The Negative Effects of Consumerism on Environment Essay

The Negative Effects of Consumerism on Environment - Essay Example The paper tells that the people in the past were lived in a society of producers; however current people are living in a society of consumers. There are plenty of reasons for this change. Heavy industrialization, development of science and technology and the subsequent changes happened in the life styles and life philosophies of people are some of the major reasons for increased consumerism. There is nothing wrong in transforming our society from the production dimension to consumer dimension if such changes may not cause any harm to our environment. Unfortunately, environmental problems or destruction is directly proportional to the rate of increase of consumerism. In other words, along with the increase in consumerism, increase in environment destruction is also taking place. It is impossible for humankind to survive long if consumerism increases at its present rate. The effects of consumerism on the Earth’s environment are: loss of resources, increased pollution, and loss o f energy. This paper analyses the causes of increased consumerism and its effects on environment. Loss of resources is the major effect of increased consumerism. It should be noted that population is growing at alarming rates whereas the available resources in this world are being reduced because of increased consumption. Scarcity of drinking water is a problem everywhere in this world. It should be noted that drinking water resources are exhausting day by day even though the water levels in the sea are gradually rising because of global warming. There are plenty of people in this world who purchase goods just for increasing their social status. Current consumers compare the goods in the hands of their friends, relatives and neighbours with the goods in their own hands and then take purchasing decisions. Such habits results in wastage of resources and over exploitation of resources. Deforestation is taking place rapidly to find enough space for establishing industries. Nobody take c are about the fact that trees or forests play an important role in maintaining the global climate suitable to living things. Deforestation results in big climate changes and subsequently the life is this earth may become extremely difficult. Carbon dioxide is harmful to the environment whereas oxygen is good for the environment. Trees absorb carbon dioxide and liberate oxygen to this world. Thus, trees help the environment in maintaining a balance between carbon dioxide and oxygen in the atmosphere. Destruction of trees results in increased content of carbon dioxide in atmosphere which is not good for living things. All the living things in this world are interconnected each other in some ways. In other words, the existence or survival of all the living things in this world is necessary for the sustainment of human life. The destructions of animals and birds may affect human life in many ways. For example, snakes are the enemies of rats. Killing or destruction of snakes may result i n increased number of rats. Increased number rats means farmers may not get proper yield from their agriculture. In short, snakes are necessary to maintain the number of rats in this world to a particular level. However, climate changes and environmental problems are causing big destruction of animal life. â€Å"There was a story in the newspaper saying that 37 percent of species could become extinct due to climate change† (Mayell). Increased pollution is another effect of increased consumerism. Air, water and land pollution are caused by increased consumerism. It is already proved that atmospheric temperature is increasing day by day because of environmental pollutions and increased consumption of resources. Atmospheric temperature rise results in global warming. It would be difficult for mankind to live in this world, if the atmospheric temperature rises at its present rate. Automobile use is increased a lot in recent times. Automobiles

W4-Policy, Team, and Information Technology Differences Essay

W4-Policy, Team, and Information Technology Differences - Essay Example As the paper stresses information systems are used as a means to automate much of an organization’s information needs and provide a means to automate most of the repetitive tasks that are required to be performed by the organization. Consider a modern organization such as an airline company, whose entire operations are managed through information systems and is used by every individual department and employee for performing their respective tasks. The sales department ensures that individual and corporate customers can check the various flight offers provided by the company and be able to book their flights in the easiest manner, which is often done online. According to the research findings the ground staff is aware of the baggage needs depending on the information stored in the system. also, the finance department analyzes the performance of the company by using the same information, albeit with a few modifications and analyses as required. The IT department of the company further ensures the smooth operation of the data needs of the various departments of the airline company and manages all requests from them for enhancements and issues. in this era of airline alliances and code sharing, companies have extended their information systems to communicate with one another so as to allow the customer to travel in a hassle free manner. The smooth performance of such complex systems that transcend across several departmental and organizational boundaries is an extremely complex scenario that requires a structured approach at all levels of operation within companies.

