Tuesday, October 29, 2019

Slave owners Thesis Example | Topics and Well Written Essays - 2500 words

Slave owners - Thesis Example This research will begin with the statement that the institution of slavery was a dark era in the history of the American nation. Although now criticized as morally intolerable, several in colonial America believed that the economic growth of the United States was dependent upon forced laborers. Although it was a very popular form of labor during the early stages of American growth, it was very cruel and evil type of labor and Americans understood this; to be a slave owner you had to of had a mindset that was just purely focused on wealth and status and no respect for the black race at all. The owner and slave relationship was characterized by the domination of the owner over the slave. Force was the basis of this relationship and this idea was clearly articulated in the 1829 decision by a judge in North Carolina concerning the relationship between an owner and a slave. He wrote: With slavery ... the end is the profit of the master, his security and the public safety; the subject, one doomed in his own person, and his posterity, to live without knowledge, and without the capacity to make anything his own, and to toil that another may reap his fruits†¦. The power of the master must be absolute, to render the submission of the slave perfect. Another common aspect of American slavery was isolation. Africans were stolen away from their homes, families, and culture. Everything that was familiar to them was stripped away and they were then isolated in a new world.... laims of birth, they were also denied the right of creating family ties that would be recognized by the law.5 Selling children away from their parents was a common practice. The law did not recognize African slave relationships, and families could be ripped apart if masters desired. Selling husbands away from wives or children away from mothers was a common practice in America and was sometimes used as a threat of punishment.6 Some masters tried to keep families together; however this was rare. "Kenneth Stamp forcefully insists that the great majority of slaveholders chose business over sentiment and broke up families when under financial pressure."7 For most masters, monetary success tended to be more important than the happiness of slaves. African slaves in America were deemed social outcasts. They were thought to be strange and assumed to be savage. These were the major components in that sense of difference that provided the mental margin between masters and African slaves. They were never considered equals to whites and were placed at the bottom of the social hierarchy. As Winthrop Jordan wrote: They did not belong to the same community as Christians, or civilized Europeans. The focus of this "we-they" distinction was at first religious, later racial. †¦to be Christian was to be civilized rather than barbarous, English rather than African, white rather than black.8 African slaves were considered strangers by the white population and also among each other. They were taken from various areas throughout Africa and the chances of being enslaved with others from the same area or clan were slim.9 Owners could use slaves for whatever they pleased; slaves had no rights. They could not make basic decisions on their own such as what or when to eat. Slaves could not choose

