Saturday, August 31, 2019

Following are excerpts from a speech made by Frederick W. Taylor in 191 Essay

If any of you will get close to the average workman in this country—close enough to him so that he will talk to you as an intimate friend—he will tell you that in his particular trade if, we will say, each man were to turn out twice as much work as he is now doing, there could be but one result to follow: Namely, that one-half the men in his trade would be thrown out of work. This doctrine is preached by almost every labor leader in the country and is taught by every workman to his children as they are growing up; and I repeat, as I said in the beginning, that it is our fault more than theirs that this fallacy prevails. While the labor leaders and the workmen themselves in season and out of season are pointing out the necessity of restriction of output, not one step are we taking to counteract that fallacy; therefore, I say, the fault is ours and not theirs. 1.Do you think Taylor’s position is equally applicable today? Be prepared to justify your answer. †¢I don’t believe Taylor’s position would be equally applicable in American business today, as it did in 1911. Since the end of World War II, it’s more apparent in American business culture for more short term employment. Some examples include contract maintenance where specific skills are required for a specified time or project completion. There are government agencies with Directors and Administrators who are filling a senior management position for as long as the current President serves. Businesses today are finding that through outsourcing some of their responsibilities to teams of highly skilled employees specializing in the needed field, this will alleviate some of the financial liabilities needed in if they were to maintain their own permanent team. The founder and chairman of APQC (formerly known as the American Productivity and Quality Center) in Houston, C. Jackson Grayson, warned several years ago that if management and labor cannot make their relationship less adversarial, â€Å"then we won’t get the full, long-term kick in productivity  that we desperately need.† 2.Looking at Taylor’s and Grayson’s remarks, which were made approximately 73 years apart, one has to wonder what we have learned. Many similar comparisons could be made. Why do you think managers don’t seem to learn as much as they could from the past? †¢Traditional relationships between management and labor looks nothing as it did 100 years ago, especially when it pertains to unions. Being the only industrialized country with its infrastructure mostly intact after World War II, the United States basked in economic superiority with American industry. However, management in the past rarely included employees in the decision-making process. There was a disconnect between management and labor which union leaders were utilized to close gaps and ensure fairness in areas such as pay and benefits, but more importantly, where safety is involved. In American businesses today, with government regulations and restrictions, differences in American and global markets and customs, outsourcing and contract services, and improvements in technology have changed the relationships between management and labor. According to an article written in Governing.Com, relationships between management and labor can be minimized by forming a joint process improvement committee (PIC), who are focused on driving organizational efficiencies. The committees are formed which enables both sides to pursue their interests with mutual respect and communication (O’Leary, 2010). Although there is no quick fix with regards to management and labor relationships, one thing is still very clear, there is still a significant divide. References Huebsch, R. (2014). The Evolution of the Labor-Management Relationship. Houston Chronical. Retrieved from http://smallbusiness.chron.com/evolution-labormanagement-relationship-36056.html Leslie W. Rue, L. L. (2009). Management kills and Application. McGraw-Hill/Irwin. O’Leary, J. (2010, September 8). Labor Pains: Repairing the Manager and Union Relationship. Governing. Retrieved from http://www.governing.com/blogs/bfc/repairing-management-union-relationship.html

Friday, August 30, 2019

Leadership & Managing People

As we all know, different types of business play a vital role in the progress or advancement of certain companies especially in this modern era where competition is really tight and business tycoons are rampant. According to Britannica Online1, business organization is an entity formed for the purpose of carrying on commercial enterprise; such an organization is predicated on systems of law governing contract and exchange, property rights, and incorporation.Business like these greatly aids in the improvement of the lifestyle of man. There are many types of businesses; some involving housing, food, clothing, drugs, etc. Whichever or whatever it may be, different business men or managers use different strategies in advertising a certain product in order to attract consumers and sell the product resulting to the development of the company. But before anything else, companies must have a rough picture of what the future might be and how their product can contribute to the welfare of the future in one way or another.In accordance to the article â€Å"Strategy under Uncertainty† by Hugh Courtney, Jane Kirkland and Patrick Viguerie, I agree that these strategies and the different levels of uncertainties analyzed and presented in the article are possible. And with further application of these strategies the company will certainly improve, even taking into account that no matter what status the company may be, a newbie or a booming business under the leadership of a tycoon it undergoes these different levels.I am in agreement with the topics discussed in the article because most companies do and will experience these uncertainties and apply these different strategies for further advancement and development of the company. Even big companies such as the electronic company Sony, or the clothing line of Guess and other businesses analyze the level of1 business organization. (2007). In Encyclopà ¦dia Britannica. Retrieved June 12, 2007, from Encyclopà ¦dia Britanni ca Online: http://www.britannica.com/eb/article-9106109uncertainty they are presently in and apply the strategy needed for further progression of the company. Also, in the article, issues such future realization and analysis to where the product is needed are discussed.In the article, the four types of level of uncertainty stated are very impressive. As they convey and state what companies of different business have to face and decide upon in order to become productive as well as efficient. In the article, there are also several diagrams or figures that can help in further understanding the different levels of uncertainty being discussed in the article.According to Anne Brown2, most profitable business ventures have been started by people under 35. Based on this statement made by the above stated author, people handling different business vary in age. Which tells us that success is not only achieved through the years but through thorough understanding of the business as well as plan ning what approporiate strategies the business is needed to be assessed with.In the article â€Å"Strategy under Uncertainty†, oligopoly was stated. Oligopoly according to Britannica Online3, market situation in which each of a few producers affects but does not control the market, and each producer must consider the effect of a price change on the actions of the other producers. Especially in bussiness organizations like these, different work strategies are needed for the company to survive. I also agree with the article that traditional approaches in advertising are indeed dangerous. Since there is no assurance that the product being advertised can catch the attention of the consumer. Take for example food business, commercials are not enough or flyers, the consumer must take a taste of the product in order to be persuaded to buy it.2 talented tycoons. (1999). In The Freelibrary. Retrieved June 17, 2007, from thefreelibrary.com: http://www.thefreelibrary.com/Talented+tycoon s-a0547837763 oligopoly. (2007). In Encyclopà ¦dia Britannica. Retrieved June 17, 2007, from Encyclopà ¦dia Britannica  Ã‚  Ã‚  Ã‚   Online: http://www.britannica.com/eb/article-9057021References:business organization. (2007). In Encyclopà ¦dia Britannica. Retrieved June 16, 2007, from Encyclopà ¦dia Britannica Online: http://www.britannica.com/eb/article-9106109oligopoly. (2007). In Encyclopà ¦dia Britannica. Retrieved June 17, 2007, from Encyclopà ¦dia   Ã‚  Ã‚  Britannica Online: http://www.britannica.com/eb/article-9057021talented tycoons. (1999). In The Freelibrary. Retrieved June 17, 2007, from thefreelibrary.com: http://www.thefreelibrary.com/Talented+tycoons-a054783776

Thursday, August 29, 2019

Arguments And Supporting Evidence For Argumentative Research

Matt Fowler RES 297 11/12/13 Evidence Based Medicine Research Assignment 1) In Vitro Evaluation of Heat and Moisture Exchangers Designed for Spontaneously Breathing Tracheostomized Patients Claudia Brusasco, MD⇑ Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate, Sezione Anestesia e Rianimazione Francesco Corradi, MD PhD Dipartimento Cardio-Nefro-Polmonare, Sezione Terapia Intensiva Cardiochirurgica, Azienda Ospedaliero Universitaria di Parma, Italy. Maria Vargas, MD†¦ this are seen it is only normal for someone to ask questions. People are becoming curious about the legitimacy of the disorder, and whether or not the treatments being given to individuals are appropriate. The argument seems to be strong on both sides of the fence, but the extensive research done on ADHD leaves it hard for one to believe that it is a made up disorder. Attention Deficit Hyperactivity Disorder or ADHD is a neurobehavioral development disorder diagnosed by a number of symptoms†¦ Evidence supporting the requirement of this program In Australia, dietary problem is a major risk factor of death and chronic disease such as heart disease and diabetes. Therefore, the critical goal is to develop a method for reducing death and suffering from heart disease and stroke. There are certain strength evidence suggested the requirement of food labeling program is acute now. Food labeling has been suggested it was a method to provide the consumers confidence and feel safety†¦ Argument Essay What if I told you that the reason teens not being able to go to bed before 11 isn’t mainly their fault. Sure if they 're watching YouTube eating, and drinking energy drinks all night long than we could say that this is primarily the reason they complain about being tired for school. But what about the kids that find themselves tossing and turning all night long until they realize they 're alarm just went off. Various students find themselves waking up anywhere from 6am, to 7am right†¦ jury’s disbelief of evidence can itself be evidence. â€Å"Where an unresolved factual dispute exists† – which is the norm in criminal trials – â€Å"demeanor evidence is a significant factor in adjudging credibility. And questions of credibility, of course, are basic to resolution of conflicts in testimony.†13 As Judge Learned Hand observed, â€Å"the carriage, behavior, bearing, manner and appearance of a witness – in short, his ‘demeanor’ – is a part of the evidence.†14 Demeanor â€Å"evidence may satisfy the tribunal†¦ for the proof of many questions,and they would then sit together,think and debate over the questions. He was known not to rest before he would get his answers. Many philosophers have been debating it as far back as regarding rationale and brain research. The brain and body are similar on the grounds that if the psyche were not influenced by the physical world, then it would not need to take after the principles of the physical world. On the off chance that the brain were really a different thing†¦ Supporting Research from the Relevant Scientific Paper: There has been an increased study about neighborhoods to see if the environment does affect children and youth. Leventhal & Brooks-Gun (2003) stated that â€Å"neighborhoods’ impact remains debatable.† That is only because of other influence such as family. However, Leventhal & Brooks-Gun (2003) also state that based on evidence from randomized experiments, where the influences from family is controlled, that neighborhoods do in fact matter. Some†¦ Cuba to transition away from communism. There has been many complications and changes over the years, and it has led to today with current United States President Obama wanting to lift the embargo. In this paper I will discuss the pro and con arguments supporting the embargo, and give my opinion on whether it is better to keep or lift the embargo. History of the Embargo In April of 1959, Fidel Castro forced Fulgencio Batista to flee, and became the prime minister of Cuba. In the same year, United States†¦ Construct and Support an Argument Kristy Valerius MGT/521 December 06th, 2010 Instructor: Jerry Davis Construct and Support an Argument Today I will be constructing a supporting an argument regarding my decision to pursue an Master’s in Business Administration (MBA) degree to achieve a personal business goal. Next, I will discuss the description to construct and Support an Argument. Finally, I will discuss the considerations of the Jungian Personality self-assessment on how others†¦ to develop evidence-based practices that improve the care and outcomes of their patients (LoBiondo-Wood & Haber, 2014). The identification of a better way to practice patient care in my workplace has been discovered and descriptions of the steps required to implement this change are reflected upon. My organization encourages changes that promote the safety and quality of care of our clients as long as it is supported by the evidence. Nursing research, research utilization, and evidence-based practices†¦

