Investigation of Sphincter Muscle Complex

Investigation of Sphincter Muscle Complex Abstract Background: The exact anus reconstruction is the critical in patients with imperforate anus  which is related to the correct diagnosis of sphincter complex. Objectives: The aim of this study  is exact investigation of the prineal region for ultrasound detection of place and pathway of  sphincter muscle complex. Patients and Methods: This descriptive cross-sectional study was performed at Mashhad  medical university during 2016. Transperineal sonography was done in ten patients (6-12 week  age, 8 male and 2 female) with imperforate anus. Results: The shortest distance between rectal pouch and skin was between 8 to 20 mm, but the  distance between rectal pouch and skin via the anal sphincter path was longer (11 to 23 mm). The multi-layer view of anal tubercle was seen in all patients except one. It had a curved and  occasionally parasagittal path and eccentric than muscle complex. Anal muscle sphincter  complex could be seen in all patients with 2- 3.6 mm, occasionally asymmetric. Conclusion: The multi-layer view of anal tubercle and the anal sphincter complex are the two  important sonographic findings, which can better differentiated the level of anal malformation  and act as an indicator for the location of pull through. Keywords: Anal sphincter muscle complex; Anorectal malformation (ARM); Imperforate anus  (IA); Child 1. Background Colon cancer is a Imperforate anus is one of the anorectal malformations (ARM) which is  characterized with abnormal termination of the hindgut. The anus reconstruction and fecal  continence is one of the critical aspects of treatment and surgery of these patients which is  related to the correct diagnosis of sphincter complex position and the anus reconstruction in the  appropriate place within the sphincter muscle complex . There are various surgical approaches and procedures for anus reconstruction, including the use  of preoperative MRI for diagnosis of type and level of anorectal malformation . In addition, there  are some articles about the use of MRI in the detection of sphincter complex and the anus path  guidance . However, later technique has some limitations and no available in all pediatric surgery  centers. In Imperforate anus (IA) patients, sonography is used to determine the level of disorder (low,  intermediate, high), which may be divided to three groups according to the distance between  perineal skin surface and rectal pouch. However, there isnt an exact cut off for their  differentiation and there is some diagnostic overlap . Some articles consider above 15mm as high  type and below 10 mm as low type ARM , although another numbers between 5- 25 mm are also  considered as cut off point in articles. The passage of rectum from levator ani muscle in  transverse view of infra-coccygeal plan is another method that can help in differentiation  between high and low groups. Furthermore, it is also used for diagnosis of internal fistula  (rectourethral, rectovaginal and etc) which can be helpful in determining level of disorder .   However in practice, these criteria have a little value for operation protocols and the surgical  planning is mostly according to clinical criteria and intraoperative findings.   The exact localization of anal tubercle and muscle sphincter complex with preoperative  sonography can help the surgeon to select the less invasive surgical technique and improve  surgical results. 2. Objectives The aims of this study is exact investigation of the prineal region for detection ultrasonic criteria  of place and pathway of muscle complex and anal sphincter in the children with Imperforate  anus. 3. Patients and Methods This descriptive cross-sectional study was performed at Dr. Sheikh pediatric Hospital during  2016 after being approved by the Institutional Review Board of Mashhad University of Medical  Sciences, Iran and with its grant. In this study, ten patients (6-12 week age) with imperforate anus were selected after obtaining  informed consent from their parents. Nine patients had previous colostomy within the two days  of life and in another remaining one with rectovestibular fistula didnt previously performed it.   Patients were also evaluated for associated congenital anomalies (VACTERL-H and etc.).   