Agoraphobia Essay Example for Free

Agoraphobia Essay Agoraphobia is an anxiety disorder characterized by anxiety in situations where the sufferer perceives certain environments as dangerous or uncomfortable, often due to the environments vast openness or crowdedness. These situations include, but are not limited to, wide-open spaces, as well as uncontrollable social situations such as the possibility of being met in shopping malls, airports, and on bridges. Agoraphobia is defined within the DSM-IV TR as a subset of panic disorder, involving the fear of incurring a panic attack in those environments. In the DSM-5, however, Agoraphobia s classified as being separate to panic disorder. The sufferer may go to great lengths to avoid those situations, in severe cases becoming unable to leave their home or safe haven. Although mostly thought to be a fear of public places, it is now believed that agoraphobia develops as a complication of panic attacks. However, there is evidence that the implied one-way causal relationship between spontaneous panic attacks and agoraphobia in DSM-IV may be incorrect. Onset is usually between ages 20 and 40 years and more common in women. Approximately 3. 2 million, or about 2. %, of adults in the US between the ages of 18 and 54, suffer from agoraphobia. Agoraphobia can account for approximately 60% of phobias. Studies have shown two different age groups at first onset: early to mid twenties, and early thirties. In response to a traumatic event, anxiety may interrupt the formation of memories and disrupt the learning processes, resulting in dissociation. Depersonalization and derealisation are other dissociative methods of withdrawing from anxiety. Standardized tools such as Panic and Agoraphobia Scale can be used to measure agoraphobia and panic attacks severity and monitor reatment. Agoraphobia is a condition where the sufferer becomes anxious in environments that are unfamiliar or where he or she perceives that they have little control. Triggers for this anxiety may include wide open spaces, crowds, or traveling . Agoraphobia is often, but not always, compounded by a fear of social embarrassment, as the agoraphobic fears the onset of a panic attack and appearing distraught in public. This is also sometimes called social agoraphobia which may be a type of social anxiety disorder also sometimes called social phobia. Not all agoraphobia is social n nature, however. Some agoraphobics have a fear of open spaces. Agoraphobia is also defined as a fear, sometimes terrifying, by those who have experienced one or more panic attacks. In these cases, the sufferer is fearful of a particular place because they have experienced a panic attack at the same location in a previous time. Fearing the onset of another panic attack, the sufferer is fearful or even avoids the location. Some refuse to leave their home even in medical emergencies because the fear of being outside of their comfort area is too great. The sufferer can ometimes go to great lengths to avoid the locations where they have experienced the onset of a panic attack. Agoraphobia, as described in this manner, is actually a symptom professionals check for when making a diagnosis of panic disorder. Other syndromes like obsessive compulsive disorder or post traumatic stress disorder can outside can cause the syndrome. [12] It is not uncommon for agoraphobics to also suffer from temporary separation anxiety disorder when certain other individuals of the household depart from the residence temporarily, such as a parent or spouse, or when the agoraphobic is left home alone. Such temporary conditions can result in an increase in anxiety or a panic attack or feel the need to separate themselves from family or maybe friends. Another common associative disorder of agoraphobia is necrophobia, the fear of death. The anxiety level of agoraphobics often increases when dwelling upon the idea of eventually dying, which they may consciously or unconsciously associate with being the ultimate separation from their mortal emotional comfort and safety zones and loved ones, even for those who may otherwise spiritually believe in some form of divine afterlife existence. Agoraphobia occurs about twice as commonly among women as it does in men. The gender difference may be attributable to several factors: social-cultural traditions that encourage, or permit, the greater expression of avoidant coping strategies by women, women perhaps being more likely to seek help and therefore be diagnosed; men being more likely to abuse alcohol in reaction to anxiety and be diagnosed as an alcoholic. Research has not yet produced a single clear explanation for the gender difference