The Successes and Failures of the Zapatista Movement Essay

The Successes and Failures of the Zapatista Movement On January 1, 2004, over one thousand people in the mountain hamlet of Oventic, Chiapas, celebrated the 10th anniversary of the Zapatista Army of National Liberation (EZLN) rebellion with song and dance. Thus, it seems a fitting time to take stock of the successes and failures of the Zapatista movement in the context of its original goals. While the EZLN has been able to establish thirty eight autonomous indigenous communities in Chiapas, it has failed to weaken the Mexican governments commitment to neo-liberal economic policies. In the following pages, we will explore those factors which enabled the Zapatistas to establish regions of autonomy and extrapolate from Theotonio Dos†¦show more content†¦refusal to take money from the mal gobierno (bad government).? In addition, the Zapatistas have created five organizational centers (caracoles) and established Juntas of Good Government in each of them in order to ?resolve conflicts and disequilibrium between the centers and the outlying autonomies.? The caracoles mark the EZLN?s first success with regional, as opposed to municipal, autonomy. These Zapatista achievements can be attributed to the local terrain of Chiapas, restrictive legislation, and local and national scrutiny. The Mexican government has faced legal and practical restraints on launching an all-out war on the Zapatistas. The first government counter-attacks encountered tactical difficulties in the jungles of Chiapas and the army failed to score a quick military victory. In 1995, the federal congress passed a ?law for dialogue,? which foreclosed the option of a unilateral show of force by the Mexican army in areas under Zapatista control. This legislation catalyzed the signing of the San Andrà ©s Accords by the EZLN and the Zedillo government. The San Andrà ©s Accords, as well as the inaccessibility of the jungles of Chiapas, made overt military action politically and tactically unviable. The EZLN?s national popularity and visibility also guaranteed its survival. Though the Mexican government maintained aShow MoreRelatedEssay Local Successes and National Failures of the EZLN Today1185 Words   |  5 PagesLocal Successes and National Failures of the EZLN Today On January 1, 2004, over one thousand people in the mountain hamlet of Oventic, Chiapas, celebrated the 10th anniversary of the Zapatista Army of National Liberation (EZLN) rebellion with song and dance. It seems a fitting time to take stock of the successes and failures of the Zapatista movement in the context of its original goals. The success of the establishment of thirty eight autonomous indigenous communities in Chiapas is overshadowedRead MoreIb History Paper 3 Guide5040 Words   |  21 Pagesre-election campaigns and revolutionary leaders began to form groups and later armies, starting the Mexican Revolution. 2. The revolution and its leaders (1910-1917): Ideologies, aims, methods of Madero, Villa, Zapata, Carranza; achievements and failures; Constitution of 1917: nature and application * Madero: Came to power through the overthrowing of Diaz- Popular for his book, Presidential Succession of 1910. Sought democracy, gained presidency through popular vote. His 15 months in officeRead MoreEu, Nafta, Asean12786 Words   |  52 Pageshas developed a  single market  through a standardised system of laws which apply in all member states. Within theSchengen Area  (which includes 22 EU and 4 non-EU states) passport controls have been abolished.[16]  EU policies aim to ensure the  free movement of people, goods, services, and capital,[17]  enact legislation in justice and home affairs, and maintain common policies on trade,[18]  agriculture,[19]  fisheries  and  regional development.[20]  A monetary union, the  eurozone, was established in 1999

Speech On Women s Rights - 1080 Words

On September 5, 1995 in Beijing, China, first lady Hillary Clinton delivered a speech on women’s rights at the United Nations Fourth World Conference of Women. As Clinton stood in front of an audience of thousands she proudly stated â€Å"If there is one message that echoes forth from this conference, let it be that human rights are women’s rights and women’s rights are human rights once and for all.† The target of the conference was to inform the audience of government officials, leaders of organizations and the public on the problems women throughout the world face. Clinton’s speech argued how women were not treated equally and that women’s rights should be equal to human rights. Throughout her speech, Clinton provided harsh examples of the abuse, rape, death and discrimination women face, to evoke sympathy from the audience. Her overarching goal was to get action among government officials and motivate women across the world to take contro l of their lives and not suffer from these circumstances. Clinton uses a mix of pathos, ethos, logos, and anaphora to deliver a definition argument on why women’s rights are human rights. The conference was organized to achieve equality and opportunity for women throughout the world. First lady Clinton was chosen to serve as an honorary chair member of the conference. This provided her the opportunity to present her argument on women s rights. Around the time of the conference, Clinton received the international living legacy award and wasShow MoreRelatedSpeech On Women s Rights1377 Words   |  6 Pagesthis conference, let it be that human rights are women’s rights and women’s rights are human rights once and for all.† On September 5, 1995, 180 countries came together in Beijing China to hear first lady Hillary Clinton s speech about women s rights. 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Secondary Outcome Of A Randomized Clinical -Myassignmenthelp.Com

