Monday, September 30, 2019

Differences and Similarities between American and Japanese Friendship

My concept of Japan was what I have seen in Japanese movies such as the Geisha and was very much the same as almost everyone living in America. My whole idea of the now Japanese culture changed when I went there for a couple of weeks for a business trip. Stepping into Japan is as if stepping into a busier New York but no one speaks English as much. Having spent some time in Japan I was able to have a look at their culture and their relationships. On my way, back I analyzed the similarities and differences of American and Japanese friendship. Americans are very friendly people; they care about their friends and family.They have a life of their own, and do not like uninvited guests. In fact Americans rarely step into some1 else’s house without an invitation. They treat their guests with great respect, offer them a drink and try to make them as much at home as possible. Japanese too are very friendly people and care a lot about their relatives, families and neighbors. They may be living on their own but do not have a private life. If a guest knocks on their door unannounced, they will be honored to have them in the house and would go an extra mile to make them comfortable. Japanese follow the true meaning of ‘A good friend is my nearest relation’.The American culture does not promote friendship, being friends with someone means knowing that person, trusting him and being there for him. The Americans lead a very busy life and they live their lives with a chip on their shoulder, since they do not know whether someone is being friends with them for personal gain or genuine likeness. Japanese Culture on the other hand believes that if you are unable to figure out a persons character look at his friends, therefore they make sure that from childhood children understand the importance of being friends with someone.Japanese may chose their friends very wisely but not because they fear being taken for a ride but because their friends reflect their own c haracter and because they believe that once a friend always a friend. It is a misconception that Japanese are busy people and will be found busy in their work. Japanese are sincere people and that applies to their work, their family and their friends. After a hard days work they try to make out time for their loved ones by meeting at a club or going to one’s home.One thing that is similar in American and Japanese friendship is that when invited to a friends house they never go empty handed, they take either a gift item or food, whatever that their friend likes best. As times are, changing so is the Japanese culture but no matter how much they change one thing that will not change is their attitude towards their friends and acquaintances, since this is part of their upbringing. The American culture however is now trying to promote friendship by creating web spaces for people to interact and not spend their time alone.

Sunday, September 29, 2019

Graduation: Black People and Negro National Anthem Essay

Graduation is one of the most memorable moments in a lifetime. Maya Angelou’s graduation was an exciting moment, yet it was a very hurtful experience because of racism/segregation. This badly affects Angelou at her graduation. The overall point in Graduation is racism and segregation. Her choice of words is very powerful and emotional: It was awful to be a Negro. It was brutal to be young ad already trained to sit quietly and listen to charges brought against my color with no chance of defense. We should all be dead. I thought I should like to see us all dead, one on top of the other. A pyramid of flesh with white folks on the bottom as the broad base, then the Indians with their silly tomahawks and teepees and wigwams and treaties, the Negros with their mops and recipes and cotton sacks and spiritual sticking out of their mouths. The Dutch children should all stumble in their wooden shoes and break their necks. The French should choke to death on the Louisiana Purchase (1803) white silkworms ate all the Chinese with their stupid pigtails. As a species, we were an abomination. All of us. (110) This explains her emotions about racism, and how horrible it is. She closes it off by saying we are all the same species, and no one is different. This proves she believes racism is wrong. Because of segregation, the white schools are totally different from the black schools. Angelou defines the overall point by comparing the white schools to the black schools:†Unlike the white high school, Lafayette County Training School distinguished itself from having neither lawn, nor hedges, nor tennis court, nor climbing ivy† (103). This reveals what kind of luxuries the white schools had and how unfair the education system was. When Donleavy, a white man comes to speak at the graduation he focuses on the improvements coming to the schools. The white schools had new academics and classroom equipment and the black schools had new tool boxes and athletic equipment. The writer refers to her anger as if African Americans could not achieve anything academic or intellectual. Donleavy is also a racist, â€Å"The white kids were going to have a chance to become Galileos and Madame Curies and Edisons and Gauguins, and our boys would try to be Jesse Owenses and Joe Louises† (109). Angelou dramatizes an experience involving segregation and racism. At the graduation, the graduates expect certain things to happen, The National Anthem, the Pledge of Allegiance and the â€Å"Negro National Anthem†: â€Å"The song every black person knew called the Negro National Anthem. All done in the same key, with the passion and most often standing on the same foot† (108). This proves there is segregation in this time period because they sing their own song, which makes them feel separate from the nation. In the beginning of the ceremony, Angelou was thrilled to graduate. Once Donleavy speaks, the African Americans lose hope, â€Å"The man’s dead words fell like bricks around the auditorium and too many settled in my belly† (110). Donleavy is unconscious about the effect on his words: Graduation, the hush-hush magic time of frills and gifts and congratulations and diplomas, was finished for me before my name was called. The accomplishment was nothing. The meticulous maps, drawn in three colors of ink, learning and spelling decasyllabic words, memorizing the whole of The Rape of Lucrece- it was for nothing. Donleavy had exposed us. (110) After Donleavy’s speech the writer understands the words to the â€Å"Negro National Anthem† for the first time, because of how badly he put down the African Americans. To get the overall point, Angelou leads the readers as if they were sitting alongside her at her graduation. She describes the black community, and the graduating class. Angelou starts out the essay by describing the community in Stamps: â€Å"The children in Stamps trembled visibly with anticipation. Some adults were excited too, but to be certain the whole young population had come down with graduation epidemic† (103). She also describes the teachers, â€Å"Even the teachers were respectful to the now quiet and aging seniors, and tended to speak to them, if not as equals, as beings only slightly lower than themselves† (103). She uses effective similes to make the story come to life, â€Å"But the graduating classes themselves were nobility. Like travelers with exotic destinations on their minds, the graduates were remarkably forgetful† (103). This makes the readers understand the graduates’ excitement, and how they were forgetful of the aspect of life, like to bring their books to school. As travelers with exotic destinations, the graduates have their whole future ahead of them, full of exotic experiences. She also uses another simile to describe herself on her graduation day: â€Å"I was going to be lovely. A walking model of all the various styles of fine hand sewing and it didn’t worry me that I was only twelve years old and merely graduating from eight grade† (105). She was so happy and filled with joy because of the accomplishments she had made, in which she felt beautiful like a model.

