Compare and contrast ANY TWO of the following approaches to the Essay

Compare and contrast ANY TWO of the following approaches to the governance of transnational corporations (TNCs) - Essay Example Governing international corporations ensures that business runs as it is supposed to. It also ensures that the corporations do not take advantage of prevailing situations to enrich themselves at the expense of other people in society. In other words, global business governance ensures that everyone gains from the operations of international business (Zadek, 2001). There are many theories that can be used to analyze the governance of global business. For the purposes of this paper, I will examine global business governance using the Neoliberal Approach and the Social Democratic Approach. These two approaches have been used to propagate the idea of prosperity through international commerce (Epstein, 1999). The Neoliberal approach to global business governance can be described as the theory that supports economic freedom, which is an important factor in international business policy discussions. The neoliberal approach gained popularity after being adopted by the World Trade Organization in 1970. The main objective of this perspective is to remove all the barriers to international commerce and the privatization of services and resources. Reduced restrictions on all or some economic activities means that the governments of the involved countries do not have the mandate to interfere with how the multinational corporations run their businesses. The neoliberal model’s support for free market methods also means that there should as little restriction on business operations as possible. The multinational corporations are also are entitled to full property rights in their areas of operations (Hill, 2008). In this approach there is limited government intervention in international corporate governance. Instead, it supports the multilateral political influence from such bodies as the World Bank and the WTO. Privatization is a major component of neoliberalism. This means

Process of Concurrent Utilization Review Essay Example for Free

Process of Concurrent Utilization Review Essay In Health Industry, the process of Concurrent Utilization Review has its own importance for the management of health care industry enabling them to control the Length of Stay(LOS) of patients in the hospitals and their use of ancillary services. This process is vastly used in the system and procedures adopted in the hospital care because of the high cost involved in it, though its application can be put practically in use in other medical settings as well. The Concurrent utilization review implies that players providing medical care facilites need to provide all the information necessary in the health care to their payers who in turn determine its usability in the current settings of the hospital, before alloting the certificate for reimbursement to the plan. The process has a direct impact on the hospitalized American patients who are covered under the health insurance schemes. Insurance companies are payers in the field. They either conduct their own reviews or hire a review company to access the level and need of the patient and hospitals are providers who hire its own staff for this purpose. Staff members provide all the clinical information required to be authorized for reimbursement, but the first level of review is conducted by a registered nurse who is highly qualified to cover patients of a particular area. Nurses provide all the details of patients to payers including the severity of illness, the duration of patients kept on observation and assessment by registered nurses. If patients condition is considered as stable and he or she does not require this assessment then they are kept for observations in settings considered cheap. Second part of the information is the summary of the plan discussed and formulated for the care of patient. Then the role of payers comes in who evaluate this information to see the usability, the importance of this plan for patients and furthermore if this plan has followed the requirements of the terms of the contract signed with the provider. After this process of evaluation only, the plan is certified for reimbursement. Mary Ellen Murry went deep further to analyse the extent to look into the practical effectiveness of this process since its application in the Health Industry. There are various aspects to it that Mary Ellen tried to make the payers in the Health Industry to focus on. Reviews are undertaken to make sure that inpatients and outpatients are getting proper care in timely manner and the treatment and health care is cost-effective.    It also involves assessment of patients’ health to assure them proper and effective after- care. It is also used to assess if the resources are being used effectively and to differentiate any superfluous or pertinent activity. This is the most crucial strength of this review. Another point worth mentioning is the point when the planned care is refused certification for reimbursement. In this case both the payers and providers are held responsible for the outcome. In a benchmark case between Wickline v. State of California the court gave the statement that: â€Å"a patient who is harmed when care which should have been provided is not provided should recover from all responsible for deprivation of care, including, when appropriate, a health care payer Third party payers of health care services can be legally held accountable when medically inappropriate decisions result from defects in designs or implementation of cost containment mechanisms A physician who complies without protest when his medical judgment dictates otherwise, can not avoid his ultimate responsibility for his patients care. (Murray 2001) This ruling is a reminder to physicians for their duty and obligation in the decision making. Ross too stated in 1996 that according to law, the insurance carriers are bound by the duty to conduct investigation before deciding on refusal of payment. This is another strong point of the importance of conducting reviews according to the existing medical standards.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The review is most applicable in all the cases and the immediate feedback provides health authorities uptodate information on the necessary steps needed, shortcomings arising out of the current care and help insurance givers to update themselves with the requisite reimbursements. The visualisation techniqe of stacked bar gives details on the daily plan activities. (Dr. Tan 1998) Concurrent Utilizaton Review is also not without its limitation. Looking at the large number of providers and players involved in this program all over the country, the process needs requisitive number of registered nurses. In case of the shortage,the investment required for their appointments can become burdensome and the studies conducted on some of the institutions also revealed the fact that some of the staff members conducting reviews are not registered nurses, though they are in possession of baccalaureate degree. The hospital authorities claim that these nurses and staff alloted for review are trained in their requisite field and hospitals can substitute assisting staff instead of registered nurses to perform the Concurrent Utilization Review process increasing the availability of professional nurses. Controversy is going on the extent to which the economic criteria should be taken in the matter of providing quality care to the patients. Hereby most physicians feel that without compromising on the quality of the measures adopted for the health care, cost can be minimized.   The validity of these reviews is also questioned. It is doubted if these reviews have been based on evidence from high-quality studies, definitive randomized trials or meta-analyses of multiple trials, which are the key indicators for the trials. If reviews are found not based on the solid evidence then those developing audit criteria should take expert opinion. Reliance on opinion and inference weakens not only the validity of the criteria for a process-of-care audit, but also the validity of any conclusions derived from applying the criteria. This can be done by having a multi-specialty panel rating on hundreds of different case scenarios depending on the intensity of risks and the panelists make ratings on the basis of literature review and own judgments. Authors involved in Utilization Review process consider cost saving factor as the important criteria in preparing plans for health care. The most effective study conducted I found was by the Wickizer, Wheeler, and Feldstein (1989) who came to the conclusion that these concurrent review programs have led to the â€Å"Decline of hospital admissions by 13%, inpatient days by 11%, expenditures on routine inpatient services by 7%, expenditures on ancillary services by 9%, and total medical expenditures by 7%.† (Murry 2001) They make the use of insurance claims data to determine if costs incurred by the hospitals are matching with the increase in expenditures being incured on the outpatients. Results show that reviews conform to the higher hospital expenditures instead of higher physician office or outpatient diagnostic expenditures. Another study by Wickizer which was conducted in 1991 found that utilization review was showing reduced expenditures of approximately 15% in the surgical cases and slight reductions of expenditures in the mental health and medical areas. These reductions of expenditures showed there have been denials of certification for reimbursement. They came to conclusion that a UR program restricting access to psychiatric care increases the chance of readmission within 60 days. Another telephonic survey   conducted by Remler et al. in 1997 of 2,003, physicians in the United States show the denial rates to be less than 6 per cent in the first rate and 3 per cent subsequently. Both these survyes indicate that the reviews can enable payers to reduce their costs on health care.   The policy implication could be at the cost of reducing the effectiveness of the health care finally being provided to outgoing patients, but to overcome this, hospitals have comprehensive case management programs, to ensure the proper coordination of the care related services including proper utilization of resources. These case managers make a point that every patient has both hospital care plan, including a discharge plan, and along with that a team of clinical social work and case manager associates, are responsible for   the conduct of the UR function. And if this process keeps on going in all the hospitals and other clinics and health care institutes in letter and spirit, then the anticipated denial rates will be reduced to a considerable degree. REFERENCE LIST Murray M.E. 2001. Outcomes of Concurrent Utilization Review. Nursing Economics , 19 (1). 7 pg. Tan J. K.H. 1998. Health Decision Support Systems. Maryland: Aspen Publishers.

Critique of The Breakfast Club Essay -- The Breakfast Club Movies Film

Critique of The Breakfast Club Breakfast Club is a comedy that was released in 1985. It was written, produced and directed by John Hughes. It’s about five teenage students from different social groups when forced to spend a Saturday together in detention they find themselves interacting with and understanding each other for the first time. A jock, Emilio Estevez, a stoner, Judd Nelson, a princess, Molly Ringwald, a basket case, Ally Sheedy, and a brain, Anthony Michael Hall, talk about everything from parental tension to sex to peer pressure to hurtful stereotypes while serving the eight hours in a library. Ultimately, the five find that they may have more in common than they ever imagined and learn more about themselves as well as each other. It begins with loud rock music playing as a quote from a David Bowie song is on a black background. It shatters like glass to show the high school that they are spending their detention in while the brain, Brian, is talking in the background, the movie ends like this also. While he says different things there are parts of the school that are cut to. An example would be when he is talking about a criminal they show a locker that says, â€Å"Open this locker and you will die fag!!!† written in black marker on it. The rest of the story takes place in the school library and what the five students do while their principle isn’t looking. At one point they smoke marijuana and the boy that is a jock breaks a glass door. They also put music on and dance around all over the library. One of the main characters John Bender, who they call Bender, is the criminal. He lights his shoe on fire to light a cigarette, he pulls apart books, and he steals the screw from the door that is suppose to be open so it closes and the principal can’t watch them. He ends up getting two months more of detention for telling of the principal by talking back to the principal. While that section of the movie is going on the camera angle makes the principal look really big because Bender is sitting down and the camera angle is angled up at the principal. Later in the movie he has all of them running in the hallway to go get marijuana. They are about to get caught but he tells the rest of the group to go back to the library and he takes the blame for not being in the library. The principal finds him and takes him to a closet by himself to sit for the ... ...ays in them. This movie was the bases of all other teenage movies. The story was on teenage love and how one got to the point of the first kiss, which all movies have in it now. It didn’t really change people but it made people laugh. It is one of those movies that is out there to make people laugh and want that to happen to them. In the technical sense it wasn’t very difficult to make, but the camera angles showed every side of every character. An example would be when Bender and Andrew are arguing the camera keeps changing from Bender to Andrew but different parts of their faces. Another example is when the principal is giving Bender the other two months on detention. The principal is standing and Bender is sitting. The shoots keep changing from Bender to the principal. The camera angle makes the principal look bigger then he really is and it shows Benders different reactions to what is going on. In conclusion, this movie is not a difficult movie to make but the acting had to be perfect and the camera angles had an effect in the movie. It’s a somewhat realistic movie. Voice over is used and it’s like a story being told to describe the essay that Brian writes for all of them.

