Thursday, August 27, 2020

Financial Managment Coursework Example | Topics and Well Written Essays - 3000 words

Budgetary Managment - Coursework Example igh load of debentures is generally viewed as ugly to put resources into for the explanation that it has a higher hazard particularly in the hours of budgetary unpredictability since just holders of debenture have need over the organization resources in such conditions. Judicious money related administration specifies that, a business ought not rely much upon credit capital and debentures contrasted with value capital except if it is just being utilized for an extremely brief timeframe. Nonetheless, these sorts of ascertaions are exceptionally tested by Modigliani and Miller (MM). Truth be told their fundamental theories expresses that, in an effective market, the nonexistence of insolvency costs, hilter kilter data, expenses and organization costs, the business’s esteem isn't influenced by the way wherein that business is financed. As indicated by MM, it doesn’t matter whether the capital of the firm is raised through selling obligation or giving stock. They further ex press that, the profit strategy of the firm likewise doesn't influence its worth. All things considered, the contention of MM is clear; the incomes that a partnership can make for all speculators are no different in spite of the capital outfitting. As per them, changing the capital outfitting doesn't in any capacity modify the firm’s general incomes (Modigliani and Miller, 1958). b) Factors to consider when raising capital through inclination and Debentures I. The Board Operation Although inclination shares don't have a lot of impact on the company’s the executives, debentures do have. This depends on the way that, a business with outer speculators should be run in a way that goes in accordance with the yearnings of debenture holders. Considering this, it might be very difficult to deal with an organization where the way of life of chiefs is the main focal part behind the business... This paper endorses that the company’s pronounced target is to augment investor riches. On a fundamental level, an assortment of profit strategies is steady with this point contingent upon elements, for example, the expense position of the demographic and whether profit strategy has been utilized to pass on data to the market. Pavlon has followed an amazingly reliable profit strategy, clinging to a steady payout proportion. At the hour of posting, it would probably have expressed its profit strategy in its plan and except if indicated something else, investors would have been supported in anticipating continuation of this arrangement. A switch in profit strategy so not long after posting is sure to affront probably some bit of its customers. This exposition makes an end that The angle of Director C depends on the contention that all investor sums and profits for ventures ought to consistently be furrowed back to make more riches. In addition, his contention to keep up profit is planned for boosting progressively capital for the organization and sidestep on delivering charges on some available profits. For example, the Director appear to have considered the pace of assessments on both capital increases which now and again isn't burdened and profits which are typically charged at the wages minimal rate. Be that as it may, with this procedure investors stand excessively free more than if they were given the profits. To start with, constantly holding partakes in the organization without a nearby follow up on the exhibition of the organization may make a situation where the organization chiefs will have simple money available to them to waste.

Saturday, August 22, 2020

What is Justice Essay Example | Topics and Well Written Essays - 750 words

What is Justice - Essay Example Equity rotates around characteristics that advance reasonable treatment in the general public in understanding to the traditions that must be adhered to and moral convictions. Equity shapes the ethical rule that decides evenhanded lead in the general public where adjustment to this angle presents a chance to direct merited discipline or prize. While this remaining parts the perfect thought of what equity ought to be, its remaining parts a subtle illusion as the vast majority spurn the set of principles. This is particularly so among people who are wealthy in the general public and overflows to associations and companies. As referenced previously, equity takes two fundamental structures that are particular, however bear likeness in their motivation and objectives. Meaningful equity is equity that is limited by law and depends on a few rules that administer how the whole procedure of recognizing and instituting equity is directed. Considerable equity observes laws that characterize, ma nage and make the commitments of specific gatherings, which ought to be completed or no conveyed towards others implying that this type of equity falls under the reason for activity, however not proactive. Then again, procedural equity is worried about ethical quality and authenticity, where it isolates the two to show how individuals react to power and how certain bodies found in the public eye have authority over the individuals. According to this instance of power and requirement of rules and guidelines, procedural equity makes space for the production of systems that make sure that equity is conveyed through structures that are separate (Murphy 161). As much as society look for its full usage in all parts of life, the endeavors appear to be useless since generally accused of the honorable undertaking of apportioning equity are engaged with blocking the equivalent. In light of this, it is my view that equity isn't feasible for all under winning foundations of initiative and laws. This follows a pattern that is recognizable to antiquated developments who built up social classes dependent on their monetary limits, which was prejudicial to those considered in the lower classes. The pattern has been given to ages prompting verifiable injury in the general public, which serves to make a feeling of sadness. Another calculate that assumes a basic job in impeding equity for all lied with the recognition in the general public, which directs that imbalances present on the planet are an ordinary method of getting things done. For this reasons, those looking to institute change as confronted with incredible restriction and result in adjusting to the standards of imbalance. For equity to win for all, it is reasonable that society devises instruments to conquer difficulties that obstruct the implantation of equity. Among the difficulties is prejudice, which stays an irritated subject in present day society even as components of this type of segregation are obvious. Segre gation dependent on the shade of the skin goes back to the eighteenth Century where Africans were viewed as lesser creatures and exposed to servitude (Ulen). Generally, the dark network has developed under broken down conditions and shown progressive age verifiable abominations and treacheries. A dangerous atmospheric devation is associated with numerous elements in life that rotate around nature and the exercises of man around his condition. Of extraordinary concern, be that as it may, is the means by which all the elements in a worldwide temperature alteration are connected since carbon dioxide, air contamination and cutting trees impact mountains and woods in a way that impacts personal satisfaction dependent on the enthusiastic intrigue brought about by life’s style (Richardson). A wide larger part of enterprises particularly fabricating organizations are to a great extent engaged with the devastation of nature where

Friday, August 21, 2020

Term Papers For Money - Do Things With Paper Effectively

Term Papers For Money - Do Things With Paper EffectivelyThere are a lot of people who think that when you get the term papers for money, you can do anything with it. Of course this is not the case. In fact, it is actually very important that you keep certain things in mind. This way, you will be able to do just that without any hassle.First and foremost, the main thing that you need to keep in mind is that the value of the paper depends on the quality of paper that you use. The higher the quality of paper used, the more valuable the paper will be. In addition, when you make use of the right paper, you will have no problem in dealing with it. If you do not make use of the right paper, then you will find it very difficult to handle it.The second thing that you need to keep in mind is that the paper is used for many purposes. The use of the paper is actually wide. Thus, it is necessary that you understand the different uses of the paper. This way, you will be able to make use of the pap er with the least effort.Thirdly, you need to know that the paper comes in many varieties. There are also different sizes of the paper. It is therefore essential that you know all these types of paper.You should also be able to deal with the right papers. Of course, you should be aware that there are different kinds of papers that are suitable for different kinds of exams. These include essay papers, medical term papers, medical cases, research papers and so on. If you do not have enough knowledge about these papers, then you will be wasting your time and money.Lastly, you should be aware that you need to draw your own opinion about the papers. You will be able to judge the quality of the paper based on the quality of paper that you are using. In addition, you will be able to judge the usefulness of the paper by the utility of the paper that you are using.It is important that you know what the paper can and cannot do. In this way, you will be able to use the paper efficiently. Thus, you will be able to get good grades with the paper.With all these things in mind, you will be able to use the term papers for money very effectively. You should always be aware of the advantages that you can get from using these papers. Once you are aware of these things, you will be able to deal with the paper successfully.

