Wednesday, May 6, 2020
Rohinton Mistry Essay Example For Students
Rohinton Mistry Essay She apparently found comfort in the oil lamp, with the thought of Minocher being around at the back of her mind. But the little oil lamp became a source of comfort in a house grown quiet and empty for the lack of one silent feeble man, one shadow (Page 63). The shadows kept reminding her of the past, and she found solace in it. The pugree is another major symbol which Daulat associates with Minocher. At the end of the story, when she gives it away to the young man, we can see a transformed Daulat. It seemed like she was in a battle of minds before the act. So, the final act of giving away the pugree (and later on of putting off the lamp) signifies her decision to put aside her past and start living in the present. Thus, both these symbols link the past and present, and bring about a change in the protagonist. While the lamp itself brings the two worlds together for the period of four days, the pugree raises questions in Daulats mind, which finally results in her decision to accept reality. Thus, both symbols create hybridity in duality. Imagery in Lend me Your Light also plays a vital role in portraying the dual identities of the characters. Jamshed and Percy are shown to be best friends at the start of the story. Very hyphenated images of Jamshed are given, which very well makes up the readers mind about him. His food arrived precisely at one oclock in the chauffeur-driven, air-conditioned family car, and was eaten in the leather-upholstered luxury of the back seat, amid this collection of hyphenated lavishness (Page 174). On one level, hyphenation operates in the literal sense, and on the other level, it augments the characters identity. We come to acknowledge Jamsheds luxurious lifestyle, what with images such as model-airplane kits, original soundtrack of My Fair Lady and so on. In stark contrast to Jamshed is Percy, with the primary image of Navjeets death summing up all perceptions of Percys character. After a while he looked up and said, They killed Navjeet. No one spoke for the next few minutes. (Page 191). The strength and resolution within Percy is evident and the lifestyle he leads is very much in contrast to Jamsheds. Thus, the duality in the characters is explored through Mistrys use of imagery. It is an irony that these two characters were best friends in their childhood years, which in itself brings about hybridity, as in bringing together two diverse characters and bonding them through friendship. It is another matter they drifted apart in their adulthood Rohinton Mistry was born in Bombay in 1952 and has lived in Canada since 1975. This line in itself sums up his intention of exploring such themes as duality and hybridity. It seems that Mistry has integrated the Canadian culture in him; but his writing of this book and such themes clearly indicates that deep within him, he wants to come back to his mother country. Though we cant place this as a fact, we can see why he would like to explore such issues. The book might be a means for him to merge with his true identity, to vent out his feelings to the world. Thus, Mistry explores these issues as it may relate to his own life to a certain extent, though not as explicitly as portrayed in the stories. Overall, both stories Condolence Visit and Lend me Your Light, very extensively explore the theme of duality and hybridity, or rather, hybridity in duality. Mistry does so by the use of characters, symbolism and imagery. .ufab4d902600b6513b7260655b3cfd7fa , .ufab4d902600b6513b7260655b3cfd7fa .postImageUrl , .ufab4d902600b6513b7260655b3cfd7fa .centered-text-area { min-height: 80px; position: relative; } .ufab4d902600b6513b7260655b3cfd7fa , .ufab4d902600b6513b7260655b3cfd7fa:hover , .ufab4d902600b6513b7260655b3cfd7fa:visited , .ufab4d902600b6513b7260655b3cfd7fa:active { border:0!important; } .ufab4d902600b6513b7260655b3cfd7fa .clearfix:after { content: ""; display: table; clear: both; } .ufab4d902600b6513b7260655b3cfd7fa { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ufab4d902600b6513b7260655b3cfd7fa:active , .ufab4d902600b6513b7260655b3cfd7fa:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ufab4d902600b6513b7260655b3cfd7fa .centered-text-area { width: 100%; position: relative ; } .ufab4d902600b6513b7260655b3cfd7fa .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ufab4d902600b6513b7260655b3cfd7fa .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ufab4d902600b6513b7260655b3cfd7fa .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ufab4d902600b6513b7260655b3cfd7fa:hover .ctaButton { background-color: #34495E!important; } .ufab4d902600b6513b7260655b3cfd7fa .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ufab4d902600b6513b7260655b3cfd7fa .ufab4d902600b6513b7260655b3cfd7fa-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ufab4d902600b6513b7260655b3cfd7fa:after { content: ""; display: block; clear: both; } READ: Lewis Carroll Persuasive EssayHe relates them to being between two worlds and thus brings about a whole cycle. Mistry somewhat cunningly handles this theme in a unique way, linking hybridity and duality when they are, essentially, two separate themes entirely.
