Mattel Case Study Free Essays

As of late Mattel confronted difficulties with respect to their toys produced in China. They discovered that these toys made in China have high lead content that can harm kids. Mattel quickly reviewed these toys, explicitly: 253,000 â€Å"Sarge Cars,† â€Å"345,000 batman, 683,000 Barbie and Tanner sets and 1 million Doggie Day Care Sets (iVillage, 2007). We will compose a custom exposition test on Mattel Case Study or then again any comparable subject just for you Request Now Mattel quickly requested that their retailers review these toys. How did the administration of Mattel show up to this sort of choice so as to tackle this issue? This investigation will inspect the choice procedure. Mattel trusts in legitimate administration is critical to guarantee the achievement of the organization. Furthermore, to have the option to accomplish it, a decent administrator is required. Chiefs are indispensable element of a company’s achievement since they are the ones dependable I organization (Long, 1998). Morals is additionally fundamental in an association. A few times we catch wind of associations being hit by embarrassment managing issues of morals, trustworthiness and trusty. In all actuality, a few associations are moral and are not assailed with embarrassment, claims and examinations. The explanation most associations considered moral are not managing this negative press is on the grounds that many have imparted a culture of morals and trustworthiness. Since Mattel accepts that morals will be useful to their profitability and endurance, as complexity what exactly is seen on TV, for instance, where individuals at all methods do whatever they could to accomplish something, regardless of whether it implied being untrustworthy. (p. 208) Mary Guy (1990) composed that people who are thoughtful with respect to settling on moral choices impact the new comers of the association, and will later on build up their own affectability on morals. (p. 161) Morals requires the leader to consider things dependent on significant qualities. (p. 5). As per Jacobs and Jaques (1987), the expertise necessity at the hierarchical level requires morals since it is liable for the organization’s notoriety of their items and administrations. The organization ought to react to the social and network needs and it ought to likewise be worried about advertising. (p. 31) The impact of morals in dynamic is urgent in light of the fact that the organization or association makes a decision about a circumstance dependent on what is ethically right and reasonable for their customers or shoppers. Not exclusively will they lose their regulars in the event that they come up short, yet they will likewise lose possible benefactors (McGregor, 2004). They likewise base their choices on how shrewd it ought to be. Rarely are there organizations who are equipping towards unscrupulous choices only for the sole explanation of accomplishing an objective (Minor, 2002). As a rule, achievement accompanies the right, moral, choices; and it has been demonstrated for a long time that is the reason associations are required to make these good decisions. References Fellow, M.E. (1990). Moral Decision Making in Everyday Work Situations. Westport, CT: Quorum Books Jacobs, T.O., Jaques, E. (1987). Authority IN COMPLEX SYSTEMS. In J. Zeidner (Ed.). Human Productivity Enhancement: Organizations, Personnel, and Decision Making Vol. 2. Volume: 2, (pp. 7-31). New York: Praeger Publishers Long, B.C. (1998) Coping with Workplace Stress: A Multiple-Group Comparison of Female Managers and Clerical Workers. Diary of Counseling Psychology. 45(1): 65 McGregor, G. (2004, October 8). Administration Network. Diary of Counseling Psychology. 45(1): 65 Excavator, J.B. (2002) Organizational Behavior: Foundations, Theories, and Analyses. Oxford University Press. New York: Oxford University Press. iVillage.com (2007) Mattel Toys Recalled from China. www.iVillage.com The most effective method to refer to Mattel Case Study, Free Case study tests

UFOs essays

UFO's papers Unidentified Flying Objects (Commonly called UFOs) have been around since scriptural occasions, one such well known case is Ezekiels Wheel, a locating distinguished by a Christian prophet as a gathering of four blessed messengers joined at the feet dropping from the sky in a celestial light. Sightings, for example, these are referred to today by UFOlogists as environmental marvel (AP for short) and record for the heft of UFO sightings. Ezekiel's wheel can be seen now and then on a starry evening, a sunlight based flare of certain quality causes the Aurora Borealis to show up along these lines. Over 90% of the cases looked into in the main investigation of UFOs by different U.S. government organizations and private intrigue bunches have bolstered this reality. Ball lightning, shooting stars, multitudes of high height ice precious stones and brilliant planets have all been misconstrued as extraterrestrial airplane quietly beating through the sky. Be that as it may, there has still been no clarification for the last 10%, and the contention despite everything goes on today. Is it another top mystery military plane? Is it an AP present day science can't clarify? Is it outsiders from another planet? These inquiries can't be replied starting at yet. A cloak of puzzle encompasses UFOs, it was dropped 1969, when the U.S. authoritatively pronounced its lack of engagement in the UFO wonder. In any case, the field of UFOlogy is persevering as its continued looking for reality, and the data it has yielded gives a decent, target perspective on the UFO wonder. The U.S. government has declassified an immense measure of archives relating to its three significant investigations of UFOs: PROJECT: SIGN, PROJECT GRUDGE, AND PROJECT: BLUEBOOK. These records were characterized because of different national security reasons, yet were opened to the open after the Freedom of Information Act and have been the bread and butter of genuine UFO examine. As the investigation of UFOs proceeds into the 21st century, no strong, taught, valid, bolstered proclamation can yet be made about the ... <! UFO's expositions I once kissed a plant-like outsider animal that hung down from a porch in Central Park. I have never observed a UFO, I've never met an outsider, and I've never been to Central Park. In the same way as other others, I had a fantasy; a similar sort of distrustful dream that has made entire networks go around in a witch chase mania, looking for a clarification they had always wanted, deceptions, and once in a while pipedreams. In spite of their proof or come up short on their of, not many trouble to plunk down and sensibly clarify their convictions. They have wondered why, who, and, what, yet when do we ask How? In 1969 we put a man on the moon. after 35 years we despite everything do not have the innovation to arrive at Mars with human life. For what reason do we accept others can contact us? It is safe to say that we are so a long ways behind in human advancement that extra terrestrials from broad planets can get in touch with us 22 years before we can arrive at our own moon? Had other life really had the option to make it here through flying saucer, what makes them any not quite the same as me or you? I may look unusual, yet I surely don't have a bulbous head or attractions cups on my fingers. For what reason would outsiders look thusly? In the event that we were completely structured by a similar maker, isn't it likely that we would have a similar plan? Individuals are lost in the awesome creative mind of the psyche. We have to think with rationale. For what reason would one make such a tremendous universe for one little planet? It isn't the presence of a third kind that I question. I question the progression of a culture that outperforms our own. I question the hypothesis of correspondence by clairvoyance. I question metal flying plates. In spite of the serious absence of proof supporting presence, many stand firm on their convictions. As indicated by the China Daily HK Edition, 40 ufology affiliations work including 5,000 enrolled individuals. These affiliations feel victimized; rejected from logical circles. They need logical strategy, and depend for the most part on creative mind. So for what reason are such a significant number of individuals certain the... <!