Sunday, October 27, 2019

Use of Lidocaine and Sodium Thiopental for Pain Management

Use of Lidocaine and Sodium Thiopental for Pain Management Different premedication admixture with propofol to attenuate pain severityinduced by propofol injection: a double blind randomized controlled clinical trial Abstract Background and Objective Propofol has widely used due to providing pleasant anesthesia and rapid recovery. However; injection pain is one of the main side effects of a propofol that has remained as an undesirable problem. This study compares the effect of thiopental, lidocaine, fentanyl , normal saline admixture with propofol compared with only propofol on injection pain induced by propofol Materials and methods A double blind randomized controlled clinical trial was conducted on 257 patients that were randomly allocated to one of five groups to receive only 2mg/kg of Propofol type Fresenius One percent in group I, 2 cc of Lidocaine 1% in group II, 2 ml of Normal Saline 0.09% in group III, 50 mg Sodium Thiopental in Group IV and Group V were injected 100Â µg Fentanyl before injection of Propofol. Verbal Rating Scale was used for assessing pain. Results A significant decrease in pain severity during injection was achieved in group II (lidocaine ) and IV (Thiopental) compared to other groups. Fentanyl was also effective in reducing moderate pain. Conclusion: We found that Thiopental and lidocaine reduce more effectively incidence and pain severity than other groups. It seems that aforementioned drugs bee more appropriate as an alternative method to diminish propofol injection pain than others treatment in this study. Key Word: propofol, injection pain, premedication Introduction Preoperative care cause satisfaction for patient in recent years(1)Propofol is the drug that has attained popularity which has widely used owing to its fast onset time ,short-acting duration , and trivial adverse effects (2) despite these favorable attributes, the prevalence of injection pain has been reported 68-90% and has been ranked seventh among the 33 undesirable clinical problem in anesthesia(3-6). Injection pain severity was reported 5.6 Â ± 2.3 by measuring system of Visual Analog Scale , which represents unfavorable pain (7). Up to now, different ways have been studied and recommended to reduce the incidence and pain severity of Propofol injection. Among various methods, emollient of Propofol (8, 9) and using numerous drugs including Lidocaine (10), Thiopental(11) ,Alfentanil (12) and Gransytron or Ondansetron(13)can be noted. There are different emollients of Propofol in Iran such as Fresenius Propofol 1% which has a side branch of a long triglyceride (LCT) and Lipuro Pro pofol 1% which has side branches of medium and long triglyceride (MCT/LCT) ,that is assuming that later one is more effective in reducing injection pain(14). Lidocaine as a local anesthetic inhibits the beginning and conduction of nervous impulses by decreasing the penetration of nerve membrane to Na+. It prevents the membrane depolarization, effluence and conduction of potential . It’s systemic absorption is rapid via skin and phlegm (throat, respiratory system) (15).Fentanyl is a drug which usually used as a premedication, because of the rapid and short onset, intense analgesia, Stable cardiovascular hemodynamic as well as less histamine release (16). Thiopental from barbiturate family causes hypotension but has a high ability to protect nerves and control ICP (17). Ondansetron is a modern antiemetic drug which is chosen as the antagonist of Hydroxyl Triptamin type 3. This drug reduces nausea and vomiting and its complications are also very low(18). Different advantages of aforementioned drugs for pain persuaded us to use them to understand that how much they can reduce propofol injection pain and which one is more effective. Methods: A double blind randomized controlled clinical trial was performed on 257 patients, after obtaining confirmation from both Golestan University of medical science and 5th Azar hospital ethical committee approval. Signed written consent was taken from all subjects before surgery. Including criteria were patient aged between 15 to 55 years old with ASA ÃŽâ„¢, ΙΙ (American Society Anesthesiologist) that candidated for elective surgery, such as bowel obstruction, hernia, laparatomy , during 1390 to 5th Azar educational hospital in Gorgan, northeast of Iran. Alcohol consumption or taking any pain medication during 24 hours before surgery, a history of neurological disease, chronic pain syndrome, thrombofelebit, advanced systemic disease (such as advanced diabetes), and any contraindication based on injection of Propofol led to patient withdrawal from the study. Measuring patients pain using VRS (Verbal Rating Scale) from zero to three which has been developed by MC Hunter and Crirrick. Detail shown in (table 1). After patient’s entering into the operation room ,a No. 20 cannula were inserted in the biggest vein in no dominate hand. (without injection of a local anesthetic) and was connected to normal saline solution (without start of infusion). Difference between the two independent proportion formula calculated 24 samples for each group, however, considering five groups in our study, adjusted for sampling (19) was calculated, (= = 2*24 = 48 48*5= 245 ) g assume as the number of groups that 245 samples calculated. To achieve as s ame power as parametric tests we also used the efficiency power of nonparametric test, so that the sample size was multiplied by inverse 95 percent (20)which finally 260 samples