Wednesday, August 28, 2019

Writer's choice Essay Example | Topics and Well Written Essays - 3750 words - 1

Writer's choice - Essay Example According to the United Nations, terrorism is a criminal activity that is calculated or intended to produce a state of fear in the civilian population. After 2001, September 11 attacks, the U.S. government termed all kinds of non-state force ‘terrorism. Terrorism results from religious extremists, states, insurgents, and criminals. Due to the challenges faced by the government to fight terrorism, new technologies have emerged to assist in the fight against terror. Some of these technologies include the monitoring of private communications of individuals around the world and mass surveillance of U.S. citizens. The DARPA (Defense Advanced Research Projects Agency) reported that it has created an information technology that could allow access to personal identifiable information to be in the war on terror. As a result, this has attracted a lot of questions from the general public as well as political bodies on its effectiveness, legality, and ethical boundaries. The concern revolves around the likelihood of the government utilizing personal information on permanent denizen aliens and U.S. citizens that has been gathered by private or public organizations without their consent. According to NSA, there are two programs that focus on the foreign and domestic surveillance. The local program, ‘metadata program functions by section 215 of the USA Patriotic Act and consist of gathering of all record data inclusive of times of calls and phone numbers. The foreign program ‘PRISM program works according to section 702 of (FISA) Foreign Intelligence Surveillance Act. FISA Act permits a government to perform surveillance that targets the content of communication by non-U.S. citizens that are abroad. This inspection obtains foreign intelligence data. President Obama in 2014 acknowledges the ‘legitimate privacy interests of the non-U.S and U.S. individuals as conformity to fundamental principles. He defines the activity of foreign intelligence

Tuesday, August 27, 2019

Journey to the West Essay Example | Topics and Well Written Essays - 1250 words

Journey to the West - Essay Example In most European countries, it is referred to as â€Å"Monkey† because it focuses on the Tang Monk as well as his monkey disciple Sun Wukong. The first edition was written in Chinese by Wu Chengen in the sixteenth century, however, since then there have been numerous other publications in English translation. I used the fourth volume of the revised edition translated by Anthony C. Yu. This version lays its focus on the pilgrimage itself, the journey towards getting the Holy Scriptures and bringing them back to Tang dynasty, which is in China. In its twenty-five chapters, it gives the exaggerated adventures, encounters and challenges that the monk, Tang Tripitaka, and his three disciples Great Sage Sun Wukong, Zhu Bajie Wuneng and Sha Wujing faced during the pilgrimage. His disciples were meant to serve and protect their master from any harm and ensure the success of the pilgrimage. The book begins with chapter seventy-six of the original book giving a tale whereby some demons have captured the Great Sage Sun-the monkey disciple of Tang Monk. One of the demons has swallowed him, and he is causing it distress from the insides of its stomach (Yu 2). Sun Wukong, in a smart and tricky way and with the help of his magic manages to salvage himself from the situation and coerce the demons to agree to transport him, his brothers and their master Tang across the mountains (Yu 4). We then see a battle of muscle and wits between the demons and the Monks on pilgrimage as the demons try to devour the Tang Monk. They do so because they believe his meat will grant them immortality and free them from their sins (Yu 17). In the following chapter, the demons trick and seize all the four and prepare to eat the monk. However, Sun Wukong uses his wits, magic and to save himself, his brothers and his master from these demons (Yu 28). As the book continues, the monk runs into numerous demons and evil creatures, a land

Monday, August 26, 2019

English Essay Example | Topics and Well Written Essays - 500 words - 17

English - Essay Example She worked as a school teacher for several years, but decided to further her education in western New York. After a year, she moved to New Jersey and established New Jersey’s first free public school. She was removed from her position at this school simply because she was a woman, prompting her to begin a personal quest for equal rights for women (National Park Service). Clara moved from New Jersey to work in the U.S. Patent Office as a clerk. While there, wounded soldiers began to stream into Washington D.C. She saw that the supplies the surgeons and doctors needed to adequately care for the wounded were not available. She was determined to do something. Barton solicited funds for supplies by advertising the plight of wounded soldiers in papers and magazines in New England. The effort was so successful, Clara Barton was appointed Superintendant of Nurses in 1861 and granted permission to travel to war zones to deliver supplies and care for the wounded (Faust). Clara Barton’s efforts during the Civil War were not limited to nursing. At the end of the war, 13,000 soldiers were still unidentified. She worked tirelessly to investigate who these men were so their families could receive word of their deaths. This daunting task left Clara exhausted physically and emotionally. She was sent to Europe to recuperate and to rest. While there, however, she witnessed the plight of civilians resulting from the Franco-Prussian War. A new chapter of caring was about to begin in Clara Barton’s life. While in Europe, Clara was introduced to a new organization known as the Red Cross. The Red Cross cared for the victims of war. Clara Barton returned to the United States eager to start the Red Cross here. She tried for many years but was unsuccessful because most Americans could not imagine fighting another war after the Civil War. After seven years of effort, the first American Red Cross chapter was opened in

Is the Death Penalty Just and Applied Fairly Research Paper

Is the Death Penalty Just and Applied Fairly - Research Paper Example The issue of capital punishment, more specifically the death penalty, is a topic that can split the American public as far as their view points to two extreme sides. There are those who are against the death penalty and those who are for the death penalty. The death penalty can be such a polarizing topic that there are 16 states that have abolished the death penalty as opposed to the 34 states as well as the United States government and the military supporting it (Jones, 2002). The death penalty can be defined as the taking of a human’s life for their crimes or imposing the punishment of death for their crimes. A question arises that whether this death penalty is just and applied fairly? The death penalty is just and it is applied fairly and according to a Gallup Poll in May of 2002, 7 in 10 Americans agree. There is a vast majority of the Americans who insist on abolishing the death penalty of the mentally retarded at least. Almost 82% of the American population opposes death penalty for this particular group while the rest support the action. The case of Andrea Yates created this ratio in court. She was found guilty of murdering her five children but was mentally ill herself. Nearly 75% of the people opposed death penalty for her. History tells that America has been fairly constant in its decision for death penalty under the age of 21. This has varied over many years. They have refused to be supportive in this regard. In 1965, when 45% favored the death penalty in general, only 21% were in favor of applying the rule on juveniles. During the colonial era of the seventeenth and eighteenth centuries, England regarded death as a penalty for crimes such as treason, manslaughter, robbery, rape, murder, counterfeiting, arson, burglary, theft – or any capital crimes of the like. The American colonial past and the present followed the same footsteps. Over the period of time it became illogical to apprehend the same punishment for all these crimes, hence it was deduced that only the gravest of crimes will be awarded with death. However, America followed the tradition of refusing to show any understanding towards the minority which denied any such punishment. It is researched that they did not follow the tradition blindly but due to the institutional structure prevailing in the eighteenth century, the role of capital punishment was broader than it is today. As mentioned above, the notion of death penalty varied from state to state. The northern colonial penal codes were more severe than those in England because of the varying religious origins of the colonies (Banner, 2002). Coincidentally, the era of American colonization coincided with the stiffening of the criminal law prevailing in England. The crimes that seemed minor to most of them such as poaching deer, stealing minor amount of cash and the like, started to be regarded as deathly and consequential. Colonies which had a larger number of slaves tried them and punished them for every little crime they did. As long as slavery was common, the system continued to function with more terror and bitterness. Much was done out of racial differences. Blacks were accused and caught for crimes more frequently. The crimes that were committed by the whites were left unattended in most cases. What was to be done with such kind of inequality? Execultions of the criminals were conducted on the roads for better

Sunday, August 25, 2019

5A Essay Example | Topics and Well Written Essays - 750 words

5A - Essay Example Yippy the puppy was supposed to grow up to be a great guard dog like his father, Growl, but there were two main problems with that. One, he was too noisy with his sharp little puppy ‘yip’ and two, he was way too small. Besides, he was too busy getting acquainted with all the other interesting creatures that lived around the dock warehouse where his family worked. This opening immediately establishes our main character as a friendly young male dog with a high-pitched bark that he uses often to help express his thoughts. This is such an important character trait that he is even named after it, establishing it as the most important element of his character to the outcome of the story. The listener is given the impression that this character is impetuous, friendly, vocal and relatively carefree in his personality while they receive a visual impression of a small body, possibly dark colored as most guard dogs seem to be. It also immediately establishes conflict and struggle. The puppy is a friendly creature, wishing to get to know everyone around him, while his father is a ferocious guard dog named Growl, immediately giving an impression of menace and hostility. This is what the puppy is expected to grow into. From these very early opening lines, the audience is wondering how this gregarious little puppy is supposed to grow up into the threatenin gly quiet and reserved guard dog his family expects him to be and how he will resolve these contradictions for a happy ending. While there may be other events that happen to this puppy as a result of his relentless curiosity and exuberance, these character elements will remain important in the telling of his story as they will inform his in his reactions. Old Larry crept slowly and carefully onto the largest lilypad of the pond, assuming the head bullfrog’s duty of leading the night-time chorus. He might be old,

Saturday, August 24, 2019

Virtual autopsy Research Paper Example | Topics and Well Written Essays - 1750 words