Monday, May 25, 2020

Republic vs. Democracy What Is the Difference

In both a republic and a democracy, citizens are empowered to participate in a representational political system. They elect  people to represent and protect their interests in how the government functions. Key Takeaways: Republic vs. Democracy Republics and democracies both provide a political system in which citizens are represented by elected officials who are sworn to protect their interests.In a pure democracy, laws are made directly by the voting majority leaving the rights of the minority largely unprotected.In a republic, laws are made by representatives chosen the people and must comply with a constitution that specifically protects the rights of the minority from the will of the majority.The United States, while basically a republic, is best described as a â€Å"representative democracy.†Ã‚  Ã‚   In a republic, an official set of fundamental laws, like the U.S. Constitution and Bill of Rights, prohibits the government from limiting or taking away certain â€Å"inalienable† rights of the people, even if that government was freely chosen by a majority of the people. In a pure democracy, the voting majority has almost limitless power over the minority.   The United States, like most modern nations, is neither a pure republic nor a pure democracy. Instead, it is  a hybrid democratic republic. The main difference between a democracy and a republic is the extent to which the people control the process of making laws under each form of government. Pure Democracy Republic Power Held By The population as a whole Individual citizens Making Laws A voting majority has almost unlimited power to make laws. Minorities have few protections from the will of the majority. The people elect representatives to make laws according to the constraints of a constitution. Ruled By The majority. Laws made by elected representatives of the people. Protection of Rights Rights can be overridden by the will of the majority. A constitution protects the rights of all people from the will of the majority. Early Examples Athenian democracy in Greece (500 BCE) The Roman Republic (509 BCE) Even when the delegates of the United States Constitutional Convention debated the question in 1787, the exact meanings of the terms republic and democracy remained unsettled. At the time, there was no term for a representative form of government created â€Å"by the people† rather than by a king. In addition, American colonists used the terms democracy and republic more or less interchangeably, as remains common today. In Britain, the absolute monarchy was giving way to a full-fledged parliamentary government. Had the Constitutional Convention been held two generations later, the framers of the U.S. Constitution, having been able to read the new constitution of Britain, might have decided that the British system with an expanded electoral system might allow America to meet its full potential for democracy. Thus, the U.S. might well have a parliament rather than a Congress today. Founding Father James Madison may have best described the difference between a democracy and a republic: â€Å"It [the difference] is that in a democracy, the people meet and exercise the government in person: in a republic, they assemble and administer it by their representatives and agents. A democracy, consequently, must be confined to a small spot. A republic may be extended over a large region.† The fact that the Founders intended that the United States should function as a representative democracy, rather than a pure democracy is illustrated in Alexander Hamilton’s letter of May 19, 1777, to Gouverneur Morris. â€Å"But a representative democracy, where the right of election is well secured and regulated the exercise of the legislative, executive and judiciary authorities, is vested in select persons, chosen really and not nominally by the people, will in my opinion be most likely to be happy, regular and durable.† The Concept of a Democracy In a pure democracy, all citizens who are eligible to vote take an equal part in the process of making laws that govern them. In a pure or â€Å"direct† democracy, the citizens as a whole have the power to make all laws directly at the ballot box. Today, some U.S. states empower their citizens to make state laws through a form of direct democracy known as the ballot initiative. Put simply, in a pure democracy, the majority truly does rule and the minority has little or no power. The concept of democracy can be traced back to around 500 BCE in Athens, Greece. Athenian democracy was a true direct democracy, or â€Å"mobocracy,† under which the public voted on every law, with the majority having almost total control over rights and freedoms. The Concept of a Republic In a republic, the people elect representatives  to make the laws and an executive to enforce those laws.  Ã‚  While the majority still rules in the selection of representatives, an official charter lists and protects certain inalienable rights, thus protecting the minority from the arbitrary political whims of the majority. In this sense, republics like the United States function as â€Å"representative democracies.† In the U.S.,  senators and representatives are the elected lawmakers, the president  is the elected executive, and the Constitution is the official charter. Perhaps as a natural outgrowth of Athenian democracy, the first documented representative democracy appeared around 509 BCE in the form of the Roman Republic. While the Roman Republic’s constitution was mostly unwritten and enforced by custom, it outlined a system of checks and balances between the different branches of government. This concept of separate governmental powers remains a feature of almost all modern republics. Is the United States a Republic or a Democracy? The following statement is often used to define the United States system of government: The United States is a republic, not a democracy.† This statement suggests that the concepts and characteristics of republics and democracies can never coexist in a single form of government. However, this is rarely the case. As in the United States, most republics function as blended â€Å"representational democracies† featuring a democracy’s political powers of the majority tempered by a republic’s system of checks and balances enforced by a constitution that protects the minority from the majority. To say that the United States is strictly a democracy suggests that the minority is completely unprotected from the will of the majority, which is not correct. Republics and Constitutions As a republic’s most unique feature, a constitution enables it to protect the minority from the majority by interpreting and, if necessary, overturning laws made by the elected representatives of the people. In the United States, the Constitution assigns this function to the U.S. Supreme Court and the lower federal courts. For example, in the 1954 case of Brown v. Board of Education, the Supreme Court declared all state laws establishing separate racially segregated public schools for black and white students to be unconstitutional.  Ã‚   In its 1967 Loving v. Virginia ruling, the Supreme Court overturned all remaining state laws banning interracial marriages and relationships. More recently, in the controversial Citizens United v. Federal Election Commission case, the Supreme Court ruled 5-4 that federal election laws prohibiting corporations from contributing to political campaigns violated the corporations’ constitutional rights of free speech under the First Amendment. The constitutionally-granted power of the judicial branch to overturn laws made by the legislative branch illustrates the unique ability of a republic’s rule of law to protect the minority from a pure democracy’s rule of the masses. References Definition of Republic. Dictionary.com. â€Å"a state in which the supreme power rests in the body of citizens entitled to vote and is exercised by representatives chosen directly or indirectly by them.†Definition of Democracy. Dictionary.com. â€Å"government by the people; a form of government in which the supreme power is vested in the people and exercised directly by them or by their elected agents under a free electoral system.†Woodburn, James Albert. â€Å"The American Republic and Its Government: An Analysis of the Government of the United States.† G. P. Putnam, 1903Peacock, Anthony Arthur (2010-01-01). â€Å"Freedom and the Rule of Law.† Rowman Littlefield. ISBN 9780739136188.Founders Online. â€Å"From Alexander Hamilton to Gouverneur Morris.† 19 May 1777.

Friday, May 15, 2020

Specifics of Childrens Understanding of the Earth Free Essay Example, 1750 words

In addition to the biological and environmental factors affecting child development, their age is the manner in which questions of the study are posed. The exact nature of questions as they are presented to a child may have an effect on how that child perceives the physical phenomenon and how they are then able to apply conceptual ideas to explain that phenomenon. One of the most basic divisions on how questions are posed to study participants is whether the question is open ended or close ended. Either type of question has its advantages and disadvantages and may have an effect on how the child s responses are formulated and rated. While one might anticipate that open-ended questions would allow the child the greatest leeway in their answers and offer the greatest insight into the participant s level of scientific consistency, this is not always the case. For example, a recently composed questionnaire was created that contained 40 open ended questions. This survey was easy to create and implement, but experienced difficulties once the participants had completed it. In particular, the respondents provided a large amount of extraneous information that was difficult and time-consuming for the researchers to sift through and the responses themselves were often difficult to quantify for comparison (Henning, 2009). We will write a custom essay sample on Specifics of Childrens' Understanding of the Earth or any topic specifically for you Only $17.96 $11.86/pageorder now These issues illustrate how, while they allow participants greater leeway in providing information to the facilitator, open-ended questions can prove problematic in analysis and quantification once the data has been collected, problematic for scientific research. In turn, forced-choice or close ended questions are nearly the opposite of open ended questions in their advantages and disadvantages. The first significant difference is that these questions can be more difficult and time consuming to write than their open ended cousins. Care must be given to the selection of choices offered by each question, specifically to not clutter the selection with highly unlikely options, to arrange the choices in an appropriate manner that does not unduly influence the selection process, and to include all commonly selected choices as options.

Wednesday, May 6, 2020

The Child Molestation Act Of Pederasty - 969 Words

In Greece, homosexuality became common within their culture; which with this socially accepted involvement, some could say, provided the groundwork for the child molestation act of pederasty. It appears the Greek’s institutionalized sodomy to a new level for children that involved predominantly upper-class men in the 7th century B.C.; shamefully, boosted with pride concerning this ‘training system as their civil duty.’ They professed to be giving needed guidance to young boys (eromenos); who became effectively courted by older men (the erastes or ‘lover’). The Greeks became flamboyant with their exploitation of adolescents and cunningly gave personal attention to young boys to produce sexual cooperation. Distinctly, there existed a real challenge between Greek homosexuals, involving who would become the ‘dominating partner;’ (which transpires as an extreme shame if you were the lesser); therefore, an infinite number of repugnant circu mstances arose, while using children’s passiveness to conceal the men’s perverted actions. Although, people exalt ancient philosophers for their intelligence and wisdom; perversely Plato proudly declares, â€Å"Pederasty, philosophy, and nude sports as the three things that set the Hellenes (Greeks) apart from the barbarians† (Symposium, 182b). Suitably, being compared to barbarians speaks for itself. Plato explains pederasty two years before his death, stating, â€Å"†¦man is far more beautiful, more excellent, nearer to perfection than woman;†Show MoreRelatedThe Child Molestation Act Of Pederasty975 Words   |  4 Pages In the earliest of time in Greece, homosexuality became common within the civilization; which with this socially accepted involvement, some could say, provided the groundwork for the child molestation act of pederasty. Conversely, it appears the Greek’s institutionalized sodomy to a new level for children that involved predominantly upper-class men in the 7th century B.C.; shamefully, boosted with pride concerning this ‘training system as their civil duty.’ They professed to be giving needed

Tuesday, May 5, 2020

Trial By Fire by Journey free essay sample

Journey: Trial By Fire Journey was started in 1973. Their lead singers name was Steve Perry. He has a soft calm voice in the album â€Å"Trial By Fire.† The album is a 16 song track of romance. Every song on this album was about being in love. The band originates from San Francisco, California. They have an upbeat rhythm to their songs so it is easy to dance to. The album is a blast in the past with Neal Schons excellent guitarist talent in the song â€Å"One More†. I think the album is very bland and most of the songs sound the same. But the album cover did interest me a lot. i like how it makes no sense and does not connect with any of the song names or lyrics. And i like how they use space themes for most of their album covers. We will write a custom essay sample on Trial By Fire by Journey or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They are different from the rest by not putting their band picture on any of their album covers. I don’t normally like love songs but this album was okay for me.