New and Useful Information on How to Become a Perfusionist

New and Useful Information on How to Become a Perfusionist There are many careers you can choose from and one of the most desired is in the medical field.Although the reasons for this may vary, most people love the thought of saving lives and treating the sick.Not everyone though.Some people dread the sight of bloodâ€"including their ownâ€"thus cannot take certain career paths.All in all, every career choice is important since there are different needs in the society.One very important, though not widely-known career is that of the perfusionist. It is one of the many careers in the medical field.Like other careers, it has its own unique characteristics.Perfusionists work as part of the teams which perform surgeries. Especially heart surgeries.If you thought that surgeries are only carried out by surgeons with the help of nurses, we have some news for you.Surgeries which involve the heart cannot be carried out without these individuals.Moreover, they handle patients who are in the ICU in need of assistance with their hearts and lungs.WHAT DOE S A PERFUSIONIST DO?  A perfusionist is a trained professional whose role in the operating room and ICU entail operating the machines which keep the patients alive.In the operating room, their expertise is required, more so during operations like open-heart surgeries. This is a surgery which involves stopping the heart from beating.Some of the reasons for an open-heart surgery are a weakened heart, a blocked or partially-blocked artery or other problems affecting the functioning of the heart.For an open-heart surgery to be successful, the heart should not be pumping blood.However, the patient has to stay alive and important organs like the brain and kidneys need oxygenated blood.In order for this to happen, the patients life is sustained through a process called Cardiopulmonary Bypass (CPB).Cardiopulmonary Bypass is the process by which blood is directed to flow out of the human body and into a machine.The machine is commonly known as the cardiopulmonary bypass pump or heart-lung ma chine.Perfusionists also work in the ICUs.This happens when a patient with a heart or lung problem is either brought in or awaits a surgery. To keep them alive, the heart lung machine is used until the necessary corrective action has been taken.This is where the Extracorporeal Membrane Oxygenation (ECMO) machines are used. This is more popularly known as life support.It can either be a case of awaiting a heart or lung transplant or the implanting of a Ventricular Assist Device (VAD).This is a mechanical pump used in situations where the patient has a heart failure or a very weakened heart.Perfusionists use their knowledge and medical expertise to set up and operate the machines.They will also be involved in monitoring the patient to ensure everything is working well. CHARACTERISTICS OF A PERFUSIONISTAs with other careers, there are certain character traits which are common among perfusionists.These are what enable them stand by the surgeons and work with the patients before and afte r the operation.Below are some of them.Detail OrientedTo be a perfusionist, you must have an eye for details. The machines you will be handling provide you with a lot of information to enable you make the right decisions.More than that, as you set up and run the equipment for a specific patient, you need to be careful to do the right thing.Some of the things you may need to check or set include the levels of oxygen in the blood as well as the blood pressure.If you were to increase the blood pressure or reduce it too much, you could endanger the life of the patient.In this field, a difference of 0.1 could be too big to ignore.Considering the number of negligence cases in the medical field, you certainly cannot afford to be part of those statistics. In the case of a perfusionist, it is literally a matter of life and death.This is the reason you are in that operation room in the first place.If you are not very keen with small details, then this career path may not be for you.Level-Hea dedEver seen accident victims being wheeled into the emergency room?The nurses clear the way, orders are shouted about what to be prepared, there are broken limbs and severe bleeding needs to be stopped.Such are the day-to-day cases experienced by the JPS Health Network’s Trauma Department. As a perfusionist, you will be called in and this is the picture of what you will see upon entering the operating room.What would you do?Would you cringe and start pitying the victim?That’s not for perfusionists.They maintain their calm in such situations. They understand the severity of the situation and may need to be briefed about it.But they will not be moved by emotions.You will have to learn to contain yourself and maintain a calm demeanor in this career.This is important because to operate the machinery which will support someone’s life requires a sober mind.For you to accurately determine what needs to be done, you have to stay calm.Ability to Concentrate for Long PeriodsOperations can be lengthy and complicated. Some run up to 6 hours.During such times, you can become tired and stressed.Yet you still have a duty to keep going till the procedure is finished.Remember that you are responsible for a very important part of the whole procedure.You are the one controlling the machine which is acting like the heart and lungs of the patient.A slight mistake could cause extensive damage.It is critical that you have the ability to stay focused throughout the operation.Something else, you should not just be present and looking alert but should be participating in the procedure.This is to enable you give the surgeon relevant information he may need to know.Physically and Mentally FitPhysical and mental fitness are a must in this career. To maintain high levels of concentration in emergencies and throughout the procedures being performed, fitness is necessary.You will need to stay alert for long hours without getting tired.Staying focused during long procedures requires yo ur mind to be in tip-top condition.Although there are many brain exercises you can do to increase memory or increase concentration, physical fitness helps keep your mind healthy enough.Good CommunicatorOne of the most important skills needed for this job is communication.As a perfusionist, you will never work alone. Whether in the operating room, ICU or working with other professionals to develop medical