Sunday, January 26, 2020

Ebola Virus: History, Symptoms and Treatment

Ebola Virus: History, Symptoms and Treatment Vijayatheeban Jeyanandan Ebola virus outbreaks: The deadly and incurable Hemorrhagic fever Contents (Jump to) 1.1 Introduction. 1.2 History of Ebola virus. 1.3 Characteristics of Ebola virus. 1.4 Symptoms of Ebola infection. 1.5 Diagnosis methods. 1.6 Treatment methods. 1.7 Conclusion Reference list 1.1 Introduction A reported by the World Health Organization (2014) Ebola virus disease once known as Ebola haemorrhagic fever is a serious, frequently deadly disease, with a case casualty rate of up to 90%. There are no authorized particular medications or vaccine accessible for utilization in individuals or creatures. Stanford education (2014) states that Ebola virus was initially recognized as a possible new strain of Marburg virus in 1976. Stanford education states that Ebola infection is initially wide spreading in Sudan and Zaire. Ebola virus is a member of filoviridae family. Farrar and Piot (2014) reported that as of September 14, 2014, a total of 4507 confirmed and likely instances of Ebola virus disease, and also 2296 deaths from the infection, had been accounted for from five nations in West Africa — Guinea, Liberia, Nigeria, Senegal, and Sierra Leon. Contact with body fluids demonstrated a solid affiliation. Francesconi et al. (2003) comments that Persons who had immediate physical contact with a infected person were more inclined to have gained the disease. 1.2 History of Ebola virus Peters and Leduc (1999) comments that biomedical science initially experienced the virus family filoviridae when Marburg virus showed up in 1967 and in the late 1970s, the global group was again startled, this time by the revelation of Ebola infection as the causative executor of significant flare-ups of hemorrhagic fever in the Democratic Republic of the Congo (DRC) and Sudan. History of Ebola infection can be found online (Stanfort education, 2014) The first outbreaks of infected in excess of 284 peoples, with a 53% death rate. After the few months the second Ebola infection caused from Yambuku, Zaire, Ebola-Zaire (EBOZ). EBOZ, with the most astounding death rate of any of the Ebola infection (88%), contaminated 318 peoples. In 1989, a novel infection, Reston Ebolavirus (REBOV) was secluded from commonly tainted cynomolgus macaques imported from the Philippines into United States. All shipments aside from one were followed to single supplier in the Philippines; however, the main beginning of the infection and mode of sullying for the office has never been learned. While pathogenic for regularly and tentatively tainted monkeys, constrained information demonstrate that REBOV may not be pathogenic for people as creature overseers without delivering clinical side effects. A review by Georges et al. (1999) reported that, in 1994, at Gabon, Occured in Mà ©kouka and other gold-mining camps profound in the downpour backwoods. At first thought to be yellow fever; recognized as Ebola hemorrhagic fever in 1995. Zuckerman(2008) reported that In 2000, Happened in Gulu, Masindi, and Mbarara areas of Uganda. The three most essential dangers connected with Ebola infection contamination were going to funerals of Ebola hemorrhagic fever patients, having contact with infected patients in ones family, and giving restorative forethought to Ebola infected patients without utilizing sufficient individual defensive measures. In this situation, reported number of human cases is 425 and reported number of deaths among cases is 224. 1.3 Characteristics of Ebola virus A review by Sullivan et al. (2003) comments that Ebola was found in 1976 and is a member of the Filovirus family, which are pleomophic, negative-sense RNA viruses whose genome organization is most similar to the paramyxoviridae. Geisbert et al. (2010) states EBOV particles contain a non-infectious RNA genome of roughly 19 kilobases that encodes seven structural proteins and one non-structural protein. The gene order is 3†² leader, nucleoprotein, virion protein 35 , virion protein 40, glycoprotein, virion protein 30, polymerase L protein, and 5†² trailer.3 Four of these proteins—nucleoprotein, virion protein30, virion protein35, and the polymerase L protein—are associated with the viral genomic RNA in the ribonucleoprotein complex.Crowley and Crusberg (2014) states Ebola viruses are long and filamentious, essentially bacilliform. However the viruses mostly get on a â€Å"U† shape. The particles of these viruses can be above 14,000 nm in long and average 80 nm in diameter. Visualscience.ru (2014) states Ebola has a layer envelope its shaped from the film of the host cell during virus budding. The viral molecule additionally catches various human proteins. Ebola surface protein, encoded by the gp gene. Transmission of the virus PHAC-ASPC.GC.CA (2014) states, that in an outbreak, it is theorized that the first patient gets to be infected as an aftereffect of contact with an infected animals. Person to person transmission happens by means of close personal contact with an infected individual or their body fluids during the late stages of disease or after death. Centers for Disease Control (2014) reported that Ebola is not spread through the air or by water, or in general, foods. However Ebola is spread through direct contact with blood or body fluids including but not limited to urine, salivation, dung, regurgitation, and semen of an individual who is infected by Ebola. And also Ebola virus can be transmitted by objects like needles and syringes that have been contaminated with the virus. 1.4 Symptoms of Ebola infection Smith (2014) stats that, the symptoms of Ebola may be shown out from 2 days to 21 days after the infection of Ebola virus, but the average is 8 to 10 days from the infection. The symptoms are quite similar to the flu, cholera, typhoid, and malaria. The symptoms usually include high fever, serious head pain, body weakness, retching, diarrhea, stomach torment, Lack of apptite, and sore throat. Symptoms of Ebola can be found online (Health24, 2014). Progression of Ebola fever causes bleeding inside the body, and from the eyes, ears, nose and anus. Some individuals will vomit or hack up blood, have wicked looseness of the bowels, have impaired kidney and liver function, have continues hiccups and get a rash. Diagnosing methods of Ebola can be found online (Cdc.gov, 2014). In the earlier stage is really very difficult because the early symptoms are quite similar to the symptoms of malaria and typhoid fever. In his analysis Zubay (2005,pp) says that tests with live virus must be performed in Biosafety Level 4 regulation research centers, due to the compelling harmfulness and infectiousness of disease. 1.5 Diagnosis methods Diagnosing methods of Ebola can be found online (Centers for disease control and prevention, 2014). In the earlier stage is really very difficult because the early symptoms are quite similar to the symptoms of malaria and typhoid fever. In his analysis Zubay (2005,p.71,72) says that tests with live virus must be performed in Biosafety Level 4 regulation research centers, due to the compelling harmfulness and infectiousness of disease. A review by Saijo et al, (2006) says after the isolation, the virus can be detected via various laboratory diagnostic methods like virus isolation, reverse transcription, real time quantitative method , antigen-capture enzyme-linked immune sorbent assay method (ELISA), antigen detection by immunostaining, or IgG-and IgM-ELISA using authentic virus antigens (9, 18, 28-30, 32, 48, 50, 53, 64). Diagnosing methods can differ with the time line of infection which can be found online (Centers for disease control and prevention, 2014). Within a few days after the symptoms shown out we could use Antigen-capture enzyme-linked immunosorbent assay (ELISA) testing or IgM ELISA or Polymerase chain reaction (PCR) or Virus isolation and for retrospectively in deceased patients we need to use Immunohistochemistry testing or PCR or virus isolation and later in the disease course or after recovery we could use IgM and IgG antibodies. In his analysis Bray (2014) says that as indicated by the WHO, people who no more have signs and indications of Ebola infection sickness can be released on the off chance that they have two contrary PCR tests on entire blood, differentiated by no less than 48 hours. 