Virtual autopsy - Research Paper Example Full body radiography also helps in identification of human remains when conventional methods such as fingerprinting or DNA analysis cannot be used, or are not available. Thesis Statement: The purpose of this paper is to investigate the new development of virtual autopsy in forensic science, and identify its advantages and disadvantages over conventional autopsy procedures that have been employed until recently. Virtual Autopsy with the Help of Multidetector Computed Tomography The application of imaging methods for non-invasive documentation and analysis of relevant forensic findings in living and dead persons has not kept abreast of enormous technical development of imaging methods. Forensic radiology is now a rapidly growing interdisciplinary subspeciality of both forensic medicine and radiology. The new modalities that are now increasingly being promoted for use in forensic investigations include Computer Tomography (CT) including spiral multislice, and Magnetic Reso-nance Imagin g or MRI (Thali et al, 2007). The VIRTOPSY project aims to utilize radiological scanning to upgrade low-tech documentation and autopsy procedures in the contemporary high-tech field of medicine. The purpose of this is to improve scientific value, and to increase significance and quality in the forensic field. The term VIRTOPSY is the combination of the terms virtual and autopsy. The term means to see with one’s own eyes (virtus: useful, efficient and good; autos: self; and opsomei: I will see), as translated from Latin. Thus autopsy means to see with one’s own eyes. Thali et al (2007) aimed to eliminate the subjectivity of â€Å"autos†, hence they combined the two terms virtual an autopsy, deleting â€Å"autos†, and creating VIRTOPSY. Today the project VIRTOPSY groups the research topics under one scientific category, is characterized by a trans-disciplinary research approach that integrates â€Å"Forensic Medicine, Pathology, Radiology, Image-Processing , Physics, and Biomechanics† (Thali et al, 2007, p.100), to an international scientific network. Levy et al (2006) conducted a study to retrospectively assess virtual autopsy performed with multidetector computed tomography (CT) for the forensic evaluation of gunshot wound victims. They found that multidetector CT can aid the prediction of lethal wounds and the location of metallic fragments. Similarly, Ljung, Winskog, Persson et al (2006) devised a procedure for virtual autopsies based on interactive 3D visualizations of large scale, high resolution data from CT-scans of human cadavers. Using examples from forensic medicine, the researchers stated that â€Å"based on the technical demands of the procedure, state-of-the-art volume rendering techniques are applied and refined to enable real-time, full body virtual autopsies involving gigabyte sized data on standard graphics processing units (GPUs)† (Ljung et al, 2006, p.1). The techniques applied include transfer functio n based data reduction using level of detail selection and multiresolution selection techniques. The paper also describes a data management component for large, out-of-core data sets and an extension of the GPU-based raycaster for efficient dual text field (TF) rendering. The authors demonstrated the added value and future potential of virtual autopsies in the medical and forensic fields. Data sets from forensic cases provide detailed benchmarks of the pipeline (Ljung et al, 2006). The Use of Magnetic

Friday, August 23, 2019

Innovation exploitation report Essay Example | Topics and Well Written Essays - 2500 words

Innovation exploitation report - Essay Example The heat exchangers were mainly designed to extract heat energy from industrial waste but the grey water concept is to apply the same method to the waste water of the households. The company is looking forward to establish three modes of heat exchangers. The company needs to develop the heat exchanger, the connections, the sensors and the control system. Within a time span of three months - from June till the end of August - the company will develop and test heat exchangers and make them efficient enough to become a part of its main operations. The efficient system is crucial for acquiring significant market share. Adding the PVC coating gives additional efficiency plus it prevents contamination of clean water. With the help of a Gantt chart is scheduled for developing and testing the materials is included. The exact design that the company will manufacture will be protected by copyright laws and patents. The overall goal is to achieve efficiency by serving the customers’ need s and help contribute towards sustainable renewable energy systems. Waste heat from exhaust air, wastewater and refrigeration machinery can be used for space heating and hot water. Substantial amount of energy can be saved through this judicious use of heat exchangers (Harvey, 2006). The system has been in use successfully in various countries. For instance Herrera at al. (2003) showed with the use of just four heat exchangers in a complex in Mexico -a hospital, laundry, Sports Center with a swimming pool and a family healthcare unit – could save about 38% of thermal energy. A two-year independent study of heat exchanger systems installed in Britain’s houses observed a savings of 380 kWh and 500 kWh per person annually (AIMC4, 2014). The heat exchanger technology is being provided by LEED in the United States (Moore, 2013). The type of heat exchanger that the company is developing is very

Thursday, August 22, 2019

Human freedom and the ten commandments Essay Example for Free

Human freedom and the ten commandments Essay When Jesus was asked, What must I do to inherit eternal life? , he replied: You know the Commandments, keep these and you will live. It has been said, that the Ten Commandments are not simple rules mandated by God, but rather, this set of rules is considered as a gift given to men in order for them to live the life that God has promised. Although the word â€Å"commandment†, by itself, imports something mandatory and obligatory, it must be understood that God has granted each one of his people freedom and independence to choose how he or she will act, and hence, human freedom is an important topic to be discussed alongside the Ten Commandments. It will be seen, that the kind of life that men live is simply a reflection of how he uses the freedom that he has been gifted with. A person can either live a life full of one spent as a good follower of God. Although some would say that it is a question of fate, destiny, or maybe even luck, the truth is that, a person lives a life based on his own choices and decisions. As have been stated, men have been gifted with freedom, and it is up to him how he will utilize this gift. Every person has different forms of needs and wants that have to be dealt with in everyday life. This is where freedom sets in. In allowing absence of restriction, God permits every individual the opportunity to shape his life. It has been stated that this is one risk that God chose to take. â€Å"God risked much in creating us humans with the freedom, now, to unleash horrendous nuclear disaster or to love our fellows across all boundaries. † (Grider, 1994). It is the freedom that each one has been blessed with that enables him to understand and appreciate the life that he has and all the beauty that comes with it. On the other hand, if this freedom is abused, then the consequences that go with it, would also have to be dealt with by the individual concerned. Being free entails a lot of responsibility. It is believed that God granted every individual the gift of freedom, not for the sole reason that he be boundless or limitless. Man is given freedom for him to be responsible for all the things that he says, does or even thinks of. True enough, some philosophers believe that the things that happen to each individual can be traced to the actions and decisions that he chooses to take. Most of the times, it is not up to the heavens if a good or bad thing happens to one person. More of than not, everything that happens to a person can be traced to the course of action that he chose to take. The scriptures that God instructed to be drafted, in essence, are mere forms of guidance for men; but in the end, it is human freedom which will eventually dictate whether or not an individual will live his life by these guidelines. The concept of human freedom is more often discussed by mentioning the story of what happened to Adam and Eve in the garden of Eden. As has been aptly stated, â€Å"these questions as to the nature of human freedom arise especially when we turn our attention to the question of the origin of sin. Only consider how many times the origin of sin has been ascribed to this human freedom of choice, implying this twofold power of man’s nature and of his creaturely existence: to sin or not to sin; a good part and an evil part of his nature. † (Berkouwer, 1962). True enough, God could have stopped the serpent from interacting with Adam and Eve, but due to the freedom that he bestowed the two, they had the choice as to whether or not to take the apple that the serpent offered them. Ultimately then, it is this choice that they made which is the root cause of why they were banished from the garden of Eden. It would appear then that despite the Ten Commandments being set down by God to be sent to his people, the same is not precisely a set of obligatory rules imposed upon men. Rather, the Ten Commandments are considered as a guide as to how each person should live if he wants to experience the kind of life that God promised. This is a kind of life full of happiness, peace, beauty and love. A person’s freedom can lead to this if a person, in choosing paths to take, keeps in mind what the Ten Commandments speak of. Ultimately, it would depend upon the person if he will live the kind of life promised by God ever since the olden times, or if he will use his freedom to lead him to a kind of unspeakable and despicable kind of living. REFERENCE â€Å"The Ten Commandments†, http://www. whitestonejournal. com/tencommandments J. Kenneth Grider , â€Å"Human Freedom†, 1994, http://www. bibleviews. com/humanfreedom. html G. C. Berkouwer, â€Å"Human Freedom†, 1962, http://www. the-highway. com/freedom2_Berkouwer. html