machines, it is always a team effort.Where teams are concerned, there has to be good communication.When you are working alongside surgeons and nurses during an operation, you will keep them informed about many aspects of the patient’s health.You are the one to advise on any issues concerning the patient’s blood and any medications needed.You will also be responsible for updating the whole team on the patient’s overall status, particularly his circulation and respiration.Watch the below video showing good communication between the various medical professionals in an operating r oom. Ability to Work Under PressureDoctors, and in particular surgeons, are known to work under extreme pressure.Always being available for emergencies and sacrificing much convenience for the sake of saving other people’s lives.Theirs is true service to others.The same applies to their team members, including perfusionist.With the ever-increasing cases of heart disease and the operations required to correct them, there will not be an end to the pressure involved.Are you willing to work long hours without a break? Are you willing to be called to work on the weekend? What about when having dinner at home?Have a Strong Sense of ResponsibilityPerfusionists literally hold the lives of patients in their hands. When an open-heart surgery is taking place, the heart has to be stopped from pumping blood so as to be operated on.This is where the heart-lung machine operated by the perfusionist comes in.It takes over the role of the heart and lungs.The person running the machine has to be car eful enough to ensure the safety of the patient.Any amount of negligence can easily lead to death.It is this realization that helps keep the perfusionist alert.But this alertness does not come simply from being taught in school. It has to come from within.As a perfusionist, you need to understand from within yourself, that you are largely responsible for the life of the person on the operating table.This will keep you on your toes while the procedure is underway.QUALIFICATIONS FOR BECOMING A PERFUSIONISTWith all that perfusion entails, there are qualifications required in order to practice in this field.Like most careers, the education is a basic requirement.Add to that some hands-on training and you will be good to go.Here is what you need to do to be in this career.1. Enroll in an accredited perfusion education program.Everything starts in class and not all schools can teach you about perfusion.There are schools which are accredited for this training and it is from these you are s upposed to get your training.Here is a list of the accredited schools.Some of the subjects you can expect to cover include cardiac anatomy and perfusion devices. Some of the perfusion devices include artificial hearts (blood pump), artificial lungs (oxygenator) and artificial kidneys (hemodialysis).2. Undergo Clinical TrainingThe nature of the job of a perfusionist demands that you have practical experience as part of the training.This is why some practical course work is necessary.You will need to perform at least 75 perfusions while under supervision in order to qualify for certification.The institution you are training in can help you by arranging for these.3. Get CertifiedBeing certified as a perfusionist will require you to pass some exams administered by the American Board of Cardiovascular Perfusion (ABCP).These exams come in two parts and they are multiple choice exams.The first part is referred to as Perfusion Basic Science Examination (PBSE).The second part is called Clini cal Applications in Perfusion Examination (CAPE).These exams should be taken after graduation from an accredited cardiovascular perfusion education program.You must pass both these exams in order to be certified.4. Obtain a LicenseOnce you have passed the certification exam, you are ready for practice.The only thing which can keep you from working is a state license.Check with your state whether a perfusionist license is required before practice.5. Renew Your CertificationYou will have to renew your certification every year in order to keep practicing. Certificate renewal ensures that your knowledge and skills are up to date.Apart from documenting up to 40 annual clinical activities, you have to do 45 Continuing Education Unit (CEU) every three years.CAREER DETAILSMany people are not aware of this career because it doesn’t get the spotlight. Everyone knows of surgeons and nurses but not perfusionists. As you have learned by reading this far, this is an important career. And a rewa rding one too, if you are interested in saving livesâ€"literally.The reason it has not been known much is probably because there haven’t been many cases of open-heart surgeries. It is only until recently that the baby boomer generation has made heart diseases become a nationally-recognized problem.Many are suffering from heart diseases thus increasing the number of surgeries being requested and done.Below we feature some aspects of this career to help you decide whether it is for you.It pays well.For the critical role which perfusionists play, they are certainly paid well. This would be expected since it is only fair to show appreciation for the services offered.The average salary in this career is $129,348 as of January 31, 2019. This is according to salary.com. The range is usually between $116,091 and $141,229.This is an impressive figure which can easily attract anyone to the career.To be paid among the highest, you will need to have more education, certifications and obviousl y, more experience.The longer you have stayed in the career, the more of an authority you are.Meaning more money.It is technology-driven.Technology has transformed the world and it will keep doing so.Apart from the revolutions in life coming through smartphones and social media, the medical field has also benefited from technology.With health conditions becoming more difficult to accurately diagnose and treat, many scientists have dedicated their lives to research.Among these advancements are the equipment used by medical professionals when handling various conditions.These are always going through improvements as science discovers new and better ways of handling the diagnosed conditions.For example, the heart-lung machine has experienced some improvements over the years.Encyclopedia.com has a history of this machine from where you can see the improvements brought about by technology and scientific research.The first heart-lung machine