Professional Documents
Culture Documents
by Mark Davis
Exclusive to STR
January 1, 2009
Usually the only thing worse than the problems the state creates is the
solutions it puts forth. The state cannot, ever, solve personal
problems. Only individuals can solve their own problems.
The fact of the matter is that most people recognize the state as the
underlying cause of so many problems; unfortunately, too many people
also think that changing the elected representatives will change this
fundamental fact. It can’t because the system was rigged from the
start. Anybody who witnessed the Wall Street bailout package get
passed in spite of the passionate, overwhelming outcry of Main Street
against it and doesn’t realize that elections are a sham is in serious
denial; because we have a government of, by and for Wall Street
bankers. So why vote?
You see, politicians are not competent to judge the proper analysis,
much less formulate a credible solution. The use of lobbyists seeking
special favors as experts to educate them further corrupts this process.
Finally, they have only one tool: the use of force. When your only tool
is a hammer, everything looks like a nail. Agenda-driven solutions
simply look around for someone else to blame and hammer.
The Bush Administration crashed and burned after high hopes and
expectations from his supporters eight years ago not just because he
was incompetent, but because the statist system just doesn’t work to
solve the problems of individuals. Obama supporters are setting
themselves up for the same disappointment and the cycle will repeat
itself over and over. This is collective insanity.
Transactional Leader:
approaches followers with an eye to exchanging one thing for another … Burns
pursues a cost benefit, economic exchange to met subordinates current material and
psychic needs in return for “contracted” services rendered by the subordinate …. Bass
Transformational Leader:
The leader who recognizes the transactional needs in potential followers “but tends to go
further, seeking to arouse and satisfy higher needs, to engage the full person of the
follower … to a higher level of need according to Maslow’s hierarchy of needs” … Bass
As exactly said by Bass – “the transactional leaders work within the organizational
culture as it exists; the transformational leader changes the organizational culture”.
Transformational leadership is about hearts and minds, about empowering people not
controlling them.
Managers assume that people know what to do, can set their own
objectives and recognize their own outputs. The manager concentrates on
maximum communication, feedback and information giving.
Managers assume fully competent experts who create their own roles. The
manager concentrates on facilitating their abilities and decisions.
A Theory X manager believes that people are inherently lazy, need to be told what to do
and will work only when pushed. They use techniques commonly known as the "stick"
(Hard X) to punish or threaten employees. Or, they may use the "carrot" technique (Soft
X), by promising some reward for compliance with the manager's directives.
A Theory Y manager tends to believe that people are self-motivated to perform work that
is satisfying to them. These managers feel that if they provide a good environment, the
employee can be successful, learn new things, use their creativity and accept
responsibility for helping the company succeed.
Medical Information - Different Types of Sutures
By: John Morris | Posted: Mar 4th, 2006
Today, more and more people are aware that an operating room could not solely operate
without the necessary materials. Consequently, one of the most important materials
needed in the operating room are the sutures. Generally, sutures are surgical guts, or silk,
cotton or metal thread, 18 or more inches long, threaded on a needle. It is used mainly for
sewing or suturing together the edges and the surfaces of tissue, for checking the flow of
blood, fastening drainage tubes in position, etc. Sutures are either interrupted, each stitch
tied separately; or continuous, the thread running in a series of stitches, only the first and
last of which are tied.
The length of sutures naturally varies considerably. Each suture depends on the character
of the work and the nature of the operation. For instance, deep work in the pelvis requires
a much longer suture than would be necessary in suturing an area closer to the surface of
a wound. Experience and judgment, along with the desire of the surgeon, must be the
determining factors in details of sutures. Alternatively, there are different kinds of
sutures. Each classification is unique and has its own respective function.
1. Surgical Gut
Surgical guts are also known as a catgut and is made from the submucous layer of a
sheep's intestine. Once cleaned, dried and twisted into threads of various sizes they are
prepared for use by special processes, that include innumerable inspections of gauze and
tensile strength and scrupulous sterilization. The length of time for complete absorption
of surgical gut in a wound varies according to the action of certain hardening agents.
2. Fascia Lata
This muscle connective tissue of beef has been used in reconstructive orthopedic surgery
and for the repair of hernias. It is not a true absorbable suture, but becomes part of the
tissue after the wound has healed.
1. Silk
This is prepared from the thread spun by the silkworm larva in making its cocoon. It may
be twisted or braided, and it comes in sizes comparable with surgical gut.
2. Cotton
This is made from cotton fibers. The strands are twisted and used for both internal and
external suture. It should always be used wet for maximal strength.
3. Nylon
4. Wire
This material has maximal flexibility and tensile strength, yet causes little or no local
reaction in the tissue in which it is placed.
5. Dacron
This is a synthetic polyester fiber that has greater tensile strength, minimal tissue
reaction, maximal visibility, non-absorbent and non-fraying qualities.
6. Linen
This is made of twisted line thread; it has sufficient tensile strength but is rarely used as
suture material.
Many styles of clips are available for the purpose of holding the edges of the tissue in
approximation. They tend to produce some scarring when used in the skin, but may be
used when the wound is infected.
8. Silkworm Gut
This is made from the fluid secreted by the silkworm when they are ready to form their
cocoons. The disadvantage is that they must be soaked in normal saline for about 10
minutes before use to make them pliable.
9. Mesh
This type of suture is made of stainless steel, usually used for hernia repairs and large
defects. It is rarely used.
10. Tantalum
This is a bluish bray metal that is non-irritating to the body tissues. It is used because of
its high tensile strength and its inert reaction to tissues.