Flowchart for a Process Essay

The Pre-Admissions Testing (PAT) department at Good Samaritan Medical Center conducts pre-operative testing on almost every patient scheduled for surgery. The pre-surgical process from start to finish is more time-consuming than it has to be. This paper will identify a specific process, and design a flowchart that gives a visual of the pre-surgical process. The flowchart will show the various factors that affect the design process, and highlight the specific process. By designing a flowchart for the process, the intent is to identify the amount of time, redundancy of calls made to the patient, and initiate ideas to make the process more efficient. Factors Affecting Process Design Factors that affect the process design are 1. Is the patient scheduled as soon as the reservation is received? 2. Is the pre-admissions department notified in a timely manner for next day add- ons? 3. Is the patients contact information correct? Each factor mentioned has a huge impact on the outcome of the pre-admission process. Additional factors that affect the process design are 1. Incorrect spelling of names 2. Incorrect booking status 3. Surgery cancellations and updating surgical schedule in a timely manner Indentified Metric The metrics identified to measure the process is time, efficiency, and productivity. The following data gives a brief description of the daily activities, and the flowchart gives a description of the PAT process. Week# 1 Tuesday – 01/28/13- Scheduled several appointments; two patients showed up for appointments that were not on the schedule and had to be rescheduled due to the schedule being full. Several patients were called two or three times due to lack of communication. Called doctor offices to get correct patient phone numbers. Wednesday- 01/29/13- Had to made several doctor offices to get correct patient phone numbers. Patient was added to the schedule and PAT was not notified. Patients were rushed to come in because he was asked to come in at the last minute. Thursday-01/30/13- Had to call doctors’ offices to get correct phone numbers. Patients arrived that were not on the scheduled and the wait time was over one hour. Patients contacted after their surgery was cancelled because PAT was not notified that the surgery was cancelled. Friday- 01/31/13- Several doctors’ offices had to be contacted to get correct phone numbers. Contacted patients that were added on the schedule. Conversed with scheduling, regarding errors and incorrect information on surgery schedule also mentioned incorrect phone numbers. I work a ten-hour workday and as shown, a large amount of time goes into getting correct phone numbers, rescheduling patients, and re-calling patients that have already been contacted. Due to the inefficiency in the PAT department, the number of patients that are seen on a daily basis are limited. With several minor changes the PAT department could run more efficiently and the employees will have less stress. Pre-Admissions Testing Process Flowchart Missing References – .2 Point When writing academic papers a minimum of one reference should be provided which would be your course text. This demonstrates that you read the course text and can apply it to the topic of the paper. No references indicate a paper that reflects personal opinion only and does not demonstrate application of course concepts covered in the reading material for the week. Week 1 Grading Design a Flowchart for a Process Assignment Content and Development 6 Points| Points Earned6/6| Select a process you perform daily but would like to spend less time doing, such as driving to work. Design a flowchart using an appropriate tool.Comment on the factors that affect the process design. Identify at least one metric to measure the process.Submit your flowchart for the process.| Inez,You have provided: 1. An explanation about the process chosen to improve 2. A flowchart of the process which uses the flow chart symbols appropriately as described in Week 1 readings 3. A discussion about the factors that affect the process design 4. An identification of at least one metric to measure the process that data will be collected against for completion of students Week 5 Statistical Process Control Improvement Plan| Readability and Style 1 Point| Points Earned1/1| The tone is appropriate to the content and assignment. Sentences are complete, clear, and concise.| * Central theme/purpose is immediately clear * Structure is clear, logical, and easy to follow| Mechanics 1 Points| Points Earned.8/1| The paper is laid out with effective use of headings, font styles, and white space.Rules of grammar, usage, and punctuation are followed.Spelling is correct.| * Rules of grammar, usage, punctuation are followed * Spelling is correct * APA issue as noted in your assignment – .2 Point| Total 8 Points| Points Earned7.8/8| Chapter 5 Page 154 What Is A Process? A process is any part of an organization that takes inputs and transforms them into outputs that are of greater value to the organization than the original inputs. Page 157 How Is A Process Represented? Often the activities associated with a process affect one another so that it is important to consider the simultaneous performance of a number of activities, all operating at the same time. A good way to start analyzing a process is with a diagram showing the basic elements of a process, typically tasks, flows, and storage areas. Tasks are shown as rectangles, flows as arrows, and the storage of goods or other items as inverted triangles. Sometimes flows through a process can be diverted in multiple directions depending on some condition. Decision points are depicted as a diamond with the different flows running from the points on the diamond. Process Flowchart Example Page 162 How Is The Performance Of A Process Measured?