Sunday, April 12, 2020

The Rights Of Punishment Essays - Punishments, Criminology

The Rights Of Punishment Wake Up Call Is this a hellish nightmare that I have to awaken from? Caged and confined, thinking and pondering, I wonder what human is this that he should be subjected to imprisonment that neither improves nor corrects his soul? Is there no compassion for restoring a man to contribute to this nation? Or does the dark side of humanity see offenders of the law as utter undesirables unworthy of aid and therapy? Society, I have been tried and sentenced. Serving time for violating the law is not supposed to be a picnic. But demoralizing and dehumanizing a man to the dust of the ground does not correct behavior that got him incarcerated in the first place. This only fuels the fire, a fire which, if not handled properly, will in time burn everything in its path. Now who is the real criminal? Cell 52514 Block 2-229 Crescent City Penitentiary Everyday, the American prison system becomes more crowded and over-burdened. Prison bed space cannot keep up with the prison population. While presidents and governors call for a ?tough stance? on crime, the infrastructure is inadequate to contain all offenders. However, even if there were enough room to fit every individual that commits a criminal act, would this be the best move for the community and the offender? Placing an individual into a prison removes them from the general population, thus making the society they live in safer. But, separating individuals in a community does indirectly injure the community as a whole. These individuals obviously are no longer contributing to the local economy, but on a basic level, their absence places a hole into a community. Offenders have been shaped by the values and practices of their community. So, even though an individual may have acted in a way that is unacceptable to their community, that person is still the product of his community . Therefore, communities must hold some of the burden for making people into who they are. So, prisons must do more then just contain offenders. A responsible society must make the effort to rehabilitate these individuals and make strides to re-connect them with the community. As Bill McKibben says, ?Isn't it time to focus harder on substantive problems, such as how do we build a society that doesn't destroy the planet by its greed, and doesn't ignore the weak and the poor (McKibben, p. 720).? Much attention has been given to issues of big business versus the environment. People can sympathize with this cause. Though it may not be as glamorous, it is just as important that society's addresses the needs of the less fortunate. Even though criminals who commit the most heinous crimes receive the majority of public attention, most offenders are not intrinsically evil or irreversible. Often they are weak individuals who may not have received the best upbringing or have instilled in them a set of values incompatible with the community. McKibben feels that it is important not to ignore these unfortunate individuals, and give them an opportunity to re-engage with society in a mutually acceptable way. Therefore, prisons need to train offenders to exist with the rest of society. In the book, C-Unit, the authors suggest that prisons fulfill a certain role. The modern prison is asked to perform three tasks: (1) to make explicit in action that the community will not tolerate certain destructive behaviors; (2) to protect the community, for at least temporary periods of time; and (3) to prepare such persons to be responsible members of the community when they are released from prison. (Studt, Messinger and Thomas, p. 3) By containing prisoners within the confines of a jail, they are removed from the community at large, thus protecting the community. In addition, by making this prison stay punishment, inmates, for the most part, realize that they acted in a way that was unacceptable. Preparing individuals for re-integration into society is where the role of a prison becomes complex. A prison stay is unlikely to reform any criminal if it only means that they are separated from the community and there is no drive to change. The first change that needs to be addressed is on the value system of an inmate. Without this, it is only superficial to urge

Tuesday, March 10, 2020

buy custom The World’s Gun Control essay

buy custom The World’s Gun Control essay The worlds gun control lobbyists promote the theory enthusiastically, namely the International Network for Small Arms (IANSA), a network, which regional and national gun control lobbyists belong. IANSAs director, on behalf of the group, endorsed the prohibition of firearm for self-defense possession. IANSA works toward the overall confiscation of non-governmentally firearms, with an exception for low-power rifles and single-shot guns owned by hunters. Amnesty International also works closely with IANSA together with Oxfam, with the three forming a lobbying group referred to as Control Arms. The IANSA in collaboration with the United Nations, work in collaboration to support a common agenda. This has had a radical effect on the right to defend one-self (Shute Hurley 38). The right to defend one-self in English law is generally a complete defense of all levels of assault. Charles argues that it can be of use in mitigating liability from situations of murder to manslaughter (213). This is in the case where a police officer or a soldier acting in his duty uses a stronger degree of force than expected or necessary for self-defense. Therefore, self-defense is discernible from provocation that only applies in mitigating what would otherwise change from murder to manslaughter (Todd 145). Scott says that because of the defense completeness, Self-defense in interpretation is relatively conservative as a way to avoid the creation of a standard of justification (134-143). The more level of forgiving a defense is the superior the incentive for a defendant to; relatively exploit it when making plans for the use of violence or in the attempt of explaining matters after the self-defense event (Scott 134-143). Therefore, even if the jury in cases of self-defense is entitled to take account of the actual physical characteristics of the respective defendant, the corrected evidence has little value in making decisions whether excessive force was of use in such an event (Robertson John 76-79). The law states, "A defendant has a right to use reasonable force in the event of protecting himself, as well as others for whom he holds responsibility as well as his property but the force must be reasonable." In the right to defend one-self, there is a controversy of what force is exactly reasonable as stipulated in the law. Opinions differ, and many scholars and organizations have different perspectives on the issue of reasonable force. The question underlying this is what the reasonable amount of force would be (Shute Hurley 38). However, in all cases, the respective defendant does not truly have the right of deciding how much force is so-called reasonable because it would be a norm for the defendant in maintaining the reasonable force (Forsythe 18-27). This would also contradict the isue of guiltiness because situations vary as explained in the earlier discussion, in this paper. Some situations do not even warrant any use of force and therefore, the defendants would use the concept of reasonable force to while away their guilt (David Joanne 43178). The jury, as members of the general community, should be the ones to decide the level or degree of reasonable force depending on the circ umstances that the defendants were at the time when they executed the right to defend one-self (Michael 156). Robertson John also argues that it is pertinent that the respective defendant was under pressure in situations of attack, and the imminent attack would not give him time act rational or make considerations of the amount of force used (76-79). Therefore, in executing a judgment on the right to defend one-self the test should balance the standard of a pertinent reasonable person through the attribution of some of the relative, subjective knowledge of the respective defendant, with an inclusion of their beliefs about the specific circumstances (Shute Hurley 38). However, even permitting for mistakes made in the event of crisis, the degree of force must also be proportionate as well as reasonable given the interests protected as well as the harm likely to occur by use of such force (Charles 213). The classic test on the right to defend one-self comes from the Jamaican Palmer v The Queen case, on appeal presented to the Privy Council in the year 1971. It espouses, "The defense in the event of self-defense is that which can be or will be understood readily by any jury. It is a type of a straightforward conception. Generally, it involves no particular form of abstruse legal thought. The defense only requires common sense for its understanding (Shute Hurley 38). The same is both convenient sense and reputable law that an attacked man may reiterate by defending himself (Forsythe 18-27). It is both convenient sense and reputable law that the man may do it, but may do, what is only and reasonably necessary. However, everything will be dependent upon the particular circumstances and facts (Todd 145). It may, in particular cases be, clearly possible and sensible to take candid avoiding action. There are attacks that may be dangerous and serious while others may not (Michael 156). If there were relatively some minor attack in the event, it would not be reasonable to allow some action of retaliation that was wholly over the proportion of the respective situation (David Joanne 43178). If an attack is severe and serious putting someone in instantaneous peril then direct defensive action might be relatively necessary (Shute Hurley 38). If the situation is one of predicament for someone in danger, he may have to literally, avert the danger through some instant reaction. When the attack is over and noo peril remains, then it is expected that the force employment ceases, and the introduction of revenge or even some form of punishment done through either paying off or pure aggression (Charles 213). There may not be any link with an inevitability of defense particularly when a jury thinks that in the situation of unexpected anguish an individual attacked only did what he instincti vely and honestly thought as necessary as the most potent evidence only reasonable as a defensive action" (Scott 134-143). Robertson John argues that the right to defend one-self is also dependent on the intent or the reason for holding the weapon (76-79). He gives an example in explaining the right to defend one-self. He illustrates that in R v Lindsay (2005), the defendant who was said to pick up a sword in defending himself after an attack in his home by masked intruders armed with handguns, cut and killed one of the attackers. He slashed him repeatedly using a sword in self-defense. The prosecution case read that, although he initially had acted in self-defense, he lost self-control and in the process demonstrating a clear intent of killing the armed intruder because, he slashed continuously (Forsythe 18-27). In fact, he was himself a cannabis dealer keeping the sword available in defending him against fellow drug dealers. The Court of Appeal did confirm an eight-year term for him to serve imprisonment (Shute Hurley 38). In a non-criminal context, this would not be the expectation for the case of o rdinary householders "going too far" to defend themselves against armed robbers (Todd 145). They would receive a self-defense probe because of the intention of their act as well as the possession of the weapon (David Joanne 43178). In explaining the right to defend one-self, the most astonishing claim is the Frey report, that there is no right of humans of self-defense. The reports states, No international right of human of self-defense is set forth expressly in the sources of international law including customary law, treaties, or general principles (David Joanne 43178). While the human right to life is evident in practically every foremost human rights treaty internationally, the right to defend one-self is expressly recognized only in one, that is, Protection of Human Rights Convention and Fundamental Freedoms (European Human Rights Convention) (Michael 156). In conclusion, the right to defend one-self is extremely wide and covered by many scholars but the international law has still not appropriately mandated the use of defense especially use of restrictive gun control. The issue is also wide as it covers key areas in self-defense including others and own property. There is therefore, need for specialty in each subject and a cardinal in each subject individually covered to cover the issue subjectively. Buy custom The World’s Gun Control essay

