Translation review 2 Essay Example | Topics and Well Written Essays - 1000 words

Translation review 2 - Essay Example nsists that this event can serve as one of the best opportunities for the promotion of linguists and cross cultural studies and the linguist experts can play an effective role in the entire scenario. The article tells that spectators from all over the world are expected at London during the grand event of Olympic and Paralympics Games in 2012. The gathering of people belonging from over 220 countries would be an excellent example of cultural diversity because the capital city of UK will act as a global city by welcoming people from different languages and cultures. The event will show the rich capacity of the city to absorb different type of cultures and languages. The management of the games has also constituted a delegation of 30 people who speak 28 languages and act as a connecting thread for the people belonging to different cultures and groups. The event will efficiently work for the promotion of the linguistics and cultures and the linguists will also find excellent opportunities during these sports events. The author points out in the article that international sports events always serve as opportunities for the promotion of linguistics and cultures and the linguists have great scope of working during such events. For example, during the sports events of Barcelona Games, Seoul Games, Atlanta Games and Sydney Games, the management hired the services of linguist professionals to perform different linguist services and like these events, the Olympics and Paralympics 2012 also offer different opportunities for the linguist experts. The importance of these events from the linguists and cultural point of view has been widely recognized. These events are viewed as excellent opportunity as well as great challenge for the linguists experts and different professional linguists associations like the Association of Translation Companies (ATC), Chartered Institute of Linguists (IOL), Institute of Translation and Interpreting (ITI) and International Association of

Is Monetary Policy Overburdened Literature review

Is Monetary Policy Overburdened - Literature review Example The monetary policy, today, is not expected to achieve goals it used to achieve before. Unemployment and inflation are speculated to persist if overburdening of the monetary policy continues. Whenever the employment rates suddenly increase, the central bank is forced to print more money for salaries, but, this is not a solution to inflation. During the crisis, central banks focused on price stability and at this time, they became independent institutions dominating the control of inflation without interference from the government. At that time, they achieved their goal in controlling inflation, but in 2008 and 2009, the inflation rate started increasing. The governments doubted on the credibility of central banks in maintaining price stability. Today, most central banks are not independent in their operations and that is why public policies from the government are overburdening the monetary policies. Price stability may not be realized if the public policies continue to overburden the monetary policies posing a threat to economies in the future (Orphanides 2013, p. 2). The monetary policy is aimed at stabilizing the price levels of goods and commodities in accordance with the state of the economy. The global financial crisis incorporated inflation which led to a continued increase in unemployment rates. Governments rushed to reduce their spending and reduce unemployment rates that resulted in overburdening of the monetary policy. The monetary policy has been practiced before and deflation was achieved, and thus, stabilizing the price levels. Before the financial crisis, discussions on what constitutes a good monetary policy run among the major central banks where they agreed on the practice of targeting inflation (Orphanides 2013, p. 2). At the first stages of the global financial crisis, disappointing growth was associated with many economies. The real GDP was maintained in countries like the US, the United Kingdom, and Japan.

Sandy Hook Evacuation plans Essay Example | Topics and Well Written Essays - 250 words

Sandy Hook Evacuation plans - Essay Example Rousseau later hid most of the students into the bathroom before the shooter arrived in the classroom. Altimari, Mahony & Lender (2013) explained that Diane Day, the school therapist together with teachers and students withdrew to the gymnasium and locked the door. Most teachers while in hidden safety places protected the students and dialed 911 for help. Some teachers communicated through cell phones on the appropriate measures to evacuate students from the school. The school bus driver together with some students ran to a nearby home for protection. The entire neighborhood after hearing the shootings in the school decided to offer help to the children. Some neighbors with cars drove into the school and rescued some students to safer areas outside the school (Altimari, Mahony, & Lender, 2013). Rick Throne, a custodian in the school, rescued six first-grade students to a nearby gas station before calling the police for help. The Newton police on arrival at the scene evacuated the survivors room by room. Altimari, Mahony & Lender (2013) demonstrated that the police escorted groups of teacher and students from the hiding places away from the school. Danbury Hospital ambulance arrived at the scene and evacuated the wounded patients to the hospital for treatment. Altimari, D., Mahony, H.E., & Lender, J. (March 13, 2013). Newtown shootings: Adam Lanza Researched Mass Murderers, Sources Say. Hartford Courant. Retrieved from