was the results of much dedicated research and work from an American surgeon by the name John H. Gibbon, Jr (1903-1974).The decision to undertake this project was a response to the death of a young patient who died of blocked lung circulation.After much work, the first successful operation with a heart-lung machine with the new machine was done in 1953.An 18-year-old patient’s heart was stopped for 26 minutes and a surgery done to close a hole in it.The original machine was huge, complex and required many pints of blood to be primed.Compared to the machines in use today, there has been a big improvement.Modern machines are relatively small and can be wheeled around with ease.Who knows what the future holds?If you wold love to work in the midst of technology while in the medical field, this could be a career worth considering.Offers great potential for growth.The perfusion career is not limited to the operating room or the ICU in public hospitals and universities.Whereas it is a good idea to start there and have some experience , you can also be employed by privately-practicing surgeons.There will however be some pros and cons to consider.For example, you may be able to get more personalized training as opposed to when working at the hospital.Nevertheless, the pay may actually be less than what a graduate gets from some of the public hospitals.Apart from the option of where to work, there are other alternatives you can go with in your practice of perfusion.For example, after gaining some experience, you could work with equipment manufacturers.The knowledge and experience you have will help them develop better machines for the market.You will be involved in the research, testing and any other stage of the process.If you feel adventurous, you can venture into sales. You can be employed as a technical sales manager, director or any similar position.You will essentially be responsible for giving technical details of the equipment and helping decision makers understand the uniqueness of the machine you’re sel ling.That can be a good opportunity to champion a solution.Another option to consider is being a perfusion educator.You can choose to be one of the teachers in perfusion schools and share your knowledge and experience.If you love mentoring people to do great things, then teaching is a good choice.CONCLUSIONDo you have the traits needed to be a perfusionist?In case you don’t but desire to be one, you can learn them.Be willing to make changes to your habits and get the education.

Franklin D Roosevelt The Constitutional Convention Essay

APUSH ESSAY [placeholder introduction] 400 years is a heck of a lot of time to sort through. Yet there are a few items which stand out above all others. these are Constitutional Convention, Progressive Era, Franklin D Roosevelt The Constitutional Convention was held to write a document to replace the Articles of Confederation. The Articles of Confederation was the USian peoples first attempt at a constitution and had many issues. The federal government had little power and experienced problems with debts, interstate trade, tariffs, and rebellion. It only lasted about ten years, from 1777 when it was ratified to 1787 when the Constitutional Convention began. The Convention began on May 25, 1787 and lasted five months to†¦show more content†¦On other fronts, the US Constitution is relatively short and avoids being too specific.) When people are sworn into office to work in the government, they must swear to uphold the constitution. When supreme court justices do their job, they are interpreting the Constitution; the laws in the country must abide by it, which makes it clear how much influence the Constitution has. The Progressive era was a time of rapid change in the US. The country was finishing be ing industrialized at the beginning of the period in 1900 and the speed of the transition had caused some issues. A lot of corruption was present in the cities, such as in political machines, whose bosses were providing necessities such as food and shelter to needy immigrants in exchange for political support. Cities were overcrowded as a result of new immigrants and people seeking out newly-created jobs migrating from rural areas. The Progressive movement started with the middle class and a sense of justice for these wrongs, but soon spread to the general populace. Significant reform was passed during the Progressive era across many different aspects of life, from monopolies to conservationism. Much of this reform affected the basic function of things or helped create a foundation for the modern US. For instance, depending on when one marks the end of theShow MoreRelatedThe U.S. Constitution Essay1204 Words   |  5 Pagespower to regulate commerce trade for the national governme nt in other words the federal government could not build a strong economy. All these factors and others included lead to the fall of the Articles of Confederation. Guiding towards Constitutional Convention, where the present day Constitution was written and signed by 38 of the 41 delegates present on September 17, 1787. This paper discusses why the Founding Father’s designed the Constitution as they did and how this design has affected ourRead MoreThe American Political Tradition912 Words   |  4 Pagesevents that influenced and made up Americas history. The main focuses of the book were the Founding Fathers and the Constitution of the United States. 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Yet, while it is instructive to note the limitations of Roosevelts leadership, there is not much sense in the claims that the New Dea l was haphazard, a jumble of expedient and populist schemes, or as WRead MoreChristopher Columbus : What It America?983 Words   |  4 Pagestheir own countries. At the 1787 convention, we devised a plan for a stronger federal government with three branches (executive, legislative and judicial) along with a system called checks and balances to make sure that none of these newly created branches get too much power. The Bill of Rights,10 amendments guarantee basic individual rights such as freedom of speech and religion were later added to the Constitution in 1791. As of today, there have been 27 constitutional amendments. April 12th 1861-

Gay Marriage Should Be Legal Essay - 1278 Words