Case Attrition Essay

Case attrition is the failure of arrests to come to trial; less than half of all felony arrests result in conviction (Meyer, J & Grant, D. 2003). Basically, case attrition is when an arrest does not end in a trial conviction, which happens quite often in the court justice system. The effect case attrition has on the criminal justice system effects all levels of the criminal justice process, because an arrest or no arrest affects all aspects of the criminal justice process. Law enforcement officers can develop negative feelings about the justice system and feel that their work is not getting noticed. The high levels of case attrition in modern systems shows that the criminal law has very substantial limitations as a direct crime control such as, deterrence, incapacitation, and rehabilitation. Criminal convictions and penalties deserved punishment and reinforce important societal denunciation, but if these penal consequences are imposed according to procedure that are widely perceived as fair and just. Attrition can get rid of individuals in the over-worked justice system that were arrested that either had a problem with the legality of the arrest or it was the result of an overworked, or bad officer in a situation where an arrest was not necessary (Meyer, J & Grant, D. 2003). When these cases are removed from the justice system, it is possible for attorneys and judges to be able to focus on more serious crimes. Reference Meyer, J & Grant, D. (2003) The Courts in Our Criminal Justice System

With which client would I have the most difficulty working?

According to my beliefs the negative member is the most difficult to handle. According to Jacobs, Masson and Harvill the negative client is one who has a tendency to find problems with everything. A negative client is capable of transforming a group session into a gripe session. (Jacobs, Masson and Harvill, 2006) A negative client causes a negative influence on the group as a whole and is capable of instigating a feeling of discontent among other group members. Presence of one or more negative client in a group may lead to lowering of the groups morale.How would I handle a negative client in a group? My reactions against unreasonable demands of a negative client would probably be instinctive. I would resort to direct confrontation with the negative client, although this would not be the ideal course of action since Jacobs, Masson and Harvill have recommended that group leaders should refrain from direct confrontation because it only leads to time consuming arguments between the leade r and a negative client. How would Jacobs, Masson and Harvill have handled a negative client?Jacobs, Masson and Harvill suggest three alternative courses of action which will enable the leader to effectively handle a negative client. The first course of action is to talk to the negative client outside the group and try determining the reason for his unacceptable behavior. In most cases negative clients suffer from lack of attention and the problem can be solved if they are offered an important role. The second option as suggested by Jacobs, Masson and Harvill involves identifying the positive members of the group (ie those members who are contented with the group).By talking to the positive members in a group a leader can motivate those members who have been influenced by the negative client. The third option calls for de motivating and isolating a negative client. This goal can be achieved if the group leader avoids making an eye contact with the negative client while addressing th e group as a whole. Incase neither of the 3 courses of action are successful in improving the negative client, Jacobs, Masson and Harvill suggest that asking the negative client to leave is only option that the leader is left with. If there are any members in my group who have taken up the role of a negative client?What effect has it had on the group? I have encountered negative clients in my group; such group members cause a lot of problem. They create a wide spread feeling of discontent among the group which leads to fragmentation of the group. The group gets subdivided into two sections one of which harbors feeling of negativity and discontent and the other section comprises of positive members who are satisfied with the current state of affairs. Fragmentation of a group results in loss of productivity. Therefore it is important to prevent the group member from acquiring negative tendencies.

Lab Report- Neurophysiology of Nerve Impulses Essays

Lab Report- Neurophysiology of Nerve Impulses Essays Lab Report- Neurophysiology of Nerve Impulses Paper Lab Report- Neurophysiology of Nerve Impulses Paper Neurons (also known as neurons, nerve cells and nerve fibers) are electrically excitable and the most important cells in the nervous system that functions to process and transmit information. Neurons have a large number of extensions called dendrites. They often look likes branches or spikes extending out from the cell body. It is primarily the surfaces of the dendrites that receive chemical messages from other neurons. One extension is different from all the others, and is called the axon. Although in some neurons, it is hard to distinguish from the entries, in others it is easily distinguished by its length. The purpose of the axon is to transmit an electro-chemical signal to other neurons, sometimes over a considerable distance. Longer axons are usually covered with a myelin sheath, a series of fatty cells which have wrapped around an axon many times. They serve a similar function as the insulation around electrical wire. At the very end of the axon is the axon ending. It is there that the electro-chemical signal that has traveled the length of the axon is converted into a chemical message that travels to the next neuron. (Dry. C. George Before, 2009). Axons are what make up nerves. A nerve is a bundle of neurons fibers or processes wrapped in connective tissue that extends to and/or from the CONS and visceral organs or structures of the body periphery (Marine Mitchell, 2009). In this experiment we will work with a nerve The action potential we will see on this experiment reflects the cumulative action potentials of all the neurons in the nerve, called a compound nerve action potential. Although an action potential follows the all-or none law within a single neuron, it does not necessarily follows the all-or-none law within an entire nerve. When you electrically stimulate a nerve at a given voltage, the stimulus may result in deportation of most of the neurons but not necessarily all of them. To achieve deportation of all of the neurons, a higher stimulus voltage may be needed ( Marine Mitchell, 2009). Seaplanes in the body all begin with the resting membrane potential. This is the natural state of a nerve before it is presented with a stimulus (Martini, Nathan Bartholomew, 2012). Resting membrane potential is important because it is necessary in order for a synapse to occur (Marine Mitchell, 2009). This resting Tate stands at -map because of three factors. First the ionic composition of the extracurricular and intracellular fluid varies in their charge. The Extracurricular fluid has a negative charge because of the An+ ion that exist, just as the intracellular fluid has a negative charge because of K+ ions and negatively charged proteins (Martini, Nathan Bartholomew, 2012). Second the cells have an uneven distribution because of the existence of sodium and potassium leak channels. This allows the creation of an electrochemical gradient, which ultimately is the force that guides the conduction of an action potential. The electrochemical gradient is created by sodium-potassium pump which is responsible for exchanging 3 An+ ions out while bringing in 2 K+ ions (Martini, Nathan Bartholomew, 2012). Third, the resting membrane potential varies in permeability based on the type of ion. Membranes are more easily permeable by K+ ions because of their size, which is responsible for the negative charge during the resting state (Martini, Nathan Bartholomew, 2012) Without a resting potential, we would not have a threshold to conduct an action potential. When a stimulus is presented, it requires a certain excitability, or popularization level of at least map to map (Martini, Nathan Bartholomew, 2012). The action potential depends on the threshold stimulus because of the all or none principle. This states that if a stimulus does not break the required threshold level, no action potential will occur (Martini, Nathan Bartholomew, 2012). However, if a threshold does uphold this principle, an action potential is created and a synapse begins. When membrane is exposed to a certain chemical, its response is either excited or inhibited. When a membrane is excited deportation begins. When the membrane depilatories the resting membrane potential of -70 NV becomes less negative. When the membrane potential reaches 0 NV, indicating there is no charge difference across the membrane. The sodium ion channels start to close and potassium ion channels open. By the time the sodium ion channels finally close. The membrane potential has reached +35 NV. The opening of the potassium channels allows K+ to flow out of the cell down its electrochemical gradient ( ion of like charge are repelled from each other). The flow of K+ out of the cell causes the membrane potential to move in a negative direction. This is preferred to as revitalization. ( Marine Mitchell, 2009). As the transmigrate potential comes back down towards its resting potential level and the potassium channels begins to close, the transmittance potential level goes just below -map, causing a brief period of hyperventilation (Martini, Nathan Bartholomew, 2012). Finally, as the potassium channels close, the membrane turns back to its resting potential until it is excited or inhibited again. In this experiment we will be dealing with two chemicals that intend to inhibit a nerve impulse. Curare is a toxic substance that interferes with the neural remission between motor neurons and skeletal muscles. Curare competes with acetylenes -or Ach- for receptors on muscle cells. Acetylenes is a chemical messenger that normally transmits nerve impulses and activates muscles receptors. Schaeffer, 2010). Loading is a chemical substance that inhibits the transmission of nerve impulses by blocking An ion flux across nerve membranes. In other words Loading is a local anesthetic that blocks voltage- gated An channels at low concentrations, it would make it harder to reach the threshold for firing action potential at high concentrations, and it would stop the action potential entirely. Materials/ Methods This experiment was conducted using the lab manual Human Anatomy Physiology by Marine Mitchell, 2009. Exercisers neurophysiology of Nerve Impulses on Physiology 8. 0 page 131 The activities that were used in this exercise were o Activity 6- testing the Effects of curare page 131 o Activity 7- Testing the Effects of Loading page 131 Results Effects of Curare versus Loading on a Nerve Voltage (NV)Action Potential Notes Curare 2. 0 NV Inaction potential begins at 3. NV Amplitude increases by very little and remains constant soon after. 3. 0 NV Yes 4. NV yes Loading 2. 0 NV No No action potential is recognized 3. NV No 4. NV No Using a frog nerve, two inhibitory chemicals were place onto the nerve to determine what inhibitory properties were seen after stimulating at the threshold voltage for this nerve. Discussion To have a better understanding of the respond to a stimulus and action potential of a nerve (In this case a frog sciatic nerve) we executed this experiment, and realized that numerous physical and chemical factors can impair the ability of a nerve to function. On the first exp eriment we used Curare that at 3. NV created an action attention on the nerve. At the neuromuscular junction, the action potential occurs in the presentation motor neuron, which releases acetylenes during an action potential. Synapses is a junction between two neurons. The presentation neuron terminal is the one that releases a neurotransmitter in response to an action potential. The posthypnotic neuron is the one that receives the neurotransmitter and may undergo an action potential (and become a presentation to the next nerve cell) if the neurotransmitters stimulate the cell enough. When curare is present, it will block acetylenes from binding to its acceptors on the muscle fiber, in turn stopping the muscle from contracting. They key point is that this effect is exclusively post synaptic. The presentation neuron still fires the identical action potential with or without the drug, it still release neurotransmitter. When curare is present, only the downstream effect is blocked. Loading showed success by having an inhibitory effect on a nerve impulse. With a range of electrical voltages from 2. NV to 4. 0 NV, no action potential was shown. This is what an inhibitory chemical intends to do inhibit any response by binding to the axon terminals of the presentation neuron. Specifically, it blocks the voltage-gated sodium channels that allow the influx of sodium when the nerve reaches the threshold voltage thus preventing an action potential. No action potential means no nerve impulse. A nerve must be stimulated and that stimulation must meet or exceed the threshold le vel required for activity to follow. Then as an impulse occurs, such as the nerve with loading being stimulated there must be either a period of inhibition or excitement that causes the membranes permeability to change. If a stimulation was intended to be excitatory the process of generating an action potential would occur, followed by revitalization and hyperventilation. However, in inhibitory responses, the goal is to see no action potential. If the intention is to prevent a stimulus from occurring, creating an action potential is not desired. It is important to understand the properties of substances such as these to better understand their intended effect. In order for them to be used properly one must know what intention of these substances to then provide a proper use for them. For example, one WOUld not propose to administer loading to someone who has regular heart function, because that would suppress their art levels below the threshold level. In conclusion nerve impulses all begin with a stimulus that either causes excitement or inhibition from a certain stimulus (Marine MitcheIl, 2009). If a nerve is excited the process of creating an action potential follows in order to achieve a chemical synapse. In other words, when a nerve is stimulated certain messages able to be transported in and out of the cell. However, in an inhibitory response such as the one witnessed with loading. This experiment determined the difference in excitatory versus inhibitory stimuli in a nerve. It allowed us to visualize the synaptic activity occurring based on a certain chemical which allows us to better understand the effects certain substances have on nerves.

