Tuesday, December 24, 2019
The Debate Over Same Sex Marriage - 1682 Words
The largely debated topic of same-sex relationships have been on the forefront of all U.S. citizenââ¬â¢s minds, including and more specifically of those in the branches of legislature. More states today have begun passing laws that accept and recognize marriage for this population. This minority group, in some opinions, has been at a disadvantage when it comes to marriage equality. Previous studies have explored this great debate in the United States beginning in the 1970s. The Minnesota Post published a case where University of Minnesota students, Richard John ââ¬Å"Jackâ⬠Baker and James Michael McConnell, applied for a marriage license in Hennepin County Minnesota. The application was denied because the applicants both were men. Baker andâ⬠¦show more contentâ⬠¦Previous research, done by Rostosky et. al., provides information regarding the APAââ¬â¢s attempts, in 2004, to highlight how such inequalities can negatively impact a persons mental health. These effort s were to address the discrimination that was a result of the lack of equality for all people (Rostosky, 2009). After efforts began in 2004, they continued and strengthened with more research being done in the past few years regarding same-sex marriage. The current underdeveloped pieces from research is how same-sex marriage would affect a family dynamic, with adding children into the picture, and with how such individuals work with their own immediate family. Information regarding how children would be affected by being raised with same-sex parents was becoming negatively viewed and used as a tactic for the government. They proposed that heterosexual parents provide better living conditions for children and suggested to all people that it should continue in such manner (Goldberg Kuvalanka, 2012). Looking at previous researchers work on the effects of same-sex marriage, much of the focus was on the effects that the marriage had on society, and family life. Research on same-sex marr iage in the United States could not be conducted until after the legalization of same-sex marriage in Massachusetts in 2004 (Schecter, Tracy, Page, Luong, 2008). Meezan and Rauch (2005) were able to
Monday, December 16, 2019
Biology Assignment, Types of Wounds and Quick Treatments Free Essays
5 Types of Open Wounds: Abrasion ââ¬â Abrasions are wounds caused by traumatic scraping and loss of skin. Falls occurring while in motion frequently lead to skin abrasions. Extensive skin loss may occur with high-speed motorcycle or similar accidents. We will write a custom essay sample on Biology Assignment, Types of Wounds and Quick Treatments or any similar topic only for you Order Now Thorough cleansing and bandaging of abrasions involving small/limited skin loss should be done as first aid. Extensive or deep abrasions require a bigger treatment, which, in the most severe cases, may include skin grafting (used to permanently replace damaged or missing skin or to provide a temporary wound covering). Lacerations ââ¬â Lacerations consist of cuts to the skin caused by sharp objects. Broken glass, knives, and other sharp tools are what commonly cause/started skin lacerations. In ââ¬Å"Common Simple Emergencies,â⬠thorough cleansing of a laceration wound is important in preventing wound infection. Adhesive strips, tissue adhesive, skin staples or stitches can be used to close a laceration wound. How to close a laceration wounds depends on the location, shape, size and the severity of the wound. Punctures ââ¬â Puncture wounds result from forceful, deep skin penetration by slender objects. Accidentally stepping on a nail or other sharp object is a common cause of puncture wounds. Punctures wounds provided bacteria with an entryway into the deep layers of the skin where they can grow. The risk for tetanus, an infection caused by the bacterium Clostridium tentani, in simpler words meaning, infection from dirty metallic objects may provide health concern. Puncture wounds can be treated through cleansing and making sure you are up to date with your tetanus vaccination. Puncture wounds associated with animal, such as bees or most commonly dogs and human bites may require some medicine/antibiotic treatment because of the high risk infection to the bone and flesh. Animal bites may require rabies vaccination if the animal has rabies, or if their current status is unknown. Incision ââ¬â Rarely occurs, unless when handling knives, or bumping into something sharp, incision is almost like a scratch except deeper and more serious. More like a cut in the skin caused by a sharp object such as a knife, broken glass, scissors or surgeonââ¬â¢s scalpel. Incision wounds are also ââ¬Å"neatâ⬠(does not affect a large amount of area with little wounds) and the edges of the skin are usually smooth (not damaged, more like split) Avulsion ââ¬â An injury in which a body structure is forcibly detached. It most commonly refers to a surface trauma where all layers of the skin have been torn away; exposing the underlying structures (e. g. subcutaneous tissue, muscle, tendons). This is similar to an abrasion but more severe, as body parts such as an eyelid or an ear can be partially or fully detached from the body. (Simple form: the forced removal of all of layers of the skin, the Epidermis, Dermis and Hypodermis, revealing tissues, muscles, tendons and sometimes bones underneath) How to cite Biology Assignment, Types of Wounds and Quick Treatments, Essay examples
Sunday, December 8, 2019
Professional Development Plan
Question: Discuss the Professional Development Plan. Answer: Standard Focus area Evidence required (as identified by you) Who/What will help? By When Evidence to be collected (Specific) Standard 1 Know Students and How they Learn 1.2 Demonstrate knowledge and understanding of research into how students learn and the implications for teaching (Standards | Australian Institute for Teaching and School Leadership, 2016). Understanding of the concept of differentiated learning. Identification of students having different learning styles and needs. Identification of the capability of a student to learn and understand. Development of accurate activities. References like readings, lectures, websites and texts. School documents. Class assessment, previous assessment results. Texts, curriculum activities. Prior to practical Lead in days By the session begins Ongoing Theories related to differentiated teaching strategies. Concepts, models and theories related to various kinds of learning styles and needs of students. Examination results, class performance of the students. Standard 2 Know the content and how to teach it 2.2 Organize content into an effective learning and teaching sequence. Understanding the theories and concept of learning. Understanding the students capability. Based on capability of students systematically arrange the syllabus. References such as lectures, readings, websites and texts. The response of the students in the class. The results of the previous examination will guide to arrange the new syllabus. Prior to practice Ongoing Before or during the first half of the session. Theories related to differentiated teachings strategies. The performance of the students. The previous syllabus will help to modify the new one. Standard 3 Plan for and implement effective teaching and learning 3.2 Plan lesson sequences using knowledge of student learning, content and effective teaching strategies. Projector and presentation helps in teaching. Visual presentation helps in better understanding of the subject (mathematics). The proper method of presentation. The presenting style helps in understanding. Ongoing Ongoing The concepts and formulae guides in presenting. Standard 4 Create and maintain supportive and safe learning environments 4.2 Demonstrate the capacity to organize classroom activities and provide clear directions. Practical task helps in understanding. Systematical presentation of the subject. The encouragement and the competition within the class help in understanding the subject. The rules of the school. Ongoing Before the session begins. The performance report of the students. Standard 5 Assess, provide feedback and report on student learning 5.2 Demonstrate an understanding of the purpose of providing timely and appropriate feedback to students about their learning. Arranging for examination and assessment. Arrangement for competition Arrangement for inter-school quiz competition on the subject. The school authority and the syllabus of the class. The school authority and the co-workers. The school authority and the support and coordination of other schools. Lead in days Ongoing Ongoing The syllabus and the covered topics in the class. Cooperation of other teachers and school authority (Sriprakash, 2012). The documents of previous competition that took place. References Sriprakash, A. (2012).Pedagogies for development. New York: Springer. Standards | Australian Institute for Teaching and School Leadership. (2016).Aitsl.edu.au. Retrieved 10 June 2016.
Saturday, November 30, 2019
World Religions Paper free essay sample
World Religion Paper (Rough Draft) By: Allison Workman The religion that I have chosen for my report is Wicca. Wicca is the religion of Witchcraft also referred to as the Craft. There are many myths that are associated with the Wiccan religion. Witches do not perform ride brooms and they are not ââ¬Å"bad or scaryâ⬠people. In fact most witches are normal people we come in contact with every day. I have learned many interesting facts in my weeks researching this religion. At this time my site visit and interview have not been completed due to family medical problems with my source. However, the interview and site visit are both scheduled for April 3, 2011 I will attempt to submit a summary of those by mid week next week for review. Compare and Contrast Wicca and Christianity are actually quite similar in many ways. However, there are vast differences in the beliefs of the parties as well. We will write a custom essay sample on World Religions Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Both Christianity and Wicca have a symbol that is prominent within the religion. Christians have the cross that represents the death of Jesus to wash away the sins of mankind. Wiccaââ¬â¢s symbol is the pentagram. Despite the reports to the contrary the pentagram is not the symbol of a Satanist; in fact Satan does not even exist in the Wiccan culture. The pentagram is the symbol of the four elements (water, air, fire, earth) and the sprit which draws them all together. Both religions have groups that worship together. Christians call these congregations and they usually meet in a Church. When a group of witches gather to worship the group is referred to as a Coven and they generally practice outdoors though not always. Some Covens will gather at the home of the High Priestess to worship. Meeting places will differ from Coven to Coven. Many of the Ethical and Social views of these religions are similar as well. The Wiccan Rede is ââ¬Å"If it harms none, do what you willâ⬠. Christians generally try to live by the Golden Rule. ââ¬Å"Do unto others as you would have them do unto youâ⬠. These two phrases have a similar meaning. Both religions believe that women and men are equal in value as human beings. Both religions also accept women in secular leadership roles. All Wiccan religious groups believe that women should hold religious leadership roles as well; some denominations of the Christian faiths are accepting of this, but others still believe that men should be the religious leader of the family/church. The number of differences between these two groups is much larger that the similarities. One of the most notable is that Christianity is a monotheistic religion and Wicca is a polytheistic religion. While Christians worship God. The Wiccans worship the God and Goddess simultaneously. The Wiccan religion is all about balabance so the worship of the God and the Goddess signifies the balance, though the primary focus to a witch is the goddess. Witches accept homosexuality completely where Christians believe that homosexuality is a sin. Christians worship every Sunday and Witches worship on the 13 full moons of the years and also perform rituals on the Sabbats.