International Marketing Strategy of Starbuck in China and In the UK Essay

International Marketing Strategy of Starbuck in China and In the UK - Essay Example This paper will discuss the way Starbuck Corporation in China and UK was created and how it changed over time especially with increased competition in a marketing environment based on cultural differences. More significantly, this study wants to emphasize the strategic thinking about all the factors involved in applying and analyzing the increasingly enthusiastically satisfied customers served by Starbuck’s management unlike its competitors in the international market. More considerably, the main debate on this subject is on the impact faced by Starbuck Corporation in its expansion globally into China and UK based on regulations, international marketing strategy to increase profitability and increased competition. As a remarkable company, Starbucks Coffee Company has grown into a global brand since it was founded in Seattle, the United States, in 1970 and is focused on building increased customer satisfaction as it treats every customer with respect and dignity. As a company, focused on building its market share, profitability and productivity, Starbucks Coffee outlet began in the 1970’s as a single shop offering high-quality coffee and brewing products. More so, Starbucks Coffee outlet has grown to be the largest roaster internationally with over nineteen thousand stores as it offers the high standard of excellence in all aspects of purchasing, fresh delivery of coffee and roasting as it provides increased customer satisfaction. Over the years, Starbucks has enriched its service in offering roasted coffee sold out to customers its enriched Italian style espresso coffee beverages in all Starbuck stores and branches along with pastries and other coffee-related products. More remarkably, the chain of outlets seeks to give its consumers increased service reliability, high product quality, and management of operations as it seeks to increase its business growth and sustainability. As a result, Starbucks embrace cultural diversity in different regions through its employees who seek to blend with different cultures thus, developing increasingly enthusiastically satisfied customers.

Introduction to mass communication Essay Example | Topics and Well Written Essays - 1000 words

Introduction to mass communication - Essay Example The editor is another gatekeeper who decided which parts of the original report were to be retained and which parts were to be changed or removed from the report. B) This report is targeted towards the world in general. This is a news item about politics, and it cannot be denied that everybody who is even slightly conscious of the world around him must have at least some interest in politics, for, as Aristotle said, "Man is a political animal." This report is about one of the greatest incidents in world politics in the year 2009, and is targeted towards anybody who has an interest in politics, anybody who is literate and aware of the political situations in the world. CNN is one of the world's leading journalism media, and their reports are generally believed to be authentic and trustworthy; a lot of people depend on CNN for comprehensive reporting of different events. It is not possible for everybody to be present everywhere every time; and although television has made communication easier, the utility of print journalism remains. This report is targeted to all those people who were interested in Obama's swearing-in and wanted a first-hand account of the proceedings at the inauguration of USA's 44th President and the first Black President in the history of the country. C) This report describes the inauguration of Barack Obama as President of t... The United States is considered the most powerful country in the world. This greatness that America has achieved was not a given; according to Obama, "it must be earned". America has earned its greatness, and although it faces serious economic and international challenges, it has not ceased to be great. Obama showed his countrymen a ray of hope in saying that the challenges faced by USA will be met, although that may not be easy or quick. Joe Biden was sworn in as Vice-President before Barack Obama took his oath of office with his hand on the same Bible that was used in Abraham Lincoln's first inauguration. Obama took note of the fact that he was Black, and thanked those who sacrificed so much so that "a man whose father, less than 60 years ago, might not have been served at a local restaurant can now stand before you to take a most sacred oath." He promised to end petty squabbles on Capitol Hill, bring "old friends and former enemies" into the fold. He also vowed to leave Iraq to its people and to finish forging "a hard-earned peace" in Afghanistan. To Muslims, he promised "a new way forward, based on mutual interest," and to terrorists, he said, "You cannot outlast us, and we will defeat you." The report also shows what the reaction of people across America and the world were. While spectators at the National Mall were overwhelmed by Obama's speech, across the country, people gathered together to watch Obama deliver words of hope on television. Even the reactions of celebrities like Oprah Winfrey are documented in this report. It also mentions that world leaders like Nicholas Sarkozy, the French President, and Australian Prime Minister Kevin Rudd congratulated the new President on

