesize that other factors play a role in the outcomes of microsurgical nerve repair. Time between the nerve injury and microsurgical repair has been a topic of debate with regards to sensory outcomes. Some groups advocate early repair (6 month or earlier post-injury), and some groups finding no statistical difference in sensory outcomes between early or later repairs. However, in a retrospective cohort study undertaken by Bagheri et al, a cohort of 167 patients were evaluated post-microsurgical repair, where it was deduced that early repairs were directly related to better outcomes. Younger patients (patients less than 51 years) also yielded a more favourable outcome than older patients. Neurosensory testing will also give insight into the severity of damage and hence the outcome of microsurgical repair, if indicated. In cases where it has been clearly established that nerve damage has occurred post implant therapy, removal of the implant within 24 to 30 hours has been shown to resolve neuropathy (Renton et al, 2012). c.  Other Treatment Modalities It is clear from above that nerve injury post implant therapy has an effect on the quality of life of affected patients. Some patients even lose confidence in their treating physician / dentist / specialist as a result, and opt for alternate management strategies. Psychotherapeutic interventions, including cognitive behavioural therapy, aim to manage the resulting depression, if diagnosed. When combined with psycho-active chemotherapy, stress management techniques, and hypnosis, has been shown to be effective in managing neuropathic pain. Patients are taught to modify their behaviours according to their symptoms, psychological traits and ultimately decreasing patients’ pain-related disability (Dickenson et al, 2010: 1644). Further investigation into treatment modalities for nerve injuries, iatrogenic or otherwise, make mention of other procedures, that are beyond the topic of this discussion, but include the use of epidural injections, neuromodulation, transcutaneous electrical stimulation, spinal cord stimulation and deep brain stimulation. There are no clearly defined management protocols for the management of nerve injury post implant therapy, however, Juodzbalys et al, (2011), have constructed a management guideline that incorporates some of the treatment modalities described above (See Table 1). REFERENCES Alhassani, A., Alghamdi, A.S.T., 2010. Inferior alveolar nerve injury in implant dentistry: Diagnosis, causes, prevention, and management. Journal of Oral Implantology, 36 (5), 401 – 407, viewed 30 April 2014, (Ebsco online / Allen Press). Bagheri, S.C, Meyer, R.A, Cho, S,H, Thoppay, J, Khan, H.A, Steed, M, 2012. Microsurgical repair of the inferior alveolar nerve: Success rate and factors that adversely affect outcome. Journal of Oral Maxillofacial Surgery, 70, 1978 – 1990, viewed 30 April 2014, (online Science Direct). Dickinson, B.D, Head, A, Gitlow, S, Osbahr III, A.J, 2010. Maldynia: Pathophysiology and management of neuropathic and maladaptive pain – A report of the AMA Council on Science and Public Health. Pain Medicine, 11, 1635 – 1653, viewed 24 May 2014, (Ebsco online / Wiley Blackwell). Fukuda, K, Ichinohe, T, Kaneko, Y, 2012. Pain management for nerve injury following dental implant surgery at a Tokyo dental college hospital. International Journal of Dentistry. vol. 2012, Article ID 209474, viewed 22 April 2014, (Ebsco online / Hindawi Corporation). Graff-Radford, S.B, Evans, R.W, 2003. Lingual nerve injury. Headache, 43, 975 – 983, viewed 21 April 2014, (Ebsco online / Wiley Blackwell). Juodzbalys, G., Wang, H-L, Sbalys, G., 2011. Injury of the inferior alveolar nerve during implant placement: a literature review. Journal of Oral Maxillofacial Research , 2 (1), 1 – 20, viewed 22 April 2014, (Ebsco online). Ozen, T, Orhan, K, Gorur, I, Ozturk, A, 2006. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Medicine, 2, 3-9, viewed 01 June 2014, (Ebsco online / BioMed Central). Park, J.H, Lee, S.H, Kim, S.T, 2010. Pharmacological management of trigeminal nerve pain after implant surgery. International Journal of Prosthodontics, 23, 342 – 346, viewed 22 April 2014, (Ebsco online, Quintessence) Renton, T., Dawood, A., Shah, A., Searson, L., Yilmaz, Z., 2012. Post-implant neuropathy of the trigeminal nerve. A case series. British Dental Journal, 212 (E17), 1 – 6, viewed 30 April 2014, (online Nature Group). Strauss, E.R, Ziccardi, V.B, Janal, M.N, 2006. Outcome assessment of inferior alveolar nerve microsurgery : a retrospective review. Journal of Oral Maxillofacial Surgery, 64, 1767 – 1770, viewed 05 May 2014, (Ebsco online/ Quintessence). Ziccardi, V.B, Riviera, L, Gomes, J, 2009. Comparison of lingual and inferior alveolar nerve microsurgery outcomes. Quintessence International, 40, 295 – 301, viewed 02 May 2014, (Ebsco online/ Quintessence). THORLASER

Compare the ways in which 3 poets write about relationships Essay