Tuesday, November 26, 2019
Mid Term Review Essay
Mid Term Review Essay Mid Term Review Essay Services Marketing Midterm Review Chapter 1: Understanding Services Marketing * Four characteristics of services (pg. 9-11): * Intangibility: cannot be seen, touched, held, or put on a shelf, because they lack a physical existence or form * Customer cannot purchase physical ownership of an ââ¬Å"experienceâ⬠(entertainment), ââ¬Å"timeâ⬠(consulting), or a ââ¬Å"processâ⬠(dry cleaning). This intangible nature prevents customers fro, examining services before their actual enactment. * Inseparability: the production and consumption of the service occur simultaneously * Suggests that interaction between the customer and the service provider must occur for the service to happen * Often, the customer is in the physical presence of the service provider; and in many instances the customer must also come to the site where the service is produced. * Variability: it is hard for a service organization to standardize the quality of its service performance * Unlike physical goods, services often rely on human p erformance, which can vary across workers and customers and from one time to the next. Further, because services are consumed as they are produced, little or no opportunity arises to correct a defective service before it reaches the customer. * Perishability: most services cannot be produced and stored before consumption; they exist only at the time of their production. * After-sales service agreement is a supplementary service (pg. 9): * Manufactured goods come with after-sales service, and other manufactured durable goods come with a warranty * Even nondurable and consumable products often possess a customer service element * Services and physical good often have both tangible and intangible characteristics (pg. 8-9) * At one end of the continuum are pure services, at the other end pure goods; although it is hard to argue that pure services and pure goods exist, counseling services and table salt would clearly fall at opposite ends of the continuum * Both physical goods and servic e marketers need to exercise creativity (pg.9) * Services marketing is relevant not only to service producers but to physical goods manufacturers as well; many successful manufacturing firms have differentiated their products by offering superior customer service Chapter 2: Frameworks for Managing the Customerââ¬â¢s Experience * Service Frameworks (pg. 21-26) * May perform several important functions: * Help services marketers understand service experiences by breaking services down into their individual components * Make communicating about diverse services much easier, because frameworks may include components applicable to all services * Identify specific issues organizations should consider in designing their service delivery * Specify relationships among various components that combine to produce the customerââ¬â¢s service experience * Any service experience can be categorized into four components: * (1) the service workers: those who interact with the customer and those who contribute to the service delivery out of the customerââ¬â¢s sight * (2) the service setting: both the environment in which the service is provided to the customer and areas of the organization to which the customer normally has little access * (3) the servi ce customers: the persons receiving the service as well as others who share the service setting with them * (4) the service process: the sequence of activities necessary to deliver the service * Three types of frameworks: * The Services Marketing Mix * Most common version of the marketing mix , known as the ââ¬Å"Four Psâ⬠of marketing, emphasizes the key roles of product, price, promotion, and place in the development of a marketing strategy * Services marketing mix adds three new Ps- participants, physical
Friday, November 22, 2019
Free sample - The Salad Bar. translation missing
The Salad Bar. The Salad BarBackground The introduction of Healthy salads by The Salad Bar is in a response to the rising cases of obesity in the country associated with eating unhealthy foods in fast food restaurants. Healthy salads are basically made from fresh farm produce such as lettuce and juices from fresh fruits will also be made, instead of the milkshake served in other fast foods outlets. Water will also be available at the convenience of the customers. The production and selling of the products shall take after the model of other restaurants such as In-n-out Burgers. Owing to the limited capital, the salad Bar will begin with a single restaurant with a plan to establish a countrywide presence in five years. By introducing these salads, The Salad Bar is looking forward to replacing the already existing market for fast foods with salads. Following this, customers will conveniently access healthy foods in any location in the country. As a result initial survey of the market indicates that the market for the new products exists. According to Jeffrey and French (1998), fast foods consumption and lack of exercise result in obesity and overweight situations (p.277). The combined effect of the healthy nature of the food, the favorable prices and the convenience in accessing the products will lead to increase in sales. The strength that the company has is convenience, and the strong product offered. The weaknesses include low capital and unreliable employees. The opportunities include favorable market, recovering economy, excited consumers and lack of stiff competition. The potential threats are the unpredictable economic situation, indecisive customers and financial instability.Ã Ã Note that the current in research in the food industry indicates that parents as customers in this industry play a critical role in determining what is eaten by their children. Therefore, the development of advertisement plans would be tailored to focus more on attracting parents as customers for these salads. In addition, other adverts would target old people as most of them are on diet while others prefer natural foods with less fat. Therefore, these groups would form the major targets of the adverts which would be run on television, radio and the internet, especially on blogs. The adverts would run for a period of two weeks before launching these salads on the market. This is meant to create awareness among consumers and to assist them to realize and understand the need for healthier foods in their diet. Thereafter, these adverts would continue running, except that this time they would be on a less frequent basis; first to bring customers to an attention that there are healthy foods and to remind them on the places where these foods are found. Another area of focus would be on prices. On the other hand, outdoor promotions would also be important in the marketing of these foods. For instance, front-door promotions of actual food outside supermarkets, hypermarkets, etc. In consistency with this, the customers who visit these places would be able to visits the promotional stalls and taste these salads. As a result, these consumers would be presented by an opportunity to make their decisions on these foods based on facts in regard to the actual tastes of these foods. The advertisements and promotions of these foods are expected to increase the customer base of these products on the market. Notably, the creation of awareness of products among customers has been found to increase sales of products. In consistent with this, the promotion of these foods is expected to create a customer base. Furthermore, these promotions and adverts would alleviate the place of these foods in the market. On the other hand, these adverts and promotions are expected to increase sales and revenue in the short run. Therefore, these adverts and promotions should be run for the first three months as the market for these products is established. This would ensure a firm establishment of these products in the market as well as increase the revenues during this period. Additionally, this would also attract more customers to shift their buying behaviors towards spending their money on healthier foods. The items to be covered by the promotion are convenience, health and efficiency of the service. The foods served are low in carbohydrates and fats and include the following: organic and raw fruits, fat and grease free meats, fresh real fruit shakes, greens such as lettuce, vegetables such as green beans, snap peas, radishes, broccoli, avocadoes, tomatoes cucumbers, zucchini and carrots. Healthy meats such as lean beef, cooked shrimp, tuna and chicken breast will also be included. In addition, lemon juice, salad dressing and clear drinking water will be served if desirable. The expected net income for the first year of trading is 63,161. The net purchases for the year amounted to $61,000. Note that these were projected figures and they were expected to go higher or a little lower after the launching of the product in the market depending on the success of promotions and the advertisement campaign which was being carried out. In this respect, it was important to enhance the advertisement and promotional campaigns which were being carried out.
Thursday, November 21, 2019
Argument in Support of Illegal Immigrants receiving Social Services Essay
Argument in Support of Illegal Immigrants receiving Social Services - Essay Example Increase in the illegal process of immigration mainly from Mexico to the United States, though has a long history, however, was witnessed most conspicuously since 1970s afterwards. Roots of the problem can be cited within execution of the Bracero Program during World War II (specifically in the year 1942) that allowed US employers to derive temporary workers from Mexico (Lemay 4). Now US being one of the strongest economic powers and having a politically stable democratic structure compared to Mexico, was regarded by majority of such workforce as a convenient shelter that would help them for economic and social prosperity. Thus, while a major part of the temporary workers never left the United States even after expiration of their temporary visas, on the other hand, Americaââ¬â¢s economic and social stability continued to attract immigrants from Mexico to such an extent that even after demise of the Bracero Program and consequent implementation of the ââ¬Å"Immigration and Natura lization Act, 1965â⬠much success could not be attained in controlling the process of illegal immigration.... The Act further states that applications for asylum or any other ââ¬Å"Temporary Protected Statusâ⬠will also be rejected by the state authorities (Colton-Sonnenberg 4). While considering the fact that the economic supremacy United States is enjoying owes a great deal to the illegal immigrants, actions taken by the nation against providing them with any kind of social service facilities clearly appear to be maliciously selfish and biased on humanitarian grounds. It has been clearly specified by several legal propositions (such as Proposition 187 of 1994) and Illegal Immigration Reform and Immigration Responsibility Act, 1996 that illegal immigrants are mainly responsible for economically burdening the nation as well as increased anti-social activism (Koven, and Gotzke 140-142). Illegal immigration, from legal perspective, is clearly an act of offense and a state has every right to take actions against those who are joining the act. However, actions taken by the United States to condemn the offense is offensive in itself as those are violating both legal principle of naturalism and norms of humanity. While evaluating the issue of American socio-economic prosperity, the immense contribution from immigrants and their successors in this scenario has been acknowledged by the former American President John F. Kennedy. He not only recognized the United States as a nation of immigrants but also emphasized on the importance of formulating immigration policy in such a manner so that social welfare of the immigrants is ensured (Colton-Sonnenberg 3). Getting to the roots of immigration problem it becomes clear the flaws in implementing the foreign policy has a major role to play to result in the influx of illegal immigration:
Tuesday, November 19, 2019
The extra credit Essay Example | Topics and Well Written Essays - 500 words
The extra credit - Essay Example There are negative effects of these externalities in production for instance; industrial pollution causes the marginal social cost (MSC) to curve higher than the private marginal cost (MPC). The externality for this discussion will be sea pollution by water vessels. Sea pollution occurs due to oil spillage from ships and sea vessels on transit, especially in cases of accidents or leakage. Other forms of pollution by the sea vessels are from discharging domestic wastes into the sea when the vessel is in transit. Passenger ships are the main dischargers of domestic effluent into the sea such as kitchen wastes and waste from sanitation areas. Other pollution may be from chemicals, and garbage from the sea vessel that find their way into the water during transit. Scrapping of old ships on beaches may also pollute the water is the scrap metal, paints, and pieces find their way into the water. However, most of the sea pollution comes from people living near the beaches, when they dispose chemicals, soil, oil, and rubbish into the sea. Disposal of Bunker oil from cargo ship is very dangerous and toxic to the sea creatures and is very difficult to clean sea pollution is bad for the society as it destroys the marine ecosystem by killing the aquatic plan ts organisms. There are some policies to control sea pollution in various countries such as government intervention through regulations, which include taxing polluters and forcing the polluters to compensate the affected. International regulations to prevent marine pollution from ships aim at preventing and lowering ship pollution. Port waste management under Merchant Shipping and Fishing Vessels highlights the requirements for all vessels to give a prior notice to the port on the waste onboard. The vessels should also offload the waste at the port and pay for waste discharge facilities. All ships of between 150
Saturday, November 16, 2019
