Locke’s Human Understanding

1.â€Å"The way shown how we come by any knowledge, sufficient to prove it not innate† – The natural faculties that humans have since birth are the ones they use to attain knowledge, but do not have impressions that are innate to them. The development of this knowledge and principle is not innate in character because they evolve over time. 2.† General assent the great argument† – principles that accepted by men came from process of speculative arguments. Thus the end of this is the consent given by men towards the affirmation of a certain principle is not innate. 3. â€Å"Universal consent proves nothing innate† – given the fact that people have established the meaning of a consent, thus rendering the knowledge itself as not innate. 4.â€Å"What is, is;† and, â€Å"It is impossible for the same thing to be, and not to be,† not universally assented to.† – the argument used on the debate on universal consent to prove innate principle, is likewise the same as disproving the notion of innate principle. 5.â€Å"Not on the mind naturally, imprinted, because not known to children, idiots, etc† – there things that are not known or born naturally to children, thus those have to be introduced to them, making the knowledge not naturally endowed and innate to them. 6.â€Å"If reason discovered them, that would not prove them innate.† – though by claim of use of own personal reason, humans have discovered these reasoning by universal assent, rendering the principle or the knowledge as not naturally imprinted by the human mind. 7.â€Å"It is false that reason discovers them† – it is not possible to come up with innate knowledge, because through use of own reasons, these forms of reasoning are only deductions from established theories and knowledge, thus making it not anymore original. Reference 1690 AN ESSAY CONCERNING HUMAN UNDERSTANDING by John Locke. Retrieved October 24, 2007 from http://oregonstate.edu/instruct/phl302/texts/locke/locke1/Book1a.html#Chapter%20I      

Qualitative Data and Collection Methods

Here are the characteristics of a good qualitative data: 1) naturalistic (derived from actual participation or analysis of a subjective data, 2) â€Å"rich† and â€Å"deep† data (that is, specifics of dynamics of an event or context can be discerned or analyzed), 3) subjective (data should be perceptions of the people in the environment), 4) credible (that is, the data are derived from actual experiences of the people involved – the source of data), and 5) confirmable (that is, the data derived may be collaborated by other subjective sources).There is though an additional characteristic (but not required) of a good qualitative data. In some cases, social scientists attribute a good qualitative data based on its transformability into quantitative data (this is though not necessary). Types of Qualitative Data Collection (Qualitative Methods, 2006: URL cited) There are generally four qualitative data collection methods that are frequently used in the social sciences . Here are as follows: 1) participant observation, 2) direct observation, 3) unstructured interviewing, and 4) case studies.There are though variations in qualitative data collection methods. In anthropology, ethnography is used as the primary mode of qualitative data collection. In a sense, it is case study on a wide range (all aspects of a culture are examined and analyzed). In psychology, psychoanalysis methods of qualitative data collection are used to code and validate a person’s psychological standing or perhaps his/her state of mind. For simplicity’s sake, we shall not tackle on these methods. Participant Observation.This method requires that the researcher become a participant in an event or the place being observed. This approach allows the researcher to know the specifics as well as the intent of an activity or the people involved. Without bias or prejudgment, this method becomes more pronounced when the researcher is accepted as a natural part of the culture , assuming that the observations are natural phenomena. Here, the researcher collects first-hand qualitative data, and hence allows him/her to relate it simultaneously with the event or activity (or culture).Direct Observation. This is a different from the previous method in a number of ways. First, the researcher is not a participant in the context or event. The researcher in this case does not in any way mingle or influence the actions of the participants in a context or event. Doing so would undermine data authenticity as well as validation (see Hawthorne Effect). Second, direct observation is a detached perspective. Technologies replace actual participation as a measuring tool for validation and procurement of good qualitative data (as presented earlier).Third, the researcher is observing sampled situations or groups of people; in no way the researcher is immersed in the activity or event. Lastly, direct observations are usually shorter in scope than participant observation in t erms of data viability as well as practicality. Unstructured Interviewing or In-Depth Interviewing. Here the researcher and the respondent have direct interaction. The researcher usually uses a short guide to his interview questions (unstructured) or core concepts to ask about. The interviewer may ask additional or supporting questions that are relevant or connected to the main problem of the research.This allows the researcher flexibility in structuring his/her qualitative data as well as representative tools like bodily gestures and facial expressions. The protocol however in this type of method is that the interviewer respects the principle of confidentiality. Only information approved by the interviewee can be released to the public or to academic associations. Case Studies. This is the frequently used research method in the social sciences (especially in anthropology and sociology). This involves an intensive and extensive study of an individual on a specific milieu.In a sense, this is a combination of structured interview, participant observation, and direct observation. Using all the methods in one setting allows the researcher to get the whole picture of the problem. It also allows him/her to determine the variables or factors at play without undermining validity. Most of the time, if only one method is utilized, there is a tendency for variables to be neglected or misrepresented. There was a case when voting behavior was concluded to be attributed to the party affiliation of the group being studied (participant observation was the only method used) – note that only one variable was used.When the study was replicated using combinations of methods, party affiliation accounted only 19% of the relations (when the qualitative data was converted to quantitative data). Although this is not to say that a combination of data is more desirable or more academically reliable (this would depend on the context of the research problem), it is often noted that this type of method has all the requirements for procuring good qualitative data. Process for Analyzing Qualitative DataQualitative data analysis is composed of three general processes: 1) noticing things, 2) collecting things, and 3) thinking about things. These three general processes are connected are related with each other. We shall discuss each of the processes below. Noticing Things. This refers to the general observation of an event or context and the manner by which it is coded. It generally means â€Å"making observations, writing field notes, tape recording, interviews, gathering documents, etc. When you do this you are producing a record of the things hat you have noticed†(Seidel, 1998:3). Collecting Things. This process is similar to solving jigsaw puzzles (Seidel, 1998:5). The data coded are assembled or disassembled into groups. In this way, relations can easily be extracted. Thinking About Things. This is generally the theoretical part of the research process . Each part of the â€Å"puzzle† are examined and related to the main problem. After relationships between variables are stated, they are then referred to the main problem (as well as the specific propositions).

Contemporary Globalization Essay

Are you a forerunner of the so called Contemporary Globalization or in your view point do you adhere to Global Diversity? This short paper is to review globalization developments and their impacts or consequences whether is it a threat to human dignity in terms of providing a safer work place and leisure to man and will it promotes democracy and justice for all (Johnston, Mont 2000)? Globalization began in the 70’s and reaches all the corners of the world through the creation of IMF, the World Bank and, WTO. Globalization was also brought about by the advance communication technology and collapse of communism (Johnston, Mont 2000). According to the Canadian Union Council (CUC), â€Å"globalization does not account of the right of conscience, and democracy is only hearsay. Trade fundamentalist works with corporate lawyers to develop trade rules which expressly exclude consideration of the environment and human rights in favor of return on investments, consideration on the rights of others are only taken into consideration only in extraordinary circumstances†. For this reason, the Council created seven principles of the UUs covenants to counter act or to balance the wave of globalization which is detrimental to the Unitarian way of thinking in which it firmly believes that uniqueness of every person must be reverently acknowledge preserving his culture. It is in diversity that a genuine human society is born. Globalization spread the culture of homogenous market and consumerism; it limits human choices because human values are dictated by market values. Manfred Steger further stated globalism in his book A New Market Ideology as â€Å"globalony†. Consequences or impacts of Globalization: Neoliberals or the globalist supported their claims on the following ideology: Globalization is market integration, inevitable and irreversible, none is in-charge and it would benefit everyone, and will further spread democracy. These are strategies in order to promote private interests of dominant few to be supported by the general public. These claims were carefully examined by Steger as he insisted that we need to critically understand what are globalism, ideology, and globalization which are a process of globalism. He also pointed out that it is not only enough to examine its economic outcome but its ideas and values (Walker 2003). It is a hard truth to accept that the human will are dictated by market trends which mean that human values are being replaced by market value or the limiting of our choices which is contrary to the free act of man. Corporations have extended on a global scale, 51 among top companies are run by the wealthiest 100 multinationals (Carmichael 2002). Steger asserted that it is undemocratic because the influence of the supranational bodies will decrease the ability of national governments to regulate multinational corporations. Wiwa in his audience with law students declare that â€Å"The governance are no longer for the benefit of the citizens, as it should be, but for corporate profit. Decisions reflect only what corporations want (Carmichael 2002)†. Anything that gets in their way must be removed at all costs, no wonder there could be a time that man will be replaced by robots. For man to survive, diversity is needed but regimes like the WTO has modeled globalization which resulted into a homogenous culture of consumerism. It sees that diversity is an impediment to the free trade. One example is the over-produced food that flooded the developing countries; it forces small farmers to abandon their farms to work for Nike and other corporations. Mexican farmer’s earnings have declined by 40%. Poverty radically increases while the stocks of multinationals increases. Ken Wiwa a physician and an author of the book â€Å"Dance the guns to Silenceâ€Å"was hanged in November 1995 for his crusade against globalization and today it is his brother Owen who continues by addressing a political science class at the University of Toronto about the consequence of globalization saying â€Å"You have that paradox whereby an increase in transnational corporations in the south will increase the poverty and conflict and wars in that country and Ten years from now you may be working in these corporations and governments so it is up to you to make an influence â€Å"(Carmichael 2002). Shell Corporation and the Ogoni people faced the dilemma between the clearing of its oil spills and the MOSOP Movement of the Ogoni People for Survival in the 1990s. Oil extraction in their country is to the detriment of its inhabitants. Sickness related to air and water pollution like asthma and other diseases outnumbered the hospital built in 1993. Though the company has left the premises they have not really removed their pipelines nor cleaned up and paid compensation to their workers. The company remained quiet and the military was no longer engaged but arrest started Wiwa stated (Carmichael 2002). Based on the above consequences, Steger’s touches the tenets of his argument that it is the human will and choices that must create market models and not the goods or the reverse wherein market limits suppressed human choices. His argument was based on the historical facts that man lords over the earth and that no society have emerged without knowing how to take care of its own. Society degrades or falls when only a privileged few are protected, when dominance is instilled prejudices and other sisters of greed appears. The value of human work diminishes and man begins to serve only his appetite and whims. Indeed, we must account for the gifts we received such as the talents endowed to us. There is a need of strengthening our world communities to use collective power to develop alternatives to Globalization and Corporate Rule. We must examine and challenge ourselves what is behind each ideology and must patronize products and services that are truly for the benefit of mankind. We must put our best efforts that wealth is distributed equitably and for the common good. We must learn to scrutinize the use of worldly goods and sharpen our values to preserve the world and the future of the next generation. References Mel Johnston, Alastair Mont, Philip Symons Calgary, Alberta 2000, the CUC Policy on Globalization, [Electronic Version]. Retrieved 01 February 2008 from, http://www. cuc. ca/social_responsibility/globalization. htm Teresa Walker 2003, Globalism: The New Market Ideology by Manfred Steger, [Electronic Version]. Retrieved 01 February 2008 from, http://www. logosjournal. com/walker. htm Stefanie Carmichael (2002). Owens Wiwa tackles consequences of globalization [Electronic Version]. The Manitoban. Retrieved 02, February 2008 from, http://www. themanitoban. com/2001-2002/0403/news_8. shtml

The Sub-prime Mortgage Market and Variable Rate Mortgage Market in the Essay

The Sub-prime Mortgage Market and Variable Rate Mortgage Market in the USA - Essay Example The subprime mortgage market can be considered as an extension of this lending practice prevalent in the housing market. Subprime mortgage loans carry interest rates much higher than the prime loans in order to cover the additional risk exposure of the lenders in extending credit to the borrowers who are considered to have a bad loan track and defaulters in repayments. With the increase in the subprime lending the rate of failures has also considerably increased, as most of the loans have been granted to those who did not have the adequate means to repay the loans. When such failures have reached a greater proportion, "Investors have started scrutinizing subprime loans more carefully and, in turn, lenders have tightened underwriting standard". Certain other measures including credit spreads over subprime securitizations have also been undertaken to control the rate of delinquencies. Different aspects of the subprime mortgage including the variable rate mortgage are discussed in the following sections of the report. The report also details the process of securitization being adopted by the mortgage originators to fund the growth in their mortgage lending. 2.0 What is Subprime Mortgage Although the term 'subprime mortgage' is used to indicate the loans offered to those borrowers whose credibility is doubtful, the term "subprime' does not signify the character of the loan itself but characterizes the borrower meaning the borrower has a substandard credit status. Lack of good credit history and habitual defaults in repayments make the borrowers to get into the status of sub prime borrowers. Subprime lending can take a variety of instruments like... As the report declares the subprime mortgage market can be considered as an extension of this lending practice prevalent in the housing market. Subprime mortgage loans carry interest rates much higher than the prime loans in order to cover the additional risk exposure of the lenders in extending credit to the borrowers who are considered to have a bad loan track and defaulters in repayments. With the increase in the subprime lending the rate of failures has also considerably increased, as most of the loans have been granted to those who did not have the adequate means to repay the loans. When such failures have reached a greater proportion, â€Å"Investors have started scrutinizing subprime loans more carefully and, in turn, lenders have tightened underwriting standard†. This paper stresses that lack of good credit history and habitual defaults in repayments make the borrowers to get into the status of sub prime borrowers. Subprime lending can take a variety of instruments like subprime mortgages, car loans and credit cards. The expansion in the sub-prime mortgage has made the home-ownership possible for those borrowers who otherwise would not be able to qualify for any borrowing. There has been a sharp increase in the subprime mortgage in the recent years. With the increase in the subprime mortgage market, the concerns over the adverse effects of the predatory loans have also increased.

