Amputations During the Civil War

Amputations During the Civil War Amputations became widespread during the Civil War  and the removal of a limb was the most common surgical procedure in battlefield hospitals. Its often assumed that amputations were performed so often  because surgeons at the time were unskilled and simply resorted to procedures bordering on butchery. Yet most Civil War surgeons were fairly well-trained, and the medical books of the era detail precisely how amputations could be performed and when it was appropriate. So its not as if the surgeons were removing limbs out of ignorance. Surgeons had to resort to such a drastic measure because a new type of bullet came into widespread use in the war. In many cases, the only way to try to save a wounded soldiers life was to amputate a shattered limb. The poet Walt Whitman, who had been working as a journalist in New York City, traveled from his home in Brooklyn to the battlefront in Virginia in December 1862, following the Battle of Fredericksburg. He was shocked by a gruesome sight he recorded in his diary: â€Å"Spent a good part of the day in a large brick mansion on the banks of the Rappahannock, used as a hospital since the battle – seems to have received only the worst cases. Outdoors, at the foot of a tree, I notice a heap of amputated feet, legs, arms, hands, c., a full load for a one-horse cart.† What Whitman saw in Virginia was a common sight at Civil War hospitals. If a soldier had been struck in the arm or leg, the bullet tended to shatter the bone, creating horrendous wounds. The wounds were certain to become infected, and often the only way to save the patients life was to amputate the limb. Destructive New Technology: The Minià © Ball In the 1840s an officer in the French Army, Claude-Etienne Minià ©, invented a new bullet. It was different than the traditional round musket ball as it had a conical shape. Minià ©Ã¢â‚¬â„¢s new bullet had a hollow base at the bottom, which would be forced to expand by gases released by the igniting gunpowder when the rifle was fired. While expanding, the lead bullet fit snugly into the rifled grooves in the gun’s barrel, and would thus be much more accurate than earlier musket balls. The bullet would be rotating when it came from the barrel of the rifle, and the spinning action gave it increased accuracy. The new bullet, which was commonly called the Minià © ball by the time of the Civil War, was extremely destructive. The version which was commonly used throughout the Civil War was cast in lead and was .58 caliber, which was larger than most bullets used today. The Minià © Ball Was Feared When the Minià © ball struck a human body, it did enormous damage. Doctors treating wounded soldiers were often perplexed by the damage caused. A medical textbook published a decade after the Civil War, A System of Surgery by William Todd Helmuth, went into considerable detail describing the effects of Minià © balls: The effects are truly terrible; bones are ground almost to powder, muscles, ligaments, and tendons torn away, and the parts otherwise so mutilated, that loss of life, certainly of limb, is almost an inevitable consequence. None but those who have had occasion to witness the effects produced upon the body by these missiles, projected from the appropriate gun, can have any idea of the horrible laceration that ensues. The wound is often from four to eight times as large as the diameter of the base of the ball, and the laceration so terrible that mortification [gangrene] almost inevitably results. Civil War Surgery Was Performed Under Crude Conditions Civil War amputations were performed with medical knives and saws, on operating tables which were often simply wooden planks or doors which had been taken off their hinges. And while the operations may seem crude by today’s standards, the surgeons tended to follow accepted procedures spelled out in the medical textbooks of the day. Surgeons generally used anesthesia, which would be applied by holding a sponge soaked in chloroform over the patient’s face. Many soldiers who underwent amputations did eventually die due to infections. Doctors at the time had little understanding of bacteria and how it is transmitted. The same surgical tools might be used on many patients without being cleaned. And the improvised hospitals were commonly set up in barns or stables. There are numerous stories of wounded Civil War soldiers begging doctors not to amputate arms or legs. As doctors had a reputation for being quick to resort to amputation, soldiers often referred to the Army surgeons as butchers. In fairness to the doctors, when they were dealing with dozens or even hundreds of patients, and when faced with the gruesome damage of the Minià © ball, amputation often seemed like the only practical option.