International marketing management Essay Example for Free
International marketing management Essay ââ¬ËSelf- Reference Criterionââ¬â¢ 1. Define problem or goals in terms of home-country cultural traits, habits and norms 2. Define problem or goals in terms of foreign cultural traits, habits and norms 3. Isolate the SRC influence in the problem and examine it carefully to see how complicates the problem 4. Redefine the problem without the SRC influence and solve for the foreign market Self-reference criterion (SRC) as an unconscious reference to ones own cultural values, experiences and knowledge as a basis for decisions. The SRC impedes the ability to assess a foreign market in its true light. For example, Americans may perceive more traditional societies to be backward and unmotivated because they fail to adopt new technologies or social customs, seeking instead to preserve traditional values. In the 1960s, a supposedly well read American psychology professor referred to Indiaââ¬â¢s culture of sick because, despite severe food shortages, the Hindu religion did not allow the eating of cows. The psychologist expressed disgust that the cows were allowed to roam free in villages, although it turns out that they provided valuable functions by offering milk and fertilizing fields. Ethnocentrism is the tendency to view oneââ¬â¢s culture to be superior to others. The important thing here is to consider how these biases may come in the way in dealing with members of other cultures. Self-reference criterion importance to a marketing firm planning to enter international markets for the first time. Importance of Self-reference criterion as a topic of research Self-reference is a topic whose theoretical foundations have so far primarily been studied in the context of logic, the philosophy of language, systems theory, and post-modern culture. In computer science it has been a topic in the context of the recursively of Turing machines. In semiotics, there have been only few studies which have dealt explicitly with this topic, although marginal reflections on self reference can occasionally be found in the context of the theory of reference. Levels and degrees of self-reference criterion: Examples from advertising Just as signs may self-referentially refer to the world of signs, the media may refer to the world of the media in a self-referential manner. Citations, intertextuality, intermediality, met textual references, repetitions, recursions, and references to the communicative situation are some of the symptoms of self-reference in the media. Various degrees of self-reference must be distinguished, from the sign that refers to nothing but itself to the sign that refers only partially to itself and partially still to something else. Furthermore, self reference occurs at different levels of the message in which it occurs. Beginning with the smallest elements of the message, the first three levels of self-reference are derived from Peirceââ¬â¢s trichotomy of the interpret ant: 34 rheumatic (equivalent to the unit of a word), dicentic (equivalent to a proposition), and argumentative self-reference. In extension of this Peircean triad, textual, intertextual, intermedial and communicative self-reference will be distinguished. Communicative self-reference criterion Communicative self-reference pertains to pragmatics, the situation of text production and reception. The roles of the readers or the spectators and the enunciative roles of the authors, the producers, the actors or the players become the topic of the message. Instead of presenting or representing ideas or events in the world beyond the message, the text deals with its own communicative context, its communicative function, and its presuppositions. The text has thus its own pragmatic dimension as its topic. For example, the audience of a film is reminded of the fact that it is participating in the film while sitting in the film theatre. 38 Peter Greeanwayââ¬â¢s actors that step out of their role as actors and mingle with the audience, or Alfred Hitchcock, who steps out of the role of a film producer to become an actor are further examples of communicative self-reference. B) International marketer must have knowledge of sub cultural groups Introduction Culture is concerned with social behaviour and attitudes, and this paper aims to highlight its significance for entry into foreign markets. Culture has been defined as ââ¬Å"the integrated sum total of learned behaviour traits that are manifest and shared by members of a societyâ⬠. Cultural factors have been itemized in the existing literature, but clearly among the most important are: customer beliefs and attitudes; morality, ethics and religion; social and consumption values; language and literature; social systems and social behaviour (especially the family); historical background; arts and aesthetics. Two authoritative studies have identified concepts of culture both as barriers to entry and as dynamic movers (Herkovits, 1970, Clutterbuck 1980). Furthermore, insufficient research attention has focused on defining more conceptual approaches to the internationalization of retailing and there is an even greater paucity of research into strategies for retailer entry modes; this is the main justification for this paper. In researching their approach to overseas markets, retailers must consider that culture can have an impact on their merchandising and promotion. The culture in which a person lives affects his/her consumption patterns and also the meaning that is attached to specific products. When promoting merchandise in a new culture, it is easier initially to appeal to existing culture requirements or expectations than to try to change them. Merchandising and promotion must be sensitive to the basic values of the country and the differences in patterns of consumption. Case Example (1) Entry into the Swiss Market In Switzerland, foreign dishwasher manufacturers and retailers expected the same rapid sales they had first obtained in other West European markets; but sales in Switzerland were so slow that research had to be done to find out why (this research should, of course, should have been done before, not after, market entry). The research showed that the Swiss housewife had a different set of values to, for example, her French and English counterparts; she was very conscious of her role as strict and hardworking, and her responsibility for the health of her family. To the Swiss housewife dishwashers simply made life easy, and this conflicted with her Calvinistic work ethic. As a result of this research, dishwasher manufacturers had to change their advertising ââ¬â promoting, instead of ease-and convenience, hygiene-and-health. They did this by emphasizing that because dishwashers used temperatures higher than hand hot the process was more hygienic than washing up by hand. Thereafter retailers had no problem selling automatic dishwashers in Switzerland. Source: Author Cultures across countries High context culture ââ¬â the meaning of individual behaviour and speech changes depending on the situation ââ¬â nonverbal messages are full of important meaning (Read between the lines) ââ¬â e. g. Saudi Arabia and Japan, written contracts are not always enforceable as new people move into executive positions (Chile, Mexico) Low context culture ââ¬â intentions are expressed verbally ââ¬â the situation does not change the meaning of words ââ¬â e. g. India, China, Australia, New Zealand Cultural Assessment International retailers need to communicate meaning through the transmission of messages to people of different cultures if they are to succeed in the promotion of their products to enter foreign markets. Misunderstandings caused by cultural differences can seriously damage the image of a firm or product; therefore, in order to ensure the message transmitted is received in its correct form, the retailer needs to be completely aware of the implications of all the elements of the message in the foreign culture. Failure on behalf of the retailer to adapt to the intricacies of national customs and develop a rapport will lead to inadequate market entry strategies. Accurate communications are so vital that any risk of cultural misunderstanding needs to be eliminated. Firms must identify key management positions and insist that they are held, whenever possible, by someone of the same culture. Many firms make the mistake of putting nationals from the parent companies in charge of key positions within their foreign subsidiaries, often on the basis that fluency in the language is sufficient. In attempting to understand the most significant elements of the foreign culture, companies have to be vigilant and ensure a balance is maintained. There is no one method to adopt in the evaluation of other cultures for retailing purposes as the nature of the goods being offered should govern the method of assessment. The retailer must be sufficiently perceptive and guard against the over-exaggeration of the differences or the similarities between the foreign culture and its own. For example, in analyzing the United States market, a UK retailer may overemphasize a perceived common culture stemming from the common language and close political and economic relations. A common language cannot indefinitely set the seal on a common culture when the geographical, political and economic determinants of the culture are no longer the same throughout its area. The withdrawal of Marks and Spencer from the Canadian market in 1999 is a case in point; their precept was that the aforementioned ââ¬Å"perceivedâ⬠cultural affinity would facilitate acceptance of the St Michael brand name; in short the common language or heritage does not guarantee a common culture. A further complication in determining the important facets of a countryââ¬â¢s culture is the existence of more than one culture or sub-culture within many nations world-wide. Table 1 lists a few states with cultural differences based along linguistic groupings and the problems these present to the international retailer. A cultural assessment will reveal a modal pattern, but a truly useful evaluation will also expose considerable variations within a group or a subset group. In fact, for some cultural characteristics, there may be a wider range within a given society than between societies. For example, young professional 25-30 year olds in Spain, France and Italy may have more in common, in terms of values, tastes and aspirations, than with their non-professional compatriots of the same age group. A cultural evaluation can be either static or dynamic. A static assessment serves only to identify the differences in variables between cultures, whereas a dynamic appraisal seeks to indicate which variables will change in the future, in what order and with what speed. For the international retailer, the identification of which changes would be readily accepted or rejected can mean the difference between success or failure. The analysis of a culture to ascertain the peculiarities of the population can be extremely expensive, time-consuming and unwieldy. Therefore, having conducted a rapid survey of key cultural elements of a nation, the international retailer with limited resources may choose to carry out a Partial Cultural Assessment which focuses on key elements fundamental to the success of its operations in any country. Table 2 shows several cultural factors, which could frustrate the progress of the operations in the event of a retailer failing to obtain accurate data from the assessment of the foreign markets; if a single element is incorrectly assessed, the effectiveness of the strategies will be diminished.
Thursday, November 14, 2019
Essay --
Database Security: Database security is a critical Domain of Computer and Information Security that deals with protection of an individual database or group of database from illegal access, injections or possible destruction. Data can be a customer's information, intellectual property, financial asset or any number of other records that can be maintained and managed on a system. Without Database security people are at risk of identity fraud, theft, destruction of property and much worse. The global costs of such security breaches runs from over a billions of dollars yearly, and the cost to individual companies can be extreme, sometimes disastrous. One of the most popular method for protection of database includes storing a backup in a secondary location or datacenter. The Advantage of storing backup in secondary location is the process of restoration and damage prevention in case of data destruction or disaster at Primary source . A firmââ¬â¢s database infrastructure often contains the most important data and are subjected to a wide range of attacks. Some of the threats to database security are excessive and unused privileges, SQL Injection, DoS etc. Excessive and Unused privileges is when someone in the firm is granted database privileges that exceeds the requirement of their job function, these privileges may sometime be abused. A good example for Excess and Unused Privilege can be a University System Administrator whoââ¬â¢s primary function is to maintain student information, but due to excessive privileges could potentially have access to modification of Studentââ¬â¢s grades. Another example could be of an employee with access to human resources database access, leaving the organization i... ... The use of portable devices are causing most of the organizations to deal with higher risk from hackers gaining access to sensitive data. Database are mainly targeted by attackers since it contains high volume of important and potentially critical data. The best way to overcome these risk are through storing important information as backups and securing data transmission over public network. Organization should set up firewalls between companyââ¬â¢s intranet and internet in order to block any external device access into the network . With all being said organization should continuously educate their employees about the risks and keep a track and secure the portable devices used by IT personnel. If such security measures are implemented by an organization they can ensure that critical and important information could be less susceptible to vulnerabilities.