Sunday, February 23, 2020

Small-Business Idea Paper Assignment Example | Topics and Well Written Essays - 1250 words

Small-Business Idea Paper - Assignment Example Advantages and Disadvantages of Four Different Forms of Business Organizations There are fundamentally four types of business forms currently practiced by entrepreneurs, such as sole proprietorship, partnership, C-Corporation, and S-Corporation. However, with due consideration to their practical implementation, various advantages and disadvantages can be identified which are elaborated in the further discussion. Sole Proprietorship Majority of the businesses observed in the locality are of this kind. The most significant advantages served by this form of business are the minimum obligation of legal implications. To be elaborated, The profits accrued from the business is entirely receivable to the proprietor Unhindered employment of capital in the business The proprietor possesses exclusive control on the business Tax rebates and exclusion from capital gains are served to the proprietor Apart from these advantages, a sole proprietorship concern also require facing disadvantages as fol lows, In this case, the proprietor is liable for any loss or repayment of debt incurred from the business Transfer of proprietorship is subjected to a wide number of legal obligations (Pride, Hughes, & Kapoor, 2011) Partnership Partnership concerns are quite different from the forms of sole proprietorship. It is in this context that this form possesses significant advantages as well as disadvantages in its ultimate implications. These are as follows, Advantages: Partnership firms have no formal requirements for its creation or running the business The partners engaged in the firm are only liable to pay individual taxes and also enjoys distributed liability of any debt and/or loss incurred by the concern Disadvantages: Termination of partnership is subjected to various legal requirement As the concern is not termed as a legal entity, debts and losses incurred by the firms are to be repaid by the partners (Gitman & McDaniel, 2008) C-Corporation Similar to the aforementioned two busine ss forms, this form also possesses significant advantages along with few disadvantages which are as follows, Advantages: Limited liability of the owners as subjected to their investments to the business Gathering a significant amount of capital is uncomplicated in this form Number of owners or shareholders can be unlimited Disadvantages: Operational structure is quite complex Significant influence of legal barriers can be witnessed Rights and power of control in the firm is determined according to the investment considered by the shareholders (Barringer & Ireland, 2009) S-Corporation It has been widely termed that S-Corporations possess missed advantages and disadvantages of partnership firms and other forms of regular businesses. However, the most apparent advantages and disadvantages of S-Corporation are as follows, Advantages: The owners are required to disburse either corporate tax or individual tax only Constructive rules for employment tax with

Thursday, February 6, 2020

Managing Financial Resources in Health and Social Care Essay

Managing Financial Resources in Health and Social Care - Essay Example The essay presents how various aspects of financial resources should be managed in health and social care. It is the responsibility of the management to ensurethat funding is available to meet the daily needs of the organization. In the cause of events, finance may be needed in order to invest in equipment stocks, pay employees, equipment and cater for sales made on credit. If not well taken care of, sources of finance may end up dry; this may make an institution to be in financial jeopardy. Financial control plays a critical role in helping the business meets its objectives.As a manager, my role is to ensure that all these are achieved. Financial shortfalls arise when an organization cannot pay its bills on time due to lack of cash. As a manager I have been oriented to be proactive about financial shortfalls while upholding an account for contingency all the time. Through review of BUPA’s cash flow for the last six months, the company is capable to determine the cash flow in terms of expenditure and income; this aids the company in reserving cash needed for purposes of expenditure for the subsequent six months. After realizing the company’s assets, the company has a well-planned schedule on how to pay its suppliers to avoid conflicts with respective suppliers. The company also encourages early payments from the customer by offering discounts on such payments; this increases the chances of early cash availability. Payment of suppliers on a scheduled basis helps the company to avoid shortfalls since suppliers get their due especially when the funds are available. Fraud is an obvious threat to organization’s resources and therefore must be a concern to all employers and employees within a specific jurisdiction (Petrucelli 2002). In the event of fraud, managers are expected to set good example by conforming fully to procedures and controls. As a manger, quick action is necessary to avoid any further loss bearing in mind that this is just an al legation and until the outcome of investigation is determined. Movement and preservation of evidence to a safe place or location is vital where practicable. Both internal auditor and director of finance are supposed to be notified. Prompt and vigorous investigation should be carried out; after that, report findings should be forwarded to both internal auditor and director of finance. If possible consult with the appropriate departments concerned or involved. Notification to security agents should be carried out by the manager following consultation with the executives of the BUPA at National Director Level. As some may put it, coming up with a budget may be easy, sticking to it is the hard part. A well planned budget has little no impact without willpower and close monitoring (Amey 1979). A system for recording expenses and producing reports should be in place. As a manger, insisting on regular monitoring reports is way of ensuring that whatever was projected in the budgets is follo wed to the latter. Through monitoring reports, it makes it easy to determine actual spending at a particular period of the month compared to what was projected in the budget. The level of expenditure should be documented and clear reports drawn from them; the concerned departments should be informed so as to get their input on the same. The audit committee should review the reports. After conclusion, there should be immediate action taken