Wednesday, August 21, 2019

Surviving on Green Energy Essay Example for Free

Surviving on Green Energy Essay The relationship of humans and fossil fuels can be viewed as a strong and binding one that can only end when another party ceases to exist. The humans have settled and have been depending heavily on fossil fuels, and unfortunately, fossil fuels do not seem to reciprocate the feeling. Fossil fuels, unlike humans, will cease to exist soon, and this departure is slowly but surely felt as gas prices are skyrocketing high in the oil market. Our dependence on fossil fuels is greatly evidenced by the technologies that we have developed that require the products of fossil fuels for them to operate. The transportation, machinery, and appliances are just a couple of the technology that we have made to make our lives easier and to make communication available all through out the world; fossil fuels make their existence possible. However, the existence of these technologies was under the premise that their energy sources are unlimited. Regrettably, fossil fuels are not renewable sources of energy, and it is only a matter of time before we feel the real consequence of their limits. Hence, it is important that we get to find alternative sources of energy that are renewable and whose availability is unlimited, like solar power, geothermal energy, wind energy, hydropower, and biomass. Surviving on green energy or alternative energy sources is not only safe for the environment, but is also cheap and available for a very long time. Nonrenewable sources of energy are those sources that cannot be reused and can be depleted, such as fossil fuels and examples of this are oil, natural gas, and coal (Chapter 8: Fossil Fuels Coal, Oil and Natural Gas). They are called fossil fuels because according to research, they were formed from creatures like planktons, or diatoms whose bodies were preserved through heavy sedimentation with their energies intact (Chapter 8: Fossil Fuels Coal, Oil and Natural Gas). The dependence of humans on fossil fuels can be seen on the American’s daily consumption of one of its forms, oil. Oil is a basic commodity for those who own cars, boats, planes, and any other mode of transportation, to those whose businesses depend on it as a raw material, among many others. According to the Petroleum Basic Statistics website, the United States of America consumes an average of 20,680,000 barrels of oil everyday (Petroleum Basic Statistics). This shows how much dependent this country is to nonrenewable energy, and hence should soon find a different means for energy source before fossil fuels become depleted. The combination of the heavy consumption of oil, the soaring prices of oil in the world market, and the limited sources of this commodity prompted some prominent political figures to suggest the lifting of the ban on offshore drilling. This is because they offer offshore drilling as an answer to the high prices and the limited sources of fossil fuels. However, offshore drilling poses a lot of threat not only to the environment, but also to the current monetary condition of the country. First of all, offshore drilling is harmful to the environment on a number of reasonable accounts. The creation of oil rigs in the ocean will entail excavating the earth and in the process will disturb the natural habitat of the sea creatures because of the erosion, kelp bed, coastal, and reef damage (The Case against Offshore Oil). The technology being used in detecting oil deposits is a seismic tester that releases sound waves with 260 decibel levels, enough to cause brain hemorrhaging, disorientation, and beaching in dolphins and whales (Offshore Drilling – It’s NOT the Answer to High Gas Prices at the Pump). Oil isn’t the only element that is released in the process, mercury, lead, and other radioactive material are also released (Offshore Drilling – It’s NOT the Answer to High Gas Prices at the Pump). The threat of oil spills in these oil rigs is also perilous to the wellbeing of the sea creatures for it can cause reproductive troubles (The Case against Offshore Oil). If truth be told, if oil spills do occur, which is always possible, the event have the most terrible, destructive effect on the environment. When gobbled up by animals, oil can cause death and other severe physiologic effects (The Effects of Oil on Wildlife). The environmental havoc does not stop there. The pollution that the machines contribute to the environment during their operation is also significantly dangerous. However, in spite of all of the qualms made by the environmentalists, the government would not give in. This is also why there have been independent people who have started their own endeavors in the area of researching about decreasing energy consumption and creating and using alternative sources of energy. Energy conservation is an available option to all people who would want to help in the campaign towards decreasing the imminent depletion of fossil fuels. Various suggestions are shared by environmentalists on the internet pertaining to cutting back energy consumption. People are told to purchase technology that are more environment friendly, walk instead of drive, or simply turning off appliances that are not in use. Remodeling houses with glass walls to let the sunlight in during the day is a great way to decrease light consumption. However, these tips cannot account for the long term problem. Even if we are able to slow down the forthcoming depletion of nonrenewable energy sources, it would still be a futile attempt to give energy to the next generations to come. Assortments of solutions are being put forward by scientists and environmentalists today. One suggested idea that could be plausible as an answer to the energy crisis is to tap into renewable energy sources or alternative energy sources (Offshore Drilling – It’s NOT the Answer to High Gas Prices at the Pump). Geothermal energy, wind energy, solar energy, Biomass and hydropower are the five most developed renewable energy sources that are available (Renewable Energy). Heat released from the earth is being utilized as geothermal energy by direct use, geothermal heat pumps and electricity (Geothermal Energy). Basically, geothermal energy is the heat that is being released from the hot springs, geysers, among many others. The nice thing about the usage of geothermal energy as a renewable energy source is that it little impact on the environment pollution-wise and because most of the geysers have been turned into parks, they are protected by the constitution (Geothermal Energy Energy from the Earths Core). The only disadvantage geothermal energy has is that it only emits little, so it can only supply at a limited amount each time (Geothermal Energy Energy from the Earths Core). From heat being released by the earth, the next green energy available for use is wind power. Wind is everywhere; it never runs out, it is the oldest energy source of all as evidenced by the popular windmills being used a hundred years ago. We can see a lot of windmills and wind turbines across the country, and there are even wind farms being put up because of the great energy contribution wind is capable of (Chapter 16: Wind Energy). With great advantage to us, wind power is already used in lighting homes in California. On the other hand, a disadvantage of using wind power is its known disturbance in the migratory patterns of birds (Wind Energy Energy from Moving Air). It could affect their directions and their natural habitats. But nevertheless, wind power is pretty much useful. From wind we go to another object found in the sky, the sun. Solar energy is energy produced by the sun, and can be transformed into usable energy by way of solar cells and solar power plants (Solar Energy Energy from the Sun). The only problem with solar energy is also the only reason it gives us energy, the sun. Since the sun is not consistently shining above us, hence nighttime, we cannot maximize its use for the whole day. Plus, weather changes occur every now and then, which can also alter the effect of solar energy throughout its use (Solar Energy Energy from the Sun). Other than weather disturbances that are naturally occurring, solar energy does not interfere with the environment in any possible way. From the shining sunlight we proceed to natural, physiological waste, Biomass. Biomass is mostly made up of biological material derived from living or recently living organisms (What is BIOMASS? ). Virgin wood, food waste, energy crops, industrial waste, and agricultural residues are the raw materials being used for producing Biomass (What is BIOMASS? ). This is also an excellent green energy alternative source because the raw materials needed to produce this energy can be found anywhere and everywhere. It utilizes waste products, hence, less trash and pollution. Its use can lower down carbon dioxide emissions, provide 15% of the demands of electricity in 2020 in industrialized countries, and can give 400,000 jobs (Biomass Energy). And like any other source of energy, Biomass has its own disadvantage. Utilizing Biomass entails the allocation of land for its production centers. And if this means more plantation of Biomass for its usage, more land will be used up instead of allocating this land for food production (Global Limits of Biomass Energy). Last but certainly not the least is hydropower or water energy. Hydropower seizes the energy of falling water and transforms it into electricity (How Hydropower Works). However, conditions have to be met for this energy transformation to take place. The height of the waterfalls and the quantity of water that is falling is to be taken into account (How Hydropower Works). The water falls should be high enough and it should be releasing a certain amount of water for it to produce enough energy (How Hydropower Works). It seems that of all the five green energy sources, hydropower is the only one that does not offer a disadvantage, which is why it is mostly utilized today. Fortunately, most waterfalls around the world are so named, because of their height and the amount of water that falls, so there can be no problem with that except of course in dessert countries. But it does not mean that hydropower should be the only one that can be invested in. Right now, as this is being read, there are numerous scientists and environmentalists who are keeping their hands full with research and experimentation on how to find renewable energy sources. They are the ones that we should idolize and look up to, because these people do not want just a quick fix to a lifelong problem, they want change. And we all know that change is inevitable and that we should always be ready for it when it comes. Our lives have been dependent on technology, mankind’s answer to making life easier and faster, maximizing time on earth to its full potential. Our dependence on it is making our environment suffer. Maybe it is not yet too late to make the change and go green, go environmental. It doesn’t really mean requiring oneself to go caveman and abandon the city and retreat to the forests. It just means that even in our own little way we can contribute to the solution, instead of contributing to the problem. We all know it’s a jungle out there, and some of us are not equipped to embrace change especially once fossil fuels really run dry. Maybe, as early as now, we should embrace these changes and practice our energy saving methods, and soon enough, we can all survive on green energy. Works Cited: BIOMASS, What is BIOMASS? Biomass Energy Centre. 2008. UK Forestry Commission. 9 December 2008 http://www. biomassenergycentre. org. uk/portal/page? _pageid=76,15049_dad=portal_schema=PORTAL. California Energy Commission, Chapter 16: Wind Energy. Energy Story. California Energy Commission. 9 December 2008 http://www. energyquest. ca. gov/story/chapter16. html. Carnegie Institution of Science. Global Limits Of Biomass Energy. 14 June 2008. ScienceDaily. 9 December 2008 http://www. sciencedaily. com ¬ /releases/2008/06/080611181214. htm. â€Å"The Case against Offshore Oil. † 2002. Rainforest Action Network. 9 December 2008 http://www. culturechange. org/caoe. html. â€Å"Chapter 8: Fossil Fuels Coal, Oil and Natural Gas. † 2006. California Energy Commission. 9 December 2008 http://www. energyquest. ca. gov/story/chapter08. html. â€Å"The Effects of Oil on Wildlife. † 2003. Marine Environment Protection. 9 December 2008 http://www. amsa. gov. au/marine_environment_protection/educational_resources_and_information/teachers/the_effects_of_oil_on_wildlife. asp. Energy Information Administration, Geothermal Energy Energy from the Earths Core. Energy Kids Page. 2008. Energy Information Administration. 9 December 2008 http://www. eia. doe. gov/kids/energyfacts/sources/renewable/geothermal. html. Energy Information Administration, Renewable Energy. Energy Kids Page. 2008. Energy Information Administration. 9 December 2008 http://www. eia. doe. gov/kids/energyfacts/sources/renewable/renewable. html. Energy Information Administration, Solar Energy Energy from the Sun. Energy Kids Page. 2007. Energy Information Administration. 9 December 2008 http://www. eia. doe. gov/kids/energyfacts/sources/renewable/solar. html. Energy Information Administration, Wind Energy Energy from Moving Air. Energy Kids Page. 2008. Energy Information Administration. 9 December 2008 http://www. eia. doe. gov/kids/energyfacts/sources/renewable/wind. html. National Renewable Energy Laboratory, Geothermal Energy. Ren