Question: Discuss About The Secondary Outcome Of A Randomized Clinical? Answer: Introduction System thinking insists that particular systems need to be analyzed as a whole for understanding emergent properties as well as interrelatedness of constituent parts. In the current study, patient education system has been considered for understanding the system, problems involved in the system, use of hard/soft systems to enhance performance of the systems and recommendations for enhancing system behavior/ performance. Patient education generally starts with the description of proposed processes to patient with vast-audio visual presentation library along with HD animations. Patient education system can enable patients assuming responsibility for own health care. In addition, it provides opportunities for practicing prevention techniques by their own. In the present study, Health point hospital of UAE is taken as case study. Overview of patient education system Patient education system is the procedure by which healthcare professionals as well as other can impart information to the patients along with their caregivers. It can alter health behavior or enhance status of their health (Morton et al. 2017). Computer-based patient education is one of the effective strategies in order to enhance healthcare knowledge as well as clinical results. Technologies including internet are currently available for using educational delivery mode in the setting of healthcare. There are several types of patient education system such as audio-visual presentation, HD animation, reviewing and responding patient questions are include in patient education system. In addition, there are interaction session between service providers and patients that are helpful to provide effective learning. The primary focus of health education system is changing and enhancing social health behavior. It also assists in enhancing health outcomes consequently. For an instance, there are some methods of providing prevention education ranging from suggestion of new as well as more effective toothbrush in order provide short tutorial on appropriate way to brush (Cook et al. 2014). There are several benefits of patient education system as followed. It enables patients assuming responsibility for own healthcare. Providing patients with the scopes to practice prevention techniques at home It increases scopes for treatment acceptance The system helps to increase trust, loyalty as well as satisfaction of the employees It ensures continuity of care between several appointments (Bernhard et al. 2016) Patient education systems assists the patients to decide the best plan of action In addition, it enhances communication between the patients and healthcare providers Patient education gives a host of advantages to not only patient as well as practicing, However, the patients can have the better choice of staying healthy as well as eliminating baad habits. With the assistance of patient education system, the patients can see as partners working for finding out the best solution for them. On the other hand, patient education involves healthcare professionals teaching patients regarding health so that they can understand their condition better. Patients can be educated in health as well as non-health environments along with a formal or informal way (Stenberg et al. 2016). The aim of patient education system is enhancing health and performance of healthcare industry as a whole. Patient education system helps in increasing patient understanding. The education can ensure that patients are well-informed regarding own health. Teaching regarding side-effects of condition, discussion about diagnosis and going through best possible treatment operations and looking at some ways in order to prevent condition from deteriorating. The level of comprehending could minimize anxiety of the patient. Practicing patient education system in Health point hospital, UAE also helps to increase understanding that puts patients in good position in order to make informed decisions associated wit h healthcare (Mansell et al. 2017). In addition, the education system in the selected organization is helpful to become active approach to healthcare. An educated patient may be able to portray self-image by managing specific components of care. There are always particular aspects of care that professionals of Health point hospital UAE can administer. In addition, patient could manage some of the components. It can relieve some burden from providers. Practicing patient education system in Health point hospital UAE can be helpful to improve motivation as well as better results. Educated patients can be motivated to reach specific health care goals that could minimize the number of unessential admissions, phones or visits