History of Pueblo Revolt Essay Example for Free

History of Pueblo Revolt Essay â€Å"Every piece of written history starts when somebody becomes curious and asks questions.†[1] In Weber’s compilation he gathers several of these curious peoples works and binds their writings together to form a sort of continued discussion. Arguing from different sources and coming from different backgrounds, they indubitably arrive at different conclusions. From Garner to Gutià ©rrez and from Chà ¡vez to Knaut, they all are part of a continued dialogue on what that caused the Pueblo Revolt of 1680. By addressing the readings as a sum instead of individual accounts, one can gain a more detailed view. While some poke holes in others theories, most of the time, the writers simply offer different perspectives. The vast range of the arguments speak to the difficulty of the topic. Examining an event (or series of events, as the case may be) 300 years ago is an arduous task, but trying to determine causation of such events is even more cumbersome. Typically numerous factors exist and to give these factors any sort of rankings requires a fair bit of perspiration on the part of the researcher. This essay will attempt to evaluate this eclectic mix of commentaries to sift out the strong arguments from the weak. In 1598, when Juan de Oà ±ate arrived in northern New Mexico with a small group of colonists to Pueblo country, Spain demanded payment of tribute and the friars demanded allegiance of religion. For over 80 years Spanish lived with Pueblo before the revolt multiple generations.[2] As Knaut points out, that as â€Å"colonists were isolated from the south in a land where indigenous inhabitants numbered in the tens of thousands†, meaning there was plenty of contact between the two groups.[3] Within that time families intermarried, and a large mestizo population arose, creating an intersection in the Venn diagram of early New Mexico. What Knaut argues in Acculturation and Miscegenation is not necessarily as hard as the others to prove who or what caused the revolt, but rather works in earnest to present what he sees as the creation of a mixed culture, with syncretism occurring on both sides. Perhaps in this essay more questions that answers are created why after 82 years of livin g together would the Pueblos revolt? Garner has a more direct answer to this question. He, unlike Knaut, does not spend as much time underlining the syncretism that occurs, but spends more time examining the relationship between Pueblo and Franciscan, and reigning in the perhaps unfair harshness of previous works in relation to the government. Garner believed that drought, famine and Apache raids caused the revolt, shedding the competing notions that religious incompatibility or having a suitable leader as primary causes.[4] The two arguments in the proceeding articles before Garner that religion was the primary cause fall flat from Garner’s lens. In one instance, he cites the friction between Father Isidro Ordonez and Governor Pedro de Peralta as a result of the governments unfair treatment of the Indian. Peralta eventually decides to have Ordonez arrested, but the colonists (or ecomenderos) proceed to abandon the governor.[5] Garner goes on that governors of early New Mexico are interpreted in a negative light primarily because â€Å"documents are strongly biased against them.†[6] He explains that the reason that these documents are so biased is because of the natural tension between the writers of these records, the Franciscans, and those whom they wrote about, the governors.[7] Garner continues to impress that the Franciscans were the friend to the Indian and foe to the governor. He cites Scholes who states, â€Å"the religious and economic motives of empire were antagonistic if not essentially incompatible.† Having earlier established a different relationship structure than what was typically seen, (a shift from the Hispanic-Pueblo dichotomy to a more complex relationship of priest-Indian-mestizo-colonist-governor) Garner then moves on to the crux of the issue the cause of the revolt. â€Å"The kind of peace that had been pervading New Mexico was contingent upon relative prosperity,† writes Garner. The Spanish had used their organizational skills to create surpluses in the Pueblo economy but the famine of 1670 was so implacable it essentially collapsed the system. The drought of the 1660s the precursor to the famine was so severe it caused â€Å"Indians and Spanish alike to eat hides and straps,† as written by Fray Francisco de Ayeta in an account to the King. In the face of such an oppressive environment, Indians naturally began to question why Spanish controlled their food source. This, coupled with a new emphasis on nativism, turned up the heat and brought the already tense situation to a simmer. This movement towards nativism perhaps may have been a reaction to Indian culture sprouting up in both mestizo and Spanish life. Garner continues on this thread noting that Governor Lopez de Mendizabal was forced to â€Å"crack down on Pueblo religious and cultural activity.† While syncretism among the Pueblos was tolerable, among the Spanish it was viewed as inexcusable. These two factors were the foci of the Pueblo Revolt of 1680.