5 of the Best Plays by Tennessee Williams

5 of the Best Plays by Tennessee Williams From the 1930s until his death in 1982, Tennessee Williams crafted some of America’s most beloved dramas. His lyrical dialogue drips with his special brand of Southern Gothic a style found in fiction writers such as Flannery O’Connor and William Faulkner (but not seen too often upon the stage). During his lifetime, he created over thirty full-length plays, in addition to short stories, memoirs, and poetry. His golden age, however, took place between 1945 and 1961. During this time, he created his most powerful plays. Among those are five that will forever remain among the best dramas for the  stage. These classics were instrumental in making Tennesee Williams one of the best playwrights of modern times and they continue to be audience favorites. #5 – The Rose Tattoo Many consider this Williams’ most comedic play. Originally on Broadway in 1951, The Rose Tattoo tells the story of Serafina Delle Rose, a passionate Sicilian widow who lives with her daughter in Louisiana. The play explores the theme of newfound romance after a long period of loneliness. The author described The Rose Tattoo as â€Å"the Dionysian element in human life.† For those of you who don’t wish to run to your Greek mythology book, Dionysus, the God of Wine, represented pleasure, sexuality, and rebirth. Tennessee Williams’ comedy/drama exemplifies all of the above. Interesting Tidbits: The Rose Tattoo was dedicated to his lover, Frank Merlo.In 1951, The Rose Tattoo won Tony Awards for Best Actor, Actress, and Play.Italian actress Anna Magnani won an Oscar for her portrayal of Serafina in the 1955 film adaptation of The Rose Tattoo . #4 – Night of the Iguana When I was 12 years old, I stayed up late to watch what I thought was going to be a midnight monster movie about a Radioactive Iguana who destroys Japanese cities. Instead, I ended up watching an adaptation of Tennessee Williams play Night of the Iguana . There are no oversized lizard creatures, but there is the compelling main character, ex-Reverend T. Lawrence Shannon. Expelled from his church community, he has turned from a respected minister into an alcoholic tour guide who leads his disgruntled group to a small Mexican resort town. Shannon is tempted by the lustful widow, Maxine, who owns a seedy hotel. However, it seems his true calling is to emotionally connect with an impoverished, gentle-hearted painter, Miss Hannah Jelkes. They form a bond more complex and fulfilling than Maxine could ever offer. Interesting Tidbits: The original 1961 Broadway production featured Betty Davis in the role of the seductive and lonely Maxine.The 1964 film adaptation was directed by the prolific and versatile John Huston.Like the main character, Tennessee Williams struggled with depression and alcoholism. #3 – The Glass Menagerie Many argue that Williams’ first major success is his strongest play. To be sure, The Glass Menagerie exhibits the playwright at his most personal. The play is ripe with autobiographical revelations: The absent father in The Glass Menagerie is a traveling salesman – like Williams’ father.The fictional Wingfield family lived in St. Louis, as did Williams and his real-life family.Tom Wingfield and Tennessee Williams share the same first name. The playwrights real name is Thomas Lanier Williams III. The fragile Laura Wingfield was modeled after Tennessee Williams’ sister, Rose. In real life, she suffered from schizophrenia and was eventually given a partial lobotomy, a destructive operation from which she never recovered. It was a constant source of heartache for Williams. Considering the biographical connections, the regretful monologue at the play’s end feels like a personal confession. Tom: Then all at once my sister touches my shoulder. I turn around and look into her eyes... Oh, Laura, Laura, I tried to leave you behind me, but I am more faithful than I intended to be! I reach for a cigarette, I cross the street, I run into the movies or a bar, I buy a drink, I speak to the nearest stranger anything to blow your candles out! For nowadays the world is lit by lightning! Blow your candles out, Laura and so good-bye... Interesting Tidbits: Paul Newman directed the 1980s film adaptation which starred his wife Joanne Woodward.The film contains an interesting moment not found in the original play: Amanda Wingfield actually succeeds in selling a magazine subscription over the phone. It sounds trivial, but it’s actually presented as a heartwarming triumph for the character – a rare beam of light in an otherwise gray and weary world. #2 – A Streetcar Named Desire   Of the major plays by Tennessee Williams, A Streetcar Named Desire contains the most explosive moments. This is perhaps his most popular play. Thanks to director Elia Kazan, Marlon Brando, and Vivian Leigh, it became a motion picture classic. Even if you haven’t seen the movie, you have probably seen the iconic clip in which Brando screams for his wife, â€Å"Stella!!!!† Blanche Du Bois serves as the delusional, often vexing but ultimately sympathetic protagonist. Leaving behind her sordid past, she moves into the dilapidated New Orleans apartment of her co-dependent sister and brother-in-law, Stanley – the dangerously virile and brutish antagonist. Many academic and armchair debates have involved Stanley Kowalski. Some have argued that the character is nothing more than an apelike villain/rapist. Others believe that he represents the harsh reality in contrast to Du Bois’ impractical romanticism. Still, some scholars have interpreted the two characters as being violently and erotically drawn to one another.   From an actor’s viewpoint,  Streetcar  might be Williams best work. After all, the character of Blanche Du Bois delivers some of the most rewarding  monologues  in modern theater. Case in point, in this provocative scene, Blanche recounts the tragic death of her late husband: Blanche: He was a boy, just a boy, when I was a very young girl. When I was sixteen, I made the discovery love. All at once and much, much too completely. It was like you suddenly turned a blinding light on something that had always been half in shadow, thats how it struck the world for me. But I was unlucky. Deluded. There was something different about the boy, a nervousness, a softness and tenderness which wasnt like a mans, although he wasnt the least bit effeminate looking still that thing was there ... He came to me for help. I didnt know that. I didnt find out anything till after our marriage when wed run away and come back and all I knew was Id failed him in some mysterious way and wasnt able to give the help he needed but couldnt speak of! He was in the quicksands and clutching at me but I wasnt holding him out, I was slipping in with him! I didnt know that. I didnt know anything except I loved him unendurably but without being able to help him or help myself. Then I foun d out. In the worst of all possible ways. By coming suddenly into a room that I thought was empty which wasnt empty, but had two people in it ... the boy I had married and an older man who had been his friend for years ...Afterward we pretended that nothing had been discovered. Yes, the three of us drove out to Moon Lake Casino, very drunk and laughing all the way.We danced the Varsouviana! Suddenly, in the middle of the dance the boy I had married broke away from me and ran out of the casino. A few moments later a shot!I ran out all did! all ran and gathered about the terrible thing at the edge of the lake! I couldnt get near for the crowding. Then somebody caught my arm. Dont go any closer! Come back! You dont want to see! See? See what! Then I heard voices say Allan! Allan! The Grey boy! Hed stuck the revolver into his mouth, and fired so that the back of his head had been blown away!It was because on the dance floor unable to stop myself Id suddenly said I saw! I know ! You disgust me ... And then the searchlight which had been turned on the world was turned off again and never for one moment since has there been any light thats stronger than this kitchen candle ... Interesting Tidbits: After debuting the role of Blanche on Broadway, Jessica Tandy was originally supposed to play the role in the film. It seems that she didnt have the star power to attract movie goers. Olivia de Havilland turned down the role and it was given to Vivien Leigh.Vivien Leigh won an Oscar for Best Actress in the film, as did supporting actors Karl Malden and Kim Hunter. Marlon Brando, however, did not win Best Actor though he was nominated. That title went to Humphrey Bogart for The African Queen in 1952. #1 - Cat on a Hot Tin Roof This play blends elements of tragedy and hope, earning its place as the most powerful work of Tennessee Williams’ collection. The taciturn protagonist Brick Pollitt struggles with alcoholism, the loss of his youth, the death of a loved one, and several other inner demons, not the least of which might be his repressed  sexual identity.   Brick is devastated over the suicide of his friend Skipper who killed himself after he tried to discuss his feelings. When Brick and his father finally determine the source of his angst, the protagonist learns about self-forgiveness and acceptance. Cat represents the most headstrong of the playwright’s female characters. Like other women in Williams’ plays, she experiences adversity. But instead of verging on insanity or wallowing in nostalgia, she â€Å"claws and scratches† her way out of obscurity and poverty. She conveys unbridled sexuality, yet we learn that she is ultimately a faithful wife who lures her husband back to the marriage bed by the play’s end. The third major character in  Cat on a Hot Tin Roof is Big Daddy, the wealthy and powerful patriarch of the Pollitt family. He exhibits many negative traits. He is gruff, callous, and verbally abusive. Yet, when Brick and the audience learn that Big Daddy is on the brink of death, he gains out sympathy. More than this, when he overcomes despair and bravely embraces the little remainder of his life, he earns our solemn respect. The inevitable death of the father awakens a long-overdue sense of purpose with the son. Brick decides to return to the bedroom with the ambition of starting a family. Hence Tennessee Williams shows us that despite the unavoidable losses throughout our lives, loving relationships can endure and a meaningful life can be attained. Interesting Tidbits: Cat on a Hot Tin Roof won the Pulitzer Prize in 1955.The play was adapted into a 1958 film which starred Paul Newman, Elizabeth Taylor, and Burl Ives, who originated the role of Big Daddy on Broadway.