1.6 Treatment methods Schoenstadt (2014) says that there are no proven treatment methods to kill the Ebola virus therefore, treatment concentrates on giving easing of side effects as the body battles the virus. This is called supportive care. Ziady and Small (2004) stats that patients receive supportive treatments like balancing fluid and electrolytes, maintaining tissue and pulmonary oxygenation, maintaining blood circulation by replacing blood loss, and treating complications symptomatically. Gupta, (2014) comments that chronicled examples in medication improvement recommend that there is a slim likelihood of accomplishment with the current arrangement of potential Ebola treatments. Torrence (2005) stats that scientists have also examined the potential of heterologous live viral vectors in effectively preventing Ebola virus infection. And we also can say good nursing care and using antibiotics to prevent secondary infections from bacteria also supportive care for Ebola. Lamontagne et al. (2014) says General wellbeing mediations including describing the episode the study of disease transmission, contact following, social assembly, and state funded instruction are fundamental steps in ceasing Ebola and will at last spare a lot of people a larger number of lives than can be spared by individual patient forethought. (Geisbert, 2014) says that antibody therapies and several other methodologies mentioned here should ultimately be included in an arsenal of interventions for controlling future Ebola outbreaks. 1.7 Conclusion Ebola is infection and highly lethal and with no verifiably effective vaccine available. However the ebola hemorraghic fever can be control by spreading virus. First of all, the health ministry of government and who knows about the Ebola virus disease they should be Awareness to essential peoples. Because everyone must be attention about the Ebola infection. The ebola infection only can diagnosis under the advanced laboratory, but there are no lab facilities backwardness areas and also some essential countries. However who the person shows the ebola virus symptoms, we should be try to transfer to where can diagnose. In the future government should be provide advanced lab facilities for diagnose the infection when the infection highly spreading. The medical workers of ebola virus diagnosing or researching they should be wear protective clothing transport a man suffering from Ebola. Reference list Bray, M. (2014). Uptodate. Available at: http://www.uptodate.com/contents/diagnosis-and-treatment-of-ebola-and-marburg-virus-disease# (Accessed 30 October 2014). Centers for disease control and prevention (2014) Available at: http://www.cdc.gov/vhf/ebola/diagnosis/ (Accessed 29 October 2014). Centers for disease and prevention (2014). Transmission of Ebola Hemorrhagic Fever [online] Available at: http://www.cdc.gov/vhf/ebola/transmission/ (Accessed 27 September 2014). Crowley, J. and Crusberg, T. (2014). Genomic Structure, Comparative and Molecular Biology. Available at: http://www.mcb.uct.ac.za/ebola/ebolagen.html (Accessed: 28 September 2014). Farrar, J. and Piot, P. (2014). ‘Ebola Virus Disease in West Africa -The First 9 Months of the Epidemic and Forward Projections’, New England Journal Medicine, 371(16), pp.1481-1495 [Online]. Available at: http://www.nejm.org/doi/full/10.1056/NEJMoa1411100 (Accessed: 6 November 2014) Francesconi, P., Yoti, Z., Declich, S., Onek, P., Fabiani, M., Olango, J., Andraghetti, R., Rollin, P., Opira, C., Greco, D. and Salmaso, S. (2003). ‘Ebola Hemorrhagic Fever Transmission and Risk Factors of Contacts, Uganda’. Emerging Infectous Disease, 9(11), pp.1430-1437, National Center for Biotechnology Information [Online]. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3035551/ (Accessed: 6 November 2014) Geisbert, T., Lee, A., Robbins, M., Geisbert, J., Honko, A., Sood, V., Johnson, J., de Jong, S., Tavakoli, I., Judge, A., Hensley, L. and MacLachlan, I. (2010). Postexposure protection of non-human primates against a lethal Ebola virus challenge with RNA interference: a proof-of-concept study. 375(9729), pp.1896-1905, The Lancet. (online). Available at: http://dx.doi.org/10.1016/s0140-6736(10)60357-1 (Accessed 28 September 2014) Geisbert, T. (2014). ‘Medical research: Ebola therapy protects severely ill monkeys’, Nature, 514(7520), pp.41-43, Nature Publishing Group [Online]. Available at: http://www.nature.com/nature/journal/vnfv/ncurrent/full/nature13746.html (Accessed:6 November 2014). Georges, A., Leroy, E., Renaut, A., Benissan, C., Nabias, R., Ngoc, M., Obiang, P., Lepage, J., Bertherat, E., Benoni, D. (1999). Ebola hemorrhagic outbreaks in Gabon. Journal of Infectious Diseases. 