Complication In Grand Multi Parity

Complication In Grand Multi Parity Grand multi parity is the condition of giving birth after the 28th weeks of gestation, following 5 or more previous viable babies. Grand multiparae is relation to obstetric performance is labeled high risk. High risk pregnancy is define as one in which the mother, fetus or newborn will be at increased risk of morbidity or mortality at or after birth. The risk to the mother and child is relatively high in first pregnancy and then this risk decline during second, third and then slowly rises with increasing parity by the sixth pregnancy risks exceeds these of 1st and after that rises steeply with each pregnancy1. Grand multiparous have been considered to be at higher risk of developing antenatal complications. These complications include gestational diabetes, hypertension, anemia, placental abruption, placenta previa, preterm labour, mal-presentation, mal-position, fetopelvic disproportion and intra-partum complication, uterine intertia, dysfunctional labour, uterine rupture, intrauterine death, marosomia and subsequent operative delivery with its consequent risk of maternal mortality and morbidity2,3. Postpartum haemorrhage also more common in grand multipara. Munim noted in her study PPH was three times more common in grand multipara4. Grand multiparity reported to increased both maternal and perinatal morbidity and mortality5,6. It is generally accepted that GMP is risk factor of obstetric complication but recently a few reports have appeared in the literature showing that this might be fiction rather than fact. Toohey et al, Fayed et al, and Kaplan et al, addressed the obstetric performance of great grand multipara but they concoluded that such women were not a high risk group7,8,9. Brunner et al, in 1992 concluded that grand multi parity should be regarded as an obstetric risk factor, mainly because of the higher frequency of placental complication and with good obstetric care there should be no advice affects to the mother or newborn10. The incidence of grand multipara has decreased in most western countries in recent years due to better socioeconomic status and high use of contraception11,12,13. In third world countries like Pakistan the large families are still common. Grand multi parity is a common problem in this part of world and when added to low socioeconomic status, it significantly increases the risk to mother and fetus8,14,15. OBJECTIVES The objective of our study were To compare obstetrical complications between grand multiparae and low parity women. To study the frequency of maternal and perinatal mortality associated with complications of grand multi parity. OPERATIONAL DEFINITION GRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. MATERIAL AND METHODS SETTINGS: This study was conducted in Obstetric / Gynaecology Unit-I, Civil Hospital, Karachi and Sheikh Zaid Women Hospital Larkana. DURATION OF STUDY: One year from 1st July 2008 to 31st March 2009 at Civil Hospital Karachi and 1st April 2009 to 30th June 2009 at Sheikh Zaid Women Hospital Larkana. SAMPLE SIZE: A total of 200 pregnant women were selected randomly, were divided into two groups with 100 women in each group. Group I consistent of women with parity five or more, and group II consisting of women with parity one to four. SAMPLING TECHNIQUE: Probability. SAMPLE SELECTION: Sample selection was done according to the following inclusion and exclusion. INCLUSION CRITERIA: All pregnant multiparous women. EXCLUSION CRITERIA: Primigravida. STUDY DESIGN: Comparative, cross sectional DATA COLLECTION PROCEDURE: A 200 women were admitted in our ward through out patient department or emergency, or referred by private clinics or traditional birth attendants were selected. These cases were divided into two groups. Group I consistent of 100 women of parity five or more and group II consistent of 100 women were admitted during the same period with parity one to four. On admission patients history was taken in detail. Age, parity, socioeconomic status, detailed obstetrical history, past history were recorded and previous record was received to detect antenatal complication including anaemia, PIH, APH, and malpresentation , pre-term labour. Anemia was taken as haemoglobin of 11 g/dl, PIH was defined as blood pressure of > 140/90 millimeter mercury after 20 weeks of gestation with or without protenuria on two or more occasion 6 hours apart. Bleeding from genital tract after 24 weeks gestation was taken as APH. Ultrasonography was done in non-booked cases when there was suspicious of malpresentation which was defined as presenting part of fetus in other than cephalic in relation to maternal pelvis. Preterm labour was defined as labour before 37 complete weeks gestation. During labour patients were managed according to units protocol and partogram recording was used to evaluate the progress of labour. The intrapartum complications included prolonged labour and ruptured uterus. Mode of delivery was also recorded. After delivery, the