Winterkill

Wintertime In wintertime the story starts of depressing and explaining how the narrator and Harley Reeves have both been laid off from their jobs. Then he goes to the bar and notices a girl who is there and his friend Troy Just has to pick up on her and uses a corny pickup line. Troy Is In a wheel chair due too smoke Jumper's Injury, The lady at the bar was named Nolan. As the conversation carried on and got a little more personal troy invited Nolan to go fishing with him and his friend. Nolan agreed to go fishing and then get dinner.They made their way out to the river and Less and Nolan began to talk about how cold It was and that led to Nolan telling him to warm her up. Just before they were going to warm each other up they heard a weird noise and It was Troy struggling while fishing for some reason. It turns out that troy has snagged a big fish and the tension slowly pulled him out of the chair and he was slowly being dragged on his chest down by the water. Troy was saying that h e caught the big one and he needed help.Troy pleaded with Less to help him catch the fish because he did not want to let it go. So Troy and Less struggled and pulled on the line as hard as they could for what seemed like minutes and they could not get it to budge. Less kept going farther out In the water until he got to where the line was snagged and he realized that It wasn't even a fish and Troy had gotten his line caught on a dead deer. This did not make Troy happy at all because he always thought fishing was his thing and he just got tricked by a dead animal that shouldn't have even been in the water.They all ended up going inside and having the chicken with wine and talked on throughout the night. Snagging the deer was a confidence killer for Troy. After that he watched Harley Reeves and his mother dance to end the night, he enjoyed seeing her happy. â€Å"And I thought about the matter of trust. That I would always lie if it would save someone an unhappiness. That was easy. A nd that I would rather a person mistrust me than dislike me†¦ † (pig. 169) I could relate to this quote because I understood what It meant. But I did not agree with it. Retry much this salsa that they would rather beat around the bush and lie instead of be straight up with a person and just tell hem the truth no matter what it is or what affect it will have on the person. I believe in being very blunt with people and It can never turn into a negative thing if you are honest Instead of passive and always trying to say the next thing to please someone. Movie Essay The first time I saw Friday Night Lights, I was impressed by the movie and also as a fellow athlete that was playing football at the time.Friday Night Lights is a movie that takes place in Texas at a high school called Permian in Odessa, Texas and it was indented to show the true intensity and stress of being a Texas high school football player and the pressure that is on them to succeed and not only win the state title but to earn a scholarship to play at a division 1 athlete. Instantly I understood and respected the passion that was portrayed by the actors. Not only was It socially correct, the director did not skip out on showing the work that goes in before the 1 OFF field.I appreciated the detail and excitement that was created during their Journey to the state championship and everything that happens in-between. A lot of people have said that Friday Night Lights is an extreme portrayal of a sports movie. As an athlete that has played multiple sports for 10+ years it could not be more accurate. The intensity and seriousness of high school football in Odessa Texas was a well kept secret to the majority of the public and this movie shed light on a lifestyle that most high school kids never knew existed.This movie shows the true passion of anyone who loves a sport and is willing to go through anything or anyone and sacrifice their body to achieve their ultimate goal and that is to win a ch ampionship. I think this is a movie that every athlete should watch no matter what their sport is because it portrays athletes that have heart, drive, commitment and a never ending passion for the sport that they love.This movie took place in the late ass and speaking from a sports point of view not much has changed. The main character of the movie is the star running back Booby Miles. He is a god gifted athlete who has an ego as big as his linemen. Throughout the Movie Booby's cockiness grows but with good reason because he has earned himself the title of the umber one running back in the state and is the motor that pushes his team's offense into the end zone every game.The only down fall for Booby Miles and the Permian Panthers is that they are severely undersized but are gifted with speed. I understood how this would affect the movie and the team because any athlete's goal while playing the sport is to become as big and strong as possible and sometimes it is a lot easier said tha n done but it is something you constantly work at and stress about. The social life of the teenagers in the movie was not shied