The Supreme Court of the United States ruled that the Constitution guarantees a right to same-sex marriage. Yet, same-sex marriage continues to be a highly debated issue that leaves our society searching for answers. This has been very apparent during elections when politicians, in order to distract or sway conservative voters, all took a side and had an opinion on the issue of same-sex marriage. The debate has been presented on the left as a civil rights debate, equal rights. And on the right, as a morals debate, a referendum on homosexuality (Rauch, J. 2004). Everyone has an opinion on whether two men or two women should be allowed to get married, and in doing so, have all the same rights granted by the federal government to them as†¦show more content†¦Nowadays, marriage is completely elective. Now we have contraception. Today, marriage is a lifestyle choice (Rauch, J. 2004). The nuclear family is no longer the â€Å"norm†. It’s now a reality that there a re heterosexuals who are not getting married or not staying married, as well as roughly half of all marriages ending in divorce. With marriage in a decline, one could rationally argue that two people wanting to enter into matrimony, to make an oath, not only to themselves, but to the community, the state, and basically the whole world, should be encouraged. The institution of marriage benefits society, giving strength to families and communities as a whole. Furthermore, the state has a variety of interest in promoting marriage, it promotes stability for adults and children and helps individuals lead happier and more productive lives (Strasser, P. M., 1999). A hard to swallow fact is American history is plagued with discrimination. Rights have been denied to every type of citizen for a lot of reasons they had no control of in our history more than once. In the early 1900’s America had firm standing miscegenation laws, or laws not allowing marriages between persons of two different races. These stood until Loving v. Virginia, a civil case where the Supreme Court declared anti-miscegenation laws a violation of the Fourteenth Amendment and thus unconstitutional. I would think it is fair to say thatShow MoreRelatedGay Marriage Should Be Legal1205 Words   |  5 PagesHoward Sociology 1301-93431 Gay Marriage Getting married is something that most people do when they find love, which it is an important event in their life. The GLBT (gay, lesbian, bisexual and transgender) community now get the legal right of same-sex marriage, which they have fought for throughout the years; on the other hand, some opponents of same-sex marriage have called for a constitutional change towards it. Although there were some countries that allowed gay marriage before the United StatesRead MoreGay Marriage Should Be Legal1159 Words   |  5 PagesAmendment, which puts a ban on gay marriage. This amendment entitles to equal rights to the gay community, ending toleration of discrimination in jobs, rights protecting gays from hate crimes,rights allowing advancement in government. However, the concept of gay marriage is still not considered a right the American people should extend to homosexuals. II. The vast majority of opponents believe marriage should be between one woman and one man, meaning marriage should be between members of the oppositeRead MoreGay Marriage Should Be Legal1574 Words   |  7 Pagesequal rights. Gays and lesbians are consistently denied rights that are typically taken for granted by the average American. Specifically, gay and lesbian couples are denied the right to marry even if they are outstanding citizens. They are held at an unfair disadvantage solely because of their sexual orientation. This discrimination must stop, because gay and lesbian couples are law-abiding citizens too, who should be afforded the same rights as heterosexual couples. Marriage is about love andRead MoreGay Marriage Should Be Legal1564 Words   |  7 PagesWhat is marriage? Recently, people argue with respect to the definition of marriage. What happened to marriage? To get married is a very important event for almost everyone. Especially for women, marriage and giv ing a birth could be the two biggest events of their lives. Many people believe that getting married to the one whom he or she loves is natural. However, what do you think if you cannot get married to him or her because it is socially unacceptable? 100 years ago different colored peopleRead MoreShould Gay Marriage Be Legal?778 Words   |  3 PagesShould Gay Marriage Be Legal? â€Å"†¦I now pronounce you husband and wife†¦Ã¢â‚¬  One would normally hear this when attending a wedding. In tradition marriage has been between one male and one female who love each other. But how would one feel if they heard â€Å"I now pronounce you groom and groom† or how about â€Å"†¦bride and bride...†? In the last 50 years the number of same-sex couples has increased. The on-going argument between the government and the people is â€Å"Should gay marriage be legal?† Although some sayRead MoreGay Marriage Should Be Legal1126 Words   |  5 PagesJune 26, 2015 for gay marriage to be legal in all fifty states, thirty seven out of the fifty and Washington D.C already legalized gay marriage. Many support gay marriage and many do not, with widespread values and reasons for and against it. Due to religion and rights people across the nation have differing views and opinions of it.In a five to four vote in the Supreme Court gay marriage becam e legalized in all fifty states. Shortly after that a few marriage officiators and marriage licenses peopleRead MoreGay Marriage Should Be Legal1179 Words   |  5 PagesGAY MARRIAGES Some states such as Iowa legalized gay marriage through the action of judicial interpretation based on the state’s constitutional stipulations while other states such as Vermont legalized gay marriage through legislation initiatives. These cases demonstrate the government is the sole body that can dictate the validity of whatever is to be regarded as a marriage, and in this case gay marriage. The power to validate marriage is still observed among the private citizens, religious institutionsRead MoreThe Gay Marriage Should Be Legal947 Words   |  4 PagesDefending Gay Marriage During the last few years, homosexuality has become an important issue for debate. Moreover, homosexuals have taken their case further by claiming their right to marry. Same-sex marriage, usually known as â€Å"gay marriage†, is the marriage between two people from the same biological sex (Doskow1). Since 2000, eleven countries have approved the legalization of gay marriage worldwide: Netherlands, Belgium, Spain, Canada, South Africa, Norway, Sweden, Portugal, Iceland, ArgentinaRead