Tuesday, November 26, 2019
Canadian Federalism Threatened essays
Canadian Federalism Threatened essays The Issues of Quebec Nationalism and Regionalism The Issues of Quebec Nationalism and Regionalism When it was it first conceived in 1867, Canada was founded as a state that would create a government structure based on federalism. Federalism is defined as: A political system in which legislative power is distributed between a national, central, or federal legislature and a level of state or provincial legislatures. The relationship between the two different governments in Canada is characterized by a National government in Ottawa and 10 Provincial governments across the country. Federalism is also characterized in Canada by the constant problems that plague Canadian federalism. Major problems of Canadian federalism (defining the authority structure, drawing out responsibilities, control over spending and raising revenues, outlining standards, and a growing threat of the country splitting up), are among countless other minor problems. However, these problems are all attributed to the fundamental problem of Canadian federalism: the conflict between central Canada and the periphe ral regions. In order to trace the fundamental problem of Canadian federalism, it is important to first define what is central Canada and to note that the problem of federalism is both regionalist and nationalist in nature. Central Canada is comprised of the provinces of Ontario and Quebec, but more specifically always includes the national government in Ottawa and its preference to these two provinces. The problem of Canadian federalism is regionalist in nature in that it pits the peripheral regions against central Canada: All of the non-central provinces have grievances with Central Canada and its governments in Ottawa, Ontario and Quebec. It is also nationalist in nature in that although Quebec makes up part of Central Canada, Quebec presents the problem of nationalism to Canadian federalism. Throughout Can...
Friday, November 22, 2019
How to Write an Economics Essay
How to Write an Economics Essay How to Write an Economics Essay Writing a good essay in economics is usually vital given its importance, and the fact that economics is a mandatory subject that is taught in most business courses. Writing an economics essay is likely to be integrated into most examinations, projects or even assignments. For one to produce a very efficient and quality economics essay there are some procedures and guidelines that must be followed. First and foremost, the instructions for the topic must be read attentively and carefully. This is to understand what the question is asking and what the examiner wishes the writer to write or produce in the final draft. This is followed by identification of the relevant topic in question. A good Economics essay cannot be functional if the writer does not understand the topic of origin. Also note that every topic has its own technical terms to be used when writing your economics essay. The next step is checking and determining the time allocated for the questions. This is to enable the writer to produce the essay in a timely manner. It is notable that most essays have a time length or time span for presentation. Therefore, a writer who wishes to write this kind of essay must be able to plan and budget for the time allocated in order to produce a valid economics essay. The word count or number of pages must also be checked and adhered to, if there are any stipulations for essay length. The writer has a duty not to produce a very short or a very long essay given that very long essays might lose the meaning attached to it due to its length. At the same time, very short essays might also distort the theme as it might limit the number of facts one can mention about the topic. The relevant economic models must be well noted to integrate all the required definitions. Economic essays should have particular theories of economy, in line with their assumptions, as well as diagrams to show flow of information from one model to another one. In economics, theories, diagrams and some specified assumptions are vital in exhibiting the kind of economic model in application. Moreover, in some cases, for one to produce a very good economics essay there is a need to apply relevant case studies to highlight the essay. Case studies in economics essay are as important as the models and diagrams being used. Notably, a good economics essay must be able to integrate the use of well-labeled diagrams, well-defined theories, and effectively drawn assumptions, plus case studies to effectively discuss the topic and prompt the examiner to give you a good grade. Get professional Economics essay help from paper experts at writing service. We write quality custom essays on any Economics related topics!