The children were placed in lithotomy position and Foley catheter was passed from distal limb of  colostomy to the rectum and the balloon was inflated and retracted backward and fixed. For  better visualization of rectal pouch, normal saline was injected through fixed Foley catheter in  rectum. After prep drape as the first step, transperineal sonography was done by an  experienced pediatric radiologist. Sterile gel and Betadine were used for sonographic window.   The ultrasound devices used in this study was sonosite Model S Nerve with a 12 MHz linear  superficial probe. The sonographic criteria such as shorten distance of rectal pouch from the surface of skin,  distance of rectal pouch from the surface of skin in anal sphincter complex pathway , the  presence of internal fistula, multi-layered view of anal tubercle, state of anal sphincter complex  were evaluated in both sagittal and coronal planes. The Distance between rectal pouch from the  surface of skin in the shortest path and this distance in correlation with sphincter complex were  separately measured. The distance between the rectal pouch and the surface of the skin and the presence of internal  fistula were evaluated in the sagittal sonographic plane. Internal fistulas can be identified by changing of the rout the echogenic mucus of the rectum  toward urethra or vagina. The multi-layered view of anal tubercle is exactly similar to gut signature, and visualized as a  peripheral hypoechoic layer with two central parallel echogenic lines just below the skin  (dermis). It has vertical position than to anal pit (Fig. 1A) and is visible only in coronal plan.   Anal sphincter complex is noticeable as circular muscular tissue in the depth of the subcutaneous  perineal area and is visible in coronal plan (Fig. 1B). 4. Results Table 1 showed the demographic and sonographic findings of ten imperforate anus patients with  were selected for this study. Eight patients were male and other two were female.   The shortest distance between the rectal pouch and the skin surface was between 8 to 20 mm, but  the distance between the rectal pouch and the surface of skin via the anal sphincter path was  longer and between 11 to 23 mm, that it was 3- 8 mm. (4.7 mm mean) longer.   There were rectourethral fistula in 7, rectovaginal fistula in 1, rectovestibular fistula in 1, and in  another one patient no fistula was detected. In patient with rectovestibular fistula, anal sphincter  complex was pushed back toward the coccygeal tip due to fecal material pressure.   The multi-layer view of anal tubercle was seen in all patients except one (rectovestibular fistula  patient). The maximum outside diameter was 3-4 mm, but in patient with cloacal anomaly, it had  about 10 mm in sagittal plan on the posterior of prineal orifice. In often patients, the anal  tubercle path until center of muscle complex had a curved and occasionally parasagittal path and  it wasnt straight (Fig. 1C). The visible length of multi-layer view of anal tubercle was 5-8 mm,  and it attaches to the mucus of muscle complex eccentric or concentric (Fig. 1D).   Anal muscle sphincter complex could be seen in all patients. The muscle complex thickness had  2- 3.6 mm which occasionally was asymmetric (Fig. 1E). 5. Discussion Imperforate anus is a congenital disease with abnormal termination of hindgut which have a wide  spectrum of muscle sphincter complex development (from near-normal muscles to complete  absence of the sphincter muscle). Routinely, depending on the level of the obstruction in above,  middle and below of muscle sphincter, this anomaly is categorized into three groups (High,  intermediate, low type) . The numerous factors especially the fecal continence after the surgery  related to the diagnosis of the exact place of sphincter muscle complex . There are many articles about the role of preoperative MRI in the determining of the type and  level of anorectal malformation which can be helpful in planning and the prediction of the  prognosis and also investigation of the spinal and urethral anomalies which indirectly effect on  the management of disease and operation . MRI has also a role in these patients for  demonstration of the status of sphincter muscle complex, the symmetry of the sphincter, the  perirectal fibrosis . The post-operative MRI is use to evaluate surgical results and the passage of  pulled-through bowel from the center of sphincter complex . Recently, there are some few  articles about the use of MRI in the localization of sphincter complex and the anus pathway as a  guidance instrument . The sonography is usually used to determine the level of disorder (low, intermediate, high)  indirectly basis on the distance between perineal skin surface to the rectal pouch and the internal  fistulae visualization. Although, this approach isnt very determinative and there are a lot of  diagnostic overlap in this field .   