that will save time as well as money for both patient as well as provider. On the other hand, technology has revolutionized the way of thinking, living and working. There are several industries embracing new technologies altered they operate. The health care industry has become inundated with new tools and helping in business. The ever-increasing popularity of mobile devices helps to use the applications with the help of useful tools for patients as well as healthcare professionals (Hu et al. 2015). There are several apps available useful for providing effective education for patients. Medical dictionary application is one of the applications in healthcare industry helpful to providing meaning and makes the patients understood about diseases. For an instance, the Tabers medical dictionary app for iPhones consists of 65,000 medical terms. It also includes more than 1000 photos as well as 600 patient care statements. The application provides resources like alternative therapy, medical abbreviations as well as measurements. It is considered as one of the most comprehensive dictionary. Moreover, in Health point hospital, UAE, health care providers look for patient education system in order to assist alleviating some concerns of patients as well as care providers. The patient education system provides a solution to vital healthcare issues like satisfaction, involvement as well as communication with family members (Che et al. 2016). With the help of this education system, it can be expected that value of the systems are recognized by healthcare providers as well as become a first choice in medical facility. Problems lied in the system Although the patient education system in Health point hospital, UAE has a number of advantages, there are some limitations associated with it. One of the biggest concerns lied in the system is diverse culture. Along with this, lack of education is the challenge to imply the system properly in the organization (Skelton et al. 2015). Sometimes, it is seen that patients are misguided by information that are heard from their friends, family as well as internet. In this perspective, Health point hospital UAE provides education system to the patients that includes educational information n particular to the requirements of patients as determined by care team. In addition e there are several challenges faced by health care professionals. Present quality crisis in health care of Health point hospital UAE are well recognized (AlKhalili et al. 2015). The burden of harm can be conveyed by collective impact of all health care quality Culture as well as organization care into different systems such as hospitals, home care as well as skilled nursing facilities with formal communications, hospitals as well as skilled nursing facilities. Different and poor culture is resulting in coordination of care, redundant, miscommunication and redundant along with wasteful procedures. In addition, patients and families generally report that caregivers appear not for coordinating work for understanding the issue. It is vital to remember to remember that all patient education interaction includes cultural dimension (Mohammed et al. 2016). Culture is referred as characteristic patterns of attitudes, values, beliefs as well as behaviors shared by the patients in Health point hospital UAE. Culture includes way of living, thinking as well as behaving. There are several components consisting language, customs, traditions, beliefs as well as ways of communicating. Effective communication with patients as well as health care workers is considered as the key process in safe and quality care services. The relationships between patient and clinician rely on effective communication and resulting in enhanced satisfaction of patients In addit ion, adherence to medical recommendation as well as better healthcare results are included in it. The management plan of clinician is included in patient education system. Cultural misunderstanding between patients and health care providers is one of the major factors for dissatisfaction of the patients along with poor quality of care. The cultural setting in Health point hospital UAE needs to be modified in this aspect. According to Ministry of Health in UAE, most of the healthcare workers belong to different country (Kasper et al. 2015). Thus, it becomes a great problem for the patients to communicate with them. Language problem and cultural difference are the major problems faced while providing patient education. In addition, different professional as well as personal perspectives along with values remain obstacle for the organization. Role competition as well as turf issues and lack of common language among the health care providers and patients cannot provide expected outcome for the patients. Hence, it is required to provide effective measures and take appropriate approach so that barriers and challenges lied in the patient education system can be removed. Use of hard/soft system approaches The Health point hospital of UAE is focused on efforts to find out ways for improving the engagement of patients. With use of patient education system, it delivers inpatient setting, enhances interaction among the physicians along with patients, providing of entertainment and empowering the patients decision-making. This