Tuesday, May 5, 2020
Brazilian hatiian slavery Essay Example For Students
Brazilian hatiian slavery Essay The European colonies in the Americas were built upon the backs of the African slaves whose unpaid labor produced immense capital for Atlantic economies. Taken from their African homelands and thrust into the Americas, Black slaves labored under the hot Western sun to produce cash crops to add to the coffers of others. The slaves had no economic incentive to produce for their masters. To provide the necessary motivation, the slave masters relied above all on violence to coerce their slaves into labor. The slave trade and the production of cash crops created great wealth and was of great benefit to men on either side of the Atlantic, with the notable exception of the individuals who actually performed the labor. The history of Africans in the Americas is as much a history of slavery as it is a history of resistance to enslavement. From the moment they set foot on American soil, Africans plotted against their masters. Haiti and Brazil were two regions where slavery was as especially important as it was harsh. An African, upon touching Brazilian soil, had a life expectancy of sixteen yearseight years if he was sentenced carrying coffee. (Conrad 125) One third of all Haitian slaves died within several years. (Klubock) Both nations offer countless tales of Black resistance to White domination. Revolutionary action was often connected to religious practice, which slaves had to conduct in secret. African slaves also sought ways to maintain their African culture through secret dances and religious ceremonies, as well as the flight to mock African communities in the Americas to escape bondage. Manumission was also not uncommon as a relief from slavery. In Brazil, manumission was often purchased by a slave who had accumulated wealth on his own. Frequently these slaves were mulattos and more often than not women. In Haiti, children of the master, born of a slave concubine, were frequently manumitted. Haitian and Brazilian manumission created sizable populations of free blacks and mulattos, some of whom became very successful in Euro-American society.(Klubock)Though often temporary, another means of escaping slavery was to flee. Sometimes slaves left their plantations to participate in secret dances. Other slaves attempted permanent escape. As Conrad wrote, The problem of runaway slaves placed a permanent claim on the energies and assets of the slaveholding class (362). The escape of slaves from their plantations was a common event in Brazil. The rosters of most slave owners included runaways, and the metropolitan newspapers were rife with advertisements with descriptions of runaway slaves and offers of rewards. (Conrad 362, 111)Gathering together in the jungles of frontier Brazil, runaway slaves formed towns and villages called quilombos (Conrad 367). These quilombos became centers of African culture where African languages and customs predominated. As in Africa, quilombos were often governed by a king. And given enough time, authority in a quilombo could become hereditary. (Conrad 368)Operating autonomously, quilombos near Brazilian towns were often able to offer their services in exchange for goods. Such arrangements were conducted outside of Brazilian law and efforts were made on the part of the government to suppress these contacts and eliminate the quilombos.(Conrad 368)A Brazilian police report written in 1876 describes the commercial trade conducted between two quilombos and the city of Rio de Janeiro. In addition to supplying the residents of the quilombos with provisions and equipment, Brazilians from Rio de Janeiro always warned them when the re was reason to suspect that the authorities were trying to capture them. In exchange, the members of the quilombos cut and loaded firewood for the Brazilians. (Conrad 386)Another document, written in 1854 by the British consul in Belm, Brazil, describes the members of a quilombo as industrious in the cultivation of rice, mandioca, and Indian corn, and in the manufacture of charcoal. The inhabitants of the quilombo also manufactured canoes and small sail boats for navigating the rivers of the Amazon Valley and carrying on trade. Their trading partners were the inferior class of tradesmen in the neighboring towns with whom the members of the quilombo traded for provisions and equipment. (Conrad 390)Despite the industriousness of many quilombos others relied on less productive means of procuring wealth. When they were located near plantations and settlements, quilombos frequently
Thursday, April 16, 2020
What Is a Good Doctor free essay sample
What is a good doctor? What makes a good doctor perfect? In the articles Phlebitis by Lair Eigther,The Doctors as Stranger by David Rothman, and the book The Spirit Catches You and You Fall Down by Anne Fadiman these authors state different situations and outlooks the patients were in. For instance the writers explored whether the patients had good medical treatment. Furthermore the authors view the disconnection between the doctors and the patients on how physicians should be able to train differently so we can enrich the relationship between the doctor and patient. Patients believe a good doctor is a doctor that is compassionate. A good doctor is a doctor who communicates with their patient, gives medical information and understands the culture, beliefs and the situation of the patient. For example my niece Gabriela De La Rosa was born without an ear, so her doctor was going to construct her left ear. We will write a custom essay sample on What Is a Good Doctor or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page My aunt doesnââ¬â¢t speak English just Spanish, my aunt had a hard time communicating with the physician. She came to my house a day before the surgery to ask me if I could help her translate, I gladly said yes. In Loma