Saturday, February 15, 2020

To what extend can it be said that the 'West' won the Cold War Essay - 1

To what extend can it be said that the 'West' won the Cold War - Essay Example Did the West Really Win the Cold War? It has to be explained first what was involved in the end of the Cold War, by determining the major components in the strategy of Gorbachev after 1985 and the unforeseen results of the course of internal and external reform. The policy reforms of Gorbachev occurred in four major domains; in each instance the policy acquired impetus and became more revolutionary commencing around 1987 (Geoffrey 2008). Primarily, the Soviet administration commenced after 1985 to reform features of its military strategy viewed as particularly hostile by the West, and at the same time to alter its method of arms control (Suri 2002). Gorbachev embarked on reassessing military principle, pioneering the notion of ‘reasonable sufficiency at the nuclear level’ (Juviler & Kimura 2009, 139) which indicates that ‘lower nuclear weapons levels would be required’ (ibid, 139) and advancing toward ‘defensive defence at the conventional levelâ€℠¢ (Juviler & Kimura 2009, 140), in an effort to suppress the apprehensions of the West about surprise assault. Subsequently, Gorbachev indicated a reform in the ideological scope and proclaimed objectives of Soviet foreign policy, distancing from an idea of global class conflict toward a more broad-minded idea of peace and alliance. Propaganda about peace had contributed in Soviet policy beforehand, but Gorbachev placed a new emphasis on the essence of the United Nations and on ‘human values’ (Keohane, Nye, & Hoffman 1997). The Soviet Union escorted a new ideological approach with actual hints of a real policy reform, for instance, fulfilling its financial obligations to UN peacekeeping activities and collaborating with the International Atomic Energy Agency (Keohane et al. 1997). The last and most remarkable decision by Gorbachev was to modify Soviet policy toward the nations of East Europe (Phillips 2001). In his address in the UN in 1988 he declared that the Brezhnev Doctrine, stating the privilege of the Soviet Union to occupy Eastern Europe within the flag of socialist internationalism, had been discarded (Suri 2002). At some point in 1989 Solidarity made a compromise with the Polish United Workers’ party and adhered to the regime in August; a new multiparty elections and constitution in Hungary were declared in September (Suri 2002). In these two instances the deviation from the rule of the Communist Party was the outcome of an extended course of internal tension and the rise of strong party leaders, but reform was apparently permitted by the Soviet Union (Leffler & Westad 2010). Gorbachev tried to affect the more unruly administration of the German Democratic Republic (Geoffrey 2008). The Brezhnev Doctrine was officially abandoned by the Warsaw Pact when in the 1989 convention foreign ministers highlighted the right of each nation to be independent (Juviler & Kimura 2009). In spite of the recommendation of Gorbachev of large-scale re form in Eastern Europe, it is questionable if he expected, or aimed for, the disintegration of the coalition which took place after the revolutions in 1989 (Juviler & Kimura 2009). The concluding phase in the ending of the Cold War, the steady collapse of the USSR itself and the abandonment of the rule

Sunday, February 2, 2020

Labor and Birth Case Review Essay Example | Topics and Well Written Essays - 1500 words

Labor and Birth Case Review - Essay Example The process included conducting a pelvic exam in order to determine how the patient was progressing (Stevens, 2004). Notably, the active stage was faster than the latent phase with the patient experiencing contractions in every two minutes. However, the contractions were more painful. The transition to second stage began when the cervix dilated to about 8 – 9 cm. Second stage By the time the second stage started, the baby’s head had appeared at the top of the cervix. It is worth noting that the mother was advised on when to push. Notably, uterine contractions were also getting stronger (Tharp, 2000). With assistance from abdominal muscles contraction together with mother’s pushing, the baby passed through the birth canal. It was noted that active pushing played a significant role during the stage. More importantly, an epidural anesthetic was administered in order to make the mother to manage the abdominal muscles better. Consequently, crowning occurred as the inf ant filled the lower vagina. After the head was out, then the shoulders followed, and the baby’s mouth and nose was suctioned in order to ease the baby’s first breath. Third stage During the final stage of labor, the continuing uterine contractions push the placenta out of vagina. ... This called for use of a stethoscope known as fetoscope. Consequently, after child birth, the patient was given some pain relief. This involved an epidural being placed in the patient while she lay on her side. Then her back was scrubbed with antiseptic, while the local anesthetic was injected in the skin. The anesthesia provided complete pain relief. Natural birth preparation The patient together with the family selected Lemaze method for preparing for childbirth. The method entails practice of breathing exercises together with concentration at a focal point (Tharp, 2000). This was done to assist the patient to control her pain while at the same time being conscious. In addition, the method made the flow of oxygen possible in the baby as well as to the muscles. I coached the mother during the birthing process. Conclusion The birth process was successful as expected. The mother did not experience any complications although the baby was noted to have heart murmurs. All in all, all the procedure that are involved in the birth process were a success. References Korte, D. (1992).  A good birth, a safe birth. Harvard: Harvard Common Press.   Stevens, L. R. (2004). "Gimme a C: Is Choosing a Cesarean Section for a Nonmedical Reason Wise?"  Fit Pregnancy  April-May: 40-42. Tharp, A. J. (2000).  This giving birth: pregnancy and childbirth in American women's writing. Bowling Green, OH: Bowling Green State University Popular Press.   Evidence based care Evidence based care refers to an evidence based solution that addresses a clinical dilemma and calls for defining the problem, in addition to conducting an efficient search in order to obtain the best evidence (Walsh, 2007). This is then followed by appraisal of the evidence, which is then