Monday, November 11, 2019
Culture And Climate Essay
In this paper a relationship between culture and climates is discussed with a focus on the southern California hunter gatherer societies. When there is a climate change the society will have to change their way of life in order to cope or else the change of climate could end up affecting the society adversely and even claiming life. Some of the change that occurs in the society due to climate change is that of food that is being eaten. Change in climate also could mean the people adapt to a new dressing code because of the increase or reduction in the temperatures. The effect of climate change will have a varying effect on the communities depending on whether they are gatherers/hunters or agriculturalist. When there is rain reduction the effect will be felt more by the agriculturalist than the hunters as much as all of them need the rain. When there is lack of rains some communities end up being violent as they fight for the few resources like pasture and water points. A good example of such an experience is the massacre that occurred at the Craw Creek whose evidence was the mass grave that was found with the remains of 486 individuals who had been mutilated. The attackers it is believed that, they made the attack because they were desperate due to lack of food as a result of climate change. When the society has a fear of being attacked they will always prepare for war. The society starts training the young people on how to fight and protect the community wealth. The community which has a tendency of being involved in wars will have its members having the skills of making weapons. They will also be involved in trade with other communities in order to sell or buy weapons. Some of the communities in Southern California like Chumash had other ways that they used as adaptation means to climate change that brought about severe droughts. This community adapted to using of a variety of plants and animal food such that when the climatic conditions were unfavorable they could resort to the use of the less preferred food which could be available at the time and these could help them avoid starvation. The communities learnt skills of storing food to avert effects caused by short term climatic changes. These community stored acorns, had skills of smoking and drying of fish, they dried seeds in addition to having the skills of constructing indoor and outdoor storage facilities. With enough food stored the community was able to support a dense population throughout the year including the years when there was little harvest. Different species of crops and varieties perform differently in same climate change. This also applies to the different tamed animals. There are some crops that will give a very low harvest or none at all when there is a change in climate while others survive in different climatic conditions. When communities are faced with unpredictable climate condition they resort to farming of different crops so as to survive harsh climatic conditions as seen from the case of the Chumash people. Water is a resource that becomes rare whenever there is extended droughts and as a result the communities which live in areas that are prone to droughts always have a culture of storing water. The Chumash people can also serve as an example in this area as research has shown that they had storage facilities to ensure there was supply of water for their use during the drought period. Their most common storage vessel was an asphalt interior lined water bottle. Due to the fact that asphalt preserves well, the evidence of the water bottle use and manufacture by the community is clear. The communities that were neighbors to the Chumash like Cahuilla and were in the desert regions had the skills of digging wells as way of adapting to the desert conditions. Exchange which was practiced among the Chumash is also seen as a way of the community trying to cope with the environment they new to be unpredictable. By the time of arrival of the Spanish the society was involved in exchange of prestige goods which partially had support of marriages that were so extensive that there was linkage of different ecological zones. There was a variety of goods that were being traded among the adjacent regions and these included foods, raw materials, manufactured goods and other goods. With the community involved in trade chiefs and other individuals who were powerful amassing a lot of wealth to themselves which was in form of prestige goods, a lot of food that was in storage facilities, shell beads which was being used as currency and canoes. This also brought about the emerging of network systems that were very powerful which involved ceremonial feasts. The use of prestige goods is believed to have been adopted as a form of social storage over thousands of years as a response to recurring droughts that challenged steady supply of required resources of the Chumash society. Reference Lynn H. (2005). Culture and Climate: Reconsidering the Effect of Palaeoclimatic Variability among Southern California Hunter-Gatherer Societies. World Archaeology, Vol. 37, No. 1, retrieved on 27TH April 2009 from: http://www. jstor. org/stable/40023887
Saturday, November 9, 2019
Prejudice,Stereotypes and Discrimination Essay
Prejudice is an attitude that releases closely to intercultural sensitively. It is more commonly held and expressed by people in ethnocentric stages of the sensitivity model compared to people in the ethnorelatives stages. (Oetzel, 2009). Prejudice is the belief and feeling aspect of an attitude. It can be a pro or con but leads us to judging something based on our preconception. Prejudice is where you think against someone or something for no particular reason, thought or knowledge. It be because race , sex , age , or whatever . An would be like , ââ¬Å" Oh I donââ¬â¢t like her , sheââ¬â¢s a lesbian,â⬠or sheââ¬â¢s black or white or of any other race. Stereotype are overgeneralized cognitions about a group of people with no attempt to identify within ââ¬âgroup variation . Stereotypes often based on learned and widely shared beliefs and another group that reinforce or justify prejudice (Oetzel, 2009) . A stereotype is a set of preconceived beliefs about those who share a trait in common . It is the narrow prejudice view of a particular social group . Such as ââ¬Å"black people know how to danceâ⬠and ââ¬Å"women are better at cooking and worst at drivingâ⬠. Theyââ¬â¢re sometimes offensive and often unfair. Stereotypes is a view of social group that sticks , even though the social group is full of individuals who may not share any of the traits of the stereotype at all. Itââ¬â¢s like ââ¬Å"cheerleaders are bitchesâ⬠or ââ¬Å"geeks are smartâ⬠. Discrimination is action that maintain the dominance of one group of people over another. The power to enact the behavior is a key component to racism and discrimination. That power can be from a held position (being a boss) or social power (being part of a group that has political power). (Oetzel, 2009). Discrimination is where you actively are against someone for no reason , either on the basis of age , race , class or whatever . Itââ¬â¢s different from a prejudice because you actually do an action , such as not giving that person a job because of your prejudice , or refusing to give them a room at a hotel. I remember when I was young , I use to live with my Father in a small town in Ohio. It was mainly white community , I had a friend that was white. She had invited me over her house and her Grandma was racist. When I walked in to her home , her grandma said to me ââ¬Å"she canââ¬â¢t have company at all and you need to leaveâ⬠. The next day I seen my friend , she had apologized to me, and said I donââ¬â¢t know why my grandma acts like that to black people. ââ¬Å" She told her granddaughter not to play with blacks only with white childrenâ⬠, and she only would allow white children to come to her house . She never listened to her she still played with me anyway. I told her it wasnââ¬â¢t her fault that some people are just racist. Later on that week I was in the store with my grandma which is white also , we had seen my friend and her grandma . Her grandma tried to act as if nothing happen and spoke to my grandma and said to me you can come back over and play. I gave an example of prejudice stereotype and discrimination . People also stereotype for many of different reasons such as tattoos, race , religion, age gender and etc. Now days young folks now have a new way to rebel against society and ultimately and more honestly their parents . We began to see masses of young , dim witted teens getting idiotic tattoos just so they can feel like a badass (greengysywolf1 (How Prejudice and Fear). Children not knowing that when they get older that tattoos will affect them getting a job or the way society will look at them because of the tattoos they have on them. Even though itââ¬â¢s not right thatââ¬â¢s the way society stereotypes and discriminates people because of their appearance. People get tattoos because they enjoy them , not to mark them as different , not to get jollies of the pain , or not to be the evil spawn of satan himself (greengysywolf1 (How Prejudice and Fear). People also stereotype people that have been in prison. Itââ¬â¢s people that have went to prison and have changed their lives around completely . I have a friend that is about ââ¬Å"6 4â⬠and 200 pounds , but seems blessed with a baby face , so no one believes he ever been to prison . He usually waits until he meets someone in person to tell them , even though he knows there is a chance they will refuse to accept it . Iââ¬â¢ve seen the look , the change behind the eyes that goes from listening to what the stereotypes say an ex-con is and should be . I found it interesting because he tends to be more truthful and respectful than people who have not done time. Prejudice exist everywhere; with prejudice comes a stereotype or discrimination. Most stereotypes are dealt with minorities , especially in the United States . Basically, It all depends on how a person was raised . Most of Americans assumes that every white person grew up either in the suburbs , or well-to-do apartments in the city. While sometimes that is true ,but some lives in bad areas like farming towns and many other diverse places. Where you raise your family depends on your income and your family situation most of the time. If they have a higher income than yours average American, than they probably live in the most high-class place they can buy. If they are middle class than suburbia is most likely option. If they exist in the lower class , your income is not so great. Then they would probably live in poorly developed neighborhoods , like a trailer park or apartment complex. African Americans continue to face the highest level of discrimination in renting , selling and insuring property, according to the National Fair Housing Alliance . People with disabilities field the second highest number of claims followed by families with children and Hispanics. (surge). The British did an research article in 2009. , with 60 people ranging from 18 to 65 years of age . The tests of implicit attitude used in this study are based on links to real world behaviour, so itââ¬â¢s likely that those participants with a very strong homophobic attitude would routinely behave in a discriminatory way. The four or five per cent with strong prejudices would find their attitudes often affect their behaviour and the 15 to 20 per cent with ââ¬Ëmid-rangeââ¬â¢ prejudices are probably unaware of their attitude, but their thoughts and feelings towards gay or lesbian people will probably surface when they are emotional, stressed, frustrated or threatened (Society, 2009). I think people should look at themselves before they try and judge others , without getting to know them or speak to them first. Before you judge a book by its cover at lease open a couple of pages and read about it first. Works Cited Oetzel, J. G. (2009). Intercultural Communication (A Layered Approach). New Jersy: Pearson Education Inc. Page, H. (n. d. ). How To Stereotypes Affect My Life. Retrieved 2012, from http://greengypsywolf1. hubpages. com/getwidget. Society, T. B. (2009, Jan 16). ââ¬Å"Prejudice Study Finds Gay Is The New Blackâ⬠. Medical News Today. Surge, H. D. (n. d. ). CNN Cable News. Retrieved 2012, from http://www. cnn. com/US/9705/21/briefs. pm/housing/index. html.