in agoraphobia. Although the exact causes of agoraphobia are currently unknown, some clinicians ho have treated or attempted to treat agoraphobia offer plausible hypotheses. The condition has been linked to the presence of other anxiety disorders, a stressful environment or substance abuse. Research has uncovered a linkage between agoraphobia and difficulties with spatial orientation. Individuals without agoraphobia are able to maintain balance by combining information from their vestibular system, their visual system and their proprioceptive sense. A disproportionate number of agoraphobics have weak vestibular function and consequently rely more on visual or actile signals. They may become disoriented when visual cues are sparse (as in wide open spaces) or overwhelming. Likewise, they may be confused by sloping or irregular surfaces. In a virtual reality study, agoraphobics showed impaired processing of changing audiovisual data in comparison with non-suffering subjects. Exposure treatment can provide lasting relief to the majority of patients with panic disorder and agoraphobia. Disappearance of residual and subclinical agoraphobic avoidance, and not simply of panic attacks, should be the aim of exposure therapy. Similarly, Systematic desensitizationmay also be used. Many patients can deal with exposure easier if they are in the company of a friend they can rely on. t is vital that patients remain in the situation until anxiety has abated because if they leave the situation the phobic response will not decrease and it may even rise. Cognitive restructuring has also proved useful in treating agoraphobia. This treatment involves coaching a participant through a dianoetic discussion, with the intent of replacing irrational, counterproductive beliefs w ith more factual and beneficial ones. Relaxation techniques are often useful skills for the agoraphobic to develop, as they can be used to stop or prevent symptoms of anxiety and panic. Anti-depressant medications most commonly used to treat anxiety disorders are mainly in the SSRI class and inhibitors and tricyclic antidepressants are also commonly prescribed for treatment of agoraphobia. Antidepressants are important because some have antipanic effects. Antidepressants should be used in conjunction with exposure as a form of self-help or with cognitive behaviour therapy. Some evidence shows that a ombination of medication and cognitive behaviour therapy is the most effective treatment for agoraphobia.

My First Visit to Nigeria Essay -- Personal Narrative Traveling Essays

My First Visit to Nigeria In this essay I will reconstruct my first visit to Nigeria. The journey took place when I was seventeen in early 1993, during which time Nigeria was under the military rule of General Sanni Abacha. For the most part of my trip I stayed in Lagos, former capital state and still highly recognised as the commercial capital of Nigeria, although I did visit other parts of the country including Ondo State and Jos. Between this time and the time I left, in early 1994, I experienced and learnt a lot about the Nigerian culture. My main focus will be on the particular aspects of Nigerian culture that I saw as relevant to me as a teenager at the time, and also on my views before and after the journey. Up until the point of this journey I had lived most my life in the city of London and my cultural views were very much British. I was not very familiar with Nigerian culture, and the parts I was familiar with, which came mostly through my parents and other family members, were not very appealing t o me. Thinking back now I imagine that one of the reason things like that did not appeal to me was because it went so much against the British culture which I had already related to; fully accepted as my own; and deemed as ‘normal’. For example eating certain food, not including chips, with your right hand instead of with a knife and fork. Leading up to the time I left for Nigeria, I had never really identified myself with the Nigerian culture even though both of my parents where originally from Nigeria. I was the first born of my mother followed by my two younger brothers, Steven and William. We were all also given Nigerian names along with are English ones; mine was Femi and my brother’s were Ayo and Bayo. My father was still studying along with working when I was born and my mother was working also, when I was about three years old I was sent to live with a white middle class nanny in a town called Warminster in Wiltshire. It was a common phenomena in Britain in that period to see West African being bought up by Foster parents while their parents worked or studied (Groody and Groothuues, 