This paper aims to examine the phenomenon of commodification of traditional open space into commodities which results in the destruction of environmental ethics. Environmental ethics places restrictions on freedom in ...This paper aims to examine the phenomenon of commodification of traditional open space into commodities which results in the destruction of environmental ethics. Environmental ethics places restrictions on freedom in exercising ownership rights and pays more attention to ethical obligations to the environment. The anthropocentric approach should be avoided because it only sees the environment from its commercial angles to satisfy human interests. This research critically describes the reality of the utilization of traditional open spaces in Ubud to become an economic space. The rapid influence of global culture has implications for the practices of capitalist culture within the frame of the tourism industry, resulting in cultural industries, popular culture, hedonic lifestyles and consumerism. This study used a qualitative method. The data was obtained through observation, interviews, literature studies, and documents. The results of the study revealed how traditional open spaces were produced, distributed and consumed by the market. Traditional open spaces were commercialized, traded like goods and services. Traditional open spaces, such as paddy fields, cliffs, telajakan (front part of the house complex), city parks, domestic properties, backyards, cemeteries have been turned into economic spaces to satisfy the taste of tourists. Space is controlled and commodified by capital owners to feed their economic libido while disobeying environmental ethics.展开更多
AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases wer...AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases were electronically searched for published studies between January 1995 and April 2013,and only randomized trials were included.The references of relevant studies were manually searched for further studies that may have been missed.Search terms included"gastric cancer","fast track"and"enhanced recovery".Five outcome variables were considered most suitable for analysis:postoperative hospital stay,medical cost,duration to first flatus,C-reactive protein(CRP)level and complications.Postoperative hospital stay was calculated from the date of operation to the date of discharge.Fixed effects model was used for meta-analysis.RESULTS:Compared with traditional care,fasttrack program could significantly decrease the postoperative hospital stay[weighted mean difference(WMD)=-1.19,95%CI:-1.79--0.60,P=0.0001,fixed model],duration to first flatus(WMD=-6.82,95%CI:-11.51--2.13,P=0.004),medical costs(WMD=-2590,95%CI:-4054--1126,P=0.001),and the level of CRP(WMD=-17.78,95%CI:-32.22--3.35,P=0.0001)in laparoscopic surgery for gastric cancer.In open surgery for gastric cancer,fast-track program could also significantly decrease the postoperative hospital stay(WMD=-1.99,95%CI:-2.09--1.89,P=0.0001),duration to first flatus(WMD=-12.0,95%CI:-18.89--5.11,P=0.001),medical cost(WMD=-3674,95%CI:-5025--2323,P=0.0001),and the level of CRP(WMD=-27.34,95%CI:-35.42--19.26,P=0.0001).Furthermore,fast-track program did not significantly increase the incidence of complication(RR=1.39,95%CI:0.77-2.51,P=0.27,for laparoscopic surgery;and RR=1.52,95%CI:0.90-2.56,P=0.12,for open surgery).CONCLUSION:Our overall results suggested that compared with traditional care,fast-track program could result in shorter postoperative hospital stay,less medical costs,and lower level of CRP,with no more complications occurring in both laparoscopic and open surgery for gastric cancer.展开更多
文摘This paper aims to examine the phenomenon of commodification of traditional open space into commodities which results in the destruction of environmental ethics. Environmental ethics places restrictions on freedom in exercising ownership rights and pays more attention to ethical obligations to the environment. The anthropocentric approach should be avoided because it only sees the environment from its commercial angles to satisfy human interests. This research critically describes the reality of the utilization of traditional open spaces in Ubud to become an economic space. The rapid influence of global culture has implications for the practices of capitalist culture within the frame of the tourism industry, resulting in cultural industries, popular culture, hedonic lifestyles and consumerism. This study used a qualitative method. The data was obtained through observation, interviews, literature studies, and documents. The results of the study revealed how traditional open spaces were produced, distributed and consumed by the market. Traditional open spaces were commercialized, traded like goods and services. Traditional open spaces, such as paddy fields, cliffs, telajakan (front part of the house complex), city parks, domestic properties, backyards, cemeteries have been turned into economic spaces to satisfy the taste of tourists. Space is controlled and commodified by capital owners to feed their economic libido while disobeying environmental ethics.
文摘AIM:To systematically review the evidence for the effectiveness of fast-track program vs traditional care in laparoscopic or open surgery for gastric cancer.METHODS:PubMed,Embase and the Cochrane library databases were electronically searched for published studies between January 1995 and April 2013,and only randomized trials were included.The references of relevant studies were manually searched for further studies that may have been missed.Search terms included"gastric cancer","fast track"and"enhanced recovery".Five outcome variables were considered most suitable for analysis:postoperative hospital stay,medical cost,duration to first flatus,C-reactive protein(CRP)level and complications.Postoperative hospital stay was calculated from the date of operation to the date of discharge.Fixed effects model was used for meta-analysis.RESULTS:Compared with traditional care,fasttrack program could significantly decrease the postoperative hospital stay[weighted mean difference(WMD)=-1.19,95%CI:-1.79--0.60,P=0.0001,fixed model],duration to first flatus(WMD=-6.82,95%CI:-11.51--2.13,P=0.004),medical costs(WMD=-2590,95%CI:-4054--1126,P=0.001),and the level of CRP(WMD=-17.78,95%CI:-32.22--3.35,P=0.0001)in laparoscopic surgery for gastric cancer.In open surgery for gastric cancer,fast-track program could also significantly decrease the postoperative hospital stay(WMD=-1.99,95%CI:-2.09--1.89,P=0.0001),duration to first flatus(WMD=-12.0,95%CI:-18.89--5.11,P=0.001),medical cost(WMD=-3674,95%CI:-5025--2323,P=0.0001),and the level of CRP(WMD=-27.34,95%CI:-35.42--19.26,P=0.0001).Furthermore,fast-track program did not significantly increase the incidence of complication(RR=1.39,95%CI:0.77-2.51,P=0.27,for laparoscopic surgery;and RR=1.52,95%CI:0.90-2.56,P=0.12,for open surgery).CONCLUSION:Our overall results suggested that compared with traditional care,fast-track program could result in shorter postoperative hospital stay,less medical costs,and lower level of CRP,with no more complications occurring in both laparoscopic and open surgery for gastric cancer.