Philosophy - Animal rights & liberation article by Peter Singer Essay

Philosophy - Animal rights & liberation article by Peter Singer - Essay Example Singer points out that when humans alter nature, they tend to only take the costs and benefits for humans into consideration; and the effects of such actions on other animals are often given no moral significance. To illustrate, according to Singer, when a ‘reservoir’ is constructed, though it is pointed out that it would drown a valley teeming with wildlife, the reason behind this concern often lies in the fact that the valley has value as a place for recreation like hunting, shooting, and bush walking. In other words, the hardships caused by the reservoir to the lives of the nonhuman beings in the valley are not of any moral concern. Thus, the claim is that while lamenting on the negative impact of such human encroachments, the concern is not about the direct hardship caused by the alteration to the nonhuman beings there, but about the possible losses to humans themselves as a result of the alteration. In other words, the sustainability of a human interference in nature is often decided by weighing its benefits to humans against its negative impacts on humans. The lives of other species are not given any value other than the usefulness of those animals to humans. According to Singer, not giving attention to the sufferings of nonhuman things for the mere reason that they do not belong to human species is not justifiable. In order to justify this claim, Singer provides the example of the history of slavery. The White slave owners never took the sufferings of the Black slaves into consideration because their moral concerns were limited to White people (135). However, later on, the society realized the fact that the ideology was terribly wrong. Very similar is the case of nonhuman things too. The only difference is that in the former, ‘race’ was the boundary of morality, and in the latter case, ‘species’ is the boundary. Thus, the argument culminates in the

Democracy and Reason Essay Example | Topics and Well Written Essays - 1250 words

Democracy and Reason - Essay Example Though the liberal democratic philosophy has always been supported from a wide assortment of philosophical quarters, realizing liberal democracy in terms of joint rational practice of community in politics has various attractive features. One attractive feature is being a perspective that comes across with the hunch so extensively introduced at the parturition of liberalism i.e. the intuition that the belief in the morals of liberal democracy and reason are not simply historically related but are linked logically in some cardinal ways. Moreover, the philosophy of logical or rational practice appears sufficiently capacious and complex to institute the whole array of values and norms present in liberalism such as equality, liberty, toleration, participation, community and rights instead of singling out and raising one of these values at the cost of rest of others. Thus there lies a possibility that liberal democratic theory can be grounded on a philosophically practicable construct of rational practice, thereby accommodating the interests of the communitarians with the best part of skeptical utilitarian as well as deontological variants of liberalism. The inclination of neo-Platonist to logically explain rationality has endured with full force in the twentieth century. It manifested not only by the widespread utilization of the term logical as a synonym for rational, but also in the propensity to interpret scientific question as applied logic and to construe languages as fallible logical calculi. This excessively idealized and constrained explanation of rationality has gained individuals by inducing the tremendously productive and significant mathematical constituents of science and by prodding all disciplines towards superior clarity and rigor. However it had various unfortunate consequences. It has impaired individuals with polarized lenses in our percepts of language and science, sorting the elements of linguist and scientific rationality that fail to fit in t he confines of rationality. And this application of excessively strict criteria for inclusion has lead to an ever-shrinking band of reason that has pushed progressively extensive domains of human practice and cognition into an unstructured slag heap of purportedly irrational phenomena. Most profound consequences are the distortion of any passable understanding of the significant and genuine function of rationality in Politics. That’s why it is quite essential for present-day political philosophy to discern that the last few decades have messed substantial improvements and alterations in the domains of philosophy that have straight impact upon the discernment of human reason. These modern philosophies were based on such assumptions that seemed to bring forth a pattern of vibrations among the neo-Kantian and utilitarian theories as each of them were not able to tackle the circumstances and situation in an adequate manner. Thus the deadlock existed in the discernment of practica l reason seemed to converge with the ethical quandary of liberal democratic theory converge at this point. The authority of the conniving model of reason has constructed a theory of combined prudence unmanageable if not inconceivable. But the most plausible and attractive way of justifying and understanding the liberal democratic exercises is to interpret them as an effort to substantiate the norms of joint prudence so as to consider liberal democracy in terms of a community of individuals who

Assessing the Performance of the U.S. Economy Essay

Assessing the Performance of the U.S. Economy - Essay Example The report is started with the overview of the current state of the economy of the United States of America. This is followed by an identification of the most relevant economic theories and principles that can be applied to evaluate the performances of the US economy over a specific time period. The report is suitably concluded by highlighting the findings from the analysis and prescribing the macroeconomic policies that should be formulated for analyzing the economic performance of the nation. The macro economic performance of any economy can be estimated through the use of different economic metrics that represent and mirror the economic performance of a nation as estimated from different dimensions and perspectives. For this purpose, multiple theories and principles of economics are implemented in the analysis. The six main economic metrics that are used for the analysis with their application in the US economic scenarios are given as follows and heir correlations are given in Appendix 1. The gross domestic product is an important economic metric which is an aggregate measure of the monetary value of all finished goods and services that are produced by all residents and institutional units within the national border of a country (Mankiw, 2007). The Gross Domestic Product can be used as a key economic indicator for gauging the health of the US economy. The GDP of US has contracted by 0.7% in the first quarter of 2015 as compared to the last quarter of 2014. The average GDP growth rate of US from 1970 to 2015 is 3.26% (Appendix 1). Since the US economy is one the most advanced and diverse economies of the world, therefore it has been able to manage its GDP fluctuations through the proportions of production from different sectors. However, the contraction noted in the first quarter of 2015 was a reflection of the higher accumulation of inventory and widening trade deficit in the economic constructs (Bade and Parkin, 2002). The purchasing power parity is a

Before European Hegemony Essay Example | Topics and Well Written Essays - 1500 words

Before European Hegemony - Essay Example The readings describe crusades in detail and how they provoked a â€Å"clash of civilizations† between the Christian kingdoms of Europe and the Islamic kingdoms of Turkey and Asia Minor. The crusades were fought on religious grounds and suffused the fighters with a sense of religious fanaticism that proved deadly and dangerous to their opponents on the battlefield. As happens in any time of war, the crusades led to the development of newer technologies as well as newer forms of communication and control. The fact remains that as in contemporary times, the crusades were an important way to stimulate the economies of the European and Islamic countries. However, this should not detract us from the fact that the crusades were barbaric in nature. As the reading indicates, â€Å"the crusades stimulated a remarkable increase in naval power of the mariner states. The heightened demand for ships – to carry crusaders and pilgrims to the holy land- led to a virtual frenzy in ship building† (Abu-Lughod, 111). The pope had a major role to play in the conduct of the crusades and was responsible for papal injunctions against or for certain practices and the way the war was conducted. The readings make an important point about the roles of Genoa and Venice and the way in which these cities contributed to the conduct of the war. The readings make it clear that both Genoa and Venice experienced rapid surges in population thanks to the crusades and the generally heightened economic activity that accompanied this period. The readings make a case for the European subsystems and their access to different structures of power and commerce. The readings highlight the fact that the evolution of the modern forms of commerce and trading can be directly related to the developments in commerce and trade during the time that has been covered in the readings. The readings make

Political Science Coursework Example | Topics and Well Written Essays - 250 words

Political Science - Coursework Example Thus, denying the social media its freedom to air the content that is suitable for the public. The same applies to the content a person can upload on the internet since it will be monitored by the government and hence one is limited on the type and amount of content to share. Also, crucial information regarding the government is likely to be hidden from the public leading to people living in darkness. I agree with Shirky that both SOPA and PIPA are forms of censorship. This is because the government is in verge of monitoring everything being distributed which in turns denies the social media the freedom it deserves in running its business. Besides, it is an infringement of freedom of speech to American citizens since one cannot air their thoughts freely (Shirky, 2012). The media companies would want such bills passed into law for two reasons. First, they will have the freedom to produce and share their content freely. Secondly, it is not the government that will police their material and thus they will not be directly answerable to any violation that they make. Thus, the signing of the bill will affect the companies providing a way for media houses to create, produce and share their content. On the other hand, rejection of the bill will impact directly on media houses since they will have to directly answer to any violation. Either way, someone is going to be directly affected by the bill if signed or not

Recruitment and Selection Strategies Essay Example for Free

Recruitment and Selection Strategies Essay An Organization can process Recruitment and Selection strategies by using a simple technique based on the knowledge and skills of an applicant. It is imperative that an Organization be able to recruit the most experienced, skilled and suitable candidates. Having a recruitment process is critical for new Organizations. The first step consists of managing applicants and welcoming potential participants (Cascio, 2013). To entice and recruit highly knowledgeable and experienced employees, Landslide Limousine must wisely develop a strong recruitment strategy and plan. Organizational Goals While looking at all past communication, the client communicated that Landslide Limousine would require 25 employees, with a projected revenue of $50,000 in the first year, and an expected yearly revenue growth of 5%. They also expect an annual turnover of 10%, while maintaining an expected yearly revenue growth of 5%. This can seem overwhelming while keeping track of it all. By following the recruitment and selection strategy plan, you must use it to employ the most skilled and suitable candidates. This will help the organization in accomplishing its Organizational Goals and offering superior service to its clients is priority. This in turn, will add value to the Organization. Demographic Changes In today’s world, many changes are occurring in demographics due to globalization. It’s imperative that there be focus on a more diverse  workplace. Being able to manage a diverse workplace can have its challenges. By having a diverse workplace, it benefits the Organization by offering opportunities to influence and obtain its potential employees. Using proper recruiting and selection strategies, Landslide Limousine Services are able to compete with other competitors by providing customers with superior service. It is highly recommended that the company intend to hire theut most skilled and knowledgeable candidates. Having a proper recruitment and selection strategy along with a rewarding reward and compensation plan. With all of these in place, Landslide Limousines Services can achieve the challenges given at hand and those challenges involved in managing workplace diversity. Organizational Branding As a small business owner, it is important to first create awareness, by advising current employees to spread the news about the company friends and family. Employees can also use the employee referral system to help the company in seeking experienced and qualified applicants. This will help the company in generating job satisfaction and a culture in which employees feel valued and trusted. The company can also accomplish two highly important objectives by caring for the current employee’s concerns and desire for promotion. These objectives consist of forming a high-quality learning environment and choosing individuals for current opening in various divisions within the organization (Cascio, 2013). The most important stage of developing a successful limousine service consists of managing the selection of drivers and hiring chauffeurs. These positions represent the face of the company. Customer service is very key and vital in these positions, as they type of service the customer receives will determine their continued business and longevity with the company. With this, it is important for the management teams to focus on the selecting, hiring, and retaining the organizations valued resources. It is also important that the organization abide by the organizations local and state laws and regulations. Not following the company’s proper employment practices can cause harm to the organization as well as the client. When selecting a chauffeur, management must create job ethics and standards.  It is important these standards are followed by each applicant applying for the chauffeur position. The next step is to develop a job description. Developing a job description will ensure that each applicant is aware of the jobs responsibilities and expectations associated with the position. Properly developing strong job responsibilities will also assist in disciplining chauffeurs who are not performing efficiently. Upon offering the chauffeur position it is important to give each applicant a copy or the job description. The next step in recruitment is to prepare a job application form. This will ensure that the correct information is provided to the applicants in regard to the working in the limousine business. The final step in the recruitment process is developing a limousine driver training and employee placement package. The training and placement package will assist in helping management and employ ee to move forward after the hiring process is complete. Methods for Screening Once an applicant has submitted their application and each application has been carefully reviewed, a formal interview should follow for all qualified candidates. When conducting a formal interview, they will assist the hiring manager by giving them an overview of the client. From how they are dressed, to how well they speak and act, to include all other body language. According to Cascio (2013), when conducting the proper interview it is important to follow the following steps. It is important for Management to have a comprehensive list of questions to ask applicants. Prepare for the interview and select a designated time in a quiet location. Pay close attention to the applicant and listen to their answers with an open mind. It is crucial to avoid all unnecessary interruptions and answering the phone when conducting a formal interview. Remember to avoid making promises to prospective applicants. If a promise has been made, it is imperative that it be done to avoid misrepresenting or misleading an applicant. It is critical that during this interview, management evaluate appearance, knowledge, communication skills, education and character for determination. Methods for Recruiting Candidates It is important to consider any laws that may be used for recruitment and  selection. Acknowledging and abiding by these laws passed to protect the rights of people in the workplace, are very important when trying to run a successful business. Being able to adapt to a changing society is crucial to have continued success and growth in an Organization. Some of the laws that Management must be aware of are: The Age Discrimination in Employment Act of 1967- protects employees from discrimination on the basis of age. Both private and public employers need to adhere to the provisions of the law which calls for eliminating discrimination of employees above the age of forty (EEOC, 2014). The Civil Rights Act of 1964, prohibits discrimination based on religion, color, sex or origin. This is law is particularly applicable to workplaces employing more than 15 people (EEOC, 2014). The Civil Rights Act of 1964, prohibits discrimination based on religion, color, sex or origin. This is law is particularly applicable to workplaces employing more than 15 people (EEOC, 2014). The Pregnancy Discrimination Act of 1975 – which prohibits refusal to employ pregnant female employees (EEOC, 2014). Selecting Candidates After the interview process, potential candidates move on the next step of the process which consists of forming an analysis of all applicants or potential candidates, to include all information gathered from the formal interview. Each potential applicant must be screened for the important requirements that Landslide Limousine Services will be needing candidates that have superior driving skills, review a copy of their motor vehicle records if applicable, and a background check. These requirements will help in assisting Landslide Limousine Services in providing adequate information for each potential applicant and help in selecting the right employee for the position. Conclusion Selecting the correct candidate is an important process for any business. Although some applicants have excellent work history, it is imperative that management recruit the most qualified. Candidates who not only have the experience, but will maintain great communication, customer service with clients and can help make the goals of the Organization a reality. Hiring the right employees in a business can have a big impact on the business. It can either be very good or very bad. So, making sure to hire the right  employees will dictate the type of service your Company will be giving. It might seem simple to train an employee for their position, however, it is impossible to train an employee on morale, attitude and motivation. (Cascio, 2013). References Cascio, W. F. (2013). Managing Human Resources: Productivity, Quality of Work Life, Profits (9th ed.) Boston, MA: McGraw-Hill/Irwin EEOC (2014). Discrimination by Type, retrieved from http://www.eeoc.gov/laws/types/index.cfm