In review article, we find only one paper about the detection of the passage of rectum from  levator ani muscle in transverse view of infra-coccygeal plan that can be helpful for  differentiation of high and low groups . The pre-operative exact localization of anal tubercle and especially sphincter muscle complex  with sonography can be helpful for surgeons to select less invasive approaches that determines  the future fecal continence of patient. In this study, with exact ultrasound investigation of prineal region, we noticed two sonographic  findings which can be helpful in patients with imperforate anus to determine the proper path of  anal canal for pull-through operation. These findings were multi-layered view of anal tubercle  and sphincter muscle complex. Multi-layered view of anal tubercle is exactly similar to gut signature and was determined as a  peripheral hypoechoic layer with two central parallel echogenic lines. This view was probably  the result of fetal anal tubercle as a result non-ruptured anal membrane and non recanalized anal  canal. This view wasnt seen in patient with recto-vestibular fistula. Although it had 3-4 mm  diameter, in Cloacal anomaly patient, it had about 10 mm anterior-posterior diameters in sagittal  plan that probably due to fetal merge of anal and vaginal orifices. In most of patients anal tubercle wasnt straight and had parasagittal position and slightly  curvature with eccentric attachment to center of sphincter muscle complex. These can explain  pathophysiology of disease. Anal sphincter and muscle complex was seen as a circular muscular tissue bulk that surrounds  the echogenic mucus of gastrointestinal tract. It was visible on the coronal plane at depth of  subcutaneous fat of the perineal area with 2-3.6 mm thickness. This complex was visible in all of  our 10 patients. In a patient with rectovestibular fistula, this complex pushed backward to the near of coccyx  probably due to fecal retention. Although most patients with Imperforate anus and recto-perineal  fistula categorized as low type, but this patient had high type malformation because the sphincter  complex has been pushed backward and tract of fistula lie above of muscle complex. In this  patient, based on the distance of rectal pouch to the skin (9 mm) and based on clinical findings  alone and without attention to muscle sphincter, the probability of successful surgery was too  low without sonography guide. Then, visualization of the sphincter muscle complex and rectal  pouch is an important sonoghraphic findings in imperforate anus patients that can differentiate  better the patients to the high and low malformation.   In addition, the result of this study shows that the distance between rectal pouch and skin without  attention to muscle sphincter is unreliable and can make a serious pitfalls and unaware  complications. In all patients, the distance between rectal pouch and skin through anal tubercle  and muscle complex (11mm) was longer than shorten distance between rectal pouch and skin (3-8 mm mean: 4.7 mm). In lithotomy position, it is important to notice that multi-layered view of anal tubercle and anal  sphincter complex was only visible in coronal view and was invisible in routine sagittal and  transverse view, then it may be ignored and didnt notice to it in literatures. In the review of  articles, we did not encounter a similar publication about the use of this findings in patients with  imperforate anus, although there are many articles about the use of sonography to determine the  anal sphincter complex in adults in various diseases .   This is a preliminary cross sectional study with the low number of patients. In addition, the  frequency of the ultrasonic probe device were our study limitations. Exact examination of  perineal region with high-frequency probes (14 to 20 MHz) with high amount of the patients can  provide better and more reliable results. Conclusion: The multi-layer view of anal tubercle and the muscular bulk of anal sphincter complex are the  two important sonographic findings, which can better differentiated the level of anal  malformation and act as an indicator for the location of anal sphincter pull through in patients  with Imperforate anus.