[8] In contrast, the setting that Bowden and Gutià ©rrez attempt to construct in their essays is a religious clash, one that, while not noticeable immediately, was exacerbated by the droughts and famine. After introducing the essay, Bowden then discusses the similarities of the Pueblo religion, and then highlights some of the missteps the Franciscans took in their interactions and, most of all, the conversion process. First they insisted that the Pueblos should learn Spanish, and â€Å"almost without exception,† failed to make any attempt to learn native language. Also, they instituted mandatory mass attendance for all Indians but strangely not all Spaniards. On top of this, leaders who continued practicing the previous traditions were whipped or executed.[9] (27-28) Bowden raises a number of valid points the Franciscans do not appear to be the same persons that protested against the injustices to the Pueblos by the Governor Peralta. Rather, they seem to be creators of an oppressive environment that was quite insensitive to the Pueblo people. However, if you note Bowden’s sources, he cites textbooks for his long diatribe. Garner, in contrast, relies heavier on topic specific articles written by respected names such as France V. Scholes and Jack D. Forbes. While Bowden’s sources are legitimate, he seems to be using information that is more generalized, and not as focused on the relevant issues. Gutià ©rrez points to â€Å"loss of authority† among the Franciscans as the central reason for the revolt.[10] He notes that this gradual loss of power began in 1640s. Because of the uncertainty and unease that followed, the Friars pushed for more drastic measure to balance out this loss of power a crackdown on syncretism and an emphasis on martyrdom. But the connections that Gutià ©rrez makes are weak; he points to the loss of power in the 1640s, but does not cite any kind of example to support his point until 1655.[11] In addition, most of examples of this â€Å"loss of authority† do not come until the mid 1660s and the early 1670s in the midst of drought, quarreling among Spaniards and attacks by Athapascan raiders. And Gutià ©rrez’ examples of Franciscan brutality arise, interestingly enough, around the time that Garner points to heavy handed response by the Spanish to combat syncretism. Gutià ©rrez’ illustrations seem to support Garner’s idea of the Indians being â€Å"like children in a new world and entrapped in the struggle between the Franciscans and Hispanic community.†[12] Angà ©lico Chà ¡vez provides yet another take on the Pueblo Revolt. While Gutià ©rrez, Garner and Bowden all spend considerable time on relations, Chà ¡vez as his title Pohà ©-yemo’s Representative and the Pueblo Revolt of 1680 puts much more emphasis on establishing a new leader as a primary cause of the Pueblo revolt. Chà ¡vez seems to avoid tackling the revolt squarely (like Knaut) partly because he devotes most of his time supporting his argument for Domingo Naranjo as the leader (arguably 21 of the 24 pages). Despite Chà ¡vez lengthy narrative supporting Domingo Naranjo, the black leader with yellow eyes, many scholars reject this notion, because it seems to runs counter to what most sources suggest. Historian Stefanie Beninato agrees that Naranjo was a leader, but â€Å"one of several† as â€Å"the concept of a single leader is not viable in the theocratic social structure of the Pueblo world.†[13] Garner too, while recognizing Popà © as instrumental, rejects the idea that he was a â€Å"unique Indian leader,† but rather he arose out of necessity, as opposed to the creation of necessity.[14] While, many critique Chà ¡vez’ uncommon interpretation, it reminds one to reexamine the mestizo and mulatto population in New Mexico. Naranjo, real or not, represents the truth that the black/white Pueblo/Hispanic definition was increasingly blurred in the years leading up to the revolt, and an entirely different culture had emerged. Pohà ©-yemo had multiple windows in to this culture of multiplicity. Garner’s essay seems to be built around the most logic because his essay points to lack of basic necessities as the true cause of the revolt. When there is enough food and prosperity people get along. When there is a shortage, it pushes groups to exceptional measures. Rarely has a revolt occurred without certain factors mitigating access to peoples’ basic needs. Garner also spends ample time with the battle itself, and provides plenty of evidence of to why it was a success; particularly because of the cultural coexistence with the Spanish. Garner is not without flaw he fails to address certain issues, notably that of the presence of a larger mestizo culture. While he acknowledges it somewhat, he seems more preoccupied with the Franciscan-ecomedero versus government dynamic. This oversight, however excusable, provides good reason for holding onto multiple sources while dissecting historical events such as these. In the absence of primary documents, the importance of rigorous scholarship is especially crucial. To hold the works of these â€Å"curious† scholars together stresses the value for careful thought and due diligence.