Functionalist Concepts Of The Nuclear Family

Functionalist Concepts Of The Nuclear Family Murdock (1949) studied 250 different societies and concluded that the family is so functional to society, that it is unavoidable and universal since neither the individual nor society could survive without it. He argued that every nuclear family has these four essential functions without which society could not continue sexual, reproductive, and economic and education. All these four functions are essential according to Murdock without sexual and reproductive no member of society would be there, life would stop if there was no economic function that is family providing for its members and without education, socialisation would not be there hence absence of culture. Murdock has been criticised for not considering whether the functions of the family could be performed by other social institutions and he does not examine alternatives to the family. Parsons (1955) studied the modern American family in the 50s. He argued that there are two basic and irreducible functions of the family, these are, the primary socialisation of children which Parsons sees as a responsibility of the family to shape the childs personality to suite to the needs of society. The second function is the stabilisation of adult personalities, the family gives adults the emotional support necessary to cope with the stresses of everyday life. (Taylor and Richardson etl 2002). Parsons as with Murdock has been criticised for showing the picture of the family as attuned children and compassionate spouses caring for each others needs. There is a natural division of labour within the nuclear family, roles are segregated positively and everyone carry out different roles, for example the instrumental male, whose role is to provide for the family thus the bread winner and expressive female whose role is to provide warmth, love and care for children at home. Based on Biology the woman is the child bearer therefore has to look after the child, this role maintains social stability. Family patterns have changed with time such as cohabitation, rise of reconstituted families and increase in single or lone parent in western family life and changes in the law on divorce have made it easier to obtain. Functionalist theory has been criticised to have concentrated on the family being positive and gives little attention to its weaknesses while in feminism the nuclear family is oppressive to women due to gender distinctions in domestic duties. Functionalists argue that the family is of equal profit to everyone, however Marxists argue that society developed by the need of the capitalist economy. It is the bourgeoisie who benefits not the whole society. Functionalists focus too much on the significance that the family has for society and disregard the sense family life has for individual. Radical psychiatric argue against functionalism for ignoring the negative aspect of the family like domestic violence. Functionalists also ignore different types of families by focussing mainly on nuclear family. Interactionist David Clark (1991) identified four types of marriage arguing against functionalist, not all families are the same. Functionalist depicts everything as positive in the family while radical psychiatric looks at the negative side of the family. Feminism is a conflict theory that sees the family as patriarchal. Men gain more in a family than women. They view the family on a macro scale. Feminists shows how men dominate social relationships thus symmetrical conjugal roles is seen as an allegory. Feminist argues that Men oppress women through domestic violence, the economic involvement to society made by womens domestic labour within the family. Liberal feminist Wollstonecraft (1792) wanted equality for women in terms of rights, liberties and vote by the change of law and policy. Radical feminists like Millett (1970) argue that the organisation of society enables men to dominate women. They believed that gender distinctions are politically and socially constructed therefore wanted radical reforms and social change. Kate Millet invented the term The personal is political meaning everything in society is political. Radical Feminists think not just patriarchal men that benefit from family but all men. Sociolist feminists look at gender as the basis. Sociolist Marxists combine gender with class. They argue that there is a dual oppression for women that they have to go to work as well as work at home. Marxists feminist believe that the destruction of the capitalist society brings equality to everything. Lesbian feminists believe society forces them into heterosexuality so that men can oppress them. They challenge heterosexuality as a means of male supremacy. Humanist feminists argue that society only allows men to self-develop not women and that society distorts womens human potential. Marxist feminist Bentson (1972) argues that family responsibilities make male workers less likely to withdraw from labour, with wife and children to support. Ansley (1972) sees the emotional support in family, stabilises male workers thus making them less likely to take their frustration out on the system. Feeley (1972) sees the family as a dictatorial unit dominated by the husband and also the family values teach obedience. Children learn to accept hierarchy and their position in it. Greer (2000) is a radical feminist who believes that family life continues to disadvantage and oppress women. She points out Britain has very high divorce rate thus less stability in families. Marxist feminist like functionalist they tend to ignore the diversity of modern family life assuming everyone lives in heterosexual nuclear family. They paint a very negative picture of family life possibly exaggerated. Unlike functionalists who see male and female roles being different but equal, Marxist feminists believe that men dominate family relationships. Feminist theory discards functionalist view that society as a whole is benefited by socialisation in the family but rather men benefits more. Women are portrayed as passive victims of exploitation, it does not take into account women who abuse men by fighting back. Functionalist believes that norms and values benefits society while for feminist they benefit men more for example obedience, women being obedient to men. Feminists focus on nuclear family only and the negative aspect of it. Increase in awareness of womens rights has influenced the norms of society. Marxists views of family sees socialisation process results in the spread of a ruling class philosophy, whereby individuals are deceived into accepting the capitalist system and the supremacy of the capitalist class thus hegemony.Bourgoisie benefits by creating a labour force and proletariat continue to be exploited. Engel s (1972) argued that bourgeois nuclear family as an institution which oppressed women. They were seen mainly as children bearers, economically dependent to their husbands and remain faithful to them. According to Engels the family is designed to control women and protect property thus men needed to know their children in order to pass on their property. Marxists say the family serves capitalism in four ways. The family acts as a safety valves for the stress and frustration of working class men, the family as a unit of consumption buys the goods and services provided by capitalism. Women domestic work is unpaid which benefits capitalism and lastly the family socialises children thereby reproducing both labour power and acceptance of capitalism false consciousness. Zaretsky (1976) analysed that the family is one place where male workers can feel they have power and control. This helps them accept their oppression in wider society, furthermore Zaretsky sees the family as a main prop to the capitalist economy. Marxists view of divorce in families is seen by increased economic pressure from unemployment this may place added strain and also family members living longer could increase pressure on relationships. Marxists decline the functionalist view that society based on value consensus and thus benefits all. Instead they see the welfare of powerful groups influencing the way society is controlled. Marxist view ignores family diversity it sees the nuclear family as being simply determined by the economy. This theory reproduces conflict between classes bourgeoisie and proletariat while in factionalists family operates as united everything benefits society. Capitalist system is dominated both economically by rich at the expense of the poor but seen as a fair system by functionalists that works together in the interest of all members causing limited conflict in society. Anthropologists have suggested that the emergence of the nuclear family did not actually coincide with emergence of capitalism. Somerville (2000) argues that Zaretsky exaggerates the importance of the family as a protection from life in capitalist society. As with functionalism reproduce social stability, Marxism produces labo ur force and feminism produce patriarchy. Interactionism also known as interpretive humans are seen as symbolic creatures meaning we define what is around us through signs and language. They study families on a micro scale instead of generalising the whole population, they also look at what family live is actually like rather than how it should be or how it is assumed to be.Interactionists view families as different and unique thus there is no one way of family life, like other perspectives would suggest. The way a family behaves and interacts is based on interpretation of meanings and roles. We are products of our culture what we take as common sense or reality varies according to the culture we live in. Goffman (1969) compares life to drama, we are actors who take on roles and act them out as public performances. Each role has its own script which tells us how to act and what cues to expect from other members involved in our interaction. Bauman (1990) argues that roles and relationships learnt in the family are essential to shaping our future. Not all families are close and warm family metaphors are often used to represent closeness, for example using the term brother and sister amongst members of political organisations. Kellner (1964) looked at socially constructed roles in a marriage, argues that the reality of marriage is an ongoing construction which needs to be reaffirmed, negotiated and renegotiated. Clark (1991) conducted a study of how couples constructed a meaningful marriage. He identified four types of marriage. Drifting marriages where meanings and ideas of the future are unclear, surfacing marriages often made up of people who have been married before, establishing marriages newly wed couple for long term future and lastly struggling marriages financial problems often from unemployment causes tension and anxiety. The conjugal roles in interactionism show that the roles of husband and wife are constantly evolving. For example both husband and wife working and sharing domestic tasks. Interactionist view families on a micro scale so can discover how individuals make family life based on interactions with each other. They are not interested in generalisations about family life but seek to understand how families are unique. They go further than the common sense view of families that functionalism believes in and look at the meanings of what family life is actually like. Unlike functionalism, Marxism and feminism where there is a set function of the family, interactionism is different for there is no one set function of the family. Families can differ based on their interactions, meanings, roles and culture. The discovery of four different types of marriage offers an opposing argument to functionalism, not an ideal nuclear family. It has been criticised while concentrating on meanings, motives and action it ignores the wider structures in which families operate and are shaped. Sometimes generalisations of families are useful as they allow the development of political social policy. Interpretive approaches try to comprehend the family from the perspective of its members. This research should give you an insight on how the families have changed with time. From different views and approaches, understanding families from traditional way of views to modern familys ways of view.

Film Research: Maze Runner

Film Research: Maze Runner INTRODUCTION The movie we have picked is The Maze Runner. This type of movie is thriller and action. The movie is released in September 11, 2014. The movie is where a boy named Thomas who wakes up in an old lift when he have reached up the surface he found out that he has been sent to a grassy place called the ‘Glade’. He was in shocked because he can’t remember anything. He met some group of boys that who had lived there for some years. The head of the Glade is Alby. He showed Thomas around the Glade and explains everything to him. When showing the Glade, Thomas showed interest on the door that lead to the maze. Alby told Thomas not to enter the maze because once they enter they can’t find any way out because the maze will change every time when night comes. One time, Thomas ran into the maze to save Alby and MinHo. Even though he had broken the rules he has been promoted to a runner. Thomas and MinHo then run inside the maze to find a way out. In the end, they found a way out leading some of the Gladers to be able to escape from the Maze. The target of the audience for our research is the college students in Tunku Abdul Rahman University College. There are many faculties in the college like Faculty of Applied Sciences and Computing, Faculty of Accountancy, Finance Business, Faculty of Engineering and Built Environment. The audience we are researching is on the Faculty of Applied Sciences and Computing, Faculty of Accountancy Business, Faculty of Engineering and Built Environment. The student age in Tunku Abdul Rahman University College we have research on is 18 to 26. The number of students we have targeted on is 50 students. There are 25 boys and 25 girls who have completed our research. Mostly of the students has watched the Maze Runner. LITERATURE REVIEW Media effect have been be doing research in 1940, that is a year before the time of television. Researchers show the image of national multiple voting. While the interviewer need to investigate the opinion or behaviour of a group of people by asking them question and that are is it the press and radio will influence public option for the forthcoming vote. The two step flow theory is a process of impacting the people. It is talk about the mass media influence the people and it will continuous affect people such as opinion leader will influence opinion follower. The characteristic of opinion leader mostly are active in social , they like to communicate with other and easy-going. At the same time, opinion follower will collect their knowledge. So actually this is a cyclic process. The next theory is Agenda setting , it is a theory that to cause the public have knowledge and also must relate to the main point of the collective of newspaper and magazines. And it is not bring the real message to us but it achieve to make us know what it really bring the message that almost close to us. Spiral of silence is discuss the overall opinion that is not supportive when the public intend to know they are only a smallest part in the whole. They not dare to provide their feeling and though, they prefer to keep their mouth shut and media will make them unable to speak. If one point are given that mean other one will vanish. Social learning theory is to grip someone awareness, inspiration and the capacity to remember things. People gain knowledge from take notice from others that are close to them . They like to watch attentively other state of minds and manners. Because they want to look resemble like them. This theory can define that people can absorb the fresh things and can improve the quality of themselves just by see the manner of people. RESEARCH There are two types of method use to get answers for the research such as survey in quantitative method and interviews in qualitative methods. We have used quantitative method in our research. Quantitative method is where people pass out surveys form to the people to fill in and this method can help calculate the percentage on how many people have respond to the question given in the survey forms. This method can help people who are researching for answers easier. That is why we used quantitative research because students would mostly fill in survey forms. We have collected data from the students of Tunku Abdul Rahman University College and we distribute our survey form in the library of the college. FINDINGS Qa) Do the college students watch The Maze Runner? Based on the bar chart above, 25 boys and 25 girls had watched The Maze Runner. Qb) Where do the college students watch The Maze Runner? Based on the bar chart above, 22 boys watch The Maze Runner at cinema while 3 of the boys watch it through the Internet. Besides, 23 girls watch this movie at cinema and 2 girls watch it through online. Qc) Are the college students aware of the values of courageous in The Maze Runner movie? Based on the bar chart above, 22 boys aware of the values of courageous in The Maze Runner movie while 3 of the boys did not aware of the values in this movie. There are 24 girls aware of the values of courageous in this movie and 1 girl do not aware of this value. Qd) What scene in The Maze Runner movie would the college students consider as courageous? Based on the bar chart above, the scene â€Å"fight with the griever† 5 boys and 4 girls consider it as courageous while the scene â€Å"want to be a runner† both boys and girls are same that is 5 people choose it. Furthermore, the scene â€Å"run out from the glade to find a way to escape from the maze† 7 boys and 10 girls consider it as courageous. 8 boys and 6 girls consider the scene â€Å"sacrifice yourself to save people† as courageous. Qe) After watching The Maze Runner movie, have college students try to be more courageous in real life? Based on the pie chart above, 12 boys and 10 girls say that after watching The Maze runner movie, they try to be more courageous in real life while 9 boys and 13 girls think that they are maybe change to be more courageous in real life. Only 4 boys and 2 girls say they are no change to be more courageous after watched this movie. Qf) In what way, do college students think the movie has taught them to be more courageous? (This question can choose more than one) Based on the bar chart above, 12 boys and 11 girls choose to face the challenge bravely, 5 boys and 7 girls choose to face the challenge bravely to overcome the fear in us. Moreover, 6 boys and 5 girls choose to seek help from family members when they face problem and 8 boys and 11 girls will find a solution when they face problem. If they cannot handle problem, they will work together with friends both 8 boys and girls choose this. Qg) Do college students consider themselves to be more courageous after they watch The Maze Runner movie? Based on the bar chart above, 18 boys and 15 girls say they consider themselves to be more courageous after they watch this movie. 3 boys and 8 girls say they didn’t change to be more courageous after watch this movie. CONCLUSION As a conclusion, we had done our survey by questionnaire method and we have conclude our understanding by the survey. Our survey forms were distributed to other different faculty students to fill in. According to the survey that we made, most of the students have already watch the movie ‘The Maze Runner’. The majority of students watching the movie is at cinema than downloading from the internet. There are majority of students are aware and minority students does not aware of the values of courageous in The Maze Runner movie. Majority of students consider that run out from the glade to find a way to escape from the maze as courageous. Many students also consider sacrifice yourself to save people as courageous. Some students consider being a runner as courageous. And minority of them consider fighting with the griever as courageous. Furthermore, mostly boy students feel that they will try be more courageous in real life after watching The Maze Runner movie and mostly girl students feel that maybe they will try to be more courageous in real life. A little group of them feel that they will not try to be more courageous in real life. Majority of girl and boy students also feel that the movie had taught them to be more courageous, so when they face any challenge, they will face it bravely. Some girl students also feel that if they face any problem, they will find a solution to solve it. Minority of boy students feel that when they face challenge, they need to face it bravely to overcome the fear in them and minority of girl students feel that when they have a problem that they can’t solve, they will seek help from their family members. Moreover, majority of boy and girl students consider themselves to be more courageous after they watch The Maze Runner movie. But a little group of boy and girl students does not consider themselves to be more courageous after they watch The Maze Runner movie. In short, we conclude that most of the Tunku Abdul Rahman University College students thinks that The Maze Runner movie is courageous.

Essay --

Objective: The objectives of the lab were to gain understanding of how to naturally separate a compound that has particles that are not easily removed and to use basic qualitative tests to identify the major components of whole milk3. Introduction: First of all, milk is a very complicated mixture of many compounds in which the dispersed particles do not settle out. This is called a colloid4. These particles have a very difficult time settling out because they have an insignificant settling rate because their small mass has a low gravitational pull compared to the surface frictional force5. All of the substances in milk are very essential because milk plays such a huge role during the infant stage of all mammals. While milk is well known for its richness in calcium, it contains many more essential nutrients, including protein, carbohydrates, vitamins, minerals, and fat. During this experiment, each of the nutrients above will be tested for. †¢ Protein is a very important nutrient because it has many functions that it does in the body, like fighting diseases, renewing cells, builds muscles, and helps to maintain healthy hair. Milk is a very good source of protein because it contains almost 8 grams1. Proteins consist of amino acids that are held together by a peptide bond. Not all proteins have the same function and are created the same way. Even though all proteins are made of amino acids, there are 20 different amino acids that can be chosen to make a particular protein. In order to be able to extract the protein from the milk, one must understand proteins on a molecular level, and how they react to changes in their environment. The amino acids that proteins are formed from have different side chains, which determine how they funct... ... urinalysis strip, it turned brown, indicating there was 1000mg/mL of glucose. This was also the same as the control group. During the test for calcium, the solution turned a milky white color, which was identical to the control group. Some source of error during this experiment would be that some of the whey fell down the beaker, while the remaining was in the flask. This could cause an error because there was not as much whey as there should have been and this might affect the concentration of how much of each component is in the whey. Conclusion: Due to the results from all of these tests being positive, it can be said that every component that should be in whole milk does exist. This concludes that all whole milk, no matter what the mood of the cow, will have the same molecular components, consisting of proteins, carbohydrate, calcium, phosphate, and lactose. Essay -- Objective: The objectives of the lab were to gain understanding of how to naturally separate a compound that has particles that are not easily removed and to use basic qualitative tests to identify the major components of whole milk3. Introduction: First of all, milk is a very complicated mixture of many compounds in which the dispersed particles do not settle out. This is called a colloid4. These particles have a very difficult time settling out because they have an insignificant settling rate because their small mass has a low gravitational pull compared to the surface frictional force5. All of the substances in milk are very essential because milk plays such a huge role during the infant stage of all mammals. While milk is well known for its richness in calcium, it contains many more essential nutrients, including protein, carbohydrates, vitamins, minerals, and fat. During this experiment, each of the nutrients above will be tested for. †¢ Protein is a very important nutrient because it has many functions that it does in the body, like fighting diseases, renewing cells, builds muscles, and helps to maintain healthy hair. Milk is a very good source of protein because it contains almost 8 grams1. Proteins consist of amino acids that are held together by a peptide bond. Not all proteins have the same function and are created the same way. Even though all proteins are made of amino acids, there are 20 different amino acids that can be chosen to make a particular protein. In order to be able to extract the protein from the milk, one must understand proteins on a molecular level, and how they react to changes in their environment. The amino acids that proteins are formed from have different side chains, which determine how they funct... ... urinalysis strip, it turned brown, indicating there was 1000mg/mL of glucose. This was also the same as the control group. During the test for calcium, the solution turned a milky white color, which was identical to the control group. Some source of error during this experiment would be that some of the whey fell down the beaker, while the remaining was in the flask. This could cause an error because there was not as much whey as there should have been and this might affect the concentration of how much of each component is in the whey. Conclusion: Due to the results from all of these tests being positive, it can be said that every component that should be in whole milk does exist. This concludes that all whole milk, no matter what the mood of the cow, will have the same molecular components, consisting of proteins, carbohydrate, calcium, phosphate, and lactose.