Ken Robinson

Even in modern day 20th century despite our growth in society, anyone who wishes to pursue any dreams or aspirations in the arts is heavily criticized for any chance of success and is frowned upon. In this article, Robinson (2006) takes an interesting approach to convey his point across that school education systems kill creativity. He takes three approaches which are listing, explaining and analysis. He uses he’s own personal stories and professional stand point to grasp the reader’s attention.Robinson discusses the theme spoken throughout the presentations and how it will tie into his presentation. He now goes on by explaining that creativity should be treated with the same status as literacy has in education. According to Robinson (2006) he states, â€Å"We stigmatize mistakes and we’re now running a national education system where mistakes are the worst thing you can make. The result of creating that stigma is that we are educating people out of their creati ve capacities†.Robinson refers to a quote from Picasso that states â€Å"all children are born artist†. How will we fix these issues and keep the creative mindset if all we do is frown upon those who are more artistically bound rather than academically bound. Robinson shares a perfect example of the previous statement. He shares a story of a personal friend named Gillian Lynne, a world known choreographer for Phantom of the Opera and Cats. He opposed the question to Gillian on how she became a dancer and she explained that in school she felt hopeless and could never concentrate.The teacher suggested to her parents that she had a learning disorder; she was sent to see a psychologist who later on came to the conclusion after observing her that Gillian was not sick in anyway, she was just a dancer. She later on attended a dance school, auditioned Ken Robinson 3 for the Royal Ballet Academy, graduated and founded her own company. One of many perfect examples of artistic peo ple who became insanely successful despite the lack of academics.Robinson (2006) concludes with how there are three types of intelligence, â€Å"it’s diverse, it’s dynamic and it’s distinct†. According to Robinson (2006) â€Å"We invest a lot of time into educating children on how to succeed in the future but if we are unable to predict the future in five years despite our expertise the who’s to say we’re meant to educate them for it. † How will we prepare them for a time that is so far away and technology that has yet to be invented yet. Robinson goes into urther analyzation when he says â€Å"We must adopt a new conception of human ecology, one of which we start to reconstitute out conception of the richness of human capacity†. As for the future it won’t serve us. We have to rethink the fundamental principles on which we’re educating our children†. Robinson (2006) How can we push the human capacity to its full potential if we’re not exploring all it its aspects. We would not have people like William Shakespeare if we didn’t explore the artistic aspect and the historic change made in art and literacy. Read also  How Powerful Do You Find Atticus Finch’s Closing Speech?Robinson did an exceptional job at capturing the reader’s attention and let the think of his discussion and making them form their own opinion. He also backed up every point with a personal story and/or fact which made this more effective. He used humour as an essential way to make his presentation entertaining yet analytical. He argued both pros and cons to each paradigm in order to show he was not biased. Ken Robinson 4 Robinson theory that school kills creativity was proven to be well written and presented by adding humour, personal stories and facts. He left the readers with a lot to debate about and consider.

Against racism Essay

Racism dates back thousands and thousands of years back to the caveman times. In the short story â€Å"Desiree’s Baby†, Kate Chopin shows how discrimination by skin color can affect people. Desiree was abandoned and raised by Madame Valmonde. Armand, the father of the baby, was a member of the most notable families in Louisiana. He falls in love with Desiree and marries her. After they have a baby, their relationship quickly corrodes. A few months later, Armand realizes the baby’s skin has a darker tint than usual. He accuses Desiree of being black. Armand tells Desiree he wants her to leave so Desiree takes the baby and â€Å"disappears among the reeds and willows that grew thick along the banks of the deep, sluggish bayou† (Chopin 91) and never returns. Armand finds out that Desiree is black when he reads a letter that her mother sent her that read â€Å"she belongs to the race which is cursed