Friday, September 27, 2019

Interpersonal Speech or Presentation Example | Topics and Well Written Essays - 750 words

Interpersonal - Speech or Presentation Example Fredric Heider in his 2009 journal, Psychology of Interpersonal Relations,† effective interpersonal communication improves not only our communication skills but also influences our tactical approach of understanding our occupation through an insight of our social, cultural and economic background diversities† (p21). To relate with one another we must enhance knowledgeable interactions with the people we meet each day with whom we may have common point of interest or not. But how do we create and maintain long lasting social touch with these individuals? According to Wallace Domenici in his 2007 journal, Face Work: Bridging Theory and Practice,† lasting relations can be achieved through quality communication by understanding our diversities and using the learnt communication skills† (p12). This clearly shows that interpersonal communication serves to achieve qualities like charisma, confidence and optimism in my field of patient care. In reference to Edward Gri ffins 2009 book, A First Look at Communication Theory, â€Å"verbal and nonverbal communication, problem solving, listening skills, negotiation and assertiveness are supplement skills to effective interpersonal communication† (p1), these skills have impacted my field positively as I have handled patients from all corners effectively. We need to incorporate in our mindset that interpersonal communication is inevitable especially in this world where we are all interdependent to a greater or lesser extent. In order to improve the qualities, knowledge and skills in the patient care unit, I have come up with ideas that are a result of extensive observation of interactions between my workmates and the patients. Choosing the right words to the patients is the first creative idea as the patients solely rely on our directions and handling. Secondly, clarification of details will help the patients and fellow workmates to understand their obligations and follow simple rules as directed to them. One the third idea, working as a group will enhance smooth transfer and exchange of our skills to serve the patients in the best manner possible. This is necessitated by variety of needs of patients which may vary from one person’s specialization. Being assertive in expression of what I feel in the care unit will be a ground to improve my relations with colleagues and maintenance of sanity in the patients care unit. In addition to these ideas, reflection of one’s achievements and creation of rapport, will not only integrate the workforce in the patient unit but will also improve our working environment. Personally, extensive application of my interpersonal communication skills has improved by relations with the patient care fraternity in that I can freely express what I feel about various sections of our duties. My overall evaluation on the patients’ satisfaction with our services shows a positive index from the patient’s narrations. On the issue of value, patients are content with the current unit’s environment and psycho-social support the facility is offering According to Angelo Dalmas in his 2005 book, Social Penetration, † in order to incorporate global interests, proper social mechanisms of integration are prerequisite†(p3). Thus we need to solve complexities of interpersonal communication by asking ourselves the following set of questions as we communicate: Who are we? Who is our audience? Who does our audience think they are? Who do they think we are? What does our audience

Advisement Essay Example | Topics and Well Written Essays - 250 words

Advisement - Essay Example It is essential that when one makes decisions, regardless of its difficulty or importance, that a person seek the counsel of two or more people for him to have opinions to weigh. Some may give poor counsel, others good and still another, something that seems wise but may not be applicable to the one seeking counsel. However, the presentation of other opinions would help a person see more clearly his circumstances and decide critically and wisely, considering his personal convictions and other matters or people involved in events one needs to decide on. In the absence of trustworthy counselors, an individual may resort to observing other people. With the help of modern technology, one can also get professional help from articles and blogs online that are informative and usually helpful because the issues are discussed considering that the writer or blogger has different audiences. It is therefore usually objective, making the encounter more critical and educational. Whatever means a person takes to get help in making a decision, what is important is that one gets some advisement. It would be wise to always consider looking through other people’s eyes to avoid making terrible mistakes. And if mistakes are committed amidst good counsels, one should let the experience be the best counsel yet and not allow it to destroy a lesson learned in a difficult

Thursday, September 26, 2019

Corporate Leadership and Change Management Essay

Corporate Leadership and Change Management - Essay Example Jack Welch and Steve Jobs. In the case of GE, it was a company with a long established tradition of good business practices and success in their own particular fields that was on the decline. In the case of Apple, it was a company that had a rich history to call on but the current products were hurting the company more than helping it. These examples can be studied in light of relevant theories and examples given by employees as well the individuals who participated in the change management process to show how leadership as well as the culture of the organization can be used to take a company to new heights. No company in the world across any industry in any location is as well respected and appreciated as GE (Demos, 2006). Throughout its existence, and more recently in current years, analysts from the fields of management, administration, human resources and organisational behaviour have all given their highest respect to GE (Fisher, 2006). A large part of this respect comes from the way GE handles its organisational aspects of Leadership and company culture of which examples have been given by those who have been a part of GE as well as those who have observed it from afar. There was certainly was a man at the top who ran GE for many years before stepping down to make way for the new guard, the policies and methods used by Jack Welch have remained popular with the company and little has changed despite his exit. The systems established by him have not only been used by GE, they have also been implemented in other Fortune 500 companies as standard practices. In fact, the systems created by Welch were so good that they are continued in place with modifications made only when necessary (Colvin, 2006). It is clearly no wonder than Business Week hailed him as the singe best manager in all of America long before he wrote his own book on management and leadership (Byrne, 1998). It was the particular

Wednesday, September 25, 2019

Human resources labor relations Essay Example | Topics and Well Written Essays - 250 words

Human resources labor relations - Essay Example In other words trade unions are more powerful than the employers at present which is not good for the market. In a heavily competitive and extremely globalised market, trade unions may reduce the competitive power of the organizations. Majority of the organizations in the current world are functioning in a democratic manner and employees can directly contact their managers for establishing their rights. It is better to form a body, consisting of the representatives from both the employer and the employees to settle the employment disputes. One big union approach is definitely better than multi-union approach. The exploitation of the employees by union leaders will be reduced considerably when single union approach implemented. Majority of the trade union problems occur because of the trade union leader’s egoism. If more unions are present in an organization, each union may put different unacceptable and illogical demands to the employer to catch the attention of the employees. One of the major disadvantages of one big union concept is the possibility of more disputes inside the union because of the differences in the political beliefs of the members. In multi-union approach, members of each union may have same political ideology and therefore internal conflicts would be

Tuesday, September 24, 2019

The Role of the Derivatives in Credit Default Essay

The Role of the Derivatives in Credit Default - Essay Example This is known as the ability of derivatives to soar 100 percent within a few days, when the security has risen to by a small percent of 10 percent. Derivatives are also used to control large blocks of stocks for a much lesser sum that would be required for the outright purchase (Carter, 2009, p. 67). This means that derivatives give people the ability to control and manage risk. As supervisors of banking, the central bank are concerned that commercial banks’ participation in derivatives markets could lead to a major bank default that could be worsen and lead to the disruption of financial markets. Default on any derivative or financial contract involves the failure by one party to the contract to make a payment under the required contract agreements. For derivatives, default occurs when two conditions are met in a simultaneous manner. In this case, a party to the contract is in debt under the contract terms, and the counterparty cannot obtain the money within the given period (Hanson, 2010, p. 58). No regulation of the derivatives can work well if there is no strong mandatory mechanism that would expose raw data to the regulators in policing the market for misuse. Credit derivatives are the causative factors that led to the overwhelmed financial markets that led to the recession. Due to deposit insurance and the reluctance of the government to let the banks, the credit risk is transferred to the government which is the turned onto the tax payers. The bank depositors who are the main stake holders have no incentive in monitoring the banks’ risk exposure. This move will allow the banks to load up on risk without attracting additional capital. This means that unregulated credit derivatives will offer unprecedented leverage. Since finance markets are a true reflection of a true economy, the misuses of the derivatives can have a great impact on it (Teslik, 2009, p. 60). The credit defaults have played a major role in the financial problems that people are faced with. The high volatility and turbulence that financial markets experienced is as a result of their misuse of derivative security. Banks that have been faced with lack of operating capital have been faced with the wrath of fluctuating values in their debt obligation, mortgage backed securities and credit default swaps. 2) What lessons should be taken by the UK’s financial sector and regulators in relation to 'Bear Stearns’ and other high profile cases? An important lesson that has been learned is the difference between short term and long term liability has been neglected or has been given insufficient attention by regulators. With reference to the liability structure of the U.S banking system, there is a clear majority of short term debts. This was taken in forms of wholesale or deposit funding which included commercial paper or repurchase agreements. Whole sale funding runs were also witnessed through refusal or commercial paper or repo creditors to roll ov er their loans. This played a major role in the demise Bear Stearns, Northern Rock and Lehman Brother among other higher profile failure cases. The UK’s financial sector should be able to regulate debt maturity (Kirkpatrick, 2009, p. 78). Another lesson that was learned was that the fire scale risk associated with excessive short term funding does not only originate from depositories, but rather, a financial intermediary with a combination of financing structure and asset choice which may exacerbate a