English as a Second Language Essay -- Education, Helen Dunkelblau, ESL

Helene Dunkelblau, an Assistant Professor of English as a Second Language at Queensborough Community College and author of â€Å"ESL Students Discover the Rewards of Reading through Reader Response Journals,† has experienced ESL students not only struggle to read but struggle to see themselves â€Å"as readers† (50). Dunkelblau has done the same first day introduction activity through many of her ESL classrooms, when the questions transition from those based on nationality to book interest â€Å"at least half of the students just shake their heads and ‘pass’† (51). Dunkelblau faces a challenge with ESL students encountered by English teachers in mainstream classrooms on a smaller scale—helping students develop a love for reading. Finding a way to relate what students are reading to their lives helps to create relevance and a greater understanding; which leads Dunkelblau to her rational for using reader response journals in the ESL reading c lassroom. Throughout the course of the semester Dunkelblau requires reader response journals. She defines reader response journals as â€Å"informal literature logs in which students focus on their personal reaction to a story rather than on a strict literary analysis† (51), the informal structure of these responses appear to be a way to lessen readers’ stress while allowing for response. Due to the interactive nature of reading and the â€Å"theoretical framework which assumes that all reading involves transactions between reader and text† (51), readers who journal about what they read show a reflective ability important in the understanding of reading. Dunkelblau sees these reader response journals as a way for her students to find relevance in text to their lives. While the idea of reader response journals i... ...comes not only from having read all the words of the novel, but from really knowing, for themselves† (55) the excitement and knowledge gained from reading and understanding a novel. As a future high school English teacher I hope to bring the idea of reader response journals into my classroom. By seeing the effectiveness reflection and response has had in Dunkelblau’s ESL classrooms, I definitely observe the importance of the exercise in all aspects of English. Dunkelblau didn’t start something new; she simply shared the activity as a way to get students involved in the text so that reading and reading comprehension grows within the ESL classroom. Overall, Dunkelblau setup her classroom in a way she felt would be effective to her students, while other classrooms may be different it is interesting to see a classroom model that has been shown to be successful.

Othello †Trust Between Lovers Essay

Our topic is trust between lovers. What is trust? When your friend is spreading some rumor about your lover and your other friend, who would you trust, your lover or your friend? Trust is to believe in someone and give trust to him or her. You put your whole soul and belief to trust them. Trust is like a paper, once it is crumble it will not be perfect again. Trust plays an important role in Othello, because it started as trust and ends with trust. In Othello, the author used handkerchief as a symbol of trust. Every time the owner loses the handkerchief and another lover has the handkerchief, the other couple bonds a strong trust within the circle. Their relationship becomes better and firmer. The trust between Othello and Desdemona collapses when the handkerchief is missing. Meanwhile Emilia and Iago become closer and have a strong trust because of the handkerchief. Othello and Desdemona are the first main couples in the play. They got married at the beginning of the play, which gave rise to the hatred and envy towards Othello. Therefore, their relationship is doomed to be transient. The couple slowly breaks up when their trust slowly collapses. Before their trust slowly collapses, Othello promised Brabantio that he would not harm his daughter. If he does then he will kill himself. â€Å"Look to her, Moor, if thou hast eyes to see. She has deceiv’d her father and may thee. † â€Å"My life upon her faith! † (Act 1, Scene 3, line 289-291). This has proven that Othello trust Desdemona with heart and soul that she would not cheat on him. This scene shows that the couple’s love is starting to collapse because of the handkerchief, and Othello feels suspicious about Desdemona cheating on him. Fetch me the handkerchief. † â€Å"My mind misgives. Come, come; You’ll never meet a more sufficient man† (Act 3, Scene 4, line 85-87). This line also shows that Othello feels anxious because of the lost of the handkerchief that has a magic history involving his parents. The handkerchief proves of lover’s loyalty within each other. Iago and Emilia are the second main couples in the play. Their relationship is not as strong as Othello and Desdemona’s relationship at the beginning. Another big difference is that Iago and Emilia bond a stronger trust when Emilia found the handkerchief. â€Å"To have a foolish wife. † â€Å"O, is that all? What will you give me now for that same handkerchief? † â€Å"What handkerchief? † â€Å"A good wench! † Give it me. † (Act 3, Scene 3, line 306-308) (Act 3, Scene 3, line 316) The trust between Emilia and Iago contribute to this tragedy, because Emilia chose to trust Iago and pretended to know nothing about the handkerchief, which leads to betrayal towards Desdemona. However, if Emilia chose the right way and told the truth to help Desdemona when Othello was questioning her, the tragedy might not happen. Near the end of the play Emilia and Iago’s trust broke when she revealed the truth, everything in the play started with trust and ended with trust. She give it Cassio! No, alas, I found it and i did give’t my husband. † â€Å"Filth, thou liest! † (Act 5, Scene 2, line 227-229) It makes us wonder how can the trust between lovers be broken so easily and rebuilding the trust can be so hard. Sometimes to suspect someone can lead to death, and sometimes to trust someone can also lead to death. It becomes too difficult to decide whether to believe in him or her or not. In conclusion, you cannot just trust your friend or your lover because both your friend and your lover are important to you, and losing either one would be painful.

Diversity, equality and inclusion in a work setting Essay

Diversity means variety. The concept of diversity encompasses acceptance and respect. It means understanding that each individual is unique, and recognizing our individual differences. These can be along the dimensions of race, ethnicity, gender, sexual orientation, socio-economic status, age, physical abilities, religious beliefs, political beliefs, or other ideologies. It is the exploration of these differences in a safe, positive, and nurturing environment. It is about understanding each other and moving beyond simple tolerance to embracing and celebrating the rich dimensions of diversity contained within each individual. Diversity is a reality created by individuals and groups from a broad spectrum of demographic and philosophical differences. It is extremely important to support and protect diversity because by valuing individuals and groups free from prejudice, and by fostering a climate where equity and mutual respect are intrinsic. â€Å"Diversity† means more than just acknowledging and/or tolerating difference. Diversity is a set of conscious practices that involve: ï‚ §Understanding and appreciating interdependence of humanity, cultures, and the natural environment. ï‚ §Practicing mutual respect for qualities and experiences that are different from our own. ï‚ §Understanding that diversity includes not only ways of being but also ways of knowing; ï‚ §Recognizing that personal, cultural and institutionalized discrimination creates and sustains privileges for some while creating and sustaining disadvantages for others; ï‚ §Building alliances across differences so that we can work together to eradicate all forms of discrimination. Diversity includes, therefore, knowing how to relate to those qualities and conditions that are different from our own and outside the groups to which we belong, yet are present in other individuals and groups. These include but are not limited to age, ethnicity, class, gender, physical abilities/qualities, race, sexual orientation, as well as religious status, gender expression, educational background, geographical location, income, marital status, parental status, and work experiences. Finally, we acknowledge that categories of difference are not always fixed but also can be fluid, we respect individual rights to self-identification, and we recognize that no one culture is intrinsically superior to another. Health and social care settings reflect the diversity of the population at large. Residents in a care home for elderly people – men and women, possibly gay and lesbian – may range in age from 60 to well into their ninth decade. Each will have their own set of perso nal experiences and in locations with an immigrant community, may hail from a variety of different countries. And preferences, for example for food and music, will vary from one person to another, as will attitudes, for example to staff and fellow residents, beliefs, for example political ideas and religious faiths, health status and physical and intellectual ability. Apart from differences in age, sex and gender, physical characteristics, ability, experiences and personal attributes, people also differ in respect of their: Diet, for example different health conditions mean that some people have specific dietary needs, and vegetarians and vegans can’t take medication that is derived from animals. Religious faith, for example some religions have specific requirements with respect to diet and method of worship, others require the use of running water to maintain personal hygiene, the right hand for eating and the left for personal cleansing after using the toilet, and so on. Need for modesty and dignity, for example some people aren’t comfortable being touched or seen undressed by someone of the opposite sex or that they don’t know; and different people have different ideas about how to be addressed when being spoken to. Communication, for example different physical and mental health conditions require the use of different methods of communication; some people express their fear, pain and grief freely and openly whilst others are more reserved; and different people have different ideas about the extent of their personal space. Working with and getting to know a diverse range of people – service users, patients, their friends and family, colleagues and other professionals – enables health and social care workers to develop their knowledge and understanding of different ways of thinking and living and the reasons for different behaviours. As a consequence, tolerance of and respect for others develops, both of which are essential for meeting diverse – and individual – needs. And having their differences acknowledged and understood helps people to develop a sense of belonging. In addition, learning about different ways of thinking and living can be life-enriching. We become more open-minded to new experiences, opportunities and challenges, and are able to develop new relationships. As a result we grow as human beings and are able to achieve our full potential. Equality Equality is about treating people fairly, regardless of their differences, by ensuring that they have access to the same life opportunities as everyone else, ie that they have equal opportunities. Life opportunities include: Housing. Warmth and shelter are basic human needs. Education and employment. Just about everybody is capable of learning, and education not only enables us to find employment, it helps us to realize our full potential as human beings. Transport, without which we couldn’t get to work, to the shops, to see friends and family, to gp and hospital appointments, and so on. Health and social care, which all of us need at some point in our lives. Having enough money to buy a decent quality of life and not live in poverty. Being able to buy goods and services, in person, by telephone or online using cash, cheques, credit or debit cards or electronic transfer. Some people need extra help to access life opportunities. For example, having a physical or sensory disability can impact on gaining an education, a job, using public transport, getting to the doctors; and being elderly or mentally ill can affect an individual’s ability to maintain a decent standard of living, buy goods and services, speak up for themselves and have others listen to them. For this reason, equality is also about giving people help, providing them with appropriate services, so that they are not disadvantaged or treated less fairly than anyone else. People are disadvantaged for many reasons, but usually because they are different with respect to their: Appearance. Racial harassment and attacks are usually acted out on people whose appearance, for exam ple their skin colour and style of dress, is different from that of the perpetrator. Sex. Men are still more likely to be better paid than women and to reach the top of the career ladder, and some jobs are still perceived and advertised as being ’women’s’ or ‘men’s’ work. Sexual orientation. Gays and lesbians remain subject to physical and verbal abuse. Age. Older people often describe themselves as invisible, undervalued and a burden because of the way society treats them. Ability. A general lack of understanding about the needs of people with physical or mental disabilities results in them finding it very difficult to make the most of life’s opportunities. Imposing disadvantage on people can prevent them from entering into the everyday life of their community and of society. In other words they can become socially and financially excluded. Inclusion The term inclusion is seen as a universal human right and aims at embracing all people irrespective of race, gender, disability, medical or other need. It is about giving equal access and opportunities and getting rid of discrimination and intolerance. Inclusion nurtures a sense of wellbeing and of confidence in ones own identity and abilities. And it ensures that everyone can achieve their potent ial and take their rightful place in society. The potential effects of discrimination A prejudice is an attitude or way of thinking based on an unfounded, unreasonable pre-judgement of an individual, particular group of people or situation, rather than on a factual assessment. Prejudices can be positive or negative. If we are positively prejudiced towards someone, we think well of them. On the other hand, if we are negatively prejudiced against someone, we tolerate them less. In the main, negative prejudices develop against people who are different in some way. Discrimination happens when we act out our negative prejudices. Discriminatory behaviour results in unfair, unjust treatment. The people most likely to be discriminated against are those who are different in respect of their: Age. Age discrimination, or ageism, isn’t only targeted at elderly people – youngsters can also be on the receiving end of bullying, harassment and undeserved criticism. Sex. Men and women continue to be treated unfairly in certain walks of life, in particular in the workplace. Discrimination based on sex is known as sexism. Nationality, ethnic background, religion. Some people consider themselves superior to those from different backgrounds and faiths. Victimisation, bullying and harassment of people for such reasons is known as racism. Ability. Barriers that prevent disabled people from accessing the same opportunities as able-bodied people and the ignorant acting out of negative prejudices against physically or intellectually disabled people, for example through namecalling and damage of their property, is known as disablism. Size. Some of us are guilty of judging people by their size and treating them unfairly as a result. This behaviour is known as sizeism. Financial status. Discrimination against people on the grounds of their income, for example treating people living in poverty as inferior, is known as povertyism. There are two forms of discrimination, direct and indirect. Direct discrimination occurs when someone is intentionally treated unfairly, for example harassment on the basis of skin colour or religion. Indirect discrimination occurs when rules or guidelines meant to apply to everyone unintentionally affect one group of people more than others. For example, a company policy requiring everyone to work night shifts indirectly discriminates against single parents or people who care for elderly relatives, and menus that fail to offer a selection of food indirectly discriminates against people with specific dietary needs or preferences. Discrimination takes place in a variety of settings, for example within educational establishments, where learners may not be given support and encouragement if it’s assumed that their disability or advancing years affects their ability to learn; in the workplace, when people are persecuted on the basis of their skin colour or sexual preference. In housing, when landlords refuse to let their property to someone because of their refugee status or ethnic background; and in health and social care, when people are denied access to care on the basis of where they live – the postcode lottery. Inclusive work practice Inclusive practice is about the attitudes, approaches and strategies take n to ensure that people are not excluded or isolated. It means supporting diversity by accepting and welcoming people’s differences, and promoting equality by ensuring equal opportunities for all. Inclusive practice is best practise. Health and social care workers demonstrate inclusive practice by working in ways that recognise, respect, value and make the most of all aspects of diversity. Having a sound awareness of and responding sensitively to an individual’s diverse needs supports them in developing a sense of belonging, wellbeing and confidence in their identity and abilities. And it helps them to achieve their potential and take their rightful place in society. In addition, inclusive practice involves having an understanding of the disastrous impact that discrimination, inequality and social exclusion can have on an individual’s physical and mental health. Having such an understanding ensures appropriate, personalised care and support, thereby enabling an individual to develop selfrespect and maintain a valued role in society. Because people who fail to support diversity or promote equality are usually entirely unaware of their attitudes and the impact of their behaviour, inclusive practice in volves reflecting on and challenging ones own prejudices, behaviours and work practices. It also involves challenging those of colleagues and other service providers, with a view to adapting ways of thinking and working and to changing services to build on good practice and to better support diversity and promote equality. Discrimination is an injustice and has devastating effects. The UK has in place numerous pieces of legislation (laws), rules, regulations, guidance documents and statutory codes of practice, all of which are intended to promote diversity, ensure equality and end discrimination. In other words they are in place to promote everyone’s right to fair and equal treatment, regardless of their differences. Acts of Parliament and regulations include: ï€  Ã¯â‚¬  The Human Rights Act 1998. This covers many different types of discrimination, including some that are not covered by other discrimination laws. Rights under the Act can be used only against a public authority, for example, the police or a local council, and not a private company. However, court decisions on discrimination usually have to take into account what the Human Rights Act says. The Equality Act became law in October 2010. It replaces previous legislation (such as the Race Relations Act 1976 and the Disability Discri mination Act 1995) and ensures consistency in what you need to do to make your workplace a fair environment and to comply with the law. The Equality Act covers the same groups that were protected by existing equality legislation – age, disability, gender reassignment, race, religion or belief, sex, sexual orientation, marriage and civil partnership and pregnancy and maternity – but extends some protections to groups not previously covered, and also strengthens particular aspects of equality law. The Equality Act is a mixture of rights and responsibilities that have: Stayed the same – for example, direct discrimination still occurs when â€Å"someone is treated less favourably than another person because of a protected characteristic† Changed – for example, employees will now be able to complain of harassment even if it is not directed at them, if they can demonstrate that it creates an offensive environment for them Been extended – for example, associative discrimination (direct discrimination against someone because they associate with another person who possesses a protected characteristic) will cover age, disability, gender reassignment and sex as well as race, religion and belief and sexual orientation Been introduced for the first time – for example, the concept of discrimination arising from disability, which occurs if a disabled person is treated unfavourably because of something arising in consequence of their disabilit. Other pieces of legislation that protect the rights of people who use care services include: The NHS and Community Care Act 1980. This protects the rights of older and disabled people to receive care at home and in the community in ways that take account of their choices. The Children Act 2004. This protects children’s rights by requiring Local Authorities to be flexible in meeting their needs. Health and Social Care Act 2008. This Act established the Care Quality Commission (CQC), the remit of which is to protect and promote the right of people using health and social care services in England to quality care and to regulate its provision. CQC took over the roles of the Healthcare Commission, Commission for Social Care Inspection and the Mental Health Act Commission in March 2009. These pieces of legislation have helped us move forward on equality, but in 2009, women were still earning, on average, 23% less per hour than men; less able but better off children were overtaking m ore able, poorer children at school by the age of six; people with disabilities were still more than twice as likely to be out of work than able bodied people; and one in five older people was unsuccessful in getting quotations for motor insurance, travel insurance and car hire.