type of system is used by patients within inpatient as well as outpatient setting to enhance and promote engagement of patients into healthcare (Zangi et al. 2015). Patient education system increases patients engagement by providing them some of the components such as portal for interaction between patient-provider, access to EHR, medications and processes of diseases. In order to analyze the patient education system of Health point hospital, two approaches are used in this paper such as: Hard system approaches: It is a problem solving approaches which first define the problems, analysis the situations, identify the objectives, measure its performance, develop of options and evaluate it, and then implementation is done. There are various stages, which are used to solve the problems into the patient education system: Stage 1: Problem definition: Effective interaction among patients and healthcare providers are required in quality health care. Due to cultural differences, lower health literacy and language differences, it is hard to provide patient satisfaction, medical recommendations and healthcare outcomes. Cultural differences among patients and healthcare providers contribute towards dissatisfaction of patients, poor quality of patients care. Stage 2: Analysis of existing situation: The uniqueness of the UAE culture, coupled with larger number of health professionals, conflicts lead to dissatisfaction of the patients. Most of the nurses and healthcare professionals within Health point hospital are from Australia, India, UK and other Middle East countries; therefore, they are from various cultural backgrounds (Gonzalo et al. 2015). There is also a difference in language considered as a problem to effective patient education. Stage 3: Identification of objectives: There is a need to solve the language differences and cultural differences problems into the patient education system. The hard modelling involved in various stakeholders into the modelling process along with rapid interaction to manage the healthcare systems. Stage 4: Generation of routes to objectives: The healthcare providers should be more attentive to the patients value as well as their cultural backgrounds. They should implement the system in such way that it should meet with requirements of patients those are coming from various cultural groups. Stage 5: Formulate measures of performance: The patients should able to read various things like instructions related to discharge, healthcare educational materials, medical bills and nutritional information (Svege et al. 2016). The patients are required to provide education on writing as well as reading skills so that they can understand the health related information and instructions, which are written in other language, which is not understandable, by the patients. Stage 6: Development of options: Health point hospital of UAE should maintain a strict sensitivity towards the language as well as culture concerns (Betancourt et al. 2016). Cultural and language competency should be taken as popular approach to improve provision of the healthcare within the healthcare sector. Stage 7: Evaluation of options: The cultural and language competency are improved by modifying accessibility along with effectiveness of the healthcare people from various cultural backgrounds by increasing awareness and skills of them. Stage 8: Implementation: Training should be taken as implementation step to improve the problems into the patient education system. Soft system approaches: Checklands Soft System Methodology is used as an approach to the organizational process modeling and it is used for problem solving into the patient education system (Shipman et al. 2016). This soft system methodology is because reality is not provided but is socially contracture. There are seven stages of the soft system approaches such as: Stage 1: Unstructured problem situation: Due to increasing diversity of the healthcare sectors, it brings lot of challenges for the healthcare providers and system along with policy makers to create as well as deliver of competent services. Cultural competence is identified as ability of the service providers to deliver of healthcare services, which would meet with the social in addition to cultural requirements of patients. Stage 2: Problem situation: Here, the patient education system is not the problem; it is the problem of education culture. Language barriers are difficult to communicate and cultural differences inhibit the patients from being comfortable to interact and socialize. The soft variables into healthcare system are motivation of doctors, productivity, and quality of the healthcare practices, anxiety of patients and responses to hospital managers for various pressures (Che et al. 2016). Those variables can complicate the problem analysis as it is not quantifiable and the effects are subject to quick consensus. Stage 3: Development of the root: The cultural differences and language differences have hidden effects into the healthcare sector and its development (Tannenbaum et al. 2014). Patient education system analysis is a strong tool for the patients concerned towards planning innovation. The soft model provides various benefits to the modelling as well as system analysis of the patients education system and