Monday, September 23, 2019

Ethics and Corporate Social Responsibility a Case Analysis of Enron Essay

Ethics and Corporate Social Responsibility a Case Analysis of Enron - Essay Example 2. An evaluation of the potential role of corporate social responsibility in saving Enron in line with the criticisms of CSR by Friedman and Barry. 3. An assessment of whether Enron should have favoured some stakeholders ahead of others or not. 4. An evaluation of whether codes of conducts and stated core values have an effect on a business or not. Question 1 The Role of the CEO in the Enron Scandal This portion of the research examines whether Enron chief, Kenneth Lay acted immorally or not. In order to examine the issue well, the paper would use a broad range of assessment of morality to identify whether actions of Lay were appropriate or not. Each of these issues would be examined critically. Dominant and Unfettered Power and Control It is apparent that Kenneth Lay had dominant and unfettered powers and control over activities of Enron. This is because he had stayed in power for a very long time and had a lot of control in decision making. Although this in itself is not immoral, i t created the impetus for a lot of immoral and amoral activities to be carried out by Lay in conjunction with his fellow managers and directors. Ideally, a business needs to have some kind of control and checks to ensure that managers do not abuse the system (Crawford, 2006 p114). This reason justifies the need for the establishment of an Independent Board of Directors and a Management team. Again, the board needs to be headed by a person who is different from the CEO in order to create an ideal situation where no one in the top hierarchy can get uncontrolled power over the activities of the company. In the case of Kenneth Lay, he was the CEO and the Chairman of the Board of Enron for 17 years and had unfettered powers which contributed to a lot of wrongs in the company. Disregard for Core Principles Kenneth Lay stated that the core principles of Enron were communication, respect, integrity, and excellence. However, there is strong evidence that he led the company to override the ve ry standards he set and the system that was meant to safeguard the implementation of those standards. George and Jones identify that overriding standards and principles means disregard of rules and regulations for reasons that are not consistent with the best interest of the business (2009). As such, there is evidence that Kenneth Lay did things that undermined the core guiding principles that he set for Enron. First of all, he claimed that communication was key. However, there were major reporting issues in Enron that led to its collapse. Secondly, he claimed that respect was a key principle. However, it is apparent that some stakeholder groups like employees were given tough treatments and their rights were blatantly disregarded. Thirdly, Enron claimed to seek integrity but in reality, they had serious issues with truthfulness and the attempt to disguise the reality in its financial situation to maintain a positive image with the public and other stakeholders. Finally, Enron state d that they sought excellence. Although they might have been a leading business at some point in their history, they used unsustainable systems and structures to attain this end. This led to major long term issues which culminated in the collapse of the company. Since Kenneth Lay had extensive powers to ensure that the core principles that he had outlined would be honoured and he failed to do so, there is a major

Sunday, September 22, 2019

History of football Essay Example for Free

History of football Essay Football (as well as rugby and soccer) are believed to have descended from the ancient Greek game of harpaston. Harpaston is mentioned frequently in classical literature, where it is often referred to as a â€Å"very rough and brutal gameâ€Å". The rules of this ancient sport were quite simple: Points were awarded when a player would cross a goal line by either kicking the ball, running with it across the goal line, or throwing it across the line to another player. The other team’s objective was simply to stop them by any means possible. There was no specific field length, no side line boundaries, no specified number of players per team, only a glaring lack of rules. Harpaston: Luckily (for everyone) uniforms equipment have improved dramatically. Most modern versions of football are believed to have originated from England in the twelfth century. The game became so popular in England that the kings of that time (Henry II and Henry IV) actually banned football. They believed that football was taking away interest from the traditional sports of England, such as fencing and archery. Evolution and the Beginnings of Standardization. Football didn’t really begin to take on any consistency of rules and boundaries until it was picked up as a sport in the seven major public schools of England in the early 1800’s. Six of the seven schools were largely playing the same game (including Eton, Harrow and Winchester) while the seventh, Rugby School (founded in 1567) was playing a markedly different version of football. The other schools moved ahead refining their rules and eventually their game became known as association football – or soccer, which was played back then much as it is today. Rugby School went in a different direction. How and why the game developed differently at Rugby School appears to have been lost in history, but what is known is that by the 1830s, running with the ball at Rugby School was in common use and 18 foot goal posts had been added with a cross-bar at 10 feet above the ground. The inclusion of the cross-bar was accompanied by a rule that a goal could only be scored by the ball passing over the bar from a place kick or drop kick. Apparently this was done to make scoring easier from further out and also to avoid the horde of defenders standing in and blocking the mouth of the goal. Players who were able to touch down the ball behind the opponents goal line were awarded a try-at-goal the player would make a mark on the goal line and then walk back onto the field of play to a point where a place kick at the goal was possible (a conversion). There was also an off-your-side rule used to keep the teams apart. Passing the ball forward was not allowed. By the mid-1860s British schools and universities had taken up Rugbys game and honored the school by giving the new football the name of rugby. The game soon went trans-Atlantic to America and landed on fertile soil. Roots of American Football The birth date of football in the United States is generally regarded by football historians as November 6, 1869, when teams from Rutgers and Princeton Universities met for the first intercollegiate football game. In those early games, there were 20 players to a team and football still more closely resembled rugby than modern football. The game of football has a history of constant rule changes. Rule changes have been implemented to bolster the excitement of the game of football and  to increase the games safety. In 1873, representatives from Columbia, Rutgers, Princeton, and Yale Universities met in New York City to formulate the first intercollegiate football rules for the increasingly popular game. These four teams established the Intercollegiate Football Association (IFA) and set 15 as the number of players allowed on each team. Walter Camp, the coach at Yale and a dissenter from the IFA over his desire for an eleven man team, helped begin the final step in the evolution from rugby-style play to the modern game of American football. The IFA’s rules committee, led by Camp, soon cut the number of players from fifteen to eleven, and also instituted the size of the playing field, at one hundred ten yards. In 1882 Camp also introduced the system of downs. After first allowing three attempts to advance the ball five yards, in 1906 the distance was changed to ten yards. The fourth down was added in 1912. Within a decade, concern over the increasing brutality of the game led to its ban by some colleges. Nearly 180 players had suffered serious injuries, and eighteen deaths had been reported from the brutal mass plays that had become common practice. So in 1905, President Theodore Roosevelt called upon Harvard, Princeton, and Yale to help save the sport from demise. At a meeting between the schools, reform was agreed upon, and at a second meeting, attended by more than sixty other schools, the group appointed a seven member Rules Committee and set up what would later become known as the National Collegiate Athletic Association, or the NCAA. From this committee came the legalization of the forward pass, which resulted in a redesign of the ball and a more open style of play on the field. The rough mass plays, which once caused so many serious injuries, were prohibited by the committee. Also prohibited was the locking of arms by teammates in an effort to clear the way for their ball carriers. The length of the game was shortened, from seventy to sixty minutes, and the neutral zone, which separates the teams by the length of the ball before each play begins, was also established. Though refinements to the game would continue to the present day, the modern game of American football had arrived.