Tuesday, August 20, 2019

Harmonisation of Accounting Standards

Harmonisation of Accounting Standards Accounting Standards are the reliable statements of best accounting practices issued by recognized expert accountancy bodies relating to various aspects of measurements, treatments and disclosures of accounting transactions and events, as related to the codification of Generally Accepted Accounting Principles (GAAP). This report presents harmonization of accounting standards, a brief history, and the achievements so far and some challenges faced by the organizations such as the International Accounting Standard Committee (IASC) that are pursuing harmonization of accounting standards. 1.0 ACCOUNTING HARMONIZATION: Many authors have put together different definitions for accounting harmonization in various ways. It would seem not an easy word to define, as neither the European Commission nor other organs of the commission have explicitly defined the concept of accounting harmonization (Christopher Nobes, 1992). Some have even complicated the whole concept, by attempting to substitute harmonization with standardization, as if to mean that the process is the same, rather than making it more compatible. In practice, harmonization of accounting tends to mean the process of increasing the compatibility of accounting practices by setting bounds for the degree of variations (Nobes, 1992). This can be accepted to be the most suitable definition of the concept. Harmonization of accounting standards has become a highly demanded issue of discussion and debate among accounting professionals around the globe. Accounting Standards are the authoritative statements of best accounting practices issued by recognized expert accountancy bodies relating to various aspects of measurements, treatments and disclosures of accounting transactions and events, as related to the codification of Generally Accepted Accounting Principles (GAAP). These are stated to be the norms of accounting policies and practices by way of codes or guidelines to direct as to how the items, which make up the financial statements, should be dealt with in accounts and presented in the annual accounts. In fact, such statements are designed and prescribed to improve and benchmark the quality of financial reporting. They bring about uniformity in financial reporting and ensure consistency and comparability in the data published by enterprises. These are aimed at furnishing useful info rmation to different users of the financial statements, such as shareholders, creditors, lenders, management, investors, suppliers, competitors, researchers, regulatory bodies and society at large(Shil et al. 2009). The process of harmonization gives the global community a single entity. The diversity of stockholding doesnt matter today if the accounting system can generate general purpose financial statements in real sense. Thus, along with the process of globalization, the awareness of investors in capital markets has increased manifold and the size of investors is multiplying. Foreign institution investors (FIIs) are investing in significant volumes globally, as also are several Indian companies through GDRs (Global Depository Receipts) and ADRs (American Depository Receipts). Hence, the need for harmonization of accounting standards has been strongly advocated globally in order to faster the economic decision-making process(Shil et al. 2009). Wallace, et al (1997) argue that the mission for international harmonization of reporting practices cannot be as easy as looking at a cash flow statement, where you identify different ways of categorizing cash flows, alternative formats of presenting cash flows from operating activities and just many other differences. In addition, several issues such as: the bad debts provision; valuing marketable securities; and the treatment of long-term contracts, can be considered specific and given particular treatment. The role of the Accounting Standards Board (ASB) for example is to issue accounting standards in the United Kingdom. It is recognised as a standard setting body in the UK for the purposes of Section 256(1) of the UK Companies Act 1985 and in Northern Ireland for the purposes of Article 264(1) of the Companies (Northern Ireland) Order 1986.(Mccallig et al. 2010). 1.1 The Need for Harmonization The increased globalisation of capital markets has resulted in a need for international accounting standards. In an increasingly globalised world, it is clear that financial statements of companies operating under different accounting management systems are not easily comparable. This has led to the need and development of the International Accounting Standards Board (IASB) whose stated objective is the development of à ¢Ã¢â€š ¬Ã‹Å"a single set of high quality, understandable, enforceable and globally-acceptable International Financial Reporting Standards (Mccallig et al. 2010) This harmonization is needed due to the globalization of businesses and services and an increase in cross-border investments and borrowings(Zeff 2011). Some of the benefits of harmonization are: It ensures reliable and high quality financial reporting and disclosures in certain cases; it can prove to be crucial to the economic and financial development of a country. It enables a systematic review and evaluation of the performance of say multinational companies having subsidiaries and associates in various countries wherein each country has its own set of GAAP. It makes the comparison of the performance of a company against its domestic and international peers easier and more meaningful. It adds to the international credibility of a company. It is a precursor for accessing international capital markets which can, in turn, reduce the capital cost and consequently, improve the performance of a company. It provides a level playing field where no country is advantaged or disadvantaged by its GAAP. (Mogul 2003) Additional benefits of a global financial reporting framework that can be achieved through harmonization are numerous and can include greater comparability of financial information for investors, greater willingness on the part of investors to invest across borders, lower cost of capital, more efficient allocation of resources; and even higher economic growth not only for companies and organizations but for governments also. 2.0 IMPLEMENTATION CHALLENGES The most fundamental of obstacles to achieving uniform practice is the size of the present differences between the accounting practices of different countries. Using the different types of classifications of accounting systems used in different countries, there are several significant differences even within the equity class, let alone between that class and the other. These differences go to the root of the reasons for the preparation of accounting information(Nobes 2001). Still, there are a couple of strong variants of accounting practices (say, for example, US GAAP, UK GAAP, IAS etc.) over the world existed and practiced simultaneously. These variants are working as threats towards harmonization of accounting practices. However, the profession has also witnessed some improvements in recent years in the process of global convergence putting some ray of hope. International and even local standard setting bodies have come up with projects of harmonization and in most of the cases became successful. The day is not far away when we will observe that accounting world is controlled and guided by a single set of standards giving it a status of legal discipline in true sense(Shil et al. 2009) Implementation challenges at the international and national levels of the objectives of an improved and harmonized reporting system being achieved are still evident. For example the question of how the IASB should cope with the Securities and exchange commissions (SEC) eventual decision to adopt, converge to, or continue to study International Financial Reporting Standards (IFRS) as the financial reporting framework to be used by U.S. issuers? The process of mutual convergence between IFRS and U.S. GAAP, which has been an avowed policy of both the IASB and the FASB since 2002, will surely not extend beyond the terminal dates of the major projects currently heading toward completion.37 Countries that have signed on to IFRS, as well as the leadership of the IASB, believe that the time is nigh for the SEC finally to decide whether to commit to IFRS, or not. If it does not, the IASB must consider the consequences of an IFRS world without the United States. Considering that the U.S. capit al market is still the largest and most important in the world, and the SEC is the worlds most respected securities market regulator (Zeff 2011). 3.0 CONCLUSIONS A significant number of entities and countries around the world have adopted International Financial reporting Standards (IFRS) as their basis for financial reporting, often initially regarding these as a means of improving their quality of information on corporate performance. The benefits of adopting IFRS have been extended to include winning the trust investors, greater willingness on the part of investors and companies themselves to invest across borders, lowering of capital costs to companies, more efficient allocation of resources; and even higher economic growth not only for companies and organizations but for governments also. On the overall one can argue that this approach to financial management can greatly impact the global economy as a whole.

Monday, August 19, 2019

The Namib Desert :: essays research papers

The Namib Desert   Ã‚  Ã‚  Ã‚  Ã‚  The Namib Desert is a parched and rippled desert, an endless expanse. It stretches along the wouthwest coast of Africa from Angola in the north, through Namibia, into South Africa. The name Namib means â€Å"emptiness.† About 1,700 km (1,060 mi long and 100 km (60 mi) wide, the desert is bordered on the west by the Atlantic Ocean. The Namib has an approximate area of 170,000 sq km (65,640 sq mi). It rises from sea level 914 m (3,000 ft). Temperatures average 16 deg C (60 deg F). Sands, varying from yellow to red in color, form dunes reaching 240 m (800 ft) in height. The annual rainfall averages only 25 mm (1 in), but high humidity results in fog and dew. In the north deeep canyons have been cut by streams. The area's main rivers, the Orange and the Cunene, follow the southern and northern borders, respectively, of Namibia. One river, the Queeseb, is made of water collected from over 160 km (100 mi) inward. The Queeseb causes water holes, for which many organisms rely on for water besides the actual river itself. Acacia trees grow along the rivers, and short grasses and succulents thrive everywhere. One of the most important animals of the area is the baboon. The baboons excavate for underground water that many other animals depend on. There are many other animals that have adapted to live in the Namib desert farther away from the rivers and streams including 45 species of lizards and more than 200 species of beetles. The nocturnal gecko, like many other animals, burrows in the sand to escape the days heat, 77 deg C (170 deg F). The palmado gecko drinks the moisture that forms on its own body from the fog and dew, as does the sidewinder snake. The sidewinder has adapted a special way of moving in the loose sand which gives it its name.

Gettysburg :: essays research papers

Gettysburg is the bloodiest battle on U.S. soil. It started when Vicksburg was under siege by General Grant. General Lee thought that he would drive them out by invading the North. There plan was to first invade Harrisonburg, but Lee then saw that Gettysburg was a great place, because all the roads lead into it and it would be easier to gather his army.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Stuart was in charge of the South Calvary, which is in charge of keeping track of the position of the North’s army, but he was of causing havoc in some northern towns. In light of Stuarts disappearance General Longstreet Hired a southern actor named Harrison to spy on the north. With his information the decided to move towards Gettysburg.   Ã‚  Ã‚  Ã‚  Ã‚  While this is going on the Northern army was to the north of Gettysburg and Buford, who is in charge of the Northern Calvary Division, saw what the South was doing.   Ã‚  Ã‚  Ã‚  Ã‚  On the first day of battle three southern divisions were marching in between Seminary Ridge and Gettysburg. Buford knowing that he need to keep the high ground safe he sent Develin to set up a barricade one street and Gamble to barricade the other. As the three Southern divisions moved on Heath thought that Devilin’s barricade was made up of local militia and he decided to attack. To Heaths dismay it was un mounted Calvary that were there to defend and to make sure that the south didn’t move into Corps Hill or Cemetery Ridge. Develin and Gamble held them off long enough. The south then settles in to Seminary Ridge. Ewell was told by Lee to take the corps hill but he doesn’t. That was the end of the first day of battle. The south considered it a victory even though nothing came out of the first day.   Ã‚  Ã‚  Ã‚  Ã‚  During the first day the 20th Maine under the command of Cornel Chamberlain was issued men who refused to fight. They were also told that they were to march towards Gettysburg and to be ready to fight. As they march all but six of the new guys decided that they would fight.