MoreGay Marriage Should Be Legal1480 Words   |  6 PagesNew World Dictionary defines the word married as being husband and wife, yet there are millions of gay activists who are fighting for a new meaning. They believe marriage is more than a piece of paper and a set of rings. The hope is that marriage could be defined as a â€Å"public recognition of a private commitment† or â€Å"emotional, financial, and psychological bond† between two people (Sullivan 53). Gay activists belie ve that taking away the ability to have a publicly recognized relationship or an acceptedRead MoreGay Marriage Should Be Legal1351 Words   |  6 Pageshappened for United States, gay marriage became legal in all 50 states. In most states it already was but the remaining 13 became legal this year. There are many concerns regarding gay marriage, and the effects of them involve many legislative, cultural, religious and family issues. Gay marriage is controversial because a lot of people do not approve of it, they think it is immoral, unnatural, and not what the traditional concept of â€Å"marriage† really means. Opponents of gay marriage say it is only meant

Rheumatoid Arthritis The Problem Health And Social Care Essay Free Essays

string(316) " may even interfere with their day-to-day activities, limit their occupation chances or interrupt the joy and duties of household life as the quotation mark below suggested: \( 13 \) The people with arthritic arthritis \( RA \) have been described as a ‘tightrope between freedom and a life sentence ‘ \." Rheumatoid arthritis is an ague, systemic inflammatory upset that causes chronic redness of the articulations. It is besides known as an autoimmune disease, the status such that the organic structure ‘s immune response sends out incorrect signals to assail the organic structure itself. It may impact other variety meats like eyes and lungs every bit good. We will write a custom essay sample on Rheumatoid Arthritis The Problem Health And Social Care Essay or any similar topic only for you Order Now It progresses in three phases. ( 1 ) The first phase is the puffiness of the joint ; the 2nd phase is the rapid division and growing of cells which causes synovial membrane to be thickened and the last phase is the loss of motion. Figure 1: Normal joint vs. articulation affected by Rheumatoid Arthritis The loss of motion is caused by the enzymes that released by the inflamed cells that may digest the bone and gristle causes the involved articulation to lose its alliance and form. ( 2 ) The swelling in the articulations of the custodies and carpuss is normally the first symptom to be noticed. ( 3 ) Figure 2: Joint malformations caused by rheumatoid arthritis hypertext transfer protocol: //www.google.com.sg/imgres? imgurl Until now, the cause of the disease is still an unknown. However, there are scientists who believe that the immune system, gender, familial and infection may be the factors of the disease. ( 4 ) . Prevalence is more common in adult females than in work forces in the ratio of 3:1. Figure 3: Arthritis / Rheumatism prevalence: by age and sex, GB, 2003. ( hypertext transfer protocol: //www.statistics.gov.uk/cci/nugget.asp? id=1331 ) Temporary, there is no remedy for this disease. So, what are the current interventions that are available to relieve the symptoms of this disease? I will discourse about them in this study. A Possible Solution Disease Modifying Anti-Rheumatic Drugs ( DMARDs ) DMARDs are a combination of drugs normally used to handle patients with arthritic arthritis. They interfere with the devising or working of immune cells that cause joint redness. ( 5 ) By and large, biological DMARDs are non used in combination with other biological DMARDs because several of these combinations have shown increased toxicity. There are besides some agents that are synthesised through familial technology such as tumour mortification factor alpha ( TNF I ± ) blockers and Interleukin 1 ( IL-1 ) blockers. ( 6 ) The consequence is different and may be more delayed in oncoming than other medicines which are why sometimes they are called slow moving anti-rheumatic drugs ( SAARDs ) . So, I think it is rather of import to get down DMARD agents every bit early as possible one time RA has been diagnosed and confirmed. ( 7 ) DMARDs could be one of the possible solutions because there are a batch of beginnings saying that its early usage is effectual in alleviating the symptoms a s the quotation mark shown: ( 8 ) Surveies have shown that early debut of these drugs may be good, with betterment in hurting, joint tonss, and disablement. ( hypertext transfer protocol: //www.arthritis.co.za/dmard.html ) In malice of its effectivity, there are several factors need to be considered included phase and badness of the joint status, the balance between possible side effects and benefits, and patient penchant ( 9 ) while doing the pick of which DMARDs drugs need to be taken. From my point of position, the patients need to seek a assortment of combinations of drugs to cognize that which combination give themselves the best consequence and the lowest hazard of side consequence with the aid of rheumatologist. Sometimes, merely one DMARD is used. However, there are many beginnings demoing that combination of DMARDs works better for the patients as the quotation mark and table below shown: Current grounds suggests that combinations of DMARDs are more effectual, and likely less toxic, than monotherapy. ( http: //www.patient.co.uk/doctor/Disease-Modifying-Antirheumatic-Drugs- ( DMARDs ) .htm ) Figure 7: Comparison of combination therapy with individual drug therapy in early RA ( hypertext transfer protocol: //images.google.com.sg/imgres? imgurl=http: // ) From Figure 7, the consequences shown that the combination of drugs was approximately two times more effectual than the individual drug therapy for those who got remittal after one twelvemonth and two old ages of the intervention. Even though DMARDs plays a critical function in arthritis intervention, nevertheless, some of them are used more common than the others. For illustration, amethopterin ( MTX ) is the most normally used DMARD due to its higher efficaciousness but lower toxicity. ( 10 ) Figure 2: The construction of the metrothexate ( hypertext transfer protocol: //en.wikipedia.org/wiki/Methotrexate ) Metrothexate ( MTX ) , acts by suppressing an enzyme involved in the metamorphosis of folic acid, dihydrofolate reductase ( DHFR ) which