Thursday, November 21, 2019
Law and Practice of International Organizations Research Paper
Law and Practice of International Organizations - Research Paper Example This is a classic opinion which reflects the intention that the Assembly is merely a parliamentary advisory body with the binding decisions being taken by the Security Council. The GA is characterized an international forum and the meeting of the Member states. As a general rule, GA does not have the power to legislate and its resolutions cannot have the binding effect of laws which are enacted by the national parliament. The resolutions do not have a legal and binding effect and does not create a legal or moral obligation among member states. However, recommendations from the Member states can address important issues of global concern and foster cooperation among states. Malanczuk and Akehurst (1997 p. 53) has concluded that the International Court of Justice in the Nicaragua case has ruled that resolutions of international organizations as a source of law. However, a resolution passed in a meeting of international organization is never conclusive as evidence of customary law. Thus , the mere statement of what a law is supposed to be is not sufficient in evidence, but nothing more an attempt on the part of the states to clarify their position. GA resolutions, even if they may not be binding have a normative value, which means that in certain circumstances, they provide important evidence in establishing the existence of a rule or the emergence of opinion juris. It is necessary to look at the content and the conditions of its adoption to weigh its normative character. These resolutions of international organizations are sometimes known as the ââ¬Å"soft lawâ⬠, in the sense that the guideline of conduct are not strictly binding norms of law and operate in a grey zone between law and politics, which lack a legally binding quality( Malanczuk and Akehurst, 1997 p. 53). Therefore, the client is not expected to follow the resolution issued by the UN General Assembly because it does not create a legal obligation to the client. The client will also not be subject ed to any sanction even if it complies with its contract with Israel because the resolution issued by the Assembly is merely recommendatory and generally has no legal and binding effect. Hambro (1977, p.250) reported that there is a fundamental difference between the decisions made by the SC which are binding on all member States, while recommendations made by GA are not binding on the states per se, except to those states which have accepted them. However, Dugard, Bethlehem and Du Plessis (1997. P. 34) suggested than an accumulation of resolutions, a repetition of recommendations on a particular subject, may amount to evidence of collective practice on the part of the States. However, the answer will still be different if the arms embargo to Israel was ordered by the Security Council on the basis of Article 41 of the Charter. In this case, I will advise the client to obey and follow the order of arms embargo of the SC to avoid being sanctioned. ââ¬Å"Unlike the UN General Assembly , the Security Council has the competence to adopt resolutions under Articles 24 and 25 of the UN Charter which is binding among all Member States of the organizationâ⬠(Shaw, 2008, p 116). Therefore, it is mandatory upon the client to strictly follow the resolution of the Security Council. Shaw (2008, p. 411) has concluded in his report that a person who commits a crime within the jurisdiction
Tuesday, November 19, 2019
Ethics of public health policies Essay Example | Topics and Well Written Essays - 750 words
Ethics of public health policies - Essay Example whether the government can supplant an individual decisions and choices on his health care and to what extent this intrusion is warranted or allowed. Quoting the Supreme Courtââ¬â¢s Jacobson v Massachusetts ruling in 1905 that restraints on an individualââ¬â¢s liberty are necessary for the public common good, Buchanan (2008) asserts that paternalism is relied upon by public health professionals to justify policy and administration of programmes that usurp individual choice. Dworkinââ¬â¢s definition of paternalism as intervention in an individual decision making liberty for welfare purposes is in line with Blacksherââ¬â¢s (2014) finding that healthcare programmes can be enforced by reward or coercion and is intended solely for the persons good or welfare. This usurpation of decision or choice making is based on the presumptions that; the public healthcare policy is right, for instance, that vaccines will solve the problem such as the eradication of polio or diseases that individuals are compelled to be vaccinated against, and that nonintervention would harm the public. A diluted version of paternalism has been applied to causative behavior such as smoking and other lifestyle changes. According to al Amin et al (n.d.), vaccination of preteens with the Human Papilloma Virus vaccine to guard against reinfections that later cause cervical cancer was enabled by a law enabling the minors to give consent to vaccination in California. Closely related to paternalism, the utilitarian theory provides that any public health action resulting in the greatest good for the greatest number is the most reasonable cause of action (Buchanan, 2008). The utilitarian approach is commonly criticized as use of any means to achieve the public health goals. Example of this approach has been media campaigns such as drug advertisements communicating no meaningful information, but intended to shock the targeted populations towards certain directions. This theory emphasizes the needed result more