with the brand of slavery† (Chopin 92). The story†™s ironic ending has a connection with the story’s setting, imagery, and Chopin’s use of similies. The setting has a major role to the ironic ending because it takes place in antembellum South where blacks are not treated equally to whites. There are several hints at where and when the story takes place. First, Armand’s last name, Aubigny, was â€Å"one of the oldest and proudest in Louisiana† (Chopin 89) which tells us it takes place in Louisiana. Also, Chopin says that Armand owns a plantation and many slaves which wouldn’t have been possible after the Civil War times showing that the story takes place during the antebellum period. The name of Armand’s plantation, L’Abri, is also ironic because it means â€Å"the shelter† in French which is ironic for Desiree because it is a bad place for her not a good place. Chopin explains how â€Å"there was something in the air menacing her peace†. The story wouldn’t take place in any other time period or location because if it did, Desiree wouldn’t be discriminated for being black, therefore wouldn’t of run of into the bayou along with the baby. Chopin’s use of imagery leads up to the irony at the end of the story the greatest because Chopin contrasts black and white skin colors. First, Chopin explains how Armand’s plantation is all full of dark colors. â€Å"The roof came down steep and black†¦branches shadowed it like a pall† (Chopin 89). This initial imagery shows Armand’s control. When Armand’s father ran the plantation, he was very nice to the slaves and treated them humanly, but when Armand took the plantation over he was very harsh and cruel, â€Å"under it, his negroes had forgotten how to be gay† (Chopin 89). Armand has a â€Å"dark, handsome face† (Chopin 90). This symbolizes Armand’s hatred and is a foreshadow to the end when it turns out Armand is black. Desiree, on the other hand, is always surrounded by light colors. For example, when she is leaving the plantation towards her death, she was still wearing a thin, white garment, and, â€Å"her hair was uncovered and the sun’s rays brought a golden glean from its brown meshes† (Chopin 91). The colors they are surrounded by also illustrate their personalities. While Desiree, who is â€Å"beautiful and gentle, af fectionate and sincere† (Chopin 88) is surrounded by light, Armand, is â€Å"imperious and exacting† (Chopin 90) is surrounded by dark. The similes that Chopin uses also leads up to support the ironic ending by showing Armand’s emotional changes and Desiree’s feelings of rejection. Most of the similes to describe Armand’s actions happen when he falls in love with Desiree. Even though they knew each other since he was eight years old, he didn’t fall in love with her until they were in their twenties. Chopin explains that sudden love, â€Å"as if struck by a pistol shot† (Chopin 88) was the way everyone in Armand’s family fell in love. Two similes that explain Desiree’s shock add to the ironic twist at the end of the story. First, Desiree realizes her baby is not white and her blood, â€Å"turned like ice in her veins† (Chopin 90). Later, Armand tells Desiree he wants her to leave and Desiree turns away â€Å"like o ne stunned by a blow† (Chopin 91). This is how Chopin’s use of similes connect to the ironic ending. The main conflict in â€Å"Desiree’s Baby† is ultimately race. This story’s use of similes and imagery, along with the setitng, make for a good ironic ending in which Armand is really black not Desiree. Therefore, racism kills. Racism dates back thousands and thousands of years back to the caveman times. In the short story â€Å"Desiree’s Baby†, Kate Chopin shows how discrimination by skin color can affect people. Desiree was abandoned and raised by Madame Valmonde. Armand, the father of the baby, was a member of the most notable families in Louisiana. He falls in love with Desiree and marries her. After they have a baby, their relationship quickly corrodes. A few months later, Armand realizes the baby’s skin has a darker tint than usual. He accuses Desiree of being black. Armand tells Desiree he wants her to leave so Desiree takes the baby and â€Å"disappears among the reeds and willows that grew thick along the banks of the deep, sluggish bayou† (Chopin 91) and never returns. Armand finds out that Desiree is black when he reads a letter that her mother sent her that read â€Å"she belongs to the race which is cursed with the brand of slavery† (Chopin 92). The story’s ironic ending has a connection with the story’s setting, imagery, and Chopin’s use of similies. The setting has a major role to the ironic ending because it takes place in antembellum South where blacks are not