Confucius “The Analects” Essay

From ancient time, the question of good and decent society has been the major concern in philosophical thought. Philosophers and political figure, clergy and common people have tried to answer the question â€Å"What makes of a good society?† Confucius creates its own values and moral rules changing understanding about a self and the decent society. His philosophy can be describes as a critical thoughtfulness which has a great influence on his world interpretation and views on decent society.   Confucius states that individuals should be free from committing immoral acts. â€Å"The man of virtue makes the difficulty to be overcome his first business, and success only a subsequent consideration;-this may be called perfect virtue† (Confucius, n.d.). Decent society can be constructed by doing what is right, and only when a person can reach the state of true utility he lives in a good society. All actions of people are aimed toward the positive, and purpose is in nature. Confucius is against formal laws which limit freedom and welfare stating that only moral principles play a crucial role in social order. On the other hand, Confucius believes this to be a sort of self-deception, demeaning freedom and turning lives into something which is determined. â€Å"Extravagance leads to insubordination, and parsimony to meanness. It is better to be mean than to be insubordinate† (Confucius, n.d.). Every personal can be a leader if he keeps strong moral principles and values. Confucius underlines that if a person follows moral rules there is no need to guide this person. Living opposed to such wisdom has caused stress and unnecessary war which led to social and moral decay. To do so one must make choices in the full recognition in order to become consciously free and take responsibility for actions. An inauthentic life on the other hand is that which pretends and tries to reject the idea that humans are free. This approach is a very attractive one to take because freedom can be agonizing and people often make excuses to detach themselves from the choices they make. If the state guides and controls its citizens it deprives them freedom and free will which lead to stress. If people cannot control their needs and desires they can be compared with animal driven by instinct of self-preservation and fear. This leads to unnecessary wars and conflicts such as the thirty years war (1618-1648), Nazism, Napoleonic wars, etc. If rulers do not follow moral principles, it leads to wars. Confucius states that a society should live nobly and in peace for at least a hundred years before people can count on the continuity of a society that remains noble and peaceful. This argument can be explained by the fact that a hundred years is a period of time when three generations of people will change each other living no space for old virtues and traditions. â€Å"If a truly royal ruler were to arise, it would stir require a generation, and then virtue would prevail† (Confucius, n.d.). Their values, religious and ethical, reflect on their relationship to a higher order of existence, whether one perceives it as an eternal force, the universe, a defined spiritual entity, or a concept that answers to a basic human need for a sense of order behind the turbulent appearance of everyday life.   Notions of â€Å"the noble society† are based in the instinctual/intuitional self that has been covered over and ignored by modern thought (Jensen, 1997). Any part of the world will resemble an utopian society because the society cannot be classless. Every society is based on the opposition between poor and rich classes, labor and capital, rulers and subordinates. Economic equality is impossible, because the core of the society is the division of labor and resources which determine social class and economic conditions of its citizens. Increased freedom causes frustration among members of the society because it limits their behavior and their attempts to satisfy their personal goals. Also, a society cannot exist without rulers and military, because it has to protect its citizens from foreign intervention. References Confucius The Analects. n.d. Available at: http://www.wam.umd.edu/~stwright/rel/conf/Analects.html Jensen, L.M. Manufacturing Confucianism: Chinese Traditions & Universal Civilization. Duke University Press, 1997.   