Introduction ‘To his coy mistress’, ‘Remember’ and ‘Since there’s no help†¦Ã¢â‚¬â„¢ are all poems about relationships, the difference is the interpretation of the poet’s message, structure and other various aspects of the poems. ‘To his coy mistress’ by Andrew Marvell and ‘Since there’s no help’ by Michael Drayton were both written around the 16th and 17th centuries and explain very different characteristics of love. Drayton wrote a poem about the end of a relationship with a partner expressing that the love between them is dying. On the other hand Marvell writes, in a poetical way, someone’s argument to a lover trying to persuade them to have sex with them. This poem captivates your attention with the extremes a man would go to have sex with a young virgin, unlike the other poems that are about two partners love for each other. Similarly to Draytons poem, about love in a relationship, Christina Rossetti wrote a poem in the late 19th century to her partner telling him what to remember about their time together. Themes/subject The poem ‘To his coy mistress’ starts with Marvell addressing the young lady, whom he wishes to be his lover that there is no time for her to be coy. Straight away this gives the impression that he’s an intimidating and powerful man. ‘Had we but world enough, and time, this coyness, lady, were no crime’ Marvell tells the lady that being coy is alright when you have time but implies their time is limited and therefore she has no time to be coy, in effect he is pressurising her to do something that she is uncomfortable with. Through the repetition of time in the above sentences you may have guessed that it plays an important role in the poem. Marvell refers to time regularly in the poem as part of his persuasion techniques. The way in which he uses time pressurises the woman into doing what he wants. For example ‘Time’s winged chariot hurrying near’ implies that she can’t live forever so must make the most of the time she has. He uses time again in the concluding lines of the poem as a last persuasion to get his way ‘Thus, though we cannot make our sun stand still, yet we will make him run’ Here Marvell explains to the lady that they cannot make time stand still completely but they can make the most of the time they have. When you feel bored and upset your time seems to go slowly compared to when you are happy and this quote uses this to say that their time will be ‘running’ if they are together due to the good times they will have. Similarly to Marvell, personifying time, Drayton uses the same technique by personifying love ‘Now, if thou would’st, when all have given him over, from death to life thou might’st him yet recover’ Here Drayton has personified love by saying it is dying but may come back to life. I feel this is a good method by which the poet can get his message across with ease. In this case Drayton has personified love as a person on the verge of death. When comparing the two poems it becomes clear that this technique is also useful in distinguishing the message from a speech or letter into a poem. Images A positive image in the love poem ‘Remember’ is where Rossetti writes ‘Better by far you should forget and smile than you should remember and be sad’. She is expressing that she would rather be forgotten if that is the way to make her husband remain happy as she doesn’t want to be remembered if it will make him sad. Rossetti’ symbolises her love for her husband because she couldn’t bare him being sad by remembering her, therefore giving an optimistic image of their relationship. Rossetti also expresses sorrow images ‘Gone far away into the silent land. When you can no more hold me by the hand’ portrays that when she dies she will go to a silent land where she will be all alone, in comparison to when she is alive she can hold her husband’s hand, this reminding him that when she dies they will be separated forever. This is a sad image because it implies that their close bond will be split for eternity. The sadness is emphasised further because their relationship together was obviously true love yet now it is near its end. Marvell uses death in his persuasion, ‘Time’s winged chariot hurrying near’ A downbeat quote persuading the young lady that if they do not have sex that soon times winged chariot will collect them. He is implying it will be too late if they wait as eventually they will get old and die. Marvell personifies time as a chariot and I think his meaning is that a chariot collects people once they die and as they age the chariot gets nearer and so tries to put across this image to the woman. Marvell attempts to persuade the young lady that he will spend an age to admire each part of her and at the very end of the admiration she will love him back. He then says that she deserves no less than this and that he will never give her less than what she deserves. ‘An age at least to every part and the last age should show your heart: for lady, you do not deserve this state; nor would I love at lower rate’ this quote is not intimidating, like most of the poem I think he says it so the young lady thinks he is a good man. I don’t think Marvell wrote the poem because of his love for her, even though in some parts of the poem he tries to re-assure her that he does love her, instead I think he uses it to take advantage of her naivety – quote gives a pleasant image but has malicious intentions. I feel he says this only because writing about love is a good method when trying to lure her into bed and even though this quote may be deceiving she will probably not realise due to her young age. At the end of the poem Marvell tells the young lady that he would rather die than be without her ‘Rather at once our time devour than languish in its slow-chapped power’ Lines 39-40. This gives an image that he would rather all his time go, and would