179(Supplement 1), pp.6575. [Online]. Available at: http://www.ncbi.nlm.nih.gov/pubmed/9988167 (Accessed: 6 Oct. 2014). Gupta, R. (2014). ‘Rethinking the development of Ebola treatments’, The Lancet Global Health, 2(10), pp.e563-e564 [Online]. Available at: http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(14)70304-3/fulltext (Accessed: 6 November 2014). Health24 (2014). Available at: http://www.health24.com/Medical/infectious-diseases/Ebola/Signs-and-symptoms-of-Ebola-20140729 (Accessed 29 October 2014). Lamontagne, F., Clà ©ment, C., Fletcher, T., Jacob, S., Fischer, W. and Fowler, R. (2014). ‘Doing Todays Work Superbly Well — Treating Ebola with Current Tools’. New England Journal of Medicine, 371(17), pp.1565-1566 [Online]. Available at: http://www.nejm.org/doi/full/10.1056/NEJMp1411310 (Accessed: 6 November 2014) Mahy, B. and Van Regenmortel, M. (2010). Desk encyclopedia of human and medical virology. Google books [Online]. Available at: http://books.google.lk/books?id=nsh48WKIbhQCpg=PA382dq=ebola+virus+history+originhl=ensa=Xei=rCUyVP7wDcSjugTzs4GQDQved=0CDMQ6AEwBA#v=onepageq=ebola%20virus%20history%20originf=false (Accessed 4 Oct. 2014). Peters, C. and LeDuc, J. (1999). ‘An Introduction to Ebola: The Virus and the Disease’. The Journal of Infectious Diseases, 179(s1), p.Six-xvi. [Online]. Available at: http://dx.doi.org/10.1086/514322 (Accessed 4 Oct. 2014). Public Health Agency of Canada (2014). Available at: http://www.phac-aspc.gc.ca/lab-bio/res/psds-ftss/ebola-eng.php (Accessed 27 September 2014). Saijo, M., Niikura, M., Ikegami, T., Kurane, I., Kurata, T. and Morikawa, S. (2006). ‘Laboratory Diagnostic Systems for Ebola and Marburg Hemorrhagic Fevers Developed with Recombinant Proteins’. Clinical and Vaccine Immunology, 21, November [Online]. Available at: http://dx.doi.org/10.1128/cvi.13.4.444-451.2006 (Accessed 30 October 2014). Schoenstadt, A. (2014). eMedTV: Health Information Brought To Life. Available at: http://ebola.emedtv.com/ebola/ebola-treatment.html (Accessed: 6 November 2014) Smith,W. (2014).Webmd. Available at: http://www.webmd.com/a-to-z-guides/ebola-fever-virus-infection (Accessed 29 Oct. 2014). Sullivan, N., Yang, Z. and Nabel, G. (2003). Ebola Virus Pathogenesis: Implications for Vaccines and Therapies. 77(18), pp.9733-9737, Journal of Virology. [online]. Available at: http://dx.doi.org/10.1128/jvi.77.18.9733-9737.2003 (Accessed 28 September 2014). Torrence, P. (2005). Antiviral drug discovery for emerging diseases and bioterrorism threats. Google books [Online]. Available at: http://books.google.lk/books?id=QZl7GzhTsb8Cdq=Torrence,+P+Antiviral+drug+discovery+for+emerging+diseases+and+bioterrorism+threats.source=gbs_navlinks_s (Accessed: 6 November 2014). Visualscience.ru (2014). Available at: http://visualscience.ru/en/projects/ebola/poster/ (Accessed 28 September 2014). Web.stanford.edu (2005) Available at: https://web.stanford.edu/group/virus/filo/history.html (Accessed: 6 November 2014). World Health organization (2014). Ebola Virus Diseases (EVD) Implication of Introduction in the Americas. Jamaica: Jamaica information service [online]. Available at: http://jis.gov.jm/features/ebola-virus-diseases-evd-implication-introduction-americas/ (Accessed 6 November 2014). Ziady, L. and Small, N. (2004). Prevent and control infection. Google books [Online]. Available at: http://books.google.lk/books?id=kSKwP3v99dYCpg=PA256lpg=PA256dq=Ziady,+L.+and+Small,+N.+(2004).+Prevent+and+control+infectionsource=blots=DEOU4V_3gRsig=phk4sKUjV30cWcw7qv3Xo08Id1khl=ensa=Xei=yq5bVPGeGsr98AXShIKACAved=0CB0Q6AEwAQ#v=onepageq=Ziady%2C%20L.%20and%20Small%2C%20N.%20(2004).%20Prevent%20and%20control%20infectionf=false (Accessed: 6 November 2014) Zubay, G. (2005). Agents of bioterrorism. Google books [Online]. Available at: http://books.google.lk/books?id=AwkVgNPRnKoCdq=diagnosis+methods+ebola+Zubaysource=gbs_navlinks_s (Accessed 29 October 2014). Zuckerman, A. (2008). Principles and practice of clinical virology. Google books [Online]. Available at: http://books.google.lk/books?id=4il2mF7JG1sCpg=PA774lpg=PA774dq=Okware+SI,+Omaswa+FG,+Zaramba+S,+et+al.+An+outbreak+of+Ebola+in+Uganda.source=blots=NBElqYFkMRsig=o7MGwDL_xghUdwFQohFWtqj_TOohl=ensa=Xei=ZUEyVJC_G8aOuATxwoGoAQved=0CCMQ6AEwAQ#v=onepageq=An%20outbreak%20of%20Ebola%20in%20Ugandaf=false (Accessed 4 October 2014).