Anatomy of the Neck

Lecture 3. Surgical anatomy of neck Contents of lecture Scopes of neck. Division of neck on a region. Fascias and cellulose spases of neck. Topography of vascular-nervous formations of neck. Topography of organs of neck. Topographycal-anatomic ground of operative interferences in area of neck. Cuts in area of neck. Treatment of neck’s wounds. Operations at inflammatory processes. Operation on muscles, vessels and nerves. Tracheostomy. Operations on a thyroid. Plan of lecture. 1. Scopes of neck, division on a region. 2.Triangles of neck. 3. Fasciae of neck. 4. Cellulose spaces of neck. 5. Submandibulare triangle. 6. The Pyrogov’s Triangle. 7. Carotid triangle. 8. Topography of basic vascular-nervous bunch of neck. 9. Distinctions between external and internal carotids. 10. Branches of external carotid in a carotid triangle. 11. Topography of trachea. 12. Topography of neck part of pharynx. 13. Branches of neck interlacement. 14. Scopes of lateral triangle of neck, divisi on of it on scapula-trapezoidal and scapular-clavicles triangles. 5. Layers of lateral triangle of neck. 16. Cellulose spaces of lateral triangle of neck. 17. Topography of neck part of diaphragmatic nerve. 18. Technique of tracheostomy. 19. Errors and complications at tracheostomy. 20. Features of operative access to neck part of esophagus. 21. Operations on a thyroid. ANATOMICAL-TOPOGRAPHICAL FEATURES OF NECK AND THEIRS ORGANS Topographical anatomy of neck (common data) The region of neck differs by the difficult anatomic structure.Any doctor needs knowledge of topographical   anatomy of neck, as this region has a row vitally important formations, interrelation between which must be taken into account at implementation of row of urgent measures (laryngotomy, tracheostomy, stop of bleeding and other). The practical value is had: 1) The outward reference points of region, which use at the inspection of patient for: a) Drafting of projection lines; b) Determinations of location of organs of neck 2) Bulges of sterno-cleido-mastoid muscles which are a reference point for finding of general carotid.Palpation of region is more informing: a) On the middle of the skinning fold exposed at bending of head, the body of sublingual bone palpate under a lower maxilla, on each side from it it’s large Horn. A sublingual bone is a reference point at implementation of vagosympathetic blockage; b) Below the plates of thyroid cartilage, place of their connection, palpate to the sublingual bone (Adam's apple); c) In the middle of front surface of thyroid cartilage is mapped a glottis. d) A cricoids cartilage is felt directly ahead from thyroid.Deepening which corresponds to the thyroidocricoid copula palpate between them. Urgent laryngotomy is executed in this area; e) On the line conducted from the lower edge of cricoids cartilage downward to the jugular undercuting of breastbone, is mapped a trachea, a few left from it is mapped a esophagus; f) At the cutting edge of s terno-cleido-mastoid muscle according to the level of cricoids cartilage the transversal process of sixth neck vertebra palpate at back of region (carotid tubercle, tuberculum caroticum).Against this tubercle a general carotid is pinned at bleeding from its branches; g) At the level of upper edge of thyroid cartilage, is mapped the place of bifurcation general carotid; h) In the corner formed by the back edge of sterno-cleido-mastoid muscle and collar-bone, the pulsation of subclavian artery is determined. Here it cuddles to the first rib for the temporal stop of bleeding; i) It is mapped humeral interlacement on a neck on a line, connecting a point lying on the border of middle and lower third of sterno-cleido-mastoid muscle and middle of collar-bone.On 1,5-2 sm higher than middle collar-bones execute anesthesia of humeral interlacement; j) It is mapped a diaphragmatic nerve on the line of the width of sterno-cleido-mastoid muscle conducted on a middle downward from the level of mi ddle of thyroid cartilage; k) it is mapped an additional nerve on a line crossing a sterno-cleido-mastoid muscle in direction from the corner of lower maxilla to the border between the middle and lower its third; 3) On the middle of back edge of this muscle the skinning branches of neck interlacement go out in hypodermic cellulose (n. . transversus coli, occipitalis minor, auricularis magnus, cutaneus colli, supraclavicularis). The explorer Novocain anesthesia conducted in this area allows to get anaesthetizing of front and lateral surface of neck.At palpation of neck at patient’s megascopic lymphatic knots come to light sometimes: a) It is often multiplied submandibular lymphatic knots at tooth decay; b) Chin knots are struck by metastases at the cancer of front department of tongue and lower lip; c) It is multiplied supraclavicular lymphatic knots in connection with metastasis at the cancer of mammary gland; their increase is marked also at tubercular lymphadenitis. d) Very often at the cancer of esophagus and stomach one of the lymphatic knots located on meatus of a. ransversa colli is struck is the Trauz'e-Vyrkhov knot. Neck delimited from a head a lower edge and corner of lower maxilla, outward acostic duct, mastoid process, upper occipital line to the cervical hillock is a high bound. From below from a breast, upper extremity and back, a neck is delimited by a line, going on the jugular undercutting of breastbone, upper edge of collar-bone, acromion scapulars and, further in a conditional line connecting the acromion by prominence process of the VII neck vertebra (vertebra prominens). Children have is short and wide neck, a lot of cellulose.A narrow glottis, wide isthmus of thyroid, narrow sublaryngeal space, is marked. It determines the methods of some operative interference. For example, children lower tracheotomy is done only, taking into account the features of structure of isthmus of thyroid and sublaryngeal space. In addition, children have the organs of neck on one neck vertebra higher, than at adults, that it is necessary to take into account at implementation of operative accesses. A neck de bene esse is divided by the row of regions, the scopes of which pass on the outward reference points of neck.By a frontal plane passing through a mastoid process and acromion neck divide by front and back departments. A back department carries the name of cervical (occipital) region – regio nuche – and consists of the well developed muscles covering vertebrae. These muscles in the turn are covered by strap and trapezoid muscles. Topographoanatomical under a neck understand its front department usually, actually neck, containing its organs, basic vessels and nerves. By a middle line divide the front department of neck by right and left halves.On each of them two large triangles are distinguished: mesial and lateral. Mesial triangle Mesial triangle – trigonum colli medium limited by the lower edge of lower max illa from above, sterno-cleido-mastoid muscle (by its cutting edge) – lateral by a middle lily mesial. Within the limits of internal neck triangle pair and odd triangles are selected: Pair: Submandibular – trigonum submandibulare is limited from above by the lower edge of lower maxilla, from below, lateral and mesial – both bellies of digastrics muscle.This triangle must be known for access to the submandibular salivary gland, to the facial, tongue arteries and veins (a. et v. facialis), to the sensible nerve of tongue (n. lingualis) to the sublingual (n. hypoglossus) motive nerve of tongue; Carotid triangle – trigonum caroticum is limited from above by the back belly of digastrics muscle, behind (or lateral) by the cutting edge of sterno-cleido-mastoid muscle, from below by the top belly of scapular-sublingual muscle (m. omohyoideus).This triangle it is necessary to know for access to the vascular-nervous bunch consisting of: general carotid (a. carotica communis) and its branches (outward and internal), to the internal jugular vein (v. juugularis interna) and wandering nerve (n. vagus). Scapular-tracheal triangle – trigonum omotracheale, limited from above and lateral by the top belly of scapular-sublingual muscle (m. omohyoideus), from below and lateral is cutting edge of sterno-cleido-mastoid muscle, at the front or mesial – middle line of neck.Needed for accesses to tracheas at implementation of tracheotomy and operation on a thyroid. Odd: Chin – trigonum submentale – limited from below by a sublingual bone, lateral and mesial – front bellies of digastrics muscles. Knowledge of it is needed for drainage of bottom of cavity of mouth. Outward triangle – trigonum colli laterale – limited from below by the upper edge of collar-bone, at the front or mesial – back edge of sterno-cleido-mastoid muscle, back or lateral border – on the cutting edge of trapezoid muscle.Within the limits of this triangle two pair triangles are selected: Scapular-trapezoid – trigonum omotrapezoideum – limited behind by the cutting edge of trapezoid muscle, at the front – back edge of sterno-cleido-mastoid muscle, from below – scapular-sublingual muscle. Needed for dissection of abscesses, access to the additional nerve (n. accesorius); Scapular-clavicular triangle – trigonum omoclavicularis – limited from below by a collar-bone, from above – bottom belly of pharyngeal-sublingual muscle, at the front – back edge of sterno-cleido-mastoid muscle; needed for access to the subclavian artery, vein and humeral interlacement.If to put together both internal neck triangles (right and left), they form one large middle quadrant of neck, which is divided by a horizontal line passing through a sublingual bone, on two regions: Suprasublingual region (regio suprahyoidea) – in it select a chin and two submandibular triangles; Subsublingual region (regio infrahyoidea) – in it select two carotid and two scapular-tracheal triangles. FASCIAE OF NECK Fasciae is a connective tissue frame and, being in all regions, various functions are executed: protective, supporting, fixing regarding to organs.V. N. Shevkunenko described 5 fascial sheets of neck: First (superficial) fasciae of neck – fascia superficialis colli – or fascia cervicalis superficialis. It is disposed deeper than hypodermic cellulose, is passed from a neck directly to the neighboring regions. Superficial fasciae of neck, dividing, engulf the hypodermic muscle of neck of m. platysma, forming its vagina; Second is superficial sheet of own fasciae of neck – lamina superficialis fasciae colli propriae (fascia cervicalis superficialis).This, fasciae begins from the copulas of processus spinosus of neck vertebrae. It is fixed to the upper occipital line, is divided, goes round all neck and forms a vagina for m. trapezius, m. sternocleidomastoideus and capsule by submandibular saliva of gland. The outward sheet of II fasciae of neck gives into the covered muscles the row of bridges which divide muscle into separate bunches. Down second fasciae of neck registers to the front-upper edges of handle of breastbone and collar-bones, from above – to the lower edge of lower maxilla.II fasciae of neck give offspurs to the transversal processes of neck vertebrae. One of these offspurs binds second fasciae to the heel. Other – binds it to the vagina of vascular-nervous bunch of neck. These offspurs form the frontal located plate which separates the front region of neck from back one. It confirms the conditional division of neck on front and back departments. This plate hinders to spreading of festering processes arising up in the intrafascial cellulose of front and back departments of neck.On face second fasciae of neck passes in fascia parotideomasseterica, this forms the capsule of parotid salivary gland and covers a masticatory muscle outside; The third fascial sheet of neck carries the name of scapular-clavicular fasciae (fascia omoclavicularis) or deep sheet of own fasciae of neck of lamina profunda fasciae colli propriae. This fascia has the form of trapezoid and registers above to the body of sublingual bone. From one side it is limited by scapular-sublingual muscles (m. omohyoideus). Down it registers to the back-upper edges of collar-bones and handle of breastbone.On middle line third fasciae of neck accretes in upper departments with III fascia, and forms the white line of neck. It forms vaginas for pair muscles lying below than sublingual bone: m. sternohyoideus, m. omohyoideus, m. thyrohyoideus. In connection with the features of the topography third fasciae of neck is instrumental in adjusting of blood stream in the vessels of neck. It is explained it by the presence of dense connections of fasciae with the wall of vessels, in the places of perforation by them this fascial sheet. At reduction m. mohyoideus fasciae, narrowing, multiplies the diameter of veins. A fourth fascial sheet carries the name of intraneck fasciae – fascia endocervicalis. It consists of two plates: parietal, covering a cavity neck from within, and visceral, covering organs neck. The parietal plate of fourth fasciae forms a vagina for the basic vascular-nervous bunch of neck of vagina vasonervosa, giving his partition, dissociating the vascular components of this bunch from each other – general carotid, internal jugular vein and n. vagus, inward (wandering nerve).On meatus of vessels a fascial sheet goes down in top mediastinum, gives the bunches of fascial fibres to the large vessels and pericardium. The visceral plate of fourth fasciae of neck passes to the organs of neck, covering a larynx, trachea, esophagus, and thyroid. To the large veins of neck fourth fasciae also gives the row of offspurs. Therefore in the moment of inhalation negative pressure in v eins is created, that can lead at the wounds of neck to air embolism. The fifth fascial sheet of neck carries the name of pre-vertebral fasciae of fascia prevertebralis.It begins behind a esophagus at foundation of skull, goes down downward in a pectoral cavity, passing ahead of spine. The Fascial sheet is well expressed and registering to the transversal processes of vertebrae, forms vaginas for the stair muscles of neck of m. scalenus anterior, medius et posterior. Its processes cover a subclavian artery, humeral nervous interlacement and m. scalenius anterior. It covers by itself the trunk of sympathetic nerve and muscle, lying on bodies and transversal processes of neck vertebrae (mm. ongus coli et longus capitis). CELLULOSE SPACES OF NECK The reserved and reported cellulose spaces appear between the fascial sheets of neck. Reserved: Pair sack of submandibular gland – soda gl. submandibularis, containing a submandibular salivary gland, loose cellulose, lymphatic knots, fa cial artery and vein, n. hypoglossus. This sack is limited by the sheets of second fasciae and periosteum of lower maxilla; Pair fascial sack – spatium sternocleidomastoideum – formed by the sheets of second fasciae for a sterno-cleido-mastoid muscle and n. ccesorius. This fascial space is practically reported with surrounding tissues only through the probutting openings, formed by vessels which blood supply muscle; Substernoid intraaponeurosis space – spatium intraponeuroticum suprasternale – it is located above the jugular undercutting of breastbone between the sheets of second and third fasciae of neck. Height of this space – from the jugular undercutting of breastbone to the middle of distance between a breastbone and sublingual bone. Space is opened from sides.Except for loose cellulose this space contains lymphatic knots and jugular vein arc of arcus venosus juguli; A blind sack a pair behind the sterno-cleido-mastoid muscle of sacus caecus r elrosternodeidomastoideus, Gruber is described. The scopes of it are: at the front is back wall of vagina of m. sternodeidomastoideus (II fasciae), behind are third fasciae of neck, and from below is periosteum of upper back edge of collar-bone. A sack is reserved outside, as at the outward edge of sterno-cleido-mastoid muscle second fasciae accrete with the third.This space has the report of spatium intraponeuroticum suprasternale by means of crack between II and III fasciae, carrying the name of gate of fifth space (portae spatium suprasternale). Pus in these regions causes the symptom of â€Å"festering collar†. Reported (unreserved) spaces cooperant to spreading of haematomas and inflammatory processes: Space ahead of internal organs of neck or pre-organ – spatium previscerale – between the sheets of fourth fasciae, spreading from a sublingual bone to undercutting of breastbone. Part of this space is below than isthmus of thyroid and ahead of trachea select as spatium pretracheale.In this space lymphatic knots, veins taking a blood from the region of isthmus of thyroid, are disposed in a loose cellulose, v. thyroidea ima, part of odd thyroid interlacement of plexus thyroideus. In 10-12% of cases lower thyroid artery of a. thyroidea ima. This cellulose space is delimited from the cellulose of front mediastinum by only a fascial bridge appearing at level handles of breastbone in transition of parietal sheet of fourth fasciae in visceral one; therefore the festering processes of cellulose of this space can spread in front mediastinum.Space behind the entrails of neck or retrovisceral – spatium retroviscerale – is disposed between fourth and fifth fasciae behind a esophagus. This space has the report directly with the cellulose of back mediastinum and spreads from foundation of skull to the diaphragm. Major anatomic formations are disposed in the back department of juxtapharyngeal cellulose: internal carotid, internal jugular vein, wandering, sublingual and glossopharyngeal nerves (nn. vagus, hypoglossus, glossopharingeus). Along the vascular-nervous bunch of internal neck triangle from every side vascular-nervous cellulose space is disposed – spatium vasoneurorum.Above it reaches before foundation skulls, and down passes to front mediastinum. Cellulose space of outward neck triangle is disposed between second and fifth fasciae. From sides this space is limited by the vagina of basic vascular-nervous bunch of neck and edge of trapezoid muscle. It is reported with subtrapezoid space. Deep cellulose space of neck is disposed under fifth fascia in trigonum colli laterale surrounds subclavian vessels and humeral interlacement and is reported with the cellulose of armpit cavity.Pre-vertebral space – spatium prevertebrale, is disposed between neck vertebrae fifth fascia. From above comes to outward foundation of skull, from below – to the level of the third pectoral vertebra. The long mus cles of neck of mm. longus colli ei longus capitis and trunk of sympathetic nerve are located in it, n. phrenicus from neck interlacement, vertebral arteries of m. rectus capitis anterior et lateralis. It is reported with cellulose to the level of the III pectoral vertebra. SUPRASUBLINGUAL REGION (Regio suprahyoidea)From above the edge of lower maxilla and it connecting line with a mastoid process are the scopes of suprasublingual region, from below is the line conducted through a body and large horns of sublingual bone, from one side are the cutting edges mm. sternocleidomastoidei. Three expressed triangles are selected in a region: Odd chin – between the front bellies of digastrics muscles and body of sublingual bone; Pair submandibular triangle – trigonum submandibulare, the sides of which there are two bellies of m. digastricus and lower edge of lower maxilla.A submandibular salivary gland beds in the area of this triangle. The skin of region is thin, mobile, elast ic, the expressed of hypodermic cellulose is subject to the individual changes. Superficial fasciae form a vagina for m. platisma. In the area of this triangle after Between sheets I and II fasciae of neck under the lower edge of lower maxilla is disposed usually a few lymphatic knots. Ramus colli n passes here. facialis, and also skinning nerves of neck (branches of n. transversus colli), which are disposed in a hypodermic cellulose.II fasciae of neck form a sack for a submandibular salivary gland. The last usually has an egg-shaped form and executes all submandibular triangle almost. Between a gland and its capsule loose cellulose is disposed, in which lymphatic knots lie often. On meatus of channel of gland, this cellulose is reported with the cellulose of bottom of oral cavity. The conclusion channel of gland of ductus submandibularis begins in the front-upper department of gland and goes away to the crack between m. myohyoidem and m. hyoglossus, following under the mucous membr ane of bottom of oral cavity.In the same crack