treated equally to whites. There are several hints at where and when the story takes place. First, Armand’s last name, Aubigny, was â€Å"one of the oldest and proudest in Louisiana† (Chopin 89) which tells us it takes place in Louisiana. Also, Chopin says that Armand owns a plantation and many sl aves which wouldn’t have been possible after the Civil War times showing that the story takes place during the antebellum period. The name of Armand’s plantation, L’Abri, is also ironic because it means â€Å"the shelter† in French which is ironic for Desiree because it is a bad place for her not a good place. Chopin explains how â€Å"there was something in the air menacing her peace†. The story wouldn’t take place in any other time period or location because if it did, Desiree wouldn’t be discriminated for being black, therefore wouldn’t of run of into the bayou along with the baby. Chopin’s use of imagery leads up to the irony at the end of the story the greatest because Chopin contrasts black and white skin colors. First, Chopin explains how Armand’s plantation is all full of dark colors. â€Å"The roof came down steep and black†¦branches shadowed it like a pall† (Chopin 89). This initial imagery s hows Armand’s control. When Armand’s father ran the plantation, he was very nice to the slaves and treated them humanly, but when Armand took the plantation over he was very harsh and cruel, â€Å"under it, his negroes had forgotten how to be gay† (Chopin 89). Armand has a â€Å"dark, handsome face† (Chopin 90). This symbolizes Armand’s hatred and is a foreshadow to the end when it turns out Armand is black. Desiree, on the other hand, is always surrounded by light colors. For example, when she is leaving the plantation towards her death, she was still wearing a thin, white garment, and, â€Å"her hair was uncovered and the sun’s rays brought a golden glean from its brown meshes† (Chopin 91). The colors they are surrounded by also illustrate their personalities. While Desiree, who is â€Å"beautiful and gentle, affectionate and sincere† (Chopin 88) is surrounded by light, Armand, is â€Å"imperious and exacting† (Chopin 90) is surrounded by dark. The similes that Chopin uses also leads up to support the ironic ending by showing Armand’s emotional changes and Desiree’s feelings of rejection. Most of the similes to describe Armand’s actions happen when he falls in love with Desir ee. Even though they knew each other since he was eight years old, he didn’t fall in love with her until they were in their twenties. Chopin explains that sudden love, â€Å"as if struck by a pistol shot† (Chopin 88) was the way everyone in Armand’s family fell in love. Two similes that explain Desiree’s shock add to the ironic twist at the end of the story. First, Desiree realizes her baby is not white and her blood, â€Å"turned like ice in her veins† (Chopin 90). Later, Armand tells Desiree he wants her to leave and Desiree turns away â€Å"like one stunned by a blow† (Chopin 91). This is how Chopin’s use of similes connect to the ironic ending. The main conflict in â€Å"Desiree’s Baby† is ultimately race. This story’s use of similes and imagery, along with the setitng, make for a good ironic ending in which Armand is really black not Desiree. Therefore, racism kills.

Dulce et Decorum est, by Wilfred Owen. Essay - 1204 Words

Dulce et Decorum est, by Wilfred Owen. The First World War was an event that brought to many people, pain, sorrow and bitterness. Accounts of the war shows that no other war challenged existing conventions, morals and ideals in the same way as did World War. Many people touched by the terrror of the war have written pieces of literature about the massacre that was World War 1, wishing people to understand the horror and tragedy that befell those involved. Dulce et Decorum est, by Wilfred Owen, is one such elegy that presents to the reader a vivid, horrifying description of World War 1, aiming to illustrate that war is not romantic and heroic, but a senseless and devastating event. In this poem, techniques such as imagery,†¦show more content†¦He describes the soldiers as bent double, like old beggars under sacks, knock-kneed, limping on, all lame, all blind, being drunk with fatigue and deaf. All these descriptions of the soldiers show the reader the suffering they had to endure and the hardships that they had to face. This is backed up by the description that men marched asleep. This description of the soldiers, of how they limped on, blood shod gives the reader an impression that they can no longer comprehend what is going on around them, that they are blind and deaf to the world. Metaphors are used to illustrate more vividly the descriptions used in