prefer to die than be without her because he would have to suffer in times power as his life would seem to be going slower if he wasn’t with her. As this quote is written in the concluding lines of the poem it continues to lead your thoughts to think he uses love as a means of enticing her into doing what he wants and to trick her into believing that he’d rather die than be without her. In the poem ‘Since there’s no help†¦Ã¢â‚¬â„¢ there are a lot of negative images with few positive ones. This is due to the fact that love is dying out compared to Marvell’s poem in which the man wants the lady to believe he is in love with her, so if he expresses too many negative images then she would be less likely to believe him, different in that of Rossettis poem in which the relationship is very strong but the circumstances are of the person dying and not the love and by this she portrays how much love she has for him. In the opening lines Drayton tells the lady he wants nothing more to do with her ‘you get no more of me’ even the phrase itself gives you the image that he doesn’t want them to be together any longer. He continues to feel bitter and depressed and he reflects his mood in the negative images he gives in the poem. ‘I am glad, yea, glad with all my heart, that thus so cleanly I myself can free’ Drayton is almost trying to persuade her and himself that he doesn’t love her anymore and that he can be free of her, if their relationship ends. I don’t think Drayton does want the relationship to end but says this because he feels that he has no choice and doesn’t want to give his partner the impression that he would forgive her, whatever she does, otherwise she will take him for granted. Structure Marvell, Drayton and Rossetti all use rhyming couplets in the structure of their poems and this makes the poem easy and interesting to read. If it excluded the rhyming couplets reading the poem would be dull and the poet’s message would probably be lost in what would sound more like a speech. Drayton and Rossetti both wrote traditional love poems, the differences being that Rossetti wrote about the great amount of love between a couple and Drayton wrote about the lack of love in the relationship. Both poems include only 14 lines as opposed to the 46 of Marvell’s poem, however, all three poems work well. I felt Marvell chose to write a longer poem so he could properly express the argument and message it contained whereas I felt Rossetti and Drayton chose the shorter structure would be the most efficient way to explain what they wanted as they may have felt that choosing a longer structured poem to end a relationship or to express someone’s feelings would make the poem dull and boring. The difference between Rossetti’s and Drayton’s traditional love poems is that Rossetti split the poem into two stanzas; one with 6 lines and the other with 8 and thus uses the structure of a Petrachan sonnet whereas Drayton used the Shakespearean Iambic Pentameter which contains what would now be 10 syllables per line. Rossetti and Drayton writing a sonnet is evidence that they must love their partner. To write a sonnet to someone puts across the fact that you love them through the structure alone because of it being a traditional love poem. Language / Tone Marvell wrote his poem with persuasive and argumentative language. He tries to pressurise the person it is written for by consistently using death in his argument. At the beginning he says that there is no time to be coy but later says the opposite by saying ‘if you please, refuse till the conversion of the Jews’. As Jews are renowned for the pride they have in their religion he may feel there is not much chance of his succeeding with the young lady unless he poses this argument to change her opinion. Marvell tries to allure the young woman into having sex by using shock tactics ‘Then worms shall try that long-preserved virginity and your quaint honour turn to dust and into ashes all my lust’ Notice the language that he uses, as opposed to saying that someone else will take her virginity he gives her the image of her losing it to worms once she dies. This is a horrific image and using this destructive image it is far more effective because of the message behind it. Rather than using kindness to persuade his mistress into having sex he tries to scare her and in using such a forceful phrase on someone he claims to love further confirms his intimidation of this poor innocent girl. In comparison Rossetti wrote her poem in a more relaxed way but still with an important point to make. This is because she was writing it to someone who she has loved for most her life, however, she still wanted to persuade him not to grieve. Remember is repeated throughout the poem, this is because she wants to be remembered but doesn’t want to be mourned. Her message is expressed when she writes ‘Only remember me; you understand’ and ‘and afterwards remember, do not grieve’ both these quotes found in the second stanza of her poem prove that she doesn’t want him to forget her nor grieve. Rossetti, unlike Marvell, didn’t write on her own behalf as Rossetti wrote solely for her husband and mentioned herself rarely in the poem, I felt this was sad as she is the one dying but she didn’t want to meake her husband feel more upset so she couldn’t tell him how she was really feeling. You can tell she loved her partner and that the poem