Linda Hospital her surgery was taken at eleven in the morning her doctor and nurses were ready for the surgery. Her doctor kept in touch with me every thirty minutes. The doctor gave us information about any complication, on every step they were doing. He kept in contact for the six hours my niece was in surgery. My nieceââ¬â¢s doctor understood our culture because he was also Hispanic he knew that my aunt was passing thru a difficult time and understood her. After the surgery the doctor was checking on my niece at least 3 times a day. He was communicating with us and telling us how fast she was progressing and how she can go home tomorrow in the afternoon and she kept up the good work. This is a good doctor. A doctor that is doing his job on helping his patients in need. Additionally in the book The Spirit Catches You and You Fall Down Anne Fadiman writes about Lia who had good doctors and she was still suffering with her health. Fadiman forces us to question what makes a ââ¬Å"perfectâ⬠doctor. A good physician is not a perfect one for example in the book The Spirit Catches You and You Fall Down Dr. Bill explain that the Dr. Neil is not a perfect physician ââ¬Å"If Neil made a mistake, itââ¬â¢s because every physician makes mistakes. If it had been a brand new kid walking off theà street, I guarantee you Neil would have done a septic work up and he would have caught it. But this was Lia . No one at Merced Community Medical Center would have notice anything but her seizures. Lia was her seizures(Fadiman 256). The quote explains that if Dr. Neil was dealing with any other child off the street he would have done an extraordinary job and wouldnt have a difficult time with the pa tient is health, and understanding the culture and language. What is a bad physician? A bad doctor is one who views the patient as a profit but not a human. Therefore author Rothman states on his article that many doctors view the patients as profit not human beings that need medical help. For example ââ¬Å"The Doctor Business , tell about an accident in which a young boy fell into a well ; after volunteers worked unstintingly for twenty four hours to dig him out, his parents took him to a local doctor, who proceeded to bill $1500 for his servicesâ⬠(Rothman 141). What Rothman explains that No physician has the right to refuse health care to anybody if they are not stable financially. Every patient has the right to have health care in any clinic, hospital, and emergency room. Another way of proving that a doctor is a bad doctor is by giving his patient the medication he believes itââ¬â¢s better for the patient. A doctor that believes on giving him the medication he believes is better for its patient. When the patient knows that the medication that was given to him was not helping his pain. For example referring back to Eightner article he states this ââ¬Å"I asked that the Vicodin be changed to Naprosyn another nonsteroid pain reliever and anti-inflammatory drug comparable in effect to Ibuprofen. Eventually a nurse brought me some Ibuprofen. Perhaps if I had asked for ibuprofen I would have got Naprosynâ⬠(Eighner 151). Eighner asked for certain medication to help him out on his pain but the faculty believes on giving him the medication they consider is better for his medical help he states if he would of asked for another medication he would of got the m edication he need . What is the patientââ¬â¢s bill of rights? Many Patients dont know what their rights are. Everyone has the right to health care in any clinic, hospital and emergency room the bill of rights form should be given to the patients so they could know and understand what their rights are. Eighner was one of the few patients that knew what his bills of rights were, but also had some knowledge of medication. Eighner was a patient that only had a watery swelling ankle that needed medical attention. Eightnerââ¬â¢s rights wereà violated by the faculty and doctors. Eighner was not allowed to view his medical chart, and he was given different medication. Doctors had lied to him about his medical condition. They also stated that if he left the hospital he was not going to survive because he had a deadly medical condition. Eigther realize the doctors were lying to him because the physician didnââ¬â¢t allow him to view his medical chart. For example Eighther remembered pointing out to Dr. Stalin when Dr. Velasquez said he could view his chart whenever he wanted. ââ¬Å"I pointed out that he had been in the room when Dr. Stalin had said I could look at the chart whenever I wanted. He claims he had been called out of the room and had not heard her say that. Of course he had not been called out of the room. I knew for a fact he was thereâ⬠(Eightner 153). Eightner rights were violated and his doctors were bad doctors because they lied about his medical condition. He was one of a kind patient that knew his bill of rights and notice on time that the doctors were lying to him . How can we change doctors training system? Society believes that doctors training system need to change because of the miscommunication with the patients and their culture. Fadiman doctors have misunderstanding of the Hmong culture. The book The Spirit Catches You and You Fall Down has several conflicts doctors vs. parents, parent vs. doctors, doctors vs. Doctors, miscommunication with each other. Physician had conflicts with Liaââ¬â¢s parents because of their culture, language and beliefââ¬â¢s. ââ¬Å"Merced Community Medical Hospital had not yet hired any interpreters, de jure or de facto, for any shift. At that time the only employee who sometimes translated for the Hmong patients was a janitor, a Laotian immigrant fluent in his own language, Laos which few Hmong understand; halting in Hmong; and even more halting in English. (Fadiman 25-26). This quote means that Merced Community Medical Hospital had not hired an interpreter to help