a few higher than channel passes the tongue nerve of n. lingualis, n. hypoglossus and v. lingualis is below than channel disposed. A facial artery which adjoins to the internal surface of gland passes in the lodge of submandibular salivary gland. To outward its surface there is a adjoins of the same name vein which, bent through the edge of lower maxilla, follows under the capsule of gland towards v. jugularis interna the cutting edge m. masseter. Abandoning the bed of gland, a. facialis is bent through the edge of lower maxilla and is passed in the mesial departments of face.A deep department is formed by a few muscles covered by second fascia of neck. Most mesial the mandibular-sublingual muscle m. myohyoideus is disposed. This muscle, accreting on a mesial edge from the same muscle opposite side, forms the diaphragm of oral cavity – diaphragma oris. At osteomyelitis of lower maxilla, stomatological inflammatory processes, mayb e, as complication, to arise up phlegmon of bottom of cavity of mouth. It carries the name of Ludwig’s quinsy. It is a quickly making progress sharp inflammatory process, spreading on a tongue, larynx, and cellulose of neck.The last necrose and adopts a black almost. There are salivation, labored breathings, fetid smell of mouth. Quite often the Ludwig’s quinsy is complicated by development of mediastinitis. Topographically in this region the Pirogov's triangle, limited by the tendon bridge of m. digastricus, back edge m. mylohyoideus and n. hypoglossus, is important formation. M. hyoglossus is the bottom of triangle. Within the limits of this triangle, baring and bandaging of tongue artery which is disposed under m. hyoglossus is possible. A tongue vein lies above it muscle.Search for the Pirogov’s Triangle at thrown back backwards and the head turned in the side opposed to interference. The following layers are selected in an odd chin triangle: skin, hypodermi c cellulose, first and second fasciae of neck. Muscles are then disposed outside in inward: m. digastricus, m. myohyoideus, m. geniohyoideus, m. genioglossi. Deeper than these muscles a cellulose follows and mucous to the oral cavity. SUBSUBLINGUAL REGION (Regio infrahyoidea) A sublingual region is limited from above by a line passing on the upper edge of body and large horns of sublingual bone, from a lateral side – cutting edges of mm. ternocleidomastoidei, from below – undercuts of breastbone. After hypodermic cellulose I fasciae of neck with m. platysma is disposed. Between I and II fasciae of neck plural superficial veins (including v. jugularis anterior, v. mediana colli), and also nerves of neck, from n. cutaneus colli are disposed. Deeper III fasciae of neck, formative a vagina for muscles lying below than sublingual bone, are disposed: sterno-sublingual (m. sternohyoideus), scapular-sublingual (m. omohyoideus) – lying it is more superficial, sterno-thyr oid (m. ternothyroideus) and thyroid-sublingual (m. thyrohyoideus) – bedding deeper. Under muscles the parietal sheet of IV fasciae follows and described higher spatium previscerale. It contains vein interlacement – plexus thyroideus impar, v. thyroidea ima, sometimes (of to 10% cases) ?. thyroidea ima. In a sublingual region are disposed larynx, esophagus, trachea, esophagus, and thyroid. Within the limits of sublingual region the extraordinarily important carotid triangle of neck is disposed (trigonum caroticum).The scopes of triangle make the muscles of neck: mesial is top belly of scapular-sublingual muscle (m. omohyoideus), lateral is sterno-cleido-mastoid muscle, above is back belly of digastrics muscle. The superficial layers of triangle are represented by a skin, hypodermic cellulose, and first fascia of neck with m. platisma, by second fascia of neck. Deeper, the loose cellulose, surrounded by a parietal sheet IV fasciae of neck, its basic vascular-nervous bun ch and also lymphatic knots, on meatus of his vessels beds within the limits of carotid triangle.A basic vascular-nervous bunch is represented by an internal jugular vein (v. jugularis interna) and general carotid (a. carotis communis), which a wandering nerve is disposed between. Vienna with its influxes lies most superficially, and a. carotis communis is most deep. V. jugularis interna is well visible at drawing off of the internal (front) edge m. sternocleidomastoideus. At the level of upper edge of thyroid cartilage a facial vein (v. facialis) which adopts a blood from the row of vein vessels falls in it (v. lingualis, v. laryngea superior, v. hyroidea superior). A. carotis communis passes on the bisector of the corner formed by the top belly of scapular-sublingual muscle and sterno-cleido-mastoid muscle. The division of a. carotis communis on outward and internal carotids more frequent takes place at the level of upper edge of thyroid cartilage. To distinguish outward and inter nal carotids there is the row of topographoanatomical signs: An internal carotid, as a rule, on the neck of branches does not give. An outward carotid gives on a neck the row of branches in the following order: a. hyroidea superior, a. lingualis, a. facialis and other Topographically a. carotis externa departs ahead, mesial and lies more superficially, than a. carotis interna, which departs in a lateral side and leaves deep into. If in area of carotid triangle bare and n. hypoglossus is visible, he crosses a. carotis interna and lies on it. An outward carotid is closed a. temporalis superficialis, and therefore if pined an outward carotid, a pulsation on a temporal artery will not be present. In area of bifurcation general carotid is disposed a  «carotid reflexogenic area†.It consists of: glomus caroticum, sinus caroticus (initial area of internal carotid), branches n. glossopharyngeus, n. vagus, and truncus sympathicus. Carotid glomus – glomus caroticum – cons ists of connecting tissue specific â€Å"glomus cages† stopped up in it, closely associated from an adventitia carotid. Middle sizes of glomus caroticum: 3Ãâ€"5 mm. Reflexes of carotid area act part in adjusting of bloody pressure and chemical composition of blood. LYMPHATIC KNOTS OF NECK Five groups of neck lymphatic knots are distinguished: Submandibular. Chin.Front neck (superficial and deep). Lateral neck (superficial). Deep neck. Submandibular knots – nodi lymphatici submandibularis in an amount 4-6 is disposed in the fascial lodge of submandibular and in the layer of salivary gland. They collect lymph from soft tissues of front region of face. Chin knots – nodi lymphatici submentalis in an amount 2-3 lie under second fascia, between the front bellies of digastrics muscles, lower maxilla and sublingual bone. They collect lymph from a chin, tag of tongue, lower teeth and lips. Front neck knots – nodi lymphatici colli anterior.Necks in a sublingual re gion are disposed in a middle department. Lymph is taken from the organs of neck. Distinguish: Superficial, located on meatus of front jugular vein; Deep or juxtavisceral are the necks located near-by organs. Lateral group – forms a few superficial knots of disposed on meatus of outward jugular vein. Deep knots lie as three chainlets, forming the figure of triangle: †¢ Along an internal jugular vein. †¢ On meatus of additional nerve. †¢ On meatus of transversal artery of neck. A chain along the transversal artery of neck is named a subclavian group.The large knot of this group, the nearest to the left vein corner (the Truaz'e-Vyrkhov's knot), quite often is struck to one of the first at new formations of stomach and lower department of esophagus. He palpate in a corner between left sterno-cleido-mastoid muscle and collar-bone. Deep neck knots – heads and necks adopt lymph from all knots. They lie at the level of bifurcation general carotid. A knot dispos ed in a corner between v. jugularis interna et v. facialis (at the level of Horn of sublingual bone) is struck by one of organs of oral cavity first at new formations.Operations in area of neck At production of operations on a neck it is necessary to take into account the individual forms of changeability of neck, mobility of neck organs, large danger of damage of vessels of neck, which threatens by not only the bleeding but also possibility of embolism (at the damage of veins). At treatment of wounds it is necessary at once to take the damaged veins by styptic clamps and bandage them. During operative interferences vessels in the beginning are taken by styptic clamps, after dissected and bandaged. Position of patient at operations in area of neckIn all cases of operative interferences in front and lateral departments of neck of patient lies on back. Under scapulars a roller is underlaid, a head is thrown backwards. At cuts in the middle departments of neck the head of patient is re tained on a middle line. At operative interferences in the lateral departments of neck a head is turned aside, opposite to operative interference, because of what organs will be mixed up and become more accessible. Cuts on a neck Cuts on a neck must answer the cosmetic requirements and provide sufficient access to the organs of neck.Transverse sections conform to such requirements, because conduct them parallel to the natural folds of skin. At operations on a thyroid such cuts correspond to the long axis of organ and give wide access to it. In cases of baring of vascular-nervous formations, neck department of esophagus, dissection of abscesses and phlegmons on a neck produce longitudinal and combined cuts (Venglovsky, D'yakonov, De Kerven). Only changed, but also those healthy organs, the wound of which follows to avoid at operations.The following basic groups of surgical accesses are distinguished to the organs of neck: 1- vertical; 2- slanting; 3- transversal and 4- combined. Vert ical cuts (upper and lower) are conducted on a middle line at the front or behind. They are widely used for tracheostomy (upper or lower) back middle cuts are used as operative accesses to the bodies of neck vertebrae (to the spinal cord). Slanting cuts are conducted on the cutting or back edge of sterno-cleido-mastoid muscle. Such accesses are used for baring or bandaging of elements of basic vessel-nervous bunch and neck part of esophagus.In addition, slanting cuts take advantage that are most safe and provide deep enough access. Transverse sections are used for access to the thyroid, esophagus vertebral, subclavian, lower thyroid to the arteries, for the delete of the lymphatic knots staggered by the metastases of cancer progression. However much transverse sections have the row of failings: badly accretes transversal the cut hypodermic muscle of neck that results in formation of wide and rough scars; in addition is present possibility of wound of muscles, vessels and nerves duri ng operation.Besides availability to the deeply located organs goes down considerably. The combined cuts (patchwork) are used for wide dissection of cellulose spaces, delete of tumor, metastatic staggered lymphatic knots. Surgical treatment of wounds of neck The wounds of neck are characterized by four basic signs. The first sign is sinuosity of wound channel. It is explained it mobility organs of neck from the presence of the developed fascial-cellulose spaces in area of neck. Second sign are the wounds of neck are often accompanied by the wound of spine and spinal cord.Wounds on a neck are especially dangerous, inflicted on sagittal or parasagittal lines. Third sign are the wounds of neck in 13% of cases are accompanied by the wound of carotids. This, usually, heavy wounds which often end with death. Bandaging of general and internal carotids can be complicated by a one-sided central paralysis (hemiplegia). Fourth sign are wounds of neck are characterized by muddiness. At the woun d of larynx, trachea, special esophagus, there is an infection with subsequent development of phlegmons and abscesses. Sometimes festering processes are complicated by mediastinitis.Three areas of wounds of neck are distinguished: first area – from the lower edge of lower maxilla to the sublingual bone; second area – from a sublingual bone to the cricoid’s cartilage; third area – from a cricoid’s cartilage to the jugular undercuting of breastbone. Than the area of wound is below, that it is more dangerous, because interfascial cellulose spaces are unsealed. The large vessels of neck, included in top front mediastinum and going out on it, pass in the lower departments of neck. The wound of them is dangerous from the massive bleeding and difficult access to the site of damage.At primary surgical treatment a wound channel is extended. The nonviable areas of soft tissues are excised, foreign bodies, interfascial haematomas, are deleted, the damaged int erfascial spaces are extended. Surgeons do not unseal the interfascial cracks not unsealed by a scotching object. Wounds must be widely drainage. Foreign bodies are deleted only in case that they threaten to life of patient. Foreign bodies are deleted, if they cause serious complications (for example, located near a wandering nerve and is caused violations of cardiac activity).Foreign bodies in such cases must be remote at the well opened wound under the control an eye. If a splinter is located deeply in tissues and is not caused complications, he is not usually touched. He is encapsulated and is remained in tissues. Nick the encapsulated splinter will be mixed up, approaching large vessels, he is necessary to be deleted. Operations at phlegmons and abscesses of neck Phlegmons and abscesses in area of neck to the bowl are complications of lymphadenitis, when loose cellulose surrounding lymphatic knots is engaged in a process.Besides the difficult clinical picture of flow of disease, the festering hearths of deep cellulose spaces are dangerous to those that can on these spaces spread in neighboring regions. So, from previsceral and vascular-nervous cellulose spaces – in front mediastinum; from retrovisceral cellulose there is space – in back mediastinum, being the reason of festering mediastinitis. The juxtavisceral phlegmons can cause squeezing and edema of organs of neck, large vessels and nerves. The lately recognized inflammatory processes sometimes result in melting of wall of vessels and considerable bleeding.A cut is elected for the shortest access to the abscess. Taking into account complication of topographoanatomical location of large vascular-nervous formations, cuts on a neck are produced strictly layer. Unsealing a skin, hypodermic fatty cellulose and superficial fasciae by dull instruments, not to scotch vessels, impenetrate. At accesses the location of veins of neck, their intimate union, is taken into account with fasciae, the dama ge of the large veins close located from the upper aperture of breast is dangerous by not only the difficultly stopped bleeding but also air embolism.The wide opening of festering hearth is concluded by drainages of its cavity. Drainages are put possibly farther from the place of location of large vessels in the lower corner of wound. Thus on a skin there are sutures to drainage. The Festering processes of submandibular region are unsealed by a cut going parallel to the edge of lower maxilla, from last 1 – 1,5 sm (danger of damage of regional branch of facial nerve). After the section by the scalpel of skin, hypodermic cellulose, fasciae together with m. latysma deep into penetrates by a dull way, fearing the wound of facial artery and vein. Phlegmons and abscesses of bottom of oral cavity are unsealed by a longitudinal cut on a middle line below than chin. Come a sharp way to the gnathic-sublingual muscle (m. mylohyoideus). Pass the last through its stitch by a dull instrume nt, widely exposing a festering hearth. The phlegmons of fascial vagina of vascular-nervous bunch are unsealed by a cut along the cutting edge of sterno-cleido-mastoid muscle. Layer skiving, a hypodermic cellulose, and superficial fasciae, together with m. latysma is unsealed by the vagina of sterno-cleido-mastoid muscle and fascial vagina of vascular-nervous bunch. By a dull instrument penetrate to the vascular-nervous bunch. In cellulose surrounding a vascular-nervous bunch, drainage is put. At spreading of pus in the lateral triangle of neck unseal a phlegmon by a cut De Kerven. He is conducted on the front edge of m. sternocleidomastoideus, and then, crossing this muscle, parallel to the collar-bone and higher it on 2-3 sm to the cutting edge m. trapezius. Wound of drainage.The phlegmons of previsceral space are unsealed by a transverse section, dissecting a skin, hypodermic cellulose, superficial, second and third fasciae of neck, long muscles covering larynx and trachea, parie tal sheet of IV fasciae of neck. A cut is conducted on 3-4 sm higher than jugular undercuts. Spatium previscerale drainage is wide. The Festering processes of retrovisceral space are represented by retropharyngeal phlegmons and abscesses. The Retropharyngeal phlegmon can be unsealed from the side of neck, conducting a cut along the back edge of sterno-cleido-mastoid muscle.In the cellulose of retropharyngeal space, after the section of skin, hypodermic cellulose, superficial fasciae, vagina of sterno-cleido-mastoid muscle, penetrate by a dull way. Wound of drainage. I Recommend you a good book, illuminative these questions – â€Å"Essays of festering surgery†, 1965 Author of it, professor V. Vojno-Jasenetcky, man of very interesting fate. BARING OF ARTERIES ON NECK Baring of general carotid Findings. Wound aneurism of vessel, angyographic research, introduction of medicinal matters, if introduction by their puncture through a skin is not succeeded.Position of patient. A patient lies on back with a roller under scapulars. A head is thrown back backwards and turned aside opposite to interference. A cut is conducted long 5-6 sm at the cutting edge of sterno-cleido-mastoid muscle from the level of upper edge of thyroid cartilage downward. Layer a skin, hypodermic fatty cellulose, superficial fasciae, and hypodermic muscle, is dissected. The front wall of vagina of sterno-cleido-mastoid muscle is cut. Take a muscle outside, the back wall of vagina of muscle and vagina of vascular-nervous bunch is cut.In a cellulose most mesial and a general carotid is deeper disposed, ahead and lateral an internal jugular vein lies from it. A wandering nerve lies at the back semicircumferences of these vessels. At the wounds edge to the carotid presently lay on a vascular stitch or produce the plastic arts of artery (its substitution of autovein is possible or synthetic vascular prosthetic appliance from polymeric connections). At bandaging of artery there are serious complications as softening influence of areas of cerebrum and subsequent proof paralyses in 30% of cases. Baring of outward carotidFindings. Wound of vessel, vast wounds linden-tree, attended with bleeding from a maxilla artery; an artery is bandaged at the delete of upper maxilla and parotid salivary gland concerning malignant tumours. Position of patient on the back, a head is turned aside opposite to interference. A cut is conducted long 5-6 sm from the corner of lower maxilla downward, along the cutting edge of sterno-cleido-mastoid muscle. Layer tissues are dissected. Take an outward jugular vein upwards and outside or bandage and dissect. It is necessary to distinguish an outward carotid from internal one.In the case of necessity bandaging of outward carotid lay on ligature higher than place of departs upper thyroid artery. In the case of departs close from bifurcation edge the last to the carotid, an outward carotid is bandaged higher by the places of departs tongue artery. Complications. In the case of the low bandaging of outward carotid a bifurcation general carotid can have a blood clot closing a road clearance and internal carotid, practically there will be an obturator general carotid. Bandaging of tongue artery in the Pyrogov's triangle now is not practically conducted. Vagosympathetic blockageFindings. Wounds of breast with closed and opened pneumothorax, attended with pleuropulmonary shock; combined wounds of organs of abdominal region pectoral and. A blockage is produced with the purpose of breaking of pain impulses from the damaged regions. Position of patient. A patient is laid on the back with a roller under scapulars. Throw back a head backward and turn aside opposite to interference. Reference points the corner of crossing of outward jugular vein with the back edge of sterno-cleido-mastoid muscle serves for introduction of needle (at the level of sublingual bone).By an index finger at the