Sunday, August 18, 2019

Obstetric Fistula :: essays research papers

An aspect of women’s health is Obstetric Fistula, this is a serious medical condition in which a Fistula (hole) develops in the birth canal, either between the rectum and the vagina or between the bladder and the vagina. It is caused by a prolonged labour that presses the unborn baby so tightly in the birth canal that blood flow is cut off from surrounding tissues, and where there has been no medical intervention. This usually occurs in young, thin girls in communities in Africa, Asia and Arabia. At least 2million women in these regions are currently living with the condition. And approximately 50,000 to 100,000 new cases develop each year. This persistence of Fistula shows that health systems are failing to meet the needs of women. A 1993 study in Nigeria found that 55% of sufferers of this condition were under the age of 19, and 94% gave birth at home or in poorly equipped local clinics, this shows due to a lack of health care facilities, a women will not be able to receive a Caesarean Section if she encounters difficulty giving birth. With Obstetric Fistula the woman will constantly leak urine or faeces, or both which is distressing and humiliating. Despite every effort to keep clean, the smell is hard to eliminate and hard to ignore and often drives people away, including the woman’s own family, and seeing as how it is most likely that her baby was a stillborn she will go through this grief all alone, the community will often cast these women out rendering them impure and infertile. Other than social stigma Fistula can also lead to chronic medical problems, including ulcers, kidney disease and nerve damage in the legs. A simple surgery can normally repair the injury, with success rates as high as 90% with experienced surgeons. The average cost of one operation for one woman is  £120. Unfortunately, most women with the condition do not know that treatment is available, and cannot afford it. That is why the United Nations have launched a worldwide campaign called Renew, if the campaign goes to plan, by 2015 no woman will have to suffer from this condition again. The UNFPA also launched a worldwide campaign to End Fistula in 2003.

Saturday, August 17, 2019

“One Friday Morning” by Langston Hughes Essay

The short story â€Å"One Friday Morning† by Langston Hughes is about a young African American girl, Nancy Lee, who recently moved to the north with her parents so they may provide her with a better life and schooling. Extremely talented in watercolor painting, she aspired to make that her major in college. Because of racial discrimination, she was denied the scholarship that would have been her ticket to a brighter future. Sadly, there are some people in the world that are blinded by race and forget how America was supposed to be a place with equal rights and justice for all. Langston Hughes brings in themes like racism, equal rights between human beings, racial and national pride, and of course the American dream. His biggest aim is to show the world how colored people are treated and that present day America doesn’t fulfill the American dream of all men being equal. Nancy Lee may be a colored girl, but at times she forgets she has a different skin color than the rest of her classmates. Her peers overlook her race as well, they see her as nothing but a young and talented individual. Nancy Lee painted an award winning piece of art worthy of a scholarship to an art institute. The painting was of her grandmother sitting on a park bench looking at the American flag on a bright sunny day. This represents a dream that Nancy Lee wanted to express; that all people are equal and deserve to be treated as such. Unfortunately, the art institute didn’t realize that Nancy Lee was a colored girl at the time they chose her painting. When it was made known, they decided to give the scholarship to a white student. They felt if Nancy Lee were to attend the Institute, it would cause controversy amongst others. On the day Nancy Lee was to receive the award, she was told by her principal Miss O’Shay that she would not be able to accept this essential scholarship solely because of the color of her skin. Miss O’Shay regrettably informed Nancy Lee that â€Å"When the committee learned that you were colored, they changed their plans† (Hughes 5). Miss O’Shay did her best to encourage Nancy Lee not to give up and to fight for her dreams. In the story they compare Miss O’Shay with abolitionists and the first white teachers who went to the Deep South to teach the freed slaves. Nancy Lee looked up at her principal and noticed the bright spring day through the open window that resembled her painting. This is a metaphor for the close proximity of the utopia depicted in her art that would have no discrimination and in which all people would be treated equally. (expand on this idea!) At the weekly assembly, Nancy Lee took her seat along with three thousand other students. She turned her head and said the pledge to the flag, a symbolism of freedom and equal rights with â€Å"†¦liberty and justice for all†. She then decided that even though she’s not receiving the scholarship that was rightfully hers, she’s determined to â€Å"fight to see that these things don’t happen to other girls as this has happened to me. And men and women like Miss O’Shay will help me† (Hughes 6). This shows that Nancy Lee isn’t willing to accept that the scholarship was withdrawn simply because of her race, and that with help from people like Miss O’Shay, she is going to start a revolution to make sure that this won’t happen in the future to people like her. Discrimination is all around us; everyone is discriminated against at one point in his or her life. Langston Hughes, an African-American writer, wrote the short story â€Å"One Friday Morning† to describe the experience of one particular girl who was discriminated in her school because she was colored. Life brings many disappointments, all of which make a person stronger. Unfortunately, there will always be discrimination, as it is a part of life. This story is a great example of seeing someone being discriminated against while putting the reader in the main character’s shoes to feel what it feels like to be them. Discrimination occurs for many reasons. A good reason is we become wiser from it and realize that no one deserves to be treated unfairly. From her personal experiences, Nancy Lee will go on to motivate other people to move closer to achieving the high ideal extolled in the Pledge of Allegiance. â€Å"†¦one nation indivisible, with liberty and justice for all.†

Friday, August 16, 2019

Characteristics of Developing Countries Essay

Characteristics of Developing Countries BY Hafeez260 The theme of this essay is: the importance of a study of other semi-developed countries as they struggle for economic growth, the elimination of mass poverty and, at the political level, for democratisation and the reduction of reliance on coercion. New countries are finding their voices in all sorts of ways and are managing to interest an international audience. South Africa is not least among them; contemporary international consciousness of the travail of our particular path towards modernity testifies at least to a considerable national talent for dramatic ommunication and (for those who care to look more deeply) a far from extinct tradition of moral conscientiousness. One aspect of this flowering is a rapidly growing crop of social scientific studies of semi-developed countries of which this university is fortunate to have a substantial collection, contained mainly in the library of Jan Smuts House. From this literature, one can extract five themes of particular interest. The first is the problem of uneven development and effective national unification, especially in deeply divided societies. Capitalist development has mpinged on semi-developed countries from outside rather than transforming slowly from within, incorporating different groups in different ways. Particular problems arise when differential incorporation coincides in substantial measure with boundaries between ethnic groups. If Donald Horowitz’s remarkable study of ethnic groups in conflict is right, more energy goes into attempting to maximise differences in the welfare of in groups and out groups than into maximising their Joint welfare, with adverse consequences for the possibilities of building the national political and economic institutions required for development. Gordon Tullock has argued that this is an additional reason for preferring market-based rather than state-led economic growth in deeply divided societies. In itself it is, but the secondary effects of different paths on distribution have to be taken into account. In so far as they lead to worsening differentials between groups, the possibility of heightened conflict is created. The only long-term hope is to make ethnic boundaries less salient; the happiest outcome would seem to be when ethnicity becomes decorative in a high income economic environment. This is likely to be the work of decades, perhaps of enturies; even so, appalling retrogressions always seem to remain possible. The consequence of deep divisions is that there is likely to exist an unusually large number of prisoner’s dilemma situations. The prisoner’s dilemma arises when partners in crime are apprehended and held separately. The prisoners will be Jointly better off if they do not inform on each other, but each prisoner will be better off if he informs on the other, while the other does not inform on him. Attempts at individual maximisation may lead to both prisoners informing on each other which leads to the orst Joint outcome. The dilemma arises because of the absence of the opportunity for co-operation. ) Under such conditions, negotiation skills are at a premium. There are also advantages in the acceptance of a deontological liberal philosophy which (in the shorthand of political philosophers) places the right over the good. This involves seeking to regulate social relations by Just procedures while leaving individuals as free as possible to pursue their own, diverse conceptions of the good life. Such an attention should be paid simultaneously to the reduction of poverty. The analytical Marxist, Adam Przeworski has analysed analogous problems which arise in the case of severe class conflict. In his view, social democratic compromises are held together by virtue of the propensity of capitalists to reinvest part of their profits with the effect of increasing worker incomes in the future. Class compromise is made possible by two simultaneous expectations: workers expect that their incomes will rise over time, while capitalists expect to be able to devote some of their profits to consumption. In conditions of severe class conflict, these expectations about the future become ncertain, time horizons shorten, workers become militant, capitalists disinvest and political instability results. Three forms of resolution are available: stabilising external intervention, negotiation or renegotiation of a social contract or the strengthening of the position of one or other class by a shift towards conservatism or revolution. Przeworski’s sternest warnings are to Marxists who assume that revolution and the introduction of socialism is the inevitable outcome of a crisis. The second theme in the literature on semi-developed countries has to do with their position within the world economy. Three related sub-themes can be identified. Firstly, there has been a debate about the forms and limits of the diffusion of industrialisation. Dependency theory – now somewhat out of fashion, since its predictions of severe limitations on industrialisation in developing countries have been falsified – asserted that relationships between developing and developed countries are such as to keep the latter in perpetual economic subordination. The contrary thesis – that advanced industrial countries have had to deal with increased competition arising from quite widespread diffusion – now seems more plausible.