patients were monitor for 24 hours for primary PPH which was taken as blood loss estimated to be more than 500ml after normal vaginal delivery and 1000ml after caesarean section. The maternal death if any was recorded with its cause in detail. Neonates were followed for neonatal complication which included, LBW, macrosomia, perinatal death. Birth weight of < 2.5 kg was taken as LBW and > 4.2 was taken as macrosomic babies. Admission to NICU. Perinatal deaths (PND) included all intrauterine death (IUD) and early neonatal deaths (ENNDs). Data was collected through special proforma, neonatal follow up recorded was also entered in the same proforma. STATISTICAL ANALYSIS: Data analysis was performed through SPSS version-10.0. Frequencies and percentages were computed for presentation of all categorical variables of the study including age, booking status, mode of delivery, pregnancy related complications, intrapartum and postpartum complications, maternal and fetal mortality, and birth weight. Chi-square test was applied to compare age, booking status, mode of delivery, pregnancy related complications, intrapartum and postpartum complications and birth weight between low parity and high parity groups. Fishers exact test was applied to compare maternal and fetal mortality and nursery care admissions between low parity and high parity groups due to typically low expected count (< 5). Statistical significance was taken at p < 0.05. RESULTS Commonest age group in both study groups was 20 25 years in which total 76 patients were observed, however this age group was significantly higher (46% vs. 30%, p=0.001) in low parity group that high parity group while older age group of the study 36 40 years was higher in high parity group than low parity group (4% vs. 15%). So the age distribution was significantly different in two groups (Table-1). Most of the patients in my study were unbooked, i.e. 131 % (Table-2). Booking status between two groups was statistically insignificant (p=0.344). Anemia was significantly higher in high parity group than low parity group (89% vs. 62%, P = 0.001); while abruptio placentae, PIH and malpresentations were significantly higher in high parity group than low parity group (p < 0.01). Placentae previa, preterm labour and twin pregnancy were insignificant between two groups (Table-3). Out of 200 women in this study, 21 (10.5%) underwent caesarean section and 179 (89.5%) normal vaginally delivered (Figure-1). In high parity group, proportion of women who underwent caesarean section was significantly higher in high parity group than low parity group (16% vs. 5%, p=0.011). Intrapartum and postpartum complications found insignificant between two groups at p < 0.05 (Table-4). No maternal death was observed in low parity group but one (1%) maternal mortality was observed in high parity group, however difference of maternal mortality rate was insignificant (p = 0.999) between two groups (Figure-2). Significantly high number of fetal mortalities was observed in high parity group than low parity group (16% vs. 4%, P = 0.999) (Figure-3). We observed 8% NICU admissions in high parity group that was not statistically significant (p 0.213) as compared with 3% NICU admissions in low parity group (Figure-4). Table 1: AGE DISTRIBUTION (n = 200) Age (years) Group Total Low parity (n = 100) High parity (n = 100) 20 25 46* 30 76 26 30 40 29 64 31 35 10 26 36 36 40 4 15* 19 * Shows significant difference (X2 = 18.6, d.f = 3, p = 0.001) Low parity: Parity 2-4, High parity: Parity > 4 Table 2: COMPARISON OF BOOKING STATUS (n = 100) Booking Group Total Low parity (n = 100) High parity (n = 100) Booked 32 23 55 Unbooked 62 69 131 Referred 6 8 14 * Significant difference (X2 = 2.13, d.f = 2, p = 0.344) Key: Booked = 3 or more antenatal visits. Unbooked = < 3 or no antenatal visits. Table 3: COMPARISON OF PREGNANCY RELATED COMPLICATIONS BETWEEN TWO GROUPS (n = 100) Complications Group p-value Low parity (n = 100) High parity (n = 100) Anemia 62 89 0.001 Placentae Previa 5 7 0.55 Abruptio placentae 2 11* 0.018 Preterm labour 5 6 0.760 Pregnancy induced hypertension 4 14* 0.024 Malpresentation 2 15* 0.001 Twin pregnancy 2 4 0.68 * Shows statistically significant difference at p < 0.05. Figure-1: COMPARISON OF MODE OF DELIVERY BETWEEN TWO GROUPS * Significant difference (X2 = 6.44, d.f = 1, p = 0.011) Table 4: COMPARISON OF INTRAPARTUM AND POSTPARTUM COMPLICATIONS BETWEEN TWO GROUPS Complications Group p-value Low parity (n = 100) High parity (n = 100) Obstructed labour 3 4 0.70 Ruptured uterus 1 1 Retained placentae 0 2 0.50 Postpartum hemorrhage 2 4 0.68 * Shows statistically significant difference at p < 0.05 Low parity: Parity 2-4 High party: Parity > 4 Figure-2: COMPARISON OF MATERNAL OUTCOME BETWEEN TWO GROUPS * Significant difference (p = 0.999) Figure-3: COMPARISON OF FETAL OUTCOME BETWEEN TWO GROUPS * Significant difference (Fishers exact test, p = 0.005) Figure-4: COMPARISON OF NURSERY ADMISSION BETWEEN TWO GROUPS (n1 = n2 = 100) * Significant difference (Fishers exact