Time is money Essay Example | Topics and Well Written Essays - 500 words

Time is money - Essay Example The writer loves food so he learnt to cook. However, his musician friend rather chooses to pay for his lunch so as to be able to spend more time doing what he loves to do, which is music. According to writer, people spend their scarce time and money on doing things that endow them with higher utility or provide them with a relatively higher remuneration. Nobody has enough time and money to invest them on learning everything. That is why people choose to pay others for the products and services they avail from them, by spending the money they earn doing things they love to do or that provide them with a higher remuneration. Division of labor is the direct outcome of the scarcity of time and resources. The given article teaches much about the opportunity cost. Thereby, as per the article, if a person chooses to do the work he loves, she is not left with enough time to spend it on learning a variety of other things. Hence, to be able to do the things a person loves, one has to forgo doing many other things, which is the opportunity cost of choosing to do one specific thing. Hence, while procuring services, people act as the typical economic man and resort to rational thinking. They clearly assort the objectives they intend to achieve in life and allocate their time and money in a way that harmonizes with and furthers the objectives they intend to achieve in life. For example a musician may choose to learn to play guitar instead of learning to cook or repair cars, because she loves music and it is her profession. To make the best use of their time and money, people resort to trade offs and chose the best possible alternatives that suit their liking and pocket, while choosing a profe ssion or acquiring skills. With the money they earn for this work, they prefer to pay people who specialize in other vocations or skills, which they don’t know and don’t have the time to or aptitude learn. This article also teaches much about the scarcity or limited nature

Corporate Business Responsibility Essay Example | Topics and Well Written Essays - 750 words

Corporate Business Responsibility - Essay Example According to him, he opposes Milton’s theory and states that the business entity has an added responsibility of taking care of consumers and other workers on top of achieving its core purpose of making profits. These two viewpoints have had very many reviews and the comprehension and general assessment assist largely in determining the more noble theory. Both the ideas have their strong points, and this is based from the vast research and knowledge that the experts behind them have. Focusing on the views offered by Milton, he stated that the sole responsibility of a business should be to maximize profits. The positive aspect of this statement is that the business thus has the ability to offer full concentration to profit making agendas. With less association with the exterior environment, the company is assured of having maximum profits and thus leading to increased money drawn back to the company, and the subsequent result is always having the business expand to a greater asp ect. However, the theory does not accommodate all aspects of contemporary business ethics. This is from the fact that the 21st century has many people taking the social responsibility of a business rather seriously for them to acknowledge the services offered. The theory is thus rather biased from the fact that people pay more attention to a business that offers more attention to them. If a company involves the community through various activities such as brand testing before marketing and other social responsibilities like funding several events and offering financial aid, people are personally attached. This personal attachment is rather necessary in that it assists in ensuring that the community offers much attention, and to the company and the company has an upper hand in the competitive atmosphere in the location. Another aspect that is rather expounded by Milton from his theory is that a business thus has the ability of remaining anonymous by carrying out its activities in pri vate without letting in the general public in its ideas. This privacy policy is advantageous as it assures the company of originality and assurance that there will not have any theft of concepts and ideas that the company comes up. Moreover, it is said that a company that keeps to itself gets respect from the community in that it portrays its ability to have a financial bearing without assistance from others (Shaw & Barry, 2004, 232). However, looking at the 21st century from a general perspective, going through with Milton’s theory is not the best decision that a company, whether big or small, should take up. The best advice to follow is that relating to Edward Freeman. Caring about the welfare of the workers is one key point to the success of many companies. For instance, a company that sets standards to which the employees have to reach and subsequently gifts the employees that actually attain the standards is well on the course to success. The gifts may come in different packages depending on the success rate of the employees. These may range from family picnics to even salary raises. All these work better to offer motivation for the employees that eventually leads to better corporate results. Freeman and Milton have diverging corporate viewpoints but bear the same subsequent goal for each business criteria taken. The goal is success of the company. Caring about customers is also very