is involved in the synthesis of tetrahydrofolate. They act by changing the organic structure ‘s usage of folic acid, which is a sort of vitamin and is needed for cell growing. Higher affinity of MTX to DHFR inhibits the transition of dihydrofolate to the active tetrahydrofolate, which means the synthesis of DNA, RNA and proteins are inhibited. It is to believe that this intervention with folic acid makes methotrexate benefit in arthritic arthritis as it inhibits the proliferation of the inflammatory cells in the articulation of the patient. Etanercept aims to command the redness and to retard the patterned advance of terrible RA as good but it is for RA patients which non wholly antiphonal to other drugs. It works by barricading the receptor for TNF-alpha. However, for most RA patients, amethopterin ( MTX ) is now considered the most first line DMARD agent. It is even more effectual when used in combination with other drugs such as Infliximab or Etanercept. ( 11 ) Social A ; Economic Deductions Based on a research by Dickens and Creed in 2001, the people with RA are twice every bit likely to endure from depression. ( 12 ) Sometimes, they get upset because they merely do non experience the betterment in their organic structures even though they have taken the medical specialty prescribed. In my sentiment, their household members have to be supportive and be able to give them audiences when they need it. An probe in 1993 even found out that some patients need to take 5 old ages for themselves to accommodate to their status. In some instances, the disease may even interfere with their day-to-day activities, limit their occupation chances or interrupt the joy and duties of household life as the quotation mark below suggested: ( 13 ) The people with arthritic arthritis ( RA ) have been described as a ‘tightrope between freedom and a life sentence ‘ . ( 14 ) — Maycock, 1988. There are about 20000 new instances of arthritic arthritis in UK every twelvemonth and there are around 400000 grownups in the UK with this disease. From an economic point of view, this brings economic impact on the people today as the life cost presents is high and if they lost the occupation due to inability to travel around easy so their life disbursals including their medicine cost will be a large job for them. The transit fees to hospital on a regular basis, holding food markets delivered and the demand to purchase particular apparels and places add disbursals to their life cost. Extra money is besides spent on the complementary intervention and auxiliary merchandises. ( 15 ) â€Å" If other members are acquiring sick, they may desire to pull resources off from the arthritic arthritis patient. † — Alan Mozes ( hypertext transfer protocol: //www.medicinenet.com/script/main/art.asp? articlekey=116607 ) When there is a pick needed to be made, RA patients in a household will be given up doing them non be able to go on their intervention as the quotation mark above shown. Figure: Age-specific mortality rates ( per 100,000 ) for adult females with arthritic arthritis in 2009 hypertext transfer protocol: //arthritis-research.com/content/11/3/229/figure/F3? highres=y The mortality rate has non decreased steadily over the past 30 old ages. I think authorities should take this affair earnestly and take some stairss to turn this status better. Here, I unfeignedly hope that authorities can be financially stable and subsidy for those hapless patients who are non low-cost to travel through the intervention to the full. This could take down the mortality rate for arthritic arthritis patients. Benefits and Hazards I think the displacement to sing DMARDs as the new front line intervention is rather good as it may cut down the demand for other medicines as the quotation mark shown below: A DMARD may besides profit the patient by cut downing the demand for other medicines, e.g. corticoids and NSAIDs, which may hold a greater potency for toxicity than the DMARD. ( hypertext transfer protocol: //medsafe.govt.nz/profs/PUarticles/dmards.htm ) This may cut down the intervention cost and increase the efficaciousness at the same clip. Methotrexate ( MTX ) has been shown to be the most effectual drug used in decelerating down the patterned advance rate of the eroding and devastation of the joint compared to the others DMARDs as the abstract below shown: ( 16 ) Methotrexate outperformed other DMARDs in a meta-analysis of surveies comparing efficaciousness with toxicity, and more patients remained on amethopterin after five old ages than on other DMARDs. ( hypertext transfer protocol: //medsafe.govt.nz/profs/PUarticles/dmards.htm ) Besides, in footings of long periods, it has been shown to be safe and even can be applied on kids. ( 17 ) Normally the good effects from these agents merely last for a few old ages so I suggest that a good planning or scheme of utilizing them consecutive or even in combination is needed. However, several possible inauspicious reactions are at that place which needed to be taken attention of including timeserving infections, oral cavity ulcers and tummy jobs. Figure: Opportunist infections caused by Etanercept and Infliximab ( DMARDs ) hypertext transfer protocol: //images.google.com.sg/ Other than this, liver harm is another side consequence of this drug if this drug is taken orally every twenty-four hours. Alternatively of making so, from my point of position, the drug should be taken intermittently one time a hebdomad so the liver has adequate clip to retrieve. The existent status is nevertheless, the benefits of taking the drugs outweigh its hazards. So, I think this intervention should still go on but at the same clip, the patients who are taking the drugs need to be monitored on a regular basis. Some steps can be taken such as taking folic acid to cut down the side consequence of amethopterin as many beginnings have suggested. The usage of folic acid with the drug is used to cut down side effects. ( hypertext transfer protocol: //www.arthritis.co.za/dmard.html ) Alternate Solutions Non-steroidal Anti-inflammatory Drugs ( NSAIDs ) Nonsteroidal anti-inflammatory are besides known as ‘first line ‘ medicine in the instance of RA. Examples of drugs including acetylsalicylate ( acetylsalicylic acid ) , ibuprofen ( Advil, Medipren, Motrin ) and etodolac ( Lodine ) . I choose NSAIDs as an alternate solution because they can cut down the symptoms and thereby bettering maps. However, these drugs entirely do non alter the