test, p = 0.213). Low parity: Parity 2-4 High parity: Parity > 4 NICU = Neonatal intensive care unit DISCUSSION This comparative, cohort study was conducted in largest hospital of Karachi to find out whether grand multi parity is risk factor for obstetrical complication when compare to low parity. Despite of availability of modern obstetric facilities, women in our society not intend to get book for antenatal care because they are too busy at their home and lack of awareness about health care, We found in our study that most of the patients in both groups coming in Civil Hospital, Karachi were non-booked and referred from different areas with complications. Unbooked 13% and 14% referred from different areas. In our study the grand multipara were older then low parity women. Increased age of GMP women put them additional risk for complication. As our study was not age matched study. So, the age matched study should be done for the proper risk assessment. This study shows that antenatal complication such as anemia was more common in grand multiparae. A Salick, et all also found same result in th eir studies 16. Anemia is more common in grand multipare because of poor nutrition, repeated pregnancies, low socioeconomic status. Pregnancy induced hypertension (PIH) was more common in our study, these women were relatively older than low parity and my study was not age matched study. Munim S, et al., found in her study statistically significance difference in the induced of the PIH that was 15.4% in grand multipare compared to the 9.3% in low parity women 4. Although the patients in here study were booked patients, she reported that higher prevalence of these complications may be explained on the increased age of these women. In spite of increased incidence of PIH the superimposed pre-eclampsia and eclampsia was no more common in my study.4. Regarding the antepartum haemorrhage, abruptio placentae is more common in GMP. Although number of placenta previa was increased in grand multi parity than low parity but not statistically significant. Heija AA, also found in his study that abruptio placentae is more common in grand multipareae. He state that the high parity is significant etiological determinant of placental abruption 2. The malpresentation was more common in grand multipare especially breech was more common than the low parity. Malpresentation in grand multipara is common because increasing laxity of anterior abdominal wall musculature, failing to act as a brace to encourages and maintain a longitudinal lie, encourages malpresentation 17. Preterm labour was same in both groups. Aziz FA, studied the grand multipare Sudanese women and found the incidence of pre-term labour was increased in these women 18. The intra partum complication like obstructed labour result was same in both groups in both cases patients was referred and reason was abnormal fetal position. we found 1 case of Ruptured uterus in each group, both these are patient were referred from private hospital, both were older age, both were mismanaged with syntocynon but low parity woman was survive and grand multiparous woman was die. Our study showed no statistical difference in postpartum haemorrhage between both groups. Page L in her series of study has reported that same result. She found no direct association between grand multiparae and PPH.63 Some other studies have shown that increased risk of PPH is associated with increased age not with increasing parity. Munim et al, noted in her study PPH was three times more common in grand multiparae 4. Our study showed caesarean section is significantly increased in grand multipare than the low parity, this because of malpresentation and obstructed labour, antepartum haemorrhage. One maternal death found in my study this unfortunate woman belong to low socioeconomic class, had obstructed labor due to macrosomic baby and mismanaged with syntocinon referred in state of shock despite of emergency laparotomy, blood transfusion, and resuscitation she could not survive because she was already anemic had bleed a lot and die due to cardiac failure. As regard the neonatal outcome parity is considered as important factor in determining the birth weight of baby. Many investigators have reported association of LBW with grand multiparae. But in my study low birth weight was common in low parity as compare to grand multiparae. There was no significant increased incidence macrosomic babies in grand multiparae, compare with international literature. In our study perinatal mortality was significantly increased in grand multi parity it mainly because of abruptio placenta, PIH, obstructed labour and preterm birth. CONCLUSION It is concluded from my study that antenatal complications like pregnancy induced hypertension, abruptio placenta, anaemia, malpresentation, Caesarean deliveries and perinatal mortality were more common in grand multiparae then the low parity group and multi parity is still a major obstetric hazards in our set up with higher incidence of complications.