Sunday, November 17, 2019
The Negative Effects of Energy Drinks and Alcohol Essay Example for Free
The Negative Effects of Energy Drinks and Alcohol Essay In recent years the consumption of energy drinks combined with alcohol has become popular for young adults in North America. Energy drinks are caffeinated beverages that intend to provide a burst of energy and/or enhance alertness. The principle active ingredients in energy drinks are caffeine, high doses of sugar (or a sugar substitute), they generally include B vitamins, an amino acid, and plant/herbal extracts. Alcohol is a highly addictive and most commonly abused drug in North America that can impair vision, speech, memory, concentration, and reaction times along with other things. These energy drinks being a stimulant combined with alcohol being a depressant, can make a deadly cocktail for many reasons. The consumption of alcohol mixed with energy drinks is a common drinking behavior on college campuses. Here are some premixed alcohol and energy drink products that are commonly consumed on campuses such as; Sparks, Rockstar 21, Tilt and Four Loko. Four Loko has five times the amount of calories than an average twelve-ounce beer at 660 calories per can. Alcoholic energy drinks have a higher concentration of alcohol by volume. Most of these drinks are between 10% and 12% alcohol by volume as compared to most beers that are 3% to 4% alcohol by volume. This could be a major health factor for the consumers of this product. It also leads up to obesity and heart related problems. Students would lose focus while being intoxicated, not focusing on their school work needed to graduate. Researchers have found that college students who use alcohol mixed with energy drinks tend to consume more alcohol and consume alcohol more often than those who do not combine alcohol with energy drinks (OBrian et al. , 2008; Thombs et al. , 2010). Energy drinks combined with alcohol are not safe for consumption. Energy drink consumption combined with alcohol may reduce perception of alcohol intoxication and/or lead to increased alcohol use. Alcohol mixed with energy drinks reduced the perception of headache, dry mouth, and impairment of motor coordination compared with alcohol alone. Perhaps leaving drinkers of alcohol mixed with energy drinks believing they are less intoxicated and more able to drive. These people are at a greater risk of driving drunk. Drunk drivers are dangerous not only because their reactions are delayed and motor coordination affected, but mainly because their capacity to evaluate the risks to which they will be exposed is also affected. People need to understand that the sensation of well-being does not necessarily mean that they are unaffected by alcohol. Despite how good they may feel, they shouldnt drink and drive. Never. (Souza-Formigoni 10). It leaves people with dehydration or possibly alcohol poisoning. There are many harmful things that one could encounter while consuming this deadly cocktail such as dehydration, alcohol poisoning, drunk driving, and heart attacks. Energy drinks (stimulant) and alcohol (depressant) should never be mixed together for these unhealthy and unsafe reasons.
Thursday, November 14, 2019
Jack Russel Terriers :: essays papers
Jack Russel Terriers The Jack Russel Terrier is an amazing little dog. The breed has been used for centuries; with itââ¬â¢s main purpose being Fox hunting. It was not discovered until recently, however, what great companions they make. There are many aspects of the breed one should take into consideration before a puppy is purchased. The aspects that will be discussed in this essay are: personality, overall appearance, and training as well. The Jack Russell Terrier is a breed which takes a lot of effort to own, but is very rewarding once a strong bond has been developed with the animal. Before choosing a puppy a potential owner should study what characteristics they want out their Terrier and also what to look for when making a decision on a puppy. The breed has a size range from 10-15 inches at the withers in the standard of the Jack Russell Terrier Club of America and 12-14 inches in the American Kennel Club (AKC) standard. ââ¬Å"It can have smooth, wiry, or broken coat. It is mostly white with black, tan, or brown markingsâ⬠(Brown 35). There is also short and long legged varieties as well. There are many characteristics which make a dog ââ¬Å"goodâ⬠by the AKC and JRTCA. The dog must appear balanced and be in fit condition. Ears are moderately thick with the flap tipped forward towards the front of the skull. The chest is relatively shallow and narrow, giving an athletic appearance. The rear end provides power and propulsion, feet are cat-like with hard pads, and the high-set tail is docked to about four inches in length. Movement should be free, lively, and well-coordinated (Nicholas 42). Another important factor is the dogs bloodline, and if it is even certified. It is especially important if the potential owner cares to breed the dog that they take all these factors into consideration. It is much easier to find willing breeders when one owns an exceptional dog. One must remember though the dogââ¬â¢s characteristics and bloodline directly correlate to how expensive it is. Most owners, if asked, would not give up their Jack Russell for anything in the world, However, if asked in the first six months of ownership they would have given anything to get rid of it. The care and training of a Jack Russel Terrier are very important
