North Korea Essays (7379 words) - Aftermath Of The Korean War

North Korea -------------------------------------------------------------------------------- North Korea: Policy Determinants, Alternative Outcomes, U.S. Policy Approaches (Rep. 93-612 F) Congressional Research Service, Report for Congress June 24, 1993 By Rinn-Sup Shinn, Analyst in Asian Affairs, Foreign Affairs and National Defense Division* SUMMARY North Korea is undergoing a wrenching phase of adjustment to an uncertain post-Soviet world. Its government is reined in by two major constraints: fear that any political or economic reform would have the same fatal consequence for itself as it had for the former Soviet Union and other erstwhile allies; and fear that the United States, South Korea, and other enemies would stop at nothing to overthrow the communist regime of the North. The United States has a major stake in the outcome of North Korea's effort to deal with its daunting task. The challenge in the North has become compelling as Pyongyang has come up far short of its core policy objectives: political self-preservation, undermining South Korea--and by extension, U.S. military presence in the South; and obtaining economic and security support from the outside world. Facing an obvious need to change, Pyongyang is caught in a dilemma about reform. In the wake of the Soviet collapse, a shaken Pyongyang reaffirmed its resolve t o defend a) its centrally planned, autarkic command economy; b) its monolithic, one-party system identified with the persona of Kim Il Sung, the great leader (and now with that of his son and de facto successor Kim Jong Il); and c) its policy of reunifying the two Koreas on Kim Il Sung's terms. The two Kims still talk as though time is on their side, and that they can outwait U.S. withdrawal from the South. Nonetheless, they seem to recognize that they need to end their self-enforced isolation, to say nothing of their unaccommodating foreign policy posture. A sense of urgency and a siege mentality are real and growing in Pyongyang. In particular, the North's economy, which it has long defined as the real underpinning of political stability and military preparedness, is shrinking by all objective criteria. Still worse, there is no immediate relief in sight. At the same time, Pyongyang is slipping further and further behind Seoul--a situation that has potentially unnerving security implications. Seeking economic help and greater international legitimacy, North Korea in recent years has sought to reconcile with South Korea by promising nonaggression, reciprocal cooperation, and denuclearization of the Korean peninsula. But the regime remains doctrinaire, self-centered, and committed to political control, and has repeatedly undercut its soft approaches by reneging on such promises. The United States has also received numerous promises from Pyongyang. A number of policy approaches may be considered by the United States: engagement aimed at inducing Pyongyang into the community of nations; military, economic, and political pressure to underscore U.S. concern for the stability on the Korean peninsula; and outwaiting--letting Pyongyang chart its own transition by refraining from action that can be reasonably perceived in Pyongyang as provocative and threatening, while avoiding any actions that would give legitimacy or assistance to the North Korean regime. INTRODUCTION North Korea (Democratic People's Republic of Korea--DPRK) is a major foreign policy challenge to the United States because of its intractability as well as its threat to 37,000 U.S. troops in South Korea. Isolated and self-absorbed, its behavior is widely thought to be as irrational as it is unpredictable. The communist regime in Pyongyang regards the United States as its sworn enemy and the main obstacle to Korean reunification. It has denounced the United States for its forcible occupation and for allegedly turning South Korea into a forward military base from which to plot the collapse of North Korea or to launch a nuclear attack. Since the division of the Korean peninsula in 1945, North Korea has defined its self-preservation in terms of three policy priorities, or core interests: consolidating Kim Il Sung's power base, undermining South Korea to hasten U.S. withdrawal from the South, and securing maximal support from the former Soviet Union and China. These priorities were designed to assure the security of the Kim regime from domestic critics and against perceived threats from the United States and South Korea (Republic of Korea--ROK). Externally, Pyongyang has pursued anti-U.S. and anti-South Korean policies as interrelated and complementary approaches. Forcing the U.S. out of the