Number of People Killed Was the Most Significant Aspect of World War I Essay

The number of people killed was the most significant aspect of World War I. To what extent do you agree? It’s 1914 and Gavrilo Princip has just shot the heir to the Austrian throne and his wife. As he fired the bullet, little did he know that he was about to start one of the bloodiest and most tragic wars the world had ever seen. World War I was, for most people, the most horrific event of their lives. There were over 35 million casualties, a war second only to World War II. No other war had changed the map of Europe so dramatically. Four empires disappeared: the German, Austrian-Hungarian, Ottoman, and Russian. Four dynasties all fell after the war: the Hohenzollerns, the Habsburgs, the Romanovs, and the Ottomans. Belgium and Serbia were badly damaged, as was France. Germany and Russia were similarly affected. Some may argue that the number of people killed was the most devastating and tragic aspect of the First World War, that the soldiers were a ‘lost generationâ€⠄¢. Others argue, however, that other aspects come into play. Economic crashes, for example, crippled many countries, almost destroying Germany. Significance can be judged in different ways. It can be judged by the number of people affected at the time, or later on in the form of remembrance. It can also be judged by the duration of the effect or the severity. Occasionally, unexpectedness is taken into account. Of the 60 million European soldiers who were mobilised from 1914 to 1918, 8 million were killed, 7 million were permanently disabled, and 15 million were seriously injured. Over 11 million civilians died from a result of direct military action (i.e. military deaths and bombing) with a further 6 million dead due to famine, disease and accidents. Overall, 1.75% of the world’s population were killed in the war. The people at home were hammered by telegrams of deaths and occasionally, were bombed. Wilfred Owen, a famous poet, wrote in ‘Anthem for Doomed Youth’, ‘and each slow dusk a drawing-down of blinds’, which denoted that every day someone in the neighbourhood would die. The deaths were also devastating in the fact that for the next 20 years, some women would not be able to get married because of the lack of men. Germany lost 15.1% of its male population; Austria–Hungary lost 17.1%, and France 10.5%. Economic crashes did alarming damage to some countries that played a heavy part in the war and most that lost it. France, which was where most of the war was fought, was in ruins and it took billions of dollars for the government to rebuild the country. All of the Central Powers were heavily affected by reparations caused by numerous treaties, the most notable being: The Treaty of Versailles, The Treaty of St. Germain, The Treaty of Neuilly, The Treaty of Tri anon and The Treaty of Sà ¨vres. Germany had to pay the Allies approximately  £6.6 billion – an enormous sum of money, which, if the terms of the treaty had not been changed by the Young Plan in 1929, would have taken the German government until 1984 to pay. Germany also had problems with starvation, unemployment and general unrest which took a lot of money to fix. Austria also suffered huge economic problems and would have also faced reparations if it weren’t for the fact that it went bankrupt before they could be set. Bulgaria did well compared to Germany, Austria and Hungary. However, it still had to pay  £100 million in reparations. Bulgaria had played a small part in the war and was treated less harshly compared to other major powers. Hungary was also due to pay reparations but its economy was so weak that it never did. The destruction of empires and creation of countries had a resounding effect on some major powers. For example, Germany’s overseas empire was taken away as it had been one of the causes of bad relations between Britain and Germany. Former colonies were taken by the League of Nations, which effectively meant that Britain and France controlled them. Parts of Germany were given to France, Poland and Denmark, and Lithuania, Latvia, Estonia and Saarland were all created from parts of Germany. Austria and Hungary also lost important land. Formerly controlled by Austrian forces, the states of Bohemia and Moravia were merged to create the new state of Czechoslovakia; Bosnia, Herzegovina and Croatia became Yugoslavia, which also contained the former kingdom of Serbia. Previously Hungary -controlled, Transylvania became part of Romania, whilst Slovakia and Ruthenia went to Czechoslovakia, and Slovenia and Croatia became the northern part of Yugoslavia. Bulgaria lost lands to Greece, Romania and Yugoslavia and its access to the Mediterranean. The number of people killed was clearly significant because it affected millions of people and their families. It is remembered in most countries that were involved in the war in the form of Remembrance Day. However, whenever you go into a war, deaths are to be expected. Economic crashes were devastating for countries like Germany or France in the short term. Nevertheless, after about 30 years, most countries recovered. The destruction of empires was clearly damaging. 4 or 5 empires were never to be seen again, whilst most empires, except Britain and France, were severely crippled. Overall, I think that, whilst the number of people killed had amazingly tragic effects, the reparations given to the losing powers were even more significant.