doctors communicate with Liaââ¬â¢s Parent and the only person that would help them communicate would be there janitor. Additionally Fadiman had seen the conflict between doctors vs. parents, when Liaââ¬â¢s do ctor tried to apply a medication to her but her parents refused. The doctors called child services because they believed that Lia was safer in a foster home because they need to give her the right amount of medication, her patents were giving her too much or too little of it; it was never the right amount because of the misunderstanding of the language. For exampleà ââ¬Å"Liaââ¬â¢s prescriptions had been changed so often, her parents might been more likely to give her, her medication since they would have been less confused and more confident that the doctors knew what they were doing (Fadiman 78).Liaââ¬â¢s parents had a difficult time giving her the medication because and Lias prescription was changed of often, he parents were most likely given her to much or too little of it. Parents vs. Doctors were having a difficult time because the parent thought the doctors were harmful. The Hmongââ¬â¢s fear doctors because they believe American Doctors would eat them after their dead. ââ¬Å"When Hmong people die in the United States, is it tru e that they cut into pieces and put it in tin cans and sold as foodâ⬠(Fadiman 32). The Hmong culture believed that American doctors cut them and sold their bodies in food cans after they were dead. The doctors vs. doctors were arguing that one was better than the other. ââ¬Å"Later on when I figured out what had happen, or not happened on the earlier visits to the ER, I felt good. Itââ¬â¢s kind of a thrill to find something someone else missed, especially when you a resident and you are looking for excuse to make yourself feel smarter than the other physiciansâ⬠(Fadiman 27,28). Meaning one of the doctors that helped Lia before in the ER didnââ¬â¢t pay attention to Liaââ¬â¢s symptoms and bragging that youââ¬â¢re a great doctor in MCMC but Dr.Murphy diagnose her with epilepsy.Dr. Dan Murphy diagnose Lias seizures. Lia parents already know how to diagnose their daughter problem. They believe it was her spirit catches you and you fall down. Lias parents never knew that Dr. Dan had diagnosed Lia with epilepsy. Dr. Dan would have been surprised to hear they were caused by soul loss. What makes a good doctor good? One can conclude that even a good doctor can make mistakes and there is no perfect doctor even if itââ¬â¢s good or bad. All doctors have different way of doing their medical job. Every patient needs to know their rights so Doctors wont violate their right just like Eighner. Eighner is one of the few patients that knew his bill of right. How society wants to change the doctors training system so they could understand other cultures and be connected with its patients.
Monday, April 13, 2020
Sample Reflective Essay on Group Work
Sample Reflective Essay on Group WorkThe material in this article was adapted from a sample reflective essay on group work. If you're interested in taking the sample reflective essay and improving it, then it's time to take action!Before I get into some examples of reflective essays on group work, let me begin by explaining why you might want to take a reflective essay for granted. Reflective essays are simply essays that showcase your own skills and interests as a group leader. They are written on topics like leadership or team management or mentoring or other topics that show you are a great leader. Of course, they are also written on topics that will allow you to show off the virtues of being a group leader, and some will be written on topics that allow you to show off your leadership capabilities.The other side of the reflective essay is about sharing your leadership perspectives. There are several ways to do this, but one of the best ways is to invite someone to read the reflect ive essay, and tell them that you have read it and liked it, but that you'd like them to contribute an idea or two. You can read this individual's thoughts, as well as discuss their ideas with them, and then write up your reflections about their ideas.This approach makes the reflective essay not only interactive and interesting, but also the outcome of more than one person's thoughts. You'll find that when the process is done correctly, you'll get feedback from more than one person. In fact, if you can get three or four people to read your reflective essay, you'll get a very good sense of how well it was received.The sample reflective essay that I used to do my research was one that included this specific approach to reflection. I found that the topic of group leadership came up frequently, and I thought it was an important subject for me to cover in my own reflective essay. That said, I didn't just write about group leadership; I thought it would be interesting and helpful to show how I was a great leader and also how I could lead others to be leaders, too.In order to write a reflective essay on group work, it's not enough to just read and think about how you're a great leader. You need to use reflective writing as a tool to help you sharpen your leadership skills. Reflective writing can also teach you how to lead others by helping you think about them, how you need to interact with them, and how you can learn from their experiences. This allows you to use reflective writing to not only write your own reflective essay, but also to train your group to think critically and act responsibly, which will help improve the attitudes and behaviors of the group.The reflective essay that I have on my web site is a perfect example of what I mean. In it, I share some of my leadership lessons learned and some of my thoughts about the common characteristics of great leaders. In particular, I focused on leadership with respect to behavior and how to create opportunities for others to do great things.