Thursday, August 15, 2019

Pride and Prejudice Essay

Mr Collins proposes to both Elizabeth and Charlotte, but their reactions are very different. What does the behaviour of all three characters, during chapters 19, 20 & 22 tell us about the different attitudes to marriage in the early nineteenth century? In the 19th century, men were rated higher than women in society therefore when it came to marriage, once women were married all of their belongings, earnings and wealth were passed onto their husbands and in return their husbands would take care of them. Men and women back then would very rarely marry for love and happiness but otherwise mainly for money, security and to be higher up in society in some cases. Jane Austin wrote the story ‘Pride and Prejudice’ which deals with some of the most important aspects of adult life in the 19th century and explores the different views of marriage thoroughly throughout the book. Elizabeth Bennet is the second eldest of the five Bennet sisters and plays a vital part in the novel where she believes that marriage should be about love, equality and respect. Her view is that marriage is to be an equal partnership and a meeting of minds. She is a girl of high principles and her marriage would have been one of equality as she quotes â€Å"And if I were determined to get a rich husband, or any husband, I dare say I should adopt it† (volume 1 chapter 6 page 15) which shows her determination that she would not marry for money, but only for true love. Marriage today is seen upon by society as a way to be connected to your ‘other half’ forever due to your undying love for each other. Many people get married by choice of the heart which is similar to the way Elizabeth saw matrimony back in the 19th century. When Mr Collins proposes to Elizabeth she try’s to be nice and reject him in a nice way by saying ‘†Accept my thanks for the compliment you are paying me. I am very sensible of the honour of your proposals, but it is impossible for me to do otherwise than decline them† (volume 1 chapter 19 page 89) though he does not believe that her means what she says when she refuses him. Therefore Elizabeth ends up saying â€Å"I am perfectly serious in my refusal. – You could not make me happy, and I am convinced that I am the last woman in the world who would make you do† (volume 1 chapter 19 page 90) and by saying this she is sticking to her principals of only marrying for love. Even though he can save her and her family financially, she is still prepared to sacrifice financial security for personal feelings and freedom. I do admire Elizabeth for this decision because she told him what she honestly thinks/believes. I believe you should only marry someone if you are deeply in love with them and feel that you want to share your life with them. Also, Elizabeth does not want to make the same mistakes others have made in past marriage; advised by her father as he does not have true feelings for Mrs. Bennet which makes their marriage very unhappy and uncomfortable. This has probably influenced her decision a lot to decline Mr. Collins because she does not want to end up in the same position as her parents. After many attempts of trying to change Elizabeth’s mind, Mrs. Bennett resorts to saying â€Å"You must come and make Lizzy marry Mr Collins, for se vows she will not have him, and if you do not make haste he will change his mind and not have her† (volume 1 chapter 20 page 93) to Mr. Bennet because she desperately is trying to marry all off Elizabeth so that she isn’t her responsibility any more. Elizabeth is also getting older and at that time when they got to a certain age and were not married, they would be seen as not eligible for marriage, i.e. a spinster. On the other hand, Mr. Bennet reduced the situation to a joke by contrasting his opinions of the proposal with that of his wife. He ended the situation by saying â€Å"An unhappy alternative is before you, Elizabeth. From this day you must be a stranger to one of your parents. – Your mother will never see you again if you do not marry Mr Collins, and I will never see you again if you do† (volume 1 chapter 20 page 93) because he understands why Elizabeth does not want to marry Mr. Collins, cares more about his daughters happiness than their wealth and does not want to see her end up regretting her married life like he is. When Mr. Collins is rejected he refuses to abandon his decision to marry. Instead of Elizabeth, he decides to set his sights on Charlotte Lucas and asks her to marry him instead. As soon as Elizabeth found out that her best friend Charlotte was engaged to Mr. Collins, she expressed her surprise by exclaiming â€Å"Engaged to Mr Collins! My dear Charlotte, – impossible!† (volume 1 chapter 22 page 104) because she could not come to terms that Charlotte would be marrying this arrogant man. ‘But Elizabeth had now recollected herself, and making a strong effort for it, was able to assure her with tolerable firmness that the prospect of their relationship was highly grateful to her, and that she wished her all imaginable happiness’ which shows us she was pleased for the couple and shows her support for Charlotte by wishing her well. By doing this Elizabeth demonstrates that she will support others if they believe they will be happy despite not wanting to marry for any other reason than love and happiness herself. The character Mr Collins is a Church of England rector, who inherits Mr Bennet’s estate and his patron is Lady Catherine de Bourgh (Darcy’s aunt). His attitude towards marriage is different to Elizabeth’s as he wants to marry for economical reasons which is clearly shown when he says â€Å"Having now a good house and very sufficient income, he intended to marry; and in seeking a reconciliation with the Longbourn family he had a wife in view, as he meant to choose one of the daughters, if he found them as handsome and amiable as they were represented by common report† (volume 1 chapter 15 page 57). Mr Collins himself is silly, pompous and self-satisfied, though he seems to have a significant role as a potential marriage partner, which is unfortunately let down by his lack of care for anyone but himself. He only wants to secure his place in society by marrying as Lady Catherine will promote him which will then move him into a higher class of people. Mr Collins reasons for wanting to marry one of the Bennet sisters is ‘This was his plan of amends – of atonement – for inheriting their father’s estate; and he though it an excellent one, full of eligibly and suitableness, and excessively generous and disinterested on his own part’ (volume 1 chapter 15 page 57-58) which means as he is inheriting their fathers land, he thinks he can make things better by marrying on of them however despite him thinking this is a very good idea, he is not in love with any of them. Whilst Mr. Collins is in search of a wife; his first choice is Jane, but learning of her likely engagement to Mr. Bingley, he switched his attention to Elizabeth. I believe that this sudden change is consistent with everything we have learnt about Mr. Collins. Although whilst on one had his intentions appeared honourable i.e. he wants to marry one of the sisters in order to re pay them for inheriting their fathers land , the fact that he is willing to marry any of them without loving them, demonstrates his ultimate lack of regard and respect. It also highlights his underlying reason to marry in order to accumulate more wealth and social status. Next, the way Mr. Collins proposed to Elizabeth was excessively formal and consisted entirely of reasons why he should marry. His starts off with mentioning â€Å"Almost as soon as I entered the house I singles you out as the companion of my future life† (volume 1 chapter 19 page 88) which is a complete lie as we all know his first choice was Jane. The order in which he gives his reasons for marrying is interesting too as he mentions he wants to set a good example, how it will make him happy and the fact that Lady Catherine had told him to get; all before he even mentions love! His proposal shows only concern for himself and his standing with Lady Catherine who seems to be the only woman he does care for. Apart from being incredibly long-winded, his speech sounds like a business deal without any suggestion of romance which probably turns Elizabeth off him even more. When Mr. Collins says â€Å"I am therefore by no means discouraged by what you have just said, and shall hope to lead you to the altar ere long† (volume 1 chapter 19 page 89) means he is then dismissive when Elizabeth turns down his proposal assuming that she really means yes, when she is saying no and thinks that all young women react in this way initially when asked for their hand in marriage. Again, this shows us that he is pretty arrogant, doesn’t take Elizabeth seriously – or any other women for that matter and thinks that he will marry Elizabeth in the end despite what she is saying. Amazingly, Mr. Collins is very fast to change mind from Elizabeth to Charlotte which tells us he has no intention of stopping until he is married and he would happily marry a woman who does not love or even like him. He barley knows Charlotte, yet he is willing to spend the rest of his life with her and he will not be grateful that she is his wife but grateful they are married because then he is seen higher in society. Although he may have said he had feelings for Elizabeth, they way he was able to move onto Charlotte so quickly also enhances our thoughts of him being selfish. By doing all of this, he is quickly showing that he only has a heart for himself therefore he will never love any woman or find true love and no woman will ever be able to love him back.