Bubonic Plague - 2091 Words

http://ponderosa-pine.uoregon.edu/students/Janis/menu.html Abstract Bubonic plague has had a major impact on the history of the world. Caused by the bacterium, Yersinia pestis, and transmitted by fleas often found on rats, bubonic plague has killed over 50 million people over the centuries. Burrowing rodent populations across the world keep the disease present in the world today. Outbreaks, though often small, still occur in many places. The use of antibiotics and increased scientific knowledge first gained in the 1890s have reduced the destruction of plague outbreaks. In Medieval times, with the unknowing help of humans, bubonic plague exploded into a pandemic. Known as the  ³Black Death ², it decimated Europe in 1350, killing 1/3 of the†¦show more content†¦Fourteenth century physicians didnt know what caused the plague, but they knew it was contagious. As a result they wore an early kind of bioprotective suit which included a large beaked head piece. The beak of the head piece, which made them look like large birds, was filled with vi negar, sweet oils and other strong smelling compounds to counteract the stench of the dead and dying plague victims. Bubonic plague has a vaccine. It lasts for about 6 months. Currently, plague vaccine is not available in the United States. A new vaccine is being worked on and could be licensed later this year. Travelers to plague infested areas should take prophylaxic antibiotics. The preferred antibiotic for prophylaxis is tetracycline or doxycycline, and for children 8 or less, sulfonamides. Bubonic plague is easily treated if caught early. Streptomycin is the preferred drug, but gentamicin, teracyclines, and chloramphenicol also are effective. Penicillin is useless on plague. Treatment shortly after exposure can reduce overall plague mortality from 60%-100% to 10%-15%. The most effective way to prevent plague is better sanitary conditions and precautions. These conditions and precautions include: -rat populations should be controlled using rodenticide -effective insecticides should be used to control the flea population that transmits plague to humans and rodents -ships should be fumigated with hydrocyanic gas before arriving in port -conditions around human dwellings should be madeShow MoreRelatedThe Plague Of The Bubonic Plague896 Words   |  4 PagesBlack Death The Bubonic Plague was likely the first semi-global pandemic that rightfully merits the name which means affecting all people. The period of time in which the disease wreaked havoc was also known as the â€Å"Black Death. Alexandere Yersin was a French bacteriologist and discovered the bacteria in Hong Kong This diabolical disease is characterized by both positive and negative outcomes for the few people that managed to survive the plague. The total number of people who died subsequentlyRead MoreThe Plague Of The Bubonic Plague1848 Words   |  8 Pages The Bubonic Plague killed over twenty-five million people during the Elizabethan Era (David Perlin, PhD and Ann Cohen). â€Å"The origins of the Black Death can be traced back to the Gobi Desert of Mongolia in the 1320’s (Ed. Geoffrey J. et al).† The Bubonic Plague has picked up many nicknames. For example, it has been called â€Å"The Black Death,† and â€Å"one of the four horsemen of the apocalypseâ €  (Ed. Geoffrey J. et al). The Bubonic Plague was very prominent during its time with many people’s lives beingRead MoreBubonic Plague1154 Words   |  5 PagesBubonic plague is believed to have brought the Byzantine empire to its knees in the 6th century. This is the first ever documented record of bubonic plague in human history. But the fact that bubonic plague continues to afflict human population even today is a matter of concern. Your bubonic plague research paper would revolve around the premise of it being a deadly disease, but we assure you that we won’t scare you by the facts. Bubonic plague is typically differentiated from other infections becauseRead MoreThe Plague Of The Bubonic Plague1426 Words   |  6 PagesThe plague was a catastrophic time in history, and happened more than once. It took millions and millions of people’s lives. It destroyed cities and countries, and many people suffered from it. What is the plague? The plague or referred to as the Black Death, according to the CDC (2015), â€Å"is a disease that affects humans and other mammals and caused by the Yersinia pestis bacteria. Humans usually get plague after being bitten by a rodent flea that is carrying the plague bacterium or by handlingRead MoreThe Plague Of Bubonic Plague1714 Words   |  7 Pagescharacteristics. 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Whom Did the Black Death Affect The Black death affected mostly Europe. â€Å"The disastrous mortal disease known as the Black Death spread across Europe in the years 1346-53.† (Paragraph 1) â€Å"By the endRead MoreThe Plague Of The Bubonic Plague975 Words   |  4 PagesThe Bubonic plague, also known as the Black Death, was a severe outbreak of disease that spread in Europe in the 14th century from 1346-1353. The disease spread faster then originally expected of killing only twenty or thirty percent but killed 60 percent of Europe s population ( Benedictow). It is believed the population of Europe was around eighty million and that would add up to be fifty million deaths. It was a horrific death for one to experience and can still be found in the world todayRead MoreThe Plague Of Bubonic Plague945 Words   |  4 Pages Essays 3. The bubonic plague was a devastating disease that rapidly swept across Europe. Also known as the Black Death, the plague spread from port to port and started to wipe out entire civilizations. All of Europe was eventually contaminated, with over two-thirds of the population dieing to the infectious disease. Believed to have started in 1346 when the Mongol armies overtook the Genoese trading outpost of Caffa on the Black Sea, over half the soldiers on the boat returned dead. The quicknessRead MoreThe Plague Of The Bubonic Plague1938 Words   |  8 PagesBlack Plague DBQ   Ã‚  Ã‚   The Bubonic Plague or Black Plague devastated Europe in the fifteenth through eighteenth centuries killing anywhere from twenty to twenty-five million people or about one-third of the continent’s population. At the time, medical knowledge was not competent for understanding why the deadly pathogen was spreading; therefore, the plague radiated like wildfire. The Europeans believed that the plague was a sort of divine punishment for the sins in which they had committed, and theyRead MoreThe Bubonic Plague Essay1463 Words   |  6 PagesThe Bubonic Plague Introduction Plague, was a term that was applied in the Middle Ages to all fatal epidemic diseases, but now it is only applied to an acute, infectious, contagious disease of rodents and humans, caused by a short, thin, gram-negative bacillus. In humans, plague occurs in three forms: bubonic plague, pneumonic plague, and septicemic plague. The best known form is the bubonic plague and it is named after buboes, or enlarged, inflamed lymph nodes, which are characteristics