Vibration White Finger Treatment and Prevention Options

Vibration White Finger Treatment and Prevention Options Vibration white finger,  or Raynauds disease, is also called hand-arm vibration syndrome and is a  repetitive stress injury  caused by exposure of the hands to vibrating equipment. Its a neurological injury and may be associated with pain, tingling, and numbness in the hands, a loss of sensitivity, and a decrease in grip strength. Fingers may become white and swollen when cold and then red and painful when rewarmed. If you have been diagnosed with vibration white finger or fear you might develop it, it is time to look at treatments and prevention. Vibration white finger is a cumulative disorder with no cure after you have developed it. However, the same measures you can take to prevent the disorder can help reduce the frequency and duration of white finger episodes. Other symptomatic treatments can ease your suffering as well. Cause of Vibration White Finger Tools that cause the vibration syndrome include jackhammers, angle grinders, chain saws, power lawn mowers, and like equipment, though vibrating electronic game controllers can also contribute. Episodes of vascular spasms that cause the white finger are usually triggered by exposure to cold or by contact with cold surfaces. Wet and damp conditions can also exacerbate the condition. Controlling the triggering cause can go a long way to reducing symptoms. Prevention If you use vibrating equipment on a regular basis, you are at risk for developing vibration white finger. Preventive measures can ward off this syndrome. Use sound ergonomic equipment that reduces vibration transference to the hands.Use vibration-absorbing gloves or pads. Gel padding is better than foam padding for protecting  your hands against vibration.Hold equipment loosely.Work in short durations with frequent breaks. Take at least one 10-minute break every hour.Keep your hands warm to keep blood flowing.Avoid smoking or taking drugs or substances that inhibit blood flow. Maintain a Healthy Body You need to stay healthy and fit. Maintain a healthy weight. Strong bodies are more resilient against the stressors that cause vibration white finger. Maintain good cardiovascular health. Good blood flow to the hands is crucial. Treatment Although vibration white finger has no known cure, some practices can alleviate the symptoms. Stop using vibrating equipment. The more you vibrate the affected area, the worse it will get.Stop smoking and the use of tobacco products. Tobacco makes the disorder worse.Caffeine and amphetamines can trigger bouts of vibration white finger. Remove these from your diet.Some prescription and over-the-counter drugs and supplements may trigger bouts as well if they restrict blood flow. Discuss possible drug interactions with your health care provider.Stay warm and avoid cold triggers.Exercise your hands and body to improve circulation.Keep your whole body warm outdoors in cold temperatures, to keep circulation moving to your extremities. Hand warmers and battery-warmed gloves may be useful.When a bout  of vibration syndrome occurs, warm the hands as fast as possible.Medication: Some medications do provide some effectiveness in treating vibration white finger. Talk to your doctor for more information.

Ssertion in reltion to how mngers cn overcome problems rising from Essay

Ssertion in reltion to how mngers cn overcome problems rising from culturl differences or employees - Essay Example nd in order to survive growing number of UK orgniztions will hve to recruit, trin, nd promote culturlly diverse employees. In essence, this is nothing more thn developing dditionl humn resources. In view of bove, this pper proposes ppliction of the reserch supporting the self-efficcy construct to build diversity self-efficcy nd bridge the gp between diversity trining nd diversity performnce. The reserch is bsed on the pursuing of the sttement once enhnced by Schuler tht "culturl differences cn be difficult to mnge, even if they re nticipted". The wys to overcome difficulties tht tke plce on the workplce due to culturl differences between workers re covered in report s well s prticulr orgniztionl nlysis is provided to present better understnding of the issue. Some mngers nd supervisors del with hundreds of cross-culturl employee problems s well s millions of dollrs worth of business cpitl. Regrdless of the number of employees nd cpitl involved, the tsk of mnging diversity in the workplce is enormous. Most employers do not question the ssumption tht humn resources re their most vluble sset. The dimensions of cross-culturl problems, however, re seldom dequtely covered in college courses or inservice trining progrms. Msi's estimte my be too low becuse it includes only mesurble things such s bsenteeism, sick leve, ccidents, nd rising helth costs. He did not fctor in other costs ssocited with employee personl problems: poor job-relted decisions, decresed work qulity, erly retirement, nd workers' compenstion clims. Nor did he consider the fct tht "The incidence of mentl, emotionl, nd personlity disorders in the work force nd the economic costs of such disorders to plces of employment re of such proportions tht they cnnot be ignored" ( Follmn, 1998, p. 138). Problems centering on diversity issues lmost lwys impct economic costs. The most incriminting costs re legl fees nd plintiff wrds in discrimintion nd sexul hrssment cses. Employees who believe they hve little opportunity for creer dvncement tend to be less loyl, less committed, nd less stisfied on the job thn their co-workers who project creer dvncement. Jmes Greiff ( 2002) postulted tht 10 percent to 15 percent of Britishdults develop problems tht interfere with their job effectiveness. This includes diversity-relted problems such s rcil nd sexul hrssment tht culminte in worker liention. Joseph Follmn estimted tht 80 percent to 90 percent of industril ccidents re due to emotionl problems. The mjor reson most employers try to prevent or bte these problems is cost. Further, Frink (2004) clculted tht the ntionl verge cost of replcing n employee is $7,000, which includes only recruitment nd hiring processes. From this perspective, Thoms Peters nd Robert Wtermn (2000) were correct to cution CEOs to tret their employees s the primry source or productivity gins, not s cpitl spending. stisfied, helthy, diverse workforce is requisite to productive workforce. Contrry to populr opinion, mnging diverse workforce is not new concept. The more effective mngers hve lwys been wre of the culturl differences in their employees. But wreness is not enough. Mngers must be ble to utilize the skills of ech employee nd do so in wy tht

In what respects has sovereignty been redefined in the post-Cold War Essay

In what respects has sovereignty been redefined in the post-Cold War era - Essay Example The fierce cold war between United States and former Soviet Union created lot of tensions across the world during that period. The superiority of these political powers forced other countries to align towards either of them for their safety and security. At the same time, such polarization towards either of these superpowers was forced other countries to formulate their foreign policies and economic activities strictly in accordance with the interests of the superpower related to them. In other words, during cold war era, countries which sought the protection from either of the superpowers lost their sovereignty and they forced to support all the actions of the superpower under which they aligned or polarized. Thus the individuality, freedom, and identity of such countries were in question during the cold war era. Many changes happened in international politics during the post cold war era. Many countries which were once sidelined under the banner of these superpowers, started to bre athe free air and experience freedom. For example, countries like Poland, Bulgaria and Rumania were under the Soviet banner during the cold war era and after the destruction of Soviet Union, these countries started to embrace democracy and experienced the value of human rights and freedom. Such countries started to speak in their own language on international political affairs instead of speaking in the language of communism or the Soviet Union after the cold war era. They restored their sovereignty and individuality.

Chemistre HW Essay Example | Topics and Well Written Essays - 250 words - 1

Chemistre HW - Essay Example In the case of ammonia, the amount of hydrogen bonding is limited by the fact that each nitrogen only has one lone pair. In a group of ammonia molecules, there arent enough lone pairs to go around to bond with all the hydrogens available. This is why the boiling point of water is higher than that of ammonia. All known terrestrial life requires water as a solvent. This has led to speculations about whether water is the only liquid capable of maintaining life. The idea that an extraterrestrial life-form might be based on another solvent has gained traction over the years. Ammonia is a classic example. Could life exist on a planet dominated by oceans, lakes, and rivers of ammonia? Ammonia has some problems as a basis for life. The  hydrogen bonds  between ammonia molecules are weaker than those in water; this makes ammonias  heat of vaporization  be less than that of water by half. The surface tension of ammonia reduces  to a third of the water. Ammonia has a lot of the same molecular properties as water that is essential for life on earth. I propose that life may evolve in an ammoniated medium the same way life on Earth grew in a hydrated one. As scientists we are yet to discover ammonia-based life. Therefore we cant discount that ammoniated aliens can or don’t exist. In the absence of absolute evidence, we are tasked to research on this issue more keenly. Even if ammonia-based organisms do not exist by our terrestrial standards, it does not mean that it cannot happen

Civil Committment and the Mentally Ill Essay Example | Topics and Well Written Essays - 500 words

Civil Committment and the Mentally Ill - Essay Example In criminal trials, insanity defense refers to the defense plea adopted by the defendant as a plausible argument that exempts them from criminal liability as they were legally insane during the commission of the crime. According to a study quoted in Waterloo Cedar falls Courier about 1% of the defendants, who are charged with a felony use the Insanity Defense in order to evade punishments or any legal repercussion as a result of the crime in the United States. And out of this 1%, only one-fourth of the people are successful in getting exempted from legal trial. After the defendant raises the insanity defense, the judge commits them to a competence examination, in order to check the validity of their claims. These evaluations are carried out in proper medical and psychological facilities and the individual is put through countless tests and the defendant’s social history is assessed. (Greene et.al, 2006, p. 222) Over the years, the insanity defense has attracted a huge amount c riticisms and controversies regarding its applicability and due to lack of development in this area. The most critical aspect that is raised by the insanity defense is the fact that it does not incarcerate dangerous criminals but send them off to a hospital facility, where they are given treatment and eventually frees them.

BUS law Essay Example | Topics and Well Written Essays - 250 words - 4

BUS law - Essay Example It is further observed that the terms and conditions submitted by Wrench LLC to Taco bell on their request was not approved but still Alfaro, representative of Taco Bell continued promoting the caricature based on the ideas of Wrench LLC, which leads to the violation of rights under  §106 of Copyrights Act. Taco Bell is liable to be prosecuted for breaching implied contract as it has used the concepts, ideas and materials of Wrench LLC in its marketing before and after rejecting the terms of Wrench LLC. The above facts satisfy the requirements for an implied contract and Taco Bell is liable to pay for the losses incurred by Wrench LLC as it is upheld in Metrano v. Fox Broadcasting that â€Å"suit for breach of a promise not use †¦.ideas without compensation does not require proof of any element that is not required by the Copyright Act† (Anschell, Hodulik and Rohrer, 24). Anschell, J.H., Hodulik J.B. and Rohrer A.S. The Whole Enchilada: Wrench LLC v Taco Bell Corp. and Idea Submission Claims Communications Lawyer, The Journal of Media, Information and Communications Law, 21(4). 2004.