class of the disease or prevent joint devastation. ( 18 ) There are two chief types of Nonsteroidal anti-inflammatory: selective and non-selective. They work by suppressing enzymes, called Cox, COX-1 and COX-2 which participate in the production of prostaglandins. Even though the prostaglandins cause redness and hurting but they besides have critical functions in care of normal organic structure maps. So, the COX-2 inhibitors act by selectively block the prostaglandins produced through the COX-2 which have involved in redness. ( 19 ) Since the drugs merely aim to cut down the hurting and pu ffiness, so I suggest that they need to be combined with the other agents in DMARDs to do certain the disease is under control. Surgery Another sensible attack that I suggest is to transport out surgery. Its primary intent is to cut down hurting, better the affected articulation ‘s map, and better the patient ‘s ability to execute day-to-day activities. However, from my point of position, a surgery is merely carried out when the medicine can non repair the structural harm or the disease does non react to the physical therapy. As any surgery is serious and involves complications, it is normally delayed until it is necessary. Furthermore, surgical intervention may non be an option for all of the affected articulations. ( 20 ) There are plentifulness of factors need to be considered such as the patient ‘s overall wellness, the status of the joint or sinew that will be operated on, and the ground for, every bit good as the hazards and benefits of, the surgical process. Cost may be another factor. Surgery picks: Choices Functions Finger and manus surgeries To rectify joint jobs in the manus. Arthroscopy To take dust or inflamed tissue in a joint through a little lit instrument. Synovectomy To take inflamed joint tissue. Arthroplasty To replace portion or all of a joint in the hip or articulatio genus. Cervical spinal merger To handle terrible cervix hurting and nervus jobs. Resection of metatarsal caputs To take distorted bone in the pess. Figure: The articulatio genus cap and the damaged portion are removed and the bipartite prosthetic device, which is normally metal is implanted during surgery as the diagram shown. hypertext transfer protocol: //arthritis.about.com/od/rheumatoidarthritis/ss/pictures_photos_6.htm Evaluation Kate Lorig, the writer of the book The Arthritis Helpbook, who is besides the Director of the Stanford Patient Education Research Center and Professor of Medicine in the Stanford School of Medicine. She is a really reputable research worker in the field of developing self-management classs for patients with chronic diseases and she had published several books sing this rubric. So, I think there would be no biased in the fact that stated in the book about the intervention of DMARDs drugs should be commenced every bit early as possible which is besides supported by the quotation mark from the article of the web site lt ; hypertext transfer protocol: //www.medscape.com/viewarticle/406508_5 gt ; : The current intervention scheme hence involves the early usage of DMARDs to restrict joint harm and preserve map. Methotrexate is proved to be more effectual when used in combination with other drugs such as Infliximab or Etanercept than itself entirely from the web site lt ; hypertext transfer protocol: //arthritis.about.com/cs/mtx/a/mtx.htm gt ; . This beginning is said to be dependable as many other beginnings agree with this statement every bit good such as the web site lt ; hypertext transfer protocol: //www.medicalnewstoday.com/articles/74289.php gt ; and the undermentioned infusion: Study leader Dr Cornelia F. Allaart commented: â€Å" Our findings indicate that clinical remittal from RA is accomplishable provided effectual intervention – such as the Remicade amethopterin combination we used in the 4th arm of this survey – is administered early in the class of the disease. † Besides, the informations collected was at EULAR 2007, the Annual European Congress of Rheumatology in Barcelona, Spain. The European League against Rheumatism ( EULAR ) , which is a trustable organisation that represents the patient, wellness professional and scientific societies of rheumatology of all the European states. This statement is besides supported by the abstract: The efficaciousness of combination therapy with a biological agent is superior to methotrexate monotherapy for remittal. from the web site lt ; hypertext transfer protocol: //ard.bmj.com/content/69/7/1298.abstract gt ; . How to cite Rheumatoid Arthritis The Problem Health And Social Care Essay, Essay examples

Accounts Receivable and Income Statement free essay sample

Based on the analytical procedures calculated in parts a. and b. , summarize your observations about Pinnacles business, including your assessment of the clients business risk. d. Go to the Pinnacle link on the textbook Web site (www. prenhall. com/arens) and open the Pinnacle income statement, which is located in the Pinnacle Income Statement worksheet of the Pinnacle-Financials Excel file. Use the income statement information to prepare a common-size income statement for all three years. Use the information to identify accounts for which you believe there is a concern about material misstatements. Use a format similar to the following: Estimate of $ Amount Account Balance of Potential Misstatement e. Use the three divisional income statements in the Pinnacle-Financials Excel file on the Web site to prepare a common-size income statement for each of the three divisions for all three years. Each divisions income statement is in a separate worksheet in the Excel file. We will write a custom essay sample on Accounts Receivable and Income Statement or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Use the information to identify accounts for which you believe there is a concern about material misstatements. Use a format similar to the one in requirement d. f. Explain whether you believe the information in requirement d or e provides the most useful data for evaluating the potential for misstatements. Explain why. .:. g. Analyze the account balances for accounts receivable, inventory, and short/current long-term debt. Describe any observations about those accounts and discuss additional information you want to consider during the current year audit. h. Based on your calculations, assess the likelihood (high, medium, or low) that Pinnacle is likely to fail financially in the next 12 months.