Tuesday, November 12, 2019
Muted Group Theory and Walt Disneyââ¬â¢s ââ¬ÅThe Little Mermaidââ¬Â
When Walt Disney released its adaptation of Hans Christian Andersenââ¬â¢s ââ¬Å"The Little Mermaid,â⬠it had become a box-office hit.à Yet, the movie captured the attention not just of young girls back in the late 1980s, but sociologists and anthropologists as well since the movie became a perfect example of what they had termed as the ââ¬Å"muted group theory.â⬠à In this paper, the concept of the muted group theory as proposed by Cheris Kramarae will be discussed as well as supporting evidences seen in society in general and in the movie of Walt Disneyââ¬â¢s ââ¬Å"The Little Mermaid.â⬠Kramaraeââ¬â¢s Muted Group Theory According to Cheris Kramarae, language is something that was constructed by man.à The words and thoughts of women are ignored in our society.à Because of this, it is difficult for women to express their experiences as opposed to men.à Kramarae further stated that language does not serve all its speakers in an equal manner regardless of the culture because women are not as free as men to say what they want, when they want and where they want. Men have a dominant control of society and how the members of society should express themselves. As such, different terms are used to describe tasks done by both males and females even when they are doing the exact same thing.à It is also because of this that most sexual suggestions that are considered degrading are usually referring to women than to men (Anderson & Haddad, 2005; Eckert & McConnell-Ginet, 1992; Epstein, 1986; Griffin, 2003; Prentice, 2005; West, 1983).à In order for women to express themselves to others, they must do so as how males express themselves (Epstein, 1986; Griffin, 2003; Rogers. 1978; Stets & Burke, 1996). The concept that women are a muted group was first proposed by Edwin Ardener.à Edwin Ardener was an anthropologist who discovered that a group becomes mute due to the lack of power that is experienced of a group with a low status.à Ardener called the theory the muted group theory because these muted groups are liken to black holes since they are muffled, overlooked and invisible (Griffin, 2003; Prentice, 2005; Rogers, 1978). Muted Group Theory in Todayââ¬â¢s Society Although todayââ¬â¢s society stresses on equality between the male and female genders, various sociologists, linguistics and anthropologists have gathered substantial evidences to show that the muted group theory proposed by both Ardener and Kramarae are still evident. In a classroom which is composed by both male and female, female students tend not to speak as confidently as their male classmates. They also speak in class less frequently than males.à In events that the females do participate in class, they do not talk as loud or as candidly as males do. This is because it is the social norm that females should be polite and restrained while the males are assertive and vocal (Anderson & Haddad, 2005; Canada & Pringle, 1995; Epstein, 1986; Walker, Ilardi, McMahon & Fennel, 1996).à Because of this norm instilled in women at an early age, women more often avoid confrontations and direct disagreements even after completing their academic degrees (Eckert & McConnell-Ginet, 1992). In the workplace, women tend to be subordinate to men.à For example, women in the military are not deployed in combat as often as men.à In the academic community, most of the academic departments and schools of knowledge recognize the contributions of men rather than women (Eckert & McConnell-Ginet, 1992; Walker, Ilardi, McMahon & Fennel, 1996).à Also, what many would be considered as a powerful speech when used by man will not to be as effective if the same speech is delivered by a woman (Eckert & McConnell-Ginet, 1992; Epstein, 1986; West, 1983). In the study of cultures and societies, research would only focus on the information given by male informants and would ignore the information received from female informants since the researchers assumes that women are less articulate than men, causing anthropologists not being able to understand women.à As a result, interest in female roles and status had slowly diminished since many researchers view males were more important in society than females (Ardener, 1985; Prentice, 2005; Rogers, 1978). Muted Group Theory in ââ¬Å"The Little Mermaidâ⬠When Kramarae began her research on the muted group theory, she used cartoons as the basis of her study (Griffin, 2003).