Saturday, September 21, 2019

Understanding The Concept Of Gender Mainstreaming Sociology Essay

Understanding The Concept Of Gender Mainstreaming Sociology Essay This report is about gender mainstreaming which entered the mainstream of international public policy in September 1995, when it featured in the platform for Action of the Fourth World Conference on Women in Beijing where most nations have signed the Platform. The report present the background and the foundation of gender mainstreaming and discusses why, how and outcome of gender mainstreaming application in the institution and some problems and restrictions will be presented which may hinder the process of mainstreaming. 2.0 Background The road to guaranteeing equality between men and women began some decades back, and progress was made in certain sectors of society but we still a long way far from being to announce and state that equality exists in terms of womens access too all of society sphere. Access has been restricted in areas of power or those requiring further education which has lead to the glass ceiling phenomena which still exist up to now in most organizations and institutions. There has been always efforts and progressive approaches to achieve equality for women in the society and the main concern was over womens issues and womens access and opportunity to the different positions in the society. In the 1970s, which this period called the period of individual rights women in development (WID) main focus was on how women could better be integrated into existing development initiatives and was regarded as beneficiaries rather than full member of development. This approach has relevance to women only which had the effect of isolation and marginalizing of women n the decision making. In the 1980s, which this period called the period of specific action due to the ineffectiveness and limited approach of the (WID), it became an evident that a new paradigm was needed to explain the relationship between women and men, Gender and Development GAD approach was different from WID and is it approach was: The gender is not a women issue but both men and women Both men and women have different and special needs. Women can not be treated as homogenous group. Women are disadvantaged to men The inequality between men and women is systemic and structural. Gender equality and equity in institutions and organization must be looked at with the understanding the complex lives of people and in order to have an effective gender analysis, must make a practical explaining the differences n mens and womens lives and helping to produce policies and programs that reduce inequalities. The concept of gender mainstreaming was first proposed at the 1985 Third world Conference on Women in Nirobi and was developed further by the United Nation development community and is recognized as a global strategy for the promotion of gender equality. The idea of gender mainstreaming was formally featured in 1995 at the Fourth Conference on women which was held in Beijing. The UN Economic and Social Council defined the concept of gender mainstreaming as: Mainstreaming a gender perspective is the process of assessing the implications for women and men of any planned action, including legislation, policies or programs, in all areas and at all levels. It is a strategy for making womens as well as ens concerns and experiences an integral dimension of the design, implementation, monitoring and evaluation of policies and programs in all political, economic and societal spheres so that women and men can benefit equally and inequality is not perpetuated. The ultimate goal is to achieve gender equality. The importance of gender mainstreaming has been widely discussed since governments committed to the concept in Beijing Platform for Action in1995. It has become a generally accepted procedure that gender equality is a prerequisite for a sustainable human development. Gender mainstreaming is an essential strategy not only for attaining gender equality, but also for the sustainable development of societies as whole. National womens machineries (NWM) around the globe have been grappling with the complex task of turning concepts into reality to implement gender mainstreaming strategies. Gender mainstreaming incorporates the GAD perspective and aims to look the relationships between men and women in their access to and control over resources, decision making and benefits and rewards within a particular system. The system could be an institution, organization, a government or a department society. The mainstream refer to an inter-related set of dominant ideas, values, practices, institutions and organizations that determine who gets what within a society. The ideas and practices within the mainstream tend to reflect an reinforce each other and thus provide a rationale for any given allocation of societal resources and opportunities. Being part of the mainstream means that women and men have equitable access to resources, including opportunities and rewards. It implies equal participation influencing what is valued in shaping options within society. Becoming part of the mainstream means sharing equitable in the benefits of development. Becoming part of the mainstream offers the opportunity to influence who does what in a society, who won what, who has access to jobs and income, who controls the societys resources and institutions, who makes decisions and who sets priorities. Gender mainstreaming is a long term, complex and multi dimensional process that focuses on the needs of both men and women in order to achieve the optimal development and equality in the organization, gender streaming can defined as follows: Is a process or a strategy to work toward the goal of gender equality and it is not and end in itself. It is an approach to governance that makes mens and womens concerns and experience and integral part of the design, implementation, monitoring and evaluation of policies and programs in all sectors of society. It involves changing policies and institutions so that they actively promote gender equality. It is a long term, transformative process that involves rethinking socio-cultural values and development goals. The gender mainstreaming involve not restricting efforts to promote equality to the implementation of specific measures to help women, but mobilizing all general policies and measure specifically for the purpose of achieving equality by actively and openly taking the account at the planning stage their possible effects on the perspective situation of men and women. An effective gender mainstreaming policy consists of four steps: Getting organized is on implementation and organization, and building awareness and ownership. Implementation and organization of gender mainstreaming refers to the process of providing a structural and cultural basis of equal opportunity. This includes formulation of objectives and targets, making a plan and drawing a budget and defining responsibilities and accountability of the different actors involved. All stakeholders involved in the policy should take equal opportunities of men and women in account. Training is essential in order to create a certain degree of gender awareness and expertise. Learning about gender differences, a description of the actual situation is essential in order to access actual gender inequality. In addition, monitoring the situation over time and making an assessment such as participation (group/population) such as the share of men and women in unemployment, among the disabled or among those with flexible contracts. Resources such as access or distribution of time, money, space, information, political and economic power. Norms and values such as influence gender roles, gender division of labor, the altitude of men and women. Values attached to men and women. It is essential to identify the role of policy measures in reinforcing social norms and values that maintain gender inequality. Rights pertain to direct or indirect sex discrimination, human rights, and access to justice in the legal, political or socio-economic environment. Assessing the policy impact is to analyze the potential gender impact of the policy with reference to participation, resources, norms and values and rights. Both quantitative and qualitative aspects should be taken account of participant. Its important to differentiate between particular groups of men and women such as ethnic minority groups, age groups, and regional groups. Its the changing policies and institutions so that they actively promote gender equality. It is a long term transformative process that involves rethinking socio-cultural values, development goals and redesigning policies to identify ways in which the policy could be redesigned to promote gender equality in the even of having negative impact on gender equality or to be broadly gender neutral. An effective gender mainstreaming policy diagram 3.0 Gender Streaming why, how and outcome: 3.1 Why Gender Streaming Gender mainstreaming is an important aspect of good governance. It seeks to ensure that institutions, organizations, policies and programs