Thursday, November 7, 2019
Tips for Using a Tree as a Hedge Plant
Tips for Using a Tree as a Hedge Plant Hedges provide privacy and beauty inà landscapeà design. Many trees are well suited for hedges, but its important to consider the purpose of the hedge and the growing conditions of the site when selecting aà tree.à Different tree species will have different characteristics and site needs. Selecting Trees for Hedges Remember that you will have to dedicate much more space to a tree than to shrubs. Abide by the trees minimum spacing requirement, which can be found at your nursery. Deciduous trees in a hedge generally provide screening only during the spring/summer growing season. Evergreen trees, both broad and narrow-leaved types, are effective year-round hedges. Sometimes a flowering tree is desirable. Such trees may be pruned periodically but should be allowed to grow in their natural informal shape. Planting The planting space required will vary based on the type of tree and the purpose of the hedge. For the most part, you will have to dedicate more space to a tree than to shrubs.à Conifers used for tall screens require little trimming and should be spaced about six feet apart. Trees for informal or untrimmed hedges should be spaced farther apart than trimmed hedges. To assure a thicker hedge, place plants in a double row. Training and Care Trees do not take training and pruning as well as shrubs. Most trees cannot be rejuvenated by pruning back to ground level. Trees do not fill in as well when topped - and most should not be topped. Shrubs will grow to fill the hedge much quicker than trees. Since trees take longer to fill in space and are planted farther apart, the initial planting may look sparse and take several years to achieve their desired appearance. Be patient and give your tree the time it needs. Recommended Trees for Windbreaks and Privacy Hedges White Fir or Abies concolorà (grows to 65): This large, evergreen tree has a silver-green to blue color and is not as vigorous as other large evergreens.American Arborvitae or Thuja occidentalis (à grows to 30):à These trees are useful for windbreaks or screens. Do not use in hot dry situations.Amur Maple or Acer ginnala (grows to 20):à Dense and compact, this tree requires little pruning and is useful for large windbreaks and screens.Carolina Hemlock or Tsuga caroliniana (grows to 60):à This dense compact evergreen tree can be used for windbreaks or screens.Cornelian Cherry or Cornus mas (grows to 24):à This is a dense and compact tree that grows small yellow flowers in early April and red fruit in the summer.à American Beech or Fagus grandifolia (grows to 90):à Another dense compact tree that is useful for windbreaks or screens. It is usually expensive and may be difficult to transplant.à American Holly or llex opaca (grows to 45):à A thorny broad-leaved evergre en with colorful fruits, the tree may be winter injured in northern areas. Chinese Juniper or Juniperus chinensis ââ¬ËKeteleeriââ¬â¢ (grows to 20): This is a loose evergreen with light-medium green leaves and a pyramidal form.Canaerti Juniper or Juniperus virginiana ââ¬ËCanaertiiââ¬â¢ (grows to 35):à This is an Eastern red cedar cultiva with dark green leaves and pyramidal form.Osage Orange or Maclura pomifera (grows to 40):à Use this dense and compact thorny habit only for tall hedges where other plants wonââ¬â¢t survive. Its useful for windbreaks or screens.à Leyland cypress (grows to 50): This fast-growing, beautiful, and dense conifer can quickly outgrow its space and subject to major canker disease. Plant with caution.Norway Spruce (grows to 60): This dense compact narrow-leaved evergreen tree needs consistent shearing but is useful for windbreaks or screens.Eastern White Pine or Pinus strobus (grows to 80):à This is another dense compact evergreen that needs shearing but is useful for windbreaks or screens.Douglas fir or Pseudot suga menziesiià (grows to 80):à Heres another dense compact evergreen tree excellent for windbreaks or screens. However, it can be difficult to grow in some locations.
Tuesday, November 5, 2019
Article Review of Half Defense Positive Accounting Research
This report discusses research paper on the half a defense positive accounting research. Positive accounting research is the research to test the positive accounting theory. Watts and Zimmerman state that the contract between parties in different organizations leads the accounting to be emerged. The scientific research is called to be positive accounting research when the non rational elements of human behavior cause accounting. Along with this, the main aims this report is to analyze the phenomena of the accounting research. The main aim of the research paper was to analyze the positive accounting research in intellectual project in scientific research with a view to identify the cause and effect relationship in the world. The report will include the critical argument on ontology and epistemology, research methodology used in the article, hypothesis set out in the paper, and hypothesis testing with recommendation provided in the article. The main focus of the report is to identify t he cause and effect relationship in accounting. The article is focused on the review of epistemological and ontological hypothesis of the intellectual project to understand and gain insight into the deficiencies and importance of positive accounting research. This article analyzes and discusses Positive Accounting Theory. It compares two different theories positive accounting theory and normative accounting theory to identify the best one theory. It assesses the development of Positive Accounting Theory and puts in comparison with three standard account of science Lakatos, Kuhn, and Popper. This article demonstrates that rather positive Accounting Theory comprises of elements of all the three standards of science however methodological status of the Positive Accounting Theory does not fit any of three fully. Along with this, the article found that development of Positive Accounting Theory characterized normal science over the decades by Kuhn. This article aims to identify that how the current accounting research practices are below to whatever required conducting the research successfully. It also assesses two aspects epistemology and ontology of the positive research. Along with this, the article shows that Watts and Zimmerman devised a term Positive Accounting Theory for their theory of accounting. Along with this, the epistemology and ontology of the research programs of positive accounting have been examined. This paper identified that positivist research programs are very effective and powerful, however due to some deficiencies in the research practices it losing its value. This paper identified that casually development of theoretical models, dully reliance of research on the rational of hypothesis testing, no interest in the quantitative parametrical values, and analysis of qualitative data using theories exist. Different competing theories should be tested comparatively to ensure the critical qualitative research. According to this paper, the positive research in accounting is not able to attain scientific objectives of the research. However, normal science defined by Kuhn is best suited to the positive research in accounting than actual science. Apart from this, the article devised some suggestion such as better theoretical model for positive accounting research, better measurement of the theoretical models, and shifting the focus to anticipation of the parameters from testing the formed hypothesis. There are following working hypothesis made in this paper. These hypotheses are These hypotheses were developed based on the understanding and knowledge gained by the researcher from the literature review. The researcher did not assert for the hypothesis and revealed the general agreed explanation that the living being outside the world intervene in the world that causes the events in the world. In this paper, theoretical framework has been used to conduct the qualitative positive research of accounting. This paper includes theoretical framework that defines the hypothesis, data collection, hypothesis testing, how the existing theories are falsified and proved, research approach, philosophy, and other research methods and methodologies for the qualitative and quantitative positive accounting research program. The epistemology, ontology and research methods are the part of interpretive research paradigm. Positive accounting research is the testing of the positive accounting theory. According to Watts and Zimmerman, implied or express contract between parties in the different kinds of organization and the rational in their self interest may cause accounting. The positive accounting theory carries choice for managers, auditorsââ¬â¢ decision for reporting and pricing, politicians and regulatorsââ¬â¢ decision regarding accounting standards, expert advice, and various other phenomena of accounting. Some kinds of accounting researches assess the human behavior without considering the rationality and self interest of the parties. Thus, the positive accounting research is broader than the positive accounting theory. This may be called as scientific accounting research as the non-rational elements of the human behavior cause the phenomena of accounting. Positive accounting research is just different from the accounting research. Ontology states that the knowledge developed by the contextual and social understanding of the accounting. At the same time, epistemology aspect of the interpretivist paradigm states that how does one get to know about the worldview of a person. The positive accounting research is interpretivist research pursuing some of the question such as what, why, when, and how to develop the contextual understanding of the research topic or problem. The world does not object the nature of the persons consisted of their role, practices, relationships, and conducts. The events or contract between parties may be without following any rational aspects. The self interest as recited above should comprise of the experience gained by the social actor or person and the meaning he or she gives to his or her life and acts. Both of the elements of self interest give the sense of the subjectivity but they form an objective reality during the social interaction process among parties. Due to the logical difficulties between ontological and epistemological aspects of positive accounting research, the positive research programs are futile as they aims at developing the objective understanding of the factors causing phenomena of accounting.à The ontology here has defined the reality of the social interaction between human beings and epistemology has defined that how the research can discover the meaning behind the activities and events took place. The research asks open questions rather than close ending questions to know about the viewpoints of the persons. The researcher decides about the questions to be asked from the participants. The manager controls over the research through the budgetary system. The key problem has to be identified for furthering the research process. It may be that the positive epistemology and ontology are not correct but they cannot be said illogical and absurd.à Methodology is the third element of the research paradigm. The methodology states that methods used in the research. The methodology used in the article given below: Research philosophy and research approach: The interpretivist research philosophy has been used in this paper to discover the causes of accounting phenomenon without non rational assumptions. The researcher used some questions such as what, why, when, and how regarding the relationship between positive and interpretive accounting research as that between humanity and science. At the same time, here inductive approach was used to prove the theories. Inductive approach has been used to gather the qualitative data to test the cause and effect relation between human behavior and accounting. The research design is the types of research to be used for solving the problem. The research design may be of two types such as quantitative research and qualitative research. The qualitative research has been conducted using inductive approach to gather the huge data regarding positive accounting research in organizations. The qualitative research methods include interview, narrative, observation, case study, ethnography, and others. Here the researcher has used qualitative research to test the theories. The qualitative research is used to test whether the nature of reality which is socially framed is not an insuperable issue, and is there a difficulty in observation of the corporate directorsââ¬â¢ social world than the same of the wolf. The survey has been used to know the human behavior in the group. à Survey is the method in which the information about behavior of the human in organizations is gathered through asking some question or observation. There are some steps of the Poppers theory that should be followed while testing the theories. This process includes four steps which are The Popperââ¬â¢s criterion may not be falsified and disapproved because many of the assumption are decided theoretically so falsification of that prediction does not show the assumption which is actually wrong. At the same time, the testing of hypothesis by the observation is not the scientific research therefore the Popperââ¬â¢ criterion cannot be disproved. The observation cannot help in measuring a single theory but in case of two or more theories the observation might be selected. A decisive observation can disapprove the theories which are incorrect but at the same time it would have to support to the competing theories or theory. à The qualitative accounting research fails in solving the question whether theory of Foucault is applicable in situation of the adoption of the strategic system approach in auditing and whether the application technology of self devised by Foucault