à For this paper, the cartoon that was selected is Walt Disneyââ¬â¢s adaptation of Hans Christian Andersenââ¬â¢s ââ¬Å"The Little Mermaid.â⬠This paper will be focusing on one scene in the movie which is that between Ariel, the mermaid who wanted to become a human more than anything in the world, and Ursula, the sea witch.à After an argument with her father, Ariel visits Ursula in her lair under the impression that she could be able to give her the very thing her heart desired: to become human and to be with the human prince Eric. Ursula told her that she is will be able to make her into a human being for three days.à In order for her to be able to remain human permanently, she would have to be kissed by the prince as a symbol of his true love for her.à If she fails, she would go back to being a mermaid.à As payment for this, Ursula demanded Ariel her voice (Clements & Musker, 1989). As previously mentioned, one of the premise of Kramarae on the muted group theory, in order for a woman to be able to express herself, she must do so the way how men express themselves (Epstein, 1986; Griffin, 2003; Rogers. 1978).à This is clearly explained by the character of Ursula: The men up there don't like a lot of blabber.à They think a girl who gossips is a bore.à Yes, on land itââ¬â¢s much preferred for ladies not to say a word and after all, dear, what is idle prattle for?à Come on, they're not all that impressed with conversation.à True gentlemen avoid it when they can. But they dote and swoon and fawn on a lady whoââ¬â¢s withdrawn. Itââ¬â¢s she who holds her tongue who gets her man (Menken & Ashman, 1989). Here, Ursula had advised Ariel what a human woman should be like.à Since Ariel mentioned that she would want to remain human and the only way to get that is for the prince to fall in love with her, the only way for her to do so is to act like a proper human woman would. Indeed, the accepted norms in human societies are based on the activities, values and expressions of males.à Hence, the means of how women interact with others are considered to be improper (Eckert & McConnell-Ginet, 1992; Stets & Burke, 1996). In the movie, Ariel has been known for her beautiful singing voice.à This made Ariel more superior than anyone in the kingdom.à It was because of her voice that she is not only the favorite of King Triton among his daughters, but also the reason why in spite of her age, she is looked up upon by her siblings (Clements & Musker, 1989).à Arielââ¬â¢s ability to sing can be likened to the way how a woman would express herself in society. The ability for a woman to express herself as a woman would give her a separate identity and thus give her a superiority that may rival that of a man, or even surpass it.à Furthermore, her ability to save Ericââ¬â¢s life during the storm shows how a woman could be able to surpass the capabilities of a man given the opportunity. By stripping her of her ability to sing, Ariel is also stripped of the very thing that would set her apart from everyone else, her ability to sing.à This is the very thing reason why women are considered a muted group by many sociologists and anthropologists.à The act of a man listening to a woman would mean that the man would be denouncing their dominant position in society because men view discussions initiated by women as not to have any importance (Dras, 1986; Epstein, 1986; Griffin, 2003). For this reason, cultural establishment had prejudged and excluded art, poetry, plays and films created by women (Ardener, 1985; Epstein, 1986; Griffin, 2003) since it is a way for women to express themselves through various forms.à Also, since she had been used to swimming, being given legs made her vulnerable since she is not able to do things on her own.à As such, the roles of Eric and Ariel have become reverse with Ariel becoming dependent to Eric to teach her how to walk, showing his dominance over her. Conclusion Initially, the muted group theory would appear to be sexist in nature since it puts females at a disadvantage in society.à Given the premises proposed by both Ardener and Kramarae, however, the muted group theory sheds light on the reason why society even today still refers to women as the ââ¬Å"inferior sex.â⬠à The muted group theory had proposed that the gender difference experienced in society particularly in how women express themselves lies on the fact that society is a patriarchal society, meaning that societyââ¬â¢s norms and values are based on the norms and values of the male gender.à Movies such as Walt Disneyââ¬â¢s ââ¬Å"The Little Mermaidâ⬠have shown that in spite of the ability of the female gender to express itself, society prohibits them to do so. References Anderson, D. M. & Haddad, C. J. (March 2005). Gender, voice, and learning in online course environment. Journal of asynchronous learning networks, 9(1), 3-14. Ardener, S. (October 1985). The social anthropology of women and feminist anthropology. Anthropology today, 1(5), 24-26. Canada, K & Pringle, R. (July 1995). The role of gender in college classroom interactions: a social context approach. Sociology of education, 68(3), 161-186. Clements, R. & Musker, J. (Directors). (1989). Walt Disney's the little mermaid [Motion picture]. United States: Walt Disney Pictures. Drass, K. A. (December 1986). The effect of gender identity on conversation. Social psychology quarterly, 49(4), 294-301. Eckert, P. & McConnell-Ginet, S. (1992). Think practically and look locally: language and gender as community-based practice. Annual review of anthropology, 21, 461-490. Epstein, C. F. (Winter 1986). Symbolic segregation: similarities and differences in the language and non-verbal communication of women and men. Sociological forum, 1(1), 27-49. Griffin, E. (2003). A first look at communication theory, 5th Ed.