was considered. Simple randomization allocation method was used to assign patients into five groups, so that five envelopes which containing the name of drugs was prepared and one out of five randomly selected for a patient and this approach repeated for all patients. In the first group (53 patients) 2mg/kg of Propofol type Fresenius One percent (MCT/LCT) was injected. In the second group (50 patients), 2 cc of Lidocaine 1% before use of Propofol was injected . The third group (48 patients), received 2 ml of normal saline 0.09% before the injection of Propofol .Group IV (54 patients) 50 mg Sodium Thiopental before injection of Propofol type Fresenius was injected. Group V (55 patients) also received 100Â µg Fentanyl before injection of Propofol. The place of injection is the dorsal vein of the hand. None of the patients received premedication and they were asked about the pain in injection place, 5-10 seconds after injection of 25% of anesthetic induction dose. And it was inscribed in questionnaire and after lessening the level of patients’ consciousness the rest of the anesthetics were injected. Anesthesia method were be same in all patients. The Propofol we wanted to use kept at room temperature (21 centigrade). Patients and the anesthesia nurse who filled out the questionnaires won’t know about the injected solution. And there is no chance to distinguish the solutions because they had the same color, volume and also the same shape. The first anesthesia nurse prepared the medication and injected by the second anesthesia nurse, the measure of pain and discomfort in hand examined by third anesthesia nurses and the questionnaire filled out by the fourth anesthesia nurse .To determine the relationship between premeditation and a measure of the pain Mann-Whitney and Kruskal- Walis test was used and demographic feature was also compared using ANOVA and Chi Square test with Spss 11.5. Results 257 out of a total 260 participated patients were analyzed in our study and 3 cases due to lack of condition were exclude. Characteristic of study subject including age, gender, weight and ASA physical status were presented in table2. No statistically significant difference saw in demographic characteristics of all groups and were comparable. (Table 2)(p>0.05)The overall and detailed of pain incidence shown for all groups in (table 3).Pain intensity at propofol injection in lidocaine and thiopental groups was much lower than three other groups especially in severe pain however fentanyl were also better than normal saline combined with propofol and using propofol only. No patient experienced spo2 less than 95% and heart rate lower than 50/min. No complication and adverse effect (eg, pain, allergic reaction, inflammation, edema, wheal ) were observed at the injection location 24 h after surgery. There was no conflict of interest . Discussion Pain during propofol injection causes anxiety and can interfere an appropriate anesthesia. Pain during Propofol injection mechanism is not well known yet, But it is suggested that perhaps a direct stimulating effect causes the immediate feeling of pain, or an indirect effect dependent on mediators release lead to begin pain.(15) dilatory pain (after 10 to 20 seconds) results from an indirect effect on the endothelium owing to the release of Cyanogens(21). Fat-soluble causes the increased activity of plasma’s kallikrein-kini system that leads to production of bradykinin. These interactions cause dilation and increased permeability in the peripheral veins, lead to an increase in Aqueous phase of Propofol with the endothelium and free efferent nerve endings between the media and intima of vessel wall and eventually cause pain (22). Finally we can say Propofol is a kind of drugs which stimulate skin, phlegm and inner vein wall(23). Gozal and Freeman (24-26) have debated, confined area size between the endothelium and drug is more influential than absolute drug concentration. A various method such as temperature(27) dilution(28) concurrent use of drugs(29-31) , give a variety to speed injection(32) has been used to attenuate propofol injection pain but different lidokaine dose and technique mostly use to attenuate for such pain (33)Analgesia results of Lidocaine in pain reduction following Propofol injection is not only because of it’s local analgesia but also it causes the decrease in Propofol Ph, and according to a hypothesis, Ph decrease causes Propofol moving into lipid phase and decrease Propofol in Aqueous phase and therefore lead to decreasing pain.(34, 35). In the present study, injection of Lidocaine before Propofol injection leading reduction in pain that the findings are compatible with other studies (23, 26, 36) but with the exception that their doses which were more than ours. Nevertheless controversy still exists (37) maybe for using higher dose in our study . The effect of Sodium Thiopental in pain reduction was accorded with other s tudies (8, 35, 38, 39). Fentanyl is also diminishes such pain but not as much as lidocaine and thiopental that is consistent in diminishing pain with others investigations (40-42) Conclusion This study finding shows that use of Lidocaine and Sodium Thiopental in comparison with other medications cause more reduction in pain especially in severe pains but lidocaine is more available cheaper than thiopental . Although no significant observed between some groups in pain reduction but pay attention to our founding in frequency of pain suggest using propofol with any premedication even normal saline better than injected propofol alone.