to ensure the compliance by front line auditors is an empirical question or not. The theoretical frameworks used are assertion that leads the failure of the qualitative accounting research. à The paper provided includes some recommendation for effective positive research programs. A specific vulnerable model should be utilized with carefully entering the variables in model for mathematical measurement. Analytical modeling of the theoretical models to effectively test the theoretical prediction should be. In accounting research, the researcher should develop a theoretical model accordingly that may support in collection, validation and analysis of data. The main focus of the research should be on the measurement rather than testing. The measurement supports in developing the conceptual understanding. This paper identified that gap between positive accounting research programs and requirements to make it more effective for contributing in intellectual programs. This limitation affects the significance of the article. Improper selection of the research methods leads to ineffective research and testing of the theories that leads to incorrect consequences. These limitations put impact on the quality of the article and its contribution. The scientific research hypothesis set out the researchers was not accepted by the Kuhn theory. The article focuses on the Kuhn theory which is not accepted by other most of the scientists. From the above analysis, it can be concluded that the report defined the topic of the paper, hypothesis, theoretical framework of the research elements such as ontology and epistemology, research philosophy, research approach, research design, and data collection methods. It is found that the qualitative research is not able to addressing the research question related to the positive accounting research and positive accounting theory. There is some suggestion provided for the effective positive accounting research. The critical analysis in the paper has implication on the positive accounting research programs. The analysis suggested some recommendation that may help in improving the positive accounting research. Dunmore, P. (2009) Half a Defence of Positive Accounting Research. Retrieved from https://www.massey.ac.nz/~pvdunmor/HalfaDefence.pdf
Saturday, November 2, 2019
CNA Code of Ethics Essay Example | Topics and Well Written Essays - 750 words
CNA Code of Ethics - Essay Example The Canadian Code of Ethics The Canadian Code of Ethics for Registered Nurses plays a vital role because it reflects the involvement and nursingââ¬â¢s interest towards social justice by laying down corresponding ethical responsibilities and primary values which nurses who are registered in Canada are supposed to uphold in their course of duty. The Canadian Nurses Association Code of Ethics for Registered Nurses also comprises of statements with ethical issues which nurses may undertake in order to address social inequities that affect the well-being and health of their clients. The Code of Ethics plays a vital role for Canadian Registered Nurses because it contains ethical practice which stipulate that nurses should work with families, individuals, groups, communities and populations in order to expand the health care choices available and become aware that some individuals have limited choices due to geographic, social or economic factors, the lead to inequities (CNA, 2009). Soci al Justice Social Justice refers to the fair distribution of responsibilities and resources among the members of a given population taking into consideration the relative position of a given social group as compared with others in the community or society as a whole. Social justice also considers the major causes of disparities and the steps that can be taken in order to abolish or eliminate them. The term ââ¬Å"resourcesâ⬠according to the concept of social justice in health and health care refer not only to the direct services but rather to other facets of life which can a have a positive impact on health, like for instance, gainful employment, food security, adequate income, a social safety net, adequate education and social inclusion. According to the Canadian Nurses Association (CNA), these are collectively referred to as the factors found in the social environment which are external to the system of healthcare and which are known to exert a primary and potentially change able influence on the health of various populations. To take action meant for social justice implies attempting to reduce differences occurring on a system wide basis in which certain groups of disadvantaged people are prevented in getting equal access to health care services and the determinants of life (CNA, 2009). On the other hand, Social Justice in Health Care also implies working with the aim of preventing practices which are oppressive such as discrimination of people based on sexual orientation, age, gender or any other factors that comprise the wealth and health of an individual. Social justice can therefore occur on a one-to one interaction between healthcare providers in a health facility themselves or between a patient and the nurse. Social Justice is a Nursing Concern Social Justice is a nursing concern because given the fact that all societies are known to suffer from systematic, broad oppression and inequities, these are bound to have a negative impact on both an indi vidual and the communitiesââ¬â¢ health. The equity of societal relationships that are based on gender, race and economic status will result in the stability of health population indicators between the various groups, leading to national and international positive outcomes. It is therefore in this same breadth that the professional in the nursing organization endeavors to ensure that no person who is receiving health care is subjected to oppression or discrimination of any form through the
Thursday, October 31, 2019
State Sovereignty and Lawful Intervention Essay
State Sovereignty and Lawful Intervention - Essay Example International law emphasizes on the duties and responsibilities of states, in the conduct of their international relations with other states. There is a duty ââ¬Å"to refrain from intervention or the dictatorial interference by a State in the affairs of another State for the purpose of maintaining or altering the actual condition of thingsâ⬠(Coquia and Santiago 115). Intervention is basically illegal under international law as it violates the sovereignty of a state (Coquia and Santiago 459) and affects the independence, the international personality, the territorial supremacy and even the existence of a state (Coquia and Santiago 115). However, there are instances where intervention is lawful based on ââ¬Å"existing legal restrictions upon the independence or territorial or personal supremacy of the State intervened withâ⬠(Coquia and Santiago 116). Among the reasons which have been cited for state intervention are the following: intervention as a self-defense, for humanitarian reasons and finally for abatement. Self-Defense A State may intervene for its preservation or self-defense against armed attack provided that there exists an immediate danger of attack. It is important therefore to determine whether there exists an immediate danger of an armed attack or not. Thus the exercise or the use of force in self-defense would be justified under international law provided that the need for such force was ââ¬Å"instant, overwhelming, immediate and that there was no viable alternative action which could be takenââ¬
Tuesday, October 29, 2019
Discuss the risk management process and its interactions with the Essay
Discuss the risk management process and its interactions with the project lifecycle - Essay Example Risk management is a process that leads to identification of the uncertainties that may arise in the future and provide remedies and precautions for handling these risks. Risks faced by an organisation may create a negative impact on its assets and the reputation it has gained. The aim of Risk management is to identify the potential risks that the company might face and develop resources for mitigating the adverse effects of such losses. An organisation may face various types of risks like financial risks, operational risks, perimeter risks and lastly strategic risks. Financial risks may result in the losses related to cost of claims and liability of judgments (Conrow 2003). Operational risks may be faced by the organisation in the form of labor strikes and strategic risks involve risks related to changes in management or loss of reputation. Risk management has a pivotal role to play in effective project management. The following paper, will throw light on crucial objectives of risk management, the process of risk management and interactions between risk management the project lifecycle. Objectives of Risk Management The process of risk management aims at identification of the potentially hazardous and harmful situations. ... The purpose of risk management is to develop strategies and plans for managing and mitigating the potential risks faced by the organisation. In this manner, risk management aims at preventing the organisations from various types of risks that it may face in the long run and provide effective tools for setting appropriate strategies. Risk Management Process Assessment of risks has a fundamental process that involves five steps in implementing an appropriate system of control so that risks can be minimised. It helps in the identification and analysis of the various risks that are harmful for the workplace and negatively impact the organisation. Therefore, risk assessment is a straightforward examination of the dangerous elements that can harm the people, as well as the reputation of the organisation in the long run. So there is a need to take proper precautions for eliminating all kind of risks in order to minimise the fuss that is created in the functioning of the organisation (Culp 2 001). The first step of risk management process involves identification of hazards and the harmful effects that these hazards possess. For this purpose, it is necessary to identify how people would be affected by the potential danger that is created by the risks. It is required that proper ramifications are undertaken for mitigating the possibilities of such risks. Various strategies and tools are identified to be crucial, for mitigating the dangerous effects of the risks. At this level, sources through which risks can be avoided are analysed, and appropriate measures are undertaken to keep the things at place. These sources of risks can be internal or external to the organisation. An example of internal and external sources of risks can be the employees and the operational
Sunday, October 27, 2019
Lifestyle Changes For Diabetes Health And Social Care Essay
Lifestyle Changes For Diabetes Health And Social Care Essay Diabetes mellitus is a heterogeneous group of disorders, all characterized by increased plasma glucose. In the majority of patients with diabetes, the etiology of the disease is not understood. Expert panels have recommended one set of criteria for diagnosis and another set for classification . The criteria serve two purposes. One is to secure optimal treatment of the patient. The other is to support research aimed at understanding the aetiology and pathogenesis of diabetes syndromes Diabetes mellitus type 2 or type 2 diabetes (formerly called non-insulin-dependent diabetes mellitus (NIDDM), or adult-onset diabetes) is a disorder characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency.(Robbins et al ,2004) More than 220 million people worldwide have diabetes. In 2005, an estimated 1.1 million people died from diabetes.Almost 80% of diabetes deaths occur in low- and middle-income countries. Almost half of diabetes deaths occur in people under the age of 70 years; 55% of diabetes deaths are in women. WHO projects that diabetes death will double between 2005 and 2030.Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use can prevent or delay the onset of diabetes.