Wednesday, August 14, 2019

Acute Hepatitis B

Acute Hepatitis B GNUR543 St. John Fisher College Mr. Wilson is a 47 year old man being evaluated for complaints of fatigue, anorexia and abdominal distention. On examination, it is noted that the skin is jaundiced and the liver enlarged. D. W. denies significant alcohol or drug use. He denies any known exposure to hepatitis and has never been vaccinated for hepatitis. He is taking no medication. Laboratory tests reveal the following and a diagnosis of acute hepatitis B is made: 1. Review and analyze the laboratory data. What diagnosis is supported by these values? Give your rationale. Mr.Wilson’s lab work is reviewed below: * AST142 IU/L * AST (Aspartate aminotransferase) is an enzyme and blood sample results can detect if there is liver damage. AST is found in the heart and liver with much lower levels in muscles and kidneys. In a healthy person the AST is between 10-40 IU/L. If the liver is damaged, AST is released into the blood stream (Hepatitis B, 2011). * ALT120 IU/L * ALT (Alanine aminotransferase), if elevated can also be an indication of liver damage. ALT is an enzyme that is normally in the liver and kidneys. If the individual is healthy, the ALT is low, between 7-56 IU/L.Elevated ALT is an early indicator of liver damage usually elevating prior to a patient becoming jaundice (Hepatitis B, 2011). * GGT 42 IU/L * GGT (Gamma-glutamyl transferase) is an enzyme that is found in the liver but may also be in the spleen, kidneys and pancreas. As with AST/ALT, GGT is elevated when there is liver damage. The normal test range is 0 – 51 IU/L. GGT will be elevated when there is acute damage to the liver (or bile ducts) (Hepatitis B, 2011). * Alk Phos 84 IU/L * Alk Phos (Alkaline Phosphatase or ALP) is an enzyme found in the liver, bone, kidney and GI tract. Normal range for this blood test is 44 – 147 IU/L.Alk Phos, if elevated generally indicates that there is a blockage in the bile ducts. Also, if it is found to be high this means the pat ient can either have kidney disease or bone disease. To differentiate, a GGT test is also taken. If that result is high as well, a liver disease is present; if the GGT is within normal limits then the patient has bone disease (Hepatitis B, 2011). * Total Bilirubin1. 0 mg/dl * Total bilirubin is the product of damaged or broken down red blood cells in the body. The bilirubin is processed through the liver and the normal levels in the body are; 0. 3 – 1. 9 mg/dL.If this level is increased, it means that the liver is not processing the bilirubin due to liver disease (Hepatitis, 2011). * Albumin4. 3 g/dl * Albumin (ALB) measures the level of albumin in the patient’s plasma. Albumin is a protein that is made in the liver and is sensitive to any changes in liver function. Albumin mainly ensures that the cells in the body don’t leak, keep the tissues nourished and transports vitamins, calcium, hormones through the body. The normal range for Albumin is 3. 4 – 5. 4 g/dL. Albumin will be lower than normal in the case of malnutrition or liver disease (Hepatitis, 2011). HBsAgpositive * Anti-HBSnegative * Anti-HCVnegative * HIVnegative Test Name| Mr. Wilson’s Result| Normal Ranges| | AST| 142 IU/L| 10-40 IU/L| Elevated| ALT| 120 IU/L| 7-56 IU/L| Elevated| GGT | 42 IU/L| 0 – 51 IU/L| Normal| Alk Phos | 84 IU/L| 44 – 147 IU/L| Normal| Total Bilirubin| 1. 0 mg/dl| 0. 3 – 1. 9 mg/dL| Normal| Albumin| 4. 3 g/dl| 3. 4 – 5. 4 g/dL| Normal| Mr. Wilson’s labs indicate that he has chronic Hepatitis B. This is chronic because the indicators for acute liver damage are within normal limits. For example, if the patient were having an acute onset of Hepatitis B his Albumin would be low.Albumin is made in the liver and is very sensitive to any changes in the liver. If there was acute damage to the liver the Albumin value would not be in normal range. Also, Mr. Wilson’s bilirubin would be higher if he was having a cute hepatitis B. For the skin to be noticeably jaundiced the bilirubin level would usually be >2. 0 mg/dL (Hepatitis, 2011). The patients GGT would be elevated also if he was experiencing an acute episode of hepatitis B. Additional tests that might be helpful to making an accurate diagnosis would be; IgG-anti-HBc and IgM-anti-HBc.These tests show if the hepatitis is acute or chronic. The IgG-anti-HBc is positive if the patient is chronically infected. The IgM-anti-HBc would show positive if the patient is acutely infected with hepatitis B. The HBs-Ag will be positive in both acute and chronic cases. See the table below for an overview of the assessment and tests that are generally given when a new Hepatitis B diagnosis is reached. (Lok A. S. , 2011) 2. Explain the hepatocellular changes that occur with the above diagnosis. The liver has many roles in the body that associate it with many systems.For example, it acts as a digestive organ by secreting bile for the breakdown of fat (Co pstead, 2010). The liver also removes bilirubin from the blood, temporarily stores blood and synthesizes the blood clotting factors (Copstead, 2010). Other functions of the liver are; removing toxins from the blood, metabolizing both sex hormones and steroid hormones. Any damage to the liver can in turn disrupt any of these processes and functions that it performs. Some of the processes and functions can be changed in the following ways: * Liver inflammation: Inflammation in chronic hepatitis is associated with scarring.Severe inflammation can bridge together portal tracts within the liver, this is called â€Å"bridging necrosis† (Mani & Kleiner, 2009). It can also bridge to central veins, confluent necrosis (Mani & Kleiner, 2009). This leads to scarring, the creation of fibrous strands and in many cases will lead to fibrosis. Throughout the liver cells are becoming damaged therefore blocking and limiting the livers functionality. Hormone secretion, chemicals and toxins in th e blood, clotting factors and other defense fighting macrophages are interrupted (Copstead, 2010).Along with the inflammation, the patient will feel fatigued and will have a lowered immunity. * Ascites and peripheral edema: Abdominal distention, ascites, is a result of the damaged cells within the liver and more specifically the membrane of the cell has been damaged. There is an intra-abdominal buildup of sodium, water and protein. The cells in the liver are unable to maintain the appropriate osmotic gradient across the pleura (Copstead, 2010). This extra fluid is likely to accumulate in the dependant areas of a person’s body, such as ankles, legs, and arms (Kukka, 2010). Jaundice: Red blood cells have a short life span and as they die and/or are damaged the body will break them down and dispose of them. This is referred to as bilirubin metabolism and this happens in three phases; pre, intra and posthepatic. (Copstead, 2010). The red blood cells should be broken down, deliver ed to the liver and then transported through the biliary system and thus be wasted via the kidney’s or the colon. With damaged liver cells, the bilirubin is not excreted from the liver and there is a buildup of the conjugated bilirubin and the result is jaundice (Copstead, 2010).Other changes due to the liver damage are portal hypertension, gastric and esophageal varacies, vitamin mal-absorption, poor blood clotting and altered mental status (Copstead, 2010). The liver has such far reaching effect on so many organs and systems in the body that any damage to the liver will result in decreased functioning of other systems. Immediate tests to determine the cause and extend of the damage would be imperative to managing the disease going forward. 3. How should the disease be managed and monitored? Explain your rationale.If pharmacotherapeutics are used, explain your rationale and their mechanism of action. First steps would be to order additional labs including, IgM-anti-HBc, IgG- anti-HBc, HBeAg, HBV DNA, CBC with PT and electrolytes. In cases of acute hepatitis B, symptoms sometimes go unnoticed. The virus will normally go away on its own and if treatment is given, it is for the symptoms and most adults recover fully (Hepatitis B, 2011). But in the case of chronic HBV, the patient will need to be monitored to see if the virus is replicating (Lok A. S. , 2011). In patients with chronic HBV, the treatment oals are to reduce the long term effects of liver damage, prevent the transmission of the virus to others and manage any complications along the way (Lok A. S. , 2011). A clear diagnosis of chronic hepatitis B is needed. Results of blood work will determine the course of treatment. In Mr. Wilson’s case, with only the first lab results, it appears that he is in the active chronic infection stage. At this point the liver damage is still minimal. Because there does not seem to be significant liver damage a liver biopsy would not be indicated at this poin t (Lok A. S. , 2011).As the practitioner, I would recommend more blood tests, as noted above, and ongoing monitoring of the virus every few months. This will help in determining the activity of the virus. The medications used to treat chronic hepatitis B tend to have serious side effects. The patient must be willing to make a commitment to continue the therapy and adhere to close monitoring during any drug treatments (Hepatitis B, 2011). Supportive medicines are important to assist in treating side effects of the virus. For example, diuretics are prescribed if edema is not resolving on its own.Vitamins and minerals are indicated if labs show deficiency due to decreased liver function. If it is determined that Mr. Wilson’s virus is active (meaning he is able to infect others) there are new drugs available to choose from. Antiviral treatments include (Hepatitis, 2011): 1. Entecavir – a. A pill taken once a day for up to a year b. Used when DNA viral cells are actively re plicating 2. Interferon Alpha c. Injection a few times per week for up to a year d. Used when patient has compensated liver disease 3. Pegylated Interferon e. Injection once per week for up to a year f.Used when patient had compensated liver disease and evidence of viral replication and liver inflammation 4. Lamivudine g. A pill taken once a day for a year or more h. Used when patient has active liver inflammation and active viral replicating 5. Adefovir Dipivoxil i. A pill taken once a day for a year or more j. Used in patients with chronic HBV 6. Telbivudine k. A pill taken once a day for a year or more l. Used in patients with active viral replication, persistent elevations in ALT or AST or histologically active disease 7. Tenofovir m. A pill taken once a day for a year or more n. Used in patients with chronic HBVThe medicines listed above are used alone or more likely in conjunction with others. These are currently the only hepatitis B drugs that are approved by the FDA (Lok & M cMahon, 2009). According to the American Association for the Study of Liver Diseases (AASLD) Practice Guidelines, the ultimate goal of therapy is to suppress the replication of the virus and put the liver disease into remission (Lok & McMahon, 2009). This is monitored by watching the patients ALT, AST and other liver, viral and blood tests. The viral tests are imperative to determine the proper adjustments in medications.For example, interferon has been shown to reduce the viral replication and inducing liver disease remission (Lok & McMahon, 2009). Also, a newer drug, tenovir has shown significant promise in reducing viral levels in patients as compared to adefovir (Lok & McMahon, 2009). Practitioners need to watch for resistance as well when using the anti-viral drugs. As noted, the drugs are used in combination as well and these have shown to be more effective than when they are used alone. The effects of combined usage are better antiviral effects and delayed resistance (Lok & M cMahon, 2009).Mr. Wilson’s ALT, HBeAg lab values and his HBV DNA will be a main determinate to the type of therapy he will receive. A liver biopsy will be indicated later on if his  HBsAg is positive for more than six months, his serum HBV DNA is greater than >20,000 IU/mL and he has persistent or intermittent elevations in his ALT/AST levels (Kukka, 2010). Summary Hepatitis B can be chronic or acute. When a person has acute hepatitis B they generally don’t even notice and never need treatment. If treatment is needed it is supportive treatment for the symptoms of the acute virus infection.Chronic hepatitis B patients are at risk for cirrhosis and HCC (hepatic cellular carcinoma) (Kukka, 2010). Patients that have chronic HBV need to be educated on the risk of infecting others and will, in some cases, need to alter their lifestyle to protect others from getting the virus. Treatment is dependent on the blood work up that is obtained. It is very important that a patient that goes on antiviral treatment remain on it to reduce drug resistant strains. Also, patients must be evaluated and treated for the side effects of the anti-virals as well as the symptoms of other affected organs and systems in the body.References Copstead, L. -E. C. (2010). Pathophysiology. St. Louis: Saunders. Hepatitis. (2011, July 6). Retrieved March 26, 2012, from Lab Tests Online: http://labtestsonline. org Hepatitis B. (2011, July 6). Retrieved March 25, 2012, from Lab Tests Online: http://labtestsonline. org Hepatitis B. (2011, September 1). Retrieved March 24, 2012, from Mayo Clinic: http://www. mayoclinic. com/health Kukka, C. M. (2010). Hepatitis B Fact Sheet. HCSP Publications. Lexicomp. (2012). Retrieved February 5, 2012, from Lexicomp: https://online-lexi. com Liver Blood Tests. (2012, March 28).Retrieved March 30, 2012, from e Medicine Health: http://www. emedicinehealth. com/ Lok, A. S. (2011, February 16). Overview of the management of hepatitis B. Retrieved March 24, 2012, from UpToDate: http://www. uptodate. com Lok, A. S. , & McMahon, B. J. (2009). Chronic Hepatitis B: Update 2009. Alexandria: American Association for the Study of Liver Diseases. Mani, H. , & Kleiner, D. E. (2009, May 1). Liver Biopsy Findings in Chronic Hepatitis B. Retrieved April 1, 2012, from University of Pennsylvania, Department of Medicine: http://webdev. med. upenn. edu

No topic Essay Example | Topics and Well Written Essays - 250 words - 69

No topic - Essay Example These procedures are also standardized. They are formal and documented. Exceptions to these procedures are rare and not well tolerated. The process structure in this process changes rapidly and usually takes time. Dynamic processes are flexible, informal and adaptative.They involve less managerial decisions and activities. These processes are less structured. They are less specific in nature. They are also less informal, and exceptions are frequent and accepted. These processes change rapidly and regularly. However, these two methods differ in execution and focus. They serve their unique purposes in organizations. Both of them organize work and help to improve the effectiveness and performance of companies. Nevertheless, they are each applied differently within organizations. Structural processes apply to less fundamental processes. Dynamic processes, on the other hand, focus on the processes that are not structured. However, both of them intertwine and are necessary for an organization to be able to appropriately and fully function. Structural methods depend on the optimization of outcomes. However, both of these processes serve their different functions in