Wednesday, January 29, 2020

Lord of the Flies Essay Example for Free

Lord of the Flies Essay ​Evil is a characteristic that describes a person as being morally wrong or bad, immoral and/or causing suffering for others. Evil in the book Lord of the Flies by William Golding was an inborn trait of mankind. In this book, evil was seen as a main theme throughout the whole story. Golding saw no hope for mankind and believed that evil is always in mankind and sooner or later it will be expressed and no longer be subdued by civilization. The Lord of the Flies is a book about a group of children (some very young), who become stranded on an uninhabited island with no adults. They are on this island due to a plane crash during a war that they were in. From the beginning of this story until the end, one sees a transformation of the children from a well-organized, diplomatic civilized group into an evil group of murderous blood thirsty savages. At the very beginning of this story, the children seemed well mannered and organized. They called a conch they found to gather the survivors. The only event that showed the boys’ inherent â€Å"evil† or jealously was the power struggle between Jack and Ralph for chief. Jack thought he should have been leader because he was chapter chorister. â€Å"I ought to be Chief, said Jack with simple arrogance, because I’m chapter chorister and head boy† (22). The children did the diplomatic thing and decided to put it to a vote. All of the children exspect Jack and the chorister boys elected Ralph. This event builds to Jack resenting Ralph throughout the story. Jack also tried to gain power later on in the story. As the story progresses so do the intensity of the evil acts of the children. One of these acts of â€Å"evil† from the children was their attitude toward Piggy, the over-weight, intelligent boy with asthma and glasses. Piggy became the victim of continuous bullying and neglect. A few example of this was when they called him fatty, piggy and wont let him speak and they won’t listen to him too, â€Å"Shut up, Fatty†¦He’s not fatty, cried Ralph, his real name’s Piggy†¦A storm of laughter arose and even the tiniest child joined in† (21). Another event that showed their rising evil ways is when Ralph, Jack and Simon explored the island, to decide if it is an island and/or it is uninhabited . On this adventure they saw a small, defenseless baby pig caught by â€Å"creepers†. Jack took out his knife and prepared to slaughter the piglet but couldn’t do it and allowed the piglet to go free. Jack had probably never killed anything before so the thought of ending a living thing’s life so to much for him. Afterwords Jack promised that the pig won’t be so lucky next time. Jack said this so he wouldn’t seem weak to the other children. Around the middle of the book Jack kept good on his promise, when his hunters and he slaughtered a piglet and chanted, â€Å"Kill the pig, cut her throat. Spill her blood† (69). There are also symbolisms in this story what expressed mankind’s inherited evil. The beastie in this story symbolized mankind’s inherited evil. Out of all the children, Simon is the only one who truly understood that. At one point in the book they even believed they (Sam and Eric) saw the beastie up on top of the mountain. When Jack and Ralph along with others go see the beastie they too start to believe in it. This leads to an increase in fear of the beastie (themselves). Also Ralph’s and Jack’s power struggle intensifies due to their increasingly differing wants and views. Ralph wants to be rescued but Jack’s only true desire is to hunt, kill, make fun of Piggy and become Chief with total power. Later on the children, all but Piggy, Sam and Eric are corrupted (by food) to join Jack’s tribe of savages. The turning point of their transformation into evil, savages was at Jack’s feast. At this feast the children were chanting, dancing an d reenacting the butchering of a defenseless piglet. When Simon, who represents natural human goodness (Jesus), is â€Å"accidentally† massacred by all of the children (expect Piggy). This event showed the innate human evil disrupting childhood innocence and just how far children are willing to go. ​ The event that showed total loss of civilization and the establishment of savages in this book was when Piggy was killed by Roger and the conch shell which symbolized civilization is broken. The rock struck Piggy a glancing blow from chin to knee; the conch exploded into a thousand white fragments and ceased to exist. (164). When the conch is broken it signifies the total loss of society, order, rule/law and peace among almost all the boys on the island. With the conch gone savagery is completely developed and the evil is shown to its fullest. At this point there is no more thoughts of right and wrong, just fear, pain and evil. Now all the children wanted to â€Å"hunt† and kill Ralph simply because Jack told them to. Especially Roger who has growth to love causing pain to others, and who â€Å"Sharpen a stick at both ends.† All of them even Sam and Eric helped to find Ralph so they could kill him. If it wasn’t for the office, Ralph would have been killed and the children wouldn’t have cared. They probably would have thrown a feast over Ralph’s death and spear hishead as a sign of power. ​In the book, Lord of the Flies the transformation of the children is clearly shown. They started off as proper gentlemen and ended as murderous, malevolent, sick savages, who want and like to exterminate and track innocence living animals including humans. Golding’s feeling towards human’s inherited characteristics is spot on and was seen throughout this whole story.

Monday, January 20, 2020

Team Empowerment Essay -- Business Administration, Team Building

ANTECEDENTS OF TEAM EMPOWERMENT Previous research has identified several organizational characteristics that may act as antecedents to team empowerment. Frequently cited antecedents include autonomy (Chen et al., 2007; Langfred, 2000; Campion et al., 1993), task meaningfulness (Stewart, 2006; Thomas & Velthouse, 1990; Hackman, 1987; Hackman & Oldham, 1980), and team-based human resources practices (Kirkman & Rosen, 1997; Mathieu et al., 2006), such as rewards (Balkin & Montemayor, 2000; Kirkman & Rosen, 1999). To build effective teams, an organization has to redesign the work process and to modify a wide range of organizational systems to support the design (Wellins et al., 1991). In the following discussion, I divide the antecedents into two groups: organizational design and organizational support. The reason for such a generalized dichotomy lies in the fact that many antecedents are interdependent with each other within the same group. For example, cross-functional team will enhance employees’ task meaningfulness; and both practices contribute to increasing employee autonomy. However, there are other factors that may increase employee autonomy, such as expanded responsibilities through improving role clarity. Also, in many case studies the implications involved not only one antecedent. Thus, a broader discussion framework is used as it better accommodates these interdependent antecedents and practices that employ different approaches to team empowerment. Organizational Design – Multi-functionalism is the best approach. Empowerment often requires taking a new look at the organizational design. The ultimate goal is to improve organizational effectiveness by promoting ownership of work. The fundamental approach, and also ... ... created a greater sense of ownership and responsibilities among hospital professionals. †¢ BSD, a software inventory control firm (Belasco, 1991), reorganized its team into multidisciplinary teams, which include sales, service, and technical experts, and each is in charge of a specific customer. By introducing the cross-functional teams, the company give its employees greater empowerment for being responsible for making all decisions. Another corporate practice for cross-functional team is to integrate different department, such as human resources, finance, and information technology, into one shared serviced team. Shared serviced team is often viewed as an alternative to outsourcing (Janssen & Joha, 2006). By integrating multiple functions into one team, shared services team is able to deliver more efficient service to internal customer, and the team members.