à New York: McGraw-Hill. Menken, A. & Ashman, H. (1989). Poor Unfortunate Souls [Recorded by Pat Carroll]. On Walt Disney's the little mermaid: an original walt disney records soundtrack. California: Walt Disney Records. Prentice, C. (2005).à Third party candidates in political debates: muted groups struggling to express themselves. Speaker and gavel, 42, 1-12. Rogers, S. C. (January 1978). Woman's place: a critical review of anthropological theory. Comparative studies in society and history, 20(1), 123-162. Stets, J. E. & Burke, P. J. (September 1996). Gender, control, and interaction. Social psychology quarterly, 59(3), 193-220. Walker, H. A., Ilardi, B. C., McMahon, A. M. & Fennell, M. L. (September 1996). Gender, Interaction and Leadership. Social psychology
Saturday, November 9, 2019
Delivering Lily Essay
The author wrote his story in first person perspective. He started the story by his wonders how delivering a baby might be like. Phillip Lopate was definitely nervous but he knew he would try his best to support his wife. Throughout the story it stays imagery. You can almost feel their emotions and see the scenery. He also uses some dialogue going back and forth with his wife. It first takes place at their home waiting to make sure Cherylââ¬â¢s contractions were occurring regularly. It almost seemed Phillip was more nervous than Cheryl. Once they arrived to the hospital they got assigned an empty room, ââ¬Å"it was not cozy, it was not charming, it was not tiny, it was not big, it was not even decrepit, it had nothing for the eye to fasten on.â⬠(Lopate 423) Cheryl and Phillip were both disappointed by the room. There were couple words I did have to look up for the meaning, but overall the sentence structures were simple to read. His description made it easy to feel you were actually in part of the story. Also when he described the nurses, it almost felt you knew their personality and what they look like. Phillip goes back and forth by what was happening at that time and his thoughts, I could almost feel I was in his perspective. I cannot relate to this story, but I can understand some situation he mentioned from watching movies and reading books. Many emotions were felt through this special time of Philip Lopate: anxious, nervous, impatient, joyous, blissful, cheerful, loving, and relieved the most noticeable. Phillip is a proud man, proud of his wife and proud of becoming Lilyââ¬â¢s father. He wants to record every part of Lilyââ¬â¢s life and is planning to write longer on her first year. On the last page, he mentions he will do anything to keep his writing piece alive. He definitely did succeed keeping Delivering Lily alive. Even though I was not able to relate, I am sure everyone who has delivered their baby could have related to this writing piece, but I did feel like I was there with him knowing every detail he was thinking. This story had used all the punctuation structures mentioned in Hieroglyphics from our homework assignment. It was interesting seeing other ways of using a semicolon and the dashes. Overall, the story was full of anxious and loving events on delivering Lily. Both happy parents are ready for the ir journey with their loving child Lily.
Thursday, November 7, 2019
Craniotomy of Tumors Essay Example
Craniotomy of Tumors Essay Example Craniotomy of Tumors Paper Craniotomy of Tumors Paper Surgeries pertaining to the brain for tumor removal are commonly done thru craniotomy. Craniotomy is also performed to examine the brain, remove a blood clot, manage hemorrhage, do biopsy, or to ease pressure inside the skull. The same with other surgeries, the patient will undergo diagnostic procedures prior to craniotomy like: computed tomography scans (CT) or magnetic resonance imaging (MRI) scans. This is done to determine the underlying problem that required the craniotomy as well as to get a better view at the brainââ¬â¢s structure. Angiography of the cerebrum may also be utilized to study the blood supply to the tumor, aneurysm, or other brain lesion. In the case of a tumor in the occipital lobe, the skull will be opened by making a curving incision at the nape of the neck around the occipital lobe. This paper discusses the procedure for a 40-year old, quadriplegic and HIV positive patient. Preparation of the Patient The patient is usually given drugs to ease anxiety. Other medications to reduce the risk of swelling, seizures and infection after the operation may be administered as well. Before and during the surgery, fluids will be restricted; a diuretic may be given if the patient is prone to retaining fluids. Intake of food or drink will not be permitted