Israeli-Palestinian Conflict Essay Example | Topics and Well Written Essays - 250 words

Israeli-Palestinian Conflict - Essay Example The main and the biggest obstacle to conflict resolution is strong religious values and inability of the parties to accept view points and ideas of ach other. Each of the parties tries to prove his position and correctness. "Prejudiced views on both sides, not only by those directly engaged in the conflict, but by their allies as well, further stoke the flames of hatred and violence" (Wahid and A'La 2009). This conflict vivid portrays that ethical and religious factors and principles dominated in the Arab world and prevent its people to establish peace in the region. This conflict can be overcome with the help of the global peace organizations and UNO (United Nations Organizations). In order to make the conflict peaceful, UNO should force leaders of two countries to take part in summit and sign peaceful agreements. The main policies should involve political negotiations and organization of social life on the disputed territory. In spite of territorial claims, the core of the conflict is religious difference between these states and their ethnical envy. The Israelis would have to choose whether to annex the West Bank and Gaza Strip. And if they did so, they would have to decide whether to grant full civil rights to the Palestinians (Israeli-Palestinian Conflict, 2008).

BUS law Essay Example | Topics and Well Written Essays - 250 words - 4

BUS law - Essay Example It is further observed that the terms and conditions submitted by Wrench LLC to Taco bell on their request was not approved but still Alfaro, representative of Taco Bell continued promoting the caricature based on the ideas of Wrench LLC, which leads to the violation of rights under  §106 of Copyrights Act. Taco Bell is liable to be prosecuted for breaching implied contract as it has used the concepts, ideas and materials of Wrench LLC in its marketing before and after rejecting the terms of Wrench LLC. The above facts satisfy the requirements for an implied contract and Taco Bell is liable to pay for the losses incurred by Wrench LLC as it is upheld in Metrano v. Fox Broadcasting that â€Å"suit for breach of a promise not use †¦.ideas without compensation does not require proof of any element that is not required by the Copyright Act† (Anschell, Hodulik and Rohrer, 24). Anschell, J.H., Hodulik J.B. and Rohrer A.S. The Whole Enchilada: Wrench LLC v Taco Bell Corp. and Idea Submission Claims Communications Lawyer, The Journal of Media, Information and Communications Law, 21(4). 2004.

Developing Business Information System Solutions Essay

Developing Business Information System Solutions - Essay Example It needs to be mentioned that because of the lines of emergence of high speed internet connectivity, the network of communication channels has improved in a drastic manner all over the world. The internet has played a major role in the process of creating the channels of communication in the various regions of the developed as well as the developing economies. It can be rightly said that it is of considerable importance to highlight that this technology powered development has resulted in the process of transformation of the globe, where the entire world can be represented and increasingly seen as a single and well connected global entity. Because of this technology powered transformation of the world around us, there has always been a steady evolution of various kinds of trends associated with the factor of globalization. The trends of globalization, that are emerging from all corners of the world are increasingly getting diffused at a very rapid pace and it is happening irrespectiv e of the fact of whether the regions are located in the developed or developing economies. The rapid diffusion of the trends of globalization is resulting in the process of evolution of various kinds of new types of consumer demands. ... It has to be stated that the entry of new firms in a specific market plays a very important role in increasing the level of competition and thereby leads to the process of increasing the consumer’s power. In this case, the focus is on a commercial and domestic equipment hire company named EquipHire. The company’s management has identified the fact that the existing information system is nearing the last stage of its product life cycle. As a result, the top management is looking for a fresh assessment of the business information requirements of the company along with recommendation for new information systems which will be successful in meeting the current business based requirements of the company. Description of the business While discussing about the business, it needs to be stated that the company EquipHire is in the business of providing commercial and domestic equipments for hire. The company has eleven branches which are spread in various regions ranging from metr opolitan Sydney, Wollongong as well as New Castle. The manpower of the company is a combination of both full time and part time employees. The product portfolio of the company is highly diverse in nature and comprises of building and engineering tools, equipments for industrial plants as well as domestic categories. Around 70% of the company’s sales are from the commercial sector like construction, engineering as well as architecture. Also, the sales from the domestic sector are growing at a steady rate and are starting to contribute in an active manner. Key information required for the business It needs to be considered that the information technology is a highly evolving field. With the passage of time, the development of new kinds of software often leads to the emergence of new information

Animals Rights Essay Example for Free

Animals Rights Essay Animal rights are benefits that humans give to animals, including the right of protection from user and abuse by people. Do you agree or disagree? For decades, the question â€Å"Do animals have rights?† has been examined from many different angles. People contend that animals do or do not have rights based on several factors, including whether animals can learn, can use language, are conscious, are able to suffer, and are ethical beings. Whether and which animals have rights depends on which characteristics are considered. For many years, there has been a major debate regarding animal rights. So, what are animal rights? Animal rights is the idea that animals have the same rights as humans, to live free of suffering, are just as important as living individuals, and have the same moral status as humans. Also, as Doris defined animal rights â€Å"The right of animals is to be free of oppression, confinement, use and abuse by humans† (721-725). There are people think that animals need rights to be protected. They think that animals should be treated as humans. Moreover, they believe that animals should be protected from people. On the other hand, there are some other people who think that animals should not be treated as humans. These people believe that they need to use animals to live. In addition, they use them for every aspect of life. Now everyone wonders which group is correct. In my point of view, animals are not even close to being in the same league as humans. True, animals can feel pain and emotion, but that does not give them the rights to freedom that humans have. As Carroll said, â€Å"Scientists claim that the cardinal difference between animals and humans is that humans have a capacity for moral judgments and thought. We are ethical sentient beings whereas animals are only sentient beings.† Humans can consider aspects in making decisions that animals cannot. For example, in deciding whether to shoot a bear that is pregnant or has young cubs in tow, a hunter can consider ethical reasons not to kill it, such as the bear’s responsibility to its cubs. Animals, on the other hand, have no concern to the lives, responsibilities, or feelings of other living things, as is the case when a bear attacks and kills a person whose family is nearby. When was the last time someone wanted to eat or kill his or her children? For humans, that is something unbelievable. On the other hand, animals eat and kill their own children. Mother dogs will kill or push out their young ones if they are sick or cannot keep up with the rest of the bunch. It also happens with fish, birds, cats, rodents, and many other animals. If we were to give animals the same rights as humans we would have to kill or punish the animals if they were to do such acts. It is obvious that animals cannot be responsible as humans so they should not have equal rights as human. Humans need animals to feed themselves. There is huge number of people who are vegetarian but it cannot be compared with the number of people who are not. Some people like vegetarians and philosophers, believe that people should not eat animals because animals have the right to life. In fact, if animals have the right to life then why do animals kill each other for no reasons? Many of us have seen a house cat killing rabbits or rats just to kill them. They would not eat them, just kill them and walk around with the dead animal in their mouth. If you watch some Discovery Channel shows on young animals, especially meat eating animals, the same thing applies. In addition, some animals eat plants as humans do, so do plants have rights too? Plants are live creatures just like humans and animals, so should we prevent animals from eating plants? Of course not because this is the nature of the life of all creatures; humans eat animals and animals eat plants and life continues with this conce pt. Humans have been evolving and will continue to evolve through time. To learn we must experiment and use trial and error. This involves the animal testing issue. This is where it starts getting hard to define the rights of animals. It is true that there are some unnecessary experiments, but the most are important. For example, there are a huge number of women who suffer from breast cancer; through testing on animals, humans are provided two medicines that have saved the lives of women with breast cancer. Another example of diseases which was fixed by testing animals is lung cancer. Lung cancer has been killing more people than breast, colon and pancreatic cancers. Through relying on mouse models of lung cancer and focusing on understanding, preventing, and detecting lung cancer, scientists are developing new therapies for treating this disease. These examples prove that testing animals has significant positive impact on human lives. It prevents human from death by different disease; therefore, when human use animals to find a way to prevent themselves from death there is nothing wrong about it. For instance, when you driving down a road and a small animal crossed it, would you run over it for your own safety or you will out yourself in a dangerous situation to just save that animal. Most people will choose their own safety rather than the animal’s life. This applys on testing animals to save humans lives. In conclusion, it is true that humans should respect animals, but that does not mean that animals have the same rights as humans. When humans kill animals to feed themselves, they should kill them as painlessly as possible so that animals do not suffer as Michael mentioned â€Å"animals do not suffer and that their deaths are swift and painless† (374). Also, although it is correct thought that some animals are treated poorly, animal testing is for the better overall as it saves humans lives. Animals should not be given the rights that humans have because humans can think, judge, and behave, but animals cannot. Work Cited Lin, Doris. â€Å"Protecting Animals Moral Status and Moral Rights.† Animal Rights 9:6 (2008): 721-725. Print. Carroll, Jamuna. â€Å"Gale Cengage.† Do Animals Have Rights? (2004): 209-217. Print. Polloan, Michael. The Norton Reader. London, NY: W.W. Norton Company Inc, 2012. Print.