Mandibular Prognathism by BSSO Study

Mandibular Prognathism by BSSO Study METHODOLOGY METHODOLOGY Population Consisted of all the patients who reported to the Out Patient Department of Oral And Maxillofacial Surgery for correction of facial deformity involving maxilla and mandible. Sample Consisted of 33 patients who underwent BSSO setback for mandibular prognathism followed by Rigid Internal Fixation at the Department Of Oral And Maxillofacial Surgery, Mar Baselios Dental College. Inclusion Criteria Patients above age of 20 years for males 18 years for females. Patients who were treated by BSSO setback along with Rigid Internal Fixation for mandibular prognathism. Exclusion Criteria Patients undergoing Bimaxillary surgeries. Patients undergoing Genioplasty along with BSSO. Patients with Medically compromised conditions. Patients with Craniofacial anomalies, Syndromes. A retrospective study was conducted on 33 patients (15 females and 18 males), with mean age of 22 years (age range of 19 28 years), who were operated for mandibular prognathism by BSSO at the department of oral and maxillofacial surgery, Mar Baselios Dental College, Kothamangalam. The patients were selected according to above mentioned inclution and exclusion criterias. The surgical procedure was done by one chief operating surgeon. No maxillomandibular fixation was used postoperatively. Pre and postsurgical orthodontics was carried out at the department of orthodontics and dentofacial orthopaedics, Mar Baselios Dental College, kothamangalam. A standardised lateral skull radiograph with adequate quality and exposure was taken pre operatively and after 6 months of follow up in natural head position [Frankfurt’s horizontal plane parallel to the floor, the tongue in relaxed position and the mandible in centric occlusion] with exposure values of 80 KVp, 10 mA, and 1.30 seconds. Tracings of the lateral cephalograms were pencil traced on acetate paper. To improve the consistency the tracings and measurements were taken by the same investigator. Horizontal reference line was taken as 7 ° to SN at nasion. Vertical reference line was constructed perpendicular to horizontal reference line through Sella. Superimposition of traced preoperative and postoperative lateral cephalogram was done with respect to the horizontal and vertical reference lines. The following cephalometric points and measurements were used. S Sella: Center of sella turcica N Nasion: Most anterior point of frontonasal suture ANS Anterior Nasal Spine: Anterior tip of the nasal spine PNS Posterior Nasal Spine: The most posterior aspect of the palatal bone A Point A: Innermost point on contour of maxilla between anterior nasal spine and incisor tooth Is Incision Superior: Midpoint of incisal edge of most prominent maxillary central incisor Ii Incision Inferior: Midpoint of incisal edge of most prominent mandibular central incisor B Point B: Innermost point on contour of mandible between incisor tooth and bony chin PG Pogonion: Most anterior point on osseous contour of chin ME Menton: Most inferior midline point on mandibular symphysis Cm Columella point: Midpoint of columella of nose Sn Subnasale: Point at which columella merges with upper lip in midsagittal plane SLS Superior Labial Sulcus: Point of greatest concavity in middle of upper lip between subnasale and labrale superius Ls Labrale Superius: Most anterior point of upper lip Li Labrale Inferius: Most anterior point of lower lip SLI Inferior Labial Sulcus: Point of greatest concavity in midline of lower lip between labrale inferius and soft tissue pogonion pg’ Soft Tissue Pogonion: Most prominent or anterior point on chin in midsagittal plane me’ Soft Tissue Menton: Lowest point on contour of soft tissue chin Stoms Stomion Superius: Most inferior point of upper lip Stomi Stomion Inferius: Most superior point of lower lip Sn-Stoms Upper lip length Stomi-me Lower lip length G-Sn-PG’ Facial Convexity: Angle between soft tissue glabella, subnasale and soft tissue pogonion Cm-Sn-Ls Nasolabial Angle: Angle between columella and labrale superius Li-SLI-pg’ Labiomental Fold: Angle between lower lip and chin contour Research methodology In the horizontal plane linear changes at following hard tissue [ANS, A, Is, Ii, B, PG, ME] and soft tissue [Sn, SLS, Ls, Li, SLI, pg’, me’, Stoms, Stomi] cephalometric points were measured in millimeters with mean and standard deviations were calculated. In the vertical plane linear changes at following hard tissue [ANS, A, Is, Ii, B, PG, ME] and soft tissue [Sn, SLS, Ls, Li, SLI, pg’, me’, Stoms, Stomi] cephalometric points were measured in millimeters with mean and standard deviations were calculated. Scatter plot diagram with Correlation Regression Analysis was done for the following