respond to the needs and interests of women as well as men and distribute benefits equally and justice for women and men. Thus enhancing the accountability of organizations / governments to achieve results for all citizens. The gender mainstreaming process does not mean a move away from specific women programs, special measures or women specific activities may still be required to address inequalities. Reducing poverty, boosting economic growth and strengthening citizenship is a proactive process designed to tackle inequalities which can discriminate against either sex. Gender mainstreaming is not only about women but it is also about men and society in general. It is also important for both men and women to feel comfortable as pat of the gender mainstreaming process and must play an active role in ensuring gender equality. It will benefit the organization directly in terms of improving its image, credibility ad enhancing their political capital. Mainstreaming can play an important role in eliminating sexual harassment and unprofessional attitudes towards people involved in gender work are series barriers that may not be easily surmountable through good augmentation strategies. Gender sensitivity and efforts to change attitudes within organization structure are vital elements in the gender mainstreaming process. Gender mainstreaming may load to changes which give women and men equal access to the operation, power and resources. In addition the mainstreaming will have a direct effect on the effective service of the organization and better distribution of resources for both men and women. It will lead also to more legal security, better democracy in that women and men are treated equally and a better grasp of gender equality policy and of the needs of those who use the organizations services. Why gender mainstreaming can be summarized as follows: Target major economic and social policies that deliver resources Make good economic sense ensuring that women as well as men are active, using full of the productive labor force. Represent a further step in the search for equality. Gender is the one of the most fundamental organizing features in society and affects our lives from the moment we are born. Recognition of male and female identities and recognizes that differences exist in mens and womens lives and therefore our needs, experience and priorities are different. Willingness to establish a balanced distribution of responsibilities between women and men. Needs determined political action and support with clear indicators and targets. Will not happen overnight, it is a continuous process. Equal division of power and influence between women and men. Women and men shall have the same rights and opportunities to be active citizens and to shape the conditions for decision making. Economic equality between women and men. Women and men shall have the same opportunities and conditions with regard to education and paid work that provide lifelong economic independence. Men violence against women must stop. Women and men shall have equal rights and opportunities in terms of physical integrity. 3.2 How, Gender Mainstreaming Gender mainstreaming in any organizations policy must first take stock to determine where equality needs to be established. We need a clear idea of the political measure for change. Previously such measures were usually understood to the promotion of women, thus the new strategy is called the gender mainstreaming which combined political perspective should then provide and idea of what must be changed, how, and with what means. All measures must first be checked for their political effects for both sexes and implemented only of they contribute to gender equality. Many measures must still contribute essentially to the promotion of women, that is, the dismantling of structural disadvantages for women, and to active gender equality. Gender mainstreaming resides in gender controlling, that is, in the analysis of each and every political activity from the perspective of its contribution to the establishment of equal opportunity. For such an analysis to be successful, expert knowledge, gender competence, and power must come together. Expert knowledge refers to knowledge of processes, that is, one must have a through knowledge of the legal, political, and bureaucratic conditions of the given field of action. Gender competence signifies the development of critical view of gender that will help to recognize gender hierarchies. Pointing out general patriarchal structures is no longer enough; rather, subtle processes of constrictions on men as well as women must be recognized. Power also means the power to define problems in any given situation by pointing and filtering out issues that needs and require action in order modify its situation. The inequalities exist in the organization is part of the domain of knowledge that would have to be made broadly available and should not remain in the hands of only a few specialists and mainstreaming means introducing gender relations in all themes and the fields they cover. A key point of gender mainstreaming is the demand that gender questions be made an obligatory theme in all areas, and a special theme for only a few. Giving this approach a political and legal foundation that is, as a measure applied from above will certainly makes things easier for activities struggling for general equality from below. But how to approach the theme, where it belongs, and how it is to be pursued remain largely open and needs expert recommendations. The different pattern of participation of the sexes in the varies departments and levels of the institution must be achieved, this apply to all people within the institutions. We need acknowledgment that unequal distributions are a problem and obstacle in equality, such an acknowledgment is relevant in identifying and applying the particular policies to achieve equality. Gender mainstreaming involves varies actions to be determined in order to formulate a policy of gender integration to achieve the final outcome, these actions include: Carefully assessing the situation of women and men in the organizing and identifying the different vulnerable groups of women and men and thats include ethnic minorities, disabled in relation to the objectives we need to achieve in our work. Determining the steps needed to improve the gender equality within the organization in order to support this improvement. Tracking the progress of mainstreaming with indicators or other means of monitoring the gender equality related issues. Raising awareness about gender equality problems, obstacles and the importance of adopting a gender prospective. Building a capacity program among the organization and partners to adopt a gender sensitive approach. Ensuring visibility of the gender dimensions of the activities in the organization with proper documentation, reports, seminars and public information materials. Sex disaggregated data and statistics Skills and opportunities to carry out gender analysis. Effective monitoring and evaluation systems and tools. Effective communication, networks and linkages Skilled human resource base Civil society participation. 3.3 Outcome of Gender Mainstreaming Gender mainstreaming was established as a global strategy for achieving gender equality, and in turn for achieving sustainable economic development in the 1995 Beijing platform for action ratified by all United Nations member states. It is now incumbent upon nation-states and international organizations to carry out gender mainstreaming and as such, has achieved widespread endorsement by individuals governments, regional suptra state bodies such as the European Union, the Nordic Council of Ministries and the Organization of American States, the United nations and its varies agencies, the Organization foe Economic Cooperation and Development and the Council of Europe. Gender mainstreaming is a process rather than a goal, where efforts to integrate gender into existing institutions of the mainstream have little value for their own sake. Mainstream gender concerns to achieve gender equality and improve the relevance of development agendas. Such an approach shows that the cost of womens marginalization and gender inequality are born by all. Gender mainstreaming include attempts to establish a gender-equality perspective across all policy areas, even where the gender issues at stake may be not immediately apparent, and where the impact of mainstreaming policy on gender relations is often indirect. Gender mainstreaming is neither conceived of as an achievement in itself nor as a liberal policy to include women in decision making roles, rather it is conceived as a strategy to re-invent the process of policy design, implementation and evaluation by taking into account the gender specific and often diverse interests and values of differently situated women and men. All accounts of gender mainstreaming imply significant changes to gendered institutions, a range of different visions or models of gender equality have been invoked. Three main models of gender equality have been identified: The first model