Sunday, January 12, 2020

Nutraceuticals International Essay

1. â€Å"Beetroot juice ‘can beat blood pressure’. † Nutraceuticals International 13. 2 (Feb 2008). Summary/Critique Medications for hypertension can amount to a lot of money each year. This is the reason why many experts are trying to look at cheaper alternatives in producing medicines that could alleviate the upsurge of this dreaded disease. Cheaper medicines can come in a form of herbal remedies. In this report that appeared in a magazine Nurtaceuticals International (Feb.2008), it has been revealed that British researchers at Barts and The London School of Medicine found a new way of vitally reducing the blood pressure of hypertension patients. By taking 500ml of beetroot juice each, they might have a chance of being cured of their hypertension. The group of researchers, led by Amrita Ahluwalia and Ben Benjamin, identified that it is the â€Å"ingestion of dietary nitrate contained within beetroot juice† that does the trick. The effect can also be seen when people are eating green, leafy vegetables that ultimately results in decreased blood pressure. Because of the antioxidant vitamin content of vegetable-rich diet people can be protected against heart disease. This article is very informative because readers can learn the importance of having good diet can help everyone have a healthier life. Also, this article could encourage more experts in trying to find alternative ways of helping people with hypertension. Full Text Article: â€Å"Beetroot juice ‘can beat blood pressure’. † Nutraceuticals International 13. 2 (Feb 2008). Researchers at Barts and The London School of Medicine in the UK have discovered that drinking just 500ml of beetroot juice a day can significantly reduce blood pressure. The study, published on-line on February 5 in the American Heart Association’s journal Hypertension, could have major implications for the treatment of cardiovascular disease. Lead by Amrita Ahluwalia, professor at the William Harvey Research Institute at Barts and The London School of Medicine, and Ben Benjamin, professor at Peninsula Medical School, USA, the research reveals that it is the ingestion of dietary nitrate contained within beetroot juice – and similarly in green, leafy vegetables – which results ultimately in decreased blood pressure. Previously, the protective effects of vegetable-rich diets had been attributed to their antioxidant vitamin content. Effective one hour post ingestion Prof Ahluwalia and her team found that, in healthy volunteers, blood pressure was reduced within just one hour of ingesting beetroot juice, with a peak drop occurring three-four hours after ingestion. Some degree of reduction continued to be observed until up to 24 hours after consumption. Researchers showed that the decrease in blood pressure was due to the chemical formation of nitrite from the dietary nitrate in the juice. The nitrate in the juice is converted in saliva by bacteria on the tongue into nitrite. This nitrite-containing saliva is swallowed and, in the acidic environment of the stomach is either converted into nitric oxide or re-enters the circulation as nitrite. The peak time of reduction in blood pressure correlated with the appearance and peak levels of nitrite in the circulation, an effect that was absent in a second group of volunteers who refrained from swallowing their saliva during, and three hours following, beetroot ingestion. More than 25% of the world’s adult population are hypertensive, and it has been estimated that this figure will increase to 29% by 2025. In addition, hypertension causes around 50% of coronary heart disease, and approximately 75% of strokes. In demonstrating that nitrate is likely to underlie the cardio-protective effect of a vegetable-rich diet, the research of Prof Ahluwalia and her colleagues highlights the potential of a natural, low cost approach for the treatment of cardiovascular disease – a condition that kills over 110,000 people in England alone every year. Prof Ahluwalia concluded: â€Å"our research suggests that drinking beetroot juice, or consuming other nitrate-rich vegetables, might be a simple way to maintain a healthy cardiovascular system, and might also be an additional approach that one could take in the modern day battle against rising blood pressure. † 2. Zoler, Mitchel L. â€Å"Hypertension doubles female sexual dysfunction prevalence. † Family Practice News 36. 20 (Oct 15, 2006): 14. Summary Critique: We only know that hypertension affects the circulatory system of the human body. However, in this article by Mitchel Zoler (2006), it has been found that hypertensive women have double the risk of having sexual dysfunction than women with normal blood pressure. This proposition came after scientists have conducted a study of 417 women. As Dr. Michael Doumas reported in the annual meeting of the American Society of Hypertension, â€Å"women with controlled hypertension had a significantly lower prevalence of sexual dysfunction than did women whose hypertension failed to reach goal levels during treatment† (Zoler, 2006). In this particular study, all women were tasked to complete a â€Å"19-question form that has been validated as a way to evaluate sexual function†. The questions dealt with several domains of female sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain. The survey found out that among the women with hypertension, â€Å"42% had scores indicating sexual dysfunction†, which is far in statistically significant when compared with â€Å"19% among the normotensives†. Looking on how the researchers arrived at this conclusion can be doubtful because they merely based it on a survey, which can be a result of many other factors other than hypertension. Yet, this observation should not be taken complacently because hypertension is a common disease in the United States and its link to reproductive dysfunction in women should be established so that doctors will know how to alleviate the worsening problem of hypertension. Full Text Article: Zoler, Mitchel L. â€Å"Hypertension doubles female sexual dysfunction prevalence. † Family Practice News 36. 20 (Oct 15, 2006): 14. NEW YORK — Women with hypertension were twice as likely to have sexual dysfunction as normotensive women were, in a study of 417 women. The results also showed that women with controlled hypertension had a significantly lower prevalence of sexual dysfunction than did women whose hypertension failed to reach goal levels during treatment, Dr. Michael Doumas reported at the annual meeting of the American Society of Hypertension. But a third finding was that women who were treated with antihypertensive drugs had a higher prevalence of sexual dysfunction than did untreated women. Dr.Doumas speculated that this was caused by the effects of certain antihypertensive drugs, such as diuretics and [beta]-blockers. Treatment with other drug types, the angiotensin-receptor blockers and angiotensin-converting enzyme inhibitors, appeared to reduce sexual dysfunction, he said. â€Å"We need to treat hypertension because of its effect on adverse cardiac outcomes. But there is a hint that we can lower blood pressure with some drugs and also have good effects on female sexual function,† said Dr. Doumas, a physician in the department of internal medicine at the Hospital of Alexandroupolis in Athens. The study enrolled 216 women with hypertension and 201 normotensive women. Their average age overall was about 48, and all were sexually active. The women completed a 19-question form that has been validated as a way to evaluate sexual function. The questions dealt with several domains of female sexual function: desire, arousal, lubrication, orgasm, satisfaction, and pain. Among the women with hypertension, 42% had scores indicating sexual dysfunction, compared with 19% among the normotensives, which was a statistically significant difference. The prevalence of sexual dysfunction increased significantly with the duration of hypertension. Among women who had been hypertensive for fewer than 3 years, 16% had a score indicating sexual dysfunction; the rate rose to 33% among women with hypertension for 3-6 years and 79% among women with hypertension for more than 6 years. Age also showed a significant interaction with prevalence. Among women aged 31-40 years, the prevalence of dysfunction was 21%; the rate rose to 38% among women aged 41-50 and to 57% among women who were older than 50 years. The prevalence of sexual dysfunction was 48% among women treated for hypertension, compared with 33% among the untreated hypertensives, a significant difference. The average age was 48 years in both groups. But the prevalence was lower still among the hypertensive women who had their pressure controlled by treatment. With control defined as a pressure of less than 140/90 mm Hg, the prevalence of sexual dysfunction in women with controlled hypertension was 27%, significantly less than the 51% of women with uncontrolled hypertension who had dysfunction. It’s not yet known how antihypertensive drugs exert differing effects on sexual function. In general, drugs that cause vasodilation appear to improve sexual dysfunction, Dr. Doumas said. 3. â€Å"Liver linked to deadly disease. † USA Today (Magazine) 135. 2737 (Oct 2006): 10. The liver is important in the human body because it produces many enzymes that aid the digestion of our food intake. This is why it can be alarming to have liver disorders because it can affect our system from metabolizing food. For example, in the United States, many people consume an excessive amount of protein. The metabolism of excess protein, especially animal protein, can put a strain on the liver and kidneys in fats include dairy products, vegetable oils, and red meat. In this report from USA Today, it was found that liver disorders may trigger a deadly type of hypertension. As a physician from the University of Texas Southwestern Medical Center named Dan Rockey informed, this type of hypertension is called portal hypertension that â€Å"affects the blood flow into the portal vein, which feeds blood to the liver†. This report is alarming because the short-term mortality rate of having â€Å"portal hypertension is about 30%† (USA Today, October 2006). Dan Rockey and his colleagues are undergoing research to open new grounds for this disease and to find â€Å"possible clinical approaches†. Portal hypertension can trigger bleeding and development of fluid found in the abdomen. It is important to take more research on this type of hypertension because it can possibly become an epidemic if it is not treated. Also, we can take steps in taking care of our liver by reducing alcohol intake and eating healthy food. Full Text Article: â€Å"Liver linked to deadly disease. † USA Today (Magazine) 135. 2737 (Oct 2006): 10. Mechanisms causing a potentially deadly type of hypertension that result from liver damage have been identified by Don Rockey, a physician at the University of Texas Southwestern Medical Center, Dallas. Portal hypertension affects the blood flow into the portal vein, which feeds blood to the liver. Rockey identified the cellular activity that results in portal hypertension. He and his colleagues then took the research a step further, showing that, if the process can be interrupted, the hypertension subsides. â€Å"Portal hypertension is a deadly disease that complicates many forms of chronic liver injury,† he explains. â€Å"When this occurs, in its most severe form, the prognosis definitely becomes guarded,† often leading to the need for a liver transplant. The short-term mortality for patients with portal hypertension is about 30%. The latest research opens new ground and has implications for possible clinical approaches. â€Å"The end result of portal hypertension is bleeding and development of ascites [fluid in the abdomen]; so, if you could treat it early, you could prevent bleeding or the formation of ascites,† Rockey observes. Portal hypertension is similar to the widely known essential hypertension–which impairs blood flow to the heart systems–except it affects blood flow to the liver-related systems. The liver is an essential organ that washes the body’s blood of wastes and poisons. Cirrhosis of the liver occurs when the cells are damaged. Scarring often results, reducing blood flow and raising pressure on veins. The high pressure can cause veins to burst, resulting in internal bleeding and, potentially, death. Previous studies have shown that, at the cellular level, portal hypertension results from reduced production of needed nitric oxide, which regulates expansion of the blood vessels. Rockey’s research identifies how the nitric oxide production breaks down due to the effects of the protein GRK2. The protein attaches to another protein called AKT, interrupting the creation of nitric oxide. 4. Zoler, Mitchel L. â€Å"Hypertension diagnosis often missed in children. † Family Practice News 35. 11 (June 1, 2005): 15. We might not know it but children can develop hypertension too. Since the late 1980s, the rate of pre-hypertension and hypertension among U. S. children and teenagers has continued to increase. However, according to Zoler (June 1, 2005), experts miss 85% of these cases. In this article, Dr. Charlene K. Mitchell informed that â€Å"the problem with diagnosing hypertension in kids is that there are too many threshold pressures for most physicians to keep straight†. The guidelines for diagnosing children with the condition are different than those for adults. The point at which children are considered to have hypertension is determined by age, gender, weight and height, and young patients usually are not diagnosed until they have higher-than-normal readings for at least three visits. American Academy of Pediatrics guidelines require that blood pressure be taken at every doctors visit, but some physicians do not then calculate whether it is too high, especially if the child is healthy otherwise. This is why Dr. Mitchell suggested the researchers should be â€Å"aggressive† in finding a solution not to miss the diagnosis of hypertension in children. The impact of missing the diagnosis of hypertension in kids can be tremendous because it is a â€Å"killer† disease. Doctors missing to identify it could not suggest medications and this can be life-threatening for the children. More serious research should be conducted to identify what method is appropriate in determining the occurrence of hypertension in children. Full Text Article: Zoler, Mitchel L. â€Å"Hypertension diagnosis often missed in children. † Family Practice News 35. 11 (June 1, 2005): 15. New Orleans — A diagnosis of hypertension was missed in 85% of children with high blood pressure in a study of 287 youngsters who were examined at two university-based, pediatric clinics. The problem with diagnosing hypertension in kids is that there are too many threshold pressures for most physicians to keep straight, Charlene K. Mitchell, M. D. , said at the annual meeting of the Southern Society for Pediatric Research. Because the threshold for diagnosing hypertension varies by age, height, and gender, there are a total of 420 different diastolic and systolic pressures that determine whether a particular child has high blood pressure, said Dr. Mitchell, a pediatrician and internist at the University of Louisville (Ky. ). The total is 420 because there are 15 different age-specific threshold pressures for children aged 3-17 years, 7 different height-specific threshold pressures between the 5th and 95th height percentiles, different thresholds for girls and boys, and different thresholds for diastolic and systolic pressure. The threshold criteria for borderline hypertension would add another 120 pressure thresholds for diagnosing hypertension. â€Å"The numbers are chopped up too much. It’s far too complex for easy management,† Dr. Mitchell said. â€Å"If physicians must always look on a table every time they check a blood pressure, we’ll continue to see underdiagnosis. † Her solution to the number surfeit is to cluster several ages with a single diagnostic pressure threshold. However, eventually she would like to have study results establish pressure thresholds for diagnosing hypertension that are empirically derived, rather than based on statistics. If the diagnostic criteria are simplified, physicians will be much more likely to identify hypertension in children much more often, Dr. Mitchell said. â€Å"We need to be much more aggressive about recognizing hypertension in children than we are now,† she added. Her study was designed to assess physician accuracy at identifying hypertension in children aged 3-17 years being seen for routine, well-child visits from July 31 to Aug. 15, 2003. Of the 287 children examined, 90 (31%) had hypertension by current standards, and 35 (12%) had borderline hypertension. But only 15% of those with hypertension were diagnosed by their examining physicians. The results also showed that physicians were more likely to diagnose hypertension in children with a higher body mass index (BMI). The children who were correctly diagnosed as hypertensive were, on average, in the 92nd percentile for BMI. Those who had unrecognized blood pressure elevations were, on average, in the 76th percentile for BMI. 5. Bradbury, Jane. â€Å"The chicken and egg in hypertension†, The Lancet 349. 