points Li vs Ii, SLI vs B, PG vs pg’, ME vs me’ were done in both horizontal and vertical plane. Change in length of lower third of face; upper lip [Sn-Stoms] length and lower lip [Stomi-me] length were calculated along with mean and standard deviation. The mean change in facial profile, Nasolabial angle and mentolabial fold were calculated. The ratio of change in the soft tissue reference points will be compared with movements of corresponding 4 hard tissue references: Li to Ii, SLI to B, PG to pg’ and ME to me’ in the horizontal plane. SURGICAL PROCEDURE All the patients had undergone BSSO for correction of horizontal mandibular excess [mandibular prognathism]. All surgeries were carried out by the same surgeon. During the positioning of the patient before surgery the head end of the table is tilted by about 15 °. Hypotensive anaesthesia technique was used. Both these are intended to reduce intra operative bleeding. At the beginning of the procedure 2% lignocaine hydrochloride with 1: 2,00,000 epinephrine is infiltrated into the buccal vestibule upto the midramus region of the mandible on both sides. Incision and dissection The incision is placed over the anterior aspect of the ramus extending from the midramus region running down over the external oblique ridge upto the first molar region where it curves down to the buccal vestibule. Retracting the soft tissues buccally, before placing the incision prevents the initial exposure of the buccal fat pad. A sharp dissection is done in the ramus upto the periosteum. Periosteal dissection is started on the lateral aspect of the mandibular body from anterior ramus upto the second molar region extending to the inferior border. On the lateral aspect of the ramus dissection may be minimal only to achieve proper access and visibility. Medial dissection is done subperiosteally with a Howarth’s periosteal elevator and should be above the level of lingula and mandibular foramen which usually coincides with the deepest concavity of the anterior border of ramus. Later a channel retractor is inserted for medial retraction so as to protect the mandibular neurovascular bundle. Osteotomy Osteotomy is done with surgical micromotor and burs. Its initiated on the cortical bone of the medial side of ramus above the lingula extending from behind the mandibular foramen [half to two-third of the anteroposterior dimension of the ramus] running down onto the superior aspect of the body of the mandible and then extended to the external oblique ridge over the lateral aspect of the mandibular body upto the 1st molar region. Extending the cut towards the 1st molar region gives better accessibility for intraoral plating. The depth of the cut should be minimal only to reach the cancellous bone. The vertical cut is extended to include the inferior border so that the direction of the split is controlled. During the vertical cut a channel retractor is placed on the lateral aspect so as to protect the buccal soft tissues and facial artery. Following the osteotomy, a small spatula osteotome is malleted into the site beginning from the medial cut, down the ramus, over the body upto the vertical cut. The spatula osteotome is directed laterally beneath the cortical plate so that the neurovascular bundle is protected. Later larger osteotomes are used and finally the fragments are prised apart using a Smith spreader. As the fragments are prised the neurovascular bundle is visualized and care is taken to maintain it to the medial tooth bearing fragment. If the neurovascular bundle is found to be attached to the proximal condylar segment a small periosteal elevator is used to free the bundle and bring it to the medial fragment. Once this is done osteotomes in a wedging fashion or the Smith spreader is used vigourously until the spilt of the fragments are completed. The osteotomy is repeated on the opposite side of the mandible. When the mandible is setback, release of the medial pterygoid and masseter muscle is stripped, if needed to prevent the displacement of the condylar segment posteriorly. Later the tooth bearing medial segment is pushed back as much as needed and the overlapping buccal plate of the proximal condylar segment is trimmed such that the proximal segment rest passively on the cancellous part of medial segment with condyle in proper position. Stabilization and fixation The position of jaw is adjusted and intermaxillary fixation is done with splint in position. Rigid internal fixation using 2mm four hole mini plate with gap and 2 Ãâ€" 6mm monocortical screws is the preferred way of fixation. The intermaxillary fixation is removed after the rigid fixation. Wound closure Wounds are irrigated and bleeding is controlled. Wounds are closed with 3-0 vicryl sutures in layers. 1