applied to healthcare decisions for problems ranges from well focused healthcare delivery programmes. The soft methodology is used for screening of diseases and management of the waiting lists of the patients. Stage 4: Development of conceptual models: Into the conceptual model, the patient education system consists of four nested level such as individual patient, care team, organization (clinic and hospital) and economics environment (financial and payment options). The individual patients requirements as well as preferences are defined factors into the patient centered education system. Availability of the information, establishment of the private healthcare reflect on increasing the expectations that the patients drive changes into the proposed system to improve quality and efficiency (Coppola et al. 2016). The care team results into delivery of care to the patients. The Health point hospital of UAE faces various challenges such as escalate of the cost of the healthcare, and there is shift into share of cost burden to the healthcare providers as well as patients. Into the economic environment, it consists of regulatory and financial regimes that influence the performance of patient educ ation system. Stage 5: Compare conceptual models with reality: The conceptual model is compared with reality so that before using the education system, they are already understood about the system, its usage and benefits in the healthcare life. Stage 6: Identification of feasible changes: There should be changes into the patient education system so that all the healthcare providers can understand the language as well as culture of patients so that they are no conflicts among them (Lee et al. 2016). When the patients are discharged from the hospital, then they have insufficient information about illness as well as self-care, therefore with use of patient education system, there are changes into the healthcare sector and patients level of satisfaction. Stage 7: Actions to improve problem situations: Formal training is required to be provided to the patients before they enter into the educational system and learn their role for education. Future of patient education system Due to implementation of patient education system, the Health point hospital is continued to rise. The technology is not only continues to create opportunities for treatment but also facilitates of healthcare educational operations. The healthcare providers should require of better tools to make informed decisions. Automated patient education system should manage the day-to-day functions of the hospital. The hospital should express the patient educational needs. The work should be done by instructing the patients with lower literacy skills and procedures for patients from different cultural backgrounds. There should be increase into computer assisted instructions. Recommendations for improving performance of the system Following are the recommendations, which are suggested to the management of Health point hospital of UAE to improve into their patients education system performance: Increase the understanding of patients: The patient education would ensure that the patients are properly informed about own health. They should teach about side effects of medicines, their conditions, discussing about diagnosis, going to treatment options and looking for techniques to prevent from deteriorating (Yamada et al. 2015). It would help to reduce anxiety of patients and build trust among patients as well as healthcare provider. It would understand the patients requirements to make them informed about their decisions based on the healthcare. Enhance of motivation: The healthcare provider should be enhanced towards motivation to educate the patients about their own health. They should understand what they should do to improve their health. In this particular case, the educated patients are motivated to reach the healthcare goals for improving the health more rapidly and efficiently (Myhill et al. 2017). The healthcare providers also motivate their patients about the process of getting education and required education to improve in their health. Improvement into healthcare: Training should be provided to the healthcare providers so that they can respect all culture and language. As the patients are from different cultures as well as languages, therefore they are required to educate about their health which would provide a positive effect on the Health point hospital of UAE. The education of patient should reduce the total number of not required admissions, visits, phone calls that would save time as well as money of the patients as well as healthcare providers (Gleason-Comstock et al. 2015). After getting training, the educated patients should able to manage their own health and take care of self. The professionals do the aspects of care, but patients manage the some of the elements also which is required to improve performance of the proposed system. Conclusion The above discussion concludes that it is important for an organization to analyze the adopted system properly so that the issues and challenges lied in the system can be minimized. Patient education system is one of the vital procedures for improving health of the patients by their own. The advantages of using patient education system