9059 (April 19, 1997), p. 1151. It is important to know where essential hypertension will trigger from because it can aid doctors to foresee the development of this dreaded disease. To wit, there is an ongoing debate of whether essential hypertension occurs when there is a perceived micro vascular abnormality or is when doctors see higher levels of blood pressure. In this article, UK clinicians found that males â€Å"with a familial predisposition to high blood pressure, a reduced number of capillaries and impaired microvascular dilatation precede hypertension†. In the research conducted by Professor David Webb and his team from the University of Edinburgh, they utilized the â€Å"four-corners epidemiological model† in predicting the triggering point of hypertension. Their study in 1977 determined the measure of blood pressure from 1809 married couples. In 1985, 864 of the 16–24 year-old children that came from the previous couples â€Å"had their blood pressure measured† too. Then, the researchers classified â€Å"four groups of offspring† by â€Å"combinations of personal (high or low) and parental (high or low) blood pressure†. Through these extensive studies, they determined that â€Å"microvessel characteristics which might be responsible for increased vascular resistance in essential hypertension†. Mostly, it is the males â€Å"with high blood pressure whose parents also had high blood pressure had significantly impaired dermal vasodilatation compared with the other three groups†. Also, they researchers observed they had â€Å"significantly fewer capillaries in the finger during venous occlusion†. This article can be helpful in the research of determining hypertension before it develops into a full-blown disease. Full Text Article: Bradbury, Jane. â€Å"The chicken and egg in hypertension†, The Lancet 349. 9059 (April 19, 1997), 1151. What comes first in essential hypertension-microvascular abnormalities or a rise in blood pressure? UK clinicians report this week that in men with a familial predisposition to high blood pressure, a reduced number of capillaries and impaired microvascular dilatation precede hypertension. Prof David Webb (University of Edinburgh, UK) and his team used the â€Å"four-corners† epidemiological model to unravel cause and effect in hypertension. In 1977, blood pressure was measured in 1809 married couples. 864 16–24 year-old offspring from 603 of the families had their blood pressure measured in 1985. Four groups of offspring were defined by combinations of personal (high or low) and parental (high or low) blood pressure. Microvessel characteristics which might be responsible for increased vascular resistance in essential hypertension were measured in 1993–95 for 105 men drawn from the four populations (J Clin Invest 1997; 99: 1873–79). Men with high blood pressure whose parents also had high blood pressure had significantly impaired dermal vasodilatation compared with the other three groups. They also had significantly fewer capillaries in the finger during venous occlusion. Factors which are associated with high blood pressure in offspring whose parent had high blood pressure are more likely to be causal than those that are associated with high blood pressure in the offspring irrespective of parental blood pressure, write the authors. The results suggest that defective angiogenesis may be an etiological component of hypertension, either environmental or genetic, and are consistent with the higher incidence of adult hypertension in people with a low birth weight. These findings, says Webb, should focus attention on the importance of early life factors in the programming of hypertension. 6. McCarron, David A. â€Å"Diet and high blood pressure – the paradigm shift. † Science 281. 5379 (August 14, 1998): 933-934. Doctors and nutritionists always exhort people to make a change to healthier diets because it can aid all of us in preventing deleterious diseases. According to McCarron (Aug. 14, 1998), â€Å"humans are nearly unique in their natural propensity to develop elevated arterial pressure, a fact attributed to both genetic and environmental factors†. Many experts point an accusing finger on salt being the one that can contribute to the occurrence of hypertension. However, McCarron (Aug. 14, 1998) revealed that the â€Å"importance of salt in the pathogenesis of hypertension† is still being debated and â€Å"remains undetermined†. Experts began to accuse the extreme use of salt as the one that causes hypertension â€Å"when early studies indicated that salt intake increased blood pressure†. However, McCarron (Aug. 14, 1998) indicated that â€Å"many of these studies have since been discounted for design and methodologic flaws. But even where the methodology is sound, sodium intake cannot be linked to hypertension or higher population-wide blood pressure†. In more conclusive studies, there existed a â€Å"compelling evidence that adequate intake of minerals, rather than restriction of sodium, should be the focus of dietary recommendations for the general population†. This article is enlightening due to the fact that it debunks the myth of salt being the primary cause of developing hypertension. The author suggests that we should limit our mineral intake and not just salt alone, in order to live a healthy lifestyle. We should not manipulate our diet to our own detriment, but we should shift it to become health-conscious because we are already armed with the knowledge of what’s good for us. Full Text Article: McCarron, David A. â€Å"Diet and high blood pressure – the paradigm shift. † Science 281. n5379 (August 14, 1998): 933(2). Hypertension–a serious health problem for industrialized societies–contributes significantly to the risk of coronary heart disease, congestive heart failure, stroke, and kidney failure. Among vertebrates, humans are nearly unique in their natural propensity to develop elevated arterial pressure, a fact attributed to both genetic and environmental factors. Only certain highly inbred strains of rodents and genetically engineered animals also spontaneously exhibit hypertension. Public policy has generally recommended that blood pressure can best be controlled by restriction of sodium chloride intake and with medication (1). Recent research has, however, emphasized the powerful role of total diet in the etiology and treatment of hypertension, suggesting that the focus of current public policy regarding nutrition and blood pressure is too narrow. Limitation of sodium chloride in food has historically been the dietary mantra of those who set nutritional policy for hypertension. Nevertheless, the importance of salt in the pathogenesis of hypertension has long been debated (2-4) and remains undetermined (5). The intense focus on sodium began when early studies indicated that salt intake increased blood pressure. These studies, many conducted decades ago, included epidemiologic surveys in primitive societies, clinical trials in patients with kidney disease, and animal investigations in which sodium intake levels cannot be realistically extrapolated to humans (6). Many of these studies have since been discounted for design and methodologic flaws. But even where the methodology is sound, sodium intake cannot be linked to hypertension or higher population-wide blood pressure (7). Two recent meta-analyses of randomized controlled trials–one examining the effects of sodium restriction (8) and the other of calcium supplementation on arterial pressure (9)–provide compelling evidence that adequate intake of minerals, rather than restriction of sodium, should be the focus of dietary recommendations for the general population. Assessing 56 trials of sodium restriction, Midgley et al. (8) concluded that individuals with normal blood pressure gained nothing from limiting sodium intake and that only older ([is greater than] 45 years) hypertensive people might benefit, a conclusion recently confirmed by other investigators (5). Midgley et al. also reported that the magnitudes of the blood pressure reductions were not consistently related to the amount of sodium intake, indicating that confounding factors were contributing to the changes in blood pressure. Indeed, in a meta-analysis of calcium supplementation trials, Bucher et al. (9) identified a small but consistent drop in blood pressure when normotensive and hypertensive persons consumed more calcium. They speculated that baseline calcium intake or increased biological need for minerals might be responsible for the blood pressure variability not otherwise accounted for in their analysis. These two reports presaged the outcomes of two large clinical trials from the NIH, published in 1997 (10, 11). The Trials of Hypertension Prevention (TOHP) II is the largest and longest study ever executed to test whether sodium restriction lowers arterial pressure and prevents the emergence of new hypertension cases (I0). No benefit was detected for the primary endpoint diastolic blood pressure. Systolic blood pressure decreased minimally (0. 7 mmHg), almost precisely the value that the Midgley (8) analysis projected. Furthermore, the TOHP II data demonstrated a dissociation between the extent of sodium restriction and the observed blood pressure reduction. The second large-scale study was the Dietary Approaches to Stop Hypertension (DASH) trial published in the New England Journal of Medicine (11). As would be predicted by Bucher et al. (9) in their meta-analysis of calcium studies, in persons whose intake of dairy products (and therefore calcium and other minerals) was well below currently recommended levels, blood pressure decreased significantly when the recommended amounts were included in their diets. In the DASH diet that was rich in dairy products, fruits, and vegetables and lower in fat (with sodium held constant), blood pressure decreased 5 to 6 mmHg in subjects with normal blood pressure; in those with mild hypertension, this blood pressure reduction was doubled, to 11 to 12 mmHg. Reductions of this magnitude have been observed previously only with antihypertensive medications. A second DASH diet, which included increased amounts of fruits and vegetables but did not include dairy products, produced more modest but still significant systolic blood pressure reductions, easily surpassing those observed with sodium restriction in TOHP II. DASH confirmed the meta-analyses as well as earlier indications from observational studies that dietary factors other than sodium markedly affected blood pressure (3, 12). For example, one of the earlier studies (12) identified inadequate calcium intake from dairy products as the dietary pattern most prevalent in individuals with untreated hypertension. Another study (3), in which nutrient intake was assessed from the first National Health and Nutrition Examination Survey (NHANES I), confirmed this dietary pattern in hypertensive individuals and identified the relative absence of fruits and vegetables in the American diet as the second best predictor of elevated blood pressure. These studies suggested that where intake of other critical nutrients is adequate, sodium intake at levels typically consumed in most societies might actually be associated with lower blood pressure. They also concluded that the absence of specific nutrients (calcium, potassium, and magnesium), resulting from low consumption of dairy products, fruits, and vegetables, is associated with hypertension in Americans (3, 12). The TOHP II study adds to the substantial body of literature that challenges the public health emphasis on sodium restriction as the primary nutritional means of improving blood pressure. The issue is further complicated by concerns raised in several recent reports (5, 13, 14) that the long-term effect of sodium restriction on cardiovascular morbidity and mortality may be the opposite of what has always been assumed. The DASH study provides a clear rationale for focusing our public health strategy on adequate intake of low-fat dairy products and fruits and vegetables. The consistency of the accumulated data is evident when the blood pressure changes seen with the DASH diet (11) are superimposed on the blood pressure profile of Americans as a function of calcium intake from (3) (see the figure). According to these data (3, 11), if the intakes of calcium and other nutrients obtained through low-fat dairy products, fruits, and vegetables were increased to the amounts readily achieved in the DASH study, the percentage of Americans with moderately severe hypertension (160/100 to 179/109 mmHg) would be decreased by nearly half, from approximately 9% to 5%. For the millions more with borderline elevations, the benefits are likely to be at least as great. Whether hypertension is genetic or environmental in origin, control of dietary mineral intake has a place in its management and prevention. As a society, we will not achieve the dramatic reversal in hypertensive heart disease that DASH and other studies clearly show is possible until we direct our efforts to the nutritional factors and dietary patterns that are actually relevant to this condition. In addition, diets low in fat but high in calcium, fruits, and vegetables are not prevalent in the subgroups of society at greatest risk for hypertensive cardiac disease–the elderly and African Americans. An added plus: A diet low in fat but high in calcium, fruits, and vegetables is also consistent with reduction of two other major public health problems, osteoporosis and cancer (15, 16). The emphasis on sodium as the single dietary culprit is counterproductive to our significantly reducing cardiovascular risk for most of us (5) and diverts attention from the issues we need to address (17). â€Å"Food products† such as snacks and soft drinks added to our diets in recent years have supplanted nutrient-rich foods such as fruits, vegetables, and milk. This shift in dietary patterns, and simultaneous suboptimal nutrient intake, is also far more likely to contribute to the prevalence of hypertension than salt, which has always been a component of the human diet. Humans may be unique in our propensity to develop hypertension simply because we are the only species with the capacity to manipulate our diets to our own detriment. References (1.) â€Å"The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure,† Arch. Intern. Med. 157, 2413 (1997). (2. ) G. Kolata, Science 216, 38 (1982). (3. ) D. A. McCarron, C. D. Morris, H. J. Henry, J. L. Stanton, ibid. 224, 139Z (1984). (4. ) J. D. Swales, Br. Med. J. 297, 307 (1988). (5. ) N. A. Graudal, A. M. Gallee, P. Gaffed, JAMA 279, 1383 (1998). (6. ) M. Muntzel and T. Drueke, Am. J. Hypertens. 5, 1S (1992). (7. ) Intersalt Cooperative Research Group, Br. Med. J. 297, 319 (1988). (8. ) J. P. Midgley, A. G. Matthew, C. I. T. Greenwood, A. G. Logan, JAMA 275, 1590 (1996). (9. ) H. C. Bucher et al. , ibid. , p. 1016. (10. ) Trials of Hypertension Prevention Collaborative Research Group, Arch. Intern. Med. 157, 657 (1997). (11. ) L. J. Appel et al. , N. Engl. J. Med. 336, 1117 (1997). (12. ) D. A. McCarron, C. Morris, C. Cole, Science 217, 267 (198Z). (13. ) M. H. Alderman, S. Madhavan, H. Cohen, J. E. Seatey, J. H. Laragh, Hypertension 25, 1144 (1995). (14. ) H. H. Alderman, H. Cohen, S. Madhavan, Lancet 351, 781 (1998).