Friday, March 13, 2020
Yasser Arafat Essays
Yasser Arafat Essays Yasser Arafat Essay Yasser Arafat Essay The interests of the people of Palestine had all along been protected by Yasser Arafat. A very important contribution of Yasser Arafat consisted in drawing the attention of the world to the interests of the Palestinians. It can be construed that he was a true messiah of the Palestinians due to the fact that his was the only voice that conveyed their plight to the rest of the world, when the status of the Palestinians was at its nadir. This represented a stage in the development of the Palestinian nation, when Palestinians were considered to be nothing better than criminals . The loss of the Fatah party at the hustings to the Hamas indicates that Arafatââ¬â¢s death was a serious blow to the partys popularity. This political debacle was further aided by the fact that Arafatââ¬â¢s successor Mahmoud Abbas was his antithesis. Political observers like Khaled Duzdar, analyst at the Israel-Palestine Center for Research and Information, had observed the success of Hamas as a result of the failures of Fatah. A number of these failures have been attributed to the failure of Arafat as an able administrator and the failure of his government to curb corruption, indolence in discharging the duties of public administration and the failure to create public good . Despite these drawbacks the fact remains that Arafat succeeded in establishing the state of Palestine and was instrumental in providing an identity to the dispersed Palestinians. The Palestine Liberation Organisation or the P. L. O. under the domination and control of Fatah, according to Arafat, was the sole and legitimate representative of the Palestinian people. The PLO was secular and did not allow Hamas, the fundamentalist Islamic party, to take part in. However, after the demise of Arafat, the successors in the party failed to maintain its integrity. This brought about divisions in the party as the internal conflicts increased. The beneficiary of these internal conflicts was the Hamas . The reasons that brought about Arafatââ¬â¢s death were not made public by the French doctors who attended upon him when he had been admitted for a stroke in the hospital. The doctors were unable to diagnose the health problem that hastened his death. On the 11th of November, 2004 Arafat died at the age of 75 in a French hospital. A few of Arafatââ¬â¢s followers still believe that their leader was poisoned by Israeli agents. However, it was reported by the New York Times that the medical reports did not establish any possibility of poisoning. Further the newspaper announced that medical experts had examined the reports on its behalf to establish that Arafat had not succumbed to AIDS. Moreover, Arafatââ¬â¢s personal physicians conducted exhaustive diagnoses that failed to detect the source of infection which had caused the bleeding disorder that had escalated the severity of the fatal stroke. Initially Arafat was treated for reduced platelet count in his blood and during the course of treatment his health condition worsened. He was shifted to a French military hospital near Paris where he became comatose which proved to be fatal . The actual reason for Arafatââ¬â¢s death was not disclosed to the public by his wife Suha and the Palestinian authorities delivered contradictory statements. Ashraf Kurdi, the personal physician of Arafat, stated that evidence of AIDS was found but this was not mentioned in the medical records. Even the test performed to detect AIDS was not described. Kurdi further added that Arafat was injected with the HIV virus to camouflage the symptoms of poisoning .