Carbon Monoxide Poisoning and Cardiovascular Disease

Carbon Monoxide Poisoning and Cardiovascular Disease Mohammad Faisal Association of moderate to severe Carbon Monoxide (CO) poisoning and Cardiovascular disease Introduction Carbon monoxide (CO) is colorless and odorless gas which can be very fatal and has important clinical values mainly due to the toxicological affects it can create. A broad range of studies suggest that acute CO poisoning may cause sudden deaths and other deadly clinical manifestations such as toxicity of central nervous system, comma etc. In USA 50,000 cases of CO poisoning along with 2700 deaths are reported each year (Lee, F. et al., 2015). However, the relationship between moderate to severe CO poisoning and developing cardiovascular diseases (CVDs) has not been studied properly even though CVD is assumed to be a frequent outcome of CO poisoning (Henry, C. R. 2006). Since general people might easily be exposed to CO through incorrectly installed, poorly ventilated or poorly maintained household appliances, it is not uncommon to be exposed to various level of CO poisoning as well. Therefore, in this literature review I have explored the correlation between moderate to severe CO poi soning and cardiovascular risk in the general population ranging from children to adults. Usually carboxyhemoglobin (COHb) and hemoglobin (Hb) concentrations are measured in order to determine the extent of poisoning (moderate to severe) caused by CO. The articles regarding acute CO poisoning are not considered in this review since it usually causes sudden death and reports regarding acute CO poisoning and long term manifestation of CVD is not clear and very limited. In this review, in total 7 articles were used; five of the studies were published during the last 7 years, whereas 2 of them were published in 2006. Relationship of CO poisoning to Myocardial injury and Peripheral artery disease Moderate to severe CO poisoning was studied in a prospective cohort study from 1994 to 2002 in Hennepin County Medical Center. The study was followed up till 2005 and the investigators found that myocardial injury (MI) was a frequent clinical manifestation in the moderate to severe CO exposed group. The two markers of MI: cardiac troponin I or creatine kinase-MB levels were measured and found to be higher among the exposed group than usual. Investigators determined that the hazard ratio (HR) of patients who eventually died from MI and who died from other consequences other than MI was 2.1 (95% CI: 1.2-3.7) (Henry, C. R. 2006). In another retrospective study in Taiwan, investigators examined a large cohort of patients who were subjected to CO poisoning and compared them with a frequency matched control cohort at a ratio of 1:4. The study was done from 1998 to 2010 and the investigators used Cox proportional hazards regression models for their analytical approach. Outcome was measured using angiography, magnetic resonance angiography and it was found that the patients exposed to moderate to severe CO poisoning had 1.85-fold higher chances of developing peripheral artery disease (PAD) compared to the control group. However the risk was much higher between the two groups when some comorbidities such as hyperlipidemia and diabetes were ignored, which eventually supported the CO poisoning and peripheral artery disease (PAD) more strongly (Chen, Y. et al., 2015). Risk of Developing Cardiovascular disease Since moderate to severe CO poisoning is related to myocardial injury, a large retrospective cohort, somewhat similar to the previous one mentioned above was done considering the CO poisoning and hospitalization data from 2000 to 2011. Investigators found a significant association between CO poisoning and arrhythmia among the CO poisoned patients (1.83 fold higher) compared to the control cohort. Also a significant correlation was seemed to exist with Coronary artery disease (CAD) and Coronary heart disease (CHD), but the correlation was not statistically significant after adjusting for confounders (Lee, F. et al., 2015). This study was particularly important considering the fact that most of the previous studies, regarding this association were done in small scale. For example, a case report between CO poisoning and subsequent development of cardiomyopathy was reported in a restaurant worker who was diagnosed with very high levels of cardiac enzymes along with high carboxyhemoglobin , even though he was ruled out of acute ischemic heart disease according to diagnosis reports (Kim, H et al., 2015). This type of study indicates an association of CO poisoning with cardiovascular disease but as mentioned before it wasnt enough to be convincing and required large sample based investigation rather than any individual case report to establish the association. For this reason, the two cohorts, done from 1998 to 2010 and 2000 to 2011 were particularly important in this regard. In Hennepin County Medical Center (HCMC), 230 patients who were diagnosed with moderate to severe CO poisoning were examined, and investigators reported frequent cardiovascular and myocardial injury (MI). Among those patients 35% had elevated levels of creatine kinase or troponin I (cardiovascular biomarkers) along with 37% MI injury biomarkers. Even most of the patients who died during hospitalization, were diagnosed with cardiac arrest, Coronary artery disease (CAD) along with abnormal electrocardiogram (ECG) (Satran, D et al., 2006). However, some case reports indicated a difficulty of diagnosis between severe CO poisoning and myocardial injury due to a large spectrum of confusing symptoms of CO poisoning. CO poisoning is often involved with tissue hypoxia which might indicate neurological manifestations other than cardiovascular manifestations and make the diagnosis procedure somewhat complex (Grieb, G. et al., 2011).ÂÂ   Most of the reported studies regarding CO poisoning a nd cardiovascular manifestations were conducted with adult participants. However, a particular study indicated that CO poisoning may have more harmful effects to infants and children than the adults due the fact that, the basal metabolic rate along with the tissue oxygen demand is much higher in children. This study was conducted between 2004 to 2007 and reported an association between CO poisoning and cardiovascular manifestations, according to the diagnosis reports of elevated cardiovascular biomarkers among children under 17 years of age, but surprisingly the electrocardiogram (ECG) reports were normal (Teksam, O. et al., 2010). Limitations There are some limitations in the studies regarding moderate to severe CO poisoning and cardiovascular manifestations. Even though, in some studies- an association to CVD was shown, information regarding participants use of medication, or any previous treatment for CVD was not available which might have been influential. Moreover, some of the the risk factors such as smoking, dietary pattern, obesity etc. were missing (Chen, Y. et al., 2015). Some studies were retrospective which may not establish a causal relationship between the exposure and outcome. Investigators also suspected miscoding and misclassification in some cases of disease definition. Some other factors such as family history of CVD, educational background, socioeconomic status were also missing. Another important limitation was lack of sufficient laboratory data including electrocardiogram (ECG), and other cardiovascular markers which were considered to be vital for CVD manifestation as well. In some study, investigato rs were uncertain whether the patients developed cardiovascular disease before they were exposed to CO poisoning. Patients who were diagnosed at later stages of any study were subjected to loss to follow-up for long term analysis of CVD morbidity (Lee, F. et al., 2015). Finally, the epidemiological and geographical differences may not be generalized to USA and other countries. Conclusion Moderate to severe carbon monoxide (CO) poisoning is responsible for tissue hypoxia, which may ultimately lead to myocardial injury. Other than hypoxia, CO poisoning may also cause free radical formation, lipid peroxidation, and nitric oxide (NO) induced cellular apoptosis-which all may be responsible for developing cardiovascular disease in long term. A prospective cohort study including the measurement of all these biomarkers for a reasonably long time would elucidate more clear association with CVD. It has been evident from some studies that diagnosis of CO poisoning is complex and risky to draw any conclusion for any association. So, other than depending on hospital based data, some other animal models like mouse can be used in this purpose at times. Also, some studies showed some different clinical patterns of CO poisoning and CVD. In one study, a group of participants showed the presence of less cardiac risk factors even though they were subjected to severe CO poisoning. On the other hand, some other participants showed the presence of higher cardiac risk factors while they were subjected to moderate CO poisoning. Age and heart dysfunctions of some specific location e.g. left ventricular function were found to be coherent with the observed risk factors (Satran, D et al., 2006). In this regard these data need to be considered, even though many retrospective studies lacked these data. So, it can be said that future studies will definitely require the evaluation of serial biomarkers along with electrocardiogram (ECG) of all participants, who are exposed to moderate to severe CO poisoning. This will definitely help the therapeutic approach along with developing proper strategies to prevent any cardiovascular disease associated with moderate to severe CO poisoning. References Chen, Y., Lin, T., Dai, M., Lin, C., Hung, Y., Huang, W., Kao, C. (2015, 10). Risk of Peripheral Artery Disease in Patients With Carbon Monoxide Poisoning. Medicine, 94(40). doi:10.1097/md.0000000000001608 Grieb, G., Simons, D., Piatkowski, A., Altiok, E., Eppstein, R. J., Bernhagen, J., Pallua, N. (2011, 06). Carbon monoxide intoxication versus myocardial infarction: An easy diagnosis? Burns, 37(4). doi:10.1016/j.burns.2011.01.002 Henry, C. R. (2006, 01). Myocardial Injury and Long-term Mortality Following Moderate to Severe Carbon Monoxide Poisoning. Jama, 295(4), 398. doi:10.1001/jama.295.4.398 Kim, H., Chung, Y. K., Kwak, K. M., Ahn, S., Kim, Y., Ju, Y., Kim, E. (2015, 04). Carbon monoxide poisoning-induced cardiomyopathy from charcoal at a barbecue restaurant: A case report. Annals of Occupational and Environmental Medicine, 27(1). doi:10.1186/s40557-015-0063-2 Lee, F., Chen, W., Lin, C., Kao, C. (2015, 03). Carbon Monoxide Poisoning and Subsequent Cardiovascular Disease Risk. Medicine, 94(10). doi:10.1097/md.0000000000000624 Satran, D., Henry, C., Adkinson, C. (2006, 03). Cardiovascular Manifestations of Moderate to Severe Carbon Monoxide Poisoning. Annals of Emergency Medicine, 47(3), 298. doi:10.1016/j.annemergmed.2006.01.009 Teksam, O., Gumus, P., Bayrakci, B., Erdogan, I., Kale, G. (2010, 08). Acute cardiac effects of carbon monoxide poisoning in children. European Journal of Emergency Medicine, 17(4), 192-196. doi:10.1097/mej.0b013e328320ad48

A Critique of Bushs Speeches after September 11 -- Speaking Analysis

A Critique of Bush's Speeches after September 11 After the terrorists attacks on September eleventh, President Bush had to prepare himself to address the nation with intensions to calm the United States citizens and give them some answers. The President had many speeches in the week after this happened and some words he used were not as concise as they could have been. These words and phrases are his attempts to comfort the United States people but only anger the terrorists he has declared war with. In a critique of Bushs speeches in the weeks after the tragedy, it is written, He called for revenge, called Osama bin Laden the prime suspect and asked for him dead or alive. (Max 1) Using such strong words gives an impression that Bush is overly confident and jumping to conclusions. Using revenge would imply retaliation and in result would come a war. Bush seems so sure that bin Laden is responsible when, still as of this day, he has no hard evidence. Asking for him dead or alive is probably the first threat he made. The only accompli shment Bush got out of making these accusations and threats was making the American people nervous. The citizens of the United States may not agree with the decisions he is making for the country. Bush needed another chance to redeem himself and comfort his people. A committee of speechwriters and George Bush spent time writing the speech that was given on September twentieth. In this speech, the President made more sense and brought his ideas together more clearly, with phrases and topics that would calm the citizens of the United States. Americans were still unclear of who had performed these acts of terror and were nervous because Bush was being rash, and wasnt speaking with confidence. The president answers questions, revealing which organization was responsible and their mission as people. Bushs speech on the twentieth reveals that, The terrorists directive commands them to kill Christians and Jews, to kill all Americans, and make no distinction among military and civilians, including women and children. (pg. 2) The president clarifies that bin Laden is the leader of the terrorist organization, Al queda, so that the Americans can understand whom we are going to war with. As said in The End Of Innocence, And today the enemy must be named as terrorism, or more broadly as any who might disrupt the spread of "open societi... ...ed States and to provide its people with knowledge of what to prepare for in the future. The president spoke to the nation numerous times in the week after these attacks, and he began to reveal that his situation was making him nervous and even scared in his speeches. The president had to show his confidence and reassure the nation with relief in his speech on September twentieth. The president was there most of the time his writers were working on the speech, and it seemed he was comfortable speaking the topics of the speech. After the speech was recited, Ted Kennedy stated that The presidents speech was exactly what the nation neededa message of determination and hope, strength and compassion.(Words that Changedetc. 11 par. 1) The president allowed the citizens of the Unites States of America to feel confident with the status of our nation in the future, after he gave this speech. Works Cited 1. Max, D.T. The 2,988 Words That Changed a Presidency: An Etymology. The New York Times, 7 Oct. 2001 2. Bush, George W. "President Bush's Speech to the Nation." Capitol. Washington, D.C. 20 Sept. 2001. 3. Rogers, Joel. The End Of Innocence. The Nation, 17 Sept. 2001