past midnight the night before surgery. The patient is admitted the morning of the procedure. Catheter will be inserted prior to patient going to the operating room. Since the patient is HIV positive, it is best that the patientââ¬â¢s schedule of operation/surgery will be the latest surgery for the day. Double gloving among the operating room staffs and surgeons should be imperative. Extra care in handling blood and body fluids should be maintained. Being quadriplegic, the patient will then be positioned in a modified fowlerââ¬â¢s position HOB elevated 15-20? , patient on his lateral side. During the Procedure General anesthesia is given while the patient lies on the operating table. The head is positioned in a 3-pin skull fixation device once the patient is asleep. The device, which is attached to the table, holds the patientââ¬â¢s head in position during the procedure. A lumbar drain is inserted in the patientââ¬â¢s lower back to help remove cerebrospinal fluid (CSF) that allows the brain to relax during surgery. Additional support may be placed due to the patientââ¬â¢s quadriplegic condition. A skin incision behind the hairline is made after the patientââ¬â¢s scalp has been prepped with an antiseptic. The surgeon makes the incision as far as the thin membrane covering the skull. Many small arteries have to be sealed by surgeon since the scalp is well supplied with blood. The skin flap is then folded back to expose the bone. A circle of holes is made in the skull with a hand drill or a craniotome. A fine wire saw is inserted through the holes by the surgeon to cut the outline of a bone flap to expose the brain. The cut bone flap is taken off exposing the brain protective covering called the dura (Mayfield clinic, 2009). The bone flap is saved until it is replaced at the end of the procedure. Surgery of the underlying cause then commences. The surgeon opens the dura using surgical scissors and exposes the brain. Retractors are used to gently expose a passage to the section needing surgery (restoration or removal). Various very small instruments and tools are used by the surgeon due to the difficulty of moving tissues aside to perform the repair or removal procedure. This is due to the compact structure of the brain. Evoked potential monitoring is oftentimes used to preserve the nerve functions and to ensure that it will not be additionally damaged in the surgery. This is accomplished by stimulating specific cranial nerves while monitoring brain responses. The retractors holding the brain are taken off after the surgery for the underlying cause has been completed and the dura is closed with stitches. The bone flap is put back in its original position and secured with titanium plates and screws. The plates and screws will remain permanently to support the area. In some instances, a drain is placed under the skin for a couple of days to take away blood or fluid from the repaired area. Finally, the surgeon stitches back the membrane, muscle and skin of the scalp together. A soft adhesive or turban-like dressing is placed over the incision. Post Surgery The patient is taken to the recovery room after surgery and vital signs are monitored as the patient regains consciousness (from anesthesia). Oxygen supply remains until the patient fully recovers. Since the patient is HIV positive, constant monitoring is required since the patient is immuno-compromised. Painkillers and drugs are given after the operation to manage any swelling and seizures that may arise are after the operation. Codeine may be given to relieve the headache and nausea that may occur as a result of stretching or irritation of the nerves of the scalp that happens during the craniotomy. An anticonvulsant medication to prevent seizure may also be given. Patient hospital discharge varies from only 2 days to 2 weeks depending on the surgery and complications. In this case, a high probability of complication might develop due to the patient being HIV positive. The bandage on the skull is changed regularly. Stitches or staples are removed 7ââ¬â10 days after surgery in the doctorââ¬â¢s office. The patient should avoid getting the scalp wet until all the sutures have been removed. A clean cap or scarf can be worn until the hair grows back Reference Mayfield clinic. (2009, January). Craniotomy. Retrieved March 6, 2009, from mayfieldclinic. com/PE-Craniotomy. htm The surgeon marks with a felt tip pen a large square flap on the scalp that covers the surgical area. Following this mark, the surgeon makes an incision into the skin as far as the thin membrane covering the skull bone. Because the scalp is well supplied with blood, the surgeon will have to seal many small arteries. The surgeon then folds back a skin flap to expose the bone. Using a high speed hand drill or an automatic craniotome, the surgeon makes a circle of holes in the skull, and pushes a soft metal guide under the bone from one hole to the next. A fine wire saw is then moved along the guide channel under the bone between adjacent holes. The surgeon saws through the bone until the bone flap can be removed to expose the brain. After the surgery for the underlying cause is completed, the piece of skull is replaced and
Tuesday, November 5, 2019