Labor Unions - 3099 Words

Labor Unions and the Dynamics of Race in Unions Labor unions have been in America for a very long time. There are many unions in a myriad of different fields. Labor unions were and are used to allow for equal treatment of workers. Employers always want to maximize their profits and they try to give the least to get the most in return. For reasons such as this is why unions were formed. Generally a union boss is appointed or hired to protect the rights and privileges of the employees. The union boss is generally very representative of the demographics of the workers. The leader of the employees needs to know what they want and what is fair for them and this is why he tends to represent one type of work force, such as†¦show more content†¦As mentioned earlier Jim Crow laws segregated blacks from whites and this was also the case in labor unions until the 1920s. There was a lack of communication or understanding amongst the people. Interracial labor unions were formed out of necessity not desire. When people are fa ced with injustice they tend to search for justification or revenge and they do not care who helps them obtain that. As was the case in the Alabama coalfields where they were facing unfair labor practices the first interracial labor unions faced the same dilemma. Today interracial unions are not formed today out of necessity, but out convenience because of the strides we made. Some may disagree and say that we have not made many strides, but I disagree. There is a learning curve in all things and eventually all things will work out if we give them time to pan out. Martin Luther King Jr. had a dream that black and white would coexist and to a major extent they due and the continuance of interracial unions displays that. One field of work that has taken some gigantic steps in interracial labor unions is professional sports. Professional sports only lets the elite come and competes in their arenas and fields. In the early years they only let elite athletes that were white compete. The first professional athlete allowed to compete amidst the elite ranks was Jackie Robinson. He was a standout athlete in college at football, baseball, and basketball. Professional baseballShow MoreRelatedLabor Unions And Labor Union1677 Words   |  7 Pages Labor Union A labor union is as defined in the dictionary, an organization of wage earners formed for the purpose of serving the members interests with respect to wages and working condition. There are people favor unionà ¢Ã¢â€š ¬Ã¢â€ž ¢s formation and people against the formation of labor unions. Even though there are many difficulties in organizing labor union, the union was successful in late 1800s. Today there are about 16 million workers in the U.S. that belong to a labor union. The purpose of the unionRead MoreThe Importance Of Labor And Labor Unions1125 Words   |  5 PagesImportance of Labor and Labor unions 1800-1900) Prior to the American Civil War in 1861 much of American workforce was completed by slaves brought from Africa. Slave labor was used mostly in southern agriculture. Working conditions for slaves were dismal at best with inadequate housing, lack of food, resources and broken families. The quality of life for slaves was seldom taken into account by slave owners as slaves were seen as property rather than people or employees. After the Unions victory howeverRead MoreLabor Unions And The Labor Union2368 Words   |  10 PagesEvery year in this country, there are major labor disputes that result in strikes or work stoppages. In each case, the organization, the labor union, and the public are negatively affected. Why can t there be a better way of resolving disputes between the management and labor unions to avert unnecessary strikes? 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In many obvious ways, globalization has complicated the labor movement by stratifying it into domestic and international spheres. Globalization, the rapid increases in the pace and accessibility of world markets, is a relativelyRead MoreLabor Unions Are Useless1743 Words   |  7 PagesI have been involved with labor unions on three occasions throughout my lifetime. The first occasion occurred, when I was a high school teenager and began working as a box-boy at a grocery store. A condition of employment was that I was required to join the stores labor union, which was a state law in California. According to Bernard D. Meltzer, a leading scholar of Labor Law at University of Chicago Law School, â€Å"Union security provisions in labor contracts have required membership in, or financialRead More Labor Unions Essay1299 Words   |  6 PagesLabor Unions Throughout American history, labor unions have served to facilitate mediation between workers and employers. Workers seek to negotiate with employers for more control over their labor and its fruits. â€Å"A labor union can best be defined as an organization that exists for the purpose of representing its members to their employers regarding wages and terms and conditions of employment† (Hunter). Labor unions’ principal objectives are to increase wages, shorten work days, achieve

‘Conscience Is the Voice of God’ Discuss. - 1152 Words