Friday, October 25, 2019

The Gender Politics of Work Exposed in The Yellow Wallpaper :: Yellow Wallpaper essays

The Gender Politics of Work Exposed in The Yellow Wallpaper   Ã‚  Ã‚  Ã‚   The literature of the nineteenth century cataloged the social, economical and political changes during its period. Through it many new concerns and ideologies were proposed and made their journeys through intellectual spheres that have endured and kept their relevance in our own period today. The literature, sometimes quite overtly, introduced the issues arising with the changes in society specifically due to the industrial revolution. In this mixture of new ideas was the question of women's labor and functions among this rapidly changing society. American authors as well as Victorian authors, like George Gissing and Mabel Wotton, explored these issues somewhat explicitly during this period. In America, Louisa May Alcott and Charlotte Perkins Gilman expressed these issues in short stories with strong implications of the dangers of unfulfilled or unsatisfying labor available to women.   Ã‚  Ã‚  With the emergence of an industrial working class that arrived from the farms and countryside new theories and ideologies about the political economy began to appear. Karl Marx, a political philosopher during this time, introduced the idea of "alienation of labor". His theory proposed that labor has the ability to create a loss of reality in the laborer because the laborer himself becomes a commodity or object due to the nature of work. In terms of the roles of women it can be argued that the effect is even greater due to the limited choices of work available. This theme is expressed in literature through the writings of Gilman and Alcott.   Ã‚  Ã‚  In Charlotte Perkins Gilman's, The Yellow Wallpaper we are introduced to characters that can be argued to be representational of society in the 19th century. The narrator, wife to a seemingly prominent doctor, gives us a vision into the alienation and loss of reality due to her lack of labor. I also contend however that this alienation can also be attributed to her infantilization by her husband, which she willingly accepts. "John laughs at me, of course, but one expects that in marriage" (1). The narrator here realizes her place among the order of society and even notes that it is to be expected. She is aware of her understanding that things between she and her husband are not equal not only because he is a doctor but because he is a man, and her husband.   Ã‚  Ã‚  The narrator is forbidden from work and confined to rest and leisure in the text because she is supposedly stricken with, "†¦temporary nervous depression - a slight hysterical tendency," that is diagnosed by both her husband and her brother, who is also a doctor (1).

Thursday, October 24, 2019

Jane Eyre and Helen Burns Comparison

Jane Eyre and Helen Burns are best friends at Lowood, but they both see the world differently. Each one is treated individually and handles their punishments in their own way. They both cherish their faith, but it can’t exactly solve all their problems in life. That is why they turn to each other and be supportive throughout their time at Lowood. Even though the school isn’t fair and is tough on the girls, they still manage to stay true to themselves. To begin with, Jane and Helen have different personalities.Jane is more of a rebel, while Helen prefers to just go with the flow. Jane has a sense of self-worth, dignity, a commitment to justice and principle, a trust in god, and a passionate disposition. She is also an intelligent, honest, plain-featured firl forced to contend with oppression, inequality, and hardship. Meanwhile, Helen manifests a certain strength and intellectual maturity. Like Jane, Helen is restlessly imaginative and ornery. Although, Helen’s su bmissive and ascetic nature highlights Jane’s headstrong character.Both Jane and Helen are orphans that long for a home and fair treatment. Helen believes that she will find her home in Heaven rather than Northern England, while Jane longs for love and freedom. With this in mind, Jane does not like it when people treat her poorly, so she’s always ready to strike back. Helen doesn’t like receiving cruel punishment either, but she prefers to just accept it because she knows it’s never going to stop. She endures her miserable life with a passive dignity that Jane can’t understand. Jane struggles to find others who understand her.Helen in some ways is a more mature version of Jane because of the way she handles situations and pushes her way through life. Above all, both girls turn to their faith to help them endure their life at Lowood. Helen represents a mode of Christianity that stresses tolerance and acceptance. She trusts her own faith and turns th e other cheek to the Lowood policies. She believes that justice will be found in God’s ultimate judgement – God will reward the good and punish the evil. On the other hand, Jane us unable to have such blind faith. She counts on God for support and guidance in her search.Her quest is for love and happiness in this world. All in all, Jane Eyre and Helen Burns are two very different girls dealing with similar struggles at Lowood. They may turn to each other for help, but they also turn to their faith. Their faith is a major part of what keeps them going strong in life, as well as friendship. Jane and Helen may not like the way that there are treated, but they manage to deal with it and make their way through life’s toughest battles. They just listened to their heart and believed in themselves and each other.