1977). I did my first two or so years of primary school in Warminster before my parents decided it was time for me to return to live with them in London. I was one of very few blacks in Wiltshire at the time, so apart from the occasional rare visit made by my par... ... you is to experience it first hand. I found it much easier to accept traditional aspects of Nigerian culture when there where others, who like me were also infected with western popular culture, around me who appreciated also. I do not feel that this acceptance came from any sort forced group conciseness, but more from having the ability to choose aspects of the culture which I liked in an environment where my choices were more sociably accepted. While in Nigeria I also met a reasonable amount of other Nigerians who had had similar experiences while growing up as I did. Meeting with such people was one of the significant aspects of my journey as it enabled me to talk and laugh about some of the things I went through as a child which originally made me feel socially excluded. It also helped me to discover my cultural identity as a British born Nigerian. Bibliography Bammer, A, (1994), Displacements, Volume 15, Bloomington and Indianapolis, Indiana University Press Kureishi, H, London and Karachi, in, Patriotism: The Waking and unmaking of British National Identity, Volume 2, Minorities and Outsiders Watson, J.L,(1977), Between Two Cultures, Oxford, Basil Blackwell

Masculinity and Advertising Essay -- Ads Advertising Marketing Gender

Masculinity and Advertising Picture this: There are three beach chairs on a beach and occupying each seat is a male college student. One guy has no shirt on and is wearing a hat. With a smile on his face, he looks to his right. The two guys sitting to his left are each reading a magazine. All three men seem to be enjoying the hot weather and the one looking to his right is enjoying a beer. Coming up on his right are three beautiful girls in bikinis. One girl is blonde, very well developed, and as she walks by you can see her breasts move back and forth with every step she takes. She smiles as she walks by, and by the expression on the guy's face he seems to be enjoying what he is seeing. Her two friends, who are brunettes, also have hourglass figures and smile at him as they walk by. The guy with the hat stares at them with a big smile. This guy then turns to his left and tells his friend, "It's your turn." His friend takes the beer that is offered to him, bangs it on the arm stand of the beach chair, and with this the girls rewind back to their starting positions. The music in the background plays again and the guy in the middle gets to enjoy the upcoming view. If you have not recognized this scene, it is a Miller Lite commercial that is typical of the ones shown during televised sporting events. In this paper I will analyze this commercial as well as others to reveal what the world of advertising on the Internet and on the tube set is all about. In a way, the advertising companies are prescribing certain roles of masculinity to men. These advertisers are suggesting that the men that are portrayed in their commercials or advertisement are the way men are or ought to be. I will explain why men should be aware of the issue... ...e use of half naked women walking around or the use of any alcohol. You can make it for T.V. or for a picture on a Web site. If you insist on making it a beer commercial you can have a dolphin swim up to the shore balancing a can of beer on its nose. I am not trying to persuade men to not watch the commercials or not go to the porn section, or go to the sports section of the web, but instead to view them in a different perspective. Men are portrayed as: having an identity crisis, unable to communicate with the opposite sex, and lastly a low level of language apprehension. Maybe even almost as cave man, we slam our beer down and the women go back to where they started. I'll be the first to admit that I enjoy looking at all types of women, whether they are clothed or half naked, but when I do my mouth is closed and when I open it, it's to carry on a conversation.

Prophylactic Internal Iliac Artery Ligation Health Essay