Caterpillar Ethics

Caterpillar’s Views on Ethics and Sustainability Caterpillar, Inc. is indeed one of the World’s most Ethical companies. In 2011 it was listed in Ethisphere’s World’s Most Ethical (WME) Companies under Industrial Manufacturing. Personal Ethics Caterpillar has a worldwide Code of Conduct. The values it stresses are integrity, excellence, teamwork, commitment. They understand the importance of diversity and strive to achieve all of the above values given a diverse world environment and despite their differences. They feel that compliance within the laws are not sufficient.They want be leaders in ethics. They require all leaders within the company to be a role model and follow all of the rules with the Worldwide Code of Conduct. They are known to have a value-based culture. They are honest and refuse to make any â€Å"improper payments† of any sort. Ethics within the Supply Chain Caterpillar says in their Worldwide Code of Conduct that they â€Å"seek strong, mutually rewarding business relationships with suppliers who enhance the value of our products and services through close collaboration throughout the entire life cycle.We view suppliers as extensions of our company and an essential part of our extended value chain. We look for suppliers and business allies who demonstrate strong values and ethical principles and who support our commitment to quality. We avoid those who violate the law or fail to comply with the sound business practices we embrace. No supplier is required to buy Caterpillar products in order to compete for business or to continue as a supplier.We do reserve the right, consistent with applicable law, to require suppliers to use Caterpillar equipment when performing work on Caterpillar premises and where Caterpillar offers a product appropriate for the work being performed. We encourage fair competition among our potential suppliers, contractors and other vendors, and work equitably and reasonably with allâ₠¬ . Ethical Behavior Regarding the Environment Caterpillar strives to come up with solutions that improve their operations efficiency in a sustainable way.They balance innovation and technology to improve their productivity and efficiency while reducing their environmental footprint. One major way they are accomplishing this is with their fast growing remanufacturing business. This is where they return end-of-life components to same-as-new condition. By doing so, they vastly reduce the amount of waste and minimize the need for the amount of raw material needed to produce new parts.

Hills Like White Elephants Essay Essay

1. I believe â€Å"the American and the girl with him† were talking about having an abortion, and how it would change their relationship if they were to have a baby. He was saying that it is the only thing â€Å"bothering† them and making them â€Å"unhappy.† The girl appears undecided, and scared of losing the man. 2. Nothing really happens, except a rehashing of their relationship, which seems to consist of looking â€Å"at things and try[ing] new drinks.† 3. Their relationship is not about communication, but about the girl following everything the man says   because she doesn’t care about herself. She just wants him to love her. He tries to manipulate the girl to agree to the abortion, saying that things between them will not have to change, and that â€Å"things will be like they were,† when she felt he loved her.   He keeps speaking about â€Å"letting the air in,† which makes me think that he wants there to be â€Å"air† in the relationship, and that the non-operation would make him—not them happy again. He feels stifled, and this pressure is reflected in the hot day. The relationship is â€Å"airy† and superficial, without direct communication, because the man does not truly care about her and is concerned only with his interests, and the girl doesn’t care about herself, so she decides to want to do what he thinks is best. 4. The conflict of the story is resolved when the girl decides to have the abortion. The climax is when Hemmingway uses the adjective â€Å"reasonably,† when describing the people waiting for the train. It is a commentary that the man was thinking â€Å"reasonably,† but not from love, even though he says he is. He made his decision out of reason, and she out of emotion. 5. The hills are described as very fertile and the opposite landscape as very barren, and it seems to represent the barrenness of their relationship, as well as the discussion about abortion. 6. I would like to know why the girl said, â€Å"’I’ll scream.’†

An Analysis of Pieter Brueghel’s Painting, Landscape with the Fall of Icarus And W.H. Auden’s Poem, Musee des Beaux Arts

Pieter Brueghel, a 16th century Renaissance painter whose paintings have allegorical meanings. His painting Landscape with the Fall of Icarus was his only subject taken from Greek mythology. While his contemporaries’ work focused more on religious subjects, Brueghel on the other hand made his own mark by creating his own painting style; he was famous for his landscape paintings inhabited by peasants. His painting which is rich in imagery portrays the season of spring when Icarus fell into the sea, there is a farmer plowing the field, and the sea shore is busy with different activities. All these things come to life in Brueghel’s painting (www. pieter-bruegel-the-elder. org). W. H. Auden’s poem, Musee des Beaux Arts was written upon his visit to the Museum of Fine Arts in Brussels in 1938. His poem was influenced by Pieter Brueghel’s painting, Landscape with the Fall of Icarus. For Auden, the poem reflected the people’s indifference toward human suffering. The â€Å"miraculous birth† of a child was seen as insignificant since the children went about â€Å"skating on a pond at the edge of the wood† not mindful of the great occurrence which Auden likened to the birth of Christ. While ordinary people could disregard such phenomenal events; Auden pointed out that the Old Masters concentrated on such themes that were reflected on their art works (www. audensociety. org). It is also surprising that no one noticed the fall of Icarus into the sea, there was a splatter and there was an implication that Icarus was drowning and yet no one cared. The farmer continued plowing his field, the ship did not bother to stop and help Icarus instead it continued to sail. Auden believed that in Breughel’s painting, the fall of Icarus is parallel to the martyrdom of Christ. The Old Masters like Pieter Brueghel managed to create such great works of art to serve as a reminder of human suffering (www. audensociety. org).

Future of Marine Communication in the Navy Essay

Future of Marine Communication in the Navy - Essay Example As ages went by, the more traditional audio/visual aids used under naval communication were replaced by more advance radio, satellite and underwater communication. The need for development of communication systems in Navy was always greater than it was in merchant ships as a larger number of lives depended on it. The atrocities of war always were a far more serious threat and the slightest mistake could result in catastrophic consequences. "Communications is everything, it's the ability to pass information down to our units that are supporting us and are working in our group, and up to our bosses so that they have a feeling of assuredness that we're doing the right thing in a timely fashion, and we're answering their questions, as well", Harris said." (http://www.news.navy.mil/search/display.aspstory_id=21269) The most basic form of audio communication was simply through raising a voice by mariners if the vessel is close enough. Another form is through sounding the horn on the ship. For instance, a long blast every two minutes used when operating in a fog. Visual communication was widely practiced through the use of lights. Lights were flashed on and off to signal messages between ships. The use of lighthouse is far old. Many of the basic audio visual aids used for centuries by mariners are still in practice. In 1916, the United States Navy Department was connected by teleph... Communication was established shortly after this between the office of the Secretary of the Navy and the captain of the battleship New Hampshire. The Secretary then gave orders to the ship for the next day's movements, this being the first event that a ship of the Navy was ever operated direct from the department by wireless telephone. This demonstration was followed by communication with various naval stations, widely separated, by long-distance landline. This accomplishment was nothing but a realization towards the wonders which the future brought with development of communication technology in the Navy. The Development of Communication Equipments in the Navy With the realization came concrete steps towards the expansion of the industry of communication equipments for the Navy. Companies started entering into the business of research and manufacturing of such technologies globally. With extensive research a number of systems and technologies emerged. A review of the technologies developed and the companies which developed them is given in the pages that follow. Marcom - Integrated Communications System The Marcom is the foundation of the Navy's newest digital integrated voice / data switching system for affordable command and control equipment supporting communications and radio room automation. It uses latest technology to offer the user of command and control system a low cost, user friendly, solution to the complex voice, video and data communications needs of current and future endeavours. L-3 Communication Systems-East designs, located in New Jersey, is specialized in developing, producing and integrating communication systems and support equipment for naval applications. As part of L-3 Communications Corporation, the company is ranked as one

Supply Chain Management -Case assignment Essay Example | Topics and Well Written Essays - 1000 words

Supply Chain Management -Case assignment - Essay Example Hence they have decided to face changing times by offering a low cost version of their product and introducing a new target audience. TFCs key strengths are their extensive experience in the field of chassis for motor homes, their technological adaptability & advancement, quality designs, marketing knowledge and design development on time exactly as per customer preference. TFC’s management has recognized the opportunity which lies in expanding their product portfolio to low priced product to cater to price sensitive audience. Low priced items have always posed threat to high end customized item especially when the economy is receding; hence diversity in product portfolio is always a balancing act (a safe bet for survival) for the company during all times. While expanding the product portfolio TFC faced a weakness for the first time that is delay in lead time of building chassis. Commonly a chassis would have been designed, customize and made ready in less than 30 days. However due to restrained capital available they could not meet all customer demands on time while catering two product types. Main area of time lag occurred at the designing stage as identified by the team. At this scenario TFC was approached by Computer-Images a design house in another estate proposing to become an outsourced designing outlet for low end chassis line working electronically only upon specifications provided by TFC. This approach was proposed with a key to keep TFC’s focus on high end chassis (TFC’s star product) while meeting demand for both high end and low end chassis. Now TFC has two options either to accept Computer-Image’s proposal to have low end product outsourced or increase current capacity to overcome time delay in designing and remain an in-sourced organization enjoying control over time, design and delivery. De Looff (1996) uses key 6 goals in his book defining outsourcing /