was written with good intentions. Drayton wrote his poem in such a way that it seemed that he was trying to persuade himself that he would be better off ending the relationship as well as telling his partner that their relationship had finished. Draytons intitial message to his partner is that their relationship is worth nothing, however, at the end begins to realise the love he has for her and so tells her the love may come back and as he does this the message at the end is very similar to the message expressed by Rossetti ‘when all have given him over, from death to life thou might’st him yet recover’ Drayton, talking about love personifying, hints that the love may come back to their relationship and may this happen his relationship could be similar to Rossettis loving relationship with her husband. My response to the poems My feelings about each poem differ; I feel the poem by Rossetti is sad as you can tell the relationship was strong and the poem was written to give her husband strength to go on after her death and remember the good things once she’s dead. It is effective as you know they had a good relationship because information such as their planned future together can be taken from the poem ‘no more day by day you tell me of the future that you planned’. It is also sad because she showed no self pity and so makes you feel sorry for her husband who wouldn’t know how his wife felt about her nearing death. My feelings about Marvells poem are completely different. I think this poem is quite threatening and harsh. He tells the young lady in the poem that she has to make her decision before she is old and ugly as he will no longer love her. I think he is also mean to write a poem in the persuasive language he does because she is young and naà ¯Ã‚ ¿Ã‚ ½ve and he uses this to his advantage. The horrific images he portrays further prove that he uses love falsely because if he did love her he wouldn’t scare her into having sex against her will. ‘Then worms shall try that long-preserved virginity and your quaint honour turn to dust and into ashes all my lust’ This illustrates the extremes the speaker is prepared to go to in order to get what he wants, he is trying to give her negative thoughts of what will happen if she rejects him. As mentioned before, the poem was written in the 17th century in an era which girls normally married as virgins and usually at a very young age. Marvell uses this to his advantage by continuing to express, what I think, is false love because by getting her to believe he is in love with her he feels he stands a greater chance of her losing her virginity to him. I felt sorry for Drayton after reading his poem because I felt he wrote it after finding out about his partner’s affair and this would account for his harsh way of ending their relationship and angry tone used when ending it. However, to tell his partner that he can be free without her is surprising, especially when at the end of the poem he says the love may come back. I think Drayton wrote this poem on the back of an affair his partner had been having, ‘Now at the last gasp of loves latest breath, when, his pulse failing, passion speechless lies, when faith is kneeling by his bed of death’. The phrase speechless lies could be a reflection of the times she lied to him while having the affair and faith kneeling by deaths bed shows that along with the love, faith had also left the relationship giving further reason to think she had an affair. Aswell as this Drayton lets his partner know that the love in their relationship is dying and has nearly gone completely, by saying that it is taking its last gasp of breath. Shortly after, Drayton gives his partner the impression that the love may come back. ‘Now, if thou would’st, when all have given him over, from death to life thou might’st him yet recover’. This quote gave me the feeling that the relationship could come back giving reason to believe that the poem was written as retaliation after finding out about an affair. Understandably he would be distraught and so uses the harsh images mentioned in the early stages of the poem but finally ending by realising the amount of love he has for his partner and so says that they might be able to overcome this and love each other again. The poem I preferred Overall the poem that I most preferred was Draytons poem ‘Since theres no help†¦Ã¢â‚¬â„¢ This is because unlike Marvells poem it isn’t as long and is kept to a simple 14 line structure. I feel that this made it easier to understand as opposed to Marvells longer poem. Even though the longer length may have added more detail I found this made it far easier to lose interest. Rossettis poem, like Draytons, was short, however, I liked the way Drayton personified love throughout his poem by expressing loves life in his relationship. I disliked the overuse of ‘remember’ in Rossettis poem, even though it was obviously intentional, I thought it made the poem repetitive with Rossetti continually telling her husband what to remember and remember what not to do. However, I did think that Marvells poem was strong in its persuasiveness and thought it would probably be successful in taking advantage of the young girl, which was the purpose of him writing it. Another reason for my preference of Draytons poem is that it questions the strength of the relationship and whether feelings can be turned off so easily.