(WHO,2009) Many types of diabetes are recognized (Tierney.L.M et al,2002) the principal three are: Typeà 1: Failure to produce insulin by body mechanism resulting in diabetes. It is estimated that 5-10% of Americans who are diagnosed with diabetes have typeà 1 diabetes. Currently patients with typeà 1 diabetes take insulin injections. Typeà 2: Results from insulin resistance, a condition in which cells fail to use insulin properly, may be combined with absolute insulin deficiency. Majority of patients world over who are diagnosed with diabetes have typeà 2 diabetes. Gestational diabetes: Pregnant women who previously never had diabetes before but who have sudden increase in blood sugar (glucose) levels during pregnancy mainly due to change in their diet are said to have gestational diabetes. Gestational diabetes affects about 4% of all pregnant women. It may precede development of typeà 2 (or rarely type 1) Diabetes mellitus . Type 1 Diabetes Diabetes is a long-term (chronic) condition caused by the increase in level of glucose (sugar) in the blood. It is also known as diabetes mellitus. In the UK, diabetes is seen in around 2.3 million people, and its estimated that there are more than half a million more people who have the condition but are not aware of it. Normally a hormone called insulin regulates the blood sugar level, which is produced by the pancreas (a gland behind the stomach). When food is digested and enters the bloodstream, insulin moves any glucose out of the blood and into cells, where it is broken down to produce energy. However, in those with diabetes, the body has higher level of glucose as it is stored and is unable to break down glucose into energy because there is either not enough insulin to breakdown glucose and store it as energy or because the insulin produced is not enough or does not work as required. Gestational diabetes is caused by excess weight, obesity and Insulin Resistance are a condition that develops in the third trimester of pregnancy and affects 4-5 % of all pregnant women in the U.S. That is around 135,000 cases each year. With Gestational Diabetes, the insulin production by pancreas is normal but it doesnt lower the mothers blood sugar levels. The symptoms are only detectable by laboratory testing. Pregnant women can test their blood glucose level by urine dip stick test with each pre-natal visit. This test may show glucose in the urine, which is sign and will require health care provider to carry out further examinations for the presence of Gestational Diabetes, also known as Gestational Diabetes Mellitus http://weight.insulitelabs.com/Gestational-Diabetes.php There are two types of diabetes type 1 and type 2. Type 1 diabetes occurs when the body produces no insulin. It is often referred to as insulin-dependent diabetes. It is also sometimes known as juvenile diabetes, or early-onset diabetes, because it usually develops before the age of 40, often in the teenage years. Type 1 diabetes is far less common than type 2 diabetes, which occurs when there is too little insulin produced by the body to work, or when the cells in the body do not react properly to insulin. People with type 1 diabetes make up only 5-15% of all people with diabetes. type 1 diabetes, will need insulin injections for life as well as blood glucose levels stay balanced by eating a healthy diet and carrying out regular blood tests http://www.nhs.uk/conditions/diabetes/Pages/Introduction.aspx Theà main symptoms of diabetesà are: feeling very thirsty(polyphagia) producing excessive amounts of urine(polyurea) tiredness and lethargy weight loss muscle wasting (loss of muscle bulk). Symptoms of type 1 diabetes can develop quickly, over weeks or even days. Other symptomsà are:à itchiness around the vagina or penis or getting thrush regularly, blurred vision (caused by the lens of your eye becoming very dry),à muscle cramps, constipation skin infections. Hypoglycaemia (low blood glucose) If a patient has diabetes, their blood glucose levels can become very low. This is known as hypoglycaemia (or a hypo), and happens because insulin produced by the body is more and has reduced the level of in the bloodstream. In most cases, hypoglycaemia occurs if there is overdose of insulin, although it can also happen if you skip a meal, exercise very vigorously or drink alcohol on an empty stomach. Symptoms of a hypo include: feeling shaky and irritable, sweating tingling lips feeling weak hunger nausea A hypoglycaemia can be brought under control simply by eating or drinking something with sugar in it . If a hypoglycaemia is not brought under control it can lead to confusion, slurred speech and unconsciousness. If this occurs there will be a need to have an emergency injection of a hormone called glucagon. This hormone will raise the level of glucose in your blood as it suppress the effect of insulin. Hyperglycaemia (high blood glucose) As diabetes occurs as a result of your body being unable to produce any, or enough, insulin to regulate your blood glucose level, your blood glucose levels may become very high. This happens because there is no insulin to breakdown glucose from the bloodstream and into the cells to produce energy. Blood glucose levels become too high, it lead to à hyperglycaemia. The symptoms are similar to the main symptoms of diabetes, but they may come on suddenly and severely. They include: extreme thirst a dry mouth blurred vision drowsiness a frequent need to pass urine. If left untreated, hyperglycaemia can lead to complications such as diabetic ketoacidosis, which can eventually cause unconsciousness and even death. Diabetic ketoacidosis occurs when your body begins to break down fats for energy instead of glucose, leading to a build-up of acids in your blood urgent medical attention if diabetes develop in the body and this are the general signs and symptoms seen in case of diabetes a loss of appetite, nausea or vomiting (feeling or being sick), a high temperature, stomach pain or severe abdominal pain a fruity smell on your breath, which may smell like pear drops or nail varnish. http://www.nhs.uk/Conditions/Diabetes/Pages/Symptoms.aspx The McKeown thesis and its Impact: The McKeown thesis attempted to reason the phenomenal growth in population of the from late 18th century to the present day .McKeowns thesis can be summarized as a steep growth in population was primarily due to decline in mortality form infectious diseases and the change in economic conditions due to industrial revolution ,which lead to improvement in rising of living standards and brought a gradual change in nutritional status that improved the human bodys resistance towards various diseases. The development in medical fields achieved by modern science did not make a significant contribution towards the population growth and was largely due to economic forces and changes in living and social conditions. This lead to McKeown reclassifying various fatal diseases recorded by General record office (GRO).McKeown classification was generally of three types (1)Infectious diseases spread through air -Respiratory tuberculosis, Pneumonia, Bronchitis (2) Infectious diseases spread through water or food Cholera, Diarrhoea, Typhoid (3) All other diseases contagious and degenerative When a population develops it is important that the individuals are in a position to fight diseases and problems that can arise from them, this depends on the resources that they have. These resources could be knowledge, social setup, power, money. Those people who have access to resources have advantage and can gain health benefits from the public health system from those who are not in position to direct access to public health system. Resources are important in two different ways first , they can develop the individuals behaviour towards health by helping them access and make choices and whether they could afford them all helping towards health enhancing behaviours and Second, resources are shaped across a broad range of contexts such as communities, neighbourhoods, social network , occupation and the risk as well as protecting factors .Housing for poor people would always be associated with pollution, noise, indifferent social conditions . Access to broad range of problems lie wi th socio economic condition of the individual like knowledge of best doctors and ideal treatment of medical problems and the freedom in making choices .The reason for social condition always being important is resources shape the access to health relevant circumstances . The social condition has been responsible for determining the quality of life and plays an important role as health determinant. (Link.B.G and Phelan.J.C 2003) Mckeown was the former chairman of World health organizations advisory group on health research strategy concludes that the average life expectancy had improved by 23 years in first half of century and medical therapy was responsible for only for few years of it. Meckeown believed that most this decrease was due to identification of bacilli which causes respiratory tuberculosis was not done till year 1882 and effective pharmacotherapy was not available till year 1947. Between 1700 and 1915, the mortality rate in England declined from 27.9 deaths per thousand living to 14.4 and average life expectancy at birth Increased from 37.1 (in 1701) to 53.5 (in 1910-12). These figures reflect a major Improvement in the life-chances of the British population over the course of the Period, and therefore it is hardly surprising that the McKeown thesis, which attempts to account for the decline of mortality and the modern rise of population, has played a big role in economic, social and medical history as well as history of epidemiology and population studies In the years following the publication of McKeown thesis it is argued that its unlikely the dietary standards would have improved during the second half of 18th century as the value of wages was falling as there were apparent contradictions between real wages and mortality. (Wrigley and Schofield, 1981). McKeown argued that there was no means to fight air borne diseases in 18th century and the reduction in deaths was more likely due to improved human body resistance towards these diseases. Illich was not content in criticizing modern medicines for to improve life expectancy , he proposed that medical interventions were in fact responsible for increasing the mortality rate by using ineffective and hazardous medical therapies which at times not tested or researched properly .Illich stated that chronic usages of drugs lead to numerous side-effects , infections acquired from hospitals , poorly performed surgeries as well as false positives and false negative tests from medical tests. McKeown was aware that higher rate in fertility was responsible for increase in population rather than reduced mortality rate but dismissed it on grounds that higher birth rate means higher infant mortality as well due to the high risk parity of mothers so would not account for such a high rate of population growth. McKeown pointed out that mortality rates for most of the infectious diseases reduced considerably before any effective medical measure was in place. McKeown concluded that public health measure such as sewage disposal system, public waste disposal, and supply of clean and potable water and pasteurization of milk was important only from year1870, so the reason behind the decline mortality rate before this was according to McKeown due to improvement in living standards .Improvement in nutrition due to increase in agriculture productivity was also responsible for the increase in resistance to airborne infectious diseases such as Tuberculosis.(Grundy,2005). Prestons article c oncluded that the increase in life expectancy all over the world between 1930s and 160s could not be totally attributed to increase in living standards and suggested that advances in medical care and public health did make significant contribution towards decline in mortality. Prestons did make an effort to prove McKeown thesis wrong but had little influence on conventional belief and the theory of improved standard of living became conventional wisdom for that present time. (Mackenbach J P,2006) It has recently been shown that McKeowns interpretations of his very own epidemiological data is flawed in many respects, firstly smallpox and diphtheria are two diseases that have been eradicated totally all over the world by vaccinations which is a preventive health measure .Positively the only three diseases to be eradicated before great world war was- cholera , typhoid and smallpox all these are attributed to public health measures and not nutrition .When all this data is analysed it goes to show that public health measures taken played the most decisive role in reduction of mortality . Furthermore since McKeowns work was published two significant forms of new evidence has appeared which slams the nutrition/living standard theory by McKeown. The first half of the century, the period which is under review suggests that as when the wages across sectors started improving, the reduction in mortality rate showed a slight decline from previous years and if wage increase meant better nu trition these was not seen in children .The growing cities and towns where the wage improvement were seen showed a trend of areas which had highest mortality rate and children were poorly developed (R.Woods and J.Woodward.1984).Although the points raised here are relevant they skew the main issue here which is that growth in income is not necessarily same all over the world and can vary considerably from developed countries to developing and underdeveloped countries .There are no patterns in cross-sectional associations between the income of a nation and progress in developing health standards as well as life expectancy of their population. Prestons analysis underestimated the effects of economic development and its relation with reduction in mortality rate, that the relationship between the economic development and the developments in medical field are crude conceptualization between the two. McKeowns study can be explained by relevance of the question that underlines them. This concerns the importance of medical interventions, social, economic, political measures which affects the health status and health inequalities. Study suggest that measures need to be taken to improve health inequality and medical interventions and social changes has to be taken as complimenting rather than opposing each other . Interventions Type 1 diabetes is approached by primary, secondary, and tertiary intervention Primary intervention includes treatment of all individuals with diabetes. The possibility of using autoantigens new medium to combat diabetes as a vaccination is currently being explored not only in animal experiments but also in human tests. The selection of children on the basis of HLA type is being used to treat newborns with either oral or nasal insulin. Animal experiments have shown that treatment of spontaneously diabetic nonobese diabetic mice with GAD as a peptide, protein, or expressed in potatoes reduced diabetes. Vaccinations studies done both children and adults remain a future possibility to test determine whether type 1 diabetes can be prevented. (Lernmark.A.1999) Secondary intervention involves screening for genetic, autoantibody, and other possible markers at birth, in school children, or in adults . Individuals classified with type 2 diabetes but positive for islet autoantibodies (representing slow-onset type 1 diabetes, latent autoimmune diabetes in the adult, or type 1.5 diabetes) are also being tested to determine whether they are suitable for immune intervention to preserve their ß-cell function. Recent studies in Japan suggested that early insulin treatment preserves ß-cell function. Several intervention trials are pending, including the use of subcutaneous or oral insulin in the Diabetes Prevention Trial for Type 1 Diabetes, milk formula or nasal insulin in Finland, aerosol insulin in Melbourne, or nicotinamide in the European Nicotinamide Diabetes Intervention Trial. In the next few years studies would find out the extent of such intervention trials preserve ß-cell function in subjects at risk for type 1 diabetes.