Profile of Joseph Lister, Father of Modern Surgery

Profile of Joseph Lister, Father of Modern Surgery English surgeon Joseph Lister  (April 5, 1827–February 10, 1912), Baron Lister of Lyme Regis, is considered the father of modern surgery for his  work developing sterilization procedures that saved countless lives. Lister pioneered the use of carbolic acid for sanitizing operating rooms and employed antiseptic surgical procedures to prevent deadly postoperative infections. Early Years Born on April 5, 1827 in Essex, England, Joseph Lister was the fourth of seven children born to Joseph Jackson Lister and Isabella Harris. Listers parents were devout Quakers, and his father was a successful wine merchant with scientific interests of his own: he invented the first achromatic microscope lens, an endeavor that earned him the honor of being elected a Fellow of the Royal Society. The young Listers love for science grew as he became fascinated with the microscopic world introduced to him by his father. Lister decided at an early age that he wanted to become a surgeon and thus prepared for this eventual career by delving into science and mathematics subjects at the Quaker schools he attended in London.   After entering the University of London in 1844, Lister earned a Bachelor of Arts degree in 1847 and a Bachelor of Medicine and Surgery in 1852. Listers achievements during this time included serving as house surgeon at the University College Hospital of the University of London and being selected as a Fellow of the Royal College of Surgeons. Research and Personal Life In 1854, Lister went to the University of Edinburgh, Edinburgh Royal Infirmary in Scotland to study under the famous surgeon James Syme. Under Syme, Listers professional and personal life flourished: he met and married Symes daughter, Agnes, in 1856. Agnes was  invaluable as a wife and partner, assisting Joseph with  his medical research and laboratory experiments. Joseph Listers research was centered on inflammation and its impact on wound healing. He published a number of papers regarding muscle activity in the skin and eyes, coagulation of blood, and blood vessel engorgement during inflammation. Listers research led to his appointment as Regius Professor of Surgery at the University of Glasgow in 1859. In 1860, he was named a Fellow of the Royal Society. Implementation of Antisepsis By 1861, Lister was leading the surgical ward at the Glasgow Royal Infirmary. During this time in history, surgery was performed only when absolutely necessary due to high death rates associated with infections. With little understanding of how germs like bacteria caused disease, surgical procedures were regularly performed in  unsanitary conditions. In an attempt to combat wound infections, Lister began to employ cleanliness techniques used by Florence Nightingale and others. This process involved keeping the environment clean, changing dressings, and washing hands. However, it was not until he read the works of  Louis Pasteur that Lister began to link germs with surgical wounds. While Lister was not the first to suggest that microorganisms were the cause of hospital associated diseases or that infections could be reduced through antiseptic methods, he was able to marry these ideas and effectively implement treatment for wound infections. In 1865, Lister began using carbolic acid (phenol), a substance used in sewage treatment, as an antiseptic to treat compound fracture wounds. These injuries were commonly treated by amputation, as they involved penetration of the skin and significant tissue damage. Lister used carbolic acid for hand washing and treatment of surgical incisions and dressings. He even developed an instrument for spraying carbolic acid into the air in the operating room. Lifesaving Antiseptic Success Listers first success case was  an eleven year old boy who had suffered injuries from a horse cart accident. Lister employed antiseptic procedures during treatment, then found that the boys fractures and wounds healed without infection. Further success ensued as nine of eleven other cases where carbolic acid was used to treat wounds showed no signs of infection. In 1867, three articles written by Lister were published in Londons weekly medical journal, The Lancet. The articles outlined Listers method of antiseptic treatment based on the germ theory. In August of 1867, Lister announced at the Dublin meeting of the British Medical Association that no deaths associated with blood poisoning or gangrene had occurred since antiseptic methods had been fully employed in his wards at Glasgows Royal Infirmary. Later Life and Honors In 1877, Lister assumed the chair of Clinical Surgery at Kings College in London and began practicing at Kings College Hospital. There, he continued to research ways to improve his antiseptic methods and develop new methods for treating injuries. He popularized the use of gauze bandages for wound treatment, developed rubber drainage tubes, and created ligatures made from sterile catgut for stitching wounds. While Listers ideas of antisepsis were not immediately accepted by many of his peers, his ideas eventually gained nearly worldwide acceptance. For his outstanding achievements in surgery and medicine, Joseph Lister was ennobled a Baronet by Queen Victoria  in 1883 and  received  the title Sir Joseph Lister. In 1897, he was made Baron Lister of Lyme Regis and awarded the Order of Merit by King Edward VII in 1902. Death and Legacy Joseph Lister retired in 1893 following the death of his beloved wife Agnes. He later suffered a stroke, but was still able to consult on treatment for King Edward VIIs appendicitis surgery in 1902. By 1909, Lister had lost the ability to read or write. Nineteen years after the passing of his wife, Joseph Lister died on February 10, 1912 at Walmer in Kent, England. He was 84 years old. Joseph Lister revolutionized surgical practices by applying the germ theory to surgery. His willingness to experiment with new surgical techniques led to the development of antiseptic methods that focused on keeping wounds free of pathogens. While changes have been made to Listers antisepsis methods and materials, his antiseptic principles remain the foundation for todays medical practice of asepsis (total elimination of microbes) in surgery. Joseph Lister Fast Facts Full Name: Joseph ListerAlso Known As: Sir Joseph Lister, Baron Lister of Lyme RegisKnown For: First to implement antiseptic method in surgery; father of modern surgeryBorn: April 5, 1827 in Essex, EnglandParents Names: Joseph Jackson Lister and Isabella HarrisDied: February 10, 1912 in Kent, EnglandEducation: University of London, Bachelor of Medicine and SurgeryPublished Works: On a New Method of Treating Compound Fracture, Abscess, etc. with Observation on the Conditions of Suppuration (1867); On the Antiseptic Principle in the Practice of Surgery (1867); and Illustrations of the Antiseptic System of Treatment in Surgery (1867)Spouse Name: Agnes Syme (1856-1893)Fun Fact: Listerine mouthwash and the bacterial genus Listeria were named after Lister Sources Fitzharris, Lindsey. The Butchering Art: Joseph Listers Quest to Transform the Grisly World of Victorian Medicine. Scientific American / Farrar, Straus and Giroux, 2017. Gaw, Jerry L. A Time to Heal: the Diffusion of Listerism in Victorian Britain. American Philosophical Society, 1999. Pitt, Dennis, and Jean-Michel Aubin. Joseph Lister: Father of Modern Surgery. National Center for Biotechnology Information, U.S. National Library of Medicine, Oct. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3468637/. Simmons, John Galbraith. Doctors and Discoveries: Lives That Created Todays Medicine.  Houghton Mifflin, 2002.