Aim: to measure the function of internal iliac arteria ligation as an effectual method of commanding station partum bleeding due to sidelong uterine rupture. Subjects and methods: A randomized controlled survey was conducted on 50 pregnant adult females who were admitted to Shatby University Maternity Hospital between June 2006 and August 2008, all of them were diagnosed as station partum bleeding due to sidelong uterine rupture. The patients were indiscriminately allocated to 2 groups, the ligation group where ligation of internal iliac arteria followed by fix of ruptured uterine wall was done ( group A ) , and the fix group, where ruptured womb was repaired by conventional methods ( group B ) . Informed consent was taken from all patients. Consequences: The ligation group showed a important statistical difference when compared with the fix group sing intra-operative clip ; sum of blood transfused intra-operatively ; continuance of intensive attention unit stay, need for extra surgical intervention such as hysterectomy or extra vaginal hemostasis, and the incidence of complications as disseminated intravascular coagulopathy, and ureteric hurt. Decision ; internal iliac arteria ligation is considered an alternate effectual method to hysterectomy in instances of sidelong uterine rupture, taking to diminish maternal morbidity. Cardinal words: postpartum bleeding ( PPH ) , uterine rupture, internal iliac arteria ligation ( IIAL ) , hysterectomy.IntroductionPost partum bleeding ( PPH ) is a major cause of world-wide mortality runing from 13 % in developed states to 34 % in developing states. ( 1 ) it is responsible for over 125,000 maternal deceases each twelvemonth and is associated with morbidity in 20 million adult females per twelvemonth. ( 2 ) Traditionally, PPH is defined as hemorrhage from the venereal piece of land of 500 milliliter or more in the first 24 hr following bringing of the babe, a significant autumn in the hematocrit or the demand of blood transfusion have besides been proposed. ( 2-5 ) Uterine atonicity is the common cause of PPH that accounts for 80 % of instances ; other causes include maintained placental fragments, lower venereal piece of land lacerations and uterine rupture. ( 6 ) Uterine rupture is a ruinous obstetric complication. Although an uncommon event, it continues to be associated with a high rate of perinatal and maternal morbidity and mortality. ( 7 ) The chief hazard factor for uterine rupture is a scarred womb, normally secondary to a anterior cesarean bringing. Consequently, most of the recent reappraisals on uterine rupture have focused on adult females trying vaginal birth after old cesarean bringing ( VBAC ) . ( 8 ) Rupture of the unscarred womb is a rare obstetric complication, with an estimated incidence of 1 in 8000-15,000 bringings. ( 9 ) There are two types of uterine rupture, complete and uncomplete, distinguished by whether or non the serous coat of the womb is involved. ( 10 ) In the former the uterine contents including foetus and on occasion placenta, may be discharged into the peritoneal pit, whereas in the latter the serous coat is integral and foetus and placenta are inside the uterine pit. ( 11 ) The complete assortment appears to be more unsafe of the two assortments. ( 12 ) Rupture of womb during labour is more unsafe than that happening in gestation because daze is greater and infection is about inevitable. ( 13,14 ) When PPH continues despite aggressive medical intervention, early consideration should be given to surgical intercession. The pick of process will depend on the para of the adult females and her desire for childbirth, the extent of bleeding and, most significantly, the experience and opinion of the sawbones. In most ruinous state of affairss, hysterectomy is preferred in order to collar farther blood loss and via media with certainty. ( 15 ) Although a life-saving process, it may non be appropriate for adult females who need to continue their generative potency. Haemostatic processs that preserve the uterus include uterine pit tamponage, selective uterine arteria embolisation, uterine arteria ligation and uterine brace suturas. ( 16 ) ISSN 1110-0834Internal iliac arteria ligation ( IIAL ) for the control of profuse pelvic hemorrhage has long been recognized as a life-saving process. ( 17 ) The American College of Obstetricians and Gynaecologists continues to recommend the usage of hypogastric arteria ligation in the direction of intraoperative intractable bleeding during pelvic surgery or in instances of obstetric bleeding. ( 18 ) The construct that surcease of blood supply may do harm to pelvic variety meats has been proved to be incorrect. On the contrary, in the instance of pelvic bleeding unmanageable by conservative methods, prompt intercession may non merely salvage the life of the patient but besides her womb. There are several studies of gestations carried to full term after bilateral ligation of the hypogastric arterias. ( 19-23 ) The purpose of this survey was to measure the function of bilateral IIAL in instances of terrible station partum bleeding due to sidelong rupture womb in comparing to the conventional