away from. The Director wanted to give the viewer the full picture.Many times throughout this movie there will be scenes where these high school athletes are being confronted by people in the community asking for their autographs and being told that they are their wives favorite players. A lot of pressure is put on these young kids by the community while out in public and they are reminded all the time that the season will be a waste if they do not win the state championship and they are constantly reminded that they are severely undersized compared to the boys on the there side of Texas.I never experienced pressure this big from the community but I can relate because it seemed like every time I would have my baseball gear on from my high school or some football apparel I was always asked the same tired question â€Å"you guys going to get it done this yea r† or â€Å"those are some big boys with Del scholarships you think you can hang† these questions always added fuel to my fire that I kept deep down in my stomach because we were always portrayed as an underdog like Permian no matter how much we won.I did not mind that role but sometimes I think there was some recognition that was deserved but never received. Friday Night Lights was a great portrayal of how much an athlete will sacrifice Just to win a championship. Friday Night Lights showed the true hard work and dedication that it takes to be one of the best teams. When Booby Miles gets injured and cannot play for the rest of the season it made me realize that you should never take a play or game for granted because all it takes is 1 play for your whole career to be ended and oh can lose everything you have worked for your whole life.The roller coaster story I never thought of it as unrealistic one time during the move and that is rare because a lot of sports movies a re predictable and not realistic portrayals of an athlete's life. My whole life has consisted of playing sports and being an athlete and there are a lot of misconceptions and thoughts that every athlete's talent is god given. That is why Friday Night Lights is such a good movie to get the true perspective because it is based on a true story and actual events.Nothing is sugar coated nor is it over traumatized. Friday Night Lights does not have that story book ending where the underdog team puts in all the hard work and beats the best team. In the movie the Permian Panthers lose in the state championship. This was the most realistic part of the movie because it doesn't always end with you on top no matter how much work and heart you put into things. Minus the depressing ending Friday Night Lights is a attention grabbing story that will keep you guessing all the way until the end.

What is the impact of road safety on the design and management of road networks?

Abstract Road transport is the most common type of transportation worldwide, which inevitably means that traffic accidents, and resulting casualties, are a regular occurrence. Further, the manufacture of cars in recent years, which combine high-speed engines with poor road performance, has a direct correlation with the occurrence of accidents. Consequentially, road safety has become a common interest within all countries throughout the world. In my opinion, road safety can be improved by incorporating relevant geometric, climatic and physical considerations in the design of roads. In addition, the application of an awareness program in education and advertising plays a significant role in strengthening road safety and reducing accidents. On the basis of the foregoing, when one is building a safe road, every factor of safety should be taken into consideration and at every stage of the process, including design. The main objective of this report is to show the impact of road safety considerations in the design of roads and the management of the road network, and how the aim of decreasing road traffic accidents and casualties influences geometric design, traffic design and structural design in road construction. In particular, geometric design and traffic design are greatly influenced by road safety standards, as evidenced in the geometric design of roundabouts, junctions, and pedestrian and cyclist highways. By relying on a specific case study, this paper will also investigate roundabout design and its interrelation with road safety; for instance, whilst roundabouts are likely safer than intersections because they encourage a reduction in vehicles speed and conflict points, it has been found that roundabouts with signalisation are safer for both cyclists and pedestrians. For these reasons, it is clear that the improvement of road safety requires the inclusion of safety in road design and man agement procedures. Introduction The road network is a systematic structure, which is constructed on invariable criteria for the purpose of road transportation and designed with certain considerations (such as traffic, climate condition and the environment) in mind. It is used by the majority of people worldwide, which is unsurprising considering the volume of traffic