is one in which equality based on sameness is fostered, especially where women enter previously male domains and this known as the transformations of gender relations. The second in which there is a move towards the equal valuation of existing and different contributions of women and men in a gender segregated society known as tailoring situations to fit the needs of the women. The third is one in where there is a new standard for both men and women, which is the transformation of gender relations in which there are new standards for everyone, replacing the segregated institutions and standards associated with masculinity and femininity. Gender mainstreaming is highly diverse with uneven impacts, it is situated within the development of global politics, multi forms of governance and diverse discourses of human rights. All gender mainstreaming agendas and policies must should be evaluated from the perspective of whether or not it reduces or increases gender inequalities, unfair and unequal gender outcomes can be redresses. Gender equality and justice thus rely on the creative and technical capacity of gender analysis and gender specialists in the institutions. The gender mainstreaming main aim and the resulting goal is to help to transform a society to better gender equality, the result of such an events can be difficult to identify and track. The signs of the outcome of the gender streaming may be observed after a long term and can be identified by the increase in equality and the development results may include: Womens increased access to and control over a societys development resources and opportunities. Reduction in poverty for both women and men assessed through several indicators associated with areas where significant gender gaps exist, such as health and income. More equitable participation in decision making concerning allocation of development resources that might produce results such as improved health service delivery or better access to opportunities. Improved media images of womens roles in relationship and society, promoting women as individuals with full human rights and discouraging intolerance and violence against women. The emergence of committed gender-sensitive leaders, planers and implementers, both men and women applying gender analysis to their work on a regular basis. Identification of gender focal points in various government ministries with the capacity to provide leadership and accountability. The provision of adequate resources for the collection and analysis of sex disaggregated data, particularly to track impact of policies and programming. Putting mechanism in place to facilitate regular consultation and validation of policy decisions with civil society groups and organizations promoting gender equality. 4.0 Possible Problems or restrictions of gender mainstreaming Gender mainstreaming is a new strategy which has not been a great success so far, and essentially contested form of feminist politics and policy, existing in the tension between the mainstream and interventions to secure gender equality. The gender mainstreaming in development policies has been limited by its discursive construction as well as the failure to empower key gendered actors and its development has been uneven and weakened by its subordination to other policy goals. Gender mainstreaming has been criticized as a confusing conceptual framework at best, and at worst, a force that has totally undermined womens rights. Some say that it has resulted in the disappearance of attention to womens specific needs and the gender differentiated impacts of policies and programs. Mainstreaming has been described as a deceptive simple concept that is likely to be extremely difficult to operationlize and as an extraordinary demanding concept, which requires the adoption of a gender perspective by all the central actors in the policy process. Most Organizations embrace mainstreaming without implementing the extensive ground work and structural change that is necessary to ensure effective outcomes. Gender mainstreaming has emerged as a strategy in a period in which many governments and organizations have been anxious to reduce the costs and burdens imposed on market actors. Present approaches to macroeconomics have tended to reinforce a simplistic anti-poverty agenda that is incompatible wit process of gender mainstreaming. The lack of general understanding of what gender mainstreaming entails in practical terms and a lack of access to support mechanism and the gaps between policy and practice, with particular challenges to inadequate institutional mechanism, including the area of data collection, accountability, monitoring, reporting and training, as well as inadequate resource allocation. Other factors which hindered and restricted the gender mainstreaming include: Women organization may influence the outcome of mainstreaming due to their claim that streaming is not the appropriate procedure to achieve equality and feel that their situation will even become worse than before. The policy of gender mainstreaming sometime will lead to the abandonment of specific, positive actions on behalf of women and the particular policies on behalf of women may be discontinued and the equal opportunity unit will be weakened in the name of mainstreaming. There is a far that gender mainstreaming might be an attempt to integrate womens work to cut down costs and to downsize staff and the fear of some women is that it might lead to integration and elimination of womens movement and therefore lad to invisibility rather than to transformation. Many of the initiative undertaken under its mandate fail to create and legally enforceable rights, such as equal pay. The promise of the mainstreaming approach lies not in the short term creation of legally enforceable rights, but in the long term transformation of the policy process to serve the goal of equal opportunity between women and men. Political will and leadership: Understanding and commitment from authorities is obviously crucial to creating an enabling environment for the implementation of gender mainstreaming. Formal acknowledgement from political leaders that gender equality is an essential component of sustainable development is a starting point. Policy framework: without a formal policy in place related to gender streaming, often the results will be weak and missed. Unavailable of Sufficient Resources: without sufficient of resources, the commitment to gender streaming will not be achieved. Resources must be allocated to support the structure and practice required of mainstreaming. Sex-disaggregated and data information system: Information are not available to assure that there differences in circumstances and opportunities between women and men in order to provide the basis for policy and program development and evaluations. Tools and knowledge for gender analysis is not available and missing, such as inappropriate person in key position, lack of understanding concerning national gender equality and rational, scarce human, financial and technical resources, a lack of incentives / recognition rewards, lack of professionalism or political skills within the organization who will be responsible for establishing linage with other agencies and government departments. 5.0 Steps and procedures needed to address issues in mainstreaming Gender mainstreaming is relatively new phenomena and drives from only 20 years experience and the main procedure needed to the successful polices of mainstreaming is capacity building and training is needed to ensure and enhance the system gender sensitivity and gender expertise and these include: Integrate a gender perspective into all training programs. Provide continuous gender training for all staff, including those at the highest levels. Provide special training for gender experts to enhance their skills. Ensure that specialized gender expertise is available to them. Coordinate their training efforts though a system-wide evaluation of the impact of gender training. Gender disaggregated statistics and indicators to be collected and analyzed. Information exchange on gender mainstreaming within organization in particular women watch groups. Provide gender sensitive public information activities and materials to all concerned parties. In addition all problems and restrictions of gender mainstreaming of previous section can be avoided in order to not to hinder the development policies of gender mainstreaming. 6.0 Conclusion The gender mainstreaming is relatively new and has taken a center stage in the world order since the United Nations Conferences in Cairo, Copenhagen and Beijing have created very important aspects for women equality and rights to move the International development agenda from small scale to emphasizing the importance of gender mainstreaming in impacting the status of women in economics, social and political development. The mainstreaming gender equality is a commitment of organization to ensure that womens as well as mens concerns are the main parameters of the design policy in order to achieve equality for all sexes and to shatter the glass ceiling.