Saturday, January 4, 2020

Organizational Profile Of Shriners Hospitals For Children

PAGE 1 Running Head: ORGANIZATIONAL PROFILE An Organizational Profile of Shriners Hospitals for Children John W. Brouillette University of Louisville Bradley Carpenter, Ph. D. Department of Leadership, Foundations and Human Resource Education ELFH 490-98 May 29, 2015 ? Introduction This paper will analyze Shriners Hospital for children, a non-profit hospital system owned by Shriners International, through the theoretical lens of Bolman and Deals Leadership Frameworks (1997). This paper will define structural and symbolic aspects of the organization, analyze strengths, weaknesses, opportunities and threats through structural assessment to identify growth and risk potential, and propose possible solutions for identified issues. Shriners Hospitals for Children is a non-profit hospital system that maintains 22 hospitals for children in the United States, Canada, and Mexico. 18 of the hospitals provide orthopedic specialization; three hospitals focus on burn care, and one hospital offers burn, spinal, and orthopedic care. The first hospital was opened in Shreveport Louisiana, in 1922 by Shriners International, a fraternal organization for men. The hospitals provide cutting edge care for a variety of condition, actively engage in research for cures to childhood diseases and improvement to orthopedic and burn treatments (Schumaker, 2005). Shriners Hospitals for Children has aShow MoreRelatedThe Blocker Burn Unit At The University Of Texas Medical Branch ( Utmb )1739 Words   |  7 Pagesonly sustained operations but also briefly expanded to provide pediatric burn care when Shriners Burns Hospital was subsequently unable to reopen post hurricane. This paper will detail the realities confronted by the BBU both currently, and in the future, with an exploration as to those implications on fiscal outlook and provision of care. Current Realities of the Blocker Burn Unit (BBU) Burn Care Hospitals The American Burn Association (ABA) is the accrediting body for burn centers in the United