‘Conscience is the voice of god’ Discuss. Most people would agree that conscience is the reasoned voice inside us that guides and tells us what we should and shouldn’t do. However peoples views on the origins of conscience can differ a lot; whether people belief its Gods doing or whether it’s innate or even whether it is acquired. In this essay I will be showing the viewpoints of various philosophers with their beliefs on whether conscience is or isn’t the voice of God. Ultimately I believe that conscience is not the voice of God. John Henry Newman believed that conscience was the voice of God, and that following the suggestions of your conscience gives the same significance as to follow God’s laws and values. Newman used†¦show more content†¦It is not an instinctive feeling about what is right - instead, it is an ability to use reason to weigh up factors in a moral decision. Butler says we have a number of influences, but the conscience should not be seen as merely one among many drives or passions. The conscience should have ultimate authority over all of our instincts. On the other hand, there are also beliefs that our conscience is not the voice of God – shown by the views of Sigmund Freud and Erich Fromm. Freud believed that people were psychologically conditioned to act in a certain way, and their sense of right and wrong are not absolutes, but depend on our life experience and our society. Freud believed that figures such as parents, religion and school impose a great influence on our decision-making than our conscience, which is said to be the voice of God. These ‘rules’ influenced on us are believed to over ride the conscience that is innate. An individual therefore leans to restrain its desires by the rules it as internalised through other types of authority, excluding God. According to Freud, a good conscience was the result of following the rules; a guilty conscience was when instincts were followed and rules are consequently broken. These rules can be so deeply ingrained as they have been influenced at such a young age that people may feel their conscience is the voice of God, when in fact they have inherited these rules and guilt. Erich Fromm also supported the view that conscience isShow MoreRelatedOnly God can be the source of moral awareness. Discuss. (10 marks)883 Words   |  4 Pagesï » ¿Heloise Tudor Only God can be the source of moral awareness. Discuss. (10) Moral awareness is sometimes referred to as the human conscience, it supposedly separates us from other animals and allows us to function as a society. A moral is a value that we live our lives by and each one contributes to a moral code of conduct which then becomes a country’s laws. 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Jose Rizal’s annotation of Antonio Morgas Historical Events of the Philippine’s Islands. â€Å"Rizal had a burning desire to know exactly the conditions of the Philippines when the Spaniards came ashore to theRead MoreSocrates Was Wise About God1920 Words   |  8 PagesFarishta Abdullahi Phil. 120 November 13, 2015 Socrates was wise about God In order to determine whether or not Socrates was wise about God, we must first define the term â€Å"wise† in this context. What is the definition of wisdom? What makes someone wise? The literal meaning, or etymology, of the word is derived from the Indo-European stem woid which means to see. It also relates to similar words such as the Greek idein and the Latin videre, both also meaning â€Å"to see† (Mohr, pg. 3). Whereas, in EnglishRead MoreConsequences Of Being Good People Essay1371 Words   |  6 Pagesconsider â€Å"good people.† For centuries Christians, have believe that sex before marriage is a sin and there are many verses in the Bible that justify this belief such as; â€Å"Let marriage be held in honor among all, and let the marriage bed be undefiled, for God will judge the sexual immoral and adulterous.† Hebrew 13:4. The judgement of a child born out of wedlock is a direct result of this belief and a â€Å"good Christian† should not be put themselves in the situation to have a child out of wedlock. ThereforeRead MoreAnalysis Of The Film Butch Cassidy And The Sundance Kid 1595 Words   |  7 Pagesaway their lives in sin and went about not caring that they were hurting themselves or others. It’s something we witness every day and we try to justify our sins. In the end, as we learn, we give into temptation and the devil. 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Jack Welch Free Essays

Jack Welch was a CEO and chairman at General Electric for twenty years. During his time at GE he was able to transform the company into a very efficient and powerful company. His four E’s of leadership: energy, energizers, edge, and execute are keys to what made his leadership style work. We will write a custom essay sample on Jack Welch or any similar topic only for you Order Now Another part of his leadership style was getting rid of the people who did not work hard enough or meet expectations. Overall, Jack Welch’s leadership style changed GE and companies around the world for the better. The first of Welch’s four E’s is energy. This is the characteristic which describes people who are always ready to go and to work hard at a moments notice. These are the people that are hate dull moments and prefer to always be busy. Normally these are good workers, which sometimes stray from their work because they are so energetic. The second E is energizers. These are the people that motivate others to perform. They are the ones that outline what is needed or wanted to succeed, and have other people carry it out. In most cases, energizers are selfless and care about others before themselves. They care that the group succeeds and are quick to take ownership over something when it goes wrong. However, when someone in the group succeeds, they make sure the credit is given to the person. The third E is edge. This type of people is those who are extremely competitive. They make sure they do everything possible to succeed in whatever they do. People with edge are not slow to make a decision they believe will be beneficial. For example, these people are usually the ones who have to make decisions like firing, hiring, and promoting. They also do not let anything stand in their way, no matter what the circumstance is. What it takes to succeed, they will do. The last E is execute. Without a person that is able to execute, the rest of the E’s will be of no use and will have no way of completion. Also, executers know the difference between activity and productivity. They realize a person can be working, but the work may be irrelevant to the betterment of the company. For example, a person could be doing lots of work, but in reality unless the work is bettering the company it is completely unimportant and is basically just busy-work. The E’s are vital to how Jack Welch made his company run and how he viewed people in his workplace. Welch had a way of figuring out how people functioned in the workplace called differentiation. In this way of thinking, Welch described how people should be evaluated in their work, such as that