Research Report Essay Example | Topics and Well Written Essays - 1000 words

Research Report - Essay Example There have been many incidents reported regarding the struggle of survivors and the lack of government attention on the matter. The lack of food, shelter, medication and capital to begin a new livelihood are the predominant reasons. This report on the cyclone will state scientific data and issues on the occurrence, The extent of damage to life and property , the details of the aid received, the response in terms of aid and statement and intervention of the globe and the Burmese government’s take on the disaster. The report will include valid data regarding the damage to life and the aid sent by the US and the UN countries , reports and news from various renowned papers across the world, and statements of officials, economists, governments , NGO’s and the victims themselves. Extent of damage1.1 : In the report â€Å" Seeking justice for Burma† the author professor Michael A. Newton stated : â€Å"On 2nd and 3rd May 2008 Tropical cyclone Nargis struck Burma battering the 209 kilometer per hour 130(mph) winds at 3.7 meter 12 foot storm surge. IT devastate most of Southern Burma especially the densely populated Irrawady (Ayyerawady) Delta, and the country’s most populous city Rangoon (Yangoon). The U.N estimated that the death toll from the cyclone could be â€Å"in the region of 1, 00,000 or even more† with 220,000 people believed missing. Both figures far surpassed the SPDC’s (State Peace development Council) tally which stands at 84530 dead and 53836 missing.†(Newton 4) The figures given by the professor are right as these were the same figures that were published by the USAID on July 9 2008 in Fact sheet no 24, for the fiscal year 2008. This manipulation or underreporting of numbers by the Government of Burma shows their unwillingness to accept responsibility or take blame for the lack of warning given to the people regarding the cyclone. US Aid 1.2 : The USAID report on

Pain from Free Trade Spurs Second Thoughts by David Wessel and Bob Assignment

Pain from Free Trade Spurs Second Thoughts by David Wessel and Bob Davis - Assignment Example Mr. Alan S. Blinder a former Federal Reserve Board vice chairman along was a protagonist of free trade along with many other economists. Such a turnaround stems from the echoes of resentment among the employed middle class on the threat posed to their secure employment through the estimate â€Å"30 million and 40 million jobs are vulnerable†. Free trade was touted as good for American business and American consumers. American businesses were expected to do better from using the cheap labor in the developed worlds, while the America consumer would benefit from the lowering of costs. Yes, free trade has done that, but the average American consumers are losing employment from outsourcing of jobs that were not expected to leave the shores of the country. Manufacturing was anticipated as the major aspect of outsourcing, while the expectations were that white collar jobs were would not be affected. However, the actual story has been different along with outsourcing of manufacturing there has been a strong flow of white-collar jobs to countries like India and China, where the skill sets for these jobs are present and cost less. So why did this happen? It is not that free trade is bad, but the changes that would result were not truly anticipated, hence the preparations to face the challenge of change was not adequate. Mere retraining of employee skills is insufficient. The instilling of higher knowledge and skills has to go down to the grass root level, which means that appropriate changes to education have to be put in place.

How in the World Did THAT Get into my Home Essay

How in the World Did THAT Get into my Home - Essay Example (Ayers 45) Raw materials, this is the primary source in bread production. It mainly concerns natural wealth and pulling out of raw materials and working with farmers to grow wheat that is required to make bread. Other raw material is water, this obtained from taps. Manufacture, the bread is manufactured in one of the leading bakeries in U.S.A. Process of making bread commence with gathering all the necessary ingredients and storing them. Each ingredient has its own place waiting the time of becoming component of batter. All the process of manufacturing is automated and monitored as is it a continuous transition from one stage to another. Bread is baked in a tunnel-shaped oven and must be provided with a lot of vapor at the beginning. This heat the bread much faster so as to increase its size and to provide its softness nature. Packaging, bread is packaged in a flexible manner that provides high quality, attractive presentation and conserving breads natural freshness. Also bread is packed in various forms so to accommodate different consumer needs. So the appearance and quality of packaging in very important, this provides the standard that consumer want. Also quality ensures that bakeries bake the best each and every time. Packaging is also done properly for shipping so as to ensure that bread arrives safely. Improper packed breads can be easily damaged thus losing its consumer choice and value (Ayers 110) Display, the bread in the whole sale was displayed in a way that is visually attractive from the consumers’ perspective. For instance using a Bakery display case to tell consumers varieties present. This kind of display provides for bake products to be easily sold as they are highly perishable. Display stand was also among the better tool for displaying in some part of the whole sale, this stand is taller than other items thus displaying more of the baked bread inside the whole sale. Scene of

The GM club Essay Example for Free

The GM club Essay The 21st century has become a world of wonders, a world of scientific and technological miracles. Moreover, a world where human kind strives to solve all of its ills without knowing enough about repercussions. If this dream is to be realized, we as an inter-dependant society, have a moral and ethical duty to make fundamental decisions as to the limits of science and technology in our every day life. Technology is emerging as the ruling power in western societies in the 21st century, and therefore, human kind is finding it more and more difficult to survive without constant aid from new hi-tech advances. Computers and the internet has become mens best friend. Children are growing up with Nintendo and Xbox, and consequently without the wondrous knowledge of playing tag, climbing a tree, playing in the dirt or with little insects. They have no familiarity with a world without television and videogames, a natural world where everything is organic and healthy. As the futurist Alvin Toffler points out in an article in the New Scientist, welcome to the latest installment of that (future) shock: the GM revolution. Gene therapy. Spare-part tissues grown from engineered fetal cells. Organ-donor pigs and their viruses. All these are part of it, but they are the remote part that exists only in the labs and the imaginations of scientists. GM food is different, its already left the labs. 1 In this paper, we will examine and try to clarify different philosophies that are competing to control world food production. In particular, we will mainly focus on the use of Genetically Modified Organisms (GM or GMOs) and Organic Farming. Each philosophy has its adherents and its detractors are locked in a boisterous and intransigent battle. This has led to a clouding of issues, making it very difficult for people to develop an informed decision. We believe that the issue at stake is crucial to humanitys existence, since it transcends national and political boundaries. All humans share this planet and ingest its harvest of food, thus, an error in policy can lead to universal catastrophe. As Toffler further points out, suddenly, plant science is no longer a quiet backwater for genial professors and their cuttings. It is the stuff of big business, patent rivalries and closely guarded technical tricks. If you believe biotechs gainsayers, this brave new plant science is also ushering in a dark age in which all genes will bear a no trespassing sign, and the companies that own them will move them from species to species like Lego bricks, to the detriment of whats left of the natural world and our respect for it. Many organisms researchers are manipulating are more complex than bacteria and have greater emotional resonance for humans, either because they are mammals or part of our food supply. 2 On the other hand, as Nathan Batalion points out a farmer may use toxic chemicals for many decades, and then let the land lie fallow for a year or two to convert back to organic farming. The chemicals tend to break down into natural substances within months or years. A few may persist for decades. But genetic pollution (from GMOs) can alter the life in the soil for ever! 3 Background General Background For the past 12,000 years, human kind has interfered with nature in different degrees to guarantee a steady stream of food. From the cultivation of wheat to the domestication of wild animals, humans have manipulated nature for their advantage and survival. Consequently, this has led to a more continuous and reliable source of food that allowed humanity to establish civilizations, pursue knowledge and create the world we know today. Unfortunately, for all the advancements we have accomplished a large portion of the worlds population lives in hunger. As a civilized society, it is our duty and responsibility to try to eradicate hunger and try to raise the standards of less fortunate nations. Farmers, eager to increase their crop yields and number of livestock, have adopted different new methods and technologies with hopes of success. Overall, their efforts have been outstripped by the increase in the worlds population and the failure of some of the technologies to live up to their promises. Over the years, the use of chemicals, pesticides and herbicides has grown to an unprecedented degree. This has led to problems not envisioned by society, such as, soil and water pollution due to overuse, resistance to herbicides and pesticides by organisms, mutagenicity and even resistant forms of bacteria. Today, there have emerged two competing solutions for the farmers woes, Genetically Modified Organisms and Organic farming. Both solutions have their supporters and their detractors. Simply put, Organic Farming is farming without the use of chemicals and farming with GMOs is using genetically modified crops to increase yields and lower the use of chemicals, herbicides and pesticides. Genetically Modified Organism Background The promise of Genetically Modified Organisms (GMOs) or Genetically Modified Foods (GMFs) is increased yields from agriculture, more powerful control of pests and weeds, reduced use of agrochemicals and enhanced nutritional value. The agro-biotechnology industry has announced a revolution: it promises to increase world food production and reduce the requirements for water and other natural resources. Reduction of atmospheric emissions and chemical contamination of soils may be achieved. Another accomplishment this revolution promises is an abundant nutritionally improved diet for malnourished populations. Central to this revolution is genetically modified food (GMF)4. That is the promise of GMOs. Essentially, the process of genetically modifying a plant starts with a piece of DNA that has been isolated from an animal, another plant or a bacterium. This isolated piece of DNA can code for a protein, which has a specific function and could impart the ability of a plant to resist insects, grow at an accelerated rate, require less water and resist disease and chemicals. The isolated DNA, or gene, is then placed into a plant cell. As a result, the plant growing from this modified cell, carries the inserted gene and is enhanced to express new traits; however, the plants exhibit traits that are not possible under natural conditions. In the U. S, GMOs have found their way into a large portion of processed foods. As of January 2002, 5. 5 million farmers worldwide mainly in the U. S, Argentina, Canada and China now grow GM crops covering more than 50 million hectares. And with the vast countries like Indonesia about to join the GM club, next years leap could be bigger still. 5 Meaning, two thirds of all U. S processed foods have GM ingredients and 70-80 million acres of land is growing GM crops. This represents approximately 25% of agricultural lands in the U. S. Furthermore, products such as soybeans, corn, tomatoes and rapeseed (canola), have been genetically modified and are currently in the processed food chain. The problem is not that these products are on the market but, there are no labeling requirements, and today Genetically Modified Foods fill our supermarket shelves, our kitchens and restaurants. Sadly, few consumers are aware this has been going on. 6 The use of GMOs and GMFs is by no means universally accepted. While the U. S has adopted a very aggressive GMO and GMF program, with voluntary labeling, other countries have adopted a more conservative approach. Virtually all of the European nations, many Latin American countries as well as countries in the Near East and Asia have partially banned, restricted or imposed a moratorium on the use of GMOs or GMFs. Many countries require labels indicating that the food has been Genetically Engineered and impose severe legal penalties for non-compliance. Organic Farming Background.