(Lernmark.A .1999) Tertiary intervention involves the treatment of patients diagnosed with type 1 diabetes very recently. Previous studies have demonstrated that treatment plans with satisfactory results are not present such as immunosuppression with cyclosporin and other agents has not been able to stop the pathogenetic process in new-onset patients. A future innovative treatment is planned so that it represents an antigen-specific immune intervention. Animal experiments have demonstrated that in case of early diagnosis or in patients with early onset the timely administration of antigen or insulin, at the time of clinical onset may slow the disease process.(Lernmark.A.1999) Being active is referred to as physical activity (exercise) and is defined as the act of expending energy. It is generally categorized into two different types aerobic (requiring oxygen to maintain muscular effort) or anaerobic (not requiring oxygen to maintain muscular effort). The term exercise is used as a general label for being active and physical activity as well as exercise. Major challenges to decision making about exercise include how to develop and implement an efficient and effective exercise regimen, how to modify it to an individual patients motivation level knowing his mindset and barriers so that exercise will be initiated and maintained, and how to select, measure, and achieve specific, desired outcomes. Given these decision-making challenges Exercise interventions aimed at achieving these outcomes usually vary by type, intensity, duration and frequency. As with any type of self-care behaviors, barriers to exercise vary and are individual to particular patients depend ing on their health status as well as mindset. Among potential considerations for barriers has to be devised for individual patients type of exercise and duration, intensity, and frequency may need to be tailored to severity of progression of diabetes since complications such as neuropathy and retinopathy may affect the exercise capabilities of a diabetes patient. In addition, patients may consider availability of time, among many other factors such as age, job profile, social status and other medical complications, as posing a substantial barrier to integrating regular exercise or physical activity into normal daily lifestyle. Each of these poses challenges to the initiation and maintenance which is the more difficult part of exercise for patients and therefore to the measurement, monitoring, and management of exercise intervention outcomes for providers. Exercise is one of the most important features to both type 1 and type 2 diabetes patients. For type 2 diabetes patients, engagi ng in regular exercise may improve glycemic control and reduce the risk of vascular complications, increase insulin sensitivity, reduce stress and stave off depression and contribute to control of lipids and blood pressure, thereby reducing the risk of cardiovascular disease, the leading cause of death in diabetes patients. Typeà 2 diabetes is determined primarily by lifestyle related factors and hereditary factors. Lifestyle A number of lifestyle factors are known to be important to the development of typeà 2 diabtetes. In one study, those who had high levels of physical activity, a healthy diet, did not smoke, and consumed alcohol in moderation had an 82% lower rate of diabetes. When a normal weight was included the rate was 89% lower. In this study a healthy diet was defined as one high in fiber, with a high polyunsaturated to saturated fat ratio, and a lower mean glycemic index. (Mozaffarian.D.et al 2009) Obesity has been found to contribute to approximately 55% typeà 2 diabetes, and decreasing consumption of saturated fats and trans fatty acids while replacing them with unsaturated fats may decrease the risk.(Saad.F.2009) increased rate of childhood obesity in between the 1960s and 2000s is beleived to have lead to the increase in typeà 2 diabetes in children and adolescents. (Rosenbloom.A. et al.2003) Environmental toxins may contribute to recent increases in the rate of typeà 2 diabetes. A positive correlation has been found between the concentration in the urine of bisphenol A, a constituent of some plastics, and the incidence of typeà 2 diabetes. (Lang.A.2008) Medical conditions Subclinical Cushings syndrome (cortisol excess) may be associated with DM type 28The percentage of subclinical Cushings syndrome in the diabetic population is about 9%.Diabetic patients with a pituitary microadenoma can improve insulin sensitivity by removal of these microadenomas. (Taniguchi T.2008) Hypogonadism is often associated with cortisol excess, and testosterone deficiency is also associated with diabetes mellitus type 2, even if the exact mechanism by which testosterone improve insulin resistance is still not known. (Farrell JB,2008) Genetics Both typeà 1 and typeà 2 diabetes are partly inherited. Typeà 1 diabetes may be triggered by certain infections, with some evidence pointing at Coxsackie B4 virus. There is a genetic element in individual susceptibility to some of these triggers which has been traced to particular HLA genotypes (i.e., the genetic self identifiers relied upon by the immune system). However, even in those who have inherited the susceptibility, typeà 1 diabetes mellitus seems to require an environmental trigger. There is a stronger inheritance pattern for typeà 2 diabetes. Those with first-degree relatives with typeà 2 have a much higher risk of developing typeà 2, increasing with the number of those relatives. Gene expression promoted by a diet of fat and glucose as well as high levels of inflammation related cytokines found in the obese results in cells that produce fewer and smaller mitochondria than is normal, and are thus prone to insulin resistance. COMPLICATIONS of Diabetes Early complications- Diabetic ketoacidosis is a medical emergency, because it can cause coma and death. Hospitalization, usually in an intensive care unit, is necessary. Large amounts of fluids are given intravenously along with electrolytes, such as sodium, potassium, chloride, and phosphate, to replace those fluids and electrolytes lost through excessive urination. Insulin is generally given intravenously so that it works quickly and the dose can be adjusted frequently. Blood levels of sugar, ketones, and electrolytes are measured every few hours. Doctors also measure the bloods acid level. Sometimes, additional treatments are needed to correct a high acid level. However, controlling the levels of sugar in the blood and replacing electrolytes usually allow the body to restore the normal acid-base balance.( Robbins and Cotran,2007) Late Complication of Diabetes Mellitus: Macro-vascular complications as: Atherosclerosis with MI, CVA, peripheral vascular disease Micro-vascular complications as: Diabetic Retinopathy Diabetic retinopathy refers to progressive pathologic alterations in the retinal microvasculature. In type 2 diabetes, though the incidence of blindness is lower, higher disease prevalence results in an even larger number of patients affected with severe visual loss. Diabetic Neuropathy Diabetic neuropathy (DN) is a common and troublesome complication of diabetes mellitus, leading to great morbidity and mortality and resulting in a huge economic burden for care of the patient with diabetes mellitus. It is the most common form of neuropathy in the developed countries of the world, accounts for more hospitalizations than all the other diabetic complications combined, and is responsible for 50% to 75% of nontraumatic amputations and patients have serious co-morbid conditions, especially heart, eye, and peripheral vascular diseases. Diabetic neuropathy is a heterogeneous disorder that encompasses a wide range of abnormalities affecting proximal and distal peripheral sensory and motor nerves as well as the autonomic nervous system. The major morbidity associated with somatic neuropathy is foot ulceration, the precursor of gangrene and limb loss. (Robbins and Cotran,2007) Research on diabetes The features of Type 1 diabetes in humans as well as mice in labororatory environment is significantly dependent on an relation between the environmental factors and genetic feature of humans as well as the study animal. Studies by Giulietti.A.et al(2004) al point towards vitamin D as being one of the environmental factors that can modulate the incidence of diabetes. This study further shows that in mice that developing Type 1 diabetes are generally at higher risk due to its genetics as well as vitamin D deficiency which leads to features seen in early part of life leading to a more aggressive form of the disease causing earlier onset, and a higher final incidence of the disease. This model of subtle vitamin D deficiency in early life, with only a marginal vitamin D deficiency in blood, but no effect on calcium concentration in serum or bone calcium content. This is most probably the reflection of the vitamin D status in many infants and small children as this model has temporary and limited vitamin D deficiency, even in areas with high exposure to sunlight, since infants always are shielded from UV B exposure or direct exposure of sunlight. The application of vitamin D supplement is advised in many countries it is far from strictly controlled and many times, these supplements are omitted or administered irregularly or not paid enough importance to keep tab on their supply and demand. The higher incidence of Type 1 diabetes in the past two decades may be seen due the nutritional rickets which has never been completely eradicated in many countries and may be reappearing in may industrialize countries (Giulietti.A.et al, 2004). It was found that the risks for diabetes in African-Americans, Hispanics, and Native Americans are approximately 2, 2.5, and 5 times greater, respectively, than in Caucasians being the least. Various national and ethnic populations within the U.S. to the total U.S. population were analyzed to find possible risk factors for the development of type 2 diabetes this was done by number of cross-sectional studies and prospective studies . Studies of the prevalence of type 2 diabetes in Mexican Americans and non-Hispanic whites in San Antonio showed that there is an inverse relationship between prevalence of diabetes generally and their current socioeconomic status. The cultural effects lead to an increased incidence of obesity in these populations which may also be related to their diet and physical activities, which may lead to insulin resistance. Genetic factors may also be a contributing factor. (Haffener.S.M 1998) There are no high quality data on the research about the long lasting effectiveness of the dietary treatment of type 2 diabetes, however the data available indicate that the adoption of exercise which is a change in lifestyle appears to improve glycated haemoglobin at six and twelve months in people with type 2 diabetes. There is an urgent need for more well-designed studies which will analyse the wide range of interventions, at various points during follow-up (Moore.H. et al 2004) Weight loss improves glycemic control with magnitude of improvement related to both magnitude of weight and characteristics of patient , the amount of weight loss required to reduce blood glucose is large, even modest weight loss produces glycemic control .The most important issue is how to improve weight loss especially long term weight loss, in type 2 diabetic patient .Dietary modification is most important direction in weight loss program (Hertzel.C.et al) Implications for developing world Type I diabetes is the only major organ-specific autoimmune disorder not to show a strong female bias. The overall sex ratio is roughly equal in children diagnosed under the age of 15 but while populations with the highest incidence all show male excess, the lowest risk populations studied, mostly of non-European origin, characteristically show a female bias. In contrast, male excess is a consistent finding in populations of European origin aged 15-40 years, with an approximate 3:2 male:female ratio. This ratio has remained constant in young adults over two or three generations in some populations. Further, fathers with Type I diabetes are more likely than affected mothers to transmit the condition to their offspring. Women of childbearing age are therefore less likely to develop Type I diabetes, and should this occur are less likely to transmit it to their offspring. Type II diabetes showed a pronounced female excess in the first half of the last century but is now equally prevale nt among men and women in most populations, with some evidence of male preponderance in early middle age. Men seem more susceptible than women to the consequences of indolence and obesity, possibly due to differences in insulin sensitivity and regional fat deposition. Women are, however, more likely to transmit Type II diabetes to their offspring. Understanding these experiments of nature might suggest ways of influencing the early course of both forms of the disease.(Gale.E.A.M. et al 2001) It is recognized that there will be substantially increased costs of widely applying the recommendations of study in the U.S on the Diabetes control and complications trial (DCCT). There will also need to be additional efforts to ensure professional education, so that health practitioners are implement this recommendations through the trial are able to effectively and safely implement the therapy employed in the DCCT. It is hoped that the benefits of trial are long term healthier; more productive lives with fewer complications will offset the costs of tight control. The cost-benefit ratio for intensive therapy in diabetes in this trial is in a range similar to other accepted treatments in the U.S that are
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