are discussed in the current study. However, there are various issues lied with the system that poses a challenge for the health care providers to provide quality education to the patients. In the current study, the Health point hospital of UAE is concentrated on finding out the ways to enhance involvement of the patients. With the help of hard system approach, the system is helpful to define the issue and analyze the situations. Effective integration among the patients and healthcare providers is important for the organization to provide appropriate outcome. In addition, analysis of the existing situation, identifying objectives and generation of rout es to the objectives are needed to be more attentive in the system. On the other hand, use of Checklands Soft System Methodology is used as a soft approach in the organization for problem solving in the patient education system. References AlKhalili, Rend, Pratik A. Shukla, Ronak H. Patel, Saurin Sanghvi, and Basil Hubbi. "Readability assessment of Internet-based patient education materials related to mammography for breast cancer screening."Academic radiology22, no. 3 (2015): 290-295. Bernhard, Jean-Christophe, Shuji Isotani, Toru Matsugasumi, Vinay Duddalwar, Andrew J. Hung, Evren Suer, Eduard Baco et al. "Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education."World journal of urology34, no. 3 (2016): 337-345. Betancourt, Joseph R., Alexander R. Green, J. Emilio Carrillo, and I. I. Owusu Ananeh-Firempong. "Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care."Public health reports(2016). Che, Hui?Lian, Mei?Yu Yeh, Ru?Shang Jiang, and Shu?Mei Wu. "Taiwanese nurses experiences of difficulties in providing patient education in hospital settings."Nursing health sciences18, no. 1 (2016): 113-119. Cook, David J., Anilga Moradkhani, Kristin S. Vickers Douglas, Sharon K. Prinsen, Erin N. Fischer, and Darrell R. Schroeder. "Patient education self-management during surgical recovery: combining mobile (iPad) and a content management system."Telemedicine and e-Health20, no. 4 (2014): 312-317. Coppola, Adriana, Loredana Sasso, Annamaria Bagnasco, Andrea Giustina, and Carmine Gazzaruso. "The role of patient education in the prevention and management of type 2 diabetes: an overview."Endocrine53, no. 1 (2016): 18-27. Gleason-Comstock, Julie, Alicia Streater, Joel Ager, Allen Goodman, Aaron Brody, Laura Kivell, Aniruddha Paranjpe et al. "Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol."BMC emergency medicine15, no. 1 (2015): 38. Gonzalo, Jed D., Michael Dekhtyar, Richard E. Hawkins, and Daniel R. Wolpaw. "How can medical students add value? Identifying roles, barriers, and strategies to advance the value of undergraduate medical education to patient care and the health system."Academic medicine92, no. 9 (2017): 1294-1301. Hu, Yinhuan, and Zixia Zhang. "Patient educationA route to improved patient experience in Chinese hospitals?."Patient education and counseling98, no. 12 (2015): 1651-1652. Kasper, Dennis, Anthony Fauci, Stephen Hauser, Dan Longo, J. Jameson, and Joseph Loscalzo. "Harrison's principles of internal medicine, 19e." (2015). Lee, Nam?Ju, Haena Jang, and Su?Yeon Park. "Patient safety education and baccalaureate nursing students' patient safety competency: A cross?sectional study."Nursing health sciences18, no. 2 (2016): 163-171. Mansell, Gemma, Kjersti Storheim, Ida Lchting, Erik L. Werner, and Margreth Grotle. "Identification of indirect effects in a Cognitive Patient Education (COPE) intervention for low back pain."Physical therapy97, no. 12 (2017): 1138-1146. Mohammed, Khaled, Margaret B. 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"Provider documentation of patient education: a lean investigation."Journal of the Medical Library Association: JMLA104, no. 2 (2016): 154. Skelton, Stacy L., Amy D. Waterman, LaShara A. Davis, John D. Peipert, and Anne F. Fish. "Applying best practices to designing patient education for patients with end-stage renal disease pursuing kidney transplant."Progress in Transplantation25, no. 1 (2015): 77-90. Stenberg, Una, Mette Haaland-verby, Kari Fredriksen, Karl Fredrik Westermann, and Toril Kvisvik. "A scoping review of the literature on benefits and challenges of particFuture of patient education system016): 1759-1771. Svege, Ida, Linda Fernandes, Lars Nordsletten, Inger Holm, and May Arna Risberg. "Long-term effect of exercise therapy and patient education on impairments and activity limitations in people with hip osteoarthritis: Secondary outcome analysis of a randomized clinical trial."Physical therapy96, no. 6 (2016): 818-827. Tannenbaum, Cara, Philippe Martin, Robyn Tamblyn, Andrea Benedetti, and Sara Ahmed. "Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER cluster randomized trial."JAMA internal medicine174, no. 6 (2014): 890-898. Yamada, Kiyofumi, and Toshitaka Nabeshima. "Pharmacist-managed clinics for patient education and counseling in Japan: current status and future perspectives."Journal of pharmaceutical health care and sciences1, no. 1 (2015): 2. Zangi, Heidi A., Mwidimi Ndosi, Jo Adams, Lena Andersen, Christina Bode, Carina Bostrm, Yvonne van Eijk-Hustings et al. "EULAR recommendations for patient education for people with inflammatory arthritis."Annals of the rheumatic diseases74, no. 6 (2015): 954-962.