BTEC Business Essay Example for Free

BTEC Business Essay Shell is a multinational oil and gas company with around 87.000 employees in more than 70 countries. It is one of the world’s most valuable companies. Shell was started by Marcus Samuel back in 1833, he was a shopkeeper in London. In 1907 they merged with The Royal Dutch Petroleum Company. 1.1.11.1.2 Having a lot of offices/petrol stations all around the world makes them a global business and it’s a private business because it’s not owned by the government. Their goal is to make more money than they spend, so Shell is a profit business. Shell is in all three sectors because they dig oil (Primary Sector, they produce the oil (Secondary Sector, and lastly they sell it as well at their petrol stations. Their products are mostly oil and gas but they also have services for example, you can fill your tires with air, you can use their hoover or make use of their carwash. 1.1.3 Shell is a PLC so the liability for debts is on the company. To be considered a PLC you’re business is probably formed and owned by shareholders. Other shareholders can buy their stock quite easily. They have a lot of shareholders. As a shareholder of Shell you aren’t responsible for the debts, may the company go bankrupt. Unicef Unicef which stands for United Nations International Children’s Emergency is a massive organisation that tries to help children all over the world, not only to have an education but to protect child’s right in overall. 1.2.11.2.2 Unicef has offices all over the world, it’s a global organisation. Almost every country has an office from Unicef. The Government helps for two third of the organisation’s funds and the other part is from the millions of people that supports Unicef which makes it for the bigger part a public organisation. It’s a non-profit organisation, because they don’t want to make a lot of money for themselves but to raise money to help the children  who for example can’t go to school because they don’t have the money for it or even because they don’t have schools at that place. Unicef is subjected in the tertiary sector because they serve services to help the children. 1.2.3 It’s a Charity Partnership, as a charity you have to register and must produce annual accounts that are available to be viewed. P2 Stakeholders of Shell 2.12.2 A stakeholder is anyone that has an interest or is affected by a corporation. 1.Customers: The customers are the one who buy or uses the products and services of Shell. They want shell to have the best oil, gas and services so that what they pay for those things are worth their money. -Shell wants the customer to keep coming back to them, because without the customers Shell wouldn’t earn any money. 2.Employees: The employees are the one who works for Shell. They want to have the security of being employed, getting paid and also the opportunity for promotions. Shell wants the Employees to do their best because they are kind of representing Shell. For example, if they are rude to customers then the customers may not come back to Shell because of that. 3.The shareholders: The shareholders are the one who owns a part of Shell. The shareholders want to see their share of profit to increase. Shell wants them to increase the money. 4.Trade Unions: Trade Unions represent the interest of groups of employees. With the trade unions employees want to accomplish their interest like get higher wages. Shell wants to find out the interest of groups of the employees so they can improve it and keep their employees happy. 5.Local And National Communities: Local and National Communities are the ones who represent Shell. Shell has pipelines in Nigeria which can be very dangerous and cause local pollution, therefore community leaders represent important interest groups. Shell wants them to represent Shell positively. 6.Suppliers: Suppliers are people who provides Shell’s products. (For example the things they sell at they’re petrol stations, not the oil/gas as they produce that themselves.) They want to feel valued by Shell and they want steady orders and to be paid at their worth. Shell wants the suppliers to deliver the right orders and that the products are in best condition. 2.32.4 Stakeholders of Unicef 1.Staff members: Staff members ensures that everything is going smoothly, both in offices and on field. They want to see the results while being in field, for example, to see the kids go to the school they have built. Unicef wants the staff members to do their best and see the best results. 2.Goodwill Ambassadors and Advocates: Goodwill Ambassadors and Advocates are celebrities that funds Unicef. They want to use their fame positively and help as many kids as they can with their money. Unicef gets more known because of those celebrities. With their help people acknowledge their campaign. Plus, they are good volunteers with enough money. 3.Young Leaders: Young Leaders are young adults or teens that are helping out with the campaign as well. Young leaders wants to help out children or teens that are maybe just a few years older than them, sometimes because they feel bad for those children. They have it better so they want to help out. Having young leaders in the team is a positive outcome because this motivates others from the same age to do something to help children out, too. 4.Teachers: Volunteers that want to teach children in for example Africa. -Teachers wants to volunteer so they feel good about themselves helping the children to get better education or just an education at all. They want to be send off in a secure place, though. And not in, for example, a war zone. Unicef needs Teachers because otherwise building schools are no help at all if there’s no one to teach those children something. 