accidents and road related deaths and injuries. Indeed in recent times, this is often seen as a global phenomenon, with the number of road related deaths ranging from between 0.75 and 0.8 million annually[1]. Unfortunately, it also appears that this number is increasingly rising; indeed, a 2008 publication of the World Health Organisation (â€Å"World health statistics†) estimated that the death rate from traffic accidents globally is 2.2%, and that due to the manufacture of car engines capable of higher speeds and the development of the economy in developing countries, it is anticipated that this figure will dramatically increase to about 3.6% by 2030[2]. Likewise, road traffic accident costs are expected to increase. There are three main factors which contribute to road traffic accidents: â€Å"road and engineering deficiencies; road user errors (â€Å"human factors†); and vehicle defects†[3]. Indeed, a UK study from the 1970s demonstrated that the human factor plays an unfavorable role in 95% of accidents, whilst 28% and 8% of accidents are at least partly caused by environmental and vehicle shortcomings[4]. For these reasons, it is not logical to focus solely on one single factor. It is clear that the fact that road user errors feature in the majority of accidents proves that the human factor is the principle cause of traffic accidents; however, if the construction of roads was geometrically improved, this may not be the case. Indeed, according to Restructuring road institutions, finance and management engineering[5], engineering is one of four factors that influence road safety (along with enforcement, education, and climate). By focusing on the impact of the engineering factor o n road safety improvement, the objective of this report is: To demonstrate and define the concept of road safety. To explain the incorporation of safety features in road design and management. This report consists of 6 parts: methodology; an explanation of road safety, road design, and road management; the impact of road safety factors on the geometric design and management of roads; a presentation of a case study on road intersections, cyclists and pedestrian safety at roundabouts; a discussion; and finally, a conclusion 2. Methodology To demonstrate the effect of the road safety considerations on road design and management, this paper will investigate road intersections through a case study linked to geometric design, and then discuss the safety of cyclists and pedestrians in relation to roundabouts. See Figure 1. 3. Road safety According to Oxford Wordpower Dictionary[1], safety is defined as â€Å"the state of being safe; not being dangerous or in danger†, whilst road safety is defined as â€Å"the prevention of road accidents†. The purpose of roads is to provide facilities for safe travel and transport, and improved road safety can be achieved in the design and management of road management by incorporating safety orientated â€Å"design criteria, design values and interventions†[2]. Such an approach could not only lead to a decrease in road related deaths and accidents, but it could also make roads more accessible. Indeed, as outlined in the DTMRQ manual[3], such an outcome can be achieved with the application of certain factors: Improving road network safety using a risk management approach; Designing for safer travel for all road users; Providing safer access to the road system for cyclists and pedestrians; Ensuring work site safety; and Co-ordinating with other government agencies in partnership. As stated above, road users errors is the main factor which contributes to road accidents. However, it has been observed that the enhancement of engineering design and management can influence drivers’ behavior positively and reduce the number of such errors[4]. It should be noted that no road is absolutely safe and that the safety of a road is often measured on the volume of accidents on it. For that reason, it is logical to indicate that the construction of a road involves the use of a nominal safety level[5] 4. Road design: According to Oxford Wordpower Dictionary[6], design is defined as â€Å"to plan and make a drawing of how something will be made†. The three aspects of design that must be considered in the construction of roads are geometric design (which relates to physical elements such as â€Å"vertical and horizontal curves, lane widths, clearances, cross-section dimensions, etc†[7]) traffic design and structural design. Good road design standards involve a combination of these three variable aspects to produce efficient and safer road.4.1 Geometric design:Road geometric design involves horizontal and vertical alignment and road cross-section, with the determination of these elements based on the criteria of road safety[8]. The reduction of the road accident rate is significantly influenced by these elements meaning there is a clear relationship between road design and road safety. For example, it has been found that junctions that are geometrically designed with road safety in min d see a smaller number of road accidents. Sound geometric