of a teacher when she evaluates her students. This model is used to â€Å"weed out† the twenty percent of workers that do not better the company. He knew nearly everyone worked hard at his company, but it was the people that accomplished productive work that he kept to work at his company. The bottom ten to twenty percent of people were actually hurting the company more than they were helping financially. This was a way Welch made his company successful. He did not make it successful by changing what was at the top and going right, he changed what was at the bottom and actually bringing the company down. In conclusion, Jack Welch has a leadership style which was unlike the normal way of viewing efficiency. He looked to the people that were at the bottom rather than the top. Most people have a different way of viewing productivity, where they try to improve a part of the company which is already productive. Jack Welch was able to make GE a powerful company from a different perspective than most other leaders. Internet Sources 1. http://www. epinions. com/content_4565540996? sb=1 2. http://www. refresher. com/! svbfoures. html How to cite Jack Welch, Papers

Organizational Behavior Trends Essay Example For Students

Organizational Behavior Trends Essay Will the Lights Go Out In California? In todays society, our state and national government doesnt hold much trust from its citizens. From the terrorist attacks on September 11th, we have been fed shoddy information about prior knowledge, instigations, and about warnings that our government ignored. Now, California is faced with an alarming tragedy caused by its government and political officials. Californias governor, Gray Davis, declared a stage 3 state of emergency amid an energy crisis termed as being one of third-world dimensions. (Economist, 2005) This isnt the first energy crisis in our country. Several other states have been on the brink of disaster, but have managed to pull themselves out with minor injuries. How is the problem in California different than in other states? The deregulation of the states utilities is the answer. Upon signing the deregulation policies, California allowed for wholesale electricity and put a freeze on retail rates. (The Economist, 2001) In an article titled, A state of gloom, a publication called The Economist states that this Catastrophe has been looming for some time now. The residents of California have been experiencing brown outs since being declared a state of emergency in January. Not only is this a nuisance to the residents, it can prove to be quite costly as well. But statistics show beyond a shadow of a doubt that the better educated you are, the better off youll be economically and the more educated you are, the less likely you are to be unemployed. Getting a good education has always given young people a leg up on life. (Hugh B. Price, 1998) Getting an education is the most important thing to me for myself and my children. Its one of the main reasons I decided to go back to school to prove to my kids and myself that I could achieve the American dream of finishing college. I remember when I was growing up my mother would always talk about me finishing high school and going on to college. She would say just about 80 percent of all jobs in the U.S. economy were semiskilled or unskilled. That means most workers back then didnt require much in the way of formal education. Even if they never finished high school, they could easily earn enough, for instance, as factory workers to enjoy a decent standard of living, buy a home and a car, take an occasional vacation, and send their kids to college. The exact opposite is true today. Eighty-five percent of all jobs these days are skilled or professional. The bottom line is that you definitely need a solid education in order to succeed in the Information Age economy of the twenty-first century. (Allen Walter R., 2001) Theres a crisis in the classrooms. In virtually every school district across America, African American children achieve at lower levels, earn lousier test scores, are placed frequently into special education or remedial and less challenging classes, and are discouraged from striving to excel academically, or demanding excellence from themselves. The perception is that they are intellectually inferior, which is tragically reinforced by a vocal and destructive segment within our own culture that seeks to portray academic achievement as a sell-out to other ethnic backgrounds. Experts say that perception is wrong as a matter of scientific fat. But we cannot allow those attitudes to continue. Indifference toward academic achievement will doom our children to a future far beneath their capabilities and that has to change. (Hrabowski, Freeman A., 1998) The role language and language diversity plays in the critical thinking process is once you discover the keys to becoming an effective, informed advocate in the educational community, as well as strategies for communicating with teachers and administrators for the maximum benefit of yourself or your child, and African American children in general you can begin to change the mind-set of the few that does not want the best for themselves. Language empowers the expression of thoughts when you think about an education. Without the language aspect of getting an education, you will never be able to succeed in life. Every parent has a gut instinct why the early years in childrens lives are vitally important to their development. Children who are raised in homes that encourage learning and whose parents stay involved in their education at least through the end of elementary school earn higher grades than children whose parents arent involved. ( Price, Hugh 19998) The role of critical thinking in persuasion is imperative when it comes to getting your child the best education possible. Without the parent there to encourage and help the child along the way, show them the pros and cons of a good education, it is basically impossible to win a child over. The parent can demonstrate love through active involvement in the childs youngsters education and provide support and encouragement to the child. Procedural Due process of law, limits the procedur Essay Establish high expectations for academic and other success; develop open and strong communication with your child and take full advantage of available community resources that supplement what parents can do themselves. In conclusion, as a parent or guardian, .