Saturday, January 18, 2020

World War Ii and America

The world’s greatest war, World War II began in 1939 and lasted for almost six years. It was between two military alliances. On the axis powers were Japan, Germany and the Kingdom of Italy. While the allies were lead by United Kingdom, China, Soviet Union and The United States of America. America was not directly involved in the war in the early stages. The necessity increased after the fall of France, the Pearl Harbor incident but mainly when Hitler declared war on U. S. This led to America’s direct involvement in the World War II and helped America to transition from a great power to a super power.World war II started by the deep seated anger in German due to the loss in World War I. Hitler a new leader in Germany transformed it from a defeated state to powerful one with a large army of up to 400,000 men which led to the breaking of the treaty of Versailles (Langley). March 16th 1935 Hitler tore up the treaty of Versailles when he started to build up his army (Nicola Barber) . Although The United States of America had always been an ally in the Second World War its direct involvement did not came after much later. In 1939 its only involvement was to provide arms and ammunition in turn of cash from countries.America was indirectly helping the allies by starving Japan of oil. Winston Churchill repeatedly tried to convince Franklin D. Roosevelt to enter the war but it was after Hitler’s declaration of war, America got directly involved in the war. In 1941 Congress had approved America’s entry into war after which military operations began. Operation Torch on North Africa became US first military operation. German forces surrendered in Tunisia in 1943 and that led to the first US British victory and proved invaluable in changing US public opinion behind the war.The second front for American military action was when Winston Churchill proposed to attack Italy even though there was an urgent need to relieve pressure on Russia from the wes tern front. This attack led to allies invading Italian mainland leading to the capture of Rome. The United States along with other allies continued to attack the Axis powers which led to the retake of Paris in the D-Day Invasion. In the Tokyo Bombing Raids American bombers destroyed up to 250,000 buildings and killed 83,000 in massive fire bombing.It continued to play an important part in the attacks on the Axis Powers, till the end of the war where it dropped two atomic bombs in Japan bringing the war to an end. It is clearly seen by the events of the war that although America was not involved directly at first in the war it played a pivotal role once it became directly involved and it’s most important role was that of bringing the war to an end by destroying one of the main Axis powers, Japan, completely. It is often wondered how The United States Of America reached its position of dominance in the world.And it would not be wrong to link its rise a super power to the result s and events of World War II. The characteristics of super power are firstly having a strong stable economy, secondly overpowering military, thirdly immense international political power and lastly strong national ideology. Before the war America was seen as a great power along with many other powerful strong nations like Russia and Britain. It was only after the war that The United States of America emerged as a strong super power and still holds that position. Even in years before the war America was amongst the largest producers in the world.At that time there was no country that had that immense power over the international system. Britain and France were in imperial decline which caused them to lose their international standing. Although America from the start had a stable economy due to the presence of natural resources like oil and steel. Yet its rise to super power was when it surpassed Europe as a major power. Europe was a part of many large destructive wars that left it co mpletely bankrupt and destroyed most of its infra structure which lead to the fall of Europe.Europe being directly involved in wars like the World War I and World War II left it far behind in the race of super powers. America which was although involved in the World War II faced much less damaged compared to the destruction faced by Europe. Soviet Union also a major power failed in the race of super power because of the damages it faced from the World War II but mainly it dropped out because of the fall of the So that left America as the only dominating power in the world which had a stable and large economy with a huge military advantage and immense power over international matters.America was one of the main Allies in the World War II yet it did not face much destruction like other allies it continued to grow and kept its economy stable. And when the other allies failed to rise up America stood as a strong nation. Even when The United States of America was involved in World War II it was not dragged down like other allies including Britain and Soviet Union. This led to the creation of a super power. A country that before the war was just a great power became a super power. Works Cited Langley, Andrew. Living Through World War II. n. d. Nicola Barber, Ken Hills. Headlines of World War II. n. d.