the poem. This is evident in the description of the soldiers as old beggars under sacks. This not only says that they are tired, but that they are so tired they have been brought down to the level of beggars who have not slept in a bed for weeks on end. In the description his hanging face, like a devils sick of sin Owen compares the gas victims face to the devil seeming corrupted and baneful. A metaphor even more effective is one that compares ...vile, incurable sores... with the memories of the troops. It not only tells the reader how the troops will never forget the experience, but also how they are frightening tales, ones that will the troops will never be able to tell without remembering the extremely painful experience. TheseShow MoreRelatedDulce Et Decorum Est by Wilfred Owen774 Words   |  3 PagesThe poem â€Å"Dulce Et Decorum Est† certainly describes a memorable and thought-provoking scene of Wo rld War I. The title of the poem translates to â€Å"It is sweet and meet to die for one’s country.† Throughout the rest of the work, Wilfred Owen indirectly addresses the claim made in the title. He accomplishes this by utilizing the power of the pen to produce startling imagery of the war time and experiences that may actually be personal for him. However, in the last few lines, he makes a more direct statementRead MoreWilfred Owen s Dulce Et Decorum Est1880 Words   |  8 Pageslife. One such example of harsh realism is Wilfred Owen s Dulce et Decorum Est. 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This poem deals with both sadness and loss. The actual form of this poem consists of a rhyme scheme that goes ABAB CDCD EFEF. The meter of the poem consists of five beats that contain a short, unstressed syllable followed along by a longer, stressed syllable. Therefore, the meter of this poem is an iambic pentameter. EX: Knock kneedRead MoreEssay Dulce et Decorum est by Wilfred Owen2090 Words   |  9 PagesDulce et Decorum est by Wilfred Owen Dulce et decorum est is a poem written by the poet Wilfred Owen during the First World War. It was written to portray the reality of war. In it he describes the horrors he witnessed as a soldier from the front line of battle. The aim of the poem was to tell people that Jessie Pope, a poet who was encouraging young men to go to war because it was glorious, was wrong. The poem starts with soldiers marching away from the battlefieldRead MoreAnalysis of Dulce et Decorum Est by Wilfred Owen Essay485 Words   |  2 PagesAnalysis of Dulce et Decorum Est by Wilfred Owen In the poem, Dulce et Decorum Est written by Wilfred Owen, the speaker appears to be a soldier in the army, warning young people eager for war, â€Å"children ardent for some desperate glory,† that war is not what it seems. The soldier explains to the reader through first hand experience that fighting for one’s country is not as glorious a task as it may appear to be. One shouldn’t believe the lie that is told about how itRead MoreAnalysis Of Wilfred Owen s Dulce Et Decorum Est938 Words   |  4 Pagessocial aspects thanks to many of the war poets during that time period. Wilfred Owen is known to be one of the most famous war poets during the twentieth century especially during the First World War when he wrote â€Å"Dulce et Decorum Est†. His poem details the horrors these soldiers faced in the trenches during World War 1 and conveys the hidden meaning that â€Å"it is sweet and honorable† to die for one’s country is untrue. Owen is able to deliver his message and express his ideas against this cruel warRead MoreWilfred Owen s The Sentry And Dulce Et Decorum Est1100 Words   |  5 PagesWilfred Owen poems ‘The Sentry’ and ‘Dulce et Decorum Est’ contain a myriad of both shocking and realistic war experiences on a microscopic level. Wilfred Owen a company officer talks about his egregious exposure to war and how war contaminates life a nd existence of humans. In both poems the 1st stanza implies the threats and life in war, which then springboards us to the physical effect of one specific soldier and the thirds stanza he relives the inescapable experience and ends the poem with a bleakRead MoreEssay on Analysis of Dulce Et Decorum Est by Wilfred Owen795 Words   |  4 PagesAnalysis of Dulce Et Decorum Est by Wilfred Owen The First World War saw the introduction of many new warfare technologies across its theatres due to industrial competition between rival nations. One of the most feared weapons amongst soldiers on both sides was gas. The usage of chlorine, phosgene and mustard gas caused the death of thousands of men by suffocation. Wilfred Owens poem Dulce Et Decorum Est gives a detailed description of a soldier dying from a gas attack