5.Suppliers: Those are the ones who supplies the school books etc. They want to feel valued by Unicef and wants clear orders from them. Unicef wants the suppliers to deliver the orders to be in good quality and to be delivered on time. 6.People who gives their contribution to the collectors:  They give money to the collectors to help out. For example, they want to think they helped out building that school in Africa. Unicef need those people to help out to get more money so they can help out more. P3 Organisational Chart of Shell 5.1 Shell is organized by function, geographical areas, product groups and type of customers. Shell’s functions are divided in three groupings: Upstream, Downstream and Projects Technology. Upstream manages the manufacturing and search crude oil and natural gas. Downstream also manages the manufacturing and are responsible for the marketing department. Projects Technology does the research and projects for new products. Shell is, as mentioned before, a global company, having offices all over the world. The Upstream only is already divided in Upstream Americas (for Americas), Upstream International (for Europe, Asia/Middle East/Russia, Oceania and Africa. This is because it can function better and they can focus within that country/continent. They can focus on the culture and interest within that country/continent. They are also organized by products as you can see above. They are divided by gas, fuels and lubricants and chemical products. This way each group can specialize in their own product and make it better. Shell has a lot of customers, like the one who drives daily to and from their work or a big airplane company or the F1 team. They use different products or amount of products, so Shell organized it this way that the airplane company gets a different price than a normal man who drives daily to and from their work. 5.2 My Royal Dutch Shell would look at the amount of profit they made the year before. How much oil and gas they posses and there is on earth. We’ll look at how much we sell our products and how much our variable costs are and if we can make our variable costs less and our prices higher. Would we lose customers if we do that or not? We will do an internal researches for how much oil there still is on earth. With this information we can go further with our strategic plan. If the oil is decreasing for example, we will look  for alternative solution. Shell will look for what’s going on in each country. For example, everyone is really busy with being environmentally conscious, so we’ll think of a way other than greenpeace to show that we are not too bad for the environment. We will look at how the economy is growing or deflating. If it’s growing we can make the price higher, and if it’s deflating we don’t necessarily need to put the prices lower as Shell’s product is something that everyone constantly need. (Oil) Looking at what the concurrent position, at how they are doing is also something to consider. Organisational Chart of Unicef 5.3 Unicef is divided by directors. They have the executive Director who is in charge of the whole organisation. And other directors that are in charge of for example the Human Resources or the supplies. So Unicef is organized by function. Unicef has different regional directors. For example, there’s the Dutch Unicef Director, or the UK Unicef Director. . Working a lot on field (different countries) it’s easier to have regional offices. This makes Unicef function better as Unicef represent itself in 190 countries, each country with different values. So each country director/manager can focus on how to reach the people Unicef is also organized by geographical areas. Unicef focuses on different type of ‘products’ which are actually the different services. Although all is about children, the subjects are different. They have child survival and development, Basic education and gender equality, Children and HIV/AIDS and Child protection. They divided those subjects so they can specialise more and give the help that the child needs better. They also sell small things, kind of reminds me of souvenirs, the profit they make from these goes to the campaign funds. 5.4 Unicef will look at how they’ve succeeded at their projects so far, how many donations they get each year, how many members/volunteer they’ve got and what their next step needs to be depends on what is going on with the people around the countries they help or even which country they’ll need to help next. Once they have all those information, they’ll look at how they can  get more projects. To get more projects done, they’ll do more research so that they can give people more and more information and can attract more people to help them out. Unicef should show on the media what they’ve achieve so far and that the money people donate are really helping out. This way we’ll get more donation, so more profit to finish projects. P4 Fulfilling The Purpose of Shell 6.1 Shell’s purpose is to make as much profit as they can. Being organized by function they can put people who are specialised by those functions and make their product even better. The geographical structure helps to get to know what they need to do to get the attention of each country. Because each country has different laws, values and culture they can do their research way better if each group specialised in one specific country. Shell can make their advertisement focused on each country. Focusing on the different customers they can make special offers for different customers. Making these offers they can make sure that the customer will come back to them and can cause word to word advertisement. Splitting up different products types helps customers to know where to find what when they come to buy products from shell. Having different products means they need to make sure everything is from the same quality, the best quality. So by dividing their products and putting people who specialised on those product they know they have the best quality. Which will make customer come back to them. To be structured good, Shell uses the chain of command. It helps shell to make sure that they get the tasks that you need to do and that it doesn’t go to a different department. Fulfilling The Purpose of Unicef 6.2 Unicef’s purpose is to help as much children in need as they can. Being geographical organized helps them to fulfil their purpose because this way they can focus on what each country needs. For example, one country needs more school instead of help with HIV/AIDS. Focusing on different product type helps as well. This way, people knows exactly for what they are donating. Same as Shell, Unicef uses the chain of command so that people get the right tasks. Using Goodwill Ambassador helps them achieve their purposes, too. For example, having Selena Gomez as an ambassador is great help for them in the media. She’s really big in the entertainment industries and is a role model for a lot of teens and young adults all over the world. She indirectly advertises Unicef when she tweets or talks about how she’s an ambassador. Having different directors for each function helps as well as they can specialise on what they are doing in that sector. They can give the people ‘underneath’ them better instructions.