uterine fix merely in such instances.MethodThis survey was conducted on 50 pregnant adult females who were admitted to Shatby University Maternity Hospital between June 2006 and August 2008, all of them were diagnosed as terrible station partum bleeding due to sidelong uterin e rupture which might be extended to the vagina ( Diagnosis was confirmed during Laparotomy ) . The sample group were indiscriminately allocated into two groups: Group A=35 patients ( ligation group ) : adult females were subjected to bilateral IIAL followed by fix of uterine wall. Group B =15 patients ( fix merely group ) : adult females were subjected to conventional methods of uterine fix. All patients were counselled for the process and informed consent was obtained.Technique of internal iliac ligation was done as follow:The womb is lifted out of the pelvic girdle in order to observe the extent of the hurt. The uterine tear is inspected and examined carefully from the vertex downwards. The hemorrhage borders of the womb are held with Green Armytage clinch ( or pealing forceps ) . The vesica is dissected from the lower uterine section by crisp and blunt dissection so mobilized downwards. The external iliac pulsings are felt and followed up to the bifurcation of the common iliac arteria, and the ureter is identified. The peritoneum on the sidelong side of the bifurcation of the common iliac arteria is opened by a longitudinal scratch in such a manner that the ureter remains attached to the median peritoneal contemplation exposing the retroperitoneal anatomy. The internal iliac arteria is traced and carefully dissected off from the underlying vena. Figure ( 1 & A ; 2 ) A dual yarn of absorbable sutura ( Vicryl ) stuff is passed underneath the arteria and tied. Figure ( 3 ) Femoral arteria pulsings are identified after binding the ligatures.Statistical methods:Statistical analysis was done utilizing Statistical Package for Social Sciences ( SPSS/version 15 ) package. The statistical trials used are as follow: Arthematic mean, standard divergence, Chui-square trial and Fisher exact trial was used for categorised parametric quantities, while for numerical informations, t-test was used. The degree of significance was 0.05.ConsequenceIn the ligation group ( group A ) , the age ranged from 24 – 39 old ages with a mean of 32.85A ±6.57 and para ranged from 1-4 with a mean of 2.45A ±1.01, while in the fix group ( group B ) their age ranged from 27-42 old ages with a mean of 33.9A ±7.06 and the para ranged from 1-4 with a mean of 2.622A ±1.05, severally. There was no statistically important difference between the two groups sing age and para. Both groups were compared as respects intra-operative and, postoperative eventsIntraoperative events:The average intra-operative clip in group ( A ) was 45.5A ±4.68 proceedingss, while it was 98.5A ±8.98 proceedingss in group ( B ) . The intra-operative clip is statistically important longer in group B as P= 0.0001. The clip needed for one- sided IIAL ranged between three to seven proceedingss. The average blood volume transfused intra-operatively in group ( A ) was 1750A ±71.6 milliliter, compared to 2980A ±120.8 milliliters in group ( B ) , this difference is statistically important as P= 0.0001. In group ( A ) , Four patients ( 11.4 % ) had hysterectomy, and 6 patients ( 17.1 % ) had extra haemostatic vaginal suturas for extended vaginal cryings after IIAL. In group ( B ) seven patients ( 46.7 % ) had hysterectomy and 10 patients ( 66.7 % ) had haemostatic vaginal suturas. These difference, are statistically important as P= 0.0058 and 0.0005 severally. These findings revealed a higher incidence of extra secondary processs in group ( B ) . There was no ureteric ligation or hurt recorded in group ( A ) , on the other manus in group ( B ) the ureter was ligated on the same side during fix of the tear without exposing the ureter in 2 instances. Fortunately, both discovered intra-operatively and managed. No other complications were recorded in either group. ( Table I )Postoperative eventsAll patients were transferred postoperatively to intensive attention unit ( ICU ) the average continuance of ICU stay was 38A ±5.99 hours in group ( A ) , compared to 70A ±6.85 hours in group B, which is statistically important as P= 0.0001. On the other manus, 5 patients ( 14.3 % ) in group ( A ) which is statistically important less compared to 9 patients ( 60.0 % ) in group ( B ) were complicated with disseminated intra vascular coagulopathy ( DIC ) . The entire volume of blood collected from intra-abdominal drain over 48 hours postoperatively was 211A ±23.85 milliliter in group ( A ) , while it was 751A ±68.98 milliliter