Bilingual Education System in China Essay - 1005 Words

It is generally claimed in today’s world that bilingual education is becoming one of the most significant issues in the sphere of global education. In comparison with the status of bilingual education (BE) in China, a great deal more is known about its development in countries of Europe and North America (Feng 2007, vii). However, BE in China has a lot of varieties determined with the educational context of students and the diversity of languages spoken in regions. But what is bilingual education in the context of China of 21st century? The established model of BE in China, called â€Å"language maintenance† or â€Å"heritage language† bilingual education, represents the using of mother tongue by language minority students as a main language of†¦show more content†¦And this trend is observed in different academic institutions and is able to improve the entire Chinese education system (Feng, 2007, ii). When we consider personal advantages of Chinese-English BE in the PRC, one of the most influential ones is English proficiency which implies communicatory, occupation and cultural benefits for bilingual students in the future. For example, it is acknowledged that English language has become the essential instrument of assimilation of foreign technologies since the announcement of â€Å"open door† policy in the country. Thus, in terms of getting a job in the industrial sphere at the state level it would be obviously beneficial for bilingual employers in comparison with monolingual candidates, who are competent to perform their duties only in native language medium (Xiong, 2009, 35-36). Furthermore, Xiong (2009, 35) states that there is a direct relationship between educational background and earning capability of individual. To clarify, he gives an example of the survey carried out in Swiss labour market, which indicated a substantial direct correlation between English language proficiency and the average amount of revenue. Therefore, it means that English speaking workers who acquired bilingual education are more expected to get a high-paid job. In other words, it is a â€Å"passportShow MoreRelatedEssay about Changes in China’s Ethnic Minorities1275 Words   |  6 PagesChina is a Han-dominant multi-ethnic, multi-lingual, and multi-cultural nation. China’s present government recognizes 56 official ethnic groups. Han is the majority group. The rest of the 55 are minorities, which are eligible for special policies such as subsidies for certain food, special consideration in national college entrance exams, and much more lenient birth control policies. 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Comparing Apocalypse Now and Heart of Darkness Essay

Comparing Apocalypse Now and Heart of Darkness In the opening scenes of the documentary film Hearts of Darkness-A Filmmakers Apocalypse, Eleanor Coppola describes her husband Franciss film, Apocalypse Now, as being loosely based on Joseph Conrads Heart of Darkness. Indeed, loosely is the word; the period, setting, and circumstances of the film are totally different from those of the novella. Yet, a close analysis of character, plot, and theme in each respective work reveals that Conrads classic story of savagery and madness is present in its cinematic reworking. The story of Heart of Darkness is narrated by its central character, the seasoned mariner Marlowe, a recurring figure in Conrads work. Apocalypse Now†¦show more content†¦The idea of company man turned savage, of a brilliant and successful team-player, being groomed by the Company for greater things, suddenly gone native, is perfectly realized in both novella and film. In the film, Kurtz is portrayed by Marlon Brando, the father of American method actors, who lends weight (both physically and dramatically) to the figure of the megalomaniacal Kurtz. Brandos massive girth is all the more ironic for those familiar with Heart of Darkness who recall Conrads description: I could see the cage of his ribs all astir, the bones of his arms waving. It was as though an animated image of death carved out of old ivory had been shaking its hand with menaces at a motionless crowd of men... (Conrad, p.135). One could speculate that Coppolas Kurtz is a graphic analogy of the bloated American war machine dominating and perverting the innocent montegnards of Cambodia; however, after viewing Eleanor Coppolas documentary, one finds that the casting was more based on a combination of Coppolas wanting to work with Brando (remember The Godfather) and Brandos own weight problem. (It should also be noted that the cult-like following of Kurtz in Heart of Darkness is brilliantly