design can involve a reduction in the number of conflict points (with the construction of channels). Indeed, it has been found that the use of roads with two lanes, which are each 3.7m wide, are safer than roads with one lane that is 2.7m wide[9]. In addition, it is felt that the presence of the median reduces the cross-median accident rate, even where it is narrow, and that the inclusion of safety fences at the outer edge of roads plays a significant role in road safety[10]. Road Management: According to Robinson (2008)[11], road management is defined as â€Å"a process that is attempting to optimise the overall performance of the road network overtime†. This involves action that affects or can affect the road network quality and efficiency during the service lifespan and which facilitates trade, health protection, and education by enhancing accessibility. Further, the improvement of road efficiency, effectiveness and safety can lead to increasing economic well-being as a result of lower commodity prices. Road management is affected by a number of factors, but the dominant is â€Å"accident levels and costs†, which is directly related to road users and economic infrastructure[12]. As a consequence, road management action can involve the policing of vehicle speed in order to improve safety. Additionally, it can also include such activities which are conducted on the road itself and the surrounding environment, such as road maintenance. As Robinson (2008) sta tes, the aim of road maintenance is to make roads safer because it contributes to the geometric factors in the areas of: Pavement and footway surface; Carriageway marking and delineation; and Signs, street lights and furniture.[13] In this way, road safety can be incorporated in road management; for example, the continuous repair of pavements reduces vehicle operating costs to be reduced and the rate of accidents on the road. Road intersections Road intersections are a significant part of the road network structure, and in spite of their simple function, they contributes more than 20% of fatal road accidents in the EU[14]; and even though it has been reported that about 31% of serious accidents occur in non-built-up areas, 65% occurred at built-area junctions in 1984 in the UK[15]. According to the Federal Highway Administration (2006)[16], road intersection safety has become a considerable problem in the USA because more than 45% of approximately 2.7 million crashes that occurred there in 2004 happened at junctions. Unfortunately, despite the fact that junction design and traffic standards have seen a significant improvement generally, it has not caused a significant reduction in the rate of accidents per year. For those reasons, the FHWA supported the concept of converting intersections to roundabouts in order to decrease the rate of accidents and to provide increase safety. Rate of fatal casualties in EU at junctions and other locations of roads Case study A study was carried out in 8 States of the USA in 2004 for 24 junctions before and after conversion to roundabout. It resulted in a 39% reduction of overall crash rates, with a 90% and 76% reduction in the fatal and injury crashes, respectively[1]. See Table 1. Reduction of crashes following roundabout conversions at 24 U.S. junctions In 8 states in USAReduction In Crashes % In 2004OverallFatalInjury -39%-90%-76% Table 1: the information from FHWA, 2006 Discussion The reduction in the level of road traffic accidents in the case study proves that replacing junctions with roundabouts is the logical decision in the USA because it is clear that such a course of action increases overall safety. Unfortunately, the study sample is small as it does not cover all safety aspects, and the safety of the cyclist and pedestrian is not clarified because the crashes categorized are only based on motor vehicles. It should be noted that approximately 75% of cyclist accidents occur at roundabouts[2]. For that reason, the impact of roundabouts on passengers and cyclists is worthy of investigation.8.1 Roundabout and road designAccording to Fortuijn (2003)[3], the majority of cyclist-car accidents occur when a cyclist is circulating in the roundabout and a car either enters or exits from the roundabout. It has also been said that roundabouts that are charactarised with a significant design feature (e.g. a requirement to reduce vehicle speed to 30phm, use of a centr al island, a right angle connection between roadways and circular roadways, or a right of way traffic movement) serve to reduce crash rates and cyclist accidents. Another characteristic that improves road safety at roundabouts is the reduction of conflict points to about a quarter of the number utilised at other junctions.8.2. Roundabout and road managementModern roundabouts are recognised with high capacity, low speed, and non-use of signalisation. The use of roundabout signalisation is typical dependant on traffic volume and safety. Nevertheless, the roundabouts that don’t use signalisation are still safer than junctions[1]. Further, the maintenance of traffic signs, lights