in group ( B ) . These revealed a higher incidence of station operative complications in group B. Merely one patient ( 2.9 % ) died from pneumonic intercalation in group ( A ) , and another one ( 6.7 % ) died in group ( B ) due to monolithic hypovolemia and daze. ( Table II ) Fig. 1: Lateral uterine rupture with terrible station partum bleeding Fig. 2: Retroperitoneal anatomy demoing the great vass. Fig. 3: A dual yarn of absorbable sutura stuff is passed underneath the arteria utilizing right angled artery forceps and tied. Table I: Comparison between the two studied groups sing intra-operative events.Group Aâ€Å" n=35 †Group Bâ€Å" n=15 †Trial of significanceIntra-operative clip ( min. ) 45.5A ±4.68 98.5A ±8.98 T = 4.30 P = 0.0001* Sum of blood transfused intra-operatively ( milliliter ) 1750A ±71.6 2980A ±120.8 T = 5.21 P = 0.0001* Need for hysterectomy 4 ( 11.4 % ) 7 ( 46.7 % ) X2 = 7.60 P = 0.0058* Need for extra vaginal haemostatic suturas 6 ( 17.1 % ) 10 ( 66.7 % ) X2 = 11.83 P = 0.0005* Ureteric ligation 0 ( 0.0 % ) 2 ( 13.3 % ) Field-effect transistor P = 0.085 Datas are presented as Mean + SD * P is important if & lt ; 0.05 Field-effect transistor: Fisher Exact ‘s Trial Table II: Comparison between the two studied groups sing post-operative events.Group Aâ€Å" n=35 †Group Bâ€Å" n=15 †Trial of significanceDuration of ICU stay in hours 38A ±5.99 70A ±6.85 T = 4.25 P = 0.001* Incidence of DIC 5 ( 14.3 % ) 9 ( 60.0 % ) X2 = 10.88 P = 0.0009* Entire sum of blood collected in drain over 48 hours ( milliliter ) 211A ±23.85 751A ±68.98 T = 6.21 P = 0.0001* Maternal mortality 1 ( 2.9 % ) 1 ( 6.7 % ) Field-effect transistor P = 0.524 Datas are presented as Mean + SD * P is important if & lt ; 0.05 Field-effect transistor: Fisher Exact ‘s Test DIC: disseminated intra vascular coagulopathy Intensive care unit: intensive attention unitDiscussionUterine rupture is a serious obstetric complication, with high morbidity and mortality, peculiarly in less and least developed states. The most of import defect of the information available is the deficiency of distinction between uterine rupture with and without old cesarean subdivision. Overall, most rates ranged between 0.1 % and 1 % . Maternal mortality ranged between 1 % and 13 % , and perinatal mortality between 74 % and 92 % . ( 24 ) Uterine artery ligation is a promising technique in the direction of PPH as occlusion of the uterine arteria reduces 90 % of the blood flow. It is utile in uterine atonicity, but in uterine injury, when the avulsed uterine arteria retracts into the wide ligament organizing a hematoma, it is hard to make a uterine arteria ligation and salve the womb. IIAL in such state of affairss is helpful as the force per unit area and flow of circulation lessening distal to the ligation and enabling one to readily turn up the hemophiliac and ligate it firmly. Similarly, in instances of deep forniceal cryings and hematoma, uterine arteria ligation or even hysterectomy does non halt the bleeding. In such instances, blood loss could be arrested after IIAL as vaginal arteria is a direct subdivision of anterior division of internal iliac arteria. Since it is a safe, rapid and really effectual method of commanding shed blooding from venereal piece of land, it is besides helpful in commanding postoperative bleeding after abdominal or vaginal hysterectomy where no unequivocal hemorrhage point is noticeable. IIAL was performed for the first clip by Kelly ( 25 ) with a success rate 95 % and without any major complication. Mukherjee et Al ( 26 ) performed 36 instances of IIAL with a success rate of 83.3 % in 6 old ages. The principle for IIAL as an effectual agencies of commanding intractable PPH and forestalling maternal decease is based on the haemodynamic surveies of Burchell, ( 27 ) which showed that IIAL reduced pelvic blood flow by 49 % and pulse force per unit area by 85 % , ensuing in venous force per unit areas in the arterial circuit therefore advancing hemostasis by a simple coagulum formation. However, the reported success rate of IIAL varies from 40 to 100 % , ( 28 ) and the process averts hysterectomy in merely 50 % of instances. ( 29 ) Papp et Al, ( 30 ) published aA reappraisal of indicants and results for 117 instances of bilateral hypogastric arteria ligation over 15 old ages ( 1990-2004 ) . They documented that, apart from a little lesion to the hypogastric vena, no complications were observed. Bleeding was efficaciously controlled in all 37 obstetric instances. In 13 of these instances, the womb was preserved even when there was cervical gestation, placenta previa, placental breaking off, uterine atonicity, and uterine rupture, and 4 adult females