and subtly updated by Coppola in a foreshadowing scene in which missives to Willard from headquarters are intercut with scenes of newspaper clippings about Charles Manson.) Also present in Coppolas film is the loveable, addle-headed harlequin/foolShow MoreRelated Comparing Marlow of Heart of Darkness and Willard of Apocalypse Now1512 Words   |  7 PagesComparing Marlow of Heart of Darkness and Willard of Apocalypse Now      Whenever books are adapted for film, changes inevitably have to be made. The medium of film offers several advantages and disadvantages over the book: it is not as adept at exploring the inner workings of people - it cannot explore their minds so easily; however, the added visual and audio capabilities of film open whole new areas of the imagination which, in the hands of a competent writer-director, can more than compensateRead More Comparing Conrads Heart of Darkness and Coppolas Apocalypse Now3622 Words   |  15 PagesSimilarities in Conrads Heart of Darkness and Coppolas Apocalypse Now Sometimes, a work is so great that artists from other forms of expression are compelled to interpret that work in their own medium. Francis Ford Coppola took James Conrad’s classic novel Heart of Darkness and updated it to the time of the Vietnam War. James Conrad’s classic novella Heart of Darkness is a tale about a seaman who makes his way up the Congo river in search of a man and his ivory. In 1979, Francis Ford CoppolaRead More Comparing Joseph Conrads Heart of Darkness and Francis Ford Coppolas Apocalypse Now2104 Words   |  9 PagesConrads Heart of Darkness and Coppolas Apocalypse Now      Ã‚   Apocalypse Now is a very vivid and sometimes disturbing film centered on the Vietnam War. Because it was based on Joseph Conrads novella Heart of Darkness, it is possible to draw some parallels between the two. Both can be interpreted as metaphors for a journey through the inner self, and each has its own singular message to convey. Apocalypse Now very perspicuously depicts the fact that men have hearts of darkness, and it exploresRead MoreComparing Joseph Conrad’s novel â€Å"Heart of Darkness† and Francis Ford Coppola’s film â€Å"Apocalypse Now†1235 Words   |  5 PagesThe focus of this Comparative Essay is to evaluate the similarities between Joseph Conrad’s novel â€Å"Heart of Darkness† and Francis Ford Coppola’s film â€Å"Apocalypse Now.† Resemblances in both stories are prominent when reading the novel or watching the film. The resemblance which will be used in this essay will be the similarities betwe en the protagonists in both stories, Charlie Marlow and Captain Benjamin L. Willard. 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The reversed meanings amongst the colors and entangled description in Heart of Darkness shows how backwards civilization is through the need to enlighten or civilize the natives is flamboyantly flaunted in both theRead MoreComparative Essay1096 Words   |  5 Pagesanalysis: â€Å"Heart of Darkness† â€Å"Apocalypse Now† Student: Mora Vandenbroele Teacher: Azucena Estigarribia Year: 11th â€Å"A† â€Å"Heart of Darkness† vs. â€Å"Apocalypse Now† It is very interesting how humans are so intrigued about the evilness in the world, and the dedication of some men to compare Hell with the Earthly horror. Joseph Conrad, a genius writer, took his time to show this with his masterpiece â€Å"Heart of Darkness† that wasRead MoreParallels Between Heart of Darkness and Apocalypse Now1871 Words   |  8 PagesVarious parallels can be drawn when comparing and contrasting Joseph Conrads Heart of Darkness and Frank Coppolas Apocalypse Now, while taking into consideration Heart of Darkness is a novella and Apocalypse Now is a film. These differences and similarities can be seen in themes, characters, events and other small snippets of information including anything from quoted lines to strange actions of the main characters. Both pieces follow the same story line but they are presented in differentRead MoreEssay on heart of darkness1844 Words   |  8 Pages Various parallels can be drawn when comparing and contrasting Joseph Conr ads Heart of Darkness and Frank Coppolas quot;Apocalypse Nowquot;, while taking into consideration Heart of Darkness is a novella and quot;Apocalypse Nowquot; is a film. 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History is loaded with examples of atrocities that have occurred when one culture comes into contact with another. Whenever fundamentally different cultures meet, there is often a fear of contamination and loss of self that leads one to discover more about one s true self, often causing perceived madness. Heart of Darkness, a novel written by Joseph Conrad