and pavement surface serve to increase road life service and safety. The manufacture of vehicles with higher speed engines may serve to reduce the efficiency of roundabouts and increase the safety hazards to cyclists and pedestrians, especially at times of high traffic volume. According to the findings of the London Road Safety Unit (2003)[2], the roundabouts with signalisation are safer for both cyclists and pedestrian, based on a study which was conducted in 2003 for a number of roundabouts, before and after signalisation Conclusion: This report has sought to demonstrate the impact of road safety in design and road management by defining and analysing the relevant concepts, with particular attention paid to cyclist and pedestrian safety. The following points were also concluded: Road accidents occur due to three main factors: road users, environment and engineering. The level of road safety measures that are utilized depend on the volume of accidents. Road safety is incorporated into road design and management through incorporation of safety considerations. Road safety is improved through road maintenance. Roundabouts typically serve to reduce vehicle speed and conflict points, which in turn can reduce the road accident rate, and increase the safety of cyclists and pedestrian. It is believed that the road design and management plays a significant role in road safety enhancement through the interaction of safety criteria with the road efficiency. Signalisation at roundabouts can increase the safety of cyclists and pedestrians, and a cyclist right of way can reduce the rate of car-cyclist accident References: Robinson, R., & Thagesen, B. (2004). Road engineering for development, 2nd ed. Taylor & Francis. London. Moller, M., & Hels, T. (2008). Cyclists’ perception of risk in roundabouts.Accident Analysis & Prevention, 40(3), 1055-1062. [online] https://wiki.cecs.pdx.edu/pub/ItsWeb/BikeBoxes/Moller_Hels_2007.pdf [accessed October 19th 2013] Fortuijn, L. G. H. (2003). Pedestrian and Bicycle-Friendly Roundabouts; Dilemma of Comfort and Safety. [online], Delft University of Technology, The Netherlands. http://www.mnt.ee/failid/SlowTrRoundb.pdf [accessed October 19th 2013] Antoniou, C., Tsakiri, M., & Yannis, G. (2012). ROAD SAFETY IMPROVEMENTS IN JUNCTIONS USING 3D LASER SCANNING. [online] http://www.nrso.ntua.gr/geyannis/images/stories/ge/Publications/Papers-Conferences/geyannis-pc144.pdf [accessed October 16th 2013] DTMRQ, (2010). Road planning and design manual: design philosophy. [online], Brisbane, Department of Transport and Main Roads of Queensland. http://www.tmr.qld.gov.au/~/media/Business%20and%20industry/Technical%20standards%20and%20publications/Road%20planning%20and%20design%20manual/Current%20document/RPDM_Chapter2.pdf[Accessed October 14th 2013]. DTMRQ, (2010). Road planning and design manual: road planning and design fundamentals. [online], Brisbane,Department of Transport and Main Roads of Queensland. http://www.tmr.qld.gov.au/~/media/Business%20and%20industry/Technical%20standards%20and%20publications/Road%20planning%20and%20design%20manual/Current%20document/RPDM_Chapter3.pdf[Accessed October 17th 2013]. FHWA, (2006). Priority market-ready technologies and innovations. Problem: intersection crashes account for more than 45 percent of all crashes nationwide. [online], U.S. Department of Transportation, Federal Highway Administration. http://www.fhwa.dot.gov/resourcecenter/teams/safety/saf_7rnd.pdf [accessed 18th October 2013]. Fouladvand, M. E., Sadjadi, Z., & Shaebani, M. R. (2004). Characteristics of vehicular traffic flow at a roundabout. [online] Physical Review E, 70(4), 046132. http://arxiv.org/pdf/cond-mat/0309560.pdf [accessed October 14th 2013] Grime, G., 1987.Handbook of road safety research.Bodmin: Butterworths. Hauer, E, (1999). Safety in geometric design standards. [online], Toronto. http://portalantigo.cefid.udesc.br/ciclo/workshop/Hauer.Safety.GeoDesign.pdf [Accessed October 17th 2013]. London Street Management-London Road Safety Unit. http://www.tfl.gov.uk/assets/downloads/SignalsatRoundabouts-TransportationProfessiona-Article.pdf Ministry of Transport, (1966). Roads in urban areas. Ministry of transport: Scottish development department. London. Oxford Wordpower Dictionary, (2013). Oxford University press, Persaud, B N and others, (2000). Crash reductions following installation of roundabouts in the United States. [online]. https://www.dot.ny.gov/main/roundabouts/files/insurance_report.pdf [Accessed 21th October 2013]. Robinson, R, 2008. Restructuring road institutions, finance and management, volume 1: concepts and principles.Totton: University of Birmingham, Birmingham. Slinn, M., Matthews, P., & Guest, P. (2005). Traffic engineering design. Principles and practice. 2nd ed. Arnold, London. [online] httpwww.amazon.comTraffic-Engineering-Design-Second-Editiondp0750658657 [accessed 20th October 2013] WHO, (2008).World health statistics. [online], Paris, World Health Organisation. [online]http://www.who.int/gho/publications/world_health_statistics/EN_WHS08_Full.pdf [accessed 14th October 2013].