were delivered of mature babies. Bleeding was efficaciously controlled in 41 of 80 gynaecological instances. Contraceptive decrease of pelvic blood flow was the indicant for the process in 39 cases.The womb was preserved in merely a few of the 41 controlled instances, but one adult female ( so far ) was delivered of a mature baby. In our survey we evaluated the efficaciousness of ligation of internal iliac arteria in instances of rupture womb. Results showed less operative clip and sum of blood transfused for replacing in comparing to the fix group. In add-on, the womb was preserved in most of the instances, merely 4 patients ( 11.4 % ) had hysterectomy, and 6 patients ( 17.1 % ) had extra vaginal suturas for hemostasis. There were no ureteric or great vessel hurts. The post-operative events, showed short ICU stay and less incidence of complications as DIC was merely seen in 5 patients ( 14.3 % ) , besides it is fertility salvaging process. The fright of vascular hurt and return of bleeding normally deter an obstetrician from fall backing to IIAL. We observed that one time the uterine hemorrhage was controlled during surgery, it did non repeat in the postoperative period in any adult female in whom the womb was conserved. As there is free inosculation providing pelvic variety meats, vascular lack following ligature have non proved to be a job, even after bilateral IIAL. Khelifi et Al. ( 31 ) have evaluated internal iliac arterias in 13 adult females after ligation by color Doppler echography in the 4th twenty-four hours after intercession and so monthly until repermeabilization of the internal iliac arterias. In all instances, the first test showed down-side the ligature, a flow inversion with an of import pelvic indirect circulation. The following Doppler test showed repermeabilization of the hypogastric arterias after an mean interval of 5 months. Pappz et Al. ( 21 ) have reported a successful gestation after internal iliac arteria ligation with normal flow speed in uterine arterias. Wagaarachchi and Fernando ( 22 ) observed successful gestation in 50 % of the instances following bilateral ligation. Therefore, Internal iliac arteria ligation decreases the hemorrhage, clears the operative field and therefore enables the sawbones to avoid blindly clamping and ligating tissues submerged in a pool of blood. This is peculiarly helpful in cut downing the hazard of ureteric hurt. Internal iliac arteria ligation besides facilitates fix of vaginal lacerations that bleed abundantly with each sutura through the vaginal wall. It represents an option to the hysterectomy and preserves the child-bearing maps of some females because of the subsequent vascular recanalization. All accoucheurs caring for parturient adult females should familiarise themselves with this process as it should be an built-in portion of obstetric and gynaecological preparation.

Oppression: a Comparative Literary Analysis

Oppression: A Comparative Literary Analysis There has been an ongoing battle within trends in society, and continues as time evolves and revolutions occur. Such battles include issues of oppression; be it in marriages, families, or in society as a whole. Two particular stories that tackle these issues within the idea of oppression include â€Å"The Story of an Hour† by Kate Chopin, and One Flew Over the Cuckoo’s Nest by Ken Kesey. While Chopin’s story deals with how women are expected to conform by society’s standards, Kesey’s piece argues how men are feeling emasculated from the pressures of society in whole. Such major similarities and difference these two have with one another include dealings with marriage, the desire for individualism and nonconformity, and the issues with gender norms. Now Kate Chopin’s â€Å"The Story of an Hour† is a short story of a woman who, because of her husband’s supposed death, realizes her newfound freedom and independence. One Flew Over the Cuckoo’s Nest, on the other hand, is a novel set at a psychiatric hospital located in Oregon, with characters including Chief Bromden, one of the protagonists and the narrator, who is half ­Native American and pretends to be deaf and mute. There is also Randle McMurphy, who is the other protagonist and a rebellious convict sent from prison. The plot concerns itself with McMurphy’s interaction with the other patients in the ward along with those who run it. From then on he comes up with events for the patients to participate in, with the intention of making them stand up for themselves against society’s pressure. Initially he thinks that being in a psychiatric institution is an easy way out compared to prison, however in the end he violently thrashes against Nurse Ra.