Barbados :: essays research papers fc

Barbados Barbados is an independent country, formerly a British colony, and the most easterly island of the West Indies. Its capital and only port of entry is Bridgetown. The island is underlain with folded sedimentary deposits, and a surface layer of coral attains 90 m (300 ft) in thickness. In the northeastern parts, erosion has exposed rugged ridges and ravines. The climate is warm and pleasant. The average annual temperature is about 27 ¡ C (80 ¡ F), and little daily or annual variation occurs. A dry season (from December to May) alternates with a wet season. The average annual rainfall is about 1,500 mm (60 in). Barbados is one of the world's most densely populated countries. Nearly 90% of the island's population is black. The production of sugarcane and its by-products, molasses and rum, long a mainstay of the Barbadian economy, has been replaced by tourism as the chief industry. The development of light industry, offshore banking, and fishing and the diversification of agriculture have been encouraged by the government. Barbados was settled by English colonists in 1627. To work the sugarcane plantations, slaves were brought from Africa, a practice abolished throughout the British Empire in 1834. Dominance by a small group of British landowners continued, and a political rights movement began, resulting in the founding of the Barbados Labour party (BLP) in 1938 and an offshoot, the Democratic Labour party (DLP), in 1955. Barbados became independent on Nov. 30, 1966. Errol Barrow of the DLP, the first premier, was succeeded by Tom Adams of the BLP, who held office from 1976 until his death in 1985. The DLP returned to power under Barrow (1986à 87) and Lloyd Erskine Sandiford (1987à 94). Owen Arthur of the BLP became premier after elections in 1994 and was returned to office in a landslide victory in 1999. In 1997, Barbados hosted a regional summit attended by the leaders of the English-speaking Caribbean nations and U.S. president Bill Clinton. Late the fol lowing year, a constitutional commission recommended that Barbados become a republic and replace the British monarch with an elected president as head of state.

Process Proposal Essay

The process that is being analyzed is the payroll process at a firm. The process can be viewed as a series of steps done on a daily basis and then at month end when salaries are to be distributed. Their process flow along with diagrams is given below. Daily: The work of the system starts as soon as an employee enters and checks in for the days work. Every employee owns a magnetic swipe card which is given to him/her upon employment at dollar. The swipe card machine notes and stores the time of entry and exit for every employee along with other necessary information such as employee number, name etc. at the day end, this data is imported to the current system database (running on FoxPro) using a third party software. Issues such as total time worked per day (depending on employee type), overtime, absences and leaves are resolved then and there. Every employee, in case of over time put in, is handed a sheet at the day end called the ‘Overtime Sheet’. Records of it are maintained by respective supervisors as well as the current system. Monthly: At month end, the data that has been accumulated over the whole period along with the overtime sheets that every employee submits is used to calculate total salaries of the employees and then paid to them in the form of payslips. All deductions and additions regarding overtimes, absences, leaves etc. are resolved and then sent to the supervisors for verification. Upon verification, deductions regarding gratuities and additions such as benefits, allowances etc. are verified from the HR system records and then forwarded to the account system for tax deductions. The final process is then to transfer funds to each employee’s personal account and distribute payslips to each one of them. The transfer is carried out by the accounts department in co-ordination with the HR system and the payslips are distributed via supervisors. A diagram that illustrates this process is given below: As it can be seen, the process has various repetitive steps that can easily be eliminated if a computerized system is used. Especially the processes at month end, these can be shortened a lot if redesigned and enabled with IT.

Experience - 796 Words

First Amendment: Religion and Education Grand Canyon University: POS: 500 October 20, 2015 Religion and the First Amendment An examination of the First Amendment legal issues that arise when a student turns in an essay and the displaying of religious nature for an assignment will provide insight into how the First Amendment applies to classroom assignments. Each reason will provide important insight, information, and court cases to better help in giving a view of the first amendment in regards to religion and education. Legal Issues Regarding Grading of Assignment When grading a student essay, there are some legal issue that need to be considered. As a teacher, you cannot not accept a student’s work due to it containing†¦show more content†¦One case that caught my eye was the O.T. v. Frenchtown Elementary School District Board of Education, where a student performed in an afterschool talent show and wanted to sing the song â€Å"Awesome God.† The school violated her rights due to her performance not bearing the imprimatur of the school and her viewpoint being discriminated (O.T. v. Frenchtown Elementary School District Board of Education). Application of First Amendment to the Scenario The First Amendment is designed to protect all citizens by giving them the right to express themselves in different ways. In doing so, we still have to be careful on how we do it. Students have the right to express themselves as long as it does not cause any disruption. In my school district, we abides by the First Amendment by not forbidding all mention of religion in the school system (Pamlico County Board of Education, 2015). The only part that is prohibited is the advancement or inhibition of religion (Pamlico County Board of Education, 2015). My school district feels that there’s nothing unconstitutional about using religious subjects or materials as long as it is in compliance to the neutrality of the education program (Pamlico County Board of Education, 2015). Conclusion When working with students assignments that deals with religion, we as educators have to take various things into considerations. We have to allow students the opportunity to express themselves even when dealing with religiousShow MoreRelatedPersonal Experience : My Experience920 Words   |  4 PagesMy Personal Experience Whatever experience, we have either good, bad or ugly; our experience reflects on our behavior or action. In life everybody has their own experience; as Lewis N. Roe said â€Å"personal experiences are probably the most convincing reason to believe for any individual who has had them†. My personal experience is the 1st hand experience that belongs to my private events that have taken place in my life. 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