Describe the developments in surgery in the 1800s Essay

Briefly describe what problems surgeons faced in the early 19th century? Pain was one of the main problems that faced surgeons in the nineteenth century, because patients were in agony during surgery therefore it was hard for surgeons to operate. Another problem was infection. After operations open wounds were infected as there were no antiseptic to kill or prevent germs, as a result many patients often died of infection. As well as pain and infection, bleeding was a problem for many surgeons. Operations were quick and often resulted in lots of blood being lost due to loss of blood at high quantities many patients died. 1. Explain why Lister’s work was important in the development of surgery Lister was important in the development of surgery during the 1800s because he began to use carbolic acid as a way of curing infection from patients. Often operations left patients with open wounds that attracted germs and caused infection. It was Lister’s discovery of carbolic acid that prevented many deaths, making him an important figure in the development of surgery. Lister was also important because of his use of carbolic spray, so before operations the room and environment were freed of germs and surgeons also washed their hands with carbolic – this began aseptic surgery meaning people were not going to get an infection from the operations as the operating theatre was clear of germs. Lister’s keen interest in medicine allowed him to understand and know about Pasteur’s germ theory and therefore he could develop his own ideas. After anaesthetics and before antiseptics the black period of surgery came as surgeons performed more intense and in depth surgery; however, they were unaware of how to disinfect or stop infections form emerging. More people died of during the black period of surgery; therefore, Lister’s discoveries of antiseptics prevented infections so it was no longer a problem. Complex surgery could be carried out without the risk of infections therefore surgery developed and there was a lower death rate. 1. ‘After the work of Simpson and Lister there was little left to do in the development of surgery. ’ How far do you agree with this statement? Explain your answer. Lister and Simpson made many discoveries that helped surgery, after anaesthetics and antiseptics there was little left to do to help surgery. The three main problems were pain, infection and bleeding, with only bleeding remaining a problem after Simpson and Lister. Anaesthetics such as chloroform (discovered by Simpson) helped to prevent pain within patients therefore more complex operations occurred, also Lister discovered carbolic acid and spray so more complex surgery could be carried out without a risk of infection. Although Simpson’s discovery helped surgery improve, it was Lister’s carbolic acid and spray that reduced death rates. However, together anaesthetics and aseptic improved surgery massively. But bleeding was still a big remaining problem and many patients died of blood loss at high quantities. Neither Simpson nor Lister helped with the progression of blood transfusions or storing blood for future use – it was scientists other than Lister and Simpson that discovered ways to store blood and make blood transfusion possible. After the nineteenth century there was still developments in surgery being made as plastic surgery and radio therapy further enhanced the effects of surgery and made improvements even after pain, infection and bleeding were no longer the main problems. Although Simpson and Lister made major improvements in the development of surgery, there was still other major problems that were unsolved after Simpson and Lister, therefore the statement above is not completely true as developments were made and are still being made to make surgery more efficient and effective. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE History Projects section.

HW Essay Example | Topics and Well Written Essays - 500 words - 3

HW - Essay Example The body system is mostly affected by the long-term consumption of the alcohol. The system respond negatively to the ingested substances which is abused or largely taken into the system and has these sides effects to the users; fatty liver, gastritis, pancreatitis, ulcer diseases, chronic active hepatitis and alcohol hepatitis. Most of the students find themselves addicted into alcoholism and the other narcotic drugs such as the bhang and cocaine. This narcotic leads to hallucination and poor judgment of the users of the hard drugs (Kane, 2011). It is also seen that addiction is part of the bio psychosocial model in that it has multiple ways or procedure of treating the whole individual not taking part of rehabilitation from the drugs but also the transformation of individual’s behavior. The addiction of each and every person is not determining emotions, social, cultural or physical factors but it is mostly influenced by the biological factors which will determines drinking and the addiction. This includes the genetics as the general exposure to drugs and alcohol (Miller, 2011). The enabler is an individual who catalyze an addict to continue with his self-destructive behavior. He encourages the addict to through criticizing or rescuing him/her. While on the other hand codependency is the relationship in which one of the parties of both allows each other to act in maladaptive ways. The two characteristics gives the relationship that is irrational to the thoughts and the behavior of the individuals thus they can’t judge what is right or wrong. Hence, a person who is in the field of health and wellness has these features as he seeks to have control over the situation. He also influences the people around him by controlling on what to be done (Kane, 2011). The addicts will continue with their behavior in the presence of their sound family or friends because there will be fear of losing them. They tend to protect

United States Presidential Election Essay Example | Topics and Well Written Essays - 1000 words