place of piercing needle together with a vascular -nervous bunch move aside a sterno-cleido-mastoid muscle ahead and mesial, after anaesthetizing of skin on an index finger stick long needle. A needle is moved forward from a top to the bottom outside inward to the front surface of neck vertebrae. Draw off a needle from a spine on 0,5 sm and in a cellulose behind the vagina of vascular-nervous bunch enter of a 40-50 ml 0,25% solution of Novocain. Hyperemia of skin of face and sclera on the side of blockage comes during the correct conducting of blockage.There is the Claude Bernar-Gorner syndrome: narrowing of pupil, narrowing of eyeing crack, enophthalmos zapadenye eyeball. Neck’s organs Complication of anatomic structure and topographical-anatomic location of organs of neck in a great deal determines the features of operative interferences on them. In area of neck the initial departments of organs of digestion (esophagus, esophagus), external breathing (larynx, trachea) are disposed, thyroid and parathyroid glands, lymphatic vessels (the largest is pectoral channel).Also here are large vessels and interlacements of spinal nerves, nervous interlacements of organs and vessels. It should be noted that lymphatic vessels and vascular-nervous trunks of neck are covered only by soft tissues. Therefore, at the front and from sides they comparatively are poorly protected. One of topographical-anatomic features of neck is that all superficial skinning nerves of neck (from neck interlacement (?1 – ?4) go out practically in one point at the level of middle of back edge of sterno-cleido-mastoid muscle, that allows to produce anaesthetizing at operations on a neck practically by one prick.In area of neck there are numerous reflexogenic areas, which appear by nervous interlacements of organs, vascular-nervous interlacements of organs, vascular-nervous bunches, neck department of sympathetic trunk, neck and humeral interlacements. It is the important facial touch of organs of neck them mobility at meatus of hea d, which has the practical value at operative interferences. LARYNX Represented 9th by cartilages: by thyroid, cricoidea, epiglottis, two arytenoidea, two cuneiformis and two corniculata. Most essential from them re thyroid and cricoid’s, linked between itself lig. cricothiroideum. The front department of cricoid’s cartilage and undercuts on the upper edge of thyroid cartilage are external reference points at surgical interferences. Ahead a larynx is covered by epiglottis muscles, from one side the stakes of thyroid adjoin to it, behind a mouthful. Blood supply is carried out by upper and lower laryngeal arteries outgoing accordingly from upper and lower thyroid arteries. Innervations by the upper laryngeal nerve (from a wandering nerve) and lower (eventual branch of recurrent laryngeal nerve).Lymphatic outflow is carried out in pre-laryngeal, pretracheal, paratracheal and deep lymphatic knots of neck. TRACHEA Represented by cartilaginous semicircular connected by dens e copulas. Back departments are locked by a dense connective tissue bridge, where muscular fibres pass. Within the limits of neck 6-8 cartilaginous rings are counted, position of which corresponds to the bend of neck vertebrae. At the front tracheas the isthmus of thyroid lies, its stakes and general carotids adjoin from one side. Behind a esophagus is located.In a furrow between a esophagus and trachea a recurrent laryngeal nerve passes on the left, on the right this nerve goes behind a trachea. Blood supply of trachea is carried out by the tracheal branches of lower thyroid artery, innervations – branches of recurrent laryngeal nerve. PHARYNX Three basic departments of pharynx are selected: nasal, mouth and laryngeal. A lymphatic pharynx ring (Pyrogov – Val'deyer) which it is represented is important anatomic formation of pharynx: by two palatal tonsils, two pipe, pharynx and tongue.In area of nasal and mouth parts of pharynx there are the juxtapharyngeal and retroph aryngeal cellulose spaces delimited from each other by partition between pre-vertebral and pharynx fasciae. Front and back departments are selected in juxtapharyngeal cellulose space, in which pass important anatomic formations. Retropharyngeal space is divided by middle partition on two departments. Because of what retropharyngeal abscesses, as a rule, are one-sided. A pharynx is disposed most deeply and behind it pre-vertebral fasciae, long muscles of neck and bodies of vertebrae is located.Ahead of laryngeal part of pharynx a larynx is disposed; from sides are stakes of thyroid and general carotids. Blood supply is carried out by the branches of ascending pharynx artery, ascending and descending palatal, and also upper and lower thyroid arteries. Innervation of pharynx takes place due to the branches of sympathetic, wandering and glossopharyngeal nerves. Lymphatic outflow takes place in deep neck lymphatic knots. ESOPHAGUS A esophagus passes to the esophagus, in which distinguish neck, pectoral and abdominal parts and accordingly narrowing.Neck part of esophagus lies in loose cellulose between a trachea and pre-vertebral fascia. He is easily displaced, however, basic axis a few displaced to the left, which matters very much at the choice of operative access to neck part of esophagus. From one side to the esophagus are disposed the stakes of thyroid, at the front is cricoid’s cartilage of larynx and cartilages of trachea. Blood supply of neck part of esophagus is carried out by the branches of lower thyroid arteries. Innervation – due to the branches of wandering nerve. Lymphatic outflow – in deep neck lymphatic knots.THYROID It is one of the largest endocrine glands. It is disposed in the sublingual region of neck on the front surface of trachea. It consists of two stakes, isthmus and in 30-40% of cases a pyramidal stake can walk away from an isthmus or left stake. Weight of gland hesitates from 15 to 50g. An isthmus is represented by a lamina, width to 1,5 sm and usually covers 2-3 cartilaginous rings of trachea. Lateral stakes lie on both sides a trachea and larynx, an oval form is had. A thyroid has an own capsule, which the visceral sheet of fourth fasciae of neck is over.Vessels, nerves and parathyroid, pass between the capsule of gland and fascia. At the front a thyroid adjoins with sterno-sublingual, sterno-thyroid and scapular-sublingual muscles; behind – with the upper department of neck part of trachea, larynx, pharynx, esophagus and parathyroid. To the back mesial surface of thyroid a recurrent nerve joins and laryngeal, general carotid. Blood supply of thyroid is carried out by pair upper (branches of outward carotid) and lower (branches of thyroidneck trunk) thyroid arteries, and at 10 % people – yet and by a fifth odd artery.The vein outflow from a gland is carried out in the vein interlacement located by sympathetic trunks and laryngeal nerves. However, it should be remembered that at the lower edge of thyroid a lower thyroid artery is crossed by a lower laryngeal nerve which it is easily possible to injure at operations, that phonation results in violation. LATERAL NECK TRIANGLE (TRIGONUM COLI LATERALIS) Limited at the front by the back edge of sterno-cleido-mastoid muscle, behind – cutting edge of trapezoid muscle, from below by a collar-bone. Layers: A skin is thin, mobile, elastic.Hypodermic cellulose is developed moderately. Superficial fasciae of neck and in a lower department hypodermic muscle of neck. V. jugularis externa passes in the lower department of region along the back edge of sterno-cleido-mastoid muscle. Skinning branches of neck interlacement: front, middle, back. Subclavian branches of nerve of n. supraclaviculares anterior, media, posteriori. Other skinning nerves of neck interlacement go out at the middle of back edge of sterno-cleido-mastoid muscle: n. occipitalis minor, n. auricularis magnus, n. cutaneus colii.Second fasciae or supe rficial sheet of own a fascia of neck is disposed as one sheet registering to the front surface of collar-bone. Third fasciae or deep sheet of own fasciae of neck within the limits of outward triangle occupy a lower front corner only, I. e. trigonum omoclaviculare (in trigonum omotrapezoideum third fasciae it is not). Between second and fifth fasciae cellulose, additional nerve, is disposed. Fifth fasciae or pre-vertebral, covering mm. scaleni, m. levator scapule and other The vascular-nervous bunch of outward neck triangle is made by a subclavian artery (its third department) and humeral interlacement.They go out through an interstair interval. Humeral interlacement is disposed here higher and outside, subclavian artery – below and inward. From a subclavian artery the last branch is transversal artery of neck (a. transversa coli) departs here, and also its branches ?. cervicalis superficialis et a. suprascapularis pass. A subclavian artery abandons the region of neck, going downward on the front surface of the first rib (I. e. between a collar-bone and first rib); the projection of it here corresponds to the middle of collar-bone.A subclavian vein is disposed on the first rib, but ahead and below of the same name artery, behind a collar-bone and further passes in spatium antescalenum, where muscle is dissociated from the artery of front stair. DEEP INTRAMUSCULAR INTERVALS In a lower department and behind a sterno-cleido-mastoid muscle, outside from neck entrails, there are two intervals: nearer to the surface is prescalenum interval (spatium antescalenum); lying deeper is stair-vertebral triangle (trigonum scalenovertebralis). The Prescalenum interval is formed: behind – front stair muscle (m. calenius anterior), at the front – m. sternohyoideus and sternothyroideus, outside – m. sternocleidomastoideus. Between front and middle stair muscles there is spatium intrascalenum, which is located already within the limits of outward neck triangle. Within the limits of interval there is an internal jugular vein with its lower bulb (bulbus v. jugularis inferior), wandering nerve (n. vagus) and initial department of carotid (a. carotis communis). There is v. subclavia in the lowermost department of interval, meeting with v. jugularis interna; the place of confluence is designated as angulus venous.An outward jugular vein falls in a vein corner usually, in addition ductus bracicus falls in it on left, and on right – ductus lymphticus dexter. In an interval also there is a diaphragmatic nerve (n. phrenicus) arising out of fourth neck nerve, disposed on the front surface of front stair muscle and covered by pre-vertebral fascia. A nerve goes in slanting direction from top to bottom, outside of inward and passes to front mediastinum between subclavian by an artery and vein of outside from a wandering nerve. Higher collar-bones nip a nerve across a. transversa colli et v. suprascapularis.A stair-vertebral triangle is disposed at back of lower mesial department of sterno-cleido-mastoid region and limited: lateral – front stair muscle, mesial – long muscle of necks, from below – dome of pleura. An apex corresponds to the carotid tubercle of transversal process of the VI neck vertebra. In this triangle under prevertebral fascia necks are disposed: on the left is initial department of subclavian artery, eventual department of pectoral channel, on the right is eventual department of right lymphatic channel and lower knot of sympathetic trunk. A subclavian artery (a. ubclavia) behind and from below adjoins to the dome of pleura. Ahead of right subclavian artery a vein corner is disposed. Between it and a. subclavia passes wandering and diaphragmatic nerves, which a subclavian loop (ama subclavia) and n. sympathies beds between. Behind a subclavian artery there is a right recurrent laryngeal nerve (n. laryngeus recurrens), inward from it – a. carotis communis. Ahead of left subclavian artery an internal jugular vein and initial department of left brachiocephalic vein (v. brachiocephalica sinistra) is disposed, between which pass n. vagus, ansa subclavia, n. sympathici and n. hrenicus. Inward from an artery passes a left recurrent laryngeal nerve. The arc of pectoral channel more frequent is located ahead of this department of subclavian artery. Three departments are selected in a subclavian artery: – from the beginning of artery to the interstair triangle; – in an interstair interval; – from an interstair interval to the apex of armpit pit. In the first department a subclavian artery gives the following branches: †¢ vertebral (a. vertebralis); †¢ thyroidneck trunk (truncus thyreocervicalis) dividing into four branches: †¢ lower thyroid (a. thyroidea inferior); †¢ ascending neck (a. ervicalis ascendens); †¢ superficial neck (a. cervicalis superficialis); †¢ suprascapular (a. suprascapularis); †¢ i nternal pectoral (a. thoracica interna) In the second department is costal-neck trunk (truncus costocervicalis). There is the transversal artery of neck in the third department (a. transversa coli). TRACHEOSTOMY It is operation of imposition of stomy on a trachea. Produce tracheostomy as urgent operation at a sharp asphyxia; how prophylactic at operations on the organs of mouth and neck; in an anesthesiology for conducting of anesthesia (intubation). Basic findings to implementation of tracheostomy: impassability of larynx and upper department of trachea as a result of their obturation by a tumor, foreign body, paralysis and spasm of vocal copulas with closing of entrance in a larynx, and also traumas and edema of larynx; – coma of any etiology with violation of swallowing, aspiration by vomitive the masses, saliva, blood in respiratory tracts; – disorders of breathing at patients with a heavy cranial-cerebral trauma and trauma of thorax; – respiratory insuffici ency arising up as a result of proof oppression of central mechanisms of breathing; – heavy postoperative respiratory insufficiency; necessity of the protracted artificial ventilation. Types of tracheostomy are upper (supracricoid) middle (intracricoid) and lower (subcricoid) tracheostomy. More frequent execute upper tracheotomy and conicotomy, at which cross a copula (ligamentum conicum) between thyroid and cricoid cartilages. Technique of conducting of upper tracheostomy Position of patient on the back with the maximally thrown back head. Under scapulars is roller. During conducting of cut it should be remembered basic topographic- anatomic relations of trachea and other organs of neck.So facade and from one side overhead part of trachea joins with a thyroid, to lower part with the cellulose of pretracheal space; backwards from a trachea there is the esophagus forced out to the left. On the left a trachea and esophagus disposes a recurrent nerve; on the right a recurrent ne rve is deeper behind a trachea on the lateral wall of esophagus. Next to the lower department of neck part of trachea there are general carotids, shoulder is head trunk, arc of aorta and left shoulder is head vein.At implementation of upper produce a tracheostomy cut exactly on the middle line of neck from the middle of thyroid cartilage downward on 4-5 sm or transversal, approximate above the isthmus of thyroid. Layer a wound is unsealed, bleeding is stopped. Muscles bluntly move apart and draw off in sides; the first tracheal rings are opened. The isthmus of thyroid is drawn off downward, and a trachea is fixed either for a cricoid cartilage or for the first rings of trachea. It enables freely to manipulate at the section of rings of trachea.A trachea is dissected on the size of diameter of entered cannule by a scalpel â€Å"dosed by gauze serviettes† for warning of damage of esophagus. After expansion of road clearance of the unsealed trachea cannule is entered from one si de, and then translated it in a sagittal plane. After introduction of cannule a wound is taken in layer, cannule is fixed round a neck. CONICOTOMY Soft pit is groped between the lower edges of thyroid cartilage and pulled out arc of cricoid cartilage. Skinning cut longitudinal to appearance of the yellow coloring (ligamentum conicum) cross. This copula goes horizontally.Such cut can be produced â€Å"one moment† through a skin and copula. In opening cannule is entered and is fixed round a neck. This interference is temporal. Technically simpler for implementation is upper tracheostomy, however, it not always is possible from pride of place of isthmus of thyroid, and at children it is practically impossible. Therefore, presently got the preference lower tracheostomy, to which a cranial-cerebral trauma and damage of neck department of spine is contra-indication. COMPLICATIONS AT TRACHEOSTOMY Complications at tracheostomy depend on the errors assumed during operation: 1.So a cut not on the middle line of neck can result in the damage of neck veins, and sometimes and carotid. 2. The insufficient stop of bleeding before dissection of trachea can result in the hit of blood in respiratory tracts, which will cause heavy aspiration pneumonia. 3. Air embolism at the damage of neck veins is possible. 4. Length of cut of trachea must correspond to the sizes of entered cannule. At small cut is origin of narrowing and squeezes tissues round it, that substantially hampers the withdrawal of cannule; a too large cut can result in hypodermic emphysema with the subsequent growing in the road clearance of trachea. . Before conducting of section of rings of trachea follows strictly â€Å"to measure† out the edge of scalpel (it must not exceed 1 sm, not to injure a esophagus). 6. At introduction of cannule to the road clearance of trachea, it is necessary expressly to make sure, that the mucous membrane of trachea is cut, otherwise cannule will enter in submucous tiss ue that will aggravate difficulty in breathing. OPERATIONS ON NECK DEPARTMENT OF ESOPHAGUS Findings. Wounds of esophagus, foreign bodies, which it is not succeeded to extract at esophagoscopy, tumours and proof scar narrowing.Position of patient on the back with a roller under scapulars, a head is thrown back and turned to the right, because a esophagus deviates to the left of middle line and conduct interference on left of neck. Operation is conducted under the local anaesthetizing, at children under anesthesia. A cut is conducted along the cutting edge of sterno-cleido-mastoid muscle on the left of the jugular undercuting of breastbone to the upper edge of thyroid cartilage. Layer a skin, hypodermic cellulose, is dissected, superficial fasciae together with hypodermic muscle necks.The vagina of sterno-cleido-mastoid muscle is unsealed. Take a muscle outside. The back wall of its vagina is unsealed. Bare and dissect III and IV fasciae of neck. Vascular-nervous bunch together with s terno-cleido-mastoid take muscle outside. Cut the parietal sheet of IV fasciae inward from a vascular-nervous bunch. A lower thyroid artery, probutting V fasciae of neck, is bandaged. In a tracheoesophagal furrow find and take a left recurrent laryngeal nerve aside. Sterno-sublingual and sterno-thyroid muscles together with a trachea are taken to the right.A esophagus bares. A esophagus is determined on the longitudinally directed bunches of muscular fibres and rose-grey color. At the wound of esophagus in a stomach through a mouth a probe is entered, the wound of esophagus above a probe is taken in. Drainages are tricked into. In the case of the complete crossing of esophagus, a stomach-pump is inserted in its lower end, upper part tamponade. Afterwards the probe entered through the wound of esophagus, replace by the probe conducted through a nose. The damaged esophagus either is sewn together or produced its plastic arts.At suppuration of juxtaesophagal cellulose on meatus of esop hagus gauze tampons are downward conducted. A patient is laid with the dropped head end of bed. Such position is instrumental in the free separation of pus from back mediastinum. In the case of delay of foreign body in a esophagus, at this level on it lay on two gauze serviettes, sewing the wall of esophagus to the mucous membrane. An organ is destroyed in a wound. After surrounding of esophagus by the serviettes of it unseal longitudinally, thus a muscular shell is cut at first, and then mucous, which raise by pincers.If a foreign body formed bedsore, a esophagus at that rate is unsealed within the limits of healthy tissues. Foreign bodies are taken away by fingers or instrument. There are sutures on the wall of esophagus. Taking in of wound of esophagus is begun with imposition on its corners of lygature. The row of deep catgut stitches is further laid on through all layers of edges of