Friday, September 20, 2019

Study on the Outcome of Damage Control Surgery

Study on the Outcome of Damage Control Surgery A RETROSPECTIVE STUDY ON THE OUTCOME OF DAMAGE CONTROL SURGERY IN SPMC FROM YEAR 2005 TO 2010. A RETROSPECTIVE STUDY Submitted by: Chris George C. Pales, MD Co-Author: Benedict Edward P. Valdez, MD INTRODUCTION: WHAT IS THE TOPIC ALL ABOUT? The traditional approach to combat injury care is surgical exploration with definitive repair of all injuries. This approach is successful when there is limited number of injuries. These are usually performed in patients with unstable conditions such as profound hemorrhagic shock which known to affect the over-all survival of the patient. Prolonged operative times and persistent bleeding lead to the lethal triad of coagulopathy, acidosis, and hypothermia, resulting in a mortality of about 90%. The Three stages of damage control are as follows: Control of hemorrhage and contamination. Also known as bail-out surgery is the first stage. It is a life-saving procedures and is rapidly performed by the surgeon. The main goal this time is to control blood loss and minimizing contamination. It includes control of hemorrhage from bleeding major vessels and solid organs through packing of abdomen, deviation from intestinal anastomosis and temporary closure of abdomen. Resuscitation: Once control of hemorrhage is achieved, patient is now transferred to ICU for correction of any derangement. Rewarming of the patient to avoid hypothermia, correction of blood loss, hydration and stabilization of BP, and avoiding coagulopathy. Reoperation. One patient has been stabilized, especially within 24-48 hours, definite procedure will be done at operating room. WHAT IS ALREADY KNOWN ABOUT THE TOPIC? Damage control surgery is relatively new technique, about 20 years old. It is well recognized that trauma patients especially those with profound shock has a higher chance to die secondary to intra-operative metabolic failure than from the trauma itself. The analogy of damage control surgery is to stop all haemorrhage and gastrointestinal spillage as quickly as possible while patient is having unstable vital signs at the operating room. It is coined from a U.S. Navy technique which is â€Å"the capacity of a ship to absorb damage and maintain mission integrity.† Speed of decision and surgery in severely injured trauma patients is the key to avoid death to patient. The well recognized consequence of hypovolemic, hypothermic patient is what we call the â€Å"lethal triad.† It comprises the vicious cycle of hypothermia, acidosis, and coagulopathy. It is a viscous cycle that is very lethal if not recognized and controlled immediately. Patient who is stable with acceptable laboratory results, good ventilator response, non-hypothermic, are then returned to the operating for the â€Å"definitive operation.† (figure 1). Bowel anastomoses and colostomy maturation, definitive vascular repair, removal of hemostatic packing, and closure of abdominal fascia where is done. Figure 1. The documented mortality for the damage control approximately 50% with a documented morbidity of approximately 40% as summarized in the following table. WHAT IS NOT YET KNOWN ABOUT THE TOPIC? With the advent of modern technology and numerous studies, what is the outcome of patients undergoing Damage control surgery in SPMC from January 1, 2005 to December 31, 2010. WHAT IS THE SIGNIFICANCE OF THE STUDY? This study will give us data on the effectiveness of Damage Control Surgery done at SPMC from January 1, 2005 – December 31, 2010. It will give the surgeons the data of factors that determine the outcome of damage control surgery, thus giving ways of improving healthcare management to patients. WHAT WILL THIS STUDY DO? General Objective: The study aims to determine the outcome of damage control surgery done in SPMC from January 1, 2005 to December 31, 2010 Specific Objective: To describe the demographic and clinical profile of patients who underwent damage control surgery To determine the number of patients who underwent definitive surgical procedure after damage control surgery 3. To determine the mortality rate of patients who underwent undergoing damage control surgery in SPMC from January 1, 2005 to December 2010. 4. To determine the factors that affects the outcome of patients undergoing damage control surgery in SPMC from January 1, 2005 to December 2010 in terms of nature of injury, time of operation from injury and pre-operative vital signs. Patient’s Demographic Profile Describe the trauma patients according to the following variables: Sociodemographic characteristics Age Sex Clinical characteristics: Pre-operative vital signs Associated Injuries GCS score Organs Involved Co-morbidities Determine the interventions and clinical outcome of patients Duration of Operation Operations performed Mortality rate Re-operation performed Disposition Figure 1. Conceptual Framework METHODOLOGY General Design The study employed is a retrospective, descriptive study design. Chart review of all patients who underwent damage control surgery during January 1, 2005 to 2010 will be done by the author with the permission of the medical records section and the hospital research committee. Setting The study will be will be conducted at Southern Philippines Medical Center, a tertiary hospital in Davao City in June 2013. PARTICIPANTS: INCLUSION CRITERIA: This study will include all patients admitted and underwent Damage control surgery at Southern Philippines Medical center in 2005-2010. Damage control surgery includes resection of major injuries to the gastrointestinal tract without re-anastomosis; control of hemorrhage through peri-hepatic packing and temporary closure of abdomen and use of an alternate closure of a cervical incision, thoracotomy, laparotomy, or site of exploration of an extremity. EXLCLUSION CRITERIA: None SAMPLING PROCEDURES: The study subjects (target population) of this research are the patients admitted and underwent Damage control surgery at Southern Philippines Medical Center in 2005-2010. Randomization: None DATA GATHERING Dependent Variable: Number of Damage Control Surgery from 2005-2010 Main outcome measures and other dependent variables: Number of patients who expired and number of patients survived. Independent Variables Age and Sex Nature of injury Time of intervention from time of injury Pre-Operative vital signs Glasgow coma scale Organs involved Duration of Operation Availability of Blood Interventions: None Data Handling and Analysis: All data will be computed as to the mortality rate by computing the number of patients who expired to the total number of patients who underwent Damage control surgery. Furthermore, determination of mortality will be computed by computing the ratio of mortality as of Age and Sex, Nature of injury, Time of operation from injury and Pre-op vital signs, Duration of Operation, Availability of blood, Organs involved. ETHICAL CONSIDERATIONS Ethics Review The proponent of the study will secure an approval from the Cluster Ethics Research Committee of The Southern Philippines Medical Center prior to doing the research. A similar approval is also secured from the Department of Surgery of the same institution with the approval of a consultant in-charge. Privacy No phone calls or home visits as follow up to participants. Confidentiality The researchers will not disclose the identities of the patients at any time. The data obtained during the study will be under the Department of Surgery of Southern Philippines Medical Center and will be kept in confidentiality. Extent of Use of Study Data The data collected by the researcher will only be used to answer the objectives of stated in the protocol. Data will be available to others as a finished paper. Authorship and Contributorship The main proponent of the study is the main author and researcher of the study. Consultant guidance and support will be provided Dr. Benedict Valdez, head of Section of Trauma, Department of Surgery, SPMC. He is the co-author who will aide in the study design. A professional statistician will help in the study write-up and data analysis. The author and co-author gives consent to use the data collected for further research. Conflicts of Interest The main proponent and the co-authors declare no conflict of interest. Publication The research will be submitted for national and international publication groups and may be chosen for publication. In all portions in the paper, the author and co-authors will be duly acknowledged. Funding The main proponent of the study is using personal funds to conduct the study. Funding of the braces will depend on the patients and their guardians . REFERRENCES Schwartz book of Surgery 8th Edition by F. Charles Brunicardi Trauma, Fifth Edition by David Feliciano, MD A logical approach to trauma – Damage control surgery Shibajyoti Ghosh, Gargi Banerjee, Susma Banerjee, D. K. Chakrabarti Department of Surgery, R. G. Kar Medical college, West Bengal, India. Townsend: Sabiston Textbook of Surgery, 17th ed., Copyright  © 2004 Elsevier Combat Damage Control Resuscitation: Today and Tomorrow ;Colonel Lorne H. Blackbourne, MDUS Army Institute of Surgical Research, 3400 Rawley E. Chambers Ave. Fort Sam Houston, TX 78234USA Damage Control: Beyond the Limits of the Abdominal Cavity. A Review Maeyane S. Moeng, MB, BCh, FCS(SA),1 Jerome A. Loveland, MB, BCh, FCS(SA),2 and Kenneth D. Boffard, BSc(Hons), MB, BCh, FRCS, FRCS(Edin), FRCPS(Glas), FCS(SA), FACS, FCS(SA) Feasibility of Damage Control Surgery in the Management of Military Combat Casualties Ben Eiseman, MD, Ernest Moore, MD, Daniel Meldrum, MD, Christopher Raeburn MD DUMMY TABLES TABLE 1: Demographics and Clinical Characteristics. TABLE 2: OUTCOME TABLE 3: BUDGET TABLE 4: TIMETABLE CURRICULUM VITAE Name: Chris George C. Pales Address: Unit 303, Palmetto Place, Maa road, Davao City Telephoneà ¢Ã¢â€š ¬Ã‚ ¨Cell: 09238060856 Phoneà ¢Ã¢â€š ¬Ã‚ ¨Email: [emailprotected]/[emailprotected] Personal Informationà ¢Ã¢â€š ¬Ã‚ ¨ Date of Birth: April 9, 1983 à ¢Ã¢â€š ¬Ã‚ ¨Place of Birth: Koronadal City, South Cotabato à ¢Ã¢â€š ¬Ã‚ ¨Citizenship: Filipino à ¢Ã¢â€š ¬Ã‚ ¨Status: Married à ¢Ã¢â€š ¬Ã‚ ¨Gender: Male Education: Elementary: Kipalbig Elementary School, Kipalbig, Tampakan, South Cotabato (SY 1990-1996) High School: Notre Dame of Marbel University, Koronadal, South Cotabato (SY 1996-2000) Colllege: West Visayas State University, Iloilo City (SY 2000-2004) Medicine: West Visayas State University, Iloilo City (SY 2004-2008) DATA COLLECTION SHEET A RETROSPECTIVE STUDY ON THE OUTCOME OF DAMAGE CONTROL SURGERY IN SPMC FROM YEAR 2005 TO 2010. A RETROSPECTIVE STUDY Chris George C. Pales, MD/Benedict Edward P. Valdez, MD Hospital #: Age: Sex: NATURE OF INJURY Stab wound______ Gunshot wound______ Blunt Trauma______ Penetrating Injuries______ VITAL SIGNS ON ADMISSION BP: HR: RR: TEMP: GCS score: TIME OF ARRIVAL SINCE INJURY _______ Minutes _______ Hours _______ Days DURATION OF OPERATION: UNITS OF BLOOD TRANSFUSED: INTRA-OP VITAL SIGNS: BP: CR: ORGANS INVOLVED: RE-OPERATION DONE FOR DEFINITIVE PROCEDURE? ____Yes ____No NUMBER OF HOSPITAL STAY: DISPOSITION: ______DISCHARGED IMPROVED ______DIED CAUSE OF DEATH:

Thursday, September 19, 2019

Emotion and Intellect in the Works from Terezin Essays -- Holocaust Li

Emotion and Intellect in the Works from Terezin In the quote opening Art Speigelman’s Maus: A Survivor s Tale. I: My Father Bleeds History, Adolf Hitler expresses his urge to rob the Jewish people of their humanity: The Jews are undoubtedly a race, but they are not human (9D). Hitler’s quote begs for a response What makes one human? Many scholars and scient ist would argue that it is t he ability to think and reason t hat defines the human species. I would argue that it is a combination of the ability to reason with the ability to feel. In Elie Wiesel s Night, it is his passionate anger at his spirituality alongside his intellectual struggle with that spirituality that screams out his humanity: What are You, my God, I thought angrily, compared to this afflicted crowd proclaiming to You their faith [. . .] (63). In the range of Holocaust literature, there is a range of emotion mixed with intellect, and this combination creates a picture of human beauty. One can witness this range in Wiesel s anger and disillusionment (62, 63) and in Speigelman s father s love and frugality (157). It is the ability to think about and feel something towards one s situation that makes one human. In the painting Sailboat (56-57) and the poem Birdsong (80-81) fro m the collection I Never Saw Another Butt erfly: Children s Drawings and Poems from Terezin Concentration Camp, 1942-1944, one can see how a range o f emotions combined with reason creat e an undeniable portrait of humanity. In Sailboat an anonymous child artist expresses both emotion and intellect through color choice and subject matter (56-57). The artist portrays night as a black abyss followed by a teal-gray sky dotted w... ...r Saw Another Butt erfly: Children s Drawings and Po ems from Terezin Concentration Camp, 1942-1944. Ed. Hana Volavkova. 2nd ed. New York: Schocken Books, 1978. 56-57. Spiegelman, Art. Maus: A Survivor s Tale, I. My Father Bleeds History. New York: Pantheon Books, 1986. Stargar, Nicholas. Children s Art of the Holocaust. Past & Present. Nov. 1998. Electronic. Expanded Academic Index ASAP. 10 February 2001. Weil, Jiri. Epilogue. I Never Saw Anot her Butterfly: Children s Drawings and Poems from Terezin Concentration Camp, 1942-1944. Ed. Hana Volavkova. 2nd ed. New York: Schocken Books, 1978. 101-104. Wiesel, Elie. Night. New York: Bantam Books, 1982. Weissova, Helga. Lights Out. I Never Saw Another Butt erfly: Children s Drawings and Poems from Terezin Concentration Camp, 1942-1944. Ed. Hana Volavkova. 2nd ed. New York: Schocken Books, 1978. 22, 24.

Wednesday, September 18, 2019

In this study I will be comparing the 2 poems, To Autumn and Ozymandias

In this study I will be comparing the 2 poems, To Autumn and Ozymandias. I have chosen these two poems because out of the four that we have looked at, I have found these to be the most interesting. In this study I will be comparing the 2 poems, To Autumn and Ozymandias. I have chosen these two poems because out of the four that we have looked at, I have found these to be the most interesting. Ozymandias revolves more around time than nature, whereas To Autumn revolves around nature more than time. Ozymandias is on the surface a nice little tale of a big bad man who made a statue that has been destroyed. However if you probe at it, you realise that it is actually all about time and nature destroying everything. I shall go into this further later. To Autumn would, at first glance, seem to be simply about Autumn and how it is the "close-bosom friend of the maturing sun" but if you look in detail at the words used you can see that there is an underlying tone that is far more grim. Both poems have both rhyme and rhythm. In Ozymandias, there are 10 syllables per line, except one, where there are 11. In To Autumn, there are also, about 10 syllables per line. As a result the rhythm in both is pretty constant. As well as rhythm, they have rhyme. In Ozymandias, the rhyme is the end of lines 1 & 3 & 5, 2 & 4, 6 & 8, 7 & 10, 9 & 11 & 13, and 12 & 14. In To Autumn the end of all lines in each stanza do rhyme with at least one other, in this way: 1st & 3rd, 2nd & 4th, 5th & 9th & 10th, 6th & 8th, 7th & 11th. This pattern is repeated in each stanza. Ozymandias is simply a big single stanza; To Autumn however is a poem with 3 stanzas. But these do not really seem to flow together. They rather seem to be almo... ...zymandias talks more about the strength of time, whereas To Autumn talks about how Nature, and in particular, Autumn are forces that provide much in the world. If you are someone who doesn't class a poem as a poem unless it has rhyme, rhythm, poetic language, sound patterns etc, then you are far more likely to prefer To Autumn, because it is much more the poet's poem than Ozymandias. I personally prefer Ozymandias, because it has great power. Although it doesn't have much in the ways of standard poetic tools, it does have rhyme and rhythm, as well as a deep and strong message. Self-Criticism - Not enough actual comparison, too much just talking about the poem. - Used the words 'think' and 'believe' to often Is that even a word? - It doesn't read well, it jaws, I have obviously just looked at what to write and written about it just like that.