United States Presidential Election - Essay Example Still, there is only one of these candidates that has the credibility, honesty, and vision necessary to lead our country through these difficult times. Barak Obama can help heal this nation's legacy of discrimination, speak credibly about a peaceful future for out great grandchildren, and lead our country with the vision needed to assure a peaceful and prosperous future for all Americans. The election of Barak Obama to the office of the presidency could help to begin to erase the centuries of oppression and discrimination felt by African Americans left behind by the legacy of slavery. African Americans have been denied education, employment, and opportunities in America for over 300 years. Electing Barak Obama would show that America is finally ready to put aside race and begin to heal our nation's deepest wounds. There is significant evidence that the country still has racist attitudes. The Democratic primary has had race as a central issue as we see overwhelming numbers of blacks supporting Obama, while Clinton's supporters are a majority white. White voters fear the possibility of a black candidate taking the White House. Yet, these fears are unfounded. The election of Obama will not ignite a race war or cause centuries of resentment to boil over into recriminations against the white power structure based on race. Instead, it will give African Americans the show of respect and dignity that we value as a people and profess as a nation. Barak Obama should be elected president because he is the only candidate that has the credibility to guide our country into a peaceful future. While the other candidates speak of their desire for peace, Obama is the only one that has based his decisions, actions, and rhetoric on the philosophy of peace. John McCain openly supports the War in Iraq and has been an outspoken proponent of an escalation in troop levels in Iraq. Clinton, while she calls for an immediate withdrawal, voted for the war and has done little as a US Senator to lessen the prospects of continued involvement or hasten the possibility of peace. Our foreign policy is contingent on having other countries trust that our words and intentions will measure up to our actions. Without trust, other nations would only tentatively support our efforts and would remain cautious when we spoke of a desire for peace. However, Obama's initial, and consistent, stand against the military action in Iraq can be depended on to be genuine . The confidence that other nations place in our true intentions could bring them into the philosophy of peace and insure greater cooperation with our efforts to create a free and peaceful planet. The social structure of America is in such a state of chaos that it will require a president that has a solid vision for the country's future to be able to be an effective leader. America is polarized on several hot button issues such as abortion. Obama has the ability to reflect America's respect to the right of privacy, while assuring the rights of the minority are protected. His pro-choice stance reflects the ideology of a majority of Americans. America also has the social ills of poverty and inadequate health care that divide our nation. It will take more than billions of dollars and massive federal programs to solve our nation's problems. It will take a leader that can defuse the polarization on the emotionally charged issues, such as abortion, and bring about a sense of unity to the country. America needs a leader that has a focused vision of what our

Criticizing Augustine's Account of Natural and Moral Evil Essay

Criticizing Augustine's Account of Natural and Moral Evil - Essay Example A number of mortals will be saved by the love and compassion of God, and others will be denounced to endless suffering. Ultimately, the justice and goodness of God are expressed. After reading the City of God, particularly Books XI-XIV, I came to oppose Augustine’s explanation of the roots and of the ultimate nature of moral evil. It is argued that the concept of temporarily faultless entities intentionally giving in to sin is meaningless and paradoxical. A genuinely faultless entity, albeit free to commit transgressions, would ideally or, in truth, never commit even one sin. To point the root of evil to the intentional wrongdoing of a faultless entity is hence to claim the ultimate irony that evil has shaped itself out of nothing. Moreover, there seems to be a dissonance between this theological account and the canon of predestination of Augustine, which effectively creates the root of moral evil within the liability and intention of God. The canon of Augustine talks about th e descending of angels. Augustine introduced the notion of Natural and Moral evil. The former are the occurrences that resemble evil, like war, flood, earthquakes, etc. They resemble evil because human beings are ruled by selfishness, have an imperfect consciousness and understanding and are not capable of discerning the ‘grand purpose’ of the unraveling play of God. Hence, when seen in the point of view of God’s grand purpose, natural evils cease to appear evil in any way. In contrast, moral evil is the outcome of human action and will. These are the blameworthy outcomes of a resolve that has become tied to mundane or inferior principles and activities, viewing them as though they were greater. Basically, moral evil is the deviation of the will from God and relating itself to lower principles as though they were greater. My purpose in this paper is to argue against Augustine’s account of the Natural evil and Moral evil or, more particularly, the problem o f evil. The Flaws of Augustine’s Natural Evil and Moral Evil I mostly disagree to the notion that God granted good being the liberty to commit sin. If a creature is faultless in its righteousness it would in no way commit any transgression even though it is free to do so. Evil would therefore have to form itself out of nothing, which is absurd. Nevertheless, it is not logical that moral faultlessness essentially involves indisputability. Moreover, Augustine’s dispute of the Manichean’s notion of the human soul as Light’s divided component would eradicate the vital difference between the maker and the created (Jones 1969). In addition, it would weaken the responsibility of human beings for the perpetration of sin. The argument of Augustine, by eliminating the essence of Satan as a contributory factor, makes all the arguments of the Manicheans illogical (Jones 1969). Similar to all excellent critiques Augustine prevails by eliminating the core principle tha t the argument of the Manicheans is rooted in: â€Å"God, being supremely real, is supremely good. God’s creatures, being in varying degrees less real than God, are in corresponding degrees less good. Their so-called evil is simply the absence of goodness and reality; it is the inevitable consequence of their status as creature† (Jones 1969, 95). Moreover, Natural evil is the outcome of human weaknesses, more particularly, human beings’