Friday, January 10, 2020

The Unexpected Truth About High School Paper Writing Service

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Thursday, January 2, 2020

Dramatic Romance Of Romeo And Juliet - 1271 Words

Romeo and Juliet Have you read the dramatic romance of Romeo and Juliet? This tells the story of two families.. where two families named the Capulets and the Montagues have so bad of a feud that when two teenagers kids fall in love from the opposite families, they have to keep their love away from their family s knowledge and risk everything, including their lives for a chance at their happy ending. The tragedy of Romeo and Juliet, written by William Shakespeare, and the movie Romeo+Juliet, directed by Baz Luhrmann, both tell us the story, in two different styles about star crossed lovers Romeo and Juliet and how something so beautiful turned into a great catastrophe. I believed the movie was quite effective, but it didn’t quite live up to the original story of Romeo and Juliet, and there would definitely be things I would change about it. I am still arguing in favor of the movie even though because the movie included a funky twist the made it more interesting for kids to wat ch. I also felt like it made it easier and more fun for this generation to understand. I m going to be comparing what character? one character, setting, and what part? a part of the plot from the play and the movie of Romeo and Juliet. There were a lot of similarities and differences between the setting in the movie and the play. You could get rid of Romeo and Juliet. of Romeo and Juliet. Personally I liked the setting in Verona, Italy rather than Verona Beach, California. It was where it wasShow MoreRelatedRomeo Juliet: a Superficial Love1000 Words   |  4 Pages1D7-05 C. Bucci May 23, 2008 Romeo Juliet: Superficial Love There are infinite ways to define love. Love has become such an ambiguous and vague term, though it is one of the most recognizable of human emotions. It has existed as far back as humans remember and love has been a source of interest and inspiration in the Arts, Religion, Sciences, and most popularly, in Literature. 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Even though we do have quite the same idea of tragedies, a modern view would be World Wars I and II. This is because a lot of innocent people were hurt and killed over two countries fighting. So how is Romeo and Juliet a tragedy? William Shakespeare, a well-known author, was the man who wrote the play The Tragedy of Romeo and Juliet. The play is about two families living in Verona inRead MoreWilliam Shakespeare s Romeo And Juliet Essay1024 Words   |  5 PagesRomeo and Juliet is a tragedy written by William Shakespeare early in his career about two young star-crossed lovers whose deaths ultimately reconcile their feuding families. It was among Shakespeare s most popular plays during his lifetime and, along with Hamlet, is one of his most frequently performed plays. Today, the title characters are regarded as archetypal young lovers. Romeo and Juliet belongs to a tradition of tragic romances stretching back to antiquity. The plot is based on an ItalianRead MoreWilliam Shakespeare s Romeo And Juliet894 Words   |  4 PagesStory Vs. Romeo Juliet â€Å"Oh Romeo Romeo wherefore art thou Romeo...?† These famous words are from the romantic classic, Romeo and Juliet, which has been the hard hitting piece that many novels, romantic comedies, dramas, and many more genres of art have adapted from. Though many of these adaptations fail to use the poetic aspect of the play, there are few who try and preserve the art of poetry. Nevertheless, West Side Story, a romantic movie is the perfect adaptation of Romeo and Juliet. West sideRead MoreWilliam Shakespeare s Romeo And Juliet1623 Words   |  7 Pagesis how Romeo and Juliet by William Shakespeare is; people read the old tale even though we do not need to. The reason we go so far back to read these works of art is because William Shakespeare had a huge influence on writing, making it almost necessary for people to read his literary style and how it has evolved into the literature of today. His story Romeo and Juliet follows two teens, both from a rival house, who fall in love . Since the love they share is forbidden, Romeo and Juliet marry secretlyRead MoreThe Role of the Nurse in Act 3 Scene 5 of William Shakespeares Romeo and Juliet692 Words   |  3 PagesWilliam Shakespeares Romeo and Juliet Romeo and Juliet is a tragic play about love and its effects. The main protagonists are Romeo and Juliet, a pair of teenagers, that fall in love, who seek help from various adults such as their parents, Friar Lawrence and the Nurse, who all in some way let them down. In this essay I am concentrating on the role of the Nurse and her relationship with Juliet. The Nurse is Juliets confidant, she has cared for Juliet all her life