Canada Boundary
Fifty-four Forty or Fight- The U.S./Canada Boundary In 1818, the United States and the United Kingdom, which controlled British Canada, established a joint claim over the Oregon Territory, the region west of the Rocky Mountains and between 42 degrees north and 54 degrees 40 minutes north (the southern boundary of Russias Alaska territory). The territory included what now is Oregon, Washington, and Idaho, as well as land up the western coast of Canada. Joint control of the region worked for more thanà a decade and a half, but ultimately the parties set out to divide Oregon. Americans there outnumbered the Brits in the 1830s, and in the 1840s, thousands more Americans headed there over the famed Oregon Trail with their Conestoga wagons. Belief in the United States Manifest Destiny A big issue of the day was Manifest Destiny or the belief that it was Gods will that Americans would control the North American continent from coast to coast, from sea to shining sea. The Louisiana Purchase had just about doubled the size of the United States in 1803, and now the government was looking at Mexico-controlled Texas, the Oregon Territory, and California. Manifest Destiny received its name in a newspaper editorial in 1845, though the philosophy had been very much in motion throughout the 19th century. The 1844 Democratic presidential candidate, James K. Polk, became a big promoter of Manifest Destiny as he ran on a platform of taking control over the entire Oregon Territory, as well as Texas and California. He used the famous campaign slogan Fifty-Four Forty or Fight!- named after the line of latitude serving as the territorys northern boundary. Polks plan was to claim the entire region and go to war over it with the British. The United States hadà fought them twice before in relatively recent memory. Polk declared that the joint occupation with the British would end in one year.à In a surprise upset, Polk won the election with an electoral vote of 170 vs. 105 for Henry Clay. The popular vote was Polk, 1,337,243, to Clays 1,299,068. Americans Stream Into the Oregon Territory By 1846, the Americans in the territory outnumbered the British byà a ratio of 6-to1. Through negotiations with the British, the boundary between the United States and British Canada was established at 49 degrees north with the Treaty of Oregon in 1846. The exception to the 49th parallel boundary is that it turns south in the channel separating Vancouver Island from the mainland and then turns south and then west through the Juan de Fuca Strait. This maritime portion of the boundary wasnt officially demarcated until 1872. The boundary established by the Oregon Treaty still exists today between the United States andà Canada. Oregon became the nations 33rd state in 1859. Aftereffects After the Mexican-American War, fought from 1846 to 1848, the United States won the territory that became Texas, Wyoming, Colorado, Arizona, New Mexico, Nevada, and Utah. Every new state fueled the debate about slavery and which side any new territories should be on- and how the balance of power in Congress would be affected by each new state.
Sunday, November 3, 2019
World war one and US Essay Example | Topics and Well Written Essays - 750 words
World war one and US - Essay Example The main purpose of the war was struggling for division of the world. However, the United States wasnââ¬â¢t in hurry to enter the war. First of all, a conflict between the US and other countries hadnââ¬â¢t reached the extreme point that could lead to military actions; secondly, the majority of Americans didnââ¬â¢t think that interfering into European affairs (and vice versa) was a good idea. The third reason was that US army wasnââ¬â¢t ready for large-scale war, because it was formed on a voluntary basis and had approximately 100à 000 badly trained soldiers. But in the 7th of May 1915 German submarine sank the British largest passenger liner ââ¬Å"Luisitaniaâ⬠, including 128 Americans that were on board. A report about this event caused a storm of dissatisfaction in the United States. Despite multiple warnings, German repeatedly attacked American ships. President Woodrow Wilson was an advocate of nonintervention of USA into European war, but the actions of the Ger mans forced him to announce the transition to the US policy of armed neutrality (26th of February 1917), which meant a gap of diplomatic relations between the US and Germany. The further German aggression forced Wilson to enter the war (6 of April 1917) on Alliesââ¬â¢ side, against Germany (Kennedy 46). For the first time in US history a law on conscription was passed. Losses suffered by Americans were relatively not that big (approximately 104,000 lives). For comparison, 26 million people were killed during the entire war, half of them were civilians. The war abruptly changed the balance of forces in world political arena. It provoked huge amount of revolutions: Bolsheviks came to power in Russia and formed their own government, Germany and Austria-Hungary collapsed and lost their influence. The military destruction and revolutions weakened Europe, while US entry into the war caused new rise of
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