Wednesday, October 23, 2019

John Locke Provisos Essay

John Locke was an English philosopher who had the thought that all people have natural rights. Their natural rights included that of life. autonomy and belongings and the thought of these rights being held by each person is frequently said to be the primary influence of the American Declaration of Independence. Locke farther explains his principle behind natural rights in Two Treatises of Government and peculiarly belongings right in his â€Å"Provisos. † saying the conditions the brand belongings populace or private. Locke’s â€Å"Provisos† discusses the thought that belongings becomes private when a individual labours upon the belongings. His logical thinking that the land becomes the person’s private belongings is that a individual has the right to the fruits of his labour. and he besides has the right to the resource that bore his fruits. in this instance the belongings. As Locke says. â€Å"He by his labour does. as it were. envelop it from the common† ( page 437 ) . By this he means that by tuging over the land. the land is taken off from the remainder of society. the common. and becomes the private belongings of the person. Locke besides believes that â€Å"as much as a adult male tills. workss. improves. cultivates. and can utilize the merchandise of. so much is his property† ( page 437 ) . In this. he is saying that a adult male can have every bit much as can be utile to him ; claiming belongings in surplus and non being able to do it productive is incorrect because the belongings will so travel to blow alternatively of bearing fruit. This is incorrect because â€Å"nothing was made by God for adult male to botch or destroy† ( page 436 ) and holding land lying to waste is along the same lines as destroying the land. This thought from Locke’s â€Å"Provisos† follows from his thought of general belongings rights. He believes that land that has non been influenced by an individual’s labour is land available for all of society. Man should still esteem the land and non work it. but â€Å"were it non for the corruptness and ferociousness of pervert adult male. there would be no demand of any other. no necessity that work forces should divide from this great and natural community† ( page 441 ) . However because world can non be trusted. Locke believes that one time a adult male does set forth attempt to better a piece of belongings. that land and the merchandises of it belong to him. Although that land might belong to one adult male. it is still profiting the remainder of society because â€Å"the commissariats functioning to the support of human life produced by one acre of enclosed and cultivated land are ten times more than those which are yielded by an acre of land of an equal profusion lying waste in common† ( page 437 ) . This is similar to the manner in which both a husbandman and society benefits from his crop. The husbandman and society both can have nutriment from his crop and what crop goes to the remainder of society. he is repaid for. which allows him to go on seeding seeds that will go on to foster the common. A state of affairs of private belongings that would conflict with one of the Lockean provision is belongings that is acclaimed through coercing Native Americans to hold with the American imposts that were being imposed and the American regulation. or to go forth. such as with the Indian Removal Act that was signed into jurisprudence in 1830. The Native Americans had worked the land and made it suited to back up their life style and in the quest to accomplish Manifest Destiny. nil would impede the determined heads of the Americans. Harmonizing to Locke. the land truly belonged to the Native Americans because they had labored on the land to do it comfortable. They did non work it ; they used the resources sagely and nil went to blow with their minimalist life style. With the Indian Removal Act that President Andrew Jackson signed into consequence. all Native Americans had to be relocated to countries west of the Mississippi River. The Native Americans were removed on the footing that American colonisers needed the land and wanted to accomplish Manifest Destiny. Another state of affairs affecting private belongings that would go against one of the Lockean provision would be that of the authorities prehending land due to unpaid revenue enhancements. In this state of affairs. a husbandman could hold yielded a big crop. but the demand for his harvest declined greatly to the point that he is unable to do a big adequate net income to pay his revenue enhancements. This could fall into a form for many old ages to come. finally making the point that the authorities can no longer merely maintain seting the husbandman into more debt. The husbandman would hold to claim bankruptcy and the authorities would prehend his land. This would go against Locke’s thought that the land a adult male plant. is his. The husbandman was making the best he could. was profiting society. and ne'er consented to losing his right to his land. but the authorities took it away anyhow. I believe that Locke right draws the line on private belongings because we have the right over our ain organic structures. and if the work of those organic structures can unite with resources to make something. so we have the right to claim that merchandise and the resources we used to do it. No 1 else put forth the attempt and therefore the fruit of our attempts are ours. I believe that difficult work deserves reward and that wages is the right to the merchandise. As Locke says. â€Å"The labour of his organic structure and the work of his custodies. we may state. are properly his† ( page 436 ) .