Tuesday, February 25, 2020
Theory and Practice Research Paper Example | Topics and Well Written Essays - 1500 words
Theory and Practice - Research Paper Example For instance, studies in mathematics and sciences have shown that better performance emanates from depth rather than breadth (Cogan & Schmidt, 2002). Teaching is termed successful, if students learn what has been taught. Therefore, this paper focuses on what students are learning. It is subdivided into three sections: the role of assessment in the context of instruction, most essential and long lasting concepts the students should be taught and, finally, the role of assessments. Beginning from looking at the role of assessment in the context of instruction, assessment is supposed to be developed to fit the learning targets set for the students in order to be supportive to the students. It should be consistent with methods of instruction as poor connection among learning targets. Instructions and assessment only amount to more than confusion and frustration leading to anger and despair. Learning is accompanied by a cognitive change and behavioral experience among people. Contrary to w hat teachers believe, much of what students learn come from experiences outside school rather than from classroom. Therefore, an ideal relationship should be established among learning targets, instructions and assessment. ... In determining what students are to learn, it best begins with oneââ¬â¢s knowledge of the subject combined with their values as an educator. No time is sufficient for a student to learn all that is required of them. Factory model of schooling in which teachers rush to cover a topic after topic leaves little or no time for internalizing ideas and making the concepts gained a solid part of the studentââ¬â¢s cognitive and behavioral experience. Students retain little of what is taught in courses that is based on content coverage other than deep understanding of the concepts. In the event that students cannot learn all that is taught, wise choices ought to be made about what is possible in a given fixed time. Learning goals and learning objectives are the terms used as labels for statements about what teachers want students to learn. Learning goals reflect ultimate aims of schooling; whereas, learning objectives focus more on knowledge and skills that help students attain their goa ls. The term subject areas are used to refer to conventional titles of content taught in school, while discipline refers to fields or study and work. Four questions can assist in framing learning goals for teaching and these include: evaluating the dimensions of the subject are to be taught, the chief aspects of these subject areas to students of a certain year and the level of sophistication. Students can, hence, continue working on the broad goals after moving to other teachers. The third question is the knowledge and skills within the discipline that will help students understand the working of other people in the field, the knowledge of people in the field that makes them successful and their
Sunday, February 9, 2020
Literature Review Are Wound Vacuum Devices Healing Wounds Essay
Literature Review Are Wound Vacuum Devices Healing Wounds - Essay Example VAC was even compared with the traditional WM dressing method and proved to heal better. This only proves that VAC is indeed a promising and faster way to heal wounds. The main purpose of this research is to look through the new way of wound healing. In the United States, over 2.8 million patients have chronic wounds and treatments cost billions of dollars per year. Wound healing is a complex process which starts with removal of debris, control of infection, clearance of inflammation, angiogenesis, deposition of granulation tissue, contraction, remodeling of the connective tissue matrix and maturation. This sequence of events should be undergone by the wound for proper healing whilst if it fails to undergo these events, a chronic open wound without anatomical or functional integrity results (Joseph, 2008). Chronic wounds should be healed at a faster rate in order to decrease hospitalization days and thereby reduce costs. A product which delivers improved healing process could help in decreasing infection, amputation and length of hospital stay thus entails potential annual savings for healthcare cost. The introduction of vacuum-assisted closure (VAC) which utilizes subatmospheric technique may be the answer in this medical challenge. In VAC, placing an open-cell foam dressing is involved. It is placed into the wound cavity and controlled subatmospheric pressure is applied. The technique was observed to remove chronic edema which increases local blood flow and enhanced formation of granulation tissue (Joseph, 2008). VAC applies negative pressure to wounds hence fluid is removed and growth of granulation tissue is stimulated. Acute, subacute and chronic wounds may be applied with VAC. Argenta, et al. have previously described the use of the VAC device to enhance healing and promote closure of a variety of open wounds FDA cleared VAC for clinical use. Frequent dressing changes which required when using WM, could be lessen by using VAC which requires dressing changes only every 48 hours (Joseph, 2008). Review of the Literature Senchenkov et al. (2007) conducted a study on the use of vacuum assisted closure (VAC) dressing for irradiated wounds. This study aimed to examine the outcomes of split-thickness skin grafts (STSG) secured by VAC during the early part of the postoperative period. Reviews were done on the records of 17 preoperatively radiated patients with extremity sarcomas that was reconstructed with STSGs combined with VAC to assess the efficiency of VAC in this purpose. Through January 1997 and December 2005, there have been 19 patients identified to base on their records to have undergone STSG reconstruction of irradiated extremity defects with VAC. These patients had soft tissue sarcomas. External beam radiation was used to treat the tumor bed and added with intraoperative radiation or brachytherapy. This was done before skin was grafted. Two of these patients however were excluded in the study because one had necrosis of the underlying irradiate muscle flaps while the other had 40% skin graft placed with epidermis which faced the recipients bed. This left 17 patients (9 men and 8 women, age 42 to 82, mean 65) to be
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